WorldWideScience

Sample records for lent additional urgency

  1. Materiales. Lentes de contacto. (I)

    OpenAIRE

    Lozano Prieto, Beatriz

    2017-01-01

    La función de una lente de contacto, al igual que la de unas lentes oftálmicas en gafas, es la compensación de las ametropías ya sea miopía, hipermetropía o astigmatismo. En este trabajo se realiza un estudio metodológico basado principalmente en la evolución de las lentes de contacto y de sus materiales, desde las primeras lentes de vidrio esclerales y corneales, pasando por las lentes de material plástico, las rígidas permeables a los gases, las de hidrogel, y finalmente a las lentes de ...

  2. A lente moderna

    Directory of Open Access Journals (Sweden)

    Maria Elisa Baptista

    2012-11-01

    Full Text Available Belo Horizonte, cidade moderna, abriga registros do surgimento da arquitetura moderna brasileira, flagrados na sua construção pela lente moderna do fotógrafo Wilson Baptista. Associar fragmentos das histórias arquitetônica e fotográfica nas décadas de 1930-1960 é o objetivo com este ensaio, baseado no relato pessoal da experiência de cada imagem. As referências arquitetônicas não se estendem além do necessário, por já terem sido publicadas por outros autores, limitando-se a referenciar o trabalho inventivo do fotógrafo, que traduz, em uma estética também moderna, a beleza da arquitetura belo-horizontina.

  3. Queratocone e lentes de contacto

    OpenAIRE

    Coutinho, I; Ramalho, M; Pedrosa, C; Pina, S; Mota, M; Santos, C; Vendrell, C

    2014-01-01

    Nos doentes com queratocone quando os óculos não possibilitam boa visão, as lentes de contacto são uma boa alternativa terapêutica. Há vários desenhos de lentes de contacto que podem ser utilizados na correção óptica do queratocone e a sua adaptação deve assegurar o menor trauma da córnea e conforto ao doente. Este trabalho pretende fazer fazendo-se breve revisão das lentes de contacto disponíveis no tratamento do queratocone.

  4. Lentes plegables suturadas a iris

    Directory of Open Access Journals (Sweden)

    Dunia Cruz Izquierdo

    Full Text Available Para la corrección quirúrgica de la afaquia existen en la actualidad varias técnicas quirúrgicas que permiten fijar los lentes intraoculares plegables o rígidos en cámara posterior suturados al iris o al sulcus ciliar. En estas circunstancias el cirujano determinará cuándo, dónde y el tipo de lente mejor a implantar. Se presenta un paciente con una afaquia traumática del ojo izquierdo, con agudeza visual sin corrección de movimiento de mano a 1 m. Se le realizó implante secundario de lente intraocular plegable de cámara posterior suturada al iris. En el examen biomicroscópico en lámpara de hendidura del ojo izquierdo se observó midriasis media paralítica, refracción dinámica de +11,00 (0,6 y tensión ocular normal. Se le realizó examen por bimicroscopía indirecta sin alteración. Al mes de operado la agudeza visual mejor corregida alcanzó la unidad de visión. Las complicaciones presentadas fueron ovalización de la pupila y depósitos de pigmentos de iris en el lente intraocular.

  5. Randvere Kool = Randvere School / Kristi Lents

    Index Scriptorium Estoniae

    Lents, Kristi, 1981-

    2013-01-01

    Kristi Lents-Esnari ja Marita Mätase (Allianss Arhitektid) kujundatud Randvere Kooli (G.H. Schüdlöffeli tee 4, Randvere küla, Viimsi) interjöörist. Hoone arhitekt Inga Raukas. Lühidalt Kristi Lents-Esnarist ja Marita Mätasest

  6. URGENCES NOUVELLE VERSION

    CERN Multimedia

    Medical Service

    2002-01-01

    The table of emergency numbers that appeared in Bulletin 10/2002 is out of date. The updated version provided by the Medical Service appears on the following page. Please disregard the previous version. URGENT NEED OF A DOCTOR GENEVAPATIENT NOT FIT TO BE MOVED: Call your family doctor Or SOS MEDECINS (24H/24H) 748 49 50 Or ASSOC. OF GENEVA DOCTORS (7H-23H) 322 20 20 PATIENT CAN BE MOVED: HOPITAL CANTONAL 24 Micheli du Crest 372 33 11 382 33 11 CHILDREN'S HOSPITAL 6 rue Willy Donzé 382 68 18 382 45 55 MATERNITY 24 Micheli du Crest 382 68 16 382 33 11 OPHTALMOLOGY 22 Alcide Jentzer 382 84 00 HOPITAL DE LA TOUR Meyrin 719 61 11 CENTRE MEDICAL DE MEYRIN Champs Fréchets 719 74 00 URGENCES : FIRE BRIGADE 118 FIRE BRIGADE CERN 767 44 44 BESOIN URGENT D'AMBULANCE (GENEVE ET VAUD) : 144 POLICE 117 ANTI-POISON CENTRE 24H/24H 01 251 51 510 EUROPEAN EMERGENCY CALL: 112 FRANCE PATIENT NOT FIT TO BE MOVED: call your family doctor PATIENT CAN BE MOVED: ST. JULIE...

  7. Lentes de contacto en el deporte

    Directory of Open Access Journals (Sweden)

    Lluïsa Quevedo i Junyent

    2007-06-01

    Full Text Available Tras una completa evaluación optométrica, la primera responsabilidad del especialista, es procurar al deportista amétrope (miope, hipermétrope, astígmata... una óptima calidad de visión, ya sea con gafas o, preferiblemente, con lentes de contacto, por las numerosas ventajas que éstas presentan para el deportista. En los últimos años, especialmente, la industria de las lentes de contacto viene experimentando una evolución imparable, con grandes innovaciones a nivel de materiales, diseños y frecuencias de reemplazo que se traducen en mayor calidad de visión, confort y seguridad para el usuario. Las lentes de contacto desechables (usar y tirar, suelen ser de primera elección para los deportistas. En esta línea se encuentra la lente de contacto Nike Max Sight, de reciente comercialización en nuestro país, y que sin duda, como ya está sucediendo en los EUA, puede comportar una pequeña revolución en el contexto deportivo

  8. Nuevas aplicaciones de las lentes de contacto

    OpenAIRE

    Blanco Menéndez, Patricia

    2017-01-01

    Revisión bibliográfica de los estudios para el seguimiento y monitorización de patologías de elevada prevalencia (glaucoma y diabetes mellitus) de una forma no invasiva y administración de fármacos mediante el uso de lentes de contacto. Grado en Optica y Optometría

  9. 7 CFR 1710.107 - Amount lent for acquisitions.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 11 2010-01-01 2010-01-01 false Amount lent for acquisitions. 1710.107 Section 1710... GUARANTEES Loan Purposes and Basic Policies § 1710.107 Amount lent for acquisitions. The maximum amount that will be lent for an acquisition is limited to the value of the property, as determined by RUS. If the...

  10. Striatal activation reflects urgency in perceptual decision making.

    Science.gov (United States)

    van Maanen, Leendert; Fontanesi, Laura; Hawkins, Guy E; Forstmann, Birte U

    2016-10-01

    Deciding between multiple courses of action often entails an increasing need to do something as time passes - a sense of urgency. This notion of urgency is not incorporated in standard theories of speeded decision making that assume information is accumulated until a critical fixed threshold is reached. Yet, it is hypothesized in novel theoretical models of decision making. In two experiments, we investigated the behavioral and neural evidence for an "urgency signal" in human perceptual decision making. Experiment 1 found that as the duration of the decision making process increased, participants made a choice based on less evidence for the selected option. Experiment 2 replicated this finding, and additionally found that variability in this effect across participants covaried with activation in the striatum. We conclude that individual differences in susceptibility to urgency are reflected by striatal activation. By dynamically updating a response threshold, the striatum is involved in signaling urgency in humans. Copyright © 2016 Elsevier Inc. All rights reserved.

  11. Assessment of morbidity in carcinoma of the cervix: a comparison of the LENT SOMA scales and the Franco-Italian glossary

    International Nuclear Information System (INIS)

    Davidson, Susan E.; Burns, Meriel P.; Routledge, Jacqueline A.; Swindell, Ric; Bentzen, Soeren M.; West, Catharine M.L.

    2003-01-01

    Background and purpose: To assess the correlation between the LENT (late effects on normal tissue) SOMA (subjective objective management analytic) system and the Franco-Italian glossary scores of late morbidity in cervical cancer patients treated with radiation, and to compare the ability of the scoring systems to detect differences between radiation treatment groups. Materials and methods: The study was retrospective. Patients, invited to take part in the study, had radiotherapy for cervical cancer and had a minimum of 3 years follow-up with no evidence of recurrence. One hundred patients agreed to take part. LENT subjective data were obtained using a patient questionnaire approach in order to complete the scales as published. The LENT objective, management and Franco-Italian glossary scores were obtained by a physician. Correlations between scores and differences between treatment groups were examined using non-parametric tests. Results: The average LENT SOMA scores had a greater resolution than the maximum scores, and using the maximum score alone underestimated treatment morbidity. The Franco-Italian glossary scores correlated strongly with the LENT objective scores (ρ=0.61, P<0.0005), and less strongly with the LENT subjective scores (ρ=0.45, P<0.0005). Significant differences in morbidity between the radiation treatment groups were measured using both the LENT SOMA system and the Franco-Italian glossary. Conclusions: The maximum and average LENT scores should be reported for each subsite. The LENT objective scores correlated well with the scores obtained using the established Franco-Italian glossary, but the LENT system provided additional information on subjective treatment effects. Both systems were able to measure significant differences in morbidity between radiation treatment groups. In conclusion, the LENT SOMA system is a valid and comprehensive approach for scoring the late normal tissue effects of radiotherapy

  12. Lentes progressivas x lentes multifocais: um estudo baseado na geometria analítica do cone

    Directory of Open Access Journals (Sweden)

    Araújo Marília Cavalcante

    2004-01-01

    Full Text Available OBJETIVO: Compreender, por meio de figuras e funções matemáticas do cone, as lentes progressivas e mostrar que elas não são lentes multifocais porque, nelas, a refração da luz não obedece as leis da geometria euclidiana. MÉTODOS: Foi feito um estudo da geometria analítica do cone, com o programa de computador Auto-CAD 14, dando enfoque óptico às figuras geométricas obtidas com a sua secção. RESULTADOS: Pela análise das figuras obtidas da secção do cone, pudemos observar as superfícies que compõem as lentes progressivas. Estas superfícies são compostas de elipse, círculo, parábola e hipérbole. Diferente do que é dito na literatura, encontramos as elipses com diâmetro maior nas ordenadas e de mesmo sentido seguida por duas superfícies inferiores que são parábola e hipérbole e não o contrário. CONCLUSÕES: As lentes progressivas diferentemente das lentes multifocais apresentam prismas nos centros ópticos como decorrência da sua estrutura. No final, fizemos análise das suas formas mostrando o limite teórico da sua evolução.

  13. Lentes de contacto em idade pediátrica

    OpenAIRE

    Mota, M; Vendrell, C; Ramalho, M; Santos, C; Pedrosa, C; Coutinho, I; Lopes, AS; Silva, D

    2015-01-01

    Revisão sobre os tipos de lentes de contacto para utilização na idade pediátrica. Regras de adaptação, indicações e contraindicações ao uso de lentes de contacto na criança. Descrição das melhores opções na afaquia.

  14. Pärt, Arvo: "Miserere", "Festina lente" / Volkmar Fischer

    Index Scriptorium Estoniae

    Fischer, Volkmar

    1991-01-01

    Uuest heliplaadist Pärt, Arvo: "Miserere", "Festina lente", "Sarah Was Ninety Years Old". The Hilliard Ensemble. Orchester der Beethovenhalle Bonn. Dirigent Dennis Russel Davies (ECM Records, distr Amigo)

  15. Dimensions of sensation assessed in urinary urgency: a systematic review.

    Science.gov (United States)

    Das, Rebekah; Buckley, Jonathan; Williams, Marie

    2013-10-01

    Urinary urgency is an adverse sensory experience. Confirmation of the multidimensional nature of other adverse sensory experiences such as pain and dyspnea has improved the understanding of neurophysiological and perceptual mechanisms leading to innovations in assessment and treatment. It has been suggested that the sensation of urgency may include multiple dimensions such as intensity, suddenness and unpleasantness. In this systematic review we determine which dimensions of sensation have been assessed by instruments used to measure urinary urgency. A systematic search was undertaken of MEDLINE, Embase, AMED, CINAHL, Ageline, Web of Science, InformIT Health and Scopus databases to identify studies that included assessments of urinary urge or urgency. Articles were included in the analysis if they were primary studies that described the method used to measure urge/urgency in adults and published in English in peer reviewed publications since January 1, 2000. Articles were excluded from study if urgency was measured only in conjunction with other symptoms (eg frequency or incontinence) or if there was no English version of the instrument. Secondary analyses and systematic reviews were retained to hand search references for additional primary studies. Data were extracted for the instruments used to measure urge/urgency. For each instrument the items specific to urinary urgency were reviewed using a prospectively developed categorization process for the sensory dimension and the measurement metric. Items used to assess urinary urgency were collated in a matrix (sensory dimensions vs assessment metric). The most frequently used dimensions, metrics and combinations were descriptively analyzed. After removal of duplicate articles 1,048 full text articles were screened and 411 were excluded, leaving 637 eligible articles from which data were extracted. A total of 216 instruments were identified which were 1 of 6 types, namely 1) wider symptom questionnaires, 2) urgency

  16. The perceived urgency of auditory warning alarms used in the hospital operating room is inappropriate.

    Science.gov (United States)

    Mondor, Todd A; Finley, G Allen

    2003-03-01

    To examine the perceived urgency of 13 auditory warning alarms commonly occurring in the hospital operating room. Undergraduate students, who were naïve with respect to the clinical situation associated with the alarms, judged perceived urgency of each alarm on a ten-point scale. The perceived urgency of the alarms was not consistent with the actual urgency of the clinical situation that triggers it. In addition, those alarms indicating patient condition were generally perceived as less urgent than those alarms indicating the operation of equipment. Of particular interest were three sets of alarms designed by equipment manufacturers to indicate specific priorities for action. Listeners did not perceive any differences in the urgency of the 'information only', 'medium' and 'high' priority alarms of two of the monitors with all judged as low to moderate in urgency. In contrast, the high priority alarm of the third monitor was judged as significantly more urgent than its low and medium urgency counterparts. The alarms currently in use do not convey the intended sense of urgency to naïve listeners, and this holds even for two sets of alarms designed specifically by manufacturers to convey different levels of urgency.

  17. URGENCES ET MEDECINE DE CATASTROPHE

    Directory of Open Access Journals (Sweden)

    Jihane BELAYACHI

    2017-05-01

    Full Text Available La concentration humaine et urbaine, le développement des technologies , les menaces de destruction et de contamination sont à l’origine d’une prise de conscience de la nécessité d’une assistance civile. L’aide médicale urgente, qui s’affirme et s’oriente vers une médecine de réseau, en partenariat avec toutes les structures concourant à l’urgence, participe à la rationalisation de la politique sociale. Les acteurs de l’aide médicale urgente contribuent ainsi à sauvegarder, tout en l’améliorant, un secteur sanitaire et social qui est désormais l’un des fondements de la démocratie et l’une de ses assises face aux défis du futur.

  18. Democracy is a historical urgency

    Science.gov (United States)

    Synek, Miroslav

    2015-03-01

    Survival of humanity, on this planet, may depend, heavily, on coping with advancing technology of nuclear missiles. Let us consider critical alternatives of powerful governments: democracy, as an alternative to dictatorship. Democracy is based on free elections, as a government of the people, by the people and for the people. Democracy is a historical urgency, in the age of inter-continental nuclear missiles, computerized on a push-button, conceivably controllable by a very powerful, miscalculating and/or insane, dictator, capable of producing global nuclear holocaust, on our entire planet. Diplomacy, together with supporting activities, should be utilized, to help, in important steps, at this time, for achieving democracy in critical areas.

  19. Bacilos gram negativos, contaminantes más prevalentes en lentes de contacto blandos usados

    OpenAIRE

    Castiblanco, Diana; Rodríguez, Martha Fabiola; Mayorga C., Myriam Teresa

    2007-01-01

    Las bacterias son los contaminantes más frecuentes de los lentes de contacto. Objetivo: identificar el tipo de depósitos microbiológicos en lentes de contacto blando (LCB) usados. Materiales y Métodos: 100 lentes de contacto blandos de usuarios o de prueba  de las ópticas, recolectándose 25 lentes para cada grupo de la FDA (Grupo1, 2, 3 y 4, según el contenido de agua e ionicidad del polímero). Los lentes se almacenaron por 20 días en sus estuches individuales hasta su estudio. A cada lente, ...

  20. Compression medullaire lente secondaire a un lymphome de Burkitt ...

    African Journals Online (AJOL)

    faciale à la fin du 1er mois et une récupération neurologique au bout d'un an. La localisation secondaire intra rachidienne d'un LB bien que rare doit être présente à l'esprit surtout en face d'une compression médullaire lente survenue dans un ...

  1. Urgency of Attorney Governed by the Constitution

    Directory of Open Access Journals (Sweden)

    Rommy Patra

    2015-12-01

    Full Text Available Attorney existence in the Indonesian constitutional structure has a dilemma for this position. On one side is the Prosecutor’s law enforcement agencies to exercise power independently prosecution while on the other hand is part of a government institution under Law No. 16 of 2004 regarding the Attorney. The position of Attorney as an institution of government has been led to the independence of the Prosecutor is not optimal so that it appears stigma that the Prosecutor merely as a tool of the ruling power. In addition the terms of the arrangement just under the Act, the Attorney General has no legal standing as a constitutional organ that has the constitutional authority so that the current position does not reflect the urgency of its duties and functions. In an effort to organize the next Attorney institutions should be regulated directly by the Constitution. It is intended to make the Attorney as part of the main state organs have the same legal standing as other law enforcement agencies, the police and the courts (Supreme Court and Constitutional Court. As well as to strengthen and clarify the position as a state institution, prosecution authorities are focusing on the Attorney as central of authority, to fix the institutional relations between the members of law enforcement and related agencies and strengthen the independence of the Prosecutor in performing the function of prosecution in the constitutional structure of Indonesia.

  2. Procedimiento para elaborar una lente intraocular monofocal asférica isoplanática y lente obtenida empleando dicho procedimiento

    OpenAIRE

    Barbero, Sergio; Marcos, Susana; Dorronsoro, Carlos; Montejo, Javier; Salazar Salegui, Pedro

    2010-01-01

    Procedimiento para elaborar una lente intraocular monofocal asférica isoplanática y lente obtenida empleando dicho procedimiento. Permite obtener lentes oftálmicas monofocales asféricas isoplanáticas en un rango visual de hasta 25º (preferentemente hasta 10º) de amplitud. El procedimiento comprende las etapas de: 1.- Definición matemática de un modelo de ojo afáquico; 2.- Definición matemática de un modelo de lente intraocular; 3.- Definición matemática de la implantac...

  3. Figures de l’urgence et communication

    OpenAIRE

    Carayol, Valérie

    2012-01-01

    Introduction Nous ne savions pas, en commençant à travailler sur l'urgence en 2003, que la France allait connaître un état d'urgence et que nous serions plongés dans l'actualité, au point que certains intervenants se sont interrogés sur le bien fondé de leur voyage… en cette période de crise. L'interdiction de circulation, l'interdiction des réunions, l'interdiction de communiquer dans l'espace public, sont autant de conséquences de cet état d'urgence dont nous voyons qu'il a beaucoup à voir ...

  4. Úlceras corneales en usuarios de lentes de contacto

    Directory of Open Access Journals (Sweden)

    Darlen Rodríguez Rivero

    Full Text Available El empleo de lentes de contacto se ha incrementado a nivel mundial. En la actualidad su uso no se restringe solamente a la corrección óptica, sino que se utilizan con fines terapéuticos, ya que generan comodidad y estética en múltiples afecciones oculares. Es de esperar el creciente aumento de las complicaciones relacionadas con el uso de estos, por ser la queratitis bacteriana potencialmente grave y devastadora para el globo ocular. Se realizó una revisión bibliográfica acerca de las úlceras corneales en portadores de lentes de contacto con el objetivo de describir su epidemiología y las formas de prevenir esta complicación.

  5. Observaci\\'on de lentes gravitatorias con ALMA

    OpenAIRE

    Bonilla, A.; Toloza, O.; Fuentes, I.; Motta, V.

    2016-01-01

    Gravitational lensing is a fundamental tool for cosmology. A recent instrument which will provide more information for models of these objects is ALMA. Our goal is to select lens candidates to observe with ALMA and then model them using GravLens Software. We had selected 12 quadruple images systems from the CASTLES database, which show a high probability of observing extended sources in the submillimetric range. These new data will allow us to improve existing models. Las lentes gravitatorias...

  6. Lentes esclerales: características e indicaciones

    Directory of Open Access Journals (Sweden)

    Oreste Mariño Hidalgo

    Full Text Available Los lentes de contacto esclerales o de apoyo escleral constituyen una de las opciones terapéuticas más relevantes en el tratamiento y corrección óptica de las enfermedades corneales primaria o secundarias, que traen como consecuencia alteraciones de la curvatura, de la regularidad de la superficie y de su transparencia. La evolución y el desarrollo de este tipo de lentes han abierto un diapasón de múltiples opciones para su uso. En la actualidad se prescriben por numerosos especialistas y ópticas del mundo con una gran aceptación y confort de los pacientes que los utilizan, lo que ha popularizado su comercialización. Realizamos una búsqueda de diversos artículos publicados en los últimos diez años para profundizar en el conocimiento de las características e indicaciones de los lentes de contacto esclerales.

  7. Prise en charge des urgences au service d'accueil des urgences ...

    African Journals Online (AJOL)

    Introduction: La prise en charge des patients dans les services d'accueil des urgences est une des meilleures vitrines d'un système de santé. En Afrique subsaharienne, la gestion des urgences se heurte à des difficultés humaines et matérielles. Le but de ce travail était d'évaluer les difficultés de prise en charge au Service ...

  8. Relational aggression, positive urgency and negative urgency: predicting alcohol use and consequences among college students.

    Science.gov (United States)

    Grimaldi, Elizabeth M; Napper, Lucy E; LaBrie, Joseph W

    2014-09-01

    Research on relational aggression (indirect and social means of inflicting harm) has previously focused on adolescent populations. The current study extends this research by exploring both the frequency of perpetrating and being the target of relational aggression as it relates to alcohol use outcomes in a college population. Further, this study examines whether positive urgency (e.g., acting impulsively in response to positive emotions) and negative urgency (e.g., acting impulsively in response to negative emotions) moderate the relationship between relational aggression and alcohol outcomes. In this study, 245 college students (65.7% female) completed an online survey. Results indicated greater frequency of perpetrating relational aggression, higher levels of positive urgency, or higher levels of negative urgency was associated with more negative consequences. Further, negative urgency moderated the relationship between frequency of perpetrating aggression and consequences such that aggression was more strongly associated with consequences for those high in urgency. Counter to the adolescent literature, the frequency of being the target of aggression was not associated with more alcohol use. These findings suggest that perpetrators of relational aggression may be at particular risk for negative alcohol-related consequences when they act impulsively in response to negative, but not positive, emotions. These students may benefit from interventions exploring alternative ways to cope with negative emotions.

  9. 47 CFR 80.1131 - Transmissions of urgency communications.

    Science.gov (United States)

    2010-10-01

    ... consists of the words PAN PAN. In radiotelephony each word of the group must be pronounced as the French word “panne”. (d) The urgency call format and the urgency signal indicate that the calling station has... International Telecommunication Union (ITU), Place des Nations, CH-1211 Geneva 20, Switzerland. (k) Urgency...

  10. 47 CFR 80.327 - Urgency signals and messages.

    Science.gov (United States)

    2010-10-01

    ....327 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Safety Watch Requirements and Procedures Distress, Alarm, Urgency and Safety Procedures § 80.327 Urgency signals and messages. (a) The urgency signal indicates that the...

  11. [Therapeutic qualities of a lente preparation of swine insulins manufactured by Pharmachem].

    Science.gov (United States)

    Andreev, D; Bozadzhieva, E; Pampulov, L; Penchev, I; Uzunova, B

    1977-01-01

    The therapeutic effect of swine insulin preparation Lente, "Pharmachim" production was studied in 50 diabetics. Its hypoglycemizing activitis compared with that of standardized insulin Lente--"Novo", extract of bovine pancreas. The Bulgarian preparation was found to be very similar to the preparation Lente-Novo in its pharma-codynamic properties and could successfully be used in the diabetes melitus treatment. Insulin Lente Pharmachim is presumed to have lower antigenicity as an extract of swine pancreas, which is actually its great advantage for the therapeutic practice.

  12. Basic mechanisms of urgency: preclinical and clinical evidence.

    Science.gov (United States)

    Michel, Martin C; Chapple, Christopher R

    2009-08-01

    Urgency is the core symptom of the overactive bladder symptom complex, but the underlying mechanisms are not fully understood. To review clinical and experimental studies related to how bladder filling and urgency are sensed and what causes urgency and to discuss how this process affects potential therapeutic strategies. Review of published reports. The definition of urgency as a desire implies that it can only be assessed in cognitively intact patients and that animal studies have to rely on surrogate markers thereof, such as detrusor overactivity (DO); however, DO and urgency are not always associated. While the precise mechanisms of how urgency is sensed remain unclear, accumulating evidence suggests that they may differ from the physiologic sensation of bladder filling. Studies on the neurophysiology of urgency sensing are hampered by reliance on the surrogate marker DO. Functional brain imaging may help to understand the central neurophysiology, but, until now, it has not specifically focused on urgency. With regard to causes of urgency, multiple theories have been forwarded. While none of them has been proven, it should be noted that they are not mutually exclusive, and, in specific patients, different causes may be present. The development of improved therapeutic strategies against urgency will be helped by a better understanding of how urgency is perceived and the underlying causes. Rigorous use of existing definitions and the search for reliable surrogate markers will aid such attempts.

  13. SELECTION OF RECIPIENTS FOR HEART TRANSPLANTATION BASED ON URGENCY STATUS

    Directory of Open Access Journals (Sweden)

    O. A. Sujayeva

    2014-01-01

    Full Text Available The article provides the overview of current international recommendations dedicated to selection of heart transplantation recipients based on urgency status. Authors found that cardiopulmonary bicycle stress test allowed to reveal additional criteria of high death risk within 1 year. These additional criteria were: the maximal oxygen consumption VO2max < 30% of the expected considering the age; VD/VT (ratio of physiologic dead space over tidal volume increasing during the test; maximal tolerance to physical loading ≤50 Wt and/or < 20% of the expected considering the age. Authors created mathematical model for prediction of death within 1 year based on above mentioned data. Special software estimating the probability of death within 1 year was also created.

  14. Basic mechanisms of urgency: roles and benefits of pharmacotherapy.

    Science.gov (United States)

    Michel, Martin Christian; Chapple, Christopher R

    2009-12-01

    Since urgency is key to the overactive bladder syndrome, we have reviewed the mechanisms underlying how bladder filling and urgency are sensed, what causes urgency and how this relates to medical therapy. Review of published literature. As urgency can only be assessed in cognitively intact humans, mechanistic studies of urgency often rely on proxy or surrogate parameters, such as detrusor overactivity, but these may not necessarily be reliable. There is an increasing evidence base to suggest that the sensation of ‘urgency’ differs from the normal physiological urge to void upon bladder filling. While the relative roles of alterations in afferent processes, central nervous processing, efferent mechanisms and in intrinsic bladder smooth muscle function remain unclear, and not necessarily mutually exclusive, several lines of evidence support an important role for the latter. A better understanding of urgency and its causes may help to develop more effective treatments for voiding dysfunction.

  15. Monilapsisten perheiden lentäen tapahtuvat valmismatkat ulkomaille

    OpenAIRE

    Argillander, Rita

    2015-01-01

    Tässä opinnäytetyössä pyrittiin selvittämään ulkomaille lentäen matkuste-levien monilapsisten perheiden valmismatkan sisältöä sekä osto- ja valin-taprosessiin vaikuttavia tekijöitä. Työssä kartoitettiin mitä monilapsiset perheet arvostavat ja tarvitsevat viihtyäkseen valmismatkalla. Työn tarkoi-tus oli auttaa matkantarjoaja Apollomatkoja kehittämään vanhoja ja tuot-tamaan uusia palveluja monilapsisten perheiden toiveiden mukaan. Työssä käsiteltiin lisäksi mitä tekijöitä lapsiperheiden itse tu...

  16. Urgency of Community Supervision Organization by Government

    Directory of Open Access Journals (Sweden)

    Catur Wibowo Budi Santoso

    2015-03-01

    Full Text Available Urgency Surveillance Study of Social Organization aims to describe the reality of the problems in the a real of Social Organization; describe the implementation of the role of government (including local government in controlling the Social Organization; and provider recommendations on matters that need to be regulated in the draft regulations on the supervision of organizations. This study used a qualitative approach, with the aim that can be obtained in-depth and complete information about matters relating to the existence and dynamics in regional organizations. The study results presented can be: that on the one hand the existence of organizations that do not contribute little in development, but on the other hand there are many community organizations that act an archaic and disturbing in society; for the entire operational provisions for the implementation of Social Organization must be available; things that need to be arranged substantially in the surveillance by the government.

  17. Interactive and Indirect Effects of Anxiety and Negative Urgency on Alcohol-Related Problems

    Science.gov (United States)

    Menary, Kyle R.; Corbin, William R.; Leeman, Robert F.; Fucito, Lisa M.; Toll, Benjamin A.; DeMartini, Kelly; O’Malley, Stephanie S.

    2015-01-01

    Background Although drinking for tension reduction has long been posited as a risk factor for alcohol-related problems, studies investigating anxiety in relation to risk for alcohol problems have returned inconsistent results, leading researchers to search for potential moderators. Negative urgency (the tendency to become behaviorally dysregulated when experiencing negative affect) is a potential moderator of theoretical interest because it may increase risk for alcohol problems among those high in negative affect. The present study tested a cross-sectional mediated moderation hypothesis whereby an interactive effect of anxiety and negative urgency on alcohol problems is mediated through coping-related drinking motives. Method The study utilized baseline data from a hazardously drinking sample of young adults (N = 193) evaluated for participation in a randomized controlled trial of naltrexone and motivational interviewing for drinking reduction. Results The direct effect of anxiety on physiological dependence symptoms was moderated by negative urgency such that the positive association between anxiety and physiological dependence symptoms became stronger as negative urgency increased. Indirect effects of anxiety and negative urgency on alcohol problems (operating through coping motives) were also observed. Conclusions Although results of the current cross-sectional study require replication using longitudinal data, the findings suggest that the simultaneous presence of anxiety and negative urgency may be an important indicator of risk for AUDs via both direct interactive effects and indirect additive effects operating through coping motives. These findings have potentially important implications for prevention/intervention efforts for individuals who become disinhibited in the context of negative emotional states. PMID:26031346

  18. Create a Sense of Urgency to Spark Learning

    Science.gov (United States)

    Kelleher, Joanne

    2015-01-01

    While recent state and federal education policies convey a sense of urgency in regard to the need for education reforms, there are teachers for whom this sense of urgency has long been woven into the fabric of their practice. Fortified by their high expectations for their students, these teachers utilize strategies that convey the message that the…

  19. Striatal activation reflects urgency in perceptual decision making

    NARCIS (Netherlands)

    van Maanen, L.; Fontanesi, L.; Hawkins, G.E.; Forstmann, B.U.

    2016-01-01

    Deciding between multiple courses of action often entails an increasing need to do something as time passes - a sense of urgency. This notion of urgency is not incorporated in standard theories of speeded decision making that assume information is accumulated until a critical fixed threshold is

  20. Role of muscarinic receptor antagonists in urgency and nocturia

    NARCIS (Netherlands)

    Michel, Martin C.; de La Rosette, Jean J. M. C. H.

    2005-01-01

    The overactive bladder (OAB) syndrome is defined as urgency, with or without urgency incontinence, usually accompanied by frequency and nocturia. Muscarinic receptor antagonists are the most established form of treatment for OAB, but until recently their effectiveness was only confirmed for symptoms

  1. Urgences chirurgicales abdominales non traumatiques de l'adulte ...

    African Journals Online (AJOL)

    The objectives were to determine the frequency of these urgencies among the adults, to find out the methods used and to study the post- operative progress. Material and method: from 2000 until 2004, we studied the files of the adult patients whose were been operated for abdominal non-traumatic urgency. The diagnosis ...

  2. Bladder pain syndrome/interstitial cystitis: a sense of urgency.

    Science.gov (United States)

    Hanno, Philip M; Chapple, Chris R; Cardozo, Linda D

    2009-12-01

    A classic triad of symptoms (bladder pain, urinary frequency, and urgency) has served to define bladder pain syndrome/painful bladder syndrome/interstitial cystitis (BPS/PBS/IC) syndrome. BPS/PBS/IC is a distinct condition and it is likely that the urgency experienced by these patients differs from that experienced by those with overactive bladder syndrome. It is unclear how best to define urgency in the BPS/PBS/IC setting. Differences in the other primary symptoms associated with these conditions probably influence how urgency is perceived. Advances in research into the pathophysiology of urgency and underlying disease processes will help to optimize both the diagnosis and treatment of BPS/PBS/IC.

  3. Pärt: Fratres in sechs Versionen. Festina lente. Summa / C. S.

    Index Scriptorium Estoniae

    C. S.

    1997-01-01

    Uuest heliplaadist "Pärt: Fratres in sechs Versionen. Festina lente. Summa. Cantus in memoriam Benjamin Britten. Orchester der Ungarischen Staatsoper, Tamas Benedek". Naxos CD 8 553 750 (WD:79'06") DDD

  4. Lentes progressivas: análise da potência do astigmatismo induzido

    Directory of Open Access Journals (Sweden)

    Celso Marcelo Cunha

    2013-06-01

    Full Text Available OBJETIVO: Avaliar a potência do astigmatismo induzido nas lentes progressivas em um deflexômetro. MÉTODOS: Foram incluídas onze lentes progressivas com poder longe de +1,00D e adição 2,00D para perto. Avaliou-se o astigmatismo induzido em doze pontos do campo intermediário, sendo seis de cada lado do corredor progressivo no deflexômetro. RESULTADOS: Existem diferenças significativas entre as somas dos astigmatismos induzidos de cada lado do corredor progressivo e no total geral nestas lentes estudadas, com coeficiente de variação com forte dispersão (CV 10 a 13%. CONCLUSÃO: Existe uma variação importante das potências dos astigmatismos induzidos nas lentes progressivas.

  5. Resultados da troca de lente intra-ocular de hidrogel opacificada

    Directory of Open Access Journals (Sweden)

    Salera Cristina Moreira

    2004-01-01

    Full Text Available OBJETIVO: Avaliar os resultados da explantação e substituição das lentes intra-oculares (LIO de hidrogel opacificadas. MÉTODOS: Foram analisados retrospectivamente os prontuários de 12 pacientes (15 olhos submetidos à explantação e substituição das lentes intra-oculares de hidrogel opacificadas. RESULTADOS: A opacificação das lentes intra-oculares de hidrogel causou perdas de linhas de visão em 13 olhos (86,7%. A troca das lentes intra-oculares opacificadas promoveu o ganho de linhas de visão em 11 olhos (73,3%. As complicações peroperatórias ocorreram em três olhos (20% e foram as seguintes: perda de óleo de silicone, ruptura total de zônula com perda do saco capsular e ruptura parcial de zônula. Durante a explantação das lentes intra-oculares foi necessária a realização de incisões relaxantes na borda da capsulorrexe anterior em três olhos (20% e em dois olhos (13,3% os hápticos foram cortados sendo retirada somente a zona óptica das lentes intra-oculares. CONCLUSÃO: A cirurgia para explantação e substituição das lentes intra-oculares opacificadas mostrou-se eficaz naqueles pacientes com perdas de linhas de visão (p > 0,05.

  6. Visionless leadership and the urgency of resistance: a perspective ...

    African Journals Online (AJOL)

    Visionless leadership and the urgency of resistance: a perspective of Niyi Osundare's ... visionless leadership, drawing from literature, history, sociology and political science. ... Now and then, a two-pronged thrust approach will be applied.

  7. Use FOMO to Create Urgency in the Booking Process

    OpenAIRE

    2017-01-01

    Create a sense of urgency and “fear of missing out” (FOMO) to nudge people to book faster. People feel more compelled to buy if they believe they are about to miss out on a limited-time offer or a good deal. This type of urgency is about creating “scarcity value,” a concept that OTAs have mastered and implemented systematically on their OTA websites to stimulate purchase behavior.

  8. Lentes intraoculares fácicas de câmara posterior

    Directory of Open Access Journals (Sweden)

    Mara Barreto Theiss

    Full Text Available Resumo O objetivo deste artigo foi reunir estudos que reportam resultados disponíveis na literatura científica, considerando a previsibilidade, segurança, eficácia, e estabilidade das lentes intraoculares fácicas de câmara posterior. E relatar as complicações documentadas para estas lentes. A revisão criteriosa dos estudos publicados na literatura ate o momento revelam resultado satisfatórios quanto à eficácia, elevada previsibilidade, estabilidade e segurança do implante de lente intraocular de câmara posterior, para correção das miopia, hipermetropia e astigmatismo.

  9. Resultados de implante de lente intraocular en niños Results of intraocular lens implantation in children

    Directory of Open Access Journals (Sweden)

    Nashelly I. Mejía Cruz

    2007-12-01

    Full Text Available En este estudio se describen los resultados obtenidos del implante de lente intraocular en niños, quienes acudieron al servicio de Oftalmología Pediátrica de Instituto Cubano de oftalmología “Ramón Pando Ferrer” con el diagnóstico de catarata de diversas etiologías, en período comprendido entre abril del 2002 al 2005 cuyo seguimiento fue durante un año. En nuestro universo de estudio se determinan algunos parámetros como la edad del paciente, etiología de las cataratas, agudeza visual, defecto refractivo preoperatorio y posoperatorio. Se identificó el poder dióptrico del lente intraocular más frecuente, la presencia de complicaciones durante la cirugía y después de esta. Se evaluaron finalmente, los pacientes que requerían de tratamiento adicional como la capsulotomía con láser o membranectomía quirúrgica. El implante del lente intraocular a temprana edad se relacionó con buenos resultados quirúrgicos: mejoría de la agudeza visual corregida, presentándose el astigmatismo como el error refractivo más frecuente. La complicación transoperatorio y postoperatoria más frecuente fue la membrana inflamatoria, mientras que la complicación posoperatoria más frecuente fue la opacidad de la cápsula posterior.This paper described the results of the intraocular lens implantation performed in children, who had been seen at the Pediatric Ophthalmologic Service of " Ramon Pando Ferrer " Cuban Institute of Ophthalmology and had been diagnosed as having cataract of various etiologies, from April 2002 to April 2005. They were all followed-up for a year. Some parameters like the patient’s age, the etiology of cataract, visual acuity, pre-operative and post-operative refractive defect were considered in our study. The dioptric power of the most common intraocular lens and the most frequent complications during and after surgery were identified. The patients requiring additional treatment such as laser capsulotomy and surgical

  10. Bijdragen aan Hoofdstukken 2-6: Landschapsbiografie Dijkteruglegging Nijmegen-Lent

    NARCIS (Netherlands)

    Heunks, Eckhart

    2016-01-01

    Contributions to a synthesis of landscape archaeological activities carried out in Nijmegen-Lent as part of heritage management by Gemeente Nijmegen during expansion of the city and reconstruction of the Waal river dike and bridges in the past decade. In 2014-2015, Dr. Kim Cohen advised to the

  11. Implante de lente intraocular trifocal difractivo: análisis y resultado de la agudeza visual

    Directory of Open Access Journals (Sweden)

    Miguel Ángel Ibáñez-Hernández

    2017-09-01

    Conclusiones: El implante de un lente intraocular trifocal difractivo es capaz de proporcionar una excelente visión lejana, intermedia y cercana, con escasas aberraciones ópticas, permitiendo una mejor calidad visual útil en actividades desarrolladas a diferentes distancias.

  12. Relationship between subcutaneous blood flow and absorption of lente type insulin

    DEFF Research Database (Denmark)

    Hildebrant, P; Mehlsen, J; Birch, K

    1987-01-01

    To study the relationship between the absorption of intermediate acting insulin and the local subcutaneous blood flow (SBF) 8 diabetic patients were given subcutaneous injections of 125I labeled human lente type insulin and 133Xenon in the abdominal wall. External measurements of the tracer...

  13. Lentes fáquicos como alternativa de tratamiento en el queratocono

    Directory of Open Access Journals (Sweden)

    Raúl Barroso Lorenzo

    Full Text Available El queratocono es una enfermedad degenerativa que se caracteriza por un adelgazamiento progresivo del estroma corneal y la deformidad en forma de cono de la córnea, lo cual provoca astigmatismo irregular y miopía elevada. Se realizó una revisión de artículos publicados referentes al implante de lentes intraoculares fáquicos como alternativa de tratamiento en esta entidad, la cual continúa siendo de difícil manejo en la actualidad. En ametropías con alto componente esférico y cilíndrico, el uso de lente fáquico tórico mostró óptimos resultados visuales. De igual modo el uso de lentes de soporte angular "estira" la córnea y achata el área apical central a través de sus hápticas, con lo que reduce la ectasia corneal y el astigmatismo irregular asimétrico. A su vez, la presencia del lente intraocular entre la pupila y la córnea crea una barrera física que evita la acción de la corriente de humor acuoso contra la córnea y, por consiguiente, hay una estabilización de todos los parámetros de la córnea después de la implantación del lente. La literatura reporta combinación de implantes de lentes fáquicos posterior a anillos intraestromales y crosslinking con un excelente resultado funcional: incrementa en forma importante la agudeza visual sin corrección, mejora las topografías corneales y las aberraciones de alto orden y disminuye la posibilidad de requerir un trasplante de córnea. El uso de lentes fáquicos tóricos en queratoconos estables es una alternativa terapéutica válida como tratamiento de la ametropía que acompaña a esta patología.

  14. Circadian Activity Rhythms, Time Urgency, and Achievement Concerns.

    Science.gov (United States)

    Watts, Barbara L.

    Many physiological and psychological processes fluctuate throughout the day in fairly stable, rhythmic patterns. The relationship between individual differences in circadian activity rhythms and a sense of time urgency were explored as well as a number of achievement-related variables. Undergraduates (N=308), whose circadian activity rhythms were…

  15. 47 CFR 80.1109 - Distress, urgency, and safety communications.

    Science.gov (United States)

    2010-10-01

    ... 47 Telecommunication 5 2010-10-01 2010-10-01 false Distress, urgency, and safety communications. 80.1109 Section 80.1109 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Global Maritime Distress and Safety System (GMDSS...

  16. Opacificación capsular posterior en lentes intraoculares hidrofílicos en comparación con lentes intraoculares hidrofóbicos usando imágenes de Scheimpflug

    Directory of Open Access Journals (Sweden)

    Arturo Olguin Manríquez

    2016-03-01

    Conclusiones: Los resultados de la función visual son comparables entre ambos lentes. La opacificación de la cápsula posterior se vio en menor proporción con el LIO Akreos MI60 cuando se midió por imágenes de Scheimpflug, debido probablemente al diseño del lente. No se demostraron correlación entre ambas pruebas.

  17. Estudo comparativo do desempenho óptico de diversas lentes intra-oculares (LIO) multifocais

    OpenAIRE

    Antunes, Telma Nicole Nogueira

    2012-01-01

    A cirurgia da catarata tem vindo a evoluir ao longo dos anos, tendo sido realizado o primeiro implante de uma lente intra-ocular em 1949. Desde então, várias técnicas foram utilizadas e descontinuadas devido a insucessos. Actualmente é utilizada a técnica de facoemulsificação. Tal como a técnica cirúrgica a lente implantada também tem vindo a evoluir, tanto a nível do material como a nível de design. Com as evoluções, tanto a nível de técnica cirúrgica como a nível de forma e material das len...

  18. Diabetes mellitus y lentes de contacto Diabetes mellitus related to use of contact lenses

    Directory of Open Access Journals (Sweden)

    Beatriz Zozaya Aldana

    2009-04-01

    Full Text Available Cada día aumenta el número de diabéticos diagnosticados que demandan como método de compensación para los defectos de refracción las lentes de contacto. Debido a la escasa información que se tiene sobre el tema, dedicamos nuestro trabajo a realizar una revisión sobre la relación de estos dos temas: lentes de contacto y diabetes, con el justo ánimo de brindar una atención más completa a nuestros pacientes.Every day increases the figure of diagnosed diabetic patients requiring a compensatory method for refraction defects the use of contact lenses. Due to the non-available information on this matter, this paper is aimed to make a review on relation between these two topics: contact lenses and diabetes to offer a more complete care to our patients.

  19. 12 CFR 7.1003 - Money lent at banking offices or at other than banking offices.

    Science.gov (United States)

    2010-01-01

    ... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Money lent at banking offices or at other than banking offices. 7.1003 Section 7.1003 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE... without violating 12 U.S.C. 36, 12 U.S.C. 81 and 12 CFR 5.30, provided that a third party is used to...

  20. Infiltrados corneales asociados al uso de lentes de contacto Corneal infiltrates associated with contact lens wear

    Directory of Open Access Journals (Sweden)

    Vivian Padrón Álvarez

    2001-12-01

    Full Text Available Se estudiaron 15 pacientes que usan lentes de contacto rígidas, permeables al gas (LCRPG y lentes de contacto blandas (LCB que presentaron infiltrados corneales. Se realizó estudio microbiológico de las lesiones y seguimiento clínico de estos casos. En 3 de los casos estudiados el cultivo fue positivo a estafilococo aureus, el resto de los estudios microbiológicos fueron negativos. Todos los pacientes respondieron rápidamente al retirar la lente de contacto y al tratamiento con antibióticos tópicos y ninguno tuvo afectación permanente de la agudeza visual. El diagnóstico exacto y el manejo apropiado de los infiltrados corneales en pacientes que usan lentes de contacto es de gran importancia por la posibilidad de infección o de secuela visual permanente.15 patients wearing gas permeable rigid contact lenses (GPRCL and soft contanct lenses (SCL that presented corneal infiltrates were studied. A microbiological study of the injuries and a clinical follow-up of these cases were conducted. In 3 of the studied cases the culture was positive to Staphyloccocus aureus. The rest of the mircobiological studies were negative. All the patients responded rapidly to the contact lens removal and to the treatment with topical antibiotics. None of them had permanent affection of visual acuity. The accurate diagnosis and the appropiate management of the corneal infiltrates in patients wearing contact lenses is very important due to the possibility of infection or of permanent visual sequela.

  1. Establishing a sense of urgency for leading transformational change.

    Science.gov (United States)

    Shirey, Maria R

    2011-04-01

    This department highlights change management strategies that may be successful in strategically planning and executing organizational change initiatives. With the goal of presenting practical approaches helpful to nurse leaders advancing organizational change, content includes evidence-based projects, tools, and resources that mobilize and sustain organizational change initiatives. In this article, the author discusses successful tactics for establishing a sense of urgency to facilitate organizational change.

  2. The female urinary microbiome in urgency urinary incontinence.

    Science.gov (United States)

    Pearce, Meghan M; Zilliox, Michael J; Rosenfeld, Amy B; Thomas-White, Krystal J; Richter, Holly E; Nager, Charles W; Visco, Anthony G; Nygaard, Ingrid E; Barber, Matthew D; Schaffer, Joseph; Moalli, Pamela; Sung, Vivian W; Smith, Ariana L; Rogers, Rebecca; Nolen, Tracy L; Wallace, Dennis; Meikle, Susan F; Gai, Xiaowu; Wolfe, Alan J; Brubaker, Linda

    2015-09-01

    The purpose of this study was to characterize the urinary microbiota in women who are planning treatment for urgency urinary incontinence and to describe clinical associations with urinary symptoms, urinary tract infection, and treatment outcomes. Catheterized urine samples were collected from multisite randomized trial participants who had no clinical evidence of urinary tract infection; 16S ribosomal RNA gene sequencing was used to dichotomize participants as either DNA sequence-positive or sequence-negative. Associations with demographics, urinary symptoms, urinary tract infection risk, and treatment outcomes were determined. In sequence-positive samples, microbiotas were characterized on the basis of their dominant microorganisms. More than one-half (51.1%; 93/182) of the participants' urine samples were sequence-positive. Sequence-positive participants were younger (55.8 vs 61.3 years old; P = .0007), had a higher body mass index (33.7 vs 30.1 kg/m(2); P = .0009), had a higher mean baseline daily urgency urinary incontinence episodes (5.7 vs 4.2 episodes; P urinary incontinence episodes, -4.4 vs -3.3; P = .0013), and were less likely to experience urinary tract infection (9% vs 27%; P = .0011). In sequence-positive samples, 8 major bacterial clusters were identified; 7 clusters were dominated not only by a single genus, most commonly Lactobacillus (45%) or Gardnerella (17%), but also by other taxa (25%). The remaining cluster had no dominant genus (13%). DNA sequencing confirmed urinary bacterial DNA in many women with urgency urinary incontinence who had no signs of infection. Sequence status was associated with baseline urgency urinary incontinence episodes, treatment response, and posttreatment urinary tract infection risk. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Discriminating evidence accumulation from urgency signals in speeded decision making.

    Science.gov (United States)

    Hawkins, Guy E; Wagenmakers, Eric-Jan; Ratcliff, Roger; Brown, Scott D

    2015-07-01

    The dominant theoretical paradigm in explaining decision making throughout both neuroscience and cognitive science is known as “evidence accumulation”--The core idea being that decisions are reached by a gradual accumulation of noisy information. Although this notion has been supported by hundreds of experiments over decades of study, a recent theory proposes that the fundamental assumption of evidence accumulation requires revision. The "urgency gating" model assumes decisions are made without accumulating evidence, using only moment-by-moment information. Under this assumption, the successful history of evidence accumulation models is explained by asserting that the two models are mathematically identical in standard experimental procedures. We demonstrate that this proof of equivalence is incorrect, and that the models are not identical, even when both models are augmented with realistic extra assumptions. We also demonstrate that the two models can be perfectly distinguished in realistic simulated experimental designs, and in two real data sets; the evidence accumulation model provided the best account for one data set, and the urgency gating model for the other. A positive outcome is that the opposing modeling approaches can be fruitfully investigated without wholesale change to the standard experimental paradigms. We conclude that future research must establish whether the urgency gating model enjoys the same empirical support in the standard experimental paradigms that evidence accumulation models have gathered over decades of study. Copyright © 2015 the American Physiological Society.

  4. Avaliação da qualidade de vida em pacientes submetidos à cirurgia de catarata, com implantes de lentes monofocais bifocais e multifocais

    Directory of Open Access Journals (Sweden)

    Beogival Wagner Lucas Santos

    2014-04-01

    Full Text Available Objetivo: Fornecer uma avaliação objetiva e subjetiva da qualidade de vida e o nível de satisfação de pacientes que se submeteram à cirurgia de catarata, com implante de lentes bifocais, multifocais e monofocais. Métodos: Lentes bifocais foram implantadas em 72 pacientes; lentes multifocais asférica em 16 pacientes; lentes multifocais apodizada em 20 pacientes e lentes monofocais em 63 pacientes. Foi aplicado um questionário de 47 perguntas cujos resultados foram avaliados e analisados. Resultados: O nível de satisfação dos pacientes implantados com lentes bifocais e multifocais foi significantemente mais alto do que aqueles com lentes monofocais (teste Kruskal-Wallis p<0,01, seguido do teste Dunn, p<0,05. Quanto à comparação de lentes monofocais com lentes bifocais e multifocais, a visão para perto sem correção foi consideravelmente mais baixa em pacientes com lentes monofocais (teste Z, p<0,001. Os pacientes com lentes monofocais sem correção apresentaram uma menor capacidade de ler jornais ou livros e no que diz respeito a trabalhos manuais do que aqueles com lentes bifocais e multifocais (teste Z, p<0,001. Conclusão: Os resultados deste estudo mostram que os pacientes que receberam as lentes bifocais e multifocais tiveram uma melhora notável em sua acuidade visual para perto, estando satisfeitos com sua visão geral, sem óculos. A satisfação foi atribuída ao fato de conseguirem ler livros e jornais, preencher cheques, preencher formulários, praticar esportes, se barbear ou se maquiar sem correção.

  5. Sacral Nerve Stimulation For Urinary Urge Incontinence, Urgency-Frequency, Urinary Retention, and Fecal Incontinence

    Science.gov (United States)

    2005-01-01

    implanted in the abdomen or buttock to stimulate the sacral nerves in an attempt to manage urinary urge incontinence, urgency-frequency, urinary retention, and fecal incontinence. The device was originally developed to manage urinary urge incontinence; however, it has also been used in patients with urgency-frequency, urinary retention, and fecal incontinence. SNS is intended for patients who are refractory to behaviour, drug, and/or interventional therapy. There are 2 phases in the SNS process: first, patients must undergo a test stimulation phase to determine if they respond to sacral nerve stimulation. If there is a 50% or greater improvement in voiding function, then the patient is considered a candidate for the next phase, implantation. Review Strategy The standard Medical Advisory Secretariat search strategy was used to locate international health technology assessments and English-language journal articles published from 2000 to November 2004. The Medical Advisory Secretariat also conducted Internet searches of Medscape (1) and the manufacturer’s website (2) to identify product information and recent reports on trials that were unpublished but that were presented at international conferences. In addition, the Web site Current Controlled Trials (3) was searched for ongoing randomized controlled trials (RCTs) investigating the role of sacral nerve stimulation in the management of voiding conditions. Summary of Findings Four health technology assessments were found that reviewed SNS in patients with urge incontinence, urgency-frequency, and/or urinary retention. One assessment was found that reviewed SNS in patients with fecal incontinence. The assessments consistently reported that SNS was an effective technology in managing these voiding conditions in patients who did not respond to drug or behaviour therapy. They also reported that there was a substantial complication profile associated with SNS. Complication rates ranged from 33% to 50%. However, none of the

  6. Military sexual trauma, combat exposure, and negative urgency as independent predictors of PTSD and subsequent alcohol problems among OEF/OIF veterans.

    Science.gov (United States)

    Hahn, Austin M; Tirabassi, Christine K; Simons, Raluca M; Simons, Jeffrey S

    2015-11-01

    This study tested a path model of relationships between military sexual trauma (MST), combat exposure, negative urgency, posttraumatic stress disorder (PTSD) symptoms, and alcohol use and related problems. The sample consisted of 86 Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) veterans who reported drinking at least one alcoholic beverage per week. PTSD mediated the relationships between MST and alcohol-related problems, negative urgency and alcohol-related problems, and combat exposure and alcohol-related problems. In addition, negative urgency had a direct effect on alcohol problems. These results indicate that MST, combat exposure, and negative urgency independently predict PTSD symptoms and PTSD symptoms mediate their relationship with alcohol-related problems. Findings support previous literature on the effect of combat exposure and negative urgency on PTSD and subsequent alcohol-related problems. The current study also contributes to the limited research regarding the relationship between MST, PSTD, and alcohol use and related problems. Clinical interventions aimed at reducing emotional dysregulation and posttraumatic stress symptomology may subsequently improve alcohol-related outcomes. (c) 2015 APA, all rights reserved).

  7. A Two-Stage Fuzzy Logic Control Method of Traffic Signal Based on Traffic Urgency Degree

    OpenAIRE

    Yan Ge

    2014-01-01

    City intersection traffic signal control is an important method to improve the efficiency of road network and alleviate traffic congestion. This paper researches traffic signal fuzzy control method on a single intersection. A two-stage traffic signal control method based on traffic urgency degree is proposed according to two-stage fuzzy inference on single intersection. At the first stage, calculate traffic urgency degree for all red phases using traffic urgency evaluation module and select t...

  8. Adaptação de lente de contato gelatinosa especial para ceratocone Keratoconus special soft contact lens fitting

    Directory of Open Access Journals (Sweden)

    Ester Sakae Yamazaki

    2006-08-01

    Full Text Available OBJETIVO: Relatar a experiência inicial com o uso de lentes de contato gelatinosas especiais para ceratocone. MÉTODOS: Estudo retrospectivo de 80 olhos de 66 pacientes usuários de lentes de contato gelatinosas especial para ceratocone, no Setor de Lentes de Contato da UNIFESP e em clínicas particulares. Os pacientes foram classificados de acordo com o grau de gravidade da doença pela avaliação ceratométrica. Foram coletados os seguintes dados: idade, sexo, diagnóstico, ceratometria, acuidade visual com a lente, equivalente esférico (ES, curvatura da lente e indicação para o seu uso. RESULTADOS: Foram estudados 80 olhos de 66 pacientes usuários de lente gelatinosa para ceratocone. A média de idade foi de 29 anos, sendo 51,5% homens e 48,5% de mulheres. De acordo com os grupos: incipiente: 15,0%, moderado: 53,7%, avançado: 26,3%, grave: 5,0%. A maioria dos olhos estudados (91,25% apresentou acuidade visual melhor que 20/40 com a lente. Foram adaptadas 58% lentes de poder esférico (média de -5,45 dioptrias e 41% lentes com grau esferocilíndrico (variando de -0,50 a -5,00 dioptrias cilíndricas. A curva esférica mais utilizada foi de 7,6 mm (61% dos olhos. As principais razões para a escolha e adaptação desta lente foram devido à intolerância e ao padrão de adaptação insatisfatório com outras lentes. CONCLUSÃO: A lente gelatinosa para ceratocone pode ser usada em casos de difícil adaptação, como uma opção para melhorar o conforto e possibilitar a reabilitação visual em pacientes que não obtiveram alternativas a não ser algum procedimento cirúrgico.PURPOSE: To evaluate the fitting and use of a soft contact lens in keratoconic patients. METHODS: Retrospective study on 80 eyes of 66 patients, fitted with a special soft contact lens for keratoconus, at the Contact Lens Section of UNIFESP and private clinics. Keratoconus was classified according to degrees of disease severity by keratometric pattern. Age, gender

  9. Cálculo del poder de la lente intraocular mediante biometría ultrasónica

    Directory of Open Access Journals (Sweden)

    Yileika Elías García

    Full Text Available Objetivo: caracterizar el comportamiento del cálculo de la lente intraocular mediante biometría ultrasónica. Métodos: se realizó un estudio descriptivo y prospectivo, con un grupo de pacientes atendidos por el Servicio de Catarata del Centro Oftalmológico «Enrique Cabrera», que recibieron tratamiento quirúrgico por catarata con implante de lente intraocular, mediante técnica de Blumenthal. La muestra se conformó con 160 ojos y se estudiaron las variables: sorpresa refractiva, edad, longitud axial y promedio queratométrico según resultado refractivo, poder dióptrico de la lente y componente esférico según edad. Resultados: como resultados más sobresalientes, se obtuvo que el 78,7 % no presentó error en el cálculo de la lente, la mayoría de los pacientes tenían 60 años y más, predominó el rango de longitud axial entre 22 y 24,4 (67,5 %, el promedio queratométrico de 43 a 44,99 (64,3 %, el poder dióptrico del lente de + 20 a + 23 dioptrías (48,2 % y el componente esférico entre 0,00 y +/-1,00 dioptrías (78,8%. Conclusiones: se considera que la biometría ultrasónica resulta adecuada para el cálculo correcto del lente.

  10. Contact lens-associated microbial keratitis Ceratites microbianas relacionadas a lente de contato

    Directory of Open Access Journals (Sweden)

    Aline Silveira Moriyama

    2008-12-01

    Full Text Available PURPOSE: Contact lens-associated microbial keratitis is a severe condition with sight-threatening potential and increasing incidence. Information regarding the etiological agents is essential in guiding management and may vary geographically. The aim of this study was to analyze the microbiological results of corneal scrapings collected from patients presenting with contact lens-associated microbial keratitis. METHODS: Retrospective analysis of the records of all patients who were clinically diagnosed with contact lens-associated microbial keratitis and had corneal scrapings sent to the Laboratory of Ocular Microbiology, UNIFESP/EPM during a 5-year period from January 2002 to December 2007. RESULTS: The etiological agent was identified in 239 patients. Bacterial isolates accounted for 166 (69.46% cases, Acanthamoeba for 95 (39.75% cases and fungi for 4 (1.67% cases. Among the bacterial infections, coagulase-negative Staphylococcus was demonstrated in 74 cases, while Pseudomonas spp was found in 32 patients. All coagulase negative Staphylococcus and Pseudomonas were susceptible to ciprofloxacin and ofloxacin. Resistance to gentamicin was documented in a single case of Pseudomonas. Fourth-generation flouoroquinolone resistance was not observed among Pseudomonas cases. CONCLUSION: Coagulase-negative Staphylococcus was the most frequent isolate, and such data must be considered when determining empiric treatment. Second-generation fluoroquinolones ciprofloxacin and ofloxacin and fourth-generation fluoroquinolones moxifloxacin and gatifloxacin showed a good antibacterial profile and therefore could be good options for initial management.OBJETIVO: A ceratite microbiana associada ao uso de lente de contato é uma condição clínica grave, com risco de perda visual e cuja incidência vem aumentando progressivamente. Os principais agentes etiológicos podem variar geograficamente e informações referentes aos agentes causais são essenciais para

  11. Tutelage of man's terrestrial patrimony: Urgency for tenable development

    International Nuclear Information System (INIS)

    Caglioti, V.

    1992-01-01

    Urgency for prompt and coordinated action by industrialized countries is emphasized in this analysis of the earth's most pressing environmental problems - desertification, acid rain, deforestation, the greenhouse effect and ozone depletion. In the analysis of the chemical, physical, thermochemical and climatic processes (e.g., ozone reactions with chlorofluorocarbons, Antarctic atmospheric vortex circulation, volcanic eruptions, the earth's water and carbon cycles, cyclic global temperature variations, etc.) governing the formation and modification of the various environmentally destabilizing phenomena, and in the assessments of the severity and duration of the effects, the paper evidences global and socio-economic aspects relative to the probable causes and proposed solutions. The author states that whereas greater investment by industrialized countries in environmental protection and technology transfer programs is essential to save the earth's natural resources, overall positive results can be achieved only through a contemporaneous change in social values to favour the sharing of the earth's wealth among nations and future generations

  12. Desempenho visual dos pacientes pseudofácicos com diferentes lentes intraoculares

    Directory of Open Access Journals (Sweden)

    Wilson Takashi Hida

    2013-10-01

    Full Text Available OBJETIVO: Comparar a performance visual dos pacientes submetidos ao implante das lentes intraoculares multifocais difrativas Tecnis® MF ZM900, Acrysof® Restor® SN60D3, Acrysof® SN60WF e Acrysof® SN60AT. MÉTODOS: Estudo prospectivo comparativo, não randomizado, que incluiu 142 olhos de 71 pacientes com catarata, provenientes do ambulatório de oftalmologia do HC-FMUSP. A avaliação oftalmológica contou com medida da acuidade visual para longa, intermediária e curta distância, sem correção e com a melhor correção óptica, teste de sensibilidade ao contraste, pupilometria e análise de frente de onda por meio do aberrômetro. Todos os exames foram realizados com seis meses de pós-operatório. RESULTADOS: A média de idade dos pacientes foi de 60,7±6,6 anos no grupo Tecnis, 63,1±4,4 anos no grupo Restor e 63,7±4,2 anos no grupo monofocal (SN60AT no olho contralateral SN60WF. A acuidade visual para perto não corrigida e corrigida para longe foi estatisticamente superior nos grupos multifocal Restor e multifocal Tecnis em comparação ao grupo monofocal SN60AT/SN60WF (p<0,001. Não houve diferença estatística entre os grupos na comparação da acuidade visual para longe (p=0,56. A sensibilidade ao contraste fotópica monocular foi estatisticamente inferior nos grupos Restor e Tecnis (p<0,001. A SN60AT apresentou maior aberração esférica comparada a todas as outras lentes (p<0,001. A Tecnis se mostrou com menores valores médios de aberrações esféricas na comparação com a Restor (p<0.001. CONCLUSÃO: A Restor e Tecnis apresentaram melhor acuidade visual para perto do que o grupo monofocal SN60AT/SN60WF. Todas as lentes intraoculares promoveram boa visão para longe. O grupo da Tecnis apresentou melhor sensibilidade de contraste, menos aberrações ópticas e melhor visão intermediária que o grupo Restor.

  13. Lentes fácicas de câmara anterior

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    Walton Nosé

    2012-08-01

    Full Text Available Os implantes em olhos fácicos apresentam-se como uma opção para a correção de altas ametropias. De acordo com sua localização podem ser classificados como de câmara anterior ou posterior, sendo que os primeiros subdividem-se em fixação iriana ou de suporte angular. Além da correção da miopia, as lentes de fixação iriana apresentam modelos para hipermétropes e astigmatas. Várias modificações no desenho das lentes foram propostas nas últimas décadas com a finalidade de reduzir complicações tardias, como a perda endotelial progressiva. Cuidados no intraoperatório devem ser tomados de forma a diminuir a perda endotelial aguda relacionada ao trauma. Avanços nos métodos de triagem pré-operatória também melhoraram a segurança do procedimento. A estimativa do poder dióptrico é baseada nos cálculos de Van der Heijde, sendo dependente da profundidade de câmara anterior, do equivalente esférico da refração e da média ceratométrica. Resultados a longo prazo demonstram a eficácia, previsibilidade e segurança do procedimento. Dependendo do modelo, além da possibilidade de perda endotelial, outras possíveis complicações incluem: irite, dispersão pigmentar, atrofia de íris, ovalização pupilar, rotação, descentração ou deslocamento da lente, hipertensão ocular e bloqueio pupilar. Modelos dobráveis atualmente disponíveis vêm apresentado resultados bastante promissores com redução da taxa de complicações.

  14. The influence of meteorological parameters on the occurrence of hypertensive urgency and emergency

    Energy Technology Data Exchange (ETDEWEB)

    Koppe, Christina [Centre for Human-Biometeorological Research, Freiburg (Germany). Deutscher Wetterdienst; Ghafoor, Jasmin; Arndt, Daniel; Schilling, Hanno; Boergel, Jan [Katharinen-Hospital, Unna (Germany). Dept. of Cardiology; Springer, Stephanie; Muegge, Andreas [Ruhr Univ., Bochum (Germany). Medizinische Klinik 2

    2011-10-15

    Hypertensive urgency/emergency is a common and potentially life threatening condition that is characterised by a rapid and strong increase in blood pressure. It is estimated that hypertensive urgencies/emergencies account for 25 % of all patient visits in the medical section of emergency departments. Between 24 September 2007 and 06 September 2008, we investigated 195 persons with hypertensive events who were admitted to the emergency unit of the University Clinic St. Josef Hospital in Bochum. After stabilization of blood pressure, the patients were sent to the ward for further evaluation. Aldosterone, renin, and cortisol levels were monitored during the first 24 hours. Blood was taken at 8 am after 2 hours in supine position and after mobilization at 10 am. Meteorological data at the time of admission were analyzed for potential associations with the temporary accumulation of hypertensive events. The meteorological parameters were air temperature TA, relative humidity RH, air pressure P, and sunshine duration SD, observed at the meteorological station in Duesseldorf (airport). In addition, perceived temperature PT was calculated and included in the analysis. First results indicate that the hypertensive events occurred on days when TA departed on average -0.28 K (95 % confidence interval: -0.59 to -0.03 K) and PT deviated on average -0.43 K (-0.82 to -0.04) from the respective values of the preceding day. On days without hypertensive events TA was on average 0.21 (-0.08 to 0.49) and PT was on average 0.32 K (-0.04 to 0.68) higher than on the day before. Days with and days without cases of hypertensive events were, with respect to the daily TA and PT changes, significantly different (TA: p = 0.012; PT: p = 0.003). On days with lower PT than on the previous day the probability of a hospital admission due to a hypertensive event was more than twice as high as on days with higher PT than on the day before. These first results indicate a potential relationship between

  15. A psychophysiological evaluation of the perceived urgency of auditory warning signals

    Science.gov (United States)

    Burt, J. L.; Bartolome, D. S.; Burdette, D. W.; Comstock, J. R. Jr

    1995-01-01

    One significant concern that pilots have about cockpit auditory warnings is that the signals presently used lack a sense of priority. The relationship between auditory warning sound parameters and perceived urgency is, therefore, an important topic of enquiry in aviation psychology. The present investigation examined the relationship among subjective assessments of urgency, reaction time, and brainwave activity with three auditory warning signals. Subjects performed a tracking task involving automated and manual conditions, and were presented with auditory warnings having various levels of perceived and situational urgency. Subjective assessments revealed that subjects were able to rank warnings on an urgency scale, but rankings were altered after warnings were mapped to a situational urgency scale. Reaction times differed between automated and manual tracking task conditions, and physiological data showed attentional differences in response to perceived and situational warning urgency levels. This study shows that the use of physiological measures sensitive to attention and arousal, in conjunction with behavioural and subjective measures, may lead to the design of auditory warnings that produce a sense of urgency in an operator that matches the urgency of the situation.

  16. Integrating affect and impulsivity: The role of positive and negative urgency in substance use risk.

    Science.gov (United States)

    Smith, Gregory T; Cyders, Melissa A

    2016-06-01

    The personality traits of positive and negative urgency refer to the tendencies to act rashly when experiencing unusually positive or negative emotions, respectively. The authors review recent empirical work testing urgency theory (Cyders and Smith, 2008a) and consider advances in theory related to these traits. Empirical findings indicate that (a) the urgency traits are particularly important predictors of the onset of, and increases in, substance use in both children and young adults; (b) they appear to operate in part by biasing psychosocial learning; (c) pubertal onset is associated with increases in negative urgency, which in turn predict increases in adolescent drinking behavior; (d) variation in negative urgency trait levels are associated with variations in the functioning of an identified brain system; and (e) variations in the serotonin transporter gene, known to influence the relevant brain system, relate to variations in the urgency traits. A recent model (Carver et al., 2008) proposes the urgency traits to be markers of a tendency to respond reflexively to emotion, whether through impulsive action or ill-advised inaction (the latter leading to depressive symptoms); this model has received empirical support. The authors discuss new directions for research on the urgency traits. Copyright © 2016 The Authors. Published by Elsevier Ireland Ltd.. All rights reserved.

  17. Lentes progressivas: análise dos campos intermediário e de perto por deflexometria

    Directory of Open Access Journals (Sweden)

    Celso Marcelo Cunha

    2013-02-01

    Full Text Available OBJETIVO: Avaliar por deflexometria as diferentes regiões das lentes progressivas e determinar as áreas dos campos de visão intermediário e de perto. MÉTODOS: Foram incluídas vinte e duas lentes progressivas com poder +1,00 DE para longe e duas adições diferentes (adição 1,00 e 2,00, 11 de cada. Mediram-se as áreas dos campos intermediário e de perto entre as isoastigmáticas de 0,5 DC. RESULTADOS: Encontraram-se diferenças significativas entre as áreas dos campos intermediário e de perto das lentes estudadas. Entre a área do campo intermediário e a adição observou-se correlação inversa; entre a área do campo intermediário e a extensão vertical do corredor encontrou-se correlação direta. CONCLUSÃO: Com esses dados permitem-se recomendar as lentes de acordo com o campo de maior necessidade visual de cada usuário.

  18. Estrutura de populações de Rhodnius neglectus Lent e Psammolestes tertius Lent & Jurberg (Hemiptera, Reduviidae em ninhos de pássaros (Furnariidae presentes na palmeira Mauritia flexuosa no Distrito Federal, Brasil Population structure of Rhodnius neglectus Lent and Psammolestes tertius Lent & Jurberg (Hemiptera, Reduviidae in bird nests (Furnariidae on Mauritia flexuosa palm trees in Federal District of Brazil

    Directory of Open Access Journals (Sweden)

    Rodrigo Gurgel-Gonçalves

    2007-03-01

    Full Text Available Rhodnius neglectus Lent, 1954 {Rn}e Psammolestes tertius Lent & Jurberg, 1965 {Pt} são triatomíneos que ocorrem em ninhos de aves, principalmente da família Furnariidae. O ciclo biológico dessas espécies é conhecido em condições de laboratório, sendo poucos estudos em ecótopos silvestres. Para analisar a infestação e estrutura de populações de Rn e Pt em ninhos de aves presentes na palmeira Mauritia flexuosa Linnaeus, em duas estações climáticas do Brasil Central, foram amostradas 41 palmeiras com evidências de nidificação de Phacellodomus ruber Vieillot, 1817 (22 na estação chuvosa e 19 na estação seca em quatro áreas do Distrito Federal. Os insetos foram capturados usando-se coleta manual na copa da palmeira, identificados morfologicamente, separados por sexo e estádio ninfal. Fezes e glândulas salivares de Rn foram examinadas para verificar infecção por Trypanosoma cruzi Chagas, 1909 e/ou T. rangeli Tejera, 1920. Trinta e cinco palmeiras com ninhos de P. ruber estavam infestadas por Rn (85% e 22 por Pt (53%. 442 indivíduos foram coletados na estação seca (200 Rn e 242 Pt e 267 na estação chuvosa (136 Rn e 131 Pt. O único fator relacionado significativamente com a densidade de triatomíneos nas palmeiras foi a área. A estrutura etária das populações mostrou: a maior abundância de adultos nas populações de Pt, b maior abundância de machos em ambas as espécies e c presença de fêmeas ovipondo em ambas as estações. Nenhum dos 177 triatomíneos examinados estava infectado por T. cruzi ou T. rangeli. A estrutura etária das populações de Rn e Pt não diferiu significativamente entre as estações amostradas, indicando ausência de marcada sazonalidade para essas espécies.Rhodnius neglectus Lent, 1954 {Rn}and Psammolestes tertius Lent & Jurberg, 1965 {Pt} are triatomines that occur in bird nests, mainly furnarid nests. Their biological cycles are known in laboratory conditions and few studies were

  19. Luz y gravedad (Reflexiones geométricas sobre cáusticas y lentes gravitacionales

    Directory of Open Access Journals (Sweden)

    Elena Ortiz García

    2011-04-01

    Full Text Available Cuando los rayos de luz iluminan una taza de café en una tardesoleada, podemos observar la curva que más brilla sobre la superficie del líquido. Quizá sea ésta una oportunidad para plantearse el siguiente experimento mental: ¿cómo juegan los rayos de luz al reflejarse en diferentes “tazas” geométricas? Esta comunicación pretende proseguir esta discusión con algunas consideraciones sencillas que nos sitúen ante el fenómeno de las lentes gravitacionales, allí donde los efectos de la gravedad afectan, incluso, a la manera de propagarse de la luz, mostrando un sistema dinámico idealizado que resulta, a la vez, sencilloy (matemáticamente caótico.

  20. CURED I - LENT. Late effects of cancer treatment on normal tissues

    International Nuclear Information System (INIS)

    Rubin, P.; Okunieff, P.; Constine, L.S.; Rochester Univ. School of Medicine and Dentistry, Rochester, NY; Marks, L.B.

    2008-01-01

    The search for the most favorable therapeutic ratio - at which ablation of cancer is achieved while normal tissues are conserved - has been modern radiation oncology's equivalent of the quest for the Holy Grail. Our awareness of the late effects of radiation grew during the past century as new modalities were introduced. Heightened normal tissue reactions accompanied the higher rates of cancer ablation achieved by escalation of radiation doses, accelerated fractionated radiotherapy, and aggressive concurrent chemotherapy and radiation regimens. This volume is based on the LENT V NCI-sponsored meeting held in May 2004 and the CURED I conference held in 2006. Written by experts in the field, it addresses a number of critical topics relating to late effects, such as mechanisms of injury, the role of screening, options for interventions, second malignancies, and prevention. It is hoped that it will assist the reader in understanding how to prevent and treat the long-term side-effects of irradiation. (orig.)

  1. Urgency traits moderate daily relations between affect and drinking to intoxication among young adults.

    Science.gov (United States)

    Bold, Krysten W; Fucito, Lisa M; DeMartini, Kelly S; Leeman, Robert F; Kranzler, Henry R; Corbin, William R; O'Malley, Stephanie S

    2017-01-01

    Young adults with higher trait urgency (i.e., a tendency to act rashly in response to heightened affect) may be especially vulnerable to heavy drinking. The current study examined 1) the influence of urgency on daily relations between affect and drinking to intoxication, and 2) whether urgency influenced the effectiveness of naltrexone (vs. placebo) for reducing alcohol use. This study is a secondary analysis of data from 126 (n=40 female) heavy drinking young adults, ages 18-25, enrolled in a double-blind, 8-week clinical trial comparing brief motivational intervention and either naltrexone or placebo. Multilevel models examined whether trait urgency moderated daily relations between positive and negative affect and drinking to intoxication, measured by an estimated blood-alcohol concentration (eBAC) at or above the legal limit (≥0.08g%). Person-level interactions examined whether naltrexone was more effective than placebo at reducing the odds of eBAC≥0.08g% for individuals with higher vs. lower trait urgency. On days of greater within-person positive or negative affect, young adults with higher urgency were more likely to drink to intoxication than those with lower urgency. Naltrexone reduced the odds of drinking to intoxication significantly more than placebo, independent of positive or negative urgency. Although naltrexone treatment reduced drinking overall, young adults with higher trait urgency were still at increased risk for hazardous drinking following times of strong positive or negative mood. Targeted interventions are needed to reduce the risk of heavy drinking among young adults with high trait urgency. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  2. Lente intra-ocular multifocal difrativa apodizada: resultados Diffractive apodized multifocal intraocular lens: results

    Directory of Open Access Journals (Sweden)

    Virgilio Centurion

    2007-12-01

    Full Text Available OBJETIVO: Mostrar os resultados visuais e refracionais com lente intra-ocular multifocal difrativa apodizada. MÉTODOS: Estudo de 100 olhos de 50 pacientes com catarata, submetidos à facoemulsificação com implante bilateral de lente intra-ocular (LIO multifocal difrativa apodizada. Foi avaliada a acuidade visual binocular sem e com correção para longe e perto, a previsibilidade refracional e a freqüência de uso de óculos. RESULTADOS: A acuidade visual sem correção para longe foi de e " 20/30 em 97,56% dos olhos operados e e" J2 em 100%, sendo que 82% dos pacientes nunca usam óculos e 16% usam de forma esporádica. CONCLUSÃO: A LIO multifocal difrativa apodizada mostrou ser uma opção previsível, reproduzível e segura na correção dos vícios de refração para longe e perto durante a cirurgia da catarata, permitindo elevado índice de independência ao uso de óculos.OBJECTIVE: To show visual and refraction results using multifocal diffractive apodized intraocular lens. METHODS: The study of 100 eyes of 50 patients with cataract, submitted to phacoemulsification with bilateral implant of multifocal diffractive apodized intraocular lens (IOL. Binocular visual acuity was evaluated with and without correction for near and distance, and refraction previsibility and frequency of wearing glasses. RESULTS: Visual acuity without correction for distance was e" 20/30 in 97.56% of eyes operated on and e" J2 in 100%, of these 82% of patients never wear glasses and 16% wear glasses sporadically. CONCLUSION: Multifocal diffractive apodized IOL proved to be a foreseeable option, reproducible and safe in the correction of refraction errors for distance and near during cataract surgery, enabling a high rate of independence from the use of glasses.

  3. Medindo o poder refrativo de lentes de contato gelatinosas personalizadas Measuring the refractive power of customized soft contact lenses

    Directory of Open Access Journals (Sweden)

    Luis Alberto Vieira de Carvalho

    2007-02-01

    Full Text Available OBJETIVO: Lentes de contato gelatinosas com curvas-base esféricas têm sido usadas há anos. O cálculo do poder refrativo de lentes deste tipo é fácil, bastando utilizarmos a equação do fabricante de lentes para lentes espessas. No entanto, para projetos de lentes de contato personalizadas, não há ainda métodos confiáveis para medida das aberrações ópticas de ordem mais alta. Esse trabalho foi desenvolvido no laboratório do Centro de Ciências da Visão (Center for Visual Science da Universidade de Rochester, Nova York, com aparelho óptico que permite realizar medidas precisas de aberrações de ordem baixa e alta de lentes de contato gelatinosas personalizadas. Este é um passo essencial na verificação e obtenção de lentes de contato personalizadas de qualidade, e o instrumento desenvolvido na Universidade de Rochester permite verificar a qualidade de fabricação destas lentes. MÉTODOS: Um aparelho óptico de bancada foi montado em laboratório. Este aparelho consiste de uma célula úmida onde as lentes de contato são depositadas. Consiste também de uma série de lentes e espelhos e um sensor de frente-de-onda de Hartmann-Shack. As lentes de contato personalizadas utilizadas neste projeto foram fabricadas pela empresa Bausch & Lomb. Das dezenas de lentes de contato mensuradas no aparelho, restringimos aqui a apresentar os resultados de uma lente personalizada para ceratocone. RESULTADOS: O erro quadrático médio (EQM do instrumento foi de 0,04 micrômetro, sendo que o EQM das aberrações induzidas na lente está entre 4 e 6 micrômetros, ou seja, a precisão do aparelho está em torno de 1%. Este valor é mais do que suficiente para medidas precisas destes tipos de lentes de contato, algo até então inviável utilizando-se os sensores ou aparelhos convencionais de aberrometria. CONCLUSÃO: Com o instrumento desenvolvido neste trabalho foi possível realizar medidas precisas de aberrações de alta ordem. Esta

  4. [Knowledge of nurses about medication doses at pediatric urgency departament].

    Science.gov (United States)

    Guerrero-Márquez, Gloria; Martínez-Serrano, Ana; Míguez-Navarro, Concepción; López-Mirón, Juan Antonio; Espartosa-Larrayad, Marta

    2016-01-01

    Errors in drug administration are the second cause of errors in hospitalized patients. Children are a high risk group. Besides, pressure in care interventions at emergency department leads to increase incidence errors. Determining nurses' knowledge about the most common drug doses at pediatric urgency department. Descriptive transversal study. We collected data from nurses of 14 pediatric emergency departments of Madrid. With an "ad hoc" questionnaire we collected the following data during five days in January of 2014: demographic, knowledge of responsibility in administration and doses of drugs. Global descriptive analysis was made and it was stratified by hospital and work experience. The answer rate was 114 (34.9%). Only 80 (70.8%) of nurses confirm doses before their administration; 20 (18.6%) think that a wrong prescription that they administer is not their responsibility. There is a high knowledge in the group with more than five years of work experience, except for sedative-analgesic drugs (p<0.05). The average score obtained was 3.8 of 10 (1.99). Nurses' knowledge about drug doses is low. Copyright © 2016 Elsevier España, S.L.U. All rights reserved.

  5. Negative and positive urgency may both be risk factors for compulsive buying.

    Science.gov (United States)

    Rose, Paul; Segrist, Daniel J

    2014-06-01

    Descriptions of compulsive buying often emphasize the roles of negative moods and trait impulsivity in the development of problematic buying habits. Trait impulsivity is sometimes treated as a unidimensional trait in compulsive buying research, but recent factor analyses suggest that impulsivity consists of multiple components that are probably best treated as independent predictors of problem behavior. In order to draw greater attention to the role of positive moods in compulsive buying, in this study we tested whether negative urgency (the tendency to act rashly while in negative moods) and positive urgency (the tendency to act rashly while in positive moods) account for similar amounts of variance in compulsive buying. North American adults (N = 514) completed an online survey containing the Richmond Compulsive Buying Scale (Ridgway, Kukar-Kinney & Monroe, 2008), established measures of positive and negative urgency (Cyders et al., 2007), ad hoc measures of buying-specific positive and negative urgency, measures of extraversion and neuroticism obtained from the International Personality Item Pool (http://ipip.ori.org/), and demographic questions. In several multiple regression analyses, when demographic variables, neuroticism, and extraversion were controlled, positive urgency and negative urgency both emerged as significant predictors of compulsive buying. Whether the two urgency variables were domain-general or buying-specific, they accounted for similar amounts of variance in compulsive buying. Preventing and reducing compulsive buying may require attention not only to the purchasing decisions people make while in negative states, but also to the purchasing decisions they make while in positive states.

  6. The interaction of stress and urgency urinary incontinence and its effect on quality of life.

    Science.gov (United States)

    Minassian, Vatché A; Sun, Haiyan; Yan, Xiaowei S; Clarke, Deseraé N; Stewart, Walter F

    2015-02-01

    The objective was to estimate the impact of stress and urgency urinary incontinence (UI) on the quality of life (QOL), and to determine whether the impact varies according to UI severity. We used data from the General Longitudinal Overactive Bladder Evaluation-UI study in women. Stress and urgency UI symptom severity scores ranged from 0 to 8. We used logistic regression to test the relation among different severity levels of stress and urgency UI, and their interaction with the Incontinence Impact Questionnaire (IIQ-7). This was categorized according to percentage ranges as 0-40% (reference), 41-80%, and 81-100%. Both stress and urgency UI were significantly associated with IIQ-7. Higher scores had higher odds ratios (ORs). The OR for urgency vs stress UI was greater at the same severity level. For instance, comparing IIQ-7 quintiles (0-40% vs 41-80%), the OR for an association with an urgency UI score of 5-6 was 5.27 (95% CI = 3.78-7.33) vs 2.76 (95% CI = 2.07-3.68) for a stress UI score of 5-6. Both UI subtypes were more strongly related to the upper (81-100%) than the to the lower (41-80%) quintiles. There was a strong positive urgency UI and stress UI interaction with the upper (i.e., 81-100%) but not the two next lower (41-80%) quintiles. The impact of UI subtypes on QOL varies according to the score of IIQ-7, stress and urgency UI, and their interaction. Urgency vs stress UI has a stronger impact. The effect is greatest for high IIQ-7 scores with a significant share mediated by the interaction of the two UI subtypes.

  7. Conservative treatment of soft tissue sarcomas of the extremities. Functional evaluation with LENT-SOMA scales and the Enneking score

    International Nuclear Information System (INIS)

    Tawfiq, N.; Lagarde, P.; Thomas, L.; Kantor, G.; Stockle, E.; Bui, B.N.

    2000-01-01

    Objective. - The aim of this prospective study is the feasibility of late effects assessment by LENT-SOMA scales after conservative treatment of soft tissue sarcomas of the extremities and a comparison with the functional evaluation by the Enneking score. Patients and methods. - During the systematic follow-up consultations, a series of 32 consecutive patients was evaluated in terms of late effects by LENT SOMA scales and functional results by the Enneking score. The median time after treatment was 65 months. The treatment consisted of conservative surgery (all cases) followed by radiation therapy (29 cases), often combined with adjuvant therapy (12 concomitant radio-chemotherapy association cases out of 14). The assessment of the toxicity was retrospective for acute effects and prospective for the following late tissue damage: skin/subcutaneous tissues, muscles/soft tissues and peripheral nerves. Results. -According to the Enneking score, the global score for the overall series was high (24/30) despite four the scores zero for the psychological acceptance. According to LENT SOMA scales, a low rate of severe sequelae (grade 3-4) was observed. The occurrence of high-grade sequelae and their functional consequences were not correlated with quality of exeresis, dose of radiotherapy or use of concomitant chemotherapy. A complementarity was observed between certain factors of the Enneking score and some criteria of the LENTSOMA scales, especially of muscles/soft tissues. Conclusion. -The good quality of functional results was confirmed by the two mean scoring systems for late normal tissue damage. The routine use of LENT-SOMA seems to be more time consuming than the Enneking score (mean time of scoring: 1 3 versus five minutes). The LENT-SOMA scales are aimed at a detailed description of late toxicity and sequelae while the Enneking score provides a more global evaluation, including the psychological acceptance of treatment. The late effects assessment by the LENT

  8. Judging the urgency of non-verbal auditory alarms: a case study.

    Science.gov (United States)

    Arrabito, G Robert; Mondor, Todd; Kent, Kimberley

    2004-06-22

    When designed correctly, non-verbal auditory alarms can convey different levels of urgency to the aircrew, and thereby permit the operator to establish the appropriate level of priority to address the alarmed condition. The conveyed level of urgency of five non-verbal auditory alarms presently used in the Canadian Forces CH-146 Griffon helicopter was investigated. Pilots of the CH-146 Griffon helicopter and non-pilots rated the perceived urgency of the signals using a rating scale. The pilots also ranked the urgency of the alarms in a post-experiment questionnaire to reflect their assessment of the actual situation that triggers the alarms. The results of this investigation revealed that participants' ratings of perceived urgency appear to be based on the acoustic properties of the alarms which are known to affect the listener's perceived level of urgency. Although for 28% of the pilots the mapping of perceived urgency to the urgency of their perception of the triggering situation was statistically significant for three of the five alarms, the overall data suggest that the triggering situations are not adequately conveyed by the acoustic parameters inherent in the alarms. The pilots' judgement of the triggering situation was intended as a means of evaluating the reliability of the alerting system. These data will subsequently be discussed with respect to proposed enhancements in alerting systems as it relates to addressing the problem of phase of flight. These results call for more serious consideration of incorporating situational awareness in the design and assignment of auditory alarms in aircraft.

  9. Under Pressure: Response Urgency Modulates Striatal and Insula Activity during Decision-Making under Risk

    OpenAIRE

    Jones, Catherine L.; Minati, Ludovico; Harrison, Neil A.; Ward, Jamie; Critchley, Hugo D.

    2011-01-01

    When deciding whether to bet in situations that involve potential monetary loss or gain (mixed gambles), a subjective sense of pressure can influence the evaluation of the expected utility associated with each choice option. Here, we explored how gambling decisions, their psychophysiological and neural counterparts are modulated by an induced sense of urgency to respond. Urgency influenced decision times and evoked heart rate responses, interacting with the expected value of each gamble. Usin...

  10. A longitudinal study of the reciprocal relationship between ever smoking and urgency in early adolescence.

    Science.gov (United States)

    Burris, Jessica L; Riley, Elizabeth; Puleo, Gabriella E; Smith, Gregory T

    2017-09-01

    Among early adolescents in the United States (U.S.), the prevalence of cigarette smoking is at its lowest level in recent decades. Nonetheless, given the risks of smoking in early development, it remains critically important to study both risk factors for smoking and risks from smoking. This longitudinal study with U.S. early adolescents examines smoking initiation and tests a model of reciprocal prediction between ever smoking and the personality trait of urgency (i.e., mood-based impulsivity), a trait that increases risk for multiple forms of dysfunction. Participants (n=1906; 90% 10-11 years old, 50% female, 39% racial minorities at baseline) completed questionnaires 1-2 times per year starting in 5th grade and ending in 9th grade. Structural equation modeling allowed tests of bidirectional relationships between ever smoking and urgency controlling for pubertal status and negative affect at each wave. Incidence of ever smoking increased from 5% to 27% over time, with current smoking around 5% at the last wave. Urgency at each wave predicted ever smoking at the next wave above and beyond covariates and prior smoking (all psmoking predicted an increase in urgency at the subsequent wave above and beyond covariates and prior urgency (all psmoking increases with higher levels of urgency and urgency increases secondary to engagement in smoking. Future work should therefore explore urgency as a point of prevention for smoking and smoking cessation as a means to mitigate mood-based impulsivity. Copyright © 2017 Elsevier B.V. All rights reserved.

  11. Guía Clínica para la Adaptación de Lentes de Contacto Multifocales Tóricas Hidrofílicas

    OpenAIRE

    García Valencia, Lidia

    2015-01-01

    Elaboración de una guía clínica para la adaptación de lentes de contacto multifocales tóricas, basada en la bibliografía existente sobre ese tipo de lentes de contacto y un caso clínico utilizado para faciltar su comprensión. Grado en Óptica y Optometría

  12. The role of urgency and its underlying psychological mechanisms in problematic behaviours.

    Science.gov (United States)

    Billieux, Joël; Gay, Philippe; Rochat, Lucien; Van der Linden, Martial

    2010-11-01

    The urgency facet of impulsivity, that is, the tendency to act rashly in response to intense emotional contexts [Cyders, M. A., & Smith, G. T. (2008). Emotion-based dispositions to rash action: positive and negative urgency. Psychological Bulletin, 134, 807-828], has been related to a wide range of maladaptive behaviours. The present study further investigates the role of urgency in problematic behaviours by considering distinct psychological mechanisms that may underlie this component of impulsivity. With this aim, 95 volunteer participants were screened with self-reported questionnaires assessing urgency and three problematic behaviours (compulsive buying, excessive mobile phone use, excessive Internet use). They performed two laboratory tasks: a stop-signal task designed to assess the capacity to inhibit prepotent responses in response to both neutral and emotional stimuli; and the Iowa Gambling Task (IGT) measuring the ability to take into account the future consequences of an action. A poor ability to inhibit prepotent responses in the emotional condition of the stop-signal task was found to predict more disadvantageous choices in the IGT, which ultimately results in higher urgency and more problematic behaviours. These findings shed new light on the construct of urgency, its related psychological mechanisms, and its role in problematic behaviours. Copyright © 2010 Elsevier Ltd. All rights reserved.

  13. Reorganization of Students Disability Support Unit in Bülent Ecevit University

    Directory of Open Access Journals (Sweden)

    Hakan KALYON

    2012-01-01

    Full Text Available Universities are the centers where science and knowledge can be produced and shared freely. In these centers, it is probable that disabled people can be in the audience and benefit from these training and education activities. Therefore, removing inequalities defined as “inequitable differences of individuals not caused by personal characteristics” and solving problems in accessing information and education is an indispensible target for our country.The highest step among the needs of the human beings is self-perform. Especially, in the social order of 21st century, the disabled people who aim to meet the expectations of life should be supported allover.Turkey has a young and dynamic population; there is a significant increase in the number of the disabled students who reach and graduate from higher education in 2000s. In 2000, 97 disabled students graduated from universities and this number reached 410 in 2008 and 1090 in 2009. Number of disabled students in the Universities of Turkey reached 3584 in 2011.One of the most important examples in the process of legislative changes about the education of disabled people is the “Institutions of Higher Education Disabled People Consultation and Coordination Regulation.” The purpose of the regulation is to take steps in order to ease the education lives of the disabled people in higher education. In the context of applicable law, the unit of disabled students is restructured at Bülent Ecevit University.

  14. Late effects of normal tissues (lent) scoring system: the soma scale

    International Nuclear Information System (INIS)

    Mornex, F.; Pavy, J.J.; Denekamp, J.

    1997-01-01

    Radiation tolerance of normal tissues remains the limiting factor for delivering tumoricidal dose. The late toxicity of normal tissues is the most critical element of an irradiation: somatic, functional and structural alterations occur during the actual treatment itself, but late effects manifest months to years after acute effects heal, and may progress with time. The optimal therapeutic ratio ultimately requires not only complete tumor clearance, but also minimal residual injury to surrounding vital normal tissues. The disparity between the intensity of acute and late effects and the inability to predict the eventual manifestation of late normal tissue injury has made radiation oncologists recognize the importance of careful patient follow-up. There is so far no uniform toxicity scoring system to compare several clinical studies in the absence of a 'common toxicity language'. This justifies the need to establish a precise evaluation system for the analysis of late effects of radiation on normal tissues. The SOMA/LENT scoring system results from an international collaboration. European Organization Treatment of Cancer (EORTC) and Radiation Therapy Oncology Group (RTOG) have created subcommittees with the aim of addressing the question of standardized toxic effects criteria. This effort appeared as a necessity to standardize and improve the data recording, to then describe and evaluate uniform toxicity at regular time intervals. The current proposed scale is not yet validated, and should be used cautiously. (authors)

  15. Bilateral Acanthamoeba ulcer in a user of disposable soft contact lenses: a tragic incident or a consequence of the aggressive policy of soft contact lens trading? Úlcera bilateral por Acanthamoeba em usuária de lentes de contato gelatinosas descartáveis: um incidente trágico ou uma conseqüência da política agressiva de venda de lentes de contato gelatinosas?

    Directory of Open Access Journals (Sweden)

    Sidney Júlio de Faria e Sousa

    2008-06-01

    Full Text Available This is the report of a case of bilateral Acanthamoeba keratitis in a 19-year-old woman who bought a pair of disposable soft contact lenses in a boutique. She wore this same pair of lenses for 3 months daily without the appropriate care. This led to bilateral corneal transplantation with cataract extraction and also trabeculectomy in the right eye. When last seen, both grafts were crystal clear but the visual acuities were far from satisfactory. She also had bilateral secondary glaucoma, barely controlled by topical medication. Actually, the physical features and the wearing time characteristics of the disposable soft contact lenses created unprecedented difficulties to the medical surveillance of their wearers. Without the right assistance they tend to become careless regarding routine cleaning. They also feel free to buy less expensive lenses, to use saline instead of lens solutions, to violate the limits of wearing time and to extend the use over the sleeping period. Additionally, the aggressive marketing and the wide distribution of these lenses increase the chances that economically or educationally unprepared people will acquire them. The question that remains is: Is the present case an accidental event or an example of what is likely to happen in the future if the indiscriminate selling of disposable soft contact lenses continues to evolve?Este é o relato de uma paciente do sexo feminino, de 19 anos, com ceratite bilateral por Acanthamoeba, devido ao uso de lentes de contato descartáveis, adquiridas em uma butique. Fez uso do mesmo par de lentes durante três meses, sem os cuidados adequados. Foi submetida a transplante penetrante de córnea e facectomia bilateral, além de trabeculectomia no olho direito. Quando vista pela última vez, os enxertos estavam transparentes, mas a visão de ambos os olhos não era satisfatória. Ela também apresentava glaucoma secundário bilateral, controlado precariamente com medicação tópica. Ocorre

  16. Order of the 27 October 2006 relative to the national urgency measures aiming to guarantee the supplying security of the natural gas in crisis

    International Nuclear Information System (INIS)

    2006-11-01

    The dispositions of this order and of the associated national urgency concern a crisis prevention and the management of the country natural gas supplying. The concerned articles are presented. The national urgency plan is detailed: the legal framework, the principles and organization of the national urgency device, the organization of the crisis cell and the typology of the urgency measures. (A.L.B.)

  17. Dissociable roles of dopamine and serotonin transporter function in a rat model of negative urgency.

    Science.gov (United States)

    Yates, Justin R; Darna, Mahesh; Gipson, Cassandra D; Dwoskin, Linda P; Bardo, Michael T

    2015-09-15

    Negative urgency is a facet of impulsivity that reflects mood-based rash action and is associated with various maladaptive behaviors in humans. However, the underlying neural mechanisms of negative urgency are not fully understood. Several brain regions within the mesocorticolimbic pathway, as well as the neurotransmitters dopamine (DA) and serotonin (5-HT), have been implicated in impulsivity. Extracellular DA and 5-HT concentrations are regulated by DA transporters (DAT) and 5-HT transporters (SERT); thus, these transporters may be important molecular mechanisms underlying individual differences in negative urgency. The current study employed a reward omission task to model negative urgency in rats. During reward trials, a cue light signaled the non-contingent delivery of one sucrose pellet; immediately following the non-contingent reward, rats responded on a lever to earn sucrose pellets (operant phase). Omission trials were similar to reward trials, except that non-contingent sucrose was omitted following the cue light prior to the operant phase. As expected, contingent responding was higher following omission of expected reward than following delivery of expected reward, thus reflecting negative urgency. Upon completion of behavioral training, Vmax and Km were obtained from kinetic analysis of [(3)H]DA and [(3)H]5-HT uptake using synaptosomes prepared from nucleus accumbens (NAc), dorsal striatum (Str), medial prefrontal cortex (mPFC), and orbitofrontal cortex (OFC) isolated from individual rats. Vmax for DAT in NAc and for SERT in OFC were positively correlated with negative urgency scores. The current findings suggest that mood-based impulsivity (negative urgency) is associated with enhanced DAT function in NAc and SERT function in OFC. Copyright © 2015 Elsevier B.V. All rights reserved.

  18. Likelihood of being seen within emergency departments’ assigned urgency times for poisoned and injured individuals

    Directory of Open Access Journals (Sweden)

    Rachel L. Rosenthal

    2014-10-01

    Full Text Available The objective of the present study is to determine the likelihood of injured or poisoned patients in special populations, such as those patients that are elderly and self-injurious, being seen within an emergency department’s triage nurse assigned urgency. Data from the National Hospital Ambulatory Medical Care Survey (2007 was utilized in this study. Multi-level models and multivariate linear regression models were used; patient age, sex, reported pain levels, wait time, and injury type were examined as potential predictors of being seen within assigned urgency. From a random sample across all US Emergency Departments, 5616 patients nested in 312 hospital emergency departments were included into the study. Typically, approximately 1 in 5 emergency department patients were not seen within their triage nurse assigned urgencies. The typical patient in the average hospital had an 81% likelihood of being seen within their assigned urgency. P atients who were oldest [odds ratio (OR=0.0990] and had self-inflicted injuries (vs assault OR=1.246 and OR=1.596 had the least likelihood to be seen within their assigned urgencies. As actual wait-time increased for patients, they were less likely to be seen within their assigned urgencies. The most powerful predictors of the study’s outcome were injury type and age, indicating that patients from special populations such as the elderly or those with injuries resulting from deliberate self-harm are less likely to be actually priority patients independent of triage nurse assigned urgencies.

  19. Precisão da retinoscopia sem lentes neutralizadoras na hipermetropia experimental de olho artificial

    Directory of Open Access Journals (Sweden)

    Beatriz Simões-Corrêa

    2012-10-01

    Full Text Available OBJETIVO: Avaliar a acurácia e a precisão da retinoscopia sem lentes neutralizadoras na hipermetropia experimental de olho artificial. MÉTODOS: Observação da projeção da faixa do retinoscópio em olho artificial preparado para apresentar hipermetropias de +1,00 D a +8,00 D. A movimentação da faixa é feita simultaneamente com a variação da sua largura, deslocando a luva do retinoscópio até a obtenção da neutralização do movimento. O retinoscópio foi preparado para dois modos de medida: com escala milimétrica sob a luva e com acoplamento a potenciômetro ligado a multímetro de leitura digital em ohms (Ù. Oito médicos oftalmologistas realizaram 1200 retinoscopias em cada modo de medida, num total de 2400. Calculou-se a média e o desvio padrão das observações. Para comparar os resultados em mm e em ohms (Ù calculou-se o coeficiente de variação (CV a partir dos desvios padrão das observações em cada modo. RESULTADOS: Pelos modos descritos foi possível estimar hipermetropias até +4,00 dioptrias. CONCLUSÃO: A acurácia e a reprodutibilidade experimentais foram boas na identificação de hipermetropias até +4 ,00 D.

  20. Facoemulsificación e implante de lente intraocular en cataratas causadas por uveitis Phacoemulsification and intraocular lens implantation in patients with cataract caused by uveitis

    Directory of Open Access Journals (Sweden)

    Dayamí Pérez Gómez

    2008-06-01

    Full Text Available OBJETIVO: Evaluar los resultados de la facoemulsificación y el implante de lente intraocular en cataratas causadas por uveítis. MÉTODOS: Se estudiaron 37 ojos con 6 meses de inactividad inflamatoria, agudeza visual menor de 0,6 y edad media de 47 años. Se excluyeron otras enfermedades que disminuyeran la visión. En el preoperatorio se prescribió antiinflamatorios. Se realizó la facoemulsificación con implante de lente intarocular (PMMA, óptica 6 mm; durante el seguimiento desde 24 h/6 meses se indicó antiinflamatorios esteroideos, no esteroideos e inmunosupresores hasta 6 semanas. RESULTADOS: Se observaron numerosas alteraciones del segmento anterior secundarias a las uveítis padecidas (posquirúrgicas, inespecíficas, ciclítis heterocrómica de Fuchs, postraumáticas, síndrome de Reiter, por toxoplasmosis y otras coroiditis infecciosas y por artritis reumatoide juvenil. No hubo recurrencia posquirúrgica de la uveítis en 9 ojos (24,3 %. Las complicaciones estuvieron relacionadas con la uveítis, la cirugía, la actividad inflamatoria, y la reacción del epitelio capsular. La opacidad capsular posterior apareció en 11 pacientes (29,7 % asociada a edad joven. La evolución individual se consideró satisfactoria en 30 (81,1 % pacientes con mejoría de la visión hasta 0,8-1,0 en 28 (75,6 % y 0,5-0,6 en 2 (5,4 %. CONCLUSIONES: La facoemulsificación con implante de lente intarocular es de gran utilidad en las cataratas posuveítis al condicionar poca agresión quirúrgica, ser controlable la inflamación y proporcionar buenos resultados visuales además del reordenamiento anatomofisiológico del segmento anterior.OBJECTIVE: To assess the results of phacoemulsification and intraocular lens implantation in cataracts caused by uveitis. METHODS: Thirty seven eyes with no inflammation for 6 months, visual acuity below 0.6 and average age of 47 years were studied. Other diseases affecting the vision were excluded. The preoperative

  1. The effects of urgency to reach agreement on the process and outcome of multi-party natural resource negotiations

    Science.gov (United States)

    Lamb, B.L.; Taylor, J.G.; Burkardt, N.; Gillette, S.C.

    2005-01-01

    We studied seven hydropower license consultations to examine the role of a sense of urgency to reach agreement. Hydropower licensing consultations were studied because the statutory requirement for consultation encourages negotiation, all such consultations are similar, and a negotiated settlement is not a foregone result. Cases selected for analysis met screening criteria. Structured interviews were conducted with participants after the negotiations had been concluded. Respondent recollections were checked against the documentary record. A sense of urgency to reach agreement was a significant factor in the completion of these negotiations; where there was no shared sense of urgency, purposeful delay adversely affected the negotiations. Although a sense of urgency was experienced by at least one party in each case, only a shared sense of urgency at the end of the process proved significant. Delay did not prevent ultimate agreement but a shared sense of urgency brought speedier agreement and greater satisfaction with the negotiation.

  2. Under pressure: response urgency modulates striatal and insula activity during decision-making under risk.

    Science.gov (United States)

    Jones, Catherine L; Minati, Ludovico; Harrison, Neil A; Ward, Jamie; Critchley, Hugo D

    2011-01-01

    When deciding whether to bet in situations that involve potential monetary loss or gain (mixed gambles), a subjective sense of pressure can influence the evaluation of the expected utility associated with each choice option. Here, we explored how gambling decisions, their psychophysiological and neural counterparts are modulated by an induced sense of urgency to respond. Urgency influenced decision times and evoked heart rate responses, interacting with the expected value of each gamble. Using functional MRI, we observed that this interaction was associated with changes in the activity of the striatum, a critical region for both reward and choice selection, and within the insula, a region implicated as the substrate of affective feelings arising from interoceptive signals which influence motivational behavior. Our findings bridge current psychophysiological and neurobiological models of value representation and action-programming, identifying the striatum and insular cortex as the key substrates of decision-making under risk and urgency.

  3. Under pressure: response urgency modulates striatal and insula activity during decision-making under risk.

    Directory of Open Access Journals (Sweden)

    Catherine L Jones

    Full Text Available When deciding whether to bet in situations that involve potential monetary loss or gain (mixed gambles, a subjective sense of pressure can influence the evaluation of the expected utility associated with each choice option. Here, we explored how gambling decisions, their psychophysiological and neural counterparts are modulated by an induced sense of urgency to respond. Urgency influenced decision times and evoked heart rate responses, interacting with the expected value of each gamble. Using functional MRI, we observed that this interaction was associated with changes in the activity of the striatum, a critical region for both reward and choice selection, and within the insula, a region implicated as the substrate of affective feelings arising from interoceptive signals which influence motivational behavior. Our findings bridge current psychophysiological and neurobiological models of value representation and action-programming, identifying the striatum and insular cortex as the key substrates of decision-making under risk and urgency.

  4. Eating disorder-specific risk factors moderate the relationship between negative urgency and binge eating: A behavioral genetic investigation.

    Science.gov (United States)

    Racine, Sarah E; VanHuysse, Jessica L; Keel, Pamela K; Burt, S Alexandra; Neale, Michael C; Boker, Steven; Klump, Kelly L

    2017-07-01

    Theoretical models of binge eating and eating disorders include both transdiagnostic and eating disorder-specific risk factors. Negative urgency (i.e., the tendency to act impulsively when distressed) is a critical transdiagnostic risk factor for binge eating, but limited research has examined interactions between negative urgency and disorder-specific variables. Investigating these interactions can help identify the circumstances under which negative urgency is most strongly associated with binge eating. We examined whether prominent risk factors (i.e., appearance pressures, thin-ideal internalization, body dissatisfaction, dietary restraint) specified in well-established etiologic models of eating disorders moderate negative urgency-binge eating associations. Further, we investigated whether phenotypic moderation effects were due to genetic and/or environmental associations between negative urgency and binge eating. Participants were 988 female twins aged 11-25 years from the Michigan State University Twin Registry. Appearance pressures, thin-ideal internalization, and body dissatisfaction, but not dietary restraint, significantly moderated negative urgency-binge eating associations, with high levels of these risk factors and high negative urgency associated with the greatest binge eating. Twin moderation models revealed that genetic, but not environmental, sharing between negative urgency and binge eating was enhanced at higher levels of these eating disorder-specific variables. Future longitudinal research should investigate whether eating disorder risk factors shape genetic influences on negative urgency into manifesting as binge eating. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  5. The impact of radiotherapy for carcinoma of the cervix on sexual function assessed using the LENT SOMA scales

    International Nuclear Information System (INIS)

    Davidson, Susan E.; Burns, Meriel P.; Routledge, Jacqueline A.; Swindell, Ric

    2003-01-01

    Background and purpose: As there are few studies examining the impact of radiotherapy on sexuality, we assessed the effect of radiotherapy for carcinoma of the cervix on sexual health and the ability of the LENT system to assess sexual function. Materials and methods: Using the vagina and sexual dysfunction scales of the LENT SOMA scales, subjective scores were measured prospectively before initiation of radiotherapy for 89 women, and at the following times after the start of treatment: 21, 70, 200, 400, 600 and 800 days. Results: There was considerable variation in pre-radiotherapy scores that was not related to disease stage (P=0.054), but was related to patient age (P=0.037, for the average vagina scores and P=0.039 for the maximum vagina scores) The scores were influenced by prior surgery (P<0.0005 for maximum and average vagina scores, P=0.042 average and 0.017 maximum sexual dysfunction scores). For 48 patients for whom data were available at the first three time points, the vagina scores decreased significantly by 70 days compared to pre-radiotherapy scores, but not for sexual dysfunction. There was heterogeneity in the pattern of changes of scores over time: for some women there was no change in vagina subsection score, some increased, and some decreased. Conclusions: The work has shown variation both in pre-treatment sexual function and in the pattern of changes seen following radiotherapy. Our questionnaire proved useful to score subjective sexual and vaginal problems as given in the LENT subjective scales. Further study is needed to assess the effectiveness of the scales in assessing late effects

  6. Principios para el cálculo de la lente intraocular tras cirugía refractiva corneal

    Directory of Open Access Journals (Sweden)

    Taimí Cárdenas Díaz

    Full Text Available Se estima que aproximadamente un millón o más de pacientes se realizan cirugía refractiva al año. Es por eso que con el envejecimiento son cada día más frecuentes los pacientes con catarata, a quienes previamente se les ha efectuado cirugía refractiva. El cálculo inexacto de la potencia dióptrica de la lente a implantar en la intervención de estos es también un problema de importancia creciente y con él la sorpresa refractiva. Este es mucho más complejo de lo normal, ya que existen dos fuentes de error: la incorrecta predicción de la posición efectiva de la lente por parte de la fórmula y la determinación errónea de la potencia de la córnea por parte de la queratometría. La corrección de estos dos factores permitirá realizar un cálculo correcto en estos ojos. De ahí la motivación para realizar una búsqueda actualizadas de los últimos diez años de diversos artículos publicados, con el objetivo de describir los principios para el cálculo de la lente intraocular tras cirugía refractiva corneal. Se utilizó la plataforma Infomed, específicamente la Biblioteca Virtual de Salud, con todos sus buscadores.

  7. Comparação da função visual e do índice de qualidade de vida com uso de óculos ou de lente de contato progressiva Comparative analysis of visual function and the quality of life index with eyeglasses or a progressive contact lens

    Directory of Open Access Journals (Sweden)

    Neusa Vidal Sant'Anna

    2006-06-01

    Full Text Available OBJETIVO: Comparar a função visual e a resposta dos pacientes ao índice de qualidade de vida quando estes são corrigidos com óculos com lentes progressivas ou lente de contato progressiva. MÉTODOS: Foram selecionados 35 pacientes présbitas, usuários de óculos com acuidade visual igual, ou melhor, a logMAR zero (longe e J1 (perto, para adaptarem a lente de contato Focus Progressive®. Foram comparadas medidas de acuidade visual para longe, perto e sensibilidade ao contraste com a lente de contato e com os óculos. Os resultados do questionário de avaliação de qualidade de vida NEI VFQ-25 dos mesmos pacientes corrigidos com os óculos e com a lente de contato progressiva foram comparados, levando-se em consideração o tipo de ametropia e a idade. RESULTADOS: A acuidade visual para longe, perto e a sensibilidade ao contraste foram significantemente piores com lente de contato progressiva do que com os óculos. As respostas do questionário não diferiram quanto à forma de correção quando se analisou o tipo de ametropia, entretanto foram significantemente piores com a lente de contato nos grupos míope e hipermétrope abaixo das suas respectivas medianas da idade e maiores no hipermétrope acima de sua mediana. CONCLUSÃO: As funções visuais foram significantemente piores com a lente de contato e o tipo de ametropia não influenciou nas respostas ao índice de qualidade de vida quanto à forma de correção, mas sim, quanto à idade.PURPOSE: To compare the visual function and the answers to a questionnaire of quality of life of patients wearing a progressive contact lens or eyeglasses. METHODS: The Focus Progressive® contact lens had been fitted in 35 patients with far visual acuity with progressive-addition eyeglasses equal to zero (log MAR and near J1 (Jaeger. The far and near visual acuities and the measurement of contrast sensitivity were compared when the patients were wearing the eyeglasses or the contact lens and the

  8. Order of the 27 October 2006 relative to the national urgency measures aiming to guarantee the supplying security of the natural gas in crisis; Arrete du 27 octobre 2006 relatif aux mesures nationales d'urgence visant a garantir la securite de l'approvisionnement en gaz naturel en cas de crise

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-11-15

    The dispositions of this order and of the associated national urgency concern a crisis prevention and the management of the country natural gas supplying. The concerned articles are presented. The national urgency plan is detailed: the legal framework, the principles and organization of the national urgency device, the organization of the crisis cell and the typology of the urgency measures. (A.L.B.)

  9. Politics and application guide of urgency measures and administrative sanctions of the CNSNS

    International Nuclear Information System (INIS)

    Espinosa V, J.M.; Cruz R, L.A.; EsquiveI T, J.L.; Nunez C, A.

    2007-01-01

    In use of their attributions, granted by the Regulation Law of the 27 Constitutional Article in Nuclear Matter, the National Commission of Nuclear Safety and Safeguards (CNSNS) it has taken charge to the authors the Politics' s elaboration and Guide of Application of Urgency measures and Administrative Sanctions (PGAMASA) with the double objective of discouraging the licensees, contractors and employees of incurring in nonfulfillment or violations to the regulator mark and of encouraging them to be attentive to the prompt identification and the immediate and appropriate correction of the violations and nonfulfillment. The present article presents the legal mark that confers the CNSNS the attributions to implant a PGAMASA and it exposes the more important elements that conform it. The urgency measures and administrative sanctions are defined, the approaches to determine the level of graveness of a violation or nonfulfillment and it is related the application process of urgency measures and administrative sanctions are presented. Like this among the urgency measures they stand out figures like the Notifications of Violation and the Regulatory Orders by their versatility and use potentiality. The PGAMASA has a basically dissuasive character and its last purpose it is to strengthen the actions that the CNSNS carries out in the fulfillment of its functions to maintain the safety standards in the operation of the nuclear facilities. (Author)

  10. A model to prioritize access to elective surgery on the basis of clinical urgency and waiting time

    Directory of Open Access Journals (Sweden)

    Santori Gregorio

    2009-01-01

    Full Text Available Abstract Background Prioritization of waiting lists for elective surgery represents a major issue in public systems in view of the fact that patients often suffer from consequences of long waiting times. In addition, administrative and standardized data on waiting lists are generally lacking in Italy, where no detailed national reports are available. This is true although since 2002 the National Government has defined implicit Urgency-Related Groups (URGs associated with Maximum Time Before Treatment (MTBT, similar to the Australian classification. The aim of this paper is to propose a model to manage waiting lists and prioritize admissions to elective surgery. Methods In 2001, the Italian Ministry of Health funded the Surgical Waiting List Info System (SWALIS project, with the aim of experimenting solutions for managing elective surgery waiting lists. The project was split into two phases. In the first project phase, ten surgical units in the largest hospital of the Liguria Region were involved in the design of a pre-admission process model. The model was embedded in a Web based software, adopting Italian URGs with minor modifications. The SWALIS pre-admission process was based on the following steps: 1 urgency assessment into URGs; 2 correspondent assignment of a pre-set MTBT; 3 real time prioritization of every referral on the list, according to urgency and waiting time. In the second project phase a prospective descriptive study was performed, when a single general surgery unit was selected as the deployment and test bed, managing all registrations from March 2004 to March 2007 (1809 ordinary and 597 day cases. From August 2005, once the SWALIS model had been modified, waiting lists were monitored and analyzed, measuring the impact of the model by a set of performance indexes (average waiting time, length of the waiting list and Appropriate Performance Index (API. Results The SWALIS pre-admission model was used for all registrations in the

  11. Uni-, bi- and tri-modal warning signals: effects of temporal parameters and sensory modality on perceived urgency

    NARCIS (Netherlands)

    van Erp, Johannes Bernardus Fransiscus; Toet, Alexander; Janssen, Joris B.

    Multi-sensory warnings can potentially enhance risk communication. Hereto we investigated how temporal signal parameters affect perceived urgency within and across modalities. In an experiment, 78 observers rated the perceived urgency of uni-, bi-, and/or tri-modal stimuli as function of 25

  12. Uni-, bi- and tri-modal warning signals : Effects of temporal parameters and sensory modality on perceived urgency

    NARCIS (Netherlands)

    Erp, J.B.F. van; Toet, A.; Janssen, J.B.

    2015-01-01

    Multi-sensory warnings can potentially enhance risk communication. Hereto we investigated how temporal signal parameters affect perceived urgency within and across modalities. In an experiment, 78 observers rated the perceived urgency of uni-, bi-, and/or tri-modal stimuli as function of 25

  13. Pelvic floor myofascial trigger points: manual therapy for interstitial cystitis and the urgency-frequency syndrome.

    Science.gov (United States)

    Weiss, J M

    2001-12-01

    The effectiveness of manual physical therapy was evaluated in patients with interstitial cystitis and the urethral syndrome, that is urgency-frequency with or without pelvic pain. The rationale was based on the hypothesis that pelvic floor myofascial trigger points are not only a source of pain and voiding symptoms, but also a trigger for neurogenic bladder inflammation via antidromic reflexes. From September 1995 to November 2000, 45 women and 7 men, including 10 with interstitial cystitis and 42 with the urgency-frequency syndrome, underwent manual physical therapy to the pelvic floor for 1 to 2 visits weekly for 8 to 12 weeks. Results were determined by patient completed symptom score sheets indicating the rate of improvement according to outcome parameters, including 25% to 50%-mild, 51% to 75%-moderate, 76% to 99%-marked and 100%-complete resolution. In 10 cases these subjective results were confirmed by measuring resting pelvic floor tension by electromyography before and after the treatment course. Of the 42 patients with the urgency-frequency syndrome with or without pain 35 (83%) had moderate to marked improvement or complete resolution, while 7 of the 10 (70%) with interstitial cystitis had moderate to marked improvement. The mean duration of symptoms before treatment in those with interstitial cystitis and the urgency-frequency syndrome was 14 (median 12) and 6 years (median 2.5), respectively. In patients with no symptoms or brief, low intensity flares mean followup was 1.5 years. In 10 patients who underwent electromyography mean resting pelvic floor tension decreased from 9.73 to 3.61 microV., which was a 65% improvement. Pelvic floor manual therapy for decreasing pelvic floor hypertonus effectively ameliorates the symptoms of the urgency/frequency syndrome and interstitial cystitis.

  14. Verbal collision avoidance messages during simulated driving: perceived urgency, alerting effectiveness and annoyance.

    Science.gov (United States)

    Baldwin, Carryl L

    2011-04-01

    Matching the perceived urgency of an alert with the relative hazard level of the situation is critical for effective alarm response. Two experiments describe the impact of acoustic and semantic parameters on ratings of perceived urgency, annoyance and alerting effectiveness and on alarm response speed. Within a simulated driving context, participants rated and responded to collision avoidance system (CAS) messages spoken by a female or male voice (experiments 1 and 2, respectively). Results indicated greater perceived urgency and faster alarm response times as intensity increased from -2 dB signal to noise (S/N) ratio to +10 dB S/N, although annoyance ratings increased as well. CAS semantic content interacted with alarm intensity, indicating that at lower intensity levels participants paid more attention to the semantic content. Results indicate that both acoustic and semantic parameters independently and interactively impact CAS alert perceptions in divided attention conditions and this work can inform auditory alarm design for effective hazard matching. Matching the perceived urgency of an alert with the relative hazard level of the situation is critical for effective alarm response. Here, both acoustic and semantic parameters independently and interactively impacted CAS alert perceptions in divided attention conditions. This work can inform auditory alarm design for effective hazard matching. STATEMENT OF RELEVANCE: Results indicate that both acoustic parameters and semantic content can be used to design collision warnings with a range of urgency levels. Further, these results indicate that verbal warnings tailored to a specific hazard situation may improve hazard-matching capabilities without substantial trade-offs in perceived annoyance.

  15. Resultados topográficos en pacientes portadores de lentes de contacto Topographic results achieved patients wearing contact lens

    Directory of Open Access Journals (Sweden)

    Tania Aymeé Díaz Martínez

    2009-06-01

    Full Text Available OBJETIVOS: Analizar los resultados topográficos en pacientes portadores de lentes de contacto y candidatos a cirugía refractiva con excimer láser, en el Hospital "Carlos Juan Finlay"; determinar el comportamiento según edad y sexo; conocer el tipo de lente de contacto empleado y su tiempo de uso; conocer el comportamiento según la edad y el sexo; identificar la relación del patrón topográfico corneal inducido en portadores de lentes de contacto con el moldeamiento corneal y el queratocono. MÉTODOS: Es un estudio retrospectivo de las topografías de los candidatos para cirugía refractiva durante los últimos 2 años, de 80 pacientes (todos ellos portadores de lentes de contacto. Para las exploraciones se emplearon los topógrafos OPTIKON AMF510P y el HUMPHREY. A todos se les realizó un examen oftalmológico completo (refracción manifiesta, biomicroscopia, queratometría, paquimetría y topografía corneal. Se compararon los resultados y su estabilidad. También se analizó la edad, el sexo, el tipo de lentes de contacto, así como su tiempo de utilización. RESULTADOS: Se trataron 158 ojos, de ellos 83 presentaron un patrón topográfico normal, 58 moldeamiento corneal inducido por el uso de lentes de contacto y en 17 se evidenció queratocono. La edad media de los pacientes fue de 27 años. El astigmatismo corneal medio en los pacientes con queratocono fue de -3,25 dioptrías, y de -1,12 dioptrías en pacientes con moldeamiento corneal. La lectura del meridiano más plano en pacientes con queratocono fue de 46,75 dioptrías, y en moldeamiento corneal 43,25 dioptrías. En los queratoconos el meridiano más curvo fue de 54,75 dioptrías, y en el moldeamiento corneal 46,00 dioptrías. CONCLUSIONES: El tipo de lente de contacto, así como su tiempo de uso influyen en la aparición del moldeamiento corneal inducido y el queratocono subclínico, y ambos presentaron un patrón topográfico similar.OBJECTIVES: To analyze the topographic

  16. Lente de contato em crianças: aspectos epidemiológicos Contact lens in children: epidemiological aspects

    Directory of Open Access Journals (Sweden)

    André Luiz Alves Salame

    2008-06-01

    Full Text Available OBJETIVO: Traçar o perfil epidemiológico de crianças encaminhadas para adaptação de lente de contato. MÉTODOS: Foi realizado estudo retrospectivo de pacientes registrados no Setor de lente de contato da Universidade Federal de São Paulo. Os pacientes com até 12 anos de idade foram avaliados quanto ao sexo, idade, diagnóstico, indicação e tipo de lente de contato testada na primeira consulta. RESULTADOS: Dos 73 prontuários avaliados, 34 (46,6% pertenciam a crianças do sexo masculino e 39 (53,4% a crianças do sexo feminino. A idade variou de 2 a 12 com média de 10,2 e desvio-padrão de 2,42 anos. O diagnóstico mais encontrado foi afacia em 16 (21,9% crianças, seguido de ceratocone em 14 (19,1%, leucoma em 11 (15%, anisometropia em 10 (13,7%, ametropia em 9 (12,3%, astigmatismo irregular em 7 (9,5% e ectopia lentis em 4 (5,4%. Uma criança era alta míope (1,3% e outra emétrope (1,3% que possuía desejo de usar lente de contato estética. Em relação às indicações, 52 (71,2% pacientes tinham indicação médica, 9 (12,3% indicação óptica e 12 (16,4% indicação cosmética. Foram testadas lentes em 103 olhos sendo as mais testadas a rígida gás permeável esférica em 43 (41,7%, a gelatinosa esférica em 41 (39,8% e a gelatinosa cosmética em 11 (10,6%. CONCLUSÃO: O perfil epidemiológico dos usuários de lente de contato nessa faixa etária tem como diagnóstico mais prevalente a afacia, a indicação mais freqüente a de ordem médica e a lente mais testada a rígida gás permeável esférica.PURPOSE: To describe the epidemiology of children submitted to contact lens fit. METHODS: Retrospective study of 73 children that had been submitted to contact lens fit at the "Universidade Federal de São Paulo". This study analyzed sex distribution, age, diagnosis, indications and contact lens fitted at first examination. RESULTS: 34 children (46.6% were male and 39 (53.4% female, aged between 2 and 12 years with mean of 10.2 and

  17. The efficacy of education in emergency-urgency: a review

    Directory of Open Access Journals (Sweden)

    Cristina Cunsolo

    2008-12-01

    Full Text Available After a course of Basic Lift Support, Nurses and Doctors skills retention decline if not used over time. Studies have suggest that methods need to be evaluated and refined to improve practice. A more detailed assessment toll is needed to determine the effectiveness of an educational intervention in providing the best skill acquisition and retention attainable. This review of literature examines factors that enhance retention of knowledge and skill during and after resuscitation training. In order to identify educational strategies that will optimize current practices and suggest the application of the experiential theory of learning to Basic Life Support. The review was undertaken using PUBMED, EMBASE and EBM Reviews – Cochrane Central Register of Controlled Trials. Additional references were also reviewed from the bibliographies and from citation searches on key articles. Those published that identified strategies to enhance the acquisition or retention of cardiopulmonary resuscitation skill and knowledge were included in the review. Review showed that templates should be introduced for research or evaluation of educational interventions designed to improve resuscitation performance. Resuscitation training should be based on in-hospital scenarios and current evidence-based guidelines. Video instruction and new technologies has been shown to improve competence in resuscitation. The research findings suggest the need for an evaluation of the use and effects of cognitive instructional strategies and new technologies in CPR training courses on transfer ok skill and knowledge to practice.

  18. Sistemas atuais de cuidados e manutenção de lentes de contato Current care and maintenance systems for contact lenses

    Directory of Open Access Journals (Sweden)

    César Lipener

    2008-12-01

    Full Text Available A correta manutenção das lentes de contato é fundamental para se obter sucesso e manter a continuidade de seu uso. É grande o número de pacientes que abandonam o uso de suas lentes por problemas que poderiam ser solucionados com tratamentos relativamente simples ou com uma orientação mais adequada. O mau uso das lentes, associado à má adaptação, contaminação, doenças oculares prévias e fatores ambientais, podem aumentar o número de infecções corneanas através da proliferação de microorganismos. O presente artigo visa apresentar as atualizações em relação aos cuidados e manutenção com as lentes de contato.The proper maintenance of contact lenses is crucial for their success and to maintain the continuity of their use. Many patients abandon the use of their lenses due to problems that could be solved with relatively simple treatments. The misuse of lenses, coupled with poor adjustment, contamination, eye disease and environmental factors may increase the number of corneal infections through the proliferation of microorganisms. This article aims to provide contact lens care and maintenance updates.

  19. Alteraciones oculares y visuales en personas que trabajan con ordenador y son usuarias de lentes de contacto: una revisión bibliográfica

    Directory of Open Access Journals (Sweden)

    Ana Tauste Francés

    2014-01-01

    Full Text Available Fundamentos: El elevado número de personas que trabajando con ordenador utiliza lentes de contacto plantea la cuestión sobre si la suma de estos dos factores de riesgo para la salud visual puede originar un agravamiento del Síndrome Visual Informático. El objetivo de esta revisión es sintetizar el conocimiento científico sobre las alteraciones oculares y visuales relacionadas con la exposición a ordenador en usuarios de lentes de contacto. Métodos: Revisión de artículos científicos (2003-2013 en español e inglés, realizando una búsqueda bibliográfica, en Medline a través de PubMed y en Scopus. Resultados: La búsqueda inicial aportó 114 trabajos, después de aplicar criterios de inclusión/exclusión se incluyeron seis artículos. Todos ellos ponen de manifiesto que las alteraciones al utilizar el ordenador son más frecuentes en las personas usuarias de lentes de contacto, con prevalencias que oscilan de 95,0% al 16,9% que en las que no utilizan lentes de contacto, cuya prevalencia va del 57,5% al 9,9% y con una probabilidad cuatro veces mayor de padecer ojo seco [OR: 4,07 (IC 95%: 3,52-4,71]. Conclusiones: Las personas usuarias de ordenador padecen más alteraciones oculares y visuales cuando además son usuarias de lentes de contacto, pero los estudios son escasos y poco contundentes. Se precisan nuevas investigaciones que analicen la influencia según los tipos de lentes y sus condiciones de uso, tanto en la sintomatología como en la calidad de la lágrima y la superficie ocular. Las lentes de hidrogel de silicona son las que se asocian a mayor confort.

  20. Construcción de un microscopio simple con la lente de un teléfono celular

    Directory of Open Access Journals (Sweden)

    Ernesto Cyrulies

    2014-01-01

    Full Text Available En este artículo se propone la construcción de un microscopio simple recreando el principio de funcionamiento del microscopio de Leeuwenhoek, empleando en este caso una lente de cámara fotográfica de teléfono celular. El dispositivo permite observar y fotografiar estructuras celulares, cuyas imágenes ampliadas posibilitan ver ciertos detalles minúsculos. Se describe una manera sencilla de construirlo con materiales comunes. También se relata la implementación de la propuesta con alumnos de un instituto de formación docente y cuáles fueron sus resultados.

  1. Principales métodos para el cálculo de la lente intraocular después de la cirugía refractiva corneal

    Directory of Open Access Journals (Sweden)

    Taimí Cárdenas Díaz

    Full Text Available Con el surgimiento y el desarrollo de la cirugía refractiva corneal se han podido corregir quirúrgicamente a millones de pacientes con defectos refractivos. Con el cursar de los años comienza a opacarse fisiológicamente el cristalino, y disminuye la agudeza visual en estos pacientes a quienes se les modificó la curvatura corneal. Ante la necesidad de remover el cristalino y de calcular una lente intraocular de potencia adecuada para conseguir la emetropía, surge un nuevo reto a la Oftalmología. El cálculo de la lente intraocular en pacientes con cirugía refractiva corneal es mucho más complejo, pues además de tener longitudes axiales extremas, se añaden factores por la intervención previa que alteran la predictibilidad del resultado visual, con la aplicación de las fórmulas de cálculo de lente intraocular existentes. Se han descrito varios métodos que permiten determinar correctamente la potencia de la lente a implantar, dependiendo de los datos de los que se dispongan; de ahí la motivación para realizar una revisión de diferentes publicaciones con el propósito de describir los principales métodos empleados para realizar el cálculo de la lente intraocular en estos pacientes. Se utilizó la plataforma Infomed, específicamente la Biblioteca Virtual de Salud, con todos sus buscadores.

  2. Communicating the Urgency and Challenge of Global Climate Change: Lessons Learned and New Strategies

    Science.gov (United States)

    Dilling, L.; Moser, S. C.

    2004-12-01

    Climate change can sometimes be characterized as a "creeping environmental problem"--it is complex and long-term, involves long system lags, lacks the immediacy of everyday experience and thus is hard to perceive, and feels overwhelming to most individuals. Climate change thus does not typically attain the status of an urgent concern, taking priority over other matters for individuals, organizations or in the policy arena. We review the major reasons behind this lack of urgency, and document the observed consequences of previous communication strategies, including lack of public understanding, indifference, confusion, fear and uncertainty. We find that certain emotional motivators such as fear and guilt, while oft-employed, do not actually result in improved recognition of the urgency of the issue, nor do they typically result in action. Rather, positive and engaging approaches may be more likely to achieve this goal. We propose seven strategies to improve the communication of climate change and its urgency: 1) Abide by basic communication rules and heed the warnings of communication experts; 2) Address the emotional and the temporal components of "urgency"; 3) Increase the persuasiveness of the message; 4) Use trusted messengers-broaden the circle; 5) Use opportunities well; 6) Tap into individual and cultural strengths and values; and 7) Unite and Conquer. The multi-faceted nature of the proposed strategies reflects the unique challenges of the climate change issue as well as the need to engage all levels and sectors of societies in the solution, from individuals, to businesses, to governments. These strategies and results emerged from a multi-disciplinary, academic/practitioner workshop on the topic held at NCAR in summer 2004.

  3. A teleophthalmology system for the diagnosis of ocular urgency in remote areas of Brazil

    Directory of Open Access Journals (Sweden)

    Anna Giselle Ribeiro

    2014-08-01

    Full Text Available Purposes: To validate a teleophthalmology mobile system aimed at improving and providing eye urgency screenings in remote and poor area settings in Brazil. The system enables one or more ophthalmologists to remotely examine a patient's condition and submit a decision describing the gravity of the case. If necessary, the patient can be forwarded to a hospital for further consultation. Methods: A cellphone (Nexus One model, with a 5 megapixel camera was used to collect data and pictures from 100 randomly selected patients at the Ophthalmology Emergency Room located at the General Hospital of the Federal University of São Paulo (UNIFESP. Data was then sent remotely to an online recording system to be reviewed by an ophthalmologist who provided feedback regarding the state of ocular urgency. Results were then compared to the gold standard diagnosis provided at the hospital. Results: The diagnosis of urgency was given by two ophthalmologists: one in the hospital (gold standard and one remotely. When we compared both diagnoses we obtained results of 81.94% specificity, 92.85% sensitivity, and 85% accuracy, with a negative predictive value of 96.72%. This work also included a processing time analysis, resulting in an average time of 8.6 min per patient for remote consultations. Conclusions: This study is the first that has used only a cellphone for diagnosing the urgency of ocular cases. Based on our results, the system can provide a reliable distinction between urgent and non-urgent situations and can offer a viable alternative for the servicing of underprivileged areas. In screening techniques, the most important outcome is to identify urgent cases with a high level of sensitivity and predictive negative value. Thus, our results demonstrate that this tool is robust and we suggest that a major study aimed to verify its efficiency in resource-poor areas should be initiated.

  4. A teleophthalmology system for the diagnosis of ocular urgency in remote areas of Brazil.

    Science.gov (United States)

    Ribeiro, Anna Giselle; Rodrigues, Renan Albert Mendonça; Guerreiro, Ana Maria; Regatieri, Caio Vinicius Saito

    2014-08-01

    To validate a teleophthalmology mobile system aimed at improving and providing eye urgency screenings in remote and poor area settings in Brazil. The system enables one or more ophthalmologists to remotely examine a patient's condition and submit a decision describing the gravity of the case. If necessary, the patient can be forwarded to a hospital for further consultation. A cellphone (Nexus One model, with a 5 megapixel camera) was used to collect data and pictures from 100 randomly selected patients at the Ophthalmology Emergency Room located at the General Hospital of the Federal University of São Paulo (UNIFESP). Data was then sent remotely to an online recording system to be reviewed by an ophthalmologist who provided feedback regarding the state of ocular urgency. RESULTS were then compared to the gold standard diagnosis provided at the hospital. The diagnosis of urgency was given by two ophthalmologists: one in the hospital (gold standard) and one remotely. When we compared both diagnoses we obtained results of 81.94% specificity, 92.85% sensitivity, and 85% accuracy, with a negative predictive value of 96.72%. This work also included a processing time analysis, resulting in an average time of 8.6 min per patient for remote consultations. This study is the first that has used only a cellphone for diagnosing the urgency of ocular cases. Based on our results, the system can provide a reliable distinction between urgent and non-urgent situations and can offer a viable alternative for the servicing of underprivileged areas. In screening techniques, the most important outcome is to identify urgent cases with a high level of sensitivity and predictive negative value. Thus, our results demonstrate that this tool is robust and we suggest that a major study aimed to verify its efficiency in resource-poor areas should be initiated.

  5. Pattern Matching Framework to Estimate the Urgency of Off-Normal Situations in NPPs

    Energy Technology Data Exchange (ETDEWEB)

    Shin, Jin Soo; Park, Sang Jun; Heo, Gyun Young [Kyung Hee University, Yongin (Korea, Republic of); Park, Jin Kyun [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Kim, Hyo Jin; Park, Soon Yeol [Korea Hydro and Nuclear Power, Yeonggwang (Korea, Republic of)

    2010-10-15

    According to power plant operators, it was said that they could quite well recognize off-normal situations from an incipient stage and also anticipate the possibility of upcoming trips in case of skilled operators, even though it is difficult to clarify the cause of the off-normal situation. From the interview, we could assure the feasibility of two assumptions for the diagnosis of off-normal conditions: One is that we can predict whether an accidental shutdown happens or not if we observe the early stage when an off-normal starts to grow. The other is the observation at the early stage can provide the remaining time to a trip as well as the cause of such an off-normal situation. For this purpose, the development of on-line monitoring systems using various data processing techniques in nuclear power plants (NPPs) has been the subject of increasing attention and becomes important contributor to improve performance and economics. Many of studies have suggested the diagnostic methodologies. One of representative methods was to use the distance discrimination as a similarity measure, for example, such as the Euclidean distance. A variety of artificial intelligence techniques such as a neural network have been developed as well. In addition, some of these methodologies were to reduce the data dimensions for more effectively work. While sharing the same motivation with the previous achievements, this study proposed non-parametric pattern matching techniques to reduce the uncertainty in pursuance of selection of models and modeling processes. This could be characterized by the following two aspects: First, for overcoming considering only a few typical scenarios in the most of the studies, this study is getting the entire sets of off-normal situations which are anticipated in NPPs, which are created by a full-scope simulator. Second, many of the existing researches adopted the process of forming a diagnosis model which is so-called a training technique or a parametric

  6. Pattern Matching Framework to Estimate the Urgency of Off-Normal Situations in NPPs

    International Nuclear Information System (INIS)

    Shin, Jin Soo; Park, Sang Jun; Heo, Gyun Young; Park, Jin Kyun; Kim, Hyo Jin; Park, Soon Yeol

    2010-01-01

    According to power plant operators, it was said that they could quite well recognize off-normal situations from an incipient stage and also anticipate the possibility of upcoming trips in case of skilled operators, even though it is difficult to clarify the cause of the off-normal situation. From the interview, we could assure the feasibility of two assumptions for the diagnosis of off-normal conditions: One is that we can predict whether an accidental shutdown happens or not if we observe the early stage when an off-normal starts to grow. The other is the observation at the early stage can provide the remaining time to a trip as well as the cause of such an off-normal situation. For this purpose, the development of on-line monitoring systems using various data processing techniques in nuclear power plants (NPPs) has been the subject of increasing attention and becomes important contributor to improve performance and economics. Many of studies have suggested the diagnostic methodologies. One of representative methods was to use the distance discrimination as a similarity measure, for example, such as the Euclidean distance. A variety of artificial intelligence techniques such as a neural network have been developed as well. In addition, some of these methodologies were to reduce the data dimensions for more effectively work. While sharing the same motivation with the previous achievements, this study proposed non-parametric pattern matching techniques to reduce the uncertainty in pursuance of selection of models and modeling processes. This could be characterized by the following two aspects: First, for overcoming considering only a few typical scenarios in the most of the studies, this study is getting the entire sets of off-normal situations which are anticipated in NPPs, which are created by a full-scope simulator. Second, many of the existing researches adopted the process of forming a diagnosis model which is so-called a training technique or a parametric

  7. Epidural steroid injections in the management of a patient with spinal stenosis and urinary urgency.

    Science.gov (United States)

    Mitra, Raj; Huang, Lawrence; Payne, Christopher

    2009-02-01

    A 79-year-old woman with a history of chronic back pain and urinary urgency presented to a spine center for treatment and evaluation for axial low back pain. The patient described the back pain as severe with intermittent radiation into the right leg; her pain intensity was 7 out of 10 on a visual analog scale. She described her sense of urgency as severe, and could delay urination for 10 min or less. She described her bladder control as 6 out of 10 on the urgency perception score (with 0 being perfect control). Physical examination, including manual muscle testing, test for sensation to fine touch, reflex assessment and assessment of gait pattern, and MRI of the lumbar spine. Overactive bladder associated with severe central-canal stenosis at L4-5, in the setting of anterolisthesis. Fluoroscopically guided caudal epidural steroid injection; 60 mg of triamcinolone, 3 ml of 1% lidocaine hydrochloride and 3 ml of normal saline, injected in increments.

  8. Validation of the urgency questionnaire in Portuguese: A new instrument to assess overactive bladder syndrome.

    Science.gov (United States)

    Moraes, Rodolfo Pacheco de; Silva, Jonas Lopes da; Calado, Adriano Almeida; Cavalcanti, Geraldo de Aguiar

    2018-01-01

    Overactive Bladder (OAB) is a clinical condition characterized by symptoms reported by patients. Therefore, measurement instruments based on reported information are important for understanding its impact and treatment benefits. The aim of this study was to translate, culturally adapt and validate the Urgency Questionnaire (UQ) in Portuguese. Initially, the UQ was translated and culturally adapted to Portuguese. Sixty-three volunteers were enrolled in the study and were interviewed for responding the Portuguese version of the UQ and the validated Portuguese version of the Overactive Bladder Questionnaire short-form (OABq-SF), used as the gold standard measurement for the validation process. Psychometric properties such as criterion validity, stability, and reliability were tested. Forty-six subjects were included in the symptomatic group (presence of "urgency"), and seventeen were included in the asymptomatic group (control group). There was difference between symptomatic and asymptomatic subjects on all of the subscales (p≤0.001). The UQ subscales correlated with the OABq-SF subscales (p≤0.01), except the subscale "time to control urgency" and the item "impact" from the visual analog scales (VAS). However, these scales correlated with the OABq-SF - Symptom Bother Scale. The UQ subscales demonstrated stability over time (pPortuguese version of the UQ proved to be a valid tool for the evaluation of OAB in individuals whose native language is Portuguese. Copyright® by the International Brazilian Journal of Urology.

  9. A urodynamic study of surface neuromodulation versus sham in detrusor instability and sensory urgency.

    Science.gov (United States)

    Bower, W F; Moore, K H; Adams, R D; Shepherd, R

    1998-12-01

    We studied the effect of surface neuromodulation on cystometric pressure and volume parameters in women with detrusor instability or sensory urgency. Electrical current was delivered to the suprapubic region and third sacral foramina via a transcutaneous electrical nerve stimulator with sham neuromodulation control. A consecutive series of women with proved detrusor instability or sensory urgency were randomized to 3 surface neuromodulation groups. Volume and pressure parameters were the main outcomes of transcutaneous electrical nerve stimulation applied during second cystometric fill. Sham transcutaneous electrical nerve stimulation did not alter the outcome measures. However, neuromodulation delivered across the suprapubic and sacral skin effected a reduction in mean maximum height of detrusor contraction. A current which inhibits motor activity was not superior to that which inhibits sensory perception in reducing detrusor pressure. Response in sensory urgency was poor. Results from our sham controlled study suggest that short-term surface neuromodulation via transcutaneous electrical nerve stimulation may have a role in the treatment of detrusor instability. Future studies must examine the clinical effect of long-term surface neuromodulation.

  10. Personalización de las constantes en las fórmulas de cálculo de la lente intraocular Personalization of constants in the intraocular lens calculation formulas

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    Anneé Miranda Carracedo

    2012-12-01

    Full Text Available Objetivo: personalizar las constantes A, factor cirujano y profundidad de la cámara anterior para las fórmulas de cálculo de la lente intraocular en la cirugía de catarata en el Instituto Cubano de Oftalmología "Ramón Pando Ferrer" de mayo de 2007 a enero de 2011. Métodos: se realizó un estudio descriptivo retrospectivo donde se estudiaron las constantes A, factor cirujano y profundidad de la cámara anterior. También se evaluó la longitud axial preoperatoria por IOL Master, la mejor agudeza visual sin corrección, el componente esférico esperado, el componente esférico obtenido y los resultados refractivos. Resultados: las constantes optimizadas por interferometría de coherencia parcial son diferentes a las propuestas por los fabricantes de las lentes intraoculares. Estas constantes personalizadas para cada cirujano no mostraron diferencias significativas. Las constantes optimizadas según las longitudes axiales, tienen diferencias significativas en los 3 grupos de estudio. La diferencia entre la lente intraocular implantada y la propuesta con las nuevas constantes resultó menor de 1 D de error en 83,1 % de los pacientes. El 75,4 % quedó bien corregido en relación con la diferencia entre la refracción esperada y la obtenida. Conclusiones: las constantes optimizadas por interferometría de coherencia parcial resultan más elevadas que las propuestas por el fabricante. La optimización de estas en el cálculo de la lente permite, de acuerdo a las características individuales de cada ojo (longitud axial, usar la fórmula adecuada e incrementa la predictibilidad de los resultados refractivos posoperatorios.Objective: to personalize the A, surgeon factor and anterior chamber depth constants for intraocular lens calculation formulas in the cataract surgery at the “Ramón Pando Ferrer” Cuban Ophthalmological Institute from May 2007 to January 2011. Method: a retrospective and descriptive study was made to study the A constant

  11. Examining the role of emotion in suicidality: negative urgency as an amplifier of the relationship between components of the interpersonal-psychological theory of suicidal behavior and lifetime number of suicide attempts.

    Science.gov (United States)

    Anestis, Michael D; Joiner, Thomas E

    2011-03-01

    Joiner's (2005) interpersonal-psychological theory of suicidal behavior posits that an individual must exhibit elevations on three variables--perceived burdensomeness, thwarted belongingness, and the acquired capability for suicide--in order to enact lethal self-harm. Thus far, however, no research has examined the role of emotion in this process or whether the interaction of these three variables is more problematic for certain populations than for others. We sought to address these voids by examining the role of negative urgency as an amplifier of the relationship between the components of the theory and lifetime number of suicide attempts. Results indicated that the four-way interaction of negative urgency and the three components of the theory predicted lifetime number of suicide attempts, controlling for depression symptoms and sex. Additionally, the three-way interaction of the theory components significantly predicted lifetime number of suicide attempts in the full sample. Furthermore, for individuals with negative urgency scores at or above the median, the three-way interaction of the theory components significantly predicted lifetime number of suicide attempts whereas, for individuals with negative urgency scores below the median, the interaction was non-significant. These findings indicate that, although elevations on the three components of the theory may be dangerous for anyone, this is particularly true for individuals exhibiting high levels of negative urgency, as they might be more likely to quickly develop suicidal ideation and resort to painful self-harming behaviors while experiencing negative affective states. Copyright © 2010 Elsevier B.V. All rights reserved.

  12. Experiencia con la lente intraocular RAYNER 620H Experience gained with the use of intraocular lens RAYNER 620 H

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    Juan Raúl Hernández Silva

    2008-06-01

    Full Text Available Un importante eslabón en el progreso alcanzado en la cirugía de cataratas, está fundamentado en el desarrollo industrial paralelo que ha ocurrido durante los últimos años con la introducción de nuevos modelos de lentes intraoculares, como el Rayner 620 H; el perfeccionamiento del instrumental quirúrgico, sistemas de aspiración e irrigación bimanual y bisturí con la medida exacta para colocar el inyector de la lente intraocular. La lente intraocular Rayner 620H significó un gran paso para la facoemulsificación y el control de la opacidad de la cápsula posterior posoperatoria por el diseño peculiar de su óptica y hápticos, que permiten un implante seguro, fácil y una incisión mínima. Se realizó un estudio prospectivo y descriptivo, cuyo universo de estudio fueron 28 ojos con diagnóstico de cataratas a los cuales se les realizó facoemulsificación con implante de lente intraocular Rayner 620 H, en el Centro de Microcirugía Ocular del Instituto Cubano de oftalmología "Ramón Pando Ferrer" en el período comprendido entre junio de 2006 a febrero de 2007. El grupo de edades donde se encontró el de mayor número de pacientes fue en el de más de 60 años. En todos los casos hubo un aumento significativo de la agudeza visual sin corrección y con ella, del preoperatorio al posoperatorio. Hubo un aumento del cilindro queratométrico del preoperatorio al posoperatorio, pero este fue mínimo La pérdida de células endoteliales fue baja del preoperatorio al posoperatorio, respectivamente. No hubo ninguna complicación durante la cirugía ni después de esta. Evaluamos como satisfactoria la efectividad del lente intraocular Rayner 620 H, por el aumento de la agudeza visual del paciente, el bajo astigmatismo inducido, mejoría del campo visual por confrontación, mínima pérdida de células endoteliales, y ausencia de complicaciones y de deslumbramiento posoperatorio en los pacientes.An important link in the advances made by the

  13. Apport de l’IRM dans la prise en charge des compressions médullaires lentes non traumatiques

    Science.gov (United States)

    Badji, Nfally; Deme, Hamidou; Akpo, Geraud; Ndong, Boucar; Toure, Mouhamadou Hamine; Diop, Sokhna Ba; Niang, El Hadji

    2016-01-01

    Les compressions médullaires lentes sont dues au développement dans le canal médullaire d’une lésion expansive. C’est une pathologie très fréquente dont le diagnostic est essentiellement clinique. L’imagerie par résonnance magnétique occupe une place incontournable dans le diagnostic de localisation et la recherche étiologique. En Europe l’étiologie tumorale est prépondérante. Le but de cette étude était de décrire les aspects IRM des compressions médullaires lentes et de déterminer le profil étiologique. Il s’agit d’une étude rétrospective portant sur 97 observations colligées au service de radiologie du CHUN de Fann sur une période de 30 mois (du 08/03/10 au 29/09/12). On été inclus dans l’étude, tous les patients adressés pour un tableau de compression médullaire lente survenu dans un contexte non traumatique. L’âge moyen des patients était de 42,6 ans avec des extrêmes compris entre 04 mois et 85 ans. Nous avons étudié la topographie des lésions (étage rachidien, compartiments canalaires) leur rehaussement et les critères d’orientation étiologique. Le protocole d’examen permettait la réalisation de séquence pondérées T1 sans avec injection de gado, T2, STIR et T2 DRIVE centrées sur les niveaux lésionnels ou les zones suspectes. L’IRM a permis de préciser le siège exact et l’étendue des lésions. L’atteinte du rachis dorsal représentait 42% des cas, suivi du rachis cervical avec 32% des cas. Les atteintes lombo-sacrées et pluri-étagées représentaient respectivement 18% et 08% des cas. Les lésions extradurales représentaient 87% des cas, suivi des lésions intradurales extramédullaires avec 08% des cas et des lésions intramédullaires dans 05% des cas. La particularité du profil étiologique de notre étude est la prédominance des épidurites infectieuses et la fréquence relative des épidurites métastatiques comparée aux séries occidentales. L’IRM vertébro-médullaire occupe

  14. Adaptação de lentes de contato após cirurgia refrativa Contact lens fitting after refractive surgery

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    Adimara da Candelária Renesto

    2005-02-01

    Full Text Available OBJETIVO: Avaliar a adaptação e o uso de lente de contato em pacientes que foram submetidos à cirurgia refrativa. MÉTODOS: Foi realizado estudo retrospectivo de 53 pacientes submetidos à cirurgia refrativa, que posteriormente passaram a usar lente de contato, no período de 1999 a 2003. Foram avaliados a ametropia prévia, tipo de cirurgia realizada, refração pós-cirúrgica, equivalente esférico pós-cirurgia, ceratometria pós-operatória, curva base da lente adaptada, tipo de lente de contato adaptada, acuidade visual com óculos no pós-operatório, acuidade visual final com lente de contato, complicações e motivo da interrupção do uso. O tempo de seguimento variou de 1 mês a 84 meses (média de 42,5 meses. RESULTADOS: Dos 53 pacientes analisados, 19 pacientes foram submetidos a LASIK (Laser Assisted in Situ Keratomileusis, 29 pacientes foram submetidos à RK (ceratotomia radial, 4 pacientes foram submetidos a PRK (ceratectomia fotoablativa e em um paciente não foi possível obter o tipo de cirurgia realizado. Em 61,29% dos pacientes, (57 olhos de um total de 93, foram adaptadas lentes de contato rígidas gás-permeáveis esféricas. Houve melhora da acuidade visual em 60,21% dos casos (AV>20/40, com poucas complicações. CONCLUSÃO: Devido ao número cada vez maior de cirurgias refrativas realizadas, espera-se que aumente o número de pacientes insatisfeitos com o resultado no pós-operatório e para os quais o uso de lentes de contato venha a ser a melhor opção. A adaptação de lentes de contato pós-cirurgia refrativa exige conhecimento e dedicação e em geral tem bons resultados principalmente pela melhora da acuidade visual.PURPOSE: To evaluate the fitting and use of contact lens in patients submitted to refractive surgery. METHODS: This was a retrospective study in 53 patients submitted to refractive surgery who later started to use contact lens, from 1999 to 2003. The parameters were: previous ametropia, refractive

  15. Acuidade visual em implantes bilaterais de lentes intra-oculares monofocais e multifocais Visual acuity of bilateral implants of monofocal and multifocal intraocular lenses

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    Leonardo Akaishi

    2003-01-01

    Full Text Available OBJETIVO: Comparar a acuidade visual de longe e perto de pacientes submetidos à facoemulsificação binocular não simultânea com implante de lentes multifocais ou monofocais. MÉTODOS: Foram selecionados 20 pacientes com lentes multifocais bilaterais e outros 20 pacientes com lentes monofocais também bilaterais, com acuidade visual sem correção melhor ou igual a 0,63 (20/30, medidos separadamente, nos três primeiros meses de pós-operatório. Foi medida a acuidade visual para longe e perto com e sem correção e testes de sensibilidade ao contraste e ofuscamento. RESULTADOS: A acuidade visual sem correção para longe no grupo das monofocais teve média de 0,82 (DP± 0,16 e no grupo das multifocais, 0,94 (DP±0,12, valor de p 0,001. Os dois grupos de lentes tiveram visão com correção para longe igual a 1. No grupo das multifocais, 75% tiveram J1 e 100% tiveram J3 ou melhor sem correção. No grupo das lentes monofocais, 10% tiveram J1 e 70% tiveram J3 ou melhor sem correção. Não houve diferença significante na avaliação com o teste de sensibilidade ao contraste entre os grupos pesquisados. No teste de ofuscamento, os dois grupos tiveram redução da visão, que foi mais acentuada no grupo dos pacientes com lentes multifocais. CONCLUSÃO: A acuidade visual para longe com correção nos pacientes com implante multifocal foi semelhante a dos pacientes com implantes monofocais, embora a acuidade visual para perto no grupo em que foi implantado lente multifocal foi bastante superior ao grupo da lente monofocal. A sensibilidade ao contraste manteve-se semelhante nos dois grupos, já o ofuscamento ("glare test" no grupo multifocal foi maior que no grupo monofocal.PURPOSE: To compare distant and near visual acuity between patients submitted to bilateral nonsimultaneous facoemulsification and implantation of multifocal or monofocal intraocular lenses (IOL. METHODS: Twenty patients with bilateral multifocal IOL and 20 patients with

  16. [The liaison psychiatry approach of the psychiatric crisis, urgencies and emergencies].

    Science.gov (United States)

    Tenconi, Juan Cristóbal

    2003-01-01

    The purpose of this paper is to differentiate crisis, emergencies and urgencies within the frame of Liaison psychiatry. It begins with the definition of each one of the terms, later the emphasis is put in the clinical characteristics of each one of these situations. These characteristics are determined by the patient and the therapeutic team. At last therapeutic guidelines are stated, which allow more precision in the intervention, in function of the direct involvement of these situations in the development and evolution of the patients.

  17. Economic Functions Proposal of Urgency Prioritization of Investment Projects of Operated Railway Bridges

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    Pitoňák Martin

    2014-12-01

    Full Text Available The main objective of the article is to describe the proposals of economic functions within the prioritization of urgency investments of operated railway bridges within a comprehensive evaluation of existing bridges. The purpose of the paper is a comprehensive assessment of existing bridges and to define determinants and determinants of decision-making and designing a mechanism of decision-making procedures of prioritized infrastructure measures in the form of repairs and reconstructions of bridges resulting from the records of supervising activities based not only on technical but also economic aspects to the railway infrastructure manager.

  18. Revisión bibliográfica sobre los beneficios del coloreado de las lentes destinadas a las actividades deportivas

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    Carlos Montaner Sesmero

    2010-09-01

    Full Text Available El desarrollo de productos comerciales específicos para cada usuario es una línea de actuación preferente para cada vez más empresas del sector deportivo. Algunos de estos productos personalizados, como es el caso de las gafas deportivas con lentes coloreadas, ofrecen prestaciones que aseguran un mejor confort y/o rendimiento deportivo en determinados contextos. Sin embargo, la base científica que apoya el beneficio de dichos artículos es desconocida. Así, el propósito de este estudio es realizar una revisión del trabajo científico publicado que explique el posible beneficio que puede suponer el uso de un tipo de coloreado u otro en las lentes de las gafas deportivas. Para ello, se ha llevado a cabo una revisión bibliográfica centrada en aspectos de confort y de rendimiento visual en la práctica deportiva, a través de bases documentales científicas, de páginas web y de normativa referente al uso de lentes deportivas. La principal conclusión que se puede extraer es que el estado del arte ofrece una limitada base científica para soportar los productos existentes en el mercado, así como para proponer lentes de color para deportes concretos. Queda establecido que a través de determinados filtros coloreados puedan mejorarse los tiempos de reacción y la habilidad visual, pero en caso de abordar esta línea de I+D, sería incluso necesario poner a punto métodos de medida adecuados.

  19. Vitrectomía pars plana y reimplante de lente intraocular en surco Pars plana vitrectomy and intraocular lens repositioning in the sulcus

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    Alejandro Guerra García

    2010-01-01

    Full Text Available Se presentó un caso de lente intraocular luxado a vítreo en paciente con conteo bajo de células endoteliales e intolerancia a lentes de contacto. Se practicó vitrectomía pars plana con reimplante de lente en surco ciliar con el objetivo de demostrar la fiabilidad de la técnica para casos que presenten condiciones adecuadas y situaciones especiales. Se revisó la bibliografía para conocer las tendencias actuales con respecto al manejo de esta patología. El paciente alcanzó una agudeza visual de 20/30. El lente permaneció estable en el surco 3 meses después de practicada la vitrectomía. El manejo de esta entidad debe ser personalizado. La técnica utilizada debe ser siempre la primera opción de tratamiento y parece ser segura en casos cuidadosamente escogidos.A case of dislocated intraocular lens moved to the vitreous cavity in a patient with low endothelial cell count and contact lens intolerance was reported. A pars plana vitrectomy with lens repositioning was performed to demonstrate the safety of this technique for some special cases under adequate conditions. The literature was reviewed to learn about the current management of this pathology. Finally, patient's best visual acuity was 20/30. The stability of the lens was confirmed three month l after the vitrectomy. Management of this disorder should be customized. This technique should be considered as the first option of treatment and seems to be safe in selected cases.

  20. Comparison of patient-reported late treatment toxicity (LENT-SOMA) with quality of life (EORTC QLQ-C30 and QLQ-H and N35) assessment after head and neck radiotherapy

    International Nuclear Information System (INIS)

    Ho, Kean Fatt; Farnell, Damien J.J.; Routledge, Jacqueline A.; Burns, Meriel P.; Sykes, Andrew J.; Slevin, Nick J.; Davidson, Susan E.

    2010-01-01

    Purpose: The patient's role in toxicity reporting is increasingly acknowledged but requires the adaptation and validation of toxicity reporting instruments for patient use as most toxicity scales are designed for physician use. Recording of radiotherapy related late toxicity is important and needs to be improved. A patient-scored symptom questionnaire of late treatment effects using LENT-SOMA was compared with a recognised quality of life tool (EORTC QLQ-C30/H and N35). Materials/methods: LENT-SOMA and EORTC QLQ-C30 patient questionnaires were prospectively completed by 220 head and neck cancer patients over 3 years and 72 completed EORTC QLQ-H and N35 questionnaires at 2 years post-radiotherapy. Results: Endpoints common to both questionnaires (pain, swallowing, dental pain, dry mouth, opening mouth, analgesics) were matched. Spearman rank correlation coefficients with ρ > 0.6 (P < 0.001) were obtained for all 'matched' scales except for analgesics scale, ρ = 0.267 (P < 0.05). There was good agreement between LENT-SOMA and EORTC QLQ-H and N35 except for analgesic endpoints. Global quality of life scores correlated negatively with average LENT-SOMA scores (P < 0.001). Significant differences in average LENT-SOMA scores between treatment modalities were found. The LENT-SOMA questionnaire has demonstrated a high Cronbach's α value (0.786) indicating good reliability. Conclusions: LENT-SOMA patient questionnaire results agreed well with those from the EORTC QLQ-H and N35 questionnaire for toxicity items where they could be compared explicitly, particularly for subjective endpoints. Patient-reported late toxicity had a negative impact on quality of life. The LENT-SOMA patient questionnaire is both reliable and sensitive to differences between patients treated with different modalities. A patient-based questionnaire is an important contributor to capturing late radiotherapy effects.

  1. Avaliação do nível de conhecimento quanto ao uso de lentes de contato entre os estudantes de medicina da Faculdade de Medicina do ABC

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    Giovana Arlene Fioravanti Lui

    2010-12-01

    Full Text Available OBJETIVO: Analisar o nível de conhecimento dos usuários de lentes de contato entre os estudantes de medicina da Faculdade de Medicina do ABC (SP quanto aos cuidados, formas de uso, às complicações e à aquisição das lentes. MÉTODOS: Foi aplicado um questionário a todos os alunos usuários de lentes de contato do 1º ao 6º ano de medicina da Faculdade de Medicina do ABC (SP, analisando-se por fim os resultados encontrados. Todos os questionários aplicados foram respondidos. RESULTADOS: 61 estudantes responderam ao questionário. 52,5% afirmaram já terem tido algum tipo de complicação ocular decorrente do uso de lentes de contato. Apesar de a maioria (70,5% estar satisfeito com o uso das lentes de contato, 67% dos que responderam ao questionário estão esperando o grau estabilizar para realizar cirurgia para correção de grau. CONCLUSÃO: Observou-se uma adaptação inadequada, aquisição de lentes de contato em ópticas ou farmácias e complicações oculares graves ocorreram em usuários de lentes de contato considerados diferenciados. Podemos concluir que o médico oftalmologista deverá dar mais atenção ao tema, para que haja menos complicações ao realizar adaptações de lentes de contato.

  2. Late radiation effects to the rectum and bladder in gynecologic cancer patients: the comparison of LENT/SOMA and RTOG/EORTC late-effects scoring systems

    International Nuclear Information System (INIS)

    Anacak, Yavuz; Yalman, Deniz; Oezsaran, Zeynep; Haydaroglu, Ayfer

    2001-01-01

    Purpose: To test the correlation of LENT/SOMA and RTOG/EORTC late-effect scales for rectum and bladder, 116 cases with gynecologic malignancies that were treated with radiotherapy were assessed with both scales. Methods and Materials: All cases had been treated at least 6 months before the date of assessment with external beam radiotherapy (50-54 Gy to midline) and 1-2 fractions of HDR brachytherapy (2x8.5 Gy to point-A for 32 inoperable cases; 1x9.25 Gy to 5-9 mm from the ovoid surface for 84 postoperative cases). The patients were questioned with both scales, and the correlation between the two scales was analyzed by Spearman's rho (rank correlation) test. Results: There were 64 cases with uterine cervix carcinoma and 52 cases with endometrium carcinoma, The overall (external + brachy) doses to ICRU points were 57.8±3.8 Gy for rectum and 59.3±4.9 Gy for bladder. The statistical analysis of LENT/SOMA and RTOG/EORTC scales revealed a very good correlation for rectum (r=0.81; p<0.01) and a good correlation for bladder (r=0.72; p<0.01). Conclusion: The LENT/SOMA system is a further step on the reporting of late radiation effects. Some modifications will improve its precision, and multicentric randomized studies are needed to test its validity

  3. THE URGENCY OF THE CRIMINAL POLICY IN CRIME MITIGATION POLICE PROFESSION

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    Ridwan Tahir

    2016-12-01

    Full Text Available This article aims to reveal the characteristics of the crimes committed by the police in general, and then continued by asserting the main orientation of the criminal policy in crime prevention. Next, will be discussed more specifically about the urgency of the criminal policy in the prevention of the crimes committed by the police. This paper, presented using data and information from literature sources, then analyzed qualitatively with decomposition descriptive and prescriptive analytics. The focus of the discussion of this article will be directed to the issue of urgency criminal policy in relation to the role of agency compensation and rehabilitation for the abuses of power that are criminogen in the investigation process established through pretrial agencies that the results are only set compensation and rehabilitation as a result of misuse of the police profession. To that end, the weakness of the criminal law policy, need to be updated, ie, by adding the authority to institute pretrial may also recommend its findings to be prosecuted and criminal sanctions

  4. Surgical timing of treating injured extremities: an evolving concept of urgency.

    Science.gov (United States)

    Crist, Brett D; Ferguson, Tania; Murtha, Yvonne M; Lee, Mark A

    2013-01-01

    The management of some orthopaedic extremity injuries has changed over the past decade because of changing resource availability and the risks of complications. It is helpful to review the current literature regarding orthopaedic extremity emergencies and urgencies. The effects of the techniques of damage control orthopaedic techniques and the concept of the orthopaedic trauma room have also affected the management of these injuries. The available literature indicates that the remaining true orthopaedic extremity emergencies include compartment syndrome and vascular injuries associated with fractures and dislocations. Orthopaedic urgencies include open fracture management, femoral neck fractures in young patients treated with open reduction and internal fixation, and talus fractures that are open or those with impending skin compromise. Deciding when the definitive management of orthopaedic extremity injuries will occur has evolved as the concept of damage control orthopaedics has become more commonly accepted. Patient survival rates have improved with current resuscitative protocols. Definitive fixation of extremity injuries should be delayed until the patient's physiologic and extremity soft-tissue status allows for appropriate definitive management while minimizing the risks of complications. In patients with semiurgent orthopaedic injuries, the use of an orthopaedic trauma room has led to more efficient care of patients, fewer complications, and better time management for surgeons who perform on-call service for patients with traumatic orthopaedic injuries.

  5. Drinking motives and alcohol outcome expectancies as mediators of the association between negative urgency and alcohol consumption.

    Science.gov (United States)

    Anthenien, Amber M; Lembo, Jordanna; Neighbors, Clayton

    2017-03-01

    To determine whether the effects of negative urgency, a unique facet of impulsivity marked by engaging in potentially unhealthy and rash behaviors in order to cope with anxiety or negative moods, on drinking behavior can be explained by positive and negative alcohol outcome expectancies and specific drinking motives (i.e., coping and enhancement). College students (N=194) completed web-based surveys in exchange for course credit. Students completed measures of negative urgency, comprehensive effects of alcohol, drinking motives, and alcohol use behaviors. Results of path analysis indicated significant indirect effects of negative urgency and alcohol use through both alcohol outcome expectancies and enhancement motives. The effects of enhancement motives on drinking were mediated by positive alcohol outcome expectancies. The effects of coping motives on drinking were not attributable to negative expectancies. Individuals high on negative urgency may consume alcohol in order to ameliorate their emotional distress due to strong desires to increase positive and decrease negative experiences associated with drinking. Emotion-focused impulsivity's influence on drinking outcomes can be ascribed to enhancement motives for drinking as well as positive and negative alcohol outcome expectancies. Prevention efforts should target drinking motives and alcohol outcome expectancies among those higher in negative urgency. Copyright © 2016 Elsevier Ltd. All rights reserved.

  6. Lentes de contato filtrantes coloridas nas discromatopsias: relato de casos Absorptive and colored contact lenses in color-vision defects: case report

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    Luciene Chaves Fernandes

    2003-06-01

    Full Text Available As autoras propõem a utilização de lentes de contato filtrantes coloridas para melhora da discriminação de cores e do ofuscamento, em portadores de discromatopsia, na impossibilidade de montagem de filtros coloridos em óculos. Foram adaptadas lentes de contato filtrantes coloridas em dois portadores de discromatopsias, um com deutanopia e outro com acromatopsia. No primeiro, adaptou-se lente rígida filtrante, de polimetilmetacrilato (PMMA, vermelha, no olho não dominante, com o objetivo de melhorar a discriminação de cores. No segundo, colocou-se lente filtrante gelatinosa, de uso diário, de coloração marrom escuro com pupila âmbar, visando melhorar o ofuscamento. No primeiro caso, o paciente manteve inalterada a acuidade visual e também o contraste, porém demonstrou melhora na discriminação das cores ao teste de PV-16. No segundo caso, houve melhora subjetiva acentuada do ofuscamento tanto em ambiente interno, como externo. A acuidade visual e a visão de cores permaneceram sem alterações. Os achados sugerem a possibilidade de contarmos com as lentes de contato filtrantes coloridas como importante auxílio para a melhora na discriminação de cores e ofuscamento, nas discromatopsias.The authors propose the use of absorptive and colored contact lenses as an aid to color defects in making color judgments and reduce glare sensitivity in dichromatic subjects, when the use of filter in glasses is not possible. Absorptive and colored contact lenses were adapted in two dichromatic subjects, one deutanope and the other with achromatopsia. In the former, a hard absorptive, red-colored, polymethacrylate lens was adapted monocularly, in the non-dominant eye to help color judgments. In the latter, a soft absorptive, dark brown-colored lens with amber pupil was worn in both eyes to reduce glare sensitivity. Subject # 1 remained with the same visual acuity and contrast sensitivity and demonstrated a better color perception on the PV-16

  7. Is it a matter of urgency? A survey of assessments by walk-in patients and doctors of the urgency level of their encounters at a general emergency outpatient clinic in Oslo, Norway.

    Science.gov (United States)

    Ruud, Sven Eirik; Hjortdahl, Per; Natvig, Bård

    2016-07-04

    Emergency room (ER) use is increasing in several countries. Variability in the proportion of non-urgent ER visits was found to range from 5 to 90 % (median 32 %). Non-urgent emergency visits are considered an inappropriate and inefficient use of the health-care system because they may lead to higher expenses, crowding, treatment delays, and loss of continuity of health care provided by a general practitioner. Urgency levels of doctor-walk-in patient encounters were assessed based on their region of origin in a diverse Norwegian population. An anonymous, multilingual questionnaire was distributed to all walk-in patients at a general emergency outpatient clinic in Oslo during two weeks in September 2009. We analysed demographic data, patient-doctor assessments of the level of urgency, and the results of the consultation. We used descriptive statistics to obtain frequencies with 95 % confidence interval (CI) for assessed levels of urgency and outcomes. Concordance between the patients' and doctors' assessments was analysed using a Kendall tau-b test. We used binary logistic regression modelling to quantify associations of explanatory variables and outcomes according to urgency level assessments. The analysis included 1821 walk-in patients. Twenty-four per cent of the patients considered their emergency consultation to be non-urgent, while the doctors considered 64 % of encounters to be non-urgent. The concordance between the assessments by the patient and by their doctor was positive but low, with a Kendall tau-b coefficient of 0.202 (p < 0.001). Adjusted logistic regression analysis showed that patients from Eastern Europe (odds ratio (OR) = 3.04; 95 % CI 1.60-5.78), Asia and Turkey (OR = 4.08; 95 % CI 2.43-6.84), and Africa (OR = 8.47; 95 % CI 3.87-18.5) reported significantly higher urgency levels compared with Norwegians. The doctors reported no significant difference in assessment of urgency based on the patient's region of origin, except

  8. Conservative treatment of soft tissue sarcomas of the extremities. Functional evaluation with LENT-SOMA scales and the Enneking score; Traitement conservateur des sarcomes des tissus mous des membres. Evaluation du resultat fonctionnel selon l'echelle LENT-SOMA et le score de Enneking

    Energy Technology Data Exchange (ETDEWEB)

    Tawfiq, N.; Lagarde, P.; Thomas, L.; Kantor, G. [Institut Bergonie, Centre Regional de Lutte Contre le Cancer, Service de Radiotherapie, 33 - Bordeaux (France); Stockle, E. [Institut Bergonie, Centre Regional de Lutte Contre le Cancer, Service de Chirurgie, 33 - Bordeaux (France); Bui, B.N. [Institut Bergonie, Centre Regional de Lutte Contre le Cancer, Service d' Oncologie Medicale, 33 - Bordeaux (France)

    2000-12-01

    Objective. - The aim of this prospective study is the feasibility of late effects assessment by LENT-SOMA scales after conservative treatment of soft tissue sarcomas of the extremities and a comparison with the functional evaluation by the Enneking score. Patients and methods. - During the systematic follow-up consultations, a series of 32 consecutive patients was evaluated in terms of late effects by LENT SOMA scales and functional results by the Enneking score. The median time after treatment was 65 months. The treatment consisted of conservative surgery (all cases) followed by radiation therapy (29 cases), often combined with adjuvant therapy (12 concomitant radio-chemotherapy association cases out of 14). The assessment of the toxicity was retrospective for acute effects and prospective for the following late tissue damage: skin/subcutaneous tissues, muscles/soft tissues and peripheral nerves. Results. -According to the Enneking score, the global score for the overall series was high (24/30) despite four the scores zero for the psychological acceptance. According to LENT SOMA scales, a low rate of severe sequelae (grade 3-4) was observed. The occurrence of high-grade sequelae and their functional consequences were not correlated with quality of exeresis, dose of radiotherapy or use of concomitant chemotherapy. A complementarity was observed between certain factors of the Enneking score and some criteria of the LENTSOMA scales, especially of muscles/soft tissues. Conclusion. -The good quality of functional results was confirmed by the two mean scoring systems for late normal tissue damage. The routine use of LENT-SOMA seems to be more time consuming than the Enneking score (mean time of scoring: 1 3 versus five minutes). The LENT-SOMA scales are aimed at a detailed description of late toxicity and sequelae while the Enneking score provides a more global evaluation, including the psychological acceptance of treatment. The late effects assessment by the LENT

  9. [Midline Cyst of the Prostate with Increased Urinary Frequency and Urgency : A Case Report].

    Science.gov (United States)

    Nakano, Kosuke; Kiuchi, Hiroshi; Miyagawa, Yasushi; Tsujimura, Akira; Nonomura, Norio

    2018-02-01

    A 40-year-old man presented to our institution with a few-month history of increased urinary frequency, urgency and voiding difficulty. He had severe lower urinary tract symptoms with an International Prostate Symptom Score of 28 and quality of life score of 6. The mean urinary frequency and voided volume was 20 times per day and 150 ml, respectively. Abdominal ultrasonography and pelvic magnetic resonance imaging revealed the prostate measuring 15 cm3 with a 3 cm midline cyst which compressed the posterior of the bladder wall. A subsequent examination indicated that his lower urinary tract symptoms could be attributed to the cystic mass which mainly affected his storage symptoms. The patient underwent transurethral unroofing of the prostate cyst. Immediately after the surgery, his storage symptoms were improved greatly. The voiding volume was increased to 250 ml, and the frequency of urination was decreased to 8 times. No recurrent symptoms were found for seven months after the surgery.

  10. Remote sensing techniques and their urgency for snow and glacier mapping in Himalayas

    Energy Technology Data Exchange (ETDEWEB)

    Das, M C; Chattopadhyay, S N; Murty, A S

    1979-01-01

    The mighty Himalayas are great repositories of snow and ice. The river system of Indus, the Ganges and Brahmaputra owe their perennial flow to these large snow and ice masses. The demand for systematic exploitation of water resources of these great mountain ranges calls for a thorough inventory of these water-holding bodies. Rough and difficult terrain, inclement weather and very inaccessible altitudes stood in the way for better understanding of these vast sources of life giving water. In this paper, the urgency for snow and glacier mapping of this Himalayan region is highlighted in the light of the fast evolving techniques of remote sensing. Aerospace photography, use of radars and infrared sensing methods microwave sensing, and application of gamma radiation with the help of satellites, are examined for their present status and future potential for application in this ice and snow capped, top of the world.

  11. Evaluation and management of pediatric hypertensive crises: hypertensive urgency and hypertensive emergencies

    Directory of Open Access Journals (Sweden)

    Patel NH

    2012-11-01

    Full Text Available Nirali H Patel,1 Sarah K Romero,2 David C Kaelber31Division of Emergency Medicine, Akron Children's Hospital, Akron, OH, USA; 2Division of Emergency Medicine, Rainbow Babies and Children's Hospital, Cleveland, OH, USA; 3Departments of Information Services, Internal Medicine, Pediatrics, and Epidemiology and Biostatistics, The Center for Clinical Informatics Research and Education, The MetroHealth System and School of Medicine, Case Western Reserve University, Cleveland OH, USAAbstract: Hypertension (HTN in the pediatric population is estimated to have a world-wide prevalence of 2%-5%. As with adults, pediatric patients with HTN can present with hypertensive crises include hypertensive urgency and hypertensive emergencies. However, pediatric blood pressure problems have a greater chance of being from secondary causes of HTN, as opposed to primary HTN, than in adults. Thorough evaluation of a child with a hypertensive emergency includes accurate blood pressure readings, complete and focused symptom history, and appropriate past medical, surgical, and family history. Physical exam should include height, weight, four-limb blood pressures, a general overall examination and especially detailed cardiovascular and neurological examinations, including fundoscopic examination. Initial work-up should typically include electrocardiography, chest X-ray, serum chemistries, complete blood count, and urinalysis. Initial management of hypertensive emergencies generally includes the use of intravenous or oral antihypertensive medications, as well as appropriate, typically outpatient, follow-up. Emergency department goals for hypertensive crises are to (1 safely lower blood pressure, and (2 treat/minimize acute end organ damage, while (3 identifying underlying etiology. Intravenous antihypertensive medications are the treatment modality of choice for hypertensive emergencies with the goal of reducing systolic blood pressure by 25% of the original value over an 8

  12. Time-Lag in Responses of Birds to Atlantic Forest Fragmentation: Restoration Opportunity and Urgency.

    Science.gov (United States)

    Uezu, Alexandre; Metzger, Jean Paul

    2016-01-01

    There are few opportunities to evaluate the relative importance of landscape structure and dynamics upon biodiversity, especially in highly fragmented tropical landscapes. Conservation strategies and species risk evaluations often rely exclusively on current aspects of landscape structure, although such limited assumptions are known to be misleading when time-lag responses occur. By relating bird functional-group richness to forest patch size and isolation in ten-year intervals (1956, 1965, 1978, 1984, 1993 and 2003), we revealed that birds with different sensitivity to fragmentation display contrasting responses to landscape dynamics in the Brazilian Atlantic Forest. For non-sensitive groups, there was no time-lag in response: the recent degree of isolation best explains their variation in richness, which likely relates to these species' flexibility to adapt to changes in landscape structure. However, for sensitive bird groups, the 1978 patch area was the best explanatory variable, providing evidence for a 25-year time-lag in response to habitat reduction. Time-lag was more likely in landscapes that encompass large patches, which can support temporarily the presence of some sensitive species, even when habitat cover is relatively low. These landscapes potentially support the most threatened populations and should be priorities for restoration efforts to avoid further species loss. Although time-lags provide an opportunity to counteract the negative consequences of fragmentation, it also reinforces the urgency of restoration actions. Fragmented landscapes will be depleted of biodiversity if landscape structure is only maintained, and not improved. The urgency of restoration action may be even higher in landscapes where habitat loss and fragmentation history is older and where no large fragment remained to act temporarily as a refuge.

  13. Long-term radiation sequelae after breast-conserving therapy in women with early-stage breast cancer: an observational study using the LENT-SOMA scoring system

    International Nuclear Information System (INIS)

    Fehlauer, Fabian; Tribius, Silke; Hoeller, Ulrike; Rades, Dirk; Kuhlmey, Antje; Bajrovic, Amira; Alberti, Winfried

    2003-01-01

    Purpose: To evaluate the long-term toxicity after breast-conserving therapy in women with early-stage breast cancer. Methods and Materials: Late toxicity according to the late effects of normal tissue-subjective, objective, management, and analytic (LENT-SOMA) criteria and cosmetic outcome (graded by physicians) were evaluated in 590 of 2943 women with early-stage breast cancer who were irradiated between 1983 and 1995 using the following fractionation schedules: group A, 1983-1987, 2.5 Gy 4x/wk to 60 Gy; group B, 1988-1993, 2.5 Gy 4x/wk to 55 Gy, group C, 1994-1995, 2.0 Gy 5x/wk to 55 Gy. Results: LENT-SOMA Grade 3-4 toxicity was observed as follows: group A (median follow-up 171 months; range 154-222 months), fibrosis 16% (7 of 45), telangiectasia 18% (8 of 45), and atrophy 4% (2 of 45); group B (median follow-up 113 months; range 78-164 months), pain 2% (8 of 345), fibrosis 10% (34 of 345), telangiectasia 10% (33 of 345), arm edema 1% (2 of 345), and atrophy 8% (27 of 345); and group C (median follow-up 75 months, range 51-96 months, n = 200), occurrence of Grade 3-4 late morbidity ≤2%. The cosmetic outcome was very good to acceptable in 78% (35 of 45) of patients in group A, 83% (286 of 345) in group B, and 94% (187 of 200) in group C. Conclusion: In our population, the long-term side effects after breast-conserving therapy were not rare, but were mainly asymptomatic. The LENT-SOMA breast module is a practical tool to assess radiation-induced long-term toxicity

  14. Lente fácica de câmara posterior para correção de hipermetropia consecutiva à ceratotomia radial

    Directory of Open Access Journals (Sweden)

    Salera Cristina Moreira

    2003-01-01

    Full Text Available OBJETIVO: Avaliar a eficácia, previsibilidade e segurança do implante de lente fácica de câmara posterior para a correção de hipermetropia consecutiva à ceratotomia radial. MÉTODOS: Foram analisados retrospectivamente os prontuários de seis pacientes (10 olhos com hipermetropia consecutiva à hipercorreção após ceratotomia radial submetidos ao implante de lente fácica de câmara posterior para sua correção. RESULTADOS: O equivalente esférico pré-operatório médio da refração dinâmica foi de +4,65 dioptrias (variando de +2,50 a +6,50 dioptrias e o equivalente esférico pós-operatório médio foi de +0,3375 dioptrias (variando de -0,875 a +2,25 dioptrias. Quando comparamos as acuidades visuais com correção pré e pós-operatórias observamos que três olhos (30% ganharam duas linhas de acuidade visual, dois (20% ganharam uma linha de acuidade visual, um (10% manteve a mesma acuidade visual, três olhos (30% perderam uma linha de acuidade visual e um olho (10% perdeu duas linhas. CONCLUSÃO: O implante da lente fácica de câmara posterior para correção da hipermetropia consecutiva à ceratotomia radial mostrou-se como uma nova opção para o tratamento desta indesejável complicação, entretanto, fazem-se necessários estudos abrangendo maior número de casos e um acompanhamento a longo prazo destes casos.

  15. Mensurações do bulbo ocular e cálculo do poder dióptrico de lentes intraoculares em coelhos

    Directory of Open Access Journals (Sweden)

    M.A.R. Valinhos

    2012-02-01

    Full Text Available Determinaram-se as dimensões oculares de coelhos, empregando ultrassonografia modo-A e ceratometria, a fim de utilizá-las como subsídios para calcular o poder dióptrico de lentes intraoculares a serem implantadas experimentalmente nessa espécie e avaliar se existe diferença entre as mensurações oculares de machos e fêmeas e entre olho esquerdo e olho direito. Foram utilizados 58 animais do grupo genético Botucatu, distribuídos entre 30 fêmeas e 28 machos, com idade média de 85,8±8,29 dias e peso médio de 2,3±0,46kg. O cálculo da lente intraocular foi realizado por meio do software Holladay IOL Consultant®. As fórmulas empregadas para o cálculo foram: Holladay II, Holladay I, Hoffer Q e SRK-T, que calcularam lentes de aproximadamente 48,5 D; 50,27 D; 59,67 D e 49,24 D, respectivamente. A fórmula SRK-T mostrou-se semelhante às fórmulas Holladay II e Holladay I, enquanto entre as demais ocorreram diferenças. As características biométricas oculares avaliadas, assim como o poder dióptrico calculado por uma mesma fórmula, não apresentaram diferenças significativas com relação ao sexo e à lateralidade.

  16. Urgency coding as a dynamic tool in management of waiting lists for psychogeriatric nursing home care in The Netherlands

    NARCIS (Netherlands)

    Meiland, F. J. M.; Danse, J. A. C.; Wendte, J. F.; Gunning-Schepers, L. J.; Klazinga, N. S.

    2002-01-01

    Criteria are used to prioritise patients on waiting lists for health care services. This is also true for waiting lists for admission to psychogeriatric nursing homes. A patient's position on these latter waiting lists is determined by (changes in) urgency and waiting time. The present article

  17. Elaboración y gestión de un programa de mantenimiento para una fábrica de lentes oftálmicos

    OpenAIRE

    Garrafa Ayquipa, Henry Calixto; Garrafa Ayquipa, Henry Calixto

    2007-01-01

    La fabricación de lentes oftálmicos es una industria de poco desarrollo en el Perú. Sin embargo, Topsa se ha preocupado por ser una empresa competitiva, realizando inversiones en tecnología y mejora de sus procesos, convirtiéndola en una empresa lideren la industria. En la última década, las ventas de Topsa crecieron a razón del 20 % anual, por ello se amplió la capacidad de planta adquiriendo nuevas maquinarias. También, se incrementaron los reclamos de los clientes por productos defec...

  18. Perceptions of urgency: defining the gap between what physicians and nurses perceive to be an urgent issue.

    Science.gov (United States)

    Quan, S D; Morra, D; Lau, F Y; Coke, W; Wong, B M; Wu, R C; Rossos, P G

    2013-05-01

    Through our research into the design and evaluation of technology systems to improve the quality and safety of clinical communication, we have discovered that physicians and nurses differ in perspective regarding clinical prioritization and desirable response times. This has a number of important consequences including unnecessary interruptions, escalating conflict and deterioration in interprofessional relationships. Understanding the differing perspectives on clinical prioritization, or the gap in perceived urgency, may improve interprofessional relationships. We conducted a mixed-methods study utilizing both qualitative (semi-structured interviews) and quantitative (surveys) methods to determine the gap between perceived urgency among physicians and nurses. The survey comprised of real messages extracted from the clinical communication system that was implemented. Physicians and nurses reviewed the messages and assigned an urgency level to each. The semi-structured interviews used open-ended questions to act as a guide to highlight key themes of interest. Thematic analysis, frequency tabulation, and triangulation were used to analyze the data. Although the surveys demonstrated concordance between physicians and nurses when independently ranking the urgency of clinical messages (kappa=0.66 SE 0.15), agreement was only fair in comparison to the urgency identified by the original nurse who sent the message (kappa=0.22 SE 0.18). We hypothesize that clinical context has a major role in defining urgency and may explain this finding. The survey data was triangulated with the semi-structured interview data and it was determined that the desired response time significantly impacted the sender's message prioritization. For example, shift changes and anxious family members were associated with discordant prioritizations. This study demonstrated that the perceived communication urgency gap between sending nurses and receiving physicians was primarily related to timeframe

  19. Lente intra-ocular opaca em diplopia intratável: relato de caso Opaque intraocular lens in intractable diplopia: case report

    Directory of Open Access Journals (Sweden)

    Fernanda Teixeira Krieger

    2006-08-01

    Full Text Available Diplopia intratável tem sido descrita em várias situações. Métodos convencionais como prismas e correção cirúrgica do estrabismo falham em neutralizá-la. O objetivo do trabalho é documentar o caso de uma paciente com estrabismo de longa data, cuja diplopia deteriorou-se ao longo dos anos, e não foi possível resolução com cirurgia, prisma, e oclusão com óculos e lente de contato com pupila opaca. A paciente foi então submetida à facoemulsificação com implante de lente intra-ocular opaca que atingiu o objetivo desejado.Intractable diplopia has been described in many situations but poor results are the rule with standard treatment modalities. The authors report a case of a woman with long-standing strabismus and diplopia who failed to improve following surgery, prism, and occlusive spectacles or contact lenses. Then, she was submitted to phacoemulsification and opaque intraocular lens implantation, which successfully neutralized diplopia.

  20. Acanthamoeba sp.: un caso de queratitis no relacionada con el uso de lentes de contacto Acanthamoeba sp.: a case report in a non-contact lens wearer

    Directory of Open Access Journals (Sweden)

    Claudia Menghi

    2012-12-01

    Full Text Available La queratitis por Acanthamoeba sp. generalmente se relaciona con el uso de lentes de contacto y en menor proporción se vincula con el contacto con agua contaminada. Se caracteriza por una disminución de la capacidad visual y la presencia de un fuerte dolor ocular. al examen clínico, puede confundirse con una infección herpética. Si la infección no es diagnosticada y tratada a tiempo en forma adecuada, puede culminar en la perforación de la córnea y, eventualmente, en la pérdida del ojo. en este trabajo se informa uno de los pocos casos registrados de queratitis por Acanthamoeba sp. no relacionada con el uso de lentes de contacto.Acanthamoeba sp. keratitis is generally related to wearing contact lenses, and, to a lesser extent, to contaminated water. it is characterized by reduced visual capacity and the presence of severe ocular pain. Clinically, it can be mistaken for a herpes infection. if it is not diagnosed, and timely and adequately treated, it can result in corneal perforation and, eventually, in vision loss. One of the few registered cases of Acanthamoeba sp. keratitis not related to the use of contact lenses is herein reported.

  1. Correção do astigmatismo irregular com lente intraocular tórica em um paciente com catarata e degeneração marginal pelúcida: relato de caso

    Directory of Open Access Journals (Sweden)

    Ana Luiza Biancardi

    2012-12-01

    Full Text Available A degeneração marginal pelúcida (DMP é uma rara ectasia corneana cuja progressão resulta em astigmatismo irregular e baixa visual não corrigidos com óculos ou lentes de contato. O presente relato descreve um paciente com catarata e DMP que foi tratado com facoemulsificação e implante de lente intraocular tórica com recuperação da acuidade visual em ambos os olhos.

  2. Comparison of PMMA, foldable silicone and foldable acrylic hydrophobic intraocular lenses in combined phacoemulsification and trabeculectomy Comparação entre lentes intra-oculares de PMMA, lentes dobráveis de silicone e lentes acrílicas hidrofóbicas dobráveis em cirurgias combinadas de facoemulsificação e trabeculectomia

    Directory of Open Access Journals (Sweden)

    Ernani Serpa Junior

    2005-02-01

    Full Text Available PURPOSE: To compare the postoperative results of phacotrabeculectomy with implantation of PMMA, foldable silicone or foldable hydrofobic acrylic intraocular lens (IOL. SETTING: Glaucoma unit, The Royal Liverpool University Hospital, Liverpool, United Kingdom. METHODS: We studied a total of 124 eyes of three consecutive groups of patients with glaucoma and cataract that underwent phacotrabeculectomy with implantation of a PMMA (30 eyes, a foldable silicone (57 eyes or a foldable acrylic (37 eyes IOL. Postoperative Snellen visual acuity and intraocular pressure (IOP, and early and late complications were assessed. All data were analyzed by means of c² test, Fisher's exact test, ANOVA/MANOVA tests or a combination whenever appropriate. RESULTS: In all three groups the early and late mean postoperative IOPs were significantly lower than the preoperative ones (p25 mmHg and hypotony (IOPOBJETIVO: Comparar os resultados pós-operatórios de facotrabeculectomias com implante de lentes intra-oculares de PMMA, dobráveis de silicone e acrílicas hidrofóbicas dobráveis. MÉTODOS: Estudo comparativo retrospectivo, realizado no Departamento de Glaucoma da "St. Paul's Eye Unit - The Royal Liverpool University Hospital", em Liverpool, Inglaterra, onde foram estudados um total de 124 olhos de três grupos consecutivos de pacientes com glaucoma e catarata que foram submetidos à cirurgia de facotrabeculectomia com implante de lentes intra-oculares (LIO de PMMA (30 olhos, dobráveis de silicone (57 olhos e acrílicas hidrofóbicas dobráveis (37 olhos. Foram registradas a visão e pressão intra-ocular (PIO pré e pós-operatória, assim como as complicações pós-operatórias precoces e tardias. Todos os dados foram analisados utilizando-se o teste c², teste exato de Fisher, teste de ANOVA/MANOVA ou uma combinação deles quando necessário. RESULTADOS: Nos três grupos as PIOs pós-operatórias precoces e tardias foram significativamente inferiores

  3. Risk factors for urinary tract infection in children with urinary urgency.

    Science.gov (United States)

    Gondim, Rhaiana; Azevedo, Roberta; Braga, Ana Aparecida Nascimento Martinelli; Veiga, Maria Luiza; Barroso, Ubirajara

    2018-01-01

    To identify which independent variable would be strong predictor of febrile urinary tract infection (UTI) in children and adolescents with overactive bladder. A search was made of the institute's database for all patients diagnosed with overactive bladder over the preceding four years. Children and adolescents under 18 years of age with overactive bladder and no neurological or anatomical alterations of the lower urinary tract were included in the study. The independent variables were: sex, age, ethnicity (Brazilians of African descendence/others), the presence of urinary urgency, daytime incontinence, enuresis, frequent urination, infrequent voiding (≤3 voids/day), nocturia, holding maneuvers, straining to void, intermittent urinary flow, constipation and encopresis. An analysis was conducted to identify patients with febrile UTI and subsequently determine predictors of this condition. Univariate and multivariate analyses were performed. Overall, 326 patients (214 girls/112 boys) were evaluated. The mean age of the patients was 7.7±3.19 years (± standard deviation). The incidence of febrile UTI was 39.2%. Being female and infrequent voiding were factors significantly associated with febrile UTI, both in the univariate and multivariate analyses. These results show that being female and infrequent voiding constituted significant risk factors for a diagnosis of febrile UTI in these children. Copyright® by the International Brazilian Journal of Urology.

  4. The influence of negative urgency, attentional bias, and emotional dimensions on palatable food consumption.

    Science.gov (United States)

    Becker, Kendra Davis; Fischer, Sarah; Smith, Gregory T; Miller, Joshua D

    2016-05-01

    We tested a theoretical model concerning the role of attentional bias and negative affect in food consumption that offers important advances. We hypothesized that the effects of negative affect manipulations on food consumption vary as a function of trait levels of negative urgency (NU; tendency to act impulsively when distressed), and attentional bias and that the roles of emotional arousal and negative emotional valence differ and should be studied separately. 190 undergraduate women were randomly assigned to either an anger or neutral mood condition. Women in both conditions completed the Food Stroop, in which the presentation of food and neutral words were counterbalanced. After the task, participants were given the opportunity to eat mandarin oranges and/or chocolate candy while the experimenter was out of the room. The type and quantity of food consumed was counted after the participant departed. As hypothesized, the roles of emotional arousal and valence differed and the effect of the induced emotion was moderated by NU. Women high in NU who experienced emotional arousal were more likely to eat candy and consumed more candy than other women. Emotional valence had no effect on candy consumption. Neither increases in emotional arousal or emotional valence influenced attentional bias to food cues. Attentional bias was also unrelated to food consumption. The impact of negative mood inductions on palatable food consumption appears to operate through emotional arousal and not negative emotional valence, and it may operate primarily for women high in NU. Copyright © 2016 Elsevier Ltd. All rights reserved.

  5. Revisiting the evidence for collapsing boundaries and urgency signals in perceptual decision-making.

    Science.gov (United States)

    Hawkins, Guy E; Forstmann, Birte U; Wagenmakers, Eric-Jan; Ratcliff, Roger; Brown, Scott D

    2015-02-11

    For nearly 50 years, the dominant account of decision-making holds that noisy information is accumulated until a fixed threshold is crossed. This account has been tested extensively against behavioral and neurophysiological data for decisions about consumer goods, perceptual stimuli, eyewitness testimony, memories, and dozens of other paradigms, with no systematic misfit between model and data. Recently, the standard model has been challenged by alternative accounts that assume that less evidence is required to trigger a decision as time passes. Such "collapsing boundaries" or "urgency signals" have gained popularity in some theoretical accounts of neurophysiology. Nevertheless, evidence in favor of these models is mixed, with support coming from only a narrow range of decision paradigms compared with a long history of support from dozens of paradigms for the standard theory. We conducted the first large-scale analysis of data from humans and nonhuman primates across three distinct paradigms using powerful model-selection methods to compare evidence for fixed versus collapsing bounds. Overall, we identified evidence in favor of the standard model with fixed decision boundaries. We further found that evidence for static or dynamic response boundaries may depend on specific paradigms or procedures, such as the extent of task practice. We conclude that the difficulty of selecting between collapsing and fixed bounds models has received insufficient attention in previous research, calling into question some previous results. Copyright © 2015 the authors 0270-6474/15/352476-09$15.00/0.

  6. A Double Slow Neutron Spectrometer; Spectrometre double pour neutrons lents; Dvojnoj spektrometr medlennykh nejtronov; Espectrometro doble para neutrones lentos

    Energy Technology Data Exchange (ETDEWEB)

    Bondarenko, I I; Liforov, V G; Nikolaev, M N; Orlov, V V; Parfenov, V A; Semenov, V A; Smirnov, V I; Turchin, V F [Fehi, Moscow, SSSR (Russian Federation)

    1963-01-15

    The neutron spectrometer described in the paper is intended for measurements of the angular and energy distribution of monochromatic slow neutrons, inelasticaily scattered by liquid and solid bodies. Experiments of this type permit detailed information to be obtained concerning the dynamics of the atoms in various aggregate states of a substance. The spectromeeter is based on the time-of-flight method. The pulse source of neutrons is the IBR (1) reactor. A mechanical interrupter, rotating synchronously with the disc of the IBR and having a prescribed phase shift, serves as the monochromator. A special phasing system ensures a phasee stability better than 0.5{sup o}. The neutrons scattered by the sample are recorded by a scintillation detector set at a given angle to the neutron beam. The resolving power of the spectrometer is - 15 {mu}s/m. The paper gives a detailed description of the construction of the spectroscope and its characteristics. (author) [French] Le spectrometre neutronique decrit dans le memoire est destine a mesurer la distribution en energie, la distribution angulaire et la diffusion inelastique des neutrons lents monochromatiques dans des liquides et des solides. Les experiences de ce genre permettent d'obtenir des renseignements detailles sur la dynamique des atomes dans de divers etats de la matiere. Le spectrometre est fonde sur la mesure du temps de vol. Comme source puisee de neutrons on a utilise le reacteur IBR-1. Le systeme monochromateur etait constitue par un interrupteur mecanique en rotation synchronisee avec celle du disque du reacteur IBR, avec un dephasage determine. Un dispositif special de dephasage assure la stabilite de la phase a 0,5{sup o} pres. La diffusion des neutrons par l'echantillon est enregistree a l'aide d'un detecteur a scintillations dispose sous un angle determine par rapport au faisceau de neutrons. Le pouvoir de resolution du spectrometre est d'environ 15 {mu}s/m. Les auteurs decrivent en detail la construction du

  7. Epidemiology of mixed, stress, and urgency urinary incontinence in middle-aged/older women: the importance of incontinence history.

    Science.gov (United States)

    Komesu, Yuko M; Schrader, Ronald M; Ketai, Loren H; Rogers, Rebecca G; Dunivan, Gena C

    2016-05-01

    Urinary incontinence (UI) is common and the relationship among its subtypes complex. Our objective was to describe the natural history and predictors of the incontinence subtypes stress, urgency, and mixed, in middle-aged and older US women. We tested our hypothesis that UI subtype history predicted future occurrence, evaluating subtype incidence/remission over multiple time points in a stable cohort of women. We analyzed longitudinal urinary incontinence data in 10,572 community-dwelling women aged ≥50 in the 2004-2010 Health and Retirement Study. Mixed, stress, and urgency incontinence prevalence (2004, 2006, 2008, 2010) and 2-year cumulative incidence and remissions (2004-2006, 2006-2008, 2008-2010) were estimated. Patient characteristics and incontinence subtype status 2004-2008 were entered into a multivariable, transition model to determine predictors for incontinence subtype occurrence in 2010. The prevalence of each subtype in this population (median age 63-66) was 2.6-8.9 %. Subtype incidence equaled 2.1-3.5 % and remissions for each varied between 22.3 and 48.7 %. Incontinence subtype incidence predictors included ethnicity/race, age, body mass index, and functional limitations. Compared with white women, black women had decreased odds of incident stress incontinence and Hispanic women had increased odds of stress incontinence remission. The age range 80-90 and severe obesity predicted incident mixed incontinence. Functional limitations predicted mixed and urgency incontinence. The strongest predictor of incontinence subtype was subtype history. The presence of the respective incontinence subtypes in 2004 and 2006 strongly predicted 2010 recurrence (odds ratio [OR] stress incontinence = 30.7, urgency OR = 47.4, mixed OR = 42.1). Although the number of remissions was high, a previous history of incontinence subtypes predicted recurrence. Incontinence status is dynamic, but tends to recur over the longer term.

  8. Urgency in energy justice : contestation and time in prospective shale extraction in the United States and United Kingdom

    OpenAIRE

    Partridge, Tristan

    2018-01-01

    Changes to the material and social systems that underpin energy infrastructures are inextricably linked to energy justice concerns, and the timeframes of those changes significantly affect their outcomes. Temporal aspects of energy initiatives and their impacts are thus an important site for examining emergent public views on new energy proposals, inequality, and energy justice. We propose urgency is a particularly rich concept through which to study (i) the justice and socioenvironmental imp...

  9. Perfil demográfico e comportamental de pacientes com indicação médica óptica de lentes de contato

    Directory of Open Access Journals (Sweden)

    Fernanda Lika Tabushi

    Full Text Available RESUMO Objetivos: Avaliar o perfil demográfico e comportamental de pacientes com indicação médica óptica de lentes de contato (LC em um hospital público de Curitiba. Métodos: Estudo transversal realizado através de questionário em pacientes atendidos no serviço de lentes de contato do ambulatório do SUS do Hospital de Olhos do Paraná, no período de 02 de setembro de 2014 a 04 de agosto de 2015. Resultados: Dos 69 entrevistados, 56,52% fizeram LC. Destes, 55,07% têm entre 20-49 anos, 69,56% são mulheres, 40,58% com ensino médio completo e 36,23% com 2 a 6 salários mínimos. Predominaram a lente rígida com 66,67%, com menos de 8 horas de uso em 41,02% e desconforto durante o uso em 59%. A limpeza das LC é feita ao colocar e ao retirar em 87,18% dos casos, com 71,8% utilizando solução própria para LC. Alto custo da compra foi o principal motivo do não uso de LC, com 70% dos pacientes que não fizeram uso desse recurso. Conclusões: Dos entrevistados, 56,52% iniciaram o uso de LC, sendo o ceratocone a doença mais indicada. Foi demonstrado nesse estudo que os pacientes em questão têm boa orientação quanto a manuseio e manutenção das LC. Apesar dos inquestionáveis avanços da tecnologia médica, continuam ocorrendo a desistência do uso desse recurso principalmente pelo custo e medo do manuseio. É responsabilidade do especialista esclarecer os benefícios que os pacientes com indicação médica terão com o uso de LC, assim como motivar o seu uso.

  10. Impact of daily number of urgency urinary incontinence episodes on overactive bladder patient reported outcomes.

    Science.gov (United States)

    Angulo, J C; Brenes, F J; Lizarraga, I; Rejas, J; Trillo, S; Ochayta, D; Arumi, D

    2016-04-01

    To explore the impact of urgency urinary incontinence (UUI) on well-being in non-institutionalized patients with overactive bladder (OAB) in a community sample. A cross-sectional web-based study was conducted in the general population, including males and females, >18 years of age. Patients with probable OAB were identified using a validated algorithm together with a score ≥8 on the OAB-V8 scale. Presence of coping behavior was considered determinant for the clinical diagnosis of OAB. Individual well-being was determined through a battery of patient-reported outcomes (PRO) measurements including assessment of health-related quality of life (EQ-5D), sleep disturbances (MOS Sleep), and life satisfaction (LISAT-8). Patients were grouped according to the number of daily UUI episodes (UUI severity): 0 (dry OAB),1, 2-3, or ≥4. Multivariate analysis to evaluate factors independently affecting quality of life was undertaken. A total of 396 patients (52.5% women, mean age: 55.3 [11.1] years, OAB-V8 mean score: 14.5 [7.9]) out of 2035 subjects participating from the general population met the criteria for OAB: 203 (51.3%) with 0episodes, 119 (30.1%) with 1, 52 (13.1%) with 2 or 3, and 22 (5.6%) with ≥4 episodes. A statistically significant linear adjusted association was found between number of UUI episodes and PRO scores. Participants with more episodes had poorer health profiles and self-evaluated quality of life, worse life satisfaction, and more sleep disturbances and fewer hours of sleep per night. Number of incontinence episodes was independent factor to affect quality of life using both LISAT-8 and MOS questionnaires. Severity of UUI was significantly associated with poorer individual well-being in subjects with OAB in a community sample in Spain. Copyright © 2015 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. The Eurotransplant High-Urgency Heart Transplantation Program: an option for patients in acute heart failure?

    Science.gov (United States)

    Koch, A; Tochtermann, U; Remppis, A; Dengler, T J; Schnabel, P A; Hagl, S; Sack, F U

    2006-09-01

    The Eurotransplant High-Urgency (HU) Heart Transplantation Program allows urgent heart transplants to be carried out in rapidly deteriorating patients with acute-to-chronic heart failure on the elective waiting list. But do the results of HU heart transplantation justify performing primary heart transplantation in these critically ill patients and offer an acceptable outcome? Between 2000 and 2004, 64 heart transplantations (HTx) (32 elective and 32 HU-HTx) were performed in our department. After having been accepted in an auditing process based on HU criteria, intensive care patients in NYHA functional class IV (cardiac index 1.7 l/min/qm BS), in end-organ failure (creatinine 1.5 mg/dl), and with catecholamine dependence (dobutamine 8 microg/kg/min), are given priority with respect to organ allocation, and their data were compared to data from elective patients from the same period. HU requests were accepted in 97 % of cases. Two requests were not accepted, and both patients with contraindications for assist device implantation died within one week. The HU patients were 100 % in NYHA class IV, 93 % of the elective patients were in NYHA class III. Waiting time on the HU list was 13 days, and 7 of these patients died before HTx. Following heart transplantation, survival rates at 30 days and at one year of the HU group were 88 % and 85 % versus 94 % and 93 % in the elective group. This study shows that end-stage heart failure patients in the HU program can be transplanted primarily with good results if an organ is available in time. We are still in the position where the HU program only manages the organ shortage; there are still too many patients on the waiting list who die before receiving a donor organ.

  12. Aderência in vitro do Staphylococcus epidermidis e da Pseudomonas alcaligenes em lentes intra-oculares In vitro adherence of Staphylococcus epidermidis and Pseudomonas alcaligenes to intraocular lenses

    Directory of Open Access Journals (Sweden)

    Patrícia Ioschpe Gus

    2006-06-01

    Full Text Available OBJETIVO: Quantificar e comparar a aderência in vitro das bactérias Staphylococcus epidermidis e Pseudomonas alcaligenes em diferentes tipos de lentes intra-oculares (LIOs. MÉTODOS: Quatorze lentes intra-oculares foram usadas no experimento. Quatro de polimetilmetacrilato (PMMA, quatro de silicone, quatro de hidrogel e duas de acrílico. Oito lentes intra-oculares foram colocadas em oito tubos de ensaio contendo 4 ml de suspensão de Pseudomonas alcaligenes, e seis lentes intra-oculares foram colocadas em seis tubos de ensaio contendo 4 ml de suspensão de Staphylococcus epidermidis. A concentração do caldo utilizada para o teste de aderência foi de 10(8 unidades formadoras de colônias por mililitro (CFU/mL que corresponde a 0,5 na escala de McFarland. As lentes foram incubadas a 37° por duas horas. Após, foram removidas dos caldos e enxaguadas em água destilada estéril por duas vezes. As lentes foram cultivadas em placas de ágar-sangue a 35-37° e evaliadas a cada 24h por um período de 72h. Nas amostras que tiveram crescimento bacteriano, foram contadas as colônias utilizando os métodos convencionais de laboratório. Todos os ensaios foram executados em duplicata. RESULTADOS: A aderência do Staphylococcus epidermidis nas lentes de PMMA foi menor se comparada com as de silicone e de hidrogel. A aderência daPseudomonas alcaligenes nas lentes de hidrogel foi menor se comparada com as de silicone, PMMA e acrílico. CONCLUSÃO: Os resultados sugerem que a aderência do Staphylococcus epidermidis e da Pseudomonas alcaligenes nas lentes intra-oculares é influenciada pelo tipo de material da lente e pela espécie do microorganismo. A aderência bacteriana pode ter papel importante na patogenicidade da endoftalmite pós-cirurgia de catarata.PURPOSE: To quantify and compare the in vitro adherence of Staphylococcus epidermidis and Pseudomonas alcaligenes to different intraocular lenses (IOLs. METHODS: Fourteen intraocular lenses were

  13. Efeito do uso de lente escleral cosmética na sensibilidade tátil corneal em phthisis bulbi Effect of ocular prosthesis on cornea sensitivity in phthisis bulbi

    Directory of Open Access Journals (Sweden)

    Lucia Miriam Dumont Lucci

    2004-10-01

    Full Text Available OBJETIVOS: Comparar a sensibilidade tátil corneal entre olhos normais e aqueles com phthisis bulbi e avaliar as alterações provocadas na sensibilidade tátil corneal pelo uso de lente escleral cosmética em phthisis bulbi. MÉTODOS: Estudo prospectivo de 23 pacientes com phthisis bulbi unilateral. Foram realizadas medidas da sensibilidade tátil corneal em ambos os olhos utilizando-se o estesiômetro de Cochet-Bonnet antes e após 3 meses do uso da lente escleral cosmética. RESULTADOS: Em todos os pacientes, a medida da sensibilidade tátil corneal no olho com phthisis bulbi foi menor do que no contralateral (controle. Em 96% houve diminuição da sensibilidade tátil corneal após a adaptação da lente escleral cosmética. CONCLUSÃO: Após a adaptação da lente escleral cosmética, ocorre diminuição da sensibilidade tátil corneal nos olhos. A fisiopatologia é semelhante à encontrada nos usuários de lentes de contato.PURPOSE: To compare corneal sensitivity between normal eyes and those whith phthisis bulbi and also to analyze the alterations of corneal sensitivity in phthisis bulbi induced by wearing ocular prosthesis. METHODS: Prospective study of 23 patients with unilateral phthisis bulbi. Bilateral cornea sensitivity was evaluated using the Cochet-Bonnet esthesiometer before and after 3 months of wearing ocular prosthesis. RESULTS: In all patients, corneal sensitivity of the eye with phthisis bulbi was lower than that of the normal eye (control. In 96% there was decrease of corneal sensitivity after adaptation of ocular prosthesis. CONCLUSION: After wearing ocular prosthesis, there is a reduction in corneal sensitivity in phthisis bulbi. The pathophysiology seems to be the same as that found in contact lens wearers.

  14. Interactions between Internalizing Symptoms and Urgency in the Prediction of Alcohol Use and Expectancies among Low-Income, Minority Early Adolescents

    Directory of Open Access Journals (Sweden)

    Naomi R. Marmorstein

    2015-01-01

    Full Text Available This study examined whether urgency, a disposition to rash action under conditions of strong emotion, moderates associations between internalizing symptoms and alcohol use and related expectancies. Data from the Camden Youth Development Study, a longitudinal, community-based study of early adolescents ( N = 144, mean age at intake = 11.9 years; 65% Hispanic, 30% African-American; 50% male, were used. Self-report questionnaire measures of depressive symptoms, social and generalized anxiety symptoms, urgency, alcohol use, and alcohol expectancies were used. Mixed models were used to examine the effects of internalizing symptoms, urgency, and their interaction on alcohol use and expectancy trajectories over time. Depressive symptoms interacted with urgency such that youth with high levels of both tended to have elevated levels of global positive alcohol expectancies. Social anxiety symptoms interacted with urgency to be associated with increasing levels of social behavior alcohol expectancies such that youth with high levels of both tended to experience particular increases in these expectancies over time. Generalized anxiety was not found to be associated with alcohol-related constructs. Therefore, high levels of urgency combine with depressive and social anxiety symptoms to be associated with particularly increased risk for alcohol expectancies that are associated with later alcohol use and problems, indicating particular risk for youth with these combinations of personality traits and psychopathology symptoms.

  15. Early life stress predicts negative urgency through brooding, depending on 5-HTTLPR genotype: A pilot study with 6-month follow-up examining suicide ideation.

    Science.gov (United States)

    Valderrama, Jorge; Miranda, Regina

    2017-12-01

    The present study examined the interaction between early life stress and 5-HTT genotypes in predicting two risk factors for suicidal behavior - the brooding subtype of rumination and impulsivity, in the form of negative urgency - over time. Furthermore, we examined early life stress, brooding, and impulsivity as predictors of suicidal ideation over time. Participants with and without a history of early life stress were genotyped for the 5-HTTLPR polymorphism and completed assessments assessing brooding and negative urgency at baseline and 6-month follow up. Early life emotional abuse was associated with negative urgency at follow-up. We found an indirect effect of early life emotional abuse on negative urgency through brooding among individuals with 5-HTT low expressing genotypes but not among individuals with 5-HTT high expressing genotypes. Further, a logistic regression analysis revealed that negative urgency was associated with higher odds (O.R. = 16.2) of reporting suicide ideation (versus no ideation) at follow-up. Our findings suggest that brooding and negative urgency may result from the interaction between early life emotional abuse and 5-HTT low expressing genotypes. Further research is necessary to understand how early life stress interacts with 5-HTT genotypes to confer risk for suicidal behavior through psychological mechanisms. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. Does the Urinary Microbiome Play a Role in Urgency Urinary Incontinence and Its Severity?

    Science.gov (United States)

    Karstens, Lisa; Asquith, Mark; Davin, Sean; Stauffer, Patrick; Fair, Damien; Gregory, W. Thomas; Rosenbaum, James T.; McWeeney, Shannon K.; Nardos, Rahel

    2016-01-01

    Objectives: Traditionally, the urinary tract has been thought to be sterile in the absence of a clinically identifiable infection. However, recent evidence suggests that the urinary tract harbors a variety of bacterial species, known collectively as the urinary microbiome, even when clinical cultures are negative. Whether these bacteria promote urinary health or contribute to urinary tract disease remains unknown. Emerging evidence indicates that a shift in the urinary microbiome may play an important role in urgency urinary incontinence (UUI). The goal of this prospective pilot study was to determine how the urinary microbiome is different between women with and without UUI. We also sought to identify if characteristics of the urinary microbiome are associated with UUI severity. Methods: We collected urine from clinically well-characterized women with UUI (n = 10) and normal bladder function (n = 10) using a transurethral catheter to avoid bacterial contamination from external tissue. To characterize the resident microbial community, we amplified the bacterial 16S rRNA gene by PCR and performed sequencing using Illumina MiSeq. Sequences were processed using the workflow package QIIME. We identified bacteria that had differential relative abundance between UUI and controls using DESeq2 to fit generalized linear models based on the negative binomial distribution. We also identified relationships between the diversity of the urinary microbiome and severity of UUI symptoms with Pearson's correlation coefficient. Results: We successfully extracted and sequenced bacterial DNA from 95% of the urine samples and identified that there is a polymicrobial community in the female bladder in both healthy controls and women with UUI. We found the relative abundance of 14 bacteria significantly differed between control and UUI samples. Furthermore, we established that an increase in UUI symptom severity is associated with a decrease in microbial diversity in women with UUI

  17. Crianças usuárias de lente de contato nos serviços público e privado: análise comparativa Pediatric contact lens users in public and private services: comparative analysis

    Directory of Open Access Journals (Sweden)

    Daniela Araújo Toscano

    2009-04-01

    Full Text Available OBJETIVOS: Analisar as indicações, tipo, complicações do uso de lentes de contato e acuidade visual em crianças de serviços de Oftalmologia público e privado. MÉTODOS: Os dados dos prontuários de 59 crianças usuárias de lentes de contato em serviço privado (Hospital de Olhos de Pernambuco - Grupo 1, e 43 no serviço público (Fundação Altino Ventura - Grupo 2, foram analisados. A coleta de dados incluiu características sociodemográficas, idade da primeira consulta, indicação do uso da lente, tipo de lente, complicações e acuidade visual. RESULTADOS: As mais comuns indicações do uso de lente de contato no grupo 1 foram: ametropia (55,9%, anisometropia (18,6% e esotropia (16,9%. Neste grupo o leucoma e phthisis não estavam presentes. No grupo 2, as indicações mais comuns foram: anisometropia (23,2%, ametropia e leucoma (18,6% cada, e phthisis (16,3%. A esotropia não apareceu no grupo 2. O tipo de lente de contato mais prescrita foi a gelatinosa de uso permanente (não descartável no grupo 1 (45,8% e no grupo 2 (32,6%. A complicação mais encontrada no grupo 1 foi desconforto (33,3% e no grupo 2 perda da lente (60%. CONCLUSÕES: A indicação de ametropia predominou nos pacientes privados e as anisometropias nos públicos. O tipo de lente de contato mais prescrita nos dois grupos foi a gelatinosa de uso permanente. A complicação mais frequente no grupo 1 foi desconforto e no grupo 2 perda da lente. A acuidade visual na maioria dos pacientes manteve-se.PURPOSE: To analyze the indications, type and complications of contact lens use and visual acuity in children, in ophthalmological, public and private, services. METHODS: The information from the medical records of 59 contact lens users at a private service (Hospital de Olhos de Pernambuco - Recife - PE- Brazil - group 1, and 43 at public service (Fundação Altino Ventura - Recife - PE - Brazil - group 2, was analyzed. The collected data included: demographic information

  18. Espectrofotometria de lentes oftálmicas filtrantes coloridas sob radiação ultravioleta a e luz visível Spectrophotometry of ophthalmic filtering color lenses under ultraviolet radiation and visible light

    Directory of Open Access Journals (Sweden)

    Luís Felipe Fornaciari Ramos

    2003-06-01

    Full Text Available OBJETIVO: Determinar a transmitância das lentes oftálmicas filtrantes coloridas submetidas à radiação UV A e luz visível e comparar seus resultados na faixa de comprimento de onda compreendida entre 320 e 800 nanômetros (nm. MÉTODOS: Análise espectrofotométrica das lentes filtrantes amarela 1, laranja, verde e fumê da marca "Danny" e amarela 2 da marca "Rio de Janeiro", disponíveis em nosso meio, utilizando-se espectrofotômetro Modelo 6.400, marca JEM Way. RESULTADOS: Todas as lentes estudadas apresentaram padrões de transmitância bastante individualizados, com curvas variáveis para os diversos comprimentos de onda. Na faixa es- pectrofotométrica de 320 a 400 nm, todas as lentes apresentaram transmitância inferior a 4% sendo que a lente amarela 1 apresentou a maior média (3,7 % ao passo que a fumê apresentou a menor média 0,45%. Contudo não foi observado uma diferença estatisticamente significativa entre estas lentes; a lente amarela 2 mostrou melhor proteção em comparação à lente amarela 1 e a laranja. Na análise espectrofotométrica realizada em diferentes posições da mesma lente constatou-se diversidade na curva de variância, apesar de não demonstrar diferença estatisticamente significativa. CONCLUSÕES: Para se indicar um filtro com segurança, as propriedades espectrais do filtro devem ser determinadas pela análise espectrofotométrica. É mais importante a capacidade de filtrar radiações luminosas do que somente ser colorido ou não.PURPOSE: Determination of transmittance curves through spetrophotometric measurementes of color filtering lenses submitted to UVA and light visible radiation, and comparison of the results in the band between 320 and 800 nanometres (nm. METHODS: The filtering color of Danny yellow 1, orange, green and grey and Rio de Janeiro yellow 2 lenses have been analyzed using JEM Way model 6.400 spectrophotometer. RESULTS: All lenses showed distinct and variable transmittance in the

  19. Lente de contato de material híbrido em pacientes com ceratocone e astigmatismo miópico composto Hybrid material contact lens in keratoconus and myopic astigmatism patients

    Directory of Open Access Journals (Sweden)

    Fernando Leal

    2007-03-01

    Full Text Available OBJETIVOS: Avaliar o desempenho visual e o conforto de lentes de contato de material híbrido, quanto ao apresentado por pacientes portadores de ceratocone e astigmatismo miópico composto, e comparar com a lente de contato rígida-gás-permeável nos dois grupos de pacientes. MÉTODOS: Foram submetidos à adaptação com lentes de contato 22 pacientes, sendo 8 portadores de astigmatismo miópico composto e 14 com diagnóstico de ceratocone. Entre os pacientes, 7 eram do sexo masculino e 15 do feminino, com idade média de 32,13 anos ± 8,12. Cada paciente recebeu uma lente de contato de material híbrido e, no contralateral, uma lente rígida-gás-permeável. A escolha da lente a ser adaptada no olho direito ou esquerdo foi feita aleatoriamente, sendo o trabalho duplo-mascarado. Os pacientes foram submetidos aos seguintes exames: medida do conforto por meio da escala visual analógica, tempo de ruptura do filme lacrimal, acuidade visual pela escala de Bailey-Lovie adaptada para quatro metros, sensibilidade ao contraste pelo "functional acuity contrast test" e análise das aberrações oculares pela análise de frentes de onda. RESULTADOS: Com relação ao conforto não houve associação com o tipo de lente (p=0,350. Houve variação no conforto referido ao longo do tempo até 7 dias (p=0,001, estabilizando-se após este período. A medida da acuidade visual sofreu aumento entre a adaptação e a medida obtida aos 7 dias, bem como desta para a medida de 15 dias, estabilizando-se então. A acuidade visual não apresentou diferenças com relação ao tipo de lente estudada. Verificou-se que não houve diferença no tempo de ruptura do filme lacrimal (p=0,989 com relação aos tipos de lentes, porém houve diminuição deste (p=0,001 quando comparadas as medidas antes do início do uso das lentes e com dois meses de uso. Os tipos de lentes não revelaram associação com a sensibilidade ao contraste e não diferiram das medidas feitas com o uso de

  20. Additive manufacturing.

    Science.gov (United States)

    Mumith, A; Thomas, M; Shah, Z; Coathup, M; Blunn, G

    2018-04-01

    Increasing innovation in rapid prototyping (RP) and additive manufacturing (AM), also known as 3D printing, is bringing about major changes in translational surgical research. This review describes the current position in the use of additive manufacturing in orthopaedic surgery. Cite this article: Bone Joint J 2018;100-B:455-60.

  1. Food additives

    Science.gov (United States)

    ... GO About MedlinePlus Site Map FAQs Customer Support Health Topics Drugs & Supplements Videos & Tools Español You Are Here: Home → Medical Encyclopedia → Food additives URL of this page: //medlineplus.gov/ency/article/ ...

  2. Fission ionisation chamber for the measurement of low fluxes of slow neutrons; Chambre d'ionisation a fission pour la mesure des faibles flux de neutrons lents

    Energy Technology Data Exchange (ETDEWEB)

    Weill, J; Duchene, J P [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1958-07-01

    The ionisation chamber described is designed for the measurement of slow neutron fluxes of average or low intensity, in the presence, eventually, of very high gamma fluxes. The capture of a slow neutron by a fissile material, in this case {sup 235}U, gives rise to fission fragments, high-energy particles which ionise the gas contained in the chamber. The neutrons are detected by virtue of the potential pulses, on the collecting electrode of the chamber, deriving from the collection of the ions produced by the fission fragments. The pulses are counted by means of a measuring system consisting of a preamplifier, a 2 Mc amplifier, a discriminator and an electronic scale with numerator or integrator. The general characteristics are as follows: sensitivity to neutrons: 0.07 kicks/n/cm{sup 2}.s, sensitivity to {gamma} rays: zero up to 3.10{sup 4} R/H, a background noise at the normal discrimination voltage: 0.01 kicks/s, working H.T.: -500 V, capacity: 40 {mu}{mu}F, average height of pulse: 8 mV, limits of use: from several neutrons to 10{sup 6} n/cm{sup 2}.s. This chamber may be used in all cases where low fluxes of slow neutrons must be measured, especially in the presence of high gamma fluxes, for example in the checking of Pu concentrations in an extraction plant or for the starting up of reactors. (author) [French] La chambre d'ionisation decrite est destinee a la mesure des flux de neutrons lents d'intensite moyenne ou faible, en presence eventuelle de flux gamma tres importants. La capture d'un neutron lent par un materiau fissile, en l'occurrence {sup 235}U, donne naissance a des fragments de fission, particules de grande energie qui ionisent le gaz contenu dans la chambre. Les neutrons sont detectes grace aux impulsions de potentiel, sur l'electrode collectrice de la chambre, provenant de la collection des ions produits par les fragments de fission. Une chaine de mesure comprenant un preamplificateur, un amplificateur 2 Mc, un discriminateur, une echelle

  3. Pelvic Floor Physical Therapy as Primary Treatment of Pelvic Floor Disorders With Urinary Urgency and Frequency-Predominant Symptoms.

    Science.gov (United States)

    Adams, Sonia R; Dessie, Sybil G; Dodge, Laura E; Mckinney, Jessica L; Hacker, Michele R; Elkadry, Eman A

    2015-01-01

    To assess the efficacy of pelvic floor physical therapy (PFPT) as primary treatment of urinary urgency and frequency symptoms We conducted a prospective cohort study of women with urinary urgency and frequency symptoms. Participants underwent PFPT once or twice per week for 10 weeks. Symptom improvement was assessed by validated questionnaires (Pelvic Floor Distress Inventory-Short Form 20 and Patient Global Impression of Improvement), voiding diaries, and subjective measures. Fifty-seven participants enrolled; 21 (36.8%) withdrew or completed less than 5 weeks of PFPT. Thirty-one (54.4%) of the remaining 36 participants completed 10 weeks of PFPT. The mean age of the study group (n = 36) was 48.9 ± 15.0 years. The primary diagnoses were overactive bladder syndrome (n = 24, 66.7%) and painful bladder syndrome (n = 12, 33.3%). Women attended a median of 14.0 (interquartile range [IQR], 8.0-16.0) PFPT visits over a median of 11.9 weeks (IQR, 10.0-18.1). At baseline, the median Pelvic Floor Distress Inventory-Short Form 20 score was 79.2 (IQR, 53.1-122.9), and decreased to 50.0 (IQR, 25.0-88.5; P therapies. The high dropout rates suggest that motivation or logistic factors may play a significant role in the utilization and success of this treatment option.

  4. Experiments on the thermalization of slow neutrons by liquid hydrogen (1962); Experience de thermalisation de neutrons lents par de l'hydrogene liquide (1962)

    Energy Technology Data Exchange (ETDEWEB)

    Cribier, D; Jacrot, B; Lacaze, A; Roubeau, P [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires; Institut Fourier, 38 - Grenoble (France)

    1962-07-01

    In order to increase the flux of neutrons of long wave-length ({lambda} > 4 A) emerging from a channel in the EL-3, a liquid hydrogen device was introduced into a channel of the reactor (Channel H{sub 1}). The principle of the device is simple. A volume of liquid hydrogen is introduced as close as possible to the reactor core into a region of intense isotropic flux. This hydrogen slows down the slow neutrons; because of the very small mean free diffusion path of slow in hydrogen, this slowing down is considerable even in a small volume of liquid hydrogen, and the spectrum temperature of neutrons emerging from the volume of liquid hydrogen can therefore be shifted. The intensity gain for neutrons with a wave length {lambda}, is a G ({lambda}) function which, for perfect thermalization and ignoring capture, is expressed by: G ({lambda}) = 225 exp (- 45.3/{lambda}{sup 2}), assuming a temperature of 300 deg. K for the neutrons before cooling and is 20 deg. K after cooling. For a wave-length of 5 A, the theoretical maximum gain of thus about 37. (authors) [French] Dans le but d'accroitre le flux des neutrons de grande longueur d'onde ({lambda} > 4 A) sortant d'un canal de la pile EL-3, un dispositif a hydrogene liquide a ete introduit dans un canal de la pile (canal H{sub 1}). Le principe du dispositif est simple. Un volume d'hydrogene liquide est introduit le plus pres possible du coeur de ia pile dans une region de flux intense et isotrope. Les neutrons lents sont ralentis par cet hydrogene; a cause du tres faible libre parcours moyen de diffusion des neutrons lents dans l'hydrogene, ce ralentissement est important meme dans un faible volume d'hydrogene liquide et l'on peut ainsi deplacer la temperature du spectre des neutrons sortant du volume d'hydrogene liquide. Le gain en intensite des neutrons de longueur d'onde {lambda} est une fonction G ({lambda}) qui pour une thermalisation parfaite et en negligeant la capture, s'exprime par: G ({lambda}) = 225 exp (- 45

  5. Confirmação do cálculo de lente intraocular através da refração intraoperatória

    Directory of Open Access Journals (Sweden)

    Ana Luiza Biancardi

    2011-04-01

    Full Text Available Este relato descreve a utilização do método refracional intraoperatório para confirmação do cálculo da lente intraocular (LIO. Paciente de 67 anos com acuidade visual (AV igual a 20/60 no olho esquerdo (OE com correção igual a -21,50 esf -400 cil a 170 devido à LIO de silicone 3 peças impregnada por óleo de silicone. Foi indicada a troca da LIO, porém as medidas biométricas pré-operatórias eram variáveis e não confiáveis. Foi realizado o cálculo intraoperatório e o paciente foi submetido à troca da LIO impregnada por uma LIO acrílica 3 peças. O paciente atingiu AV no OE igual a 20/30 com correção igual a -125 esf -1,25 cil a 180. A análise da LIO explantada confirmou a impregnação por óleo de silicone. O cálculo refracional intraoperatório é muito importante para confirmação do valor da LIO.

  6. Desempenho visual de lentes de contato gelatinosas de diferentes tipos baseado na análise de frentes de onda Optical performance of different soft contact lenses based on wavefront analysis

    Directory of Open Access Journals (Sweden)

    Roberta Fagnani Gatti

    2008-12-01

    Full Text Available OBJETIVOS: Avaliar e comparar o desempenho visual, por meio da análise de frentes de onda, de seis diferentes tipos de lentes de contato gelatinosas [Cooperflex® (Coopervision, Frequency® 55 Aspheric (Coopervision, World Vision FW® (World Vision, Pure Vision® (Bausch & Lomb, Focus® Monthly (Ciba Vision, Focus® Choice AB (Ciba Vision]. MÉTODOS: Realizou-se estudo prospectivo em amostra constituída por 130 olhos de 71 indivíduos portadores de miopia ou hipermetropia até 6,00D e astigmatismo até 1,50D, com acuidade visual corrigida com óculos igual ou superior a 20/20. Os sujeitos foram inicialmente submetidos ao exame clínico oftalmológico e posteriormente, ao exame de análise de frentes de onda com o aberrômetro LADARWave® (Alcon, em duas condições: sem correção óptica e em uso de um dos tipos de lente de contato incluídos no estudo, com grau correspondente ao equivalente esférico do paciente e corrigido pela distância vértice. Para análise de resultados os indivíduos foram divididos em seis grupos similares, sendo testado em cada grupo um dos tipos de lente incluídos no estudo. RESULTADOS: Mudanças nos valores das aberrações de alta ordem foram verificadas durante uso das lentes de contato. De 130 olhos estudados, 78 apresentaram aumento no valor de RMS total durante o uso da lente. Os seis tipos de lente estudados demonstraram tendência ao aumento no valor médio de RMS total durante seu uso, sem diferença estatisticamente significante entre as mesmas. O estudo demonstrou tendência ao aumento no valor médio das aberrações tipo "coma" durante o uso das lentes. As lentes Frequency® Aspheric e Cooperflex® apresentaram melhor desempenho visual em relação ao "coma". O estudo demonstrou tendência à diminuição no valor médio das aberrações esféricas durante o uso das lentes, sendo esta tendência maior nos pacientes míopes em relação aos hipermétropes. Foi demonstrado tendência ao aumento no

  7. Complicación poco frecuente del uso de lentes de contacto duros: Presentación de 1 caso Rare complications of the use of hard contact lens: A case report

    Directory of Open Access Journals (Sweden)

    Elizabeth Escalona Leyva

    2003-12-01

    Full Text Available Se presentó una rara complicación con el uso de lentes de contacto duros en una paciente femenina de 45 años de edad, con antecedentes de 15 años de uso que acudió a la consulta por pérdida de sus lentes de contacto de 15 días de evolución. Se detectó aumento de volumen, doloroso en el párpado superior izquierdo donde se encontró en su eversión el lente "sembrado" en el tarso con granuloma que lo envuelve. Se presentan los hallazgos clínicos y la evolución.A rare complication of the use of hard contact lenses. A case report A rare complication with the use of hard contact lenses was observed in a 45-year-old female patient who had worn them during 15 years and visited the physician's office 15 days after losing her contact lenses. It was observed increase of volume, painful in the left upper eyelid, where it was found in its eversion the lens "planted" in the tarsus with a granuloma covering it. The clinical findings and evolution are presented.

  8. Emotionally Up and Down, Behaviorally To and Fro: Drinking Motives Mediate the Synergistic Effects of Urgency and Emotional Instability on Alcohol Outcomes.

    Science.gov (United States)

    Dvorak, Robert D; Kuvaas, Nicholas J; Lamis, Dorian A; Pearson, Matthew R; Stevenson, Brittany L

    2015-01-01

    Emotional and behavioral regulation has been linked to coping and enhancement motives and associated with different patterns of alcohol use and problems. The current studies examined emotional instability, urgency, and internal drinking motives as predictors of alcohol dependence symptoms as well as the likelihood and severity of Diagnostic and Statistical Manual of Mental Disorders-5th editionAlcohol Use Disorder (AUD). In Study 1, college drinkers (n = 621) completed alcohol involvement and behavioral/emotional functioning assessments. There was an indirect association between emotional instability and dependence symptoms via both coping and enhancement drinking motives which was potentiated by trait urgency. In Study 2, college drinkers (n = 510) completed alcohol involvement, behavioral/emotional functioning, and AUD criteria assessments. A significant indirect effect from emotional instability to the likelihood of meeting AUD criteria, via drinking to cope was found, again potentiated by urgency. © The Author(s) 2016.

  9. Essential role of transient receptor potential M8 (TRPM8) in a model of acute cold-induced urinary urgency.

    Science.gov (United States)

    Uvin, Pieter; Franken, Jan; Pinto, Silvia; Rietjens, Roma; Grammet, Luc; Deruyver, Yves; Alpizar, Yeranddy A; Talavera, Karel; Vennekens, Rudi; Everaerts, Wouter; De Ridder, Dirk; Voets, Thomas

    2015-10-01

    Acute exposure of part of the skin to cold stimuli can evoke urinary urgency, a phenomenon termed acute cold-induced urgency (ACIU). Despite its high prevalence, particularly in patients with overactive bladder, little is known about the mechanisms that induce ACIU. To develop an animal model of ACIU and test the involvement of cold-activated ion channels transient receptor potential (TRP) M8 and TRPA1. Intravesical pressure and micturition were monitored in female mice (wild-type C57BL/6J, Trpa1(-/-), Trpm8(+/+), and Trpm8(-/-)) and Sprague Dawley rats. An intravesical catheter was implanted. Localized cooling of the skin was achieved using a stream of air or topical acetone. The TRPM8 antagonist (N-(3-aminopropyl)-2-{[(3-methylphenyl) methyl]oxy}-N-(2-thienylmethyl)benzamide (AMTB) or vehicle was injected intraperitoneally. Frequencies of bladder contractions and voids in response to sensory stimuli were compared using the Mann-Whitney or Kruskal-Wallis test. Brief, innocuously cold stimuli applied to different parts of the skin evoked rapid bladder contractions and voids in anesthetized mice and rats. These responses were strongly attenuated in Trpm8(-/-) mice and in rats treated with AMTB. As rodent bladder physiology differs from that of humans, it is difficult to directly extrapolate our findings to human patients. Our findings indicate that ACIU is an evolutionarily conserved reflex rather than subconscious conditioning, and provide a useful in vivo model for further investigation of the underlying mechanisms. Pharmacological inhibition of TRPM8 may be useful for treating ACIU symptoms in patients. Brief cold stimuli applied to the skin can evoke a sudden desire to urinate, which can be highly bothersome in patients with overactive bladder. We developed an animal model to study this phenomenon, and found that it depends on a specific molecular cold sensor, transient receptor potential M8 (TRPM8). Pharmacological inhibition of TRPM8 may alleviate acute cold

  10. Ideaciones y comportamientos suicidas en adolescentes: una urgencia social Adolescent suicidal behaviors and ideations: a social urgency

    Directory of Open Access Journals (Sweden)

    María Martina Casullo

    2005-12-01

    Full Text Available El artículo analiza investigaciones realizadas sobre el tema SUICIDIO en un intento de poder constatar y destacar que la identificación y orientación psicológica de los sujetos adolescentes en riesgo suicida es una urgencia social y como tal debe ser estudiada. En base a las investigaciones que se concreten se deberán proponer acciones preventivas eficientes y oportunas.The article analyzes studies carried out on Suicide in order to verify and to point out that identification and psychological orientation of adolescents at risk is currently a social urgency, and as such it has to be investigated. Efficient and opportune preventive actions have to be proposed based on those researches.

  11. Le séisme de Pisco du 15 août 2007 : entre urgence et reconstruction

    Directory of Open Access Journals (Sweden)

    Hugo Perfettini

    2007-12-01

    Full Text Available Plus de trois mois ont passé depuis le séisme qui, sur la côte péruvienne, à 200 km au sud de Lima, a tué plus de 500 personnes. Le nombre de victimes est faible au regard des dégâts matériels enregistrés mais le nombre de sinistrés est très élevé. Alors que l’événement est presque oublié à l’échelle internationale, plusieurs dizaines de milliers de personnes vivent toujours dans des conditions précaires dans les abris provisoires fournis par les secours d’urgence, en attendant que ne s’engage le processus de reconstruction. Dans ce contexte, l’objectif de cet article est de procéder à un premier bilan des caractéristiques du séisme, de ses effets différentiels, de la gestion de la crise et de la situation actuelle qui oscille entre urgence et reconstruction.More than three months have passed since the earthquake, on the Peruvian coast, 200 km south of Lima, killed more than 500 people. The number of casualties is small in comparison with the damage recorded, but the number of homeless people is very high. While the event is almost forgotten at the international level, tens of thousands of people are still living in precarious conditions in the temporary shelters provided by the emergency, until begins the reconstruction process. In this context, the objective of this article is to make an initial assessment of the characteristics of the earthquake and its effects, the management of the crisis and the current situation that oscillates between relief and reconstruction.

  12. Perfil dos alunos usuários de lentes de contato do curso de Medicina da Universidade Estadual Paulista - UNESP - Botucatu Profile of medical students from the Universidade Estadual Paulista - UNESP - Botucatu, who wear contact lenses

    Directory of Open Access Journals (Sweden)

    Vanessa Gonçalves Vidotti

    2006-04-01

    Full Text Available OBJETIVO: Analisar o perfil dos usuários de lentes de contato entre os estudantes de medicina da Faculdade de Medicina de Botucatu da Universidade Estadual Paulista - UNESP - Botucatu (SP, quanto à ametropia, à aquisição, aos cuidados e às complicações. MÉTODOS: Foi aplicado um questionário aos alunos do 1º ao 6º ano de Medicina da Faculdade de Medicina de Botucatu da Universidade Estadual Paulista - UNESP - Botucatu (SP, perfazendo um estudo analítico transversal. RESULTADOS: Foram 566 entrevistados. Destes, 155 (27,4% usavam lente de contato. Das lentes de contato usadas, 94,8% eram gelatinosas, e em 98,7% o grau era negativo. O descarte dessas lentes era mensal em 46,9% dos entrevistados e 63,9% a utilizavam, em média, 14 horas/dia. Faziam aquisição da lente de contato em óptica ou farmácia 14,1% dos estudantes. Faziam a higiene ao colocá-las e ao retirá-las dos olhos, 46,5%. As complicações referentes aos olhos vermelhos eram 51,0%; 44,5%, embaçamento; e 42,6%, sensação de corpo estranho, além de 4 estudantes relatarem "ceratite". CONCLUSÕES: A maioria dos alunos utilizava lentes hidrofílicas, descarte mensal e grau negativo. A adaptação inadequada, aquisição de lentes de contato em ópticas ou farmácias e complicações graves ocorreram, mesmo nos usuários socioculturalmente considerados diferenciados. Em vista disso, demanda a extrema necessidade de maior atenção na abordagem do tema em questão, a fim de prevenir o comprometimento visual permanente.PURPOSE: To analyze the ametropy, way of acquisition, the care and complications related to contact lens wear among medical students from Faculdade de Medicina de Botucatu da Universidade Estadual Paulista - UNESP - Botucatu (SP. METHODS: Questionnaire applied to students from the 1st to the 6th year of the Medical school of the Faculdade de Medicina de Botucatu da Universidade Estadual Paulista - UNESP - Botucatu (SP, forming an analytical cross

  13. Desempenho visual na correção de miopia com óculos e lentes de contato gelatinosas Visual performance in myopic correction with spectacles and soft contact lenses

    Directory of Open Access Journals (Sweden)

    Breno Barth

    2008-02-01

    Full Text Available OBJETIVOS: Avaliar o desempenho visual, por meio da acuidade visual LogMAR de alto contraste, sensibilidade ao contraste e análise de frentes de onda de indivíduos portadores de miopia com ou sem astigmatismo, corrigidos com óculos e com três diferentes lentes de contato gelatinosas [Acuvue® 2 (Vistacon J&J Vision Care Inc., EUA, Biomedics® 55 (Ocular Science, EUA e Focus® 1-2 week (Ciba Vision Corporation, EUA]. MÉTODOS: Estudo clínico e prospectivo com intervenção em amostra constituída por quarenta indivíduos portadores de miopia entre -1,00 D e -4,50 D, sem ou com astigmatismo até -0,75 D. RESULTADOS: A sobrerefração objetiva realizada pelo aberrômetro Zywave detectou diferença significativa entre as lentes de contato gelatinosas Acuvue® 2 e Biomedics® 55, em relação aos componentes refrativos esfera e equivalente esférico, que se mostraram hipercorrigidos em relação às lentes de contato gelatinosas Focus® 1-2 week. A acuidade visual LogMAR e sensibilidade ao contraste não detectaram diferenças no desempenho visual com os óculos e com as três lentes de contato gelatinosas. A análise de frentes de onda detectou diferença significativa na aberração de terceira ordem sem e com as lentes de contato gelatinosas, com melhor desempenho visual com as lentes de contato gelatinosas Acuvue® 2 e Biomedics® 55. CONCLUSÕES: A análise de frentes de onda detectou diferenças no desempenho visual com óculos e com as lentes de contato gelatinosas, sendo, portanto, uma medida mais sensível da função visual que a acuidade visual LogMAR de alto contraste e a sensibilidade ao contraste. O modelo de avaliação de desempenho visual com análise de frentes de onda utilizado nesta investigação serve de modelo para pesquisas semelhantes.PURPOSE: To evaluate the visual performance by high contrast visual acuity, contrast sensitivity and wavefront in myopic patients with or without astigmatism corrected with spectacles and

  14. Aderência bacteriana in vitro a lentes intra-oculares de polimetilmetacrilato e de silicone In vitro bacterial adherence to silicone and polymetylmethacrylate intraocular lenses

    Directory of Open Access Journals (Sweden)

    Claudete Inês Locatelli

    2004-04-01

    Full Text Available OBJETIVOS: Verificar a aderência bacteriana a lentes intra-oculares de silicone e de polimetilmetacrilato como possível fator de risco no desenvolvimento de endoftalmite pós-operatória, utilizando-se um modelo in vitro com três microrganismos potencialmente patogênicos. MÉTODOS: As análises foram realizadas com cepas de Staphylococcus aureus ATCC 29213, Staphylococcus epidermidis (amostra clínica e Pseudomonas aeruginosa ATCC 27853 incluindo a determinação de curvas de crescimento, testes para verificação de produção de cápsula, avaliação da hidrofobicidade, testes de aderência a diferentes materiais, microscopia óptica, microscopia eletrônica de varredura e microscopia de força atômica. RESULTADOS: A produção de cápsula e a aderência das três diferentes cepas não mostraram qualquer relação com a quantidade de microrganismos; em relação às lentes intra-oculares de polimetilmetacrilato e de silicone, não houve diferença estatisticamente significativa na aderência de S. aureus e S. epidermidis; P. aeruginosa foi o microrganismo mais aderente a ambos os materiais. A microscopia eletrônica de varredura confirmou estes achados em relação à aderência, ao peso que a microscopia de força atômica evidenciou a produção de biofilme pelas cepas de S. aureus, S. epidermidis e P. aeruginosa. CONCLUSÕES: Constatou-se, in vitro, que os materiais analisados não diferiram com relação à taxa de aderência bacteriana, porém, P. aeruginosa apresentou maior eficiência de adesão entre as bactérias testadas. Todas as cepas produziram biofilme. Silicone foi o material mais hidrofóbico, quando comparado ao polimetilmetacrilato.PURPOSE: To evaluate bacterial adherence to silicone and polymetylmethacrylate (PMMA intraocular lenses as a risk factor for postsurgery endophthalmitis by using an in vitro model with three potentially pathogenic microorganisms. METHODS: In vitro experiments were carried out with the

  15. Negative affect, negative urgency, thought suppression, and bulimic symptoms: a moderated mediation analysis in a sample at-risk for bulimic symptoms.

    Science.gov (United States)

    Lavender, Jason M; Green, Daniel; Anestis, Michael D; Tull, Matthew T; Gratz, Kim L

    2015-05-01

    Research suggests that negative affect, negative urgency, and thought suppression are related to bulimic symptoms, either directly or indirectly. This study examined associations between these constructs in a sample at-risk for bulimic symptoms. Participants (N = 80) recruited from a residential substance abuse treatment facility completed self-report questionnaires. A regression-based bootstrapping approach was used to examine the indirect effect of negative affect on bulimic symptoms through negative urgency and the moderating role of thought suppression in the association between negative affect and negative urgency. Results revealed a significant indirect effect, significant moderation, and a significant moderated mediation effect, with an indirect effect of negative affect on bulimic symptoms through negative urgency, conditional upon low to moderate (but not high) levels of thought suppression. These findings suggest that negative affect may promote rash actions, particularly in the context of low to moderate thought suppression, leading to increased risk of bulimic symptoms. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

  16. Investigating the Mediational Role of Negative Urgency in the Anxiety Sensitivity Pathway to Cannabis Problems and Dependence Symptoms among Postsecondary Students

    Science.gov (United States)

    Keough, Matthew T.; Hendershot, Christian S.; Wardell, Jeffrey D.; Bagby, R. Michael

    2018-01-01

    Objectives: Anxiety sensitivity (AS) is associated with cannabis use. People high in AS may use cannabis to cope with elevated anxiety. This association is consistently supported in the literature. However, we have much to learn about the mechanisms of the AS pathway to cannabis use. We aimed to examine negative urgency--the tendency to act…

  17. Emotionally Up and Down, Behaviorally to and fro: Drinking Motives Mediate the Synergistic Effects of Urgency and Emotional Instability on Alcohol Outcomes

    Science.gov (United States)

    Dvorak, Robert D.; Kuvaas, Nicholas J.; Lamis, Dorian A.; Pearson, Matthew R.; Stevenson, Brittany L.

    2015-01-01

    Emotional and behavioral regulation has been linked to coping and enhancement motives and associated with different patterns of alcohol use and problems. The current studies examined emotional instability, urgency, and internal drinking motives as predictors of alcohol dependence symptoms as well as the likelihood and severity of "Diagnostic…

  18. Specific Changes in Brain Activity During Urgency in Women with Overactive Bladder after Successful Sacral Neuromodulation: An fMRI Study.

    Science.gov (United States)

    Weissbart, Steven J; Bhavsar, Rupal; Rao, Hengyi; Wein, Alan J; Detre, John A; Arya, Lily A; Smith, Ariana L

    2018-04-06

    The mechanism of sacral neuromodulation is poorly understood. We compared brain activity during urgency before and after sacral neuromodulation in women with overactive bladder and according to response to treatment. Women with refractory overactive bladder who elected for sacral neuromodulation were invited to undergo a functional magnetic resonance imaging exam before and after treatment. During the imaging exams, the bladder was filled until urgency was experienced. Regions of interest were identified a priori, and brain activity in these regions of interest was compared before and after treatment as well as according to treatment response. A whole brain exploratory analysis with an uncorrected voxel level threshold of pbrain regions that changed after sacral neuromodulation. Among 12 women who underwent a pretreatment functional magnetic resonance imaging exam, seven were successfully treated with sacral neuromodulation and underwent a posttreatment exam. After sacral neuromodulation, brain activity decreased in the left anterior cingulate cortex, bilateral insula, left dorsolateral prefrontal cortex and bilateral orbitofrontal cortex (all pbrain regions with increased activity after sacral neuromodulation. Pretreatment brain activity levels in the bilateral anterior cingulate cortex, right insula, bilateral dorsolateral prefrontal cortex, right orbitofrontal cortex, right supplementary motor area, and right sensorimotor cortex were higher in women who underwent successful treatment (all pBrain activity during urgency changes after successful sacral neuromodulation. Sacral neuromodulation may be more effective in women with higher levels of pretreatment brain activity during urgency. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  19. Politics and application guide of urgency measures and administrative sanctions of the CNSNS; Politica y guia de aplicacion de medidas de apremio y sanciones administrativas de la CNSNS

    Energy Technology Data Exchange (ETDEWEB)

    Espinosa V, J.M.; Cruz R, L.A.; EsquiveI T, J.L.; Nunez C, A. [CNSNS, 03020 Mexico D.F. (Mexico)]. e-mail: jmespinosa@cnsns.gob.mx

    2007-07-01

    In use of their attributions, granted by the Regulation Law of the 27 Constitutional Article in Nuclear Matter, the National Commission of Nuclear Safety and Safeguards (CNSNS) it has taken charge to the authors the Politics' s elaboration and Guide of Application of Urgency measures and Administrative Sanctions (PGAMASA) with the double objective of discouraging the licensees, contractors and employees of incurring in nonfulfillment or violations to the regulator mark and of encouraging them to be attentive to the prompt identification and the immediate and appropriate correction of the violations and nonfulfillment. The present article presents the legal mark that confers the CNSNS the attributions to implant a PGAMASA and it exposes the more important elements that conform it. The urgency measures and administrative sanctions are defined, the approaches to determine the level of graveness of a violation or nonfulfillment and it is related the application process of urgency measures and administrative sanctions are presented. Like this among the urgency measures they stand out figures like the Notifications of Violation and the Regulatory Orders by their versatility and use potentiality. The PGAMASA has a basically dissuasive character and its last purpose it is to strengthen the actions that the CNSNS carries out in the fulfillment of its functions to maintain the safety standards in the operation of the nuclear facilities. (Author)

  20. Intended Sensitive and Harsh Caregiving Responses to Infant Crying: The Role of Cry Pitch and Perceived Urgency in an Adult Twin Sample

    Science.gov (United States)

    Out, Dorothee; Pieper, Suzanne; Bakermans-Kranenburg, Marian J.; Zeskind, Philip Sanford; van IJzendoorn, Marinus H.

    2010-01-01

    Objective: To examine the underlying mechanisms of adults' intended caregiving responses to cry sounds in a behavioral genetic design and to investigate the role of cry pitch and perceived urgency in sensitive and harsh caregiving responses. Methods: The sample consisted of 184 adult twin pairs (18-69 years), including males and females, parents…

  1. Factors associated with variation in urgency of primary out-of-hours contacts in the Netherlands: a cross-sectional study.

    NARCIS (Netherlands)

    Zwaanswijk, M.; Nielen, M.M.J.; Hek, K.; Verheij, R.A.

    2015-01-01

    Objectives: Dutch primary out-of-hours care is provided by general practice cooperatives (GPCs). Although most GPCs use the same standardised triage system, differences between GPCs exist in the urgency assigned to patients’ health problems. This crosssectional study aims to provide insight into

  2. Lente fácica de câmara posterior para correção da miopia Posterior chamber phakic lens for the correction of myopia

    Directory of Open Access Journals (Sweden)

    Ricardo Queiroz Guimarães

    2001-02-01

    Full Text Available Objetivo: Avaliar a eficácia, previsibilidade e segurança do implante de lente intra-ocular de câmara posterior em pacientes com miopia moderada e elevada. Métodos: Analisamos os resultados das cirurgias realizadas em 93 olhos de 54 pacientes para implante de lente fácica de câmara posterior com a finalidade de corrigir miopia moderada e elevada. O objetivo da cirurgia era a emetropia. O acompanhamento médio foi de 9 meses, variando de 1 a 38 meses (desvio padrão 10,45. Resultados: O equivalente esférico médio pré-operatório era -13,56 D (variando de -5,75 a -20,38 D e o equivalente esférico médio pós-operatório no último exame foi -0,92 D (variando de -3,88 a +1,00 D. No último exame, 39 olhos (41,9% se encontravam entre ±0,50 D da emetropia, 64 olhos (68,8% estavam entre ±1,00 D e 88 olhos (94,6% estavam entre ±2,00 D da emetropia. Um ganho de duas ou mais linhas de visão foi observado em 45,17% (42 olhos. Em 15 olhos (16,1% ocorreu algum tipo de complicação: em 2 olhos (2,2% houve perda de células endoteliais, em 2 olhos (2,2% ocorreu bloqueio pupilar e em 11 olhos (11,8% houve alterações de transparência lenticular, assintomática em 5 olhos (5,4% e sintomática em 6 olhos (6,5%. Conclusão: O implante de lente fácica de câmara posterior para correção de miopia moderada e alta é um método eficaz, previsível e seguro. O significativo ganho de linhas de visão é uma observação freqüente nesta técnica. Um acompanhamento pós-operatório mais prolongado em um maior número de pacientes é necessário para confirmar a estabilidade dos resultados a longo prazo.Purpose: To examine the efficacy, predictability and safety of posterior chamber phakic intraocular lens implantation in patients with moderate and high myopia. Methods: We analyzed the results of 93 eyes of 54 patients who were submitted to the implantation of a posterior chamber phakic lens for the correction of their myopia. The target postoperative

  3. Prevalence of storage lower urinary tract symptoms in male patients attending Spanish urology office. Urinary urgency as predictor of quality of life.

    Science.gov (United States)

    Cambronero Santos, J; Errando Smet, C

    2016-12-01

    The study sought to determine the symptomatic profile of men with lower urinary tract symptoms (LUTS) who visited a urology clinic in Spain and its impact on their health-related quality of life (HRQL). A national, epidemiological cross-sectional study was conducted and included 291 urology clinics. The prevalence of storage LUTS was investigated in 25,482 men. The study collected sociodemographic and clinical data from a subgroup of 1015 patients with storage LUTS who filled out the International Prostate Symptom Score (IPSS), Overactive Bladder Questionnaire Short Form (OABq-SF) and Patient Perception of Bladder Condition (PPBC) questionnaires. The impact of urinary urgency on HRQL was analysed. The prevalence of storage LUTS was 41%, increasing with age: 14.1%, 41.5% and 60.8% for patients aged 18-49, 50-64 and ≥65 years, respectively. Of the 1015 selected patients, only 2.6% had storage symptoms exclusively. Symptom severity (IPSS) increased with age. Nocturia, frequency and urgency were the most common symptoms and had the most impact on HRQL (IPSS and OABq-SF). The number of urgency episodes was inversely correlated with the HRQL (r=-.773; P<.0001). In the multivariate analysis, only the IPSS and OABq-SF bother scores were significant predictors of HRQL (P<.001). Storage LUTS are highly prevalent among patients attending urology clinics in Spain. The severity of the urgency (number of urgency episodes) predicted a poorer quality of life for the patient. Copyright © 2016 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  4. Efeito do filtro de ultravioleta em lentes de contato hidrofílicas de alta hidratação Ultraviolet filter effect on hydrophilic high hydrated contact lenses

    Directory of Open Access Journals (Sweden)

    Arlindo José Freire Portes

    2008-06-01

    Full Text Available A exposição à radiação ultravioleta está relacionada ao aparecimento de patologias oculares como ceratites, cataratas, degenerações maculares ou pterígio. Esta radiação está dividida em 3 tipos de acordo com o seu comprimento de onda: Uv-A (320-400nm, Uv-B (290-320nm e Uv-C (100-290nm. A indústria óptica desenvolveu filtros de ultravioleta para lentes intra-oculares, lentes de contato e lentes de óculos. OBJETIVO: Avaliar a eficácia do filtro de ultravioleta em lentes de contato de alta hidratação. MÉTODOS: Seis grupos de lentes de contato de alta hidratação e de marcas diferentes, contendo 3 unidades novas e iguais foram estudadas, observando-se o percentual de transmissão da energia luminosa de 200 a 400 nm através de um espectofotômetro. RESULTADOS: Os 3 grupos que apresentavam filtro de ultravioleta causaram uma queda abrupta na transmissão da radiação ultravioleta de 400 nm até 340 nm, ocorrendo um aumento na transmissão entre 240 a 300 nm até um nível máximo de 45%. Abaixo de 240 nm e entre 300 e 340 nm, houve um completo bloqueio da transmissão da radiação ultravioleta. Os 3 grupos que não apresentavam filtros de ultravioleta causaram uma queda abrupta na transmissão da radiação ultravioleta abaixo de 240 nm, ocorrendo um bloqueio completo de transmissão abaixo de 220 nm. CONCLUSÃO: As lentes de contato sem filtro Uv testadas não bloquearam com eficácia a radiação Uv-A, B ou C, e as com filtro bloquearam quase totalmente a radiação Uv-B e parcialmente a radiação Uv-A e Uv-C.The exposure to ultraviolet radiation is associated with the beginning of ocular pathologies like keratites, cataract, age-related macular degeneration and pterygium. This radiation is divided in 3 bands according to the wave length: Uv-A (320-400, Uv-B (290-320, Uv-C (100-290. The optic industry developed ultraviolet filters to intraocular lenses, contact lenses and spectacle lenses. PURPOSE: The issue of this work is

  5. Avaliação da composição molecular da cápsula anterior da lente de cães idosos com catarata de alto risco

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    Ana Paula Hvenegaard

    Full Text Available Resumo: Atualmente, a cápsula anterior e o epitélio da lente tem sido cada vez mais estudados, com o intuito de reduzir as possíveis complicações do pós-operatório da remoção da catarata, tal como a opacidade da cápsula posterior, alteração ocasionada principalmente pela diferenciação e migração das células do epitélio lenticular para a cápsula posterior da lente. O objetivo deste estudo foi analisar a composição molecular da cápsula anterior da lente pela técnica histoquímica de PAS (avaliação de proteoglicanos e picrosirius red (avaliação de colágeno IV, em cães idosos com catarata diabética e não diabética do tipo hipermadura, submetidos ao uso ou não de azul de tripano a 0,1 % durante a facoemulsificação. Vinte e sete cães foram estudados, incluindo 21 fêmeas e 6 machos, de 8 a 12 anos de idade (média = 9,6 anos, de diversas raças e divididos em 2 grupos: GC (catarata hipermadura e GCD (catarata diabética. Os resultados das análises realizadas mostraram que ambas as amostras, tanto as provenientes das cataratas hipermaduras, quanto das diabéticas, apresentam semelhante composição molecular de proteoglicanos e colágeno IV e isto independente da utilização de azul de tripano a 0,1 %. Conclui-se, portanto, que se os resultados obtidos forem decorrentes de alterações provocadas pelo rápido metabolismo da catarata diabética e pela cronicidade da catarata hipermadura sugere-se que o comprometimento da estrutura capsular seja de intensidade equivalente e, por consequência, que isto também possa prejudicar o metabolismo das células do epitélio anterior da lente, diminuindo assim a incidência da opacidade da cápsula posterior de cães com catarata diabética e hipermadura submetidos à facoemulsificação.

  6. Avaliação da qualidade óptica de lentes de contato gelatinosas na correção de miopia Evaluation of optical performance of soft contact lenses in myopic correction

    Directory of Open Access Journals (Sweden)

    Marcelo Weslley Dalcoll

    2008-12-01

    Full Text Available OBJETIVO: Avaliar a qualidade óptica de olhos adaptados com dois tipos diferentes de lentes de contato gelatinosas: Acuvue® 2 (Vistacon J&J Vision Care Inc., EUA e World Vision Disposable Asférica Wave Front® (World Vision Ophthalmic, Brasil. MÉTODOS: Estudo clínico e prospectivo com intervenção em amostra constituída por 40 indivíduos portadores de miopia entre -0,75D e -4,50D, sem ou com astigmatismo até -0,75D. Um olho de cada paciente foi sorteado para avaliação a qual incluiu acuidade visual de alto e baixo contraste, aberrometria e teste de sensibilidade ao contraste. RESULTADOS: A sobre-refração objetiva realizada pelo Nidek OPD-Scan detectou hipercorreção significativa para ambas as lentes de contato gelatinosas. A avaliação da AV logMAR de alto e baixo contraste mostrou diferença significativa favorável das lentes de contato gelatinosas em relação aos óculos e na comparação entre as lentes de contato gelatinosas, apenas em relação à AV logMAR de alto contraste, houve melhor desempenho da LC World Vision Disposable Asférica Wave Front® . A avaliação de sensibilidade ao contraste detectou melhor desempenho das lentes de contato gelatinosas em relação aos óculos para as freqüências espaciais de 1,5; 3; 6 e 18. Não houve diferença significativa entre os dois tipos de lentes de contato gelatinosas nas freqüências espaciais avaliadas. A análise de frentes de onda não identificou diferença significativa do índice de Strehl, função de transferência modular (MTF e das aberrações de alta ordem (aberrações totais, coma, trefoil, quadrifoil, esférica e astigmatismo secundário sem e com as lentes de contato gelatinosas, bem como na comparação entre elas. CONCLUSÃO: Houve melhor desempenho óptico da lente de contato gelatinosa World Vision Disposable Asférica Wave Front® na medida de AV logMAR de alto contraste. Não houve diferença entre as lentes de contato gelatinosas nas avalia

  7. DETERMINATION OF THE URGENCY OF UNDERTAKING LAND CONSOLIDATION WORKS IN THE VILLAGES OF THE SŁAWNO MUNICIPALITY

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    Przemysław Leń

    2016-09-01

    Full Text Available The object of the paper is to analyze the spatial structure of land and identification of the needs of consolidation works and exchange of land in the villages of the Sławno municipality, lying in the district of Opoczno, in the Łódzkie Voivodship. The authors use the method of zero unitarisation for the purposes of determining the order of undertaking consolidation works and exchange of land in the area of research. The basis for calculation is the database of 19 factors (x1–x19 characteristic for the listed five groups of issues, describing each of the following villages. The obtained results, in a form of synthetic meter for each village, allowed creating the hierarchy of the urgency of carrying out consolidation works. The problem of excessive fragmentation of farms, constituting the collections of a certain number of parcels, in a broader sense, is one of the elements that prevent the acceleration of reforms by conversion of the Land and Buildings Register (EGiB in a full valuable real estate cadastre in Poland. The importance of the problem is highlighted by the fact that there are ecological grounds in the study area, significant from the point of view of environmental protection.

  8. Adolescents taken care of in a public service of urgency and emergency: profile of morbidade and mortality

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    Islaine Fernandes Dubuc

    2006-08-01

    Full Text Available One is about a transversal descriptive inquiry in the characterize causes of morbidade and mortality between adolescents taken care of in the urgency and emergency service of a public hospital. The collection of data was carried through the attendance fiches, in the January, February and March months of 2003, totalizing 2722. The population consisted of adolescents of 10 the 19 years of age, residents in the city. The morbi-mortality causes had been classified in accordance with the International Classification of Desease (CID-10. More than the half of the taken care is for the feminine population (54.1%. The predominant causes of morbidade had been the infectious and parasitic illnesses in the feminine sex (26.5% and injuries and poisoning and some other consequences of external causes in the masculine sex (30.5%. The month of bigger attendance was March (38.4%. The period of the night was of bigger prevalence (37.6%. The medical clinic took care of 63.9% of the adolescents. They had received high, 84.6% of the cases and had not been detected deaths. The results contribute for the aiming of writ of prevention public politics the specific action, of control and reduction of the main causes of morbidade that take the adolescent population to look the service of ready aid.

  9. [Accidents by external causes in adolescents: care in sentinel urgency and emergency services in the Brazilian State Capitals--2009].

    Science.gov (United States)

    Malta, Deborah Carvalho; Mascarenhas, Márcio Dênis Medeiros; Bernal, Regina Tomie Ivata; Andrade, Silvania Suely Caribé de Araújo; das Neves, Alice Cristina Medeiros; de Melo, Elza Machado; da Silva Junior, Jarbas Barbosa

    2012-09-01

    Adolescents are seeking new references and experiences, which may involve attitudes of risk and exposure to accidents and violence from external causes. These events constitute a serious Public Health problem. The scope of this study was to analyze the occurrence of accidents by external causes in adolescents from 10 to 19 years of age attended at sentinel urgency and emergency services in Brazil. Data from the 2009 Surveillance System for Violence and Accidents (VIVA 2009) was analyzed in 74 emergency units in 23 state capitals and the Federal District. The findings revealed that 6,434 adolescents (89.8%) were victims of accidents and 730 (10.2 %) were victims of violence. The main causes of the accidents were falls and traffic accidents, and assaults were predominant in violence. For both accidents and violence, non-white male adolescents were predominant and the events occurred most frequently on the public highways. A marked increase was detected, with hospitalization of victims of violence between 15 and 19 years of age. Understanding the epidemiological reality of external causes among adolescents represents an important tool for health prevention and promotion policies and the culture of peace seeking to reduce morbidity and mortality.

  10. The Urgency to Mitigate the Spread of Hepatitis C in Pakistan Through Blood Transfusion Reform

    Science.gov (United States)

    Alaei, Kamiar; Sarwar, Mohammad; Alaei, Arash

    2018-01-01

    Blood transfusions are contributing to a higher rate of hepatitis C virus (HCV) in Pakistan. Half of all blood transfusions in Pakistan are not screened for hepatitis C, hepatitis B or HIV. Family members donate blood that is likely not tested due to social stigma attached to HCV. Paid donations are also quite common in the country, especially by people who inject drugs (PWID), which increases the population’s exposure to HCV. Most of the population utilizes the private sector for their health needs; this sector has lax regulation due to the lack of oversight by the government or any other regulatory body. In addition, groups who are at most need for blood transfusions, such as hemophiliacs and those with thalassemia, have a higher rate of hepatitis C. This fact reinforces the need for blood transfusion reform in Pakistan, which includes improving oversight, upgrading infrastructure and promoting health literacy through cultural norms, according to the World Health Organization (WHO) recommendations. The lessons learned in Pakistan can be adapted to countries facing similar issues. PMID:29524949

  11. Development of a slow mono-kinetic electron source; Etude et realisation d'une source d'electrons lents monocinetiques

    Energy Technology Data Exchange (ETDEWEB)

    Ballu, Y [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1968-06-01

    A comparative study of already existing slow mono-kinetic electron guns shows that those using a 127 degrees electrostatic selector can be improved still further to arrive at the performances obtained with spherical 180 degrees selectors for example. For this reason we have examined the 127 degrees selector theoretically in more detail; it appears that it should be possible to obtain a resolving power better than 30 mV for a current of about 10{sup -10} A, on condition that certain improvements be made to the instrument as normally designed, in particular concerning the entrance and exit slides. As a result, the usual suppressors for the scattered electrons are no longer necessary. The development of this apparatus has been carried out with particular care: the dimensional characteristics are fixed to an accuracy of a few microns, although the instrument can be baked out at 300 C. The experimental results are in excellent agreement with the theoretical predictions: for a current of 10{sup -10} A, the measured resolving power is 24 {+-} 4 mV. The easy detection of the He{sup -} resonance line at 19.3 eV has confirmed the advantages of this apparatus for the study of atomic collisions. (author) [French] L'etude comparative des canons a electrons lents monocinetiques realises jusqu'a present montre que ceux qui utilisent un selecteur electrostatique a 127 degres peuvent etre encore perfectionnes en vue de parvenir aux performances obtenues avec les selecteurs spheriques a 180 degres par exemple. D'ou notre etude theorique approfondie du selecteur a 127 degres qui nous a conduit a esperer une resolution meilleure que 30 mV pour un courant de l'ordre de 10{sup -10} A a condition d'apporter certaines ameliorations a la conception usuelle de cet instrument notamment au niveau des fentes d'entree et de sortie. Par voie de consequence les suppresseurs habituels d'electrons parasites deviennent inutiles. L'etude et la mise au point de l'appareil ont fait l'objet de soins

  12. Estudo das capacidades organizacionais sob a lente da ambidestria: uma abordagem a partir do ponto de vista estratégico

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    Diego Jacob Kurtz

    2013-11-01

    Full Text Available O presente trabalho alinha-se à visão de que a criação de riqueza em regimes de rápida mudança depende em grande medida da capacidade de aperfeiçoar tecnologias, processos e a gestão interna da empresa. Isso é permitido na medida em que a organização equilibra suas capacidades referentes à eficácia e eficiência de suas operações (explotação àquelas ligadas às novas formas de negócio e exploração de oportunidades (exploração. O objetivo desta pesquisa consiste na realização de uma busca e análise sistemática da literatura que aborda as capacidades das organizações sob a lente da ambidestria e orientação estratégica em ambientes de elevada turbulência. A sessão de resultados apresenta as principais abordagens referentes às capacidades de exploração e explotação dos recursos e orientação estratégica. Apresenta-se também uma análise a respeito de como o ambiente modera e influencia a utilização desses recursos em contextos de rápida mudança e elevada instabilidade. Identificou-se que parte das pesquisas não expõe de forma clara a relação entre a ambidestria e outros constructos. Quando associados aos termos relacionados a ambientes turbulentos, muitas vezes são utilizados apenas de forma superficial, servindo somente de contexto para o estudo; em outras vezes, é abordado de forma mais ativa, sendo apresentado como moderador direto sobre as variáveis analisadas. Novos trabalhos devem considerar a ambidestria organizacional no curto prazo e suas respectivas implicações de desempenho no longo prazo. Existe ainda a necessidade de criar uma visão mais dinâmica de como organizações ambidestras adaptam-se às mudanças, considerando o impacto sobre a orientação estratégica em diferentes contextos. 

  13. Assessment of the urgency and deferability of transfusion to inform emergency blood planning and triage: the Bloodhound prospective audit of red blood cell use.

    Science.gov (United States)

    Shortt, Jake; Polizzotto, Mark N; Waters, Neil; Borosak, Marija; Moran, Martine; Comande, Mary; Devine, Alexandra; Jolley, Damien J; Wood, Erica M

    2009-11-01

    Careful planning is essential to ensure blood availability during shortages. Triaging supply is one proposed strategy; however, few data concerning the urgency of transfusion are available to inform planning. This study sought to determine the proportion of red blood cells (RBCs) used for clinically urgent indications. A total of 5132 RBC units were randomly selected at point of production and distributed into general statewide inventory over a 9-month period. These selected units carried case report forms, for completion at the point of hospital issue for transfusion. Completed forms were returned to the blood service for collation and analysis, capturing information on indication and clinical urgency of supply, including use for potentially deferrable elective surgery. Data from 5052 RBC units indicated that 95.6% were transfused. Approximately one-third of transfused units were used to support surgery, one-third for hematology/oncology, and one-third for other medical and miscellaneous indications. Where used for surgery, 25.7% (95% confidence interval [CI], 23.4%-28.0%) were for elective procedures, although urgency of surgery was unknown in 17.1% (95% CI, 15.2%-19.2%) of cases. Supply for nonurgent medical indications and elective surgery only accounted for 9.8% (95% CI, 9.0%-10.6%) of use, with 53.4% (95% CI, 52.0%-54.8%) of RBCs required within 24 hours. The majority of RBCs are transfused with a high degree of clinical urgency, with only a minor proportion required to support elective surgery.

  14. Late toxicity results of the GORTEC 94-01 randomized trial comparing radiotherapy with concomitant radiochemotherapy for advanced-stage oropharynx carcinoma: comparison of LENT/SOMA, RTOG/EORTC, and NCI-CTC scoring systems

    International Nuclear Information System (INIS)

    Denis, Fabrice; Garaud, Pascal; Bardet, Etienne; Alfonsi, Marc; Sire, Christian; Germain, Thierry; Bergerot, Philippe; Rhein, Beatrix; Tortochaux, Jacques; Oudinot, Patrick; Calais, Gilles

    2003-01-01

    Purpose: To prospectively assess 5-year late toxicity in patients treated by concomitant radiochemotherapy for locally advanced oropharynx carcinoma using three different toxicity scales. Methods and Materials: A total of 226 patients were entered in a Phase III multicenter, randomized trial comparing radiotherapy alone (70 Gy in 35 fractions: Arm A) with concomitant radiochemotherapy (70 Gy in 35 fractions with three cycles of a 4-day regimen containing carboplatin and 5-fluorouracil: Arm B). Five living patients, free of local or distant recurrences, could not be evaluated for late toxicity. Forty-four patients were eligible for late toxicity with a median follow-up of 5 years. Late toxicity was evaluated by the radiation oncologist using a large questionnaire containing 120 mixed items of three scales (NCI-CTC, LENT/SOMA, and RTOG). The data were then transposed on separate scales using corresponding grades. Results: The 5-year overall survival rate was 22% in Arm B and 16% in Arm A (p=0.05). The 5-year locoregional control rate was 48% in Arm B and 25% in Arm A (p=0.002). The spinal cord was not affected by the concomitant adjunct of chemotherapy, and no deaths were caused by late toxicity. Using the three late toxicity scales, 100% of the patients treated with the combined modality (Arm B) developed one or more late complications vs. 94% in the radiotherapy-alone arm (Arm A). The difference was not statistically significant. The most commonly damaged organs (all Grade 1-4) were the salivary glands (100% in Arm B vs. 82% in Arm A, p<0.05), skin (78% vs. 47%, p<0.05), teeth (67% vs. 18%, p<0.05), mucosa (59% vs. 63% p = not significant), and mandible (44% vs. 12%, p<0.05). One or more Grade 3-4 complications occurred in 82% of the patients in Arm B vs. 47% in Arm A (p=0.02) but concerned only the teeth. The correlation between the RTOG and LENT/SOMA scale and between the NCI-CTC and LENT/SOMA scale were low for Grade 1-4 toxicity (near 30%). The transposability

  15. The impact of traditional coffee processing on river water quality in Ethiopia and the urgency of adopting sound environmental practices.

    Science.gov (United States)

    Beyene, Abebe; Kassahun, Yared; Addis, Taffere; Assefa, Fassil; Amsalu, Aklilu; Legesse, Worku; Kloos, Helmut; Triest, Ludwig

    2012-11-01

    Although waste from coffee processing is a valuable resource to make biogas, compost, and nutrient-rich animal food, it is usually dumped into nearby water courses. We carried out water quality assessment at 44 sampling sites along 18 rivers that receive untreated waste from 23 coffee pulping and processing plants in Jimma Zone, Ethiopia. Twenty upstream sampling sites free from coffee waste impact served as control, and 24 downstream sampling sites affected by coffee waste were selected for comparison. Physicochemical and biological results revealed a significant river water quality deterioration as a result of disposing untreated coffee waste into running water courses. During coffee-processing (wet) season, the highest organic load (1,900 mg/l), measured as biochemical oxygen demand, depleted dissolved oxygen (DO) to a level less than 0.01 mg/l, and thus curtailed nitrification. During off season, oxygen started to recuperate and augmented nitrification. The shift from significantly elevated organic load and reduced DO in the wet season to increased nitrate in the off season was found to be the determining factor for the difference in macroinvertebrate community structure as verified by ordination analysis. Macroinvertebrate diversity was significantly reduced in impacted sites during the wet season contrary to the off season. However, there was a significant difference in the ratio of sensitive to pollution-tolerant taxa in the off season, which remained depreciated in the longer term. This study highlights the urgency of research exploring on the feasibility of adopting appropriate pollution abatement technologies to implement ecologically sound coffee-processing systems in coffee-growing regions of Ethiopia.

  16. Methodology for a Trial of Brain-Centered versus Anti-cholinergic Therapy for Women with Urgency Urinary Incontinence

    Science.gov (United States)

    Komesu, Yuko M.; Ketai, Loren H.; Sapien, Robert E.; Rogers, Rebecca G.; Schrader, Ronald M.; Simmerman-Sierra, Timothy; Mayer, Andrew R.

    2016-01-01

    Introduction This paper describes the rationale and methodology a study which investigates mind-body treatment versus pharmacotherapy for women with urgency urinary incontinence (UUI). To explore brain associations in UUI, a subset of patients will also undergo functional magnetic resonance imaging (fMRI). We hypothesize that hypnotherapy a mind-body intervention, will be at least as effective pharmacotherapy in treating UUI. We also hypothesize that fMRI findings will change following treatment, with changes potentially differing between groups. Methods The purpose of this manuscript is to recount the development and design challenges of a study evaluating the efficacy of hypnotherapy compared to conventional pharmacotherapy in UUI treatment. The study randomizes women to either of these treatments and outcome measures include bladder diaries and validated questionnaires. Sample size estimates, based on a non-inferiority test (alpha=.025, beta=0.20), after considering drop-out/loss to follow-up, indicated approximately 150 woman would be required to test the hypothesis that hypnotherapy is non-inferior to pharmacotherapy within a 5% non-inferiority margin. The study will also evaluate fMRI change in a subset of participants before and after therapy. Study challenges included designing a study with a mind-body therapy and a comparison treatment equally acceptable to participants, standardizing the interventions, confronting the reality that trials are time-consuming for participants and making appropriate accommodations. Results Study enrollment began March 2013 and is ongoing. Conclusions This manuscript details the design a of randomized controlled trial (RCT) comparing mind-body therapy to medications in treatment of UUI and describes the challenges encountered in its planning. PMID:27752750

  17. Desempenho visual após implante de uma lente intraocular asférica multifocal difrativa Visual performance after implantation of an aspheric multifocal diffractive intraocular lens

    Directory of Open Access Journals (Sweden)

    Leonardo Akaishi

    2010-08-01

    Full Text Available OBJETIVO: Avaliar a acuidade visual a distancia, intermediária e perto após o implante de uma lente intraocular (LIO asférica multifocal difrativa AcrySof® ReSTOR® SN6AD1. MÉTODOS: Estudo prospectivo de 50 pacientes com catarata submetidos à facoemulsificação e implante de LIO AcrySof® ReSTOR®. Foram avaliados acuidade visual sem correção (AVSC, acuidade visual com correção (AVCC para longe, acuidade visual para perto corrigida para longe (AVPC e acuidade visual intermediária corrigida para longe (AVIC. Um questionário de satisfação e fenômenos visuais foi administrado ao final do estudo. RESULTADO: Após três meses de cirurgia, a média das acuidades (logMAR era: AVSC, 0,05 ± 0,07; AVCC, 0,00 ± 0,01; AVPC, 0,00 ± 0,0, e AVIC, 0,15 ± 0,05. A AVCC e AVPC era de 20/25 ou melhor em todos os pacientes, sendo a AVIC J3 ou melhor em 83% dos pacientes. Pacientes relataram excelente desempenho visual nas questões relacionadas a atividades para distância, intermediário, e perto com pouca ou nenhuma dificuldade. Nenhum paciente relatou halos ou 'glare' severos, sendo os mesmos caracterizados entre nenhum a moderado. CONCLUSÃO: A LIO asférica AcrySof® ReSTOR® SN6AD1 mostrou excelentes resultados na visão para longe, perto e intermediário, além de apresentar uma baixa incidência de fenômenos visuais.PURPOSE: To evaluate distance, intermediate, and near vision after aspheric multifocal diffractive AcrySof® ReSTOR® SN6AD1 intraocular lens (IOL implantation. METHODS: Prospective study of 50 patients with cataract that had phacoemulsification and AcrySof® ReSTOR® IOL implantation. Uncorrected distance vision acuity (UDVA, corrected distance visual acuity (CDVA, distance-corrected near visual acuity (DCNVA, and distance-corrected intermediate visual acuity (DCIVA were measured postoperatively. A patient-satisfaction and visual phenomena questionnaire was administered at the end of the study. RESULTS: Three months

  18. Bloqueio extraconal para facectomia com implante de lente intra-ocular: influência do fentanil associado ao anestésico local na qualidade do bloqueio e na analgesia pós-operatória Bloqueo extraconal para facectomia con implantación de lente intra-ocular: influencia del fentanil asociado al anestésico local en la calidad del bloqueo y en la analgesia pos-operatoria Extraconal block for cataract extraction surgery with implantation of intraocular lens: contribution of fentanyl associated to local anesthetics for quality of block and postoperative analgesia

    Directory of Open Access Journals (Sweden)

    Daniel Espada Lahoz

    2003-09-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: A anestesia locorregional para cirurgias oftalmológicas oferece vantagens, como: mínimas alterações fisiológicas, anestesia completa, bloqueio dos reflexos oculares, pequena incidência de náuseas e vômitos, menor tempo de recuperação e analgesia pós-operatória. A preocupação constante com a qualidade do bloqueio, assim como da abordagem da analgesia pós-operatória deve ficar sob a responsabilidade do anestesiologista. O objetivo deste estudo foi avaliar se o fentanil contribui na qualidade do bloqueio extraconal e na analgesia pós-operatória de facectomias com implante de lente intra-ocular. MÉTODO: Estudou-se a associação do fentanil e bupivacaína a 0,75% na qualidade do bloqueio ocular e na analgesia pós-operatória em 164 pacientes submetidos a facectomia com implante de lente intra-ocular (técnica extracapsular, de ambos os sexos com homogeneidade de parâmetros antropométricos, olho operado, classificação do estado físico (ASA e índice de risco cardíaco de Goldman. Os pacientes foram distribuídos em dois grupos (82 pacientes em cada grupo por sorteio de forma aleatória, com e sem fentanil. Avaliou-se a qualidade do bloqueio por: aparecimento da dor no per-operatório, manutenção de movimentação das pálpebras ou do globo ocular, persistência do reflexo de Bell, número de bloqueios realizados para a obtenção de condições cirúrgicas e avaliação do bloqueio pelo cirurgião. A analgesia pós-operatória foi avaliada pela necessidade de complementação analgésica pelo paciente. RESULTADOS: Fentanil associado à solução anestésica no bloqueio extraconal aumentou significativamente o bloqueio do músculo reto medial (com fentanil - 17,1%, sem fentanil - 32,9% e diminuiu o consumo de analgésicos no período pós-operatório (uso de analgésicos com fentanil - 20,7%, não uso de analgésicos com fentanil - 41,5%. CONCLUSÕES: Nas condições deste estudo o fentanil

  19. Evaluation des prescriptions antibiotiques au service des urgences de l’Hôpital Militaire d’Instruction Mohammed V (HMIMV)

    Science.gov (United States)

    Elbouti, Anass; Rafai, Mostafa; Chouaib, Naoufal; Jidane, Said; Belkouch, Ahmed; Bakkali, Hicham; Belyamani, Lahcen

    2016-01-01

    Cette étude à pour objectifs de décrire les pratiques des prescriptions, évaluer leur pertinence et leur conformité aux règles d’utilisations et étudier les facteurs susceptibles de les influencer. Il s’agit d’une étude transversale d’évaluation des prescriptions antibiotiques portant sur 105 patients réalisée au service des urgences médico-chirurgicales de l’H.M.I.Med V de Rabat sur une période d’un mois. Le recueil des données était fait à l’aide d’un questionnaire rapportant les données démographiques et anamnestiques, les antécédents, la notion d’allergie, les données spécifiques de l’examen clinique, les données para cliniques, la prescription détaillée de l’antibiotique. Les données récoltées ont été ensuite évaluées par un médecin référent, chargé d’indiquer les éventuelles erreurs de traitement. Parmi les infections ayant motivé la prescription des antibiotiques, les affections des systèmes respiratoires et urinaires étaient au premier rang, les familles d’antibiotiques les plus couramment employées sont les pénicillines, les quinolones et les céphalosporines. 74 prescriptions soit (70,5%) étaient à la fois pertinentes et conformes contre 9 prescriptions soit (8,6%) justifiées mais non pertinentes et 6 prescriptions soit (5,7%) étaient jugées injustifiées par le médecin référent par absence d’infection. Les évaluations des pratiques médicales sont rarement menées dans les établissements de santé; c’est dans ce cadre que nous avons voulu nous inscrire en produisant cette étude afin d’améliorer la pertinence de nos prescriptions antibiotiques et d’optimiser leur conformité aux différentes recommandations. PMID:28292124

  20. Calidad visual en pacientes con lente intraocular multifocal modelo OcuFlex operados de catarata The quality of vision in patients operated on from cataract and implanted with OcuFlex multifocal intraocular lenses

    Directory of Open Access Journals (Sweden)

    Eneida Pérez Candelaria

    2010-01-01

    Full Text Available OBJETIVO: Describir la calidad visual en 8 pacientes operados de catarata bilateral con la técnica de Faco-chop e implante de lente intraocular multifocal modelo OcuFlex, en el ICO "Ramón Pando Ferrer", desde septiembre 2007 a febrero 2008. MÉTODOS: Se realizó un estudio observacional, descriptivo, longitudinal y prospectivo para lo cual se analizaron variables como equivalente esférico, sensibilidad al contraste en el preoperatorio y posoperatorio; fenómenos visuales, centrado y localización del lente intraocular, así como el estado de satisfacción subjetiva de los pacientes. Se utilizó la estadística descriptiva con ayuda del sistema Microsoft Excel y Word 2003, para Windows XP. RESULTADOS: El equivalente esférico medio posoperatorio fue -0,59 tanto para frecuencias bajas como medias, en visión binocular la sensibilidad al contraste media fue de 1,12 unid.log en el preoperatorio y de 1,74 unid.log. en el posoperatorio. Por biomicroscopia con lámpara de hendidura en el 100 % de los casos el lente intraocular estaba centrado y por biomicroscopia ultrasónica el 93,75 % se encontraba en el saco capsular. Ningún paciente refirió la presencia de glare y solamente uno (12,5 % reportó visión de halos nocturnos. La totalidad de los pacientes se manifestaron satisfechos. CONCLUSIONES: Los lentes multifocales disminuyen la dependencia de las gafas después de la cirugía de catarata, razón por la que constituye una buena opción en la recuperación de la función visual óptima.OBJECTIVE: To describe the quality of vision in 8 patients, who were operated on from bilateral cataract using Phaco-chop technique and implanted with Ocuflex multifocal intraocular lens in "Ramón Pando Ferrer" Cuban Institute of Ophthalmology from September 2007 to February 2008. METHODS: A prospective, longitudinal, observational and descriptive study was made in which the variables spheral equivalent, contrast sensitivity in the pre- and post

  1. Effect of aspherical and yellow tinted intraocular lens on blue-on-yellow perimetry Efeito das lentes intraoculares asféricas e com pigmentação amarela na campimetria azul-amarelo

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    Rodrigo França de Espíndola

    2012-10-01

    Full Text Available PURPOSE: To investigate the possible effect of aspherical or yellow tinted intraocular lens (IOL on contrast sensitivity and blue-on-yellow perimetry. METHODS: This prospective randomized bilateral double-masked clinical study included 52 patients with visually significant bilateral cataracts divided in two groups; 25 patients (50 eyes received aspherical intraocular lens in one eye and spherical intraocular lens in the fellow eye; and 27 patients (54 eyes received ultraviolet and blue light filter (yellow tinted IOL implantation in one eye and acrylic ultraviolet filter IOL in the fellow eye. The primary outcome measures were contrast sensitivity and blue-on-yellow perimetry values (mean deviation [MD] and pattern standard deviation [PSD] investigated two years after surgery. The results were compared intra-individually. RESULTS: There was a statistically significant between-group (aspherical and spherical intraocular lens difference in contrast sensitivity under photopic conditions at 12 cycles per degree and under mesopic conditions at all spatial frequencies. There were no between-group significant differences (yellow tinted and clear intraocular lens under photopic or mesopic conditions. There was no statistically significant difference between all intraocular lens in MD or PSD. CONCLUSION: Contrast sensitivity was better under mesopic conditions with aspherical intraocular lens. Blue-on-yellow perimetry did not appear to be affected by aspherical or yellow tinted intraocular lens. Further studies with a larger sample should be carried out to confirm or not that hypotheses.OBJETIVO: Investigar a possibilidade de efeitos na sensibilidade ao contraste e nos resultados da campimetria azul-amarelo com implante de uma lente intraocular (LIO asférica ou de pigmentação amarela. MÉTODOS: Trata-se de um estudo prospectivo, randomizado, duplo-mascarado, envolvendo 52 pacientes portadores de catarata senil bilateral, divididos em dois grupos; 25

  2. Subluxação congênita do cristalino: resultados visuais e posição das lentes intraoculares após a cirurgia Congenital lens subluxation: visual acuity outcomes and intraocular lens postoperative position

    Directory of Open Access Journals (Sweden)

    Caroline Arraes

    2010-04-01

    Full Text Available OBJETIVO: Avaliar os resultados visuais e investigar, através da biomicroscopia ultrassônica, o posicionamento das lentes intraoculares e do anel endocapsular em 17 olhos de 10 portadores de subluxação congênita do cristalino, submetidos à mesma técnica cirúrgica pelo mesmo cirurgião. MÉTODOS: O estudo foi realizado no Hospital de Olhos de Pernambuco e Fundação Altino Ventura. A técnica cirúrgica consistiu em facoaspiração com implante de anel endocapsular e de lentes intraoculares com amputação de uma das alças. A idade variou entre 7 e 22 anos. Foram coletados dados sobre acuidade visual para longe pré e pós-operatória, tempo de seguimento após a cirurgia e complicações. Os pacientes foram submetidos à biomicroscopia ultrassônica. RESULTADOS: O tempo de seguimento médio foi de 2,8 anos. Houve melhora da acuidade visual para longe nos 17 (100% olhos: 12 olhos (70,6% apresentaram acuidade visual para longe melhor que 20/40; 4 (23,5% apresentaram acuidade visual para longe entre 20/40 e 20/100 e 1 (5,9% apresentou acuidade visual para longe pior que 20/100, porém melhor que acuidade visual para longe pré-operatória. A opacificação da cápsula posterior ocorreu em 10 olhos (58,9%. Na biomicroscopia ultrassônica observou-se que todas as lentes intraoculares estavam parcialmente descentralizadas, contudo sem atingir o bordo pupilar. Em todos os casos observou-se um adequado posicionamento do anel e um bom suporte capsular. CONCLUSÃO É possível concluir que o tratamento cirúrgico avaliado proporciona uma boa centralização das lentes intraoculares e do anel endocapsular, com melhora da acuidade visual para longe, sendo uma opção viável, eficaz e segura na reabilitação visual dos pacientes com subluxação congênita do cristalino.PURPOSE: To evaluate the visual acuity outcomes and to investigate the intraocular lens (IOL and endocapsular ring positions with ultrasound biomicroscopy in 17 eyes of 10 patients

  3. Efectividad de los lentes fáquicos Artisan en la corrección de la alta miopía Effectiveness of Artisan phakic lenses in the correction of high myopia

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    Yanele Ruiz Rodríguez

    2010-12-01

    Full Text Available OBJETIVO: Determinar la efectividad de los lentes intraoculares fáquicos Artisan en la corrección de la alta miopía en el Instituto Cubano de Oftalmología "Ramón Pando Ferrer" en el período de enero del 2006 a enero del 2009. MÉTODOS: Se realizó un estudio prospectivo, descriptivo. El universo estuvo constituido por el total de ojos (120 a los cuales se les implantó estos lentes. RESULTADOS: Se encontró un componente esférico de 0,5, no astigmatismo inducido y una mejoría de la agudeza visual corregida de 0,9. No se presentaron complicaciones transoperatorias y entre las posoperatorias mediatas predominó la iritis o uveítis (3,4 % así como la atrofia iridiana (5 % entre las tardías. CONCLUSIONES: Los resultados refractivos fueron favorables. Predominaron los pacientes sin complicaciones.OBJECTIVE: To determine the effectiveness of Artisan phakic intraocular lenses in correcting high myopia at "Ramón Pando Ferrer" Cuban Institute of Ophthalmology in January 2006 to January 2009 period. METHODS: A prospective descriptive study was made in which the universe of study was 120 eyes implanted with this type of lenses. RESULTS: Spheral component of 0.5; the induced astigmatism was not found and the corrected visual acuity improvement was 0.9. There were no transoperative complications; the predominant postoperative mediate complications were iritis or uveitis (3.4 % and iridic atrophy (5 % prevailed in the late ones. CONCLUSIONS: The refractive results were favourable. The uncomplicated patients predominated.

  4. Blood pressure management and guideline adherence in hypertensive emergencies and urgencies: A comparison between telemedically supported and conventional out-of-hospital care.

    Science.gov (United States)

    Brokmann, Jörg C; Rossaint, Rolf; Müller, Michael; Fitzner, Christina; Villa, Luigi; Beckers, Stefan K; Bergrath, Sebastian

    2017-07-01

    Prehospital hypertensive emergencies and urgencies are common, but evidence is lacking. Telemedically supported hypertensive emergencies and urgencies were prospectively collected (April 2014-March 2015) and compared retrospectively with a historical control group of on-scene physician care in the emergency medical service of Aachen, Germany. Blood pressure management and guideline adherence were evaluated. Telemedical (n=159) vs conventional (n=172) cases: blood pressure reductions of 35±24 mm Hg vs 44±23 mm Hg revealed a group effect adjusted for baseline differences (P=.0006). Blood pressure management in categories: no reduction 6 vs 0 (P=.0121); reduction ≤25% (recommended range) 113 vs 110 patients (P=.2356); reduction >25% to 30% 13 vs 29 (0.020); reduction >30% 12 vs 16 patients (P=.5608). The telemedical approach led to less pronounced blood pressure reductions and a tendency to improved guideline adherence. Telemedically guided antihypertensive care may be an alternative to conventional care especially for potentially underserved areas. ©2017 Wiley Periodicals, Inc.

  5. "Food addiction" in patients with eating disorders is associated with negative urgency and difficulties to focus on long-term goals

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    Ines eWolz

    2016-02-01

    Full Text Available Objectives: The present study aimed to investigate if eating disorder patients differ in specific personality traits depending on a positive screening of food addiction and to find a model to predict food addiction in eating disorder patients using measures of personality and impulsivity. Methods: 278 patients having an eating disorder self-reported on food addiction, impulsivity, personality, eating and general psychopathology. Patients were then split into two groups, depending on a positive or negative result on the food addiction screening. Analysis of variance was used to compare means between the two groups. Stepwise binary logistic regression was used to obtain a predictive model for the presence of food addiction. Results: Patients with food addiction had lower self-directedness, and more negative urgency and lack of perseverance than patients not reporting addictive eating. The probability of food addiction can be predicted by high negative urgency, high reward dependence, and low lack of premeditation. Conclusions: Eating disorder patients who have more problems to pursue tasks to the end and to focus on long-term goals seem to be more likely to develop addictive eating patterns.

  6. "Food Addiction" in Patients with Eating Disorders is Associated with Negative Urgency and Difficulties to Focus on Long-Term Goals.

    Science.gov (United States)

    Wolz, Ines; Hilker, Ines; Granero, Roser; Jiménez-Murcia, Susana; Gearhardt, Ashley N; Dieguez, Carlos; Casanueva, Felipe F; Crujeiras, Ana B; Menchón, José M; Fernández-Aranda, Fernando

    2016-01-01

    The present study aimed to investigate if eating disorder patients differ in specific personality traits depending on a positive screening of food addiction (FA) and to find a model to predict FA in eating disorder patients using measures of personality and impulsivity. Two hundred seventy eight patients, having an eating disorder, self-reported on FA, impulsivity, personality, eating and general psychopathology. Patients were then split into two groups, depending on a positive or negative result on the FA screening. Analysis of variance was used to compare means between the two groups. Stepwise binary logistic regression was used to obtain a predictive model for the presence of FA. Patients with FA had lower self-directedness, and more negative urgency and lack of perseverance than patients not reporting addictive eating. The probability of FA can be predicted by high negative urgency, high reward dependence, and low lack of premeditation. Eating disorder patients who have more problems to pursue tasks to the end and to focus on long-term goals seem to be more likely to develop addictive eating patterns.

  7. Ceratocone: correlação entre grau evolutivo e padrão topográfico com o tipo de lente de contato adaptada Keratoconus: correlation between degrees of severity and topographical pattern with the kind of fitted contact lens

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    Vinícius Coral Ghanem

    2003-01-01

    Full Text Available OBJETIVO: Verificar a existência de associações entre grau evolutivo e padrão topográfico do ceratocone com as lentes de contato (LC adaptadas. MÉTODOS: Estudo retrospectivo do tratamento de 454 pacientes (881 olhos com ceratocone, 746 adaptados com lentes de contato, de julho de 1996 a junho de 2000. Classificou-se o ceratocone segundo grau evolutivo e padrão topográfico. A primeira lente de contato testada foi rígida gás-permeável (RGP monocurva. Quando não se alcançou a adaptação desejada, testou-se as rígidas gás-permeáveis bicurvas e outros desenhos, procurando-se relação lente-córnea com livramento apical ou discreto toque apical. Em caso de insucesso com as rígidas foram testadas as lentes de contato gelatinosas, esféricas, tóricas e com desenhos especiais. RESULTADOS: Para 15 (3,3% pacientes foram receitados óculos; 111 olhos (12,6% permaneceram sem correção; 746 (84,68% olhos foram adaptados com LC; 39 olhos (4,44% de 39 pacientes (8,6% foram encaminhados para transplante de córnea. O grau evolutivo mais encontrado foi o avançado (575 olhos - 66,86%, seguido do incipiente (160 olhos - 18,6%. O valor ceratométrico médio do meridiano mais plano (K foi de 47,80 (±3,73 para os olhos adaptados com lentes de contato gelatinosas; de 49,03 (±3,7 para as lentes de contato rígidas gás-permeáveis monocurvas; de 51,62 (±3,6 para as lentes de contato bicurvas e de 51,14 (±3,5 para o sistema "piggyback". Quanto à classificação topográfica, o mais freqüente foi o periférico inferior (436 olhos - 50,7%, seguido pelo central assimétrico (348 olhos - 40,46%. No olho direito, a análise das variáveis padrão topográfico e tipo de lente adaptada demonstrou associação estatisticamente significante (p=0,045 de lentes de contato gelatinosas tóricas e sistema "piggyback" com percentual maior de adaptações nos ceratocones centrais. Com as lentes de contato rígidas gás-permeáveis monocurvas e bicurvas houve

  8. Comparison between OPD-Scan results and visual outcomes of monofocal and multifocal intraocular lenses Comparação dos resultados do OPD-Scan e performance visual das lentes intraoculares monofocal e multifocal

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    Wilson Takashi Hida

    2009-08-01

    Full Text Available PURPOSE: To compare the visual outcome, contrast sensitivity and wavefront analysis of patients that underwent cataract surgery and implantation of AcrySof SN60D3 multifocal intraocular lens with those who received the AcrySof SN60AT monofocal IOL. METHODS: This was a prospective clinical trial of forty eyes that received the multifocal IOL and thirty-two eyes that received the monofocal IOL after phacoemulsification. RESULTS: Values for total and spherical aberrations in the multifocal group were statistically lower than in the monofocal group. In the monofocal group, 75% achieved uncorrected intermediate visual acuities between Jaeger 1 and 6. In the multifocal group, 75% of the eyes achieved more than Jaeger 6. At least 87.5% of the multifocal group and 6.3% of the monofocal group achieved monocular uncorrected near acuity of 20/30 (J2, N5 or better. And 90.0% of the eyes in the multifocal group and 37.5% in the monofocal group achieved an uncorrected near acuity of 20/40 (J3, N6 or better. The mean spherical error was 0.11 D in the multifocal group and -0.18 D in the monofocal group (p=0.0379. The SN60D3 group compared to SN60AT group had low contrast sensitivity (log units with statistically significant differences in 6.0 cpd in photopic conditions (p=0.014 and the SN60D3 group compared to SN60AT group had higher contrast sensitivity (log units under mesopic conditions (p=0.044. CONCLUSION: The multifocal IOLs induced less spherical aberration than monofocal IOLs and predictably good uncorrected distance and uncorrected near acuities. However, contrast sensitivity was lower in the multifocal group.OBJETIVO: Comparar a performance visual, sensibilidade ao contraste e de wavefront com OPD-Scan em pacientes submetidos a cirurgia de facoemulsificação com implante de lente intraocular AcrySof SN60D3 multifocal e AcrySof SA60AT monofocal. MÉTODOS: Quarenta olhos com a lente intraocular multifocal e trinta e dois olhos com a lente intraocular

  9. Facoemulsificação, vitrectomia via pars plana e implante de lente intra-ocular em olhos com retinopatia diabética proliferativa Phacoemulsification, pars plana vitrectomy and intraocular lens implant in eyes with proliferative diabetic retinopathy

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    Armando Belfort Mattos

    2004-06-01

    Full Text Available OBJETIVO: Avaliar a viabilidade da técnica de facoemulsificação para a extração da catarata com implante de lente intra-ocular combinada à vitrectomia via pars plana em olhos com retinopatia diabética proliferativa, em um único procedimento cirúrgico. MÉTODOS: Foram revisados os prontuários de 47 pacientes (53 olhos com retinopatia diabética proliferativa e catarata que foram submetidos ao procedimento combinado de vitrectomia via pars plana, facoemulsificação e implante de lente intra-ocular no mesmo ato cirúrgico, entre janeiro de 1991 e setembro de 1998 no Bascom Palmer Eye Institute, hospital de olhos filiado à Universidade de Miami. O estudo foi realizado em conjunto com a Universidade Federal de São Paulo. Participaram do estudo 43 olhos de 40 pacientes. RESULTADOS: O tempo de seguimento variou de três a 60 meses com média de 20 meses. A idade dos pacientes variou de 37 a 77 anos com média de 59 anos. A acuidade visual melhorou duas linhas ou mais em relação ao pré-operatório em 26 (60,4% olhos, permaneceu a mesma em 9 (20,9% e piorou em 8 (18,6%. Em (23,2% 10 olhos a acuidade visual aumentou para 20/40. O teste estatístico chamado de "teste do sinal" mostrou-se estatisticamente significante na melhora da acuidade visual final. A complicação mais observada foi a hemorragia vítrea recorrente, ocorrendo em 12 (27,9% olhos, seguida pela inflamação transitória da câmara anterior em 9 olhos (20,9%. Complicações intra-operatórias relacionadas à extração do cristalino foram raras. No pós-operatório observaram-se captura da lente intra-ocular em 2 (4,6 % olhos e lente intra-ocular subluxada em 1 (2,3% olho. CONCLUSÕES: A cirurgia combinada de facoemulsificação, implante de lente intra-ocular e vitrectomia via pars plana em olhos com retinopatia diabética é procedimento bem tolerado e geralmente apresenta bons resultados com relação à acuidade visual. Um único procedimento para remover a catarata e

  10. Utilisation de la radiographie de l’abdomen sans préparation au service des urgences de l’Hôpital Général de Douala : étude rétrospective.

    OpenAIRE

    Essomba AC; Essola B; Sende C; Ngatchou W; Sone W; M. Sone; Ebana Mvogo

    2013-01-01

    Malgré ses limitations en termes de sensibilité et de spécificité, la radiographie sans préparation (ASP) reste un examen largement prescrit dans un service d’urgence. Le but de l’étude est d’analyser l’état actuel de la prescription de cet examen au service des urgences de l’hôpital général de Douala (Cameroun) Méthode et matériel : À partir d’une série de 391 ASP consécutifs prescrits au service des urgences entre juillet 2007 et juillet 2009, les dossiers de patients de plus de 18an...

  11. Úlceras em megacólons chagásicos operados na urgência e eletivamente Ulcerations in Chagas' megacolon operated at urgency and electively

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    Augusto Diogo-Filho

    2006-12-01

    megacolon is a frequent disease in our emergencie hospital, and approached in the urgency by your complications as fecal impaction, volvulus and perforations. The ulcerations in the megacolons contribute as probable sites of perforations AIM: To compare the frequencies of stercoral ulceration in Chagas' megacolon operated at urgency, by volvulus or fecal impaction, and electively, aiming at a better surgical conduct in the urgency surgery METHODS: It was analyzed 356 anatomy-pathological exams from colon resection of operated patients due to Chagas' megacolon at urgency (102 cases; 29% and electively (254 cases; 71%, from 1980 to 2000. The surgical urgency indications were attributed to volvulus (71 cases; 69,6%, fecal impaction (25 cases; 24,5%, perforated acute abdomen after rectal catheter or sigmoidoscopy (6 cases; 5,9%. The ulceration frequency was compared in both groups of resections, using chi-square RESULTS: The pathological anatomy - of surgery resection obtained at urgency surgeries, showed 26 cases of ulceration (25,5% and in electively resections were verified 21 cases of ulceration (8,25%. The difference observed was statistically significant. The comparison among the groups of volvulus; fecal impaction and volvulus with fecal impaction, separately with electively surgery group evidenced significant differences in relation to volvulus and fecal impaction CONCLUSIONS: The higher frequency of ulcerations in the megacolon operated at urgency character emphasizes the needs of immediate resection of sigmoid colon, instead of conservative conduct of simple decompression colostomy, even in exploration laparotomy which the macroscopic examination of sigmoid does not show necrotic signs. This way, should prevent the occurrence of perforation in megacolon at mediate postoperative, with serious results.

  12. Avaliação da sensibilidade ao contraste e da estereopsia em pacientes com lente intra-ocular multifocal Contrast sensitivity and stereopsis in pseudophakic patients with multifocal intraocular lens

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    Filipe de Oliveira

    2005-08-01

    Full Text Available OBJETIVO: Avaliar a sensibilidade ao contraste e a acuidade estereoscópica em pacientes pseudofácicos, que receberam implante bilateral de lente intra-ocular multifocal. MÉTODOS: Prospectivamente foram realizados testes de sensibilidade ao contraste com o uso da tabela Pelli-Robson e teste de acuidade estereoscópica com emprego do Titmus Stereo Test, em 20 pacientes com implante bilateral de lente intra-ocular multifocal Acrysof Restor®, no pós-operatório de 1 a 2 meses e sem uso de qualquer correção óptica. RESULTADOS:O teste de sensibilidade ao contraste binocular demonstrou que 6 pacientes (30% apresentaram 1,80 unid. log, 13 (65% 1,65 e 1 (5% 1,50. No teste monocular, ocorreram as seguintes respostas: 17 pacientes (85% 1,65 unid. log e 3 (15% 1,50 para o teste do olho direito. O teste do olho esquerdo mostrou que 16 pacientes (80% apresentaram 1,65 unid. log e 4 (20% 1,50. A média e o desvio-padrão da sensibilidade ao contraste testada binocularmente foi 1,69 (±0,08, ao passo que monocularmente foi 1,63 (±0,05 para OD e 1,62 (±0,06 para OE. O teste de acuidade estereoscópica revelou que 12 pacientes (60% obtiveram 40", 6 (30% 50" e 2 (10% 60", com média de 45" e desvio-padrão de ±6,88". CONCLUSÃO: A lente intra-ocular empregada no estudo, proporcionou resultados de sensibilidade ao contraste e acuidade estereoscópica compatíveis e de acordo com critérios de normalidade estabelecidos anteriormente por outros estudos em grupos de pacientes fácicos e pseudofácicos, e portanto, impacto positivo na funcionalidade visual.PURPOSE: To evaluate the contrast sensitivity and stereopsis tests in patients who underwent bilateral implantation of multifocal intraocular lens. METHODS: Tests of contrast sensitivity using the Pelli-Robson chart and stereopsis evaluation with the Titmus Stereo Test were performed in 20 patients 30-60 days after the bilateral implantation of Acrysof Restor® multifocal intraocular lens. RESULTS: The

  13. Trichostrongylina (Nematoda, Heligmosomoidea coparasites in Dasyprocta fuliginosa Wagler (Rodentia, Dasyproctidae from Brazil, with the re-establishment of the genus Avellaria Freitas & Lent and the description of two new species Trichostrongylina (Nematoda, Heligmosomoidea co-parasitos em Dasyprocta fuliginosa Wagler (Rodentia, Dasyproctidae do Brasil, com o restabelecimento do gênero Avellaria Freitas & Lent e a descrição de duas novas espécies

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    Marie C. Durette-Desset

    2006-06-01

    Full Text Available Two new tichostrongylid nematodes of the family Viannaiidae Durette-Desset & Chabaud, 1981 coparasites in Dasyprocta fuliginosa Wagler, 1832 from the State of Amazonas, Brazil, are described: Viannella trichospicula sp. nov. is differentiated from the other species of the genus by the extreme slenderness of its spicules. Avellaria intermedia sp. nov. is distinguished from the single type species Avellaria avellari Freitas & Lent, 1934, by a smaller number of cuticular ridges (17 versus 27, a higher ratio of spicule length/ body length (8% versus 5.6% and spicules with a single tip. This genus, synonymized with the genus Viannella Travassos, 1918, by Durette-Desset (1968 is re-established, the female being didelphic. It is the first record of a nematode of the family Viannaiidae in a host of the family Dasyproctidae Bonaparte, 1838.Dois novos nematóides tricostrongilídeos da família Viannaiidae Durette-Desset & Chabaud, 1981 co-parasitos em um espécime de Dasyprocta fuliginosa Wagler, 1832 do Estado do Amazonas, Brasil, são descritos: Viannella trichospicula sp. nov. distingue-se das espécies do gênero, pelos espículos extremamente delgados. Avellaria intermedia sp. nov. diferencia-se da espécie tipo e única do gênero Avellaria avellari Freitas & Lent, 1934, pelo menor número de arestas cuticulares (17 comparado a 27, pela maior relação entre o tamanho do espículo e o comprimento do corpo (8% comparado a 5,6% e espículos com extremidade única. Este gênero, que havia sido considerado sinônimo de Viannella Travassos, 1918, por Durette-Desset (1968, é restabelecido; as fêmeas são didelfas. Este é o primeiro registro de um nematóide da família Viannaiidae em um hospedeiro da família Dasyproctidae Bonaparte, 1838.

  14. Resultados preliminares do implante de lente intra-ocular fácica artisan para correção de miopia Preliminary results of artisan phakic intraocular lens implantation to correct myopia

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    Leonardo Akaishi

    2007-06-01

    Full Text Available OBJETIVOS: Avaliar os resultados preliminares quanto à eficácia, estabilidade e segurança da lente intra-ocular de câmara anterior Artisan em olhos fácicos para correção de miopia. MÉTODOS: Foi analisado retrospectivamente o resultado de 34 olhos fácicos que receberam o implante de lente intra-ocular Artisan para correção de miopia. Os parâmetros avaliados foram: contagem endotelial pré e pós-operatória, acuidade visual sem correção pré e pós-operatória, melhor acuidade visual com correção pré e pós-operatória, equivalente esférico pré e pós-operatório, ganho e perda de linhas de visão e complicações. RESULTADOS: Dezoito pacientes (34 olhos foram incluídos neste estudo. Quatorze eram do sexo feminino (77,8% e 4 do sexo masculino. A idade média dos pacientes era de 30 anos (DP ± 7,3, variando de 21 a 46 anos. O período médio de seguimento foi de 8,5 meses (DP ± 3,6. A média de perda endotelial foi de 4,75% em 6 meses. A acuidade visual sem correção pré-operatória era de 0,02 (20/800 variando de 0,01 a 0,13. O equivalente esférico médio pré-operatório na refração dinâmica era de -13,25 D, variando de -5,75 D a -19,75 D. No último seguimento a acuidade visual sem correção era de 0,64 (20/32 variando de 0,33 a 1,00. O equivalente esférico médio na refração dinâmica era de -1,18 D (DP ± 0,92 variando de + 0,25 a -3,0. Entre as complicações observadas em nosso estudo 1 (3,4% paciente apresentou deslocamento da lente por trauma necessitando de uma segunda intervenção para reposicionamento. CONCLUSÃO: O uso de lente fácica de câmara anterior Artisan para correção de miopia no presente estudo se mostrou seguro, eficaz e com boa previsibilidade. No entanto, estudo prospectivo com maior número de casos e maior seguimento é necessário para determinar a segurança do procedimento a longo prazo.PURPOSE: To observe the preliminary results based on the efficacy, stability and safety of

  15. Does the apodized diffractive intraocular lens Acrysof ReSTOR NaturalTM interfere with FDT Matrix perimetry results? A lente difrativa apodizada Acrysof ReSTOR NaturalTM pode interferir nos resultados da perimetria por FDT Matrix?

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    Karine Duarte Bojikian

    2009-12-01

    Full Text Available PURPOSE: To compare the effect of an apodized diffractive intraocular lens (IOL (Acrysof ReSTOR NaturalTM and its yellow counterpart (Natural IQ TM on frequency doubling technology (FDT perimetry results. METHODS: This study included 37 eyes from 22 patients at the "Centro Oftalmológico Tranjan" who had undergone uncomplicated phacoemulsification and intraocular lens implantation (17 Acrysof ReSTOR NaturalTM, 20 Natural IQ TM performed by the same surgeon, at least three months prior to the study. Patients were subject to frequency doubling technology Matrix Perimeter testing. RESULTS: The patients were between 41 to 79 years old (mean, 70.78 ± 9.83 in the Natural IQ TM and 49 to 81 years old (mean, 67.11± 11.48 in the Acrysof ReSTOR NaturalTM group, and the mean IOP was 13.64 ± 2.02 mmHg in the Natural IQ TM 12.94 ± 1.39 mmHg in the Acrysof ReSTOR NaturalTM group. The mean pupillary diameter under scotopic conditions was 6.63 ± 1.16 mm in the Natural IQ TM group and 7.20 ± 1.8 mm in the Acrysof ReSTOR NaturalTM group (p=0.20. The mean deviation was -1.83 ± 3.46 dB in the Natural IQ TM group and -1.77 ± 3.94 dB in the Acrysof ReSTOR NaturalTM group (p=0.28. The pattern standard deviation was 3.49 ± 0.79 dB in the Natural IQ TM group and 3.20 ± 0.86 dB in the Acrysof ReSTOR NaturalTM group (p=0.27. CONCLUSION: There was no difference in the results of FDT Matrix perimetry in eyes that received apodized diffractive IOLs implant or eyes that received monofocal intraocular lens implant.OBJETIVO: Comparar o efeito da lente difrativa apodizada (Acrysof ReSTOR NaturalTM e da lente de mesma plataforma amarela (Natural IQ TM sobre os resultados da perimetria de dupla frequência (FDT. MÉTODOS: O estudo incluiu 37 olhos de 22 pacientes do Centro Oftalmológico Tranjan que foram submetidos a cirurgia de facoemulsificação e implante de lentes intraoculares (17 Acrysof ReSTOR NaturalTM, 20 Natural IQ TM sem complicações, realizadas pelo mesmo

  16. Correlación entre la localización del lente intraocular, según biomicroscopia ultrasónica,y diferentes parámetros quirúrgicos en pacientes operados de catarata Correlation between the location of the intraocular lens according to ultrasonic biomicroscopy and several surgical parameters in patients operated from cataract

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    Eneida de la C Pérez Candelaria

    2010-01-01

    Full Text Available OBJETIVO: Determinar la correlación entre la localización del lente intraocular en cámara posterior por biomicroscopia ultrasónica, diferentes parámetros quirúrgicos en pacientes operados de catarata. MÉTODOS: Se realizó un estudio descriptivo, prospectivo y transversal en el Instituto Cubano de Oftalmología «Ramón Pando Ferrer», durante el período de enero a junio del 2007. Se estudiaron variables como: edad, sexo, etiología de la catarata, técnica quirúrgica, localización del lente intraocular según biomicroscopia ultrasónica, así como complicaciones transoperatorias y posoperatorias. RESULTADOS: El 79 % de todos los pacientes operados tenían entre 60 y 79 años de edad y algo más de la mitad correspondió al sexo femenino con un 59 %. La catarata senil fue la etiología que predominó con un 74 % y en el 68 % de los casos el lente se localizó por biomicroscopia ultrasónica en el saco capsular. En los ojos donde el lente intraocular se localizó fuera del saco, la proporción de complicaciones transoperatorias y posoperatorias fueron significativamente mayoritarias, mientras que en los ojos donde el lente intraocular se encontraba en el saco, la mayoría no presentó complicaciones transoperatorias ni posoperatorias. CONCLUSIONES: Las diferencias entre las distintas localizaciones del lente intraocular se encontraron con significación estadística en el tipo de catarata, la presencia de complicaciones transoperatorias y posoperatorias, sin embargo, no se encontró relación estadística significativa entre la localización del lente intraocular con la técnica quirúrgica utilizada.OBJECTIVE: To determine the correlation between the location of the intraocular lens in the posterior chamber using ultrasonic biomicroscopy and the different surgical parameters in patients operated from cataract. METHODS: A prospective, descriptive and cross-sectional study was carried out in "Ramón Pando Ferrer" Cuban Institute of

  17. Aspects épidémiologiques des accidents vasculaires cérébraux (AVC) aux urgences de l'institut de cardiologie d'Abidjan (ICA)

    Science.gov (United States)

    N'goran, Yves N'da Kouakou; Traore, Fatou; Tano, Micesse; Kramoh, Kouadio Euloge; Kakou, Jean-Baptiste Anzouan; Konin, Christophe; Kakou, Maurice Guikahue

    2015-01-01

    Introduction L'objectif de notre étude était de décrire les caractéristiques sociodémographiques et les Facteurs de Risque cardio-Vasculaires (FRV) des patients admis pour accidents vasculaires cérébraux (AVC) dans un service autre que celui de la neurologie. Méthodes Étude transversale rétrospective sur une période de 2 ans (janv. 2010 et déc. 2011), réalisée aux urgences de l'institut de cardiologie d'Abidjan. Résultats Il s'agissait de 176 adultes avec un âge moyen de 60 ans, une prédominance féminine. Les facteurs de risque majeurs retrouvés étaient l'hypertension artérielle dans 86,4% des cas, le diabète dans 11,4% des cas, le tabagisme dans 2,2% des cas. Les motifs de consultation étaient la perte de connaissance dans 36,4% des cas, l'hémiplégie dans 31,8% des cas, les céphalées dans 17,4% des cas, les vertiges dans 10,9% et les palpitations dans 2,2% des cas. La tension artérielle systolique moyenne était à 174 mmHg, la tension artérielle diastolique moyenne était à 105 mmHg et la pression pulsée moyenne était à 70 mmHg. Les AVC étaient associés à une arythmie complète par fibrillation auriculaire dans 11,4% des cas. Les AVC ischémiques représentaient 84,1%. L’évolution aux urgences a été marquée par un décès dans 17% (30) des cas. Conclusion Les AVC constituent un problème majeur de santé publique. Malgré sa prédominance féminine, ils (AVC) touchaient 44% des hommes dans notre étude lorsqu'on sait qu'en Afrique l'activité sociale repose sur les hommes. Ils restent une pathologie grave par la forte létalité. PMID:26327997

  18. Duration and urgency of transfer in births planned at home and in freestanding midwifery units in England: secondary analysis of the birthplace national prospective cohort study.

    Science.gov (United States)

    Rowe, Rachel E; Townend, John; Brocklehurst, Peter; Knight, Marian; Macfarlane, Alison; McCourt, Christine; Newburn, Mary; Redshaw, Maggie; Sandall, Jane; Silverton, Louise; Hollowell, Jennifer

    2013-12-05

    In England, there is a policy of offering healthy women with straightforward pregnancies a choice of birth setting. Options may include home or a freestanding midwifery unit (FMU). Transfer rates from these settings are around 20%, and higher for nulliparous women. The duration of transfer is of interest because of the potential for delay in access to specialist care and is also of concern to women. We aimed to estimate the duration of transfer in births planned at home and in FMUs and explore the effects of distance and urgency on duration. This was a secondary analysis of data collected in a national prospective cohort study including 27,842 'low risk' women with singleton, term, 'booked' pregnancies, planning birth in FMUs or at home in England from April 2008 to April 2010. We described transfer duration using the median and interquartile range, for all transfers and those for reasons defined as potentially urgent or non-urgent, and used cumulative distribution curves to compare transfer duration by urgency. We explored the effect of distance for transfers from FMUs and described outcomes in women giving birth within 60 minutes of transfer. The median overall transfer time, from decision to transfer to first OU assessment, was shorter in transfers from home compared with transfers from FMUs (49 vs 60 minutes; p birth for potentially urgent reasons (home 42 minutes, FMU 50 minutes) was 8-10 minutes shorter compared with transfers for non-urgent reasons. In transfers for potentially urgent reasons, the median overall transfer time from FMUs within 20 km of an OU was 47 minutes, increasing to 55 minutes from FMUs 20-40 km away and 61 minutes in more remote FMUs. In women who gave birth within 60 minutes after transfer, adverse neonatal outcomes occurred in 1-2% of transfers. Transfers from home or FMU commonly take up to 60 minutes from decision to transfer, to first assessment in an OU, even for transfers for potentially urgent reasons. Most

  19. Urgências em traumatismos dentários: classificação, características e procedimentos Dental traumatism urgencies: classification, signs and procedures

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    Mariane Emi Sanabe

    2009-12-01

    Full Text Available OBJETIVO: Discutir os aspectos das urgências odontológicas relacionadas aos traumatismos dentários, disponibilizando mais informações para médicos pediatras ou plantonistas de serviços de atendimento de urgências e emergências. FONTES DE DADOS: O levantamento dos dados foi realizado na base de dados Pubmed e Bireme, selecionando os artigos dos últimos 13 anos. As palavras-chave utilizadas foram: traumatismo dentário, dente decíduo e dente permanente. Os critérios de inclusão utilizados foram: artigos em inglês e português sobre incidência, prevalência e etiologia, guias de procedimentos e casos clínicos apenas de traumatismo dentário, sendo excluídos artigos de clareamento de dentes traumatizados, traumas faciais ósseos e casos clínicos de acompanhamento reduzido. SÍNTESE DOS DADOS: Os dados foram descritos de forma concisa para se tornar um guia de fácil leitura e rápido acesso em relação à conduta, necessidade de atendimento imediato e correta escolha de soluções para armazenagem dos dentes e fragmentos. CONCLUSÕES: O conhecimento sobre o assunto, a agilidade no tratamento de urgência e o correto encaminhamento do paciente proporcionam melhor prognóstico.OBJECTIVE: The aim of this literature review is to discuss the clinical aspects of dental urgencies related to dental traumatisms, providing more information for health professionals who work in emergency units, such as pediatricians or physicians on-call and nurses. DATA SOURCE: The studies were searched and selected in the Pubmed and Bireme databases, from the past 13 years. The keywords were: tooth injuries, deciduous tooth and permanent tooth. The inclusion criteria were: articles written in English and Portuguese related to incidence, prevalence, cause, guidelines and case reports of dental traumatism. Studies about dental bleaching in dental trauma, face bone trauma and reduced post-operative case reports were excluded. DATA SYNTHESIS: The data were

  20. Additive Manufacturing Infrared Inspection

    Science.gov (United States)

    Gaddy, Darrell; Nettles, Mindy

    2015-01-01

    The Additive Manufacturing Infrared Inspection Task started the development of a real-time dimensional inspection technique and digital quality record for the additive manufacturing process using infrared camera imaging and processing techniques. This project will benefit additive manufacturing by providing real-time inspection of internal geometry that is not currently possible and reduce the time and cost of additive manufactured parts with automated real-time dimensional inspections which deletes post-production inspections.

  1. The urgency for optimization and harmonization of thyroid hormone analyses and their interpretation in developmental and reproductive toxicology studies.

    Science.gov (United States)

    Beekhuijzen, Manon; Schneider, Steffen; Barraclough, Narinder; Hallmark, Nina; Hoberman, Alan; Lordi, Sheri; Moxon, Mary; Perks, Deborah; Piersma, Aldert H; Makris, Susan L

    2018-05-02

    In recent years several OECD test guidelines have been updated and some will be updated shortly with the requirement to measure thyroid hormone levels in the blood of mammalian laboratory species. There is, however, an imperative need for clarification and guidance regarding the collection, assessment, and interpretation of thyroid hormone data for regulatory toxicology and risk assessment. Clarification and guidance is needed for 1) timing and methods of blood collection, 2) standardization and validation of the analytical methods, 3) triggers for additional measurements, 4) the need for T4 measurements in postnatal day (PND) 4 pups, and 5) the interpretation of changes in thyroid hormone levels regarding adversity. Discussions on these topics have already been initiated, and involve expert scientists from a number of international multisector organizations. This paper provides an overview of existing issues, current activities and recommendations for moving forward. Copyright © 2018 Elsevier Inc. All rights reserved.

  2. [Food additives and healthiness].

    Science.gov (United States)

    Heinonen, Marina

    2014-01-01

    Additives are used for improving food structure or preventing its spoilage, for example. Many substances used as additives are also naturally present in food. The safety of additives is evaluated according to commonly agreed principles. If high concentrations of an additive cause adverse health effects for humans, a limit of acceptable daily intake (ADI) is set for it. An additive is a risk only when ADI is exceeded. The healthiness of food is measured on the basis of nutrient density and scientifically proven effects.

  3. Nueva variante de abordaje al surco ciliar en la fijación transescleral de lentes de cámara posterior New variant of approach to the ciliary sulcus in the transcleral fixation of posterior chamber lens

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    Ileana Vila Dópico

    2002-06-01

    Full Text Available Se expone una variante de abordaje al surco ciliar para la fijación del lente intraocular de cámara posterior, que está a nuestro alcance, en pacientes en que no existe soporte capsular o este es insuficiente. Se describe la técnica. Se realizó en 17 pacientes de los que se obtuvo mejoría visual en todos los casos (20/50-20/20 con un seguimiento promedio de 12 meses. Esta variante tiene la ventaja de evitar el paso de la aguja por el surco ciliar a ciegas, pues se utiliza el abordaje a través de la esclera y con ello evitamos dañar estructuras oculares aledañas evitando el riesgo de complicaciones por lo que se logra la recuperación anatómica y funcional en todos los casos.A variant to approach the ciliary sulcus for fixating the posterior chamber intraocular lens, which is within our reach, in patients with insufficient or no capsular support, is explained. The technique is described here and it was applied to 17 patients. Visual improvement was obtained in all cases (20/50-20/20 with an average follow-up of 12 months. This variant allows to prevent the blind passage of the needle through the ciliary sulcus, since it is approached via the sclera, avoiding to damage adjoining ocular structures and to have complications, and making possible the anatomic and functional recovery of all patients.

  4. Efectividad de la lente intraocular ACRI. SMART 46-S en la cirugía de catarata por microincisiones Effectiveness of the intraocular lens ACRI SMART 46-S in micro-incision cataract surgery

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    Juan Raúl Hernández Silva

    2007-12-01

    Full Text Available El perfeccionamiento y aplicación de una industria destinada a modernizar las lentes intraoculares y el instrumental quirúrgico ha impulsado un conjunto de adelantos que han permitido optimizar, corregir y refinar las técnicas quirúrgicas para la cirugía de la catarata y en especial la facoemulsificación. El punto más importante en esta cadena de adelantos está enmarcado y encaminado a disminuir el tamaño de la incisión quirúrgica que permita solucionar un número importante de complicaciones que con relativa frecuencia se presentan con la aplicación de las técnicas quirúrgicas convencionales extracapsular e intracapsular con incisiones mayores a los 10 mm. Actualmente se han desarrollado técnicas quirúrgicas conocidas como cirugía de la catarata por microincisiones .Se realizó un estudio descriptivo y retrospectivo, cuyo universo estuvo constituido por 27 pacientes (ojos con diagnóstico de catarata presenil y senil, que recibieron tratamiento quirúrgico con la técnica de facoemulsificación por microinsiciones e implante de lente intraocular de cámara posterior de una pieza, plegable de acrílico, de un tamaño de 11 x 6 mm de óptica, modelo Acri. Smart 46 S con inyector, en el Centro de Microcirugía Ocular del Instituto Cubano de Oftalmología “Ramón Pando Ferrer”, en el período comprendido desde enero 2004 hasta enero 2005. Se encontró que la mayoría de los casos tenían más de 50 años, se alcanzó una recuperación significativa de la mejor agudeza visual corregida en el posoperatorio, el astigmatismo inducido fue bajo. En cuanto a los parámetros facodinámicos utilizados, el poder de ultrasonido fue como promedio bajo. Las complicaciones presentadas fueron pocas, salida de vítreo secundaria a rotura de la cápsula posterior ocurrió más frecuentemente. Se concluye que la técnica quirúrgica MICS con implante de lente Acri.Smart 46 S constituye una opción válida, segura y eficaz en el tratamiento de la

  5. Additives in yoghurt production

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    Milna Tudor

    2008-02-01

    Full Text Available In yoghurt production, mainly because of sensory characteristics, different types of additives are used. Each group, and also each substance from the same group has different characteristics and properties. For that reason, for improvement of yoghurt sensory characteristics apart from addition selection, the quantity of the additive is very important. The same substance added in optimal amount improves yoghurt sensory attributes, but too small or too big addition can reduce yoghurt sensory attributes. In this paper, characteristics and properties of mostly used additives in yoghurt production are described; skimmed milk powder, whey powder, concentrated whey powder, sugars and artificial sweeteners, fruits, stabilizers, casein powder, inulin and vitamins. Also the impact of each additive on sensory and physical properties of yoghurt, syneresis and viscosity, are described, depending on used amount added in yoghurt production.

  6. Polylactides in additive biomanufacturing.

    Science.gov (United States)

    Poh, Patrina S P; Chhaya, Mohit P; Wunner, Felix M; De-Juan-Pardo, Elena M; Schilling, Arndt F; Schantz, Jan-Thorsten; van Griensven, Martijn; Hutmacher, Dietmar W

    2016-12-15

    New advanced manufacturing technologies under the alias of additive biomanufacturing allow the design and fabrication of a range of products from pre-operative models, cutting guides and medical devices to scaffolds. The process of printing in 3 dimensions of cells, extracellular matrix (ECM) and biomaterials (bioinks, powders, etc.) to generate in vitro and/or in vivo tissue analogue structures has been termed bioprinting. To further advance in additive biomanufacturing, there are many aspects that we can learn from the wider additive manufacturing (AM) industry, which have progressed tremendously since its introduction into the manufacturing sector. First, this review gives an overview of additive manufacturing and both industry and academia efforts in addressing specific challenges in the AM technologies to drive toward AM-enabled industrial revolution. After which, considerations of poly(lactides) as a biomaterial in additive biomanufacturing are discussed. Challenges in wider additive biomanufacturing field are discussed in terms of (a) biomaterials; (b) computer-aided design, engineering and manufacturing; (c) AM and additive biomanufacturing printers hardware; and (d) system integration. Finally, the outlook for additive biomanufacturing was discussed. Copyright © 2016 Elsevier B.V. All rights reserved.

  7. Comportamento e características de usuários de lentes de contato entre estudantes universitários da área de saúde The behavior and characteristics of contact lens wearers among university students in health related areas

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    Cleusa Coral Ghanem

    2000-04-01

    Full Text Available Objetivo: Estudar o comportamento e características de usuários de lentes de contato ligados à área de saúde. Método: Realizou-se um levantamento entre universitários da área de saúde da Pontifícia Universidade Católica do Paraná, em Curitiba, no período de 23 a 27 de novembro de 1998. Para a coleta de dados foi utilizado um questionário auto-aplicável, previamente testado. Resultados e Discussão: Dentre 1.173 estudantes, 207 (17,2% usavam lentes de contato, sendo 78,3% do sexo feminino e 21,7% do sexo masculino. Eram usuários de lentes rígidas 12,1% e 87,9% utilizavam hidrofílicas, demonstrando um aumento progressivo das últimas quando se compara a estudos nacionais anteriores. Dos usuários de lentes de contato hidrofílicas, 57,6% utilizavam descartáveis e desses 88,5% não as utilizavam de acordo com os padrões de uso e descartabilidade estabelecidos. Do número total de usuários, 37,7% relataram algum problema ocular durante o uso. Embora 97,1% tenham feito a adaptação com o oftalmologista, 14,2% dos usuários de descartáveis não obtiveram novas lentes em clínicas oftalmológicas. Por outro lado, 81,1% procuraram o oftalmologista, semestral ou anualmente, para a revisão da adaptação. Recomendação: Para reduzir o número de complicações e a desistência do uso de lentes de contato, o usuário deve ser educado sobre a forma correta de utilizá-las, ser orientado sobre os sinais e sintomas de alerta para problemas oculares e receber as informações também por escrito.Purpose: To study the behavior and characteristics of contact lens wearers involved in health areas. Methods: To conduct a survey among students of health related courses at the Pontifícia Universidade Católica do Paraná, in Curitiba, during the period from 23rd to 27th November 1998. A previously tested, self-applicable questionnaire was used to collect data. Results and Discussion: Among 1,173 students, 207 (17.2% used contact lenses, of

  8. Additive and polynomial representations

    CERN Document Server

    Krantz, David H; Suppes, Patrick

    1971-01-01

    Additive and Polynomial Representations deals with major representation theorems in which the qualitative structure is reflected as some polynomial function of one or more numerical functions defined on the basic entities. Examples are additive expressions of a single measure (such as the probability of disjoint events being the sum of their probabilities), and additive expressions of two measures (such as the logarithm of momentum being the sum of log mass and log velocity terms). The book describes the three basic procedures of fundamental measurement as the mathematical pivot, as the utiliz

  9. Incidência de opacificação de cápsula posterior em pacientes submetidos à facoemulsificação e implante de lentes intra-oculares acrílicas hidrofílicas expansíveis Incidence of posterior capsule opacification in patients submitted to phacoemulsification and expandable acrylic intraocular lens implantation

    Directory of Open Access Journals (Sweden)

    Hilton Arcoverde Gonçalves de Medeiros

    2006-06-01

    Full Text Available OBJETIVO: Avaliar prospectivamente os resultados das lentes intra-oculares de polímeros expansíveis implantadas em pacientes submetidos à facoemulsificação, quanto à incidência de opacificação de cápsula posterior, levando em consideração a biocompatibilidade das lentes expansíveis. MÉTODOS: O grupo de estudo foi composto por 830 pacientes, 1.200 olhos, que foram submetidos a facoemulsificação, utilizando a mesma técnica, variando-se apenas o diâmetro da capsulorrexe, pelo mesmo cirurgião, no período de 1998 a 2002, com implante de lente intra-ocular hidrofílica expansível. O acompanhamento médio foi de 2,4 anos, variando de seis meses a quatro anos. RESULTADOS: O número total de opacificação de cápsula posterior foi de 54 casos. CONCLUSÃO: A incidência de opacificação de cápsula posterior encontrada no grupo foi de 4,6%.PURPOSE: To evaluate prospectively the results of expandable acrylic intraocular lenses in patients submitted to phacoemulsification as regard posterior capsule opacification. METHODS: The study group consisted of 830 patients, 1,200 eyes that underwent phacoemulsification from 1998 to 2002, by the same surgeon, using the same technique but with different diameters of capsulorrhexis, with expandable hydrophilic acrylic intraocular lens implantation. The mean follow-up was 2.4 years, ranging from 6 months to 4 years. RESULTS: The total number of posterior capsule opacification was 54 cases. CONCLUSIONS: The incidence of posterior capsule opacification was 4.6% in these patients.

  10. Reacción inmunológica a la lente de contacto terapéutico después de cirugía refractiva: Presentación de un caso Immunological reaction to therapeutical contact lens after the refractive surgery: A case presentation

    Directory of Open Access Journals (Sweden)

    Raúl Pérez Suárez

    2007-06-01

    Full Text Available Se presenta un caso de reacción inmunológica a lente de contacto blanda terapéutica después de cirugía refractiva (Epi-Lasik, que presentó infiltrados corneales. Se realizó estudio de las lesiones, seguimiento clínico y se evaluó la respuesta al tratamiento. Los infiltrados desaparecieron rápidamente al retirar la lente de contacto e instaurar tratamiento con esteroides tópicos. El diagnóstico exacto y el manejo apropiado de los infiltrados corneales en pacientes que usan lentes de contacto es de gran importancia por la posibilidad de infección o de secuela visual permanente. La microscopia confocal es un estudio de gran ayuda para el diagnóstico porque permite observar las células inflamadas y la profundidad del proceso inflamatorioA case of immunological reaction to therapeutical soft contact lens after refractive surgery (Epi-Lasik, with corneal infiltrates, was presented. The lesiones were studied; the patient was clinically followed-up with the subsequent evaluation of response to treatment. The infiltrates quickly disappeared when the contact lens was removed and topical steroids-based treatment was applied. The accurate diagnosis and the adequate management of corneal infiltrates in patients wearing contact lenses is of great importance because of possible infections and permanent visual sequelae. Confocal microscopy is a very helpful study for diagnosis since it allows observing inflammatory cells and deep inflammatory process

  11. Food Additives and Hyperkinesis

    Science.gov (United States)

    Wender, Ester H.

    1977-01-01

    The hypothesis that food additives are causally associated with hyperkinesis and learning disabilities in children is reviewed, and available data are summarized. Available from: American Medical Association 535 North Dearborn Street Chicago, Illinois 60610. (JG)

  12. Groups – Additive Notation

    Directory of Open Access Journals (Sweden)

    Coghetto Roland

    2015-06-01

    Full Text Available We translate the articles covering group theory already available in the Mizar Mathematical Library from multiplicative into additive notation. We adapt the works of Wojciech A. Trybulec [41, 42, 43] and Artur Korniłowicz [25].

  13. Groups – Additive Notation

    OpenAIRE

    Coghetto Roland

    2015-01-01

    We translate the articles covering group theory already available in the Mizar Mathematical Library from multiplicative into additive notation. We adapt the works of Wojciech A. Trybulec [41, 42, 43] and Artur Korniłowicz [25].

  14. Implante intra-ocular de lentes dobráveis "piggyback" em paciente portador de catarata congênita no primeiro ano de vida: relato de caso Piggyback foldable intraocular lens implant in patient with congenital cataract in the first year of life: case report

    Directory of Open Access Journals (Sweden)

    Leonardo Akaishi

    2004-12-01

    Full Text Available No presente relato os autores descrevem um caso de catarata congênita unilateral tratada cirurgicamente com implante intra-ocular de lentes dobráveis "piggyback", ainda não descrito na literatura nacional. São analisadas as diferenças e semelhanças com outros casos descritos na literatura.The authors report a case of congenital cataract, which was treated with piggyback foldable intraocular lens implant, not described in the Brazilian literature. The differences and similarities are analyzed with other reported cases in the literature.

  15. Urgences en neuro-ophtalmologie

    DEFF Research Database (Denmark)

    Caignard, A.; Leruez, S.; Milea, D.

    2017-01-01

    Neuro-ophthalmic emergencies can cause life-threatening or sight-threatening complications. Various conditions may have acute neuro-ophthalmic manifestations, including inflammatory or ischemic processes, as well as tumoral, aneurysmal compression or metabolic and systemic diseases. Diplopia...

  16. Alternative additives; Alternative additiver

    Energy Technology Data Exchange (ETDEWEB)

    2007-08-15

    In this project a number of industrial and agricultural waste products have been characterised and evaluated in terms of alkali-getter performance. The intended use is for biomass-fired power stations aiming at reducing corrosion or slagging related problems. The following products have been obtained, characterised and evaluated: 1) Brewery draff 2) Danish de-gassed manure 3) Paper sludge 4) Moulding sand 5) Spent bleaching earth 6) Anorthosite 7) Sand 8) Clay-sludge. Most of the above alternative additive candidates are deemed unsuitable due to insufficient chemical effect and/or expensive requirements for pre-treatment (such as drying and transportation). 3 products were selected for full-scale testing: de-gassed manure, spent bleaching earth and clay slugde. The full scale tests were undertaken at the biomass-fired power stations in Koege, Slagelse and Ensted. Spent bleaching earth (SBE) and clay sludge were the only tested additive candidates that had a proven ability to react with KCl, to thereby reduce Cl-concentrations in deposits, and reduce the deposit flux to superheater tubes. Their performance was shown to nearly as good as commercial additives. De-gassed manure, however, did not evaluate positively due to inhibiting effects of Ca in the manure. Furthermore, de-gassed manure has a high concentration of heavy metals, which imposes a financial burden with regard to proper disposal of the ash by-products. Clay-sludge is a wet clay slurring, and drying and transportation of this product entails substantial costs. Spent bleaching does not require much pre-treatment and is therefore the most promising alternative additive. On the other hand, bleaching earth contains residual plant oil which means that a range of legislation relating to waste combustion comes into play. Not least a waste combustion fee of 330 DKK/tonne. For all alternative (and commercial) additives disposal costs of the increase ash by-products represents a significant cost. This is

  17. Empleo de filtros en lentes de contacto

    OpenAIRE

    López de Dueñas, María

    2016-01-01

    Gracias al ozono de la estratosfera y a los tejidos oculares a la retina sólo llegan, la luz visible y una pequeña parte de UVA, e IRA. Cuando la radiación entra en un tejido vivo destruye o modifica enlaces provocando anormalidades celulares. Aunque el ojo solo absorbe una pequeña cantidad de radiación el daño que causa depende del tiempo de exposición. Por esto se usan filtros ópticos, dispositivos que disminuyen el paso de un determinado intervalo de longitudes de onda. Estos filtros se añ...

  18. Festina Lente. Pospíchej pomalu

    Czech Academy of Sciences Publication Activity Database

    Hanika, Jiří

    2008-01-01

    Roč. 102, č. 11 (2008), s. 955-956 ISSN 0009-2770 Institutional research plan: CEZ:AV0Z40720504 Keywords : fuel consumption * carbon dioxide production * environment Subject RIV: CI - Industrial Chemistry, Chemical Engineering Impact factor: 0.593, year: 2008

  19. Model Additional Protocol

    International Nuclear Information System (INIS)

    Rockwood, Laura

    2001-01-01

    Since the end of the cold war a series of events has changed the circumstances and requirements of the safeguards system. The discovery of a clandestine nuclear weapons program in Iraq, the continuing difficulty in verifying the initial report of Democratic People's Republic of Korea upon entry into force of their safeguards agreement, and the decision of the South African Government to give up its nuclear weapons program and join the Treaty on the Non-Proliferation of Nuclear Weapons have all played a role in an ambitious effort by IAEA Member States and the Secretariat to strengthen the safeguards system. A major milestone in this effort was reached in May 1997 when the IAEA Board of Governors approved a Model Protocol Additional to Safeguards Agreements. The Model Additional Protocol was negotiated over a period of less than a year by an open-ended committee of the Board involving some 70 Member States and two regional inspectorates. The IAEA is now in the process of negotiating additional protocols, State by State, and implementing them. These additional protocols will provide the IAEA with rights of access to information about all activities related to the use of nuclear material in States with comprehensive safeguards agreements and greatly expanded physical access for IAEA inspectors to confirm or verify this information. In conjunction with this, the IAEA is working on the integration of these measures with those provided for in comprehensive safeguards agreements, with a view to maximizing the effectiveness and efficiency, within available resources, the implementation of safeguards. Details concerning the Model Additional Protocol are given. (author)

  20. Qualidade de vida de pacientes pseudofácicos submetidos à cirurgia de catarata com implante de lente intra-ocular acomodativa Quality of life of pseudophakic patients with accommodative intraocular lens implant

    Directory of Open Access Journals (Sweden)

    Filipe de Oliveira

    2004-06-01

    Full Text Available OBJETIVO: Avaliar a função visual e satisfação dos pacientes submetidos à cirurgia de catarata com implante de lente intra-ocular acomodativa e o impacto na sua qualidade de vida. MÉTODOS: Retrospectivamente, foram avaliados questionários aplicados após um ano da cirurgia de 22 pacientes que foram incluídos num estudo clínico para avaliar segurança e eficácia de uma lente intra-ocular de silicone de câmara posterior designada para corrigir visão para longe e perto. RESULTADOS: Do total dos pacientes operados, 16 (73% eram bilaterais e 6 (27% unilaterais, com idade média de 70,2 anos. Dos pacientes com implante unilateral, 5 (83,3% declararam melhora acentuada da visão e 1 (16,7% referiu máxima melhora. Quanto ao nível de satisfação, 5 (83,3% ficaram satisfeitos e 1 (16,7% muito satisfeito com o resultado cirúrgico. A visão noturna foi declarada como sem dificuldade por 3 (50,0%, pouca dificuldade por 2 (33,3% e dificuldade moderada por 1 (16,7%. No grupo bilateral, 7 (43,8% consideraram excelente a qualidade da visão para perto, 7 (43,8% muito boa, 1 (6,2% adequada e 1 (6,2% ruim. A visão intermediária foi classificada como excelente por 6 (37,5%, muito boa por 9 (56,3% e adequada por 1 (6,2%. A qualidade da visão para longe foi considerada excelente por 9 (56,3%, muito boa por 3 (43,8%, adequada por 2 (12,5% e não muito boa por 2 (12,5%. Em relação à visão noturna 9 (56,3% declararam não ter dificuldade alguma, 5 (31,2% pouca dificuldade e 2 (12,5% dificuldade moderada. CONCLUSÕES: Considerando a propriedade óptica da LIO, a maioria dos pacientes apresentou uma melhora considerável da função visual, sem a necessidade de correção óptica, e, portanto, com impacto positivo na qualidade de vida.PURPOSE: To evaluate the visual function and satisfaction of patients who underwent cataract surgery and were implanted with an accommodative intraocular lens and the impact in their quality of life. METHODS

  1. ADDITIVES FOR COLD ASPHALT-CONCRETE MADE FROM EMULSION-MINERAL MIXES

    Directory of Open Access Journals (Sweden)

    P. V. Vavilov

    2015-01-01

    Full Text Available The article considers the additives use for cold asphalt emulsion mixes. Urgency of the issue consists in the necessity of usage justification and regulation of additive for cold mixes properties adjustment. The article is represented as the general result of analysis of regulatory, literary and other sources related to additive using for CAEM.The main part of the article proposes and justifies the classification of CAEM additives according to their functional purpose (the main purpose of additive: increasing of strength, water resistance, durability, regulating curing and technological modifiers. Depending on the purpose the criteria of technical efficiency of additive using are presented. For each criteria provided the methods determining one or more quality indicators. The quality indicator changing is indicator of additive efficiency. There is provided the formula determining the efficiency of CAEM curing period reduction additives. As an example provided efficiency calculation and evaluation of additives for regulation (acceleration CAEM curing according to the previously published experimental data. The efficiency of curing regulating additives was determined according to the function of temporal changes of CAEM compressing strength and dynamic modulus of elasticity.The article provides the example list of materials that could be or currently used as additives for cold mixes. The conclusion states that proposed classification and criteria give base to purposive regulation of cold asphalt emulsion mixture compositions and their properties.

  2. Additive manufacturing of metals

    International Nuclear Information System (INIS)

    Herzog, Dirk; Seyda, Vanessa; Wycisk, Eric; Emmelmann, Claus

    2016-01-01

    Additive Manufacturing (AM), the layer-by layer build-up of parts, has lately become an option for serial production. Today, several metallic materials including the important engineering materials steel, aluminium and titanium may be processed to full dense parts with outstanding properties. In this context, the present overview article describes the complex relationship between AM processes, microstructure and resulting properties for metals. It explains the fundamentals of Laser Beam Melting, Electron Beam Melting and Laser Metal Deposition, and introduces the commercially available materials for the different processes. Thereafter, typical microstructures for additively manufactured steel, aluminium and titanium are presented. Special attention is paid to AM specific grain structures, resulting from the complex thermal cycle and high cooling rates. The properties evolving as a consequence of the microstructure are elaborated under static and dynamic loading. According to these properties, typical applications are presented for the materials and methods for conclusion.

  3. Additive manufactured serialization

    Science.gov (United States)

    Bobbitt, III, John T.

    2017-04-18

    Methods for forming an identifying mark in a structure are described. The method is used in conjunction with an additive manufacturing method and includes the alteration of a process parameter during the manufacturing process. The method can form in a unique identifying mark within or on the surface of a structure that is virtually impossible to be replicated. Methods can provide a high level of confidence that the identifying mark will remain unaltered on the formed structure.

  4. Urgencias habitacionales, fantasías de salvación y retorno del desamparo Housing urgencies, salvation fantasies and the return of neglect

    Directory of Open Access Journals (Sweden)

    Margarita Robertazzi

    2010-12-01

    Full Text Available Se presentan resultados parciales obtenidos durante el desarrollo de la investigación "Narrativas del desamparo: conformismo, mesianismo, opciones críticas", que aborda la problemática de grupos familiares marginalizados por condiciones precarias de trabajo y de hábitat, así como el análisis de políticas públicas, privadas y autogestionadas para la atención de esa problemática. Es un estudio de casos múltiples, intencionalmente seleccionados, que se realiza con método cualitativo, en el que se administran técnicas conversacionales, observacionales y documentales. En este artículo se analizan tres casos en los que es posible detectar protagonismo en la transformación de la urgencia habitacional, a pesar de que los niveles de desamparo no son homogéneos. En todos ellos se identifica una combinación de los modos preponderantes de subjetivación, así como el papel que juegan los distintos actores sociales en su gestión/resolución, atendiendo especialmente las representaciones y tendencias ligadas a los destinatarios de políticas sociales.Short term results obtained during the development of research work on "Stories of the neglected: conformity, messianism, critical options" are presented in this article. It approaches problems of family groups socially excluded because of precarious working and habitat (housing conditions, as well as the analysis of public, private, and self management policies intended to deal with these problems. It is a study of multiple, intentionally selected cases, performed with qualitative method, in which conversational, observational and documentary techniques are administered. Three cases are analyzed in which it is possible to notice protagonism in the process of transformation of housing urgency, in spite of the fact that the levels of neglect are not equivalent. In all of them it is possible to identify a combination of the main processes of subjectivity formation, as well as the role played by

  5. BWR zinc addition Sourcebook

    International Nuclear Information System (INIS)

    Garcia, Susan E.; Giannelli, Joseph F.; Jarvis, Alfred J.

    2014-01-01

    Boiling Water Reactors (BWRs) have been injecting zinc into the primary coolant via the reactor feedwater system for over 25 years for the purpose of controlling primary system radiation fields. The BWR zinc injection process has evolved since the initial application at the Hope Creek Nuclear Station in 1986. Key transitions were from the original natural zinc oxide (NZO) to depleted zinc oxide (DZO), and from active zinc injection of a powdered zinc oxide slurry (pumped systems) to passive injection systems (zinc pellet beds). Zinc addition has continued through various chemistry regimes changes, from normal water chemistry (NWC) to hydrogen water chemistry (HWC) and HWC with noble metals (NobleChem™) for mitigation of intergranular stress corrosion cracking (IGSCC) of reactor internals and primary system piping. While past reports published by the Electric Power Research Institute (EPRI) document specific industry experience related to these topics, the Zinc Sourcebook was prepared to consolidate all of the experience gained over the past 25 years. The Zinc Sourcebook will benefit experienced BWR Chemistry, Operations, Radiation Protection and Engineering personnel as well as new people entering the nuclear power industry. While all North American BWRs implement feedwater zinc injection, a number of other BWRs do not inject zinc. This Sourcebook will also be a valuable resource to plants considering the benefits of zinc addition process implementation, and to gain insights on industry experience related to zinc process control and best practices. This paper presents some of the highlights from the Sourcebook. (author)

  6. Teardrop bladder: additional considerations

    International Nuclear Information System (INIS)

    Wechsler, R.J.; Brennan, R.E.

    1982-01-01

    Nine cases of teardrop bladder (TDB) seen at excretory urography are presented. In some of these patients, the iliopsoas muscles were at the upper limit of normal in size, and additional evaluation of the perivesical structures with computed tomography (CT) was necessary. CT demonstrated only hypertrophied muscles with or without perivesical fat. The psoas muscles and pelvic width were measured in 8 patients and compared with the measurements of a control group of males without TDB. Patients with TDB had large iliopsoas muscles and narrow pelves compared with the control group. The psoas muscle width/pelvic width ratio was significantly greater (p < 0.0005) in patients with TDB than in the control group, with values of 1.04 + 0.05 and 0.82 + 0.09, respectively. It is concluded that TDB is not an uncommon normal variant in black males. Both iliopsoas muscle hypertrophy and a narrow pelvis are factors that predispose a patient to TDB

  7. Sewage sludge additive

    Science.gov (United States)

    Kalvinskas, J. J.; Mueller, W. A.; Ingham, J. D. (Inventor)

    1980-01-01

    The additive is for a raw sewage treatment process of the type where settling tanks are used for the purpose of permitting the suspended matter in the raw sewage to be settled as well as to permit adsorption of the dissolved contaminants in the water of the sewage. The sludge, which settles down to the bottom of the settling tank is extracted, pyrolyzed and activated to form activated carbon and ash which is mixed with the sewage prior to its introduction into the settling tank. The sludge does not provide all of the activated carbon and ash required for adequate treatment of the raw sewage. It is necessary to add carbon to the process and instead of expensive commercial carbon, coal is used to provide the carbon supplement.

  8. Measurement of the anti reactivity of a control rod of G1, by a slow oscillation method; Mesure de l'antireactivite d'une barre de reglage de G1 pour une methode d'oscillation lente

    Energy Technology Data Exchange (ETDEWEB)

    Breton, D; Leroy, J; Vidal, R [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1957-07-01

    It is possible to determine the effect of the end of a control rod on the reactivity of the pile by measuring the modulation induced in the neutron flux by the slow oscillation of this control rod. The total effect of the control rod can be deduced, given certain hypothesis and corrections, from the experimental curve giving the effect of the end of the rod as a function of its position. This method has the advantage of permitting the measurement of very large anti reactivities, such as p= 10{sup -2} for example, which would not be possible by other kinetic methods. Thus the control rod B{sub 3}, in the low position, brings about a reduction in reactivity equal to 1130 p.c.m. {+-} 30 in the pile charged with 518 fuel elements, on one side only of the slit. We have compared the oscillation method with the classical divergence method, in the fields where the two measurements were possible: a satisfactory agreement was found. We have established that the phase displacement between the oscillation of the rod and the modulation of the flux varied greatly with the position of the rod. This variation cannot be explained on the basis of the dynamic model independent of space; we have attributed it to the influence of spatial harmonics of the flux distribution, and have determined a correction which frees the measurements of this influence. (author) [French] II est possible de determiner l'effet de l'extremite d'une barre de reglage sur la reactivite de la pile, a partir de la mesure de la modulation induite dans le flux neutronique par l'oscillation lente de cette barre de reglage. L'effet total de la barre de reglage peut etre deduit, moyennant certaines hypotheses et certaines corrections, de la courbe experimentale donnant l'effet de l'extremite de la barre en fonction de sa position. Cette methode a l'avantage de rendre possible la mesure d'antireactivites tres grandes, telles que p = 10{sup -2} par exemple, ce qui ne serait pas possible par d'autres methodes

  9. Informations et satisfactions de l'accouchement dystocique : à propos de 85 patientes ayant eu recours à une extraction instrumentale ou à une césarienne en urgence à terme

    OpenAIRE

    Dupré, Laura

    2012-01-01

    Introduction : Actuellement, en France, 33.1% des accouchements nécessitent l'intervention de l'obstétricien pour une extraction instrumentale ou une césarienne en urgence. Le caractère imprévisible et urgent des situations obstétricales per partum est susceptible de modifier la satisfaction maternelle et du couple. Les cours de PNP représentent un moyen d'information préalable des patientes face à ce type de naissance. Objectifs : L'objectif principal de notre étude était d'évaluer le nombre...

  10. Additive lattice kirigami.

    Science.gov (United States)

    Castle, Toen; Sussman, Daniel M; Tanis, Michael; Kamien, Randall D

    2016-09-01

    Kirigami uses bending, folding, cutting, and pasting to create complex three-dimensional (3D) structures from a flat sheet. In the case of lattice kirigami, this cutting and rejoining introduces defects into an underlying 2D lattice in the form of points of nonzero Gaussian curvature. A set of simple rules was previously used to generate a wide variety of stepped structures; we now pare back these rules to their minimum. This allows us to describe a set of techniques that unify a wide variety of cut-and-paste actions under the rubric of lattice kirigami, including adding new material and rejoining material across arbitrary cuts in the sheet. We also explore the use of more complex lattices and the different structures that consequently arise. Regardless of the choice of lattice, creating complex structures may require multiple overlapping kirigami cuts, where subsequent cuts are not performed on a locally flat lattice. Our additive kirigami method describes such cuts, providing a simple methodology and a set of techniques to build a huge variety of complex 3D shapes.

  11. Additive Manufactured Superconducting Cavities

    Science.gov (United States)

    Holland, Eric; Rosen, Yaniv; Woolleet, Nathan; Materise, Nicholas; Voisin, Thomas; Wang, Morris; Mireles, Jorge; Carosi, Gianpaolo; Dubois, Jonathan

    Superconducting radio frequency cavities provide an ultra-low dissipative environment, which has enabled fundamental investigations in quantum mechanics, materials properties, and the search for new particles in and beyond the standard model. However, resonator designs are constrained by limitations in conventional machining techniques. For example, current through a seam is a limiting factor in performance for many waveguide cavities. Development of highly reproducible methods for metallic parts through additive manufacturing, referred to colloquially as 3D printing\\x9D, opens the possibility for novel cavity designs which cannot be implemented through conventional methods. We present preliminary investigations of superconducting cavities made through a selective laser melting process, which compacts a granular powder via a high-power laser according to a digitally defined geometry. Initial work suggests that assuming a loss model and numerically optimizing a geometry to minimize dissipation results in modest improvements in device performance. Furthermore, a subset of titanium alloys, particularly, a titanium, aluminum, vanadium alloy (Ti - 6Al - 4V) exhibits properties indicative of a high kinetic inductance material. This work is supported by LDRD 16-SI-004.

  12. Comparação da análise da frente de onda e da sensibilidade ao contraste em olhos pseudofácicos com implante de lentes intra-oculares esférica e asférica Wavefront analysis and contrast sensitivity comparison between spheric and aspheric intraocular lenses

    Directory of Open Access Journals (Sweden)

    Wilson Takashi Hida

    2008-06-01

    Full Text Available OBJETIVO: Comparar a análise da frente de onda e a sensibilidade de contraste pós-operatórias em pacientes submetidos à facoemulsificação com implante de lentes intra-oculares esféricas num olho e asféricas no olho contralateral. MÉTODOS: Este estudo prospectivo comparativo, randomizado, duplo-cego, incluiu 32 olhos de 16 pacientes. Uma avaliação oftalmológica completa foi realizada durante as visitas antes e depois da cirurgia (no primeiro, terceiro, sétimo, e nonagésimo dias pós-cirúrgicos, que incluiu acuidade visual, teste de sensibilidade ao contraste, aberrometria. Todos exames (menos aberrometr=ia foram feitos monocularmente com pupilas não dilatadas. Os pacientes foram submetidos a facectomia ultra-sônica convencional com implante de uma lente asférica SN60WF num olho e esférica SN60ATno outro. RESULTADOS: A acuidade visual média com a melhor correção foi -0,146 LogMAR no grupo da lente intra-ocular esférica, e -0.165 logMAR no grupo da lente intra-ocular asférica sob condições fotópicas, -0,003 LogMAR sob condições mesópicas. A sensibilidade ao contraste foi semelhante em ambos os grupos tanto em condições fotópicas e mesópicas. Em relação às aberrações ópticas ocorreu uma diferença significativa nas aberrações totais (1,09 ± 0,56 no grupo asférico e 1,52 ± 1,19 no grupo esférico e no componente esférico das aberrações de alta ordem(0,422 ± 0,202 no grupo asférico e 0,124 ± 0,087 no grupo esférico. CONCLUSÃO: As duas lentes intra-oculares promoveram uma excelente visão em situações de alto contraste, e os olhos implantados com a lente asférica tiveram menos aberrações totais e esféricas que aqueles implantados com a lente esférica.PURPOSE: Compare the wavefront and contrast sensitivity of bilateral pseudophakic patients with aspheric in one eye and spheric intraocular lenses in the other. METHODS: This prospective, comparative, randomized study, double masked, included 32

  13. Avaliação do edema macular após cirurgia não complicada de facoemulsificação com implante de lente intraocular por meio da tomografia de coerência óptica spectral domain

    Directory of Open Access Journals (Sweden)

    Everton Paroschi Corrêa

    2013-12-01

    Full Text Available OBJETIVO: Avaliar o edema macular após cirurgia não complicada de facoemulsificação com implante de lente intraocular por meio da tomografia de coerência óptica spectral domain (OCT-SD. MÉTODOS: Foi realizado estudo prospectivo em 62 olhos de pacientes submetidos à facoemulsificação com implante de lente intraocular. Os pacientes foram avaliados antes e após a cirurgia, no primeiro dia, e na primeira, segunda e quarta semanas. Acuidade visual (AV, células na câmara anterior e tomografia de coerência óptica macular cubo 200x200 foram medidos. RESULTADOS: Após a cirurgia de facoemulsificação houve melhora da acuidade visual, inflamação decrescente, e a espessura e o volume macular aumentaram. Ocorreu um caso de edema macular cistoide. Houve correlação inversa fraca entre a acuidade visual e a espessura macular central, e entre a acuidade visual e o volume macular. Foi observada correlação direta fraca entre a inflamação e o volume macular. CONCLUSÃO: Edema macular subclínico desenvolve-se mesmo após cirurgia de catarata não complicada em pacientes não predispostos. A tomografia de coerência óptica spectral domain foi capaz de detectar pequenos aumentos na espessura macular no período avaliado.

  14. Análise da fórmula SRK/T no cálculo de lente intra-ocular em cães portadores de catarata Analysis of the SRK/T formula for calculation of intra-ocular lens in dogs carrying cataract

    Directory of Open Access Journals (Sweden)

    T.P. Peixoto

    2008-12-01

    Full Text Available Foram utilizados 20 cães de raças e idades variadas, machos e fêmeas, portadores de catarata e não diabéticos, os quais foram submetidos ao exame oftálmico. Posteriormente, realizaram-se mensurações oculares empregando-se um ecobiômetro ultra-sônico (ultra-sonografia modo-A para o cálculo do poder dióptrico da lente intra-ocular por meio da fórmula SRK/T. O comprimento axial médio foi de 19,94±1,12mm. Todos os animais foram submetidos à facoemulsificação extracapsular. A lente calculada foi implantada no transoperatório da cirurgia de catarata, obtendo-se média de 37,33±3,05D. A avaliação pós-cirúrgica do erro refracional aos 60 dias de pós-operatório, pela retinoscopia, com a utilização da esquiascopia, foi de 5,57±1,59D. A fórmula SRK/T não ofereceu bons resultados.Twenty males and females non-diabetic dogs of different breeds and ages underwent ophthalmic examination because they presented catarats. Ocular measurements were performed by echobiometry (A-scan ultrasound for intraocular lens power calculation using the SRK/T formula. The obtained mean axial length was 19.94±1.12mm. All animals were submitted to extracapsular phacoemulsification; the mean intraocular lens power implanted was 37.33±3.05. At 60 days postoperative, the refractional error assessed via retinoscopy was 5.57±1.59 D. The SRK/T formula did not offer good results.

  15. Modelagem e Simulação da Polimerização Termo e Foto-Iniciada de Resinas Di-Carbonato Di-Alila do Etileno Glicol para a Produção de Lentes Oftálmicas

    Directory of Open Access Journals (Sweden)

    Brogna Fábio M. S.

    2002-01-01

    Full Text Available O polímero termofixo conhecido comercialmente como CR-39 é amplamente utilizado em aplicações ópticas. No processo convencional, utilizam-se peróxidos orgânicos como termo-iniciadores da polimerização. Devido à natureza altamente exotérmica da reação de polimerização, esse processo deve ser conduzido em baixas temperaturas e ocorre lentamente para se evitar defeitos, especialmente no caso de se produzir lentes mais espessas. A utilização de foto-iniciação com ultravioleta, por exemplo, permite uma polimerização mais rápida e reduz os efeitos exotérmicos da reação; por outro lado, a alta taxa de reação e a rápida liberação de calor podem causar defeitos nas lentes. O conhecimento dos perfis de temperatura e de conversão dentro do material durante a polimerização é essencial para se otimizar os processos, tanto termo quanto foto-iniciado. Neste trabalho são estudados modelos para simular esses processos. Os balanços de massa e de energia resultam em equações diferenciais parciais que são resolvidas através do método da Colocação Ortogonal e do método de Runge-Kutta-Gill.

  16. Influents locaux face à une situation d'urgence: une analyse selon l'hypothèse d'une éruption du volcan Cotopaxi (Equateur

    Directory of Open Access Journals (Sweden)

    1991-01-01

    Full Text Available En raison de leur statut social, leur fonction, leur savoir ou leur personnalité, certains individus exercent, en temps normal, une influence volontaire ou involontaire sur les collectivités locales, à l'échelle du village, du quartier ou de l'entreprise. Lorsqu'un problème grave et inhabituel se présente, ces individus, que les auteurs nomment ici 'influents locaux' (autorités politiques, prêtres, enseignants, médecins, etc., ont un rôle fondamental à jouer vis-à-vis de leur communauté qui ne manque pas de les solliciter pour obtenir des informations sur ce qu'il se passe et sur ce qu'il convient de faire. C'est notamment le cas durant le court laps de temps - jours, et surtout heures, minutes - qui précède une catastrophe naturelle prévisible. Dans ce contexte et, s'appuyant sur une enquête réalisée en 1989, l'article considère le cas des influents locaux des provinces du Pichincha et du Cotopaxi (Equateur, les plus menacées par le volcan Cotopaxi. En dépit de contrastes régionaux et catégoriels notables, peu d'entre eux seraient aptes à affronter une situation d'urgence. Plus grave encore, est l'attitude que ceux-ci sont susceptibles d'adopter en pareille occasion. Sans une préparation préalable spécifique, les influents locaux de la région du Cotopaxi pourraient être à la fois sources d'erreurs et de conflits potentiels lourds de conséquences pour la population si le volcan se manifestait de nouveau. 'INFLUENTES LOCALES' FRENTE A UNA EMERGENCIA: UN ANÁLISIS EN LA HIPÓTESIS DE UNA ERUPCIÓN DEL VOLCÁN COTOPAXI (ECUADOR. Debido a su posición social, su función, su saber o su personalidad, ciertas personas ejercen habitualmente una influencia voluntaria o involuntaria sobre las colectividades locales, a nivel de los pueblos, de los barrios o de las empresas. Cuando ocurre un problema grave e inhabitual, estas personas, que los autores del artículo llaman 'influyentes locales' (autoridades políticas, p

  17. effects of sulphur addition on addition on and mechanical properties

    African Journals Online (AJOL)

    User

    234-8034714355. 8034714355. 1. EFFECTS OF SULPHUR ADDITION ON. ADDITION ON. 2. AND MECHANICAL PROPERTIES O. 3. 4. C. W. Onyia. 5. 1DEPT. OF METALLURGICAL AND MATERIALS. 6. 2, 4DEPT. OF METALLURGICAL ...

  18. Comparação entre os resultados pós-operatórios de pacientes submetidos ao procedimento tríplice e transplante de córnea combinado a fixação secundária de lente intra-ocular Comparison between the postoperative results of triple procedure and combined penetrating keratoplasty/ transsclerally sutured posterior chamber lens implantation

    Directory of Open Access Journals (Sweden)

    Daniela Maggioni Pereira Leão

    2006-08-01

    Full Text Available OBJETIVO: Comparar os resultados pós-operatórios de 2 grupos de pacientes submetidos a transplante de córnea com técnicas e tempo cirúrgico diferentes, em relação à abordagem do cristalino e/ou lente intra-ocular. MÉTODOS: Neste estudo retrospectivo foram analisados 37 olhos de pacientes divididos em 2 grupos: extração de catarata, implante de lentes intra-oculares (LIO e transplante de córnea no mesmo tempo cirúrgico - grupo 1 (G1 e extração de catarata sem implante de lentes intra-oculares no primeiro tempo cirúrgico e fixação secundária de lentes intra-oculares associada a transplante de córnea no segundo tempo cirúrgico - grupo 2 (G2. As variáveis estudadas foram: acuidade visual, pressão intra-ocular (PIO, astigmatismo refracional, astigmatismo ceratométrico e complicações pós-operatórias. RESULTADOS: Foi observado melhora da acuidade visual nos 2 grupos (G1 pPURPOSE: To compare the outcomes of two surgical techniques of penetrating keratoplasty with different surgical time, regarding the crystalline and the intraocular lens. METHODS: This retrospective study included 37 patients' eyes divided into 2 groups: extracapsular cataract extraction, posterior chamber intraocular lens implantation and penetrating keratoplasty (Group 1, G1 and transscleral fixation of posterior chamber lens and penetrating keratoplasty (Group 2, G2. The following parameters were recorded: visual acuity, intraocular pressure, refractive astigmatism, complication and keratometric astigmatism. RESULTS: Visual acuity improved in the two groups (G1 p<0.001 and G2 p=0.008. In G2 a significant change for the worse of intraocular pressure outcome was observed when compared with the other group (p=0.014. Regarding refractive and keratometric astigmatism no significant differences between the groups were found. The follow-up was 11 months. CONCLUSION: The most important negative prognostic factor affecting visual acuity was the postkeratoplasty

  19. ADDITIVES USED TO OBTAIN FOOD

    Directory of Open Access Journals (Sweden)

    Dorina Ardelean

    2012-01-01

    Full Text Available Use of food additives in food is determined by the growth of contemporary food needs of the world population. Additives used in food, both natural and artificial ones, contribute to: improving the organoleptic characteristics and to preserve the food longer, but we must not forget that all these additives should not be found naturally in food products. Some of these additives are not harmful and human pests in small quantities, but others may have harmful effects on health.

  20. Refractive error changes in children with intermittent exotropia under overminus lens therapy Alterações nos vícios refracionais em crianças com exotropia intermitente submetidas ao tratamento por meio da hipercorreção com lentes negativas

    Directory of Open Access Journals (Sweden)

    Jayter Silva de Paula

    2009-12-01

    Full Text Available PURPOSE: Intermittent exotropia may be decreased by stimulation of accommodative convergence. Once excessive accommodation has been related to myopia, our objective was to evaluate refractive errors changes in children under overcorrecting minus lens therapy. METHODS: A retrospective chart review of 21 children with intermittent exotropia was performed. All patients were treated with occlusion, and a 13-patient subset of them received overminus lens therapy (group A. Eight children received spectacles as necessary (group B. Initial age, age interval, initial spherical equivalent (SE, and magnitude of overcorrection were considered as co-variables of the mean variation in refractive error (SE of each eye between groups, through a multivariate analysis. RESULTS: Overcorrection used in group A ranged from 0.5 D to 3.5 D (2.46 ± 0.87 D. Although initial SE of each eye was significant different between group A and B (OD - p=0.02; OS - p=0.01, initial age (p=0.69, age interval (p=0.90, and mean variation in refractive errors (p=0.36 did not differ between groups. Multivariate analysis with linear regression showed no significantly difference regarding all co-variables enrolled. CONCLUSIONS: Treatment of intermittent exotropia with overcorrecting minus lens did not induce refractive errors changes, even considering age, treatment period, initial spherical equivalent and overcorrection magnitude used.OBJETIVO: A exotropia intermitente pode ser diminuída pela estimulação da convergência acomodativa. Uma vez que uma acomodação excessiva tem sido relacionada à miopização, o objetivo deste trabalho foi o de avaliar alterações nos vícios de refração de crianças submetidas à hipercorreção com lentes negativas. MÉTODOS: Foi realizada revisão dos prontuários de 21 crianças com exotropia intermitente. Todos os pacientes foram tratados com oclusão, sendo que 13 deles foram submetidos à hipercorreção com lentes negativas (grupo A. As 8

  1. Estudo prospectivo comparativo de duas técnicas cirúrgicas de extração extra-capsular planejada de catarata com implante de lente intra-ocular: incisão limbar e incisão escleral tunelizada Prospective comparative study of two techniques of planned extracapsular cataract extraction: limbal incision and scleral tunnel incision

    Directory of Open Access Journals (Sweden)

    Lincoln Lemes Freitas

    2001-06-01

    Full Text Available Introdução: A catarata é responsável por 50% da cegueira no mundo, com um número estimado de 15 milhões de casos que necessitariam cirurgia. Diferentes técnicas para a extração extra-capsular da catarata com implante de lente intra-ocular foram propostas. Objetivo: Comparar as técnicas para extração extra-capsular de catarata com implante de lente intra-ocular utilizando incisão limbar e incisão escleral tunelizada. Métodos: Foram avaliados, prospectivamente, 59 olhos de 54 pacientes com acompanhamento pós-operatório de 6 meses. Aleatoriamente, os pacientes foram divididos em dois grupos. No Grupo I (n=30, a técnica realizada foi a de extração extra-capsular com implante de lente intra-ocular com incisão limbar e no Grupo II (n=29, com incisão tunelizada. Foram avaliadas as medidas da acuidade visual corrigida, inflamação intra-ocular (células e "flare", tempo de cirurgia, microscopia especular, astigmatismo ceratométrico induzido e paquimetria. Resultados: O tempo de cirurgia, a perda de células endoteliais e o astigmatismo ceratométrico induzido foram estatisticamente maiores no Grupo I que no Grupo II. Não houve diferença estatisticamente significante entre os grupos I e II quanto à acuidade visual, a quantidade de células na câmara anterior, a quantidade de "flare" na câmara anterior e paquimetria. Conclusão: A técnica para extração extra-capsular de catarata com incisão tunelizada apresentou vantagens quanto ao tempo de cirurgia, perda de células endoteliais e astigmatismo induzido em relação à técnica com incisão limbar. Os passos utilizados nessa técnica visam facilitar a extração da catarata, além de treinar o cirurgião para uma transição mais segura para facoemulsificação, sem aumentar o custo da cirurgia.Purpose: Cataract is the main cause of blindness throughout the world, affecting more than 15 million people worldwide. There are different techniques for extracapsular cataract

  2. Antimicrobial efficacy assessment of multi-use solution to disinfect hydrophilic contact lens, in vitro Avaliação da ação antimicrobiana de soluções multiuso para desinfecção de lentes de contato hidrofílicas, in vitro

    Directory of Open Access Journals (Sweden)

    Aline Cristina Fioravanti Lui

    2009-10-01

    Full Text Available PURPOSE: To evaluate the efficacy of disinfecting solutions in hydrophilic contact lenses (CL. METHODS: Two multi-use solutions denominated solution A (0.001% polyquaternium-1 and 0.0005% myristamidopropyl dimethylamine and solution B (0.0001% polyaminopropyl biguanide were used. The solutions were tested in hydrophilic contact lenses infected with Pseudomonas aeruginosa (ATCC27583, Staphylococcus epidermidis (ATCC1226, Klebsiella pneumoniae (ATCC13883, Staphylococcus aureus (ATCC25923 and Candida albicans (ATCC 10231 and the decrease in microorganisms growth after the hydrophilic contact lenses were cleaned with the respective solutions was verified. The manufacture's instructions were followed. RESULTS: A decrease of 90% of Pseudomonas aeruginosa, Staphylococcus epidermidis, Staphylococcus aureus, Candida albicans and a decrease 100% of Klebsiella pneumoniae was observed. CONCLUSION: The solutions decreased the amount of microorganisms tested.OBJETIVO: Avaliar a influência da ação antimicrobiana das soluções multiuso para desinfecção de lentes de contato hidrofílicas. MÉTODOS: Duas soluções multiuso denominadas solução A (poliquaternário-1 a 0,001% e miristamidopropil dimetilamina a 0,0005% e solução B (poliaminopropil biguanida a 0,0001% foram testadas em lentes de contato hidrofílicas contaminadas com Pseudomonas aeruginosa (ATCC27583, Staphylococcus epidermidis (ATCC1226, Klebsiella pneumoniae (ATCC13883, Staphylococcus aureus (ATCC25923 e Candida albicans (ATCC 10231 para verificar a quantidade de redução do crescimento dos microrganismos após o enxágue com as soluções. Foram seguidas as instruções preconizadas pelos fabricantes. RESULTADOS: Houve redução de 90% do crescimento de Pseudomonas aeruginosa, Staphylococcus epidermidis, Staphylococcus aureus e Candida albicans. Não houve crescimento de Klebsiella pneumoniae. CONCLUSÃO: As soluções testadas neste trabalho mostraram redução do número de

  3. Color Addition and Subtraction Apps

    Science.gov (United States)

    Ruiz, Frances; Ruiz, Michael J.

    2015-01-01

    Color addition and subtraction apps in HTML5 have been developed for students as an online hands-on experience so that they can more easily master principles introduced through traditional classroom demonstrations. The evolution of the additive RGB color model is traced through the early IBM color adapters so that students can proceed step by step…

  4. How Safe Are Color Additives?

    Science.gov (United States)

    ... Linkedin Pin it Email Print Subscribe: FDA Consumer Health Information Color additives give the red tint to your fruit punch ... in Foods, Drugs, Cosmetics, and Medical Devices Color Additives: FDA's Regulatory Process and Historical Perspectives ... Health Cosmetics Dietary Supplements Drugs Food Medical Devices Nutrition ...

  5. Density measures and additive property

    OpenAIRE

    Kunisada, Ryoichi

    2015-01-01

    We deal with finitely additive measures defined on all subsets of natural numbers which extend the asymptotic density (density measures). We consider a class of density measures which are constructed from free ultrafilters on natural numbers and study a certain additivity property of such density measures.

  6. Prevalence of Food Additive Intolerance

    DEFF Research Database (Denmark)

    Madsen, Charlotte Bernhard

    1994-01-01

    The prevalence estimates vary with a factor 100. As the results vary so do the study populations. 6 If the different study populations are accounted for, a common conclusion can be drawn: Food additive intolerance is found in adults with atopic symptoms from the respiratory tract and skin. The prevalence......1 The existing prevalence estimates of food additive intolerance(1-4) are being reviewed. 2 In the EEC report the estimated frequency of food additive intolerance is 0.03% to 0.15% based on data from patient groups. 3 The British population study results in a prevalence estimate of 0.......026%. The challenged population is 81 children and adults with a history of reproducible clinical symptoms after ingestion of food additives. 4 In the Danish population study a prevalence of 1-2% is found in children age 5-16. In this study a total of 606 children mainly with atopic disease have been challenged. 5...

  7. Topology Optimization for Additive Manufacturing

    DEFF Research Database (Denmark)

    Clausen, Anders

    This PhD thesis deals with the combination of topology optimization and additive man-ufacturing (AM, also known as 3D-printing). In addition to my own works, the thesis contains a broader review and assessment of the literature within the field. The thesis first presents a classification...... of the various AM technologies, a review of relevant manufacturing materials, the properties of these materials in the additively manufactured part, as well as manufacturing constraints with a potential for design optimization. Subsequently, specific topology optimization formulations relevant for the most im...... for scalable manufacturing. In relation to interface problems it is shown how a flexible void area may be included into a standard minimum compliance problem by employing an additional design variable field and a sensitivity filter. Furthermore, it is shown how the design of coated structures may be modeled...

  8. (ICSID) ADDITIONAL FACILITY IN INTERNA

    African Journals Online (AJOL)

    Fr. Ikenga

    ... which is adopted by Article 5 of the Additional Facility Rules to guide the ... B, Barrister at Law, e-mail: kcezeibe@yahoo.com; Phone 08033950631 and .... revision and annulment which are internally available under the Washington ...

  9. Food additives: an ethical evaluation.

    Science.gov (United States)

    Mepham, Ben

    2011-01-01

    Food additives are an integral part of the modern food system, but opinion polls showing most Europeans have worries about them imply an urgent need for ethical analysis of their use. The existing literature on food ethics, safety assessment and animal testing. Food additives provide certain advantages in terms of many people's lifestyles. There are disagreements about the appropriate application of the precautionary principle and of the value and ethical validity of animal tests in assessing human safety. Most consumers have a poor understanding of the relative benefits and risks of additives, but concerns over food safety and animal testing remain high. Examining the impacts of food additives on consumer sovereignty, consumer health and on animals used in safety testing should allow a more informed debate about their appropriate uses.

  10. Wide and High Additive Manufacturing

    Energy Technology Data Exchange (ETDEWEB)

    Post, Brian K. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Roschli, Alex C. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2017-03-01

    The goal of this project is to develop and demonstrate the enabling technologies for Wide and High Additive Manufacturing (WHAM). WHAM will open up new areas of U.S. manufacturing for very large tooling in support of the transportation and energy industries, significantly reducing cost and lead time. As with Big Area Additive Manufacturing (BAAM), the initial focus is on the deposition of composite materials.

  11. Food additives and preschool children.

    Science.gov (United States)

    Martyn, Danika M; McNulty, Breige A; Nugent, Anne P; Gibney, Michael J

    2013-02-01

    Food additives have been used throughout history to perform specific functions in foods. A comprehensive framework of legislation is in place within Europe to control the use of additives in the food supply and ensure they pose no risk to human health. Further to this, exposure assessments are regularly carried out to monitor population intakes and verify that intakes are not above acceptable levels (acceptable daily intakes). Young children may have a higher dietary exposure to chemicals than adults due to a combination of rapid growth rates and distinct food intake patterns. For this reason, exposure assessments are particularly important in this age group. The paper will review the use of additives and exposure assessment methods and examine factors that affect dietary exposure by young children. One of the most widely investigated unfavourable health effects associated with food additive intake in preschool-aged children are suggested adverse behavioural effects. Research that has examined this relationship has reported a variety of responses, with many noting an increase in hyperactivity as reported by parents but not when assessed using objective examiners. This review has examined the experimental approaches used in such studies and suggests that efforts are needed to standardise objective methods of measuring behaviour in preschool children. Further to this, a more holistic approach to examining food additive intakes by preschool children is advisable, where overall exposure is considered rather than focusing solely on behavioural effects and possibly examining intakes of food additives other than food colours.

  12. effects of sulphur addition on addition on and mechanical properties

    African Journals Online (AJOL)

    User

    on the microstructure and mechanical properties of sand cast been investigated ... owed that the addition of sulphur to Al-12wt%Si alloy. 12wt%Si alloy .... 28 materials. 29. Element. Aluminum. Silicon. Al. Si. Ca. Fe. Cu. Zn. Mn. Mg. Cr. B. 99.71.

  13. Evaluation of certain food additives.

    Science.gov (United States)

    2017-01-01

    This report represents the conclusions of a Joint FAO/WHO Expert Committee convened to evaluate the safety of various food additives, including flavouring agents, with a view to concluding as to safety concerns and to preparing specifications for identity and purity. The first part of the report contains a general discussion of the principles governing the toxicological evaluation of and assessment of dietary exposure to food additives, including flavouring agents. A summary follows of the Committee’s evaluations of technical, toxicological and dietary exposure data for 10 food additives (Allura Red AC; carob bean gum; lutein esters from Tagetes erecta; octenyl succinic acid (OSA)– modified gum arabic; pectin; Quinoline Yellow; rosemary extract; steviol glycosides; tartrazine; and xanthan gum) and five groups of flavouring agents (alicyclic, alicyclic-fused and aromatic-fused ring lactones; aliphatic and aromatic amines and amides; aliphatic secondary alcohols, ketones and related esters; cinnamyl alcohol and related substances; and tetrahydrofuran and furanone derivatives). Specifications for the following food additives were revised: aspartame; cassia gum; citric and fatty acid esters of glycerol (CITREM); modified starches; octanoic acid; starch sodium octenyl succinate; and total colouring matters. Annexed to the report are tables summarizing the Committee’s recommendations for dietary exposures to and toxicological evaluations of all of the food additives, including flavouring agents, considered at this meeting.

  14. Additive manufacturing of tunable lenses

    Science.gov (United States)

    Schlichting, Katja; Novak, Tobias; Heinrich, Andreas

    2017-02-01

    Individual additive manufacturing of optical systems based on 3D Printing offers varied possibilities in design and usage. In addition to the additive manufacturing procedure, the usage of tunable lenses allows further advantages for intelligent optical systems. Our goal is to bring the advantages of additive manufacturing together with the huge potential of tunable lenses. We produced tunable lenses as a bundle without any further processing steps, like polishing. The lenses were designed and directly printed with a 3D Printer as a package. The design contains the membrane as an optical part as well as the mechanical parts of the lens, like the attachments for the sleeves which contain the oil. The dynamic optical lenses were filled with an oil. The focal length of the lenses changes due to a change of the radius of curvature. This change is caused by changing the pressure in the inside of the lens. In addition to that, we designed lenses with special structures to obtain different areas with an individual optical power. We want to discuss the huge potential of this technology for several applications. Further, an appropriate controlling system is needed. Wéll show the possibilities to control and regulate the optical power of the lenses. The lenses could be used for illumination tasks, and in the future, for individual measurement tasks. The main advantage is the individuality and the possibility to create an individual design which completely fulfills the requirements for any specific application.

  15. Calcium addition in straw gasification

    DEFF Research Database (Denmark)

    Risnes, H.; Fjellerup, Jan Søren; Henriksen, Ulrik Birk

    2003-01-01

    The present work focuses on the influence of calcium addition in gasification. The inorganic¿organic element interaction as well as the detailed inorganic¿inorganic elements interaction has been studied. The effect of calcium addition as calcium sugar/molasses solutions to straw significantly...... affected the ash chemistry and the ash sintering tendency but much less the char reactivity. Thermo balance test are made and high-temperature X-ray diffraction measurements are performed, the experimental results indicate that with calcium addition major inorganic¿inorganic reactions take place very late...... in the char conversion process. Comprehensive global equilibrium calculations predicted important characteristics of the inorganic ash residue. Equilibrium calculations predict the formation of liquid salt if sufficient amounts of Ca are added and according to experiments as well as calculations calcium binds...

  16. Additive interaction in survival analysis

    DEFF Research Database (Denmark)

    Rod, Naja Hulvej; Lange, Theis; Andersen, Ingelise

    2012-01-01

    It is a widely held belief in public health and clinical decision-making that interventions or preventive strategies should be aimed at patients or population subgroups where most cases could potentially be prevented. To identify such subgroups, deviation from additivity of absolute effects...... an empirical example of interaction between education and smoking on risk of lung cancer. We argue that deviations from additivity of effects are important for public health interventions and clinical decision-making, and such estimations should be encouraged in prospective studies on health. A detailed...... is the relevant measure of interest. Multiplicative survival models, such as the Cox proportional hazards model, are often used to estimate the association between exposure and risk of disease in prospective studies. In Cox models, deviations from additivity have usually been assessed by surrogate measures...

  17. Additional disulfide bonds in insulin

    DEFF Research Database (Denmark)

    Vinther, Tine N; Pettersson, Ingrid; Huus, Kasper

    2015-01-01

    The structure of insulin, a glucose homeostasis-controlling hormone, is highly conserved in all vertebrates and stabilized by three disulfide bonds. Recently, we designed a novel insulin analogue containing a fourth disulfide bond located between positions A10-B4. The N-terminus of insulin's B......-chain is flexible and can adapt multiple conformations. We examined how well disulfide bond predictions algorithms could identify disulfide bonds in this region of insulin. In order to identify stable insulin analogues with additional disulfide bonds, which could be expressed, the Cβ cut-off distance had...... in comparison to analogues with additional disulfide bonds that were more difficult to predict. In contrast, addition of the fourth disulfide bond rendered all analogues resistant to fibrillation under stress conditions and all stable analogues bound to the insulin receptor with picomolar affinities. Thus...

  18. Aminodisulfides as additives to lubricants

    Energy Technology Data Exchange (ETDEWEB)

    Balin, A.I.; Tarasevich, V.B.; Veretenova, T.N.

    1980-01-01

    A study was carried out and tehcnology developed for producing sulfur-nitrogen containing additives of the type of aminodisulfide by interaction of beta, beta-dichlordialkyl (aryl) disulfides with diethanolamine in a medium of sulfur-diethanolamine. The 2,2'-bis-(diethanol)-dialkyl(aryl) disulfides obtained do not hydrolyze in aqueous soltuions of alkalis, exhibit rather high antiscoring properties and are recommended for tests as active additives of high pressure to SOZH and technological lubricants of the oil and emulsion types.

  19. Additive to clay drilling muds

    Energy Technology Data Exchange (ETDEWEB)

    Voytenko, V.S.; Nekrasova, V.B.; Nikitinskiy, E.L.; Ponomarev, V.N.

    1984-01-01

    The purpose of the invention is to improve the lubricating and strengthening properties of clay drilling muds. This goal is achieved because the lubricating and strengthening additive used is waste from the pulp and paper industry at the stage of reprocessing crude sulfate soap into phytosterol.

  20. The selective addition of water

    NARCIS (Netherlands)

    Resch, V.; Hanefeld, U.

    2014-01-01

    Water is omnipresent and essential. Yet at the same time it is a rather unreactive molecule. The direct addition of water to C[double bond, length as m-dash]C double bonds is therefore a challenge not answered convincingly. In this perspective we critically evaluate the selectivity and the

  1. Additive manufacturing in maxillofacial reconstruction

    Directory of Open Access Journals (Sweden)

    Dincă Luciana Laura

    2017-01-01

    Full Text Available In this paper the benefits of using additive manufacturing technologies in maxillofacial reconstruction are highlighted. Based on a real clinical case, the paper describes the manufacture of an implant prototype replacing the right zygomatic bone and a part of maxilla using additive manufacturing technologies. The face is the most expressive part of the human body that makes us unique. It was shown that the maxillofacial prostheses help to improve the psychological state of patients affected by, because low self esteem feeling appears commonly to this patients with the facial defects. The aim of this paper is to show how using additive manufacturing technologies methods within this research, the producing a surgical model will help surgeon to improve the pre-operative planning. For this we used additive manufacturing technologies such as Stereolitography to achieve the biomodel and FDM-fused deposition modelling to obtain a prototype model because these technologies make it possible to obtain prosthesis according to the physical and mechanical requirements of the region of implantation.

  2. Radiation curable Michael addition compounds

    International Nuclear Information System (INIS)

    Gruber, G.W.; Friedlander, C.B.; McDonald, W.H.; Dowbenko, R.

    1979-01-01

    Radiation polymerizable acrylyloxy-containing reaction products are provided from Michael addition reaction of an amide containing at least two acrylate groups with a primary or secondary amine. The resulting amine adducts of the amide, which contain at least one acrylate group per molecule, possesses high cure rates in air and are useful in compositions for forming coatings. (author)

  3. Additively manufactured porous tantalum implants

    NARCIS (Netherlands)

    Wauthle, Ruben; Van Der Stok, Johan; Yavari, Saber Amin; Van Humbeeck, Jan; Kruth, Jean Pierre; Zadpoor, Amir Abbas; Weinans, Harrie; Mulier, Michiel; Schrooten, Jan

    2015-01-01

    The medical device industry's interest in open porous, metallic biomaterials has increased in response to additive manufacturing techniques enabling the production of complex shapes that cannot be produced with conventional techniques. Tantalum is an important metal for medical devices because of

  4. Evaluation of certain food additives.

    Science.gov (United States)

    2012-01-01

    This report represents the conclusions of a Joint FAO/WHO Expert Committee convened to evaluate the safety of various food additives, including flavouring agents, with a view to concluding as to safety concerns and to preparing specifications for identity and purity. The first part of the report contains a general discussion of the principles governing the toxicological evaluation of and assessment of dietary exposure to food additives, including flavouring agents. A summary follows of the Committee's evaluations of technical, toxicological and dietary exposure data for five food additives (magnesium dihydrogen diphosphate; mineral oil (medium and low viscosity) classes II and III; 3-phytase from Aspergillus niger expressed in Aspergillus niger; serine protease (chymotrypsin) from Nocardiopsis prasina expressed in Bacillus licheniformis; and serine protease (trypsin) from Fusarium oxysporum expressed in Fusarium venenatum) and 16 groups of flavouring agents (aliphatic and aromatic amines and amides; aliphatic and aromatic ethers; aliphatic hydrocarbons, alcohols, aldehydes, ketones, carboxylic acids and related esters, sulfides, disulfides and ethers containing furan substitution; aliphatic linear alpha,beta-unsaturated aldehydes, acids and related alcohols, acetals and esters; amino acids and related substances; epoxides; furfuryl alcohol and related substances; linear and branched-chain aliphatic, unsaturated, unconjugated alcohols, aldehydes, acids and related esters; miscellaneous nitrogen-containing substances; phenol and phenol derivatives; pyrazine derivatives; pyridine, pyrrole and quinoline derivatives; saturated aliphatic acyclic branched-chain primary alcohols, aldehydes and acids; simple aliphatic and aromatic sulfides and thiols; sulfur-containing heterocyclic compounds; and sulfur-substituted furan derivatives). Specifications for the following food additives were revised: ethyl cellulose, mineral oil (medium viscosity), modified starches and titanium

  5. Condições de adaptação e venda de lentes de contato em óticas do estado de São Paulo Conditions of contact lens fitting and sale by optician stores São Paulo state

    Directory of Open Access Journals (Sweden)

    Andrea Cotait Kara José

    2001-10-01

    Full Text Available Objetivo: Avaliar as condições de adaptação e venda de lentes de contato (LC em óticas de quatro cidades do Estado de São Paulo, Brasil. Métodos: Realizou-se estudo por meio de respostas a um questionário aplicado por quatro estudantes de Medicina em óticas situadas em várias cidades do Estado de São Paulo. Foram obtidos dados sobre a necessidade da apresentação de receita médica para a compra das LC, os tipos de LC vendidas/adaptadas, o profissional que orienta a venda e/ou adaptação, os equipamentos usados no teste de tolerância, a conduta do cliente diante de complicações quando da adaptação da LC ou durante o uso, orientação quanto a possíveis sinais e sintomas de perigo, as doenças que contra-indiquem o uso e a higiene do usuário, as horas de uso e a possibilidade de pernoite. Resultados: Das 198 óticas pesquisadas, 121 (61,11% vendem LC. Não foi necessária receita médica para a compra das lentes em 112 óticas (92,56%, sendo que nessas, a graduação era determinada pela medida dos óculos em 69 (61,61% casos e por relato verbal em 28 (25,00% casos. Quanto aos equipamentos, 102 (91,07% óticas possuíam lensômetro; 41 (36,61% possuíam ceratômetro e 14 (12,50%, lâmpada de fenda. Lentes descartáveis hidrofílicas foram encontradas para venda/adaptação em 66 (54,55% óticas; lentes hidrofílicas de uso prolongado ou diário em 68 (56,20% e lentes rígidas, em 54 (44,63%. Em 103 (85,12% óticas, foram feitos testes de tolerância, sendo os responsáveis pelo atendimento e pela monitorização dos testes os profissionais autodenominados contatólogos em 78 (64,46% dessas óticas, balconista em 20 (16,53%, óptico em 12 (9,92% e oftalmologistas em 9 (7,44%. Quanto às complicações na adaptação, em 66 (54,55% óticas, afirmou-se que elas só ocorreriam, se evidenciadas no teste de tolerância; em 35 (28,93%, aconselhou-se tratamento com oftalmologista e em 20 (16,53%, sugeriu-se o retorno à ótica para

  6. Protocol for ADDITION-PRO

    DEFF Research Database (Denmark)

    Johansen, Nanna Borup; Hansen, Anne-Louise Smidt; Jensen, Troels M

    2012-01-01

    disease and microvascular diabetic complications. We also require a better understanding of the mechanisms that underlie and drive early changes in cardiometabolic physiology. The ADDITION-PRO study was designed to address these issues among individuals at different levels of diabetes risk recruited from...... Danish primary care. METHODS/DESIGN: ADDITION-PRO is a population-based, longitudinal cohort study of individuals at high risk for diabetes. 16,136 eligible individuals were identified at high risk following participation in a stepwise screening programme in Danish general practice between 2001 and 2006....... All individuals with impaired glucose regulation at screening, those who developed diabetes following screening, and a random sub-sample of those at lower levels of diabetes risk were invited to attend a follow-up health assessment in 2009-2011 (n=4,188), of whom 2,082 (50%) attended. The health...

  7. Additive theory of prime numbers

    CERN Document Server

    Hua, L K

    2009-01-01

    Loo-Keng Hua was a master mathematician, best known for his work using analytic methods in number theory. In particular, Hua is remembered for his contributions to Waring's Problem and his estimates of trigonometric sums. Additive Theory of Prime Numbers is an exposition of the classic methods as well as Hua's own techniques, many of which have now also become classic. An essential starting point is Vinogradov's mean-value theorem for trigonometric sums, which Hua usefully rephrases and improves. Hua states a generalized version of the Waring-Goldbach problem and gives asymptotic formulas for the number of solutions in Waring's Problem when the monomial x^k is replaced by an arbitrary polynomial of degree k. The book is an excellent entry point for readers interested in additive number theory. It will also be of value to those interested in the development of the now classic methods of the subject.

  8. Dolomitic lime containing hydraulic additive

    International Nuclear Information System (INIS)

    Lagzdina, S.; Sedmalis, U.; Bidermanis, L.; Liepins, J.; Grosvalds, I.

    1997-01-01

    To obtain qualitative dolomitic lime the optimum calcination temperature of dolomite containing about 9 % of clayey substances is 900 deg C. The mechanical strength of dolomitic lime containing 30 % of brick waste additive after 6-9 months of hardening is 1.4-1.5 times higher than that of samples without hydraulic additive, for calcium lime - 2.2-2.6 times higher. Generally the mechanical strength of dolomitic lime is higher than that one of calcium lime. It can be explained by the active role of MgO in the hydration and hardening processes of dolomitic lime. Xray diffraction phase analysis was performed by X-ray diffractometer DPON-3M with Cu-K α emission filter

  9. Decontamination formulation with sorbent additive

    Science.gov (United States)

    Tucker; Mark D. , Comstock; Robert H.

    2007-10-16

    A decontamination formulation and method of making that neutralizes the adverse health effects of both chemical and biological compounds, especially chemical warfare (CW) and biological warfare (BW) agents, and toxic industrial chemicals. The formulation provides solubilizing compounds that serve to effectively render the chemical and biological compounds, particularly CW and BW compounds, susceptible to attack, and at least one reactive compound that serves to attack (and detoxify or kill) the compound. The formulation includes at least one solubilizing agent, a reactive compound, a bleaching activator, a sorbent additive, and water. The highly adsorbent, water-soluble sorbent additive (e.g., sorbitol or mannitol) is used to "dry out" one or more liquid ingredients, such as the liquid bleaching activator (e.g., propylene glycol diacetate or glycerol diacetate) and convert the activator into a dry, free-flowing powder that has an extended shelf life, and is more convenient to handle and mix in the field.

  10. The Frontiers of Additive Manufacturing

    Energy Technology Data Exchange (ETDEWEB)

    Grote, Christopher John [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-03-03

    Additive manufacturing, more commonly known as 3-D printing, has become a ubiquitous tool in science for its precise control over mechanical design. For additive manufacturing to work, a 3-D structure is split into thin 2D slices, and then different physical properties, such as photo-polymerization or melting, are used to grow the sequential layers. The level of control allows not only for devices to be made with a variety of materials: e.g. plastics, metals, and quantum dots, but to also have finely controlled structures leading to other novel properties. While 3-D printing is widely used by hobbyists for making models, it also has industrial applications in structural engineering, biological tissue scaffolding, customized electric circuitry, fuel cells, security, and more.

  11. La construction de l’urgence au travail et ses effets suivant les statuts hiérarchiques : le cas des mécaniciens et des agents de maîtrise dans le secteur aérien

    OpenAIRE

    Monneuse, Denis

    2012-01-01

    Travailler dans l’urgence est devenu un impératif catégorique pour nombre de salariés. Cet impératif se double d’une injonction paradoxale : il faut que le travail soit « vite fait, bien fait ». Comment la légitimation de l’urgence est-elle construite ? Dans quelle mesure les salariés intériorisent-ils cette logique managériale ? Quelles différences note-t-on suivant leur statut hiérarchique ? Cet article vise à rendre compte d’une enquête menée au sein d’un centre de maintenance d’une compag...

  12. Minimum Additive Waste Stabilization (MAWS)

    International Nuclear Information System (INIS)

    1994-02-01

    In the Minimum Additive Waste Stabilization(MAWS) concept, actual waste streams are utilized as additive resources for vitrification, which may contain the basic components (glass formers and fluxes) for making a suitable glass or glassy slag. If too much glass former is present, then the melt viscosity or temperature will be too high for processing; while if there is too much flux, then the durability may suffer. Therefore, there are optimum combinations of these two important classes of constituents depending on the criteria required. The challenge is to combine these resources in such a way that minimizes the use of non-waste additives yet yields a processable and durable final waste form for disposal. The benefit to this approach is that the volume of the final waste form is minimized (waste loading maximized) since little or no additives are used and vitrification itself results in volume reduction through evaporation of water, combustion of organics, and compaction of the solids into a non-porous glass. This implies a significant reduction in disposal costs due to volume reduction alone, and minimizes future risks/costs due to the long term durability and leach resistance of glass. This is accomplished by using integrated systems that are both cost-effective and produce an environmentally sound waste form for disposal. individual component technologies may include: vitrification; thermal destruction; soil washing; gas scrubbing/filtration; and, ion-exchange wastewater treatment. The particular combination of technologies will depend on the waste streams to be treated. At the heart of MAWS is vitrification technology, which incorporates all primary and secondary waste streams into a final, long-term, stabilized glass wasteform. The integrated technology approach, and view of waste streams as resources, is innovative yet practical to cost effectively treat a broad range of DOE mixed and low-level wastes

  13. Trust Trust Me (The Additivity)

    OpenAIRE

    Mano , Ken; Sakurada , Hideki; Tsukada , Yasuyuki

    2017-01-01

    Part 4: Trust Metrics; International audience; We present a mathematical formulation of a trust metric using a quality and quantity pair. Under a certain assumption, we regard trust as an additive value and define the soundness of a trust computation as not to exceed the total sum. Moreover, we point out the importance of not only soundness of each computed trust but also the stability of the trust computation procedure against changes in trust value assignment. In this setting, we define tru...

  14. A manual on using additives

    International Nuclear Information System (INIS)

    Lee, Bong Hoon

    1991-10-01

    This book consists of five chapters, which describe plasticizer ; summary, synthesis of plasticizer, basic notion, analysis and test on plasticizer, stabilizer ; stabilizer for plastic, an antioxidant, phosphorous acid estelle, ultraviolet ray absorbent, performance of stabilizer, influence on another additives, mix case of PVC production and analysis method for stabilizer, ultraviolet ray absorbent ; basic property and ultraviolet ray absorbent maker, anti-static agent ; basics, anti-static agent of a high molecule and analysis of anti-static agent, flame retardant of plastic.

  15. Additive property of separative power

    International Nuclear Information System (INIS)

    Yamamoto, Ichiro; Kanagawa, Akira

    1980-01-01

    A separative power of a separating element, whose heads and tails separation factors are α and β, is expressed by phi sub(b)(α, β) = [α(β - 1)1n α - (α - 1)1n β]/(αβ - 1) for the unit flow of the desired material and phi sub(a)(α, β) (= phi sub(b)(β, α)) for that of undesired material. The additive properties of the functions phi sub(b) and phi sub(a) were demonstrated by calculations of various types of ideal cascades, but the origin of the property is not obvious. The present study has furnished the mathematical basis of the additivity based on the special functional equation. First, for symmetric processes (α = β), the functional equation which describes the function representing the quality of separation f(α, α) concerning the desired material was obtained and solved to give the functional form of f(α, α). The result was extented to the function f(α, β) representing the quality of asymmetric separation (α not equal β). The derived function f(α, β) was demonstrated to be equal to phi sub(b)(α, β), and it was verified that functions phi sub(b)(α, β) and phi sub(a)(α, β) have the additive property in themselves. (author)

  16. Evaluation of certain food additives.

    Science.gov (United States)

    2009-01-01

    This report represents the conclusions of a Joint FAO/WHO Expert Committee convened to evaluate the safety of various food additives, including flavouring agents, with a view to recommending acceptable daily intakes (ADIs) and to preparing specifications for identity and purity. The first part of the report contains a general discussion of the principles governing the toxicological evaluation and assessment of intake of food additives (in particular, flavouring agents). A summary follows of the Committee's evaluations of technical, toxicological and intake data for certain food additives (asparaginase from Aspergillus niger expressed in A. niger, calcium lignosulfonate (40-65), ethyl lauroyl arginate, paprika extract, phospholipase C expressed in Pichia pastoris, phytosterols, phytostanols and their esters, polydimethylsiloxane, steviol glycosides and sulfites [assessment of dietary exposure]) and 10 groups of related flavouring agents (aliphatic branched-chain saturated and unsaturated alcohols, aldehydes, acids and related esters; aliphatic linear alpha,beta-unsaturated aldehydes, acids and related alcohols, acetals and esters; aliphatic secondary alcohols, ketones and related esters; alkoxy-substituted allylbenzenes present in foods and essential oils and used as flavouring agents; esters of aliphatic acyclic primary alcohols with aliphatic linear saturated carboxylic acids; furan-substituted aliphatic hydrocarbons, alcohols, aldehydes, ketones, carboxylic acids and related esters, sulfides, disulfides and ethers; miscellaneous nitrogen-containing substances; monocyclic and bicyclic secondary alcohols, ketones and related esters; hydroxy- and alkoxy-substituted benzyl derivatives; and substances structurally related to menthol). Specifications for the following food additives were revised: canthaxanthin; carob bean gum and carob bean gum (clarified); chlorophyllin copper complexes, sodium and potassium salts; Fast Green FCF; guar gum and guar gum (clarified

  17. Implante de lente intraocular en niños como solución a los problemas sociales de la ceguera por catarata congénita Intraocular lens implants for children as a solution to social problems caused by blindness from congenital cataract

    Directory of Open Access Journals (Sweden)

    Rosa María Naranjo Fernández

    2011-12-01

    Full Text Available Se estima en alrededor de 1,5 millones el número de niños con baja visión o ciegos legales, alrededor del mundo, con una prevalencia de 1 a 4 por cada 10 000 niños en los países industrializados y de 5 a 15 en los países en vías de desarrollo. La prevalencia de la ceguera infantil en América Latina es de 0,6 %, lo cual representa 900 niños por cada millón de habitantes que necesitan asistencia para visión baja. La prevalencia de ceguera por catarata congénita puede estar entre 1 y 4 por cada 10 000 niños en países subdesarrollados y entre 0,1 a 0,4 en países industrializados. En Cuba con una población de 2,1 millones de habitantes menores de 15 años la catarata congénita es considerada la segunda causa de ceguera infantil. En los últimos 20 años ha revolucionado completamente el tratamiento quirúrgico de la catarata en niños, por el desarrollo alcanzado en el perfeccionamiento de las técnicas quirúrgicas. En nuestro país la cirugía de catarata pediátrica con implante de lente intraocular comenzó en el año 1990, posterior a la inauguración del centro de Microcirugía Ocular en el año 1988. Queda demostrada la importancia de la cirugía de catarata pediátrica con implante de lente intraocular, como una solución a los problemas sociales ocasionados por el déficit visual del paciente no tratado oportunamente, con la aplicación de tecnología moderna se logra mejorar la calidad de vida de los niños, tanto social como educacional, incorporándolos de una forma activa a la sociedad.It is estimated that around 1,5 million children with low vision or legally blind exist worldwide, with a prevalence of 1 to 4 per 10 000 children in the industrialized countries and of 5 to 15 in the developing countries. The prevalence rate of the infantile blindness in Latin America is 0,6 %, which represents 900 children per one million inhabitants who need medical assistance due to low vision. The prevalence of blindness due to

  18. Additive Manufacturing of Porous Metal

    Energy Technology Data Exchange (ETDEWEB)

    Dehoff, Ryan R. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Kirka, Michael M. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2017-06-01

    Currently, helium is obtained through separation from natural gas. The current industrial process incurs significant costs and requires large energy resources to successfully achieve separation. Through utilizing Additive Manufacturing (AM) technologies it is possible to reduce both of these burdens when refining helium gas. The ability to engineer porosity levels within Inconel 718 discs for controlled separation of helium from natural gas was investigated. Arrays of samples fabricated using the electron beam melting process were analyzed for their relative porosity density. Based upon the measurements, full scale discs were fabricated, and subsequently tested to determine their effectiveness in separating helium from liquefied natural gas.

  19. CURVAS PARALELAS EXPLÍCITAS DE LAS CURVAS CÓNICAS NO DEGENERADAS PARA EL TORNEADO CNC DE LENTES Y ESPEJOS ASFÉRICO-CÓNICOS EXPLICIT PARALLEL CURVES OF NON-DEGENERATE CONIC CURVES FOR THE TURNED CNC OF ASPHERIC-CONIC LENSES AND MIRORS

    Directory of Open Access Journals (Sweden)

    Juan Camilo Valencia

    2008-12-01

    Full Text Available Este artículo presenta el método para obtener, en coordenadas cartesianas, las líneas curvas paralelas de las curvas cónicas no degeneradas, por métodos analíticos y numéricos. Se define el offset como una función paralela a la función original a una distancia r. El offset de una cónica es importante para los procesos de fabricación de mecanismos, lentes, espejos y moldes; especialmente en el torneado con control numérico computarizado (CNC de superficies de revolución con secciones cónicas, usando buriles de diamante con punta de radio r. También se presenta una técnica refinada usando interpolación circular segmentaria para construir numéricamente el offset de una parábola, que también puede usarse como modelo para determinar el offset de la elipse y de la hipérbola.This paper presents the method to obtain, in Cartesian coordinates, the parallel curve lines of non-degenerate conical curves, by analytical and numerical methods. Offset is defined as parallel function to the original function to a distance r. Offset of a conic is important for the manufacturing processes of mechanisms, lenses, mirrors, and molds; especially in the turning with computerized numerical control (CNC of surfaces of revolution with conical sections, using diamond tools of radio r. Also a refined tip technique using segmental circular interpolation to numerically construct the parabola offset is presented, that also can be used as model to determine offsets of ellipse and hyperbola.

  20. Emergency measures and treatment in the event of accidental aver exposure to radiation or of radioactive contamination; Mesures d'urgence et traitement en cas de surexposition accidentelle aux rayonnements ou en cas de contamination radioactive

    Energy Technology Data Exchange (ETDEWEB)

    Jammet, H [Commissariat a l' Energie Atomique, Saclay (France).Centre d' Etudes Nucleaires

    1960-07-01

    In the first part the author presents an overall view of emergency measures to be applied in the case of internal or external radioactive contamination. He states in particular, in these two cases, the methods by which it is possible to eliminate the contaminating radioactive substances from the organism. The author then considers the therapeutic methods to be adopted in the case of an accident of overexposure to radiation, distinguishing between the case of a partial irradiation and that of an acute total irradiation. There will be essentially three methods used depending on the physical measures carried out (irradiation, conditions, estimation of the dose received) and of the clinical data collected: particular treatments, treatment for helping the organism during its return to normal activity, temporary or permanent replacement of the organs affected. (author) [French] L'auteur presente, en une premiere partie, une vue d'ensemble des mesures d'urgence a appliquer en cas de contamination radioactive externe ou interne. Il fait etat en particulier, dans ces deux cas, des methodes permettant de debarrasser l'organisme des substances radioactives contaminantes. L'auteur envisage, ensuite, la therapeutique a adopter lors d'un accident de surexposition aux rayonnements, distinguant le cas d'une irradiation partielle et celui d'une irradiation totale aigue. Trois traitements seront essentiellement mis en oeuvre en fonction des mesures physiques effectuees (conditions d'irradiation, evaluation de la dose recue) et des donnees cliniques recueillies: traitements specifiques, traitement de soutien de l'organisme preparant la restauration, suppleance temporaire ou definitive d'organes defaillants. (auteur)

  1. Emergency measures and treatment in the event of accidental aver exposure to radiation or of radioactive contamination; Mesures d'urgence et traitement en cas de surexposition accidentelle aux rayonnements ou en cas de contamination radioactive

    Energy Technology Data Exchange (ETDEWEB)

    Jammet, H. [Commissariat a l' Energie Atomique, Saclay (France).Centre d' Etudes Nucleaires

    1960-07-01

    In the first part the author presents an overall view of emergency measures to be applied in the case of internal or external radioactive contamination. He states in particular, in these two cases, the methods by which it is possible to eliminate the contaminating radioactive substances from the organism. The author then considers the therapeutic methods to be adopted in the case of an accident of overexposure to radiation, distinguishing between the case of a partial irradiation and that of an acute total irradiation. There will be essentially three methods used depending on the physical measures carried out (irradiation, conditions, estimation of the dose received) and of the clinical data collected: particular treatments, treatment for helping the organism during its return to normal activity, temporary or permanent replacement of the organs affected. (author) [French] L'auteur presente, en une premiere partie, une vue d'ensemble des mesures d'urgence a appliquer en cas de contamination radioactive externe ou interne. Il fait etat en particulier, dans ces deux cas, des methodes permettant de debarrasser l'organisme des substances radioactives contaminantes. L'auteur envisage, ensuite, la therapeutique a adopter lors d'un accident de surexposition aux rayonnements, distinguant le cas d'une irradiation partielle et celui d'une irradiation totale aigue. Trois traitements seront essentiellement mis en oeuvre en fonction des mesures physiques effectuees (conditions d'irradiation, evaluation de la dose recue) et des donnees cliniques recueillies: traitements specifiques, traitement de soutien de l'organisme preparant la restauration, suppleance temporaire ou definitive d'organes defaillants. (auteur)

  2. Géographie et politiques de l’aide d’urgence au Bangladesh ; les désastres engendrés par le typhon Sidr, le 16 novembre 2007

    Directory of Open Access Journals (Sweden)

    Mouhssine Ennaïmi

    2008-04-01

    Full Text Available Le typhon Sidr a frappé le Sud du Bangladesh le 16 novembre 2007 (4 000 victimes, 8 millions de déplacés et sans abris. La réputation controversée de ce pays mal connu lui a valu l’attention de l’opinion internationale. Le Bangladesh a une longue expérience en matière de catastrophes naturelles, et est doté d’un large réseau d’organisations de solidarité. La prévention de l’aléa et la gestion de l’aide d’urgence ont permis de limiter les pertes humaines. Grâce à cette bonne coordination, la phase de reconstruction a été amorcée rapidement. La situation demeure difficile et le pays n’est pas encore sorti du marasme économique et social qui le caractérise.Sidr typhoon struck the Southern districts in Bangladesh on November 16, 2007 (4000 victims, 8 millions of displaced people / homeless. The discussed reputation of this country supports the attention of the international opinion to him. Thanks to its experience about natural hazards and to a broad humanitarian organizations network, the prevention of the catastrophe and the management of emergency aid made it possible to limit the human lives losses. A good relief aid management offered the opportunity of quickly switching from an emergency to a development stage.Still, the situation remains complex and the country has not overcome the economic and social depression which characterizes it.

  3. Public contracts by negotiated procedure in cases of urgency – a new interpretation of the legal basis in light of experiences with organization of the 2012 European Football Championships

    Directory of Open Access Journals (Sweden)

    Krzysztof Horubski

    2013-06-01

    Full Text Available The negotiated procedure without publication of a contract notice is a special procedure for awarding public procurement contracts which departs from the obligation imposed on contracting authorities of respecting the freedoms of the internal market and rules of competition. The procedure may be applied in exceptional situations of extreme urgency resulting from an event which could not be foreseen. The current judicature of the Court of Justice of the EU provides interpretations of the legal basis for application of the procedure in specific cases. However, it does not address the issue of whether it is possible to regard improper performance of contractual obligations as unpredictable. It does not provide broader considerations concerning the form of regulations on the procedure of awarding public interest contracts either. These issues were subject to analysis in one of the resolutions of the National Appeal Chamber (KIO – the Polish authority issuing decisions in matters related to public procurement contracts. In resolution KIO/KD 58/10 of 6 August 2010, KIO assessed the correctness of the application of the negotiated procedure for changing the contractor of the Municipal Stadium in Wrocław in the run-up to the 2012 European Football Championships. KIO found that the significant delay in construction of the facility was unpredictably exceptional, and significantly threatened the timeliness of commissioning the facility, which resulted in termination of the agreement by the contracting authority. The resolution also included an assessment allowing for the position that such a situation was exceptional due to the scale of the threat to the public interest, including the commercial interest of the contracting authority, stemming from a lack of immediate performance of the contract if it resulted in disproportionate consequences for a specific community. The issue of acceptance of such an interpretation by EU institutions remains unresolved.

  4. Additive manufacturing of RF absorbers

    Science.gov (United States)

    Mills, Matthew S.

    The ability of additive manufacturing techniques to fabricate integrated electromagnetic absorbers tuned for specific radio frequency bands within structural composites allows for unique combinations of mechanical and electromagnetic properties. These composites and films can be used for RF shielding of sensitive electromagnetic components through in-plane and out-of-plane RF absorption. Structural composites are a common building block of many commercial platforms. These platforms may be placed in situations in which there is a need for embedded RF absorbing properties along with structural properties. Instead of adding radar absorbing treatments to the external surface of existing structures, which adds increased size, weight and cost; it could prove to be advantageous to integrate the microwave absorbing properties directly into the composite during the fabrication process. In this thesis, a method based on additive manufacturing techniques of composites structures with prescribed electromagnetic loss, within the frequency range 1 to 26GHz, is presented. This method utilizes screen printing and nScrypt micro dispensing to pattern a carbon based ink onto low loss substrates. The materials chosen for this study will be presented, and the fabrication technique that these materials went through to create RF absorbing structures will be described. The calibration methods used, the modeling of the RF structures, and the applications in which this technology can be utilized will also be presented.

  5. Mechanics of additively manufactured biomaterials.

    Science.gov (United States)

    Zadpoor, Amir A

    2017-06-01

    Additive manufacturing (3D printing) has found many applications in healthcare including fabrication of biomaterials as well as bioprinting of tissues and organs. Additively manufactured (AM) biomaterials may possess arbitrarily complex micro-architectures that give rise to novel mechanical, physical, and biological properties. The mechanical behavior of such porous biomaterials including their quasi-static mechanical properties and fatigue resistance is not yet well understood. It is particularly important to understand the relationship between the designed micro-architecture (topology) and the resulting mechanical properties. The current special issue is dedicated to understanding the mechanical behavior of AM biomaterials. Although various types of AM biomaterials are represented in the special issue, the primary focus is on AM porous metallic biomaterials. As a prelude to this special issue, this editorial reviews some of the latest findings in the mechanical behavior of AM porous metallic biomaterials so as to describe the current state-of-the-art and set the stage for the other studies appearing in the issue. Some areas that are important for future research are also briefly mentioned. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. The Hanford Emergency Dosimetry System; Le Systeme de Dosimetrie pour les Cas d'Urgence a Hanford; 0421 0418 0421 0422 0414 ; El Sistema Dosimetrico de Hanford para Casos de Urgencia

    Energy Technology Data Exchange (ETDEWEB)

    Larson, H. V.; Keene, A. R. [Radiation Protection Operation, Hanford Laboratories, General Electric Company, Hanford Atomic Products Operation, Richland, WA (United States)

    1965-06-15

    The Hanford project is a major atomic industrial complex, including nuclear reactors, fuel fabrication plants, chemical separation facilities and research laboratories. In addition to a surveillance and control programme for personnel radiation exposures, an emergency dosimetry system has been developed to provide rapid assessment of high dose rates, identification and control of employees, staff notifications and formation of staff emergency control centres, assessment of external exposure doses, evaluation of body burdens of radioactive materials, detection and control of radioactive environmental contamination and rapid exposure estimates for guidance of rescue and medical personnel. Primary reliance is placed upon the Hanford Film Badge Dosimeter, worn by all persons within controlled areas. The badge provides positive identification of the wearer and the film can be evaluated within 90 min. Separately, yet simultaneously, the remaining components of the badge can be processed for determinations of the neutron spectrum and dose in five energy groups, as well as provide an early estimate of the single collision neutron dose from a few to several thousand rads. Gamma-ray detection ranges from 20 mr to 1500 r from the film components to 10 to 10 000 r from tantalum shielded fluorods. The emergency system includes programmes that ensure employee understanding, monitor training and management co-operation for fast identification, control and segregation of affected employees. Monitoring personnel, using portable instrumentation, obtain on-site in vivo measurements of Na{sup 24} or measurements of activated indium foil in the film-badge dosimeter for preliminary dose estimates. The staff notification and operation of emergency control centres provide technical guidance and mobile supportive equipment including a mobile whole-body counter. Back-up laboratory facilities give supportive dosimetry through the analysis of blood for Na{sup 24} activation, P{sup 32} hair

  7. ESTUDIO IN VITRO DE LA CAPACIDAD DE GERMINACIÓN DE Aspergillus fumigatus EN LOS MATERIALES DE LENTES DE CONTACTO BLANDOS Y EFICACIA DE LAS SOLUCIONES MULTIPROPÓSITO CONTRA ESTE MICROORGANISMO

    Directory of Open Access Journals (Sweden)

    C. Parra-Giraldo

    2007-12-01

    Full Text Available Use of soft contact lenses medicated as well as cosmetic is routine. In spite of its comfort, they have a highprobability of being contaminated with microorganisms and must be regularly disinfected for itspreservation. Aspergillus fumigatus is a cosmopolitan fungus, and is frequently associated with micosislike keratitis. In this study capacity of A. fumigatus to proliferate in five materials of lenses: three ofhidrogel (Alphafilcon A, Omafilcon A, Polymacon and two of hidrogel silicone (Lotrafilcon and BalafilconA, was evaluated. It was found that fungus can grow in Balafilcon A in greater proportion, and it wassmaller in Polymacon. In addition, disinfection capacity of five multipurpose solutions was evaluated,which differ from others because of antimicrobial component. Multipurpose solutions showed to have afungistatic effect, except solution with hydrogen peroxide that displayed a fungicidal effect. Solutionswith Trimetropim did not show any effect on the microorganism. Also, disinfectant capacity of materialspreviously infected with A. fumigatus was evaluated for each solution. In this case, solution with hydrogenperoxide showed to be the most effective.

  8. Additive versus multiplicative muon conservation

    International Nuclear Information System (INIS)

    Nemethy, P.

    1981-01-01

    Experimental elucidation of the question of muon conservation is reviewed. It is shown that neutral-current experiments have not yet yielded information about muonium-antimuonium conversion at the weak-interaction level and that all the charged-current experiments agree that there is no evidence for a multiplicative law. The best limits, from the muon-decay neutrino experiment at LAMPF and from the inverse muon-decay experiment in the CERN neutrino beam, definitely exclude multiplicative law schemes with a branching ratio R approximately 1/2. It is concluded that unless the dynamics conspire to make a multiplicative law with very small R it would appear that muon conservation obeys conserved additive lepton flavor law. (U.K.)

  9. An Additive Manufacturing Test Artifact

    Science.gov (United States)

    Moylan, Shawn; Slotwinski, John; Cooke, April; Jurrens, Kevin; Donmez, M Alkan

    2014-01-01

    A test artifact, intended for standardization, is proposed for the purpose of evaluating the performance of additive manufacturing (AM) systems. A thorough analysis of previously proposed AM test artifacts as well as experience with machining test artifacts have inspired the design of the proposed test artifact. This new artifact is designed to provide a characterization of the capabilities and limitations of an AM system, as well as to allow system improvement by linking specific errors measured in the test artifact to specific sources in the AM system. The proposed test artifact has been built in multiple materials using multiple AM technologies. The results of several of the builds are discussed, demonstrating how the measurement results can be used to characterize and improve a specific AM system. PMID:26601039

  10. Business models for additive manufacturing

    DEFF Research Database (Denmark)

    Hadar, Ronen; Bilberg, Arne; Bogers, Marcel

    2015-01-01

    Digital fabrication — including additive manufacturing (AM), rapid prototyping and 3D printing — has the potential to revolutionize the way in which products are produced and delivered to the customer. Therefore, it challenges companies to reinvent their business model — describing the logic...... of creating and capturing value. In this paper, we explore the implications that AM technologies have for manufacturing systems in the new business models that they enable. In particular, we consider how a consumer goods manufacturer can organize the operations of a more open business model when moving from...... a manufacturer-centric to a consumer-centric value logic. A major shift includes a move from centralized to decentralized supply chains, where consumer goods manufacturers can implement a “hybrid” approach with a focus on localization and accessibility or develop a fully personalized model where the consumer...

  11. Additive manufacturing with polypropylene microfibers.

    Science.gov (United States)

    Haigh, Jodie N; Dargaville, Tim R; Dalton, Paul D

    2017-08-01

    The additive manufacturing of small diameter polypropylene microfibers is described, achieved using a technique termed melt electrospinning writing. Sequential fiber layering, which is important for accurate three-dimensional fabrication, was achieved with the smallest fiber diameter of 16.4±0.2μm obtained. The collector speed, temperature and melt flow rate to the nozzle were optimized for quality and minimal fiber pulsing. Of particular importance to the success of this method is appropriate heating of the collector plate, so that the electrostatically drawn filament adheres during the direct-writing process. By demonstrating the direct-writing of polypropylene, new applications exploiting the favorable mechanical, stability and biocompatible properties of this polymer are envisaged. Copyright © 2017. Published by Elsevier B.V.

  12. Additivity of entropic uncertainty relations

    Directory of Open Access Journals (Sweden)

    René Schwonnek

    2018-03-01

    Full Text Available We consider the uncertainty between two pairs of local projective measurements performed on a multipartite system. We show that the optimal bound in any linear uncertainty relation, formulated in terms of the Shannon entropy, is additive. This directly implies, against naive intuition, that the minimal entropic uncertainty can always be realized by fully separable states. Hence, in contradiction to proposals by other authors, no entanglement witness can be constructed solely by comparing the attainable uncertainties of entangled and separable states. However, our result gives rise to a huge simplification for computing global uncertainty bounds as they now can be deduced from local ones. Furthermore, we provide the natural generalization of the Maassen and Uffink inequality for linear uncertainty relations with arbitrary positive coefficients.

  13. Additional Equipment for Soil Biodegradation

    Science.gov (United States)

    Vondráčková, Terezie; Kraus, Michal; Šál, Jiří

    2017-12-01

    Intensification of industrial production, increasing citizens’ living standards, expanding the consumer assortment mean in the production - consumption cycle a constantly increasing occurrence of waste material, which by its very nature must be considered as a source of useful raw materials in all branches of human activity. In addition to strict legislative requirements, a number of circumstances characterize waste management. It is mainly extensive transport associated with the handling and storage of large volumes of substances with a large assortment of materials (substances of all possible physical and chemical properties) and high demands on reliability and time coordination of follow-up processes. Considerable differences in transport distances, a large number of sources, processors and customers, and not least seasonal fluctuations in waste and strong price pressures cannot be overlooked. This highlights the importance of logistics in waste management. Soils that are contaminated with oil and petroleum products are hazardous industrial waste. Methods of industrial waste disposal are landfilling, biological processes, thermal processes and physical and chemical methods. The paper focuses on the possibilities of degradation of oil pollution, in particular biodegradation by bacteria, which is relatively low-cost among technologies. It is necessary to win the fight with time so that no ground water is contaminated. We have developed two additional devices to help reduce oil accident of smaller ranges. In the case of such an oil accident, it is necessary to carry out the permeability test of contaminated soil in time and, on this basis, to choose the technology appropriate to the accident - either in-sit biodegradation - at the site of the accident, or on-sit - to remove the soil and biodegrade it on the designated deposits. A special injection drill was developed for in-sit biodegradation, tossing and aeration equipment of the extracted soil was developed for

  14. Urgences diabetiques a lome : aspects epidemiologique et ...

    African Journals Online (AJOL)

    Le diabète était de type I dans 37 cas (40%) et de type II dans 55 cas (60%). ... The diabetes was of type 1in 37 cases (40%) and of type 2 in 55 cases (60%). ... Emergencies diabetics were represented by the ketoacidosis coma in 66 cases ...

  15. Thailand: gas import review takes on urgency

    International Nuclear Information System (INIS)

    Hayes, D.

    1992-01-01

    The potential market for natural gas imports in Thailand as a result of the downgrading of gas reserves in the Nan Phong field is examined. Proposed pipelines, plans for gas-fired power plants, and the effects that the downgrading has had on Thailand's long-term plans for the development of gas utilisation are discussed. (UK)

  16. Hypertensive crisis: urgency and hypertensive emergency

    Directory of Open Access Journals (Sweden)

    Javier Sobrino Martínez

    2016-12-01

    Full Text Available Resumen Las crisis hipertensivas son un conjunto de situaciones clínicas de variada gravedad y pronóstico. Las diferencias entre urgencias y emergencias hipertensivas radican en la existencia o no de riesgo vital por afectación de órganos diana, más que por los niveles de presión arterial. Las urgencias hipertensivas no suelen comportar riesgo vital inmediato por lo que el tratamiento puede iniciarse, incluso completarse, en el medio extrahospitalario. Las emergencias hipertensivas son situaciones clínicas muy graves que requieren asistencia hospitalaria. Ante un paciente con hipertensión grave, asintomático o con síntomas inespecíficos debe adoptarse una actitud terapéutica prudente. La primera medida será comprobar las cifras de presión arterial con tomas repetidas de la misma y tratar los posibles factores desencadenantes. El objetivo del tratamiento de las urgencias hipertensivas es tanto obtener una reducción de las cifras de presión arterial (al menos un 20% de las cifras basales como evitar reducciones bruscas y/o excesivas de la misma. En las urgencias hipertensivas no deberían utilizarse fármacos de acción rápida por el riesgo de accidentes isquémicos y utilizar fármacos con vida media más larga. El riesgo cardiovascular de estos pacientes es superior al de los hipertensos que no sufren una crisis hipertensiva. En las emergencias hipertensivas la elección del fármaco deberá individualizarse. La vía parenteral es la forma habitual de la administración de fármacos.

  17. Urgency of changing paradigms in radiation hygiene

    International Nuclear Information System (INIS)

    Kudritskij, Yu.K.; Karpov, V.I.; Georgievskij, A.B.

    1991-01-01

    A problem has been raised on the necessity to substitute the linear-nonthreshold hypothesis as a paradigm of radiation hygiene for the hypothesis of the biological effectiveness of ionizing irradiations. A comparison of the methodological substantiation for both hypotheses and a conception of 'acceptable risk' has been carried out. It is suggested that the possibility of theoretical substantiation of safety standards for the radiational factor on the basis of adatational hypothesis be acknowledged instead of the linear - nonthreshold conception which has lost its historic significance

  18. The urgency of outer territories anthropology

    Directory of Open Access Journals (Sweden)

    Miloš Milenković

    2016-02-01

    Full Text Available In the context of transforming a part of Serbian anthropology into social theoretic management of identity, I suggest both comparative historiographic and ethnographic learning from societies with similar post-colonial experience, with the aim to include the discipline into an urgent defense of Serbia and Belgrade from further ethno-profiteering interests of elites in/from outer territories, left over on the ruins of our ill judged, resource incompatible, exaggerated or immoral twentieth century adventures. Serbian anthropology, written by anthropologists to whom Serbia and Belgrade are "homeland" by origin or civilized choice, should play the key role in the defense of Serbian citizens from the interest of elites in/from the outer "homelands", particularly by revealing the processes for which it is, as a discipline, most expert at – the professionalization of ethnicity, interactive and hybrid nature of identity, instrumental nature of tradition and the identity politics in general. Having in mind the latest attempt, a particularly successful one, conducted by the end of the 20th and the beginning of the 21st century that the lives, health, well-being, dignity and future of persons born in and loyal to the interest of Serbia and Belgrade, in large scale, thoroughly and long term be sacrificed and dedicated to the interests of ethno-profiteering elites in/from outer territories, in this article I point to the possibility to, along with the comparative learning from the above mentioned post-colonial experiences, delicate experiences of urgent anthropology be applied as well as the rich tradition of collective research. This text analyzes the results of first such research, that represenst the initial, praiseworthy and a brave step in the wise striving to engage social sciences and humanities in a search of expert and not mythical/daily-political solutions of the key problem of the Serbian nation – that of how to settle the interests of the elites of population in/from outer territories sufficiently so that their local/regional problems or private interests can never again be treated as the national interest, nor be used as reasons for (selfdestruction and(selfhumiliation of Serbia and Belgrade.

  19. Urgency Competence of Media Literacy for Archivist

    Directory of Open Access Journals (Sweden)

    Agus Santoso

    2016-07-01

    Full Text Available The study of media literacy has been conducted by the earlier scientists. That research uses population that have different characteristics to each other. So this studies of media literacy have various models or patterns. This models or patterns of media literacies will be used as basic data to the next study that generated will usually be the basis for the further research. Basically, the model of media literacy generated by some researchers only can be applied in the population which become objects of research. To day, the archives faced many challenges due to the presence of information technology, so that the competence of media literacy as one of the important competencies to have. Through this competency, archivist are expected to manage archives organization effectively and efficiently. This paper uses a descriptive method to describe how media literacy becomes important for archives.

  20. Incommensurate crystallography without additional dimensions.

    Science.gov (United States)

    Kocian, Philippe

    2013-07-01

    It is shown that the Euclidean group of translations, when treated as a Lie group, generates translations not only in Euclidean space but on any space, curved or not. Translations are then not necessarily vectors (straight lines); they can be any curve compatible with the parameterization of the considered space. In particular, attention is drawn to the fact that one and only one finite and free module of the Lie algebra of the group of translations can generate both modulated and non-modulated lattices, the modulated character being given only by the parameterization of the space in which the lattice is generated. Moreover, it is shown that the diffraction pattern of a structure is directly linked to the action of that free and finite module. In the Fourier transform of a whole structure, the Fourier transform of the electron density of one unit cell (i.e. the structure factor) appears concretely, whether the structure is modulated or not. Thus, there exists a neat separation: the geometrical aspect on the one hand and the action of the group on the other, without requiring additional dimensions.

  1. Sustainability Characterization for Additive Manufacturing.

    Science.gov (United States)

    Mani, Mahesh; Lyons, Kevin W; Gupta, S K

    2014-01-01

    Additive manufacturing (AM) has the potential to create geometrically complex parts that require a high degree of customization, using less material and producing less waste. Recent studies have shown that AM can be an economically viable option for use by the industry, yet there are some inherent challenges associated with AM for wider acceptance. The lack of standards in AM impedes its use for parts production since industries primarily depend on established standards in processes and material selection to ensure the consistency and quality. Inability to compare AM performance against traditional manufacturing methods can be a barrier for implementing AM processes. AM process sustainability has become a driver due to growing environmental concerns for manufacturing. This has reinforced the importance to understand and characterize AM processes for sustainability. Process characterization for sustainability will help close the gaps for comparing AM performance to traditional manufacturing methods. Based on a literature review, this paper first examines the potential environmental impacts of AM. A methodology for sustainability characterization of AM is then proposed to serve as a resource for the community to benchmark AM processes for sustainability. Next, research perspectives are discussed along with relevant standardization efforts.

  2. Dynamics of ultrasonic additive manufacturing.

    Science.gov (United States)

    Hehr, Adam; Dapino, Marcelo J

    2017-01-01

    Ultrasonic additive manufacturing (UAM) is a solid-state technology for joining similar and dissimilar metal foils near room temperature by scrubbing them together with ultrasonic vibrations under pressure. Structural dynamics of the welding assembly and work piece influence how energy is transferred during the process and ultimately, part quality. To understand the effect of structural dynamics during UAM, a linear time-invariant model is proposed to relate the inputs of shear force and electric current to resultant welder velocity and voltage. Measured frequency response and operating performance of the welder under no load is used to identify model parameters. Using this model and in-situ measurements, shear force and welder efficiency are estimated to be near 2000N and 80% when welding Al 6061-H18 weld foil, respectively. Shear force and welder efficiency have never been estimated before in UAM. The influence of processing conditions, i.e., welder amplitude, normal force, and weld speed, on shear force and welder efficiency are investigated. Welder velocity was found to strongly influence the shear force magnitude and efficiency while normal force and weld speed showed little to no influence. The proposed model is used to describe high frequency harmonic content in the velocity response of the welder during welding operations and coupling of the UAM build with the welder. Copyright © 2016 Elsevier B.V. All rights reserved.

  3. Dimensionless numbers in additive manufacturing

    Science.gov (United States)

    Mukherjee, T.; Manvatkar, V.; De, A.; DebRoy, T.

    2017-02-01

    The effects of many process variables and alloy properties on the structure and properties of additively manufactured parts are examined using four dimensionless numbers. The structure and properties of components made from 316 Stainless steel, Ti-6Al-4V, and Inconel 718 powders for various dimensionless heat inputs, Peclet numbers, Marangoni numbers, and Fourier numbers are studied. Temperature fields, cooling rates, solidification parameters, lack of fusion defects, and thermal strains are examined using a well-tested three-dimensional transient heat transfer and fluid flow model. The results show that lack of fusion defects in the fabricated parts can be minimized by strengthening interlayer bonding using high values of dimensionless heat input. The formation of harmful intermetallics such as laves phases in Inconel 718 can be suppressed using low heat input that results in a small molten pool, a steep temperature gradient, and a fast cooling rate. Improved interlayer bonding can be achieved at high Marangoni numbers, which results in vigorous circulation of liquid metal, larger pool dimensions, and greater depth of penetration. A high Fourier number ensures rapid cooling, low thermal distortion, and a high ratio of temperature gradient to the solidification growth rate with a greater tendency of plane front solidification.

  4. Additive Manufacturing of Fuel Injectors

    Energy Technology Data Exchange (ETDEWEB)

    Sadek Tadros, Dr. Alber Alphonse [Edison Welding Institute, Inc., Columbus, OH (United States); Ritter, Dr. George W. [Edison Welding Institute, Inc., Columbus, OH (United States); Drews, Charles Donald [Edison Welding Institute, Inc., Columbus, OH (United States); Ryan, Daniel [Solar Turbines Inc., San Diego, CA (United States)

    2017-10-24

    Additive manufacturing (AM), also known as 3D-printing, has been shifting from a novelty prototyping paradigm to a legitimate manufacturing tool capable of creating components for highly complex engineered products. An emerging AM technology for producing metal parts is the laser powder bed fusion (L-PBF) process; however, industry manufacturing specifications and component design practices for L-PBF have not yet been established. Solar Turbines Incorporated (Solar), an industrial gas turbine manufacturer, has been evaluating AM technology for development and production applications with the desire to enable accelerated product development cycle times, overall turbine efficiency improvements, and supply chain flexibility relative to conventional manufacturing processes (casting, brazing, welding). Accordingly, Solar teamed with EWI on a joint two-and-a-half-year project with the goal of developing a production L-PBF AM process capable of consistently producing high-nickel alloy material suitable for high temperature gas turbine engine fuel injector components. The project plan tasks were designed to understand the interaction of the process variables and their combined impact on the resultant AM material quality. The composition of the high-nickel alloy powders selected for this program met the conventional cast Hastelloy X compositional limits and were commercially available in different particle size distributions (PSD) from two suppliers. Solar produced all the test articles and both EWI and Solar shared responsibility for analyzing them. The effects of powder metal input stock, laser parameters, heat treatments, and post-finishing methods were evaluated. This process knowledge was then used to generate tensile, fatigue, and creep material properties data curves suitable for component design activities. The key process controls for ensuring consistent material properties were documented in AM powder and process specifications. The basic components of the project

  5. [Winter surveillance of cold exposure effects on health among the homeless population in the Paris area: data from the Coordinated Health Surveillance of Emergency Department network (Organisation de la surveillance coordonnée des urgences [Oscour(®)])].

    Science.gov (United States)

    Rouquette, A; Mandereau-Bruno, L; Baffert, E; Laaidi, K; Josseran, L; Isnard, H

    2011-12-01

    A program for helping homeless individuals in winter is implemented from November 1(st) to March 31(st) each year in France. Its aim is to prevent morbidity and mortality in this population during cold spells and periods of severe cold. A health surveillance system of the homeless population in the Paris area has been proposed to evaluate the effectiveness of the program and to alert decision-makers if an unusual increase in cold-weather effects is observed. The goal of this study was the creation of an indicator for the proposed surveillance system based on emergency department activity in the Paris area (Oscour(®) Network - Organisation de la surveillance coordonnée des urgences). The winter 2007-2008 computer medical files of 11 emergency departments in the Paris area were examined to confirm diagnosis and ascertain patient-homelessness for each patient visit which was selected from the Oscour(®) database by the patient chief-complaint or diagnosis code referring to hypothermia or frostbites. The proposed indicator is based on the maximization of three criteria: the positive predictive value, the proportion of people identified as being homeless and the number of emergency department visits. A Shewhart control chart was applied to the indicator for the four winters between 2005 and 2009 in the Paris area. Values beyond the statistical threshold would indicate a need for an adjustment to the program strategy. Two hundred and sixteen medical files were analyzed. An indicator was created, "number of emergency department visits of 15 to 69-years-old persons with chief-complaint or diagnosis code referring to hypothermia". It had a positive predictive value estimated near 85 % and identified 61.7 % people as being homeless. In the winter of 2008-2009, the statistical threshold was reached in December during the first cold spell, and again at the beginning of January during a period of severe cold. Our results support the use of this health indicator

  6. Contribution to the study of the interaction of slow neutrons with {sup 235}U using the time-of-flight method; Contribution a l'etude par la methode du temps de vol de l'interaction de neutrons lents avec l'U{sup 235}

    Energy Technology Data Exchange (ETDEWEB)

    Michaudon, A [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1964-05-15

    This study concerns the properties of the excited levels of uranium 236 obtained by interaction of slow neutron with uranium 235. The experiments have been carried out at the Saclay linear electron accelerator by use of the time of flight method. In the first part of this paper, we examine the technical and physical conditions which rule the experiments: compromise between resolution and counting rate, time dispersion due to the slowing down of the neutrons and crystalline binding effects. In a second part the experimental results i.e. total, fission and ternary fission cross sections are given. The third part deals with the analysis of these results: the resonance parameters determination ({tau}{sub n}, {tau}{sub {gamma}}, {tau}{sub f}), the study of their statistical distribution and of their correlations. We tried some classifications of the resonances according to their parameters and compared these classifications to each other and to other results. At least the evidence of a cross section correlation with a range smaller than 100 eV seems to be confirmed. (author) [French] Cette etude porte sur les proprietes des niveaux excites de l'Uranium-236 obtenus par l'interaction de neutrons lents avec le {sup 235}U. La technique experimentale est celle de la spectrometrie par temps de vol, les experiences ayant ete realisees aupres de l'accelerateur lineaire d'electrons de Saclay, Dans une premiere partie nous examinons les donnees techniques et physiques conditionnant les experiences: compromis entre resolution et taux de comptage, dispersion en temps due au ralentissement des neutrons, effet des liaisons cristallines. Dans une deuxieme partie sont exposes les resultats experimentaux: sections efficaces totales, de fission et de fission ternaire du {sup 235}U. Une troisieme partie porte sur l'analyse de ces resultats: determination des parametres ({tau}{sub n}, {tau}{sub {gamma}}, {tau}{sub f}), etude de leurs distributions statistiques et des correlations entre ces

  7. Implantação de lente intraocular com uma alça amputada: proposta para o tratamento cirúrgico da subluxação do cristalino Intraocular lens implantation with one loop haptic amputed: a new propose to the subluxation lens surgical treatment

    Directory of Open Access Journals (Sweden)

    Marcelo Ventura

    2010-04-01

    Full Text Available OBJETIVO: Avaliar os resultados pós-operatórios da subluxação congênita do cristalino, corrigida por uma nova abordagem cirúrgica. MÉTODOS: Foram estudados 21 olhos de 13 pacientes, portadores de subluxação não traumática do cristalino submetidos à cirurgia na Fundação Altino Ventura, no período de abril de 1999 a abril de 2004. A idade média foi de 8,7 ± 5,4 anos, e o tempo médio de seguimento foi 21,5 ± 19,3 meses. Os pacientes foram submetidos à facoaspiração, implante do anel endocapsular e lente intraocular (LIO. Uma das alças da LIO foi amputada e apoiada sobre o anel, no interior do saco capsular, centralizando a LIO. RESULTADOS: Houve melhora da acuidade visual (AV em todos os casos, e redução significante do equivalente esférico e componente esférico comparando-se a refração pré e pós-operatória (pPURPOSE: To evaluate the postoperative results of congenital lens subluxation corrected by a new technique. METHODS: Retrospective chart review of 21 eyes of 13 patients with no traumatic lens subluxation who underwent surgery in Altino Ventura Foundation from April, 1999 to April, 2004. The mean age was 8.7 ± 5.4 years old, and the mean follow-up period was 21.5 ± 19.3 months. Patients underwent phacoaspiration, endocapsular ring and intraocular lens (IOL implantation. The implanted IOL had one loop haptic excised and was supported above the ring, inside the capsular bag promoting intraocular lens centralization. RESULTS: Visual acuity improvement was observed in all cases. There was a significant reduction of the spherical equivalent and spherical component comparing the pre and postoperative refraction (p<0.01. There was no statistically significant difference between the pre and postoperative cylinder component (p=0.71. Posterior capsule opacification was a postoperative complication found in 71.4% of the cases. Early posterior capsulotomy was performed with no complications in these cases. CONCLUSION

  8. Contribution to the study of the interaction of slow neutrons with {sup 235}U using the time-of-flight method; Contribution a l'etude par la methode du temps de vol de l'interaction de neutrons lents avec l'U{sup 235}

    Energy Technology Data Exchange (ETDEWEB)

    Michaudon, A. [Commissariat a l' Energie Atomique, Saclay (France). Centre d' Etudes Nucleaires

    1964-05-15

    This study concerns the properties of the excited levels of uranium 236 obtained by interaction of slow neutron with uranium 235. The experiments have been carried out at the Saclay linear electron accelerator by use of the time of flight method. In the first part of this paper, we examine the technical and physical conditions which rule the experiments: compromise between resolution and counting rate, time dispersion due to the slowing down of the neutrons and crystalline binding effects. In a second part the experimental results i.e. total, fission and ternary fission cross sections are given. The third part deals with the analysis of these results: the resonance parameters determination ({tau}{sub n}, {tau}{sub {gamma}}, {tau}{sub f}), the study of their statistical distribution and of their correlations. We tried some classifications of the resonances according to their parameters and compared these classifications to each other and to other results. At least the evidence of a cross section correlation with a range smaller than 100 eV seems to be confirmed. (author) [French] Cette etude porte sur les proprietes des niveaux excites de l'Uranium-236 obtenus par l'interaction de neutrons lents avec le {sup 235}U. La technique experimentale est celle de la spectrometrie par temps de vol, les experiences ayant ete realisees aupres de l'accelerateur lineaire d'electrons de Saclay, Dans une premiere partie nous examinons les donnees techniques et physiques conditionnant les experiences: compromis entre resolution et taux de comptage, dispersion en temps due au ralentissement des neutrons, effet des liaisons cristallines. Dans une deuxieme partie sont exposes les resultats experimentaux: sections efficaces totales, de fission et de fission ternaire du {sup 235}U. Une troisieme partie porte sur l'analyse de ces resultats: determination des parametres ({tau}{sub n}, {tau}{sub {gamma}}, {tau}{sub f}), etude de leurs distributions statistiques et

  9. Modified Longo's stapled hemorrhoidopexy with additional traction sutures for the treatment of residual prolapsed piles.

    Science.gov (United States)

    Chen, Chuang-Wei; Kang, Jung-Cheng; Wu, Chang-Chieh; Hsiao, Cheng-Wen; Jao, Shu-Wen

    2008-03-01

    Residual prolapsed piles is a problem after the stapled hemorrhoidopexy, especially in large third- or fourth-degree hemorrhoids. We have developed a method using additional traction sutures along with modified Longo's procedure to manage this problem. From January 2005 to October 2005, 30 consecutive patients with symptomatic third- or fourth-degree hemorrhoids who underwent the modified Longo's stapled hemorrhoidopexy with additional traction sutures in a single institution were collected. The demographics, postoperative pain score, surgical features, outcomes, and early and late complications were recorded. All patients were followed for a mean duration of 8.8 (range, 4-15) months. Thirty patients (17 males) with a mean age of 45 (range, 27-63) years were identified. The mean postoperative pain score on the morning of the first postoperative day was 2.8 (range, 1-4). The mean duration of operation was 30.7 (range, 25-37) min. The mean duration of hospital stay was 2 (range, 1-3) days. The mean days for patients to resume normal work was 6.7 (range, 4-9) days. No other procedure-related complications occurred in all patients. There was no early complication except for fecal urgency found in one patient during the first postoperative days. Regarding the late complications, no residual prolapsed piles, persistent anal pain, incontinence, anal stenosis, or recurrent symptoms were found. Our preliminary experiences indicated that this modified procedures truly contributed to reduce the residual internal hemorrhoids and maintained the benefits of stapled hemorrhoidopexy. Randomized trial and long-term follow-up warrant to determine possible surgical and functional outcome.

  10. Law project modified by the Senate after urgency declaration relative to the electric and gas public utilities and to the power and gas companies; Projet de loi modifie par le Senat apres declaration d'urgence relatif au service public de l'electricite et du gaz et aux entreprises electriques et gazieres

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    This document is the modifications made by the French Senate after the first reading of the law project adopted by the House of Commons and relative to the change of status of the power and gas public utilities in the framework of the deregulation of European energy markets. This law changes the juridical status of the two state monopolies Electricite de France (EdF) and Gaz de France (GdF) into two anonymous companies and creates two additional companies for the management of the power and gas networks. It ensures also the transposition of the European directives from June 26, 2003 (2003/54/CE and 2003/55/CE). It contains some proper dispositions and modifies various existing French laws, in particular the law no. 46-628 from April 8, 1946 about the electricity and gas nationalization and the law no. 2000-108 from February 10, 2000 relative to the modernization and development of the electric public utility. The document lists the modifications made by the Senate article by article. (J.S.)

  11. Gestão social sob a lente estruturacionista

    Directory of Open Access Journals (Sweden)

    Miguel Rivera Peres Júnior

    2013-12-01

    Full Text Available A Gestão Social – como campo de estudo e como prática social – tem buscado se consolidar como um tipo de gestão pública não estatal, em que a sociedade é a protagonista da ação. Grande parte dos estudos da área fundamenta-se na perspectiva crítica, em especial na teoria da ação comunicativa de Habermas. Pretende-se, aqui, indicar um novo caminho teórico para a análise da Gestão Social, fundamentado na Teoria da Estruturação, proposta pelo sociólogo inglês Anthony Giddens. Tendo entre seus principais pressupostos a dualidade da estrutura (a estrutura é, ao mesmo tempo, meio e resultado da ação e o reconhecimento da ação humana como intencional, reflexiva e cognoscitiva, entende-se que a perspectiva estruturacionista fornece subsídios consistentes para a compreensão das práticas de Gestão Social, especialmente no que diz respeito ao processo de estruturação do sistema deliberativo e da formação da esfera pública, bases de sustentação teórica da Gestão Social. Para viabilizar essa nova abordagem, este artigo propõe um arcabouço teórico que incorpora o sistema deliberativo de Mansbridge (1999 ao modelo estruturacionista multidimensional de sistemas sociais de Whittington (1992. Neste arcabouço, à semelhança do que foi estabelecido por Whittington (1992 para os demais sistemas sociais, são definidos as regras e os recursos básicos (as propriedades estruturadas na perspectiva giddensiana do sistema deliberativo, respectivamente, argumentação deliberativa e participação dialógica. O arcabouço sugere, ainda, que essas propriedades são, simultaneamente, meio e resultado das práticas de gestão social (entendida como ação gerencial dialógica configurando aquela que é a concepção central da Teoria da Estruturação: a noção de dualidade da estrutura. Com seu framework, Whittington (1992 entende que está “colocando Giddens em ação”, contribuindo para que a Teoria da Estruturação seja utilizada em pesquisas empíricas, não se restringindo às discussões ontológicas. Com a agregação de um sistema deliberativo a esse modelo, acredita-se que se possa contribuir para a consolidação da Gestão Social, estabelecendo uma interface teórica profícua com a Teoria da Estruturação.

  12. La construction de l’urgence au travail et ses effets suivant les statuts hiérarchiques : le cas des mécaniciens et des agents de maîtrise dans le secteur aérien Effects of working under pressure for different hierarchical statuses. Example of mechanical vs. control personnel in the airliner business La construcción de la urgencia en el trabajo y sus efectos según las posiciones jerárquicas: el caso de los mecánicos y de los supervisores en el sector aéreo

    Directory of Open Access Journals (Sweden)

    Denis Monneuse

    2012-12-01

    Full Text Available Travailler dans l’urgence est devenu un impératif catégorique pour nombre de salariés. Cet impératif se double d’une injonction paradoxale : il faut que le travail soit « vite fait, bien fait ». Comment la légitimation de l’urgence est-elle construite ? Dans quelle mesure les salariés intériorisent-ils cette logique managériale ? Quelles différences note-t-on suivant leur statut hiérarchique ? Cet article vise à rendre compte d’une enquête menée au sein d’un centre de maintenance d’une compagnie aérienne. Au-delà de l’observation des différentes formes que prend le travail dans l’urgence, ce sont les arrangements différenciés et marqués socialement entre les mécaniciens, d’un côté, et les managers de proximité, de l’autre, que nous analysons. Cela nous a conduit à repérer divers mécanismes de défense utilisés par les salariés ainsi qu’à discuter l’intérêt et les limites d’un dispositif original mis en place par la direction : un « bureau des pleurs managérial ».Working under pressure has become a categorical imperative for many employees, especially since it is generally coupled with the contradictory requirement that a quick job be done well. The question then becomes how time pressure is legitimised; to what extent employees internalise these managerial models; and whether their perceptions change depending on their hierarchical status. The article presents results from a research study carried out in an airline company’s maintenance centre. In addition to its analysis of the different forms of working under pressure, it also looks at how mechanics and their immediate managers adapt to this kind of regime, and whether any such differentiated arrangements vary along social lines. What appears are a number of defence mechanisms developed by employees. The discussion also covers the strengths and weaknesses of an unusual scheme set up by one company, involving a

  13. Mga Lente sa Likod ng Lente: Isang Panimulang Pag-aaral ng Ilang Litratong Kuha ni Xander Angeles

    Directory of Open Access Journals (Sweden)

    Moreal Nagarit Camba

    2011-12-01

    Full Text Available Ang pangalang Xander Angeles ay kilala bilang isa sa mga in-demand napangalan sa mundo ng fashion at advertisement sa Pilipinas. Kakabit ngpangalang ito ang samut-saring lokal at internasyunal na parangal; idagdag pa rito ang isang advertising company, isang modelling agency, at isang fashion and photography school.

  14. Urgencias estomatológicas en pacientes con VIH/SIDA de la Clínica Estomatológica Docente "Yuri Gómez Reinoso" Stomatology urgencies in HIV/AIDS patients in "Yuri Gómez Reinoso" Stomatology Teaching Clinic

    Directory of Open Access Journals (Sweden)

    Susel Quesada Peña

    2011-09-01

    Full Text Available Se realizó un estudio observacional descriptivo transversal con el objetivo de identificar la edad, el sexo y la frecuencia de urgencias estomatológicas y su relación con el tiempo de infección por el virus de inmunodeficiencia humana y el consumo de antirretrovirales. El universo lo constituyeron 32 pacientes mayores de edad, con infección por el virus de inmunodeficiencia humana/síndrome de inmunodeficiencia adquirida, que se presentaron con urgencias estomatológicas en la clínica "Yuri Gómez Reinoso", en La Habana, Cuba, entre el mes de enero de 2008 e igual mes de 2010. Resultó que el 68,75 % correspondieron al sexo masculino, el 31,25 % con edades de 31 a 40 años, el 25 % presentaron estomatitis aftosa recurrente, el 21,8 % absceso dentoalveolar agudo, el 15,62 % pulpitis irreversible aguda y candidiasis eritematosa y el 37,5 % xerostomía. El 46,87 % de los pacientes con infección por el virus de 6 a 10 años de diagnóstico presentaron urgencias. El 46,9 % de los pacientes, no consumían medicamentos antirretrovirales y el 53,1 % sí lo consumían. Estas diferencias no fueron estadísticamente significativas (p= 0,8026. Se concluyó que en los pacientes estudiados, predominó el sexo masculino y los mayores de 31 años. Los tipos de urgencias mayormente tratadas fueron: estomatitis aftosa recurrente, absceso dentoalveolar agudo, pulpitis irreversible y candidiasis eritematosa. En la investigación no se constaron diferencias entre la presencia de urgencias y el consumo de antirretrovirales.A cross-sectional, descriptive and observational study was conducted to identify age, sex and frequency of Stomatology urgencies and its relation to time of infection from HIV and of antiretroviral consumption drugs. Universe included 32 HIV/AIDS adult patients came with Stomatology urgencies in the "Yuri Gómez Reinoso" Teaching Clinic between January, 2008 and January, 2010. The 68.75 % corresponded to male sex, the 31.25 % aged from 31 to

  15. Septic tank additive impacts on microbial populations.

    Science.gov (United States)

    Pradhan, S; Hoover, M T; Clark, G H; Gumpertz, M; Wollum, A G; Cobb, C; Strock, J

    2008-01-01

    Environmental health specialists, other onsite wastewater professionals, scientists, and homeowners have questioned the effectiveness of septic tank additives. This paper describes an independent, third-party, field scale, research study of the effects of three liquid bacterial septic tank additives and a control (no additive) on septic tank microbial populations. Microbial populations were measured quarterly in a field study for 12 months in 48 full-size, functioning septic tanks. Bacterial populations in the 48 septic tanks were statistically analyzed with a mixed linear model. Additive effects were assessed for three septic tank maintenance levels (low, intermediate, and high). Dunnett's t-test for tank bacteria (alpha = .05) indicated that none of the treatments were significantly different, overall, from the control at the statistical level tested. In addition, the additives had no significant effects on septic tank bacterial populations at any of the septic tank maintenance levels. Additional controlled, field-based research iswarranted, however, to address additional additives and experimental conditions.

  16. Necrotizing nocardial scleritis after combined penetrating keratoplasty and phacoemulsification with intraocular lens implantation: a case report and review of the literature Esclerite necrosante por Nocardia após ceratoplastia penetrante e facoemulsificação com implante de lente intra-ocular: caso clínico e revisão de literatura

    Directory of Open Access Journals (Sweden)

    Jerome Charles Ramos-Esteban

    2007-03-01

    Full Text Available We report the history and clinical presentation of an 88-year-old female with Fuchs dystrophy who developed an acute anterior necrotizing scleritis in her left eye 23 months after an uncomplicated combined penetrating keratoplasty and phacoemulsification with intraocular lens implantation which progressed to slceral perforation with uveal prolapses. The patient underwent a complete systemic work-up for both autoimmune and infectious causes of scleritis. Surgical specimens of the area of scleral perforation were sent for histology and microbiologic studies. Analysis of surgical specimens revealed the presence of culture-proven Nocardia asteroides as a causative agent for the patient's scleral perforation. Results of her systemic autoimmune work-up were not conclusive. Successful treatment with tectonic scleral reinforcement with donor corneal tissue and preserved pericardium, oral and topical trimethoprim-sulfamethoxazole and topical amikacin salvaged the globe and increased vision. The patient's final best-corrected visual acuity sixteen months after her last operation remains 20/70. Prompt surgical intervention with submission of appropriate specimens for pathological diagnosis and microbiology, along with consultation with rheumatologic and infectious disease specialists, are mandatory to minimize visual loss in cases of suspected infectious necrotizing scleritis.Relato de caso de esclerite necrosante aguda, evoluindo para perfuração escleral com prolapso uveal, 23 meses após procedimento de ceratoplastia penetrante e facoemulsificação com implante de lente intra-ocular no olho esquerdo sem intercorrências.A paciente foi submetida à avaliação completa auto-imune para esclerite. Biópsia da área de perfuração escleral foi encaminhada para avaliação patológica e microbiológica. Análise de material cirúrgico revelou presença de cultura proveniente de Nocardia asteroides como agente causal da perfuração escleral. Resultados de

  17. A implementação do sistema de custos proposto pelo governo federal: uma análise sob a ótica institucional Aplicación del sistema de gastos del gobierno federal: un análisis según una lente institucional Implementing costs systems proposed by federal government: an analysis under a institutional lens

    Directory of Open Access Journals (Sweden)

    Thiago Bernardo Borges

    2013-04-01

    Full Text Available As informações sobre custos no setor público são importantes para uma análise adequada de eficiência e qualidade do gasto. Em países de referência a implementação dessa metodologia teve caráter mais abrangente, não focado apenas em questões técnicas. A teoria institucional discute justamente a necessidade de que tais transformações no cotidiano dos servidores devem envolver ajustes das normas, valores e práticas em uso nas organizações envolvidas. Neste contexto é que se insere este trabalho, que procurou através da ótica institucional, e comparando com o processo de reforma australiano, analisar como se desenvolveu no governo federal brasileiro a incorporação de novas ferramentas de gestão. Assim, identificou-se, diferentemente do que sugere a teoria institucional e a experiência internacional, que o governo brasileiro optou pela implantação de uma solução tecnológica, em detrimento de uma mobilização institucional mais ampla.La información sobre los costos en el sector público son importantes para un correcto análisis de la eficiencia y calidad del gasto. En referencia a los países que aplican esta metodología tuvo un enfoque más extenso, no sólo se centró en cuestiones técnicas. La teoría institucional argumenta sobre la necesidad de tales transformaciones en las situaciones cotidianas de lós servidores debe implicar ajustes de las normas, los valores y las prácticas en uso en las organizaciones. En este contexto, En este contexto, es que este trabajo se ajusta a esa búsqueda a través de la lente institucional, y comparando con el proceso de reforma del gobierno de Australia, analizar cómo se desarrolló en el gobierno federal brasileño la incorporación de nuevas herramientas de gestión. Por lo tanto, fue identificado de forma diferente que sugiere la teoría institucional y la experiencia internacional, que el gobierno brasileño optó por implementar una solución tecnológica, en lugar de

  18. Resultados del implante múltiple de lentes intraoculares en la cirugía de catarata en el Instituto Cubano de Oftalmología "Ramón Pando Ferrer" Results of the multiple intraocular lenses implantation in the cataract surgery performed at "Ramón Pando Ferrer" Cuban Institute of Ophthalmology

    Directory of Open Access Journals (Sweden)

    Eric Montero Díaz

    2010-06-01

    Full Text Available OBJETIVO: Valorar los resultados visuales de los pacientes operados con la técnica de piggy back o implantes múltiples de lentes intraoculares. MÉTODOS: Se realizó un estudio descriptivo retrospectivo de corte transversal en el que se tomaron 32 ojos de 30 pacientes del universo operado de catarata, con la técnica antes descrita, en el Instituto Cubano de Oftalmología "Ramón Pando Ferrer", en el período comprendido entre enero de 2000 hasta diciembre de 2006. Fueron evaluadas algunas variables demográficas, como edad y sexo, así como agudeza visual y refracción preoperatorio y posoperatoria con cristales y sin ellos. Reportamos las complicaciones transquirúrgicas y posquirúrgicas asociadas a las diferentes técnicas quirúrgicas empleadas para la extracción del cristalino. RESULTADOS: La edad promedio obtenida fue mayor de 50 años, y predominó el sexo femenino. Parte de los pacientes tuvieron una agudeza visual corregida superior a 20/40. La complicación más frecuente fue la opacidad de la cápsula posterior y solo en la tercera parte de los pacientes se obtuvo una buena corrección refractiva. CONCLUSIONES: La técnica de piggy back permitió la recuperación de cuatro líneas en la cartilla de Snellen en la agudeza visual corregida, mientras que en la agudeza visual sin corrección solo aumentó en dos líneas. Se encontró igual número de pacientes hipocorregidos y bien corregidos.OBJECTIVE: To asses the visual results of patients operated on by piggy back technique or multiple implantation of intraocular lenses METHODS: A retrospective cross-sectional descriptive study was conducted in 32 eyes from 30 patients operated on from cataract, using the above-mentioned technique, at "Ramon Pando Ferrer" Cuban Institute of Ophthalmology in the period January 2000 through December 2006. Some demographic variables as age and sex as well as visual acuity and preoperative and postoperative refraction with/without lenses were evaluated

  19. Additive conjoint measurement for multiattribute utility

    NARCIS (Netherlands)

    Maas, A.; Wakker, P.P.

    1994-01-01

    This paper shows that multiattribute utility can be simplified by methods from additive conjoint measurement. Given additive conjoint measurability under certainty, axiomatizations can be simplified, and implementation and reliability of elicitation can be improved. This also contributes to the

  20. Additive Manufacturing of Aerospace Propulsion Components

    Science.gov (United States)

    Misra, Ajay K.; Grady, Joseph E.; Carter, Robert

    2015-01-01

    The presentation will provide an overview of ongoing activities on additive manufacturing of aerospace propulsion components, which included rocket propulsion and gas turbine engines. Future opportunities on additive manufacturing of hybrid electric propulsion components will be discussed.

  1. The Philosophical Consideration about Food Additives

    OpenAIRE

    Baoyu Ma

    2015-01-01

    This study mainly analyzes the essential features of food additives technology from the angle of philosophy, explaining the essential characteristics of food additives technology. As for the attitude towards the application of food additives, it is influenced by the public's gender, age, educational level, occupation and monthly expenditure for buying non-staple food and other variables, thus, the attitude towards food additives and green food, as well as the attitude towards using artificial...

  2. The dilemma of allergy to food additives.

    Science.gov (United States)

    Bahna, Sami L; Burkhardt, Joshua G

    2018-01-01

    To provide a brief summary on food additives and to outline a practical approach for evaluating subjects suspected of having reactions to food additives. Information was derived from selected reviews and original articles published in peer-reviewed journals, supplemented by the clinical experience of the authors. Priority was given to studies that used blinded, placebo controlled, oral challenges to confirm adverse reactions to food additives. In addition, selected, appropriately evaluated case reports were included. A large number of food additives are widely used in the food industry. Allergic reactions to additives seem to be rare but are very likely underdiagnosed, primarily due to a low index of suspicion. A wide variety of symptoms to food additives have been reported, but a cause-and-effect relationship has not been well documented in the majority of cases. Reactions to food additives should be suspected in patients who report symptoms related to multiple foods or to a certain food when commercially prepared but not when home made. It is also prudent to investigate food additives in subjects considered to have "idiopathic" reactions. Except for a limited number of natural additives, there is a small role for skin tests or in vitro testing. Oral challenge, in stages, with commonly used additives is the definitive procedure for detecting the offending agent. Once the specific additive is identified, management is strict avoidance, which can be difficult.

  3. Enabling Technologies for Medium Additive Manufacturing (MAAM)

    Energy Technology Data Exchange (ETDEWEB)

    Richardson, Bradley S. [ORNL; Love, Lonnie J. [ORNL; Chesser, Phillip C. [ORNL; Miller, Jason [Cosine Additive, Inc.; McCalip, Andrew [Cosine Additive, Inc.

    2018-02-01

    ORNL has worked with Cosine Additive, Inc. on the design of MAAM extrusion components. The objective is to improve the print speed and part quality. A pellet extruder has been procured and integrated into the MAAM printer. Print speed has been greatly enhanced. In addition, ORNL and Cosine Additive have worked on alternative designs for a pellet drying and feed system.

  4. House Price Risk and Sub-District House Price Dynamics : The Case of Amsterdam

    NARCIS (Netherlands)

    Teye, A.L.; de Haan, J.; Elsinga, M.G.

    2016-01-01

    The recent Global Financial Crisis has lent even greater urgency to the need for households to understand the risks and dynamics of the residential property market better. This paper uses a rich dataset on individual residential property transactions between 1995 and 2014 in Amsterdam to study the

  5. Additive operator-difference schemes splitting schemes

    CERN Document Server

    Vabishchevich, Petr N

    2013-01-01

    Applied mathematical modeling isconcerned with solving unsteady problems. This bookshows how toconstruct additive difference schemes to solve approximately unsteady multi-dimensional problems for PDEs. Two classes of schemes are highlighted: methods of splitting with respect to spatial variables (alternating direction methods) and schemes of splitting into physical processes. Also regionally additive schemes (domain decomposition methods)and unconditionally stable additive schemes of multi-component splitting are considered for evolutionary equations of first and second order as well as for sy

  6. Biocompatibility of photopolymers for additive manufacturing

    OpenAIRE

    Leonhardt Stefan; Klare Martin; Scheer Maurice; Fischer Theresa; Cordes Burghard; Eblenkamp Markus

    2016-01-01

    To establish photopolymers for the production of class II or class III medical products by additive manufacturing it is essential to know which components of photopolymeric systems, consisting of monomers, photoinitiators and additives, are the determining factors on their biocompatible properties. In this study the leachable substances of a cured photopolymeric system were eluted and identified by HPLC-MS detection. In addition the cured photopolymer was testes for cytotoxicity and genotoxic...

  7. Harnessing the Potential of Additive Manufacturing

    Science.gov (United States)

    2016-12-01

    31 Defense AT&L: November-December 2016 Harnessing the Potential of Additive Manufacturing Bill Decker Decker is director of Technology...achieve its goal of competition throughout the acquisition life cycle. When we look at additive manufacturing , we have a much different environment. To...Titanium-6 Aluminum-4 Vanadium with Powder Bed Fusion. This specification covers additively manufactured titanium-6 aluminum-4 vanadium (Ti-6Al-4V

  8. Additives in food and their properties

    OpenAIRE

    TYLOVÁ, Kristýna

    2013-01-01

    The aim of this work is to deepen the knowledge about additives in foods, the importance of technological additives in foods, their properties and effects on human health. The aim of this work is a study of technical and scientific literature on the topic: "additives in foods and their properties" and review of the literature. Also in the practical part, implementation and evaluation of a questionnaire survey of the experimental group related to the topic: "Validation and comparison of knowle...

  9. Merits and Demerits of Food Additives

    OpenAIRE

    YANG, Xuening; ZHAN, Yong

    2014-01-01

    Food additive is a double-edged sword. It has merits and demerits. Food additives have such merits as improving sensory properties of foods, preventing deterioration and extending the shelf life, increasing varieties of foods, enhancing convenience of foods, facilitating food processing, and satisfying other demands. However, excessive and illegal use of food additives will exert adverse influence on food security. Therefore, it is required to take proper measures to bring merits of food addi...

  10. Merits and Demerits of Food Additives

    Institute of Scientific and Technical Information of China (English)

    Xuening; YANG; Yong; ZHAN

    2014-01-01

    Food additive is a double-edged sword. It has merits and demerits. Food additives have such merits as improving sensory properties of foods,preventing deterioration and extending the shelf life,increasing varieties of foods,enhancing convenience of foods,facilitating food processing,and satisfying other demands. However,excessive and illegal use of food additives will exert adverse influence on food security.Therefore,it is required to take proper measures to bring merits of food additives into full play,and get rid of their demerits.

  11. Allergic and immunologic reactions to food additives.

    Science.gov (United States)

    Gultekin, Fatih; Doguc, Duygu Kumbul

    2013-08-01

    For centuries, food additives have been used for flavouring, colouring and extension of the useful shelf life of food, as well as the promotion of food safety. During the last 20 years, the studies implicating the additives contained in foods and medicine as a causative factor of allergic reactions have been proliferated considerably. In this review, we aimed to overview all of the food additives which were approved to consume in EU and find out how common and serious allergic reactions come into existence following the consuming of food additives.

  12. 78 FR 34351 - Procurement List; Additions

    Science.gov (United States)

    2013-06-07

    .... ADDRESSES: Committee for Purchase from People Who are Blind or Severely Disabled, 1401 S. Clark Street... COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED Procurement List; Additions AGENCY: Committee for Purchase from People Who are Blind or Severely Disabled. ACTION: Additions to the...

  13. Additive Manufacturing for Low Volume Bearings

    Energy Technology Data Exchange (ETDEWEB)

    Tate, John G. [Schaeffler Group USA, Spartanburg, SC (United States); Richardson, Bradley S. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Love, Lonnie J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States)

    2017-09-01

    ORNL worked with the Schaeffler Group USA to explore additive manufacturing techniques that might be appropriate for prototyping of bearing cages. Multiple additive manufacturing techniques were investigated, including e-beam, binder jet and multiple laser based processes. The binder jet process worked best for the thin, detailed cages printed.

  14. 48 CFR 1603.7002 - Additional guidelines.

    Science.gov (United States)

    2010-10-01

    ... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Additional guidelines. 1603.7002 Section 1603.7002 Federal Acquisition Regulations System OFFICE OF PERSONNEL MANAGEMENT FEDERAL... OF INTEREST Misleading, Deceptive, or Unfair Advertising 1603.7002 Additional guidelines. Any...

  15. 18 CFR 33.10 - Additional information.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Additional information. 33.10 Section 33.10 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION... § 33.10 Additional information. The Director of the Office of Energy Market Regulation, or his designee...

  16. Additives In Meat and Poultry Products

    Science.gov (United States)

    ... Fact Sheets / Additives in Meat and Poultry Products / Additives in Meat and Poultry Products Z7_0Q0619C0JGR010IFST1G5B10H3 ... Affairs Recalls and Public Health Alerts Regulatory Compliance Regulations, Directives and Notices Rulemaking ...

  17. Feed Additives for Aquaculture and Aquarium Culture

    OpenAIRE

    Barata, Eduardo N.; Velez, Zélia

    2011-01-01

    The presente invention refers of feed additives for aquaculture and aquarium culture. These additives comprise the amino acid, 1-methyl-L-tryptophane, or its isomers with the objective of improving the attractiveness of feeds used in aquaculture and aquaria for fish, as well as other aquatic organisms, under culture conditions. Therefore, this invention has applications in the agriculture-food industry.

  18. 77 FR 41899 - Indirect Food Additives: Polymers

    Science.gov (United States)

    2012-07-17

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration 21 CFR Part 177 [Docket No. FDA-2012-F-0031] Indirect Food Additives: Polymers AGENCY: Food and Drug Administration, HHS. ACTION... CFR part 177 is amended as follows: PART 177--INDIRECT FOOD ADDITIVES: POLYMERS 0 1. The authority...

  19. Photoactive devices including porphyrinoids with coordinating additives

    Science.gov (United States)

    Forrest, Stephen R; Zimmerman, Jeramy; Yu, Eric K; Thompson, Mark E; Trinh, Cong; Whited, Matthew; Diev, Vlacheslav

    2015-05-12

    Coordinating additives are included in porphyrinoid-based materials to promote intermolecular organization and improve one or more photoelectric characteristics of the materials. The coordinating additives are selected from fullerene compounds and organic compounds having free electron pairs. Combinations of different coordinating additives can be used to tailor the characteristic properties of such porphyrinoid-based materials, including porphyrin oligomers. Bidentate ligands are one type of coordinating additive that can form coordination bonds with a central metal ion of two different porphyrinoid compounds to promote porphyrinoid alignment and/or pi-stacking. The coordinating additives can shift the absorption spectrum of a photoactive material toward higher wavelengths, increase the external quantum efficiency of the material, or both.

  20. Implementation of the Additional Protocol in Japan

    International Nuclear Information System (INIS)

    Ogawa, T.

    2001-01-01

    The Additional Protocol between Japan and the IAEA entered into force in December 1999. To come into force a series of implementation trials of Additional Protocol was carried out at two Japanese representative nuclear research centers, i.e. Tokai Research Establishment of Japan Atomic Energy Research Institute (JAERI) and Oarai Engineering Center of Japan Nuclear Fuel Cycle Development Institute (JNC). These trials were proposed by Japan and were conducted in cooperation with the IAEA Secretariat. In addition, Japan amended 'the Law for the Regulation of Reactors etc.', to collect adequate information to submit to the IAEA, to arrange the surrounding for the complementary access, etc. In addition, Japan Submitted the Initial Declaration of the Additional Protocol within 180 days of the entry into force of the Protocol, in the middle of June, 2000

  1. Biomicroscopia ultra-sônica na avaliação da posição das lentes intra-oculares em uma técnica de fixação escleral Ultrasound biomicroscopy in the assessment of the intraocular lenses positioning in a transscleral fixation technique

    Directory of Open Access Journals (Sweden)

    Raul de Camargo Vianna Filho

    2000-10-01

    Full Text Available Objetivo: Avaliar pela biomicrospia ultra-sônica (UBM o posicionamento, em relação ao sulco ciliar, das alças de lentes intra-oculares (LIO, em uma técnica de fixação escleral, avaliando-se também se dois pontos de fixação são suficientes para que não haja inclinação da parte óptica. Métodos: Dezesseis olhos afácicos foram submetidos a implante LIO por uma mesma técnica de fixação escleral, realizados por um mesmo cirurgião. Um mês após a cirurgia, o posicionamento das alças das LIO foram avaliados pelo UBM, assim como distâncias entre as LIO e córnea. Os resultados foram submetidos a testes estatísticos. Resultados: Das 32 alças fixadas à esclera, oito estavam localizadas no sulco ciliar e 24 fora deste. Não houve diferença estatística nas distâncias entre LIO e córnea para alças posicionadas no sulco ciliar quando comparadas àquelas localizadas fora do sulco. Isto sugere que, além da distância ao limbo que se transfixa a esclera, outros fatores devem estar associados ao posicionamento da alça no sulco ciliar. As medidas LIO -- córnea realizadas na periferia das LIO às 3, 6, 9, e 12 horas foram semelhantes, mostrando que dois pontos de fixação são suficientes para que a LIO não fique inclinada. Conclusões: Outros fatores (por exemplo o ângulo de abertura do corpo ciliar, além da distância ao limbo na qual se transfixa a esclera, são importantes para o posicionamento das alças no sulco ciliar. Dois pontos de fixação são suficientes para que a LIO não apresente inclinação dentro do olho.Purpose: To assess, through ultrasound biomicroscopy (UBM, the positioning of the intraocular lenses (IOL haptics as related to the ciliary sulcus by using a scleral fixation technique; and to evaluate, as well, if two fixation points are sufficient to avoid tilting of the lenses. Methods: Sixteen aphakic eyes underwent an IOL implan-tation by means of the same scleral fixation technique, performed by the

  2. [Effect of biochar addition on soil evaporation.

    Science.gov (United States)

    Xu, Jian; Niu, Wen Quan; Zhang, Ming Zhi; Li, Yuan; Lyu, Wang; Li, Kang-Yong; Zou, Xiao-Yang; Liang, Bo-Hui

    2016-11-18

    In order to determine the rational amount of biochar application and its effect on soil hydrological processes in arid area, soil column experiments were conducted in the laboratory using three biochar additions (5%, 10% and 15%) and four different biochar types (devaporation. The results showed that the addition of biochar could change the phreatic water recharge, soil water-holding capacity, capillary water upward movement and soil evaporation obviously. But the effects were different depending on the type of biochar raw material and the size of particle. The phreatic water recharge increased with the increasing amount of biochar addition. The addition of biochar could obviously enlarge the soil water-holding capacity and promote the capillary water upward movement rate. This effect was greater when using the material of bamboo charcoal compared with using wood charcoal, while biochar with small particle size had greater impact than that with big particle size. The biochar could effectively restrain the soil evaporation at a low addition amount (5%). But it definitely promoted the soil evaporation if the addition amount was very high. In arid area, biochar addition in appropriate amount could improve soil water retention capacity.

  3. Comparison between OPD-scan results and contrast sensitivity of three intraocular lenses: spheric AcrySof SN60AT, aspheric AcrySof SN60WF and multifocal AcrySof Restor lens Estudo comparativo da análise de frente de onda e sensibilidade ao contraste entre as lentes intra-oculares multifocal AcrySof Restor SN60D3, monofocal AcrySof SN60WF asférica e a monofocal SN60AT esférica

    Directory of Open Access Journals (Sweden)

    Celso Takashi Nakano

    2009-08-01

    ção com implantes de lentes intraoculares AcrySof SN60D3 multifocal, AcrySof SN60WF monofocal asférica e AcrySof SA60AT monofocal esférica. Métodos: Trinta e dois olhos com a lente intraocular multifocal, 32 olhos com a lente intraocular monofocal asférica e 32 olhos com a lente intraocular monofocal esférica. A avaliação oftalmológica foi realizada no primeiro, terceiro, sétimo, e nonagésimo dia pós-operatório. Todos os exames foram padronizados, realizada por um único examinador sob condições controladas de luminosidade fotópicas estabelecidas em 85 cd/m², medida por meio de tabelas de ETDRS, sensibilidade ao contraste e análise de aberrometria com OPD-Scan. Resultados: As médias de aberração total foi superior no grupo SN60AT (KW = 9.42; p=0.009 quando comparada com o grupo SN60D3 (p=0.016 e o grupo SN60WF (p=0.0047. O grupo SN60AT (KW = 16.20; p=0.0003 apresentou superioridade nas medias de aberração esférica comparada com o grupo SN60WF (p=0.00046 e o grupo SN60D3 (p=0.0014. Nenhuma diferença significante foi encontrada na acuidade visual para longe com e sem correção óptica com a tabela de ETDRS a 100% e 9% de contraste. O grupo SN60D3 comparada a SN60AT (p=0.016 apresentou baixa sensibilidade ao contraste em condições fotópicas com diferença estatística a 6.0 cpg (KW = 7.84; p=0.0199, mas sem diferença estatística entre os grupos SN60WF e SN60AT (p=0.91 e entre os grupos SN60WF e SN60D3 (p=0.051. O grupo SN60D3 apresentou baixa sensibilidade ao contraste em condições mesópicas (KW = 10.79; p=0,0045 a 6cpg quando comparada com o grupos SN60AT (p=0.011 e SN60WF (p=0.007. Conclusão: As lentes intraoculares multifocais e asféricas apresentaram menos aberração esférica quando comparadas à lente intraocular esférica, além da prevista multifocalidade sem correção para longe e perto. Entretanto, o grupo multifocal apresentou baixa sensibilidade ao contraste.

  4. Graphite and Hybrid Nanomaterials as Lubricant Additives

    Directory of Open Access Journals (Sweden)

    Zhenyu J. Zhang

    2014-04-01

    Full Text Available Lubricant additives, based on inorganic nanoparticles coated with organic outer layer, can reduce wear and increase load-carrying capacity of base oil remarkably, indicating the great potential of hybrid nanoparticles as anti-wear and extreme-pressure additives with excellent levels of performance. The organic part in the hybrid materials improves their flexibility and stability, while the inorganic part is responsible for hardness. The relationship between the design parameters of the organic coatings, such as molecular architecture and the lubrication performance, however, remains to be fully elucidated. A survey of current understanding of hybrid nanoparticles as lubricant additives is presented in this review.

  5. Additional symmetries of supersymmetric KP hierarchies

    International Nuclear Information System (INIS)

    Stanciu, S.

    1993-09-01

    We investigate the additional symmetries of several supersymmetric KP hierarchies: The SKP hierarchy of Manin and Radul, the SKP 2 hierarchy, and the Jacobian SKP hierarchy. The main technical tool is the supersymmetric generalisation of a map originally due to Radul between the Lie algebra of superdifferential operators and the Lie algebra of vector fields on the space of supersymmetric Lax operators. In the case of the Manin-Radul SKP hierarchy we identify additional symmetries which form an algebra isomorphic to a subalgebra of superdifferential operators; whereas in the case of the Jacobian SKP, the (additional) symmetries are identified with the algebra itself. (orig.)

  6. 78 FR 38953 - Procurement List Additions

    Science.gov (United States)

    2013-06-28

    ... Blind or Severely Disabled published notices of proposed additions to the Procurement List. After... Punch, Paper, Desktop, 3-Hole, Adjustable, 11 sheet capacity, Metallic Base, Black Grip. Coverage: A...

  7. 78 FR 12295 - Procurement List; Additions

    Science.gov (United States)

    2013-02-22

    ... published notices of proposed additions to the Procurement List. After consideration of the material..., 508 Compliant, 12 Digit, Portable, Desktop, Battery Operated NPA: MidWest Enterprises for the Blind...

  8. Laser-based additive manufacturing of metals

    CSIR Research Space (South Africa)

    Kumar, S

    2010-11-01

    Full Text Available For making metallic products through Additive Manufacturing (AM) processes, laser-based systems play very significant roles. Laser-based processes such as Selective Laser Melting (SLM) and Laser Engineered Net Shaping (LENS) are dominating processes...

  9. Additively Manufactured Ceramic Rocket Engine Components

    Data.gov (United States)

    National Aeronautics and Space Administration — HRL Laboratories, LLC, with Vector Space Systems (VSS) as subcontractor, has a 24-month effort to develop additive manufacturing technology for reinforced ceramic...

  10. 7 CFR 955.91 - Additional parties.

    Science.gov (United States)

    2010-01-01

    ... Marketing Agreement § 955.91 Additional parties. After the effective date thereof, any handler may become a... Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Marketing Agreements... then be effective as to such new contracting party. ...

  11. Non-additive measure and integral

    CERN Document Server

    Denneberg, Dieter

    1994-01-01

    Non-Additive Measure and Integral is the first systematic approach to the subject. Much of the additive theory (convergence theorems, Lebesgue spaces, representation theorems) is generalized, at least for submodular measures which are characterized by having a subadditive integral. The theory is of interest for applications to economic decision theory (decisions under risk and uncertainty), to statistics (including belief functions, fuzzy measures) to cooperative game theory, artificial intelligence, insurance, etc. Non-Additive Measure and Integral collects the results of scattered and often isolated approaches to non-additive measures and their integrals which originate in pure mathematics, potential theory, statistics, game theory, economic decision theory and other fields of application. It unifies, simplifies and generalizes known results and supplements the theory with new results, thus providing a sound basis for applications and further research in this growing field of increasing interest. It also co...

  12. Nonparametric additive regression for repeatedly measured data

    KAUST Repository

    Carroll, R. J.; Maity, A.; Mammen, E.; Yu, K.

    2009-01-01

    We develop an easily computed smooth backfitting algorithm for additive model fitting in repeated measures problems. Our methodology easily copes with various settings, such as when some covariates are the same over repeated response measurements

  13. Caustic addition system operability test procedure

    Energy Technology Data Exchange (ETDEWEB)

    Parazin, R.E.

    1994-11-01

    This test procedure provides instructions for performing operational testing of the major components of the 241-AN-107 Caustic Addition System by WHC and Kaiser personnel at the Rotating Equipment Shop run-in pit (Bldg. 272E).

  14. Caustic addition system operability test procedure

    International Nuclear Information System (INIS)

    Parazin, R.E.

    1994-11-01

    This test procedure provides instructions for performing operational testing of the major components of the 241-AN-107 Caustic Addition System by WHC and Kaiser personnel at the Rotating Equipment Shop run-in pit (Bldg. 272E)

  15. 78 FR 40727 - Procurement List; Proposed Additions

    Science.gov (United States)

    2013-07-08

    ... for addition to the Procurement List for production by the nonprofit agencies listed: Products Towel.... 12/BX Cleaner, Brake Parts NSN: 6850-01-167-0678--17 oz. NPA: The Lighthouse for the Blind, St. Louis...

  16. 78 FR 35874 - Procurement List; Proposed Additions

    Science.gov (United States)

    2013-06-14

    ... proposed for addition to the Procurement List for production by the nonprofit agencies listed: Products... Cleaner NPA: Winston-Salem Industries for the Blind, Inc., Winston-Salem, NC Contracting Activity: Defense...

  17. Characterizing Polymer Powders used in Additive Manufacturing

    Energy Technology Data Exchange (ETDEWEB)

    Bajric, Sendin [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2017-11-16

    These are a set of slides that give the personal background of the author, information about his LANL organization, and information about his internship project at LANL about additive manufacturing and selective laser sintering (SLS).

  18. Additive Manufacturing of Magnesium (Mg) Alloys

    Data.gov (United States)

    National Aeronautics and Space Administration — The proposed work is to investigate additive manufacturing techniques for Mg alloys.  It will leverage off research being conducted at University of Florida and...

  19. 78 FR 9386 - Procurement List; Addition

    Science.gov (United States)

    2013-02-08

    ... Purchase From People Who Are Blind or Severely Disabled published notice of proposed addition to the...: Enterprise Professional Services, Inc., Austin, TX Contracting Activity: Dept of the Army, W40M USA MEDCOM...

  20. 77 FR 55195 - Procurement List; Additions

    Science.gov (United States)

    2012-09-07

    ... Purchase From People Who Are Blind or Severely Disabled published notice of proposed additions to the... Harmon Avenue, Fort Stewart, GA. NPA: Professional Contract Services, Inc., Austin, TX. Contracting...

  1. Additional symmetries of supersymmetric KP hierarchies

    International Nuclear Information System (INIS)

    Stanciu, S.

    1994-01-01

    We investigate the additional symmetries of several supersymmetric KP hierarchies: the SKP hierarchy of Manin and Radul, the SKP 2 hierarchy, and the Jacobian SKP hierarchy. In all three cases we find that the algebra of symmetries is isomorphic to the algebra of superdifferential operators, or equivalently SW 1+∞ . These results seem to suggest that despite their realization depending on the dynamics, the additional symmetries are kinematical in nature. (orig.)

  2. Additive Manufacturing in the Marine Corps

    Science.gov (United States)

    2015-06-01

    TERMS additive manufacturing, 3D printing, improving logistics 15. NUMBER OF PAGES 123 16. PRICE CODE 17. SECURITY CLASSIFICATION OF REPORT...One such method is ultrasonic agglomeration. The process produces compact snack items that are nutrient-dense and shelf-stable. Currently Army...possess outdated technology. Additionally, prices for the printers are dropping significantly.202 Therefore, the Marine Corps will not only have outdated

  3. Finding phosphorus containing additives in manufactured foods

    OpenAIRE

    Lloyd, Lyn; Gillanders, Lyn

    2012-01-01

    Dietary phosphorous (P) intake is associated with an increased serum phosphate level which is a risk factor for cardiovascular disease and increased mortality for people with chronic kidney disease. Dietary restriction of P is an important nutrition intervention as about 50% of daily intake of P is from P–containing food additives. Educating patients on P additives can effectively reduce serum P values over standard care. Avoidance can be achieved by reading the ingredient list to check for o...

  4. Challenges in Additive Manufacturing of Alumina

    OpenAIRE

    Gonzalez, Hugo

    2016-01-01

    Additive manufacturing is seen by many as the holy grail of manufacturing, the ability to produce parts nearly autonomously. Adding material rather than removing it would eliminate the need for expensive resources and machining. The recent expiration of key 3D printing patents has led to many advances in the field and has dramatically lowered the prices of 3D printers, making them accessible to the average individual. The one area where additive manufacturing is still in its infancy is in cer...

  5. Design and additive manufacture for flow chemistry.

    Science.gov (United States)

    Capel, Andrew J; Edmondson, Steve; Christie, Steven D R; Goodridge, Ruth D; Bibb, Richard J; Thurstans, Matthew

    2013-12-07

    We review the use of additive manufacturing (AM) as a novel manufacturing technique for the production of milli-scale reactor systems. Five well-developed additive manufacturing techniques: stereolithography (SL), multi-jet modelling (MJM), selective laser melting (SLM), laser sintering (LS) and fused deposition modelling (FDM) were used to manufacture a number of miniaturised reactors which were tested using a range of organic and inorganic reactions.

  6. Material Database for Additive Manufacturing Techniques

    Science.gov (United States)

    2017-12-01

    components in the field. II. BACKGROUND Additive manufacturing is a rapidly maturing process by which digital 3-D design data are used to build up...improves readiness by offering on-demand low-rate production [8, 9]. 3-D printing also enables rapid design iterations and complexity, which improve...abundant in additive manufacturing , allowing design freedom that is only limited by the material strength requirements. A set of eight conductive

  7. Evaluation of certain food additives and contaminants.

    Science.gov (United States)

    2013-01-01

    This report represents the conclusions of a Joint FAO/WHO Expert Committee convened to evaluate the safety of various food additives and a food contaminant with a view to concluding as to safety concerns and to preparing specifications for identity and purity. The first part of the report contains a general discussion of the principles governing the toxicological evaluation of and assessment of dietary exposure to food additives. A summary follows of the Committee's evaluations of technical, toxicological and dietary exposure data for seven food additives (advantame; glucoamylase from Trichoderma reesei expressed in Trichoderma reesei; glycerol ester of gum rosin; glycerol ester of tall oil rosin; glycerol ester of wood rosin; nisin; and octenyl succinic acid modified gum arabic) and an assessment of dietary exposure to cadmium from cocoa and cocoa products. Specifications for the following food additives were revised: annatto extracts (solvent-extracted bixin and solvent-extracted norbixin); Benzoe tonkinensis; food additives containing aluminium and/or silicon; mineral oil (medium viscosity); modified starches; paprika extract; phosphates (analytical methods for the determination of phosphorus and revision of specifications); 3-phytase from Aspergillus niger expressed in Aspergillus niger; potassium aluminium silicate; and potassium aluminium silicate-based pearlescent pigments. Annexed to the report are tables summarizing the Committee's recommendations for dietary exposures to and toxicological evaluations of the food additives and contaminant considered.

  8. The Development of Korea Additional Protocol System

    International Nuclear Information System (INIS)

    Shim, Hye Won; Yeo, Jin Kyun

    2008-01-01

    The Agreement between the Republic of Korea (ROK) and the IAEA for the Application of Safeguards in Connection with the Treaty on the Non-Proliferation of Nuclear Weapons (the Safeguards Agreement) entered into force on 14 November 1975. The Additional Protocol to the Safeguards Agreement (the Additional Protocol) was signed on 21 June 1999 and entered into force on 19 February 2004. ROK has been submitting annual updated reports of initial declaration on every May 15th since August 2004. Additional protocol reports were submitted through Protocol Reporter provided by IAEA. Annual declarations were simply uploaded and stored in the Accounting Information Treatment System of KINAC, which did not provide data analysis and management function. There have been demands for improvement to handle ever-increasing information. KAPS (Korea Additional Protocol System) has been developed to assist and administrate the additional protocol related works effectively. The new system enables integrated management including composition of additional protocol report and version control, periodical update of related information, results of IAEA complementary access to each facility

  9. Additive effects in radiation grafting and curing

    International Nuclear Information System (INIS)

    Viengkhou, V.; Ng, L.

    1996-01-01

    Full text: Detailed studies on the accelerative effect of novel additives in radiation grafting and curing using acrylated monomer/oligomer systems have been performed in the presence of ionising radiation and UV as sources. Methyl methacrylate (MMA) is used as typical monomer for these grafting studies in the presence of the additives with model backbone polymers, cellulose and propropylene. Additives which have been found to accelerate these grafting processes are: mineral acid, occlusion compounds like urea, thermal initiators and photoinitiators as well as multifunctional monomers such as multifunctional acrylates. The results from irradiation with gamma rays have also been compared with irradiation from a 90W UV lamp. The role of the above additives in accelerating the analogous process of radiation curing has been investigated. Acrylated urethanes, epoxies and polyesters are used as oligomers together with acrylated monomers in this work with uv lamps of 300 watts/inch as radiation source. In the UV curing process bonding between film and substrate is usually due to physical forces. In the present work the presence of additives are shown to influence the occurrence of concurrent grafting during cure thus affecting the nature of the bonding of the cured film. The conditions under which concurrent grafting with UV can occur will be examined. A mechanism for accelerative effect of these additives in both grafting and curing processes has been proposed involving radiation effects and partitioning phenomena

  10. BFR Electrolyte Additive Safety and Flammability Characterization

    Energy Technology Data Exchange (ETDEWEB)

    Allcorn, Eric [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-10-13

    Lithium-ion battery safety is a critical issue in the adoption of the chemistry to larger scale applications such as transportation and stationary storage. One of the critical components impacting the safety of lithium-ion batteries is their use of highly flammable organic electrolytes. In this work, brominated flame retardants (BFR’s) – an existing class of flame retardant materials – are incorporated as additives to lithium-ion battery electrolytes with the intention to reduce the electrolyte flammability and thereby improve safety. There are a few critical needs for a successful electrolyte additive: solubility in the electrolyte, electrochemical stability over the range of battery operation, and minimal detrimental effects on battery performance. Those detrimental effects can take the form of electrolyte specific impacts, such as a reduction in conductivity, or electrode impacts, such as SEI-layer modification or chemical instability to the active material. In addition to these needs, the electrolyte additive also needs to achieve its intended purpose, which in this case is to reduce the flammability of the electrolyte. For the work conducted as part of this SPP agreement three separate BFR materials were provided by Albemarle to be tested by Sandia as additives in a traditional lithium-ion battery electrolyte. The provided BFR materials were tribromo-neopentyl alcohol, tetrabromo bisphenol A, and tribromoethylene. These materials were incorporated as separate 4 wt.% additives into a traditional lithium-ion battery electrolyte and compared to said traditional electrolyte, designated Gen2.

  11. Scoring of treatment-related late effects in prostate cancer

    International Nuclear Information System (INIS)

    Livsey, Jacqueline E.; Routledge, Jacqueline; Burns, Meriel; Swindell, Rick; Davidson, Susan E.; Cowan, Richard A.; Logue, John P.; Wylie, James P.

    2002-01-01

    Background and purpose: To assess the correlation between different general and organ specific quality of life and morbidity scoring methods in a cohort of men treated with radical radiotherapy for prostate cancer. Materials and methods: Men who had been treated with radical radiotherapy (50 Gy in 16 fractions over 21 days) for localized prostate cancer more than 3 years previously and who had no evidence of recurrent disease were invited to take part in the study. A total of 101 of 135 invited patients agreed and completed LENT/SOMA, UCLA Prostate Cancer Index, and 36 item RAND Health survey questionnaires. Results: The patients had comparable results with other published series with respect to the UCLA and SF-36 indices. There was significant correlation between the corresponding parts of the UCLA and LENT/SOMA scales (P<0.0005). However, for the same symptoms, a patient tended to score lower (worse) on the UCLA scale in comparison to LENT/SOMA. The relationship between the average LENT/SOMA score and maximum score was also not straightforward with each set of data revealing different information. Conclusions: The LENT/SOMA questions were, in the main, more wide-ranging and informative than the UCLA index. It is helpful to give both the overall and maximum LENT/SOMA scores to most efficiently use all of the data. There may need to be a further LENT/SOMA question to allow both symptoms of tenesmus and faecal urgency to be fully addressed

  12. Additive manufacturing in production: challenges and opportunities

    Science.gov (United States)

    Ahuja, Bhrigu; Karg, Michael; Schmidt, Michael

    2015-03-01

    Additive manufacturing, characterized by its inherent layer by layer fabrication methodology has been coined by many as the latest revolution in the manufacturing industry. Due to its diversification of Materials, processes, system technology and applications, Additive Manufacturing has been synonymized with terminology such as Rapid prototyping, 3D printing, free-form fabrication, Additive Layer Manufacturing, etc. A huge media and public interest in the technology has led to an innovative attempt of exploring the technology for applications beyond the scope of the traditional engineering industry. Nevertheless, it is believed that a critical factor for the long-term success of Additive Manufacturing would be its ability to fulfill the requirements defined by the traditional manufacturing industry. A parallel development in market trends and product requirements has also lead to a wider scope of opportunities for Additive Manufacturing. The presented paper discusses some of the key challenges which are critical to ensure that Additive Manufacturing is truly accepted as a mainstream production technology in the industry. These challenges would highlight on various aspects of production such as product requirements, process management, data management, intellectual property, work flow management, quality assurance, resource planning, etc. In Addition, changing market trends such as product life cycle, mass customization, sustainability, environmental impact and localized production will form the foundation for the follow up discussion on the current limitations and the corresponding research opportunities. A discussion on ongoing research to address these challenges would include topics like process monitoring, design complexity, process standardization, multi-material and hybrid fabrication, new material development, etc.

  13. Study of zirconium-addition binary systems

    International Nuclear Information System (INIS)

    Wozniakova, B.; Kuchar, L.

    1975-01-01

    The curves are given of the solid and the liquid of binary zirconium-addition systems. Most additions reduce the melting temperature of zirconium. The only known additions to increase the melting temperature are nitrogen, oxygen and hafnium. Also given are the transformation curves of the systems and the elements are given which reduce or raise the temperature of α-β transformation. From the Mendeleev table into which are plotted the curves of the solid and the liquid of binary systems it is possible to predict the properties of unknown binary systems. For the calculations of the curves of the solid and the liquid, 1860 degC was taken as the temperature of zirconium melting. For the calculations of transformation curves, 865 degC was taken as the temperature of α-β transformation. The equations are given of the curves of the solid and the liquid and of the transformation curves of some Zr-addition systems. Also given are the calculated equilibrium distribution coefficients and the equilibrium distribution coefficients of the transformation of additions in Zr and their limit values for temperatures approximating the melting point or the temperature of the transformation of pure Zr, and the values pertaining to eutectic and peritectic or eutectoid and peritectoid temperatures. (J.B.)

  14. Laser polishing of additive manufactured Ti alloys

    Science.gov (United States)

    Ma, C. P.; Guan, Y. C.; Zhou, W.

    2017-06-01

    Laser-based additive manufacturing has attracted much attention as a promising 3D printing method for metallic components in recent years. However, surface roughness of additive manufactured components has been considered as a challenge to achieve high performance. In this work, we demonstrate the capability of fiber laser in polishing rough surface of additive manufactured Ti-based alloys as Ti-6Al-4V and TC11. Both as-received surface and laser-polished surfaces as well as cross-section subsurfaces were analyzed carefully by White-Light Interference, Confocal Microscope, Focus Ion Beam, Scanning Electron Microscopy, Energy Dispersive Spectrometer, and X-ray Diffraction. Results revealed that as-received Ti-based alloys with surface roughness more than 5 μm could be reduce to less than 1 μm through laser polishing process. Moreover, microstructure, microhardness and wear resistance of laser-polished zone was investigated in order to examine the thermal effect of laser polishing processing on the substrate of additive manufactured Ti alloys. This proof-of-concept process has the potential to effectively improve the surface roughness of additive manufactured metallic alloy by local polishing method without damage to the substrate.

  15. Terminal addition in a cellular world.

    Science.gov (United States)

    Torday, J S; Miller, William B

    2018-07-01

    Recent advances in our understanding of evolutionary development permit a reframed appraisal of Terminal Addition as a continuous historical process of cellular-environmental complementarity. Within this frame of reference, evolutionary terminal additions can be identified as environmental induction of episodic adjustments to cell-cell signaling patterns that yield the cellular-molecular pathways that lead to differing developmental forms. Phenotypes derive, thereby, through cellular mutualistic/competitive niche constructions in reciprocating responsiveness to environmental stresses and epigenetic impacts. In such terms, Terminal Addition flows according to a logic of cellular needs confronting environmental challenges over space-time. A reconciliation of evolutionary development and Terminal Addition can be achieved through a combined focus on cell-cell signaling, molecular phylogenies and a broader understanding of epigenetic phenomena among eukaryotic organisms. When understood in this manner, Terminal Addition has an important role in evolutionary development, and chronic disease might be considered as a form of 'reverse evolution' of the self-same processes. Copyright © 2017. Published by Elsevier Ltd.

  16. Non-additive Effects in Genomic Selection

    Directory of Open Access Journals (Sweden)

    Luis Varona

    2018-03-01

    Full Text Available In the last decade, genomic selection has become a standard in the genetic evaluation of livestock populations. However, most procedures for the implementation of genomic selection only consider the additive effects associated with SNP (Single Nucleotide Polymorphism markers used to calculate the prediction of the breeding values of candidates for selection. Nevertheless, the availability of estimates of non-additive effects is of interest because: (i they contribute to an increase in the accuracy of the prediction of breeding values and the genetic response; (ii they allow the definition of mate allocation procedures between candidates for selection; and (iii they can be used to enhance non-additive genetic variation through the definition of appropriate crossbreeding or purebred breeding schemes. This study presents a review of methods for the incorporation of non-additive genetic effects into genomic selection procedures and their potential applications in the prediction of future performance, mate allocation, crossbreeding, and purebred selection. The work concludes with a brief outline of some ideas for future lines of that may help the standard inclusion of non-additive effects in genomic selection.

  17. Additive Manufacturing of Metastable Beta Titanium Alloys

    Science.gov (United States)

    Yannetta, Christopher J.

    Additive manufacturing processes of many alloys are known to develop texture during the deposition process due to the rapid reheating and the directionality of the dissipation of heat. Titanium alloys and with respect to this study beta titanium alloys are especially susceptible to these effects. This work examines Ti-20wt%V and Ti-12wt%Mo deposited under normal additive manufacturing process parameters to examine the texture of these beta-stabilized alloys. Both microstructures contained columnar prior beta grains 1-2 mm in length beginning at the substrate with no visible equiaxed grains. This microstructure remained constant in the vanadium system throughout the build. The microstructure of the alloy containing molybdenum changed from a columnar to an equiaxed structure as the build height increased. Eighteen additional samples of the Ti-Mo system were created under different processing parameters to identify what role laser power and travel speed have on the microstructure. There appears to be a correlation in alpha lath size and power density. The two binary alloys were again deposited under the same conditions with the addition of 0.5wt% boron to investigate the effects an insoluble interstitial alloying element would have on the microstructure. The size of the prior beta grains in these two alloys were reduced with the addition of boron by approximately 50 (V) and 100 (Mo) times.

  18. Fuel and Additive Characterization for HCCI Combustion

    International Nuclear Information System (INIS)

    Aceves, S M; Flowers, D; Martinez-Frias, J; Espinosa-Loza, F; Pitz, W J; Dibble, R

    2003-01-01

    This paper shows a numerical evaluation of fuels and additives for HCCl combustion. First, a long list of candidate HCCl fuels is selected. For all the fuels in the list, operating conditions (compression ratio, equivalence ratio and intake temperature) are determined that result in optimum performance under typical operation for a heavy-duty engine. Fuels are also characterized by presenting Log(p)-Log(T) maps for multiple fuels under HCCl conditions. Log(p)-Log(T) maps illustrate important processes during HCCl engine operation, including compression, low temperature heat release and ignition. Log(p)-Log(T) diagrams can be used for visualizing these processes and can be used as a tool for detailed analysis of HCCl combustion. The paper also includes a ranking of many potential additives. Experiments and analyses have indicated that small amounts (a few parts per million) of secondary fuels (additives) may considerably affect HCCl combustion and may play a significant role in controlling HCCl combustion. Additives are ranked according to their capability to advance HCCl ignition. The best additives are listed and an explanation of their effect on HCCl combustion is included

  19. Excessive Additive Effect On Engine Oil Viscosity

    Directory of Open Access Journals (Sweden)

    Vojtěch Kumbár

    2014-01-01

    Full Text Available The main goal of this paper is excessive additive (for oil filling effect on engine oil dynamic viscosity. Research is focused to commercially distribute automotive engine oil with viscosity class 15W–40 designed for vans. There were prepared blends of new and used engine oil without and with oil additive in specific ratio according manufacturer’s recommendations. Dynamic viscosity of blends with additive was compared with pure new and pure used engine oil. The temperature dependence dynamic viscosity of samples was evaluated by using rotary viscometer with standard spindle. Concern was that the oil additive can moves engine oil of several viscosity grades up. It is able to lead to failure in the engine. Mathematical models were used for fitting experimental values of dynamic viscosity. Exponential fit function was selected, which was very accurate because the coefficient of determination R2 achieved high values (0.98–0.99. These models are able to predict viscosity behaviour blends of engine oil and additive.

  20. Biocompatibility of photopolymers for additive manufacturing

    Directory of Open Access Journals (Sweden)

    Leonhardt Stefan

    2016-09-01

    Full Text Available To establish photopolymers for the production of class II or class III medical products by additive manufacturing it is essential to know which components of photopolymeric systems, consisting of monomers, photoinitiators and additives, are the determining factors on their biocompatible properties. In this study the leachable substances of a cured photopolymeric system were eluted and identified by HPLC-MS detection. In addition the cured photopolymer was testes for cytotoxicity and genotoxicity according to DIN EN ISO 10993 for long time applications. The results showed that uncured residual monomers are the determining factor on the biocompatible properties of the photopolymeric system. Strategies to reduce these residual monomers in the cured photopolymer are presented.

  1. Non-additive measures theory and applications

    CERN Document Server

    Narukawa, Yasuo; Sugeno, Michio; 9th International Conference on Modeling Decisions for Artificial Intelligence (MDAI 2012)

    2014-01-01

    This book provides a comprehensive and timely report in the area of non-additive measures and integrals. It is based on a panel session on fuzzy measures, fuzzy integrals and aggregation operators held during the 9th International Conference on Modeling Decisions for Artificial Intelligence (MDAI 2012) in Girona, Spain, November 21-23, 2012. The book complements the MDAI 2012 proceedings book, published in Lecture Notes in Computer Science (LNCS) in 2012. The individual chapters, written by key researchers in the field, cover fundamental concepts and important definitions (e.g. the Sugeno integral, definition of entropy for non-additive measures) as well some important applications (e.g. to economics and game theory) of non-additive measures and integrals. The book addresses students, researchers and practitioners working at the forefront of their field.  

  2. Additive Manufacturing of Shape Memory Alloys

    Science.gov (United States)

    Van Humbeeck, Jan

    2018-04-01

    Selective Laser Melting (SLM) is an additive manufacturing production process, also called 3D printing, in which functional, complex parts are produced by selectively melting patterns in consecutive layers of powder with a laser beam. The pattern the laser beam is following is controlled by software that calculates the pattern by slicing a 3D CAD model of the part to be constructed. Apart from SLM, also other additive manufacturing techniques such as EBM (Electron Beam Melting), FDM (Fused Deposition Modelling), WAAM (Wire Arc Additive Manufacturing), LENS (Laser Engineered Net Shaping such as Laser Cladding) and binder jetting allow to construct complete parts layer upon layer. But since more experience of AM of shape memory alloys is collected by SLM, this paper will overview the potentials, limits and problems of producing NiTi parts by SLM.

  3. Effects from additives on deacetylation of chitin

    International Nuclear Information System (INIS)

    Campana Filho, Sergio P.; Signini, Roberta

    2001-01-01

    Deacetylation reactions of commercial chitin were carried out in aqueous sodium hydroxide solution at 115 deg C for 6 hours. The effect from additives (sodium borohydride or anthraquinone) and of bubbling inert gas (nitrogen or argon) on the characteristics of deacetylated samples were evaluated. Average degrees of acetylation and intrinsic viscosity were determined by 1 H NMR spectroscopy and capillary viscometry, respectively. X-ray diffraction was employed to evaluate changes in crystallinity and infrared spectroscopy was used to monitor structural changes due to deacetylation. The bubbling of inert gas during the deacetylation reaction resulted in more crystalline samples of chitosan. Deacetylation carried out without any additive produced slightly more deacetylated chitosan but they were severely depolymerized. The depolymerization process was much less important when sodium borohydride was added to the reaction medium but the addition of anthraquinone and the bubbling of nitrogen, or argon, did not have any effect, this suggests that oxygen is not required for depolymerization. (author)

  4. Additive Construction with Mobile Emplacement (ACME)

    Science.gov (United States)

    Vickers, John

    2015-01-01

    The Additive Construction with Mobile Emplacement (ACME) project is developing technology to build structures on planetary surfaces using in-situ resources. The project focuses on the construction of both 2D (landing pads, roads, and structure foundations) and 3D (habitats, garages, radiation shelters, and other structures) infrastructure needs for planetary surface missions. The ACME project seeks to raise the Technology Readiness Level (TRL) of two components needed for planetary surface habitation and exploration: 3D additive construction (e.g., contour crafting), and excavation and handling technologies (to effectively and continuously produce in-situ feedstock). Additionally, the ACME project supports the research and development of new materials for planetary surface construction, with the goal of reducing the amount of material to be launched from Earth.

  5. Evaluation of Advanced Polymers for Additive Manufacturing

    Energy Technology Data Exchange (ETDEWEB)

    Rios, Orlando [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Carter, William G. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Kutchko, Cindy [PPG Industries, Pittsburgh, PA (United States); Fenn, David [PPG Industries, Pittsburgh, PA (United States); Olson, Kurt [PPG Industries, Pittsburgh, PA (United States)

    2017-09-08

    The goal of this Manufacturing Demonstration Facility (MDF) technical collaboration project between Oak Ridge National Laboratory (ORNL) and PPG Industries, Inc. (PPG) was to evaluate the feasibility of using conventional coatings chemistry and technology to build up material layer-by-layer. The PPG-ORNL study successfully demonstrated that polymeric coatings formulations may overcome many limitations of common thermoplastics used in additive manufacturing (AM), allow lightweight nozzle design for material deposition, and increase build rate. The materials effort focused on layer-by-layer deposition of coatings with each layer fusing together. The combination of materials and deposition results in an additively manufactured build that has sufficient mechanical properties to bear the load of additional layers, yet is capable of bonding across the z-layers to improve build direction strength. The formulation properties were tuned to enable a novel, high-throughput deposition method that is highly scalable, compatible with high loading of reinforcing fillers, and inherently low-cost.

  6. Transfer of Training in Simple Addition.

    Science.gov (United States)

    Chen, Yalin; Campbell, Jamie I D

    2017-04-18

    In recent years several researchers have proposed that skilled adults may solve single-digit addition problems (e.g. 3 + 1 = 4, 4 + 3 = 7) using a fast counting procedure. Practicing a procedure, often leads to transfer of learning and faster performance of unpracticed items. Such transfer has been demonstrated using a counting-based alphabet arithmetic task (e.g., B + 4 = C D E F) that indicated robust generalization of practice (i.e., RT gains) when untrained transfer problems at test had been implicitly practiced (e.g., practice B + 3, test B + 2 or B + 1). Here we constructed analogous simple addition problems (practice 4 + 3, test 4 + 2 or 4 + 1). In each of three experiments (total n = 108) participants received six practice blocks followed by two test blocks of new problems to examine generalization effects. Practice of addition identity-rule problems (i.e., 0 + N = N) showed complete transfer of RT gains made during practice to unpracticed items at test. In contrast, the addition ties (2 + 2, 3 + 3, etc.) presented large RT costs for unpracticed problems at test, but sped up substantially in the second test block. This pattern is consistent with item-specific strengthening of associative memory. The critical items were small non-tie additions (sum ≤ 10) for which the test problems would be implicitly practiced if counting was employed during practice. In all three experiments (and collectively) there was no evidence of generalization for these items in the first test block, but there was robust speed up when the items were repeated in the second test block. Thus, there was no evidence of the generalization of practice that would be expected if counting procedures mediated our participants' performance on small non-tie addition problems.

  7. Studies of alumina additions in zirconia - magnesia

    International Nuclear Information System (INIS)

    Muccillo, R.

    1987-01-01

    Ionic conductivity measurements have been carried out in the 500 0 C - 1000 0 C temperature range in Mg - PSZ (Partially Stabilized Zirconia) with 0.5 to 10 mol % alumina additions. All specimens were prepared by pressing followed by pre - and sintering at 1000 0 C/2h and1450 0 C/4h, respectively. Thermal histerysis of the ionic conductivity have been detected, probably due to phase changes in the Mg-PSZ samples. The results show that alumina additions up to 2.1% enhances densification with no major variations in electrical resistivity values. (Author) [pt

  8. Effusion plate using additive manufacturing methods

    Science.gov (United States)

    Johnson, Thomas Edward; Keener, Christopher Paul; Ostebee, Heath Michael; Wegerif, Daniel Gerritt

    2016-04-12

    Additive manufacturing techniques may be utilized to construct effusion plates. Such additive manufacturing techniques may include defining a configuration for an effusion plate having one or more internal cooling channels. The manufacturing techniques may further include depositing a powder into a chamber, applying an energy source to the deposited powder, and consolidating the powder into a cross-sectional shape corresponding to the defined configuration. Such methods may be implemented to construct an effusion plate having one or more channels with a curved cross-sectional geometry.

  9. Photogrammetry for Repositioning in Additive Manufacturing

    DEFF Research Database (Denmark)

    Jensen, Janus Nørtoft; Lyngby, Rasmus Ahrenkiel; Aanæs, Henrik

    2017-01-01

    In this preliminary work, we present our current status on how to use single camera photogrammetry to determine the orientation of an additively manufactured partly finished object that has been repositioned in the printing chamber, from a single image taken with a calibrated camera, and comparing...... this to the CAD model of the object. We describe how this knowledge can be used to update the machine code of the printer such that printing of the object can be resumed in the new location. This opens possibilities for embedding and assembling foreign parts into the additive manufacturing pipeline, adding...

  10. The structure of additive conservation laws

    International Nuclear Information System (INIS)

    Helmut Reen

    1979-01-01

    All additive conserved quantities are listed for a system with short range central force interaction between the particles: a special case shows up in Boltzmann H-theorem and his derivation of the Maxwell velocity distribution. It is concluded that in classical mechanics of mass points there are no other additive conservation laws besides of energy, momentum, angular momentum and center of mass motion. A generator is considered of a symmetry transformation defined as integral over a conserved local current density where the latter, in general, needs not be covariant under translations

  11. 77 FR 13009 - Regulation of Fuels and Fuel Additives: Identification of Additional Qualifying Renewable Fuel...

    Science.gov (United States)

    2012-03-05

    ... Regulation of Fuels and Fuel Additives: Identification of Additional Qualifying Renewable Fuel Pathways Under the Renewable Fuel Standard Program AGENCY: Environmental Protection Agency (EPA). ACTION: Withdrawal... Renewable Fuel Standard program regulations. Because EPA received adverse comment, we are withdrawing the...

  12. 42 CFR 86.20 - Additional conditions.

    Science.gov (United States)

    2010-10-01

    ... 42 Public Health 1 2010-10-01 2010-10-01 false Additional conditions. 86.20 Section 86.20 Public Health PUBLIC HEALTH SERVICE, DEPARTMENT OF HEALTH AND HUMAN SERVICES OCCUPATIONAL SAFETY AND HEALTH RESEARCH AND RELATED ACTIVITIES GRANTS FOR EDUCATION PROGRAMS IN OCCUPATIONAL SAFETY AND HEALTH Occupational Safety and Health Training Grants § 86.2...

  13. 17 CFR 37.7 - Additional requirements.

    Science.gov (United States)

    2010-04-01

    ... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Additional requirements. 37.7 Section 37.7 Commodity and Securities Exchanges COMMODITY FUTURES TRADING COMMISSION DERIVATIVES... of section 5c(c) of the Act and § 40.2 of this chapter, derivatives transaction execution facilities...

  14. Additional reactor protection system of RBMK-1500

    International Nuclear Information System (INIS)

    1999-01-01

    Analysis of anticipated transients without scram of RBMK-1500 reactor showed that additional reactor protection system is required. Data of accident analysis in the case of loose of external electric power and loose of vacuum in condensers of turbines are provided

  15. Neue Werkstoffe über additive Fertigung

    OpenAIRE

    Günther, Johannes; Niendorf, Thomas

    2016-01-01

    Über die additive Fertigung, oftmals bezeichnet als 3D-Druck, lassen sich Bauteile nahezu beliebiger geometrischer Komplexität herstellen. Gleichzeitig lassen die Prozessrandbedingungen die direkte Einstellung der Mikrostruktur in den verwendeten metallischen Werkstoffen zu. Hieraus ergeben sich weitreichende Möglichkeiten bezüglich der Eigenschaftsoptimierung aktueller Hochleistungswerkstoffe.

  16. Additive Manufacturing of Biomaterials, Tissues, and Organs

    NARCIS (Netherlands)

    Zadpoor, Amir A; Malda, Jos

    2017-01-01

    The introduction of additive manufacturing (AM), often referred to as three-dimensional (3D) printing, has initiated what some believe to be a manufacturing revolution, and has expedited the development of the field of biofabrication. Moreover, recent advances in AM have facilitated further

  17. Additive Manufacturing of Biomaterials, Tissues, and Organs

    NARCIS (Netherlands)

    Zadpoor, Amir A; Malda, Jos|info:eu-repo/dai/nl/412461099

    The introduction of additive manufacturing (AM), often referred to as three-dimensional (3D) printing, has initiated what some believe to be a manufacturing revolution, and has expedited the development of the field of biofabrication. Moreover, recent advances in AM have facilitated further

  18. Probabilistic fuzzy systems as additive fuzzy systems

    NARCIS (Netherlands)

    Almeida, R.J.; Verbeek, N.; Kaymak, U.; Costa Sousa, da J.M.; Laurent, A.; Strauss, O.; Bouchon-Meunier, B.; Yager, R.

    2014-01-01

    Probabilistic fuzzy systems combine a linguistic description of the system behaviour with statistical properties of data. It was originally derived based on Zadeh’s concept of probability of a fuzzy event. Two possible and equivalent additive reasoning schemes were proposed, that lead to the

  19. Leaching of Plastic Additives to Marine Organisms

    NARCIS (Netherlands)

    Koelmans, A.A.; Besseling, E.; Foekema, E.M.

    2014-01-01

    It is often assumed that ingestion of microplastics by aquatic species leads to increased exposure to plastic additives. However, experimental data or model based evidence is lacking. Here we assess the potential of leaching of nonylphenol (NP) and bisphenol A (BPA) in the intestinal tracts of

  20. Overview of Food Ingredients, Additives and Colors

    Science.gov (United States)

    ... In addition to maintaining the quality of the food, they help control contamination that can cause foodborne illness, including life-threatening ... still be considered safe. Regulations known as Good Manufacturing ... limit the amount of food ingredients used in foods to the amount necessary ...

  1. Polymeric additive performance in closed whitewater systems

    Science.gov (United States)

    T. H. Wegner

    1984-01-01

    “With more stringent requirements on discharge water quality and with escalating water treatment costs, water recycling within the paper mill is of growing importance. A serious problem resulting from more white-water recycling is reduced drainage and fiber or fines retention because of diminished polymeric additive performance. To provide better insight for overcoming...

  2. 76 FR 80345 - Procurement List; Additions

    Science.gov (United States)

    2011-12-23

    ... ARMY, W6QL ECC MIAMI DIV, MIAMI, FL. Service Type/Location: Industrial Laundry Service, Bureau of... Procurement List. SUMMARY: This action adds services to the Procurement List that will be provided by... concerning capability of qualified nonprofit agencies to provide the services and impact of the additions on...

  3. 78 FR 48656 - Procurement List; Proposed Additions

    Science.gov (United States)

    2013-08-09

    ... Oceanic and Atmospheric Administration, Boulder, CO. Service Type/Location: Laundry Service, US Coast... Additions to the Procurement List. SUMMARY: The Committee is proposing to add products and services to the... required to procure the products and services listed below from nonprofit agencies employing persons who...

  4. 77 FR 27736 - Procurement List Additions

    Science.gov (United States)

    2012-05-11

    ... Research Laboratory, Washington, DC. Service Type/Location: Laundry, Refurbishment, and Warehouse Services... Procurement List. SUMMARY: This action adds products and services to the Procurement List that will be... products and services and impact of the additions on the current or most recent contractors, the Committee...

  5. 77 FR 29596 - Procurement List Proposed Additions

    Science.gov (United States)

    2012-05-18

    .../Location: Laundry Service, Veterans Administration Medical Center (VAMC), (offsite: 1809 W 2nd Avenue... Additions to the Procurement List. SUMMARY: The Committee is proposing to add products and services to the... identified in this notice will be required to procure the products and services listed below from nonprofit...

  6. 75 FR 14576 - Procurement List Additions

    Science.gov (United States)

    2010-03-26

    ... Inspection Service, Minneapolis, MN. M.R. Laundry Products NSN: MR 1103--Heavy Duty Laundry Bag. NSN: MR 1104... procurement list. SUMMARY: This action adds to the Procurement List products and services to be furnished by... products and services and impact of the additions on the current or most recent contractors, the Committee...

  7. Powder Characterization and Optimization for Additive Manufacturing

    NARCIS (Netherlands)

    Cordova, Laura; Campos, Mónica; Tinga, Tiedo

    2017-01-01

    Achieving the optimal quality for Additive Manufactured (AM) parts does not only depend on setting the right process parameters. Material feedstock also plays an important role when aiming for high performance products. The metal AM processes that are most applicable to industry, Powder Bed Fusion

  8. Augmented Reality Interfaces for Additive Manufacturing

    DEFF Research Database (Denmark)

    Eiríksson, Eyþór Rúnar; Pedersen, David Bue; Frisvad, Jeppe Revall

    2017-01-01

    This paper explores potential use cases for using augmented reality (AR) as a tool to operate industrial machines. As a baseline we use an additive manufacturing system, more commonly known as a 3D printer. We implement novel augmented interfaces and controls using readily available open source...

  9. Designing for Color in Additive Manufacturing

    DEFF Research Database (Denmark)

    Eiríksson, Eyþór Rúnar; Luongo, Andrea; Frisvad, Jeppe Revall

    2016-01-01

    In this paper we present a color design pipeline for 3D printed or additively manufactured parts. We demonstrate how to characterize and calibrate a commercial printer and how to obtain its forward and backward color transformation models. We present results from our assistive color design tool...

  10. Additive Manufacturing: From Rapid Prototyping to Flight

    Science.gov (United States)

    Prater, Tracie

    2015-01-01

    Additive manufacturing (AM) offers tremendous promise for the rocket propulsion community. Foundational work must be performed to ensure the safe performance of AM parts. Government, industry, and academia must collaborate in the characterization, design, modeling, and process control to accelerate the certification of AM parts for human-rated flight.

  11. Predicting Color Output of Additive Manufactured Parts

    DEFF Research Database (Denmark)

    Eiríksson, Eyþór Rúnar; Pedersen, David Bue; Aanæs, Henrik

    2015-01-01

    In this paper we address the colorimetric performance of a multicolor additive manufacturing process. A method on how to measure and characterize color performance of said process is presented. Furthermore, a method on predicting the color output is demonstrated, allowing for previsualization...

  12. 78 FR 53734 - Procurement List; Proposed Additions

    Science.gov (United States)

    2013-08-30

    ...: Committee for Purchase From People Who Are Blind or Severely Disabled, 1401 S Clark Street, Suite 10800... COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED Procurement List; Proposed Additions AGENCY: Committee for Purchase From People Who Are Blind or Severely Disabled. ACTION: Proposed...

  13. 78 FR 77105 - Procurement List; Proposed Addition

    Science.gov (United States)

    2013-12-20

    ... People Who Are Blind or Severely Disabled, 1401 S. Clark Street, Suite 10800, Arlington, Virginia, 22202... COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED Procurement List; Proposed Addition AGENCY: Committee for Purchase From People Who Are Blind or Severely Disabled. ACTION: Proposed...

  14. 78 FR 50040 - Procurement List, Proposed Additions

    Science.gov (United States)

    2013-08-16

    ... People Who Are Blind or Severely Disabled, 1401 S Clark Street, Suite 10800, Arlington, Virginia, 22202... COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED Procurement List, Proposed Additions AGENCY: Committee for Purchase From People Who Are Blind or Severely Disabled. ACTION: Proposed...

  15. 78 FR 19248 - Procurement List; Proposed Addition

    Science.gov (United States)

    2013-03-29

    ... Purchase From People Who Are Blind or Severely Disabled, 1401 S. Clark Street, Suite 10800, Arlington... COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED Procurement List; Proposed Addition AGENCY: Committee for Purchase From People Who Are Blind or Severely Disabled. ACTION: Proposed...

  16. Power transformer additional load losses separation procedure

    Directory of Open Access Journals (Sweden)

    Kostić Miloje M.

    2011-01-01

    Full Text Available The proposed procedure is based on the fact that total transformer losses (PLL1,n, determined by short circuit test, can be separated into two components: the eddy current losses in the windings (PEC1,n and stray flux losses (PSL1,n in iron parts of construction as well as in the transformer tank walls. The total additional load losses, PLLd1 and PLLdh, are determined by short circuit test results, conducted at rated frequency (f1 and at increased harmonic frequency (fh=h*f1. Using so obtained total additional load losses, PLLd1 and PLLdh, which can be expressed in the form PLLdh=PEC1,n*h2 + PSL1,n*h, the corresponding rate additional load losses values PEC1,n and PSL1,n are derived. At the end, for given load with predefined high harmonics content, (Ih/I1n, relative to rated current, the total additional load losses value ΣPLLdh > PLLd1, is found. In such a way all harmonics up to hmax are taken into account.

  17. 19 CFR 191.103 - Additional requirements.

    Science.gov (United States)

    2010-04-01

    ... which the alcohol was withdrawn; (iv) Date of withdrawal; (v) Serial number of the tax-paid stamp or... 19 Customs Duties 2 2010-04-01 2010-04-01 false Additional requirements. 191.103 Section 191.103 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION, DEPARTMENT OF HOMELAND SECURITY; DEPARTMENT OF THE...

  18. Acid Rain Analysis by Standard Addition Titration.

    Science.gov (United States)

    Ophardt, Charles E.

    1985-01-01

    The standard addition titration is a precise and rapid method for the determination of the acidity in rain or snow samples. The method requires use of a standard buret, a pH meter, and Gran's plot to determine the equivalence point. Experimental procedures used and typical results obtained are presented. (JN)

  19. Additivity properties of a Gaussian channel

    International Nuclear Information System (INIS)

    Giovannetti, Vittorio; Lloyd, Seth

    2004-01-01

    The Amosov-Holevo-Werner conjecture implies the additivity of the minimum Renyi entropies at the output of a channel. The conjecture is proven true for all Renyi entropies of integer order greater than two in a class of Gaussian bosonic channel where the input signal is randomly displaced or where it is coupled linearly to an external environment

  20. Finding phosphorus containing additives in manufactured foods

    Directory of Open Access Journals (Sweden)

    Lyn Lloyd

    2012-06-01

    This reflects manufactured foods in NZ and it is likely that these results could be generalized to countries with similar food patterns and supplies. Quantitative data in manufactured foods is unlikely to be available to guide patient choice so qualitative information of where to find P additives can be helpful.

  1. ADHD Diet: Do Food Additives Cause Hyperactivity?

    Science.gov (United States)

    ... 3 fatty acids found in certain types of fish, flaxseed and other foods. With David C. Agerter, M.D Food colours and hyperactivity. NHS Choices. http://www.nhs.uk/conditions/food-additive-intolerance/Pages/Introduction.aspx. Accessed Sept. 18, 2017. ...

  2. Additivity of quark masses in gauge theories

    International Nuclear Information System (INIS)

    Scadron, M.D.

    1987-01-01

    It is shown that, in spite of the confinement of quarks in (color-singlet) hadrons, effective quark masses of all types (dynamically generated, constituent and current masses), naturally form hadron masses in an additivity fashion. For the purposes of brevity, the discussion is limited primarily to the nonstrange flavor sector

  3. 76 FR 57719 - Procurement List; Proposed Additions

    Science.gov (United States)

    2011-09-16

    ... proposed for addition to the Procurement List for production by the nonprofit agencies listed: Products NSN: 7930-00-NIB-0583--Refills, Bathroom Cleaner and Deodorizer, Cartridge Concentrate. NSN: 7930-00-NIB-0584--Starter Kit, Bathroom Cleaner and Deodorizer, Cartridge Concentrate. NSN: 7930-00-NIB-0585...

  4. 78 FR 12296 - Procurement List; Proposed Additions

    Science.gov (United States)

    2013-02-22

    ... services are proposed for addition to the Procurement List for production by the nonprofit agencies listed... and Trailer Wash, 55 GL NSN: 7930-00-NIB-0649--Cleaner/Degreaser, Heavy Duty, Biodegradable, Car and Trucks, 5 GL NSN: 7930-00-NIB-0650--Cleaner/Degreaser, Heavy Duty, Biodegradable, Car and Trucks, 55 GL...

  5. Additive manufacturing: From implants to organs

    African Journals Online (AJOL)

    Additive manufacturing (AM) constructs 3D objects layer by layer under computer control from 3D models. 3D printing is one ... anatomical models for surgery planning, and design and construction ... production of implants, particularly to replace bony structures, is ... Manufactured organs are, however, an elusive goal.

  6. Application of Natural Mineral Additives in Construction

    Science.gov (United States)

    Linek, Malgorzata; Nita, Piotr; Wolka, Paweł; Zebrowski, Wojciech

    2017-12-01

    The article concerns the idea of using selected mineral additives in the pavement quality concrete composition. The basis of the research paper was the modification of cement concrete intended for airfield pavements. The application of the additives: metakaolonite and natural zeolite was suggested. Analyses included the assessment of basic physical properties of modifiers. Screening analysis, assessment of micro structure and chemical microanalysis were conducted in case of these materials. The influence of the applied additives on the change of concrete mix parameters was also presented. The impact of zeolite and metakaolinite on the mix density, oxygen content and consistency class was analysed. The influence of modifiers on physical and mechanical changes of the hardened cement concrete was discussed (concrete density, compressive strength and bending strength during fracturing) in diversified research periods. The impact of the applied additives on the changes of internal structure of cement concrete was discussed. Observation of concrete micro structure was conducted using the scanning electron microscope. According to the obtained lab test results, parameters of the applied modifiers and their influence on changes of internal structure of cement concrete are reflected in the increase of mechanical properties of pavement quality concrete. The increase of compressive and bending strength in case of all analysed research periods was proved.

  7. 76 FR 43988 - Procurement List; Additions

    Science.gov (United States)

    2011-07-22

    ... this work, based on applicable experience. Finally, the purpose of the JWOD Act and the responsibility... COMMITTEE FOR PURCHASE FROM PEOPLE WHO ARE BLIND OR SEVERELY DISABLED Procurement List; Additions... Procurement List. SUMMARY: This action adds products and services to the Procurement List that will be...

  8. 7 CFR 1735.18 - Additional equity.

    Science.gov (United States)

    2010-01-01

    ... AGRICULTURE GENERAL POLICIES, TYPES OF LOANS, LOAN REQUIREMENTS-TELECOMMUNICATIONS PROGRAM Loan Purposes and Basic Policies § 1735.18 Additional equity. If determined by the Administrator to be necessary for loan security, a borrower applying for an initial loan shall increase its net worth as a percentage of assets to...

  9. Sintering of magnesia: effect of additives

    Indian Academy of Sciences (India)

    Effect of different additives, namely Cr2O3, Fe2O3 and TiO2, up to 2 wt% was studied on the sinter- ing and .... mental distribution of the components is shown in figure 7. It shows ... Chiang Y M, Birniand D and Kingery W 1996 Physical ceram-.

  10. 77 FR 34026 - Procurement List; Proposed Additions

    Science.gov (United States)

    2012-06-08

    ... provide interested persons an opportunity to submit comments on the proposed actions. Additions If the..., Department of Homeland Security (DHS), Immigration and Customs Enforcement (ICE), Office of Chief Counsel... Institute, Inc., San Antonio, TX. Contracting Activity: Department of Homeland Security, U.S. Immigration...

  11. (ajst) additive main effects and multiplicative

    African Journals Online (AJOL)

    2013-08-02

    Aug 2, 2013 ... genotypes assessed by biplot analysis showed that the most stable ... biplot is a useful tool for the analysis of multi-environment trial (MET) data. ... multiplicative components, extracting first the additive ... The AMMI analysis of variance of cassava harvest index of the 8 .... wheat mega-environments in Iran.

  12. Stability issues in reconstitution by weapon addition

    Energy Technology Data Exchange (ETDEWEB)

    Canavan, G.H.

    1997-08-01

    Reconstitution of strategic forces by the unilateral uploading of additional weapons from initially symmetric modest force levels reduces first strike stability. These changes are quantified and traced to changes in first and second strike costs in a model of missile exchanges in which both strikes are optimized analytically.

  13. 76 FR 26279 - Procurement List; Proposed Additions

    Science.gov (United States)

    2011-05-06

    ...-service area; clean and sanitize food service equipment, utensil cleaning, and dishwashing; clean pots... additions to the Procurement List. SUMMARY: The Committee is proposing to add services to the Procurement... in this notice will be required to procure the services listed below from nonprofit agencies...

  14. 77 FR 60969 - Procurement List; Additions

    Science.gov (United States)

    2012-10-05

    ... Are Blind or Severely Disabled published a notice for additions to the Procurement List with the... Committee for Purchase From People Who Are Blind or Severely Disabled published notices of proposed..., Phoenix, AZ. Service Type/Location: Custodial and Grounds Maintenance Services, Austin Courthouse, 501...

  15. 27 CFR 5.33 - Additional requirements.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Additional requirements. 5.33 Section 5.33 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY LIQUORS LABELING AND ADVERTISING OF DISTILLED SPIRITS Labeling Requirements for...

  16. 76 FR 41687 - Food Additives Permitted for Direct Addition to Food for Human Consumption; Hydroxypropyl Cellulose

    Science.gov (United States)

    2011-07-15

    ... Organization and the World Health Organization (FAO/WHO) Expert Committee for Food Additives (JECFA) has... DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration 21 CFR Part 172 [Docket No. FDA-2010-F-0103] Food Additives Permitted for Direct Addition to Food for Human Consumption...

  17. Additional Samples: Where They Should Be Located

    International Nuclear Information System (INIS)

    Pilger, G. G.; Costa, J. F. C. L.; Koppe, J. C.

    2001-01-01

    Information for mine planning requires to be close spaced, if compared to the grid used for exploration and resource assessment. The additional samples collected during quasimining usually are located in the same pattern of the original diamond drillholes net but closer spaced. This procedure is not the best in mathematical sense for selecting a location. The impact of an additional information to reduce the uncertainty about the parameter been modeled is not the same everywhere within the deposit. Some locations are more sensitive in reducing the local and global uncertainty than others. This study introduces a methodology to select additional sample locations based on stochastic simulation. The procedure takes into account data variability and their spatial location. Multiple equally probable models representing a geological attribute are generated via geostatistical simulation. These models share basically the same histogram and the same variogram obtained from the original data set. At each block belonging to the model a value is obtained from the n simulations and their combination allows one to access local variability. Variability is measured using an uncertainty index proposed. This index was used to map zones of high variability. A value extracted from a given simulation is added to the original data set from a zone identified as erratic in the previous maps. The process of adding samples and simulation is repeated and the benefit of the additional sample is evaluated. The benefit in terms of uncertainty reduction is measure locally and globally. The procedure showed to be robust and theoretically sound, mapping zones where the additional information is most beneficial. A case study in a coal mine using coal seam thickness illustrates the method

  18. Machinability of structural steels with calcium addition

    International Nuclear Information System (INIS)

    Pytel, S.; Zadecki, M.

    2003-01-01

    The machinability of the plain carbon and low alloy structural steels with carbon content of 0.1-0.6% is briefly discussed in the first part of the paper. In the experimental part a dependence between the addition of calcium and some changes in sulphide and oxide inclusions morphology is presented. The Volvo test for measurement of machinability index B i has been applied. Using the multiple regression methods two relationships between machinability index B i and stereological parameters of non-metallic inclusions as well as hardness of the steels have been calculated. The authors have reached the conclusion that owing to the changes in inclusion chemical composition and geometry as result of calcium addition the machinability index of the steel can be higher. (author)

  19. [Total analysis of organic rubber additives].

    Science.gov (United States)

    He, Wen-Xuan; Robert, Shanks; You, Ye-Ming

    2010-03-01

    In the present paper, after middle pressure chromatograph separation using both positive phase and reversed-phase conditions, the organic additives in ethylene-propylene rubber were identified by infrared spectrometer. At the same time, by using solid phase extraction column to maintain the main component-fuel oil in organic additves to avoid its interfering with minor compounds, other organic additves were separated and analysed by GC/Ms. In addition, the remaining active compound such as benzoyl peroxide was identified by CC/Ms, through analyzing acetone extract directly. Using the above mentioned techniques, soften agents (fuel oil, plant oil and phthalte), curing agent (benzoylperoxide), vulcanizing accelerators (2-mercaptobenzothiazole, ethyl thiuram and butyl thiuram), and antiagers (2, 6-Di-tert-butyl-4-methyl phenol and styrenated phenol) in ethylene-propylene rubber were identified. Although the technique was established in ethylene-propylene rubber system, it can be used in other rubber system.

  20. Microbial biosurfactants as additives for food industries.

    Science.gov (United States)

    Campos, Jenyffer Medeiros; Stamford, Tânia Lúcia Montenegro; Sarubbo, Leonie Asfora; de Luna, Juliana Moura; Rufino, Raquel Diniz; Banat, Ibrahim M

    2013-01-01

    Microbial biosurfactants with high ability to reduce surface and interfacial surface tension and conferring important properties such as emulsification, detergency, solubilization, lubrication and phase dispersion have a wide range of potential applications in many industries. Significant interest in these compounds has been demonstrated by environmental, bioremediation, oil, petroleum, food, beverage, cosmetic and pharmaceutical industries attracted by their low toxicity, biodegradability and sustainable production technologies. Despite having significant potentials associated with emulsion formation, stabilization, antiadhesive and antimicrobial activities, significantly less output and applications have been reported in food industry. This has been exacerbated by uneconomical or uncompetitive costing issues for their production when compared to plant or chemical counterparts. In this review, biosurfactants properties, present uses and potential future applications as food additives acting as thickening, emulsifying, dispersing or stabilising agents in addition to the use of sustainable economic processes utilising agro-industrial wastes as alternative substrates for their production are discussed. © 2013 American Institute of Chemical Engineers.

  1. The teratology testing of food additives.

    Science.gov (United States)

    Barrow, Paul C; Spézia, François

    2013-01-01

    The developmental and reproductive toxicity testing (including teratogenicity) of new foods and food additives is performed worldwide according to the guidelines given in the FDA Redbook. These studies are not required for substances that are generally recognized as safe, according to the FDA inventory. The anticipated cumulated human exposure level above which developmental or reproduction studies are required depends on the structure-alert category. For food additives of concern, both developmental (prenatal) and reproduction (multigeneration) studies are required. The developmental studies are performed in two species, usually the rat and the rabbit. The reproduction study is generally performed in the rat. The two rat studies are preferably combined into a single experimental design, if possible. The test methods described in the FDA Redbook are similar to those specified by the OECD for the reproductive toxicity testing of chemicals.

  2. [Trends in the utilization of food additives].

    Science.gov (United States)

    Szűcs, Viktória; Bánáti, Diána

    2013-11-17

    The frequent media reports on food additives weakened consumers' trust in food producers and food control authorities as well. Furthermore, consumers' uncertainty is also raised by the fact that they obtain their information from inadequate, mistrustful sources and, therefore, consumers might avoid the consumption of certain foodstuffs. While food producers may react by replacing artificial components by natural ones, they try to emphasize the favourable characteristics of their products. The authors describe the main trends and efforts related to food additives. On the basis of the overview it can be concluded that - besides taking into consideration consumers' needs - product development and research directions are promising. Food producers' efforts may help to restore consumer confidence and trust and they may help them to have informed choice.

  3. Utilization of curve offsets in additive manufacturing

    Science.gov (United States)

    Haseltalab, Vahid; Yaman, Ulas; Dolen, Melik

    2018-05-01

    Curve offsets are utilized in different fields of engineering and science. Additive manufacturing, which lately becomes an explicit requirement in manufacturing industry, utilizes curve offsets widely. One of the necessities of offsetting is for scaling which is required if there is shrinkage after the fabrication or if the surface quality of the resulting part is unacceptable. Therefore, some post-processing is indispensable. But the major application of curve offsets in additive manufacturing processes is for generating head trajectories. In a point-wise AM process, a correct tool-path in each layer can reduce lots of costs and increase the surface quality of the fabricated parts. In this study, different curve offset generation algorithms are analyzed to show their capabilities and disadvantages through some test cases and improvements on their drawbacks are suggested.

  4. Evolution of solidification texture during additive manufacturing

    Science.gov (United States)

    Wei, H. L.; Mazumder, J.; DebRoy, T.

    2015-01-01

    Striking differences in the solidification textures of a nickel based alloy owing to changes in laser scanning pattern during additive manufacturing are examined based on theory and experimental data. Understanding and controlling texture are important because it affects mechanical and chemical properties. Solidification texture depends on the local heat flow directions and competitive grain growth in one of the six preferred growth directions in face centered cubic alloys. Therefore, the heat flow directions are examined for various laser beam scanning patterns based on numerical modeling of heat transfer and fluid flow in three dimensions. Here we show that numerical modeling can not only provide a deeper understanding of the solidification growth patterns during the additive manufacturing, it also serves as a basis for customizing solidification textures which are important for properties and performance of components. PMID:26553246

  5. Additional gleaning of fusion energy development

    International Nuclear Information System (INIS)

    Yamamoto, Kenzo; Koizumi, Koichi

    2002-09-01

    This report summarizes the major topics in the history of fusion energy development in Japan from its dawn to the tokamak fusion experimental reactor, ITER. The domestic circumstances and situation in foreign countries in those days, and the details of each decision and discussion, are described. Since my previous writing, 'Forty years for Nuclear Fusion Energy Development - Big Science in Japan (1997, ERC Press. Co. Ltd.)', was a book which briefly summarize a large quantity of documents on the history, there are many points, which require additional detail explanation. This time, I selected and extracted major topics in the fusion research history, and added additional descriptions and my comments so as to supplement my previous writing. (author)

  6. Additive manufacturing technology in reconstructive surgery.

    Science.gov (United States)

    Fuller, Scott C; Moore, Michael G

    2016-10-01

    Technological advances have been part and parcel of modern reconstructive surgery, in that practitioners of this discipline are continually looking for innovative ways to perfect their craft and improve patient outcomes. We are currently in a technological climate wherein advances in computers, imaging, and science have coalesced with resulting innovative breakthroughs that are not merely limited to improved outcomes and enhanced patient care, but may provide novel approaches to training the next generation of reconstructive surgeons. New developments in software and modeling platforms, imaging modalities, tissue engineering, additive manufacturing, and customization of implants are poised to revolutionize the field of reconstructive surgery. The interface between technological advances and reconstructive surgery continues to expand. Additive manufacturing techniques continue to evolve in an effort to improve patient outcomes, decrease operative time, and serve as instructional tools for the training of reconstructive surgeons.

  7. Additive manufacturing of polymer-derived ceramics

    Science.gov (United States)

    Eckel, Zak C.; Zhou, Chaoyin; Martin, John H.; Jacobsen, Alan J.; Carter, William B.; Schaedler, Tobias A.

    2016-01-01

    The extremely high melting point of many ceramics adds challenges to additive manufacturing as compared with metals and polymers. Because ceramics cannot be cast or machined easily, three-dimensional (3D) printing enables a big leap in geometrical flexibility. We report preceramic monomers that are cured with ultraviolet light in a stereolithography 3D printer or through a patterned mask, forming 3D polymer structures that can have complex shape and cellular architecture. These polymer structures can be pyrolyzed to a ceramic with uniform shrinkage and virtually no porosity. Silicon oxycarbide microlattice and honeycomb cellular materials fabricated with this approach exhibit higher strength than ceramic foams of similar density. Additive manufacturing of such materials is of interest for propulsion components, thermal protection systems, porous burners, microelectromechanical systems, and electronic device packaging.

  8. Effects of additives on PVG dosifilm

    Energy Technology Data Exchange (ETDEWEB)

    Wenxiu, Chen; Liu, Aiguo [Beijing Normal Univ., BJ (China). Dept. of Chemistry

    1995-03-01

    Dosifilm PVG is a new radiochromic film dosimeter composed of matrix material polyvinyl butyral (PVB), leuco malachite green (LMG) and additive halogenated organic compound (RX), etc. The control of the dose range on PVG dosifilm was examined. The addition of halogenated compounds played an important role in the radiation reaction of LMG beyond the concentration of LMG. Bromide is more effective than chloride in this system, the oxidative species are X {center_dot} and X{sub 2} {center_dot} {sup -}. PVB with N-bromosuccinimide (NBS) can induce the oxidation of LMG before irradiation. The reaction mechanism of PVG was discussed. Different linear ranges of radiation response on PVG dosifilm could be controlled by alternating the relative concentrations of halogenated compounds and LMG. (author).

  9. Laser-Based Additive Manufacturing of Zirconium

    Directory of Open Access Journals (Sweden)

    Himanshu Sahasrabudhe

    2018-03-01

    Full Text Available Additive manufacturing of zirconium is attempted using commercial Laser Engineered Net Shaping (LENSTM technique. A LENSTM-based approach towards processing coatings and bulk parts of zirconium, a reactive metal, aims to minimize the inconvenience of traditional metallurgical practices of handling and processing zirconium-based parts that are particularly suited to small volumes and one-of-a-kind parts. This is a single-step manufacturing approach for obtaining near net shape fabrication of components. In the current research, Zr metal powder was processed in the form of coating on Ti6Al4V alloy substrate. Scanning electron microscopy (SEM and energy dispersive spectroscopy (EDS as well as phase analysis via X-ray diffraction (XRD were studied on these coatings. In addition to coatings, bulk parts were also fabricated using LENS™ from Zr metal powders, and measured part accuracy.

  10. Additive derivations on algebras of measurable operators

    International Nuclear Information System (INIS)

    Ayupov, Sh.A.; Kudaybergenov, K.K.

    2009-08-01

    Given a von Neumann algebra M we introduce the so-called central extension mix(M) of M. We show that mix(M) is a *-subalgebra in the algebra LS(M) of all locally measurable operators with respect to M, and this algebra coincides with LS(M) if and only if M does not admit type II direct summands. We prove that if M is a properly infinite von Neumann algebra then every additive derivation on the algebra mix(M) is inner. This implies that on the algebra LS(M), where M is a type I ∞ or a type III von Neumann algebra, all additive derivations are inner derivations. (author)

  11. Effects of additives on PVG dosifilm

    International Nuclear Information System (INIS)

    Chen Wenxiu; Liu, Aiguo

    1995-01-01

    Dosifilm PVG is a new radiochromic film dosimeter composed of matrix material polyvinyl butyral (PVB), leuco malachite green (LMG) and additive halogenated organic compound (RX), etc. The control of the dose range on PVG dosifilm was examined. The addition of halogenated compounds played an important role in the radiation reaction of LMG beyond the concentration of LMG. Bromide is more effective than chloride in this system, the oxidative species are X · and X 2 · - . PVB with N-bromosuccinimide (NBS) can induce the oxidation of LMG before irradiation. The reaction mechanism of PVG was discussed. Different linear ranges of radiation response on PVG dosifilm could be controlled by alternating the relative concentrations of halogenated compounds and LMG. (author)

  12. The addition of disilanes to cumulenes

    Energy Technology Data Exchange (ETDEWEB)

    Chen, Yiyuan [Iowa State Univ., Ames, IA (United States)

    1997-10-08

    The syntheses of silicon-containing compounds and the studies of their rearrangements have been active research areas in the Barton research group. Previously, the addition of disilanes to acetylenes was studied in the group and an intramolecular 2S + 2A mechanism has been proposed. In this thesis, the work is focused on the addition of disilanes to cumulenes. The syntheses of the precursors are discussed and the possible mechanisms for their thermal, photochemical and catalytic rearrangements are proposed. Conjugated organic polymers have been studied in the group since 1985 because of their potential for exhibiting high electroconductivity, photoconductivity, strong non-linear optical response and intense fluorescence. In the second section of this dissertation, the synthesis and property studies of poly(phenylene vinylene) analogues are discussed.

  13. Electrolyte Additives for Phosphoric Acid Fuel Cells

    DEFF Research Database (Denmark)

    Gang, Xiao; Hjuler, H.A.; Olsen, C.A.

    1993-01-01

    , as a fuel-cell performance with the modified electrolytes. Specific conductivity measurements of some of the modified phosphoric acid electrolytes are reported. At a given temperature, the conductivity of the C4F9SO3K-modified electrolyte decreases with an increasing amount of the additive; the conductivity...... of the remains at the same value as the conductivity of the pure phosphoric acid. At a given composition, the conductivity of any modified electrolyte increases with temperature. We conclude that the improved cell performance for modified electrolytes is not due to any increase in conductivity.......Electrochemical characteristics of a series of modified phosphoric acid electrolytes containing fluorinated car on compounds and silicone fluids as additives are presented. When used in phosphoric acid fuel cells, the modified electrolytes improve the performance due to the enhanced oxygen...

  14. Femtosecond laser additive manufacturing of YSZ

    Energy Technology Data Exchange (ETDEWEB)

    Liu, Jian; Bai, Shuang [PolarOnyx, Inc., San Jose, CA (United States)

    2017-04-15

    Laser additive manufacturing (LAM) of Yttria-Stabilized Zirconia (YSZ) is investigated using femtosecond (fs) fiber lasers. Various processing conditions are studied, which leads to desired characteristics in terms of morphology, porosity, hardness, microstructural and mechanical properties of the processed components. High-density (>99%) YSZ part with refined grain and increased hardness was obtained. Microstructure features of fabricated specimens were studied with SEM, EDX, the measured micro hardness is achieved as high as 18.84 GPa. (orig.)

  15. Selection of Additive Manufacturing (AM) Equipment

    Science.gov (United States)

    2017-04-01

    FOLLOW THE PROCEDURES IN DoD 5200.22-M, INDUSTRIAL SECURITY MANUAL, SECTION II-19 OR DoD 5200.1-R, INFORMATION SECURITY PROGRAM REGULATION...axis subtractive machining center. The hybrid approach is gaining interest in the traditionally subtractive machine tool industry as the additive...systems typically consists of a build vat, feedstock hoppers , a material spreading device, and an energy source. The material spreading device

  16. Addition of malodorants to lighter gas

    DEFF Research Database (Denmark)

    Neela, Vasu; von Solms, Nicolas

    2014-01-01

    Relevant thermodynamic and phase behavior of mixtures created by adding malodorants to lighter gas to discourage its abuse have been studied. The influence of physical factors such as temperature, pressure and concentration of the selected substances with lighter gas is studied. This work represe......-Plus-Association (CPA) - an equation of state - to model the fluid phase and solubility behavior of the mixtures formed by the various additives with butane....

  17. Object attributes combine additively in visual search

    OpenAIRE

    Pramod, R. T.; Arun, S. P.

    2016-01-01

    We perceive objects as containing a variety of attributes: local features, relations between features, internal details, and global properties. But we know little about how they combine. Here, we report a remarkably simple additive rule that governs how these diverse object attributes combine in vision. The perceived dissimilarity between two objects was accurately explained as a sum of (a) spatially tuned local contour-matching processes modulated by part decomposition; (b) differences in in...

  18. Additive Manufacturing for Affordable Rocket Engines

    Science.gov (United States)

    West, Brian; Robertson, Elizabeth; Osborne, Robin; Calvert, Marty

    2016-01-01

    Additive manufacturing (also known as 3D printing) technology has the potential to drastically reduce costs and lead times associated with the development of complex liquid rocket engine systems. NASA is using 3D printing to manufacture rocket engine components including augmented spark igniters, injectors, turbopumps, and valves. NASA is advancing the process to certify these components for flight. Success Story: MSFC has been developing rocket 3D-printing technology using the Selective Laser Melting (SLM) process. Over the last several years, NASA has built and tested several injectors and combustion chambers. Recently, MSFC has 3D printed an augmented spark igniter for potential use the RS-25 engines that will be used on the Space Launch System. The new design is expected to reduce the cost of the igniter by a factor of four. MSFC has also 3D printed and tested a liquid hydrogen turbopump for potential use on an Upper Stage Engine. Additive manufacturing of the turbopump resulted in a 45% part count reduction. To understanding how the 3D printed parts perform and to certify them for flight, MSFC built a breadboard liquid rocket engine using additive manufactured components including injectors, turbomachinery, and valves. The liquid rocket engine was tested seven times in 2016 using liquid oxygen and liquid hydrogen. In addition to exposing the hardware to harsh environments, engineers learned to design for the new manufacturing technique, taking advantage of its capabilities and gaining awareness of its limitations. Benefit: The 3D-printing technology promises reduced cost and schedule for rocket engines. Cost is a function of complexity, and the most complicated features provide the largest opportunities for cost reductions. This is especially true where brazes or welds can be eliminated. The drastic reduction in part count achievable with 3D printing creates a waterfall effect that reduces the number of processes and drawings, decreases the amount of touch

  19. Study of plutonium-addition systems

    International Nuclear Information System (INIS)

    Kuchar, L.; Wozniakova, B.

    1976-11-01

    Steady state phase diagrams and calculated values of concentrations on the solid and liquid curves, the steady state distribution coefficient and thermodynamic control are presented for temperatures ranging from the eutectic reaction temperatures to the Pu melting point temperature for binary systems plutonium-addition (Mg, Al, Si, Ti, Mn, Fe, Co, Ni, Cu, Zn, Ga, Zr, Ru, Os, Th, U, Np). (J.P.)

  20. TECHNOLOGY OF PLANT FEED ADDITIVES FOR POULTRY

    OpenAIRE

    Koshchaeva O. V.; Kalyuzhniy S. A.; Khathakumov S. S.; Likhoman A. V.

    2014-01-01

    The work on the development of technology for production of feed additives from soybean seeds and fruits of pumpkin has shown that the use of sodium bisulfate and lactic acid bacteria provide a high content of carotene in pumpkin paste (948 mg / kg and 819 mg / kg, respectively), and grinding soy before drying protein and vitamin supplements raises safety of carotene without destroying the urease