Management and processing of the french macroseismic data base Sirene

International Nuclear Information System (INIS)

Levret, A.

1991-01-01

The safety requirements imposed by the development of the French nuclear program gave a new impetus to historical seismicity studies. This research has been persued on a regular basis, for the last 15 years, by the BRGM, the CEA and EDF. By gathering the original documentation describing past earthquakes, a vast data bank, has thus been progressively constituted, which in turn has given rise to the French macroseismic data base SIRENE, initially implanted on the IBM 370 macrocomputer. SIRENE's originality resides in the exhaustivity of the data it contains for any given event and the use of quality coefficients attached to all the information compiled. Since 1986, under the responsibility of the BRGM, it has been transformed into a relational data base, now managed via ORACLE software on a VAX 8530 computer. The base is comprised of 12 tables (more than 120 000 records), describing the nearly 6 000 events experienced in France over the last ten centuries. The direct query language is SQL, the base is updated each year, and a program was undertaken in 1990 for the storage of all basic documentation on digital optical disks. Various specific applications have been developed such as: graphic plotting (macroseismic maps, maps of epicenters), codes for calculation of focal depths, intensity attenuation, statistical sample analysis. About 200 earthquakes having numerous macroseismic observations have been processed to determine focal depths by fitting of the Sponheuer law. Then by grouping the earthquakes with the same range of focal depth and located in a same tectonic area various regional intensity attenuation laws have been calculated

The USGS "Did You Feel It?" Macroseismic Intensity Maps: Lessons Learned from a Decade of Citizen-Empowered Seismology

Science.gov (United States)

Wald, D. J.; Worden, C. B.; Quitoriano, V. R.; Dewey, J. W.

2012-12-01

The U.S. Geological Survey (USGS) "Did You Feel It?" (DYFI) system is an automated approach for rapidly collecting macroseismic intensity (MI) data from Internet users' shaking and damage reports and generating intensity maps immediately following earthquakes; it has been operating for over a decade (1999-2012). The internet-based interface allows for a two-way path of communication between seismic data providers (scientists) and earthquake information recipients (citizens) by swapping roles: users looking for information from the USGS become data providers to the USGS. This role-reversal presents opportunities for data collection, generation of good will, and further communication and education. In addition, online MI collecting systems like DYFI have greatly expanded the range of quantitative analyses possible with MI data and taken the field of MI in important new directions. The maps are made more quickly, usually provide more complete coverage at higher resolution, and allow data collection at rates and quantities never before considered. Scrutiny of the USGS DYFI data indicates that one-decimal precision is warranted, and web-based geocoding services now permit precise locations. The high-quality, high-resolution, densely sampled MI assignments allow for peak ground motion (PGM) versus MI analyses well beyond earlier studies. For instance, Worden et al. (2011) used large volumes of data to confirm low standard deviations for multiple, proximal DYFI reports near a site, and they used the DYFI observations with PGM data to develop bidirectional, ground motion-intensity conversion equations. Likewise, Atkinson and Wald (2007) and Allen et al. (2012) utilized DYFI data to derive intensity prediction equations directly without intermediate conversion of ground-motion prediction equation metrics to intensity. Both types of relations are important for robust historic and real-time ShakeMaps, among other uses. In turn, ShakeMap and DYFI afford ample opportunities to

Thumbnail‐based questionnaires for the rapid and efficient collection of macroseismic data from global earthquakes

Science.gov (United States)

Bossu, Remy; Landes, Matthieu; Roussel, Frederic; Steed, Robert; Mazet-Roux, Gilles; Martin, Stacey S.; Hough, Susan E.

2017-01-01

The collection of earthquake testimonies (i.e., qualitative descriptions of felt shaking) is essential for macroseismic studies (i.e., studies gathering information on how strongly an earthquake was felt in different places), and when done rapidly and systematically, improves situational awareness and in turn can contribute to efficient emergency response. In this study, we present advances made in the collection of testimonies following earthquakes around the world using a thumbnail‐based questionnaire implemented on the European‐Mediterranean Seismological Centre (EMSC) smartphone app and its website compatible for mobile devices. In both instances, the questionnaire consists of a selection of thumbnails, each representing an intensity level of the European Macroseismic Scale 1998. We find that testimonies are collected faster, and in larger numbers, by way of thumbnail‐based questionnaires than by more traditional online questionnaires. Responses were received from all seismically active regions of our planet, suggesting that thumbnails overcome language barriers. We also observed that the app is not sufficient on its own, because the websites are the main source of testimonies when an earthquake strikes a region for the first time in a while; it is only for subsequent shocks that the app is widely used. Notably though, the speed of the collection of testimonies increases significantly when the app is used. We find that automated EMSC intensities as assigned by user‐specified thumbnails are, on average, well correlated with “Did You Feel It?” (DYFI) responses and with the three independently and manually derived macroseismic datasets, but there is a tendency for EMSC to be biased low with respect to DYFI at moderate and large intensities. We address this by proposing a simple adjustment that will be verified in future earthquakes.

Intensity assignments from historical earthquake data: issues of certainty and quality

Directory of Open Access Journals (Sweden)

R. M. W. Musson

1998-06-01

Full Text Available The use of macroseismic data in assessing parameters for historical earthquakes for use in seismic hazard assessment has thrown more attention on the way in which these data are treated. The processes involved in selecting which macroseismic data from a historical earthquake survive to the present day can be modelled as a series of filters, most of which are outside the control of the seismologist/historian, and which cause distortion in the resulting picture of the earthquake. The ways in which the data become distorted should be taken into account when interpreting the data as intensity values. One can usefully discriminate between the certainty of an intensity assignment (how well the data fits the scale and the quality of an intensity assignment (how well one can trust that the value is a true reflection of what really happened. The expression of uncertainty is usually in the form of ranged intensity values; the expression of quality requires an extra symbol or rating of some sort. A system is presented for three types of quality problems: reliability of intensity assessment, locational certainty or uncertainty, and veracity of the original data. Each of these is treated as a binary variable, giving a final quality code ranging from 0 (best to 7 (worst. This single integer quality code preserves three types of information which can then be expanded as required by computer programs designed to handle macroseismic data.

Catalogue of European earthquakes with intensities higher than 4

International Nuclear Information System (INIS)

Van Gils, J.M.; Leydecker, G.

1991-01-01

The catalogue of European earthquakes with intensities higher than 4 contains some 20 000 seismic events that happened in member countries of the European Communities, Switzerland and Austria. It was prepared on the basis of already existing national catalogues and includes historical data as well as present-day data. All historical data are harmonized as far as possible to the same intensity scale (MSK-scale) to make them suitable for computerization. Present-day data include instrumental and macroseismic data. Instrumental data are expressed in terms of magnitude (Richter scale) while macroseismic data are given in intensities. Compilation of seismic data can provide a basis for statistically supported studies of site selection procedures and the qualitative assessment of seismic risks. Three groups of seismic maps illustrate the content of the catalogue for different time periods and different intensities

The Macroseismic Intensity Distribution of the 30 October 2016 Earthquake in Central Italy (Mw 6.6): Seismotectonic Implications

Science.gov (United States)

Galli, Paolo; Castenetto, Sergio; Peronace, Edoardo

2017-10-01

The central Italy Apennines were rocket in 2016 by the strongest earthquakes of the past 35 years. Two main shocks (Mw 6.2 and Mw 6.6) between the end of August and October caused the death of almost 300 people, and the destruction of 50 villages and small towns scattered along 40 km in the hanging wall of the N165° striking Mount Vettore fault system, that is, the structure responsible for the earthquakes. The 24 August southern earthquake, besides causing all the casualties, razed to the ground the small medieval town of Amatrice and dozens of hamlets around it. The 30 October main shock crushed definitely all the villages of the whole epicentral area (up to 11 intensity degree), extending northward the level of destruction and inducing heavy damage even to the 30 km far Camerino town. The survey of the macroseismic effects started the same day of the first main shock and continued during the whole seismic sequence, even during and after the strong earthquakes at the end of October, allowing the definition of a detailed picture of the damage distribution, day by day. Here we present the results of the final survey in terms of Mercalli-Cancani-Sieberg intensity, which account for the cumulative effects of the whole 2016 sequence (465 intensity data points, besides 435 related to the 24 August and 54 to the 26 October events, respectively). The distribution of the highest intensity data points evidenced the lack of any possible overlap between the 2016 earthquakes and the strongest earthquakes of the region, making this sequence a unique case in the seismic history of Italy. In turn, the cross matching with published paleoseismic data provided some interesting insights concerning the seismogenic behavior of the Mount Vettore fault in comparison with other active normal faults of the region.

Analysis of the impact of fault mechanism radiation patterns on macroseismic fields in the epicentral area of 1998 and 2004 Krn Mountains earthquakes (NW Slovenia).

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Gosar, Andrej

2014-01-01

Two moderate magnitude (Mw = 5.6 and 5.2) earthquakes in Krn Mountains occurred in 1998 and 2004 which had maximum intensity VII-VIII and VI-VII EMS-98, respectively. Comparison of both macroseismic fields showed unexpected differences in the epicentral area which cannot be explained by site effects. Considerably, different distribution of the highest intensities can be noticed with respect to the strike of the seismogenic fault and in some localities even higher intensities have been estimated for the smaller earthquake. Although hypocentres of both earthquakes were only 2 km apart and were located on the same seismogenic Ravne fault, their focal mechanisms showed a slight difference: almost pure dextral strike-slip for the first event and a strike-slip with small reverse component on a steep fault plane for the second one. Seismotectonically the difference is explained as an active growth of the Ravne fault at its NW end. The radiation patterns of both events were studied to explain their possible impact on the observed variations in macroseismic fields and damage distribution. Radiation amplitude lobes were computed for three orthogonal directions: radial P, SV, and SH. The highest intensities of both earthquakes were systematically observed in directions of four (1998) or two (2004) large amplitude lobes in SH component (which corresponds mainly to Love waves), which have significantly different orientation for both events. On the other hand, radial P direction, which is almost purely symmetrical for the strike-slip mechanism of 1998 event, showed for the 2004 event that its small reverse component of movement has resulted in a very pronounced amplitude lobe in SW direction where two settlements are located which expressed higher intensities in the case of the 2004 event with respect to the 1998 one. Although both macroseismic fields are very complex due to influences of multiple earthquakes, retrofitting activity after 1998, site effects, and sparse

Mapping seismic intensity using twitter data; A Case study: The February 26th, 2014 M5.9 Kefallinia (Greece) earthquake

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Arapostathis, Stathis; Parcharidis, Isaak; Kalogeras, Ioannis; Drakatos, George

2015-04-01

In this paper we present an innovative approach for the development of seismic intensity maps in minimum time frame. As case study, a recent earthquake that occurred in Western Greece (Kefallinia Island, on February 26, 2014) is used. The magnitude of the earthquake was M=5.9 (Institute of Geodynamics - National Observatory of Athens). Earthquake's effects comprising damages in property and changes of the physical environment in the area. The innovative part of this research is that we use crowdsourcing as a source to assess macroseismic intensity information, coming out from twitter content. Twitter as a social media service with micro-blogging characteristics, a semantic structure which allows the storage of spatial content, and a high volume production of user generated content is a suitable source to obtain and extract knowledge related to macroseismic intensity in different geographic areas and in short time periods. Moreover the speed in which twitter content is generated affects us to have accurate results only a few hours after the occurrence of the earthquake. The method used in order to extract, evaluate and map the intensity related information is described in brief in this paper. At first, we pick out all the tweets that have been posted within the first 48 hours, including information related to intensity and refer to a geographic location. The geo-referencing of these tweets and their association with an intensity grade according to the European Macroseismic Scale (EMS98) based on the information they contain in text followed. Finally, we apply various spatial statistics and GIS methods, and we interpolate the values to cover all the appropriate geographic areas. The final output contains macroseismic intensity maps for the Lixouri area (Kefallinia Island), produced from twitter data that have been posted in the first six, twelve, twenty four and forty eight hours after the earthquake occurrence. Results are compared with other intensity maps for same

Microzonation of seismic risk in a low-rise Latin American city based on the macroseismic evaluation of the vulnerability of residential buildings: Colima city, México

Science.gov (United States)

Zobin, V. M.; Cruz-Bravo, A. A.; Ventura-Ramírez, F.

2010-06-01

A macroseismic methodology of seismic risk microzonation in a low-rise city based on the vulnerability of residential buildings is proposed and applied to Colima city, Mexico. The seismic risk microzonation for Colima consists of two elements: the mapping of residential blocks according to their vulnerability level and the calculation of an expert-opinion based damage probability matrix (DPM) for a given level of earthquake intensity and a given type of residential block. A specified exposure time to the seismic risk for this zonation is equal to the interval between two destructive earthquakes. The damage probability matrices were calculated for three types of urban buildings and five types of residential blocks in Colima. It was shown that only 9% of 1409 residential blocks are able to resist to the Modify Mercalli (MM) intensity VII and VIII earthquakes without significant damage. The proposed DPM-2007 is in good accordance with the experimental damage curves based on the macroseismic evaluation of 3332 residential buildings in Colima that was carried out after the 21 January 2003 intensity MM VII earthquake. This methodology and the calculated PDM-2007 curves may be applied also to seismic risk microzonation for many low-rise cities in Latin America, Asia, and Africa.

Microzonation of seismic risk in a low-rise Latin American city based on the macroseismic evaluation of the vulnerability of residential buildings: Colima city, México

Directory of Open Access Journals (Sweden)

V. M. Zobin

2010-06-01

Full Text Available A macroseismic methodology of seismic risk microzonation in a low-rise city based on the vulnerability of residential buildings is proposed and applied to Colima city, Mexico. The seismic risk microzonation for Colima consists of two elements: the mapping of residential blocks according to their vulnerability level and the calculation of an expert-opinion based damage probability matrix (DPM for a given level of earthquake intensity and a given type of residential block. A specified exposure time to the seismic risk for this zonation is equal to the interval between two destructive earthquakes. The damage probability matrices were calculated for three types of urban buildings and five types of residential blocks in Colima. It was shown that only 9% of 1409 residential blocks are able to resist to the Modify Mercalli (MM intensity VII and VIII earthquakes without significant damage. The proposed DPM-2007 is in good accordance with the experimental damage curves based on the macroseismic evaluation of 3332 residential buildings in Colima that was carried out after the 21 January 2003 intensity MM VII earthquake. This methodology and the calculated PDM-2007 curves may be applied also to seismic risk microzonation for many low-rise cities in Latin America, Asia, and Africa.

Epicentral Determination from Macroseismic Data: Insights from Four Centuries of Observations (Invited)

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Szeliga, W. M.; Martin, S.; Hough, S.; Bilham, R.

2009-12-01

A new compilation of more than 8300 newly interpreted intensity observations from 570 earthquakes on the Indian subcontinent between 1636 and 2009 provides a rich data base for examining the utility of recently developed methods for deriving magnitude and location from macroseismic data. Instrumentally determined locations and magnitudes are available for 144 of these earthquakes since 1900, and for a subset of these earthquakes we can calculate differences between instrumental- and intensity-derived parameters. Using a modification of the Bakun and Wentworth (1997) algorithm we find that epicenters determined from well-conditioned intensity distributions are typically within one fault length of those determined from instrumental data. This encouraging result, however, applies to fewer than one third of the events. For a larger number of earthquakes, intensity-derived epicenters are poorly constrained, due to scatter in intensity amplitude and/or to poor spatial coverage. This raises concerns about the accuracy of rupture parameters determined for pre-instrumental earthquakes in India and elsewhere. We find moreover, that where dense spatial intensity values are available, location is recovered reasonably well (e.g. Bhuj 2001, Kashmir 2005), but magnitude is over-estimated by as much as one magnitude unit. This suggests that epicentral locations for well-documented M>7 historical earthquakes might be relatively reliable, but their magnitude might be significantly inflated. The cause for these erroneous locations and magnitudes are examined and we outline the results of our search for numerical rules to determine whether a given set of intensities will provide accurate or misleading results.

Reevaluation of the macroseismic effects of the 1887 Sonora, Mexico earthquake and its magnitude estimation

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Suárez, Gerardo; Hough, Susan E.

2008-01-01

The Sonora, Mexico, earthquake of 3 May 1887 occurred a few years before the start of the instrumental era in seismology. We revisit all available accounts of the earthquake and assign Modified Mercalli Intensities (MMI), interpreting and analyzing macroseismic information using the best available modern methods. We find that earlier intensity assignments for this important earthquake were unjustifiably high in many cases. High intensity values were assigned based on accounts of rock falls, soil failure or changes in the water table, which are now known to be very poor indicators of shaking severity and intensity. Nonetheless, reliable accounts reveal that light damage (intensity VI) occurred at distances of up to ~200 km in both Mexico and the United States. The resulting set of 98 reevaluated intensity values is used to draw an isoseismal map of this event. Using the attenuation relation proposed by Bakun (2006b), we estimate an optimal moment magnitude of Mw7.6. Assuming this magnitude is correct, a fact supported independently by documented rupture parameters assuming standard scaling relations, our results support the conclusion that northern Sonora as well as the Basin and Range province are characterized by lower attenuation of intensities than California. However, this appears to be at odds with recent results that Lg attenuation in the Basin and Range province is comparable to that in California.

Preliminary quantitative assessment of earthquake casualties and damages

DEFF Research Database (Denmark)

Badal, J.; Vázquez-Prada, M.; González, Á.

2005-01-01

Prognostic estimations of the expected number of killed or injured people and about the approximate cost associated with the damages caused by earthquakes are made following a suitable methodology of wide-ranging application. For the preliminary assessment of human life losses due to the occurrence...... of a relatively strong earthquake we use a quantitative model consisting of a correlation between the number of casualties and the earthquake magnitude as a function of population density. The macroseismic intensity field is determined in accordance with an updated anelastic attenuation law, and the number...... the local social wealth as a function of the gross domestic product of the country. This last step is performed on the basis of the relationship of the macroseismic intensity to the earthquake economic loss in percentage of the wealth. Such an approach to the human casualty and damage levels is carried out...

Regression analysis of MCS Intensity and peak ground motion data in Italy

Science.gov (United States)

Faenza, L.; Michelini, A.

2009-04-01

Intensity scales are historically important because no instrumentation is necessary, and useful measurements of earthquake shaking can be made by an unequipped observer. The use of macroseismics data are essential for the revision of historical seismicity and of great importance for seismic hazard assessment of vulnerable areas. The procedure ShakeMap (Wald et al., Earthquake Spectra., 15, 1999) provides instrumentally based estimates of intensity maps. In Italy, intensities have been hitherto reported through the use of the MCS (Mercalli, Cancani Sieberg) intensity scale. The DBMI2004 (and the most recent DBMI08) report intensities for earthquakes in Italy that date back to Roman age. In order to exploit fully the potential of such a long intensity catalogue for past large events and with the aim of presenting ShakeMaps using an intensity scale consistent with that of the past, we have ri-calibrated the relationships between MCS intensity and observed peak ground motion (PGM) values in terms of both peak-ground acceleration and peak-ground velocities. To this end, we have used the two most updataed and complete dataset available for Italy - the strong motion Itaca database and the DBMI08 macroseismic database. In this work we have first assembled a data set consisting of PGM-intensity pairs and we have then determined the most suitable regressions parameters. Many tests have been made to quantify the accuracy and robustness of the results. The new instrumental intensity scale is going to be adopted for mapping the level of shaking resulting from earthquakes in Italy replacing the instrumental Modified Mercalli scale currently in use (Michelini et al., SRL, 79, 2008) and to determine shakemaps for historical events.

Microzonation of seismic risk in a low-rise Latin American city based on the macroseismic evaluation of the vulnerability of residential buildings: Colima city, México

OpenAIRE

Zobin, V. M.; Cruz-Bravo, A. A.; Ventura-Ramírez, F.

2010-01-01

A macroseismic methodology of seismic risk microzonation in a low-rise city based on the vulnerability of residential buildings is proposed and applied to Colima city, Mexico. The seismic risk microzonation for Colima consists of two elements: the mapping of residential blocks according to their vulnerability level and the calculation of an expert-opinion based damage probability matrix (DPM) for a given level of earthquake intensity and a given type of residential block. A specified exposure...

The revaluation of the macroseismic effects of March 4, 1977 earthquake in the frame of the new seismic hazard assessment methodologies

International Nuclear Information System (INIS)

Pantea, A.; Constantin, Angela; Anghel, M.

2002-01-01

To increase the earthquakes resistance of structure the design norms and construction require the best knowledge of seismic hazard parameters and using the new methodologies of seismic hazard assessment. One of these parameters is seismic intensity of the earthquakes occurred on the whole territory analyzed during as long as possible time interval for which data are available, especially for the strongest of them. For Romanian territory the strongest and the best known from the point of view of the macroseismic effects is the March 4, 1977 earthquake. Seismology by itself, without geophysics (solid earth physics), geology, geography, and geodesy, cannot fully, comprehensively, validly assess seismic hazards. Among those who have understood seismic hazard assessment as the result of cooperation between geosciences as a whole and seismology, one may quote Bune, 1978; Pantea et al., 2002, etc. Assessing seismic hazards is a complex undertaking, for it draws on a vast amount of knowledge in numerous sectors of geosciences, particularly solid earth physics as a branch of geophysics that also includes seismology, tectonic physics, gravimetry, geomagnetism, geochronology, etc.. It involves processing the results of complex geophysical, seismologic, tectonic, and geologic studies. To get a picture of, and understand, the laws that govern seismogenesis, one has to know what the relations are among the measured physical quantities indicating the properties of the rocks (whether gravimetric, magnetometric, electrometric, seismometric, or others), the dynamics of tectonic structures, as well as the nature and geological characteristics. Geophysics can be relied upon to determine the deep internal structure of the earth that geological methods are unable to reveal. Geophysics, and implicitly seismology, can help resolve the problem by: 1. Identifying the areas of the seismic sources and their characteristics, including focal depth, M max [Bune, 1978], and the recurrence chart

Intensity-distance attenuation law in the continental Portugal using intensity data points

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Le Goff, Boris; Bezzeghoud, Mourad; Borges, José Fernando

2013-04-01

Several attempts have been done to evaluate the intensity attenuation with the epicentral distance in the Iberian Peninsula [1, 2]. So far, the results are not satisfying or not using the intensity data points of the available events. We developed a new intensity law for the continental Portugal, using the macroseismic reports that provide intensity data points, instrumental magnitudes and instrumental locations. We collected 31 events from the Instituto Portugues do Mar e da Atmosfera (IPMA, Portugal; ex-IM), covering the period between 1909 and 1997, with a largest magnitude of 8.2, closed to the African-Eurasian plate boundary. For each event, the intensity data points are plotted versus the distance and different trend lines are achieved (linear, exponential and logarithmic). The better fits are obtained with the logarithmic trend lines. We evaluate a form of the attenuation equation as follow: I = c0(M) + c1(M).ln(R) (1) where I, M and R are, respectively, the intensity, the magnitude and the epicentral distance. To solve this equation, we investigate two methods. The first one consists in plotting the slope of the different logarithmic trends versus the magnitude, to estimate the parameter c1(M), and to evaluate how the intensity behaves in function of the magnitude. Another plot, representing the intercepts versus the magnitude, allows to determine the second parameter, c0(M). The second method consists in using the inverse theory. From the data, we recover the parameters of the model, using a linear inverse matrix. Both parameters, c0(M) and c1(M), are provided with their associated errors. A sensibility test will be achieved, using the macroseismic data, to estimate the resolution power of both methods. This new attenuation law will be used with the Bakun and Wentworth method [3] in order to reestimate the epicentral region and the magnitude estimation of the 1909 Benavente event. This attenuation law may also be adapted to be used in Probabilistic Seismic

Reassessment of the historical seismic activity with major impact on S. Miguel Island (Azores

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D. Silveira

2003-01-01

Full Text Available On account of its tectonic setting, both seismic and volcanic events are frequent in the Azores archipelago. During the historical period earthquakes and seismic swarms of tectonic and/or volcanic origin have struck S. Miguel Island causing a significant number of casualties and severe damages. The information present in historical records made possible a new macroseismic analysis of these major events using the European Macroseismic Scale-1998 (EMS-98. Among the strongest earthquakes of tectonic origin that affected S. Miguel Island, six events were selected for this study. The isoseismal maps drawn for these events enabled the identification of areas characterized by anomalous values of seismic intensity, either positive or negative, to constrain epicentre locations and to identify some new seismogenic areas. Regarding seismic activity associated with volcanic phenomena six cases were also selected. For each of the studied cases cumulative intensity values were assessed for each locality. The distribution of local intensity values shows that the effects are not homogeneous within a certain distance from the eruptive centre, the area of major impacts relates with the eruptive style and damages equivalent to high intensities may occur in Furnas and Sete Cidades calderas. Combining all the historical macroseismic data, a maximum intensity map was produced for S. Miguel Island.

Automatic single questionnaire intensity (SQI, EMS98 scale) estimation using ranking models built on the existing BCSF database

Science.gov (United States)

Schlupp, A.; Sira, C.; Schmitt, K.; Schaming, M.

2013-12-01

In charge of intensity estimations in France, BCSF has collected and manually analyzed more than 47000 online individual macroseismic questionnaires since 2000 up to intensity VI. These macroseismic data allow us to estimate one SQI value (Single Questionnaire Intensity) for each form following the EMS98 scale. The reliability of the automatic intensity estimation is important as they are today used for automatic shakemaps communications and crisis management. Today, the automatic intensity estimation at BCSF is based on the direct use of thumbnails selected on a menu by the witnesses. Each thumbnail corresponds to an EMS-98 intensity value, allowing us to quickly issue an intensity map of the communal intensity by averaging the SQIs at each city. Afterwards an expert, to determine a definitive SQI, manually analyzes each form. This work is time consuming and not anymore suitable considering the increasing number of testimonies at BCSF. Nevertheless, it can take into account incoherent answers. We tested several automatic methods (USGS algorithm, Correlation coefficient, Thumbnails) (Sira et al. 2013, IASPEI) and compared them with 'expert' SQIs. These methods gave us medium score (between 50 to 60% of well SQI determined and 35 to 40% with plus one or minus one intensity degree). The best fit was observed with the thumbnails. Here, we present new approaches based on 3 statistical ranking methods as 1) Multinomial logistic regression model, 2) Discriminant analysis DISQUAL and 3) Support vector machines (SVMs). The two first methods are standard methods, while the third one is more recent. Theses methods could be applied because the BCSF has already in his database more then 47000 forms and because their questions and answers are well adapted for a statistical analysis. The ranking models could then be used as automatic method constrained on expert analysis. The performance of the automatic methods and the reliability of the estimated SQI can be evaluated thanks to

The large 1956 earthquake in the South Aegean: Macroseismic field configuration, faulting, and neotectonics of Amorgos Island

Science.gov (United States)

Papadopoulos, Gerassimos A.; Pavlides, Spyros B.

1992-10-01

New field observations of the seismic intensity distribution of the large (M s = 7.4) South Aegean (Amorgos) earthquake of 9 July 1956 are presented. Interpretations based on local ground conditions, structural properties of buildings and peculiarities of the rupture process lead to a re-evaluation of the macroseismic field configuration. This, together with the aftershock epicentral distribution, quite well defines the earthquake rupture zone, which trends NE-SW and coincides with the Amorgos Astypalea trough. The lateral extent of the rupture zone, however, is about 40% smaller than that predicted for Aegean earthquakes of M s = 7.4. This discrepancy could be attributed to sea-bottom topography changes, which seem to control the rupture terminations, and to relatively high stressdrop with respect to other Aegean earthquakes. Fault plane solutions obtained by several authors indicate either mainly normal faulting with a significant right-lateral strike-slip component or predominantly strike-slip motion. The neotectonism of Amorgos Island, based on new field observations, aerial photograph analysis and fault mechanisms, is consistent with the dip-slip interpretation. The neotectonic master fault of Amorgos and the 1956 seismic faulting appear to belong to the same tectonic phase (NE-SW strike and a southeasterly dip). However, the significant right-lateral strike-slip component supports the idea that the Amorgos region deviates from the simple description for pure extension in back-arc conditions.

The MCS macroseismic survey of the Emilia 2012 earthquakes

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Paolo Galli

2012-10-01

Full Text Available Most of the inhabitants of northern Italy were woken up during the night of May 20, 2012, by the Mw 6.1 earthquake [QRCMT 2012] that occurred in the eastern Po Plain. The mainshock was preceded a few hours before by a Mw 4.3 shock, and it was followed by a dozen Ml >4 aftershocks in May and June, amongst which 11 had Ml ≥4.5. On May 29, 2012, a second Mw 6.0 mainshock struck roughly the same area [QRCMT 2012], which resulted in further victims, most of whom were caught under the collapse of industrial warehouses. Such earthquakes are an unexpected event in this region, as testified by the lack of local epicenters in the Italian seismic catalog [Rovida et al. 2011: CPTI11 from now] and by the consequent low level of the local seismic classification (seismic zone 3 [DPC 2012]. Apart from the warehouses and hundreds of old, crumbling farmsteads, severe damage was focused on ancient, tall buildings, such as churches, bell towers, castles, towers and palaces. Residential buildings generally suffered only light and/or moderate effects, apart from some exceptional cases. Using the Mercalli–Cancani–Sieberg (MCS scale [Sieberg 1930], we began a macroseismic survey in the early morning of May 20, 2012, that ultimately included visits to almost 200 localities, 52 of which were carried out before the second mainshock. […

Seismic hazard assessment based on the Unified Scaling Law for Earthquakes: the Greater Caucasus

Science.gov (United States)

Nekrasova, A.; Kossobokov, V. G.

2015-12-01

Losses from natural disasters continue to increase mainly due to poor understanding by majority of scientific community, decision makers and public, the three components of Risk, i.e., Hazard, Exposure, and Vulnerability. Contemporary Science is responsible for not coping with challenging changes of Exposures and their Vulnerability inflicted by growing population, its concentration, etc., which result in a steady increase of Losses from Natural Hazards. Scientists owe to Society for lack of knowledge, education, and communication. In fact, Contemporary Science can do a better job in disclosing Natural Hazards, assessing Risks, and delivering such knowledge in advance catastrophic events. We continue applying the general concept of seismic risk analysis in a number of seismic regions worldwide by constructing regional seismic hazard maps based on the Unified Scaling Law for Earthquakes (USLE), i.e. log N(M,L) = A - B•(M-6) + C•log L, where N(M,L) is the expected annual number of earthquakes of a certain magnitude M within an seismically prone area of linear dimension L. The parameters A, B, and C of USLE are used to estimate, first, the expected maximum magnitude in a time interval at a seismically prone cell of a uniform grid that cover the region of interest, and then the corresponding expected ground shaking parameters including macro-seismic intensity. After a rigorous testing against the available seismic evidences in the past (e.g., the historically reported macro-seismic intensity), such a seismic hazard map is used to generate maps of specific earthquake risks (e.g., those based on the density of exposed population). The methodology of seismic hazard and risks assessment based on USLE is illustrated by application to the seismic region of Greater Caucasus.

Extensions to EMS-98 to match the conditions of Romania

International Nuclear Information System (INIS)

Sandi, H.; Borcia, I. S.

2002-01-01

EMS-98 (European Macroseismic Scale '98) was endorsed in 1998 by the European Seismological Commission and recommended for extensive use in the European area. A comparison of EMS-98 with previous macroseismic scales as e.g. MSK (also endorsed by ESC in the past) puts into evidence important elements of superiority of EMS and makes it possible to conclude that EMS-98 represents currently a peak development in the succession of macroseismic scales of traditional kind. Given this fact, it is reasonable if not mandatory to replace the current Romanian standard STAS 3684-71, which relies on the MSK-64 scale, by an official document endorsing the application in Romania of EMS-98. The developments presented rely on a project developed jointly by INCERC and the Institute of Geodynamics under support from the Ministry of Public Works, Transportation and Housing. The project was aimed at presenting a translation of the version of EMS-98 already published, with some additional developments aimed at providing a better applicability to the conditions of Romania (keeping in view, primarily, two facts: the features of ground motion due to Vrancea earthquakes and the features of the building stock that would generate, through its performance, the bulk of macroseismic information in the event of strong earthquakes). The features of ground motion due to Vrancea earthquakes are characterized, first of all, by a wide variety of spectral characteristics, varying during one event from one site to the other and, for many sites, also from one event to the other. This has obvious implications for the task of estimating intensity and should be reflected in some suitable way in the criteria for intensity assessment. Unfortunately, to date there is no concern in the frame of EMS-98 for the spectral characteristics of ground motion. Introducing criteria that could reflect the spectral characteristics would require a full rethinking and reshaping of EMS-98, so this aspect could not be tackled

A revised ground-motion and intensity interpolation scheme for shakemap

Science.gov (United States)

Worden, C.B.; Wald, D.J.; Allen, T.I.; Lin, K.; Garcia, D.; Cua, G.

2010-01-01

We describe a weighted-average approach for incorporating various types of data (observed peak ground motions and intensities and estimates from groundmotion prediction equations) into the ShakeMap ground motion and intensity mapping framework. This approach represents a fundamental revision of our existing ShakeMap methodology. In addition, the increased availability of near-real-time macroseismic intensity data, the development of newrelationships between intensity and peak ground motions, and new relationships to directly predict intensity from earthquake source information have facilitated the inclusion of intensity measurements directly into ShakeMap computations. Our approach allows for the combination of (1) direct observations (ground-motion measurements or reported intensities), (2) observations converted from intensity to ground motion (or vice versa), and (3) estimated ground motions and intensities from prediction equations or numerical models. Critically, each of the aforementioned data types must include an estimate of its uncertainties, including those caused by scaling the influence of observations to surrounding grid points and those associated with estimates given an unknown fault geometry. The ShakeMap ground-motion and intensity estimates are an uncertainty-weighted combination of these various data and estimates. A natural by-product of this interpolation process is an estimate of total uncertainty at each point on the map, which can be vital for comprehensive inventory loss calculations. We perform a number of tests to validate this new methodology and find that it produces a substantial improvement in the accuracy of ground-motion predictions over empirical prediction equations alone.

Modified mercalli intensities for nine earthquakes in central and western Washington between 1989 and 1999

Science.gov (United States)

Brocher, Thomas M.; Dewey, James W.; Cassidy, John F.

2017-08-15

We determine Modified Mercalli (Seismic) Intensities (MMI) for nine onshore earthquakes of magnitude 4.5 and larger that occurred in central and western Washington between 1989 and 1999, on the basis of effects reported in postal questionnaires, the press, and professional collaborators. The earthquakes studied include four earthquakes of M5 and larger: the M5.0 Deming earthquake of April 13, 1990, the M5.0 Point Robinson earthquake of January 29, 1995, the M5.4 Duvall earthquake of May 3, 1996, and the M5.8 Satsop earthquake of July 3, 1999. The MMI are assigned using data and procedures that evolved at the U.S. Geological Survey (USGS) and its Department of Commerce predecessors and that were used to assign MMI to felt earthquakes occurring in the United States between 1931 and 1986. We refer to the MMI assigned in this report as traditional MMI, because they are based on responses to postal questionnaires and on newspaper reports, and to distinguish them from MMI calculated from data contributed by the public by way of the internet. Maximum traditional MMI documented for the M5 and larger earthquakes are VII for the 1990 Deming earthquake, V for the 1995 Point Robinson earthquake, VI for the 1996 Duvall earthquake, and VII for the 1999 Satsop earthquake; the five other earthquakes were variously assigned maximum intensities of IV, V, or VI. Starting in 1995, the Pacific Northwest Seismic Network (PNSN) published MMI maps for four of the studied earthquakes, based on macroseismic observations submitted by the public by way of the internet. With the availability now of the traditional USGS MMI interpreted for all the sites from which USGS postal questionnaires were returned, the four Washington earthquakes join a rather small group of earthquakes for which both traditional USGS MMI and some type of internet-based MMI have been assigned. The values and distributions of the traditional MMI are broadly similar to the internet-based PNSN intensities; we discuss some

Intensity attenuation for active crustal regions

Science.gov (United States)

Allen, Trevor I.; Wald, David J.; Worden, C. Bruce

2012-07-01

We develop globally applicable macroseismic intensity prediction equations (IPEs) for earthquakes of moment magnitude M W 5.0-7.9 and intensities of degree II and greater for distances less than 300 km for active crustal regions. The IPEs are developed for two distance metrics: closest distance to rupture ( R rup) and hypocentral distance ( R hyp). The key objective for developing the model based on hypocentral distance—in addition to more rigorous and standard measure R rup—is to provide an IPE which can be used in near real-time earthquake response systems for earthquakes anywhere in the world, where information regarding the rupture dimensions of a fault may not be known in the immediate aftermath of the event. We observe that our models, particularly the model for the R rup distance metric, generally have low median residuals with magnitude and distance. In particular, we address whether the direct use of IPEs leads to a reduction in overall uncertainties when compared with methods which use a combination of ground-motion prediction equations and ground motion to intensity conversion equations. Finally, using topographic gradient as a proxy and median model predictions, we derive intensity-based site amplification factors. These factors lead to a small reduction of residuals at shallow gradients at strong shaking levels. However, the overall effect on total median residuals is relatively small. This is in part due to the observation that the median site condition for intensity observations used to develop these IPEs is approximately near the National Earthquake Hazard Reduction Program CD site-class boundary.

Developing empirical collapse fragility functions for global building types

Science.gov (United States)

Jaiswal, K.; Wald, D.; D'Ayala, D.

2011-01-01

Building collapse is the dominant cause of casualties during earthquakes. In order to better predict human fatalities, the U.S. Geological Survey’s Prompt Assessment of Global Earthquakes for Response (PAGER) program requires collapse fragility functions for global building types. The collapse fragility is expressed as the probability of collapse at discrete levels of the input hazard defined in terms of macroseismic intensity. This article provides a simple procedure for quantifying collapse fragility using vulnerability criteria based on the European Macroseismic Scale (1998) for selected European building types. In addition, the collapse fragility functions are developed for global building types by fitting the beta distribution to the multiple experts’ estimates for the same building type (obtained from EERI’s World Housing Encyclopedia (WHE)-PAGER survey). Finally, using the collapse probability distributions at each shaking intensity level as a prior and field-based collapse-rate observations as likelihood, it is possible to update the collapse fragility functions for global building types using the Bayesian procedure.

The ESI scale, an ethical approach to the evaluation of seismic hazards

Science.gov (United States)

Porfido, Sabina; Nappi, Rosa; De Lucia, Maddalena; Gaudiosi, Germana; Alessio, Giuliana; Guerrieri, Luca

2015-04-01

The dissemination of correct information about seismic hazard is an ethical duty of scientific community worldwide. A proper assessment of a earthquake severity and impact should not ignore the evaluation of its intensity, taking into account both the effects on humans, man-made structures, as well as on the natural evironment. We illustrate the new macroseismic scale that measures the intensity taking into account the effects of earthquakes on the environment: the ESI 2007 (Environmental Seismic Intensity) scale (Michetti et al., 2007), ratified by the INQUA (International Union for Quaternary Research) during the XVII Congress in Cairns (Australia). The ESI scale integrates and completes the traditional macroseismic scales, of which it represents the evolution, allowing to assess the intensity parameter also where buildings are absent or damage-based diagnostic elements saturate. Each degree reflects the corresponding strength of an earthquake and the role of ground effects, evaluating the Intensity on the basis of the characteristics and size of primary (e.g. surface faulting and tectonic uplift/subsidence) and secondary effects (e.g. ground cracks, slope movements, liquefaction phenomena, hydrological changes, anomalous waves, tsunamis, trees shaking, dust clouds and jumping stones). This approach can be considered "ethical" because helps to define the real scenario of an earthquake, regardless of the country's socio-economic conditions and level of development. Here lies the value and the relevance of macroseismic scales even today, one hundred years after the death of Giuseppe Mercalli, who conceived the homonymous scale for the evaluation of earthquake intensity. For an appropriate mitigation strategy in seismic areas, it is fundamental to consider the role played by seismically induced effects on ground, such as active faults (size in length and displacement) and secondary effects (the total area affecting). With these perspectives two different cases

Seismic Hazard and risk assessment for Romania -Bulgaria cross-border region

Science.gov (United States)

Simeonova, Stela; Solakov, Dimcho; Alexandrova, Irena; Vaseva, Elena; Trifonova, Petya; Raykova, Plamena

2016-04-01

Among the many kinds of natural and man-made disasters, earthquakes dominate with regard to their social and economical impact on the urban environment. Global seismic hazard and vulnerability to earthquakes are steadily increasing as urbanization and development occupy more areas that are prone to effects of strong earthquakes. The assessment of the seismic hazard and risk is particularly important, because it provides valuable information for seismic safety and disaster mitigation, and it supports decision making for the benefit of society. Romania and Bulgaria, situated in the Balkan Region as a part of the Alpine-Himalayan seismic belt, are characterized by high seismicity, and are exposed to a high seismic risk. Over the centuries, both countries have experienced strong earthquakes. The cross-border region encompassing the northern Bulgaria and southern Romania is a territory prone to effects of strong earthquakes. The area is significantly affected by earthquakes occurred in both countries, on the one hand the events generated by the Vrancea intermediate-depth seismic source in Romania, and on the other hand by the crustal seismicity originated in the seismic sources: Shabla (SHB), Dulovo, Gorna Orjahovitza (GO) in Bulgaria. The Vrancea seismogenic zone of Romania is a very peculiar seismic source, often described as unique in the world, and it represents a major concern for most of the northern part of Bulgaria as well. In the present study the seismic hazard for Romania-Bulgaria cross-border region on the basis of integrated basic geo-datasets is assessed. The hazard results are obtained by applying two alternative approaches - probabilistic and deterministic. The MSK64 intensity (MSK64 scale is practically equal to the new EMS98) is used as output parameter for the hazard maps. We prefer to use here the macroseismic intensity instead of PGA, because it is directly related to the degree of damages and, moreover, the epicentral intensity is the original

Keeping the History in Historical Seismology: The 1872 Owens Valley, California Earthquake

International Nuclear Information System (INIS)

Hough, Susan E.

2008-01-01

The importance of historical earthquakes is being increasingly recognized. Careful investigations of key pre-instrumental earthquakes can provide critical information and insights for not only seismic hazard assessment but also for earthquake science. In recent years, with the explosive growth in computational sophistication in Earth sciences, researchers have developed increasingly sophisticated methods to analyze macroseismic data quantitatively. These methodological developments can be extremely useful to exploit fully the temporally and spatially rich information source that seismic intensities often represent. For example, the exhaustive and painstaking investigations done by Ambraseys and his colleagues of early Himalayan earthquakes provides information that can be used to map out site response in the Ganges basin. In any investigation of macroseismic data, however, one must stay mindful that intensity values are not data but rather interpretations. The results of any subsequent analysis, regardless of the degree of sophistication of the methodology, will be only as reliable as the interpretations of available accounts - and only as complete as the research done to ferret out, and in many cases translate, these accounts. When intensities are assigned without an appreciation of historical setting and context, seemingly careful subsequent analysis can yield grossly inaccurate results. As a case study, I report here on the results of a recent investigation of the 1872 Owen's Valley, California earthquake. Careful consideration of macroseismic observations reveals that this event was probably larger than the great San Francisco earthquake of 1906, and possibly the largest historical earthquake in California. The results suggest that some large earthquakes in California will generate significantly larger ground motions than San Andreas fault events of comparable magnitude

Assessment of liquefaction potential during earthquakes by arias intensity

Science.gov (United States)

Kayen, R.E.; Mitchell, J.K.

1997-01-01

An Arias intensity approach to assess the liquefaction potential of soil deposits during earthquakes is proposed, using an energy-based measure of the severity of earthquake-shaking recorded on seismograms of the two horizontal components of ground motion. Values representing the severity of strong motion at depth in the soil column are associated with the liquefaction resistance of that layer, as measured by in situ penetration testing (SPT, CPT). This association results in a magnitude-independent boundary that envelopes initial liquefaction of soil in Arias intensity-normalized penetration resistance space. The Arias intensity approach is simple to apply and has proven to be highly reliable in assessing liquefaction potential. The advantages of using Arias intensity as a measure of earthquake-shaking severity in liquefaction assessment are: Arias intensity is derived from integration of the entire seismogram wave form, incorporating both the amplitude and duration elements of ground motion; all frequencies of recorded motion are considered; and Arias intensity is an appropriate measure to use when evaluating field penetration test methodologies that are inherently energy-based. Predictor equations describing the attenuation of Arias intensity as a function of earthquake magnitude and source distance are presented for rock, deep-stiff alluvium, and soft soil sites.

Assessment of earthquake-induced landslides hazard in El Salvador after the 2001 earthquakes using macroseismic analysis

Science.gov (United States)

Esposito, Eliana; Violante, Crescenzo; Giunta, Giuseppe; Ángel Hernández, Miguel

2016-04-01

Two strong earthquakes and a number of smaller aftershocks struck El Salvador in the year 2001. The January 13 2001 earthquake, Mw 7.7, occurred along the Cocos plate, 40 km off El Salvador southern coast. It resulted in about 1300 deaths and widespread damage, mainly due to massive landsliding. Two of the largest earthquake-induced landslides, Las Barioleras and Las Colinas (about 2x105 m3) produced major damage to buildings and infrastructures and 500 fatalities. A neighborhood in Santa Tecla, west of San Salvador, was destroyed. The February 13 2001 earthquake, Mw 6.5, occurred 40 km east-southeast of San Salvador. This earthquake caused over 300 fatalities and triggered several landslides over an area of 2,500 km2 mostly in poorly consolidated volcaniclastic deposits. The La Leona landslide (5-7x105 m3) caused 12 fatalities and extensive damage to the Panamerican Highway. Two very large landslides of 1.5 km3 and 12 km3 produced hazardous barrier lakes at Rio El Desague and Rio Jiboa, respectively. More than 16.000 landslides occurred throughout the country after both quakes; most of them occurred in pyroclastic deposits, with a volume less than 1x103m3. The present work aims to define the relationship between the above described earthquake intensity, size and areal distribution of induced landslides, as well as to refine the earthquake intensity in sparsely populated zones by using landslide effects. Landslides triggered by the 2001 seismic sequences provided useful indication for a realistic seismic hazard assessment, providing a basis for understanding, evaluating, and mapping the hazard and risk associated with earthquake-induced landslides.

Intensity ratio to improve black hole assessment in multiple sclerosis.

Science.gov (United States)

Adusumilli, Gautam; Trinkaus, Kathryn; Sun, Peng; Lancia, Samantha; Viox, Jeffrey D; Wen, Jie; Naismith, Robert T; Cross, Anne H

2018-01-01

Improved imaging methods are critical to assess neurodegeneration and remyelination in multiple sclerosis. Chronic hypointensities observed on T1-weighted brain MRI, "persistent black holes," reflect severe focal tissue damage. Present measures consist of determining persistent black holes numbers and volumes, but do not quantitate severity of individual lesions. Develop a method to differentiate black and gray holes and estimate the severity of individual multiple sclerosis lesions using standard magnetic resonance imaging. 38 multiple sclerosis patients contributed images. Intensities of lesions on T1-weighted scans were assessed relative to cerebrospinal fluid intensity using commercial software. Magnetization transfer imaging, diffusion tensor imaging and clinical testing were performed to assess associations with T1w intensity-based measures. Intensity-based assessments of T1w hypointensities were reproducible and achieved > 90% concordance with expert rater determinations of "black" and "gray" holes. Intensity ratio values correlated with magnetization transfer ratios (R = 0.473) and diffusion tensor imaging metrics (R values ranging from 0.283 to -0.531) that have been associated with demyelination and axon loss. Intensity ratio values incorporated into T1w hypointensity volumes correlated with clinical measures of cognition. This method of determining the degree of hypointensity within multiple sclerosis lesions can add information to conventional imaging. Copyright © 2017 Elsevier B.V. All rights reserved.

Realistic Modeling of Seismic Wave Ground Motion in Beijing City

Science.gov (United States)

Ding, Z.; Romanelli, F.; Chen, Y. T.; Panza, G. F.

Algorithms for the calculation of synthetic seismograms in laterally heterogeneous anelastic media have been applied to model the ground motion in Beijing City. The synthetic signals are compared with the few available seismic recordings (1998, Zhangbei earthquake) and with the distribution of observed macroseismic intensity (1976, Tangshan earthquake). The synthetic three-component seismograms have been computed for the Xiji area and Beijing City. The numerical results show that the thick Tertiary and Quaternary sediments are responsible for the severe amplification of the seismic ground motion. Such a result is well correlated with the abnormally high macroseismic intensity zone in the Xiji area associated with the 1976 Tangshan earthquake as well as with the ground motion recorded in Beijing city in the wake of the 1998 Zhangbei earthquake.

Realistic modeling of seismic wave ground motion in Beijing City

International Nuclear Information System (INIS)

Ding, Z.; Chen, Y.T.; Romanelli, F.; Panza, G.F.

2002-05-01

Advanced algorithms for the calculation of synthetic seismograms in laterally heterogeneous anelastic media have been applied to model the ground motion in Beijing City. The synthetic signals are compared with the few available seismic recordings (1998, Zhangbei earthquake) and with the distribution of the observed macroseismic intensity (1976, Tangshan earthquake). The synthetic 3-component seismograms have been computed in the Xiji area and in Beijing town. The numerical results show that the thick Tertiary and Quaternary sediments are responsible of the severe amplification of the seismic ground motion. Such a result is well correlated with the abnormally high macroseismic intensity zone (Xiji area) associated to the 1976 Tangshan earthquake and with the records in Beijing town, associated to the 1998 Zhangbei earthquake. (author)

Historical intensity VIII earthquakes along the Rhone valley (Valais, Switzerland): primary and secondary effects

Energy Technology Data Exchange (ETDEWEB)

Fritsche, S.; Faeh, D.; Schwarz-Zanetti, G.

2012-06-15

In recent years the upper Rhone Valley has been one of the most intensively investigated regions by the Swiss Seismological Service. The high seismicity in the region encourages research in the seismological field and one main focus has been historical seismology. This report presents the state of the art of our historical investigations by giving an overview of the effects of four damaging earthquakes with intensity larger than VII, for which a fairly large number of documents could be found and analyzed. The overview includes the events of 1584 (Aigle, epicentral intensity VIII), 1755 (Brig, epicentral intensity VIII), 1855 (Visp, epicentral intensity VIII), and 1946 (Sierre, epicentral intensity VIII for the main shock and intensity VII for the largest aftershock). The paper focuses mainly on primary and secondary effects in the epicentral region, providing the key data and a general characterization of the event. Generally, primary effects such as the reaction of the population and impact on buildings took more focus in the past. Thus building damage is more frequently described in historic documents. However, we also found a number of sources describing secondary effects such as landslides, snow avalanches, and liquefaction. Since the sources may be useful, we include citations of these documents. The 1584 Aigle event, for example, produced exceptional movements in the Lake of Geneva, which can be explained by an expanded sub aquatic slide with resultant tsunami and seiche. The strongest of the aftershocks of the 1584 event triggered a destructive landslide covering the villages Corbeyrier and Yvorne, Vaud. All macroseismic data on the discussed events are accessible through the web page of the Swiss Seismological Service (http://www.seismo.ethz.ch). (authors)

Calibration of Crustal Historical Earthquakes from Intra-Carpathian Region of Romania

Science.gov (United States)

Oros, Eugen; Popa, Mihaela; Rogozea, Maria

2017-12-01

The main task of the presented study is to elaborate a set of relations of mutual conversion macroseismic intensity - magnitude, necessary for the calibration of the historical crustal earthquakes produced in the Intra - Carpathian region of Romania, as a prerequisite for homogenization of the parametric catalogue of Romanian earthquakes. To achieve the goal, we selected a set of earthquakes for which we have quality macroseismic data and the Mw moment magnitude obtained instrumentally. These seismic events were used to determine the relations between the Mw and the peak/epicentral intensity, the isoseist surface area for I=3, I=4 and I=5: Mw = f (Imax / Io), Mw = f (Imax / Io, h), Mw = f (A3, A4; A5). We investigated several variants of such relationships and combinations, taking into account that the macroseismic data necessary for the re-evaluation of historical earthquakes in the investigated region are available in several forms. Thus, a number of investigations provided various information resulted after revising initial historical data: 1) Intensity data point (IDP) assimilated or not with the epicentre intensity after analysis of the correlation level with recent seismicity data and / or active tectonics / seismotectonics, 2) Sets of intensities obtained in several localities (IDPs) with variable values having maxims that can be considered equal to epicentral intensity (Io), 3) Sets of intensities obtained in several localities (IDPs) but without obvious maximum values, assimilable with the epicentral intensity, 4) maps with isoseismals, 5) Information on the areas in which the investigated earthquake was felt or the area of perceptiveness (e.g. I = 3 EMS during the day and I = 4 EMS at night) or the surfaces corresponding to a certain degree of well-defined intensity. The obtained relationships were validated using a set of earthquakes with instrumental source parameters (localization, depth, Mw). These relationships lead to redundant results meaningful in

Effect of expectation on pain assessment of lower- and higher-intensity stimuli.

Science.gov (United States)

Ružić, Valentina; Ivanec, Dragutin; Modić Stanke, Koraljka

2017-01-01

Pain modulation via expectation is a well-documented phenomenon. So far it has been shown that expectations about effectiveness of a certain treatment enhance the effectiveness of different analgesics and of drug-free pain treatments. Also, studies demonstrate that people assess same-intensity stimuli differently, depending on the experimentally induced expectations regarding the characteristics of the stimuli. Prolonged effect of expectation on pain perception and possible symmetry in conditions of lower- and higher-intensity stimuli is yet to be studied. Aim of this study is to determine the effect of expectation on the perception of pain experimentally induced by the series of higher- and lower-intensity stimuli. 192 healthy participants were assigned to four experimental groups differing by expectations regarding the intensity of painful stimuli series. Expectations of two groups were congruent with actual stimuli; one group expected and received lower-intensity stimuli and the other expected and received higher-intensity stimuli. Expectations of the remaining two groups were not congruent with actual stimuli; one group expected higher-intensity stimuli, but actually received lower-intensity stimuli while the other group expected lower-intensity stimuli, but in fact received higher-intensity ones. Each group received a series of 24 varied-intensity electrical stimuli rated by the participants on a 30° intensity scale. Expectation manipulation had statistically significant effect on pain intensity assessment. When expecting lower-intensity stimuli, the participants underestimated pain intensity and when expecting higher-intensity stimuli, they overestimated pain intensity. The effect size of expectations upon pain intensity assessment was equal for both lower- and higher-intensity stimuli. The obtained results imply that expectation manipulation can achieve the desired effect of decreasing or increasing both slight and more severe pain for a longer period of

Incorporation of electricity GHG emissions intensity variability into building environmental assessment

International Nuclear Information System (INIS)

Cubi, Eduard; Doluweera, Ganesh; Bergerson, Joule

2015-01-01

Highlights: • Current building assessment does not account for variability in the electric grid. • A new method incorporates hourly grid variability into building assessment. • The method is complementary with peak-shaving policies. • The assessment method can affect building design decisions. - Abstract: Current building energy and GHG emissions assessments do not account for the variable performance of the electric grid. Incorporating hourly grid variability into building assessment methods can help to better prioritize energy efficiency measures that result in the largest environmental benefits. This article proposes a method to incorporate GHG emissions intensity changes due to grid variability into building environmental assessment. The proposed method encourages building systems that reduce electricity use during peak periods while accounting for differences in grid GHG emissions intensity (i.e., peak shaving is more strongly encouraged in grids that have GHG intense peak generation). A set of energy saving building technologies are evaluated in a set of building variants (office, residential) and grid types (hydro/nuclear dominated, coal/gas dominated) to demonstrate the proposed method. Differences between total GHG emissions calculated with the new method compared with the standard (which assumes a constant GHG emissions intensity throughout the year) are in the 5–15% range when the contribution of electricity to total GHG emissions is more significant. The influence of the method on the assessment of the relative performance of some energy efficiency measures is much higher. For example, the estimated GHG emissions savings with heat pumps and photovoltaics can change by −40% and +20%, respectively, using the new assessment method instead of the standard. These differences in GHG emissions estimates can influence building design decisions. The new method could be implemented easily, and would lead to better decision making and more accurate

Preliminary results from EMERSITO, the rapid response network for site effect studies

OpenAIRE

Bordoni, P.; Azzara, R. M.; Cara, F.; Cogliano, R.; Cultrera, G.; Di Giulio, G.; Fodarella, A.; Milana, G.; Pucillo, S.; Riccio, G.; Rovelli, A.; Augliera, P.; Luzi, L.; Lovati, S.; Massa, M.

2012-01-01

On May 20, 2012, at 02:03 UTC, a ML 5.9 reverse-fault earthquake occurred in the Emilia-Romagna region, northern Italy, at a hypocentral depth of 6.3 km (http://iside.rm. ingv.it/), close to the cities of Modena and Ferrara in the plain of the Po River. The epicenter was near the village of Finale Emilia where macroseismic intensity was assessed at 7 EMS98 [Tertulliani et al. 2012, this issue], while the closest accelerometric station, MRN, located less than 20 km west-ward at Mirandola (F...

Shape analysis of isoseismals based on empirical and synthetic data

International Nuclear Information System (INIS)

Molchan, G.; Panza, G.F.

2000-11-01

We present an attempt to compare modeled ground motion acceleration fields with macroseismic observations. Two techniques for the representation of the observed intensities by isoseismals, a smoothing technique and one which visualizes the local uncertainty of an isoseismal, are tested with synthetic and observed data. We show how noise in the data and irregularities in the distribution of observation sites affect the resolution of the isoseismal's shape. In addition to ''standard'' elongated shapes, we identify cross-like patterns in the macroseismic observations for two Italian earthquakes of strike-slip type; similar patterns are displayed by the theoretical peak acceleration fields calculated assuming the point source models given in the literature. (author)

Assessing changes in a patient's condition - Perspectives of intensive care nurses

DEFF Research Database (Denmark)

Kvande, Monica; Delmar, Charlotte; Lykkeslet, Else

2017-01-01

Aim To explore the phenomenon of assessing changes in patients' conditions in intensive care units from the perspectives of experienced intensive care nurses. Background Providing safe care for patients in intensive care units requires an awareness and perception of the signs that indicate changes...... in a patient's condition. Nurses in intensive care units play an essential role in preventing the deterioration of a patient's condition and in improving patient outcomes. Design and methods This hermeneutic phenomenological study conducted close observations and in-depth interviews with 11 intensive care...... nurses. The nurses' experience ranged from 7 to 28 years in the intensive care unit. Data were collected at two intensive care units in two Norwegian university hospitals. The analysis was performed using the reflective methods of van Manen. Findings An overarching theme of ‘sensitive situational...

New characteristics of intensity assessment of Sichuan Lushan "4.20" M s7.0 earthquake

Science.gov (United States)

Sun, Baitao; Yan, Peilei; Chen, Xiangzhao

2014-08-01

The post-earthquake rapid accurate assessment of macro influence of seismic ground motion is of significance for earthquake emergency relief, post-earthquake reconstruction and scientific research. The seismic intensity distribution map released by the Lushan earthquake field team of the China Earthquake Administration (CEA) five days after the strong earthquake ( M7.0) occurred in Lushan County of Sichuan Ya'an City at 8:02 on April 20, 2013 provides a scientific basis for emergency relief, economic loss assessment and post-earthquake reconstruction. In this paper, the means for blind estimation of macroscopic intensity, field estimation of macro intensity, and review of intensity, as well as corresponding problems are discussed in detail, and the intensity distribution characteristics of the Lushan "4.20" M7.0 earthquake and its influential factors are analyzed, providing a reference for future seismic intensity assessments.

Impact of intensity and loss assessment following the great Wenchuan Earthquake

Science.gov (United States)

Yuan, Yifan

2008-09-01

The great Wenchuan Earthquake occurred on May 12, 2008 in the Sichuan Province of China, and had a magnitude of 8.0. It is the most serious earthquake disaster in China since the great Tangshan Earthquake ( M s=7.8, July 28, 1976). According to official reports, there were 69,225 deaths, 379,640 injuries and 17,939 missing as of Aug. 11, 2008. The China Earthquake Administration quickly sent hundreds of experts to the field immediately after the event, to investigate the damage and assess the economic losses. This paper emphasizes the impact of seismic intensity and presents a preliminary loss assessment. A brief description of the geological features of the affected region is provided, followed by a summary of the earthquake damage. An isoseismal map is developed that shows that the high intensity region is distributed like a belt around the seimogenic fault, and that the epicentral intensity reached XI (Chinese Intensity Scale, similar to the Modified Mercalli Scale). The direct economic loss resulting from the earthquake is 692 billions RMB (about 100 billions US).

Assessment of juiciness intensity of cooked chicken pectoralis major

Science.gov (United States)

The objectives were to assess sensory descriptive juiciness of cooked chicken breast meat (pectoralis major) during the entire process of consumption and to determine the relationship between sensory juiciness intensity scores during eating and raw meat characteristics. Chicken breast fillets were c...

Assessment of Delirium in Intensive Care Unit Patients: Educational Strategies.

Science.gov (United States)

Smith, Judith M; Van Aman, M Nancy; Schneiderhahn, Mary Elizabeth; Edelman, Robin; Ercole, Patrick M

2017-05-01

Delirium is an acute brain dysfunction associated with poor outcomes in intensive care unit (ICU) patients. Critical care nurses play an important role in the prevention, detection, and management of delirium, but they must be able to accurately assess for it. The Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) instrument is a reliable and valid method to assess for delirium, but research reveals most nurses need practice to use it proficiently. A pretest-posttest design was used to evaluate the success of a multimodal educational strategy (i.e., online learning module coupled with standardized patient simulation experience) on critical care nurses' knowledge and confidence to assess and manage delirium using the CAM-ICU. Participants (N = 34) showed a significant increase (p education. No statistical change in knowledge of delirium existed following the education. A multimodal educational strategy, which included simulation, significantly added confidence in critical care nurses' performance using the CAM-ICU. J Contin Nurs Educ. 2017;48(5):239-244. Copyright 2017, SLACK Incorporated.

Zemětřesení v Hostěradicích v červnu 2014

Czech Academy of Sciences Publication Activity Database

Pazdírková, J.; Zedník, Jan; Prachař, I.; Krumlová, H.; Zacherle, P.

2015-01-01

Roč. 22, 1-2 (2015), s. 61-64 ISSN 1212-6209 R&D Projects: GA MŠk LM2010008 Institutional support: RVO:67985530 Keywords : felt earthquake * macroseismic intensity * seismicity * historical earthquake s * southeastern margin of the Bohemian Massif Subject RIV: DC - Siesmology, Volcanology, Earth Structure

Assessing the Impact of Telemedicine on Nursing Care in Intensive Care Units.

Science.gov (United States)

Kleinpell, Ruth; Barden, Connie; Rincon, Teresa; McCarthy, Mary; Zapatochny Rufo, Rebecca J

2016-01-01

Information on the impact of tele-intensive care on nursing and priority areas of nursing care is limited. To conduct a national benchmarking survey of nurses working in intensive care telemedicine facilities in the United States. In a 2-phased study, an online survey was used to assess nurses' perceptions of intensive care telemedicine, and a modified 2-round Delphi study was used to identify priority areas of nursing. In phase 1, most of the 1213 respondents agreed to strongly agreed that using tele-intensive care enables them to accomplish tasks more quickly (63%), improves collaboration (65.9%), improves job performance (63.6%) and communication (60.4%), is useful in nursing assessments (60%), and improves care by providing more time for patient care (45.6%). Benefits of tele-intensive care included ability to detect trends in vital signs, detect unstable physiological status, provide medical management, and enhance patient safety. Barriers included technical problems (audio and video), interruptions in care, perceptions of telemedicine as an interference, and attitudes of staff. In phase 2, 60 nurses ranked 15 priority areas of care, including critical thinking skills, intensive care experience, skillful communication, mutual respect, and management of emergency patient care. The findings can be used to further inform the development of competencies for tele-intensive care nursing, match the tele-intensive care nursing practice guidelines of the American Association of Critical-Care Nurses, and highlight concepts related to the association's standards for establishing and sustaining healthy work environments. ©2016 American Association of Critical-Care Nurses.

Preambolo al Catalogo Sismico Nazionale (CSN. I criteri di informazione del Catalogo Sismico Nazionale (CSN

Directory of Open Access Journals (Sweden)

M. VECCHI

1979-06-01

Full Text Available

This note presents a study meant to set out a national catalogue
(C.S.N. of seismic events the epicentres of which are to be found in
Italian territory (or nearby. The catalogue, that will start from the
year 1450 B.C., could be used for various purpose employing modern
technologies.
The complete C.S.N, is made of three main parts, each of which can
also have a separate life:
1 An Analytical Catalogue which comprises the greater part of
data and is the most complete;
2 A Macroseismic Atlas that shows the macroseismic aspect of
the most relevant events;
3 A Macroseismic Catalogue that translates in numeric terms the
Atlas.

To these is added a comprehensive Bibliography subdivided into 24
chapters each of which covers one of the 24 time periods into which the
catalogue has been subdivided.
The Analytical Catalogue besides giving the main parameters for each
earthquake (date, epicentre, hypocentral depth, MCS scale intensity, raagnitudo,
each with its own reliability index gives indications also on the
following sideline data:
1 epicentral location (meaning by this the geographic region and
the eventual indication that the epicentre is to be found on a borderline
touching more geographic regions, or in the sea, or on the coast, or othermise
in the external band (see text;
2 with a reference to the Atlas, the event is shown as having been
dealt with also mocroseismic data and it will con be found, as such, in
the Atlas and in the Macroseismic Catalogue;
3 indications on the typology of the earthquake: i.e. whether it is an
« isolated » earthquake, or a « seismic period » (and if so with the indication
of the foreshock, main or aftershocks or of a swarm;
4 the possibility of indicating up to 7 sets of information suitably
chose among 40 additional notes regarding instrumental, geophysical

Assessment of delirium in the intensive care unit | Kallenbach ...

African Journals Online (AJOL)

Delirium poses a significant burden on our healthcare, with patients in the intensive care unit (ICU) at an increased risk for developing this disorder. In addition, the ICU environment poses unique challenges in the assessment of delirium. It is paramount that the healthcare provider has an understanding of delirium in ICU, ...

Physical activity intensities in youth: the effect of month of assessment.

Science.gov (United States)

Silva, Pedro; Seabra, André; Saint-Maurice, Pedro; Soares-Miranda, Luisa; Mota, Jorge

2013-01-01

There is clear evidence that environmental factors play an important role regarding physical activity (PA) and sedentary behaviour (SB) in youth. This short report highlights seasonal differences in the amount and intensities of PA and SB, in Portuguese youth. Three hundred and eighty-seven participants (aged 14.7 ± 1.9 years), 220 girls, used the Actigraph GT1M accelerometer for 7 days (15-second epochs), between January and June in 2008. PA and SB differences were assessed using an ANCOVA. Boys had significantly higher values of PA, with the exception of Light intensity. Girls were significantly more sedentary. PA intensities and SB changed significantly according to gender and month of assessment. SB (Gender F = 16.32, p Gender F = 9.30, p = 0.002; Month F = 8.37, p Gender*Month F = 2.24, p = 0.050), Moderate PA (Gender F = 40.04, p Gender F = 32.89, p genders increased PA from winter to summer months and SB decreased. Seasonality in PA intensities and SB suggest that interventions to promote PA and decrease SB must be tailored to take into consideration the month of the year they are going to be implemented and also gender characteristics.

Assessing Internet energy intensity: A review of methods and results

Energy Technology Data Exchange (ETDEWEB)

Coroama, Vlad C., E-mail: vcoroama@gmail.com [Instituto Superior Técnico, Universidade Técnica de Lisboa, Av. Rovisco Pais 1, 1049-001 Lisboa (Portugal); Hilty, Lorenz M. [Department of Informatics, University of Zurich, Binzmühlestrasse 14, 8050 Zurich (Switzerland); Empa, Swiss Federal Laboratories for Materials Science and Technology, Lerchenfeldstr. 5, 9014 St. Gallen (Switzerland); Centre for Sustainable Communications, KTH Royal Institute of Technology, Lindstedtsvägen 5, 100 44 Stockholm (Sweden)

2014-02-15

Assessing the average energy intensity of Internet transmissions is a complex task that has been a controversial subject of discussion. Estimates published over the last decade diverge by up to four orders of magnitude — from 0.0064 kilowatt-hours per gigabyte (kWh/GB) to 136 kWh/GB. This article presents a review of the methodological approaches used so far in such assessments: i) top–down analyses based on estimates of the overall Internet energy consumption and the overall Internet traffic, whereby average energy intensity is calculated by dividing energy by traffic for a given period of time, ii) model-based approaches that model all components needed to sustain an amount of Internet traffic, and iii) bottom–up approaches based on case studies and generalization of the results. Our analysis of the existing studies shows that the large spread of results is mainly caused by two factors: a) the year of reference of the analysis, which has significant influence due to efficiency gains in electronic equipment, and b) whether end devices such as personal computers or servers are included within the system boundary or not. For an overall assessment of the energy needed to perform a specific task involving the Internet, it is necessary to account for the types of end devices needed for the task, while the energy needed for data transmission can be added based on a generic estimate of Internet energy intensity for a given year. Separating the Internet as a data transmission system from the end devices leads to more accurate models and to results that are more informative for decision makers, because end devices and the networking equipment of the Internet usually belong to different spheres of control. -- Highlights: • Assessments of the energy intensity of the Internet differ by a factor of 20,000. • We review top–down, model-based, and bottom–up estimates from literature. • Main divergence factors are the year studied and the inclusion of end devices

Assessing Internet energy intensity: A review of methods and results

International Nuclear Information System (INIS)

Coroama, Vlad C.; Hilty, Lorenz M.

2014-01-01

Assessing the average energy intensity of Internet transmissions is a complex task that has been a controversial subject of discussion. Estimates published over the last decade diverge by up to four orders of magnitude — from 0.0064 kilowatt-hours per gigabyte (kWh/GB) to 136 kWh/GB. This article presents a review of the methodological approaches used so far in such assessments: i) top–down analyses based on estimates of the overall Internet energy consumption and the overall Internet traffic, whereby average energy intensity is calculated by dividing energy by traffic for a given period of time, ii) model-based approaches that model all components needed to sustain an amount of Internet traffic, and iii) bottom–up approaches based on case studies and generalization of the results. Our analysis of the existing studies shows that the large spread of results is mainly caused by two factors: a) the year of reference of the analysis, which has significant influence due to efficiency gains in electronic equipment, and b) whether end devices such as personal computers or servers are included within the system boundary or not. For an overall assessment of the energy needed to perform a specific task involving the Internet, it is necessary to account for the types of end devices needed for the task, while the energy needed for data transmission can be added based on a generic estimate of Internet energy intensity for a given year. Separating the Internet as a data transmission system from the end devices leads to more accurate models and to results that are more informative for decision makers, because end devices and the networking equipment of the Internet usually belong to different spheres of control. -- Highlights: • Assessments of the energy intensity of the Internet differ by a factor of 20,000. • We review top–down, model-based, and bottom–up estimates from literature. • Main divergence factors are the year studied and the inclusion of end devices

Relationship between isometric contraction intensity and muscle hardness assessed by ultrasound strain elastography.

Science.gov (United States)

Inami, Takayuki; Tsujimura, Toru; Shimizu, Takuya; Watanabe, Takemasa; Lau, Wing Yin; Nosaka, Kazunori

2017-05-01

Ultrasound elastography is used to assess muscle hardness or stiffness; however, no previous studies have validated muscle hardness measures using ultrasound strain elastography (SE). This study investigated the relationship between plantar flexor isometric contraction intensity and gastrocnemius hardness assessed by SE. We hypothesised that the muscle would become harder linearly with an increase in the contraction intensity of the plantar flexors. Fifteen young women (20.1 ± 0.8 years) performed isometric contractions of the ankle plantar flexors at four different intensities (25, 50, 75, 100% of maximal voluntary contraction force: MVC) at 0° plantar flexion. Using SE images, the strain ratio (SR) between the muscle and an acoustic coupler (elastic modulus 22.6 kPa) placed over the skin was calculated (muscle/coupler); pennation angle and muscle thickness were measured for the resting and contracting conditions. SR decreased with increasing contraction intensity from rest (1.28 ± 0.20) to 25% (0.99 ± 0.21), 50% (0.61 ± 0.15), 75% (0.34 ± 0.1) and 100% MVC (0.20 ± 0.05). SR decreased linearly (P < 0.05) with increasing MVC from rest to 75% MVC, but levelled off from 75 and 100% MVC. SR was negatively correlated with pennation angle (r = -0.80, P < 0.01) and muscle thickness ( r= -0.78,  P< 0.01). SR appears to represent muscle hardness changes in response to contraction intensity changes, in the assumption that the gastrocnemius muscle contraction intensity is proportional to the plantar flexion intensity. We concluded that gastrocnemius muscle hardness changes could be validly assessed by SR, and the force-hardness relationship was not linear.

An instrumental earthquake catalogue for northeastern Italy since 1900

International Nuclear Information System (INIS)

Margottini, C.; Martini, G.; Slejko, D.

1991-01-01

An earthquake catalogue of instrumental data for northeastern Italy since 1900 is presented. The different types of magnitude, which are the main parameters of the present study, have been evaluated so as to be as homogeneous as possible. Comparisons of the different magnitude values show linear dependence, at least in the medium magnitude range represented by the available data set. Correlations between the magnitude most significant for this region and chosen macroseismic data indicate a methodology for assessing the macroseismic magnitude of historical earthquakes which seems to be stable. (author)

Assessing Students Perceptions on Intensive Face to Face in Open ...

African Journals Online (AJOL)

Therefore, this study assessed students‟ perception on Intensive Face to Face sessions. The study specifically aimed at identifying students‟ perception on quality of interaction between tutors and students and between students on the other hand. It also explored the nature of challenges students meet in attending face to ...

Care zoning in a psychiatric intensive care unit: strengthening ongoing clinical risk assessment.

Science.gov (United States)

Mullen, Antony; Drinkwater, Vincent; Lewin, Terry J

2014-03-01

To implement and evaluate the care zoning model in an eight-bed psychiatric intensive care unit and, specifically, to examine the model's ability to improve the documentation and communication of clinical risk assessment and management. Care zoning guides nurses in assessing clinical risk and planning care within a mental health context. Concerns about the varying quality of clinical risk assessment prompted a trial of the care zoning model in a psychiatric intensive care unit within a regional mental health facility. The care zoning model assigns patients to one of 3 'zones' according to their clinical risk, encouraging nurses to document and implement targeted interventions required to manage those risks. An implementation trial framework was used for this research to refine, implement and evaluate the impact of the model on nurses' clinical practice within the psychiatric intensive care unit, predominantly as a quality improvement initiative. The model was trialled for three months using a pre- and postimplementation staff survey, a pretrial file audit and a weekly file audit. Informal staff feedback was also sought via surveys and regular staff meetings. This trial demonstrated improvement in the quality of mental state documentation, and clinical risk information was identified more accurately. There was limited improvement in the quality of care planning and the documentation of clinical interventions. Nurses' initial concerns over the introduction of the model shifted into overall acceptance and recognition of the benefits. The results of this trial demonstrate that the care zoning model was able to improve the consistency and quality of risk assessment information documented. Care planning and evaluation of associated outcomes showed less improvement. Care zoning remains a highly applicable model for the psychiatric intensive care unit environment and is a useful tool in guiding nurses to carry out routine patient risk assessments. © 2013 John Wiley & Sons

[Improving shared decision-making for hospital patients: Description and evaluation of a treatment intensity assessment tool].

Science.gov (United States)

Amblàs-Novellas, Jordi; Casas, Sílvia; Catalán, Rosa María; Oriol-Ruscalleda, Margarita; Lucchetti, Gianni Enrico; Quer-Vall, Francesc Xavier

2016-01-01

Shared decision-making between patients and healthcare professionals is crucial to guarantee adequate coherence between patient values and preferences, caring aims and treatment intensity, which is key for the provision of patient-centred healthcare. The assessment of such interventions are essential for caring continuity purposes. To do this, reliable and easy-to-use assessment systems are required. This study describes the results of the implementation of a hospital treatment intensity assessment tool. The pre-implementation and post-implementation results were compared between two cohorts of patients assessed for one month. Some record of care was registered in 6.1% of patients in the pre-implementation group (n=673) compared to 31.6% of patients in the post-implementation group (n=832) (P<.01), with differences between services. Hospital mortality in both cohorts is 1.9%; in the pre-implementation group, 93.75% of deceased patients had treatment intensity assessment. In hospital settings, the availability of a specific tool seems to encourage very significantly shared decision-making processes between patients and healthcare professionals -multiplying by more than 5 times the treatment intensity assessment. Moreover, such tools help in the caring continuity processes between different teams and the personalisation of caring interventions to be monitored. More research is needed to continue improving shared decision-making for hospital patients. Copyright © 2015 SEGG. Published by Elsevier Espana. All rights reserved.

Assessment of postoperative pain intensity by using photoplethysmography.

Science.gov (United States)

Ling, Peng; Siyuan, Yu; Wei, Wei; Quan, Gong; Bo, Gao

2014-12-01

Timely assessment of acute postoperative pain is very important for pain management. No objective and reliable method to assess postoperative pain intensity exists till now. The aim of the study was to investigate the feasibility of photoplethysmography (PPG) signals in postoperative pain assessment. Thirty patients scheduled for elective abdominal surgery under general anesthesia were examined. Finger PPG signals and visual analogue scale (VAS) score were acquired before and 5, 10, 20, and 30 min after sufentanil administration when the patients were awake and transferred to the post-anesthesia care unit (PACU). During each pain rating, the patient's blood pressure, heart rate, and pulse oxygen saturation were recorded. The amplitude of alternating current (AC) and direct current (DC) extracted from finger PPG signals were analyzed, and the ratio of AC and DC (AC/DC) was calculated. Receiver operating characteristic (ROC) curves were built to assess the performance of AC and AC/DC to detect patients with VAS >4 in the PACU. After administration of sufentanil, VAS scores decreased significantly (p pain levels, but no obvious differences in blood pressures and heart rate. The area under the ROC curves were 0.754 for AC and 0.795 for AC/DC, respectively. The finger PPG signal can be used in acute postoperative pain assessment. Both AC/DC and AC had significant correlations with the pain rating levels, while blood pressure and heart rate were unreliable in pain assessment.

Intensity earthquake scenario (scenario event - a damaging earthquake with higher probability of occurrence) for the city of Sofia

Science.gov (United States)

Aleksandrova, Irena; Simeonova, Stela; Solakov, Dimcho; Popova, Maria

2014-05-01

Among the many kinds of natural and man-made disasters, earthquakes dominate with regard to their social and economical impact on the urban environment. Global seismic risk to earthquakes are increasing steadily as urbanization and development occupy more areas that a prone to effects of strong earthquakes. Additionally, the uncontrolled growth of mega cities in highly seismic areas around the world is often associated with the construction of seismically unsafe buildings and infrastructures, and undertaken with an insufficient knowledge of the regional seismicity peculiarities and seismic hazard. The assessment of seismic hazard and generation of earthquake scenarios is the first link in the prevention chain and the first step in the evaluation of the seismic risk. The earthquake scenarios are intended as a basic input for developing detailed earthquake damage scenarios for the cities and can be used in earthquake-safe town and infrastructure planning. The city of Sofia is the capital of Bulgaria. It is situated in the centre of the Sofia area that is the most populated (the population is of more than 1.2 mil. inhabitants), industrial and cultural region of Bulgaria that faces considerable earthquake risk. The available historical documents prove the occurrence of destructive earthquakes during the 15th-18th centuries in the Sofia zone. In 19th century the city of Sofia has experienced two strong earthquakes: the 1818 earthquake with epicentral intensity I0=8-9 MSK and the 1858 earthquake with I0=9-10 MSK. During the 20th century the strongest event occurred in the vicinity of the city of Sofia is the 1917 earthquake with MS=5.3 (I0=7-8 MSK). Almost a century later (95 years) an earthquake of moment magnitude 5.6 (I0=7-8 MSK) hit the city of Sofia, on May 22nd, 2012. In the present study as a deterministic scenario event is considered a damaging earthquake with higher probability of occurrence that could affect the city with intensity less than or equal to VIII

Seismic hazard evaluation for major cities in Madagascar

International Nuclear Information System (INIS)

Razafindrakoto, Hoby N.T.; Rambolamanana, Gerard; Panza, Giuliano F.

2009-09-01

The seismic hazard in some areas in Madagascar has been assessed at regional scale in terms of peak ground motion values (displacement, velocity, acceleration) and their periods, following the Neodeterministic approach, based on the computation of realistic synthetic seismograms. The main data input integrates all available tectonic, seismicity and structural model information. The largest peak values are 1.6cm/s for the velocity, 0.03g for the acceleration and more than 0.5cm for the displacement. These values are consistent within a range of macroseismic intensity from VI to VII MCS, and indicate that relatively simple prevention measures and retrofitting actions may guarantee a high safety level and a well sustainable development. (author)

[A scale for the assessment of the risk of pressure sores in paediatric intensive care].

Science.gov (United States)

Weigel, Virginie

2014-01-01

Pressure sores are a frequent complication in paediatric intensive care. A multi-disciplinary nursing team has drawn up an assessment scale for the risk of pressure sores and has put in place guidelines for caring for children in intensive care. Prevention actions are thereby adapted to each young patient.

Delirium assessment in intensive care units: practices and perceptions of Turkish nurses.

Science.gov (United States)

Özsaban, Aysel; Acaroglu, Rengin

2016-09-01

As delirium in intensive care unit (ICU) patients is a serious problem that can result in increased mortality and morbidity, routine delirium assessment of all ICU patients is recommended. The severity, duration and outcome of the syndrome are directly related to nurses' continuous assessment of patients for signs and symptoms of delirium. However, studies indicate that very few nurses monitor for delirium as a part of their daily practices. The aim of this study was to identify current practices and perceptions of intensive care nurses regarding delirium assessment and to examine the factors that affect these practices and perceptions. A descriptive, correlational study design was used. Data were collected from five Turkish public hospitals using a structured survey questionnaire. The study sample comprised 301 nurses who agreed to participate. Data were analysed using descriptive statistics. More than half of the nurses performed delirium assessments. However, the proportion of nurses who use delirium assessment tools was quite low. Almost all of the nurses perceived delirium as a problem and serious problem for ICU patients. The patient group least monitored for delirium was that of unconscious patients. Statistically significant differences were found in the proportion of nurses who assessed delirium symptoms and whose care delivery system was patient-centred and perceived delirium as a serious problem. While a majority of ICU nurses perceived delirium as a problem and serious problem, the proportion of those who perform routine delirium assessments was less. It was found that delirium assessment practices of nurses were affected from their perceptions of delirium and the implementation of patient-centred care delivery. It is essential to develop strategies to encourage ICU nurses to perform delirium assessments through the use of delirium assessment tools. © 2015 British Association of Critical Care Nurses.

ASSESSING PATHOLOGIES ON VILLAMAYOR STONE (SALAMANCA, SPAIN BY TERRESTRIAL LASER SCANNER INTENSITY DATA

Directory of Open Access Journals (Sweden)

J. García-Talegón

2015-02-01

Full Text Available This paper deals with the assessing of pathologies in façades using a variety of intensity data provided by different terrestrial laser scanner. In particular, a complex building built in the Villamayor Stone that is to be candidate as a Global Heritage Stone Resource has been chosen as study case. The Villamayor Stone were quarrying for the construction and ornamentation of monuments in Salamanca, declared World Heritage City by UNESCO in 1988. The objective of this paper is to assess the pathologies of Villamayor Stone and compare the results obtained through the laser techniques with the classical techniques of mapped pathologies (i.e. visual inspection. For that intensity data coming from laser scanners will be used as non-destructive techniques applied to the façades and several retired plaques (after of building restoration of Villamayor Stone with pathologies (fissures, scales, loss of matter, humidity/biological colonization carried to the laboratory. Subsequently it will perform different comparisons between the accuracy reached with the different sensors and a high precision model setup on laboratory which performs as “ground truth”. In particular, the following objectives will be pursued: i accuracy assessment of the results obtained in in situ and laboratory; ii an automation or semi-automation of the detection of pathologies in Villamayor Stone; iii discriminate the different types of Villamayor Stone used in the façades in function of the radiometric response; iv establish a methodology for detection and assessing of pathologies based on laser scanner intensity data applied to monuments and modern buildings built in Villamayor Stone.

Burnout syndrome--assessment of a stressful job among intensive care staff.

Science.gov (United States)

Cubrilo-Turek, Mirjana; Urek, Roman; Turek, Stjepan

2006-03-01

The purpose of the study was to investigate the degree of burnout experienced by intensive care staff particularly, in Medical (MICU) and Surgical Intensive Care Units (SICU) General Hospital "Sveti Duh", Zagreb. A sample group of 41 emergency physicians and nurses from MICU and 30 from SICU was tested. The survey included demographic data and Maslach Burnout Inventory (MBI) scoring test identified by the three main components associated with burnout: emotional exhaustion (MBI-EE), depersonalization (MBI-DEP), and personal accomplishment (MBI-PA) were assessed using 22-item questionnaire. The degrees of burnout were stratified into low, moderate, and high range. Mean total MBI (X +/- SD) were high in both groups: higher for the MICU (65.5 +/- 6.7) than for SICU staff (55.7 +/- 3.8, p burnout represented in a moderate degree. The presence of burnout is a serious phenomenon, because it can lead to psychosomatic complaints, work-associated withdrawal behaviour, and a lower quality of care at intensive care units. Early recognition of burnout phenomenon as a result of prolonged stress and frustration among intensive care staff, contributes to better professional behavior, organizational structure changes in the work environment and better health care quality for critically ill patients.

La profondità ipocentrale con metodi macrosismici

Directory of Open Access Journals (Sweden)

M. C. SPADEA

1981-06-01

Full Text Available Aim of the present work is to determine the hypocentral depth of
an earthquake by macroseismic methods.
A short hystorical review of the main relations between macroseismic
intensity, acceleration and hypocentral depth from Cancani to the present time has been carried out. Particular care has been pointed out to
Kovesligethy and Blake works. Being the Blake's relation the basis of
all modern methods the y experimental value has been investigated to
apply in Italy in the formula
(/„ _ /„ = y log (Dn/h
using some earthquakes with analitical depth known. There are singled
of two intermediate values of y; one (y valid for Italy in general
Y, = 4.382 ± 2.282
another (yc more specific for central Italy
Y„ = 3.989 ± 1.344
From the investigation the AA. deem that the macroseismic method
cannot anyhow be applied, hence the AA. suggest the following application
limits:
1 for the isoseismals to be used (not more than three around the epic.
2 for the hypocentral depths (only within the crust: h < 33 km
3 for the y value (y < 7.0
To determine quickly the depth (h + 5h, when the intermediate radii rc
of the circles equivalent to the I, II, III isoseismal areas of an earthquake
are been calculated (or measured, a table 3 has been calculated.
In table 4 both the macroseismic and the analitical depths relating
to untilized earthquakes, are compared.
The results obtained in the present work can be improved when the
researchers will have access to a greater lot of earthquakes with known
analitical depth and will be able to associate to a general intermediate
value Y, specific values of ± 5y; for each homogeneous structural unit.
In any case, the results obtained by that, as well by different macroseismic
methods, have always to retain approximate, even if the AA.
tried to furnish a range of ind

State-of-the-art of historical earthquake research in Fennoscandia and the Baltic Republics

Directory of Open Access Journals (Sweden)

V. Nikulin

2004-06-01

Full Text Available We review historical earthquake research in Northern Europe. 'Historical' is defined as being identical with seismic events occurring in the pre-instrumental and early instrumental periods between 1073 and the mid-1960s. The first seismographs in this region were installed in Uppsala, Sweden and Bergen, Norway in 1904-1905, but these mechanical pendulum instruments were broad band and amplification factors were modest at around 500. Until the 1960s few modern short period electromagnetic seismographs were deployed. Scientific earthquake studies in this region began during the first decades of the 1800s, while the systematic use of macroseismic questionnaires commenced at the end of that century. Basic research efforts have vigorously been pursued from the 1970s onwards because of the mandatory seismic risk studies for commissioning nuclear power plants in Sweden, Finland, NW Russia, Kola and installations of huge oil platforms in the North Sea. The most comprehensive earthquake database currently available for Northern Europe is the FENCAT catalogue covering about six centuries and representing the accumulation of work conducted by many scientists during the last 200 years. This catalogue is given in parametric form, while original macroseismic observations and intensity maps for the largest earthquakes can be found in various national publications, often in local languages. No database giving intensity data points exists in computerized form for the region. The FENCAT catalogue still contains some spurious events of various kinds but more serious are some recent claims that some of the presumed largest historical earthquakes have been assigned too large magnitude values, which would have implications for earthquake hazard levels implemented in national building codes. We discuss future cooperative measures such as establishing macroseismic data archives as a means for promoting further research on historical earthquakes in Northern Europe.

Assessment at UK medical schools varies substantially in volume, type and intensity and correlates with postgraduate attainment.

Science.gov (United States)

Devine, Oliver Patrick; Harborne, Andrew Christopher; McManus, I C

2015-09-11

In the United Kingdom (UK), medical schools are free to develop local systems and policies that govern student assessment and progression. Successful completion of an undergraduate medical degree results in the automatic award of a provisional licence to practice medicine by the General Medical Council (GMC). Such a licensing process relies heavily on the assumption that individual schools develop similarly rigorous assessment policies. Little work has evaluated variability of undergraduate medical assessment between medical schools. That absence is important in the light of the GMC's recent announcement of the introduction of the UKMLA (UK Medical Licensing Assessment) for all doctors who wish to practise in the UK. The present study aimed to quantify and compare the volume, type and intensity of summative assessment across medicine (A100) courses in the United Kingdom, and to assess whether intensity of assessment correlates with the postgraduate attainment of doctors from these schools. Locally knowledgeable students in each school were approached to take part in guided-questionnaire interviews via telephone or Skype(TM). Their understanding of assessment at their medical school was probed, and later validated with the assessment department of the respective medical school. We gathered data for 25 of 27 A100 programmes in the UK and compared volume, type and intensity of assessment between schools. We then correlated these data with the mean first-attempt score of graduates sitting MRCGP and MRCP(UK), as well as with UKFPO selection measures. The median written assessment volume across all schools was 2000 min (mean = 2027, SD = 586, LQ = 1500, UQ = 2500, range = 1000-3200) and 1400 marks (mean = 1555, SD = 463, LQ = 1200, UQ = 1800, range = 1100-2800). The median practical assessment volume was 400 min (mean = 472, SD = 207, LQ = 400, UQ = 600, range = 200-1000). The median intensity (minutes per mark ratio) of summative written assessment was 1.24 min per mark

Rapid Assessment of Seismic Vulnerability in Palestinian Refugee Camps

Science.gov (United States)

Al-Dabbeek, Jalal N.; El-Kelani, Radwan J.

Studies of historical and recorded earthquakes in Palestine demonstrate that damaging earthquakes are occurring frequently along the Dead Sea Transform: Earthquake of 11 July 1927 (ML 6.2), Earthquake of 11 February 2004 (ML 5.2). In order to reduce seismic vulnerability of buildings, losses in lives, properties and infrastructures, an attempt was made to estimate the percentage of damage degrees and losses at selected refugee camps: Al Ama`ri, Balata and Dhaishe. Assessing the vulnerability classes of building structures was carried out according to the European Macro-Seismic Scale 1998 (EMS-98) and the Fedral Emergency Management Agency (FEMA). The rapid assessment results showed that very heavy structural and non structural damages will occur in the common buildings of the investigated Refugee Camps (many buildings will suffer from damages grades 4 and 5). Bad quality of buildings in terms of design and construction, lack of uniformity, absence of spaces between the building and the limited width of roads will definitely increase the seismic vulnerability under the influence of moderate-strong (M 6-7) earthquakes in the future.

Humans rely on the same rules to assess emotional valence and intensity in conspecific and dog vocalizations.

Science.gov (United States)

Faragó, Tamás; Andics, Attila; Devecseri, Viktor; Kis, Anna; Gácsi, Márta; Miklósi, Adám

2014-01-01

Humans excel at assessing conspecific emotional valence and intensity, based solely on non-verbal vocal bursts that are also common in other mammals. It is not known, however, whether human listeners rely on similar acoustic cues to assess emotional content in conspecific and heterospecific vocalizations, and which acoustical parameters affect their performance. Here, for the first time, we directly compared the emotional valence and intensity perception of dog and human non-verbal vocalizations. We revealed similar relationships between acoustic features and emotional valence and intensity ratings of human and dog vocalizations: those with shorter call lengths were rated as more positive, whereas those with a higher pitch were rated as more intense. Our findings demonstrate that humans rate conspecific emotional vocalizations along basic acoustic rules, and that they apply similar rules when processing dog vocal expressions. This suggests that humans may utilize similar mental mechanisms for recognizing human and heterospecific vocal emotions.

Assessing Low-Intensity Relationships in Complex Networks

Science.gov (United States)

Spitz, Andreas; Gimmler, Anna; Stoeck, Thorsten; Zweig, Katharina Anna; Horvát, Emőke-Ágnes

2016-01-01

Many large network data sets are noisy and contain links representing low-intensity relationships that are difficult to differentiate from random interactions. This is especially relevant for high-throughput data from systems biology, large-scale ecological data, but also for Web 2.0 data on human interactions. In these networks with missing and spurious links, it is possible to refine the data based on the principle of structural similarity, which assesses the shared neighborhood of two nodes. By using similarity measures to globally rank all possible links and choosing the top-ranked pairs, true links can be validated, missing links inferred, and spurious observations removed. While many similarity measures have been proposed to this end, there is no general consensus on which one to use. In this article, we first contribute a set of benchmarks for complex networks from three different settings (e-commerce, systems biology, and social networks) and thus enable a quantitative performance analysis of classic node similarity measures. Based on this, we then propose a new methodology for link assessment called z* that assesses the statistical significance of the number of their common neighbors by comparison with the expected value in a suitably chosen random graph model and which is a consistently top-performing algorithm for all benchmarks. In addition to a global ranking of links, we also use this method to identify the most similar neighbors of each single node in a local ranking, thereby showing the versatility of the method in two distinct scenarios and augmenting its applicability. Finally, we perform an exploratory analysis on an oceanographic plankton data set and find that the distribution of microbes follows similar biogeographic rules as those of macroorganisms, a result that rejects the global dispersal hypothesis for microbes. PMID:27096435

Designing a Method for AN Automatic Earthquake Intensities Calculation System Based on Data Mining and On-Line Polls

Science.gov (United States)

Liendo Sanchez, A. K.; Rojas, R.

2013-05-01

Seismic intensities can be calculated using the Modified Mercalli Intensity (MMI) scale or the European Macroseismic Scale (EMS-98), among others, which are based on a serie of qualitative aspects related to a group of subjective factors that describe human perception, effects on nature or objects and structural damage due to the occurrence of an earthquake. On-line polls allow experts to get an overview of the consequences of an earthquake, without going to the locations affected. However, this could be a hard work if the polls are not properly automated. Taking into account that the answers given to these polls are subjective and there is a number of them that have already been classified for some past earthquakes, it is possible to use data mining techniques in order to automate this process and to obtain preliminary results based on the on-line polls. In order to achieve these goal, a predictive model has been used, using a classifier based on a supervised learning techniques such as decision tree algorithm and a group of polls based on the MMI and EMS-98 scales. It summarized the most important questions of the poll, and recursive divides the instance space corresponding to each question (nodes), while each node splits the space depending on the possible answers. Its implementation was done with Weka, a collection of machine learning algorithms for data mining tasks, using the J48 algorithm which is an implementation of the C4.5 algorithm for decision tree models. By doing this, it was possible to obtain a preliminary model able to identify up to 4 different seismic intensities with 73% correctly classified polls. The error obtained is rather high, therefore, we will update the on-line poll in order to improve the results, based on just one scale, for instance the MMI. Besides, the integration of automatic seismic intensities methodology with a low error probability and a basic georeferencing system, will allow to generate preliminary isoseismal maps

The Bereaved Parent Needs Assessment: a new instrument to assess the needs of parents whose children died in the pediatric intensive care unit*.

Science.gov (United States)

Meert, Kathleen L; Templin, Thomas N; Michelson, Kelly N; Morrison, Wynne E; Hackbarth, Richard; Custer, Joseph R; Schim, Stephanie M; Briller, Sherylyn H; Thurston, Celia S

2012-11-01

To evaluate the reliability and validity of the Bereaved Parent Needs Assessment, a new instrument to measure parents' needs and need fulfillment around the time of their child's death in the pediatric intensive care unit. We hypothesized that need fulfillment would be negatively related to complicated grief and positively related to quality of life during bereavement. Cross-sectional survey. Five U.S. children's hospital pediatric intensive care units. Parents (n = 121) bereaved in a pediatric intensive care unit 6 months earlier. Surveys included the 68-item Bereaved Parent Needs Assessment, the Inventory of Complicated Grief, and the abbreviated version of the World Health Organization Quality of Life questionnaire. Each Bereaved Parent Needs Assessment item described a potential need and was rated on two scales: 1) a 5-point rating of importance (1 = not at all important, 5 = very important) and 2) a 5-point rating of fulfillment (1 = not at all met, 5 = completely met). Three composite scales were computed: 1) total importance (percentage of all needs rated ≥4 for importance), 2) total fulfillment (percentage of all needs rated ≥4 for fulfillment), and 3) percent fulfillment (percentage of important needs that were fulfilled). Internal consistency reliability was assessed by Cronbach's α and Spearman-Brown-corrected split-half reliability. Generalized estimating equations were used to test predictions between composite scales and the Inventory of Complicated Grief and World Health Organization Quality of Life questionnaire. Two items had mean importance ratings 4. Reliability of composite scores ranged from 0.92 to 0.94. Total fulfillment was negatively correlated with Inventory of Complicated Grief (r = -.29; p Quality of Life questionnaire (r = .21; p education, and loss of an only child, percent fulfillment remained significantly correlated with Inventory of Complicated Grief but not with World Health Organization Quality of Life questionnaire. The

The Emilia 2012 sequence: a macroseismic survey

Directory of Open Access Journals (Sweden)

Andrea Tertulliani

2012-10-01

Full Text Available On May 20, 2012, at 4:03 local time (2:03 UTC, a large part of the Po Valley between the cities of Ferrara, Modena and Mantova was struck by a damaging earthquake (Ml 5.9. The epicenter was located by the Istituto Nazionale di Geo-fisica e Vulcanologia (INGV seismic network [ISIDe 2010] at 44.889 ˚N and 11.228 ˚E, approximately 30 km west of Ferrara (Figure 1. The event was preceded by a foreshock that occurred at 01:13 local time, with a magnitude of Ml 4. The mainshock started an intense seismic sequence that lasted for weeks, counting more than 2,000 events, six of which had Ml >5. The strongest earthquakes of this sequence occurred on May 29, 2012, with Ml 5.8 and Ml 5.3, recorded at 9:00 and 12:55 local time, respectively. The epicenters of the May 29, 2012, events were located at the westernmost part of the rupture zone of the May 20, 2012, earthquake (Figure 2. The May 20 and 29, 2012, earthquakes were felt through the whole of northern and central Italy, and as far as Switzerland, Slovenia, Croatia, Austria, south-eastern France and southern Germany. Historical information reveals that the seismic activity in the Po Valley is moderate […

Earthquake Magnitude and Shaking Intensity Dependent Fragility Functions for Rapid Risk Assessment of Buildings

Directory of Open Access Journals (Sweden)

Marie-José Nollet

2018-01-01

Full Text Available An integrated web application, referred to as ER2 for rapid risk evaluator, is under development for a user-friendly seismic risk assessment by the non-expert public safety community. The assessment of likely negative consequences is based on pre-populated databases of seismic, building inventory and vulnerability parameters. To further accelerate the computation for near real-time analyses, implicit building fragility curves were developed as functions of the magnitude and the intensity of the seismic shaking defined with a single intensity measure, input spectral acceleration at 1.0 s implicitly considering the epicentral distance and local soil conditions. Damage probabilities were compared with those obtained with the standard fragility functions explicitly considering epicentral distances and local site classes in addition to the earthquake magnitudes and respective intensity of the seismic shaking. Different seismic scenarios were considered first for 53 building classes common in Eastern Canada, and then a reduced number of 24 combined building classes was proposed. Comparison of results indicate that the damage predictions with implicit fragility functions for short (M ≤ 5.5 and medium strong motion duration (5.5 < M ≤ 7.5 show low variation with distance and soil class, with average error of less than 3.6%.

Tangshan 1976 earthquake: Modelling of the SH-wave motion in the area of Xiji-Langfu

International Nuclear Information System (INIS)

Sun, R.

1995-06-01

The reasons for the anomalous high macroseismic intensity caused in the Xiji-Langfu area by the Tangshan, 1976 earthquake can be found in its special geological conditions. This area is formed of deep deposits beside the Xiadian fault, that consist mainly of alluvium sands and clays, which are poorly consolidated with high water content. Resonances, excitation of local surface waves and their propagation cause strong amplifications and long durations of signals. Based on simulated strong ground motion, we have computed quantities commonly used for engineering purposes: the maximum amplitude (AMAX) and the total energy of ground motion (W), which is related to the Arias Intensity. AMAX and W do not decrease gradually as the epicentral distance increases, since the low velocities and the thickness of the deposits are responsible for the large increment of the values of AMAX and W inside the basin. On the two sides of the Xiadian fault AMAX and W can vary by 200% and 700% respectively. This computational result can be used to explain the large macroseismic intensity observed in the Xiji-Langfu area, in connection with the Tangshan earthquake. The spectral ratios show that over the whole area significant amplifications occur in the range of frequencies from 0.3 Hz to 1.5 Hz, while the largest amplification is above 6 and takes place around 3 Hz at a distance of about 112 km. from the epicentre. (author). 18 refs, 15 figs, 2 tabs

Assessing changes in a patient's condition - perspectives of intensive care nurses.

Science.gov (United States)

Kvande, Monica; Delmar, Charlotte; Lykkeslet, Else; Storli, Sissel Lisa

2017-03-01

To explore the phenomenon of assessing changes in patients' conditions in intensive care units from the perspectives of experienced intensive care nurses. Providing safe care for patients in intensive care units requires an awareness and perception of the signs that indicate changes in a patient's condition. Nurses in intensive care units play an essential role in preventing the deterioration of a patient's condition and in improving patient outcomes. This hermeneutic phenomenological study conducted close observations and in-depth interviews with 11 intensive care nurses. The nurses' experience ranged from 7 to 28 years in the intensive care unit. Data were collected at two intensive care units in two Norwegian university hospitals. The analysis was performed using the reflective methods of van Manen. An overarching theme of 'sensitive situational attention' was identified, in which the nurses were sensitive in relation to a patient and understood the significance of a given situation. This theme was further unfolded in four subthemes: (1) being sensitive and emotionally present, (2) being systematic and concentrating, (3) being physically close to the bedside and (4) being trained and familiar with the routines. Nurses understand each patient's situation and foresee clinical eventualities through a sensitive and attentive way of thinking and working. This requires nurses to be present at the bedside with both their senses (sight, hearing, smell and touch) and emotions and to work in a concentrated and systematic manner. Knowledge about the unique patient exists in interplay with past experiences and medical knowledge, which are essential for nurses to understand the situation. Clinical practice should develop routines that enable nurses to be present at the bedside and to work in a concentrated and systematic manner. Furthermore, providing safe care requires nurses to be sensitive and attentive to each patient's unique situation. © 2016 British Association of

Assessing the itching intensity using visual analogue scales in atopic dermatitis patients against the background of a therapy with calcineurin inhibitors

Directory of Open Access Journals (Sweden)

V. V. Chikin

2016-01-01

Full Text Available Goal. To assess the effect of topical treatment of atopic dermatitis patients with the 0.1% tacrolimus ointment on the itching intensity and skin expression level of growth factor proteins affecting the intensity of cutaneous innervation. Materials and methods. Fifteen patients suffering from atopic dermatitis underwent treatment with the 0.1% tacrolimus ointment. The SCORAD index was calculated to assess the severity of clinical manifestations. The itching intensity was assessed using a visual analogue scale. The skin expression of nerve growth factors, amphiregulin, semaphorin 3A and PGP9.5 protein (a nerve fiber marker was assessed by the indirect immunofluorescence method. Results. An increased expression of the nerve growth factor and reduced semaphorin 3A expression levels were noted in the patients’ epidermis; there was an increase in the quantity, mean length and fluorescence intensity of PGP9.5+ nerve fibers. As a result of the treatment, the disease severity and itching intensity were reduced, the nerve growth factor expression level was reduced while semaphorin 3A expression level increased in the epidermis, and the mean length and fluorescence intensity of PGP9.5+ nerve fibers was also reduced. A positive correlation among the itching intensity and nerve growth factor expression level, quantity and mean length of PGP9.5+ nerve fibers in the epidermis was revealed, and negative correlation between the itching intensity and semaphorin 3A expression level in the epidermis was established. Conclusion. Topical treatment with the 0.1% Tacrolimus ointment reduces the itching intensity in atopic dermatitis patients, which is related to the therapy-mediated reduction in the epidermis innervation level, decreased expression of epidermal nerve growth factor and increased semaphorin 3A expression level.

Revised seismic hazard map for the Kyrgyz Republic

Science.gov (United States)

Fleming, Kevin; Ullah, Shahid; Parolai, Stefano; Walker, Richard; Pittore, Massimiliano; Free, Matthew; Fourniadis, Yannis; Villiani, Manuela; Sousa, Luis; Ormukov, Cholponbek; Moldobekov, Bolot; Takeuchi, Ko

2017-04-01

As part of a seismic risk study sponsored by the World Bank, a revised seismic hazard map for the Kyrgyz Republic has been produced, using the OpenQuake-engine developed by the Global Earthquake Model Foundation (GEM). In this project, an earthquake catalogue spanning a period from 250 BCE to 2014 was compiled and processed through spatial and temporal declustering tools. The territory of the Kyrgyz Republic was divided into 31 area sources defined based on local seismicity, including a total area covering 200 km from the border. The results are presented in terms of Peak Ground Acceleration (PGA). In addition, macroseismic intensity estimates, making use of recent intensity prediction equations, were also provided, given that this measure is still widely used in Central Asia. In order to accommodate the associated epistemic uncertainty, three ground motion prediction equations were used in a logic tree structure. A set of representative earthquake scenarios were further identified based on historical data and the nature of the considered faults. The resulting hazard map, as expected, follows the country's seismicity, with the highest levels of hazard in the northeast, south and southwest of the country, with an elevated part around the centre. When considering PGA, the hazard is slightly greater for major urban centres than in previous works (e.g., Abdrakhmatov et al., 2003), although the macroseismic intensity estimates are less than previous studies, e.g., Ulomov (1999). For the scenario assessments, the examples that most affect the urban centres assessed are the Issyk Ata fault (in particular for Bishkek), the Chilik and Kemin faults (in particular Balykchy and Karakol), the Ferghana Valley fault system (in particular Osh, Jalah-Abad and Uzgen), the Oinik Djar fault (Naryn) and the central and western Talas-Ferghanafaukt (Talas). Finally, while site effects (in particular, those dependent on the upper-most geological structure) have an obvious effect on the

Seismic hazard assessment in the Catania and Siracusa urban areas (Italy) through different approaches

Science.gov (United States)

Panzera, Francesco; Lombardo, Giuseppe; Rigano, Rosaria

2010-05-01

The seismic hazard assessment (SHA) can be performed using either Deterministic or Probabilistic approaches. In present study a probabilistic analysis was carried out for the Catania and Siracusa towns using two different procedures: the 'site' (Albarello and Mucciarelli, 2002) and the 'seismotectonic' (Cornell 1968; Esteva, 1967) methodologies. The SASHA code (D'Amico and Albarello, 2007) was used to calculate seismic hazard through the 'site' approach, whereas the CRISIS2007 code (Ordaz et al., 2007) was adopted in the Esteva-Cornell procedure. According to current international conventions for PSHA (SSHAC, 1997), a logic tree approach was followed to consider and reduce the epistemic uncertainties, for both seismotectonic and site methods. The code SASHA handles the intensity data taking into account the macroseismic information of past earthquakes. CRISIS2007 code needs, as input elements, a seismic catalogue tested for completeness, a seismogenetic zonation and ground motion predicting equations. Data concerning the characterization of regional seismic sources and ground motion attenuation properties were taken from the literature. Special care was devoted to define source zone models, taking into account the most recent studies on regional seismotectonic features and, in particular, the possibility of considering the Malta escarpment as a potential source. The combined use of the above mentioned approaches allowed us to obtain useful elements to define the site seismic hazard in Catania and Siracusa. The results point out that the choice of the probabilistic model plays a fundamental role. It is indeed observed that when the site intensity data are used, the town of Catania shows hazard values higher than the ones found for Siracusa, for each considered return period. On the contrary, when the Esteva-Cornell method is used, Siracusa urban area shows higher hazard than Catania, for return periods greater than one hundred years. The higher hazard observed

Assessment of the worldwide burden of critical illness: the Intensive Care Over Nations (ICON) audit

NARCIS (Netherlands)

Vincent, J.L.; Marshall, J.C.; Namendys-Silva, S.A.; Francois, B.; Martin-Loeches, I.; Lipman, J.; Reinhart, K.; Antonelli, M.; Pickkers, P.; Njimi, H.; Jimenez, E.; Sakr, Y.; investigators, I.

2014-01-01

BACKGROUND: Global epidemiological data regarding outcomes for patients in intensive care units (ICUs) are scarce, but are important in understanding the worldwide burden of critical illness. We, therefore, did an international audit of ICU patients worldwide and assessed variations between

Holistic needs assessment in advanced, intensively treated multiple myeloma patients.

Science.gov (United States)

Boland, E G; Boland, J W; Ezaydi, Y; Greenfield, D M; Ahmedzai, S H; Snowden, J A

2014-10-01

It is recommended that patients with multiple myeloma should be assessed for unmet holistic needs at key times in their disease trajectory. The aim of this exploratory study was to characterise the holistic needs of advanced, intensively treated multiple myeloma using a structured assessment tool. Patients with multiple myeloma who had undergone a haematopoietic stem cell transplantation and subsequent treatment for at least one episode of progressive disease but were in stable plateau phase were included in the study. Patients' holistic needs were assessed using the self-reporting tool, Sheffield Profile for Assessment and Referral for Care (SPARC). Thirty-two patients with a median age of 60 years at assessment and a median of 5.5 years from diagnosis were recruited. Using the SPARC, half of the patients reported tiredness as 'quite a bit/very much,' while one third complained that daytime somnolence and insomnia were 'quite a bit/very much.' Forty-four percent of patients reported pain. One third of patients were bothered and distressed by the side effects from their treatment and were worried about long-term effects of their treatment. Thirty-one percent of patients felt that the effect of their condition had an impact on their sexual life, and 40 % were worried about the effect that their illness was having on their family or other people. This is the first study to use a self-reported holistic needs assessment tool in multiple myeloma. A multidimensional structured questionnaire like the SPARC could provide a useful first step in the effective delivery of supportive and palliative care for patients with multiple myeloma.

Empirical relations between instrumental and seismic parameters of some strong earthquakes of Colombia

International Nuclear Information System (INIS)

Marin Arias, Juan Pablo; Salcedo Hurtado, Elkin de Jesus; Castillo Gonzalez, Hardany

2008-01-01

In order to establish the relationships between macroseismic and instrumental parameters, macroseismic field of 28 historical earthquakes that produced great effects in the Colombian territory were studied. The integration of the parameters was made by using the methodology of Kaussel and Ramirez (1992), for great Chilean earthquakes; Kanamori and Anderson (1975) and Coppersmith and Well (1994) for world-wide earthquakes. Once determined the macroseismic and instrumental parameters it was come to establish the model of the source of each earthquake, with which the data base of these parameters was completed. For each earthquake parameters related to the local and normal macroseismic epicenter were complemented, depth of the local and normal center, horizontal extension of both centers, vertical extension of the normal center, model of the source, area of rupture. The obtained empirical relations from linear equations, even show behaviors very similar to the found ones by other authors for other regions of the world and to world-wide level. The results of this work allow establishing that certain mutual non compatibility exists between the area of rupture and the length of rupture determined by the macroseismic methods, with parameters found with instrumental data like seismic moment, Ms magnitude and Mw magnitude.

Risk-Informed Safety Assurance and Probabilistic Assessment of Mission-Critical Software-Intensive Systems

Science.gov (United States)

Guarro, Sergio B.

2010-01-01

This report validates and documents the detailed features and practical application of the framework for software intensive digital systems risk assessment and risk-informed safety assurance presented in the NASA PRA Procedures Guide for Managers and Practitioner. This framework, called herein the "Context-based Software Risk Model" (CSRM), enables the assessment of the contribution of software and software-intensive digital systems to overall system risk, in a manner which is entirely compatible and integrated with the format of a "standard" Probabilistic Risk Assessment (PRA), as currently documented and applied for NASA missions and applications. The CSRM also provides a risk-informed path and criteria for conducting organized and systematic digital system and software testing so that, within this risk-informed paradigm, the achievement of a quantitatively defined level of safety and mission success assurance may be targeted and demonstrated. The framework is based on the concept of context-dependent software risk scenarios and on the modeling of such scenarios via the use of traditional PRA techniques - i.e., event trees and fault trees - in combination with more advanced modeling devices such as the Dynamic Flowgraph Methodology (DFM) or other dynamic logic-modeling representations. The scenarios can be synthesized and quantified in a conditional logic and probabilistic formulation. The application of the CSRM method documented in this report refers to the MiniAERCam system designed and developed by the NASA Johnson Space Center.

Does exercise motivation predict engagement in objectively assessed bouts of moderate-intensity exercise? A self-determination theory perspective.

Science.gov (United States)

Standage, Martyn; Sebire, Simon J; Loney, Tom

2008-08-01

This study examined the utility of motivation as advanced by self-determination theory (Deci & Ryan, 2000) in predicting objectively assessed bouts of moderate intensity exercise behavior. Participants provided data pertaining to their exercise motivation. One week later, participants wore a combined accelerometer and heart rate monitor (Actiheart; Cambridge Neurotechnology Ltd) and 24-hr energy expenditure was estimated for 7 days. After controlling for gender and a combined marker of BMI and waist circumference, results showed autonomous motivation to positively predict moderate-intensity exercise bouts of >or=10 min, or=20 min, and an accumulation needed to meet public health recommendations for moderate intensity activity (i.e., ACSM/AHA guidelines). The present findings add bouts of objectively assessed exercise behavior to the growing body of literature that documents the adaptive consequences of engaging in exercise for autonomous reasons. Implications for practice and future work are discussed.

Radiologic assessment in the pediatric intensive care unit

International Nuclear Information System (INIS)

Markowitz, R.I.

1984-01-01

The severely ill infant or child who requires admission to a pediatric intensive care unit (PICU) often presents with a complex set of problems necessitating multiple and frequent management decisions. Diagnostic imaging plays an important role, not only in the initial assessment of the patient's condition and establishing a diagnosis, but also in monitoring the patient's progress and the effects of interventional therapeutic measures. Bedside studies obtained using portable equipment are often limited but can provide much useful information when a careful and detailed approach is utilized in producing the radiograph and interpreting the examination. This article reviews some of the basic principles of radiographic interpretation and details some of the diagnostic points which, when promptly recognized, can lead to a better understanding of the patient's condition and thus to improved patient care and management. While chest radiography is stressed, studies of other regions including the upper airway, abdomen, skull, and extremities are discussed. A brief consideration of the expanding role of new modality imaging (i.e., ultrasound, CT) is also included. Multiple illustrative examples of common and uncommon problems are shown

A plastic stress intensity factor approach to turbine disk structural integrity assessment

Directory of Open Access Journals (Sweden)

V. Shlyannikov

2016-07-01

Full Text Available This study based on a new fracture mechanics parameter is concerned with assessing the integrity of cracked steam turbine disk which operate under startup-shutdown cyclic loading conditions. Damage accumulation and growth in service have occurred on the inner surface of slot fillet of key. In order to determine elastic-plastic fracture mechanics parameters full-size stress-strain state analysis of turbine disk was performed for a quote-elliptical part-through cracks under considering loading conditions. As a result distributions of elastic and plastic stress intensity factors along crack front in slot fillet of key of turbine disk depending on surface crack form are defined. An engineering approach to the prediction of carrying capacity of cracked turbine disk which is sensitive to the loading history at maintenance is proposed. The predictions of the rate of crack growth and residual lifetime of steam turbine disk are compared for elastic and elastic-plastic solutions. It is shown that the previously proposed elastic crack growth models provide overestimate the lifetime with respect to the present one. An advantage to use the plastic stress intensity factor to characterize the fracture resistance as the self-dependent unified parameter for a variety of turbine disk configurations rather than the magnitude of the elastic stress intensity factors alone is discussed.

The Provence earthquake 11 June 1909. Macro seismie observations

International Nuclear Information System (INIS)

Levret, A.; Goula, X.

1988-03-01

Since 1975 in order to be in conformity with the requirements of the French nuclear program, a review of historical seismicity was undertaken in France. The assessment of seismic hazard for the safety of nuclear plants is in fact based upon a seismotectonic approach which needs to take into account the macroseismic data of the reference earthquake. The discovery of an unpublished document (SPIESS 1914) containing a very detailed description of the effects of the 11th june 1909 Provence earthquake at 809 points in the epicentral area (geological and topographical characteristics, description of the buildings and the damage incurred, as well as the description of each seismic shock felt and the direction of ground motion), has made it possible, among other things, to draw up an isoseismal map and to correlate local variations in intensity with the geological and topographical features [fr

Facial feature tracking: a psychophysiological measure to assess exercise intensity?

Science.gov (United States)

Miles, Kathleen H; Clark, Bradley; Périard, Julien D; Goecke, Roland; Thompson, Kevin G

2018-04-01

The primary aim of this study was to determine whether facial feature tracking reliably measures changes in facial movement across varying exercise intensities. Fifteen cyclists completed three, incremental intensity, cycling trials to exhaustion while their faces were recorded with video cameras. Facial feature tracking was found to be a moderately reliable measure of facial movement during incremental intensity cycling (intra-class correlation coefficient = 0.65-0.68). Facial movement (whole face (WF), upper face (UF), lower face (LF) and head movement (HM)) increased with exercise intensity, from lactate threshold one (LT1) until attainment of maximal aerobic power (MAP) (WF 3464 ± 3364mm, P exercise intensities (UF minus LF at: LT1, 1048 ± 383mm; LT2, 1208 ± 611mm; MAP, 1401 ± 712mm; P exercise intensity.

Application of a Multiplex Quantitative PCR to Assess Prevalence and Intensity Of Intestinal Parasite Infections in a Controlled Clinical Trial

DEFF Research Database (Denmark)

Llewellyn, Stacey; Inpankaew, Tawin; Nery, Susana Vaz

2016-01-01

Background Accurate quantitative assessment of infection with soil transmitted helminths and protozoa is key to the interpretation of epidemiologic studies of these parasites, as well as for monitoring large scale treatment efficacy and effectiveness studies. As morbidity and transmission...... of helminth infections are directly related to both the prevalence and intensity of infection, there is particular need for improved techniques for assessment of infection intensity for both purposes. The current study aimed to evaluate two multiplex PCR assays to determine prevalence and intensity...... of intestinal parasite infections, and compare them to standard microscopy. Methodology/Principal Findings Faecal samples were collected from a total of 680 people, originating from rural communities in Timor-Leste (467 samples) and Cambodia (213 samples). DNA was extracted from stool samples and subject to two...

An integrated DEA PCA numerical taxonomy approach for energy efficiency assessment and consumption optimization in energy intensive manufacturing sectors

International Nuclear Information System (INIS)

Azadeh, A.; Amalnick, M.S.; Ghaderi, S.F.; Asadzadeh, S.M.

2007-01-01

This paper introduces an integrated approach based on data envelopment analysis (DEA), principal component analysis (PCA) and numerical taxonomy (NT) for total energy efficiency assessment and optimization in energy intensive manufacturing sectors. Total energy efficiency assessment and optimization of the proposed approach considers structural indicators in addition conventional consumption and manufacturing sector output indicators. The validity of the DEA model is verified and validated by PCA and NT through Spearman correlation experiment. Moreover, the proposed approach uses the measure-specific super-efficiency DEA model for sensitivity analysis to determine the critical energy carriers. Four energy intensive manufacturing sectors are discussed in this paper: iron and steel, pulp and paper, petroleum refining and cement manufacturing sectors. To show superiority and applicability, the proposed approach has been applied to refinery sub-sectors of some OECD (Organization for Economic Cooperation and Development) countries. This study has several unique features which are: (1) a total approach which considers structural indicators in addition to conventional energy efficiency indicators; (2) a verification and validation mechanism for DEA by PCA and NT and (3) utilization of DEA for total energy efficiency assessment and consumption optimization of energy intensive manufacturing sectors

20 CFR 669.380 - What is the objective assessment that is authorized as an intensive service?

Science.gov (United States)

2010-04-01

... training participant through the use of diagnostic testing and other assessment tools. The methods used by... authorized as an intensive service? 669.380 Section 669.380 Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR NATIONAL FARMWORKER JOBS PROGRAM UNDER TITLE I OF THE WORKFORCE INVESTMENT...

Relative emissions intensity of dairy production systems: employing different functional units in life-cycle assessment.

Science.gov (United States)

Ross, S A; Topp, C F E; Ennos, R A; Chagunda, M G G

2017-08-01

This study aimed to assess the merit and suitability of individual functional units (FU) in expressing greenhouse gas emissions intensity in different dairy production systems. An FU provides a clearly defined and measurable reference to which input and output data are normalised. This enables the results from life-cycle assessment (LCA) of different systems to be treated as functionally equivalent. Although the methodological framework of LCA has been standardised, selection of an appropriate FU remains ultimately at the discretion of the individual study. The aim of the present analysis was to examine the effect of different FU on the emissions intensities of different dairy production systems. Analysis was based on 7 years of data (2004 to 2010) from four Holstein-Friesian dairy systems at Scotland's Rural College's long-term genetic and management systems project, the Langhill herd. Implementation of LCA accounted for the environmental impacts of the whole-farm systems and their production of milk from 'cradle to farm gate'. Emissions intensity was determined as kilograms of carbon dioxide equivalents referenced to six FU: UK livestock units, energy-corrected milk yield, total combined milk solids yield, on-farm land used for production, total combined on- and off-farm land used for production, and the proposed new FU-energy-corrected milk yield per hectare of total land used. Energy-corrected milk was the FU most effective for reflecting differences between the systems. Functional unit that incorporated a land-related aspect did not find difference between systems which were managed under the same forage regime, despite their comprising different genetic lines. Employing on-farm land as the FU favoured grazing systems. The proposed dual FU combining both productivity and land use did not differentiate between emissions intensity of systems as effectively as the productivity-based units. However, this dual unit displayed potential to quantify in a simple way

Assessment of subjective intensity of pain during ultrasonic supragingival calculus removal: A comparative study

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Sachin Malagi

2014-01-01

Full Text Available Background: The background of the following study is to measure the subjective intensity of pain using the verbal rating scale (VRS during supragingival scaling in relation to mandibular anteriors, with an ultrasonic scaler, with 2 different inserts (Slimline and Focus spray- split mouth study. Materials and Methods: A total of 30 subjects with a combination of 17 males and 13 females with the chronic generalized gingivitis with a minimum calculus score of 1 (CSSI - Ennever J 1961 who reported to Department of Periodontics, Yenepoya Dental College, Mangalore were chosen for the study. Ultrasonic magnetostrictive scaler unit CAVITRON BOBCAT PRO ® - (DENTSPLY with maximum power setting at 130A and 25kHZ frequency with 2 different inserts i.e., Slim line insert and Focus spray (DENTSPLY were used for supragingival scaling in the study. A VRS was used to assess the subjective intensity of pain. Results: There was no statistically significant difference in pain perception when the scores were compared using Wilcoxon signed rank test. VRS rating scores with slimline inserts showed a pain intensity of 2 in 43.3%, 1 in 53.3% and 0 in 3.3%, whereas the focus spray insert showed a pain intensity of 1 in 23.3% and 0 in 76.7%. Statistical analysis showed a P = 0.251 and a z - 1.147 a . Conclusions: The use of both Slim line insert and Focus spray inserts when used at same settings of the scaling unit, showed no statistical significant difference in the intensity of pain perceived and it showed no correlation between patient acceptance and their pain perception.

Impact of PCA Strategies on Pain Intensity and Functional Assessment Measures in Adults with Sickle Cell Disease during Hospitalized Vaso-Occlusive Episodes

OpenAIRE

Dampier, Carlton D.; Wager, Carrie G.; Harrison, Ryan; Hsu, Lewis L.; Minniti, Caterina P.; Smith, Wally R.

2012-01-01

Clinical trials of sickle cell disease (SCD) pain treatment usually observe only small decrements in pain intensity during the course of hospitalization. Sub-optimal analgesic management and inadequate pain assessment methods are possible explanations for these findings. In a search for better methods for assessing inpatient SCD pain in adults, we examined several pain intensity and interference measures in both arms of a randomized controlled trial comparing two different opioid PCA therapie...

Assessment of intensity effort of middle-aged adults practicing regular walking.

Science.gov (United States)

Silva, Anderson A; Lima, Daniela A; Vieira, Gabriella F; Fernandes, Aline A; Pereira, Danielle A G

2015-01-01

Walking is one of the most commonly recommended activities for sedentary individuals. When performed at the correct intensity, it can provide cardiovascular, respiratory, metabolic, and other benefits by providing a training effect in addition to reducing the risk of death from cardiovascular diseases and other chronic health conditions. The primary aim of this study was to assess whether individuals who practiced regular unsupervised walking carry out the activity safely and with sufficient effort intensity parameters to have a positive physiological (training) effect. The secondary objective was to compare the training heart rate (HR) and the stability of the HR within the ideal range of training between the sexes. Individuals were selected from walking tracks within the city of Belo Horizonte, Brazil. The study included subjects from 40 to 60 years of age who had practiced walking for at least two months prior to the study, walking at least three times a week. Individuals who agreed to participate in the survey were asked to walk 15 minutes at their usual pace with their HR measured every 5 minutes using a heart rate monitor. Their average walking HR was compared to the average training HR based on the formula: (220 - age) × 70 to 80% that would result in a positive physiological training effect. Of the 142 individuals evaluated, 25.4% achieved the average training HR. This result was significantly lower than those who did not achieve the average training HR while walking (p=0.002). There were significant differences between men and women who had reached the training HR (p=0.0001). The authors found that individuals who walk regularly performed outside the range of the ideal HR intensity that would cause a positive physiological effect and therefore would probably not achieve a beneficial training effect while walking.

Assessment of intensity effort of middle-aged adults practicing regular walking

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Anderson A. Silva

2015-12-01

Full Text Available Background: Walking is one of the most commonly recommended activities for sedentary individuals. When performed at the correct intensity, it can provide cardiovascular, respiratory, metabolic, and other benefits by providing a training effect in addition to reducing the risk of death from cardiovascular diseases and other chronic health conditions. Objectives: The primary aim of this study was to assess whether individuals who practiced regular unsupervised walking carry out the activity safely and with sufficient effort intensity parameters to have a positive physiological (training effect. The secondary objective was to compare the training heart rate (HR and the stability of the HR within the ideal range of training between the sexes. Method: Individuals were selected from walking tracks within the city of Belo Horizonte, Brazil. The study included subjects from 40 to 60 years of age who had practiced walking for at least two months prior to the study, walking at least three times a week. Individuals who agreed to participate in the survey were asked to walk 15 minutes at their usual pace with their HR measured every 5 minutes using a heart rate monitor. Their average walking HR was compared to the average training HR based on the formula: (220 - age × 70 to 80% that would result in a positive physiological training effect. Results: Of the 142 individuals evaluated, 25.4% achieved the average training HR. This result was significantly lower than those who did not achieve the average training HR while walking (p=0.002. There were significant differences between men and women who had reached the training HR (p=0.0001. Conclusion: The authors found that individuals who walk regularly performed outside the range of the ideal HR intensity that would cause a positive physiological effect and therefore would probably not achieve a beneficial training effect while walking.

Irpinia 1980, Southern Latium and Abruzzi National Park 1984, Zafferana Etnea (Sicily) 1984, Mexico City 1985 earthquakes: Catalogues of damage

International Nuclear Information System (INIS)

Sofo, G.

1987-01-01

The iconographic and descriptive documentation is collected in catalogues which are compiled in the most objective form in order to permit: (1) the determination of the behaviour of typologies and structural details; (2) the assessment of their relations with the aspects of buildings as a whole; (3) the comparison with analogue or sharply different typologies. The aim of catalogues is to establish an irreplaceble experimental basis for studies devoted to: - verify deficiencies or properties of design and building techniques; - verify possible insufficiency of antiseismic regulations; - establish univoque correlations between structural effects and macroseismic intensity. Catalogues give also reliable information for building seismic instrumentation programs, e.g. the one that ENEA is developing in cooperation with the Ministry of Works. Catalogues have been framed into a necessary compromise between representative completeness and the exigencies of survey over a sufficiently large number of buildings. (orig./HP)

Nurses' Knowledge and Responsibility toward Nutritional Assessment for Patients in Intensive Care Units

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Mahmoud Al Kalaldeh

2014-09-01

Full Text Available Introduction: Nutritional assessment is a prerequisite for nutritional delivery. Patients in intensive care suffer from under-nutrition and nutritional failure due to poor assessment. Nursing ability to early detect nutritional failure is the key for minimizing imparities in practice and attaining nutritional goals. Aim of this article is to examine the ability of Jordanian ICU nurses to assess the nutritional status of critically ill patients, considering biophysical and biochemical measures.Methods: This cross sectional study recruited nurses from different health sectors in Jordan. ICU nurses from the governmental sector (two hospitals and private sectors (two hospitals were surveyed using a self-administered questionnaire. Nurses' knowledge and responsibility towards nutritional assessment were examined.Results: A total of 220 nurses from both sectors have completed the questionnaire. Nurses were consistent in regard to knowledge, responsibility, and documentation of nutritional assessment. Nurses in the governmental hospitals inappropriately perceived the application of aspiration reduction measures. However, they scored higher in applying physical examination and anthropometric assessment.  Although both nurses claimed higher use of biochemical measurements, biophysical measurements were less frequently used. Older nurses with longer clinical experience exhibited better adherence to biophysical measurement than younger nurses.Conclusion: Nursing nutritional assessment is still suboptimal to attain nutritional goals. Assessment of body weight, history of nutrition intake, severity of illness, and function of gastrointestinal tract should be considered over measuring albumin and pre-albumin levels.  A well-defined evidence-based protocol as well as a multidisciplinary nutritional team for nutritional assessment is the best to minimize episodes of under-nutrition.

Earthquakes in the territory of the Federal Republic of Germany in 1981

International Nuclear Information System (INIS)

1984-01-01

Seismic activity in the territory of the Federal Republik of Germany with marginal areas in 1981 was low on the whole; in accordance with the maximum intensity observed-category VI - no damage was recorded. As compared to the previous years only few and predominantly slight events occured in the areas known for their proneness to earthquakes: local magnitudes of M1 0 N - 55 0 N and 5 0 E - 15 0 E and corresponded to the magnitude M1 >= 2.0 or were recorded macroseismically. (orig./HP) [de

Validation and Evaluation of Two Observational Pain Assessment Tools in a Trauma and Neurosurgical Intensive Care Unit

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Jane Topolovec-Vranic

2013-01-01

Full Text Available BACKGROUND: Studies have demonstrated that patients in the intensive care unit experience high levels of pain. While many of these patients are nonverbal at some point during their stay, there are few valid tools available to assess pain in this group.

A laboratory assessment of the measurement accuracy of weighing type rainfall intensity gauges

Science.gov (United States)

Colli, M.; Chan, P. W.; Lanza, L. G.; La Barbera, P.

2012-04-01

In recent years the WMO Commission for Instruments and Methods of Observation (CIMO) fostered noticeable advancements in the accuracy of precipitation measurement issue by providing recommendations on the standardization of equipment and exposure, instrument calibration and data correction as a consequence of various comparative campaigns involving manufacturers and national meteorological services from the participating countries (Lanza et al., 2005; Vuerich et al., 2009). Extreme events analysis is proven to be highly affected by the on-site RI measurement accuracy (see e.g. Molini et al., 2004) and the time resolution of the available RI series certainly constitutes another key-factor in constructing hyetographs that are representative of real rain events. The OTT Pluvio2 weighing gauge (WG) and the GEONOR T-200 vibrating-wire precipitation gauge demonstrated very good performance under previous constant flow rate calibration efforts (Lanza et al., 2005). Although WGs do provide better performance than more traditional Tipping Bucket Rain gauges (TBR) under continuous and constant reference intensity, dynamic effects seem to affect the accuracy of WG measurements under real world/time varying rainfall conditions (Vuerich et al., 2009). The most relevant is due to the response time of the acquisition system and the derived systematic delay of the instrument in assessing the exact weight of the bin containing cumulated precipitation. This delay assumes a relevant role in case high resolution rain intensity time series are sought from the instrument, as is the case of many hydrologic and meteo-climatic applications. This work reports the laboratory evaluation of Pluvio2 and T-200 rainfall intensity measurements accuracy. Tests are carried out by simulating different artificial precipitation events, namely non-stationary rainfall intensity, using a highly accurate dynamic rainfall generator. Time series measured by an Ogawa drop counter (DC) at a field test site

Intensity of interprofessional collaboration among intensive care nurses at a tertiary hospital.

Science.gov (United States)

Serrano-Gemes, G; Rich-Ruiz, M

To measure the intensity of interprofessional collaboration (IPC) in nurses of an intensive care unit (ICU) at a tertiary hospital, to check differences between the dimensions of the Intensity of Interprofessional Collaboration Questionnaire, and to identify the influence of personal variables. A cross-sectional descriptive study was conducted with 63 intensive care nurses selected by simple random sampling. Explanatory variables: age, sex, years of experience in nursing, years of experience in critical care, workday type and work shift type; variable of outcome: IPC. The IPC was measured by: Intensity of Interprofessional Collaboration Questionnaire. Descriptive and bivariate statistical analysis (IPC and its dimensions with explanatory variables). 73.8% were women, with a mean age of 46.54 (±6.076) years. The average years experience in nursing and critical care was 23.03 (±6.24) and 14.25 (±8.532), respectively. 77% had a full time and 95.1% had a rotating shift. 62.3% obtained average IPC values. Statistically significant differences were found (P<.05) between IPC (overall score) and overall assessment with years of experience in critical care. This study shows average levels of IPC; the nurses with less experience in critical care obtained higher IPC and overall assessment scores. Copyright © 2016 Sociedad Española de Enfermería Intensiva y Unidades Coronarias (SEEIUC). Publicado por Elsevier España, S.L.U. All rights reserved.

Une raison suffisante pour redéfinir l’intensité sismique: éviter des erreurs dans l’estimation de l’aléa sismique

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Ioan Sorin BORCIA

2011-01-01

Full Text Available The object of the paper is represented by an attempt to contribute to an adaptation of the concept of seismic intensity to the needs of engineering activities. A first condition in this connection is to pay the attention due to the spectral contents of ground motion. A case where rough approaches have led to erroneous estimates of ground motion severity, resulting in erroneous hazard estimates is presented. The main conclusion derived is represented by the strong need to specify the spectral interval for which macroseismic data are relevant and, as a consequence, to consider (and even to define seismic intensity derived from post-earthquake surveys as related to a certain spectral interval. A methodology proposed in order to define and determine seismic intensity on the basis of instrumental data and, moreover, to define and determine seismic intensity spectra is then presented. Some illustrative examples are given.

[Ethic rounds in intensive care. Possible instrument for a clinical-ethical assessment in intensive care units].

Science.gov (United States)

Scheffold, N; Paoli, A; Gross, J; Riemann, U; Hennersdorf, M

2012-10-01

Ethical problems, such as medical end-of-life decisions or withdrawing life-sustaining treatment are viewed as an essential task in intensive care units. This article presents the ethics rounds as an instrument for evaluation of ethical problems in intensive care medicine units. The benchmarks of ethical reflection during the ethics rounds are considerations of ethical theory of principle-oriented medical ethics. Besides organizational aspects and the institutional framework, the role of the ethicist is described. The essential evaluation steps, as a basis of the ethics rounds are presented. In contrast to the clinical ethics consultation, the ethicist in the ethics rounds model is integrated as a member of the ward round team. Therefore ethical problems may be identified and analyzed very early before the conflict escalates. This preventive strategy makes the ethics rounds a helpful instrument in intensive care units.

Intensive Care Unit Nurses' Beliefs About Delirium Assessment and Management.

Science.gov (United States)

Oosterhouse, Kimberly J; Vincent, Catherine; Foreman, Marquis D; Gruss, Valerie A; Corte, Colleen; Berger, Barbara

2016-10-01

Delirium, the most frequent complication of hospitalized older adults, particularly in intensive care units (ICUs), can result in increased mortality rates and length of stay. Nurses are neither consistently identifying nor managing delirium in these patients. The purpose of this study was to explore ICU nurses' identification of delirium, actions they would take for patients with signs or symptoms of delirium, and beliefs about delirium assessment and management. In this cross-sectional study using qualitative descriptive methods guided by the theory of planned behavior, 30 ICU nurses' responses to patient vignettes depicting different delirium subtypes were explored. Descriptive and content analyses revealed that nurses did not consistently identify delirium; their actions varied in different vignettes. Nurses believed that they needed adequate staffing, balanced workload, interprofessional collaboration, and established policy and protocols to identify and manage delirium successfully. Research is needed to determine if implementing these changes increases recognition and decreases consequences of delirium. ©2016 American Association of Critical-Care Nurses.

Ecological momentary assessment of the relationship between headache pain intensity and pain interference in women with migraine and obesity.

Science.gov (United States)

Thomas, J Graham; Pavlovic, Jelena; Lipton, Richard B; Roth, Julie; Rathier, Lucille; O'Leary, Kevin C; Buse, Dawn C; Evans, E Whitney; Bond, Dale S

2016-11-01

Background While pain intensity during migraine headache attacks is known to be a determinant of interference with daily activities, no study has evaluated: (a) the pain intensity-interference association in real-time on a per-headache basis, (b) multiple interference domains, and (c) factors that modify the association. Methods Participants were 116 women with overweight/obesity and migraine seeking behavioral treatment to lose weight and decrease headaches in the Women's Health and Migraine trial. Ecological momentary assessment, via smartphone-based 28-day headache diary, and linear mixed-effects models were used to study associations between pain intensity and total- and domain-specific interference scores using the Brief Pain Inventory. Multiple factors (e.g. pain catastrophizing (PC) and headache management self-efficacy (HMSE)) were evaluated either as independent predictors or moderators of the pain intensity-interference relationship. Results Pain intensity predicted degree of pain interference across all domains either as a main effect (coeff = 0.61-0.78, p < 0.001) or interaction with PC, allodynia, and HMSE ( p < 0.05). Older age and greater allodynia consistently predicted higher interference, regardless of pain intensity (coeff = 0.04-0.19, p < 0.05). Conclusions Pain intensity is a consistent predictor of pain interference on migraine headache days. Allodynia, PC, and HMSE moderated the pain intensity-interference relationship, and may be promising targets for interventions to reduce pain interference.

Life cycle assessment of intensive striped catfish farming in the Mekong Delta for screening hotspots as input to environmental policy and research agenda

NARCIS (Netherlands)

Bosma, R.H.; Pham Thi Ahn,; Potting, J.

2011-01-01

Purpose Intensive striped catfish production in the Mekong Delta has, in recent years, raised environmental concerns. We conducted a stakeholder-based screening life cycle assessment (LCA) of the intensive farming system to determine the critical environmental impact and their causative processes in

Benchmarking Dosimetric Quality Assessment of Prostate Intensity-Modulated Radiotherapy

International Nuclear Information System (INIS)

Senthi, Sashendra; Gill, Suki S.; Haworth, Annette; Kron, Tomas; Cramb, Jim; Rolfo, Aldo; Thomas, Jessica; Duchesne, Gillian M.; Hamilton, Christopher H.; Joon, Daryl Lim; Bowden, Patrick; Foroudi, Farshad

2012-01-01

Purpose: To benchmark the dosimetric quality assessment of prostate intensity-modulated radiotherapy and determine whether the quality is influenced by disease or treatment factors. Patients and Methods: We retrospectively analyzed the data from 155 consecutive men treated radically for prostate cancer using intensity-modulated radiotherapy to 78 Gy between January 2007 and March 2009 across six radiotherapy treatment centers. The plan quality was determined by the measures of coverage, homogeneity, and conformity. Tumor coverage was measured using the planning target volume (PTV) receiving 95% and 100% of the prescribed dose (V 95% and V 100% , respectively) and the clinical target volume (CTV) receiving 95% and 100% of the prescribed dose. Homogeneity was measured using the sigma index of the PTV and CTV. Conformity was measured using the lesion coverage factor, healthy tissue conformity index, and the conformity number. Multivariate regression models were created to determine the relationship between these and T stage, risk status, androgen deprivation therapy use, treatment center, planning system, and treatment date. Results: The largest discriminatory measurements of coverage, homogeneity, and conformity were the PTV V 95% , PTV sigma index, and conformity number. The mean PTV V 95% was 92.5% (95% confidence interval, 91.3–93.7%). The mean PTV sigma index was 2.10 Gy (95% confidence interval, 1.90–2.20). The mean conformity number was 0.78 (95% confidence interval, 0.76–0.79). The treatment center independently influenced the coverage, homogeneity, and conformity (all p 95% only, with it being better at the start (p = .013). Risk status, T stage, and the use of androgen deprivation therapy did not influence any aspect of plan quality. Conclusion: Our study has benchmarked measures of coverage, homogeneity, and conformity for the treatment of prostate cancer using IMRT. The differences seen between centers and planning systems and the coverage

Assessing a Tornado Climatology from Global Tornado Intensity Distributions

OpenAIRE

Feuerstein, B.; Dotzek, N.; Grieser, J.

2005-01-01

Recent work demonstrated that the shape of tornado intensity distributions from various regions worldwide is well described by Weibull functions. This statistical modeling revealed a strong correlation between the fit parameters c for shape and b for scale regardless of the data source. In the present work it is shown that the quality of the Weibull fits is optimized if only tornado reports of F1 and higher intensity are used and that the c–b correlation does indeed reflect a universal featur...

Fast algal eco-toxicity assessment: Influence of light intensity and exposure time on Chlorella vulgaris inhibition by atrazine and DCMU.

Science.gov (United States)

Camuel, Alexandre; Guieysse, Benoit; Alcántara, Cynthia; Béchet, Quentin

2017-06-01

In order to develop a rapid assay suitable for algal eco-toxicity assessments under conditions representative of natural ecosystems, this study evaluated the short-term (Chlorella vulgaris was exposed to these herbicides under 'standard' low light intensity (as prescribed by OECD201 guideline), the 20min-EC 50 values recorded via oxygen productivity (atrazine: 1.32±0.07μM; DCMU: 0.31±0.005μM) were similar the 96-h EC 50 recorded via algal growth (atrazine: 0.56μM; DCMU: 0.41μM), and within the range of values reported in the literature. 20min-EC50 values increased by factors of 3.0 and 2.1 for atrazine and DCMU, respectively, when light intensity increased from 60 to 1400μmolm -2 s -1 of photosynthetically active radiation, or PAR. Further investigation showed that exposure time significantly also impacted the sensitivity of C. vulgaris under high light intensity (>840μmolm -2 s -1 as PAR) as the EC 50 for atrazine and DCMU decreased by up to 6.2 and 2.1 folds, respectively, after 50min of exposure at a light irradiance of 1400μmolm -2 s -1 as PAR. This decrease was particularly marked at high light intensities and low algae concentrations and is explained by the herbicide disruption of the electron transfer chain triggering photo-inhibition at high light intensities. Eco-toxicity assessments aiming to understand the potential impact of toxic compounds on natural ecosystems should therefore be performed over sufficient exposure times (>20min for C. vulgaris) and under light intensities relevant to these ecosystems. Copyright © 2017 Elsevier Inc. All rights reserved.

Assessing infrared intensity using the evaporation rate of liquid hydrogen inside a cryogenic integrating sphere for laser fusion targets

Science.gov (United States)

Iwano, K.; Iwamoto, A.; Asahina, T.; Yamanoi, K.; Arikawa, Y.; Nagatomo, H.; Nakai, M.; Norimatsu, T.; Azechi, H.

2017-07-01

Infrared (IR) heating processes have been studied to form a deuterium layer in an inertial confinement fusion target. To understand the relationship between the IR intensity and the fuel layering time constant, we have developed a new method to assess the IR intensity during irradiation. In our method, a glass flask acting as a dummy target is filled with liquid hydrogen (LH2) and is then irradiated with 2-μm light. The IR intensity is subsequently calculated from the time constant of the LH2 evaporation rate. Although LH2 evaporation is also caused by the heat inflow from the surroundings and by the background heat, the evaporation rate due to IR heating can be accurately determined by acquiring the time constant with and without irradiation. The experimentally measured IR intensity is 0.66 mW/cm2, which agrees well with a value estimated by considering the IR photon energy balance. Our results suggest that the present method can be used to measure the IR intensity inside a cryogenic system during IR irradiation of laser fusion targets.

Assessing infrared intensity using the evaporation rate of liquid hydrogen inside a cryogenic integrating sphere for laser fusion targets.

Science.gov (United States)

Iwano, K; Iwamoto, A; Asahina, T; Yamanoi, K; Arikawa, Y; Nagatomo, H; Nakai, M; Norimatsu, T; Azechi, H

2017-07-01

Infrared (IR) heating processes have been studied to form a deuterium layer in an inertial confinement fusion target. To understand the relationship between the IR intensity and the fuel layering time constant, we have developed a new method to assess the IR intensity during irradiation. In our method, a glass flask acting as a dummy target is filled with liquid hydrogen (LH 2 ) and is then irradiated with 2-μm light. The IR intensity is subsequently calculated from the time constant of the LH 2 evaporation rate. Although LH 2 evaporation is also caused by the heat inflow from the surroundings and by the background heat, the evaporation rate due to IR heating can be accurately determined by acquiring the time constant with and without irradiation. The experimentally measured IR intensity is 0.66 mW/cm 2 , which agrees well with a value estimated by considering the IR photon energy balance. Our results suggest that the present method can be used to measure the IR intensity inside a cryogenic system during IR irradiation of laser fusion targets.

The Implementation of Pain Management and Assessment in Neonatal Intensive Care Units of Teaching Hospitals Affiliated to Tehran University of Medical Sciences

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O Rahimi

2017-06-01

Full Text Available BACKGROUND AND OBJECTIVE: Neonatal pain causes changes in the structure and function of brain in addition to acute physiologic symptoms and is followed by delayed development of infants. This study aims to determine the implementation of pain management and assessment in neonatal intensive care units. METHODS: This cross-sectional study was conducted among 138 nurses working in neonatal intensive care units through census. The data were collected using researcher – made questionnaire including two parts: pain management and assessment and demographic information. The minimum and maximum scores were 0 and 552, respectively, shown in the form of percentage. FINDINGS: At a response rate of 80.23%, the mean age of participants was 31.76±5.41 years and the mean experience of nurses working in a neonatal intensive care unit was 4.36 ± 3.58 years. The cases of implementation of pain management and assessment were as follows: care management for pain reduction (72.8%, allow parents to relieve pain (68.5%, swaddling (66.7%, pain assessment while implementing therapeutic and caring measures (62.9%, the use of sucrose solution (61.6%, teaching parents about observing pain symptoms in the infant’s face (58.7%, recording infant’s pain behaviors and the method for relieving the pain (52.4%, pain assessment at least every 4 hours (52.2% and the use of valid tools for pain assessment (36.8%. CONCLUSION: According to the results of this study, pain management and assessment was implemented in more than half of the cases.

The prevalence, intensity, and assessment of craving for MDMA/ecstasy in recreational users.

Science.gov (United States)

Davis, Alan K; Rosenberg, Harold

2014-01-01

This study evaluated the prevalence, intensity, and correlates of craving for MDMA/ecstasy among recreational users employing a new multi-item, self-report questionnaire reflecting experiences of desire, intention to use, and anticipated loss of control. Using a web-based data collection procedure, we recruited MDMA/ecstasy users (n = 240) to rate their agreement with eight craving statements immediately before and immediately following 90 seconds of exposure to either ecstasy-related or control stimuli. Participants then completed questionnaires to measure ecstasy refusal self-efficacy, passionate engagement in ecstasy use, substance use history, and demographic information. Fifty percent of participants indicated some level of agreement with at least two (out of eight) statements indicative of craving and 30% agreed at some level with six or more such statements. The questionnaire used to assess craving was internally consistent, unidimensional, and had excellent one-week test-retest reliability. Craving scores varied as a function of both cue exposure and frequency of ecstasy use, and were significantly associated with ecstasy-related attitudes. Recreational users of MDMA/ecstasy endorse some experiences indicative of craving for this drug, even though only a minority report intense craving following explicit cue exposure.

Assessment of earthquake effects - contribution from online communication

Science.gov (United States)

D'Amico, Sebastiano; Agius, Matthew; Galea, Pauline

2014-05-01

The rapid increase of social media and online newspapers in the last years have given the opportunity to make a national investigation on macroseismic effects on the Maltese Islands based on felt earthquake reports. A magnitude 4.1 earthquake struck close to Malta on Sunday 24th April 2011 at 13:02 GMT. The earthquake was preceded and followed by a series of smaller magnitude quakes throughout the day, most of which were felt by the locals on the island. The continuous news media coverage during the day and the extensive sharing of the news item on social media resulted in a strong public response to fill in the 'Did you feel it?' online form on the website of the Seismic Monitoring and Research Unit (SMRU) at the University of Malta (http://seismic.research.um.edu.mt/). The results yield interesting information about the demographics of the island, and the different felt experiences possibly relating to geological settings and diverse structural and age-classified buildings. Based on this case study, the SMRU is in the process of developing a mobile phone application dedicated to share earthquake information to the local community. The application will automatically prompt users to fill in a simplified 'Did you feel it?' report to potentially felt earthquakes. Automatic location using Global Positioning Systems can be incorporated to provide a 'real time' intensity map that can be used by the Civil Protection Department.

Method for screening prevention and control measures and technologies based on groundwater pollution intensity assessment

Energy Technology Data Exchange (ETDEWEB)

Li, Juan, E-mail: lijuan@craes.org.cn [College of Water Sciences, Beijing Normal University, Beijing 100875 (China); Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Yang, Yang [College of Environment, Beijing Normal University, Beijing 100875 (China); Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Huan, Huan; Li, Mingxiao [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Xi, Beidou, E-mail: xibd413@yeah.net [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Lanzhou Jiaotong University, Lanzhou 730070 (China); Lv, Ningqing [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China); Wu, Yi [Guizhou Academy of Environmental Science and Designing, Guizhou 550000 (China); Xie, Yiwen, E-mail: qin3201@126.com [School of Chemical and Environmental Engineering, Dongguan University of Technology, Dongguan, 523808 (China); Li, Xiang; Yang, Jinjin [Chinese Research Academy of Environmental Sciences, Beijing 100012 (China); State Environmental Protection Key Laboratory of Simulation and Control of Groundwater Pollution, Beijing, 100012 (China)

2016-05-01

index-based methodology to assess the groundwater pollution intensity (GPI). • GPI assessment includes PSH assessment and GIV assessment. • Measures to prevent and control groundwater pollution based on GPI assessment. • An index-based methodology for prevention and control technologies (PCT) screening. • PCT screening based on GPI assessment results and TOPSIS method.

Method for screening prevention and control measures and technologies based on groundwater pollution intensity assessment

International Nuclear Information System (INIS)

Li, Juan; Yang, Yang; Huan, Huan; Li, Mingxiao; Xi, Beidou; Lv, Ningqing; Wu, Yi; Xie, Yiwen; Li, Xiang; Yang, Jinjin

2016-01-01

index-based methodology to assess the groundwater pollution intensity (GPI). • GPI assessment includes PSH assessment and GIV assessment. • Measures to prevent and control groundwater pollution based on GPI assessment. • An index-based methodology for prevention and control technologies (PCT) screening. • PCT screening based on GPI assessment results and TOPSIS method.

Development and validation of an observation tool for the assessment of nursing pain management practices in intensive care unit in a standardized clinical simulation setting.

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Gosselin, Emilie; Bourgault, Patricia; Lavoie, Stephan; Coleman, Robin-Marie; Méziat-Burdin, Anne

2014-12-01

Pain management in the intensive care unit is often inadequate. There is no tool available to assess nursing pain management practices. The aim of this study was to develop and validate a measuring tool to assess nursing pain management in the intensive care unit during standardized clinical simulation. A literature review was performed to identify relevant components demonstrating optimal pain management in adult intensive care units and to integrate them in an observation tool. This tool was submitted to an expert panel and pretested. It was then used to assess pain management practice during 26 discrete standardized clinical simulation sessions with intensive care nurses. The Nursing Observation Tool for Pain Management (NOTPaM) contains 28 statements grouped into 8 categories, which are grouped into 4 dimensions: subjective assessment, objective assessment, interventions, and reassessment. The tool's internal consistency was calculated at a Cronbach's alpha of 0.436 for the whole tool; the alpha varies from 0.328 to 0.518 for each dimension. To evaluate the inter-rater reliability, intra-class correlation coefficient was used, which was calculated at 0.751 (p nurses' pain management in a standardized clinical simulation. The NOTPaM is the first tool created for this purpose. Copyright © 2014 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.

Human Influence on Tropical Cyclone Intensity

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Sobel, Adam H.; Camargo, Suzana J.; Hall, Timothy M.; Lee, Chia-Ying; Tippett, Michael K.; Wing, Allison A.

2016-01-01

Recent assessments agree that tropical cyclone intensity should increase as the climate warms. Less agreement exists on the detection of recent historical trends in tropical cyclone intensity.We interpret future and recent historical trends by using the theory of potential intensity, which predicts the maximum intensity achievable by a tropical cyclone in a given local environment. Although greenhouse gas-driven warming increases potential intensity, climate model simulations suggest that aerosol cooling has largely canceled that effect over the historical record. Large natural variability complicates analysis of trends, as do poleward shifts in the latitude of maximum intensity. In the absence of strong reductions in greenhouse gas emissions, future greenhouse gas forcing of potential intensity will increasingly dominate over aerosol forcing, leading to substantially larger increases in tropical cyclone intensities.

Validity and reliability of the Thai version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU

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Pipanmekaporn T

2014-05-01

Full Text Available Tanyong Pipanmekaporn,1 Nahathai Wongpakaran,2 Sirirat Mueankwan,3 Piyawat Dendumrongkul,2 Kaweesak Chittawatanarat,3 Nantiya Khongpheng,3 Nongnut Duangsoy31Department of Anesthesiology, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; 2Department of Psychiatry, Faculty of Medicine, Chiang Mai University, Chiang Mai, Thailand; 3Division of Surgical Critical Care and Trauma, Department of Surgery, Chiang Mai University Hospital, Chiang Mai, ThailandPurpose: The purpose of this study was to determine the validity and reliability of the Thai version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU, when compared to the diagnoses made by delirium experts.Patients and methods: This was a cross-sectional study conducted in both surgical intensive care and subintensive care units in Thailand between February–June 2011. Seventy patients aged 60 years or older who had been admitted to the units were enrolled into the study within the first 48 hours of admission. Each patient was randomly assessed as to whether they had delirium by a nurse using the Thai version of the CAM-ICU algorithm (Thai CAM-ICU or by a delirium expert using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision.Results: The prevalence of delirium was found to be 18.6% (n=13 by the delirium experts. The sensitivity of the Thai CAM-ICU’s algorithms was found to be 92.3% (95% confidence interval [CI] =64.0%-99.8%, while the specificity was 94.7% (95% CI =85.4%-98.9%. The instrument displayed good interrater reliability (Cohen’s κ=0.81; 95% CI =0.64-0.99. The time taken to complete the Thai CAM-ICU was 1 minute (interquatile range, 1-2 minutes.Conclusion: The Thai CAM-ICU demonstrated good validity, reliability, and ease of use when diagnosing delirium in a surgical intensive care unit setting. The use of this diagnostic tool should be encouraged for daily, routine use, so as to promote the early detection

Application of a Multiplex Quantitative PCR to Assess Prevalence and Intensity Of Intestinal Parasite Infections in a Controlled Clinical Trial

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Llewellyn, Stacey; Inpankaew, Tawin; Nery, Susana Vaz; Gray, Darren J.; Verweij, Jaco J.; Clements, Archie C. A.; Gomes, Santina J.; Traub, Rebecca; McCarthy, James S.

2016-01-01

Background Accurate quantitative assessment of infection with soil transmitted helminths and protozoa is key to the interpretation of epidemiologic studies of these parasites, as well as for monitoring large scale treatment efficacy and effectiveness studies. As morbidity and transmission of helminth infections are directly related to both the prevalence and intensity of infection, there is particular need for improved techniques for assessment of infection intensity for both purposes. The current study aimed to evaluate two multiplex PCR assays to determine prevalence and intensity of intestinal parasite infections, and compare them to standard microscopy. Methodology/Principal Findings Faecal samples were collected from a total of 680 people, originating from rural communities in Timor-Leste (467 samples) and Cambodia (213 samples). DNA was extracted from stool samples and subject to two multiplex real-time PCR reactions the first targeting: Necator americanus, Ancylostoma spp., Ascaris spp., and Trichuris trichiura; and the second Entamoeba histolytica, Cryptosporidium spp., Giardia. duodenalis, and Strongyloides stercoralis. Samples were also subject to sodium nitrate flotation for identification and quantification of STH eggs, and zinc sulphate centrifugal flotation for detection of protozoan parasites. Higher parasite prevalence was detected by multiplex PCR (hookworms 2.9 times higher, Ascaris 1.2, Giardia 1.6, along with superior polyparasitism detection with this effect magnified as the number of parasites present increased (one: 40.2% vs. 38.1%, two: 30.9% vs. 12.9%, three: 7.6% vs. 0.4%, four: 0.4% vs. 0%). Although, all STH positive samples were low intensity infections by microscopy as defined by WHO guidelines the DNA-load detected by multiplex PCR suggested higher intensity infections. Conclusions/Significance Multiplex PCR, in addition to superior sensitivity, enabled more accurate determination of infection intensity for Ascaris, hookworms and

A systematic review of instruments for assessing parent satisfaction with family-centred care in neonatal intensive care units.

Science.gov (United States)

Dall'Oglio, Immacolata; Mascolo, Rachele; Gawronski, Orsola; Tiozzo, Emanuela; Portanova, Anna; Ragni, Angela; Alvaro, Rosaria; Rocco, Gennaro; Latour, Jos M

2018-03-01

This systematic review synthesised and described instruments measuring parent satisfaction with the increasing standard practice of family-centred care (FCC) in neonatal intensive care units. We evaluated 11 studies published from January 2006 to March 2016: two studies validated a parent satisfaction questionnaire, and nine developed or modified previous questionnaires to use as outcome measures in their local settings. Most instruments were not tested on reliability and validity. Only two validated instruments included all six of the FCC principles and could assess parent satisfaction with FCC in neonatal intensive care units and be considered as outcome indicators for further research. ©2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

Urban seismic risk assessment: statistical repair cost data and probable structural losses based on damage scenario—correlation analysis

Science.gov (United States)

Eleftheriadou, Anastasia K.; Baltzopoulou, Aikaterini D.; Karabinis, Athanasios I.

2016-06-01

The current seismic risk assessment is based on two discrete approaches, actual and probable, validating afterwards the produced results. In the first part of this research, the seismic risk is evaluated from the available data regarding the mean statistical repair/strengthening or replacement cost for the total number of damaged structures (180,427 buildings) after the 7/9/1999 Parnitha (Athens) earthquake. The actual evaluated seismic risk is afterwards compared to the estimated probable structural losses, which is presented in the second part of the paper, based on a damage scenario in the referring earthquake. The applied damage scenario is based on recently developed damage probability matrices (DPMs) from Athens (Greece) damage database. The seismic risk estimation refers to 750,085 buildings situated in the extended urban region of Athens. The building exposure is categorized in five typical structural types and represents 18.80 % of the entire building stock in Greece. The last information is provided by the National Statistics Service of Greece (NSSG) according to the 2000-2001 census. The seismic input is characterized by the ratio, a g/ a o, where a g is the regional peak ground acceleration (PGA) which is evaluated from the earlier estimated research macroseismic intensities, and a o is the PGA according to the hazard map of the 2003 Greek Seismic Code. Finally, the collected investigated financial data derived from different National Services responsible for the post-earthquake crisis management concerning the repair/strengthening or replacement costs or other categories of costs for the rehabilitation of earthquake victims (construction and function of settlements for earthquake homeless, rent supports, demolitions, shorings) are used to determine the final total seismic risk factor.

Assessment of eruption intensity using infrasound waveform inversion at Mt. Etna, Italy.

Science.gov (United States)

Diaz Moreno, A.; Iezzi, A. M.; Lamb, O. D.; Zuccarello, L.; Fee, D.; De Angelis, S.

2017-12-01

Mt. Etna, Italy, a 3,330 m stratovolcano, is one of the most active volcanoes in the world. It is topped by five craters: Voragine, Bocca Nuova, the North-East, South-East, and New South-East Crater. Its activity during the past decade can be separated into two main types: i) nearly-continuous degassing interspersed by mild-to-vigorous Strombolian activity within the summit craters, and ii) effusive flank eruptions. In June 2017, we deployed a large temporary network of 14 infrasound sensors (Chaparral UHP60) and 12 broadband seismometers (Guralp EX-120s). We also recorded Thermal Infrared (TIR) and Unmanned Aerial Vehicle images of activity at the summit vents. Our primary objective is to quantify the intensity and mechanisms of infrasound sources at Mt. Etna, and use these results to improve models of volcanic plumes. From June 2017 until the time of writing, the infrasound network detected signals associated with nearly-continuous degassing and discrete small-to-moderate explosions originating at two distinct locations within the Voragine Crater and the New South-East Crater, respectively. During periods of increased explosive activity, we recorded 20-30 discrete events/day with infrasonic amplitudes of up to 7.5 Pa at 1 km distance from the active vent. The explosions exhibited sinusoidal acoustic waveforms, often with similar characteristics, durations of 1-3 s, and a 2 Hz peak frequency. Due to the relatively dense station coverage and the azimuthal distribution of the network, our deployment offers an opportunity to characterize, with unprecedented resolution, infrasound sources at Mt. Etna. Here we present preliminary results of 3D acoustic wave-field simulations, using a Finite Difference Time Domain modelling scheme, and a preliminary assessment of volumetric eruption rates through acoustic waveform inversion. We investigate the effects of local topography and atmospheric winds on the propagation of the acoustic wavefield, and discuss the implications for

Verification of a investment appeal assessment technique of the IT introduction project at the hi-tech knowledge-intensive enterprise

Directory of Open Access Journals (Sweden)

E. V. Shkarupeta

2016-01-01

Full Text Available Need of an assessment of investment appeal of projects, according to authors, is caused also by the fact that the investment project is the independent object of the analysis entering the general program of development, both the knowledge-intensive enterprise, and economy in general. Results of the investment analysis allow the potential owner to determine the term necessary for return of originally invested sum, to calculate real increments of assets from acquisition of property, to estimate potential stability to risks of the cash flow formed by concrete object of property. In article features of an assessment of investment appeal of innovative projects on introduction of information technologies are considered. Methodical approach to innovative development of the knowledge-intensive enterprise is created. Within this approach the main evaluation stages are defined, approaches to an assessment of a discountrate of the IT and innovative project are specified, calculation of key indicators of investment appeal of the innovative project is made. The offered assessment procedure of investment appeal of the investment project of introduction of information technologies will allow the enterprise to choose an optimal variant of implementation of IT solutions which will give the chance to solve the problems revealed during an assessment of his activity. Research is based on the theoretical and methodological provisions, classical and modern fundamental concepts which are contained in works of classics of economic and administrative science and also the domestic and foreign scientists working in the field of the organization and management, the organization and management of innovative development of the knowledge-intensive enterprises. For the solution of the tasks set in article the complex of scientific basic and applied theories, approaches and methods has been used, namely: theory of systems and system analysis, theory of management, theory of

Benchmarking Dosimetric Quality Assessment of Prostate Intensity-Modulated Radiotherapy

Energy Technology Data Exchange (ETDEWEB)

Senthi, Sashendra, E-mail: sasha.senthi@petermac.org [Division of Radiation Oncology, Peter MacCallum Cancer Center, East Melbourne, VIC (Australia); Gill, Suki S. [Division of Radiation Oncology, Peter MacCallum Cancer Center, East Melbourne, VIC (Australia); Haworth, Annette; Kron, Tomas; Cramb, Jim [Department of Physical Sciences, Peter MacCallum Cancer Center, East Melbourne, VIC (Australia); Rolfo, Aldo [Radiation Therapy Services, Peter MacCallum Cancer Center, East Melbourne, VIC (Australia); Thomas, Jessica [Biostatistics and Clinical Trials, Peter MacCallum Cancer Center, East Melbourne, VIC (Australia); Duchesne, Gillian M. [Division of Radiation Oncology, Peter MacCallum Cancer Center, East Melbourne, VIC (Australia); Hamilton, Christopher H.; Joon, Daryl Lim [Radiation Oncology Department, Austin Repatriation Hospital, Heidelberg, VIC (Australia); Bowden, Patrick [Radiation Oncology Department, Tattersall' s Cancer Center, East Melbourne, VIC (Australia); Foroudi, Farshad [Division of Radiation Oncology, Peter MacCallum Cancer Center, East Melbourne, VIC (Australia)

2012-02-01

Purpose: To benchmark the dosimetric quality assessment of prostate intensity-modulated radiotherapy and determine whether the quality is influenced by disease or treatment factors. Patients and Methods: We retrospectively analyzed the data from 155 consecutive men treated radically for prostate cancer using intensity-modulated radiotherapy to 78 Gy between January 2007 and March 2009 across six radiotherapy treatment centers. The plan quality was determined by the measures of coverage, homogeneity, and conformity. Tumor coverage was measured using the planning target volume (PTV) receiving 95% and 100% of the prescribed dose (V{sub 95%} and V{sub 100%}, respectively) and the clinical target volume (CTV) receiving 95% and 100% of the prescribed dose. Homogeneity was measured using the sigma index of the PTV and CTV. Conformity was measured using the lesion coverage factor, healthy tissue conformity index, and the conformity number. Multivariate regression models were created to determine the relationship between these and T stage, risk status, androgen deprivation therapy use, treatment center, planning system, and treatment date. Results: The largest discriminatory measurements of coverage, homogeneity, and conformity were the PTV V{sub 95%}, PTV sigma index, and conformity number. The mean PTV V{sub 95%} was 92.5% (95% confidence interval, 91.3-93.7%). The mean PTV sigma index was 2.10 Gy (95% confidence interval, 1.90-2.20). The mean conformity number was 0.78 (95% confidence interval, 0.76-0.79). The treatment center independently influenced the coverage, homogeneity, and conformity (all p < .0001). The planning system independently influenced homogeneity (p = .038) and conformity (p = .021). The treatment date independently influenced the PTV V{sub 95%} only, with it being better at the start (p = .013). Risk status, T stage, and the use of androgen deprivation therapy did not influence any aspect of plan quality. Conclusion: Our study has benchmarked measures

Canada; Financial Sector Assessment Program-Intensity and Effectiveness of Federal Bank Supervision in Canada-Technical Note

OpenAIRE

International Monetary Fund

2014-01-01

This paper evaluates Financial Sector Assessment Program (FSAP) intensity and effectiveness of Federal Bank supervision in Canada. The IMF report highlights that a key element of effective supervision is a willingness to increase supervisory pressure promptly when a supervisor identifies weaknesses in an institution. The IMF funding for Canadian banks is primarily through deposits and lending focuses on traditional bank products in Canada in the personal and commercial sectors. It also highli...

Fixed or adapted conditioning intensity for repeated conditioned pain modulation.

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Hoegh, M; Petersen, K K; Graven-Nielsen, T

2017-12-29

Aims Conditioned pain modulation (CPM) is used to assess descending pain modulation through a test stimulation (TS) and a conditioning stimulation (CS). Due to potential carry-over effects, sequential CPM paradigms might alter the intensity of the CS, which potentially can alter the CPM-effect. This study aimed to investigate the difference between a fixed and adaptive CS intensity on CPM-effect. Methods On the dominant leg of 20 healthy subjects the cuff pressure detection threshold (PDT) was recorded as TS and the pain tolerance threshold (PTT) was assessed on the non-dominant leg for estimating the CS. The difference in PDT before and during CS defined the CPM-effect. The CPM-effect was assessed four times using a CS with intensities of 70% of baseline PTT (fixed) or 70% of PTT measured throughout the session (adaptive). Pain intensity of the conditioning stimulus was assessed on a numeric rating scale (NRS). Data were analyzed with repeated-measures ANOVA. Results No difference was found comparing the four PDTs assessed before CSs for the fixed and the adaptive paradigms. The CS pressure intensity for the adaptive paradigm was increasing during the four repeated assessments (P CPM-effect was higher using the fixed condition compared with the adaptive condition (P CPM paradigms using a fixed conditioning stimulus produced an increased CPM-effect compared with adaptive and increasing conditioning intensities.

"Turn Up the Taste": Assessing the Role of Taste Intensity and Emotion in Mediating Crossmodal Correspondences between Basic Tastes and Pitch.

Science.gov (United States)

Wang, Qian Janice; Wang, Sheila; Spence, Charles

2016-05-01

People intuitively match basic tastes to sounds of different pitches, and the matches that they make tend to be consistent across individuals. It is, though, not altogether clear what governs such crossmodal mappings between taste and auditory pitch. Here, we assess whether variations in taste intensity influence the matching of taste to pitch as well as the role of emotion in mediating such crossmodal correspondences. Participants were presented with 5 basic tastants at 3 concentrations. In Experiment 1, the participants rated the tastants in terms of their emotional arousal and valence/pleasantness, and selected a musical note (from 19 possible pitches ranging from C2 to C8) and loudness that best matched each tastant. In Experiment 2, the participants made emotion ratings and note matches in separate blocks of trials, then made emotion ratings for all 19 notes. Overall, the results of the 2 experiments revealed that both taste quality and concentration exerted a significant effect on participants' loudness selection, taste intensity rating, and valence and arousal ratings. Taste quality, not concentration levels, had a significant effect on participants' choice of pitch, but a significant positive correlation was observed between individual perceived taste intensity and pitch choice. A significant and strong correlation was also demonstrated between participants' valence assessments of tastants and their valence assessments of the best-matching musical notes. These results therefore provide evidence that: 1) pitch-taste correspondences are primarily influenced by taste quality, and to a lesser extent, by perceived intensity; and 2) such correspondences may be mediated by valence/pleasantness. © The Author 2016. Published by Oxford University Press.

Corroborating a new probabilistic seismic hazard assessment for greater Tokyo from historical intensity observations

Science.gov (United States)

Bozkurt, S.; Stein, R.; Toda, S.

2006-12-01

The long recorded history of earthquakes in Japan affords an opportunity to forecast seismic shaking exclusively from past observations of shaking. For this we analyzed 10,000 intensity observations recorded during AD 1600-2000 in a 350 x 350 km area centered on Tokyo in a Geographic Information System. A frequency-intensity curve is found for each 5 x 5 km cell, and from this the probability of exceeding any intensity level can be estimated. The principal benefits of this approach is that it builds the fewest possible assumptions into a probabilistic seismic forecast, it includes site and source effects without imposing this behavior, and we do not need to know the size or location of any earthquake or the location and slip rate of any fault. The cost is that we must abandon any attempt to make a time-dependent forecast, which could be quite different. We believe the method is suitable to many applications of probabilistic seismic hazard assessment, and to other regions. The two key assumptions are that the slope of the observed frequency-intensity relation at every site is the same, and that the 400-year record is long enough to encompass the full range of seismic behavior. Tests we conduct suggest that both assumptions are sound. The resulting 30-year probability of IJMA>=6 shaking (roughly equivalent to PGA>=0.9 g or MMI=IX-X) is 30-40% in Tokyo, Kawasaki, and Yokohama, and 10-15% in Chiba and Tsukuba, the range reflecting spatial variability and curve-fitting alternatives. The strongest shaking is forecast along the margins of Tokyo Bay, within the river sediments extending northwest from Tokyo, and at coastal sites near the plate boundary faults. We also produce long- term exceedance maps of peak ground acceleration for building code regulations, and short-term hazard maps associated with hypothetical catastrophe bonds. Our results for greater Tokyo resemble our independent Poisson probability developed from conventional seismic hazard analysis, as well as

Substance Abuse Intensive Outpatient Programs: Assessing the Evidence

Science.gov (United States)

McCarty, Dennis; Braude, Lisa; Dougherty, Richard H.; Daniels, Allen S.; Ghose, Sushmita Shoma; Delphin-Rittmon, Miriam E.

2014-01-01

Objective Substance abuse intensive outpatient programs (IOPs) are direct services for people with substance use disorders or co-occurring mental and substance use disorders who do not require medical detoxification or 24-hour supervision. IOPs are alternatives to inpatient and residential treatment. They are designed to establish psychosocial supports and facilitate relapse management and coping strategies. This article assesses their evidence base. Methods Authors searched major databases: PubMed, PsycINFO, Applied Social Sciences Index and Abstracts, Sociological Abstracts, Social Services Abstracts, Published International Literature on Traumatic Stress, the Educational Resources Information Center, and the Cumulative Index to Nursing and Allied Health Literature. They identified 12 individual studies and one review published between 1995 and 2012. They chose from three levels of research evidence (high, moderate, and low) based on benchmarks for the number of studies and quality of their methodology. They also described the evidence of service effectiveness. Results Based on the quality of trials, diversity of settings, and consistency of outcomes, the level of evidence for IOP research was considered high. Multiple randomized trials and naturalistic analyses compared IOPs with inpatient or residential care; these types of services had comparable outcomes. All studies reported substantial reductions in alcohol and drug use between baseline and follow-up. However, substantial variability in the operationalization of IOPs and outcome measures was apparent. Conclusions IOPs are an important part of the continuum of care for alcohol and drug use disorders. They are as effective as inpatient treatment for most individuals seeking care. Public and commercial health plans should consider IOP treatment as a covered health benefit. Standardization of the elements included in IOPs may improve their quality and effectiveness. PMID:24445620

Level and intensity of objectively assessed physical activity among pregnant women from urban Ethiopia

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Hjorth Mads F

2012-12-01

Full Text Available Abstract Background Women in low-income countries are generally considered to have a high physical workload which is sustained during pregnancy. Although most previous studies have been based on questionnaires a recent meta-analysis of doubly labeled water data has raised questions about the actual amount of physical activity performed. In this study we report objectively assessed levels of physical activity, cardiorespiratory fitness and muscular fitness among pregnant urban Ethiopian women, and their association with demographic characteristics and anthropometric measures. Methods Physical activity was measured for seven consecutive days in 304 women using a combined uniaxial accelerometer and heart rate sensor. Activity energy expenditure was determined using a group calibration in a branched equation model framework. Type and duration of activities were reported using a 24-hour physical activity recall and grip strength was assessed using a dynamometer. Results Median (interquartile-range, IQR activity energy expenditure was 31.1 (23.7-42.0 kJ/kg/day corresponding to a median (IQR physical activity level of 1.46 (1.39-1.58. Median (IQR time in sedentary, light, and moderate-to-vigorous intensity was 1100 (999–1175, 303 (223–374 and 40 (22–69 min/day, respectively. Mean (standard deviation sleeping heart rate was 73.6 (8.0 beats/min and grip strength was 21.6 (4.5 kg. Activity energy expenditure was 14% higher for every 10 cm2 difference in arm muscle area and 10% lower for every 10 cm2 difference in arm fat area and 10-week difference in gestational age. Conclusion The level and intensity of physical activity among pregnant women from urban Ethiopia is low compared to non-pregnant women from other low income countries as well as pregnant European women from high-income countries.

How to eliminate non-damaging earthquakes from the results of a probabilistic seismic hazard analysis (PSHA)-A comprehensive procedure with site-specific application

International Nuclear Information System (INIS)

Kluegel, Jens-Uwe

2009-01-01

The results of probabilistic seismic hazard analyses are frequently presented in terms of uniform hazard spectra or hazard curves with spectral accelerations as the output parameter. The calculation process is based on the evaluation of the probability of exceedance of specified acceleration levels without consideration of the damaging effects of the causative earthquakes. The same applies to the empirical attenuation equations for spectral accelerations used in PSHA models. This makes interpreting and using the results in engineering or risk applications difficult. Uniform hazard spectra and the associated hazard curves may contain a significant amount of contributions of weak, low-energy earthquakes not able to damage the seismically designed structures of nuclear power plants. For the development of realistic engineering designs and for realistic seismic probabilistic risk assessments (seismic PRA) it is necessary to remove the contribution of non-damaging earthquakes from the results of a PSHA. A detailed procedure for the elimination of non-damaging earthquakes based on the CAV (Cumulative Absolute Velocity)-filtering approach was developed and applied to the results of the large-scale PEGASOS probabilistic seismic hazard study for the site of the Goesgen nuclear power plant. The procedure considers the full scope of epistemic uncertainty and aleatory variability present in the PEGASOS study. It involves the development of a set of empirical correlations for CAV and the subsequent development of a composite distribution for the probability of exceedance of the damaging threshold of 0.16 gs. Additionally, a method was developed to measure the difference in the damaging effects of earthquakes of different strengths by the ratio of a power function of ARIAS-intensity or, in the ideal case, by the ratio of the square roots of the associated strong motion durations. The procedure was applied for the update of the Goesgen seismic PRA and for the confirmation of a

Development of damage probability matrices based on Greek earthquake damage data

Science.gov (United States)

Eleftheriadou, Anastasia K.; Karabinis, Athanasios I.

2011-03-01

A comprehensive study is presented for empirical seismic vulnerability assessment of typical structural types, representative of the building stock of Southern Europe, based on a large set of damage statistics. The observational database was obtained from post-earthquake surveys carried out in the area struck by the September 7, 1999 Athens earthquake. After analysis of the collected observational data, a unified damage database has been created which comprises 180,945 damaged buildings from/after the near-field area of the earthquake. The damaged buildings are classified in specific structural types, according to the materials, seismic codes and construction techniques in Southern Europe. The seismic demand is described in terms of both the regional macroseismic intensity and the ratio α g/ a o, where α g is the maximum peak ground acceleration (PGA) of the earthquake event and a o is the unique value PGA that characterizes each municipality shown on the Greek hazard map. The relative and cumulative frequencies of the different damage states for each structural type and each intensity level are computed in terms of damage ratio. Damage probability matrices (DPMs) and vulnerability curves are obtained for specific structural types. A comparison analysis is fulfilled between the produced and the existing vulnerability models.

Validation of a measurement tool for self-assessment of teamwork in intensive care.

Science.gov (United States)

Weller, J; Shulruf, B; Torrie, J; Frengley, R; Boyd, M; Paul, A; Yee, B; Dzendrowskyj, P

2013-09-01

Teamwork is an important contributor to patient safety and a validated teamwork measurement tool could help healthcare teams identify areas for improvement and measure progress. We explored the psychometric properties of a teamwork measurement tool when used for self-assessment. We hypothesized that the tool had a valid factor structure and that scores from participants and external assessors would correlate. Forty intensive care teams (one doctor, three nurses) participated in four simulated emergencies, and each independently rated their team's performance at the end of each case using the teamwork measurement tool, without prior training in the use of the tool. We used exploratory factor analysis (EFA) and confirmatory factor analysis (CFA), and compared factor structure between participants and external assessors (using previously reported data). Scores from participants and external assessors were compared using Pearson's correlation coefficient. EFA demonstrated items loaded onto three distinct factors which were supported by the CFA. We found significant correlations between external and participant scores for overall teamwork scores and the three factors. Participants agreed with external assessors on the ranking of overall team performance but scored themselves significantly higher than external assessors. The teamwork measurement tool has a valid structure when used for self-assessment. Participant and external assessor scores correlated significantly, suggesting that participants could discriminate between different levels of performance, although leniency in self-assessed scores indicated the need for calibration. This tool could help structure reflection on teamwork and potentially facilitate self-directed, workplace-based improvement in teamwork.

A thousand years of earthquakes in France. Catalogue of epicenters parameters and references

International Nuclear Information System (INIS)

Lambert, J.; Levret-Albaret, A.; Cushing, M.

1996-11-01

Considered as negligible at the worldwide scale and weak at the European scale, the seismicity of the French territory is typical of intra-continental areas with low level of crustal deformations. Therefore, the feedback period of major seismic events is long, and the seismic risk and its consequences on buildings is complex to evaluate. In todays context of urban areas development and because the number of industrial installations and collective equipments is increasing, the protection against this natural disaster even for small magnitude earthquakes is becoming a more and more important task. This statement led the French authorities to take great care of the seismic risk when the French electronuclear program started. Because of the incomplete geophysical, tectonic and seismic data available, a huge program of seismicity revision started in 1975 and has been carried out by the French Bureau of Geologic and Mining Research (BRGM) with the joint financial help of Electricite de France (EdF) and the French Institute for Protection and Nuclear Safety (IPSN). This work has led to the creation of the specific SIRENE database for the collection French historical macro-seismic data. This book is a catalogue of the major characteristics of historical French earthquakes (geographic coordinates, intensities, observations linked and datings) with respect to macro-seismic epicenters. This catalogue is completed by a bibliographic index, a list of references, and statistical diagrams. (J.S.)

Applying life-cycle assessment to low carbon fuel standards-How allocation choices influence carbon intensity for renewable transportation fuels

International Nuclear Information System (INIS)

Kaufman, Andrew S.; Meier, Paul J.; Sinistore, Julie C.; Reinemann, Douglas J.

2010-01-01

The Energy Independence and Security Act (EISA) of 2007 requires life-cycle assessment (LCA) for quantifying greenhouse gas emissions (GHGs) from expanded U.S. biofuel production. To qualify under the Renewable Fuel Standard, cellulosic ethanol and new corn ethanol must demonstrate 60% and 20% lower emissions than petroleum fuels, respectively. A combined corn-grain and corn-stover ethanol system could potentially satisfy a major portion of renewable fuel production goals. This work examines multiple LCA allocation procedures for a hypothetical system producing ethanol from both corn grain and corn stover. Allocation choice is known to strongly influence GHG emission results for corn-ethanol. Stover-derived ethanol production further complicates allocation practices because additional products result from the same corn production system. This study measures the carbon intensity of ethanol fuels against EISA limits using multiple allocation approaches. Allocation decisions are shown to be paramount. Under varying approaches, carbon intensity for corn ethanol was 36-79% that of gasoline, while carbon intensity for stover-derived ethanol was -10% to 44% that of gasoline. Producing corn-stover ethanol dramatically reduced carbon intensity for corn-grain ethanol, because substantially more ethanol is produced with only minor increases in emissions. Regulatory considerations for applying LCA are discussed.

Pain still hurts : pain assessment and pain management in intensive care patients

NARCIS (Netherlands)

S.J.G.M. Ahlers (Sabine)

2012-01-01

textabstractIntensive care patients are subject to many factors that may influence the patients’ state of comfort or distress. Pain is the main cause of distress experienced by many adult intensive care patients, which can be caused by different factors like underlying disease, prolonged immobility

High Intensity Exercise in Multiple Sclerosis

DEFF Research Database (Denmark)

Wens, Inez; Dalgas, Ulrik; Vandenabeele, Frank

2015-01-01

Introduction Low-to-moderate intensity exercise improves muscle contractile properties and endurance capacity in multiple sclerosis (MS). The impact of high intensity exercise remains unknown. Methods Thirty-four MS patients were randomized into a sedentary control group (SED, n = 11) and 2...... exercise groups that performed 12 weeks of a high intensity interval (HITR, n = 12) or high intensity continuous cardiovascular training (HCTR, n = 11), both in combination with resistance training. M.vastus lateralis fiber cross sectional area (CSA) and proportion, knee-flexor/extensor strength, body...... composition, maximal endurance capacity and self-reported physical activity levels were assessed before and after 12 weeks. Results Compared to SED, 12 weeks of high intensity exercise increased mean fiber CSA (HITR: +21±7%, HCTR: +23±5%). Furthermore, fiber type I CSA increased in HCTR (+29±6%), whereas type...

Impact of PCA Strategies on Pain Intensity and Functional Assessment Measures in Adults with Sickle Cell Disease during Hospitalized Vaso-Occlusive Episodes

Science.gov (United States)

Dampier, Carlton D.; Wager, Carrie G.; Harrison, Ryan; Hsu, Lewis L.; Minniti, Caterina P.; Smith, Wally R.

2012-01-01

Clinical trials of sickle cell disease (SCD) pain treatment usually observe only small decrements in pain intensity during the course of hospitalization. Sub-optimal analgesic management and inadequate pain assessment methods are possible explanations for these findings. In a search for better methods for assessing inpatient SCD pain in adults, we examined several pain intensity and interference measures in both arms of a randomized controlled trial comparing two different opioid PCA therapies. Based upon longitudinal analysis of pain episodes, we found that scores from daily average Visual Analogue Scales (VAS) and several other measures, especially the Brief Pain Inventory (BPI), were sensitive to change in daily improvements in pain intensity associated with resolution of vaso-occlusive pain. In this preliminary trial, the low demand, high basal infusion (LDHI) strategy demonstrated faster, larger improvements in various measures of pain than the high demand, low basal infusion (HDLI) strategy for opioid PCA dosing, however, verification in larger studies is required. The measures and statistical approaches used in this analysis may facilitate design, reduce sample size, and improve analyses of treatment response in future SCD clinical trials of vaso-occlusive episodes. PMID:22886853

Intensity-modulated conformal radiotherapy in the anal canal cancer. Report of technological assessment. Updating of the 2006 report

International Nuclear Information System (INIS)

2015-07-01

As intensity-modulated conformal radiotherapy (IMCR) has already been technologically assessed in 2006 with a positive opinion for some treatments and a negative one for others, and as this technique displays some interesting properties for the treatment of pelvic cancers (optimisation of dose distribution, preservation of sane tissues, reduction of secondary effects during irradiation), this report proposes an assessment of clinical safety and efficiency of IMCR in the treatment of an anal canal cancer. After a discussion of generalities, of histological and epidemiological data, and of knowledge regarding treatment and follow-up of this cancer, the report presents the IMCR technique, some regulatory aspects, and its applications to the considered cancer. The methodology adopted for this assessment is then presented. Based on various studies and clinical results, the IMCR clinical safety and efficiency in the treatment of the anal canal cancer are discussed and assessed. Recommendations produced by different medical professional bodies are reported. Opinion of experts and a synthesis of stakeholders are then proposed

Relationship between meat juiciness intensity scores during chewing

Science.gov (United States)

The objectives were to establish relationships between sensory juiciness intensity scores during chewing. Chicken breast meat was ground, made into 90g patties, and cooked to 78C. Sensory assessment for juiciness was made by a 7-member, trained descriptive panel using a time-intensity method followe...

Assessing the accuracy of weather radar to track intense rain cells in the Greater Lyon area, France

Science.gov (United States)

Renard, Florent; Chapon, Pierre-Marie; Comby, Jacques

2012-01-01

The Greater Lyon is a dense area located in the Rhône Valley in the south east of France. The conurbation counts 1.3 million inhabitants and the rainfall hazard is a great concern. However, until now, studies on rainfall over the Greater Lyon have only been based on the network of rain gauges, despite the presence of a C-band radar located in the close vicinity. Consequently, the first aim of this study was to investigate the hydrological quality of this radar. This assessment, based on comparison of radar estimations and rain-gauges values concludes that the radar data has overall a good quality since 2006. Given this good accuracy, this study made a next step and investigated the characteristics of intense rain cells that are responsible of the majority of floods in the Greater Lyon area. Improved knowledge on these rainfall cells is important to anticipate dangerous events and to improve the monitoring of the sewage system. This paper discusses the analysis of the ten most intense rainfall events in the 2001-2010 period. Spatial statistics pointed towards straight and linear movements of intense rainfall cells, independently on the ground surface conditions and the topography underneath. The speed of these cells was found nearly constant during a rainfall event, but depend from event to ranges on average from 25 to 66 km/h.

Arsenic intensity risk assessment at AngloGold Obuasi goldmine, Ghana, West Africa: Using sorption and geotechnical factors

International Nuclear Information System (INIS)

Nude, P. M.; Sakyi, P. A.; Kwayisi, D.; Foli, G.; Gawu, S. K. Y.; Gidigasu, S. S. R.

2016-01-01

This research evaluated arsenic (As) intensity risk using sorption and geotechnical factors in the AngloGold Obuasi mine environment in Ghana. Water samples from tailings dam boreholes and surface stream were analysed for As contents over a time period of 24 months and over a distance of about 9 km respectively, under closed conditions, where there are no more discharges of waste. The porosity and bulk density of the subsurface material were also determined. Data generated from the mass-time and mass-distance analysis were used to establish as intensity risk assessment model based on documented global as impact data. From the model, a period of about 4 years is required in monitoring boreholes and a distance of about 12 km is required along the stream profile for as concentration to reduce from the maximum value of about 2.50 mg/l to 0.01 mg/l. Using the porosity, bulk density and combined degradation properties of the monitored media of the mobile as, the estimated retardation factor was 1.96 and the solute velocity estimated to be 1.53 x 10"-"7 ms"-"1 in the borehole environment, and 1.074 and 9.25 x 10"-"1 ms"-"1 along the stream bed, respectively. This study shows that the pollution risk assessment model can be used to spatially estimate exposure to as contamination in the environment, while the transport characteristics can be used to determine clean-up criteria for effective as remediation in drainage. (au)

Light-Intensity Physical Activity and All-Cause Mortality.

Science.gov (United States)

Loprinzi, Paul D

2017-07-01

Research demonstrates that moderate-to-vigorous physical activity (MVPA) is associated with a reduced risk of all-cause mortality. Few studies have examined the effects of light-intensity physical activity on mortality. Therefore, the purpose of this study was to examine the association between objectively measured light-intensity physical activity and all-cause mortality risk. Longitudinal. National Health and Nutrition Examination Survey 2003-2006 with follow-up through December 31, 2011. Five thousand five hundred seventy-five U.S. adults. Participants wore an accelerometer for at least 4 days and completed questionnaires to assess sociodemographics and chronic disease information, with blood samples taken to assess biological markers. Follow-up mortality status was assessed via death certificate data from the National Death Index. Cox proportional hazard model. After adjusting for accelerometer-determined MVPA, age, gender, race-ethnicity, cotinine, weight status, poverty level, C-reactive protein, and comorbid illness, for every 60-minute increase in accelerometer-determined light-intensity physical activity, participants had a 16% reduced hazard of all-cause mortality (hazard ratio = .84; 95% confidence interval: .78-.91; p physical activity was inversely associated with all-cause mortality risk, independent of age, MVPA, and other potential confounders. In addition to MVPA, promotion of light-intensity physical activity is warranted.

Adjuvant intensity-modulated proton therapy in malignant pleural mesothelioma. A comparison with intensity-modulated radiotherapy and a spot size variation assessment

Energy Technology Data Exchange (ETDEWEB)

Lorentini, S. [Agenzia Provinciale per la Protonterapia (ATreP), Trento (Italy); Padova Univ. (Italy). Medical Physics School; Amichetti, M.; Fellin, F.; Schwarz, M. [Agenzia Provinciale per la Protonterapia (ATreP), Trento (Italy); Spiazzi, L. [Brescia Hospital (Italy). Medical Physics Dept.; Tonoli, S.; Magrini, S.M. [Brescia Hospital (Italy). Radiation Oncology Dept.

2012-03-15

Intensity-modulated radiation therapy (IMRT) is the state-of-the-art treatment for patients with malignant pleural mesothelioma (MPM). The goal of this work was to assess whether intensity-modulated proton therapy (IMPT) could further improve the dosimetric results allowed by IMRT. We re-planned 7 MPM cases using both photons and protons, by carrying out IMRT and IMPT plans. For both techniques, conventional dose comparisons and normal tissue complication probability (NTCP) analysis were performed. In 3 cases, additional IMPT plans were generated with different beam dimensions. IMPT allowed a slight improvement in target coverage and clear advantages in dose conformity (p < 0.001) and dose homogeneity (p = 0.01). Better organ at risk (OAR) sparing was obtained with IMPT, in particular for the liver (D{sub mean} reduction of 9.5 Gy, p = 0.001) and ipsilateral kidney (V{sub 20} reduction of 58%, p = 0.001), together with a very large reduction of mean dose for the contralateral lung (0.2 Gy vs 6.1 Gy, p = 0.0001). NTCP values for the liver showed a systematic superiority of IMPT with respect to IMRT for both the esophagus (average NTCP 14% vs. 30.5%) and the ipsilateral kidney (p = 0.001). Concerning plans obtained with different spot dimensions, a slight loss of target coverage was observed along with sigma increase, while maintaining OAR irradiation always under planning constraints. Results suggest that IMPT allows better OAR sparing with respect to IMRT, mainly for the liver, ipsilateral kidney, and contralateral lung. The use of a spot dimension larger than 3 x 3 mm (up to 9 x 9 mm) does not compromise dosimetric results and allows a shorter delivery time.

Challenges and opportunities in mapping land use intensity globally

DEFF Research Database (Denmark)

Kuemmerle, Tobias; Erb, Karlheinz; Meyfroidt, Patrick

2013-01-01

Future increases in land-based production will need to focus more on sustainably intensifying existing production systems. Unfortunately, our understanding of the global patterns of land use intensity is weak, partly because land use intensity is a complex, multidimensional term, and partly becau...... challenges and opportunities for mapping land use intensity for cropland, grazing, and forestry systems, and identify key issues for future research....... we lack appropriate datasets to assess land use intensity across broad geographic extents. Here, we review the state of the art regarding approaches for mapping land use intensity and provide a comprehensive overview of available global-scale datasets on land use intensity. We also outline major...

Crop yield response to climate change varies with cropping intensity.

Science.gov (United States)

Challinor, Andrew J; Parkes, Ben; Ramirez-Villegas, Julian

2015-04-01

Projections of the response of crop yield to climate change at different spatial scales are known to vary. However, understanding of the causes of systematic differences across scale is limited. Here, we hypothesize that heterogeneous cropping intensity is one source of scale dependency. Analysis of observed global data and regional crop modelling demonstrate that areas of high vs. low cropping intensity can have systematically different yields, in both observations and simulations. Analysis of global crop data suggests that heterogeneity in cropping intensity is a likely source of scale dependency for a number of crops across the globe. Further crop modelling and a meta-analysis of projected tropical maize yields are used to assess the implications for climate change assessments. The results show that scale dependency is a potential source of systematic bias. We conclude that spatially comprehensive assessments of climate impacts based on yield alone, without accounting for cropping intensity, are prone to systematic overestimation of climate impacts. The findings therefore suggest a need for greater attention to crop suitability and land use change when assessing the impacts of climate change. © 2015 John Wiley & Sons Ltd.

Effect of biological characteristics of different types of uterine fibroids, as assessed with T2-weighted magnetic resonance imaging, on ultrasound-guided high-intensity focused ultrasound ablation.

Science.gov (United States)

Zhao, Wen-Peng; Chen, Jin-Yun; Chen, Wen-Zhi

2015-02-01

The aims of this study were to assess the effects of the biological characteristics of different types of uterine fibroids, as assessed with T2-weighted magnetic resonance imaging (MRI), on ultrasound-guided high-intensity focused ultrasound (USgHIFU) ablation. Thirty-five patients with 39 symptomatic uterine fibroids who underwent myomectomy or hysterectomy were enrolled. Before surgery, the uterine fibroids were subdivided into hypo-intense, iso-intense, heterogeneous hyper-intense and homogeneous hyper-intense categories based on signal intensity on T2-weighted MRI. Tissue density and moisture content were determined in post-operative samples and normal uterine tissue, the isolated uterine fibroids were subjected to USgHIFU, and the extent of ablation was measured using triphenyltetrazolium chloride. Hematoxylin and eosin staining and sirius red staining were undertaken to investigate the organizational structure of the uterine fibroids. Estrogen and progesterone receptor expression was assayed via immunohistochemical staining. The mean diameter of uterine fibroids was 6.9 ± 2.8 cm. For all uterine fibroids, the average density and moisture content were 10.7 ± 0.7 mg/mL and 75.7 ± 2.4%, respectively; and for the homogeneous hyper-intense fibroids, 10.3 ± 0.5 mg/mL and 76.6 ± 2.3%. The latter subgroup had lower density and higher moisture content compared with the other subgroups. After USgHIFU treatment, the extent of ablation of the hyper-intense fibroids was 102.7 ± 42.1 mm(2), which was significantly less than those of the hypo-intense and heterogeneous hyper-intense fibroids. Hematoxylin and eosin staining and sirius red staining revealed that the homogeneous hyper-intense fibroids had sparse collagen fibers and abundant cells. Immunohistochemistry results revealed that estrogen and progesterone receptors were highly expressed in the homogeneous hyper-intense fibroids. This study revealed that lower density, higher moisture content, sparse collagen

Lived experience of the intensive care unit for patients who experienced delirium.

Science.gov (United States)

Whitehorne, Karen; Gaudine, Alice; Meadus, Robert; Solberg, Shirley

2015-11-01

Delirium is a common occurrence for patients in the intensive care unit and can have a profound and lasting impact on them. Few studies describe the experience of intensive care patients who have had delirium. To understand the lived experience of intensive care for critically ill patients who experienced delirium. The study participants consisted of 7 men and 3 women, 46 to 70 years old, who had delirium according to the Confusion Assessment Method for the Intensive Care Unit. The van Manen method of hermeneutic phenomenology was used, and data collection entailed audio recorded semistructured interviews. Four themes were detected: "I can't remember," "Wanting to make a connection," "Trying to get it straight," and "Fear and safety concerns." Nurses working in intensive care units need to assess patients for delirium, assess the mental status of patients who have delirium, and help patients and patients' families learn about and deal with the psychological effects of the intensive care unit experience. ©2015 American Association of Critical-Care Nurses.

Estimation of historical earthquake intensities and intensity-PGA relationship for wooden house damages

International Nuclear Information System (INIS)

Choi, In-Kil; Seo, Jeong-Moon

2002-01-01

A series of tests and dynamic analyses on Korean traditional wooden houses was performed for the intensity estimation of the typical large historical earthquake records. Static and cyclic lateral load tests on the wooden frames were performed to assess the lateral load capacity of wooden frames. The shaking table tests on two 1:4 scaled models of a Korean ancient commoner's house made of fresh pine lumber were performed. Typical earthquake time histories recorded on soil and rock sites were used as input for the tests. The prototypical wooden house was analyzed for multiple time histories which match Ohsaki's ground response spectra. Seismic analyses comprise the aging of lumber and different soil condition. The relationship between the earthquake intensity and the peak ground acceleration (PGA) is proposed for the wooden house damages based on the results of this study. The intensity of major Korean historical earthquake records related with house collapses was quantitatively estimated to be MM VIII

Affect Intensity: An Individual Difference Response to Advertising Appeals.

OpenAIRE

Moore, David J; Harris, William D; Chen, Hong C

1995-01-01

The Affect Intensity Measurement (AIM) scale assesses the strength of the emotions with which individuals respond to an affect-laden stimulus. This study investigated the extent to which individual differences in affect intensity influence the message recipient's responses to emotional advertising appeals. In two experiments high affect intensity individuals, compared with those who scored low on the AIM scale, (1) manifested significantly stronger emotional responses to the emotional adverti...

Regional earthquake loss estimation in the Autonomous Province of Bolzano - South Tyrol (Italy)

Science.gov (United States)

Huttenlau, Matthias; Winter, Benjamin

2013-04-01

Beside storm events geophysical events cause a majority of natural hazard losses on a global scale. However, in alpine regions with a moderate earthquake risk potential like in the study area and thereupon connected consequences on the collective memory this source of risk is often neglected in contrast to gravitational and hydrological hazards processes. In this context, the comparative analysis of potential disasters and emergencies on a national level in Switzerland (Katarisk study) has shown that earthquakes are the most serious source of risk in general. In order to estimate the potential losses of earthquake events for different return periods and loss dimensions of extreme events the following study was conducted in the Autonomous Province of Bolzano - South Tyrol (Italy). The applied methodology follows the generally accepted risk concept based on the risk components hazard, elements at risk and vulnerability, whereby risk is not defined holistically (direct, indirect, tangible and intangible) but with the risk category losses on buildings and inventory as a general risk proxy. The hazard analysis is based on a regional macroseismic scenario approach. Thereby, the settlement centre of each community (116 communities) is defined as potential epicentre. For each epicentre four different epicentral scenarios (return periods of 98, 475, 975 and 2475 years) are calculated based on the simple but approved and generally accepted attenuation law according to Sponheuer (1960). The relevant input parameters to calculate the epicentral scenarios are (i) the macroseismic intensity and (ii) the focal depth. The considered macroseismic intensities are based on a probabilistic seismic hazard analysis (PSHA) of the Italian earthquake catalogue on a community level (Dipartimento della Protezione Civile). The relevant focal depth are considered as a mean within a defined buffer of the focal depths of the harmonized earthquake catalogues of Italy and Switzerland as well as

Measuring topology of low-intensity DNA methylation sites for high-throughput assessment of epigenetic drug-induced effects in cancer cells

International Nuclear Information System (INIS)

Gertych, Arkadiusz; Farkas, Daniel L.; Tajbakhsh, Jian

2010-01-01

Epigenetic anti-cancer drugs with demethylating effects have shown to alter genome organization in mammalian cell nuclei. The interest in the development of novel epigenetic drugs has increased the demand for cell-based assays to evaluate drug performance in pre-clinical studies. An imaging-based cytometrical approach that can measure demethylation effects as changes in the spatial nuclear distributions of methylated cytosine and global DNA in cancer cells is introduced in this paper. The cells were studied by immunofluorescence with a specific antibody against 5-methylcytosine (MeC), and 4,6-diamidino-2-phenylindole (DAPI) for delineation of methylated sites and global DNA in nuclei. In the preprocessing step the segmentation of nuclei in three-dimensional images (3-D) is followed by an automated assessment of nuclear DAPI/MeC patterns to exclude dissimilar entities. Next, low-intensity MeC (LIM) and low-intensity DNA (LID) sites of similar nuclei are localized and processed to obtain specific nuclear density profiles. These profiles sampled at half of the total nuclear volume yielded two parameters: LIM 0.5 and LID 0.5 . The analysis shows that zebularine and 5-azacytidine-the two tested epigenetic drugs introduce changes in the spatial distribution of low-intensity DNA and MeC signals. LIM 0.5 and LID 0.5 were significantly different (p < 0.001) in 5-azacytidine treated (n = 660) and zebularine treated (n = 496) vs. untreated (n = 649) DU145 human prostate cancer cells. In the latter case the LIM sites were predominantly found at the nuclear border, whereas treated populations showed different degrees of increase in LIMs towards the interior nuclear space, in which a large portion of heterochromatin is located. The cell-by-cell evaluation of changes in the spatial reorganization of MeC/DAPI signals revealed that zebularine is a more gentle demethylating agent than 5-azacytidine. Measuring changes in the topology of low-intensity sites can potentially be a

Use of active noise cancellation devices in caregivers in the intensive care unit.

Science.gov (United States)

Akhtar, S; Weigle, C G; Cheng, E Y; Toohill, R; Berens, R J

2000-04-01

Recent development of noise cancellation devices may offer relief from noise in the intensive care unit environment. This study was conducted to evaluate the effect of noise cancellation devices on subjective hearing assessment by caregivers in the intensive care units. Randomized, double-blind. Adult medical intensive care unit and pediatric intensive care unit of a teaching hospital. Caregivers of patients, including nurses, parents, respiratory therapists, and nursing assistants from a medical intensive care unit and pediatric intensive care, were enrolled in the study. Each participant was asked to wear the headphones, functional or nonfunctional noise cancellation devices, for a minimum of 30 mins. Subjective ambient noise level was assessed on a 10-point visual analog scale (VAS) before and during headphone use by each participant. Headphone comfort and the preference of the caregiver to wear the headphone were also evaluated on a 10-point VAS. Simultaneously, objective measurement of noise was done with a sound level meter using the decibel-A scale and at each of nine octave bands at each bedspace. The functional headphones significantly reduced the subjective assessment of noise by 2 (out of 10) VAS points (p noise profiles, based on decibel-A and octave band assessments. Noise cancellation devices improve subjective assessment of noise in caretakers. The benefit of these devices on hearing loss needs further evaluation in caregivers and critically ill patients.

The intensity of precipitation during extratropical cyclones in global warming simulations: a link to cyclone intensity?

Energy Technology Data Exchange (ETDEWEB)

Watterson, I.G. [CSIRO Atmospheric Research, Aspendale (Australia)

2006-01-01

Simulations of global warming over the coming century from two CSIRO GCMs are analysed to assess changes in the intensity of extratropical cyclones, and the potential role of increased latent heating associated with precipitation during cyclones. A simple surface cyclone detection scheme is applied to a four-member ensemble of simulations from the Mark 2 GCM, under rising greenhouse gas concentrations. The seasonal distribution of cyclones appears broadly realistic during 1961-1990. By 2071-2100, with 3 K global warming, numbers over 20 deg N to 70 deg N decrease by 6% in winter and 2% annually, with similar results for the south. The average intensity of cyclones, from relative central pressure and other measures, is largely unchanged however. 30-yr extremes of dynamic intensity also show little clear change, including values averaged over continents. Mean rain rates at cyclone centres are typically at least double rates from all days. Rates during cyclones increase by an average 14% in the northern winter under global warming. Rates over adjacent grid squares and during the previous day increase similarly, as do extreme rates. Results from simulations of the higher-resolution (1.8 deg grid) Mark 3 GCM are similar, with widespread increases in rain rates but not in cyclone intensity. The analyses suggest that latent heating during storms increases, as anticipated due to the increased moisture capacity of the warmer atmosphere. However, any role for enhanced heating in storm development in the GCMs is apparently masked by other factors. An exception is a 5% increase in extreme intensity around 55 deg S in Mark 3, despite decreased numbers of lows, a factor assessed using extreme value theory. Further studies with yet higher-resolution models may be needed to examine the potential realism of these results, particularly with regard to extremes at smaller scale.

Comparison of individual and pooled stool samples for the assessment of intensity of Schistosoma mansoni and soil-transmitted helminth infections using the Kato-Katz technique.

Science.gov (United States)

Kure, Ashenafi; Mekonnen, Zeleke; Dana, Daniel; Bajiro, Mitiku; Ayana, Mio; Vercruysse, Jozef; Levecke, Bruno

2015-09-24

Our group has recently provided a proof-of-principle for the examination of pooled stool samples using McMaster technique as a strategy for the rapid assessment of intensity of soil-transmitted helminth infections (STH, Ascaris lumbricoides, Trichuris trichiura and hookworm). In the present study we evaluated this pooling strategy for the assessment of intensity of both STH and Schistosoma mansoni infections using the Kato-Katz technique. A cross-sectional survey was conducted in 360 children aged 5-18 years from six schools in Jimma Zone (southwest Ethiopia). We performed faecal egg counts (FECs) in both individual and pooled samples (pools sizes of 5, 10 and 20) to estimate the number of eggs per gram of stool (EPG) using the Kato-Katz technique. We also assessed the time to screen both individual and pooled samples. Except for hookworms, there was a significant correlation (correlation coefficient = 0.53-0.95) between the mean of individual FECs and the FECs of pooled samples for A. lumbricoides, T. trichiura and S. mansoni, regardless of the pool size. Mean FEC were 2,596 EPG, 125 EPG, 47 EPG, and 41 EPG for A. lumbricoides, T. trichiura, S. mansoni and hookworm, respectively. There was no significant difference in FECs between the examination of individual and pooled stool samples, except for hookworms. For this STH, pools of 10 resulted in a significant underestimation of infection intensity. The total time to obtain individual FECs was 65 h 5 min. For pooled FECs, this was 19 h 12 min for pools of 5, 14 h 39 min for pools of 10 and 12 h 42 min for pools of 20. The results indicate that pooling of stool sample holds also promise as a rapid assessment of infections intensity for STH and S. mansoni using the Kato-Katz technique. In this setting, the time in the laboratory was reduced by 70 % when pools of 5 instead of individual stool samples were screened.

Taste intensities of ten vegetables commonly consumed in the Netherlands.

Science.gov (United States)

van Stokkom, V L; Teo, P S; Mars, M; de Graaf, C; van Kooten, O; Stieger, M

2016-09-01

Bitterness has been suggested to be the main reason for the limited palatability of several vegetables. Vegetable acceptance has been associated with preparation method. However, the taste intensity of a variety of vegetables prepared by different methods has not been studied yet. The objective of this study is to assess the intensity of the five basic tastes and fattiness of ten vegetables commonly consumed in the Netherlands prepared by different methods using the modified Spectrum method. Intensities of sweetness, sourness, bitterness, umami, saltiness and fattiness were assessed for ten vegetables (cauliflower, broccoli, leek, carrot, onion, red bell pepper, French beans, tomato, cucumber and iceberg lettuce) by a panel (n=9) trained in a modified Spectrum method. Each vegetable was assessed prepared by different methods (raw, cooked, mashed and as a cold pressed juice). Spectrum based reference solutions were available with fixed reference points at 13.3mm (R1), 33.3mm (R2) and 66.7mm (R3) for each taste modality on a 100mm line scale. For saltiness, R1 and R3 differed (16.7mm and 56.7mm). Mean intensities of all taste modalities and fattiness for all vegetables were mostly below R1 (13.3mm). Significant differences (p<0.05) within vegetables between preparation methods were found. Sweetness was the most intensive taste, followed by sourness, bitterness, fattiness, umami and saltiness. In conclusion, all ten vegetables prepared by different methods showed low mean intensities of all taste modalities and fattiness. Preparation method affected taste and fattiness intensity and the effect differed by vegetable type. Copyright © 2016 Elsevier Ltd. All rights reserved.

Critical Zone services as environmental assessment criteria in intensively managed landscapes

Science.gov (United States)

Richardson, Meredith; Kumar, Praveen

2017-06-01

The Critical Zone (CZ) includes the biophysical processes occurring from the top of the vegetation canopy to the weathering zone below the groundwater table. CZ services provide a measure for the goods and benefits derived from CZ processes. In intensively managed landscapes, cropland is altered through anthropogenic energy inputs to derive more productivity, as agricultural products, than would be possible under natural conditions. However, the actual costs of alterations to CZ functions within landscape profiles are unknown. Through comparisons of corn feed and corn-based ethanol, we show that valuation of these CZ services in monetary terms provides a more concrete tool for characterizing seemingly abstract environmental damages from agricultural production systems. Multiple models are combined to simulate the movement of nutrients throughout the soil system, enabling the measurement of agricultural anthropogenic impacts to the CZ's regulating services. Results indicate water quality and atmospheric stabilizing services, measured by soil carbon storage, carbon respiration, and nitrate leaching, among others, can cost more than double that of emissions estimated in previous studies. Energy efficiency in addition to environmental impact is assessed to demonstrate how the inclusion of CZ services is necessary in accounting for the entire life cycle of agricultural production systems. These results conclude that feed production systems are more energy efficient and less environmentally costly than corn-based ethanol.

Advantages and psychometric validation of proximal intensive assessments of patient-reported outcomes collected in daily life.

Science.gov (United States)

Carlson, Eve B; Field, Nigel P; Ruzek, Josef I; Bryant, Richard A; Dalenberg, Constance J; Keane, Terrence M; Spain, David A

2016-03-01

Ambulatory assessment data collection methods are increasingly used to study behavior, experiences, and patient-reported outcomes (PROs), such as emotions, cognitions, and symptoms in clinical samples. Data collected close in time at frequent and fixed intervals can assess PROs that are discrete or changing rapidly and provide information about temporal dynamics or mechanisms of change in clinical samples and individuals, but clinical researchers have not yet routinely and systematically investigated the reliability and validity of such measures or their potential added value over conventional measures. The present study provides a comprehensive, systematic evaluation of the psychometrics of several proximal intensive assessment (PIA) measures in a clinical sample and investigates whether PIA appears to assess meaningful differences in phenomena over time. Data were collected on a variety of psychopathology constructs on handheld devices every 4 h for 7 days from 62 adults recently exposed to traumatic injury of themselves or a family member. Data were also collected on standard self-report measures of the same constructs at the time of enrollment, 1 week after enrollment, and 2 months after injury. For all measure scores, results showed good internal consistency across items and within persons over time, provided evidence of convergent, divergent, and construct validity, and showed significant between- and within-subject variability. Results indicate that PIA measures can provide valid measurement of psychopathology in a clinical sample. PIA may be useful to study mechanisms of change in clinical contexts, identify targets for change, and gauge treatment progress.

Assessing environmental risks for high intensity agriculture using the material flow analysis method--a case study of the Dongting Lake basin in South Central China.

Science.gov (United States)

Yin, Guanyi; Liu, Liming; Yuan, Chengcheng

2015-07-01

This study primarily examined the assessment of environmental risk in high intensity agricultural areas. Dongting Lake basin was taken as a case study, which is one of the major grain producing areas in China. Using data obtained from 1989 to 2012, we applied Material Flow Analysis (MFA) to show the material consumption, pollutant output and production storage in the agricultural-environmental system and assessed the environmental risk index on the basis of the MFA results. The results predicted that the status of the environmental quality of the Dongting Lake area is unsatisfactory for the foreseeable future. The direct material input (DMI) declined by 13.9%, the domestic processed output (DPO) increased by 28.21%, the intensity of material consumption (IMC) decreased by 36.7%, the intensity of material discharge (IMD) increased by 10%, the material productivity (MP) increased by 27 times, the environmental efficiency (EE) increased by 15.31 times, and the material storage (PAS) increased by 0.23%. The DMI and DPO was higher at rural places on the edge of cities, whereas the risk of urban agriculture has arisen due to the higher increasing rate of DMI and DPO in cities compared with the counties. The composite environmental risk index increased from 0.33 to 0.96, indicating that the total environmental risk changed gradually but seriously during the 24 years assessed. The driving factors that affect environmental risk in high intensity agriculture can be divided into five classes: social, economic, human, natural and disruptive incidents. This study discussed a number of effective measures for protecting the environment while ensuring food production yields. Additional research in other areas and certain improvements of this method in future studies may be necessary to develop a more effective method of managing and controlling agricultural-environmental interactions.

Kinetic quantification of plyometric exercise intensity.

Science.gov (United States)

Ebben, William P; Fauth, McKenzie L; Garceau, Luke R; Petushek, Erich J

2011-12-01

Ebben, WP, Fauth, ML, Garceau, LR, and Petushek, EJ. Kinetic quantification of plyometric exercise intensity. J Strength Cond Res 25(12): 3288-3298, 2011-Quantification of plyometric exercise intensity is necessary to understand the characteristics of these exercises and the proper progression of this mode of exercise. The purpose of this study was to assess the kinetic characteristics of a variety of plyometric exercises. This study also sought to assess gender differences in these variables. Twenty-six men and 23 women with previous experience in performing plyometric training served as subjects. The subjects performed a variety of plyometric exercises including line hops, 15.24-cm cone hops, squat jumps, tuck jumps, countermovement jumps (CMJs), loaded CMJs equal to 30% of 1 repetition maximum squat, depth jumps normalized to the subject's jump height (JH), and single leg jumps. All plyometric exercises were assessed with a force platform. Outcome variables associated with the takeoff, airborne, and landing phase of each plyometric exercise were evaluated. These variables included the peak vertical ground reaction force (GRF) during takeoff, the time to takeoff, flight time, JH, peak power, landing rate of force development, and peak vertical GRF during landing. A 2-way mixed analysis of variance with repeated measures for plyometric exercise type demonstrated main effects for exercise type and all outcome variables (p ≤ 0.05) and for the interaction between gender and peak vertical GRF during takeoff (p ≤ 0.05). Bonferroni-adjusted pairwise comparisons identified a number of differences between the plyometric exercises for the outcome variables assessed (p ≤ 0.05). These findings can be used to guide the progression of plyometric training by incorporating exercises of increasing intensity over the course of a program.

Intensity related changes of running economy in recreational level distance runners.

Science.gov (United States)

Engeroff, Tobias; Bernardi, Andreas; Niederer, Daniel; Wilke, Jan; Vogt, Lutz; Banzer, Winfried

2017-09-01

Running economy (RE) is often described as a key demand of running performance. The variety of currently used assessment methods with different running intensities and outcomes restricts interindividual comparability of RE in recreational level runners. The purpose of this study was to compare the influence of RE, assessed as oxygen cost (OC) and caloric unit cost (CUC), on running speed at individual physiological thresholds. Eighteen recreational runners performed: 1) a graded exercise test to estimate first ventilatory threshold (VT1), respiratory compensation point (RCP) and maximal oxygen uptake (VO2max); 2) discontinuous RE assessment to determine relative OC in milliliters per kilogram per kilometer (mL/kg/km) and CUC in kilocalories per kilogram per kilometer (kcal/kg/km) at three different running intensities: VT1, RCP and at a third standardized reference point (TP) in between. OC (mL/kg/km; at VT1: 235.4±26.2; at TP: 227.8±23.4; at RCP: 224.9±21.9) and CUC (kcal/kg/km at VT1: 1.18±0.13; at TP: 1.14±0.12; at RCP: 1.13±0.11) decreased with increasing intensities (P≤0.01). Controlling for the influence of sex OC and CUC linearly correlated with running speed at RCP and VO2max (P≤0.01). RE, even assessed at low intensity, is strongly related to running performance in recreational athletes. Both calculation methods used (OC and CUC) are sensitive for monitoring intensity related changes of substrate utilization. RE values decreased with higher running intensity indicating an increase of anaerobic and subsequent decrease of aerobic substrate utilization.

Nitrification inhibitors mitigated reactive gaseous nitrogen intensity in intensive vegetable soils from China.

Science.gov (United States)

Fan, Changhua; Li, Bo; Xiong, Zhengqin

2018-01-15

Nitrification inhibitors, a promising tool for reducing nitrous oxide (N 2 O) losses and promoting nitrogen use efficiency by slowing nitrification, have gained extensive attention worldwide. However, there have been few attempts to explore the broad responses of multiple reactive gaseous nitrogen emissions of N 2 O, nitric oxide (NO) and ammonia (NH 3 ) and vegetable yield to nitrification inhibitor applications across intensive vegetable soils in China. A greenhouse pot experiment with five consecutive vegetable crops was performed to assess the efficacies of two nitrification inhibitors, namely, nitrapyrin and dicyandiamide on reactive gaseous nitrogen emissions, vegetable yield and reactive gaseous nitrogen intensity in four typical vegetable soils representing the intensive vegetable cropping systems across mainland China: an Acrisol from Hunan Province, an Anthrosol from Shanxi Province, a Cambisol from Shandong Province and a Phaeozem from Heilongjiang Province. The results showed soil type had significant influences on reactive gaseous nitrogen intensity, with reactive gaseous nitrogen emissions and yield mainly driven by soil factors: pH, nitrate, C:N ratio, cation exchange capacity and microbial biomass carbon. The highest reactive gaseous nitrogen emissions and reactive gaseous nitrogen intensity were in Acrisol while the highest vegetable yield occurred in Phaeozem. Nitrification inhibitor applications decreased N 2 O and NO emissions by 1.8-61.0% and 0.8-79.5%, respectively, but promoted NH 3 volatilization by 3.2-44.6% across all soils. Furthermore, significant positive correlations were observed between inhibited N 2 O+NO and stimulated NH 3 emissions with nitrification inhibitor additions across all soils, indicating that reduced nitrification posed the threat of NH 3 losses. Additionally, reactive gaseous nitrogen intensity was significantly reduced in the Anthrosol and Cambisol due to the reduced reactive gaseous nitrogen emissions and increased

Science Resulting from U.S. Geological Survey's "Did You Feel It?" Citizen Science Portal

Science.gov (United States)

Wald, D. J.; Dewey, J. W.; Atkinson, G. M.; Worden, C. B.; Quitoriano, V. P. R.

2016-12-01

The U.S. Geological Survey (USGS) "Did You Feel It?" (DYFI) system, in operation since 1999, is an automated approach for rapidly collecting macroseismic intensity data from internet users' shaking and damage reports and generating intensity maps immediately following earthquakes felt around the globe. As with any citizen science project, a significant component of the DYFI system is public awareness and participation in the immediate aftermath of any widely felt earthquake, allowing the public and the USGS to exchange valuable post-earthquake information. The data collected are remarkably robust and useful, as indicated by the range of peer-reviewed literature that rely on these citizen-science intensity reports. A Google Scholar search results in 14,700 articles citing DYFI, a number of which rely exclusively on these data. Though focused on topics of earthquake seismology (including shaking attenuation and relationships with damage), other studies cover social media use in disasters, human risk perception, earthquake-induced landslides, rapid impact assessment, emergency response, and science education. DYFI data have also been analyzed for non-earthquake events, including explosions, aircraft sonic booms, and even bolides and DYFI is now one of the best data sources from which to study induced earthquakes. Yet, DYFI was designed primarily as an operational system to rapidly assess the effects of earthquakes for situational awareness. Oftentimes, DYFI data are the only data available pertaining to shaking levels for much of the United States. As such, DYFI provides site-specific constraints of the shaking levels that feed directly into ShakeMap; thus, these data are readily available to emergency managers and responders, the media, and the general public. As an early adopter of web-based citizen science and having worked out many kinks in the process, DYFI developers have provided guidance on many other citizen-science endeavors across a wide range of

Voluntary peer review as innovative tool for quality improvement in the intensive care unit--a retrospective descriptive cohort study in German intensive care units.

Science.gov (United States)

Kumpf, Oliver; Bloos, Frank; Bause, Hanswerner; Brinkmann, Alexander; Deja, Maria; Marx, Gernot; Kaltwasser, Arnold; Dubb, Rolf; Muhl, Elke; Greim, Clemens-A; Weiler, Norbert; Chop, Ines; Jonitz, Günther; Schaefer, Henning; Felsenstein, Matthias; Liebeskind, Ursula; Leffmann, Carsten; Jungbluth, Annemarie; Waydhas, Christian; Pronovost, Peter; Spies, Claudia; Braun, Jan-Peter

2014-01-01

Quality improvement and safety in intensive care are rapidly evolving topics. However, there is no gold standard for assessing quality improvement in intensive care medicine yet. In 2007 a pilot project in German intensive care units (ICUs) started using voluntary peer reviews as an innovative tool for quality assessment and improvement. We describe the method of voluntary peer review and assessed its feasibility by evaluating anonymized peer review reports and analysed the thematic clusters highlighted in these reports. Retrospective data analysis from 22 anonymous reports of peer reviews. All ICUs - representing over 300 patient beds - had undergone voluntary peer review. Data were retrieved from reports of peers of the review teams and representatives of visited ICUs. Data were analysed with regard to number of topics addressed and results of assessment questionnaires. Reports of strengths, weaknesses, opportunities and threats (SWOT reports) of these ICUs are presented. External assessment of structure, process and outcome indicators revealed high percentages of adherence to predefined quality goals. In the SWOT reports 11 main thematic clusters were identified representative for common ICUs. 58.1% of mentioned topics covered personnel issues, team and communication issues as well as organisation and treatment standards. The most mentioned weaknesses were observed in the issues documentation/reporting, hygiene and ethics. We identified several unique patterns regarding quality in the ICU of which long-term personnel problems und lack of good reporting methods were most interesting Conclusion: Voluntary peer review could be established as a feasible and valuable tool for quality improvement. Peer reports addressed common areas of interest in intensive care medicine in more detail compared to other methods like measurement of quality indicators.

The intensity of physical activity influences bone mineral accrual in childhood

DEFF Research Database (Denmark)

Heidemann, Malene Søborg; Mølgaard, Christian; Husby, Steffen

2013-01-01

Background Studies indicate genetic and lifestyle factors can contribute to optimal bone development. In particular, the intensity level of physical activity may have an impact on bone health. This study aims to assess the relationship between physical activity at different intensities and Bone....... Physical activity (PA) was recorded by accelerometers (ActiGraph, model GT3X). Percentages of different PA intensity levels were calculated and log odds of two intensity levels of activity relative to the third level were calculated. Multilevel regression analyses were used to assess the relationship...... between the categories of physical activity and bone traits. Results Of 800 invited children, 742 (93%) accepted to participate. Of these, 682/742 (92%) participated at follow up. Complete datasets were obtained in 602/742 (81%) children. Mean (range) of age was 11.5 years (9.7-13.9). PA at different...

Self-regulatory mode (locomotion and assessment), well-being (subjective and psychological), and exercise behavior (frequency and intensity) in relation to high school pupils' academic achievement.

Science.gov (United States)

Garcia, Danilo; Jimmefors, Alexander; Mousavi, Fariba; Adrianson, Lillemor; Rosenberg, Patricia; Archer, Trevor

2015-01-01

Background. Self-regulation is the procedure implemented by an individual striving to reach a goal and consists of two inter-related strategies: assessment and locomotion. Moreover, both subjective and psychological well-being along exercise behaviour might also play a role on adolescents academic achievement. Method. Participants were 160 Swedish high school pupils (111 boys and 49 girls) with an age mean of 17.74 (sd = 1.29). We used the Regulatory Mode Questionnaire to measure self-regulation strategies (i.e., locomotion and assessment). Well-being was measured using Ryff's Psychological Well-Being Scales short version, the Temporal Satisfaction with Life Scale, and the Positive Affect and Negative Affect Schedule. Exercise behaviour was self-reported using questions pertaining to frequency and intensity of exercise compliance. Academic achievement was operationalized through the pupils' mean value of final grades in Swedish, Mathematics, English, and Physical Education. Both correlation and regressions analyses were conducted. Results. Academic achievement was positively related to assessment, well-being, and frequent/intensive exercise behaviour. Assessment was, however, negatively related to well-being. Locomotion on the other hand was positively associated to well-being and also to exercise behaviour. Conclusions. The results suggest a dual (in)direct model to increase pupils' academic achievement and well-being-assessment being directly related to higher academic achievement, while locomotion is related to frequently exercising and well-being, which in turn, increase academic achievement.

Auditory feedback improves heart rate moderation during moderate-intensity exercise.

Science.gov (United States)

Shaykevich, Alex; Grove, J Robert; Jackson, Ben; Landers, Grant J; Dimmock, James

2015-05-01

The objective of this study is to determine whether exposure to automated HR feedback can produce improvements in the ability to regulate HR during moderate-intensity exercise and to evaluate the persistence of these improvements after feedback is removed. Twenty healthy adults performed 10 indoor exercise sessions on cycle ergometers over 5 wk after a twice-weekly schedule. During these sessions (FB), participants received auditory feedback designed to maintain HR within a personalized, moderate-intensity training zone between 70% and 80% of estimated maximum HR. All feedback was delivered via a custom mobile software application. Participants underwent an initial assessment (PREFB) to measure their ability to maintain exercise intensity defined by the training zone without use of feedback. After completing the feedback training, participants performed three additional assessments identical to PREFB at 1 wk (POST1), 2 wk (POST2), and 4 wk (POST3) after their last feedback session. Time in zone (TIZ), defined as the ratio of the time spent within the training zone divided by the overall time of exercise, rate of perceived exertion, instrumental attitudes, and affective attitudes were then evaluated to assess results using two-way, mixed-model ANOVA with sessions and gender as factors. Training with feedback significantly improved TIZ (P moderate-intensity exercise in healthy adults.

Assessment of vocal intensity in lecturers depending on acoustic properties of lecture rooms

Directory of Open Access Journals (Sweden)

Witold Mikulski

2015-08-01

Full Text Available Background: Lombard’s effect increases the level of vocal intensity in the environment, in which noise occurs. This article presents the results of the author’s own study of vocal intensity level and A-weighted sound pressure level of background noise during normal lectures. The aim of the study was to define whether above-mentioned parameters depend on acoustic properties of rooms (classrooms or lecture rooms and to define how many lectors speak with raised voice. Material and Methods: The study was performed in a group of 50 teachers and lecturers in 10 classrooms with cubature of 160–430 m3 and reverberation time of 0.37–1.3 s (group A consisted of 3 rooms which fulfilled, group B consisted of 3 rooms which almost fulfilled and group C consisted of 4 rooms which did not fulfill criteria based on reverberation time (maximum permissible value is 0.6–0.8 s according to PN-B-02151-4:2015. Criteria of raising voice were based on vocal intensity level (maximum value: 65 dB according to EN ISO 9921:2003. The values of above-mentioned parameters were determined from modes of A-weighted sound pressure level distributions during lectures. Results: Great differentiation of vocal intensity level between lectors was found. In classrooms of group A lectors were not using raised voice, in group B – 21%, and in group C – 60% of lectors were using raised voice. Conclusions: It was observed that acoustic properties of classrooms (defined by reverberation time exert their effect on lecturer’s vocal intensity level (i.e., raising voice, which may contribute to the increased risk of vocal tract illnesses. The occurrence of Lombard’s effect in groups of teachers and lecturers, conducting lectures in rooms, was evidenced. Med Pr 2015;66(4:487–496

Assessment of lung development in isolated congenital diaphragmatic hernia using signal intensity ratios on fetal MR imaging

International Nuclear Information System (INIS)

Balassy, Csilla; Kasprian, Gregor; Weber, Michael; Herold, Christian; Prayer, Daniela; Brugger, Peter C.; Csapo, Bence

2010-01-01

To investigate developmental changes in the apparently unaffected contralateral lung by using signal intensity ratios (SIR) and lung volumes (LV), and to search for correlation with clinical outcome. Twenty-five fetuses (22-37 weeks' gestation) were examined. Lung/liver signal intensity ratios (LLSIR) were assessed on T1-weighted and T2-weighted sequences for both lungs, then together with LV compared with age-matched controls of 91 fetuses by using the U test. Differences in LLSIRs and lung volumes were correlated with neonatal outcomes. LLSIRs in fetuses with congenital diaphragmatic hernia (CDH) were significantly higher in both lungs on T1-weighted images and significantly lower on T2-weighted images, compared with normals (p < 0.05), increasing on T2-weighted imaging and decreasing on T1-weighted imaging during gestation. Total LV were significantly smaller in the CDH group than in controls (p < 0.05). No significant differences in LLSIR of the two lungs were found. Outcomes correlated significantly with total LV, but not with LLSIR. Changes in LLSIR seem to reflect developmental impairment in CDH; however, they provide no additional information in predicting outcome. LV remains the best indicator on fetal MR imaging of neonatal survival in isolated, left-sided CDH. (orig.)

Assessment of lung development in isolated congenital diaphragmatic hernia using signal intensity ratios on fetal MR imaging

Energy Technology Data Exchange (ETDEWEB)

Balassy, Csilla; Kasprian, Gregor; Weber, Michael; Herold, Christian; Prayer, Daniela [Medical University of Vienna, Department of Radiology, Vienna (Austria); Brugger, Peter C. [Medical University of Vienna, Centre of Anatomy and Cell Biology, Vienna (Austria); Csapo, Bence [Medical University of Vienna, Department of Obstetrics and Gyneocology, Vienna (Austria)

2010-04-15

To investigate developmental changes in the apparently unaffected contralateral lung by using signal intensity ratios (SIR) and lung volumes (LV), and to search for correlation with clinical outcome. Twenty-five fetuses (22-37 weeks' gestation) were examined. Lung/liver signal intensity ratios (LLSIR) were assessed on T1-weighted and T2-weighted sequences for both lungs, then together with LV compared with age-matched controls of 91 fetuses by using the U test. Differences in LLSIRs and lung volumes were correlated with neonatal outcomes. LLSIRs in fetuses with congenital diaphragmatic hernia (CDH) were significantly higher in both lungs on T1-weighted images and significantly lower on T2-weighted images, compared with normals (p < 0.05), increasing on T2-weighted imaging and decreasing on T1-weighted imaging during gestation. Total LV were significantly smaller in the CDH group than in controls (p < 0.05). No significant differences in LLSIR of the two lungs were found. Outcomes correlated significantly with total LV, but not with LLSIR. Changes in LLSIR seem to reflect developmental impairment in CDH; however, they provide no additional information in predicting outcome. LV remains the best indicator on fetal MR imaging of neonatal survival in isolated, left-sided CDH. (orig.)

Kinetic Analysis of Horizontal Plyometric Exercise Intensity.

Science.gov (United States)

Kossow, Andrew J; Ebben, William P

2018-05-01

Kossow, AJ, DeChiara, TG, Neahous, SM, and Ebben, WP. Kinetic analysis of horizontal plyometric exercise intensity. J Strength Cond Res 32(5): 1222-1229, 2018-Plyometric exercises are frequently performed as part of a strength and conditioning program. Most studies assessed the kinetics of plyometric exercises primarily performed in the vertical plane. The purpose of this study was to evaluate the multiplanar kinetic characteristics of a variety of plyometric exercises, which have a significant horizontal component. This study also sought to assess sex differences in the intensity progression of these exercises. Ten men and 10 women served as subjects. The subjects performed a variety of plyometric exercises including the double-leg hop, standing long jump, single-leg standing long jump, bounding, skipping, power skipping, cone hops, and 45.72-cm hurdle hops. Subjects also performed the countermovement jump for comparison. All plyometric exercises were evaluated using a force platform. Dependent variables included the landing rate of force development and landing ground reaction forces for each exercise in the vertical, frontal, and sagittal planes. A 2-way mixed analysis of variance with repeated-measures for plyometric exercise type demonstrated main effects for exercise type for all dependent variables (p ≤ 0.001). There was no significant interaction between plyometric exercise type and sex for any of the variable assessed. Bonferroni-adjusted pairwise comparisons identified a number of differences between the plyometric exercises for the dependent variables assessed (p ≤ 0.05). These findings should be used to guide practitioners in the progression of plyometric exercise intensity, and thus program design, for those who require significant horizontal power in their sport.

The Benefits and Limitations of Crowdsourced Information for Rapid Damage Assessment of Global Earthquakes

Science.gov (United States)

Bossu, R.; Landès, M.; Roussel, F.

2017-12-01

The Internet has fastened the collection of felt reports and macroseismic data after global earthquakes. At the European-Mediterranean Seismological Centre (EMSC), where the traditional online questionnaires have been replace by thumbnail-based questionnaires, an average of half of the reports are collected within 10 minutes of an earthquake's occurrence. In regions where EMSC is well identified this goes down to 5 min. The user simply specifies the thumbnail corresponding to observed effects erasing languages barriers and improving collection via small smartphone screens. A previous study has shown that EMSC data is well correlated with "Did You Feel It" (DYFI) data and 3 independent, manually collected datasets. The efficiency and rapidity of felt report collection through thumbnail-based questionnaires does not necessarily mean that they offer a complete picture of the situation for all intensities values, especially the higher ones. There are several potential limitations. Demographics probably play a role but so might eyewitnesses' behaviors: it is probably not their priority to report when their own safety and that of their loved ones is at stake. We propose to test this hypothesis on EMSC felt reports and to extend the study to LastQuake smartphone application uses. LastQuake is a free smartphone app providing very rapid information on felt earthquakes. There are currently 210 000 active users around the world covering almost every country except for a few ones in Sub-Saharan Africa. Along with felt reports we also analyze the characteristics of LastQuake app launches. For both composite datasets created from 108 earthquakes, we analyze the rapidity of eyewitnesses' reaction and how it changes with intensity values and surmise how they reflect different types of behaviors. We will show the intrinsic limitations of crowdsourced information for rapid situation awareness. More importantly, we will show in which cases the lack of crowdsourced information could

Tracheotomy in the intensive care unit: Guidelines from a French expert panel: The French Intensive Care Society and the French Society of Anaesthesia and Intensive Care Medicine.

Science.gov (United States)

Trouillet, Jean-Louis; Collange, Olivier; Belafia, Fouad; Blot, François; Capellier, Gilles; Cesareo, Eric; Constantin, Jean-Michel; Demoule, Alexandre; Diehl, Jean-Luc; Guinot, Pierre-Grégoire; Jegoux, Franck; L'Her, Erwan; Luyt, Charles-Edouard; Mahjoub, Yazine; Mayaux, Julien; Quintard, Hervé; Ravat, François; Vergez, Sébastien; Amour, Julien; Guillot, Max

2018-06-01

Tracheotomy is widely used in intensive care units, albeit with great disparities between medical teams in terms of frequency and modality. Indications and techniques are, however, associated with variable levels of evidence based on inhomogeneous or even contradictory literature. Our aim was to conduct a systematic analysis of the published data in order to provide guidelines. We present herein recommendations for the use of tracheotomy in adult critically ill patients developed using the grading of recommendations assessment, development and evaluation (GRADE) method. These guidelines were conducted by a group of experts from the French Intensive Care Society (Société de réanimation de langue française) and the French Society of Anesthesia and Intensive Care Medicine (Société francaise d'anesthésie réanimation) with the participation of the French Emergency Medicine Association (Société française de médecine d'urgence), the French Society of Otorhinolaryngology. Sixteen experts and two coordinators agreed to consider questions concerning tracheotomy and its practical implementation. Five topics were defined: indications and contraindications for tracheotomy in intensive care, tracheotomy techniques in intensive care, modalities of tracheotomy in intensive care, management of patients undergoing tracheotomy in intensive care, and decannulation in intensive care. The summary made by the experts and the application of GRADE methodology led to the drawing up of 8 formal guidelines, 10 recommendations, and 3 treatment protocols. Among the 8 formal guidelines, 2 have a high level of proof (Grade 1±) and 6 a low level of proof (Grade 2±). For the 10 recommendations, GRADE methodology was not applicable and instead 10 expert opinions were produced. Copyright © 2018 The Author(s). Published by Elsevier Masson SAS.. All rights reserved.

Assessing the role of spectral and intensity cues in spectral ripple detection and discrimination in cochlear-implant users.

Science.gov (United States)

Anderson, Elizabeth S; Oxenham, Andrew J; Nelson, Peggy B; Nelson, David A

2012-12-01

Measures of spectral ripple resolution have become widely used psychophysical tools for assessing spectral resolution in cochlear-implant (CI) listeners. The objective of this study was to compare spectral ripple discrimination and detection in the same group of CI listeners. Ripple detection thresholds were measured over a range of ripple frequencies and were compared to spectral ripple discrimination thresholds previously obtained from the same CI listeners. The data showed that performance on the two measures was correlated, but that individual subjects' thresholds (at a constant spectral modulation depth) for the two tasks were not equivalent. In addition, spectral ripple detection was often found to be possible at higher rates than expected based on the available spectral cues, making it likely that temporal-envelope cues played a role at higher ripple rates. Finally, spectral ripple detection thresholds were compared to previously obtained speech-perception measures. Results confirmed earlier reports of a robust relationship between detection of widely spaced ripples and measures of speech recognition. In contrast, intensity difference limens for broadband noise did not correlate with spectral ripple detection measures, suggesting a dissociation between the ability to detect small changes in intensity across frequency and across time.

Analysis of intensity variability in multislice and cone beam computed tomography.

Science.gov (United States)

Nackaerts, Olivia; Maes, Frederik; Yan, Hua; Couto Souza, Paulo; Pauwels, Ruben; Jacobs, Reinhilde

2011-08-01

The aim of this study was to evaluate the variability of intensity values in cone beam computed tomography (CBCT) imaging compared with multislice computed tomography Hounsfield units (MSCT HU) in order to assess the reliability of density assessments using CBCT images. A quality control phantom was scanned with an MSCT scanner and five CBCT scanners. In one CBCT scanner, the phantom was scanned repeatedly in the same and in different positions. Images were analyzed using registration to a mathematical model. MSCT images were used as a reference. Density profiles of MSCT showed stable HU values, whereas in CBCT imaging the intensity values were variable over the profile. Repositioning of the phantom resulted in large fluctuations in intensity values. The use of intensity values in CBCT images is not reliable, because the values are influenced by device, imaging parameters and positioning. © 2011 John Wiley & Sons A/S.

Applications of super - high intensity lasers in nuclear engineering

International Nuclear Information System (INIS)

Salomaa, R.; Hakola, A.; Santala, M.

2007-01-01

Laser-plasma interactions arising when a super intense ultrashort laser pulse impinges a solid target creates intense partly collimated and energy resolved photons, high energy electron and protons and neutrons. In addition the plasma plume can generate huge magnetic and electric fields. Also ultra short X-ray pulses are created. We have participated in some of such experiments at Rutherford and Max-Planck Institute and assessed the applications of such kind as laser-driven accelerators. This paper discusses applications in nuclear engineering (neutron sources, isotope separation, fast ignition and transmutation, etc). In particular the potential for extreme time resolution and to partial energy resolution are assessed

Physical activity intensity and subclinical atherosclerosis in Danish adolescents

DEFF Research Database (Denmark)

Ried-Larsen, M; Grøntved, Anders; Froberg, K

2013-01-01

intensity was assessed objectively (ActiGraph model GT3X) and CRF using a progressive maximal bicycle test. Carotid IMT and arterial stiffness were assessed using B-mode ultrasound. In a multivariate analysis (adjusted for pubertal development and smoking status), CRF was inversely associated with measures...

Workload modelling for data-intensive systems

CERN Document Server

Lassnig, Mario

This thesis presents a comprehensive study built upon the requirements of a global data-intensive system, built for the ATLAS Experiment at CERN's Large Hadron Collider. First, a scalable method is described to capture distributed data management operations in a non-intrusive way. These operations are collected into a globally synchronised sequence of events, the workload. A comparative analysis of this new data-intensive workload against existing computational workloads is conducted, leading to the discovery of the importance of descriptive attributes in the operations. Existing computational workload models only consider the arrival rates of operations, however, in data-intensive systems the correlations between attributes play a central role. Furthermore, the detrimental effect of rapid correlated arrivals, so called bursts, is assessed. A model is proposed that can learn burst behaviour from captured workload, and in turn forecast potential future bursts. To help with the creation of a full representative...

Impact of high-intensity interval training and moderate-intensity continuous training on resting and postexercise cardiac troponin T concentration.

Science.gov (United States)

Nie, Jinlei; Zhang, Haifeng; Kong, Zhaowei; George, Keith; Little, Jonathan P; Tong, Tomas K; Li, Feifei; Shi, Qingde

2018-03-01

What is the central question of this study? Does exercise training impact resting and postexercise cardiac troponin T (cTnT) concentration? What is the main finding and its importance? This randomized controlled intervention study demonstrated that 12 weeks of either high-intensity interval training or moderate-intensity continuous training largely abolished the exercise-induced elevation in cTnT when exercise was performed at the same absolute intensity. There was no impact of training on resting cTnT or postexercise appearance of cTnT when exercise was performed at the same relative intensity. These findings provide new information that might help clinicians with decision-making in relationship to basal and postexercise values of cTnT in individuals with different training status. We evaluated the influence of 12 weeks of high-intensity interval training [HIIT; repeated 4 min cycling at 90% of maximal oxygen uptake (V̇O2max) interspersed with 3 min rest, 200-300 kJ per session, 3 or 4 days each week] and work-equivalent moderate-intensity continuous training (MICT; continuous cycling at 60% V̇O2max) on resting cardiac troponin T (cTnT) and the appearance of exercise-induced cTnT. Forty-eight sedentary obese young women were randomly assigned to HIIT, MICT or a control group. The V̇O2max and body composition were measured before and after training. At baseline, cTnT was assessed using a high-sensitivity assay at rest and immediately, 2 and 4 h after 45 min cycling at 60% V̇O2max. After a 12 week training period, cTnT was assessed before and after 45 min cycling at the same relative and absolute intensities as before training. Training led to higher V̇O2max and lower fat mass in both HIIT and MICT groups (all P training, cTnT was significantly elevated in all three groups (by 35-118%, all P training, both resting and postexercise cTnT concentrations (same relative intensity) were similar to pretraining values. In contrast, postexercise cTnT (same

The feasibility and effectiveness of high-intensity boxing training versus moderate-intensity brisk walking in adults with abdominal obesity: a pilot study.

Science.gov (United States)

Cheema, Birinder S; Davies, Timothy B; Stewart, Matthew; Papalia, Shona; Atlantis, Evan

2015-01-01

High-intensity interval training (HIIT) performed on exercise cycle or treadmill is considered safe and often more beneficial for fat loss and cardiometabolic health than moderate-intensity continuous training (MICT). The aim of this pilot study was to assess the feasibility and effectiveness of a 12-week boxing training (HIIT) intervention compared with an equivalent dose of brisk walking (MICT) in obese adults. Men and women with abdominal obesity and body mass index >25 kg/m(2) were randomized to either a boxing group or a brisk walking (control) group for 12 weeks. Each group engaged in 4 training sessions per week, equated for total physical activity. Feasibility outcomes included recruitment rates, assessment of training intensities, adherence and adverse events. Effectiveness was assessed pre and post intervention via pertinent obesity-, cardiovascular-, and health-related quality of life (HRQoL) outcomes. Nineteen individuals expressed an interest and 63% (n = 12) consented. Recruitment was slower than anticipated (1.3 participants/week). The boxing group trained at a significantly higher intensity each week versus the brisk walking group (p body fat percentage (p = 0.047), systolic blood pressure (p = 0.026), augmentation index (AIx; p training (HIIT) in adults with abdominal obesity is feasible and may elicit a better therapeutic effect on obesity, cardiovascular, and HRQoL outcomes than an equivalent dose of brisk walking (MICT). Robustly designed randomized controlled trials are required to confirm these findings and inform clinical guidelines and practice for obesity treatment. ACTRN12615000007538.

Intensive meditation for refractory pain and symptoms.

Science.gov (United States)

Goyal, Madhav; Haythornthwaite, Jennifer; Levine, David; Becker, Diane; Vaidya, Dhananjay; Hill-Briggs, Felicia; Ford, Daniel

2010-06-01

The objective of this study was to assess patient interest in intensive meditation training for chronic symptoms. This was a cross-sectional anonymous survey among six chronic disease clinics in Baltimore including Chronic Kidney Disease, Crohn's Disease, Headache, Renal Transplant Recipients, General Rheumatology, and lupus clinic. Subjects were 1119 consecutive patients registering for their appointments at these clinics. Outcome measures were 6-month pain, global symptomatology, four-item perceived stress scale, use of complementary and alternative medicine (CAM) therapies, and attitudes toward use of meditation for managing symptoms. We then gave a scripted description of an intensive, 10-day meditation training retreat. Patient interest in attending such a retreat was assessed. Seventy-seven percent (77%) of patients approached completed the survey. Fifty-three percent (53%) of patients reported moderate to severe pain over the past 6 months. Eighty percent (80%) reported use of some CAM therapy in the past. Thirty-five percent (35%) thought that learning meditation would improve their health, and 49% thought it would reduce stress. Overall, 39% reported interest in attending the intensive 10-day meditation retreat. Among those reporting moderate to severe pain or stress, the percentages were higher (48% and 59%). In a univariate analysis, higher education, nonworking/disabled status, female gender, higher stress, higher pain, higher symptomatology, and any CAM use were all associated with a greater odds of being moderately to very interested in an intensive 10-day meditation retreat. A multivariate model that included prior use of CAM therapies as predictors of interest in the program fit the data significantly better than a model not including CAM therapies (p = 0.0013). Over 50% of patients followed in chronic disease clinics complain of moderate to severe pain. Patients with persistent pain or stress are more likely to be interested in intensive meditation.

Performance and burnout in intensive care units

NARCIS (Netherlands)

Keijsers, GJ; Schaufeli, WB; LeBlanc, P; Zwerts, C; Miranda, DR

1995-01-01

The relationship between three different performance measures and burnout was explored in 20 Dutch Intensive Care Units (ICUs). Burnout (i.e. emotional exhaustion and depersonalization) proved to be significantly related to nurses' perceptions of performance as well as to objectively assessed unit

Intensity modulated conformal radiotherapy

International Nuclear Information System (INIS)

Noel, Georges; Moty-Monnereau, Celine; Meyer, Aurelia; David, Pauline; Pages, Frederique; Muller, Felix; Lee-Robin, Sun Hae; David, Denis Jean

2006-12-01

This publication reports the assessment of intensity-modulated conformal radiotherapy (IMCR). This assessment is based on a literature survey which focussed on indications, efficiency and safety on the short term, on the risk of radio-induced cancer on the long term, on the role in the therapeutic strategy, on the conditions of execution, on the impact on morbidity-mortality and life quality, on the impact on the health system and on public health policies and program. This assessment is also based on the opinion of a group of experts regarding the technical benefit of IMCR, its indications depending on the cancer type, safety in terms of radio-induced cancers, and conditions of execution. Before this assessment, the report thus indicates indications for which the use of IMCR can be considered as sufficient or not determined. It also proposes a technical description of IMCR and helical tomo-therapy, discusses the use of this technique for various pathologies or tumours, analyses the present situation of care in France, and comments the identification of this technique in foreign classifications

Voluntary peer review as innovative tool for quality improvement in the intensive care unit – a retrospective descriptive cohort study in German intensive care units

Science.gov (United States)

Kumpf, Oliver; Bloos, Frank; Bause, Hanswerner; Brinkmann, Alexander; Deja, Maria; Marx, Gernot; Kaltwasser, Arnold; Dubb, Rolf; Muhl, Elke; Greim, Clemens-A.; Weiler, Norbert; Chop, Ines; Jonitz, Günther; Schaefer, Henning; Felsenstein, Matthias; Liebeskind, Ursula; Leffmann, Carsten; Jungbluth, Annemarie; Waydhas, Christian; Pronovost, Peter; Spies, Claudia; Braun, Jan-Peter

2014-01-01

Introduction: Quality improvement and safety in intensive care are rapidly evolving topics. However, there is no gold standard for assessing quality improvement in intensive care medicine yet. In 2007 a pilot project in German intensive care units (ICUs) started using voluntary peer reviews as an innovative tool for quality assessment and improvement. We describe the method of voluntary peer review and assessed its feasibility by evaluating anonymized peer review reports and analysed the thematic clusters highlighted in these reports. Methods: Retrospective data analysis from 22 anonymous reports of peer reviews. All ICUs – representing over 300 patient beds – had undergone voluntary peer review. Data were retrieved from reports of peers of the review teams and representatives of visited ICUs. Data were analysed with regard to number of topics addressed and results of assessment questionnaires. Reports of strengths, weaknesses, opportunities and threats (SWOT reports) of these ICUs are presented. Results: External assessment of structure, process and outcome indicators revealed high percentages of adherence to predefined quality goals. In the SWOT reports 11 main thematic clusters were identified representative for common ICUs. 58.1% of mentioned topics covered personnel issues, team and communication issues as well as organisation and treatment standards. The most mentioned weaknesses were observed in the issues documentation/reporting, hygiene and ethics. We identified several unique patterns regarding quality in the ICU of which long-term personnel problems und lack of good reporting methods were most interesting Conclusion: Voluntary peer review could be established as a feasible and valuable tool for quality improvement. Peer reports addressed common areas of interest in intensive care medicine in more detail compared to other methods like measurement of quality indicators. PMID:25587245

Identifying attachment ruptures underlying severe music performance anxiety in a professional musician undertaking an assessment and trial therapy of Intensive Short-Term Dynamic Psychotherapy (ISTDP).

Science.gov (United States)

Kenny, Dianna T; Arthey, Stephen; Abbass, Allan

2016-01-01

Kenny has proposed that severe music performance anxiety that is unresponsive to usual treatments such as cognitive-behaviour therapy may be one manifestation of unresolved attachment ruptures in early life. Intensive Short-Term Dynamic Psychotherapy specifically targets early relationship trauma. Accordingly, a trial of Intensive Short-Term Dynamic Psychotherapy with severely anxious musicians was implemented to assess whether resolution of attachment ruptures resulted in clinically significant relief from music performance anxiety. Volunteer musicians participating in a nationally funded study were screened for MPA severity. Those meeting the critical cut-off score on the Kenny Music Performance Anxiety Inventory were offered a trial of Intensive Short-Term Dynamic Psychotherapy. In this paper, we present the theoretical foundations and rationale for the treatment approach, followed by sections of a verbatim transcript and process analysis of the assessment phase of treatment that comprised a 3-h trial therapy session. The 'case' was a professional orchestral musician (male, aged 55) who had suffered severe music performance anxiety over the course of his entire career, which spanned more than 30 years at the time he presented for treatment following his failure to secure a position at audition. The participant was able to access the pain, rage and grief associated with unresolved attachment ruptures with both parents that demonstrated the likely nexus between early attachment trauma and severe music performance anxiety. Intensive Short-Term Dynamic Psychotherapy is a potentially cost-effective treatment for severe music performance anxiety. Further research using designs with higher levels of evidence are required before clinical recommendations can be made for the use of this therapy with this population.

Impact of reduction of tinnitus intensity on patients' quality of life.

Science.gov (United States)

Drexler, Daniel; López-Paullier, Matías; Rodio, Silvana; González, Manuela; Geisinger, Darío; Pedemonte, Marisa

2016-01-01

Assess the impact of a reduction of tinnitus intensity achieved through sound stimulation during sleep on the improvement in the patients' quality of life. Acoustic stimuli consisted of a highly customized sound that reproduced the spectral and intensity characteristics of the tinnitus in each patient. This stimulus was uploaded into a portable electronic device and delivered through customized ear buds during sleep, every night for three months. Twelve patients with subjective idiopathic chronic tinnitus were studied. Results were assessed through: (1) the measurement in dB SPL of tinnitus intensity reduction over time; (2) the results of three psychometric tests: Tinnitus handicap inventory (THI), Tinnitus reaction questionnaire (TRQ), Tinnitus functional index (TFI); and (3) a Visual analog scale (VAS) for tinnitus annoyance. After three months of treatment, we observed an average decrease in tinnitus intensity of 14.1 dB SPL (p < 0.001), implying a 62% reduction of the perceived sound. This improvement was followed by a statistically significant decrease of TRQ (78%), THI (65%), and TFI (77%). These results suggested that the intensity reduction achieved through the protocol used in this study had a direct impact on the improvement in the patients' quality of life.

Developing the PTSD Checklist-I/F for the DSM-IV (PCL-I/F: Assessing PTSD Symptom Frequency and Intensity in a Pilot Study of Male Veterans with Combat-Related PTSD

Directory of Open Access Journals (Sweden)

Ryan Holliday

2015-02-01

Full Text Available The widely used posttraumatic stress disorder (PTSD Checklist (PCL has established reliability and validity, but it does not differentiate posttraumatic symptom frequency from intensity as elements of posttraumatic symptom severity. Thus, the PCL in its existing form may not provide a comprehensive appraisal of posttraumatic symptomatology. Because of this, we modified the PCL to create the PCL-I/F that measures both frequency and intensity of PTSD symptoms via brief self-report. To establish validity and internal consistency of the PCL-I/F, we conducted a pilot study comparing PCL-I/F scores to structured diagnostic interview for PTSD (the Clinician Administered PTSD Scale [CAPS] in a male combat veteran sample of 92 participants. Statistically significant correlations between the PCL-I/F and the CAPS were found, suggesting initial validation of the PCL-I/F to screen and assess frequency and intensity of combat-related PTSD symptoms. Implications are discussed for screening and assessment of PTSD related to combat and non-combat trauma.

Cardiac Risk Assessment, Morbidity Prediction, and Outcome in the Vascular Intensive Care Unit.

LENUS (Irish Health Repository)

Dover, Mary

2013-09-17

Objectives: The aim of this study is to examine the predictive value of the Lee revised cardiac risk index (RCRI) for a standard vascular intensive care unit (ICU) population as well as assessing the utility of transthoracic echocardiography and the impact of prior coronary artery disease (CAD) and coronary revascularization on patient outcome. Design: This is a retrospective review of prospectively maintained Vascubase and prospectively collected ICU data. Materials and Methods: Data from 363 consecutive vascular ICU admissions were collected. Findings were used to calculate the RCRI, which was then correlated with patient outcomes. All patients were on optimal medical therapy (OMT) in the form of cardioselective β-blocker, aspirin, statin, and folic acid. Results: There was no relationship found between a reduced ejection fraction and patient outcome. Mortality was significantly increased for patients with left ventricular hypertrophy (LVH) as identified on echo (14.9% vs 6.5%, P = .028). The overall complication rates were significantly elevated for patients with valvular dysfunction. Discrimination for the RCRI on receiver-operating characteristic analysis was poor, with an area under the receiver-operating characteristic curve of .621. Model calibration was reasonable with an Hosmer-Lemeshow Ĉ statistic of 2.726 (P = .256). Of those with known CAD, 41.22% of the patients receiving best medical treatment developed acute myocardial infarction (AMI) compared to 35.3% of those who previously underwent percutaneous cardiac intervention and 23.5% of those who had undergone coronary artery bypass grafting. There was 3-fold increase in major adverse clinical events in patients with troponin rise and LVH. Conclusions: The RCRI\\'s discriminatory capacity is low, and this raises difficulties in assessing cardiac risk in patients undergoing vascular intervention. The AMI is highest in the OMT group without prior cardiac intervention, which mandates protocols to

Regional dependence in earthquake early warning and real time seismology

International Nuclear Information System (INIS)

Caprio, M.

2013-01-01

An effective earthquake prediction method is still a Chimera. What we can do at the moment, after the occurrence of a seismic event, is to provide the maximum available information as soon as possible. This can help in reducing the impact of the quake on population or and better organize the rescue operations in case of post-event actions. This study strives to improve the evaluation of earthquake parameters shortly after the occurrence of a major earthquake, and the characterization of regional dependencies in Real-Time Seismology. The recent earthquake experience from Tohoku (M 9.0, 11.03.2011) showed how an efficient EEW systems can inform numerous people and thus potentially reduce the economic and human losses by distributing warning messages several seconds before the arrival of seismic waves. In the case of devastating earthquakes, usually, in the first minutes to days after the main shock, the common communications channels can be overloaded or broken. In such cases, a precise knowledge of the macroseismic intensity distribution will represent a decisive contribution in help management and in the valuation of losses. In this work, I focused on improving the adaptability of EEW systems (chapters 1 and 2) and in deriving a global relationship for converting peak ground motion into macroseismic intensity and vice versa (chapter 3). For EEW applications, in chapter 1 we present an evolutionary approach for magnitude estimation for earthquake early warning based on real-time inversion of displacement spectra. The Spectrum Inversion (SI) method estimates magnitude and its uncertainty by inferring the shape of the entire displacement spectral curve based on the part of the spectra constrained by available data. Our method can be applied in any region without the need for calibration. SI magnitude and uncertainty estimates are updated each second following the initial P detection and potentially stabilize within 10 seconds from the initial earthquake detection

Regional dependence in earthquake early warning and real time seismology

Energy Technology Data Exchange (ETDEWEB)

Caprio, M.

2013-07-01

An effective earthquake prediction method is still a Chimera. What we can do at the moment, after the occurrence of a seismic event, is to provide the maximum available information as soon as possible. This can help in reducing the impact of the quake on population or and better organize the rescue operations in case of post-event actions. This study strives to improve the evaluation of earthquake parameters shortly after the occurrence of a major earthquake, and the characterization of regional dependencies in Real-Time Seismology. The recent earthquake experience from Tohoku (M 9.0, 11.03.2011) showed how an efficient EEW systems can inform numerous people and thus potentially reduce the economic and human losses by distributing warning messages several seconds before the arrival of seismic waves. In the case of devastating earthquakes, usually, in the first minutes to days after the main shock, the common communications channels can be overloaded or broken. In such cases, a precise knowledge of the macroseismic intensity distribution will represent a decisive contribution in help management and in the valuation of losses. In this work, I focused on improving the adaptability of EEW systems (chapters 1 and 2) and in deriving a global relationship for converting peak ground motion into macroseismic intensity and vice versa (chapter 3). For EEW applications, in chapter 1 we present an evolutionary approach for magnitude estimation for earthquake early warning based on real-time inversion of displacement spectra. The Spectrum Inversion (SI) method estimates magnitude and its uncertainty by inferring the shape of the entire displacement spectral curve based on the part of the spectra constrained by available data. Our method can be applied in any region without the need for calibration. SI magnitude and uncertainty estimates are updated each second following the initial P detection and potentially stabilize within 10 seconds from the initial earthquake detection

Assessing client self-narrative change in emotion-focused therapy of depression: an intensive single case analysis.

Science.gov (United States)

Angus, Lynne E; Kagan, Fern

2013-12-01

Personality researchers use the term self-narrative to refer to the development of an overall life story that places life events in a temporal sequence and organizes them in accordance to overarching themes. In turn, it is often the case that clients seek out psychotherapy when they can no longer make sense of their life experiences, as a coherent story. Angus and Greenberg (L. Angus and L. Greenberg, 2011, Working with narrative in emotion-focused therapy: Changing stories, healing lives. Washington, DC: American Psychological Association Press) view the articulation and consolidation of an emotionally integrated self-narrative account as an important part of the therapeutic change process that is essential for sustained change in emotion-focused therapy of depression. The purpose of the present study was to investigate client experiences of change, and self-narrative reconstruction, in the context of one good outcome emotion-focused therapy dyad drawn from the York II Depression Study. Using the Narrative Assessment Interview (NAI) method, client view of self and experiences of change were assessed at three points in time--after session one, at therapy termination, and at 6 months follow-up. Findings emerging from an intensive narrative theme analyses of the NAI transcripts--and 1 key therapy session identified by the client--are reported and evidence for the contributions of narrative and emotion processes to self-narrative change in emotion-focused therapy of depression are discussed. Finally, the implications of assessing clients' experiences of self-narrative change for psychotherapy research and practice are addressed.

Physician work intensity among medical specialties: emerging evidence on its magnitude and composition.

Science.gov (United States)

Horner, Ronnie D; Szaflarski, Jerzy P; Ying, Jun; Meganathan, Karthikeyan; Matthews, Gerald; Schroer, Brian; Weber, Debra; Raphaelson, Marc

2011-11-01

Similarities and differences in physician work intensity among specialties are poorly understood but have implications for quality of care, patient safety, practice organization and management, and payment. To determine the magnitude and important dimensions of physician work intensity for 4 specialties. Cross-sectional assessment of work intensity associated with actual patient care in the examination room or operating room. A convenience sample of 45 family physicians, 20 general internists, 22 neurologists, and 21 surgeons, located in Kansas, Kentucky, Maryland, Ohio, and Virginia. Work intensity measures included the National Aeronautics and Space Administration-Task Load Index (NASA-TLX), Subjective Work Assessment Technique (SWAT), and Multiple Resource Questionnaire. Stress was measured by the Dundee Stress State Questionnaire. Physicians reported similar magnitude of work intensity on the NASA-TLX and Multiple Resource Questionnaire. On the SWAT, general internists reported work intensity similar to surgeons but significantly lower than family physicians and neurologists (P=0.035). Surgeons reported significantly higher levels of task engagement on the stress measure than the other specialties (P=0.019), significantly higher intensity on physical demand (P NASA-TLX than the other specialties (P=0.003). Surgeons reported the lowest intensity for temporal demand of all specialties, being significantly lower than either family physicians or neurologists (P=0.014). Family physicians reported the highest intensity on the time dimension of the SWAT, being significantly higher than either general internists or surgeons (P=0.008). Level of physician work intensity seems to be similar among specialties.

Delirium screening in intensive care: A life saving opportunity.

Science.gov (United States)

Lamond, E; Murray, S; Gibson, C E

2018-02-01

Delirium is described as 'acute brain failure' and constitutes a medical emergency which presents a hazard for people cared for in intensive care units. The Scottish intensive care society audit group recommend that all people cared for in intensive care units be screened for signs of delirium so that treatment and management of complications can be implemented at an early stage. There is inconsistent evidence about when and how the assessment of delirium is carried out by nursing staff in the intensive care setting. This narrative review explores the pathophysiology and current practices of delirium screening in intensive care. Consideration is given to the role of the nurse in detecting and managing delirium and some barriers to routine daily delirium screening are critically debated. It is argued that routine delirium screening is an essential element of safe, effective and person centred nursing care which has potential to reduce morbidity and mortality. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

On the principles of the determination of the safe shut-down earthquake for nuclear power plants in Austria

International Nuclear Information System (INIS)

Drimmel, J.

1976-01-01

At present no legal guide lines exist in Austria for the determination of the Safe Shut-Down Earthquake. According to experience, the present requirements for a nuclear power plant site are the following: It must be free of marked tectonic faults and it must never have been situated within the epicentral region of a strong earthquake. The maximum expected earthquake and the Safe Shut-Down Earthquake respectively, are fixed by the aid of a frequency map of strong earthquakes and a map of extreme earthquake intensities in Austria based on macroseismic data since 1201 A.D. The corresponding values of acceleration will be prescribed according to the state of science, but must at least be 0.10 g for the horizontal and 0.05 g for the vertical component of acceleration at the basement

Water intensity assessment of shale gas resources in the Wattenberg field in northeastern Colorado.

Science.gov (United States)

Goodwin, Stephen; Carlson, Ken; Knox, Ken; Douglas, Caleb; Rein, Luke

2014-05-20

Efficient use of water, particularly in the western U.S., is an increasingly important aspect of many activities including agriculture, urban, and industry. As the population increases and agriculture and energy needs continue to rise, the pressure on water and other natural resources is expected to intensify. Recent advances in technology have stimulated growth in oil and gas development, as well as increasing the industry's need for water resources. This study provides an analysis of how efficiently water resources are used for unconventional shale development in Northeastern Colorado. The study is focused on the Wattenberg Field in the Denver-Julesberg Basin. The 2000 square mile field located in a semiarid climate with competing agriculture, municipal, and industrial water demands was one of the first fields where widespread use of hydraulic fracturing was implemented. The consumptive water intensity is measured using a ratio of the net water consumption and the net energy recovery and is used to measure how efficiently water is used for energy extraction. The water and energy use as well as energy recovery data were collected from 200 Noble Energy Inc. wells to estimate the consumptive water intensity. The consumptive water intensity of unconventional shale in the Wattenberg is compared with the consumptive water intensity for extraction of other fuels for other energy sources including coal, natural gas, oil, nuclear, and renewables. 1.4 to 7.5 million gallons is required to drill and hydraulically fracture horizontal wells before energy is extracted in the Wattenberg Field. However, when the large short-term total freshwater-water use is normalized to the amount of energy produced over the lifespan of a well, the consumptive water intensity is estimated to be between 1.8 and 2.7 gal/MMBtu and is similar to surface coal mining.

Delirium in intensive care: use of the ‘Confusion Assessment Method for the Intensive Care Unit’ by the nurse / Delirium em terapia intensiva: utilização do Confusion Assessment Method for the Intensive Care Unit pelo enfermeiro

Directory of Open Access Journals (Sweden)

Isabel Cristina Gomes de Oliveira Tostes

2018-01-01

Full Text Available Objetivo: compreender o conhecimento dos enfermeiros sobre o delirium no paciente crítico e a utilização do Confusion Assessment Method for the Intensive Care Unit. Métodos: Estudo exploratório-descritivo, prospectivo, com abordagem mista. Teve-se como população os enfermeiros de uma unidade de terapia intensiva, a amostra constituiu-se de 16 enfermeiros que aceitaram participar de todas as etapas da pesquisa. Realizou-se um pré e pós-teste aplicando-se o instrumento de coleta de dados constituído de 1 pergunta discursiva e 8 objetivas, para análise usou-se análise e conteúdo e estatística básica. A pesquisa foi aprovada pelo comitê de ética em pesquisa do Hospital Universitário Pedro Ernesto, sob o parecer de nº1.360.441. Resultados: Num comparativo entre o pré e pós-teste, o grupo se mostrou mais preparado para identificar o delirium e com maior grau de conhecimento acerca da temática. Conclusão: atualização mostrou-se como uma ferramenta de transformação da prática clínica. Destacando-se a importância da educação permanente para garantir a qualidade na assistência de enfermagem. Descritores: Terapia Intensiva, Enfermagem, Transtornos Cognitivos.

Psychopathology after cardiac surgery and intensive care treatment

NARCIS (Netherlands)

Kok, Lotte

2018-01-01

In this thesis, the occurrence of stress-related psychopathology after cardiac surgery and intensive care treatment is assessed. We primarily focused on post-traumatic stress disorder (PTSD) and depression symptomatology, but the effects of benzodiazepine administration, delirium, anxiety, and

Low-intensity pulsed ultrasound: Nonunions

Directory of Open Access Journals (Sweden)

Dijkman Bernadette

2009-01-01

Full Text Available Nonunions occur in 5-10% of fractures and are characterized by the failure to heal without further intervention. Low intensity pulsed ultrasound therapy has been developed as an alternative to surgery in the treatment of nonunions. We describe a systematic review on trials of low-intensity pulsed ultrasound therapy for healing of nonunions. We searched the electronic databases Medline and the Cochrane library for articles on ultrasound and healing of nonunions published up to 2008. Trials selected for the review met the following criteria: treatment of at least one intervention group with low intensity pulsed ultrasound; inclusion of patients (humans with one or more nonunions (defined as "established" or as a failure to heal for a minimum of eight months after initial injury; and assessment of healing and time to healing, as determined radiographically. The following data were abstracted from the included studies: sample size, ultrasound treatment characteristics, nonunion location, healing rate, time to fracture healing, fracture age, and demographic information. We found 79 potentially eligible publications, of which 14 met our inclusion criteria. Of these, eight studies were used for data abstraction. Healing rates averaged 87%, (range 65.6%-100% among eight trials. Mean time to healing was 146.5 days, (range 56-219 days. There is evidence from trials that low-intensity pulsed ultrasound may be an effective treatment for healing of nonunions. More homogeneous and larger controlled series are needed to further investigate its efficacy.

Constraint-induced aphasia therapy versus intensive semantic treatment in fluent aphasia.

Science.gov (United States)

Wilssens, Ineke; Vandenborre, Dorien; van Dun, Kim; Verhoeven, Jo; Visch-Brink, Evy; Mariën, Peter

2015-05-01

The authors compared the effectiveness of 2 intensive therapy methods: Constraint-Induced Aphasia Therapy (CIAT; Pulvermüller et al., 2001) and semantic therapy (BOX; Visch-Brink & Bajema, 2001). Nine patients with chronic fluent aphasia participated in a therapy program to establish behavioral treatment outcomes. Participants were randomly assigned to one of two groups (CIAT or BOX). Intensive therapy significantly improved verbal communication. However, BOX treatment showed a more pronounced improvement on two communication-namely, a standardized assessment for verbal communication, the Amsterdam Nijmegen Everyday Language Test (Blomert, Koster, & Kean, 1995), and a subjective rating scale, the Communicative Effectiveness Index (Lomas et al., 1989). All participants significantly improved on one (or more) subtests of the Aachen Aphasia Test (Graetz, de Bleser, & Willmes, 1992), an impairment-focused assessment. There was a treatment-specific effect. BOX treatment had a significant effect on language comprehension and semantics, whereas CIAT treatment affected language production and phonology. The findings indicate that in patients with fluent aphasia, (a) intensive treatment has a significant effect on language and verbal communication, (b) intensive therapy results in selective treatment effects, and (c) an intensive semantic treatment shows a more striking mean improvement on verbal communication in comparison with communication-based CIAT treatment.

Sleep in intensive care unit

DEFF Research Database (Denmark)

Boyko, Yuliya; Jennum, Poul; Nikolic, Miki

2017-01-01

PURPOSE: To determine if improving intensive care unit (ICU) environment would enhance sleep quality, assessed by polysomnography (PSG), in critically ill mechanically ventilated patients. MATERIALS AND METHODS: Randomized controlled trial, crossover design. The night intervention "quiet routine...... Medicine) sleep scoring criteria were insufficient for the assessment of polysomnograms. Modified classification for sleep scoring in critically ill patients, suggested by Watson et al. (Crit Care Med 2013;41:1958-1967), was used. RESULTS: Sound level analysis showed insignificant effect...... patients. We were not able to further reduce the already existing low noise levels in the ICU and did not find any association between the environmental intervention and the presence of normal sleep characteristics in the PSG....

Effects of listening to music on pain intensity and pain distress after surgery: an intervention.

Science.gov (United States)

Vaajoki, Anne; Pietilä, Anna-Maija; Kankkunen, Päivi; Vehviläinen-Julkunen, Katri

2012-03-01

To evaluate the effects of music listening on pain intensity and pain distress on the first and second postoperative days in abdominal surgery patients and the long-term effects of music on the third postoperative day. Music has been found to relieve pain intensity in surgery patients. There are only a few studies on music intervention in abdominal surgery. Music intervention studies assessing multidimensional pain such as pain intensity and pain distress are also scarce. Prospective clinical study with two parallel groups. Patients undergoing elective abdominal surgery (n = 168) were divided into either a music group (n = 83) or a control group (n = 85). Patients assessed pain intensity and pain distress in bed rest, during deep breathing and in shifting position once in the evening of the operation day and on the first and second postoperative days in the morning, at noon and in the evening. On the third postoperative day, the patients assessed their pain intensity and pain distress only once. In the music group, the patients' pain intensity and pain distress in bed rest, during deep breathing and in shifting position were significantly lower on the second postoperative day compared with control group of patients. On the third postoperative day, when long-term effects of music on pain intensity and pain distress were assessed, there were no significant differences between music and control groups. This study demonstrates that the use of music alleviates pain intensity and pain distress in bed rest, during deep breathing and in shifting position after abdominal surgery on the second postoperative day. Music intervention is safe, inexpensive and easily used to improve the healing environment for abdominal surgery patients. Music intervention should be offered as an adjunct alternative to pharmacological pain relief after abdominal surgery in nursing practice. © 2011 Blackwell Publishing Ltd.

Assessing Process Mass Intensity and Waste via an "aza"-Baylis-Hillman Reaction

Science.gov (United States)

Go´mez-Biagi, Rodolfo F.; Dicks, Andrew P.

2015-01-01

A synthetic procedure is outlined where upper-level undergraduate organic chemistry students perform a two-week, semimicroscale "aza"-Baylis-Hillman reaction to generate an allylic sulfonamide product. Students evaluate several green chemistry reaction metrics of industrial importance (process mass intensity (PMI), E factor, and reaction…

Weaning from mechanical ventilation: factors that influence intensive care nurses' decision-making.

Science.gov (United States)

Tingsvik, Catarina; Johansson, Karin; Mårtensson, Jan

2015-01-01

The aim of the study was to describe the factors that influence intensive care nurses' decision-making when weaning patients from mechanical ventilation. Patients with failing vital function may require respiratory support. Weaning from mechanical ventilation is a process in which the intensive care nurse participates in both planning and implementation. A qualitative approach was used. The data were collected by means of semi-structured interviews with 22 intensive care nurses. The interviews were transcribed and analysed using qualitative content analysis. One theme emerged: 'A complex nursing situation where the patient receives attention and which is influenced by the current care culture'. There was consensus that the overall assessment of the patient made by the intensive care nurse was the main factor that influenced the decision-making process. This assessment was a continuous process consisting of three factors: the patient's perspective as well as her/his physical and mental state. On the other hand, there was a lack of consensus about what other factors influenced the decision-making process. These factors included the care culture constituted by the characteristics of the team, the intensive care nurses' professional skills, personalities and ability to be present. The individual overall assessment of the patient enabled nursing care from a holistic perspective. Furthermore, the weaning process can be more effective and potential suffering reduced by creating awareness of the care culture's impact on the decision-making process. © 2014 British Association of Critical Care Nurses.

The high intensity solar cell: Key to low cost photovoltaic power

Science.gov (United States)

Sater, B. L.; Goradia, C.

1975-01-01

The design considerations and performance characteristics of the 'high intensity' (HI) solar cell are presented. A high intensity solar system was analyzed to determine its cost effectiveness and to assess the benefits of further improving HI cell efficiency. It is shown that residential sized systems can be produced at less than $1000/kW peak electric power. Due to their superior high intensity performance characteristics compared to the conventional and VMJ cells, HI cells and light concentrators may be the key to low cost photovoltaic power.

Impact of aerobic exercise intensity on craving and reactivity to smoking cues.

Science.gov (United States)

Janse Van Rensburg, Kate; Elibero, Andrea; Kilpatrick, Marcus; Drobes, David J

2013-06-01

Aerobic exercise can acutely reduce cigarette cravings during periods of nicotine deprivation. The primary aim of this study was to assess the differential effects of light and vigorous intensity aerobic exercise on cigarette cravings, subjective and physiological reactivity to smoking cues, and affect after overnight nicotine deprivation. A secondary aim was to examine cortisol change as a mediator of the effects of exercise on smoking motivation. 162 (55 female, 107 male) overnight nicotine-deprived smokers were randomized to one of three exercise conditions: light intensity, vigorous intensity, or a passive control condition. After each condition, participants engaged in a standardized cue reactivity assessment. Self-reported urges to smoke, affect, and salivary cortisol were assessed at baseline (i.e., before each condition), immediately after each condition, and after the cue reactivity assessment. Light and vigorous exercise significantly decreased urges to smoke and increased positive affect, relative to the control condition. In addition, those in the vigorous exercise condition demonstrated suppressed appetitive reactivity to smoking cues, as indexed by the startle eyeblink reflex. Although exercise intensity was associated with expected changes in cortisol concentration, these effects were not related to changes in craving or cue reactivity. Both light and vigorous exercise can reduce general cravings to smoke, whereas vigorous exercise appears especially well-suited for reducing appetitive reactions to cues that may precede smoking. Results did not support exercise-induced cortisol release as a mechanism for these effects. PsycINFO Database Record (c) 2013 APA, all rights reserved.

Occupational Variation in End-of-Life Care Intensity.

Science.gov (United States)

Hyder, Joseph A; Haring, R Sterling; Sturgeon, Daniel; Gazarian, Priscilla K; Jiang, Wei; Cooper, Zara; Lipsitz, Stuart R; Prigerson, Holly G; Weissman, Joel S

2018-03-01

End-of-life (EOL) care intensity is known to vary by secular and geographic patterns. US physicians receive less aggressive EOL care than the general population, presumably the result of preferences shaped by work-place experience with EOL care. We investigated occupation as a source of variation in EOL care intensity. Across 4 states, we identified 660 599, nonhealth maintenance organization Medicare beneficiaries aged ≥66 years who died between 2004 and 2011. Linking death certificates, we identified beneficiaries with prespecified occupations: nurses, farmers, clergy, mortuary workers, homemakers, first-responders, veterinary workers, teachers, accountants, and the general population. End-of-life care intensity over the last 6 months of life was assessed using 5 validated measures: (1) Medicare expenditures, rates of (2) hospice, (3) surgery, (4) intensive care, and (5) in-hospital death. Occupation was a source of large variation in EOL care intensity across all measures, before and after adjustment for sex, education, age-adjusted Charlson Comorbidity Index, race/ethnicity, and hospital referral region. For example, absolute and relative adjusted differences in expenditures were US$9991 and 42% of population mean expenditure ( P EOL care intensity measures, teachers (5 of 5), homemakers (4 of 5), farmers (4 of 5), and clergy (3 of 5) demonstrated significantly less aggressive care. Mortuary workers had lower EOL care intensity (4 of 5) but small numbers limited statistical significance. Occupations with likely exposure to child development, death/bereavement, and naturalistic influences demonstrated lower EOL care intensity. These findings may inform patients and clinicians navigating choices around individual EOL care preferences.

Use of cartography in historical seismicity analysis: a reliable tool to better apprehend the contextualization of the historical documents

Science.gov (United States)

Thibault, Fradet; Grégory, Quenet; Kevin, Manchuel

2014-05-01

Historical studies, including historical seismicity analysis, deal with historical documents. Numerous factors, such as culture, social condition, demography, political situations and opinions or religious ones influence the way the events are transcribed in the archives. As a consequence, it is crucial to contextualize and compare the historical documents reporting on a given event in order to reduce the uncertainties affecting their analysis and interpretation. When studying historical seismic events it is often tricky to have a global view of all the information provided by the historical documents. It is also difficult to extract cross-correlated information from the documents and draw a precise historical context. Use of cartographic and geographic tools in GIS software is the best tool for the synthesis, interpretation and contextualization of the historical material. The main goal is to produce the most complete dataset of available information, in order to take into account all the components of the historical context and consequently improve the macroseismic analysis. The Entre-Deux-Mers earthquake (1759, Iepc= VII-VIII) [SISFRANCE 2013 - EDF-IRSN-BRGM] is well documented but has never benefited from a cross-analysis of historical documents and historical context elements. The map of available intensity data from SISFRANCE highlights a gap in macroseismic information within the estimated epicentral area. The aim of this study is to understand the origin of this gap by making a cartographic compilation of both, archive information and historical context elements. The results support the hypothesis that the lack of documents and macroseismic data in the epicentral area is related to a low human activity rather than low seismic effects in this zone. Topographic features, geographical position, flood hazard, roads and pathways locations, vineyards distribution and the forester coverage, mentioned in the archives and reported on the Cassini's map confirm this

Toward a consistent model for strain accrual and release for the New Madrid Seismic Zone, central United States

Science.gov (United States)

Hough, S.E.; Page, M.

2011-01-01

At the heart of the conundrum of seismogenesis in the New Madrid Seismic Zone is the apparently substantial discrepancy between low strain rate and high recent seismic moment release. In this study we revisit the magnitudes of the four principal 1811–1812 earthquakes using intensity values determined from individual assessments from four experts. Using these values and the grid search method of Bakun and Wentworth (1997), we estimate magnitudes around 7.0 for all four events, values that are significantly lower than previously published magnitude estimates based on macroseismic intensities. We further show that the strain rate predicted from postglacial rebound is sufficient to produce a sequence with the moment release of one Mmax6.8 every 500 years, a rate that is much lower than previous estimates of late Holocene moment release. However, Mw6.8 is at the low end of the uncertainty range inferred from analysis of intensities for the largest 1811–1812 event. We show that Mw6.8 is also a reasonable value for the largest main shock given a plausible rupture scenario. One can also construct a range of consistent models that permit a somewhat higher Mmax, with a longer average recurrence rate. It is thus possible to reconcile predicted strain and seismic moment release rates with alternative models: one in which 1811–1812 sequences occur every 500 years, with the largest events being Mmax∼6.8, or one in which sequences occur, on average, less frequently, with Mmax of ∼7.0. Both models predict that the late Holocene rate of activity will continue for the next few to 10 thousand years.

Physiological benefits of a prolonged moderate intensity endurance ...

African Journals Online (AJOL)

Objectives. To assess the physiological changes that take place in patients with coronary artery disease after 6 and 18 months of moderate-intensity endurance training. Design. Prospective non-randomised controlled study. Setting. Joharmesburg Cardiac Rehabilitation Centre, a community-based phase ill cardiac ...

The odd couple: The relationship between state economic performance and carbon emissions economic intensity

International Nuclear Information System (INIS)

Davidsdottir, B.; Fisher, M.

2011-01-01

Historical time trends indicate that both carbon and energy intensity have declined in the United States over the last several decades, while economic performance, as measured by per capita GSP, has improved. This observation indicates that it may be possible to reduce carbon intensity without a reduction in economic performance. This paper assesses using panel analysis, the empirical relationship between carbon emissions intensity and economic performance, and examines the direction of causality between the two variables. Data for the analysis covered 48 states, excluding Hawaii, Alaska, and Washington DC, from 1980 to 2000. The results indicate significant bi-directional relationship between carbon emissions intensity and state economic performance, both using an aggregate indicator for carbon emissions intensity, decomposed using Laspeyres indexes and disaggregated by sector. This implies that it should be possible to implement statewide and sector-specific policies to reduce energy and carbon intensity and at the same time improve economic performance. - Highlights: → The empirical relationship between carbon emissions intensity and economic performance is assessed → The direction of causality between the two variables is examined. → Results indicate significant relationship between carbon emissions intensity and state economic performance. → Relationship is bi-directional, and holds for both aggregate analysis and by sector. → It is possible to implement policies to reduce carbon intensity and improve economic performance.

Exercise Intensity and Incidence of Metabolic Syndrome: The SUN Project.

Science.gov (United States)

Hidalgo-Santamaria, María; Fernandez-Montero, Alejandro; Martinez-Gonzalez, Miguel A; Moreno-Galarraga, Laura; Sanchez-Villegas, Almudena; Barrio-Lopez, María T; Bes-Rastrollo, Maira

2017-04-01

Emerging evidence suggests that vigorous physical activity may be associated with higher cardioprotective benefits than moderate physical activity. This study aimed to assess the long-term relationship between the intensity of leisure time physical activity (LTPA) and the risk of developing metabolic syndrome (MS) in a prospective cohort study. The Seguimiento Universidad de Navarra (SUN) Project comprises Spanish university graduates. Participants (n=10,145) initially free of MS were followed for a minimum of 6 years (2008-2014). Analysis was conducted in 2015. Physical activity was assessed though a validated questionnaire. The intensity of each physical activity was measured in METs. The intensity of LTPA was estimated by the ratio between total METs/week and total hours of LTPA/week, obtaining the mean METs/hour of LTPA. MS was defined according to the harmonizing definition. The association between the intensity of LTPA (METs/hour) and MS was assessed with logistic regression models adjusting for potential confounders. Among 10,145 participants initially free of any MS criteria, 412 new MS cases were observed. Vigorous LTPA was associated with a 37% relatively lower risk (AOR=0.63, 95% CI=0.44, 0.89) compared with light LTPA. For a given total energy expenditure, independent of the time spent on it, participants who performed vigorous LTPA exhibited a higher reduction in the risk of MS than those who performed light to moderate LTPA. Vigorous LTPA was significantly associated with lower risk of developing MS after a 6-year follow-up period. Copyright © 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.

Development of stress ulcers assessed by gastric electrical potential difference, pH of gastric juice, and endoscopy in patients in the intensive care unit

DEFF Research Database (Denmark)

Rubinstein, E; Gjørup, I; Schulze, S

1992-01-01

OBJECTIVE: To assess measurement of gastric electrical potential difference, pH of gastric mucosa, and endoscopic findings in patients in intensive care units who are at risk of developing stress ulcers. DESIGN: Open comparison with age- and sex-matched control subjects. SETTING: Herlev Hospital......, Denmark. SUBJECTS: Sixteen consecutive patients with no history of gastrointestinal haemorrhage, coagulopathy, or ulcer disease who had been admitted to the intensive care unit, and 16 age- and sex-matched outpatients with normal endoscopic findings. INTERVENTIONS: Upper gastrointestinal endoscopy, during...... which any lesions that were found were scored according to severity, the gastric potential difference, and the pH of gastric juice were measured. OUTCOME MEASURES: Correlation between the incidence of stress ulceration found at endoscopy, gastric potential difference, and gastric pH. RESULTS: Gastric...

Evaluation of the intensity and discomfort of perioperative thirst

Directory of Open Access Journals (Sweden)

Isadora Pierotti

2018-05-01

Full Text Available Abstract Objective: To evaluate the intensity and discomfort of perioperative thirst and related factors during anesthesia recovery. Method: This is a quantitative, cross-sectional, descriptive study. Results: Of the 203 participants, 182 (89.6% reported they were thirsty. The mean intensity of thirst was 6.9 measured using a verbal numerical scale of 0 to 10 and discomfort was 7.3 on a scale of 0 to 14. All attributes evaluated by the scale were cited including dry mouth and desire to drink water (87.3%, dry lips (79.1%, thick tongue feeling (43.4%, thick saliva (56.5%, dry throat (75.2% and bad taste in the mouth (63.1%. There was a positive correlation between the intensity of thirst and discomfort assessed by the scale (Spearman coefficient: 0.474; p-value: <0.05. No correlation was found between age, length of fasting and use of opioids with the intensity of thirst and discomfort. Conclusion and implication in the clinical practice: Discomfort arising from the attributes of thirst is evidenced as the intensity of thirst increases.

Case Study on Justification: High Intensity Discharge Lamps. Annex II

International Nuclear Information System (INIS)

2016-01-01

High intensity discharge lamps produce bright white light of a high intensity in an energy efficient manner. These lamps are typically used in large numbers in public and professional settings such as shops, warehouses, hotels and offices. They are also used in outdoor applications to illuminate streets, buildings, statues, flags and gardens and further as architectural lighting. They also have applications associated with film projection in cinemas, manufacture of semiconductors, fluorescence endoscopy and microscopy, schlieren photography, hologram projection, ultraviolet curing, sky beamers and car headlights. Some types of high intensity discharge lamp, as well as certain other consumer products for lighting, contain radioactive substances for functional reasons. The radionuclides that are typically incorporated into high intensity discharge lamps are 85 Kr and 232 Th. Given the wide range of uses, specific decisions on justification may be required for different applications. A small number of safety assessments for high intensity discharge lamps have been carried out and published. No published decisions at the national level specifically addressing the justification of the use of high intensity discharge lamps have been identified

Archeomagnetic Intensity Spikes: Global or Regional Geomagnetic Field Features?

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Monika Korte

2018-03-01

Full Text Available Variations of the geomagnetic field prior to direct observations are inferred from archeo- and paleomagnetic experiments. Seemingly unusual variations not seen in the present-day and historical field are of particular interest to constrain the full range of core dynamics. Recently, archeomagnetic intensity spikes, characterized by very high field values that appear to be associated with rapid secular variation rates, have been reported from several parts of the world. They were first noted in data from the Levant at around 900 BCE. A recent re-assessment of previous and new Levantine data, involving a rigorous quality assessment, interprets the observations as an extreme local geomagnetic high with at least two intensity spikes between the 11th and 8th centuries BCE. Subsequent reports of similar features from Asia, the Canary Islands and Texas raise the question of whether such features might be common occurrences, or whether they might even be part of a global magnetic field feature. Here we use spherical harmonic modeling to test two hypotheses: firstly, whether the Levantine and other potential spikes might be associated with higher dipole field intensity than shown by existing global field models around 1,000 BCE, and secondly, whether the observations from different parts of the world are compatible with a westward drifting intense flux patch. Our results suggest that the spikes originate from intense flux patches growing and decaying mostly in situ, combined with stronger and more variable dipole moment than shown by previous global field models. Axial dipole variations no more than 60% higher than observed in the present field, probably within the range of normal geodynamo behavior, seem sufficient to explain the observations.

Endothelin-1 and Exercise Intensity in Sedentary Adolescents with Obesity

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Brooke E. Starkoff

2015-01-01

Full Text Available Inactivity combined with obesity during adolescence increases the risk of future cardiovascular disease. The study purpose was to compare the influence of differing intensities of exercise on endothelial function in sedentary adolescents with obesity. Participants were randomized to one of two groups in a 6-week exercise intervention: moderate intensity (MOD or high intensity interval exercise (HIIE. Endothelial function was assessed pre- and post-intervention via fasted serum levels of endothelin-1 (ET-1. Pre-measures of ET-1 concentrations were elevated at baseline. No significant differences in ET-1 were found between or within exercise groups. However, in the HIIE group, ET-1 was inversely associated with percentages of age predicted maximal heart rate achieved during the intervention (p=0.035, r=-0.567. The exercise interventions did not positively change ET-1 levels, yet participants who exercised at higher intensities in the HIIE group experienced greater decreases in ET-1. Keywords: childhood obesity, endothelial function, high intensity interval exercise

High-intensity interval training and athletic performance in Taekwondo athletes.

Science.gov (United States)

Monks, Lynne; Seo, Myong-Won; Kim, Hyun-Bae; Jung, Hyun C; Song, Jong K

2017-10-01

The purpose of this study was to determine the effects of high-intensity interval training (HIIT) on athletic performance in Taekwondo athletes. Thirty-three male and female collegiate Taekwondo athletes were randomly divided into a HIIT group (N.=16) or a high-intensity continuous running (HICR) group (N.=17). The HIIT group undertook training of high-intensity sprints interspersed with active rest periods whilst the HICR group participated in high-intensity running for a continuous period. Both groups completed 11 sessions over 4 weeks. Physique, body composition, Wingate anaerobic test and VO2max test were measured. The vertical jump test, agility T-test and sit-ups were used to assess physical fitness. Repeated measures ANCOVAs with sex as a covariate were applied and significant level was set at 0.05. Following 11 sessions of training, significant improvements in anaerobic peak power (Ptraining, specifically the influence of training intensity on anaerobic capacity.

Clinical risk assessment in intensive care unit

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Saeed Asefzadeh

2013-01-01

Full Text Available Background: Clinical risk management focuses on improving the quality and safety of health care services by identifying the circumstances and opportunities that put patients at risk of harm and acting to prevent or control those risks. The goal of this study is to identify and assess the failure modes in the ICU of Qazvin′s Social Security Hospital (Razi Hospital through Failure Mode and Effect Analysis (FMEA. Methods: This was a qualitative-quantitative research by Focus Discussion Group (FDG performed in Qazvin Province, Iran during 2011. The study population included all individuals and owners who are familiar with the process in ICU. Sampling method was purposeful and the FDG group members were selected by the researcher. The research instrument was standard worksheet that has been used by several researchers. Data was analyzed by FMEA technique. Results: Forty eight clinical errors and failure modes identified, results showed that the highest risk probability number (RPN was in respiratory care "Ventilator′s alarm malfunction (no alarm" with the score 288, and the lowest was in gastrointestinal "not washing the NG-Tube" with the score 8. Conclusions: Many of the identified errors can be prevented by group members. Clinical risk assessment and management is the key to delivery of effective health care.

Reproducibility of an objective four-choice canine vision testing technique that assesses vision at differing light intensities.

Science.gov (United States)

Annear, Matthew J; Gornik, Kara R; Venturi, Francesca L; Hauptman, Joe G; Bartoe, Joshua T; Petersen-Jones, Simon M

2013-09-01

The increasing importance of canine retinal dystrophy models means accurate vision testing is needed. This study was performed to evaluate a four-choice vision testing technique for any difference in outcome measures with repeated evaluations of the same dogs.   Four 11-month-old RPE65-deficient dogs. Vision was evaluated using a previously described four-choice vision testing device. Four evaluations were performed at 2-week intervals. Vision was assessed at six different white light intensities (bright through dim), and each eye was evaluated separately. The ability to select the one of the four exit tunnels that was open at the far end was assessed ('choice of exit') and recorded as correct or incorrect first tunnel choice. 'Time to exit' the device was also recorded. Both outcomes were analyzed for significance using anova. We hypothesized that performance would improve with repeated testing (more correct choices and more rapid time to exit). 'Choice of exit' did not vary significantly between each evaluation (P = 0.12), in contrast 'time to exit' increased significantly (P = 0.012), and showed greater variability in dim light conditions. We found no evidence to support the hypothesis that either measure of outcome worsened with repeated testing; in fact, the 'time to exit' outcome worsened rather than improved. The 'choice of exit' gave consistent results between trials. These outcome data indicate the importance of including a choice-based assessment of vision in addition to measurement of device transit time. © 2012 American College of Veterinary Ophthalmologists.

Neonatal intensive care unit: Reservoirs of Nosocomial pathogens ...

African Journals Online (AJOL)

Improvement in the care and treatment of neonates had contributed to their increased survival. Nosocomial infection remains an important problem in intensive care units. Hospital wards had been shown to act as reservoirs of pathogenic microorganisms associated with infection. To assess the prevalence of pathogenic ...

Bacterial intensity and localization in primary molars with caries disease

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A P Beltrame

2012-01-01

Full Text Available Aim: The aim was to assess the characteristics and outcomes of infections affecting the structures of carious primary molars. Materials and Methods: Forty primary molars were used and classified according to the following clinical situation: With profound caries lesion, with bone loss at the furcation region, with perforation of the pulp chamber floor, and residual roots. The teeth were demineralized, cut, and stained with both haematoxylin-eosin and Brown and Brenn staining techniques. Assessment was performed using optical microscopy. Results: Statistical analysis of the data by means of the Chi-square test suggests that there was a significant relationship (P<0.001 between the intensity and localization of infection and the level of destruction of dental structures. A significant difference was also observed in the intensity and localization of infection between the groups regarding crown, furca, and root (P<0.001. Conclusion: More intense and profound the infection, more severe is the dental destruction. The groups of residual roots showed the most severe bacterial infection compared to other groups.

Strange and scary memories of the intensive care unit: a qualitative, longitudinal study inspired by Ricoeur's interpretation theory

DEFF Research Database (Denmark)

Svenningsen, Helle; Egerod, Ingrid; Dreyer, Pia

2016-01-01

of patient experiences in intensive care unit, but large-scale studies are also needed to inform intensive care unit follow-up. Methods: The study had a qualitative design using phenomenological hermeneutic analysis inspired by Ricoeur's interpretive theory. Patients were assessed with Confusion Assessment...

Predictive Performance of the Simplified Acute Physiology Score (SAPS) II and the Initial Sequential Organ Failure Assessment (SOFA) Score in Acutely Ill Intensive Care Patients

DEFF Research Database (Denmark)

Granholm, Anders; Møller, Morten Hylander; Kragh, Mette

2016-01-01

PURPOSE: Severity scores including the Simplified Acute Physiology Score (SAPS) II and the Sequential Organ Failure Assessment (SOFA) score are used in intensive care units (ICUs) to assess disease severity, predict mortality and in research. We aimed to assess the predictive performance of SAPS II...... compared the discrimination of SAPS II and initial SOFA scores, compared the discrimination of SAPS II in our cohort with the original cohort, assessed the calibration of SAPS II customised to our cohort, and compared the discrimination for 90-day mortality vs. in-hospital mortality for both scores....... Discrimination was evaluated using areas under the receiver operating characteristics curves (AUROC). Calibration was evaluated using Hosmer-Lemeshow's goodness-of-fit Ĉ-statistic. RESULTS: AUROC for in-hospital mortality was 0.80 (95% confidence interval (CI) 0.77-0.83) for SAPS II and 0.73 (95% CI 0...

Assessing groundwater availability and the response of the groundwater system to intensive exploitation in the North China Plain by analysis of long-term isotopic tracer data

Science.gov (United States)

Su, Chen; Cheng, Zhongshuang; Wei, Wen; Chen, Zongyu

2018-03-01

The use of isotope tracers as a tool for assessing aquifer responses to intensive exploitation is demonstrated and used to attain a better understanding of the sustainability of intensively exploited aquifers in the North China Plain. Eleven well sites were selected that have long-term (years 1985-2014) analysis data of isotopic tracers. The stable isotopes δ18O and δ2H and hydrochemistry were used to understand the hydrodynamic responses of the aquifer system, including unconfined and confined aquifers, to groundwater abstraction. The time series data of 14C activity were also used to assess groundwater age, thereby contributing to an understanding of groundwater sustainability and aquifer depletion. Enrichment of the heavy oxygen isotope (18O) and elevated concentrations of chloride, sulfate, and nitrate were found in groundwater abstracted from the unconfined aquifer, which suggests that intensive exploitation might induce the potential for aquifer contamination. The time series data of 14C activity showed an increase of groundwater age with exploitation of the confined parts of the aquifer system, which indicates that a larger fraction of old water has been exploited over time, and that the groundwater from the deep aquifer has been mined. The current water demand exceeds the sustainable production capabilities of the aquifer system in the North China Plain. Some measures must be taken to ensure major cuts in groundwater withdrawals from the aquifers after a long period of depletion.

Effects on referral patterns of reducing intensive informational campaigns about first-episode psychosis

DEFF Research Database (Denmark)

Joa, Inge; Johannessen, Jan Olav; Auestad, Bjørn

2007-01-01

The primary aim of this study was to assess referral patterns and duration of untreated psychosis (DUP) following the partial dismantling of intensive, information campaigns (IC) to help detect first-episode, non-affective psychosis via early detection teams in the TIPS study.......The primary aim of this study was to assess referral patterns and duration of untreated psychosis (DUP) following the partial dismantling of intensive, information campaigns (IC) to help detect first-episode, non-affective psychosis via early detection teams in the TIPS study....

Moderate-to-High Intensity Physical Exercise in Patients with Alzheimer's Disease

DEFF Research Database (Denmark)

Hoffmann, Kristine; Sobol, Nanna A; Frederiksen, Kristian S

2016-01-01

BACKGROUND: Studies of physical exercise in patients with Alzheimer's disease (AD) are few and results have been inconsistent. OBJECTIVE: To assess the effects of a moderate-to-high intensity aerobic exercise program in patients with mild AD. METHODS: In a randomized controlled trial, we recruite...... reduced neuropsychiatric symptoms in patients with mild AD, with possible additional benefits of preserved cognition in a subgroup of patients exercising with high attendance and intensity.......BACKGROUND: Studies of physical exercise in patients with Alzheimer's disease (AD) are few and results have been inconsistent. OBJECTIVE: To assess the effects of a moderate-to-high intensity aerobic exercise program in patients with mild AD. METHODS: In a randomized controlled trial, we recruited...... 200 patients with mild AD to a supervised exercise group (60-min sessions three times a week for 16 weeks) or to a control group. Primary outcome was change from baseline in cognitive performance estimated by Symbol Digit Modalities Test (SDMT) in the intention-to-treat (ITT) group. Secondary outcomes...

[Quality assurance in intensive care: the situation in Switzerland].

Science.gov (United States)

Frutiger, A

1999-10-30

The movement for quality in medicine is starting to take on the dimensions of a crusade. Quite logically it has also reached the intensive care community. Due to their complex multidisciplinary functioning and because of the high costs involved, ICUs are model services reflecting the overall situation in our hospitals. The situation of Swiss intensive care is particularly interesting, because for over 25 years standards for design and staffing of Swiss ICUs have been in effect and were enforced via onsite visits by the Swiss Society of Intensive Care without government involvement. Swiss intensive care thus defined its structures long before the word "accreditation" had even been used in this context. While intensive care in Switzerland is practised in clearly defined, well equipped and adequately staffed units, much less is known about process quality and outcomes of these services. Statistics on admissions, length of stay and length of mechanical ventilation, as well as severity data based on a simple classification system, are collected nationwide and allow some limited insight into the overall process of care. Results of intensive care are not systematically assessed. In response to the constant threat of cost containment, Swiss ICUs should increasingly focus on process quality and results, while maintaining their existing good structures.

[Association between the intensity of childbirth pain and the intensity of postpartum blues].

Science.gov (United States)

Boudou, M; Teissèdre, F; Walburg, V; Chabrol, H

2007-10-01

The aim of this study was to highlight a link between childbirth pain and mood disorders in the immediate postpartum. We met 43 women at three days postpartum in a maternity unit in Toulouse (France) between January and April 2004. The mean age of the mothers was 30 years (S.D., 4.8 years; range, 18-39 years). Mothers were excluded if they did not speak French, if they had past psychiatric history, and if their baby was premature, ill, or stillborn. Pain was measured using a French version of the McGill pain questionnaire (Melzack, 1975) [Br J Psychiatry 171 (1997) 550-555]. This questionnaire called questionnaire douleur Saint-Antoine (QDSA) is composed of 58 words and 16 classes (Boureau et at., 1984) [Thérapie 39 (1984) 119-129]. Classes 1-9 provide data on the sensory qualities of pain while Classes 10-16 reflect affective characteristics. Blues symptoms was assessed with the French version of the maternity blues questionnaire of Kennerley and Gath (1989) [Br J Psychiatry 145 (1984) 620-625]. For each 28 items women have to decide how much change there is from their usual self, by ticking one choice out of five, from "much less than usual" to "much more than usual". We used the French version of the EPDS (Cox et al., 1987) [Br J Psychiatry 150 (1987) 782-786]. This scale was used to assess the intensity of depressive mood. The results revealed a significant positive correlation between the pain scores and the "maternity blues" questionnaire scores, and between pain scores and EPDS score at three days postpartum. This study shows a stronger association between intensity of postpartum blues and affective aspect of childbirth pain (r=0.48; pdepressive mood was found to be associated with affective (r=0.32; pchildbirth pain (r=0.28; pdepressive mood, we entered the same predictors. This model accounted for 20% of the variance of blues intensity (F3,39=3.26, p=0.03). Age was the only significant predictor (beta=-0.31, p=0.04). These results confirm our hypothesis

Impact of a clinical microbiology-intensive care consulting program in a cardiothoracic intensive care unit.

Science.gov (United States)

Arena, Fabio; Scolletta, Sabino; Marchetti, Luca; Galano, Angelo; Maglioni, Enivarco; Giani, Tommaso; Corsi, Elisabetta; Lombardi, Silvia; Biagioli, Bonizella; Rossolini, Gian Maria

2015-09-01

A preintervention-postintervention study was carried out over a 4-year period to assess the impact of an antimicrobial stewardship intervention, based on clinical microbiologist ward rounds (clinical microbiology-intensive care partnership [CMICP]), at a cardiothoracic intensive care unit. Comparison of clinical data for 37 patients with diagnosis of bacteremia (18 from preintervention period, 19 from postintervention period) revealed that CMICP implementation resulted in (1) significant increase of appropriate empirical treatments (+34%, P = .029), compliance with guidelines (+28%, P = .019), and number of de-escalations (+42%, P = .032); and (2) decrease (average = 2.5 days) in time to optimization of antimicrobial therapy and levofloxacin (Δ 2009-2012 = -74 defined daily dose [DDD]/1,000 bed days) and teicoplanin (Δ 2009-2012 = -28 DDD/1,000 bed days) use. Copyright © 2015 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

Some more earthquakes from medieval Kashmir

Science.gov (United States)

Ahmad, Bashir; Shafi, Muzamil

2014-07-01

Kashmir has the peculiarity of having written history of almost 5,000 years. However, the description of earthquakes in the archival contents is patchy prior to 1500 a.d. Moreover, recent search shows that there exist certain time gaps in the catalogs presently in use especially at medieval level (1128-1586 a.d.). The presence of different ruling elites in association with socioeconomic and political conditions has in many ways confused the historical context of the medieval sources. However, by a meticulous review of the Sanskrit sources (between the twelfth and sixteenth century), it has been possible to identify unspecified but fair number (eight seismic events) of earthquakes that do not exist in published catalogs of Kashmir or whose dates are very difficult to establish. Moreover, historical sources reveal that except for events which occurred during Sultan Skinder's rule (1389-1413) and during the reign of King Zain-ul-Abidin (1420-1470), all the rediscovered seismic events went into oblivion, due mainly to the fact that the sources available dedicated their interests to the military events, which often tended to overshadow/superimpose over and even concealed natural events like earthquakes, resulting in fragmentary accounts and rendering them of little value for macroseismic intensity evaluation necessary for more efficient seismic hazard assessment.

Intensity dependence of electron gas kinetics in a laser corona

Directory of Open Access Journals (Sweden)

Mašek Martin

2013-11-01

Full Text Available In various experimental situations relevant to the laser fusion, such as plasma near the light entrance holes of hohlraum in the indirect drive experiments or more recently in the shock ignition direct drive a relatively long underdense plasma of corona type is encountered, which is subject to an intense nanosecond laser beam. The plasma is only weakly collisional and thus in the electron phase space a complicated kinetic evolution is going on, which is taking the electron gas fairly far from the thermal equilibrium and contributes to its unstable behaviour. These phenomena impede the absorption and thermalization of the incoming laser energy, create groups of fast electrons and also may lead to a non-linear reflection of the heating laser beam. One of the key processes leading to the electron acceleration is the stimulated Raman scattering (SRS in its non-linear phase. The SRS in the presence of electron-ion collisions requires a certain threshold intensity above which the mentioned non-dissipative phenomena can occur and develop to the stage, where they may become unpleasant for the fusion experiments. To assess this intensity limit a computational model has been developed based on the Vlasov-Maxwell kinetics describing such a plasma in 1D geometry. At a relatively high intensity of 1016 W/cm2 a number of non-linear phenomena are predicted by the code such as a saturation of Landau damping, which is then translated in an unfavourable time dependence of the reflected light intensity and formation of accelerated electron groups due to the electron trapping. The purpose of the present contribution is to map the intensity dependence of this non-linear development with the aim of assessing its weight in fusion relevant situations.

Cigar burning under different smoking intensities and effects on emissions.

Science.gov (United States)

Dethloff, Ole; Mueller, Christian; Cahours, Xavier; Colard, Stéphane

2017-12-01

The effect of smoking intensity on cigar smoke emissions was assessed under a range of puff frequencies and puff volumes. In order to potentially reduce emissions variability and to identify patterns as accurately as possible, cigar weights and diameters were measured, and outliers were excluded prior to smoking. Portions corresponding to 25%, 50%, 75% and 100% of the cigar, measured down to the butt length, were smoked under several smoking conditions, to assess nicotine, CO and water yields. The remaining cigar butts were analysed for total alkaloids, nicotine, and moisture. Results showed accumulation effects during the burning process having a significant impact on smoke emission levels. Condensation and evaporation occur and lead to smoke emissions dependent on smoking intensity. Differences were observed for CO on one side as a gas phase compound and nicotine on the other side as a particulate phase compound. For a given intensity, while CO emission increases linearly as the cigar burns, nicotine and water emissions exhibited an exponential increase. Our investigations showed that a complex phenomena occurs during the course of cigar smoking which makes emission data: difficult to interpret, is potentially misleading to the consumer, and inappropriate for exposure assessment. The results indicate that, tobacco content and physical parameters may well be the most robust basis for product characterisation and comparison rather than smoke emission. Copyright © 2017 Elsevier Inc. All rights reserved.

Estimation of stress intensity factors for circumferential cracked pipes under welding residual stress filed

International Nuclear Information System (INIS)

Oh, Chang Young; Kim, Yun Jae; Oh, Young Jin; Song, Tae Kwang; Kim, Yong Beum; Oh, Young Jin; Song, Tae Kwang; Kim, Yong Beum

2012-01-01

Recently, stress corrosion cracking(SCC) have been found in dissimilar metal welds of nozzles in some pressurized water reactors and on low carbon stainless steel piping systems of boiling water reactors. The important factor of SCC is the residual stress field caused by weld. For the evaluation of crack growth analysis due to SCC, stress intensity factor under a residual stress field should be estimated. Several solutions for stress intensity factor under residual stress field were recommended in flaw assessment codes such as the American Society of Mechanical Engineers (ASME) Section XI, R6, American Petroleum Institute (API579). Some relevant works have been studied. Dong et al. evaluated stress intensity factors in welded structures. Miyazaki et al. estimated stress intensity factors of surface crack in simple stress fields. This paper presents a simple method to estimate stress intensity factors in welding residual stress field. For general application, results of structure integrity assessment codes KI solutions were compared Finite element analyses of welding simulation and cracked pipes are described. Comparison results of KI solutions and proposed simplified solution are presented in the works

The Effects of Telecommuting Intensity on Employee Health.

Science.gov (United States)

Henke, Rachel Mosher; Benevent, Richele; Schulte, Patricia; Rinehart, Christine; Crighton, K Andrew; Corcoran, Maureen

2016-11-01

To investigate the influence of the intensity of telecommuting on employee health. Study design comprised a longitudinal analysis of employee demographic data, medical claims, health risk assessment data, and remote connectivity hours. Data from Prudential Financial served as the setting. Active employees ages 18 to 64 years who completed the health risk assessment between 2010 and 2011 were the study subjects. Measures included telecommuting status and intensity, and eight indicators of health risk status (obesity, depression, stress, tobacco use, alcohol abuse, poor nutrition, physical inactivity, and an overall risk measure), with employee age, sex, race-ethnicity, job grade, management status, and work location as control variables. Health risks were determined for nontelecommuters and telecommuters working remotely ≤8, 9 to 32, 33 to 72, and ≥73 hours per month. Longitudinal models for each health risk were estimated, controlling for demographic and job characteristics. Telecommuting health risks varied by telecommuting intensity. Nontelecommuters were at greater risk for obesity, alcohol abuse, physical inactivity, and tobacco use, and were at greater overall risk than at least one of the telecommuting groups. Employees who telecommuted ≤8 hours per month were significantly less likely than nontelecommuters to experience depression. There was no association between telecommuting and stress or nutrition. Results suggest that employees may benefit from telecommuting opportunities. © 2016 by American Journal of Health Promotion, Inc.

Nucleotide excision repair pathway assessment in DNA exposed to low-intensity red and infrared lasers

International Nuclear Information System (INIS)

Fonseca, A.S.; Campos, V.M.A.; Magalhaes, L.A.G.; Paoli, F.

2015-01-01

Low-intensity lasers are used for prevention and management of oral mucositis induced by anticancer therapy, but the effectiveness of treatment depends on the genetic characteristics of affected cells. This study evaluated the survival and induction of filamentation of Escherichia coli cells deficient in the nucleotide excision repair pathway, and the action of T 4 endonuclease V on plasmid DNA exposed to low-intensity red and near-infrared laser light. Cultures of wild-type (strain AB1157) E. coli and strain AB1886 (deficient in uvrA protein) were exposed to red (660 nm) and infrared (808 nm) lasers at various fluences, powers and emission modes to study bacterial survival and filamentation. Also, plasmid DNA was exposed to laser light to study DNA lesions produced in vitro by T 4 endonuclease V. Low-intensity lasers: i) had no effect on survival of wild-type E. coli but decreased the survival of uvrA protein-deficient cells, ii) induced bacterial filamentation, iii) did not alter the electrophoretic profile of plasmids in agarose gels, and iv) did not alter the electrophoretic profile of plasmids incubated with T 4 endonuclease V. These results increase our understanding of the effects of laser light on cells with various genetic characteristics, such as xeroderma pigmentosum cells deficient in nucleotide excision pathway activity in patients with mucositis treated by low-intensity lasers. (author)

Nucleotide excision repair pathway assessment in DNA exposed to low-intensity red and infrared lasers

Energy Technology Data Exchange (ETDEWEB)

Fonseca, A.S.; Campos, V.M.A.; Magalhaes, L.A.G., E-mail: adnfonseca@ig.com.br [Instituto de Biologia Roberto Alcantara Gomes, Rio de Janeiro, RJ (Brazil). Departamento de Biofisica e Biometria. Lab. de Ciencias Radiologicas; Paoli, F. [Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora, MG (Brazil). Instituto de Ciencias Biologicas. Departamento de Morfologia

2015-10-15

Low-intensity lasers are used for prevention and management of oral mucositis induced by anticancer therapy, but the effectiveness of treatment depends on the genetic characteristics of affected cells. This study evaluated the survival and induction of filamentation of Escherichia coli cells deficient in the nucleotide excision repair pathway, and the action of T{sub 4} endonuclease V on plasmid DNA exposed to low-intensity red and near-infrared laser light. Cultures of wild-type (strain AB1157) E. coli and strain AB1886 (deficient in uvrA protein) were exposed to red (660 nm) and infrared (808 nm) lasers at various fluences, powers and emission modes to study bacterial survival and filamentation. Also, plasmid DNA was exposed to laser light to study DNA lesions produced in vitro by T{sub 4} endonuclease V. Low-intensity lasers: i) had no effect on survival of wild-type E. coli but decreased the survival of uvrA protein-deficient cells, ii) induced bacterial filamentation, iii) did not alter the electrophoretic profile of plasmids in agarose gels, and iv) did not alter the electrophoretic profile of plasmids incubated with T{sub 4} endonuclease V. These results increase our understanding of the effects of laser light on cells with various genetic characteristics, such as xeroderma pigmentosum cells deficient in nucleotide excision pathway activity in patients with mucositis treated by low-intensity lasers. (author)

Electrophysiological Correlates of Changes in Reaction Time Based on Stimulus Intensity

Science.gov (United States)

Lakhani, Bimal; Vette, Albert H.; Mansfield, Avril; Miyasike-daSilva, Veronica; McIlroy, William E.

2012-01-01

Background Although reaction time is commonly used as an indicator of central nervous system integrity, little is currently understood about the mechanisms that determine processing time. In the current study, we are interested in determining the differences in electrophysiological events associated with significant changes in reaction time that could be elicited by changes in stimulus intensity. The primary objective is to assess the effect of increasing stimulus intensity on the latency and amplitude of afferent inputs to the somatosensory cortex, and their relation to reaction time. Methods Median nerve stimulation was applied to the non-dominant hand of 12 healthy young adults at two different stimulus intensities (HIGH & LOW). Participants were asked to either press a button as fast as possible with their dominant hand or remain quiet following the stimulus. Electroencephalography was used to measure somatosensory evoked potentials (SEPs) and event related potentials (ERPs). Electromyography from the flexor digitorum superficialis of the button-pressing hand was used to assess reaction time. Response time was the time of button press. Results Reaction time and response time were significantly shorter following the HIGH intensity stimulus compared to the LOW intensity stimulus. There were no differences in SEP (N20 & P24) peak latencies and peak-to-peak amplitude for the two stimulus intensities. ERPs, locked to response time, demonstrated a significantly larger pre-movement negativity to positivity following the HIGH intensity stimulus over the Cz electrode. Discussion This work demonstrates that rapid reaction times are not attributable to the latency of afferent processing from the stimulated site to the somatosensory cortex, and those latency reductions occur further along the sensorimotor transformation pathway. Evidence from ERPs indicates that frontal planning areas such as the supplementary motor area may play a role in transforming the elevated sensory

MRI intensity inhomogeneity correction by combining intensity and spatial information

International Nuclear Information System (INIS)

Vovk, Uros; Pernus, Franjo; Likar, Bostjan

2004-01-01

We propose a novel fully automated method for retrospective correction of intensity inhomogeneity, which is an undesired phenomenon in many automatic image analysis tasks, especially if quantitative analysis is the final goal. Besides most commonly used intensity features, additional spatial image features are incorporated to improve inhomogeneity correction and to make it more dynamic, so that local intensity variations can be corrected more efficiently. The proposed method is a four-step iterative procedure in which a non-parametric inhomogeneity correction is conducted. First, the probability distribution of image intensities and corresponding second derivatives is obtained. Second, intensity correction forces, condensing the probability distribution along the intensity feature, are computed for each voxel. Third, the inhomogeneity correction field is estimated by regularization of all voxel forces, and fourth, the corresponding partial inhomogeneity correction is performed. The degree of inhomogeneity correction dynamics is determined by the size of regularization kernel. The method was qualitatively and quantitatively evaluated on simulated and real MR brain images. The obtained results show that the proposed method does not corrupt inhomogeneity-free images and successfully corrects intensity inhomogeneity artefacts even if these are more dynamic

Suitability of cerebrospinal fluid as a signal-intensity reference on MRI: evaluation of signal-intensity variations in the lumbosacral dural sac

International Nuclear Information System (INIS)

Luoma, E.K.; Luukkonen, R.; Riihimaeki, H.A.; Raininko, R.; Manninen, H.I.; Nummi, P.J.

1997-01-01

The suitability of the cerebrospinal fluid (CSF) in the lumbosacral dural sac as an internal signal-intensity reference was studied on magnetic resonance imaging (MRI) of the lumbar spine using a surface coil and motion artefact suppression technique. A signal-intensity reference is needed when signal is compared between images, studies or subjects. Homogeneity of the CSF was estimated visually on T2-weighted images of 60 subjects at 1.5 T and of another 60 subjects at 0.1 T. Spines with a severely narrowed dural sac or marked scoliosis were excluded from the study to avoid partial volume effect. CSF was homogeneous in 82% and 73% of the examinations at 1.5 T and 0.1 T, respectively. The type and location of the local inhomogeneities did not relate to local narrowings of the dural sac. The signal intensity of CSF was measured in 108 examinations at 0.1 T after correcting the spatially-dependent signal-intensity nonuniformities with a phantom-based method. The signal-intensity difference between the CSF in the upper and lower lumbar dural sac was less than 10% in 73% of the examinations. The CSF in the lumbosacral dural sac can be a useful signal-intensity reference for estimation of the signal of the adjacent structures in patients without severe narrowing of the dural sac or marked scoliosis. It may contribute to assessing spinal disease processes. (orig.). With 1 fig., 3 tabs

Intensive care nurses' experiences and perceptions of delirium and delirium care.

Science.gov (United States)

Zamoscik, Katarzyna; Godbold, Rosemary; Freeman, Pauline

2017-06-01

To explore nurses' experiences and perceptions of delirium, managing delirious patients, and screening for delirium, five years after introduction of the Confusion Assessment Method for Intensive Care into standard practice. Twelve nurses from a medical-surgical intensive care unit in a large teaching hospital attended two focus group sessions. The collected qualitative data was thematically analysed using Braun and Clarke's framework (2006). The analysis identified seven themes: (1) Delirium as a Secondary Matter (2) Unpleasant Nature of Delirium (3) Scepticism About Delirium Assessment (4) Distrust in Delirium Management (5) Value of Communication (6) Non-pharmacological Therapy (7) Need for Reviewed Delirium Policy. Nurses described perceiving delirium as a low priority matter and linked it to work culture within the intensive care specialty. Simultaneously, they expressed their readiness to challenge this culture and to promote the notion of providing high-quality delirium care. Nurses discussed their frustrations related to lack of confidence in assessing delirium, as well as lack of effective therapies in managing this group of patients. They declared their appreciation for non-pharmacological interventions in treatment of delirium, suggested improvements to current delirium approach and proposed introducing psychological support for nurses dealing with delirious patients. Copyright © 2017 Elsevier Ltd. All rights reserved.

Discomfort and factual recollection in intensive care unit patients

NARCIS (Netherlands)

van de Leur, JP; van der Schans, CP; Loef, BG; Deelman, BG; Geertzen, JHB; Zwaveling, JH

2004-01-01

Introduction A stay in the intensive care unit (ICU), although potentially life-saving, may cause considerable discomfort to patients. However, retrospective assessment of discomfort is difficult because recollection of stressful events may be impaired by sedation and severe illness during the ICU

Intensive educational efforts combined with external quality assessment improve the preanalytical phase in general practitioner offices and nursing homes.

Science.gov (United States)

Sølvik, Una Ørvim; Bjelkarøy, Wenche Iren; Berg, Kari van den; Saga, Anne Lise; Hager, Helle Borgstrøm; Sandberg, Sverre

2017-10-26

Errors in the preanalytical phase in clinical laboratories affect patient safety. The aim of this study was to evaluate the effect of intensive educational efforts together with external quality assessment (EQA) of the preanalytical phase from 2013 to 2015 to improve patient identification in primary health care in Norway. In addition, routines for venous and capillary blood sampling were investigated. A preanalytical EQA was circulated in 2013 by the Norwegian Quality Improvement of Laboratory Examinations (Noklus) to general practitioner offices and nursing homes (n=2000) to obtain information about important issues to focus on before launching an intensive educational program with courses, posters and visits in 2013-2015. Preanalytical EQA surveys were further circulated in 2014 and 2015. The response rate varied between 42% and 55%. The percentages of participants asking for the patients' name and the Norwegian identification number increased from about 8% in 2013 to about 35% in 2015. The increase was similar for those participating in only one EQA survey and for those who participated in EQA surveys both in 2013 and 2015. Guidelines for venous and capillary blood sampling were not always followed. Educational efforts more than the preanalytical EQA influenced the actions and resulted in an increase in the percentages of participants that followed the guidelines for patient identification. Some aspects of blood sampling routines need improvement.

Generation of intensity duration frequency curves and intensity temporal variability pattern of intense rainfall for Lages/SC

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Célio Orli Cardoso

2014-04-01

Full Text Available The objective of this work was to analyze the frequency distribution and intensity temporal variability of intense rainfall for Lages/SC from diary pluviograph data. Data on annual series of maximum rainfalls from rain gauges of the CAV-UDESC Weather Station in Lages/SC were used from 2000 to 2009. Gumbel statistic distribution was applied in order to obtain the rainfall height and intensity in the following return periods: 2, 5, 10, 15 and 20 years. Results showed intensity-duration-frequency curves (I-D-F for those return periods, as well as I-D-F equations: i=2050.Tr0,20.(t+30-0,89, where i was the intensity, Tr was the rainfall return periods and t was the rainfall duration. For the intensity of temporal variability pattern along of the rainfall duration time, the convective, or advanced pattern was the predominant, with larger precipitate rainfalls in the first half of the duration. The same pattern presented larger occurrences in the spring and summer stations.

Line intensities for diagnosing laser-produced plasmas

International Nuclear Information System (INIS)

Kauffman, R.L.; Matthews, D.L.; Lee, R.W.; Whitten, B.L.; Kilkenny, J.D.

1983-01-01

We have measured relative line intensities of the K x-ray spectra of Si, Cl, and Ca from laser-produced plasmas to assess their usefulness as a plasma diagnostic. The different elements are added at low concentrations to CH disks which are irradiated at 5 x 10 14 W/cm 2 with a 0.53 μm laser pulse of 20 Joules at 1 nsec. The concentration of each element is kept low in order not to change the Z of the plasma, and therefore the plasma dynamics. The various spectra are measured with a time-resolved spectrograph to obtain line intensities as a function of time over the length of the laser pulse. These relative intensities of various He-like and H-like lines are compared with calculations from a steady-state level population code. The results give good consistency among the various line ratios. Agreement is not as good for analysis of the Li-like satellite lines. Modelling of the Li-like lines need further investigation. 10 references, 9 figures

Acute renal failure requiring renal replacement therapy in the intensive care unit: impact on prognostic assessment for shared decision making.

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Johnson, Robert F; Gustin, Jillian

2011-07-01

A 69-year-old female was receiving renal replacement therapy (RRT) for acute renal failure (ARF) in an intensive care unit (ICU). Consultation was requested from the palliative medicine service to facilitate a shared decision-making process regarding goals of care. Clinician responsibility in shared decision making includes the formulation and expression of a prognostic assessment providing the necessary perspective for a spokesperson to match patient values with treatment options. For this patient, ARF requiring RRT in the ICU was used as a focal point for preparing a prognostic assessment. A prognostic assessment should include the outcomes of most importance to a discussion of goals of care: mortality risk and survivor functional status, in this case including renal recovery. A systematic review of the literature was conducted to document published data regarding these outcomes for adult patients receiving RRT for ARF in the ICU. Forty-one studies met the inclusion criteria. The combined mean values for short-term mortality, long-term mortality, renal-function recovery of short-term survivors, and renal-function recovery of long-term survivors were 51.7%, 68.6%, 82.0%, and 88.4%, respectively. This case example illustrates a process for formulating and expressing a prognostic assessment for an ICU patient requiring RRT for ARF. Data from the literature review provide baseline information that requires adjustment to reflect specific patient circumstances. The nature of the acute primary process, comorbidities, and severity of illness are key modifiers. Finally, the prognostic assessment is expressed during a family meeting using recommended principles of communication.

Late Intensive Care Unit Admission in Liver Transplant Recipients: 10-Year Experience.

Science.gov (United States)

Atar, Funda; Gedik, Ender; Kaplan, Şerife; Zeyneloğlu, Pınar; Pirat, Arash; Haberal, Mehmet

2015-11-01

We evaluated late intensive care unit admission in liver transplant recipients to identify incidences and causes of acute respiratory failure in the postoperative period and to compare these results with results in patients who did not have acute respiratory failure. We retrospectively screened the data of 173 consecutive adult liver transplant recipients from January 2005 through March 2015 to identify patients with late admission (> 30 d posttransplant) to an intensive care unit. Patients were divided into 2 groups: patients with and without acute respiratory failure. Acute respiratory failure was defined as severe dyspnea, respiratory distress, decreased oxygen saturation, hypoxemia or hypercapnia on room air, or need for noninvasive or invasive mechanical ventilation. Demographic, laboratory, clinical, and respiratory data were collected. Model for End-Stage Liver Disease, Acute Physiology and Chronic Health Evaluation II, and Sequential Organ Failure Assessment scores; lengths of intensive care unit and hospital stays; and hospital mortality were assessed. Among 173 patients, 37 (21.4%) were admitted to an intensive care unit, including 22 (59.5%) with acute respiratory failure. The leading cause of acute respiratory failure was pneumonia (n = 19, 86.4%). Patients with acute respiratory failure had significantly lower levels of albumin before intensive care unit admission (P = .003). In patients with acute respiratory failure, severe sepsis and septic shock were more frequently observed and tracheotomy was more frequently performed (P = .041). Acute respiratory failure developed in 59.5% of liver transplant recipients with late intensive care unit admission. The leading cause was pneumonia, with this group of patients having higher requirements for invasive mechanical ventilation and tracheotomy, longer stays in an intensive care unit, and higher mortality.

[The prevention of pressure sores in paediatric intensive care].

Science.gov (United States)

Thueux, Emilie

2014-01-01

In paediatric intensive care, children develop pressure sores as a result of various mechanical and clinical factors. The prevention and assessment of the risk of pressure sores constitute a key concern for the nursing teams which establish prevention strategies adapted to the young patients.

Towards the creation of a welfare assessment system in intensive beef cattle farms

Directory of Open Access Journals (Sweden)

Igino Andrighetto

2010-01-01

Full Text Available This study aimed to develop an assessment scheme for the evaluation at farm level of beef cattle welfare in the intensive rearing system that is capable of both identifying weak points in animal welfare and grading farms to such extent. The basic principle of the method was the avoidance of animal handling and the prolonged observation of cattle using animal-based and resource provision measures grouped in four classes of parameters: 1 Housing systems and facilities; 2 Health and cleanliness; 3 Animal behaviour and reactivity; 4 Quality of management and stockmanship. Each parameter was graded giving the highest scores to the best option for animal welfare, and the threshold value for distinguishing good from poor welfare conditions was set primarily on the results of scientific reports and investigations. An overall Welfare Index was calculated summing the scores of the 4 classes of parameters to formulate a general judgement of the farm and to allow comparison among them. The protocol was applied to 102 Italian intensive beef cattle farms rearing more than 300 young bulls/year. Regarding housing and facilities, the study showed that space allowance and space at the manger were the most frequent critical points. Within the “poor welfare” farms, more than 80% provided less than 3.5 m2/head to bulls weighing more than 500 kg, and none adopted a feeding frontage of at least 60 cm/head. Negatively judged farms compared to those ranked in the good welfare area for health and cleanliness showed a higher incidence of emergency slaughter (score 1.7: >1% vs score 3: 0.5-1%, P<0.05 and lameness (score 1.9: 1.5-3% vs score 3.3: <1.5%, P<0.05. Animal behaviour and reactivity parameters showed that in the “poor welfare” farms, bulls had a quicker flight reaction to the presence of both farmer and observer (P<0.01 likely due to a negative human-animal interaction. The quality of stockmanship was the category in which the highest number of farms

Relationship between intensity of soil-transmitted helminth infections and anemia during pregnancy.

Science.gov (United States)

Larocque, Renee; Casapia, Martin; Gotuzzo, Eduardo; Gyorkos, Theresa W

2005-10-01

A direct relationship exists between the intensity of hookworm infection and blood loss. Other parasites may also contribute to blood loss. Our objective was to assess the relationship between the intensity of soil-transmitted helminth infections and anemia in pregnant women in a highly endemic area of Peru. Recruitment occurred between April and November 2003. Overall, 47.31% of 1,042 women had anemia (hemoglobin anemia. However, those infected with moderate and heavy intensities of hookworm infection (OR = 1.84; 95% CI: 1.06, 3.17) and those with moderate and heavy intensities of both hookworm and Trichuris infections (OR = 2.13; 95% CI: 1.10, 4.13) were more likely to suffer from anemia than women having no or light intensities. These results support routine anthelminthic treatment within prenatal care programs in highly endemic areas.

A database for analysis of speech under physical stress: detection of exercise intensity while running and talking

NARCIS (Netherlands)

Truong, Khiet Phuong; Nieuwenhuys, Arne; Beek, Peter; Evers, Vanessa

One of the ways to gauge your own exercise intensity while running, is to assess your capability of talking while running: if you can still speak comfortably, you are running within the recommended intensity guidelines. This subjective way of estimating one's exercise intensity by talking (i.e. the

Facial Expression Overrides Lumbopelvic Kinematics for Clinical Judgements about Low Back Pain Intensity

Directory of Open Access Journals (Sweden)

A. Courbalay

2016-01-01

Full Text Available Background. Through real-time behavioral observation systems, pain behaviors are commonly used by clinicians to estimate pain intensity in patients with low back pain. However, little is known about how clinicians rely on pain-related behaviors to make their judgment. According to the Information Integration Theory (IIT framework, this study aimed at investigating how clinicians value and integrate information from lumbopelvic kinematics (LK, a protective pain behavior, and facial expression intensity (FEI, a communicative pain behavior, to estimate pain in patients with chronic low back pain (cLBP. Methods. Twenty-one experienced clinicians and twenty-one novice clinicians were asked to estimate back pain intensity from a virtual character performing a trunk flexion-extension task. Results. Results revealed that both populations relied on facial expression and that only half of the participants in each group integrated FEI and LK to estimate cLBP intensity. Among participants who integrated the two pain behaviors, averaging rule predominated among others. Results showed that experienced clinicians relied equally on FEI and LK to estimate pain, whereas novice clinicians mostly relied on FEI. Discussion. The use of additive rule of integration does not appear to be systematic when assessing others’ pain. When assessing pain intensity, communicative and protective pain behaviors may have different relevance.

AGS intensity upgrades

International Nuclear Information System (INIS)

Roser, T.

1995-01-01

After the successful completion of the AGS Booster and several upgrades of the AGS, a new intensity record of 6.3 x 10 13 protons per pulse accelerated to 24 GeV was achieved. The high intensity slow-extracted beam program at the AGS typically serves about five production targets and about eight experiments including three rare Kaon decay experiments. Further intensity upgrades are being discussed that could increase the average delivered beam intensity by up to a factor of four

Does climate policy lead to relocation with adverse effects for GHG emissions or not? A first assessment of the spillovers of climate policy for energy intensive industry

International Nuclear Information System (INIS)

Oikonomou, V.; Patel, M.; Worrell, E.

2004-12-01

Energy-intensive industries play a special role in climate policy. World-wide, industry is responsible for about 50% of greenhouse gas emissions. The emission intensity makes these industries an important target for climate policy. At the same time these industries are particularly vulnerable if climate policy would lead to higher energy costs, and if they would be unable to offset these increased costs. The side effects of climate policy on GHG emissions in foreign countries are typically referred to as 'spillovers'. Negative spillovers reduce the effectiveness of a climate policy, while positive spillovers increase its effectiveness. This paper provides a review of the literature on the spillover effects of climate policy for carbon intensive industries. Reviews of past trends in production location of energy-intensive industries show an increased share of non-Annex 1 countries. However, this trend is primarily driven by demand growth, and there is no empirical evidence for a role of environmental policy in these development patterns. In contrast, climate models do show a strong carbon leakage of emissions from these industries. Even though that climate policy may have a more profound impact than previous environmental policies, the results of the modelling are ambiguous. The energy and carbon intensity of energy-intensive industries is rapidly declining in most developing countries, and reducing the 'gap' between industrialized and developing countries. Still, considerable potential for emission reduction exists, both in developing and industrialized countries. Technology development is likely to deliver further reductions in energy use and CO2 emissions. Despite the potential for positive spillovers in the energy-intensive industries, none of the models used in the analysis of spillovers of climate policies has an endogenous representation of technological change for the energy-intensive industries. This underlines the need for a better understanding of

Prevalence of Salmonella Infection in Intensive Poultry Farms in ...

African Journals Online (AJOL)

A bacteriological study of Salmonella Gallinarum/Pullorum was conducted in intensively managed chickens in Hawassa, Ethiopia between November 2008 and May 2009. The objectives of the study were to estimate the bacteriological prevalence of S. Gallinarum/Pullorum in apparently healthy chickens and to assess the ...

Intensive mothering ideology in France: A pilot study.

Science.gov (United States)

Loyal, D; Sutter Dallay, A-L; Rascle, N

2017-12-01

The aim of this pilot study was to adapt the intensive mothering ideology concept in a French sample and to get an assessment tool. First, the Intensive Parenting Attitudes Questionnaire (IPAQ), a U.S. scale comprising 25 items, was translated and submitted online to French mothers and mothers-to-be (n=250). Structural validity was tested through confirmatory factor analysis with poor results. Secondly, to increase the cultural validity of a new tool, new items were derived from French women speech. French mothers and mothers-to-be (n=22) were asked about their views regarding motherhood and childcare (semi-structured interviews). A thematic content analysis was performed with good inter-judge agreement (0.53-0.86) and 27 items were created. Finally, the total set of 52 items was submitted online to French mothers and mothers-to-be (n=474). The structure was tested through exploratory factor analysis. A new tool called the Measure of Intensive Mothering Ideology (MIMI) was obtained. This 21 items scale with 6 dimensions (Essentialism, Consuming Fulfillment, Child-centrism, Challenge, Sacrifice and Stimulation) explains 59.75% of variance. Internal consistencies were satisfactory (0.61-0.83) and most dimensions were positively and moderately correlated (0.17-0.38). The MIMI is the first French-language scale assessing IMI and offers interesting research avenues notably regarding perinatal parental adaptation. Copyright © 2017 L'Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.

[Intensity of depression in pedagogy students].

Science.gov (United States)

Pietras, Tadeusz; Witusik, Andrzej; Panek, Michał; Zielińska-Wyderkiewicz, Ewa; Kuna, Piotr; Górski, Paweł

2012-03-01

The teacher's profession is regarded to be susceptible to professional burnout. Its early markers include high neuroticism and tendency to depressive reactions. The aim of the study was to assess the depression intensity and the occurrence of mood disorders in the population of full-time and extramural course students of pedagogy aged 19-30, as well as the difference in intensity of the measured constructs between men and women. The study was carried out on the group of 223 women and 162 men aged 19-30 studying pedagogy at Piotrków Trybunalski Division of Jan Kochanowski Memorial University in Kielce in the years 2008-2011. The control group consisted of 76 women and 88 men studying economics. Students of full-time and extramural courses were included. All the participants were assessed with Beck Depression Inventory. Depression as a syndrome was diagnosed if the score of 10 of more was obtained. Among female students of pedagogy, 21 out of 223 obtained Beck Depression Inventory scores equal to, or above 10; whereas among female students of economics 1 out of 76 obtained such a result. The relative risk of developing depression (understood as Beck Depression Inventory result of 10 or more) was found to be significantly higher among female pedagogues (OR 7.797; CI 1.0306 to 58.9856) than among female economists. Among male pedagogy students, 2 out of 162 obtained 10 points, or more. It means that the risk of depression in female pedagogues was as much as over eight-fold higher than in male pedagogues (OR 8.3168; CI 1.9215 - 35.9979). The risk of depression in men studying pedagogy was not higher than in men studying economics, who obtained the Beck Depression Inventory scores of 10 or more in 1 case out of 88 (OR 1.1; CI 0.0983 to 12.3032). Considering all pedagogues irrespectively of gender versus all economists, the risk of depression in the group of pedagogues is over five-fold higher than among economists (OR 5.1464; CI 1.1991 to 22.0885). In the whole group of

Abnormal environmental light exposure in the intensive care environment.

Science.gov (United States)

Fan, Emily P; Abbott, Sabra M; Reid, Kathryn J; Zee, Phyllis C; Maas, Matthew B

2017-08-01

We sought to characterize ambient light exposure in the intensive care unit (ICU) environment to identify patterns of light exposure relevant to circadian regulation. A light monitor was affixed to subjects' bed at eye level in a modern intensive care unit and continuously recorded illuminescence for at least 24h per subject. Blood was sampled hourly and measured for plasma melatonin. Subjects underwent hourly vital sign and bedside neurologic assessments. Care protocols and the ICU environment were not modified for the study. A total of 67,324 30-second epochs of light data were collected from 17 subjects. Light intensity peaked in the late morning, median 64.1 (interquartile range 19.7-138.7) lux. The 75th percentile of light intensity exceeded 100lx only between 9AM and noon, and never exceeded 150lx. There was no correlation between melatonin amplitude and daytime, nighttime or total light exposure (Spearman's correlation coefficients all 0.5). Patients' environmental light exposure in the intensive care unit is consistently low and follows a diurnal pattern. No effect of nighttime light exposure was observed on melatonin secretion. Inadequate daytime light exposure in the ICU may contribute to abnormal circadian rhythms. Copyright © 2017 Elsevier Inc. All rights reserved.

Measuring Physical Activity Intensity

Medline Plus

Full Text Available ... Compartir For more help with what counts as aerobic activity, watch this video: Windows Media Player, 4: ... ways to understand and measure the intensity of aerobic activity: relative intensity and absolute intensity. Relative Intensity ...

Arterial spin-labeling assessment of normalized vascular intratumoral signal intensity as a predictor of histologic grade of astrocytic neoplasms.

Science.gov (United States)

Furtner, J; Schöpf, V; Schewzow, K; Kasprian, G; Weber, M; Woitek, R; Asenbaum, U; Preusser, M; Marosi, C; Hainfellner, J A; Widhalm, G; Wolfsberger, S; Prayer, D

2014-03-01

Pulsed arterial spin-labeling is a noninvasive MR imaging perfusion method performed with the use of water in the arterial blood as an endogenous contrast agent. The purpose of this study was to determine the inversion time with the largest difference in normalized intratumoral signal intensity between high-grade and low-grade astrocytomas. Thirty-three patients with gliomas, histologically classified as low-grade (n = 7) or high-grade astrocytomas (n = 26) according to the World Health Organization brain tumor classification, were included. A 3T MR scanner was used to perform pulsed arterial spin-labeling measurements at 8 different inversion times (370 ms, 614 ms, 864 ms, 1114 ms, 1364 ms, 1614 ms, 1864 ms, and 2114 ms). Normalized intratumoral signal intensity was calculated, which was defined by the signal intensity ratio of the tumor and the contralateral normal brain tissue for all fixed inversion times. A 3-way mixed ANOVA was used to reveal potential differences in the normalized vascular intratumoral signal intensity between high-grade and low-grade astrocytomas. The difference in normalized vascular intratumoral signal intensity between high-grade and low-grade astrocytomas obtained the most statistically significant results at 370 ms (P = .003, other P values ranged from .012-.955). The inversion time by which to differentiate high-grade and low-grade astrocytomas by use of normalized vascular intratumoral signal intensity was 370 ms in our study. The normalized vascular intratumoral signal intensity values at this inversion time mainly reflect the labeled intra-arterial blood bolus and therefore could be referred to as normalized vascular intratumoral signal intensity. Our data indicate that the use of normalized vascular intratumoral signal intensity values allows differentiation between low-grade and high-grade astrocytomas and thus may serve as a new, noninvasive marker for astrocytoma grading.

Intensive care delirium - effect on memories and health-related quality of life - a follow-up study

DEFF Research Database (Denmark)

Svenningsen, Helle; Tønnesen, Else K; Videbech, Poul

2013-01-01

after intensive care unit. Interviews were repeated after two and six months and supplemented with Short Form-36 and the Barthel Index. RESULTS: Delirium was detected in 60% of the patients in our study, and delirious patients had significantly fewer factual memories and more memories of delusion than...... than half of the patients in intensive care unit experience delirium, which is associated with fewer factual memories and more memories of delusions. Short Form-36 might not be sensitive to delirium-related outcomes. Future research should include the development of better assessment tools to determine...... the long-term consequences of intensive care unit delirium. RELEVANCE TO CLINICAL PRACTICE: We recommend regular assessment to prevent, detect and treat delirium. We also recommend an intensive care unit follow-up programme providing an opportunity for postintensive care unit patients, particularly...

Towards higher intensities

CERN Multimedia

CERN Bulletin

2010-01-01

Over the past 2 weeks, commissioning of the machine protection system has advanced significantly, opening up the possibility of higher intensity collisions at 3.5 TeV. The intensity has been increased from 2 bunches of 1010 protons to 6 bunches of 2x1010 protons. Luminosities of 6x1028 cm-2s-1 have been achieved at the start of fills, a factor of 60 higher than those provided for the first collisions on 30 March.   The recent increase in LHC luminosity as recorded by the experiments. (Graph courtesy of the experiments and M. Ferro-Luzzi) To increase the luminosity further, the commissioning crews are now trying to push up the intensity of the individual proton bunches. After the successful injection of nominal intensity bunches containing 1.1x1011 protons, collisions were subsequently achieved at 450 GeV with these intensities. However, half-way through the first ramping of these nominal intensity bunches to 3.5 TeV on 15 May, a beam instability was observed, leading to partial beam loss...

Bodily pain intensity in nursing home residents with pressure ulcers: analysis of national minimum data set 3.0.

Science.gov (United States)

Ahn, Hyochol; Stechmiller, Joyce; Fillingim, Roger; Lyon, Debra; Garvan, Cynthia

2015-06-01

Clinical reports suggest that superficial pressure ulcers produce pain, but that pain decreases as the wound advances in stage. This study of the relationship between pressure ulcer stage and bodily pain intensity in nursing home residents was a secondary analysis of the national Minimum Data Set 3.0 assessment data in long-term care facilities, collected from nursing home residents at least 65 years of age. Data were examined from residents with pressure ulcers who completed a bodily pain intensity interview between January and March 2012 (N = 41,680) as part of the MDS comprehensive assessment. After adjusting for other variables (e.g., cognition, functional impairment, presence of comorbidities, use of scheduled pain medication, and sociodemographic variables), bodily pain intensity for those with more severe pressure ulcers in comparison to those with Stage I ulcers was higher by 11% (Stage II), 14% (Stage III), 24% (Stage IV), and 22% (suspected deep tissue injury). Because multivariate analysis showed that greater bodily pain intensity was associated with an advanced stage of pressure ulcer, health care providers should assess bodily pain intensity and order appropriate pain management for nursing home residents with pressure ulcers, particularly for those with advanced pressure ulcers who are vulnerable to greater bodily pain intensity. © 2015 Wiley Periodicals, Inc.

Targeting intensive versus conventional glycaemic control for type 1 diabetes mellitus

DEFF Research Database (Denmark)

Kähler, Pernille; Grevstad, Berit; Almdal, Thomas

2014-01-01

OBJECTIVE: To assess the benefits and harms of targeting intensive versus conventional glycaemic control in patients with type 1 diabetes mellitus. DESIGN: A systematic review with meta-analyses and trial sequential analyses of randomised clinical trials. DATA SOURCES: The Cochrane Library, MEDLINE......, EMBASE, Science Citation Index Expanded and LILACS to January 2013. STUDY SELECTION: Randomised clinical trials that prespecified different targets of glycaemic control in participants at any age with type 1 diabetes mellitus were included. DATA EXTRACTION: Two authors independently assessed studies...... for inclusion and extracted data. RESULTS: 18 randomised clinical trials included 2254 participants with type 1 diabetes mellitus. All trials had high risk of bias. There was no statistically significant effect of targeting intensive glycaemic control on all-cause mortality (risk ratio 1.16, 95% CI 0.65 to 2...

The patient experience of intensive care: a meta-synthesis of Nordic studies.

Science.gov (United States)

Egerod, Ingrid; Bergbom, Ingegerd; Lindahl, Berit; Henricson, Maria; Granberg-Axell, Anetth; Storli, Sissel Lisa

2015-08-01

Sedation practices in the intensive care unit have evolved from deep sedation and paralysis toward lighter sedation and better pain management. The new paradigm of sedation has enabled early mobilization and optimized mechanical ventilator weaning. Intensive care units in the Nordic countries have been particularly close to goals of lighter or no sedation and a more humane approach to intensive care. The aim of our study was to systematically review and reinterpret newer Nordic studies of the patient experience of intensive care to obtain a contemporary description of human suffering during life-threatening illness. We conducted a meta-synthesis in which we collected, assessed, and analyzed published qualitative studies with the goal of synthesizing these findings into a new whole. Analysis was based on the scientific approach of Gadamerian hermeneutics. Nordic intensive care units. Patients in Nordic intensive care units. We performed a literature search of qualitative studies of the patient experience of intensive care based on Nordic publications in 2000-2013. We searched the following databases: PubMed, CINAHL, Scopus, and PsycINFO. Each original paper was assessed by all authors using the Critical Appraisal Skills Program instrument for qualitative research. We included 22 studies, all of which provided direct patient quotes. The overarching theme was identified as: The patient experience when existence itself is at stake. We constructed an organizing framework for analysis using the main perspectives represented in the included studies: body, mind, relationships, and ICU-environment. Final analysis and interpretation resulted in the unfolding of four themes: existing in liminality, existing in unboundedness, existing in mystery, and existing on the threshold. Our main finding was that human suffering during intensive care is still evident although sedation is lighter and the environment is more humane. Our interpretation suggested that patients with life

Measurement accuracy of weighing and tipping-bucket rainfall intensity gauges under dynamic laboratory testing

Science.gov (United States)

Colli, M.; Lanza, L. G.; La Barbera, P.; Chan, P. W.

2014-07-01

The contribution of any single uncertainty factor in the resulting performance of infield rain gauge measurements still has to be comprehensively assessed due to the high number of real world error sources involved, such as the intrinsic variability of rainfall intensity (RI), wind effects, wetting losses, the ambient temperature, etc. In recent years the World Meteorological Organization (WMO) addressed these issues by fostering dedicated investigations, which revealed further difficulties in assessing the actual reference rainfall intensity in the field. This work reports on an extensive assessment of the OTT Pluvio2 weighing gauge accuracy when measuring rainfall intensity under laboratory dynamic conditions (time varying reference flow rates). The results obtained from the weighing rain gauge (WG) were also compared with a MTX tipping-bucket rain gauge (TBR) under the same test conditions. Tests were carried out by simulating various artificial precipitation events, with unsteady rainfall intensity, using a suitable dynamic rainfall generator. Real world rainfall data measured by an Ogawa catching-type drop counter at a field test site located within the Hong Kong International Airport (HKIA) were used as a reference for the artificial rain generation system. Results demonstrate that the differences observed between the laboratory and field performance of catching-type gauges are only partially attributable to the weather and operational conditions in the field. The dynamics of real world precipitation events is responsible for a large part of the measurement errors, which can be accurately assessed in the laboratory under controlled environmental conditions. This allows for new testing methodologies and the development of instruments with enhanced performance in the field.

The paediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU: Translation and cognitive debriefing for the German-speaking area

Directory of Open Access Journals (Sweden)

Clemens de Grahl

2012-04-01

Full Text Available Purpose: To date there are only a few studies published, dealing with delirium in critically ill patients. The problem with these studies is that prevalence rates of delirium could only be estimated because of the lack of validated delirium assessment tools for the paediatric intensive care unit (PICU. The paediatric Confusion Assessment Method for the Intensive Care Unit (pCAM-ICU was specifically developed and validated for the detection of delirium in PICU patients. The purpose of this study was the translation of the English pCAM-ICU into German according to international validated guidelines. Methods: The translation process was performed according to the principles of good practice for the translation and cultural adaptation process for patient reported outcomes measures: From three independently created German forward-translation versions one preliminary German version was developed, which was then retranslated to English by a certified, state-approved translator. The back-translated version was submitted to the original author for evaluation. The German translation was evaluated by clinicians and specialists anonymously (German grades in regards to language and content of the translation. Results: The results of the cognitive debriefing revealed good to very good results. After that the translation process was successfully completed and the final version of the German pCAM-ICU was adopted by the expert committee. Conclusion: The German version of the pCAM-ICU is a result of a translation process in accordance with internationally acknowledged guidelines. Particularly, with respect to the excellent results of the cognitive debriefing, we could finalise the translation and cultural adaptation process for the German pCAM-ICU.

The impact of the year-on-year variation in the intensity of solar radiation on the energy intensity of low-energy and passive houses

Directory of Open Access Journals (Sweden)

Šubrt Roman

2017-01-01

Full Text Available Solar radiation is a significant segment of heat gains in the operation of buildings. The importance of this segment is highlighted by lowering the energy performance of buildings. The current condition of assessment considers the standard values of solar radiation but these are often very different from the fair values. In the contribution it draws attention to not only to on-year variation in solar fluctuations in the intensity of solar radiation and its significant long-term deviation from the standard values but also to the impact to energy building in reliance to its energy intensity. The attention will be focused also to different values in standards valid in the Czech Republic. This specification of energy assessment of buildings is not only necessary to approximate calculations of real state, but mainly because we can expect more disputes about if a building has declared calculating the parameters of a building with nearly zero-energy or passive house.

New constraints on the magnitude of the 4 January 1907 tsunami earthquake off Sumatra, Indonesia, and its Indian Ocean-wide tsunami

Science.gov (United States)

Martin, S. S.; Li, L.; Okal, E.; Kanamori, H.; Morin, J.; Sieh, K.; Switzer, A.

2017-12-01

On 4 January 1907, an earthquake and tsunami occurred off the west coast of Sumatra, Indonesia, causing at least 2,188 fatalities. The earthquake was given an instrumental surface-wave magnitude (MS) in the range of 7.5 to 8.0 at periods of ≈40s. The tsunami it triggered was destructive on the islands of Nias and Simeulue; on the latter, this gave rise to the legend of the S'mong. This tsunami appears in records in India, Pakistan, Sri Lanka, and as far as the island of La Réunion. In relation to published seismic magnitudes for the earthquake, the tsunami was anomalously large, qualifying it as a "tsunami earthquake." Relocations using reported arrival times suggest an epicentral location near the trench. However, unusually for a tsunami earthquake the reported macroseismic intensities were higher than expected on Nias (6-7 EMS). We present a new study of this event based on macroseismic and tsunami observations culled from published literature and colonial press reports, as well as existing and newly acquired digitized or print seismograms. This multidisciplinary combination of macroseismic and seismological data with tsunami modelling has yielded new insights into this poorly understood but scientifically and societally important tsunami earthquake in the Indian Ocean. With these new data, we discriminated two large earthquakes within an hour of each other with clear differences in seismological character. The first, we interpret to be a tsunami earthquake with low levels of shaking (3-4 EMS). For this event, we estimate a seismic moment (M0) between 0.8 and 1.2 x1021 Nm (≈MW 7.9 to 8.0) based on digitized Wiechert records at Göttingen in the frequency band 6-8 mHz. These records document a regular growth of moment with period and suggest possibly larger values of M0 at even longer periods. The second earthquake caused damage on Nias (6-7 EMS). We estimate MS 6 ¾ - 7 for the second event based on seismograms from Manila, Mizusawa, and Osaka. We also

Earthquake Intensity and Strong Motion Analysis Within SEISCOMP3

Science.gov (United States)

Becker, J.; Weber, B.; Ghasemi, H.; Cummins, P. R.; Murjaya, J.; Rudyanto, A.; Rößler, D.

2017-12-01

Measuring and predicting ground motion parameters including seismic intensities for earthquakes is crucial and subject to recent research in engineering seismology.gempa has developed the new SIGMA module for Seismic Intensity and Ground Motion Analysis. The module is based on the SeisComP3 framework extending it in the field of seismic hazard assessment and engineering seismology. SIGMA may work with or independently of SeisComP3 by supporting FDSN Web services for importing earthquake or station information and waveforms. It provides a user-friendly and modern graphical interface for semi-automatic and interactive strong motion data processing. SIGMA provides intensity and (P)SA maps based on GMPE's or recorded data. It calculates the most common strong motion parameters, e.g. PGA/PGV/PGD, Arias intensity and duration, Tp, Tm, CAV, SED and Fourier-, power- and response spectra. GMPE's are configurable. Supporting C++ and Python plug-ins, standard and customized GMPE's including the OpenQuake Hazard Library can be easily integrated and compared. Originally tailored to specifications by Geoscience Australia and BMKG (Indonesia) SIGMA has become a popular tool among SeisComP3 users concerned with seismic hazard and strong motion seismology.

Management of Pediatric Delirium in Pediatric Cardiac Intensive Care Patients: An International Survey of Current Practices.

Science.gov (United States)

Staveski, Sandra L; Pickler, Rita H; Lin, Li; Shaw, Richard J; Meinzen-Derr, Jareen; Redington, Andrew; Curley, Martha A Q

2018-06-01

The purpose of this study was to describe how pediatric cardiac intensive care clinicians assess and manage delirium in patients following cardiac surgery. Descriptive self-report survey. A web-based survey of pediatric cardiac intensive care clinicians who are members of the Pediatric Cardiac Intensive Care Society. Pediatric cardiac intensive care clinicians (physicians and nurses). None. One-hundred seventy-three clinicians practicing in 71 different institutions located in 13 countries completed the survey. Respondents described their clinical impression of the occurrence of delirium to be approximately 25%. Most respondents (75%) reported that their ICU does not routinely screen for delirium. Over half of the respondents (61%) have never attended a lecture on delirium. The majority of respondents (86%) were not satisfied with current delirium screening, diagnosis, and management practices. Promotion of day/night cycle, exposure to natural light, deintensification of care, sleep hygiene, and reorientation to prevent or manage delirium were among nonpharmacologic interventions reported along with the use of anxiolytic, antipsychotic, and medications for insomnia. Clinicians responding to the survey reported a range of delirium assessment and management practices in postoperative pediatric cardiac surgery patients. Study results highlight the need for improvement in delirium education for pediatric cardiac intensive care clinicians as well as the need for systematic evaluation of current delirium assessment and management practices.

Variations in embodied energy and carbon emission intensities of construction materials

Energy Technology Data Exchange (ETDEWEB)

Wan Omar, Wan-Mohd-Sabki [Griffith School of Engineering, Griffith University, Gold Coast Campus, Queensland 4222 (Australia); School of Environmental Engineering, Universiti Malaysia Perlis, 02600 Arau, Perlis (Malaysia); Doh, Jeung-Hwan, E-mail: j.doh@griffith.edu.au [Griffith School of Engineering, Griffith University, Gold Coast Campus, Queensland 4222 (Australia); Panuwatwanich, Kriengsak [Griffith School of Engineering, Griffith University, Gold Coast Campus, Queensland 4222 (Australia)

2014-11-15

Identification of parameter variation allows us to conduct more detailed life cycle assessment (LCA) of energy and carbon emission material over their lifecycle. Previous research studies have demonstrated that hybrid LCA (HLCA) can generally overcome the problems of incompleteness and accuracy of embodied energy (EE) and carbon (EC) emission assessment. Unfortunately, the current interpretation and quantification procedure has not been extensively and empirically studied in a qualitative manner, especially in hybridising between the process LCA and I-O LCA. To determine this weakness, this study empirically demonstrates the changes in EE and EC intensities caused by variations to key parameters in material production. Using Australia and Malaysia as a case study, the results are compared with previous hybrid models to identify key parameters and issues. The parameters considered in this study are technological changes, energy tariffs, primary energy factors, disaggregation constant, emission factors, and material price fluctuation. It was found that changes in technological efficiency, energy tariffs and material prices caused significant variations in the model. Finally, the comparison of hybrid models revealed that non-energy intensive materials greatly influence the variations due to high indirect energy and carbon emission in upstream boundary of material production, and as such, any decision related to these materials should be considered carefully. - Highlights: • We investigate the EE and EC intensity variation in Australia and Malaysia. • The influences of parameter variations on hybrid LCA model were evaluated. • Key significant contribution to the EE and EC intensity variation were identified. • High indirect EE and EC content caused significant variation in hybrid LCA models. • Non-energy intensive material caused variation between hybrid LCA models.

Variations in embodied energy and carbon emission intensities of construction materials

International Nuclear Information System (INIS)

Wan Omar, Wan-Mohd-Sabki; Doh, Jeung-Hwan; Panuwatwanich, Kriengsak

2014-01-01

Identification of parameter variation allows us to conduct more detailed life cycle assessment (LCA) of energy and carbon emission material over their lifecycle. Previous research studies have demonstrated that hybrid LCA (HLCA) can generally overcome the problems of incompleteness and accuracy of embodied energy (EE) and carbon (EC) emission assessment. Unfortunately, the current interpretation and quantification procedure has not been extensively and empirically studied in a qualitative manner, especially in hybridising between the process LCA and I-O LCA. To determine this weakness, this study empirically demonstrates the changes in EE and EC intensities caused by variations to key parameters in material production. Using Australia and Malaysia as a case study, the results are compared with previous hybrid models to identify key parameters and issues. The parameters considered in this study are technological changes, energy tariffs, primary energy factors, disaggregation constant, emission factors, and material price fluctuation. It was found that changes in technological efficiency, energy tariffs and material prices caused significant variations in the model. Finally, the comparison of hybrid models revealed that non-energy intensive materials greatly influence the variations due to high indirect energy and carbon emission in upstream boundary of material production, and as such, any decision related to these materials should be considered carefully. - Highlights: • We investigate the EE and EC intensity variation in Australia and Malaysia. • The influences of parameter variations on hybrid LCA model were evaluated. • Key significant contribution to the EE and EC intensity variation were identified. • High indirect EE and EC content caused significant variation in hybrid LCA models. • Non-energy intensive material caused variation between hybrid LCA models

Diagnostic performance of three-dimensional MR maximum intensity projection for the assessment of synovitis of the hand and wrist in rheumatoid arthritis: A pilot study

Energy Technology Data Exchange (ETDEWEB)

Li, Xubin, E-mail: lixb@bjmu.edu.cn [Department of Radiology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Reseaech Center for Cancer, Tianjin, Key Laboratory of Cancer Prevention and Therapy, Tianjin 300060 (China); Liu, Xia; Du, Xiangke [Department of Radiology, Peking University People' s Hospital, Beijing 100044 (China); Ye, Zhaoxiang [Department of Radiology, Tianjin Medical University Cancer Institute and Hospital, National Clinical Reseaech Center for Cancer, Tianjin, Key Laboratory of Cancer Prevention and Therapy, Tianjin 300060 (China)

2014-05-15

Purpose: To evaluate the diagnostic performance of three-dimensional (3D) MR maximum intensity projection (MIP) in the assessment of synovitis of the hand and wrist in rheumatoid arthritis (RA) compared to 3D contrast-enhanced magnetic resonance imaging (CE-MRI). Materials and methods: Twenty-five patients with RA underwent MR examinations. 3D MR MIP images were derived from the enhanced images. MR images were reviewed by two radiologists for the presence and location of synovitis of the hand and wrist. The diagnostic sensitivity, specificity and accuracy of 3D MIP were, respectively, calculated with the reference standard 3D CE-MRI. Results: In all subjects, 3D MIP images yielded directly and clearly the presence and location of synovitis with just one image. Synovitis demonstrated high signal intensity on MIP images. The k-values for the detection of articular synovitis indicated excellent interobserver agreements using 3D MIP images (k = 0.87) and CE-MR images (k = 0.91), respectively. 3D MIP demonstrated a sensitivity, specificity and accuracy of 91.07%, 98.57% and 96.0%, respectively, for the detection of synonitis. Conclusion: 3D MIP can provide a whole overview of lesion locations and a reliable diagnostic performance in the assessment of articular synovitis of the hand and wrist in patients with RA, which has potential value of clinical practice.

Development and Testing of a Decision Making Based Method to Adjust Automatically the Harrowing Intensity

Directory of Open Access Journals (Sweden)

Roland Gerhards

2013-05-01

Full Text Available Harrowing is often used to reduce weed competition, generally using a constant intensity across a whole field. The efficacy of weed harrowing in wheat and barley can be optimized, if site-specific conditions of soil, weed infestation and crop growth stage are taken into account. This study aimed to develop and test an algorithm to automatically adjust the harrowing intensity by varying the tine angle and number of passes. The field variability of crop leaf cover, weed density and soil density was acquired with geo-referenced sensors to investigate the harrowing selectivity and crop recovery. Crop leaf cover and weed density were assessed using bispectral cameras through differential images analysis. The draught force of the soil opposite to the direction of travel was measured with electronic load cell sensor connected to a rigid tine mounted in front of the harrow. Optimal harrowing intensity levels were derived in previously implemented experiments, based on the weed control efficacy and yield gain. The assessments of crop leaf cover, weed density and soil density were combined via rules with the aforementioned optimal intensities, in a linguistic fuzzy inference system (LFIS. The system was evaluated in two field experiments that compared constant intensities with variable intensities inferred by the system. A higher weed density reduction could be achieved when the harrowing intensity was not kept constant along the cultivated plot. Varying the intensity tended to reduce the crop leaf cover, though slightly improving crop yield. A real-time intensity adjustment with this system is achievable, if the cameras are attached in the front and at the rear or sides of the harrow.

Development and Testing of a Decision Making Based Method to Adjust Automatically the Harrowing Intensity

Science.gov (United States)

Rueda-Ayala, Victor; Weis, Martin; Keller, Martina; Andújar, Dionisio; Gerhards, Roland

2013-01-01

Harrowing is often used to reduce weed competition, generally using a constant intensity across a whole field. The efficacy of weed harrowing in wheat and barley can be optimized, if site-specific conditions of soil, weed infestation and crop growth stage are taken into account. This study aimed to develop and test an algorithm to automatically adjust the harrowing intensity by varying the tine angle and number of passes. The field variability of crop leaf cover, weed density and soil density was acquired with geo-referenced sensors to investigate the harrowing selectivity and crop recovery. Crop leaf cover and weed density were assessed using bispectral cameras through differential images analysis. The draught force of the soil opposite to the direction of travel was measured with electronic load cell sensor connected to a rigid tine mounted in front of the harrow. Optimal harrowing intensity levels were derived in previously implemented experiments, based on the weed control efficacy and yield gain. The assessments of crop leaf cover, weed density and soil density were combined via rules with the aforementioned optimal intensities, in a linguistic fuzzy inference system (LFIS). The system was evaluated in two field experiments that compared constant intensities with variable intensities inferred by the system. A higher weed density reduction could be achieved when the harrowing intensity was not kept constant along the cultivated plot. Varying the intensity tended to reduce the crop leaf cover, though slightly improving crop yield. A real-time intensity adjustment with this system is achievable, if the cameras are attached in the front and at the rear or sides of the harrow. PMID:23669712

Light-intensity physical activity and cardiometabolic biomarkers in US adolescents.

Directory of Open Access Journals (Sweden)

Valerie Carson

Full Text Available BACKGROUND: The minimal physical activity intensity that would confer health benefits among adolescents is unknown. The purpose of this study was to examine the associations of accelerometer-derived light-intensity (split into low and high physical activity, and moderate- to vigorous-intensity physical activity with cardiometabolic biomarkers in a large population-based sample. METHODS: The study is based on 1,731 adolescents, aged 12-19 years from the 2003/04 and 2005/06 National Health and Nutrition Examination Survey. Low light-intensity activity (100-799 counts/min, high light-intensity activity (800 counts/min to <4 METs and moderate- to vigorous-intensity activity (≥ 4 METs, Freedson age-specific equation were accelerometer-derived. Cardiometabolic biomarkers, including waist circumference, systolic blood pressure, diastolic blood pressure, HDL-cholesterol, and C-reactive protein were measured. Triglycerides, LDL- cholesterol, insulin, glucose, and homeostatic model assessments of β-cell function (HOMA-%B and insulin sensitivity (HOMA-%S were also measured in a fasting sub-sample (n=807. RESULTS: Adjusted for confounders, each additional hour/day of low light-intensity activity was associated with 0.59 (95% CI: 1.18-0.01 mmHG lower diastolic blood pressure. Each additional hour/day of high light-intensity activity was associated with 1.67 (2.94-0.39 mmHG lower diastolic blood pressure and 0.04 (0.001-0.07 mmol/L higher HDL-cholesterol. Each additional hour/day of moderate- to vigorous-intensity activity was associated with 3.54 (5.73-1.35 mmHG lower systolic blood pressure, 5.49 (1.11-9.77% lower waist circumference, 25.87 (6.08-49.34% lower insulin, and 16.18 (4.92-28.53% higher HOMA-%S. CONCLUSIONS: Time spent in low light-intensity physical activity and high light-intensity physical activity had some favorable associations with biomarkers. Consistent with current physical activity recommendations for adolescents, moderate- to

Impact of low signal intensity assessed by cine magnetic resonance imaging on detection of poorly viable myocardium in patients with prior myocardial infarction.

Science.gov (United States)

Ota, Shingo; Tanimoto, Takashi; Orii, Makoto; Hirata, Kumiko; Shiono, Yasutsugu; Shimamura, Kunihiro; Matsuo, Yoshiki; Yamano, Takashi; Ino, Yasushi; Kitabata, Hironori; Yamaguchi, Tomoyuki; Kubo, Takashi; Tanaka, Atsushi; Imanishi, Toshio; Akasaka, Takashi

2015-05-13

Late gadolinium enhancement magnetic resonance imaging (LGE-MRI) has been established as a modality to detect myocardial infarction (MI). However, the use of gadolinium contrast is limited in patients with advanced renal dysfunction. Although the signal intensity (SI) of infarct area assessed by cine MRI is low in some patients with prior MI, the prevalence and clinical significance of low SI has not been evaluated. The aim of this study was to evaluate how low SI assessed by cine MRI may relate to the myocardial viability in patients with prior MI. Fifty patients with prior MI underwent both cine MRI and LGE-MRI. The left ventricle was divided into 17 segments. The presence of low SI and the wall motion score (WMS) of each segment were assessed by cine MRI. The transmural extent of infarction was evaluated by LGE-MRI. LGE was detected in 329 of all 850 segments (39%). The low SI assessed by cine MRI was detected in 105 of 329 segments with LGE (32%). All segments with low SI had LGE. Of all 329 segments with LGE, the segments with low SI showed greater transmural extent of infarction (78 [72 - 84] % versus 53 [38 - 72] %, P cine MRI may be effective for detecting poorly viable myocardium in patients with prior MI.

Collaborative Infrastructures for Mobilizing Intellectual Resources: assessing intellectual bandwidth in a knowledge intensive organization

NARCIS (Netherlands)

R. Verhoef; S. Qureshi (Sadja)

2004-01-01

textabstractThe use of intellectual assets of key professionals to provide customized goods and services is seen to be a key characteristic of knowledge intensive organizations. While knowledge management efforts have become popular in organizations that depend on the knowledge and skills of their

Zemětřesení v Hrubém Jeseníku 14. 6. 2012

Czech Academy of Sciences Publication Activity Database

Pazdírková, J.; Zedník, Jan; Špaček, P.; Pecina, V.; Sýkorová, Z.; Krumlová, H.

2013-01-01

Roč. 20, 1-2 (2013), s. 202-205 ISSN 1212-6209 R&D Projects: GA MŠk LM2010008 Institutional support: RVO:67985530 Keywords : Hrubý Jeseník Mts. * felt earthquake * macroseismic magnitude * local magnitude Subject RIV: DC - Siesmology, Volcanology, Earth Structure

Rainfed intensive crop systems

DEFF Research Database (Denmark)

Olesen, Jørgen E

2014-01-01

This chapter focuses on the importance of intensive cropping systems in contributing to the world supply of food and feed. The impact of climate change on intensive crop production systems is also discussed.......This chapter focuses on the importance of intensive cropping systems in contributing to the world supply of food and feed. The impact of climate change on intensive crop production systems is also discussed....

[Factors affecting the recovery in the intensive care unit].

Science.gov (United States)

Turkov, P N; Nikitin, V V; Antsupova, M A; Podkopaev, V N; Panfilova, R P; Ivanova, I N; Nesterova, L I

2013-01-01

Urgency of the problem is defined by economical, regulatory and legislative acts, regional social and moral factors. There is critical situation in Russian Pediatric Healthcare system. This situation is due to inadequate funding, high medical technologies inaccessibility for some Russian children, their adverse health state. The article presents a retrospective analysis of intensive therapy and resuscitation outcomes with technical equipment and work environment assessment in the intensive care unit of Tushinskaya city pediatric clinic for the period from 2007 to 2011. Anaesthetic and emergency care quality and safety depend on several factors: permanent equipment improvement, comprehensive analysis of every fatal case and full implementation of "Anti-epidemic (prophylactic) actions plan" and "Program of monitoring compliance with the sanitary norms".

Recruiting intensity

OpenAIRE

R. Jason Faberman

2014-01-01

To hire new workers, employers use a variety of recruiting methods in addition to posting a vacancy announcement. The intensity with which employers use these alternative methods can vary widely with a firm’s performance and with the business cycle. In fact, persistently low recruiting intensity helps to explain the sluggish pace of US job growth following the Great Recession.

Energy intensity, target level of energy intensity, and room for improvement in energy intensity: An application to the study of regions in the EU

International Nuclear Information System (INIS)

Chang, Ming-Chung

2014-01-01

While the previous literature shows that a decline in energy intensity represents an improvement in energy use efficiency, it does not provide a target level of energy intensity, nor what room for improvement in terms of energy intensity could entail. This study establishes an indicator of such room for improvement in terms of energy intensity by measuring the difference between the target level of energy intensity and the actual energy intensity and thereby monitors energy use efficiency. The traditional indicator of energy intensity, defined as energy use over GDP, mainly estimates energy use efficiency, but is a partial effect between the energy input and GDP output. However, our proposed indicator of the room for improvement in terms of energy intensity is the total-factor effects based on the multiple-inputs model. By taking the 27 EU members to investigate their energy use efficiency using the indicator of the room for improvement in terms of energy intensity, this study concludes that an improvement in energy intensity does not fully depend on a decline in energy intensity, and we instead need to confirm whether the room for improvement in terms of energy intensity decreases. This finding is particularly relevant for energy policy-makers. - Highlights: • This paper establishes an indicator for the room for improvement in terms of energy intensity. • This study takes the 27 EU members to investigate their energy use efficiency. • A different result appears by using our proposed indicator

Assessing and combining repeated prognosis of physicians and temporal models in the intensive care

NARCIS (Netherlands)

Minne, Lilian; Toma, Tudor; de Jonge, Evert; Abu-Hanna, Ameen

2013-01-01

Recently, we devised a method to develop prognostic models incorporating patterns of sequential organ failure to predict the eventual hospital mortality at each day of intensive care unit (ICU) stay. In this study, we investigate using a real world setting how these models perform compared to

Electricity intensity backstop level to meet sustainable backstop supply technologies

International Nuclear Information System (INIS)

Verbruggen, Aviel

2006-01-01

The concept of a backstop level of electricity intensity is introduced and illustrated for the highest income economies of the world. The backstop level corresponds with the intensity that would be triggered by applying end-use electricity prices equal to the cost price of a fully sustainable electricity supply. Section 1 of the paper discusses the issue of electricity (also energy) intensity of economies. It is argued that identifying a 'demand for electricity intensity' bridges the gap between the high willingness to pay for electricity services on the one hand and the disinterested attitude of consumers regarding the invisible and impalpable product electricity on the other hand. Assessment of the demand curve for electricity intensity in a cross section of high income OECD countries comes to a long-run price elasticity of almost -1. Section 2 revives Nordhaus' concept of backstop supply technologies for weighing three power sources (fossil, nuclear, and renewable sources) in meeting today's criteria of sustainable backstop technology. Only renewable sources meet the main sustainability criteria, but the economic cost of a fully sustainable electricity supply will be elevated. The closing question of Section 3, that is, whether the countries can afford the high cost of backstop electricity supplies, is answered by indicating what reductions in intensity are required to keep the electricity bills stable. The targeted intensity level is called the backstop level, and provides a fixed point for electricity efficiency policies. The analysis supports the call for comprehensive and enduring tax reform policies

AFSC/RACE/GAP/Kotwicki: Relative light intensity collected during bottom trawl surveys

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — Assessing the effect of light intensity and light penetration on the distributionand behavior of walleye pollock (Gadus chalcogrammus) in the eastern Bering Sea and...

Normalization of white matter intensity on T1-weighted images of patients with acquired central nervous system demyelination.

Science.gov (United States)

Ghassemi, Rezwan; Brown, Robert; Narayanan, Sridar; Banwell, Brenda; Nakamura, Kunio; Arnold, Douglas L

2015-01-01

Intensity variation between magnetic resonance images (MRI) hinders comparison of tissue intensity distributions in multicenter MRI studies of brain diseases. The available intensity normalization techniques generally work well in healthy subjects but not in the presence of pathologies that affect tissue intensity. One such disease is multiple sclerosis (MS), which is associated with lesions that prominently affect white matter (WM). To develop a T1-weighted (T1w) image intensity normalization method that is independent of WM intensity, and to quantitatively evaluate its performance. We calculated median intensity of grey matter and intraconal orbital fat on T1w images. Using these two reference tissue intensities we calculated a linear normalization function and applied this to the T1w images to produce normalized T1w (NT1) images. We assessed performance of our normalization method for interscanner, interprotocol, and longitudinal normalization variability, and calculated the utility of the normalization method for lesion analyses in clinical trials. Statistical modeling showed marked decreases in T1w intensity differences after normalization (P < .0001). We developed a WM-independent T1w MRI normalization method and tested its performance. This method is suitable for longitudinal multicenter clinical studies for the assessment of the recovery or progression of disease affecting WM. Copyright © 2014 by the American Society of Neuroimaging.

Measuring Physical Activity Intensity

Medline Plus

Full Text Available ... 45 David, Age 65 Harold, Age 67 Data & Statistics Facts About Physical Activity Data, Trends and Maps ... relative intensity and absolute intensity. Relative Intensity The level of effort required by a person to do ...

Education on invasive mechanical ventilation involving intensive care nurses: a systematic review.

Science.gov (United States)

Guilhermino, Michelle C; Inder, Kerry J; Sundin, Deborah

2018-03-26

Intensive care unit nurses are critical for managing mechanical ventilation. Continuing education is essential in building and maintaining nurses' knowledge and skills, potentially improving patient outcomes. The aim of this study was to determine whether continuing education programmes on invasive mechanical ventilation involving intensive care unit nurses are effective in improving patient outcomes. Five electronic databases were searched from 2001 to 2016 using keywords such as mechanical ventilation, nursing and education. Inclusion criteria were invasive mechanical ventilation continuing education programmes that involved nurses and measured patient outcomes. Primary outcomes were intensive care unit mortality and in-hospital mortality. Secondary outcomes included hospital and intensive care unit length of stay, length of intubation, failed weaning trials, re-intubation incidence, ventilation-associated pneumonia rate and lung-protective ventilator strategies. Studies were excluded if they excluded nurses, patients were ventilated for less than 24 h, the education content focused on protocol implementation or oral care exclusively or the outcomes were participant satisfaction. Quality was assessed by two reviewers using an education intervention critical appraisal worksheet and a risk of bias assessment tool. Data were extracted independently by two reviewers and analysed narratively due to heterogeneity. Twelve studies met the inclusion criteria for full review: 11 pre- and post-intervention observational and 1 quasi-experimental design. Studies reported statistically significant reductions in hospital length of stay, length of intubation, ventilator-associated pneumonia rates, failed weaning trials and improvements in lung-protective ventilation compliance. Non-statistically significant results were reported for in-hospital and intensive care unit mortality, re-intubation and intensive care unit length of stay. Limited evidence of the effectiveness of

Higher exercise intensity delays postexercise recovery of impedance-derived cardiac sympathetic activity.

Science.gov (United States)

Michael, Scott; Jay, Ollie; Graham, Kenneth S; Davis, Glen M

2017-08-01

Systolic time intervals (STIs) provide noninvasive insights into cardiac sympathetic neural activity (cSNA). As the effect of exercise intensity on postexercise STI recovery is unclear, this study investigated the STI recovery profile after different exercise intensities. Eleven healthy males cycled for 8 min at 3 separate intensities: LOW (40%-45%), MOD (75%-80%), and HIGH (90%-95%) of heart-rate (HR) reserve. Bio-impedance cardiography was used to assess STIs - primarily pre-ejection period (PEP; inversely correlated with cSNA), as well as left ventricular ejection time (LVET) and PEP:LVET - during 10 min seated recovery immediately postexercise. Heart-rate variability (HRV), i.e., natural-logarithm of root mean square of successive differences (Ln-RMSSD), was calculated as an index of cardiac parasympathetic neural activity (cPNA). Higher preceding exercise intensity elicited a slower recovery of HR and Ln-RMSSD (p return to baseline by 10 min following any intensity (p ≤ 0.009). Recovery of STIs was also slower following higher intensity exercise (p ≤ 0.002). By 30 s postexercise, higher preceding intensity resulted in a lower PEP (98 ± 14 ms, 75 ± 6 ms, 66 ± 5 ms for LOW, MOD, and HIGH, respectively, p fashion. While exercise intensity must be considered, acute recovery may be a valuable period during which to concurrently monitor these noninvasive indices, to identify potentially abnormal cardiac autonomic responses.

Poststroke delirium incidence and outcomes: validation of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).

Science.gov (United States)

Mitasova, Adela; Kostalova, Milena; Bednarik, Josef; Michalcakova, Radka; Kasparek, Tomas; Balabanova, Petra; Dusek, Ladislav; Vohanka, Stanislav; Ely, E Wesley

2012-02-01

To describe the epidemiology and time spectrum of delirium using Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria and to validate a tool for delirium assessment in patients in the acute poststroke period. A prospective observational cohort study. The stroke unit of a university hospital. A consecutive series of 129 patients with stroke (with infarction or intracerebral hemorrhage, 57 women and 72 men; mean age, 72.5 yrs; age range, 35-93 yrs) admitted to the stroke unit of a university hospital were evaluated for delirium incidence. None. Criterion validity and overall accuracy of the Czech version of the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) were determined using serial daily delirium assessments with CAM-ICU by a junior physician compared with delirium diagnosis by delirium experts using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria that began the first day after stroke onset and continued for at least 7 days. Cox regression models using time-dependent covariate analysis adjusting for age, gender, prestroke dementia, National Institutes of Stroke Health Care at admission, first-day Sequential Organ Failure Assessment, and asphasia were used to understand the relationships between delirium and clinical outcomes. An episode of delirium based on reference Diagnostic and Statistical Manual assessment was detected in 55 patients with stroke (42.6%). In 37 of these (67.3%), delirium began within the first day and in all of them within 5 days of stroke onset. A total of 1003 paired CAM-ICU/Diagnostic and Statistical Manual of Mental Disorders daily assessments were completed. Compared with the reference standard for diagnosing delirium, the CAM-ICU demonstrated a sensitivity of 76% (95% confidence interval [CI] 55% to 91%), a specificity of 98% (95% CI 93% to 100%), an overall accuracy of 94% (95% CI 88% to 97%), and high interrater reliability (κ = 0.94; 95% CI 0

Genetic diversity of intensive cultured and wild tiger shrimp Penaeus ...

African Journals Online (AJOL)

The objective of this study was to assess the genetic diversity of intensive cultured and wild tiger shrimp Penaeus monodon (Fabricius) in Malaysia using six microsatellite markers (CSCUPmo1, CSCUPmo2, CSCUPmo3, CSCUPmo4, CSCUPmo6 and CSCUPmo7). The mean numbers of allele, observed heterozygosis, ...

Stochastic conditional intensity processes

DEFF Research Database (Denmark)

Bauwens, Luc; Hautsch, Nikolaus

2006-01-01

model allows for a wide range of (cross-)autocorrelation structures in multivariate point processes. The model is estimated by simulated maximum likelihood (SML) using the efficient importance sampling (EIS) technique. By modeling price intensities based on NYSE trading, we provide significant evidence......In this article, we introduce the so-called stochastic conditional intensity (SCI) model by extending Russell’s (1999) autoregressive conditional intensity (ACI) model by a latent common dynamic factor that jointly drives the individual intensity components. We show by simulations that the proposed...... for a joint latent factor and show that its inclusion allows for an improved and more parsimonious specification of the multivariate intensity process...

Frequency, intensity, and correlates of spiritual pain in advanced cancer patients assessed in a supportive/palliative care clinic.

Science.gov (United States)

Delgado-Guay, Marvin Omar; Chisholm, Gary; Williams, Janet; Frisbee-Hume, Susan; Ferguson, Andrea O; Bruera, Eduardo

2016-08-01

Regular assessments of spiritual distress/spiritual pain among patients in a supportive/palliative care clinic (SCPC) are limited or unavailable. We modified the Edmonton Symptom Assessment Scale (ESAS) by adding spiritual pain (SP) to the scale (0 = best, 10 = worst) to determine the frequency, intensity, and correlates of self-reported SP (≥1/10) (pain deep in your soul/being that is not physical) among these advanced cancer patients. We reviewed 292 consecutive consults of advanced cancer patients (ACPs) who were evaluated at our SCPC between October of 2012 and January of 2013. Symptoms were assessed using the new instrument (termed the ESAS-FS). The median age of patients was 61 (range = 22-92). Some 53% were male; 189 (65%) were white, 45 (15%) African American, and 34 (12%) Hispanic. Some 123 of 282 (44%) of ACPs had SP (mean (95% CI) = 4(3.5-4.4). Advanced cancer patients with SP had worse pain [mean (95% CI) = 5.3(4.8, 5.8) vs. 4.5(4.0, 5.0)] (p = 0.02); depression [4.2(3.7, 4.7) vs. 2.1(1.7, 2.6), p well-being [5.4(4.9, 5.8) vs. 4.5(4.1, 4.9), p = 0.0136]; and financial distress (FD) [4.4(3.9, 5.0) vs. 2.2(1.8, 2.7), p Spiritual pain correlated (Spearman) with depression (r = 0.45, p well-being (r = 0.27, p = 0.0006), nausea (r = 0.29, p = 0.0002), and financial distress (r = 0.42, p Spiritual pain, which is correlated with physical and psychological distress, was reported in more than 40% of ACPs. Employment of the ESAS-FS allows ACPs with SP to be identified and evaluated in an SCPC. More research is needed.

Withholding or withdrawing therapy in intensive care units: improving interdisciplinary cooperation

DEFF Research Database (Denmark)

Jensen, Hanne Irene; Ammentorp, Jette; Ørding, Helle

INTRODUCTION. Decisions regarding withholding or withdrawing therapy are common in the intensive care units. The health care professionals involved in the decision-making process do not always assess the situation identically, leading to potential conflicts. Studies have suggested that improving...... (conducted at two hospitals) with participation of primary care physicians, anaesthesiologists (both with and without ICU as their main workplace) and intensive care nurses. A total of 29 participated in the audits. The participants received beforehand three complicated cases (borrowed from other hospitals...... unit conflicts: the conflicus study. Am J Respir Crit Care Med180:853-860. (2) Halvorsen K, Forde R, Nortvedt P (2009) Value choices and considerations when limiting intensive care treatment: a qualitative study. Acta Anaesthesiol Scand 53:10-17 GRANT ACKNOWLEDGMENT. The study was supported...

Nuclear energy = more jobs. [Capital-intensive vs labor-intensive systems

Energy Technology Data Exchange (ETDEWEB)

Brookes, L G

1979-07-01

In the April 1979 issue of Energy Manager, Dr. David Elliott of Open University says capital-intensive systems employ less labor per unit of output, concluding that nuclear energy represented a poor bargain in terms of money invested per job created. Responding to this earlier article, Dr. Brookes argues that capital-intensive systems may employ less labor per unit of output, but they also produce more output and income per worker. Dr. Brookes uses a simple analysis to illustrate how progress results by increasing capital investment and disagrees strongly with Elliotts conclusions - says output must become more capital-intensive to provide more employment opportunities. Further, he feels that Elliott and other antinuclear and environmentalist writers have fallen into the trap of the fallacy of composition - assuming that what is true for a small number of constituent parts taken singly is true also for the total system taken as a whole. Examples can be found in economics of microeconomic elements which do not add up to the expected macroeconomic composition, which explains why some capital-intensive strategies are good and others are not. The excess income produced by capital-intensive energy strategies supports the service and public administration sectors. 3 figures, 1 table. (DCK)

An intensive monitoring campaign of PAHs for assessing the impact of a steel plant.

Science.gov (United States)

Di Gilio, A; Ventrella, G; Giungato, P; Tutino, M; Giua, R; Assennato, G; de Gennaro, G

2017-02-01

This study provided a useful approach for assessing the impact of industrial sources on surrounding, especially in a sensitive industrial area as Taranto (South of Italy). Taranto is one of the most industrialized Italian towns, where several emission sources operate simultaneously in proximity to the urban settlement. An intensive monitoring campaign of PAHs was carried out from January 28th to July 30th, 2011, in seven sites located in residential settlement around the industrial area and in the city center. The collected data were integrated with the information about wind direction and speed by means bivariate polarplot in order to characterize and localize the industrial sources. High BaP concentrations were detected especially when Benzene to Toluene ratio (B/T ratio) values excedeed 1 and all receptor sites were downwind to the steel plant. Moreover, in order to discriminate among PAH sources and quantify their contributions, a source apportionment analysis of the collected data was provided by means Principal component Analysis (PCA) and Positive Matrix Factorization (PMF) methods. Finally, the processing of PMF5.0 output by bivariate polar plot, confirmed the impact of steel plant on both industrial sites downwind the steel plant and the city center. B[a]P apportionment was quite similar for industrial and urban sites: the traffic source contributed only 11% and 24% to B[a]P measured at two sites, respectively. Therefore, the proximity of Taranto downtown to industrial pole makes negligible all other source contributions to PAH concentrations. Copyright © 2016 Elsevier Ltd. All rights reserved.

Whooping crane stopover site use intensity within the Great Plains

Science.gov (United States)

Pearse, Aaron T.; Brandt, David A.; Harrell, Wade C.; Metzger, Kristine L.; Baasch, David M.; Hefley, Trevor J.

2015-09-23

Whooping cranes (Grus americana) of the Aransas-Wood Buffalo population migrate twice each year through the Great Plains in North America. Recovery activities for this endangered species include providing adequate places to stop and rest during migration, which are generally referred to as stopover sites. To assist in recovery efforts, initial estimates of stopover site use intensity are presented, which provide opportunity to identify areas across the migration range used more intensively by whooping cranes. We used location data acquired from 58 unique individuals fitted with platform transmitting terminals that collected global position system locations. Radio-tagged birds provided 2,158 stopover sites over 10 migrations and 5 years (2010–14). Using a grid-based approach, we identified 1,095 20-square-kilometer grid cells that contained stopover sites. We categorized occupied grid cells based on density of stopover sites and the amount of time cranes spent in the area. This assessment resulted in four categories of stopover site use: unoccupied, low intensity, core intensity, and extended-use core intensity. Although provisional, this evaluation of stopover site use intensity offers the U.S. Fish and Wildlife Service and partners a tool to identify landscapes that may be of greater conservation significance to migrating whooping cranes. Initially, the tool will be used by the U.S. Fish and Wildlife Service and other interested parties in evaluating the Great Plains Wind Energy Habitat Conservation Plan.

Assessment Of Nurses Performance During Cardiopulmonary Resuscitation In Intensive Care Unit And Cardiac Care Unit At The Alexandria Main University Hospital.

Directory of Open Access Journals (Sweden)

Dr. Nagla Hamdi Kamal Khalil El- Meanawi

2015-08-01

Full Text Available Abstract Background Cardiopulmonary resuscitation one of the most emergency management the nurse has a pivotal role and should be highly qualified in performing these procedures. The aim of the study is to assess performance of nurses during Cardio pulmonary resuscitation for patient with cardiac arrest In Intensive Care Unit and Cardiac Care Unit at the Alexandria main university hospital. To answer the question what are the most common area of satisfactory and area of neglection in nurses performance during Cardio Pulmonary Resuscitation. The sample consists of 53 staff nurses working in Intensive care unit amp cardiac care unit at Alexandria main university hospital. The tools of data collection were structured of questionnaire sheet and observational cheek list. The results showed that unsatisfactory performance between nurses in both units. The study concluded that all nurses need to improve their performance during cardiopulmonary resuscitation for patient with cardiac arrest it is crucial for nursing staff to participate in CPR courses in order to refresh and update their theoretical knowledge and performance skills and consequently to improve the safety and effectiveness of care. The study recommended that continuous evaluation of nurses knowledge and performance is essential the optimal frequency with which CPR training should be implemented at least every 6 months in order to avoid deterioration in nurses CPR knowledge and skills.

Forgetting feelings: Opposite biases in reports of the intensity of past emotion and mood.

Science.gov (United States)

Kaplan, Robin L; Levine, Linda J; Lench, Heather C; Safer, Martin A

2016-04-01

Memory for feelings is subject to fading and bias over time. In 2 studies, the authors examined whether the magnitude and direction of bias depend on the type of feeling being recalled: emotion or mood. A few days after the U.S. Presidential elections in 2008 and 2012, participants reported how they felt about the election outcome (emotion) and how they felt in general (mood). A month after the elections, participants recalled their feelings. The intensity of past emotion was recalled more accurately than the intensity of past mood. Participants underestimated the intensity of emotion but overestimated the intensity of mood. Participants' appraisals of the importance of the election, which diminished over time, contributed to underestimating the intensity of emotion. In contrast, participants' strong emotional response to the election contributed to overestimating the intensity of mood. These opposing biases have important implications for decision making and clinical assessment. (c) 2016 APA, all rights reserved).

Construction and validation of a tool to Assess the Use of Light Technologies at Intensive Care Units.

Science.gov (United States)

Marinho, Pabliane Matias Lordelo; Campos, Maria Pontes de Aguiar; Rodrigues, Eliana Ofélia Llapa; Gois, Cristiane Franca Lisboa; Barreto, Ikaro Daniel de Carvalho

2016-12-19

to construct and validate a tool to assess the use of light technologies by the nursing team at Intensive Care Units. methodological study in which the tool was elaborated by means of the psychometric method for construction based on the categorization of health technologies by Merhy and Franco, from the National Humanization Policy, using the Nursing Intervention Classification taxonomy to categorize the domains of the tool. Agreement Percentages and Content Validity Indices were used for the purpose of validation. The result of the application of the Interrater Agreement Percentage exceeded the recommended level of 80%, highlighting the relevance for the proposed theme in the assessment, with an agreement rate of 99%. the tool was validated with four domains (Bond, Autonomy, Welcoming and Management) and nineteen items that assess the use of light technologies at Intensive Care Units. construir e validar um instrumento para avaliação do uso de tecnologias leves, pela equipe de enfermagem, em Unidades de Terapia Intensiva. estudo metodológico no qual o instrumento foi elaborado utilizando o método psicométrico para construção com base na categorização das tecnologias em saúde de Merhy e Franco, da Política Nacional de Humanização, utilizando-se a taxonomia Nursing Intervention Classification para categorizar os domínios do instrumento. Utilizou-se o Percentual de Concordância e o Índice de Validade de Conteúdo (IVC) para validação. o resultado da aplicação do Percentual de Concordância entre os juízes foi superior ao recomendado de 80%, havendo destaque na avaliação da pertinência ao tema proposto, apresentando um percentual de concordância de 99%. o instrumento foi validado com quatro domínios (Vínculo, Autonomia, Acolhimento e Gestão) e dezenove itens que avaliam o uso das tecnologias leves em Unidade de Terapia Intensiva. construir y validar un instrumento para evaluación del uso de tecnologías leves, por el equipo de enfermer

Forest soil carbon is threatened by intensive biomass harvesting.

Science.gov (United States)

Achat, David L; Fortin, Mathieu; Landmann, Guy; Ringeval, Bruno; Augusto, Laurent

2015-11-04

Forests play a key role in the carbon cycle as they store huge quantities of organic carbon, most of which is stored in soils, with a smaller part being held in vegetation. While the carbon storage capacity of forests is influenced by forestry, the long-term impacts of forest managers' decisions on soil organic carbon (SOC) remain unclear. Using a meta-analysis approach, we showed that conventional biomass harvests preserved the SOC of forests, unlike intensive harvests where logging residues were harvested to produce fuelwood. Conventional harvests caused a decrease in carbon storage in the forest floor, but when the whole soil profile was taken into account, we found that this loss in the forest floor was compensated by an accumulation of SOC in deeper soil layers. Conversely, we found that intensive harvests led to SOC losses in all layers of forest soils. We assessed the potential impact of intensive harvests on the carbon budget, focusing on managed European forests. Estimated carbon losses from forest soils suggested that intensive biomass harvests could constitute an important source of carbon transfer from forests to the atmosphere (142-497 Tg-C), partly neutralizing the role of a carbon sink played by forest soils.

The need for pharmaceutical care in an intensive care unit at a ...

African Journals Online (AJOL)

Interventions to assess therapy ... and trauma intensive care unit (ICU) at Steve Biko Academic Hospital. ... of programme success, such as improving the quality of service by .... saving and extra quality assurance opportunity for the unit.[11].

Closed-loop control for cardiopulmonary management and intensive care unit sedation using digital imaging

Science.gov (United States)

Gholami, Behnood

This dissertation introduces a new problem in the delivery of healthcare, which could result in lower cost and a higher quality of medical care as compared to the current healthcare practice. In particular, a framework is developed for sedation and cardiopulmonary management for patients in the intensive care unit. A method is introduced to automatically detect pain and agitation in nonverbal patients, specifically in sedated patients in the intensive care unit, using their facial expressions. Furthermore, deterministic as well as probabilistic expert systems are developed to suggest the appropriate drug dose based on patient sedation level. Patients in the intensive care unit who require mechanical ventilation due to acute respiratory failure also frequently require the administration of sedative agents. The need for sedation arises both from patient anxiety due to the loss of personal control and the unfamiliar and intrusive environment of the intensive care unit, and also due to pain or other variants of noxious stimuli. In this dissertation, we develop a rule-based expert system for cardiopulmonary management and intensive care unit sedation. Furthermore, we use probability theory to quantify uncertainty and to extend the proposed rule-based expert system to deal with more realistic situations. Pain assessment in patients who are unable to verbally communicate is a challenging problem. The fundamental limitations in pain assessment stem from subjective assessment criteria, rather than quantifiable, measurable data. The relevance vector machine (RVM) classification technique is a Bayesian extension of the support vector machine (SVM) algorithm which achieves comparable performance to SVM while providing posterior probabilities for class memberships and a sparser model. In this dissertation, we use the RVM classification technique to distinguish pain from non-pain as well as assess pain intensity levels. We also correlate our results with the pain intensity

Stress concentration factor and stress intensity factor on hard metals in connection with the wear characteristics

International Nuclear Information System (INIS)

Dawihl, W.; Altmeyer, G.

1977-01-01

Description of a method to determine stress intensity factors on hard metals by lapping in notches of different diameter. Dependence of the values of the stress intensity factors on the size of the notch base diameter. For tungsten carbide hard metals with 6% Co, determination of a final value of 250 Nmm -3 / 2 . Characterisation of the stress intensity factor governed by the surface roughness which is decisive for the assessment of the wear-resistant behaviour. (orig.) [de

Measuring the satisfaction of intensive care unit patient families in Morocco: a regression tree analysis.

Science.gov (United States)

Damghi, Nada; Khoudri, Ibtissam; Oualili, Latifa; Abidi, Khalid; Madani, Naoufel; Zeggwagh, Amine Ali; Abouqal, Redouane

2008-07-01

Meeting the needs of patients' family members becomes an essential part of responsibilities of intensive care unit physicians. The aim of this study was to evaluate the satisfaction of patients' family members using the Arabic version of the Society of Critical Care Medicine's Family Needs Assessment questionnaire and to assess the predictors of family satisfaction using the classification and regression tree method. The authors conducted a prospective study. This study was conducted at a 12-bed medical intensive care unit in Morocco. Family representatives (n = 194) of consecutive patients with a length of stay >48 hrs were included in the study. Intervention was the Society of Critical Care Medicine's Family Needs Assessment questionnaire. Demographic data for relatives included age, gender, relationship with patients, education level, and intensive care unit commuting time. Clinical data for patients included age, gender, diagnoses, intensive care unit length of stay, Acute Physiology and Chronic Health Evaluation, MacCabe index, Therapeutic Interventioning Scoring System, and mechanical ventilation. The Arabic version of the Society of Critical Care Medicine's Family Needs Assessment questionnaire was administered between the third and fifth days after admission. Of family representatives, 81% declared being satisfied with information provided by physicians, 27% would like more information about the diagnosis, 30% about prognosis, and 45% about treatment. In univariate analysis, family satisfaction (small Society of Critical Care Medicine's Family Needs Assessment questionnaire score) increased with a lower family education level (p = .005), when the information was given by a senior physician (p = .014), and when the Society of Critical Care Medicine's Family Needs Assessment questionnaire was administered by an investigator (p = .002). Multivariate analysis (classification and regression tree) showed that the education level was the predominant factor

Quantifying Changes in Future Intensity-Duration-Frequency Curves Using Multimodel Ensemble Simulations

Science.gov (United States)

Ragno, Elisa; AghaKouchak, Amir; Love, Charlotte A.; Cheng, Linyin; Vahedifard, Farshid; Lima, Carlos H. R.

2018-03-01

During the last century, we have observed a warming climate with more intense precipitation extremes in some regions, likely due to increases in the atmosphere's water holding capacity. Traditionally, infrastructure design and rainfall-triggered landslide models rely on the notion of stationarity, which assumes that the statistics of extremes do not change significantly over time. However, in a warming climate, infrastructures and natural slopes will likely face more severe climatic conditions, with potential human and socioeconomical consequences. Here we outline a framework for quantifying climate change impacts based on the magnitude and frequency of extreme rainfall events using bias corrected historical and multimodel projected precipitation extremes. The approach evaluates changes in rainfall Intensity-Duration-Frequency (IDF) curves and their uncertainty bounds using a nonstationary model based on Bayesian inference. We show that highly populated areas across the United States may experience extreme precipitation events up to 20% more intense and twice as frequent, relative to historical records, despite the expectation of unchanged annual mean precipitation. Since IDF curves are widely used for infrastructure design and risk assessment, the proposed framework offers an avenue for assessing resilience of infrastructure and landslide hazard in a warming climate.

Psychophysiological effects of music on acute recovery from high-intensity interval training.

Science.gov (United States)

Jones, Leighton; Tiller, Nicholas B; Karageorghis, Costas I

2017-03-01

Numerous studies have examined the multifarious effects of music applied during exercise but few have assessed the efficacy of music as an aid to recovery. Music might facilitate physiological recovery via the entrainment of respiratory rhythms with music tempo. High-intensity exercise training is not typically associated with positive affective responses, and thus ways of assuaging negative affect warrant further exploration. This study assessed the psychophysiological effects of music on acute recovery and prevalence of entrainment in between bouts of high-intensity exercise. Thirteen male runners (M age =20.2±1.9years; BMI=21.7±1.7; V̇O 2 max=61.6±6.1mL·kg·min -1 ) completed three exercise sessions comprising 5×5-min bouts of high-intensity intervals interspersed with 3-min periods of passive recovery. During recovery, participants were administered positively-valenced music of a slow-tempo (55-65bpm), fast-tempo (125-135bpm), or a no-music control. A range of measures including affective responses, RPE, cardiorespiratory indices (gas exchange and pulmonary ventilation), and music tempo-respiratory entrainment were recorded during exercise and recovery. Fast-tempo, positively-valenced music resulted in higher Feeling Scale scores throughout recovery periods (pmusic-moderated differences in cardiorespiratory responses. In conclusion, fast-tempo, positively-valenced music applied during recovery periods engenders a more pleasant experience. However, there is limited evidence that music expedites cardiorespiratory recovery in between bouts of high-intensity exercise. These findings have implications for athletic training strategies and individuals seeking to make high-intensity exercise sessions more pleasant. Copyright © 2016 Elsevier Inc. All rights reserved.

42 CFR 410.49 - Cardiac rehabilitation program and intensive cardiac rehabilitation program: Conditions of coverage.

Science.gov (United States)

2010-10-01

... of the items and services furnished under the plan. (iii) The goals set for the individual under the... prescribed exercise, cardiac risk factor modification, psychosocial assessment, and outcomes assessment... section. Intensive cardiac rehabilitation site means a hospital outpatient setting or physician's office...

[Quality assurance and quality management in intensive care].

Science.gov (United States)

Notz, K; Dubb, R; Kaltwasser, A; Hermes, C; Pfeffer, S

2015-11-01

Treatment success in hospitals, particularly in intensive care units, is directly tied to quality of structure, process, and outcomes. Technological and medical advancements lead to ever more complex treatment situations with highly specialized tasks in intensive care nursing. Quality criteria that can be used to describe and correctly measure those highly complex multiprofessional situations have only been recently developed and put into practice.In this article, it will be shown how quality in multiprofessional teams can be definded and assessed in daily clinical practice. Core aspects are the choice of a nursing theory, quality assurance measures, and quality management. One possible option of quality assurance is the use of standard operating procedures (SOPs). Quality can ultimately only be achieved if professional groups think beyond their boundaries, minimize errors, and establish and live out instructions and SOPs.

Seismic rupture study using near-source data: application to seismic hazard assessment

International Nuclear Information System (INIS)

Hernandez, Bruno

2000-01-01

This work presents seismic source studies using near-field data. In accordance with the quality and the quantity of available data we developed and applied various methods to characterize the seismic source. Macro-seismic data are used to verify if simple and robust methods used on recent instrumental earthquakes may provide a good tool to calibrate historical events in France. These data are often used to characterize earthquakes to be taken into account for seismic hazard assessment in moderate seismicity regions. Geodetic data (SAR, GPS) are used to estimate the slip distribution on the fault during the 1992, Landers, California earthquake. These data are also used to precise the location and the geometry of the main events of the 1997, Colfiorito, central Italy, earthquake sequence. Finally, the strong motions contain the most complete information about rupture process. These data are used to discriminate between two possible fault planes of the 1999, north India, Chamoli earthquake. The strong motions recorded close to the 1999, Mexico, Oaxaca earthquake are used to constrain the rupture history. Strong motions a.re also used in combination with geodetic data to access the rupture history of the Landers earthquake and the main events of the Colfiorito seismic sequence. For the Landers earthquake, the data quality and complementarity offered the possibility to describe the rupture development with accuracy. The large heterogeneities in both slip amplitude and rupture velocity variations suggest that the rupture propagates by breaking successive asperities rather than by propagating like a pulse at constant velocity. The rupture front slows as it encounters barriers and accelerates within main asperities. (author)

Detecting acute distress and risk of future psychological morbidity in critically ill patients: validation of the intensive care psychological assessment tool.

Science.gov (United States)

Wade, Dorothy M; Hankins, Matthew; Smyth, Deborah A; Rhone, Elijah E; Mythen, Michael G; Howell, David C J; Weinman, John A

2014-09-24

The psychological impact of critical illness on a patient can be severe, and frequently results in acute distress as well as psychological morbidity after leaving hospital. A UK guideline states that patients should be assessed in critical care units, both for acute distress and risk of future psychological morbidity; but no suitable method for carrying out this assessment exists. The Intensive care psychological assessment tool (IPAT) was developed as a simple, quick screening tool to be used routinely to detect acute distress, and the risk of future psychological morbidity, in critical care units. A validation study of IPAT was conducted in the critical care unit of a London hospital. Once un-sedated, orientated and alert, critical care patients were assessed with the IPAT and validated tools for distress, to determine the IPAT's concurrent validity. Fifty six patients took IPAT again to establish test-retest reliability. Finally, patients completed posttraumatic stress disorder (PTSD), depression and anxiety questionnaires at three months, to determine predictive validity of the IPAT. One hundred and sixty six patients completed the IPAT, and 106 completed follow-up questionnaires at 3 months. Scale analysis showed IPAT was a reliable 10-item measure of critical care-related psychological distress. Test-retest reliability was good (r =0.8). There was good concurrent validity with measures of anxiety and depression (r =0.7, P psychological morbidity was good (r =0.4, P psychological morbidity (AUC =0.7). The IPAT was found to have good reliability and validity. Sensitivity and specificity analysis suggest the IPAT could provide a way of allowing staff to assess psychological distress among critical care patients after further replication and validation. Further work is also needed to determine its utility in predicting future psychological morbidity.

Evidence based exercise - clinical benefits of high intensity interval training.

Science.gov (United States)

Shiraev, Tim; Barclay, Gabriella

2012-12-01

Aerobic exercise has a marked impact on cardiovascular disease risk. Benefits include improved serum lipid profiles, blood pressure and inflammatory markers as well as reduced risk of stroke, acute coronary syndrome and overall cardiovascular mortality. Most exercise programs prescribed for fat reduction involve continuous, moderate aerobic exercise, as per Australian Heart Foundation clinical guidelines. This article describes the benefits of exercise for patients with cardiovascular and metabolic disease and details the numerous benefits of high intensity interval training (HIIT) in particular. Aerobic exercise has numerous benefits for high-risk populations and such benefits, especially weight loss, are amplified with HIIT. High intensity interval training involves repeatedly exercising at a high intensity for 30 seconds to several minutes, separated by 1-5 minutes of recovery (either no or low intensity exercise). HIT is associated with increased patient compliance and improved cardiovascular and metabolic outcomes and is suitable for implementation in both healthy and 'at risk' populations. Importantly, as some types of exercise are contraindicated in certain patient populations and HIIT is a complex concept for those unfamiliar to exercise, some patients may require specific assessment or instruction before commencing a HIIT program.

Phenylcarboxylic Acids in The Assessment of The Severity of Patient Condition and The Efficiency of Intensive Treatment in Critical Care Medicine

Directory of Open Access Journals (Sweden)

V. V. Moroz

2016-01-01

Full Text Available The development of accurate and applicable methods to assess the severity of patient condition is an urgent need in critical care medicine.The goal of the study was to determine whether the quantitave evaluation of phenylcarboxylic acids (PhCAs concentrations in blood might be employed to assess the severity of patient condition and treatment efficiency intensive care unit.Materials and methods. Clinical and laboratory findings in patients (n=58 with acute surgical diseases of abdominal organs were registered on the day of admission to intensive care unit and during follow-up control including lactate level and blood serum PhCA concentrations of phenyllactic (PhLA, p#hydroxyphenyllactic (p-HPhLA and phydroxyphenylacetic (p#HPhAA acids. Patients' condition was assessed using APACHE II and SOFA international scales. PhCA concentrations were determined by gas chromatography. The reference group included healthy blood donors (n=25.Results. PhLA, p-HPhAA, p-HPhLA levels and total concentration of the three PhCAs were shown to be in direct correlation with APACHE II score (rs: 0.624; 0.757; 0.763 and 0.804, respectively; P<0.001. When testing PhCAs as a molecular prognostic criteria, areas under ROC#curves (AUC were within the range of 0.800—0.900 (P<0.001. Therewith the molecular prognostic criteria were comparable with APACHE II multi#parameter scale by accuracy: AUCAPACHE II was 0.897 (P<0.001. Lactate level dynamics as a prognostic criterion was inferior in accuracy to the dynamics of PhCA total concentration: AUCС lactate, % 0.667 (P=0.071 vs AUCС 3PhCAs, % 0.862 (P<0.001. In patients with documented bacterial inflammatory complications PhCA level was 2.5 times higher (P<0,001, n=35 and p#HPhLA level was 1.5 times higher than in patients without infectious complications (P=0.048, n=23.Conclusion. The findings provide evidence for the inclusion of PhCAs (PhLA, p-HPhAA, p-HPhLA, 3PhCAs in clinical practice as biomarkers of the severity of

Smile Intensity and Warm Touch as Thin Slices of Child and Family Affective Style

OpenAIRE

Oveis, Christopher; Gruber, June; Keltner, Dacher; Stamper, Juliet L.; Boyce, W. Thomas

2009-01-01

We investigate the claim that thin slices of expressive behavior serve as reliable indicators of affective style in children and their families. Using photographs, we assessed smile intensity and tactile contact in kindergartners and their families. Consistent with claims that smiling and touch communicate positive emotion, measures of children’s smile intensity and warm family touch were correlated across classroom and family contexts. Consistent with studies of parent-child personality asso...

Analysis of stress intensity factors for a new mechanical corrosion specimen

International Nuclear Information System (INIS)

Rassineux, B.; Crouzet, D.; Le Hong, S.

1996-03-01

Electricite de France is conducting a research program to determine corrosion cracking rates in the steam generators Alloy 600 tubes of the primary system. The objective is to correlate the cracking rates with the specimen stress intensity factor K I . One of the samples selected for the purpose of this study is the longitudinal notched specimen TEL (TEL: ''Tubulaire a Entailles Longitudinales''). This paper presents the analysis of the stress intensity factor and its experimental validation. The stress intensity factor has been evaluated for different loads using 3D finite element calculations with the Hellen-Parks and G(θ) methods. Both crack initiation and propagation are considered. As an assessment of the method, the numerical simulations are in good agreement with the fatigue crack growth rates measured experimentally for TEL and compact tension (CT) specimens. (authors). 8 refs., 6 figs., 2 tabs

The high intensity solar cell - Key to low cost photovoltaic power

Science.gov (United States)

Sater, B. L.; Goradia, C.

1975-01-01

This paper discusses the problems associated with conventional solar cells at high intensities and presents the design considerations and performance characteristics of the 'high intensity' (HI) solar cell which appears to eliminate the major problems. Test data obtained at greater than 250 AM1 suns gave a peak output power density of 2 W per sq cm at an efficiency exceeding 6% with an unoptimized cell operating at over 100 C. It appears that operation at 1000 AM1 suns at efficiencies greater than 10% is possible. At 1000 AM1 suns and 10% efficiency, the HI cell manufacturing cost is estimated to be $0.25/watt, with multi-megawatt annual production capability already existing within the industrial sector. A high intensity solar system was also analyzed to determine its cost effectiveness and to assess the benefits of further improving HI cell efficiency.

The impacts of energy prices on energy intensity: Evidence from China

International Nuclear Information System (INIS)

Hang, Leiming; Tu, Meizeng

2007-01-01

In this paper, we present a review of the deregulation of energy prices in China between 1985 and 2004 and assess the impacts of changes in energy prices on aggregate energy intensity and coal/oil/electricity intensity. We used time series data to provide estimates of energy price elasticities. Empirical results showed that: (1) The own-price elasticities of coal, oil, and aggregate energy were negative in periods both before and after 1995, implying that higher relative prices of different energy types lead to the decrease in coal, oil, and aggregate energy intensities. However, the positive own-price elasticity of electricity after 1995 probably indicates that the price effect was weaker than other factors such as income effect and population effect. (2) The impacts of energy prices were asymmetric over time. (3) Sectoral adjustment also drove the decrease in aggregate energy intensity. Although raising energy prices to boost efficiency of energy use seems to be an effective policy tool, other policy implications concerned with energy prices, such as energy supply security and fuel poverty, must also be considered

Beyond Pain: Nurses' Assessment of Patient Suffering, Dignity, and Dying in the Intensive Care Unit.

Science.gov (United States)

Su, Amanda; Lief, Lindsay; Berlin, David; Cooper, Zara; Ouyang, Daniel; Holmes, John; Maciejewski, Renee; Maciejewski, Paul K; Prigerson, Holly G

2018-06-01

Deaths in the intensive care unit (ICU) are increasingly common in the U.S., yet little is known about patients' experiences at the end of life in the ICU. The objective of this study was to determine nurse assessment of symptoms experienced, and care received by ICU patients in their final week, and their associations with nurse-perceived suffering and dignity. From September 2015 to March 2017, nurses who cared for 200 ICU patients who died were interviewed about physical and psychosocial dimensions of patients' experiences. Medical chart abstraction was used to document baseline patient characteristics and care. The patient sample was 61% males, 70.2% whites, and on average 66.9 (SD 15.1) years old. Nurses reported that 40.9% of patients suffered severely and 33.1% experienced severe loss of dignity. The most common symptoms perceived to contribute to suffering and loss of dignity included trouble breathing (44.0%), edema (41.9%), and loss of control of limbs (36.1%). Most (n = 9) remained significantly (P dignity (AOR 3.15). Use of feeding tube was associated with severe loss of dignity (AOR 3.12). Dying ICU patients are perceived by nurses to experience extreme indignities and suffer beyond physical pain. Attention to symptoms such as dyspnea and edema may improve the quality of death in the ICU. Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.

High signal intensity of fat on fast spin echo imaging

International Nuclear Information System (INIS)

Ogura, Akio; Yamazaki, Masaru; Hongoh, Takaharu; Inoue, Hiroshi; Ishikuro, Akihiro

2000-01-01

The fast spin echo (FSE) technique of producing T 2 -weighted images in greatly reduced imaging times has recently been used for routine clinical study. FSE images show contrast that is very similar in most tissues to that of conventional SE images. However, fat shows a high signal intensity that is influenced by j-coupling and the magnetization transfer effect. The purpose of this study was to assess whether the higher signal intensity of fat is different among MRI systems and to examine the effects of j-coupling and magnetization transfer on the high signal intensity of fat on FSE. The contrast in signal intensity between fat and water was measured for various echo train lengths (ETL) with and without multislicing on FSE using a contrast phantom. Measurements were obtained with four different MRI systems. In addition, the effective T 2 values of fat were calculated for the above conditions. Results indicated that contrast for fat and water was reduced with increased ETL and by using multislicing and was different among the four MRI systems. The effective T 2 values of fat were extended for increased ETL and were not dependent on multislicing. They also differed among the four MRI systems. The extent of effective T 2 values was affected by j-coupling. In this study, it was indicated that the degree of the high signal intensity of fat on FSE differed for different MRI systems. In addition, the reasons for the high signal intensity of fat on FSE were related to the effects of j-coupling and magnetization transfer. (author)

Infrastructure Shapes Differences in the Carbon Intensities of Chinese Cities.

Science.gov (United States)

Zheng, Bo; Zhang, Qiang; Davis, Steven J; Ciais, Philippe; Hong, Chaopeng; Li, Meng; Liu, Fei; Tong, Dan; Li, Haiyan; He, Kebin

2018-05-15

The carbon intensity of economic activity, or CO 2 emissions per unit GDP, is a key indicator of the climate impacts of a given activity, business, or region. Although it is well-known that the carbon intensity of countries varies widely according to their level of economic development and dominant industries, few studies have assessed disparities in carbon intensity at the level of cities due to limited availability of data. Here, we present a detailed new inventory of emissions for 337 Chinese cities (every city in mainland China including 333 prefecture-level divisions and 4 province-level cities, Beijing, Tianjin, Shanghai, and Chongqing) in 2013, which we use to evaluate differences of carbon intensity between cities and the causes of those differences. We find that cities' average carbon intensity is 0.84 kg of CO 2 per dollar of gross domestic product (kgCO 2 per $GDP), but individual cities span a large range: from 0.09 to 7.86 kgCO 2 per $GDP (coefficient of variation of 25%). Further analysis of economic and technological drivers of variations in cities' carbon intensity reveals that the differences are largely due to disparities in cities' economic structure that can in turn be traced to past investment-led growth. These patterns suggest that "carbon lock-in" via socio-economic and infrastructural inertia may slow China's efforts to reduce emissions from activities in urban areas. Policy instruments targeted to accelerate the transition of urban economies from investment-led to consumption-led growth may thus be crucial to China meeting both its economic and climate targets.

The Kresna earthquake of 1904 in Bulgaria

Energy Technology Data Exchange (ETDEWEB)

Ambraseys, N. [Imperial College of Science, London (United Kingdom). Technology and Medicine, Dept. of Civil Engineering

2001-02-01

The Kresna earthquake in 1904 in Bulgaria is one of the largest shallow 20th century events on land in the Balkans. This event, which was preceded by a large foreshock, has hitherto been assigned a range of magnitudes up to M{sub s} = 7.8 but the reappraisal of instrumental data yields as much smaller value of M{sub s} = 7.2 and a re-assesment of the intensity distribution suggests 7.1. Thus both instrumental and macroseismic data appear consistent with a magnitude which is also compatible with the fault segmentation and local morphology of the region which cannot accommodate shallow events much larger than about 7.0. The relatively large size of the main shock suggests surface faulting but the available field evidence is insufficient to establish the dimensions, attitude and amount of dislocation, except perhaps in the vicinity of Krupnik. This down sizing of the Kresna earthquake has important consequences for tectonics and earthquake hazard estimates in the Balkans.

The Kresna earthquake of 1904 in Bulgaria

Directory of Open Access Journals (Sweden)

N. N. Ambraseys

2001-06-01

Full Text Available The Kresna earthquake in 1904 in Bulgaria is one of the largest shallow 20th century events on land in the Balkans. This event, which was preceded by a large foreshock, has hitherto been assigned a range of magnitudes up to M S = 7.8 but the reappraisal of instrumental data yields a much smaller value of M S = 7.2 and a re-assement of the intensity distribution suggests 7.1. Thus both instrumental and macroseismic data appear consistent with a magnitude which is also compatible with the fault segmentation and local morphology of the region which cannot accommodate shallow events much larger than about 7.0. The relatively large size of the main shock suggests surface faulting but the available field evidence is insufficient to establish the dimensions, attitude andamount of dislocation, except perhaps in the vicinity of Krupnik. This downsizing of the Kresna earthquake has important consequences for tectonics and earthquake hazard estimates in the Balkans.

Deterministic earthquake scenarios for the city of Sofia

CERN Document Server

Slavov, S I; Panza, G F; Paskaleva, I; Vaccari, P

2002-01-01

The city of Sofia is exposed to a high seismic risk. Macroseismic intensities in the range of VIII-X (MSK) can be expected in the city. The earthquakes, that can influence the hazard at Sofia, originate either beneath the city or are caused by seismic sources located within a radius of 40km. The city of Sofia is also prone to the remote Vrancea seismic zone in Romania, and particularly vulnerable are the long - period elements of the built environment. The high seismic risk and the lack of instrumental recordings of the regional seismicity makes the use of appropriate credible earthquake scenarios and ground motion modelling approaches for defining the seismic input for the city of Sofia necessary. Complete synthetic seismic signals, due to several earthquake scenarios, were computed along chosen geological profiles crossing the city, applying a hybrid technique, based on the modal summation technique and finite differences. The modelling takes into account simultaneously the geotechnical properties of the si...

The global historical and future economic loss and cost of earthquakes during the production of adaptive worldwide economic fragility functions

Science.gov (United States)

Daniell, James; Wenzel, Friedemann

2014-05-01

Over the past decade, the production of economic indices behind the CATDAT Damaging Earthquakes Database has allowed for the conversion of historical earthquake economic loss and cost events into today's terms using long-term spatio-temporal series of consumer price index (CPI), construction costs, wage indices, and GDP from 1900-2013. As part of the doctoral thesis of Daniell (2014), databases and GIS layers for a country and sub-country level have been produced for population, GDP per capita, net and gross capital stock (depreciated and non-depreciated) using studies, census information and the perpetual inventory method. In addition, a detailed study has been undertaken to collect and reproduce as many historical isoseismal maps, macroseismic intensity results and reproductions of earthquakes as possible out of the 7208 damaging events in the CATDAT database from 1900 onwards. a) The isoseismal database and population bounds from 3000+ collected damaging events were compared with the output parameters of GDP and net and gross capital stock per intensity bound and administrative unit, creating a spatial join for analysis. b) The historical costs were divided into shaking/direct ground motion effects, and secondary effects costs. The shaking costs were further divided into gross capital stock related and GDP related costs for each administrative unit, intensity bound couplet. c) Costs were then estimated based on the optimisation of the function in terms of costs vs. gross capital stock and costs vs. GDP via the regression of the function. Losses were estimated based on net capital stock, looking at the infrastructure age and value at the time of the event. This dataset was then used to develop an economic exposure for each historical earthquake in comparison with the loss recorded in the CATDAT Damaging Earthquakes Database. The production of economic fragility functions for each country was possible using a temporal regression based on the parameters of

Psychophysiological effects of music on acute recovery from high-intensity interval training

OpenAIRE

Jones, L; Tiller, NB; Karageorghis, CI

2016-01-01

Numerous studies have examined the multifarious effects of music applied during exercise but few have assessed the efficacy of music as an aid to recovery. Music might facilitate physiological recovery via the entrainment of respiratory rhythms with music tempo. High-intensity exercise training is not typically associated with positive affective responses, and thus ways of assuaging negative affect warrant further exploration. This study assessed the psychophysiological effects of music on ac...

Intensive follow-up for women with breast cancer: review of clinical, economic and patient's preference domains through evidence to decision framework.

Science.gov (United States)

Lafranconi, Alessandra; Pylkkänen, Liisa; Deandrea, Silvia; Bramesfeld, Anke; Lerda, Donata; Neamțiu, Luciana; Saz-Parkinson, Zuleika; Posso, Margarita; Rigau, David; Sola, Ivan; Alonso-Coello, Pablo; Martinez-Zapata, Maria José

2017-10-19

Women treated for breast cancer are followed-up for monitoring of treatment effectiveness and for detecting recurrences at an early stage. The type of follow-up received may affect women's reassurance and impact on their quality of life. Anxiety and depression among women with breast cancer has been described, but little is known about how the intensity of the follow-up can affect women's psychological status. This study was undertaken to evaluate the effects of intensive vs. less-intensive follow-up on different health outcomes, to determine what are women's preferences and values regarding the follow-up received, and also assess the costs of these different types of follow-up. A systematic review following standard Cochrane Collaboration methods was carried out to assess the efficacy of intensive follow-up versus non-intensive follow-up in breast cancer patients. Two additional reviews on women's preferences and economic evidence were also carried out. The search was performed up to January 2016 in: MEDLINE, EMBASE, PDQ, McMaster Health Systems Evidence, CENTRAL, and NHS EED (through The Cochrane Library). The quality of evidence was assessed by GRADE (for quantitative studies) and CerQUAL (for qualitative studies). Several outcomes including mortality, breast cancer recurrences, quality of life, and patient satisfaction were evaluated. Six randomised trials (corresponding to 3534 women) were included for the evaluation of health outcomes; three studies were included for women's values and preferences and four for an economic assessment. There is moderate certainty of evidence showing that intensive follow-up, including more frequent diagnostic tests or visits, does not have effects on 5- or 10-year overall mortality and recurrences in women with breast cancer, compared with less intensive follow-up. Regarding women's preferences and values, there was important variability among studies and within studies (low confidence due to risk of bias and inconsistency

A Methodological Approach to Quantifying Plyometric Intensity.

Science.gov (United States)

Jarvis, Mark M; Graham-Smith, Phil; Comfort, Paul

2016-09-01

Jarvis, MM, Graham-Smith, P, and Comfort, P. A Methodological approach to quantifying plyometric intensity. J Strength Cond Res 30(9): 2522-2532, 2016-In contrast to other methods of training, the quantification of plyometric exercise intensity is poorly defined. The purpose of this study was to evaluate the suitability of a range of neuromuscular and mechanical variables to describe the intensity of plyometric exercises. Seven male recreationally active subjects performed a series of 7 plyometric exercises. Neuromuscular activity was measured using surface electromyography (SEMG) at vastus lateralis (VL) and biceps femoris (BF). Surface electromyography data were divided into concentric (CON) and eccentric (ECC) phases of movement. Mechanical output was measured by ground reaction forces and processed to provide peak impact ground reaction force (PF), peak eccentric power (PEP), and impulse (IMP). Statistical analysis was conducted to assess the reliability intraclass correlation coefficient and sensitivity smallest detectable difference of all variables. Mean values of SEMG demonstrate high reliability (r ≥ 0.82), excluding ECC VL during a 40-cm drop jump (r = 0.74). PF, PEP, and IMP demonstrated high reliability (r ≥ 0.85). Statistical power for force variables was excellent (power = 1.0), and good for SEMG (power ≥0.86) excluding CON BF (power = 0.57). There was no significant difference (p > 0.05) in CON SEMG between exercises. Eccentric phase SEMG only distinguished between exercises involving a landing and those that did not (percentage of maximal voluntary isometric contraction [%MVIC] = no landing -65 ± 5, landing -140 ± 8). Peak eccentric power, PF, and IMP all distinguished between exercises. In conclusion, CON neuromuscular activity does not appear to vary when intent is maximal, whereas ECC activity is dependent on the presence of a landing. Force characteristics provide a reliable and sensitive measure enabling precise description of intensity

Sedation and memories of patients subjected to mechanical ventilation in an intensive care unit.

Science.gov (United States)

Costa, Jaquilene Barreto da; Marcon, Sonia Silva; Macedo, Claudia Rejane Lima de; Jorge, Amaury Cesar; Duarte, Péricles Almeida Delfino

2014-01-01

To investigate the relationship between sedation and the memories reported by patients subjected to mechanical ventilation following discharge from the intensive care unit. This prospective, observational, cohort study was conducted with individuals subjected to mechanical ventilation who remained in the intensive care unit for more than 24 hours. Clinical statistics and sedation records were extracted from the participants' clinical records; the data relative to the participants' memories were collected using a specific validated instrument. Assessment was performed three months after discharge from the intensive care unit. A total of 128 individuals were assessed, most of whom (84.4%) reported recollections from their stay in the intensive care unit as predominantly a combination of real and illusory events. The participants subjected to sedation (67.2%) at deep levels (Richmond Agitation-Sedation Scale [RASS] -4 and -5) for more than two days and those with psychomotor agitation (33.6%) exhibited greater susceptibility to occurrence of illusory memories (p>0.001). The probability of the occurrence of illusory memories was greater among the participants who were subjected to deep sedation. Sedation seems to be an additional factor that contributed to the occurrence of illusory memories in severely ill individuals subjected to mechanical ventilation.

Game Intensity Analysis of Elite Adolescent Ice Hockey Players

Directory of Open Access Journals (Sweden)

Stanula Arkadiusz

2014-12-01

Full Text Available The purpose of this study was to determine ice-hockey players’ playing intensity based on their heart rates (HRs recorded during a game and on the outcomes of an incremental maximum oxygen uptake test. Twenty ice-hockey players, members of the Polish junior national team (U18, performed an incremental test to assess their maximal oxygen uptake (V̇ O2max in the two week’s period preceding 5 games they played at the World Championships. Players’ HRs at the first and second ventilatory thresholds obtained during the test were utilized to determine intensity zones (low, moderate, and high that were subsequently used to classify HR values recorded during each of the games. For individual intensity zones, the following HRs expressed as mean values and as percentages of the maximal heart rate (HRmax were obtained: forwards 148-158 b⋅min-1 (79.5-84.8% HRmax, 159-178 b⋅min-1 (85.4-95.6% HRmax, 179-186 b⋅min-1 (96.1-100.0% HRmax; defensemen 149-153 b⋅min-1 (80.0-82.1% HRmax, 154-175 b⋅min-1 (82.6- 94.0% HRmax, 176-186 b⋅min-1 (94.5-100.0% HRmax. The amount of time the forwards and defensemen spent in the three intensity zones expressed as percentages of the total time of the game were: 54.91 vs. 55.62% (low, 26.40 vs. 22.38% (moderate and 18.68 vs. 22.00% (high. The forwards spent more time in the low intensity zone than the defensemen, however, the difference was not statistically significant. The results of the study indicate that using aerobic and anaerobic metabolism variables to determine intensity zones can significantly improve the reliability of evaluation of the physiological demands of the game, and can be a useful tool for coaches in managing the training process.

Assessing the effect of wind speed/direction changes on urban heat island intensity of Istanbul.

Science.gov (United States)

Perim Temizoz, Huriye; Unal, Yurdanur S.

2017-04-01

Assessing the effect of wind speed/direction changes on urban heat island intensity of Istanbul. Perim Temizöz, Deniz H. Diren, Cemre Yürük and Yurdanur S. Ünal Istanbul Technical University, Department of Meteorological Engineering, Maslak, Istanbul, Turkey City or metropolitan areas are significantly warmer than the outlying rural areas since the urban fabrics and artificial surfaces which have different radiative, thermal and aerodynamic features alter the surface energy balance, interact with the regional circulation and introduce anthropogenic sensible heat and moisture into the atmosphere. The temperature contrast between urban and rural areas is most prominent during nighttime since heat is absorbed by day and emitted by night. The intensity of the urban heat island (UHI) vary considerably depending on the prevailent meteorological conditions and the characteristics of the region. Even though urban areas cover a small fraction of Earth, their climate has greater impact on the world's population. Over half of the world population lives in the cities and it is expected to rise within the coming decades. Today almost one fifth of the Turkey's population resides in Istanbul with the percentage expected to increase due to the greater job opportunities compared to the other cities. Its population has been increased from 2 millions to 14 millions since 1960s. Eventually, the city has been expanded tremendously within the last half century, shifting the landscape from vegetation to built up areas. The observations of the last fifty years over Istanbul show that the UHI is most pronounced during summer season. The seasonal temperature differences between urban and suburban sites reach up to 3 K and roughly haft degree increase in UHI intensity is observed after 2000. In this study, we explore the possible range of heat load and distribution over Istanbul for different prevailing wind conditions by using the non-hydrostatic MUKLIMO3 model developed by DWD

Sound intensity

DEFF Research Database (Denmark)

Crocker, Malcolm J.; Jacobsen, Finn

1998-01-01

This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique.......This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique....

Sound Intensity

DEFF Research Database (Denmark)

Crocker, M.J.; Jacobsen, Finn

1997-01-01

This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique.......This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique....

Physiotherapy in the intensive care unit: an evidence-based, expert driven, practical statement and rehabilitation recommendations

Science.gov (United States)

Sommers, Juultje; Engelbert, Raoul HH; Dettling-Ihnenfeldt, Daniela; Gosselink, Rik; Spronk, Peter E; Nollet, Frans; van der Schaaf, Marike

2015-01-01

Objective: To develop evidence-based recommendations for effective and safe diagnostic assessment and intervention strategies for the physiotherapy treatment of patients in intensive care units. Methods: We used the EBRO method, as recommended by the ‘Dutch Evidence Based Guideline Development Platform’ to develop an ‘evidence statement for physiotherapy in the intensive care unit’. This method consists of the identification of clinically relevant questions, followed by a systematic literature search, and summary of the evidence with final recommendations being moderated by feedback from experts. Results: Three relevant clinical domains were identified by experts: criteria to initiate treatment; measures to assess patients; evidence for effectiveness of treatments. In a systematic literature search, 129 relevant studies were identified and assessed for methodological quality and classified according to the level of evidence. The final evidence statement consisted of recommendations on eight absolute and four relative contra-indications to mobilization; a core set of nine specific instruments to assess impairments and activity restrictions; and six passive and four active effective interventions, with advice on (a) physiological measures to observe during treatment (with stopping criteria) and (b) what to record after the treatment. Conclusions: These recommendations form a protocol for treating people in an intensive care unit, based on best available evidence in mid-2014. PMID:25681407

Controlled Study of the Impact on Child Behaviour Problems of Intensive Interaction for Children with ASD

Science.gov (United States)

Tee, Abi; Reed, Phil

2017-01-01

Pupils with autism spectrum disorder (ASD) received 6 months of intensive interaction or treatment as usual. They were assessed for behaviour problems at the start and end of the period, and changes were related to child and parent factors. Intensive interaction did not offer any greater advantages to child behaviour than treatment as usual.…

Obstetric patients' health-related quality of life before and after intensive care.

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Pia, Seppänen; Reijo, Sund; Tero, Ala-Kokko; Mervi, Roos; Jukka, Uotila; Mika, Helminen; Tarja, Suominen

2018-03-23

Intensive care admissions during pregnancy, childbirth, and postpartum period are relatively well investigated. However, very little is known about these obstetric patients' health-related quality of life (HRQoL) before and after critical care. The objective of this study was to assess obstetric patients' HRQoL before intensive care admission (baseline) and at 6 months after discharge (follow-up) DESIGN: This was a retrospective database study. In a 5-year period, the data of all women admitted to the intensive care unit (ICU) during pregnancy, delivery, or up to 42 days postpartum were analysed. Four multidisciplinary ICUs of Finnish University hospitals participated. The HRQoL was assessed using the EuroQol-5D (EQ-5D) instrument with utility score (EQsum) and visual analogue scale (EQ-VAS). A total of 283 obstetric patients were identified from the clinical information system. Of these, 99 (35%) completed the EQ-5D questionnaires both at baseline and follow-up, and 65 of them (23%) completed EQ-VAS. The comparison of patients' EQsum scores before intensive care admission and after discharge showed that patients' HRQoL remained good (0.970 vs 0.972) (max 1.0) or increased (0.788 vs 0.982) in 80.8% of the patients. Patients reported improved overall health on the EQ-VAS at 6 months follow-up (EQ-VAS mean, 71.86 vs 88.20; p ≤ 0.001) (max 100). However, 19.2% of the patients had lower HRQoL (EQsum mean 0.987 vs 0.798) at follow-up. Following intensive care, 15% of the patients had more pain/discomfort, and 11% expressed more depression/anxiety. Multiparous patients were more likely to suffer from worsened depression/anxiety (p = 0.024). In the majority of the obstetric patients, HRQoL at 6 months follow-up remained good or had increased from baseline. However, nearly one-fifth of the patients had impaired HRQoL after discharge. Thus, intensive care management should take in to consideration follow-up program after intensive care of ICU-admitted obstetric

China's numerical management system for reducing national energy intensity

International Nuclear Information System (INIS)

Li, Huimin; Zhao, Xiaofan; Yu, Yuqing; Wu, Tong; Qi, Ye

2016-01-01

In China, the national target for energy intensity reduction, when integrated with target disaggregation and information feedback systems, constitutes a numerical management system, which is a hallmark of modern governance. This paper points out the technical weaknesses of China's current numerical management system. In the process of target disaggregation, the national target cannot be fully disaggregated to local governments, sectors and enterprises without omissions. At the same time, governments at lower levels face pressure for reducing energy intensity that exceeds their respective jurisdictions. In the process of information feedback, information failure is inevitable due to statistical inaccuracy. Furthermore, the monitoring system is unable to correct all errors, and data verification plays a limited role in the examination system. To address these problems, we recommend that the government: use total energy consumption as the primary indicator of energy management; reform the accounting and reporting of energy statistics toward greater consistency, timeliness and transparency; clearly define the responsibility of the higher levels of government. - Highlights: •We assess drawbacks of China's numerical management system for energy intensity. •The national energy intensity target cannot be fully disaggregated without omissions. •Data distortion is due to failures in statistics, monitoring and examination system. •Lower-level governments’ ability to meet energy target is weaker than their pressure. •We provide three policy recommendations for China's policy-makers.

Automated drug dispensing system reduces medication errors in an intensive care setting.

Science.gov (United States)

Chapuis, Claire; Roustit, Matthieu; Bal, Gaëlle; Schwebel, Carole; Pansu, Pascal; David-Tchouda, Sandra; Foroni, Luc; Calop, Jean; Timsit, Jean-François; Allenet, Benoît; Bosson, Jean-Luc; Bedouch, Pierrick

2010-12-01

We aimed to assess the impact of an automated dispensing system on the incidence of medication errors related to picking, preparation, and administration of drugs in a medical intensive care unit. We also evaluated the clinical significance of such errors and user satisfaction. Preintervention and postintervention study involving a control and an intervention medical intensive care unit. Two medical intensive care units in the same department of a 2,000-bed university hospital. Adult medical intensive care patients. After a 2-month observation period, we implemented an automated dispensing system in one of the units (study unit) chosen randomly, with the other unit being the control. The overall error rate was expressed as a percentage of total opportunities for error. The severity of errors was classified according to National Coordinating Council for Medication Error Reporting and Prevention categories by an expert committee. User satisfaction was assessed through self-administered questionnaires completed by nurses. A total of 1,476 medications for 115 patients were observed. After automated dispensing system implementation, we observed a reduced percentage of total opportunities for error in the study compared to the control unit (13.5% and 18.6%, respectively; perror (20.4% and 13.5%; perror showed a significant impact of the automated dispensing system in reducing preparation errors (perrors caused no harm (National Coordinating Council for Medication Error Reporting and Prevention category C). The automated dispensing system did not reduce errors causing harm. Finally, the mean for working conditions improved from 1.0±0.8 to 2.5±0.8 on the four-point Likert scale. The implementation of an automated dispensing system reduced overall medication errors related to picking, preparation, and administration of drugs in the intensive care unit. Furthermore, most nurses favored the new drug dispensation organization.

[Short-term memory characteristics of vibration intensity tactile perception on human wrist].

Science.gov (United States)

Hao, Fei; Chen, Li-Juan; Lu, Wei; Song, Ai-Guo

2014-12-25

In this study, a recall experiment and a recognition experiment were designed to assess the human wrist's short-term memory characteristics of tactile perception on vibration intensity, by using a novel homemade vibrotactile display device based on the spatiotemporal combination vibration of multiple micro vibration motors as a test device. Based on the obtained experimental data, the short-term memory span, recognition accuracy and reaction time of vibration intensity were analyzed. From the experimental results, some important conclusions can be made: (1) The average short-term memory span of tactile perception on vibration intensity is 3 ± 1 items; (2) The greater difference between two adjacent discrete intensities of vibrotactile stimulation is defined, the better average short-term memory span human wrist gets; (3) There is an obvious difference of the average short-term memory span on vibration intensity between the male and female; (4) The mechanism of information extraction in short-term memory of vibrotactile display is to traverse the scanning process by comparison; (5) The recognition accuracy and reaction time performance of vibrotactile display compares unfavourably with that of visual and auditory. The results from this study are important for designing vibrotactile display coding scheme.

Morbidity, mortality and economic burden of renal impairment in cardiac intensive care.

Science.gov (United States)

Chew, D P; Astley, C; Molloy, D; Vaile, J; De Pasquale, C G; Aylward, P

2006-03-01

Moderate to severe impairment of renal function has emerged as a potent risk factor for adverse short- and long-term outcomes among patients presenting with cardiac disease. We sought to define the clinical, late mortality and economic burden of this risk factor among patients presenting to cardiac intensive care. A clinical audit of patients presenting to cardiac intensive care was undertaken between July 2002 and June 2003. All patients presenting with cardiac diagnoses were included in the study. Baseline creatinine levels were assessed in all patients. Late mortality was assessed by the interrogation of the National Death Register. Renal impairment was defined as estimated glomerular filtration rate modelling, adjusting for known confounders. A matched analysis and attributable risk calculation were undertaken to assess the proportion of late mortality accounted for by impairment of renal function and other known negative prognostic factors. The in-hospital total cost associated with renal impairment was assessed by linear regression. Glomerular filtration rate risk ratio 13.2; 95% CI 3.0-58.1; P risk, renal function accounts for a substantial proportion of the burden of late mortality. The burden of risk suggests a greater potential opportunity for improvement of outcomes through optimisation of therapeutic strategies.

MRI evaluation of cranial bone marrow signal intensity and thickness in chronic anemia

International Nuclear Information System (INIS)

Yildirim, Tulin; Agildere, A. Muhtesem; Oguzkurt, Levent; Barutcu, Ozlem; Kizilkilic, Osman; Kocak, Rikkat; Alp Niron, Emin

2005-01-01

Background and purpose: The aim is to assess the magnetic resonance imaging (MRI) findings for cranial bone marrow (CBM) signal intensity and thickness in patients with chronic anemia and compared these with findings in healthy subjects. We also investigated the relationships between CBM changes and age, type of anemia (hemolytic versus non-hemolytic), and severity of anemia. Methods: We quantitatively evaluated CBM signal intensity and thickness on images from 40 patients with chronic anemia (20 with congenital hemolytic anemia (HA) and 20 with acquired anemia) and compared these to findings in 28 healthy subjects. The intensity of CBM relative to scalp, white matter (WM), gray matter (GM), and muscle intensity was also investigated in patients and subjects in the control group. The sensitivity and specificity of CBM hypointense to GM and CBM hypointense to WM as markers of anemia were evaluated. Relationships between age and CBM thickness/intensity, and between anemia severity (hemoglobin (Hb) level) and CBM thickness/intensity were evaluated. Results: Cranial bone marrow signal intensity was lower in the chronic anemia patients than in the controls (P 0.05 for both). There were no correlations between age and CBM intensity or thickness, or between anemia severity and CBM intensity or thickness. Conclusion: Patients with chronic anemia exhibit lower CBM signal intensity on MRI than healthy subjects. Patients with hemolytic anemia have thicker CBM than patients with non-hemolytic anemia or healthy individuals. Decreased CBM intensity may indicate that the patient has anemia, and increased CBM thickness may specifically point to hemolytic anemia. These MRI findings may signal the need for further evaluation for the clinician

"Usability of data integration and visualization software for multidisciplinary pediatric intensive care: a human factors approach to assessing technology".

Science.gov (United States)

Lin, Ying Ling; Guerguerian, Anne-Marie; Tomasi, Jessica; Laussen, Peter; Trbovich, Patricia

2017-08-14

Intensive care clinicians use several sources of data in order to inform decision-making. We set out to evaluate a new interactive data integration platform called T3™ made available for pediatric intensive care. Three primary functions are supported: tracking of physiologic signals, displaying trajectory, and triggering decisions, by highlighting data or estimating risk of patient instability. We designed a human factors study to identify interface usability issues, to measure ease of use, and to describe interface features that may enable or hinder clinical tasks. Twenty-two participants, consisting of bedside intensive care physicians, nurses, and respiratory therapists, tested the T3™ interface in a simulation laboratory setting. Twenty tasks were performed with a true-to-setting, fully functional, prototype, populated with physiological and therapeutic intervention patient data. Primary data visualization was time series and secondary visualizations were: 1) shading out-of-target values, 2) mini-trends with exaggerated maxima and minima (sparklines), and 3) bar graph of a 16-parameter indicator. Task completion was video recorded and assessed using a use error rating scale. Usability issues were classified in the context of task and type of clinician. A severity rating scale was used to rate potential clinical impact of usability issues. Time series supported tracking a single parameter but partially supported determining patient trajectory using multiple parameters. Visual pattern overload was observed with multiple parameter data streams. Automated data processing using shading and sparklines was often ignored but the 16-parameter data reduction algorithm, displayed as a persistent bar graph, was visually intuitive. However, by selecting or automatically processing data, triggering aids distorted the raw data that clinicians use regularly. Consequently, clinicians could not rely on new data representations because they did not know how they were

Cardiorespiratory fitness modulates the acute flow-mediated dilation response following high-intensity but not moderate-intensity exercise in elderly men.

Science.gov (United States)

Bailey, Tom G; Perissiou, Maria; Windsor, Mark; Russell, Fraser; Golledge, Jonathan; Green, Daniel J; Askew, Christopher D

2017-05-01

Impaired endothelial function is observed with aging and in those with low cardiorespiratory fitness (V̇o 2peak ). Improvements in endothelial function with exercise training are somewhat dependent on the intensity of exercise. While the acute stimulus for this improvement is not completely understood, it may, in part, be due to the flow-mediated dilation (FMD) response to acute exercise. We examined the hypothesis that exercise intensity alters the brachial (systemic) FMD response in elderly men and is modulated by V̇o 2peak Forty-seven elderly men were stratified into lower (V̇o 2peak = 24.3 ± 2.9 ml·kg -1 ·min -1 ; n = 27) and higher fit groups (V̇o 2peak = 35.4 ± 5.5 ml·kg -1 ·min -1 ; n = 20) after a test of cycling peak power output (PPO). In randomized order, participants undertook moderate-intensity continuous exercise (MICE; 40% PPO) or high-intensity interval cycling exercise (HIIE; 70% PPO) or no-exercise control. Brachial FMD was assessed at rest and 10 and 60 min after exercise. FMD increased after MICE in both groups {increase of 0.86% [95% confidence interval (CI), 0.17-1.56], P = 0.01} and normalized after 60 min. In the lower fit group, FMD was reduced after HIIE [reduction of 0.85% (95% CI, 0.12-1.58), P = 0.02] and remained decreased at 60 min. In the higher fit group, FMD was unchanged immediately after HIIE and increased after 60 min [increase of 1.52% (95% CI, 0.41-2.62), P exercise control, FMD was reduced in both groups after 60 min ( P = 0.05). Exercise intensity alters the acute FMD response in elderly men and V̇o 2peak modulates the FMD response following HIIE but not MICE. The sustained decrease in FMD in the lower fit group following HIIE may represent a signal for vascular adaptation or endothelial fatigue. NEW & NOTEWORTHY This study is the first to show that moderate-intensity continuous cycling exercise increased flow-mediated dilation (FMD) transiently before normalization of FMD after 1 h, irrespective of

Effects of intensity of facial expressions on amygdalar activation independently of valence

Directory of Open Access Journals (Sweden)

Huiyan Lin

2016-12-01

Full Text Available For several stimulus categories (e.g., pictures, odors and words, the arousal of both negative and positive stimuli has been shown to modulate amygdalar activation. In contrast, previous studies did not observe similar amygdalar effects in response to negative and positive facial expressions with varying intensity of facial expressions. Reasons for this discrepancy may be related to analytical strategies, experimental design and stimuli. Therefore, the present study aimed at re-investigating whether the intensity of facial expressions modulates amygdalar activation by circumventing limitations of previous research. Event-related functional magnetic resonance imaging (fMRI was used to assess brain activation while participants observed a static neutral expression and positive (happy and negative (angry expressions of either high or low intensity from an ecologically valid, novel stimulus set. The ratings of arousal and intensity were highly correlated. We found that amygdalar activation followed a u-shaped activation pattern with highest activation to high intense facial expressions as compared to low intensity facial expressions and to the neutral expression irrespective of valence, suggesting a critical role of the amygdala in valence-independent arousal processing of facial expressions. Additionally, consistent with previous studies, intensity effects were also found in visual areas and generally increased activation to angry vs. happy faces were found in visual cortex and insula, indicating enhanced visual representations of high arousing facial expressions and increased visual and somatosensory representations of threat.

Therapeutic response assessment of high intensity focused ultrasound therapy for uterine fibroid: Utility of contrast-enhanced ultrasonography

International Nuclear Information System (INIS)

Zhou Xiaodong; Ren Xiaolong; Zhang Jun; He Guangbin; Zheng Minjuan; Tian Xue; Li Li; Zhu Ting; Zhang Min; Wang Lei; Luo Wen

2007-01-01

Purpose: To assess the utility of contrast-enhanced ultrasonography (ceUS) in the assessment of the therapeutic response to high intensity focused ultrasound (HIFU) ablation in patients with uterine fibroid. Materials and methods: Sixty-four patients with a total of 64 uterine fibroids (mean: 5.3 ± 1.2 cm; range: 3.2-8.9 cm) treated with HIFU ablation under the ultrasound guidance were evaluated with ceUS after receiving an intravenous bolus injection of a microbubble contrast agent (SonoVue) within 1 week after intervention. We obtained serial ceUS images during the time period from beginning to 5 min after the initiation of the bolus contrast injection. All of the patients underwent a contrast enhanced MRI (ceMRI) and ultrasound guided needle puncture biopsy within 1 week after HIFU ablation. And as a follow-up, all of the patients underwent US at 1, 3, 6 and 12 months after HIFU treatment. The volume change was observed and compared to pre- and post-HIFU ablation. The results of the ceUS were compared with those of the ceMRI in terms of the presence or absence of residual unablated tumor and pathologic change in the treated lesions. Results: On ceUS, diagnostic accuracy was 100%, while residual unablated tumors were found in three uterine fibroids (4.7%) and failed treatment was found in eight uterine fibroids (12.5%). All the 11 fibroids were subjected to additional HIFU ablation. Of the 58 ablated fibroids without residual tumors on both the ceUS and ceMRI after the HIFU ablation, the volumes of all the fibroids decreased in different degrees during the 1 year follow-up USs. And histologic examinations confirmed findings of necrotic and viable tumor tissue, respectively. Conclusion: CEUS is potentially useful for evaluating the early therapeutic effect of percutaneous HIFU ablation for uterine fibroids

Effects of Rainfall Intensity and Slope Angle on Splash Erosion in ...

African Journals Online (AJOL)

Soil erosion is a critical global environmental problem, especially in the developing countries including Nigeria. In the humid and sub-humid tropics, splash erosion resulting from intense rainfall and slope degree pose severe land degradation problems. The objective of this study is to assess the effects of some rainfall ...

High-intensity laser physics

International Nuclear Information System (INIS)

Mohideen, U.

1993-01-01

This thesis is a study of the effect of high intensity lasers on atoms, free electrons and the generation of X-rays from solid density plasmas. The laser produced 50 milli Joule 180 femto sec pulses at 5 Hz. This translates to a maximum intensity of 5 x 10 18 W/cm 2 . At such high fields the AC stark shifts of atoms placed at the focus is much greater than the ionization energy. The characteristics of multiphoton ionization of atoms in intense laser fields was studied by angle resolved photoelectron spectroscopy. Free electrons placed in high intensity laser fields lead to harmonic generation. This phenomenon of Nonlinear Compton Scattering was theoretically investigated. Also, when these high intensity pulses are focused on solids a hot plasma is created. This plasma is a bright source of a short X-ray pulse. The pulse-width of X-rays from these solid density plasmas was measured by time-resolved X-ray spectroscopy

Intensive physical activity and alexithymia: results from swimmers' discourse analysis.

Science.gov (United States)

Allegre, Benjamin; Noel-Jorand, Marie-Christine; Souville, Marc; Pellegrin, Liliane; Therme, Pierre

2007-06-01

The aim of this study was to describe and understand the relationship of swimmers' practice intensity and alexithymia features in discourse. This study investigated psychological processes in two groups of male swimmers training at different intensities. The first group was composed of 10 Expert amateurs (M age = 19.5 yr., SD = 1.9), who were competing at the national or international level and trained 22 hours per week. The second group was composed of 10 Amateur swimmers (M age = 20.5 yr., SD = 1.4), who competed at the regional level and trained 6 hours per week. The discourse of swimmers was analysed using the ALCESTE (Analyse de Lexèmes Coocurents dans les Enoncés Simples d'un Texte) method of discourse analysis. Discourse analysis was performed on speech samples produced by swimmers. All the swimmers showed alexithymic verbal behaviour as regards both the means of expression used and the feelings and emotions expressed. This lack of articulateness was more pronounced in the Expert than in the Amateur group. The difference of alexithymic features in correlation with the intensity of sport practice raises the question of the health benefits of intense sports practice and the need for psychological assessment of athletes.

[Intensive medicine in Spain].

Science.gov (United States)

2011-03-01

Intensive care medicine is a medical specialty that was officially established in our country in 1978, with a 5-year training program including two years of common core training followed by three years of specific training in an intensive care unit accredited for training. During this 32-year period, intensive care medicine has carried out an intense and varied activity, which has allowed its positioning as an attractive and with future specialty in the hospital setting. This document summarizes the history of the specialty, its current situation, the key role played in the programs of organ donation and transplantation of the National Transplant Organization (after more than 20 years of mutual collaboration), its training activities with the development of the National Plan of Cardiopulmonary Resuscitation, with a trajectory of more than 25 years, its interest in providing care based on quality and safety programs for the severely ill patient. It also describes the development of reference registries due to the need for reliable data on the care process for the most prevalent diseases, such as ischemic heart disease or ICU-acquired infections, based on long-term experience (more than 15 years), which results in the availability of epidemiological information and characteristics of care that may affect the practical patient's care. Moreover, features of its scientific society (SEMICYUC) are reported, an organization that agglutinates the interests of more than 280 ICUs and more than 2700 intensivists, with reference to the journal Medicina Intensiva, the official journal of the society and the Panamerican and Iberian Federation of Critical Medicine and Intensive Care Societies. Medicina Intensiva is indexed in the Thompson Reuters products of Science Citation Index Expanded (Scisearch(®)) and Journal Citation Reports, Science Edition. The important contribution of the Spanish intensive care medicine to the scientific community is also analyzed, and in relation to

Barriers to delirium assessment in the intensive care unit: A literature review.

Science.gov (United States)

Rowley-Conwy, Gabby

2018-02-01

Delirium is a common syndrome that has both short and long-term negative outcomes for critically ill patients. Many studies over several years have found a knowledge gap and lack of evidence-based practice from critical care personnel, but there has been little exploration of the reasons for this. To identify the perceived barriers to delirium assessment and management among critical care nurses. A literature review of published studies to examine barriers to effective delirium assessment using a comprehensive search strategy. Five relevant studies identified for review. Few studies have investigated barriers to delirium assessment and management, but several themes reoccur throughout the literature. The perceived time consuming nature of the assessment tools is cited by many, as is the lack of medical prioritisation of results. Lack of education on delirium appears to be a significant factor and reinforces some of the stated misconceptions. Many barriers exist to prevent effective assessment and management of delirium, but several of these are due to a lack of understanding or unfamiliarity with the condition and the assessment tools as well as lack of medical prioritisation of the results. Further research is needed on this topic. Copyright © 2017 Elsevier Ltd. All rights reserved.

Estimating Accuracy at Exercise Intensities: A Comparative Study of Self-Monitoring Heart Rate and Physical Activity Wearable Devices.

Science.gov (United States)

Dooley, Erin E; Golaszewski, Natalie M; Bartholomew, John B

2017-03-16

Physical activity tracking wearable devices have emerged as an increasingly popular method for consumers to assess their daily activity and calories expended. However, whether these wearable devices are valid at different levels of exercise intensity is unknown. The objective of this study was to examine heart rate (HR) and energy expenditure (EE) validity of 3 popular wrist-worn activity monitors at different exercise intensities. A total of 62 participants (females: 58%, 36/62; nonwhite: 47% [13/62 Hispanic, 8/62 Asian, 7/62 black/ African American, 1/62 other]) wore the Apple Watch, Fitbit Charge HR, and Garmin Forerunner 225. Validity was assessed using 2 criterion devices: HR chest strap and a metabolic cart. Participants completed a 10-minute seated baseline assessment; separate 4-minute stages of light-, moderate-, and vigorous-intensity treadmill exercises; and a 10-minute seated recovery period. Data from devices were compared with each criterion via two-way repeated-measures analysis of variance and Bland-Altman analysis. Differences are expressed in mean absolute percentage error (MAPE). For the Apple Watch, HR MAPE was between 1.14% and 6.70%. HR was not significantly different at the start (P=.78), during baseline (P=.76), or vigorous intensity (P=.84); lower HR readings were measured during light intensity (P=.03), moderate intensity (P=.001), and recovery (P=.004). EE MAPE was between 14.07% and 210.84%. The device measured higher EE at all stages (PApple Watch, and Garmin Forerunner 225. An advantage and novel approach of the study is the examination of HR and EE at specific physical activity intensities. Establishing validity of wearable devices is of particular interest as these devices are being used in weight loss interventions and could impact findings. Future research should investigate why differences between exercise intensities and the devices exist. ©Erin E Dooley, Natalie M Golaszewski, John B Bartholomew. Originally published in JMIR

[The assessment of the impact of rehabilitation on the pain intensity level in patients with herniated nucleus pulposus of the intervertebral disc].

Science.gov (United States)

Koszela, Kamil; Krukowska, Sylwia; Woldańska-Okońska, Marta

2017-06-23

Back disorders are very common phenomena in modern society. One of the methods of spinal pain treatment is performing surgery. Unfortunately, this method is not one hundred percent effective. Some patients show no improvement after surgery, the pain persists and even increases. In these cases, it is reasonable to use the term Failed Back Surgery Syndrome (FBSS), i.e. back pain syndrome after unsuccessful spine surgery. The aim of the study is to assess the impact of rehabilitation on the pain intensity level in patients with FBSS. The study was conducted in a group of 38 patients aged from 32 to 87 (mean age 61 years), including 20 women and 18 men. All patients were operated for spinal pain syndrome. Afterwards, they underwent rehabilitation because of persisting pain after the surgery. For the pain assessment was used The Visual- Analogue Scale and The Laitinen Modified Questionnaire Indicators of Pain. The results were statistically analyzed. The study showed the high efficacy of specialized rehabilitation in patients with FBSS. The rehabilitation in patients with FBSS has a significant analgesic effect. Rehabilitation should be a gold standard in patients with FBSS.

FORMATIVE ASSESSMENT IN EFL CLASSROOM PRACTICES

Directory of Open Access Journals (Sweden)

Ida Ayu Made Sri Widiastuti

2017-03-01

Full Text Available This study investigated the challenges and opportunities of formative assessment in EFL classes. It made use of qualitative research design by using indepth interviews to collect the required data. Three teachers and three students were involved as research participants in this study and they were intensively interviewed to get valid and reliable data regarding their understanding of formative assessment and the follow up actions they took after implementing formative assessment. The results of this study showed that the English teachers were found not to take appropriate follow up actions due to their low understanding of formative assessment. The teachers’ understanding could influence their ability in deciding the actions. This study indicates that EFL teachers need urgent further intensive training on the appropriate implementation of formative assessment and how follow up actions should be integrated into classroom practices

[Interest of psychiatric guidelines in managing agitation in intensive care].

Science.gov (United States)

Lazignac, Coralie; Ricou, Bara; Dan, Liviu; Virgillito, Salvatore; Adam, Eric; Seyedi, Majid; Cicotti, Andrei; Azi, Amine; Damsa, Cristian

2007-02-14

This paper discusses the importance of psychiatric guidelines and the position of the psychiatrist in the management of agitation in the intensive care unit. The use of psychiatric validated scales to assess agitation seems to ameliorate the quality of care in psychiatry, but also in intensive care. Psychiatric experts' recommendations for managing agitation are given, which is useful to create an open discussion with the intensivists. The use of sedative medication to protect the patient, staff and to prevent an escalation of violence remains a personal choice for each practitioner, depending on individual patient needs and context. In the treatment of agitated patients, an equilibrium needs to be found between the subjective dimension and the available data from evidence based medicine.

Short-term intensive insulin therapy in type 2 diabetes mellitus: a systematic review and meta-analysis.

Science.gov (United States)

Kramer, Caroline Kaercher; Zinman, Bernard; Retnakaran, Ravi

2013-09-01

Studies have shown that, when implemented early in the course of type 2 diabetes mellitus, treatment with intensive insulin therapy for 2-3 weeks can induce a glycaemic remission, wherein patients are able to maintain normoglycaemia without any anti-diabetic medication. We thus did a systematic review and meta-analysis of interventional studies to assess the effect of short-term intensive insulin therapy on the pathophysiological defects underlying type 2 diabetes mellitus (pancreatic β-cell dysfunction and insulin resistance) and identify clinical predictors of remission. We identified studies published between 1950 and Nov 19, 2012, which assessed the effect of intensive insulin therapy on β-cell function or insulin resistance, or both, or assessed long-term drug-free glycaemic remission in adults aged 18 years or older with newly diagnosed type 2 diabetes mellitus. We calculated pooled estimates by random-effects model. This study is registered with International Prospective Register of Systematic Reviews, number CRD42012002829. We identified 1645 studies of which seven fulfilled inclusion criteria (n=839 participants). Five studies were non-randomised. A pooled analysis of the seven studies showed a post-intensive insulin therapy increase in Homeostasis Model Assessment of β-cell function as compared with baseline (1·13, 95% CI 1·02 to 1·25) and a decrease in Homeostasis Model Assessment of Insulin Resistance (-0·57, -0·84 to -0·29). In the four studies that assessed glycaemic remission (n=559 participants), the proportion of participants in drug-free remission was about 66·2% (292 of 441 patients) after 3 months of follow-up, about 58·9% (222 of 377 patients) after 6 months, about 46·3% (229 of 495 patients) after 12 months, and about 42·1% (53 of 126 patients) after 24 months. Patients who achieved remission had higher body-mass index than those who did not achieve remission (1·06 kg/m(2), 95% CI 0·55 to 1·58) and lower fasting plasma glucose

High-resolution stochastic generation of extreme rainfall intensity for urban drainage modelling applications

Science.gov (United States)

Peleg, Nadav; Blumensaat, Frank; Molnar, Peter; Fatichi, Simone; Burlando, Paolo

2016-04-01

Urban drainage response is highly dependent on the spatial and temporal structure of rainfall. Therefore, measuring and simulating rainfall at a high spatial and temporal resolution is a fundamental step to fully assess urban drainage system reliability and related uncertainties. This is even more relevant when considering extreme rainfall events. However, the current space-time rainfall models have limitations in capturing extreme rainfall intensity statistics for short durations. Here, we use the STREAP (Space-Time Realizations of Areal Precipitation) model, which is a novel stochastic rainfall generator for simulating high-resolution rainfall fields that preserve the spatio-temporal structure of rainfall and its statistical characteristics. The model enables a generation of rain fields at 102 m and minute scales in a fast and computer-efficient way matching the requirements for hydrological analysis of urban drainage systems. The STREAP model was applied successfully in the past to generate high-resolution extreme rainfall intensities over a small domain. A sub-catchment in the city of Luzern (Switzerland) was chosen as a case study to: (i) evaluate the ability of STREAP to disaggregate extreme rainfall intensities for urban drainage applications; (ii) assessing the role of stochastic climate variability of rainfall in flow response and (iii) evaluate the degree of non-linearity between extreme rainfall intensity and system response (i.e. flow) for a small urban catchment. The channel flow at the catchment outlet is simulated by means of a calibrated hydrodynamic sewer model.

FOREIGN DIRECT INVESTMENT INTENSITY EFFECTS ON TFP INTENSITY OF ASEAN 5 PLUS 2

OpenAIRE

Elsadig Musa Ahmed

2008-01-01

This study aims to investigate the role of foreign direct investment (FDI) intensity through decomposition of labour productivity growth into contributions of capital deepening, increased usage of foreign direct investment (FDI) intensity, and the simultaneous contribution of the quality of these factors. This has expressed as the contribution of total factor productivity (TFP) intensity growth in achieving productivity driven growth in ASEAN 5 (Malaysia, Indonesia, Philippines, Singapore and...

Abnormal electrocardiographic findings in athletes: Correlation with intensity of sport and level of competition.

Science.gov (United States)

Dores, Hélder; Malhotra, Aneil; Sheikh, Nabeel; Millar, Lynne; Dhutia, Harshil; Narain, Rajay; Merghani, Ahmed; Papadakis, Michael; Sharma, Sanjay

2016-11-01

Athletes can exhibit abnormal electrocardiogram (ECG) phenotypes that require further evaluation prior to competition. These are apparently more prevalent in high-intensity endurance sports. The purpose of this study was to assess the association between ECG findings in athletes and intensity of sport and level of competition. A cohort of 3423 competitive athletes had their ECGs assessed according to the Seattle criteria (SC). The presence of abnormal ECGs was correlated with: (1) intensity of sport (low/moderate vs. at least one high static or dynamic component); (2) competitive level (regional vs. national/international); (3) training volume (≤20 vs. >20 hours/week); (4) type of sport (high dynamic vs. high static component). The same endpoints were studied according to the 'Refined Criteria' (RC). Abnormal ECGs according to the SC were present in 225 (6.6%) athletes, more frequently in those involved in high-intensity sports (8.0% vs. 5.4%; p=0.002), particularly in dynamic sports, and competing at national/international level (7.1% vs. 4.9%; p=0.028). Training volume was not significantly associated with abnormal ECGs. By multivariate analysis, high-intensity sport (OR 1.55, 1.18-2.03; p=0.002) and national/international level (OR 1.50, 95% CI 1.04-2.14; p=0.027) were independent predictors of abnormal ECGs, and these variables, when combined, doubled the prevalence of this finding. According to the RC, abnormal ECGs decreased to 103 (3.0%), but were also more frequent in high-intensity sports (4.2% vs. 2.0%; psports and increased prevalence of ECG abnormalities. This relationship persists with the use of more restrictive criteria for ECG interpretation, although the number of abnormal ECGs is lower. Copyright © 2016 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

Intense electron and ion beams

CERN Document Server

Molokovsky, Sergey Ivanovich

2005-01-01

Intense Ion and Electron Beams treats intense charged-particle beams used in vacuum tubes, particle beam technology and experimental installations such as free electron lasers and accelerators. It addresses, among other things, the physics and basic theory of intense charged-particle beams; computation and design of charged-particle guns and focusing systems; multiple-beam charged-particle systems; and experimental methods for investigating intense particle beams. The coverage is carefully balanced between the physics of intense charged-particle beams and the design of optical systems for their formation and focusing. It can be recommended to all scientists studying or applying vacuum electronics and charged-particle beam technology, including students, engineers and researchers.

Measuring Physical Activity Intensity

Medline Plus

Full Text Available ... using relative intensity, people pay attention to how physical activity affects their heart rate and breathing. The talk test is a simple way to measure relative intensity. ...

Turbulence Intensity Scaling: A Fugue

OpenAIRE

Basse, Nils T.

2018-01-01

We study streamwise turbulence intensity definitions using smooth- and rough-wall pipe flow measurements made in the Princeton Superpipe. Scaling of turbulence intensity with the bulk (and friction) Reynolds number is provided for the definitions. The turbulence intensity is proportional to the square root of the friction factor with the same proportionality constant for smooth- and rough-wall pipe flow. Turbulence intensity definitions providing the best description of the measurements are i...

Randomized controlled trial evaluating the temporal effects of high-intensity exercise on learning, short-term and long-term memory, and prospective memory.

Science.gov (United States)

Frith, Emily; Sng, Eveleen; Loprinzi, Paul D

2017-11-01

The broader purpose of this study was to examine the temporal effects of high-intensity exercise on learning, short-term and long-term retrospective memory and prospective memory. Among a sample of 88 young adult participants, 22 were randomized into one of four different groups: exercise before learning, control group, exercise during learning, and exercise after learning. The retrospective assessments (learning, short-term and long-term memory) were assessed using the Rey Auditory Verbal Learning Test. Long-term memory including a 20-min and 24-hr follow-up assessment. Prospective memory was assessed using a time-based procedure by having participants contact (via phone) the researchers at a follow-up time period. The exercise stimulus included a 15-min bout of progressive maximal exertion treadmill exercise. High-intensity exercise prior to memory encoding (vs. exercise during memory encoding or consolidation) was effective in enhancing long-term memory (for both 20-min and 24-h follow-up assessments). We did not observe a differential temporal effect of high-intensity exercise on short-term memory (immediate post-memory encoding), learning or prospective memory. The timing of high-intensity exercise may play an important role in facilitating long-term memory. © 2017 Federation of European Neuroscience Societies and John Wiley & Sons Ltd.

Effect of leaving chronic oral foci untreated on infectious complications during intensive chemotherapy

NARCIS (Netherlands)

Schuurhuis, J M; Span, L. F. R.; Stokman, M A; van Winkelhoff, A J; Vissink, A; Spijkervet, F K L

2016-01-01

BACKGROUND: Leukaemic patients receiving intensive chemotherapy and patients undergoing autologous stem-cell transplantation (ASCT) are routinely screened for oral foci of infection to reduce infectious complications that could occur during therapy. In this prospective study we assessed the effect

The Role of Focused Echocardiography in Pediatric Intensive Care: A Critical Appraisal

Science.gov (United States)

Gaspar, Heloisa Amaral; Morhy, Samira Saady

2015-01-01

Echocardiography is a key tool for hemodynamic assessment in Intensive Care Units (ICU). Focused echocardiography performed by nonspecialist physicians has a limited scope, and the most relevant parameters assessed by focused echocardiography in Pediatric ICU are left ventricular systolic function, fluid responsiveness, cardiac tamponade and pulmonary hypertension. Proper ability building of pediatric emergency care physicians and intensivists to perform focused echocardiography is feasible and provides improved care of severely ill children and thus should be encouraged. PMID:26605333

Muscle MRI STIR signal intensity and atrophy are correlated to focal lower limb neuropathy severity.

Science.gov (United States)

Deroide, N; Bousson, V; Mambre, L; Vicaut, E; Laredo, J D; Kubis, Nathalie

2015-03-01

The objective is to determine if muscle MRI is useful for assessing neuropathy severity. Clinical, MRI and electromyography (EMG) examinations were performed in 17 patients with focal lower limb neuropathies. MRI Short Tau Inversion Recovery (STIR) signal intensity, amyotrophy, and muscle fatty infiltration measured after T1-weighted image acquisition, EMG spontaneous activity (SA), and maximal voluntary contraction (MVC) were graded using semiquantitative scores and quantitative scores for STIR signal intensity and were correlated to the Medical Research Council (MRC) score for testing muscle strength. Within this population, subgroups were selected according to severity (mild versus severe), duration (subacute versus chronic), and topography (distal versus proximal) of the neuropathy. EMG SA and MVC MRI amyotrophy and quantitative scoring of muscle STIR intensity were correlated with the MRC score. Moreover, MRI amyotrophy was significantly increased in severe, chronic, and proximal neuropathies along with fatty infiltration in chronic lesions. Muscle MRI atrophy and quantitative evaluation of signal intensity were correlated to MRC score in our study. Semiquantitative evaluation of muscle STIR signal was sensitive enough for detection of topography of the nerve lesion but was not suitable to assess severity. Muscle MRI could support EMG in chronic and proximal neuropathy, which showed poor sensitivity in these patients.

Muscle MRI STIR signal intensity and atrophy are correlated to focal lower limb neuropathy severity

Energy Technology Data Exchange (ETDEWEB)

Deroide, N.; Mambre, L.; Kubis, Nathalie [Service de Physiologie Clinique-Explorations Fonctionnelles, AP-HP, Hopital Lariboisiere, Paris (France); Universite Paris Diderot, Sorbonne Paris Cite France, Paris (France); Bousson, V.; Laredo, J.D. [Universite Paris Diderot, Sorbonne Paris Cite France, Paris (France); Radiologie Osteo-articulaire, AP-HP, Hopital Lariboisiere, Paris (France); Vicaut, E. [Universite Paris Diderot, Sorbonne Paris Cite France, Paris (France); URC, AP-HP, Hopital Lariboisiere, Paris (France)

2014-09-26

The objective is to determine if muscle MRI is useful for assessing neuropathy severity. Clinical, MRI and electromyography (EMG) examinations were performed in 17 patients with focal lower limb neuropathies. MRI Short Tau Inversion Recovery (STIR) signal intensity, amyotrophy, and muscle fatty infiltration measured after T1-weighted image acquisition, EMG spontaneous activity (SA), and maximal voluntary contraction (MVC) were graded using semiquantitative scores and quantitative scores for STIR signal intensity and were correlated to the Medical Research Council (MRC) score for testing muscle strength. Within this population, subgroups were selected according to severity (mild versus severe), duration (subacute versus chronic), and topography (distal versus proximal) of the neuropathy. EMG SA and MVC MRI amyotrophy and quantitative scoring of muscle STIR intensity were correlated with the MRC score. Moreover, MRI amyotrophy was significantly increased in severe, chronic, and proximal neuropathies along with fatty infiltration in chronic lesions. Muscle MRI atrophy and quantitative evaluation of signal intensity were correlated to MRC score in our study. Semiquantitative evaluation of muscle STIR signal was sensitive enough for detection of topography of the nerve lesion but was not suitable to assess severity. Muscle MRI could support EMG in chronic and proximal neuropathy, which showed poor sensitivity in these patients. (orig.)

Prediction of chronic critical illness in a general intensive care unit

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Sérgio H. Loss

2013-06-01

Full Text Available OBJECTIVE: To assess the incidence, costs, and mortality associated with chronic critical illness (CCI, and to identify clinical predictors of CCI in a general intensive care unit. METHODS: This was a prospective observational cohort study. All patients receiving supportive treatment for over 20 days were considered chronically critically ill and eligible for the study. After applying the exclusion criteria, 453 patients were analyzed. RESULTS: There was an 11% incidence of CCI. Total length of hospital stay, costs, and mortality were significantly higher among patients with CCI. Mechanical ventilation, sepsis, Glasgow score < 15, inadequate calorie intake, and higher body mass index were independent predictors for cci in the multivariate logistic regression model. CONCLUSIONS: CCI affects a distinctive population in intensive care units with higher mortality, costs, and prolonged hospitalization. Factors identifiable at the time of admission or during the first week in the intensive care unit can be used to predict CCI.

An approach to computing marginal land use change carbon intensities for bioenergy in policy applications

International Nuclear Information System (INIS)

Wise, Marshall; Hodson, Elke L.; Mignone, Bryan K.; Clarke, Leon; Waldhoff, Stephanie; Luckow, Patrick

2015-01-01

Accurately characterizing the emissions implications of bioenergy is increasingly important to the design of regional and global greenhouse gas mitigation policies. Market-based policies, in particular, often use information about carbon intensity to adjust relative deployment incentives for different energy sources. However, the carbon intensity of bioenergy is difficult to quantify because carbon emissions can occur when land use changes to expand production of bioenergy crops rather than simply when the fuel is consumed as for fossil fuels. Using a long-term, integrated assessment model, this paper develops an approach for computing the carbon intensity of bioenergy production that isolates the marginal impact of increasing production of a specific bioenergy crop in a specific region, taking into account economic competition among land uses. We explore several factors that affect emissions intensity and explain these results in the context of previous studies that use different approaches. Among the factors explored, our results suggest that the carbon intensity of bioenergy production from land use change (LUC) differs by a factor of two depending on the region in which the bioenergy crop is grown in the United States. Assumptions about international land use policies (such as those related to forest protection) and crop yields also significantly impact carbon intensity. Finally, we develop and demonstrate a generalized method for considering the varying time profile of LUC emissions from bioenergy production, taking into account the time path of future carbon prices, the discount rate and the time horizon. When evaluated in the context of power sector applications, we found electricity from bioenergy crops to be less carbon-intensive than conventional coal-fired electricity generation and often less carbon-intensive than natural-gas fired generation. - Highlights: • Modeling methodology for assessing land use change emissions from bioenergy • Use GCAM

Tracheotomy in the intensive care unit: guidelines from a French expert panel.

Science.gov (United States)

Trouillet, Jean Louis; Collange, Olivier; Belafia, Fouad; Blot, François; Capellier, Gilles; Cesareo, Eric; Constantin, Jean-Michel; Demoule, Alexandre; Diehl, Jean-Luc; Guinot, Pierre-Grégoire; Jegoux, Franck; L'Her, Erwan; Luyt, Charles-Edouard; Mahjoub, Yazine; Mayaux, Julien; Quintard, Hervé; Ravat, François; Vergez, Sebastien; Amour, Julien; Guillot, Max

2018-03-15

Tracheotomy is widely used in intensive care units, albeit with great disparities between medical teams in terms of frequency and modality. Indications and techniques are, however, associated with variable levels of evidence based on inhomogeneous or even contradictory literature. Our aim was to conduct a systematic analysis of the published data in order to provide guidelines. We present herein recommendations for the use of tracheotomy in adult critically ill patients developed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) method. These guidelines were conducted by a group of experts from the French Intensive Care Society (Société de Réanimation de Langue Française) and the French Society of Anesthesia and Intensive Care Medicine (Société Francaise d'Anesthésie Réanimation) with the participation of the French Emergency Medicine Association (Société Française de Médecine d'Urgence), the French Society of Otorhinolaryngology. Sixteen experts and two coordinators agreed to consider questions concerning tracheotomy and its practical implementation. Five topics were defined: indications and contraindications for tracheotomy in intensive care, tracheotomy techniques in intensive care, modalities of tracheotomy in intensive care, management of patients undergoing tracheotomy in intensive care, and decannulation in intensive care. The summary made by the experts and the application of GRADE methodology led to the drawing up of 8 formal guidelines, 10 recommendations, and 3 treatment protocols. Among the 8 formal guidelines, 2 have a high level of proof (Grade 1+/-) and 6 a low level of proof (Grade 2+/-). For the 10 recommendations, GRADE methodology was not applicable and instead 10 expert opinions were produced.

Moderate-to-high intensity physical exercise in patients with Alzheimer’s disease

DEFF Research Database (Denmark)

Hoffmann, Kristine; Sobol, Nanna A.; Frederiksen, Kristian S.

2016-01-01

Background: Studies of physical exercise in patients with Alzheimer’s disease (AD) are few and results have been inconsistent. Objective: To assess the effects of a moderate-to-high intensity aerobic exercise program in patients with mild AD. Methods: In a randomized controlled trial, we recruited...

Postoperative nausea and vomiting: Validation of the Portuguese version of the Postoperative Nausea and Vomiting Intensity Score.

Science.gov (United States)

Dalila, Veiga; Pereira, Helder; Moreno, Carlos; Martinho, Clarisse; Santos, Cristina; Abelha, Fernando José

2013-01-01

The Postoperative Nausea and Vomiting (PONV) Intensity Scale was developed to define clinically important PONV. The aim of this study was to translate, retranslate and validate the PONV Intensity Scale for use in Portuguese Post Anesthetic Care Unit (PACU) settings. The PONV Intensity Scale was translated and back-translated in accordance with available guidelines. The research team conducted an observational and cohort prospective study in a PACU. One-hundred fifty-seven adult patients admiited after surgery over three weeks were evaluated for PONV. Measurements included nausea visual analogic scale (VAS) at 6 and 24 hours, postoperatively. We assessed reliability and observer disagreement using interclass correlation (ICC) and Information-Based Measure of Disagreement (IBMD). We compared VAS scores between patients with clinically significant (≥50) and not significant (<50) PONV. Thirty-nine patients (25%) had PONV at 6 hours and 54 (34%) had PONV at 24 hours. Thirty-six and 54 patients experienced nausea at 6 and 24 hours, respectively. Among patients with PONV, 6 patients (15%) and 9 patients (27%) had a clinically significant PONV intensity scale score at 6 and at 24 hours, respectively. The reliability was good both for PONV intensity scale score and for VAS and observer disagreement was slightly higher for VAS. The median nausea VAS scores were higher in patients with clinically significant PONV Intensity score. The PONV Intensity Scale appears to be an accurate and reliable assessment and monitoring instrument for PONV in the PACU settings. Copyright © 2013 Sociedade Brasileira de Anestesiologia. Published by Elsevier Editora Ltda. All rights reserved.

High Intensity Exercise: Can It Protect You from A Fast Food Diet?

Science.gov (United States)

Duval, Christian; Rouillier, Marc-Antoine; Rabasa-Lhoret, Rémi; Karelis, Antony D

2017-08-26

The purpose of this study was to assess the ability of high intensity exercise to counteract the deleterious effects of a fast food diet on the cardiometabolic profile of young healthy men. Fifteen men were subjected to an exclusive fast food diet from a popular fast food restaurant chain (three extra value meals/day + optional snack) for 14 consecutive days. Simultaneously, participants were asked to perform each day high intensity interval training (HIIT) (15 × 60 sec sprint intervals (~90% of maximal heart rate)) on a treadmill. Fast food diet and energy expenditure profiles of the participants during the intervention were assessed as well as body composition (DXA), cardiometabolic profile (lipid, hepatic enzymes, glycated hemoglobin, glucose, insulin, hsC-reactive protein (hsCRP) and blood pressure) and estimated maximal oxygen consumption (VO2 max) pre- and post-experiment. We found significant improvements for fat mass, lean body mass, estimated VO₂ max, fasting glucose, serum lipoprotein(a) and hsCRP after the intervention ( p fast food diet.

Impact of treatment intensity on suicidal behavior and depression in borderline personality disorder: a critical review.

Science.gov (United States)

Davidson, Kate M; Tran, Cathy F

2014-04-01

The effectiveness of less versus more intensive psychological therapies in reducing suicidal behavior and depression in suicidal patients with borderline personality disorder (BPD) was examined. Electronic databases were searched. Trials were separated into less versus more intensive therapies. Suicidal acts and depression outcome data were assessed. Six trials met search criteria (cognitive-behavioral therapy for personality disorder, mentalization-based therapy, dialectical behavior therapy). Seven measures of suicidal acts and two measures of depression were used in studies. Both less and more intensive therapies report significant decreases in suicidal behaviors. Apart from one small trial, both less and more intensive therapies report decreases in depression with no differences between therapies and control conditions. Two follow-up studies showed that reductions in suicidal behavior and depression are maintained over time. The authors conclude that both less and more intensive therapies are effective in treating depression and suicidal behaviors in patients with BPD. Clinicians should deliver the least intensive interventions that will provide these significant health gains.

Temperature and light intensity interaction on Cercospora coffeicola sporulation and conidia germination

Directory of Open Access Journals (Sweden)

Marília Goulart da Silva

2016-04-01

Full Text Available ABSTRACT Difficulty in obtaining abundant sporulation in culture of many species of Cercospora may be the limiting factor for studies of biology, systematics, and inoculation of the genus. Therefore, it is necessary to understand the nutritional and environmental requirements that influence mycelial growth, sporulation and germination. As it is difficult to obtain conidia of Cercospora coffeicola in vitro, different temperatures (17, 22, 27, and 32 °C and light intensities (80, 160, 240, and 320 μmol m-2 s-1 were evaluated to optimize pathogen sporulation and assess favorable conditions for spore germination, aiming for a strategy of disease control. The dark treatment (0 μmol m-2 s-1 was added for sporulation. A significant interaction was found between temperature and light intensity for both variables. The highest sporulation rate of C. coffeicola occurred at a light intensity of 240 μmol m-2 s-1 and air temperature of 22 °C, reaching 5.9x106 con mL-1. Germination was higher at temperature 17 °C and light intensity of 320 μmol m-2 s-1, reaching 52%. Interaction between light intensity and temperature proved to influence the processes of sporulation and germination of C. coffeicola.

Urinary NGAL in patients with and without acute kidney injury in a cardiology intensive care unit

Science.gov (United States)

Watanabe, Mirian; Silva, Gabriela Fulan e; da Fonseca, Cassiane Dezoti; Vattimo, Maria de Fatima Fernandes

2014-01-01

Objective To assess the diagnostic and prognostic efficacy of urine neutrophil gelatinase-associated lipocalin in patients admitted to an intensive care unit. Methods Longitudinal, prospective cohort study conducted in a cardiology intensive care unit. The participants were divided into groups with and without acute kidney injury and were followed from admission to the intensive care unit until hospital discharge or death. Serum creatinine, urine output and urine neutrophil gelatinase-associated lipocalin were measured 24 and 48 hours after admission. Results A total of 83 patients admitted to the intensive care unit for clinical reasons were assessed, most being male (57.8%). The participants were divided into groups without acute kidney injury (N=18), with acute kidney injury (N=28) and with severe acute kidney injury (N=37). Chronic diseases, mechanical ventilation and renal replacement therapy were more common in the groups with acute kidney injury and severe acute kidney injury, and those groups exhibited longer intensive care unit stay and hospital stay and higher mortality. Serum creatinine did not change significantly in the group with acute kidney injury within the first 24 hours of admission to the intensive care unit, although, urine neutrophil gelatinase-associated lipocalin was high in the groups with acute kidney injury and severe acute kidney injury (p<0.001). Increased urine neutrophil gelatinase-associated lipocalin was associated with death. Conclusion An increase in urine neutrophil gelatinase-associated lipocalin precedes variations in serum creatinine in patients with acute kidney injury and may be associated with death. PMID:25607262

Iowa Intensive Archaeological Survey

Data.gov (United States)

Iowa State University GIS Support and Research Facility — This shape file contains intensive level archaeological survey areas for the state of Iowa. All intensive Phase I surveys that are submitted to the State Historic...

Quantitative assessment of the use of modified nucleoside triphosphates in expression profiling: differential effects on signal intensities and impacts on expression ratios

Directory of Open Access Journals (Sweden)

Dorris David

2002-07-01

Full Text Available Abstract Background The power of DNA microarrays derives from their ability to monitor the expression levels of many genes in parallel. One of the limitations of such powerful analytical tools is the inability to detect certain transcripts in the target sample because of artifacts caused by background noise or poor hybridization kinetics. The use of base-modified analogs of nucleoside triphosphates has been shown to increase complementary duplex stability in other applications, and here we attempted to enhance microarray hybridization signal across a wide range of sequences and expression levels by incorporating these nucleotides into labeled cRNA targets. Results RNA samples containing 2-aminoadenosine showed increases in signal intensity for a majority of the sequences. These results were similar, and additive, to those seen with an increase in the hybridization time. In contrast, 5-methyluridine and 5-methylcytidine decreased signal intensities. Hybridization specificity, as assessed by mismatch controls, was dependent on both target sequence and extent of substitution with the modified nucleotide. Concurrent incorporation of modified and unmodified ATP in a 1:1 ratio resulted in significantly greater numbers of above-threshold ratio calls across tissues, while preserving ratio integrity and reproducibility. Conclusions Incorporation of 2-aminoadenosine triphosphate into cRNA targets is a promising method for increasing signal detection in microarrays. Furthermore, this approach can be optimized to minimize impact on yield of amplified material and to increase the number of expression changes that can be detected.

Glucose response to exercise in the post-prandial period is independent of exercise intensity.

Science.gov (United States)

Shambrook, P; Kingsley, M I; Wundersitz, D W; Xanthos, P D; Wyckelsma, V L; Gordon, B A

2018-03-01

This study investigated the acute glucose response to low-intensity, moderate-intensity, and high-intensity interval exercise compared to no-exercise in healthy insufficiently active males using a four-arm, randomized, crossover design. Ten males (age: 37.3 ± 7.3 years, BMI: 29.3 ± 6.5 kg·m -2 ) completed four 30-minute interventions at weekly intervals comprising low-intensity exercise (LIE) at ~35% V˙O 2 R, moderate-intensity exercise (MIE) at ~50% V˙O 2 R, high-intensity interval exercise (HIIE) at ~80% V˙O 2 R, and a no-exercise control. Participants performed cycle ergometer exercise 30 minutes after finishing breakfast. Glucose response was assessed using a continuous glucose monitor under free-living conditions with dietary intake replicated. A significant effect for intensity on energy expenditure was identified (P exercise trial. Glucose response was not different between exercise intensities (P > .05). Twenty-four-hour AUC was not affected by exercise intensity (P = .75). There was a significant effect for exercise enjoyment (P = .02), with LIE (69 ± 4) preferred less than HIIE (mean ± SD: 84 ± 14; P = .02), MIE (73 ± 5; P = .03), and no-exercise (75 ± 4; P = .03). Exercise at any intensity 30 minutes after a meal affects glycemic regulation equally in insufficiently active males. Moderate to vigorous exercise intensities were preferred, and therefore, the exercise guidelines appear appropriate for the prevention of cardiometabolic disease. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

The Effects of High-Intensity versus Low-Intensity Resistance Training on Leg Extensor Power and Recovery of Knee Function after ACL-Reconstruction

Directory of Open Access Journals (Sweden)

Theresa Bieler

2014-01-01

Full Text Available Objective. Persistent weakness is a common problem after anterior cruciate ligament- (ACL- reconstruction. This study investigated the effects of high-intensity (HRT versus low-intensity (LRT resistance training on leg extensor power and recovery of knee function after ACL-reconstruction. Methods. 31 males and 19 females were randomized to HRT (n=24 or LRT (n=26 from week 8–20 after ACL-reconstruction. Leg extensor power, joint laxity, and self-reported knee function were measured before and 7, 14, and 20 weeks after surgery. Hop tests were assessed before and after 20 weeks. Results. Power in the injured leg was 90% (95% CI 86–94% of the noninjured leg, decreasing to 64% (95% CI 60–69% 7 weeks after surgery. During the resistance training phase there was a significant group by time interaction for power (P=0.020. Power was regained more with HRT compared to LRT at week 14 (84% versus 73% of noninjured leg, resp.; P=0.027 and at week 20 (98% versus 83% of noninjured leg, resp.; P=0.006 without adverse effects on joint laxity. No other between-group differences were found. Conclusion. High-intensity resistance training during rehabilitation after ACL-reconstruction can improve muscle power without adverse effects on joint laxity.

Amide proton transfer imaging of high intensity focused ultrasound-treated tumor tissue

NARCIS (Netherlands)

Hectors, S.J.C.G.; Jacobs, I.; Strijkers, G.J.; Nicolay, K.

2014-01-01

Purpose: In this study, the suitability of amide proton transfer (APT) imaging as a biomarker for the characterization of high intensity focused ultrasound (HIFU)-treated tumor tissue was assessed. Methods: APT imaging was performed on tumor-bearing mice before (n=15), directly after (n=15) and at 3

Amide Proton Transfer Imaging of High Intensity Focused Ultrasound-Treated Tumor Tissue

NARCIS (Netherlands)

Hectors, Stefanie J. C. G.; Jacobs, Igor; Strijkers, Gustav J.; Nicolay, Klaas

2014-01-01

PurposeIn this study, the suitability of amide proton transfer (APT) imaging as a biomarker for the characterization of high intensity focused ultrasound (HIFU)-treated tumor tissue was assessed. MethodsAPT imaging was performed on tumor-bearing mice before (n=15), directly after (n=15) and at 3

Noise levels in a neonatal intensive care unit in the Cape metropole ...

African Journals Online (AJOL)

Introduction. Continuous noise exposure is potentially harmful to infants\\' auditory systems and wellbeing. Although the effects of noise on infants in a neonatal intensive care unit (NICU) have been well researched overseas, limited studies have been conducted in South Africa. Aim. To conduct a detailed noise assessment ...

When less is best: female brown-headed cowbirds prefer less intense male displays.

Science.gov (United States)

O'Loghlen, Adrian L; Rothstein, Stephen I

2012-01-01

Sexual selection theory predicts that females should prefer males with the most intense courtship displays. However, wing-spread song displays that male brown-headed cowbirds (Molothrus ater) direct at females are generally less intense than versions of this display that are directed at other males. Because male-directed displays are used in aggressive signaling, we hypothesized that females should prefer lower intensity performances of this display. To test this hypothesis, we played audiovisual recordings showing the same males performing both high intensity male-directed and low intensity female-directed displays to females (N = 8) and recorded the females' copulation solicitation display (CSD) responses. All eight females responded strongly to both categories of playbacks but were more sexually stimulated by the low intensity female-directed displays. Because each pair of high and low intensity playback videos had the exact same audio track, the divergent responses of females must have been based on differences in the visual content of the displays shown in the videos. Preferences female cowbirds show in acoustic CSD studies are correlated with mate choice in field and captivity studies and this is also likely to be true for preferences elucidated by playback of audiovisual displays. Female preferences for low intensity female-directed displays may explain why male cowbirds rarely use high intensity displays when signaling to females. Repetitive high intensity displays may demonstrate a male's current condition and explain why these displays are used in male-male interactions which can escalate into physical fights in which males in poorer condition could be injured or killed. This is the first study in songbirds to use audiovisual playbacks to assess how female sexual behavior varies in response to variation in a male visual display.

PAIN INTENSITY AND PAIN INTERFERENCE AMONG TRAUMA PATIENTS: A LITERATURE REVIEW

Directory of Open Access Journals (Sweden)

Deya Prastika

2016-12-01

Full Text Available Background: The incidence of trauma has been high and has gained attention worldwide. The energy involved in trauma results in specific tissue damage. Such tissue damage generally leads to pain. The high pain intensity possibly is consequence of trauma due to transfer energy to the body from external force and absorbed in wide area. This pain affected patients’ physical and psychological function, in which well known as pain interference. Objective: The aim of this review is to describe the pain intensity and pain interference among trauma patients. Method: A systematic search of electronic databases (CINHAL, ProQuest, Science Direct, and Google scholar was conducted for quantitative and qualitative studies measuring pain intensity and pain interference. The search limited to hospitalized trauma patients in adult age. Results: The search revealed 678 studies. A total of 10 descriptive studies examined pain intensity and pain interference and met inclusion criteria. The pain intensity and pain interference was assessed using Brief Pain Inventory (BPI. Pain intensity of hospitalized trauma patients were moderate to severe. These including 6 studies in orthopedic trauma, one study in musculoskeletal, two in studies in combinational between orthopedic and musculoskeletal, and two studies in burn injury. Moreover, the patients also reported pain was relentless & unbearable. In accordance, data showed that pain interference was moderate to severe from six studies. These studies result in vary of functional interference. However, those studies examined pain interference on sleep, enjoyment of life, mood, relationship with other, walking, general activity, and walking. Conclusion: The evidence from 10 studies included in this review indicates that hospitalized trauma patients perceived moderate to severe pain intensity and pain interference. Further research is needed to better evaluate the pain of hospitalized trauma patients.

Evaluation of gamma-ray intensities

International Nuclear Information System (INIS)

Yoshizawa, Yasukazu; Inoue, Hikaru; Hoshi, Masaharu; Shizuma, Kiyoshi; Iwata, Yosei.

1980-04-01

Relative intensities and intensities per decay of gamma rays were evaluated for 16 nuclides, 22 Na, 24 Na, 46 Sc, 54 Mn, 60 Co, 85 Sr, 88 Y, 95 Nb, sup(108m)Ag, 134 Cs, 133 Ba, 139 Ce, sup(180m)Hf, 198 Au, 203 Hg and 207 Bi. For most of these nuclides disintegration rates can be determined by means of β-γ or X-γ coincidence method. Since decay schemes of these nuclides are established, intensities per decay of strong gamma rays were accurately evaluated by using weak beta-ray branching ratios, relative gamma-ray intensities and internal conversion coefficients. Half-lives of the nuclides were also evaluated. Use of the nuclides, therefore, are recommended for precision intensity calibration of the detectors. (author)

Measuring Physical Activity Intensity

Medline Plus

Full Text Available ... Older Adults Overcoming Barriers Measuring Physical Activity Intensity Target Heart Rate & Estimated Maximum Heart Rate Perceived Exertion ( ... a heavy backpack Other Methods of Measuring Intensity Target Heart Rate and Estimated Maximum Heart Rate Perceived ...

Measuring Physical Activity Intensity

Medline Plus

Full Text Available ... for a breath. Absolute Intensity The amount of energy used by the body per minute of activity. ... or vigorous-intensity based upon the amount of energy used by the body while doing the activity. ...

Measuring Physical Activity Intensity

Medline Plus

Full Text Available ... Share Compartir For more help with what counts as aerobic activity, watch this video: Windows Media Player, ... The table below lists examples of activities classified as moderate-intensity or vigorous-intensity based upon the ...

Vulnerability Assessment of Housing Damage in the Philippines Due to an Increase Increase in Typhoon Intensity

Science.gov (United States)

Esteban, Miguel; Stromberg, Per; Gasparatos, Alexandros

2010-05-01

It is currently feared that the increase in surface sea temperature resulting from increasing level of greenhouse gases in the atmosphere could result in higher tropical cyclone intensity in the future. Although the vulnerability of infrastructure and economic systems have been studied for a number of developed countries, very little work has been done on developing countries. The present work first attempts to evaluate the vulnerability of different regions in the Philippines to the passage of tropical cyclones. To this effect a total of 22 typhoons and tropical storms that affected the Philippines were analysed for the period 2003-2008. The data used was collected by the National Disaster Coordinating Council of the Philippines, who issue "SitRep" NDCC Reports after each major storm. This agency provides damage data for each region, including number of casualties, affected people, damaged and destroyed houses, and losses in the infrastructure and agriculture. The likely economic effects of increased typhoon intensity by using a Monte Carlo Simulation that magnifies the intensity of historical tropical cyclones between the years 1978 and 2008 to simulate the economic damage by 2085. The methodology used is based on the work of Esteban et al. (2009), which in turn uses the results of Knutson and Tuleya (2004) for the estimation of the increase in tropical cyclone intensity in 2085. The results show that downtime could increase from a national 1% to 1.3% by 2050 if economic and population growth are taken into account (29 to 36bn USD, from a total GDP of 2,757bn USD by 2050). If these are ignored the time lost each year can be estimated to cost around 630m USD (PPP) for the control scenario, which could increase to between 766m or 945mm USD by the year 2085 for the two different scenarios considered. This indirect damage depends on the geographical location and is for example higher in some areas of the northern island of Luzon, while the island of Mindanao in the

Burn Severities, Fire Intensities, and Impacts to Major Vegation Types from the Cerro Grande Fire

International Nuclear Information System (INIS)

Balice, R.G.; Bennett, K.D.; Wright, M.A.

2005-01-01

The Cerro Grande Fire resulted in major impacts and changes to the ecosystems that were burned. To partially document these effects, we estimated the acreage of major vegetation types that were burned at selected burn severity levels and fire intensity levels. To accomplish this, we adopted independently developed burn severity and fire intensity maps, in combination with a land cover map developed for habitat management purposes, as a basis for the analysis. To provide a measure of confidence in the acreage estimates, the accuracies of these maps were also assessed. In addition, two other maps of comparable quality were assessed for accuracy: one that was developed for mapping fuel risk and a second map that resulted from a preliminary application of an evolutionary computation software system, called GENIE. According to the burn severity map and the fire intensity map, the Cerro Grande Fire is estimated to have covered 42,885.4 acres and 42,854.7 acres, respectively. Of this, 57.0 percent was burned at low severity and 34.7 percent was burned at high severity. Similarly, 40.0 percent of the Cerro Grande Fire burned at high fire intensity, greater than 70 percent mortality, while 33.1 percent burned at moderately low intensity, 10 to 40 percent mortality. The most frequently burned cover types over the entire Cerro Grande Fire were ponderosa pine forest and mixed conifer forest, at approximately 43 percent each. However, portions of the fire that burned on Los Alamos National Laboratory (LANL) property were predominantly in ponderosa pine forests, whereas the Cerro Grande Fire burned primarily in mixed conifer forests on lands managed by other agencies. Some of the polygons of burn severities and fire intensities were extensive. The two largest burn severity polygons were 10,111 acres and 10,903 acres and these were burned at low severity. The next two largest polygons were 8999 acres (14 square miles) and 1551 acres (2.4 square miles) and both of these polygons

Impact of carbon intensity and energy security constraints on China's coal import

International Nuclear Information System (INIS)

Lin Boqiang; Liu Jianghua; Yang Yingchun

2012-01-01

Logistic and Gaussian Curves are adopted in this article to predict the coal production peak for Shanxi province, Henan province as well as the whole of China. According to the prediction based on the basic coal reserve data, coal production in China will reach its peak in the 2030 s while that of Shanxi and Henan provinces will be achieved by the 2040 s and 2020 s respectively. This article also assesses the influential factors of China's coal peak and revises the forecast of about China's coal demand by taking the CO2 intensity constraint into consideration, and then predicting the corresponding coal import. The results show that China would import 983 million tonnes of coal in 2020; which takes as high as 27% of China's total coal consumption. This article demonstrates that even if China fulfills CO2 intensity constraint, the country's energy situation would still be grim as a result of its high GDP growth rate. Therefore, China has to consider both CO2 intensity and energy security constraints when establishing strategic energy plan. Finally, this article suggests an adjustment of energy structure by which those constraints can be addressed and further assesses the effect of the adjusted energy structure. - Highlights: ► China's coal peak will arrive in 2040s when basic reserve data is used. ► China's peak production would be 4.8–5.8 billion tons. ► The energy security is still grim even if China meets CO 2 intensity constraint. ► The energy structure suggested should be “natural gas in place of oil and coal”.

Effects of music and video on perceived exertion during high-intensity exercise

Institute of Scientific and Technical Information of China (English)

Enoch C.Chow; Jennifer L.Etnier

2017-01-01

Background:Dissociative attentional stimuli (e.g.,music,video) are effective in decreasing ratings of perceived exertion (RPE) during low-to-moderate intensity exercise,but have inconsistent results during exercise at higher intensity.The purpose of this study was to assess attentional focus and RPE during high-intensity exercise as a function of being exposed to music,video,both (music and video),or a no-treatment control condition.Methods:During the first session,healthy men (n =15) completed a maximal fitness test to determine the workload necessary for high-intensity exercise (operationalized as 125％ ventilatory threshold) to be performed during subsequent sessions.On 4 subsequent days,they completed 20 min of high-intensity exercise in a no-treatment control condition or while listening to music,watching a video,or both.Attentional focus,RPE,heart rate,and distance covered were measured every 4 min during the exercise.Results:Music and video in combination resulted in significantly lower RPE across time (partial η2 =0.36) and the size of the effect increased over time (partial η2 =0.14).Additionally,music and video in combination resulted in a significantly more dissociative focus than the other conditions (partial η2 =0.29).Conclusion:Music and video in combination may result in lower perceived exertion during high-intensity exercise when compared to music or video in isolation.Future research will be necessary to test if reductions in perceived exertion in response to dissociative attentional stimuli have implications for exercise adherence.

Fear conditioning and shock intensity: the choice between minimizing the stress induced and reducing the number of animals used

NARCIS (Netherlands)

Pietersen, C.Y.; Bosker, F.J; Posterna, F.; Den Boer, J.A.

2006-01-01

Many fear conditioning studies use electric shock as the aversive stimulus. The intensity of shocks varies throughout the literature. In this study, shock intensities ranging from 0 to 1.5 mA were used, and the effects on the rats assessed by both behavioural and biochemical stress parameters.

Fear conditioning and shock intensity : the choice between minimizing the stress induced and reducing the number of animals used

NARCIS (Netherlands)

Pietersen, CY; Bosker, FJ; Posterna, F; den Boer, JA

Many fear conditioning studies use electric shock as the aversive stimulus. The intensity of shocks varies throughout the literature. In this study, shock intensities ranging from 0 to 1.5 mA were used, and the effects on the rats assessed by both behavioural and biochemical stress parameters.

Usability of computerized nursing process from the ICNP® in intensive care units

Directory of Open Access Journals (Sweden)

Daniela Couto Carvalho Barra

2015-04-01

Full Text Available OBJECTIVE To analyze the usability of Computerized Nursing Process (CNP from the ICNP® 1.0 in Intensive Care Units in accordance with the criteria established by the standards of the International Organization for Standardization and the Brazilian Association of Technical Standards of systems. METHOD This is a before-and-after semi-experimental quantitative study, with a sample of 34 participants (nurses, professors and systems programmers, carried out in three Intensive Care Units. RESULTS The evaluated criteria (use, content and interface showed that CNP has usability criteria, as it integrates a logical data structure, clinical assessment, diagnostics and nursing interventions. CONCLUSION The CNP is a source of information and knowledge that provide nurses with new ways of learning in intensive care, for it is a place that provides complete, comprehensive, and detailed content, supported by current and relevant data and scientific research information for Nursing practices.

Numerical evaluation of the intensity transport equation for well-known wavefronts and intensity distributions

Science.gov (United States)

Campos-García, Manuel; Granados-Agustín, Fermín.; Cornejo-Rodríguez, Alejandro; Estrada-Molina, Amilcar; Avendaño-Alejo, Maximino; Moreno-Oliva, Víctor Iván.

2013-11-01

In order to obtain a clearer interpretation of the Intensity Transport Equation (ITE), in this work, we propose an algorithm to solve it for some particular wavefronts and its corresponding intensity distributions. By simulating intensity distributions in some planes, the ITE is turns into a Poisson equation with Neumann boundary conditions. The Poisson equation is solved by means of the iterative algorithm SOR (Simultaneous Over-Relaxation).

[Application and evalauation of care plan for patients admitted to Intensive Care Units].

Science.gov (United States)

Cuzco Cabellos, C; Guasch Pomés, N

2015-01-01

Assess whether the use of the nursing care plans improves outcomes of nursing care to patients admitted to the intensive care unit (ICU). The study was conducted in a University Hospital of Barcelona in Spain, using a pre- and post-study design. A total of 61 patient records were analysed in the pre-intervention group. A care plan was applied to 55 patients in the post-intervention group. Specific quality indicators in a medical intensive care unit to assess the clinical practice of nursing were used. Fisher's exact test was used to compare the degree of association between quality indicators in the two groups. A total of 116 records of 121 patients were evaluated: 61 pre-intervention and 55 post-intervention. Fisher test: The filling of nursing records, p=.0003. Checking cardiorespiratory arrest equipment, p <.001. Central vascular catheter related bacteraemia (B-CVC) p=.622. Ventilator associated pneumonia (VAP) p=.1000. Elevation of the head of the bed more than 30° p=.049, and the pain management in non-sedated patients p=.082. The implementation of nursing care plans in patients admitted to the intensive care area may contribute to improvement in the outcomes of nursing care. Copyright © 2015 Elsevier España, S.L.U. y SEEIUC. All rights reserved.

Inter-observer reliability of high-resolution ultrasonography in the assessment of bone erosions in patients with rheumatoid arthritis: experience of an intensive dedicated training programme.

Science.gov (United States)

Gutierrez, Marwin; Filippucci, Emilio; Ruta, Santiago; Salaffi, Fausto; Blasetti, Patrizia; Di Geso, Luca; Grassi, Walter

2011-02-01

The present study was aimed at testing the ability of a rheumatologist without experience in ultrasound (US) who attended an intensive 4-week training programme focused on US assessing bone erosions in the hands and feet in patients with RA. Twenty patients diagnosed with RA according to the ACR criteria were included in the study. All US examinations were performed bilaterally by two investigators (with different experience in the field of musculoskeletal US) at the following sites: the dorsal, lateral and volar aspect of the second metacarpal, ulnar and fifth metatarsal head; and the dorsal and volar aspect of the third metacarpal and second proximal heads. Each quadrant was scanning in longitudinal and transverse scans for assessing the qualitative, semiquantitative and quantitative US findings indicative of bone erosions according the OMERACT preliminary definition. Both κ-values and overall agreement percentages of qualitative and semiquantitative assessments showed moderate to excellent agreement between the two investigators. Similar results were obtained for the quantitative assessment with the concordance correlation coefficient value always significant. The only exception was the volar aspects, in particular those of the fifth metatarsal head. Our study suggests that after a 4-week dedicated training programme, a rheumatologist without experience in US is able to detect and score bone erosions in the hands and feet of patients with RA.

Ventilator assessment of respiratory mechanics in paediatric intensive care

Science.gov (United States)

Harikumar, Gopinathannair; Greenough, Anne; Rafferty, Gerrard F

2009-01-01

Many modern “paediatric” mechanical ventilators have in-built features for estimation of respiratory mechanics which could be useful in the management of ventilated infants and children. The aim of this study was to determine if such measurements were reproducible and accurate. Ventilator (Draeger Evita 4) displayed compliance (Cvent) and resistance (Rvent) values were assessed and compared to the results of respiratory system mechanics (respiratory system compliance (Crs) and resistance (Rrs)) measurements obtained using a single breath occlusion technique. Seventeen children (median age 5.1; range 0.3 to 16 yrs) were studied on 24 occasions. The mean coefficients of variations for the techniques were similar (Cvent 13%; Crs 11%; Rvent 16%; Rrs 14%). The mean (SD) Crs (22.8 (12.3) ml/cmH2O) did not differ significantly from Cvent (22.1 (12.7) ml/cm H2O) but the mean Rrs 21.0 (12.7) cmH2O/l/sec was significantly higher than the mean Rvent 32.0 (32.0) cmH2O/l/sec (p=0.03). Bland and Altman analysis demonstrated a mean difference of −10.94 cmH2O/l/sec (SD 24.1) between Rrs and Rvent; the agreement between Rrs and Rvent decreased as Rrs increased (p=0.008). Conclusions: Ventilator assessment of compliance, but not resistance, using the Evita 4 is reproducible and reliable. PMID:17394017

Intense low energy positron beams

International Nuclear Information System (INIS)

Lynn, K.G.; Jacobsen, F.M.

1993-01-01

Intense positron beams are under development or being considered at several laboratories. Already today a few accelerator based high intensity, low brightness e + beams exist producing of the order of 10 8 - 10 9 e + /sec. Several laboratories are aiming at high intensity, high brightness e + beams with intensities greater than 10 9 e + /sec and current densities of the order of 10 13 - 10 14 e + sec - 1 cm -2 . Intense e + beams can be realized in two ways (or in a combination thereof) either through a development of more efficient B + moderators or by increasing the available activity of B + particles. In this review we shall mainly concentrate on the latter approach. In atomic physics the main trust for these developments is to be able to measure differential and high energy cross-sections in e + collisions with atoms and molecules. Within solid state physics high intensity, high brightness e + beams are in demand in areas such as the re-emission e + microscope, two dimensional angular correlation of annihilation radiation, low energy e + diffraction and other fields. Intense e + beams are also important for the development of positronium beams, as well as exotic experiments such as Bose condensation and Ps liquid studies

Light-intensity and high-intensity interval training improve cardiometabolic health in rats.

Science.gov (United States)

Batacan, Romeo B; Duncan, Mitch J; Dalbo, Vincent J; Connolly, Kylie J; Fenning, Andrew S

2016-09-01

Physical activity has the potential to reduce cardiometabolic risk factors but evaluation of different intensities of physical activity and the mechanisms behind their health effects still need to be fully established. This study examined the effects of sedentary behaviour, light-intensity training, and high-intensity interval training on biometric indices, glucose and lipid metabolism, inflammatory and oxidative stress markers, and vascular and cardiac function in adult rats. Rats (12 weeks old) were randomly assigned to 1 of 4 groups: control (CTL; no exercise), sedentary (SED; no exercise and housed in small cages to reduce activity), light-intensity trained (LIT; four 30-min exercise bouts/day at 8 m/min separated by 2-h rest period, 5 days/week), and high-intensity interval trained (HIIT, four 2.5-min work bouts/day at 50 m/min separated by 3-min rest periods, 5 days/week). After 12 weeks of intervention, SED had greater visceral fat accumulation (p HIIT demonstrated beneficial changes in body weight, visceral and epididymal fat weight, glucose regulation, low-density lipoprotein cholesterol, total cholesterol, and mesenteric vessel contractile response compared with the CTL group (p HIIT had significant improvements in systolic blood pressure and endothelium-independent vasodilation to aorta and mesenteric artery compared with the CTL group (p HIIT induce health benefits by improving traditional cardiometabolic risk factors. LIT improves cardiac health while HIIT promotes improvements in vascular health.

SALIVARY CORTISOL RESPONSES AND PERCEIVED EXERTION DURING HIGH INTENSITY AND LOW INTENSITY BOUTS OF RESISTANCE EXERCISE

Directory of Open Access Journals (Sweden)

Alison D. Egan

2004-03-01

Full Text Available The purpose of this study was to measure the salivary cortisol response to different intensities of resistance exercise. In addition, we wanted to determine the reliability of the session rating of perceived exertion (RPE scale to monitor resistance exercise intensity. Subjects (8 men, 9 women completed 2 trials of acute resistance training bouts in a counterbalanced design. The high intensity resistance exercise protocol consisted of six, ten-repetition sets using 75% of one repetition maximum (RM on a Smith machine squat and bench press exercise (12 sets total. The low intensity resistance exercise protocol consisted of three, ten-repetition sets at 30% of 1RM of the same exercises as the high intensity protocol. Both exercise bouts were performed with 2 minutes of rest between each exercise and sessions were repeated to test reliability of the measures. The order of the exercise bouts was randomized with least 72 hours between each session. Saliva samples were obtained immediately before, immediately after and 30 mins following each resistance exercise bout. RPE measures were obtained using Borg's CR-10 scale following each set. Also, the session RPE for the entire exercise session was obtained 30 minutes following completion of the session. There was a significant 97% increase in the level of salivary cortisol immediately following the high intensity exercise session (P<0.05. There was also a significant difference in salivary cortisol of 145% between the low intensity and high intensity exercise session immediately post-exercise (P<0.05. The low intensity exercise did not result in any significant changes in cortisol levels. There was also a significant difference between the session RPE values for the different intensity levels (high intensity 7.1 vs. low intensity 1.9 (P<0.05. The intraclass correlation coefficient for the session RPE measure was 0.95. It was concluded that the session RPE method is a valid and reliable method of

Comparison of Two Intensities of Aerobic Training (low intensity and High Intensity on Expression of Perlipin 2 Skeletal Muscle, Serum Glucose and Insulin levels in Streptozotocin-Diabetic Rats

Directory of Open Access Journals (Sweden)

M Ghafari

2017-06-01

Full Text Available Abstract   Background & aim: Lipid metabolism disorder plays an important role in insulin resistance in skeletal muscle and lipid drop proteins such as perlipine 2 (PLIN2 are effective in regulating intracellular fat metabolism. One of the suggested pathways for the effects of endurance activity in metabolic diseases is the effect of physical activity on intramuscular. Therefore, the purpose of this study was compare the intensity of aerobic exercise intensity (low intensity and high intensity on expression of PLIN2 skeletal muscle, serum glucose and insulin levels in streptozotocin-diabetic rats.   Methods: In this experimental study, 24 male Wistar rats were randomly divided into three groups of 8, including two intervention groups (low intensity endurance training group and high intensity continuous exercise group and one control group. After induction of diabetic rats by injection streptozotocin (55 mg / kg body weight, Intraperitoneally, endurance training was applied for eight weeks, three sessions per week in diabetic rats. Exercise intensity in the low-intensity group was equal to 5-8 m / min (equivalent to 50-60% Vo2max, the intensity of training in a high intensity training group was equivalent to a speed of 22-25 m / min (equivalent to 80% Vo2max and the control group did not receive intervene in this time. Relative protein expression of PLIN2 was performed using western blot technique. Data were analyzed by one-way ANOVA and Tukey's post hoc test.   Results: The results of the intergroup comparison revealed a significant difference among three groups in the PLIN2 variables (p = 0.037. The results of post hoc test showed a significant increase in PLIN2 in high intensity training diabetic group compared to the control group (p = 0.033 However, there was no significant difference in PLIN2 level in the low exercise group compared to the control group (p = 0.18. Also, there was no significant difference between the low intensity and

A Positive Feedback Process Between Tropical Cyclone Intensity and the Moisture Conveyor Belt Assessed With Lagrangian Diagnostics

Science.gov (United States)

Fujiwara, Keita; Kawamura, Ryuichi; Hirata, Hidetaka; Kawano, Tetsuya; Kato, Masaya; Shinoda, Taro

2017-12-01

Using a cloud-resolving regional model and Lagrangian diagnostics, we assess a positive feedback process between tropical cyclone (TC) intensity and the moisture conveyor belt (MCB), which connects a TC and the Indian Ocean (IO), the South China Sea (SCS), and the Philippine Sea (PS) vapors, from a macroscopic view. We performed sensitivity experiments that modified the observed sea surface temperature field over the IO and the SCS to regulate the MCB behavior, and we examined the remote response of a prototypical TC. The results show that the connection between MCB formation and TC development is very robust, which was also observed in another TC's case. The MCB plays a vital role in transporting lots of moist air parcels toward the TC from the IO, SCS, and PS regions. The transported parcels, which further gained the underlying ocean vapor along the MCB, are easily trapped in the inner core by radial inflow in the atmospheric boundary layer and, subsequently, release latent heat around the eyewall, resulting in the TC's intensifying. This acts to further penetrate the moist parcels of remote ocean origin into the inner core through the enhanced and expanded inflow. An additional experiment suggested that the MCB is not formed unless the westward propagation of equatorial waves induced by TC heating overlaps with the background monsoon westerlies. These findings support the reliability and validity of TC-MCB feedback.

A positive feedback process between tropical cyclone intensity and the moisture conveyor belt assessed with Lagrangian diagnostics

Science.gov (United States)

Fujiwara, K.; Kawamura, R.; Hirata, H.; Kawano, T.

2017-12-01

Using a cloud-resolving regional model and Lagrangian diagnostics, we assess a positive feedback process between tropical cyclone (TC) intensity and the moisture conveyor belt (MCB), which connects a TC and the Indian Ocean (IO), the South China Sea (SCS), and the Philippine Sea vapors, from a macroscopic view. We performed sensitivity experiments that modified the observed sea surface temperature (SST) field over the IO and the SCS to regulate the MCB behavior, and we examined the remote response of a prototypical TC. The results show that the connection between MCB formation and TC development is very robust, which was also observed in another TC's case. The MCB plays a vital role in transporting lots of moist air parcels toward the TC from the remote ocean. The transported parcels are easily trapped in the inner core by radial inflow in the atmospheric boundary layer and, subsequently, release latent heat around the eye wall, resulting in the TC's intensifying. This acts to further penetrate the moist parcels of remote ocean origin into the inner core through the enhanced and expanded inflow. An additional experiment confirmed that the MCB is not formed unless the westward propagation of equatorial Rossby waves induced by TC heating overlaps with the background monsoon westerlies. These findings support the reliability and validity of TC-MCB feedback.

Moral distress among nurses in medical, surgical and intensive-care units.

Science.gov (United States)

Lusignani, Maura; Giannì, Maria Lorella; Re, Luca Giuseppe; Buffon, Maria Luisa

2017-09-01

To assess the frequency, intensity and level of moral distress perceived by nurses working in medical, surgical and intensive care units. Moral distress among nurses compromises their ability to provide optimal patient care and may cause them to leave their job. A cross-sectional questionnaire survey of 283 registered nurses was conducted to evaluate the frequency, intensity and levels of moral distress. A revised version of the Moral Distress Scale (MDS-R) was used. The highest level of moral distress was associated with the provision of treatments and aggressive care that were not expected to benefit the patients and the competency of the health-care providers. Multivariate regression showed that nurses working in medical settings, nurses with lower levels of experience working in medical, surgical or intensive care settings, and nurses who intend to leave their job experienced the highest levels of moral distress. The present study indicates that nurses experience an overall moderate level of moral distress. Gaining further insight into the issue of moral distress among nurses and the clinical situations that most frequently cause this distress will enable development of strategies to reduce moral distress and to improve nurse satisfaction and, consequently, patient care. © 2016 John Wiley & Sons Ltd.

Assessing and developing critical-thinking skills in the intensive care unit.

Science.gov (United States)

Swinny, Betsy

2010-01-01

A lot of resources are spent on the development of new staff in the intensive care unit (ICU). These resources are necessary because the environment in the ICU is complex and the patients are critically ill. Nurses need an advanced knowledge base, the ability to accurately define and change priorities rapidly, good communication and teamwork skills, and the ability to work in a stressful environment in order to succeed and give their patients quality care. Critical thinking helps the nurse to navigate the complex and stressful environment of the ICU. Critical thinking includes more than just nursing knowledge. It includes the ability to think through complex, multifaceted problems to anticipate needs, recognize potential and actual complications, and to expertly communicate with the team. A nurse who is able to think critically will give better patient care. Various strategies can be used to develop critical thinking in ICU nurses. Nurse leaders are encouraged to support the development of critical-thinking skills in less experienced staff with the goal of improving the nurse's ability to work in the ICU and improving patient outcomes.

Dynamic evaluation of seismic hazard and risks based on the Unified Scaling Law for Earthquakes

Science.gov (United States)

Kossobokov, V. G.; Nekrasova, A.

2016-12-01

We continue applying the general concept of seismic risk analysis in a number of seismic regions worldwide by constructing seismic hazard maps based on the Unified Scaling Law for Earthquakes (USLE), i.e. log N(M,L) = A + B•(6 - M) + C•log L, where N(M,L) is the expected annual number of earthquakes of a certain magnitude M within an seismically prone area of linear dimension L, A characterizes the average annual rate of strong (M = 6) earthquakes, B determines the balance between magnitude ranges, and C estimates the fractal dimension of seismic locus in projection to the Earth surface. The parameters A, B, and C of USLE are used to assess, first, the expected maximum magnitude in a time interval at a seismically prone cell of a uniform grid that cover the region of interest, and then the corresponding expected ground shaking parameters. After a rigorous testing against the available seismic evidences in the past (e.g., the historically reported macro-seismic intensity or paleo data), such a seismic hazard map is used to generate maps of specific earthquake risks for population, cities, and infrastructures. The hazard maps for a given territory change dramatically, when the methodology is applied to a certain size moving time window, e.g. about a decade long for an intermediate-term regional assessment or exponentially increasing intervals for a daily local strong aftershock forecasting. The of dynamical seismic hazard and risks assessment is illustrated by applications to the territory of Greater Caucasus and Crimea and the two-year series of aftershocks of the 11 October 2008 Kurchaloy, Chechnya earthquake which case-history appears to be encouraging for further systematic testing as potential short-term forecasting tool.

Intensive glycaemic control for patients with type 2 diabetes: systematic review with meta-analysis and trial sequential analysis of randomised clinical trials

DEFF Research Database (Denmark)

Hemmingsen, Bianca; Lund, Søren; Gluud, Christian Nyfeldt

2011-01-01

To assess the effect of targeting intensive glycaemic control versus conventional glycaemic control on all cause mortality and cardiovascular mortality, non-fatal myocardial infarction, microvascular complications, and severe hypoglycaemia in patients with type 2 diabetes.......To assess the effect of targeting intensive glycaemic control versus conventional glycaemic control on all cause mortality and cardiovascular mortality, non-fatal myocardial infarction, microvascular complications, and severe hypoglycaemia in patients with type 2 diabetes....

On-FarmWelfare Assessment Protocol for Adult Dairy Goats in Intensive Production Systems

Directory of Open Access Journals (Sweden)

Monica Battini

2015-09-01

Full Text Available Within the European AWIN project, a protocol for assessing dairy goats’ welfareon the farm was developed. Starting from a literature review, a prototype includinganimal-based indicators covering four welfare principles and 12 welfare criteria was set up.The prototype was tested in 60 farms for validity, reliability, and feasibility. After testing theprototype, a two-level assessment protocol was proposed in order to increase acceptabilityamong stakeholders. The first level offers a more general overview of the welfare status,based on group assessment of a few indicators (e.g., hair coat condition, latency to thefirst contact test, severe lameness, Qualitative Behavior Assessment, with no or minimalhandling of goats and short assessment time required. The second level starts if welfareAnimals 2015, 5 935problems are encountered in the first level and adds a comprehensive and detailed individualevaluation (e.g., Body Condition Score, udder asymmetry, overgrown claws, supported byan effective sampling strategy. The assessment can be carried out using the AWIN Goatapp. The app results in a clear visual output, which provides positive feedback on welfareconditions in comparison with a benchmark of a reference population. The protocol maybe a valuable tool for both veterinarians and technicians and a self-assessment instrumentfor farmers.

Influence of acute high-intensity aerobic interval exercise bout on selective attention and short-term memory tasks.

Science.gov (United States)

Alves, Christiano R R; Tessaro, Victor H; Teixeira, Luis A C; Murakava, Karina; Roschel, Hamilton; Gualano, Bruno; Takito, Monica Y

2014-02-01

Acute moderate intensity continuous aerobic exercise can improve specific cognitive functions, such as short-term memory and selective attention. Moreover, high-intensity interval training (HIT) has been recently proposed as a time-efficient alternative to traditional cardiorespiratory exercise. However, considering previous speculations that the exercise intensity affects cognition in a U-shaped fashion, it was hypothesized that a HIT session may impair cognitive performance. Therefore, this study assessed the effects of an acute HIT session on selective attention and short-term memory tasks. 22 healthy middle-aged individuals (M age = 53.7 yr.) engaged in both (1) a HIT session, 10 1 min. cycling bouts at the intensity corresponding to 80% of the reserve heart rate interspersed by 1 min. active pauses cycling at 60% of the reserve heart rate and (2) a control session, consisting of an active condition with low-intensity active stretching exercise. Before and after each experimental session, cognitive performance was assessed by the Victoria Version of the Stroop test (a selective attention test) and the Digit Span test (a short-term memory test). Following the HIT session, the time to complete the Stroop "Color word" test was significantly lower when compared with that of the control session. The performances in the other subtasks of the Stroop test as well as in the Digit Span test were not significantly different. A HIT session can improve cognitive function.

Assessment of photoreactivation following ultraviolet light disinfection

International Nuclear Information System (INIS)

Kashimada, K.; Kamiko, N.; Yamamoto, K.; Ohgaki, S.

1996-01-01

Photoreactivation of microorganisms following UV disinfection is one of the research topics of interest in assessing the performance of UV disinfection, because there is little consensus on how the visible light intensity relates to the photoreactivation rate and the maximum survival in wastewater treatment processes. Apparent photoreactivation by a fluorescent lamp was observed in case of indicator bacteria (heterotrophic bacteria, coliform bacteria, fecal coliforms) in raw sewage, but not E. coli B and E. coli K12 A/λ(F+). Inactivation of fecal coliform was observed simultaneously during photoreactivation process by sunlight. Dose rate at 360 nm wave length as visible light intensity showed that it was a useful indicator for assessing the photoreactivation rate and the maximum survival when photoreactivation took place by both fluorescent lamp and sunlight. The model for photoreactivation was developed. The photoreactivation rate increased with increasing visible light intensity at 360 nm. However, the maximum survival value may not be affected by visible light intensity. (author)

Assessment of performance and utility of mortality prediction models in a single Indian mixed tertiary intensive care unit.

Science.gov (United States)

Sathe, Prachee M; Bapat, Sharda N

2014-01-01

To assess the performance and utility of two mortality prediction models viz. Acute Physiology and Chronic Health Evaluation II (APACHE II) and Simplified Acute Physiology Score II (SAPS II) in a single Indian mixed tertiary intensive care unit (ICU). Secondary objectives were bench-marking and setting a base line for research. In this observational cohort, data needed for calculation of both scores were prospectively collected for all consecutive admissions to 28-bedded ICU in the year 2011. After excluding readmissions, discharges within 24 h and age <18 years, the records of 1543 patients were analyzed using appropriate statistical methods. Both models overpredicted mortality in this cohort [standardized mortality ratio (SMR) 0.88 ± 0.05 and 0.95 ± 0.06 using APACHE II and SAPS II respectively]. Patterns of predicted mortality had strong association with true mortality (R (2) = 0.98 for APACHE II and R (2) = 0.99 for SAPS II). Both models performed poorly in formal Hosmer-Lemeshow goodness-of-fit testing (Chi-square = 12.8 (P = 0.03) for APACHE II, Chi-square = 26.6 (P = 0.001) for SAPS II) but showed good discrimination (area under receiver operating characteristic curve 0.86 ± 0.013 SE (P < 0.001) and 0.83 ± 0.013 SE (P < 0.001) for APACHE II and SAPS II, respectively). There were wide variations in SMRs calculated for subgroups based on International Classification of Disease, 10(th) edition (standard deviation ± 0.27 for APACHE II and 0.30 for SAPS II). Lack of fit of data to the models and wide variation in SMRs in subgroups put a limitation on utility of these models as tools for assessing quality of care and comparing performances of different units without customization. Considering comparable performance and simplicity of use, efforts should be made to adapt SAPS II.

Assessment of Postoperative Analgesic Drug Efficacy

DEFF Research Database (Denmark)

Andersen, Lars Peter Kloster; Gögenur, Ismail; Torup, Henrik

2017-01-01

BACKGROUND: Pain intensity ratings and opioid consumption (OC) are ubiquitous indicators of pain in postoperative trials of the efficacy of interventional procedures. Unfortunately, consensus on the appropriate statistical handling of these outcomes has not been reached. The aim of this article was......, therefore, to reexamine original data obtained from a postoperative analgesic drug trial, applying a collection of standard statistical methods in analgesic outcome assessments. Furthermore, a modified integrated assessment method of these outcomes was evaluated. METHODS: Data from a randomized, double...... also included an integrated assessment of longitudinally measured pain intensity and opioid consumption (PIOC0-6/0-24 h). Also, estimation of effect size, generalized odds ratio of the individual analgesic outcome variables was performed. RESULTS: Sixty-one patients were included in the final data...

A probabilistic seismic risk assessment procedure for nuclear power plants: (II) Application

Science.gov (United States)

Huang, Y.-N.; Whittaker, A.S.; Luco, N.

2011-01-01

This paper presents the procedures and results of intensity- and time-based seismic risk assessments of a sample nuclear power plant (NPP) to demonstrate the risk-assessment methodology proposed in its companion paper. The intensity-based assessments include three sets of sensitivity studies to identify the impact of the following factors on the seismic vulnerability of the sample NPP, namely: (1) the description of fragility curves for primary and secondary components of NPPs, (2) the number of simulations of NPP response required for risk assessment, and (3) the correlation in responses between NPP components. The time-based assessment is performed as a series of intensity-based assessments. The studies illustrate the utility of the response-based fragility curves and the inclusion of the correlation in the responses of NPP components directly in the risk computation. ?? 2011 Published by Elsevier B.V.

Intensity Conserving Spectral Fitting

Science.gov (United States)

Klimchuk, J. A.; Patsourakos, S.; Tripathi, D.

2015-01-01

The detailed shapes of spectral line profiles provide valuable information about the emitting plasma, especially when the plasma contains an unresolved mixture of velocities, temperatures, and densities. As a result of finite spectral resolution, the intensity measured by a spectrometer is the average intensity across a wavelength bin of non-zero size. It is assigned to the wavelength position at the center of the bin. However, the actual intensity at that discrete position will be different if the profile is curved, as it invariably is. Standard fitting routines (spline, Gaussian, etc.) do not account for this difference, and this can result in significant errors when making sensitive measurements. Detection of asymmetries in solar coronal emission lines is one example. Removal of line blends is another. We have developed an iterative procedure that corrects for this effect. It can be used with any fitting function, but we employ a cubic spline in a new analysis routine called Intensity Conserving Spline Interpolation (ICSI). As the name implies, it conserves the observed intensity within each wavelength bin, which ordinary fits do not. Given the rapid convergence, speed of computation, and ease of use, we suggest that ICSI be made a standard component of the processing pipeline for spectroscopic data.

Revisiting the case for intensity targets: Better incentives and less uncertainty for developing countries

International Nuclear Information System (INIS)

Marschinski, Robert; Edenhofer, Ottmar

2010-01-01

In the debate on post-Kyoto global climate policy, intensity targets, which set a maximum amount of emissions per GDP, figure as prominent alternative to Kyoto-style absolute emission targets, especially for developing countries. This paper re-examines the case for intensity targets by critically assessing several of its properties, namely (i) reduction of cost-uncertainty, (ii) reduction of 'hot air', (iii) compatibility with international emissions trading, (iv) incentive to decouple carbon emissions and economic output (decarbonization), and, (v) use as a substitute for banking/borrowing. Relying on simple analytical models, it is shown that the effect on cost-uncertainty is ambiguous and depends on parameter values, and that the same holds for the risk of 'hot air'; that the intensity target distorts international emissions trading; that despite potential asymmetries in the choice of abatement technology between absolute and intensity target, the incentive for a lasting transformation of the energy system is not necessarily stronger under the latter; and, finally, that only a well-working intensity target could substitute banking/borrowing to some extent-but also vice versa. Overall, the results suggest that due to the increased complexity and the potentially only modest benefits of an intensity target, absolute targets remain a robust choice for a cautious policy maker.