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Sample records for maculopathy grading system

  1. Classification and treatment of radiation maculopathy.

    LENUS (Irish Health Repository)

    Horgan, Noel

    2012-02-01

    PURPOSE OF REVIEW: Radiation maculopathy is a sight-limiting consequence of radiotherapy in the management of uveal melanoma and other intraocular tumors. In this review, we consider clinical, fluorescein angiographic and optical coherence tomographic findings, propose a classification for radiation maculopathy and discuss the management of this condition. RECENT FINDINGS: Radiation macular edema (RME) can be classified by optical coherence tomography into noncystoid or cystoid edema, with foveolar or extrafoveolar involvement. Optical coherence tomographic grading of RME has been found to correlate with visual acuity. Focal argon laser might have some limited benefit in the treatment of RME. Intravitreal triamcinolone and intravitreal antivascular endothelial growth factor agents can be of short-term benefit in the treatment of RME. In a randomized controlled trial, periocular triamcinolone significantly reduced rates of RME and vision loss up to 18 months following plaque radiotherapy for uveal melanoma. SUMMARY: Currently, there is no proven treatment for established RME, though periocular triamcinolone has been shown to have a preventive benefit. An accepted classification system for radiation maculopathy would be of benefit in planning and comparing future treatment trials.

  2. Common synonymous variants in ABCA4 are protective for chloroquine induced maculopathy (toxic maculopathy)

    OpenAIRE

    Weber, Bernhard H. F.; Bergholz, Richard; Mändl, Julia; Jägle, Herbert; Ruether, Klaus; Grassmann, Felix

    2015-01-01

    Background Chloroquine (CQ) and hydroxychloroquine (HCQ) are used to treat auto-immune related diseases such as rheumatoid arthritis (RA) or systemic lupus erythematosus. Both drugs however can cause retinal toxicity eventually leading to irreversible maculopathy and retinopathy. Established risk factors are duration and dosage of treatment while the involvement of genetic factors contributing to toxic maculopathy is largely unclear. To address the latter issue, this study aimed to expand on ...

  3. STUDY OF ASSOCIATION OF DIABETIC MACULOPATHY WITH HYPERLIPIDEMIA

    Directory of Open Access Journals (Sweden)

    Sivaramareddy

    2015-12-01

    Full Text Available BACKGROUND Diabetic maculopathy is the most common microvascular complication in diabetes, which can produce severe visual loss. Apart from diabetes, a number of systemic factor like hyperlipidemia has an important role in occurrence and progression of Diabetic Macular Edema. Thus control of these factors along with control of blood sugars can prevent or reverse the maculopathy and thereby restore the vision of diabetic patients. OBJECTIVES To study the association of diabetic maculopathy with Hyperlipidemia to highlight the effect of this factor on onset and/or progression of diabetic maculopathy. MATERIALS AND METHODS A cross-sectional comparative study was carried out in 100 diabetic patient with retinopathy more than 18 years attending Department of Ophthalmology. For all patients visual acuity, slit lamp examination, intraocular pressure, fundus examination was conducted. Patients were divided into 2 groups (Group1 - Retinopathy with maculopathy and Group 2 - Retinopathy without maculopathy. A detailed history of duration of diabetes, type of treatment, hyperlipidemia were taken from the patient. The significance of the hyperlipidemia was compared in both the groups involved in the study. RESULTS In the present study of 100 patients diagnosed with diabetic retinopathy, majority were males (54% in study group and 58% in control group by age 51-60 years. In the study group, majority (76% patients had duration of DM>10 years, whereas in control group majority of patients (70% had duration 5-10 years. The mean value of PPBS, HbA1C were significantly higher in study group than in control group. In this study among serum lipids, serum cholesterol, serum triglycerides, VLDL and LDL levels were significantly higher in study group compared to control group. CONCLUSION Diabetic maculopathy was significantly associated with hyperlipidemia. Thus early detection of this risk factor and their control prevent the development and progression of maculopathy

  4. Gleason grading system

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000920.htm Gleason grading system To use the sharing features on this page, ... score of between 5 and 7. Gleason Grading System Sometimes, it can be hard to predict how ...

  5. STUDY OF ASSOCIATION OF DIABETIC MACULOPATHY WITH HYPERTENSION

    Directory of Open Access Journals (Sweden)

    Sivaramareddy

    2015-12-01

    Full Text Available BACKGROUND Diabetic retinopathy is a leading cause of blindness in adults and is unique in displaying a uniform epidemiology profile worldwide. Diabetic maculopathy is the most common microvascular complication in diabetes which can produce severe visual loss. Apart from diabetes, a number of systemic factor like hypertension, has an important role in occurrence and progression of DME. Thus control of these factors along with control of blood sugars can prevent or reverse the maculopathy and there by restore the vision of diabetic patients. OBJECTIVE To study the association of diabetic maculopathy with hypertension and to highlight the effect of this factor on onset and/or progression of diabetic maculopathy. METHODS A cross sectional two group comparative study was carried out in 100 diabetic patients with retinopathy more than 18 years attending the department of ophthalmology (Katuri medical college in the period of September 2012 to April 2014. For all patients, visual acuity with Snellen’s chart, slit lamp examination, intraocular pressure by applanation tonometry, fundus examination with direct, indirect ophthalmoscopy and 90D lens was conducted. Patients were divided into 2 groups (group1-Retinopathy with maculopathy and group 2- retinopathy without maculopathy. A detailed history of duration of diabetes, type of treatment, hypertension, taken from the patient. The significance of the hypertension was compared in both the groups involved in the study. RESULTS In the present study of 100 patients diagnosed with diabetic retinopathy, majority were males (54% in study group and 58% in control group by age 51-60 years. There was no significant difference in the age and gender distribution among two groups. Majority of the patients in the both groups were on treatment with anti-hypertensives (64% in the study group and 74% in control group. In this study, the mean value of SBP and DBP were significantly higher in study group compared to

  6. Dengue maculopathy: a case report.

    Science.gov (United States)

    Tan, S Y; Kumar, G; Surrun, S K; Ong, Y Y

    2007-01-01

    Dengue fever is endemic in many countries of South East Asia. In spite of the occasional epidemics, dengue maculopathy remains a rare entity. A 31-year-old gentleman was admitted with a 6-day history of fever, generalised rash, headache and myalgia after a trip to Malaysia. There were no bleeding manifestations. The lowest platelet count was 71 x 10,000/ml, the haematocrit was 42.7%, and dengue serology was positive. On the 8th day of illness, he complained of bilateral blurred vision. Detailed visual examination showed visual acuity of right eye 6/30 and left eye 6/50. Fundoscopy revealed dilated veins, hyperaemic optic discs, flame and blot haemorrhages, soft exudates and macular ischaemia. After a course of high-dose steroids, the visual acuity as well as colour vision improved markedly. The pathology of maculopathy is not obvious in this case, but an immunological reaction is suspected. There is a risk of residual visual impairment, and there is no definitive treatment. The use of high-dose steroids seemed to improve visual acuity and colour vision. However, it is not known whether immunosuppression improves the prognosis. Time for resolution is from 8 weeks to 4 months. Since there is an increase in the incidence of dengue fever in our region, coupled with rising international travel, one could postulate that global incidence of dengue-related maculopathy may become significant. Ocular complications associated with dengue fever are rare but may result in permanent visual impairment. Dengue fever should be suspected in travellers, particularly those returning from endemic areas, and they should be systematically screened for maculopathy when visual disturbances arise.

  7. Bilateral maculopathy following electrical burn: case report

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    Leandro Dario Faustino

    Full Text Available CONTEXT: Electrical burns are an important etiology in dealing with patients suffering from burns. In situations of extensive deep lesions of multiple organs and systems affecting young and economically active people, there is a need for expensive multidisciplinary treatment, with a high socioeconomic cost for the community. Among the permanent injuries that explain this high cost, eye injuries stand out, since they are widely disabling. Although rare, lesions of the posterior segment of the eye are associated with higher incidence of major sequelae, and thus deserve special attention for dissemination and discussion of the few cases observed.CASE REPORT: The authors report the case of a patient who suffered high-voltage electrical burns and presented bilateral maculopathy, which evolved with a need for a surgical approach to repair retinal detachment and permanent low visual acuity.CONCLUSION: This report highlights the rarity of the etiology of maculopathy and the need for campaigns for prevention not only of burns in general, but also especially of electrical burns.

  8. Maculopathy due to drug inhalation.

    Science.gov (United States)

    Asensio-Sánchez, V M; Gonzalez-Buendia, L; Marcos-Fernández, M

    2014-08-01

    A case of maculopathy due to "poppers" is described. Poppers is a drug composed of various forms of alkyl nitrite. A 39 year-old man, who had been using poppers for years, was seen in the clinic with phosphenes, reduced visual acuity and central scotoma. The SD-OCT in the right eye showed disruption at the level of the IS/OS junction line. The SD-OCT scan in the left eye showed an outer rectangular retinal hole and an outer retinal cyst. Copyright © 2012 Sociedad Española de Oftalmología. Published by Elsevier Espana. All rights reserved.

  9. Psychophysical function in age-related maculopathy.

    LENUS (Irish Health Repository)

    Neelam, Kumari

    2012-02-01

    Age-related macular degeneration (AMD), the late stage of age-related maculopathy (ARM), is the leading cause of blind registration in developed countries. The visual loss in AMD occurs due to dysfunction and death of photoreceptors (rods and cones) secondary to an atrophic or a neovascular event. The psychophysical tests of vision, which depend on the functional status of the photoreceptors, may detect subtle alterations in the macula before morphological fundus changes are apparent ophthalmoscopically, and before traditional measures of visual acuity exhibit deterioration, and may be a useful tool for assessing and monitoring patients with ARM. Furthermore, worsening of these visual functions over time may reflect disease progression, and some of these, alone or in combination with other parameters, may act as a prognostic indicator for identifying eyes at risk for developing neovascular AMD. Lastly, psychophysical tests often correlate with subjective and relatively undefined symptoms in patients with early ARM, and may reflect limitation of daily activities for ARM patients. However, clinical studies investigating psychophysical function have largely been cross-sectional in nature, with small sample sizes, and lack consistency in terms of the grading and classification of ARM. This article aims to comprehensively review the literature germane to psychophysical tests in ARM, and to furnish the reader with an insight into this complex area of research.

  10. PROSPECTIVE NON-RANDOMISED OBSERVATIONAL CASE STUDY DIABETIC MACULOPATHY

    Directory of Open Access Journals (Sweden)

    Sivaraman M

    2017-03-01

    Full Text Available BACKGROUND The epidemiological study of diabetic maculopathy in Indian population for the period of three years duration and study the treatment outcome following laser photocoagulation for various type of diabetic maculopathy. MATERIALS AND METHODS The study was conducted from July 2000 to November 2002 in 96 eyes of 50 patients. Diabetic patients either referred or detected at GOH are taken into study. History regarding onset, duration, family history, drug schedule and dietary habits. Associated systemic factors HT, IHD, renal diseases are recorded. Patients are tested for BCVA using Snellen’s chart, IOP using Goldmann applanation tonometer, slit lamp examination, fundus examination using direct and indirect ophthalmoscope and 90D biomicroscopy. Fundus photography taken using fundus camera. FFA done in all cases. RESULTS 32 patients were above 50 years of age and 18 patients are below 50 years of age. The ratio of male-to-female is 2.85:1 and 92% of patients have bilateral involvement. 28% of patients with maculopathy had diabetes mellitus of 6-10 years duration and 24% of patients had 11-15 years duration. 18.7% cases had clinically significant macular oedema. In FFA study showed 44.8% had focal lesions, 34.4% had diffuse lesions and 28.8% had ischaemic lesions. 76.9% of focal lesions improved with focal photocoagulation and 50% of diffuse lesions improved with grid photocoagulation. CONCLUSION Diabetic maculopathy is the commonest cause of visual loss in patient with diabetic retinopathy. Periodic follow up and examination are necessary to detect the involvement of macula at an earlier stage. Early treatment with photocoagulation can stabilise the visual acuity and prevent visual loss.

  11. The evolving Gleason grading system.

    Science.gov (United States)

    Chen, Ni; Zhou, Qiao

    2016-02-01

    The Gleason grading system for prostate adenocarcinoma has evolved from its original scheme established in the 1960s-1970s, to a significantly modified system after two major consensus meetings conducted by the International Society of Urologic Pathology (ISUP) in 2005 and 2014, respectively. The Gleason grading system has been incorporated into the WHO classification of prostate cancer, the AJCC/UICC staging system, and the NCCN guidelines as one of the key factors in treatment decision. Both pathologists and clinicians need to fully understand the principles and practice of this grading system. We here briefly review the historical aspects of the original scheme and the recent developments of Gleason grading system, focusing on major changes over the years that resulted in the modern Gleason grading system, which has led to a new "Grade Group" system proposed by the 2014 ISUP consensus, and adopted by the 2016 WHO classification of tumours of the prostate.

  12. Automatic screening and classification of diabetic retinopathy and maculopathy using fuzzy image processing.

    Science.gov (United States)

    Rahim, Sarni Suhaila; Palade, Vasile; Shuttleworth, James; Jayne, Chrisina

    2016-12-01

    Digital retinal imaging is a challenging screening method for which effective, robust and cost-effective approaches are still to be developed. Regular screening for diabetic retinopathy and diabetic maculopathy diseases is necessary in order to identify the group at risk of visual impairment. This paper presents a novel automatic detection of diabetic retinopathy and maculopathy in eye fundus images by employing fuzzy image processing techniques. The paper first introduces the existing systems for diabetic retinopathy screening, with an emphasis on the maculopathy detection methods. The proposed medical decision support system consists of four parts, namely: image acquisition, image preprocessing including four retinal structures localisation, feature extraction and the classification of diabetic retinopathy and maculopathy. A combination of fuzzy image processing techniques, the Circular Hough Transform and several feature extraction methods are implemented in the proposed system. The paper also presents a novel technique for the macula region localisation in order to detect the maculopathy. In addition to the proposed detection system, the paper highlights a novel online dataset and it presents the dataset collection, the expert diagnosis process and the advantages of our online database compared to other public eye fundus image databases for diabetic retinopathy purposes.

  13. Bilateral maculopathy associated with Pierre Robin sequence.

    Science.gov (United States)

    Witmer, Matthew T; Vasan, Ryan; Levy, Richard; Davis, Jessica; Chan, R V Paul

    2012-08-01

    Pierre Robin sequence has been associated with a number of ocular complications, including myopia, strabismus, Möbius syndrome, nasolacrimal duct obstruction, glaucoma, cataract, microphthalmos, coloboma of choroid, and retinal detachment. We report a 10-day-old boy who presented with micrognathia, glossoptosis, and cleft palate as well as multiple congenital anomalies. Ophthalmic examination was notable for bilateral maculopathy, with focal areas of retinal and retinal pigment epithelial atrophy. The association of Pierre Robin sequence and maculopathy has been reported only twice previously.

  14. [Traction maculopathies--pathogenesis and diagnostics].

    Science.gov (United States)

    Wylegała, Edward; Woyna-Orlewicz, Anna; Piłat, Jarosław; Teper, Sławomir; Ludyga, Aneta

    2006-01-01

    Traction maculopathies are a group of age-related degenerative diseases characterized by pathology of vitreomacular interface including idiopathic epimacular membranes, vitreomacular traction syndrome and idiopathic macular hole. The disorders develop due to mechanical forces caused by focal condensation or incomplete detachement of vitreous and shrinkage of pathological membranes. The forces can be tangential to retinal surface in epiretinal membranes, anterior-posterior in vitreomacular traction syndrome and oblique (trampoline) in idiopathic macular hole. Authors discuss pathogenesis and diagnostics of traction maculopathies with use of optical coherence tomography and microperimetry, based on current literature. This work presents also idiopathic macular hole classification with use of optical coherence tomography images compared with biomicroscopic classification by Gass.

  15. Computer-aided methods for quantitative assessment of longitudinal changes in retinal images presenting with maculopathy

    Science.gov (United States)

    Soliz, Peter; Wilson, Mark P.; Nemeth, Sheila C.; Nguyen, Phong

    2002-05-01

    This paper presents the results from applying a computer- based methodology for making precise measurements of longitudinal changes in a patient's digital retinal images presenting with age-related macular degeneration. The digital retinal image analysis system applies recognized principles in automatic image segmentation and integrates the automation with a graphical user interface. Drusen, retinal lesions associated with age-related macular degeneration (ARMD), were segmented using a region-growing algorithm. The algorithm calculates the 76 percentile intensity in a region to provide seed points for the neighborhood-growing algorithm. Twenty-one cases were analyzed. Agreement statistics (kappa) were determined by comparing the automated results with those provided from manually derived measurements. Agreement statistics ranged from 0.49 to 0.71 for different regions of the retina. The manual analysis ground truth was performed by trained graders from the University of Wisconsin Reading Center using guidelines found in the Wisconsin Age-Related Maculopathy Degeneration Grading Scheme (WARMGS). Because of the time required, the ophthalmic graders can only grade (size, area, type) the most prominent drusen in specific regions, resulting in a small sampling of drusen lesions in the retina. The computer-based approach allows one to efficiently and comprehensively grade all of the lesions for larger numbers of images. The additional advantage, however, is in the precision and total area that can be graded with the computer-aided technology. Computer-registered longitudinal images produced a precise determination of the temporal changes in the individual lesions. This study has demonstrated a robust segmentation and registration methodology for automatic and semiautomatic detection and measurement of abnormal regions in longitudinal retinal images.

  16. Risk factors for age-related maculopathy.

    LENUS (Irish Health Repository)

    Connell, Paul P

    2012-02-01

    Age-related maculopathy (ARM) is the leading cause of blindness in the elderly. Although beneficial therapeutic strategies have recently begun to emerge, much remains unclear regarding the etiopathogenesis of this disorder. Epidemiologic studies have enhanced our understanding of ARM, but the data, often conflicting, has led to difficulties with drawing firm conclusions with respect to risk for this condition. As a consequence, we saw a need to assimilate the published findings with respect to risk factors for ARM, through a review of the literature appraising results from published cross-sectional studies, prospective cohort studies, case series, and case control studies investigating risk for this condition. Our review shows that, to date, and across a spectrum of epidemiologic study designs, only age, cigarette smoking, and family history of ARM have been consistently demonstrated to represent risk for this condition. In addition, genetic studies have recently implicated many genes in the pathogenesis of age-related maculopathy, including Complement Factor H, PLEKHA 1, and LOC387715\\/HTRA1, demonstrating that environmental and genetic factors are important for the development of ARM suggesting that gene-environment interaction plays an important role in the pathogenesis of this condition.

  17. A Case of Dengue Maculopathy with Spontaneous Recovery

    Directory of Open Access Journals (Sweden)

    Fiona Oi-jing Luk

    2013-06-01

    Full Text Available Purpose: To report a case of dengue maculopathy, which resolved spontaneously without treatment. Methods: A 25-year-old female patient with good past health was admitted to a general hospital in Hong Kong with fever of unknown origin after traveling to Indonesia. Based on the clinical features and a positive real-time polymerase chain reaction for dengue virus type 1, she was diagnosed with dengue fever. The patient developed dengue maculopathy mainly affecting the vision of her left eye. Abnormalities on a multifocal electroretinogram showed bilateral involvement. Results: As there is no proven treatment for dengue maculopathy, the patient opted for observation. Her vision returned to normal within 3 weeks. Conclusion: Dengue maculopathy can cause severe visual loss and may resolve without treatment.

  18. CLINICAL ANALYSIS OF 50 CASES OF DIABETIC MACULOPATHY

    Directory of Open Access Journals (Sweden)

    Arvind Babu C

    2016-07-01

    Full Text Available To study age, incidence, sex incidence and relationship between Diabetic age and Maculopathy, Role of FFA and/or OCT in management. MATERIALS AND METHODS 96 eyes of 50 patients were screened in the OPD. Using slit lamp biomicroscopy, FFA and OCT the relationship between Diabetic age and type of maculopathy was analysed. RESULTS 32 patients were above 50 years of age and 18 less than 50. Ratio of males-to-females was 2.85:1. In our study 92% had bilateral involvement (Asymmetric, 14% with focal type of maculopathy had 6-10 years’ duration; 33% of diffuse had 11-15 years of duration; 30% of ischaemic type had 20-25 years’ duration. CONCLUSION Incidence of diabetic maculopathy was common after 50 years of age and with diabetes of longer duration. FFA is the most important diagnosing tool in classifying type of maculopathy and aids in management. Also focal maculopathy was common in early diabetics, diffuse type and ischaemic type were seen with longer duration of diabetes.

  19. 14-year incidence, progression, and visual morbidity of age-related maculopathy

    DEFF Research Database (Denmark)

    Hesgaard, Helena; Nielsen, Niels V; Vinding, Troels;

    2005-01-01

    To describe the 14-year incidence of age-related maculopathy (ARM) lesions and the related visual loss.......To describe the 14-year incidence of age-related maculopathy (ARM) lesions and the related visual loss....

  20. Spectralis optical coherence tomography findings in Welder′s maculopathy

    Directory of Open Access Journals (Sweden)

    Aniruddha Mahindrakar

    2013-01-01

    Full Text Available Welder′s maculopathy is a form of photochemical damage to the retina and is typically characterized by involvement of the outer retinal layers. Spectral domain optical coherence tomography (SD-OCT imaging was performed in three eyes of two patients with clinical findings suggestive of Welder′s maculopathy in occupational welders. A faceted foveal lesion characterized clinical examination and the SD-OCT line scans images showed a distinct discontinuity of the photoreceptor inner and outer segment (IS/OS junction. The external limiting membrane (ELM and the retinal pigment epithelial (RPE layer remained intact at the site of IS/OS defect. SD-OCT imaging offers a noninvasive way of evaluating the microstructural changes at the fovea in Welder′s maculopathy.

  1. Sunlight and the 10-year incidence of age-related maculopathy: the Beaver Dam Eye Study.

    Science.gov (United States)

    Tomany, Sandra C; Cruickshanks, Karen J; Klein, Ronald; Klein, Barbara E K; Knudtson, Michael D

    2004-05-01

    To examine the association of sunlight exposure and indicators of sun sensitivity with the 10-year incidence of age-related maculopathy (ARM). Population-based cohort study. We included persons aged 43 to 86 years at the baseline examination from 1988 to 1990, living in Beaver Dam, Wis, of whom 3684 persons underwent 5-year follow-up and 2764 underwent 10-year follow-up. Data on sun exposure and indicators of sun sensitivity were obtained from a standardized questionnaire administered at baseline and/or follow-up. We determined ARM status by grading stereoscopic color fundus photographs using the Wisconsin Age-Related Maculopathy Grading System. Incidence and progression of ARM. While controlling for age and sex, we found that participants exposed to the summer sun for more than 5 hours a day during their teens, in their 30s, and at the baseline examination were at a higher risk of developing increased retinal pigment (risk ratio [RR], 2.99; 95% confidence interval [CI], 1.18-7.60; P =.02) and early ARM (RR, 2.20; 95% CI, 1.02-4.73; P =.04) [corrected] by 10 years than those exposed less than 2 hours per day during the same periods. In participants reporting the highest summer sun exposure levels in their teens and 30s, the use of hats and sunglasses at least half the time during the same periods was associated with a decreased risk of developing soft indistinct drusen (RR, 0.55; 95% CI, 0.33-0.90; P =.02) and retinal pigment epithelial depigmentation (RR, 0.51; 95% CI, 0.29-0.91; P =.02). Participants who experienced more than 10 severe sunburns during their youth were more likely than those who experienced 1 or no burn to develop drusen with a 250-microm diameter or larger (RR, 2.52; 95% CI, 1.29-4.94 [corrected] P =.01) by the 10-year examination. No relationships were found between UV-B exposure, winter leisure time spent outdoors, skin sun sensitivity, or number of bad sunburns experienced by the time of the baseline examination and the 10-year incidence and

  2. CURRENT VIEWS OF THE GLEASON GRADING SYSTEM

    Directory of Open Access Journals (Sweden)

    N. A. Gorban

    2014-07-01

    Full Text Available The authors provide the proceedings of the 2005 First International Society of Urological Pathology Consensus Conference and the basic provisions that differ the modified Gleason grading system from its original interpretation. In particular, we should do away with Gleason grade 1 (or 1 + 1 = 2 while assessing the needle biopsy specimens. Contrary to the recommendations by Gleason himself, the conference decided to apply stringent criteria for using Gleason grades 3 and 4. This is due to the fact that these grades are of special prognostic value so it is important to have clear criteria in defining each Gleason grade. Notions, such as secondary and tertiary Gleason patterns, are considered; detailed recommendations are given on the lesion extent sufficient to diagnose these components.

  3. Age-related maculopathy: A genetic and epidemiological approach

    NARCIS (Netherlands)

    J.J.M. Willemse-Assink (Jacqueline)

    2000-01-01

    textabstractIn the 19th century, age-related maculopathy (ARM) was described for the first time as an agerelated abnormality of the macula lutea. ARM consists of a variety of clinical signs, from the early stages with soft distinct drusen, indistinct drusen and pigment alterations up to the late st

  4. Keratoconus: The ABCD Grading System.

    Science.gov (United States)

    Belin, M W; Duncan, J K

    2016-06-01

    To propose a new keratoconus classification/staging system that utilises current tomographic data and better reflects the anatomical and functional changes seen in keratoconus. A previously published normative database was reanalysed to generate both anterior and posterior average radii of curvature (ARC and PRC) taken from a 3.0 mm optical zone centred on the thinnest point of the cornea. Mean and standard deviations were recorded and anterior data were compared to the existing Amsler-Krumeich (AK) Classification. ARC, PRC, thinnest pachymetry and distance visual acuity were then used to construct a keratoconus classification. 672 eyes of 336 patients were analysed. Anterior and posterior values were 7.65 ± 0.236 mm and 6.26 ± 0.214 mm, respectively, and thinnest pachymetry values were 534.2 ± 30.36 µm. The ARC values were 2.63, 5.47 and 6.44 standard deviations from the mean values of stages 1-3 in the AK classification, respectively. PRC staging uses the same standard deviation gates. The pachymetric values differed by 4.42 and 7.72 standard deviations for stages 2 and 3, respectively. A new keratoconus staging incorporates anterior and posterior curvature, thinnest pachymetric values, and distance visual acuity and consists of stages 0-4 (5 stages). The proposed system closely matches the existing AK classification stages 1-4 on anterior curvature. As it incorporates posterior curvature and thickness measurements based on the thinnest point, rather than apical measurements, the new staging system better reflects the anatomical changes seen in keratoconus. Georg Thieme Verlag KG Stuttgart · New York.

  5. Online Interactive Home Work Grading System

    Directory of Open Access Journals (Sweden)

    John JENQ

    2006-08-01

    Full Text Available In recent years, World Wide Web usage for teaching and learning has increased rapidly. At the same time, the traditional paper based grading of home works have also not changed. Recently there have been many researches on automated and intelligent grading. Clearly an online grading system would be a highly desirable addition to the educational tool-kit, particularly if it can provide less costly and more effective outcome. To facilitate the student and faculties in submitting and grading their home works, a new, interactive and adaptable approach has been implemented. The unique feature of this research is to allow the grader to mark over the assignment submitted and to add comments to it. Common errors committed are recorded and is used to recommend the instructor to review certain topics which corresponds to the high error percentage. The system has been developed by making use of free distribution of software products available for the public. Based upon our experience we offer suggestions for improving the system to make it an adaptive system

  6. Online Interactive Home Work Grading System

    Directory of Open Access Journals (Sweden)

    John JENQ

    2006-08-01

    Full Text Available In recent years, World Wide Web usage for teaching and learning has increased rapidly. At the same time, the traditional paper based grading of home works have also not changed. Recently there have been many researches on automated and intelligent grading. Clearly an online grading system would be a highly desirable addition to the educational tool-kit, particularly if it can provide less costly and more effective outcome. To facilitate the student and faculties in submitting and grading their home works, a new, interactive and adaptable approach has been implemented. The unique feature of this research is to allow the grader to mark over the assignment submitted and to add comments to it. Common errors committed are recorded and is used to recommend the instructor to review certain topics which corresponds to the high error percentage. The system has been developed by making use of free distribution of software products available for the public. Based upon our experience we offer suggestions for improving the system to make it an adaptive system

  7. A Machine Vision System for Automatically Grading Hardwood Lumber - (Proceedings)

    Science.gov (United States)

    Richard W. Conners; Tai-Hoon Cho; Chong T. Ng; Thomas H. Drayer; Joe G. Tront; Philip A. Araman; Robert L. Brisbon

    1990-01-01

    Any automatic system for grading hardwood lumber can conceptually be divided into two components. One of these is a machine vision system for locating and identifying grading defects. The other is an automatic grading program that accepts as input the output of the machine vision system and, based on these data, determines the grade of a board. The progress that has...

  8. Dengue Fever-Associated Maculopathy and Panuveitis in Australia.

    Science.gov (United States)

    Ooi, K G-J; Inglis, H; Paramanathan, N; Downie, J A; Hennessy, M P

    2016-01-01

    Purpose. To describe a case of dengue fever-associated maculopathy and panuveitis to raise awareness of these ophthalmic complications of dengue in Australia in the light of recent increasing numbers of outbreaks from equatorial through to tropical Australia. Case Report. A 37-year-old Caucasian Australian male returning from Cambodia presented with a bilateral dengue fever-associated maculopathy with left panuveitis diagnosed clinically and haematologically. Automated perimetry revealed bilateral paracentral scotomas while optical coherence tomography demonstrated the maculopathies to be of the diffuse retinal thickening type in the right eye and acute macular neuroretinopathy (AMN) type in the left eye. He was treated conservatively with only topical steroids and cycloplegia and made a full clinical visual recovery. Conclusion. Our case study underscores the importance of the awareness of the ophthalmic complications of dengue fever as despite their rarity they can be potentially sight threatening. The incidence of these complications is likely to rise in Australia with increased global warming and the distribution of Aedes aegypti into subtropical Australia.

  9. Dengue Fever-Associated Maculopathy and Panuveitis in Australia

    Science.gov (United States)

    Inglis, H.; Paramanathan, N.; Downie, J. A.; Hennessy, M. P.

    2016-01-01

    Purpose. To describe a case of dengue fever-associated maculopathy and panuveitis to raise awareness of these ophthalmic complications of dengue in Australia in the light of recent increasing numbers of outbreaks from equatorial through to tropical Australia. Case Report. A 37-year-old Caucasian Australian male returning from Cambodia presented with a bilateral dengue fever-associated maculopathy with left panuveitis diagnosed clinically and haematologically. Automated perimetry revealed bilateral paracentral scotomas while optical coherence tomography demonstrated the maculopathies to be of the diffuse retinal thickening type in the right eye and acute macular neuroretinopathy (AMN) type in the left eye. He was treated conservatively with only topical steroids and cycloplegia and made a full clinical visual recovery. Conclusion. Our case study underscores the importance of the awareness of the ophthalmic complications of dengue fever as despite their rarity they can be potentially sight threatening. The incidence of these complications is likely to rise in Australia with increased global warming and the distribution of Aedes aegypti into subtropical Australia. PMID:28078150

  10. Angiotensin-converting enzyme inhibitors (ACEIs) and age-related maculopathy (ARM): cross-sectional findings from the Blue Mountains Eye Study.

    Science.gov (United States)

    Wu, Kathy H C; Wang, Jie Jin; Rochtchina, Elena; Foran, Suriya; Ng, Martin K C; Mitchell, Paul

    2004-06-01

    To assess the relationship between the use of angiotensin-converting enzyme inhibitors (ACEIs) and prevalence of age-related maculopathy (ARM). Eligible residents aged >/= 49 years were first examined in 1992-94 (Cross-section 1, n = 3654). Of these, 2335 were re-examined in 1997-99, together with an additional 1174 who became eligible after 1994 (Cross-section 2, n = 3509). Information regarding ACEI use was obtained and retinal photographs were graded using the Wisconsin ARM Grading System. In Cross-section 1, prevalence rates of late and early stage ARM were 1.3% and 4.3% among current ACEI users, and 2.0% and 4.8% among non-current users, respectively. In Cross-section 2, prevalence rates of late and early stage ARM were 2.3% and 11.3% among current ACEI users, and 1.3% and 9.3% among non-current users, respectively. After adjusting for age, sex and smoking, neither survey found any significant association between ACEI use and prevalence of either late or early ARM. No significant cross-sectional associations were found between ACEI use and ARM prevalence in this population.

  11. The Minnesota Grading System Using Fundus Autofluorescence of Eye Bank Eyes: A Correlation To Age-Related Macular Degeneration (An AOS Thesis)

    Science.gov (United States)

    Olsen, Timothy W.

    2008-01-01

    Purpose To establish a grading system of eye bank eyes using fundus autofluorescence (FAF) and identify a methodology that correlates FAF to age-related macular degeneration (AMD) with clinical correlation to the Age-Related Eye Disease Study (AREDS). Methods Two hundred sixty-two eye bank eyes were evaluated using a standardized analysis of FAF. Measurements were taken with the confocal scanning laser ophthalmoscope (cSLO). First, high-resolution, digital, stereoscopic, color images were obtained and graded according to AREDS criteria. With the neurosensory retina removed, mean FAF values were obtained from cSLO images using software analysis that excludes areas of atrophy and other artifact, generating an FAF value from a grading template. Age and AMD grade were compared to FAF values. An internal fluorescence reference standard was tested. Results Standardization of the cSLO machine demonstrated that reliable data could be acquired after a 1-hour warm-up. Images obtained prior to 1 hour had falsely elevated levels of FAF. In this initial analysis, there was no statistical correlation of age to mean FAF. There was a statistically significant decrease in FAF from AREDS grade 1, 2 to 3, 4 (P < .0001). An internal fluorescent standard may serve as a quantitative reference. Conclusions The Minnesota Grading System (MGS) of FAF (MGS-FAF) establishes a standardized methodology for grading eye bank tissue to quantify FAF compounds in the retinal pigment epithelium and correlate these findings to the AREDS. Future studies could then correlate specific FAF to the aging process, histopathology AMD phenotypes, and other maculopathies, as well as to analyze the biochemistry of autofluorescent fluorophores. PMID:19277247

  12. STEADY DISBALANCE ASPECT IN POSITION GRADING SYSTEM

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    Potascheva Galina Anatol’evna

    2016-12-01

    Full Text Available This paper discusses the steady system disbalance from the standpoint of getting resources from the outside and Chaos (Entropy to Order transformation. It has been demonstrated that all live beings and the System reach for steadiness and effectiveness, which are essential properties and qualities of activities. Maintaining such properties and qualities in public life requires continuous life quality improvement of the population. One of the basic measures to ensure the life quality growth is distributing incomes using the Position Grading System.

  13. Comparative evaluation of six cytological grading systems in breast carcinoma

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    Kaushik Saha

    2013-01-01

    Conclusions: Robinson′s grading system is simple, more objective and reproducible, and demonstrated the best concordance with histological grading. So, Robinson′s system should be used routinely for breast carcinoma aspirates.

  14. Cytological grading of breast cancers and comparative evaluation of two grading systems

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    Wani Farooq

    2010-01-01

    Full Text Available Aim: To evaluate and compare the cytograding of breast cancers using Robinson′s and Mouriquand′s grading methods. Materials and Methods: A 5-year retrospective (from Oct 2000 to Sept 2005 and 1-year prospective study (from Oct 2005 to Oct 2006. A total of 110 fine-needle aspiration cytology (FNAC cases of breast cancers were studied. These were graded according to Robinson′s and Mouriquand′s grading methods (grade I-III followed by comparison of the two methods. Results: Of the 110 cases graded according to Robinson′s method, 28 (25.45% cases were grade I, 46 (41.81% grade II, and 36 (32.72% were grade III, whereas using Mouriquand′s grading methods, 28 (25.45%, 42 (38.18%, and 40 (36.36% cases were graded as grade I, II, and III, respectively. A high degree of concordance was observed between the two grading methods (90.9%. A highly significant relationship between the scores obtained by two methods was also observed (P=0.004. Conclusions: A comprehensive cytological grading of breast cancers is possible by using two different methods proposed by Robinson and Mouriquand. In spite of a high degree of concordance between the two methods, the Robinson′s grading system has been found to be easier and better because of more objective set of criteria and easy reproducibility.

  15. [Solar Maculopathy after Watching the Partial Solar Eclipse].

    Science.gov (United States)

    Kristian, P; Timkovič, J; Cholevík, D; Dedek, V

    2015-09-01

    To describe clinical findings in patients with sudden decrease of visual functions according to the solar maculopathy appearance after watching the partial solar eclipse and results of the changes follow-up after 7 weeks. Medical records of five women (6 eyes) with solar maculopathy associated with watching partial solar eclipse on March 20th, 2015 were retrospectively evaluated. The diagnosis of solar maculopathy was established according to the medical history, ophthalmologic examination of the fundus in artificial mydriasis, and confirmed by means of spectral domain optic coherence tomography examination of the macula. The follow-up period of the patients in the study group was 7 weeks. All patients described the presence of relative central scotoma and decrease of the central visual acuity (VA) of different extension in the involved eye. The average best-corrected visual acuity (BCVA) of women in our group was 6/9 (range, 6/6 partially - 6/18). In one patient, the involvement was bilateral, in the other cases the involvement was unilateral. The biomicroscopic examination of the fundus revealed yellowish to yellow-whitish lesions with brightness of the pigment layer in the center of the foveola in all patients. The optic coherence tomography examination of the macula confirmed the irregularities of the retinal pigment layer and photoreceptors outer segment with hyper-reflective focus of the neuroretina in the center of the foveola. During the follow-up period, we recorded improvement of the central visual acuity in all women with unilateral involvement. In the woman with bilateral retinal involvement, the best-corrected visual acuity of the right eye remains without any improvement. The optic coherence tomography examination after 7 weeks shows regression of the findings in three eyes. In all other cases, slight structural changes in the center of the macula persist.

  16. Bilateral maculopathy in a patient with ataxia telangiectasia.

    Science.gov (United States)

    Gioia, Lauren V; Bonsall, Dean; Moffett, Kathryn; Leys, Monique

    2016-02-01

    We report a case of toxoplasmosis with bilateral maculopathy in a 7-year-old boy diagnosed with ataxia telangiectasia (AT) at age 6. AT manifests as ataxia, apraxia, telangiectasia, and dysarthria. Common ophthalmologic findings in AT include fine conjunctival telangiectasia. Patients also suffer from recurrent sinopulmonary infections; however, serious opportunistic infection is rarely diagnosed. At 8 years of age he developed disseminated Toxoplasma gondii (toxoplasmosis) infection and meningoencephalitis. This ophthalmologic finding and the subsequent toxoplasmosis meningoencephalitis have not been previously reported in AT. Copyright © 2016 American Association for Pediatric Ophthalmology and Strabismus. Published by Elsevier Inc. All rights reserved.

  17. [Unilateral Solar Maculopathy after Gazing at Solar Eclipse].

    Science.gov (United States)

    Mehlan, J; Linke, S J; Wagenfeld, L; Steinberg, J

    2016-06-01

    A 43-year-old male patient with unilateral metamorphosia presented after gazing at an eclipse with only one eye. Damage of the macula was demonstrated funduscopically, with OCT and angiography. Six weeks after initial presentation and oral methylprednisolone therapy (40 mg/d for 10 days), the symptoms and the morphological changes decreased. Solar retinopathy is a photochemical alteration of the retina, usually seen after sun gazing. In younger patients, it mostly presents as bilateral solar maculopathy. Some patients exhibit partial or total recovery.

  18. Comparative evaluation of various cytomorphological grading systems in breast carcinoma

    Directory of Open Access Journals (Sweden)

    P Arul

    2016-01-01

    Full Text Available Background: The diagnosis of breast carcinoma can be reliably made by fine needle aspiration cytology (FNAC. Grading usually done in histological samples for the selection of therapy but not in cytology. Various cytological grading systems have been proposed; however, none of them is presently considered the gold standard to predict the prognosis. Aim: This study was undertaken to evaluate various 3-tier cytological grading systems and to determine the best possible system corresponds to the histological grading proposed by Elston and Ellis based on the method by Nottingham modification of Scarff-Bloom-Richardson (SBR method. Materials and Methods: In this retrospective study, 94 cases of breast carcinoma FNACs were graded using six cytological grading systems and compared with SBR method. Concordance, association, and correlation studies were done to select best possible cytological grading system. The interobserver reproducibility among the six grading systems was also assessed. Results: Robinson method showed best correlation (r = 0.801; P = 0.0001 and t = 0.783; P = 0.0001, maximum percent agreement (83/94 cases; 88.3%, and a substantial kappa value of agreement (k = 0.737 with the Nottingham modification of SBR grading system followed by Mouriguand method. Taniguchi system showed better interobserver agreement (87.2%; k= 0.738. Conclusions: This study showed that all six cytological grading systems correlated positively with SBR method. However, Robinson's grading system demonstrated the best concordance, correlation, and substantial Kappa value of the agreement with the histological grading by SBR method in comparison to other 3-tier cytological grading systems. Hence, in conclusion, this grading should be routinely incorporated in the cytology reports as it correlates well with histological grade. Despite various cytological grading systems, Robinson's method is simple, more objective, and reproducible, hence being preferable for routine

  19. Design of the Urban Land Grading Information System

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    This paper discusses the urban land grading system based on the selfdeveloped GIS software.The system establishes the system template,the relevant data structure and the empirical formulas of the affecting factor and economic data of land use.Besides,the system can calculate the service radius,sum and land grade automatically.Furthermore,it can do statistics and query on various land information and show the result of land grading with spatial and attribute data.This paper illustrates the result by giving an example of the commercial land grading of the urban area of Wuhan City by the urban land grading system.

  20. The Origin of Subretinal Fluid in Optic Disc Pit Maculopathy.

    Science.gov (United States)

    Türkçüoğlu, Peykan; Taskapan, Cagtay

    2016-03-01

    A surgical approach for the drainage of fluid leaking over the pit in optic disc pit maculopathy is described, and a theory of the origin of fluid is discussed. In two cases, complete fluid-air exchange was performed. The air infusion pressure was decreased to 5 mm Hg, and the collected fluid was drained by raising the infusion pressure to 25 mm Hg. The fluid inside the back-flush needle was routed via a microcentrifuge tube. Biochemical analyses of the fluids were conducted in order to find their origin. Results of the first and second case were comparable to normal cerebrospinal fluid (CSF) levels (chloride: 125 mmol/L, 122 mmol/L; sodium: 146 mmol/L, 147 mmol/L; potassium: 2.8 mmol/L, 3.0 mmol/L; protein: 29 mg/dL, 18.4 mg/ dL; and glucose: 60 mg/dL, 57 mg/dL, respectively). These findings suggest that the origin of subretinal fluid found in the submacular space in optic disc pit maculopathy is CSF.

  1. Development of an automatic visual grading system for grafting seedlings

    Directory of Open Access Journals (Sweden)

    Subo Tian

    2017-01-01

    Full Text Available In this study, a visual grading system of vegetable grafting machine was developed. The study described key technology of visual grading system of vegetable grafting machine. First, the contrasting experiment was conducted between acquired images under blue background light and natural light conditions, with the blue background light chosen as lighting source. The Visual C++ platform with open-source computer vision library (Open CV was used for the image processing. Subsequently, maximum frequency of total number of 0-valued pixels was predicted and used to extract the measurements of scion and rootstock stem diameters. Finally, the developed integrated visual grading system was experimented with 100 scions and rootstock seedlings. The results showed that success rate of grading reached up to 98%. This shows that selection and grading of scion and rootstock could be fully automated with this developed visual grading system. Hence, this technology would be greatly helpful for improving the grading accuracy and efficiency.

  2. [The WHO/ISUP grading system for renal carcinoma].

    Science.gov (United States)

    Moch, H

    2016-07-01

    Histological tumor grading is an accepted prognostic parameter of renal cell carcinoma (RCC). In 2012, the International Society of Urologic Pathologists (ISUP) proposed a novel grading system for RCC, mainly based on the evaluation of nucleoli: grade 1 tumors have nucleoli that are inconspicuous and basophilic at ×400 magnification; grade 2 tumors have nucleoli that are clearly visible at ×400 magnification and eosinophilic; grade 3 tumors have clearly visible nucleoli at ×100 magnification; and grade 4 tumors have extreme pleomorphism or rhabdoid and/or sarcomatoid morphology. This grading system was validated for clear cell renal cell carcinoma and papillary renal cell carcinoma. At the same time, the ISUP proposed not grading chromophobe renal cell carcinomas according to this system. At a consensus conference in Zurich the World Health Organization (WHO) recommended the ISUP grading system; thus, the WHO/ISUP grading system is now going to be implemented internationally. The ISUP/WHO grading system has not been validated as a prognostic parameter for other tumor subtypes, but can be used for descriptive purposes.

  3. Blood pressure, atherosclerosis, and the incidence of age-related maculopathy: the Rotterdam Study

    NARCIS (Netherlands)

    R. van Leeuwen (Redmer); M.K. Ikram (Kamran); J.R. Vingerling (Hans); J.C.M. Witteman (Jacqueline); P.T.V.M. de Jong (Paulus); A. Hofman (Albert)

    2003-01-01

    textabstractPURPOSE: To determine whether blood pressure and subclinical atherosclerosis are associated with incident age-related maculopathy (ARM). METHODS: The study was performed within the Rotterdam Study, a population-based, prospective cohort study in Rotterdam, The Netherlan

  4. Topiramate-induced maculopathy in IgG4-related disease

    Directory of Open Access Journals (Sweden)

    DaCosta J

    2016-06-01

    Full Text Available Joanna DaCosta,1,2 Saad Younis1 1Ophthalmology Department, Imperial College Healthcare NHS Trust, Western Eye Hospital, 2Barts Health NHS Trust, Whipps Cross University Hospital, London, UK Abstract: This report describes a case of reversible topiramate-induced maculopathy in a 32-year-old female patient with IgG4-related disease. The patient presented with decreased vision associated with anterior uveitis and cystoid macula edema, which was unresponsive to oral and topical steroids. Following topiramate cessation, both cystoid macula edema and vision improved. The ocular side effects of topiramate and putative pharmacological mechanisms for topiramate-induced maculopathy in the context of IgG4-related disease are discussed. This report highlights that neurologists and ophthalmologists should be aware that patients presenting with topiramate-associated maculopathy should be advised to discontinue topiramate promptly to prevent irreversible loss of vision. Keywords: IgG4 disease, maculopathy, topiramate

  5. Histologic grading of urothelial papillary neoplasms: impact of combined grading (two-numbered grading system) on reproducibility.

    Science.gov (United States)

    Tuna, Burçin; Yörükoglu, Kutsal; Düzcan, Ender; Sen, Sait; Nese, Nalan; Sarsık, Banu; Akder, Aysegul; Sayhan, Sehnaz; Mungan, Uğur; Kirkali, Ziya

    2011-06-01

    The clinical management of tumor patients is often strongly influenced by the tumor grade. The presence of heterogeneity is well recognized in a variety of tumors. Overall grade is based on highest grade area identified within a tumor. Urothelial carcinoma often contains different histological grades within the same tumor. This study investigates the impact of a combined grading system on the reproducibility of papillary urothelial neoplasms. A set prepared for an earlier study consisting of ten cases of each category (papillary urothelial neoplasm of low malignant potential (PUNLMP), LGPUC, and HGPUC) was used. Agreement between pairs of pathologists was evaluated using κ statistics for the combined scoring system. Interobserver agreement was fair to substantial as reflected by κ values ranging from 0.24 to 0.74 (mean κ = 0.43). The combined scores of 2 and 3 which included PUNLMP showed the lowest degree of agreement and when this category was excluded from the analysis, interobserver agreement increased significantly (mean κ = 0.65; ranging from 0.43 to 0.92) in terms of combined scores of 4, 5, and 6. PUNLMP has been shown to be the least reproducible component of a combined scoring system even among experienced observers. Exclusion of PUNLMP from grading scheme seems to improve interobserver variability.

  6. Phototoxic maculopathy induced by quartz infrared heat lamp

    Science.gov (United States)

    Zheng, Xinhua; Xie, Ping; Hu, Zizhong; Zhang, Weiwei; Liang, Kang; Wang, Xiuying; Liu, Qinghuai

    2017-01-01

    Abstract Rationale: A large proportion of the output of quartz infrared heat lamps is emitted as infrared radiation (IR). Retinal damage induced by IR-A and visible light on arc welders has been reported. However, case reports of retinal damage caused by quartz infrared heat lamps are rare. To the best of our knowledge, this is the first reported case of phototoxic maculopathy induced by quartz infrared heat lamps. Patient concerns: We report a female with a 1-month history of progressive blurred vision and dysmorphopsia in her right eye after improper staring at the tubes of a quartz infrared heater. Her best corrected visual acuity of the right eye was 20/32. Optical coherence tomography revealed a defect from the ellipsoid zone to retinal pigment epithelium (RPE)/Bruch's complex layer with a diameter of 360mmat its widest. P1 amplitudes in the two central concentric rings were reduced as assessed by multifocal electroretinography. Diagnoses: The patient was diagnosed with phototoxic maculopathy. Interventions: The patient was advised to cease all exposure to the infrared heater and was treated with peribulbar injections of methylprednisolone, oral Pancreatic Kininogenase, and oral Mecobalamin. Outcomes: Ten months later, her BCVA improved to 20/20. All examination results returned to normal except for a small residual defect in the interdigitation zone and RPE/Bruch's complex layer in her optical coherence tomography. Lessons: Light emitted by quartz infrared heat lamps may cause damage to the retina through photothermal and photochemical means. The public is insufficiently aware of the hazard potential of infrared heat lamps and other IR-A sources on human retina. PMID:28099337

  7. A systems biology approach to study high-grade osteosarcoma

    NARCIS (Netherlands)

    Kuijjer, Marieke Lydia

    2013-01-01

    High-grade osteosarcoma is a primary bone tumor with complex genetic alterations, for which targeted therapy is lacking. The aim of this thesis was to use high-throughput molecular data analysis of high-grade osteosarcoma specimens and model systems, in order to learn more on osteosarcomagenesis and

  8. A systems biology approach to study high-grade osteosarcoma

    NARCIS (Netherlands)

    Kuijjer, Marieke Lydia

    2013-01-01

    High-grade osteosarcoma is a primary bone tumor with complex genetic alterations, for which targeted therapy is lacking. The aim of this thesis was to use high-throughput molecular data analysis of high-grade osteosarcoma specimens and model systems, in order to learn more on osteosarcomagenesis and

  9. Vitrectomy for optic disc pit-associated maculopathy with or without preoperative posterior vitreous detachment

    Directory of Open Access Journals (Sweden)

    Haruta M

    2012-08-01

    Full Text Available Masatoshi Haruta, Rika Kamada, Yumi Umeno, Ryoji YamakawaDepartment of Ophthalmology, Kurume University School of Medicine, Kurume, Fukuoka, JapanBackground: The purpose of this study was to evaluate the efficacy of pars plana vitrectomy for the treatment of optic disc pit-associated maculopathy with or without preoperative posterior vitreous detachment.Methods: We reviewed the clinical records of four consecutive patients who underwent pars plana vitrectomy in one eye for the treatment of optic disc pit-associated maculopathy, with an emphasis on the preoperative condition of the posterior hyaloid membrane.Results: Two of four eyes were confirmed to have an attached posterior hyaloid membrane, which was subsequently removed during surgery. Following vitrectomy, these two eyes experienced an improvement in visual acuity with complete retinal attachment of the macula. However, the other two eyes, which already had a posterior vitreous detachment at the time of surgery, showed a decrease in visual acuity with persistent maculopathy postoperatively.Conclusion: Pars plana vitrectomy for optic disc pit-associated maculopathy was beneficial for improving visual acuity in two eyes without preoperative posterior vitreous detachment but not in two eyes with preoperative posterior vitreous detachment. Our study suggests that preoperative assessment of a posterior hyaloid membrane is clinically important in predicting the surgical outcome of optic disc pit-associated maculopathy.Keywords: gas tamponade, internal limiting membrane, macular hole, optical coherence tomography, posterior hyaloid membrane, retinal detachment

  10. The use of optical coherence tomography to aid in diagnosing solar maculopathy.

    Science.gov (United States)

    Suhr, Christopher L; Buffano, Roxanne M; Sellers, Angela

    2011-08-01

    Solar maculopathy is most commonly diagnosed after the direct viewing of solar eclipses. The damage to the retina is located in the outer segments of photoreceptors and in the retinal pigmentary epithelium. It may be acceptable to use optical coherence tomography (OCT) to identify retinal damage caused by the sun. Here we describe a case of a patient who reported with a mild decrease in best-corrected visual acuities. Dilated examination found macular changes that were present in both eyes resembling solar maculopathy. OCT was utilized to aid in the diagnosis of solar maculopathy. With the large number of individuals who spend their time in the sun, a practitioner should consider the possible repercussions of this activity. We are all aware of the damage that the sun can cause to the skin and, as in the case of cataracts, its effects on the eye. In cases in which macular changes are noted we should consider the possibility of solar maculopathy. As is in the case presented here, OCT may be an effective means of assessing the maculopathy. Published by Elsevier Inc.

  11. Grading system modification and management of blunt aortic injury

    Institute of Scientific and Technical Information of China (English)

    Kaavya N Reddy; Tim Matatov; Linda D Doucet; Maureen Heldmann; Cynthia X Zhao; Wayne W Zhang

    2013-01-01

    Background The traditional approach to blunt aortic injury (BAI) has been emergent intervention.This study aimed to utilize a modified imaging grading system that may allow us to categorize these injuries as needing emergent,urgent,or non-operative management.Methods From January 2003 to December 2011,28 patients with BAI were managed at our institution.Imaging and medical records were reviewed retrospectively.BAI was classified into 4 grades based on imaging studies.Grade la:intimal tear,Grade Ⅰb:intramural hematoma; Grade Ⅱ:intimal injury with periaotic hematoma; Grade lia:aortic transection with pseudoaneurysm,Grade Ⅲb:multiple aortic injuries; and Grade Ⅳ:free rupture.Progression and clinical outcomes of ABI were analyzed.Results Of the 28 patients,22 were males and 6 were females with mean age of 38 (range,7--69) years.Twenty-five (89.3%) had descending thoracic aortic injury,two (7.1%) had abdominal aortic injury and one (3.6%) presented with multiple aortic injuries.Three patients (10.7%) with Grade Ⅰ,1 (3.6%) Grade Ⅱ,22 (78.6%) Grade Ⅲ,and 2 (7.1%) Grade Ⅳ injuries.Twenty-five patients underwent thoracic endovascular aortic repair and 3 were managed medically.Median time between injury and surgical intervention was (2±1) days.One (3.6%) patient developed paraplegia after thoracic endovascular aortic repair (TEVAR).One Type 2 endoleak spontaneously sealed within 1 month,and another patient died from ruptured Type 1 endoleak 3 years later.Median follow-up time was 16 (range,1-96) months.Perioperative 30-day mortality rate was 3.6%.Conclusions This study based on our modified BAI grading system indicated that Grade Ⅰ BAI can be managed conservatively.Grade Ⅱ injury requires close observation and repeated computerized tomography angiogram (CTA)within 48-72 hours.If injury appears worse on follow up imaging,surgery should be performed.Delayed repair of Grade Ⅲ BAI is acceptable if associated life threatening traumatic

  12. A practical grading system of ultrasonographic visibility for intracerebral lesions.

    Science.gov (United States)

    Mair, Richard; Heald, James; Poeata, Ion; Ivanov, Marcel

    2013-12-01

    Intraoperative ultrasound for intracranial neurosurgery was largely abandoned in the 1980s due to poor image resolution. Despite many technological advances in ultrasound since then, the use of this imaging modality in contemporary practice remains limited. Our aim was to evaluate the utility of modern intraoperative ultrasound in the resection of a wide variety of intracranial pathologies. A total of 105 patients who underwent intracranial lesion resection in a contiguous fashion were prospectively included in the study. Ultrasound images acquired intraoperatively were used to stratify lesions into one of four grades (grades 0-3) on the basis of their ultrasonic echogenicity and border visibility. Forty-two out of 105 lesions (40 %) were clearly identifiable and had a clear border with normal tissue (grade 3). Fifty-five of 105 lesions (52 %) were clearly identifiable but had no clear border with normal tissue (grade 2). Eight of 105 lesions (8 %) were difficult to identify and had no clear border with normal tissue (grade 1). None (0 %) of the lesions could not be identified (grade 0). High-grade gliomas, cerebral metastases, meningiomas, ependymomas, and haemangioblastomas all demonstrated a median ultrasonic visibility grade of 2 or greater. Low-grade astrocytomas and oligodendrogliomas demonstrated a median ultrasonic visibility grade of 2 or less. Intraoperative ultrasound can be of tremendous benefit in allowing the surgeon to appraise the location, extent, and local environment of their target lesion, as well as to reduce the risk of preventable complications. We believe that our grading system will provide a useful adjunct to the neurosurgeon when deciding for which lesions intraoperative ultrasound would be useful.

  13. A new MRI grading system for chondromalacia patellae.

    Science.gov (United States)

    Özgen, Ali; Taşdelen, Neslihan; Fırat, Zeynep

    2017-04-01

    Background Chondromalacia patellae is a very common disorder. Although magnetic resonance imaging (MRI) is widely used to investigate patellar cartilage lesions, there is no descriptive MRI-based grading system for chondromalacia patellae. Purpose To propose a new MRI grading system for chondromalacia patellae with corresponding high resolution images which might be useful in precisely reporting and comparing knee examinations in routine daily practice and used in predicting natural course and clinical outcome of the patellar cartilage lesions. Material and Methods High resolution fat-saturated proton density (FS PD) images in the axial plane with corresponding T2 mapping images were reviewed. A detailed MRI grading system covering the deficiencies of the existing gradings has been set and presented on these images. Two experienced observers blinded to clinical data examined 44 knee MR images and evaluated patellar cartilage changes according to the proposed grading system. Inter- and intra-rater validity testing using kappa statistics were calculated. Results A descriptive and detailed grading system with corresponding FS PD and T2 mapping images has been presented. Inter-rater agreement was 0.80 (95% confidence interval [CI], 0.71-0.89). Intra-rater agreements were 0.83 (95% CI, 0.74-0.91) for observer A and 0.79 (95% CI, 0.70-0.88) for observer B (k-values). Conclusion We present a new MRI grading system for chondromalacia patellae with corresponding images and good inter- and intra-rater agreement which might be useful in reporting and comparing knee MRI examinations in daily practice and may also have the potential for using more precisely predicting prognosis and clinical outcome of the patients.

  14. Susceptibility to advanced age-related macular degeneration and alleles of complement factor H, complement factor B, complement component 2, complement component 3, and age-related maculopathy susceptibility 2 genes in a Mexican population

    Science.gov (United States)

    Buentello-Volante, Beatriz; Rodriguez-Ruiz, Gabriela; Miranda-Duarte, Antonio; Pompa-Mera, Ericka N.; Graue-Wiechers, Federico; Bekker-Méndez, Carolina; Ayala-Ramirez, Raul; Quezada, Carlos; Rodríguez-Loaiza, Jose L.

    2012-01-01

    Purpose To investigate the association of age-related macular degeneration (AMD)–high risk alleles of the complement factor H (CFH), complement factor B (CFB), complement component 2 (C2), complement component 3 (C3), and age-related maculopathy susceptibility 2 (ARMS2) genes in a Mexican population for the first time. Methods Genotyping was performed for the Y402H variant of CFH, for the L9H, R32Q, and K565E variants of CFB, the E318D variant of C2, the A69S variant of ARMS2, and the R102G variant of C3 in 159 Mexican mestizo patients at advanced stages of AMD, i.e., CARMS (Clinical Age-Related Maculopathy Staging System) grade 4 or 5. The frequency of these variants was also investigated in a group of 152 control subjects without AMD. Genomic DNA was extracted from blood leukocytes, and genotyping was performed using PCR followed by direct sequencing. Allele-specific restriction enzyme digestion was used to detect the R102G polymorphism in C3. Results There were significant differences in the allelic distribution between the two groups for CFH Y402H (p=1×10−5), ARMS A69S (p=4×10−7), and CFB R32Q (p=0.01). The odds ratios (95% confidence interval) obtained for the risk alleles of these three variants were 3.8 (2.4–5.9), 3.04 (2.2–4.3), and 2.5 (1.1–5.7), respectively. Haplotype analysis including the two most significantly associated alleles (CFH Y402H and ARMS A69S) indicated that the C-T combination conferred an odds ratio (95% confidence interval) of 6.9 (3.2–14.8). The exposed attributable risk for this particular haplotype was 85.5%. Conclusions This is the first case-control investigation of AMD–high risk alleles in a Latino population. Our results support that CFH, ARMS2, and CFB AMD-risk alleles are consistently associated with the disease, even in ethnic groups with a complex admixture of ancestral populations such as Mexican mestizos. PMID:23112567

  15. Prevalence of age-related maculopathy in older Europeans: The European Eye Study (EUREYE)

    NARCIS (Netherlands)

    C. Augood (Cristina); J.R. Vingerling (Hans); P.T.V.M. de Jong (Paulus); U. Chakravarthy (Usha); J.H. Seland (Johan ); G. Soubrane; L. Tomazzoli (Laura); F. Topouzis (Fotis); G.C. Bentham (Graham ); M. Rahu; J. Vioque (Jesus); I.S. Young (Ian ); A.E. Fletcher (Astrid E.)

    2006-01-01

    textabstractObjective: To estimate the prevalence of age-related maculopathy in an older population from 7 European countries. Methods: Randomly sampled people 65 years and older were invited to an eye examination in centers across 7 European countries (Norway, Estonia, United Kingdom, France, Italy

  16. Early Swept-Source Optical Coherence Tomography Angiography Findings in Unilateral Acute Idiopathic Maculopathy.

    Science.gov (United States)

    Nicolo, Massimo; Rosa, Raffaella; Musetti, Donatella; Musolino, Maria; Traverso, Carlo Enrico

    2016-02-01

    Unilateral acute idiopathic maculopathy (UAIM) is a rare disorder presenting in young people with an acute onset of unilateral central visual loss often associated with a prodromal flu-like illness. The authors present the early anatomical findings of a 35-year-old man clinically diagnosed with UAIM using swept-source optical coherence tomography (SS-OCT) and SS-OCT angiography.

  17. Maculopatia tóxica por cloroquina Chloroquine toxic maculopathy

    Directory of Open Access Journals (Sweden)

    Nikias Alves da Silva

    2009-06-01

    Full Text Available O fosfato de cloroquina é uma droga largamente utilizada no tratamento de doenças crônicas de autoagressão, mais comumente no controle da artrite reumatóide, do lupus eritematoso discóide ou disseminado, da porfiria cutânea, da urticária solar e outras afecções dermatológicas. Embora a incidência de toxicidade retiniana por esta droga seja baixa, mesmo com o emprego da dose máxima recomendada, sua ocorrência tem grande relevância por acometer a região macular com importante e irreversível comprometimento visual. Trata-se no presente caso de uma paciente de 44 anos, portadora de artrite reumatóide há 19 anos, que fez uso de fosfato de cloroquina na dose de 250 mg/dia durante dois períodos de 4 e 3 anos, intercalados por um período de 8 anos em que usou methotrexate. Ao final do segundo período de uso da cloroquina, foi observada a maculopatia, a partir de quando a droga foi definitivamente substituída por methotrexate e prednisona. Por seu caráter típico e conspícuo, a maculopatia em questão se presta muito bem para ilustrar os achados dos principais métodos propedêuticos que devem ser empregados para caracterizá-la, inclusive a tomografia de coerência óptica.Chloroquine phosphate is widely used for the treatment of chronic autoimune diseases, most commonly rheumatoid arthritis, discoid or disseminated lupus erythematous, light sensitivity eruptions as well as other dermatologic affections. Although the incidence of retinal toxicity by this drug is low even with the maximally recomended dose, its occurrence is relevant because it damages the macula with an important and irreversible visual impairment. A 44-year-old white female patient who had suffered from rheumatoid arthritis for about 19 years had been under treatment with chloroquine phosphate in the daily dose of 250 mg during two periods of 4 and 3 years, intercalated by an 8-year period of methotrexate usage. At the end of the 3-year period, a maculopathy

  18. Lumber Grading With A Computer Vision System

    Science.gov (United States)

    Richard W. Conners; Tai-Hoon Cho; Philip A. Araman

    1989-01-01

    Over the past few years significant progress has been made in developing a computer vision system for locating and identifying defects on surfaced hardwood lumber. Unfortunately, until September of 1988 little research had gone into developing methods for analyzing rough lumber. This task is arguably more complex than the analysis of surfaced lumber. The prime...

  19. Optical coherence tomography findings and retinal changes after vitrectomy for optic disc pit maculopathy

    Directory of Open Access Journals (Sweden)

    Gaurav Sanghi

    2014-01-01

    Full Text Available Purpose : To study the optical coherence tomography (OCT patterns in optic disc pit maculopathy and retinal changes after vitreous surgery. Materials and Methods : Retrospective review of consecutive cases with optic disc pit maculopathy seen at two tertiary eye institutes from January 2005 to June 2009. Results : Twenty-four eyes of 23 patients are included. The presenting visual acuity ranged from 20/400 to 20/20 (median:20/80. The median age at presentation was 24 years (range, 6-57 years. Optical coherence tomography demonstrated a combination of retinoschisis and outer layer detachment (OLD in 19 (79.17% eyes, OLD only in 3 (12.5% eyes and retinoschisis only in 2 (8.33% eyes. An obvious communication (outer layer hole between the schisis and OLD was seen in 14 (73.68% of the 19 eyes with both features. Of the 21 eyes with retinoschisis, schisis was present in multiple layers in 15 (71.43% and single layer in 6 (28.57% eyes. Eleven eyes underwent pars plana vitrectomy including creation of posterior vitreous detachment (PVD, fluid-air exchange, low intensity laser photocoagulation at the temporal edge of the optic disc pit and non-expansile perfluoropropane gas (14% injection. Five (45.45% of 11 eyes undergoing vitrectomy had complete resolution and 4 (36.36% eyes had partial resolution of maculopathy. Visual acuity improved in 8 (72.72% of 11 eyes. Conclusion : Optical coherence tomography demonstrates multiple layer schisis and outer layer detachment as main features of optic disc pit maculopathy. Vitrectomy with PVD induction, laser photocoagulation and gas tamponade results in anatomical and visual improvement in most cases with optic disc pit maculopathy.

  20. Groups graded by root systems and property (T)

    Science.gov (United States)

    Ershov, Mikhail; Jaikin-Zapirain, Andrei; Kassabov, Martin; Zhang, Zezhou

    2014-01-01

    We establish property (T) for a large class of groups graded by root systems, including elementary Chevalley groups and Steinberg groups of rank at least 2 over finitely generated commutative rings with 1. We also construct a group with property (T) which surjects onto all finite simple groups of Lie type and rank at least two. PMID:25425669

  1. Facial Grading System: Physical and Psychological Impairments to Be Considered

    Institute of Scientific and Technical Information of China (English)

    ZHAI Meng-yao; FENG Guo-dong; GAO Zhi-qiang

    2008-01-01

    In the past half century, more than twenty facial grading systems have been developed to assess the facial nerve function after the onset of facial nerve paralysis and during rehabilitation. Patients' selfevaluation on disability caused by facial paralysis and its impact on quality of life are also useful information in planning treatment strategies and defining outcomes.

  2. Modifying the Medical Research Council grading system through Rasch analyses

    NARCIS (Netherlands)

    E.K. Vanhoutte (Els); C.G. Faber (Carin); S.I. van Nes (Sonja); B.C. Jacobs (Bart); P.A. van Doorn (Pieter); R. van Koningsveld (Rinske); D.R. Cornblath (David); A.J. Kooj (Anneke); E.A. Cats (Elisabeth); L.H. van den Berg (Leonard); N.C. Notermans (Nicolette); W.L. van der Pol (Ludo); M.C.E. Hermans; N.A.M.E. van der Beek (Nadine); K.C. Gorson (Kenneth); M. Eurelings (Marijke); L. Engelsman (Lyda); H. Boot (Hendrik); R.J. Meijer (Ron); G. Lauria (Giuseppe); C. Tennant (Christopher); I.S.J. Merkies (Ingemar)

    2012-01-01

    textabstractThe Medical Research Council grading system has served through decades for the evaluation of muscle strength and has been recognized as a cardinal feature of daily neurological, rehabilitation and general medicine examination of patients, despite being respectfully criticized due to the

  3. Modifying the Medical Research Council grading system through Rasch analyses

    NARCIS (Netherlands)

    Vanhoutte, E.K.; Faber, C.G.; van Nes, S.I.; Jacobs, B.C.; van Doorn, P.A.; van Koningsveld, R.; Cornblath, D.R.; van der Kooi, A.J.; Cats, E.A.; van den Berg, L.H.; Notermans, N.C.; van der Pol, W.L.; Hermans, M.C.E.; van der Beek, N.A.M.E.; Gorson, K.C.; Eurelings, M.; Engelsman, J.; Boot, H.; Meijer, R.J.; Lauria, G.; Tennant, A.; Merkies, I.S.J.

    2012-01-01

    The Medical Research Council grading system has served through decades for the evaluation of muscle strength and has been recognized as a cardinal feature of daily neurological, rehabilitation and general medicine examination of patients, despite being respectfully criticized due to the unequal widt

  4. Curriculum Development for Enhancing Grade Nine Students' Systems Thinking

    Science.gov (United States)

    Hernthaisong, Preeyanan; Sitti, Somsong; Sonsupap, Kanyarat

    2015-01-01

    The objectives of this research were to study the development of a curriculum for enhancing grade 9 students' cognitive skills using a curriculum based on Systems Thinking Process. There were 3 phases: 1) studying of the problem; 2) development of tentative curriculum; and 3) implementation of the curriculum in a pilot study. The samples were 32…

  5. Curriculum Development for Enhancing Grade Nine Students' Systems Thinking

    Science.gov (United States)

    Hernthaisong, Preeyanan; Sitti, Somsong; Sonsupap, Kanyarat

    2015-01-01

    The objectives of this research were to study the development of a curriculum for enhancing grade 9 students' cognitive skills using a curriculum based on Systems Thinking Process. There were 3 phases: 1) studying of the problem; 2) development of tentative curriculum; and 3) implementation of the curriculum in a pilot study. The samples were 32…

  6. Modifying the Medical Research Council grading system through Rasch analyses

    NARCIS (Netherlands)

    Vanhoutte, E.K.; Faber, C.G.; van Nes, S.I.; Jacobs, B.C.; van Doorn, P.A.; van Koningsveld, R.; Cornblath, D.R.; van der Kooi, A.J.; Cats, E.A.; van den Berg, L.H.; Notermans, N.C.; van der Pol, W.L.; Hermans, M.C.E.; van der Beek, N.A.M.E.; Gorson, K.C.; Eurelings, M.; Engelsman, J.; Boot, H.; Meijer, R.J.; Lauria, G.; Tennant, A.; Merkies, I.S.J.

    2012-01-01

    The Medical Research Council grading system has served through decades for the evaluation of muscle strength and has been recognized as a cardinal feature of daily neurological, rehabilitation and general medicine examination of patients, despite being respectfully criticized due to the unequal widt

  7. Modifying the Medical Research Council grading system through Rasch analyses

    NARCIS (Netherlands)

    E.K. Vanhoutte (Els); C.G. Faber (Carin); S.I. van Nes (Sonja); B.C. Jacobs (Bart); P.A. van Doorn (Pieter); R. van Koningsveld (Rinske); D.R. Cornblath (David); A.J. Kooj (Anneke); E.A. Cats (Elisabeth); L.H. van den Berg (Leonard); N.C. Notermans (Nicolette); W.L. van der Pol (Ludo); M.C.E. Hermans; N.A.M.E. van der Beek (Nadine); K.C. Gorson (Kenneth); M. Eurelings (Marijke); L. Engelsman (Lyda); H. Boot (Hendrik); R.J. Meijer (Ron); G. Lauria (Giuseppe); C. Tennant (Christopher); I.S.J. Merkies (Ingemar)

    2012-01-01

    textabstractThe Medical Research Council grading system has served through decades for the evaluation of muscle strength and has been recognized as a cardinal feature of daily neurological, rehabilitation and general medicine examination of patients, despite being respectfully criticized due to the

  8. A revision of the Cormack and Lehane laryngoscopic grading system with special consideration to grade II laryngoscopic view

    Directory of Open Access Journals (Sweden)

    Hussain khan Z

    2007-10-01

    Full Text Available Background: The major responsibility of an anesthesiologist is to provide adequate respiration for the patient. The most vital element in providing functional respiration is the airway. No anesthetic is safe unless diligent efforts are devoted to maintaining an intact functional airway. Difficult intubation had been classified into four grades, according to the view obtainable at laryngoscopy by Cormack and Lehane in 1984. This grading system has been in use to evaluate and manage those patients with difficult airway by anesthesiologists. In clinical state, grades III and IV are quite rare, so the need for a modified Cormack and Lehane grading system was felt. The use of a modified Cormack-Lehane scoring system of laryngoscopic views during direct laryngoscopy, was previously examined in the Western population. Koh and his co-workers had examined this modified Cormack and Lehane grading system in Asian population in a study in Singapore General Hospital. The aim of this study was to investigate this scoring system in Iranian patients.Methods: In a cross sectional study, a modified version of the Cormack and Lehane grading system was evaluated in 300 patients requiring tracheal intubation. In the modified system, grade II (only part of the glottis is visible was divided into IIa (part of the cords is visible and IIb (only the arytenoids or the very posterior origin of the cords are visible. Difficult intubation was defined as requiring more than one laryngoscopy or the use of special equipments.Results: Sixty eight patients (22.7% were scored as grade IIa and 32 (7.7% as grade IIb. The prevalence of difficult intubation in grade IIb was significantly higher than patients in group IIa (47.8% vs. 2.9% respectively, Fisher's exact test, p= 0.001Conclusion: The modified grading system provides more information than the original Cormack and Lehane system."n 

  9. Continuous-Flow System Produces Medical-Grade Water

    Science.gov (United States)

    Akse, James R.; Dahl, Roger W.; Wheeler, Richard R.

    2009-01-01

    A continuous-flow system utilizes microwave heating to sterilize water and to thermally inactivate endotoxins produced in the sterilization process. The system is designed for use in converting potable water to medical-grade water. Systems like this one could be used for efficient, small-scale production of medical- grade water in laboratories, clinics, and hospitals. This system could be adapted to use in selective sterilization of connections in ultra-pure-water-producing equipment and other equipment into which intrusion by microorganisms cannot be tolerated. Lightweight, port - able systems based on the design of this system could be rapidly deployed to remote locations (e.g., military field hospitals) or in response to emergencies in which the normal infrastructure for providing medical-grade water is disrupted. Larger systems based on the design of this system could be useful for industrial production of medical-grade water. The basic microwave-heating principle of this system is the same as that of a microwave oven: An item to be heated, made of a lossy dielectric material (in this case, flowing water) is irradiated with microwaves in a multimode microwave cavity. The heating is rapid and efficient because it results from absorption of microwave power throughout the volume of the lossy dielectric material. In this system, a copper tube having a length of 49.5 cm and a diameter of 2.25 cm serves as both the microwave cavity and the sterilization chamber. Microwave power is fed via a coaxial cable to an antenna mounted inside the tube at mid-length (see figure). Efficient power transfer occurs due to the shift in wavelength associated with the high permittivity of water combined with the strong coupling of 2.45-GHz microwaves with rotational-vibrational transitions of the dipolar water molecule.

  10. A Machine Vision System for Automatically Grading Hardwood Lumber - (Industrial Metrology)

    Science.gov (United States)

    Richard W. Conners; Tai-Hoon Cho; Chong T. Ng; Thomas T. Drayer; Philip A. Araman; Robert L. Brisbon

    1992-01-01

    Any automatic system for grading hardwood lumber can conceptually be divided into two components. One of these is a machine vision system for locating and identifying grading defects. The other is an automatic grading program that accepts as input the output of the machine vision system and, based on these data, determines the grade of a board. The progress that has...

  11. IMPORTANCE OF SOUTHAMPTON WOUND GRADING SYSTEM IN SURGICAL SITE INFECTION

    Directory of Open Access Journals (Sweden)

    Shaleen

    2014-05-01

    Full Text Available : Post-operative wound infection is defined as surgical site infection from 0-30 days after surgery, or infection to surgical site till one year in cases of implants like mesh, vascular grafts and prosthesis. This study was done to find out incidence of post-operative wound infection in surgical patients in rural setup. This study of post-operative wound infection was carried out from August 2008 to August 2010. The study is of 3275 patients who underwent surgery in the A.V.B.R.H. Significant association was observed between the nature of surgery and Southampton Wound Grading System. It concluded that severity rate of post-operative wound infection was increased from grade I to grade V which was found to be similar in clean to contaminated nature of surgery and that was found to be statistically significant at P value less than 0.001.

  12. World Allergy Organization Systemic Allergic Reaction Grading System: Is a Modification Needed?

    Science.gov (United States)

    Cox, Linda S; Sanchez-Borges, Mario; Lockey, Richard F

    There is no universally accepted grading system to classify the severity of systemic allergic reactions (SARs), including anaphylaxis. Although a consensus definition for anaphylaxis was established in 2005, the signs and symptoms required to define a reaction as anaphylaxis are inconsistently applied in research and clinical practice. As a result, it is difficult to compare and evaluate safety outcomes in surveys, clinical practice and trials, and pharmacovigilance data. In 2010, the World Allergy Organization (WAO) proposed a uniform grading system to classify allergen immunotherapy SARs. The basis of the grading system is the organ system(s) involved and reaction severity. The final grade is determined by the physician/health care professional after the event is over. Although the 2010 WAO grading system was developed to classify allergen immunotherapy SARs, with appropriate modifications, it can be used to classify SARs from any cause. The purpose of this Rostrum is to present a proposed modification of the 2010 WAO SAR grading system that will make it applicable to all SARs due to any cause. The modified grading system allows for classification of less severe SARs, which may be underreported or overreported in clinical trials and surveillance studies, depending on the criteria specified for adverse event reporting. The universal use of the proposed modified SAR grading system will allow for better safety comparisons across different venues and treatment protocols.

  13. Neuropathic pain. Redefinition and a grading system for clinical and research purposes

    DEFF Research Database (Denmark)

    Treede, R.-D.; Jensen, Troels Staehelin; Campbell, J.N.

    2008-01-01

    diagnostic tool for neuropathic pain, a grading system of definite, probable, and possible neuropathic pain is proposed. The grade possible can only be regarded as a working hypothesis, which does not exclude but does not diagnose neuropathic pain. The grades probable and definite require confirmatory...... evidence from a neurologic examination. This grading system is proposed for clinical and research purposes....

  14. Torpedo maculopathy with an anisometropic amblyopia in a 5-year-old Caucasian girl: case report

    Directory of Open Access Journals (Sweden)

    Marco Dutra-Medeiros

    2013-08-01

    Full Text Available The aim of this study is to report a clinical case of asymptomatic female Caucasian children with torpedo maculopathy. A 5-year-old girl was referred to our clinic for routine evaluation. The ophthalmic examination revealed best-corrected visual acuity of 20/20 in both eyes, without any changes in the biomicroscopy. Fundus examination showed normal findings in one eye, whereas in the contralateral eye it disclosed, in the temporal sector of the macular region, a whitish, atrophic, oval chorioretinal lesion with clearly defined margins. Posterior evaluations documented the stability of the lesion. Torpedo maculopathy diagnosis is based on its characteristic shape and peculiar location. The differential diagnosis has to be estabilished versus choroidal lesions (melanoma and nevus, congenital or iatrogenic hyperplasia of the retinal pigment epithelium (RPE and particularly versus the congenital pigmented lesions associated with Gardner's syndrome.

  15. Surgical Management of Optic Disc Pit Maculopathy with Outer Retinal Hole

    Directory of Open Access Journals (Sweden)

    Aditya Shreekant Kelkar

    2012-05-01

    Full Text Available Objective: To report the successful outcome of a rare optic pit-associated maculopathy with an outer retinal hole following 23 G vitrectomy, internal limiting membrane (ILM peeling and fluid-gas exchange without additional endolaser. Method: Interventional case report. Results: This case report documents a 56-year-old male patient with complaints of progressive diminution of vision in the right eye more than in the left eye due to an optic disc pit with an outer retinal hole and a cataract. Optical coherence tomography confirmed the presence of an outer retinal hole. The case report shows the successful outcome of a rare optic pit-associated maculopathy with an outer retinal hole and a cataract following phacoemulsification with 23 G vitrectomy, ILM peeling and fluid-gas exchange without additional endolaser.

  16. A novel grading system for clear cell renal cell carcinoma incorporating tumor necrosis.

    Science.gov (United States)

    Delahunt, Brett; McKenney, Jesse K; Lohse, Christine M; Leibovich, Bradley C; Thompson, Robert Houston; Boorjian, Stephen A; Cheville, John C

    2013-03-01

    Grading of renal cell carcinoma (RCC) has prognostic significance, and there is recent consensus by the International Society of Urological Pathology (ISUP) that for clear cell and papillary RCC, grading should primarily be based on nucleolar prominence. Microscopic tumor necrosis also predicts outcome independent of tumor grading. This study was undertaken to assess whether the incorporation of microscopic tumor necrosis into the ISUP grading system provides survival information superior to ISUP grading alone. Data on 3017 patients treated surgically for clear cell RCC, 556 for papillary RCC, and 180 for chromophobe RCC were retrieved from the Mayo Clinic Registry. Median follow-up periods were 8.9, 9.7, and 8.5 years, respectively. Four proposed grades were defined: grade 1: ISUP grade 1+ISUP grade 2 without necrosis; grade 2: ISUP grade 2 with necrosis+ISUP grade 3 without necrosis; grade 3: ISUP grade 3 with necrosis+ISUP grade 4 without necrosis; grade 4: ISUP grade 4 with necrosis or sarcomatoid/rhabdoid tumors. There was a significant difference in survival between each of the grades for clear cell RCC, and the concordance index was superior to that of ISUP grading. The proposed grading system also outperformed the ISUP grading system when cases were stratified according to the TNM stage. Similar results were not obtained for papillary RCC or chromophobe RCC. We conclude that grading for clear cell RCC should be based on nucleolar prominence and necrosis, that ISUP grading should be used for papillary RCC, and that chromophobe RCC should not be graded.

  17. The 2014 International Society of Urological Pathology (ISUP) Consensus Conference on Gleason Grading of Prostatic Carcinoma: Definition of Grading Patterns and Proposal for a New Grading System.

    Science.gov (United States)

    Epstein, Jonathan I; Egevad, Lars; Amin, Mahul B; Delahunt, Brett; Srigley, John R; Humphrey, Peter A

    2016-02-01

    In November, 2014, 65 prostate cancer pathology experts, along with 17 clinicians including urologists, radiation oncologists, and medical oncologists from 19 different countries gathered in a consensus conference to update the grading of prostate cancer, last revised in 2005. The major conclusions were: (1) Cribriform glands should be assigned a Gleason pattern 4, regardless of morphology; (2) Glomeruloid glands should be assigned a Gleason pattern 4, regardless of morphology; (3) Grading of mucinous carcinoma of the prostate should be based on its underlying growth pattern rather than grading them all as pattern 4; and (4) Intraductal carcinoma of the prostate without invasive carcinoma should not be assigned a Gleason grade and a comment as to its invariable association with aggressive prostate cancer should be made. Regarding morphologies of Gleason patterns, there was clear consensus on: (1) Gleason pattern 4 includes cribriform, fused, and poorly formed glands; (2) The term hypernephromatoid cancer should not be used; (3) For a diagnosis of Gleason pattern 4, it needs to be seen at 10x lens magnification; (4) Occasional/seemingly poorly formed or fused glands between well-formed glands is insufficient for a diagnosis of pattern 4; (5) In cases with borderline morphology between Gleason pattern 3 and pattern 4 and crush artifacts, the lower grade should be favored; (6) Branched glands are allowed in Gleason pattern 3; (7) Small solid cylinders represent Gleason pattern 5; (8) Solid medium to large nests with rosette-like spaces should be considered to represent Gleason pattern 5; and (9) Presence of unequivocal comedonecrosis, even if focal is indicative of Gleason pattern 5. It was recognized by both pathologists and clinicians that despite the above changes, there were deficiencies with the Gleason system. The Gleason grading system ranges from 2 to 10, yet 6 is the lowest score currently assigned. When patients are told that they have a Gleason score 6 out

  18. Spectral domain optical coherence tomography morphology in optic disc pit associated maculopathy

    Directory of Open Access Journals (Sweden)

    Janusz Michalewski

    2014-01-01

    Full Text Available Purpose: Our purpose was to study the clinical manifestation and course of optic pit maculopathy using Spectral Domain Optical Coherence Tomography (SD- OCT images. Materials and Methods: We used SD-OCT to examine 20 eyes of 19 patients with a macular detachment in combination with an optic. Results: We observed five different fovea appearances in regard to fluid localization. In five eyes, we recorded changes in the fluid distribution with SD-OCT. In 17/20 eyes, we noted a communication between the perineural and subretinal and/or intraretinal space at the margin of the optic disc. Conclusion: 3-dimensional SD-OCT (3D-SDOCT scans revealed a three-fold connection, between subretinal and intraretinal space, perineural space, and the vitreous cavity. Therefore, we suppose that intraretinal or subretinal fluid in optic pit maculopathy may have both a vitreous and cerebrospinal origin. A membrane, covering the optic nerve was noted in 14 cases. Even if it seems intact in some B-scans, it is not complete in others several micrometers apart. Additionally, we observed fluid accumulation below the margin of the optic disc and hyperreflective porous tissue in the optic disc excavation. Those findings do not influence the course of maculopathy.

  19. Lack of Radiation Maculopathy After Palladium-103 Plaque Radiotherapy for Iris Melanoma

    Energy Technology Data Exchange (ETDEWEB)

    Yousef, Yacoub A. [New York Eye Cancer Center, New York Eye and Ear Infirmary, and New York University School of Medicine, New York, NY (United States); Finger, Paul T., E-mail: pfinger@eyecancer.com [New York Eye Cancer Center, New York Eye and Ear Infirmary, and New York University School of Medicine, New York, NY (United States)

    2012-07-15

    Purpose: To report on the risk of radiation maculopathy for iris and iridociliary melanomas treated by {sup 103}Pd plaque radiotherapy. Methods and Materials: This is a retrospective clinical case series of 30 eyes in 30 patients with melanomas limited to the iris or invading the ciliary body. The main outcome measures included demographic information, laterality, tumor size, location, visual acuity, radiation dose, local control, retinal evaluation, and duration of follow-up. Results: Thirty patients were followed for a median 36 months (range, 12-90 months). Sixteen of 30 tumors (53%) were pure iris melanomas, and 14 (47%) were primary iris melanomas extending into the ciliary body. Radiation dosimetry showed that the median tumor apex dose was 85 Gy (range, 75-100 Gy), lens dose 43.5 Gy (range, 17.8-60 Gy), fovea dose 1.8 Gy (range, 1.3-5 Gy), and central optic disc dose 1.7 Gy (range, 1.3-4.7 Gy). Cataracts developed in 20 of the 28 phakic eyes (71.4%). No patient in this series developed radiation maculopathy or radiation optic neuropathy. Last best-corrected visual acuity was {>=}20/25 in 28 patients (93%) at a median 36 months' follow-up. Conclusion: Though visual acuities were transiently affected by radiation cataract, no radiation maculopathy or optic neuropathy has been noted after {sup 103}Pd treatment of iris and iridociliary melanomas.

  20. ACUTE EXUDATIVE PARANEOPLASTIC POLYMORPHOUS VITELLIFORM MACULOPATHY DURING VEMURAFENIB AND PEMBROLIZUMAB TREATMENT FOR METASTATIC MELANOMA.

    Science.gov (United States)

    Sandhu, Harpal S; Kolomeyer, Anton M; Lau, Marisa K; Shields, Carol L; Schuchter, Lynn M; Nichols, Charles W; Aleman, Tomas S

    2017-06-13

    To describe a patient with BRAF mutation-positive cutaneous melanoma who developed acute exudative polymorphous vitelliform maculopathy during vemurafenib and pembrolizumab treatment for metastatic melanoma. Retrospective case report documented with wide-field fundus imaging, spectral domain optical coherence tomography, and fundus autofluorescence imaging. A 55-year-old woman with bilateral ductal breast carcinoma and BRAF mutation-positive metastatic cutaneous melanoma complained of bilateral blurred vision within 5 days of starting vemurafenib (BRAF inhibitor). She had been on pembrolizumab (program death receptor antibody) and intermittently on dabrafenib (BRAF inhibitor) and trametinib (MEK inhibitor), and had a normal ophthalmologic examination. On presentation three weeks after the introduction of vemurafenib, her visual acuity had declined to 20/40 in both eyes. Her examination showed diffuse elevation of the fovea with multifocal yellow-white, crescent-shaped subretinal deposits within the macula of both eyes and bilateral neurosensory retinal detachments by spectral domain optical coherence tomography. Discontinuation of vemurafenib and introduction of difluprednate and dorzolamide led to a gradual resolution (over four months) of the neurosensory detachments with recovery of vision. This case report suggests that acute exudative polymorphous vitelliform maculopathy may be directly associated with the use of BRAF inhibitors as treatment for metastatic cutaneous melanoma, or indirectly by triggering autoimmune-paraneoplastic processes. Future identification of similar associations is required to unequivocally link vemurafenib and/or pembrolizumab to acute exudative polymorphous vitelliform maculopathy in metastatic melanoma.

  1. Histopathologic and Electron Microscopic Features of Internal Limiting Membranes in Maculopathies of Various Etiologies

    Directory of Open Access Journals (Sweden)

    Mozhgan Rezaei Kanavi

    2014-01-01

    Full Text Available Purpose: To report micro- and ultrastructural features of internal limiting membranes (ILMs in various maculopathies and to evaluate the effects of indocyanine green (ICG and triamcinolone acetonide (TA on epiretinal proliferations associated with ILM and on retinal cleavage plane. Methods: ILMs from various maculopathies were evaluated regarding presence or absence of membrane-associated cells, type of cells and ILM thickness based on routine histopathology, immunohistochemistry and transmission electron microscopy (TEM. Results: Thirty ILM specimens were enrolled; 25 of which were evaluated by histopathology and immunohistochemistry and 5 by TEM. ICG only had been used in 17 specimens, TA in 4, and both agents in one specimen. The majority of specimens were immunoreactive for glial fibrillary acidic protein and neuron specific enolase. No significant difference in specimen cellularity and alteration of cleavage plane was noted between ICG-stained and non-ICG-stained ILMs or between TA-assisted and non-TAassisted ones. Excluding central retinal vein occlusion (CRVO cases, acellularity was not observed in any of ILMs from diabetic macular edema (DME, cystoid macular edema (CME, and traumatic macular hole (TMH eyes. TEM disclosed ILM thickening and cellularity in DME as compared to CRVO. Conclusion: Acellular membranes from CRVO maculopathy may be a sequel of acute retinal ischemia. Thickened diabetic ILMs with high cellularity may be related to chronic activation of Muller cells. No obvious influence of ICG or TA on epiretinal cellularity was detected and the dyes seem to have no significant effect on cleavage plane.

  2. Relevance of Simpson grading system and recurrence-free survival after surgery for World Health Organization Grade I meningioma.

    Science.gov (United States)

    Nanda, Anil; Bir, Shyamal C; Maiti, Tanmoy K; Konar, Subhas K; Missios, Symeon; Guthikonda, Bharat

    2017-01-01

    OBJECTIVE The clinical significance of the Simpson system for grading the extent of meningioma resection and its role as a predictor of the recurrence of World Health Organization (WHO) Grade I meningiomas have been questioned in the past, echoing changes in meningioma surgery over the years. The authors reviewed their experience in resecting WHO Grade I meningiomas and assessed the association between extent of resection, as evaluated using the Simpson classification, and recurrence-free survival (RFS) of patients after meningioma surgery. METHODS Clinical and radiological information for patients with WHO Grade I meningiomas who had undergone resective surgery over the past 20 years was retrospectively reviewed. Simpson and Shinshu grading scales were used to evaluate the extent of resection. Statistical analysis was conducted using Kaplan-Meier curves and Cox proportional-hazards regression. RESULTS Four hundred fifty-eight patients were eligible for analysis. Overall tumor recurrence rates for Simpson resection Grades I, II, III, and IV were 5%, 22%, 31%, and 35%, respectively. After Cox regression analysis, Simpson Grade I (extensive resection) was revealed as a significant predictor of RFS (p = 0.003). Patients undergoing Simpson Grade I and II resections showed significant improvement in RFS compared with patients undergoing Grade III and IV resections (p = 0.005). Extent of resection had a significant effect on recurrence rates for both skull base (p = 0.047) and convexity (p = 0.012) meningiomas. Female sex and a Karnofsky Performance Scale score > 70 were also identified as independent predictors of RFS after resection of WHO Grade I meningioma. CONCLUSIONS In this patient cohort, a significant association was noted between extent of resection and rates of tumor recurrence. In the authors' experience the Simpson grading system maintains its relevance and prognostic value and can serve an important role for patient education. Even though complete tumor

  3. Statistical Outlier Detection for Jury Based Grading Systems

    DEFF Research Database (Denmark)

    Thompson, Mary Kathryn; Clemmensen, Line Katrine Harder; Rosas, Harvey

    2013-01-01

    This paper presents an algorithm that was developed to identify statistical outliers from the scores of grading jury members in a large project-based first year design course. The background and requirements for the outlier detection system are presented. The outlier detection algorithm...... and the follow-up procedures for score validation and appeals are described in detail. Finally, the impact of various elements of the outlier detection algorithm, their interactions, and the sensitivity of their numerical values are investigated. It is shown that the difference in the mean score produced...... by a grading jury before and after a suspected outlier is removed from the mean is the single most effective criterion for identifying potential outliers but that all of the criteria included in the algorithm have an effect on the outlier detection process....

  4. A new grading system for ototoxicity in adults.

    Science.gov (United States)

    Theunissen, Eleonoor A R; Dreschler, Wouter A; Latenstein, Merel N; Rasch, Coen R N; van der Baan, Sieberen; de Boer, Jan Paul; Balm, Alfons J M; Zuur, Charlotte L

    2014-10-01

    This study aimed to propose an ototoxicity grading system sensitive to the effect of ototoxicity on specific daily life situations like speech intelligibility and the perception of ultra-high sounds and to test its feasibility compared to current criteria. Pure tone averages (PTAs) for speech perception (1-2-4 kHz) and ultra-high frequencies (8-10-12.5 kHz) were incorporated. Threshold shift and hearing level posttreatment were taken into account. Criteria were tested on head and neck cancer patients treated with (chemo-)radiotherapy ([C]RT) and compared with the Common Terminology Criteria for Adverse Events version 4 (CTCAEv4) and the American Speech-Language-Hearing Association criteria (ASHA). Grades 1 and 2 were based on threshold shifts from baseline (in dB) and subjective complaints. Grades 3 and 4 were defined as treatment-induced hearing loss of ≥ 35 dB at PTA 1-2-4 kHz and ≥ 70 dB at PTA 1-2-4 kHz, respectively. In high-dose cisplatin CRT incidences by the new criteria, CTCAEv4 and ASHA were comparable (78%-88%). In RT and low-dose cisplatin CRT, incidences were 36% to 39% in the new criteria versus 22% to 53% in CTCAEv4 and ASHA. The new criteria show an increased sensitivity to ototoxicity compared to CTCAEv4 and ASHA and provide insight into the effect of hearing loss on certain daily life situations. The new grading system seems feasible for clinic and research purposes. © The Author(s) 2014.

  5. Association of dyslipidaemia with macular oedema and hard exudates in diabetic maculopathy.

    Science.gov (United States)

    Golubovic-Arsovska, M

    2007-12-01

    Diabetic retinal changes, diabetic maculopathy and prolixferative retinopathy are major causes of loss of vision worldwide in people of working age. In addition to oedema in the area of the macula lutea, diabetic maculopathy is often characterized by white changes termed hard exudates. It has been observed that the appearance of hard exudates is consistent with the appearance of dyslipidaemia, which is typical for diabetic patients. The aim of this paper was to underline the role of elevated serum lipids in the onset of macular oedema and hard exudates. The examined group comprised 38 patients with diabetes mellitus type 2 who had medioretinal changes of the eye fundus as well as changes in the macular area manifested by retinal oedema and the presence of hard exudates. The control group consisted of type 2 diabetic patients without changes associated with diabetic maculopathy. The examined group of diabetic patients that manifested diabetic maculopathy had significantly higher values of total lipids (9.49 +/- 2.02 g/L vs. 8.06 +/- 0.84 g/L), triglycerol (2.02 +/- 1.23 mmol/l vs. 1.24 +/- 0.37 mmol/l), total cholesterol (6.03 +/- 1.13 mmol/l vs. 5.21 +/- 0.62 mmol/l) and cholesterol ester (4.02 +/- 0.72 mmol/l vs. 3.48 +/- 0.46 mmol/l) as compared to the control group. Although values of HDL (1.39 +/- 1.01 mmol/l) and LDL (3.69 +/- 1.0 mmol/l) cholesterol were higher in the examined group than in the control one, there were no statistically significant differences (1.39 +/- 1.01 mmol/l vs. 1.30 +/- 0.33 mmol/l) and (3.69 +/- 1.0 mmol/l vs. 3.60 +/- 0.72 mmol/l) respectively. The analysis of the severity of hard exudates and oedema in relation to lipid fractions in the examined group showed that total lipids, total cholesterol and cholesterol were significantly higher than in the subjects where exudates were less severe. Hyperlipidaemia is a risk factor for the development of hard exudates in diabetic maculopathy.

  6. 49 CFR 234.9 - Grade crossing signal system failure reports.

    Science.gov (United States)

    2010-10-01

    ... 49 Transportation 4 2010-10-01 2010-10-01 false Grade crossing signal system failure reports. 234... PLANS Reports and Plans § 234.9 Grade crossing signal system failure reports. Each railroad shall report to FRA within 15 days each activation failure of a highway-rail grade crossing warning system....

  7. Neuropathic pain: an updated grading system for research and clinical practice

    DEFF Research Database (Denmark)

    Finnerup, Nanna B; Haroutounian, Simon; Kamerman, Peter;

    2016-01-01

    for an improved grading system. As of February, 2015, 608 eligible articles in Scopus cited the paper, 414 of which cited the neuropathic pain definition. Of 220 clinical studies citing the paper, 56 had used the grading system. The percentage using the grading system increased from 5% in 2009 to 30% in 2014...

  8. Computer-based image analysis system designed to differentiate between low-grade and high-grade laryngeal cancer cases.

    Science.gov (United States)

    Ninos, Konstantinos; Kostopoulos, Spiros; Sidiropoulos, Konstantinos; Kalatzis, Ioannis; Glotsos, Dimitris; Athanasiadis, Emmanouil; Ravazoula, Panagiota; Panayiotakis, George; Economou, George; Cavouras, Dionisis

    2013-10-01

    To design a pattern recognition (PR) system for discriminating between low- and high-grade laryngeal cancer cases, employing immunohistochemically stained, for p63 expression, histopathology images. The PR system was designed to assist in the physician's diagnosis for improving patient survival. The material comprised 55 verified cases of laryngeal cancer, 21 of low-grade and 34 of high-grade malignancy. Histopathology images were first processed for automatically segmenting p63 expressed nuclei. Fifty-two features were next extracted from the segmented nuclei, concerning nuclei texture, shape, and physical topology in the image. Those features and the Probabilistic Neural Network classifier were used to design the PR system on the multiprocessors of the Nvidia 580 GTX graphics processing unit (GPU) card using the Compute Unified Device Architecture parallel programming model and C++ programming language. PR system performance in classifying laryngeal cancer cases as low grade and high grade was 85.7% and 94.1%, respectively. The system's overall accuracy was 90.9%, using 7 features, and its estimated accuracy to "unseen" by the system cases was 80%. Optimum system design was feasible after employing parallel processing techniques and GPU technology. The proposed system was structured so as to function in a clinical environment, as a research tool, and with the capability of being redesigned on site when new verified cases are added to its repository.

  9. Histological grading of papillary urothelial carcinoma of the bladder: prognostic value of the 1998 WHO/ISUP classification system and comparison with conventional grading systems.

    Science.gov (United States)

    Oosterhuis, J W A; Schapers, R F M; Janssen-Heijnen, M L G; Pauwels, R P E; Newling, D W; ten Kate, F

    2002-12-01

    To test the prognostic value of the 1998 WHO/ISUP (World Health Organisation/International Society of Urologic Pathology) consensus classification system in Ta papillary urothelial neoplasms of the bladder. The histological slides of 322 patients with a primary Ta tumour were classified according to the consensus classification system, and recurrence free survival (RFS) and progression free survival (PFS) were assessed for a mean follow up period of 79 months. In the same patient group, the RFS and PFS rates for the 1973 WHO grading system and a low grade/high grade system were analysed. Recurrent tumours were seen in all categories of the 1998 WHO/ISUP classification system and five year RFS was not significantly different between the groups (p = 0.12). The five year PFS showed a small but significant difference (p = 0.04) between papillary neoplasms of low malignant potential (PNLMP) and high grade papillary urothelial carcinomas (HGPUCs). In the 1973 WHO classification, no significant difference was found in RFS and PFS between the different grades. In the low grade/high grade classification PFS was significantly better for low grade tumours (p = 0.01). The prognostic value of the 1998 WHO/ISUP classification system is limited to predicting PFS, especially between PNLMP and HGPUC. The prognostic value of this system over other grading systems is questionable.

  10. Expected Time To Recruitment In A Two Grade Manpower System

    Directory of Open Access Journals (Sweden)

    J.SRIDHARAN,

    2014-02-01

    Full Text Available In this paper a two graded organization is considered in which depletion of manpower occurs due to its policy decisions. Three mathematical models are constructed by assuming the loss of man-hours and the inter-decision times form an order statistics. Mean and variance of time to recruitment are obtained using an univariate recruitment policy based on shock model approach and the analytical results are numerically illustrated by assuming different distributions for the thresholds. The influence of the nodal parameters on the system characteristics is studied and relevant conclusions are presented.

  11. Stimulation of systemic low-grade inflammation by psychosocial stress.

    Science.gov (United States)

    Rohleder, Nicolas

    2014-04-01

    Psychosocial stress is an important precursor of disease and reduced quality of life in humans. The biological pathways between stress exposure and pathophysiological processes underlying disease have received substantial scientific attention, although the roles of the hypothalamic-pituitary-adrenal axis and sympathetic nervous system remain insufficiently understood. Recent attention has focused on chronic systemic low-grade inflammation as a promising pathway because elevated inflammation often accompanies chronic psychosocial distress. These alterations of inflammatory activity play a key role in the pathophysiology of diseases that are adversely affected by chronic distress, such as cardiovascular disease. Transient increases in systemic inflammation are observed in response to acute psychosocial stress, with larger responses among individuals reporting adverse psychosocial states or conditions such as depression, lower self-esteem, or lower self-compassion. Recent evidence shows that lower subjective social status and perceived purpose in life are associated with sensitization of inflammatory stress responses to repeated stress exposure. The aims of this selective review article are to summarize current knowledge of the role of acute and chronic psychosocial stress on low-grade inflammation in humans and to discuss potential relationships between inflammatory responses to acute psychosocial stress and long-term development of disease.

  12. Data-driven system to predict academic grades and dropout.

    Science.gov (United States)

    Rovira, Sergi; Puertas, Eloi; Igual, Laura

    2017-01-01

    Nowadays, the role of a tutor is more important than ever to prevent students dropout and improve their academic performance. This work proposes a data-driven system to extract relevant information hidden in the student academic data and, thus, help tutors to offer their pupils a more proactive personal guidance. In particular, our system, based on machine learning techniques, makes predictions of dropout intention and courses grades of students, as well as personalized course recommendations. Moreover, we present different visualizations which help in the interpretation of the results. In the experimental validation, we show that the system obtains promising results with data from the degree studies in Law, Computer Science and Mathematics of the Universitat de Barcelona.

  13. Data-driven system to predict academic grades and dropout

    Science.gov (United States)

    Rovira, Sergi; Puertas, Eloi

    2017-01-01

    Nowadays, the role of a tutor is more important than ever to prevent students dropout and improve their academic performance. This work proposes a data-driven system to extract relevant information hidden in the student academic data and, thus, help tutors to offer their pupils a more proactive personal guidance. In particular, our system, based on machine learning techniques, makes predictions of dropout intention and courses grades of students, as well as personalized course recommendations. Moreover, we present different visualizations which help in the interpretation of the results. In the experimental validation, we show that the system obtains promising results with data from the degree studies in Law, Computer Science and Mathematics of the Universitat de Barcelona. PMID:28196078

  14. Sunlight and the 5-year incidence of early age-related maculopathy: the beaver dam eye study.

    Science.gov (United States)

    Cruickshanks, K J; Klein, R; Klein, B E; Nondahl, D M

    2001-02-01

    To investigate the relation of sunlight exposure and indicators of sun sensitivity with the 5-year incidence of early age-related maculopathy (ARM). Longitudinal, population-based study. Participants (aged 43-86 years at baseline) in the Beaver Dam Eye Study were reexamined from 1993 to 1995, 5 years after the baseline examination. Questionnaire data about sunlight exposure and sun sensitivity were obtained at baseline. Additional information about earlier life patterns of exposure was ascertained at follow-up. Stereoscopic color fundus photographs were graded to determine the presence of ARM at the 5-year follow-up in eyes free from signs of early ARM at the baseline examination. Leisure time spent outdoors while persons were teenagers (aged 13-19 years) and in their 30s (aged 30-39 years) was significantly associated with the risk of early ARM (odds ratio, 2.09; 95% confidence interval, 1.19-3.65). There was a slight, but nonsignificant, protective effect associated with use of hats and sunglasses while persons were teenagers and in their 30s (odds ratio, 0.72; 95% confidence interval, 0.50-1.03). People with red or blond hair were slightly more likely to develop early ARM than people with darker hair (odds ratio, 1.33; 95% confidence interval, 0.97-1.83). There were no associations between estimated ambient UV-B exposure or markers of sun sensitivity and the incidence of early ARM. Exposure to sunlight may be associated with the development of early ARM.

  15. Cobalamin C Deficiency Shows a Rapidly Progressing Maculopathy With Severe Photoreceptor and Ganglion Cell Loss.

    Science.gov (United States)

    Bonafede, Lucas; Ficicioglu, Can H; Serrano, Leona; Han, Grace; Morgan, Jessica I W; Mills, Monte D; Forbes, Brian J; Davidson, Stefanie L; Binenbaum, Gil; Kaplan, Paige B; Nichols, Charles W; Verloo, Patrick; Leroy, Bart P; Maguire, Albert M; Aleman, Tomas S

    2015-12-01

    To describe in detail the retinal structure and function of a group of patients with cobalamin C (cblC) disease. Patients (n = 11, age 4 months to 15 years) with cblC disease (9/11, early onset) diagnosed by newborn screening underwent complete ophthalmic examinations, fundus photography, near-infrared reflectance imaging, and spectral-domain optical coherence tomography (SD-OCT). Electroretinograms (ERGs) were performed in a subset of patients. Patients carried homozygous or compound heterozygote mutations in the methylmalonic aciduria and homocystinuria type C (MMACHC) gene. Late-onset patients had a normal exam. All early-onset patients showed a maculopathy; older subjects had a retina-wide degeneration (n = 4; >7 years of age). In general, retinal changes were first observed before 1 year of age and progressed within months to a well-established maculopathy. Pseudocolobomas were documented in three patients. Measurable visual acuities ranged from 20/200 to 20/540. Nystagmus was present in 8/11 patients; 5/6 patients had normal ERGs; 1/6 had reduced rod-mediated responses. Spectral-domain OCT showed macular thinning, with severe ganglion cell layer (GCL) and outer nuclear layer (ONL) loss. Inner retinal thickening was observed in areas of total GCL/ONL loss. A normal lamination pattern in the peripapillary nasal retina was often seen despite severe central and/or retina-wide disease. Patients with early-onset cblC and MMACHC mutations showed an early-onset, unusually fast-progressing maculopathy with severe central ONL and GCL loss. An abnormally thickened inner retina supports a remodeling response to both photoreceptor and ganglion cell degeneration and/or an interference with normal development in early-onset cblC.

  16. The blood pressure-induced diameter response of retinal arterioles decreases with increasing diabetic maculopathy

    DEFF Research Database (Denmark)

    Frederiksen, Christian Alcaraz; Jeppesen, Peter; Knudsen, Søren Tang;

    2006-01-01

    were measured using the Retinal Vessel Analyzer (RVA, Imedos, Germany) before, during, and after an increase in the blood pressure induced by isometric exercise. Additionally, the retinal thickness was measured using optical coherence tomography scanning. RESULTS: The arterioles contracted during......BACKGROUND: The aim of the study was to compare the diameter response of retinal arterioles and retinal thickness in patients with different stages of diabetic maculopathy during an increase in the arterial blood pressure. METHODS: Four groups each consisting of 19 individuals were studied. Group...

  17. A Rare Case of Unilateral Acute Idiopathic Maculopathy in Young Male

    Science.gov (United States)

    Sharma, Vikas

    2017-01-01

    Unilateral Acute Idiopathic Maculopathy (UAIM) is a rare disorder of Retinal Pigmentary Epithelium (RPE) that mainly affects the young healthy male. The variability of this disease can masquerade different entity, so diagnosis becomes cumbersome. We are reporting a case of young healthy male, who has reported to us with gross diminution of vision from right eye. Right eye examination showed a grayish yellow lesion with fluffy margins on the macula. Based on Optical Coherence Tomography (OCT) and Fundus Fluorescein Angiography (FFA) findings, he was diagnosed as a case of UAIM. He was started on topical anti-inflammatory eye drops with subsequent improvement of his vision.

  18. Iatrogenic bleb formation and hypotony maculopathy following pterygium surgery with Mitomycin-C

    Directory of Open Access Journals (Sweden)

    Saeed Shokouhi-Rad

    2015-01-01

    Full Text Available Purpose: To report a case of late iatrogenic bleb formation and hypotony maculopathy after pterygium surgery applying Mitomycin C (MMC. Case Report: A 66-year-old man presented with an elevated, bleb-like, fluid-filled, cystic lesion on the nasal sclera of the right eye. The patient had undergone pterygium surgery with a combination of conjunctival autograft and adjuvant intraoperative MMC 0.02% four years before. The sclera seemed fistulized at the site of surgery and a thin layer of conjunctiva completely covered the lesion. A scleral patch graft was secured over the fistula with sutures, followed by excision of the thinned, avascular conjunctiva and advancement of the healthy adjacent conjunctiva to cover the patch graft. One month later, a small bleb re-appeared adjacent to the scleral patch graft and IOP was 2 mmHg. Argon-laser treatment of the bleb was tried to induce scarring and reduction of bleb size, and was highly effective. After one week, IOP was increased to 8 mmHg. The clinical features remained stable four months after initial presentation. Conclusion: Pterygium surgery using adjuvant MMC may result in late iatrogenic bleb formation and hypotony maculopathy. This complication can be successfully corrected surgically using a scleral patch graft combined with argon laser treatment over the inadvertent bleb.

  19. Tragedy on grade crossing: driver failure or systemic fragility?

    Science.gov (United States)

    Lopes, Manoela Gomes Reis; de Gouveia Vilela, Rodolfo Andrade; de Almeida, Ildeberto Muniz; Mioto, Odilamar Lopes; Takahashi, Mara Alice Batista Conti; Perin, Fernanda Oliveira

    2012-01-01

    In 2010, an accident occurred in Americana-SP, Brazil, involving two trains and one bus on a Grade Crossing, when 10 people died and 17 were injured including workers. This paper aims to analyze the accident using the Model of Analysis and Prevention of Work Accidents (MAPA). The method provides observation of work, interviews and analysis of documents to understand precedents of the event in the following stages: to understand the usual work from the involved people, the changes occurred in the system, the operation of barriers, managerial and organizational aspects. By the end, measures are suggested to avoid new occurrences. The accident took place at night in a site with insufficient lighting. The working conditions of bus drivers, train operators and watchmen are inadequate. There were only symbolic barriers (visual and acoustic signals) triggered manually by watchman upon train operator radio communication. The fragility of the barrier system associated to poor lighting and short time to trigger the signaling seem to play a critical role in the event. Contrary to the official report which resulted in guilt of the bus driver, the conclusion of the paper emphasizes the fragility of the safety system and the need of level crossing reproject.

  20. Prognostic Gleason grade grouping: data based on the modified Gleason scoring system

    Science.gov (United States)

    Pierorazio, Phillip M.; Walsh, Patrick C.; Partin, Alan W.; Epstein, Jonathan I.

    2014-01-01

    Objective • To investigate pathological and short-term outcomes since the most recent Gleason system modifications by the International Society of Urological Pathology (ISUP) in an attempt to divide the current Gleason grading system into prognostically accurate Gleason grade groups. Patients and Methods • We queried the Johns Hopkins Radical Prostatectomy Database (1982–2011), approved by the institutional review board, for men undergoing radical prostatectomy (RP) without a tertiary pattern since 2004 and identified 7869 men. • Multivariable models were created using preoperative and postoperative variables; prognostic grade group (Gleason grade ≤6; 3 + 4; 4 + 3; 8; 9–10) was among the strongest predictors of biochemical recurrence-free (BFS) survival. Results • Significant differences were noted among the Gleason grade groups at biopsy; differences were noted in the race, PSA level, clinical stage, number of positive cores at biopsy and the maximum percentage of positive cores among the Gleason grade groups at RP. • With a median (range) follow-up of 2 (1–7) years, 5-year BFS rates for men with Gleason grade ≤6, 3 + 4, 4 + 3, 8 and 9–10 tumours at biopsy were 94.6, 82.7, 65.1, 63.1 and 34.5%, respectively (P ISUP modifications to the Gleason grading system for prostate carcinoma accurately categorize patients by pathological findings and short-term biochemical outcomes but, while retaining the essence of the Gleason system, there is a need for a change in its reporting to more closely reflect tumour behaviour. • We propose reporting Gleason grades, including prognostic grade groups which accurately reflect prognosis as follows: Gleason score ≤6 (prognostic grade group I); Gleason score 3+4=7 (prognostic grade group II); Gleason score 4+3=7 (prognostic grade group III); Gleason score 4+4=8 (prognostic grade group (IV); and Gleason score 9–10 (prognostic grade group (V). PMID:23464824

  1. Reliability of an occlusal and nonocclusal tooth wear grading system: clinical use versus dental cast assessment.

    Science.gov (United States)

    Wetselaar, Peter; Lobbezoo, Frank; Koutris, Michail; Visscher, Corine M; Naeije, Machiel

    2009-01-01

    The reliability of a newly developed tooth wear grading system was assessed both clinically and on dental casts by two observers using 20 participants. The reliability of clinical occlusal/incisal tooth wear grading was fair-to-good to excellent, while that of most of the clinical nonocclusal/nonincisal grades was at least fair-to-good. Dental cast assessment frequently yielded poor reliabilities, especially for nonocclusal/nonincisal surfaces. Hence, occlusal/incisal wear could be graded more reliably than nonocclusal/nonincisal wear, while the clinical assessment of tooth wear was more reliable than the grading of dental casts.

  2. Quantitative assessment of graded burn wounds using a commercial and research grade laser speckle imaging (LSI) system

    Science.gov (United States)

    Ponticorvo, A.; Rowland, R.; Yang, B.; Lertsakdadet, B.; Crouzet, C.; Bernal, N.; Choi, B.; Durkin, A. J.

    2017-02-01

    Burn wounds are often characterized by injury depth, which then dictates wound management strategy. While most superficial burns and full thickness burns can be diagnosed through visual inspection, clinicians experience difficulty with accurate diagnosis of burns that fall between these extremes. Accurately diagnosing burn severity in a timely manner is critical for starting the appropriate treatment plan at the earliest time points to improve patient outcomes. To address this challenge, research groups have studied the use of commercial laser Doppler imaging (LDI) systems to provide objective characterization of burn-wound severity. Despite initial promising findings, LDI systems are not commonplace in part due to long acquisition times that can suffer from artifacts in moving patients. Commercial LDI systems are being phased out in favor of laser speckle imaging (LSI) systems that can provide similar information with faster acquisition speeds. To better understand the accuracy and usefulness of commercial LSI systems in burn-oriented research, we studied the performance of a commercial LSI system in three different sample systems and compared its results to a research-grade LSI system in the same environments. The first sample system involved laboratory measurements of intralipid (1%) flowing through a tissue simulating phantom, the second preclinical measurements in a controlled burn study in which wounds of graded severity were created on a Yorkshire pig, and the third clinical measurements involving a small sample of clinical patients. In addition to the commercial LSI system, a research grade LSI system that was designed and fabricated in our labs was used to quantitatively compare the performance of both systems and also to better understand the "Perfusion Unit" output of commercial systems.

  3. Ceramic/polymer functionally graded material (FGM) lightweight armor system

    Energy Technology Data Exchange (ETDEWEB)

    Petrovic, J.J.; McClellan, K.J.

    1998-12-31

    This is the final report of a two-year, Laboratory Directed Research and Development (LDRD) project at the Los Alamos National Laboratory (LANL). Functionally graded material is an enabling technology for lightweight body armor improvements. The objective was to demonstrate the ability to produce functionally graded ceramic-polymer and ceramic-metal lightweight armor materials. This objective involved two aspects. The first and key aspect was the development of graded-porosity boron-carbide ceramic microstructures. The second aspect was the development of techniques for liquid infiltration of lightweight metals and polymers into the graded-porosity ceramic. The authors were successful in synthesizing boron-carbide ceramic microstructures with graded porosity. These graded-porosity boron-carbide hot-pressed pieces were then successfully liquid-infiltrated in vacuum with molten aluminum at 1,300 C, and with liquid polymers at room temperature. Thus, they were able to demonstrate the feasibility of producing boron carbide-aluminum and boron carbide-polymer functionally graded materials.

  4. Ceramic/polymer functionally graded material (FGM) lightweight armor system

    Energy Technology Data Exchange (ETDEWEB)

    Petrovic, J.J.; McClellan, K.J.

    1998-12-31

    This is the final report of a two-year, Laboratory Directed Research and Development (LDRD) project at the Los Alamos National Laboratory (LANL). Functionally graded material is an enabling technology for lightweight body armor improvements. The objective was to demonstrate the ability to produce functionally graded ceramic-polymer and ceramic-metal lightweight armor materials. This objective involved two aspects. The first and key aspect was the development of graded-porosity boron-carbide ceramic microstructures. The second aspect was the development of techniques for liquid infiltration of lightweight metals and polymers into the graded-porosity ceramic. The authors were successful in synthesizing boron-carbide ceramic microstructures with graded porosity. These graded-porosity boron-carbide hot-pressed pieces were then successfully liquid-infiltrated in vacuum with molten aluminum at 1,300 C, and with liquid polymers at room temperature. Thus, they were able to demonstrate the feasibility of producing boron carbide-aluminum and boron carbide-polymer functionally graded materials.

  5. Optical system components for navigation grade fiber optic gyroscopes

    Science.gov (United States)

    Heimann, Marcus; Liesegang, Maximilian; Arndt-Staufenbiel, Norbert; Schröder, Henning; Lang, Klaus-Dieter

    2013-10-01

    Interferometric fiber optic gyroscopes belong to the class of inertial sensors. Due to their high accuracy they are used for absolute position and rotation measurement in manned/unmanned vehicles, e.g. submarines, ground vehicles, aircraft or satellites. The important system components are the light source, the electro optical phase modulator, the optical fiber coil and the photodetector. This paper is focused on approaches to realize a stable light source and fiber coil. Superluminescent diode and erbium doped fiber laser were studied to realize an accurate and stable light source. Therefor the influence of the polarization grade of the source and the effects due to back reflections to the source were studied. During operation thermal working conditions severely affect accuracy and stability of the optical fiber coil, which is the sensor element. Thermal gradients that are applied to the fiber coil have large negative effects on the achievable system accuracy of the optic gyroscope. Therefore a way of calculating and compensating the rotation rate error of a fiber coil due to thermal change is introduced. A simplified 3 dimensional FEM of a quadrupole wound fiber coil is used to determine the build-up of thermal fields in the polarization maintaining fiber due to outside heating sources. The rotation rate error due to these sources is then calculated and compared to measurement data. A simple regression model is used to compensate the rotation rate error with temperature measurement at the outside of the fiber coil. To realize a compact and robust optical package for some of the relevant optical system components an approach based on ion exchanged waveguides in thin glass was developed. This waveguides are used to realize 1x2 and 1x4 splitter with fiber coupling interface or direct photodiode coupling.

  6. Web-Based Problem-Solving Assignment and Grading System

    Science.gov (United States)

    Brereton, Giles; Rosenberg, Ronald

    2014-11-01

    In engineering courses with very specific learning objectives, such as fluid mechanics and thermodynamics, it is conventional to reinforce concepts and principles with problem-solving assignments and to measure success in problem solving as an indicator of student achievement. While the modern-day ease of copying and searching for online solutions can undermine the value of traditional assignments, web-based technologies also provide opportunities to generate individualized well-posed problems with an infinite number of different combinations of initial/final/boundary conditions, so that the probability of any two students being assigned identical problems in a course is vanishingly small. Such problems can be designed and programmed to be: single or multiple-step, self-grading, allow students single or multiple attempts; provide feedback when incorrect; selectable according to difficulty; incorporated within gaming packages; etc. In this talk, we discuss the use of a homework/exam generating program of this kind in a single-semester course, within a web-based client-server system that ensures secure operation.

  7. Prevalence of age-related maculopathy and age-related macular degeneration among the inuit in Greenland. The Greenland Inuit Eye Study

    DEFF Research Database (Denmark)

    Andersen, Mads Varis Nis; Rosenberg, Thomas; la Cour, Morten

    2008-01-01

    To examine the age- and gender-specific prevalence and describe the common phenotype of early age-related maculopathy (ARM) and late-stage age-related macular degeneration (AMD) among the Inuit in Greenland....

  8. The Impact of Framing Effect on Student Preferences for University Grading Systems

    Science.gov (United States)

    Smith, Jeffrey K.; Smith, Lisa F.

    2009-01-01

    Kahneman and Tversky's (1979, 2000; Tversky & Kahneman, 1981) work in decision-making was applied to student preferences for grading practices. Undergraduate psychology students (n = 240) were randomly assigned to 1 of 3 framing conditions related to how a university course might be graded: a 100 point system, a percentage system, and an open…

  9. Allergic sensitization at school age is a systemic low-grade inflammatory disorder

    DEFF Research Database (Denmark)

    Chawes, B. L. K.; Stokholm, J.; Malby-Schoos, A.-M.;

    2015-01-01

    Systemic low-grade inflammation has been demonstrated in a range of the frequent noncommunicable diseases (NCDs) as a possible shared mechanism, but is largely unexplored in relation to allergic sensitization. Therefore, we aimed to investigate the possible association between systemic low-grade...

  10. Optical coherence tomography in a patient with chloroquine-induced maculopathy

    Directory of Open Access Journals (Sweden)

    Korah Sanita

    2008-01-01

    Full Text Available We herein report the optical coherence tomography (OCT findings in a case of chloroquine-induced macular toxicity, which to our knowledge, has so far not been reported. A 53-year-old lady on chloroquine for treatment of rheumatoid arthritis developed decrease in vision 36 months after initiation of the treatment. Clinical examination revealed evidence of retinal pigment epithelial (RPE disturbances. Humphrey field analyzer (HFA, fundus fluorescein angiography (FFA and OCT for retinal thickness and volume measurements at the parafoveal region were done. The HFA revealed bilateral superior paracentral scotomas, FFA demonstrated RPE loss and OCT revealed anatomical evidence of loss of ganglion cell layers, causing marked thinning of the macula and parafoveal region. Parafoveal retinal thickness and volume measurements may be early evidence of chloroquine toxicity, and OCT measurements as a part of chloroquine toxicity screening may be useful in early detection of chloroquine maculopathy.

  11. Central Retinal Vein Occlusion and Paracentral Acute Middle Maculopathy Diagnosed With En Face Optical Coherence Tomography.

    Science.gov (United States)

    Phasukkijwatana, Nopasak; Rahimi, Mansour; Iafe, Nicholas; Sarraf, David

    2016-09-01

    A 21-year-old healthy female presented with acute-onset vision loss in the left eye. Multimodal imaging, including fundus photography and fluorescein angiography, was unremarkable. En face optical coherence tomography (OCT) demonstrated paracentral acute middle maculopathy (PAMM) lesions in a perivenular fern-like pattern leading to the diagnosis of central retinal vein occlusion (CRVO). En face OCT can be an important modality to identify the distribution of abnormalities of the middle retina such as PAMM. The distribution of PAMM lesions in the posterior pole will be a critical element in the determination of the etiologic disorder. [Ophthalmic Surg Lasers Imaging Retina. 2016;47:862-864.]. Copyright 2016, SLACK Incorporated.

  12. [Optical coherence tomography follow-up of a case of solar maculopathy].

    Science.gov (United States)

    Macarez, R; Vanimschoot, M; Ocamica, P; Kovalski, J-L

    2007-03-01

    Solar maculopathy is caused by sun-gazing without protection and in most cases appears to be reversible. Retinal damage may be caused by photochemical changes combined with a rise in temperature at the time of sun observation. We report a case of bilateral solar retinopathy following direct sun gazing after observation of the partial eclipse on 3 October 2005. A 25-year-old Caucasian man presented 24 h after watching the eclipse with symptoms of blurred vision and a bright positive central scotoma. Total direct viewing time was approximately 5 min. While observing the eclipse, the patient kept both eyes open. On presentation, his visual acuity was 20/25 in his right eye and 20/32 in his left eye. Ophthalmoscopic examination revealed a bilateral yellowish-white spot in the center of the foveal region. Static visual field examination did not disclose any absolute scotoma but a decrease in the foveal threshold was noted in both eyes. Optical coherence tomography (OCT) examination revealed a bilateral increased reflectivity of the inner foveal retina that was greater in the left eye. This finding was associated with a hyporeflective area of the underlying retinal pigment epithelium: choriocapillaris complex and an increase in retinal thickness. Eight days later, visual acuity was 20/20 in each eye. Funduscopy showed the yellow lesion had vanished. Four months after exposure, funduscopy was normal and OCT scan showed normal reflectivity of all retinal layers in the fovea. However, static visual field examination disclosed a decreased foveal threshold on the left eye. We compare the OCT findings in this patient with the data reported in the literature. Indeed, various OCT findings have been reported depending on the intensity and frequency of sun exposure. This observation demonstrates that OCT appears to be potentially useful in the evolutive follow-up of solar maculopathy, and emphasizes the importance of eye safety during solar eclipse observation.

  13. Combined intravitreal bevacizumab with phacoemulsification in visually significant cataract and visually significant exudative maculopathy

    Directory of Open Access Journals (Sweden)

    Ahmad Mansour

    2011-01-01

    Full Text Available Purpose : We investigated the visual outcome of combined phacoemulsification with intravitreal bevacizumab, in eyes with dense cataract and visually significant exudative maculopathy. Materials and Methods : Prospective longitudinal pilot study of consecutive patients treated by two surgeons in 2006, using intravitreal bevacizumab at the end of phacoemulsification. The historical control group consisted of consecutive subjects with exudative maculopathy and dense cataract treated by the same surgeons with the help of phacoemulsification without intravitreal bevacizumab prior to 2006. Results : Thirty-one treated patients had the mean (SD logMar best corrected visual acuity improving from - 1.48 (0.50 preoperatively to - 0.67 (0.38 in the first postoperative week ( p < 0.001, to - 0.64 (0.40 in the first postoperative month ( p < 0.001, and to - 0.62 (0.42 ( p < 0.001 on the last follow-up (mean 4.2 months, range 1 - 9 months. Fourteen control patients had the mean (SD logMar best corrected visual acuity improving from - 1.78 (0.79 preoperatively, to - 0.91 (0.53 in the first postoperative week ( p < 0.001, to - 0.86 (0.45 in the first postoperative month ( p < 0.001, and to - 0.90 (0.47 ( p < 0.001 on the last follow- up (mean 19.6 months, range 1 - 49 months. Initial visual acuities, final visual acuities, and percentage of visual improvement at one month were all not significantly better in the intervention compared to the control group at one month. In the study group, the fovea was flattened at the one-month follow-up, by 90-diopter slit lamp examination and / or Optical coherence tomography. Conclusion : The combination of intravitreal bevacizumab and phacoemulsification is beneficial for maximal visual rehabilitation in the first postoperative month.

  14. Implications of the International Society of Urological Pathology modified Gleason grading system.

    Science.gov (United States)

    Egevad, Lars; Mazzucchelli, Roberta; Montironi, Rodolfo

    2012-04-01

    Histologic grading is the clinically most useful tissue-based predictor of prognosis for prostate cancer. Over the years, there has been a gradual shift in how the Gleason grading is applied in practice, with a general trend toward upgrading. A consensus conference was organized in 2005 by the International Society of Urological Pathology (ISUP) for standardizing both the perception of histologic patterns and how the grade information is compiled and reported. To review the implications of the ISUP modified Gleason grading system. Personal experience and review of the current literature. The recommendations regarding pattern interpretation and reporting are summarized. The practical consequences of the ISUP modification of the Gleason grading are reported. The prognostic importance of the Gleason score, its reproducibility, and its preoperative assessment are discussed. Subsequent proposals for slight modifications to the ISUP grading system are described.

  15. Histologic grade in penile squamous cell carcinoma: visual estimation versus digital measurement of proportions of grades, adverse prognosis with any proportion of grade 3 and correlation of a Gleason-like system with nodal metastasis.

    Science.gov (United States)

    Chaux, Alcides; Torres, José; Pfannl, Rolf; Barreto, Jose; Rodriguez, Ingrid; Velazquez, Elsa F; Cubilla, Antonio L

    2009-07-01

    Histologic grade has been reported as an important pathologic parameter predictive of nodal metastases and outcome in patients with penile squamous cell carcinoma. There is no consensus about the criteria for grading and the proportion of anaplastic cells required to classify a tumor as high grade. The incidence and management of heterogeneous tumors (tumors harboring more than 1 histologic grade) are not well established. The purposes of this study were to present a grading model for penile cancer, to test the practicality of the system by comparing a visual ("naked-eye") estimation of the proportions of grades with a digitally guided measuring system and to determine the influence on nodal metastasis of the various proportions of grades. A total of 117 penectomy and circumcision specimens with bilateral inguinal lymph node dissections were studied and 62 heterogeneous tumors were identified (53%). The following steps were taken: (1) design of a grading system model; (2) determination of proportions of histologic grades by naked-eye evaluation and by digital measurement; (3) evaluation of metastasis according to proportions of grades; (4) determination of the influence of site of grade 3 in nodal metastasis; (5) design of a Gleason-like scoring system; and (6) statistical evaluation. We designed a 3-tier grading system. Grade 1: well-differentiated cells, almost undistinguishable from normal squamous cells except for the presence of minimal basal/parabasal cell atypia. Grade 3: tumors predominantly composed of anaplastic cells. Grade 2: all tumors not fitting into criteria described for grade 1 or 3. A visual and digital-based (slides scanned and the corresponding areas measured with an image-editing software) proportions of grades were estimated and the metastatic rate between them were confronted using different proportions of grade 3. To evaluate the influence of site of grade 3 on nodal metastasis, we selected 20 heterogeneous tumors. We established 3 sites

  16. Neuropathic pain: an updated grading system for research and clinical practice.

    Science.gov (United States)

    Finnerup, Nanna B; Haroutounian, Simon; Kamerman, Peter; Baron, Ralf; Bennett, David L H; Bouhassira, Didier; Cruccu, Giorgio; Freeman, Roy; Hansson, Per; Nurmikko, Turo; Raja, Srinivasa N; Rice, Andrew S C; Serra, Jordi; Smith, Blair H; Treede, Rolf-Detlef; Jensen, Troels S

    2016-08-01

    The redefinition of neuropathic pain as "pain arising as a direct consequence of a lesion or disease affecting the somatosensory system," which was suggested by the International Association for the Study of Pain (IASP) Special Interest Group on Neuropathic Pain (NeuPSIG) in 2008, has been widely accepted. In contrast, the proposed grading system of possible, probable, and definite neuropathic pain from 2008 has been used to a lesser extent. Here, we report a citation analysis of the original NeuPSIG grading paper of 2008, followed by an analysis of its use by an expert panel and recommendations for an improved grading system. As of February, 2015, 608 eligible articles in Scopus cited the paper, 414 of which cited the neuropathic pain definition. Of 220 clinical studies citing the paper, 56 had used the grading system. The percentage using the grading system increased from 5% in 2009 to 30% in 2014. Obstacles to a wider use of the grading system were identified, including (1) questions about the relative significance of confirmatory tests, (2) the role of screening tools, and (3) uncertainties about what is considered a neuroanatomically plausible pain distribution. Here, we present a revised grading system with an adjusted order, better reflecting clinical practice, improvements in the specifications, and a word of caution that even the "definite" level of neuropathic pain does not always indicate causality. In addition, we add a table illustrating the area of pain and sensory abnormalities in common neuropathic pain conditions and propose areas for further research.

  17. Automated grading of wood-slabs. The development of a prototype system

    DEFF Research Database (Denmark)

    Ersbøll, Bjarne Kjær; Conradsen, Knut

    1992-01-01

    , etc. Based on the relative distribution of these detected defects on the surface of a given slab, the slab is further classified into 5 quality grades: prime, standard, flamy, extra flamy and rejects. As a result of this project, a prototype for the computer vision grading system has been built...

  18. Reliability of an occlusal and nonocclusal tooth wear grading system: clinical use versus dental cast assessment

    NARCIS (Netherlands)

    Wetselaar, P.; Lobbezoo, F.; Koutris, M.; Visscher, C.M.; Naeije, M.

    2009-01-01

    The reliability of a newly developed tooth wear grading system was assessed both clinically and on dental casts by two observers using 20 participants. The reliability of clinical occlusal/incisal tooth wear grading was fair-to-good to excellent, while that of most of the clinical nonocclusal/noninc

  19. MRI assessment of lumbar intervertebral disc degeneration with lumbar degenerative disease using the Pfirrmann grading systems.

    Directory of Open Access Journals (Sweden)

    Li-Peng Yu

    Full Text Available BACKGROUND: To evaluate by MRI intervertebral disc degeneration in patients with lumbar degenerative disease using the Pfirrmann grading system and to determine whether Modic changes correlated with the Pfirrmann grades and modified Pfirrmann grades of disc degeneration. METHODS: The clinical data of 108 surgical patients with lumbar degenerative disease were reviewed and their preoperative MR images were analyzed. Disc degeneration was evaluated using the Pfirrmann grading system. Patients were followed up and low back pain was evaluated using the visual analog scale (VAS and the effect of back pain on the daily quality of life was assessed using Oswestry disability index (ODI. RESULTS: Forty-four cases had normal anatomical appearance (Modic type 0 and their Pfirrmann grades were 3.77±0.480 and their modified Pfirrmann grades were of 5.81±1.006. Twenty-seven cases had Modic type I changes and their Pfirrmann grades were 4.79±0.557 and their modified Pfirrmann grades were 7.00±0.832. Thirty-six cases exhibited Modic type II changes and their Pfirrmann grades and modified Pfirrmann grades were 4.11±0.398 and 6.64±0.867, respectively. One case had Modic type III changes. Kruskal-Wallis test revealed significant difference in modified Pfirrmann grade among Modic type 0, I and II changes (P0.05. Binary regression analysis showed that Modic changes correlated most strongly with disc degeneration. Follow up studies indicated that the VAS and ODI scores were markedly improved postoperatively. However, no difference was noted in VAS and ODI scores among patients with different Modic types. CONCLUSION: Modic changes correlate with the Pfirrmann and modified Pfirrmann grades of disc degeneration in lumbar degenerative disease. There is no significant correlation between Modic types and surgical outcomes.

  20. The pathology of whiplash maculopathy and retinopathy : Illustrated observations derived from a fatal roller-coaster accident.

    Science.gov (United States)

    Parsons, M A; Talbot, J F; Mudhar, H S; Rutty, Guy N

    2005-03-01

    We present a single case report of a 20-year-old female who died following a severe whiplash head and neck injury sustained during a roller-coaster incident. We present the pathology of her eyes, which we believe to be the first pathological illustration of whiplash maculopathy and retinopathy to be reported within the medical literature. This article presents the macroscopic and microscopic pathology identified in this case and discusses the possible causation of the findings.

  1. Inter- and intra-observer variability in three grading systems for oral epithelial dysplasia

    Directory of Open Access Journals (Sweden)

    Lakshmi Krishnan

    2016-01-01

    Conclusions: The binary system of classification proved to have an overall better inter- and intra-observer agreement. This study also showed better intra-observer agreement in all the grading systems as well as in individual histopathological parameters. Defining the individual parameters more objectively with the reproducible structuring of the grading systems and training of the pathologists would help reduce the variability in diagnosing dysplasia.

  2. Temporomandibular joint disc; a proposed histopathological degeneration grading score system

    OpenAIRE

    2010-01-01

    Summary. Aims: The purpose of this study was to draw up a TMJ disc histopathological score that is a semiquantitative transcription of the entire spectrum of TMJ disc degenerative diseases related to changes in disc tissue, and then validate the proposed grading, in order to contribute to a standardized histopathological diagnosis. Methods: Sections from sixty two temporomandibular joint disc specimens affected by tissue degenerative changes and stained with Hematox...

  3. Screening for Diabetic Retinopathy in the Central Region of Portugal. Added Value of Automated 'Disease/No Disease' Grading.

    Science.gov (United States)

    Ribeiro, Luisa; Oliveira, Carlos Manta; Neves, Catarina; Ramos, João Diogo; Ferreira, Hélder; Cunha-Vaz, José

    2014-11-26

    Purpose: To describe the procedures of a nonmydriatic diabetic retinopathy (DR) screening program in the Central Region of Portugal and the added value of the introduction of an automated disease/no disease analysis. Methods: The images from the DR screening program are analyzed in a central reading center using first an automated disease/no disease analysis followed by human grading of the disease cases. The grading scale used is as follows: R0 - no retinopathy, RL - nonproliferative DR, M - maculopathy, RP - proliferative DR and NC - not classifiable. Results: Since the introduction of automated analysis in July 2011, a total of 89,626 eyes (45,148 patients) were screened with the following distribution: R0 - 71.5%, RL - 22.7%, M - 2.2%, RP - 0.1% and NC - 3.5%. The implemented automated system showed the potential for human grading burden reduction of 48.42%. Conclusions: Screening for DR using automated analysis allied to a simplified grading scale identifies DR vision-threatening complications well while decreasing human burden. © 2014 S. Karger AG, Basel.

  4. New grading system for upper urinary tract dilation using magnetic resonance urography in patients with neurogenic bladder.

    Science.gov (United States)

    Liao, Limin; Zhang, Fan; Chen, Guoqing

    2014-05-22

    In patients with neurogenic bladder (NB), elevated intravesical pressures can be transmitted to the upper urinary tract, causing hydronephrosis (HN) and ureteral dilation (UD), which are referred to as upper urinary tract dilation (UUTD). Ureteral obstruction at the bladder wall is another cause for UUTD, but is less of a concern. UUTD can lead to chronic renal failure. Therefore, evaluation and protection of UUT function is extremely important in the management for NB. Currently, the most common method by which to detect HN and UD is ultrasonography (US). The Society for Fetal Urology (SFU) established an US HN grading system in 1993, but this system was found to have some defects. The purpose of this study is to describe a new grading system for UUTD, including both HN and UD, based on magnetic resonance urography (MRU) and to correlate the new grading system with the SFU grading system for HN. A retrospective review of 70 patients with unilateral or bilateral UUTD was completed. Ninety-five sides in patients with UUTD were graded by the MRU-UUTD and SFU-HN grading systems. The results from the two grading systems were compared for each UUTD. The MRU-UUTD grading system revealed the following percentages for each grade: grade 0, 0; 1, 10.5%; 2, 19%; 3, 42.1%; and 4, 28.4%. The SFU-HN grading system revealed the following percentages for each grade: 0, 0; 1, 10.5%; 2, 19%; 3, 36.8%; and 4, 33.7%. There was no significant systematic difference between the two grading systems (p > 0.05), but a significant difference between grades 3 and 4 (p MRU-UUTD grading system correlates well with SFU-HN grade, provides an objective and comprehensive evaluation for UUTD, and can be used for longitudinal monitoring of UUTD. This new grading system allows for better informed clinical decision-making, identifying changes in UUTD.

  5. A Review of The Society for Assisted Reproductive Technology Embryo Grading System and Proposed Modification

    Directory of Open Access Journals (Sweden)

    Hossain Amjad

    2016-07-01

    Full Text Available The Society for Assisted Reproductive Technology (SART method of embryo grad- ing is unique, simple, and widely practiced, and its use has been mandatory for SART membership programs since 2010. Developed by SART in 2006, the current embryo grading system categories, “good, fair, and poor,” are limited because they do not describe the best 1-2 embryos in the interest of keeping pace with the shift in clinical practice to be more selective and to transfer fewer embryos. This inspired us to conduct a review on the SART embryo grading system. In this retrospective study, the literature on evaluation of human embryo quality in gen- eral, and the SART method of evaluation in particular, were reviewed for the period of 2000 to 2014. A multifaceted search pertaining to methods of embryo grading and trans- fer using a combination of relevant terms [embryo, mammalian, embryo transfer, grade, grading, morphology, biomarkers, SART, and in vitro fertilization (IVF] was performed. The inclusion and exclusion in this review were dictated by the aim and scope of the study. Two investigators independently assessed the studies and extracted information. A total of 61 articles were reviewed. Very few studies have evaluated the efficacy of the SART embryo grading method. The present study suggests the necessity for revision of the current SART grading system. The system, as it is now, lacks criteria for describing the cohort specific best embryo and thus is of limited use in single embryo transfer. The study foresees heightened descriptive efficiency of the SART system by implementing the proposed changes. Strengths and weaknesses of the SART embryo grading were identified. Ideas for selecting the best cohort-specific embryo have been discussed, which may trigger methodological improvement in SART and other embryo grading systems.

  6. [Basic features of the ISUP prostate carcinoma Gleason grading system: a preliminary analysis].

    Science.gov (United States)

    Wang, Gong-Wei; Shen, Dan-Hua

    2014-06-01

    To explore the basic features of the prostate carcinoma Gleason grading system of the International Society of Urological Pathology (ISUP). We analyzed the means and proportions of the Gleason score (GS), primary grade (PG), secondary grade (SG) and third grade (TG) of 667 cases of prostate carcinoma. The means of GS, PG, SG and TG were 7.06 +/- 1.10, 3.53 +/- 0.66, 3.53 +/- 0.72 and 4.30 +/- 0.96, respectively. The cases with GS 5, 6, 7, 8, 9 and 10 accounted for 0.4% (3/677), 37.2% (252/677), 34.4% (233/677), 13.7% (93/677), 12.0% (81/677) and 2.2% (15/677), respectively; those with GS or = 7 constituted 37.7% (255/677) and 62.3% (422/677); those with GS3 + 3, 4 + 3 and 3 + 4 made up 37.2% (252/677), 19.2% (130/677) and 15.2% (103/677); and the TG cases held 10.3% (70/677), including 30.0% (21/70) of grade 3, 10% (7/70) of grade 4 and 60.0% (42/70) of grade 5. Our study showed a high proportion of GS, a low proportion of GS or = 7 in the ISUP prostate carcinoma Gleason grading system. TG of GS needs to be further understood.

  7. Agricultural produce grading and sorting system using color CCD and new color identification algorithm

    Science.gov (United States)

    Wang, Dongsheng; Zou, Jizuo; Yang, Yunping; Dong, Jianhua; Zhang, Yuanxiang

    1996-10-01

    A high-speed automatic agricultural produce grading and sorting system using color CCD and new color identification algorithm has been developed. In a typical application, the system can sort almonds into tow output grades according to their color. Almonds ar rich in 18 kinds of amino acids and 13 kinds of micro minerals and vitamins and can be made into almond drink. In order to ensure the drink quality, almonds must be sorted carefully before being made into a drink. Using this system, almonds can be sorted into two grades: up to grade and below grade almonds or foreign materials. A color CCD inspects the almonds passing on a conveyor of rotating rollers, a color identification algorithm grades almonds and distinguishes foreign materials from almonds. Employing an elaborately designed mechanism, the below grade almonds and foreign materials can be removed effectively from the raw almonds. This system can be easily adapted for inspecting and sorting other kinds of agricultural produce such as peanuts, beans tomatoes and so on.

  8. Automatic pterygium detection on cornea images to enhance computer-aided cortical cataract grading system.

    Science.gov (United States)

    Gao, Xinting; Wong, Damon Wing Kee; Aryaputera, Aloysius Wishnu; Sun, Ying; Cheng, Ching-Yu; Cheung, Carol; Wong, Tien Yin

    2012-01-01

    In this paper, we present a new method to detect pterygiums using cornea images. Due to the similarity of appearances and spatial locations between pterygiums and cortical cataracts, pterygiums are often falsely detected as cortical cataracts on retroillumination images by a computer-aided grading system. The proposed method can be used to filter out the pterygium which improves the accuracy of cortical cataract grading system. This work has three major contributions. First, we propose a new pupil segmentation method for visible wavelength images. Second, an automatic detection method of pterygiums is proposed. Third, we develop an enhanced compute-aided cortical cataract grading system that excludes pterygiums. The proposed method is tested using clinical data and the experimental results demonstrate that the proposed method can improve the existing automatic cortical cataract grading system.

  9. Neonates with reduced neonatal lung function have systemic low-grade inflammation

    OpenAIRE

    Chawes, Bo L.K.; Stokholm, Jakob; Bønnelykke, Klaus; Pedersen, Susanne Brix; Bisgaard, Hans Flinker

    2015-01-01

    Background: Children and adults with asthma and impaired lung function have been reported to have low-grade systemic inflammation, but it is unknown whether this inflammation starts before symptoms and in particular whether low-grade inflammation is present in asymptomatic neonates with reduced lung function. ObjectiveWe sought to investigate the possible association between neonatal lung function and biomarkers of systemic inflammation. Methods: Plasma levels of high-sensitivity C-reactive p...

  10. Interobserver and intraobserver variability of a two-tier system for grading ovarian serous carcinoma.

    Science.gov (United States)

    Malpica, Anais; Deavers, Michael T; Tornos, Carmen; Kurman, Robert J; Soslow, Robert; Seidman, Jeffrey D; Munsell, Mark F; Gaertner, Erich; Frishberg, David; Silva, Elvio G

    2007-08-01

    Although grading has been demonstrated to be an important prognostic factor in ovarian serous carcinoma, there is no system universally used to perform this task. A few years ago, we proposed a two-tier system for grading ovarian serous carcinoma that is based primarily on the assessment of nuclear atypia (uniformity vs. pleomorphism) in the worst area of the tumor. Tumor grade in this two-tier system is correlated with survival. After being used by numerous pathologists and trainees at The University of Texas M.D. Anderson Cancer Center (MDACC) for 15 years, we have observed that this system is user-friendly and reproducible. We undertook this study to evaluate the interobserver and intraobserver variability among a group of 7 gynecologic pathologists and 2 general surgical pathologists using this grading system. A total of 80 cases of ovarian serous carcinoma, 40 low-grade and 40 high-grade, were circulated twice among these pathologists. Slides with examples of low-grade and high-grade serous carcinoma were sent with the unknowns. A website was used to provide diagnostic criteria, images of examples of ovarian low-grade and high-grade carcinoma, and a log form to facilitate data entry. Statistical analysis demonstrated an overall kappa statistic among the different observers of 0.909. The intergrader kappa's ranged from 0.717 to 1.000 in the first round of the review and from 0.701 to 1.000 in the second round. Eight of the participants had an intragrader kappa ranging from 0.775 to 1.000 (excellent agreement), whereas a single participant had an intragrader kappa of 0.725 (good agreement). This study demonstrates that the two-tier grading system (the MDACC grading system) for ovarian serous carcinoma on the basis of the assessment of nuclear atypia is easy to learn and is highly reproducible. These findings would support its universal use, which would be beneficial for the standardization of clinical trials and protocols, thus facilitating the understanding of

  11. Developing seventh grade students' systems thinking skills in the context of the human circulatory system.

    Science.gov (United States)

    Raved, Lena; Yarden, Anat

    2014-01-01

    Developing systems thinking skills in school can provide useful tools to deal with a vast amount of medical and health information that may help learners in decision making in their future lives as citizen. Thus, there is a need to develop effective tools that will allow learners to analyze biological systems and organize their knowledge. Here, we examine junior high school students' systems thinking skills in the context of the human circulatory system. A model was formulated for developing teaching and learning materials and for characterizing students' systems thinking skills. Specifically, we asked whether seventh grade students, who studied about the human circulatory system, acquired systems thinking skills, and what are the characteristics of those skills? Concept maps were used to characterize students' systems thinking components and examine possible changes in the students' knowledge structure. These maps were composed by the students before and following the learning process. The study findings indicate a significant improvement in the students' ability to recognize the system components and the processes that occur within the system, as well as the relationships between different levels of organization of the system, following the learning process. Thus, following learning students were able to organize the systems' components and its processes within a framework of relationships, namely the students' systems thinking skills were improved in the course of learning using the teaching and learning materials.

  12. Prognostic utility of Hyams histological grading and Kadish-Morita staging systems for esthesioneuroblastoma outcomes.

    Science.gov (United States)

    Bell, Diana; Saade, Rami; Roberts, Dianna; Ow, Thomas J; Kupferman, Michael; DeMonte, Franco; Hanna, Ehab Y

    2015-03-01

    Esthesioneuroblastoma (ENB) is derived from the specialized olfactory neuroepithelium. Hyams grading and Kadish staging have been used to prognosticate and to guide treatment decisions. In this study, we sought to validate the prognostic utility of these systems in a large ENB cohort. We retrospectively analyzed the records of patients with ENB who had been evaluated and treated at our institution. The association of grade and stage with prognostic outcome was assessed; the Kaplan-Meier estimator was used to generate 5-year OS and DFS curves. Out of 124 cases we identified, 121 were assessed for grading and 109 for staging. Review of the tissue samples revealed that 62 % of tumors were low grade (I/II) and 21 % were high grade (III/IV); 17 % of tumors were metastasis. The OS rate was 75 % at 5 years. The DFS was 60 % at 5 years. The OS was significantly worse for metastatic ENB (low-grade ENB vs metastatic ENB p = 0.01598); the DFS was significantly worse for high grade versus low grade ENB. Of the 109 cases that had been staged, 16 % were stage A, 33 % stage B, 43 % stage C, and 8 % stage D. In the A, B, and C groups, there were no significant differences between recurrence, distant metastasis, or 5-year survival rates. Statistical significance was not reached with the T, N, M and overall staging system. Age cutoff of 65 years reliably predicted OS. High grade of ENB was significantly associated with poor outcome, while advanced stage was not associated with poor outcome in this large cohort. Grading should certainly be considered in prognostication and treatment decisions for ENB.

  13. Developing Seventh Grade Students’ Systems Thinking Skills in the Context of the Human Circulatory System

    Science.gov (United States)

    Raved, Lena; Yarden, Anat

    2014-01-01

    Developing systems thinking skills in school can provide useful tools to deal with a vast amount of medical and health information that may help learners in decision making in their future lives as citizen. Thus, there is a need to develop effective tools that will allow learners to analyze biological systems and organize their knowledge. Here, we examine junior high school students’ systems thinking skills in the context of the human circulatory system. A model was formulated for developing teaching and learning materials and for characterizing students’ systems thinking skills. Specifically, we asked whether seventh grade students, who studied about the human circulatory system, acquired systems thinking skills, and what are the characteristics of those skills? Concept maps were used to characterize students’ systems thinking components and examine possible changes in the students’ knowledge structure. These maps were composed by the students before and following the learning process. The study findings indicate a significant improvement in the students’ ability to recognize the system components and the processes that occur within the system, as well as the relationships between different levels of organization of the system, following the learning process. Thus, following learning students were able to organize the systems’ components and its processes within a framework of relationships, namely the students’ systems thinking skills were improved in the course of learning using the teaching and learning materials. PMID:25520948

  14. The flexible requirement system for grading of clinical performance of undergraduate dental students.

    Science.gov (United States)

    ElBadrawy, H; Korayem, M

    2007-11-01

    A new grading system is presented for evaluating and grading dental students' clinical competence and performance in paediatric dentistry at the undergraduate level. The Flexible Requirements System is a clinical competence evaluation system designed to address some of the common deficiencies of other requirements-based performance evaluation systems, by utilising a unique method of collecting and manipulating certain measurements of student performance in various groups of clinical procedures. The system aimed to incorporate adequate flexibility in its requirements to afford students fair and equal opportunities, whilst maintaining adherence to departmental clinical competence criteria and standards.

  15. Ultra-high resolution optical coherence tomography analysis of bull's eye maculopathy in chloroquine users

    Directory of Open Access Journals (Sweden)

    Celso Morita

    2014-06-01

    Full Text Available Purpose: Register and compare anatomical changes, structural and quantitative found in optical coherence tomography Stratus and Topcon 3D in chronic users of chloroquine. Methods: Five patients were diagnosed with toxic "bull's eye" maculopathy was submitted to macular optical coherence tomography examination (Stratus and Topcon 3D. Results: Both tools demonstrated an increase reflectivity of choriocapillaris unit just foveal retinal pigment epithelium atrophy. However, Topcon 3D provided to all patients better description of the line corresponding to the transition between inner and outer segments of photoreceptors. Using the possibility of assembling threedimensional images and subtraction selective retinal layers, we found a lesion with a target that reflects the greater thickness of retinal pigment epithelium in central and parafoveal region that is matched to preserve macular photoreceptors. Conclusion: it was observed better resolution and faster image capture by Topcon 3D than Stratus OCT, that provided more detailed analysis of the line corresponding to transition between outer and inner segment of photoreceptors in macular region. With Topcon 3D, it was possible to evaluate soundly the thickness of retinal pigment epithelium in central and parafoveal region that caused an increase reflectivity of choriocapillaris creating a image with a target unpublished before.

  16. Visual MRI grading system to evaluate atrophy of the supeaspinatus muscle

    Energy Technology Data Exchange (ETDEWEB)

    Lim, Hyun Kyoung; Hong, Sung Hwan; Yoo, Hye Jin; Choi, Ja Young; Kim, Sae Hoon; Choi, Jung Ah; Kang, Heung Sik [Seoul National University College of Medicine, Seoul (Korea, Republic of)

    2014-08-15

    To investigate the interobserver reproducibility and diagnostic feasibility of a visual grading system for assessing atrophy of the supraspinatus muscle on magnetic resonance imaging (MRI). Three independent radiologists retrospectively evaluated the occupying ratio of the supraspinatus muscle in the supraspinatus fossa on 192 shoulder MRI examinations in 188 patients using a 3-point visual grading system (1, ≥ 60%; 2, 30-59%; 3, < 30%) on oblique sagittal T1-weighted images. The inter-reader agreement and the agreement with the reference standard (3-point grades according to absolute occupying ratio values quantitatively measured by directly contouring the muscles on MRI) were analyzed using weighted kappa. The visual grading was applied by a single reader to a group of 100 consecutive patients who had undergone rotator cuff repair to retrospectively determine the association between the visual grades at preoperative state and postsurgical occurrences of retear. The inter-reader weighted kappa value for the visual grading was 0.74 when averaged across three reader pairs (0.70-0.77 for individual reader pairs). The weighted kappa value between the visual grading and the reference standard ranged from 0.75 to 0.83. There was a significant difference in retear rates of the rotator cuff between the 3 visual grades of supraspinatus muscle atrophy on MRI in univariable analysis (p < 0.001), but not in multivariable analysis (p = 0.026). The 3-point visual grading system may be a feasible method to assess the severity of supraspinatus muscle atrophy on MRI and assist in the clinical management of patients with rotator cuff tear.

  17. An empirical study of the predictive validity of number grades in medical school using 3 decades of longitudinal data: implications for a grading system.

    Science.gov (United States)

    Gonnella, Joseph S; Erdmann, James B; Hojat, Mohammadreza

    2004-04-01

    Context It is important to establish the predictive validity of medical school grades. The strength of predictive validity and the ability to identify at-risk students in medical schools depends upon assessment systems such as number grades, pass/fail (P/F) or honours/pass/fail (H/P/F) systems. Objective This study was designed to examine the predictive validity of number grades in medical school, and to determine whether any important information is lost in a shift from number to P/F and H/P/F grading systems. Subjects The participants in this prospective, longitudinal study were 6656 medical students who studied at Jefferson Medical College over 3 decades. They were grouped into 10 deciles based on their number grades in Year 1 of medical school. Methods Participants were compared on academic accomplishments in Years 2 and 3 of medical school, medical school class rank, delayed graduation and attrition, performance on medical licensing examinations and clinical competence ratings in the first postgraduate year. Results Results supported the short- and longterm predictive validity of the number grades. Ratings of clinical competence beyond medical school were predicted by number grades in medical school. We demonstrated that small differences in number grades are statistically meaningful, and that important information for identifying students in need of remedial education is lost when students who narrowly meet faculty's expectations are included with the rest of the class in a broad 'pass' category. Conclusions The findings refute the argument that knowledge of sciences basic to medicine is not critical to subsequent performance in medical school and beyond if an appropriate evaluation system is used. Furthermore, the results of this study raise questions about abandoning number grades in favour of a pass/fail system. Consideration of these findings in policy decisions regarding assessment systems of medical students is recommended.

  18. Comparison of different pseudotumor grading systems in a single cohort of metal-on-metal hip arthroplasty patients

    Energy Technology Data Exchange (ETDEWEB)

    Weegen, W. van der; Wullems, J.A.; Das, H.P. [St. Anna Hospital, Department of Orthopaedic Surgery, Geldrop (Netherlands); Brakel, K.; Horn, R.J. [St. Anna Hospital, Department of Radiology, Geldrop (Netherlands); Pilot, P. [Reinier de Graaf Gasthuis, Department of Orthopaedic Surgery, Delft (Netherlands); Nelissen, R.G. [Leids Universitair Medisch Centrum, Department of Orthopaedic Surgery, Leiden (Netherlands)

    2014-02-15

    Follow-up of pseudotumors observed with metal-artefact reducing sequence (MARS)-magnetic resonance imaging (MRI) following metal-on-metal total hip arthroplasty (MoMTHA) depends on how severe these pseudotumors are graded. Several pseudotumor grading systems for MARS-MRI have emerged but little is known of their validity. We studied the intra- and interobserver reliability of three different pseudotumor grading systems in a single cohort of MoMTHA. Two experienced musculoskeletal radiologists independently used three different pseudotumor grading systems for classifying MARS-MRI results of the same cohort of 42 MoMTHA patients (49 hips, mean follow-up 5.2 years). Intraobserver and interobserver reliability for each grading system was measured using Cohen's kappa (κ). Variance in pseudotumor severity grading between systems was analyzed. Intraobserver reliability on grading pseudotumor severity with the Anderson, Matthies, and Hauptfleisch grading system scored 0.47, 0.10, and 0.35 (observer 1), and 0.75, 0.38, and 0.42 (observer 2), respectively. Interobserver reliability scores for pseudotumor severity were 0.58, 0.23, and 0.34, respectively. Intraobserver reliability for grading pseudotumor severity on MARS-MRI ranged from poor to good, dependent on observer and grading system used. Interobserver reliability scored best with the Anderson system. A more succinct pseudotumor severity grading system is needed for clinical use. (orig.)

  19. Impaired peripheral vasodilation during graded systemic hypoxia in healthy older adults: role of the sympathoadrenal system.

    Science.gov (United States)

    Richards, Jennifer C; Crecelius, Anne R; Larson, Dennis G; Luckasen, Gary J; Dinenno, Frank A

    2017-04-01

    Systemic hypoxia is a physiological and pathophysiological stress that activates the sympathoadrenal system and, in young adults, leads to peripheral vasodilation. We tested the hypothesis that peripheral vasodilation to graded systemic hypoxia is impaired in older healthy adults and that this age-associated impairment is due to attenuated β-adrenergic mediated vasodilation and elevated α-adrenergic vasoconstriction. Forearm blood flow was measured (Doppler ultrasound), and vascular conductance (FVC) was calculated in 12 young (24 ± 1 yr) and 10 older (63 ± 2 yr) adults to determine the local dilatory responses to graded hypoxia (90, 85, and 80% O2 saturations) in control conditions, following local intra-arterial blockade of β-receptors (propranolol), and combined blockade of α- and β-receptors (phentolamine + propranolol). Under control conditions, older adults exhibited impaired vasodilation to hypoxia compared with young participants at all levels of hypoxia (peak ΔFVC at 80% [Formula: see text] = 4 ± 6 vs. 35 ± 8%; P adults actively constricted at 85 and 80% [Formula: see text] (peak ΔFVC at 80% [Formula: see text] = -13 ± 6%; P adults; however, older adults failed to significantly vasodilate (peak ΔFVC at 80% [Formula: see text]= 12 ± 11% vs. 58 ± 11%; P adults, which cannot be fully explained by altered sympathoadrenal control of vascular tone. Thus, the impairment in hypoxic vasodilation is likely due to attenuated local vasodilatory and/or augmented vasoconstrictor signaling with age.NEW & NOTEWORTHY We found that the lack of peripheral vasodilation during graded systemic hypoxia with aging is not mediated by the sympathoadrenal system, strongly implicating local vascular control mechanisms in this impairment. Understanding these mechanisms may lead to therapeutic advances for improving tissue blood flow and oxygen delivery in aging and disease. Copyright © 2017 the American Physiological Society.

  20. A practical MRI grading system for osteoarthritis of the knee: Association with Kellgren–Lawrence radiographic scores

    Energy Technology Data Exchange (ETDEWEB)

    Park, Hee-Jin, E-mail: parkhiji@gmail.com [Department of Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, #108 Pyung-dong, Jongno-gu, Seoul 110-746 (Korea, Republic of); Department of Radiology, Kangwon National University School of Medicine, Baengnyeong-ro 156, Chuncheon-Si, Gangwon-Do Kangwon National University Hospital 200-722 (Korea, Republic of); Kim, Sam Soo, E-mail: samskim@kangwon.ac.kr [Department of Radiology, Kangwon National University School of Medicine, Baengnyeong-ro 156, Chuncheon-Si, Gangwon-Do Kangwon National University Hospital 200-722 (Korea, Republic of); Lee, So-Yeon, E-mail: parkhiji@kwandong.ac.kr [Department of Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, #108 Pyung-dong, Jongno-gu, Seoul 110-746 (Korea, Republic of); Park, Noh-Hyuck, E-mail: nhpark904@kwandong.ac.kr [Department of Radiology, Myongji Hospital, Kwandong University, College of Medicine, 697-24 Hwajung-dong, Dukyang-ku, Koyang, Kyunggi 412-270 (Korea, Republic of); Park, Ji-Yeon, E-mail: zzzz3@hanmail.net [Department of Radiology, Myongji Hospital, Kwandong University, College of Medicine, 697-24 Hwajung-dong, Dukyang-ku, Koyang, Kyunggi 412-270 (Korea, Republic of); Choi, Yoon-Jung, E-mail: yoonchoi99@gmail.com [Department of Radiology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, #108 Pyung-dong, Jongno-gu, Seoul 110-746 (Korea, Republic of); Jeon, Hyun-Jun, E-mail: ostrich-13@hanmail.net [Department of Occupational Medicine, Dongsan Medical Center, Keimyung University School of Medicine, 194 Dongsan-Dong, Jung-ku, Taegu (Korea, Republic of)

    2013-01-15

    Purpose: To propose a reproducible and constant MR grading system for osteoarthritis of the knee joint that provides high interobserver and intraoberver agreement and that does not require complicated calculation procedures. Materials and methods: This retrospective study sample included 44 men and 65 women who underwent both MRI and plain radiography of the knee at our institution. All patients were older than 50 years of age (mean 57.7) and had clinically suspected osteoarthritis of the knee. The standard of 4 grades on the MR grade scale was based mainly on cartilage injury and additional findings. Kellgren–Lawrence grades were assessed for the same patient group. The relationship between the results was determined. Statistical analyses were performed including kappa statistics, categorical regression analysis and nonparametric correlation analysis. Results: The interobserver and intraoberver agreements between the two readers in the grading of osteoarthritis were found to be almost perfect. Interobserver and intraobserver agreements were slightly lower for the MR grading system than for the Kellgren–Lawrence grading scale. The correlation between the MR grade and Kellgren–Lawrence grade was very high and did not differ with patient age. The MR grades were highly correlated with the Kellgren–Lawrence grades and showed excellent interobserver and intraobserver agreements. Conclusion: This new MR grading system for osteoarthritis of the knee joint is reproducible and may be helpful for the grading of osteoarthritis of the knee without requiring reference to plain radiography.

  1. Prognosis and biology in esthesioneuroblastoma: the emerging role of Hyams grading system.

    Science.gov (United States)

    Saade, Rami E; Hanna, Ehab Y; Bell, Diana

    2015-01-01

    Esthesioneuroblastoma is a sinonasal tumor with distinct clinicopathologic features, multiple facets, and a spectrum of behavior. Characterization of this disease is challenging, and clinically, several staging systems have been used with no consensus on a single scheme. Recently, the Hyams histological grading system has emerged as a promising prognostication tool that offers an added value to stage. This review addresses prognosis and biology in esthesioneuroblastoma. More specifically, we sought to present a critical appraisal on the value of each of these stratification systems, stage vs. grade, in identifying risk groups and guiding management.

  2. Automated grading of wood-slabs. The development of a prototype system

    DEFF Research Database (Denmark)

    Ersbøll, Bjarne Kjær; Conradsen, Knut

    1992-01-01

    This paper proposes a method for automatically grading small beechwood slabs. The method involves two classification steps: the first step detects defects based on local visual texture; the second step utilizes the relative distribution of defects to perform a final grading assessment. At a major......-based measures of 'lightness', 'speckle' and 'dark deviation'. These measures are calculated for each pixel in an image of a slab. The feature space is separated into 12 decision regions corresponding to 12 'defect types'; these 'defects' are labeled as clear wood, wavy grain, split, black knots, ingrown bark......, etc. Based on the relative distribution of these detected defects on the surface of a given slab, the slab is further classified into 5 quality grades: prime, standard, flamy, extra flamy and rejects. As a result of this project, a prototype for the computer vision grading system has been built...

  3. The intra-rater reliability of a revised 3-point grading system for accessory joint mobilizations.

    Science.gov (United States)

    Ward, Jennifer; Hebron, Clair; Petty, Nicola J

    2017-09-01

    Joint mobilizations are often quantified using a 4-point grading system based on the physiotherapist's detection of resistance. It is suggested that the initial resistance to joint mobilizations is imperceptible to physiotherapists, but that at some point through range becomes perceptible, a point termed R1. Grades of mobilization traditionally hinge around this concept and are performed either before or after R1. Physiotherapists, however, show poor reliability in applying grades of mobilization. The definition of R1 is ambiguous and dependent on the skills of the individual physiotherapist. The aim of this study is to test a revised grading system where R1 is considered at the beginning of range, and the entire range, as perceived by the physiotherapists maximum force application, is divided into three, creating 3 grades of mobilization. Thirty-two post-registration physiotherapists and nineteen pre-registration students assessed end of range (point R2) and then applied 3 grades of AP mobilizations, over the talus, in an asymptomatic models ankle. Vertical forces were recorded through a force platform. Intra-class Correlation Coefficients, Standard Error of Measurement, and Minimal Detectable Change were calculated to explore intra-rater reliability on intra-day and inter-day testing. T-tests determined group differences. Intra-rater reliability was excellent for intra-day testing (ICC 0.96-0.97), and inter-day testing (ICC 0.85-0.93). No statistical difference was found between pre- and post-registration groups. Standardizing the definition of grades of mobilization, by moving R1 to the beginning of range and separating grades into thirds, results in excellent intra-rater reliability on intra-day and inter-day tests. 3b.

  4. Insulin resistance correlates with maculopathy and severity of retinopathy in young adults with Type 1 Diabetes Mellitus.

    Science.gov (United States)

    Rowe, C W; Haider, A S; Viswanathan, D; Jones, M; Attia, J; Wynne, K; Acharya, S

    2017-09-01

    To assess the relationship between insulin resistance (IR), retinopathy and maculopathy in young adults with Type 1 diabetes mellitus. A cross-sectional study at a regional Australian tertiary hospital. Retinal pathology, assessed by colour fundus photography, was correlated with two surrogate measures of IR: estimated Glucose Disposal Rate (eGDR) and Insulin Sensitivity Score (ISS), where lower scores reflect greater IR. 107 patients were recruited, with mean age 24.7years, 53% male, and mean duration of disease 10.8years. Mean eGDR scores (5.6vs 8.0 p<0.001) and ISS (4.7vs 7.9, p<0.001) were lower in subjects having at least moderate non-proliferative diabetic retinopathy (NPDR; relative to nil/mild-NPDR). Similarly, mean eGDR (4.2vs 6.2, p=0.001) and ISS (3.8vs 6.1, p=0.003) were lower in patients with maculopathy. Multivariate logistic regression modelling was used to control for confounding. For retinopathy severity, a unit increase in eGDR or ISS (representing lower IR) was associated with a 50% decrease in odds of moderate-NPDR or worse (eGDR OR 0.5, 95%CI 0.32-0.77, p=0.002; ISS OR 0.49, 95%CI 0.29-0.84, p=0.01). A unit increase in eGDR or ISS was associated with a 46-56% decrease in odds of maculopathy (eGDR OR 0.54, 95%CI 0.37-0.81, p=0.003; ISS OR 0.44, 95%CI 0.22-0.88, p=0.02). IR correlates with more severe retinopathy in young adults with Type 1DM. This is the first description of a correlation between IR and maculopathy in Type 1DM, warranting further evaluation. Prospective studies examining whether reducing IR can improve microvascular complications are required. Copyright © 2017 Elsevier B.V. All rights reserved.

  5. Better Mileage for Your Grading Time: A New Feedback System.

    Science.gov (United States)

    Agee, Annabel; Young, Marynell

    1980-01-01

    Describes a correction system that supplements and visually reinforces teacher responses to student papers by utilizing examples from those papers and emphasizing the positive aspects of the assignments. (HOD)

  6. Semi-automatic grading system in histologic and immunohistochemistry analysis to evaluate in vitro chondrogenesis

    OpenAIRE

    Gutiérrez, María Lucía; Deparatamento de Microbiología, Facultad de Ciencias. Pontificia Universidad Javeriana; Guevara, Johana; Instituto de Errores Innatos del Metabolismo. Facultad de Ciencias. Pontificia Universidad Javeriana. Bogotá, D.C., Colombia; Barrera, Luis Alejandro; Instituto de Errores Innatos del Metabolismo. Facultad de Ciencias. Pontificia Universidad Javeriana. Bogotá, D.C.,

    2012-01-01

    During embryological limb formation mesenchymal cells condense and differentiate into chondrocytes, in a process known as chondrogenesis. These chondrocytes synthesize glycosaminoglycans (GAGs), thus playing an important role in this process. A simplified system in vitro chondrogenesis, using adult mesenchymal stromal cells (MSCs) has been demonstrated. This differentiation potential is usually assessed by histological staining. Objective. Establishment of a semi-automatic grading system for ...

  7. Graded Lie algebras, representation theory, integrable mappings and systems. Non-abelian case

    CERN Document Server

    Leznov, A N

    1999-01-01

    The exactly integrable systems connected with a semisimple series A for arbitrary grading are presented in an explicit form. Their general solutions are expressed in terms of the matrix elements of various fundamental representations of the An groups. The simplest example of such systems is the generalized Toda chain with matrices of arbitrary dimensions in each point of the lattice.

  8. Maculopatía por cloroquina Maculopathy from use of chloroquine

    Directory of Open Access Journals (Sweden)

    Odalys González Peña

    2010-12-01

    Full Text Available La toxicidad de la cloroquina está relacionada con la dosis. Una dosis acumulativa de -100 g de cloroquina o una duración del tratamiento de menos de 1 año raramente se asocia con lesión retiniana. El riesgo de toxicidad aumenta significativamente cuando la dosis acumulativa excede los 300 g (250/día por 3 años. Se presenta un paciente del sexo femenino, con antecedentes de lupus eritematoso sistémico, hace 17 años, para lo cual se le indicó un tratamiento con cloroquina, (1 tableta 250 mg/diaria durante 15 años. Como síntoma capital presentaba disminución lenta y progresiva de la agudeza visual de 2 años de evolución; se le realizó un examen oftalmológico y otros exámenes complementarios que condujeron al diagnóstico de la enfermedad, y se estableció su tratamiento y su pronóstico. Se realizan recomendaciones.Chloroquine toxicity depends on the dose. A cumulative dose of under 100 g of chloroquine or a length of treatment for less than one year is rarely associated to any retinal lesion. The toxicity risk significantly increases with the cumulative dose over 300 g (250 g/day for three years. The case of a female patient with a history of lupus erythematosus for 17 years was presented. She was treated with chloroquine (one 250 mg every day for 15 years. The main symptom was slow and progressive reduction of visual acuity experienced for 2 years; a complete ophthalmologic exam and other supplementary tests were indicated, which led to a diagnosis of maculopathy, and treatment and prognosis were then presented. Recommendations were made.

  9. The WHO/ISUP 1998 and WHO 1999 systems for malignancy grading of bladder cancer. Scientific foundation and translation to one another and previous systems.

    Science.gov (United States)

    Busch, Christer; Algaba, Ferran

    2002-08-01

    Recently, two new classification systems for grading of urothelial neoplasms have been published. The objective of both was to avoid the overdiagnosis of cancer and to create better criteria for the grades. The WHO/ISUP classification of 1998 distinguishes papilloma, papillary urothelial neoplasm of low malignant potential (PUNLMP), low and high grade carcinomas, whereas the WHO 1999 system subdivides the high grade into grades II and III, and is otherwise identical. This note summarizes studies supporting the rationale of the two new systems, describes pattern recognition criteria for the grades, and highlights the homology between them.

  10. [GRADE system: classification of quality of evidence and strength of recommendation].

    Science.gov (United States)

    Aguayo-Albasini, José Luis; Flores-Pastor, Benito; Soria-Aledo, Víctor

    2014-02-01

    The acquisition and classification of scientific evidence, and subsequent formulation of recommendations constitute the basis for the development of clinical practice guidelines. There are several systems for the classification of evidence and strength of recommendations; the most commonly used nowadays is the Grading of Recommendations, Assessment, Development and Evaluation system (GRADE). The GRADE system initially classifies the evidence into high or low, coming from experimental or observational studies; subsequently and following a series of considerations, the evidence is classified into high, moderate, low or very low. The strength of recommendations is based not only on the quality of the evidence, but also on a series of factors such as the risk/benefit balance, values and preferences of the patients and professionals, and the use of resources or costs.

  11. New MRI grading system for the diagnosis and management of mycetoma.

    Science.gov (United States)

    El Shamy, M E; Fahal, A H; Shakir, M Y; Homeida, M M A

    2012-12-01

    The management of patients with mycetoma depends on accurate identification of the causative organisms and of the extent of disease involvement along the different tissue planes. Disease involvement cannot accurately be assessed with the available diagnostic tools, so in this study we set out to evaluate the effectiveness of MRI in the diagnosis and management of mycetoma. Forty-two patients with confirmed mycetoma had MRI examination of the affected parts. A grading system, The Mycetoma Skin, Muscle, Bone Grading System (MSMBS), was used to describe and grade disease severity on the basis of MRI findings. The logistic regression test was used to correlate the clinical and MRI findings. The study showed that MRI can help in the diagnosis and management of mycetoma patients. The dot-in-circle sign, conglomerated foci with low signal intensity and macro- and micro-abscesses on a background of a hypointense matrix are all diagnostic of mycetoma. In patients with mycetoma, the MSMBS can grade disease severity, compare patients and help to manage them. Further studies are needed to determine to what extent the grading system can be used to determine a patient's prognosis. Copyright © 2012 Royal Society of Tropical Medicine and Hygiene. Published by Elsevier Ltd. All rights reserved.

  12. Neonates with reduced neonatal lung function have systemic low-grade inflammation

    DEFF Research Database (Denmark)

    Chawes, Bo L.K.; Stokholm, Jakob; Bønnelykke, Klaus;

    2015-01-01

    Background: Children and adults with asthma and impaired lung function have been reported to have low-grade systemic inflammation, but it is unknown whether this inflammation starts before symptoms and in particular whether low-grade inflammation is present in asymptomatic neonates with reduced...... lung function. ObjectiveWe sought to investigate the possible association between neonatal lung function and biomarkers of systemic inflammation.  Methods: Plasma levels of high-sensitivity C-reactive protein (hs-CRP), IL-1β, IL-6, TNF-α, and CXCL8 (IL-8) were measured at age 6 months in 300 children...

  13. Post-Mission Quality Assurance Procedure for Survey-Grade Mobile Mapping Systems

    Science.gov (United States)

    Kerstinga, A. P.; Friess, P.

    2016-06-01

    Mobile Mapping Systems (MMS) consist of terrestrial-based moving platforms that integrate a set of imaging sensors (typically digital cameras and laser scanners) and a Position and Orientation System (POS), designed to collect data of the surrounding environment. MMS can be classified as "mapping-grade" or "survey-grade" depending on the system's attainable accuracy. Mapping-grade MMS produce geospatial data suitable for GIS applications (e.g., asset management) while survey-grade systems should satisfy high-accuracy applications such as engineering/design projects. The delivered accuracy of an MMS is dependent on several factors such as the accuracy of the system measurements and calibration parameters. It is critical, especially for survey-grade systems, to implement a robust Quality Assurance (QA) procedure to ensure the achievement of the expected accuracy. In this paper, a new post-mission QA procedure is presented. The presented method consists of a fully-automated self-calibration process that allows for the estimation of corrections to the system calibration parameters (e.g., boresight angles and lever-arm offsets relating the lidar sensor(s) to the IMU body frame) as well as corrections to the system measurements (e.g., post-processed trajectory position and orientation, scan angles and ranges). As for the system measurements, the major challenge for MMS is related to the trajectory determination in the presence of multipath signals and GNSS outages caused by buildings, underpasses and high vegetation. In the proposed self-calibration method, trajectory position errors are properly modelled while utilizing an efficient/meaningful trajectory segmentation technique. The validity of the proposed method is demonstrated using a dataset collected under unfavorable GNSS conditions.

  14. A Real-Time Apple Grading System Using Multicolor Space

    Directory of Open Access Journals (Sweden)

    Hayrettin Toylan

    2014-01-01

    Full Text Available This study was focused on the multicolor space which provides a better specification of the color and size of the apple in an image. In the study, a real-time machine vision system classifying apples into four categories with respect to color and size was designed. In the analysis, different color spaces were used. As a result, 97% identification success for the red fields of the apple was obtained depending on the values of the parameter “a” of CIE L*a*b*color space. Similarly, 94% identification success for the yellow fields was obtained depending on the values of the parameter y of CIE XYZ color space. With the designed system, three kinds of apples (Golden, Starking, and Jonagold were investigated by classifying them into four groups with respect to two parameters, color and size. Finally, 99% success rate was achieved in the analyses conducted for 595 apples.

  15. Canada's Adverse Drug Reaction Reporting System: A Failing Grade.

    Science.gov (United States)

    Rawson, Nigel S B

    2015-01-01

    An article in the National Post on suicidal effects associated with varenicline (Champix) highlights deficiencies in the Canadian spontaneous reporting system (SRS) for adverse drug reactions (ADRs). The issues of under-reporting, poor quality information, duplication of reports and lack of a population denominator of drug use are discussed. Canada's SRS is deficient. There are immediate and medium-term actions that could be instituted that would improve pharmacovigilance in Canada. However, education about appropriate prescribing, the recognition of ADRs, and the duty to report them is a key long-term strategy to improving the pharmacovigilance system and should be included at every opportunity in the training of healthcare professionals so that life-long habits are developed. In addition to changes at Health Canada, greater emphasis needs to be placed on training in therapeutics, understanding drug safety, and the responsibility of healthcare providers in reporting risks in the curricula of medical and nursing schools.

  16. Effect of a computer-aided diagnosis system on radiologists' performance in grading gliomas with MRI

    Science.gov (United States)

    Hsieh, Kevin Li-Chun; Tsai, Ruei-Je; Teng, Yu-Chuan

    2017-01-01

    The effects of a computer-aided diagnosis (CAD) system based on quantitative intensity features with magnetic resonance (MR) imaging (MRI) were evaluated by examining radiologists' performance in grading gliomas. The acquired MRI database included 71 lower-grade gliomas and 34 glioblastomas. Quantitative image features were extracted from the tumor area and combined in a CAD system to generate a prediction model. The effect of the CAD system was evaluated in a two-stage procedure. First, a radiologist performed a conventional reading. A sequential second reading was determined with a malignancy estimation by the CAD system. Each MR image was regularly read by one radiologist out of a group of three radiologists. The CAD system achieved an accuracy of 87% (91/105), a sensitivity of 79% (27/34), a specificity of 90% (64/71), and an area under the receiver operating characteristic curve (Az) of 0.89. In the evaluation, the radiologists’ Az values significantly improved from 0.81, 0.87, and 0.84 to 0.90, 0.90, and 0.88 with p = 0.0011, 0.0076, and 0.0167, respectively. Based on the MR image features, the proposed CAD system not only performed well in distinguishing glioblastomas from lower-grade gliomas but also provided suggestions about glioma grading to reinforce radiologists’ confidence rating. PMID:28158235

  17. The value of different Risser grading systems in determining growth maturity of girls with adolescent idiopathic scoliosis.

    Science.gov (United States)

    Wang, Weijun; Zhen, Xin; Sun, Xu; Zhu, Zezhang; Zhu, Feng; Lam, T P; Cheng, Jack C Y; Qiu, Yong

    2012-01-01

    A grading system for ossification of the iliac apophysis (Risser sign) was developed for skeletal maturity assessment in the United States (US) then adopted with modifications in France (Fr) and other countries. Despite the same name, these systems have important differences. With the aim to analyzing the difference between US and Fr Risser grading systems in determining the growth maturity of girls with adolescent idiopathic scoliosis (AIS), Fifty-three AIS girls undergoing posterior spinal correction with autogenous bone graft were recruited. The Risser grades were recorded for the non-dominant side iliac crest apophysis according to the US and Fr grading systems. Growth activity was determined by standard histologic grades (HGs) on iliac crest cartilage. As a result, Kappa statistics showed poor agreement between two grading systems. The US system showed higher correlation with HGs compared to Fr system by Spearman correlation analysis. It was also found that growth cessation could be determined by Risser grade 5 of US system or Risser grade 4 of Fr system. Furthermore, by employing Receiver Operating Characteristic (ROC) curve analysis, it was found that the Risser grade 4-5 of US system with two years after menarche could be used in determining growth cessation with the highest sensitivity, specificity and accuracy. Hence it was concluded that the US Risser grading system was better in determining maturity of girls with AIS than Fr Risser grading system. By combining years since menarche, the accuracy of Risser grades in determining growth cessation could be enhanced, and the time of weaning from a brace could be advanced.

  18. A new MRI grading system for cervical foraminal stenosis based on axial T2-weighted images

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Su Jin; Lee, Joon Woo; Seo, Ji Woon; Kang, Heung Sik [Dept. of Radiology, , Seoul National University Bundang Hospital, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul National University Medical Research Center, Seongnam (Korea, Republic of); Chai, Jee Won [Dept. of Radiology, SMG-SNU Boramae Medical Center, Seoul (Korea, Republic of); Yoo, Hye Jin; Kang, Yu Suhn [Dept. of Radiology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul (Korea, Republic of); Ahn, Joong Mo [Dept. of Radiology, University of Pittsburgh Medical Center, Pittsburgh (United States)

    2015-12-15

    The purpose of this study was to evaluate the reliability of a new magnetic resonance imaging (MRI) grading system for cervical neural foraminal stenosis (NFS). Cervical NFS at bilateral C4/5, C5/6, and C6/7 was classified into the following three grades based on the T2-weighted axial images: Grade 0 = absence of NFS, with the narrowest width of the neural foramen greater than the width of the extraforaminal nerve root (EFNR); Grade 1 = the narrowest width of the neural foramen the same or less than (but more than 50% of) the width of the EFNR; Grade 2 = the width of the neural foramen the same or less than 50% of the width of the EFNR. The MRIs of 96 patients who were over 60 years old (M:F = 50:46; mean age 68.4 years; range 61-86 years) were independently analyzed by seven radiologists. Interobserver and intraobserver agreements were analyzed using the percentage agreement, kappa statistics, and intraclass correlation coefficient (ICC). For the distinction among the three individual grades at all six neural foramina, the ICC ranged from 0.68 to 0.73, indicating fair to good reproducibility. The percentage agreement ranged from 60.2% to 70.6%, and the kappa values (κ = 0.50-0.58) indicated fair to moderate agreement. The percentages of intraobserver agreement ranged from 85.4% to 93.8% (κ = 0.80-0.92), indicating near perfect agreement. The new MRI grading system shows sufficient interobserver and intraobserver agreement to reliably assess cervical NFS.

  19. CREATION OF INFORMATION-ANALYTICAL SYSTEM OF CONTINUOUS GRADED ROLLING

    Directory of Open Access Journals (Sweden)

    S. M. Zhuchkov

    2009-01-01

    Full Text Available The computer means allowing to ca n y out of analytical research of process continuous rolling on mills with the various technological circuits of manufacture is created. With the help of the developed information-analytical system continuous rolling, the urgent tasks of manufacture of hire on rolling mills, in particular, decrease of consumption of power resources can be successfully decided during continuous rolling at the expense of optimization existing or development of the new technological circuits of manufacture of hire.

  20. Multifocal electroretinogram for assessing sun damage following the solar eclipse of 29 March 2006: multifocal electroretinography in solar maculopathy.

    Science.gov (United States)

    Arda, Hatice; Oner, Ayse; Mutlu, Sait; Köse, Ziya; Gumus, Koray; Karakucuk, Sarper; Mirza, Ertugrul

    2007-05-01

    To evaluate the clinical findings and multifocal electroretinography results of cases with solar maculopathy due to eclipse watching. Eight eyes of six patients (ages ranged 12-42) who presented to our clinic after the solar eclipse of 29 March 2006 were evaluated in the study. All patients underwent a full ophthalmologic examination and multifocal electroretinography (mfERG). Visual acuities at the initial examination were between 20/32 and 20/20; and at final examination between 20/25 and 20/20 respectively. Fundoscopic examination disclosed macular pigmentary changes in almost all patients. Fundus Fluorescein Angiography revealed a window defect in six eyes. The initial findings of the mfERG at the first visit showed a decrease in the P1 and N1 amplitudes of the central responses. The following mfERG recordings showed a recovery in central P1 and N1 amplitudes. Decrease in P1 and N1 amplitudes of central macular region can be detected by mfERG in patients with solar maculopathy. Follow-up mfERG test results may recover with the increase of visual acuity.

  1. Grading systems in head and neck dysplasia: their prognostic value, weaknesses and utility.

    Science.gov (United States)

    Fleskens, Stijn; Slootweg, Piet

    2009-05-11

    Grading of dysplasia, including head and neck lesions, continues to be a hotly debated subject. It is subjective and lacks intra- and inter-observer reproducibility due to the insufficiency of validated morphological criteria and the biological nature of dysplasia. Moreover, due to the absence of a consensus, several systems are currently employed. The aims of this review are to: 1) Highlight the significance of dysplasia and the importance of a valid method for assessing precursor lesions of the head and neck. 2) Review the different histopathological classification systems for grading intraepithelial lesions of the head and neck. 3) Discuss and review quality requirements for these grading systems. Regarding the different classification systems, data concerning the WHO classification system are the most available in current literature. There is no simple relationship or overlapping between the classification systems. Further studies should be done to see whether other systems have advantages above the current WHO system and to discover indications that could lead to an universal classification system for intraepithelial lesions of the head and neck.

  2. EXTENT AND LOCATION OF INTRARETINAL AND SUBRETINAL FLUID AS PROGNOSTIC FACTORS FOR THE OUTCOME OF PATIENTS WITH OPTIC DISK PIT MACULOPATHY

    NARCIS (Netherlands)

    Steel, D.H.; Williamson, T.H.; Laidlaw, D.A.; Sharma, P.; Matthews, C.; Rees, J.; Petrou, P.; Charteris, D.G.; Charles, S.J.; Patel, C.K.; Crama, N.; Herbert, E.; Jackson, T.L.

    2016-01-01

    PURPOSE: To determine if baseline fundoscopic and optical coherence tomography (OCT) features influence the clinical course of optic disk pit maculopathy. METHODS: A multicenter retrospective case note review was undertaken, using standardized OCT and clinical data collection. Visual success was def

  3. Construction of a food-grade multiple-copy integration system for Lactococcus lactis

    NARCIS (Netherlands)

    Leenhouts, K.; Bolhuis, A.; Venema, G.; Kok, J.

    A food-grade vector system was developed that allows stable integration of multiple plasmid copies in the chromosome of Lactococcus lactis. The vector consists of the plus origin of replication (Ori(+)) of the lactococcal plasmid pWV01, the sucrose genes of the lactic acid bacterium Pediococcus

  4. Semi-automatic grading system in histologic and immunohistochemistry analysis to evaluate in vitro chondrogenesis

    OpenAIRE

    Johana Guevara Morales; María Lucía Gutiérrez; Luis Alejandro Barrera

    2012-01-01

    During embryological limb formation mesenchymal cells condense and differentiate into chondrocytes, in a process known aschondrogenesis. These chondrocytes synthesize glycosaminoglycans (GAGs), thus playing an important role in this process.A simplified system in vitro chondrogenesis, using adult mesenchymal stromal cells (MSCs) has been demonstrated. Thisdifferentiation potential is usually assessed by histological staining. Objective. Establishment of a semi-automatic grading systemfor hist...

  5. An airborne multispectral imaging system based on two consumer-grade cameras for agricultural remote sensing

    Science.gov (United States)

    This paper describes the design and evaluation of an airborne multispectral imaging system based on two identical consumer-grade cameras for agricultural remote sensing. The cameras are equipped with a full-frame complementary metal oxide semiconductor (CMOS) sensor with 5616 × 3744 pixels. One came...

  6. Preparation of stable food-grade double emulsions with a hybrid premix membrane emulsification system

    NARCIS (Netherlands)

    Eisinaite, Viktorija; Juraite, Dovile; Schroën, Karin; Leskauskaite, Daiva

    2016-01-01

    In this study we demonstrate that food-grade double emulsions can be successfully prepared using a hybrid premix emulsification system. A coarse emulsion containing beetroot juice as inner water phase, sunflower oil as oil phase and 0.5% or 1.0% whey protein isolate solution as outer water phase

  7. Communication Systems, Unit II: Language Curriculum, Level D [Grade Four]; Teacher's Guide.

    Science.gov (United States)

    Oregon Univ., Eugene. Oregon Elementary English Project.

    Developed by the Oregon Elementary English Project for grades three and four, this second of two units on communication systems begins with a lesson which reinforces the concept that in order to communicate we must all have the same meaning for the signals used. Lessons 1 through 3 deal with the various kinds of communication signals used by…

  8. Design of an Automated Essay Grading (AEG) System in Indian Context

    Science.gov (United States)

    Ghosh, Siddhartha; Fatima, Sameen S.

    2007-01-01

    Automated essay grading or scoring systems are no more a myth, but they are a reality. As of today, the human written (not hand written) essays are corrected not only by examiners/teachers but also by machines. The TOEFL exam is one of the best examples of this application. The students' essays are evaluated both by human and web based automated…

  9. Enhancing On-Task Behavior in Fourth-Grade Students Using a Modified Color Wheel System

    Science.gov (United States)

    Blondin, Carolyn; Skinner, Christopher; Parkhurst, John; Wood, Allison; Snyder, Jamie

    2012-01-01

    The authors used a withdrawal design to evaluate the effects of a modified Color Wheel System (M-CWS) on the on-task behavior of 7 students enrolled in the 4th grade. Standard CWS procedures were modified to include a 4th set of rules designed to set behavioral expectation for cooperative learning activities. Mean data showed that immediately…

  10. European Credit Transfer and Accumulation System: An Alternative Way to Calculate the ECTS Grades

    Science.gov (United States)

    Grosges, Thomas; Barchiesi, Dominique

    2007-01-01

    The European Credit Transfer and Accumulation System (ECTS) has been developed and instituted to facilitate student mobility and academic recognition. This paper presents, discusses, and illustrates the pertinence and the limitation of the current statistical distribution of the ECTS grades, and we propose an alternative way to calculate the ECTS…

  11. Systems for grading the quality of evidence and the strength of recommendations I: Critical appraisal of existing approaches The GRADE Working Group

    Directory of Open Access Journals (Sweden)

    Schünemann Holger

    2004-12-01

    Full Text Available Abstract Background A number of approaches have been used to grade levels of evidence and the strength of recommendations. The use of many different approaches detracts from one of the main reasons for having explicit approaches: to concisely characterise and communicate this information so that it can easily be understood and thereby help people make well-informed decisions. Our objective was to critically appraise six prominent systems for grading levels of evidence and the strength of recommendations as a basis for agreeing on characteristics of a common, sensible approach to grading levels of evidence and the strength of recommendations. Methods Six prominent systems for grading levels of evidence and strength of recommendations were selected and someone familiar with each system prepared a description of each of these. Twelve assessors independently evaluated each system based on twelve criteria to assess the sensibility of the different approaches. Systems used by 51 organisations were compared with these six approaches. Results There was poor agreement about the sensibility of the six systems. Only one of the systems was suitable for all four types of questions we considered (effectiveness, harm, diagnosis and prognosis. None of the systems was considered usable for all of the target groups we considered (professionals, patients and policy makers. The raters found low reproducibility of judgements made using all six systems. Systems used by 51 organisations that sponsor clinical practice guidelines included a number of minor variations of the six systems that we critically appraised. Conclusions All of the currently used approaches to grading levels of evidence and the strength of recommendations have important shortcomings.

  12. Culturing and expansion of "clinical grade" precursors cells from the fetal human central nervous system.

    Science.gov (United States)

    Gelati, Maurizio; Profico, Daniela; Projetti-Pensi, Massimo; Muzi, Gianmarco; Sgaravizzi, Giada; Vescovi, Angelo Luigi

    2013-01-01

    NSCs have been demonstrated to be very useful in grafts into the mammalian central nervous system to investigate the exploitation of NSC for the therapy of neurodegenerative disorders in animal models of neurodegenerative diseases. To push cell therapy in CNS on stage of clinical application, it is necessary to establish a continuous and standardized, clinical grade (i.e., produced following the good manufacturing practice guidelines) human neural stem cell lines. In this chapter, we illustrate some of the protocols routinely used into our GMP cell bank for the production of "clinical grade" human neural stem cell lines.

  13. [Impact of International Association of Urological Pathology Gleason scoring system on prostatic carcinoma grading: a preliminary analysis of 185 cases].

    Science.gov (United States)

    Wang, Gongwei; Shen, Danhua

    2014-10-01

    To explore the impact of the 2005 International Association of Urological Pathology (ISUP) Gleason score (GS) system on prostatic carcinoma grading. Using the 1977 revision and ISUP version of GS system, 112 needle biopsies, 18 transurethral resections of the prostate and 55 radical prostatectomies were scored. The proportion of grading discrepancy was observed and compared between the two versions of GS. Gleason scores of 3+3, 3+4 and 4+3 accounted for 47.0% (87/185), 11.4% (21/185) and 17.3% (32/185) in the modified system, and accounted for 25.9% (48/185), 21.6% (40/185) and 27.6 % (51/185) in ISUP system, respectively. The percentages of primary grade by modified vs. ISUP system were 62.7% (116/185) vs.50.8% (94/185) for grade 3, and 31.4% (58/185) vs. 41.6% (77/185) for grade 4. The percentages of secondary grade by modified vs. ISUP system were 65.9% (122/185) vs. 54.6% (101/185) for grade 3, and 21.1% (39/185) vs. 31.4% (58/185) for grade 4. ISUP system is different from the modified system. Compared with the modified system, the proportion scored by ISUP system tends to decline for GS 3+3 but increase for GS 3+4 and 4+3.

  14. Reliable grading robust stabilization for uncertain time-varying systems via dynamic compensator

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    A new general model for uncertain time-varying parameters and a new measure sensor failure model are presented, and the problems of both grading robust stabilization and reliable grading robust stabilization for such systems are studied. By the Lyapunov stability theory and matrix algebra method, some sufficient criteria for the above two control problems are established in quasi-linear matrix inequalities (Q-LMIS) forms. In view of linear matrix inequality (LMI) approach, a solving procedure for the Q-LMIS problem is proposed. The solvability of the Q-LMIS problem can be improved obviously by adding some LMI constraints to the Q-LMIS. Based on the two Q-LMIS criteria, a grading robust stable control strategy, namely, the controller with different energy is acted on the system with different uncertain parameter range, is presented. The numerical simulating results show that the grading robust stable control strategy for the robust stabilization of uncertain systems has important theoretical and practical significance.

  15. [Prostate cancer. Part 2: Review of the various tumor grading systems over the years 1966-2015 and future perspectives of the new grading of the International Society of Urological Pathology (ISUP)].

    Science.gov (United States)

    Helpap, B; Bubendorf, L; Kristiansen, G

    2016-02-01

    The continued development of methods in needle biopsies and radical prostatectomy for treatment of prostate cancer has given special emphasis to the question of the prognostic relevance of the various systems of grading. The classical purely histological grading system of Gleason has been modified several times in the past decades and cleared the way for a new grading system by the prognostic grading of Epstein. Assessment of the old and also modified combined histological and cytological grading of Mostofi, the World health Organization (WHO) and the urologic-pathological working group of prostate cancer in connection with the Gleason grading (combined Gleason-Helpap grading), has led to considerably improved rates of concordance between biopsy and radical prostatectomy and to improved estimations of prognosis beside its contribution to the development of a more practicable grading system for clinical use.

  16. The ISUP system of staging, grading and classification of renal cell neoplasia

    Directory of Open Access Journals (Sweden)

    Hemamali Samaratunga

    2014-07-01

    Full Text Available There have been significant changes in the staging, classification and grading of renal cell neoplasia in recent times. Major changes have occurred in our understanding of extra-renal extension by renal cell cancer and how gross specimens must be handled to optimally display extra-renal spread. Since the 1981 World Health Organization (WHO classification of renal tumors, in which only a handful of different entities were reported, many new morphological types have been described in the literature, resulting in 50 different entities reported in the 2004 WHO classification. Since 2004, further new entities have been recognized and reported necessitating an update of the renal tumor classification. There have also been numerous grading systems for renal cell carcinoma with Fuhrman grading, the most widely used system. In recent times, the prognostic value and the applicability of the Fuhrman grading system in practice has been shown to be, at best, suboptimal. To address these issues and to recommend reporting guidelines, the International Society of Urological Pathology (ISUP undertook a review of adult renal neoplasia through an international consensus conference in Vancouver in 2012. The conduct of the conference was based upon evidence from the literature and the current practice amongst recognized experts in the field. Working groups selected to deal with key topics evaluated current data and identified points of controversy. A pre-meeting survey of the ISUP membership was followed by the consensus conference at which a formal ballot was taken on each key issue. A 65% majority vote was taken as consensus. This review summarizes the outcome and recommendations of this conference with regards to staging, classification and grading of renal cell neoplasia.

  17. The ISUP system of staging, grading and classification of renal cell neoplasia.

    Science.gov (United States)

    Samaratunga, Hemamali; Gianduzzo, Troy; Delahunt, Brett

    2014-01-01

    There have been significant changes in the staging, classification and grading of renal cell neoplasia in recent times. Major changes have occurred in our understanding of extra-renal extension by renal cell cancer and how gross specimens must be handled to optimally display extra-renal spread. Since the 1981 World Health Organization (WHO) classification of renal tumors, in which only a handful of different entities were reported, many new morphological types have been described in the literature, resulting in 50 different entities reported in the 2004 WHO classification. Since 2004, further new entities have been recognized and reported necessitating an update of the renal tumor classification. There have also been numerous grading systems for renal cell carcinoma with Fuhrman grading, the most widely used system. In recent times, the prognostic value and the applicability of the Fuhrman grading system in practice has been shown to be, at best, suboptimal. To address these issues and to recommend reporting guidelines, the International Society of Urological Pathology (ISUP) undertook a review of adult renal neoplasia through an international consensus conference in Vancouver in 2012. The conduct of the conference was based upon evidence from the literature and the current practice amongst recognized experts in the field. Working groups selected to deal with key topics evaluated current data and identified points of controversy. A pre-meeting survey of the ISUP membership was followed by the consensus conference at which a formal ballot was taken on each key issue. A 65% majority vote was taken as consensus. This review summarizes the outcome and recommendations of this conference with regards to staging, classification and grading of renal cell neoplasia.

  18. An update on the grading of muscle injuries: a narrative review from clinical to comprehensive systems

    Science.gov (United States)

    GRASSI, ALBERTO; QUAGLIA, ALBERTO; CANATA, GIAN LUIGI; ZAFFAGNINI, STEFANO

    2016-01-01

    Muscle injuries are recognized to be among the most frequent injuries occurring in the sporting and athletic population, and they account for more than 30% of all injuries in professional soccer players. Despite their considerable frequency and impact, there is still a lack of uniformity in the categorization, description and grading of muscle injuries. Dozens of systems based on clinical signs, ultrasound imaging (US) appearance or magnetic resonance imaging (MRI) findings have been proposed over the years. Most of them are three-grade systems that take into account pain, ROM limitation, swelling and hematoma, hypoechoic or hyperintense areas on US or MRI, and muscle gap or tendon involvement; however, they still lack evidence-based prognostic value. Recently, new comprehensive classification systems have been proposed, with the aim of developing uniform muscle injury terminology and giving each severity grade prognostic value. The systems that combine detailed MRI and US features with the clinical presentation, such as the Munich Muscle Injury Classification, the ISMuLT classification, and the British Athletic Classification, if used extensively, could improve the diagnosis, prognosis and management of muscle injuries. PMID:27386446

  19. Features of OCT image of phototoxic maculopathy caused by arc light%电弧光所致黄斑区光损伤的OCT图像特征

    Institute of Scientific and Technical Information of China (English)

    邵东平; 杨晓然; 李敏超; 梁雪芬; 杨洁华

    2013-01-01

    Objective To investigate features of high resolution optical coherence tomography(HROCT) image of phototoxic maculopathy caused by arc light.Methods Sixty-eight local arc-welders(136 eyes) were recruited to receive thorough ophthalmological examination including pre-set lens fundoscopy,fundns colorized photography,automatic-perimeter examination of visual field and HROCT from March,2010 to December,2012.Medical histories of all subjects were carefully screened before the enrollment to eliminate those who had other fundus diseases,histories of intraocular surgery or had received other strong light in eyes.Results No obvious anomaly was found in anterior segment examination,fundus red reflex test or visual field examination.Of all the 136 eyes,26 eyes(19.12%) showed small round or oval luteotestaceous macular lesion with obscure boundary; Forty-four eyes (32.35%) showed varying degrees of disorder,fracture or miss of the inner segment/outer segment (IS/OS) layer and the retinal pigment epithelium (RPE) layer.Of the 44 damaged eyes,10 eyes (7.35%) suffered grade Ⅰ lesion;Twelve eyes(8.82%) suffered grade Ⅱ lesion;Sixteen eyes(11.76%) suffered grade Ⅲ lesion; Six eyes(4.41%) suffered grade Ⅳ lesion.The largest missing length was 416 μm.Conclusion HROCT is a reliable method to diagnose or screen early maculopathy,because it could help to observe small macular lesion before any vision symptom appears.%目的 探讨电弧光所导致的黄斑区慢性光损伤的高分辨率光学相干断层扫描(optical coherence tomography,OCT)图像的特征.方法 2010年3至2012年12月期间,选取来自本地区相关工厂从事电弧焊工作的焊工68人136眼进行详细的眼部检查,包括90 D前置镜眼底检查、眼底彩色照相、自动视野计检查和高分辨率的OCT检查.所有受试者的病史在入选前均经过仔细筛选,排除患有其他眼底疾病或曾有过眼内手术史以及接受过其他强光照射者.结果 所有受

  20. Numerical Simulation and Experimental Research on Coal Ash Collecting and Grading System

    Directory of Open Access Journals (Sweden)

    Yuanhua Xie

    2014-01-01

    Full Text Available The grading separation of coal ash can not only increase its economic value but also decrease its pollution to environment. Based on the jet-attracting flow technology and the gas-solid two-phase flow theory, the force and motion of coal ash particles in airflow were studied firstly. Focused on single coal ash particle, Matlab software was used to simulate the force conditions and separation parameters of various diameter coal ash particles in airflow. Fluent software was used to simulate the nozzle fluidization domain shape and to determine optimal jet flux. According to the theoretical results, a coal ash collecting and grading system was developed. Using the separation efficiency as the evaluation index, the optimal experiment parameters of jet flux, attracting flux, and separation time were obtained. At last, the calculated results and experimental results of coal ash particles median diameter from the first grading separation exit under various attracting fluxes were compared. The reasons that could cause the errors were discussed. This study has significant practical meaning and application value on coal ash collecting and grading separation.

  1. Systems for grading the quality of evidence and the strength of recommendations II: Pilot study of a new system

    Directory of Open Access Journals (Sweden)

    Oxman Andrew D

    2005-03-01

    Full Text Available Abstract Background Systems that are used by different organisations to grade the quality of evidence and the strength of recommendations vary. They have different strengths and weaknesses. The GRADE Working Group has developed an approach that addresses key shortcomings in these systems. The aim of this study was to pilot test and further develop the GRADE approach to grading evidence and recommendations. Methods A GRADE evidence profile consists of two tables: a quality assessment and a summary of findings. Twelve evidence profiles were used in this pilot study. Each evidence profile was made based on information available in a systematic review. Seventeen people were given instructions and independently graded the level of evidence and strength of recommendation for each of the 12 evidence profiles. For each example judgements were collected, summarised and discussed in the group with the aim of improving the proposed grading system. Kappas were calculated as a measure of chance-corrected agreement for the quality of evidence for each outcome for each of the twelve evidence profiles. The seventeen judges were also asked about the ease of understanding and the sensibility of the approach. All of the judgements were recorded and disagreements discussed. Results There was a varied amount of agreement on the quality of evidence for the outcomes relating to each of the twelve questions (kappa coefficients for agreement beyond chance ranged from 0 to 0.82. However, there was fair agreement about the relative importance of each outcome. There was poor agreement about the balance of benefits and harms and recommendations. Most of the disagreements were easily resolved through discussion. In general we found the GRADE approach to be clear, understandable and sensible. Some modifications were made in the approach and it was agreed that more information was needed in the evidence profiles. Conclusion Judgements about evidence and recommendations are

  2. A simple and accurate grading system for orthoiodohippurate renal scans in the assessment of post-transplant renal function

    Energy Technology Data Exchange (ETDEWEB)

    Zaki, S.K.; Bretan, P.N.; Go, R.T.; Rehm, P.K.; Streem, S.B.; Novick, A.C. (Cleveland Clinic Foundation, OH (USA))

    1990-06-01

    Orthoiodohippurate renal scanning has proved to be a reliable, noninvasive method for the evaluation and followup of renal allograft function. However, a standardized system for grading renal function with this test is not available. We propose a simple grading system to distinguish the different functional phases of hippurate scanning in renal transplant recipients. This grading system was studied in 138 patients who were evaluated 1 week after renal transplantation. There was a significant correlation between the isotope renographic functional grade and clinical correlates of allograft function such as the serum creatinine level (p = 0.0001), blood urea nitrogen level (p = 0.0001), urine output (p = 0.005) and need for hemodialysis (p = 0.007). We recommend this grading system as a simple and accurate method to interpret orthoiodohippurate renal scans in the evaluation and followup of renal allograft recipients.

  3. Treatment outcome in a graduate orthodontic clinic using the American Board of Orthodontics grading system.

    Science.gov (United States)

    Yang-Powers, Linda C; Sadowsky, Cyril; Rosenstein, Sheldon; BeGole, Ellen A

    2002-11-01

    Since 1999, the American Board of Orthodontics (ABO) has used the objective grading system (OGS) to grade clinical case reports; the ABO also encourages prospective candidates to use the system. Ninety-two cases that satisfied the specifications of 6 of the ABO's malocclusion categories were selected from the files of 500 consecutively completed patients in the graduate orthodontic clinic at the University of Illinois at Chicago; this was called the university group. A comparison group of 32 cases previously presented to the ABO was collected from 5 clinicians in the Chicago area who had passed the ABO examination and become board-certified between 1984 and 2000; this was called the ABO group. Fourteen of the 32 cases in the ABO group were presented to the ABO after implementation of the OGS; these were also analyzed separately. Overall, the ABO group lost fewer points (had lower OGS scores) than did the university group (P orthodontic treatment outcome.

  4. Childhood bullying involvement predicts low-grade systemic inflammation into adulthood

    OpenAIRE

    Copeland, William E.; Wolke, Dieter; Lereya, Suzet Tanya; Shanahan, Lilly; Worthman, Carol; Costello, E. Jane

    2014-01-01

    Bullying is a common childhood experience that affects children at all income levels and racial/ethnic groups. Being a bully victim has long-term adverse consequences on physical and mental health and financial functioning, but bullies themselves display few ill effects. Here, we show that victims suffer from greater increases in low-grade systemic inflammation from childhood to young adulthood than are seen in others. In contrast, bullies showed lower increases in inflammation into adulthood...

  5. Making the grade in a portfolio-based system: student performance and the student perspective.

    Science.gov (United States)

    Nowacki, Amy S

    2013-01-01

    Assessment is such an integral part of the educational system that we rarely reflect on its value and impact. Portfolios have gained in popularity, but much attention has emphasized the end-user and portfolio assessment. Here we focus on the portfolio creator (the student) and examine whether their educational needs are met with such an assessment method. This study aims to investigate how assessment practices influence classroom performance and the learning experience of the student in a graduate education setting. Studied were 33 medical students at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, a program utilizing a portfolio-based system. The students may elect to simultaneously enroll in a Masters program; however, these programs employ traditional letter grades. Thus creating a unique opportunity to assess 25 portfolio only (P) students and 8 portfolio and grade (PG) students concurrently taking a course that counts for both programs. Classroom performance was measured via a comprehensive evaluation where the PG students scored modestly better (median total scores, 72% P vs. 76% PG). Additionally, a survey was conducted to gain insight into student's perspective on how assessment method impacts the learning experience. The students in the PG group (those receiving a grade) reported increased stress but greater affirmation and self-assurance regarding their knowledge and skill mastery. Incorporation of such affirmation remains a challenge for portfolio-based systems and an area for investigation and improvement.

  6. Decision support system for the detection and grading of hard exudates from color fundus photographs.

    Science.gov (United States)

    Jaafar, Hussain F; Nandi, Asoke K; Al-Nuaimy, Waleed

    2011-11-01

    Diabetic retinopathy is a major cause of blindness, and its earliest signs include damage to the blood vessels and the formation of lesions in the retina. Automated detection and grading of hard exudates from the color fundus image is a critical step in the automated screening system for diabetic retinopathy. We propose novel methods for the detection and grading of hard exudates and the main retinal structures. For exudate detection, a novel approach based on coarse-to-fine strategy and a new image-splitting method are proposed with overall sensitivity of 93.2% and positive predictive value of 83.7% at the pixel level. The average sensitivity of the blood vessel detection is 85%, and the success rate of fovea localization is 100%. For exudate grading, a polar fovea coordinate system is adopted in accordance with medical criteria. Because of its competitive performance and ability to deal efficiently with images of variable quality, the proposed technique offers promising and efficient performance as part of an automated screening system for diabetic retinopathy.

  7. Making the grade in a portfolio-based system: student performance and the student perspective

    Directory of Open Access Journals (Sweden)

    Amy S. Nowacki

    2013-04-01

    Full Text Available Assessment is such an integral part of the educational system that we rarely reflect on its value and impact. Portfolios have gained in popularity, but much attention has emphasized the end-user and portfolio assessment. Here we focus on the portfolio creator (the student and examine whether their educational needs are met with such an assessment method. This study aims to investigate how assessment practices influence classroom performance and the learning experience of the student in a graduate education setting. Studied were 33 medical students at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, a program utilizing a portfolio-based system. The students may elect to simultaneously enroll in a Masters program; however, these programs employ traditional letter grades. Thus creating a unique opportunity to assess 25 portfolio only (P students and 8 portfolio and grade (PG students concurrently taking a course that counts for both programs. Classroom performance was measured via a comprehensive evaluation where the PG students scored modestly better (median total scores, 72% P vs. 76% PG. Additionally, a survey was conducted to gain insight into student’s perspective on how assessment method impacts the learning experience. The students in the PG group (those receiving a grade reported increased stress but greater affirmation and self-assurance regarding their knowledge and skill mastery. Incorporation of such affirmation remains a challenge for portfolio-based systems and an area for investigation and improvement.

  8. Long-term occlusal changes assessed by the American Board of Orthodontics' model grading system.

    Science.gov (United States)

    Aszkler, Robert M; Preston, Charles B; Saltaji, Humam; Tabbaa, Sawsan

    2014-02-01

    The purpose of this study was to assess the long-term posttreatment changes in all criteria of the American Board of Orthodontics' (ABO) model grading system. We used plaster models from patients' final and posttreatment records. Thirty patients treated by 1 orthodontist using 1 bracket prescription were selected. An initial discrepancy index for each subject was performed to determine the complexity of each case. The final models were then graded using the ABO's model grading system immediately at posttreatment and postretention. Statistical analysis was performed on the 8 criteria of the model grading system, including paired t tests and Pearson correlations. An alpha of 0.05 was considered statistically significant. The average length of time between the posttreatment and postretention records was 12.7 ± 4.4 years. It was shown that alignment and rotations worsened by postretention (P = 0.014), and a weak statistically significant correlation at posttreatment and postretention was found (0.44; P = 0.016). Both marginal ridges and occlusal contacts scored less well at posttreatment. These criteria showed a significant decrease in scores between posttreatment and postretention (P <0.001), but the correlations were not statistically significant. The average total score showed a significant decrease between posttreatment and postretention (P <0.001), partly because of the large decrease in the previous 2 criteria. Higher scores for occlusal contacts and marginal ridges were found at the end of treatment; however, those scores and the overall scores for the 30 subjects improved in the postretention phase. Copyright © 2014. Published by Mosby, Inc.

  9. Susceptibility Imaging in Glial Tumor Grading; Using 3 Tesla Magnetic Resonance (MR) System and 32 Channel Head Coil.

    Science.gov (United States)

    Aydin, Omer; Buyukkaya, Ramazan; Hakyemez, Bahattin

    2017-01-01

    Susceptibility weighted imaging (SWI) is a velocity compensated, high-resolution three-dimensional (3D) spoiled gradient-echo sequence that uses magnitude and filtered-phase data. SWI seems to be a valuable tool for non-invasive evaluation of central nervous system gliomas. Relative cerebral blood volume (rCBV) ratio is one of the best noninvasive methods for glioma grading. Degree of intratumoral susceptibility signal (ITSS) on SWI correlates with rCBV ratio and histopathological grade. This study investigated the effectiveness of ITSS grading and rCBV ratio in preoperative assessment. Thirty-one patients (17 males and 14 females) with histopathogical diagnosis of glial tumor undergoing routine cranial MRI, SWI, and perfusion MRI examinations between October 2011 and July 2013 were retrospectively enrolled. All examinations were performed using 3T apparatus with 32-channel head coil. We used ITSS number for SWI grading. Correlations between SWI grade, rCBV ratio, and pathological grading were evaluated. ROC analysis was performed to determine the optimal rCBV ratio to distinguish between high-grade and low-grade glial tumors. There was a strong positive correlation between both pathological and SWI grading. We determined the optimal rCBV ratio to discriminate between high-grade and low-grade tumors to be 2.21. In conclusion, perfusion MRI and SWI using 3T MR and 32-channel head coil may provide useful information for preoperative glial tumor grading. SWI can be used as an accessory to perfusion MR technique in preoperative tumor grading.

  10. Measuring Listening Comprehension Skills of 5th Grade School Students with the Help of Web Based System

    Science.gov (United States)

    Acat, M. Bahaddin; Demiral, Hilmi; Kaya, Mehmet Fatih

    2016-01-01

    The main purpose of this study is to measure listening comprehension skills of 5th grade school students with the help of web based system. This study was conducted on 5th grade students studying at the primary schools of Eskisehir. The scale used in the process of the study is "Web Based Listening Scale". In the process of the study,…

  11. Evaluation of symptomatic slow-acting drugs in osteoarthritis using the GRADE system

    Directory of Open Access Journals (Sweden)

    Rizzoli René

    2008-12-01

    Full Text Available Abstract Background Symptomatic slow-acting drugs (SYSADOA have been largely studied over the last decade. The objective of this study is to prepare a document providing recommendations for the use of SYSADOA in osteoarthritis (OA. Methods The following interventions were taken into consideration: avocado/soybean unsaponifiables, chondroitin sulfate, diacereine, glucosamine sulfate, hyaluronic acid, oral calcitonin, risedronate, strontium ranelate. Recommendations were based on the GRADE (Grading of Recommendations Assessment, Development and Evaluation system. The GRADE system is based on a sequential assessment of the quality of evidence, followed by assessment of the balance between benefits versus downsides and subsequent judgment about the strength of recommendations. Results Chondroitin sulfate, diacereine, glucosamine sulfate, avocado/soybean unsaponifiables and hyaluronic acid have demonstrated pain reduction and physical function improvement with very low toxicity, with moderate to high quality evidence. Even if pre-clinical data and some preliminary in vivo studies have suggested that oral calcitonin and strontium ranelate could be of potential interest in OA, additional well-designed studies are needed. Conclusion In the benefit/risk ratio, the use of chondroitin sulfate, diacereine, glucosamine sulfate, avocado/soybean unsaponifiables and hyaluronic acid could be of potential interest for the symptomatic management of OA.

  12. Graded Density Carbon Bonded Carbon Fiber (CBCF) Preforms for Lightweight Ablative Thermal Protection Systems (TPS) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — FMI has developed graded density CBCF preforms for graded density phenolic impregnated carbon ablator (PICA) material to meet NASA's future exploration mission...

  13. Semi-automatic grading system in histologic and immunohistochemistry analysis to evaluate in vitro chondrogenesis

    Directory of Open Access Journals (Sweden)

    Johana Guevara Morales

    2012-08-01

    Full Text Available During embryological limb formation mesenchymal cells condense and differentiate into chondrocytes, in a process known aschondrogenesis. These chondrocytes synthesize glycosaminoglycans (GAGs, thus playing an important role in this process.A simplified system in vitro chondrogenesis, using adult mesenchymal stromal cells (MSCs has been demonstrated. Thisdifferentiation potential is usually assessed by histological staining. Objective. Establishment of a semi-automatic grading systemfor histochemistry stains and immunohistochemistry assays. Materials and methods. For chondrogenesis cells were culturedfor three weeks in aggregates with inducing media. Total GAGs were measured using dimethylmethylene blue (DMB method.For histological analyses aggregates were stained with Alcian blue for total GAGs detection and immunohistochemistry (IHCfor aggrecan was performed. Semi-automatic grading for all slides was obtained after ImageJ analysis. Results. MSCs culturedas aggregates in chondrogenic differentiation media had similar protein concentrations for all time points, suggesting cellularityremained homogenous during culture. Total GAGs was higher for aggregates cultured in chondrogenic compared to complete media.The same trend was observed for Alcian blue stain grades by blinded observer and analysis using ImageJ software. Aggrecan’s IHCanalysis had a decreasing tendency with time for aggregates in chondrogenic media for blinded observer and ImageJ evaluation.Conclusion. We developed a functional system for semi-automatic slide grading. We corroborated these results by biochemicalanalysis with comparable results. To our knowledge, for in vitro chondrogenesis, this is the first report to evaluate stains usingthis methodology. This procedure might be useful for other applications in the field of Biology and Medical Sciences.

  14. Road grade quantification based on global positioning system data obtained from real-world vehicle fuel use and emissions measurements

    Science.gov (United States)

    Yazdani Boroujeni, Behdad; Frey, H. Christopher

    2014-03-01

    Real-world vehicle fuel use and emission rates depend on engine load, which is quantified in terms of Vehicle Specific Power (VSP). VSP depends on vehicle speed, acceleration, and road grade. There is not a standard method for measuring road grade from a moving vehicle. A method for quantifying grade is evaluated based on statistical analysis of multiple runs using low cost consumer grade Global Positioning System (GPS) receivers with in-built Barometric Altimeter (GPS/BA). The average grade precision is ±0.71, ±0.46, and ±0.31 percentage points, for sample sizes of 9, 18, and 36 GPS/BA runs, respectively, among 2213 individual 0.08 km road segments. In addition, 4 sets of repeated measurements were performed on the same routes using a high cost, high accuracy Differential GPS (DGPS). Both sets of GPS-based grade estimates compared well with those derived from LIght Detection And Ranging (LIDAR) data. GPS/BA and DGPS grade estimates were similar, except for high magnitude grades of 8-10 percent for which DGPS estimates are more accurate. DGPS is more sensitive to loss of signal; thus, a hybrid approach for substituting GPS/BA data for missing DGPS data at specific locations along a route is demonstrated. The local and overall effects of road grade on fuel use and emission rates are investigated for an example light duty gasoline vehicle.

  15. The prognostic significance of the 2014 International Society of Urological Pathology (ISUP) grading system for prostate cancer.

    Science.gov (United States)

    Samaratunga, Hemamali; Delahunt, Brett; Gianduzzo, Troy; Coughlin, Geoff; Duffy, David; LeFevre, Ian; Johannsen, Shulammite; Egevad, Lars; Yaxley, John

    2015-10-01

    The 2005 International Society of Urological Pathology (ISUP) modified Gleason grading system was further amended in 2014 with the establishment of grade groupings (ISUP grading). This study examined the predictive value of ISUP grading, comparing results with recognised prognostic parameters.Of 3700 men undergoing radical prostatectomy (RP) reported at Aquesta Pathology between 2008 and 2013, 2079 also had a positive needle biopsy available for review. We examined the association between needle biopsy 2014 ISUP grade and 2005 modified Gleason score, tumour volume, pathological stage of the subsequent RP tumour, as well as biochemical recurrence-free survival (BRFS). The median age was 62 (range 32-79 years). Median serum prostate specific antigen was 5.9 (range 0.4-69 ng/mL). For needle biopsies, 280 (13.5%), 1031 (49.6%), 366 (17.6%), 77 (3.7%) and 325 (15.6%) were 2014 ISUP grades 1-5, respectively. Needle biopsy 2014 ISUP grade showed a significant association with RP tumour volume (p ISUP grade >2 to be significantly associated with BRFS.This study provides evidence of the prognostic significance of ISUP grading for thin core needle biopsy of prostate.

  16. The dysfunctional consequences of a performance measurement system: the case of the Iranian national hospital grading programme.

    Science.gov (United States)

    Aryankhesal, Aidin; Sheldon, Trevor A; Mannion, Russell; Mahdipour, Saeade

    2015-07-01

    Performance measurement systems are increasingly used to reward and improve provider performance. However, such initiatives may also inadvertently induce a range of unintended and dysfunctional side-effects. This study explores the unintended and adverse consequences induced by the Iranian national hospital grading programme, which incorporates financial incentives for meeting nationally defined standards. We interviewed key informants across four key groups with a legitimate interest in healthcare performance: four purposively selected hospitals; four health insurance organizations; the Iranian hospital accreditation body; and one grading agency. The transcribed interviews and field notes were analysed thematically, and subsequently, member checking was conducted. Seven dysfunctional consequences were identified: misrepresentation of data by hospitals; increased anxiety and stress among hospital employees; tunnel vision; financial pressures on poorly graded hospitals; incentives to purchase unnecessary equipment; erosion of public trust; and restricting access to hospital services by patients. These were caused by the way the grading system was implemented: poor standards of audit; the way in which the audit process was conducted; and the timing of audits. The pay for performance element of the grading system and the focus on structural aspects in the standards made improvement in grading particularly difficult for those hospitals that had been assessed as under-performing. Although the Iranian hospital grading system has resulted in a significant increase in the adoption of national standards, it has nevertheless induced a range of perverse outcomes. To mitigate these requires further refinement and recalibration of the system. © The Author(s) 2015.

  17. Automated grading system for evaluation of ocular redness associated with dry eye

    Directory of Open Access Journals (Sweden)

    Rodriguez JD

    2013-06-01

    Full Text Available John D Rodriguez,1 Patrick R Johnston,1 George W Ousler III,1 Lisa M Smith,1 Mark B Abelson1,21Ora, Inc, Andover, MA, USA; 2Department of Ophthalmology, Harvard Medical School, Boston, MA, USABackground: We have observed that dry eye redness is characterized by a prominence of fine horizontal conjunctival vessels in the exposed ocular surface of the interpalpebral fissure, and have incorporated this feature into the grading of redness in clinical studies of dry eye.Aim: To develop an automated method of grading dry eye-associated ocular redness in order to expand on the clinical grading system currently used.Methods: Ninety nine images from 26 dry eye subjects were evaluated by five graders using a 0–4 (in 0.5 increments dry eye redness (Ora CalibraTM Dry Eye Redness Scale [OCDER] scale. For the automated method, the Opencv computer vision library was used to develop software for calculating redness and horizontal conjunctival vessels (noted as "horizontality". From original photograph, the region of interest (ROI was selected manually using the open source ImageJ software. Total average redness intensity (Com-Red was calculated as a single channel 8-bit image as R − 0.83G − 0.17B, where R, G and B were the respective intensities of the red, green and blue channels. The location of vessels was detected by normalizing the blue channel and selecting pixels with an intensity of less than 97% of the mean. The horizontal component (Com-Hor was calculated by the first order Sobel derivative in the vertical direction and the score was calculated as the average blue channel image intensity of this vertical derivative. Pearson correlation coefficients, accuracy and concordance correlation coefficients (CCC were calculated after regression and standardized regression of the dataset.Results: The agreement (both Pearson's and CCC among investigators using the OCDER scale was 0.67, while the agreement of investigator to computer was 0.76. A multiple

  18. Performance Analysis of a Grid-Connected Upgraded Metallurgical Grade Silicon Photovoltaic System

    Directory of Open Access Journals (Sweden)

    Chao Huang

    2016-05-01

    Full Text Available Because of their low cost, photovoltaic (PV cells made from upgraded metallurgical grade silicon (UMG-Si are a promising alternative to conventional solar grade silicon-based PV cells. This study investigates the outdoor performance of a 1.26 kW grid-connected UMG-Si PV system over five years, reporting the energy yields and performance ratio and estimating the long-term performance degradation rate. To make this investigation more meaningful, the performance of a mono-Si PV system installed at the same place and studied during the same period of time is presented for reference. Furthermore, this study systematizes and rationalizes the necessity of a data selection and filtering process to improve the accuracy of degradation rate estimation. The impact of plane-of-array irradiation threshold for data filtering on performance ratio and degradation rate is also studied. The UMG-Si PV system’s monthly performance ratio after data filtering ranged from 84% to 93% over the observation period. The annual degradation rate was 0.44% derived from time series of monthly performance ratio using the classical decomposition method. A comparison of performance ratio and degradation rate to conventional crystalline silicon-based PV systems suggests that performance of the UMG-Si PV system is comparable to that of conventional systems.

  19. A Whole-Genome Screen of a Quantitative Trait of Age-Related Maculopathy in Sibships from the Beaver Dam Eye Study

    OpenAIRE

    Schick, James H.; Iyengar, Sudha K.; Klein, Barbara E.; Klein, Ronald; Reading, Karlie; Liptak, Rachel; Millard, Christopher; Lee, Kristine E.; Tomany, Sandra C.; Moore, Emily L.; Fijal, Bonnie A.; Robert C Elston

    2003-01-01

    Age-related maculopathy (ARM) is a leading cause of visual impairment among the elderly in Western populations. To identify ARM-susceptibility loci, we genotyped a subset of subjects from the Beaver Dam (WI) Eye Study and performed a model-free genomewide linkage analysis for markers linked to a quantitative measure of ARM. We initially genotyped 345 autosomal markers in 325 individuals (N=263 sib pairs) from 102 pedigrees. Ten regions suggestive of linkage with ARM were observed on chromosom...

  20. Predictive efficacy of the 2014 International Society of Urological Pathology Gleason grading system in initially diagnosed metastatic prostate cancer

    Science.gov (United States)

    Sun, Guang-Xi; Shen, Peng-Fei; Zhang, Xing-Ming; Gong, Jing; Gui, Hao-Jun; Shu, Kun-Peng; Liu, Jiang-Dong; Zhao, Jinge; Yang, Yao-Jing; Chen, Xue-Qin; Chen, Ni; Zeng, Hao

    2017-01-01

    We compared the predictive ability of the 2014 and 2005 Gleason grading systems in 568 patients initially diagnosed with metastatic prostate cancer (PCa). Outcomes included the duration of castration-resistant prostate cancer-free survival (CFS) and overall survival (OS). Univariate analyses and log-rank tests were used to identify prognosis indicators and assess univariable differences in CFS and OS in Gleason score (GS) groups. Cox proportional hazards and area under the curves of receiver operator characteristics methods were used to evaluate the predictive efficacy of the 2005 and 2014 ISUP grading systems. Univariate analyses showed that the 2005 and 2014 grading systems were prognosticators for CFS and OS; both systems could distinguish the clinical outcome of patients with GS 6, GS 7, and GS 8–10. Using the 2014 criteria, no statistical differences in patient survival were observed between GS 3 + 4 and GS 4 + 3 or GS 8 and GS 9–10. The predictive ability of the 2014 and 2005 grading systems was comparable for CFS and OS (P = 0.321). However, the 2014 grading system did not exhibit superior predictive efficacy in patients initially diagnosed with PCa and bone metastasis; trials using larger cohorts are required to confirm its predictive value. To the best of our knowledge, ours is the first study to compare the 2005 and 2014 grading systems in initially diagnosed PCa with bone metastasis. At present, we recommend that both systems should be used to predict the prognosis of patients with metastatic PCa. PMID:27569001

  1. Automated Grading System for Evaluation of Corneal Superficial Punctate Keratitis Associated with Dry Eye.

    Science.gov (United States)

    Rodriguez, John D; Lane, Keith; Ousler, George W; Angjeli, Endri; Smith, Lisa; Abelson, Mark

    2015-03-03

    Purpose. To develop an automated method of grading fluorescein staining that accurately reproduces the clinical grading system currently in use. Methods. From the slit lamp photograph of the fluorescein-stained cornea, the region of interest was selected and punctate dot number calculated using software developed with the Opencv computer vision library. Images (N=229) were then divided into six incremental severity categories based on computed scores. The final selection of fifty-four photographs represented the full range of scores: nine images from each of six categories. These were then evaluated by three investigators using a clinical 0-4 corneal staining scale. Pearson correlations were calculated to compare investigator scores, and mean investigator and automated scores. Lin's Concordance Correlations (CCC) and Bland Altman plots were used to assess agreement between methods and between investigators. Results. Pearson's correlation between investigators was 0.914; mean CCC between investigators was 0.882. Bland-Altman analysis indicated that scores assessed by Investigator 3 were significantly higher than those of Investigators 1 and 2 (paired t-test). The predicted grade was calculated to be: Gpred=1.48log(Ndots) - 0.206. The two-point Pearson's correlation coefficient between the methods was 0.927 (p<0.0001). CCC between predicted automated score Gpred and mean investigator score was 0.929, 95% C.I. (0.884, 0.957). Bland-Altman analysis did not indicate bias. The difference in standard deviation between clinical and automated methods was 0.398. Conclusion. An objective, automated analysis of corneal staining provides a quality assurance tool to be used to substantiate clinical grading of key corneal staining endpoints in multi-centered clinical trials of dry eye.

  2. Optical Characterization of Plasma Generated in a Commercial Grade Plasma Etching System

    Science.gov (United States)

    Hardy, Ashley; Drake, Dereth

    2015-11-01

    The use of plasma for etching and cleaning of many types of metal surfaces is becoming more prominent in industry. This is primarily due to the fact that plasma etching can reduce the amount of time necessary to clean/etch the surface and does not require large amounts of environmentally hazardous chemicals. Most plasma etching systems are designed and built in academic institutions. These systems provide reasonable etching rates and easy accessibility for monitoring plasma parameters. The downside is that the cost is typically high. Recently a number of commercial grade plasma etchers have been introduced on the market. These etching systems cost near a fraction of the price, making them a more economical choice for researchers in the field. However, very few academics use these devices because their effectiveness has not yet been adequately verified in the current literature. We will present the results from experiments performed in a commercial grade plasma etching system, including analysis of the pulse characteristics observed by a photo diode and the plasma parameters obtained with optical emission spectroscopy.

  3. Comparison of Extraction and Non-extraction Orthodontic Treatment using the Objective Grading System

    OpenAIRE

    N. Farhadian; AF. Miresmaeili; MK. Soltani

    2005-01-01

    Statement of Problem: The extraction versus non-extraction debate is almost as old as the advent of orthodontic practice and up to now, this dilemma remains. Recently, the American Board of Orthodontics (ABO) has developed a method by the name of Objective Grading System (OGS) in order to evaluate the results of orthodontic treatment.Aim: The aim of the present study was to evaluate and compare the patients’ final occlusion after extraction and non-extraction therapy using the OGS.Materials a...

  4. Three Graded Modified Classical Yang-Baxter Equations and Integrable Systems

    CERN Document Server

    Saidi, E H

    1997-01-01

    The $6 = 3\\times 2$ huge Lie algebra $\\Xi$ of all local and non local differential operators on a circle is applied to the standard Adler-Kostant-Symes (AKS) R-bracket sckeme. It is shown in particular that there exist three additional Lie structures, associated to three graded modified classical Yang-Baxter(GMCYB) equations. As we know from the standard case, these structures can be used to classify in a more consitent way a wide class of integrable systems. Other algebraic properties are also presented.

  5. A Simple Alternative to Grading

    Science.gov (United States)

    Potts, Glenda

    2010-01-01

    In this article, the author investigates whether an alternative grading system (contract grading) would yield the same final grades as traditional grading (letter grading), and whether or not it would be accepted by students. The author states that this study demonstrated that contract grading was widely, and for the most part, enthusiastically…

  6. Twelve-point scale grading system of scanning electron microscopic examination to investigate subtle changes in damaged hair surface.

    Science.gov (United States)

    Lee, S Y; Choi, A R; Baek, J H; Kim, H O; Shin, M K; Koh, J S

    2016-11-01

    To assess the hair surface condition, scanning electron microscope (SEM) is commonly used and it remains an indispensable hair morphology characterization technique. Yet, the technique is criticized for having subjective viewpoints and limitations in distinguishing the appearance of cuticle layers. The aim of this study is to establish an objective classification system and also to subdivide by detailed description of damaged cuticle layers. Hair samples were collected from female subjects (n = 500) who participated in hair efficacy study and Asian hair bunches (n = 180) that were previously collected. Damage to hair was initiated by chemical, heat stress and ultraviolet irradiation. We suggested the grading criterion on a 12-point scale and compared with a wide range grading system on a 5-point scale. We evaluated other hair surface-related parameters such as hair luster-ring and combing load to verify the validity and efficacy of our new grading system. The grading criterion on our 12-point scale revealed an improved discrimination compared to the wide range grading system. Hair surface-related parameters were significantly improved after hair care product, and these tendencies were likely to be determined to be similarly improved using the 12-point scale grading system. The 12-point scale classification system was demonstrated to be a more precise standardization and appropriate evaluation method to investigate the subtle distinction of the hair shaft after hair care product application. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  7. Asterisk Grade Study Report.

    Science.gov (United States)

    Kokorsky, Eileen A.

    A study was conducted at Passaic County Community College (PCCC) to investigate the operation of a grading system which utilized an asterisk (*) grade to indicate progress in a course until a letter grade was assigned. The study sought to determine the persistence of students receiving the "*" grade, the incidence of cases of students receiving…

  8. Reproducibility of the Nottingham modification of the Scarff-Bloom-Richardson histological grading system and the complementary value of Ki-67 to this system

    Institute of Scientific and Technical Information of China (English)

    ZHANG Rui; CHEN Hui-jiao; WEI Bing; ZHANG Hong-ying; PANG Zong-guo; ZHU Hong; ZHANG Zhang; FU Jing; BU Hong

    2010-01-01

    Background The reproducibility of the Nottingham modification of the Scarff-Bloom-Richardson (NSBR) histological grading system for invasive breast cancer (IBC) adopted by the World Health Organization (WHO) has previously not been studied in Chinese hospitals. The proliferation marker, Ki-67, has been widely applied in detecting IBC. The objective of this study was to assess the reproducibility of the NSBR system among Chinese pathologists and the complementary value that Ki-67 brings to this system.Methods Four general pathologists graded 100 IBC cases independently, which had previously been graded by specialists in breast pathology. The interobserver reproducibility among four general pathologists and pairwise reproducibility between each of them and the specialists were assessed. The Ki-67 labeling index (Ki-67LI) was determined by immunohistochemistry, and its correlations with histological grade and survival were determined.Results With respect to interobserver reproducibility, NSBR grading was fairly reproducible (kappa=0.34); as for the components of NSBR grading, agreement was best for tubule formation (kappa=0.46), intermediate for nuclear pleomorphism (kappa=0.42), and poorest for mitotic count (kappa=0.28). In terms of pairwise reproducibility, agreement was fair to substantial with NSBR grading (kappa=0.30-0.69) and nuclear pleomorphism (kappa=0.28-0.69), moderate to substantial for tubule formation (kappa=0.51-0.78), and slight to substantial for mitotic count (kappa=0.19-0.71).There were characteristic Ki-67LI ranges for grades 1,2 and 3 tumors. Univariate analysis showed that Ki-67 was able to divide grade 2 patients into two different prognostic subgroups. Multivariate analysis of grade 2 patients with negative lymph node demonstrated that Ki-67 was an independent prognosticator for overall survival.Conclusions The reproducibility of grading by general pathologists could be enhanced. Specialization in breast pathology is essential for accurate

  9. CT Grading of Otosclerosis

    National Research Council Canada - National Science Library

    Lee, T.C; Aviv, R.I; Chen, J.M; Nedzelski, J.M; Fox, A.J; Symons, S.P

    2009-01-01

    ...: The CT grading system for otosclerosis was proposed by Symons and Fanning in 2005. The purpose of this study was to determine if this CT grading system has high interobserver and intraobserver agreement...

  10. Tomato grading system using machine vision technology and neuro-fuzzy networks (ANFIS

    Directory of Open Access Journals (Sweden)

    H Izadi

    2016-04-01

    Full Text Available Introduction: The quality of agricultural products is associated with their color, size and health, grading of fruits is regarded as an important step in post-harvest processing. In most cases, manual sorting inspections depends on available manpower, time consuming and their accuracy could not be guaranteed. Machine Vision is known to be a useful tool for external features measurement (e.g. size, shape, color and defects and in recent century, Machine Vision technology has been used for shape sorting. The main purpose of this study was to develop new method for tomato grading and sorting using Neuro-fuzzy system (ANFIS and to compare the accuracies of the ANFIS predicted results with those suggested by a human expert. Materials and Methods: In this study, a total of 300 image of tomatoes (Rev ground was randomly harvested, classified in 3 ripeness stage, 3 sizes and 2 health. The grading and sorting mechanism consisted of a lighting chamber (cloudy sky, lighting source and a digital camera connected to a computer. The images were recorded in a special chamber with an indirect radiation (cloudy sky with four florescent lampson each sides and camera lens was entire to lighting chamber by a hole which was only entranced to outer and covered by a camera lens. Three types of features were extracted from final images; Shap, color and texture. To receive these features, we need to have images both in color and binary format in procedure shown in Figure 1. For the first group; characteristics of the images were analysis that could offer information an surface area (S.A., maximum diameter (Dmax, minimum diameter (Dmin and average diameters. Considering to the importance of the color in acceptance of food quality by consumers, the following classification was conducted to estimate the apparent color of the tomato; 1. Classified as red (red > 90% 2. Classified as red light (red or bold pink 60-90% 3. Classified as pink (red 30-60% 4. Classified as Turning

  11. Grading the severity of soft tissue changes associated with metal-on-metal hip replacements: reliability of an MR grading system

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, Helen; Cahir, John G.; Goodwin, Richard W. [Norfolk and Norwich University Hospital, Department of Radiology, Norwich, Norfolk (United Kingdom); Toms, Andoni Paul [Norfolk and Norwich University Hospital, Department of Radiology, Norwich, Norfolk (United Kingdom); Norwich Radiology Academy, Norwich (United Kingdom); Wimhurst, James; Nolan, John F. [Norfolk and Norwich University Hospital, Department of Orthopaedics, Norwich, Norfolk (United Kingdom)

    2011-03-15

    Metal-on-metal (MoM) soft tissue reactions or aseptic lymphocytic vasculitis-associated lesions (ALVAL) are being recognised using metal artefact reduction (MAR) MR with increasing frequency following the advent of second generation metal-on-metal bearings, but there is no standardised technique for reporting of MR appearances in this disease. The aim of this study was to measure the reliability of a grading system designed for scoring the severity of MoM disease on MRI. MRI examinations of 73 hips in 59 patients were retrospectively selected and then anonymised, randomised and reviewed by three independent observers (musculoskeletal radiologists). Each MR examination was scored as either A: normal, B: infection, C1: mild MoM disease, C2: moderate MoM disease or C3: severe MoM disease according to pre-defined criteria. Kappa correlation statistics were used to compare the observations. There was substantial agreement among all three observers; the correlation coefficient between the two most experienced observers was {kappa} = 0.78 [95% confidence intervals (CI): 0.68-0.88] and when compared with the least experienced observer coefficients were {kappa} = 0.69 (95% CI: 0.57-0.80) and {kappa} = 0.66 (95% CI: 0.54-0.78). The strongest correlation occurred for grades A, C2 and C3. The weakest correlations occurred for grades B and C1. The grading system described in this study is reliable for evaluating ALVAL in MoM prostheses using MR but is limited in differentiating mild disease from infection. (orig.)

  12. Structure of Grading a Resistor-Heated System of Warm Compaction in Powder Metallurgy

    Institute of Scientific and Technical Information of China (English)

    LIU Hua; SHAO Ming; CHEN Wei-ping; ZHU Quan-li; LI Yuan-yuan

    2005-01-01

    We present the scheme of the structure of grading a resistor-heated system of warm compaction in powder metallurgy. The structure has the first heater and the second heater that are heated by electrical tubes. Powder is heated in turn in the first heater and the second heater, where there is the mass fluidity of powder under gravity. The dimensions of the first heater and the second heater were calculated from the Fourier equation of heat conduction, and the boundary condition was constant temperature. The drawings of the first heater, the second heater and the powder-delivering device were given. The structure of the heat equipment is simple and easy to manufacture. Finally, an exact warm compaction press system HGWY-Ⅱ was developed for the heating system.

  13. Defect Detection of Velvet Bathrobe Fabrics and Grading with Demerit Point Systems

    Directory of Open Access Journals (Sweden)

    Deniz Mutlu Ala

    2015-12-01

    Full Text Available Fabric defects that may occur at different stages of woven terry fabric production requires quality control and classification of fabrics as first or second grade before sending to customer. In this study, before shipping of two different terry fabric orders, defects were detected by inspection of fabric rolls on a lighted control board by experienced experts. Number of the defects and dimensions of the defects seen during the inspection were noted on quality control charts. Detected defects were defined and scored according to different demerit point systems. In this way, the fabric rolls were classified according to the demerit point systems before being shipped to garment enterprises. Disputes can be avoided with classification made by a demerit point system on which manufacturer and the customer have agreed.

  14. An electrochemical system for efficiently harvesting low-grade heat energy

    Science.gov (United States)

    Lee, Seok Woo; Yang, Yuan; Lee, Hyun-Wook; Ghasemi, Hadi; Kraemer, Daniel; Chen, Gang; Cui, Yi

    2014-05-01

    Efficient and low-cost thermal energy-harvesting systems are needed to utilize the tremendous low-grade heat sources. Although thermoelectric devices are attractive, its efficiency is limited by the relatively low figure-of-merit and low-temperature differential. An alternative approach is to explore thermodynamic cycles. Thermogalvanic effect, the dependence of electrode potential on temperature, can construct such cycles. In one cycle, an electrochemical cell is charged at a temperature and then discharged at a different temperature with higher cell voltage, thereby converting heat to electricity. Here we report an electrochemical system using a copper hexacyanoferrate cathode and a Cu/Cu2+ anode to convert heat into electricity. The electrode materials have low polarization, high charge capacity, moderate temperature coefficients and low specific heat. These features lead to a high heat-to-electricity energy conversion efficiency of 5.7% when cycled between 10 and 60 °C, opening a promising way to utilize low-grade heat.

  15. An electrochemical system for efficiently harvesting low-grade heat energy.

    Science.gov (United States)

    Lee, Seok Woo; Yang, Yuan; Lee, Hyun-Wook; Ghasemi, Hadi; Kraemer, Daniel; Chen, Gang; Cui, Yi

    2014-05-21

    Efficient and low-cost thermal energy-harvesting systems are needed to utilize the tremendous low-grade heat sources. Although thermoelectric devices are attractive, its efficiency is limited by the relatively low figure-of-merit and low-temperature differential. An alternative approach is to explore thermodynamic cycles. Thermogalvanic effect, the dependence of electrode potential on temperature, can construct such cycles. In one cycle, an electrochemical cell is charged at a temperature and then discharged at a different temperature with higher cell voltage, thereby converting heat to electricity. Here we report an electrochemical system using a copper hexacyanoferrate cathode and a Cu/Cu(2+) anode to convert heat into electricity. The electrode materials have low polarization, high charge capacity, moderate temperature coefficients and low specific heat. These features lead to a high heat-to-electricity energy conversion efficiency of 5.7% when cycled between 10 and 60 °C, opening a promising way to utilize low-grade heat.

  16. [Grading of prostate cancer].

    Science.gov (United States)

    Kristiansen, G; Roth, W; Helpap, B

    2016-07-01

    The current grading of prostate cancer is based on the classification system of the International Society of Urological Pathology (ISUP) following a consensus conference in Chicago in 2014. The foundations are based on the frequently modified grading system of Gleason. This article presents a brief description of the development to the current ISUP grading system.

  17. The significance of "geothermal microzonation" for the correct planning of low-grade source geothermal systems

    Science.gov (United States)

    Viccaro, Marco; Pezzino, Antonino; Belfiore, Giuseppe Maria; Campisano, Carlo

    2016-04-01

    Despite the environmental-friendly energy systems are solar thermal technologies, photovoltaic and wind power, other advantageous technologies exist, although they have not found wide development in countries such as Italy. Given the almost absent environmental impact and the rather favorable cost/benefit ratio, low-enthalpy geothermal systems are, however, likely to be of strategic importance also in Italy during the next years. The importance of geology for a sustainable exploitation of the ground through geothermal systems from low-grade sources is becoming paramount. Specifically, understanding of the lithological characteristics of the subsurface along with structures and textures of rocks is essential for a correct planning of the probe/geo-exchanger field and their associated ground source heat pumps. The complex geology of Eastern Sicily (Southern Italy), which includes volcanic, sedimentary and metamorphic units over limited extension, poses the question of how thermal conductivity of rocks is variable at the scale of restricted areas (even within the same municipality). This is the innovative concept of geothermal microzonation, i.e., how variable is the geothermal potential as a function of geology at the microscale. Some pilot areas have been therefore chosen to test how the geological features of the subsurface can influence the low-enthalpy geothermal potential of an area. Our geologically based evaluation and micro-zonation of the low-grade source geothermal potential of the selected areas have been verified to be fundamental for optimization of all the main components of a low-enthalpy geothermal system. Saving realization costs and limiting the energy consumption through correct sizing of the system are main ambitions to have sustainable development of this technology with intensive utilization of the subsurface. The variegated territory of countries such as Italy implies that these goals can be only reached if, primarily, the geological features

  18. Comparison of WHO 1973, WHO/ISUP 1998, WHO 1999 grade and combined scoring systems in evaluation of bladder carcinoma.

    Science.gov (United States)

    Bircan, Sema; Candir, Ozden; Serel, T Ahmet

    2004-01-01

    To compare WHO 1973, WHO/ISUP 1998 and WHO 1999 histologic grading systems, and also to evaluate the primary (most common) and secondary (second most common) patterns of cancer growth according to these three grading systems. The study consisted of 87 bladder transurethral resections that were classified as grade 1, 2 and 3, and papillary urothelial neoplasm of low malignant potential (PUNLMP), low grade (LG) and high grade (HG) carcinoma considering WHO 1973 and WHO/ISUP, respectively. The WHO 1999 system was subdivided high grade into grades 2 and 3 (HG-2 and HG-3). For combined scoring, primary (most common) and secondary (second most common) grades according to extension were recorded for three grading systems. The number was repeated when only grade was seen in all extension of the tissue examined. A final combined score was obtained which ranged from 2 to 6 for the WHO 1973 and WHO/ISUP 1998 systems and from 2 to 8 for the WHO 1999 schema. The TNM system was used for the pathologic staging. When considering the pathological stage, there were statistical differences between the WHO 1973 grades (p=0.011 and p=0.000), and LG and HG carcinomas of WHO/ISUP 1998 (p=0.000) and also the WHO 1999 grades (p=0.010 and p=0.003), except PUNLMP. Regarding the combined scoring, significant differences were found between score 4 (2+2) and 5 (2+3) of WHO 1973 (p=0.014) and score 5 (LG+HG) and 6 (HG+HG) of WHO/ISUP 1998 (p=0.011). There was also a significant difference between scores 4 and 6, and 6 and 8 of the WHO 1999 combined scoring system (p=0.019 and p=0.019). WHO 1973, WHO/ISUP 1998 and WHO 1999 systems were positively correlated with the pathological stage (r(s)=0.30, r(s)=0.52 and r(s)=0.50, respectively), whereas there was weak association between the combined scoring systems and stage (r(s)=0.20, r(s)=0.18 and r(s)=0.19). Comparing these grading systems, the grade 2 of WHO 1973 was subdivided into LG and HG in WHO/ISUP 1998 and also LG-1and HG-2 in WHO 1999 systems

  19. Quantum cascade emission in the III-nitride material system designed with effective interface grading

    Energy Technology Data Exchange (ETDEWEB)

    Song, Alex Y., E-mail: alexys@stanford.edu; Huang, Tzu-Yung; Zah, Chung-En; Gmachl, Claire F. [Department of Electrical Engineering, Princeton University, Princeton, New Jersey 08540 (United States); Bhat, Rajaram; Wang, Jie [Corning Incorporated, Corning, New York 14831 (United States); Allerman, Andrew A. [Sandia National Laboratories, Albuquerque, New Mexico 87185 (United States)

    2015-09-28

    We report the realization of quantum cascade (QC) light emission in the III-nitride material system, designed with effective interface grading (EIG). EIG induces a continuous transition between wells and barriers in the quantum confinement, which alters the eigenstate system and even delocalizes the states with higher energy. Fully transverse-magnetic spontaneous emission is observed from the fabricated III-nitride QC structure, with a center wavelength of ∼4.9 μm and a full width at half maximum of ∼110 meV, both in excellent agreement with theoretical predictions. A multi-peak photo-response spectrum is also measured from the QC structure, which again agrees well with theoretical calculations and verifies the effects of EIG.

  20. Quantum cascade emission in the III-nitride material system designed with effective interface grading

    Science.gov (United States)

    Song, Alex Y.; Bhat, Rajaram; Allerman, Andrew A.; Wang, Jie; Huang, Tzu-Yung; Zah, Chung-En; Gmachl, Claire F.

    2015-09-01

    We report the realization of quantum cascade (QC) light emission in the III-nitride material system, designed with effective interface grading (EIG). EIG induces a continuous transition between wells and barriers in the quantum confinement, which alters the eigenstate system and even delocalizes the states with higher energy. Fully transverse-magnetic spontaneous emission is observed from the fabricated III-nitride QC structure, with a center wavelength of ˜4.9 μm and a full width at half maximum of ˜110 meV, both in excellent agreement with theoretical predictions. A multi-peak photo-response spectrum is also measured from the QC structure, which again agrees well with theoretical calculations and verifies the effects of EIG.

  1. Food grade microemulsion systems: canola oil/lecithin:n-propanol/water.

    Science.gov (United States)

    Abbasi, Soleiman; Radi, Mohsen

    2016-03-01

    In this study, the capability of a natural surfactant, lecithin, and the influence of ionic strength, pH, and temperature on some properties of a food grade microemulsion system were evaluated. For this purpose, the pseudoternary phase diagrams of canola oil/lecithin:n-propanol/water microemulsions in the presence of different salts (NaCl and CaCl2), ionic strengths, pHs, and temperatures were constructed. Our findings showed that the presence of salts slightly increased the W/O areas on the phase diagrams, whereas pH variation was not effective on the microemulsion formation. The expansion of microemulsion areas with temperature indicated the greater triglycerides solubilization capacity of lecithin based microemulsions at higher temperatures. These findings revealed the efficiency of lecithin-based microemulsion system for solubilization of triglycerides which can potentially be used for extraction of edible vegetable oils particularly canola oil. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. Student performance and grading changes in a systems-based curriculum

    Directory of Open Access Journals (Sweden)

    Philip E. Cooles

    2014-01-01

    Full Text Available Introduction: Changing from a conventional discipline-based, basic science medical school curriculum to an integrated systems-based curriculum, which was graded on overall performance not by discipline, was associated with a highly significant improvement in an externally administered comprehensive exam at the end of the 2-year basic science program. The reason for the improvement was unclear, but we hypothesized that it was partly due to a change in student study strategy. Anecdotal evidence suggested that students had changed their study habits to spend less time on previously harder-to-pass courses and more time on courses with previously lower failure rates. If this were so, performance in previously harder disciplines might have deteriorated, while performance in previously easier disciplines could have improved. Methods: We examined relative performance in the four discipline-based courses of Systemic Pathology, Microbiology, Pharmacology, and Introductory Clinical Medicine (ICM in the fourth (and last semester of the curriculum. We compared failure rates in these four courses for the three cohorts before the change with the three cohorts after. Results: Pharmacology and Microbiology which had failure rates over twice as high as Systemic Pathology and ICM in the conventional program before the curriculum change showed a deterioration in performance after the change with an approximately threefold rise in internal failure rate. In contrast, Systemic Pathology showed a dramatic improvement with a more than threefold drop in the failure rate, while the ICM clinical skills course, which was largely assessed by a practical exam in all 6 cohorts, showed no change. Conclusion: The improvement in student performance in an external assessment may be due, at least partly, to a change in the school's internal grading policy which led to a more appropriate balancing of student study strategies. Future studies on the effect of curriculum change should

  3. Investigation of denitrifying microbial communities within an agricultural drainage system fitted with low-grade weirs.

    Science.gov (United States)

    Baker, Beth H; Kröger, Robert; Brooks, John P; Smith, Renotta K; Czarnecki, Joby M Prince

    2015-12-15

    Enhancing wetland characteristics in agricultural drainage ditches with the use of low-grade weirs, has been identified as a best management practice (BMP) to mitigate nutrient runoff from agriculture landscapes. A major objective of utilizing low-grade weirs as a BMP includes fostering environments suitable for the biogeochemical removal of nitrogen via denitrification. This study examined the spatial resolution of microbial communities involved in denitrification in agricultural drainage systems fitted with low-grade weirs. Appropriate sampling scales of microbial communities were investigated using 16S rRNA and denitrification functional genes nosZ, nirS, and nirK via quantitative polymerase chain reaction (qPCR) and terminal-restriction fragment length polymorphism (T-RFLP) analysis. Genes 16S rRNA, nosZ, and nirS were all successfully detected in soil samples, while nirK was below the detection limit throughout the study. Utilizing a combination of three sampling regimes (management, reach, catchment) was found to be effective in capturing microbial community patterns, as ANOVA results revealed nosZ gene abundance was significantly greater at the management rather than reach scale (p = 0.045; F = 3.311), although, no significant differences were observed in 16S rRNA or nirS between sampling scales (p > 0.05). A Pearson correlation matrix confirmed that 16S rRNA and nosZ gene abundances were positively correlated with soil carbon (C), nitrogen (N), and moisture, while nirS abundance was only positively correlated with soil C and soil moisture. This highlights the potential for wetland-like characteristics to be recovered in agricultural drainage systems, as weir proximity is observed to enhance soil moisture and conditions for N remediation. This study provides the basis for additional investigations of these unique environments in the Mississippi Alluvial Valley and a starting point for adaptive management to enhance agricultural drainage systems for microbial

  4. Numerical assessment of functionally graded tungsten/EUROFER coating system for first wall applications

    Energy Technology Data Exchange (ETDEWEB)

    Qu, D.D., E-mail: dandna.qu@partner.kit.edu; Basuki, W.W.; Aktaa, J.

    2015-10-15

    Highlights: • Tungsten coatings with W/EUROFER functional graded (FG) interlayers on EUROFER substrates are investigated by means of finite element (FE) simulations as first wall (FW) application. • The FE simulations consider elasto-perfectly plastic and elasto-viscoplastic material models and the fabrication phase and operation phase. • The effects of FG-interlayers thicknesses on mitigating the residual stress and inelastic strain are studied. • Allowable number of cycles is calculated based on creep damage accumulation. - Abstract: Reduced activation ferritic/martensitic (RAFM) steels, e.g. EUROFER, are to be used as structural material for the first wall (FW) of future fusion power plants. The interaction between the plasma and the FW, especially physical sputtering, will limit the FW lifetime under normal operation. Therefore, a tungsten coating should be selected to protect the FW due to its low sputtering yield, low activation, high melting point and high thermal conductivity. However, the mismatch of thermo-physical properties between W and EUROFER induces large residual thermal stresses and even failure of components. Functionally graded material (FGM) is considered as an appropriate solution to mitigate the high residual stresses. In this work, W coatings on EUROFER substrates with W/EUROFER FG-layer (the coating system) are investigated by means of finite element (FE) simulations considering elasto-perfectly plastic and elasto-viscoplastic material models. For determining optimal parameters of the coating system the vacuum plasma spraying (VPS) fabrication process and the operation phase of the fusion reactor are simulated. Based on the FE results creep assessment of the coating system is performed demonstrating the gain in lifetime to be expected when using a FG-layer and investigating its dependence on the thickness of the FG-layer.

  5. Predictive efficacy of the 2014 International Society of Urological Pathology Gleason grading system in initially diagnosed metastatic prostate cancer

    Directory of Open Access Journals (Sweden)

    Guang-Xi Sun

    2017-01-01

    Full Text Available We compared the predictive ability of the 2014 and 2005 Gleason grading systems in 568 patients initially diagnosed with metastatic prostate cancer (PCa. Outcomes included the duration of castration-resistant prostate cancer-free survival (CFS and overall survival (OS. Univariate analyses and log-rank tests were used to identify prognosis indicators and assess univariable differences in CFS and OS in Gleason score (GS groups. Cox proportional hazards and area under the curves of receiver operator characteristics methods were used to evaluate the predictive efficacy of the 2005 and 2014 ISUP grading systems. Univariate analyses showed that the 2005 and 2014 grading systems were prognosticators for CFS and OS; both systems could distinguish the clinical outcome of patients with GS 6, GS 7, and GS 8-10. Using the 2014 criteria, no statistical differences in patient survival were observed between GS 3 + 4 and GS 4 + 3 or GS 8 and GS 9-10. The predictive ability of the 2014 and 2005 grading systems was comparable for CFS and OS (P = 0.321. However, the 2014 grading system did not exhibit superior predictive efficacy in patients initially diagnosed with PCa and bone metastasis; trials using larger cohorts are required to confirm its predictive value. To the best of our knowledge, ours is the first study to compare the 2005 and 2014 grading systems in initially diagnosed PCa with bone metastasis. At present, we recommend that both systems should be used to predict the prognosis of patients with metastatic PCa.

  6. A DHT Key-Value Storage System with Carrier Grade Performance

    Science.gov (United States)

    Shi, Guangyu; Chen, Jian; Gong, Hao; Fan, Lingyuan; Xue, Haiqiang; Lu, Qingming; Liang, Liang

    The Peer-to-Peer (P2P) technology being widely adopted in today’s both academic research and practical service providing, has many potential advantages and achieves a great success in Information Technology scope. Recently some researchers have proposed that P2P inspired architecture also might be one choice for the telecom network evolution. Most of such works adopted structured P2P (DHT) as the basic solutions, but they seldom discussed how to eliminate the huge gap between the telecom underlay performance requirement and the performance of existed DHT which mainly originated from the Internet applications. This paper presents the design and implementation of SandStone, a DHT based key-value storage system with carrier grade performance, such as good scalability, strong consistency and high reliability, which could be deployed as the cornerstone in such new P2P inspired networking architectures.

  7. Direct Metal Deposition of Functional Graded Structures in Ti- Al System

    Science.gov (United States)

    Shishkovsky, I.; Missemer, F.; Smurov, I.

    A direct laser metal deposition (DLMD) technology with co-axial powder injection is used to fabricate a complex functional graded structure (FGS) fabrication. The aim of the study is to demonstrate the possibility to produce intermetallic phases in the Ti-Al powder systems in the course of a single-step DMD process. Besides, relationships between the main laser cladding parameters and the intermetallic phase structures of the built-up objects have been studied. In our research we applied the optical microscopy, X-ray analysis, microhardness measurement and SEM with EDX analysis of the laser-fabricated intermetallics. The discussion of the mechanisms of Ti x Al y (x,y = 1.3) intermetallic transformations in exothermal reactions is also offered in the report.

  8. Comparative evaluation of the modified Scarff-Bloom-Richardson grading system on breast carcinoma aspirates and histopathology

    Directory of Open Access Journals (Sweden)

    Cherry Bansal

    2012-01-01

    Full Text Available Background: Fine needle aspiration (FNA is a quick, minimally invasive procedure for evaluation of breast tumors. The Scarff-Bloom-Richardson (SBR grade on histological sections is a well-established tool to guide selection of adjuvant systemic therapy. Grade evaluation is possible on cytology smears to avoid and minimize the morbidity associated with overtreatment of lower grade tumors. Aim : The aim was to test the hypothesis whether breast FNA from the peripheral portion of the lesion is representative of Scarff-Bloom-Richardson grade on histopathology as compared to FNA from the central portion. Materials and Methods : Fine-needle aspirates and subsequent tissue specimens from 45 women with ductal carcinoma (not otherwise specified were studied. FNAs were performed under ultrasound guidance from the central as well as the peripheral third of the lesion for each case avoiding areas of necrosis/calcification. The SBR grading was compared on alcohol fixed aspirates and tissue sections for each case. Results : Comparative analysis of SBR grade on aspirates from the peripheral portion and histopathology by the Pearson chi-square test (χ2 =78.00 showed that it was statistically significant (P<0.001 with 93% concordance. Lower mitotic score on aspirates from the peripheral portion was observed in only 4 out of 45 (9% cases. The results of the Pearson chi-square test (χ2 = 75.824 with statistically significant (P=0.000. Conclusion : This prospective study shows that FNA smears from the peripheral portion of the lesion are representative of the grading performed on the corresponding histopathological sections. It is possible to score and grade by SBR system on FNA smears.

  9. Comparison of Extraction and Non-extraction Orthodontic Treatment using the Objective Grading System

    Directory of Open Access Journals (Sweden)

    N. Farhadian

    2005-09-01

    Full Text Available Statement of Problem: The extraction versus non-extraction debate is almost as old as the advent of orthodontic practice and up to now, this dilemma remains. Recently, the American Board of Orthodontics (ABO has developed a method by the name of Objective Grading System (OGS in order to evaluate the results of orthodontic treatment.Aim: The aim of the present study was to evaluate and compare the patients’ final occlusion after extraction and non-extraction therapy using the OGS.Materials and Methods: Sixty sex-matched cases with an age range of 15-20 year old were selected and evenly divided into 2 groups as follows: 30 patients were treated by extraction of 4 premolars and 30 received a non-extraction treatment. All patients had class 1 malocclusion before treatment and were well treated with the standard edgewisesystem in a private clinic. With the aid of an ABO measuring gauge, 8 parameters of occlusion were measured 3 times,each. Reproducibility of the measurements were evaluated by use of the Phi correlation coefficient and the total OGS scores between thetwo groups were compared using Levene`s test and Student t- test with the significant level at 95%.Results: The mean OSG scores were significantly more negative in the non–extraction group (-6.58 ± 8.63 as compared to the extraction group (-28.65 ± 6.67, p < 0.004.Acceptable occlusion was observed in 73.4% of the extraction and 43.4% of the nonextraction cases.Conclusion: In this study according to the ABO grading system (OGS, the final occlusion of patients treated with extraction seemed more acceptable than non-extracted cases.

  10. The role of low-grade inflammation and metabolic flexibility in aging and nutritional modulation thereof: A systems biology approach

    NARCIS (Netherlands)

    Calçada, D.; Vianello, D.; Giampieri, E.; Sala, C.; Castellani, G.; Graaf, A.A. de; Kremer, S.H.A.; Ommen, B. van; Feskens, E.; Santoro, A.; Franceschi, C.; Bouwman, J.

    2014-01-01

    Aging is a biological process characterized by the progressive functional decline of many interrelated physiological systems. In particular, aging is associated with the development of a systemic state of low-grade chronic inflammation (inflammaging), and with progressive deterioration of metabolic

  11. The role of low-grade inflammation and metabolic flexibility in aging and nutritional modulation thereof: a systems biology approach

    NARCIS (Netherlands)

    Viegas Calcada, D.I.; Vianello, D.; Giampieri, E.; Sala, C.; Castellani, G.; Graaf, de A.; Kremer, B.; Ommen, van B.; Feskens, E.J.M.; Santoro, A.; Franceschi, C.; Bouwman, J.

    2014-01-01

    Aging is a biological process characterized by the progressive functional decline of many interrelated physiological systems. In particular, aging is associated with the development of a systemic state of low-grade chronic inflammation (inflammaging), and with progressive deterioration of metabolic

  12. An Airborne Multispectral Imaging System Based on Two Consumer-Grade Cameras for Agricultural Remote Sensing

    Directory of Open Access Journals (Sweden)

    Chenghai Yang

    2014-06-01

    Full Text Available This paper describes the design and evaluation of an airborne multispectral imaging system based on two identical consumer-grade cameras for agricultural remote sensing. The cameras are equipped with a full-frame complementary metal oxide semiconductor (CMOS sensor with 5616 × 3744 pixels. One camera captures normal color images, while the other is modified to obtain near-infrared (NIR images. The color camera is also equipped with a GPS receiver to allow geotagged images. A remote control is used to trigger both cameras simultaneously. Images are stored in 14-bit RAW and 8-bit JPEG files in CompactFlash cards. The second-order transformation was used to align the color and NIR images to achieve subpixel alignment in four-band images. The imaging system was tested under various flight and land cover conditions and optimal camera settings were determined for airborne image acquisition. Images were captured at altitudes of 305–3050 m (1000–10,000 ft and pixel sizes of 0.1–1.0 m were achieved. Four practical application examples are presented to illustrate how the imaging system was used to estimate cotton canopy cover, detect cotton root rot, and map henbit and giant reed infestations. Preliminary analysis of example images has shown that this system has potential for crop condition assessment, pest detection, and other agricultural applications.

  13. Frecuencia de maculopatía en pacientes con diabetes mellitus tipo 2: Reporte preliminar Frequency of maculopathy in patients with type 2 diabetes mellitus: A preliminary report

    Directory of Open Access Journals (Sweden)

    Harberth Fernández Leyva

    2002-08-01

    Full Text Available Se realizó un estudio transversal de 542 pacientes con diabetes mellitus tipo 2 (DM2 ICA- reclutados consecutivamente en el Centro de Atención al Diabético. Se les hizo historia clínica completa y examen oftalmológico: biomicroscopia y oftalmoscopia (directa e indirecta y examen con lente de 90 Dp. Se determinó glucemia en ayunas, 2 h después del desayuno y del almuerzo, hemoglobina glucosilada (HbA1 y excreción urinaria de albúmina (EUA. La maculopatía se clasificó en exudativa, edematosa e isquémica, y se relacionó con el sexo, hábito de fumar, tratamientos de la DM, edad actual, edad al comienzo de la enfermedad, presión arterial y las variables bioquímicas: glucemia en ayunas, posprandiales, HbA1 y EUA. Se excluyó la nefropatía clínica (EUA ³ 300 mg/L. Se consideró DM2 de reciente presentación cuando el diagnóstico clínico era menor de 6 meses. Padecían algún tipo de maculopatía 95 (17,5 % pacientes: 49 (9,0 %, formas exudativas; 29 (5,3 %, edematosas y 17 (3,2 %, isquémicas. No se hallaron diferencias significativas con el sexo, hábito de fumar o tratamientos utilizados, al dividirlos según la presencia o no de maculopatía. La duración de la DM fue de 12,4 ± 9,45 años para los pacientes con maculopatía, con diferencia estadísticamente significativa (p A cross-sectional study was conducted among 542 patients with ICA-type 2 diabetes mellitus consecutively recruited at the Diabetic Care Center. A complete medical history and an ophthalmological examination: biomicroscopy and ophthalmoscopy (direct and indirect and examination with lens of 90Dp were made. Fasting glycaemia, 2 hours after breakfast and lunch, glycosilated haemoglobin (HbA1 and urinary albumin excretion (UAE were determined. Maculopathy was classified as exudative, edematous and ischaemic and it was related to sex, smoking habit, treatments of DM, present age, age at the onset of the disease, arterial pressure and biochemical variables, such

  14. Prevalence of systemic co-morbidities in patients with various grades of diabetic retinopathy

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    Pradeep Venkatesh

    2014-01-01

    Full Text Available Background & objectives : Though diabetes affects multiple organs, most studies highlight the occurence of only one complication in isolation. We conducted a hospital-based study to estimate the co-existence of significant systemic co-morbid conditions in patients with varying grades of diabetic retinopathy. Methods : A total of 170 consecutive patients with diabetic retinopathy were prospectively recruited for the study between June 2009 to June 2010 at a tertiary care eye centre in north India. Retinopathy was graded by fundus biomicroscopy and fundus photography and classified into three categories (mild-moderate nonproliferative retinopathy, proliferative retinopathy requiring only laser and proliferative retinopathy requiring surgery. Nephropathy was classified by calculating the six variable estimated glomerular filtration rate (eGFR for all patients. Nerve conduction studies and clinical assessment were used to determine presence of neuropathy. Co-existence of macrovascular disease and peripheral vascular disease was also ascertained. Results : The percentages of patients with overt nephropathy in the three groups were 19.2, 38.0 and 41.2, respectively. Significant linear trends were observed for serum creatinine (P=0.004, albumin (P=0.017 and eGFR (P=0.030. A higher per cent had abnormal nerve conduction on electrophysiology than that diagnosed clinically (65.4 vs. 44.2, 76.0 vs. 40.0 and 64.8 vs. 48.6, respectively. The odds ratio (95% CI for co-existence of nephropathy, neuropathy, CVA (cerebrovascular accidents and PVD (peripheral vascular disease was 2.9, 0.9, 4.8 and 3.5, respectively. Independent of retinopathy severity, patients with clinically significant macular oedema (CSME had a higher percentage of nephropathy ( p0 < 0.005. Interpretation & conclusions : The co-existence of overt nephropathy, nerve conduction based neuropathy and macrovascular co-morbidity in patients with early grades of diabetic retinopathy was significant

  15. Optimizing a machine learning based glioma grading system using multi-parametric MRI histogram and texture features.

    Science.gov (United States)

    Zhang, Xin; Yan, Lin-Feng; Hu, Yu-Chuan; Li, Gang; Yang, Yang; Han, Yu; Sun, Ying-Zhi; Liu, Zhi-Cheng; Tian, Qiang; Han, Zi-Yang; Liu, Le-De; Hu, Bin-Quan; Qiu, Zi-Yu; Wang, Wen; Cui, Guang-Bin

    2017-07-18

    Current machine learning techniques provide the opportunity to develop noninvasive and automated glioma grading tools, by utilizing quantitative parameters derived from multi-modal magnetic resonance imaging (MRI) data. However, the efficacies of different machine learning methods in glioma grading have not been investigated.A comprehensive comparison of varied machine learning methods in differentiating low-grade gliomas (LGGs) and high-grade gliomas (HGGs) as well as WHO grade II, III and IV gliomas based on multi-parametric MRI images was proposed in the current study. The parametric histogram and image texture attributes of 120 glioma patients were extracted from the perfusion, diffusion and permeability parametric maps of preoperative MRI. Then, 25 commonly used machine learning classifiers combined with 8 independent attribute selection methods were applied and evaluated using leave-one-out cross validation (LOOCV) strategy. Besides, the influences of parameter selection on the classifying performances were investigated. We found that support vector machine (SVM) exhibited superior performance to other classifiers. By combining all tumor attributes with synthetic minority over-sampling technique (SMOTE), the highest classifying accuracy of 0.945 or 0.961 for LGG and HGG or grade II, III and IV gliomas was achieved. Application of Recursive Feature Elimination (RFE) attribute selection strategy further improved the classifying accuracies. Besides, the performances of LibSVM, SMO, IBk classifiers were influenced by some key parameters such as kernel type, c, gama, K, etc. SVM is a promising tool in developing automated preoperative glioma grading system, especially when being combined with RFE strategy. Model parameters should be considered in glioma grading model optimization.

  16. International Society Of Neuropathology--Haarlem consensus guidelines for nervous system tumor classification and grading.

    Science.gov (United States)

    Louis, David N; Perry, Arie; Burger, Peter; Ellison, David W; Reifenberger, Guido; von Deimling, Andreas; Aldape, Kenneth; Brat, Daniel; Collins, V Peter; Eberhart, Charles; Figarella-Branger, Dominique; Fuller, Gregory N; Giangaspero, Felice; Giannini, Caterina; Hawkins, Cynthia; Kleihues, Paul; Korshunov, Andrey; Kros, Johan M; Beatriz Lopes, M; Ng, Ho-Keung; Ohgaki, Hiroko; Paulus, Werner; Pietsch, Torsten; Rosenblum, Marc; Rushing, Elisabeth; Soylemezoglu, Figen; Wiestler, Otmar; Wesseling, Pieter

    2014-09-01

    Major discoveries in the biology of nervous system tumors have raised the question of how non-histological data such as molecular information can be incorporated into the next World Health Organization (WHO) classification of central nervous system tumors. To address this question, a meeting of neuropathologists with expertise in molecular diagnosis was held in Haarlem, the Netherlands, under the sponsorship of the International Society of Neuropathology (ISN). Prior to the meeting, participants solicited input from clinical colleagues in diverse neuro-oncological specialties. The present "white paper" catalogs the recommendations of the meeting, at which a consensus was reached that incorporation of molecular information into the next WHO classification should follow a set of provided "ISN-Haarlem" guidelines. Salient recommendations include that (i) diagnostic entities should be defined as narrowly as possible to optimize interobserver reproducibility, clinicopathological predictions and therapeutic planning; (ii) diagnoses should be "layered" with histologic classification, WHO grade and molecular information listed below an "integrated diagnosis"; (iii) determinations should be made for each tumor entity as to whether molecular information is required, suggested or not needed for its definition; (iv) some pediatric entities should be separated from their adult counterparts; (v) input for guiding decisions regarding tumor classification should be solicited from experts in complementary disciplines of neuro-oncology; and (iv) entity-specific molecular testing and reporting formats should be followed in diagnostic reports. It is hoped that these guidelines will facilitate the forthcoming update of the fourth edition of the WHO classification of central nervous system tumors.

  17. Childhood bullying involvement predicts low-grade systemic inflammation into adulthood.

    Science.gov (United States)

    Copeland, William E; Wolke, Dieter; Lereya, Suzet Tanya; Shanahan, Lilly; Worthman, Carol; Costello, E Jane

    2014-05-27

    Bullying is a common childhood experience that involves repeated mistreatment to improve or maintain one's status. Victims display long-term social, psychological, and health consequences, whereas bullies display minimal ill effects. The aim of this study is to test how this adverse social experience is biologically embedded to affect short- or long-term levels of C-reactive protein (CRP), a marker of low-grade systemic inflammation. The prospective population-based Great Smoky Mountains Study (n = 1,420), with up to nine waves of data per subject, was used, covering childhood/adolescence (ages 9-16) and young adulthood (ages 19 and 21). Structured interviews were used to assess bullying involvement and relevant covariates at all childhood/adolescent observations. Blood spots were collected at each observation and assayed for CRP levels. During childhood and adolescence, the number of waves at which the child was bullied predicted increasing levels of CRP. Although CRP levels rose for all participants from childhood into adulthood, being bullied predicted greater increases in CRP levels, whereas bullying others predicted lower increases in CRP compared with those uninvolved in bullying. This pattern was robust, controlling for body mass index, substance use, physical and mental health status, and exposures to other childhood psychosocial adversities. A child's role in bullying may serve as either a risk or a protective factor for adult low-grade inflammation, independent of other factors. Inflammation is a physiological response that mediates the effects of both social adversity and dominance on decreases in health.

  18. Construction of the Classification and Grading Index System of Cultivated Land Based on the Viewpoint of Sustainable Development

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    In order to objectively and reasonably evaluate the actual and potential value of cultivated land, both social and ecological values are introduced into the classification and grading index system of cultivated land based on the viewpoint of sustainable development, after considering the natural and economic values of cultivated land. Index system construction of the sustainable utilization of cultivated land should follow the principles of economic viability, social acceptability, and ecological protection. Classification of cultivated land should take into account the soil fertility of cultivated land. Then, grading of cultivated land is carried out from the practical productivity (or potential productivity) of cultivated land. According to the existing classification index system of cultivated land, the soil, natural and environmental factors in plains, mountains and hills are mainly modified in the classification index system of cultivated land. And index systems for the cultivated land classification in plains, mountains and hills are set up. The grading index system of cultivated land is established based on the economic viability (economic value), social acceptability (social value) and protection of cultivated land (ecological value). Quantitative expression of cultivated land grading index is also carried out.

  19. Müller glial cells--the mediators of vascular disorders with vitreomacular interface pathology in diabetic maculopathy.

    Science.gov (United States)

    Robaszkiewicz, Jacek; Chmielewska, Katarzyna; Figurska, Małgorzata; Wierzbowska, Joanna; Stankiewicz, Andrzej

    2010-01-01

    The key to identifying the type of diabetic maculopathy is determining the status of posterior vitreous adhesion. In the pathological state, the breakdown of the internal and external blood-retina barrier is evident, however the mechanism is usually complex. The common denominator for these disorders are Müller glial cells, which mediate in maintaining the blood-retina barrier by linking the vessels, neurons and the vitreous in anatomical network and into functional dependence. The breakdown of the blood-retina barrier results in proliferation of Müller cells. Molecular changes in these cells increase endothelial barrier properties, but also induce pathological processes on the vitreo-retinal junction, resulting in increased adhesiveness of the collagen fibers of vitreous to retinal internal limiting membrane. The ability of Müller cells to reactive gliosis is influenced by the healthy functioning of the retinal pigment epithelium, which is a source of trophic factors necessary for appropriate Müller cells morphogenesis. Vitrectomy with the removal of ILM eliminates the vitreofoveal interface pathology, additionally provoking reactive gliosis within the macula. Intraoperative use of anti-VEGF supports short-term tightness of the blood-retina barrier in the perioperative neuralgic period. In the future, supplying astrocytes may be a strategy that will allow not only the inhibition of pathological neovascularization but also the restoration of the physiological network of capillaries in avascular retina areas. The delivery of recombinant PEDF allows for the recovery of Müller cells, and thus creates the conditions favourable for the survival of nerve cells in loss of retinal homeostasis.

  20. C2 and CFB genes in age-related maculopathy and joint action with CFH and LOC387715 genes.

    Directory of Open Access Journals (Sweden)

    Johanna Jakobsdottir

    Full Text Available BACKGROUND: Age-related maculopathy (ARM is a common cause of visual impairment in the elderly populations of industrialized countries and significantly affects the quality of life of those suffering from the disease. Variants within two genes, the complement factor H (CFH and the poorly characterized LOC387715 (ARMS2, are widely recognized as ARM risk factors. CFH is important in regulation of the alternative complement pathway suggesting this pathway is involved in ARM pathogenesis. Two other complement pathway genes, the closely linked complement component receptor (C2 and complement factor B (CFB, were recently shown to harbor variants associated with ARM. METHODS/PRINCIPAL FINDINGS: We investigated two SNPs in C2 and two in CFB in independent case-control and family cohorts of white subjects and found rs547154, an intronic SNP in C2, to be significantly associated with ARM in both our case-control (P-value 0.00007 and family data (P-value 0.00001. Logistic regression analysis suggested that accounting for the effect at this locus significantly (P-value 0.002 improves the fit of a genetic risk model of CFH and LOC387715 effects only. Modeling with the generalized multifactor dimensionality reduction method showed that adding C2 to the two-factor model of CFH and LOC387715 increases the sensitivity (from 63% to 73%. However, the balanced accuracy increases only from 71% to 72%, and the specificity decreases from 80% to 72%. CONCLUSIONS/SIGNIFICANCE: C2/CFB significantly influences AMD susceptibility and although accounting for effects at this locus does not dramatically increase the overall accuracy of the genetic risk model, the improvement over the CFH-LOC387715 model is statistically significant.

  1. The optical imaging of idiopathic paracentral acute middle maculopathy in a Chinese young man and review of the literature.

    Science.gov (United States)

    Chen, Yanyan; Hu, Yuedong

    2017-09-01

    We report a case of idiopathic paracentral acute middle maculopathy with typical optical imaging and clinical features. A 26-year-old Chinese policeman presented with a 20-day history of paracentral scotoma in the left eye after early wake-up and long-time working in front of computer the day before. He experienced sudden-onset strong flash in his left eye. Paracentral scotoma appeared in his left eye after 6hours of rest. The general history was negative. His best corrected visual acuity was 20/20 OU. Anterior segment, dilated fundus examination, papillary evaluation and intraocular pressure were normal. Fuorescein angiography and blue light fundus autofluorescence showed no significant abnormality. In multicolor photography, the lesion was visible on the monochromic infrared/blue reflectance images and not clear in green reflectance. The 10 degree visual field examination revealed superior paracentral relative scotoma. Multifocal electroretinogram revealed reduced response in central area in the left eye. Spectral-domain optical coherence tomography showed that hyperreflective plaque was present at the IPL/INL/OPL level with hyperreflective point at the GCL. The plaque became thinner 3 months later and diminished 6 months later with obviously atrophied INL. In the 3 months follow-up, transverse scan revealed that there was a well-demarcated hypo-refractive lesion in IPL and hyper-refractive lesion in INL. OCTA revealed the deceased flow signal intensity of focal deep capillaries. En face OCT imaging of the left eye revealed a relative well-defined, hypo-refractive lesion and non-flow area localized at the level of the deep capillary plexus. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. A Novel System for the Surgical Staging of Primary High-grade Osteosarcoma: The Birmingham Classification.

    Science.gov (United States)

    Jeys, Lee M; Thorne, Chris J; Parry, Michael; Gaston, Czar Louie L; Sumathi, Vaiyapuri P; Grimer, J Robert

    2017-03-01

    Chemotherapy response and surgical margins have been shown to be associated with the risk of local recurrence in patients with osteosarcoma. However, existing surgical staging systems fail to reflect the response to chemotherapy or define an appropriate safe metric distance from the tumor that will allow complete excision and closely predict the chance of disease recurrence. We therefore sought to review a group of patients with primary high-grade osteosarcoma treated with neoadjuvant chemotherapy and surgical resection and analyzed margins and chemotherapy response in terms of local recurrence. (1) What predictor or combination of predictors available to the clinician can be assessed that more reliably predict the likelihood of local recurrence? (2) Can we determine a better predictor of local recurrence-free survival than the currently applied system of surgical margins? (3) Can we determine a better predictor of overall survival than the currently applied system of surgical margins? This retrospective study included all patients with high-grade conventional osteosarcomas without metastasis at diagnosis treated at one center between 1997 and 2012 with preoperative chemotherapy followed by resection or amputation of the primary tumor who were younger than age 50 years with minimum 24-month followup for those still alive. A total of 389 participants matched the inclusion criteria. Univariate log-rank test and multivariate Cox analyses were undertaken to identify predictors of local recurrence-free survival (LRFS). The Birmingham classification was devised on the basis of two stems: the response to chemotherapy (good response = ≥ 90% necrosis; poor response = HR], 9.9; 95% CI, 1.2-82; p = 0.03 versus radical margin HR, 1) and a poor response to neoadjuvant chemotherapy (HR, 3.8; 95% CI, 1.7-8.4; p = 0.001 versus good response HR, 1) were independent risk factors for local recurrence (LR). The best predictor of LR, however, was a combination of margins ≤ 2 mm and

  3. Efficient production of D-tagatose using a food-grade surface display system.

    Science.gov (United States)

    Liu, Yi; Li, Sha; Xu, Hong; Wu, Lingtian; Xu, Zheng; Liu, Jing; Feng, Xiaohai

    2014-07-16

    D-tagatose, a functional sweetener, is commonly transformed from D-galactose by L-arabinose isomerase (L-AI). In this study, a novel type of biocatalyst, L-AI from Lactobacillus fermentum CGMCC2921 displayed on the spore surface of Bacillus subtilis 168, was developed for producing D-tagatose. The anchored L-AI, exhibiting the relatively high bioactivity, suggested that the surface display system using CotX as the anchoring protein was successfully constructed. The stability of the anchored L-AI was significantly improved. Specifically, the consolidation of thermal stability representing 87% of relative activity was retained even at 80 °C for 30 min, which remarkably favored the production of D-tagatose. Under the optimal conditions, the robust spores can convert 75% D-galactose (100 g/L) into D-tagatose after 24 h, and the conversion rate remained at 56% at the third cycle. Therefore, this biocatalysis system, which could express the target enzyme on the food-grade vector, was an alternative method for the value-added production of D-tagatose.

  4. Development and characterization of food-grade tracers for the global grain tracing and recall system.

    Science.gov (United States)

    Lee, Kyung-Min; Armstrong, Paul R; Thomasson, J Alex; Sui, Ruixiu; Casada, Mark; Herrman, Timothy J

    2010-10-27

    Tracing grain from the farm to its final processing destination as it moves through multiple grain-handling systems, storage bins, and bulk carriers presents numerous challenges to existing record-keeping systems. This study examines the suitability of coded caplets to trace grain, in particular, to evaluate methodology to test tracers' ability to withstand the rigors of a commercial grain handling and storage systems as defined by physical properties using measurement technology commonly applied to assess grain hardness and end-use properties. Three types of tracers to dispense into bulk grains for tracing the grain back to its field of origin were developed using three food-grade substances [processed sugar, pregelatinized starch, and silicified microcrystalline cellulose (SMCC)] as a major component in formulations. Due to a different functionality of formulations, the manufacturing process conditions varied for each tracer type, resulting in unique variations in surface roughness, weight, dimensions, and physical and spectroscopic properties before and after coating. The applied two types of coating [pregelatinized starch and hydroxypropylmethylcellulose (HPMC)] using an aqueous coating system containing appropriate plasticizers showed uniform coverage and clear coating. Coating appeared to act as a barrier against moisture penetration, to protect against mechanical damage of the surface of the tracers, and to improve the mechanical strength of tracers. The results of analysis of variance (ANOVA) tests showed the type of tracer, coating material, conditioning time, and a theoretical weight gain significantly influenced the morphological and physical properties of tracers. Optimization of these factors needs to be pursued to produce desirable tracers with consistent quality and performance when they flow with bulk grains throughout the grain marketing channels.

  5. Juvenile hyaline fibromatosis and infantile systemic hyalinosis: a unifying term and a proposed grading system.

    Science.gov (United States)

    Nofal, Ahmad; Sanad, Mohammad; Assaf, Magda; Nofal, Eman; Nassar, Amani; Almokadem, Sahar; Attwa, Enayat; Elmosalamy, Khaled

    2009-10-01

    It has been suggested that juvenile hyaline fibromatosis and infantile systemic hyalinosis represent different severities of the same disease. We sought to redefine these disorders clearly to establish a common inclusive terminology. The study included two children with early onset of similar pink papulonodular skin lesions and marked gingival hyperplasia. The first case was characterized by flexion contractures of the large joints, fractures, persistent diarrhea, recurrent chest infections, and retarded physical growth. The second patient had large swellings on the scalp and knees without systemic involvement. Radiologic examination revealed fractures and osteolytic bone lesions in the first case, and soft tissue masses in the second case. Laboratory tests showed anemia in both cases, and hypogammaglobulinemia, hypoalbuminemia, and electrolyte imbalance in the first case. Histopathological and ultrastructural evaluation demonstrated hyalinized fibrous tissue in the dermis in both cases. Genetic studies were unavailable. Juvenile hyaline fibromatosis and infantile systemic hyalinosis share many common features that strongly support consideration of these conditions as different expressions of the same disorder. We propose a common term, "hyaline fibromatosis syndrome," which can be divided into mild, moderate, and severe subtypes.

  6. Measuring Listening Comprehension Skills of 5th Grade School Students with the Help of Web Based System

    Directory of Open Access Journals (Sweden)

    M. Bahaddin Acat

    2016-01-01

    Full Text Available The main purpose of this study is to measure listening comprehension skills of 5th grade school students with the help of web based system. This study was conducted on 5th grade students studying at the primary schools of Eskisehir. The scale used in the process of the study is “Web Based Listening Scale”. In the process of the study, it was investigated that the level of differentiation listening skill and educational level of mother and father, family income level, Turkish Course grading note, the most popular and listened music genre. According to the results obtained that significant difference was found with listening skills and educational level of mother and father, family income level and the most popular and listened music genre. Also it was found that there is powerful relationship between listening skills and Turkish Course grading note. In the process of the research, it was observed the students used the web based system more attentive and motivated. Nevertheless, personalized measuring environment was provided by the web based system. Finally, it can be said that the web based systems can be used positively for language learning, teaching, and instruction, improving, measuring and assessing process.

  7. Stochastic kinetic model of two component system signalling reveals all-or-none, graded and mixed mode stochastic switching responses.

    Science.gov (United States)

    Kierzek, Andrzej M; Zhou, Lu; Wanner, Barry L

    2010-03-01

    Two-component systems (TCSs) are prevalent signal transduction systems in bacteria that control innumerable adaptive responses to environmental cues and host-pathogen interactions. We constructed a detailed stochastic kinetic model of two component signalling based on published data. Our model has been validated with flow cytometry data and used to examine reporter gene expression in response to extracellular signal strength. The model shows that, depending on the actual kinetic parameters, TCSs exhibit all-or-none, graded or mixed mode responses. In accordance with other studies, positively autoregulated TCSs exhibit all-or-none responses. Unexpectedly, our model revealed that TCSs lacking a positive feedback loop exhibit not only graded but also mixed mode responses, in which variation of the signal strength alters the level of gene expression in induced cells while the regulated gene continues to be expressed at the basal level in a substantial fraction of cells. The graded response of the TCS changes to mixed mode response by an increase of the translation initiation rate of the histidine kinase. Thus, a TCS is an evolvable design pattern capable of implementing deterministic regulation and stochastic switches associated with both graded and threshold responses. This has implications for understanding the emergence of population diversity in pathogenic bacteria and the design of genetic circuits in synthetic biology applications. The model is available in systems biology markup language (SBML) and systems biology graphical notation (SBGN) formats and can be used as a component of large-scale biochemical reaction network models.

  8. Implementation of an Automated Grading System with an Adaptive Learning Component to Affect Student Feedback and Response Time

    Science.gov (United States)

    Matthews, Kevin; Janicki, Thomas; He, Ling; Patterson, Laurie

    2012-01-01

    This research focuses on the development and implementation of an adaptive learning and grading system with a goal to increase the effectiveness and quality of feedback to students. By utilizing various concepts from established learning theories, the goal of this research is to improve the quantity, quality, and speed of feedback as it pertains…

  9. The Consistency between Human Raters and an Automated Essay Scoring System in Grading High School Students' English Writing

    Science.gov (United States)

    Tsai, Min-hsiu

    2012-01-01

    This study investigates the consistency between human raters and an automated essay scoring system in grading high school students' English compositions. A total of 923 essays from 23 classes of 12 senior high schools in Taiwan (Republic of China) were obtained and scored manually and electronically. The results show that the consistency between…

  10. [Low-grade systemic inflammation and the development of metabolic diseases: from the molecular evidence to the clinical practice].

    Science.gov (United States)

    León-Pedroza, José Israel; González-Tapia, Luis Alonso; del Olmo-Gil, Esteban; Castellanos-Rodríguez, Diana; Escobedo, Galileo; González-Chávez, Antonio

    2015-01-01

    Systemic inflammation is characterised by high circulating levels of inflammatory cytokines and increased macrophage infiltration in peripheral tissues. Most importantly, this inflammatory state does not involve damage or loss of function of the infiltrated tissue, which is a distinctive feature of the low-grade systemic inflammation. The term "meta-inflammation" has also been used to refer to the low-grade systemic inflammation due to its strong relationship with the development of cardio-metabolic diseases in obesity. A review is presented on the recent clinical and experimental evidence concerning the role of adipose tissue inflammation as a key mediator of low-grade systemic inflammation. Furthermore, the main molecular mechanisms involved in the inflammatory polarization of macrophages with the ability to infiltrate both the adipose tissue and the vascular endothelium via activation of toll-like receptors by metabolic damage-associated molecular patterns, such as advanced glycation-end products and oxidized lipoproteins, is discussed. Finally, a review is made of the pathogenic mechanisms through which the low-grade systemic inflammation contributes to develop insulin resistance, dyslipidaemia, atherogenesis, type 2 diabetes, and hypertension in obese individuals. A better understanding of the molecular mechanisms of low-grade systemic inflammation in promoting cardio-metabolic diseases is necessary, in order to further design novel anti-inflammatory therapies that take into consideration clinical data, as well as the circulating levels of cytokines, immune cells, and metabolic damage-associated molecular patterns in each patient. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.

  11. Developing a novel nodal grading system to standardize nodal classification in gastric cancer patients with limited lymph node resection

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Objective:To develop an easy applicable novel nodal grading system to improve the standardization of nodal classification in patients with limited lymphadenectomy. Methods: We formulated a new approach of nodal classification to classify this category of patients. Log-rank test was used for univariate analysis and Cox proportional hazards model was used for univariate and multivariate analysis. We used linear trendχ2 tests, likelihood ratioχ2 test and Akaike information criterion (AIC) value to assess the homogeneity, discriminatory ability and monotonicity of gradients of the two nodal staging systems.Results:Statistical analysis supported that both the hypothesized N’ stage and hypothesized TN’M stage outperforms the present AJCC/UICC staging system.Conclusion:We developed an easy applicable and reproducible novel nodal grading system that has a greater predicting value than the current AJCC/UICC staging system to classify gastric cancer patients with limited lymphadenectomy.

  12. Effect of fascia dry needling on non-specific thoracic pain - A proposed dry needling grading system.

    Science.gov (United States)

    Anandkumar, Sudarshan; Manivasagam, Murugavel

    2017-05-01

    This case report describes a 42-year-old female who presented with complaints of diffuse pain in her thoracic paraspinal region from T2 to T7. Physical examination revealed tenderness, increased turgor and restriction of her superficial fascia. A potential first time description of successful management utilizing fascia dry needling is described in this report with improvements noted in pain, range of motion, and functional activities. The patient was discharged from physiotherapy after four treatment sessions, and a follow-up after 3 months revealed that she was pain free and fully functional. A grading system (Sudarshan and Murugavel Dry Needling Grading Scale(©)) is proposed describing the various grades of dry needling to guide clinical reasoning and decision-making.

  13. AN APPLE GRADING SYSTEM ACCORDING TO EUROPEAN FRUIT QUALITY STANDARDS USING GABOR FILTER AND ARTIFICIAL NEURAL NETWORKS

    Directory of Open Access Journals (Sweden)

    KEYVAN ASEFPOUR VAKILIAN

    2016-04-01

    Full Text Available With the advent of applications of machine learning methods in food engineering in recent decades, several intelligent methods have been introduced in fruit grading technology. In this study, an apple grading system is presented using image’s textural features extraction and artificial intelligence. The objective of this study was to simplify the use of Gabor filter in classification of two varieties of apple fruits (Golden Delicious and Red Delicious in four categories according to the European fruit quality standards. Using this filter, neural network classifier was trained for four category grading of the fruits. Two textural parameters were extracted from each obtained image: mean and variance of energy values of obtained image representing image’s luminous intensity and contrast, respectively. Experimental results indicated that the training of extracted features of about 350 fruits enabled the network to classify the test samples with appropriate accuracy. Compared to the state-of-the-art, the proposed grading categories (‘Extra’, ‘Type 1’, ‘Type 2’ and ‘Rejected’ classes achieved acceptable recognition rates of about 89 % and 92 % overall accuracy for Golden Delicious and Red Delicious varieties, respectively. These experimental results show the appropriate application of proposed method in fast grading of apple fruits. Furthermore, proposed feature extraction and network training methods can be used efficiently in online applications.

  14. Using multiple chemical systems in zircon to unravel the evolution of high-grade terranes

    Science.gov (United States)

    Clark, Chris; Taylor, Richard

    2016-04-01

    Since the turn of the century the rare earth element (REE) partitioning between zircon and garnet has facilitated the coupling of U-Pb ages to metamorphism, particularly in the granulite facies. The combination of in situ analysis and rapid data acquisition, particularly through combined techniques such as Laser Ablation Split Stream (LASS), means that complex terranes can be interrogated with increasing detail. However this detail provided by large datasets must also be combined with an understanding of the processes involved, for example the relative mobility of the REE and U-Pb systems with zircon grains that have withstood intense P-T conditions to varying degrees. For example, some high-temperature metapelites that seem to have all the right ingredients for the "equilibrium" to be achieved (e.g. they contain garnet, zircon, monazite and rutile, they've melted and experienced temperatures in excess of 900 °C) display variations in the REE partitioning between zircon and garnet that varies over the length-scale of a single thin section. This presentation seeks to highlight some complexities in the application of these undoublty useful techniques to high-temperature metamorphic rocks from a number of terranes and hopefully provide some useful comments on developing more efficient strategies to characterise the P-T-t evolution of high-grade terranes.

  15. The effect of biomicroscope illumination system on grading anterior chamber inflammation.

    Science.gov (United States)

    Wong, Ira G; Nugent, Alex K; Vargas-Martín, Fernando

    2009-10-01

    To determine how a biomicroscope illumination system affects the grading of anterior chamber (AC) inflammation. Laboratory investigation. An artificial AC was designed to replicate optically a human AC and was filled with 5-mum polystyrene beads suspended in ethanol. A high-definition video eyepiece camera recorded the moving beads. Using image processing software, the main outcomes measures determined were the average number of beads in a 1 x 1-mm field at varying widths of the slit-beam. The volume of light and number of beads observed increased significantly as the slit-beam widened. Additionally, 3 separate biomicroscopes of identical make and model were found to produce different levels of luminance at the same aperture dial settings, influencing the number of beads observed, with the brighter biomicroscope yielding higher bead counts. Ability to count beads and perhaps the ability to count inflammatory cells in an inflamed eye depend on a number of factors, including the level of illumination and width of the slit-beam. This study demonstrated that the brighter the illumination and the wider the beam, the more beads were observed. This illustrates the importance of standardizing biomicroscopy, particularly where consecutive observations are used to make clinical decisions and in cases of multicenter clinical trials where clinical data are evaluated across different facilities.

  16. Effect of a functionally graded soft middle layer on Love waves propagating in layered piezoelectric systems.

    Science.gov (United States)

    Ben Salah, Issam; Ben Amor, Morched; Ben Ghozlen, Mohamed Hédi

    2015-08-01

    Numerical examples for wave propagation in a three-layer structure have been investigated for both electrically open and shorted cases. The first order differential equations are solved by both methods ODE and Stiffness matrix. The solutions are used to study the effects of thickness and gradient coefficient of soft middle layer on the phase velocity and on the electromechanical coupling factor. We demonstrate that the electromechanical coupling factor is substantially increased when the equivalent thickness is in the order of the wavelength. The effects of gradient coefficients are plotted for the first mode when electrical and mechanical gradient variations are applied separately and altogether. The obtained deviations in comparison with the ungraded homogenous film are plotted with respect to the dimensionless wavenumber. The impact related to the gradient coefficient of the soft middle layer, on the mechanical displacement and the Poynting vector, is carried out. The numericals results are illustrated by a set of appropriate curves related to various profiles. The obtained results set guidelines not only for the design of high-performance surface acoustic wave (SAW) devices, but also for the measurement of material properties in a functionally graded piezoelectric layered system using Love waves.

  17. Outcomes of different Class II treatments : Comparisons using the American Board of Orthodontics Model Grading System.

    Science.gov (United States)

    Akinci Cansunar, Hatice; Uysal, Tancan

    2016-07-01

    The aim of this study was to evaluate the clinical outcomes of three different Class II treatment modalities followed by fixed orthodontic therapy, using the American Board of Orthodontics Model Grading System (ABO-MGS). As a retrospective study, files of patients treated at postgraduate orthodontic  clinics in different cities in Turkey was randomly selected. From 1684 posttreatment records, 669 patients were divided into three groups: 269 patients treated with extraction of two upper premolars, 198 patients treated with cervical headgear, and 202 patients treated with functional appliances. All the cases were evaluated by one researcher using ABO-MGS. The χ (2), Z test, and multivariate analysis of variance were used for statistical evaluation (p < 0.05). No significant differences were found among the groups in buccolingual inclination, overjet, occlusal relationship, and root angulation. However, there were significant differences in alignment, marginal ridge height, occlusal contact, interproximal contact measurements, and overall MGS average scores. The mean treatment time between the extraction and functional appliance groups was significantly different (p = 0.017). According to total ABO-MGS scores, headgear treatment had better results than functional appliances. The headgear group had better tooth alignment than the extraction group. Headgear treatment resulted in better occlusal contacts than the functional appliances and had lower average scores for interproximal contact measurements. Functional appliances had the worst average scores for marginal ridge height. Finally, the functional appliance group had the longest treatment times.

  18. Effectiveness of the computer enhanced visual learning method in teaching the society for fetal urology hydronephrosis grading system for urology trainees.

    Science.gov (United States)

    Marks, Andrew; Maizels, Max; Mickelson, Jennie; Yerkes, Elizabeth; Anthony Herndon, C D; Lane, Jerry; Ben-Ami, Tamar; Maizels, Evelyn; Stoltz, Rachel Stork; Dixon, Scott; Liu, Dennis; Chaviano, Tony; Hagerty, Jennifer; Kaplan, William

    2011-04-01

    A novel educational tool, Computer Enhanced Visual Learning (CEVL), has been used to improve resident performance of routine orchiopexy. Our objective was to assess the effect of a CEVL teaching module on the diagnostic accuracy of medical trainees in grading neonatal hydronephrosis on ultrasound using the Society for Fetal Urology (SFU) grading system. The authors designed an online-based computerized tutorial to teach the grading of hydronephrosis using multimedia, practice cases and a grading checklist. In a crossover design trial, 29 residents and medical students were asked to grade 16 standard neonatal renal ultrasounds using the SFU grading system before and after viewing the web-based e-learning module. Primary outcome was percent improvement in grading accuracy. The mean percentages of ultrasounds that were graded correctly before and after CEVL intervention were 51% and 72% respectively (mean improvement 21%, 95% CI 3-13%, P < 0.001). Residents graded correctly 56% of ultrasounds before and 74% after CEVL (mean 18%, 7-28%, P = 0.002). Medical students graded correctly 37% before and 69% after CEVL (mean improvement 32%, 95% CI 16-48%, P = 0.002). Exposure to a computer-based learning module based on the CEVL platform improved urology residents' and medical students' correct assignment of SFU hydronephrosis grading to newborn renal ultrasounds. Copyright © 2010 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

  19. Application of a new histological staging and grading system for primary biliary cirrhosis to liver biopsy specimens: Interobserver agreement.

    Science.gov (United States)

    Nakanuma, Yasuni; Zen, Yoh; Harada, Kenichi; Sasaki, Motoko; Nonomura, Akitaka; Uehara, Takeshi; Sano, Kenji; Kondo, Fukuo; Fukusato, Toshio; Tsuneyama, Koichi; Ito, Masahiro; Wakasa, Kenichi; Nomoto, Minoru; Minato, Hiroshi; Haga, Hironori; Kage, Masayoshi; Yano, Hirohisa; Haratake, Joji; Aishima, Shinichi; Masuda, Tomoyuki; Aoyama, Hajime; Miyakawa-Hayashino, Aya; Matsumoto, Toshiharu; Sanefuji, Hayato; Ojima, Hidenori; Chen, Tse-Ching; Yu, Eunsil; Kim, Ji-Hun; Park, Young Nyun; Tsui, Wilson

    2010-03-01

    Recently the authors proposed a new staging and grading system for primary biliary cirrhosis (PBC) that takes into account necroinflammatory activity and histological heterogeneity. Herein is proposed a convenient version of this system. Scores for fibrosis, bile duct loss, and chronic cholestasis were combined for staging: stage 1, total score of 0; stage 2, score 1-3; stage 3, score 4-6; and stage 4, score 7-9. Cholangitis activity (CA) and hepatitis activity (HA) were graded as CA0-3, and HA0-3, respectively. Analysis of interobserver agreement was then conducted. Digital images of 62 needle liver biopsy specimens of PBC were recorded as virtual slides on DVDs that were sent to 28 pathologists, including five located overseas. All participants were able to apply this version in all 62 cases. For staging, kappa was 0.385 (fair agreement) and the concordance rate was 63.9%. For necroinflammatory activity, the kappa and concordance rate were 0.110 (slight agreement) and 36.9% for CA, and 0.197 (slight agreement) and 47% for HA, respectively. In conclusion, this new staging and grading system for PBC seems to be more convenient and practical than those used at present, but more instruction and guidance are recommended for the grading of necroinflammatory activity in practice.

  20. Analyzing agreement patterns of intraoperative central nervous system lesion reporting according to type and grade

    Directory of Open Access Journals (Sweden)

    Sujata Chaturvedi

    2013-01-01

    Conclusions: This study identifies problem areas of CNS intraoperative reporting, in a new center, with reference to tumor typing and grading. It may forewarn upcoming centers of neuropathology about the potential problem areas of intraoperative reporting.

  1. A case of von Hippel-Lindau disease with exudative maculopathy

    Directory of Open Access Journals (Sweden)

    Basel T Ba′arah

    2009-01-01

    Full Text Available Von Hippel-Lindau (VHL disease is a rare multisystem familial tumor syndrome of autosomal dominant inheritance. Hallmark lesions include retinal, cerebellum and spinal cord hemangioblastomas, renal cell carcinomas, adrenal pheochromocytomas, angiomatous or cystic lesions of the kidneys, pancreas, and epididymis. We report a case of VHL disease in a 26-year-old patient who presented with exudative macular edema. Ocular and systemic studies revealed the presence of retinal and central nervous system hemangioblastomas, adrenal pheochromocytoma, multiple pancreatic, and kidney cysts. The retinal angiomas were successfully treated with argon laser photocoagulation and cryotherapy.

  2. Tomato grading system using machine vision technology and neuro-fuzzy networks (ANFIS

    Directory of Open Access Journals (Sweden)

    H Izadi

    2016-04-01

    Full Text Available Introduction: The quality of agricultural products is associated with their color, size and health, grading of fruits is regarded as an important step in post-harvest processing. In most cases, manual sorting inspections depends on available manpower, time consuming and their accuracy could not be guaranteed. Machine Vision is known to be a useful tool for external features measurement (e.g. size, shape, color and defects and in recent century, Machine Vision technology has been used for shape sorting. The main purpose of this study was to develop new method for tomato grading and sorting using Neuro-fuzzy system (ANFIS and to compare the accuracies of the ANFIS predicted results with those suggested by a human expert. Materials and Methods: In this study, a total of 300 image of tomatoes (Rev ground was randomly harvested, classified in 3 ripeness stage, 3 sizes and 2 health. The grading and sorting mechanism consisted of a lighting chamber (cloudy sky, lighting source and a digital camera connected to a computer. The images were recorded in a special chamber with an indirect radiation (cloudy sky with four florescent lampson each sides and camera lens was entire to lighting chamber by a hole which was only entranced to outer and covered by a camera lens. Three types of features were extracted from final images; Shap, color and texture. To receive these features, we need to have images both in color and binary format in procedure shown in Figure 1. For the first group; characteristics of the images were analysis that could offer information an surface area (S.A., maximum diameter (Dmax, minimum diameter (Dmin and average diameters. Considering to the importance of the color in acceptance of food quality by consumers, the following classification was conducted to estimate the apparent color of the tomato; 1. Classified as red (red > 90% 2. Classified as red light (red or bold pink 60-90% 3. Classified as pink (red 30-60% 4. Classified as Turning

  3. Predictive value of the 2014 International Society of Urological Pathology grading system for prostate cancer in patients undergoing radical prostatectomy with long-term follow-up.

    Science.gov (United States)

    Grogan, Judith; Gupta, Ruta; Mahon, Kate L; Stricker, Phillip D; Haynes, Anne-Maree; Delprado, Warick; Turner, Jennifer; Horvath, Lisa G; Kench, James G

    2017-03-28

    To assess the relationship between the International Society of Urological Pathology (ISUP) 2014 grading system, biochemical recurrence (BCR) and clinical recurrence (CLR) after radical prostatectomy (RP), to determine whether the 2014 ISUP grading system is a better predictor of survival compared with the previous Gleason scoring systems, and to investigate whether incorporation of the tertiary pattern/grade into the ISUP scoring system significantly improves its efficacy. A total of 635 RP cases (1991-1999) were identified from a database at a single institution. A histopathology review was performed to re-grade the cases as per the ISUP 2014 grading system. All relevant clinicopathological data and clinical follow-up (median [range] 15.25 [0.3-26] years) were obtained. Log-rank, Kaplan-Meier, Cox regression and Harrell's concordance c-indices analyses were performed. At a median follow-up of 15 years, 276 patients (44%) had BCR and 41 (7%) had CLR. Grade Groups 1, 2, 3, 4 and 5 were seen in 112 (18%), 307 (48%), 129 (20%), 33 (5%) and 54 patients (9%), respectively: 337 (53%) were upgraded, while 70 (11%) were downgraded compared with the 1992 Gleason system. Grade Group (hazard ratio [HR] 4.9; P ISUP grading system was a significantly better predictor of BCR and CLR as well as prostate cancer-specific death, compared with the 2005 ISUP modified Gleason system. The replacement of the secondary pattern by the tertiary pattern did not alter the prognostic efficacy of the ISUP 2014 grading system. The ISUP 2014 grading system is a significant independent predictor of both BCR and CLR, outperforming the 2005 ISUP modified Gleason system. This classification system has the potential to influence clinical decision-making after RP. © 2017 The Authors BJU International © 2017 BJU International Published by John Wiley & Sons Ltd.

  4. Are grades really oppressive?

    Institute of Scientific and Technical Information of China (English)

    张心宇

    2015-01-01

    Are grades really oppressive? The broad question's answer is of course open: it varies in different condition and in prerequisites. Like in Daily Californian,"Why Grades are Oppressive", the title tells us it standing: yes, grades are oppressive. In the article, the authors (this article was written by 16 students of the class) pointed out that the grading system has had a violent and powerfully destructive effect on our lives. Because grading focuses our attention on class requirements that we have no say in determination. And this makes many students equate their self-worth with the grades they get in exams. Besides, grades are intimately connected with a larger system of control in community, which trains students to be submissive and not to question or challenge it. In the end, the authors conclude that they should take responsibility for evaluating their own learning process.

  5. Fatty degeneration of the rotator cuff muscles on pre- and postoperative CT arthrography (CTA): is the Goutallier grading system reliable?

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Eugene; Choi, Jung-Ah; Kang, Heung Sik [Seoul National University Bundang Hospital, Department of Radiology, Seongnam-si, Gyeongi-do (Korea, Republic of); Seoul National University College of Medicine, Department of Radiology, 28 Yeongon-dong, Chongno-gu, Seoul (Korea, Republic of); Oh, Joo Han [Seoul National University Bundang Hospital, Department of Orthopedic Surgery, Seongnam-si, Gyeongi-do (Korea, Republic of); Ahn, Soyeon [Seoul National University Bundang Hospital, Medical Research Collaborating Center, Seongnam-si, Gyeongi-do (Korea, Republic of); Hong, Sung Hwan [Seoul National University College of Medicine, Department of Radiology, 28 Yeongon-dong, Chongno-gu, Seoul (Korea, Republic of); Chai, Jee Won [SMG-SNU Boramae Medical Center, Department of Radiology, 425 Shindaebang-dong, Dongjak-gu, Seoul (Korea, Republic of)

    2013-09-15

    To retrospectively evaluate fatty degeneration (FD) of rotator cuff muscles on CTA using Goutallier's grading system and quantitative measurements with comparison between pre- and postoperative states. IRB approval was obtained for this study. Two radiologists independently reviewed pre- and postoperative CTAs of 43 patients (24 males and 19 females, mean age, 58.1 years) with 46 shoulders confirmed as full-thickness tears with random distribution. FD of supraspinatus, infraspinatus/teres minor, and subscapularis was assessed using Goutallier's system and by quantitative measurements of Hounsfield units (HUs) on sagittal images. Changes in FD grades and HUs were compared between pre- and postoperative CTAs and analyzed with respect to preoperative tear size and postoperative cuff integrity. The correlations between qualitative grades and quantitative measurements and their inter-observer reliabilities were also assessed. There was statistically significant correlation between FD grades and HU measurements of all muscles on pre- and postoperative CTA (p < 0.05). Inter-observer reliability of fatty degeneration grades were excellent to substantial on both pre- and postoperative CTA in supraspinatus (0.8685 and 0.8535) and subscapularis muscles (0.7777 and 0.7972), but fair in infraspinatus/teres minor muscles (0.5791 and 0.5740); however, quantitative Hounsfield units measurements showed excellent reliability for all muscles (ICC: 0.7950 and 0.9346 for SST, 0.7922 and 0.8492 for SSC, and 0.9254 and 0.9052 for IST/TM). No muscle showed improvement of fatty degeneration after surgical repair on qualitative and quantitative assessments; there was no difference in changes of fatty degeneration after surgical repair according to preoperative tear size and post-operative cuff integrity (p > 0.05). The average dose-length product (DLP, mGy . cm) was 365.2 mGy . cm (range, 323.8-417.2 mGy . cm) and estimated average effective dose was 5.1 mSv. Goutallier grades

  6. Evaluation of clinical application of ESICM acute gastrointestinal injury grading system: a single-center observational study

    Institute of Scientific and Technical Information of China (English)

    Zhang Dong; Li Nan; Dong Lihua; Fu Yao; Liu Zhongmin; Wang Yushan

    2014-01-01

    Background In 2012,the working group on abdominal problems of the European Society of Intensive Care Medicine (ESICM) proposed a definition and also guidelines for the grading system and treatment of acute gastrointestinal injury (AGI).Until now,clinical reports on this topic have not been available,and the practicality of using the AGI grading system requires further validation in the clinic.Therefore,we conducted this study to evaluate the feasibility of utilizing the current AGI grading system in a clinical environment,and to provide evidence for its usefulness in assessing the severity and prognosis of critically ill patients with gastrointestinal dysfunction.Methods A total of 133 patients were examined for the presence or absence of AGI,their scores on the Acute Physiology and Chronic Health Evaluation (APACHE) Ⅱ and Lausanne Intestinal Failure Estimation (LIFE) test,and 28 days mortality.The presence and severity of AGI was based on guidelines provided by the ESICM.The patients were assigned to a NOAGI group (n=50) or an AGI group (n=83).The AGI group was then further divided into three subgroups,consisting ofAGI Ⅰ (risk group,n=38),AGI Ⅱ (gastrointestinal dysfunction group,n=33) and AGI Ⅲ+AGI Ⅳ (gastrointestinal failure group,n=12).These subgroups were then compared for differences in AGI indicators.Results There were no statistically significant differences between the AGI group and the NO-AGI group in terms of age,gender,APACHE Ⅱ score or LIFE score (P > 0.05); however,the two groups showed a significant difference in their respective rates of 28 days mortality (32.5% in the AGI group vs.8.0% in the NO-AGI group (P < 0.05)).Patients in the three AGI subgroups showed significant differences in their 28 d mortality rates,APACHE Ⅱ,and LIFE scores.AGI grading system showed strong positive correlations with APACHE Ⅱ and LIFE scores (P < 0.05).Conclusions The currentAGI grading system can be used to identify and evaluate

  7. Comparison of visual grading analysis and determination of detective quantum efficiency for evaluating system performance in digital chest radiography

    Energy Technology Data Exchange (ETDEWEB)

    Sund, Patrik; Baath, Magnus; Maansson, Lars Gunnar [Department of Radiation Physics, Goeteborg University, 41345 Goeteborg (Sweden); Department of Medical Physics and Biomedical Engineering, Sahlgrenska University Hospital, 41345 Goeteborg (Sweden); Kheddache, Susanne [Department of Radiology, Goeteborg University, 41345 Goeteborg (Sweden); Department of Radiology, Sahlgrenska University Hospital, 41345 Goeteborg (Sweden)

    2004-01-01

    A study was conducted to compare physical and clinical system performance in digital chest radiography. Four digital X-ray modalities, two storage-phosphor based systems and two generations of a CCD-based system, were evaluated in terms of both their imaging properties (determination of presampling MTF and DQE) and clinical image quality (grading of the reproduction of anatomical details of 23 healthy volunteers using both absolute and relative visual grading analysis). One of the two storage-phosphor systems performed best in both evaluations and the first generation of the CCD-based system was rated worst; however, the other two systems were ranked differently with the two methods. The newest CCD-based system yielded a higher clinical image quality than the second storage-phosphor system, although the latter presented a DQE substantially higher than the former. The results show that clinical performance cannot be predicted from determinations of DQE alone, and that a system with lower DQE, under the quantum-saturated conditions in chest radiography, can outperform a system with higher DQE if the image processing used on the former is more effective in presenting the information in the image to the radiologist. (orig.)

  8. Research on curative effect of traditional Chinese medicine treating low-grade fever of children caused by respiratory system infection.

    Science.gov (United States)

    Li, Xiangyun

    2015-07-01

    This study aims to explore the curative effect of traditional Chinese medicine treating low-grade fever of children caused by respiratory system infection. Sixty children who suffered low-grade fever caused by respiratory system infection were selected and divided into treatment group and control group randomly, each with 30 cases. Control group was treated with conventional methods including oxygen uptake, nebulization and anti-infection, etc, while treatment group was given boil-free granules of traditional Chinese medicine besides the treatment which control group received. Then clinical curative effect of two groups was compared. Results showed that 28 cases (93.3%) were cured in treatment group; while 21 cases (70.0%) were cured in control group. Compared with control group, the treatment group showed up better treatment efficiency and the difference between groups was of statistical significance (Pfever of children caused by respiratory system infection; characterized by short treatment cycle and effective treatment effect, Chinese medicine granules in the combination with oxygen atomization inhalation is proved to be able to efficiently remit symptoms such as coughing, gasp and labored breathing, with outstanding curative effect in the treatment of low-grade fever of children caused by respiratory system infection, thus it is worthy of popularization and application clinically.

  9. Construction of a novel, stable, food-grade expression system by engineering the endogenous toxin-antitoxin system in Bacillus subtilis.

    Science.gov (United States)

    Yang, Sen; Kang, Zhen; Cao, Wenlong; Du, Guocheng; Chen, Jian

    2016-02-10

    Bacillus subtilis as an important workhorse that has been widely used to produce enzymes and metabolites. To broaden its applications, especially in the food and feed industry, we constructed a novel, stable, food-grade expression system by engineering its type II toxin-antitoxin system. The expression of the toxin EndoA, encoded by the chromosomal ydcE gene, was regulated by an endogenous, xylose-inducible promoter, while the ydcD gene, which encodes the unstable antitoxin EndoB, was inserted into a food-grade vector backbone, where its expression was driven by the native, constitutive promoter PylxM. By maintaining the xylose concentration above 2.0 g L(-1), this auto-regulated expression system was absolutely stable after 100 generations. Compared with traditional antibiotic-dependent expression systems, this novel expression system resulted in greater biomass and higher titers of desired products (enzymes or metabolites). Our results demonstrate that this stable, food-grade expression system is suitable for enzyme production and pathway engineering, especially for the production of food-grade enzymes and metabolites.

  10. A Traffic Light Grading System of Hip Dysplasia to Predict the Success of Arthroscopic Hip Surgery.

    Science.gov (United States)

    Grammatopoulos, George; Davies, Owain L I; El-Bakoury, Ahmed; Gill, Harinderjit S; Pollard, Tom C B; Andrade, Antonio J

    2017-06-01

    The role of hip arthroscopic surgery in dysplasia is controversial. To determine the 7-year joint preservation rate after hip arthroscopic surgery in hip dysplasia and identify anatomic and intraoperative features that predict the success of hip preservation with arthroscopic surgery, allowing the formulation of an evidence-based classification system. Case-control study; Level of evidence, 3. Between 2008 and 2013, 111 hips with dysplastic features (acetabular index [AI] >10° and/or lateral center-edge angle [LCEA] hip (AI, LCEA, extrusion index) were performed. Outcome measures included whether the hip was preserved (ie, did not require arthroplasty) at follow-up and the preoperative and postoperative Non-Arthritic Hip Score (NAHS) and Hip disability and Osteoarthritis Outcome Score (HOOS). The AI and LCEA were calculated, factored by a measure of articular wear (AIf and LCEAf, respectively), according to the University College Hospital, London (UCL) grading system as follows: AIf = AI × (number of UCL wear zones + 1), and LCEAf = LCEA / (number of UCL wear zones + 1). A contour plot of the resulting probability value of failure for every combination of AIf and LCEAf allowed for the determination of the zones with the lowest and highest incidences of failure to preserve the hip. The mean AI and LCEA were 9.8° and 18.0°, respectively. At a mean follow-up of 4.5 years (range, 0.4-8.3 years), 33 hips had failed, requiring hip arthroplasty. The 7-year joint survival rate was 68%. The mean improvements in the NAHS and HOOS were 11 ( P = .001) and 22.8 ( P hip survival rate in hip dysplasia appears inferior compared with that reported in femoroacetabular impingement (78%). Hip arthroscopic surgery is associated with an excellent chance of hip preservation in mild dysplasia (green zone: AI = 0°-15°, LCEA = 15°-25°) and no articular wear. The authors advise that the greatest caution should be used when considering arthroscopic options in cases of severe dysplasia

  11. Gas Monitoring System Based on ZigBee Pro and a New Method for Safety Grade Evaluation

    Directory of Open Access Journals (Sweden)

    Shutao Wang

    2012-11-01

    Full Text Available Aiming at the mine safety problem, this paper proposes a gas concentration monitoring system design scheme based on ZigBee Pro. The scheme designs a set of ZigBee Pro wireless network combined software with hardware based on KGS-20 gas sensor and CC2530 chip as the controller core. According to the fuzzy reasoning technology and multi-factors information fusion technology, a new method for the gas safety grade evaluation is put forward and achieves a high-precision prediction for gas safety grade. The system with the merits of security, anti-interference, high sensitivity, low power consumption, high life expectancy and easy application, has a huge advantage in practical applications.

  12. Contemporary Gleason grading and novel Grade Groups in clinical practice.

    Science.gov (United States)

    Magi-Galluzzi, Cristina; Montironi, Rodolfo; Epstein, Jonathan I

    2016-09-01

    The Gleason grading system provides important information for guiding prostate cancer patients' management and prognostication. The grading system underwent significant modifications over the past decade. In 2005 and more recently in 2014, the International Society of Urological Pathology (ISUP) held two consensus conferences to update prostate cancer grading. Recently, five prognostic grade groups have been proposed to be used in parallel to the Gleason grading system. The purpose of this review is to highlight the key changes in the Gleason grading system and the utility of the grade groups to better reflect biologic behavior for both patients and clinicians. At the 2014 ISUP consensus conference, prostate cancer Gleason grading was updated and a previously proposed concept of five prognostic grade groups, from 1 to 5 was supported. The Grade Groups, used in parallel to the modified Gleason grading system, translate Gleason scores in five distinct risk categories where Grade Group 1 is defined as Gleason score 6 or less, Grade Group 2 as Gleason score 3 + 4 = 7, Grade Group 3 as Gleason score 4 + 3 = 7, Grade Group 4 as Gleason score 4 + 4 = 8, and Grade Group 5 as Gleason score 9/10. This 5-tiered grade group system better reflects biologic behavior and guides clinical care. The Grade Groups have been endorsed by the ISUP and the World Health Organization. The performance of the Grade Groups has been examined in several recent studies. This review summarizes developments over the last year in the use of grade groups and outlines their value in clinical practice.

  13. Grading systems in head and neck dysplasia: their prognostic value, weaknesses and utility.

    NARCIS (Netherlands)

    Fleskens, S.; Slootweg, P.J.

    2009-01-01

    ABSTRACT: BACKGROUND: Grading of dysplasia, including head and neck lesions, continues to be a hotly debated subject. It is subjective and lacks intra- and inter-observer reproducibility due to the insufficiency of validated morphological criteria and the biological nature of dysplasia. Moreover,

  14. Gold grade distribution within an epithermal quartz vein system, Kestanelik, NW Turkey: implications for gold exploration

    Science.gov (United States)

    Gulyuz, Nilay; Shipton, Zoe; Gulyuz, Erhan; Lord, Richard; Kaymakci, Nuretdin; Kuscu, İlkay

    2017-04-01

    Vein-hosted gold deposits contribute a large part to the global gold production. Discovery of these deposits mainly include drilling of hundreds of holes, collecting thousands of soil and rock samples and some geophysical surveys which are expensive and time consuming. Understanding the structures hosting the veins and the variations in gold concentrations within the veins is crucial to constrain a more economic exploration program. The main aim of this study is to investigate the gold grade distribution in the mineralized quartz veins of a well exposed epithermal gold deposit hosted by Paleozoic schist and Eocene quartz-feldspar-hornblende porphyry in Lapseki, NW Turkey. We have constructed 3D architecture of the vein surfaces by mapping their outcrop geometries using a highly sensitive Trimble GPS, collecting detailed field data, well-logs and geochemistry data from 396 drill holes (255 diamond cut and 141 reverse circulation holes). Modelling was performed in MOVE Structural Modelling and Analysis software granted by Midland Valley's Academic Software Initiative, and GIS application softwares Global Mapper and Esri-ArcGIS. We envisaged that while fluid entering the conduit ascents, a sudden thickness increase in the conduit would lead to a drop in the fluid pressure causing boiling (the most dominant gold precipitation mechanism) and associated gold precipitation. Regression analysis was performed between the orthogonal thickness values and gold grades of each vein, and statistical analyses were performed to see if the gold is concentrated at specific structural positions along dip. Gold grades in the alteration zones were compared to those in the adjacent veins to understand the degree of mineralization in alteration zones. A possible correlation was also examined between the host rock type and the gold grades in the veins. These studies indicated that gold grades are elevated in the adjacent alteration zones where high gold grades exist in the veins. Schist

  15. Clinical significance of a proposed lymphoscintigrpahic functional grade system in patients with extremity lymphedema of stage i

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Joan Young; Hwang, Ji Hye; Kim, Dong Ik; Cho, Young Seok; Lee, Su Jin; Choi, Yong; Choe, Yeam Seong; Lee, Kyung Han; Kim, Byung Tae [Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2005-07-01

    We proposed a new lymphoscintigrpahic functional grade (LGr) system in extremity lymphedema, and investigated the association between the LGr and a long-term response to physical therapy in patients with extremity lymphedema of stage I. The subjects were 20 patients with unilateral extremity lymphedema of stage I, who underwent pre-treatment extremity lymphoscintigraphy using Tc-99m antimony sulfur colloid, and were treated by complex decongestive physical therapy (CDPT). A proposed lymphoscintigrpahic functional grade system consisted of LGr 0 to LGr 4 according to the ilioinguinal nodal uptake, amount of dermal backflow, and uptake pattern of main and collateral lymphatics : LGr 0 = normal, LGr 1 = decreased lymphatic function without dermal backflow, LGr 2 = decreased lymphatic function with dermal backflow, LGr 3 = non - visualization of main lymphatics with dermal backflow, and LGr 4 = no significant lymphatic transport from injection site. LGr 2 was divided into 2A and 2B based on the amount of dermal backflow. A physician who is a lymphedema specialist determined the long-term outcome to CDPT with normalized response (NR), good response (GR) and poor response (PR) based on the change of edema volume reduction, skin status and occurrence of dermatolymphangioadenitis after the clinical follow-up for more than 1 year. Therapeutic responses were NR in 2 patients. GR in 9 patients and PR in 9 patients. Baseline LGrs were 1 in 7 patients, 2A in 4 patients, 2B in 5 patients, 3 in 2 patients, and 4 in 2 patients. There was a significant relationship between therapeutic response and LGr (p=0.003). In other words, 10 of 11 patients (91%) with LGr 1 or 2A showed NR. or GR. On the contrary, 8 of 9 patients (89%) with LGr 2B, 3 or 4 showed PR. Patients with unilateral extremity lymphedema of stage I had different lymphoscintigrpahic functional grades. This grade system may be useful to predict the response to physical therapy in such patients.

  16. Testing different brain metastasis grading systems in stereotactic radiosurgery: Radiation Therapy Oncology Group's RPA, SIR, BSBM, GPA, and modified RPA.

    Science.gov (United States)

    Serizawa, Toru; Higuchi, Yoshinori; Nagano, Osamu; Hirai, Tatsuo; Ono, Junichi; Saeki, Naokatsu; Miyakawa, Akifumi

    2012-12-01

    The authors conducted validity testing of the 5 major reported indices for radiosurgically treated brain metastases- the original Radiation Therapy Oncology Group's Recursive Partitioning Analysis (RPA), the Score Index for Radiosurgery in Brain Metastases (SIR), the Basic Score for Brain Metastases (BSBM), the Graded Prognostic Assessment (GPA), and the subclassification of RPA Class II proposed by Yamamoto-in nearly 2500 cases treated with Gamma Knife surgery (GKS), focusing on the preservation of neurological function as well as the traditional endpoint of overall survival. The authors analyzed data from 2445 cases treated with GKS by the first author (T.S.), the primary surgeon. The patient group consisted of 1716 patients treated between January 1998 and March 2008 (the Chiba series) and 729 patients treated between April 2008 and December 2011 (the Tokyo series). The interval from the date of GKS until the date of the patient's death (overall survival) and impaired activities of daily living (qualitative survival) were calculated using the Kaplan-Meier method, while the absolute risk for two adjacent classes of each grading system and both hazard ratios and 95% confidence intervals were estimated using the Cox proportional hazards model. For overall survival, there were highly statistically significant differences between each two adjacent patient groups characterized by class or score (all p values GPA Scores 3.5-4.0 and 3.0. The SIR showed the best statistical results for predicting preservation of neurological function. Although no other grading systems yielded statistically significant differences in qualitative survival, the BSBM and the modified RPA appeared to be better than the original RPA and GPA. The modified RPA subclassification, proposed by Yamamoto, is well balanced in scoring simplicity with respect to case number distribution and statistical results for overall survival. However, a new or revised grading system is necessary for predicting

  17. Effect of graded interlayer on the mode I edge delamination by residual stresses in multilayer coating-based systems

    Science.gov (United States)

    Zhang, X. C.; Xu, B. S.; Wang, H. D.; Wu, Y. X.

    2008-01-01

    The mode I edge delamination could be initiated due to the presence of the interfacial peeling stresses near the edges of the multilayered systems due to the material mismatches between the adjacent layers. However, the exact peeling stress distributions could not be obtained by using the existing analytical and numerical models. It was proposed recently that the peeling moment resulting from the localized peeling stresses could be used to characterize mode I edge delamination. In this paper, the effect of the graded interlayer on the mode I edge delamination by thermal residual stresses in multilayer coating-based systems was investigated. Following the previous analysis approaches, the exact closed-form solutions for the peeling moments at individual interfaces and the curvatures for bilayer system, typical thermal barrier coating (TBC) system and TBC-based system with a graded interlayer inserted between the metallic layer and the ceramic layer were, respectively, derived. Case studies showed that the edge delamination by thermal stress could be impeded by properly selecting the coating materials and individual layer thicknesses. These studies may provide some important insights for developing fail-safe designing methodologies for multilayered systems.

  18. Methods of electrophoretic deposition for functionally graded porous nanostructures and systems thereof

    Energy Technology Data Exchange (ETDEWEB)

    Worsley, Marcus A; Baumann, Theodore F; Satcher, Joe H; Olson, Tammy Y; Kuntz, Joshua D; Rose, Klint A

    2015-03-03

    In one embodiment, an aerogel includes a layer of shaped particles having a particle packing density gradient in a thickness direction of the layer, wherein the shaped particles are characterized by being formed in an electrophoretic deposition (EPD) process using an impurity. In another embodiment, a method for forming a functionally graded porous nanostructure includes adding particles of an impurity and a solution to an EPD chamber, applying a voltage difference across the two electrodes of the EPD chamber to create an electric field in the EPD chamber, and depositing the material onto surfaces of the particles of the impurity to form shaped particles of the material. Other functionally graded materials and methods are described according to more embodiments.

  19. Exercise as a Mean to Control Low-Grade Systemic Inflammation

    Directory of Open Access Journals (Sweden)

    Neha Mathur

    2008-01-01

    Full Text Available Chronic noncommunicable diseases (CNCDs, which include cardiovascular disease, some cancers, for example, colon cancer, breast cancer, and type 2 diabetes, are reaching epidemic proportions worldwide. It has now become clear that low-grade chronic inflammation is a key player in the pathogenesis of most CNCDs. Given that regular exercise offers protection against all causes of mortality, primarily by protection against atherosclerosis and insulin resistance, we suggest that exercise may exert some of its beneficial health effects by inducing anti-inflammatory actions. Recently, IL-6 was introduced as the first myokine, defined as a cytokine, which is produced and released by contracting skeletal muscle fibres, exerting its effects in other organs of the body. We suggest that skeletal muscle is an endocrine organ and that myokines may be involved in mediating the beneficial effects against CNCDs associated with low-grade inflammation.

  20. Evaluation of the WHO 2010 grading and AJCC/UICC staging systems in prognostic behavior of intestinal neuroendocrine tumors.

    Directory of Open Access Journals (Sweden)

    Paula B Araujo

    Full Text Available BACKGROUND: The increasing incidence and heterogeneous behavior of intestinal neuroendocrine tumors (iNETs pose a clinicopathological challenge. Our goal was to decribe the prognostic value of the new WHO 2010 grading and the AJCC/UICC TNM staging systems for iNETs. Moreover, outcomes of patients treated with somatostatin analogs were assessed. METHODS: We collected epidemiological and clinicopathological data from 93 patients with histologically proven iNETs including progression and survival outcomes. The WHO 2010 grading and the AJCC/UICC TNM staging systems were applied for all cases. RECIST criteria were used to define progression. Kaplan-Meier analyses for progression free survival (PFS and overall survival (OS were performed. RESULTS: Mean follow-up was 58.6 months (4-213 months. WHO 2010 grading yielded PFS and disease-specific OS of 125.0 and 165.8 months for grade 1 (G1, 100.0 and 144.2 months for G2 and 15.0 and 15.8 months for G3 tumors (p = 0.004 and p = 0.001. Using AJCC staging, patients with stage I and II tumors had no progression and no deaths. Stage III and IV patients demonstrated PFS of 138.4 and 84.7 months (p = 0.003 and disease-specific OS of 210.0 and 112.8 months (p = 0.017. AJCC staging also provided informative PFS (91.2 vs. 50.0 months, p = 0.004 and OS (112.3 vs. 80.0 months, p = 0.005 measures with somatostatin analog use in stage IV patients. CONCLUSION: Our findings underscore the complementarity of WHO 2010 and AJCC classifications in providing better estimates of iNETS disease outcomes and extend the evidence for somatostatin analog benefit in patients with metastatic disease.

  1. The role of low-grade inflammation and metabolic flexibility in aging and nutritional modulation thereof: a systems biology approach.

    Science.gov (United States)

    Calçada, Dulce; Vianello, Dario; Giampieri, Enrico; Sala, Claudia; Castellani, Gastone; de Graaf, Albert; Kremer, Bas; van Ommen, Ben; Feskens, Edith; Santoro, Aurelia; Franceschi, Claudio; Bouwman, Jildau

    2014-01-01

    Aging is a biological process characterized by the progressive functional decline of many interrelated physiological systems. In particular, aging is associated with the development of a systemic state of low-grade chronic inflammation (inflammaging), and with progressive deterioration of metabolic function. Systems biology has helped in identifying the mediators and pathways involved in these phenomena, mainly through the application of high-throughput screening methods, valued for their molecular comprehensiveness. Nevertheless, inflammation and metabolic regulation are dynamical processes whose behavior must be understood at multiple levels of biological organization (molecular, cellular, organ, and system levels) and on multiple time scales. Mathematical modeling of such behavior, with incorporation of mechanistic knowledge on interactions between inflammatory and metabolic mediators, may help in devising nutritional interventions capable of preventing, or ameliorating, the age-associated functional decline of the corresponding systems.

  2. Risk of high-grade cervical dysplasia and cervical cancer in women with systemic lupus erythematosus receiving immunosuppressive drugs.

    Science.gov (United States)

    Feldman, C H; Liu, J; Feldman, S; Solomon, D H; Kim, S C

    2017-06-01

    Objective Prior studies suggest an increased risk of cervical cancer among women with systemic lupus erythematosus. However, the relationship with immunosuppressive drugs is not well studied in US nationwide cohorts. We compared the risk of high-grade cervical dysplasia and cervical cancer among women with systemic lupus erythematosus who started immunosuppressive drugs versus hydroxychloroquine. Methods We identified systemic lupus erythematosus patients initiating immunosuppressive drugs or hydroxychloroquine using claims data from two US commercial health plans and Medicaid (2000-2012). We used a validated claims-based algorithm to identify high-grade cervical dysplasia or cervical cancer. To account for potential confounders, including demographic factors, comorbidities, medication use, HPV vaccination status, and health care utilization, immunosuppressive drugs and hydroxychloroquine initiators were 1:1 matched on the propensity score. We used inverse variance-weighted, fixed effect models to pool hazard ratios from the propensity score-matched Medicaid and commercial cohorts. Results We included 2451 matched pairs of immunosuppressive drugs and hydroxychloroquine new users in the commercial cohort and 7690 matched pairs in Medicaid. In the commercial cohort, there were 14 cases of cervical dysplasia or cervical cancer among immunosuppressive drugs users and five cases among hydroxychloroquine users (hazard ratio 2.47, 95% CI 0.89-6.85, hydroxychloroquine = ref). In Medicaid, there were 46 cases among immunosuppressive drugs users and 29 cases in hydroxychloroquine users (hazard ratio 1.24, 95% CI 0.78-1.98, hydroxychloroquine = ref). The pooled hazard ratio of immunosuppressive drugs was 1.40 (95% CI 0.92-2.12). Conclusion Among women with systemic lupus erythematosus, immunosuppressive drugs may be associated with a greater, albeit not statistically significant, risk of high-grade cervical dysplasia and cervical cancer compared to patients receiving

  3. Histologic grading of noninvasive papillary urothelial tumors: validation of the 1998 WHO/ISUP system by immunophenotyping and follow-up.

    Science.gov (United States)

    Yin, Hui; Leong, Anthony S Y

    2004-05-01

    Cytokeratin (CK) 20, Ki-67, and p53 were applied to 84 noninvasive papillary urothelial tumors graded by the 1973 World Health Organization (WHO) and 1998 WHO/International Society of Urological Pathology (ISUP) systems. In the WHO/ISUP classification, all benign lesions showed normal CK20 staining and all carcinomas showed abnormal staining. The Ki-67 index was significantly different between benign and malignant lesions (P .05), and there was no difference in p53 staining in grades 1 and 2 carcinomas (P > .05). Recurrences were not different between grades 1, 2, and 3 carcinomas. All biologic markers studied and tumor recurrences were significantly different among papillary lesions classified by the WHO/ISUP system but not by the 1973 WHO system, validating the predictive value of the WHO/ISUP system and providing objective markers for the grading of papillary urothelial tumors.

  4. Utilization of the graded universal testing system to increase the efficiency for assessing aerobic and anaerobic capacity

    Science.gov (United States)

    Rodgers, Sandra L.

    1992-01-01

    The in-flight exercise test performed by cosmonauts as part of the Russian Exercise Countermeasure Program is limited to 5 minutes due to communication restrictions. During a recent graded exercise test on a U.S. Shuttle flight, the test was terminated early due to an upcoming loss of signal (LOS) with the ground. This exercise test was a traditional test where the subject's exercise capacity dictates the length of the test. For example, one crew member may take 15 minutes to complete the test, while another may take 18 minutes. The traditional exercise test limits the flight schedulers to large blocks of space flight time in order to provide medical and research personnel information on the fitness capacity (maximal oxygen uptake: VO2max) of crew members during flight. A graded exercise test that would take a finite amount of time and a set preparation and recovery time would ease this problem by allowing flight schedulers to plan exercise tests in advance of LOS. The Graded Universal Testing System (GUTS) was designed to meet this goal. Fitness testing of astronauts before and after flight provides pertinent data on many variables. The Detailed Supplemental Objective (DSO608) protocol (6) is one of the graded exercise tests (GXT) currently used in astronaut testing before and after flight. Test times for this protocol have lasted from 11 to 18 minutes. Anaerobic capacity is an important variable that is currently not being evaluated before and after flight. Recent reports (1,2,5) from the literature have suggested that the oxygen deficit at supramaximal exercise is a measure of anaerobic capacity. We postulated that the oxygen deficit at maximal exercise would be an indication of anaerobic capacity. If this postulate can be accepted, then the efficiency of acquiring data from a graded exercise test would increase at least twofold. To examine this hypothesis anaerobic capacity was measured using a modified treadmill test (3,4) designed to exhaust the anaerobic

  5. Study on the Fruit Grading Recognition System Based on Machine Vision

    Directory of Open Access Journals (Sweden)

    Huan Ma

    2015-07-01

    Full Text Available The study proposed that the current development of fruit industry requires the fast and efficient methods to test the varieties of fruits, which can combine the image processing and computer machine vision technology together to be applied in the field of fruit varieties detection, so as to be consistent with this new trend. At present, the determination of these traits were mainly depended on visual grading and manual measurement, which existed the problems such as: slow speed, low accuracy and poor objectivity and so on.

  6. Exercise as a mean to control low-grade systemic inflammation

    DEFF Research Database (Denmark)

    Mathur, Neha; Pedersen, Bente Klarlund

    2008-01-01

    Chronic noncommunicable diseases (CNCDs), which include cardiovascular disease, some cancers, for example, colon cancer, breast cancer, and type 2 diabetes, are reaching epidemic proportions worldwide. It has now become clear that low-grade chronic inflammation is a key player in the pathogenesis...... of most CNCDs. Given that regular exercise offers protection against all causes of mortality, primarily by protection against atherosclerosis and insulin resistance, we suggest that exercise may exert some of its beneficial health effects by inducing anti-inflammatory actions. Recently, IL-6...

  7. Classroom: Efficient Grading

    Science.gov (United States)

    Shaw, David D.; Pease, Leonard F., III.

    2014-01-01

    Grading can be accelerated to make time for more effective instruction. This article presents specific time management strategies selected to decrease administrative time required of faculty and teaching assistants, including a multiple answer multiple choice interface for exams, a three-tier grading system for open ended problem solving, and a…

  8. Pallet part grading trainer

    Science.gov (United States)

    Deborah F. Cook; Philip A. Araman; Matthew F. Winn

    2000-01-01

    A computerized pallet grading training system was developed to facilitate the production of higher quality pallets. Higher quality pallets would be more durable and could be re-used many times, resulting in long-term savings. Schmoldt et al. (1993) evaluated the economic impact of grading and sorting pallet parts. They determined that higher quality pallets produced by...

  9. Grading Exceptional Learners

    Science.gov (United States)

    Jung, Lee Ann; Guskey, Thomas R.

    2010-01-01

    Teachers often grapple with the challenge of giving report card grades to students with learning disabilities and English language learners. The authors offer a five-step model that "offers a fair, accurate, and legal way to adapt the grading process for exceptional learners." The model begins with a high-quality reporting system for all students…

  10. The Iceland Deep Drilling Project: (III) Evidence for amphibolite grade contact metamorphism in an active geothermal system

    Science.gov (United States)

    Marks, N.; Schiffman, P.; Zierenberg, R. A.; Franzson, H.

    2008-12-01

    One of the scientific goals of the Iceland Deep Drilling Project is to reach the depths of transition from greenschist to amphibolite grade metamorphism in an active geothermal system. The deepest borehole to date in the Reykjanes system is RN-17, which was drilled to a depth of 3082 m. This well had been considered as a candidate for deepening by the IDDP until it collapsed during a flow test in November 2005. Temperatures in the lower portion of the borehole were never recorded due to an obstruction at 2100 m depth, but are estimated to be approximately 340°C. Epidote, albite, and actinolite are ubiquitous within pillow basalt, hyaloclastite, and in veins, implying that greenschist grade conditions have been attained throughout much of the well below approximately 1200 m. Intrusive lithologies constitute approximately 50% of the observed cuttings between 2600 and 2700 m. These intrusive rocks have produced small, but recognizable contact metamorphic effects characterized by granoblastic hornfels consisting of amphibolite grade assemblages of quartz + anorthite + diopside + magnetite + titanite. These have, in turn, been locally cut by actinolite veins, presumably reflective of the present-day, thermal state of the hydrothermal system at these depths. Based on their siliceous bulk composition, we believe the hornfels represent the thermally- recrystallized products of earlier-formed, hydrothermal veins consisting of quartz, epidote, and actinolite. The metamorphic plagioclase is distinctly more anorthitic (An90 to An98) than igneous plagioclase in adjacent mafic intrusives (An33 to An80) and also exhibits consistently lower Mg content and higher iron (up to 2.07 wt.% as Fe2O3). Stoichiometry implies that much of the iron in hydrothermal anorthite is Fe3+, which may imply recrystallization from precursor epidote under relatively oxidizing conditions. Diopside compositions (average Wo0.48En0.27Fs0.25) are consistently less calcic than hydrothermal clinopyroxenes

  11. Combined lowering of low grade systemic inflammation and insulin resistance in metabolic syndrome patients treated with Ginkgo biloba.

    Science.gov (United States)

    Siegel, G; Ermilov, E; Knes, O; Rodríguez, M

    2014-12-01

    In a clinical pilot study with eleven metabolic syndrome patients, a simultaneous decrease in hs-CRP from 8.85 ± 4.09 to 4.92 ± 2.51 mg/L (-44.4%) (p Ginkgo biloba. Furthermore, both IL-6 (-12.9%, p < 0.0407) and nanoplaque formation (-14.3%, p < 0.0077) were additionally reduced. According to a large clinical trial elucidating the importance of insulin resistance and low-grade systemic inflammation for cardiovascular disease and overall mortality risk, these data might indicate a CVD/total mortality risk reduction.

  12. An ensemble-based system for microaneurysm detection and diabetic retinopathy grading.

    Science.gov (United States)

    Antal, Bálint; Hajdu, András

    2012-06-01

    Reliable microaneurysm detection in digital fundus images is still an open issue in medical image processing. We propose an ensemble-based framework to improve microaneurysm detection. Unlike the well-known approach of considering the output of multiple classifiers, we propose a combination of internal components of microaneurysm detectors, namely preprocessing methods and candidate extractors. We have evaluated our approach for microaneurysm detection in an online competition, where this algorithm is currently ranked as first, and also on two other databases. Since microaneurysm detection is decisive in diabetic retinopathy (DR) grading, we also tested the proposed method for this task on the publicly available Messidor database, where a promising AUC 0.90 ± 0.01 is achieved in a "DR/non-DR"-type classification based on the presence or absence of the microaneurysms.

  13. Graded Density Carbon Bonded Carbon Fiber (CBCF) Preforms for Lightweight Ablative Thermal Protection Systems (TPS) Project

    Data.gov (United States)

    National Aeronautics and Space Administration — FMI currently manufactures Phenolic Impregnated Carbon Ablator (PICA) material for Thermal Protection Systems (TPS) systems, such as the Stardust Sample Return...

  14. Leaching kinetics of low grade zinc oxide ore in NH3-NH4Cl-H2O system

    Institute of Scientific and Technical Information of China (English)

    WANG Rui-xiang; TANG Mo-tang; YANG Sheng-hai; ZHAGN Wen-hai; TANG Chao-bo; HE Jing; YANG Jian-guang

    2008-01-01

    The leaching kinetics of low grade zinc oxide ore in NH3-NH4Cl-H2O system was studied. The effects of ore particle size,reaction temperature and the sum concentration of ammonium ion and ammonia on the leaching efficiency of zinc were examined.The leaching kinetics of low-grade zinc oxide ore in NH3-NH4Cl-H2O system follows the kinetic law of shrinking-core model. The results show that diffusion through the inert particle pores is the leaching kinetics rate controlling step. The calculated apparent activation energy of the process is about 7.057kJ/mol. The leaching efficiency of zinc is 92.1% under the conditions of ore particle size of 69μm, holding at 80℃ for 60min, sum ammonia concentration of 7.5mol/L, the molar ratio of ammonium to ammonia being 2:1, and the ratio (g/mL) of solid to liquid being 1:10.

  15. The Grade Contract Revisited

    Science.gov (United States)

    Bornscheuer, Joan H.

    1976-01-01

    Adaptations of and variations on the grade contract system are described with emphasis on individualized instruction, fair evaluation, and learner-oriented classes. The method used is described, and results are assessed. (Author/RM)

  16. Quantitative analysis of retinopathy in type 2 diabetes: identification of prognostic parameters for developing visual loss secondary to diabetic maculopathy

    DEFF Research Database (Denmark)

    Hove, Marianne Nørgaard; Kristensen, Jette Kolding; Lauritzen, Torsten;

    2004-01-01

    quantitative grading on a computer monitor. Differences in the early development of retinal morphology were compared between the two groups. The outcome parameters were changes in the number and area of haemorrhages and exudates in different regions of the fundus, and the weighted distance of these lesions...

  17. Combined Oral Medroxyprogesterone/Levonorgestrel-Intrauterine System Treatment for Women With Grade 2 Stage IA Endometrial Cancer.

    Science.gov (United States)

    Hwang, Ji Young; Kim, Da Hee; Bae, Hyo Sook; Kim, Mi-La; Jung, Yong Wook; Yun, Bo Seong; Seong, Seok Ju; Shin, Eunah; Kim, Mi Kyoung

    2017-05-01

    The aim of this study was to evaluate the oncologic and pregnancy outcomes of combined oral medroxyprogesterone acetate (MPA)/levonorgestrel-intrauterine system (LNG-IUS) treatment in young women with grade 2-differentiated stage IA endometrial adenocarcinoma who wish to preserve fertility. We retrospectively reviewed the medical records of patients with grade 2 stage IA endometrial adenocarcinoma who had received fertility-sparing treatment at CHA Gangnam Medical Center between 2011 and 2015. All of the patients were treated with combined oral MPA (500 mg/d)/LNG-IUS, and follow-up dilatation and curettage were performed every 3 months. A total of 5 patients were included in the study. The mean age was 30.4 ± 5.3 years (range, 25-39 years). After a mean treatment duration of 11.0 ± 6.2 months (range, 6-18 months), complete response (CR) was shown in 3 of the 5 patients, with partial response (PR) in the other 2 patients. One case of recurrence was reported 14 months after achieving CR. This patient was treated again with combined oral MPA/LNG-IUS and achieved CR by 6 months. The average follow-up period was 44.4 ± 26.2 months (range, 12-71 months). There were no cases of progressive disease. No treatment-related complications arose. Combined oral MPA/LNG-IUS treatment is considered to be a reasonably effective fertility-sparing treatment of grade 2 stage IA endometrial cancer. Although our results are encouraging, it is preliminary and should be considered with experienced oncologists in well-defined protocol and with close follow-up.

  18. Validation of the American Board of Orthodontics Objective Grading System for assessing the treatment outcomes of Chinese patients.

    Science.gov (United States)

    Song, Guang-Ying; Baumrind, Sheldon; Zhao, Zhi-He; Ding, Yin; Bai, Yu-Xing; Wang, Lin; He, Hong; Shen, Gang; Li, Wei-Ran; Wu, Wei-Zi; Ren, Chong; Weng, Xuan-Rong; Geng, Zhi; Xu, Tian-Min

    2013-09-01

    Orthodontics in China has developed rapidly, but there is no standard index of treatment outcomes. We assessed the validity of the American Board of Orthodontics Objective Grading System (ABO-OGS) for the classification of treatment outcomes in Chinese patients. We randomly selected 108 patients who completed treatment between July 2005 and September 2008 in 6 orthodontic treatment centers across China. Sixty-nine experienced Chinese orthodontists made subjective assessments of the end-of-treatment casts for each patient. Three examiners then used the ABO-OGS to measure the casts. Pearson correlation analysis and receiver operating characteristic curve analysis were conducted to evaluate the correspondence between the ABO-OGS cast measurements and the orthodontists' subjective assessments. The average subjective grading scores were highly correlated with the ABO-OGS scores (r = 0.7042). Four of the 7 study cast components of the ABO-OGS score-occlusal relationship, overjet, interproximal contact, and alignment-were statistically significantly correlated with the judges' subjective assessments. Together, these 4 accounted for 58% of the variability in the average subjective grading scores. The ABO-OGS cutoff score for cases that the judges deemed satisfactory was 16 points; the corresponding cutoff score for cases that the judges considered acceptable was 21 points. The ABO-OGS is a valid index for the assessment of treatment outcomes in Chinese patients. By comparing the objective scores on this modification of the ABO-OGS with the mean subjective assessment of a panel of highly qualified Chinese orthodontists, a cutoff point for satisfactory treatment outcome was defined as 16 points or fewer, with scores of 16 to 21 points denoting less than satisfactory but still acceptable treatment. Cases that scored greater than 21 points were considered unacceptable. Copyright © 2013 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.

  19. Multispectral fluorescence guided surgery; a feasibility study in a phantom using a clinical-grade laparoscopic camera system.

    Science.gov (United States)

    van Willigen, Danny M; van den Berg, Nynke S; Buckle, Tessa; KleinJan, Gijs H; Hardwick, James C; van der Poel, Henk G; van Leeuwen, Fijs Wb

    2017-01-01

    Although the possibilities in image guided surgery are advancing rapidly, complex surgical procedures such as nerve sparing prostatectomy still lack precision regarding differentiation between diseased and delicate anatomical structures. Here, the use of complementary fluorescent tracers in combination with a dedicated multispectral fluorescence camera system could support differentiation between healthy and diseased tissue. In this study, we provide proof of concept data indicating how a modified clinical-grade fluorescence laparoscope can be used to sensitively detect white light and three fluorescent dyes (fluorescein, Cy5, and ICG) in a sequential fashion. Following detailed analysis of the system properties and detection capabilities, the potential of laparoscopic three-color multispectral imaging in combination with white light imaging is demonstrated in a phantom set-up for prostate cancer.

  20. Developing Seventh Grade Students' Understanding of Complex Environmental Problems with Systems Tools and Representations: a Quasi-experimental Study

    Science.gov (United States)

    Doganca Kucuk, Zerrin; Saysel, Ali Kerem

    2017-03-01

    A systems-based classroom intervention on environmental education was designed for seventh grade students; the results were evaluated to see its impact on the development of systems thinking skills and standard science achievement and whether the systems approach is a more effective way to teach environmental issues that are dynamic and complex. A quasi-experimental methodology was used to compare performances of the participants in various dimensions, including systems thinking skills, competence in dynamic environmental problem solving and success in science achievement tests. The same pre-, post- and delayed tests were used with both the comparison and experimental groups in the same public middle school in Istanbul. Classroom activities designed for the comparison group (N = 20) followed the directives of the Science and Technology Curriculum, while the experimental group (N = 22) covered the same subject matter through activities benefiting from systems tools and representations such as behaviour over time graphs, causal loop diagrams, stock-flow structures and hands-on dynamic modelling. After a one-month systems-based instruction, the experimental group demonstrated significantly better systems thinking and dynamic environmental problem solving skills. Achievement in dynamic problem solving was found to be relatively stable over time. However, standard science achievement did not improve at all. This paper focuses on the quantitative analysis of the results, the weaknesses of the curriculum and educational implications.

  1. A Computer Vision System for Automated Grading of Rough Hardwood Lumber Using a Knowledge-Based Approach

    Science.gov (United States)

    Tai-Hoon Cho; Richard W. Conners; Philip A. Araman

    1990-01-01

    A sawmill cuts logs into lumber and sells this lumber to secondary remanufacturers. The price a sawmiller can charge for a volume of lumber depends on its grade. For a number of species the price of a given volume of material can double in going from one grade to the next higher grade. Thus, accurately establishing the grade of a volume of hardwood lumber is very...

  2. The relationship between standards-based reporting systems and third-grade mathematics and science achievement

    Science.gov (United States)

    Prejean-Harris, Rose M.

    Over the last decade, accountability has been the driving force for many changes in education in the United States. One major educational reform effort is the standards-based movement with a focus of combining a number of processes that involve aligning curriculum, instruction, assessment and feedback to specific standards that are measureable and indicative of student achievement. The purpose of this study is to determine if the type of report card is a possible predictor of third grade student achievement on standardized tests in mathematics and science for the 2012 Criterion-Referenced Competency Test (CRCT). The results of this study concluded that the difference in test scores in mathematics and science for students in the traditional report card group was not statistically significant when compared to the scores of students in the standards-based report card group when controlling for poverty level, school locale, and school district. However, students in the traditional report card group scored an average of 1.01 point higher in mathematics and 2.27 points higher in science than students in the standards-based report card group.

  3. Advanced Thermal Protection Systems (ATPS), Aerospace Grade Carbon Bonded Carbon Fiber Material Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Carbon bonded carbon fiber (CBCF) insulating material is the basis for several highly successful NASA developed thermal protection systems (TPS). Included among...

  4. Advanced Thermal Protection Systems (ATPS), Aerospace Grade Carbon Bonded Carbon Fiber Material Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Carbon bonded carbon fiber (CBCF) insulating material is the basis for several highly successful NASA developed thermal protection systems (TPS). Among the...

  5. Effect of Thin Prep® imaging system on laboratory rate and relative sensitivity of atypical squamous cells, high-grade squamous intraepithelial lesion not excluded and high-grade squamous intraepithelial lesion interpretations

    OpenAIRE

    Brooke R Koltz; Russell, Donna K; Naiji Lu; Bonfiglio, Thomas A.; Sharlin Varghese

    2013-01-01

    Introduction: Automated screening of Thin Prep ® Papanicolaou Tests has become increasingly common in clinical practice. Increased productivity has initiated laboratory use of the Thin Prep ® Imaging System (TIS). Increased sensitivity is a potential additional benefit of TIS. Published studies have shown an increase in discovery of dysplastic cells. This study evaluates the effect of TIS on the incidence of atypical squamous cells high-grade squamous intraepithelial lesion not excluded (ASC-...

  6. An Integrated Learning System: Impact on At-Risk Students' Ninth Grade TAKS Mathematics Achievement

    Science.gov (United States)

    Harris, Tina D.

    2011-01-01

    The purpose of this study was to determine the impact of an integrated learning system on students who were considered at-risk of academic failure on the Texas Assessment of Knowledge and Skills (TAKS) mathematics assessment. Voyager Math (VMath), an integrated learning system had been implemented to address the needs of students at-risk of…

  7. International society of neuropathology-haarlem consensus guidelines for nervous system tumor classification and grading

    NARCIS (Netherlands)

    Louis, D.N.; Perry, A.; Burger, P.; Ellison, D.W.; Reifenberger, G.; Deimling, A. Von; Aldape, K.; Brat, D.; Collins, V.P.; Eberhart, C.; Figarella-Branger, D.; Fuller, G.N.; Giangaspero, F.; Giannini, C.; Hawkins, C.; Kleihues, P.; Korshunov, A.; Kros, J.M.; Lopes, M. Beatriz; Ng, H.K.; Ohgaki, H.; Paulus, W.; Pietsch, T.; Rosenblum, M.; Rushing, E.; Soylemezoglu, F.; Wiestler, O.; Wesseling, P.

    2014-01-01

    Major discoveries in the biology of nervous system tumors have raised the question of how non-histological data such as molecular information can be incorporated into the next World Health Organization (WHO) classification of central nervous system tumors. To address this question, a meeting of neur

  8. Tumor Grade

    Science.gov (United States)

    ... Other Funding Find NCI funding for small business innovation, technology transfer, and contracts Training Cancer Training at ... much of the tumor tissue has normal breast (milk) duct structures Nuclear grade : an evaluation of the ...

  9. Premise to implement a grading system to evaluate the sanitary level in food service establishments in Milan, Italy

    Directory of Open Access Journals (Sweden)

    Katia Razzini

    2015-08-01

    Full Text Available The regulatory framework of the official controls on food safety, the criteria and methods from the planning of interventions in the field of official control to the management of information flows, and the standards described in the operation manual of the local competent authorities drafted by the Lombardy Region (2011 were evaluated. A questionnaire consisting of n. 10 questions with multiple answers draft in partnership with EPAM (the Association of Provincial Public Retail and catering businesses in Milan to n. 107 Food service establishments of Milan shows that 92% of managers approve the introduction of a grading system. The regulatory framework is planned to support the implementation of risk assignment, unfortunately the attribution of risk category of retail and catering businesses is still different among regions.

  10. Assessment of clinical outcomes of Roth and MBT bracket prescription using the American Board of Orthodontics Objective Grading System

    Directory of Open Access Journals (Sweden)

    Mahesh Jain

    2013-01-01

    Full Text Available Background: There is always a need to assess whether small changes in bracket prescription can lead to visually detectable differences in tooth positions. However, with little clinical evidence to show advantages of any of the popularly used bracket systems, orthodontists are forced to make clinical decisions with little scientific guidance. Aim: To compare the orthodontic cases finished with Roth and MBT prescription using American Board of Orthodontics-Objective Grading System (ABO-OGS. Settings and Design: Department of Orthodontics, Post-graduate dental college, retrospective cross-sectional study. Materials and Methods: Forty patients selected were divided into two groups of 20 patients each finished with straight wire appliance using Roth and MBT prescription, respectively. The examiner ability was assessed and calibrated by one of the ABO certified clinician to grade cases using the OGS. Statistical Analysis: Unpaired student t-test was used and P < 0.05 was accepted as significant. Results and Conclusions: MBT bracket group had a lower score of 2.60 points in buccolingual inclination and lower score of 1.10 points in occlusal contact category that was statistically significant when compared with Roth group. The difference in total ABO-OGS score was 2.65 points showing that the outcome for the MBT prescription was better than that of the Roth prescription, which is statistically significant, but with little or no clinical significance. It can be concluded that use of either one of the Roth and MBT bracket prescriptions have no impact to the overall clinical outcome and quality of treatment entirely depends on clinician judgment and experience.

  11. Assessment of clinical outcomes of Roth and MBT bracket prescription using the American Board of Orthodontics Objective Grading System

    Science.gov (United States)

    Jain, Mahesh; Varghese, Joseph; Mascarenhas, Rohan; Mogra, Subraya; Shetty, Siddarth; Dhakar, Nidhi

    2013-01-01

    Background: There is always a need to assess whether small changes in bracket prescription can lead to visually detectable differences in tooth positions. However, with little clinical evidence to show advantages of any of the popularly used bracket systems, orthodontists are forced to make clinical decisions with little scientific guidance. Aim: To compare the orthodontic cases finished with Roth and MBT prescription using American Board of Orthodontics-Objective Grading System (ABO-OGS). Settings and Design: Department of Orthodontics, Post-graduate dental college, retrospective cross-sectional study. Materials and Methods: Forty patients selected were divided into two groups of 20 patients each finished with straight wire appliance using Roth and MBT prescription, respectively. The examiner ability was assessed and calibrated by one of the ABO certified clinician to grade cases using the OGS. Statistical Analysis: Unpaired student t-test was used and P < 0.05 was accepted as significant. Results and Conclusions: MBT bracket group had a lower score of 2.60 points in buccolingual inclination and lower score of 1.10 points in occlusal contact category that was statistically significant when compared with Roth group. The difference in total ABO-OGS score was 2.65 points showing that the outcome for the MBT prescription was better than that of the Roth prescription, which is statistically significant, but with little or no clinical significance. It can be concluded that use of either one of the Roth and MBT bracket prescriptions have no impact to the overall clinical outcome and quality of treatment entirely depends on clinician judgment and experience. PMID:24124295

  12. Impact of Writing Interventions Informed by Systemic Functional Linguistics with a Focus on Tenor, on Sixth, Seventh and Eighth Grade English Language Learners

    Science.gov (United States)

    Holmgren, Katherine Hayes

    2012-01-01

    This action research study examines the impact instruction informed by Systemic Functional Linguistics (SFL) with a particular focus on tenor and socio-cultural theory has on sixth, seventh and eighth grade English language learners in an urban school. Over the course of seven and 1/2 months I used Systemic Functional Linguistics with a focus on…

  13. Independent validation of the prognostic capacity of the ISUP prostate cancer grade grouping system for radiation treated patients with long-term follow-up.

    Science.gov (United States)

    Spratt, D E; Jackson, W C; Abugharib, A; Tomlins, S A; Dess, R T; Soni, P D; Lee, J Y; Zhao, S G; Cole, A I; Zumsteg, Z S; Sandler, H; Hamstra, D; Hearn, J W; Palapattu, G; Mehra, R; Morgan, T M; Feng, F Y

    2016-09-01

    There has been a recent proposal to change the grading system of prostate cancer into a five-tier grade grouping system. The prognostic impact of this has been demonstrated in regards only to biochemical recurrence-free survival (bRFS) with short follow-up (3 years). Between 1990 and 2013, 847 consecutive men were treated with definitive external beam radiation therapy at a single academic center. To validate the new grade grouping system, bRFS, distant metastases-free survival (DMFS) and prostate cancer-specific survival (PCSS) were calculated. Adjusted Kaplan-Meier and multivariable Cox regression analyses were performed to assess the independent impact of the new grade grouping system. Discriminatory analyses were performed to compare the commonly used three-tier Gleason score system (6, 7 and 8-10) to the new system. The median follow-up of our cohort was 88 months. The 5-grade groups independently validated differing risks of bRFS (group 1 as reference; adjusted hazard ratio (aHR) 1.35, 2.16, 1.79 and 3.84 for groups 2-5, respectively). Furthermore, a clear stratification was demonstrated for DMFS (aHR 2.03, 3.18, 3.62 and 13.77 for groups 2-5, respectively) and PCSS (aHR 3.00, 5.32, 6.02 and 39.02 for groups 2-5, respectively). The 5-grade group system had improved prognostic discrimination for all end points compared with the commonly used three-tiered system (that is, Gleason score 6, 7 and 8-10). In a large independent radiotherapy cohort with long-term follow-up, we have validated the bRFS benefit of the proposed five-tier grade grouping system. Furthermore, we have demonstrated that the system is highly prognostic for DMFS and PCSS. Grade group 5 had markedly worse outcomes for all end points, and future work is necessary to improve outcomes in these patients.

  14. Static/dynamic Analysis of Functionally Graded and Layered Magneto-electro-elastic Plate/pipe under Hamiltonian System

    Institute of Scientific and Technical Information of China (English)

    Dai Haitao; Cheng Wei; Li Mingzhi

    2008-01-01

    The 3-dimensional couple equations of magneto-electro-elastic structures are derived under Hamiltonian system based on the Hamilton principle. The problem of single sort of variables is converted into the problem of double sorts of variables, and the Hamilton canonical equations are established. The 3-dimensional problem of magneto-electro-elastic structure which is investigated in Euclidean space commonly is converted into symplectic system. At the same time the Lagrange system is converted into Hamiltonlan system. As an example, the dynamic characteristics of the simply supported functionally graded magneto-electro-elastic material (FGMM) plate and pipe are investigated. Finally, the problem is solved by symplectic algorithm. The results show that the physical quantifies of displace-ment, electric potential and magnetic potential etc. change continuously at the interfaces between layers under the transverse pressure while some other physical quantifies such as the stress, electric and magnetic displacement are not continuous. The dynamic stiffness is increased by the piezoelectric effect while decreased by the piezomagnetic effect.

  15. CPSGrader: Auto-Grading and Feedback Generation for Cyber-Physical Systems Education

    Science.gov (United States)

    2014-12-21

    I is an interval, then an STL formula is written using the grammar : ϕ := > | µ | ¬ϕ | ϕ1 ∧ ϕ2 | ϕ1 UI ϕ2 The always and eventually operators are... Teaching Elec- tronic Circuits Online: Lessons from MITx’s 6.002x on edX,” in International Symposium on Circuits and Systems (ISCAS). Beijing, China: IEEE

  16. Comparative evaluation of H&H and WFNS grading scales with modified H&H (sans systemic disease): A study on 1000 patients with subarachnoid hemorrhage.

    Science.gov (United States)

    Aggarwal, Ashish; Dhandapani, Sivashanmugam; Praneeth, Kokkula; Sodhi, Harsimrat Bir Singh; Pal, Sudhir Singh; Gaudihalli, Sachin; Khandelwal, N; Mukherjee, Kanchan K; Tewari, M K; Gupta, Sunil Kumar; Mathuriya, S N

    2017-03-15

    The comparative studies on grading in subarachnoid hemorrhage (SAH) had several limitations such as the unclear grading of Glasgow Coma Scale 15 with neurological deficits in World Federation of Neurosurgical Societies (WFNS), and the inclusion of systemic disease in Hunt and Hess (H&H) scales. Their differential incremental impacts and optimum cut-off values for unfavourable outcome are unsettled. This is a prospective comparison of prognostic impacts of grading schemes to address these issues. SAH patients were assessed using WFNS, H&H (including systemic disease), modified H&H (sans systemic disease) and followed up with Glasgow Outcome Score (GOS) at 3 months. Their performance characteristics were analysed as incremental ordinal variables and different grading scale dichotomies using rank-order correlation, sensitivity, specificity, positive predictive value, negative predictive value, Youden's J and multivariate analyses. A total of 1016 patients were studied. As univariate incremental variable, H&H sans systemic disease had the best negative rank-order correlation coefficient (-0.453) with respect to lower GOS (p H&H sans systemic disease had the greatest adjusted incremental impact of 0.72 (95% confidence interval (CI) 0.54-0.91) against a lower GOS as compared to 0.6 (95% CI 0.45-0.74) and 0.55 (95% CI 0.42-0.68) for H&H and WFNS grades, respectively. In multivariate categorical analysis, H&H grades 4-5 sans systemic disease had the greatest impact on unfavourable GOS with an adjusted odds ratio of 6.06 (95% CI 3.94-9.32). To conclude, H&H grading sans systemic disease had the greatest impact on unfavourable GOS. Though systemic disease is an important prognostic factor, it should be considered distinctly from grading. Appropriate cut-off values suggesting unfavourable outcome for H&H and WFNS were 4-5 and 3-5, respectively, indicating the importance of neurological deficits in addition to level of consciousness.

  17. Achieving standards in urban systemic reform: An example of a sixth grade project-based science curriculum

    Science.gov (United States)

    Rivet, Ann E.; Krajcik, Joseph S.

    2004-09-01

    A challenge for urban systemic reform initiatives in science education has been to achieve local, state, and national standards for teaching and learning. We have collaborated with teachers in the Detroit Public School System to design project-based curriculum materials that contextualize the learning of science in meaningful real-world problems, engage students in science inquiry, and use learning technologies. We present a sixth grade project-based science unit in which students explored the driving question How Do Machines Help Me Build Big Things? and address the science learning goals of balanced and unbalanced forces, simple and complex machines, and mechanical advantage. Twenty-four teachers and over 2500 students in Detroit participated in enactments of this project over 4 years. Student learning outcomes were determined for the three learning goals and inquiry process skills using pre- and postachievement tests. Achievement outcomes as measured by the pre/posttest show significant and consistently high learning gains, even as participation in the project increased to include greater numbers of teachers and students in successive enactments, and leadership of the professional development support for this project transitioned from university researchers to district teacher leaders. These results illustrate that materials which contextualize learning and support student inquiry as part of an urban systemic reform effort can promote learning of important and meaningful science content aligned with standards.

  18. Making the Grade in a Portfolio-Based System: Student Performance and the Student Perspective

    OpenAIRE

    Nowacki, Amy S.

    2013-01-01

    Assessment is such an integral part of the educational system that we rarely reflect on its value and impact. Portfolios have gained in popularity, but much attention has emphasized the end-user and portfolio assessment. Here we focus on the portfolio creator (the student) and examine whether their educational needs are met with such an assessment method. This study aims to investigate how assessment practices influence classroom performance and the learning experience of the student in a gra...

  19. Zebrafish as a Model System for Environmental Health Studies in the Grade 9–12 Classroom

    OpenAIRE

    Tomasiewicz, Henry G.; Hesselbach, Renee; Carvan, Michael John; Goldberg, Barbara; Berg, Craig A.; Petering, David H.

    2014-01-01

    Developing zebrafish embryos were used as a model system for high school students to conduct scientific investigations that reveal features of normal development and to test how different environmental toxicants impact the developmental process. The primary goal of the module was to engage students from a wide range of socio-economic backgrounds, with particular focus on underserved inner-city high schools, in inquiry-based learning and hands-on experimentation. In addition, the module served...

  20. Food-grade micro-encapsulation systems that may induce satiety via delayed lipolysis: A review.

    Science.gov (United States)

    Corstens, Meinou N; Berton-Carabin, Claire C; de Vries, Renko; Troost, Freddy J; Masclee, Ad A M; Schroën, Karin

    2017-07-03

    The increasing prevalence of overweight and obesity requires new, effective prevention and treatment strategies. One approach to reduce energy intake is by developing novel foods with increased satiating properties, which may be accomplished by slowing down lipolysis to deliver substrates to the ileum, thereby enhancing natural gut-brain signaling pathways of satiety that are normally induced by meal intake. To develop slow release food additives, their processing in the gastrointestinal tract has to be understood; therefore, we start from a general description of the digestive system and relate that to in vitro modeling, satiety, and lipolytic mechanisms. The effects of physicochemical lipid composition, encapsulation matrix, and interfacial structure on lipolysis are emphasized. We give an overview of techniques and materials used, and discuss partitioning, which may be a key factor for encapsulation performance. Targeted release capsules that delay lipolysis form a real challenge because of the high efficiency of the digestive system; hardly any proof was found that intact orally ingested lipids can be released in the ileum and thereby induce satiety. We expect that this challenge could be tackled with structured o/w-emulsion-based systems that have some protection against lipase, e.g., by hindering bile salt adsorption and/or delaying lipase diffusion.

  1. Acquiring research-grade ERPs on a shoestring budget: A comparison of a modified Emotiv and commercial SynAmps EEG system.

    Science.gov (United States)

    Barham, Michael P; Clark, Gillian M; Hayden, Melissa J; Enticott, Peter G; Conduit, Russell; Lum, Jarrad A G

    2017-09-01

    This study compared the performance of a low-cost wireless EEG system to a research-grade EEG system on an auditory oddball task designed to elicit N200 and P300 ERP components. Participants were 15 healthy adults (6 female) aged between 19 and 40 (M = 28.56; SD = 6.38). An auditory oddball task was presented comprising 1,200 presentations of a standard tone interspersed by 300 trials comprising a deviant tone. EEG was simultaneously recorded from a modified Emotiv EPOC and a NeuroScan SynAmps RT EEG system. The modifications made to the Emotiv system included attaching research grade electrodes to the Bluetooth transmitter. Additional modifications enabled the Emotiv system to connect to a portable impedance meter. The cost of these modifications and portable impedance meter approached the purchase value of the Emotiv system. Preliminary analyses revealed significantly more trials were rejected from data acquired by the modified Emotiv compared to the SynAmps system. However, the ERP waveforms captured by the Emotiv system were found to be highly similar to the corresponding waveform from the SynAmps system. The latency and peak amplitude of N200 and P300 components were also found to be similar between systems. Overall, the results indicate that, in the context of an oddball task, the ERP acquired by a low-cost wireless EEG system can be of comparable quality to research-grade EEG acquisition equipment. © 2017 Society for Psychophysiological Research.

  2. Science-Grade Observing Systems as Process Observatories: Mapping and Understanding Nonlinearity and Multiscale Memory with Models and Observations

    Science.gov (United States)

    Barros, A. P.; Wilson, A. M.; Miller, D. K.; Tao, J.; Genereux, D. P.; Prat, O.; Petersen, W. A.; Brunsell, N. A.; Petters, M. D.; Duan, Y.

    2015-12-01

    Using the planet as a study domain and collecting observations over unprecedented ranges of spatial and temporal scales, NASA's EOS (Earth Observing System) program was an agent of transformational change in Earth Sciences over the last thirty years. The remarkable space-time organization and variability of atmospheric and terrestrial moist processes that emerged from the analysis of comprehensive satellite observations provided much impetus to expand the scope of land-atmosphere interaction studies in Hydrology and Hydrometeorology. Consequently, input and output terms in the mass and energy balance equations evolved from being treated as fluxes that can be used as boundary conditions, or forcing, to being viewed as dynamic processes of a coupled system interacting at multiple scales. Measurements of states or fluxes are most useful if together they map, reveal and/or constrain the underlying physical processes and their interactions. This can only be accomplished through an integrated observing system designed to capture the coupled physics, including nonlinear feedbacks and tipping points. Here, we first review and synthesize lessons learned from hydrometeorology studies in the Southern Appalachians and in the Southern Great Plains using both ground-based and satellite observations, physical models and data-assimilation systems. We will specifically focus on mapping and understanding nonlinearity and multiscale memory of rainfall-runoff processes in mountainous regions. It will be shown that beyond technical rigor, variety, quantity and duration of measurements, the utility of observing systems is determined by their interpretive value in the context of physical models to describe the linkages among different observations. Second, we propose a framework for designing science-grade and science-minded process-oriented integrated observing and modeling platforms for hydrometeorological studies.

  3. A 100-W grade closed-cycle thermosyphon cooling system used in HTS rotating machines

    Science.gov (United States)

    Felder, Brice; Miki, Motohiro; Tsuzuki, Keita; Shinohara, Nobuyuki; Hayakawa, Hironao; Izumi, Mitsuru

    2012-06-01

    The cooling systems used for rotating High-Temperature Superconducting (HTS) machines need a cooling power high enough to ensure a low temperature during various utilization states. Radiation, torque tube or current leads represent hundreds of watts of invasive heat. The architecture also has to allow the rotation of the refrigerant. In this paper, a free-convection thermosyphon using two Gifford-McMahon (GM) cryocoolers is presented. The cryogen is mainly neon but helium can be added for an increase of the heat transfer coefficient. The design of the heat exchangers was first optimized with FEM thermal analysis. After manufacture, they were assembled for preliminary experiments and the necessity of annealing was studied for the copper parts. A single evaporator was installed to evaluate the thermal properties of such a heat syphon. The maximum bearable static heat load was also investigated, but was not reached even at 150 W of load. Finally, this cooling system was tested in the cooling down of a 100-kW range HTS rotating machine containing 12 Bi-2223 double-pancake coils (DPC).

  4. Middle School Math Acceleration and Equitable Access to Eighth-Grade Algebra: Evidence from the Wake County Public School System

    Science.gov (United States)

    Dougherty, Shaun M.; Goodman, Joshua S.; Hill, Darryl V.; Litke, Erica G.; Page, Lindsay C.

    2015-01-01

    Taking algebra by eighth grade is considered an important milestone on the pathway to college readiness. We highlight a collaboration to investigate one district's effort to increase middle school algebra course-taking. In 2010, the Wake County Public Schools began assigning middle school students to accelerated math and eighth-grade algebra based…

  5. Middle School Math Acceleration and Equitable Access to Eighth-Grade Algebra: Evidence from the Wake County Public School System

    Science.gov (United States)

    Dougherty, Shaun M.; Goodman, Joshua S.; Hill, Darryl V.; Litke, Erica G.; Page, Lindsay C.

    2015-01-01

    Taking algebra by eighth grade is considered an important milestone on the pathway to college readiness. We highlight a collaboration to investigate one district's effort to increase middle school algebra course-taking. In 2010, the Wake County Public Schools began assigning middle school students to accelerated math and eighth-grade algebra based…

  6. Assessing the performance of four different categories of histological criteria in brain tumours grading by means of a computer-aided diagnosis image analysis system.

    Science.gov (United States)

    Kostopoulos, S; Konstandinou, C; Sidiropoulos, K; Ravazoula, P; Kalatzis, I; Asvestas, P; Cavouras, D; Glotsos, D

    2015-10-01

    Brain tumours are considered one of the most lethal and difficult to treat forms of cancer, with unknown aetiology and lack of any realistic screening. In this study, we examine, whether the combination of descriptive criteria, used by expert histopathologists in assessing histologic tissue samples, and quantitative image analysis features may improve the diagnostic accuracy of brain tumour grading. Data comprised 61 cases of brain cancers (astrocytomas, oligodendrogliomas, meningiomas) collected from the archives of the University Hospital of Patras, Greece. Incorporating physician's descriptive criteria and image analysis's quantitative features into a discriminant function, a computer-aided diagnosis system was designed for discriminating low-grade from high-grade brain tumours. Physician's descriptive features, when solely used in the system, proved of high discrimination accuracy (93.4%). When verbal descriptive features were combined with quantitative image analysis features in the system, discrimination accuracy improved to 98.4%. The generalization of the proposed system to unseen data converged to an overall prediction accuracy of 86.7% ± 5.4%. Considering that histological grading affects treatment selection and diagnostic errors may be notable in clinical practice, the utilization of the proposed system may safeguard against diagnostic misinterpretations in every day clinical practice. © 2015 The Authors Journal of Microscopy © 2015 Royal Microscopical Society.

  7. Industrial grade fiber-coupled laser systems delivering ultrashort high-power pulses for micromachining

    Science.gov (United States)

    Pricking, Sebastian; Welp, Petra; Overbuschmann, Johannes; Nutsch, Sebastian; Gebs, Raphael; Fleischhaker, Robert; Kleinbauer, Jochen; Wolf, Martin; Budnicki, Aleksander; Sutter, Dirk H.; Killi, Alexander; Mielke, Michael

    2016-03-01

    We report on an industrial fiber-delivered laser system producing ultra-short pulses in the range of a few picoseconds down to a few hundred femtoseconds with high average power suitable for high-precision micromachining. The delivery fiber is a hollow-core photonic crystal fiber with a Kagomé shaped lattice and a hypocycloid core wall enabling the guiding of laser radiation over several meters with exceptionally low losses and preservation of high beam quality (M2laser head providing a compact footprint without the need for external boxes. The laser head is carefully designed regarding its thermo-mechanical properties to allow a highly reliable coupling stability. The exchangeable delivery fiber is packaged using Trumpf's well established LLK-D connectors which offer a very high mechanical precision, the possibility to add water cooling, as well as full featured safety functions. The fiber is hermetically sealed and protected by a robust but flexible shield providing bend protection and break detection. We show the linear and nonlinear optical properties of the transported laser radiation and discuss its feasibility for pulse compression. Measurements are supported by simulation of pulse propagation by solving the nonlinear Schrödinger equation implementing the split-step Fourier method. In addition, mode properties are measured and confirmed by finite element method simulations. The presented industrial laser system offers the known advantages of ultra-short pulses combined with the flexibility of fiber delivery yielding a versatile tool perfectly suitable for all kinds of industrial micromachining applications.

  8. Detection and analysis of hard exudates by polarization-sensitive optical coherence tomography in patients with diabetic maculopathy.

    Science.gov (United States)

    Lammer, Jan; Bolz, Matthias; Baumann, Bernhard; Pircher, Michael; Gerendas, Bianca; Schlanitz, Ferdinand; Hitzenberger, Christoph K; Schmidt-Erfurth, Ursula

    2014-03-13

    To image and analyze hard exudates (HEs) and their precursors in patients with diabetic macular edema (DME) by using polarization-sensitive optical coherence tomography (PS-OCT). Twenty-two eyes of 16 patients with DME were imaged by using color fundus photography (CF) and PS-OCT. In PS-OCT, HEs were automatically detected by their distinct polarization-scrambling qualities. Color fundus images were manually graded for the presence of HEs by two masked graders and correlated with the corresponding PS-OCT HE maps: corresponding images were overlaid and an identical grid of 128 × 128 fields was used for correlation of detected HEs. In all eyes, HEs were present owing to DME. Agreement of a pixel-to-pixel analysis of HEs in CF images was 0.72 (Cohen's κ) between graders and 0.44 between graders and automated detection by PS-OCT. Mean ± SD detection of HEs was significantly higher in PS-OCT than in manual grading (1180.5 ± 1009.8 fields versus 828.8 ± 695.0 fields; P = 0.02). The higher detection rate of PS-OCT was confirmed by a linear regression analysis with a slope of β = 1.18 (r = 0.81). PS-OCT enables not only two-dimensional imaging of the extent of HEs, as in CF, but also allows tissue-specific, three-dimensional imaging of HEs throughout retinal layers, based on their distinct polarization-scrambling characteristics. The higher detection rate in PS-OCT images indicates an increased sensitivity of PS-OCT imaging over conventional CF.

  9. 综合医院分级护理服务体系的构建%Establishment of Grading Nursing Service System of Comprehensive Hospitals

    Institute of Scientific and Technical Information of China (English)

    魏畅; 王建荣; 张黎明; 冯志英; 郭俊艳

    2011-01-01

    目的 构建综合医院的分级护理服务体系.方法 对200名不同护理等级住院患者的护理需求进行调查和分析,按照主次因素分析法的原则,建立了基于患者需求的分级护理服务内容框架.依据护理服务内容框架设计咨询调查表,采用专家咨询法,对22名护理专家进行两轮次的咨询调查,确定分级护理服务体系.结果 构建的分级护理服务体系包括21项一级护理服务项目,10项二、三级护理服务项目以及每个项目的 最少执行频次和执行人员最低资质.结论 建立的分级护理服务体系,明确了分级护理服务内容、标准以及执行人员资质,为临床护士提供了可参照的依据,有利于提高分级护理质量.%Objective To establish a grading nursing service system of in comprehensive hospitals. Methods Through investigation and analysis to the nursing requirements from 200 inpatients in different nursing grades, the frame of grading nursing service was established based on the patients' demands according to the principle of “analytical primary and secondary factors process”. On this basis, by using “Delphi method”, 22 nursing experts were consulted for two rounds to make professional standards of grading nursing. Results The established service system included 21 basic service items of first grade nursing and 10 items of second and third grade nursing service,with the least frequency in each item and the bottom qualification line to performers in each item. Conclusion The establishment of grading nursing service system presents definite contents of grading nursing,service standard and qualification of performers,and provides the executive standard to clinic nurses and improves the quality of grading nursing.

  10. Method of Modeling Questions for Automated Grading of Students’ Responses in E-Learning Systems

    Directory of Open Access Journals (Sweden)

    A. A. Gurchenkov

    2015-01-01

    Full Text Available Introduction. Problem relevance. The capability to check a solution of practical problems automatically is an important functionality of any learning management system (LMS. Complex types of questions, implying creative approach to problem solving are of particular interest. There are a lot of studies presenting automated scoring algorithms of students' answers, such as mathematical expressions, graphs, molecules, etc. However, the most common types of problems in the open LMS that are being actively implemented in Russian and foreign universities (Moodle, Sakai, Ilias etc. remain simple types of questions such as, for example, multiple choice.Study subject and goal. The purpose of study is to create a method that allows integrating arbitrary algorithms of answer scoring into any existing LMS, as well as its practical implementation in the form of an independent software module, which will handle questions in LMS.Method. The model for objects of type "algorithmic question" is considered. A unified format for storing objects of this type, allowing keeping their state, is developed. The algorithm is a set of variables, which defines the responses versus input data (or vice versa. Basis variables (input are selected pseudo-randomly from a predetermined range, and based on these values resulting variables (responses are calculated. This approach allows us to synthesize variations of the same question. State of the question is saved by means of "seed" of pseudo-random number generator. A set of algorithmic problems was used to build the lifecycle management functions, namely: initialization create (, rendering render (, and evaluation answer (. These functions lay the foundation for the Application Program Interface (API and allow us to control software module responsible for the questions in LMS.Practical results. This study is completed with the implementation of software module responsible for mapping the interaction with the student and automated

  11. Zebrafish as a model system for environmental health studies in the grade 9-12 classroom.

    Science.gov (United States)

    Tomasiewicz, Henry G; Hesselbach, Renee; Carvan, Michael John; Goldberg, Barbara; Berg, Craig A; Petering, David H

    2014-08-01

    Developing zebrafish embryos were used as a model system for high school students to conduct scientific investigations that reveal features of normal development and to test how different environmental toxicants impact the developmental process. The primary goal of the module was to engage students from a wide range of socio-economic backgrounds, with particular focus on underserved inner-city high schools, in inquiry-based learning and hands-on experimentation. In addition, the module served as a platform for both teachers and students to design additional inquiry-based experiments. In this module, students spawned adult zebrafish to generate developing embryos, exposed the embryos to various toxicants, then gathered, and analyzed data obtained from control and experimental embryos. The module provided a flexible, experimental framework for students to test the effects of numerous environmental toxicants, such as ethanol, caffeine, and nicotine, on the development of a model vertebrate organism. Students also observed the effects of dose on experimental outcomes. From observations of the effects of the chemical agents on vertebrate embryos, students drew conclusions on how these chemicals could impact human development and health. Results of pre-tests and post-tests completed by participating students indicate statistically significant changes in awareness of the impact of environmental agents on fish and human beings In addition, the program's evaluator concluded that participation in the module resulted in significant changes in the attitude of students and teachers toward science in general and environmental health in particular.

  12. Effect of graded radiation doses on ovarian follicular system and adenohypophysis in sheep

    Energy Technology Data Exchange (ETDEWEB)

    Arendarcik, J.; Tokos, M. (Vysoka Skola Veterinarska, Kosice (Czechoslovakia)); Praslicka, M. (Univerzita P.J. Safarika, Kosice (Czechoslovakia). Prirodovedecka Fakulta); Balun, J. (Ustredna Veterinarna Nemocnice, Kosice (Czechoslovakia))

    1983-10-01

    The impact was monitored of the stepping up of radiation doses applied directly to the ovaries during laparotomy on the qualitative and quantitative changes in the follicular system of the ovaries and on adenohypophysis of sheep in the anoestric period and the repair processes taking place in the said organs some time after irradiation. Some time after irradiation of ovaries with a dose of 4.79 Gy the ovaries were found to have an increased weight. At days 10 and 30 after irradiation the number of tertiary follicles dropped, at day 100 it quadrupled as compared with day 10. In the adenohypophysis the increase was observed in the number of PAS-positive cells. Following irradiation of the ovaries with a dose of 9.57 Gy the ovaries were least damaged on day 10 after irradiation, on days 30 and 100 all present tertiary follicles were atretic. As compared with the control group the number of gonadotrophic cells of the adenohypophysis rose gradually following a rapid drop immediately after irradiation. Following irradiation of the ovaries with a dose of 19.4 Gy all tertiary follicles were atretic and the number of PAS-positive cells of the adenohypophysis was lower as compared to the control group.

  13. Low-grade systemic inflammation connects aging, metabolic syndrome and cardiovascular disease.

    Science.gov (United States)

    Guarner, Verónica; Rubio-Ruiz, Maria Esther

    2015-01-01

    Aging is associated with immunosenescence and accompanied by a chronic inflammatory state which contributes to metabolic syndrome, diabetes and their cardiovascular consequences. Risk factors for cardiovascular diseases (CVDs) and diabetes overlap, leading to the hypothesis that both share an inflammatory basis. Obesity is increased in the elderly population, and adipose tissue induces a state of systemic inflammation partially induced by adipokines. The liver plays a pivotal role in the metabolism of nutrients and exhibits alterations in the expression of genes associated with inflammation, cellular stress and fibrosis. Hepatic steatosis and its related inflammatory state (steatohepatitis) are the main hepatic complications of obesity and metabolic diseases. Aging-linked declines in expression and activity of endoplasmic reticulum molecular chaperones and folding enzymes compromise proper protein folding and the adaptive response of the unfolded protein response. These changes predispose aged individuals to CVDs. CVDs and endothelial dysfunction are characterized by a chronic alteration of inflammatory function and markers of inflammation and the innate immune response, including C-reactive protein, interleukin-6, TNF-α, and several cell adhesion molecules are linked to the occurrence of myocardial infarction and stroke in healthy elderly populations and patients with metabolic diseases.

  14. DEVELOPMENT OF AN EMAT IN-LINE INSPECTION SYSTEM FOR DETECTION, DISCRIMINATION, AND GRADING OF STRESS CORROSION CRACKING IN PIPELINES

    Energy Technology Data Exchange (ETDEWEB)

    Jeff Aron; Jon Gore, Roger Dalton; Stuart Eaton; Adrian Bowles; Owen Thomas; Tim Jarman

    2003-07-01

    This report describes progress, experiments, and results for a project to develop a pipeline inline inspection tool that uses electromagnetic acoustic transducers (EMATs) to detect and grade stress corrosion cracking (SCC). There is a brief introduction that gives background material about EMATs and relevant previous Tuboscope work toward a tool. This work left various choices about the modes and transducers for this project. The experimental section then describes the lab systems, improvements to these systems, and setups and techniques to narrow the choices. Improvements, which involved transducer matching networks, better magnetic biasing, and lower noise electronics, led to improved signal to noise (SNR) levels. The setups permitted transducer characterizations and interaction measurements in plates with man-made cracks, pipeline sections with SCC, and a full pipe with SCC. The latter were done with a moveable and compact EMAT setup, called a lab mouse, which is detailed. Next, the results section justifies the mode and transducer choices. These were for magnetostrictive EMATs and the use of EMAT launched modes: SH0 (at 2.1 MHz-mm) and SV1 (at 3.9 MHz-mm). This section then gives details of measurements on these modes. The measurements consisted of signal to noise ratio, insertion loss, magnetic biasing sensitivities crack reflection and transmission coefficients, beam width, standoff and tilt sensitivities. For most of the measurements the section presents analysis curves, such as reflection coefficient versus crack depth. Some notable results for the chosen modes are: that acceptable SNRs were generated in a pipe with magnetostrictive EMATs, that optimum bias for magnetostrictive transmitters and receivers is magnetic saturation, that crack reflection and transmission coefficients from crack interactions agree with 2 D simulations and seem workable for crack grading, and that the mouse has good waveform quality and so is ready for exhaustive measurement EMAT

  15. En Face Optical Coherence Tomography Analysis to Assess the Spectrum of Perivenular Ischemia and Paracentral Acute Middle Maculopathy in Retinal Vein Occlusion.

    Science.gov (United States)

    Ghasemi Falavarjani, Khalil; Phasukkijwatana, Nopasak; Freund, K Bailey; Cunningham, Emmett T; Kalevar, Ananda; McDonald, H Richard; Dolz-Marco, Rosa; Roberts, Philipp K; Tsui, Irena; Rosen, Richard; Jampol, Lee M; Sadda, Srinivas R; Sarraf, David

    2017-05-01

    To assess the spectrum of perivenular ischemia in eyes with retinal vascular obstruction (typically central or hemicentral retinal vein obstruction) using en face optical coherence tomography (OCT). Retrospective observational case series. Eyes with recent retinal vascular occlusion illustrating paracentral acute middle maculopathy (PAMM) in a perivenular fern-like pattern with en face OCT were evaluated in this study. Multimodal retinal imaging including en face OCT segmentation of the inner nuclear layer was performed in all patients. Color fundus photography and fluorescein angiography (FA) images were used to create a vascular overlay of the retinal veins vs the retinal arteries to map the distribution of PAMM with en face OCT analysis. Multimodal retinal imaging was performed in 11 eyes with acute retinal vascular obstruction. While 7 eyes demonstrated obvious findings of retinal vein obstruction (5 with central and 2 with hemicentral retinal vein occlusion), 4 eyes were unremarkable at presentation. En face OCT analysis demonstrated a spectrum of perivenular PAMM illustrating a fern-like pattern with sparing of the periarteriolar area in all cases. En face OCT may illustrate a remarkable perivenular pattern of PAMM in eyes with retinal vascular obstruction even in the absence of significant funduscopic findings. Perivenular PAMM with en face OCT demonstrates a wide spectrum of variation with narrow fern-like perivenular lesions at the mildest end and more diffuse lesions with only periarterial sparing at the most severe end of the spectrum. Arterial hypoperfusion secondary to outflow obstruction from a central retinal vein obstruction appears to be the most common cause of this presentation, although primary arterial hypoperfusion may also be an etiology. Published by Elsevier Inc.

  16. The Impact of Birth Month, within Grade Levels, on Student Performance on the Pennsylvania System of School Assessment (PSSA) Mathematics Assessment

    Science.gov (United States)

    Speziale, Kerry Maureen

    2011-01-01

    This study determined whether chronological age differences among students in the same grade level affected their respective levels of academic performance on the Pennsylvania System of School Assessment (PSSA) mathematics assessment. The study analyzed the additional independent variables of gender, socioeconomic status, and special education…

  17. Development of a decision support system for diagnosis and grading of brain tumours using in vivo magnetic resonance single voxel spectra.

    NARCIS (Netherlands)

    Tate, A.R.; Underwood, J.; Acosta, D.M.; Julia-Sape, M.; Majos, C.; Moreno-Torres, A.; Howe, F.A.; Graaf, M. van der; Lefournier, V.; Murphy, M.M.; Loosemore, A.; Ladroue, C.; Wesseling, P.; Luc Bosson, J.; Cabanas, M.E.; Simonetti, A.W.; Gajewicz, W.; Calvar, J.; Capdevila, A.; Wilkins, P.R.; Bell, B.A.; Remy, C.; Heerschap, A.; Watson, D.; Griffiths, J.R.; Arus, C.

    2006-01-01

    A computer-based decision support system to assist radiologists in diagnosing and grading brain tumours has been developed by the multi-centre INTERPRET project. Spectra from a database of 1H single-voxel spectra of different types of brain tumours, acquired in vivo from 334 patients at four differe

  18. Lifestyle and nutritional imbalances associated with Western diseases : causes and consequences of chronic systemic low-grade inflammation in an evolutionary context

    NARCIS (Netherlands)

    Ruiz-Nunez, Begona; Pruimboom, Leo; Dijck-Brouwer, D.A. Janneke; Muskiet, Frits A. J.

    In this review, we focus on lifestyle changes, especially dietary habits, that are at the basis of chronic systemic low grade inflammation, insulin resistance and Western diseases. Our sensitivity to develop insulin resistance traces back to our rapid brain growth in the past 2.5 million years. An

  19. Lifestyle and nutritional imbalances associated with Western diseases : causes and consequences of chronic systemic low-grade inflammation in an evolutionary context

    NARCIS (Netherlands)

    Ruiz-Nunez, Begona; Pruimboom, Leo; Dijck-Brouwer, D.A. Janneke; Muskiet, Frits A. J.

    2013-01-01

    In this review, we focus on lifestyle changes, especially dietary habits, that are at the basis of chronic systemic low grade inflammation, insulin resistance and Western diseases. Our sensitivity to develop insulin resistance traces back to our rapid brain growth in the past 2.5 million years. An i

  20. Teaching of the Society for Fetal Urology grading system for pediatric hydronephrosis is improved by e-Learning using Computer Enhanced Visual Learning (CEVL): A multi-institutional trial.

    Science.gov (United States)

    Liu, Dennis B; Palmer, Blake; Herndon, C D Anthony; Maizels, Max

    2015-08-01

    It is unclear how clinicians learn to grade pediatric hydronephrosis (HN) and how effective their training has been. We sought to: 1. Assess how clinicians learn to grade HN and their confidence in their training and abilities and 2. To assess Computer Enhanced Visual Learning (CEVL) e-Learning to learn the Society for Fetal Urology (SFU) grading system for pediatric HN. A multi-institutional online survey was distributed to pediatric urologists, nephrologists, and radiologists. Respondents used a 6-point Likert scale (0 = not confident to 5 = very confident) to assess their confidence in knowledge of the criteria, indications, and ability to grade HN, and how they learned to grade. Participants assigned SFU grades to 15 neonatal ultrasounds (US). A CEVL module on the SFU grading system was accessed and a post-CEVL survey completed. Changes in confidence and accuracy of grading were compared before and after CEVL e-Learning. The most common method of learning was "casually during training" (44.5%). Significant increases in confidence in knowledge of criteria, indications, and ability to grade, as well as the accuracy of grading were seen following CEVL e-Learning (Figure A and B). Although the SFU grading system is considered the predominant grading system for HN, its application in clinical practice has been inconsistent. While this may be due to the grading system itself, it is possible that deficient training and confidence are the root causes. Our data supports this by demonstrating that most clinicians receive only casual training and accordingly, report low confidence in their knowledge and ability to grade HN. Therefore, we conclude that there exists a strong need to improve the teaching of the SFU grading system. e-Learning has been shown to be effective in teaching difficult topics and skills. We demonstrate that e-Learning with CEVL is effective in increasing both the confidence and accuracy of SFU grading of pediatric HN. Limitations of our study include

  1. Perspective: NutriGrade: A Scoring System to Assess and Judge the Meta-Evidence of Randomized Controlled Trials and Cohort Studies in Nutrition Research.

    Science.gov (United States)

    Schwingshackl, Lukas; Knüppel, Sven; Schwedhelm, Carolina; Hoffmann, Georg; Missbach, Benjamin; Stelmach-Mardas, Marta; Dietrich, Stefan; Eichelmann, Fabian; Kontopanteils, Evangelos; Iqbal, Khalid; Aleksandrova, Krasimira; Lorkowski, Stefan; Leitzmann, Michael F; Kroke, Anja; Boeing, Heiner

    2016-11-01

    The objective of this study was to develop a scoring system (NutriGrade) to evaluate the quality of evidence of randomized controlled trial (RCT) and cohort study meta-analyses in nutrition research, building upon previous tools and expert recommendations. NutriGrade aims to assess the meta-evidence of an association or effect between different nutrition factors and outcomes, taking into account nutrition research-specific requirements not considered by other tools. In a pretest study, 6 randomly selected meta-analyses investigating diet-disease relations were evaluated with NutriGrade by 5 independent raters. After revision, NutriGrade was applied by the same raters to 30 randomly selected meta-analyses in the same thematic area. The reliability of ratings of NutriGrade items was calculated with the use of a multirater κ, and reliability of the total (summed scores) was calculated with the use of intraclass correlation coefficients (ICCs). The following categories for meta-evidence evaluation were established: high (8-10), moderate (6-7.99), low (4-5.99), and very low (0-3.99). The NutriGrade scoring system (maximum of 10 points) comprises the following items: 1) risk of bias, study quality, and study limitations, 2) precision, 3) heterogeneity, 4) directness, 5) publication bias, 6) funding bias, 7) study design, 8) effect size, and 9) dose-response. The NutriGrade score varied between 2.9 (very low meta-evidence) and 8.8 (high meta-evidence) for meta-analyses of RCTs, and it ranged between 3.1 and 8.8 for meta-analyses of cohort studies. The κ value of the ratings for each scoring item varied from 0.32 (95% CI: 0.22, 0.42) for risk of bias for cohort studies and 0.95 (95% CI: 0.91, 0.99) for study design, with a mean κ of 0.66 (95% CI: 0.53, 0.79). The ICC of the total score was 0.81 (95% CI: 0.69, 0.90). The NutriGrade scoring system showed good agreement and reliability. The initial findings regarding the performance of this newly established scoring system

  2. Comprehensive review of post-liver resection surgical complications and a new universal classification and grading system

    Institute of Scientific and Technical Information of China (English)

    Masayuki; Ishii; Toru; Mizuguchi; Kohei; Harada; Shigenori; Ota; Makoto; Meguro; Tomomi; Ueki; Toshihiko; Nishidate; Kenji; Okita; Koichi; Hirata

    2014-01-01

    Liver resection is the gold standard treatment for certain liver tumors such as hepatocellular carcinoma and metastatic liver tumors. Some patients with such tumors already have reduced liver function due to chronic hepatitis, liver cirrhosis, or chemotherapy-associated steatohepatitis before surgery. Therefore, complications due to poor liver function are inevitable after liver resection. Although the mortality rate of liver resection has been reduced to a few percent in recent case series, its overall morbidity rate is reported to range from 4.1% to 47.7%. The large degree of variation in the post-liver resection morbidity rates reported in previous studies might be due to the lack of consen-sus regarding the definitions and classification of postliver resection complications. The Clavien-Dindo(CD) classification of post-operative complications is widely accepted internationally. However, it is hard to apply to some major post-liver resection complications because the consensus definitions and grading systems for posthepatectomy liver failure and bile leakage established by the International Study Group of Liver Surgery are incompatible with the CD classification. Therefore, a unified classification of post-liver resection complications has to be established to allow comparisons between academic reports.

  3. Microstructure characterization of a food-grade U-type microemulsion system by differential scanning calorimetry and electrical conductivity techniques.

    Science.gov (United States)

    Zhang, Hui; Taxipalati, Maierhaba; Que, Fei; Feng, Fengqin

    2013-12-01

    The microstructure transitions of a food-grade U-type microemulsion system containing glycerol monolaurate and propionic acid at a 1:1 mass ratio as oil phase and Tween 80 as surfactant were investigated along a water dilution line at a ratio of 80:20 mass% surfactant/oil phase, based on a previously studied phase diagram. From the water thermal behaviours detected by differential scanning calorimetry, three structural regions are identified along the dilution line. In the first region, all water molecules are confined to the water core of the reverse micelles, leading to the formation of w/o microemulsion. As the water content increases, the water gains mobility, transforms into bicontinuous in the second region, and finally the microemulsion become o/w in the third region. The thermal transition points coincide with the structural phase transitions by electrical conductivity measurements, indicating that the structural transitions occur at 35 and 65 mass% of water along the dilution line. Copyright © 2013 Elsevier Ltd. All rights reserved.

  4. 77 FR 35163 - Systems for Telephonic Notification of Unsafe Conditions at Highway-Rail and Pathway Grade Crossings

    Science.gov (United States)

    2012-06-12

    ... appropriate public safety officials having jurisdiction over the grade crossing to provide them with the... in the United States was designed to provide a universal, easy-to-remember number, 9-1-1, for...

  5. Composition-graded nanowire solar cells fabricated in a single process for spectrum-splitting photovoltaic systems.

    Science.gov (United States)

    Caselli, Derek; Liu, Zhicheng; Shelhammer, David; Ning, Cun-Zheng

    2014-10-08

    Nanomaterials such as semiconductor nanowires have unique features that could enable novel optoelectronic applications such as novel solar cells. This paper aims to demonstrate one such recently proposed concept: Monolithically Integrated Laterally Arrayed Multiple Band gap (MILAMB) solar cells for spectrum-splitting photovoltaic systems. Two cells with different band gaps were fabricated simultaneously in the same process on a single substrate using spatially composition-graded CdSSe alloy nanowires grown by the Dual-Gradient Method in a chemical vapor deposition system. CdSSe nanowire ensemble devices tested under 1 sun AM1.5G illumination achieved open-circuit voltages up to 307 and 173 mV and short-circuit current densities as high as 0.091 and 0.974 mA/cm(2) for the CdS- and CdSe-rich cells, respectively. The open-circuit voltages were roughly three times those of similar CdSSe film cells fabricated for comparison due to the superior optical quality of the nanowires. I-V measurements were also performed using optical filters to simulate spectrum-splitting. The open-circuit voltages and fill factors of the CdS-rich subcells were uniformly larger than the corresponding CdSe-rich cells for similar photon flux, as expected. This suggests that if all wires can be contacted, the wide-gap cell is expected to have greater output power than the narrow-gap cell, which is the key to achieving high efficiencies with spectrum-splitting. This paper thus provides the first proof-of-concept demonstration of simultaneous fabrication of MILAMB solar cells. This approach to solar cell fabrication using single-crystal nanowires for spectrum-splitting photovoltaics could provide a future low-cost high-efficiency alternative to the conventional high-cost high-efficiency tandem cells.

  6. Crosstalk between intestinal microbiota, adipose tissue and skeletal muscle as an early event in systemic low-grade inflammation and the development of obesity and diabetes.

    Science.gov (United States)

    Bleau, Christian; Karelis, Antony D; St-Pierre, David H; Lamontagne, Lucie

    2015-09-01

    Obesity is associated with a systemic chronic low-grade inflammation that contributes to the development of metabolic disorders such as cardiovascular diseases and type 2 diabetes. However, the etiology of this obesity-related pro-inflammatory process remains unclear. Most studies have focused on adipose tissue dysfunctions and/or insulin resistance in skeletal muscle cells as well as changes in adipokine profile and macrophage recruitment as potential sources of inflammation. However, low-grade systemic inflammation probably involves a complex network of signals interconnecting several organs. Recent evidences have suggested that disturbances in the composition of the gut microbial flora and alterations in levels of gut peptides following the ingestion of a high-fat diet may be a cause of low-grade systemic inflammation that may even precede and predispose to obesity, metabolic disorders or type 2 diabetes. This hypothesis is appealing because the gastrointestinal system is first exposed to nutrients and may thereby represent the first link in the chain of events leading to the development of obesity-associated systemic inflammation. Therefore, the present review will summarize the latest advances interconnecting intestinal mucosal bacteria-mediated inflammation, adipose tissue and skeletal muscle in a coordinated circuitry favouring the onset of a high-fat diet-related systemic low-grade inflammation preceding obesity and predisposing to metabolic disorders and/or type 2 diabetes. A particular emphasis will be given to high-fat diet-induced alterations of gut homeostasis as an early initiator event of mucosal inflammation and adverse consequences contributing to the promotion of extended systemic inflammation, especially in adipose and muscular tissues.

  7. Grading for Understanding - Standards-Based Grading

    Science.gov (United States)

    Zimmerman, Todd

    2017-01-01

    Standards-based grading (SBG), sometimes called learning objectives-based assessment (LOBA), is an assessment model that relies on students demonstrating mastery of learning objectives (sometimes referred to as standards). The goal of this grading system is to focus students on mastering learning objectives rather than on accumulating points. I have used SBG in an introductory physics course for the past five years and worked with several physics faculty members to implement SBG in the first and second semester of algebra-based and calculus-based introductory physics courses at a primarily undergraduate comprehensive public university with class sizes of 48 students. In this article I will discuss methods for implementing SBG in a physics class.

  8. The International Society of Urological Pathology (ISUP) grading system for renal cell carcinoma and other prognostic parameters.

    Science.gov (United States)

    Delahunt, Brett; Cheville, John C; Martignoni, Guido; Humphrey, Peter A; Magi-Galluzzi, Cristina; McKenney, Jesse; Egevad, Lars; Algaba, Ferran; Moch, Holger; Grignon, David J; Montironi, Rodolfo; Srigley, John R

    2013-10-01

    The International Society of Urological Pathology 2012 Consensus Conference made recommendations regarding classification, prognostic factors, staging, and immunohistochemical and molecular assessment of adult renal tumors. Issues relating to prognostic factors were coordinated by a workgroup who identified tumor morphotype, sarcomatoid/rhabdoid differentiation, tumor necrosis, grading, and microvascular invasion as potential prognostic parameters. There was consensus that the main morphotypes of renal cell carcinoma (RCC) were of prognostic significance, that subtyping of papillary RCC (types 1 and 2) provided additional prognostic information, and that clear cell tubulopapillary RCC was associated with a more favorable outcome. For tumors showing sarcomatoid or rhabdoid differentiation, there was consensus that a minimum proportion of tumor was not required for diagnostic purposes. It was also agreed upon that the underlying subtype of carcinoma should be reported. For sarcomatoid carcinoma, it was further agreed upon that if the underlying carcinoma subtype was absent the tumor should be classified as a grade 4 unclassified carcinoma with a sarcomatoid component. Tumor necrosis was considered to have prognostic significance, with assessment based on macroscopic and microscopic examination of the tumor. It was recommended that for clear cell RCC the amount of necrosis should be quantified. There was consensus that nucleolar prominence defined grades 1 to 3 of clear cell and papillary RCCs, whereas extreme nuclear pleomorphism or sarcomatoid and/or rhabdoid differentiation defined grade 4 tumors. It was agreed upon that chromophobe RCC should not be graded. There was consensus that microvascular invasion should not be included as a staging criterion for RCC.

  9. Clinical Validation of the 2005 ISUP Gleason Grading System in a Cohort of Intermediate and High Risk Men Undergoing Radical Prostatectomy.

    Directory of Open Access Journals (Sweden)

    Sheila F Faraj

    Full Text Available In 2005, the International Society of Urological Pathology (ISUP introduced several modifications to the original Gleason system that were intended to enhance the prognostic power of Gleason score (GS. The objective of this study was to clinically validate the 2005 ISUP Gleason grading system for its ability to detect metastasis. We queried our institutional RP database for men with NCCN clinically localized intermediate to high-risk disease undergoing radical prostatectomy (RP between 1992 and 2010 with no additional treatment until the time of metastatic progression. A case-cohort design was utilized. A total of 333 available RP samples were re-reviewed and GS was reassigned per the 2005 ISUP Gleason system. Cumulative incidence of metastasis was 0%, 8.4%, 24.5% and 44.4% among specimens that were downgraded, unchanged, had one point GS increase and two point GS increase, respectively. The hazard ratio for metastasis raised in GS 8 and 9 compared to GS 7 from 2.77 and 5.91 to 3.49 and 9.31, respectively. The survival c-index of GS increased from 0.70 to 0.80 when samples were re-graded at 5 years post RP. The c-index of the reassigned GS was higher than the original GS (0.77 vs 0.64 for predicting PCSM at 10 years post RP. The regraded GS improved the prediction of metastasis and PCSM. This validates the updated Gleason grading system using an unambiguous clinical endpoint and highlights the need for reassignment of Gleason grading according to 2005 ISUP system when considering comparisons of novel biomarkers to clinicopathological variables in archival cohorts.

  10. Clinical Validation of the 2005 ISUP Gleason Grading System in a Cohort of Intermediate and High Risk Men Undergoing Radical Prostatectomy.

    Science.gov (United States)

    Faraj, Sheila F; Bezerra, Stephania M; Yousefi, Kasra; Fedor, Helen; Glavaris, Stephanie; Han, Misop; Partin, Alan W; Humphreys, Elizabeth; Tosoian, Jeffrey; Johnson, Michael H; Davicioni, Elai; Trock, Bruce J; Schaeffer, Edward M; Ross, Ashley E; Netto, George J

    2016-01-01

    In 2005, the International Society of Urological Pathology (ISUP) introduced several modifications to the original Gleason system that were intended to enhance the prognostic power of Gleason score (GS). The objective of this study was to clinically validate the 2005 ISUP Gleason grading system for its ability to detect metastasis. We queried our institutional RP database for men with NCCN clinically localized intermediate to high-risk disease undergoing radical prostatectomy (RP) between 1992 and 2010 with no additional treatment until the time of metastatic progression. A case-cohort design was utilized. A total of 333 available RP samples were re-reviewed and GS was reassigned per the 2005 ISUP Gleason system. Cumulative incidence of metastasis was 0%, 8.4%, 24.5% and 44.4% among specimens that were downgraded, unchanged, had one point GS increase and two point GS increase, respectively. The hazard ratio for metastasis raised in GS 8 and 9 compared to GS 7 from 2.77 and 5.91 to 3.49 and 9.31, respectively. The survival c-index of GS increased from 0.70 to 0.80 when samples were re-graded at 5 years post RP. The c-index of the reassigned GS was higher than the original GS (0.77 vs 0.64) for predicting PCSM at 10 years post RP. The regraded GS improved the prediction of metastasis and PCSM. This validates the updated Gleason grading system using an unambiguous clinical endpoint and highlights the need for reassignment of Gleason grading according to 2005 ISUP system when considering comparisons of novel biomarkers to clinicopathological variables in archival cohorts.

  11. The value of the 2005 International Society of Urological Pathology (ISUP) modified Gleason grading system as a predictor of biochemical recurrence after radical prostatectomy.

    Science.gov (United States)

    Billis, Athanase; Quintal, Maisa M Q; Meirelles, Luciana; Freitas, Leandro L L; Costa, Larissa B E; Bonfitto, João F L; Diniz, Betina L; Poletto, Paola H; Magna, Luís A; Ferreira, Ubirajara

    2014-05-01

    To compare time and risk to biochemical recurrence (BR) after radical prostatectomy of two chronologically different groups of patients using the standard and the modified Gleason system (MGS). Cohort 1 comprised biopsies of 197 patients graded according to the standard Gleason system (SGS) in the period 1997/2004, and cohort 2, 176 biopsies graded according to the modified system in the period 2005/2011. Time to BR was analyzed with the Kaplan-Meier product-limit analysis and prediction of shorter time to recurrence using univariate and multivariate Cox proportional hazards model. Patients in cohort 2 reflected time-related changes: striking increase in clinical stage T1c, systematic use of extended biopsies, and lower percentage of total length of cancer in millimeter in all cores. The MGS used in cohort 2 showed fewer biopsies with Gleason score ≤ 6 and more biopsies of the intermediate Gleason score 7. Time to BR using the Kaplan-Meier curves showed statistical significance using the MGS in cohort 2, but not the SGS in cohort 1. Only the MGS predicted shorter time to BR on univariate analysis and on multivariate analysis was an independent predictor. The results favor that the 2005 International Society of Urological Pathology modified system is a refinement of the Gleason grading and valuable for contemporary clinical practice.

  12. Good interrater reliability of a new grading system in detecting traumatic bone marrow lesions in the knee by dual energy CT virtual non-calcium images

    Energy Technology Data Exchange (ETDEWEB)

    Cao, Jian-xin; Wang, Yi-min [Department of Radiology, Wuhan 161th Hospital, 68 Huangpu Road, Wuhan 430010 (China); Kong, Xiang-quan, E-mail: kxq2013@tom.com [Department of Radiology, Union Hospital Affiliated to Tongji Medical College, Huazhong University of Science and Technology, 1277 Jiefang Avenue, Wuhan 430022 (China); Yang, Cheng; Wang, Peng [Department of Radiology, Wuhan 161th Hospital, 68 Huangpu Road, Wuhan 430010 (China)

    2015-06-15

    Highlights: • We use DECT image to show traumatic bone marrow lesions (BMLs). • Traumatic BMLs were assessed with quantitative and qualitative analysis. • Time interval between CT scanning and MRI was only 1.8 ± 0.6 days. • All patients have no obviously fracture, and bone bruise was diagnosed. - Abstract: Objective: To evaluate the capacity of dual-energy computed tomography (DECT) virtual non-calcium (VNCa) images in detecting post-traumatic bone marrow lesions (BMLs) in the knee with a new grading system. Methods: DECT and magnetic resonance (MR) imaging were used to examine acute trauma of the knee in 32 patients. VNCa images were generated by dual-energy subtraction of calcium, and the lower end of the femur and upper end of the tibia each were divided into six regions for grading of bone marrow by two musculoskeletal radiologists using a four-grading system (Grade 4, very obvious lesions; Grade 3, relatively obvious lesions; Grade 2, slight or suspicious lesion on VNCa image and mild lesion on MR image; Grade 1, normal bone marrow). CT values were obtained in the BMLs. MR images were used as the reference standard. Grade 3–4 bone marrow was regarded as a positive result to evaluate the performance of VNCa images in detecting traumatic BMLs in the knee, and receiver operating characteristic (ROC) curve analysis of VNCa images for detection of knee BMLs was performed based on CT value of the bone marrow. Results: Bone marrow rating by the two radiologists showed very good consistency (κ = 0.850 and 0.869 for VNCa and MR images, respectively). VNCa and MR images had good consistency (κ = 0.799 for lower end of the femur; κ = 0.659 for upper end of the tibia). When Grade 3–4 bone marrow was regarded as a positive result, the sensitivity, specificity, positive predictive value, and negative predictive value of VNCa images for detection of BMLs in the lower end of the femur were 73.5%, 98.6%, 94.7%, and 91.6%, respectively, and the values in the

  13. Changes in the aromatic profile of espresso coffee as a function of the grinding grade and extraction time: a study by the electronic nose system.

    Science.gov (United States)

    Severini, C; Ricci, I; Marone, M; Derossi, A; De Pilli, T

    2015-03-01

    The changes in chemical attributes and aromatic profile of espresso coffee (EC) were studied taking into account the extraction time and grinding level as independent variables. Particularly, using an electronic nose system, the changes of the global aromatic profile of EC were highlighted. The results shown as the major amounts of organic acids, solids, and caffeine were extracted in the first 8 s of percolation. The grinding grade significantly affected the quality of EC probably as an effect of the particle size distribution and the percolation pathways of water through the coffee cake. The use of an electronic nose system allowed us to discriminate the fractions of the brew as a function of the percolation time and also the regular coffee obtained from different grinding grades. Particularly, the aromatic profile of a regular coffee (25 mL) was significantly affected by the grinding level of the coffee grounds and percolation time, which are two variables under the control of the bar operator.

  14. On Environmental Test and Evaluation of System Grade Products%系统级产品环境试验与评估若干问题探讨

    Institute of Scientific and Technical Information of China (English)

    赵保平; 张韬

    2013-01-01

    根据近年来系统级产品的典型问题,分析了系统级产品环境特点,提出了系统级产品环境问题的相关理论,具体给出了相应的试验设计思路、方法以及环境适应性评价方法。%The environmental worthiness characteristics of system grade product were analyzed based on typical cases in recent years. Relevant theory for environmental worthiness problems of system grade product was discussed. Test design thought, methods, and evaluation methods were put forward.

  15. Users’ Manual and Validation of the Automated Grading System (AGS): Improving the Quality of Intelligence Summaries Using Feedback from an Unsupervised Model of Semantics

    Science.gov (United States)

    2012-12-01

    not necessary to include here abstracts in both official languages unless the text is bilingual .) The Automated Grading System (AGS) was...The first step for AGS is to provide it with a sample of language from which it will create semantic representations for terms. For the exercise...with 28 North Koreans on board was hijacked. In a second incident the same day, pirates attacked a Ukrainian cargo ship. Private security guards

  16. Neck circumference as a predictor of metabolic syndrome, insulin resistance and low-grade systemic inflammation in children: the ACFIES study

    OpenAIRE

    Gomez-Arbelaez, Diego; Camacho, Paul Anthony; Cohen, Daniel Dylan; Saavedra-Cortes, Sandra; Lopez-Lopez, Cristina; Lopez-Jaramillo, Patricio

    2016-01-01

    Background The current study aims to evaluate the association between neck circumference (NC) and several cardio-metabolic risk factors, to compare it with well-established anthropometric indices, and to determine the cut-off point value of NC for predicting children at increased risk of metabolic syndrome, insulin resistance and low-grade systemic inflammation. Methods A total of 669 school children, aged 8–14, were recruited. Demographic, clinical, anthropometric and biochemical data from a...

  17. Increasing On-Task Behavior in Every Student in a Second-Grade Classroom during Transitions: Validating the Color Wheel System

    Science.gov (United States)

    Fudge, Daniel L.; Skinner, Christopher H.; Williams, Jacqueline L.; Cowden, Dan; Clark, Janice; Bliss, Stacy L.

    2008-01-01

    A single-case (B-C-B-C) experimental design was used to evaluate the effects of the Color Wheel classroom management system (CWS) on on-task (OT) behavior in an intact, general-education, 2nd-grade classroom during transitions. The CWS included three sets of rules, posted cues to indicate the rules students are expected to be following at that…

  18. Improving Grading Consistency through Grade Lift Reporting

    Science.gov (United States)

    Millet, Ido

    2010-01-01

    We define Grade Lift as the difference between average class grade and average cumulative class GPA. This metric provides an assessment of how lenient the grading was for a given course. In 2006, we started providing faculty members individualized Grade Lift reports reflecting their position relative to an anonymously plotted school-wide…

  19. Growth of Oreochromis aureus fed with diets containing graded levels of coffee pulp and reared in two culture systems

    NARCIS (Netherlands)

    Ulloa Rojas, J.B.; Verreth, J.A.J.

    2003-01-01

    study was conducted to compare growth and feed utilization of Oreochromis aureus fed graded levels of coffee pulp (CoP) and reared in aquaria or in pens. Diets contained 0, 130, 260 and 390 g kg-1 of oven-dried CoP. In aquaria, fish receiving increasing dietary CoP levels (from 0 to 390 g kg-1)

  20. 76 FR 11992 - Systems for Telephonic Notification of Unsafe Conditions at Highway-Rail and Pathway Grade Crossings

    Science.gov (United States)

    2011-03-04

    ...) Malfunctions of warning signals, crossing gates, and other devices intended to promote safety at the highway... reflected in FRA's regulation. When a railroad receives a report of a malfunction of a warning signal... between a train and a car, truck, or other motor vehicle, or a pedestrian at any one time. Grade crossing...

  1. Supporting Middle Grades Mathematics Teachers and Students: A Curricular Activity System Used in an Urban School District

    Science.gov (United States)

    Roy, George J.; Fueyo, Vivian; Vahey, Philip

    2017-01-01

    The exploration of proportional relationships is foundational to the mathematics studied in the middle grades and beyond. Research has shown that an early emphasis on procedures often leaves students with a shallow understanding of the important underlying mathematical concepts of proportional relationships. One approach that addresses the needs…

  2. Growth of Oreochromis aureus fed with diets containing graded levels of coffee pulp and reared in two culture systems

    NARCIS (Netherlands)

    Ulloa Rojas, J.B.; Verreth, J.A.J.

    2003-01-01

    study was conducted to compare growth and feed utilization of Oreochromis aureus fed graded levels of coffee pulp (CoP) and reared in aquaria or in pens. Diets contained 0, 130, 260 and 390 g kg-1 of oven-dried CoP. In aquaria, fish receiving increasing dietary CoP levels (from 0 to 390 g kg-1) show

  3. Xbox Kinect Gaming Systems as a Supplemental Tool within a Physical Education Setting: Third and Fourth Grade Students' Perspectives

    Science.gov (United States)

    Shewmake, Cole J.; Merrie, Michael D.; Calleja, Paul

    2015-01-01

    Literature indicates that technology, including exergaming, is popular among adolescents and can be used as a supplemental tool in the physical education classroom. Therefore, the purpose of this study was to examine third and fourth grade students' perceived enjoyment and exertion levels toward exergaming in relation to traditional physical…

  4. Outcome Measurement in Postgraduate Year One of Graduates from a Medical School with a Pass/Fail Grading System.

    Science.gov (United States)

    Vosti, Kenneth L.; Jacobs, Charlotte D.

    1999-01-01

    A study investigated the clinical preparedness of 144 Stanford University (California) medical school graduates in 11 areas, comparing it with peers from graded medical schools and rating the accuracy of the dean's letter in representing graduates' capabilities. Results indicate that graduates from Stanford's two-interval, pass/fail system…

  5. The risk factors of phototoxic maculopathy caused by welding arc in occupational welders%电焊工人光损伤性黄斑病变的危险因素分析

    Institute of Scientific and Technical Information of China (English)

    邵东平; 丁瑛; 杨晓然; 刘斐; 李敏超

    2013-01-01

    AIM :To investigate the risk factors that cause phototoxic maculopathy in occupational welders.METHODS: We examined a group of 68 male welders 136 eyes from some metal manufacturing enterprise from March 2012 to December 2012. Participants underwent thorough ophthalmologic examination including visual acuity, fundus photography, and high definition optical coherence tomography ( OCT) scan. A specialist of occupational medicine examined all participants of this study prior to the OCT. The clinical history of all subjects was screened carefully before the study. All the subjects were divided into three groups according to age, length of service, protection habits. The incidences of phototoxic maculopathy were compared in 3 groups.RESULTS: The incidences ofphototoxic maculopathy in less than or equal to 35 years old group, and more than 35 years old group were respectively 35.14%, 29. 03%, and difference was not statistically significant. The incidences of phototoxic maculopathy in less than or equal to 10-years-seniority group, and more than 10-years-seniority group were respectively 11. 76% and 33. 33%, and the difference was statistically significant. The incidences of phototoxic maculopathy in strict protection group, protective random group and sunglasses protection group were respectively 21. 88%, 36. 96%, and 50. 00%. The incidence in strict protection group was lower than the other two groups, the incidence was the highest in sunglasses protection group, and the difference was statistically significant.CONCLUSION: The risk factors of phototoxic maculopathy in occupational welders are the length of service and protection habits. The longer the length of service, the macular lesions probability is high; protection more strict, macular lesions rate is low. The phototoxic maculopathy occurs regardless of age.%目的:探讨影响电焊工人光损伤性黄斑病变发生的危险因素.方法:选取2012-03/12来自本地区相关工厂

  6. Effect of Thin Prep® imaging system on laboratory rate and relative sensitivity of atypical squamous cells, high-grade squamous intraepithelial lesion not excluded and high-grade squamous intraepithelial lesion interpretations

    Directory of Open Access Journals (Sweden)

    Brooke R Koltz

    2013-01-01

    Full Text Available Introduction: Automated screening of Thin Prep ® Papanicolaou Tests has become increasingly common in clinical practice. Increased productivity has initiated laboratory use of the Thin Prep ® Imaging System (TIS. Increased sensitivity is a potential additional benefit of TIS. Published studies have shown an increase in discovery of dysplastic cells. This study evaluates the effect of TIS on the incidence of atypical squamous cells high-grade squamous intraepithelial lesion not excluded (ASC-H and high-grade squamous intraepithelial lesion (HGSIL results on Thin Prep ® Pap Tests by comparing TIS-assisted and manual screening findings and the diagnoses on subsequent follow-up in a screening population over a 1-year time period. Materials and Methods: A compilation of all ASC-H and HGSIL cases was prepared by conducting a computerized search over a 1-year period (7/06-6/07. The accumulated cases include Thin Prep Pap tests that were both TIS and manually screened. Follow-up results of cytologic and histologic cervical specimens were obtained for a time period extending to 2010. Interpretation utilizing TIS was in place 10 months prior to the study′s initiation. Results: During the study period 70,522 Pap tests were performed in our laboratory. One third (33% of Pap tests were screened with assistance of TIS. Manual screening was performed on 47,380 Pap tests of which 153 (0.32% were interpreted as ASC-H and 164 (0.35% were interpreted as HGSIL. During the same time period automated screening (TIS was performed on 23,111 Pap tests. Interpretation of 62 (0.27% cases provided an ASC-H result, while 71 (0.31% were HGSIL. Follow-up cervical dysplasia by colposcopic biopsy and cone biopsy was distributed proportionally between TIS and manual screening for both ASC-H and HGSIL categories. Cervical intraepithelial neoplasia (CIN II/III was identified on follow-up biopsy of 41% TIS cases and 45% manually screened cases for ASC-H. In the HGSIL subset 71

  7. Effect of Thin Prep(®) imaging system on laboratory rate and relative sensitivity of atypical squamous cells, high-grade squamous intraepithelial lesion not excluded and high-grade squamous intraepithelial lesion interpretations.

    Science.gov (United States)

    Koltz, Brooke R; Russell, Donna K; Lu, Naiji; Bonfiglio, Thomas A; Varghese, Sharlin

    2013-01-01

    Automated screening of Thin Prep(®) Papanicolaou Tests has become increasingly common in clinical practice. Increased productivity has initiated laboratory use of the Thin Prep(®) Imaging System (TIS). Increased sensitivity is a potential additional benefit of TIS. Published studies have shown an increase in discovery of dysplastic cells. This study evaluates the effect of TIS on the incidence of atypical squamous cells high-grade squamous intraepithelial lesion not excluded (ASC-H) and high-grade squamous intraepithelial lesion (HGSIL) results on Thin Prep(®) Pap Tests by comparing TIS-assisted and manual screening findings and the diagnoses on subsequent follow-up in a screening population over a 1-year time period. A compilation of all ASC-H and HGSIL cases was prepared by conducting a computerized search over a 1-year period (7/06-6/07). The accumulated cases include Thin Prep Pap tests that were both TIS and manually screened. Follow-up results of cytologic and histologic cervical specimens were obtained for a time period extending to 2010. Interpretation utilizing TIS was in place 10 months prior to the study's initiation. During the study period 70,522 Pap tests were performed in our laboratory. One third (33%) of Pap tests were screened with assistance of TIS. Manual screening was performed on 47,380 Pap tests of which 153 (0.32%) were interpreted as ASC-H and 164 (0.35%) were interpreted as HGSIL. During the same time period automated screening (TIS) was performed on 23,111 Pap tests. Interpretation of 62 (0.27%) cases provided an ASC-H result, while 71 (0.31%) were HGSIL. Follow-up cervical dysplasia by colposcopic biopsy and cone biopsy was distributed proportionally between TIS and manual screening for both ASC-H and HGSIL categories. Cervical intraepithelial neoplasia (CIN II/III) was identified on follow-up biopsy of 41% TIS cases and 45% manually screened cases for ASC-H. In the HGSIL subset 71% of TIS cases and 69% manually screened cases showed

  8. DEVELOPMENT OF AN EMAT IN-LINE INSPECTION SYSTEM FOR DETECTION, DISCRIMINATION, AND GRADING OF STRESS CORROSION CRACKING IN PIPELINES

    Energy Technology Data Exchange (ETDEWEB)

    Jeff Aron; Jeff Jia; Bruce Vance; Wen Chang; Raymond Pohler; Jon Gore; Stuart Eaton; Adrian Bowles; Tim Jarman

    2005-02-01

    This report describes prototypes, measurements, and results for a project to develop a prototype pipeline in-line inspection (ILI) tool that uses electromagnetic acoustic transducers (EMATs) to detect and grade stress corrosion cracking (SCC). The introduction briefly provides motivation and describes SCC, gives some background on EMATs and guided ultrasonic waves, and reviews promising results of a previous project using EMATs for SCC. The experimental section then describes lab measurement techniques and equipment, the lab mouse and prototypes for a mule, and scan measurements made on SCC. The mouse was a moveable and compact EMAT setup. The prototypes were even more compact circuits intended to be pulled or used in an ILI tool. The purpose of the measurements was to determine the best modes, transduction, and processing to use, to characterize the transducers, and to prove EMATs and mule components could produce useful results. Next, the results section summarizes the measurements and describes the mouse scans, processing, prototype circuit operating parameters, and performance for SH0 scans. Results are given in terms of specifications--like SNR, power, insertion loss--and parametric curves--such as signal amplitude versus magnetic bias or standoff, reflection or transmission coefficients versus crack depth. Initially, lab results indicated magnetostrictive transducers using both SH0 and SV1 modes would be worthwhile to pursue in a practical ILI system. However, work with mule components showed that SV1 would be too dispersive, so SV1 was abandoned. The results showed that reflection measurements, when normalized by the direct arrival are sensitive to and correlated with SCC. This was not true for transmission measurements. Processing yields a high data reduction, almost 60 to 1, and permits A and C scan display techniques and software already in use for pipeline inspection. An analysis of actual SH0 scan results for SCC of known dimensions showed that length

  9. SOCS3 Immunohistochemical Expression Seems to Support the 2005 and 2014 International Society of Urological Pathology (ISUP) Modified Gleason Grading System.

    Science.gov (United States)

    Pierconti, Francesco; Martini, Maurizio; Cenci, Tonia; Petrone, Gian Luigi; Ricci, Riccardo; Sacco, Emilio; Bassi, Pier Francesco; Larocca, Luigi Maria

    2017-05-01

    ) Fifty seven prostatic adenocarcinoma with classical Gleason grade 3 upgraded to Gleason grade 4 by 2005 and 2014 ISUP Consensus Conference; and (iii) Sixty five prostatic adenocarcinoma with classical and modified Gleason grade 4. Immunohistochemical analysis for SOCS3 was performed and SOCS3 staining intensity were evaluated by two pathologists in three different ways on the basis of the intensity of cytoplasmatic staining: positive (intense cytoplasmatic staining in more than 50% of neoplastic cells) (+), negative (absence of cytoplasmatic staining in more than 50% of neoplastic cells) (-), weakly positive (weak cytoplasmatic staining in more than 50% of neoplastic cells (+/-). In the group of prostatic adenocarcinoma Gleason grade 3 we found that SOCS3 positivity (+) were observed in 19 out of 26 cases (73.1%); in 5 out of 26 prostatic adenocarcinoma the neoplastic glands showed weak intensity SOCS3 staining (+/-) (19.2%), while in only two cases we found SOCS-3 negativity (-) (7.7%); in the group of cases with prostatic adenocarcinoma with Gleason grade 4, 16 out 65 cases (24.6%) showed SOCS3 positivity (+); 18 out 65 cases (27.7%) SOCS3 weakly positive (+/-), and in 31 cases (47.7%) SOCS3 negative staining (-) were observed. Interestingly, the group of prostatic adenocarcinoma with histological Gleason 3 pattern upgraded to Gleason 4 pattern according to the 2005 and 2014 ISUP modified grading system, showed SOCS3 positivity (+) in 16 out of 57 cases (28%), in 16 out 57 cases (28%) a weakly positive for SOCS3 (+/-) were observed, while 25 cases (44%) showed negative SOCS3 staining (-). In this study we demonstrated a significant association of SOCS3 positivity (+) with prostatic carcinoma classical Gleason pattern 3 (P ISUP). The hypoexpression of SOCS3 protein in glomeruloid glands could support the hypothesis that from molecular point of view this growth pattern could be different from classical Gleason pattern 3 and biologically more closely to Gleason pattern

  10. Self-tuning control algorithm design for vehicle adaptive cruise control system through real-time estimation of vehicle parameters and road grade

    Science.gov (United States)

    Marzbanrad, Javad; Tahbaz-zadeh Moghaddam, Iman

    2016-09-01

    The main purpose of this paper is to design a self-tuning control algorithm for an adaptive cruise control (ACC) system that can adapt its behaviour to variations of vehicle dynamics and uncertain road grade. To this aim, short-time linear quadratic form (STLQF) estimation technique is developed so as to track simultaneously the trend of the time-varying parameters of vehicle longitudinal dynamics with a small delay. These parameters are vehicle mass, road grade and aerodynamic drag-area coefficient. Next, the values of estimated parameters are used to tune the throttle and brake control inputs and to regulate the throttle/brake switching logic that governs the throttle and brake switching. The performance of the designed STLQF-based self-tuning control (STLQF-STC) algorithm for ACC system is compared with the conventional method based on fixed control structure regarding the speed/distance tracking control modes. Simulation results show that the proposed control algorithm improves the performance of throttle and brake controllers, providing more comfort while travelling, enhancing driving safety and giving a satisfactory performance in the presence of different payloads and road grade variations.

  11. The effectiveness of the Invisalign appliance in extraction cases using the the ABO model grading system: a multicenter randomized controlled trial

    Science.gov (United States)

    Li, Weihong; Wang, Shimei; Zhang, Yanzhen

    2015-01-01

    Objective: The aim of this study was to assess treatment outcomes of the Invisalign and compare results with braces. Methods: One hundred and fifty-two adult orthodontic patients, referred to two Orthodontic Specialist Clinics, were randomized to receive either invisalign or brace treatment. All patients were evaluated by using methods from the American Board of Orthodontics Phase III examination. The discrepancy index was used to analyze pretreatment records to control for initial severity of malocclusion. The objective grading system was used to systematically grade posttreatment records. The Wilcoxon 2-sample tests were used to evaluate treatment outcome of Invisalign and braces. Results: The total mean scores of the objective grading system categories were improved after treatment in both groups. The improvements were not statistically significant in scores for alignment, marginal ridges, occlusal relations, over jet, inter-proximal contacts, and root angulation. Invisalign scores were consistently lower than braces scores for buccolingual inclination and occlusal contacts. Conclusions: The overall improvement in OGS scores indicate that both Invisalign and fixed appliances were successful in treating Class I adult extraction cases in this sample. PMID:26221410

  12. Aggressive local therapy combined with systemic chemotherapy provides long-term control in grade II stage 2 canine mast cell tumour: 21 cases (1999-2012).

    Science.gov (United States)

    Lejeune, A; Skorupski, K; Frazier, S; Vanhaezebrouck, I; Rebhun, R B; Reilly, C M; Rodriguez, C O

    2015-09-01

    This retrospective case series evaluates the outcome of 21 dogs with grade II stage 2 mast cell tumour (MCT) treated with adequate local therapy and adjuvant systemic chemotherapy (prednisone, vinblastine and CCNU). The median survival for all dogs was 1359 days (range, 188-2340). Median disease-free interval was 2120 days (149-2325 days). Dogs treated with surgery and chemotherapy had shorter survival (median, 1103 days; 188-2010 days) than those that underwent surgery, radiation therapy and chemotherapy as part of their treatment (median, 2056 days; 300-2340 days). Two patients had local recurrence in the radiation field and four patients had de novo MCT. Distant metastasis was not observed in any dogs. The results of this study suggest that, in the presence of loco-regional lymph node metastasis in grade II MCT, the use of prednisone, vinblastine and CCNU after adequate local-regional therapy can provide a median survival in excess of 40 months.

  13. Cytological grading of breast carcinoma on fine needle aspirates and its relation with histological grading

    Directory of Open Access Journals (Sweden)

    Jyoti Prakash Phukan

    2015-01-01

    Full Text Available Background: Grading of breast carcinoma on fine needle aspiration cytology (FNAC is beneficial for selecting patients for neoadjuvant chemotherapy. Aims: To grade the breast carcinoma on FNAC using Robinson grading system and to assess the concordance of cytological grading (CG with histological grading (HG using Elston-Ellis modification of Scarff-Bloom-Richardson grading system. Materials and Methods: The study was conducted for 1-year, comprising of 50 female patients attending outpatient departments (OPD as well as admitted in various surgical wards of a teaching hospital, diagnosed as breast carcinoma. FNAC smears were stained with May-Grunwald-Giemsa and Papanicolaou (Pap stains and CG was done using Robinson system on Pap stained smears. The results were compared with HG system after resection of tumors. Results: Of 50 cases, 14 (28% cases were graded as grade I, 24 (48% grade II, and 12 (24% grade III by CG, whereas 9 (18%, 28 (56% and 13 (26% cases were graded as grade I, II and III by HG. The result showed overall 72% concordance of CG with HG, with grade II and grade III showing highest degree of concordance (83.33%, which is comparable to previous studies. Kappa measurement showed a higher degree of agreement in high-grade tumors compared with low-grade tumors (0.73 in grade III, 0.53 in grade II and 0.39 in grade I. Conclusion: Cytological grading is comparable to HG in majority of cases. Because neoadjuvant chemotherapy is becoming increasingly popular as primary treatment modality of breast cancer, CG could be a useful parameter in selecting the mode of therapy and predicting tumor behavior.

  14. Parametric and working fluid analysis of a combined organic Rankine-vapor compression refrigeration system activated by low-grade thermal energy.

    Science.gov (United States)

    Saleh, B

    2016-09-01

    The potential use of many common hydrofluorocarbons and hydrocarbons as well as new hydrofluoroolefins, i.e. R1234yf and R1234ze(E) working fluids for a combined organic Rankine cycle and vapor compression refrigeration (ORC-VCR) system activated by low-grade thermal energy is evaluated. The basic ORC operates between 80 and 40 °C typical for low-grade thermal energy power plants while the basic VCR cycle operates between 5 and 40 °C. The system performance is characterized by the overall system coefficient of performance (COPS) and the total mass flow rate of the working fluid for each kW cooling capacity ([Formula: see text]). The effects of different working parameters such as the evaporator, condenser, and boiler temperatures on the system performance are examined. The results illustrate that the maximum COPS values are attained using the highest boiling candidates with overhanging T-s diagram, i.e. R245fa and R600, while R600 has the lowest [Formula: see text] under the considered operating conditions. Among the proposed candidates, R600 is the best candidate for the ORC-VCR system from the perspectives of environmental issues and system performance. Nevertheless, its flammability should attract enough attention. The maximum COPS using R600 is found to reach up to 0.718 at a condenser temperature of 30 °C and the basic values for the remaining parameters.

  15. Parametric and working fluid analysis of a combined organic Rankine-vapor compression refrigeration system activated by low-grade thermal energy

    Directory of Open Access Journals (Sweden)

    B. Saleh

    2016-09-01

    Full Text Available The potential use of many common hydrofluorocarbons and hydrocarbons as well as new hydrofluoroolefins, i.e. R1234yf and R1234ze(E working fluids for a combined organic Rankine cycle and vapor compression refrigeration (ORC-VCR system activated by low-grade thermal energy is evaluated. The basic ORC operates between 80 and 40 °C typical for low-grade thermal energy power plants while the basic VCR cycle operates between 5 and 40 °C. The system performance is characterized by the overall system coefficient of performance (COPS and the total mass flow rate of the working fluid for each kW cooling capacity (ṁtotal. The effects of different working parameters such as the evaporator, condenser, and boiler temperatures on the system performance are examined. The results illustrate that the maximum COPS values are attained using the highest boiling candidates with overhanging T-s diagram, i.e. R245fa and R600, while R600 has the lowest ṁtotal under the considered operating conditions. Among the proposed candidates, R600 is the best candidate for the ORC-VCR system from the perspectives of environmental issues and system performance. Nevertheless, its flammability should attract enough attention. The maximum COPS using R600 is found to reach up to 0.718 at a condenser temperature of 30 °C and the basic values for the remaining parameters.

  16. Thermal rectification in graded materials.

    Science.gov (United States)

    Wang, Jiao; Pereira, Emmanuel; Casati, Giulio

    2012-07-01

    In order to identify the basic conditions for thermal rectification we investigate a simple model with nonuniform, graded mass distribution. The existence of thermal rectification is theoretically predicted and numerically confirmed, suggesting that thermal rectification is a typical occurrence in graded systems, which are likely to be natural candidates for the actual fabrication of thermal diodes. In view of practical implications, the dependence of rectification on the asymmetry and system's size is studied.

  17. Only a small fraction of high-grade cervical lesions are discovered after an interpretation of atypical squamous cells of undetermined significance when using imager-assisted, liquid-based papanicolaou tests and the Bethesda 2001 system.

    Science.gov (United States)

    Khan, Kelly A; Smith, Debora A; Thrall, Michael J

    2013-07-01

    Previous work has reported that most high-grade cervical neoplasia is seen in patients with preceding Papanicolaou test results of atypical squamous cells of undetermined significance. This information was based on conventional test results and the Bethesda 1991 reporting system and was determined before the current treatment guidelines. Our objective was to perform a retrospective review of all histologically confirmed, high-grade cervical neoplasia to determine the diagnosis of the preceding liquid-based Papanicolaou test. A total of 189 histologically confirmed, high-grade cervical intraepithelial neoplasia (CIN) cases grade 2 and greater were identified for a 1-year period. Of the 189 cases, 10 (5.3%) had a previous diagnosis of atypical squamous cells of undetermined significance; 55 (29.1%) had low-grade squamous intraepithelial lesions; 31 (16.4%) had low-grade squamous intraepithelial lesions, unable to rule out a high-grade squamous intraepithelial lesion; 21 (11.1%) had atypical squamous cells, unable to rule out a high-grade squamous intraepithelial lesion; 68 (36%) had high-grade squamous intraepithelial lesions; 1 (0.5%) had atypical glandular cells; 1 (0.5%) had adenocarcinoma in situ; and 2 (1%) had invasive carcinoma. Combined "low grade" Papanicolaou test results (atypical squamous cells of undetermined significance and low-grade squamous intraepithelial lesion) preceded 51 of 103 cases of CIN 2 (49.5%) and 14 of 103 cases (13.6%) of CIN 3/cancer, whereas "high grade" Papanicolaou test results (atypical squamous cells, unable to rule out a high-grade squamous intraepithelial lesion; low-grade squamous intraepithelial lesions, unable to rule out a high-grade squamous intraepithelial lesion; high-grade squamous intraepithelial lesions; atypical glandular cells; adenocarcinoma in situ; and invasive carcinoma) preceded 52 of 103 CIN 2 cases (50.5%) and 72 of 103 CIN 3/cancer cases (69.9%). Our data show that we can now more-reliably predict high-grade

  18. Performance investigation of a hospital-grade x-ray tube-based differential phase-contrast cone beam CT system

    Science.gov (United States)

    Yu, Yang; Ning, Ruola; Cai, Weixing; Liu, Jiangkun; Conover, David

    2012-03-01

    Differential phase contrast technique could be the next breakthrough in the field of CT imaging. While traditional absorption-based X-ray CT imaging is inefficient at differentiating soft tissues, phase-contrast technique offers great advantage as being able to produce higher contrast images utilizing the phase information of objects. Our long term goal is to develop a gantry-based hospital-grade X-ray tube differential phase contrast cone-beam CT (DPC-CBCT) technology which is able to achieve higher contrast noise ratio (CNR) in soft tissue imaging without increasing the dose level. Based on the micro-focus system built last year, a bench-top hospital-grade X-ray tube DPC-CBCT system is designed and constructed. The DPC-CBCT system consists of an X-ray source, i.e. a hospital-grade X-ray tube and a source grating, a high-resolution detector, a rotating phantom holder, a phase grating and an analyzer grating. Threedimensional (3-D) phase-coefficients are reconstructed, providing us with images enjoying higher CNR than, yet equivalent dose level to, a conventional CBCT scan. Three important aspects of the system are investigated: a) The The system's performance in term of CNR of the reconstruction image with regard to dose levels, b) the impacts of different phase stepping schemes, i.e. 5 steps to 8 steps, in term of CNR on the reconstruction images, and c) the influence of magnification or position of the phantom on image quality, chiefly CNR. The investigations are accomplished via phantom study.

  19. 后巩膜加固术在高度近视性黄斑病变手术中的应用%Application of posterior scleral reinforcement in high myopic maculopathy

    Institute of Scientific and Technical Information of China (English)

    施靖容; 樊莹; 赵婷婷

    2015-01-01

    The rate of blinding caused by high myopic maculopathy is high, vitrectomy is the most common treatment. However, the effectiveness of vitrectomy for high myopic patients who have serious posterior scleral staphyloma is not ideal. Recent years, posterior scleral reinforcement is used as a supplementary method with vitrectomy in clinical, treating for high myopic maculopathy. lt achieves a positive curative effect especially in macular foveoschisis and macular hole cases. ln this article, we introduced a review of history, current situation, material and surgery operand of scleral reinforcement. lt also makes a further discussion of its prospects used in retina surgery.%近视性黄斑病变致盲率高,常用治疗手段为玻璃体切割术,然而单纯玻璃体切割术对于已出现严重后巩膜葡萄肿的超高度近视患者疗效欠佳。近年来临床应用玻璃体切割术联合后巩膜加固术治疗高度近视继发眼底病变,特别在黄斑劈裂及黄斑裂孔病例中,疗效肯定,前景可期。我们针对近年来后巩膜加固术的材料与术式变迁作一全面综述,并进一步讨论其应用于眼底手术中的发展远景。

  20. Ki67, CD105, and α-SMA expressions better relate the binary oral epithelial dysplasia grading system of World Health Organization.

    Science.gov (United States)

    Gadbail, Amol Ramchandra; Chaudhary, Minal S; Sarode, Sachin C; Gawande, Madhuri; Korde, Sheetal; Tekade, Satyajit Ashok; Gondivkar, Shailesh; Hande, Alka; Maladhari, Rupesh

    2017-07-03

    The binary system of oral epithelial dysplasia (OED) has never been investigated with reference to the carcinogenesis-related biomarkers. Hence, Ki67, CD105, and α-SMA immune-expressions were studied in oral potentially malignant disorders (OPMDs) to assess their relationship with the binary OED grading system of World Health Organization. The study was carried out on paraffin-embedded tissues of 30 normal oral mucosa (NOM) and 140 OPMD cases. OPMD cases were classified into two groups "no/questionable/hyperkeratosis/mild"=low-risk epithelial dysplasia (LRED) and "moderate or severe"=high-risk epithelial dysplasia (HRED). The immunohistochemistry was carried out to evaluate the expression of Ki67, CD 105, and α-SMA antigen. According to the binary grading system of WHO, 69 (49.28%) cases were LRED, while 71 (50.71%) case showed HRED. There was significant increase in Ki67 labeling index (LI) from NOM to LRED to HRED (P=.000). Similarly, mean vascular density (MVD) also increased significantly from NOM to LRED to HRED (P=.000). The α-SMA expression was significantly higher in HERD compared to LRED and NOM (P=.000). A positive correlation was noted among Ki67 LI, MVD, and α-SMA expressions in NOM, LRED, and HRED (P=.000). The expressions of ki67, CD105, and α-SMA markers compliment binary grading system of OED in OPMDS, thus justifying its use in clinical practice. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  1. Automated Grading of Rough Hardwood Lumber

    Science.gov (United States)

    Richard W. Conners; Tai-Hoon Cho; Philip A. Araman

    1989-01-01

    Any automatic hardwood grading system must have two components. The first of these is a computer vision system for locating and identifying defects on rough lumber. The second is a system for automatically grading boards based on the output of the computer vision system. This paper presents research results aimed at developing the first of these components. The...

  2. Research Development of LAB Food-Grade Expression System%乳酸菌食品级表达系统的研究进展

    Institute of Scientific and Technical Information of China (English)

    苏松坤; 晏励民; 刘芳

    2012-01-01

    Lactic acid bacteria (LAB) has been widely used in food industry for centuries. In recent decades,the LAB food-grade expression systems have been established and developed since the potential use of these bacteria as homologous and heterlogous protein expression hosts has been investigated extensively. Here we briefly introduced the basic conditions and principles of the LAB food-grade expression systems ,we also summarized and tracked its lastest application development. According to the location of the LAB food-grade expression systems in the food economy, We prospect its application foreground in the areas as follows;food industry,medicine and health protection.%乳酸菌是一类广泛使用的工业菌.近几十年来,乳酸菌作为同源和异源蛋白表达的宿主菌的潜在应用已得到深入研究,在此基础上建立和发展了乳酸菌食品级基因表达系统.首先介绍了乳酸菌食品级表达系统的一些基本条件,表达和标记系统的适用原则,然后追踪其前沿应用进展情况,对乳酸菌食品级基因表达系统的最新应用进行了归纳,根据此表达系统在当前食品经济中的位置,对其在食品工业、医药和保健品等领域的应用前景进行了展望.

  3. University clinic and private practice treatment outcomes in Class I extraction and nonextraction patients: A comparative study with the American Board of Orthodontics Objective Grading System.

    Science.gov (United States)

    Mislik, Barbara; Konstantonis, Dimitrios; Katsadouris, Alexios; Eliades, Theodore

    2016-02-01

    The aim of this study was to compare treatment outcomes in university vs private practice settings with Class I patients using the American Board of Orthodontics Objective Grading System. A parent sample of 580 Class I patients treated with and without extractions of 4 first premolars was subjected to discriminant analysis to identify a borderline spectrum of 66 patients regarding the extraction modality. Of these patients, 34 were treated in private orthodontic practices, and 32 were treated in a university graduate orthodontic clinic. The treatment outcomes were evaluated using the 8 variables of the American Board of Orthodontics Objective Grading System. The total scores ranged from 10 to 47 (mean, 25.44; SD, 9.8) for the university group and from 14 to 45 (mean, 25.94; SD, 7.7) for the private practice group. The university group achieved better scores for the variables of buccolingual inclination (mean difference, 2.28; 95% confidence interval [CI], 0.59, 3.98; P = 0.01) and marginal ridges (mean difference, 1.32; 95% CI, 0.28, 2.36; P = 0.01), and the private practice group achieved a better score for the variable of root angulation (mean difference, -0.65; 95% CI, -1.26, -0.03; P = 0.04). However, no statistically intergroup differences were found between the total American Board of Orthodontics Objective Grading System scores (mean difference, -0.5; 95% CI, -3.82, 4.82; P = 0.82). Patients can receive similar quality of orthodontic treatment in a private practice and a university clinic. The orthodontists in the private practices were more successful in angulating the roots properly, whereas the orthodontic residents accomplished better torque control of the posterior segments and better marginal ridges. Copyright © 2016 American Association of Orthodontists. Published by Elsevier Inc. All rights reserved.

  4. Localized corrosion studies on materials proposed for a safety-grade sodium-to- air decay-heat removal system for fast breeder reactors

    Science.gov (United States)

    Kamachi Mudali, U.; Khatak, H. S.; Dayal, R. K.; Gnanamoorthy, J. B.

    1993-02-01

    The present investigation was carried out to assess the localized corrosion resistance of materials proposed for the construction of the safety-grade sodium-to-air decay-heat removal system for fast breeder reactors. The materials, such as Alloy 800,9Cr-lMo steel, and type 316LN stainless steel, in different microstructural conditions were assessed for pitting and stress-corrosion cracking resistances in a chloride medium. The results indicated that 9Cr-lMo steel in the normalized and tempered condition can be considered for the above application from the standpoint of corrosion resistance.

  5. THE DEVELOPMENT OF AN EXPERT SYSTEM IN THE AREA OF MATHMATICAL EDUCATION AT SCHOOL (8TH GRADE ON THE POLYLINGUALISM PLATFORM (RUSSIAN-TATAR-ENGLISH

    Directory of Open Access Journals (Sweden)

    Nurgaliev Albert Rustemovich

    2013-02-01

    Full Text Available With the increasing workload of a teacher arises a problem of fast diagnosing the deterioration of pupils’ academic performance with the corresponding differentiation of the academic workload. To cope with this problem an Expert System (ES has been developed, which is capable of consulting a teacher in questions related to the techniques of teaching a subject, from the analysis of pupils’ academic performance. The article uncovers the general didactic concepts of developing an ES in educational area on the example of teaching Algebra subject for the 8th grades based on polylingualism. During this research the architecture of the ES has been developed. In addition innovative approaches in analysis and processing of relevant data by the ES have been implemented in the form of a computer application. The model of analyzing pupils’ academic performance represented in grades is used as a basis for building an individual educational strategy. The system automatically selects the most optimal academic load for each individual pupil as well as for the entire class. This helps achieving flexibility during developing and realization of the study course. Due to the fact that some of the responsibilities of the teacher are taken by the ES, the teacher’s workload decreases, at the same time increasing the quality of education. The system is capable of analyzing current academic performance of each individual pupil in real time and depending on the improvement or deterioration in pupil performance it differentiates the load of a particular student for instance by generating individual homework exercises.

  6. The North Carolina State Testing Results. Preliminary State - Level Data Only. Multiple-Choice. Grade 3 Pretest. End-of-Grade (Grades 3-8); and End-of-Course Tests. Reporting on the State and 117 Public School Systems and 92 Charter Schools. "The Green Book."

    Science.gov (United States)

    North Carolina State Dept. of Public Instruction, Raleigh. Div. of Accountability.

    This book contains data reported to the North Carolina Department of Public Instruction before August 12, 2002 about state testing results. It contains preliminary 2001-2002 state testing results for: (1) grade 3 pretest, in reading and mathematics; (2) end-of-grade tests at grades 3 through 8, multiple choice tests; (3) alternate assessment…

  7. Effect of Thin Prep(®) imaging system on laboratory rate and relative sensitivity of atypical squamous cells, high-grade squamous intraepithelial lesion not excluded and high-grade squamous intraepithelial lesion interpretations

    National Research Council Canada - National Science Library

    Koltz, Brooke R; Russell, Donna K; Lu, Naiji; Bonfiglio, Thomas A; Varghese, Sharlin

    2013-01-01

    .... Published studies have shown an increase in discovery of dysplastic cells. This study evaluates the effect of TIS on the incidence of atypical squamous cells high-grade squamous intraepithelial lesion not excluded (ASC-H...

  8. 基于Excel深层应用的考试和阅卷系统%Examination and Grading System Based on Excel Deep Application

    Institute of Scientific and Technical Information of China (English)

    刘凌波; 刘苏淮

    2015-01-01

    Based on the curriculum of the excel deep application in the economy and statistics,the examination and grading system is developed accordingly.There're realized the processes of examination questions management,generating test paper automatically,auto-grading,examination paper analysis.Especially,the marking processes of operation questions are achieved.The system makes the examination process more fair and justice.It also aims to alleviate the workload for teachers and promote the efficiency.%针对Excel在经济统计中的深层应用课程开发了相应的考试和阅卷系统,实现了试题管理、自动组卷、自动阅卷、试卷分析的过程,特别是解决了操作题的阅卷环节,使考试过程更加公平、公正,减少了教师的工作量,提高了工作效率。

  9. Different HPMC viscosity grades as coating agents for an oral time and/or site-controlled delivery system: an investigation into the mechanisms governing drug release.

    Science.gov (United States)

    Zema, L; Maroni, A; Foppoli, A; Palugan, L; Sangalli, M E; Gazzaniga, A

    2007-06-01

    When used as release-controlling coating agents for tableted core-based pulsatile delivery systems, three different hydroxypropyl methylcellulose (HPMC) grades, Methocel E5, E50, and K4M, provided lag phases of varying duration (Methocel K4M > E50 > E5) and a prompt and quantitative model drug release. Dissolution/mechanical erosion, permeability increase and disruption of the hydrated polymeric layer were assumed to participate in the definition of the overall release pattern. Based on these premises, we investigated what process(es) might prevail in the release-controlling mechanism for each HPMC grade. The polymers were evaluated for dissolution and swelling, while the finished systems were concomitantly evaluated for drug release and polymer dissolution. The obtained results indicated likely similarities between Methocel E5 and E50 performances, which we hypothesized to be mainly dissolution/erosion-controlled, and a clearly different behavior for Methocel K4M. This polymer indeed proved to yield higher viscosity and slower dissolving gel layer, which was able to withstand extensive dissolution/erosion for periods that exceeded the observed lag phases. The particular characteristics of swollen Methocel K4M were shown to be associated with possible drug diffusion phenomena, which might impair the prompt and quantitative release phase that is typical of pulsatile delivery.

  10. Vascular grading of angiogenesis

    DEFF Research Database (Denmark)

    Hansen, S; Grabau, D A; Sørensen, Flemming Brandt;

    2000-01-01

    was moderately reproduced (kappa = 0.59). Vascular grade was significantly associated with axillary node involvement, tumour size, malignancy grade, oestrogen receptor status and histological type. In univariate analyses vascular grade significantly predicted recurrence free survival and overall survival for all...... patients (P analysis showed that vascular grading contributed with independent prognostic value in all patients (P

  11. Age-Related Grade Inflation Expectancies in a University Environment

    Directory of Open Access Journals (Sweden)

    Donald A. Loffredo

    2012-01-01

    Full Text Available Grade inflation is a recognized problem in higher education in the United States. Age, gender, and ethnic differences in discrepancies between student reports of their expected grade in each course and their expectations for general university grading practices were explored in a survey of 166 (mostly female participants at a small upper-division university. Results revealed that while a small minority of students agreed that grading systems in college should only include A or B grades, a large majority of students expected A or B grades. Thus, student discrepancies between their expectations for grading systems and their expected class grades were in line with expectations that they should receive inflated grades. Results also revealed statistically significant age differences in grade expectation with students older than the age of 55 expecting lower grades relative to their younger counterparts.

  12. What's in a Grade? Grading Policies and Practices in Principles of Economics

    Science.gov (United States)

    Walstad, William B.; Miller, Laurie A.

    2016-01-01

    Survey results from a national sample of economics instructors describe the grading policies and practices in principles of economics courses. The survey results provide insights about absolute and relative grading systems used by instructors, the course components and their weights that determine grades, and the type of assessment items used for…

  13. What's in a Grade? Grading Policies and Practices in Principles of Economics

    Science.gov (United States)

    Walstad, William B.; Miller, Laurie A.

    2016-01-01

    Survey results from a national sample of economics instructors describe the grading policies and practices in principles of economics courses. The survey results provide insights about absolute and relative grading systems used by instructors, the course components and their weights that determine grades, and the type of assessment items used for…

  14. Survival Analyses for Patients With Surgically Resected Pancreatic Neuroendocrine Tumors by World Health Organization 2010 Grading Classifications and American Joint Committee on Cancer 2010 Staging Systems.

    Science.gov (United States)

    Yang, Min; Ke, Neng-wen; Zeng, Lin; Zhang, Yi; Tan, Chun-lu; Zhang, Hao; Mai, Gang; Tian, Bo-le; Liu, Xu-bao

    2015-12-01

    In 2010, World Health Organization (WHO) reclassified pancreatic neuroendocrine tumors (p-NETs) into 4 main groups: neuroendocrine tumor G1 (NET G1), neuroendocrine tumor G2 (NET G2), neuroendocrine carcinoma G3 (NEC G3), mixed adeno and neuroendocrine carcinoma (MANEC). Clinical value of these newly updated WHO grading criteria has not been rigorously validated. The authors aimed to evaluate the clinical consistency of the new 2010 grading classifications by WHO and the 2010 tumor-node metastasis staging systems by American Joint Committee on Cancer (AJCC) on survivals for patients with surgically resected p-NETs. Moreover, the authors would validate the prognostic value of both criteria for p-NETs.The authors retrospectively collected the clinicopathologic data of 120 eligible patients who were all surgically treated and histopathologically diagnosed as p-NETs from January 2004 to February 2014 in our single institution. The new WHO criteria were assigned to 4 stratified groups with a respective distribution of 62, 35, 17, and 6 patients. Patients with NET G1 or NET G2 obtained a statistically better survival compared with those with NEC G3 or MANEC (P systems were respectively defined in 61, 36, 12, and 11 patients for each stage. Differences of survivals of stage I with stage III and IV were significant (P systems were both significant in univariate and multivariate analysis (P systems could consistently reflect the clinical outcome of patients with surgically resected p-NETs. Meanwhile, both criteria could be independent predictors for survival analysis of p-NETs.

  15. Studies on Interfacial Phenomena in Titanium Carbide/Liquid Steel Systems for Development of Functionally Graded Material

    Science.gov (United States)

    Kiviö, Miia; Holappa, Lauri; Louhenkilpi, Seppo; Nakamoto, Masashi; Tanaka, Toshihiro

    2016-08-01

    In modern materials' applications, versatile, often contradictory requirements are set for properties like high strength, hardness, and toughness. However, e.g., in steel castings, typically only certain surfaces should be hard and wear resistant, whereas the other "bulk" might have only standard properties. Then the critical parts of the surface should be "locally reinforced" to get functionally graded material. Expensive alloying elements are saved, and manufacturing stages are minimized. Titanium carbide is an extremely hard material widely applied in carbide tools. It could be used to reinforce steel castings. When TiC particles are added to liquid steel, wettability, stability, and dissolution are key phenomena that should be understood to better design and control manufacturing processes. In this work, the interfacial phenomena and reactions between TiC and iron/steel melts were examined by wetting experiments with special emphasis on the influence of Cr, Ni, and Mo. No significant effect on wettability was observed by Ni or Mo. High Cr melts showed somewhat higher contact angles. Partial penetration of liquid metal took place in the substrate along the grain boundaries. Ni seemed to promote penetration. During longer experiments, re-precipitation of carbides occurred on the liquid droplet influencing the apparent wetting angle. Cr and Mo promoted carbide formation.

  16. An Analysis of the Education Systems in Mexico and the United States from Pre-Kinder to 12 Grade

    Science.gov (United States)

    Rosado, Luis A.; Hellawell, Marisa; Zamora, Ezequiel Benedicto

    2011-01-01

    This article provides an overview of the public school system in Mexico from early childhood to high school, and compares it with the American education system. It also identifies educational terminology and concepts unique to the Mexican system that can become possible sources of conflict and confusion for American educators. (Contains 7…

  17. Clinical prognostic factors and grading system for rib fracture following stereotactic body radiation therapy (SBRT) in patients with peripheral lung tumors.

    Science.gov (United States)

    Kim, Su Ssan; Song, Si Yeol; Kwak, Jungwon; Ahn, Seung Do; Kim, Jong Hoon; Lee, Jung Shin; Kim, Woo Sung; Kim, Sang-We; Choi, Eun Kyung

    2013-02-01

    Several studies reported rib fractures following stereotactic body radiation therapy (SBRT) for peripheral lung tumors. We tried to investigate risk factors and grading system for rib fractures after SBRT. Of 375 primary or metastatic lung tumors (296 patients) which were treated with SBRT at the Asan Medical Center (2006-2009), 126 lesions (118 patients) were adjacent to the chest-wall (6 months; these were investigated in the present retrospective study. Three to four fractional doses of 10-20 Gy were delivered to 85-90% iso-dose volume of the isocenter dose. Rib fracture grade was defined from follow-up CT scans as the appearance of a fracture line (Gr1), dislocation of the fractured rib by more than half the rib diameter (Gr2), or the appearance of adjacent soft tissue edema (Gr3). Chest wall pain was assessed according to the Common Terminology Criteria for Adverse Events (CTCAE) v3.0. Correlations between dose-volume data and the development of rib fracture were then analyzed. The Kaplan-Meier method, log-rank tests, and chi-square tests were used for statistical analysis. The median age of the patients was 69 years (range: 19-90). Over a median follow-up period of 22 months (range: 7-62), 48 cases of rib fracture were confirmed. Median time to rib fracture was 17 months (range: 4-52). The 2-year actuarial risk of rib fracture was 42.4%. Maximal grade was Gr1 (n=28), Gr2 (n=8), or Gr3 (n=15). The incidence of moderate to severe chest wall pain (CTCAE Gr ≥ 2) increased with maximal fracture grade (17.5% for Gr0-1 and 60.9% for Gr2-3; prib fracture in the present study. Efforts to decrease chest wall dose should be made to reduce the risk of the rib fracture, particularly in high-risk patients. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  18. Targeted Next-Generation Sequencing in Molecular Subtyping of Lower-Grade Diffuse Gliomas: Application of the World Health Organization's 2016 Revised Criteria for Central Nervous System Tumors.

    Science.gov (United States)

    Carter, Jamal H; McNulty, Samantha N; Cimino, Patrick J; Cottrell, Catherine E; Heusel, Jonathan W; Vigh-Conrad, Katinka A; Duncavage, Eric J

    2017-03-01

    The 2007 World Health Organization Classification of Tumours of the Central Nervous System classifies lower-grade gliomas [LGGs (grades II to III diffuse gliomas)] morphologically as astrocytomas or oligodendrogliomas, and tumors with unclear ambiguous morphology as oligoastrocytomas. The World Health Organization's newly released (2016) classification incorporates molecular data. A single, targeted next-generation sequencing (NGS) panel was used for detecting single-nucleotide variation and copy number variation in 50 LGG cases originally classified using the 2007 criteria, including 36 oligoastrocytomas, 11 oligodendrogliomas, 2 astrocytomas, and 1 LGG not otherwise specified. NGS results were compared with those from IHC analysis and fluorescence in situ hybridization to assess concordance and to categorize the tumors according to the 2016 criteria. NGS results were concordant with those from IHC analysis in all cases. In 3 cases, NGS was superior to fluorescence in situ hybridization in distinguishing segmental chromosomal losses from whole-arm deletions. The NGS approach was effective in reclassifying 36 oligoastrocytomas as 30 astrocytomas (20 IDH1/2 mutant and 10 IDH1/2 wild type) and 6 oligodendrogliomas, and 1 oligodendroglioma as an astrocytoma (IDH1/2 mutant). Here we show that a single, targeted NGS assay can serve as the sole testing modality for categorizing LGG according to the World Health Organization's 2016 diagnostic scheme. This modality affords greater accuracy and efficiency while reducing specimen tissue requirements compared with multimodal approaches.

  19. Advantages and Disadvantages of Weighted Grading. Research Brief

    Science.gov (United States)

    Walker, Karen

    2004-01-01

    What are the advantages and disadvantages of weighted grading? The primary purpose of weighted grading has been to encourage high school students to take more rigorous courses. This effort is then acknowledged by more weight being given to the grade for a specified class. There are numerous systems of weighted grading cited in the literature from…

  20. Establishing an appropriate mode of comparison for measuring the performance of marbling score output from video image analysis beef carcass grading systems.

    Science.gov (United States)

    Moore, C B; Bass, P D; Green, M D; Chapman, P L; O'Connor, M E; Yates, L D; Scanga, J A; Tatum, J D; Smith, G C; Belk, K E

    2010-07-01

    A beef carcass instrument grading system that improves accuracy and consistency of marbling score (MS) evaluation would have the potential to advance value-based marketing efforts and reduce disparity in quality grading among USDA graders, shifts, and plants. The objectives of this study were to use output data from the Video Image Analysis-Computer Vision System (VIA-CVS, Research Management Systems Inc., Fort Collins, CO) to develop an appropriate method by which performance of video image analysis MS output could be evaluated for accuracy, precision, and repeatability for purposes of seeking official USDA approval for using an instrument in commerce to augment assessment of quality grade, and to use the developed standards to gain approval for VIA-CVS to assist USDA personnel in assigning official beef carcass MS. An initial MS output algorithm was developed (phase I) for the VIA-CVS before 2 separate preliminary instrument evaluation trials (phases II and III) were conducted. During phases II and III, a 3-member panel of USDA expert graders independently assigned MS to 1,068 and 1,242 stationary carcasses, respectively. Mean expert MS was calculated for each carcass. Additionally, a separate 3-member USDA expert panel developed a consensus MS for each carcass in phase III. In phase II, VIA-CVS stationary triple-placement and triple-trigger instrument repeatability values (n = 262 and 260, respectively), measured as the percentage of total variance explained by carcasses, were 99.9 and 99.8%, respectively. In phases II and III, 95% of carcasses were assigned expert MS for which differences between individual expert MS, and for which the consensus MS in phase III only, was < or = 96 MS units. Two differing approaches to simple regression analysis, as well as a separate method-comparability analysis that accommodates error in both dependent and independent variables, were used to assess accuracy and precision of instrument MS predictions vs. mean expert MS. Method

  1. Evidence for chronic low-grade systemic inflammation in individuals with agoraphobia from a population-based prospective study.

    Directory of Open Access Journals (Sweden)

    En-Young N Wagner

    Full Text Available Anxiety disorders have been linked to an increased risk of incident coronary heart disease in which inflammation plays a key pathogenic role. To date, no studies have looked at the association between proinflammatory markers and agoraphobia.In a random Swiss population sample of 2890 persons (35-67 years, 53% women, we diagnosed a total of 124 individuals (4.3% with agoraphobia using a validated semi-structured psychiatric interview. We also assessed socioeconomic status, traditional cardiovascular risk factors (i.e., body mass index, hypertension, blood glucose levels, total cholesterol/high-density lipoprotein-cholesterol ratio, and health behaviors (i.e., smoking, alcohol consumption, and physical activity, and other major psychiatric diseases (other anxiety disorders, major depressive disorder, drug dependence which were treated as covariates in linear regression models. Circulating levels of inflammatory markers, statistically controlled for the baseline demographic and health-related measures, were determined at a mean follow-up of 5.5 ± 0.4 years (range 4.7 - 8.5.Individuals with agoraphobia had significantly higher follow-up levels of C-reactive protein (p = 0.007 and tumor-necrosis-factor-α (p = 0.042 as well as lower levels of the cardioprotective marker adiponectin (p = 0.032 than their non-agoraphobic counterparts. Follow-up levels of interleukin (IL-1β and IL-6 did not significantly differ between the two groups.Our results suggest an increase in chronic low-grade inflammation in agoraphobia over time. Such a mechanism might link agoraphobia with an increased risk of atherosclerosis and coronary heart disease, and needs to be tested in longitudinal studies.

  2. Economics of Grading and Sorting Pallet Parts

    Science.gov (United States)

    Daniel L. Schmoldt; John A. McLeod; Philip A. Araman

    1993-01-01

    Before trying to develop an automated inspection system for pallet part grading we analyzed the economics of such a system. Our results suggest that higher quality pallets produced by grading and sorting pallet parts would be attractive to both manufacturers and their customers, who would have to pay increased prices for higher quality pallets. Reductions in cost-per-...

  3. Red Light-Green Light: A Classwide Management System for Students with Behavior Disorders in Primary Grades.

    Science.gov (United States)

    Barbetta, Patricia M.

    1990-01-01

    Red Light-Green Light is a levels system providing immediate behavior modification feedback and varying privilege levels throughout the school day for primary students with behavior disorders. This article presents guidelines for implementation, covering development of classroom rules, classroom expectations, and system maintenance. Tips for…

  4. Almost Graded Prime Ideals

    Directory of Open Access Journals (Sweden)

    Ameer Jaber

    2008-01-01

    Full Text Available Problem Statement: Graded commutative ring with unity over an abelian group were introduced by many authors such as T. Y. Lam and C. T. C. Wall, and almost prime ideals over commutative rings with unity were introduced by S.M. Batwadeker and P.K. Sharma, and this forced us to try to extend the theory of almost and n-almost prime ideals to the graded case. Approach: We develop the theory of almost and n-almost prime ideals to the graded case. Results: We extended some basic results about almost and n-almost prime ideals to the graded case, and then we gave a relationship between n-almost graded prime ideals and weakly graded prime ideals. Conclusion: The extended results about almost and n-almost graded prime ideals allow us to classify further properties about almost graded prime ideals. 2000 AMS Mathematics Subject Classification: 13 A 02.

  5. Preliminary Design of Compact Condenser in an Organic Rankine Cycle System for the Low Grade Waste Heat Recovery

    Directory of Open Access Journals (Sweden)

    Roberto Capata

    2014-11-01

    Full Text Available The aim of this paper is to present a thermodynamic cycle for the production of electrical power in the 2–5 kW range, suitable for all types of thermally propelled vehicles. The sensible heat recovered from the exhaust gases feeds the energy recovery system, which is able to produce sufficient power to sustain the air conditioning system or other auxiliaries. The working fluids R134a and R245fa have been used in the ORC system, and the systems are simulated by CAMEL-ProTM software. The cycles are generated starting from the same heat source: the exhaust gas of a typical 2.0 L Diesel engine (or from a small size turbine engine. The design of the condenser has been performed to obtain a very compact component, evaluating the heat exchanger tube and fins type design. Through empirical formulas, the area of heat exchange, the heat required to exchange and the pressure drop in the element have been calculated. A commercial software package is used to build the model of the condenser, then a thermal and mechanical analysis and a CFD analysis are realized to estimate the heat exchange. Finally the evaluations, the possible future studies and possible improvements of the system are shown.

  6. Usability and Performance Measure of a Consumer-grade Brain Computer Interface System for Environmental Control by Neurological Patients

    Directory of Open Access Journals (Sweden)

    Farzin Deravi

    2015-07-01

    Full Text Available With the increasing incidence and prevalence of chronic brain injury patients and the current financial constraints in healthcare budgets, there is a need for a more intelligent way to realise the current practice of neuro-rehabilitation service provision. Brain-computer Interface (BCI systems have the potential to address this issue to a certain extent only if carefully designed research can demonstrate that these systems are accurate, safe, cost-effective, are able to increase patient/carer satisfaction and enhance their quality of life. Therefore, one of the objectives of the proposed study was to examine whether participants (patients with brain injury and a sample of reference population were able to use a low cost BCI system (Emotiv EPOC to interact with a computer and to communicate via spelling words. Patients participated in the study did not have prior experience in using BCI headsets so as to measure the user experience in the first-exposure to BCI training. To measure emotional arousal of participants we used an ElectroDermal Activity Sensor (Qsensor by Affectiva. For the signal processing and feature extraction of imagery controls the Cognitive Suite of Emotiv's Control Panel was used. Our study reports the key findings based on data obtained from a group of patients and a sample reference population and presents the implications for the design and development of a BCI system for communication and control. The study also evaluates the performance of the system when used practically in context of an acute clinical environment

  7. Hybrid Pressure Retarded Osmosis-Membrane Distillation System for Power Generation from Low-Grade Heat: Thermodynamic Analysis and Energy Efficiency

    Energy Technology Data Exchange (ETDEWEB)

    Lin, SH; Yip, NY; Cath, TY; Osuji, CO; Elimelech, M

    2014-05-06

    We present a novel hybrid membrane system that operates as a heat engine capable of utilizing low-grade thermal energy, which is not readily recoverable with existing technologies. The closed-loop system combines membrane distillation (MD), which generates concentrated and pure water streams by thermal separation, and pressure retarded osmosis (PRO), which converts the energy of mixing to electricity by a hydro-turbine. The PRO-MD system was modeled by coupling the mass and energy flows between the thermal separation (MD) and power generation (PRO) stages for heat source temperatures ranging from 40 to 80 degrees C and working concentrations of 1.0, 2.0, and 4.0 mol/kg NaCl. The factors controlling the energy efficiency of the heat engine were evaluated for both limited and unlimited mass and heat transfer kinetics in the thermal separation stage. In both cases, the relative flow rate between the MD permeate (distillate) and feed streams is identified as an important operation parameter. There is an optimal relative flow rate that maximizes the overall energy efficiency of the PRO-MD system for given working temperatures and concentration. In the case of unlimited mass and heat transfer kinetics, the energy efficiency of the system can be analytically determined based on thermodynamics. Our assessment indicates that the hybrid PRO-MD system can theoretically achieve an energy efficiency of 9.8% (81.6% of the Carnot efficiency) with hot and cold working temperatures of 60 and 20 degrees C, respectively, and a working solution of 1.0 M NaCl. When mass and heat transfer kinetics are limited, conditions that more closely represent actual operations, the practical energy efficiency will be lower than the theoretically achievable efficiency. In such practical operations, utilizing a higher working concentration will yield greater energy efficiency. Overall, our study demonstrates the theoretical viability of the PRO-MD system and identifies the key factors for

  8. Hybrid pressure retarded osmosis-membrane distillation system for power generation from low-grade heat: thermodynamic analysis and energy efficiency.

    Science.gov (United States)

    Lin, Shihong; Yip, Ngai Yin; Cath, Tzahi Y; Osuji, Chinedum O; Elimelech, Menachem

    2014-05-06

    We present a novel hybrid membrane system that operates as a heat engine capable of utilizing low-grade thermal energy, which is not readily recoverable with existing technologies. The closed-loop system combines membrane distillation (MD), which generates concentrated and pure water streams by thermal separation, and pressure retarded osmosis (PRO), which converts the energy of mixing to electricity by a hydro-turbine. The PRO-MD system was modeled by coupling the mass and energy flows between the thermal separation (MD) and power generation (PRO) stages for heat source temperatures ranging from 40 to 80 °C and working concentrations of 1.0, 2.0, and 4.0 mol/kg NaCl. The factors controlling the energy efficiency of the heat engine were evaluated for both limited and unlimited mass and heat transfer kinetics in the thermal separation stage. In both cases, the relative flow rate between the MD permeate (distillate) and feed streams is identified as an important operation parameter. There is an optimal relative flow rate that maximizes the overall energy efficiency of the PRO-MD system for given working temperatures and concentration. In the case of unlimited mass and heat transfer kinetics, the energy efficiency of the system can be analytically determined based on thermodynamics. Our assessment indicates that the hybrid PRO-MD system can theoretically achieve an energy efficiency of 9.8% (81.6% of the Carnot efficiency) with hot and cold working temperatures of 60 and 20 °C, respectively, and a working solution of 1.0 M NaCl. When mass and heat transfer kinetics are limited, conditions that more closely represent actual operations, the practical energy efficiency will be lower than the theoretically achievable efficiency. In such practical operations, utilizing a higher working concentration will yield greater energy efficiency. Overall, our study demonstrates the theoretical viability of the PRO-MD system and identifies the key factors for performance

  9. Development of Real Time Operating System for Safety Grade PLC (POSAFE-Q) for Nuclear Power Plants

    Energy Technology Data Exchange (ETDEWEB)

    Son, Han Seong [ENESYS, Taejon (Korea, Republic of); Hwang, Sung Jae [POSCON, Seoul (Korea, Republic of); Lee, Young Joon; Kim, Chang Hwoi; Lee, Dong Young [Korea Atomic Energy Research Institute, Taejon (Korea, Republic of)

    2006-07-01

    POSAFE-Q is a newly developed programmable logic controller (PLC) in order to apply to digital safety system of nuclear power plants (NPP) according to Nuclear Power Plant safety requirements. POSAFE-Q hardware and software development process, including design, review, verification and validation, and configuration control and quality assurance, satisfies the requirements imposed by 10CFR50, Appendix B. This article introduces a real time operating system pCOS, which is the core of POSAFE-Q. Section 2 describes the structure of pCOS. Section 3 describes a few important features of pCOS, which are necessary to the application for the digital safety system of NPP.0.

  10. GRADE Equity Guidelines 3

    DEFF Research Database (Denmark)

    Welch, Vivian A; Akl, Elie A; Pottie, Kevin

    2017-01-01

    OBJECTIVE: The aim of this paper is to describe a conceptual framework for how to consider health equity in the GRADE (Grading Recommendations Assessment and Development Evidence) guideline development process. STUDY DESIGN AND SETTING: Consensus-based guidance developed by the GRADE working grou...

  11. Gleason and Fuhrman no longer make the grade.

    Science.gov (United States)

    Delahunt, Brett; Egevad, Lars; Samaratunga, Hemamali; Martignoni, Guido; Nacey, John N; Srigley, John R

    2016-03-01

    Grading is an important prognostic parameter for prostate adenocarcinoma and renal cell carcinoma (RCC); however, the most frequently used classifications fail to account for advances in our understanding of the diagnostic features, classification and/or behaviour of these tumours. In 2005 and 2014, the International Society of Urological Pathology (ISUP) proposed changes to Gleason scoring with the adoption of the ISUP grading for prostate cancer in 2014 (grade 1, score 3 + 3; grade 2, score 3 + 4; grade 3, score 4 + 3; grade 4, score 8; grade 5, score 9-10). Internationally the Fuhrman grading system is widely employed despite criticisms related to its application, validity, and reproducibility. In 2012, the ISUP established a grading system for RCC (grade 1, the nucleolus is not seen or is inconspicuous and basophilic at ×400 magnification; grade 2, nucleoli are eosinophilic and clearly visible at ×400 magnification; grade 3, nucleoli are clearly visible at ×100 magnification; grade 4, tumours show extreme pleomorphism or rhabdoid and/or sarcomatoid morphology). This grading has been validated for clear cell RCC and papillary RCC. It was further recommended that chromophobe RCC not be graded. For other morphotypes of RCC, ISUP grading has not been validated as a prognostic parameter, but can be used for descriptive purposes. © 2015 John Wiley & Sons Ltd.

  12. Correlation of expression pattern of aquaporin-1 in primary central nervous system tumors with tumor type, grade, proliferation, microvessel density, contrast-enhancement and perilesional edema

    Directory of Open Access Journals (Sweden)

    Prabal Deb

    2012-01-01

    Conclusions: AQP1-immunoexpression had a good correlation with high-grade tumors. AQP-upregulation in perilesional areas of high-grade tumors suggests its role in vasogenic edema. Further studies involving other AQP molecules, vascular endothelial growth factor (VEGF and hypoxia inducible factor-1 α (HIF-1α should be undertaken to evaluate its possible role as a potential surrogate marker of high-grade tumors heralding poor outcome, inhibition of which may serve as the basis for future targeted therapy.

  13. FY 1999 report on the results of the joint demonstrative project on the environmentally friendly type coal utilization system. Demonstrative project on the low grade coal combustion system - Zhejiang Huba Group Co.; 1999 nendo kankyo chowa gata sekitan riyo system kyodo jissho jigyo. Teihin'i tan nensho system ni kakawaru jissho jigyo (Yoko Koha shudan koshi)

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-03-01

    The demonstrative project on the low grade coal combustion system that makes the reduction of sulfur oxide emissions possible was conducted jointly with China taking a positive attitude to the introduction of the low grade coal combustion technology, and the FY 1999 results were reported. As to the low grade coal combustion system, low grade coal is burned using the circulating fluidized bed boiler which burns coal by uniform mixture/circulation of coal and particles (limestone, ash, etc.) In this fiscal year, the design/manufacture were made of electric instrumentation equipment, electrostatic precipitator, boiler structuring accessory equipment, etc. Further, by supervisors sent to China, technical guidance/supervision were given for the installation work and trial operation. As to the training of operators, by engineers sent to China, training/guidance were given using a leaflet of the gist of trial operation, explanatory leaflet of handling, leaflet of the gist of maintenance/inspection, etc. The test to confirm boiler efficiency was made on September 27, 1999, and confirmed the predetermined performance. The demonstrative test was conducted continuously till March 2000 and demonstrated the practical applicability of the low grade coal combustion and reduction in environmental loads using the circulating fluidized bed boiler. (NEDO)

  14. A Study of a Collaborative Instructional Project Informed by Systemic Functional Linguistic Theory: Report Writing in Elementary Grades

    Science.gov (United States)

    Brisk, Maria Estela; Hodgson-Drysdale, Tracy; O'Connor, Cheryl

    2011-01-01

    This study examined the teaching of report writing in PreK-5 through the lens of systemic functional linguistics theory. Teachers were part of a university-public school collaboration that included professional development on teaching genres, text organization, and language features. Grounded in this knowledge, teachers explicitly taught report…

  15. Evaluation of the food grade expression systems NICE and pSIP for the production of 2,5-diketo-D-gluconic acid reductase from Corynebacterium glutamicum.

    Science.gov (United States)

    Kaswurm, Vanja; Nguyen, Tien-Thanh; Maischberger, Thomas; Kulbe, Klaus D; Michlmayr, Herbert

    2013-01-28

    2,5-diketo-D-gluconic acid reductase (2,5-DKG reductase) catalyses the reduction of 2,5-diketo-D-gluconic acid (2,5-DKG) to 2-keto-L-gulonic acid (2-KLG), a direct precursor (lactone) of L-ascorbic acid (vitamin C). This reaction is an essential step in the biocatalytic production of the food supplement vitamin C from D-glucose or D-gluconic acid. As 2,5-DKG reductase is usually produced recombinantly, it is of interest to establish an efficient process for 2,5-DKG reductase production that also satisfies food safety requirements. In the present study, three recently described food grade variants of the Lactobacillales based expression systems pSIP (Lactobacillus plantarum) and NICE (Lactococcus lactis) were evaluated with regard to their effictiveness to produce 2,5-DKG reductase from Corynebacterium glutamicum. Our results indicate that both systems are suitable for 2,5-DKG reductase expression. Maximum production yields were obtained with Lb. plantarum/pSIP609 by pH control at 6.5. With 262 U per litre of broth, this represents the highest heterologous expression level so far reported for 2,5-DKG reductase from C. glutamicum. Accordingly, Lb. plantarum/pSIP609 might be an interesting alternative to Escherichia coli expression systems for industrial 2,5-DKG reductase production.

  16. Design and Implementation of Multi-grade Agent System Security Architecture%多级Agent系统安全体系设计与实现

    Institute of Scientific and Technical Information of China (English)

    李爱宁; 唐勇; 孙晓晖

    2012-01-01

    Aiming at the multi-grade characteristics and the security problems of the Agent system, a set of security mechanisms is designed. The security of Agent system is actualized by making communication rules, establishing an upper to lower mechanism and using encryption algorithm. By using Python language, this paper develops a Graphical User Interface(GUl) as the Agent platform, and the performance of the security mechanism is analyzed in theory and practice. Results show that the security mechanism can effectively ensure the security of Agent system.%针对多级Agent系统的特点和系统中存在的安全问题,通过制定通信规则、建立自上而下的认证体系、使用加/解密算法等安全技术,设计实现一个多级Agent系统的安全体系.使用由Python语言搭建的系统平台,对安全体系的安全性及时效性进行测试,结果证明了该安全体系的有效性.

  17. High-grade contact metamorphism in the Reykjanes geothermal system: Implications for fluid-rock interactions at mid-oceanic ridge spreading centers

    Science.gov (United States)

    Marks, Naomi; Schiffman, Peter; Zierenberg, Robert A.

    2011-08-01

    Granoblastic hornfels identified in cuttings from the Reykjanes seawater-dominated hydrothermal system contains secondary pyroxene, anorthite, and hornblendic amphibole in locally equilibrated assemblages. Granoblastic assemblages containing secondary orthopyroxene, olivine, and, locally, cordierite and spinel occur within groups of cuttings that show dominantly greenschist facies hydrothermal alteration. Granoblastic plagioclase ranges continuously in composition from An54 to An96, in contrast with relict igneous plagioclase that ranges from An42 to An80. Typical hydrothermal clinopyroxene compositions range from Wo49En3Fs48 to Wo53En30Fo17; clinopyroxene from the granoblastic grains is less calcic with an average composition of Wo48En27Fs25. The hornfels is interpreted to form during contact metamorphism in response to dike emplacement, resulting in local recrystallization of previously hydrothermally altered basalts. Temperatures of granoblastic recrystallization estimated from the 2-pyroxene geothermometer range from 927°C to 967°C. Redox estimates based on the 2-oxide oxybarometer range from log fO2 of -13.4 to -15.9. Granoblastic hornfels comprised of clinopyroxene, orthopyroxene, and calcic plagioclase have been described in a number of ancient hydrothermal systems from the conductive boundary layer between the hydrothermal system and the underlying magma source, most notably in Integrated Ocean Drilling Program Hole 1256D, Ocean Drilling Program Hole 504B, and in the Troodos and Oman ophiolites. To our knowledge, this is the first evidence of high-grade contact metamorphism from an active geothermal system and the first description of equilibrated amphibole-absent pyroxene hornfels facies contact metamorphism in any mid-ocean ridge (MOR) hydrothermal system. This contribution describes how these assemblages develop through metamorphic reactions and allows us to predict that higher-temperature assemblages may also be present in MOR systems.

  18. 科学级CCD远程图像采集系统%Remote image acquisition system with scientific grade CCD

    Institute of Scientific and Technical Information of China (English)

    罗通顶; 李斌康; 郭明安; 杨少华; 周鸣

    2013-01-01

    The design method of a fiber transmission remote image acquisition system based on a high resolution EXview CCD is presented and the main units in the system are introduced in detail. The system utilizes a special IC to achieve time driving and takes double Complex Programmable Logic De-vices(CPLDs) to complete the logic control. In order to improve dynamic ranges, it uses a 16 bit high resolution Digital to Analog Converter(ADC) to digitalize video signals. Furthermore, the system can transfer mass video data in long-distances based on the TLK1501, and can perform data terminal collection with a computer by a USB. Finally, two important parameters: dynamic range and the system gain are estimated in an experiment. The system offers its specifications are a resolution of 1.4 million pixels, digitizer type of 16 bits, and remote transmission less than 30 km. Moreover, its dynamic range is 60 - 65 dB, system gain is 2.34 ADU/e-. Experiments show that designed system is fit for the science research which demands for the best quality mentioned above.%介绍了一种基于高分辨率超感光度(EXview)CCD的光纤远程传输采集系统的设计方法.该系统利用专用集成芯片实现其时序驱动;双复杂可编程逻辑器件(CPLD)完成系统的逻辑控制;采用带相关双采样的16位高精度模数变换器(ADC)对模拟视频进行数字化,从而提高系统动态范围.为满足其极端实验环境的应用,基于TLK1501进行大容量视频数据的远程传输;利用USB接口实现了计算机终端采集.最后,实验测试了系统的两个重要的评价参数:动态范围和系统灵敏度.该系统具有140万像素、16位高精度数字化位数、30 km以上的远程传输能力,其动态范围为1000~1500倍、灵敏度为2.34 ADU/e-左右,暗电流约为6 e-/pixel·s-1[>32℃].实验显示该系统适用于对分辨率、灵敏度、安全性等要求高的科学研究中.

  19. Dietary Xylooligosaccharide Downregulates IFN-γ and the Low-Grade Inflammatory Cytokine IL-1β Systemically in Mice

    DEFF Research Database (Denmark)

    Hansen, Camilla H. F.; Frøkiær, Hanne; Christensen, Annette G.

    2013-01-01

    Dietary carbohydrates improve growth conditions for distinct populations of bacteria that may affect mucosal and systemic immunity. In this study, we fed in a parallel experiment a 10% xylooligosaccharide (XOS)–supplemented diet or a control diet to 2 groups of male C57BL/6NTac mice for 10 wk from......IIIγ) was significantly more highly expressed in the small intestine (P sodium/hydrogen exchanger isoform 3 expression tended to be greater in the XOS...

  20. Clinical grades: upward bound.

    Science.gov (United States)

    Walsh, Catherine M; Seldomridge, Lisa A

    2005-04-01

    This study examined the relationship of grades earned in paired theory and clinical courses. Data collected during academic years 1997 to 2002 confirmed that grade inflation exists in clinical nursing courses. Problems involved in awarding grades for clinical performance are discussed (e.g., standards of clinical performance, methods used in evaluation of clinical performance, the impossibility of faculty omnipresence, the influence of student effort in grading, the effect of recency, the challenges of keeping good anecdotal records). Solutions to grading problems are proposed, including dividing up performance into agreed-on elements, measurement of these elements on a grading scale that allows for more differentiation of quality in evaluating clinical performance, assigning grades from the beginning of a clinical course, emphasizing all three domains of clinical practice, and evaluating student performance in both laboratory and, clinical settings.

  1. 降低空调系统能耗的显热负荷分级构想%Conception of Sensible Load Grading to Reduce Energy Consumption of Air-conditioning System

    Institute of Scientific and Technical Information of China (English)

    李先庭; 沈翀; 王宝龙; 石文星

    2016-01-01

    Traditionally, cooling load is simply divided into sensible heat load and latent heat load. The difference among the reduction of cooling load, reduction of energy consumption and efifcient handling of cooling load is not understood quite well, which is not good for constructing more energy-efifcient air-conditioning system. Based on the traditional classiifcation of cooling load, the idea of grading sensible heat load is proposed, where the sensible load is classiifed into high-grade, mid-grade and low-grade load according to its temperature. The idea show how to reduce the high-grade load and how to convert the high-grade load into mid-grade or low-grade load. Also the idea is employed to analyze the process of sensible heat load forming, converting, and handling. The difference between the reduction of cooling load and conversion between different grades is clearly distinguished by the idea. The grading of sensible heat load will help to build more energy-efifcient air-conditioning system.%传统空调系统只将空调负荷分为热负荷和湿负荷,且对负荷降低、能耗降低和负荷高效处理之间的差别认识不深入,不利于构思更高效的空调系统形式。在热湿负荷分类的基础上,提出了显热负荷的品位分级思想,即将负荷按温度分成高品位负荷、中品位负荷和低品位负荷。通过运用几种不同空调方式,展示了利用该思想如何更有效地减少高品位负荷数量以及如何将部分传统的高品位负荷转化成中品位或低品位负荷,从而降低空调系统的能耗;另一方面可更为清晰地分析显热负荷从形成、转移到被处理的过程,厘清了负荷降低与负荷转移之间的关系。显热负荷分级的思想将为新型空调系统形式的构建提供理论指导。

  2. Commentary: grading: what is it good for?

    Science.gov (United States)

    Durning, Steven J; Hemmer, Paul A

    2012-08-01

    Grading students is a necessary but challenging activity. In this commentary, the authors respond to the compelling national data about clerkship grading in U.S. medical schools presented by Alexander and colleagues. They present perspectives and cautions for how the medical education community might perceive these findings and examine how the community can act to address them. The authors discuss several aspects of normative versus criterion-based grading, reliability, and educational theory to provide context for the results reported by Alexander and colleagues. To address variability among and within schools with regard to grading systems and terminology, the authors argue for more credible and transparent interpretation of what grades mean rather than inflexible regulation of grade distributions.

  3. 下穿式道路立交雨水泵站排水设计参数探讨%Probe into design parameters of undercrossing grade separation drainage system for rainwater pump station

    Institute of Scientific and Technical Information of China (English)

    张建新; 吕锐; 贺田富

    2012-01-01

    城市下穿式立交道路地势较低且其周边地形特殊,立交雨水泵站和下游雨水排水系统较复杂,每遇暴雨较易发生积水,严重影响正常的交通出行.以武汉市新华下路铁路立交排水为例探讨积水原因.按照常用的计算方法校核立交泵站的抽排规模,讨论设计参数取值的合理性,优化立交雨水排除系统,核算抵御极端雨季排涝能力,为国内城市立交排水提供依据.%The terrain of the undercrossing grade separation road in the city is relatively low and the topography around is complicated. As a result, the grade separation rainwater pump station and down-stream rainwater drainage system is complicated and the rainwater will easily be congested during storm, which might obstruct the normal transportation seriously. Taking the Xinhua Down road undercrossing railway grade separation drainage system in Wuhan as a case study, the reasons for water congestion were analyzed. According to the normal calculation method, the drainage capability of the grade separation pump station was checked, the reasonability of design parameters selection was discussed, the grade separation rainwater drainage system was optimized, and the extreme drainage ability was also checked, which would offer references for urban grade separation drainage system in China.

  4. Listening Comprehension, Oral Expression, Reading Comprehension, and Written Expression: Related yet Unique Language Systems in Grades 1, 3, 5, and 7

    Science.gov (United States)

    Berninger, Virginia W.; Abbott, Robert D.

    2010-01-01

    Age-normed tests of listening comprehension, oral expression, reading comprehension, and written expression were administered in Grades 1 (n = 128), 3, and 5, or 3 (n = 113), 5, and 7. Confirmatory factor analyses compared 1- and 4-factor models at each grade level and supported a 4-factor model of language by ear, mouth, eye, and hand. Multiple…

  5. Prospective Evaluation of PI-RADS™ Version 2 Using the International Society of Urological Pathology Prostate Cancer Grade Group System.

    Science.gov (United States)

    Mehralivand, Sherif; Bednarova, Sandra; Shih, Joanna H; Mertan, Francesca V; Gaur, Sonia; Merino, Maria J; Wood, Bradford J; Pinto, Peter A; Choyke, Peter L; Turkbey, Baris

    2017-09-01

    The PI-RADS™ (Prostate Imaging Reporting and Data System), version 2 scoring system, introduced in 2015, is based on expert consensus. In the same time frame ISUP (International Society of Urological Pathology) introduced a new pathological scoring system for prostate cancer. Our goal was to prospectively evaluate the cancer detection rates for each PI-RADS, version 2 category and compare them to ISUP group scores in patients undergoing systematic biopsy and magnetic resonance imaging-transrectal ultrasound fusion guided biopsy. A total of 339 treatment naïve patients prospectively underwent multiparametric magnetic resonance imaging evaluated with PI-RADS, version 2 with subsequent systematic and fusion guided biopsy from May 2015 to May 2016. ISUP scores were applied to pathological specimens. An ISUP score of 2 or greater (ie Gleason 3 + 4 or greater) was defined as clinically significant prostate cancer. Cancer detection rates were determined for each PI-RADS, version 2 category as well as for the T2 weighted PI-RADS, version 2 categories in the peripheral zone. The cancer detection rate for PI-RADS, version 2 categories 1, 2, 3, 4 and 5 was 25%, 20.2%, 24.8%, 39.1% and 86.9% for all prostate cancer, and 0%, 9.6%, 12%, 22.1% and 72.4% for clinically significant prostate cancer, respectively. On T2-weighted magnetic resonance imaging the cancer detection rate in the peripheral zone was significantly higher for PI-RADS, version 2 category 4 than for overall PI-RADS, version 2 category 4 in the peripheral zone (all prostate cancer 36.6% vs 48.1%, p = 0.001, and clinically significant prostate cancer 22.9% vs 32.6%, p = 0.002). The cancer detection rate increases with higher PI-RADS, version 2 categories. Copyright © 2017 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  6. Bruxism defined and graded: an international consensus

    NARCIS (Netherlands)

    Lobbezoo, F.; Ahlberg, J.; Glaros, A.G.; Kato, T.; Koyano, K.; Lavigne, G.J.; de Leeuw, R.; Manfredini, D.; Svensson, P.; Winocur, E.

    2013-01-01

    To date, there is no consensus about the definition and diagnostic grading of bruxism. A written consensus discussion was held among an international group of bruxism experts as to formulate a definition of bruxism and to suggest a grading system for its operationalisation. The expert group defined

  7. [Clinical treatment outcome of grade III, non-small cell bronchogenic carcinoma using "whole-body" gamma-knife system].

    Science.gov (United States)

    Uong, Iang-Zhie; Uong, Eong; Ksia, Ting-Ii; Kakhkhorov, Zh N; Razakov, A P

    2010-01-01

    The results of treatment of 80 patients with non-small cell lung cancer using the Chinese-made "Whole-Body" gamma-knife system were analyzed. Primary focus and involved lymph nodes were exposed. Neither gap between primary focus and involved lymph node or nodes, nor organs of the mediastinum were exposed. Exposure regimens were: STD = 4 Gy (2.5 - 10 Gy) 5 times a week; TTD=48 Gy (27-52 Gy) per primary focus and 4 Gy (3-6 Gy) 5 times a week; TTD = 43.5 Gy (30-52 Gy) per lymph nodes (105.6 - 150 Gy = equ.). Complete response was observed in 27.5% (22/80), partial - 42.5% (34/80). Overall survival was 61.3% among those sick for one year; 41.5%--2 years and 20.75%--3 years (mean survival time--20 months).

  8. Student’s Misconception of Digestive System Materials in MTs Eight Grade of Malang City and the Role of Teacher’s Pedadogic Competency in MTs

    Directory of Open Access Journals (Sweden)

    Yuswa Istikomayanti

    2017-07-01

    Full Text Available Misconception research has important value in the development of students' thinking processes especially in science field. As the identification of important concepts that must be mastered by the students can be done, the teacher will easily able to emphasis the important or main concepts. This study aims to identify the students’ misconception in digestive system materials in eight grade of MTs and teacher pedagogic competence role. The survey was conducted in 8A (16 students and 8B (17 students MTs Muhammadiyah 1 and 8E (19 students Surya Buana Malang. The stages of research survey were: preparation of research goals (formulation, sample determination, preparation and instruments validation, data collection, and data analysis. The instruments used were: misconception test, student response questionnaire, learning observation guide, and teacher pedagogic competency form. The findings of the learning outcomes were discussed with the observer team, which then were assessed by using the assessment rubric and classified into the categories of student misconceptions. The results showed that the three teachers, neither certified nor uncertified were proved to be limited in overcoming misconceptions in the learning process; meanwhile, the results of students’ misconception test were mostly reach only level 3 (medium. Thus, the study of misconceptions of the digestive system material or other physiological material matter needs to get the attention of the teachers and educational practitioners.

  9. The Effects of Framing Grades on Student Learning and Preferences

    Science.gov (United States)

    Bies-Hernandez, Nicole J.

    2012-01-01

    Two experiments examined whether framing effects, in terms of losses and gains, can be extended to student learning and grading preferences. In Experiment 1, participants rated psychology course syllabi to investigate preferences for differently framed grading systems: a loss versus gain grading system. The results showed a clear framing effect…

  10. Correlation between cytological and histological grading of breast cancer and its role in prognosis

    Science.gov (United States)

    Pal, Shweta; Gupta, Mohan Lal

    2016-01-01

    Context: Assigning grade to breast cancer on FNAC provides prognostic information and guides optimal therapy. Aims: The present study was undertaken to grade breast carcinoma on cytology by Robinson's grading system and correlate it with Elstons modified Bloom Richardson histological grading system. Settings and Design: It is a prospective study done on fifty cases of breast cancer reported on cytology. Materials and Methods: Fifty patients who underwent FNAC and mastectomy for breast carcinoma were cytologically and histologically graded. Correlation between cytological and histological grading system was determined. Sensitivity and specificity of Robinson's cytological grading system was calculated in each grade. All cases evaluated for presence of metastasis to axillary lymph nodes. Statistical Analysis Used: Correlation between cytological and histological grading was established using the non parametric Spearman’ s correlation coefficient. Results: Concordance rate between cytological and histological grade was 78%. The coefficient of correlation between cytological grade and histological grade was 0.804 and P value was <0.001 which indicated a strong correlation and significant association between the cytological and histological grade. Sensitivity was maximum in cytological grade I tumors (100%) and least in cytological grade III tumors (45.45%). Specificity was maximum in cytological grade III tumors (94.87%) and least in cytological grade II tumors (72.72%). The incidence of axillary lymph node metastasis was maximum in cytological grade III tumors and grade I tumors. Conclusions: Cytological grade strongly predicts histological grade and is useful in selecting neoadjuvant chemotherapy. PMID:28028331

  11. Grading Student Writing: An Experiment and a Commentary.

    Science.gov (United States)

    Sommers, Jeffrey

    1993-01-01

    Uses a student essay and dialog journal entries to discuss problems raised by context in grading student writing. Encourages teachers to rethink the whole system of grading and to discuss their conclusions openly. (SR)

  12. Posterior Reduction and Monosegmental Fusion with Intraoperative Three-dimensional Navigation System in the Treatment of High-grade Developmental Spondylolisthesis

    Institute of Scientific and Technical Information of China (English)

    Wei Tian; Xiao-Guang Han; Bo Liu; Ya-Jun Liu; Da He; Qiang Yuan; Yun-Feng Xu

    2015-01-01

    Background:The treatment of high-grade developmental spondylolisthesis (HGDS) is still challenging and controversial.In this study,we investigated the efficacy of the posterior reduction and monosegmental fusion assisted by intraoperative three-dimensional (3D) navigation system in managing the HGDS.Methods:Thirteen consecutive HGDS patients were treated with posterior decompression,reduction and monosegmental fusion of L5/S1,assisted by intraoperative 3D navigation system.The clinical and radiographic outcomes were evaluated,with a minimum follow-up of 2 years.The differences between the pre-and post-operative measures were statistically analyzed using a two-tailed,paired t-test.Results:At most recent follow-up,12 patients were pain-free.Only 1 patient had moderate pain.There were no permanent neurological complications or pseudarthrosis.The magnetic resonance imaging showed that there was no obvious disc degeneration in the adjacent segment.All radiographic parameters were improved.Mean slippage improved from 63.2% before surgery to 12.2% after surgery and 11.0% at latest follow-up.Lumbar lordosis changed from preoperative 34.9 ± 13.3° to postoperative 50.4 ± 9.9°,and 49.3 ± 7.8° at last follow-up.L5 incidence improved from 71.0 ± 11.3° to 54.0 ± 11.9° and did not change significantly at the last follow-up 53.1 ± 15.4°.While pelvic incidence remained unchanged,sacral slip significantly decreased from preoperative 32.7 ± 12.5° to postoperative 42.6 ± 9.8°and remained constant to the last follow-up 44.4 ± 6.9°.Pelvic tilt significantly decreased from 38.4 ± 12.5° to 30.9 ± 8.1 ° and remained unchanged at the last follow-up 28.1 ± 11.2°.Conclusions:Posterior reduction and monosegmental fusion ofL5/S 1 assisted by intraoperative 3D navigation are an effective technique for managing high-grade dysplastic spondylolisthesis.A complete reduction of local deformity and excellent correction of overall sagittal balance can be achieved.

  13. Posterior Reduction and Monosegmental Fusion with Intraoperative Three-dimensional Navigation System in the Treatment of High-grade Developmental Spondylolisthesis

    Directory of Open Access Journals (Sweden)

    Wei Tian

    2015-01-01

    Full Text Available Background: The treatment of high-grade developmental spondylolisthesis (HGDS is still challenging and controversial. In this study, we investigated the efficacy of the posterior reduction and monosegmental fusion assisted by intraoperative three-dimensional (3D navigation system in managing the HGDS. Methods: Thirteen consecutive HGDS patients were treated with posterior decompression, reduction and monosegmental fusion of L5/S1, assisted by intraoperative 3D navigation system. The clinical and radiographic outcomes were evaluated, with a minimum follow-up of 2 years. The differences between the pre- and post-operative measures were statistically analyzed using a two-tailed, paired t-test. Results: At most recent follow-up, 12 patients were pain-free. Only 1 patient had moderate pain. There were no permanent neurological complications or pseudarthrosis. The magnetic resonance imaging showed that there was no obvious disc degeneration in the adjacent segment. All radiographic parameters were improved. Mean slippage improved from 63.2% before surgery to 12.2% after surgery and 11.0% at latest follow-up. Lumbar lordosis changed from preoperative 34.9 ± 13.3° to postoperative 50.4 ± 9.9°, and 49.3 ± 7.8° at last follow-up. L5 incidence improved from 71.0 ± 11.3° to 54.0 ± 11.9° and did not change significantly at the last follow-up 53.1 ± 15.4°. While pelvic incidence remained unchanged, sacral slip significantly decreased from preoperative 32.7 ± 12.5° to postoperative 42.6 ± 9.8°and remained constant to the last follow-up 44.4 ± 6.9°. Pelvic tilt significantly decreased from 38.4 ± 12.5° to 30.9 ± 8.1° and remained unchanged at the last follow-up 28.1 ± 11.2°. Conclusions: Posterior reduction and monosegmental fusion of L5/S1 assisted by intraoperative 3D navigation are an effective technique for managing high-grade dysplastic spondylolisthesis. A complete reduction of local deformity and excellent correction of overall

  14. Manufacture of clinical-grade CD19-specific T cells stably expressing chimeric antigen receptor using Sleeping Beauty system and artificial antigen presenting cells.

    Directory of Open Access Journals (Sweden)

    Harjeet Singh

    Full Text Available Adoptive transfer of T cells expressing a CD19-specific chimeric antigen receptor (CAR is being evaluated in multiple clinical trials. Our current approach to adoptive immunotherapy is based on a second generation CAR (designated CD19RCD28 that signals through a CD28 and CD3-ζ endodomain. T cells are electroporated with DNA plasmids from the Sleeping Beauty (SB transposon/transposase system to express this CAR. Stable integrants of genetically modified T cells can then be retrieved when co-cultured with designer artificial antigen presenting cells (aAPC in the presence of interleukin (IL-2 and 21. Here, we reveal how the platform technologies of SB-mediated transposition and CAR-dependent propagation on aAPC were adapted for human application. Indeed, we have initiated clinical trials in patients with high-risk B-lineage malignancies undergoing autologous and allogeneic hematopoietic stem-cell transplantation (HSCT. We describe the process to manufacture clinical grade CD19-specific T cells derived from healthy donors. Three validation runs were completed in compliance with current good manufacturing practice for Phase I/II trials demonstrating that by 28 days of co-culture on γ-irradiated aAPC ∼10(10 T cells were produced of which >95% expressed CAR. These genetically modified and propagated T cells met all quality control testing and release criteria in support of infusion.

  15. Cardiac troponin testing in idiopathic inflammatory myopathies and systemic sclerosis-spectrum disorders: biomarkers to distinguish between primary cardiac involvement and low-grade skeletal muscle disease activity.

    Science.gov (United States)

    Hughes, Michael; Lilleker, James B; Herrick, Ariane L; Chinoy, Hector

    2015-05-01

    Primary cardiac involvement, an under-recognised manifestation of the idiopathic inflammatory myopathies (IIM) and systemic sclerosis (SSc)-spectrum disorders, is associated with significant mortality. Within these two conditions, traditional skeletal muscle enzyme testing may not effectively distinguish between skeletal and cardiac muscle involvement, especially in patients with subclinical cardiac disease. Accurate biomarkers are thus required to screen for cardiac disease, to better inform both therapeutic decision-making and treatment response. The widespread uptake of cardiac troponin testing has revolutionised the management of acute coronary syndromes. While cardiac troponin I (cTnI) appears specific to the myocardium, cardiac troponin T (cTnT) is also expressed by skeletal muscle, including regenerating skeletal muscle tissue. There is increasing interest about the role of cardiac troponins as a putative biomarker of primary cardiac involvement in IIM and SSc-spectrum disorders. Herewith we discuss subclinical cardiac disease in IIM and SSc-spectrum disorders, the respective roles of cTnI and cTnT testing, and the re-expression of cTnT within regenerating skeletal muscle tissue. There remains wide variation in access to cardiac troponin testing nationally and internationally. We propose two pragmatic clinical pathways using cardiac troponins, preferably measuring concomitant cTnT followed by confirmatory (cardiac) cTnI to screen patients for subclinical cardiac disease and/or low-grade skeletal muscle disease activity, and also an agenda for future research.

  16. [Food insecurity and overweight in first grade students in the municipal school system in São Leopoldo, Rio Grande do Sul State, Brazil].

    Science.gov (United States)

    Vicenzi, Keli; Henn, Ruth Liane; Weber, Ana Paula; Backes, Vanessa; Paniz, Vera Maria Vieira; Donatti, Talita; Olinto, Maria Teresa Anselmo

    2015-05-01

    This cross-sectional school-based study in São Leopoldo, Rio Grande do Sul State, Brazil, evaluated the association between food insecurity and overweight in first grade students in the municipal elementary school system. A total of 2,369 students were invited to participate, of whom 847 were examined, and of these, 782 had data available on weight and height. Dietary data were obtained from a parent or guardian. Food insecurity was measured by the Brazilian Food Insecurity Scale (EBIA). Data on weight and height were provided by the Nutrition Service of the Municipal Department of Education. Prevalence rates for overweight and food insecurity were 38.1% and 45.1%, respectively. After controlling for potential confounders, children with food insecurity had 22% lower odds of overweight. Notwithstanding the inverse association between the exposure and outcome, this sample showed high rates of food insecurity and overweight, revealing a complex relationship and indicating that further research is needed to understand it. Robust public policies are critical for addressing these conditions.

  17. Molecular MRI differentiation between primary central nervous system lymphomas and high-grade gliomas using endogenous protein-based amide proton transfer MR imaging at 3 Tesla

    Energy Technology Data Exchange (ETDEWEB)

    Jiang, Shanshan [Southern Medical University, Department of Radiology, Zhujiang Hospital, Guangzhou, Guangdong (China); Johns Hopkins University School of Medicine, Department of Radiology, Baltimore, MD (United States); Yu, Hao; Wang, Xianlong; Lu, Shilong; Feng, Lyujin; Wen, Zhibo [Southern Medical University, Department of Radiology, Zhujiang Hospital, Guangzhou, Guangdong (China); Li, Yufa [Southern Medical University, Department of Pathology, Zhujiang Hospital, Guangzhou, Guangdong (China); Zhang, Yi; Heo, Hye-Young; Lee, Dong-Hoon; Zhou, Jinyuan [Johns Hopkins University School of Medicine, Department of Radiology, Baltimore, MD (United States)

    2016-01-15

    To show the ability of using the amide proton transfer-weighted (APTW) MRI signals as imaging biomarkers to differentiate primary central nervous system lymphomas (PCNSLs) from high-grade gliomas (HGGs). Eleven patients with lymphomas and 21 patients with HGGs were examined. Magnetization-transfer (MT) spectra over an offset range of ±6 ppm and the conventional MT ratio (MTR) at 15.6 ppm were acquired. The APTW signals, total chemical-exchange-saturation-transfer signal (integral between 0 and 5 ppm, CEST{sub total}), and MTR signal were obtained and compared between PCNSLs and HGGs. The diagnostic performance was assessed with the receiver operating characteristic (ROC) curve analysis. The PCNSLs usually showed more homogeneous APTW hyperintensity (spatially compared to normal brain tissue) than the HGGs. The APTW{sub max}, APTW{sub max-min} and CEST{sub total} signal intensities were significantly lower (P < 0.05, 0.001 and 0.05, respectively), while the APTW{sub min} and MTR were significantly higher (both P < 0.01) in PCNSL lesions than in HGG lesions. The APTW values in peritumoral oedema were significantly lower for PCNSLs than for HGGs (P < 0.01). APTW{sub max-min} had the highest area under the ROC curve (0.963) and accuracy (94.1 %) in differentiating PCNSLs from HGGs. The protein-based APTW signal would be a valuable MRI biomarker by which to identify PCNSLs and HGGs presurgically. (orig.)

  18. Central extension of graded Lie algebras

    CERN Document Server

    Welte, Angelika

    2010-01-01

    In this thesis we describe the universal central extension of two important classes of so-called root-graded Lie algebras defined over a commutative associative unital ring $k.$ Root-graded Lie algebras are Lie algebras which are graded by the root lattice of a locally finite root system and contain enough $\\mathfrak{sl}_2$-triples to separate the homogeneous spaces of the grading. Examples include the infinite rank analogs of the simple finite-dimensional complex Lie algebras. \\\\ In the thesis we show that in general the universal central extension of a root-graded Lie algebra $L$ is not root-graded anymore, but that we can measure quite easily how far it is away from being so, using the notion of degenerate sums, introduced by van der Kallen. We then concentrate on root-graded Lie algebras which are graded by the root systems of type $A$ with rank at least 2 and of type $C$. For them one can use the theory of Jordan algebras.

  19. The multiple faces of the human immune system : Modern life causes low-grade inflammation and thereby provokes conflict between the selfish immune system and the selfish brain

    NARCIS (Netherlands)

    Pruimboom, Leo

    2017-01-01

    This thesis describes the multiple ways by which the human immune system can react upon direct and indirect challenges, such as infection and wounds on the one hand, and chronic stress factors, such as smoking, on the other. The human defense system exhibits a type of selfish behaviour during both a

  20. Grading of oral epithelial dysplasia: Points to ponder

    Directory of Open Access Journals (Sweden)

    K M Geetha

    2015-01-01

    Full Text Available Background: Over the years many grading systems have been put forward in an attempt to obtain objectivity in grading oral epithelial dysplasia (OED. However, despite these efforts variability remains unresolved. Our study aimed to evaluate the intra- and inter-observer variability in grading OED, using World Health Organization (WHO, Smith and Pindborg and Ljubljana grading systems and discuss the possible reasons for this variability if any. Materials and Methods: Three oral pathologists graded 50 slides of OED independently twice at a time interval of 3 months. Variability was evaluated by multivariate kappa analysis. Results: Intra-observer reproducibility ranged from moderate to good in WHO system, fair to moderate in Smith and Pindborg system and moderate to poor in Ljubljana grading system. Inter-observer agreement was found to be fair in WHO, poor in Smith and Pindborg system and poor to fair in Ljubljana grading systems. Intra-observer reproducibility of the dysplastic features in WHO system was good for all except the loss of polarity and basilar hyperplasia for first observer and enlarged nucleoli for the third observer. Inter-observer agreement was good for increased number of mitosis and nuclear hyperchromatism. Intra-observer reproducibility and inter-observer agreement were found to be best in the WHO grading system though variability within this system still existed. Conclusion: There is a need for an International body of pathologists to come to a consensus on a more definable grading system to resolve the issue of variability in grading dysplasia.

  1. Grading of oral epithelial dysplasia: Points to ponder.

    Science.gov (United States)

    Geetha, K M; Leeky, M; Narayan, T V; Sadhana, S; Saleha, J

    2015-01-01

    Over the years many grading systems have been put forward in an attempt to obtain objectivity in grading oral epithelial dysplasia (OED). However, despite these efforts variability remains unresolved. Our study aimed to evaluate the intra- and inter-observer variability in grading OED, using World Health Organization (WHO), Smith and Pindborg and Ljubljana grading systems and discuss the possible reasons for this variability if any. Three oral pathologists graded 50 slides of OED independently twice at a time interval of 3 months. Variability was evaluated by multivariate kappa analysis. Intra-observer reproducibility ranged from moderate to good in WHO system, fair to moderate in Smith and Pindborg system and moderate to poor in Ljubljana grading system. Inter-observer agreement was found to be fair in WHO, poor in Smith and Pindborg system and poor to fair in Ljubljana grading systems. Intra-observer reproducibility of the dysplastic features in WHO system was good for all except the loss of polarity and basilar hyperplasia for first observer and enlarged nucleoli for the third observer. Inter-observer agreement was good for increased number of mitosis and nuclear hyperchromatism. Intra-observer reproducibility and inter-observer agreement were found to be best in the WHO grading system though variability within this system still existed. There is a need for an International body of pathologists to come to a consensus on a more definable grading system to resolve the issue of variability in grading dysplasia.

  2. Beef grading by ultrasound

    Science.gov (United States)

    Gammell, P. M.

    1981-01-01

    Reflections in ultrasonic A-scan signatures of beef carcasses indicate USDA grade. Since reflections from within muscle are determined primarily by fat/muscle interface, richness of signals is direct indication of degree of marbling and quality. Method replaces subjective sight and feel tests by individual graders and is applicable to grade analysis of live cattle.

  3. Minimum Grading, Maximum Learning

    Science.gov (United States)

    Carey, Theodore; Carifio, James

    2011-01-01

    Fair and effective schools should assign grades that align with clear and consistent evidence of student performance (Wormeli, 2006), but when a student's performance is inconsistent, traditional grading practices can prove inadequate. Understanding this, increasing numbers of schools have been experimenting with the practice of assigning minimum…

  4. Grading Homework to Emphasize Problem-Solving Process Skills

    Science.gov (United States)

    Harper, Kathleen A.

    2012-01-01

    This article describes a grading approach that encourages students to employ particular problem-solving skills. Some strengths of this method, called "process-based grading," are that it is easy to implement, requires minimal time to grade, and can be used in conjunction with either an online homework delivery system or paper-based homework.

  5. My Fight against Grade Inflation: A Response to William Cole.

    Science.gov (United States)

    Dreyfuss, Simeon

    1993-01-01

    Discussion of student assessment at the college level looks at the relationship between grading and student learning and proposes an alternative system in which letter grades would be replaced with a two-part evaluation by the student and teacher. A practical compromise using letter grades is also outlined. (MSE)

  6. 4 CFR 5.2 - Grade and pay retention.

    Science.gov (United States)

    2010-01-01

    ... terminate. (e) Pay retention. (1) Any GAO employee: who ceases to be entitled to a retained grade by reason... 4 Accounts 1 2010-01-01 2010-01-01 false Grade and pay retention. 5.2 Section 5.2 Accounts GOVERNMENT ACCOUNTABILITY OFFICE PERSONNEL SYSTEM COMPENSATION § 5.2 Grade and pay retention. (a) Change of...

  7. Grading Homework to Emphasize Problem-Solving Process Skills

    Science.gov (United States)

    Harper, Kathleen A.

    2012-01-01

    This article describes a grading approach that encourages students to employ particular problem-solving skills. Some strengths of this method, called "process-based grading," are that it is easy to implement, requires minimal time to grade, and can be used in conjunction with either an online homework delivery system or paper-based homework.

  8. 25 CFR 36.30 - Standard X-Grading requirements.

    Science.gov (United States)

    2010-04-01

    ... Evaluation § 36.30 Standard X—Grading requirements. (a) Each school shall implement a uniform grading system... student grades on report cards. (b) The information derived from student instructional evaluations shall be shared with the student and with the parents and shall be used to give teachers and...

  9. Characterizations of Graded Distributive Modules

    Institute of Scientific and Technical Information of China (English)

    Qinghua Chen; Chang'an Li

    2002-01-01

    In this paper, we give some characterizations of graded distributive modules, prove some interesting results between graded rings (modules) and lattices under finiteness conditions, and investigate the direct sum of graded distributive modules in terms of orders of graded submodules and homomorphisms of graded factor modules.

  10. Paperless Grades and Faculty Development.

    Science.gov (United States)

    Hardy, James C.; Jones, Dennis; Turner, Sandy

    2003-01-01

    Provides overview of process of switching from paper-based grade reporting to computer-based grading. Authors found that paperless grading decreased number of errors, made student access more immediate, and reduced costs incurred by purchasing and storing grade-scanning sheets. Authors also argue that direct entry grading encourages faculty to…

  11. Positive correlation of airway resistance and serum asymmetric dimethylarginine level in COPD patients with systemic markers of low-grade inflammation

    Science.gov (United States)

    Tajti, Gabor; Gesztelyi, Rudolf; Pak, Krisztian; Papp, Csaba; Keki, Sandor; Szilasi, Magdolna Emma; Mikaczo, Angela; Fodor, Andrea; Szilasi, Maria; Zsuga, Judit

    2017-01-01

    The major feature of COPD is a progressive airflow limitation caused by chronic airway inflammation and consequent airway remodeling. Modified arginase and nitric oxide synthase (NOS) pathways are presumed to contribute to the inflammation and fibrosis. Asymmetric dimethylarginine (ADMA) may shunt L-arginine from the NOS pathway to the arginase one by uncoupling and competitive inhibition of NOS and by enhancing arginase activity. To attest the interplay of these pathways, the relationship between ADMA and airflow limitation, described by airway resistance (Raw), was investigated in a cohort of COPD patients. Every COPD patient willing to give consent to participate (n=74) was included. Case history, laboratory parameters, serum arginine and ADMA, pulmonary function (whole-body plethysmography), and disease-specific quality of life (St George’s Respiratory Questionnaire) were determined. Multiple linear regression was used to identify independent determinants of Raw. The final multiple model was stratified based on symptom control. The log Raw showed significant positive correlation with log ADMA in the whole sample (Pearson’s correlation coefficient: 0.25, P=0.03). This association remained significant after adjusting for confounders in the whole data set (β: 0.42; confidence interval [CI]: 0.06, 0.77; P=0.022) and in the worse-controlled stratum (β: 0.84; CI: 0.25, 1.43; P=0.007). Percent predicted value of forced expiratory flow between 25% and 75% of forced vital capacity showed that significant negative, elevated C-reactive protein exhibited significant positive relationship with Raw in the final model. Positive correlation of Raw with ADMA in COPD patients showing evidence of a systemic low-grade inflammation implies that ADMA contributes to the progression of COPD, probably by shunting L-arginine from the NOS pathway to the arginase one.

  12. Patterns of dietary intake and serum carotenoid and tocopherol status are associated with biomarkers of chronic low-grade systemic inflammation and cardiovascular risk.

    Science.gov (United States)

    Wood, Adrian D; Strachan, Anna A; Thies, Frank; Aucott, Lorna S; Reid, David M; Hardcastle, Antonia C; Mavroeidi, Alexandra; Simpson, William G; Duthie, Garry G; Macdonald, Helen M

    2014-10-28

    Dietary modification may affect inflammatory processes and protect against chronic disease. In the present study, we examined the relationship between dietary patterns, circulating carotenoid and tocopherol concentrations, and biomarkers of chronic low-grade systemic inflammation in a 10-year longitudinal study of Scottish postmenopausal women. Diet was assessed by FFQ during 1997-2000 (n 3237, mean age 54·8 (SD 2·2) years). Participants (n 2130, mean age 66·0 (SD 2·2) years) returned during 2007-11 for follow-up. Diet was assessed by FFQ (n 1682) and blood was collected for the analysis of serum high-sensitivity C-reactive protein (hs-CRP), IL-6, serum amyloid A, E-selectin, lipid profile and dietary biomarkers (carotenoids, tocopherols and retinol). Dietary pattern and dietary biomarker (serum carotenoid) components were generated by principal components analysis. A past 'prudent' dietary pattern predicted serum concentrations of hs-CRP and IL-6 (which decreased across the quintiles of the dietary pattern; P= 0·002 and P= 0·001, respectively; ANCOVA). Contemporary dietary patterns were also associated with inflammatory biomarkers. The concentrations of hs-CRP and IL-6 decreased across the quintiles of the 'prudent' dietary pattern (P= 0·030 and P= 0·006, respectively). hs-CRP concentration increased across the quintiles of a 'meat-dominated' dietary pattern (P= 0·001). Inflammatory biomarker concentrations decreased markedly across the quintiles of carotenoid component score (Pfruit and vegetable consumption) and a serum carotenoid profile characteristic of a fruit and vegetable-rich diet are associated with lower concentrations of intermediary markers that are indicative of CVD risk reduction.

  13. Spontaneous involution of pediatric low-grade gliomas: high expression of cannabinoid receptor 1 (CNR1) at the time of diagnosis may indicate involvement of the endocannabinoid system.

    Science.gov (United States)

    Sredni, Simone Treiger; Huang, Chiang-Ching; Suzuki, Mario; Pundy, Tatiana; Chou, Pauline; Tomita, Tadanori

    2016-11-01

    Pediatric low-grade gliomas (P-LGG) consist of a mixed group of brain tumors that correspond to the majority of CNS tumors in children. Notably, they may exhibit spontaneous involution after subtotal surgical removal (STR). In this study, we investigated molecular indicators of spontaneous involution in P-LGG. We performed an integrated molecular analysis including high throughput gene expression (GE), microRNA (miRNA) expression data of primary, untreated tumors from patients with P-LGG who underwent STR at our institution, with at least 10 years follow-up. We identified a set of protein-coding genes and miRNAs significantly differentially expressed in P-LGG that presented spontaneous involution (involution-I) or without progression (stable-S) after STR alone. The cannabinoid receptor 1 (CNR1 or CB1) gene (FC = 2.374; p value = 0.007) was at the top of the list and predicted to be regulated by hsa-miR-29b-3p (FC = -2.353, p value = 0.0001). CNR1 also showed a trend to be higher expressed in S/I by immunohistochemistry. The P-LGG, which remained stable or that presented spontaneous involution after STR, showed significantly higher CNR1 expression at the time of diagnosis. We hypothesize that high expression levels of CNR1 provide tumor susceptibility to the antitumor effects of circulating endocannabinoids like anandamide, resulting in tumor involution. This corroborates with reports suggesting that CNR1 agonists and activators of the endocannabinoid system may represent therapeutic opportunities for children with LGG. We also suggest that CNR1 may be a prognostic marker for P-LGG. This is the first time spontaneous involution of P-LGG has been suggested to be induced by endocannabinoids.

  14. Serum immunoglobulin M concentration is positively related to metabolic syndrome in an adult population: Tianjin Chronic Low-Grade Systemic Inflammation and Health (TCLSIH Cohort Study.

    Directory of Open Access Journals (Sweden)

    Kun Song

    Full Text Available Persistent low-grade systemic inflammation has been increasingly recognized as a common pathological process, and an important contributing factor to cardiovascular diseases and its risk factor, metabolic syndrome. Immunoglobulin M is reactive to multiple autoantigens and is inferred to be important for autoimmunity, implying that immunoglobulin M may be a potential risk factor for metabolic syndrome. However, few epidemiological studies are available which are related to this potential link. Therefore, we designed a cross-sectional study of 9,379 subjects to evaluate the relationship between immunoglobulin M and metabolic syndrome in an adult population. Subjects who received health examinations were recruited from the Tianjin Medical University General Hospital-Health Management Center in Tianjin, China. Immunoglobulin M was determined with an immunonephelometric technique. Metabolic syndrome was defined according to the criteria of the American Heart Association scientific statements of 2009. Multiple logistic regression analysis was used to examine the relationships between the quartiles of immunoglobulin M and the prevalence of metabolic syndrome. After adjustment for covariates, the odds ratio of having metabolic syndrome in the fourth quartile compared with the first quartile of immunoglobulin M was 1.19 times for males (95% confidence interval, 1.002-1.41 and 1.39 times for females (95% confidence interval, 1.07-1.80. Immunoglobulin M levels also showed positive relationships with the ratio of elevated triglycerides and reduced high-density lipoprotein cholesterol in males. The study is the first to show that immunoglobulin M is independently related to metabolic syndrome and its individual components (elevated triglycerides and reduced high-density lipoprotein cholesterol in males, whereas immunoglobulin M is independently related to metabolic syndrome in females but not to its individual components. Further studies are needed to

  15. Serum Immunoglobulin M Concentration Is Positively Related to Metabolic Syndrome in an Adult Population: Tianjin Chronic Low-Grade Systemic Inflammation and Health (TCLSIH) Cohort Study

    Science.gov (United States)

    Zhang, Qing; Wang, Chongjin; Guo, Yinting; Wu, Hongmei; Liu, Li; Jia, Qiyu; Wang, Xing; Shi, Hongbin; Sun, Shaomei; Niu, Kaijun

    2014-01-01

    Persistent low-grade systemic inflammation has been increasingly recognized as a common pathological process, and an important contributing factor to cardiovascular diseases and its risk factor, metabolic syndrome. Immunoglobulin M is reactive to multiple autoantigens and is inferred to be important for autoimmunity, implying that immunoglobulin M may be a potential risk factor for metabolic syndrome. However, few epidemiological studies are available which are related to this potential link. Therefore, we designed a cross-sectional study of 9,379 subjects to evaluate the relationship between immunoglobulin M and metabolic syndrome in an adult population. Subjects who received health examinations were recruited from the Tianjin Medical University General Hospital-Health Management Center in Tianjin, China. Immunoglobulin M was determined with an immunonephelometric technique. Metabolic syndrome was defined according to the criteria of the American Heart Association scientific statements of 2009. Multiple logistic regression analysis was used to examine the relationships between the quartiles of immunoglobulin M and the prevalence of metabolic syndrome. After adjustment for covariates, the odds ratio of having metabolic syndrome in the fourth quartile compared with the first quartile of immunoglobulin M was 1.19 times for males (95% confidence interval, 1.002–1.41) and 1.39 times for females (95% confidence interval, 1.07–1.80). Immunoglobulin M levels also showed positive relationships with the ratio of elevated triglycerides and reduced high-density lipoprotein cholesterol in males. The study is the first to show that immunoglobulin M is independently related to metabolic syndrome and its individual components (elevated triglycerides and reduced high-density lipoprotein cholesterol) in males, whereas immunoglobulin M is independently related to metabolic syndrome in females but not to its individual components. Further studies are needed to explore the

  16. Association between Serum Ferritin Concentrations and Depressive Symptoms among Chinese Adults: A Population Study from the Tianjin Chronic Low-Grade Systemic Inflammation and Health (TCLSIHealth) Cohort Study.

    Science.gov (United States)

    Su, Qian; Gu, Yeqing; Yu, Bin; Yu, Fei; He, Haiyan; Zhang, Qing; Meng, Ge; Wu, Hongmei; Du, Huanmin; Liu, Li; Shi, Hongbin; Xia, Yang; Guo, Xiaoyan; Liu, Xing; Li, Chunlei; Bao, Xue; Liu, Fangfang; Fang, Liyun; Yang, Huijun; Sun, Shaomei; Wang, Xing; Zhou, Ming; Jia, Qiyu; Zhao, Honglin; Song, Kun; Niu, Kaijun

    2016-01-01

    Depressive symptoms have become the most important global public health issue. Iron plays an important role in brain function, cognition, and behavior, and its impacts on depressive symptoms may be multifactorial with both positive and negative effects. Previous observational studies focusing on the association between iron status and depressive symptoms showed inconsistent results. Ferritin is a ubiquitous intracellular protein that can store and release iron and is widely used as a clinical biomarker to evaluate iron status. We performed a cross-sectional study to examine the relationship between serum ferritin and depressive symptoms among 3,839 subjects who were from the Tianjin Chronic Low-grade Systemic Inflammation and Health (TCLSIHealth) cohort. Depressive symptoms were assessed using the Chinese version of 20-item self-rating Depression Scale (SDS) with 4 cutoffs (40, 45, 48 and 50) to indicate elevated depressive symptoms (40 was the primary cut-off). The prevalence of depressive symptoms was 36.5%, 17.6%, 11.0% and 7.0% for SDS ≥40, ≥45, ≥48 and ≥50, respectively. With the primary cut-off point of 40, multiple potential confounding factors were adjusted and the odds ratios (95% confidence interval) of having elevated depressive symptoms by quartiles of serum ferritin concentrations were 1.00 (reference), 1.10 (0.91, 1.34), 0.81 (0.66, 1.01) and 1.02 (0.81, 1.28) for the first, second, third and fourth quartile, respectively (P for trend = 0.76). Similar relations were observed with the use of other cut-offs as a definition of depressive symptoms. In conclusion, there is no significant relationship between serum ferritin concentrations and depressive symptoms among Chinese adults.

  17. 基于煤矿智能变电站的防越级跳闸系统设计%Design of Anti-grade Tripping System Based on Intelligent Substation in Coal Mine

    Institute of Scientific and Technical Information of China (English)

    张恩锋

    2016-01-01

    Considering the high frequency of grade‐tripping problem in coal mine system ,this paper built the anti‐grade tripping system based on intelligent substation . On the basis of determining the structure of intelligent substation and the process of anti‐grade‐tripping ,the paper designed the overall frame of hardware protection devices ,then designed the software of protection devices and the anti‐grade tripping system .The system could solve the problem of grade trip effectively .%针对煤矿多发的越级跳闸难题,构筑了基于智能变电站的煤矿防越级跳闸系统。在确定智能变电站结构及防越级跳闸流程的基础上,对矿用智能保护装置硬件进行了整体框架设计,同时设计了矿用智能保护装置与防越级主机系统软件部分。该防越级跳闸系统能够有效解决越级跳闸难题。

  18. Nebraska Science Standards: Grades K-12

    Science.gov (United States)

    Nebraska Department of Education, 2010

    2010-01-01

    This publication presents the Nebraska Science Standards for Grades K-12. The standards are presented according to the following grades: (1) Grades K-2; (2) Grades 3-5; (3) Grades 6-8; and (4) Grades 9-12.

  19. Methods of practice and guidelines for using survey-grade global navigation satellite systems (GNSS) to establish vertical datum in the United States Geological Survey

    Science.gov (United States)

    Rydlund, Paul H.; Densmore, Brenda K.

    2012-01-01

    Geodetic surveys have evolved through the years to the use of survey-grade (centimeter level) global positioning to perpetuate and post-process vertical datum. The U.S. Geological Survey (USGS) uses Global Navigation Satellite Systems (GNSS) technology to monitor natural hazards, ensure geospatial control for climate and land use change, and gather data necessary for investigative studies related to water, the environment, energy, and ecosystems. Vertical datum is fundamental to a variety of these integrated earth sciences. Essentially GNSS surveys provide a three-dimensional position x, y, and z as a function of the North American Datum of 1983 ellipsoid and the most current hybrid geoid model. A GNSS survey may be approached with post-processed positioning for static observations related to a single point or network, or involve real-time corrections to provide positioning "on-the-fly." Field equipment required to facilitate GNSS surveys range from a single receiver, with a power source for static positioning, to an additional receiver or network communicated by radio or cellular for real-time positioning. A real-time approach in its most common form may be described as a roving receiver augmented by a single-base station receiver, known as a single-base real-time (RT) survey. More efficient real-time methods involving a Real-Time Network (RTN) permit the use of only one roving receiver that is augmented to a network of fixed receivers commonly known as Continually Operating Reference Stations (CORS). A post-processed approach in its most common form involves static data collection at a single point. Data are most commonly post-processed through a universally accepted utility maintained by the National Geodetic Survey (NGS), known as the Online Position User Service (OPUS). More complex post-processed methods involve static observations among a network of additional receivers collecting static data at known benchmarks. Both classifications provide users

  20. Positive correlation of airway resistance and serum asymmetric dimethylarginine level in COPD patients with systemic markers of low-grade inflammation

    Directory of Open Access Journals (Sweden)

    Tajti G

    2017-03-01

    75% of forced vital capacity showed that significant negative, elevated C-reactive protein exhibited significant positive relationship with Raw in the final model. Positive correlation of Raw with ADMA in COPD patients showing evidence of a systemic low-grade inflammation implies that ADMA contributes to the progression of COPD, probably by shunting L-arginine from the NOS pathway to the arginase one. Keywords: ADMA, airway resistance, nitric oxide, SGRQ, whole-body plethysmography

  1. Functionally Graded Media

    OpenAIRE

    Campos, Cédric M.; Epstein, Marcelo; De León, Manuel

    2007-01-01

    The notions of uniformity and homogeneity of elastic materials are reviewed in terms of Lie groupoids and frame bundles. This framework is also extended to consider the case Functionally Graded Media, which allows us to obtain some homogeneity conditions.

  2. Synchrotron X-ray tests of an L-shaped laterally graded multilayer mirror for the analyzer system of the ultra-high-resolution IXS spectrometer at NSLS-II.

    Science.gov (United States)

    Honnicke, Marcelo G; Keister, Jeffrey W; Conley, Raymond; Kaznatcheev, Konstantine; Takacs, Peter Z; Coburn, David Scott; Reffi, Leo; Cai, Yong Q

    2011-11-01

    Characterization and testing of an L-shaped laterally graded multilayer mirror are presented. This mirror is designed as a two-dimensional collimating optics for the analyzer system of the ultra-high-resolution inelastic X-ray scattering (IXS) spectrometer at National Synchrotron Light Source II (NSLS-II). The characterization includes point-to-point reflectivity measurements, lattice parameter determination and mirror metrology (figure, slope error and roughness). The synchrotron X-ray test of the mirror was carried out reversely as a focusing device. The results show that the L-shaped laterally graded multilayer mirror is suitable to be used, with high efficiency, for the analyzer system of the IXS spectrometer at NSLS-II.

  3. Clear cell renal cell carcinoma: Validation of WHO/ISUP grading.

    Science.gov (United States)

    Dagher, Julien; Delahunt, Brett; Rioux-Leclercq, Nathalie; Egevad, Lars; Srigley, John R; Coughlin, Geoffrey; Dunglinson, Nigel; Gianduzzo, Troy; Kua, Boon; Malone, Greg; Martin, Ben; Preston, John; Pokorny, Morgan; Wood, Simon; Yaxley, John; Samaratunga, Hemamali

    2017-07-18

    In 2012, the International Society of Urological Pathology (ISUP) introduced a novel grading system for clear cell and papillary renal cell carcinoma (RCC) based upon increasing nucleolar prominence in grades 1 to 3, with the presence of extreme nuclear pleomorphism and/or tumour giant cells and/or sarcomatoid and/or rhabdoid differentiation as criteria for grade 4. This system is now incorporated in the latest World Health Organization renal tumour classification, being designated WHO/ISUP grading. This study was undertaken to compare WHO/ISUP and Fuhrman grading and to validate WHO/ISUP grading as a prognostic parameter in a series of clear cell RCC. Analysis of 681 cases of clear cell RCC showed that 144 tumours could not be assigned a Fuhrman grade on the basis of ambiguous grading features. The application of WHO/ISUP grading resulted in a general down-grading of cases when compared with Fuhrman grading. In a sub-group of 376 cases, for which outcome data were available, 9.3% were WHO/ISUP grade 1, 50.0% were grade 2, 24.2% grade 3 and 16.5% grade 4, while the distribution of Fuhrman grades was 0.4% grade 1, 48.7% grade 2, 29.4% grade 3 and 21.5% grade 4. There were no recurrence/metastases amongst patients with WHO/ISUP grade 1 tumours and there was a significant difference in outcome for WHO/ISUP grades 2, 3 and 4. For Fuhrman grading the cancer-free survival was not significantly different for grade 2 and grade 3 tumours. On multivariate analysis WHO/ISUP grade and pT staging category were found to retain prognostic significance. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  4. Functionally graded materials

    CERN Document Server

    Mahamood, Rasheedat Modupe

    2017-01-01

    This book presents the concept of functionally graded materials as well as their use and different fabrication processes. The authors describe the use of additive manufacturing technology for the production of very complex parts directly from the three dimension computer aided design of the part by adding material layer after layer. A case study is also presented in the book on the experimental analysis of functionally graded material using laser metal deposition process.

  5. Examining the Technical Adequacy of Second-Grade Reading Comprehension Measures in a Progress Monitoring Assessment System. Technical Report # 08-08

    Science.gov (United States)

    Alonzo, Julie; Liu, Kimy; Tindal, Gerald

    2008-01-01

    This technical report describes the development of reading comprehension assessments designed for use as progress monitoring measures appropriate for 2nd Grade students. The creation, piloting, and technical adequacy of the measures are presented. The following are appended: (1) Item Specifications for MC [Multiple Choice] Comprehension - Passage…

  6. Meat standards and grading: a world view.

    Science.gov (United States)

    Polkinghorne, R J; Thompson, J M

    2010-09-01

    This paper addresses the principles relating to meat standards and grading of beef and advances the concept that potential exists to achieve significant desirable change from adopting more consumer focused systems within accurate value-based payment frameworks. The paper uses the definitions that classification is a set of descriptive terms describing features of the carcass that are useful to those involved in the trading of carcasses, whereas grading is the placing of different values on carcasses for pricing purposes, depending on the market and requirements of traders. A third definition is consumer grading, which refers to grading systems that seek to define or predict consumer satisfaction with a cooked meal. The development of carcass classification and grading schemes evolved from a necessity to describe the carcass using standard terms to facilitate trading. The growth in world trade of meat and meat products and the transition from trading carcasses to marketing individual meal portions raises the need for an international language that can service contemporary needs. This has in part been addressed by the United Nations promoting standard languages on carcasses, cuts, trim levels and cutting lines. Currently no standards exist for describing consumer satisfaction. Recent Meat Standards Australia (MSA) research in Australia, Korea, Ireland, USA, Japan and South Africa showed that consumers across diverse cultures and nationalities have a remarkably similar view of beef eating quality, which could be used to underpin an international language on palatability. Consumer research on the willingness to pay for eating quality shows that consumers will pay higher prices for better eating quality grades and generally this was not affected by demographic or meat preference traits of the consumer. In Australia the MSA eating quality grading system has generated substantial premiums to retailers, wholesalers and to the producer. Future grading schemes which measure

  7. Microwave Powered Gravitationally Independent Medical Grade Water Generation Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Development of an innovative microwave-based continuous flow sterilization system for the energy efficient gravitationally independent production of Medical Grade...

  8. 新疆旅游中心地等级体系初构%Building of initial grades system of central place of Xinjiang Tourism

    Institute of Scientific and Technical Information of China (English)

    李晓东; 孟令娟; 白洋; 李偲

    2011-01-01

    The tourism center areas lay an important role in the development of regional tourism , which also act as the tourists sightseeing spots, the potential tourists attracting places, the coming-and- leaving places, and the tour ists service places. Based on the present situation and real tourism problems of development in Xinjiang, the re search paper aims at giving an clear picture of the importance of identifying the tourism centers in Xinjiang. First of all, the paper starts from two central basic theories, which are the concept of tourism center and the central theory of Christaller. And then the paper focus on the present traffic problem, which is regarded as “bottleneck” of the tourism development in Xinjiang. In order to identify the tourism center cities in Xinjiang, two research parameters ( accessibility indexAi and network Nick indexes), the resources and conditions of the tourism in Xinjiang areas are also taken into consideration. And finally, an initial grading system of tourism center in Xinjiang, as well as the tourism central areas of Xinjiang, has been put forward by combing some key factors to make a hierarchical cluster analysis, such as the income of people from overseas and of the mainland China, the number of foreign tourists tourism statistical, urban population etc. In addition, the growth pole theory has been used to put forward a new tourism model-the hierarchy model of the tourism center in Xinjiang.%根据新疆旅游业发展现状与存在的问题,阐明了确定新疆旅游中心地的必要性.以旅游中心地概念及克里斯泰勒中心地理论为基础,针对新疆旅游业发展中存在的"瓶颈"--交通问题,分析计算了通达性指数与网尼克指数两个指标,结合新疆各地区的旅游景点和酒店数日,确定了新疆旅游中心城市(中心地).利用以上四个指标进行聚类分析,划分了新疆旅游中心区域,从而初步构建了新疆旅游中心地等级体系.运用增长极理论进

  9. Graded-index magnonics

    Science.gov (United States)

    Davies, C. S.; Kruglyak, V. V.

    2015-10-01

    The wave solutions of the Landau-Lifshitz equation (spin waves) are characterized by some of the most complex and peculiar dispersion relations among all waves. For example, the spin-wave ("magnonic") dispersion can range from the parabolic law (typical for a quantum-mechanical electron) at short wavelengths to the nonanalytical linear type (typical for light and acoustic phonons) at long wavelengths. Moreover, the long-wavelength magnonic dispersion has a gap and is inherently anisotropic, being naturally negative for a range of relative orientations between the effective field and the spin-wave wave vector. Nonuniformities in the effective field and magnetization configurations enable the guiding and steering of spin waves in a deliberate manner and therefore represent landscapes of graded refractive index (graded magnonic index). By analogy to the fields of graded-index photonics and transformation optics, the studies of spin waves in graded magnonic landscapes can be united under the umbrella of the graded-index magnonics theme and are reviewed here with focus on the challenges and opportunities ahead of this exciting research direction.

  10. Agreement between House-Brackmann Grading System and Facial Nerve Grading System 2.0 in Patients with Facial Nerve Paralysis%面神经分级2.0对周围性面神经麻痹的评价研究

    Institute of Scientific and Technical Information of China (English)

    李阳; 冯国栋; 田旭; 薛玉斌; 赵阳; 吴海燕; 高志强

    2014-01-01

    目的:比较House-brackmann分级(HBGS)和面神经分级2.0(FNGS 2.0)对周围性面神经麻痹的评价效果。方法3名高年资医师和3名低年资医师分别使用HBGS和FNGS2.0分级方法,对50项周围性面神经麻痹患者的表情视频进行评价。对两种分级方法的重复性、一致性进行分析、比较。结果使用HBGS,低年资医生之间的评价一致性为39.5%,kappa值为0.30,高年资医生之间的评价一致性为56.5%,kappa值为0.43,两组之间具有显著性差异(p0.05);HBGS和FNGS2.0的总体相关性ICC值为0.760, SCC值为0.746,kappa值为0.42;FNGS2.0与口的相关性为71%。结论 HBGS与FNGS2.0中度相关;使用HBGS,评判者间的一致性受医生的经验水平影响很大,而使用FNGS2.0,评判者重复性和一致性较好,与评判者的经验无关,与口的运动有较强的相关性。%Objectives To analysis the correlation between House-brackmann Grading System (HBGS)and Facial Nerve Grading System2.0 (FNGS2.0) in evaluation of facial nerve paralysis. Methods Fifty video-recorded facial palsy pa-tients were graded by 3 residents and 3 experts using HBGS and FNGS2.0. Results Agreement percentage between residents for HBGS was 39.5%, and generalized kappa indicated only fair agreement(k=0.30);Agreement percentage between experts for HBGS was 56.5%, and generalized kappa indicated moderate agreement(k=0.43);The difference between the observer groups was statistically significant (P0.05);The overall intra-class correlation coefficient (ICC) was 0.760,the Spearman correlation coefficient (SCC) was 0.746 and kappa coefficient was 0.42 (P<0.05);The exact agreements between regional assessment and FNGS 2.0 , were highest for the mouth (71%). Conclusions FNGS 2.0 shows moderate agreement with HBGS. For HBGS the interobserver agreement was influnced by the doctor’s experi-ence;For FNGS2.0, the intraobserver and interobserver agreement was high, with no relation

  11. Study on Evidence Grading System in Evidence-based Clinical Practice Guidelines of Traditional Chinese Medicine%建立循证中医临床实践指南证据分级体系的构想

    Institute of Scientific and Technical Information of China (English)

    汪受传; 陈争光; 徐珊; 赵霞; 虞舜

    2013-01-01

    This article explained that the evidence grading system occupied an important position in the evidence-based clinical practice guidelines. Through the comparative analysis on characteristics of clinical evidences between traditional Chinese medicine (TCM) and modern medicine, different possible establishment ideas of evidence grading system in TCM evidence-based clinical practice guidelines were proposed . The design for evidence grading standard of Chinese medical literature which reflected the academic characteristics of TCM was suggested.%通过阐述证据分级体系在循证临床实践指南的重要地位,中医学和西医学临床证据特点的对比分析,评析了建立循证中医临床实践指南证据分级体系的各种设想,提出了具有本学科学术特点的中医文献证据分级标准。

  12. Serving Grades Over the Internet.

    Science.gov (United States)

    Harris, James K.

    This paper demonstrates a grade server that allows college students to access their grades over the Internet from the instructor's home page. Using a CGI (common gateway interface) program written in Visual Basic, the grades are read directly from an Excel spreadsheet and presented to the requester after he/she enters a password. The grade for…

  13. Establishment and assessment of graded early warning system for dengue fever in Zhongshan, China%中山市登革热分级预警应对体系的建立和应用评估

    Institute of Scientific and Technical Information of China (English)

    岑永庄; 王曼; 汪涛; 舒波; 陈秀云; 罗乐

    2013-01-01

    Objective To establish a graded early warning system for dengue fever and assess its effect of early warning and to reduce the risk of dengue fever outbreak in Zhongshan,China.Methods A graded early warning system for dengue fever was established based on relevant literature and the data of vector surveillance and human case surveillance in Zhongshan from 1990 to 2007.The system was used for graded early waming in Zhongshan from 2008 to 2011.The outbreak scales before and after the system was established were compared based on the data on dengue fever outbreaks in Zhongshan from 1990 to 2011 to assess the graded early warning system.Results The graded early warning system for dengue fever was established according to the following indices:mosquito and oviposition positive index (MOI),human cases,and month of year; the system divided the probability of dengue fever outbreak into 5 grades,i.e.,0:almost no probability; 1:little probability; 2:probability; 3:high probability; 4:outbreak.The system sent grade 2 early warning signals 5 times,grade 3 early warning signals twice,and grade 4 early warning signals once from 2008 to 2011.From 2008 to 2011,there was only one outbreak of dengue fever involving 3 (1.20%) of 250 persons,which lasted for 20 d; from 1990 to 2007,there were 7 outbreaks of dengue fever involving 14-195 (median,37) (0.84%-14.88%,median 3.81%) of all individuals,which lasted for 16-64 d (median,42 d).Conclusion After the graded early warning system for dengue fever was established,the outbreak scale of dengue fever decreased significantly during 2008-2011,as compared with those during 1990-2007.The graded early warning system plays an important role in reducing the risk of dengue fever outbreak in Zhongshan.%目的 为降低中山市登革热暴发风险,建立登革热分级预警应对体系并评价预警效果.方法 查阅文献、结合中山市1990-2007年登革热媒介监测、病例监测数据,建立登革

  14. Listening Comprehension, Oral Expression, Reading Comprehension, and Written Expression: Related Yet Unique Language Systems in Grades 1, 3, 5, and 7.

    Science.gov (United States)

    Berninger, Virginia W; Abbott, Robert D

    2010-08-01

    Age-normed tests of Listening Comprehension, Oral Expression, Reading Comprehension, and Written Expression were administered in grades 1 (n=128), 3, and 5 or 3 (n=113), 5, and 7. Confirmatory factor analyses compared one- and four- factor models at each grade level and supported a four- factor model of Language by Ear, Mouth, Eye, and Hand. Multiple regressions identified which of the three other language skills explained unique variance in each of the four language skill outcomes and provided additional evidence that language is not a single skill. Individuals' ipsative scores (amount that the standard score for age on each language measure deviated from individual's mean for all four measures) showed that 25% to 30% of individuals showed relative strengths or weaknesses (+ or - 1 SD) in specific language skills, but only 7% were stable across grades 3 and 5. Findings are discussed in reference to (a) theoretical implications for idea comprehension and expression via language by ear, mouth, eye, and hand, and (b) educational applications of observed developmental and individual differences for general, special, and gifted education.

  15. Methods of graded rings

    CERN Document Server

    Nastasescu, Constantin

    2004-01-01

    The topic of this book, graded algebra, has developed in the past decade to a vast subject with new applications in noncommutative geometry and physics. Classical aspects relating to group actions and gradings have been complemented by new insights stemming from Hopf algebra theory. Old and new methods are presented in full detail and in a self-contained way. Graduate students as well as researchers in algebra, geometry, will find in this book a useful toolbox. Exercises, with hints for solution, provide a direct link to recent research publications. The book is suitable for courses on Master level or textbook for seminars.

  16. Richter syndrome and brain involvement: low-grade lymphoma relapsing as cerebral high-grade lymphoma.

    Science.gov (United States)

    Stuplich, Moritz; Mayer, Karin; Kim, Young; Thanendrarajan, Sharmilan; Simon, Matthias; Schäfer, Niklas; Glas, Martin; Schmidt-Wolf, Ingo G H; Herrlinger, Ulrich

    2012-01-01

    Richter syndrome (RS) describes the development of high-grade non-Hodgkin's lymphoma (NHL) from low-grade NHL. RS isolated to the brain is very rare and has a poor prognosis. We describe the cases of high-grade large B-cell diffuse NHL in a 56-year-old male with chronic lymphocytic leukemia and in a 71-year-old female with previously unknown low-grade NHL, both with initial appearance of neurological symptoms. This report extends the literature of central nervous system RS and particularly highlights the importance of a thorough diagnostic evaluation of patients with low-grade NHL presenting with neurological symptoms. Copyright © 2011 S. Karger AG, Basel.

  17. The Maximal Graded Left Quotient Algebra of a Graded Algebra

    Institute of Scientific and Technical Information of China (English)

    Gonzalo ARANDA PINO; Mercedes SILES MOLINA

    2006-01-01

    We construct the maximal graded left quotient algebra of every graded algebra A without homogeneous total right zero divisors as the direct limit of graded homomorphisms (of left A-modules)from graded dense left ideals of A into a graded left quotient algebra of A. In the case of a superalgebra,and with some extra hypothesis, we prove that the component in the neutral element of the group of the maximal graded left quotient algebra coincides with the maximal left quotient algebra of the component in the neutral element of the group of the superalgebra.

  18. Cutting Class Harms Grades

    Science.gov (United States)

    Taylor, Lewis A., III

    2012-01-01

    An accessible business school population of undergraduate students was investigated in three independent, but related studies to determine effects on grades due to cutting class and failing to take advantage of optional reviews and study quizzes. It was hypothesized that cutting classes harms exam scores, attending preexam reviews helps exam…

  19. Social Studies: Grade 8.

    Science.gov (United States)

    Manitoba Dept. of Education, Winnipeg.

    This Manitoba (Canada) curriculum guide for eighth grade social studies students contains suggested teaching strategies and learning activities in four units covering: (1) life during prehistoric and early historic times; (2) ancient civilizations; (3) life in early modern Europe; and (4) life in the modern world. Each unit includes an overview,…

  20. Purpose-Driven Grading

    Science.gov (United States)

    Carlson, Jane A. K.; Kimpton, Ann

    2010-01-01

    Allowing students to improve their grade by revising their written work may help students learn to revise, but it gives them no incentive to turn in quality work from the start. This article proposes a way to invert the process, thereby teaching students how to revise, while enforcing a more disciplined approach to good writing. (Contains 3…

  1. Endangered Animals. Second Grade.

    Science.gov (United States)

    Popp, Marcia

    This second grade teaching unit centers on endangered animal species around the world. Questions addressed are: What is an endangered species? Why do animals become extinct? How do I feel about the problem? and What can I do? Students study the definition of endangered species and investigate whether it is a natural process. They explore topics…

  2. Inspection Score and Grading System for Food Services in Brazil: The Results of a Food Safety Strategy to Reduce the Risk of Foodborne Diseases during the 2014 FIFA World Cup.

    Science.gov (United States)

    da Cunha, Diogo T; Saccol, Ana L de Freitas; Tondo, Eduardo C; de Oliveira, Ana B A; Ginani, Veronica C; Araújo, Carolina V; Lima, Thalita A S; de Castro, Angela K F; Stedefeldt, Elke

    2016-01-01

    In 2014, Brazil hosted one of the most popular sport competitions in the world, the FIFA World Cup. Concerned about the intense migration of tourists, the Brazilian government decided to deploy a food safety strategy based on inspection scores and a grading system applied to food services. The present study aimed to evaluate the results of the food safety strategy deployed during the 2014 FIFA World Cup in Brazil. To assess food safety, an evaluation instrument was applied twice in 1927 food service establishments from 26 cities before the start of the competition. This instrument generated a food safety score for each establishment that ranged from 0.0 (no flaws observed) to 2565.95, with four possible grades: A (0.0-13.2); B (13.3-502.6); C (502.7-1152.2); and pending (more than 1152.3). Each food service received a stamp with the grade of the second evaluation. After the end of the World Cup, a study was conducted with different groups of the public to evaluate the acceptance of the strategy. To this end, 221 consumers, 998 food service owners or managers, 150 health surveillance auditors, and 27 health surveillance coordinators were enrolled. These participants completed a survey with positive and negative responses about the inspection score system through a 5-point Likert scale. A reduction in violation scores from 393.1 to 224.4 (p system reliability" presented a mean of 4.0 or more, indicating that the public believed this strategy is reliable for communicating risks and promoting food safety. The strategy showed positive results regarding food safety and public acceptance. The deployed strategy promoted improvements in the food safety of food services. The implementation of a permanent policy may be well accepted by the public and may greatly contribute to a reduction in foodborne diseases (FBDs).

  3. Tumor tissue protein signatures reflect histological grade of breast cancer.

    Science.gov (United States)

    Skoog, Petter; Ohlsson, Mattias; Fernö, Mårten; Rydén, Lisa; Borrebaeck, Carl A K; Wingren, Christer

    2017-01-01

    Histological grade is one of the most commonly used prognostic factors for patients diagnosed with breast cancer. However, conventional grading has proven technically challenging, and up to 60% of the tumors are classified as histological grade 2, which represents a heterogeneous cohort less informative for clinical decision making. In an attempt to study and extend the molecular puzzle of histologically graded breast cancer, we have in this pilot project searched for additional protein biomarkers in a new space of the proteome. To this end, we have for the first time performed protein expression profiling of breast cancer tumor tissue, using recombinant antibody microarrays, targeting mainly immunoregulatory proteins. Thus, we have explored the immune system as a disease-specific sensor (clinical immunoproteomics). Uniquely, the results showed that several biologically relevant proteins reflecting histological grade could be delineated. In more detail, the tentative biomarker panels could be used to i) build a candidate model classifying grade 1 vs. grade 3 tumors, ii) demonstrate the molecular heterogeneity among grade 2 tumors, and iii) potentially re-classify several of the grade 2 tumors to more like grade 1 or grade 3 tumors. This could, in the long-term run, lead to improved prognosis, by which the patients could benefit from improved tailored care.

  4. International Society of Urological Pathology (ISUP) grading of prostate cancer - An ISUP consensus on contemporary grading.

    Science.gov (United States)

    Egevad, Lars; Delahunt, Brett; Srigley, John R; Samaratunga, Hemamali

    2016-06-01

    The International Society of Urological Pathology (ISUP) has issued guidelines for the grading of prostate cancer based on a consensus conference held in 2014. The recommendations resulting from the 2014 consensus conference were a further development of 2005 ISUP modified Gleason grading. In the 2014 system, morphological criteria are clarified, including updated definitions of Gleason pattern 4. In addition to the continued reporting of Gleason scores, we also recommend that Gleason scores ≤6, 3 + 4 = 7, 4 + 3 = 7, 8 and 9-10, respectively, be reported as five groups, i.e. ISUP grades 1-5. This new grading system has the dual benefit of predicting patient outcome as well as facilitating patient communication. © 2016 APMIS. Published by John Wiley & Sons Ltd.

  5. A Security Assessment Approach with Graded Importance Score of Security Controls and Asset Consequence for I and C Systems in Operating NPPs

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Sooill; Kim, Yong Sik; Moon, Insun; Lee, Euijong [KHNP CRI, Daejeon (Korea, Republic of)

    2016-10-15

    This paper introduces a security assessment approach with graded importance score of security controls and the asset consequence through an asset and risk analysis to manage the security levels in operating NPPs (Nuclear Power Plants). Whereas, those are being exposed to various types of new and existing cyber threats, vulnerabilities and risks which significantly increase the likelihood that those could be compromised. U.S. NRC(United States Nuclear Regulatory Commission) and KINAC(Korea Institute of Nuclear Nonproliferation And Control) request the cyber security plan by establishing the cyber security program through assessing and managing the potential for adverse effect on safety, security and emergency preparedness functions so as to provide high assurance that critical functions are properly protected from the cyber-attack. This paper shows the security assessment approach with graded importance score of security controls and the asset consequence. It could lead to manage the security levels consistent with the purpose of defense in- depth strategy based on regulatory rule as well as internal risk-based self-assessment. Also, this management of the security level may make effect of encouraging the installation of high ranked countermeasures in order to rapidly increase the security level. Proposed approach could be conducted for the pilot test on the model plants with each reactor type of operating NPPs.

  6. Clicking for Grades? Really? Investigating the Use of Clickers for Awarding Grade-Points in Post-Secondary Education

    Science.gov (United States)

    White, Peter; Syncox, David; Alters, Brian

    2011-01-01

    Using classroom response systems (clickers) to accumulate grade-points has become a controversial practice as response systems have become more widely used in the last decade. Although some instructors opt to use clickers on a non-grades basis, it has become quite common to reward students for (a) correct answers, (b) participating in clicker…

  7. Write More, Grade Less: Five Practices for Effectively Grading Writing

    Science.gov (United States)

    Lucas, Lisa

    2012-01-01

    One of the dilemmas that teachers frequently face is grading student papers. As a teacher, the author regularly reads research regarding instructional practices, grading, and assessment, but struggled to translate theory into practice in her own classroom. The intent of this article is to share one method of instructing and grading writing that…

  8. Determinants for grading Malaysian rice

    Science.gov (United States)

    ChePa, Noraziah; Yusoff, Nooraini; Ahmad, Norhayati

    2016-08-01

    Due to un-uniformity of rice grading practices in Malaysia, zones which actively producing rice in Malaysia are using their own way of grading rice. Rice grading is important in determining rice quality and its subsequent price in the market. It is an important process applied in the rice production industry with the purpose of ensuring that the rice produced for the market meets the quality requirements of consumer. Two important aspects that need to be considered in determining rice grades are grading technique and determinants to be used for grading (usually referred as rice attributes). This article proposes the list of determinants to be used in grading Malaysian rice. Determinants were explored through combination of extensive literature review and series of interview with the domain experts and practitioners. The proposed determinants are believed to be beneficial to BERNAS in improving the current Malaysian rice grading process.

  9. Maculopathy and spinocerebellar ataxia type 1

    DEFF Research Database (Denmark)

    Lebranchu, Pierre; Le Meur, Guylène; Magot, Armelle

    2013-01-01

    Autosomal dominant cerebellar ataxia is a rare heterogeneous group of diseases characterized by cerebellar symptoms, often associated with other multisystemic signs. Mild optic neuropathy has been associated with spinocerebellar ataxia type 1 (SCA1), but macular dysfunction has been reported...

  10. Inflated Grades, Enrollments & Budgets

    Directory of Open Access Journals (Sweden)

    J. E. Stone

    1995-06-01

    Full Text Available Reports of the past 13 years that call attention to deficient academic standards in American higher education are enumerated. Particular attention is given the Wingspread Group's recent An American Imperative: Higher Expectations for Higher Education. Low academic standards, grade inflation, and budgetary incentives for increased enrollment are analyzed and a call is made for research at the state level. Reported trends in achievement and GPAs are extrapolated to Tennessee and combined with local data to support the inference that 15% of the state's present day college graduates would not have earned a diploma by mid 1960s standards. A conspicuous lack of interest by public oversight bodies is noted despite a growing public awareness of low academic expectations and lenient grading and an implicit budgetary impact of over $100 million. Various academic policies and the dynamics of bureaucratic control are discussed in relationship to the maintenance of academic standards. The disincentives for challenging course requirements and responsible grading are examined, and the growing movement to address academic quality issues through better training and supervision of faculty are critiqued. Recommendations that would encourage renewed academic integrity and make learning outcomes visible to students, parents, employers, and the taxpaying public are offered and briefly discussed.

  11. A new kind of graded Lie algebra and parastatistical supersymmetry

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    In this paper the usual Z2 graded Lie algebra is generalized to a new form, which may be called Z2,2 graded Lie algebra. It is shown that there exist close connections between the Z2,2 graded Lie algebra and parastatistics, so the Z2,2 can be used to study and analyse various symmetries and supersymmetries of the paraparticle systems.

  12. The 'Lumbar Fusion Outcome Score' (LUFOS): a new practical and surgically oriented grading system for preoperative prediction of surgical outcomes after lumbar spinal fusion in patients with degenerative disc disease and refractory chronic axial low back pain.

    Science.gov (United States)

    Mattei, Tobias A; Rehman, Azeem A; Teles, Alisson R; Aldag, Jean C; Dinh, Dzung H; McCall, Todd D

    2017-01-01

    In order to evaluate the predictive effect of non-invasive preoperative imaging methods on surgical outcomes of lumbar fusion for patients with degenerative disc disease (DDD) and refractory chronic axial low back pain (LBP), the authors conducted a retrospective review of 45 patients with DDD and refractory LBP submitted to anterior lumbar interbody fusion (ALIF) at a single center from 2007 to 2010. Surgical outcomes - as measured by Visual Analog Scale (VAS/back pain) and Oswestry Disability Index (ODI) - were evaluated pre-operatively and at 6 weeks, 3 months, 6 months, and 1 year post-operatively. Linear mixed-effects models were generated in order to identify possible preoperative imaging characteristics (including bone scan/99mTc scintigraphy increased endplate uptake, Modic endplate changes, and disc degeneration graded according to Pfirrmann classification) which may be predictive of long-term surgical outcomes . After controlling for confounders, a combined score, the Lumbar Fusion Outcome Score (LUFOS), was developed. The LUFOS grading system was able to stratify patients in two general groups (Non-surgical: LUFOS 0 and 1; Surgical: LUFOS 2 and 3) that presented significantly different surgical outcomes in terms of estimated marginal means of VAS/back pain (p = 0.001) and ODI (p = 0.006) beginning at 3 months and continuing up to 1 year of follow-up. In conclusion,  LUFOS has been devised as a new practical and surgically oriented grading system based on simple key parameters from non-invasive preoperative imaging exams (magnetic resonance imaging/MRI and bone scan/99mTc scintigraphy) which has been shown to be highly predictive of surgical outcomes of patients undergoing lumbar fusion for treatment for refractory chronic axial LBP.

  13. Role of cytologic grading in prognostication of invasive breast carcinoma

    Directory of Open Access Journals (Sweden)

    Khan Nazoora

    2009-01-01

    Full Text Available Background: Evaluation of cytologic features is indispensable in the preoperative diagnosis and grading of infiltrating ductal breast carcinoma (CA in fine-needle aspiration cytology (FNAC material and this method can also provide additional information regarding intrinsic features of the tumor as well as its prognosis. Aim: This study has been done to evaluate comparatively the cytologic and histomorphologic grading of infiltrating ductal carcinoma of breast with specific reference to lymph node metastasis and its role in prognostication. Materials and Methods: Forty three patients who underwent FNAC and mastectomy for infiltrating ductal carcinoma were cytologically and histologically graded (employing Robinson′s cytologic grading system and Elston′s modification of Bloom-Richardson system, respectively. Statistical analysis was done employing ′z′ test and c2 test to compare the two grading system and to examine the degree of correlation between the cytologic and histologic grades. Multiple regression analysis was done to assess the significance of every cytologic and histologic parameter. All 43 cases, graded cyto-histologically were also evaluated for presence or absence of metastasis to the regional lymph nodes employing c2 test. Results: With histologic grade taken as the standard, cytology was found to be fairly comparable, for grading breast carcinoma (overall sensitivity 89.1%, specificity 100%. Further comparison of the two grading systems by Z-test showed that difference between the cytologic and histologic grading was insignificant in all the three grade (p > 0.05. Of the six parameters studied, cell dissociation, nucleoli and chromatin pattern were the most influential features (p < 0.001. The statistically significant difference (p < 0.001 was found in incidences of axillary lymph node metastatic rate in three cytologic grades (15.4% in grade I vs. 83.3% in grade III as well. Conclusions: Apart from being simple and

  14. Correlation of levels and patterns of genomic instability with histological grading of invasive breast tumors.

    Science.gov (United States)

    Ellsworth, Rachel E; Hooke, Jeffrey A; Love, Brad; Kane, Jennifer L; Patney, Heather L; Ellsworth, Darrell L; Shriver, Craig D

    2008-01-01

    Pathological grade is a useful prognostic factor for stratifying breast cancer patients into favorable (well-differentiated tumors) and less favorable (poorly-differentiated tumors) outcome groups. The current system of tumor grading, however, is subjective and a large proportion of tumors are characterized as intermediate-grade tumors, making determination of optimal treatments difficult. To determine whether molecular profiles can discriminate breast disease by grade, patterns and levels of allelic imbalance (AI) at 26 chromosomal regions frequently altered in breast disease were examined in 185 laser microdissected specimens representing well-differentiated (grade 1; n = 55), moderately-differentiated (grade 2; n = 71), and poorly-differentiated (grade 3; n = 59) stage I-IV breast tumors. Overall levels of AI were significantly higher in grade 3 compared to grade 1 tumors (P .05). Grades 1 and 3 showed distinct genetic profiles--grade 1 tumors were associated with large deletions of chromosome 16q22, while alterations at 9p21, 11q23, 13q14, 17p13.1 and 17q12 were characteristics of grade 3 carcinomas. In general, levels and patterns of AI in grade 2 carcinomas were intermediate between grade 1 and grade 3 tumors. Patterns of AI accurately categorized approximately 70% of samples into high- or low-grade disease groups, suggesting that the majority of breast tumors have genetic profiles consistent with high- or low-grade, and that molecular signatures of breast tumors can be useful for more accurate characterization of invasive breast cancer.

  15. Microwave Powered Gravitationally Independent Medical Grade Water Generation Project

    Data.gov (United States)

    National Aeronautics and Space Administration — An innovative microwave system is proposed for the continuous production of medical grade water. This system will utilize direct absorption of microwave radiation to...

  16. Serum Immunoglobulin M Concentration Varies with Triglyceride Levels in an Adult Population: Tianjin Chronic Low-Grade Systemic Inflammation and Health (TCLSIHealth) Cohort Study.

    Science.gov (United States)

    Shi, Hongbin; Guo, Xiaoyan; Zhang, Qing; Wu, Hongmei; Du, Huanmin; Liu, Li; Wang, Chongjin; Xia, Yang; Liu, Xing; Li, Chunlei; Sun, Shaomei; Wang, Xing; Zhou, Ming; Jia, Qiyu; Zhao, Honglin; Song, Kun; Wei, Dianjun; Niu, Kaijun

    2015-01-01

    Persistent low-grade inflammation is thought to underlie the pathogenesis of many chronic diseases, such as cardiovascular diseases and metabolic syndrome. Autoimmunity is correlated with increased levels of chronic low-grade inflammation, and immunoglobulin M (IgM) is reactive to autoantigens and believed to be important for autoimmunity. Triglyceride (TG) is fatty acid carrier and initiator of oxidative stress, and it has been hypothesized that TG stimulates B cells to secrete IgM. However, few studies have investigated the relationship between TG and IgM in human populations. We designed a cross-sectional and prospective cohort study to evaluate how serum TG levels are related to IgM concentration. Participants were recruited from Tianjin Medical University General Hospital-Health Management Centre. Both a baseline cross-sectional (n = 10,808) and a prospective assessment (n = 2,615) were performed. Analysis of covariance was used in the cross-sectional analysis. After multiple adjustments for confounding factors, serum IgM level in the highest quartile of TG in males was significantly higher than levels in lower quartiles (P <0.05). There was no significant difference between the four quartiles in females (P = 0.91). In follow-up analysis, a multiple linear regression model showed a significant and positive correlation between changes in IgM levels and changes of TG concentration in males (P = 0.04, standard β coefficient = 0.882). This cross-sectional and cohort study is the first to show that serum concentration of IgM varies with TG levels in adult male populations. Further research is needed to explore the mechanism by which TG leads to increased IgM concentration.

  17. Serum Immunoglobulin M Concentration Varies with Triglyceride Levels in an Adult Population: Tianjin Chronic Low-Grade Systemic Inflammation and Health (TCLSIHealth Cohort Study.

    Directory of Open Access Journals (Sweden)

    Hongbin Shi

    Full Text Available Persistent low-grade inflammation is thought to underlie the pathogenesis of many chronic diseases, such as cardiovascular diseases and metabolic syndrome. Autoimmunity is correlated with increased levels of chronic low-grade inflammation, and immunoglobulin M (IgM is reactive to autoantigens and believed to be important for autoimmunity. Triglyceride (TG is fatty acid carrier and initiator of oxidative stress, and it has been hypothesized that TG stimulates B cells to secrete IgM. However, few studies have investigated the relationship between TG and IgM in human populations. We designed a cross-sectional and prospective cohort study to evaluate how serum TG levels are related to IgM concentration. Participants were recruited from Tianjin Medical University General Hospital-Health Management Centre. Both a baseline cross-sectional (n = 10,808 and a prospective assessment (n = 2,615 were performed. Analysis of covariance was used in the cross-sectional analysis. After multiple adjustments for confounding factors, serum IgM level in the highest quartile of TG in males was significantly higher than levels in lower quartiles (P <0.05. There was no significant difference between the four quartiles in females (P = 0.91. In follow-up analysis, a multiple linear regression model showed a significant and positive correlation between changes in IgM levels and changes of TG concentration in males (P = 0.04, standard β coefficient = 0.882. This cross-sectional and cohort study is the first to show that serum concentration of IgM varies with TG levels in adult male populations. Further research is needed to explore the mechanism by which TG leads to increased IgM concentration.

  18. Handwriting: Grade 3 Cursive Practice Book.

    Science.gov (United States)

    1978

    Intended for children in third grade, this workbook provides practice in writing correctly all 26 cursive letters, both upper and lower-case, and numerals from 0 to 9. The alphabet used in the workbook is the Zaner-Bloser style of handwriting, the most widely used system in the schools of the United States. The strokes used to make each letter are…