WorldWideScience

Sample records for lowering

  1. Acute lower extremity ischaemia

    African Journals Online (AJOL)

    Acute lower extremity ischaemia. Acute lower limb ischaemia is a surgical emergency. ... is ~1.5 cases per 10 000 persons per year. Acute ischaemia ... Table 2. Clinical features discriminating embolic from thrombotic ALEXI. Clinical features.

  2. Lower Churchill project

    Energy Technology Data Exchange (ETDEWEB)

    Gilbert, B. [Nalcor Energy, St. John' s, Newfoundland (Canada)

    2011-07-01

    This paper discusses the Lower Churchill Hydroelectric Generation Project in Newfoundland Labrador. The project is of national interest as it creates jobs and benefits across Canada. It provides inter provincial electricity grid integration, provides significant contribution to lower emissions and enables development of other renewable generation.

  3. Selecting Lower Priced Items.

    Science.gov (United States)

    Kleinert, Harold L.; And Others

    1988-01-01

    A program used to teach moderately to severely mentally handicapped students to select the lower priced items in actual shopping activities is described. Through a five-phase process, students are taught to compare prices themselves as well as take into consideration variations in the sizes of containers and varying product weights. (VW)

  4. The Neanderthal lower arm.

    Science.gov (United States)

    De Groote, Isabelle

    2011-10-01

    Neanderthal forearms have been described as being very powerful. Different individual features in the lower arm bones have been described to distinguish Neanderthals from modern humans. In this study, the overall morphology of the radius and ulna is considered, and morphological differences among Neanderthals, Upper Paleolithic Homo sapiens and recent H. sapiens are described. Comparisons among populations were made using a combination of 3D geometric morphometrics and standard multivariate methods. Comparative material included all available complete radii and ulnae from Neanderthals, early H. sapiens and archaeological and recent human populations, representing a wide geographical and lifestyle range. There are few differences among the populations when features are considered individually. Neanderthals and early H. sapiens fell within the range of modern human variation. When the suite of measurements and shapes were analyzed, differences and similarities became apparent. The Neanderthal radius is more laterally curved, has a more medially placed radial tuberosity, a longer radial neck, a more antero-posteriorly ovoid head and a well-developed proximal interosseous crest. The Neanderthal ulna has a more anterior facing trochlear notch, a lower M. brachialis insertion, larger relative mid-shaft size and a more medio-lateral and antero-posterior sinusoidal shaft. The Neanderthal lower arm morphology reflects a strong cold-adapted short forearm. The forearms of H. sapiens are less powerful in pronation and supination. Many differences between Neanderthals and H. sapiens can be explained as a secondary consequence of the hyper-polar body proportions of the Neanderthals, but also as retentions of the primitive condition of other hominoids. Copyright © 2011 Elsevier Ltd. All rights reserved.

  5. Lower head failure analysis

    International Nuclear Information System (INIS)

    Rempe, J.L.; Thinnes, G.L.; Allison, C.M.; Cronenberg, A.W.

    1991-01-01

    The US Nuclear Regulatory Commission is sponsoring a lower vessel head research program to investigate plausible modes of reactor vessel failure in order to determine (a) which modes have the greatest likelihood of occurrence during a severe accident and (b) the range of core debris and accident conditions that lead to these failures. This paper presents the methodology and preliminary results of an investigation of reactor designs and thermodynamic conditions using analytic closed-form approximations to assess the important governing parameters in non-dimensional form. Preliminary results illustrate the importance of vessel and tube geometrical parameters, material properties, and external boundary conditions on predicting vessel failure. Thermal analyses indicate that steady-state temperature distributions will occur in the vessel within several hours, although the exact time is dependent upon vessel thickness. In-vessel tube failure is governed by the tube-to-debris mass ratio within the lower head, where most penetrations are predicted to fail if surrounded by molten debris. Melt penetration distance is dependent upon the effective flow diameter of the tube. Molten debris is predicted to penetrate through tubes with a larger effective flow diameter, such as a boiling water reactor (BWR) drain nozzle. Ex-vessel tube failure for depressurized reactor vessels is predicted to be more likely for a BWR drain nozzle penetration because of its larger effective diameter. At high pressures (between ∼0.1 MPa and ∼12 MPa) ex-vessel tube rupture becomes a dominant failure mechanism, although tube ejection dominates control rod guide tube failure at lower temperatures. However, tube ejection and tube rupture predictions are sensitive to the vessel and tube radial gap size and material coefficients of thermal expansion

  6. Lower cranial nerves.

    Science.gov (United States)

    Soldatos, Theodoros; Batra, Kiran; Blitz, Ari M; Chhabra, Avneesh

    2014-02-01

    Imaging evaluation of cranial neuropathies requires thorough knowledge of the anatomic, physiologic, and pathologic features of the cranial nerves, as well as detailed clinical information, which is necessary for tailoring the examinations, locating the abnormalities, and interpreting the imaging findings. This article provides clinical, anatomic, and radiological information on lower (7th to 12th) cranial nerves, along with high-resolution magnetic resonance images as a guide for optimal imaging technique, so as to improve the diagnosis of cranial neuropathy. Copyright © 2014 Elsevier Inc. All rights reserved.

  7. Lower dimensional gravity

    International Nuclear Information System (INIS)

    Brown, J.D.

    1988-01-01

    This book addresses the subject of gravity theories in two and three spacetime dimensions. The prevailing philosophy is that lower dimensional models of gravity provide a useful arena for developing new ideas and insights, which are applicable to four dimensional gravity. The first chapter consists of a comprehensive introduction to both two and three dimensional gravity, including a discussion of their basic structures. In the second chapter, the asymptotic structure of three dimensional Einstein gravity with a negative cosmological constant is analyzed. The third chapter contains a treatment of the effects of matter sources in classical two dimensional gravity. The fourth chapter gives a complete analysis of particle pair creation by electric and gravitational fields in two dimensions, and the resulting effect on the cosmological constant

  8. Tevatron lower temperature operation

    International Nuclear Information System (INIS)

    Theilacker, J.C.

    1994-07-01

    This year saw the completion of three accelerator improvement projects (AIP) and two capital equipment projects pertaining to the Tevatron cryogenic system. The projects result in the ability to operate the Tevatron at lower temperature, and thus higher energy. Each project improves a subsystem by expanding capabilities (refrigerator controls), ensuring reliability (valve box, subatmospheric hardware, and compressor D), or enhancing performance (cold compressors and coldbox II). In January of 1994, the Tevatron operated at an energy of 975 GeV for the first time. This was the culmination, of many years of R ampersand D, power testing in a sector (one sixth) of the Tevatron, and final system installation during the summer of 1993. Although this is a modest increase in energy, the discovery potential for the Top quark is considerably improved

  9. Vitiligo Lateral Lower Lip

    Directory of Open Access Journals (Sweden)

    Sahoo Antaryami

    2002-01-01

    Full Text Available Vitiligo characteristically affecting the lateral lower lip (LLL is a common presentation in South Orissa. This type of lesion has rarely been described in literature. One hundred eighteen such cases were studied during the period from October 1999 to September, 2000. LLL vitiligo constituted 16.39% of all vitiligo patients. Both sexes were affected equally. The peak age of onset was in the 2nd decade, mean duration of illness 21.46 months. Fifty six patients had unilateral lesion (38 on the left and 18 on the right. Among the 62 patients having bilateral lesions, the onset was more frequent on the left (38 than either the right (8 or both sides together (16. All the patients were right handed. Association with local factors like infection, trauma, cheilitis, FDE etc were associated in 38.98% of cases, but systemic or autoimmune diseases were not associated. Positive family history was found in 22% of cases.

  10. Lower gastrointestinal malignancies

    International Nuclear Information System (INIS)

    Minsky, Bruce D.

    1995-01-01

    Objective: This refresher course will review the current knowledge as well as ongoing and future research strategies in lower gastrointestinal malignancies. Radiation therapy has a significant role in the adjuvant treatment of lower gastrointestinal malignancies. Furthermore, there are data to suggest that radiation therapy is an integral component of the conservative management (organ preservation) of rectal and anal cancers. 1. Colon cancer. The standard adjuvant treatment for node positive or high risk transmural colon cancer is postoperative 5-FU and Levamisole. There are retrospective data to suggest that certain subsets of high risk patients may benefit from postoperative radiation therapy. 2. Rectal cancer. Randomized trials have revealed an advantage of postoperative radiation therapy plus chemotherapy in transmural and/or node positive rectal cancer. In the adjuvant setting the use of continuous infusion 5-FU may be more beneficial compared with bolus 5-FU. Despite the improvement in survival, postoperative therapies are associated with an approximately 35% incidence of grade 3+ toxicity. Recent data suggest that the use of preoperative combined modality therapy may be associated with less toxicity as well as increase the chance of sphincter preservation. New Intergroup trials addressing these issues will be presented. In patients with locally advanced unresectable rectal cancer, the addition of intraoperative radiation therapy may further improve local control. 3. Anal cancer. The use of combined 5-FU/Mitomycin-C and pelvic radiation therapy is effective in the treatment of anal carcinoma. The RTOG has recently completed a randomized trial addressing the question of the effectiveness and toxicity of Mitomycin-C. The replacement Intergroup Phase III trial will be presented

  11. Lower gastrointestinal malignancies

    International Nuclear Information System (INIS)

    Minsky, Bruce D.

    1996-01-01

    Objective: This refresher course will review the current knowledge as well as ongoing and future research strategies in lower gastrointestinal malignancies. Radiation therapy has a significant role in the adjuvant treatment of lower gastrointestinal malignancies. Furthermore, there are data to suggest that radiation therapy is an integral component of the conservative management (organ preservation) of rectal and anal cancers. 1. Colon cancer. The standard adjuvant treatment for node positive or high risk transmural colon cancer is postoperative 5-FU and Levamisole. There are retrospective data to suggest that certain subsets of high risk patients may benefit from postoperative radiation therapy. 2. Rectal cancer. Randomized trials have revealed an advantage of postoperative radiation therapy plus chemotherapy in transmural and/or node positive rectal cancer. In the adjuvant setting the use of continuous infusion 5-FU may be more beneficial compared with bolus 5-FU. Despite the improvement in survival, postoperative therapies are associated with an approximately 35% incidence of grade 3+ toxicity. Recent data suggest that the use of preoperative combined modality therapy may be associated with less toxicity as well as increase the chance of sphincter preservation. New Intergroup trials addressing these issues will be presented. In patients with locally advanced unresectable rectal cancer, the addition of intraoperative radiation therapy may further improve local control. 3. Anal cancer. The use of combined 5-FU/Mitomycin-C and pelvic radiation therapy is effective in the treatment of anal carcinoma. The RTOG has recently completed a randomized trial addressing the question of the effectiveness and toxicity of Mitomycin-C. The replacement Intergroup Phase III trial will be presented

  12. Exercises in Heavy Lowering

    CERN Document Server

    2006-01-01

    Driving up to Point 5, one can't help but notice the impressively enormous red structure climbing up and over Building 3585. This unusual bridge-like construction is CMS'new crane, otherwise known as 'the gantry'. CMS'impressive "gantry" was recently installed at Building 3585. The 'gantry'was constructed by VSL, a Swiss company that is used to building such uniquely designed cranes used for major construction jobs, including lifting the roofs of various stadiums and the huge Airbus A380 assembly hall in Toulouse or bridge foundation caissons. CMS's crane was custom-built to sustain up to 2000 tonnes of machinery and detectors and slowly lower them down into the experimental cavern. The feature of two towers, one on either side of the building, each 24 m high, is the reason behind the nickname of this amazing crane. Two large beams, 28 m long and 3.4 m high, run along the width of the roof and four openings, each 5 m long, in the ceiling will allow the cables to pass through into the gallery. Unlike typic...

  13. Arterial mapping of lower limbs

    International Nuclear Information System (INIS)

    Acuna Allen, Rafael

    2011-01-01

    A bibliographic review is realized in the arterial mapping of lower limbs by ultrasonographic. The physical properties of the Doppler effect applied to diagnostic ultrasound are described. The anatomical characteristics of the general arterial system and specifically of the lower limbs arterial system are mentioned. Pathologies of the ischemic arterial disease of lower limbs are explained. The study characteristics of lower limbs arterial mapping are documented to determine its importance as appropriate method for the assessment of lower limb ischemia. An adequate arterial mapping of lower limbs is recognized in atherosclerotic ischemic disease as a reliable initial method alternative to arteriography. Arteriography is considered as reference pattern for therapeutic decision making in patients with critical ischemia of the lower limbs. Non-invasive methods to assess the arterial system of lower limbs has evidenced the advantages of the arterial mapping with Doppler, according to the consulted literature. The combination morphological and hemodynamic information has been possible and a map of the explored zone is made. The arterial mapping by ultrasonography has offered similar reliability to angiography [es

  14. Lower GI Series (Barium Enema)

    Science.gov (United States)

    ... uses x-rays and a chalky liquid called barium to view your large intestine . The barium will make your large intestine more visible on ... single-contrast lower GI series, which uses only barium a double-contrast or air-contrast lower GI ...

  15. Improved Range Searching Lower Bounds

    DEFF Research Database (Denmark)

    Larsen, Kasper Green; Nguyen, Huy L.

    2012-01-01

    by constructing a hard input set and query set, and then invoking Chazelle and Rosenberg's [CGTA'96] general theorem on the complexity of navigation in the pointer machine. For the group model, we show that input sets and query sets that are hard for range reporting in the pointer machine (i.e. by Chazelle...... and Rosenberg's theorem), are also hard for dynamic range searching in the group model. This theorem allows us to reuse decades of research on range reporting lower bounds to immediately obtain a range of new group model lower bounds. Amongst others, this includes an improved lower bound for the fundamental...

  16. TCGA_LowerGradeGliomas

    Science.gov (United States)

    TCGA researchers analyzed nearly 300 cases of diffuse low- and intermediate-grade gliomas, which together comprise lower-grade gliomas. LGGs occur mainly in adults and include astrocytomas, oligodendrogliomas and oligoastrocytomas.

  17. Computational Lower Bounds Using Diagonalization

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education; Volume 14; Issue 7. Computational Lower Bounds Using Diagonalization - Languages, Turing Machines and Complexity Classes. M V Panduranga Rao. General Article Volume 14 Issue 7 July 2009 pp 682-690 ...

  18. Lowering Salt in Your Diet

    Science.gov (United States)

    ... For Consumers Home For Consumers Consumer Updates Lowering Salt in Your Diet Share Tweet Linkedin Pin it ... Subscribe: FDA Consumer Health Information Everyone needs some salt to function. Also known as sodium chloride, salt ...

  19. Energy policy of Lower Saxony

    International Nuclear Information System (INIS)

    Hirche, W.

    1988-01-01

    The government of the Land Lower Saxony in February 1988 submitted a new energy programme intended to define the energy-political boundary data for energy industry and energy consumers, and to bring about the broadest possible consensus for the implementation of this energy policy between politicians, the energy industry and the population. The Minister of Economy of Lower Saxony in his statement refers particularly to the topics nuclear energy and coal, renewable energies, structure of areas to be supplied with energy, and considerations relating to a revision of the antitrust laws. (orig.) [de

  20. Rhinosinusitis and the lower airways

    NARCIS (Netherlands)

    Hellings, Peter W.; Hens, Greet

    2009-01-01

    The interaction between upper and lower airway disease has been recognized for centuries, with recent studies showing a direct link between upper and airway inflammation in allergic patients. The mechanisms underlying the interaction between nasal and bronchial inflammation have primarily been

  1. Lowering the first ATLAS toroid

    CERN Document Server

    Maximilien Brice

    2004-01-01

    The ATLAS detector on the LHC at CERN will consist of eight toroid magnets, the first of which was lowered into the cavern in these images on 26 October 2004. The coils are supported on platforms where they will be attached to form a giant torus. The platforms will hold about 300 tonnes of ATLAS' muon chambers and will envelop the inner detectors.

  2. Adolescent Neuroblastoma of Lower Limb

    Directory of Open Access Journals (Sweden)

    Rajeshwari K

    2013-04-01

    Full Text Available Neuroblastoma is an embryonic tumour of neural crest origin, commonly seen in children with upper abdomen involvement. Rarely neuroblastomas present in adolescents and adults involving lower limb. Histopathologically neuroblastoma of lower limb can be confused with other small round cell tumour especially with Ewing's sarcoma and rhabdomyosarcoma. A 16 year old male presented with 15x11cm swelling, pain and multiple discharging sinuses of right leg since 4 months. Routine haematological and biochemical analysis were within normal limits. Radiology of right leg showed large soft tissue swelling encompassing the pathological fracture of tibia and bowing of fibula. Fine needle aspiration of the swelling revealed malignant small round cell tumour. Histopathology revealed poorly differentiated neuroblastoma of lower limb. The immunohistochemistry of Synaptophysin and Chromogranin were positive and CD 99 was negative. Neuroblastoma diagnosed at unusual site with uncommon age has poor prognosis. Hence, one must keep in mind the differential diagnosis of neuroblastoma as one of the differential diagnosis in evaluating the soft tissue tumours of lower limb.

  3. Quantum lower bound for sorting

    OpenAIRE

    Shi, Yaoyun

    2000-01-01

    We prove that \\Omega(n log(n)) comparisons are necessary for any quantum algorithm that sorts n numbers with high success probability and uses only comparisons. If no error is allowed, at least 0.110nlog_2(n) - 0.067n + O(1) comparisons must be made. The previous known lower bound is \\Omega(n).

  4. Expected utility with lower probabilities

    DEFF Research Database (Denmark)

    Hendon, Ebbe; Jacobsen, Hans Jørgen; Sloth, Birgitte

    1994-01-01

    An uncertain and not just risky situation may be modeled using so-called belief functions assigning lower probabilities to subsets of outcomes. In this article we extend the von Neumann-Morgenstern expected utility theory from probability measures to belief functions. We use this theory...

  5. Nash equilibrium with lower probabilities

    DEFF Research Database (Denmark)

    Groes, Ebbe; Jacobsen, Hans Jørgen; Sloth, Birgitte

    1998-01-01

    We generalize the concept of Nash equilibrium in mixed strategies for strategic form games to allow for ambiguity in the players' expectations. In contrast to other contributions, we model ambiguity by means of so-called lower probability measures or belief functions, which makes it possible...

  6. Unconditional lower bounds against advice

    NARCIS (Netherlands)

    Buhrman, H.; Fortnow, L.; Santhanam, R.

    2009-01-01

    We show several unconditional lower bounds for exponential time classes against polynomial time classes with advice, including: (1) For any constant c, NEXP not in P^{NP[n^c]} (2) For any constant c, MAEXP not in MA/n^c (3) BPEXP not in BPP/n^{o(1)}. It was previously unknown even whether NEXP in

  7. Pediatric lower extremity mower injuries.

    Science.gov (United States)

    Hill, Sean M; Elwood, Eric T

    2011-09-01

    Lawn mower injuries in children represent an unfortunate common problem to the plastic reconstructive surgeon. There are approximately 68,000 per year reported in the United States. Compounding this problem is the fact that a standard treatment algorithm does not exist. This study follows a series of 7 pediatric patients treated for lower extremity mower injuries by a single plastic surgeon. The extent of soft tissue injury varied. All patients were treated with negative pressure wound therapy as a bridge to definitive closure. Of the 7 patients, 4 required skin grafts, 1 required primary closure, 1 underwent a lower extremity amputation secondary to wounds, and 1 was repaired using a cross-leg flap. Function limitations were minimal for all of our patients after reconstruction. Our basic treatment algorithm is presented with initial debridement followed by the simplest method possible for wound closure using negative pressure wound therapy, if necessary.

  8. Lymphoscintigraphy of the lower extremity

    International Nuclear Information System (INIS)

    Abbasi, N.Z.

    1990-01-01

    Fifty one lower extremities of 26 normal healthy volunteers and 26 extremities of 13 patients with oedema have been studied. Dynamic quantitative lymphoscintigraphy using 99Tc-m antimony sulphide colloid during passive exercise as well as before and after active exercise was performed. parameters of lymphatic function including percentage of radioactivity cleared from the injection site, the percentage uptake by the inguinal lymph nodes, the time of arrival of activity at the regional lymph nodes and the lymphatic reserve index have been evaluated. The percentage clearance of activity from the injection site was found technically difficult to standardize and proved to be an unreliable parameter of lymphatic function. However, the quantitation of nodal uptake, the lymphatic transit time and the lymphatic reserve capacity accurately depicted the lymphatic functional status of an individual. The physiologic parameters of lymphatic function of the contralateral lower extremities were compared and a physiologic difference in the lymphatic capacity of the two limbs was scintigraphically documented. (author)

  9. Batteries: Lower cost than gasoline?

    International Nuclear Information System (INIS)

    Werber, Mathew; Fischer, Michael; Schwartz, Peter V.

    2009-01-01

    We compare the lifecycle costs of an electric car to a similar gasoline-powered vehicle under different scenarios of required driving range and cost of gasoline. An electric car is cost competitive for a significant portion of the scenarios: for cars of lower range and for higher gasoline prices. Electric cars with ∼150 km range are a technologically viable, cost competitive, high performance, high efficiency alternative that can presently suit the vast majority of consumers' needs.

  10. An Optimal Lower Eigenvalue System

    Directory of Open Access Journals (Sweden)

    Yingfan Liu

    2011-01-01

    Full Text Available An optimal lower eigenvalue system is studied, and main theorems including a series of necessary and suffcient conditions concerning existence and a Lipschitz continuity result concerning stability are obtained. As applications, solvability results to some von-Neumann-type input-output inequalities, growth, and optimal growth factors, as well as Leontief-type balanced and optimal balanced growth paths, are also gotten.

  11. Lower-Limb Wearable Exoskeleton

    OpenAIRE

    Pons, J.L.; Moreno, J.C.; Brunetti, F.J.; Rocon, E.

    2007-01-01

    The differences found in the patients' kinematic gait patterns during the application of functional compensation on the lower limb showed significant differences regarding the subjects' usual gait. In both patients rapid adaptations were observed and new motor commands were learnt necessary for managing the exoskeleton with the constraints imposed on the limb. The benefits of the correct release of the knee in both instances is clear evidence of approximating their gait patterns to the normal...

  12. Lower Mortality in Magnet Hospitals

    Science.gov (United States)

    McHugh, Matthew D.; Kelly, Lesly A.; Smith, Herbert L.; Wu, Evan S.; Vanak, Jill M.; Aiken, Linda H.

    2014-01-01

    Background Although there is evidence that hospitals recognized for nursing excellence—Magnet hospitals—are successful in attracting and retaining nurses, it is uncertain whether Magnet recognition is associated with better patient outcomes than non-Magnets, and if so why. Objectives To determine whether Magnet hospitals have lower risk-adjusted mortality and failure-to-rescue compared with non-Magnet hospitals, and to determine the most likely explanations. Method and Study Design Analysis of linked patient, nurse, and hospital data on 56 Magnet and 508 non-Magnet hospitals. Logistic regression models were used to estimate differences in the odds of mortality and failure-to-rescue for surgical patients treated in Magnet versus non-Magnet hospitals, and to determine the extent to which differences in outcomes can be explained by nursing after accounting for patient and hospital differences. Results Magnet hospitals had significantly better work environments and higher proportions of nurses with bachelor's degrees and specialty certification. These nursing factors explained much of the Magnet hospital effect on patient outcomes. However, patients treated in Magnet hospitals had 14% lower odds of mortality (odds ratio 0.86; 95% confidence interval, 0.76–0.98; P = 0.02) and 12% lower odds of failure-to-rescue (odds ratio 0.88; 95% confidence interval, 0.77–1.01; P = 0.07) while controlling for nursing factors as well as hospital and patient differences. Conclusions The lower mortality we find in Magnet hospitals is largely attributable to measured nursing characteristics but there is a mortality advantage above and beyond what we could measure. Magnet recognition identifies existing quality and stimulates further positive organizational behavior that improves patient outcomes. PMID:24022082

  13. ITER lower port systems integration

    Energy Technology Data Exchange (ETDEWEB)

    Levesy, B., E-mail: bruno.levesy@iter.org [ITER Organization, CS 90 046, 13067 St Paul Lez Durance Cedex (France); Baker, D.; Boussier, B.; Bryan, S.; Cordier, J.J.; Dremel, M.; Dell' Orco, G.; Daly, E.; Doshi, B.; Jeannoutot, T.; Friconneau, J.P.; Gliss, C.; Le Barbier, R.; Lachevre, F.; Loughlin, M.; Martin, A.; Martins, J.P.; Maruyama, S.; Palmer, J.; Reichle, R. [ITER Organization, CS 90 046, 13067 St Paul Lez Durance Cedex (France)

    2011-10-15

    The lower port systems are installed inside the vacuum vessel lower ports and in the adjacent port cells. The vacuum vessel ports and penetrations are allocated as follow: -4 ports dedicated to remote handling of the divertor cassettes, contain diagnostics racks and divertor cooling pipes. -5 ports connecting the main vessel to the torus cryopumps, contain divertor cooling pipes, pellet and gas injection pipes and vertical stabilization coil feeders. -3 penetrations connecting torus cryopumps are connected to the vacuum vessel by branch pipes. -Specific penetrations for divertor cooling lines, in-vessel viewing and glow discharge systems. The general layout of the port systems has been revised recently to improve the cryopump (8 t weight, 1.8 m diameter and 2.5 m long) maintenance scheme with remote handling tools and integrate the in-vessel vertical stabilization coil feeders. The port allocation, the pumping ports design, and interfaces in-between ports and cryostat and in-between cryopumps and cryostat have been up-dated. The integration inside the 18 port cells (11 m x 4 m each) has been reviewed to avoid clashes in between systems and to fix the openings in the port cell concrete walls. The new layout integrates safety and neutron-shielding requirements as well as remote handling and maintenance compatibility for the different systems. The paper presents the up-dated integration of the lower port systems inside the ports and the port cells. Interfaces of the port systems with the vacuum vessel, the cryostat and the port cells are described.

  14. Synthesis of Zirconium Lower Chlorides

    International Nuclear Information System (INIS)

    Gaviria, Juan P.

    2002-01-01

    This research is accurately related to the Halox concept of research reactor spent fuel element treatment.The aim of this project is to work the conditioning through selected chlorination of the element that make the spent fuel element. This research studied the physical chemistry conditions which produce formation of the lower zirconium chlorides through the reaction between metallic Zr and gaseous ZrCl 4 in a silica reactor.This work focused special attention in the analysis and confrontation of the published results among the different authors in order to reveal coincidences and contradictions.Experimental section consisted in a set of synthesis with different reaction conditions and reactor design. After reaction were analyzed the products on Zr shavings and the deposit growth on wall reactor.The products were strongly dependent of reactor design. It was observed that as the distance between Zr and wall reactor increased greater was tendency to lower chlorides formation.In reactors with small distance the reaction follows other way without formation of lower chlorides.Analysis on deposit growth on reactor showed that may be formed to a mixture of Si x Zr y intermetallics and zirconium oxides.Presence of oxygen in Zr and Zr-Si compounds on wall reactor reveals that there is an interaction between quartz and reactants.This interaction is in gaseous phase because contamination is observed in experiences where Zr was not in contact with reactor.Finally, it was made a global analysis of all experiences and a possible mechanism that interprets reaction ways is proposed

  15. Adenomatoid hyperplasia of lower lip

    Directory of Open Access Journals (Sweden)

    Gaganjot Kaur Sharma

    2011-01-01

    Full Text Available Adenomatoid hyperplasia (AH is an uncommon, non-neoplastic swelling on the palate caused due to hyperplasia of the mucinous acini. The lesion clinically presents as a sessile tumor-like nodule resembling pleomorphic adenoma. Histopathologic findings include lobules of enlarged mucinous acini which are filled with secretory granules. The nuclei are squeezed to the basal portions, associated with focal inflammation and ductal dilatation, and a history of trauma is often elicited. Here, we report a rare case of AH of the lower lip in a 20-year-old male patient, which mimics a mucous retention cyst or mucocele.

  16. Lower Sioux Wind Feasibility & Development

    Energy Technology Data Exchange (ETDEWEB)

    Minkel, Darin

    2012-04-01

    This report describes the process and findings of a Wind Energy Feasibility Study (Study) conducted by the Lower Sioux Indian Community (Community). The Community is evaluating the development of a wind energy project located on tribal land. The project scope was to analyze the critical issues in determining advantages and disadvantages of wind development within the Community. This analysis addresses both of the Community's wind energy development objectives: the single turbine project and the Commerical-scale multiple turbine project. The main tasks of the feasibility study are: land use and contraint analysis; wind resource evaluation; utility interconnection analysis; and project structure and economics.

  17. Progress on CMS detector lowering

    CERN Multimedia

    2006-01-01

    It was an amazing engineering challenge - the lowering of the first hugeendcap disc (YE+3) of the CMS detector slowly and carefully 100 metres underground. The spectacular descent took place on 30 November and was documented by a film crew from Reuters news group. The uniquely shaped slice is 16 m high, about 50 cm thick, and weighs 400 tonnes. It is one of 15 sections that make up the complete CMS detector. The solid steel structure of the disc forms part of the magnet return yoke and is equipped on both sides with muon chambers. A special gantry crane lowered the element, with just 20 cm of leeway between the edges of the detector and the walls of the shaft! On 12 December, a further section of the detector (YE+2) containing the cathode strip chamber made the 10-hour journey underground. This piece is 16 m high and weighs 880 tonnes. There are now four sections of the detector in the experimental cavern, with a further 11 to follow. The endcap disc YE+3 (seen in the foreground) begins its journey down the ...

  18. [Lower is better: ENHANCE affair].

    Science.gov (United States)

    Scardi, Sabino; Umari, Paolo; D'Agata, Bianca Maria

    2008-06-01

    Ezetimibe lowers the intestinal absorption of cholesterol, being complementary to the effects of statin. To check its efficacy in lowering the carotid intima-media thickness, in 2002 a multicenter international trial called ENHANCE was started, in order to assess by ultrasound the regression of atherosclerotic plaques. The protocol tested the use of simvastatin 80 mg + placebo versus simvastatin 80 mg + ezetimibe 10 mg in 720 randomized patients. Both drugs were well tolerated. Combination therapy was associated with a larger reduction in LDL cholesterol, but there were no differences in the intima-media thickness measured at three sites in the carotid arteries, nor differences in cardiovascular events between the two groups in the trial. These results provoked disappointment of sponsors (Merck, Schering Plough) who, although the results of the trial were available since march 2007, delayed official communication of about 18 months. This led to speculations and rumors among media, American Government, cardiologic scientific associations, and consequences in the Ezetimibe market and at Wall Street. In particular, the American College of Cardiology didn't accept the communication of ENHANCE results to the Late Breaking Trial Session of the Chicago congress, diverting it to another secondary forum. In conclusion, the experience of the ENHANCE trial suggests to pharmaceutical companies, researchers, clinicians, scientific companies and media a deep meditation in order to avoid in the future similar problems in the management of results of medical research.

  19. Lower hybrid launcher on JET

    International Nuclear Information System (INIS)

    Soeldner, F.X.; Brusati, M.; Ekedahl, A.

    1994-01-01

    Lower Hybrid current drive (LHCD) experiments were performed in JET in a first stage with one third of the final LHCD system. Good coupling with reflection coefficients as low as 1% and a power density of ∼4 kW/cm 2 on the plasma interface were obtained with the prototype launcher. The complete LHCD system with a total power of 12 MW (20 s) in the generator will start operation with the begin of JET divertor experiments in early 1994. The full launcher contains an array of 384 waveguides, built up from 48 multijunctions with internal power splitting. Three different LH wave spectra can be radiated simultaneously into the plasma, applying different phase settings to the three independent sections of the grill type antenna. test bed experiments have started on a new concept for a compact LH launcher, using a hyperguide as connection between an array of standard size waveguides and the plasma facing antenna structure which forms the slow wave LH spectrum. (author)

  20. DASH diet to lower high blood pressure

    Science.gov (United States)

    ... patientinstructions/000770.htm DASH diet to lower high blood pressure To use the sharing features on this page, ... Hypertension. The DASH diet can help lower high blood pressure and cholesterol and other fats in your blood. ...

  1. Bottomland oak afforestation in the lower Mississippi

    Science.gov (United States)

    Emile S. Gardiner; Brian Roy Lockhard

    2007-01-01

    The 11 million hectare Lower Mississippi Alluvial Valley (LMAV), which is the geologic floodplain of the lower Mississippi River, is a prominent physiographic region in the southern United States. Seven states (Arkansas, Louisiana, Missis- 1 sippi, Missouri, Kentucky, Illinois, and Tennessee) border the lower stretch of the II River, and have a portion of their land...

  2. Validated assessment scales for the lower face.

    Science.gov (United States)

    Narins, Rhoda S; Carruthers, Jean; Flynn, Timothy C; Geister, Thorin L; Görtelmeyer, Roman; Hardas, Bhushan; Himmrich, Silvia; Jones, Derek; Kerscher, Martina; de Maio, Maurício; Mohrmann, Cornelia; Pooth, Rainer; Rzany, Berthold; Sattler, Gerhard; Buchner, Larry; Benter, Ursula; Breitscheidel, Lusine; Carruthers, Alastair

    2012-02-01

    Aging in the lower face leads to lines, wrinkles, depression of the corners of the mouth, and changes in lip volume and lip shape, with increased sagging of the skin of the jawline. Refined, easy-to-use, validated, objective standards assessing the severity of these changes are required in clinical research and practice. To establish the reliability of eight lower face scales assessing nasolabial folds, marionette lines, upper and lower lip fullness, lip wrinkles (at rest and dynamic), the oral commissure and jawline, aesthetic areas, and the lower face unit. Four 5-point rating scales were developed to objectively assess upper and lower lip wrinkles, oral commissures, and the jawline. Twelve experts rated identical lower face photographs of 50 subjects in two separate rating cycles using eight 5-point scales. Inter- and intrarater reliability of responses was assessed. Interrater reliability was substantial or almost perfect for all lower face scales, aesthetic areas, and the lower face unit. Intrarater reliability was high for all scales, areas and the lower face unit. Our rating scales are reliable tools for valid and reproducible assessment of the aging process in lower face areas. © 2012 by the American Society for Dermatologic Surgery, Inc. Published by Wiley Periodicals, Inc.

  3. Ultrasonographic features of normal lower ureters

    International Nuclear Information System (INIS)

    Kim, Young Soon; Bae, M. Y.; Park, K. J.; Jeon, H. S.; Lee, J. H.

    1990-01-01

    Although ultrasonographic evaluation of the normal ureters is difficult due to bowel gas, the lower segment of the normal ureters can be visualized using the urinary bladder as an acoustic window. Authors prospetively performed ultrasonography with the standard suprapubic technique and analyzed the ultrasonographic features of normal lower ureters in 79 cases(77%). Length of visualized segment of the distal ureter ranged frp, 1.5cm to 7.2 cm and the visualized segment did not exceed 3.9mm in maximum diameter. Knowledge of sonographic features of the normal lower ureters can be helpful in the evaluation of pathologic or suspected pathologic conditions of the lower ureters

  4. Stacked spheres and lower bound theorem

    Indian Academy of Sciences (India)

    BASUDEB DATTA

    2011-11-20

    Nov 20, 2011 ... Preliminaries. Lower bound theorem. On going work. Definitions. An n-simplex is a convex hull of n + 1 affinely independent points. (called vertices) in some Euclidean space R. N . Stacked spheres and lower bound theorem. Basudeb Datta. Indian Institute of Science. 2 / 27 ...

  5. Characteristics of the Russian Lower Class

    Science.gov (United States)

    Tikhonova, N. E.

    2011-01-01

    Lower socioeconomic strata in Russia have their origins in both the former Soviet lower strata and economic decline of the 1990s. Part of the reason for their persistence is the geographic mismatch between jobs and the labor supply, in addition to lack of education, skills, and social support. The situation cannot be solved by just providing…

  6. An improved lower leg multibody model

    NARCIS (Netherlands)

    Cappon, H.J.; Kroonenberg, A.J. van den; Happee, R.; Wismans, J.S.H.M.

    1999-01-01

    Injuries to the lower extremities are among the most serious, non life threatening injuries occuring nowadays. In order to investigate and predict the occurence of injuries, biofidelic research tools, like mathematical human body models are needed. The model of the lower extremity, presented here,

  7. Lower internals for pressurized water reactor

    International Nuclear Information System (INIS)

    Chevereau, G.; Babin, M.

    1989-01-01

    The lower internals for PWR has a separating plate mounted beneath its lower core plate and defining a distribution chamber with it, peripheral mechanical connectors joining the plates separated by coolant passage and apertures in the separation plate connected to a coolant pipe [fr

  8. Exponential Lower Bounds For Policy Iteration

    OpenAIRE

    Fearnley, John

    2010-01-01

    We study policy iteration for infinite-horizon Markov decision processes. It has recently been shown policy iteration style algorithms have exponential lower bounds in a two player game setting. We extend these lower bounds to Markov decision processes with the total reward and average-reward optimality criteria.

  9. Lower Lid Ectropion in Hypohidrotic Ectodermal Dysplasia

    Directory of Open Access Journals (Sweden)

    Xiaoyun Zhang

    2015-01-01

    Full Text Available We report a case of a lower lid ectropion with ectodermal dysplasia and ectropion blepharoplasty surgery experience. A 14-year-old Han nationality male patient with typical characteristics of hypohidrotic ectodermal dysplasia presented to our clinic for his right lower lid eversion. The patient was diagnosed as having hypohidrotic ectodermal dysplasia and underwent an uneventful blepharoplasty surgery. The lower lid maintained normal position during the 10-month follow-up period. Patients with ectodermal dysplasia could firstly visit ophthalmologist for their ectropion and blepharoplasty surgery could be useful for the disease.

  10. Customizable Rehabilitation Lower Limb Exoskeleton System

    Directory of Open Access Journals (Sweden)

    Riaan Stopforth

    2012-10-01

    Full Text Available Disabled people require assistance with the motion of their lower limbs to improve rehabilitation. Exoskeletons used for lower limb rehabilitation are highly priced and are not affordable to the lowerincome sector of the population. This paper describes an exoskeleton lower limb system that was designed keeping in mind that the cost must be as low as possible. The forward kinematic system that is used must be a simplified model to decrease computational time, yet allow the exoskeleton to be adjustable according to the patient's leg dimensions.

  11. Frailty and Lower Urinary Tract Symptoms.

    Science.gov (United States)

    Suskind, Anne M

    2017-09-01

    The incidence of both frailty and lower urinary tract symptoms, including urinary incontinence, overactive bladder, underactive bladder, and benign prostatic hyperplasia, increases with age. However, our understanding of the relationship between frailty and lower urinary tract symptoms, both in terms of pathophysiology and in terms of the evaluation and management of such symptoms, is greatly lacking. This brief review will summarize definitions and measurement tools associated with frailty and will also review the existing state of the literature on frailty and lower urinary tract symptoms in older individuals.

  12. Lower Monumental Spillway Hydraulic Model Study

    National Research Council Canada - National Science Library

    Wilhelms, Steven

    2003-01-01

    A 1:40 Froudian Scale model was used to investigate the hydraulic performance of the Lower Monumental Dam spillway, stilling basin, and tailrace for dissolved gas reduction and stilling basin apron scour...

  13. Lower Saccharide Nanometric Materials and Methods

    Energy Technology Data Exchange (ETDEWEB)

    Schilling, Christopher H.; Tomasik, Piotr; Sikora, Marek

    2004-07-13

    A ceramic composition having at least one nanometric ceramic powder, at least one lower saccharide, and water. The composition is useful in many industrial applications, including preparation of stronger and substantially defect free green and sintered ceramic bodies.

  14. Babesiosis in Lower Hudson Valley, New York

    Centers for Disease Control (CDC) Podcasts

    This podcast discusses a study about an increase in babesiosis in the Lower Hudson Valley of New York state. Dr. Julie Joseph, Assistant Professor of Medicine at New York Medical College, shares details of this study.

  15. Infection in the ischemic lower extremity.

    Science.gov (United States)

    Fry, D E; Marek, J M; Langsfeld, M

    1998-06-01

    Infections in the lower extremity of the patient with ischemia can cover a broad spectrum of different diseases. An understanding of the particular pathophysiologic circumstances in the ischemic extremity can be of great value in understanding the natural history of the disease and the potential complications that may occur. Optimizing blood flow to the extremity by using revascularization techniques is important for any patient with an ischemic lower extremity complicated by infection or ulceration. Infections in the ischemic lower extremity require local débridement and systemic antibiotics. For severe infections, such as necrotizing fasciitis or the fetid foot, more extensive local débridement and even amputation may be required. Fundamentals of managing prosthetic graft infection require removing the infected prosthesis, local wound débridement, and systemic antibiotics while attempting to preserve viability of the lower extremity using autogenous graft reconstruction.

  16. Lower hybrid current drive in shaped tokamaks

    International Nuclear Information System (INIS)

    Kesner, J.

    1993-01-01

    A time dependent lower hybrid current drive tokamak simulation code has been developed. This code combines the BALDUR tokamak simulation code and the Bonoli/Englade lower hybrid current drive code and permits the study of the interaction of lower hybrid current drive with neutral beam heating in shaped cross-section plasmas. The code is time dependent and includes the beam driven and bootstrap currents in addition to the current driven by the lower hybrid system. Examples of simulations are shown for the PBX-M experiment which include the effect of cross section shaping on current drive, ballooning mode stabilization by current profile control and sawtooth stabilization. A critical question in current drive calculations is the radial transport of the energetic electrons. The authors have developed a response function technique to calculate radial transport in the presence of an electric field. The consequences of the combined influences of radial diffusion and electric field acceleration are discussed

  17. Hydraulic hammer acting during lowering of casing

    Energy Technology Data Exchange (ETDEWEB)

    Sidorov, N A; Bondarev, V I; Lebedev, O A

    1968-11-01

    The Berzheron method is used to determine the pressure generated in a well when casing is being lowered. The generated pressure is caused by flow of liquid displaced by the casing. Such liquid flow is transient and is described by unsteady-state type of equations, which are solved graphically. The graphical solution is rapid and relatively simple. Application of the solution to a specific example is shown. Conclusions from this study are: (1) collapse of casing can occur during the lowering operation, previous to time of landing; (2) both casing collapse and breakage of the check valve in the casing are caused by excessive lowering speed of large-diameter casing and the resulting high pressure; and (3) during the lowering operation, pressure varies in the well and such pressure variation can cause wall damage, water-gas appearance, and formation fracturing.

  18. Unit Advancement Flap for Lower Lip Reconstruction.

    Science.gov (United States)

    Ogino, Akihiro; Onishi, Kiyoshi; Okada, Emi; Nakamichi, Miho

    2018-05-01

    Lower lip reconstruction requires consideration of esthetic and functional outcome in selecting a surgical procedure, and reconstruction with local tissue is useful. The authors reconstructed full-thickness defects with a unit advancement flap. Reconstruction was performed using this method in 4 patients with lower lip squamous cell carcinoma in whom tumor resection with preservation of the mouth angle was possible. The lower lip resection width was 30 to 45 mm, accounting for 50% to 68% of the entire width of the lower lip. The flap was prepared by lateral extension from above the mental unit and matched with the potential wrinkle line of the lower lip in order to design a unit morphology surrounded by the anterior margin of the depressor labii inferioris muscle. It was elevated as a full-thickness flap composed of the orbicularis oris muscle, skin, and mucosa of the residual lower lip from the bilateral sides, and advanced to the defect. Flap transfer was adjusted by small triangular resection of the skin on the lateral side of the mental unit. The postoperative scar was inconspicuous in all patients and there was no impairment of the mouth opening-closing or articulation functions. This was a relatively simple surgical procedure. A blood supply of the flap was stable, and continuity of the orbicularis oris muscle was reconstructed by transferred the residual lower lip advancement flap from the bilateral sides. The postoperative mouth opening-closing function was sufficient, and dentures could be placed from an early phase in elderly patients. The postoperative scar was consistent with the lip unit morphology, being esthetically superior. This procedure may be applicable for reconstruction of defects approximately 1/3 to 2/3 the width of the lower lip where the mouth angle is preserved.

  19. Prevention of Lower Extremity Injuries in Basketball

    Science.gov (United States)

    Taylor, Jeffrey B.; Ford, Kevin R.; Nguyen, Anh-Dung; Terry, Lauren N.; Hegedus, Eric J.

    2015-01-01

    Context: Lower extremity injuries are common in basketball, yet it is unclear how prophylactic interventions affect lower extremity injury incidence rates. Objective: To analyze the effectiveness of current lower extremity injury prevention programs in basketball athletes, focusing on injury rates of (1) general lower extremity injuries, (2) ankle sprains, and (3) anterior cruciate ligament (ACL) tears. Data Sources: PubMed, MEDLINE, CINAHL, SPORTDiscus, and the Cochrane Register of Controlled Trials were searched in January 2015. Study Selection: Studies were included if they were randomized controlled or prospective cohort trials, contained a population of competitive basketball athletes, and reported lower extremity injury incidence rates specific to basketball players. In total, 426 individual studies were identified. Of these, 9 met the inclusion criteria. One other study was found during a hand search of the literature, resulting in 10 total studies included in this meta-analysis. Study Design: Systematic review and meta-analysis. Level of Evidence: Level 2. Data Extraction: Details of the intervention (eg, neuromuscular vs external support), size of control and intervention groups, and number of injuries in each group were extracted from each study. Injury data were classified into 3 groups based on the anatomic diagnosis reported (general lower extremity injury, ankle sprain, ACL rupture). Results: Meta-analyses were performed independently for each injury classification. Results indicate that prophylactic programs significantly reduced the incidence of general lower extremity injuries (odds ratio [OR], 0.69; 95% CI, 0.57-0.85; P basketball athletes. Conclusion: In basketball players, prophylactic programs may be effective in reducing the risk of general lower extremity injuries and ankle sprains, yet not ACL injuries. PMID:26502412

  20. Lower nozzle of PWR fuel assembly

    International Nuclear Information System (INIS)

    Furutani, Nobuo.

    1994-01-01

    A lower nozzle comprises a regular square plate and legs. The plate has a plurality of holes for securing thimble tubes and a great number of water flowing ports. Ridges each having a lower end surface inclined toward inner side of the plate are disposed at the outer circumference of the plate. The legs suspend downwardly from the corners of the plate and support the plate at a predetermined gap between a lower reactor core plate and the plate. The inclined surfaces of the ridges disposed at the outer circumference of the plate retain coolants, that were caused to flow to the outside passing between the legs of the nozzle, while dividing them to the inside of the nozzle and circulate the coolants upwardly passing through the water flowing ports of the plate. Further, since obstacles abut against the inclined surfaces of the ridges and flow to the inner side of the lower nozzle, obstacles in the coolants can be captured substantially entirely by the lower nozzle. (I.N.)

  1. Lower extremity muscle activation during baseball pitching.

    Science.gov (United States)

    Campbell, Brian M; Stodden, David F; Nixon, Megan K

    2010-04-01

    The purpose of this study was to investigate muscle activation levels of select lower extremity muscles during the pitching motion. Bilateral surface electromyography data on 5 lower extremity muscles (biceps femoris, rectus femoris, gluteus maximus, vastus medialis, and gastrocnemius) were collected on 11 highly skilled baseball pitchers and compared with individual maximal voluntary isometric contraction (MVIC) data. The pitching motion was divided into 4 distinct phases: phase 1, initiation of pitching motion to maximum stride leg knee height; phase 2, maximum stride leg knee height to stride foot contact (SFC); phase 3, SFC to ball release; and phase 4, ball release to 0.5 seconds after ball release (follow-through). Results indicated that trail leg musculature elicited moderate to high activity levels during phases 2 and 3 (38-172% of MVIC). Muscle activity levels of the stride leg were moderate to high during phases 2-4 (23-170% of MVIC). These data indicate a high demand for lower extremity strength and endurance. Specifically, coaches should incorporate unilateral and bilateral lower extremity exercises for strength improvement or maintenance and to facilitate dynamic stabilization of the lower extremities during the pitching motion.

  2. Upper entropy axioms and lower entropy axioms

    International Nuclear Information System (INIS)

    Guo, Jin-Li; Suo, Qi

    2015-01-01

    The paper suggests the concepts of an upper entropy and a lower entropy. We propose a new axiomatic definition, namely, upper entropy axioms, inspired by axioms of metric spaces, and also formulate lower entropy axioms. We also develop weak upper entropy axioms and weak lower entropy axioms. Their conditions are weaker than those of Shannon–Khinchin axioms and Tsallis axioms, while these conditions are stronger than those of the axiomatics based on the first three Shannon–Khinchin axioms. The subadditivity and strong subadditivity of entropy are obtained in the new axiomatics. Tsallis statistics is a special case of satisfying our axioms. Moreover, different forms of information measures, such as Shannon entropy, Daroczy entropy, Tsallis entropy and other entropies, can be unified under the same axiomatics

  3. Hydropower potential of the lower Vistula

    Directory of Open Access Journals (Sweden)

    Michał Szydłowski

    2015-03-01

    Full Text Available This paper presents an estimate analysis of the hydropower potential of the lower Vistula River from Warsaw to Gdańsk Bay. The calculations were made for a hydraulic model of the lower Vistula which takes into account potential development of barrages in a cascade system. Results obtained from the model simulations and from hydrological calculations were used to estimate the power of hydropower plants and the average annual energy output from the entire cascade system. The results of calculations indicate significant energy benefits resulting from the development of a cascade of hydropower plants in the lower Vistula. This study does not discuss the cascade project’s economic viability or other aspects of its development (inland waterways, flood control, etc..

  4. Determining lower threshold concentrations for synergistic effects

    DEFF Research Database (Denmark)

    Bjergager, Maj-Britt Andersen; Dalhoff, Kristoffer; Kretschmann, Andreas

    2017-01-01

    which proven synergists cease to act as synergists towards the aquatic crustacean Daphnia magna. To do this, we compared several approaches and test-setups to evaluate which approach gives the most conservative estimate for the lower threshold for synergy for three known azole synergists. We focus...... on synergistic interactions between the pyrethroid insecticide, alpha-cypermethrin, and one of the three azole fungicides prochloraz, propiconazole or epoxiconazole measured on Daphnia magna immobilization. Three different experimental setups were applied: A standard 48h acute toxicity test, an adapted 48h test...... of immobile organisms increased more than two-fold above what was predicted by independent action (vertical assessment). All three tests confirmed the hypothesis of the existence of a lower azole threshold concentration below which no synergistic interaction was observed. The lower threshold concentration...

  5. Present state of Tevatron lower temperature operation

    International Nuclear Information System (INIS)

    Norris, B.L.

    1996-09-01

    Fermilab continues to work on raising the particle energy of the Tevatron by lowering magnet temperatures using cold vapor compressors. In 1995, another two rounds of power tests were completed. These power tests, although showing significant improvement over the initial tests of 1993-94, have led to the conclusion that 1000 GeV operation cannot be attained without replacing/rearranging magnets with lower quench currents before the next Collider Run in 1999. Development of more cold compressor control strategies also continues

  6. Lower tract neoplasm: Update of imaging evaluation.

    Science.gov (United States)

    Hartman, Robert; Kawashima, Akira

    2017-12-01

    Cancers of the lower urinary tract can arise from the bladder, urachus or urethra. Urothelial carcinoma of the bladder (UCB) is the most common of these. The presentation of bladder, urachal and urethral cancers can differ but many result in hematuria as an initial indication. The diagnosis and staging of these cancers often necessitate radiologic imaging often in the form of cross-section CT urography or MR urography. The following article reviews the specific nature of lower tract cancers and their imaging. Copyright © 2017 Elsevier B.V. All rights reserved.

  7. On the origin of lower hybrid whistlers

    International Nuclear Information System (INIS)

    Boshkova, Ya.; Irzhichek, F.; Mal'tseva, O.A.; Rostovskij-na-Donu Gosudarstvennyj Univ., Rostov-na-Donu; AN SSSR, Kol'skij Filial. Polyarnyj Geofizicheskij Inst.)

    1988-01-01

    Experimental properties are given and formation mechanism for lower-hybrid (LH) whistles is suggested in accordance with observations, conducted by means of low-flying Interkosmos satellites. Description of LH-whistles is based on the analysis of distribution of quasielectrostatic VLF-waves near LH-frequency, with regard to the fact, that within LH leveling there is maximum. LH-whistles are shown to be observed, when satellite is lower, tnan LH maximum; in this case, boundary frequency, where the trace of LH-whistle approximates asymptotically, corresponds to LH maximal frequency over the satellite. Numerical trajectory calculations add and verify analytical considerations

  8. Lower Bounds for External Memory Dictionaries

    DEFF Research Database (Denmark)

    Brodal, Gerth Stølting; Fagerberg, Rolf

    2003-01-01

    We study trade-offs between the update time and the query time for comparison based external memory dictionaries. The main contributions of this paper are two lower bound trade offs between the I/O complexity of member queries and insertions: If N < M insertions perform at most δ · N/B I/Os, then......We study trade-offs between the update time and the query time for comparison based external memory dictionaries. The main contributions of this paper are two lower bound trade offs between the I/O complexity of member queries and insertions: If N

  9. Babesiosis in Lower Hudson Valley, New York

    Centers for Disease Control (CDC) Podcasts

    2011-05-12

    This podcast discusses a study about an increase in babesiosis in the Lower Hudson Valley of New York state. Dr. Julie Joseph, Assistant Professor of Medicine at New York Medical College, shares details of this study.  Created: 5/12/2011 by National Center for Emerging Zoonotic and Infectious Diseases (NCEZID).   Date Released: 5/23/2011.

  10. Lower Urinary Tract Dysfunction in Children

    NARCIS (Netherlands)

    de Jong, Tom P. V. M.; Klijn, Aart J.; Vijverberg, Marianne A. W.

    2012-01-01

    Up to 10% of school-age children suffer from recurrent urinary tract infections (UTIs) and/or urinary incontinence. Lower urinary tract problems are, together with asthma, the most important chronic disease of the pediatric age group. Diagnosis must discriminate among those children with functional

  11. Explaining lower educated workers' training intentions

    NARCIS (Netherlands)

    Sanders, J.; Oomens, S.; Blonk, R.W.B.; Hazelzet, A.

    2011-01-01

    Purpose: The purpose of this study is to contribute to the discussion on how to increase lower educated workers' participation in training programs inside and outside the workplace through stimulating intentions with respect to training. Design/methodology/approach: This article is based on data

  12. Giant lower oesophageal ulcer Bushman baby

    African Journals Online (AJOL)

    1983-02-26

    Feb 26, 1983 ... The case of a giant, penetrating lower oesophageal ulcer in a 14-month-old Bushman baby is reported. This would probably be classified as a Barrett's ulcer. Histological examination showed that the ulcer developed in columnar epithelium and that there was normal stratified squamous oesophageal.

  13. Clinical aspects of lower leg compartment syndrome

    NARCIS (Netherlands)

    Brand, Johan Gerard Henric van den

    2004-01-01

    A compartment syndrome is a condition in which increased pressure within a limited space compromises the circulation and function of tissues within that space. Although pathofysiology is roughly similar in chronic exertional and acute compartment syndrome of the lower leg, the clinical

  14. Running With an Elastic Lower Limb Exoskeleton.

    Science.gov (United States)

    Cherry, Michael S; Kota, Sridhar; Young, Aaron; Ferris, Daniel P

    2016-06-01

    Although there have been many lower limb robotic exoskeletons that have been tested for human walking, few devices have been tested for assisting running. It is possible that a pseudo-passive elastic exoskeleton could benefit human running without the addition of electrical motors due to the spring-like behavior of the human leg. We developed an elastic lower limb exoskeleton that added stiffness in parallel with the entire lower limb. Six healthy, young subjects ran on a treadmill at 2.3 m/s with and without the exoskeleton. Although the exoskeleton was designed to provide ~50% of normal leg stiffness during running, it only provided 24% of leg stiffness during testing. The difference in added leg stiffness was primarily due to soft tissue compression and harness compliance decreasing exoskeleton displacement during stance. As a result, the exoskeleton only supported about 7% of the peak vertical ground reaction force. There was a significant increase in metabolic cost when running with the exoskeleton compared with running without the exoskeleton (ANOVA, P exoskeletons for human running are human-machine interface compliance and the extra lower limb inertia from the exoskeleton.

  15. Circuit lower bounds in bounded arithmetics

    Czech Academy of Sciences Publication Activity Database

    Pich, Ján

    2015-01-01

    Roč. 166, č. 1 (2015), s. 29-45 ISSN 0168-0072 R&D Projects: GA AV ČR IAA100190902 Keywords : bounded arithmetic * circuit lower bounds Subject RIV: BA - General Mathematics Impact factor: 0.582, year: 2015 http://www.sciencedirect.com/science/article/pii/S0168007214000888

  16. Can hibiscus tea lower blood pressure

    Science.gov (United States)

    Hibiscus sabdariffa is a common ingredient found in blended herbal teas, and beverages made from the dried calyces of this plant are popular worldwide. In vitro studies have shown that H. sabdariffa has antioxidant properties and, in animal models of hypertension, extracts of this plant lower blood ...

  17. Lipid-lowering treatment to the end?

    DEFF Research Database (Denmark)

    Petersen, Line Kirkeby; Christensen, Kaare; Kragstrup, Jakob

    2010-01-01

    People aged 80 or older are the fastest growing population in high-income countries. One of the most common causes of death among the elderly is the cardiovascular disease (CVD). Lipid-lowering treatment is common, e.g. one-third of 75-84-year-old Swedes are treated with statins. The assumption...

  18. A training tool for lower extremity amputees

    NARCIS (Netherlands)

    Neutelings, I.M.P.; Hengeveld, B.J.

    2015-01-01

    Abstract People with a prosthetic limb miss a sense of touch at this particular part of their body. The work described in this paper focuses on providing people with a lower extremity amputation with an alternative sensory stimulus in order to help them experience what they can no longer feel. To

  19. Neurofibromatosis with unilateral lower limb gigantism.

    Science.gov (United States)

    Sabbioni, Giacomo; Rani, Nicola; Devescovi, Valentina

    2010-05-01

    The case of a 3-year-old child diagnosed with Type 1 neurofibromatosis is presented, showing pigmented birthmarks and gigantism of the left lower limb associated with the presence of multiple neurofibromas. Increased bone growth appears to be the direct or indirect consequence of a still undefined paracrine effect of nerve tumor cells.

  20. The last LHC dipole magnet is lowered

    CERN Multimedia

    Claudia Marcelloni

    2007-01-01

    A ceremony is held as the last of 1746 superconducting magnets is lowered into the 27-km circumference tunnel that houses the LHC. The LHC project leader, Lyn Evans, changes a banner reading ‘first magnet for the LHC’ to ‘last magnet for the LHC’ in his native Welsh.

  1. Glucose and triglyceride lowering activity of Pterocarpus ...

    African Journals Online (AJOL)

    The leaf extracts of P. santalinoides possess triglyceride and glucose lowering properties in dexamethasone induced hyperlipidemia and insulin resistance and could be of therapeutic value in the management of metabolic syndrome. Key words: Pterocarpus santalinoides, leaf extracts, glucose tolerance, hyperlipidemia, ...

  2. The radiation analyses of ITER lower ports

    International Nuclear Information System (INIS)

    Petrizzi, L.; Brolatti, G.; Martin, A.; Loughlin, M.; Moro, F.; Villari, R.

    2010-01-01

    The ITER Vacuum Vessel has upper, equatorial, and lower ports used for equipment installation, diagnostics, heating and current drive systems, cryo-vacuum pumping, and access inside the vessel for maintenance. At the level of the divertor, the nine lower ports for remote handling, cryo-vacuum pumping and diagnostic are inclined downwards and toroidally located each every 40 o . The cryopump port has additionally a branch to allocate a second cryopump. The ports, as openings in the Vacuum Vessel, permit radiation streaming out of the vessel which affects the heating in the components in the outer regions of the machine inside and outside the ports. Safety concerns are also raised with respect to the dose after shutdown at the cryostat behind the ports: in such zones the radiation dose level must be kept below the regulatory limit to allow personnel access for maintenance purposes. Neutronic analyses have been required to qualify the ITER project related to the lower ports. A 3-D model was used to take into account full details of the ports and the lower machine surroundings. MCNP version 5 1.40 has been used with the FENDL 2.1 nuclear data library. The ITER 40 o model distributed by the ITER Organization was developed in the lower part to include the relevant details. The results of a first analysis, focused on cryopump system only, were recently published. In this paper more complete data on the cryopump port and analysis for the remote handling port and the diagnostic rack are presented; the results of both analyses give a complete map of the radiation loads in the outer divertor ports. Nuclear heating, dpa, tritium production, and dose rates after shutdown are provided and the implications for the design are discussed.

  3. Mineralogy of the Hydrous Lower Mantle

    Science.gov (United States)

    Shim, S. H.; Chen, H.; Leinenweber, K. D.; Kunz, M.; Prakapenka, V.; Bechtel, H.; Liu, Z.

    2017-12-01

    The hydrous ringwoodite inclusions found in diamonds suggest water storage in the mantle transition zone. However, water storage in the lower mantle remains unclear. Bridgmanite and magnesiowustite appear to have very little storage capacity for water. Here, we report experimental results indicating significant changes in the lower-mantle mineralogy under the presence of water. We have synthesized Mg2SiO4 ringwoodite with 2 wt% water in multi-anvil press at 20 GPa and 1573 K at ASU. The hydrous ringwoodite sample was then loaded to diamond anvil cells with Ar or Ne as a pressure medium. We heated the pure hydrous ringwoodite samples at lower-mantle pressure using a CO2 laser heating system at ASU. We measured X-ray diffraction patterns at the GSECARS sector of the Advanced Photon Source (APS) and 12.2.2 sector of the Advanced Light Source (ALS). For the separate Pt-mixed samples, we have conducted in situ heating at the beamlines using near IR laser heating systems. We measured the infrared spectra of the heated samples at high pressure and after pressure quench at 1.4.4 sector of ALS. In the in situ experiments with hydrous ringwoodite + Pt mixture as a starting material, we found formation of stishovite together with bridgmanite and periclase during heating with a near IR laser beams at 1300-2500 K and 35-66 GPa. However, some hydrous ringwoodite still remains even after a total of 45 min of heating. In contrast, the hydrous ringwoodite samples heated without Pt by CO2 laser beams are transformed completely to bridgmanite, periclase and stishovite at 31-55 GPa and 1600-1900 K. We have detected IR active OH mode of stishovite from the samples heated at lower-mantle pressures. The unit-cell volume of stishovite measured after pressure quench is greater than that of dry stishovite by 0.3-0.6%, supporting 0.5-1 wt% of H2O in stishovite in these samples. Stishovite is a thermodynamically forbidden phase in the dry lower mantle because of the existence of periclase and

  4. Relationship of Lower Extremity Muscle Strength with Balance and Lower Extremity Functions in Elderly Women

    Directory of Open Access Journals (Sweden)

    Ferdi Başkurt

    2018-03-01

    Conclusions: Functional score, mobility and balance are related to lower extremity muscle strength in elderly women. Increasing muscle strength will reduce the risk of falls and increase independence.

  5. Lower pinch radius limit in EXTRAP

    International Nuclear Information System (INIS)

    Lehnert, B.

    1989-01-01

    In an Extrap pinch there is a superimposed magnetic octupole field which forms a magnetic separatrix with the field generated by the pinch current. Earlier experiments have shown that the octupole field has a stabilizing influence on the plasma. Regardless of the details of this stabilizing mechanism, it is expected that the influence of the octupole field should become negligible for a sufficiently small ratio between the characteristic pinch and separatrix radii. In other words, there should exist a lower limit of this ratio below which the system approaches the state of an ordinary unstabilized Z-pinch. The present paper presents an extended version of an earlier theoretical model of this lower limit, and its relation to the corresponding critical ratio between the external conductor and pinch currents. This ratio is found to vary substantially with the plasma parameters. (authors)

  6. Lower head integrity under steam explosion loads

    Energy Technology Data Exchange (ETDEWEB)

    Theofanous, T.G.; Yuen, W.W.; Angelini, S.; Freeman, K.; Chen, X.; Salmassi, T. [Center for Risk Studies and Safety, Univ. of California, Santa Barbara, CA (United States); Sienicki, J.J.

    1998-01-01

    Lower head integrity under steam explosion loads in an AP600-like reactor design is considered. The assessment is the second part of an evaluation of the in-vessel retention idea as a severe accident management concept, the first part (DOE/ID-10460) dealing with thermal loads. The assessment is conducted in terms of the Risk Oriented Accident Analysis Methodology (ROAAM), and includes the comprehensive evaluation of all relevant severe accident scenarios, melt conditions and timing of release from the core region, fully 3D mixing and explosion wave dynamics, and lower head fragility under local, dynamic loading. All of these factors and brought together in a ROAAM Probabilistic Framework to evaluate failure likelihood. The conclusion is that failure is `physically unreasonable`. (author)

  7. Lower Palaeozoic reservoirs of North Africa

    Energy Technology Data Exchange (ETDEWEB)

    Crossley, R.; McDougall, N. [Robertson Research International Ltd., Llandudno, Conwy (United Kingdom)

    1998-12-31

    This paper provides an overview of features considered significant in the exploration and development of Lower Palaeozoic reservoirs of North Africa. Information is derived from a review of literature on the Lower Palaeozoic successions of North Africa, combined with outcrop observations from the Anti Atlas mountains of Morocco. The focus of the exploration-oriented part of the review is on identification of potential traps other than two-way structural dip closure. Stratigraphic elements described include depositional models of reservoir facies, tectonic unconformities and possible eustatic unconformities. Cases of established or potential trapping by post-depositional faulting by diagenesis and by hydrodynamic flow are examined. Development-related topics highlighted include the impact on reservoir matrix quality of burial diagenesis and of palaeo-weathering at the Hercynian unconformity. Other issues discussed which additionally affect producibility from the reservoir matrix include tectonic fracturing, palaeotopography and unloading fracturing at the Hercynian unconformity, and induced fracturing within the present stress regimes. (author)

  8. What Controls the Arctic Lower Stratosphere Temperature?

    Science.gov (United States)

    Newman, Paul A.; Nash, Eric R.; Einaudi, Franco (Technical Monitor)

    2001-01-01

    The temperature of the Arctic lower stratosphere is critical for understanding polar ozone levels. As temperatures drop below about 195 K, polar stratospheric clouds form, which then convert HCl and ClONO2 into reactive forms that are catalysts for ozone loss reactions. Hence, the lower stratospheric temperature during the March period is a key parameter for understanding polar ozone losses. The temperature is basically understood to be a result of planetary waves which drive the polar temperature away from a cold "radiative equilibrium" state. This is demonstrated using NCEP/NCAR reanalysis calculations of the heat flux and the mean polar temperature. The temperature during the March period is fundamentally driven by the integrated impact of large scale waves moving from the troposphere to the stratosphere during the January through February period. We will further show that the recent cold years in the northern polar vortex are a result of this weakened wave driving of the stratosphere.

  9. Floods and droughts on the lower Vistula

    Directory of Open Access Journals (Sweden)

    Marzenna Sztobryn

    2013-06-01

    Full Text Available The study analyses floods and droughts on the lower Vistula based on the data (water levels and flow rates recorded in stations of the Institute of Meteorology and Water Management – National Research Institute (IMGW-PIB in Warsaw, Kępa Polska, Toruń and Tczew. It also includes the causes of flooding and drought in the lower Vistula with the hydrological characteristics from the years 1951–2010. The variability in maximum and minimum annual and monthly flow rates has been analysed for the aforementioned period as well. In addition, the authors have analysed changes in the shape of the flood wave after passing through the reservoir and cascade in Włocławek based on the hydrograph of May and June 2010. It has been found that the flood wave is flattened and extended. This phenomenon is favourable from the point of view of flood actions.

  10. Lower limb vascular dysfunction in cyclists

    Directory of Open Access Journals (Sweden)

    Thiago Ayala Melo Di Alencar

    2013-06-01

    Full Text Available Sports-related vascular insufficiency affecting the lower limbs is uncommon, and early signs and symptoms can be confused with musculoskeletal injuries. This is also the case among professional cyclists, who are always at the threshold between endurance and excess training. The aim of this review was to analyze the occurrence of vascular disorders in the lower limbs of cyclists and to discuss possible etiologies. Eighty-five texts, including papers and books, published from 1950 to 2012, were used. According to the literature reviewed, some cyclists receive a late diagnosis of vascular dysfunction due to a lack of familiarity of the medical team with this type of dysfunction. Data revealed that a reduced blood flow in the external iliac artery, especially on the left, is much more common than in the femoral and popliteal arteries, and that vascular impairment is responsible for the occurrence of early fatigue and reduced performance in cycling.

  11. Chlamydia and Male Lower Urinary Tract Diseases

    OpenAIRE

    Lee, Young-Suk; Lee, Kyu-Sung

    2013-01-01

    Of the chlamydia species that can cause infections in humans, C. trachomatis is responsible for lower urinary tract diseases in men and women. C. trachomatis infections are prevalent worldwide, but current research is focused on females, with the burden of disease and infertility sequelae considered to be a predominantly female problem. However, a role for this pathogen in the development of male urethritis, epididymitis, and orchitis is widely accepted. Also, it can cause complications such ...

  12. Experimental research on pedestrian lower leg impact

    Science.gov (United States)

    Constantin, B. A.; Iozsa, D. M.; Stan, C.

    2017-10-01

    The present paper is centred on the research of deceleration measured at the level of the lower leg during a pedestrian impact in multiple load cases. Basically, the used methodology for physical test setup is similar to EuroNCAP and European Union regulatory requirements. Due cost reduction reasons, it was not used a pneumatic system in order to launch the lower leg impactor in the direction of the vehicle front-end. During the test it was used an opposite solution, namely the vehicle being in motion, aiming the standstill lower leg impactor. The impactor has similar specifications to those at EU level, i.e. dimensions, materials, and principle of measurement of the deceleration magnitude. Therefore, all the results obtained during the study comply with the requirements of both EU regulation and EuroNCAP. As a limitation, due to unavailability of proper sensors in the equipment of the lower leg impactor, that could provide precise results, the bending angle, the shearing and the detailed data at the level of knee ligaments were not evaluated. The knee joint should be improved for future studies as some bending angles observed during the post processing of several impact video files were too high comparing to other studies. The paper highlights the first pedestrian impact physical test conducted by the author, following an extensive research in the field. Deceleration at the level of pedestrian knee can be substantially improved by providing enough volume between the bumper fascia and the front-end structure and by using pedestrian friendly materials for shock absorbers, such as foams.

  13. The central part of CMS is lowered

    CERN Multimedia

    Maximilien Brice

    2007-01-01

    On 28 February 2007, the CMS central piece containing the magnet and weighing as much as five Jumbo jets (1920 tonnes) was gently lowered into place. Only 20 cm separated the detector, which was suspended by four huge cables, each with 55 strands and sophisticated monitoring to minimize sway and tilt, from the walls of the shaft. The entire process took about 10 hours to complete.

  14. Prevalence of lower extremity venous duplication

    Directory of Open Access Journals (Sweden)

    Simpson William

    2010-01-01

    Full Text Available Purpose: This retrospective study was performed to determine the prevalence of lower extremity venous duplication using duplex ultrasound in the patient population of a large urban medical center. Materials and Methods: The reports of all lower extremity venous ultrasound examinations performed at our institution between January 1, 2002 and December 31, 2002 were reviewed. Ultrasound examinations that were performed for purposes other than the detection of lower extremity deep vein thrombosis were excluded. The prevalence of duplication and its specific location were recorded. In addition, the prevalence of thrombus and its specific location were also recorded. Results: A total of 3118 exams were performed in 2664 patients. Of the 2664 patients, 2311 had only one examination performed during the study period; 353 patients had more than one examination performed. We found that 10.1% of patients (270/2664 had at least one venous segment duplicated and 5.4% of patients (143/2664 had a thrombus in at least one venous segment. There was a statistically significant difference in the prevalence of both duplication and thrombus with a change in venous segment. Only 0.4% of patients (11/2664 had thrombus within a duplicated segment. Of those who had more than one examination performed, 15.3% (54/353 had the same venous segment(s seen on one examination but not another. Conclusion: Lower extremity venous duplication is a frequent anatomic variant that is seen in 10.1% of patients, but it may not be as common as is generally believed. It can result in a false negative result for deep vein thrombosis.

  15. Cold stress induces lower urinary tract symptoms.

    Science.gov (United States)

    Imamura, Tetsuya; Ishizuka, Osamu; Nishizawa, Osamu

    2013-07-01

    Cold stress as a result of whole-body cooling at low environmental temperatures exacerbates lower urinary tract symptoms, such as urinary urgency, nocturia and residual urine. We established a model system using healthy conscious rats to explore the mechanisms of cold stress-induced detrusor overactivity. In this review, we summarize the basic findings shown by this model. Rats that were quickly transferred from room temperature (27 ± 2°C) to low temperature (4 ± 2°C) showed detrusor overactivity including increased basal pressure and decreased voiding interval, micturition volume, and bladder capacity. The cold stress-induced detrusor overactivity is mediated through a resiniferatoxin-sensitve C-fiber sensory nerve pathway involving α1-adrenergic receptors. Transient receptor potential melastatin 8 channels, which are sensitive to thermal changes below 25-28°C, also play an important role in mediating the cold stress responses. Additionally, the sympathetic nervous system is associated with transient hypertension and decreases of skin surface temperature that are closely correlated with the detrusor overactivity. With this cold stress model, we showed that α1-adrenergic receptor antagonists have the potential to treat cold stress-exacerbated lower urinary tract symptoms. In addition, we showed that traditional Japanese herbal mixtures composed of Hachimijiogan act, in part, by increasing skin temperature and reducing the number of cold sensitive transient receptor potential melastatin channels in the skin. The effects of herbal mixtures have the potential to treat and/or prevent the exacerbation of lower urinary tract symptoms by providing resistance to the cold stress responses. Our model provides new opportunities for utilizing animal disease models with altered lower urinary tract functions to explore the effects of novel therapeutic drugs. © 2013 The Japanese Urological Association.

  16. Asymptomatic Petechial Eruption on the Lower Legs

    OpenAIRE

    Mendese, Gary; Grande, Donald

    2013-01-01

    The authors report an unusual case of Rocky Mountain spotted fever that presented as an asymptomatic petechial eruption on the lower legs. Rocky Mountain spotted fever is rare in New England and, as such, is typically not on the differential diagnosis when presented with such patients. What began as an asymptomatic eruption progressed to more classic signs of the disease, including a positive Rocky Mountain spotted fever titer. The patient was successfully treated with doxycydine and within a...

  17. [The esthetics of lower limb prosthesis].

    Science.gov (United States)

    Gardrat, Franck

    2015-01-01

    The amputation, which is upper or lower limb, entails important consequences and often traumatic into subject amputee from a physical, psychological, interpersonal and social point of view. It acts on the body image unleashing different psychological disorders and alterations in the social and professional reality. The aesthetic prosthesis can be considered a good support to help the person regain a new body image of themselves, facilitating the process of physical rehabilitation and social integration.

  18. Gemfibrozil, stretching arms beyond lipid lowering

    OpenAIRE

    Roy, Avik; Pahan, Kalipada

    2009-01-01

    Gemfibrozil is long known for its ability to reduce the level of triglycerides in the blood circulation and to decrease the risk of hyperlipidemia. However, a number of recent studies reveal that apart from its lipid-lowering effects, gemfibrozil can also regulate many other signaling pathways responsible for inflammation, switching of T-helper cells, cell-to-cell contact, migration, and oxidative stress. In this review, we have made an honest attempt to analyze various biological activities ...

  19. Incidence of lower second permanent molar impaction.

    Science.gov (United States)

    Evans, R

    1988-08-01

    The incidence of lower second molar impaction was investigated, comparing the records of two samples of 200 orthodontic patients referred consecutively, in 1976 and 1986. A further study compared 50 cases showing both bilateral and unilateral impactions, with a non-impacted control group. This allowed possible causes of the impactions to be examined, particularly concerning the effect of premature loss of deciduous teeth on the distribution of crowding.

  20. [Lower extremity amputation rates in diabetic patients].

    Science.gov (United States)

    Cisneros-González, Nelly; Ascencio-Montiel, Iván Jesús; Libreros-Bango, Vita Norma; Rodríguez-Vázquez, Héctor; Campos-Hernández, Ángel; Dávila-Torres, Javier; Kumate-Rodríguez, Jesús; Borja-Aburto, Víctor Hugo

    2016-01-01

    The lower extremity amputations diminish the quality of life of patients with Diabetes Mellitus (DM). The aim of this study was to describe the lower extremity amputation rates in subjects with DM in the Mexican Social Security Institute (IMSS), comparing 2004 and 2013. A comparative cross-sectional study was done. Amputations were identified from the hospital records of System of Medical Statistics (DataMart). The DM patient census was obtained from the System of Integral Attention to Health. Major and minor amputations rates were expressed per 100,000 DM patients. We observed 2 334 340 and 3 416 643 DM patients during 2004 and 2013, respectively. The average age at the time of the amputation was similar in 2004 and 2013 (61.7 and 65.6 years old for minor and major amputations respectively). The major amputations rates were 100.9 and 111.1 per 100 000 subjects with DM in during 2004 and 2013 (p = 0.001); while minor amputations rates were 168.8 and 162.5 per 100 000 subjects with DM in during 2004 and 2013 respectively (p = 0.069). The lower extremity amputations rates at IMSS are very high compared with that reported in developed countries. The major amputations rate increased in 2013 compared with 2004.

  1. Helical CT in acute lower gastrointestinal bleeding

    International Nuclear Information System (INIS)

    Ernst, Olivier; Leroy, Christophe; Sergent, Geraldine; Bulois, Philippe; Saint-Drenant, Sophie; Paris, Jean-Claude

    2003-01-01

    The purpose of this study was to assess the usefulness of helical CT in depicting the location of acute lower gastrointestinal bleeding. A three-phase helical CT of the abdomen was performed in 24 patients referred for acute lower gastrointestinal bleeding. The diagnosis of the bleeding site was established by CT when there was at least one of the following criteria: spontaneous hyperdensity of the peribowel fat; contrast enhancement of the bowel wall; vascular extravasation of the contrast medium; thickening of the bowel wall; polyp or tumor; or vascular dilation. Diverticula alone were not enough to locate the bleeding site. The results of CT were compared with the diagnosis obtained by colonoscopy, enteroscopy, or surgery. A definite diagnosis was made in 19 patients. The bleeding site was located in the small bowel in 5 patients and the colon in 14 patients. The CT correctly located 4 small bowel hemorrhages and 11 colonic hemorrhages. Diagnosis of the primary lesion responsible for the bleeding was made in 10 patients. Our results suggest that helical CT could be a good diagnostic tool in acute lower gastrointestinal bleeding to help the physician to diagnose the bleeding site. (orig.)

  2. Sexuality in persons with lower extremity amputations.

    Science.gov (United States)

    Bodenheimer, C; Kerrigan, A J; Garber, S L; Monga, T N

    2000-06-15

    There is a paucity of information regarding sexual functioning in persons with lower extremity amputations. The purpose of this study was to describe sexual and psychological functioning and health status in persons with lower extremity amputation. Self-report surveys assessed sexual functioning (Derogatis Inventory), depression (Beck Depression Inventory, anxiety (State-Trait Anxiety Inventory), and health status (Health Status Questionnaire) in a convenience sample of 30 men with lower extremity amputations. Mean age of the participants was 57 years (range 32-79). Mean duration since amputation was 23 months (range 3-634 months). Twenty one subjects (70%) had trans-tibial and seven subjects (23%) had trans-femoral amputations. A majority of subjects were experiencing problems in several domains of sexual functioning. Fifty three percent (n = 16) of the subjects were engaged in sexual intercourse or oral sex at least once a month. Twenty seven percent (n = 8) were masturbating at least once a month. Nineteen subjects (63%) reported orgasmic problems and 67% were experiencing erectile difficulties. Despite these problems, interest in sex was high in over 90% of the subjects. There was no evidence of increased prevalence of depression or anxiety in these subjects when compared to other outpatient adult populations. Sexual problems were common in the subjects studied. Despite these problems, interest in sex remained high. Few investigations have been directed toward identifying the psychological and social factors that may contribute to these problems and more research with a larger population is needed in this area.

  3. Sports activities after lower limb osteotomy.

    Science.gov (United States)

    Gougoulias, Nikolaos; Khanna, Anil; Maffulli, Nicola

    2009-01-01

    Active sports participation can be important in some patients with degenerative joint disease in the lower limb. We investigated whether this is possible after an osteotomy for osteoarthritis of the hip, knee and ankle joints. We performed a literature search using Medline, Cochrane, CINAHL and Google Scholar with no restriction to time period or language using the keywords: 'osteotomy and sports'. Eleven studies (all level IV evidence) satisfied our inclusion and exclusion criteria. Nine reported on high tibial osteotomies, one on periacetabular osteotomies and one on distal tibial osteotomies. The Coleman Methodology Score to assess the quality of studies showed much heterogeneity in terms of study design, patient characteristics, management methods and outcome assessment. Participation in recreational sports is possible in most patients who were active in sports before lower limb osteotomy. In no study were patients able to participate in competitive sports. Intensive participation in sports after osteotomy may adversely affect outcome and lead to failures requiring re-operation. Patients may be able to remain active in selected sports activities after a lower limb osteotomy for osteoarthritis. More rapid progression of arthritis is however a possibility. Prospective comparative studies investigating activities and sports participation in age-matched patients undergoing osteotomy or joint replacement could lead to useful conclusions. Increased activity and active sports participation may lead to progression of arthritis and earlier failure requiring additional surgery.

  4. Neural Control of the Lower Urinary Tract

    Science.gov (United States)

    de Groat, William C.; Griffiths, Derek; Yoshimura, Naoki

    2015-01-01

    This article summarizes anatomical, neurophysiological, pharmacological, and brain imaging studies in humans and animals that have provided insights into the neural circuitry and neurotransmitter mechanisms controlling the lower urinary tract. The functions of the lower urinary tract to store and periodically eliminate urine are regulated by a complex neural control system in the brain, spinal cord, and peripheral autonomic ganglia that coordinates the activity of smooth and striated muscles of the bladder and urethral outlet. The neural control of micturition is organized as a hierarchical system in which spinal storage mechanisms are in turn regulated by circuitry in the rostral brain stem that initiates reflex voiding. Input from the forebrain triggers voluntary voiding by modulating the brain stem circuitry. Many neural circuits controlling the lower urinary tract exhibit switch-like patterns of activity that turn on and off in an all-or-none manner. The major component of the micturition switching circuit is a spinobulbospinal parasympathetic reflex pathway that has essential connections in the periaqueductal gray and pontine micturition center. A computer model of this circuit that mimics the switching functions of the bladder and urethra at the onset of micturition is described. Micturition occurs involuntarily in infants and young children until the age of 3 to 5 years, after which it is regulated voluntarily. Diseases or injuries of the nervous system in adults can cause the re-emergence of involuntary micturition, leading to urinary incontinence. Neuroplasticity underlying these developmental and pathological changes in voiding function is discussed. PMID:25589273

  5. Lower urinary tract development and disease

    Science.gov (United States)

    Rasouly, Hila Milo; Lu, Weining

    2013-01-01

    Congenital Anomalies of the Lower Urinary Tract (CALUT) are a family of birth defects of the ureter, the bladder and the urethra. CALUT includes ureteral anomalies such as congenital abnormalities of the ureteropelvic junction (UPJ) and ureterovesical junction (UVJ), and birth defects of the bladder and the urethra such as bladder-exstrophy-epispadias complex (BEEC), prune belly syndrome (PBS), and posterior urethral valves (PUV). CALUT is one of the most common birth defects and is often associated with antenatal hydronephrosis, vesicoureteral reflux (VUR), urinary tract obstruction, urinary tract infections (UTI), chronic kidney disease and renal failure in children. Here, we discuss the current genetic and molecular knowledge about lower urinary tract development and genetic basis of CALUT in both human and mouse models. We provide an overview of the developmental processes leading to the formation of the ureter, bladder, and urethra, and different genes and signaling pathways controlling these developmental processes. Human genetic disorders that affect the ureter, bladder and urethra and associated gene mutations are also presented. As we are entering the post-genomic era of personalized medicine, information in this article may provide useful interpretation for the genetic and genomic test results collected from patients with lower urinary tract birth defects. With evidence-based interpretations, clinicians may provide more effective personalized therapies to patients and genetic counseling for their families. PMID:23408557

  6. Footwear traction and lower extremity noncontact injury.

    Science.gov (United States)

    Wannop, John W; Luo, Geng; Stefanyshyn, Darren J

    2013-11-01

    Football is the most popular high school sport; however, it has the highest rate of injury. Speculation has been prevalent that foot fixation due to high footwear traction contributes to injury risk. Therefore, the purpose of the study was to determine whether a relationship exists between the athlete's specific footwear traction (measured with their own shoes on the field of play) and lower extremity noncontact injury in high school football. For 3 yr, 555 high school football athletes had their footwear traction measured on the actual field of play at the start of the season, and any injury the athletes suffered during a game was recorded. Lower extremity noncontact injury rates, grouped based on the athlete's specific footwear traction (both translational and rotational), were compared. For translational traction, injury rate reached a peak of 23.3 injuries/1000 game exposures within the midrange of translational traction, before decreasing to 5.0 injuries/1000 game exposures in the high range of traction. For rotational traction, there was a steady increase in injury rate as footwear traction increased, starting at 4.2 injuries/1000 game exposures at low traction and reaching 19.2 injuries/1000 game exposures at high traction. A relationship exists between footwear traction and noncontact lower extremity injury, with increases in rotational traction leading to a greater injury rate and increases in translational traction leading to a decrease in injury. It is recommended that athletes consider selecting footwear with the lowest rotational traction values for which no detriment in performance results.

  7. Symbiotic fungal associations in 'lower' land plants.

    Science.gov (United States)

    Read, D J; Ducket, J G; Francis, R; Ligron, R; Russell, A

    2000-06-29

    An analysis of the current state of knowledge of symbiotic fungal associations in 'lower' plants is provided. Three fungal phyla, the Zygomycota, Ascomycota and Basidiomycota, are involved in forming these associations, each producing a distinctive suite of structural features in well-defined groups of 'lower' plants. Among the 'lower' plants only mosses and Equisetum appear to lack one or other of these types of association. The salient features of the symbioses produced by each fungal group are described and the relationships between these associations and those formed by the same or related fungi in 'higher' plants are discussed. Particular consideration is given to the question of the extent to which root fungus associations in 'lower' plants are analogous to 'mycorrhizas' of 'higher' plants and the need for analysis of the functional attributes of these symbioses is stressed. Zygomycetous fungi colonize a wide range of extant lower land plants (hornworts, many hepatics, lycopods, Ophioglossales, Psilotales and Gleicheniaceae), where they often produce structures analogous to those seen in the vesicular-arbuscular (VA) mycorrhizas of higher plants, which are formed by members of the order Glomales. A preponderance of associations of this kind is in accordance with palaeohbotanical and molecular evidence indicating that glomalean fungi produced the archetypal symbioses with the first plants to emerge on to land. It is shown, probably for the first time, that glomalean fungi forming typical VA mycorrhiza with a higher plant (Plantago lanceolata) can colonize a thalloid liverwort (Pellia epiphylla), producing arbuscules and vesicles in the hepatic. The extent to which these associations, which are structurally analogous to mycorrhizas, have similar functions remains to be evaluated. Ascomycetous associations are found in a relatively small number of families of leafy liverworts. The structural features of the fungal colonization of rhizoids and underground axes of

  8. Microcoil Embolization for Acute Lower Gastrointestinal Bleeding

    International Nuclear Information System (INIS)

    D'Othee, Bertrand Janne; Surapaneni, Padmaja; Rabkin, Dmitry; Nasser, Imad; Clouse, Melvin

    2006-01-01

    Purpose. To assess outcomes after microcoil embolization for active lower gastrointestinal (GI) bleeding. Methods. We retrospectively studied all consecutive patients in whom microcoil embolization was attempted to treat acute lower GI bleeding over 88 months. Baseline, procedural, and outcome parameters were recorded following current Society of Interventional Radiology guidelines. Outcomes included technical success, clinical success (rebleeding within 30 days), delayed rebleeding (>30 days), and major and minor complication rates. Follow-up consisted of clinical, endoscopic, and pathologic data. Results. Nineteen patients (13 men, 6 women; mean age ± 95% confidence interval = 70 ± 6 years) requiring blood transfusion (10 ± 3 units) had angiography-proven bleeding distal to the marginal artery. Main comorbidities were malignancy (42%), coagulopathy (28%), and renal failure (26%). Bleeding was located in the small bowel (n = 5), colon (n 13) or rectum (n = 1). Technical success was obtained in 17 patients (89%); 2 patients could not be embolized due to vessel tortuosity and stenoses. Clinical follow-up length was 145 ± 75 days. Clinical success was complete in 13 (68%), partial in 3 (16%), and failed in 2 patients (11%). Delayed rebleeding (3 patients, 27%) was always due to a different lesion in another bowel segment (0 late rebleeding in embolized area). Two patients experienced colonic ischemia (11%) and underwent uneventful colectomy. Two minor complications were noted. Conclusion. Microcoil embolization for active lower GI bleeding is safe and effective in most patients, with high technical and clinical success rates, no procedure-related mortality, and a low risk of bowel ischemia and late rebleeding

  9. Variational lower bound on the scattering length

    International Nuclear Information System (INIS)

    Rosenberg, L.; Spruch, L.

    1975-01-01

    The scattering length A characterizes the zero-energy scattering of one system by another. It was shown some time ago that a variational upper bound on A could be obtained using methods, of the Rayleigh-Ritz type, which are commonly employed to obtain upper bounds on energy eigenvalues. Here we formulate a method for obtaining a variational lower bound on A. Once again the essential idea is to express the scattering length as a variational estimate plus an error term and then to reduce the problem of bounding the error term to one involving bounds on energy eigenvalues. In particular, the variational lower bound on A is rigorously established provided a certin modified Hamiltonian can be shown to have no discrete states lying below the level of the continuum threshold. It is unfortunately true that necessary conditions for the existence of bound states are not available for multiparticle systems in general. However, in the case of positron-atom scattering the adiabatic approximation can be introduced as an (essentially) solvable comparison problem to rigorously establish the nonexistence of bound states of the modified Hamiltonian. It has recently been shown how the validity of the variational upper bound on A can be maintained when the target ground-state wave function is imprecisely known. Similar methods can be used to maintain the variational lower bound on A. Since the bound is variational, the error in the calculated scattering length will be of second order in the error in the wave function. The use of the adiabatic approximation in the present context places no limitation in principle on the accuracy achievable

  10. MR imaging in congenital lower limb deformities

    International Nuclear Information System (INIS)

    Laor, T.; Jaramillo, D.; Hoffer, F.A.; Kasser, J.R.

    1996-01-01

    Treatment for children with cogenital deformities of the lower extremities may vary, depending on the state of the unossified skeletal structures and surrounding soft tissues. The purpose of our study was to demonstrate the spectrum of the osteochondral and extrasosseous abnormalities as depicted with MR imaging. We retrospectively reviewed MR examinations of 13 limbs of ten children (aged 1 month-9 years, mean 2.1 years) with longitudinal and transverse deformities of the lower extremities. The lesions imaged were fibular hemimelia (n=5), tibial hemimelia (n=5), and congenital constriction bands (n=3). Each examination was assessed for abnormalities in the osteocartilaginous and extraosseous (articular or periarticular components such as ligaments, tendons, and menisci; the muscles and the arteries) structures. Abnormalities were seen in all patients. Osteocartilaginous abnormalities in the patients with longitudinal deformities included abnormal distal femoral epiphyses, abnormal proximal tribial physes, hypertrophied and dislocated proximal fibular epiphyses, unsuspected fibular and tibial remnants, and absence or coalition of the tarsal bones. No osteocartilaginous abnormalities were seen in the patients with congential constriction bands. Articular abormalities in patients with either form of hemimelia included absent cruciate ligaments and menisci, dislocated or absent cartilaginous patellae, absent patellar tendons, and abnormal collateral ligaments. All but one limb imaged had absent or attenuated muscle groups. Of the nine MR arteriograms performed at the level of the knee, eight were abnormal. The normal popliteal trifurcation was absent or in an abnormal location. We conclude that MR imaging of children with congenital lower extremity deformities shows many osteochondral and extraosseous abnormalities that are not depicted by conventional radiogrpahy. This information can help to plan early surgical intervention and prosthetic rehabilitation. (orig.)

  11. Cocaine-associated lower limb ischemia.

    LENUS (Irish Health Repository)

    Collins, Chris G

    2011-07-25

    Cocaine-associated thrombosis has been reported in the literature with reports of vascular injuries to cardiac, pulmonary, intestinal, placental, and musculoskeletal vessels; however, injury of the pedal vessels is rare. We report on a 31-year-old man who presented 2 months following a cocaine binge with limb-threatening ischemia without an otherwise identifiable embolic source. Angiography confirmed extensive occlusive disease of the tibioperoneal vessels. The patient improved following therapy with heparin and a prostacyclin analogue. Cocaine-induced thrombosis should be considered in patients presenting with acute arterial insufficiency in the lower limb without any other identifiable cause.

  12. A modified lower hybrid coupler for TPX

    International Nuclear Information System (INIS)

    Bernabei, S.; Greenough, N.

    1995-01-01

    Efforts have concentrated on redesigning the configuration of the Lower Hybrid coupler for TPX tokamak. Several concerns motivated this redesign: reduce the effect of thermal incompatibility between coupler and rf-window material, reduce weight, reduce the risk of wind failure and address the problem of replaceability, increase the reliability by reducing the number connections and finally, reduce the total cost. The result is a highly compact, light and easily serviceable coupler which incorporates some of the simplicity of the multifunction coupler but preserves the spectral flexibility of a conventional coupler

  13. The Mather problem for lower semicontinuous Lagrangians

    KAUST Repository

    Gomes, Diogo A.; Terrone, Gabriele

    2013-01-01

    In this paper we develop the Aubry-Mather theory for Lagrangians in which the potential energy can be discontinuous. Namely we assume that the Lagrangian is lower semicontinuous in the state variable, piecewise smooth with a (smooth) discontinuity surface, as well as coercive and convex in the velocity. We establish existence of Mather measures, various approximation results, partial regularity of viscosity solutions away from the singularity, invariance by the Euler-Lagrange flow away from the singular set, and further jump conditions that correspond to conservation of energy and tangential momentum across the discontinuity. © 2013 Springer Basel.

  14. The Mather problem for lower semicontinuous Lagrangians

    KAUST Repository

    Gomes, Diogo A.

    2013-08-01

    In this paper we develop the Aubry-Mather theory for Lagrangians in which the potential energy can be discontinuous. Namely we assume that the Lagrangian is lower semicontinuous in the state variable, piecewise smooth with a (smooth) discontinuity surface, as well as coercive and convex in the velocity. We establish existence of Mather measures, various approximation results, partial regularity of viscosity solutions away from the singularity, invariance by the Euler-Lagrange flow away from the singular set, and further jump conditions that correspond to conservation of energy and tangential momentum across the discontinuity. © 2013 Springer Basel.

  15. Nonresonant decay of lower hybrid waves

    International Nuclear Information System (INIS)

    Brambilla, M.; Liberman, B.; Pesic, S.S.; Moreau, D.

    1979-01-01

    Parametric decay of Lower Hybrid waves has been extensively studied since a few years. To derive the dispersion relation of the decay waves, two different approaches have been used in the literature. In the first the pump electric field is assumed to be homogeneous in space (dipole approximation) and Vlasov Equation is integrated in the Oscillating Center Coordinates (OCC). In the second approach the parametric decay process is considered as the linear stage of a three wave interaction (pump, sideband and beat wave) and the dispersion relation is obtained from a recursive solution of Vlasov equation

  16. Gemfibrozil, stretching arms beyond lipid lowering

    Science.gov (United States)

    Roy, Avik; Pahan, Kalipada

    2009-01-01

    Gemfibrozil is long known for its ability to reduce the level of triglycerides in the blood circulation and to decrease the risk of hyperlipidemia. However, a number of recent studies reveal that apart from its lipid-lowering effects, gemfibrozil can also regulate many other signaling pathways responsible for inflammation, switching of T-helper cells, cell-to-cell contact, migration, and oxidative stress. In this review, we have made an honest attempt to analyze various biological activities of gemfibrozil and associated mechanisms that may help to consider this drug for different human disorders as primary or adjunct therapy. PMID:19694602

  17. Modification to the lower hybrid system

    International Nuclear Information System (INIS)

    Gormezano, C.

    1989-01-01

    The main modifications which have to be done to the Lower Hybrid system are related in the change of the plasma shape in front of the grill mouth. In effect, the theoretical coupling efficiency of the LHCD grill depends only upon the density at the grill mouth and upon the launched wave index. In order to minimize the number of modifications to the launcher it is proposed to modify the length of the vacuum waveguides connecting the multijunctions to the vacuum windows. To obtain the new poloidal contour, it is proposed to recover the L1 multijunctions and to remachine their mouth. (U.K.)

  18. Asymptomatic petechial eruption on the lower legs.

    Science.gov (United States)

    Mendese, Gary; Grande, Donald

    2013-09-01

    The authors report an unusual case of Rocky Mountain spotted fever that presented as an asymptomatic petechial eruption on the lower legs. Rocky Mountain spotted fever is rare in New England and, as such, is typically not on the differential diagnosis when presented with such patients. What began as an asymptomatic eruption progressed to more classic signs of the disease, including a positive Rocky Mountain spotted fever titer. The patient was successfully treated with doxycydine and within a short period of time, was completely back at baseline.

  19. Absolute Lower Bound on the Bounce Action

    Science.gov (United States)

    Sato, Ryosuke; Takimoto, Masahiro

    2018-03-01

    The decay rate of a false vacuum is determined by the minimal action solution of the tunneling field: bounce. In this Letter, we focus on models with scalar fields which have a canonical kinetic term in N (>2 ) dimensional Euclidean space, and derive an absolute lower bound on the bounce action. In the case of four-dimensional space, we show the bounce action is generically larger than 24 /λcr, where λcr≡max [-4 V (ϕ )/|ϕ |4] with the false vacuum being at ϕ =0 and V (0 )=0 . We derive this bound on the bounce action without solving the equation of motion explicitly. Our bound is derived by a quite simple discussion, and it provides useful information even if it is difficult to obtain the explicit form of the bounce solution. Our bound offers a sufficient condition for the stability of a false vacuum, and it is useful as a quick check on the vacuum stability for given models. Our bound can be applied to a broad class of scalar potential with any number of scalar fields. We also discuss a necessary condition for the bounce action taking a value close to this lower bound.

  20. Ambient air quality in Lower Town Quebec

    International Nuclear Information System (INIS)

    Sebez, S.

    2007-01-01

    A municipal waste incinerator near Lower Town Quebec has been identified as a major source of air pollution, notably emissions of dioxins, furans, nitrogen oxides (NOx), volatile organic matter (VOC) and polycyclic aromatic hydrocarbons (PAH). Combustion fumes contain gases such as carbon monoxide (CO), carbon dioxide (CO 2 ) and sulphur dioxide (SO 2 ), as well as dusts, fly ash and particulate matter that is easily airborne. The risks associated with poor air quality have been evaluated along with the effects of pollutants on young children, pregnant women, senior citizens and those with cardiac problems. Some studies have reported that exposure to NOx may cause lung cancer and certain VOCs can irritate the respiratory tract system. Air quality tests have also revealed the presence of mercury. In combination, all these pollutants create smog. The concrete actions that have been taken to address smog issues were discussed. The distance between the incinerator and different residential areas within Lower Town Quebec have been measured along with air quality. Health risks were found to be higher in areas closer to the incinerator. Major modifications have been recommended in order to reduce pollution emissions from the incinerator. These include modernizing the equipment, installing proper scrubbers, and to ultimately the close the incinerator if it continues to underperform. refs., tabs., figs

  1. A Third Generation Lower Hybrid Coupler

    International Nuclear Information System (INIS)

    Bernabei, S.; Hosea, J.; Kung, C.; Loesser, D.; Rushinski, J.; Wilson, J.R.; Parker, R.

    2001-01-01

    The Princeton Plasma Physics Laboratory (PPPL) and the Massachusetts Institute of Technology (MIT) are preparing an experiment of current profile control using lower-hybrid waves in order to produce and sustain advanced tokamak regimes in steady-state conditions in Alcator C-Mod. Unlike JET's, ToreSupra's and JT60's couplers, the C-Mod lower-hybrid coupler does not employ the now conventional multijunction design, but will have similar characteristics, compactness, and internal power division while retaining full control of the antenna element phasing. This is achieved by using 3 dB vertical power splitters and a stack of laminated plates with the waveguides milled in them. Construction is simplified and allows easy control and maintenance of all parts. Many precautions are taken to avoid arcing. Special care is also taken to avoid the recycling of reflected power which could affect the coupling and the launched n(subscript ||) spectrum. The results from C-Mod should allow further simplification in the designs of the coupler planned for KSTAR (Korea Superconducting Tokamak Advanced Research) and ITER (International Thermonuclear Experimental Reactor)

  2. Leisure activities following a lower limb amputation.

    Science.gov (United States)

    Couture, Mélanie; Caron, Chantal D; Desrosiers, Johanne

    2010-01-01

    The aim of this study was to describe leisure activities, leisure satisfaction and constraints on participation in leisure following a unilateral lower limb amputation due to vascular disease. This study used a mixed-method approach where 15 individuals with lower limb amputation completed the individual leisure profile 2-3 months post-discharge from rehabilitation. A subsample (n = 8) also participated in semi-structured interviews analysed using the Miles and Huberman analytic method. Results show that participants were involved in 12 different leisure activities on average. Compared to before the amputation, a decrease in participation was observed in all categories of leisure activity, and especially crafts, nature and outdoor activities, mechanics, sports and physical activities. Nonetheless, overall satisfaction was high. The most important constraints on participation in leisure were lack of accessibility, material considerations, functional abilities, affective constraints and social constraints. A decrease in leisure activity participation and the presence of constraints do not automatically translate into low levels of leisure satisfaction.

  3. Lower bounds on scintillation detector timing performance

    International Nuclear Information System (INIS)

    Clinthorne, N.H.; Rogers, W.L.; Hero, A.O. III.; Petrick, N.A.

    1990-01-01

    Fundamental method-independent limits on the timing performance of scintillation detectors are useful for identifying regimes in which either present timing methods are nearly optimal or where a considerable performance gain might be realized using better pulse processing techniques. Several types of lower bounds on mean-squared timing error (MSE) performance have been developed and applied to scintillation detectors. The simple Cramer-Rao (CR) bound can be useful in determining the limiting MSE for scintillators having a relatively high rate of photon problction such as BaF 2 and NaI(Tl); however, it tends to overestimate the achievalbe performance for scintillators with lower rates such as BGO. For this reason, alternative bounds have been developed using rate-distortion theory or by assuming that the conversion of energy to scintillation light must pass through excited states which have exponential lifetime densities. The bounds are functions of the mean scintillation pulse shape, the scintillation intensity, and photodetector characteristics; they are simple to evaluate and can be used to conveniently assess the limiting timing performance of scintillation detectors. (orig.)

  4. A method for producing lower olefins

    Energy Technology Data Exchange (ETDEWEB)

    Lemayev, N.V.; Grigorovich, V.A.; Isayev, V.A.; Liakumovich, A.G.; Mitrofanov, A.I.; Orekhov, A.I.; Trifonov, S.V.; Vernov, P.A.

    1983-01-01

    In the known method for producing lower olefins by pyrolysis of a hydrocarbon raw material in the presence of an initiator which contains ammonia, in order to increase the output of the target products, morpholine or piperidine are additionally introduced into the initiator in a volume of 0.00001 to 0.1 percent each, converted for the raw material. The compounds to be added may be introduced into the pyrolysis zone by dissolving them in the hydrocarbon raw material or in water, which forms vapors with dilution of the raw material being subjected to pyrolysis. The increase in the outputs of the lower olefins in the process through the use of additives may be explained by the synergistic effect of the mixture of ammonia, morpholine and piperidine used. With benzine pyrolysis without the additives the output of ethylene is 24.1 percent; in comparable conditions with additives of ammonia or morpholine alone, or of piperidine alone, the outputs are 24.0, 26.2 and 25.8 percent, respectively. With the joint presence of ammonia and piperidine, the output of ethylene reaches 27.2 percent and with the addition of ammonia and morpholine, it reaches 27.4 percent.

  5. Carbonate stability in the reduced lower mantle

    Science.gov (United States)

    Dorfman, Susannah M.; Badro, James; Nabiei, Farhang; Prakapenka, Vitali B.; Cantoni, Marco; Gillet, Philippe

    2018-05-01

    Carbonate minerals are important hosts of carbon in the crust and mantle with a key role in the transport and storage of carbon in Earth's deep interior over the history of the planet. Whether subducted carbonates efficiently melt and break down due to interactions with reduced phases or are preserved to great depths and ultimately reach the core-mantle boundary remains controversial. In this study, experiments in the laser-heated diamond anvil cell (LHDAC) on layered samples of dolomite (Mg, Ca)CO3 and iron at pressure and temperature conditions reaching those of the deep lower mantle show that carbon-iron redox interactions destabilize the MgCO3 component, producing a mixture of diamond, Fe7C3, and (Mg, Fe)O. However, CaCO3 is preserved, supporting its relative stability in carbonate-rich lithologies under reducing lower mantle conditions. These results constrain the thermodynamic stability of redox-driven breakdown of carbonates and demonstrate progress towards multiphase mantle petrology in the LHDAC at conditions of the lowermost mantle.

  6. Lower incisor inclination regarding different reference planes.

    Science.gov (United States)

    Zataráin, Brenda; Avila, Josué; Moyaho, Angeles; Carrasco, Rosendo; Velasco, Carmen

    2016-09-01

    The purpose of this study was to assess the degree of lower incisor inclination with respect to different reference planes. It was an observational, analytical, longitudinal, prospective study conducted on 100 lateral cephalograms which were corrected according to the photograph in natural head position in order to draw the true vertical plane (TVP). The incisor mandibular plane angle (IMPA) was compensated to eliminate the variation of the mandibular plane growth type with the formula "FMApx.- 25 (FMA) + IMPApx. = compensated IMPA (IMPACOM)". As the data followed normal distribution determined by the KolmogorovSmirnov test, parametric tests were used for the statistical analysis, Ttest, ANOVA and Pearson coefficient correlation test. Statistical analysis was performed using a statistical significance of p planes. There were statistically significant differences among the means of the planes measured, except for IMPACOM, FMIA and TVP. The IMPA differed significantly from the IMPACOM. The compensated IMPA and the FMIA did not differ significantly from the TVP. The true horizontal plane was mismatched with Frankfort plane in 84% of the sample with a range of 19°. The true vertical plane is adequate for measuring lower incisor inclination. Sociedad Argentina de Investigación Odontológica.

  7. Diagnosis of Lower Hybrid on MST

    International Nuclear Information System (INIS)

    Burke, D. R.; Goetz, J. A.; Kaufman, M. C.; Almagri, A. F.; Anderson, J. K.; Forest, C. B.; Prager, S. C.

    2007-01-01

    RF driven current has never been demonstrated in a Reversed Field Pinch. Recently the lower hybrid system on the Madison Symmetric Torus reached a new operating regime. This upgrade allows RF powers of up to 5% of the Ohmic input power to be injected. It is therefore anticipated that the lower hybrid system is on the threshold of producing meaningful changes to the RFP equilibrium. A diagnostic set is under development to facilitate the study of such changes and lay the foundation for near megawatt operations. Many measurements are being studied for viability. These include electron cyclotron emission, examinations of bulk ion and electron heating, surface perturbation pickup coils, magnetic probe measurements, and Langmuir probe measurements. In addition, several x-ray diagnostics are in operation: pulse height analysis is performed on detector arrays to determine the 5-200 keV spectrum. An insertable target probe is available to create x-rays from fast electrons. Tomographic inversion of 2-D Soft x-ray detectors yields equilibrium information through island structure. Results from experiments with source power up to 225 kW will be presented. Preliminary results from CQL3D Fokker-Planck simulations will also be presented

  8. Do lower vertebrates suffer from motion sickness?

    Science.gov (United States)

    Lychakov, Dmitri

    The poster presents literature data and results of the author’s studies with the goal to find out whether the lower animals are susceptible to motion sickness (Lychakov, 2012). In our studies, fish and amphibians were tested for 2 h and more by using a rotating device (f = 0.24 Hz, a _{centrifugal} = 0.144 g) and a parallel swing (f = 0.2 Hz, a _{horizontal} = 0.059 g). The performed studies did not revealed in 4 fish species and in toads any characteristic reactions of the motion sickness (sopite syndrome, prodromal preparatory behavior, vomiting). At the same time, in toads there appeared characteristic stress reactions (escape response, an increase of the number of urinations, inhibition of appetite), as well as some other reactions not associated with motion sickness (regular head movements, eye retractions). In trout fry the used stimulation promoted division of the individuals into the groups differing by locomotor reaction to stress, as well as the individuals with the well-expressed compensatory reaction that we called the otolithotropic reaction. Analysis of results obtained by other authors confirms our conclusions. Thus, the lower vertebrates, unlike mammals, are immune to motion sickness either under the land conditions or under conditions of weightlessness. On the basis of available experimental data and theoretical concepts of mechanisms of development the motion sickness, formulated in several hypotheses (mismatch hypothesis, Traisman‘ s hypothesis, resonance hypothesis), there presented the synthetic hypothesis of motion sickness that has the conceptual significance. According to the hypothesis, the unusual stimulation producing sensor-motor or sensor-sensor conflict or an action of vestibular and visual stimuli of frequency of about 0.2 Hz is perceived by CNS as poisoning and causes the corresponding reactions. The motion sickness actually is a byproduct of technical evolution. It is suggested that in the lower vertebrates, unlike mammals

  9. Environmental analysis of Lower Pueblo/Lower Los Alamos Canyon, Los Alamos, New Mexico

    International Nuclear Information System (INIS)

    Ferenbaugh, R.W.; Buhl, T.E.; Stoker, A.K.; Becker, N.M.; Rodgers, J.C.; Hansen, W.R.

    1994-12-01

    The radiological survey of the former radioactive waste treatment plant site (TA-45), Acid Canyon, Pueblo Canyon, and Los Alamos Canyon found residual contamination at the site itself and in the channel and banks of Acid, Pueblo, and lower Los Alamos Canyons all the way to the Rio Grande. The largest reservoir of residual radioactivity is in lower Pueblo Canyon, which is on DOE property. However, residual radioactivity does not exceed proposed cleanup criteria in either lower Pueblo or lower Los Alamos Canyons. The three alternatives proposed are (1) to take no action, (2) to construct a sediment trap in lower Pueblo Canyon to prevent further transport of residual radioactivity onto San Ildefonso Indian Pueblo land, and (3) to clean the residual radioactivity from the canyon system. Alternative 2, to cleanup the canyon system, is rejected as a viable alternative. Thousands of truckloads of sediment would have to be removed and disposed of, and this effort is unwarranted by the low levels of contamination present. Residual radioactivity levels, under either present conditions or projected future conditions, will not result in significant radiation doses to persons exposed. Modeling efforts show that future transport activity will not result in any residual radioactivity concentrations higher than those already existing. Thus, although construction of a sediment trap in lower Pueblo Canyon is a viable alternative, this effort also is unwarranted, and the no-action alternative is the preferred alternative

  10. Environmental analysis of Lower Pueblo/Lower Los Alamos Canyon, Los Alamos, New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    Ferenbaugh, R.W.; Buhl, T.E.; Stoker, A.K.; Becker, N.M.; Rodgers, J.C.; Hansen, W.R.

    1994-12-01

    The radiological survey of the former radioactive waste treatment plant site (TA-45), Acid Canyon, Pueblo Canyon, and Los Alamos Canyon found residual contamination at the site itself and in the channel and banks of Acid, Pueblo, and lower Los Alamos Canyons all the way to the Rio Grande. The largest reservoir of residual radioactivity is in lower Pueblo Canyon, which is on DOE property. However, residual radioactivity does not exceed proposed cleanup criteria in either lower Pueblo or lower Los Alamos Canyons. The three alternatives proposed are (1) to take no action, (2) to construct a sediment trap in lower Pueblo Canyon to prevent further transport of residual radioactivity onto San Ildefonso Indian Pueblo land, and (3) to clean the residual radioactivity from the canyon system. Alternative 2, to cleanup the canyon system, is rejected as a viable alternative. Thousands of truckloads of sediment would have to be removed and disposed of, and this effort is unwarranted by the low levels of contamination present. Residual radioactivity levels, under either present conditions or projected future conditions, will not result in significant radiation doses to persons exposed. Modeling efforts show that future transport activity will not result in any residual radioactivity concentrations higher than those already existing. Thus, although construction of a sediment trap in lower Pueblo Canyon is a viable alternative, this effort also is unwarranted, and the no-action alternative is the preferred alternative.

  11. High tobacco consumption lowers body weight

    DEFF Research Database (Denmark)

    Winsløw, Ulrik C; Rode, Line; Nordestgaard, Børge G

    2015-01-01

    in former or never smokers. CONCLUSIONS: High tobacco consumption causes lower body weight among current smokers. However, smoking does not seem to affect body shape or fat distribution causally. The lack of association between CHRNA3 genotype and body weight among former smokers and never smokers favours......BACKGROUND: Conflicting evidence has been found regarding the association between high tobacco consumption and body weight among smokers. We tested the hypothesis that high tobacco consumption is causally associated with low body weight. METHODS: We conducted a Mendelian randomization study...... with a genetic variant in CHRNA3 (rs1051730) as proxy for high tobacco consumption. The cohort consisted of 80,342 participants from the Copenhagen General Population Study, with details on body weight, smoking habits and CHRNA3 genotype, including 15,220 current smokers. RESULTS: In observational analyses, high...

  12. Light water reactor lower head failure analysis

    International Nuclear Information System (INIS)

    Rempe, J.L.; Chavez, S.A.; Thinnes, G.L.

    1993-10-01

    This document presents the results from a US Nuclear Regulatory Commission-sponsored research program to investigate the mode and timing of vessel lower head failure. Major objectives of the analysis were to identify plausible failure mechanisms and to develop a method for determining which failure mode would occur first in different light water reactor designs and accident conditions. Failure mechanisms, such as tube ejection, tube rupture, global vessel failure, and localized vessel creep rupture, were studied. Newly developed models and existing models were applied to predict which failure mechanism would occur first in various severe accident scenarios. So that a broader range of conditions could be considered simultaneously, calculations relied heavily on models with closed-form or simplified numerical solution techniques. Finite element techniques-were employed for analytical model verification and examining more detailed phenomena. High-temperature creep and tensile data were obtained for predicting vessel and penetration structural response

  13. Critical power for lower hybrid current drive

    International Nuclear Information System (INIS)

    Assis, A.S. de; Sakanaka, P.H.; Azevedo, C.A. de; Busnardo-Neto, J.

    1995-11-01

    We have solved numerically the quasilinear Fokker-Planck equation which models the critical power for lower hybrid wave current drive. An exact value for the critical power necessary for current saturation, for tokamak current drive experiments, has been obtained. The nonlinear treatment presented here leads to a final profile for the parallel distribution function which is a plateau only in a part of the resonance region. This form of the distribution function is intermediate between two well known results: a plateau throughout the resonance region for the linear strong-source regime, D wave >> D coll and no plateau at all in the resonance region the linear weak-source regimen, D wave coll . The strength of the external power source and the value of the dc electric field are treated as given parameters in the integration scheme. (author). 24 refs, 6 figs

  14. Lower hybrid experiments in the Petula tokamak

    International Nuclear Information System (INIS)

    Singh, C.M.; Briand, P.; Dupas, I.

    1978-01-01

    The study of lower hybrid waves on Petula Tokamak addresses itself to the following questions: wave excitation by phased waveguide arrays, technological problems encountered with high power microwave circuitry, and nonlinear processes induced by large amplitude pump waves. An r.f. generator was used to deliver a maximum power of 1.0 MW, 100 μs at 1.25 GHz to a two waveguide grill (Emax=4 kV/cm). The data reported here were taken in a deuterium plasma, n(e)=3.5x10 13 cm -3 , T(e) 500 eV, T(i) 200 eV and B=15 kG. The choice of the plasma parameters and the frequency of the pump was made so as to avoid the linear mode conversion layer in the plasma

  15. Neuropeptides in Lower Urinary Tract (LUT) Function

    Science.gov (United States)

    Arms, Lauren; Vizzard, Margaret A.

    2014-01-01

    Numerous neuropeptide/receptor systems including vasoactive intestinal polypeptide, pituitary adenylate cyclase-activating polypeptide, calcitonin gene-related peptide, substance P, neurokinin A, bradykinin, and endothelin-1 are expressed in the lower urinary tract (LUT) in both neural and non-neural (e.g., urothelium) components. LUT neuropeptide immunoreactivity is present in afferent and autonomic efferent neurons innervating the bladder and urethra and in the urothelium of the urinary bladder. Neuropeptides have tissue-specific distributions and functions in the LUT and exhibit neuroplastic changes in expression and function with LUT dysfunction following neural injury, inflammation and disease. LUT dysfunction with abnormal voiding including urinary urgency, increased voiding frequency, nocturia, urinary incontinence and pain may reflect a change in the balance of neuropeptides in bladder reflex pathways. LUT neuropeptide/receptor systems may represent potential targets for therapeutic intervention. PMID:21290237

  16. Lower limb asymmetry in mechanical muscle function

    DEFF Research Database (Denmark)

    Jordan, M J; Aagaard, Per; Herzog, W

    2015-01-01

    .05), and the final phase of the SJ (P AI in the CMJ concentric phase (r = 0.57, P Future research is required to assess the role of the CMJ and SJ phase-specific kinetic impulse AI......-R). Elite alpine skiers with ACL-R (n = 9; 26.2 ± 11.8 months post-op) and uninjured skiers (n = 9) participated in neuromuscular screening. Vertical ground reaction force during the CMJ and SJ was assessed using dual force plate methodology to obtain phase-specific bilateral asymmetry indices (AIs......) for kinetic impulse (CMJ and SJ phase-specific kinetic impulse AI). Dual x-ray absorptiometry scanning was used to assess asymmetry in lower body muscle mass. Compared with controls, ACL-R skiers had increased AI in muscle mass (P AI in the CMJ concentric phase (P 

  17. Queen promiscuity lowers disease within honeybee colonies

    Science.gov (United States)

    Seeley, Thomas D; Tarpy, David R

    2006-01-01

    Most species of social insects have singly mated queens, but in some species each queen mates with numerous males to create a colony with a genetically diverse worker force. The adaptive significance of polyandry by social insect queens remains an evolutionary puzzle. Using the honeybee (Apis mellifera), we tested the hypothesis that polyandry improves a colony's resistance to disease. We established colonies headed by queens that had been artificially inseminated by either one or 10 drones. Later, we inoculated these colonies with spores of Paenibacillus larvae, the bacterium that causes a highly virulent disease of honeybee larvae (American foulbrood). We found that, on average, colonies headed by multiple-drone inseminated queens had markedly lower disease intensity and higher colony strength at the end of the summer relative to colonies headed by single-drone inseminated queens. These findings support the hypothesis that polyandry by social insect queens is an adaptation to counter disease within their colonies. PMID:17015336

  18. Lower complexity bounds for lifted inference

    DEFF Research Database (Denmark)

    Jaeger, Manfred

    2015-01-01

    instances of the model. Numerous approaches for such “lifted inference” techniques have been proposed. While it has been demonstrated that these techniques will lead to significantly more efficient inference on some specific models, there are only very recent and still quite restricted results that show...... the feasibility of lifted inference on certain syntactically defined classes of models. Lower complexity bounds that imply some limitations for the feasibility of lifted inference on more expressive model classes were established earlier in Jaeger (2000; Jaeger, M. 2000. On the complexity of inference about...... that under the assumption that NETIME≠ETIME, there is no polynomial lifted inference algorithm for knowledge bases of weighted, quantifier-, and function-free formulas. Further strengthening earlier results, this is also shown to hold for approximate inference and for knowledge bases not containing...

  19. Light water reactor lower head failure analysis

    Energy Technology Data Exchange (ETDEWEB)

    Rempe, J.L.; Chavez, S.A.; Thinnes, G.L. [EG and G Idaho, Inc., Idaho Falls, ID (United States)] [and others

    1993-10-01

    This document presents the results from a US Nuclear Regulatory Commission-sponsored research program to investigate the mode and timing of vessel lower head failure. Major objectives of the analysis were to identify plausible failure mechanisms and to develop a method for determining which failure mode would occur first in different light water reactor designs and accident conditions. Failure mechanisms, such as tube ejection, tube rupture, global vessel failure, and localized vessel creep rupture, were studied. Newly developed models and existing models were applied to predict which failure mechanism would occur first in various severe accident scenarios. So that a broader range of conditions could be considered simultaneously, calculations relied heavily on models with closed-form or simplified numerical solution techniques. Finite element techniques-were employed for analytical model verification and examining more detailed phenomena. High-temperature creep and tensile data were obtained for predicting vessel and penetration structural response.

  20. Lower Red River Meadow Stream Restoration Project

    International Nuclear Information System (INIS)

    1996-05-01

    As part of a continuing effort to restore anadromous fish populations in the South Fork Clearwater River basin of Idaho, Bonneville Power Administration (BPA) proposes to fund the Lower Red River Meadow Restoration Project (Project). The Project is a cooperative effort with the Idaho Soil and Water Conservation District, Nez Perce National Forest, Idaho Department of Fish and Game (IDFG), and the Nez Perce Tribe of Idaho. The proposed action would allow the sponsors to perform stream bank stabilization, aquatic and riparian habitat improvement activities on IDFG's Red River Management Area and to secure long-term conservation contracts or agreements for conducting streambank and habitat improvement activities with participating private landowners located in the Idaho County, Idaho, study area. This preliminary Environmental Assessment (EA) examines the potential environmental effects of stabilizing the stream channel, restoring juvenile fish rearing habitat and reestablishing a riparian shrub community along the stream

  1. Residual impairment after lower extremity fracture

    DEFF Research Database (Denmark)

    Faergemann, C; Frandsen, P A; Röck, N D

    1998-01-01

    In a prospective follow-up study of 158 consecutive patients 18 to 64 years old with unilateral lower extremity fracture, our aim was to disclose the impairment and disability 6 months after the injury. The patients were interviewed within 1 week after the trauma, and all patients returned...... the functional status before the injury. Additionally, three major aspects of impairments were measured 6 months after the fractures: range of motion, muscle strength, and pain. Most patients had a significantly higher SIP score 6 months after the fracture(s) than pretraumatically. The mean overall SIP score...... was 2.7 pretraumatically and 8.7 6 months posttraumatically. Major deficits in range of motion was observed, especially in the ankle joint. Additionally, loss of muscle strength was observed in the thigh and calf muscles in one fourth of the patients. Only low levels of residual pain were reported after...

  2. Lipid-lowering effects of statins

    International Nuclear Information System (INIS)

    Ramos-Esquivel, Allan; Leon-Cespedes, Carlos

    2007-01-01

    Statins have become one of the most prescribed drugs in the world. These medications are used in the treatment of dyslipidemia and in the prevention of cardiovascular diseases. Recently, new evidence has emerged about their mechanisms of action and their pleiotropic properties, well beyond lowering cholesterol levels. This pharmacodynamic action has called the attention of many investigators who suggest their use in several diseases centered on inflammation, immune disorders and cell proliferation. Although there is wide evidence that recognizes their efficacy in several disease models, there is still a lack of studies to approve their use in clinical practice. The pharmacodynamic properties focusing on the pathophysiology that suggests their clinical use in the treatment of several diseases have been reviewed. (author) [es

  3. Lipid-lowering therapy: who can benefit

    Directory of Open Access Journals (Sweden)

    Lewis S

    2011-08-01

    Full Text Available Sandra J LewisNorthwest Cardiovascular Institute, Portland, OR, USAAbstract: Cardiovascular disease (CVD is the leading cause of death in the US. Despite the decline in CVD-associated mortality rates in recent years, coronary heart disease (CHD still causes one in every six deaths in this country. Because most CHD risk factors are modifiable (eg, smoking, hypertension, obesity, onset of type 2 diabetes, and dyslipidemia, cardiovascular risk can be reduced by timely and appropriate interventions, such as smoking cessation, diet and lifestyle changes, and lipid-modifying therapy. Dyslipidemia, manifested by elevated low-density lipoprotein cholesterol (LDL-C, is central to the development and progression of atherosclerosis, which can be silent for decades before triggering a first major cardiovascular event. Consequently, dyslipidemia has become a primary target of intervention in strategies for the prevention of cardiovascular events. The guidelines of the Adult Treatment Panel (ATP III, updated in 2004, recommend therapeutic lifestyle changes and the use of lipid-lowering medications, such as statins, to achieve specific LDL-C goals based on a person’s global cardiovascular risk. For high-risk individuals, such as patients with CHD and diabetic patients without CHD, an LDL-C target of < 100 mg/dL is recommended, and statin therapy should be considered to help patients achieve this goal. If correctly dosed in appropriate patients, currently approved statins are generally safe and provide significant cardiovascular benefits in diverse populations, including women, the elderly, and patients with diabetes. A recent primary prevention trial also showed that statins benefit individuals traditionally not considered at high risk of CHD, such as those with no hyperlipidemia but elevated C-reactive protein. Additional evidence suggests that statins may halt or slow atherosclerotic disease progression. Recent evidence confirms the pivotal role of

  4. Managing lower urinary tract symptoms in men.

    Science.gov (United States)

    MacKenzie, Kenneth R; Aning, Jonathan J

    2016-04-01

    Male lower urinary tract symptoms (LUTS) are common and increase in prevalence with age. Up to 90% of men aged 50 to 80 may suffer from troublesome LUTS. Men may attend expressing direct concern about micturition, describing one or more LUTS and the related impact on their quality of life. Frequently men may present for other medical or urological reasons such as concern regarding their risk of having prostate cancer or erectile dysfunction but on taking a history bothersome LUTS are identified. Men may present late in the community with urinary retention: the inability to pass urine. A thorough urological history is essential to inform management. It is important to determine whether men have storage or voiding LUTS or both. All patients must have a systematic comprehensive examination including genitalia and a digital rectal examination. Investigations performed in primary care should be guided by the history and examination findings, taking into account the impact of the LUTS on the individual's quality of life. Current NICE guidelines recommend the following to be performed at initial assessment: frequency volume chart (FVC); urine dipstick to detect blood, glucose, protein, leucocytes and nitrites; and prostate specific antigen. Men should be referred for urological review if they have: bothersome LUTS which have not responded to conservative management or medical therapy; LUTS in association with recurrent or persistent UTIs; urinary retention; renal impairment suspected to be secondary to lower urinary tract dysfunction; or suspected urological malignancy. All patients not meeting criteria for immediate referral to urology can be managed initially in primary care. Based on history, examination and investigation findings an individualised management plan should be formulated. Basic lifestyle advice should be given regarding reduction or avoidance of caffeinated products and alcohol. The FVC should guide advice regarding fluid intake management and all

  5. Lower limb joint replacement in rheumatoid arthritis

    Directory of Open Access Journals (Sweden)

    Clement Nicholas D

    2012-06-01

    Full Text Available Abstract Introduction There is limited literature regarding the peri-operative and surgical management of patients with rheumatoid disease undergoing lower limb arthroplasty. This review article summarises factors involved in the peri-operative management of major lower limb arthroplasty surgery for patients with rheumatoid arthritis. Methods We performed a search of the medical literature, using the PubMed search engine (http://www.pubmed.gov. We used the following terms: ‘rheumatoid’ ‘replacement’ ‘arthroplasty’ and ‘outcome’. Findings The patient should be optimised pre-operatively using a multidisciplinary approach. The continued use of methotrexate does not increase infection risk, and aids recovery. Biologic agents should be stopped pre-operatively due the increased infection rate. Patients should be made aware of the increased risk of infection and periprosthetic fracture rates associated with their disease. The surgical sequence is commonly hip, knee and then ankle. Cemented total hip replacement (THR and total knee replacement (TKR have superior survival rates over uncemented components. The evidence is not clear regarding a cruciate sacrificing versus retaining in TKR, but a cruciate sacrificing component limits the risk early instability and potential revision. Patella resurfacing as part of a TKR is associated with improved outcomes. The results of total ankle replacement remain inferior to THR and TKR. RA patients achieve equivalent pain relief, but their rehabilitation is slower and their functional outcome is not as good. However, the key to managing these complicated patients is to work as part of a multidisciplinary team to optimise their outcome.

  6. Evaporite karst of northern lower Michigan

    Science.gov (United States)

    Black, T.J.

    1997-01-01

    Michigan has three main zones of evaporite karst: collapse breccia in Late Silurian deposits of the Mackinac Straits region; breccia, collapse sinks, and mega-block collapse in Middle Devonian deposits of Northern Lower Michigan, which overlaps the preceding area; and areas of soil swallows in sinks of Mississippian deposits between Turner and Alabaster in Arenac and Iosco counties, and near Grand Rapids in Kent County. The author has focused his study on evaporite karst of the Middle Devonian deposits. The Middle Devonian depos its are the Detroit River Group: a series consisting of limestone, dolomite, shale, salt, gypsum, and anhydrite. The group occurs from subcrop, near the surface, to nearly 1400 feet deep from the northern tip of the Southern Peninsula to the south edge of the "solution front" Glacial drift is from zero to 350 feet thick. Oil and gas exploration has encountered some significant lost-circulation zones throughout the area. Drilling without fluid returns, casing-seal failures, and lost holes are strong risks in some parts of the region. Lost fluid returns near the top of the group in nearby areas indicate some karst development shortly after deposition. Large and irregular lost-circulation zones, linear and patch trends of large sink holes, and 0.25 mile wide blocks of down-dropped land in the northern Lower Peninsula of Michigan were caused by surface- and ground-water movement along faults into the Detroit River Group. Glaciation has removed some evidence of the karst area at the surface. Sinkhole development, collapse valleys, and swallows developed since retreat of the glacier reveal an active solution front in the Detroit River Group.

  7. PWR upper/lower internals shield

    Energy Technology Data Exchange (ETDEWEB)

    Homyk, W.A. [Indian Point Station, Buchanan, NY (United States)

    1995-03-01

    During refueling of a nuclear power plant, the reactor upper internals must be removed from the reactor vessel to permit transfer of the fuel. The upper internals are stored in the flooded reactor cavity. Refueling personnel working in containment at a number of nuclear stations typically receive radiation exposure from a portion of the highly contaminated upper intervals package which extends above the normal water level of the refueling pool. This same issue exists with reactor lower internals withdrawn for inservice inspection activities. One solution to this problem is to provide adequate shielding of the unimmersed portion. The use of lead sheets or blankets for shielding of the protruding components would be time consuming and require more effort for installation since the shielding mass would need to be transported to a support structure over the refueling pool. A preferable approach is to use the existing shielding mass of the refueling pool water. A method of shielding was devised which would use a vacuum pump to draw refueling pool water into an inverted canister suspended over the upper internals to provide shielding from the normally exposed components. During the Spring 1993 refueling of Indian Point 2 (IP2), a prototype shield device was demonstrated. This shield consists of a cylindrical tank open at the bottom that is suspended over the refueling pool with I-beams. The lower lip of the tank is two feet below normal pool level. After installation, the air width of the natural shielding provided by the existing pool water. This paper describes the design, development, testing and demonstration of the prototype device.

  8. Petrologic Constraints on Iceland's Lower Crust

    Science.gov (United States)

    Kelley, D. F.; Leftwich, T. E.; Barton, M.

    2005-05-01

    Iceland is an area of relatively thick ocean crust that straddles the spreading MAR. Iceland was created by seafloor spreading originating about 55 Ma above abnormally hot mantle. The high temperatures resulted in greater melt volumes that enhanced crustal thickening. Geophysical investigations provide fundamental insight on crustal features, but results are contradictory. Early seismic, magneto-telluric, and resistivity studies predicted thin crust with partial melt regions at depths of 10-15 km beneath the neovolcanic zones. Reinterpretations based on recent seismic studies suggest thicker and cooler crust. These studies have shown magma lenses at shallow depths beneath volcanic centers, but cannot confirm their presence in the lower crust. Knowledge of the depth of magma chambers is critical to constrain the geothermal gradients in Icelandic crust and to resolve discrepancies in interpretation of geophysical data. Analyses of glasses in Icelandic lavas erupted from 11 volcanic centers throughout the rift zones have been compiled. The pressures of equilibration of these liquids with ol, high-Ca pyx, and plag were estimated qualitatively from projections into the pseudoternary system Ol-Di-Qtz. The results (ca. 0.6 GPa) indicate crystallization in magma chambers located at about 20 km depth. Equilibrium pressures also have been calculated quantitatively. These results (0.6±0.2 GPa) indicate magma chambers at 19.8±6.5 km depth beneath the volcanic centers. Magma chamber at these depths are located in the lower crust inferring that it must be relatively warm. Geothermal gradients have been calculated using the depths of the sourcing magma chambers and any shallow seismically detected magma chambers at each location. An average crustal composition has been calculated from the compiled geochemical data and was used to calculate density variations and seismic velocities along the geotherms. The distribution of sample locations in this study provides sufficient data

  9. Local dynamic stability of lower extremity joints in lower limb amputees during slope walking.

    Science.gov (United States)

    Chen, Jin-Ling; Gu, Dong-Yun

    2013-01-01

    Lower limb amputees have a higher fall risk during slope walking compared with non-amputees. However, studies on amputees' slope walking were not well addressed. The aim of this study was to identify the difference of slope walking between amputees and non-amputees. Lyapunov exponents λS was used to estimate the local dynamic stability of 7 transtibial amputees' and 7 controls' lower extremity joint kinematics during uphill and downhill walking. Compared with the controls, amputees exhibited significantly lower λS in hip (P=0.04) and ankle (P=0.01) joints of the sound limb, and hip joints (P=0.01) of the prosthetic limb during uphill walking, while they exhibited significantly lower λS in knee (P=0.02) and ankle (P=0.03) joints of the sound limb, and hip joints (P=0.03) of the prosthetic limb during downhill walking. Compared with amputees level walking, they exhibited significantly lower λS in ankle joints of the sound limb during both uphill (P=0.01) and downhill walking (P=0.01). We hypothesized that the better local dynamic stability of amputees was caused by compensation strategy during slope walking.

  10. Sporadic plasma heating in the lower chromosphere

    Science.gov (United States)

    Zaitsev, V. V.

    2014-12-01

    It is usually assumed that heating of the chromosphere is caused by the precipitation of energetic particles (electrons and protons) accelerated in the solar corona, namely, at flare arc tops. On the other hand, recently obtained observational data show that the chromospheric footpoints of compact magnetic loops are directly heated to ≥106 K, and hot plasma erupted from the footpoints of such loops. The plasma mechanism of the THz emission of flares may also indicate that deep chromospheric layers with densities up to n ≈ 1015 cm-3 can be heated to about 105-106 K. It has been shown that electrons can be accelerated and plasma can be heated in the lower chromosphere when the Rayleigh-Taylor instability develops at magnetic loop chromo-spheric footpoints. This instability results in the penetration of the upper chromospheric plasma into a loop and induces an electric field that effectively accelerates electrons and leads to in situ heating of the chromo-sphere.

  11. Lower hybrid current drive in tokamak plasmas

    Energy Technology Data Exchange (ETDEWEB)

    Ushigusa, Kenkichi [Japan Atomic Energy Research Inst., Naka, Ibaraki (Japan). Naka Fusion Research Establishment

    1999-03-01

    Past ten years progress on Lower Hybrid Current Drive (LHCD) experiments have demonstrated the largest non-inductive current (3.6 MA, JT-60U), the longest current sustainment (2 hours, TRIAM-1M), non-inductive current drive at the highest density (n-bar{sub e} - 10{sup 20}m{sup -3}, ALCATOR-C) and the highest current drive efficiency ({eta}{sub CD} = 3.5x10{sup 19} m{sup -2}A/W, JT-60). These results indicate that LHCD is one of the most promising methods to drive non-inductive current in the present tokamak plasmas. This paper presents recent experimental results on LHCD experiments. Basic theories of LH waves, the wave propagation and the current drive are briefly summarized. The main part of this paper describes several important results and their physical pictures on recent LHCD experiments; 1) the experimental set-up, 2) the current drive efficiency, 3) the control of current profile and MHD activities, 4) the global energy confinement, 5) the global power flow, 6) fast electron behavior, 7) interaction between LH waves and thermal/fast ions, 8) combination with other CD method. (author)

  12. The Success Story of LDL Cholesterol Lowering.

    Science.gov (United States)

    Pedersen, Terje R

    2016-02-19

    We can look back at >100 years of cholesterol research that has brought medicine to a stage where people at risk of severe or fatal coronary heart disease have a much better prognosis than before. This progress has not come about without resistance. Perhaps one of the most debated topics in medicine, the cholesterol controversy, could only be brought to rest through the development of new clinical research methods that were capable of taking advantage of the amazing achievements in basic and pharmacological science after the second World War. It was only after understanding the biochemistry and physiology of cholesterol synthesis, transport and clearance from the blood that medicine could take advantage of drugs and diets to reduce the risk of atherosclerotic diseases. This review points to the highlights of the history of low-density lipoprotein-cholesterol lowering, with the discovery of the low-density lipoprotein receptor and its physiology and not only the development of statins as the stellar moments but also the development of clinical trial methodology as an effective tool to provide scientifically convincing evidence. © 2016 American Heart Association, Inc.

  13. Living With Chronic Lower Pulmonary Disease

    Directory of Open Access Journals (Sweden)

    Charlotte Pooler

    2014-09-01

    Full Text Available In this article, I present a phenomenological study of individuals’ experiences of living with moderate to very severe chronic lower pulmonary disease (chronic obstructive pulmonary disease, asthma, or both. Phenomenology is a philosophy, distinct from descriptive or thematic research, which is useful as a foundation for scientific inquiry. In this study, I used the lens of Merleau-Ponty to understand and interpret participants’ experiences of living with pulmonary disease, and the approach of van Manen for analysis. I conclude that in chronic pulmonary disease, awareness of breathing and the body is experienced in the sounds, sensations, and signals of breathing and the body, and in the experiences of the body-in-the-world. Central themes of being-in-the-world from the study describe the disruption of the embodied phenomenological self: Participants experienced slowing down, doing less, and having to stop due to shortness of breath. Both chronic and acute dyspnea were prevalent and the taken-for-granted aspects of daily activities were disrupted. Findings of this study have implications for public and patient education, and opportunities for integration of experiential aspects within nursing education and practice.

  14. Living With Chronic Lower Pulmonary Disease

    Science.gov (United States)

    Pooler, Charlotte

    2014-01-01

    In this article, I present a phenomenological study of individuals’ experiences of living with moderate to very severe chronic lower pulmonary disease (chronic obstructive pulmonary disease, asthma, or both). Phenomenology is a philosophy, distinct from descriptive or thematic research, which is useful as a foundation for scientific inquiry. In this study, I used the lens of Merleau-Ponty to understand and interpret participants’ experiences of living with pulmonary disease, and the approach of van Manen for analysis. I conclude that in chronic pulmonary disease, awareness of breathing and the body is experienced in the sounds, sensations, and signals of breathing and the body, and in the experiences of the body-in-the-world. Central themes of being-in-the-world from the study describe the disruption of the embodied phenomenological self: Participants experienced slowing down, doing less, and having to stop due to shortness of breath. Both chronic and acute dyspnea were prevalent and the taken-for-granted aspects of daily activities were disrupted. Findings of this study have implications for public and patient education, and opportunities for integration of experiential aspects within nursing education and practice. PMID:28462289

  15. Lowering resistance of the Hoyle Pond Mine

    Energy Technology Data Exchange (ETDEWEB)

    Desjardins, M. [Goldcorp Canada Ltd., Porcupine Gold Mines, Hoyle Pond Mine, Timmins, ON (Canada)

    2010-07-01

    The Hoyle Pond underground mine is located in the Porcupine Gold Camp, east of Timmins, Ontario. Various mining methods are used to excavate the gold, each with different ventilation requirements in terms of layout and volume. The mine was originally designed as a shallow mine but is planning to reach a depth of 2500 m. This paper described the events that lead to the high system pressures encountered at the mine, and the measures taken to reduce them. New surface fans and a new fresh air raise (FAR) were commissioned in 2005. The old FAR had to be sealed as soon as the new fans were in place in order to prevent short-circuiting. As a result, the mine resistance curve steepened considerably. The total pressure at the fan increased from 1500 Pa to 3000 Pa. As such, only 1 surface fan could operate at any give time, providing only half the possible volume of air. The challenge was to reduce the mine's resistance while getting the desired volume of air down to to the mining faces at depth. The solutions were to install booster fans and initiate a raise-bore program that would link the 450 m level to 900 m level. These measures twinned the existing fresh air circuit and resulted in a lowering of the overall mine resistance curve. 1 ref., 9 figs.

  16. Guidelines in lower-middle income countries.

    Science.gov (United States)

    Olayemi, Edeghonghon; Asare, Eugenia V; Benneh-Akwasi Kuma, Amma A

    2017-06-01

    Guidelines include recommendations intended to optimize patient care; used appropriately, they make healthcare consistent and efficient. In most lower-middle income countries (LMICs), there is a paucity of well-designed guidelines; as a result, healthcare workers depend on guidelines developed in Higher Income Countries (HICs). However, local guidelines are more likely to be implemented because they are applicable to the specific environment; and consider factors such as availability of resources, specialized skills and local culture. If guidelines developed in HICs are to be implemented in LMICs, developers need to incorporate local experts in their development. Involvement of local stakeholders may improve the rates of implementation by identifying and removing barriers to implementation in LMICs. Another option is to encourage local experts to adapt them for use in LMICs; these guidelines may recommend strategies different from those used in HICs, but will be aimed at achieving the best practicable standard of care. Infrastructural deficits in LMICs could be improved by learning from and building on the successful response to the human immunodeficiency virus/acquired immunodeficiency syndrome pandemic through interactions between HICs and LMICs. Similarly, collaborations between postgraduate medical colleges in both HICs and LMICs may help specialist doctors training in LMICs develop skills required for guideline development and implementation. © 2017 John Wiley & Sons Ltd.

  17. Stress fractures in the lower extremity

    International Nuclear Information System (INIS)

    Berger, Ferco H.; Jonge, Milko C. de; Maas, Mario

    2007-01-01

    Stress fractures are fatigue injuries of bone usually caused by changes in training regimen in the population of military recruits and both professional and recreational athletes. Raised levels of sporting activity in today's population and refined imaging technologies have caused a rise in reported incidence of stress fractures in the past decades, now making up more than 10% of cases in a typical sports medicine practice. Background information (including etiology, epidemiology, clinical presentation and treatment and prevention) as well as state of the art imaging of stress fractures will be discussed to increase awareness amongst radiologists, providing the tools to play an important role in diagnosis and prognosis of stress fractures. Specific fracture sites in the lower extremity will be addressed, covering the far majority of stress fracture incidence. Proper communication between treating physician, physical therapist and radiologist is needed to obtain a high index of suspicion for this easily overlooked entity. Radiographs are not reliable for detection of stress fractures and radiologist should not falsely be comforted by them, which could result in delayed diagnosis and possibly permanent consequences for the patient. Although radiographs are mandatory to rule out differentials, they should be followed through when negative, preferably by magnetic resonance imaging (MRI), as this technique has proven to be superior to bone scintigraphy. CT can be beneficial in a limited number of patients, but should not be used routinely

  18. Lower extremity kinetics in tap dance.

    Science.gov (United States)

    Mayers, Lester; Bronner, Shaw; Agraharasamakulam, Sujani; Ojofeitimi, Sheyi

    2010-01-01

    Tap dance is a unique performing art utilizing the lower extremities as percussion instruments. In a previous study these authors reported decreased injury prevalence among tap dancers compared to other dance and sports participants. No biomechanical analyses of tap dance exist to explain this finding. The purpose of the current pilot study was to provide a preliminary overview of normative peak kinetic and kinematic data, based on the hypothesis that tap dance generates relatively low ground reaction forces and joint forces and moments. Six professional tap dancers performed four common tap dance sequences that produced data captured by the use of a force platform and a five-camera motion analysis system. The mean vertical ground reaction force for all sequences was found to be 2.06+/-0.55 BW. Mean peak sagittal, frontal, and transverse plane joint moments (hip, knee, and ankle) ranged from 0.07 to 2.62 N.m/kg. These small ground reaction forces and joint forces and moments support our hypothesis, and may explain the relatively low injury incidence in tap dancers. Nevertheless, the analysis is highly complex, and other factors remain to be studied and clarified.

  19. Cholesterol-lowering drugs: science and marketing.

    Science.gov (United States)

    Garattini, Livio; Padula, Anna

    2017-02-01

    Long-term use of statin therapy is essential to obtain clinical benefits, but adherence is often suboptimal and some patients are also reported to fail because of 'statin resistance'. The identification of PCSK9 as a key factor in the LDL clearance pathway has led to the development of new monoclonal antibodies. Here we critically review the economic evaluations published in Europe and focused on statins. We searched the PubMed database to select the studies published from July 2006 to June 2016 and finally selected 19 articles. Overall, the majority of studies were conducted from a third-party payer's viewpoint and recurred to modelling. Most studies were sponsored by industry and funding seemed to play a pivotal role in the study design. Patients resistant to LDL-C level reduction were considered only in a few studies. The place in therapy of the new class of biologic should be considered a kind of 'third line' for cholesterol-lowering, after patients have failed with restricted dietary regimens and then with current drug therapies. Otherwise they could result in hardly sustainable expenses even for developed countries.

  20. Lower hybrid current drive in tokamak plasmas

    International Nuclear Information System (INIS)

    Ushigusa, Kenkichi

    1999-03-01

    Past ten years progress on Lower Hybrid Current Drive (LHCD) experiments have demonstrated the largest non-inductive current (3.6 MA, JT-60U), the longest current sustainment (2 hours, TRIAM-1M), non-inductive current drive at the highest density (n-bar e - 10 20 m -3 , ALCATOR-C) and the highest current drive efficiency (η CD = 3.5x10 19 m -2 A/W, JT-60). These results indicate that LHCD is one of the most promising methods to drive non-inductive current in the present tokamak plasmas. This paper presents recent experimental results on LHCD experiments. Basic theories of LH waves, the wave propagation and the current drive are briefly summarized. The main part of this paper describes several important results and their physical pictures on recent LHCD experiments; 1) the experimental set-up, 2) the current drive efficiency, 3) the control of current profile and MHD activities, 4) the global energy confinement, 5) the global power flow, 6) fast electron behavior, 7) interaction between LH waves and thermal/fast ions, 8) combination with other CD method. (author)

  1. Adolescent conscientiousness predicts lower lifetime unemployment.

    Science.gov (United States)

    Egan, Mark; Daly, Michael; Delaney, Liam; Boyce, Christopher J; Wood, Alex M

    2017-04-01

    Existing research on Big Five personality and unemployment has relied on personality measures elicited after the respondents had already spent years in the labor market, an experience that could change personality. We clarify the direction of influence by using the British Cohort Study (N = 4,206) to examine whether conscientiousness and other Big Five personality traits at age 16-17 predict unemployment over age 16-42. Our hypothesis that higher conscientiousness in adolescence would predict lower unemployment was supported. In analyses controlling for intelligence, gender, and parental socioeconomic status, the less conscientious (-1 SD) had a predicted probability of unemployment twice as high (3.4% vs. 1.7%) as the highly conscientious (+1 SD), an effect size comparable to intelligence. Mediation analysis revealed that academic motivation and educational attainment explained only 8.9% of this association. Fostering conscientiousness in early life may be an effective way to reduce unemployment throughout adulthood. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

  2. Disorders of the lower cranial nerves

    Science.gov (United States)

    Finsterer, Josef; Grisold, Wolfgang

    2015-01-01

    Lesions of the lower cranial nerves (LCN) are due to numerous causes, which need to be differentiated to optimize management and outcome. This review aims at summarizing and discussing diseases affecting LCN. Review of publications dealing with disorders of the LCN in humans. Affection of multiple LCN is much more frequent than the affection of a single LCN. LCN may be affected solely or together with more proximal cranial nerves, with central nervous system disease, or with nonneurological disorders. LCN lesions have to be suspected if there are typical symptoms or signs attributable to a LCN. Causes of LCN lesions can be classified as genetic, vascular, traumatic, iatrogenic, infectious, immunologic, metabolic, nutritional, degenerative, or neoplastic. Treatment of LCN lesions depends on the underlying cause. An effective treatment is available in the majority of the cases, but a prerequisite for complete recovery is the prompt and correct diagnosis. LCN lesions need to be considered in case of disturbed speech, swallowing, coughing, deglutition, sensory functions, taste, or autonomic functions, neuralgic pain, dysphagia, head, pharyngeal, or neck pain, cardiac or gastrointestinal compromise, or weakness of the trapezius, sternocleidomastoid, or the tongue muscles. To correctly assess manifestations of LCN lesions, precise knowledge of the anatomy and physiology of the area is required. PMID:26167022

  3. Coaxial antenna for lower hybrid heating

    International Nuclear Information System (INIS)

    Le Gardeur, R.J.

    1981-02-01

    A coaxial antenna for the heating of toroidal plasmas has been conceived and constructed. Being wholly metallic (stainless steel), the several coaxial ceramic passages assuring the transit of the H.F. energy into vacuum being situated far from the plasma, the use of such antennas can be envisaged in next generation machines where the environment is particularily severe. The coaxial design (having a lower internal impedance than a wave guide) reduces the electric fields present in the antenna-plasma interface, assuring, at the same time, a spatial uniformity of the fields making possible a substantial reduction in the transmitted power density. The main technological advantages (with respect to a wave guide grill structure) are: (a) simplification of the construction especially in multi-channel systems (b) quasi-elimination of the problems associated with the ceramic windows transmitting the H.F. energy (c) absence of a low frequency cut-off making possible to place launching structures in vertical chimneys where space is limited (d) an eventual reduction of certain phenomena inherent to this type of heating such as particle acceleration, space charge separation, pondemotive forces etc

  4. Lower hybrid experiments in the PETULA Tokamak

    International Nuclear Information System (INIS)

    Melin, G.; Bardet, R.; Bernard, M.

    1979-01-01

    The present paper deals with the application of high RF power near the lower hybrid (LH) frequency to a Tokamak discharge. A double waveguide grill antenna has been used to launch a 1.25 GHz-500kW-6 ms RF pulse in PETULA. One of the objectives of this study is to investigate the technological problems associated with LH heating and caused by the high level of RF power involved. Two aspects have been carefully studied: grill conditioning and grill coupling. The latter is strongly dependent on the scrape-off layer of the PETULA plasma and the observations are possibly not significant. The former aspect though not really understood is probably to be expected in other LH experiments. Plasma experiments have been carried out with a wide range of electron density 2. 13 cm -3 in both hydrogen and deuterium. For hydrogen this allows theoretically linear mode conversion to take place in the discharge. Although some heating has been observed, the experiments are not, as yet, very conclusive. The actual RF pulse duration is hardly larger than the ion energy confinement time, and the radial plasma displacement caused by the RF is not feedback controlled. The main discharge parameters were the following: plasma radius 14 cm, toroidal magnetic field 27 kG, plasma current 75 kA, loop voltage 1.6 V, Zsub(eff) < 2., 800 < Tsub(e)(o)< 1100eV, 200 < Tsub(i)(o)< 350 eV

  5. The Mafic Lower Crust of Neoproterozoic age beneath Western Arabia: Implications for Understanding African Lower Crust

    Science.gov (United States)

    Stern, R. J.; Mooney, W. D.

    2011-12-01

    We review evidence that the lower crust of Arabia - and by implication, that beneath much of Africa was formed at the same time as the upper crust, rather than being a product of Cenozoic magmatic underplating. Arabia is a recent orphan of Africa, separated by opening of the Red Sea ~20 Ma, so our understanding of its lower crust provides insights into that of Africa. Arabian Shield (exposed in W. Arabia) is mostly Neoproterozoic (880-540 Ma) reflecting a 300-million year process of continental crustal growth due to amalgamated juvenile magmatic arcs welded together by granitoid intrusions that make up as much as 50% of the Shield's surface. Seismic refraction studies of SW Arabia (Mooney et al., 1985) reveal two layers, each ~20 km thick, separated by a well-defined Conrad discontinuity. The upper crust has average Vp ~6.3 km/sec whereas the lower crust has average Vp ~7.0 km/sec, corresponding to a granitic upper crust and gabbroic lower crust. Neogene (<30 ma) lava fields in Arabia (harrats) extend over 2500 km, from Yemen to Syria. Many of these lavas contain xenoliths, providing a remarkable glimpse of the lower-crustal and upper-mantle lithosphere beneath W. Arabia. Lower crustal xenoliths brought up in 8 harrats in Saudi Arabia, Jordan, and Syria are mostly 2-pyroxene granulites of igneous (gabbroic, anorthositic, and dioritic) origin. They contain plagioclase, orthopyroxene, and clinopyroxene, and a few contain garnet and rare amphibole and yield mineral-equilibrium temperatures of 700-900°C. Pyroxene-rich and plagioclase-rich suites have mean Al2O3 contents of 13% and 19%, respectively: otherwise the two groups have similar elemental compositions, with ~50% SiO2 and ~1% TiO2, with low K2O (<0.5%) and Na2O (1-3%). Both groups show tholeiitic affinities, unrelated to their alkali basalt hosts. Mean pyroxene-rich and plagioclase-rich suites show distinct mean MgO contents (11% vs. 7%), Mg# (67 vs. 55), and contents of compatible elements Ni (169 vs. 66 ppm

  6. Record of Lower Gondwana megafloral assemblage from Lower Kamthi Formation of Ib River Coalfield, Orissa, India

    Energy Technology Data Exchange (ETDEWEB)

    Goswami, S. [Birbal Sahni Institute of Paleobotany, Lucknow (India)

    2006-03-15

    Recent investigations carried out in the Ib River Coalfield, Mahanadi Master Basin, Orissa, identified some fossiliferous beds in the Lower Gondwana deposits. Two exposures of the Lower Kamthi Formation yielded diverse and abundant plant remains, which include Neomariopteris, Vertebraria, and a scale leaf along with 14 Glossopteris species otherwise mapped as Barren Measures and Upper Kamthi formations. Glossopteris indica dominates the flora (22.78%) followed by G. communis (17.72%) and G. browniana (13.92%). Based on megafloral assemblages, different beds exposed at Gopalpur and Laxamanpur Pahar are assigned here to the Lower Kamthi Formation (Late Permian). The floristic composition suggests that a warm and humid climate prevailed during the Late Permian. The status of the Kamthi Formation in the Ib River Coalfield has been redefined in the present study.

  7. Women of lower educational attainment have lower food involvement and eat less fruit and vegetables

    DEFF Research Database (Denmark)

    Barker, M.; Lawrence, W.; Woadden, J.

    2008-01-01

    Women who leave school with few or no educational qualifications are less likely to have diets that meet current recommendations than women who attain more qualifications at school. We hypothesise that lower 'food involvement', meaning that food has a lower level of importance in their lives......, explains the poorer quality diets of women of lower educational attainment. We administered Bell and Marshall [(2003). The construct of food involvement in behavioral research: Scale development and validation. Appetite, 40, 235-244.] Food Involvement scale to 242 women of varied educational attainment......, of whom 127 were also asked how often they ate fruit and vegetables. Women's food involvement decreased with decreasing educational attainment. Forty-two percent of women who had no educational qualifications were in the lowest quarter of the food involvement score, compared with 12% of women with degrees...

  8. Inhaled antibiotics for lower airway infections.

    Science.gov (United States)

    Quon, Bradley S; Goss, Christopher H; Ramsey, Bonnie W

    2014-03-01

    Inhaled antibiotics have been used to treat chronic airway infections since the 1940s. The earliest experience with inhaled antibiotics involved aerosolizing antibiotics designed for parenteral administration. These formulations caused significant bronchial irritation due to added preservatives and nonphysiologic chemical composition. A major therapeutic advance took place in 1997, when tobramycin designed for inhalation was approved by the U.S. Food and Drug Administration (FDA) for use in patients with cystic fibrosis (CF) with chronic Pseudomonas aeruginosa infection. Attracted by the clinical benefits observed in CF and the availability of dry powder antibiotic formulations, there has been a growing interest in the use of inhaled antibiotics in other lower respiratory tract infections, such as non-CF bronchiectasis, ventilator-associated pneumonia, chronic obstructive pulmonary disease, mycobacterial disease, and in the post-lung transplant setting over the past decade. Antibiotics currently marketed for inhalation include nebulized and dry powder forms of tobramycin and colistin and nebulized aztreonam. Although both the U.S. Food and Drug Administration and European Medicines Agency have approved their use in CF, they have not been approved in other disease areas due to lack of supportive clinical trial evidence. Injectable formulations of gentamicin, tobramycin, amikacin, ceftazidime, and amphotericin are currently nebulized "off-label" to manage non-CF bronchiectasis, drug-resistant nontuberculous mycobacterial infections, ventilator-associated pneumonia, and post-transplant airway infections. Future inhaled antibiotic trials must focus on disease areas outside of CF with sample sizes large enough to evaluate clinically important endpoints such as exacerbations. Extrapolating from CF, the impact of eradicating organisms such as P. aeruginosa in non-CF bronchiectasis should also be evaluated.

  9. Hypofractionated Breast Radiation: Shorter Scheme, Lower Toxicity.

    Science.gov (United States)

    Linares, Isabel; Tovar, María Isabel; Zurita, Mercedes; Guerrero, Rosario; Expósito, Manuela; Del Moral, Rosario

    2016-08-01

    We analyzed the toxicity and cosmetic outcomes for patients who had undergone 3-dimensional conformal radiotherapy with a hypofractionated schedule and identified the risk factors associated with such a schedule. A total of 143 patients were treated for breast cancer (stage 0-III) with a hypofractionated radiation schedule after breast-conserving surgery from 2006 to 2011. Most patients received 42.4 Gy in 16 daily fractions, 2.65 Gy per fraction to the whole breast plus an additional simultaneous integrated or sequential boost to the tumor bed. The median follow-up period was 36 months. Mild acute skin toxicity was observed in 62%; 7% of the patients developed moderate skin toxicity, but no grade 4 toxicity was observed. The prevalence of fibrosis within the boost area was 5%, but no grade ≥ 2 was observed. The prevalence of fibrosis of any grade was greater in the nonboost (23%) than in the boost area. Of all the patients, 91% had good or excellent cosmetic outcomes. From the multivariate analysis, the incidence of epithelitis correlated with the patient's treated volume (P = .044). The incidence of acute toxicity correlated with the boost type to the tumor bed and the total treatment dose (P = .012 and P = .002, respectively). Also, a poor to fair cosmetic outcome was significantly associated statistically with the surgery type (P = .05), boost type (P = .004), and total dose (P = .001). Delivering whole-breast irradiation with a hypofractionated schedule of 42.4 Gy plus a simultaneous integrated boost to the tumor bed appears to be a safe and effective technique, with good cosmetic results and lower toxicity. Copyright © 2015 Elsevier Inc. All rights reserved.

  10. Causes of lower gastrointestinal bleeding on colonoscopy

    International Nuclear Information System (INIS)

    Rehman, A.U.; Gul, R.; Khursheed, L.; Hadayat, R.

    2017-01-01

    Background: Bleeding from anus is usually referred as rectal bleeding but actually rectal bleeding is defined as bleeding from lower colon or rectum, which means bleeding from a place distal to ligament of Treitz. This study was conducted to determine the frequency of different causes of rectal bleeding in patients at Ayub Teaching Hospital, Abbottabad. Methods: One hundred and seventy-five patients with evidence of rectal bleed, without gender discrimination were selected by non-probability convenient sampling from the out-patient department and general medical wards. Patients with suspected upper GI source of bleeding; acute infectious bloody diarrhoea and any coagulopathy were excluded from the study. All patients were subjected to fibre optic colonoscopy after preparation of the gut and findings were recorded. Where necessary, biopsy samples were also taken. Diagnosis was based on colonoscopic findings. Results: A total of 175 patients (92 males and 83 females) with mean age 35.81±9.18 years were part of the study. Colonoscopy showed abnormal findings in 150 (85.7%) patients. The commonest diagnosis was haemorrhoids, which was found in 39 (22.3%) patients. It was followed by inflammatory bowel disease (IBD) in 30 (17.1%) patients, solitary rectal ulcer in 13 (7.4%) patients and polyps in 25 (14.3%) patients. Other less frequent findings were non-specific inflammation and fungating growths in rectum. Conclusion: Haemorrhoids was the leading cause of bleeding per rectum in this study, followed by evidence of IBD while infrequent findings of polyps and diverticuli indicate that these are uncommon in this region. (author)

  11. Lipid-lowering therapy: who can benefit?

    Science.gov (United States)

    Lewis, Sandra J

    2011-01-01

    Cardiovascular disease (CVD) is the leading cause of death in the US. Despite the decline in CVD-associated mortality rates in recent years, coronary heart disease (CHD) still causes one in every six deaths in this country. Because most CHD risk factors are modifiable (eg, smoking, hypertension, obesity, onset of type 2 diabetes, and dyslipidemia), cardiovascular risk can be reduced by timely and appropriate interventions, such as smoking cessation, diet and lifestyle changes, and lipid-modifying therapy. Dyslipidemia, manifested by elevated low-density lipoprotein cholesterol (LDL-C), is central to the development and progression of atherosclerosis, which can be silent for decades before triggering a first major cardiovascular event. Consequently, dyslipidemia has become a primary target of intervention in strategies for the prevention of cardiovascular events. The guidelines of the Adult Treatment Panel (ATP) III, updated in 2004, recommend therapeutic lifestyle changes and the use of lipid-lowering medications, such as statins, to achieve specific LDL-C goals based on a person's global cardiovascular risk. For high-risk individuals, such as patients with CHD and diabetic patients without CHD, an LDL-C target of < 100 mg/dL is recommended, and statin therapy should be considered to help patients achieve this goal. If correctly dosed in appropriate patients, currently approved statins are generally safe and provide significant cardiovascular benefits in diverse populations, including women, the elderly, and patients with diabetes. A recent primary prevention trial also showed that statins benefit individuals traditionally not considered at high risk of CHD, such as those with no hyperlipidemia but elevated C-reactive protein. Additional evidence suggests that statins may halt or slow atherosclerotic disease progression. Recent evidence confirms the pivotal role of statins in primary and secondary prevention.

  12. Strengths of lower extremity and lower trunk muscles in females with patellofemoral pain syndrome

    Directory of Open Access Journals (Sweden)

    Fateme Bokaee

    2010-09-01

    Full Text Available Introduction: Patellofemoral pain syndrome (PFPS is one of the most common orthopaedic problemsof the knee joint. Muscular weakness considered as a risk factor of this syndrome. Muscular weaknesscan alter lower extremity kinematics and lead to this syndrome. Also according to the kinetic chain,weakness in one motor segment can influence other motor segments. So the aim of this study was todetermine the association between muscular strengths of both lower extremity and trunks muscles andPFPS.Materials and Methods: 40 women participated in this study (20 subjects with PFPS and 20 ascontrols. In both groups isometric strengths of the lower extremity and lower trunk muscles wereevaluated with Nicholas hand-held dynamometer and then compared with each other.Results: There was a significant decrease in strength of the hip abductors, adductors, external rotators,flexors and extensors, quadriceps, ankle plantarflexors, dorsiflexors, flexor and lateral flexors of the trunkin patients with PFPS.Conclusion: Our results indicate that decrease in strength of the hip and trunk muscles is associatedwith the knee injury. It seems strengthening of muscles of these areas to be effective in preventing theinjury, reducing the risk of more injury and treatment of patients with this syndrome.

  13. Blood Pressure-Lowering Aspects of Lipid-Lowering and Anti-Diabetic Drugs

    Directory of Open Access Journals (Sweden)

    Peter M. Nilsson

    2010-12-01

    Full Text Available Several studies have shown that blood pressure can be lowered by the use of drugs that are not traditional antihypertensive drugs. This might be of clinical importance when many risk patients are treated by combination drug therapy in order to prevent cardiovascular disease by way of improving the cardiovascular risk factor profile.

  14. Clinical application of lower extremity CTA and lower extremity perfusion CT as a method of diagnostic for lower extremity atherosclerotic obliterans

    Energy Technology Data Exchange (ETDEWEB)

    Moon, Il Bong; Dong, Kyung Rae [Dept. Radiological Technology, Gwangju Health University, Gwangju (Korea, Republic of); Goo, Eun Hoe [Dept. Radiological Science, Cheongju University, Cheongju (Korea, Republic of)

    2016-11-15

    The purpose of this study was to assess clinical application of lower extremity CTA and lower extremity perfusion CT as a method of diagnostic for lower extremity atherosclerotic obliterans. From January to July 2016, 30 patients (mean age, 68) were studied with lower extremity CTA and lower extremity perfusion CT. 128 channel multi-detector row CT scans were acquired with a CT scanner (SOMATOM Definition Flash, Siemens medical solution, Germany) of lower extremity perfusion CT and lower extremity CTA. Acquired images were reconstructed with 3D workstation (Leonardo, Siemens, Germany). Site of lower extremity arterial occlusive and stenosis lesions were detected superficial femoral artery 36.6%, popliteal artery 23.4%, external iliac artery 16.7%, common femoral artery 13.3%, peroneal artery 10%. The mean total DLP comparison of lower extremity perfusion CT and lower extremity CTA, 650 mGy-cm and 675 mGy-cm, respectively. Lower extremity perfusion CT and lower extremity CTA were realized that were never be two examination that were exactly the same legions. Future through the development of lower extremity perfusion CT soft ware programs suggest possible clinical applications.

  15. Does lower energy usage mean lower carbon dioxide emissions? - A new perspective on the distillation process

    Energy Technology Data Exchange (ETDEWEB)

    Andika, Riezqa; Husnil, Yuli Amalia; Lee, Moonyong [Yeungnam University, Gyeongsan (Korea, Republic of)

    2014-07-15

    Although fossil fuels play an important role as the primary energy source that currently cannot be replaced easily with other energy sources, their depletion and environmental impact are becoming major concerns. Improvements in energy efficiency are believed to solve both problems simultaneously. We examined the relationships between the improvement in energy efficiency, energy usage and CO{sub 2} emissions in industry, especially in the distillation process. The energy efficiency improvement of dimethyl ether (DME) purification performed with dividing-wall column distillation (DWC) and acetic acid recovery performed with mechanical vapor recompression (MVR) were evaluated by recalculating the amount of fuel burnt and its CO{sub 2} emission. The results showed that the paradigm of lower energy being directly proportional to lower CO{sub 2} emissions is not entirely correct. To avoid this confusion, a tool for examining the uncommon behavior of various systems was developed.

  16. Hospitals with higher nurse staffing had lower odds of readmissions penalties than hospitals with lower staffing.

    Science.gov (United States)

    McHugh, Matthew D; Berez, Julie; Small, Dylan S

    2013-10-01

    The Affordable Care Act's Hospital Readmissions Reduction Program (HRRP) penalizes hospitals based on excess readmission rates among Medicare beneficiaries. The aim of the program is to reduce readmissions while aligning hospitals' financial incentives with payers' and patients' quality goals. Many evidence-based interventions that reduce readmissions, such as discharge preparation, care coordination, and patient education, are grounded in the fundamentals of basic nursing care. Yet inadequate staffing can hinder nurses' efforts to carry out these processes of care. We estimated the effect that nurse staffing had on the likelihood that a hospital was penalized under the HRRP. Hospitals with higher nurse staffing had 25 percent lower odds of being penalized compared to otherwise similar hospitals with lower staffing. Investment in nursing is a potential system-level intervention to reduce readmissions that policy makers and hospital administrators should consider in the new regulatory environment as they examine the quality of care delivered to US hospital patients.

  17. Smolt Monitoring at the Head of Lower Granite Reservoir and Lower Granite Dam, 1994 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Buettner, Edwin W.; Brimmer, Arnold F.

    1994-10-01

    This project monitored the daily passage of chinook salmon Oncorhynchus tshawytscha and steelhead trout O. mykiss smolts during the 1994 spring outmigration at migrant traps on the Snake River, Clearwater River, and Salmon River. The 1994 snowpack was among the lowest since the beginning of the present drought, and the subsequent runoff was very poor. All hatchery chinook salmon released above Lower Granite Dam were marked with a fin clip in 1994. Total annual (hatchery + wild) chinook salmon catch at the Snake River trap was 1.5 times greater than in 1993. Hatchery and wild steelhead trout catches were similar to 1993. The Snake River trap collected 30 age 0 chinook salmon. Hatchery chinook salmon catch at the Clearwater River trap was 3.5 times higher than in 1993, and wild chinook salmon catch was 4.2 times higher. Hatchery steelhead trout trap catch was less than half of 1993 numbers because the trap was fishing near the north shore during the majority of the hatchery steelhead movement due to flow augmentations from Dworshak. Wild steelhead trout trap catch was 2 times higher than in 1993. The Salmon River trap was operated for about a month longer in 1994 than in 1993 due to extremely low flows. Hatchery chinook salmon catch was 1.4 times greater in 1994 than the previous year. Wild chinook salmon catch was slightly less in 1994. The 1994 hatchery steelhead trout collection did not change significantly from 1993 numbers. Wild steelhead trout collection in 1994 was 59% of the 1993 catch. Fish tagged with Passive Integrated Transponder (PIT) tags at the Snake River trap were interrogated at four dams with PIT tag detection systems (Lower Granite, Little Goose, Lower Monumental, and McNary dams). Because of the addition of the fourth interrogation site (Lower Monumental) in 1993, cumulative interrogation data is not comparable with the prior five years (1988-1992).

  18. The diagnostic value of indirect lower limb CT venography in the lower extremity deep venous thrombosis

    International Nuclear Information System (INIS)

    Zhu Li; Guo Youmin; Wang Jianguo; Guo Xiaojuan; Liu Min; Guo Yulin

    2009-01-01

    Objective: To evaluate indirect CT venography (CTV) in the diagnosis of deep venous thrombosis (DVT). Methods: A total of 516 acute pulmonary embolism patients proved by objective test were analyzed retrospectively. Using the results of lower limb compression sonography as reference standard, the sensitivity, specificity, positive predictive value and negative predictive value of indirect CTV were calculated. The agreement between lower extremity venous sonography and indirect CTV were assessed by Kappa analysis. Results: Among 516 patients with acute pulmonary thromboembolism (PTE), 110 patients underwent both CTV and CTPA and lower extremity sonography. DVT were detected by CTV and sonography simultaneously in 48 patients, while no DVT was detected in 39 patients by both examinations. Thirteen patients were diagnosed to have DVT by CTV without sonography detection, and DVT was detected in other 10 patients only by sonography. The sensitivity, specificity, positive predictive value and negative predictive value of indirect CTV was 82.8% (48/58), 75.0% (39/52), 78.7% (48/61) and 79.6% (39/49). The agreement between lower extremity venous sonography and indirect CTV was good for femoropopliteal vein (Kappa value range from 0.874 to 0.914, P=0.000). Thrombi detected by CTV were 62 and 52 respectively, and for sonography were 67 and 51 respectively. For calf veins, the agreement decreased (Kappa value range from 0.464 to 0.584, P=0.000). Thrombi detected by CTV were 6, 25 and 13 respectively, and for sonography were 13, 38 and 19 respectively. The agreement for external iliac vein was poor (Kappa value range from 0.230 to 0.262, P=0.067 and 0.004, respectively). Thrombi detected by CTV were 33, and for sonography were 17. Conclusions: The indirect CTV has high accuracy in the diagnosis of DVT. Combined CTPA and CTV can image pulmonary arteries and lower extremity veins in one examination. Indirect CTV can reveal thrombus in large pelvic veins, which has an advantage

  19. Smolt Monitoring at the Head of Lower Granite Reservoir and Lower Granite Dam, 2002 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Buettner, Edwin W.; Putnam, Scott A. [Idaho Department of Fish and Game

    2009-02-18

    This project monitored the daily passage of Chinook salmon Oncorhynchus tshawytscha, steelhead trout O. mykiss, and sockeye salmon smolts O. nerka during the 2002 spring out-migration at migrant traps on the Snake River and Salmon River. In 2002 fish management agencies released significant numbers of hatchery Chinook salmon and steelhead trout above Lower Granite Dam that were not marked with a fin clip or coded-wire tag. Generally, these fish were distinguishable from wild fish by the occurrence of fin erosion. Total annual hatchery Chinook salmon catch at the Snake River trap was 11.4 times greater in 2002 than in 2001. The wild Chinook catch was 15.5 times greater than the previous year. Hatchery steelhead trout catch was 2.9 times greater than in 2001. Wild steelhead trout catch was 2.8 times greater than the previous year. The Snake River trap collected 3,996 age-0 Chinook salmon of unknown rearing. During 2002, the Snake River trap captured 69 hatchery and 235 wild/natural sockeye salmon and 114 hatchery coho salmon O. kisutch. Differences in trap catch between years are due to fluctuations not only in smolt production, but also differences in trap efficiency and duration of trap operation associated with flow. The significant increase in catch in 2002 was due to a 3.1 fold increase in hatchery Chinook production and a more normal spring runoff. Trap operations began on March 10 and were terminated on June 7. The trap was out of operation for a total of four days due to mechanical failure or debris. Hatchery Chinook salmon catch at the Salmon River trap was 4.2 times greater and wild Chinook salmon catch was 2.4 times greater than in 2001. The hatchery steelhead trout collection in 2002 was 81% of the 2001 numbers. Wild steelhead trout collection in 2002 was 81% of the previous year's catch. Trap operations began on March 10 and were terminated on May 29 due to high flows. The trap was out of operation for four days due to high flow or debris. The

  20. Smolt Monitoring at the Head of Lower Granite Reservoir and Lower Granite Dam, 2003 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Buettner, Edwin W.; Putnam, Scott A. [Idaho Department of Fish and Game

    2009-02-18

    This project monitored the daily passage of Chinook salmon Oncorhynchus tshawytscha, steelhead trout O. mykiss, and sockeye salmon O. nerka smolts during the 2003 spring out-migration at migrant traps on the Snake River and Salmon River. In 2003 fish management agencies released significant numbers of hatchery Chinook salmon and steelhead trout above Lower Granite Dam that were not marked with a fin clip or coded-wire tag. Generally, these fish were distinguishable from wild fish by the occurrence of fin erosion. Total annual hatchery Chinook salmon catch at the Snake River trap was 2.1 times less in 2003 than in 2002. The wild Chinook catch was 1.1 times less than the previous year. Hatchery steelhead trout catch was 1.7 times less than in 2002. Wild steelhead trout catch was 2.1 times less than the previous year. The Snake River trap collected 579 age-0 Chinook salmon of unknown rearing. During 2003, the Snake River trap captured five hatchery and 13 wild/natural sockeye salmon and 36 coho salmon O. kisutch of unknown rearing. Differences in trap catch between years are due to fluctuations not only in smolt production, but also differences in trap efficiency and duration of trap operation associated with flow. The significant differences in catch between 2003 and the previous year were due mainly to low flows during much of the trapping season and then very high flows at the end of the season, which terminated the trapping season 12 days earlier than in 2002. Trap operations began on March 9 and were terminated on May 27. The trap was out of operation for a total of zero days due to mechanical failure or debris. Hatchery Chinook salmon catch at the Salmon River trap was 16.8% less and wild Chinook salmon catch was 1.7 times greater than in 2002. The hatchery steelhead trout collection in 2003 was 5.6% less than in 2002. Wild steelhead trout collection was 19.2% less than the previous year. Trap operations began on March 9 and were terminated on May 24 due to high

  1. Petroleum resource appraisal of lower group play, badin block, lower Indus basin, Pakistan

    International Nuclear Information System (INIS)

    Afzal, J.

    1996-01-01

    Badin Block is a concession area granted to Union Texas Pakistan (UTP). The petroleum resource appraisal of the lower Goru play of Badin Block has been carried out through the 'Discovery Process Model' of a software developed by John R. Lacey International Ltd. in association with Prass Consultants of Canada. The Early gas producing reservoir rocks of this block. These sandstones can be divided into five discrete sand bodies; however, the uppermost and the lowermost sands of the sequence are often considered the primary reservoirs. Exploration in the Lower Indus Basin started in 1939 and the first discovery of oil, in the Badin block, was made by UTP Group in May, 1981 at Khaskheli. Until December, 1992, UTP has discovered 31 oil and gas fields in Badin Block, and the recoverable reserves of these 31 oil and gas pools provide the basis for the estimation of recoverable reserves of oil and gas of the whole Badin Block. The analysis show that about 31% of the total recoverable oil reserves i.e. 35.5 mm bbl still remain to be discovered out of the additional 105 expected pools in the play. Similarly, it has been estimated that about 47% of the total recoverable gas reserves i.e. 520.5 Bcf still remain to be discovered out of the additional 124 expected pools. (author)

  2. Strategic Floodplain Reconnection Along the Lower Tisza and Lower Illinois Rivers: Identifying Opportunities, Tradeoffs, and Limitations

    Science.gov (United States)

    Guida, R.; Remo, J. W.; Secchi, S.; Swanson, T.; Kiss, T.

    2015-12-01

    During the late 19th and into the 20th Centuries, the Tisza and Illinois Rivers were highly altered through the construction of levees and dams to reclaim their floodplain-wetland systems for agriculture and to facilitate navigation. In recent decades, flood levels have continued to rise due to aggradation on the confined floodplains reducing flood-conveyance capacity. As a result, "Room for the River" proposals have gained more prominence. Our overarching hypothesis is that strategically reconnecting these rivers to their floodplains will reduce flood levels and increase ecological habitat while limiting socioeconomic impacts. In this study, we assessed several reconnection scenarios, including levee setbacks and removals, for the Lower Tisza River (LTR; Hungary) and the Lower Illinois River (LIR; Illinois, USA). To model water-surface elevations (WSELs) for the 5- through 500-year flood events, we employed HEC-RAS (1D) and SOBEK (1D/2D) hydraulic models. To determine socioeconomic tradeoffs using these modeled WSELs, we developed a corresponding suite of expected annual damages (EADs) using FEMA's Hazus-MH flood-loss modeling software for buildings and integrated geospatial and soil productivity indices to estimate agricultural losses. To assess ecosystem benefits of reconnection along the LTR, we used historic wetland extent as a proxy for increasing needed floodplain habitats. For the LIR, we performed habitat screening using Land Capability Potential Index and other assessment tools to estimate potential ecosystem benefits. Results indicate that levee removal and/or setbacks may reduce flood heights up to 1.6 m along the LTR and over 1.0 m along the LIR. While urban areas have the highest EADs, several lower-production agricultural areas show potential for reducing flood heights while minimizing damages. Strategic-floodplain reconnection benefits along the LTR and LIR include over half of historically-significant wetlands being reconnected and the creation of

  3. Filamentation instability of lower hybrid waves in a plasma

    International Nuclear Information System (INIS)

    Kaw, P.K.

    1976-02-01

    It is shown that a strong lower hybrid wave is modulationally unstable to perturbations propagating along its own wave vector. The instability relies critically on the finite thermal corrections to the lower hybrid dispersion relation

  4. Lower Back Tattoo: OK to Have an Epidural?

    Science.gov (United States)

    ... and delivery, postpartum care Could a lower back tattoo keep me from having an epidural during labor? ... Yvonne Butler Tobah, M.D. A lower back tattoo won't necessarily prevent you from having an ...

  5. Factors Associated with Lower Extremity Dysmorphia Caused by Lower Extremity Lymphoedema.

    Science.gov (United States)

    Yamamoto, T; Yamamoto, N; Yoshimatsu, H; Narushima, M; Koshima, I

    2017-07-01

    Indocyanine green (ICG) lymphography has been reported to be useful for the early diagnosis of lymphoedema. However, no study has reported the usefulness of ICG lymphography for evaluation of lymphoedema with lower extremity dysmorphia (LED). This study aimed to elucidate independent factors associated with LED in secondary lower extremity lymphoedema (LEL) patients. This was a retrospective observational study of 268 legs of 134 secondary LEL patients. The medical charts were reviewed to obtain data of clinical demographics and ICG lymphography based severity stage (leg dermal backflow [LDB] stage). LED was defined as a leg with a LEL index of 250 or higher. Logistic regression analysis was used to identify independent factors associated with LED. LED was observed in 106 legs (39.6%). Multivariate analysis revealed that independent factors associated with LED were higher LDB stages compared with LDB stage 0 (LDB stage III; OR 17.586; 95% CI 2.055-150.482; p = .009) (LDB stage IV; OR 76.794; 95% CI 8.132-725.199; p < .001) (LDB stage V; OR 47.423; 95% CI 3.704-607.192; p = .003). On the other hand, inverse associations were observed in higher age (65 years or older; OR 0.409; 95% CI 0.190-0.881; p = .022) and higher body mass index (25 kg/m 2 or higher; OR 0.408; 95% CI 0.176-0.946; p = .037). Independent factors associated with LED were elucidated. ICG lymphography based severity stage showed the strongest association with LED, and was useful for evaluation of progressed LEL with LED. Copyright © 2017 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.

  6. Stratigraphy and petroleum possibilities of lower Upper Devonian (Frasnian and lower Framennian) strata, Southwestern Utah

    Science.gov (United States)

    Biller, Edward J.

    1976-01-01

    The lower Upper Devonian rocks in southwestern Utah--the Guilmette Formation and equivalents--represent a final regressive pulse of the major Late Devonian marine inundation of the Western Interior of the United States and record marine carbonate deposition on a wide continental shelf. They consist primarily of limestone, dolomite, and quartz arenite deposited in a shallow north-trending miogeosyncline, which constituted a single major basin of accumulation on this shelf. The Guilmette Formation and equivalents were deposited in shallow normal to hypersaline marine waters. The environments of deposition include: a moderate- to high-energy intertidal environment, a moderate-energy subtidal environment, a lower energy, deeper subtidal environment below effective wave base, and a high-energy environment in local shallow areas of mud mounds and bioherms. The carbonate deposition of the Guilmette Formation and equivalents was interrupted periodically by the deposition of quartz arenites. These may represent the breaking up of the miogeosynclinal-cratonic pattern of deposition. In most areas, the Guilmette and equivalents are overlain by a thin transgressive marine quartz arenite deposit--the Cove Fort Quartzite and basal Leatham equivalent. Previous paleontologic evidence indicated a general Middle to Late Devonian age for the Guilmette Formation. The present study narrows this range and suggests that the age of the Guilmette Formation and its equivalents is late Middle Devonian (Stringocephalus brachiopod zone) to early Late Devonian (Uppermost Palmatolepis gigas conodont zone). Available subsurface data suggest that the petroleum possibilities of the Guilmette Formation and equivalents in southwestern Utah are poor. Several tests have penetrated .the interval with only minor shows of oil in rocks with low porosity and permeability. Nevertheless, many outcrop samples of the same interval, appear to have excellent porosity and permeability and a strongly fetid odor,

  7. Is lower IQ in children with epilepsy due to lower parental IQ? A controlled comparison study

    Science.gov (United States)

    Walker, Natalie M; Jackson, Daren C; Dabbs, Kevin; Jones, Jana E; Hsu, David A; Stafstrom, Carl E; Sheth, Raj D; Koehn, Monica A; Seidenberg, Michael; Hermann, Bruce P

    2012-01-01

    Aim The aim of this study was to determine the relationship between parent and child full-scale IQ (FSIQ) in children with epilepsy and in typically developing comparison children and to examine parent–child IQ differences by epilepsy characteristics. Method The study participants were 97 children (50 males, 47 females; age range 8–18y; mean age 12y 3mo, SD 3y.1mo) with recent-onset epilepsy including idiopathic generalized (n=43) and idiopathic localization-related epilepsies (n=54); 69 healthy comparison children (38 females, 31 males; age range 8–18y; mean age 12y 8mo, SD 3y 2mo), and one biological parent per child. All participants were administered the Wechsler Abbreviated Intelligence Scale. FSIQ was compared in children with epilepsy and typically developing children; FSIQ was compared in the parents of typically developing children and the parents of participants with epilepsy; parent–child FSIQ differences were compared between the groups. Results FSIQ was lower in children with epilepsy than in comparison children (pepilepsy did not differ from the FSIQ of the parents of typically developing children. Children with epilepsy had significantly lower FSIQ than their parents (pepilepsy than the comparison group (p=0.043). Epilepsy characteristics were not related to parent–child IQ difference. Interpretation Parent–child IQ difference appears to be a marker of epilepsy impact independent of familial IQ, epilepsy syndrome, and clinical seizure features. This marker is evident early in the course of idiopathic epilepsies and can be tracked over time. PMID:23216381

  8. Lower Quarter Y-Balance Test Scores and Lower Extremity Injury in NCAA Division I Athletes.

    Science.gov (United States)

    Lai, Wilson C; Wang, Dean; Chen, James B; Vail, Jeremy; Rugg, Caitlin M; Hame, Sharon L

    2017-08-01

    Functional movement tests that are predictive of injury risk in National Collegiate Athletic Association (NCAA) athletes are useful tools for sports medicine professionals. The Lower Quarter Y-Balance Test (YBT-LQ) measures single-leg balance and reach distances in 3 directions. To assess whether the YBT-LQ predicts the laterality and risk of sports-related lower extremity (LE) injury in NCAA athletes. Case-control study; Level of evidence, 3. The YBT-LQ was administered to 294 NCAA Division I athletes from 21 sports during preparticipation physical examinations at a single institution. Athletes were followed prospectively over the course of the corresponding season. Correlation analysis was performed between the laterality of reach asymmetry and composite scores (CS) versus the laterality of injury. Receiver operating characteristic (ROC) analysis was used to determine the optimal asymmetry cutoff score for YBT-LQ. A multivariate regression analysis adjusting for sex, sport type, body mass index, and history of prior LE surgery was performed to assess predictors of earlier and higher rates of injury. Neither the laterality of reach asymmetry nor the CS correlated with the laterality of injury. ROC analysis found optimal cutoff scores of 2, 9, and 3 cm for anterior, posteromedial, and posterolateral reach, respectively. All of these potential cutoff scores, along with a cutoff score of 4 cm used in the majority of prior studies, were associated with poor sensitivity and specificity. Furthermore, none of the asymmetric cutoff scores were associated with earlier or increased rate of injury in the multivariate analyses. YBT-LQ scores alone do not predict LE injury in this collegiate athlete population. Sports medicine professionals should be cautioned against using the YBT-LQ alone to screen for injury risk in collegiate athletes.

  9. Smolt monitoring at the head of Lower Granite Reservoir and Lower Granite Dam, 1998.; ANNUAL

    International Nuclear Information System (INIS)

    2000-01-01

    This project monitored the daily passage of chinook salmon Oncorhynchus tshawytscha, steelhead trout O. mykiss, and sockeye salmon smolts O. nerka, during the 1998 spring outmigration at migrant traps on the Snake and Salmon rivers. All hatchery chinook salmon released above Lower Granite Dam 19 1998 were marked with a fin-clip. Total annual hatchery chinook salmon catch at the Snake River trap was 226% of the 1997 number and 110% of the 1996 catch. The wild chinook catch was 120% of the 1997 catch but was only 93% of 1996. Hatchery steelhead trout catch was 501% of 1997 numbers but only 90% of the 1996 numbers. Wild steelhead trout catch was 569% of 1997 and 125% of the 1996 numbers. The Snake River trap collected 106 age-0 chinook salmon. During 1998, for the first time, the Snake River trap captured a significant number of hatchery sockeye salmon (1,552) and hatchery coho salmon O. kisutch (166). Differences in trap catch between years are due to fluctuations not only in smolt production, but also differences in trap efficiency and duration of trap operation associated with high flows. Trap operations began on March 8 and were terminated for the season due to high flows on June 12. The trap was out of operation for 34 d during the season due to high flow and debris. Hatchery chinook salmon catch at the Salmon River trap was 476% and wild chinook salmon catch was 137% of 1997 numbers and 175% and 82% of 1996 catch, respectively. The hatchery steelhead trout collection in 1998 was 96% of the 1997 catch and 13% of the 1996 numbers. Wild steelhead trout collection in 1998 was 170% of the 1997 catch and 37% of the 1996 numbers. Travel time (d) and migration rate (km/d) through Lower Granite Reservoir for PIT-tagged chinook salmon and steelhead trout, marked at the head of the reservoir were affected by discharge. For fish tagged at the Snake River trap, statistical analysis of 1998 detected a significant relation between migration rate and discharge. For hatchery and

  10. Potential synergy between lipid-lowering and blood-pressure-lowering in the Anglo-Scandinavian Cardiac Outcomes Trial

    DEFF Research Database (Denmark)

    Sever, Peter; Dahlöf, Björn; Poulter, Neil

    2006-01-01

    A prespecified objective of the Anglo-Scandinavian Cardiac Outcomes Trial (ASCOT) was to assess whether any synergistic effects were apparent between the lipid-lowering and blood-pressure-lowering regimens in preventing cardiovascular events....

  11. Steelmaking plants: towards lower energy consumption and lower CO2 production using more electricity

    International Nuclear Information System (INIS)

    Nicolle, R.

    2010-01-01

    Production processes of integrated steel plants, mostly based on coal as an energy source, produce about 2 tons of CO 2 per ton of steel. As specific CO 2 production has to be decreased by 20% in the mid-term (2020), immediate action is required to further decrease the specific energy consumption. The integrated plant is not energy self-sufficient as extra electricity must be bought from outside, but on the other hand, produces an excess of process gas that has to be used within the plant. Optimisation of the use of the internally produced gases is a key issue as either they are burned at the power plant with a conversion yield to electricity of about 40% and often much lower, or might be valued in the plant internal heat exchangers with a much higher efficiency such as ∼90% in the hot stoves or ∼65% or more in the present reheating furnaces. This paper shows that using the high-value coke oven gas as a chemical reactant (for DRI production) leads to significant extra metal production. From a global viewpoint, this extra metal production is almost carbon-free, as it requires only electricity for its manufacture. (author)

  12. Ultrasonography of the lower extremity veins: Anatomy and basic approach

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Dong Kyu; Ahn, Kyung Sik; Kang, Chang Ho; Cho, Sung Bum [Dept. of Radiology, Korea University Anam Hospital, Korea University College of Medicine, Seoul (Korea, Republic of)

    2017-04-15

    Ultrasonography is an imaging modality widely used to evaluate venous diseases of the lower extremities. It is important to understand the normal venous anatomy of the lower extremities, which has deep, superficial, and perforating venous components, in order to determine the pathophysiology of venous disease. This review provides a basic description of the anatomy of the lower extremity veins and useful techniques for approaching each vein via ultrasonography.

  13. [Ultrasound examination for lower extremity deep vein thrombosis].

    Science.gov (United States)

    Toyota, Kosaku

    2014-09-01

    Surgery is known to be a major risk factor of vein thrombosis. Progression from lower extremity deep vein thrombosis (DVT) to pulmonary embolism can lead to catastrophic outcome, although the incidence ratio is low. The ability to rule in or rule out DVT is becoming essential for anesthesiologists. Non-invasive technique of ultrasonography is a sensitive and specific tool for the assessment of lower extremity DVT. This article introduces the basics and practical methods of ultrasound examination for lower extremity DVT.

  14. Wave propagation near the lower hybrid resonance in toroidal plasmas

    International Nuclear Information System (INIS)

    Ohkubo, K.; Ohasa, K.; Matsuura, K.

    1975-10-01

    Dielectric tensor and equipotential curves (ray trajectories) of an electrostatic wave near the lower hybrid resonance are investigated for the toroidal plasma with a shear magnetic field. The ray trajectories start from the vicinity of the plasma surface, and rotate in a spiral form around the magnetic axis, and then reach the lower or upper parts of lower hybrid resonance layer. The numerical computations are performed on the parameters of JIPP T-II device with two dimensional inhomogeneity. (auth.)

  15. Ultrasonography of the lower extremity veins: Anatomy and basic approach

    International Nuclear Information System (INIS)

    Lee, Dong Kyu; Ahn, Kyung Sik; Kang, Chang Ho; Cho, Sung Bum

    2017-01-01

    Ultrasonography is an imaging modality widely used to evaluate venous diseases of the lower extremities. It is important to understand the normal venous anatomy of the lower extremities, which has deep, superficial, and perforating venous components, in order to determine the pathophysiology of venous disease. This review provides a basic description of the anatomy of the lower extremity veins and useful techniques for approaching each vein via ultrasonography

  16. A new method of lower extremity immobilization in radiotherapy

    International Nuclear Information System (INIS)

    Zheng, Xuhai; Dai, Tangzhi; Shu, Xiaochuan; Pu, Yuanxue; Feng, Gang; Li, Xuesong; Liao, Dongbiao; Du, Xiaobo

    2012-01-01

    We developed a new method for immobilization of the fix lower extremities by using a thermoplastic mask, a carbon fiber base plate, a customized headrest, and an adjustable angle holder. The lower extremities of 11 patients with lower extremity tumors were immobilized by this method. CT simulation was performed for each patient. For all 11 patients, the device fit was suitable and comfortable and had good reproducibility, which was proven in daily radiotherapy

  17. Structures Deduced From Gravity Data In The Lower Niger Benue ...

    African Journals Online (AJOL)

    Based on a recent gravity data collected over the area, the Lower Niger and Lower Benue basins are interpreted to comprise five major structural zones. The locations, trends, extent and relationships between most previously known structures in the area are confirmed and detailed by the data. However, the structure ...

  18. 29 CFR 525.21 - Lowering of wage rates.

    Science.gov (United States)

    2010-07-01

    ... 29 Labor 3 2010-07-01 2010-07-01 false Lowering of wage rates. 525.21 Section 525.21 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR REGULATIONS EMPLOYMENT OF WORKERS WITH DISABILITIES UNDER SPECIAL CERTIFICATES § 525.21 Lowering of wage rates. (a) No...

  19. Anatomical factors predicting lower calyceal stone clearance after ...

    African Journals Online (AJOL)

    M. Khan

    2016-02-17

    Feb 17, 2016 ... Curr Opin Urol 2008;18:214–9. [9] Lingeman JE, Siegal YI, Steele B, Nyhus AW, Woods JR. Manage- ment of lower pole nephrolithiasis: a critical analysis. J Urol 1994;151: 663–7. [10] Sampaio FJB, Aragao AHM. Limitations of extracorporeal shock wave lithotripsy for lower caliceal stone: anatomic insight.

  20. Chronic lower respiratory diseases among demolition and cement workers

    DEFF Research Database (Denmark)

    Mølgaard, Ellen Fischer; Hannerz, Harald; Tüchsen, Finn

    2013-01-01

    To estimate standardised hospitalisation ratios (SHR) for chronic lower respiratory diseases among demolition and cement workers in Denmark, 1995-2009.......To estimate standardised hospitalisation ratios (SHR) for chronic lower respiratory diseases among demolition and cement workers in Denmark, 1995-2009....

  1. Travoprost lowers intraocular pressure in healthy student volunteers ...

    African Journals Online (AJOL)

    ... African volunteers in a randomized double masked, placebo controlled, crossover, single centre study. Pulse rate, systolic and diastolic blood pressure, and respiratory rate were also measured. Mean IOP was lower than baseline values up to 72 hours after instillation but the mean IOP was significantly lower in the eyes ...

  2. An association between diet, metabolic syndrome and lower urinary ...

    African Journals Online (AJOL)

    Diet is a key factor in the aetiology of many diseases, including metabolic syndrome and lower urinary tract disorders. Metabolic syndrome is a growing and increasingly expensive health problem in both the developed and the developing world, with an associated rise in morbidity and mortality. On the other hand, lower ...

  3. Lower cost air measurement technology – what is on the ...

    Science.gov (United States)

    This presentation is to the MARAMA 2014 annual monitoring meeting and is an invited talk to provide an overview on lower cost air measurement technology. This presentation is to the MARAMA 2014 annual monitoring meeting and is an invited talk to provide an overview on lower cost air measurement technology.

  4. Estimates for lower order eigenvalues of a clamped plate problem

    OpenAIRE

    Cheng, Qing-Ming; Huang, Guangyue; Wei, Guoxin

    2009-01-01

    For a bounded domain $\\Omega$ in a complete Riemannian manifold $M^n$, we study estimates for lower order eigenvalues of a clamped plate problem. We obtain universal inequalities for lower order eigenvalues. We would like to remark that our results are sharp.

  5. Anatomy and histology of the lower urinary tract

    NARCIS (Netherlands)

    Pradidarcheep, Wisuit; Wallner, Christian; Dabhoiwala, Noshir F.; Lamers, Wouter H.

    2011-01-01

    The function of the lower urinary tract is basically storage of urine in the bladder and the at-will periodic evacuation of the stored urine. Urinary incontinence is one of the most common lower urinary tract disorders in adults, but especially in the elderly female. The urethra, its sphincters, and

  6. The eventual outcome of patients who had lower limb amputations ...

    African Journals Online (AJOL)

    C De Klerk

    Background: Peripheral vascular disease (PVD) presenting with irreversible lower limb pathology has a high morbidity and mortality rate. This study aimed to determine the outcome of patients who underwent lower limb amputations (LLAs) because of PVD at Pelonomi Hospital, Bloemfontein, 2008–2011. Methods: ...

  7. Lower Eocene on Majevica north of Tuzla (NE Bosnia

    Directory of Open Access Journals (Sweden)

    Jernej Pavšič

    2005-06-01

    Full Text Available In Lower Eocene marlstones on Mt. Majevica in northeastern Bosnia species Nummulites atacicus and N. robustus were determined, the latter first found on the Balkan Peninsula.In the beds occur next to Paleogene many redeposited Cretaceous nannoplankton species, an indication of the exposure of Cretaceous beds in Lower Eocene in the investigated area.

  8. Factors affecting lower calyceal stone clearance after Extracorporeal ...

    African Journals Online (AJOL)

    Objective: Extracorporeal shock wave lithotripsy (ESWL) is one of the most commonly used procedures to remove renal calculi from the lower calyces. The aim of this work is to study the impact of radiological, anatomical and demographic factors on stone clearance after ESWL of lower calyceal calculi. Patients and ...

  9. Physical activity can lower risk of 13 types of cancer

    Science.gov (United States)

    A new study of the relationship between physical activity and cancer has shown that greater levels of leisure-time physical activity were associated with a lower risk of developing 13 different types of cancer; the risk of developing seven cancer types was 20 percent lower among the most active participants as compared with the least active participants.

  10. Wind and area potential analysis of the Lower Saxony coast

    International Nuclear Information System (INIS)

    Pahlke, T.; Gerdes, G.; Keuper, A.

    1993-01-01

    An analysis of the wind and area potential is carried out for 10 areas at the Lower Saxony coast, on behalf of the Lower Saxony Ministry of the Environment. The processes for determining suitable areas, the wind speeds and the possible amounts of energy are introduced. (orig.) [de

  11. Robotics in Lower-Limb Rehabilitation after Stroke.

    Science.gov (United States)

    Zhang, Xue; Yue, Zan; Wang, Jing

    2017-01-01

    With the increase in the elderly, stroke has become a common disease, often leading to motor dysfunction and even permanent disability. Lower-limb rehabilitation robots can help patients to carry out reasonable and effective training to improve the motor function of paralyzed extremity. In this paper, the developments of lower-limb rehabilitation robots in the past decades are reviewed. Specifically, we provide a classification, a comparison, and a design overview of the driving modes, training paradigm, and control strategy of the lower-limb rehabilitation robots in the reviewed literature. A brief review on the gait detection technology of lower-limb rehabilitation robots is also presented. Finally, we discuss the future directions of the lower-limb rehabilitation robots.

  12. Doping enhanced barrier lowering in graphene-silicon junctions

    Science.gov (United States)

    Zhang, Xintong; Zhang, Lining; Chan, Mansun

    2016-06-01

    Rectifying properties of graphene-semiconductor junctions depend on the Schottky barrier height. We report an enhanced barrier lowering in graphene-Si junction and its essential doping dependence in this paper. The electric field due to ionized charge in n-type Si induces the same type doping in graphene and contributes another Schottky barrier lowering factor on top of the image-force-induced lowering (IFIL). We confirm this graphene-doping-induced lowering (GDIL) based on well reproductions of the measured reverse current of our fabricated graphene-Si junctions by the thermionic emission theory. Excellent matching between the theoretical predictions and the junction data of the doping-concentration dependent barrier lowering serves as another evidence of the GDIL. While both GDIL and IFIL are enhanced with the Si doping, GDIL exceeds IFIL with a threshold doping depending on the as-prepared graphene itself.

  13. Lower Bounds to the Reliabilities of Factor Score Estimators.

    Science.gov (United States)

    Hessen, David J

    2016-10-06

    Under the general common factor model, the reliabilities of factor score estimators might be of more interest than the reliability of the total score (the unweighted sum of item scores). In this paper, lower bounds to the reliabilities of Thurstone's factor score estimators, Bartlett's factor score estimators, and McDonald's factor score estimators are derived and conditions are given under which these lower bounds are equal. The relative performance of the derived lower bounds is studied using classic example data sets. The results show that estimates of the lower bounds to the reliabilities of Thurstone's factor score estimators are greater than or equal to the estimates of the lower bounds to the reliabilities of Bartlett's and McDonald's factor score estimators.

  14. Lower region: a new cue for figure-ground assignment.

    Science.gov (United States)

    Vecera, Shaun P; Vogel, Edward K; Woodman, Geoffrey F

    2002-06-01

    Figure-ground assignment is an important visual process; humans recognize, attend to, and act on figures, not backgrounds. There are many visual cues for figure-ground assignment. A new cue to figure-ground assignment, called lower region, is presented: Regions in the lower portion of a stimulus array appear more figurelike than regions in the upper portion of the display. This phenomenon was explored, and it was demonstrated that the lower-region preference is not influenced by contrast, eye movements, or voluntary spatial attention. It was found that the lower region is defined relative to the stimulus display, linking the lower-region preference to pictorial depth perception cues. The results are discussed in terms of the environmental regularities that this new figure-ground cue may reflect.

  15. Structure design of lower limb exoskeletons for gait training

    Science.gov (United States)

    Li, Jianfeng; Zhang, Ziqiang; Tao, Chunjing; Ji, Run

    2015-09-01

    Due to the close physical interaction between human and machine in process of gait training, lower limb exoskeletons should be safe, comfortable and able to smoothly transfer desired driving force/moments to the patients. Correlatively, in kinematics the exoskeletons are required to be compatible with human lower limbs and thereby to avoid the uncontrollable interactional loads at the human-machine interfaces. Such requirement makes the structure design of exoskeletons very difficult because the human-machine closed chains are complicated. In addition, both the axis misalignments and the kinematic character difference between the exoskeleton and human joints should be taken into account. By analyzing the DOF(degree of freedom) of the whole human-machine closed chain, the human-machine kinematic incompatibility of lower limb exoskeletons is studied. An effective method for the structure design of lower limb exoskeletons, which are kinematically compatible with human lower limb, is proposed. Applying this method, the structure synthesis of the lower limb exoskeletons containing only one-DOF revolute and prismatic joints is investigated; the feasible basic structures of exoskeletons are developed and classified into three different categories. With the consideration of quasi-anthropopathic feature, structural simplicity and wearable comfort of lower limb exoskeletons, a joint replacement and structure comparison based approach to select the ideal structures of lower limb exoskeletons is proposed, by which three optimal exoskeleton structures are obtained. This paper indicates that the human-machine closed chain formed by the exoskeleton and human lower limb should be an even-constrained kinematic system in order to avoid the uncontrollable human-machine interactional loads. The presented method for the structure design of lower limb exoskeletons is universal and simple, and hence can be applied to other kinds of wearable exoskeletons.

  16. Novel application of lower body positive-pressure in the rehabilitation of an individual with multiple lower extremity fractures.

    Science.gov (United States)

    Takacs, Judit; Leiter, Jeff R S; Peeler, Jason D

    2011-06-01

    Lower extremity fractures, if not treated appropriately, can increase the risk of morbidity. Partial weight-bearing after surgical repair is recommended; however, current methods of partial weight-bearing may cause excessive loads through the lower extremity. A new rehabilitation tool that uses lower body positive-pressure is described, that may allow partial weight-bearing while preventing excessive loads, thereby improving functional outcomes. A patient with multiple lower extremity fractures underwent a 6-month rehabilitation programme using bodyweight support technology 3 times per week, post-surgery. The patient experienced a reduction in pain and an improvement in ankle range of motion (p=0.002), walking speed (p>0.05) and physical function (p=0.004), as assessed by the Foot and Ankle Module of the American Academy of Orthopaedic Surgeons Lower Limb Outcomes Assessment Instrument. Training did not appear to affect fracture healing, as was evident on radiograph. The effect of lower body positive-pressure on effusion, which has not previously been reported in the literature, was also investigated. No significant difference in effusion of the foot and ankle when using lower body positive-pressure was found. Initial results suggest that this new technology may be a useful rehabilitation tool that allows partial weight-bearing during the treatment of lower extremity injuries.

  17. Effects of Higher and Lower Level Writing-To-Learn Assignments on Higher and Lower Level Examination Questions

    Science.gov (United States)

    Nevid, Jeffrey S.; Ambrose, Michael A.; Pyun, Yea Seul

    2017-01-01

    Our study examined whether brief writing-to-learn assignments linked to lower and higher levels in Bloom's taxonomy affected performance differentially on examination performance in assessing these skill levels. Using a quasi-random design, 91 undergraduate students in an introductory psychology class completed eight lower level and eight higher…

  18. Models and Techniques for Proving Data Structure Lower Bounds

    DEFF Research Database (Denmark)

    Larsen, Kasper Green

    In this dissertation, we present a number of new techniques and tools for proving lower bounds on the operational time of data structures. These techniques provide new lines of attack for proving lower bounds in both the cell probe model, the group model, the pointer machine model and the I...... bound of tutq = (lgd􀀀1 n). For ball range searching, we get a lower bound of tutq = (n1􀀀1=d). The highest previous lower bound proved in the group model does not exceed ((lg n= lg lg n)2) on the maximum of tu and tq. Finally, we present a new technique for proving lower bounds....../O-model. In all cases, we push the frontiers further by proving lower bounds higher than what could possibly be proved using previously known techniques. For the cell probe model, our results have the following consequences: The rst (lg n) query time lower bound for linear space static data structures...

  19. Experiments on the lower plenum response during a severe accident

    International Nuclear Information System (INIS)

    Henry, Robert E.; Hammersley, Robert J.; Klopp, George T.; Merilo, Mati

    2004-01-01

    Severe accident evaluations for nuclear reactors consider the response when the core materials have been overheated sufficient to melt and change geometry. One possible consequence of this is that molten core debris could drain into the lower plenum, as occurred in the TMI-2 accident. Given this state, several physical processes need to be analyzed, i.e. the extent of debris particulation and cooling, the potential for thermal attack of lower plenum structures, the thermal transient of the RPV and the potential for external cooling of the RPV lower head. These are important and complex processes, the evaluations of which need to be guided by well founded experiments. To support the development of the MAAP codes, recent experiments have been performed on specific issues such as: 1. the response of lower head penetrations submerged in a high temperature melt, 2. the net steam generation rate when molten debris drains into the lower plenum, 3. the formation of a contact resistance when molten debris drains through water and contacts the RPV wall and 4. the potential for external cooling of the RPV lower head. This paper discusses these experiments and their results. More importantly, it discusses how these are used in formulating models to represent the lower plenum response in the MAAP codes. (author)

  20. MONITORING OF LOWER LIMB COMFORT AND INJURY IN ELITE FOOTBALL

    Directory of Open Access Journals (Sweden)

    Michael Kinchington

    2010-12-01

    Full Text Available The aim of the study was to examine the relation between lower limb comfort scores and injury and to measure the responsiveness of a lower limb comfort index (LLCI to changes over time, in a cohort of professional footballers. Lower limb comfort was recorded for each individual using a comfort index which assessed the comfort status of five anatomical segments and footwear. Specifically we tested the extent to which comfort zones as measured by the LLCI were related to injury measured as time loss events. The hypothesis for the study was that poor lower limb comfort is related to time loss events (training or match day. A total of 3524 player weeks of data was collected from 182 professional athletes encompassing three codes of football (Australian Rules, Rugby league, Rugby Union. The study was conducted during football competition periods for the respective football leagues and included a period of pre- season training. The results of regression indicated that poor lower limb comfort was highly correlated to injury (R2 =0.77 and accounted for 43.5 time loss events/ 1000hrs football exposure. While poor comfort was predictive of injury 47% of all time loss events it was not statistically relevant (R2 =0.18. The results indicate lower limb comfort can be used to assess the well-being of the lower limb; poor comfort is associated with injury, and the LLCI has good face validity and high criterion-related validity for the relationship between comfort and injury

  1. A REVIEW ON LOWER APPENDICULAR MUSCULOSKELETAL SYSTEM OF HUMAN BODY

    Directory of Open Access Journals (Sweden)

    M. Akhtaruzzaman

    2016-04-01

    Full Text Available Rehabilitation engineering plays an important role in designing various autonomous robots to provide better therapeutic exercise to disabled patients. Hence it is necessary to study human musculoskeletal system and also needs to be presented in scientific manner in order to describe and analyze the biomechanics of human body motion. This review focuses on lower appendicular musculoskeletal structure of human body to represent joints and links architectures; to identify muscle attachments and functions; and to illustrate muscle groups which are responsible for a particular joint movement. Firstly, human lower skeletal structure, linking systems, joint mechanisms, and their functions are described with a conceptual representation of joint architecture of human skeleton. This section also represents joints and limbs by comparing with mechanical systems. Characteristics of ligaments and their functions to construct skeletal joints are also discussed briefly in this part. Secondly, the study focuses on muscular system of human lower limbs where muscle structure, functions, roles in moving endoskeleton structure, and supporting mechanisms are presented ellaborately. Thirdly, muscle groups are tabulated based on functions that provide mobility to different joints of lower limbs. Finally, for a particular movement action of lower extremity, muscles are also grouped and tabulated to have a better understanding on functions of individual muscle. Basically the study presents an overview of the structure of human lower limbs by characterizing and classifying skeletal and muscular systems.KEYWORDS:   Musculoskeletal system; Human lower limbs; Muscle groups; Joint motion; Biomechatronics; Rehabilitation.

  2. Lower back pain and absenteeism among professional public transport drivers.

    Science.gov (United States)

    Kresal, Friderika; Roblek, Vasja; Jerman, Andrej; Meško, Maja

    2015-01-01

    Drivers in public transport are subjected to lower back pain. The reason for the pain is associated with the characteristics of the physical position imposed on the worker while performing the job. Lower back pain is the main cause of absenteeism among drivers. The present study includes 145 public transport drivers employed as professional drivers for an average of 14.14 years. Analysis of the data obtained in the study includes the basic descriptive statistics, χ(2) test and multiple regression analysis. Analysis of the incidence of lower back pain showed that the majority of our sample population suffered from pain in the lower back. We found that there are no statistically significant differences between the groups formed by the length of service as a professional driver and incidence of lower back pain; we were also interested in whether or not the risk factors of lower back pain affects the absenteeism of city bus drivers. Analysis of the data has shown that the risk factors of pain in the lower part of the spine do affect the absenteeism of city bus drivers.

  3. TRACKER INSERTED INTO YB0 & HEAVY LOWERING COMPLETED

    CERN Multimedia

          The Tracker travelled very smoothly from Meyrin to Point 5 during the early hours of December 13th. Lowered later the same day, insertion was completed 18th December. The intense campaign of Tracker connections, involving 980 pipes, 2330 cables and 3623 fibre ribbons, has since begun and is making good progress. The final large element of CMS YE-1 was lowered gently into the cavern on January 22nd. This marks the end of fourteen months of heavy lowering operations.  

  4. Rehabilitation and return to running after lower limb stress fractures.

    Science.gov (United States)

    Liem, Brian C; Truswell, Hallie J; Harrast, Mark A

    2013-01-01

    Lower limb stress fractures are common injuries in runners. In terms of treatment, much of the medical literature has focused primarily on rest and cessation of running, but little has been written about the rehabilitation and functional progression of runners following a lower limb stress fracture. This article reviews the scientific evidence behind common rehabilitation concepts used for runners recovering from these injuries and also discusses sport-specific training modalities such as deep water running and antigravity treadmill training. Overall this article is intended to be a practical resource for clinicians to guide runners in functional rehabilitation and return to running following lower limb stress injury.

  5. Monitoring of protected areas of the Lower Vistula River

    OpenAIRE

    Dawid Aleksander Szatten; Zbigniew Czerebiej

    2018-01-01

    The main aim of the research was to determine the quantitative and qualitative assessment of the condition of surface waters in the protected areas of the Lower Vistula River. The research included the analysis of the surface water monitoring network in the Lower Vistula catchment area in the water management cycle 2010-2015. The research subject was Lower Vistula on the section from the Wloclawek Reservoir (km 675) to the estuary of the river to the Gdańsk Bay (km 941). The most important re...

  6. Appendiceal hemorrhage – An uncommon cause of lower gastrointestinal bleeding

    Directory of Open Access Journals (Sweden)

    Ching-Chung Chiang

    2011-06-01

    Full Text Available Lower gastrointestinal bleeding is a common disease among elderly patients. The common sources of lower gastrointestinal bleeding include vascular disease, Crohn’s disease, neoplasms, inflammatory bowel disease, hemorrhoids, and ischemic colitis. Lower gastrointestinal bleeding arising from the appendix is an extremely rare condition. We report a case of appendiceal hemorrhage in a young male. Diagnosis was made by multidetector computerized tomography during survey for hematochezia. The patient recovered well after appendectomy. The histological finding revealed focal erosion of appendix mucosa with bleeding.

  7. Magnetic resonance imaging in lower urinary tract endometriosis: iconographic essay

    International Nuclear Information System (INIS)

    Lima, Claudio Marcio Amaral de Oliveira; Coutinho, Elisa Pompeu Dias; Ribeiro, Erica Barreiros; Domingues, Marisa Nassar Aidar; Junqueira, Flavia Pegado; Coutinho Junior, Antonio Carlos

    2009-01-01

    Endometriosis is defined as the presence of functional endometrial tissue outside the endometrial cavity and myometrium. Although this is a frequent disease with multifactorial causes, involvement of the lower urinary tract is rare. Magnetic resonance imaging is highly sensitive, specific and accurate in the diagnosis of endometriosis in the lower urinary tract, especially for allowing the identification of lesions obscured by adhesions or with subperitoneal extension. The present iconographic essay presents the main magnetic resonance imaging findings of the lower urinary tract involvement by endometriosis. (author)

  8. Arterial supply of the lower cranial nerves: a comprehensive review.

    Science.gov (United States)

    Hendrix, Philipp; Griessenauer, Christoph J; Foreman, Paul; Loukas, Marios; Fisher, Winfield S; Rizk, Elias; Shoja, Mohammadali M; Tubbs, R Shane

    2014-01-01

    The lower cranial nerves receive their arterial supply from an intricate network of tributaries derived from the external carotid, internal carotid, and vertebrobasilar territories. A contemporary, comprehensive literature review of the vascular supply of the lower cranial nerves was performed. The vascular supply to the trigeminal, facial, vestibulocochlear, glossopharyngeal, vagus, spinal accessory, and hypoglossal nerves are illustrated with a special emphasis on clinical issues. Frequently the external carotid, internal carotid, and vertebrobasilar territories all contribute to the vascular supply of an individual cranial nerve along its course. Understanding of the vasculature of the lower cranial nerves is of great relevance for skull base surgery. Copyright © 2013 Wiley Periodicals, Inc.

  9. Plea to lower English test pass marks for EEA nurses.

    Science.gov (United States)

    Longhurst, Chris

    2017-08-09

    Nurses from a group campaigning for the rights of EU citizens in the UK after Brexit are meeting the Nursing and Midwifery Council (NMC) to press for the pass mark for English language tests to be lowered.

  10. Unbounded critical points for a class of lower semicontinuous functionals

    OpenAIRE

    Pellacci, Benedetta; Squassina, Marco

    2003-01-01

    In this paper we prove existence and multiplicity results of unbounded critical points for a general class of weakly lower semicontinuous functionals. We will apply a suitable nonsmooth critical point theory.

  11. Suárez on the Lower External Senses

    Czech Academy of Sciences Publication Activity Database

    Heider, Daniel

    2016-01-01

    Roč. 64, Suppl. (2016), s. 81-102 ISSN 0015-1831 Institutional support: RVO:67985955 Keywords : Suárez * Aristotle * the lower external senses * sensible species Subject RIV: AA - Philosophy ; Religion

  12. LCREP genetic stock ID - Lower Columbia River Ecosystem Monitoring Project

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — 1) The purpose of this project is to document juvenile salmon habitat occurrence in the Lower Columbia River and estuary, and examine how habitat conditions...

  13. LCREP catch records - Lower Columbia River Ecosystem Monitoring Project

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — 1) The purpose of this project is to document juvenile salmon habitat occurrence in the Lower Columbia River and estuary, and examine how habitat conditions...

  14. LCREP prey data - Lower Columbia River Ecosystem Monitoring Project

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — 1) The purpose of this project is to document juvenile salmon habitat occurrence in the Lower Columbia River and estuary, and examine how habitat conditions...

  15. LCREP chemistry and lipids - Lower Columbia River Ecosystem Monitoring Project

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — 1) The purpose of this project is to document juvenile salmon habitat occurrence in the Lower Columbia River and estuary, and examine how habitat conditions...

  16. Risk Management - Variance Minimization or Lower Tail Outcome Elimination

    DEFF Research Database (Denmark)

    Aabo, Tom

    2002-01-01

    on future cash flows (the budget), while risk managers concerned about costly lower tail outcomes will hedge (considerably) less depending on the level of uncertainty. A risk management strategy of lower tail outcome elimination is in line with theoretical recommendations in a corporate value......This paper illustrates the profound difference between a risk management strategy of variance minimization and a risk management strategy of lower tail outcome elimination. Risk managers concerned about the variability of cash flows will tend to center their hedge decisions on their best guess......-adding perspective. A cross-case study of blue-chip industrial companies partly supports the empirical use of a risk management strategy of lower tail outcome elimination but does not exclude other factors from (co-)driving the observations....

  17. Radiology of trauma to kidney and lower urinary tract

    International Nuclear Information System (INIS)

    Dorph, S.

    1995-01-01

    The contents are trauma to kidney, imaging of kidney trauma, management of renal trauma, delayed complications, trauma to the lower urinary tract, trauma to urinary bladder, radiologic diagnosis, ethiology of blunt bladder injury, urethal injury (6 refs.)

  18. Statins: Are These Cholesterol-Lowering Drugs Right for You?

    Science.gov (United States)

    Statins: Are these cholesterol-lowering drugs right for you? Find out whether your risk factors for heart disease make you a ... risk prediction. In addition to your cholesterol numbers, these risk calculators also ask about your age, race, ...

  19. Can Whole-Grain Foods Lower Blood Pressure?

    Science.gov (United States)

    ... eating more whole-grain foods help lower my blood pressure? Answers from Sheldon G. Sheps, M.D. It might. Eating ... might help reduce your chance of developing high blood pressure (hypertension). Whole grains are grains that include the ...

  20. Lower Limb Amputation at the 34 Military Hospital in Freetown ...

    African Journals Online (AJOL)

    Lower Limb Amputation at the 34 Military Hospital in Freetown, Sierra Leone: Causes and Indications. Paul F. Nabieu, Thomas A. Massaquoi, S. D. Massaquoi, G Luseni, B. Idris, T. B. Kamara, M. L. Baryoh ...

  1. Claudication of the lower limb: an approach to investigation and ...

    African Journals Online (AJOL)

    events far outweighs the 4% risk of a major amputation over 10 years. Asymptomatic patients ... The remainder of this article focuses on patients with PAD and. IC. IC is defined as an ... lower limb: an approach to investigation and management.

  2. Instructional quality of lower grades natural science classes: the ...

    African Journals Online (AJOL)

    ... classes: the case of primary schools linked to Kemise College of Teacher Education. ... the quality of natural science education classroom instruction in lower grade ... on pedagogical and subject matter issue, closer support and supervision.

  3. Lower limb amputation for ischaemia with special reference to the ...

    African Journals Online (AJOL)

    risk for infection is a vicious circle. Lower limb amputation for ... diffusion. Infection prevention and control .... should be considered in elderly, bedridden, ... can be offered at this stage and to treat any ... classes and continue with physiotherapy.

  4. Second-order systems approach to recreation provision in lower ...

    African Journals Online (AJOL)

    Participants included members of the lower socio-economic communities as well as ... with a first-order system and thus reinforced feelings of social exclusion. ... This change in interaction between the systems involved could result in the ...

  5. A protorothyridid captorhinomorph reptile from the Lower Permian of Oklahoma

    National Research Council Canada - National Science Library

    Reisz, Robert R

    1980-01-01

    A new primitive captorhinomorph reptile has been found near Fort Sill, Oklahoma, in fissure fill deposits believed to be contemporaneous with the lower part of the Arroyo Formation, Clear Fork Group (Leonardian...

  6. The oldest brachiopods from the lower cambrian of South Australia

    DEFF Research Database (Denmark)

    Topper, Timothy Paul; Holmer, Lars E.; Skovsted, Christian B.

    2013-01-01

    The morphology and organophosphatic shell structure of the paterinate brachiopod Askepasma is documented using new and previously collected specimens from the lower Cambrian of South Australia. Lack of adequately preserved material has seen the majority of paterinate specimens previously reported...... from South Australia referred to the genus Askepasma and treated under open nomenclature. Large collections of paterinates from the lower Cambrian Wilkawillina, Ajax, and Wirrapowie limestones in the Arrowie Basin, South Australia have prompted redescription of the type species Askepasma toddense...... and the erection of a new species, Askepasma saproconcha sp. nov. Askepasma saproconcha sp. nov. currently represents the oldest known brachiopod from the lower Cambrian successions in South Australia with a FAD in pre-trilobitic (Terreneuvian, Cambrian Stage 2, lower Atdabanian) strata in the basal part...

  7. VT Lidar Aspect (1.6 meter) - 2008 - Missisquoi Lower

    Data.gov (United States)

    Vermont Center for Geographic Information — (Link to Metadata) This metadata applies to the following collection area(s): Missisquoi Lower 2008 1.6m and related ASPECT datasets. This metadata complies with the...

  8. LCREP growth rates - Lower Columbia River Ecosystem Monitoring Project

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — 1) The purpose of this project is to document juvenile salmon habitat occurrence in the Lower Columbia River and estuary, and examine how habitat conditions...

  9. Minimally Invasive Treatment of Male Lower Urinary Tract Symptoms

    NARCIS (Netherlands)

    de La Rosette, Jean J. M. C. H.; Gravas, Stavros; Fitzpatrick, John M.

    2008-01-01

    During the past decade, increasing numbers of minimally invasive treatments for managing male lower urinary tract symptoms caused by urinary tract obstruction have been positioned. On one hand, transurethral needle ablation and transurethral microwave thermotherapy bridge the gap between medical

  10. Lower urinary tract symptoms after subtotal versus total abdominal hysterectomy

    DEFF Research Database (Denmark)

    Andersen, Lea Laird; Møller, Lars Mikael Alling; Gimbel, Helga

    2015-01-01

    INTRODUCTION AND HYPOTHESIS: Lower urinary tract symptoms (LUTS) are common after hysterectomy and increase after menopause. We aimed to compare subtotal with total abdominal hysterectomy regarding LUTS, including urinary incontinence (UI) subtypes, 14 years after hysterectomy. Main results from...

  11. Emphysematous cystitis: An unusual lower urinary tract infection ...

    African Journals Online (AJOL)

    Emphysematous cystitis: An unusual lower urinary tract infection. MA Lakmichi, M Boukhar, F Barjani, O Saghir, T Hanich, B Wakrim, M Gabsi, A Elhauos, N Charif Idrissi Genouni, N Ousehal, Z Dahami, SM Moudouni, I Sarf ...

  12. Radiology of trauma to kidney and lower urinary tract

    Energy Technology Data Exchange (ETDEWEB)

    Dorph, S [Herlev University Hospital, Copenhagen (Denmark). Dept. of Radiology

    1996-12-31

    The contents are trauma to kidney, imaging of kidney trauma, management of renal trauma, delayed complications, trauma to the lower urinary tract, trauma to urinary bladder, radiologic diagnosis, ethiology of blunt bladder injury, urethal injury (6 refs.).

  13. Hydraulic Geometry Analysis of the Lower Mississippi River

    National Research Council Canada - National Science Library

    Soar, Philip J; Thorne, Colin R; Harmar, Oliver P

    2005-01-01

    The hydraulic geometry of the Lower Mississippi River is primarily the product of the action of natural flows acting on the floodplain materials over centuries and millennia to form an alluvial forming a channel...

  14. The coolability limits of a reactor pressure vessel lower head

    Energy Technology Data Exchange (ETDEWEB)

    Theofanous, T.G.; Syri, S. [Univ. of California, Santa Barbara, CA (United States)

    1995-09-01

    Configuration II of the ULPU experimental facility is described, and from a comprehensive set of experiments are provided. The facility affords full-scale simulations of the boiling crisis phenomenon on the hemispherical lower head of a reactor pressure vessel submerged in water, and heated internally. Whereas Configuration I experiments (published previously) established the lower limits of coolability under low submergence, pool-boiling conditions, with Configuration II we investigate coolability under conditions more appropriate to practical interest in severe accident management; that is, heat flux shapes (as functions of angular position) representative of a core melt contained by the lower head, full submergence of the reactor pressure vessel, and natural circulation. Critical heat fluxes as a function of the angular position on the lower head are reported and related the observed two-phase flow regimes.

  15. Woodlot Agroforestry in the Lower Volta Basin, Ghana: Contribution ...

    African Journals Online (AJOL)

    User

    The study site constitutes part of the post dam floodplains of the lower ... agroforestry policy, in particular, woodlot management once encouraged as part of .... measurements of the vegetation ..... (WARN); the Forestry and Fire Component.

  16. Lower Costs, Better Care- Reforming Our Health Care Delivery

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Affordable Care Act includes tools to improve the quality of health care that can also lower costs for taxpayers and patients. This means avoiding costly...

  17. Lowering the YE+1 end-cap for CMS

    CERN Multimedia

    Maximilien Brice

    2007-01-01

    On 9 January 2007, the massive YE+1 end-cap was lowered into the CMS cavern. This is a very precise process as the crane must lower the end-cap through minimal clearance without tilt or sway. Once in the cavern, the end-cap is then positioned over the end of the barrel to detect particles produced in collisions that travel close to the axis of the beams.

  18. Lower limb fractures associated with multiligament knee injury

    OpenAIRE

    Stagnaro, Joaquin; Yacuzzi, Carlos; Barla, Jorge; Zicaro, Juan Pablo; Costa-Paz, Matias

    2017-01-01

    Objectives: Knee ligament injuries related to lower limb fractures are common and frequently unnoticed. Management of acute polytrauma is usually focused in the bone lesion and a complete physical examination might be really difficult. The purpose of this study was to analyze a series of patients who suffered multiligament knee injuries associated to a lower limb fracture. Hypothesis: The use of magnetic resonance imaging (MRI) during the initial management can lead to an early diagnosis of l...

  19. Lowering of the YE+2 end-cap for CMS

    CERN Multimedia

    Maximilien Brice

    2006-01-01

    Lowering of the second end-cap disk of CMS, designated YE+2, took place on 12 December 2006. The huge disk, 15 m high and weighing around 900 tonnes, is equipped on both sides with muon detectors. The lowering operation started at around 7am and finished about 10 hours later with the arrival of the disk into the cavern 100 m below the surface hall.

  20. Lower bound on inconclusive probability of unambiguous discrimination

    International Nuclear Information System (INIS)

    Feng Yuan; Zhang Shengyu; Duan Runyao; Ying Mingsheng

    2002-01-01

    We derive a lower bound on the inconclusive probability of unambiguous discrimination among n linearly independent quantum states by using the constraint of no signaling. It improves the bound presented in the paper of Zhang, Feng, Sun, and Ying [Phys. Rev. A 64, 062103 (2001)], and when the optimal discrimination can be reached, these two bounds coincide with each other. An alternative method of constructing an appropriate measurement to prove the lower bound is also presented

  1. Entropic Lower Bound for Distinguishability of Quantum States

    Directory of Open Access Journals (Sweden)

    Seungho Yang

    2015-01-01

    Full Text Available For a system randomly prepared in a number of quantum states, we present a lower bound for the distinguishability of the quantum states, that is, the success probability of determining the states in the form of entropy. When the states are all pure, acquiring the entropic lower bound requires only the density operator and the number of the possible states. This entropic bound shows a relation between the von Neumann entropy and the distinguishability.

  2. Sediment oxygen demand in the lower Willamette River, Oregon, 1994

    Science.gov (United States)

    Caldwell, James M.; Doyle, Micelis C.

    1995-01-01

    An investigation of sediment oxygen demand (SOD) at the interface of the stream and stream bed was performed in the lower Willamette River (river mile 51 to river mile 3) during August, 1994, as part of a cooperative project with the Oregon Department of Environmental Quality. The primary goals of the investigation were to measure the spatial variability of SOD in the lower Willamette River and to relate SOD to bottom-sediment characteristics.

  3. Efficacy of the lithotripsy in treating lower pole renal stones.

    Science.gov (United States)

    Cui, Helen; Thomee, Eeke; Noble, Jeremy G; Reynard, John M; Turney, Benjamin W

    2013-06-01

    Use of extracorporeal lithotripsy is declining in North America and many European countries despite international guidelines advocating it as a first-line therapy. Traditionally, lithotripsy is thought to have poor efficacy at treating lower pole renal stones. We evaluated the success rates of lithotripsy for lower pole renal stones in our unit. 50 patients with lower pole kidney stones ≤15 mm treated between 3/5/11 and 19/4/12 were included in the study. Patients received lithotripsy on a fixed-site Storz Modulith SLX F2 lithotripter according to a standard protocol. Clinical success was defined as stone-free status or asymptomatic clinically insignificant residual fragments (CIRFs) ≤3 mm at radiological follow-up. The mean stone size was 7.8 mm. The majority of stones (66 %) were between 5 and 10 mm. 28 % of stones were between 10 and 15 mm. For solitary lower pole stones complete stone clearance was achieved in 63 %. Total stone clearance including those with CIRFs was achieved in 81 % of patients. As expected, for those with multiple lower pole stones the success rates were lower: complete clearance was observed in 39 % and combined clearance including those with CIRFs was 56 %. Overall, complete stone clearance was observed in 54 % of patients and clearance with CIRFs was achieved in 72 % of patients. Success rate could not be attributed to age, stone size or gender. Our outcome data for the treatment of lower pole renal stones (≤15 mm) compare favourably with the literature. With this level of stone clearance, a non-invasive, outpatient-based treatment like lithotripsy should remain the first-line treatment option for lower pole stones. Ureteroscopy must prove that it is significantly better either in terms of clinical outcome or patient satisfaction to justify replacing lithotripsy.

  4. Diagnosis and Management of Lower Urinary Tract Dysfunction.

    Science.gov (United States)

    McDonough, Robert C; Ryan, Stephen T

    2016-06-01

    Lower urinary tract dysfunction is an umbrella diagnosis that covers difficulty evacuating urine from the bladder. In its most simple form, it is either an inability to store urine or an inability to empty the bladder of urine appropriately. The normal and the abnormal bladder, the role of urodynamics in evaluation of lower urinary tract dysfunction, and the medical and behavioral management of some of these disorders are reviewed. Copyright © 2016 Elsevier Inc. All rights reserved.

  5. Lower hybrid wave current ramp-up and plasma equilibrium

    International Nuclear Information System (INIS)

    Gong Xueyu

    1996-01-01

    Questions on lower hybrid driven current and plasma equilibrium are studied. With the induced electric field taken into account, a system of self-consistent equations is obtained. This theory has been applied to some moments of the current ramp-up phase for the Tokamak Engineering Test Breeder (TETB) to study the lower hybrid current drive and MHD equilibrium. So, better electron current and safety factor profiles are obtained

  6. Lower extremity osteoarthritis is associated with lower health-related quality of life among retired professional footballers.

    Science.gov (United States)

    Gouttebarge, Vincent; Aoki, Haruhito; Kerkhoffs, Gino M M J

    2018-03-15

    The objective of the current study was to explore whether retired professional footballers suffering from lower extremity OA have a lower health-related quality of life than those without OA or current professional footballers. An observational study based on a cross-sectional design by means of questionnaires was conducted. Participants were retired and current professional footballers recruited by the World Players' Union (FIFPro). Information about lower extremity OA (clinically diagnosed by a medical professional) was gathered, while health-related quality of life (Global Physical Health and Global Mental Health scores) was assessed through a validated scale. A total of 396 retired and 361 current professional footballers were included in the analyses (response rate of 54%). The group of retired professional footballers was on average 36 years old, and they had competed in professional football for 11 years (retired for 5 years). The group of current professional footballers was on average 25 years old, and they had been active in professional football for 7 years. Within the group of retired professional footballers, prevalence of lower extremity OA was 33%. Both Global Physical Health and Global Mental Health scores among retired professional footballers with lower extremity OA were significantly lower than among retired players without OA and current players, but these scores were nearly similar to the norm for the general population (regardless the presence of OA or not). Health-related quality of life among retired professional footballers with lower extremity OA was significantly lower than among retired players without OA and current players but nearly similar to the norm for the general population (regardless the presence of OA or not). A rational recommendation is that a support measure such as the After Career Consultation should be introduced among retired professional footballers in order to empower their sustainable health and quality of life

  7. Suppression device for the reactor water level lowering

    International Nuclear Information System (INIS)

    Kasuga, Hajime; Kasuga, Hiroshi.

    1984-01-01

    Purpose: To suppress the lowering in the reactor water level so as to avoid unnecessary actuation of ECCS upon generation of transient changes which forecasts the lowering of the reactor water level in a BWR type reactor. Constitution: There are provided a water level suppression signal generator for generating a water level suppression signal upon generation of a transient change signal which forecasts the water level lowering in a nuclear reactor and a recycling flow rate controller that applies a recycling flow rate control signal to a recycling pump drive motor by the water level lowering suppression signal. The velocity of the recycling pump is controlled by a reactor scram signal by way of the water level lowering suppresion signal generator and a recycling flow rate controller. Then, the recycling reactor core flow rate is decreased and the void amount in the reactor is transiently increased where the water level tends to increase. Accordingly, the water level lowering by the scram is moderated by the increasing tendency of the water level. (Ikeda, J.)

  8. Military boot attenuates axial loading to the lower leg.

    Science.gov (United States)

    Yoganandan, Narayan; Schlick, Michael; Arun, Mike W J; Pintar, Frank A

    2014-01-01

    Biomechanical tests to understand injury mechanisms and derive injury tolerance information using Post-Mortem Human Subjects (PMHS) have not used foot protection and they have primarily focused on civilian environments such as automotive and athletic- and sports-related events. As military personnel use boots, tests with the boot are required to understand their effect on attenuating lower leg loads. The purpose of this study was therefore, to determine the modulation of human lower leg kinematics with boot compressions and share of the force absorbed by the boot from underbody blast loading. Axial impacts were delivered to the Hybrid III dummy lower leg in the neutral position. The dummy leg was instrumented with its internal upper and lower tibia load cells, and in addition, a knee load cell was attached to the proximal end. Tests were conducted at 4.4 to 8.9 m/s, with and without boots, and repeat tests were done. Morphologies of the force-time responses were similar at the three load cell locations and for all input combinations and booted and unbooted conditions. However, booted tests resulted in considerably lower maximum forces (approximately two-third reduction) than unbooted tests. These results clearly show that boots can absorb a considerable share of the impact energy and decrease impact loads transmitted to the lower leg under vertical loading, thus necessitating the generation of tolerance data using PMHS for this environment.

  9. Comprehensive, Integrative Genomic Analysis of Diffuse Lower-Grade Gliomas.

    Science.gov (United States)

    Brat, Daniel J; Verhaak, Roel G W; Aldape, Kenneth D; Yung, W K Alfred; Salama, Sofie R; Cooper, Lee A D; Rheinbay, Esther; Miller, C Ryan; Vitucci, Mark; Morozova, Olena; Robertson, A Gordon; Noushmehr, Houtan; Laird, Peter W; Cherniack, Andrew D; Akbani, Rehan; Huse, Jason T; Ciriello, Giovanni; Poisson, Laila M; Barnholtz-Sloan, Jill S; Berger, Mitchel S; Brennan, Cameron; Colen, Rivka R; Colman, Howard; Flanders, Adam E; Giannini, Caterina; Grifford, Mia; Iavarone, Antonio; Jain, Rajan; Joseph, Isaac; Kim, Jaegil; Kasaian, Katayoon; Mikkelsen, Tom; Murray, Bradley A; O'Neill, Brian Patrick; Pachter, Lior; Parsons, Donald W; Sougnez, Carrie; Sulman, Erik P; Vandenberg, Scott R; Van Meir, Erwin G; von Deimling, Andreas; Zhang, Hailei; Crain, Daniel; Lau, Kevin; Mallery, David; Morris, Scott; Paulauskis, Joseph; Penny, Robert; Shelton, Troy; Sherman, Mark; Yena, Peggy; Black, Aaron; Bowen, Jay; Dicostanzo, Katie; Gastier-Foster, Julie; Leraas, Kristen M; Lichtenberg, Tara M; Pierson, Christopher R; Ramirez, Nilsa C; Taylor, Cynthia; Weaver, Stephanie; Wise, Lisa; Zmuda, Erik; Davidsen, Tanja; Demchok, John A; Eley, Greg; Ferguson, Martin L; Hutter, Carolyn M; Mills Shaw, Kenna R; Ozenberger, Bradley A; Sheth, Margi; Sofia, Heidi J; Tarnuzzer, Roy; Wang, Zhining; Yang, Liming; Zenklusen, Jean Claude; Ayala, Brenda; Baboud, Julien; Chudamani, Sudha; Jensen, Mark A; Liu, Jia; Pihl, Todd; Raman, Rohini; Wan, Yunhu; Wu, Ye; Ally, Adrian; Auman, J Todd; Balasundaram, Miruna; Balu, Saianand; Baylin, Stephen B; Beroukhim, Rameen; Bootwalla, Moiz S; Bowlby, Reanne; Bristow, Christopher A; Brooks, Denise; Butterfield, Yaron; Carlsen, Rebecca; Carter, Scott; Chin, Lynda; Chu, Andy; Chuah, Eric; Cibulskis, Kristian; Clarke, Amanda; Coetzee, Simon G; Dhalla, Noreen; Fennell, Tim; Fisher, Sheila; Gabriel, Stacey; Getz, Gad; Gibbs, Richard; Guin, Ranabir; Hadjipanayis, Angela; Hayes, D Neil; Hinoue, Toshinori; Hoadley, Katherine; Holt, Robert A; Hoyle, Alan P; Jefferys, Stuart R; Jones, Steven; Jones, Corbin D; Kucherlapati, Raju; Lai, Phillip H; Lander, Eric; Lee, Semin; Lichtenstein, Lee; Ma, Yussanne; Maglinte, Dennis T; Mahadeshwar, Harshad S; Marra, Marco A; Mayo, Michael; Meng, Shaowu; Meyerson, Matthew L; Mieczkowski, Piotr A; Moore, Richard A; Mose, Lisle E; Mungall, Andrew J; Pantazi, Angeliki; Parfenov, Michael; Park, Peter J; Parker, Joel S; Perou, Charles M; Protopopov, Alexei; Ren, Xiaojia; Roach, Jeffrey; Sabedot, Thaís S; Schein, Jacqueline; Schumacher, Steven E; Seidman, Jonathan G; Seth, Sahil; Shen, Hui; Simons, Janae V; Sipahimalani, Payal; Soloway, Matthew G; Song, Xingzhi; Sun, Huandong; Tabak, Barbara; Tam, Angela; Tan, Donghui; Tang, Jiabin; Thiessen, Nina; Triche, Timothy; Van Den Berg, David J; Veluvolu, Umadevi; Waring, Scot; Weisenberger, Daniel J; Wilkerson, Matthew D; Wong, Tina; Wu, Junyuan; Xi, Liu; Xu, Andrew W; Yang, Lixing; Zack, Travis I; Zhang, Jianhua; Aksoy, B Arman; Arachchi, Harindra; Benz, Chris; Bernard, Brady; Carlin, Daniel; Cho, Juok; DiCara, Daniel; Frazer, Scott; Fuller, Gregory N; Gao, JianJiong; Gehlenborg, Nils; Haussler, David; Heiman, David I; Iype, Lisa; Jacobsen, Anders; Ju, Zhenlin; Katzman, Sol; Kim, Hoon; Knijnenburg, Theo; Kreisberg, Richard Bailey; Lawrence, Michael S; Lee, William; Leinonen, Kalle; Lin, Pei; Ling, Shiyun; Liu, Wenbin; Liu, Yingchun; Liu, Yuexin; Lu, Yiling; Mills, Gordon; Ng, Sam; Noble, Michael S; Paull, Evan; Rao, Arvind; Reynolds, Sheila; Saksena, Gordon; Sanborn, Zack; Sander, Chris; Schultz, Nikolaus; Senbabaoglu, Yasin; Shen, Ronglai; Shmulevich, Ilya; Sinha, Rileen; Stuart, Josh; Sumer, S Onur; Sun, Yichao; Tasman, Natalie; Taylor, Barry S; Voet, Doug; Weinhold, Nils; Weinstein, John N; Yang, Da; Yoshihara, Kosuke; Zheng, Siyuan; Zhang, Wei; Zou, Lihua; Abel, Ty; Sadeghi, Sara; Cohen, Mark L; Eschbacher, Jenny; Hattab, Eyas M; Raghunathan, Aditya; Schniederjan, Matthew J; Aziz, Dina; Barnett, Gene; Barrett, Wendi; Bigner, Darell D; Boice, Lori; Brewer, Cathy; Calatozzolo, Chiara; Campos, Benito; Carlotti, Carlos Gilberto; Chan, Timothy A; Cuppini, Lucia; Curley, Erin; Cuzzubbo, Stefania; Devine, Karen; DiMeco, Francesco; Duell, Rebecca; Elder, J Bradley; Fehrenbach, Ashley; Finocchiaro, Gaetano; Friedman, William; Fulop, Jordonna; Gardner, Johanna; Hermes, Beth; Herold-Mende, Christel; Jungk, Christine; Kendler, Ady; Lehman, Norman L; Lipp, Eric; Liu, Ouida; Mandt, Randy; McGraw, Mary; Mclendon, Roger; McPherson, Christopher; Neder, Luciano; Nguyen, Phuong; Noss, Ardene; Nunziata, Raffaele; Ostrom, Quinn T; Palmer, Cheryl; Perin, Alessandro; Pollo, Bianca; Potapov, Alexander; Potapova, Olga; Rathmell, W Kimryn; Rotin, Daniil; Scarpace, Lisa; Schilero, Cathy; Senecal, Kelly; Shimmel, Kristen; Shurkhay, Vsevolod; Sifri, Suzanne; Singh, Rosy; Sloan, Andrew E; Smolenski, Kathy; Staugaitis, Susan M; Steele, Ruth; Thorne, Leigh; Tirapelli, Daniela P C; Unterberg, Andreas; Vallurupalli, Mahitha; Wang, Yun; Warnick, Ronald; Williams, Felicia; Wolinsky, Yingli; Bell, Sue; Rosenberg, Mara; Stewart, Chip; Huang, Franklin; Grimsby, Jonna L; Radenbaugh, Amie J; Zhang, Jianan

    2015-06-25

    Diffuse low-grade and intermediate-grade gliomas (which together make up the lower-grade gliomas, World Health Organization grades II and III) have highly variable clinical behavior that is not adequately predicted on the basis of histologic class. Some are indolent; others quickly progress to glioblastoma. The uncertainty is compounded by interobserver variability in histologic diagnosis. Mutations in IDH, TP53, and ATRX and codeletion of chromosome arms 1p and 19q (1p/19q codeletion) have been implicated as clinically relevant markers of lower-grade gliomas. We performed genomewide analyses of 293 lower-grade gliomas from adults, incorporating exome sequence, DNA copy number, DNA methylation, messenger RNA expression, microRNA expression, and targeted protein expression. These data were integrated and tested for correlation with clinical outcomes. Unsupervised clustering of mutations and data from RNA, DNA-copy-number, and DNA-methylation platforms uncovered concordant classification of three robust, nonoverlapping, prognostically significant subtypes of lower-grade glioma that were captured more accurately by IDH, 1p/19q, and TP53 status than by histologic class. Patients who had lower-grade gliomas with an IDH mutation and 1p/19q codeletion had the most favorable clinical outcomes. Their gliomas harbored mutations in CIC, FUBP1, NOTCH1, and the TERT promoter. Nearly all lower-grade gliomas with IDH mutations and no 1p/19q codeletion had mutations in TP53 (94%) and ATRX inactivation (86%). The large majority of lower-grade gliomas without an IDH mutation had genomic aberrations and clinical behavior strikingly similar to those found in primary glioblastoma. The integration of genomewide data from multiple platforms delineated three molecular classes of lower-grade gliomas that were more concordant with IDH, 1p/19q, and TP53 status than with histologic class. Lower-grade gliomas with an IDH mutation either had 1p/19q codeletion or carried a TP53 mutation. Most

  10. Phenotypic Characterization of Genetically Lowered Human Lipoprotein(a) Levels

    Science.gov (United States)

    Emdin, Connor A.; Khera, Amit V.; Natarajan, Pradeep; Klarin, Derek; Won, Hong-Hee; Peloso, Gina M.; Stitziel, Nathan O.; Nomura, Akihiro; Zekavat, Seyedeh M.; Bick, Alexander G.; Gupta, Namrata; Asselta, Rosanna; Duga, Stefano; Merlini, Piera Angelica; Correa, Adolfo; Kessler, Thorsten; Wilson, James G.; Bown, Matthew J.; Hall, Alistair S.; Braund, Peter S.; Samani, Nilesh J.; Schunkert, Heribert; Marrugat, Jaume; Elosua, Roberto; McPherson, Ruth; Farrall, Martin; Watkins, Hugh; Willer, Cristen; Abecasis, Gonçalo R.; Felix, Janine F.; Vasan, Ramachandran S.; Lander, Eric; Rader, Daniel J.; Danesh, John; Ardissino, Diego; Gabriel, Stacey; Saleheen, Danish; Kathiresan, Sekar

    2017-01-01

    BACKGROUND Genomic analyses have suggested that the LPA gene and its associated plasma biomarker, lipoprotein(a) (Lp[a]), represent a causal risk factor for coronary heart disease (CHD). As such, lowering Lp(a) has emerged as a therapeutic strategy. Beyond target identification, human genetics may contribute to the development of new therapies by defining the full spectrum of beneficial and adverse consequences and by developing a dose-response curve of target perturbation. OBJECTIVES We attempted to establish the full phenotypic impact of LPA gene variation and to estimate a dose-response curve between genetically altered plasma Lp(a) and risk for CHD. METHODS We leveraged genetic variants at the LPA gene from 3 data sources: individual-level data from 112,338 participants in the UK Biobank; summary association results from large-scale genome-wide association studies; and LPA gene sequencing results from cases with and controls free of CHD. RESULTS One standard deviation genetically lowered Lp(a) level was associated with 29% lower risk of CHD (odds ratio [OR]: 0.71; 95% confidence interval [CI]: 0.69 to 0.73), 31% lower risk of peripheral vascular disease (OR: 0.69; 95% CI: 0.59 to 0.80), 13% lower risk of stroke (OR: 0.87; 95% CI: 0.79 to 0.96), 17% lower risk of heart failure (OR: 0.83; 95% CI: 0.73 to 0.94), and 37% lower risk of aortic stenosis (OR: 0.63; 95% CI: 0.47 to 0.83). We observed no association with 31 other disorders including type 2 diabetes and cancer. Variants that led to gain of LPA gene function increased risk for CHD whereas those that led to loss of gene function reduced CHD risk. CONCLUSIONS Beyond CHD, genetically lowered Lp(a) is associated with a lower risk of peripheral vascular disease, stroke, heart failure, and aortic stenosis. As such, pharmacological lowering of plasma Lp(a) may impact a range of atherosclerosis-related diseases. PMID:28007139

  11. Association Between Concussion and Lower Extremity Injuries in Collegiate Athletes.

    Science.gov (United States)

    Gilbert, Frances C; Burdette, G Trey; Joyner, A Barry; Llewellyn, Tracy A; Buckley, Thomas A

    Concussions have been associated with elevated musculoskeletal injury risk; however, the influence of unreported and unrecognized concussions has not been investigated. The purpose of this study was to examine the association between concussion and lower extremity musculoskeletal injury rates across a diverse array of sports among collegiate student-athletes at the conclusion of their athletic career. The hypothesis was that there will be a positive association between athletes who reported a history of concussions and higher rates of lower extremity injuries. Cross-sectional study. Level 3. Student-athletes (N = 335; 62.1% women; mean age, 21.2 ± 1.4 years) from 13 sports completed a reliable injury history questionnaire. Respondents indicated the total number of reported, unreported, and potentially unrecognized concussions as well as lower extremity injuries including ankle sprains, knee injuries, and muscle strains. Chi-square analyses were performed to identify the association between concussion and lower extremity injuries. There were significant associations between concussion and lateral ankle sprain ( P = 0.012), knee injury ( P = 0.002), and lower extremity muscle strain ( P = 0.031). There were also significant associations between reported concussions and knee injury ( P = 0.003), unreported concussions and knee injury ( P = 0.002), and unrecognized concussions and lateral ankle sprain ( P = 0.001) and lower extremity muscle strains ( P = 0.006), with odds ratios ranging from 1.6 to 2.9. There was a positive association between concussion history and lower extremity injuries (odds ratios, 1.6-2.9 elevated risk) among student-athletes at the conclusion of their intercollegiate athletic careers. Clinicians should be aware of these elevated risks when making return-to-participation decisions and should incorporate injury prevention protocols.

  12. Clinical presentation and manual therapy for lower quadrant musculoskeletal conditions.

    Science.gov (United States)

    Courtney, Carol A; Clark, Jeffrey D; Duncombe, Alison M; O'Hearn, Michael A

    2011-11-01

    Chronic lower quadrant injuries constitute a significant percentage of the musculoskeletal cases seen by clinicians. While impairments may vary, pain is often the factor that compels the patient to seek medical attention. Traumatic injury from sport is one cause of progressive chronic joint pain, particularly in the lower quarter. Recent studies have demonstrated the presence of peripheral and central sensitization mechanisms in different lower quadrant pain syndromes, such as lumbar spine related leg pain, osteoarthritis of the knee, and following acute injuries such as lateral ankle sprain and anterior cruciate ligament rupture. Proper management of lower quarter conditions should include assessment of balance and gait as increasing pain and chronicity may lead to altered gait patterns and falls. In addition, quantitative sensory testing may provide insight into pain mechanisms which affect management and prognosis of musculoskeletal conditions. Studies have demonstrated analgesic effects and modulation of spinal excitability with use of manual therapy techniques, with clinical outcomes of improved gait and functional ability. This paper will discuss the evidence which supports the use of manual therapy for lower quarter musculoskeletal dysfunction.

  13. Impact of lower stratospheric ozone on seasonal prediction systems

    Directory of Open Access Journals (Sweden)

    Kelebogile Mathole

    2014-03-01

    Full Text Available We conducted a comparison of trends in lower stratospheric temperatures and summer zonal wind fields based on 27 years of reanalysis data and output from hindcast simulations using a coupled ocean-atmospheric general circulation model (OAGCM. Lower stratospheric ozone in the OAGCM was relaxed to the observed climatology and increasing greenhouse gas concentrations were neglected. In the reanalysis, lower stratospheric ozone fields were better represented than in the OAGCM. The spring lower stratospheric/ upper tropospheric cooling in the polar cap observed in the reanalysis, which is caused by a direct ozone depletion in the past two decades and is in agreement with previous studies, did not appear in the OAGCM. The corresponding summer tropospheric response also differed between data sets. In the reanalysis, a statistically significant poleward trend of the summer jet position was found, whereas no such trend was found in the OAGCM. Furthermore, the jet position in the reanalysis exhibited larger interannual variability than that in the OAGCM. We conclude that these differences are caused by the absence of long-term lower stratospheric ozone changes in the OAGCM. Improper representation or non-inclusion of such ozone variability in a prediction model could adversely affect the accuracy of the predictability of summer rainfall forecasts over South Africa.

  14. Kinematic and neuromuscular relationships between lower extremity clinical movement assessments.

    Science.gov (United States)

    Mauntel, Timothy C; Cram, Tyler R; Frank, Barnett S; Begalle, Rebecca L; Norcross, Marc F; Blackburn, J Troy; Padua, Darin A

    2018-06-01

    Lower extremity injuries have immediate and long-term consequences. Lower extremity movement assessments can assist with identifying individuals at greater injury risk and guide injury prevention interventions. Movement assessments identify similar movement characteristics and evidence suggests large magnitude kinematic relationships exist between movement patterns observed across assessments; however, the magnitude of the relationships for electromyographic (EMG) measures across movement assessments remains largely unknown. This study examined relationships between lower extremity kinematic and EMG measures during jump landings and single leg squats. Lower extremity three-dimensional kinematic and EMG data were sampled from healthy adults (males = 20, females = 20) during the movement assessments. Pearson correlations examined the relationships of the kinematic and EMG measures and paired samples t-tests compared mean kinematic and EMG measures between the assessments. Overall, significant moderate correlations were observed for lower extremity kinematic (r avg  = 0.41, r range  = 0.10-0.61) and EMG (r avg  = 0.47, r range  = 0.32-0.80) measures across assessments. Kinematic and EMG measures were greater during the jump landings. Jump landings and single leg squats place different demands on the body and necessitate different kinematic and EMG patterns, such that these measures are not highly correlated between assessments. Clinicians should, therefore, use multiple assessments to identify aberrant movement and neuromuscular control patterns so that comprehensive interventions can be implemented.

  15. SCDAP/RELAP5 lower core plate model

    International Nuclear Information System (INIS)

    Coryell, E.W.; Griffin, F.P.

    1999-01-01

    The SCDAP/RELAP5 computer code is a best-estimate analysis tool for performing nuclear reactor severe accident simulations. This report describes the justification, theory, implementation, and testing of a new modeling capability which will refine the analysis of the movement of molten material from the core region to the vessel lower head. As molten material moves from the core region through the core support structures it may encounter conditions which will cause it to freeze in the region of the lower core plate, delaying its arrival to the vessel head. The timing of this arrival is significant to reactor safety, because during the time span for material relocation to the lower head, the core may be experiencing steam-limited oxidation. The time at which hot material arrives in a coolant-filled lower vessel head, thereby significantly increasing the steam flow rate through the core region, becomes significant to the progression and timing of a severe accident. This report is a revision of a report INEEL/EXT-00707, entitled ''Preliminary Design Report for SCDAP/RELAP5 Lower Core Plate Model''

  16. The lower limit of interval efficiency in Data Envelopment Analysis

    Directory of Open Access Journals (Sweden)

    Bijan Rahmani Parchikolaei

    2015-05-01

    Full Text Available In data envelopment analysis technique, the relative efficiency of the homogenous decision making units is calculated. These calculations are done based on the classical model of linear programming such as CCR,BCC,.... Because of maximizing the weighted sum of outputs to that in inputs of one unit under certain conditions, the obtained efficiency in all of these models is the upper limit of exact relative efficiency. In other words, the efficiency is calculatedfrom the optimistic viewpoint. To caculated the lower limit of efficiency, i.e. the efficiency obtained from a pessimistic viewpoint for certain weights, the existing models cannot calculate the exact lower limit and in some cases, there exist some models that show an incorrect lower limit. Through the model introduced in the present study, we can calculate the exact lower limit of the interval efficiency. The designed model can be obtained by minimizing the ratio of weighted sum of outputs to that of inputs for every unit under certion conditions. The exact lower limit can be calculated in all states through our adopted model.

  17. Punch grafts to treat lower limb intractable sores

    Directory of Open Access Journals (Sweden)

    JÚLIO WILSON FERNANDES

    Full Text Available ABSTRACT Lower limb recurrent ulcers, usually caused by prolonged decubitus, trauma, diabetes or burns, may not heal with conventional clinical or surgical treatment. Frequently, laminated skin grafts do not integrate with the recipient layer, and the only alternatives are neighbor microsurgical flaps. These have higher morbidity and create secondary defects, to be corrected with skin grafts, when fasciocutaneous or miocutaneous segments are removed for the treatment of the primary defect. We describe the non-conventional use of punch grafts in the treatment of lower limb ulcers, when conventional skin laminated graft failed, without the use of flaps. Since this is a very successful technique, its use should be considered as a valuable alternative for the treatment of recurrent lower limb ulcers. It is a simple and easy-learned technique that may be used by different surgeons, even in remote places without correct specialized hospital facilities.

  18. Lower Bounds in the Asymmetric External Memory Model

    DEFF Research Database (Denmark)

    Jacob, Riko; Sitchinava, Nodari

    2017-01-01

    Motivated by the asymmetric read and write costs of emerging non-volatile memory technologies, we study lower bounds for the problems of sorting, permuting and multiplying a sparse matrix by a dense vector in the asymmetric external memory model (AEM). Given an AEM with internal (symmetric) memory...... of size M, transfers between symmetric and asymmetric memory in blocks of size B and the ratio ω between write and read costs, we show Ω(min (N, ωN/B logω M/B N/B) lower bound for the cost of permuting N input elements. This lower bound also applies to the problem of sorting N elements. This proves...

  19. Environmental report of the Government of Lower Saxony 1992

    International Nuclear Information System (INIS)

    1992-01-01

    The report examines environmental conditions, describes actions of the government of Lower Saxony and gives prospects for the development of the environmental situation. For the description of the environmental situation and development in Lower Saxony available data is used. The following chapters are contained: A) introduction, B) basic conditions of environmental policy in Lower Saxony, C) environmental protection in different fields, C1) natural preservation and landscape preservation, C2) forest, C3) soil, C4) water, C5) air, C6) waste, C7) noise, C8) radioactivity and nuclear energy, C9) food and commodity goods, C10) chemicals and C11) climate. A list of abbreviations, a list of addresses and of important reports and programs of environmental policy is given in the appendix. (BBR). 1 separate map [de

  20. [Fractures of the lower leg in professional skiers].

    Science.gov (United States)

    Mückley, T; Kruis, C; Schütz, T; Brucker, P; Bühren, V

    2004-03-01

    Fractures of the lower leg due to skiing accidents remain an important concern. Few studies have focussed on the special demands of professional athletes who sustain these injuries. We present our experience with three cases of lower leg fractures in competitive professional downhill skiers and discuss management and treatment concepts. We performed limited reamed compression nailing in all the patients presented because it offers the advantages of high mechanical stability and optimized fragment apposition. Plate osteosynthesis of the fibula is not required in most typical fractures. All patients resumed ski training. Two of them returned to World Cup. Only one achieved her pre-injury World Cup level of performance and success. In conclusion, a successful return for professional skiers with lower leg fractures is feasible using an optimized treatment strategy.

  1. Lower bounds for the minimum distance of algebraic geometry codes

    DEFF Research Database (Denmark)

    Beelen, Peter

    , such as the Goppa bound, the Feng-Rao bound and the Kirfel-Pellikaan bound. I will finish my talk by giving several examples. Especially for two-point codes, the generalized order bound is fairly easy to compute. As an illustration, I will indicate how a lower bound can be obtained for the minimum distance of some...... description of these codes in terms of order domains has been found. In my talk I will indicate how one can use the ideas behind the order bound to obtain a lower bound for the minimum distance of any AG-code. After this I will compare this generalized order bound with other known lower bounds...

  2. Differential pricing of new pharmaceuticals in lower income European countries.

    Science.gov (United States)

    Kaló, Zoltán; Annemans, Lieven; Garrison, Louis P

    2013-12-01

    Pharmaceutical companies adjust the pricing strategy of innovative medicines to the imperatives of their major markets. The ability of payers to influence the ex-factory price of new drugs depends on country population size and income per capita, among other factors. Differential pricing based on Ramsey principles is a 'second-best' solution to correct the imperfections of the global market for innovative pharmaceuticals, and it is also consistent with standard norms of equity. This analysis summarizes the boundaries of differential pharmaceutical pricing for policymakers, payers and other stakeholders in lower-income countries, with special focus on Central-Eastern Europe, and describes the feasibility and implications of potential solutions to ensure lower pharmaceutical prices as compared to higher-income countries. European stakeholders, especially in Central-Eastern Europe and at the EU level, should understand the implications of increased transparency of pricing and should develop solutions to prevent the limited accessibility of new medicines in lower-income countries.

  3. Generalized Modeling of the Human Lower Limb Assembly

    Science.gov (United States)

    Cofaru, Ioana; Huzu, Iulia

    2014-11-01

    The main reason for creating a generalized assembly of the main bones of the lower human member is to create the premises of realizing a biomechanic assisted study which could be used for the study of the high range of varieties of pathologies that exist at this level. Starting from 3D CAD models of the main bones of the lower human member, which were realized in previous researches, in this study a generalized assembly system was developed, system in which are highlighted both the situation of an healthy subject and the situation of the situation of a subject affected by axial deviations. In order to achieve these purpose reference systems were created, systems that are in accordance with the mechanical axes and the anatomic axes of the lower member, which were later generally assembled in a manner that provides an easy customization option

  4. Input, Process, and Learning in primary and lower secondary schools

    DEFF Research Database (Denmark)

    Larsen, Michael Søgaard; Nordenbo, Sven Erik; Holm, Anders

    What do we want to know? What empirical research has been carried out to examine the relationship between factors in primary and lower secondary schools (inputs and processes) and the learning achieved by primary and lower secondary school pupils (outputs and outcomes)? What are the results...... with weight of evidence of this empirical research? Who wants to know and why? The project was commissioned by the Danish Evaluation Institute (Danmarks Evalueringsinstitut) and was performed on behalf of the Nordic Indicator Workgroup (DNI). DNI is a workgroup nominated by the Nordic Evaluation Network...... and development etc. within the primary and lower secondary school sector. What did we find? From 1990 to 2008, 109 studies were published on malleable school factors within school effectiveness research. Of these studies, 71 are of high or medium weight of evidence. Synthesising these studies establishes that 11...

  5. Heatup of the TMI-2 lower head during core relocation

    International Nuclear Information System (INIS)

    Wang, S.K.; Sienicki, J.J.; Spencer, B.W.

    1989-01-01

    An analysis has been carried out to assess the potential of a melting attack upon the reactor vessel lower head and incore instrument nozzle penetration weldments during the TMI core relocation event at 224 minutes. Calculations were performed to determine the potential for molten corium to undergo breakup into droplets which freeze and form a debris bed versus impinging upon the lower head as one or more coherent streams. The effects of thermal-hydraulic interactions between corium streams and water inside the lower plenum, the effects of the core support assembly structure upon the corium, and the consequences of corium relocation by way of the core former region were examined. 19 refs., 24 figs

  6. Experimental investigation of creep behavior of reactor vessel lower head

    International Nuclear Information System (INIS)

    Chu, T.Y.; Pilch, M.; Bentz, J.H.; Behbahani, A.

    1998-03-01

    The objective of the USNRC supported Lower Head Failure (LHF) Experiment Program at Sandia National Laboratories is to experimentally investigate and characterize the failure of the reactor pressure vessel (RPV) lower head due to the thermal and pressure loads of a severe accident. The experimental program is complemented by a modeling program focused on the development of a constitutive formulation for use in standard finite element structure mechanics codes. The problem is of importance because: lower head failure defines the initial conditions of all ex-vessel events; the inability of state-of-the-art models to simulate the result of the TMI-II accident (Stickler, et al. 1993); and TMI-II results suggest the possibility of in-vessel cooling, and creep deformation may be a precursor to water ingression leading to in-vessel cooling

  7. Zonally averaged chemical-dynamical model of the lower thermosphere

    International Nuclear Information System (INIS)

    Kasting, J.F.; Roble, R.G.

    1981-01-01

    A zonally averaged numerical model of the thermosphere is used to examine the coupling between neutral composition, including N 2 , O 2 and O, temperature, and winds at solstice for solar minimum conditions. The meridional circulation forced by solar heating results in a summer-to-winter flow, with a winter enhancement in atomic oxygen density that is a factor of about 1.8 greater than the summer hemisphere at 160 km. The O 2 and N 2 variations are associated with a latitudinal gradient in total number density, which is required to achieve pressure balance in the presence of large zonal jets. Latitudinal profiles OI (5577A) green line emission intensity are calculated by using both Chapman and Barth mechanisms. Composition of the lower thermosphere is shown to be strongly influenced by circulation patterns initiated in the stratosphere and lower mesosphere, below the lower boundary used in the model

  8. On ray stochasticity during lower hybrid current drive in tokamaks

    International Nuclear Information System (INIS)

    Bizarro, J.P.; Moreau, D.

    1992-08-01

    A comprehensive and detailed analysis is presented on the importance of toroidally induced ray stochasticity for the modelling of lower hybrid current drive and for the dynamics of the launched power spectrum. A combined ray tracing and Fokker-Planck code is used and the injected lower hybrid power distribution in poloidal angle and in parallel wave index is accurately represented by taking into account the poloidal extent of the antenna ad by efficiently covering the full range of its radiated spectrum. The importance of the balance between the wave damping and the exponential divergence of nearby ray trajectories in determining the shape of the predicted lower hybrid power deposition profiles is emphasized. When a sufficiently large number of rays is used to densely cover the region of the launched power spectrum which is affected by stochastic effects, code predictions are shown to be stable with respect to small changes in initial conditions and plasma parameters and to be consistent with experimental data

  9. Importance of the lower limit of detection in radiological safety

    International Nuclear Information System (INIS)

    Rafael Terol T.; Hermenegildo Maldonado M.

    1991-01-01

    The concept of the Lower Limit of Detection (LLD) it contributes in the solution of some problems related with the radiological safety, such as the realization of the tests of flight of the sealed radioactive sources; the determination of radioisotopes in environmental samples; the estimate of present radionuclides in polluted foods; in general, the detection of small quantities of radioactive materials present in materials of use or consumption by part of the man in his daily life; as the one Lower Limit of Detection is related with topics of statistics, in this work a small review of them is made, it was superficially discussed the mensuration problems related with the establishment of the Lower Limit of Detection

  10. The Temperature of the Arctic and Antarctic Lower Stratosphere

    Science.gov (United States)

    Newman, Paul A.; Nash, Eric R.; Bhartia, P. K. (Technical Monitor)

    2002-01-01

    The temperature of the polar lower stratosphere during spring is the key factor in changing the magnitude of ozone loss in the polar vortices. In this talk, we will review the results of Newman et al. [2000] that quantitatively demonstrate that the polar lower stratospheric temperature is primarily controlled by planetary-scale waves. In particular, the tropospheric eddy heat flux in middle to late winter (January--February) is highly correlated with the mean polar stratospheric temperature during March. Strong midwinter planetary wave forcing leads to a warmer spring Arctic lower stratosphere in early spring, while weak midwinter forcing leads to cooler spring Arctic temperatures. In addition, this planetary wave driving also has a strong impact on the strength of the polar vortex. These results from the Northern Hemisphere will be contrasted with the Southern Hemisphere.

  11. Lower bounds on Q of some dipole shapes

    DEFF Research Database (Denmark)

    Kim, Oleksiy S.

    2016-01-01

    The lower bound on the radiation Q of an arbitrary electrically small antenna shape can be determined by finding the optimal electric current density on the exterior surface of the shape, such that the Q of this current radiating in free space is minimized, and then augmenting it with a magnetic...... current density cancelling the fields inside the shape's surface. The Q of these coupled electric and magnetic currents radiating in free space is the lower bound on Q for the given shape. The approach is exemplified and its general applicability is substantiated by computing the lower bounds...... of spherically capped dipoles and comparing the results to the known bounds of a sphere and a thin cylinder....

  12. Health-related profiles of people with lower limb loss.

    Science.gov (United States)

    Amtmann, Dagmar; Morgan, Sara J; Kim, Jiseon; Hafner, Brian J

    2015-08-01

    To construct profiles of self-reported health indicators to examine differences and similarities between people with lower limb loss and a normative sample (hereafter called the norm) and to compare health indicators between subgroups based on level and etiology of limb loss. Survey. General community. Adults with unilateral lower limb loss (N=1091) participated in this study. Eligibility criteria included lower limb loss due to trauma or dysvascular complications and regular use of a prosthesis. Not applicable. The Patient-Reported Outcomes Measurement Information System 29-item Health Profile version 1.0 measures physical function, pain interference, fatigue, sleep disturbance, anxiety, depression, and satisfaction with participation in social roles. The norm includes 5239 individuals representative of the U.S. general population in sex, age, race, ethnicity, and education. People with lower limb loss reported statistically significantly worse physical function, pain interference, and satisfaction with participation in social roles and significantly less fatigue than did the norm. People with transfemoral (ie, above-knee) amputation significantly differed in physical function from people with transtibial (ie, below-knee) amputation. Similarly, people with amputation due to trauma and dysvascular etiology significantly differed in physical function and satisfaction with social roles after adjusting for relevant clinical characteristics. People with lower limb loss generally report worse physical function, pain interference, and satisfaction with social roles than do the norm. People with dysvascular amputation reported worse physical function and satisfaction with social roles than did people with traumatic amputation. Health indicator profiles are an efficient way of providing clinically meaningful information about numerous aspects of self-reported health in people with lower limb loss. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by

  13. Fibrous epulis associated with impacted lower right third molar

    Directory of Open Access Journals (Sweden)

    Ni Putu Mira Sumarta

    2009-12-01

    Full Text Available Background: Epulis or epulides are lesions associated with gingival tissues. Fibrous epulis is a type of hyperplastic fibrous tissue mass located at the gingival which is slow growing, painless, having same color as the oral mucosa and firm on palpation. Anterior regions of the oral cavity are the frequently affected sites as these areas are more prone to be affected by calculus deposition and poor plaque control due to frequent teeth malposition. Removal of any irritating factors and excision of the lesion are the usual treatments. Purpose: This case report presents a rare case of fibrous epulis which occurred in the posterior region of the oral cavity and associated with impacted lower third molar. Case: A case of fibrous epulis at the lower right third molar area of three months duration is presented. The mass was slow growing, painless and on examination it was a pedunculated mass overlying the unerupted lower right third molar, having same color with the oral mucosa and firm on palpation. Clinically, the lesion was diagnosed as fibrous epulis associated with impacted lower right third molar. Case management: The treatment were surgical excision of the epulis and removal of the lower right third molar. The histopathology result showed tissue with squamous epithelial lining, achanthotic fibrous connective tissue, mononuclear inflammatory cells and few capillaries without signs of malignancy. This is consistent with the diagnosis of fibrous epulis. Conclusion: Fibrous epulis, although frequently occurred at the anterior region of the oral cavity, may rarely grow at the area of lower third molar. This phenomenon supports the theory that epulis can grow on any surface of oral mucous membrane as long as local irritants are present.

  14. Rehabilitation Trends After Lower Extremity Amputations in Canada.

    Science.gov (United States)

    Kayssi, Ahmed; Dilkas, Steven; Dance, Derry L; de Mestral, Charles; Forbes, Thomas L; Roche-Nagle, Graham

    2017-05-01

    The heterogeneity of medical complications that lead to amputation has resulted in a diverse patient population with differing rehabilitation needs; however, the rehabilitation trends for patients with lower extremity amputations across Canada have not been studied previously. To describe trends in rehabilitation after lower extremity amputations and the factors affecting rehabilitation length of stay in Canada. Retrospective cohort analysis. Canadian inpatient rehabilitation facilities that received persons with lower extremity amputations discharged from academic or community hospitals. Patients underwent lower extremity amputations between 2006 and 2009 for nontraumatic indications and were then discharged to a rehabilitation facility. Patients were identified from the Canadian Institute for Health Information's Discharge Abstract Database that includes hospital admissions across Canada except Quebec. Inpatient rehabilitation after lower extremity amputations. Length of stay, discharge destination, and change in total and motor function scores. The analysis included 5342 persons who underwent lower extremity amputations, 1904 of whom were transferred to a rehabilitation facility (36%). Patients most commonly underwent single below-knee (74%) and above-knee (17%) amputations. The duration of rehabilitation varied by whether the amputation was performed by a vascular (median = 36 days), orthopedic (median = 38 days), or general surgeon (median = 35 days). The overall median length of stay was 36 days. Most patients (72%) subsequently were discharged home and 9% were readmitted to hospital. Predictors of longer rehabilitation included amputation by an orthopedic surgeon (beta = 5.0, P ≤ .01), older age (beta = 0.2, P ≤ .01), and a history of ischemic heart disease (beta = 3.8, P = .03) or congestive heart failure (beta = 5, P = .04). Patients who spent Canada after lower extremity amputation varies by the type of surgeon performing the amputation. Advanced age

  15. On the Applicability of Lower Bounds for Solving Rectilinear

    DEFF Research Database (Denmark)

    Clausen, Jens; Karisch, Stefan E.; Perregaard, M.

    1998-01-01

    . Recently, lower bounds based on decomposition were proposed for the so called rectilinear QAP that proved to be the strongest for a large class of problem instances. We investigate the strength of these bounds when applied not only at the root node of a search tree but as the bound function used......The quadratic assignment problem (QAP) belongs to the hard core of NP-hard optimization problems. After almost forty years of research only relatively small instances can be solved to optimality. The reason is that the quality of the lower bounds available for exact methods is not sufficient...

  16. Running on a lower-body positive pressure treadmill

    DEFF Research Database (Denmark)

    Raffalt, Peter C; Hovgaard-Hansen, Line; Jensen, Bente Rona

    2013-01-01

    This study investigated maximal oxygen consumption (VO2max) and time to exhaustion while running on a lower-body positive pressure treadmill (LBPPT) at normal body weight (BW) as well as how BW support affects respiratory responses, ground reaction forces, and stride characteristics.......This study investigated maximal oxygen consumption (VO2max) and time to exhaustion while running on a lower-body positive pressure treadmill (LBPPT) at normal body weight (BW) as well as how BW support affects respiratory responses, ground reaction forces, and stride characteristics....

  17. Delayed reconstruction of mangled lower extremities: soft tissue management

    OpenAIRE

    Tiftikçioğlu, Yiğit Özer; Erçin, Burak Sercan; Erdem, Mehmet; Biçer, Ahmet; Özkayın, Nadir; Özek, Cüneyt

    2018-01-01

    Objectives: This study aims to propose a new, practical and versatile algorithm for the management of traumatic lower limb soft tissue wounds for patients who did not undergo early reconstruction.Materials and methods: A total of 81 patients (54 males, 27 females; mean age 37.1 years; range 11 to 64 years) managed due to complex lower limb injuries at our institution between January 2008 and December 2012 were analyzed retrospectively in this study. Age and gender of the patients, type of tra...

  18. Lower Face: Clinical Anatomy and Regional Approaches with Injectable Fillers.

    Science.gov (United States)

    Braz, André; Humphrey, Shannon; Weinkle, Susan; Yee, G Jackie; Remington, B Kent; Lorenc, Z Paul; Yoelin, Steve; Waldorf, Heidi A; Azizzadeh, Babak; Butterwick, Kimberly J; de Maio, Mauricio; Sadick, Neil; Trevidic, Patrick; Criollo-Lamilla, Gisella; Garcia, Philippe

    2015-11-01

    The use of injectable fillers enables facial sculpting through treatment of volume depletion and modeling of facial contours. Injectable fillers are among the most frequently performed minimally invasive cosmetic procedures.However, treatment of the lower third of the face can be challenging and requires expertise in facial anatomy. In this article, the authors provide a comprehensive review of the anatomy of the lower third of the face, highlighting danger zones. In addition, the authors describe their preferred approach and detailed technique used in the treatment of each specific area, namely the jawline, prejowl sulcus, melomental folds, and lips.

  19. Lower Confidence Bounds for the Probabilities of Correct Selection

    Directory of Open Access Journals (Sweden)

    Radhey S. Singh

    2011-01-01

    Full Text Available We extend the results of Gupta and Liang (1998, derived for location parameters, to obtain lower confidence bounds for the probability of correctly selecting the t best populations (PCSt simultaneously for all t=1,…,k−1 for the general scale parameter models, where k is the number of populations involved in the selection problem. The application of the results to the exponential and normal probability models is discussed. The implementation of the simultaneous lower confidence bounds for PCSt is illustrated through real-life datasets.

  20. Lidar Profiling In the lower Troposphere: experience from PECAN

    Science.gov (United States)

    Demoz, Belay B.; Delgado, Ruben; Caroll, Brian; Vermeesch, Kevin; Whiteman, David N.; Sakai, Ricardo; Tesfay, Sium; Cooper, Lorenza

    2018-04-01

    Results from the PECAN (Plains Elevated Convection at Night) campaign are discussed. In particular, the utility of simple backscatter lidars/ceilometers in quantifying atmospheric dynamics parameters and variables as well as evolution of the lower tropospheric dynamics are made. Cases of bore wave dynamics and the potential of these events in lofting of low level, moist, airmass and its consequence in thunderstorm initiation are made. A suite of thermodynamic profiling instruments are combined and compared to describe and visualize lower tropospheric dynamic evolution.

  1. Lidar Profiling In the lower Troposphere: experience from PECAN

    Directory of Open Access Journals (Sweden)

    Demoz Belay B.

    2018-01-01

    Full Text Available Results from the PECAN (Plains Elevated Convection at Night campaign are discussed. In particular, the utility of simple backscatter lidars/ceilometers in quantifying atmospheric dynamics parameters and variables as well as evolution of the lower tropospheric dynamics are made. Cases of bore wave dynamics and the potential of these events in lofting of low level, moist, airmass and its consequence in thunderstorm initiation are made. A suite of thermodynamic profiling instruments are combined and compared to describe and visualize lower tropospheric dynamic evolution.

  2. Half pitch lower sound perception caused by carbamazepine.

    Science.gov (United States)

    Konno, Shyu; Yamazaki, Etsuko; Kudoh, Masako; Abe, Takashi; Tohgi, Hideo

    2003-09-01

    We report a 16-year-old woman with secondary generalization of partial seizure, who complained of an auditory disturbance after carbamazepine (CBZ) administration. She had been taking sodium valproate (VPA) from the age of 15. However, her seizures remained poorly controlled. We changed her antiepileptic drug from VPA to CBZ. At 1 week after CBZ administration, she noticed that electone musical performances were heard as a semitone lower. When oral administration of CBZ was stopped, her pitch perception returned to normal. If she had not been able to discern absolute pitch, she might have been unable to recognize her lowered pitch perception. Auditory disturbance caused by CBZ is reversible and very rare.

  3. Molten material relocation into the lower plenum: a status report

    International Nuclear Information System (INIS)

    1998-09-01

    This report, prepared by the task group 'Degraded Core Cooling' (DCC) for the CSNI, summarizes the experimental and theoretical knowledge of molten material relocation from a degraded core to the lower plenum of the reactor vessel under the main severe accident scenarios envisaged for both PWRs and BWRs, and boundary conditions. Consequences of movement of material to the lower head are considered with respect to the potential for reactor pressure vessel failure. The following models are reviewed: SCDAP/RELAP5, ICARE/CATHARE, ATHLET-CD/KESS, MELCOR, MAAP4, ESCADRE, etc.

  4. THE DISTRIBUTION OF ELECTRONS IN THE LOWER AND MIDDLE IONOSPHERE

    Energy Technology Data Exchange (ETDEWEB)

    Knecht, R. W.

    1963-08-20

    A review of current knowledge of the distribution of electrons in the D, E, andd lower F regions of the ionosphere is presented. Noteworthy is the increase in the amount of data available on the electron density profile in the D region from ground-based andd rocket experiments. Also, the shape of the height profile of electrons in the E and lower F region was significantly refined through the use of improved vertical sounders and by and increasing number of in situ observations. Information was obtained by means of rocket experimentation on the nature of the ionization structures responsible for certain types of sporadic E. (auth)

  5. Aesthetic refinements in reconstructive microsurgery of the lower leg.

    Science.gov (United States)

    Rainer, Christian; Schwabegger, Anton H; Gardetto, Alexander; Schoeller, Thomas; Hussl, Heribert; Ninkovic, Milomir M

    2004-02-01

    Even if a surgical procedure is performed for reconstructive and functional reasons, a plastic surgeon must be responsible for the visible result of the work and for the social reintegration of the patient; therefore, the aesthetic appearance of a microsurgically reconstructed lower leg must be considered. Based on the experience of 124 free-tissue transfers to the lower leg performed in 112 patients between January 1994 and March 2001 (110 [88.7 percent] were transferred successfully), three cases are presented. Considerations concerning flap selection and technical refinements in designing and tailoring microvascular flaps to improve the quality of reconstruction, also according to the aesthetic appearance, are discussed.

  6. [The features in preventing recurrent lower urinary tract infection].

    Science.gov (United States)

    Gadzhieva, Z K; Kazilov, Yu B

    2016-08-01

    This review outlines characteristics of medications most commonly used for preventing recurrent lower urinary tract infection (UTI). It shows that the treatment and prophylaxis of UTI should be comprehensive and include the restoration of the normal urogenital tract anatomy and use in addition to antibacterial and anti-inflammatory drugs, agents, normalizing the function of the lower urinary tract, as well as drugs for local and systemic immunoprophylaxis, protection of the urothelium from recurrent infection, local hormone replacement therapy in menopause, and dietary supplements to acidify the urine.

  7. Complementary and integrative therapies for lower urinary tract diseases.

    Science.gov (United States)

    Raditic, Donna M

    2015-07-01

    Consumer use of integrative health care is growing, but evidence-based research on its efficacy is limited. Research of veterinary lower urinary tract diseases could be translated to human medicine because veterinary patients are valuable translational models for human urinary tract infection and urolithiasis. An overview of complementary therapies for lower urinary tract disease includes cranberry supplements, mannose, oral probiotics, acupuncture, methionine, herbs, or herbal preparations. Therapies evaluated in dogs and cats, in vitro canine cells, and other relevant species, in vivo and in vitro, are presented for their potential use as integrative therapies for veterinary patients and/or translational research. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. Nonlinear evolution of the lower-hybrid drift instability

    International Nuclear Information System (INIS)

    Brackbill, J.U.; Forslund, D.W.; Quest, K.B.; Winske, D.

    1984-01-01

    The results of simulations of the lower-hybrid drift instability in a neutral sheet configuration are described. The simulations use an implicit formulation to relax the usual time step limitations and thus extend previous explicit calculations to weaker gradients, larger mass ratios, and long times compared with the linear growth time. The numerical results give the scaling of the saturation level, heating rates, resistivity, and cross-field diffusion and a demonstration by comparison with a fluid electron model that dissipation in the lower-hybrid drift instability is caused by electron kinetic effects

  9. Auroral electron acceleration by lower-hybrid waves

    International Nuclear Information System (INIS)

    Bingham, R.; Bryant, D.A.; Hall, D.S.

    1986-01-01

    Because the particles and electric fields association with inverted-V electron streams do not have the characteristics expected for acceleration by a quasistatic potential difference, the possiblity that the electrons are stochastically accelerated by waves is investigated. It is demonstrated that the lower hybrid waves seen on auroral field lines have the righ properties to account for the electron acceleration. It is further shown that the lower hybrid wave power measured on auroral field lines can be generated by the streaming ions observed at the boundary of the plasma sheet, and that this wave power is sufficient to account for the electron power observed close to the atmosphere. (author)

  10. On the lower of limit detection of radiometric systems

    International Nuclear Information System (INIS)

    Kamburov, H.; Boneva, S.

    1983-01-01

    The existing definitions of the quantity Asub(min), the lower detection limit, introduced as a characteristic of the sensitivity of radiometric systems are reviewed. A convenient way is found for comparing the different definitions by showing that each definition is connected with a specific value of the probability a of Type I error. The detection limits are calculated for a normal and Poisson distributions of the measured quantities. A criterion is proposed for the applicability of the normal distiribution to the problem of determining the lower detection limit

  11. Treatment of critical lower limb ischemia using a hybrid technique

    Directory of Open Access Journals (Sweden)

    Ricardo Wagner da Costa Moreira

    2014-09-01

    Full Text Available Critical ischemia of a lower limb is a condition that threatens its viability and must be treated promptly to avoid major amputation. Revascularization is the most effective treatment method and is performed using surgical or endovascular techniques. For patients with thoracoabdominal aortic aneurysms, combining these two approaches into a "hybrid technique" makes it possible to treat patients who could not be adequately treated by either technique in isolation. We report on a case of lower limb critical ischemia treated using a combination of surgery and endovascular techniques, in an application of the hybrid technique in a different arterial bed.

  12. Smiles as signals of lower status in football players and fashion models: evidence that smiles are associated with lower dominance and lower prestige.

    Science.gov (United States)

    Ketelaar, Timothy; Koenig, Bryan L; Gambacorta, Daniel; Dolgov, Igor; Hor, Daniel; Zarzosa, Jennifer; Luna-Nevarez, Cuauhtémoc; Klungle, Micki; Wells, Lee

    2012-07-10

    Across four studies, the current paper demonstrates that smiles are associated with lower social status. Moreover, the association between smiles and lower status appears in the psychology of observers and generalizes across two forms of status: prestige and dominance. In the first study, faces of fashion models representing less prestigious apparel brands were found to be more similar to a canonical smile display than the faces of models representing more prestigious apparel brands. In a second study, after being experimentally primed with either high or low prestige fashion narratives, participants in the low prestige condition were more likely to perceive smiles in a series of photographs depicting smiling and non-smiling faces. A third study of football player photographs revealed that the faces of less dominant (smaller) football players were more similar to the canonical smile display than the faces of their physically larger counterparts. Using the same football player photographs, a fourth study found that smiling was a more reliable indicator of perceived status-relevant personality traits than perceptions of the football players' physical sizes inferred from the photographs.

  13. Smiles as Signals of Lower Status in Football Players and Fashion Models: Evidence That Smiles are Associated with Lower Dominance and Lower Prestige

    Directory of Open Access Journals (Sweden)

    Timothy Ketelaar

    2012-07-01

    Full Text Available Across four studies, the current paper demonstrates that smiles are associated with lower social status. Moreover, the association between smiles and lower status appears in the psychology of observers and generalizes across two forms of status: prestige and dominance. In the first study, faces of fashion models representing less prestigious apparel brands were found to be more similar to a canonical smile display than the faces of models representing more prestigious apparel brands. In a second study, after being experimentally primed with either high or low prestige fashion narratives, participants in the low prestige condition were more likely to perceive smiles in a series of photographs depicting smiling and non-smiling faces. A third study of football player photographs revealed that the faces of less dominant (smaller football players were more similar to the canonical smile display than the faces of their physically larger counterparts. Using the same football player photographs, a fourth study found that smiling was a more reliable indicator of perceived status-relevant personality traits than perceptions of the football players' physical sizes inferred from the photographs.

  14. Is prescribed lower extremity weight-bearing status after geriatric lower extremity trauma associated with increased mortality?

    Science.gov (United States)

    Gitajn, Ida Leah; Connelly, Daniel; Mascarenhas, Daniel; Breazeale, Stephen; Berger, Peter; Schoonover, Carrie; Martin, Brook; O'Toole, Robert V; Pensy, Raymond; Sciadini, Marcus

    2018-02-01

    Evaluate whether mortality after discharge is elevated in geriatric fracture patients whose lower extremity weight-bearing is restricted. Retrospective cohort study SETTING: Urban Level 1 trauma center PATIENTS/PARTICIPANTS: 1746 patients >65 years of age INTERVENTION: Post-operative lower extremity weight-bearing status MAIN OUTCOME MEASURE: Mortality, as determined by the Social Security Death Index RESULTS: Univariate analysis demonstrated that patients who were weight-bearing as tolerated on bilateral lower extremities (BLE) had significantly higher 5-year mortality compared to patients with restricted weight-bearing on one lower extremity and restricted weight-bearing on BLE (30%, 21% and 22% respectively, p bearing as tolerated on BLE, restricted weight-bearing on one lower extremity had a hazard ratio (HR) of 0.97 (95% confidence interval 0.78 to 1.20, p = 0.76) and restricted weight-bearing in BLE had a HR of 0.91 (95% confidence interval 0.60 to 1.36, p = 0.73). In geriatric patients, prescribed weight-bearing status did not have a statistically significant association with mortality after discharge, when controlling for age, sex, body mass index, medical comorbidities, Injury Severity Scale (ISS), mechanism of injury, nonoperative treatment and admission GCS. This remained true in when the analysis was restricted to operative injuries only. Copyright © 2017 Elsevier Ltd. All rights reserved.

  15. Lower limb fractures in adult patients with residua of poliomyelitis ...

    African Journals Online (AJOL)

    Few studies have been published in the literature regarding fractures of limbs in patients with poliomyelitis. We have conducted a retrospective study from 1992 to 2004 in order to present our data on fractures of lower limbs in adult patients with residua of poliomyelitis. During the thirteen-year period under study, only eight ...

  16. Factors Associated with Prosthetic Looseness in Lower Limb Amputees.

    Science.gov (United States)

    Phonghanyudh, Thong; Sutpasanon, Taweesak; Hathaiareerug, Chanasak; Devakula, M L Buddhibongsa; Kumnerddee, Wipoo

    2015-12-01

    To determine the factors associated with prosthetic looseness in lower limb amputees in Sisaket province. The present was a cross-sectional descriptive study. Subjects were lower limb amputees who previously obtained prostheses and required prosthetic replacements at the mobile prosthetic laboratory unit under the Prostheses Foundation of H.R.H. the Princess Mother at Khun Han Hospital, Sisaket province, in February 2013. Data including participant characteristics, prosthetic looseness data, and various variables were collected by direct semi-structured interview. Energy expenditures in physical activities were measured using the Thai version of the short format international physical activity questionnaire. Data between participants with and without prosthetic looseness were compared to determine prosthetic loosening associated factors. Among 101 participants enrolled, 33 (32.7%) had prosthetic looseness with average onset of 1.76 ± 1.67 years. Diabetes mellitus was the only significant factor associated with prosthetic looseness from both univariate and multivariate analyses (HR = 7.05, p = 0.002 and HR = 5.93, p = 0.007 respectively). Among the lower limb amputees in Sisaket province, diabetes mellitus was the only factor associated with prosthetic looseness. Therefore, diabetic screening should be supplemented in lower limb amputee assessment protocol. In addition, we recommend that amputees with diabetes mellitus should receive prosthesis check out at approximately

  17. On the limit distribution of lower extreme generalized order statistics

    Indian Academy of Sciences (India)

    Abstract. In a wide subclass of generalized order statistics (gOs), which contains most of the known and important models of ordered random variables, weak conver- gence of lower extremes are developed. A recent result of extreme value theory of m−gOs (as well as the classical extreme value theory of ordinary order ...

  18. On the Limit Distribution of Lower Extreme Generalized Order Statistics

    Indian Academy of Sciences (India)

    In a wide subclass of generalized order statistics ( g O s ) , which contains most of the known and important models of ordered random variables, weak convergence of lower extremes are developed. A recent result of extreme value theory of m − g O s (as well as the classical extreme value theory of ordinary order statistics) ...

  19. The effect of lowering LDL cholesterol on vascular access patency

    DEFF Research Database (Denmark)

    Herrington, William; Emberson, Jonathan; Staplin, Natalie

    2014-01-01

    BACKGROUND AND OBJECTIVES: Reducing LDL cholesterol (LDL-C) with statin-based therapy reduces the risk of major atherosclerotic events among patients with CKD, including dialysis patients, but the effect of lowering LDL-C on vascular access patency is unclear. DESIGN, SETTING, PARTICIPANTS...

  20. Petrographic study of core plugs from lower goru sandstones

    International Nuclear Information System (INIS)

    Memon, M.K.; Tunio, A.; Leghari, A.

    2008-01-01

    Petrographic rock type description is a fundamental component in the reservoir description processes and typically included measurement to identify sediment source, texture, composition and mineralogy. Petroleum workers have long used the Petrographic microscope as an in put device to aid in the study of pore systems. Standard Petrographic thin sections are typically 30 micrometers thick and are usually illuminated by transmitted light. Experienced examiners have trained themselves to see information such as pore size, mineralogy, compaction, etc by disregarding artifacts produced by passing light through a section. This method is adequate for qualitative interpretation of data from thin sections. Rocks in thin section under a microscope display great complexity in pore sizes and shapes. Petrographic study provides measurement on rock texture. Texture deals with the size, shape and arrangement of the component minerals of a rock. It is essentially the micro geometry of the rock. Permeability of collected core plugs of lower Goru sandstones was measured. From this Petrographic study we have identified as the sandstone of Lower Goru constitute almost entirely of quartz. The grains range in size from very fine to medium, moderately well sorted to well sorted and rounded to sub rounded in shape. Particularly attention was paid to mineral content present in Lower Goru Sandstone. The mineral composition from these core plugs of Lower Goru Sandstone as identified contain about 70-80% Quartz with traces of feldspar, muscovite, biotite, Epidote and hornblende. Calcite was present as cementing material and it was about 15 -30% of the total rock. (author)

  1. Parametric decay of lower hybrid wave into drift waves

    International Nuclear Information System (INIS)

    Sanuki, Heiji.

    1976-12-01

    A dispersion relation describing the parametric decay of a lower hybrid wave into an electrostatic drift wave and a drift Alfven wave is derived for an inhomogeneous magnetized plasma. Particularly the stimulated scattering of a drift Alfven wave in such a plasma was investigated in detail. The resonance backscattering instability is found to yield the minimum threshold. (auth.)

  2. Lower Limb Injuries Arising From Motorcycle Crashes | Kortor ...

    African Journals Online (AJOL)

    Background: Motorcycle accidents are the second most common cause of road traffic accidents in both developing and developed countries. In this study we aim to look at the pattern and characteristics of lower limb injuries arising from motorcycle accidents and evaluate early outcome of treatment. Methods: All the patients ...

  3. Duplication of lower lip and mandible--a rare diprosopus.

    Science.gov (United States)

    Suhaili, D N Pengiran; Somasundaram, S; Lau, S H; Ajura, A J; Roslan, A R; Ramli, R

    2011-01-01

    Diprosopus or duplication of the lower lip and mandible is a very rare congenital anomaly. We report this unusual case occurring in a girl who presented to our hospital at the age of 4 months. Surgery and problems related to this anomaly are discussed. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

  4. Society and Health in the Lower Rio Grande Valley.

    Science.gov (United States)

    Madsen, William

    Shedding light on problems of mental health and illness that have baffled public health workers attempting to improve the health and welfare of Mexican Americans living in the lower Rio Grande Valley, this document reports the folk customs, social organization, medical practices, and beliefs of the Mexican American of this area. Chapters describe…

  5. Class impressions : Higher social class elicits lower prosociality

    NARCIS (Netherlands)

    Van Doesum, Niels J.; Tybur, Joshua M.; Van Lange, Paul A.M.

    2017-01-01

    Social class predicts numerous important life outcomes and social orientations. To date, literature has mainly examined how an individual's own class shapes interactions with others. But how prosocially do people treat others they perceive as coming from lower, middle, or higher social classes?

  6. Correction of Severe Traditional Medication-induced Lower Lid ...

    African Journals Online (AJOL)

    Setting: The correction of the lower lid tarsal ectropion was carried out at the Rachel Eye Center in Abuja, Nigeria. Result: After conservative intervention failed, a free preauricular skin graft of the floppy ectropion, led to a stable correction. Conclusions: Harmful traditional eye medication continues to be a problem in the ...

  7. Chronic Tea Consumption Lowers Blood Pressure in Rats: Some ...

    African Journals Online (AJOL)

    Chronic Tea Consumption Lowers Blood Pressure in Rats: Some Associated Mechanisms. ... Nigerian Journal of Health and Biomedical Sciences ... In experiment 5, group 9 (kept on NF and indomethacin solution) also had similar BP as group 10 (kept on ... KEY WORDS: Blood pressure (BP), heart rate (HR), rats, tea.

  8. Constipation in pediatric patients with lower urinary tract symptoms

    International Nuclear Information System (INIS)

    Muhammad, S.; Nawaz, G.; Jamil, I.

    2015-01-01

    To determine the frequency of constipation in patients with pediatric age group presenting with Lower Urinary Tract Symptoms (LUTS). Study Design: Descriptive study. Place and Duration of Study: Outpatient Department of Urology in Pakistan Kidney Institute at Shifa International Hospital, Islamabad, from November 2012 to February 2014. Methodology: Two hundred pediatric patients presenting with Lower Urinary Tract Symptoms (LUTS) were studied in terms of age, gender, obstructive and irritative types of LUTS along with any associated symptoms. Constipation was assessed by Bristol stool chart in these patients. Patients with exstrophy of bladder were excluded from the study. Descriptive statistics were measured for both qualitative and quantitative variables. For qualitative variables like gender, presenting symptoms, constipation and stool types, percentages and frequencies were calculated. For quantitative variables like age, percentages / mean ± SD were calculated. Results: Mean age was 6.87 ± 3.64 years with a range of 2 - 14 years. Constipation was found in 37.5% of the pediatric patients with lower urinary tract symptoms. Conclusion: Constipation is frequent and overlooked problem in pediatric patients having urinary symptoms. Irritative lower urinary tract symptoms are more common. Children up to 5 years of age are the most common sufferers. Knowing the burden of constipation in such patients can help physicians in better treatment of such cases. (author)

  9. Incidence of lower thoracic ligamentum flavum midline gaps

    NARCIS (Netherlands)

    Lirk, P.; Colvin, J.; Steger, B.; Colvin, H.-P.; Keller, C.; Rieder, J.; Kolbitsch, C.; Moriggl, B.

    2005-01-01

    Lower thoracic epidural anaesthesia and analgesia (EDA) has gained increasing importance in perioperative pain therapy. The loss-of-resistance technique used to identify the epidural space is thought to rely on the penetration of the ligamentum flavum. Investigations at the cervical and lumbar

  10. Devonian and Lower Carboniferous conodont biostratigraphy, Spanish Central Pyrenees

    NARCIS (Netherlands)

    Boersma, Kerst Th.

    1973-01-01

    Conodont faunas were collected from the Devonian and Lower Carboniferous in an area ranging from the Rio Fsera (prov. of Huesca) in the west to the Rio Llobregat (prov. of Barcelona) in the east. Most conodont zones and -Faunas recognized in Germany and Spain could be distinguished. The ages of the

  11. Lower limb fractures associated with multiligament knee injury

    Science.gov (United States)

    Stagnaro, Joaquin; Yacuzzi, Carlos; Barla, Jorge; Zicaro, Juan Pablo; Costa-Paz, Matias

    2017-01-01

    Objectives: Knee ligament injuries related to lower limb fractures are common and frequently unnoticed. Management of acute polytrauma is usually focused in the bone lesion and a complete physical examination might be really difficult. The purpose of this study was to analyze a series of patients who suffered multiligament knee injuries associated to a lower limb fracture. Hypothesis: The use of magnetic resonance imaging (MRI) during the initial management can lead to an early diagnosis of ligament injuries. Methods: A retrospective search was conducted from our hospital´s electronic database. We evaluated the initial diagnosis and acute surgical treatment, and management and functional outcomes after the ligament lesion was diagnosed. Results: Seven patients who presented a knee multiligament injury associated with a lower limb fracture were evaluated. The average age was 29 years. Primary diagnoses were: four tibial plateau fractures; one open fracture-dislocation of the knee; one open leg fracture and ipsilateral hip dislocation; and one bifocal femur fracture. Only three patients had an MRI during the initial management of trauma. Six out of seven patients had to be operated on for the multiligament knee injury. The period between the resolution of the fracture and the ligamentous repair was from 3 to 24 months. Conclusion: Poor functional outcomes are reported in patients with multiligament knee injuries associated with high-energy lower limb fractures. We consider an MRI during the initial management can lead to better outcomes. A trauma surgeon working alongside an arthroscopic surgeon might optimize the results for these lesions.

  12. Counteracting venous stasis during acute lower leg immobilization.

    NARCIS (Netherlands)

    Poelkens, F.; Thijssen, D.H.J.; Kersten, B.T.P.; Scheurwater, H.; Laarhoven, E.W. van; Hopman, M.T.E.

    2006-01-01

    AIM: During lower limb immobilization, patients are at risk to develop deep venous thrombosis. Recently, a water-pad was developed that should counteract venous stasis. The water-pad, located under the plaster, mobilizes water from the foot to the calf during weight bearing and, thereby, imitates

  13. Timber resource of Michigan's Southern Lower Peninsula Unit, 1980.

    Science.gov (United States)

    Jerold T. Hahn

    1982-01-01

    The fourth inventory of the timber resource of Michigan's Southern Lower Peninsula Survey Unit shows a 12% decline in commercial forest area and a 26% gain in growing-stock volume between 1966 and 1980. Presented are highlights and statistics on area, volume, growth, mortality, removals, utilization, and biomass.

  14. Measurements on the movement of the lower jaw in speech

    NARCIS (Netherlands)

    Nooteboom, S.G.; Slis, I.H.

    1970-01-01

    This report concerns some preliminary measurements on the movement of the lower jaw in speech. Such measurements may be interesting for several reasons. One of these is that they more easily than measurements on the movements of other articulators may give some insight into the effect of stress,

  15. A lower limit for the birth rate of pulsars

    International Nuclear Information System (INIS)

    Narayan, R.; Vivekanand, M.

    1981-01-01

    Using experimental data on observed pulsars, a lower limit for the birth rate of pulsars in our galaxy was estimated, taking into account the beam factor which allows for the possibility that only a fraction of all pulsars is beamed towards the earth. The calculation reduces the discrepancy between pulsar and supernova birth rates. (U.K.)

  16. Investigation of biological condition of fish species in lower Ogun ...

    African Journals Online (AJOL)

    The study was carried out to investigate the biological condition of fish species in lower Ogun River wetlands. A total of 175 individual fish belonging to 10 species were collected from artisanal fishermen using different types of fishing gears. Two biological indices; condition factor “K” and growth exponent “b” obtained from ...

  17. Preparing an ATLAS toroid magnet end-cap for lowering

    CERN Multimedia

    Claudia Marcelloni

    2007-01-01

    One of the two 13-m high toroid magnet end-caps for the ATLAS experiment being transported from the construction hall to the experimental area. The end-cap will be lowered into the ATLAS cavern and attached to an end of the detector.

  18. Lower bounds to the reliabilities of factor score estimators

    NARCIS (Netherlands)

    Hessen, D.J.

    2017-01-01

    Under the general common factor model, the reliabilities of factor score estimators might be of more interest than the reliability of the total score (the unweighted sum of item scores). In this paper, lower bounds to the reliabilities of Thurstone’s factor score estimators, Bartlett’s factor score

  19. Socially Responsible Knowledge and Behaviors: Comparing Upper vs. Lower Classmen

    Science.gov (United States)

    Kozar, Joy M.; Connell, Kim Y. Hiller

    2010-01-01

    Utilizing a sample of undergraduate students and survey research methods, this study examined knowledge on issues of social responsibility within the apparel and textiles industry, comparing the sophistication among upper- versus lower-classmen. The study also investigated the differences between students in their socially responsible apparel…

  20. Fish species composition, diversity and abundance of the lower New ...

    African Journals Online (AJOL)

    A thirteen-week investigation to determine the fish species composition, diversity and abundance of the Lower New Calabar River, in Rivers State, aimed at providing information on the fish stock and their status for documentation, knowledge improvement, and development of conservation and management strategies was ...

  1. LOWER NORTH BATTERY - DEFENDED PORT OF SIMON'S TOWN

    African Journals Online (AJOL)

    LOWER NORTH BATTERY - DEFENDED. PORT OF SIMON'S TOWN. Lt-Cdr W. M. Bisset*. In 1975 Mr H. C. Willis suggested to the present writer that the SA Navy should mount a bronze plaque similar to those commissioned by the. Simon's Town Historical Society and displayed on certain historical buildings in the town at ...

  2. Lower hybrid waves at the shock front: a reassessment

    Directory of Open Access Journals (Sweden)

    S. N. Walker

    2008-03-01

    Full Text Available The primary process occurring at a collisionless shock is the redistribution of the bulk upstream energy into other degrees of freedom. One part of this process results in the acceleration of electrons at the shock front. Accelerated electrons are observed at the terrestrial and other planetary shocks, comets, and their effects are observed in astrophysical phenomena such as supernova remnants and jets in the form of X-ray bremsstrahlung radiation. One of the physical models for electron acceleration at supercritical shocks is based on low-hybrid turbulence due to the presence of reflected ions in the foot region. Since lower hybrid waves propagate almost perpendicular to the magnetic field they can be simultaneously in resonance with both the unmagnetised ions (ω=Vik⊥ and magnetised electrons (ω=Vek||. In this paper, Cluster observations of the electric field are used to study the occurrence of lower hybrid waves in the front of the terrestrial bow shock. It is shown that the lower hybrid waves exist as isolated wave packets. However, the very low level of the observed lower hybrid turbulence is too small to impart significant energisation to the electron population.

  3. Holocene flooding history of the Lower Tagus Valley (Portugal)

    NARCIS (Netherlands)

    Vis, G.-J.; Bohncke, S.J.P.; Schneider, H.; Kasse, C.; Coenraads-Nederveen, S.; Zuurbier, K.; Rozema, J.

    2010-01-01

    The present paper aims to reconstruct the Lower Tagus Valley flooding history for the last ca. 6500 a, to explore the suitability of pollen-based local vegetation development in supporting the reconstruction of flooding history, and to explain fluvial activity changes in terms of allogenic (climate,

  4. A model for particle acceleration in lower hybrid collapse

    International Nuclear Information System (INIS)

    Retterer, J.M.

    1997-01-01

    A model for particle acceleration during the nonlinear collapse of lower hybrid waves is described. Using the Musher-Sturman wave equation to describe the effects of nonlinear processes and a velocity diffusion equation for the particle velocity distribution, the model self-consistently describes the exchange of energy between the fields and the particles in the local plasma. Two-dimensional solutions are presented for the modulational instability of a plane wave and the collapse of a cylindrical wave packet. These calculations were motivated by sounding rocket observations in the vicinity of auroral arcs in the Earth close-quote s ionosphere, which have revealed the existence of large-amplitude lower-hybrid wave packets associated with ions accelerated to energies of 100 eV. The scaling of the sizes of these wave packets is consistent with the theory of lower-hybrid collapse and the observed lower-hybrid field amplitudes are adequate to accelerate the ionospheric ions to the observed energies

  5. Giant lower oesophageal ulcer in a Bushman baby | Heydenrych ...

    African Journals Online (AJOL)

    The case of a giant, penetrating lower oesophageal ulcer in a 14-month-old Bushman baby is reported. This would probably be classified as a Barrett's ulcer. Histological examination showed that the ulcer developed in columnar epithelium and that there was normal stratified squamous oesophageal mucosa both ...

  6. Traumatic bowing of forearm and lower leg in children

    International Nuclear Information System (INIS)

    Stenstroem, R.; Gripenberg, L.; Bergius, A.-R.

    1978-01-01

    Traumatic bowing of the forearm or lower leg is reported in 31 children. It is a relatively rare condition. Bowing occurs most frequently in combination with fracture of the other bone in the same extremity. In a minority of cases a bowing deformity is a single lesion. Age distribution, degree of deformity, mechanism of origin and therapy are presented and discussed. (Auth.)

  7. Delayed healing of lower limb fractures with bisphosphonate therapy.

    Science.gov (United States)

    Yue, B; Ng, A; Tang, H; Joseph, S; Richardson, M

    2015-07-01

    Bisphosphonate therapy (BT) is used commonly in the management of osteoporosis. A systematic review was conducted investigating delayed union of lower limb, long bone fractures in patients on BT. We specifically assessed whether BT increases the risk of delayed union or non-union in lower limb, long bone fractures. A literature search was conducted in the PubMed and Embase™ on 4 November 2014. Articles that investigated lower limb fractures, history of BT and fracture union were included in the review. A total of 9,809 papers were retrieved and 14 were deemed suitable for this review. The mean time to union in patients on BT was 8.5 months. A longer time to union was reported in a study investigating BT users versus controls (6.5 vs 4.8 months respectively). The mean rate of delayed or non-union for BT associated atypical fractures was 20% per fracture. Specifically in one study, delayed union was more common in the cohort with more than three years of BT (67%) than in the group with less than three years of BT (26%). Surgical fixation was associated with improved outcomes compared with non-operative management. BT has been described to be associated with multiple adverse outcomes related to atypical fractures. Current evidence recommends operative management for this patient group. Further investigation is required to evaluate the exact effects of BT on lower limb fractures, in particular typical femoral fractures.

  8. Kinematic and Dynamic Analysis of a Lower Limb Exoskeleton

    OpenAIRE

    Tawakal Hasnain Baluch; Adnan Masood; Javaid Iqbal; Umer Izhar; Umar Shahbaz Khan

    2012-01-01

    This paper will provide the kinematic and dynamic analysis of a lower limb exoskeleton. The forward and inverse kinematics of proposed exoskeleton is performed using Denevit and Hartenberg method. The torques required for the actuators will be calculated using Lagrangian formulation technique. This research can be used to design the control of the proposed exoskeleton.

  9. Cognitive Development in Bilingual and Monolingual Lower-Class Children.

    Science.gov (United States)

    Myers, Barbara; Goldstein, David

    1979-01-01

    The cognitive development of lower-class English-speaking monolingual and English-Spanish speaking bilingual children in kindergarten, third, and sixth grades was compared by means of standard verbal and nonverbal measures. The verbal ability of bilingual children was assessed in both English and Spanish. Their scores in both languages were low.…

  10. Lower hybrid heating experiments in tokamaks: an overview

    International Nuclear Information System (INIS)

    Porkolab, M.

    1985-10-01

    Lower hybrid wave propagation theory relevant to heating fusion grade plasmas (tokamaks) is reviewed. A brief discussion of accessibility, absorption, and toroidal ray propagation is given. The main part of the paper reviews recent results in heating experiments on tokamaks. Both electron and ion heating regimes will be discussed. The prospects of heating to high temperatures in reactor grade plasmas will be evaluated

  11. Auditing stillbirths at Lower Umfolozi War Memorial Regional Hospital

    African Journals Online (AJOL)

    Background. Although the total number of stillbirths worldwide was estimated at 2.6 million in 2009, there is currently a dearth of literature on stillbirths in developing countries and rural settings, where the majority of such births occur. The 'Hands Up' Mortality and Morbidity Extraction Tool (HUMMET), developed at Lower ...

  12. Improving Student Engagement in a Lower-Division Botany Course

    Science.gov (United States)

    Goldberg, Nisse A.; Ingram, Kathleen W.

    2011-01-01

    Active-learning techniques have been advocated as a means to promote student engagement in lower-division biology courses. In this case study, mini-lectures in combination with active-learning activities were evaluated as strategies to promote a culture of learning and participation in a required botany course. These activities were designed to…

  13. Lower-hybrid wave penetration and effects on electron population

    International Nuclear Information System (INIS)

    Dupas, L.; Grelot, P.; Parlange, F.; Weisse, J.

    1981-01-01

    In a high-power-density lower-hybrid experiment (approximately 10kW.cm -2 ), a parallel index spectrum was measured and the radial position where sidebands are excited was deduced from pump and sideband wavenumber measurements. On this basis, some considerations on wave propagation are given which are compatible with some effects observed on electron population. (author)

  14. Effects of dexmedetomidine on renal tissue after lower limb ischemia ...

    African Journals Online (AJOL)

    Meral Erdal Erbatur

    2017-01-10

    Jan 10, 2017 ... dexmedetomidine-treated group, TBARS, NOS, CAT, and GST levels were significantly lower than those measured in ... hypertension, ischemic heart disease, nephropathy, .... Mechanisms responsible for increased inflammatory response in ..... intestinal lipid peroxidation does not minimize mor- phologic ...

  15. On the lower boundary of the Floian Stage in Estonia

    Directory of Open Access Journals (Sweden)

    Helje Pärnaste

    2012-11-01

    Full Text Available The lower boundary of the Second Stage of the Lower Ordovician Series, the Floian Stage, is defined by the first appearance of the graptolite Tetragraptus approximatus. In the stratotype section of Diabasbrottet at Hunneberg, southern Sweden, the boundary falls within the Megistaspis planilimbata trilobite Zone and within the Oelandodus elongatus–Acodus deltatus deltatus conodont Subzone of the Paroistodus proteus Zone, and within the Hunneberg Regional Stage. Graptolites, including the index species T. approximatus, are missing in the terrigenous sediment of Estonia. The earliest trilobites are poorly preserved in this terrigenous succession. They represent an interval older than the Megalaspides dalecarlicus Zone but probably younger than the M. planilimbata Zone, and are correlative to the Prioniodus elegans conodont Zone. Thus the lower boundary of the Second Stage can be detected using mainly conodonts. In accordance with conodont occurrence, the base of the Floian (i.e. somewhat higher than the base of the O. elongatus–A. d. deltatus Subzone falls within the Joa Member of the Leetse Formation. Probable levels have been suggested in some localities. Thus the lower part of the Leetse Formation belongs to the Tremadoc Stage, and to the Hunneberg Regional Stage.

  16. Conodont biostratigraphy of lower Ordovician rocks, Arbuckle Group, southern Oklahoma

    Energy Technology Data Exchange (ETDEWEB)

    Dresbach, R.I.; Ethington, R.L. (Univ. of Missouri, Columbia (USA))

    1989-08-01

    The Arbuckle Group of southern Oklahoma displays the only complete exposure of the shallow-water carbonates that characterize the Lower Ordovician of interior North America. Trilobites have been described from some parts of this sequence and sporadic occurrences of other invertebrates are known, but much of the sequence is sparingly fossiliferous. As a consequence, these magnificent exposures have not contributed notably to continuing efforts toward development of a comprehensive biostratigraphic scheme for the Lower Ordovician of the North American platform. Samples collected at 25-ft intervals through the Arbuckle Group along and adjacent to Interstate Highway 35 on the south flank of the Arbuckle anticline near Ardmore, Oklahoma, produced conodonts in abundances ranging from a few tens to over a thousand elements per kilogram and displaying good to excellent preservation with low CAI. These conodonts document a biostratigraphic continuum that provides a standard for correlation of Lower Ordovician rocks in the subsurface of central US and of the many localized and incomplete outcrops of generally equivalent strata in the Ozark and Upper Mississippi Valley regions. The stratigraphic continuity of the collections makes the I-35 section an ideal standard reference section for graphic correlation of Lower Ordovician rocks containing conodonts of the Mid-Continent Province.

  17. Stratigraphy of Guichon Formation (lower cretaceous) in litoral basin, Uruguay

    International Nuclear Information System (INIS)

    Goso, C.; Perea, D.; Perinotto, J.

    1999-01-01

    This report is about the stratigraphic al analysis of the Guichon Formation (lower cretaceous, litoral basin in Uruguay). The facies association is represented by conglomerates mainly fine sandstones and mud stones wi ch is interpreted as an alluvial system. A regional palaeogeography and a new geochronological alternative are established for this formation. (author).

  18. Does interval laparoscopic sterilisation influence the risk of lower ...

    African Journals Online (AJOL)

    Background. Tubal sterilisation is a safe, accessible and effective contraceptive method. There is a paucity of data regarding the risk of genital tract infections and menstrual abnormalities post sterilisation in Durban, South Africa. Objectives. To evaluate the risk of lower genital tract infections (LGTIs) and menstrual ...

  19. X-Ray Exam: Lower Leg (Tibia and Fibula)

    Science.gov (United States)

    ... Staying Safe Videos for Educators Search English Español X-Ray Exam: Lower Leg (Tibia and Fibula) KidsHealth / For ... Muscles, and Joints Broken Bones Getting an X-ray (Video) X-Ray (Video) View more Partner Message About Us ...

  20. Bacterial aetiology in lower respiratory tract infections : Relevance in outpatients

    NARCIS (Netherlands)

    Teepe, J.

    2017-01-01

    Lower respiratory tract infection (LRTI) is one of the leading reasons for consulting in primary care. Today, a general practitioner faces the challenge of distinguishing between patients with a mild self-limiting disease to whom antibiotics would do more harm than good and those who would benefit

  1. Epithelial structure and function in the hen lower intestine

    DEFF Research Database (Denmark)

    Laverty, G.; Elbrønd, Vibeke Sødring; Árnason, Sigvatur S.

    2006-01-01

    In birds, transport processes in the lower intestine mediate absorption of ions, water and a variety of organic substrates, including significant amounts of glucose, amino acids derived from protein associated with urate spheres, and short-chain fatty acids derived from fermentation processes...

  2. Lower hybrid waves at the shock front: a reassessment

    Directory of Open Access Journals (Sweden)

    S. N. Walker

    2008-03-01

    Full Text Available The primary process occurring at a collisionless shock is the redistribution of the bulk upstream energy into other degrees of freedom. One part of this process results in the acceleration of electrons at the shock front. Accelerated electrons are observed at the terrestrial and other planetary shocks, comets, and their effects are observed in astrophysical phenomena such as supernova remnants and jets in the form of X-ray bremsstrahlung radiation. One of the physical models for electron acceleration at supercritical shocks is based on low-hybrid turbulence due to the presence of reflected ions in the foot region. Since lower hybrid waves propagate almost perpendicular to the magnetic field they can be simultaneously in resonance with both the unmagnetised ions (ω=Vik and magnetised electrons (ω=Vek||. In this paper, Cluster observations of the electric field are used to study the occurrence of lower hybrid waves in the front of the terrestrial bow shock. It is shown that the lower hybrid waves exist as isolated wave packets. However, the very low level of the observed lower hybrid turbulence is too small to impart significant energisation to the electron population.

  3. Petrography of some altered intrusive rocks from the Lower Benue ...

    African Journals Online (AJOL)

    Petrography of some altered intrusive rocks from the Lower Benue Trough, Nigeria. Smart C Obiora, Alphonso C Umeji. Abstract. No Abstract. Journal of Mining and Geology 2005, Vol 41(1): 1-9. Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT.

  4. Will Online Learning Lower the Price of College?

    Science.gov (United States)

    Casement, William

    2013-01-01

    Online learning is revolutionizing the way colleges do business. Study via the Internet makes more knowledge more easily obtainable for more students than ever before. Along with expanded access to higher education, many people are optimistic about an accompanying benefit--a lower price tag. Basic economic factors make the prospect appear…

  5. Lower limb compartment syndrome following laparoscopic colorectal surgery: a review.

    Science.gov (United States)

    Rao, M M; Jayne, D

    2011-05-01

      In spite of recent advances in technology and technique, laparoscopic colorectal surgery is associated with increased operating times when compared with open surgery. This increases the risk of acute lower limb compartment syndrome. The aim of this review was to gain a better understanding of postoperative lower limb compartment syndrome following laparoscopic colorectal surgery and to suggest strategies to avoid its occurrence. A MEDLINE search was performed using the keywords 'compartment syndrome', 'laparoscopic surgery' and 'Lloyd-Davies position' between 1970 and 2008. All relevant articles were retrieved and reviewed. A total of 54 articles were retrieved. Of the 30 articles in English, five were reviews, six were original articles and 19 were case reports, of which only one was following laparoscopic colorectal surgery. The remaining 24 were non-English articles. Of these, two were reviews and 22 were case reports, of which only one was following laparoscopic colorectal surgery. The incidence of acute compartment syndrome following laparoscopic colorectal surgery is unknown. The following are believed to be risk factors for acute lower limb compartment syndrome: the Lloyd-Davies operating position with exaggerated Trendelenburg tilt, prolonged operative times and improper patient positioning. Simple strategies are suggested to reduce its occurrence. Simple preventative measures have been identified which may help to reduce the incidence of acute lower limb compartment syndrome. However, if suspected, timely surgical intervention with four-compartment fasciotomy remains the standard of care. © 2011 The Authors. Colorectal Disease © 2011 The Association of Coloproctology of Great Britain and Ireland.

  6. Lower Charles River Bathymetry: 108 Years of Fresh Water

    Science.gov (United States)

    Yoder, M.; Sacarny, M.

    2017-12-01

    The Lower Charles River is a heavily utilized urban river that runs between Cambridge and Boston in Massachusetts. The recreational usage of the river is dependent on adequate water depths, but there have been no definitive prior studies on the sedimentation rate of the Lower Charles River. The river transitioned from tidal to a freshwater basin in 1908 due to the construction of the (old) Charles River Dam. Water surface height on the Lower Charles River is maintained within ±1 foot through controlled discharge at the new Charles River Dam. The current study area for historical comparisons is from the old Charles River Dam to the Boston University Bridge. This study conducted a bathymetric survey of the Lower Charles River, digitized three prior surveys in the study area, calculated volumes and depth distributions for each survey, and estimated sedimentation rates from fits to the volumes over time. The oldest chart digitized was produced in 1902 during dam construction deliberations. The average sedimentation rate is estimated as 5-10 mm/year, which implies 1.8-3.5 feet sedimentation since 1908. Sedimentation rates and distributions are necessary to develop comprehensive management plans for the river and there is evidence to suggest that sedimentation rates in the shallow upstream areas are higher than the inferred rates in the study area.

  7. Lower Granite dam smolt monitoring program: annual report, 2000; ANNUAL

    International Nuclear Information System (INIS)

    Morrill, Charles

    2000-01-01

    The 2000 fish collection season at Lower Granite was characterized by lower than average spring flows and spill, low levels of debris, cool water temperatures, increased unclipped yearling and subyearling chinook smolts, and 8,300,546 smolts collected and transported compared to 5,882,872 in 1999. With the continued release of unclipped supplementation chinook and steelhead above Lower Granite Dam, we can no longer accurately distinguish wild chinook, steelhead, and sockeye/kokanee in the sample. Although some table titles in this report still show ''wild'' column headings, the numbers in these columns for 1999 and 2000 include wild and unclipped hatchery origin smolts. The increases over previous years reflect the increased supplementation. A total of 8,300,546 juvenile salmonids were collected at Lower Granite Dam. Of these, 187,862 fish were bypassed back to the river and 7,950,648 were transported to release sites below Bonneville Dam, 7,778,853 by barge and 171,795 by truck. A total of 151,344 salmonids were examined in daily samples. Nine research projects conducted by four agencies impacted a total of 1,361,006 smolts (16.4% of the total collection)

  8. Elephantiasis nostras verrucosa of lower limb: a case report.

    Science.gov (United States)

    Kalafi, Amir; Vasaghi, Attiyeh

    2014-01-01

    Elephantiasis nostras verrucosa (ENV) is a rare condition in which hyperkeratosis, fibrosis and disfiguration of dermis occurs. It is caused mostly by non infectious diseases such as surgery, trauma, tumors, and venous obstructions. To our knowledge there is not any case report of ENV in Middle East region. In this patient, ENV caused by trauma and Patient presented with enlargement of right lower limb.

  9. Intensive lipid lowering with simvastatin and ezetimibe in aortic stenosis

    DEFF Research Database (Denmark)

    Rossebo, A.B.; Pedersen, T.R.; Boman, K.

    2008-01-01

    BACKGROUND: Hyperlipidemia has been suggested as a risk factor for stenosis of the aortic valve, but lipid-lowering studies have had conflicting results. METHODS: We conducted a randomized, double-blind trial involving 1873 patients with mild-to-moderate, asymptomatic aortic stenosis. The patients...

  10. Sign Lowering and Phonetic Reduction in American Sign Language.

    Science.gov (United States)

    Tyrone, Martha E; Mauk, Claude E

    2010-04-01

    This study examines sign lowering as a form of phonetic reduction in American Sign Language. Phonetic reduction occurs in the course of normal language production, when instead of producing a carefully articulated form of a word, the language user produces a less clearly articulated form. When signs are produced in context by native signers, they often differ from the citation forms of signs. In some cases, phonetic reduction is manifested as a sign being produced at a lower location than in the citation form. Sign lowering has been documented previously, but this is the first study to examine it in phonetic detail. The data presented here are tokens of the sign WONDER, as produced by six native signers, in two phonetic contexts and at three signing rates, which were captured by optoelectronic motion capture. The results indicate that sign lowering occurred for all signers, according to the factors we manipulated. Sign production was affected by several phonetic factors that also influence speech production, namely, production rate, phonetic context, and position within an utterance. In addition, we have discovered interesting variations in sign production, which could underlie distinctions in signing style, analogous to accent or voice quality in speech.

  11. Holocene climatic fluctuations from Lower Brahmaputra flood plain

    Indian Academy of Sciences (India)

    Pollen analysis of a 3.2-m deep sedimentary profile cored from the Dabaka Swamp, Nagaon District, Lower Brahmaputra flood plain, Assam has revealed persistent fluvial activity during 14,120–12,700 cal years BP which may be attributed to the paucity of pollen and spores with encounterance of fluvial marker taxa like ...

  12. Endocrine regulation of ion transport in the avian lower intestine

    DEFF Research Database (Denmark)

    Laverty, Gary; Elbrønd, Vibeke Sødring; Árnason, Sighvatur S.

    2006-01-01

    The lower intestine (colon and coprodeum) of the domestic fowl maintains a very active, transporting epithelium, with a microvillus brush border, columnar epithelial cells, and a variety of transport systems. The colon of normal or high salt-acclimated hens expresses sodium-linked glucose and amino...

  13. Lower-hybrid absorption at the ion cyclotron harmonics

    International Nuclear Information System (INIS)

    Puri, S.

    1975-01-01

    In the presence of magnetic field gradients, the lower-hybrid wave can be absorbed through linear collisionless damping at the location of cyclotron or cyclotron harmonic resonances acting as singular turning points in the path of the advancing wave-front. (Auth.)

  14. Lower hybrid waves instability in a velocity–sheared inhomogenous ...

    African Journals Online (AJOL)

    An electrostatic linear kinetic analysis of velocity-sheared inhomogeneous charged dust streaming parallel to a magnetic field in plasma is presented. Excited mode and the growth rates are derived in the lower hybrid-like mode regime, with collisional effects included. In the case where the drift velocity u is very small the ...

  15. Effects of wearing lower leg compression sleeves on locomotion economy.

    Science.gov (United States)

    Kurz, Eduard; Anders, Christoph

    2018-09-01

    The purpose of this investigation was to assess the effect of compression sleeves on muscle activation cost during locomotion. Twenty-two recreationally active men (age: 25 ± 3 years) ran on a treadmill at four different speeds (ordered sequence of 2.8, 3.3, 2.2, and 3.9 m/s). The tests were performed without (control situation, CON) and while wearing specially designed lower leg compression sleeves (SL). Myoelectric activity of five lower leg muscles (tibialis anterior, fibularis longus, lateral and medial head of gastrocnemius, and soleus) was captured using Surface EMG. To assess muscle activation cost, the cumulative muscle activity per distance travelled (CMAPD) of the CON and SL situations was determined. Repeated measures analyses of variance were performed separately for each muscle. The analyses revealed a reduced lower leg muscle activation cost with respect to test situation for SL for all muscles (p  0.18). The respective significant reductions of CMAPD values during SL ranged between 4% and 16% and were largest at 2.8 m/s. The findings presented point towards an improved muscle activation cost while wearing lower leg compression sleeves during locomotion that have potential to postpone muscle fatigue.

  16. Effect of clebopride on lower esophageal sphincter pressure.

    Science.gov (United States)

    Ribeiro, V; da Silva, A L; Castro, L de P

    1981-01-01

    In 12 individuals without gastrointestinal symptoms, the IV administration of metoclopramide and of clebopride produced both a significant increase on the lower esophageal sphincter pressure. The increase induced by clebopride was significantly higher than that induced by metoclopramide. The tolerability of clebopride was satisfactory with just mild drowsiness being noted in most cases.

  17. Lower limits for distribution tails of randomly stopped sums

    NARCIS (Netherlands)

    Denisov, D.E.; Korshunov, D.A.; Foss, S.G.

    2008-01-01

    We study lower limits for the ratio $\\overline{F^{*\\tau}}(x)/\\,\\overline F(x)$ of tail distributions, where $F^{*\\tau}$ is a distribution of a sum of a random size $\\tau$ of independent identically distributed random variables having a common distribution $F$, and a random variable $\\tau$ does not

  18. Some central nervous system and blood pressure lowering effects of ...

    African Journals Online (AJOL)

    The methanol extract of the leaves of Spondias mombin (SP) was evaluated for some central nervous system and blood pressure lowering effect in albino wistar rats and mice. The extract was administered to pre-weighed mice (20-35 g), divided into five groups of five mice each at the doses of 50, 100 and 200 mg/kg for the ...

  19. Reconstruction of Lower Extremity Primary Malignant and Metastatic ...

    African Journals Online (AJOL)

    2017-10-26

    Oct 26, 2017 ... Lower extremity tumors and endoprosthesis. 1130. Nigerian Journal of Clinical Practice ¦ Volume 20 ¦ Issue 9 ¦ September 2017 renal failure, and the other patients died due to advanced metastatic disease. None of our patients who received radiotherapy and chemotherapy died due to oncologic treatment.

  20. Higher Incision at Upper Part of Lower Segment Caesarean Section

    Directory of Open Access Journals (Sweden)

    Yong Shao

    2014-06-01

    Conclusions: An incision at the upper part of the lower segment reduces blood loss, enhances uterine retraction, predisposes to fewer complications, is easier to repair, precludes bladder adhesion to the suture line and reduces operation time. Keywords: caesarean section; higher incision technique; traditional uterine incision technique.

  1. Is glutamate involved in transient lower esophageal sphincter relaxations?

    NARCIS (Netherlands)

    Hirsch, D. P.; Tytgat, G. N. J.; Boeckxstaens, G. E. E.

    2002-01-01

    Glutamate is an important excitatory amino acid and plays a major role in brain stem neurotransmission. Although the effect of glutamate on esophaoreal motility is well studied, its role in the triggering of transient lower esophageal sphincter relaxations (TLESRs) remains to be determined.

  2. Resistant lower rank approximation of matrices by iterative majorization

    NARCIS (Netherlands)

    Verboon, Peter; Heiser, Willem

    2011-01-01

    It is commonly known that many techniques for data analysis based on the least squares criterion are very sensitive to outliers in the data. Gabriel and Odoroff (1984) suggested a resistant approach for lower rank approximation of matrices. In this approach, weights are used to diminish the

  3. FUNCTIONAL OUTCOME OF REHABILITATED BILATERAL LOWER-LIMB AMPUTEES

    NARCIS (Netherlands)

    DEFRETES, A; BOONSTRA, AM; VOS, LDW

    The functional outcome of rehabilitated bilateral lower limb amputees was studied. The study included 31 amputees who were admitted during 1980-1990 to a rehabilitation centre in the north of the Netherlands. The clinical notes made during the patients' admission were studied to obtain information

  4. Propeller flaps for lower-limb trauma | Rogers | South African ...

    African Journals Online (AJOL)

    The propeller flap has become a versatile and important component in our reconstructive algorithm following complex lower limb trauma. First described by Hyakusoku in 1991, it has since been adapted and modified by Hallock and Teo. This article outlines our experience specifically with perforator pedicled propeller flaps ...

  5. The third oil shock: The effects of lower oil prices

    Energy Technology Data Exchange (ETDEWEB)

    Pearce, J

    1983-01-01

    This book assesses how oil prices have affected other elements of the economy and assesses the costs and benefits that could result from lower oil prices for different groups of countries. The book also analyses the extent of OPEC's influence, the consumers countries' needs for energy security and the altered role of the oil industry.

  6. Tempered Water Lower Port Connector Structural Analysis Verification

    International Nuclear Information System (INIS)

    CREA, B.A.

    2000-01-01

    Structural analysis of the lower port connection of the Tempered Water System of the Cold Vacuum Drying Facility was performed. Subsequent detailed design changes to enhance operability resulted in the need to re-evaluate the bases of the original analysis to verify its continued validity. This evaluation is contained in Appendix A of this report. The original evaluation is contained in Appendix B

  7. Statistics about torrents in Lower Austria, status from May 2015

    Directory of Open Access Journals (Sweden)

    Ehrenfried Lepuschitz

    2015-09-01

    Full Text Available This data presents analyzed data exports of Austrian torrent and avalanche cadaster (TAC in May 2015. The TAC is developed by Austrian Service for Torrent and Avalanche Control. Data are viewed from different aspects and combinations geographically in the area of Lower Austria, a province of Austria.

  8. Anti-Hyperlipidaemic and Heart Rate Lowering Effects of Aqueous ...

    African Journals Online (AJOL)

    The anti-hyperlipidaemic and heart rate lowering potential of aqueous leaf extract of Viscum album (mistletoe) in hypercholesterolaemic rats was investigated in this study. The lethality studies showed that the aqueous extract of the plant had an LD50 value of 452.20mg/kg by intraperitoneal route. There were significant ...

  9. Physical and Motor Performance Predictors of Lower Body ...

    African Journals Online (AJOL)

    The aim of this study was to develop a lower body explosive power (LBEP) prediction model from various physical and motor performance components among a cohort of male and female adolescents living in the Tlokwe local municipality of the North-West Province. A cross-sectional experimental research design was ...

  10. Skin problems in lower limb amputees : A systematic review

    NARCIS (Netherlands)

    Meulenbelt, HEJ; Dijkstra, PU; Jonkman, MF; Geertzen, JHB

    Purpose. Skin problems of the stump in lower limb amputees are relative common in daily rehabilitation practice, possibly impeding prosthetic use. This impediment may have great impact in daily life. Our objective was to review literature systematically concerning incidence and prevalence of skin

  11. Lower Extremity Complaints in Runners and Other Athletes

    NARCIS (Netherlands)

    M. van Middelkoop (Marienke)

    2008-01-01

    textabstractRunning is one of the most accessible sports, and probably for this reason, is practiced by many persons all over the world. However, besides the positive health effects of running there are some concerns about the high incidence of running injuries, especially to the lower extremities.

  12. The health of benthic diatom assemblages in lower stretch

    Indian Academy of Sciences (India)

    This study examines the ecological state of epilithic diatom assemblages along the lower stretch of Mandakini, a glacier-fed Himalayan river. The diatoms were sampled at four stations during winter and summer, only once in each season. Valve counts were obtained from Naphrax mounts prepared from each sample.

  13. Does trampoline or hard surface jumping influence lower extremity alignment?

    Science.gov (United States)

    Akasaka, Kiyokazu; Tamura, Akihiro; Katsuta, Aoi; Sagawa, Ayako; Otsudo, Takahiro; Okubo, Yu; Sawada, Yutaka; Hall, Toby

    2017-12-01

    [Purpose] To determine whether repetitive trampoline or hard surface jumping affects lower extremity alignment on jump landing. [Subjects and Methods] Twenty healthy females participated in this study. All subjects performed a drop vertical jump before and after repeated maximum effort trampoline or hard surface jumping. A three-dimensional motion analysis system and two force plates were used to record lower extremity angles, moments, and vertical ground reaction force during drop vertical jumps. [Results] Knee extensor moment after trampoline jumping was greater than that after hard surface jumping. There were no significant differences between trials in vertical ground reaction force and lower extremity joint angles following each form of exercise. Repeated jumping on a trampoline increased peak vertical ground reaction force, hip extensor, knee extensor moments, and hip adduction angle, while decreasing hip flexion angle during drop vertical jumps. In contrast, repeated jumping on a hard surface increased peak vertical ground reaction force, ankle dorsiflexion angle, and hip extensor moment during drop vertical jumps. [Conclusion] Repeated jumping on the trampoline compared to jumping on a hard surface has different effects on lower limb kinetics and kinematics. Knowledge of these effects may be useful in designing exercise programs for different clinical presentations.

  14. Reliability of a New Lower-Extremity Motor Coordination Test

    Directory of Open Access Journals (Sweden)

    Antosiak-Cyrak Katarzyna

    2015-12-01

    Full Text Available Introduction. Motor coordination is a basic motor ability necessary for daily life, which also allows athletes to win a sports rivalry and patients to assess their recovery progress after therapy and rehabilitation. The aim of the present study was to assess the reliability of a new lower-extremity rate of movements test and testing apparatus.

  15. The hyperguide: a new concept of lower hybrid launcher

    International Nuclear Information System (INIS)

    Pain, M.; Brusati, M.; Gormezano, C.; Jacquinot, J.; Schild, P.

    1993-01-01

    The hyperguide is a new design concept which overcomes some of the technical problems associated with slow wave launching structures used for lower hybrid current drive and based on the conventional multijunction. Its simplicity makes it relevant to a reactor environment. Numerical simulations indicate that high power transfer efficiency is achievable. (orig.)

  16. The Paleocene and lower Eocene pollen flora of Guyana

    NARCIS (Netherlands)

    Leidelmeyer, P.

    1966-01-01

    A description is given of a Paleocene and Lower Eocene pollen flora of two bore-holes in Guana. Some new species are described and some remarks are made on their stratigraphical significance. Pollen diagrams are presented, one probably representing the entire Paleocene and a part of the Eocene.

  17. Hydraulics in the RPV lower-plenum of EPR

    International Nuclear Information System (INIS)

    Barois, G.; Goreaud, N.; Nicaise, N.

    2001-01-01

    The in-core instrumentation penetrations of the European Pressurised water Reactor (EPR) have been removed from RPV-bottom to RPV-head, leaving empty the lower plenum of the RPV (Reactor Pressure Vessel). In a lower plenum with no internal structure, huge vortices may appear, with negative consequences, such as high disturbance of the core inlet flow distribution, and high increase of the RPV pressure loss. FRAMATOME ANP developed a specific Flow Distribution Device (FDD), annular shaped, located in the RPV lower plenum below the core support plate, which prevents huge vortices from appearing and guarantees a satisfying flow distribution at core inlet in normal operating conditions. The design of the FDD has been optimised with a numerical approach, using the 3-D CFD-code STAR-CD, previously qualified on scale mockup tests. The model developed represents the EPR RPV from the cold leg to core inlet. Thus, the flow distribution at core inlet, the mixing between loop-flows upstream core inlet and the pressure loss in the lower plenum can be evaluated. The optimised FDD provides satisfying performances for all these relevant functional items. (author)

  18. Treatment of lower extremity arterial occlusive through retrograde access

    International Nuclear Information System (INIS)

    Liu Xueqiang; Guo Pingfan; Zhang Jinchi; Cai Fanggang

    2012-01-01

    Objective: To explore the clinical significance of retrograde access for the interventional treatment of lower extremity arterial occlusive diseases when the occluded segment of lower extremity artery could not be reached through antegrade access. Methods: Twenty-seven cases (male 17, female 10; age range 32-89 years) were retrospectively investigated, including 18 with lower limb arteriosclerosis obliterans, 7 with diabetic foot and 2 with thromboangiitis obliterans. According to the Fontaine staging, 6 cases were classified as Fontaine Ⅱ, 11 were classified as Fontaine Ⅲ and 10 were classified as Fontaine Ⅳ. All cases underwent endovascular operation through antegrade access first with an attempt to cross the occlusive segment, but in vain. So retrograde access was tried via puncture of pedis dorsalis or posterior tibial artery or exposure of lateral branches of posterior tibial artery, peroneal artery or dorsal artery by open surgery,which followed by Percutaneous transluminal angiography and (or) stenting. Results: The operation through retrograde access was successful in all cases with obvious improvement of ischemic symptoms. Hematoma at the puncture site occurred in 3 patients, and paresthesia of toes occurred in 1 after dorsalis pedis arteriotomy. No severe perioperative complication occurred. The average ankle brachial index increased from 0.37 ± 0.11 preoperatively to 0.85 ± 0.12 postoperatively. Conclusions: Retrograde access could be used as an alternative strategy in lower extremity arterial occlusive diseases when the occluded segment could not reach through antegrade access. (authors)

  19. Xylopia Aethiopica lowers Plasma Lipid Precursors of Reproductive ...

    African Journals Online (AJOL)

    Xylopia Aethiopica lowers Plasma Lipid Precursors of Reproductive Hormones in Wister Rats. PC Onyebuagu, CP Aloamaka, JC Igweh. Abstract. This study investigated the effects of dietary Xylopia aethiopica on reproductive hormones and plasma lipids in rats. 10 male and 10 female Wistar rats weighing 200-220g and ...

  20. Nonlinear effects on mode-converted lower-hybrid waves

    International Nuclear Information System (INIS)

    Kuehl, H.H.

    1976-01-01

    Nonlinear ponderomotive force effects on mode-converted lower-hybrid waves are considered. The nonlinear distortion of these waves is shown to be governed by the cubic nonlinear Schroedinger equation. The threshold condition for self-focusing and filamentation is derived

  1. Vitamin D Deficiency and Lower Urinary Tract Symptoms in Women.

    Science.gov (United States)

    Aydogmus, H; Demirdal, U S

    2018-06-09

    The association of vitamin D deficiency and pelvic floor dysfunction has been examined by numerous studies. Lower urinary tract symptoms (LUTS) associated with bladder filling and voiding functions are common in both sexes. A recent study reports a higher incidence of LTUS in men over 50 years old with vitamin D deficiency. The aim of the study is to investigate whether there is a difference in the Lower Urinary Tract Symptoms frequency between women with vitamin D deficiency and the control group or not. In this case control study, a total of 150 women who had a measured vitamin D level within a month were divided into two groups, one with a serum vitamin D deficiency and the other with a normal vitamin D level. Both groups were evaluated in terms of menopausal status, numbers of pregnancy and delivery, pelvic examination findings, pelvic floor muscle strength, level of pelvic organ prolapse, LUTS scores, and the findings were recorded. Both groups were compared for the presence of lower urinary system symptoms. The BFLUTS validated for Turkish-speaking populations was used to assess lower urinary system symptoms. Statistical analyses were performed via IBM SPSS Statistics 23.0. The results were considered significant at p D deficiency was detected in 67.3% of the participants. No significant differences were found between the groups regarding variables that could affect lower urinary system symptoms such as menopausal status, presence of pelvic organ prolapse and neonatal weight (fetal macrosomia) The Pelvic Floor Muscle Strength was significantly lower in the group with vitamin D deficiency than the control group. BFLUTS scores of premenopausal women with vitamin D deficiency were found to be similar to the control group, likewise no significant differences in the BFLUTS scores were detected in postmenopausal women. Although vitamin D deficiency causes a significant reduction in pelvic floor muscle strength, no significant correlation was found between lower

  2. Relationships Between Lower-Body Muscle Structure and Lower-Body Strength, Power, and Muscle-Tendon Complex Stiffness.

    Science.gov (United States)

    Secomb, Josh L; Lundgren, Lina E; Farley, Oliver R L; Tran, Tai T; Nimphius, Sophia; Sheppard, Jeremy M

    2015-08-01

    The purpose of this study was to determine whether any relationships were present between lower-body muscle structure and strength and power qualities. Fifteen elite male surfing athletes performed a battery of lower-body strength and power tests, including countermovement jump (CMJ), squat jump (SJ), isometric midthigh pull (IMTP), and had their lower-body muscle structure assessed with ultrasonography. In addition, lower-body muscle-tendon complex (MTC) stiffness and dynamic strength deficit (DSD) ratio were calculated from the CMJ and IMTP. Significant relationships of large to very large strength were observed between the vastus lateralis (VL) thickness of the left (LVL) and right (RVL) leg and peak force (PF) (r = 0.54-0.77, p well as IMTP PF (r = 0.53-0.60, p = 0.02-0.04). Furthermore, large relationships were found between left lateral gastrocnemius (LG) pennation angle and SJ and IMTP PF (r = 0.53, p = 0.04, and r = 0.70, p < 0.01, respectively) and between LG and IMTP relative PF (r = 0.63, p = 0.01). Additionally, large relationships were identified between lower-body MTC stiffness and DSD ratio (r = 0.68, p < 0.01), right (LG) pennation angle (r = 0.51, p = 0.05), CMJ PF (r = 0.60, p = 0.02), and jump height (r = 0.53, p = 0.04). These results indicate that greater VL thickness and increased LG pennation angle are related to improved performance in the CMJ, SJ, and IMTP. Furthermore, these results suggest that lower-body MTC stiffness explains a large amount of variance in determining an athlete's ability to rapidly apply force during a dynamic movement.

  3. Angle Class I malocclusion treated with lower incisor extraction.

    Science.gov (United States)

    Barbosa, Vanessa Leal Tavares

    2013-01-01

    In planning orthodontic cases that include extractions as an alternative to solve the problem of negative space discrepancy, the critical decision is to determine which teeth will be extracted. Several aspects must be considered, such as periodontal health, orthodontic mechanics, functional and esthetic alterations, and treatment stability. Despite controversies, extraction of teeth to solve dental crowding is a therapy that has been used for decades. Premolar extractions are the most common, but there are situations in which atypical extractions facilitate mechanics, preserve periodontal health and favor maintenance of the facial profile, which tends to unfavorably change due to facial changes with age. The extraction of a lower incisor, in selected cases, is an effective approach, and literature describes greater post-treatment stability when compared with premolar extractions. This article reports the clinical case of a patient with Angle Class I malocclusion and upper and lower anterior crowding, a balanced face and harmonious facial profile. The presence of gingival and bone recession limited large orthodontic movements. The molars and premolars were well occluded, and the discrepancy was mainly concentrated in the anterior region of the lower dental arch. The extraction of a lower incisor in the most ectopic position and with compromised periodontium, associated with interproximal stripping in the upper and lower arches, was the alternative of choice for this treatment, which restored function, providing improved periodontal health, maintained facial esthetics and allowed finishing with a stable and balanced occlusion. This case was presented to the Brazilian Board of Orthodontics and Dentofacial Orthopedics (BBO), as part of the requirements for obtaining the BBO Diplomate title.

  4. Reconstruction of the Lower Extremity Using Free Flaps

    Directory of Open Access Journals (Sweden)

    Min Jo Kang

    2013-09-01

    Full Text Available BackgroundThe aim of lower-extremity reconstruction has focused on wound coverage and functional recovery. However, there are limitations in the use of a local flap in cases of extensive defects of the lower-extremities. Therefore, free flap is a useful option in lower-extremity reconstruction.MethodsWe performed a retrospective review of 49 patients (52 cases who underwent lower-extremity reconstruction at our institution during a 10-year period. In these patients, we evaluated causes and sites of defects, types of flaps, recipient vessels, types of anastomosis, survival rate, and complications.ResultsThere were 42 men and 10 women with a mean age of 32.7 years (range, 3-72 years. The sites of defects included the dorsum of the foot (19, pretibial area (17, ankle (7, heel (5 and other sites (4. The types of free flap included latissimus dorsi muscle flap (10, scapular fascial flap (6, anterolateral thigh flap (6, and other flaps (30. There were four cases of vascular complications, out of which two flaps survived after intervention. The overall survival of the flaps was 96.2% (50/52. There were 19 cases of other complications at recipient sites such as partial graft loss (8, partial flap necrosis (6 and infection (5. However, these complications were not notable and were resolved with skin grafts.ConclusionsThe free flap is an effective method of lower-extremity reconstruction. Good outcomes can be achieved with complete debridement and the selection of appropriate recipient vessels and flaps according to the recipient site.

  5. [Lower urinary tract dysfunction in Guillain-Barre syndrome].

    Science.gov (United States)

    Reitz, A; Mohr, M; Leistner, N; Tabaza, R; Anding, R; Brehmer, B; Kirschner-Hermanns, R

    2018-02-01

    Guillain-Barré syndrome (GBS) as acute inflammatory demyelinating polyradiculoneuropathy frequently leads to lower urinary tract dysfunction. The available knowledge in the medical literature is limited and good recommendations for diagnosis and therapy are rare. In this study, 189 patients with GBS were screened for lower urinary tract dysfunction. In symptomatic patients, a urodynamic study was performed. Detrusor contractility, post-void residual, and changes of the symptoms over time were studied. Overall Barthel index and urinary control Barthel index as well as the relationship of time after onset of the disease and post-void residual were studied as possible screening criteria for urodynamic assessment. According to the urinary control Barthel index (BI), 115 of 189 patients (61%) presented lower urinary tract symptoms sometime during the course of disease. In 28 patients, these symptoms were temporary during the acute phase. At the time of urological assessment, 87 patients had lower urinary tract symptoms. At the end of rehabilitation, 37 had no symptoms anymore (BI 10), 20 were able to control micturition to a certain extent (BI 5), and 30 had no lower urinary tract control (BI 0). There was a significant negative correlation between post-void residual volume and overall BI (ρ -0.5823, p < 0.0001) and BI for urinary tract control (ρ -0.6430, p < 0.0001). Overall BI and BI for urinary tract control are suitable screening criteria for urodynamic assessment.

  6. Lower extremity finite element model for crash simulation

    Energy Technology Data Exchange (ETDEWEB)

    Schauer, D.A.; Perfect, S.A.

    1996-03-01

    A lower extremity model has been developed to study occupant injury mechanisms of the major bones and ligamentous soft tissues resulting from vehicle collisions. The model is based on anatomically correct digitized bone surfaces of the pelvis, femur, patella and the tibia. Many muscles, tendons and ligaments were incrementally added to the basic bone model. We have simulated two types of occupant loading that occur in a crash environment using a non-linear large deformation finite element code. The modeling approach assumed that the leg was passive during its response to the excitation, that is, no active muscular contraction and therefore no active change in limb stiffness. The approach recognized that the most important contributions of the muscles to the lower extremity response are their ability to define and modify the impedance of the limb. When nonlinear material behavior in a component of the leg model was deemed important to response, a nonlinear constitutive model was incorporated. The accuracy of these assumptions can be verified only through a review of analysis results and careful comparison with test data. As currently defined, the model meets the objective for which it was created. Much work remains to be done, both from modeling and analysis perspectives, before the model can be considered complete. The model implements a modeling philosophy that can accurately capture both kinematic and kinetic response of the lower limb. We have demonstrated that the lower extremity model is a valuable tool for understanding the injury processes and mechanisms. We are now in a position to extend the computer simulation to investigate the clinical fracture patterns observed in actual crashes. Additional experience with this model will enable us to make a statement on what measures are needed to significantly reduce lower extremity injuries in vehicle crashes. 6 refs.

  7. Lower Paleozoic carbonate rocks of Baird Mountains Quadrangle, Alaska

    Energy Technology Data Exchange (ETDEWEB)

    Dumoulin, J.A.; Harris, A.G.

    1985-04-01

    Lower Paleozoic carbonate rocks in the Baird Mountains quadrangle form a relatively thin (about 550 m), chiefly shallow-water succession that has been imbricately thrust and metamorphosed to lower greenschist facies. Middle and Upper Cambrian rocks - the first reported from the western Brooks Range - occur in the northeastern quarter of the quadrangle, south of Angayukaqsraq (formerly Hub) Mountain. They consist of marble grading upward into thin-bedded marble/dolostone couplets and contain pelagiellid mollusks, acetretid brachiopods, and agnostid trilobites. Sedimentologic features and the Pelagiellas indicate a shallow-water depositional environment. Overlying these rocks are Lower and Middle Ordovician marble and phyllite containing graptolites and conodonts of midshelf to basinal aspect. Upper Ordovician rocks in this area are bioturbated to laminated dolostone containing warm, shallow-water conodonts. In the Omar and Squirrel Rivers areas to the west, the Lower Ordovician carbonate rocks show striking differences in lithofacies, biofacies, and thickness. Here they are mainly dolostone with locally well-developed fenestral fabric and evaporite molds, and bioturbated to laminated orange- and gray-weathering dolomitic marble. Upper Silurian dolostone, found near Angayukaqsraq Mountain and on the central Squirrel River, contains locally abundant corals and stronmatoporoids. Devonian carbonate rocks are widely distributed in the Baird Mountains quadrangle; at least two distinct sequences have been identified. In the Omar area, Lower and Middle Devonian dolostone and marble are locally cherty and rich in megafossils. In the north-central (Nakolik River) area, Middle and Upper Devonian marble is interlayered with planar to cross-laminated quartz-carbonate metasandstone and phyllite.

  8. Floodplain hydrodynamic modelling of the Lower Volta River in Ghana

    Directory of Open Access Journals (Sweden)

    Frederick Yaw Logah

    2017-12-01

    Full Text Available The impacts of dam releases from re-operation scenarios of the Akosombo and Kpong hydropower facilities on downstream communities along the Lower Volta River were examined through hydrodynamic modelling using the HEC-RAS hydraulic model. The model was used to simulate surface water elevation along the river reach for specified discharge hydrographs from proposed re-operation dam release scenarios. The morphology of the river and its flood plains together with cross-sectional profiles at selected river sections were mapped and used in the hydrodynamic modelling. In addition, both suspended and bed-load sediment were sampled and analysed to determine the current sediment load of the river and its potential to carry more sediment. The modelling results indicate that large areas downstream of the dam including its flood plains would be inundated if dam releases came close to or exceeded 2300 m3/s. It is therefore recommended to relocate communities along the banks and in the flood plains of the Lower Volta River when dam releases are to exceed 2300 m3/s. Suspended sediment transport was found to be very low in the Lower Volta River and the predominant soil type in the river banks and bed is sandy soil. Thus, the geomorphology of the river can be expected to change considerably with time, particularly for sustained high releases from the Akosombo and Kpong dams. The results obtained from this study form a basis for assessing future sedimentation problems in the Lower Volta River and for underpinning the development of sediment control and management strategies for river basins in Ghana. Keywords: Geomorphology, HEC-RAS model, Dam release, Floodplain, Lower Volta River, Ghana

  9. Obesity is associated with lower coronary microvascular density.

    Directory of Open Access Journals (Sweden)

    Duncan J Campbell

    Full Text Available BACKGROUND: Obesity is associated with diastolic dysfunction, lower maximal myocardial blood flow, impaired myocardial metabolism and increased risk of heart failure. We examined the association between obesity, left ventricular filling pressure and myocardial structure. METHODS: We performed histological analysis of non-ischemic myocardium from 57 patients (46 men and 11 women undergoing coronary artery bypass graft surgery who did not have previous cardiac surgery, myocardial infarction, heart failure, atrial fibrillation or loop diuretic therapy. RESULTS: Non-obese (body mass index, BMI, ≤ 30 kg/m(2, n=33 and obese patients (BMI >30 kg/m(2, n=24 did not differ with respect to myocardial total, interstitial or perivascular fibrosis, arteriolar dimensions, or cardiomyocyte width. Obese patients had lower capillary length density (1145 ± 239, mean ± SD, vs. 1371 ± 333 mm/mm(3, P=0.007 and higher diffusion radius (16.9 ± 1.5 vs. 15.6 ± 2.0 μm, P=0.012, in comparison with non-obese patients. However, the diffusion radius/cardiomyocyte width ratio of obese patients (0.73 ± 0.11 μm/μm was not significantly different from that of non-obese patients (0.71 ± 0.11 μm/μm, suggesting that differences in cardiomyocyte width explained in part the differences in capillary length density and diffusion radius between non-obese and obese patients. Increased BMI was associated with increased pulmonary capillary wedge pressure (PCWP, P<0.0001, and lower capillary length density was associated with both increased BMI (P=0.043 and increased PCWP (P=0.016. CONCLUSIONS: Obesity and its accompanying increase in left ventricular filling pressure were associated with lower coronary microvascular density, which may contribute to the lower maximal myocardial blood flow, impaired myocardial metabolism, diastolic dysfunction and higher risk of heart failure in obese individuals.

  10. Evidence of the Lower Thermospheric Winter-to-Summer Circulation

    Science.gov (United States)

    Qian, L.; Burns, A. G.; Yue, J.

    2017-12-01

    Numerical studies showed that the lower thermospheric winter-to-summer circulation is driven by wave dissipation, and it plays a significant role in trace gas distributions in the mesosphere and lower thermosphere (MLT), and in the composition of the thermosphere. Direct observations of this circulation are difficult. However, it leaves clear signatures in tracer distributions. Recent analysis of CO2 observed by the Sounding of the Atmosphere using Broadband Emission Radiometry (SABER) onboard the Thermosphere Ionosphere Mesosphere Energetics and Dynamics satellite showed dynamically driven dense isolines of CO2 at summer high latitudes. We conduct modeling and observational studies to understand the CO2 distribution and circulation patterns in the MLT. We found that there exists maximum vertical gradient of CO2 at summer high latitudes, driven by the convergence of the upwelling of the mesospheric circulation and the downwelling of the lower thermospheric circulation; this maximum vertical gradient of CO2 is located at a higher altitude in the winter hemisphere, driven by the convergence of the upwelling of the lower thermospheric circulation and the downwelling of the solar-driven thermospheric circulation. Based on SABER CO2 distribution, the bottom of the lower thermospheric circulation is located between 95 km and 100 km, and it has a vertical extent of 10 km. Analysis of the SABER CO2 and temperature at summer high latitudes showed that the bottom of this circulation is consistently higher than the mesopause height by 10 km; and its location does not change much between solar maximum and solar minimum.

  11. Variability of Irreversible Poleward Transport in the Lower Stratosphere

    Science.gov (United States)

    Olsen, Mark; Douglass, Anne; Newman, Paul; Nash, Eric; Witte, Jacquelyn; Ziemke, Jerry

    2011-01-01

    The ascent and descent of the Brewer-Dobson circulation plays a large role in determining the distributions of many constituents in the extratropical lower stratosphere. However, relatively fast, quasi-horizontal transport out of the tropics and polar regions also significantly contribute to determining these distributions. The tropical tape recorder signal assures that there must be outflow from the tropics into the extratropical lower stratosphere. The phase of the quasi-biennial oscillation (QBO) and state of the polar vortex are known to modulate the transport from the tropical and polar regions, respectively. In this study we examine multiple years of ozone distributions in the extratropical lower stratosphere observed by the Aura Microwave Limb Sounder (MLS) and the Aura High Resolution Dynamic Limb Sounder (HIRDLS). The distributions are compared with analyses of irreversible, meridional isentropic transport. We show that there is considerable year-to-year seasonal variability in the amount of irreversible transport from the tropics, which is related to both the phase of the QBO and the state of the polar vortex. The reversibility of the transport is consistent with the number of observed breaking waves. The variability of the atmospheric index of refraction in the lower stratosphere is shown to be significantly correlated with the wave breaking and amount of irreversible transport. Finally, we will show that the seasonal extratropical stratosphere to troposphere transport of ozone can be substantially modulated by the amount of irreversible meridional transport in the lower stratosphere and we investigate how observable these differences are in data of tropospheric ozone.

  12. Seismic Evidence for Lower Mantle Plume Under the Yellowstone Hotspot

    Science.gov (United States)

    Nelson, P.; Grand, S.

    2017-12-01

    The mantle plume hypothesis for the origin of intraplate volcanism has been controversial since its inception in the 1970s. The hypothesis proposes hot narrow upwelling of rock rooted at the core mantle boundary (CMB) rise through the mantle and interact with the base of the lithosphere forming linear volcanic systems such as Hawaii and Yellowstone. Recently, broad lower mantle (>500 km in diameter) slow velocity conduits, most likely thermochemical in origin, have been associated with some intraplate volcanic provinces (French and Romanowicz, 2015). However, the direct detection of a classical thin thermal plume in the lower mantle using travel time tomography has remained elusive (Anderson and Natland, 2014). Here we present a new shear wave tomography model for the mantle beneath the western United States that is optimized to find short wavelength, sub-vertical structures in the lower mantle. Our approach uses carefully measured SKS and SKKS travel times recorded by dense North American seismic networks in conjunction with finite frequency kernels to build on existing tomography models. We find the presence of a narrow ( 300 km diameter) well isolated cylindrically shaped slow anomaly in the lower most mantle which we associate with the Yellowstone Hotspot. The conduit has a 2% reduction in shear velocity and is rooted at the CMB near the California/Arizona/Nevada border. A cross sectional view through the anomaly shows that it is slightly tilted toward the north until about 1300 km depth where it appears to weaken and deflect toward the surficial positon of the hotspot. Given the anomaly's strength, proximity to the Yellowstone Hotspot, and morphology we argue that a thermal plume interpretation is the most reasonable. Our results provide strong support for a lower mantle plume origin of the Yellowstone hotspot and more importantly the existence of deep thermal plumes.

  13. Lower and Middle Cenomanian ammonites from the Morondava Basin, Madagascar

    Science.gov (United States)

    Kennedy, William James; Walaszczyk, Ireneusz; Gale, Andrew S.; Dembicz, Krzysztof; Praszkier, Tomasz

    2013-12-01

    Kennedy, W.J., Walaszczyk, I., Gale, A.S., Dembicz, K. and Praszkier, T. 2013. Lower and Midle Cenomanian ammonites from the Morondava Basin, Madagascar. Acta Geologica Polonica, 63(4), 625-655. Warszawa. Lower and Middle Cenomanian ammonite assemblages have been collected on a bed-by-bed basis from localities at Vohipaly and Mahaboboka, Madagascar, as well as from outcrops around Berekata, all in the Morondava Basin, southwest Madagascar. These collections demonstrate the presence of the upper Lower Cenomanian Mantelliceras dixoni Zone and the lower Middle Cenomanian Cunningtoniceras inerme Zone of the north-western European standard sequence. These records indicate that the striking anomalies in the zonal assemblages of the classic divisions of the Madagascan Cenomanian are based on mixed assemblages, rather than a succession that differs radically from that elsewhere in the world. The dixoni Zone fauna is: Desmoceras cf. latidorsatum (Michelin, 1838), Pachydesmoceras kossmati Matsumoto, 1987, Forbesiceras sp., F. baylissiWright & Kennedy, 1984, F. largilliertianum (d'Orbigny, 1841), Mantelliceras cantianum Spath, 1926a, M. dixoni Spath, 1926b, M. mantelli (J. Sowerby, 1814), M. picteti Hyatt, 1903, M. saxbii (Sharpe, 1857), Sharpeiceras sp., S. falloti (Collignon, 1931), S. mocambiquense (Choffat, 1903), S. cf. florencae Spath, 1925, Acompsoceras renevieri (Sharpe, 1857), A. tenue Collignon, 1964, Calycoceras sp., Mrhiliceras lapparenti (Pervinquière, 1907), Mariella (Mariella) stolizcai (Collignon, 1964), Hypoturrilites taxyfabreae (Collignon, 1964), Turrilites scheuchzerianus Bosc, 1801, Sciponoceras cucullatum Collignon, 1964, and Sciponoceras antanimangaensis (Collignon, 1964). The presence of Calycoceras in a Lower Cenomanian association represents a precocious appearance of a genus typically Middle and Upper Cenomanian in occurrence, and matches records from Tunisia. The inerme Zone yields a more restricted assemblage: Pachydesmoceras kossmati

  14. The successful implementation of STEM initiatives in lower income schools

    Science.gov (United States)

    Bakshi, Leena

    The purpose of this study was to examine the leadership strategies utilized by superintendents, district administrators and school principals and the impact of these identified strategies on implementing STEM initiatives specifically for lower-income students. This study set out to determine (a) What role does district leadership play in the implementation of STEM initiatives in lower income secondary schools; (b) What internal systems of accountability exist in successful lower income secondary schools' STEM programs; (c) What leadership strategies are used to implement STEM curriculum initiatives; (d) How do school and district leadership support staff in order to achieve student engagement in STEM Initiative curriculum. This study used a mixed-methods approach to determine the impact of leadership strategies utilized by superintendents, district administrators and school principals on implementing STEM initiatives. Quantitative data analyzed survey questionnaires to determine the degree of correlation between the school districts that have demonstrated the successful implementation of STEM initiatives at the school and district levels. Qualitative data was collected using highly structured participant interviews and purposeful sampling of four district superintendents, one district-level administrator and five school leaders to capture the key strategies in implementing STEM initiatives in lower income secondary schools. Through the process of triangulation, the results of the study revealed that superintendents and principals should consider the characteristics of effective STEM initiatives that have shown a considerable degree of correlation with positive outcomes for lower income students. These included the leadership strategies of personnel's making decisions about the district's and school's instructional direction and an emphasis on the conceptual development of scientific principles using the Next Generation Science Standards coupled with the Common Core

  15. An upper and lower bound of the Medication Possession Ratio

    Directory of Open Access Journals (Sweden)

    Sperber CM

    2017-08-01

    Full Text Available Christian M Sperber, Suren R Samarasinghe, Grace P Lomax Patient Connect Limited, Guildford, UK Background: The Medication Possession Ratio (MPR is a ubiquitous and central measurement for adherence in the health care industry. However, attempts to standardize its calculation have failed, possibly due to the opacity of a single, static MPR, incapability of directly lending itself to a variety of studies, and challenges of comparing the value across studies. This work shows that the MPR strictly depends on the length of the time interval over which it is measured as well as on the dominant dispense quantity for short time intervals. Furthermore, removing a proportion of the patient cohort based on the number of acquisitions may also have a severe impact on the MPR. Therefore, it is suggested that the MPR is represented as a trend over a range of time intervals. To this end, an upper and lower bound of the MPR trend is developed with an upper bound acknowledging patients who change their treatment and the lower bound acknowledging patients who discontinue their treatment.Purpose: Introducing a representation of the MPR value as a trend rather than a static number by developing a quantitative description of an upper and lower bound of the MPR trend, while shedding light on the impacts on prefiltering the patient cohort.Patients and methods: Anonymized patient-level data was utilized as an example for a suggested calculation of an upper and lower bound of the MPR.Results: Representation of the MPR for a predefined time interval precludes a reliable MPR assessment. A quantitative approach is suggested to generate an upper and lower trend of the MPR while emphasizing the impact on removing patients with a limited number of acquisitions.Conclusion: An upper and lower trend makes the MPR more transparent and allows a better comparison across different studies. Removing patients with a limited number of acquisitions should be avoided. Keywords: MPR

  16. [Solitary stones of the lower renal calyx: how to treat?

    Science.gov (United States)

    Martov, A G; Ergakov, D V; Andronov, A S; Dutov, S V; Takhaev, R A; Kil'chukov, Z I; Moskalenko, S A

    2017-06-01

    The choice of treatment for the stones of the lower renal calyx is one of the challenging issues of modern urology. The aim of this retrospective and prospective study was to investigate the clinical effectiveness and safety of 3 modern minimally invasive techniques for treating renal stones: percutaneous (PNL) and transurethral (TNL) nephrolithotripsy and extracorporeal shock wave lithotripsy (ESWL) in patients with solitary lower calyx stones sized from 10 to 15 mm. The study included 136 patients with symptomatic stones of the lower calyces, who underwent ESWL, PNL and TNL from November 2010 to the present day. The criteria for inclusion in the study were: the presence of a solitary stone of the lower calyx, the stone size of 10 mm to 15 mm, the performance of the classical (standard) PNL in the prone position (puncture access 28-30 Fr) and the follow-up examination at 3 months after the operation. Forty-six patients underwent ESWL, 49 - PNL, and 41 - TNL. Postoperative follow-up was done at 3 months and included a plain radiography, ultrasound and non-contrast-enhanced computed tomography. The stone free rate (SFR) was used as a criterion for the effectiveness of the intervention, where the stone size of 3 mm was taken as the upper limit for the possible presence of fragments. Besides, the rate of repeat interventions, complications and subjective assessment of patients treatment satisfaction (0 to 10) by using visual analogue scale (VAS) were investigated. The effectiveness analysis of the three methods for treating the lower calyx stones sized 10-15 mm showed that PNL was no more effective than TNL (SFR 95.9% and 85.4%, respectively), but both methods were significantly more effective than ESWL (SFR 69.5%). 29.3% of patients who underwent TNL required repeat interventions (TNL or ESWL), while among those treated with ESWL, 45.6% required repeat ESWL sessions. PNL resulted in stone clearance in one stage. Postoperative inflammatory complications were most

  17. Lower Oligocene bivalves of Ramanian Stage from Kachchh, Gujarat, India

    Science.gov (United States)

    Kachhara, R. P.; Jodhawat, R. L.; Devi, K. Bigyapati

    2012-04-01

    Marine Oligocene sequences in India outcrop only in western part of Kachchh. Earlier researchers have recognized the Oligocene strata under the Nari Series (Nagappa 1959; Chatterji and Mathur 1966). The Nari Series has a type area in Pakistan. It has two subdivisions - the Lower Nari (Lower Oligocene) and the Upper Nari (Upper Oligocene). It seems that there is no valid proof about the age of the Lower Nari due to lack of proper fauna (Eames 1975), and according to Pascoe (1962), the Upper Nari slightly transgress into Aquitanian (Lower Miocene), therefore, one has to be very cautious. Biswas and Raju (1971) reclassified the Oligocene strata of Kachchh and lithostratigraphically clubbed them as the Maniyara Fort Formation with type section along the Bermoti stream. This Formation has four members. The lower three members correspond to the Ramanian Stage (Lower Oligocene, Biswas 1971, 1973) while the uppermost to the Waiorian Stage (Upper Oligocene, Biswas 1965, 1971, 1973). The Ramanian Stage is characterized by large forams especially Nummulites fichteli, Nummulites fichteli intermedius, Lepidocyclina ( Eulepidina) dialata and Operculina sp. Several ostracods are also known to occur. Megafauna include bivalves, gastropods, echinoids, corals, mammals and reptiles. Concerning bivalves earlier researchers have recorded a few taxa namely Trisidos semitorta (Lamarck), Cubitostrea angulata (J de C Sowerby), Pecten ( Amussiopecten) labadyei d'Archiac and Haime, Periglypta puerpera (Linne') var. aglaurae Brongniart, Ostrea fraasi Mayer Eymer and listed Pecten laevicostatus J de C Sowerby, Callista pseudoumbonella Vredenburg and Clementia papyracea (Gray) from Kachchh as against overall 42 forms from the Nari Series as a whole (Vredenburg 1928). This tempted us to make an attempt to collect bivalve fauna systematically which are occurring prolifically in the Ramanian Stage. In the present work, for this purpose, sections are worked out around Lakhpat (23°50'N; 68°47'E

  18. Can Lower Mantle Slab-like Seismic Anomalies be Explained by Thermal Coupling Between the Upper and Lower Mantles?

    NARCIS (Netherlands)

    Cízková, H. (Hana); Cadek, O.; Berg, A.P. van den; Vlaar, N.J.

    1999-01-01

    Below subduction zones, high resolution seismic tomographic models resolve fast anomalies that often extend into the deep lower mantle. These anomalies are generally interpreted as slabs penetrating through the 660-km seismic discontinuity, evidence in support of whole-mantle convection. However,

  19. An analysis of government immunization program expenditures in lower and lower middle income countries 2006-12.

    Science.gov (United States)

    Nader, Alice Abou; de Quadros, Ciro; Politi, Claudio; McQuestion, Michael

    2015-04-01

    Financing is becoming increasingly important as the cost of immunizing the world's children continues to rise. By 2015, that cost will likely exceed US$60 per infant as new vaccines are introduced into national immunization programs. In 2006, 51 lower and lower middle income countries reported spending a mean US$12 per surviving infant on routine immunization. By 2012, the figure had risen to $20, a 67% increase. This study tests the hypothesis that lower and lower middle income countries will spend more on their routine immunization programs as their economies grow. A panel data regression approach is used. Expenditures reported by governments annually (2006-12) through the World Health Organization/UNICEF Joint Reporting Form are regressed on lagged annual per capita gross national income (GNI), controlling for prevailing mortality levels, immunization program performance, corruption control efforts, geographical region and correct reporting. Results show the expenditures increased with GNI. Expressed as an elasticity, the countries spent approximately $6.32 on immunization for every $100 in GNI increase from 2006 to 2012. Projecting forward and assuming continued annual GNI growth rates of 10.65%, countries could be spending $60 per infant by 2020 if national investment functions increase 4-fold. Given the political will, this result implies countries could fully finance their routine immunization programs without cutting funding for other programs. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine © The Author 2014; all rights reserved.

  20. Effects of Lowering LDL Cholesterol on Progression of Kidney Disease

    DEFF Research Database (Denmark)

    Haynes, Richard; Lewis, David; Emberson, Jonathan

    2014-01-01

    Lowering LDL cholesterol reduces the risk of developing atherosclerotic events in CKD, but the effects of such treatment on progression of kidney disease remain uncertain. Here, 6245 participants with CKD (not on dialysis) were randomly assigned to simvastatin (20 mg) plus ezetimibe (10 mg) daily...... or matching placebo. The main prespecified renal outcome was ESRD (defined as the initiation of maintenance dialysis or kidney transplantation). During 4.8 years of follow-up, allocation to simvastatin plus ezetimibe resulted in an average LDL cholesterol difference (SEM) of 0.96 (0.02) mmol/L compared...... with placebo; rate ratio, 0.93; 95% CI, 0.86 to 1.01; P=0.09). Exploratory analyses also showed no significant effect on the rate of change in eGFR. Lowering LDL cholesterol by 1 mmol/L did not slow kidney disease progression within 5 years in a wide range of patients with CKD....

  1. Geologic map of the Lower Valley quadrangle, Caribou County, Idaho

    Science.gov (United States)

    Oberlindacher, H. Peter; Hovland, R. David; Miller, Susan T.; Evans, James G.; Miller, Robert J.

    2018-04-05

    The Lower Valley 7.5-minute quadrangle, located in the core of the Southeast Idaho Phosphate Resource Area, includes Mississippian to Triassic marine sedimentary rocks, Pliocene to Pleistocene basalt, and Tertiary to Holocene surficial deposits. The Mississippian to Triassic marine sedimentary sequence was deposited on a shallow shelf between an emergent craton to the east and the Antler orogenic belt to the west. The Meade Peak Phosphatic Shale Member of the Permian Phosphoria Formation hosts high-grade deposits of phosphate that were the subject of geologic studies through much of the 20th century. Open-pit mining of the phosphate has been underway within and near the Lower Valley quadrangle for several decades.

  2. [Lower urinary tract infections in men. Urethritis, cystitis and prostatitis].

    Science.gov (United States)

    Zanella, Marie-Céline; Schoofs, Fabian; Huttner, Benedikt; Huttner, Angela

    2017-04-12

    Recommendations for the treatment of lower non-catheter-related urinary tract infection (UTI) in men are rarely evidence-based. Their management requires the localization of the site of infection, whether it be the urethra, bladder or prostate, and includes antibiotic therapy and in most cases urological assessment. They are often associated with urinary tract procedures or anatomical or functional abnormalities. Nearly 80 % of male UTIs are caused by Enterobacteriaceae. The prevalence of broad-spectrum beta-lactamase-producing strains (ESBL) and quinolone-resistant strains is increasing. The aim of this article is to define three types of lower, non-catheter-related UTI in men - urethritis, cystitis and prostatitis - their microbiology and management in Switzerland.

  3. Lower trait frontal theta activity in mindfulness meditators

    Directory of Open Access Journals (Sweden)

    Guaraci Ken Tanaka

    2014-09-01

    Full Text Available Acute and long-term effects of mindfulness meditation on theta-band activity are not clear. The aim of this study was to investigate frontal theta differences between long- and short-term mindfulness practitioners before, during, and after mindfulness meditation. Twenty participants were recruited, of which 10 were experienced Buddhist meditators. Despite an acute increase in the theta activity during meditation in both the groups, the meditators showed lower trait frontal theta activity. Therefore, we suggested that this finding is a neural correlate of the expert practitioners’ ability to limit the processing of unnecessary information (e.g., discursive thought and increase the awareness of the essential content of the present experience. In conclusion, acute changes in the theta band throughout meditation did not appear to be a specific correlate of mindfulness but were rather related to the concentration properties of the meditation. Notwithstanding, lower frontal theta activity appeared to be a trait of mindfulness practices.

  4. Experimental Investigation of Creep Behavior of Reactor Vessel Lower Head

    International Nuclear Information System (INIS)

    Chu, T.Y.; Pilch, M.; Bentz, J.H.; Behbahani, A.

    1999-01-01

    The authors report a study which aimed at experimentally and numerically investigating and characterizing the failure of a reactor pressure vessel (RPV) lower head due to thermal and pressure loads generated by a severe accident. They present the experimental apparatus which is based on a scaled version of the lower part of a TMI-like reactor pressure vessel without vessel skirt. They report and comment the results obtained during the first five experiments: uniform heating and non penetrations, centre-peaked heat flux and no penetrations, edge-peaked heat flux and no penetrations, uniform heating with penetrations, edge-peaked heat flux with penetrations. They compare the third and fifth experience (those with edge-peaked heat flux)

  5. Electron heating using lower hybrid waves in the PLT tokamak

    International Nuclear Information System (INIS)

    Bell, R.E.; Bernabei, S.; Cavallo, A.; Chu, T.K.; Luce, T.; Motley, R.; Ono, M.; Stevens, J.; von Goeler, S.

    1987-06-01

    Lower hybrid waves with a narrow high velocity wave spectrum have been used to achieve high central electron temperatures in a tokamak plasma. Waves with a frequency of 2.45 GHz launched by a 16-waveguide grill at a power level less than 600 kW were used to increase the central electron temperature of the PLT plasma from 2.2 keV to 5 keV. The magnitude of the temperature increase depends strongly on the phase difference between the waveguides and on the direction of the launched wave. A reduction in the central electron thermal diffusivity is associated with the peaked electron temperature profiles of lower hybrid current-driven plasmas. 16 refs

  6. Outcomes of lower extremity bypass performed for acute limb ischemia.

    Science.gov (United States)

    Baril, Donald T; Patel, Virendra I; Judelson, Dejah R; Goodney, Philip P; McPhee, James T; Hevelone, Nathanael D; Cronenwett, Jack L; Schanzer, Andres

    2013-10-01

    Acute limb ischemia remains one of the most challenging emergencies in vascular surgery. Historically, outcomes following interventions for acute limb ischemia have been associated with high rates of morbidity and mortality. The purpose of this study was to determine contemporary outcomes following lower extremity bypass performed for acute limb ischemia. All patients undergoing infrainguinal lower extremity bypass between 2003 and 2011 within hospitals comprising the Vascular Study Group of New England were identified. Patients were stratified according to whether or not the indication for lower extremity bypass was acute limb ischemia. Primary end points included bypass graft occlusion, major amputation, and mortality at 1 year postoperatively as determined by Kaplan-Meier life table analysis. Multivariable Cox proportional hazards models were constructed to evaluate independent predictors of mortality and major amputation at 1 year. Of 5712 lower extremity bypass procedures, 323 (5.7%) were performed for acute limb ischemia. Patients undergoing lower extremity bypass for acute limb ischemia were similar in age (66 vs 67; P = .084) and sex (68% male vs 69% male; P = .617) compared with chronic ischemia patients, but were less likely to be on aspirin (63% vs 75%; P < .0001) or a statin (55% vs 68%; P < .0001). Patients with acute limb ischemia were more likely to be current smokers (49% vs 39%; P < .0001), to have had a prior ipsilateral bypass (33% vs 24%; P = .004) or a prior ipsilateral percutaneous intervention (41% vs 29%; P = .001). Bypasses performed for acute limb ischemia were longer in duration (270 vs 244 minutes; P = .007), had greater blood loss (363 vs 272 mL; P < .0001), and more commonly utilized prosthetic conduits (41% vs 33%; P = .003). Acute limb ischemia patients experienced increased in-hospital major adverse events (20% vs 12%; P < .0001) including myocardial infarction, congestive heart failure exacerbation, deterioration in renal function

  7. Proposed application of lower body negative pressure to cardiology

    Science.gov (United States)

    Schmidt, E. V.; Debusk, R. F.; Popp, R. L.

    1975-01-01

    Potential medical applications are presented of lower body negative pressure to the evaluation and treatment of cardiac patients. The essential features of an LBNP unit and the basic cardiovascular physiology of lower body negative pressure (LBNP) testing are described. Some of the results of previous spaceflight experiences and bedrest studies are summarized. The deconditioning effects of weightlessness experienced by orbiting astronauts are compared with the effects of bedrest restrictions prescribed for convalescing cardiac patients. The potential of LBNP for evaluating both pharmacological and physical activity regimens was examined, particularly in relation to post-myocardial infarction and coronary artery bypass patients. Applications of LBNP to the cardiac catheterization laboratory and the out-patient follow-up of cardiac patients are proposed.

  8. Lower hybrid wave cavities detected by the FREJA satellite

    International Nuclear Information System (INIS)

    Pecseli, H.L.; Iranpour, K.; Holter, Oe.; Lybekk, B.; Holtet J.; Truelsen, J.; Holback, B.

    1994-12-01

    Localized electrostatic wave packets in the frequency region of lower-hybrid waves have been detected by the instruments on the FREJA satellite. These waves are usually associated with local density depletions indicating that the structures can be interpreted as wave filled cavities. The basic features of the observations are discussed. Based on simple statistical arguments it is attempted to present some characteristics which have to be accommodated within an ultimate theory describing the observed wave phenomena. An explanation in terms of collapse of nonlinear lower-hybrid waves is discussed in particular. It is argued that such a model seems inapplicable, at least in its simplest form, by providing time and length scales which are not in agreement with observations. Alternatives to this model are presented. 24 refs., 8 figs

  9. Lower Flathead System Fisheries Study, 1985 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Pajak, Paul; Bradshaw, William H.; DeSantos, Joseph M.; Darling, James E.

    1986-01-01

    Existing aquatic habitat in the lower Flathead River and its tributaries was assessed for its relationship to the present size, distribution, and maintenance of all salmonid species, northern pike, and largemouth bass populations. The objectives were to assess how and to what extent hydroelectric development and operation affects the quality and quantity of aquatic habitat in the lower Flathead River and its tributaries and life stages of existing trout, pike, and largemouth bass populations, evaluate the potential for increasing quality habitat, and thus game fish production, through mitigation, and develop an array of fisheries management options to mitigate the impacts of present hydroelectric operations, demonstrating under each management option how fish populations would benefit and hydroelectric generation capabilities would be modified.

  10. Core stability training on lower limb balance strength.

    Science.gov (United States)

    Dello Iacono, Antonio; Padulo, Johnny; Ayalon, Moshe

    2016-01-01

    This study aimed to assess the effects of core stability training on lower limbs' muscular asymmetries and imbalances in team sport. Twenty footballers were divided into two groups, either core stability or control group. Before each daily practice, core stability group (n = 10) performed a core stability training programme, while control group (n = 10) did a standard warm-up. The effects of the core stability training programme were assessed by performing isokinetic tests and single-leg countermovement jumps. Significant improvement was found for knee extensors peak torque at 3.14 rad · s(-1) (14%; P core stability group. The jump tests showed a significant reduction in the strength asymmetries in core stability group (-71.4%; P = 0.02) while a concurrent increase was seen in the control group (33.3%; P core exercises for optimal lower limbs strength balance development in young soccer players.

  11. Malignant Transformation of Nodular Hidradenoma in the Lower Leg

    Directory of Open Access Journals (Sweden)

    Nhuan Ngo

    2018-05-01

    Full Text Available Nodular hidradenoma (NH is a benign adnexal tumor that arises from either eccrine or apocrine sweat glands. NH can originate from any cutaneous site, but the most common sites are the head and anterior surface of the trunk, with very rare cases in the extremities. Long-standing NH has been reported to undergo malignant transformation to malignant NH (MNH; however, its occurrence in the lower leg is extremely rare with only one other case reported to date. In this report, we present a rare case of MNH occurring in the lower leg which was resected with the intent to make a diagnosis. At the final follow-up after 11 months, no local recurrence or metastasis has been observed.

  12. Progression of disease preceding lower extremity amputation in Denmark

    DEFF Research Database (Denmark)

    Jensen, Pia Søe; Petersen, Janne; Kirketerp-Møller, Klaus

    2017-01-01

    OBJECTIVES: Patients with non-traumatic lower extremity amputation are characterised by high age, multi-morbidity and polypharmacy and long-term complications of atherosclerosis and diabetes. To ensure early identification of patients at risk of amputation, we need to gain knowledge about...... the progression of diseases related to lower extremity amputations during the years preceding the amputation. DESIGN: A retrospective population-based national registry study. SETTING: The study includes data on demographics, diagnoses, surgery, medications and healthcare services from five national registries....... Data were retrieved from 14 years before until 1 year after the amputation. Descriptive statistics were used to describe the progression of diseases and use of medication and healthcare services. PARTICIPANTS: An unselected cohort of patients (≥50 years; n=2883) subjected to a primary non...

  13. On the origin of ionospheric sublayers in the lower thermosphere

    Energy Technology Data Exchange (ETDEWEB)

    Shirke, J S; Sridharan, R

    1979-11-01

    Some properties are examined of ionospheric sublayers usually two in number originating at sunrise in the lower thermosphere. The formation of the sublayers is found to be nearly global in nature though they are quickly transported upward over the dip-equatorial region as a result of vertical drifts existing there. The ionization associated with the layers once formed appears to remain constant for over several hours while the ambient ionization exhibits a solar zenith angle dependence. The sublayers at equatorial and low latitudes are often found capable of yielding echoes of radio waves transmitted from ground of frequencies much larger than corresponding to the ambient plasma density. This is shown to be due to generation of gradient type instabilities in these sublayers. The generation of the sublayers themselves is shown to be consistent with the concept of ionization at sunrise of neutral constituents deposited overnight from micrometeorites in the lower thermosphere.

  14. Design and control of hybrid actuation lower limb exoskeleton

    Directory of Open Access Journals (Sweden)

    Hipolito Aguilar-Sierra

    2015-06-01

    Full Text Available In this article, two types of actuators are applied for a lower limb exoskeleton. They are DC motors with the harmonic drive and the pneumatic artificial muscles. This combination takes advantages of both the harmonic drive and the pneumatic artificial muscle. It provides both high accuracy position control and high ratio of strength and weight. The shortcomings of the two actuators are overcome by the hybrid actuation, for example, low control accuracy and modeling difficult of pneumatic artificial muscle, compactness, and structural flexibility of DC motors. The design and modeling processes are discussed to show the proposed exoskeleton can increase the strength of human lower limbs. Experiments and analysis of the exoskeleton are given to evaluate the effectiveness of the design and modeling.

  15. Soft Tissue Coverage of the Lower Limb following Oncological Surgery.

    Science.gov (United States)

    Radtke, Christine; Panzica, Martin; Dastagir, Khaled; Krettek, Christian; Vogt, Peter M

    2015-01-01

    The treatment of lower limb tumors has been shifted by advancements in adjuvant treatment protocols and microsurgical reconstruction from limb amputation to limb salvage. Standard approaches include oncological surgery by a multidisciplinary team in terms of limb sparing followed by soft tissue reconstruction and adjuvant therapy when indicated. For the development of a comprehensive surgical plan, the identity of the tumor should first be determined by histology after biopsy. Then the surgical goal and comprehensive treatment concept should be developed by a multidisciplinary tumor board and combined with soft tissue reconstruction. In this article, plastic surgical reconstruction options for soft coverage of the lower extremity following oncological surgery will be described along with the five clinical cases.

  16. Changing weather causes behavioral responses in the lower mesopelagic

    KAUST Repository

    Kaartvedt, S

    2017-05-10

    Mesopelagic acoustic scattering layers at a 700 m deep location in the Red Sea ascended 70 to 80 m during a passing rain storm that reduced light levels at the surface by more than 2 orders of magnitude. The changes in vertical distribution were observed down to the deepest part of the water column and were interpreted as a response to sudden dark weather. However, light measurements suggest that the mesopelagic targets (fish) did not fully compensate for the reduction in ambient light, and the calculated light levels in the scattering layers were similar to 1 order of magnitude lower during the passage of the storm. The results show that fluctuating weather conditions may affect pelagic ecosystems even towards the lower parts of the mesopelagic zone.

  17. Estimation of stature using lower limb measurements in Sudanese Arabs.

    Science.gov (United States)

    Ahmed, Altayeb Abdalla

    2013-07-01

    The estimation of stature from body parts is one of the most vital parts of personal identification in medico-legal autopsies, especially when mutilated and amputated limbs or body parts are found. The aim of this study was to assess the reliability and accuracy of using lower limb measurements for stature estimations. The stature, tibial length, bimalleolar breadth, foot length and foot breadth of 160 right-handed Sudanese Arab subjects, 80 men and 80 women (25-30 years old), were measured. The reliability of measurement acquisition was tested prior to the primary data collection. The data were analysed using basic univariate analysis and linear and multiple regression analyses. The results showed acceptable standards of measurement errors and reliability. Sex differences were significant for all of the measurements. There was a positive correlation coefficient between lower-limb dimensions and stature (P-value Arabs. Copyright © 2013 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  18. Lower urinary tract symptoms after total and subtotal hysterectomy

    DEFF Research Database (Denmark)

    Gimbel, Helga; Zobbe, Vibeke; Andersen, Birthe Jakobsen

    2005-01-01

    The aim of this Danish multicenter trial was to compare the proportion of women with lower urinary tract symptoms after total abdominal hysterectomy (TAH) and subtotal abdominal hysterectomy (SAH) for benign uterine disorders. A total of 319 women were randomized to TAH (n = 158) or SAH (n = 161......). Women were followed up for 1 year by strict data collection procedures, including postal questionnaires. Results were analyzed by intention-to-treat analyses. Urinary incontinence was found less often among TAH women than among SAH women. This was due to a larger reduction of the number of women...... with stress and urinary incontinence in the TAH group. No other differences were found between the two operation methods. The number of women with urinary incontinence and frequency was reduced from study entry for follow-up, while double/triple voiding was increased. Incontinent women had significantly lower...

  19. A Note on Lower Bounds for Colourful Simplicial Depth

    Directory of Open Access Journals (Sweden)

    Antoine Deza

    2013-01-01

    Full Text Available The colourful simplicial depth problem in dimension d is to find a configuration of (d+1 sets of (d+1 points such that the origin is contained in the convex hull of each set, or colour, but contained in a minimal number of colourful simplices generated by taking one point from each set. A construction attaining d2 + 1 simplices is known, and is conjectured to be minimal. This has been confirmed up to d = 3, however the best known lower bound for d ≥ 4 is ⌈(d+12 /2 ⌉. In this note, we use a branching strategy to improve the lower bound in dimension 4 from 13 to 14.

  20. On lower hybrid wave scattering by plasma density fluctuations

    International Nuclear Information System (INIS)

    Petrzilka, V.

    1988-01-01

    The scattering of lower hybrid waves on plasma density fluctuations in a thin turbulent layer at the plasma periphery is studied numerically. The lower hybrid waves are supposed to be radiated by a four-waveguide grill used on the CASTOR tokamak. A great number of calculated scattered wave spectra show that the scattered spectrum shifts to larger values of the parallel-to-magnetic-field component of the wave vector (to slower waves) with increasing central plasma density and with the decreasing safety factor at the boundary. As known, this shift of the wave spectra results in a decrease in current drive efficiency. The current drive efficiency will hence decrease with growing plasma density and with decreasing safety factor. (J.U.). 2 figs., 4 refs

  1. Pansclerotic morphea: A male child with hemiatrophy of lower limb

    Directory of Open Access Journals (Sweden)

    Malay K Dasgupta

    2014-01-01

    Full Text Available Morphea is a variant of localized scleroderma in which lesions are usually limited to the skin and subcutaneous tissue. Pansclerotic morphea is a rare atrophying and sclerosing type of morphea. It can follow a comparatively benign course with spontaneous resolution of symptoms, or sometimes can lead to a variety of complications resulting in progressive disability. We report a case of Pansclerotic morphea in an 8-year-old male child involving one lower extremity with extension to the lower trunk. It was associated with deformity and hemiatrophy of that limb, leading to restriction of normal day-to-day activity. The case is being reported in view of its rare occurrence in conjunction with other rarer features.

  2. Assessment of lower extremity ischemia using smartphone thermographic imaging

    Directory of Open Access Journals (Sweden)

    Peter H. Lin, MD

    2017-12-01

    Full Text Available Conventional diagnostic modalities for assessing arterial circulation or tissue perfusion include blood pressure measurement, ultrasound evaluation, and contrast-based angiographic assessment. An infrared thermal camera can detect infrared radiation energy from the human body, which generates a thermographic image to allow tissue perfusion analysis. We describe a smartphone-based miniature thermal imaging system that can be used as an adjunctive imaging modality to assess tissue perfusion. This smartphone-based camera device is noninvasive, simple to use, and cost-effective in assessing patients with lower extremity tissue perfusion. Assessment of patients with lower extremity arterial ischemia can be performed by a variety of diagnostic modalities, including ankle-brachial index, absolute systolic ankle or toe pressure, transcutaneous oximetry, arterial Doppler waveform, arterial duplex ultrasound, computed tomography scan, arterial angiography, and thermal imaging. We herein describe a noninvasive imaging modality using smartphone-based infrared thermography.

  3. Lowering the enrichment of the Syrian miniature neutron source reactor

    International Nuclear Information System (INIS)

    Khamis, I.; Khattab, K.

    1999-01-01

    An investigation of lowering the fuel enrichment of MNSR was realized. A 3-D neutronic model was developed for the analysis of the reactor. It was found that lower number of fuel elements is needed when UO 2 is used with 5.45 g of 235 U content in each fuel rod. Sensitivity of the reactor to the purity of the beryllium reflector proved to be an important factor in determining the reactor neutronics as well as the weight of loaded fuel in the core. Inherent safety features of low excess reactivity and shutdown margins are preserved and enhanced. Average thermal fluxes over different zones of the core are kept very much unchanged

  4. Lowering the enrichment of the Syrian miniature neutron source reactor

    International Nuclear Information System (INIS)

    Kamis, I.; Khattab, K.

    1999-01-01

    An investigation of lowering the fuel enrichment of MNSR was realized. A 3-D neutronic model was developed for the analysis of the reactor. It was found that lower number of fuel elements is needed when UO 2 is used with 5.45 g of 235 U content in each fuel rod. sensitivity of the reactor to the purity of the beryllium reflector proved to be an important factor in determining the reactor neutronics as well as the weight of loaded fuel in the core. Inherent safety feature of low excess reactivity and shutdown margins are preserved and enhanced. average thermal fluxes over different zones of the core are kept very much unchanged. (author)

  5. A patch in the pectoral position lowers defibrillation threshold.

    Science.gov (United States)

    Karasik, P; Solomon, A; Verdino, R; Moore, H; Rodak, D; Hannan, R; Fletcher, R

    1997-06-01

    Implantable pacemaker cardioverter defibrillators are now available with biphasic waveforms, which have been shown to markedly improve defibrillation thresholds (DFTs). However, in a number of patients the DFT remains high. Also, DFT may increase after implantation, especially if antiarrhythmic drugs are added. We report on the use of a subcutaneous patch in the pectoral position in 15 patients receiving a transvenous defibrillator as a method of easily reducing the DFT. A 660-mm2 patch electrode was placed beneath the generator in a pocket created on the pectoral fascia. The energy required for defibrillation was lowered by 56% on average, and the system impedance was lowered by a mean of 25%. This maneuver allowed all patients to undergo a successful implant with adequate safety margin.

  6. Crystallochemical particularities of complexes with lower representatives of dicarboiylic acids

    International Nuclear Information System (INIS)

    Dmitrova, G.I.; Kiosse, G.A.

    1982-01-01

    A review is given of crystallochemical particularities of nonsubstituted dicarboxylic acids, HOOC-(CHsub(2))sub(n)-COOH, complexes with lower representatives of the given series (n=0.1). Besides published data, the studies on the structures obtained by the authors are included herein. From the structure data of salts and complexes with the lower representatives of dicarboxylic acids and oxyacids (among which there are complexes of rare earths and niobium) one can distinguish the formation of two-and polynuclear chelate complexes. Configuration of molecules of oxalic and malonic (and its derivatives) acids does not depend on the type of the compounds formed. The turn of carboxylic groups with respect to the plane of central carbon atoms in oxalate- and malonate-ions depends on their structural environment. The structures of complexes with malonic acid derivatives are not studied well although they are of great theoretical and practical interest

  7. Lipid-lowering medication and risk of cancer

    DEFF Research Database (Denmark)

    Olsen, Jørgen H.; Johansen, Christoffer; Sørensen, Henrik Toft

    1999-01-01

    of up to 4 years, 41 cancers were observed among users of lipid-lowering drugs, with 42.9 expected, to yield an age- and sex-standardized incidence ratio of 1.0 (95% confidence interval, 0.7–1.3). Although limited by small numbers and short follow-up period, examination by site of cancer and type......Low or declining levels of serum cholesterol have been associated with increased mortality from cancer. We conducted a population-based cohort study of 1882 patients from one Danish county who received lipid-lowering drugs between January 1, 1991 and December 31, 1994. During the follow-up period...... of drug provided no evidence of an association. Further research is needed, however, with longer follow-up to assess more fully any potential cancer risk with these medications....

  8. Soft tissue coverage of the lower limb following oncological surgery

    Directory of Open Access Journals (Sweden)

    Christine eRadtke

    2016-01-01

    Full Text Available The treatment of lower limb tumours has been shifted by advancements in adjuvant treatment protocols and microsurgical reconstruction from limb amputation to limb salvage. Standard approaches include oncological surgery by a multidisciplinary team in terms of limb sparing followed by soft tissue reconstruction and adjuvant therapy when indicated. For development of a comprehensive surgical plan, the identity of the tumour should first be determined by histology after biopsy. Then the surgical goal and comprehensive treatment concept should be developed by a multidisciplinary tumour board and combined with soft tissue reconstruction. In this article, plastic surgical reconstruction options for soft coverage of the lower extremity following oncologic surgery will be described along with five clinical cases.

  9. Soil of the lower valley of the Dragonja river (Slovenia)

    OpenAIRE

    Tomaž PRUS; Nina ZUPANČIČ; Helena GRČMAN

    2015-01-01

    Soil of the lower valley of the river Dragonja developed under specific soil-forming factors. Soil development in the area was influenced by alluvial sediments originating from surrounding hills, mostly of flysch sequence rocks, as a parent material, Sub-Mediterranean climate and the vicinity of the sea. Different soil classification units (Gleysol and Fluvisol) were proposed for that soil in previous researches. The aim of our study was the evaluation of morphological, chemical and mineralog...

  10. 2015 status of the Lake Ontario lower trophic levels

    Science.gov (United States)

    Holeck, Kristen T.; Rudstam, Lars G.; Hotaling, Christopher; McCullough, Russ D.; Lemon, Dave; Pearsall, Web; Lantry, Jana; Connerton, Michael J.; LaPan, Steve; Biesinger, Zy; Lantry, Brian F.; Walsh, Maureen; Weidel, Brian C.

    2016-01-01

    Offshore spring total phosphorus (TP) in 2015 was 4.2 μ g/L, the same as in 2014; this is lower than 2001 - 2013, but there is no significant time trend 2001 - 2015. Offshore soluble reactive phosphorus (SRP) was very low in 2015; Apr/May - Oct mean values were water column samples taken show a stable zooplankton biomass but changing community composition since 2010. Cyclopoids increased 2013 - 2015 and daphnids declined 2014 - 2015.

  11. Lower corticosteroid skin blanching response is associated with severe COPD.

    Directory of Open Access Journals (Sweden)

    Susan J M Hoonhorst

    Full Text Available Chronic obstructive pulmonary disease (COPD is characterized by chronic airflow limitation caused by ongoing inflammatory and remodeling processes of the airways and lung tissue. Inflammation can be targeted by corticosteroids. However, airway inflammation is generally less responsive to steroids in COPD than in asthma. The underlying mechanisms are yet unclear. This study aimed to assess whether skin corticosteroid insensitivity is associated with COPD and COPD severity using the corticosteroid skin blanching test.COPD patients GOLD stage I-IV (n = 27, 24, 22, and 16 respectively and healthy never-smokers and smokers (n = 28 and 56 respectively were included. Corticosteroid sensitivity was assessed by the corticosteroid skin blanching test. Budesonide was applied in 8 logarithmically increasing concentrations (0-100 μg/ml on subject's forearm. Assessment of blanching was performed after 7 hours using a 7-point scale (normal skin to intense blanching. All subjects performed spirometry and body plethysmography.Both GOLD III and GOLD IV COPD patients showed significantly lower skin blanching responses than healthy never-smokers and smokers, GOLD I, and GOLD II patients. Their area under the dose-response curve values of the skin blanching response were 586 and 243 vs. 1560, 1154, 1380, and 1309 respectively, p<0.05. Lower FEV1 levels and higher RV/TLC ratios were significantly associated with lower skin blanching responses (p = 0.001 and p = 0.004 respectively. GOLD stage I, II, III and IV patients had similar age and packyears.In this study, severe and very severe COPD patients had lower skin corticosteroid sensitivity than mild and moderate COPD patients and non-COPD controls with comparable age and packyears. Our findings together suggest that the reduced skin blanching response fits with a subgroup of COPD patients that has an early-onset COPD phenotype.

  12. Lower ionosphere response to external forcing: A brief review

    Czech Academy of Sciences Publication Activity Database

    Laštovička, Jan

    2009-01-01

    Roč. 43, č. 1 (2009), s. 1-14 ISSN 0273-1177 R&D Projects: GA ČR GA205/07/1367; GA ČR GA205/08/1356 Institutional research plan: CEZ:AV0Z30420517 Keywords : lower ionosphere * space weather forcing * solar activity * solar forcing * atmospheric waves * atmospheric forcing Subject RIV: DG - Athmosphere Sciences, Meteorology Impact factor: 1.079, year: 2009

  13. Communication complexity towards lower bounds on circuit depth

    Czech Academy of Sciences Publication Activity Database

    Edmonds, J.; Impagliazzo, R.; Rudich, S.; Sgall, Jiří

    2001-01-01

    Roč. 10, č. 3 (2001), s. 210-246 ISSN 1016-3328 R&D Projects: GA AV ČR IAA1019602; GA AV ČR IAA1019901; GA ČR GA201/97/P038; GA ČR GA201/01/1195; GA MŠk ME 103 Keywords : communication complexity%lower bounds Subject RIV: BA - General Mathematics Impact factor: 0.448, year: 2001

  14. Lower hybrid heating system for an ignition tokamak

    International Nuclear Information System (INIS)

    Brooks, J.; Harkness, S.; Jung, J.; Misra, B.; Moretti, A.; Norem, J.; Stevens, H.

    1978-01-01

    We have attempted to design a complete Lower Hybrid Resonance Heating System (LHRH) that could be used for TFTR, TNS, EPR, or a reactor. In addition to plasma physics constraints, we have considered those imposed by neutron radiation, surface heating of waveguides, sputtering, multipactoring, vacuum systems, materials, window design, engineering, maintenance and assembly. The system uses a Lallia--Brambilla grill which is fed by a number of waveguides entering the reactor by means of a labyrinth

  15. Emotional Memory Formation Under Lower Versus Higher Stress Conditions

    OpenAIRE

    Kogan, Inna; Richter-Levin, Gal

    2010-01-01

    An exposure to stress can enhance memory for emotionally arousing experiences. The phenomenon is suggested to be amygdala-dependent and in accordance with that view the amygdala was found to modulate mnemonic processes in other brain regions. Previously, we illustrated increased amygdala activation and reduced activation of CA1 following spatial learning under higher versus lower stress conditions. When spatial learning was followed by reversal training interference, impaired retention was de...

  16. Reconstruction of the Lower Extremity Using Free Flaps

    Directory of Open Access Journals (Sweden)

    Min Jo Kang

    2013-09-01

    Full Text Available Background The aim of lower-extremity reconstruction has focused on wound coverage andfunctional recovery. However, there are limitations in the use of a local flap in cases of extensivedefects of the lower-extremities. Therefore, free flap is a useful option in lower-extremityreconstruction.Methods We performed a retrospective review of 49 patients (52 cases who underwentlower-extremity reconstruction at our institution during a 10-year period. In these patients,we evaluated causes and sites of defects, types of flaps, recipient vessels, types of anastomosis,survival rate, and complications.Results There were 42 men and 10 women with a mean age of 32.7 years (range, 3-72years. The sites of defects included the dorsum of the foot (19, pretibial area (17, ankle(7, heel (5 and other sites (4. The types of free flap included latissimus dorsi muscle flap(10, scapular fascial flap (6, anterolateral thigh flap (6, and other flaps (30. There werefour cases of vascular complications, out of which two flaps survived after intervention. Theoverall survival of the flaps was 96.2% (50/52. There were 19 cases of other complications atrecipient sites such as partial graft loss (8, partial flap necrosis (6 and infection (5. However,these complications were not notable and were resolved with skin grafts.Conclusions The free flap is an effective method of lower-extremity reconstruction. Goodoutcomes can be achieved with complete debridement and the selection of appropriaterecipient vessels and flaps according to the recipient site.

  17. Roentgenoendovascular dilatation and recanalization of vessels of lower extremities

    International Nuclear Information System (INIS)

    Rabkin, I.Kh.; Matevosov, A.L.; Gotman, L.N.

    1987-01-01

    Advantages and disadvantages of using roentgenoendovascular dilatation (RED) of vessels of lower extremities are presented. RED is recommended in treating patients with short segmented stenoses of common and external illiac arteries and also with the similar damages of surficial femoral arteries. Dilatation is a success when there is permeability in at least one of the three central crus arteries. Success of delayed results of vessel dilatation is to a certain degree in inverse proportion to time and length of occlusion

  18. A computational model for lower hybrid current drive

    International Nuclear Information System (INIS)

    Englade, R.C.; Bonoli, P.T.; Porkolab, M.

    1983-01-01

    A detailed simulation model for lower hybrid (LH) current drive in toroidal devices is discussed. This model accounts reasonably well for the magnitude of radio frequency (RF) current observed in the PLT and Alcator C devices. It also reproduces the experimental dependencies of RF current generation on toroidal magnetic field and has provided insights about mechanisms which may underlie the observed density limit of current drive. (author)

  19. Pulsed lower-hybrid wave penetration in reactor plasmas

    International Nuclear Information System (INIS)

    Cohen, R.H.; Bonoli, P.T.; Porkolab, M.; Rognlien, T.D.

    1989-01-01

    Providing lower-hybrid power in short, intense (GW) pulses allows enhanced wave penetration in reactor-grade plasmas. We examine nonlinear absorption, ray propagation, and parametric instability of the intense pulses. We find that simultaneously achieving good penetration while avoiding parametric instabilities is possible, but imposes restrictions on the peak power density, pulse duration, and/or r.f. spot shape. In particular, power launched in narrow strips, elongated along the field direction, is desired

  20. Lower limb fracture presentations at a regional hospital.

    Science.gov (United States)

    Holloway, K L; Yousif, D; Bucki-Smith, G; Hosking, S; Betson, A G; Williams, L J; Brennan-Olsen, S L; Kotowicz, M A; Sepetavc, A; Pasco, J A

    2017-08-28

    We found that lower limb fractures, which were largely the result of minimal trauma, had high levels of hospitalisation, length of stay and surgery. It is therefore important to prevent fractures at all sites to avoid the associated morbidity and mortality. Hip fractures are a major cause of morbidity and mortality, particularly in older women. In comparison, less is known about the epidemiology and burden of other lower limb fractures. The study aimed to investigate the epidemiology and burden of these fractures. Incident fractures of the hip, femur, tibia/fibula, ankle and foot in women (≥ 20 years) managed through the University Hospital Geelong, Australia, were ascertained from 1 Jan. 2014 to 31 Dec. 2014 from radiology reports. Age, cause of fracture, post-fracture hospitalisation, surgery, length of stay and discharge location were ascertained from medical records. We identified 585 fractures of the lower limb (209 hip, 42 femur, 41 tibia/fibula, 162 ankle, 131 foot). Most fractures were sustained by women aged ≥ 50 years. Fractures were largely a result of minimal trauma. Most women with hip or femur fractures were hospitalised; fewer were hospitalised for fractures at other sites. Surgery for fracture followed the same pattern as hospitalisations. Length of stay was the highest for hip and femur fractures and the lowest for foot fractures. Women with hip or femur fractures were discharged to rehabilitation more often than home. Fractures at other sites were most commonly discharged home. Fractures of the lower limb occurred frequently in older women. Hospitalisation and subsequent surgery were common in cases of hip and femur fractures. It is important for prevention strategies to target fractures at a range of skeletal sites to reduce costs, hospitalisations, loss of independence and reduced quality of life.

  1. Observation of Intensified Lower Hybrid Noise in the Midlatitude Ionosphere

    Czech Academy of Sciences Publication Activity Database

    Parrot, M.; Santolík, Ondřej; Brochot, J.; Y.; Berthelier, J. J.

    2008-01-01

    Roč. 36, č. 4 (2008), s. 1164-1165 ISSN 0093-3813 Grant - others:CNRS/DREI(FR) PICS Grant 3725 Institutional research plan: CEZ:AV0Z30420517 Keywords : lower hybrid frequency * midlatitude ionosphere * DEMETER spacecraft Subject RIV: BL - Plasma and Gas Discharge Physics Impact factor: 1.447, year: 2008 http://ieeexplore.ieee.org/xpl/articleDetails.jsp?reload=true&arnumber=4553722

  2. Probabilistic Lower Bounds for Approximation by Shallow Perceptron Networks

    Czech Academy of Sciences Publication Activity Database

    Kůrková, Věra; Sanguineti, M.

    2017-01-01

    Roč. 91, July (2017), s. 34-41 ISSN 0893-6080 R&D Projects: GA ČR GA15-18108S Institutional support: RVO:67985807 Keywords : shallow networks * perceptrons * model complexity * lower bounds on approximation rates * Chernoff-Hoeffding bounds Subject RIV: IN - Informatics, Computer Science OBOR OECD: Computer sciences, information science, bioinformathics (hardware development to be 2.2, social aspect to be 5.8) Impact factor: 5.287, year: 2016

  3. Fast ion profiles during neutral beam and lower hybrid heating

    International Nuclear Information System (INIS)

    Heidbrink, W.W.; Strachan, J.D.; Bell, R.E.; Cavallo, A.; Motley, R.; Schilling, G.; Stevens, J.; Wilson, J.R.

    1985-07-01

    Profiles of the d(d,p)t fusion reaction are measured in the PLT tokamak using an array of collimated 3 MeV proton detectors. During deuterium neutral beam injection, the emission profile indicates that the beam deposition is at least as narrow as predicted by a bounce-averaged Fokker-Planck code. The fast ion tail formed by lower hybrid waves (at densities above the critical density for current drive) also peaks strongly near the magnetic axis

  4. Dual pathology in a patient with right lower quadrant pain.

    Science.gov (United States)

    Deutsch, Gary B; Sathyanarayana, Sandeep Anantha; Nicastro, Jeffrey; Molmenti, Ernesto; Coppa, Gene; Rubach, Eugene; Friedman, Barak

    2012-09-01

    Meckel diverticula are remnants of the omphalomesenteric duct. They have 2% incidence in the general population, are usually asymptomatic, and tend to be diagnosed incidentally. The generally held principle had been that asymptomatic cases do not require resection, as exemplified by a 2008 systematic review of over 200 studies. However, a recent series reported an increased risk of malignancies, and recommended mandatory resection. We present a case of Meckel diverticulitis with concurrent infiltrative appendiceal carcinoid in a patient with right lower quadrant pain.

  5. BurnMan: A lower mantle mineral physics toolkit

    KAUST Repository

    Cottaar, Sanne; Heister, Timo; Rose, Ian; Unterborn, Cayman

    2014-01-01

    We present BurnMan, an open-source mineral physics toolbox to determine elastic properties for specified compositions in the lower mantle by solving an Equation of State (EoS). The toolbox, written in Python, can be used to evaluate seismic velocities of new mineral physics data or geodynamic models, and as the forward model in inversions for mantle composition. The user can define the composition from a list of minerals provided for the lower mantle or easily include their own. BurnMan provides choices in methodology, both for the EoS and for the multiphase averaging scheme. The results can be visually or quantitatively compared to observed seismic models. Example user scripts show how to go through these steps. This paper includes several examples realized with BurnMan: First, we benchmark the computations to check for correctness. Second, we exemplify two pitfalls in EoS modeling: using a different EoS than the one used to derive the mineral physical parameters or using an incorrect averaging scheme. Both pitfalls have led to incorrect conclusions on lower mantle composition and temperature in the literature. We further illustrate that fitting elastic velocities separately or jointly leads to different Mg/Si ratios for the lower mantle. However, we find that, within mineral physical uncertainties, a pyrolitic composition can match PREM very well. Finally, we find that uncertainties on specific input parameters result in a considerable amount of variation in both magnitude and gradient of the seismic velocities. © 2014. American Geophysical Union. All Rights Reserved.

  6. Meeting instream flow needs of lower Colorado River in Texas

    International Nuclear Information System (INIS)

    Martin, Q.W.

    1993-01-01

    The Lower Colorado River Authority (LCRA), an agency of the State of Texas, manages the surface waters of the lower Colorado River in Texas. The major water supply source in the lower basin is the Highland Lakes chain of reservoirs in Central Texas. The use of water from these lakes for environmental protection and enhancement has received increasing attention in recent years. The LCRA recently completed major revisions to its comprehensive Water Management Plan (WMP) for the Highland Lakes. These revisions included changes to incorporate the results of a three year study of instream flow needs in the lower Colorado River. The instream flow needs were determined to consist of two flow regimes: critical and target. The critical flows are considered to be the daily minimum flows needed to maintain minimum viable aquatic conditions for important fish species. The target flow needs are those daily flows which maximize the available habitat for a variety of fish. After evaluating numerous policy options, LCRA revised to WMP to allow the release of water from the Highland Lakes to maintain the daily river flows at no less than the critical flows in all years. Further, in those years when drought-induced irrigation water supply curtailments do not occur, LCRA will release water from the lakes, to the extent of daily inflows, to maintain daily river flows at no less than the target levels. To fully honor this pledge, LCRA committed an average of 28,700 acre-feet annually, during any ten consecutive years, from the dependable supply of the Highland Lakes

  7. CBED contrast in the lower order Laue zone

    International Nuclear Information System (INIS)

    Rossouw, C.J.; Maunders, C.J.; Whitfield, H.J.; Etheridge, J.

    2006-01-01

    Contrast in a systematic arrangement of lower order Laue zone (LOLZ) beams is reported and analysed using a Bloch wave description. Observations are reported for hexagonal barium ruthenium zirconate (Ba 4 Ru 3 ZrO 12 ) and barium ruthenium titanate (Ba 3 Ti 2 RuO 9 ), both near the c -axis orientation. The specific scattering dynamics invoked by this diffraction geometry may have novel uses in the exploration of crystallographic parameters

  8. LOWER URINARY TRACT DYSFUNCTION IN PATIENTS WITH CHRONIC PYELONEPHRITIS

    Directory of Open Access Journals (Sweden)

    V. B. Berdichevskyy

    2014-01-01

    Full Text Available  As a result of this study found that the lower urinary tract dysfunction in patients with chronic pyelonephritis is a consequence of the parasympathetic, visceral dysfunction with clinical manifestations in the form ARRHYTHMOLOGY syndrome, and frequent urination scant. Appointment of α1-blocker tamsulosin is accompanied by more effective in abolishing the clinical and laboratory manifestations of the disease. 

  9. Impact of Foot Type on Cost of Lower Extremity Injury

    Science.gov (United States)

    2013-01-25

    were at higher risk for injury. Additionally, researchers have found relationships between chronic heel pain and osteoarthritis of the knee and hip...Cost of Injury, in Physical Training and Sports Injury Prevention Guidelines . 2010, U.S. Army Public Health Command (Provisional). 11. Injury...study. BMC Musculoskelet Disord, 2007. 8: p. 41. 48. Reilly, K., et al., The role of foot and ankle assessment of patients with lower limb osteoarthritis

  10. Clearance of insoluble dust from the lower respiratory tract

    Energy Technology Data Exchange (ETDEWEB)

    Morrow, P E; Gibb, F R; Johnson, L

    1964-01-01

    Clearance of tagged heavy metal aerosols (Fe, Hg, Mn, Ba, and U) in female beagles by in vivo counting was assessed. Fecal excretion paralleled lower respiratory tract clearance of Fe. No Fe was found in blood, indicating its biological insolubility. Ultrafiltration tests (an indication of biological solubility) ranked the heavy metals as: Hg, Mn, Fe, and U in order of decreasing solubility. The solubility ratios were remarkably similar to the ratios of inverse biological half-times.

  11. 1997 Lower Granite dam smolt monitoring program : annual report.; ANNUAL

    International Nuclear Information System (INIS)

    Morrill, Charles; Ross, Doug; Verhey, Peter; Witalis, Shirley

    1997-01-01

    The 1997 fish collection season at Lower Granite was characterized by high spring flows, extensive spill, cool spring and early summer water temperatures and comparatively low numbers of fish, particularly yearling chinook. The Fish Passage Center's Smolt Monitoring Program is designed to provide a consistent, real-time database of fish passage and document the migrational characteristics of the many stocks of salmon and steelhead in the Columbia Basin

  12. Lower bounds of collapse loads in axisymmetrical vessels

    International Nuclear Information System (INIS)

    Fonseca Neto, J. de D.; Ebecken, N.F.F.

    1981-01-01

    The rigid-plastic limit analysis of shells of revolution subject to rotationally symmetric loadings, is presented. After assembling the finite elements, the limit analysis program is reduced to a simple application of the non-linear programming technique, where the sequential unconstrained minimization technique (SUMT) is utilized for the statically admissible approach. Lower bounds of the collapse loads are presented and compared with the results described in the literature. (Author) [pt

  13. Social Justice and Lower Attainers in a Global Knowledge Economy

    OpenAIRE

    Sally Tomlinson

    2013-01-01

    National governments believe that higher levels of educational attainments and training are necessary for successful competition in knowledge-driven economies and all young people are urged to invest in their own human capital and learn new skills. Moves towards inclusive education have brought into mainstream schools and colleges many who would formerly have been segregated in special schooling or otherwise given minimum education, joining those simply regarded as lower attainers. More resea...

  14. Elephantiasis nostras verrucosa of lower limb: a case report.

    Directory of Open Access Journals (Sweden)

    Amir Kalafi

    2014-10-01

    Full Text Available Elephantiasis nostras verrucosa (ENV is a rare condition in which hyperkeratosis, fibrosis and disfiguration of dermis occurs. It is caused mostly by non infectious diseases such as surgery, trauma, tumors, and venous obstructions. To our knowledge there is not any case report of ENV in Middle East region. In this patient, ENV caused by trauma and Patient presented with enlargement of right lower limb.

  15. Raising and Lowering Operators for Askey-Wilson Polynomials

    Directory of Open Access Journals (Sweden)

    Siddhartha Sahi

    2007-01-01

    Full Text Available In this paper we describe two pairs of raising/lowering operators for Askey-Wilson polynomials, which result from constructions involving very different techniques. The first technique is quite elementary, and depends only on the ''classical'' properties of these polynomials, viz. the q-difference equation and the three term recurrence. The second technique is less elementary, and involves the one-variable version of the double affine Hecke algebra.

  16. Lower-Temperature Invert Design For Diffusion Barrier

    International Nuclear Information System (INIS)

    Bruce Stanley

    2001-01-01

    The objective of this analysis is to advance the state of the subsurface facilities design to primarily support the ''Yucca Mountain Science and Engineering Report'' (DOE 2001) and to also support the preparation and revision of System Description Document's Section 2 system descriptions (CRWMS M and O 2001, pp. 9 and 11). The results may also eventually support the License Application (CRWMS M and O 2001, p. 3). The Performance Assessment Department will be the primary user of the information generated and will be used in abstraction modeling for the lower-temperature scenario (CRWMS M and O 200 1, p. 27). This analysis will evaluate the invert relative to the lower- and higher-temperature conditions in accordance with the primary tasks below. Invert design is a major factor in allowing water entering the drift to pass freely and enter the drift floor without surface ponding and in limiting diffusive transport into the host rock. Specific cost effective designs will be conceptualized under the new lower-temperature conditions in this analysis. Interfacing activities and all aspects of Integrated Safety Management and Nuclear Culture principles are included in this work scope by adhering to the respective principles during this design activity and by incorporating safety into the design analysis (CRWMS M and O 2001, p. 8). Primary tasks of this analysis include identifying available design information from existing sources on the invert as a diffusive barrier, developing concepts that reduce the amount steel, and developing other design features that accommodate both lower- and higher-temperature operating modes (CRWMS M and O 2001, p.16)

  17. Headache is associated with lower alcohol consumption among medical students

    OpenAIRE

    Domingues,Renan Barros; Domingues,Simone Aires

    2011-01-01

    The aim of this study was to investigate the association between headache and alcohol consumption among medical students. 480 medical students were submitted to a questionnaire about headaches and drinking alcohol. Headache was assessed by ID-Migraine and functional disability was evaluated with MIDAS. The evaluation of alcohol consumption was assessed with Alcohol Use Disorders Identification Test (AUDIT). There was significantly lower proportion of students with drinking problem among stude...

  18. Lower versus higher hemoglobin threshold for transfusion in septic shock.

    Science.gov (United States)

    Holst, Lars B; Haase, Nicolai; Wetterslev, Jørn; Wernerman, Jan; Guttormsen, Anne B; Karlsson, Sari; Johansson, Pär I; Aneman, Anders; Vang, Marianne L; Winding, Robert; Nebrich, Lars; Nibro, Helle L; Rasmussen, Bodil S; Lauridsen, Johnny R M; Nielsen, Jane S; Oldner, Anders; Pettilä, Ville; Cronhjort, Maria B; Andersen, Lasse H; Pedersen, Ulf G; Reiter, Nanna; Wiis, Jørgen; White, Jonathan O; Russell, Lene; Thornberg, Klaus J; Hjortrup, Peter B; Müller, Rasmus G; Møller, Morten H; Steensen, Morten; Tjäder, Inga; Kilsand, Kristina; Odeberg-Wernerman, Suzanne; Sjøbø, Brit; Bundgaard, Helle; Thyø, Maria A; Lodahl, David; Mærkedahl, Rikke; Albeck, Carsten; Illum, Dorte; Kruse, Mary; Winkel, Per; Perner, Anders

    2014-10-09

    Blood transfusions are frequently given to patients with septic shock. However, the benefits and harms of different hemoglobin thresholds for transfusion have not been established. In this multicenter, parallel-group trial, we randomly assigned patients in the intensive care unit (ICU) who had septic shock and a hemoglobin concentration of 9 g per deciliter or less to receive 1 unit of leukoreduced red cells when the hemoglobin level was 7 g per deciliter or less (lower threshold) or when the level was 9 g per deciliter or less (higher threshold) during the ICU stay. The primary outcome measure was death by 90 days after randomization. We analyzed data from 998 of 1005 patients (99.3%) who underwent randomization. The two intervention groups had similar baseline characteristics. In the ICU, the lower-threshold group received a median of 1 unit of blood (interquartile range, 0 to 3) and the higher-threshold group received a median of 4 units (interquartile range, 2 to 7). At 90 days after randomization, 216 of 502 patients (43.0%) assigned to the lower-threshold group, as compared with 223 of 496 (45.0%) assigned to the higher-threshold group, had died (relative risk, 0.94; 95% confidence interval, 0.78 to 1.09; P=0.44). The results were similar in analyses adjusted for risk factors at baseline and in analyses of the per-protocol populations. The numbers of patients who had ischemic events, who had severe adverse reactions, and who required life support were similar in the two intervention groups. Among patients with septic shock, mortality at 90 days and rates of ischemic events and use of life support were similar among those assigned to blood transfusion at a higher hemoglobin threshold and those assigned to blood transfusion at a lower threshold; the latter group received fewer transfusions. (Funded by the Danish Strategic Research Council and others; TRISS ClinicalTrials.gov number, NCT01485315.).

  19. Birds, Lower Sangay National Park, Morona-Santiago, Ecuador

    OpenAIRE

    Guevara, E.; Santander, T.; Guevara, J. E.; Gualotuña, R.; Ortiz, V.

    2010-01-01

    Sangay National Park is located at the mid-eastern Andean foothills of the Cordillera Oriental of Ecuador. We present a preliminary avifauna inventory corresponding to the lower zone of the Sangay National Park (SNP). One-hundred and twenty-seven bird species belonging to 39 families were recorded, including noteworthy records that represent range extensions for four species, Phaetornis hispidus (Gould 1846) (White-bearded Hermit), Ramphastos ambiguus Swainson 1823 (Black-mandibled Toucan), P...

  20. Nudging Problematic Smartphone Use to a Lower Level

    OpenAIRE

    Palokangas, Lauri; Suomala, Jyrkin

    2017-01-01

    Smartphone usage has evolved in people’s lives from necessity to habit and in some cases leading to compulsive use and addiction. However, only a little research has been performed on the prevention of Problematic Smartphone Usage (PSU). Behavioral economics has been applied to investigate how smartphone users respond to nudges that try to lower their smartphone usage. Findings revealed that the Total Screen On Time (SOT) decreased when nudging smartphone users with informa...

  1. Energy balance of Lower Saxony 1994; Niedersaechsische Energiebilanz 1994

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-10-01

    The energy balance of Lower Saxony is presented in physical units, in terrajoule and in coal equivalent to show supply, conversion, and consumption of primary and secondary energy sources in the year under report. (orig.) [Deutsch] Die Energiebilanz des Landes Niedersachsen in physikalischen Einheiten, in Terrajoule und in Steinkohleeinheiten stellt das Energieaufkommen, die Energieumwandlung und den Energieverbrauch fuer Primaer- und Sekundaerenergietraeger im Berichtsjahr dar. (orig.)

  2. Classification of male lower torso for underwear design

    Science.gov (United States)

    Cheng, Z.; Kuzmichev, V. E.

    2017-10-01

    By means of scanning technology we have got new information about the morphology of male bodies and have redistricted the classification of men’s underwear by adopting one to consumer demands. To build the new classification in accordance with male body characteristic factors of lower torso, we make the method of underwear designing which allow to get the accurate and convenience for consumers products.

  3. Body image and prosthesis satisfaction in the lower limb amputee.

    OpenAIRE

    Murray, Craig; Fox, Jezz

    2002-01-01

    Purpose: This study examines the relationship between prosthesis satisfaction and body image in lower limb prosthesis users, and the gendered variations within these relationships. Method: A total of 44 valid responses were obtained to an Internet survey regarding prosthesis satisfaction, body image, and phantom pain. Spearman Rho correlations were calculated for these three domains. Results: Moderate to high negative correlations were observed between Body Image Disturbance and Prosthesis Sa...

  4. The lower cranial nerves: IX, X, XI, XII.

    Science.gov (United States)

    Sarrazin, J-L; Toulgoat, F; Benoudiba, F

    2013-10-01

    The lower cranial nerves innervate the pharynx and larynx by the glossopharyngeal (CN IX) and vagus (CN X) (mixed) nerves, and provide motor innervation of the muscles of the neck by the accessory nerve (CN XI) and the tongue by the hypoglossal nerve (CN XII). The symptomatology provoked by an anomaly is often discrete and rarely in the forefront. As with all cranial nerves, the context and clinical examinations, in case of suspicion of impairment of the lower cranial nerves, are determinant in guiding the imaging. In fact, the impairment may be located in the brain stem, in the peribulbar cisterns, in the foramens or even in the deep spaces of the face. The clinical localization of the probable seat of the lesion helps in choosing the adapted protocol in MRI and eventually completes it with a CT-scan. In the bulb, the intra-axial pathology is dominated by brain ischemia (in particular, with Wallenberg syndrome) and multiple sclerosis. Cisternal pathology is tumoral with two tumors, schwannoma and meningioma. The occurrence is much lower than in the cochleovestibular nerves as well as the leptomeningeal nerves (infectious, inflammatory or tumoral). Finally, foramen pathology is tumoral with, outside of the usual schwannomas and meningiomas, paragangliomas. For radiologists, fairly hesitant to explore these lower cranial pairs, it is necessary to be familiar with (or relearn) the anatomy, master the exploratory technique and be aware of the diagnostic possibilities. Copyright © 2013 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

  5. CMS celebrates the lowering of its final detector element

    CERN Document Server

    2008-01-01

    In the early hours of the morning the final element of the Compact Muon Solenoid (CMS) detector began the descent into its underground experimental cavern in preparation for the start-up of CERN's Large Hadron Collider (LHC) this summer. This is a pivotal moment for the CMS collaboration, as the experiment is the first of its kind to be constructed above ground and then lowered, element by element, 100 metres below.

  6. 1991 annual report of the Lower Saxony Institute of Radioecology

    International Nuclear Information System (INIS)

    1992-01-01

    The 1991 Annual Report gives an overview of the staff of the Lower Saxony Institute of Radioecology (NIR), its board of curators, its scientific advisory board, its budget, research and development projects, scientific contacts with other institutions, and publications in journals, reports, proceedings, and lectures and posters. Seven progress reports deal with the following priorities: behaviour of tritium and radioactive iodine in the biosphere; extraction of humic substances; particle measurements in the Arctic, and comparison between two dust measuring devices. (BBR) [de

  7. The design of the Jet lower hybrid launcher

    International Nuclear Information System (INIS)

    Kaye, A.S.; Brinkschulte, H.; Evans, G.; Gormezano, C.; Jacquinot, J.; Knowlton, S.; Pain, M.; Plancoulaine, J.; Walker, C.; Wilson, G.; Litaudon, X.; Moreau, D.

    1989-01-01

    A large lower hybrid current drive launcher has been designed for coupling 12 MW of 3.7 GHz power to the JET plasma for 20 second pulses. The launcher utilises the multijunction technique to achieve 384 waveguides at the grill mouth in a single JET port. The design features of this launcher are described with details of the principal components and the results of high power RF tests of these components

  8. Lower hybrid wave coupling in TORE SUPRA through multijunction launchers

    International Nuclear Information System (INIS)

    Litaudon, X.; Bibet, P.; Goniche, M.

    1991-01-01

    The TORE SUPRA Lower Hybrid Current Drive experiments (8MW/3.7GHz) use large phased waveguide arrays (4 rows of 32 waveguides for each of the two 'grills') to couple the waves to the plasma. These launchers are based on the 'Multijunction' principle which allows them to be quite compact but needs to be fully assessed for the design of efficient multi-megawatt antennas in NET/ITER. (author) 5 refs., 6 figs

  9. Application of streptokinase and PTA in lower limb chronic ischaemia

    International Nuclear Information System (INIS)

    Syberyjski, R.; Domanski, Z.; Cyrylowski, L.

    1994-01-01

    In 14 patients with chronic ischaemia of lower limbs, local fibrynolysis with streptokinase followed by PTA was performed in occluded arteries. The procedure was successful in 10 patients. An adverse reaction was observed in 1 patient (gingivorrhea), and a complication was noticed in another one (acute ischaemia due a trombosis). These results suggest that the method may appear as a safe alternative to a surgery treatment, and encourage to evaluate an effectiveness of the procedure in a large group of patients. (author)

  10. BurnMan: A lower mantle mineral physics toolkit

    KAUST Repository

    Cottaar, Sanne

    2014-04-01

    We present BurnMan, an open-source mineral physics toolbox to determine elastic properties for specified compositions in the lower mantle by solving an Equation of State (EoS). The toolbox, written in Python, can be used to evaluate seismic velocities of new mineral physics data or geodynamic models, and as the forward model in inversions for mantle composition. The user can define the composition from a list of minerals provided for the lower mantle or easily include their own. BurnMan provides choices in methodology, both for the EoS and for the multiphase averaging scheme. The results can be visually or quantitatively compared to observed seismic models. Example user scripts show how to go through these steps. This paper includes several examples realized with BurnMan: First, we benchmark the computations to check for correctness. Second, we exemplify two pitfalls in EoS modeling: using a different EoS than the one used to derive the mineral physical parameters or using an incorrect averaging scheme. Both pitfalls have led to incorrect conclusions on lower mantle composition and temperature in the literature. We further illustrate that fitting elastic velocities separately or jointly leads to different Mg/Si ratios for the lower mantle. However, we find that, within mineral physical uncertainties, a pyrolitic composition can match PREM very well. Finally, we find that uncertainties on specific input parameters result in a considerable amount of variation in both magnitude and gradient of the seismic velocities. © 2014. American Geophysical Union. All Rights Reserved.

  11. Distributive justice and cognitive enhancement in lower, normal intelligence.

    Science.gov (United States)

    Dunlop, Mikael; Savulescu, Julian

    2014-01-01

    There exists a significant disparity within society between individuals in terms of intelligence. While intelligence varies naturally throughout society, the extent to which this impacts on the life opportunities it affords to each individual is greatly undervalued. Intelligence appears to have a prominent effect over a broad range of social and economic life outcomes. Many key determinants of well-being correlate highly with the results of IQ tests, and other measures of intelligence, and an IQ of 75 is generally accepted as the most important threshold in modern life. The ability to enhance our cognitive capacities offers an exciting opportunity to correct disabling natural variation and inequality in intelligence. Pharmaceutical cognitive enhancers, such as modafinil and methylphenidate, have been shown to have the capacity to enhance cognition in normal, healthy individuals. Perhaps of most relevance is the presence of an 'inverted U effect' for most pharmaceutical cognitive enhancers, whereby the degree of enhancement increases as intelligence levels deviate further below the mean. Although enhancement, including cognitive enhancement, has been much debated recently, we argue that there are egalitarian reasons to enhance individuals with low but normal intelligence. Under egalitarianism, cognitive enhancement has the potential to reduce opportunity inequality and contribute to relative income and welfare equality in the lower, normal intelligence subgroup. Cognitive enhancement use is justifiable under prioritarianism through various means of distribution; selective access to the lower, normal intelligence subgroup, universal access, or paradoxically through access primarily to the average and above average intelligence subgroups. Similarly, an aggregate increase in social well-being is achieved through similar means of distribution under utilitarianism. In addition, the use of cognitive enhancement within the lower, normal intelligence subgroup negates, or at

  12. Photoreactivity of condensed species in Titan lower atmosphere

    Science.gov (United States)

    Fleury, Benjamin; Gudipati, Murthy; Couturier-Tamburelli, Isabelle; Carrasco, Nathalie

    2017-10-01

    Photochemical processes initiated in the thermosphere of Titan at about 1000 km by the dissociation and the ionization of N2 and CH4 by the VUV solar photons [1] lead to the formation of a number of hydrocarbons and nitriles species. Some of these species can condense in the troposphere and the lower stratosphere of Titan ( 300 nm) can reach these lower atmospheric layers [4], ongoing possible further solid-state chemistry as demonstrated experimentally [5]. We will present here an experimental study simulating the reactivity of ices in the atmosphere of Titan and will discuss the photoreactivity occurring in the lower atmospheric layers of Titan despite the absorption of the most energetic photons.AcknowledgmentsThis work is supported by NASA Solar System Workings grant " Photochemistry in Titan’s Lower Atmosphere". The research work has been carried out at the Jet Propulsion Laboratory, California Institute of Technology under a contract with the National Aeronautics and Space Administration. NC acknowledges the European Research Council for their financial support (ERC Starting Grant PRIMCHEM, grant agreement n°636829).References[1] Waite, J. H., et al., The process of Tholin formation in Titan’s upper atmosphere, (2007), Science 316, 870-875.[2] Barth, E. L., Modeling survey of ices in Titan’s stratosphere, (2017), Planetary and Space Science 137, 20-31.[3] Fulchignoni, M., et al., In situ measurements of the physical characteristics of Titan’s environment, (2005), Nature 438, 785-791.[4] Tomasko, M. G., et al., Rain, winds and haze during the Huygens probe’s descent to Titan’s surface, (2005), Nature 438, 765-778.[5] Gudipati, M. S., et al., Photochemical activity of Titan’s low-altitude condensed haze, (2013), Nature Communications, 4: p1648.

  13. Representativeness of the IAGOS airborne measurements in the lower troposphere

    OpenAIRE

    Petetin, H.; Jeoffrion, M.; Sauvage, B.; Athier, G.; Blot, R.; Boulanger, D.; Clark, H.; Cousin, J.-M.; Gheusi, F.; Nedelec, P.; Steinbacher, M.; Thouret, V.

    2018-01-01

    In the framework of the In Service Aircraft for Global Observing System (IAGOS) program, airborne in-situ O3 and CO measurements are performed routinely using in-service aircraft, providing vertical profiles from the surface to about 10–12 km. Due to the specificity of IAGOS measurements (measurements around busy international airports), uncertainties exist on their representativeness in the lower troposphere as they may be impacted by emissions related to airport activities and/or other air...

  14. Comparison of two surgical treatments for pediatric lower eyelid trichiasis

    Directory of Open Access Journals (Sweden)

    Yan-Xia Xiao

    2014-06-01

    Full Text Available AIM: To compare the clinical results of suture method and partial eyelash resection treating for pediatric eyelid trichiasis, and screen an effective method for the treatment of pediatric lower eyelid trichiasis. METHODS: Fifty-six cases of pediatric patients with lower eyelid trichiasis were randomly divided into a control group and an observation group in accordance with the method of drawing lots, and each group was 28 cases. The control group was treated with suture method, and the observation group was treated with partial eyelash resection. The clinical efficacy, patient satisfaction before and after treatment, and the incidence of complications were compared. RESULTS:(1The clinically total effective rate was 74% of the control group, which was 89% of the observation group, and there were statistical differences of the clinical efficacy between the two groups(PPPPCONCLUSION: The treatment of children with lower eyelid trichiasis, suture method is simple and can be performed under local anesthesia in collaboration with children, but with a higher relapse rate, some patients required reoperation; partial resection of eyelashes can be more thoroughly solve the problem of pediatric eyelid trichiasis with low recurrence rate, but children need to be under general anesthesia with some of big risk. So partial resection of eyelashes is unsuitable for using in clinical practice widely and can be used in special cases.

  15. Plasma cytokine expression after lower-limb compression in rats

    Directory of Open Access Journals (Sweden)

    Mauricio Wanderley Moral Sgarbi

    2015-02-01

    Full Text Available OBJECTIVES: Muscle injury due to crushing (muscle compression injury is associated with systemic manifestations known as crush syndrome. A systemic inflammatory reaction may also be triggered by isolated muscle injury. The aim of this study was to investigate the plasma levels of interleukins (IL 1, 6 and 10 and tumor necrosis factor alpha (TNF-α, which are markers for possible systemic inflammatory reactions, after isolated muscle injury resulting from lower-limb compression in rats.METHODS: Male Wistar rats were subjected to 1 h of compression of their lower limbs by means of a rubber band. The plasma levels of IL 1, 6 and 10 and TNF-α were measured 1, 2 and 4 h after the rats were released from compression.RESULTS: The plasma levels of IL 10 decreased in relation to those of the other groups, with a statistically significant difference (p < 0.05. The method used did not detect the presence of IL 1, IL 6 or TNF-α.CONCLUSION: Our results demonstrated that the changes in plasma levels of IL 10 that were found may have been a sign of the presence of circulating interleukins in this model of lower-limb compression in rats.

  16. Is walkability associated with a lower cardiometabolic risk?

    Science.gov (United States)

    Coffee, Neil T; Howard, Natasha; Paquet, Catherine; Hugo, Graeme; Daniel, Mark

    2013-05-01

    Walkability of residential environments has been associated with more walking. Given the health benefits of walking, it is expected that people living in locations with higher measured walkability should have a lower risk of cardiometabolic diseases. This study tested the hypothesis that higher walkability was associated with a lower cardiometabolic risk (CMR) for two administrative spatial units and three road buffers. Data were from the North West Adelaide Health Study first wave of data collected between 2000 and 2003. CMR was expressed as a cumulative sum of six clinical risk markers, selected to reflect components of the metabolic syndrome. Walkability was based on an established methodology and operationalised as dwelling density, intersection density, land-use mix and retail footprint. Walkability was associated with lower CMR for the three road buffer representations of the built environment but not for the two administrative spatial units. This may indicate a limitation in the use of administrative spatial units for analyses of walkability and health outcomes. Copyright © 2013 Elsevier Ltd. All rights reserved.

  17. Radionuclide venography of lower limbs by subcutaneous injection

    International Nuclear Information System (INIS)

    Wu, Chung-Chieng; Jong, Shiang-Bin

    1989-01-01

    We have proved that subcutaneous injection (SC) of a small dose of Tc-99m pertechnetate (1 to 2 mCi: 37 to 74 MBq) at acupuncture points (K-3 and B-60) may offer an alternative method of radionuclide venography (RNV) of the lower limbs. In this study, we compared intravenous (IV) RNV and SC-RNV in 22 consecutive cases with typical signs and symptoms suggesting venous abnormality of the lower limb(s) from March to May 1988. They are 11 male and 11 female, aged 47.7±15.7 years. Among the 44 limbs of the 22 cases, 4 were normal, 12 (27.3%) were found to have varicose veins in the legs only, 18 (40.9%) had partial stenosis of the deep veins (14 poplito-tibial and 4 superficial femoral), and 13 (29.6%) had complete stenosis of the deep veins (4 poplito-tibial, 1 superficial femoral and 8 ilio-femoral. SC-RNV showed almost the same results as IV-RNV in 21 (47.7%), superior to IV-RNV in 22 (50%) (including 4.6% failure of IV-RNV), and inferior to IV-RNV in 1 (2.3%). We conclude that SC-RNV is definitely an alternative method of lower-limb venography. Since it is in most cases superior to IV-RNV, we suggest that it can take the place of IV-RNV in routine work. (author) 62 refs

  18. Cholesterol-Lowering Effect of Allicin on Hypercholesterolemic ICR Mice

    Directory of Open Access Journals (Sweden)

    Yin Lu

    2012-01-01

    Full Text Available Allicin was discussed as an active compound with regard to the beneficial effects of garlic in atherosclerosis. The aim of this study was to investigate the cholesterol-lowering properties of allicin. In order to examine its effects on hypercholesterolemia in male ICR mice, this compound with doses of 5, 10, or 20 mg/kg body weight was given orally daily for 12 weeks. Changes in body weight and daily food intake were measured regularly during the experimental period. Final contents of serum cholesterol, triglyceride, glucose, and hepatic cholesterol storage were determined. Following a 12-week experimental period, the body weights of allicin-fed mice were less than those of control mice on a high-cholesterol diet by 38.24±7.94% (P<0.0001 with 5 mg/kg allicin, 39.28±5.03% (P<0.0001 with 10 mg/kg allicin, and 41.18±5.00% (P<0.0001 with 20 mg/kg allicin, respectively. A decrease in daily food consumption was also noted in most of the treated animals. Meanwhile, allicin showed a favorable effect in reducing blood cholesterol, triglycerides, and glucose levels and caused a significant decrease in lowering the hepatic cholesterol storage. Accordingly, both in vivo and in vitro results demonstrated a potential value of allicin as a pronounced cholesterol-lowering candidate, providing protection against the onset of atherosclerosis.

  19. Lower Churchill Development Corporation Limited: 1998 annual report

    International Nuclear Information System (INIS)

    1999-06-01

    This is the 20th annual report to the Board of Directors of the Lower Churchill Development Corp. Ltd. for the year ending Dec. 31, 1998. The Corp. remains ready to proceed with hydroelectric power developments at Gull Island and/or Muskrat Falls following definitive shareholder direction. The accounting policy followed by the Corp. is in accordance with generally accepted accounting principles in Canada. It follows the practice of capitalizing the cost related to studies in respect of the development of the Lower Churchill Basis, as well administrative and other costs. Pursuant to the provisions of the Principal Agreement, Newfoundland agreed to enter into an Option Agreement, dated Nov. 24, 1978, with the Corp. in respect of the Gull Island Power Corp. Ltd. assets and the hydroelectric development rights to the Lower Churchill River. The Class A shares issued in the Corp. as of Dec. 31, 1998 are listed. Under an agreement between Hydro and the Corp., Hydro provides certain administrative and engineering services to the Corp. as needed. No fees were paid to Hydro for 2 years. In connection with the Y2K problem, management developed and is implementing a plan designed to identify and address the expected effects of the Year 2000 issue on the company

  20. A Stirling engine for use with lower quality fuels

    Science.gov (United States)

    Paul, Christopher J.

    There is increasing interest in using renewable fuels from biomass or alternative fuels such as municipal waste to reduce the need for fossil based fuels. Due to the lower heating values and higher levels of impurities, small scale electricity generation is more problematic. Currently, there are not many technologically mature options for small scale electricity generation using lower quality fuels. Even though there are few manufacturers of Stirling engines, the history of their development for two centuries offers significant guidance in developing a viable small scale generator set using lower quality fuels. The history, development, and modeling of Stirling engines were reviewed to identify possible model and engine configurations. A Stirling engine model based on the finite volume, ideal adiabatic model was developed. Flow dissipation losses are shown to need correcting as they increase significantly at low mean engine pressure and high engine speed. The complete engine including external components was developed. A simple yet effective method of evaluating the external heat transfer to the Stirling engine was created that can be used with any second order Stirling engine model. A derivative of the General Motors Ground Power Unit 3 was designed. By significantly increasing heater, cooler and regenerator size at the expense of increased dead volume, and adding a combustion gas recirculation, a generator set with good efficiency was designed.