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Sample records for monte spina eruption

  1. Timescales of magmatic processes prior to the ˜4.7 ka Agnano-Monte Spina eruption (Campi Flegrei caldera, Southern Italy) based on diffusion chronometry from sanidine phenocrysts

    Science.gov (United States)

    Iovine, Raffaella Silvia; Fedele, Lorenzo; Mazzeo, Fabio Carmine; Arienzo, Ilenia; Cavallo, Andrea; Wörner, Gerhard; Orsi, Giovanni; Civetta, Lucia; D'Antonio, Massimo

    2017-02-01

    Barium diffusion chronometry applied to sanidine phenocrysts from the trachytic Agnano-Monte Spina eruption (˜4.7 ka) constrains the time between reactivation and eruption of magma batches in the Campi Flegrei caldera. Backscattered electron imaging and quantitative electron microprobe measurements on 50 sanidine phenocrysts from representative pumice samples document core-to-rim compositional zoning. We focus on compositional breaks near the crystal rims that record magma mixing processes just prior to eruption. Diffusion times were modeled at a magmatic temperature of 930 °C using profiles based on quantitative BaO point analyses, X-ray scans, and grayscale swath profiles, yielding times ≤60 years between mixing and eruption. Such short timescales are consistent with volcanological and geochronological data that indicate that at least six eruptions occurred in the Agnano-San Vito area during few centuries before the Agnano-Monte Spina eruption. Thus, the short diffusion timescales are similar to time intervals between eruptions. Therefore, the rejuvenation time of magma residing in a shallow reservoir after influx of a new magma batch that triggered the eruption, and thus pre-eruption warning times, may be as short as years to a few decades at Campi Flegrei caldera.

  2. Residence times of alkali feldspar phenocrysts from magma feeding the Agnano-Monte Spina Eruption (4.7 ka), Campi Flegrei caldera (Napoli, southern Italy) based on Ba-zonation modelling

    Science.gov (United States)

    Iovine, Raffaella Silvia; Wörner, Gerhard; Carmine Mazzeo, Fabio; Arienzo, Ilenia; Fedele, Lorenzo; Civetta, Lucia; D'Antonio, Massimo; Orsi, Giovanni

    2016-04-01

    Timescales governing the development of crustal magma reservoirs are a key for understanding magmatic processes such as ascent, storage and mixing event. An estimate of these timescales can provide important constraints for volcanic hazard assessment of active volcanoes. We studied the Agnano-Monte Spina eruption (A-MS; 4.7 ka; VEI = 4; 0.85 km3 D.R.E. of magma erupted) of the Campi Flegrei caldera, one of the most dangerous volcanic areas on Earth. The A-MS eruption has been fed by magmas varying from more to less evolved trachyte whose variable 87Sr/86Sr and trace elements features suggest magma mixing between two end-members. Ba zonation profiles of alkali feldspar phenocrysts have been determined through combined energy-dispersive and wavelength-dispersive electron microprobe analyses (EDS-WDS-EMPA). We focused on distinct compositional breaks near the rim of the crystals that likely represent the last mixing event prior to eruption. We always chose the steepest gradients close to the crystal rims, taking into account that any effects related to cutting angles or crystal orientation should give longer apparent diffusion times. Two different approaches were undertaken: (1) a quantitative Ba compositional profiles were measured by point analyses along a short transect crossing growth discontinuities and (2) grey-scale profiles were taken parallel to the acquired point profiles. Assuming that Ba dominates the backscattered electron intensities in sanidines, greyscale gradients can be used as a diffusive tracer. BSE images were processed using the ImageJ® software, in order to extract a numerical greyscale profile. In both cases, each profile was interpolated through a non-linear Boltzmann fit curve with the Mathematica® software. A few traverses done at angles smaller than 90° to the compositional boundary interface were corrected by multiplying the distance values by the sinus of the traverse angle relative to the vertical on the interface. Our preliminary

  3. Spina Bifida

    Science.gov (United States)

    Spina bifida is a neural tube defect - a type of birth defect of the brain, spine, or spinal ... cord. Screening tests during pregnancy can check for spina bifida. Sometimes it is discovered only after the baby ...

  4. Spina Bifida

    Science.gov (United States)

    ... People with spina bifida can develop sores, calluses, blisters and burns on their feet, ankles and hips. ... bladder) that helps your body get rid of waste and extra fluids in the urine. Babies with ...

  5. Spina bifida (image)

    Science.gov (United States)

    Spina bifida is a congenital disorder (birth defect) in which the backbone and spinal canal do not close ... membranes protruding out of an affected infant's back. Spina bifida may also be nearly inconsequential, or may be ...

  6. Spina Bifida Occulta

    Science.gov (United States)

    SBA National Resource Center: 800-621-3141 Spina Bifida Occulta A mild form of Spina Bilda. What ... even if there is nothing wrong with the spine. However, there can be neurological complications associated with ...

  7. Genetics Home Reference: spina bifida

    Science.gov (United States)

    ... Me Understand Genetics Home Health Conditions spina bifida spina bifida Enable Javascript to view the expand/collapse boxes. Download PDF Open All Close All Description Spina bifida is a condition in which the neural tube, ...

  8. Spina Bifida Association of America

    Science.gov (United States)

    ... Support Events & Participants 100 Ways for SB Team Spina Bifida Find a Participant Walk-N-Roll for SB ... Ways for SB Education Days National Conference Team Spina Bifida Walk-N-Roll for Spina Bifida World Congress ...

  9. Test Your Knowledge of Spina Bifida

    Science.gov (United States)

    ... Past Emails CDC Features Test Your Knowledge of Spina Bifida Language: English Español (Spanish) Recommend on Facebook Tweet ... at every age for those with spina bifida. Spina Bifida Videos The Spina Bifida Experience Managing Medical Care ...

  10. Spina bifida and sexuality

    DEFF Research Database (Denmark)

    von Linstow, Michael Ernst; Biering-Sørensen, Ida; Liebach, Annette

    2014-01-01

    OBJECTIVE: To evaluate sexual function amongst adult individuals with spina bifida and to register their subjective satisfaction with their sexual life and relationships. SETTING: Department for Spinal Cord Injuries, East Denmark. STUDY DESIGN AND METHODS: Cohort study. Medical record information......, neurological examination, personal interview, Functional Independence Measure (FIMTM), Medical Outcome Study Short Form 36 (SF-36) on quality of life, and questions on sexual function and related topics. Study cohort: Fifty-three participants (27 women, 26 men) with spina bifida (mean age 27.1, range 18......: There is a need for further sexual education and counselling for adults with spina bifida in order to improve their sexuality and quality of life....

  11. Spina Bifida and Motherhood.

    Science.gov (United States)

    Drakes, Olive

    1984-01-01

    Two women with spina bifida, a disability in which the spinal cord and nerves are damaged, gave birth to healthy babies. The article points out the need to provide young girls having this condition with information and counseling regarding sexual relationships, parenthood, and child rearing. (CL)

  12. Cl constrains on shallow plumbing system and pre-eruptive conditions of the Phlegrean Fields.

    Science.gov (United States)

    Zdanowicz, Géraldine; Balcone-Boissard, Hélène; Boudon, Georges; Civetta, Lucia; Orsi, Giovanni; D'Antonio, Massimo

    2015-04-01

    The bay of Naples is known to concentrate several dangerous volcanoes that erupted a lot of times in prehistorical and historical periods: Vesuvius, Phlegrean Fields and Ischia Island. Phlegrean Fields produced voluminous high-magnitude eruptions including: the Campanian Ignimbrite (39 ka BP), one of the two largest explosive eruptions of the Mediterranean region during the last 200,000 years, with 300 km3 of magma emitted, and the Neapolitan Yellow Tuff (15 ka BP), the second major eruption (40 km3 of magma emitted). The Ischia Island is located in the Bay of Naples and its eruptive history has been recently detailed. We present a geochemical investigation of volatile components on the fallout products of the major explosive eruptions of Phlegrean Fields: the Campanian Ignimbrite (39 ka BP), the Neapolitan Yellow Tuff (15 ka BP), the Pomici Principali (10 ka BP; 0.38 km3 DRE magma), the Agnano Monte-Spina (4.1 ka BP; 0.60 km3 DRE magma); the Astroni 6 (3.8 ka BP; 0.70 km3 DRE magma); the Monte Nuovo (1,538 AD), which is the most recent eruption of the Phlegrean Fields (0.04 km3 DRE magma), and for comparison the Cretaio eruption of the Ischia Island (1,800 a BP; 0.02 km3 DRE magma). Volatiles of magmas (H2O, CO2, SO2, Cl, F) are informative not only because they play a key role in the eruptive dynamic but also because they, and especially chlorine, may allow estimating the pressure of localization of the magma storage and pre-eruptive water content (prior the eruption). In the alkaline magmas involved during the Phlegrean Fields eruptions, H2O is the main volatile species but Cl behaviour is particularly interesting to study. Experimentally, it has been demonstrated that in a pressure, temperature and composition domain a water-saturated magma may be in equilibrium with a fluid phase consisting of a water-rich vapor and a chlorine-rich brine. In that case, the Cl content in magma is buffered. This effect allows determining the pressure of localization of

  13. Living with Spina Bifida (at different ages)

    Science.gov (United States)

    ... Us Information For... Media Policy Makers Living With Spina Bifida Language: English Español (Spanish) Recommend on Facebook Tweet ... of the website provides information about living with spina bifida at different ages. Spina bifida affects the entire ...

  14. The Child with Spina Bifida.

    Science.gov (United States)

    Anderson, Elizabeth M.; Spain, Bernie

    Intended for parents as well as professionals, the text provides information and practical suggestions on dealing with spina bifida and hydrocephalus. Part I (chapters 1 and 2) concentrates on the medical and physical aspects of the condition with discussions covering such areas as spina bifida's development, locomotor problems, and the role of…

  15. [Foetal therapy for spina bifida

    NARCIS (Netherlands)

    Eggink, A.J.; Willemsen, M.A.A.P.

    2012-01-01

    - Spina bifida is the most common congenital birth defect involving the central nervous system. It results in central and peripheral abnormalities.- Patients with severe spina bifida may have a lifelong disability with dependence on medical and social supportive care.- A randomized controlled trial

  16. The Somma-Vesuvius complex and the Phlaegrean Fields caldera: New chronological data of several eruptions of the Copper-Middle Bronze Age period

    Energy Technology Data Exchange (ETDEWEB)

    Passariello, Isabella, E-mail: isabella.passariello@unina2.i [CIRCE - Dipartimento di Scienze Ambientali, II Universita di Napoli and INNOVA, via Vivaldi 43, Caserta 81100 (Italy); Lubritto, Carmine; D' Onofrio, Antonio [CIRCE - Dipartimento di Scienze Ambientali, II Universita di Napoli and INNOVA, via Vivaldi 43, Caserta 81100 (Italy); Guan, Yongjing [CIRCE - Dipartimento di Scienze Ambientali, II Universita di Napoli and INNOVA, via Vivaldi 43, Caserta 81100 (Italy); ICTP, Trieste (Italy); Terrasi, Filippo [CIRCE - Dipartimento di Scienze Ambientali, II Universita di Napoli and INNOVA, via Vivaldi 43, Caserta 81100 (Italy)

    2010-04-15

    Radiocarbon dating of short-lived sample materials is a useful tool applied to date deposits of volcanic eruptions. Several archaeological sites discovered and excavated in Campania witnessed important volcanic eruptions, which occurred in the Copper and Middle Bronze Ages. These eruptions come from the Somma-Vesuvius complex and the Phlaegrean Fields caldera. At least four Plinian eruptions have been identified in the eruptive history of Somma-Vesuvius, interspersed by interplinian events, called protohistoric, which occurred between Avellino and Pompeii. At S. Paolo Belsito a stratigraphic sequence below Avellino and above the first two protohistoric events after Avellino were highlighted; while Nola (Naples) gives new information on the chronology of Avellino. Sites like Caivano and Gricignano D'Aversa, involved by the Agnano 3, Paleoastroni 2 and Agnano Monte Spina eruptions were highlighted and investigated. In this work, we want to clarify the chronology of some eruptions by comparing our results with previous data. Charcoal, bone and seed samples were collected, treated and measured at the CIRCE laboratory in Caserta.

  17. The Somma-Vesuvius complex and the Phlaegrean Fields caldera: New chronological data of several eruptions of the Copper-Middle Bronze Age period

    Science.gov (United States)

    Passariello, Isabella; Lubritto, Carmine; D'Onofrio, Antonio; Guan, Yongjing; Terrasi, Filippo

    2010-04-01

    Radiocarbon dating of short-lived sample materials is a useful tool applied to date deposits of volcanic eruptions. Several archaeological sites discovered and excavated in Campania witnessed important volcanic eruptions, which occurred in the Copper and Middle Bronze Ages. These eruptions come from the Somma-Vesuvius complex and the Phlaegrean Fields caldera. At least four Plinian eruptions have been identified in the eruptive history of Somma-Vesuvius, interspersed by interplinian events, called protohistoric, which occurred between Avellino and Pompeii. At S. Paolo Belsito a stratigraphic sequence below Avellino and above the first two protohistoric events after Avellino were highlighted; while Nola (Naples) gives new information on the chronology of Avellino. Sites like Caivano and Gricignano D'Aversa, involved by the Agnano 3, Paleoastroni 2 and Agnano Monte Spina eruptions were highlighted and investigated. In this work, we want to clarify the chronology of some eruptions by comparing our results with previous data. Charcoal, bone and seed samples were collected, treated and measured at the CIRCE laboratory in Caserta.

  18. Integrating Pupils with Spina Bifida

    Science.gov (United States)

    Halliwell, Miles; Spain, Bernie

    1977-01-01

    A followup survey of parents and teachers of 155 children born with spina bifida, who were mildly handicapped and attended ordinary schools in London, indicated that there were no major problems with the children's placements. (IM)

  19. Spina Bifida: Some Psychological Aspects

    Science.gov (United States)

    Fulthorpe, Derek

    1974-01-01

    Examined were the intellectual ability, social adjustment, social competence, and personality characteristics of 33 children, 8-to 15-years-old with spina bifida (a malformation of the spinal cord). (CL)

  20. Spina Bifida Data and Statistics

    Science.gov (United States)

    ... had public insurance only. [ Read article summary ] Many adolescents and young adults with spina bifida report a high level of satisfaction with their health-related quality of life, are entering and succeeding at college life, and ...

  1. Spina bifida (degrees of severity) (image)

    Science.gov (United States)

    Spina bifida is a congenital disorder (birth defect) in which the backbone and spinal canal do not close ... membranes protruding out of an affected infant's back. Spina bifida may also be nearly inconsequential, or may be ...

  2. Spina bifida occulta in functional enuresis.

    Science.gov (United States)

    Kumar, Praveen; Aneja, S; Kumar, Ramesh; Taluja, Veena

    2005-03-01

    To study incidence of spina bifida occulta in nocturnal enuresis cases and to compare outcome of enuresis with spina bifida occulta and enuresis without spina bifida occulta. Patients with enuresis divided into two groups based on X-ray lumbosacral spine. Outcome of these patients were compared on behavioral therapy. Spina bifida occulta was detected in 18 out of total 48 patients. Levels of spina bifida were L5 vertebrae in 3,L5-S1 in 5,S1 in 8 and S1-S2 in 2 patients. Outcome was evaluated in 42 patients who were followed up for more than 6 months. There was no significant difference between both the groups. Spina bifida occulta is a common finding in enuresis. Outcome of patients with spina bifida occulta is not different than the patients without spina bifida occulta.

  3. Learning Among Children with Spina Bifida

    Science.gov (United States)

    SBA National Resource Center: 800-621-3141 Learning Among Children with Spina Bifida Overview Parents, teachers and health care professionals have observed that children with Spina Bilda have problems with motor ...

  4. The influence of antibiotic prophylaxis on bacterial resistance in urinary tract infections in children with spina bifida

    OpenAIRE

    Zegers, Sebastiaan Hermanus Johannes; Dieleman, Jeanne; van der Bruggen, Tjomme; Kimpen, Jan; de Jong-de Vos van Steenwijk, Catharine; Zegers, Bas

    2017-01-01

    Background Bacterial resistance to antibiotics is an increasingly threatening consequence of antimicrobial exposure for many decades now. In urinary tract infections (UTIs), antibiotic prophylaxis (AP) increases bacterial resistance. We studied the resistance patterns of positive urinary cultures in spina bifida children on clean intermittent catheterization, both continuing and stopping AP. Methods In a cohort of 176 spina bifida patients, 88 continued and 88 stopped using AP. During 18 mont...

  5. Orthopedic Management of Spina Bifida

    Science.gov (United States)

    Thomson, Jeffrey D.; Segal, Lee S.

    2010-01-01

    The management of orthopedic problems in spina bifida has seen a dramatic change over the past 10 years. The negative effects of spasticity, poor balance, and the tethered cord syndrome on ambulatory function are better appreciated. There is less emphasis on the hip radiograph and more emphasis on the function of the knee and the prevention of…

  6. Urologic Management of Spina Bifida

    Science.gov (United States)

    Clayton, Douglass B.; Brock, John W., III; Joseph, David B.

    2010-01-01

    The urologist plays an important role in the multidisciplinary team of physicians who provide care for patients with spina bifida. We review common strategies for managing the urinary tract in these patients. The primary objective in all phases of life is protecting kidney function by minimizing bladder hostility and establishing a good capacity,…

  7. Mathematical Development in Spina Bifida

    Science.gov (United States)

    English, Lianne H.; Barnes, Marcia A.; Taylor, Heather B.; Landry, Susan H.

    2009-01-01

    Spina bifida (SB) is a neural tube defect diagnosed before or at birth that is associated with a high incidence of math disability often without co-occurring difficulties in reading. SB provides an interesting population within which to examine the development of mathematical abilities and disability across the lifespan and in relation to the…

  8. Mathematical Development in Spina Bifida

    Science.gov (United States)

    English, Lianne H.; Barnes, Marcia A.; Taylor, Heather B.; Landry, Susan H.

    2009-01-01

    Spina bifida (SB) is a neural tube defect diagnosed before or at birth that is associated with a high incidence of math disability often without co-occurring difficulties in reading. SB provides an interesting population within which to examine the development of mathematical abilities and disability across the lifespan and in relation to the…

  9. Spina Bifida Association of America

    Science.gov (United States)

    Exceptional Parent, 1974

    1974-01-01

    The Statement of the Spina Bifida Association of America (SBAA) explains SB as a malformation of the central nervous system, reports the formation of SBAA in 1974, explains SBAA's emphasis on local chapter organization, and describes SBAA services, including a bimonthly publication, public education efforts, and research validation projects. (GW)

  10. Urologic Management of Spina Bifida

    Science.gov (United States)

    Clayton, Douglass B.; Brock, John W., III; Joseph, David B.

    2010-01-01

    The urologist plays an important role in the multidisciplinary team of physicians who provide care for patients with spina bifida. We review common strategies for managing the urinary tract in these patients. The primary objective in all phases of life is protecting kidney function by minimizing bladder hostility and establishing a good capacity,…

  11. Orthopedic Management of Spina Bifida

    Science.gov (United States)

    Thomson, Jeffrey D.; Segal, Lee S.

    2010-01-01

    The management of orthopedic problems in spina bifida has seen a dramatic change over the past 10 years. The negative effects of spasticity, poor balance, and the tethered cord syndrome on ambulatory function are better appreciated. There is less emphasis on the hip radiograph and more emphasis on the function of the knee and the prevention of…

  12. How Do Health Care Providers Diagnose Spina Bifida?

    Science.gov (United States)

    ... and Publications How do health care providers diagnose spina bifida? Skip sharing on social media links Share this: Page Content Doctors diagnose spina bifida before or after the infant is born. Spina ...

  13. What Are the Treatments for Spina Bifida and Related Conditions?

    Science.gov (United States)

    ... Resources and Publications What are the treatments for spina bifida & related conditions? Skip sharing on social media links Share this: Page Content Open Spina Bifida An infant with open spina bifida (myelomeningocele), in ...

  14. Are There Disorders or Conditions Associated with Spina Bifida?

    Science.gov (United States)

    ... Publications Are there disorders or conditions associated with spina bifida? Skip sharing on social media links Share this: ... Health issues are different for each person with spina bifida. Open spina bifida (myelomeningocele)—in which the spinal ...

  15. Constraining the dynamics of volcanic eruptions by characterization of pumice textures

    Directory of Open Access Journals (Sweden)

    M. Polacci

    2005-06-01

    Full Text Available We have characterized the textures of pumice clasts from Phlegraean Fields to gain insights into the conduit flow-dynamics of alkaline explosive eruptions. Vesicularities, vesicle number densities, and vesicle sizes and shapes were measured to obtain the bulk and groundmass properties of the juvenile fraction of Campanian Ignimbrite (CI and Agnano Monte Spina (AMS eruptions. The results report the coexistence of three end-member pumice types in the deposits of both eruptions, 1 microvesicular, 2 tube and 3 expanded, which differ according to clast morphology and the macro- to microscopic vesicle texture. Vesicularities (0.85-0.94 for CI, 0.51-0.91 for AMS and vesicle number densities (2-4×105 cm-2 in CI, 3×105-106 cm-2 in AMS span quite a wide range in all the three pumice types. Overall, tube pumices exhibit the highest bulk (0.89 and groundmass (CI 0.85, AMS 0.82 average vesicle volume fractions but the lowest average vesicle number densities (CI 2×105, AMS 4×105 cm-2. Comparison with textures of calc-alkaline pumices has revealed many similarities and points to a common origin and distribution of the products from both magma compositions within the volcanic conduit. In addition, the results of the textural analysis were interpreted in the light of the conduit flow modeling of Phlegraean Fields eruptions. The comparison of textural observations with results from simulations of conduit magma ascent has exhibited a good agreement between measured and numerically calculated vesicularities for both compositions, helping to constrain the overall dynamics of alkaline versus calc-alkaline eruptions.

  16. Functional aspects of spina bifida in childhood

    NARCIS (Netherlands)

    Schoenmakers, Maria Adriana Gerdina Cornelia

    2003-01-01

    Due to advanced medical treatment, more children with spina bifida survive into adulthood. Most outcome studies in the field of spina bifida research focus on disease aspects (‘pathology’) and its relation to one of the domains in the ‘disablement process’ such as physical functioning, cognitive abi

  17. Spina Bifida and Folic Acid Awareness

    Science.gov (United States)

    Exceptional Parent, 2007

    2007-01-01

    Spina bifida is the most common, permanently disabling birth defect in the United States. It is a birth defect that involves incomplete formation of the spine during the first month of pregnancy--often before a woman even knows she is pregnant. Everyday, an average of eight babies are born with spina bifida or a similar birth defect of the brain…

  18. Spina Bifida. NICHCY Disability Fact Sheet #12

    Science.gov (United States)

    National Dissemination Center for Children with Disabilities, 2011

    2011-01-01

    "Spina bifida" is one of the most common birth defects in the United States, affecting some 1,500 babies each year. Spina bifida happens during the first month or so of pregnancy and means that the baby's spine did not close completely. Damage to the nerves and the spinal cord may result. Following a brief story about a child with a…

  19. Functional aspects of spina bifida in childhood

    NARCIS (Netherlands)

    Schoenmakers, Maria Adriana Gerdina Cornelia

    2003-01-01

    Due to advanced medical treatment, more children with spina bifida survive into adulthood. Most outcome studies in the field of spina bifida research focus on disease aspects (‘pathology’) and its relation to one of the domains in the ‘disablement process’ such as physical functioning, cognitive

  20. Spina Bifida and Folic Acid Awareness

    Science.gov (United States)

    Exceptional Parent, 2007

    2007-01-01

    Spina bifida is the most common, permanently disabling birth defect in the United States. It is a birth defect that involves incomplete formation of the spine during the first month of pregnancy--often before a woman even knows she is pregnant. Everyday, an average of eight babies are born with spina bifida or a similar birth defect of the brain…

  1. Timescales of magma processes occurred prior to recent Campi Flegrei caldera eruptions: first results from diffusion profiles on plagioclase phenocrysts

    Science.gov (United States)

    D'Antonio, Massimo; Arienzo, Ilenia; Fedele, Lorenzo; Iovine, Raffaella; Carmine Mazzeo, Fabio; Civetta, Lucia; Orsi, Giovanni; Wörner, Gerhard

    2015-04-01

    Knowledge of the timescales of magma rising and stagnation, as well as mingling/mixing processes occurring in the shallow plumbing system of an active volcano is crucial for volcanic hazard assessment and risk mitigation. Among few recently developed methodologies, high-precision, high spatial resolution analysis of major-, minor- and trace elements on zoned phenocrysts through electron microprobe techniques represents a powerful tool to provide good estimates of timescales of pre-eruptive magma rising, stagnation and/or mingling/mixing processes. To this purpose, volcanic rock samples of trachytic composition representative of the Agnano-Monte Spina eruption (4.7 ka CAL BP) occurred at the Campi Flegrei caldera (southern Italy) have been selected. The investigation has been carried out in the framework of Project V2 - Precursori di Eruzioni, funded by the Italian Dipartimento per la Protezione Civile - Istituto Nazionale di Geofisica e Vulcanologia. The investigated rock samples are pumice fragments from which double-polished, 100 µm thick thin sections have been prepared for analytical purposes. Back-scattered electrons (BSE) images have been acquired at the scanning electron microscope (SEM), in order to identify the plagioclase phenocrysts suitable to be analyzed successively, selected among those that best display their zoning. After a careful observation of the BSE images, major-, minor- and selected trace element contents have been determined through combined energy-dispersive and wavelength-dispersive system electron microprobe analyses (EDS-WDS-EMPA) on transects crossing the growth zones of the selected phenocrysts. This methodology has allowed reconstructing the diffusion profile of some key-elements through the growth zones of the investigated phenocrysts. Successively, the diffusion profiles have been combined with textural features obtained through BSE images in order to obtain diffusion models aimed at estimating the timescales of crystals

  2. Eruption Warning

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    When the Galeras volcano in the Colombian Andes erupted on Jan. 14, 1993, it. claimed the lives of six scientists. Yet the tragic eruption may result in a way to save thousands of lives. Stanley Williams of Arizona State University, the only survivor of the seven-person team in the crater, believes that data collected before the eruption can be used to forecast volcanic activity.

  3. Eruptive hidradenoma.

    Science.gov (United States)

    Bevilacqua, P; Bolognia, J

    1990-07-01

    This case report emphasizes two clinical findings that aid in the diagnosis of eruptive hidradenoma. They are the predilection of the lesions for the anterior rather than posterior surface of the trunk and the presence of milialike inclusions within the papules. Eruptive hidradenomas are appendageal tumors that differentiate toward intraepidermal eccrine ducts and the milialike papules represent dilated cystic ductal structures. This patient had concomitant involvement of the eyelids, which has been observed in some, but not all, cases of eruptive hidradenoma.

  4. Perineal Sensation Predictive of Spina Bifida Outcome

    Directory of Open Access Journals (Sweden)

    J Gordon Millichap

    2007-01-01

    Full Text Available Neurologic examination, including perineal sensation, was conducted in a prospective cohort study of 117 consecutive patients with open spina bifida at St George's, University of London, and Addenbrooke's Hospital, Cambridge, UK.

  5. Educational Placement of Children with Spina Bifida.

    Science.gov (United States)

    Lauder, Calvin E.; And Others

    1979-01-01

    Procedures of school placement for 38 children (ages 5 to 18 years) with spina bifida in 23 school districts in western New York State were studied 5 years after a mandated process was enacted. (Author)

  6. 3D ultrasound in fetal spina bifida.

    Science.gov (United States)

    Schramm, T; Gloning, K-P; Minderer, S; Tutschek, B

    2008-12-01

    3D ultrasound can be used to study the fetal spine, but skeletal mode can be inconclusive for the diagnosis of fetal spina bifida. We illustrate a diagnostic approach using 2D and 3D ultrasound and indicate possible pitfalls.

  7. Type 2 Diabetes and Spina Bifida

    Science.gov (United States)

    ... been studied in Spina Bilda patients or in children yet • Weight loss surgery (“bariatric surgery”) works for some; but can result in diarrhea, which may cause fecal incontinence in people with ...

  8. Frequently Asked Questions about Spina Bifida

    Science.gov (United States)

    ... adults with Spina Bifida who want to become active? A: You will want to first make sure ... long- term) treatment usually involves behavioral strategies (biofeedback, relaxation therapy, etc) and medications – the best studied of ...

  9. MATHEMATICAL DEVELOPMENT IN SPINA BIFIDA

    Science.gov (United States)

    English, Lianne H.; Barnes, Marcia A.; Taylor, Heather B.; Landry, Susan H.

    2011-01-01

    Spina bifida (SB) is a neural tube defect diagnosed before or at birth that is associated with a high incidence of math disability often without co-occurring difficulties in reading. SB provides an interesting population within which to examine the development of mathematical abilities and disability across the lifespan and in relation to the deficits in visual-spatial processing that are also associated with the disorder. An overview of math and its cognitive correlates in preschoolers, school-age children and adults with SB is presented including the findings from a longitudinal study linking early executive functions in infancy to the development of later preschool and school age math skills. These findings are discussed in relation to socio-historical perspectives on math education and implications for intervention and directions for further research are presented. PMID:19213013

  10. Eruptive collagenoma

    Directory of Open Access Journals (Sweden)

    Mukhi Sanjay

    2002-01-01

    Full Text Available A case of eruptive collagenoma in a male is being reported. He presented with asymptomatic nodules and plaques over the trunk, upper extremity and face of 15 years duration. Family history was negative. Histopathology with H & E stain followed by Verhoeff van Gieson s staining revealed increased collagen in dermis confirming the diagnosis of eruptive collagenoma. Patient also had Beckers naevus.

  11. Surgery on Fetus Reduces Complications of Spina Bifida

    Medline Plus

    Full Text Available ... Multimedia Video: Surgery on Fetus Reduces Complications of Spina Bifida Skip sharing on social media links Share this: ... defect, myelomeningocele, is the most serious form of spina bifida, a condition in which the spinal column fails ...

  12. Surgery on Fetus Reduces Complications of Spina Bifida

    Science.gov (United States)

    ... Multimedia Video: Surgery on Fetus Reduces Complications of Spina Bifida Skip sharing on social media links Share this: ... defect, myelomeningocele, is the most serious form of spina bifida, a condition in which the spinal column fails ...

  13. Preventable spina bifida and anencephaly in Europe.

    Science.gov (United States)

    Obeid, Rima; Pietrzik, Klaus; Oakley, Godfrey P; Kancherla, Vijaya; Holzgreve, Wolfgang; Wieser, Simon

    2015-09-01

    Promotion of voluntary folic acid supplement use among women of reproductive age has been proven to be ineffective in lowering the risk of neural tube defects in Europe. Using surveillance data from all births covered by the full member countries of the European Surveillance of Congenital Anomalies (EUROCAT), we estimated the total prevalence of spina bifida and anencephaly per 10,000 births between 2000 and 2010. We also estimated additional lifetime direct medical costs among individuals with spina bifida, compared with those without, in Germany for the year 2009. During the study period, there were 7478 documented cases of spina bifida and anencephaly among the 9,161,189 births, with an estimated average combined prevalence of 8.16 per 10,000 births (95% confidence interval, 7.98 - 8.35). For the 241 spina bifida-affected live births in 2009 in Germany, the estimated additional lifetime direct medical costs compared with non-spina bifida affected births were €65.5 million. Assuming a 50% reduction in the prevalence if folic acid has been provided to all women before pregnancy, 293 spina bifida cases could have been prevented in Germany in 2009. The estimated lifetime direct medical cost saving for the live births in 2009 was €32.9 million assuming a 50% reduction, or €26.1 million assuming a 40% risk reduction. Europe has an epidemic of spina bifida and anencephaly compared with countries with mandatory folic acid fortification policy. Primary prevention through mandatory folic acid fortification would considerably reduce the number of affected pregnancies, and associated additional costs. © 2015 Wiley Periodicals, Inc.

  14. Spina Bifida. Fact Sheet = Espina Bifida. Hojas Informativas Sobre Discapacidades.

    Science.gov (United States)

    National Information Center for Children and Youth with Disabilities, Washington, DC.

    This fact sheet offers definitions of the three types of spina bifida (spina bifida occulta, meningocele, and myelomeningocele), outlines their incidence, describes characteristics of individuals with spina bifida, and reviews educational implications. The fact sheet discusses the need for many children with myelomeningocele to learn to manage…

  15. Spina Bifida. Fact Sheet = Espina Bifida. Hojas Informativas Sobre Discapacidades.

    Science.gov (United States)

    National Information Center for Children and Youth with Disabilities, Washington, DC.

    This fact sheet offers definitions of the three types of spina bifida (spina bifida occulta, meningocele, and myelomeningocele), outlines their incidence, describes characteristics of individuals with spina bifida, and reviews educational implications. The fact sheet discusses the need for many children with myelomeningocele to learn to manage…

  16. Creeping eruption

    Science.gov (United States)

    ... are infected. Symptoms Symptoms of creeping eruption include: Blisters Itching , may be more severe at night Raised, ... enter the body through bare feet, so wearing shoes in areas where hookworm infestations are known to ...

  17. In utero repair of spina bifida.

    Science.gov (United States)

    Moldenhauer, Julie S

    2014-08-01

    Open spina bifida or myelomeningocele (MMC) is the most common congenital malformation of the central nervous system compatible with long-term survival and is associated with significant lifelong disabilities. Postnatal care of MMC involves covering the exposed spinal cord, infection prevention, and ventricular shunting for hydrocephalus. The aim of postnatal MMC surgery is not to reverse or prevent the neurologic injury seen in MMC, but to palliate. The neurologic defects result from primary incomplete neurulation and secondary chronic in utero damage to the exposed neural elements through mechanical and chemical trauma-the two-hit hypothesis. With the ability to accurately diagnose spina bifida prenatally and the concept of the two-hit hypothesis, in utero repair to decrease exposure and alter the antenatal course of neurologic destruction was conceived. Through animal models and human pilot studies, the feasibility of fetal spina bifida repair was demonstrated. Subsequently, the prospective randomized multicenter Management of Myelomeningocele Study (MOMS trial) revealed a decreased need for shunting, reversal of hindbrain herniation, and preservation of neurologic function, making in utero repair an accepted care alternative for select women carrying a fetus with spina bifida. This article will highlight the background and rationale for in utero repair, and the progression to becoming an alternative standard of care. The future directions of fetal spina bifida repair will also be addressed.

  18. Obesity Prevention for Individuals with Spina Bifida.

    Science.gov (United States)

    Polfuss, Michele; Bandini, Linda G; Sawin, Kathleen J

    2017-06-01

    Obesity is a common comorbidity in individuals with spina bifida. Carrying excess weight exacerbates the inherent health challenges associated with spina bifida, impedes the individual's ability to self-manage their condition, and creates further challenges for family members and caregivers. This manuscript provides a narrative review of key issues for understanding and prevention of obesity in persons with spina bifida within the context of the social ecological model. Specific variables related to obesity and spina bifida include individual factors (i.e., body composition and measurement issues, energy needs, eating patterns, physical activity, and sedentary activity) family factors (i.e., parenting/family, peers), community factors (i.e., culture, built environment, healthcare and healthcare providers, and school), and societal factors (i.e., policy issues). Due to the complex etiology of obesity and its increased prevalence in individuals with spina bifida, it is critical to initiate prevention efforts early with a multifactorial approach for this at-risk population. Increased research is warranted to support these efforts.

  19. Traumatic sacral pseudomeningocele with spina bifida occulta.

    Science.gov (United States)

    Banno, Tomohiro; Ohishi, Tsuyoshi; Suzuki, Daisuke; Honda, Yosuke; Kobayashi, Sho; Matsuyama, Yukihiro

    2012-01-01

    Pseudomeningocele arises after spinal fracture and nerve root avulsion or after complications of spine surgery. However, traumatic pseudomeningocele with spina bifida occulta is rare. In this report, a traumatic pseudomeningocele in a patient with spina bifida occulta that required surgical treatment is documented. This 37-year-old man presented to the authors' hospital with headache and a fluctuant mass in the center of his buttocks. A CT scan with myelography and MR imaging of the sacral region revealed a large subcutaneous area of fluid retention communicating with the intradural space through a defect of the S-2 lamina. Because 3 months of conservative treatment was unsuccessful, a free fat graft was placed with fibrin glue to seal the closure of the defect, followed by 1 week of CSF drainage. This is the first report on traumatic pseudomeningocele with spina bifida occulta successfully treated in this manner.

  20. Diagnosis of spina bifida on ultrasound: always termination?

    Science.gov (United States)

    Trudell, Amanda S; Odibo, Anthony O

    2014-04-01

    Open spina bifida is a non-lethal fetal anomaly. Significant advances in the prevention, diagnosis and treatment of open spina bifida have been made over the past 75 years. The most significant strategy for the prevention of open spina bifida has been with folic acid supplementation; however, further investigation into the complicated role that genetics and the environment play in metabolism are coming to light. Ultrasound is the gold standard diagnostic tool for spina bifida. Three-dimensional ultrasound and magnetic resonance imaging are also beginning to play a role in the characterisation of the open spina bifida spinal lesion. Lesion level has been closely correlated to short and long-term outcomes, and prenatal characterisation of lesion level on ultrasound is important for patient counselling. Long-term outcomes of people living with spina bifida are available and should be used for non-directive patient counselling about pregnancy choices for women with open spina bifida.

  1. Neurosurgical Management of Spina Bifida: Research Issues

    Science.gov (United States)

    Bowman, Robin M.; McLone, David G.

    2010-01-01

    The neurosurgical goal when treating children with spina bifida (predominantly myelomeningocele) is to maintain stable neurological functioning throughout the patient's life time. Unfortunately, few long-term outcome studies are available to help direct the neurosurgical care of a child born with myelomeningocele and often treatment relies more…

  2. Cutaneous Markers Of Spina Bifida Occulta

    Directory of Open Access Journals (Sweden)

    Mittal R.R

    1999-01-01

    Full Text Available One four-year female child tuft of hair with underlying soft subcutaneous mass over lumbosacral region since birth. In the midline, there was a dimple with central sinus and peripheral folds of skin. Spina bifida occulta was suspected. Diagnosis was confirmed by x-ray and patient was advised corrective surgery.

  3. Psychosocial and Family Functioning in Spina Bifida

    Science.gov (United States)

    Holmbeck, Grayson N.; Devine, Katie A.

    2010-01-01

    A developmentally oriented bio-neuropsychosocial model is introduced to explain the variation in family functioning and psychosocial adjustment in youth and young adults with spina bifida (SB). Research on the family functioning and psychosocial adjustment of individuals with SB is reviewed. The findings of past research on families of youth with…

  4. The Cognitive Phenotype of Spina Bifida Meningomyelocele

    Science.gov (United States)

    Dennis, Maureen; Barnes, Marcia A.

    2010-01-01

    A cognitive phenotype is a product of both assets and deficits that specifies what individuals with spina bifida meningomyelocele (SBM) can and cannot do and why they can or cannot do it. In this article, we review the cognitive phenotype of SBM and describe the processing assets and deficits that cut within and across content domains, sensory…

  5. The Cognitive Phenotype of Spina Bifida Meningomyelocele

    Science.gov (United States)

    Dennis, Maureen; Barnes, Marcia A.

    2010-01-01

    A cognitive phenotype is a product of both assets and deficits that specifies what individuals with spina bifida meningomyelocele (SBM) can and cannot do and why they can or cannot do it. In this article, we review the cognitive phenotype of SBM and describe the processing assets and deficits that cut within and across content domains, sensory…

  6. Psychosocial and Family Functioning in Spina Bifida

    Science.gov (United States)

    Holmbeck, Grayson N.; Devine, Katie A.

    2010-01-01

    A developmentally oriented bio-neuropsychosocial model is introduced to explain the variation in family functioning and psychosocial adjustment in youth and young adults with spina bifida (SB). Research on the family functioning and psychosocial adjustment of individuals with SB is reviewed. The findings of past research on families of youth with…

  7. Neurosurgical Management of Spina Bifida: Research Issues

    Science.gov (United States)

    Bowman, Robin M.; McLone, David G.

    2010-01-01

    The neurosurgical goal when treating children with spina bifida (predominantly myelomeningocele) is to maintain stable neurological functioning throughout the patient's life time. Unfortunately, few long-term outcome studies are available to help direct the neurosurgical care of a child born with myelomeningocele and often treatment relies more…

  8. Eruptive pseudoangiomatosis.

    Science.gov (United States)

    Larralde, Margarita; Ballona, Rosalía; Correa, Noemí; Schroh, Roberto; Coll, N

    2002-01-01

    We describe two children with acute onset and spontaneous resolution of angioma-like papules during a viral illness. The biopsy specimens from both patients showed a unique histologic appearance consisting of dilated dermal blood vessels with plump, hobnail-shaped endothelial cells. On the basis of the natural history and the histopathologic features we suggest the diagnosis of eruptive pseudoangiomatosis.

  9. Hydrocephalus in Children with Spina Bifida

    Directory of Open Access Journals (Sweden)

    Sanjay sadhu, H.L.Goswamy, S.K.Gupta, Inder Singh, Nasib C. digra, Ravinder Gupta

    2003-01-01

    Full Text Available A prospective study consisting of 50 infants having spina bifida and cranium bifidum and relationshipof hydrocephalus was carried out. The male preponderance was obvious (1.7:1 with majority ofinfants being less than 3 months. The presenting complaint in almost all the children was swellingon back or head. Lumbar spine was affected most commonly with 36% children having lesion atthis site followed by lumbosacral (20% and occiptal (16%. Neuromuscular deficit was present in32% cases. Clinical evidence of hydrocephalus was seen in 22% children. X-ray si~ull was suggestiveof hydrocephalus in 22% cases. Ultrasound examination of skull confirmed the diagnosis in 52%cases. Hydrocephalus had no specific relationship with site of lesion. It was more commonlyassociated with neurological deficit. Sonographic examination is relatively cheaper and invaluableinvestigation. and should be done routinely in patients with spina bifida.

  10. Parents' psychosocial adjustment in families of children with Spina Bifida

    NARCIS (Netherlands)

    Vermaes, Ignatius Petrus Renatus

    2007-01-01

    Spina bifida is the most common, congenital, neurological disorder. Children with spina bifida live with a range of impairments depending on the severity and the location of the spinal defect. Medical treatment of the disorder is very complex and can involve decision-making processes around sensitiv

  11. Parents' psychosocial adjustment in families of children with Spina Bifida

    NARCIS (Netherlands)

    Vermaes, Ignatius Petrus Renatus

    2007-01-01

    Spina bifida is the most common, congenital, neurological disorder. Children with spina bifida live with a range of impairments depending on the severity and the location of the spinal defect. Medical treatment of the disorder is very complex and can involve decision-making processes around sensitiv

  12. Optimizing Health Care for Children with Spina Bifida

    Science.gov (United States)

    Liptak, Gregory S.; El Samra, Ahmad

    2010-01-01

    The health care needs of children with spina bifida are complex. They need specialists, generalists, and an integrated system to deliver this complex care and to align and inform all the providers. Most research in spina bifida has been focused on narrow medical outcomes; it has been noncollaborative, based on small samples of convenience, with no…

  13. Psychological and Educational Studies with Spina Bifida Children. Final Report.

    Science.gov (United States)

    Diller, Leonard; And Others

    To measure school achievements in spina bifida children, to relate these measures to certain variables, to obtain information on educational problems, and to study facets of cognition and its changes with age, 77 spina bifida children and 53 amputees (all aged 5 to 15) were tested. Sixty non-disabled children were at times used for controls. The…

  14. Optimizing Health Care for Adults with Spina Bifida

    Science.gov (United States)

    Webb, Thomas S.

    2010-01-01

    Survival into adulthood for individuals with spina bifida has significantly improved over the last 40 years with the majority of patients now living as adults. Despite this growing population of adult patients who have increased medical needs compared to the general population, including spina bifida (SB)-specific care, age-related secondary…

  15. Symposium on Spina Bifida (Denver, Colorado, November, 1969).

    Science.gov (United States)

    Colorado Univ., Denver. Medical Center.

    The objectives of the symposium were to define the problems of the child with spina bifida and to present practical means of management, using a multi-disciplinary team approach. Eight papers defining the problem cover the epidemiology of spina bifida, pathophysiology, musculoskeletal defects, incontinence of bladder and bowel, problems of…

  16. Optimizing Health Care for Adults with Spina Bifida

    Science.gov (United States)

    Webb, Thomas S.

    2010-01-01

    Survival into adulthood for individuals with spina bifida has significantly improved over the last 40 years with the majority of patients now living as adults. Despite this growing population of adult patients who have increased medical needs compared to the general population, including spina bifida (SB)-specific care, age-related secondary…

  17. Optimizing Health Care for Children with Spina Bifida

    Science.gov (United States)

    Liptak, Gregory S.; El Samra, Ahmad

    2010-01-01

    The health care needs of children with spina bifida are complex. They need specialists, generalists, and an integrated system to deliver this complex care and to align and inform all the providers. Most research in spina bifida has been focused on narrow medical outcomes; it has been noncollaborative, based on small samples of convenience, with no…

  18. Parents' psychosocial adjustment in families of children with Spina Bifida

    NARCIS (Netherlands)

    Vermaes, Ignatius Petrus Renatus

    2007-01-01

    Spina bifida is the most common, congenital, neurological disorder. Children with spina bifida live with a range of impairments depending on the severity and the location of the spinal defect. Medical treatment of the disorder is very complex and can involve decision-making processes around

  19. Spina bifida: Preventief beleid kan effectiever [Spina bifida: Prevention can be more effective

    NARCIS (Netherlands)

    Barth, P.G.; Hirasing, R.A.

    2000-01-01

    De naam ‘spina bifida’ - letterlijk: gespleten doornuitsteeksel - is eigenlijk een eufemisme. In werkelijkheid duidt de term op een segmentaal defect, meestal lumbosacraal gelegen, in de ontwikkeling van de neurale plaat tot neurale buis. De sluiting van de neurale buis vindt in de eerste 4 weken

  20. History of earthquakes and vertical ground movement in Campi Flegrei caldera, Southern Italy: comparison of precursory events to the A.D. 1538 eruption of Monte Nuovo and of activity since 1968

    Science.gov (United States)

    Dvorak, J.J.; Gasparini, P.

    1991-01-01

    The record of felt earthquakes around Naples Bay in southern Italy is probably complete since the mid-15th century. According to this record, intense earthquake swarms originating beneath Campi Flegrei, an explosive caldera located along the north coast of Naples Bay, have occurred only twice: (1) before the only historical eruption in Campi Flegrei in 1538; and (2) from mid-1983 to December 1984. Earthquake activity during the earlier period, which began at least a few years, and possibly as many as 30 years, before the 1538 eruption, damaged many buildings in the city of Pozzuoli, located near the center of Campi Flegrei. Minor seismic activity, which consisted of only a few felt earthquakes, occurred from 1970 to 1971. The second period of intense earthquake swarms lasted from mid-1983 to 1984, again damaging many buildings in Pozzuoli. Two periods of uplift along the shoreline within Campi Flegrei have also been noted since the mid-15th century: (1) during the few decades before the 1538 eruption; and (2) as two distinct episodes since 1968. Uplift of a few meters probably occurred a few decades before the 1538 eruption; uplift of as much as 3.0 m has occurred in Pozzuoli since 1968. These similarities strongly suggest that, for the first time in 440 years, the same process that caused intense local earthquake swarms and uplift in the early 1500's and led to an eruption in 1538, has again occurred beneath Campi Flegrei. Though no major seismicity or uplift has occurred since December 1984, because of the large amount of extensional strain accumulated during the past two decades, if a third episode of seismicity and rapid uplift occurs, it may lead to an eruption within several months after the resumption of activity. ?? 1991.

  1. Spina bifida occulta and monozygotic twins.

    Science.gov (United States)

    Spacca, Barbara; Buxton, Neil

    2008-10-01

    Central nervous system maldevelopment can have different presentations in twins. We report on a case of different presentations of spina bifida occulta in monozygotic twins. The first twin presented at birth with a lipomyelomeningocele; a tethered cord was diagnosed in the second twin at 2 years of age. Neural tube defects (NTDs) are a group of common congenital malformations of the brain and spine generated during neurulation. The genetic basis of this process is still not well known. Whenever an NTD is diagnosed in one of a pair of twins, the other twin should also be evaluated for NTDs.

  2. Identification of novel CELSR1 mutations in spina bifida.

    Directory of Open Access Journals (Sweden)

    Yunping Lei

    Full Text Available Spina bifida is one of the most common neural tube defects (NTDs with a complex etiology. Variants in planar cell polarity (PCP genes have been associated with NTDs including spina bifida in both animal models and human cohorts. In this study, we sequenced all exons of CELSR1 in 192 spina bifida patients from a California population to determine the contribution of CELSR1 mutations in the studied population. Novel and rare variants identified in these patients were subsequently genotyped in 190 ethnically matched control individuals. Six missense mutations not found in controls were predicted to be deleterious by both SIFT and PolyPhen. Two TG dinucleotide repeat variants were individually detected in 2 spina bifida patients but not detected in controls. In vitro functional analysis showed that the two TG dinucleotide repeat variants not only changed subcellular localization of the CELSR1 protein, but also impaired the physical association between CELSR1 and VANGL2, and thus diminished the ability to recruit VANGL2 for cell-cell contact. In total, 3% of our spina bifida patients carry deleterious or predicted to be deleterious CELSR1 mutations. Our findings suggest that CELSR1 mutations contribute to the risk of spina bifida in a cohort of spina bifida patients from California.

  3. Spina Bifida: Pathogenesis, Mechanisms, and Genes in Mice and Humans

    Directory of Open Access Journals (Sweden)

    Siti W. Mohd-Zin

    2017-01-01

    Full Text Available Spina bifida is among the phenotypes of the larger condition known as neural tube defects (NTDs. It is the most common central nervous system malformation compatible with life and the second leading cause of birth defects after congenital heart defects. In this review paper, we define spina bifida and discuss the phenotypes seen in humans as described by both surgeons and embryologists in order to compare and ultimately contrast it to the leading animal model, the mouse. Our understanding of spina bifida is currently limited to the observations we make in mouse models, which reflect complete or targeted knockouts of genes, which perturb the whole gene(s without taking into account the issue of haploinsufficiency, which is most prominent in the human spina bifida condition. We thus conclude that the need to study spina bifida in all its forms, both aperta and occulta, is more indicative of the spina bifida in surviving humans and that the measure of deterioration arising from caudal neural tube defects, more commonly known as spina bifida, must be determined by the level of the lesion both in mouse and in man.

  4. Identification of novel CELSR1 mutations in spina bifida.

    Science.gov (United States)

    Lei, Yunping; Zhu, Huiping; Yang, Wei; Ross, M Elizabeth; Shaw, Gary M; Finnell, Richard H

    2014-01-01

    Spina bifida is one of the most common neural tube defects (NTDs) with a complex etiology. Variants in planar cell polarity (PCP) genes have been associated with NTDs including spina bifida in both animal models and human cohorts. In this study, we sequenced all exons of CELSR1 in 192 spina bifida patients from a California population to determine the contribution of CELSR1 mutations in the studied population. Novel and rare variants identified in these patients were subsequently genotyped in 190 ethnically matched control individuals. Six missense mutations not found in controls were predicted to be deleterious by both SIFT and PolyPhen. Two TG dinucleotide repeat variants were individually detected in 2 spina bifida patients but not detected in controls. In vitro functional analysis showed that the two TG dinucleotide repeat variants not only changed subcellular localization of the CELSR1 protein, but also impaired the physical association between CELSR1 and VANGL2, and thus diminished the ability to recruit VANGL2 for cell-cell contact. In total, 3% of our spina bifida patients carry deleterious or predicted to be deleterious CELSR1 mutations. Our findings suggest that CELSR1 mutations contribute to the risk of spina bifida in a cohort of spina bifida patients from California.

  5. Spina Bifida: Pathogenesis, Mechanisms, and Genes in Mice and Humans.

    Science.gov (United States)

    Mohd-Zin, Siti W; Marwan, Ahmed I; Abou Chaar, Mohamad K; Ahmad-Annuar, Azlina; Abdul-Aziz, Noraishah M

    2017-01-01

    Spina bifida is among the phenotypes of the larger condition known as neural tube defects (NTDs). It is the most common central nervous system malformation compatible with life and the second leading cause of birth defects after congenital heart defects. In this review paper, we define spina bifida and discuss the phenotypes seen in humans as described by both surgeons and embryologists in order to compare and ultimately contrast it to the leading animal model, the mouse. Our understanding of spina bifida is currently limited to the observations we make in mouse models, which reflect complete or targeted knockouts of genes, which perturb the whole gene(s) without taking into account the issue of haploinsufficiency, which is most prominent in the human spina bifida condition. We thus conclude that the need to study spina bifida in all its forms, both aperta and occulta, is more indicative of the spina bifida in surviving humans and that the measure of deterioration arising from caudal neural tube defects, more commonly known as spina bifida, must be determined by the level of the lesion both in mouse and in man.

  6. Spina Bifida: Pathogenesis, Mechanisms, and Genes in Mice and Humans

    Science.gov (United States)

    Abou Chaar, Mohamad K.; Ahmad-Annuar, Azlina

    2017-01-01

    Spina bifida is among the phenotypes of the larger condition known as neural tube defects (NTDs). It is the most common central nervous system malformation compatible with life and the second leading cause of birth defects after congenital heart defects. In this review paper, we define spina bifida and discuss the phenotypes seen in humans as described by both surgeons and embryologists in order to compare and ultimately contrast it to the leading animal model, the mouse. Our understanding of spina bifida is currently limited to the observations we make in mouse models, which reflect complete or targeted knockouts of genes, which perturb the whole gene(s) without taking into account the issue of haploinsufficiency, which is most prominent in the human spina bifida condition. We thus conclude that the need to study spina bifida in all its forms, both aperta and occulta, is more indicative of the spina bifida in surviving humans and that the measure of deterioration arising from caudal neural tube defects, more commonly known as spina bifida, must be determined by the level of the lesion both in mouse and in man. PMID:28286691

  7. Jupiter Eruptions

    Science.gov (United States)

    2008-01-01

    [figure removed for brevity, see original site] Click on the image for high resolution image of Nature Cover Detailed analysis of two continent-sized storms that erupted in Jupiter's atmosphere in March 2007 shows that Jupiter's internal heat plays a significant role in generating atmospheric disturbances. Understanding these outbreaks could be the key to unlock the mysteries buried in the deep Jovian atmosphere, say astronomers. This visible-light image is from NASA's Hubble Space Telescope taken on May 11, 2007. It shows the turbulent pattern generated by the two plumes on the upper left part of Jupiter. Understanding these phenomena is important for Earth's meteorology where storms are present everywhere and jet streams dominate the atmospheric circulation. Jupiter is a natural laboratory where atmospheric scientists study the nature and interplay of the intense jets and severe atmospheric phenomena. According to the analysis, the bright plumes were storm systems triggered in Jupiter's deep water clouds that moved upward in the atmosphere vi gorously and injected a fresh mixture of ammonia ice and water about 20 miles (30 kilometers) above the visible clouds. The storms moved in the peak of a jet stream in Jupiter's atmosphere at 375 miles per hour (600 kilometers per hour). Models of the disturbance indicate that the jet stream extends deep in the buried atmosphere of Jupiter, more than 60 miles (approximately100 kilometers) below the cloud tops where most sunlight is absorbed.

  8. Intertriginous eruption.

    Science.gov (United States)

    Wolf, Ronni; Oumeish, Oumeish Youssef; Parish, Lawrence Charles

    2011-01-01

    Intertrigo is a superficial inflammatory skin disorder involving any area of the body where two opposing skin surfaces can touch and rub or chaff. The word "intertrigo" comes from the Latin inter (between) and terere (to rub) and reflects the rubbing together of skin against skin to create maceration and irritation, hence, friction dermatitis or chaffing. It is a common disorder that can affect any individual from infancy to old age. It is primarily caused by skin-on-skin friction and is facilitated by moisture trapped in deep skin folds where air circulation is limited. The condition is particularly common in obese patients who have diabetes and who are exposed to heat and humidity. The moist, damaged skin associated with intertrigo is a fertile breeding ground for various microorganisms, and secondary cutaneous infections are commonly observed in these areas. The present chapter does not deal with "ordinary" intertrigo, but rather with other skin diseases that have affinity to the intertriginous areas. Diseases mentioned are: acrodermatitis enteropathica, the baboon syndrome or intertriginous drug eruption, Darier disease, Hailey-Hailey, granular parakeratosis, Kawasaki syndrome, necrolytic migratory erythema, streptococcal intertrigo and others. Copyright © 2011 Elsevier Inc. All rights reserved.

  9. Movement analysis in neonates with spina bifida aperta

    NARCIS (Netherlands)

    Sival, D A; Brouwer, O F; Bruggink, J L M; Vles, J S H; Staal-Schreinemachers, A L; Sollie, K M; Sauer, P J J; Bos, A F

    2006-01-01

    INTRODUCTION: In neonates with spina bifida aperta (SBA), leg movements by myotomes caudal to the meningomyelocele (MMC) are transiently observed. It is unclear whether these leg movements relate to functional neural conduction through the MMC. For optimal therapeutical intervention, pathophysiologi

  10. Surgery on Fetus Reduces Complications of Spina Bifida

    Medline Plus

    Full Text Available ... Media Resources Interviews & Selected Staff Profiles Multimedia Video: Surgery on Fetus Reduces Complications of Spina Bifida Skip ... the NICHD, describes the study’s findings. Read the Management of Myelomeningocele Study (MOMS) Interview text alternative . The ...

  11. Movement analysis in neonates with spina bifida aperta

    NARCIS (Netherlands)

    Sival, D A; Brouwer, O F; Bruggink, J L M; Vles, J S H; Staal-Schreinemachers, A L; Sollie, K M; Sauer, P J J; Bos, A F

    2006-01-01

    INTRODUCTION: In neonates with spina bifida aperta (SBA), leg movements by myotomes caudal to the meningomyelocele (MMC) are transiently observed. It is unclear whether these leg movements relate to functional neural conduction through the MMC. For optimal therapeutical intervention, pathophysiologi

  12. Surgery on Fetus Reduces Complications of Spina Bifida

    Medline Plus

    Full Text Available ... Resources Scientific databases, models, datasets & repositories ... Surgery on Fetus Reduces Complications of Spina Bifida Skip sharing on social media links Share this: NICHD Archive Note: Information ...

  13. Sexual Health in Adult Men with Spina Bifida

    Directory of Open Access Journals (Sweden)

    Gary W. Bong

    2007-01-01

    Full Text Available Medical and surgical advances in the treatment of spina bifida (SB have resulted in increasing numbers of patients reaching adulthood. As such, issues related to sexual maturity are being investigated to offer optimal healthcare to men with spina bifida. This report constitutes a review of the current literature relating to adults with spina bifida and issues of sexuality, erectile dysfunction and fertility. In general, adult males with spina bifida have normal sexual desires and an interest in addressing these issues with healthcare providers. Sexual education and access to intimacy are delayed compared to the general population. 75% of men achieve erections, but maintaining erections is a problem and some may be merely reflexive in nature. The many of these men show marked improvement with sildenafil. In SB erectile dysfunction and infertility are related to the level of neurological lesion with the best performance status in those with sacral lesions and intact reflexes. Men with lesions higher than T10 are at risk for azoospermia. There is an increased risk of neural tube defects in the children of men with spina bifida, but the current incidence with modern folic acid therapy is unknown. As the number of males with spina bifida reaching sexual maturity increases, further investigation into sexuality, sex education, intimacy, and treatments for erectile dysfunction and infertility will be needed.

  14. An erupted compound odontoma.

    Science.gov (United States)

    Gupta, Anil; Vij, Hitesh; Vij, Ruchieka; Malhotra, Ritika

    2014-04-12

    Odontomas are familiar entities but their eruption into the oral cavity is an extraordinary occurrence, which may be associated with pain, infection, malocclusion, etc. Not many cases of erupted odontomas have been reported in the literature. This paper puts forth a case of erupting odontoma in an attempt to add to the list of reported cases of this unique pathology.

  15. Arnold-Chiari-II malformation and cognitive functioning in spina bifida.

    NARCIS (Netherlands)

    Vinck, A.; Maassen, B.A.M.; Mullaart, R.A.; Rotteveel, J.J.

    2006-01-01

    Spina bifida is a multifaceted neurological condition with complex neuropsychological sequelae. The cognitive outcome in spina bifida has frequently been attributed to the severity of the hydrocephalus. However, because of complex neuropathology, the influence of hydrocephalus alone does not suffici

  16. Trends in Spina Bifida and Anencephalus in the United States, 1991-2006

    Science.gov (United States)

    ... the National Technical Information Service NCHS Trends in Spina Bifida and Anencephalus in the United States, 1991-2006 ... consumption of the vitamin folic acid to reduce spina bifida and anencephalus. In 1996, the U.S. Food and ...

  17. Health risk behaviors among young adults with spina bifida

    Science.gov (United States)

    Soe, Minn M; Swanson, Mark E; Bolen, Julie C; Thibadeau, Judy K; Johnson, Natalie

    2015-01-01

    AIM Persons with spina bifida who adopt unhealthy lifestyles could be at increased risk of adverse health outcomes because the presence of spina bifida may magnify this risk. We estimated overall and age-specific prevalence of selected health risk behaviors (HRBs) in young people with spina bifida and examined the association between HRBs and depression. METHOD We performed analyses on data obtained from individuals with spina bifida (n=130; mean age 23y SD 4y 5mo; 64 males, 66 females; 64% lumbosacral lesion; 77% with shunt) who participated in a population-based survey conducted by the Arkansas Spinal Cord Commission in 2005. RESULTS Compared with national estimates, young people with spina bifida tend to eat less healthy diets, do less exercise, and engage inmore sedentary activities. Respondents were less likely to use substances (alcohol, tobacco, illegal drugs), which peaked among 25 to 31 year olds. About 90% saw a doctor in the previous year. Nearly one half reported mild or major depressive symptoms. In the logistic regression analysis after controlling for potential confounders (age, sex, ethnic group, education, employment, marital status, living arrangement, level of lesion, presence of shunt, mobility, self-rated health and healthcare utilization), major depressive symptoms were associated with current alcohol drinking (adjusted odds ratio: 4.74; 95% CI 1.18–19.04). INTERPRETATION Young adults with spina bifida exhibit unhealthy behaviors that continue into their late 20s. The findings highlight the need to increase awareness of their health risk profiles in the spina bifida community and show opportunities for mental health and health risk screening and counseling by healthcare providers. PMID:22937873

  18. Spina Bifida: General Information. Fact Sheet Number 12 = La Espina Bifida: Informacion General. Fact Sheet Number 21.

    Science.gov (United States)

    Interstate Research Associates, McLean, VA.

    This fact sheet on spina bifida is offered in both English and Spanish. It provides definitions of the three types of spina bifida (spina bifida occulta, meningocele, and myelomeningocele). Incidence figures are given as are typical characteristics of children with spina bifida. Educational implications are briefly noted, including the need to…

  19. Spina Bifida: General Information. Fact Sheet Number 12 = La Espina Bifida: Informacion General. Fact Sheet Number 21.

    Science.gov (United States)

    Interstate Research Associates, McLean, VA.

    This fact sheet on spina bifida is offered in both English and Spanish. It provides definitions of the three types of spina bifida (spina bifida occulta, meningocele, and myelomeningocele). Incidence figures are given as are typical characteristics of children with spina bifida. Educational implications are briefly noted, including the need to…

  20. [Spina bifida aperta in a sheep lamb].

    Science.gov (United States)

    Gutzwiller, N; Hilbe, M; Kircher, P; Bleull, U

    2015-01-01

    The case report describes the symptoms and diagnostic methods of a spina bifida aperta in a new born lamb. The most relevant clinical findings were recumbency immediately after birth with normal consciousness and suckling reflexes, alterations of the skin and coat in the lumbosacral region as well as dysuria. The biochemical and haematological screening of the blood indicated no abnormalities. While the radiological examination of the spine showed no clear evidence of the cause of the clinical sings the ultrasound and computed tomography examination revealed an incomplete closure of the vertebral arch between the 4th lumbar and the 3rd sacral vertebrae. Additionally, a hernia with similar density to the spinal cord was present in the same region of the spine. Based on the findings the lamb was euthanized. The pathological examination confirmed the incomplete closure of the vertebral arch and moreover a myelomeningocele has been diagnosed. In the histopathological examination the white and grey matter were separated in the area of the macroscopic visible lesions. Due to non-specific clinical symptoms imagining diagnostics can be crucial to confirm the diagnosis of this rare syndrome.

  1. [Reproductive health care for women with spina bifida].

    Science.gov (United States)

    Body-Bechou, D; Cabaret-Dufour, A-S; Siproudhis, L; Berkelmans, I; Manunta, A; Odent, S; Jezequel, M; Prestel, A; Poulain, P

    2015-01-01

    Few studies have focused on reproductive health care for women with spina bifida. This subject is rarely discussed, whether in patient groups or in the medical community. However, these patients need advice and a care that is appropriate to their condition. In association with the spina bifida reference center of the University Hospital of Rennes, we have conducted a four-year retrospective, observational study. Its aim was to analyze the characteristics of the patients' gynecological care and to adapt our practice to their needs. Forty-eight patients were included. We demonstrated an increased risk of precocious puberty, labia minora hypertrophy and genital prolapse. Some specific characteristics of the reproductive health care of patients with spina bifida are interesting to know. A study on a larger series of patients is needed to further analyze the obstetric, gynecological and sexological issues of these women. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

  2. Mortality after bladder augmentation in children with spina bifida.

    Science.gov (United States)

    Szymanski, Konrad M; Misseri, Rosalia; Whittam, Benjamin; Adams, Cyrus M; Kirkegaard, Jordan; King, Shelly; Kaefer, Martin; Rink, Richard C; Cain, Mark P

    2015-02-01

    Renal failure has been a leading cause of death for children with spina bifida. Although improvements in management have increased survival, current data on mortality are sparse. Bladder augmentation, a modern intervention to preserve renal function, carries risks of morbidity and mortality. We determined long-term mortality and causes of death in patients with spina bifida treated with bladder augmentation. We retrospectively reviewed the records of patients with spina bifida who underwent bladder augmentation between 1979 and 2013. Those born before 1972 or older than 21 years at augmentation were excluded. Demographic and surgical data were collected. Outcomes were obtained from medical records, death records and the Social Security Death Index. Fisher exact and Wilcoxon rank-sum tests and Kaplan-Meier plots were used for analysis. Of 888 patients in our bladder reconstruction database 369 with spina bifida met inclusion criteria. Median followup was 10.8 years. A total of 28 deaths (7.6%) occurred. The leading causes of mortality were nonurological infections (ventriculoperitoneal shunt related, decubitus ulcer fasciitis, etc) and pulmonary disease. Two patients (0.5%) died of renal failure. No patient died of malignancy or bladder perforation. Patients with a ventriculoperitoneal shunt had a higher mortality rate than those without a shunt (8.9% vs 1.5%, p = 0.04). Previously reported mortality rates of 50% to 60% in patients with spina bifida do not appear to apply in children who have undergone bladder augmentation. On long-term followup leading causes of death in patients with spina bifida after bladder augmentation were nonurological infections rather than complications associated with augmentation or renal failure. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  3. Maternal mental health in families of children with spina bifida.

    Science.gov (United States)

    Ong, Lai Choo; Norshireen, N A R; Chandran, V

    2011-02-01

    this study aimed to compare mental health of mothers of children with spina bifida with mothers of able-bodied controls. eighty-one mothers of children with spina bifida aged 1-18 years completed the General Health Questionnaire-12 (GHQ-12) and Parenting Stress Index Short Form (PSI/SF). The controls were 69 mothers of children with acute, non-disabling illnesses. Each child's adaptive skills were assessed using the Vineland Adaptive Behaviour Scales (VABS). Logistic regression analysis was used to determine factors related to a high GHQ score (≥ 3) in all patients. compared to the controls, mothers of children with spina bifida had lower educational levels and were more likely to be the main caregivers and not working. Nineteen (23.5%) of them had a high GHQ score compared to 5 (7.2%) of the controls. They also had significantly higher scores for total PSI/SF and the parent domain, difficult child (DC) and parent-child dysfunctional interaction subscales. Children with spina bifida had lower scores for the composite VABS and communication, socialization, daily living skills and motor sub-domain than the controls. Spina bifida (odds ratio [OR] 4.3, 95% confidence interval [CI] 1.30-14.23), higher DC scores (OR 1.1, 95% CI 1.00-1.16), and higher life stress scores (OR 1.1, 95% CI 1.01-1.71) were associated with a high GHQ score. spina bifida, recent stressful life change events and maternal perception of a child as 'difficult' are associated with poor maternal psychological health.

  4. Mechanism of human tooth eruption

    DEFF Research Database (Denmark)

    Kjær, Inger

    2014-01-01

    discussed in the introduction. Human studies, mainly clinical and radiological, have focused on normal eruption and gender differences. Why a tooth begins eruption and what enables it to move eruptively and later to end these eruptive movements is not known. Pathological eruption courses contribute...

  5. Transition to Adulthood in Spina Bifida: Changing Roles and Expectations

    Directory of Open Access Journals (Sweden)

    Shubhra Mukherjee

    2007-01-01

    Full Text Available Survival to adulthood for people with Spina Bifida now exceeds 85% due to improvements in medical and surgical management. Rates remain lower than expected for community participation, healthy lifestyle choices, employment and independent living. The importance of transition programming to help adolescents with disabilities prepare for adult life roles is now understood. Literature currently is mainly conceptual or descriptive, but informs the process of developing transition program models. The need for competent and effective adult care providers is discussed. Both the transition to adulthood and the transfer of care to adult care clinics are important and distinct components of spina bifida lifespan care.

  6. Perinatal motor behaviour and neurological outcome in spina bifida aperta

    NARCIS (Netherlands)

    Sival, D A; Begeer, J H; Staal - Schreinemachers, A L; Vos-Niël, J M E; Beekhuis, J R; Prechtl, H F

    1997-01-01

    AIM OF THE STUDY: In the present longitudinal study we investigated the relationship between prenatal motor behaviour and the postnatal neurological sequelae of infants with spina bifida aperta. METHODS AND PATIENTS: Prenatal isolated leg movements and general movements of 13 fetuses/infants with sp

  7. Fractures in spina bifida from childhood to young adulthood.

    Science.gov (United States)

    Trinh, A; Wong, P; Brown, J; Hennel, S; Ebeling, P R; Fuller, P J; Milat, F

    2017-01-01

    This study assessed the prevalence and types of fractures in spina bifida and examined risk factors for fracture. Fracture prevalence was highest in childhood and reduced in adolescence and young adulthood. The importance of maintaining mobility is highlighted by the increased risk of fracture in those who are non-ambulatory.

  8. Reaching for Independence: Counseling Implications for Youth with Spina Bifida

    Science.gov (United States)

    Brislin, Dawn C.

    2008-01-01

    Spina bifida, a congenital physical disability, is indirectly associated with difficulties in scholastic achievement, social development, and self-determination. Environment can have an impact on psychosocial development and impede functioning academically, socially, and vocationally. Counselors must be aware of the societal atmosphere to identify…

  9. Selective and sustained attention in children with spina bifida myelomeningocele

    DEFF Research Database (Denmark)

    Caspersen, Ida Dyhr; Habekost, Thomas

    2013-01-01

    Spina bifida myelomeningocele (SBM) is a neural tube defect that has been related to deficits in several cognitive domains including attention. Attention function in children with SBM has often been studied using tasks that are confounded by complex motor demands or tasks that do not clearly...

  10. Muscle ultrasound density in human fetuses with spina bifida aperta

    NARCIS (Netherlands)

    Verbeek, R. J.; van der Hoeven, J. H.; Sollie, K. M.; Maurits, N. M.; Bos, A. F.; den Dunnen, W. F. A.; Brouwer, O. F.; Sival, Deborah

    2009-01-01

    Background: In fetal spina bifida aperta (SBA), leg movements caudal to the meningomyelocele (MMC) are transiently present, but they disappear shortly after birth. Insight in the underlying mechanism could help to improve treatment strategies. In fetal SBA, the pathogenesis of neuromuscular damage p

  11. Observations of a Father: My Son Has Spina Bifida.

    Science.gov (United States)

    Remmel, Carl L.

    1982-01-01

    The author reviews his experiences as the father of a child with spina bifida, a congenital problem in which the spine is not completely enclosed. He recounts his feelings upon first finding out about the condition and his son's subsequent surgeries and crises. (CL)

  12. Prenatal diagnosis of open spina bifida in Emilia-Romagna.

    Science.gov (United States)

    Ghi, Tullio; Cocchi, Guido; Conti, Letizia; Pacella, Giuseppina; Youssef, Aly; Rizzo, Nicola; Pilu, Gianluigi

    2015-01-01

    To report recent data on the epidemiology of pregnancies affected by open spina bifida in the Emilia-Romagna region of Italy. All cases of open spina bifida diagnosed in the Emilia-Romagna region between 2001 and 2011 and reported to the IMER regional registry were included in the study group. The pregnancy outcome was retrospectively assessed. In the study period out of 390,978 babies born in Emilia-Romagna 126 cases of open spina bifida were reported to the IMER registry, resulting in a global prevalence of 3.2 per 10,000 births. Prenatal diagnosis was achieved in the vast majority of these cases (105/126; 83.3%) and in a great proportion of those women (85/105; 80.9%) who opted for termination of pregnancy. In a wide region of northern Italy where ultrasound anomaly scan is routinely offered to the general population, the vast majority of cases of open spina bifida are diagnosed antenatally and terminated electively. © 2015 S. Karger AG, Basel.

  13. Reproducibility of Muscle Strength Testing for Children with Spina Bifida.

    Science.gov (United States)

    Tan, Jia Ling; Thomas, Nicole Maree; Johnston, Leanne Marie

    2017-11-01

    Examine the inter-rater reliability of the Daniels and Worthingham (D&W) manual muscle test (MMT) protocol for children with spina bifida between experienced and novice physiotherapists. Thirteen children with spina bifida (two males) aged 6 to 18 years were recruited from a spina bifida service in a state-wide tertiary children's hospital. Each child had the muscle strength of 19, and lower limb muscles were measured bilaterally by one experienced and one novice physiotherapist using the D&W MMT protocol. Examiner and limb order were counterbalanced. Standard training and recording sheets were used. Agreement between raters was examined with quadratic weighted kappa (κw2), percentage exact agreement (%EA), and the Bland-Altmann Limits of Agreement (LoA). Minimal detectable change (MDC) was calculated. Inter-rater agreement between the experienced and novice raters was excellent (κw2 = 0.95; 95% confidence interval: 0.94-0.96); %EA was good (72.3%); and clinically appropriate LoA levels were -1.30-1.40. The MDC was 1.11 points on a six-point MMT scale. The D&W MMT protocol, when used after standard training and with standard recording sheets, was reproducible for children with spina bifida, aged 6-18 years.

  14. Selective and sustained attention in children with spina bifida myelomeningocele

    DEFF Research Database (Denmark)

    Caspersen, Ida Dyhr; Habekost, Thomas

    2013-01-01

    Spina bifida myelomeningocele (SBM) is a neural tube defect that has been related to deficits in several cognitive domains including attention. Attention function in children with SBM has often been studied using tasks that are confounded by complex motor demands or tasks that do not clearly...

  15. Reaching for Independence: Counseling Implications for Youth with Spina Bifida

    Science.gov (United States)

    Brislin, Dawn C.

    2008-01-01

    Spina bifida, a congenital physical disability, is indirectly associated with difficulties in scholastic achievement, social development, and self-determination. Environment can have an impact on psychosocial development and impede functioning academically, socially, and vocationally. Counselors must be aware of the societal atmosphere to identify…

  16. Life satisfaction of young adults with spina bifida

    NARCIS (Netherlands)

    Barf, H. A.; Post, M. W. M.; Verhoef, M.; Jennekens-Schinkel, A.; Gooskens, R. H. J. M.; Prevo, A. J. H.

    2007-01-01

    This study concerns life satisfaction and its determinants in Dutch young adults with spina bifida (SB). Data on life satisfaction (Life Satisfaction Questionnaire [LiSat-9]) were related to hydrocephalus, lesion level, disabilities, and demographic variables. In total, 179 young adults with SB part

  17. Muscle ultrasound density in human fetuses with spina bifida aperta

    NARCIS (Netherlands)

    Verbeek, R. J.; van der Hoeven, J. H.; Sollie, K. M.; Maurits, N. M.; Bos, A. F.; den Dunnen, W. F. A.; Brouwer, O. F.; Sival, Deborah

    Background: In fetal spina bifida aperta (SBA), leg movements caudal to the meningomyelocele (MMC) are transiently present, but they disappear shortly after birth. Insight in the underlying mechanism could help to improve treatment strategies. In fetal SBA, the pathogenesis of neuromuscular damage

  18. Arterial vascular properties in individuals with spina bifida.

    NARCIS (Netherlands)

    Boot, C.R.L.; Langen, H. van; Hopman, M.T.E.

    2003-01-01

    STUDY DESIGN: Observational cross-sectional study. OBJECTIVE: To assess the vascular characteristics of the arterial circulation in individuals with spina bifida (SB) in comparison with individuals with spinal cord injury (SCI) and able-bodied controls (C). SETTING: University Medical Centre, Nijmeg

  19. Perinatal motor behaviour and neurological outcome in spina bifida aperta

    NARCIS (Netherlands)

    Sival, DA; Begeer, JH; Staal-Schreinemachers, AL; Vos-Niel, JME; Beekhuis, [No Value; Prechtl, HFR

    1997-01-01

    Aim of the study: In the present longitudinal study we investigated the relationship between prenatal motor behaviour and the postnatal neurological sequelae of infants with spina bifida aperta. Methods and patients: Prenatal isolated leg movements and general movements of 13 fetuses/infants with sp

  20. The spectrum of urological disease in patients with spina bifida.

    LENUS (Irish Health Repository)

    Cahill, R A

    2012-02-03

    BACKGROUND: [corrected] Urological complications are the major cause of ill health during childhood and adult life of patients with spina bifida but the significance of urinary tract disease on the individual and the healthcare services is underemphasised. AIM: To assess the effects of spina bifida on the individual and the healthcare services. METHODS: A retrospective review was performed to assess the frequency and significance of urological conditions requiring hospital attendance in patients with spina bifida currently attending a specialised multidisciplinary clinic over a period of six months. RESULTS: Urinary sepsis accounted for the majority of admissions (62%), while 38 of 62 patients required 60 surgical procedures. Targeting the primary urological abnormality (the dysfunctional and usually poorly compliant bladder) allows implementation of effective treatments, including regular intermittent bladder catherisation (52%) in order to preserve upper renal tract function. Associated postural abnormalities complicated both conservative and interventional therapies. CONCLUSION: This study highlights the surgical commitment for units caring for patients with spina bifida, the important considerations for the future healthcare services, and the range and severity of urological diseases encountered by these patients.

  1. Volcanic Eruptions and Climate

    Science.gov (United States)

    Robock, A.

    2012-12-01

    Large volcanic eruptions inject sulfur gases into the stratosphere, which convert to sulfate aerosols with an e-folding residence time of about one year. The radiative and chemical effects of these aerosol clouds produce responses in the climate system. Observations and numerical models of the climate system show that volcanic eruptions produce global cooling and were the dominant natural cause of climate change for the past millennium, on timescales from annual to century. Major tropical eruptions produce winter warming of Northern Hemisphere continents for one or two years, while high latitude eruptions in the Northern Hemisphere weaken the Asian and African summer monsoon. The Toba supereruption 74,000 years ago caused very large climate changes, affecting human evolution. However, the effects did not last long enough to produce widespread glaciation. An episode of four large decadally-spaced eruptions at the end of the 13th century C.E. started the Little Ice Age. Since the Mt. Pinatubo eruption in the Philippines in 1991, there have been no large eruptions that affected climate, but the cumulative effects of small eruptions over the past decade had a small effect on global temperature trends. The June 13, 2011 Nabro eruption in Eritrea produced the largest stratospheric aerosol cloud since Pinatubo, and the most of the sulfur entered the stratosphere not by direct injection, but by slow lofting in the Asian summer monsoon circulation. Volcanic eruptions warn us that while stratospheric geoengineering could cool the surface, reducing ice melt and sea level rise, producing pretty sunsets, and increasing the CO2 sink, it could also reduce summer monsoon precipitation, destroy ozone, allowing more harmful UV at the surface, produce rapid warming when stopped, make the sky white, reduce solar power, perturb the ecology with more diffuse radiation, damage airplanes flying in the stratosphere, degrade astronomical observations, affect remote sensing, and affect

  2. Hemimetameric shift in spina bifida: three case reports.

    Science.gov (United States)

    Canaz, Huseyin; Canaz, Gokhan; Ucar, Bekir Yavuz; Alatas, Ibrahim

    2017-03-01

    Hemivertebrae is the most frequent reason of congenital scoliosis, and hemimetameric shift is a finding, which is characterized by two hemivertebraes located contralateral, with at least one normal vertebra between them. Embryologically, hemivertebrae is caused by delay in somite movements and as a result, a total vertebral shift occurs because of mismatches in the following segments. Hemimetameric shift accompanying spina bifida is described as extremely rare. There are only two case series of hemimetameric shift in literature but no spina bifida patient was reported in these series. We report three cases of hemimetameric shift with spina bifida with their detailed clinical and radiological evaluations. Case 1 is a 3-year-old congenital scoliosis patient with tethered cord. She has mild scoliosis with a very demonstrative hemimetameric shift. Case 3 is an infant with multiple-level hemivertebrae anomalies and hemimetameric shift who had myelomeningocele closure and ventriculoperitoneal shunt installation neonatally. Case 3 is a 9-year-old male who had operated for myelomeningocele in the neonatal period. He had evident scoliosis with cervicothoracic hemimetameric shift and he is the only patient we operated for prominent scoliosis. The present classification of hemimetameric shift was described by Kawakami et al. in 2009. It is based on development of anterior and posterior hemivertebrae segments but we think it is not suitable for patients with posterior fusion defects such as spina bifida patients. Spina bifida patients with scoliosis and hemimetameric shift are a rare but important patient group to evaluate in terms of understanding scoliosis patients with neural tube defects.

  3. Can Naturoptics fund Naturopathic Universities to Develop Interlocked Mentoring Relationships with Proposed Universities to Check Sensitivities of Individuals with Spina Bifida, to Environmentally Generated EMF Information about 'Quakes, Hurricanes, etc.?

    Science.gov (United States)

    McLeod, David M.; Ataide, Italani; McLeod, Roger D.

    2006-03-01

    Individuals harboring the herpes zoster virus following chicken pox, are susceptible to attacks of shingles. They may indicate peculiar awareness of pricking `pin and needle' sensations and co-symptoms of tinnitus and/or Meuniere's syndrome. RDM used similar symptoms in FL to predict the earthquake ninety miles north of Guantanamo bay in 1998. An astounding burial site in Florida from over six thousand years ago had a teenaged boy with severe spina bifida, with non-Asian genes, who could not have survived without very capable health support. Two youthful individuals likewise afflicted with spina bifida were unearthed from one site at Pompeii, entombed by the eruption of Vesuvius, August 24 and 25, CE 79. We know how to locate sites, active with EMF, which have tornado, hurricane and earthquake associations, and would like to foster joint research also involving Hawaiian and other volcanoes.

  4. ERUPTIVE KERATOACANTHOMA OF GRZYBOWSKI

    Directory of Open Access Journals (Sweden)

    V. A. Molochkov

    2014-01-01

    Full Text Available The article presents a case of a very rare disorder – generalized eruptive keratoacanthoma of Grzybowski in a woman aged 82 years old. The disease is characterized by sudden emergence of hundreds or thousands of neoplasms (2–5 cm in diameters rapidly spreading throughout the body skin. It is frequently associated with internistic cancer. In this case, generalized eruptive keratoacanthoma of Grzybowski was diagnosed 4 years after the disease onset. The authors emphasize the role of proper diagnosis and treatment of this pathology. Aromatic retinoids were highly effective in the therapy of generalized eruptive keratoacanthoma of Grzybowski.

  5. Condition of Patients with the Diagnosis of Spina Bifida Cystika with Myelomeningocele and Subsequent Rehabilitation Intervention

    OpenAIRE

    Gajdová, Magda

    2008-01-01

    Name of the diploma thesis: Condition of patients with the diagnosis of spina bifida cystica with myelomeningocele and subsequent rehabilitation intervention Goal of the work: Spina bifida (cleft spine) is a congenital defect resulting from failure of fusion of embryologie halves of vertebral arches. Spina bifida belongs to the group of congenital abnormalities ofthe central nervous system, which manifest themselves through neural tissue anomalies and bony changes of the spine. Since there is...

  6. Spina bifida occulta: not to be overlooked in children with nocturnal enuresis.

    Science.gov (United States)

    Shin, Sang Hee; Im, Young Jae; Lee, Mi-Jung; Lee, Yong Seung; Choi, Eun Kyoung; Han, Sang Won

    2013-08-01

    Previous reports have suggested that the incidence of spina bifida occulta in patients with nocturnal enuresis is higher than in the general population. However, the effect of spina bifida occulta on the response to nocturnal enuresis treatment is controversial. The purpose of this study was to investigate the relationship between spina bifida occulta and response to treatment of nocturnal enuresis. Between 2006 and 2009, the records of 160 children with nocturnal enuresis were reviewed. Children with other organic urological disease or symptoms suggestive of spinal dysraphism were excluded. Plain radiography for the kidney-ureter-bladder was carried out before the start of the nocturnal enuresis treatment. Response to treatment of children with and without spina bifida occulta was compared. Of 160 children, 53 were girls; the mean age was 7.8 ± 2.06 years. The mean duration of treatment was 8.7 ± 9.29 months. Spina bifida occulta was detected in 43 children (26.9%). Spina bifida occulta affected L4 in four children, L5 in 12 children, S1 in 26 children and S2 in one child. There was a significant difference between the spina bifida occulta and non-spina bifida occulta groups in terms of outcome (P=0.002), with a complete response more likely in children without spina bifida occulta (P=0.005). None of the children with primary non-mono symptomatic nocturnal enuresis and spina bifida occulta showed a complete response. The presence of spina bifida occulta significantly affects the response to treatment in patients with nocturnal enuresis. Thus, verifying spina bifida occulta in this patient population can facilitate the prediction of the response to nocturnal enuresis treatment. © 2013 The Japanese Urological Association.

  7. Prevention of spina bifida: folic acid intake during pregnancy in Gulu district, northern Uganda

    OpenAIRE

    Bannink, Femke; Larok, Rita; Karibari, Peter; Bauwens, Lieven; Van Hove, Geert

    2015-01-01

    Introduction The intake of folic acid before conception and during the first trimester of pregnancy can prevent spina bifida. This paper describes folic acid intake in women in Gulu district in northern Uganda. Methods Structured interviews were held with 394 women attending antenatal care (ANC), 15 mothers of children with spina bifida, and 35 health workers in 2012 and 2013. SPSS16 was used for data analysis. Results 1/4 mothers of children with spina bifida took folic acid during late preg...

  8. An erupted complex odontoma.

    Science.gov (United States)

    Tozoglu, Sinan; Yildirim, Umran; Buyukkurt, M Cemil

    2010-01-01

    Odontomas are benign tumors of odontogenic origin. The cause of the odontoma is unknown, but it is believed to be hereditary or due to a disturbance in tooth development triggered by trauma or infection. Odontomas may be either compound or complex. Although these tumors are seen frequently, erupted odontomas are rare. The purpose of this study is to present a rare case of complex odontoma that erupted into the oral cavity.

  9. Isolated and ventriculomegaly-associated cases of spina bifida in genetic counseling: focus on fetal pathology.

    Science.gov (United States)

    Joó, József Gábor; Csaba, Ákos; Szigeti, Zsanett; Rigó, János

    2013-07-01

    Cases of spina bifida alone and in association with ventriculomegaly represent important but different malformations according to clinical characteristics. In our study, we analyzed the data on pregancies terminated because of isolated cases (n=307) and ventriculomegaly-associated cases (n=372) of spina bifida. In spina bifida cases in association with hydrocephalus, positive obstetric history was found approximately 1.5 times more frequently than in the isolated ones. The incidence of positive genetic history was nearly two-fold in the latter cases. In isolated cases of spina bifida, associated malformations were more common than in cases of spina bifida and ventriculomegaly together. The most frequent associated malformations were those of the urogenital system (in cases of spina bifida: 11.1%; in cases of SB+V: 9.14%). The risk of recurrence of SB+V is significantly higher than that of isolated SB (8.9% vs. 2.1%). It can be concluded that positive genetic history is more common in cases of isolated spina bifida. Malformations out of the nervous system are more commonly observed in cases of isolated spina bifida. During the prenatal diagnostics of spina bifida, sonography must focus on malformations of the urogenital system.

  10. Reproductive Health Care for Women with Spina Bifida

    Directory of Open Access Journals (Sweden)

    Amie B. Jackson

    2007-01-01

    Full Text Available Women with spina bifida have unique health care concerns and as the life expectancy of this population increases, they are transitioning from adolescence to womanhood and entering their reproductive years with little information about what to expect. Likewise, their health care providers do not have the benefit of evidence-based research that comprehensively addresses the issues these women may face related to reproduction or aging. Few studies have focused on the effects that spina bifida may have on these women's reproductive systems, nor has attention been paid to the effects that possible reproductive endocrine changes may have on their disability. Needless to say, concerns about sexuality, sexual function, and pregnancy are just as important to these women as they are to their able-bodied counterparts.

  11. Spina bifida in a dead stillbirth mongrel dog

    OpenAIRE

    Selwyn Arlington Headley; Claudia Russo; Gustavo José von Glehn dos Santos; Eduardo Alcântara Ribeiro; Ewaldo de Mattos Junior

    2007-01-01

    Spina bifida is a congenital spinal deformity that is characterized by an incomplete closure of the dorsal portion of the vertebrate. This report describes the radiological and pathological findings of this abnormality in a dead still birth mongrel. The dog demonstrated a cleft at the dorsal region of the thoracic vertebrate column, which resulted in exposition and protrusion of the spinal cord and the meninges. Plain radiographs of the ventral-dorsal of the vertebrate column revealed a defec...

  12. Heme oxygenase-1 promoter polymorphisms and risk of spina bifida.

    Science.gov (United States)

    Fujioka, Kazumichi; Yang, Wei; Wallenstein, Matthew B; Zhao, Hui; Wong, Ronald J; Stevenson, David K; Shaw, Gary M

    2015-09-01

    Spina bifida is the most common form of neural tube defects (NTDs). Etiologies of NTDs are multifactorial, and oxidative stress is believed to play a key role in NTD development. Heme oxygenase (HO), the rate-limiting enzyme in heme degradation, has multiple protective properties including mediating antioxidant processes, making it an ideal candidate for study. The inducible HO isoform (HO-1) has two functional genetic polymorphisms: (GT)n dinucleotide repeats and A(-413)T SNP (rs2071746), both of which can affect its promoter activity. However, no study has investigated a possible association between HO-1 genetic polymorphisms and risk of NTDs. This case-control study included 152 spina bifida cases (all myelomeningoceles) and 148 non-malformed controls obtained from the California Birth Defects Monitoring Program reflecting births during 1990 to 1999. Genetic polymorphisms were determined by polymerase chain reaction and amplified fragment length polymorphisms/restriction fragment length polymorphisms using genomic DNA extracted from archived newborn blood spots. Genotype and haplotype frequencies of two HO-1 promoter polymorphisms between cases and controls were compared. For (GT)n dinucleotide repeat lengths and the A(-413)T SNP, no significant differences in allele frequencies or genotypes were found. Linkage disequilibrium was observed between the HO-1 polymorphisms (D': 0.833); however, haplotype analyses did not show increased risk of spina bifida overall or by race/ethnicity. Although, an association was not found between HO-1 polymorphisms and risk of spina bifida, we speculate that the combined effect of low HO-1 expression and exposures to known environmental oxidative stressors (low folate status or diabetes), may overwhelm antioxidant defenses and increase risk of NTDs and warrants further study. © 2015 Wiley Periodicals, Inc.

  13. Surgical management of hip instabilities in children with spina bifida

    OpenAIRE

    Erol, Bulent; Bezer, Murat; Kucukdurmaz, Fatih; Guven, Osman

    2004-01-01

    Objectives: We evaluated the results of surgical management of hip instability in children with spina bifida (SB). Methods: Twenty-eight hips of 26 patients (16 girls, 10 boys; mean age 4.5 years; range 3 to 6 years) were surgically managed for hip instability (subluxation/dislocation) associated with SB. Twenty-four patients (2 bilateral dislocations) had low-level lesions (L4-sacral) and a potential to walk, of which 16 patients presented with unilateral dislocation with functional probl...

  14. Risk factors for the occurrence of spina bifida (a case-control study) and the prevalence rate of spina bifida in Japan.

    Science.gov (United States)

    Kondo, Atsuo; Morota, Nobuhito; Ihara, Satoshi; Saisu, Takeshi; Inoue, Katsumi; Shimokawa, Shoko; Fujimaki, Hiroya; Matsuo, Keisuke; Shimosuka, Yoichi; Watanabe, Tomoyuki

    2013-09-01

    The Japanese government recommended in 2000 that women planning pregnancy should take 400 μg of folic acid daily to decrease the risk of having an infant with spina bifida. We aimed to identify risk factors for the occurrence of spina bifida and to evaluate how the prevalence rate has altered over the past 3 decades. Subjects comprised 360 women who gave birth to spina bifida-affected offspring and 2333 women who gave birth to offspring without spina bifida between 2001 and 2012. A self-administered questionnaire was used to collect data, which were analyzed by multiple logistic regression models. The prevalence rate of spina bifida was obtained through data provided by international and domestic organizations. Four variables were significantly associated with the increased risk of having newborns afflicted with spina bifida: not taking folic acid supplements (odds ratios [OR], 2.50; 95% confidence interval [CI], 1.72-3.64), presence of spina bifida patients within third-degree relatives (OR, 4.26; 95% CI, 1.12-16.19), taking anti-epileptic drugs without folic acid (OR, 20·20; 95% CI, 2.06-198.17), and low birth weight in the newborns ≤ 2500 g (OR, 4.21; 95% CI, 3.18-5.59). The prevalence rate of spina bifida has remained 5 to 6 per 10,000 total births and has not shown any decreasing trend over the past 11 years. Four risk factors were identified among Japanese women. Because recommendations and information have not decreased the occurrence of spina bifida, the Japanese government should implement mandatory food fortification. Copyright © 2013 Wiley Periodicals, Inc.

  15. Eruption column physics

    Energy Technology Data Exchange (ETDEWEB)

    Valentine, G.A.

    1997-03-01

    In this paper the author focuses on the fluid dynamics of large-scale eruption columns. The dynamics of these columns are rooted in multiphase flow phenomena, so a major part of the paper sets up a foundation on that topic that allows one to quickly assess the inherent assumptions made in various theoretical and experimental approaches. The first part is centered on a set of complex differential equations that describe eruption columns, but the focus is on a general understanding of important physical processes rather than on the mathematics. The author discusses briefly the relative merits and weaknesses of different approaches, emphasizing that the largest advances in understanding are made by combining them. He then focuses on dynamics of steady eruption columns and then on transient phenomena. Finally he briefly reviews the effects of varying behavior of the ambient medium through which an eruption column moves. These final sections will emphasize concepts and a qualitative understanding of eruption dynamics. This paper relies on principles of continuum mechanics and transport processes but does not go into detail on the development of those principles. 36 refs., 36 figs., 3 tabs.

  16. 38 CFR 21.8012 - Vocational training program for certain children of Vietnam veterans-spina bifida and covered...

    Science.gov (United States)

    2010-07-01

    ... program for certain children of Vietnam veterans-spina bifida and covered birth defects. 21.8012 Section...-Spina Bifida and Covered Birth Defects General § 21.8012 Vocational training program for certain children of Vietnam veterans—spina bifida and covered birth defects. VA will provide an evaluation to...

  17. Are myo-inositol, glucose and zinc concentrations in amniotic fluid of fetuses with spina bifida different from controls?

    NARCIS (Netherlands)

    Groenen, P.; Wevers, R.A.; Janssen, F.; Tuerlings, J.H.A.M.; Merkus, J.M.W.M.; Steegers-Theunissen, R.P.M.

    2003-01-01

    OBJECTIVE: Associations are reported between myo-inositol, glucose, zinc and the occurrence of spina bifida. To gain more insight into the pathogenesis of spina bifida, the concentrations of myo-inositol, glucose and zinc were determined in amniotic fluids from pregnancies with a spina bifida or

  18. Nutritional and environmental factors in human spina bifida : an emphasis on myo-inositol

    NARCIS (Netherlands)

    Groenen, Pascal Martinus Wilhelmus

    2004-01-01

    This thesis describes the results of a nation wide case-control triad study carried out in collaboration with nine spina bifida centers and a patient organization (VSOP/BOSK) focused on the role of myo-inositol and zinc, environmental factors and related genes in the pathogenesis of spina bifida.

  19. Community Knowledge, Beliefs, Attitudes, and Practices towards Children with Spina Bifida and Hydrocephalus in Uganda

    Science.gov (United States)

    Bannink, Femke; Stroeken, Koenraad; Idro, Richard; van Hove, Geert

    2015-01-01

    This article describes the findings of a qualitative study on knowledge, beliefs, attitudes, and practices towards children with spina bifida and hydrocephalus in four regions of Uganda. Focus group discussions and semi-structured interviews were held with parents of children with spina bifida and hydrocephalus, policy-makers, and service…

  20. Work Participation among Young Adults with Spina Bifida in the Netherlands

    Science.gov (United States)

    Van Mechelen, M. C.; Verhoef, M.; Van Asbeck, F. W. A.; Post, M. W. M.

    2008-01-01

    The aim of this study was to: (1) assess work participation among young adults with spina bifida, (2) identify problems perceived in finding employment, and (3) examine which determinants are related to work participation. This cross-sectional study was a follow-up study to the Adolescents with SPina bifida In the Netherlands (ASPINE) study. Data…

  1. 77 FR 35317 - Gruma Corporation, Spina Bifida Association, March of Dimes Foundation, American Academy of...

    Science.gov (United States)

    2012-06-13

    ... HUMAN SERVICES Food and Drug Administration 21 CFR Part 172 Gruma Corporation, Spina Bifida Association... a food additive petition (FAP 2A4796) has been jointly filed by Gruma Corporation, Spina Bifida... petition. SUMMARY: The Food and Drug Administration (FDA) is announcing that Gruma Corporation,...

  2. Impact of Spina Bifida on Parental Caregivers: Findings from a Survey of Arkansas Families

    Science.gov (United States)

    Grosse, Scott D.; Flores, Alina L.; Ouyang, Lijing; Robbins, James M.; Tilford, John M.

    2009-01-01

    The well-being of caregivers of children with spina bifida and other conditions is an important topic. We interviewed the primary caregivers of 98 children aged 0-17 years with spina bifida sampled from a population-based birth defects registry in Arkansas and the caregivers of 49 unaffected children. Measures of caregiver well-being were compared…

  3. 77 FR 42229 - Gruma Corporation, Spina Bifida Association, March of Dimes Foundation, American Academy of...

    Science.gov (United States)

    2012-07-18

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Food and Drug Administration 21 CFR Part 172 Gruma Corporation, Spina Bifida Association... Corporation, Spina Bifida Association, March of Dimes Foundation, American Academy of Pediatrics, Royal DSM...

  4. Cognitive Abilities of Pre- and Primary School Children with Spina Bifida in Uganda

    Science.gov (United States)

    Bannink, Femke; Fontaine, Johnny R. J.; Idro, Richard; van Hove, Geert

    2016-01-01

    This study investigates cognitive abilities of pre/primary school children without and with spina bifida in Uganda. Qualitative semi structured interviews and quantitative functioning scales measurements were combined and conducted with 133 parents, 133 children with spina bifida, and 35 siblings. ANCOVA was used to test for differences in…

  5. Community Knowledge, Beliefs, Attitudes, and Practices towards Children with Spina Bifida and Hydrocephalus in Uganda

    Science.gov (United States)

    Bannink, Femke; Stroeken, Koenraad; Idro, Richard; van Hove, Geert

    2015-01-01

    This article describes the findings of a qualitative study on knowledge, beliefs, attitudes, and practices towards children with spina bifida and hydrocephalus in four regions of Uganda. Focus group discussions and semi-structured interviews were held with parents of children with spina bifida and hydrocephalus, policy-makers, and service…

  6. Impact of Spina Bifida on Parental Caregivers: Findings from a Survey of Arkansas Families

    Science.gov (United States)

    Grosse, Scott D.; Flores, Alina L.; Ouyang, Lijing; Robbins, James M.; Tilford, John M.

    2009-01-01

    The well-being of caregivers of children with spina bifida and other conditions is an important topic. We interviewed the primary caregivers of 98 children aged 0-17 years with spina bifida sampled from a population-based birth defects registry in Arkansas and the caregivers of 49 unaffected children. Measures of caregiver well-being were compared…

  7. Work Participation among Young Adults with Spina Bifida in the Netherlands

    Science.gov (United States)

    Van Mechelen, M. C.; Verhoef, M.; Van Asbeck, F. W. A.; Post, M. W. M.

    2008-01-01

    The aim of this study was to: (1) assess work participation among young adults with spina bifida, (2) identify problems perceived in finding employment, and (3) examine which determinants are related to work participation. This cross-sectional study was a follow-up study to the Adolescents with SPina bifida In the Netherlands (ASPINE) study. Data…

  8. Milestone achievement in emerging adulthood in spina bifida: a longitudinal investigation of parental expectations.

    Science.gov (United States)

    Holbein, Christina E; Zebracki, Kathy; Bechtel, Colleen F; Lennon Papadakis, Jaclyn; Franks Bruno, Elizabeth; Holmbeck, Grayson N

    2017-03-01

    To assess changes over time in parents' expectations of adult milestone achievement (college attendance, full-time job attainment, independent living, marriage, parenthood) for young people with spina bifida, to examine how expectancies relate to actual milestone achievement, and to compare milestone achievement in emerging adults with spina bifida with that of peers with typical development. Sixty-eight families of children with spina bifida (mean age 8y 4mo, 37 males, 31 females) and 68 families of children with typical development (mean age 8y 6mo, 37 males, 31 females) participated at Time 1. At all subsequent timepoints, parents of young people with spina bifida were asked to rate their expectations of emerging adulthood milestone achievement. At Time 7, when participants were 22 to 23 years old, milestone achievement was assessed. Parents of young people with spina bifida lowered their expectations over time for most milestones; parents of children with higher cognitive ability reported decreases of lower magnitude. Parent expectancies were optimistic and unrelated to actual milestone achievement. Emerging adults with spina bifida were less likely than individuals with typical development to achieve all milestones. Optimistic parental expectations may be adaptive for children with spina bifida and their families, although it is important for families to set realistic goals. Healthcare providers serve a key role in helping families of young people with spina bifida prepare for emerging adulthood. © 2016 Mac Keith Press.

  9. ADHD and Attention Problems in Children With and Without Spina Bifida

    Science.gov (United States)

    Stoner, Alison M.; Stern, Alexa; Holmbeck, Grayson N.

    2016-01-01

    Objectives: To identify differences in the diagnosis and treatment of attention deficit/hyperactivity disorder (ADHD) between typically developing children and children with spina bifida. Method: Sixty-eight children with spina bifida and 68 demographically matched, typically developing children participated in a larger, longitudinal study. Rates of maternal, paternal, and teacher reports of attention problems, as well as rates of maternal reports of ADHD diagnosis, diagnosing provider, pharmaceutical treatment, mental health treatment, and academic accommodations were obtained at 5 time points over a period of 8 years and were compared across groups. Results: Children with spina bifida were more likely to have an ADHD diagnosis and attention problems. Attention problems and ADHD diagnoses were first reported at earlier time points for children with spina bifida than typically developing children. Among children with ADHD or attention problems, children with spina bifida were more likely to be treated with medication, but they were just as likely to use mental health services and receive resource services at school. Conclusions: Children with spina bifida were diagnosed with ADHD and identified as having attention problems more frequently and at an earlier age. This finding could be due to earlier symptom development, greater parental awareness, or more contact with providers. Among those with ADHD or attention problems, stimulant medication was more likely to be prescribed to children with spina bifida, despite research that suggests it may not be as beneficial for them. Further research on the effectiveness of ADHD pharmacological treatment for children with spina bifida is recommended.

  10. Emergent care patterns in patients with spina bifida: a case-control study.

    Science.gov (United States)

    Wang, Hsin-Hsiao S; Wiener, John S; Ross, Sherry S; Routh, Jonathan C

    2015-01-01

    Individuals with spina bifida are typically followed closely as outpatients by multidisciplinary teams. However, emergent care of these patients is not well defined. We describe patterns of emergent care in patients with spina bifida and healthy controls. We reviewed Nationwide Emergency Department Sample data from 2006 to 2010. Subjects without spina bifida (controls) were selected from the sample using stratified random sampling and matched to each case by age, gender and treatment year at a 1:4 ratio. Missing emergency department charges were estimated by multiple imputation. Statistical analyses were performed to compare patterns of care among emergency department visits and charges. A total of 226,709 patients with spina bifida and 888,774 controls were identified. Mean age was 28.2 years, with 34.6% of patients being younger than 21. Patients with spina bifida were more likely than controls to have public insurance (63.7% vs 35.4%, p spina bifida seen emergently (OR 8.7, p spina bifida cases vs controls ($2,102 vs $1,650, p spina bifida presenting emergently are more likely to have urological or neurosurgical problems, to undergo urological or neurosurgical procedures, to be admitted from the emergency department and to incur higher associated charges. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  11. Spina Bifida: Guidelines of Care for Children with Special Health Care Needs.

    Science.gov (United States)

    Minnesota State Dept. of Health, Minneapolis. Services for Children with Handicaps.

    These guidelines were written to help families coordinate the health care that may be needed by a child with spina bifida. The booklet begins with general information about spina bifida. It then discusses the goals of health care, the health care team, the importance of periodic health care, and record keeping procedures. The child's health care…

  12. Spina bifida and parental occupation : results from three malformation monitoring programs in Europe

    NARCIS (Netherlands)

    Blatter, B.M.; Bermejo, E.; Roeleveld, N.; Martínez-Frías, M.L.; Siffel, C.

    2000-01-01

    As the evidence for an association between spina bifida and parental agricultural occupations is inconclusive, we evaluated this association and the potential associations between spina bifida and other parental occupations. Three register-based case-referent studies were conducted in Sweden, Spain,

  13. Nutritional and environmental factors in human spina bifida : an emphasis on myo-inositol

    NARCIS (Netherlands)

    Groenen, Pascal Martinus Wilhelmus

    2004-01-01

    This thesis describes the results of a nation wide case-control triad study carried out in collaboration with nine spina bifida centers and a patient organization (VSOP/BOSK) focused on the role of myo-inositol and zinc, environmental factors and related genes in the pathogenesis of spina bifida. Mo

  14. Linking magma reservoir processes to the frequency and magnitude of volcanic eruptions

    Science.gov (United States)

    Sheldrake, Tom; Caricchi, Luca

    2016-04-01

    The frequency of volcanic eruptions is fundamentally related to processes controlling the accumulation of eruptible magma at depth and the pressurisation of the magmatic reservoir. Here we present a combined statistical-empirical approach to link the frequency and magnitude of volcanic eruptions observed in different arcs to important parameters controlling the growth of subvolcanic reservoirs of eruptible magma. Such understanding is important for two reasons; firstly it presents an insight into how and why the frequency of eruptions varies between different groups of volcanoes; and secondly, it provides constraints for models that are used to interpret geochemical and geophysical data. To perform the analysis we further develop an analytical model that uses a Monte Carlo sampling approach to simulate the accumulation and eruption of magmatic reservoirs (Caricchi et al., 2014). By inverting the geological record of volcanic eruptions we can solve the Monte Carlo model to quantify parameters such as magma input and frequency of magma injection. Our results indicate systematic variation in the frequency of eruptions of various magnitudes between exchangeable groups of volcanoes, which can be related to variations of parameters such as average magma fluxes and thickness of the crust. Caricchi, L., C. Annen, J. Blundy, G. Simpson, and V. Pinel, 2014, Nature Geoscience, v. 7, no. 2, p. 126-130, doi:10.1038/ngeo2041.

  15. Diffusion tensor MRI and fiber tractography of the sacral plexus in children with spina bifida

    DEFF Research Database (Denmark)

    Haakma, Wieke; Dik, Pieter; ten Haken, Bennie

    2014-01-01

    PURPOSE: It is still largely unknown how neural tube defects in spina bifida affect the nerves at the level of the sacral plexus. Visualizing the sacral plexus in 3 dimensions could improve our anatomical understanding of neurological problems in patients with spina bifida. We investigated...... anatomical and microstructural properties of the sacral plexus of patients with spina bifida using diffusion tensor imaging and fiber tractography. MATERIALS AND METHODS: Ten patients 8 to 16 years old with spina bifida underwent diffusion tensor imaging on a 3 Tesla magnetic resonance imaging system...... compared to 10 healthy controls. RESULTS: Nerves of patients with spina bifida showed asymmetry and disorganization to a large extent compared to those of healthy controls. Especially at the myelomeningocele level it was difficult to find a connection with the cauda equina. Mean, axial and radial...

  16. From Wheelchair to Cane: Elective Transtibial Amputations in a Patient with Spina Bifida.

    Science.gov (United States)

    Mayo, Amanda; Berbrayer, David

    2015-11-01

    Spina bifida is associated with foot deformities, which may lead to foot ulcers, osteomyelitis, and limb amputation. Calcanectomy and Symes amputations have been reported successful in spina bifida. There is lack of evidence for transtibial amputations. This case describes a 27-yr-old woman with L4 level spina bifida who underwent bilateral transtibial amputations. She ambulated with bilateral ankle foot orthoses and canes until age 22. At age 22, she had bilateral foot reconstructive surgeries complicated by nonunion, ulcerations, and osteomyelitis. She was using a wheelchair by age 25. She had elective bilateral transtibial amputations at age 27 for progressive osteomyelitis. Four weeks after amputations, she was fit with bilateral prostheses. On completion of 2 mos of rehabilitation, she ambulated with a cane. This case demonstrates good functional outcomes after transtibial amputations in a young spina bifida patient. Prosthetic fitting should be considered for similar, previously high functioning spina bifida patients with transtibial amputation(s).

  17. Trans-amniotic stem cell therapy (TRASCET) minimizes Chiari-II malformation in experimental spina bifida.

    Science.gov (United States)

    Dionigi, Beatrice; Brazzo, Joseph A; Ahmed, Azra; Feng, Christina; Wu, Yaotang; Zurakowski, David; Fauza, Dario O

    2015-06-01

    We sought to study the impact of trans-amniotic stem cell therapy (TRASCET) in the Chiari-II malformation in experimental spina bifida. Sprague-Dawley fetuses (n=62) exposed to retinoic acid were divided into three groups at term (21-22 days gestation): untreated isolated spina bifida (n=21), isolated spina bifida treated with intra-amniotic injection of concentrated, syngeneic, labeled amniotic fluid mesenchymal stem cells (afMSCs) on gestational day 17 (n=28), and normal controls (n=13). Analyses included measurements of brainstem and cerebellar placement on high resolution MRI and histology. Statistical comparisons included ANOVA. In parallel to the expected induced coverage of the spina bifida in the afMSC-treated group (Pspina bifida by TRASCET minimizes the Chiari-II malformation in the retinoic acid rodent model, further suggesting it as a practical alternative for the prenatal management of spina bifida. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Application of computer-assisted mapping to volcanic hazard evaluation of surge eruptions: Vulcano, lipari, and vesuvius

    Science.gov (United States)

    Sheridan, Michael F.; Malin, Michael C.

    1983-09-01

    A previously developed computer-assisted model has been applied to several pyroclastic-surge eruptions at three active volcanoes in Italy. Model hazard maps created for various vent locations, eruption types, and mass production rates reasonably reproduced pyroclastic-surge deposits from several recent eruptions on Vulcano, Lipari, and Vesuvius. Small-scale phreatic eruptions on the island of Vulcano (e.g. the 1727 explosion of Forgia Vecchia) pose a limited but serious threat to the village of Porto. The most dangerous zone affected by this type of eruption follows a NNW fissure system between Fossa and Vulcanello. Moderate-sized eruptions on Vulcano, such as those associated with the present Fossa Crater are a much more serious threat to Porto as well as the entire area within the caldera surrounding the cone. The less frequent surge eruptions on Lipari have been even more violent. The extreme mobility of surges like those produced from Monte Guardia (approx. 20,000 y.b.p.) and Monte Pilato would not only threaten the entire island of Lipari, but also the northern part of neighboring Vulcano. Eruptions at Vesuvius with energy and efficiency similar to that of the May 18, 1980 blast of Mount St. Helens would be still more destructive because of the great initial elevation of the summit vent. In addition, surge eruptions at Vesuvius are generally part of more complex eruption cycles that involve several other types of volcanic phenomena including Plinian fall and pyroclastic flows.

  19. Volcanic Eruptions and Climate

    Science.gov (United States)

    LeGrande, Allegra N.; Anchukaitis, Kevin J.

    2015-01-01

    Volcanic eruptions represent some of the most climatically important and societally disruptive short-term events in human history. Large eruptions inject ash, dust, sulfurous gases (e.g. SO2, H2S), halogens (e.g. Hcl and Hbr), and water vapor into the Earth's atmosphere. Sulfurous emissions principally interact with the climate by converting into sulfate aerosols that reduce incoming solar radiation, warming the stratosphere and altering ozone creation, reducing global mean surface temperature, and suppressing the hydrological cycle. In this issue, we focus on the history, processes, and consequences of these large eruptions that inject enough material into the stratosphere to significantly affect the climate system. In terms of the changes wrought on the energy balance of the Earth System, these transient events can temporarily have a radiative forcing magnitude larger than the range of solar, greenhouse gas, and land use variability over the last millennium. In simulations as well as modern and paleoclimate observations, volcanic eruptions cause large inter-annual to decadal-scale changes in climate. Active debates persist concerning their role in longer-term (multi-decadal to centennial) modification of the Earth System, however.

  20. An increase in spina bifida cases in Tunisia, 2008-2011.

    Science.gov (United States)

    Nasri, Kaouther; Ben Fradj, Mohamed Kacem; Aloui, Mariem; Ben Jemaa, Nadia; Masmoudi, Aida; Elmay, Michèle Véronique; Marrakchi, Raja; Siala Gaigi, Soumeya

    2015-05-01

    The term spina bifida refers to a group of neural tube defects that result in malformations of the spinal cord and the surrounding vertebrae. Though the etiologies of spina bifida remain largely unknown, several risk factors have been identified, including feto-maternal characteristics. To discover possible underlying reasons for the increase of spina bifida and identify intervention targets, an investigation was undertaken comparing spina bifida-affected pregnancy notifications in 2008-2011 with notifications in the period 1991-1994. Characteristics and outcomes of births with spina bifida and pregnancy characteristics of mothers were recorded in the medical chart. Comparisons of pregnancies affected by a spina bifida in 2008-2011 were made with pregnancies affected by a spina bifida in the period 1991-1994. Statistical analysis was undertaken using Poisson regression and Chi-squared tests. From 1991 through 1994, the prevalence of identified spina bifida cases was equal to 0.3/10,000 births compared to 1.6/10,000 births in 2008-2011. This increase was statistically significant (Pspina bifida (P=0.02, OR=3.93, CI=1.23-12.47). As well as, maternal blood type was a significant risk factor for the appearance of spina bifida (P=0.008). Results also had shown that fetal weight and term, gestity and parity were significant risk factors for the occurrence of spina bifida (P<0.05).In this study, results have been interpreted with caution due to analyses not being adjusted. This analysis highlighted areas where prevention efforts should be strengthened and surveillance data improved. Copyright © 2014 Elsevier GmbH. All rights reserved.

  1. Laparoscopic Mitrofanoff continent catheterisable stoma in children with spina bifida

    Directory of Open Access Journals (Sweden)

    Mallikarjun N Reddy

    2015-01-01

    Full Text Available Background: In 1980, Mitrofanoff described the creation of an appendicovesicostomy for continent urinary diversion. This procedure greatly facilitates clean intermittent catheterisation in patients with neurogenic bladder. The purpose of our study was to determine the clinical efficacy of the laparoscopic Mitrofanoff catheterisable stoma for children and adolescents with spina bifida. Materials and Methods: Review of hospital records revealed that 11 children with spina bifida underwent a laparoscopic Mitrofanoff procedure with at least 1-year of follow-up. A four-port transperitoneal laparoscopic approach was used to create a Mitrofanoff appendicovesicostomy. The child was followed-up in the urology clinic at 6 weeks, 3 months, 6 months, 1-year, and then semiannually after that. Questionnaires were administered to determine, from the children′s perspective, the level of satisfaction with catheterisation and the psychosocial implications of catheterisation before and after the creation of the Mitrofanoff continent catheterisable stoma. Results: Of the 11 children, six were female, and five were male. The mean age at presentation to Paediatric urological services was 11 × 3.22 years. Overall the mean operative time was 144.09 × 17.00 min. Mean estimated blood loss was 37.36 × 11.44 cc. None of the cases needed conversion to open. Patient satisfaction with their catheterisation was measured at 2.18 × 0.98 preoperatively, Post-operatively, this improved to 4.27 × 0.46. Statistical analysis using paired t-test showed significance with P < 001. Conclusions: Laparoscopic Mitrofanoff catheterisable stoma is feasible in children with spina bifida and is associated with reasonable outcome with early recovery, resumption of normal activities and excellent cosmesis.

  2. Fetal surgery for spina bifida: past, present, future.

    Science.gov (United States)

    Adzick, N Scott

    2013-02-01

    Open spina bifida or myelomeningocele (MMC) is a common birth defect that is associated with significant lifelong morbidity. Little progress has been made in the postnatal surgical management of the child with spina bifida. Postnatal surgery is aimed at covering the exposed spinal cord, preventing infection, and treating hydrocephalus with a ventricular shunt. Experimental and clinical evidence suggest that the primary cause of the neurologic defects associated with MMC is not simply incomplete neurulation, but rather chronic, mechanical and amniotic-fluid induced chemical trauma that progressively damages the exposed neural tissue during gestation. The cerebrospinal fluid leak through the MMC leads to hindbrain herniation and hydrocephalus. In utero repair of open spina bifida is now performed in selected patients and presents an additional therapeutic alternative for expectant mothers carrying a fetus with MMC. In the past, studies in animal models and clinical case series laid the groundwork for a clinical trial to test the safety and efficacy of fetal MMC repair. In the present, a prospective, randomized study (the MOMS trial) has shown that fetal surgery for MMC before 26 weeks' gestation may preserve neurologic function, reverse the hindbrain herniation of the Chiari II malformation, and obviate the need for postnatal placement of a ventriculoperitoneal shunt. However, this study also demonstrates that fetal surgery is associated with significant risks related to the uterine scar and premature birth. In the future, research will expand our understanding of the pathophysiology of MMC, evaluate the long-term impact of in-utero intervention, and to refine timing and technique of fetal MMC surgery using tissue engineering technology.

  3. Architecture of the rectus abdominis, quadratus lumborum, and erector spinae.

    Science.gov (United States)

    Delp, S L; Suryanarayanan, S; Murray, W M; Uhlir, J; Triolo, R J

    2001-03-01

    Quantitative descriptions of muscle architecture are needed to characterize the force-generating capabilities of muscles. This study reports the architecture of three major trunk muscles: the rectus abdominis, quadratus lumborum, and three columns of the erector spinae (spinalis thoracis, longissimus thoracis and iliocostalis lumborum). Musculotendon lengths, muscle lengths, fascicle lengths, sarcomere lengths, pennation angles, and muscle masses were measured in five cadavers. Optimal fascicle lengths (the fascicle length at which the muscle generates maximum force) and physiologic cross-sectional areas (the ratio of muscle volume to optimal fascicle length) were computed from these measurements. The rectus abdominis had the longest fascicles of the muscles studied, with a mean (S.D.) optimal fascicle length of 28.3 (4.2)cm. The three columns of the erector spinae had mean optimal fascicle lengths that ranged from 6.4 (0.6)cm in the spinalis thoracis to 14.2 (2.1)cm in the iliocostalis lumborum. The proximal portion of the quadratus lumborum had a mean optimal fascicle length of 8.5 (1.5)cm and the distal segment of this muscle had a mean optimal fascicle length of 5.6 (0.9)cm. The physiologic cross-sectional area of the rectus abdominis was 2.6 (0.9)cm(2), the combined physiologic cross-sectional area of the erector spinae was 11.6 (1.8)cm(2), and the physiologic cross-sectional area of the quadratus lumborum was 2.8 (0.5)cm(2). These data provide the basis for estimation of the force-generating potential of these muscles.

  4. Kaposi′s varicelliform eruption

    Directory of Open Access Journals (Sweden)

    Shenoy Manjunath

    2007-01-01

    Full Text Available Kaposi′s varicelliform eruption (eczema herpeticum is the name given to a distinct cutaneous eruption caused by herpes simplex and certain other viruses that infect persons with preexisting dermatosis. Most commonly it is associated with atopic dermatitis. We report a case of a three-year-old atopic child who presented with extensive vesicular eruption suggestive of Kaposi′s varicelliform eruption. There was history of fever, malaise and extensive vesicular eruptions. Diagnosis was made based on clinical features and Tzanck smear examination. Patient responded adequately to oral acyclovir therapy.

  5. Investigations and findings in children with spina-bifida

    Energy Technology Data Exchange (ETDEWEB)

    Klingmueller, V.; Rutz, A.

    1982-06-01

    Physicians from different fields work together in the care of spina-liefide children. A central position occupy the pediatric physician as a primary reference person and the pediatric radiologist. There has to be a free exchange of ideas and thoughts between them. That is why anyone of them has to know the problems of the other. For the radiologist this means, that he or she has to acquire detailed knowledge of the desease symptoms and of the therapeutic possibilities, so that he or she will be able to work on a diagnostic that is suited for the particular patient.

  6. Sacral fatigue fractures in children with sacral spina bifida occulta

    Science.gov (United States)

    Hama, Shingo; Sakai, Toshinori; Higashino, Kosaku; Abe, Mitsunobu; Nagamachi, Akihiro; Sairyo, Koichi

    2016-01-01

    In this report, we present two cases of 9-year-old children with spina bifida occulta (SBO) of the sacrum, who were diagnosed with sacral fatigue fractures. In both patients, MRI showed a linear signal void and high signal in sacral ala on the short tau inversion recovery sequence. Sacral SBO at the same level of the sacral fracture was observed in each patient on computed tomography images. These lesions healed with rest. This is the first literature reporting cases with sacral stress fractures who had SBO at the same level of fracture. PMID:26196371

  7. [Infantile spondylolysis with spina bifida occulta in athletes].

    Science.gov (United States)

    Kälicke, T; Frangen, T M; Seybold, D; Steuer, K; Arens, S

    2004-12-01

    Children with evidenced spondylolysis of the lumbar spine should not practice sport with axial compression strain forces or carry out hyperextensional or rotational movements exercises up to the age of eight to ten years, as this could lead to considerable shearing strain to the still cartilaginous disposition of the vertebral arch and therefore initiate an ossification with resulting incomplete closure of the bony elements of the spine (spina bifida occulta). The associated instability of the dorsal vertebral column may yield spondylolisthesis requiring surgical intervention. Competitive sport should be avoided if possible, or carried out in close collaboration with a coach and a physiotherapist under continuous medical supervision with regular radiological monitoring.

  8. Metabolite profile of cerebrospinal fluid in patients with spina bifida: a proton magnetic resonance spectroscopy study.

    Science.gov (United States)

    Pal, Kamalesh; Sharma, Uma; Gupta, D K; Pratap, Akshay; Jagannathan, N R

    2005-02-01

    The present study was carried out to assess the metabolic differences between cerebrospinal fluid samples of patients with spina bifida and age-matched control individuals. To study the metabolite profile of cerebrospinal fluid of patients with spina bifida using proton magnetic resonance spectroscopy, compare the levels of metabolites with controls, establish correlation of underlying neuronal dysfunction with metabolic changes in patients with spina bifida, and evaluate the potential use of this technique as an additional tool for diagnostic assessment. Combination of embryopathy, stretching, ischemia, compression, and trauma is responsible for cord dysfunction in spina bifida. Changes in neuronal metabolism leads to changes in the local milieu of cerebrospinal fluid in the cord. Change in metabolite profile of cerebrospinal fluid in spina bifida in terms of increase in products of anaerobic metabolism, nerve membrane integrity, and nerve ischemia has not yet been studied. Cerebrospinal fluid obtained from patients and control individuals were characterized using various one- and two-dimensional proton magnetic resonance spectroscopy techniques. Concentration of various metabolites was calculated using the area under the nuclear magnetic resonance peak. Statistically significantly higher levels of lactate, choline, glycerophosphocholine, acetate, and alanine in the cerebrospinal fluid of patients with spina bifida was observed compared with control individuals. Significantly higher levels of metabolites were observed in patients with spina bifida, representing a state of nerve ischemia, anaerobic metabolism, and disruption of neuronal membrane.

  9. Exploration of internet use: profile and preferences of transition-aged adolescents with spina bifida.

    Science.gov (United States)

    Betz, Cecily L; Smith, Kathryn A; Macias, Kristy; Bui, Kim

    2014-01-01

    A pilot study was conducted to learn about the Internet usage of adolescents with spina bifida. The purpose of this study is to investigate the feasibility for developing an online health care transition intervention. Use of the Internet was examined in a convenience sample of 50 adolescents with spina bifida in the Spina Bifida Clinic at Children's Hospital, Los Angeles. Participants were between 14 to 18 years of age. Data are reported as percentages and frequency distributions. Ninety-two percent of adolescents with spina bifida used the Internet, and of those, 87% used it at home, with an average rate of 2.4 hours per dat. The majority of adolescents used the Internet for homework purposes (83%). Leisure activities, such as listening to music (76%), playing games (70%), meeting new friends/social networking (63%), and watching YouTube videos (61%), were also reported. Most participants have never used the Internet to obtain spina bifida information (67%) or to meet other adolescents with spina bifida (85%). Internet application as an outreach tool for education and transition planning should be further explored in future studies. Given the widespread reported access to the Internet among our participants, results suggest that a Web-based outreach tool for education and health care transition planning have the potential to be accessible and beneficial to adolescents with spina bifida with the facilitated support of health care professionals.

  10. From Traditional Usage to Pharmacological Evidence: A Systematic Mini-Review of Spina Gleditsiae

    Directory of Open Access Journals (Sweden)

    Jiayu Gao

    2016-01-01

    Full Text Available Spina Gleditsiae is an important herb with various medicinal properties in traditional and folk medicinal systems of East Asian countries. In China through the centuries, it has been traditionally used as a source of drugs for anticancer, detoxication, detumescence, apocenosis, and antiparasites effects. Recently, an increasing number of studies have been reported regarding its chemical constituents and pharmacological activities. To further evidence the traditional use, phytochemicals, and pharmacological mechanisms of this herb, a systematic literature review was performed herein for Spina Gleditsiae. The review approach consisted of searching several web-based scientific databases including PubMed, Web of Science, and Elsevier using the keywords “Spina Gleditsiae”, “Zao Jiao Ci”, and “Gleditsia sinensis”. Based on the proposed criteria, 17 articles were evaluated in detail. According to the reviewed data, it is quite evident that Spina Gleditsiae contains a number of bioactive phytochemical components, which account for variety medicinal values including anticancer, anti-inflammatory, antiatherogenic, antimicrobial, antiallergic, and antivirus activities. The phytochemical and pharmacological studies reviewed herein strongly underpin a fundamental understanding of herbal Spina Gleditsiae and support its ongoing clinical uses in China. The further phytochemical evaluation, safety verification, and clinical trials are expected to progress Spina Gleditsiae-based development to finally transform the traditional TCM herb Spina Gleditsiae to the valuable authorized drug.

  11. Erupted compound odontome

    Directory of Open Access Journals (Sweden)

    Shekar S

    2009-01-01

    Full Text Available Odontomas are considered to be hamartomas rather than a true neoplasm. They consist chiefly of enamel and dentin, with variable amount of pulp and cementum when fully developed. They are generally asymptomatic and are included under the benign calcified odontogenic tumors. They are usually discovered on routine radiographic examination. Eruption of an odontoma in the oral cavity is rare. Peripheral compound odontomas arise extraosseously and have a tendency to exfoliate. In this article we are reporting a case of a 15-year-old girl with peripheral compound odontoma, with a single rudimentary tooth-like structure in the mandibular right second molar region, which is about to be exfoliated. Its eruption in the oral cavity and location in the mandibular posterior region is associated with aplasia of the mandibular right second molar, making it an interesting case for reporting.

  12. Complications of surgical management of upper tract calculi in spina bifida patients: analysis of nationwide data.

    Science.gov (United States)

    Wang, Hsin-Hsiao S; Wiener, John S; Ferrandino, Michael N; Lipkin, Michael E; Routh, Jonathan C

    2015-04-01

    The management of upper urinary tract stones in patients with spina bifida is challenging but poorly described in the literature. We compared urolithiasis interventions and related complications in patients with spina bifida to those in other stone formers using a national database. We retrospectively reviewed the NIS to identify hospital admissions for renal and ureteral stones from 1998 to 2011. We used ICD-9-CM codes to identify urological interventions, including shock wave lithotripsy, ureteroscopy, percutaneous nephrolithotomy and ureteral stent placement. NSQIP data were used to identify postoperative complications. We identified 4,287,529 weighted stone hospital admissions, including 12,315 (0.3%) of patients with spina bifida. Compared to those without spina bifida the patients with spina bifida who had urolithiasis were significantly younger (mean age 34 vs 53 years), more likely to have public insurance (72% vs 44%) and renal vs ureteral calculi (81% vs 58%), and undergo percutaneous nephrolithotomy (27% vs 8%). After adjusting for age, insurance, comorbidity, treatment year, surgery type, stone location and hospital factors patients with spina bifida were more likely to have urinary tract infections (OR 2.5), urinary complications (OR 3.1), acute renal failure (OR 1.9), respiratory complications (OR 2.0), pneumonia (OR 1.5), respiratory insufficiency (OR 3.2), prolonged mechanical ventilation (OR 3.2), sepsis (OR 2.7), pulmonary embolism (OR 3.0), cardiac complications (OR 2.4) and bleeding (OR 1.6). Compared to those without spina bifida the patients with spina bifida who were hospitalized for urolithiasis were younger, and more likely to have renal stones and undergo percutaneous nephrolithotomy. Urolithiasis procedures in patients with spina bifida were associated with a significantly higher risk of in-hospital postoperative complications. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All

  13. Nationwide Trends and Variations in Urological Surgical Interventions and Renal Outcome in Patients with Spina Bifida.

    Science.gov (United States)

    Wang, Hsin-Hsiao S; Lloyd, Jessica C; Wiener, John S; Routh, Jonathan C

    2016-04-01

    Bladder dysfunction in patients with spina bifida can lead to significant morbidity due to renal insufficiency. Indications for surgery vary among institutions and the impact is unclear. We examined trends and variations in urological interventions and chronic renal insufficiency in patients with spina bifida. We reviewed NIS (Nationwide Inpatient Sample) for all patients with spina bifida treated from 1998 to 2011. We used ICD-9-CM codes to identify urological surgery and chronic renal insufficiency. We calculated the Spearman correlation coefficients between rates of spina bifida related bladder surgeries and rates of chronic renal insufficiency outcomes by state. Linear regression models were fitted to investigate the associations between rates of spina bifida related surgery and chronic renal insufficiency across treatment years. We identified 427,616 spina bifida hospital admissions. Mean patient age was 26 years and 56% of patients were female. Of the admissions 35,249 (8%) were for chronic renal insufficiency and 11,078 (3%) were for surgery. During the study period chronic renal insufficiency rates doubled from 6% to 12% and surgery rates decreased from 2.0% to 1.8%. There was a moderately weak inverse association between surgery and chronic renal insufficiency rates with time (r = -0.3, p = 0.06) and by state (r = -0.3, p = 0.04). On multivariate analysis higher rates of surgery were associated with the state in which the patient was treated (p spina bifida related surgery (p = 0.67). We observed a temporal and geographic trend toward decreasing urological surgery and increasing chronic renal insufficiency rates in spina bifida and a wide variation in urological surgical rates among states. Further study is needed to determine the factors behind these trends and variations in spina bifida management. Copyright © 2016 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  14. Magma transfer at Campi Flegrei caldera (Italy) before the 1538 AD eruption

    Science.gov (United States)

    di Vito, Mauro A.; Acocella, Valerio; Aiello, Giuseppe; Barra, Diana; Battaglia, Maurizio; Carandente, Antonio; Del Gaudio, Carlo; de Vita, Sandro; Ricciardi, Giovanni P.; Ricco, Ciro; Scandone, Roberto; Terrasi, Filippo

    2016-08-01

    Calderas are collapse structures related to the emptying of magmatic reservoirs, often associated with large eruptions from long-lived magmatic systems. Understanding how magma is transferred from a magma reservoir to the surface before eruptions is a major challenge. Here we exploit the historical, archaeological and geological record of Campi Flegrei caldera to estimate the surface deformation preceding the Monte Nuovo eruption and investigate the shallow magma transfer. Our data suggest a progressive magma accumulation from ~1251 to 1536 in a 4.6 ± 0.9 km deep source below the caldera centre, and its transfer, between 1536 and 1538, to a 3.8 ± 0.6 km deep magmatic source ~4 km NW of the caldera centre, below Monte Nuovo; this peripheral source fed the eruption through a shallower source, 0.4 ± 0.3 km deep. This is the first reconstruction of pre-eruptive magma transfer at Campi Flegrei and corroborates the existence of a stationary oblate source, below the caldera centre, that has been feeding lateral eruptions for the last ~5 ka. Our results suggest: 1) repeated emplacement of magma through intrusions below the caldera centre; 2) occasional lateral transfer of magma feeding non-central eruptions within the caldera. Comparison with historical unrest at calderas worldwide suggests that this behavior is common.

  15. Factors Associated With Pressure Ulcers in Individuals With Spina Bifida

    Science.gov (United States)

    Kim, Sunkyung; Ward, Elisabeth; Dicianno, Brad E.; Clayton, Gerald H.; Sawin, Kathleen J.; Beierwaltes, Patricia; Thibadeau, Judy

    2015-01-01

    Objective To describe factors associated with pressure ulcers in individuals with spina bifida (SB) enrolled in the National Spina Bifida Patient Registry (NSBPR). Design Unbalanced longitudinal multicenter cohort study. Setting Nineteen SB clinics. Participants Individuals with SB (N=3153) enrolled in 19 clinic sites that participate in the NSBPR. Interventions Not applicable. Main Outcome Measures Pressure ulcer status (yes/no) at the annual visit between 2009 and 2012. Results Of 3153 total participants, 19% (n=603) reported ulcers at their most recent annual clinic visit. Seven factors–level of lesion, wheelchair use, urinary incontinence, shunt presence, above the knee orthopedic surgery, recent surgery, and male sex–were significantly associated with the presence of pressure ulcers. Of these factors, level of lesion, urinary incontinence, recent surgery, and male sex were included in the final logistic regression model. The 3 adjusting variables–SB type, SB clinic, and age group–were significant in all analyses (all Ppressure ulcers. Identifying key factors associated with the onset of pressure ulcers can be incorporated into clinical practice in ways that prevent and enhance treatment of pressure ulcers in the population with SB. PMID:25796136

  16. Three-dimensional gait analysis in spina bifida.

    Science.gov (United States)

    Duffy, C M; Hill, A E; Cosgrove, A P; Corry, I S; Mollan, R A; Graham, H K

    1996-01-01

    This study was designed to determine gait patterns in children with lumbar and sacral neurologic level spina bifida. We studied a group of 28 children: 10 had L4-level lesions and a mean age of 11 years; eight had L5-level lesions and a mean age of 8 years; and 10 had S1-level lesions with a mean age of 12 years. A group of 15 normal children, mean age 10 years, was used for comparison. Each child underwent three-dimensional gait analysis using the Vicon system. We found that there were recognisable gait patterns for each level of spina bifida and that the abnormalities accurately reflected the muscle deficiencies present. The gait patterns approximated more closely to those of the normal group as the neurological level descended. The most important findings were of increased pelvic obliquity and rotation with hip abduction in stance (reflecting the gross Trendelenburg-type gait seen in these children) and persistent knee flexion throughout stance as a result of the absence of the plantar flexion-knee extension couple. We found that gait was not improved by tendon transfers performed either at the hip (posterolateral psoas transfer) or at the ankle (tibialis anterior transfer).

  17. Peripheral Gangrene Complicating Systemic Lupus Erythematosus in a Patient with Spina Bifida: A Case Report.

    Science.gov (United States)

    Vijay, S; Imthiaz, V K; Hitesh, S

    2017-03-01

    An adolescent girl, a known case of spina bifida with systemic lupus, presented with bluish discolouration of three toes of the right foot. She had thrombosis of bilateral popliteal arteries. She underwent percutaneous transluminal angioplasty (PTA) of both legs and Chopart amputation of the right foot. Systemic lupus erythematosus (SLE) occurring in a patient with spina bifida has not been previously reported. Weakness, sensory loss, lack of normal ambulation, endarteritis, antiphospholipid antibody syndrome are common contributory factors for peripheral gangrene in patients with spina bifida with systemic lupus erythematosus.

  18. Models of volcanic eruption hazards

    Energy Technology Data Exchange (ETDEWEB)

    Wohletz, K.H.

    1992-01-01

    Volcanic eruptions pose an ever present but poorly constrained hazard to life and property for geothermal installations in volcanic areas. Because eruptions occur sporadically and may limit field access, quantitative and systematic field studies of eruptions are difficult to complete. Circumventing this difficulty, laboratory models and numerical simulations are pivotal in building our understanding of eruptions. For example, the results of fuel-coolant interaction experiments show that magma-water interaction controls many eruption styles. Applying these results, increasing numbers of field studies now document and interpret the role of external water eruptions. Similarly, numerical simulations solve the fundamental physics of high-speed fluid flow and give quantitative predictions that elucidate the complexities of pyroclastic flows and surges. A primary goal of these models is to guide geologists in searching for critical field relationships and making their interpretations. Coupled with field work, modeling is beginning to allow more quantitative and predictive volcanic hazard assessments.

  19. Volcanic eruptions observed with infrasound

    Science.gov (United States)

    Johnson, Jeffrey B.; Aster, Richard C.; Kyle, Philip R.

    2004-07-01

    Infrasonic airwaves produced by active volcanoes provide valuable insight into the eruption dynamics. Because the infrasonic pressure field may be directly associated with the flux rate of gas released at a volcanic vent, infrasound also enhances the efficacy of volcanic hazard monitoring and continuous studies of conduit processes. Here we present new results from Erebus, Fuego, and Villarrica volcanoes highlighting uses of infrasound for constraining quantitative eruption parameters, such as eruption duration, source mechanism, and explosive gas flux.

  20. Erupted complex odontoma delayed eruption of permanent molar.

    Science.gov (United States)

    Ohtawa, Yumi; Ichinohe, Saori; Kimura, Eri; Hashimoto, Sadamitsu

    2013-01-01

    Odontomas, benign tumors that develop in the jaw, rarely erupt into the oral cavity. We report an erupted odontoma which delayed eruption of the first molar. The patient was a 10-year-old Japanese girl who came to our hospital due to delayed eruption of the right maxillary first molar. All the deciduous teeth had been shed. The second premolar on the right side had erupted, but not the first molar. Slight inflammation of the alveolar mucosa around the first molar had exposed a tooth-like, hard tissue. Panoramic radiography revealed a radiopaque mass indicating a lesion approximately 1 cm in diameter. The border of the image was clear, and part of the mass was situated close to the occlusal surface of the first molar. The root of the maxillary right first molar was only half-developed. A clinical diagnosis of odontoma was made. The odontoma was subsequently extracted, allowing the crown of the first molar to erupt almost 5 months later. The dental germ of the permanent tooth had been displaced by the odontoma. However, after the odontoma had been extracted, the permanent tooth was still able to erupt spontaneously, as eruptive force still remained. When the eruption of a tooth is significantly delayed, we believe that it is necessary to examine the area radiographically. If there is any radiographic evidence of a physical obstruction that might delay eruption, that obstruction should be removed before any problems can arise. Regular dental checkups at schools might improve our ability to detect evidence of delayed eruption earlier.

  1. Early eruption of permanent canines.

    Science.gov (United States)

    Madhu, S

    2012-01-01

    Systemic and local factors can modify the eruption time of teeth. Generalized eruption time changes could be due to some systemic diseases like hyperthyroidism, hypophosphatasia, precocious puberty, Proteus syndrome, etc. Localized early eruption of permanent teeth could be due to early extraction of deciduous teeth. Presented here is an extremely rare case of early eruption of permanent canines in a 7-year old female child. Though the number of such cases is very limited, the clinician should poses adequate knowledge and keeps an open eye to identify such cases.

  2. Early eruption of permanent canines

    Directory of Open Access Journals (Sweden)

    S Madhu

    2012-01-01

    Full Text Available Systemic and local factors can modify the eruption time of teeth. Generalized eruption time changes could be due to some systemic diseases like hyperthyroidism, hypophosphatasia, precocious puberty, Proteus syndrome, etc. Localized early eruption of permanent teeth could be due to early extraction of deciduous teeth. Presented here is an extremely rare case of early eruption of permanent canines in a 7-year old female child. Though the number of such cases is very limited, the clinician should poses adequate knowledge and keeps an open eye to identify such cases.

  3. Will Teide erupt again?

    Science.gov (United States)

    Marti, Joan; Geyer, Adelina

    2016-04-01

    The quantification of hazard in volcanic systems characterised by long repose period is difficult because the lack of knowledge of the past volcanic history and also because in many cases volcanism is not perceived as a potential problem, being only regarded as an attraction for tourism or a source of economic benefit, thus hiding the need to conduct hazard assessment. Teide, in the island of Tenerife (Canary Islands), is not an exception to this general rule and, despite being one of the largest composite volcanoes in the World, it is generally considered as a non-active volcano by population, visitors and even by some scientists. However, geological and geophysical evidence, including a large diversity of monitoring signals recorded during last decades, as well as a simple comparison with similar volcanoes that have erupted in recent times after hundreds or even thousands of years of quiescence, recommend to consider Teide as an active volcano and to take the necessary precaution in an island with nearly one million of permanent inhabitants and nearly 5 millions of visitors per year. What is the potential of Teide to erupt again? is the question that relies behind the fact of considering it as active, and that needs to be answered first. Based on the current volcanological, petrological and geophysical knowledge We propose a conceptual model on the magma recharge mechanisms, structure of the plumbing system, and eruption triggers and dynamics of Teide volcano that helps to understand its behaviour and to anticipate future activity. Ramón y Cajal contract (RYC-2012-11024)

  4. A Camp-based Intervention Targeting Independence Among Individuals with Spina Bifida

    Science.gov (United States)

    O’Mahar, Kerry; Jandasek, Barbara; Zukerman, Jill

    2010-01-01

    Objective To design and evaluate a camp-based intervention, the goal of which was to increase independence among children, adolescents, and adults with spina bifida. Methods An intervention targeting independence was embedded within a typical week long camp experience. The intervention consisted of the following: collaborative (i.e., parent and camper) goal identification, group sessions consisting of psycho-education and cognitive tools, and goal monitoring by camp counselors. Camper and parent report of demographic variables, goal attainment, spina bifida knowledge, and independence were gathered. Interventionist report of adherence to the treatment manual was also collected. Results Campers made significant gains in individual goals, management of spina bifida responsibilities, and independence with general spina bifida tasks, with medium effect sizes observed in goal attainment. Conclusions Results indicated that significant progress was made on individually oriented goals from pre- to post-camp. Design issues are discussed. PMID:20026569

  5. The Impact of Family, Peer, and School Contexts on Depressive Symptoms in Adolescents with Spina Bifida

    Science.gov (United States)

    Essner, Bonnie S.; Holmbeck, Grayson N.

    2010-01-01

    Objective Based on social ecological theory, this study examined the joint relations among adolescents’ family, peer, and school contexts and depressive symptoms in youth with spina bifida using cumulative, protective, and specific effects models. Method Sixty families of adolescents with spina bifida and 65 comparison families reported on adolescent’s positive experiences within these contexts and on depressive symptoms when youth were 14–15 and 16–17 years old. Results Adolescents with spina bifida had fewer total positive contexts and less positive experience within peer and school contexts, as compared to typically developing adolescents. Greater total number of positive contexts and higher levels of positive experiences within family and school contexts were associated with fewer depressive symptoms for both groups; peer positive experiences were related to lower depressive symptoms for typically developing adolescents only. Conclusion Adolescents with spina bifida have fewer positive contexts, which may place them at risk for higher levels of depressive symptoms. PMID:21171793

  6. Neuroependymal Denudation is in Progress in Full-term Human Foetal Spina Bifida Aperta

    NARCIS (Netherlands)

    Sival, Deborah A.; Guerra, Montserrat; den Dunnen, Wilfred F. A.; Batiz, Luis F.; Alvial, Genaro; Castaneyra-Perdomo, Agustin; Rodriguez, Esteban M.

    2011-01-01

    In human spina bifida aperta (SBA), cerebral pathogenesis [hydrocephalus, Sylvius aqueduct (SA) stenosis and heterotopias] is poorly understood. In animal models, loss of ventricular lining (ependymal denudation) causes SA stenosis and hydrocephalus. We aimed to investigate whether ependymal denudat

  7. Antibiotic Prophylaxis for Urinary Tract Infections in Children With Spina Bifida on Intermittent Catheterization

    NARCIS (Netherlands)

    Zegers, Bas; Uiterwaal, Cuno; Kimpen, Jan; van Gool, Jan; de Jong, Tom; Winkler-Seinstra, Pauline; Houterman, Saskia; Verpoorten, Carla; van Steenwijk, Catharine de Jong-de Vos

    2011-01-01

    Purpose: Antibiotic prophylaxis (low dose chemoprophylaxis) has been prescribed since the introduction of clean intermittent catheterization in children with spina bifida. We hypothesized that stopping low dose chemoprophylaxis does not increase the number of urinary tract infections in these patien

  8. Marital stability following the birth of a child with spina bifida.

    Science.gov (United States)

    Tew, B J; Laurence, K M; Payne, H; Rawnsley, K

    1977-07-01

    The matrimonial stability of 142 families where a child with neural tube malformation (mostly spina bifida) was born between 1964 and 1966, including 56 families with a surviving spina bifida child, was examined in January 1976. The divorce rate for families with a surviving child was found to be nine times higher than that for the local population and three times higher than for families experiencing bereavement of their spina bifida child. Marriages which followed a pre-nuptial conception resulting in a spina bifida child were particularly vulnerable and had a divorce or separation risk of 50 per cent. All the divorced fathers had remarried, but only one of the mothers. It is concluded that a handicapped child adds greatly to the strain on a marriage, especially when this has not been cemented before the arrival of a child. This strain is diminished by the child's early death.

  9. The natural history of spina bifida in children pilot project: research protocol.

    Science.gov (United States)

    Alriksson-Schmidt, Ann I; Thibadeau, Judy K; Swanson, Mark E; Marcus, David; Carris, Kari L; Siffel, Csaba; Ward, Elisabeth

    2013-01-25

    Population-based empirical information to inform health care professionals working with children with spina bifida currently is lacking. Spina bifida is a highly complex condition that not only affects mobility but many additional aspects of life. We have developed a pilot project that focuses on a broad range of domains: surgeries, development and learning, nutrition and physical growth, mobility and functioning, general health, and family demographics. Specifically, we will: (1) explore the feasibility of identifying and recruiting participants using different recruitment sources, (2) test a multidisciplinary module to collect the data, (3) determine the utility of different methods of retrieving the data, and (4) summarize descriptive information on living with spina bifida. The overall objective of the project was to provide information for a future multistate prospective study on the natural history of spina bifida. Families with a child 3 to 6 years of age with a diagnosis of spina bifida were eligible for enrollment. Eligible families were identified through a US population-based tracking system for birth defects and from a local spina bifida clinic. This is an ongoing project with first results expected in 2013. This project, and the planned multistate follow-up project, will provide information both to health care professionals experienced in providing care to patients with spina bifida, and to those who have yet to work with this population. The long-term purpose of this project is to increase the knowledge about growing up with spina bifida and to guide health care practices by prospectively studying a cohort of children born with this condition.

  10. Prenatal latex sensitization in patients with spina bifida: a pilot study.

    Science.gov (United States)

    Boettcher, Michael; Goettler, Susanne; Eschenburg, Georg; Kracht, Thorben; Kunkel, Philip; Von der Wense, Axel; Reinshagen, Konrad

    2014-03-01

    Patients with spina bifida are particularly vulnerable to developing immunoglobulin E (IgE)-mediated latex sensitization. Even though many risk factors leading to latex allergy in these patients have been described, it is still unclear whether the increased prevalence of latex sensitization is disease associated or due to the procedures used to treat spina bifida. The aim of this study was to assess prenatal latex sensitization in patients with spina bifida by examining IgE levels in umbilical cord blood. Patients with spina bifida and matched healthy infants were recruited from the University Medical Center Hamburg-Eppendorf and Children's Hospital Altona. Latex-specific and total IgE were assessed in umbilical cord blood using ImmunoCAP testing to evaluate the degree of prenatal latex sensitization. Twenty-two subjects, 10 with spina bifida and 12 healthy individuals, were included. Subjects were selected after matching for sex, gestational age, weight, parental allergy profile, number of prenatal examinations, and utilization of latex tools during pregnancy (propensity score estimates, p = 0.36). In patients with spina bifida, latex-specific and total IgE levels were significantly higher than those in healthy individuals (p = 0.001). After normalization to total IgE, latex-specific IgE levels were higher, yet not significantly increased (p = 0.085). Perinatally, there is a significant augmentation of total and latex-specific IgE in patients with spina bifida. After correcting for total IgE, latex-specific IgE was increased, yet not significantly higher than in matched, healthy controls. This pilot study gives novel insights in the immunological reactions related to spina bifida. The increased latex-specific IgE levels could possibly be associated with the occurrence of a latex allergy in the future.

  11. Statistical analysis of associated vertebra and costal anomalies in spina bifida patients

    Directory of Open Access Journals (Sweden)

    Alatas Ibrahim

    2016-06-01

    Full Text Available Objective: Spina bifida is one of the most severe birth defects and can happen as a result of disrupted primary neurulation. Congenital vertebra and costa anomalies are more frequently seen with spina bifida, and associated anomalies significantly affect the prognosis of affected children. In this study, we aimed to determine the incidence of scoliosis, costal anomalies, and vertebral deformations seen at the time of diagnosis and to statistically evaluate their concomitancies.

  12. Spina bifida and anencephaly prevalence--United States, 1991-2001.

    Science.gov (United States)

    Mathews, T J; Honein, Margaret A; Erickson, J David

    2002-09-13

    Spina bifida and anencephaly are serious birth defects. To reduce the occurrence of these birth defects, the Food and Drug Administration authorized the fortification of all enriched cereal grain products with folic acid in March 1996, with compliance mandatory by January 1998. This report reviews data reported to CDC's National Center for Health Statistics (NCHS) regarding spina bifida and anencephaly prevalence for live births in the United States during 1991-2001. Since 1989, NCHS has compiled birth defect data from checkboxes that appear on birth certificates. For consistency in trends, this report uses data for 1991-2001 from all U.S. reporting areas except Maryland, New Mexico, and New York. Data for 2001 are preliminary. During 1996-2001, a 23% decline occurred in neural tube defects (spina bifida and anencephaly combined). Spina bifida declined 24% during this period, and anencephaly declined 21%. The United States has experienced declines in spina bifida and anencephaly cases since folic acid fortification of all enriched cereal grain products. The observed declines have translated into approximately 920 infants being born without these serious defects each year. Continued monitoring of the occurrence of spina bifida and anencephaly will be necessary to evaluate the effectiveness of folic acid fortification.

  13. Spina bifida and lower limb amputation in Northern Ireland: A retrospective study of demographics and outcome.

    Science.gov (United States)

    Graham, Lorraine

    2017-01-01

    Spina bifida is an uncommon cause for lower limb amputation. The causes and level of amputation and mobility outcome for these patients have not been reported previously. To identify the causes and level of amputation and the mobility outcome for amputee patients with spina bifida. Retrospective case series. Chart review of patients identified by computer as having an amputation secondary to neurological or congenital cause. Additional patients identified from the Regional Spina Bifida Medical Clinic. Demographics, cause and level of mobility pre- and post-amputation recorded from the prosthetic notes. In total, 16 patients were identified who had a diagnosis of spina bifida and a lower limb amputation. Mean age at the time of amputation was 28.5 years. In total, 15 patients had a transtibial amputation. In total, 14 patients post-amputation were able to maintain their mobility, wheelchair or walking, without any change in type of aid needed. Patients with spina bifida appear to require lower limb amputation at a younger age than patients with peripheral vascular disease. Almost all patients had prior chronic skin infection/osteomyelitis as precursors for amputation. The most common level for amputation was transtibial. Mobility was maintained for all patients, albeit for two in a more supported way. Clinical relevance Spina bifida is an uncommon reason for amputation. Patients, are often younger and medically complicated. Chronic skin ulceration, was the most common indication for amputation. Wheelchair or walking ambulance was maintained at the same level for most patients.

  14. Role of Maternal Serum Alpha-Fetoprotein and Ultrasonography in Contemporary Detection of Spina Bifida.

    Science.gov (United States)

    Racusin, Diana A; Villarreal, Sarah; Antony, Kathleen M; Harris, R Alan; Mastrobattista, Joan; Lee, Wesley; Shamshirsaz, Alireza A; Belfort, Michael; Aagaard, Kjersti M

    2015-12-01

    Midtrimester maternal serum alpha-fetoprotein (MSAFP) and sonographic evaluation have been used to screen for spina bifida. With the increased uptake of cell-free DNA (cfDNA) and first trimester screening, MSAFP levels may no longer be obtained routinely. Our aim was to evaluate a pediatric neurosurgical referral center database of spina bifida cases to determine the antenatal detection rate and means of diagnosis. Nested case series of all spina bifida cases referred postnatally from 2007 to 2013. Data were abstracted from the maternal record and rates of antenatal detection with MSAFP and sonographic screening were determined. Of the 105 postnatally referred cases, 11.4% (12/105) were not identified until delivery. Overall, 39% of the cases had MSAFP screening. The odds ratio for sonogram-based detection of spina bifida was 4.9 (95% confidence interval, 2-11.9). Of the neonatally detected cases, 100% had prenatal care and 91.6% (11 of the 12 cases) had documented sonography. We have found that 11.4% of the spina bifida cases were not detected before delivery. Nine out of the 12 cases of antenatally missed spina bifida were not screened using MSAFP. Our findings support the approach of midtrimester MSAFP screening combined with sonographic evaluation. We speculate that prenatal screening with MSAFP is underutilized. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

  15. Prevention of spina bifida: folic acid intake during pregnancy in Gulu district, northern Uganda.

    Science.gov (United States)

    Bannink, Femke; Larok, Rita; Kirabira, Peter; Bauwens, Lieven; van Hove, Geert

    2015-01-01

    The intake of folic acid before conception and during the first trimester of pregnancy can prevent spina bifida. This paper describes folic acid intake in women in Gulu district in northern Uganda. Structured interviews were held with 394 women attending antenatal care (ANC), 15 mothers of children with spina bifida, and 35 health workers in 2012 and 2013. SPSS16 was used for data analysis. 1/4 mothers of children with spina bifida took folic acid during late pregnancy, none preconception. None had knowledge about folic acid and spina bifida prevention. 33.5% of women attending ANC had ever heard about spina bifida, 1% knew folic acid intake can prevent spina bifida. 42.4% took folic acid supplements in late pregnancy, 8.1% during the first trimester, none preconception. All women said to have eaten food rich in folic acid. None were aware about fortified foods. 7% of health workers understood the importance of early folic acid intake. All health workers recommended folic acid intake to women attending ANC. 20% of the health workers and 25% of the women said folic acid supplements are not always available. Folic acid intake is limited in northern Uganda. This is attributed to limited education and understanding of women and health workers about the importance of early folic acid intake, late presentation of women at ANC, poor supply chain and dilapidated health services caused by war and poverty. A combination of food fortification, sensitization of health workers, women, and improving folic acid supply is recommended.

  16. Characteristics and survival of patients with end stage renal disease and spina bifida in the United States renal data system.

    Science.gov (United States)

    Ouyang, Lijing; Bolen, Julie; Valdez, Rodolfo; Joseph, David; Baum, Michelle A; Thibadeau, Judy

    2015-02-01

    We describe the characteristics, treatments and survival of patients with spina bifida in whom end stage renal disease developed from 2004 through 2008 in the United States Renal Data System. We used ICD-9-CM code 741.* to identify individuals with spina bifida using hospital inpatient data from 1977 to 2010, and physician and facility claims from 2004 to 2008. We constructed a 5:1 comparison group of patients with end stage renal disease without spina bifida matched by age at first end stage renal disease service, gender and race/ethnicity. We assessed the risk of mortality and of renal transplantation while on dialysis using multivariate cause specific proportional hazards survival analysis. We also compared survival after the first renal transplant from the first end stage renal disease service to August 2011. We identified 439 patients with end stage renal disease and spina bifida in whom end stage renal disease developed at an average younger age than in patients without spina bifida (41 vs 62 years, p spina bifida those who had spina bifida showed a similar mortality hazard on dialysis and after transplantation. However, patients with end stage renal disease without spina bifida were more likely to undergo renal transplantation than patients with spina bifida (HR 1.51, 95% CI 1.13-2.03). Hospitalizations related to urinary tract infections were positively associated with the risk of death on dialysis in patients with end stage renal disease and spina bifida (HR 1.42, 95% CI 1.33-1.53). Spina bifida was not associated with increased mortality in patients with end stage renal disease on dialysis or after renal transplantation. Proper urological and bladder management is imperative in patients with spina bifida, particularly in adults. Copyright © 2015 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  17. Fixed drug eruption to tartrazine.

    Science.gov (United States)

    Orchard, D C; Varigos, G A

    1997-11-01

    An 11-year-old girl with a recurrent fixed drug eruption to tartrazine on the dorsum of the left hand is presented. Oral provocation tests to both the suspected food, an artificially coloured cheese crisp, and to tartrazine were positive. This case highlights fire need to consider artificial flavours, colours and preservatives as potential culprits in classic drug eruptions.

  18. Carbon sequestration and eruption hazards

    Science.gov (United States)

    Zhang, Y.

    2007-12-01

    In order to reduce the buildup of carbon dioxide in the atmosphere, proposals have been made to sequestrate carbon in ocean, or in coal mines and other underground formations. High gas concentration in ocean or underground formations has to potential to power gas-driven eruptions. In this presentation, possible eruption hazards are explored. Whenever carbon dioxide is sequestrated in the form of carbon dioxide gas, or dissolved and/or absorbed carbon dioxide, it is necessary to exercise caution to avoid gas-driven eruption hazard. It is long known that explosive volcanic eruptions are driven by H2O gas in magma. Lake eruptions powered by dissolved CO2 in lake bottom water were discovered in the 1980's (Kling et al., 1987; Zhang, 1996). Gas-driven ocean eruptions with mechanism similar to lake eruptions have been hypothesized (Zhang, 2003; Zhang and Kling, 2006) although not confirmed. Mud volcanos are commonly thought to be driven by methane-rich fluids in sediment (Milkov, 2000). Recently, Zhang et al. (2007) have proposed that coal outbursts in underground coal mines are driven by dissolved high CO2 concentration in coal, causing coal fragmentation and outburst. That is, coal outbursts may be regarded as a new type of gas-driven eruptions. Therefore, high concentrations of free gas or dissolved/absorbed gas may power eruptions of magma, lake water, ocean water, sediment, and coal. Gas- driven volcanic, lake and ocean eruptions are due to volume expansion from bubble growth, whereas gas-driven coal and sediment eruptions are due to high gas-pressure, leading to fragmentation of coal and sediment. (In explosive volcanism, magma fragmentation is also a critical point.) The threshold conditions for many of these eruptions are not known yet. In planning large (industrial) scale injection of CO2 into a natural reservoir, it is important to know the eruption threshold and design the injection scheme accordingly. More safe sequestration in terms of eruption hazards would

  19. Automated Detection of Solar Eruptions

    CERN Document Server

    Hurlburt, Neal

    2015-01-01

    Observation of the solar atmosphere reveals a wide range of motions, from small scale jets and spicules to global-scale coronal mass ejections. Identifying and characterizing these motions are essential to advancing our understanding the drivers of space weather. Both automated and visual identifications are currently used in identifying CMEs. To date, eruptions near the solar surface (which may be precursors to CMEs) have been identified primarily by visual inspection. Here we report on EruptionPatrol (EP): a software module that is designed to automatically identify eruptions from data collected by SDO/AIA. We describe the method underlying the module and compare its results to previous identifications found in the Heliophysics Event Knowledgebase. EP identifies eruptions events that are consistent with those found by human annotations, but in a significantly more consistent and quantitative manner. Eruptions are found to be distributed within 15Mm of the solar surface. They possess peak speeds ranging from...

  20. Solar Eruptive Events

    Science.gov (United States)

    Holman, Gordon D.

    2012-01-01

    It s long been known that the Sun plays host to the most energetic explosions in the solar system. But key insights into the forms that energy takes have only recently become available. Solar flares have been phenomena of both academic and practical interest since their discovery in 1859. From the academic point of view, they are the nearest events for studying the explosive release of energy in astrophysical magnetized plasmas. From the practical point of view, they disrupt communication channels on Earth, from telegraph communications in 1859 to radio and television signals today. Flares also wreak havoc on the electrical power grid, satellite operations, and GPS signals, and energetic charged particles and radiation are dangerous to passengers on high-altitude polar flights and to astronauts. Flares are not the only explosive phenomena on the Sun. More difficult to observe but equally energetic are the large coronal mass ejections (CMEs), the ejection of up to ten billion tons of magnetized plasma into the solar wind at speeds that can exceed 1000 km/s. CMEs are primarily observed from the side, with coronagraphs that block out the bright disk of the Sun and lower solar atmosphere so that light scattered from the ejected mass can be seen. Major geomagnetic storms are now known to arise from the interaction of CMEs with Earth's magnetosphere. Solar flares are observed without CMEs, and CMEs are observed without flares. The two phenomena often occur together, however, and almost always do in the case of large flares and fast CMEs. The term solar eruptive event refers to the combination of a flare and a CME. Solar eruptive events generate a lot of heat: They can heat plasma to temperatures as high at 50 million Kelvin, producing radiation across the electromagnetic spectrum. But that s not all. A fascinating aspect of solar eruptive events is the acceleration of electrons and ions to suprathermal often relativistic energies. The accelerated particles are primarily

  1. Extended Ensemble Monte Carlo

    OpenAIRE

    Iba, Yukito

    2000-01-01

    ``Extended Ensemble Monte Carlo''is a generic term that indicates a set of algorithms which are now popular in a variety of fields in physics and statistical information processing. Exchange Monte Carlo (Metropolis-Coupled Chain, Parallel Tempering), Simulated Tempering (Expanded Ensemble Monte Carlo), and Multicanonical Monte Carlo (Adaptive Umbrella Sampling) are typical members of this family. Here we give a cross-disciplinary survey of these algorithms with special emphasis on the great f...

  2. Population-based study to determine mortality in spina bifida: New York State Congenital Malformations Registry, 1983 to 2006.

    Science.gov (United States)

    Kancherla, Vijaya; Druschel, Charlotte M; Oakley, Godfrey P

    2014-08-01

    The lifetime risk of death among individuals with spina bifida is 10-times higher compared with the general population. A population-based analysis on cause-specific mortality among individuals spina bifida is lacking. Using statewide, population-based New York Congenital Malformations Registry, we examined all births between years 1983 and 2006, and identified 1988 births with spina bifida and 10,951 births with congenital hypertrophic pyloric stenosis (CHPS). We linked registry records to birth and death files from vital records, and determined age- and cause-specific mortality for isolated and multiple spina bifida, and compared the findings with the less fatal CHPS. Mortality in spina bifida is significantly high compared with CHPS (16.9% vs. 0.96%, respectively). The probability of survival in spina bifida was lower compared with CHPS. A majority of the deaths in spina bifida occurred in infants within the first year of birth; however, an increased risk of death persisted in young adulthood for both isolated and multiple cases of spina bifida. The common causes of death in children with spina bifida were hydrocephalus, infections, cardiac anomalies, pneumonia, and pulmonary embolism; while infections, heart or kidney failure, injuries and neoplasms contributed to deaths in adults. We conclude that mortality in spina bifida is a large concern, and individuals living with the defect require improved clinical care for lethal medical complications. Primary prevention of spina bifida through mandatory folic acid fortification remains as the best strategy to reduce both disability and mortality associated with this defect across the world. © 2014 Wiley Periodicals, Inc.

  3. 38 CFR 3.814 - Monetary allowance under 38 U.S.C. chapter 18 for an individual suffering from spina bifida whose...

    Science.gov (United States)

    2010-07-01

    ... 38 U.S.C. chapter 18 for an individual suffering from spina bifida whose biological father or mother... spina bifida whose biological father or mother is or was a Vietnam veteran. (a) Monthly monetary... person who VA has determined is an individual suffering from spina bifida whose biological mother...

  4. Voyager 2 Jupiter Eruption Movie

    Science.gov (United States)

    2000-01-01

    This movie records an eruptive event in the southern hemisphere of Jupiter over a period of 8 Jupiter days. Prior to the event, an undistinguished oval cloud mass cruised through the turbulent atmosphere. The eruption occurs over avery short time at the very center of the cloud. The white eruptive material is swirled about by the internal wind patterns of the cloud. As a result of the eruption, the cloud then becomes a type of feature seen elsewhere on Jupiter known as 'spaghetti bowls'.As Voyager 2 approached Jupiter in 1979, it took images of the planet at regular intervals. This sequence is made from 8 images taken once every Jupiter rotation period (about 10 hours). These images were acquired in the Violet filter around May 6, 1979. The spacecraft was about 50 million kilometers from Jupiter at that time.This time-lapse movie was produced at JPL by the Image Processing Laboratory in 1979.

  5. Historical Significant Volcanic Eruption Locations

    Data.gov (United States)

    Department of Homeland Security — A significant eruption is classified as one that meets at least one of the following criteriacaused fatalities, caused moderate damage (approximately $1 million or...

  6. Tenofovir induced lichenoid drug eruption.

    Science.gov (United States)

    Gupta, Mrinal; Gupta, Heena; Gupta, Anish

    2015-01-01

    Cutaneous adverse reactions are a common complication of anti-retroviral therapy. Tenofovir is a newer anti-retroviral drug belonging to the nucleotide reverse transcriptase inhibitor group. Systemic adverse effects like nausea, vomiting, diarrhea, hepatotoxicity and renal toxicity are common with tenofovir but cutaneous adverse effects are rare. Lichenoid drug eruptions are a common adverse effect seen with a large variety of drugs including antimalarials, antihypertensives, nonsteroidal anti-inflammatory drugs and diuretics. Lichenoid drug eruption is a rare cutaneous adverse effect of tenofovir with only a single case reported till date. Here, we report a case of tenofovir induced lichenoid drug eruption in a 54-year-old human immunodeficiency virus affected male who presented with generalized lichenoid eruption after 6 weeks of initiation of tenofovir and complete clearance on cessation of the drug.

  7. Mutations in planar cell polarity gene SCRIB are associated with spina bifida.

    Directory of Open Access Journals (Sweden)

    Yunping Lei

    Full Text Available Neural tube defects (NTDs (OMIM #182940 including anencephaly, spina bifida and craniorachischisis, are severe congenital malformations that affect 0.5-1 in 1,000 live births in the United States, with varying prevalence around the world. Mutations in planar cell polarity (PCP genes are believed to cause a variety of NTDs in both mice and humans. SCRIB is a PCP-associated gene. Mice that are homozygous for the Scrib p.I285K and circletail (Crc mutations, present with the most severe form of NTDs, namely craniorachischisis. A recent study reported that mutations in SCRIB were associated with craniorachischisis in humans, but whether SCRIB mutations contribute to increased spina bifida risk is still unknown. We sequenced the SCRIB gene in 192 infants with spina bifida and 190 healthy controls. Among the spina bifida patients, we identified five novel missense mutations that were predicted-to-be-deleterious by the PolyPhen software. Of these five mutations, three of them (p.P1043L, p.P1332L, p.L1520R significantly affected the subcellular localization of SCRIB. In addition, we demonstrated that the craniorachischisis mouse line-90 mutation I285K, also affected SCRIB subcellular localization. In contrast, only one novel missense mutation (p.A1257T was detected in control samples, and it was predicted to be benign. This study demonstrated that rare deleterious mutations of SCRIB may contribute to the multifactorial risk for human spina bifida.

  8. Rare deleterious variants in GRHL3 are associated with human spina bifida.

    Science.gov (United States)

    Lemay, Philippe; De Marco, Patrizia; Emond, Alexandre; Spiegelman, Dan; Dionne-Laporte, Alexandre; Laurent, Sandra; Merello, Elisa; Accogli, Andrea; Rouleau, Guy A; Capra, Valeria; Kibar, Zoha

    2017-03-08

    Neural tube defects, including spina bifida, are among the most common birth defects caused by failure of neural tube closure during development. They have a complex etiology involving largely undetermined environmental and genetic factors. Previous studies in mouse models have implicated the transcription factor Grhl3 as an important factor in the pathogenesis of spina bifida. In the present study, we conducted a resequencing analysis of GRHL3 in a cohort of 233 familial and sporadic cases of spina bifida. We identified two novel truncating variants: one homozygous frameshift variant, p.Asp16Aspfs*10, in two affected siblings and one heterozygous intronic splicing variant, p.Ala318Glyfs*26. We also identified five missense variants, one of which was demonstrated to reduce the activation of gene targets in a luciferase reporter assay. With the previously identified p.Arg391Cys variant, eight variants were found in GRHL3. Comparison of the variant rate between our cohort and the ExAC database identified a significant enrichment of deleterious variants in GRHL3 in the whole gene and the transactivation region in spina bifida patients. These data provide strong evidence for a role of GRHL3 as a predisposing factor to spina bifida and will help dissect the complex etiology and pathogenic mechanisms of these malformations.

  9. Brain stem global gene expression profiles in human spina bifida embryos

    Institute of Scientific and Technical Information of China (English)

    Hong Zhao; Xiang Li; Wan-I Lie; Quanren He; Ting Zhang; Xiaoying Zheng; Ran Zhou; Jun Xie

    2011-01-01

    Environmental and genetic factors influence the occurrence of neural tube defects, such as spina bifida.Specific disease expression patterns will help to elucidate the pathogenesis of disease.However, results obtained from animal models, which often exhibit organism specificity, do not fully explain the mechanisms of human spina bifida onset.In the present study, three embryos with a gestational age of approximately 17 weeks and a confirmed diagnosis of spina bifida, as well as 3 age-matched normal embryos, were obtained from abortions.Fetal brain stem tissues were dissected for RNA isolation, and microarray analyses were conducted to examine profiles of gene expression in brain stems of spina bifida and normal embryos using Affymetrix HG-U1 33A 2.0 GeneChip arrays.Of the 14 500 gene transcripts examined, a total of 182 genes exhibited at least 2.5-fold change in expression, including 140 upregulated and 42 downregulated genes.These genes were placed into 19 main functional categories according to the Gene Ontology Consortium database for biological functions.Of the 182 altered genes, approximately 50% were involved in cellular apoptosis, growth, adhesion, cell cycle, stress, DNA replication and repair, signal transduction, nervous system development, oxidoreduction, immune responses, and regulation of gene transcription.Gene expression in multiple biological pathways was altered in the brain stem of human spina bifida embryos.

  10. Nicotinamide N-methyl Transferase (NNMT) Gene Polymorphisms and Risk for Spina Bifida

    Science.gov (United States)

    Lu, Wei; Zhu, Huiping; Wen, Shu; Yang, Wei; Shaw, Gary M.; Lammer, Edward J.; Finnell, Richard H.

    2008-01-01

    Background Moderate hyperhomocysteinemia is a known risk factor for neural tube defects (NTDs) in a variety of experimental model systems and is believed to be important in humans as well. The enzyme Nicotinamide N-methyl transferase (NNMT) was identified in a genome-wide linkage scan as being an important regulator of homocysteine (Hcy) homeostasis in a Spanish population making it an interesting candidate gene for NTDs. Methods We evaluated eleven SNPs of the NNMT gene in our study population. In this study, 251 cases (infants with spina bifida) and 335 controls (non-malformed infants), born during the periods 1983−1986 in selected counties in California, were genotyped for variants of the NNMT gene. Allelic, genotype and haplotype associations with spina bifida risk were evaluated and analyzed. Results None of the SNPs studied alone showed allelic or genotypic associations with spina bifida. However, the TCAG haplotype for block 3 (rs2852447, ra2852425, rs4646337 and rs11569688) showed a decreased risk for spina bifida among non-Hispanic whites (OR: 0.4; 95%CI: 0.1−1.0). Conclusion No association was found between infant NNMT gene variants and risk for spina bifida in our study population. However, small sample sizes for most variant groups and for phase-unknown haplotype data limited the power of the study. PMID:18553462

  11. First trimester maternal serum alpha-fetoprotein is not raised in pregnancies with open spina bifida.

    Science.gov (United States)

    Spencer, Kevin; Khalil, Asma; Brown, Louise; Mills, Ian; Horne, Hannah

    2014-02-01

    Two recent studies have suggested that maternal serum alpha fetoprotein (AFP) levels are increased in the first trimester of pregnancies in which the fetus has an open spina bifida. This is contrary to previously published studies. This study assesses further whether maternal serum AFP is elevated in the first trimester in cases with open spina bifida. Cases with open spina bifida were identified from our fetal database, and corresponding first trimester screening samples were retrieved and analysed for maternal serum AFP. A control group was selected by taking three samples matched for gestational age (exact day), ethnicity and smoking status and received in the laboratory on the same day. AFP was measured with the Kryptor platform and free β-hCG and pregnancy-associated plasma protein A results were available from the fetal database. Thirty-nine open spina bifida cases were identified with a control group of 126 cases. The median multiple of the median AFP in the cases were not significantly different from the controls (0.92 vs 1.06 p = 0.3511) as was the case for free β-hCG (0.87 vs 0.95 p = 0.7146) and pregnancy-associated plasma protein A (1.04 vs 1.04 p = 0.261). Our results confirm that maternal serum biochemical markers in the first trimester are unable to distinguish cases in which the fetus has open spina bifida. © 2013 John Wiley & Sons, Ltd.

  12. Predictors of time to complete toileting for children with spina bifida.

    Science.gov (United States)

    Gribble, Nigel; Parsons, Richard; Donlau, Marie; Falkmer, Torbjorn

    2013-10-01

    Previous research has shown that children with spina bifida use clean intermittent catheterisation for urination, a rather complex procedure that increases the time taken to completion. However, no studies have analysed the factors impacting on the time taken to complete the urination that could inform occupational therapy practice. Therefore, the aim was to identify the variables that predict extended time children with spina bifida take to complete urination. Fifty children, aged 5-18 years old with spina bifida using clean intermittent catheterisation, were observed while toileting and responding to a set of assessments tools, among them the Canadian Occupational Performance Measure. A logistic regression was used to identify which variables were independently associated with an extended toileting time. Children with spina bifida do take long time to urinate. More than half of this study's participants required more than five minutes completing urination, but not all required extended times. Ambulant, independent girls were more likely to perform toileting in less than six minutes compared with other children with spina bifida. However, age, IQ, maintained focus on the task, Canadian Occupational Performance Measure, time processing abilities and self-reported ratings of independence appeared to be of no relevance, to predict extended toileting times. To minimise occupational disruption caused by extended toileting times, occupational therapists should utilise the relevant predictors: gender, independence and ambulation when they prioritise children for relevant interventions. © 2013 Occupational Therapy Australia.

  13. Exon sequencing of PAX3 and T (brachyury) in cases with spina bifida.

    Science.gov (United States)

    Agopian, A J; Bhalla, Angela D; Boerwinkle, Eric; Finnell, Richard H; Grove, Megan L; Hixson, James E; Shimmin, Lawrence C; Sewda, Anshuman; Stuart, Colin; Zhong, Yu; Zhu, Huiping; Mitchell, Laura E

    2013-09-01

    Based on studies in animals and humans, PAX3 and T (brachyury) are candidate genes for spina bifida. However, neither gene has been definitively identified as a risk factor for this condition. Sanger sequencing was used to identify variants in all PAX3 and T exons and promoter regions in 114 spina bifida cases. For known variants, allele frequencies in cases were compared with those from public databases using unadjusted odds ratios. Novel variants were genotyped in parents and assessed for predicted functional impact. We identified common variants in PAX3 (n = 2) and T (n = 3) for which the allele frequencies in cases were significantly different from those reported in at least one public database. We also identified novel variants in both PAX3 (n = 11) and T (n = 1) in spina bifida cases. Several of the novel PAX3 variants are predicted to be highly conserved and/or impact gene function or expression. These studies provide some evidence that common variants of PAX3 and T are associated with spina bifida. Rare and novel variants in these genes were also identified in affected individuals. However, additional studies will be required to determine whether these variants influence the risk of spina bifida. Copyright © 2013 Wiley Periodicals, Inc.

  14. Spina Bifida: General Information. Fact Sheet Number 12 = La Espina Bifida: Informacion General. Fact Sheet Number 12.

    Science.gov (United States)

    National Information Center for Children and Youth with Disabilities, Washington, DC.

    This fact sheet offers definitions of the three types of spina bifida, outlines their incidence, describes characteristics of individuals with spina bifida, and reviews educational implications. The fact sheet emphasizes that school programs should be flexible to accommodate these students' special needs and frequent absences, that children with…

  15. Impact on spina bifida screening of shifting prenatal Down syndrome maternal serum screening from the second trimester to the first.

    Science.gov (United States)

    Spaggiari, Emmanuel; Dreux, Sophie; Stirnemann, Julien J; Czerkiewicz, Isabelle; Houfflin-Debarge, Véronique; Segonne, Alexandra; Jouannic, Jean-Marie; Ville, Yves; Muller, Francoise

    2017-07-01

    Shifting screening for trisomy 21 to the first trimester has resulted in the loss of maternal serum alpha-fetoprotein screening for spina bifida. The aim of this study was to study the impact on open spina bifida prenatal screening. We reviewed prenatally diagnosed cases of spina bifida over three years: 2009 (only second-trimester screening, MSM2T), 2010 (transient period) and 2011 (majority first-trimester screening, MSM1T). Cases were assigned to three groups based on maternal serum markers (MSM2T, MSM1T and 'not performed'). Gestational age at diagnosis of spina bifida was compared between these three groups and between the years 2009 and 2011. Median gestational ages at diagnosis of the 742 spina bifida cases between the three groups were 22 weeks [18(+6) -23], 22(+1)  weeks [21(+3) -23] and 21(+4)  weeks [14(+1) -23], respectively (P Spina bifida diagnosis at 14-20 weeks declined from 38.8% in 2009 to 13.3% in 2011 (P spina bifida and resulted in a decrease of 25% of cases of spina bifida detected before 20 weeks. © 2017 John Wiley & Sons, Ltd. © 2017 John Wiley & Sons, Ltd.

  16. Spina Bifida: General Information. Fact Sheet Number 12 = La Espina Bifida: Informacion General. Fact Sheet Number 12.

    Science.gov (United States)

    National Information Center for Children and Youth with Disabilities, Washington, DC.

    This fact sheet offers definitions of the three types of spina bifida, outlines their incidence, describes characteristics of individuals with spina bifida, and reviews educational implications. The fact sheet emphasizes that school programs should be flexible to accommodate these students' special needs and frequent absences, that children with…

  17. Impact of introduction of mid-trimester scan on pregnancy outcome of open spina bifida in The Netherlands

    NARCIS (Netherlands)

    Fleurke-Rozema, J. H.; Vogel, T. A.; Voskamp, B. J.; Pajkrt, E.; van den Berg, P. P.; Beekhuis, J. R.; Bilardo, C. M.; Brouwer, O. F.; de Walle, H. E. K.; Snijders, R. J. M.

    2014-01-01

    Objective To examine the impact of introduction of the mid-trimester scan on pregnancy outcome in cases of open spina bifida in two regions of The Netherlands. Methods This was a retrospective cohort study of 190 cases of open spina bifida diagnosed pre- or postnatally, with an estimated date of del

  18. The 894G>T variant in the endothelial nitric oxide synthase gene and spina bifida risk

    NARCIS (Netherlands)

    Linden, I.J. van der; Heil, S.G.; Heijer, M. den; Blom, H.J.

    2007-01-01

    The 894G>T single nucleotide polymorphism (SNP) in the endothelial NOS (NOS3) gene, has recently been associated with embryonic spina bifida risk. In this study, a possible association between the NOS3 894G>T SNP and spina bifida risk in both mothers and children in a Dutch population was examined

  19. Assessing Eruption Column Height in Ancient Flood Basalt Eruptions

    Science.gov (United States)

    Glaze, Lori S.; Self, Stephen; Schmidt, Anja; Hunter, Stephen J.

    2015-01-01

    A buoyant plume model is used to explore the ability of flood basalt eruptions to inject climate-relevant gases into the stratosphere. An example from the 1986 Izu-Oshima basaltic fissure eruption validates the model's ability to reproduce the observed maximum plume heights of 12-16 km above sea level, sustained above fire-fountains. The model predicts maximum plume heights of 13-17 km for source widths of between 4-16 m when 32% (by mass) of the erupted magma is fragmented and involved in the buoyant plume (effective volatile content of 6 wt%). Assuming that the Miocene-age Roza eruption (part of the Columbia River Basalt Group) sustained fire-fountains of similar height to Izu-Oshima (1.6 km above the vent), we show that the Roza eruption could have sustained buoyant ash and gas plumes that extended into the stratosphere at approximately 45 deg N. Assuming 5 km long active fissure segments and 9000 Mt of SO2 released during explosive phases over a 10-15 year duration, the approximately 180 km of known Roza fissure length could have supported approximately 36 explosive events/phases, each with a duration of 3-4 days. Each 5 km fissure segment could have emitted 62 Mt of SO2 per day into the stratosphere while actively fountaining, the equivalent of about three 1991 Mount Pinatubo eruptions per day. Each fissure segment could have had one to several vents, which subsequently produced lava without significant fountaining for a longer period within the decades-long eruption. Sensitivity of plume rise height to ancient atmospheric conditions is explored. Although eruptions in the Deccan Traps (approximately 66 Ma) may have generated buoyant plumes that rose to altitudes in excess of 18 km, they may not have reached the stratosphere because the tropopause was substantially higher in the late Cretaceous. Our results indicate that some flood basalt eruptions, such as Roza, were capable of repeatedly injecting large masses of SO2 into the stratosphere. Thus sustained

  20. Assessing eruption column height in ancient flood basalt eruptions

    Science.gov (United States)

    Glaze, Lori S.; Self, Stephen; Schmidt, Anja; Hunter, Stephen J.

    2017-01-01

    A buoyant plume model is used to explore the ability of flood basalt eruptions to inject climate-relevant gases into the stratosphere. An example from the 1986 Izu-Oshima basaltic fissure eruption validates the model's ability to reproduce the observed maximum plume heights of 12-16 km above sea level, sustained above fire-fountains. The model predicts maximum plume heights of 13-17 km for source widths of between 4-16 m when 32% (by mass) of the erupted magma is fragmented and involved in the buoyant plume (effective volatile content of 6 wt%). Assuming that the Miocene-age Roza eruption (part of the Columbia River Basalt Group) sustained fire-fountains of similar height to Izu-Oshima (1.6 km above the vent), we show that the Roza eruption could have sustained buoyant ash and gas plumes that extended into the stratosphere at ∼ 45 ° N. Assuming 5 km long active fissure segments and 9000 Mt of SO2 released during explosive phases over a 10-15 year duration, the ∼ 180km of known Roza fissure length could have supported ∼36 explosive events/phases, each with a duration of 3-4 days. Each 5 km fissure segment could have emitted 62 Mt of SO2 per day into the stratosphere while actively fountaining, the equivalent of about three 1991 Mount Pinatubo eruptions per day. Each fissure segment could have had one to several vents, which subsequently produced lava without significant fountaining for a longer period within the decades-long eruption. Sensitivity of plume rise height to ancient atmospheric conditions is explored. Although eruptions in the Deccan Traps (∼ 66Ma) may have generated buoyant plumes that rose to altitudes in excess of 18 km, they may not have reached the stratosphere because the tropopause was substantially higher in the late Cretaceous. Our results indicate that some flood basalt eruptions, such as Roza, were capable of repeatedly injecting large masses of SO2 into the stratosphere. Thus sustained flood basalt eruptions could have influenced

  1. Premature dental eruption: report of case.

    LENUS (Irish Health Repository)

    McNamara, C M

    2011-08-05

    This case report reviews the variability of dental eruption and the possible sequelae. Dental eruption of the permanent teeth in cleft palate children may be variable, with delayed eruption the most common phenomenon. A case of premature dental eruption of a maxillary left first premolar is demonstrated, however, in a five-year-old male. This localized premature dental eruption anomaly was attributed to early extraction of the primary dentition, due to caries.

  2. Ultrasonographic clues for diagnosis of spina bifida occulta in children.

    Science.gov (United States)

    Cakmakci, Emin; Cinar, Hasibe Gokce; Uner, Cigdem; Ucan, Berna; Eksioglu, Ayse Secil; Pala, Melek; Yildiz, Yasemin Tasci; Cakmakci, Selma; Yikmaz, Hulya Seker

    2016-10-01

    The aim of the current study was to find out if spinal ultrasonography might have a predictive potential for detection of spina bifida occulta (SBO) in pediatric nocturnal enuresis patients. A total of 108 children (58 females, 50 males) with a mean age of 8 (range, 6-15) years diagnosed for nocturnal enuresis in our tertiary care center were included in this cross-sectional analysis. Half of the cases (n=54, 50%) were found to have SBO, while the other half did not have SBO. After obtaining radiographs and computed tomography examinations of L5-S1 vertebra, patients were examined by spinal ultrasound regarding radiologic clues which may aid in the detection of SBO. The clues of "single and double echogeneous cap signs and the V-shaped tip of spine" were found useful for diagnosing SBO at levels of L5 and S1 in pediatric patients suspected for SBO. Receiver operating curve (ROC) curve analysis of CT and ultrasonographic clues for diagnosis of SBO on S1 level revealed that these clues yielded a comparable diagnostic accuracy to CT. Areas under curve for CT and studied ultrasonographic clues were are 0.667±0.053 and 0.907±0.032 (Pbifida. However, to implement our ultrasonographic criteria in routine radiological practice, further studies in larger series are warranted.

  3. Motor contingency learning and infants with Spina Bifida.

    Science.gov (United States)

    Taylor, Heather B; Barnes, Marcia A; Landry, Susan H; Swank, Paul; Fletcher, Jack M; Huang, Furong

    2013-02-01

    Infants with Spina Bifida (SB) were compared to typically developing infants (TD) using a conjugate reinforcement paradigm at 6 months-of-age (n = 98) to evaluate learning, and retention of a sensory-motor contingency. Analyses evaluated infant arm-waving rates at baseline (wrist not tethered to mobile), during acquisition of the sensory-motor contingency (wrist tethered), and immediately after the acquisition phase and then after a delay (wrist not tethered), controlling for arm reaching ability, gestational age, and socioeconomic status. Although both groups responded to the contingency with increased arm-waving from baseline to acquisition, 15% to 29% fewer infants with SB than TD were found to learn the contingency depending on the criterion used to determine contingency learning. In addition, infants with SB who had learned the contingency had more difficulty retaining the contingency over time when sensory feedback was absent. The findings suggest that infants with SB do not learn motor contingencies as easily or at the same rate as TD infants, and are more likely to decrease motor responses when sensory feedback is absent. Results are discussed with reference to research on contingency learning in infants with and without neurodevelopmental disorders, and with reference to motor learning in school-age children with SB.

  4. [Embryonic mechanisms in development of spina bifida in humans].

    Science.gov (United States)

    Vostrikov, O V; Zotov, V A; Nikitenko, E V

    2004-01-01

    The study of 86 human embryos and fetuses beginning from 23rdday of development up to 18th week after fecundation has detected 23 cases of pathologic development which correspond to the modern definition of spina bifida (SB). It is shown that the cause of various forms of the anomaly is the disturbance or temporary delay of a movement of caudal neurulation wave forming the spinal cord. The anomaly size and type are determined by the time and duration of a pathogenic action on neurulation. Postnatal or the 1st type of SB develops in neurulation wave disturbance not longer than 4-6 hours. Anomaly consequence may be compensated surgically. The 2nd or fetal type of SB arises when neurulation delay is from 6 to 20 hours. If the delay occurs on the 22-24th day of development, embryos die by the neurulation end. If the delay takes place on the 26-28th day embryos may survive till the late fetal period. In embryonal or type III of SB embryos die by the end of the 8th week and do not enter the medical statistics. Their death is associated with delayed movement of the caudal neurulation wave for 24 hours and longer. This results in a spontaneous abortion.

  5. Perspectives of school-work transitions among youth with spina bifida, their parents and health care providers.

    Science.gov (United States)

    Lindsay, Sally; McPherson, Amy C; Maxwell, Joanne

    2017-04-01

    Purpose Youth with disabilities encounter many challenges in finding employment and transitioning to post-secondary education. In this article, we explore the nature of school-work transitions for youth with spina bifida, which few studies have previously addressed. Method We conducted in-depth interviews with 44 participants (nine youth and 12 young adults with spina bifida, 11 parents and 12 clinicians). We analyzed our data using a qualitative content analysis approach. Results We identified several enablers to school-work transitions, including professional support, social support and school accommodations. Lacking such support created several challenges for youth with spina bifida. We also identified several barriers to school-work transitions, including lack of education and information on finances, housing and transportation; discrimination and stigma; and challenges coping with spina bifida at school and work. Conclusions Although some supports are available, youth with spina bifida encounter many challenges in transitioning to post-secondary education and employment. With clinicians at the helm, efforts should be put in place within the health and social services system to better prepare youth, as they transition to adulthood, to become connected to appropriate information and resources to help them to succeed in their school and employment goals. Implications for Rehabilitation Youth with spina bifida encounter many challenges in transitioning to post-secondary education or work. Clinicians, educators and parents should continue to support youth with spina bifida in choosing their vocations, setting career goals and developing career plans. Starting from a young age, parents, clinicians and educators should help youth with spina bifida prepare for school work transitions by fostering their independence, life skills and self-management of spina bifida-related symptoms. Clinicians and educators should help connect youth with spina bifida to appropriate

  6. SUBLUXATION AND DISLOCATION OF THE HIP IN CHILDREN WITH SPINA BIFIDA (REVIEW

    Directory of Open Access Journals (Sweden)

    A. G. Baindurashvili

    2013-01-01

    Full Text Available Subluxation or dislocation of the hip joint develops in 30-50% children with spina bifida during the first 2-3 years of life. These problems results from force disbalance between muscle group and other structural changes of the hip and pelvis components of the joint. The goal of treatment subluxation and dislocation of the hip joint in children with spina bifida is to make comfortable daily functions, eliminate the pain, provide the mobility and social independent. Management of subluxation and dislocation in children with spina bifida had changed in the last years because of the analysis long-term results. Indications for surgical treatment were determined more clearly, what made the results of treatment better.

  7. Spina bifida with higher position of sacral hiatus: a case report with clinical implications.

    Science.gov (United States)

    Srijit, D; Shipra, P

    2007-01-01

    Spina bifida is a developmental defect in the vertebral column, in which the laminae fail to fuse and thereby the spinal cord is relatively unprotected. We report a case of spina bifida, in a dried specimen of sacrum, characterized by a prominent S1 spine and a higher sacral hiatus. Conventional textbooks of anatomy provide less information about the clinical implications of such anomalies and research studies are the only source of information. The present study, discusses in detail, the structural and radiological aspects of spina bifida, with a higher sacral hiatus. Precise knowledge of normal and abnormal anatomy of the sacrum may be clinically important for anesthetists, neurologists, radiologists and orthopedic surgeons, in their clinical practice (Fig. 3, Ref. 16). Full Text (Free, PDF) www.bmj.sk

  8. Eruptions from the Sun

    Science.gov (United States)

    Kohler, Susanna

    2015-11-01

    The Sun often exhibits outbursts, launching material from its surface in powerful releases of energy. Recent analysis of such an outburst captured on video by several Sun-monitoring spacecraft may help us understand the mechanisms that launch these eruptions.Many OutburstsSolar jets are elongated, transient structures that are thought to regularly release magnetic energy from the Sun, contributing to coronal heating and solar wind acceleration. Coronal mass ejections (CMEs), on the other hand, are enormous blob-like explosions, violently ejecting energy and mass from the Sun at incredible speeds.But could these two types of events actually be related? According to a team of scientists at the University of Science and Technology of China, they may well be. The team, led by Jiajia Liu, has analyzed observations of a coronal jet that they believe prompted the launch of a powerful CME.Observing an ExplosionGif of a movie of the CME, taken by the Solar Dynamics Observatorys Atmospheric Imaging Assembly at a wavelength of 304. The original movie can be found in the article. [Liu et al.]An army of spacecraft was on hand to witness the event on 15 Jan 2013 including the Solar Dynamics Observatory (SDO), the Solar and Heliospheric Observatory (SOHO), and the Solar Terrestrial Relations Observatory (STEREO). The instruments on board these observatories captured the drama on the northern limb of the Sun as, at 19:32 UT, a coronal jet formed. Just eight minutes later, a powerful CME was released from the same active region.The fact that the jet and CME occurred in the same place at roughly the same time suggests theyre related. But did the initial motions of the CME blob trigger the jet? Or did the jet trigger the CME?Tying It All TogetherIn a recently published study, Liu and collaborators analyzed the multi-wavelength observations of this event to find the heights and positions of the jet and CME. From this analysis, they determined that the coronal jet triggered the release

  9. Monte Carlo fundamentals

    Energy Technology Data Exchange (ETDEWEB)

    Brown, F.B.; Sutton, T.M.

    1996-02-01

    This report is composed of the lecture notes from the first half of a 32-hour graduate-level course on Monte Carlo methods offered at KAPL. These notes, prepared by two of the principle developers of KAPL`s RACER Monte Carlo code, cover the fundamental theory, concepts, and practices for Monte Carlo analysis. In particular, a thorough grounding in the basic fundamentals of Monte Carlo methods is presented, including random number generation, random sampling, the Monte Carlo approach to solving transport problems, computational geometry, collision physics, tallies, and eigenvalue calculations. Furthermore, modern computational algorithms for vector and parallel approaches to Monte Carlo calculations are covered in detail, including fundamental parallel and vector concepts, the event-based algorithm, master/slave schemes, parallel scaling laws, and portability issues.

  10. Altered microRNA expression profiles in a rat model of spina bifida.

    Science.gov (United States)

    Qin, Pan; Li, Lin; Zhang, Da; Liu, Qiu-Liang; Chen, Xin-Rang; Yang, He-Ying; Fan, Ying-Zhong; Wang, Jia-Xiang

    2016-03-01

    MicroRNAs (miRNAs) are dynamically regulated during neurodevelopment, yet few reports have examined their role in spina bifida. In this study, we used an established fetal rat model of spina bifida induced by intragastrically administering olive oil-containing all-trans retinoic acid to dams on day 10 of pregnancy. Dams that received intragastric administration of all-trans retinoic acid-free olive oil served as controls. The miRNA expression profile in the amniotic fluid of rats at 20 days of pregnancy was analyzed using an miRNA microarray assay. Compared with that in control fetuses, the expression of miRNA-9, miRNA-124a, and miRNA-138 was significantly decreased (> 2-fold), whereas the expression of miRNA-134 was significantly increased (> 4-fold) in the amniotic fluid of rats with fetuses modeling spina bifida. These results were validated using real-time quantitative reverse-transcription polymerase chain reaction. Hierarchical clustering analysis of the microarray data showed that these differentially expressed miRNAs could distinguish fetuses modeling spina bifida from control fetuses. Our bioinformatics analysis suggested that these differentially expressed miRNAs were associated with many cytological pathways, including a nervous system development signaling pathway. These findings indicate that further studies are warranted examining the role of miRNAs through their regulation of a variety of cell functional pathways in the pathogenesis of spina bifida. Such studies may provide novel targets for the early diagnosis and treatment of spina bifida.

  11. Proteomic analysis of amniotic fluid of pregnant rats with spina bifida aperta.

    Science.gov (United States)

    Shan, Liping; Fan, Yang; Li, Hui; Liu, Wei; Gu, Hui; Zhou, Fenghua; Yuan, Zhengwei

    2012-02-02

    Congenital spina bifida aperta is a common congenital malformation in children and has an incidence of 1‰ to 5‰ in China. However, we currently lack specific biomarkers for screening or prenatal diagnosis and there is no method to entirely cure or prevent such defects. In this study, we used two-dimensional gel electrophoresis (2-DE)/mass spectrometry (MS) to characterize differentially expressed proteins in amniotic-fluid samples (AFSs) of embryonic day (E) 17.5 rat fetuses with spina bifida aperta induced by retinoic acid (RA). We identified five proteins differentially expressed in AFSs of spina bifida aperta, including three upregulated proteins (transferrin, alpha-1 antiproteinase and signal recognition particle receptor, B subunit [SRPRB] 55 kDa), two downregulated proteins (apolipoprotein A IV [APO A4] and Srprb 77 kDa). Specifically, we found 11 alpha-1 fetoprotein (AFP) fragments that were downregulated and 35 AFP fragments that were upregulated in AFSs from embryos with spina bifida aperta. Of the downregulated AFP fragments, 72.7% (8/11) were confined to the AFP N-terminus (amino acids [aas] 25-440) and 77.1% (27/35) of upregulated AFP fragments were confined to the AFP C-terminus (aas 340-596). We also confirmed APO A4 and AFP by immunoblot analysis. This is the first comparative proteomic study of AFSs from rat fetuses with spina bifida aperta. We demonstrate proteomic alterations in the AFS of spina bifida aperta, which may provide new insights in neural tube defects and contribute to the prenatal screening.

  12. Children with spina bifida are at risk for low bone density.

    Science.gov (United States)

    Szalay, Elizabeth A; Cheema, Asad

    2011-05-01

    Patients with spina bifida frequently sustain lower extremity fractures which may be difficult to diagnose because they feel little or no pain, although the relative contributions of low bone density to pain insensitivity are unclear. Routine dual-energy xray absorptiometry (DXA) scanning is unreliable because these patients lack bony elements in the spine, and many have joint contractures and/or implanted hardware. We asked (1) if the lateral distal femoral scan is useful in spina bifida; (2) whether nonambulatory children with spina bifida exhibit differences in bone mineral density (BMD) compared with an age-and-sex-matched population; and (3) whether Z-scores were related to extremity fracture incidence. We retrospectively reviewed 37 patients with spina bifida who had DXA scans and sufficient data. Z-scores were correlated with functional level, ambulatory status, body mass index, and fracture history. The distal femoral scan could be performed in subjects for whom total body and/or lumbar scans could not be performed accurately. Twenty-four of 37 had Z-scores below -2 SD, defined as "low bone density for age." Ten of 35 patients (29%) with fracture information had experienced one or more fractures. Our sample size was too small to correlate Z-score with fracture. We believe BMD should be monitored in patients with spina bifida; nonambulatory patients with spina bifida and those with other risk factors are more likely to have low bone density for age than unaffected individuals. The LDF scan was useful in this population in whom lumbar and total body scans are often invalidated by contracture or artifact. Although lower extremity fractures occur regardless of ambulation or bone density, knowing an individual's bone health status may lead to interventions to improve bone health.

  13. Retrospective study of cumulative diagnostic radiation exposure during childhood in patients with spina bifida.

    Science.gov (United States)

    Smookler, Gregory; Deavenport-Saman, Alexis

    2015-10-01

    The Biological Effects of Ionizing Radiation Committee of the National Academy of Sciences in 2005 and other expert panels have warned that risk of cancer increases with higher doses of radiation. Children with spina bifida and hydrocephalus have far greater exposure to radiation than the average person, starting almost directly after birth and continuing throughout their lifetimes. The purpose of this study was to estimate the amount of ionizing radiation that patients with spina bifida and hydrocephalus are exposed to during childhood from diagnostic imaging. Thirty patients, ages 18 years or older, with spina bifida and hydrocephalus were randomly selected from a spina bifida clinic and their radiology records were reviewed. Descriptive analyses were conducted. The total radiation exposure was then calculated for the study group, and the mean effective dose per patient was determined. In the study group, during their first 18 years, each patient had a mean of 55.1 studies and a median of 45 radiologic studies, a mean of 9.6 brain CT scans, and a mean cumulative effective dose of 81.9 mSv (2.6 mSv/patient/year over 18 years) and a median cumulative effective dose of 77.2 mSV of accumulated radiation exposure (4.5 mSv/patient/year over 18 years). Clinicians should recognize that increased radiation exposure puts patients with spina bifida and hydrocephalus at higher risk for cancer. The population of children and adults with spina bifida and hydrocephalus should be surveyed for incidence of cancer. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. Termination of pregnancy after prenatal diagnosis of spina bifida: a German perspective.

    Science.gov (United States)

    Domröse, Christian M; Bremer, Sandra; Buczek, Caroline; Geipel, Annegret; Berg, Christoph; Gembruch, Ulrich; Willruth, Arne

    2016-10-01

    To analyze fetal cases with spina bifida undergoing termination of pregnancy according to chromosomal analysis and further diagnosed sonographic findings. Retrospective analysis of cases with spina bifida leading to termination of pregnancy in a tertiary referral center from 2002 to 2011. In the study period, 246 cases of spina bifida were diagnosed in our center and 157 parents chose termination of pregnancy. The time of diagnosis was on average 2 days before the first presentation at our department (22 + 3, range: 12 + 3 - 33 + 3 weeks of gestation). Among 157 pregnancies with spina bifida and termination of pregnancy, further malformations could be detected in 46 (29.3 %) cases. An abnormal karyotype could be found in 13 (18.1 %). Severe ventriculomegaly or mild/moderate ventriculomegaly was present in 109 (69.4 %) and 29 (18.5 %) of the cases, respectively, while banana sign was detectable in 153 cases (97.5 %). In the majority, the upper lesion level was lumbar (71.3 %). In 67 cases (42.7 %), termination of pregnancy took place in or after the 24th week of gestation. Direct and indirect signs of spina bifida were detectable in nearly all cases independent of the gestational age. Therefore, the diagnosis could have been made in all cases with late termination. Implementation of a uniform prenatal care including first-trimester scan with potential signs for open spina bifida and second-trimester anomaly scan with indirect intracranial findings and direct detection of spinal lesion could lead to an earlier diagnosis and help to reduce late termination of pregnancy in neural tube defects.

  15. Altered microRNA expression proifles in a rat model of spina biifda

    Institute of Scientific and Technical Information of China (English)

    Pan Qin; Lin Li; Da Zhang; Qiu-liang Liu; Xin-rang Chen; He-ying Yang; Ying-zhong Fan; Jia-xiang Wang

    2016-01-01

    MicroRNAs (miRNAs) are dynamically regulated during neurodevelopment, yet few reports have examined their role in spina biifda. In this study, we used an established fetal rat model of spina biifda induced by intragastrically administering olive oil-containing all-trans retinoic acid to dams on day 10 of pregnancy. Dams that received intragastric administration of all-trans retinoic acid-free olive oil served as controls. The miRNA expression proifle in the amniotic lfuid of rats at 20 days of pregnancy was analyzed using an miRNA microarray assay. Com-pared with that in control fetuses, the expression of miRNA-9, miRNA-124a, and miRNA-138 was signiifcantly decreased (> 2-fold), whereas the expression of miRNA-134 was signiifcantly increased (> 4-fold) in the amniotic lfuid of rats with fetuses modeling spina biifda. These results were validated using real-time quantitative reverse-transcription polymerase chain reaction. Hierarchical clustering analysis of the microarray data showed that these differentially expressed miRNAs could distinguish fetuses modeling spina biifda from control fetuses. Our bioinformatics analysis suggested that these differentially expressed miRNAs were associated with many cytological pathways, in-cluding a nervous system development signaling pathway. These ifndings indicate that further studies are warranted examining the role of miRNAs through their regulation of a variety of cell functional pathways in the pathogenesis of spina biifda. Such studies may provide novel targets for the early diagnosis and treatment of spina biifda.

  16. Preliminary study of novel, timed walking tests for children with spina bifida or cerebral palsy

    Science.gov (United States)

    Kane, Kyra J; Lanovaz, Joel; Bisaro, Derek; Oates, Alison; Musselman, Kristin E

    2016-01-01

    Objective: Walking assessment is an important aspect of rehabilitation practice; yet, clinicians have few psychometrically sound options for evaluating walking in highly ambulatory children. The purpose of this study was to evaluate the validity and reliability of two new measures of walking function—the Obstacles and Curb tests—relative to the 10-Meter Walk test and Timed Up and Go test in children with spina bifida or cerebral palsy. Methods: A total of 16 ambulatory children with spina bifida (n=9) or cerebral palsy (n=7) (9 boys; mean age 7years, 7months; standard deviation 3years, 4months) and 16 age- and gender-matched typically developing children participated. Children completed the walking tests, at both self-selected and fast speeds, twice. To evaluate discriminative validity, scores were compared between typically developing and spina bifida/cerebral palsy groups. Within the spina bifida/cerebral palsy group, inter-test correlations evaluated convergent validity and intraclass correlation coefficients evaluated within-session test–retest reliability. Results: At fast speeds, all tests showed discriminative validity (p<0.006 for typically developing and spina bifida/cerebral palsy comparisons) and convergent validity (rho=0.81–0.90, p⩽0.001, for inter-test correlations). At self-selected speeds, only the Obstacles test discriminated between groups (p=0.001). Moderately strong correlations (rho=0.73–0.78, p⩽0.001) were seen between the 10-Meter Walk test, Curb test, and Timed Up and Go test. Intraclass correlation coefficients ranged from 0.81 to 0.97, with higher test–retest reliability for tests performed at fast speeds rather than self-selected speeds. Conclusion: The Obstacles and Curb tests are promising measures for assessing walking in this population. Performing tests at fast walking speeds may improve their validity and test–retest reliability for children with spina bifida/cerebral palsy. PMID:27493754

  17. Monte Carlo methods

    OpenAIRE

    Bardenet, R.

    2012-01-01

    ISBN:978-2-7598-1032-1; International audience; Bayesian inference often requires integrating some function with respect to a posterior distribution. Monte Carlo methods are sampling algorithms that allow to compute these integrals numerically when they are not analytically tractable. We review here the basic principles and the most common Monte Carlo algorithms, among which rejection sampling, importance sampling and Monte Carlo Markov chain (MCMC) methods. We give intuition on the theoretic...

  18. Dental eruption in afrotherian mammals

    Directory of Open Access Journals (Sweden)

    Lehmann Thomas

    2008-03-01

    Full Text Available Abstract Background Afrotheria comprises a newly recognized clade of mammals with strong molecular evidence for its monophyly. In contrast, morphological data uniting its diverse constituents, including elephants, sea cows, hyraxes, aardvarks, sengis, tenrecs and golden moles, have been difficult to identify. Here, we suggest relatively late eruption of the permanent dentition as a shared characteristic of afrotherian mammals. This characteristic and other features (such as vertebral anomalies and testicondy recall the phenotype of a human genetic pathology (cleidocranial dysplasia, correlations with which have not been explored previously in the context of character evolution within the recently established phylogeny of living mammalian clades. Results Although data on the absolute timing of eruption in sengis, golden moles and tenrecs are still unknown, craniometric comparisons for ontogenetic series of these taxa show that considerable skull growth takes place prior to the complete eruption of the permanent cheek teeth. Specimens showing less than half (sengis, golden moles or two-thirds (tenrecs, hyraxes of their permanent cheek teeth reach or exceed the median jaw length of conspecifics with a complete dentition. With few exceptions, afrotherians are closer to median adult jaw length with fewer erupted, permanent cheek teeth than comparable stages of non-afrotherians. Manatees (but not dugongs, elephants and hyraxes with known age data show eruption of permanent teeth late in ontogeny relative to other mammals. While the occurrence of delayed eruption, vertebral anomalies and other potential afrotherian synapomorphies resemble some symptoms of a human genetic pathology, these characteristics do not appear to covary significantly among mammalian clades. Conclusion Morphological characteristics shared by such physically disparate animals such as elephants and golden moles are not easy to recognize, but are now known to include late eruption

  19. Exploring Monte Carlo methods

    CERN Document Server

    Dunn, William L

    2012-01-01

    Exploring Monte Carlo Methods is a basic text that describes the numerical methods that have come to be known as "Monte Carlo." The book treats the subject generically through the first eight chapters and, thus, should be of use to anyone who wants to learn to use Monte Carlo. The next two chapters focus on applications in nuclear engineering, which are illustrative of uses in other fields. Five appendices are included, which provide useful information on probability distributions, general-purpose Monte Carlo codes for radiation transport, and other matters. The famous "Buffon's needle proble

  20. Computed tomography in the evaluation and management of patients with spina bifida

    Energy Technology Data Exchange (ETDEWEB)

    Hammock, M.K.; Milhorat, T.H.; Brallier, D.R.

    1981-12-01

    Computed tomography (CT) has fundamentally altered our approach to the initial evaluation and follow-up of patients with spina bifida. This safe and simple, non-invasive diagnostic technique has doubtlessly encouraged earlier diagnosis of clinically significant problems associated with spina bifida and has greatly facilitated the day-to-day management of those patients with documented disorders. CT is now effectively employed as a screening measure for both intraspinal and intracranial problems and can be relied upon to objectively guide and monitor elected modes of therapy.

  1. Biparietal diameter at 11-13 weeks' gestation in fetuses with open spina bifida.

    Science.gov (United States)

    Khalil, A; Coates, A; Papageorghiou, A; Bhide, A; Thilaganathan, B

    2013-10-01

    To ascertain the reported association between reduced biparietal diameter (BPD) at 11-13 weeks' gestation and open spina bifida and to investigate its predictive value in a single-center study. This was a retrospective study of fetuses in which BPD was measured at 11-13 weeks' gestation, including 27 fetuses with isolated open spina bifida subsequently diagnosed at 16-24 weeks and 7775 unaffected controls. BPD values were converted into multiples of the expected median (MoM) after adjustment for crown-rump length and maternal characteristics. Multivariable logistic regression analysis was used to determine the maternal characteristics significantly associated with spina bifida. The performance of screening was determined by receiver-operating characteristics curve analysis. BPD values at 11-13 weeks' gestation were compared with those measured in the second trimester using Z-scores. BPD values at 11-13 weeks' gestation were below the 5(th) centile in 44.4% of cases of open spina bifida. In these fetuses, the median BPD MoM value was significantly smaller than that in the control group (0.930 vs 0.998 MoM; P spina bifida. The detection rate using BPD measurements in the first trimester was 55.6% with a false-positive rate of 11.6%. In fetuses with open spina bifida, the BPD Z-scores were significantly lower at 16-24 weeks compared to those recorded at 11-13 weeks (median, -1.71 (range, -3.98 to -0.20) vs -1.30 (-3.75 to 2.61); P = 0.006). Fetuses with open spina bifida have a smaller BPD in the first trimester. This observation may be useful in early screening. It is likely that a combination of maternal characteristics such as age and BMI, fetal BPD and maternal serum alpha-fetoprotein measured in the first trimester would provide a clinically useful screening test for open spina bifida. Copyright © 2013 ISUOG. Published by John Wiley & Sons Ltd.

  2. Analysis of electromyographic activities of the lumbar erector spinae caused by inversion traction

    OpenAIRE

    Kim, Chung Yoo; Kang, Jong Ho

    2016-01-01

    [Purpose] The purpose of this study was to analyze changes in the electromyographic activities of the lumbar erector spinae caused by inversion traction in order to verify the relaxation effect. [Subjects and Methods] The subjects included 60 healthy male adults who were equally and randomly assigned to a 30–30° group, a 30–60° group, and a 60–60° group. Inversion traction was performed for six minutes, and the electromyographic activities of the lumbar erector spinae (L2, L4) were measured b...

  3. Diclofenac Induced Fixed Drug Eruption

    Directory of Open Access Journals (Sweden)

    Dr. Umeshchandra C Honnaddi

    2016-02-01

    Full Text Available Background: Diclofenac is the most commonly used non-steroidal anti-inflammatory drug (NSAID for treating various inflammatory and painful conditions. It is generally well tolerated; gastric upset is the most common adverse effect. However very few cases of fixed drug eruptions were reported. Here we present a case of Diclofenac Induced Fixed Drug Eruption. A 62 year old male patient developed fixed drug eruptions with plaques on left thigh two days after receiving diclofenac for osteoarthritic pain. Other etiologies including insect bite, infections were ruled out. One week later after stopping the drug, the lesions were subsided. Diclofenac was strongly suspected as the casual drug. CD8+ effector T-cells have shown to play an important role. However it seems to be a reversible and drug related event. Although it is not life-threatening, fixed drug eruption can have significant effect on the quality of life of patients.Conclusion: Diclofenac is one of the most commonly prescribed NSAIDs by the Physicians. It is usually well tolerated, gastric upset is the most common adverse effect noted with this drug. This case is being reported to highlight a drug as safe as Diclofenac may also be associated with Fixed Drug Eruptions.

  4. Automated detection of solar eruptions

    Directory of Open Access Journals (Sweden)

    Hurlburt N.

    2015-01-01

    Full Text Available Observation of the solar atmosphere reveals a wide range of motions, from small scale jets and spicules to global-scale coronal mass ejections (CMEs. Identifying and characterizing these motions are essential to advancing our understanding of the drivers of space weather. Both automated and visual identifications are currently used in identifying Coronal Mass Ejections. To date, eruptions near the solar surface, which may be precursors to CMEs, have been identified primarily by visual inspection. Here we report on Eruption Patrol (EP: a software module that is designed to automatically identify eruptions from data collected by the Atmospheric Imaging Assembly on the Solar Dynamics Observatory (SDO/AIA. We describe the method underlying the module and compare its results to previous identifications found in the Heliophysics Event Knowledgebase. EP identifies eruptions events that are consistent with those found by human annotations, but in a significantly more consistent and quantitative manner. Eruptions are found to be distributed within 15 Mm of the solar surface. They possess peak speeds ranging from 4 to 100 km/s and display a power-law probability distribution over that range. These characteristics are consistent with previous observations of prominences.

  5. The 1631 eruption of Vesuvius

    Science.gov (United States)

    Rolandi, G.; Barrella, A. M.; Borrelli, A.

    1993-11-01

    Contemporary accounts of the violent eruption of Vesuvius in 1631 are reviewed, and recorded events are correlated with resulting volcanic deposits. Field study of the deposits in the proximal area revealed the presence of tephra falls, pyroclastic flows and lava, with subordinate surge deposits. A total volume of 1.1 km 3 (0.55 km 3 DRE) of phono-tephritic to phonolitic magma was ejected during 24 hours. The different magma compositions correspond with a transition from a lower, white, aphyric, highly vesiculated pumice (layer 1) to an upper, gray, crystal-rich, poorly vesiculated pumice (layer 3), showing reverse grading. Isopach and isopleth maps of the tephra-falls have been constructed to determine changes in the eruptive style and temporal evolution of the eruption column which reached a maximum height of 16 to 28 km. The recorded column height variations show a change in the mass discharge rate (8.9 × 10 6 kg/s to 8.2 × 10 7 kg/s) and the occurrence of pyroclastic flows during the deposition of the weakly vesiculated, dense pumice of the upper part of layer 3. Pyroclastic flows are crystal-rich and show St. Vincent-type features. The explosive phase demolished the upper part of the pre-existing cone, and debris flows invaded the southern side of the volcano. In the afternoon of December 17, 1631 an outbreak of lava flow from a southern lateral fracture system occurred, and effusion of lava continued up to midnight of December 18. Intermittent steam blasts continued to the end of December, when the eruption ended and Mount Vesuvius entered a solfataric phase. The earthquakes that had marked both the pre-eruptive and eruptive phases, continued, however, well into March 1632.

  6. Erupted odontoma: a case report.

    Science.gov (United States)

    Raval, Nilesh; Mehta, Dhaval; Vachhrajani, Kanan; Nimavat, Abhishek

    2014-07-01

    Odontomas are nonaggressive, hamartomatous developmental malformations or lesions of odontogenic origin, which consist of enamel, dentin, cementum and pulpal tissue 'Erupted odontoma' is a term used to specifically denote odontomas, which are exposed into the oral cavity. These are rare entities with only 25-30 cases being reported so far in the dental literature. Here, we present a rare case of an erupted odontoma in an adolescent patient who came with a complaint of bad aesthetics due to the presence of multiple small teeth like structures in the upper front teeth region.

  7. Io - One of at Least Four Simultaneous Erupting Volcanic Eruptions

    Science.gov (United States)

    1979-01-01

    This photo of an active volcanic eruption on Jupiter's satellite Io was taken 1 hour, 52 minutes after the accompanying picture, late in the evening of March 4, 1979, Pacific time. On the limb of the satellite can be seen one of at least four simultaneous volcanic eruptions -- the first such activity ever observed on another celestial body. Seen against the limb are plume-like structures rising more than 60 miles (100 kilometers) above the surface. Several eruptions have been identified with volcanic structures on the surface of Io, which have also been identified by Voyager 1's infrared instrument as being abnormally hot -- several hundred degrees warmer than surrounding terrain. The fact that several eruptions appear to be occurring at the same time suggests that Io has the most active surface in the solar system and that volcanism is going on there essentially continuously. Another characteristic of the observed volcanism is that it appears to be extremely explosive, with velocities more than 2,000 miles an hour (at least 1 kilometer per second). That is more violent than terrestrial volcanoes like Etna, Vesuvius or Krakatoa.

  8. A model for magnetically coupled sympathetic eruptions

    CERN Document Server

    Torok, T; Titov, V S; Mikic, Z; Reeves, K K; Velli, M; Linker, J A; De Toma, G

    2011-01-01

    Sympathetic eruptions on the Sun have been observed for several decades, but the mechanisms by which one eruption can trigger another one remain poorly understood. We present a 3D MHD simulation that suggests two possible magnetic trigger mechanisms for sympathetic eruptions. We consider a configuration that contains two coronal flux ropes located within a pseudo-streamer and one rope located next to it. A sequence of eruptions is initiated by triggering the eruption of the flux rope next to the streamer. The expansion of the rope leads to two consecutive reconnection events, each of which triggers the eruption of a flux rope by removing a sufficient amount of overlying flux. The simulation qualitatively reproduces important aspects of the global sympathetic event on 2010 August 1 and provides a scenario for so-called twin filament eruptions. The suggested mechanisms are applicable also for sympathetic eruptions occurring in other magnetic configurations.

  9. Early antenatal diagnosis of spina bifida presenting with a "step" in the posterior contour of an 8-week embryo.

    Science.gov (United States)

    Lulla, Chander; Hegde, Amogh; Shah, Jatin; Sheth, Jayesh

    2008-01-01

    We report a case of spina bifida in the upper thoracic spine with an accompanying meningocoele suspected at 8 weeks' gestation via transvaginal sonography and confirmed at 13 weeks' gestation via 3-dimensional sonography. The fetal cranial vault and intracranial structures were normal. The only finding in the 8-week sonogram was a subtle angulation or "step" in the posterior contour of the embryo; this may be attributed to kyphosis, which often accompanies this condition. The presence of a "step" in the fetal contour must alert the sonologist to the possibility of spina bifida. To our knowledge, this is the earliest antenatal diagnosis of spina bifida. (c) 2007 Wiley Periodicals, Inc.

  10. Diffusion tensor magnetic resonance imaging and fiber tractography of the sacral plexus in children with spina bifida

    DEFF Research Database (Denmark)

    Haakma, Wieke; Dik, Pieter; ten Haken, Bennie

    2014-01-01

    anatomical and microstructural properties of the sacral plexus of patients with spina bifida using diffusion tensor imaging and fiber tractography. MATERIALS AND METHODS: Ten patients 8 to 16 years old with spina bifida underwent diffusion tensor imaging on a 3 Tesla magnetic resonance imaging system...... diffusivity values at S1-S3 were significantly lower in patients. CONCLUSIONS: To our knowledge this 3 Tesla magnetic resonance imaging study showed for the first time sacral plexus asymmetry and disorganization in 10 patients with spina bifida using diffusion tensor imaging and fiber tractography...

  11. In spina bifida aperta, muscle ultrasound can quantify the "second hit of damage"

    NARCIS (Netherlands)

    Verbeek, R. J.; van der Hoeven, J. H.; Maurits, N. M.; Brouwer, O. F.; Hoving, Eelco; Sival, D.A.

    2013-01-01

    In spina bifida aperta (SBA), the "second-hit hypothesis" addresses consequences by delayed neurological damage superimposed upon the congenital myelomeningocele (MMC). This secondary damage is postulated to underlie the disappearance of leg movements shortly after birth. Innovative fetal surgery mi

  12. VISUAL ASSESSMENT OF SEGMENTAL MUSCLE ULTRASOUND IMAGES IN SPINA BIFIDA APERTA

    NARCIS (Netherlands)

    Brandsma, Rick; Verbeek, Renate J; Maurits, Natasha M; Hamminga, Janneke T; Brouwer, Oebele F; van der Hoeven, Johannes H; Burger, Huibert; Sival, Deborah A

    2012-01-01

    In spina bifida aperta (SBA), spinal MRI provides a surrogate marker to estimate muscle damage caudal to the myelomeningocele (MMC). This muscle damage by the MMC can be quantified by intra-individual comparison of muscle ultrasound density (MUD) caudal versus cranial to the MMC (dMUD 5 [MUDcaudal-t

  13. Work participation among young adults with spina bifida in the Netherlands

    NARCIS (Netherlands)

    van Mechelen, M. C.; Verhoef, M.; van Asbeck, F. W. A.; Post, M. W. M.

    2008-01-01

    The aim of this study was to: (1) assess work participation among young adults with spina bifida, (2) identify problems perceived in finding employment, and (3) examine which determinants are related to work participation. This cross-sectional study was a follow-up study to the Adolescents with SPin

  14. Quality of Life in Individuals with Spina Bifida: A Research Update

    Science.gov (United States)

    Sawin, Kathleen J.; Bellin, Melissa H.

    2010-01-01

    Quality of life (QOL) is an important concept for individuals with chronic health conditions. Measuring and supporting QOL in children, adolescents, and adults with spina bifida (SB) may be especially unique given the broad range of complex health and rehabilitative challenges they encounter. This article provides a research update on (a)…

  15. Inferential Ability in Children with Cerebral Palsy, Spina Bifida and Pragmatic Language Impairment

    Science.gov (United States)

    Holck, Pernille; Sandberg, Annika Dahlgren; Nettelbladt, Ulrika

    2010-01-01

    The aim of the study was to investigate and compare the ability to make inferences in three groups of children ranging from 5;2 to 10;9 years: 10 children with cerebral palsy (CP), 10 children with spina bifida and hydrocephalus (SBH) and 10 children with pragmatic language impairment (PLI). The relationship between inferential and literal…

  16. The results of Grice Green subtalar arthrodesis of valgus foot in spina bifida

    Directory of Open Access Journals (Sweden)

    Fatih Küçükdurmaz

    2012-01-01

    Full Text Available Background: Valgus foot is a common foot deformity in spina bifida. The most popular operation for the valgus deformity has been the Grice talocalcaneal blocking. It has not been studied primarily in children with spina bifida. We report a prospective series, we present the results of hind foot valgus deformity of children with spina bifida, using Grice talocalcaneal arthrodesis with a tricortical iliac bone graft. Materials and Methods: Between May 2000 and December 2003, 21 patients with bilateral (42 feet valgus deformity of feet underwent surgery. There were 7 males and 14 females. The mean age of patients was 67.7 months (range 50-108 months. Results: The total number of feet that had nonunion was 11, in 7 of them the grafts were completely reabsorbed and the outcome of all these feet was unsatisfactory. Four feet had partial union of which three had unsatisfactory and one had satisfactory outcome. Sixteen feet had residual valgus deformity at the last followup visit, 10 patients had nonunion, and 6 had inadequate correction. Mean preoperative talocalcaneal and calcaneal pitch angles were 48.5΀ and 31.9΀, respectively, which decreased to 38.5΀ and 29.1΀, respectively, postoperatively. The decrease in talocalcaneal angle and calcaneal pitch was significant between preoperative and postoperative measurements (P<0.05. Conclusion: Grice subtalar arthrodesis technique is still a valuable option for valgus foot in patients with spina bifida. In this study, we found more encouraging results in older patients.

  17. The Influence of Juggling on Mental Rotation Performance in Children with Spina Bifida

    Science.gov (United States)

    Lehmann, Jennifer; Jansen, Petra

    2012-01-01

    This study examined the influence of juggling training on mental rotation ability in children with spina bifida. Children between the ages of 8 and 12 solved a chronometric mental rotation test. Half of the children received juggling training (EG) over an 8 week time period; the other half did not receive training (CG). Afterwards, all…

  18. Anomalous Development of Brain Structure and Function in Spina Bifida Myelomeningocele

    Science.gov (United States)

    Juranek, Jenifer; Salman, Michael S.

    2010-01-01

    Spina bifida myelomeningocele (SBM) is a specific type of neural tube defect whereby the open neural tube at the level of the spinal cord alters brain development during early stages of gestation. Some structural anomalies are virtually unique to individuals with SBM, including a complex pattern of cerebellar dysplasia known as the Chiari II…

  19. The Effects of Cognitive Strategy Instruction on the Mathematical Problem Solving of Adolescents with Spina Bifida

    Science.gov (United States)

    Coughlin, Judy; Montague, Marjorie

    2011-01-01

    This study investigated the effects of cognitive strategy instruction on the mathematical problem solving of three adolescents with spina bifida. Conditions of the multiple-baseline across-individuals design included baseline, two levels of treatment, posttesting, and maintenance. Treatment 1 focused on one-step math problems, and Treatment 2…

  20. Spina bifida: implications for cognitive functioning, disability and health in young adults

    NARCIS (Netherlands)

    Barf, H.A.

    2008-01-01

    Spina bifida is a developmental birth defect involving the neural tube. It can result in a variety of problems, amongst them incontinence, restrictions of mobility and restrictions of cognitive functioning, depending on the severity of the defect. Due to improvements in medical care, the life expect

  1. Children with Cerebral Palsy, Spina Bifida and Pragmatic Language Impairment: Differences and Similarities in Pragmatic Ability

    Science.gov (United States)

    Holck, Pernille; Nettelbladt, Ulrika; Sandberg, Annika Dahlgren

    2009-01-01

    Pragmatically related abilities were studied in three clinical groups of children from 5 to 11 years of age; children with cerebral palsy (CP; n = 10), children with spina bifida and hydrocephalus (SBH; n = 10) and children with pragmatic language impairment (PLI; n = 10), in order to explore pragmatic abilities within each group. A range of…

  2. Mother and Child Depressive Symptoms in Youth with Spina Bifida: Additive, Moderator, and Mediator Models

    Science.gov (United States)

    Schellinger, Kriston B.; Holmbeck, Grayson N.; Essner, Bonnie S.; Alvarez, Renae

    2012-01-01

    The purpose of the study was to examine the extent to which parenting behaviors influence the relation between maternal and child depressive symptoms in youth with spina bifida and a comparison sample. Previous research has found that maternal depression not only negatively impacts the mother-child relationship, but also places the child at risk…

  3. Role of Early Parenting and Motor Skills on Development in Children with Spina Bifida

    Science.gov (United States)

    Lomax-Bream, Laura E.; Taylor, Heather B.; Landry, Susan H.; Barnes, Marcia A.; Fletcher, Jack M.; Swank, Paul

    2007-01-01

    The impact of parenting and motor skills on the development of cognitive, language, and daily living skills was examined in 165 children (91 with spina bifida, SB), from 6-36 months of age. Motor scores significantly influenced cognitive, language, and daily living skills. Higher quality parenting was associated with higher levels of development…

  4. Home screening for bacteriuria in children with spina bifida and clean intermittent catheterization

    Directory of Open Access Journals (Sweden)

    Zegers Bas SHJ

    2012-10-01

    Full Text Available Abstract Background Significant bacteriuria (SBU and urinary tract infections (UTIs are common in patients with spina bifida and neuropathic detrusor sphincter dysfunction. Laboratory agar plated culture is the gold standard to establish SBU. It has the disadvantage of diagnostic and subsequent therapeutic delay. Leukocyte esterase tests (LETs and dip slides proved to be useful in the general populations to exclude SBU and UTI. The aim of this study was to evaluate the reliability of LET and dip slide in children with spina bifida without symptoms of UTI. The reliability in children with asymptomatic SBU was not studied before. Methods In one hundred and twelve children with spina bifida on clean intermittent catheterization LETs and dip slides were compared with laboratory cultures. Both tests and agar plated cultures were performed on catheterized urine samples. The hypothesis was that the home tests are as accurate as laboratory cultures. Results A SBU was found in 45 (40% of the 112 laboratory cultures. A negative LET excluded SBU (negative predictive value 96%, while a positive LET had a positive predictive value of 72%. The false positive rate was 28%. Dip slide determination of bacterial growth had no added value, other than serving as transport medium. Conclusions In spina bifida children, leukocyte esterase testing can be used to exclude significant bacteriuria at home, while dip slide tests have no added value to diagnose or exclude significant bacteriuria.

  5. Health Risk Behaviors in Spina Bifida: The Need for Clinical and Policy Action

    Science.gov (United States)

    Sawin, Kathleen J.; Brei, Timothy J.

    2012-01-01

    Health risk behaviors (HRBs) in adults with spina bifida such as poor diet, reduced physical activity, increased television viewing time, and substance abuse often have their genesis in early childhood. They are potentially preventable but if not addressed aggressively may continue to progress across the lifespan. Findings from a population-based…

  6. Risk and Protective Influences in the Lives of Siblings of Youths with Spina Bifida

    Science.gov (United States)

    Bellin, Melissa H.; Kovacs, Pamela J.; Sawin, Kathleen J.

    2008-01-01

    The impact of childhood chronic health conditions like spina bifida (SB) is a shared family experience. However, the lived experience of siblings is not well known. One hundred and fifty-five brothers and sisters of a child with SB responded to an open-ended question included in an anonymous self-administered mail questionnaire designed to enhance…

  7. Transition to Adult Health Care for Adolescents with Spina Bifida: Research Issues

    Science.gov (United States)

    Sawyer, Susan M.; Macnee, Sarah

    2010-01-01

    The increasing survival of children and young people with congenital disabilities such as spina bifida (SB) provides a challenge to health care systems globally about how best to respond to the multitude of health, developmental, and psychosocial needs of those affected by this complex disorder across the lifespan, not just in childhood and…

  8. Epidemiologic and Genetic Aspects of Spina Bifida and Other Neural Tube Defects

    Science.gov (United States)

    Au, Kit Sing; Ashley-Koch, Allison; Northrup, Hope

    2010-01-01

    The worldwide incidence of neural tube defects (NTDs) ranges from 1.0 to 10.0 per 1,000 births with almost equal frequencies between two major categories: anencephaly and spina bifida (SB). Epidemiological studies have provided valuable insight for (a) researchers to identify nongenetic and genetic factors contributing to etiology, (b) public…

  9. Comparison of the Electromyographic Activation Level and Unilateral Selectivity of Erector Spinae during Different Selected Movements

    Science.gov (United States)

    Guo, Lan-Yuen; Wang, Yu-Lin; Huang, Yu-Han; Yang, Chich-Haung; Hou, Yi-You; Harn, Hans I-Chen; You, Yu-Lin

    2012-01-01

    For patients with scoliosis, core stabilization exercises may be beneficial in improving muscle strength and trunk dynamic control. However, few studies have examined whether the erector spinae (ES) activation status during unilateral spinal extensor strengthening meets the guideline for patients with spinal scoliosis. To determine ES activation…

  10. Spinal fusion in children with spina bifida : influence on ambulation level and functional abilities

    NARCIS (Netherlands)

    Schoenmakers, MAGC; Gulmans, VAM; Gooskens, RHJM; Pruijs, JEH; Helders, PJM

    The aim of this study was to determine the influence of spinal fusion on ambulation and functional abilities in children with spina bifida for whom early mobilization was stimulated. Ten children (three males and seven females) with myelomeningocele were prospectively followed. Their mean age at

  11. Inferential Ability in Children with Cerebral Palsy, Spina Bifida and Pragmatic Language Impairment

    Science.gov (United States)

    Holck, Pernille; Sandberg, Annika Dahlgren; Nettelbladt, Ulrika

    2010-01-01

    The aim of the study was to investigate and compare the ability to make inferences in three groups of children ranging from 5;2 to 10;9 years: 10 children with cerebral palsy (CP), 10 children with spina bifida and hydrocephalus (SBH) and 10 children with pragmatic language impairment (PLI). The relationship between inferential and literal…

  12. Exploring psychosocial correlates of physical activity among children and adolescents with spina bifida.

    Science.gov (United States)

    Marques, Adilson; Maldonado, Inês; Peralta, Miguel; Santos, Sofia

    2015-01-01

    To enhance physical activity of children with spina bifida, it is important to investigate the correlates of physical activity to support the development of interventions to promote active lifestyles. This study aimed to identify psychosocial correlates of physical activity among children and adolescents with spina bifida. A survey was conducted with 31 students (15 boys), aged 10-17 years with spina bifida. A questionnaire was used to collect data of physical activity, demographic and psychosocial variables (attitudes, sports goal orientation and perceptions). Unadjusted and adjusted binary logistic regressions were performed to examine the relationship of psychosocial factors and physical activity participation. Data were collected in 2013. Only 38.7% reported to participate in both organized and non-organized physical activity. Results showed no relationship between participation in organized and non-organized physical activity and psychosocial correlates. The result of the adjusted regression analysis show that perception of competence (OR = 9.55, 1.06-85.99, p spina bifida. Copyright © 2015 Elsevier Inc. All rights reserved.

  13. Epidemiologic and Genetic Aspects of Spina Bifida and Other Neural Tube Defects

    Science.gov (United States)

    Au, Kit Sing; Ashley-Koch, Allison; Northrup, Hope

    2010-01-01

    The worldwide incidence of neural tube defects (NTDs) ranges from 1.0 to 10.0 per 1,000 births with almost equal frequencies between two major categories: anencephaly and spina bifida (SB). Epidemiological studies have provided valuable insight for (a) researchers to identify nongenetic and genetic factors contributing to etiology, (b) public…

  14. The Management and Education of Children with Spina Bifida and Hydrocephalus.

    Science.gov (United States)

    Andrews, Robert J.; Elkins, John

    The report describes the population of children in Australia with spina bifida and/or hydrocephalus, notes their needs and characteristics, reviews their school placement and social circumstances, and considers future educational services for them. Initial chapters review the literature on medical, psychoeducational, and social-family aspects of…

  15. Work participation among young adults with spina bifida in the Netherlands

    NARCIS (Netherlands)

    van Mechelen, M. C.; Verhoef, M.; van Asbeck, F. W. A.; Post, M. W. M.

    2008-01-01

    The aim of this study was to: (1) assess work participation among young adults with spina bifida, (2) identify problems perceived in finding employment, and (3) examine which determinants are related to work participation. This cross-sectional study was a follow-up study to the Adolescents with

  16. Implementation of an inter-agency transition model for youth with spina bifida.

    Science.gov (United States)

    Lindsay, S; Cruickshank, H; McPherson, A C; Maxwell, J

    2016-03-01

    To address gaps in transfer of care and transition support, a paediatric hospital and adult community health care centre partnered to implement an inter-agency transition model for youth with spina bifida. Our objective was to understand the enablers and challenges experienced in the implementation of the model. Using a descriptive, qualitative design, we conducted semi-structured interviews, in-person or over the phone, with 12 clinicians and nine key informants involved in implementing the spina bifida transition model. We recruited all 21 participants from an urban area of Ontario, Canada. Clinicians and key informants experienced several enablers and challenges in implementing the spina bifida transition model. Enablers included dedicated leadership, advocacy, funding, inter-agency partnerships, cross-appointed staff and gaps in co-ordinated care to connect youth to adult services. Challenges included gaps in the availability of adult specialty services, limited geographical catchment of adult services, limited engagement of front-line staff, gaps in communication and role clarity. Although the transition model has realized some initial successes, there are still many challenges to overcome in transferring youth with spina bifida to adult health care and transitioning to adulthood. © 2015 John Wiley & Sons Ltd.

  17. Children with Cerebral Palsy, Spina Bifida and Pragmatic Language Impairment: Differences and Similarities in Pragmatic Ability

    Science.gov (United States)

    Holck, Pernille; Nettelbladt, Ulrika; Sandberg, Annika Dahlgren

    2009-01-01

    Pragmatically related abilities were studied in three clinical groups of children from 5 to 11 years of age; children with cerebral palsy (CP; n = 10), children with spina bifida and hydrocephalus (SBH; n = 10) and children with pragmatic language impairment (PLI; n = 10), in order to explore pragmatic abilities within each group. A range of…

  18. Quality of Life in Individuals with Spina Bifida: A Research Update

    Science.gov (United States)

    Sawin, Kathleen J.; Bellin, Melissa H.

    2010-01-01

    Quality of life (QOL) is an important concept for individuals with chronic health conditions. Measuring and supporting QOL in children, adolescents, and adults with spina bifida (SB) may be especially unique given the broad range of complex health and rehabilitative challenges they encounter. This article provides a research update on (a)…

  19. Mother and Child Depressive Symptoms in Youth with Spina Bifida: Additive, Moderator, and Mediator Models

    Science.gov (United States)

    Schellinger, Kriston B.; Holmbeck, Grayson N.; Essner, Bonnie S.; Alvarez, Renae

    2012-01-01

    The purpose of the study was to examine the extent to which parenting behaviors influence the relation between maternal and child depressive symptoms in youth with spina bifida and a comparison sample. Previous research has found that maternal depression not only negatively impacts the mother-child relationship, but also places the child at risk…

  20. Spina bifida and genetic factors related to myo-inositol, glucose, and zinc.

    NARCIS (Netherlands)

    Groenen, P.; Klootwijk, E.D.; Schijvenaars, M.M.V.A.P.; Straatman, H.M.P.M.; Mariman, E.C.M.; Franke, B.; Steegers-Theunissen, R.P.M.

    2004-01-01

    BACKGROUND: Myo-inositol, glucose and zinc and related genetic factors are suggested to be implicated in the etiology of spina bifida. We investigated the biochemical concentrations of these nutrients and polymorphisms in the myo-inositol transporter SLC5A11, myo-inositol synthase ISYNA1, and zinc

  1. The Influence of Juggling on Mental Rotation Performance in Children with Spina Bifida

    Science.gov (United States)

    Lehmann, Jennifer; Jansen, Petra

    2012-01-01

    This study examined the influence of juggling training on mental rotation ability in children with spina bifida. Children between the ages of 8 and 12 solved a chronometric mental rotation test. Half of the children received juggling training (EG) over an 8 week time period; the other half did not receive training (CG). Afterwards, all…

  2. The Effects of Cognitive Strategy Instruction on the Mathematical Problem Solving of Adolescents with Spina Bifida

    Science.gov (United States)

    Coughlin, Judy; Montague, Marjorie

    2011-01-01

    This study investigated the effects of cognitive strategy instruction on the mathematical problem solving of three adolescents with spina bifida. Conditions of the multiple-baseline across-individuals design included baseline, two levels of treatment, posttesting, and maintenance. Treatment 1 focused on one-step math problems, and Treatment 2…

  3. Transition to Adult Health Care for Adolescents with Spina Bifida: Research Issues

    Science.gov (United States)

    Sawyer, Susan M.; Macnee, Sarah

    2010-01-01

    The increasing survival of children and young people with congenital disabilities such as spina bifida (SB) provides a challenge to health care systems globally about how best to respond to the multitude of health, developmental, and psychosocial needs of those affected by this complex disorder across the lifespan, not just in childhood and…

  4. Risk and Protective Influences in the Lives of Siblings of Youths with Spina Bifida

    Science.gov (United States)

    Bellin, Melissa H.; Kovacs, Pamela J.; Sawin, Kathleen J.

    2008-01-01

    The impact of childhood chronic health conditions like spina bifida (SB) is a shared family experience. However, the lived experience of siblings is not well known. One hundred and fifty-five brothers and sisters of a child with SB responded to an open-ended question included in an anonymous self-administered mail questionnaire designed to enhance…

  5. Health Risk Behaviors in Spina Bifida: The Need for Clinical and Policy Action

    Science.gov (United States)

    Sawin, Kathleen J.; Brei, Timothy J.

    2012-01-01

    Health risk behaviors (HRBs) in adults with spina bifida such as poor diet, reduced physical activity, increased television viewing time, and substance abuse often have their genesis in early childhood. They are potentially preventable but if not addressed aggressively may continue to progress across the lifespan. Findings from a population-based…

  6. An Inframe Trinucleotide Deletion in MTRR Exon 1 is Associated with the Risk of Spina Bifida.

    Science.gov (United States)

    Zhang, Jun; Dai, Xiao-Lu; Liu, Gui-Cen; Wang, Juan; Ren, Xue-Yi; Jin, Mu-Hua; Mi, Nan-Nan; Wang, Shu-Qin

    2017-07-15

    Maternal genetic variants of enzymes in folate-homocysteine metabolic network are significantly correlative with the risk of spina bifida. To survey the genetic causality, the genotypes of three women having spina bifida fetuses from two unrelated Chinese families were screened in candidate alleles. Polymerase chain reaction, capillary electrophoresis and Sanger sequencing were employed to recognize the allelic variation. A trinucleotide deletion (c.4_6delAGG) was identified in the first exon of MTRR. All the three women showed the novel clinical variation including one heterozygous and two homozygous. The siblings who had healthy babies from the same families did not harbor the variation. In the unaffected control individuals, the variant was also not observed. Eukaryotic expression and bioinformatics techniques were utilized to explore the molecular pathogenesis of the potential genetic risk of developing spina bifida. Exceptionally, the functional examination revealed that the Arg2del variant kept subcellular localization unaltered with catalytic activity intact, but failed to efficiently activate MTR compared with the wild type. Genetic disorder of folate and homocysteine metabolism during pregnancy is believed to be associated with folate-sensitive neural tube defects. The report highlights that the inframe deletion in MTRR exon 1 could be a high risk factor susceptibility to spina bifida.

  7. Spina bifida: implications for cognitive functioning, disability and health in young adults

    NARCIS (Netherlands)

    Barf, H.A.

    2008-01-01

    Spina bifida is a developmental birth defect involving the neural tube. It can result in a variety of problems, amongst them incontinence, restrictions of mobility and restrictions of cognitive functioning, depending on the severity of the defect. Due to improvements in medical care, the life

  8. High prevalence of incontinence among young adults with spina bifida : description, prediction and problem perception

    NARCIS (Netherlands)

    Verhoef, M; Lurvink, M; Barf, HA; Post, MWM; van Asbeck, FWA; Gooskens, RHJM; Prevo, AJH

    2005-01-01

    design: Cross-sectional study. Objectives: To study the prevalence of incontinence, problem perception and determinants of urinary and faecal incontinence in young adults with spina bifida. Setting: Nation-wide study in the Netherlands. Participants: A total of 179 of 350 invited patients participat

  9. The Management and Education of Children with Spina Bifida and Hydrocephalus.

    Science.gov (United States)

    Andrews, Robert J.; Elkins, John

    The report describes the population of children in Australia with spina bifida and/or hydrocephalus, notes their needs and characteristics, reviews their school placement and social circumstances, and considers future educational services for them. Initial chapters review the literature on medical, psychoeducational, and social-family aspects of…

  10. The Arnold-Chiari Malformation and Its Implications for Individuals with Spina Bifida and Hydrocephalus.

    Science.gov (United States)

    Mittler, Joel E.

    1986-01-01

    The Arnold-Chiari malformation is present in most infants born with myelomeningocele (a form of spina bifida) and hydrocephalus. The syndrome is responsible for structural abnormalities in the brain, and peripheral nervous system. Etiology, symptoms, impact on central nervous system structures, surgical treatment, and implications for education…

  11. The results of Grice Green subtalar arthrodesis of valgus foot in spina bifida.

    Science.gov (United States)

    Küçükdurmaz, Fatih; Ağır, Ismail; Saygı, Baransel; Bezer, Murat

    2012-05-01

    Valgus foot is a common foot deformity in spina bifida. The most popular operation for the valgus deformity has been the Grice talocalcaneal blocking. It has not been studied primarily in children with spina bifida. We report a prospective series, we present the results of hind foot valgus deformity of children with spina bifida, using Grice talocalcaneal arthrodesis with a tricortical iliac bone graft. Between May 2000 and December 2003, 21 patients with bilateral (42 feet) valgus deformity of feet underwent surgery. There were 7 males and 14 females. The mean age of patients was 67.7 months (range 50-108 months). The total number of feet that had nonunion was 11, in 7 of them the grafts were completely reabsorbed and the outcome of all these feet was unsatisfactory. Four feet had partial union of which three had unsatisfactory and one had satisfactory outcome. Sixteen feet had residual valgus deformity at the last followup visit, 10 patients had nonunion, and 6 had inadequate correction. Mean preoperative talocalcaneal and calcaneal pitch angles were 48.5° and 31.9°, respectively, which decreased to 38.5° and 29.1°, respectively, postoperatively. The decrease in talocalcaneal angle and calcaneal pitch was significant between preoperative and postoperative measurements (P<0.05). Grice subtalar arthrodesis technique is still a valuable option for valgus foot in patients with spina bifida. In this study, we found more encouraging results in older patients.

  12. FORMULATION AND EVALUATION OF HERBAL SHAMPOO FROM ZIZIPHUS SPINA LEAVES EXTRACT

    Directory of Open Access Journals (Sweden)

    Ali Heyam Saad

    2011-06-01

    Full Text Available Synthetic preservatives and detergents have sometimes been the cause of adverse effects among consumers. A more radical approach in reducing the synthetic ingredients is by incorporating natural extract whose functionality is comparable with their synthetic ingredients. Selection of Ziziphus spina cristi (Z. spina cristi leaves extract was based on its particular properties such as antimicrobial and detergent activities. This study aimed to formulate a self preserving shampoo having low concentration of the detergent using Ziziphus spina cristi leaves with emphasis on safety and efficacy; will avoid the risk posed by chemical ingredients. Formulation of three investigated shampoos was prepared containing different amounts of Ziziphus spina cristi extract and sodium laureth sulfate as a surfactant. Evaluation of organoleptic, physicochemical and performance tests were performed and compared with herbal marketed product (Cedr shampoo®, Sehat Company, Iran. The results indicated that F2 and F3 produced clear shampoos and their averaged pH values were in the range of 5.59-6.25 which were suitable to retain the acidic mantle of scalp. They provided stable foam, surface tension reduction, good cleaning and wetting effect and have pseudo plastic rheological behavior. Moreover, the aesthetic attributes, such as lather and clarity were comparable with the marketed shampoos. The foam volume was on a par and formulas showed higher detergency and foaming effects than the commercial herbal one (p< 0.05. Moreover they can be considered safe to children since less chemical contents were used and no side effects observed after application.

  13. Home screening for bacteriuria in children with spina bifida and clean intermittent catheterization

    Science.gov (United States)

    2012-01-01

    Background Significant bacteriuria (SBU) and urinary tract infections (UTIs) are common in patients with spina bifida and neuropathic detrusor sphincter dysfunction. Laboratory agar plated culture is the gold standard to establish SBU. It has the disadvantage of diagnostic and subsequent therapeutic delay. Leukocyte esterase tests (LETs) and dip slides proved to be useful in the general populations to exclude SBU and UTI. The aim of this study was to evaluate the reliability of LET and dip slide in children with spina bifida without symptoms of UTI. The reliability in children with asymptomatic SBU was not studied before. Methods In one hundred and twelve children with spina bifida on clean intermittent catheterization LETs and dip slides were compared with laboratory cultures. Both tests and agar plated cultures were performed on catheterized urine samples. The hypothesis was that the home tests are as accurate as laboratory cultures. Results A SBU was found in 45 (40%) of the 112 laboratory cultures. A negative LET excluded SBU (negative predictive value 96%), while a positive LET had a positive predictive value of 72%. The false positive rate was 28%. Dip slide determination of bacterial growth had no added value, other than serving as transport medium. Conclusions In spina bifida children, leukocyte esterase testing can be used to exclude significant bacteriuria at home, while dip slide tests have no added value to diagnose or exclude significant bacteriuria. PMID:23082909

  14. Anomalous Development of Brain Structure and Function in Spina Bifida Myelomeningocele

    Science.gov (United States)

    Juranek, Jenifer; Salman, Michael S.

    2010-01-01

    Spina bifida myelomeningocele (SBM) is a specific type of neural tube defect whereby the open neural tube at the level of the spinal cord alters brain development during early stages of gestation. Some structural anomalies are virtually unique to individuals with SBM, including a complex pattern of cerebellar dysplasia known as the Chiari II…

  15. Effects of lumbar stabilization exercises on the flexion-relaxation phenomenon of the erector spinae.

    Science.gov (United States)

    Park, San-Seong; Choi, Bo-Ram

    2016-06-01

    [Purpose] This study evaluated the differences in the flexion-relaxation phenomenon (FRP) of the right and left erector spinae muscles in asymptomatic subjects and the effect of lumbar stabilization exercises on these differences. [Subjects and Methods] Twenty-six participants (12 in the exercise group and 14 in the control group) with a difference in the FRP in the right and left erector spinae muscles were recruited from among healthy students attending Silla University. The exercise group performed two lumbar stabilization exercises (back bridge exercise and hand-knee exercise) for 4 weeks. The control group did not exercise. [Results] No significant group-by-exercise interaction was found. The right and left erector spinae muscles did show a difference in FRP between the control and exercise groups (119.2 ± 69.2 and 131.1 ± 85.2 ms, respectively). In addition, the exercise group showed a significant decrease in post-exercise (50.0 ± 27.0 ms) compared to pre-exercise (112.3 ± 41.5 ms) differences in the right and left FRP. [Conclusion] These results suggest that lumbar stabilization exercises may counter asymmetry of the FRP in the erector spinae muscles, possibly preventing low back pain in the general population.

  16. Physical fitness and physical behavior in (wheelchair-using) youth with spina bifida

    NARCIS (Netherlands)

    Bloemen, M.A.T.

    2017-01-01

    Associations between low physical fitness, unfavorable physical behavior and higher cardiovascular and overall mortality are well known. Children with a physical disability like spina bifida (SB) are at high risk of decreased levels of physical fitness and unfavorable physical behavior. They seem to

  17. Spinal fusion in children with spina bifida : influence on ambulation level and functional abilities

    NARCIS (Netherlands)

    Schoenmakers, MAGC; Gulmans, VAM; Gooskens, RHJM; Pruijs, JEH; Helders, PJM

    2005-01-01

    The aim of this study was to determine the influence of spinal fusion on ambulation and functional abilities in children with spina bifida for whom early mobilization was stimulated. Ten children (three males and seven females) with myelomeningocele were prospectively followed. Their mean age at ope

  18. Relationship Between Erectores Spinae Voltage and Back-Lift Strength for Isometric, Concentric, and Eccentric Contractions

    Science.gov (United States)

    Ashton, T. Edwin J.; Singh, Mohan

    1975-01-01

    This study determined the maximal mean values for concentric and eccentric back-lift strength as well as isometric, and examined and compared the relationships between the mean peak voltage of the erectores spinae muscle(s) and maximal force exerted for the three types of muscle contractions. (RC)

  19. Spinal hemorrhages are associated with early neonatal motor function loss in human spina bifida aperta

    NARCIS (Netherlands)

    Sival, Deborah; Verbeek, R. J.; Brouwer, O. F.; Sollie, K. M.; Bos, A. F.; den Dunnen, W. F. A.

    2008-01-01

    Background: In spina bifida aperta (SBA), leg movements caudal to the meningomyelocele are present in utero, but they disappear shortly after birth. It is unclear whether leg movements disappear by impact of the neuro-developmental malformation or by superimposed traumatic damage. If superimposed tr

  20. Orofacial clefts and spina bifida: N-acetyltransferase phenotype, maternal smoking, and medication use.

    NARCIS (Netherlands)

    Rooij, I.A.L.M. van; Groenen, P.; Drongelen, M. van; Morsche, R.H.M. te; Peters, W.H.M.; Steegers-Theunissen, R.P.M.

    2002-01-01

    BACKGROUND: Orofacial clefts and spina bifida are midline defects with a multifactorial etiology. Maternal smoking and medication use periconceptionally have been studied as risk factors for these malformations. The biotransformation enzyme N-acetyltransferase 2 (NAT2), plays a part in the

  1. Multiparametric Experiment at Mt. Etna: Investigation on Both Degassing and Eruptive Dynamics

    Science.gov (United States)

    Cannata, A.; Privitera, E.

    2014-12-01

    In the framework of the MED-SUV project, a multi-parametric experiment to investigate degassing, explosive and effusive dynamics was performed at Mt. Etna volcano in July 2014. The experiment has involved the so-called "Scientific Team of NEC multi-parametric experiment" composed of researchers/technicians from different institutions in Italy, Germany and France: D. Andronico, T. Barnie, A. Boselli, M. Burton, T. Caltabiano, A. Cannata, D. Carbone, A. Chiarugi, F. Ciancitto, D. Contrafatto, S. Corradini, F. D'Amato, E. Del Bello, F. Donnadieu, F. Ferrari, A. Ferro, S. Gambino, F. Greco, A. Harris, U. Kueppers, A. La Spina, P. Labazuy, G. Leto, L. Lodato, R. Maugeri, L. Merucci, S. Moune, R. Paris, J.J. Pena Fernandez, E. Privitera, M. Queisser, T. Ricci, G. Salerno, R. Z. Sanchez, P. Scarlato, M. Sciotto, S. Scollo, L. Scuderi, J. Sesterhenn, L. Spampinato, L. Spina, J. Taddeucci, X. Wang, L. Zuccarello. The aim was two-fold: first, to study degassing processes at Etna's NE Crater (NEC); second, to investigate the activity at the eruptive fissure (EF) that opened at the base of the NEC in early-July 2014. Indeed, NEC is the main contributor to Etna's gas release, and continuously generates infrasonic events: a result of its impulsive degassing regime. Moreover, the opening of the EF offered a unique opportunity to investigate the partitioning of energy and geophysical signals between degassing, explosive and effusive sources. The field campaign involved coupled deployment of seismometers, microphones, thermopiles, a mini-UV scanner, FTIR spectrometer, SO2 camera systems, high-speed video cameras, thermal and visible cameras, gravimeters, tiltmeters, drones, laser HCl sensor, Lidar and satellite data. Moreover, this experiment gave the opportunity to test the prototype of a DIAL for volcanic CO2 sensing the first time in a volcanic environment. Gathered information were integrated with data simultaneously recorded by the permanent networks run by Istituto Nazionale

  2. About the Mechanism of Volcanic Eruptions

    CERN Document Server

    Nechayev, Andrei

    2012-01-01

    A new approach to the volcanic eruption theory is proposed. It is based on a simple physical mechanism of the imbalance in the system "magma-crust-fluid". This mechanism helps to explain from unified positions the different types of volcanic eruptions. A criterion of imbalance and magma eruption is derived. Stratovolcano and caldera formation is analyzed. High explosive eruptions of the silicic magma is discussed

  3. Eruption cysts: A series of two cases

    Directory of Open Access Journals (Sweden)

    Preeti Dhawan

    2012-01-01

    Full Text Available Eruption cysts are benign cysts that appear on the mucosa of a tooth shortly before its eruption. They may disappear by themselves but if they hurt, bleed or are infected they may require surgical treatment to expose the tooth and drain the contents. Here we present 2 case reports of eruption cysts presenting with different chief complaint. The treatment included incising the eruption cyst and draining the contents of the cyst.

  4. An Unusual Case Report of Erupted Odontoma

    Directory of Open Access Journals (Sweden)

    Dhaval Mehta

    2013-01-01

    Full Text Available Odontomas are the most common of the odontogenic tumors of the jaws, which are benign, slow growing, and nonaggressive. They are usually asymptomatic and found in routine dental radiographic examination. Odontomas are usually associated with tooth eruption disturbances. Eruption of odontoma in oral cavity is rare entity. Here we report a case of an unusual erupted compound odontoma.

  5. Scorecard for spina bifida research, prevention, and policy - A development process.

    Science.gov (United States)

    Kancherla, Vijaya; Walani, Salimah R; Weakland, Aliki P; Bauwens, Lieven; Oakley, Godfrey P; Warf, Benjamin C

    2017-02-09

    Spina bifida is a serious and largely preventable neural tube birth defect and an important cause of mortality and lifelong disability. The People and Organizations United for Spina Bifida and Hydrocephalus (PUSH!) Global Alliance was formed in 2014 to provide a common platform for various organizations worldwide to raise the visibility of spina bifida and hydrocephalus. In its formative phase, the alliance recognized that in order to accelerate surveillance, prevention, and care for these conditions, there was a need to provide an evidence-based assessment of how nations are performing in specific areas. In this paper, we describe the impetus for, and the process of, developing country-level scorecards for spina bifida surveillance, prevention and care. The PUSH! Executive Committee formulated a comprehensive list of six actionable indicators measuring availability of published studies on population-based folate studies; surveillance of prevalence and mortality; prevention-based policies; access to care; and quality of life associated with spina bifida. Rubrics were developed to score each country on the aforementioned indicators. Country scores were pooled across each indicator and the composite scores ranged between zero and three if there was a need for improvement, four and five if they were in good standing, or six for an excellent status. The scorecard included country-specific recommendations assimilated from the literature and published guidelines to aid policy makers in accelerating surveillance and prevention, and improving the care and quality of life indicators. For comparison, country-level scorecards were grouped by WHO-regions. Score cards were made available publicly through the website "www.pu-sh.org".

  6. Awareness of folic acid use increases its consumption, and reduces the risk of spina bifida.

    Science.gov (United States)

    Kondo, Atsuo; Morota, Nobuhito; Date, Hiroaki; Yoshifuji, Kazuhisa; Morishima, Toshibumi; Miyazato, Minoru; Shirane, Reizo; Sakai, Hideki; Pooh, Kyong Hon; Watanabe, Tomoyuki

    2015-07-14

    The majority of neural tube defects were believed to be folic acid (FA)-preventable in the 1990s. The Japanese government recommended women planning pregnancy to take FA supplements of 400 μg/d in 2000, but the incidence of spina bifida has not decreased. We aimed to evaluate the OR of having an infant with spina bifida for women who periconceptionally took FA supplements and the association between an increase in supplement use and possible promoters for the increase. This is a case-control study which used 360 case women who gave birth to newborns afflicted with spina bifida, and 2333 control women who gave birth to healthy newborns during the first 12 years of this century. They were divided into two 6-year periods; from 2001 to 2006 and from 2007 to 2012. Logistic regression analyses were conducted to compute OR between cases and controls. The adjusted OR of having an infant with spina bifida for supplement users was 0.48 in the first period, and 0.53 in the second period. The proportion of women who periconceptionally consumed supplements significantly increased from 10 % in the first period to 30 % in the second period. Awareness of the preventive role of FA was a promoter for an increase in supplement use, and thus an FA campaign in high school seems rational and effective. The failure of the current public health policy is responsible for an epidemic of spina bifida. Mandatory food fortification with FA is urgent and long overdue in Japan.

  7. Sonic Hedgehog Signaling Affected by Promoter Hypermethylation Induces Aberrant Gli2 Expression in Spina Bifida.

    Science.gov (United States)

    Lu, Xiao-Lin; Wang, Li; Chang, Shao-Yan; Shangguan, Shao-Fang; Wang, Zhen; Wu, Li-Hua; Zou, Ji-Zhen; Xiao, Ping; Li, Rui; Bao, Yi-Hua; Qiu, Z-Y; Zhang, Ting

    2016-10-01

    GLI2 is a key mediator of the sonic hedgehog (Shh) signaling pathway and plays an important role in neural tube development during vertebrate embryogenesis; however, the role of gli2 in human folate-related neural tube defects remains unclear. In this study, we compared methylation status and polymorphisms of gli2 between spina bifida patients and a control group to explore the underlying mechanisms related to folate deficiency in spina bifida. No single nucleotide polymorphism was found to be significantly different between the two groups, although gli2 methylation levels were significantly increased in spina bifida samples, accompanied by aberrant GLI2 expression. Moreover, a prominent negative correlation was found between the folate level in brain tissue and the gli2 methylation status (r = -0.41, P = 0.014), and gli2 hypermethylation increased the risk of spina bifida with an odds ratio of 12.45 (95 % confidence interval: 2.71-57.22, P = 0.001). In addition, we established a cell model to illustrate the effect of gli2 expression and the accessibility of chromatin affected by methylation. High gli2 and gli1 mRNA expression was detected in 5-Aza-treated cells, while gli2 hypermethylation resulted in chromatin inaccessibility and a reduced association with nuclear proteins containing transcriptional factors. More meaningful to the pathway, the effect gene of the Shh pathway, gli1, was found to have a reduced level of expression along with a decreased expression of gli2 in our cell model. Aberrant high methylation resulted in the low expression of gli2 in spina bifida, which was affected by the change in chromatin status and the capacity of transcription factor binding.

  8. The impact of folic acid intake on the association among diabetes mellitus, obesity, and spina bifida.

    Science.gov (United States)

    Parker, Samantha E; Yazdy, Mahsa M; Tinker, Sarah C; Mitchell, Allen A; Werler, Martha M

    2013-09-01

    The purpose of this study was to investigate the relationship between spina bifida and 2 established risk factors (pregestational diabetes mellitus and obesity) in both the presence and absence of the recommended daily folic acid intake in the periconceptional period. Cases of spina bifida (n = 1154) and control subjects (n = 9439) from the Slone Epidemiology Center Birth Defects Study (1976-2011) were included. Information on preexisting diabetes mellitus (collected 1976-2011) and obesity (collected 1993-2011), defined as a body mass index of ≥30 kg/m(2), was collected through interviews that were conducted within 6 months of delivery. Periconceptional folic acid intake was calculated with both dietary and supplement information. Mothers were classified as consuming more or less than 400 μg/day of folic acid; food folate was included at a 30% discount for its lower bioavailability. Logistic regression models that were adjusted for maternal age, race, education, and study site were used to calculate adjusted odds ratios (aORs) and 95% confidence intervals (CIs) for the joint effects of low folic acid intake coupled with diabetes mellitus or obesity. Case mothers were more likely to have diabetes mellitus or be obese (0.7% and 19.0%, respectively) than control mothers (0.4% and 10.8%, respectively). The joint effect of diabetes mellitus and lower folic acid intake on spina bifida was larger (aOR, 3.95; 95% CI, 1.56-10.00) than that of diabetes mellitus and higher folic acid intake (aOR, 1.31; 95% CI, 0.17-10.30). Folic acid intake made little difference on the association between obesity and spina bifida. Our findings suggest that folic acid further attenuates, although does not eliminate, the risk of spina bifida that is associated with diabetes mellitus than the risk with obesity. Copyright © 2013 Mosby, Inc. All rights reserved.

  9. MORSE Monte Carlo code

    Energy Technology Data Exchange (ETDEWEB)

    Cramer, S.N.

    1984-01-01

    The MORSE code is a large general-use multigroup Monte Carlo code system. Although no claims can be made regarding its superiority in either theoretical details or Monte Carlo techniques, MORSE has been, since its inception at ORNL in the late 1960s, the most widely used Monte Carlo radiation transport code. The principal reason for this popularity is that MORSE is relatively easy to use, independent of any installation or distribution center, and it can be easily customized to fit almost any specific need. Features of the MORSE code are described.

  10. Aurorae and Volcanic Eruptions

    Science.gov (United States)

    2001-06-01

    Thermal-IR Observations of Jupiter and Io with ISAAC at the VLT Summary Impressive thermal-infrared images have been obtained of the giant planet Jupiter during tests of a new detector in the ISAAC instrument on the ESO Very Large Telescope (VLT) at the Paranal Observatory (Chile). . They show in particular the full extent of the northern auroral ring and part of the southern aurora. A volcanic eruption was also imaged on Io , the very active inner Jovian moon. Although these observations are of an experimental nature, they demonstrate a great potential for regular monitoring of the Jovian magnetosphere by ground-based telescopes together with space-based facilities. They also provide the added benefit of direct comparison with the terrestrial magnetosphere. PR Photo 21a/01 : ISAAC image of Jupiter (L-band: 3.5-4.0 µm) . PR Photo 21b/01 : ISAAC image of Jupiter (Narrow-band 4.07 µm) . PR Photo 21c/01 : ISAAC image of Jupiter (Narrow-band 3.28 µm) . PR Photo 21d/01 : ISAAC image of Jupiter (Narrow-band 3.21 µm) . PR Photo 21e/01 : ISAAC image of the Jovian aurorae (false-colour). PR Photo 21f/01 : ISAAC image of volcanic activity on Io . Addendum : The Jovian aurorae and polar haze. Aladdin Meets Jupiter Thermal-infrared images of Jupiter and its volcanic moon Io have been obtained during a series of system tests with the new Aladdin detector in the Infrared Spectrometer And Array Camera (ISAAC) , in combination with an upgrade of the ESO-developed detector control electronics IRACE. This state-of-the-art instrument is attached to the 8.2-m VLT ANTU telescope at the ESO Paranal Observatory. The observations were made on November 14, 2000, through various filters that isolate selected wavebands in the thermal-infrared spectral region [1]. They include a broad-band L-filter (wavelength interval 3.5 - 4.0 µm) as well as several narrow-band filters (3.21, 3.28 and 4.07 µm). The filters allow to record the light from different components of the Jovian atmosphere

  11. Activity Pattern of the Erector Spinae Muscles During Two Lumbar Strengthening Exercises Patrón de activación del músculo erector spinae en dos ejercicios de fortalecimiento lumbar

    OpenAIRE

    2010-01-01

    ABSTRACT

    The flexion-relaxation-phenomenon is the specific response of the erector spinae muscles, in free-pain subjects, during forward bending from upright standing. The contraction intensity of the erector spinae has been studied during trunk exercises on the roman chair, which has brought about significant information in order to graduate lumbar training intensity. To our knowl...

  12. Quantum Monte Carlo simulation

    OpenAIRE

    Wang, Yazhen

    2011-01-01

    Contemporary scientific studies often rely on the understanding of complex quantum systems via computer simulation. This paper initiates the statistical study of quantum simulation and proposes a Monte Carlo method for estimating analytically intractable quantities. We derive the bias and variance for the proposed Monte Carlo quantum simulation estimator and establish the asymptotic theory for the estimator. The theory is used to design a computational scheme for minimizing the mean square er...

  13. Monte Carlo transition probabilities

    OpenAIRE

    Lucy, L. B.

    2001-01-01

    Transition probabilities governing the interaction of energy packets and matter are derived that allow Monte Carlo NLTE transfer codes to be constructed without simplifying the treatment of line formation. These probabilities are such that the Monte Carlo calculation asymptotically recovers the local emissivity of a gas in statistical equilibrium. Numerical experiments with one-point statistical equilibrium problems for Fe II and Hydrogen confirm this asymptotic behaviour. In addition, the re...

  14. The effect of flexion distraction therapy of the lumbar spine on the electromyographic activity of the erector spinae muscle

    OpenAIRE

    2011-01-01

    M.Tech. OBJECTIVE: The aim of this study was to determine the electromyographic effect of flexion distraction therapy of the lumbar spine on the Erector Spinae muscles in participants with lumbar facet dysfunction. STUDY DESIGN: Thirty participants with lumbar facet dysfunction underwent 6 flexion distraction therapy treatments on alternate days over a 2-week period (excluding weekends) to test the electromyographic effect on the Erector Spinae muscle. SETTING: University of Johannesburg C...

  15. The Longevity of Lava Dome Eruptions

    CERN Document Server

    Wolpert, Robert L; Calder, Eliza S

    2015-01-01

    Understanding the duration of past, on-going and future volcanic eruptions is an important scientific goal and a key societal need. We present a new methodology for forecasting the duration of on-going and future lava dome eruptions based on a database (DomeHaz) recently compiled by the authors. The database includes duration and composition for 177 such eruptions, with "eruption" defined as the period encompassing individual episodes of dome growth along with associated quiescent periods during which extrusion pauses but unrest continues. In a key finding we show that probability distributions for dome eruption durations are both heavy-tailed and composition-dependent. We construct Objective Bayes statistical models featuring heavy-tailed Generalized Pareto distributions with composition-specific parameters to make forecasts about the durations of new and on-going eruptions that depend on both eruption duration-to-date and composition. Our Bayesian predictive distributions reflect both uncertainty about mode...

  16. The adverse influence of spina bifida occulta on the medical treatment outcome of primary monosymptomatic nocturnal enuresis

    Directory of Open Access Journals (Sweden)

    Basri Cakiroglu

    2014-12-01

    Full Text Available Objective: Previous reports have suggested that the incidence of spina bifida occulta (SBO in patients with primary monosymptomatic nocturnal enuresis (PMNE is higher than the general population. The purpose of this study was to investigate the effect of spina bifida occulta on the medical treatment outcome of PMNE. Material and Methods: Between January 2008 and December 2011, a total of 223 children (151 boys and 72 girls, aged 6-16 years; mean age: 10.1 ± 3.04 years with PMNE were reviewed retrospectively. All of the children underwent physical examination, urine analysis, urinary tract ultrasonography and kidney ureter bladder (KUB scout film. All patients were initially treated with a timed voiding program and were given desmopressin acetate when necessary. Results: Spina bifida occulta was detected in 75 children (33.6%. Spina bifida occulta affected L4 in 2 children, L5 in 6 children, L4-L5 in 3 children, S1 in 52 children, S2 in 7 children and S1-S2 in 2 children. Treatment was successful in 79% of the children without SBO, and in only 48% of the children with SBO. Medical treatment success rates differed significantly between the study groups. Conclusion: The presence of spina bifida occulta significantly affects the response to medical treatment in patients with PMNE. Thus, verifying spina bifida occulta status in PMNE can facilitate prognostic predictions about the response to medical treatment.

  17. An approach for determining quantitative measures for bone volume and bone mass in the pediatric spina bifida population.

    Science.gov (United States)

    Horenstein, Rachel E; Shefelbine, Sandra J; Mueske, Nicole M; Fisher, Carissa L; Wren, Tishya A L

    2015-08-01

    The pediatric spina bifida population suffers from decreased mobility and recurrent fractures. This study aimed to develop a method for quantifying bone mass along the entire tibia in youth with spina bifida. This will provide information about all potential sites of bone deficiencies. Computed tomography images of the tibia for 257 children (n=80 ambulatory spina bifida, n=10 non-ambulatory spina bifida, n=167 typically developing) were analyzed. Bone area was calculated at regular intervals along the entire tibia length and then weighted by calibrated pixel intensity for density weighted bone area. Integrals of density weighted bone area were used to quantify bone mass in the proximal and distal epiphyses and diaphysis. Group differences were evaluated using analysis of variance. Non-ambulatory children suffer from decreased bone mass in the diaphysis and proximal and distal epiphyses compared to ambulatory and control children (P≤0.001). Ambulatory children with spina bifida showed statistically insignificant differences in bone mass in comparison to typically developing children at these sites (P>0.5). This method provides insight into tibial bone mass distribution in the pediatric spina bifida population by incorporating information along the whole length of the bone, thereby providing more information than dual-energy x-ray absorptiometry and peripheral quantitative computed tomography. This method can be applied to any population to assess bone mass distribution across the length of any long bone. Copyright © 2015 Elsevier Ltd. All rights reserved.

  18. The adverse influence of spina bifida occulta on the medical treatment outcome of primary monosymptomatic nocturnal enuresis.

    Science.gov (United States)

    Cakiroglu, Basri; Tas, Tuncay; Eyyupoglu, Seyit Erkan; Hazar, Aydın Ismet; Can Balcı, Mustafa Bahadır; Nas, Yunus; Yilmazer, Fazli; Aksoy, Suleyman Hilmi

    2014-12-30

    Previous reports have suggested that the incidence of spina bifida occulta (SBO) in patients with primary monosymptomatic nocturnal enuresis (PMNE) is higher than the general population. The purpose of this study was to investigate the effect of spina bifida occulta on the medical treatment outcome of PMNE. Between January 2008 and December 2011, a total of 223 children (151 boys and 72 girls, aged 6-16 years; mean age: 10.1 ± 3.04 years) with PMNE were reviewed retrospectively. All of the children underwent physical examination, urine analysis, urinary tract ultrasonography and kidney ureter bladder (KUB) scout film. All patients were initially treated with a timed voiding program and were given desmopressin acetate when necessary. Spina bifida occulta was detected in 75 children (33.6%). Spina bifida occulta affected L4 in 2 children, L5 in 6 children, L4-L5 in 3 children, S1 in 52 children, S2 in 7 children and S1-S2 in 2 children. Treatment was successful in 79% of the children without SBO, and in only 48% of the children with SBO. Medical treatment success rates differed significantly between the study groups. The presence of spina bifida occulta significantly affects the response to medical treatment in patients with PMNE. Thus, verifying spina bifida occulta status in PMNE can facilitate prognostic predictions about the response to medical treatment.

  19. Unravelling the effusive-explosive transitions and the construction of a volcanic cone from geological data: The example of Monte dei Porri, Salina Island (Italy)

    Science.gov (United States)

    Sulpizio, Roberto; Lucchi, Federico; Forni, Francesca; Massaro, Silvia; Tranne, Claudio

    2016-11-01

    The volcanic activity that built up the Monte dei Porri stratocone (Salina Island) was reconstructed using new stratigraphic data, which allowed seven eruption units to be distinguished. Alternating Strombolian/Vulcanian to sub-Plinian/Plinian explosive and effusive activity emplaced fall and pyroclastic density current deposits and lava flows that formed the volcanic cone. The minimum erupted bulk volumes were assessed at 100 × 106 m3 each for EU1, EU2, EU3 and EU6, while that of EU4 is ca. 200 × 106 m3. Rough estimation of EU7 volume yields values around 150 × 106 m3. The calculation of volume was not possible for the EU5 deposits. The magmas that fed the different eruption units of the Monte dei Porri succession range in composition from basalt to andesite, with the exception of dacites erupted in the initial phase of activity. SEM image analyses on coarse ash from the different pyroclastic units suggest that hydromagmatic fragmentation cannot be the cause of the large variations in explosivity observed throughout the stratigraphic succession. Based on the lithic component of pyroclastic deposits and xenolith contents of lava flows, the plumbing system that fed the different eruption units of Monte dei Porri was split into a deep magma storage level (15-20 km) and shallower magma batches (3-5 km). Our calculations indicate that the volumes of erupted material can account for magmatic triggering (injection of new magma) of eruptive units from the shallower feeding system, but they are not sufficient for suggesting magmatic initiation of the eruption units from the deeper feeding system. It is therefore assumed that the eruptions from the deep magma reservoir necessitate a favourable lithostatic stress, likely calling for a reduction of the local tectonic forces. A qualitative model explaining the eruptive style transitions among and within the different eruption units is presented, taking into account the relation between magmatic overpressure and lithostatic

  20. Can atlas spina bifida-occulta be a cause of cervicogenic headaches?

    Science.gov (United States)

    Adigo, Amégninou Mawuko Yao; Agoda-Kousséma, Lama Kegdigoma; Agbotsou, Ignéza Komi; Adambounou, Kokou; Bakpatina-Batako, Kpalma Duga; Djagnikpo, Oni; Adjénou, Komlanvi Victor

    2015-01-01

    Cervicogenic headaches are a nosologic entity recently recognized. In our common practice, we have noticed a relative frequency of the atlas spina-bifida occulta during the brain CT scan realized for headaches without cranio-encephalic causes or any other anomaly of the upper cervical region. The aim of this study was to determine a possible connection between cervicogenic headaches (CEH) and atlas spina-bifida occulta. A 2 years prospective and descriptive study in 20 black patients having an atlas spina-bifida occulta diagnosed with a brain CT scan. The mean age of the patients was 43.17 ± 18.35 years (extremes: 24 and 72 years). A light female predominance was noticed (sex-ratio = 1.5). The frequency of symptomatic spina-bifida was 1.72 % (17 cases). The mean age at onset was 31.84 years. The pain was sub-occipital in 14 cases, occipital in 8 cases, bilateral in 12 cases and unilateral in 5 cases. The mean duration of the attacks was 72 ± 24 h and the pain intensity was moderate (16 cases); mean and range were 3.6 and 3-6. The frequency of attacks varied between 1 per 7 months (n = 2) and 2 per week (n = 1) in those with non-daily headache. One attack per 5-7 weeks was the most commonly occurring attack frequency. The pain was reproduced by the pressure of the occipital region or upper cervical in 15 cases. The mean number of criteria was five and there was a strong positive correlation between criteria and CEH (χ (2) = 45.57; V = 0.62). The associated signs were photophobia and nausea in one case each. Indomethacin, Ergotamine and/or Sumatriptan were without any antalgic effect in 16 cases. Pain ceased after an anesthetic blockade of C2 (16 cases). The results show that atlas spina-bifida occulta is not involved in CEH pure form genesis. On a small sample, the atlas spina-bifida seems to be a cause of CEH associated with headache and disorders of the neck.

  1. Different in Vivo Reactivity Profile in Health Care Workers and Patients with Spina Bifida to Internal and External Latex Glove Surface-Derived Allergen Extracts

    OpenAIRE

    2012-01-01

    BACKGROUND: Allergy to natural rubber latex is a well-recognized health problem, especially among health care workers and patients with spina bifida. Despite latex sensitization being acquired in health institutions in both health care workers and patients with spina bifida, differences in allergen sensitization profiles have been described between these two risk groups. OBJECTIVE: To investigate the in vivo reactivity of health care workers and patients with spina bifida to extracts of in...

  2. Volcanic eruptions and solar activity

    Science.gov (United States)

    Stothers, Richard B.

    1989-01-01

    The historical record of large volcanic eruptions from 1500 to 1980 is subjected to detailed time series analysis. In two weak but probably statistically significant periodicities of about 11 and 80 yr, the frequency of volcanic eruptions increases (decreases) slightly around the times of solar minimum (maximum). Time series analysis of the volcanogenic acidities in a deep ice core from Greenland reveals several very long periods ranging from about 80 to about 350 yr which are similar to the very slow solar cycles previously detected in auroral and C-14 records. Solar flares may cause changes in atmospheric circulation patterns that abruptly alter the earth's spin. The resulting jolt probably triggers small earthquakes which affect volcanism.

  3. Spatial cognition and motor development: a study of children with spina bifida.

    Science.gov (United States)

    Jansen-Osmann, Petra; Wiedenbauer, Gunnar; Heil, Martin

    2008-04-01

    The purpose of this study was to examine the relation between motor development and spatial cognition. The sample was 20 children with Spina bifida (M age: 11.4 yr., SD = 1.7) and 20 healthy children as controls (M age: 11.8, SD = 1.8 yr.). An experimental assessment of motor development in spatial cognition in a simulated virtual maze by school-age children is lacking. In this study children with Spina bifida, who were impaired in walking since birth, completed four visuospatial tasks in a small-scale space (Mental Rotation, Water-Level Task, Embedded Figures Test, Visual Short-term Memory Test), and a spatial behaviour and knowledge task in a virtual maze. These children showed poorer performance than children in the control group on most measures. The results are discussed with respect to theoretical implications and further research.

  4. Update on Urological Management of Spina Bifida from Prenatal Diagnosis to Adulthood.

    Science.gov (United States)

    Snow-Lisy, Devon C; Yerkes, Elizabeth B; Cheng, Earl Y

    2015-08-01

    We review the current literature regarding urological management of spina bifida from prenatal diagnosis to adulthood. We searched MEDLINE(®), EMBASE(®) and PubMed(®) for English articles published through December 2014 using search terms "spina bifida," "spinal dysraphism" and "bladder." Based on review of titles and abstracts, 437 of 1,869 articles were identified as addressing topics related to open spina bifida in pediatric patients, or long-term or quality of life outcomes in adults with spina bifida. We summarize this literature to inform clinical guidelines and create a framework for disease management. The birth prevalence of spina bifida in the United States has recently plateaued at approximately 30 per 100,000. With improved management more individuals are surviving to adulthood, with an economic impact of $319,000 during the lifetime of an individual with spina bifida. Recent advances in prenatal surgery have demonstrated that prenatal closure of spina bifida is possible. To assess safety and efficacy, the National Institutes of Health sponsored Management of Myelomeningocele Study was undertaken, in which subjects were randomized to prenatal or postnatal closure. Until the urological results of this trial are published, the impact of prenatal intervention on future bladder function remains unclear. Controversy continues regarding the optimal use and timing of urodynamic studies, and the indications for initiation of clean intermittent catheterization and anticholinergics in infants and children. Many favor expectant management, while others argue for a more proactive approach. Based on the current literature, both approaches appear to protect the child from renal injury, although delayed intervention may increase rates of bladder augmentation. The current literature regarding this topic is difficult to interpret and compare due to heterogeneity of patient populations, variable outcome measures and lack of reporting of quality of life outcomes

  5. Impact of functional severity on self concept in young people with spina bifida.

    Science.gov (United States)

    Minchom, P E; Ellis, N C; Appleton, P L; Lawson, V; Böll, V; Jones, P; Elliott, C E

    1995-07-01

    This study examines the relationship between medical and functional severity of disability and levels of self esteem and self concept in 79 young people with spina bifida. Greater feelings of global self worth and of self esteem in physical appearance were associated with greater severity of disability. This was only in part an effect of lower IQ among the most disabled young people. Many of the least disabled had marked impairment of self esteem. Analysis of the impact of individual aspects of disability confirmed the association between increased self esteem in physical appearance and global self worth, and diminished functional ability. Academic self ratings, however, were higher in the less disabled. Hydrocephalus and continence appeared to have minimal effect on self esteem. The relationship between severity of disability in spina bifida and self concept is complex and mediated by a range of factors. It is incorrect to assume that the psychological impact is less in the mildly disabled young person.

  6. Volcanic Eruptions and Climate: Outstanding Research Issues

    Science.gov (United States)

    Robock, Alan

    2016-04-01

    Large volcanic eruptions inject sulfur gases into the stratosphere, which convert to sulfate aerosols with an e-folding residence time of about one year. The radiative and chemical effects of this aerosol cloud produce responses in the climate system. Based on observations after major eruptions of the past and experiments with numerical models of the climate system, we understand much about their climatic impact, but there are also a number of unanswered questions. Volcanic eruptions produce global cooling, and are an important natural cause of interannual, interdecadal, and even centennial-scale climate change. One of the most interesting volcanic effects is the "winter warming" of Northern Hemisphere continents following major tropical eruptions. During the winter in the Northern Hemisphere following every large tropical eruption of the past century, surface air temperatures over North America, Europe, and East Asia were warmer than normal, while they were colder over Greenland and the Middle East. This pattern and the coincident atmospheric circulation correspond to the positive phase of the Arctic Oscillation. While this response is observed after recent major eruptions, most state-of-the-art climate models have trouble simulating winter warming. Why? High latitude eruptions in the Northern Hemisphere, while also producing global cooling, do not have the same impact on atmospheric dynamics. Both tropical and high latitude eruptions can weaken the Indian and African summer monsoon, and the effects can be seen in past records of flow in the Nile and Niger Rivers. Since the Mt. Pinatubo eruption in the Philippines in 1991, there have been no large eruptions that affected climate, but the cumulative effects of small eruptions over the past decade have had a small effect on global temperature trends. Some important outstanding research questions include: How much seasonal, annual, and decadal predictability is possible following a large volcanic eruption? Do

  7. An ergodic approach to eruption hazard scaling

    Science.gov (United States)

    De la Cruz-Reyna, Servando; Mendoza-Rosas, Ana Teresa

    2014-05-01

    The complexity and indeterminacy of volcanic processes demand the use of statistical methods to analyze the expectations of the occurrence and size of future eruptions. The probability of a volcano producing potentially destructive eruptions in a given time interval may be estimated analyzing the sequence of past eruptions assuming a physically plausible process. Since the threat posed by eruptions depends on their mass or energy release (magnitude) and on their emission rate (intensity), the Volcanic Explosivity Index is a suitable measure to quantify the eruptive events, particularly considering that the largest available global catalogues use that measure. The definition of volcanic hazard is thus posed here in terms of the expected annual release of energy by eruptions in each VEI category. This concept is based on the ergodic property of a large set of volcanoes to release about the same amount of energy in each VEI category over a sufficiently large time interval. This property is however constrained to the VEI range of eruptions that constitute complete catalogues (VEI >2) in the lower end, and to the extreme eruptions that may destroy or significantly alter a volcanic system, such as the large caldera-forming eruptions (VEI < 7). In such conditions, a simple power law for eruptions at the global level relating the global rate of energy release to the eruption magnitude has been proposed as a statistical basis for eruptive event model development. Following the above mentioned arguments, we assume that a similar scaling law rules the annual rate at which energy is released by eruptions at individual volcanoes as log(EmRm)=bM+a, where Em is the energy released by eruptions in the VEI magnitude class M, and Rm is the occurrence rate of such eruptions over times ranges in which catalogues may be considered complete. The parameters b and a depend on the eruptive history of individual volcanoes, the former determining the preferred mode of the volcano to release

  8. Geochemical and isotopic insights into the assembly, evolution and disruption of a magmatic plumbing system before and after a cataclysmic caldera-collapse eruption at Ischia volcano (Italy)

    Science.gov (United States)

    Brown, R. J.; Civetta, L.; Arienzo, I.; D'Antonio, M.; Moretti, R.; Orsi, G.; Tomlinson, E. L.; Albert, P. G.; Menzies, M. A.

    2014-09-01

    New geochemical and isotopic data on volcanic rocks spanning the period ~75-50 ka BP on Ischia volcano, Italy, shed light on the evolution of the magmatic system before and after the catastrophic, caldera-forming Monte Epomeo Green Tuff (MEGT) eruption. Volcanic activity during this period was influenced by a large, composite and differentiating magmatic system, replenished several times with isotopically distinct magmas of deep provenance. Chemical and isotopic variations highlight that the pre-MEGT eruptions were fed by trachytic/phonolitic magmas from an isotopically zoned reservoir that were poorly enriched in radiogenic Sr and became progressively less radiogenic with time. Just prior to the MEGT eruption, the magmatic system was recharged by an isotopically distinct magma, relatively more enriched in radiogenic Sr with respect to the previously erupted magmas. This second magma initially fed several SubPlinian explosive eruptions and later supplied the climactic, phonolitic-to-trachytic MEGT eruption(s). Isotopic data, together with erupted volume estimations obtained for MEGT eruption(s), indicate that >5-10 km3 of this relatively enriched magma had accumulated in the Ischia plumbing system. Geochemical modelling indicates that it accumulated at shallow depths (4-6 km), over a period of ca. 20 ka. After the MEGT eruption, volcanic activity was fed by a new batch of less differentiated (trachyte-latite) magma that was slightly less enriched in radiogenic Sr. The geochemical and Sr-Nd-isotopic variations through time reflect the upward flux of isotopically distinct magma batches, variably contaminated by Hercynian crust at 8-12 km depth. The deep-sourced latitic to trachytic magmas stalled at shallow depths (4-6 km depth), differentiated to phonolite through crystal fractionation and assimilation of a feldspar-rich mush, or ascended directly to the surface and erupted.

  9. Applying a knowledge-to-action framework for primary prevention of spina bifida in tropical Africa.

    Science.gov (United States)

    Claude, Kasereka M; Juvenal, Kwibuka L; Hawkes, Michael

    2012-04-01

    Maternal periconceptual folate supplementation reduces the incidence of neural tube defects; however, in settings where population-level food fortification is not available, it is not clear how best to promote this prevention strategy. Guided by a knowledge-to-action methodology, we used mixed quantitative and qualitative methods to define the local disease burden, then designed, implemented and evaluated a culturally tailored educational intervention in eastern Democratic Republic of Congo, where resource limitations and threats to human security contribute to restricted capacity for the prevention and management of congenital malformations. A descriptive case series of 27 patients undergoing surgery for spina bifida demonstrated a short-term mortality of 15% and long-term disability in survivors. A survey of knowledge, attitudes and practices demonstrated a low level of folate awareness (53%) among women of reproductive age. Focus group discussions revealed exotic aetiologic views, significant gender issues and several barriers to folate use. A culturally tailored radio broadcast and an educational video were designed and produced locally based on qualitative and quantitative findings. Evaluation of the video documented high levels of viewer satisfaction and unequivocal knowledge gain (P ≤ 0.001). We conclude that spina bifida poses a significant burden on affected patients and their families in the African context, but folate is underutilized as a prevention strategy. Patient education through video media results in increased awareness and understanding of spina bifida and folate, a first step in empowering women to reduce the risk of spina bifida in their children in the absence of population-wide food fortification. © 2010 Blackwell Publishing Ltd.

  10. Association between CFL1 gene polymorphisms and spina bifida risk in a California population

    Directory of Open Access Journals (Sweden)

    Lammer Edward J

    2007-03-01

    Full Text Available Abstract Background CFL1 encodes human non-muscle cofilin (n-cofilin, which is an actin-depolymerizing factor and is essential in cytokinesis, endocytosis, and in the development of all embryonic tissues. Cfl1 knockout mice exhibit failure of neural tube closure at E10.5 and die in utero. We hypothesized that genetic variation within the human CFL1 gene may alter the protein's function and result in defective actin depolymerizing and cellular activity during neural tube closure. Such alterations may be associated with an increased risk for neural tube defects (NTDs. Methods Having re-sequenced the human CFL1 gene and identified five common single nucleotide polymorphisms (SNPs in our target population, we investigated whether there existed a possible association between the genetic variations of the CFL1 gene and risk of spina bifida. Samples were obtained from a large population-based case-control study in California. Allele association, genotype association and haplotype association were evaluated in two different ethnicity groups, non-Hispanic white and Hispanic white. Results Homozygosity for the minor alleles of the SNPs studied (rs652021, rs665306, rs667555, rs4621 and rs11227332 appeared to produce an increased risk for spina bifida. Subjects with the haplotype composed of all minor alleles (CCGGT appeared to have increased spina bifida risk (OR = 1.6, 95% CI: 0.9~2.9, however, this finding is not statistically significant likely due to limited sample size. Conclusion The sequence variation of human CFL1 gene is a genetic modifier for spina bifida risk in this California population.

  11. A reproductive history of mothers with spina bifida offspring-a new look at old issues

    Directory of Open Access Journals (Sweden)

    Farley Thomas L

    2006-08-01

    Full Text Available Abstract Background Spina bifida is a disorder of the cerebrospinal fluid system associated with failure of neural tube closure in the fetus. Reproductive history studies of mothers with spina bifida offspring have often been conducted shortly after the affected child's birth. In this study, a large group of community-based mothers were studied after most had completed their families. The aims were to present a more comprehensive reproductive history and to test several hypotheses regarding the nature of spina bifida. Methods Data from 271 mothers was collected by interview 18.3 mean years after the affected child's birth. Data analysis was by χ-square, Fisher exact test and t test with a p value less than 0.05 considered significant. Results Females made up 56.5% of affected offspring (probands and 53.1% of unaffected offspring. The spina bifida and anencephaly recurrence rate was 4.0%. The twinning rate was 8.6/1000 live births. 24.4% of mothers had a history of spontaneous abortion and the rate varied by pregnancy order from 87 to 185/1000 live births. Duration of pregnancies subsequent to probands was shorter for female than male probands. Mean birth weight of probands with high lesions exceeded those with low lesions. A spontaneous abortion preceded female probands more often than males as compared to live births. Affected males with high lesions conceived by white mothers were at greater risk to be spontaneously aborted. Previous inter-gestational interval for mothers with no history of spontaneous abortion was longer for probands than unaffected offspring but not for mothers with a history of spontaneous abortion. Conclusion Overall, and for every major subgroup of these mothers, more affected and unaffected female than male offspring were born. Differences by gender and lesion level among probands and between probands and unaffected offspring were consistent with an etiology of unknown genetic factors, hormonal and/or immune system

  12. Improved Survival Among Children with Spina Bifida in the United States

    Science.gov (United States)

    Shin, Mikyong; Kucik, James E.; Siffel, Csaba; Lu, Chengxing; Shaw, Gary M.; Canfield, Mark A.; Correa, Adolfo

    2015-01-01

    Objective To evaluate trends in survival among children with spina bifida by race/ethnicity and possible prognostic factors in 10 regions of the United States. Study design A retrospective cohort study was conducted of 5165 infants with spina bifida born during 1979-2003, identified by 10 birth defects registries in the United States. Survival probabilities and adjusted hazard ratios were estimated for race/ethnicity and other characteristics using the Cox proportional hazard model. Results During the study period, the 1-year survival probability among infants with spina bifida showed improvements for whites (from 88% to 96%), blacks (from 79% to 88%), and Hispanics (from 88% to 93%). The impact of race/ethnicity on survival varied by birth weight, which was the strongest predictor of survival through age 8. There was little racial/ethnic variation in survival among children born of very low birth weight. Among children born of low birth weight, the increased risk of mortality to Hispanics was approximately 4-6 times that of whites. The black-white disparity was greatest among children born of normal birth weight. Congenital heart defects did not affect the risk of mortality among very low birth weight children but increased the risk of mortality 4-fold among children born of normal birth weight. Conclusions The survival of infants born with spina bifida has improved; however, improvements in survival varied by race/ethnicity, and blacks and Hispanics continued to have poorer survival than whites in the most recent birth cohort from 1998-2002. Further studies are warranted to elucidate possible reasons for the observed differences in survival. PMID:22727874

  13. Longitudinal mediators of social problem solving in spina bifida and typical development.

    Science.gov (United States)

    Landry, Susan H; Taylor, Heather B; Swank, Paul R; Barnes, Marcia; Juranek, Jenifer

    2013-05-01

    The current study examined the role of early executive functions (EF) and social language (SL) as well as responsive parenting as mediators of the effect of group on social problem-solving skills at 7 years of age for children with spina bifida and typically developing children. A mediation analysis was used to determine if the effect of having spina bifida on school age social problem-solving skills was mediated through the effect of group on EF/SL at 3 years of age and responsive parenting at 12 and 18 months. As part of a larger longitudinal study, 103 infants (n = 49 with spina bifida; n = 54 typically developing) received measures of EF/SL at 3 years of age and mother-infant play interactions at 12 and 18 months of age were coded for a range of responsive parenting behaviors. Social problem-solving skills were measured with a game-like observational task at 7 years of age. Group had a direct relation with later social problem-solving as well as an indirect relation through early EF/SL skills that, in turn, had a direct relation with later social problem solving. An indirect effect of responsive parenting on later social skills also was found through a direct effect on EF/SL skills. Early precursors of school age difficulties with social problem solving observed for children with spina bifida can be explained, in part, by difficulties in the first 3 years of life with EF/SL. Early responsive parenting appears to positively affect the development of these EF/SL skills. Implications for early intervention are an outcome of this study.

  14. A 2015 global update on folic acid-preventable spina bifida and anencephaly.

    Science.gov (United States)

    Arth, Annelise; Kancherla, Vijaya; Pachón, Helena; Zimmerman, Sarah; Johnson, Quentin; Oakley, Godfrey P

    2016-07-01

    Spina bifida and anencephaly are two major neural tube defects. They contribute substantially to perinatal, neonatal, infant, and under-five mortality and life-long disability. To monitor the progress toward the total prevention of folic acid-preventable spina bifida and anencephaly (FAP SBA), we examined their global status in 2015. Based on existing data, we modeled the proportion of FAP SBA that are prevented in the year 2015 through mandatory folic acid fortification globally. We included only those countries with mandatory fortification that added at least 1.0 ppm folic acid as a fortificant to wheat and maize flour, and had complete information on coverage. Our model assumed mandatory folic acid fortification at 200 μg/day is fully protective against FAP SBA, and reduces the rate of spina bifida and anencephaly to a minimum of 0.5 per 1000 births. Our estimates show that, in 2015, 13.2% (35,500 of approximately 268,700 global cases) of FAP SBA were prevented in 58 countries through mandatory folic acid fortification of wheat and maize flour. Most countries in Europe, Africa, and Asia were not implementing mandatory fortification with folic acid. Knowledge that folic acid prevents spina bifida and anencephaly has existed for 25 years, yet only a small fraction of FAP SBA is being prevented worldwide. Several countries still have 5- to 20-fold epidemics of FAP SBA. Implementation of mandatory fortification with folic acid offers governments a proven and rapid way to prevent FAP SBA-associated disability and mortality, and to help achieve health-related Sustainable Development Goals. Birth Defects Research (Part A) 106:520-529, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  15. Reviewing definitions of urinary continence in the contemporary spina bifida literature: a call for clarity.

    Science.gov (United States)

    Lloyd, Jessica C; Nseyo, Unwanaobong; Madden-Fuentes, Ramiro J; Ross, Sherry S; Wiener, John S; Routh, Jonathan C

    2013-10-01

    Urinary continence is a common goal for children with spina bifida and their physicians. However, definitions of urinary continence vary widely across published studies. We systematically assessed the utilization of common definitions of urinary continence in the spina bifida literature. We searched library databases for reports (2000-2012) describing urinary continence outcomes in children with spina bifida. We assessed various patient-level factors such as age, lesion level, surgical history, and use of additional therapies, as well as study-level factors such as study design, country of origin, continence definition(s), and method of data collection. Of 473 identified articles, 105 met inclusion criteria, comprising a total of 3209 patients. Of these, 1791 patients (56%) were deemed continent by the study authors. Only 60 studies (57%) clearly defined what they considered to be "continent". The most common definition, used in 24% of all reports, was "always dry". There was no association between journal of publication (p = 0.13), publication year (p = 0.86), study size (p = 0.26), or study country (p = 0.43) and likelihood of a continence definition being included in the manuscript. The most frequent definition of urinary continence in the spina bifida literature is "always dry". However, definitions were highly variable, and many authors did not define continence at all. Clinicians and researchers alike would be better able to apply research findings toward improving patient care if continence definitions were more explicitly reported and less variable. Copyright © 2013 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.

  16. Impact of functional severity on self concept in young people with spina bifida.

    OpenAIRE

    Minchom, P E; Ellis, N C; Appleton, P. L.; Lawson, V; Böll, V.; Jones, P.; Elliott, C. E.

    1995-01-01

    This study examines the relationship between medical and functional severity of disability and levels of self esteem and self concept in 79 young people with spina bifida. Greater feelings of global self worth and of self esteem in physical appearance were associated with greater severity of disability. This was only in part an effect of lower IQ among the most disabled young people. Many of the least disabled had marked impairment of self esteem. Analysis of the impact of individual aspects ...

  17. Ozone depletion following future volcanic eruptions

    Science.gov (United States)

    Eric Klobas, J.; Wilmouth, David M.; Weisenstein, Debra K.; Anderson, James G.; Salawitch, Ross J.

    2017-07-01

    While explosive volcanic eruptions cause ozone loss in the current atmosphere due to an enhancement in the availability of reactive chlorine following the stratospheric injection of sulfur, future eruptions are expected to increase total column ozone as halogen loading approaches preindustrial levels. The timing of this shift in the impact of major volcanic eruptions on the thickness of the ozone layer is poorly known. Modeling four possible climate futures, we show that scenarios with the smallest increase in greenhouse gas concentrations lead to the greatest risk to ozone from heterogeneous chemical processing following future eruptions. We also show that the presence in the stratosphere of bromine from natural, very short-lived biogenic compounds is critically important for determining whether future eruptions will lead to ozone depletion. If volcanic eruptions inject hydrogen halides into the stratosphere, an effect not considered in current ozone assessments, potentially profound reductions in column ozone would result.

  18. The Virtual Monte Carlo

    CERN Document Server

    Hrivnacova, I; Berejnov, V V; Brun, R; Carminati, F; Fassò, A; Futo, E; Gheata, A; Caballero, I G; Morsch, Andreas

    2003-01-01

    The concept of Virtual Monte Carlo (VMC) has been developed by the ALICE Software Project to allow different Monte Carlo simulation programs to run without changing the user code, such as the geometry definition, the detector response simulation or input and output formats. Recently, the VMC classes have been integrated into the ROOT framework, and the other relevant packages have been separated from the AliRoot framework and can be used individually by any other HEP project. The general concept of the VMC and its set of base classes provided in ROOT will be presented. Existing implementations for Geant3, Geant4 and FLUKA and simple examples of usage will be described.

  19. Self-concept in children with spina bifida compared with typically developing children.

    Science.gov (United States)

    Shields, Nora; Taylor, Nicholas F; Dodd, Karen J

    2008-10-01

    The literature was systematically reviewed to determine if children with spina bifida have lower self-concept compared with their peers with typical development. Relevant trials were identified by searching electronic databases, supplemented by citation tracking. Of 803 papers initially identified, 15 met the inclusion criteria. Meta-analysis revealed children with spina bifida scored significantly lower than children with typical development for the domains of global self-worth (d=-0.39, 95% confidence interval [CI] -0.65 to -0.12); physical appearance (d=-0.26, 95% CI -0.46 to -0.06); athletic competence (d=-0.45, 95% CI -0.67 to -0.22); social acceptance (d=-0.33, 95% CI -0.55 to -0.11); and scholastic competence (d=-0.43, 95% CI -0.66 to -0.21). There was no difference between the groups for the behavioural conduct domain. Children with spina bifida on average have a lower self-concept than their peers with typical development. Clinicians need to take account of this information in planning the assessment and treatment of this group.

  20. The prevalence and predictors of anencephaly and spina bifida in Texas.

    Science.gov (United States)

    Canfield, Mark A; Marengo, Lisa; Ramadhani, Tunu A; Suarez, Lucina; Brender, Jean D; Scheuerle, Angela

    2009-01-01

    Texas shares a 1255-mile border with Mexico and encompasses a variety of ecosystems, industries and other potential environmental exposures. The Texas Birth Defects Registry is an active surveillance system which covers all pregnancy outcomes (livebirths, fetal deaths and elective pregnancy terminations). This study describes the occurrence and the predictors of neural tube defects (anencephaly and spina bifida) in Texas between 1999 and 2003. Birth prevalence, crude and adjusted prevalence ratios and 95% confidence intervals were calculated using Poisson regression, for each defect, by fetal/infant sex, delivery year and maternal sociodemographic characteristics. Among approximately 1.8 million livebirths, a total of 1157 neural tube defects cases were ascertained by the Registry, resulting in an overall prevalence of 6.33 cases per 10 000 livebirths. The prevalences of anencephaly and spina bifida were 2.81 and 3.52 per 10 000 livebirths respectively. Prevalences of both defects were highest in Hispanics, among mothers living along the border with Mexico, among women of higher parity and among mothers who were 40+ years of age. In addition, the prevalence of each defect was higher among women with no record of prenatal care and among women with less than 7 years of education. Hispanic ethnicity was an important predictor for anencephaly, along with sex, maternal age, parity and border residence. However, only border residence and delivery year were significant predictors for spina bifida.

  1. Wound care challenges in children and adults with spina bifida: an open-cohort study.

    Science.gov (United States)

    Ottolini, Katherine; Harris, Amy B; Amling, June K; Kennelly, Ann M; Phillips, Leslie A; Tosi, Laura L

    2013-01-01

    Skin breakdown is a frequent concern for individuals with spina bifida. We explored wound incidence in patients with spina bifida and how it varies across a person's life span and functional neurologic level. We examined the settings in which skin breakdown most commonly occurred, looking for evidence of chronic, non-healing wounds. We also sought to develop criteria to improve wound monitoring. We identified reported wound episodes in an open-cohort study over a 13-year period, examining the hospital and outpatient clinical records of spina bifida patients at Children's National Medical Center (CNMC). Current age, age at wound presentation, sex, weight, functional neurologic level, wound location, setting in which the wound was acquired, the development of a chronic wound, and presence of a shunt were recorded. Of the 376 patients in our clinical population, 123 (average age: 18.8 years, range: infancy-56 years) developed a total of 375 wounds; the majority of patients who developed one wound went on to develop one or more additional wounds, and 20 patients developed chronic wounds. Our data suggest that age bracket (adolescents), wheelchair use, and bare feet, as well as possibly obesity and reduced executive functioning, are key risk factors for wound development. These findings have led to a focused effort to increase wound education and prevention. In addition we report on our early experience using a wound care specialist to champion this initiative.

  2. Percutaneous nephrolithotomy in adult patients with spina bifida, severe spinal deformity and large renal stones.

    Science.gov (United States)

    Alsinnawi, M; Torreggiani, W C; Flynn, R; McDermott, T E D; Grainger, R; Thornhill, J A

    2013-09-01

    To present our experience in patients with spina bifida with severe spinal abnormality undergoing percutaneous nephrolithotomy (PCNL) for large stone burden. A retrospective review identified five spina bifida patients with abnormal spinal curvature who had a PCNL for large kidney stones. The mean age was 28 years. In two patients, stones were on the concave side of the scoliotic spine further limiting percutaneous access. Mean stone burden was 940 mm2. All patients were paraplegic, three patients had symptomatic stone disease. We performed initial percutaneous renal access in radiology department and staged nephrolithotomy in operating room. Tract dilatation was accomplished using Amplatz dilators and a 24 Ch or 26 Ch nephroscope was used. Fragmentation and stone removal were accomplished in all patients using pneumatic and or ultrasound lithotripter and a retrieval grasper. No anaesthetic complications were recorded. One patient required multiple percutaneous tracts, four had single tract to access stones. Three patients were stone free after PCNL. One required second PCNL through the same tract and another patient had multiple adjunctive ESWL. All five patients were stone clear after the final procedure. Two patients required blood transfusion. No patient had major complication or admission to intensive care unit. Percutaneous nephrolithotomy in patients with spina bifida is challenging but safe. Detailed pre-operative anaesthetic assessment and precise uroradiological evaluation of renal anatomy is essential. Second-look PCNL and additional ESWL/URS treatment may be required to completely clear stones.

  3. Retrograde continence enema in children with spina bifida: Not as effective as first thought.

    Science.gov (United States)

    King, Sebastian K; Stathopoulos, Lefteris; Pinnuck, Loreto; Wells, Judy; Hutson, John; Heloury, Yves

    2017-04-01

    The aim of the study is to investigate the effectiveness of Peristeen retrograde continence enema (RCE) in the management of faecal incontinence in children with spina bifida. We identified a homogenous group of spina bifida patients in whom RCE was initiated (Jan 2006-July 2013). Confidential assessments included (i) Fecal Incontinence Quality Of Life (FIQOL), (ii) St Marks Faecal Incontinence score, (iii) Cleveland Clinic Constipation score and (iv) Neurogenic Bowel Dysfunction score. Of 20 patients, 11 (mean age 14.5 ± 5.3 years) were male. Of 20 patients, nine were still using RCE (mean follow-up 4.1 years). Three patients ceased RCE within 10 days, six after 4-12 months and two after 36-48 months. Reasons for cessation included balloon difficulties (n = 4), procedure deemed too difficult (n = 4) and pain (n = 3). There were no differences between the groups in length of training time for technique, instillate fluid/volume used and time taken to perform RCE. There were no differences between the groups for quality of life, faecal incontinence or constipation scores. We demonstrated a high rate of cessation with RCE in patients with spina bifida. This could not be explained by associated conditions, or by enema-related parameters. One possible explanation is the lack of ongoing outpatient support for the children and their families. © 2016 Paediatrics and Child Health Division (The Royal Australasian College of Physicians).

  4. The Evolution of Spina Bifida Treatment Through a Biomedical Ethics Lens.

    Science.gov (United States)

    Levin-Decanini, Tal; Houtrow, Amy; Katz, Aviva

    2017-05-29

    Spina bifida is a neurodevelopmental disorder that results in a broad range of disability. Over the last few decades, there have been significant advances in diagnosis and treatment of this condition, which have raised concerns regarding how clinicians prognosticate the extent of disability, determine quality of life, and use that information to make treatment recommendations. From the selective treatment of neonates in the 1970s, to the advent of maternal-fetal surgery today, the issues that have been raised surrounding spina bifida intervention invoke principles of medical bioethics such as beneficence and nonmaleficence, while also highlighting how quality of life judgments may drive care decisions. Such changes in treatment norms are also illustrative of how disability is viewed both within the medical community and by society at large. An examination of the changes in spina bifida treatment provides a model through which to understand how ethically complex decisions regarding care for children with disabilities has evolved, and the challenges faced when medical information is combined with value-based judgments to guide medical decision making.

  5. The relationship between the level of lesion and progression in Reimer's index of spina bifida patients.

    Science.gov (United States)

    Gunay, Huseyin; Sozbilen, Murat Celal; Altınisik, Mahmut; Kacmaz, Ismail Eralp; Kaya Bicer, Elcil

    2017-02-01

    We aimed to evaluate the influence of the lesion level and acetabular displasia on the progression of hip dislocation in patients with spina bifida. Two hundred twelve hips of 106 cases with spina bifida were evaluated both clinically and radiologically. Their vertebral level of lesions, clinical examinations, radiological migration index, and acetabulum terms were noted and were evaluated in terms of their relations with the level of lesion-migration and dysplasia. Data analysis method was evaluated using SPSS 22.0 program. Deficiency of acetabulum was present in 33 % of the cases with spina bifida. Dysplastic floor was found to be as equally important as the level of lesion in the progression of hip dislocation (p = 0.002). Progression and dislocation incidences were observed to be higher in the thoracic level (p = 0.008). Reimer's progression index was seen to be a reliable way of assesment. The development of hip dislocation and progression are not solely connected with muscle imbalance. Encountered more frequently in these cases, acetabular dysplasia is a factor that is as important as the level of lesion in the formation of hip dislocation and progression. Hip dislocation is associated with more progression in the higher level lesions. Reimer's index is a reliable assessment criteria.

  6. Analysis of electromyographic activities of the lumbar erector spinae caused by inversion traction.

    Science.gov (United States)

    Kim, Chung Yoo; Kang, Jong Ho

    2016-04-01

    [Purpose] The purpose of this study was to analyze changes in the electromyographic activities of the lumbar erector spinae caused by inversion traction in order to verify the relaxation effect. [Subjects and Methods] The subjects included 60 healthy male adults who were equally and randomly assigned to a 30-30° group, a 30-60° group, and a 60-60° group. Inversion traction was performed for six minutes, and the electromyographic activities of the lumbar erector spinae (L2, L4) were measured before and after inversion traction. [Results] The root mean square values at the L2 and L4 levels on both sides were statistically significantly higher after inversion traction compared with before inversion traction. Before inversion traction, the root mean square values at the L2 and L4 levels on both sides in the 30-60° group and 60-60° group were significantly higher than those in the 30-30° group, while the root mean square values at the L2 and L4 levels on both sides showed no significant differences between the groups before inversion traction. [Conclusion] The findings of this study indicated that IT is more likely to elicits an increase in muscle tension and prevent relaxation of the lumbar erector spinae.

  7. How and Why Do Geysers Erupt?

    Science.gov (United States)

    Manga, M.

    2014-12-01

    Geysers are features that produce episodic eruptions of water, steam and sometimes non-condensable gases. Natural geysers are rare, with fewer than 1,000 worldwide. They are more than curiosities and popular tourist attractions: they offer a direct window into geothermal processes, and may serve as a natural small-scale laboratory to study larger-scale eruptive process such as those at volcanoes, and other self-organized, intermittent processes that result from phase separation and localized input of energy and mass. Despite > 200 years of scientific study, basic questions remain: Do eruptions begin from the bottom or top of the geyser? What controls eruption duration? Why do eruptions end? What are the required special subsurface geometries? Why are some geysers periodic, and others irregular? How and why do they respond to external influences such as weather, tides, and earthquakes? This presentation will review new insights from field studies at Lone Star geyser, Yellowstone National Park, geysers in the El Tatio geyser field, Chile, and laboratory models. At Lone Star we infer that dynamics are controlled by thermal and mechanical coupling between the conduit and a deeper, laterally-offset reservoir (called a "bubble trap" in previous studies). At El Tatio, we measured pressure and temperature within geysers over multiple eruption cycles: this data document the heating of liquid water by steam delivered from below. The laboratory experiments reveal how episodic release of steam from a bubble trap prepares a conduit for eruption and can generate a range of eruption intensities. In all cases, the eruption initiation, duration and termination are controlled by the interaction between the accumulation and transport of steam and liquid, and modulated by the geometry of the geyser's plumbing. Time series of thousands of eruptions confirm that internal processes control eruptions, with only pool geysers showing a sensitivity to air temperature; only very large stress

  8. Flux Cancellation Leading to CME Filament Eruptions

    Science.gov (United States)

    Popescu, Roxana M.; Panesar, Navdeep K.; Sterling, Alphonse C.; Moore, Ronald L.

    2016-01-01

    Solar filaments are strands of relatively cool, dense plasma magnetically suspended in the lower density hotter solar corona. They trace magnetic polarity inversion lines (PILs) in the photosphere below, and are supported against gravity at heights of up to approx.100 Mm above the chromosphere by the magnetic field in and around them. This field erupts when it is rendered unstable, often by magnetic flux cancellation or emergence at or near the PIL. We have studied the evolution of photospheric magnetic flux leading to ten observed filament eruptions. Specifically, we look for gradual magnetic changes in the neighborhood of the PIL prior to and during eruption. We use Extreme Ultraviolet (EUV) images from the Atmospheric Imaging Assembly (AIA), and magnetograms from the Helioseismic and Magnetic Imager (HMI), both on board the Solar Dynamics Observatory (SDO), to study filament eruptions and their photospheric magnetic fields. We examine whether flux cancellation or/and emergence leads to filament eruptions. We find that continuous flux cancellation was present at the PIL for many hours prior to each eruption. We present two CME-producing eruptions in detail and find the following: (a) the pre-eruption filament-holding core field is highly sheared and appears in the shape of a sigmoid above the PIL; (b) at the start of the eruption the opposite arms of the sigmoid reconnect in the middle above the site of (tether-cutting) flux cancellation at the PIL; (c) the filaments first show a slow-rise, followed by a fast-rise as they erupt. We conclude that these two filament eruptions result from flux cancellation in the middle of the sheared field, and thereafter evolve in agreement with the standard model for a CME/flare filament eruption from a closed bipolar magnetic field [flux cancellation (van Ballegooijen and Martens 1989 and Moore and Roumelrotis 1992) and runaway tether-cutting (Moore et. al 2001)].

  9. Small biparietal diameter in fetuses with spina bifida on 11-13-week and mid-gestation ultrasound.

    Science.gov (United States)

    Karl, K; Benoit, B; Entezami, M; Heling, K S; Chaoui, R

    2012-08-01

    To assess whether, at 11-13-week and mid-trimester ultrasound examinations, the biparietal diameter (BPD) in fetuses with open spina bifida is smaller than the reference range. In a multicenter retrospective analysis of data from 23 fetuses with open spina bifida diagnosed at 16-24 weeks, BPD at diagnosis was compared with that measured at 11-13 weeks, before diagnosis. Z-scores were calculated for comparison of BPD deviations from the reference range within the groups at 11-13 weeks and 16-24 weeks, and between these two time intervals. BPD Z-scores at 11-13 weeks and 16-24 weeks were significantly lower (P spina bifida when compared to the reference range, with mean values of - 1.29 and - 2.14, respectively, corresponding to the 10(th) and 1.5(th) centiles, respectively. At 11-13 weeks only six of the 23 (26%) fetuses with open spina bifida had BPD below the 5(th) centile, in comparison to 16 (69%) at mid-gestation. This was confirmed by paired t-test comparing the first-trimester with the second-trimester BPD measurements, which showed significantly slower growth of the BPD in fetuses with spina bifida. In fetuses with open spina bifida, BPD is smaller not only in the second trimester, as previously reported, but also in the first trimester. This is most likely due to loss of cerebrospinal fluid. We suggest that a BPD value spina bifida. Copyright © 2012 ISUOG. Published by John Wiley & Sons, Ltd.

  10. Diffusion tensor magnetic resonance imaging and fiber tractography of the sacral plexus in children with spina bifida.

    Science.gov (United States)

    Haakma, Wieke; Dik, Pieter; ten Haken, Bennie; Froeling, Martijn; Nievelstein, Rutger A J; Cuppen, Inge; de Jong, Tom P V M; Leemans, Alexander

    2014-09-01

    It is still largely unknown how neural tube defects in spina bifida affect the nerves at the level of the sacral plexus. Visualizing the sacral plexus in 3 dimensions could improve our anatomical understanding of neurological problems in patients with spina bifida. We investigated anatomical and microstructural properties of the sacral plexus of patients with spina bifida using diffusion tensor imaging and fiber tractography. Ten patients 8 to 16 years old with spina bifida underwent diffusion tensor imaging on a 3 Tesla magnetic resonance imaging system. Anatomical 3-dimensional reconstructions were obtained of the sacral plexus of the 10 patients. Fiber tractography was performed with a diffusion magnetic resonance imaging toolbox to determine fractional anisotropy, and mean, axial and radial diffusivity in the sacral plexus of the patients. Results were compared to 10 healthy controls. Nerves of patients with spina bifida showed asymmetry and disorganization to a large extent compared to those of healthy controls. Especially at the myelomeningocele level it was difficult to find a connection with the cauda equina. Mean, axial and radial diffusivity values at S1-S3 were significantly lower in patients. To our knowledge this 3 Tesla magnetic resonance imaging study showed for the first time sacral plexus asymmetry and disorganization in 10 patients with spina bifida using diffusion tensor imaging and fiber tractography. The observed difference in diffusion values indicates that these methods may be used to identify nerve abnormalities. We expect that this technique could provide a valuable contribution to better analysis and understanding of the problems of patients with spina bifida in the future. Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  11. Paternal and joint parental occupational pesticide exposure and spina bifida in the National Birth Defects Prevention Study, 1997 to 2002.

    Science.gov (United States)

    Pettigrew, Stacy M; Bell, Erin M; Van Zutphen, Alissa R; Rocheleau, Carissa M; Shaw, Gary M; Romitti, Paul A; Olshan, Andrew; Lupo, Philip J; Soim, Aida; Makelarski, Jennifer A; Michalski, Adrian M; Sanderson, Wayne

    2016-11-01

    Because of persistent concerns over the association between pesticides and spina bifida, we examined the role of paternal and combined parental occupational pesticide exposures in spina bifida in offspring using data from a large population-based study of birth defects. Occupational information from fathers of 291 spina bifida cases and 2745 unaffected live born control infants with estimated dates of delivery from 1997 to 2002 were collected by means of maternal report. Two expert industrial hygienists estimated exposure intensity and frequency to insecticides, herbicides, and fungicides. Multivariable logistic regression models were used to estimate adjusted odds ratios (aOR) and 95% confidence intervals (CI) for exposure to any pesticide and to any class of pesticide (yes/no; and by median), and exposure to combinations of pesticides (yes/no) and risk of spina bifida. Adjusted odds ratios were also estimated by parent exposed to pesticides (neither, mother only, father only, both parents). Joint parental occupational pesticide exposure was positively associated with spina bifida (aOR, 1.5; 95% CI, 0.9-2.4) when compared with infants with neither maternal nor paternal exposures; a similar association was not observed when only one parent was exposed. There was a suggested positive association between combined paternal insecticide and fungicide exposures and spina bifida (aOR, 1.5; 95% CI, 0.8-2.8), however, nearly all other aORs were close to unity. Overall, there was little evidence paternal occupational pesticide exposure was associated with spina bifida. However, the small numbers make it difficult to precisely evaluate the role of pesticide classes, individually and in combination. Birth Defects Research (Part A) 106:963-971, 2016. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  12. Solar Eruption and Local Magnetic Parameters

    Science.gov (United States)

    Lee, Jeongwoo; Liu, Chang; Jing, Ju; Chae, Jongchul

    2016-11-01

    It is now a common practice to use local magnetic parameters such as magnetic decay index for explaining solar eruptions from active regions, but there can be an alternative view that the global properties of the source region should be counted as a more important factor. We discuss this issue based on Solar Dynamics Observatory observations of the three successive eruptions within 1.5 hr from the NOAA active region 11444 and the magnetic parameters calculated using the nonlinear force-free field model. Two violent eruptions occurred in the regions with relatively high magnetic twist number (0.5-1.5) and high decay index (0.9-1.1) at the nominal height of the filament (12″) and otherwise a mild eruption occurred, which supports the local-parameter paradigm. Our main point is that the time sequence of the eruptions did not go with these parameters. It is argued that an additional factor, in the form of stabilizing force, should operate to determine the onset of the first eruption and temporal behaviors of subsequent eruptions. As supporting evidence, we report that the heating and fast plasma flow continuing for a timescale of an hour was the direct cause for the first eruption and that the unidirectional propagation of the disturbance determined the timing of subsequent eruptions. Both of these factors are associated with the overall magnetic structure rather than local magnetic properties of the active region.

  13. Why do Martian Magmas erupt?

    Science.gov (United States)

    Balta, J. B.; McSween, H. Y.

    2011-12-01

    Eruption of silicate lava, whether on Earth or another planet, requires that at some depth the melt has lower density than the surrounding rocks. As the densities of silicate liquids change during crystallization, whether a particular silicate liquid will erupt or be trapped at a level of neutral buoyancy is a complex yet fundamental issue for planetary dynamics. In general, 3 factors drive surface eruptions: inherent buoyancy relative to mantle phases, compositional evolution, and volatile contents. These factors manifest on Earth as terrestrial basalts commonly have compositions close to a density minimum [1]. Recent work has produced estimates of Martian parental magma compositions [2-5] based on shergottite meteorites and from Gusev crater. Using the MELTS algorithm [6] and other density calibrations, we simulated evolution of these liquids, focusing on density changes. For much of the crystallization path, density is controlled by FeO. All of the liquids begin with ρ ~ 2.8 g/cc at 1 bar, and the evolution of liquid density is controlled by the liquidus phases. At low pressures, olivine is the liquidus phase for each melt, and as FeO is not incompatible in olivine, olivine crystallization decreases liquid density, increasing buoyancy with crystallization. However, FeO is incompatible in pyroxene, and thus liquids crystallizing pyroxene become denser and less buoyant with crystallization, producing liquids with densities up to and above 3.0 g/cc. As the olivine-pyroxene saturation relationship is affected by pressure and chemistry, the identity of the liquidus phase and density evolution will vary between magmas. Without spreading centers, Mars has no location where the mantle approaches the surface, and it is likely that any magma which is denser than the crust will stall below or within that crust. The crystallization path of a liquid is a function of pressure, with pyroxene crystallizing first at P > 10 kbar (~80 km depth), close to the base of the Martian

  14. SANTORINI BEFORE THE MINOAN ERUPTION

    DEFF Research Database (Denmark)

    Friedrich, Walter L.; Sørensen, Annette Højen; Katsipis, Samson

    2014-01-01

    Conclusions Several detailed geological observations in the landscape of Santorini enable us to claim that the two harbour towns were located on the inner side of the caldera wall on the island of Thera prior to the Minoan Eruption. This hypothesis is in agreement with the excavation sites of Balos...... and Raos. The painted landscape in the fresco is highly comparable to what is seen in the two harbour sites discussed above. The water-filled caldera gave the inhabitants additional advantages: several natural harbours, good fishing grounds, and mineral resources. This new interpretation enables us to claim...

  15. Variations in eruption style during the 1931A.D. eruption of Aniakchak volcano, Alaska

    Science.gov (United States)

    Nicholson, R.S.; Gardner, J.E.; Neal, C.A.

    2011-01-01

    The 1931A.D. eruption of Aniakchak volcano, Alaska, progressed from subplinian to effusive eruptive style and from trachydacite to basaltic andesite composition from multiple vent locations. Eyewitness accounts and new studies of deposit stratigraphy provide a combined narrative of eruptive events. Additional field, compositional, grain size, componentry, density, and grain morphology data document the influences on changing eruptive style as the eruption progressed. The eruption began on 1 May 1931A.D. when a large subplinian eruption column produced vesicular juvenile-rich tephra. Subsequent activity was more intermittent, as magma interacted with groundwater and phreatomagmatic ash and lithic-rich tephra was dispersed up to 600km downwind. Final erupted products were more mafic in composition and the eruption became more strombolian in style. Stratigraphic evidence suggests that two trachydacitic lava flows were erupted from separate but adjacent vents before the phreatomagmatic phase concluded and that basaltic andesite lava from a third vent began to effuse near the end of explosive activity. The estimated total bulk volume of the eruption is 0.9km3, which corresponds to approximately 0.3km3 of magma. Eruption style changes are interpreted as follows: (1) a decrease in magma supply rate caused the change from subplinian to phreatomagmatic eruption; (2) a subsequent change in magma composition caused the transition from phreatomagmatic to strombolian eruption style. Additionally, the explosion and effusion of a similar magma composition from three separate vents indicates how the pre-existing caldera structure controlled the pathway of shallow magma ascent, thus influencing eruption style. ?? 2011 Elsevier B.V..

  16. Variations in eruption style during the 1931 A.D. eruption of Aniakchak volcano, Alaska

    Science.gov (United States)

    Nicholson, Robert S.; Gardner, James E.; Neal, Christina A.

    2011-01-01

    The 1931 A.D. eruption of Aniakchak volcano, Alaska, progressed from subplinian to effusive eruptive style and from trachydacite to basaltic andesite composition from multiple vent locations. Eyewitness accounts and new studies of deposit stratigraphy provide a combined narrative of eruptive events. Additional field, compositional, grain size, componentry, density, and grain morphology data document the influences on changing eruptive style as the eruption progressed. The eruption began on 1 May 1931 A.D. when a large subplinian eruption column produced vesicular juvenile-rich tephra. Subsequent activity was more intermittent, as magma interacted with groundwater and phreatomagmatic ash and lithic-rich tephra was dispersed up to 600 km downwind. Final erupted products were more mafic in composition and the eruption became more strombolian in style. Stratigraphic evidence suggests that two trachydacitic lava flows were erupted from separate but adjacent vents before the phreatomagmatic phase concluded and that basaltic andesite lava from a third vent began to effuse near the end of explosive activity. The estimated total bulk volume of the eruption is 0.9 km3, which corresponds to approximately 0.3 km3 of magma. Eruption style changes are interpreted as follows: (1) a decrease in magma supply rate caused the change from subplinian to phreatomagmatic eruption; (2) a subsequent change in magma composition caused the transition from phreatomagmatic to strombolian eruption style. Additionally, the explosion and effusion of a similar magma composition from three separate vents indicates how the pre-existing caldera structure controlled the pathway of shallow magma ascent, thus influencing eruption style.

  17. Jupiter Eruptions Captured in Infrared

    Science.gov (United States)

    2008-01-01

    [figure removed for brevity, see original site] Click on the image for high resolution image of Nature Cover Detailed analysis of two continent-sized storms that erupted in Jupiter's atmosphere in March 2007 shows that Jupiter's internal heat plays a significant role in generating atmospheric disturbances. Understanding these outbreaks could be the key to unlock the mysteries buried in the deep Jovian atmosphere, say astronomers. This infrared image shows two bright plume eruptions obtained by the NASA Infrared Telescope Facility on April 5, 2007. Understanding these phenomena is important for Earth's meteorology where storms are present everywhere and jet streams dominate the atmospheric circulation. Jupiter is a natural laboratory where atmospheric scientists study the nature and interplay of the intense jets and severe atmospheric phenomena. According to the analysis, the bright plumes were storm systems triggered in Jupiter's deep water clouds that moved upward in the atmosphere vigorously and injected a fresh mixture of ammonia ice and water about 20 miles (30 kilometers) above the visible clouds. The storms moved in the peak of a jet stream in Jupiter's atmosphere at 375 miles per hour (600 kilometers per hour). Models of the disturbance indicate that the jet stream extends deep in the buried atmosphere of Jupiter, more than 60 miles (approximately100 kilometers) below the cloud tops where most sunlight is absorbed.

  18. Fixed drug eruptions with modafinil

    Directory of Open Access Journals (Sweden)

    Loknath Ghoshal

    2015-01-01

    Full Text Available Modafinil is a psychostimulant drug, which has been approved by the US Food and Drug Administration for the treatment of narcolepsy associated excessive daytime sleepiness, sleep disorder related to shift work, and obstructive sleep apnea syndrome. However, presently it is being used as a lifestyle medicine; in India, it has been misused as an "over the counter" drug. Modafinil is known to have several cutaneous side effects. Fixed drug eruption (FDE is a distinctive drug induced reaction pattern characterized by recurrence of eruption at the same site of the skin or mucous membrane with repeated systemic administration. Only two case reports exist in the literature describing modafinil induced FDE until date. Here, we report two similar cases. The increasing use of this class of drug amongst the medical personnel might be posing a threat to the proper use and encouraging subsequent abuse. There might be a considerable population using these drugs unaware of the possible adverse effects. Authorities should be more alert regarding the sale and distribution of such medicines.

  19. Herculaneum: Clues to Vesuvius eruption

    Science.gov (United States)

    Richman, Barbara T.

    More than 80 skeletons have been unearthed in the ancient Mediterranean town of Herculaneum, west of Italy's Mount Vesuvius. This anthropological find corroborates a reinterpretation by three University of Rhode Island scientists of the sequence of the August A.D. 79 eruption of Vesuvius. In addition, the discovery is the first proof that large numbers of people perished as they tried to flee from the eruption, estimated to have been about 10 times more powerful than the May 1980 Mount St. Helens blast.‘Who says dead men don't talk? Their bones have something to say about them and their everyday lives,’ says Sara C. Bisel, a physical anthropologist who analyzed the skeletons. Among the remains are a cluster of skeletons from six adults, four children, and two infants trying to shield themselves from the volcanic onslaught; the skeleton of a sailor, still clutching an oar, lying on his back beside an 8-m-long capsized boat; a woman whose now bony hand was still graced with gem-encrusted gold rings; and a soldier (see Figure 1). From these and other finds the anthropological team was able to discern that the ancient Romans, on average, were shorter than modern citizens and, judging from the condition of some of the teeth, probably had a low-sugar diet.

  20. Location of spina bifida occulta and ultrasonographic bladder abnormalities predict the outcome of treatment for primary nocturnal enuresis in children.

    Science.gov (United States)

    Miyazato, Minoru; Sugaya, Kimio; Nishijima, Saori; Owan, Tomoko; Ogawa, Yoshihide

    2007-01-01

    We examined whether the existence of spina bifida occulta or ultrasonographic bladder abnormalities was related to the outcome of treatment for primary nocturnal enuresis in children. Between April 1996 and September 2005, a total of 77 subjects (53 boys and 24 girls, aged 5-18 years; mean age, 9.9 years) with primary nocturnal enuresis were studied. Plain X-ray films of the spine and ultrasonographic bladder measurements (bladder wall thickness, bladder neck descent and bladder neck opening) were obtained and the correlations with the outcome of treatment using imipramine hydrochloride were assessed. On plain X-ray films of the spine, spina bifida occulta (lumbar vertebrae in three, lumbosacral vertebrae in 19 and sacral vertebrae in 31) was recognized in 53 children (69%). Ultrasonographic bladder abnormalities were recognized in 40 children (52%). Children with lumbar and lumbosacral spina bifida occulta showed a higher rate of concomitant ultrasonographic bladder abnormalities (P = 0.006) and had a poorer response to treatment (P = 0.041) compared with the children who had sacral spina bifida occulta. Children with ultrasonographic bladder abnormalities had a worse response to treatment (P = 0.005) compared to the children without bladder abnormalities. The presence of lumbar spina bifida occulta and ultrasonographic bladder abnormalities was related to the outcome of treatment for primary nocturnal enuresis in children, suggesting that spinal radiography and vesical ultrasonography may be useful predictive tests.

  1. Sexual Function and Quality of Life in Young Men With Spina Bifida: Could It Be Neglected Aspects in Clinical Practice?

    Science.gov (United States)

    Choi, Eun Kyoung; Ji, Yoonhye; Han, Sang Won

    2017-03-31

    To evaluate the sexual function of young men with spina bifida and the impact of the disorder on the quality of life (QOL). To assess sexual function and QOL by using self-administered questionnaires (International Index of Erectile Function [IIEF] and 36-Item Short Form Health Survey) for young men with spina bifida. We collected data from 47 young men with spina bifida between June 2013 and October 2013 at the spina bifida clinic of Severance Children's Hospital, Seoul, South Korea RESULTS: Of the 47 men who completed the IIEF, 24 (51.1%) had sexual intercourse at least once during the previous month, and the patients' sexual activity status had a significant association with their sexual function; however, the status of their sexual activity did not show any differentiation with their QOL scores. Concerning overall satisfaction in sexual activity, about 87% reported more than mild dysfunction; however, 67% and 50% had normal erectile function and orgasmic function, respectively. In 10 patients (41.7%) among them, the frequency of ejaculation problems ranged from "sometimes" to "most of the time" during sexual activity. The correlation between sexual function and QOL had a statistically significant association with the weak correlation (r = 0.496, P = .014). Sexual function should be evaluated routinely in patients with spina bifida because such patients experience sexual dysfunction, although sexual function did not directly show a significant correlation with the QOL in this study. Copyright © 2017. Published by Elsevier Inc.

  2. Impact of introduction of mid-trimester scan on pregnancy outcome of open spina bifida in The Netherlands.

    Science.gov (United States)

    Fleurke-Rozema, J H; Vogel, T A; Voskamp, B J; Pajkrt, E; van den Berg, P P; Beekhuis, J R; Bilardo, C M; Brouwer, O F; de Walle, H E K; Snijders, R J M

    2014-05-01

    To examine the impact of introduction of the mid-trimester scan on pregnancy outcome in cases of open spina bifida in two regions of The Netherlands. This was a retrospective cohort study of 190 cases of open spina bifida diagnosed pre- or postnatally, with an estimated date of delivery between 2003 and 2011. With implementation of the mid-trimester scan the percentage of cases of open spina bifida detected before the 24(th) week of pregnancy increased from 43% to 88%. The rise in prenatal detection rate was associated with a significant increase in the number of terminated pregnancies and a decrease in the rate of perinatal loss; the percentage of children born alive did not change significantly. In the subgroup that underwent a scan between 18 and 24 weeks of pregnancy, cranial signs were present in 94.4% of cases. Introduction of the mid-trimester scan has led to an increase in early identification of pregnancies complicated by open spina bifida. Pregnancies previously destined to end in perinatal loss are now terminated whilst pregnancies with a relatively good prognosis are frequently continued; the number of children with open spina bifida who are born alive has not changed significantly. Our study confirms that prenatal diagnosis is usually triggered by visualization of a lemon-shaped skull or a banana-shaped cerebellum. Copyright © 2013 ISUOG. Published by John Wiley & Sons Ltd.

  3. Effect of hydro-alcoholic extract of Ziziphus spina-christi against scopolamine-induced anxiety in rats

    Directory of Open Access Journals (Sweden)

    Mahbubeh Setorki

    2016-06-01

    Full Text Available The aim of this study was to observe the effect of Ziziphus spina-christi extract against anxiety related behavior induced by scopolamine. Rats were randomly divided into six groups, each group consists of eight rats. Vehicle group received distilled water, negative control received scopolamine (1 mg/kg and positive control received diazepam (1 mg/mL. Experimental groups received Z. spina-christi extract (50, 100 and 200 mg/kg IP 30 min after scopolamine injection. Anxiety related behaviors were assessed using the elevated plus maze. The rotarod test was used to evaluate motor coordination. Administration of Z. spina-christi extract (200 mg/kg significantly increased the time spent in the open arm of elevated plus maze. The extract also reduced the percentage of closed arms entries and time spent in the closed arms. Different concentration of Z. spina-christi extract didn’t affect motor coordination and balance. Hydro-alcoholic extract of Z. spina-christi significantly ameliorate scopolamine-induced anxiety.

  4. EMG activities of the quadratus lumborum and erector spinae muscles during flexion-relaxation and other motor tasks.

    Science.gov (United States)

    Andersson, E A; Oddsson, L I E; Grundström, H; Nilsson, J; Thorstensson, A

    1996-10-01

    OBJECTIVE: The aim of this study was to provide new information on the myoelectrical activation of the quadratus lumborum, the deep lateral and the superficial medial lumbar erector spinae, the psoas, and the iliacus muscles in various motor tasks. DESIGN: An intramuscular electromyographic study was performed. BACKGROUND: The contribution of individual deep trunk muscles to the stability of the lumbar spine is relatively unknown in different tasks, including the flexion-relaxation phenomenon. METHODS: Seven healthy subjects participated. Fine-wire electrodes were inserted with a needle guided by ultrasound. RESULTS: The highest activity observed for quadratus lumborum and deep lateral erector spinae occurred in ipsilateral trunk flexion in a side-lying position and for superficial medial erector spinae during bilateral leg lift in a prone position. Quadratus lumborum and deep lateral erector spinae were activated when the flexion-relaxation phenomenon was present for superficial medial erector spinae, i.e. when its activity ceased in the latter part of full forward flexion of the trunk, held relaxed and kyphotic. CONCLUSIONS: In general, the activation of the investigated muscles showed a high degree of task specificity, where activation of a certain muscle was not always predictable from its anatomical arrangement and mechanical advantage.

  5. Global Significant Volcanic Eruptions Database, 4360 BC to present

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The Significant Volcanic Eruptions Database is a global listing of over 600 eruptions from 4360 BC to the present. A significant eruption is classified as one that...

  6. Disturbed apoptosis and cell proliferation in developing neuroepithelium of lumbo-sacral neural tubes in retinoic acid-induced spina bifida aperta in rat.

    Science.gov (United States)

    Wei, Xiaowei; Li, Hui; Miao, Jianing; Zhou, Fenghua; Liu, Bo; Wu, Di; Li, Shujing; Wang, Lili; Fan, Yang; Wang, Weilin; Yuan, Zhengwei

    2012-08-01

    Spina bifida is a complex congenital malformation resulting from failure of fusion in the spinal neural tube during embryogenesis. However, the cellular mechanism underlying spina bifida is not fully understood. Here, we investigated cell apoptosis in whole embryos and proliferation of neural progenitor cells in the spinal neural tube during neurulation in all-trans retinoic acid (atRA)-induced spina bifida in fetal rats. Cell apoptosis was assessed by TUNEL assay on whole-mount and serially sectioned samples of rat embryos with spina bifida. Cell proliferation of lumbo-sacral neural progenitor cells was assessed by staining for the mitotic marker Ki67 and pH3. We found an excess of apoptosis in the neuroepithelium of embryos with spina bifida, which became more marked as embryos progress from E11 to E13. Conversely, there was a reduction in cell proliferation in spina bifida embryos, with a progressively greater difference from controls with stage from E11 to 13. Thus, atRA-induced spina bifida in rat shows perturbed apoptosis and proliferation of neural progenitors in the lumbo-sacral spinal cord during embryonic development, which might contribute to the pathogenesis of spina bifida.

  7. Spina Bifida. Ervaringen bij de behandeling en begeleiding. Een inventarisatie van problemen, een analyse van het werken als team en een visie op de begeleiding.

    NARCIS (Netherlands)

    Meihuizen-de Regt, Margaretha Jannie

    1984-01-01

    Deze studie geeft na enkele algemene beschouwingen over spina bifida (hoofdstuk I) de resultaten weer van een onderzoek naar de verschillende somatische en psychosociale problemen die kunnen voorkomen bij patiënten met spina bifida (hoofdstuk II) en een visie op de psychosociale begeleiding van de

  8. Textural and geochemical constraints on eruptive style of the 79AD eruption at Vesuvius

    Science.gov (United States)

    Balcone-Boissard, Hélène; Boudon, Georges; Villemant, Benoît.

    2010-05-01

    The 79AD eruption of Vesuvius, also known as the "Pompeii eruption", is the reference for one of the explosive eruptive styles, the plinian-type eruption. The eruption involved H2O-rich phonolitic magmas and is commonly divided into three phases: an initial phreatomagmatic phase, followed by a plinian event which produced a thick pumice fallout deposit and a final phase that was dominated by numerous column-collapse events. During the plinian phase, a first white pumice fallout was produced from a high steady eruptive column, followed by a grey pumice fallout originated by an oscillatory eruptive column with several partial column collapse events. This study focuses on the pumice fallout deposits, sampled in a proximal thick section, at the Terzigno quarry, 6 km southeast of the present crater. In order to constrain the degassing processes and the eruptive dynamics, major element compositions, residual volatile contents (H2O, Cl) and textural characteristics (vesicularity and microcrystallinity) were studied. A previous study that we performed on the pre-eruptive Cl content has shown that Cl may be used as an indicator of magma saturation with Cl-rich fluids and of pre-eruptive pressures. Cl contents measured in melt inclusions show that only the white pumice and the upper part of the grey pumice magma were H2O saturated prior eruption. Large variations in residual volatile contents exist between the different eruptive units and textural features strongly differ between white and grey pumice clasts but also within the grey pumice clasts. The degassing processes were thus highly heterogeneous: the white pumice eruptive units represent a typical closed-system degassing evolution whereas the first grey pumice one, stored in the same pre-eruptive saturation conditions, follows a particular open-system degassing evolution. Here we propose a new model of the 79AD eruption where pre-eruptive conditions (H2O saturation, magma temperature and viscosity) are the critical

  9. Large erupting complex odontoma: a case report.

    Science.gov (United States)

    Vengal, Manoj; Arora, Honey; Ghosh, Sujoy; Pai, Keerthilatha M

    2007-03-01

    Odontomas are the most common odontogenic tumours. They are usually asymptomatic and are often discovered during routine radiography. We report a case of a large erupting complex odontoma that caused pain, infection and facial asymmetry. This case is significant as there are few reports of complex odontoma erupting in the oral cavity.

  10. Chronology of Postglacial Eruptive Activity and Calculation of Eruption Probabilities for Medicine Lake Volcano, Northern California

    Science.gov (United States)

    Nathenson, Manuel; Donnelly-Nolan, Julie M.; Champion, Duane E.; Lowenstern, Jacob B.

    2007-01-01

    Medicine Lake volcano has had 4 eruptive episodes in its postglacial history (since 13,000 years ago) comprising 16 eruptions. Time intervals between events within the episodes are relatively short, whereas time intervals between the episodes are much longer. An updated radiocarbon chronology for these eruptions is presented that uses paleomagnetic data to constrain the choice of calibrated ages. This chronology is used with exponential, Weibull, and mixed-exponential probability distributions to model the data for time intervals between eruptions. The mixed exponential distribution is the best match to the data and provides estimates for the conditional probability of a future eruption given the time since the last eruption. The probability of an eruption at Medicine Lake volcano in the next year from today is 0.00028.

  11. Triggering of volcanic eruptions by large earthquakes

    Science.gov (United States)

    Nishimura, Takeshi

    2017-08-01

    When a large earthquake occurs near an active volcano, there is often concern that volcanic eruptions may be triggered by the earthquake. In this study, recently accumulated, reliable data were analyzed to quantitatively evaluate the probability of the occurrence of new eruptions of volcanoes located near the epicenters of large earthquakes. For volcanoes located within 200 km of large earthquakes of magnitude 7.5 or greater, the eruption occurrence probability increases by approximately 50% for 5 years after the earthquake origin time. However, no significant increase in the occurrence probability of new eruptions was observed at distant volcanoes or for smaller earthquakes. The present results strongly suggest that new eruptions are likely triggered by static stress changes and/or strong ground motions caused by nearby large earthquakes. This is not similar to the previously presented evidence that volcanic earthquakes at distant volcanoes are remotely triggered by surface waves generated by large earthquakes.

  12. Forecasting eruptions using pre-eruptive seismic patterns at Sinabung Volcano, Indonesia

    Science.gov (United States)

    McCausland, W. A.; White, R. A.; Hendrasto, M.; Gunawan, H.; Indrastuti, N.; Triastuti, H.; Suparman, Y.; Putra, A.

    2015-12-01

    Forecasting the size, timing and style of volcanic eruptions is of primary interest to observatories and civil authorities world-wide, yet most observatories only have access to long-term data at a very limited number of volcanoes under their jurisdiction. When extensive long-term data sets are available to responsible agencies, volcanic eruptive size, timing and style can usually be successfully forecast using current monitoring data and knowledge of precursory eruptive patterns, enabling the communication of timely forecasts to civil authorities. Experienced agencies, such as Indonesia's Center for Volcanology and Geologic Hazards Mitigation and the USAID-USGS Volcano Disaster Assistance Program, utilize extensive collective experiences with multiple monitoring streams over multiple eruption cycles and across volcano types to successfully forecast eruption size, style and onset, as well as changes in eruptive style and size within ongoing eruptions. The longest-term real-time monitoring parameter commonly available at volcanoes worldwide is seismic data. Seismic data is a direct measure of rate-dependent strain changes in the magmatic system from the deep magmatic input to shallow eruptive processes. Patterns of pre-eruptive earthquakes coupled with other available monitoring data and conceptual models of magma ascent enable short-term forecasting of eruption size, style, and onset. First order event locations, characterization of background seismicity, and changes in earthquake types and energy release are most important to successful eruption forecasting. This study demonstrates how this approach has been used to successfully forecast eruption onsets, changes in eruptive style, and to change alert levels and extend or contract evacuation zones during the ongoing eruption of Sinabung Volcano, Indonesia.

  13. Monte Carlo Option Princing

    Directory of Open Access Journals (Sweden)

    Cecilia Maya

    2004-12-01

    Full Text Available El método Monte Carlo se aplica a varios casos de valoración de opciones financieras. El método genera una buena aproximación al comparar su precisión con la de otros métodos numéricos. La estimación que produce la versión Cruda de Monte Carlo puede ser aún más exacta si se recurre a metodologías de reducción de la varianza entre las cuales se sugieren la variable antitética y de la variable de control. Sin embargo, dichas metodologías requieren un esfuerzo computacional mayor por lo cual las mismas deben ser evaluadas en términos no sólo de su precisión sino también de su eficiencia.

  14. Monte Carlo and nonlinearities

    CERN Document Server

    Dauchet, Jérémi; Blanco, Stéphane; Caliot, Cyril; Charon, Julien; Coustet, Christophe; Hafi, Mouna El; Eymet, Vincent; Farges, Olivier; Forest, Vincent; Fournier, Richard; Galtier, Mathieu; Gautrais, Jacques; Khuong, Anaïs; Pelissier, Lionel; Piaud, Benjamin; Roger, Maxime; Terrée, Guillaume; Weitz, Sebastian

    2016-01-01

    The Monte Carlo method is widely used to numerically predict systems behaviour. However, its powerful incremental design assumes a strong premise which has severely limited application so far: the estimation process must combine linearly over dimensions. Here we show that this premise can be alleviated by projecting nonlinearities on a polynomial basis and increasing the configuration-space dimension. Considering phytoplankton growth in light-limited environments, radiative transfer in planetary atmospheres, electromagnetic scattering by particles and concentrated-solar-power-plant productions, we prove the real world usability of this advance on four test-cases that were so far regarded as impracticable by Monte Carlo approaches. We also illustrate an outstanding feature of our method when applied to sharp problems with interacting particles: handling rare events is now straightforward. Overall, our extension preserves the features that made the method popular: addressing nonlinearities does not compromise o...

  15. Fundamentals of Monte Carlo

    Energy Technology Data Exchange (ETDEWEB)

    Wollaber, Allan Benton [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-06-16

    This is a powerpoint presentation which serves as lecture material for the Parallel Computing summer school. It goes over the fundamentals of the Monte Carlo calculation method. The material is presented according to the following outline: Introduction (background, a simple example: estimating π), Why does this even work? (The Law of Large Numbers, The Central Limit Theorem), How to sample (inverse transform sampling, rejection), and An example from particle transport.

  16. Correlation between spina bifida manifesta in fetal rats and c-Jun N-terminal kinase signaling

    Institute of Scientific and Technical Information of China (English)

    Yinghuan Ma; Yongxin Bao; Chenghao Li; Fubin Jiao; Hongjie Xin; Zhengwei Yuan

    2012-01-01

    Fetal rat models with neural tube defects were established by injection with retinoic acid at 10 days after conception. The immunofluorescence assay and western blot analysis showed that the number of caspase-3 positive cells in myeloid tissues for spina bifida manifesta was increased. There was also increased phosphorylation of c-Jun N-terminal kinase, a member of the mitogen activated protein kinase family. The c-Jun N-terminal kinase phosphorylation level was positively correlated with caspase-3 expression in myeloid tissues for spina bifida manifesta. Experimental findings indicate that abnormal apoptosis is involved in retinoic acid-induced dominant spina bifida formation in fetal rats, and may be associated with the c-Jun N-terminal kinase signal transduction pathway.

  17. Screening for fetal spina bifida by ultrasound examination in the first trimester of pregnancy using fetal biparietal diameter.

    Science.gov (United States)

    Bernard, Jean-Pierre; Cuckle, Howard S; Stirnemann, Julien J; Salomon, Laurent J; Ville, Yves

    2012-10-01

    Prenatal screening for aneuploidies is best achieved in the first trimester when there is no reliable screening test for spina bifida. Early ultrasound features may be too complex for routine screening. We assessed screening potential of simple and reproducible fetal biometric measurements at 11-14 weeks of gestation. A total of 34,951 unselected consecutive pregnancies included 18 with spina bifida. Another 28 cases were referred for assessment. Biometric measurements were expressed in multiples of the median for crown-rump length. Biparietal diameter (BPD) was smaller in spina bifida (P bifida aperta had a BPD bifida by identifying 5% of pregnancies for expert scanning in first- and second-trimester examinations of the fetal spine and cranium. Copyright © 2012 Mosby, Inc. All rights reserved.

  18. Correlation between spina bifida manifesta in fetal rats and c-Jun N-terminal kinase signaling★

    Science.gov (United States)

    Ma, Yinghuan; Bao, Yongxin; Li, Chenghao; Jiao, Fubin; Xin, Hongjie; Yuan, Zhengwei

    2012-01-01

    Fetal rat models with neural tube defects were established by injection with retinoic acid at 10 days after conception. The immunofluorescence assay and western blot analysis showed that the number of caspase-3 positive cells in myeloid tissues for spina bifida manifesta was increased. There was also increased phosphorylation of c-Jun N-terminal kinase, a member of the mitogen activated protein kinase family. The c-Jun N-terminal kinase phosphorylation level was positively correlated with caspase-3 expression in myeloid tissues for spina bifida manifesta. Experimental findings indicate that abnormal apoptosis is involved in retinoic acid-induced dominant spina bifida formation in fetal rats, and may be associated with the c-Jun N-terminal kinase signal transduction pathway. PMID:25337099

  19. Explosive Super-eruptions: Problems and Prejudices

    Science.gov (United States)

    Self, S.

    2010-12-01

    A super-eruption is defined as one with a magma yield > 10^15 kg (magnitude (M) 8). The term has mainly been applied to large-scale, caldera and ignimbrite-forming explosive eruptions, but it can be applied to all eruptions that released > 10^15 kg of magma. For effusive volcanism, evidence suggests that individual eruptions of this size ( > ~ 370 km^3 of typical basalt or > 450 km^3 of rhyolite flood lava) arise only during periods of LIP formation. The super-eruption concept raises interesting questions about genesis and storage of magmas that feed these vast events. Deposits of major explosive eruptions are Plinian fallout, ignimbrite sheets, and co-ignimbrite ash fall. Based on earlier suggestions and evidence, widespread outflow ignimbrite (O), co-ignimbrite ash (A), and inter-caldera ignimbrite (I) are all major components of the total super-eruption deposit and may tend towards being subequal. In super-eruption deposits, the reported volume of vent-derived Plinian eruption column fallout is often a minor component of the total volume, yet in several cases (Oruanui, Taupo, 26 ka ago, M 8.1; Bishop Tuff, 760 ka, M 8.2; Bandelier (Otowi) Tuff, 1.6 Ma, M8) it is now recognized that vent-derived columns persisted for most of the eruption. Thus, distally, the ash-fall derived from co-ignimbrite ash clouds may be mixed with contemporaneous fallout from a vertical column. Some major ignimbrites have no reported associated Plinian deposit; the huge Young Toba Tuff (YTT, 74 ka, M 8.8) is a significant example. However, the very widespread Toba ash-fall deposit constitutes ~ 40 % of the total mass of magma erupted and is presumed to be co-ignimbrite. Timing of the onset of column collapse probably controls whether a recognizable Plinian deposit is laid down. All super-eruptions probably produce extensive fallout deposits, and this is generally of vent-derived and pyroclastic-flow-derived origin. Establishing the relationships between large-scale ignimbrites and their

  20. Generalized eruptive histiocytosis mimicking leprosy

    Directory of Open Access Journals (Sweden)

    B C Sharath Kumar

    2011-01-01

    Full Text Available Generalized eruptive histiocytosis (GEH is a rare cutaneous histiocytosis that mainly affects adults and presents with multiple symmetric papules on face, trunk, and proximal extremities. GEH is included in type IIa (histiocytes involving cells of dermal dendrocyte lineage of histiocytic disorders. Clinical and pathological correlations are required for differentiating GEH from other histiocytic disorders and from lepromatous leprosy which clinically mimic GEH and is prevalent in India. We report a case of a middle-aged woman who presented with generalized asymptomatic papules and nodules and was treated for leprosy but was finally diagnosed to have GEH after clinical, histopathological, and immunohistochemical correlation. Furthermore, the newer lesions also showed features of progressive nodular histiocytosis.

  1. Generalized eruptive histiocytosis mimicking leprosy.

    Science.gov (United States)

    Sharath Kumar, B C; Nandini, A S; Niveditha, S R; Gopal, M G

    2011-01-01

    Generalized eruptive histiocytosis (GEH) is a rare cutaneous histiocytosis that mainly affects adults and presents with multiple symmetric papules on face, trunk, and proximal extremities. GEH is included in type IIa (histiocytes involving cells of dermal dendrocyte lineage) of histiocytic disorders. Clinical and pathological correlations are required for differentiating GEH from other histiocytic disorders and from lepromatous leprosy which clinically mimic GEH and is prevalent in India. We report a case of a middle-aged woman who presented with generalized asymptomatic papules and nodules and was treated for leprosy but was finally diagnosed to have GEH after clinical, histopathological, and immunohistochemical correlation. Furthermore, the newer lesions also showed features of progressive nodular histiocytosis.

  2. Screening for fetal spina bifida at the 11-13-week scan using three anatomical features of the posterior brain.

    Science.gov (United States)

    Mangione, R; Dhombres, F; Lelong, N; Amat, S; Atoub, F; Friszer, S; Khoshnood, B; Jouannic, J-M

    2013-10-01

    To evaluate the contribution of examination of specific anatomical features of the fetal posterior brain on mid-sagittal first-trimester ultrasound examination to the early detection of open spina bifida. Four independent observers reviewed a series of 260 mid-sagittal first-trimester ultrasound images from 52 cases of open spina bifida and 208 normal fetuses. The following analysis was performed by each reviewer for each image: Herman score calculation, intracranial translucency score (CFEF-IT) calculation and determination of presence or absence of three anatomical criteria: intracranial translucency (IT), caudal displacement of the brainstem and cisterna magna. The sensitivity and the false-positive rate for spina bifida detection were calculated for each of the latter three criteria. A secondary analysis was performed on the subset of images achieving a Herman score ≥ 7. The highest detection rate for spina bifida was achieved by non-visualization of the cisterna magna, with associated sensitivity of 50-73% and 39-76%, respectively, for all images and for the subset of images achieving a Herman score ≥ 7. Posterior shift of the brainstem achieved the highest detection rate (86%), but for a single reviewer only. The level of variation in performance between observers was also greatest for this sign. Absence of IT was associated with a lower detection rate for all observers. Overall, an abnormal posterior brain presenting at least one of these three criteria was associated with a detection rate ranging from 50 to 90%. In the detection of spina bifida, non-visualization of the cisterna magna achieved the best screening performance. Both non-visualization of the IT and posterior shift of the brainstem were associated with acceptable but lower detection rates. A prospective evaluation of changes in the posterior brain is needed to allow assessment of the most pertinent criteria for first-trimester screening for spina bifida. Copyright © 2013 ISUOG. Published by

  3. Awareness of spina bifida and periconceptional use of folic acid among pregnant women in a developing economy.

    Science.gov (United States)

    Rabiu, T B; Tiamiyu, L O; Awoyinka, B S

    2012-12-01

    Folate deficiency in pregnant women is a recognized cause of spina bifida. We sought to establish the level of awareness of spina bifida as well as the use of folate supplementation among pregnant women in a developing economy. Interviewer-administered questionnaires were used to obtain information from 200 to 20 randomly selected pregnant women attending antenatal clinics at the authors' institution. Demographic information and information on parity, folic acid use and knowledge on spina bifida including its cause, prevention and treatment were obtained. Data analyses were done using Epi Info version 6. The mean age of the women was 30.3 years (range 17-52 years). Sixty-six of the women (30.0 %) were primigravida. Most of the respondents [208 (94.5 %)] have attained, at least, secondary level of education. The average gestational age at antenatal clinic booking was 20.7 weeks (range 4-38 weeks), while the average gestational age at commencement of folic acid use was 18.5 weeks (range 4-38 weeks). None of them used folic acid in the preconception period. Knowledge about spina bifida is poor and a significant number [103 (46.8 %)] have superstitious belief about its aetiology. Only 56 (25.5 %) of the respondents are aware that folic acid use prevents its occurrence; however, 194 (88.2 %) are willing to receive periconceptional folate supplementation. There is paucity of knowledge about spina bifida among Nigerian pregnant women despite their high level of formal education. We advocate an aggressive public health campaign to enlighten the women about spina bifida and encourage periconceptional folate supplementation.

  4. Thermal vesiculation during volcanic eruptions

    Science.gov (United States)

    Lavallée, Yan; Dingwell, Donald B.; Johnson, Jeffrey B.; Cimarelli, Corrado; Hornby, Adrian J.; Kendrick, Jackie E.; von Aulock, Felix W.; Kennedy, Ben M.; Andrews, Benjamin J.; Wadsworth, Fabian B.; Rhodes, Emma; Chigna, Gustavo

    2015-12-01

    Terrestrial volcanic eruptions are the consequence of magmas ascending to the surface of the Earth. This ascent is driven by buoyancy forces, which are enhanced by bubble nucleation and growth (vesiculation) that reduce the density of magma. The development of vesicularity also greatly reduces the ‘strength’ of magma, a material parameter controlling fragmentation and thus the explosive potential of the liquid rock. The development of vesicularity in magmas has until now been viewed (both thermodynamically and kinetically) in terms of the pressure dependence of the solubility of water in the magma, and its role in driving gas saturation, exsolution and expansion during decompression. In contrast, the possible effects of the well documented negative temperature dependence of solubility of water in magma has largely been ignored. Recently, petrological constraints have demonstrated that considerable heating of magma may indeed be a common result of the latent heat of crystallization as well as viscous and frictional heating in areas of strain localization. Here we present field and experimental observations of magma vesiculation and fragmentation resulting from heating (rather than decompression). Textural analysis of volcanic ash from Santiaguito volcano in Guatemala reveals the presence of chemically heterogeneous filaments hosting micrometre-scale vesicles. The textures mirror those developed by disequilibrium melting induced via rapid heating during fault friction experiments, demonstrating that friction can generate sufficient heat to induce melting and vesiculation of hydrated silicic magma. Consideration of the experimentally determined temperature and pressure dependence of water solubility in magma reveals that, for many ascent paths, exsolution may be more efficiently achieved by heating than by decompression. We conclude that the thermal path experienced by magma during ascent strongly controls degassing, vesiculation, magma strength and the effusive

  5. Ciprofloxacin induced fixed drug eruption

    Directory of Open Access Journals (Sweden)

    M. Ravishankar

    2014-12-01

    Full Text Available Fixed drug eruption (FDE is a clinical entity occurring in the same site or sites each time the drug is administered. Acute lesions appear as sharply marginated erythematous plaques, which are usually found on lips, genitalia, abdomen, and legs. The eruptions usually occur within hours of administration of the offending agent and resolves spontaneously without scarring after few weeks of onset. Most common drugs causing FDE are sulfonamides, tetracyclines, salicylates, barbiturates, doxycycline, fluconazole, clarithromycin, etc. Ciprofloxacin, a widely used fluoroquinolone antimicrobial, induces cutaneous adverse drug reactions (ADRs in about 1-2% of treated patients. Urticaria, angioedema, maculopapular exanthems, and photosensitivity are the most frequently documented cutaneous adverse reactions. In this case report, the patient soon after taking ciprofloxacin tablets, developed itching in the lips, palms and in scrotal region. On continuing the treatment, the next day he developed fluid filled lesions over palm, knuckle, and hyperpigmentation. He gives a history of severe itching and rashes in scrotal region. He gives a history of similar complaints in the previous month after taking ciprofloxacin medication. There was no history of intake of any other medication. On examination, bullous lesions and pustules in finger webs, hyperpigmentation on knuckles, and scrotal erosions were seen. In the present case report, the patient presented with FDE immediately after oral administration of ciprofloxacin and got completely cured after stopping the drug and taking adequate treatment. According to the Naranjo's ADR probability scale (score=8, this ADR is categorized as a and ldquo;probable and rdquo; reaction to the drug. [Int J Basic Clin Pharmacol 2014; 3(6.000: 1096-1097

  6. Neuro-orthopaedic conditions in spina bifida: natural course and their management and long-term outcomes.

    Science.gov (United States)

    Kumar, Raj; Mehrotra, Anant; Banerjee, Sumit

    2013-09-01

    Management of spina bifida is a complex issue with various systems of the body involved either directly or indirectly. Deformities of the bone and joints (especially spine and lower limbs) play a significant role in causation of deficits in the child. Management of these deficits require a focused, specialised and multidisciplinary approach with orthopaedician, physiotherapist, intensivist and psychologist apart from neurosurgeon playing an important part. To manage these deformities, one needs to understand the pathophysiology of causation of these defects. The corrective surgical intervention ranges from a simple release of contracture to highly complex spinal instrumentations. We reviewed the literature and have shared our experience on this aspect of spina bifida.

  7. [Experiences with temporary intravesical electro-stimulation of the neurogenic bladder in spina bifida children (author's transl)].

    Science.gov (United States)

    Seiferth, J; Larkamp, H; Heising, J

    1978-09-01

    This is a report of a special method of a temporary intravesical electrostimulation of the bladder for the treatment of urinary incontinence of spina bifida children. The technique with presentation of apparatus and catheter is described in details. The criterias for the selection of the patients are explained, the most important of which is the response of the detrusor muscle during the stimulation recorded by uromanometry. 28 spina bifida-children were treated. There is success in 70% of the patients, if the criteria are fulfilled.

  8. Screening of polymorphisms for MTHFR and DHFR genes in spina bifida children and their mothers

    Science.gov (United States)

    Husna, M. Z.; Endom, I.; Ibrahim, S.; Selvi, N. Amaramalar; Fakhrurazi, H.; Htwe, R. Ohnmar; Kanehaswari, Y.; Halim, A. R. Abdul; Wong, S. W.; Subashini, K.; Syahira, O. Nur; Aishah, S.

    2013-11-01

    Mechanism underlying the beneficial effect of folic acid supplementation in reducing the risk of neural tube defect is still not well understood. Current evidences show the involvement of folic acid metabolic gene's polymorphism as contributing factors that regulate this pathway. Therefore, the objective of this research was to determine the presence of C677T polymorphism for methylenetetrahydrofolate reductase (MTHFR) and dihydrofolate reductase (DHFR-19 bp deletion) genes between mother-children pairs of case and control. With the approval of UKMMC ethic committee, genomic DNA was extracted from one hundred and forty consented bloods. Polymerase chain reaction (PCR), PCR-RFLP (Restriction Fragment Length Polymorphism) and sequencing were employed to verify each nucleotide change. Our result shows that mutant MTHFR and DHFR alleles are present in all Malaysian sub-ethnic groups, case and control. Even though mutant MTHFR are found to be slightly higher in the case groups, 75% of the affected child is a non carrier for this allele and 62.5% of the mothers with an affected child are genotypically normal. For DHFR, almost all (87.5-100%) investigated samples are a carrier or having a double DHFR deletion be it a case or control pairs. However, strong maternal inheritance shown by the deleted allele might be due to a cascade effect of lacks of folate consumption or maternal uniparental disomy. In conclusion, the use of MTHFR and DHFR as markers in determining the risk of having spina bifida baby is uninformative and plays a small indirect role as the genetic causes of spina bifida. Therefore, spina bifida remains etiologically unknown polygenic and quantitative developmental trait whereby the searches for positive genetic marker need to be continued.

  9. Cryopreserved human umbilical cord patch for in-utero spina bifida repair.

    Science.gov (United States)

    Papanna, R; Moise, K J; Mann, L K; Fletcher, S; Schniederjan, R; Bhattacharjee, M B; Stewart, R J; Kaur, S; Prabhu, S P; Tseng, S C G

    2016-02-01

    To identify a patch system to repair surgically created spina bifida in a sheep model for its efficacy in healing the skin defect, protecting the underlying spinal cord and reducing the Chiari II malformation. Spina bifida was created surgically in 16 fetuses from eight timed-pregnant sheep at gestational age of 75 days. Two fetuses did not survive the procedure. Repeat hysterotomy was performed at 95 days' gestation to cover the defect with either biocellulose film with underwater adhesive (BCF-adhesive) (n = 7) or human umbilical cord with suture (HUC-suture) (n = 7). Three fetuses without formation of the defect served as reference controls. The skin healing was examined by direct visualization after a planned Cesarean section at term, followed by histological analysis using hematoxylin and eosin and Masson's trichrome stains. Mid-sagittal sections of the fetal cranium and upper cervical spine were analyzed by a pediatric neuroradiologist who was blinded to the type of patch received. Three fetuses that received the BCF-adhesive and six fetuses that received the HUC-suture survived to term for final analysis. As a result of dislodgment of the BCF-adhesive, all spina bifida defects repaired using BCF-adhesive were not healed and showed exposed spinal cord with leakage of cerebrospinal fluid. In contrast, all spinal defects repaired by HUC-suture were healed with complete regrowth of epidermal, dermal and subdermal tissue components, with no exposed spinal cord. The maximal skin wound width was 21 ± 3.6 mm in the BCF-adhesive group but 3 ± 0.8 mm in the HUC-suture group (P bifida. Copyright © 2015 ISUOG. Published by John Wiley & Sons Ltd.

  10. Hip and spine surgery is of questionable value in spina bifida: an evidence-based review.

    Science.gov (United States)

    Wright, James G

    2011-05-01

    Although many children with spina bifida and associated scoliosis or dislocated hips undergo spine or hip surgery, the benefits are uncertain. The purpose was to perform an evidence-based review on the benefits and risks of surgery for dislocated hips and scoliosis in spina bifida. I performed a Medline(®) and Embase(®) search from 1950 to 2009 for Level I to Level III studies investigating the benefits and risks of surgery for scoliosis and hip dislocation in patients with spina bifida. When available, I extracted types of surgery, complication rates, functional outcomes of seating, walking, and overall physical function. All treatment recommendations received a Grade of Recommendation: Grade A (consistent Level I studies); Grade B (consistent Level II and III studies); Grade C (consistent level IV and V studies); or Grade I (insufficient or contradictory studies). Combined anterior and posterior surgery had lower rates of nonunion for scoliosis. Although there may be some benefit in seating, overall physical function measured in a different and nonstandardized fashion was not much changed and major complication rates, including nonunion and infections for scoliosis surgery, exceed 50% in several studies. For dislocated hips, the impact on walking ability appears related to contracture (not dislocation). Surgery for hip dislocation did not improve walking ability. The literature provides no guidance on the best treatment for unilateral dislocation. The benefits of scoliosis surgery are uncertain (Grade I). Spine surgery, if performed, should be anterior and posterior (Grade B). An all-pedicle approach for scoliosis surgery may be effective (Level I). Hip reduction surgery did not improve walking (Grade B) but may be appropriate in low-level unilateral dislocation (Level I).

  11. Percutaneous minimal-access fetoscopic surgery for spina bifida aperta. Part II: maternal management and outcome.

    Science.gov (United States)

    Degenhardt, J; Schürg, R; Winarno, A; Oehmke, F; Khaleeva, A; Kawecki, A; Enzensberger, C; Tinneberg, H-R; Faas, D; Ehrhardt, H; Axt-Fliedner, R; Kohl, T

    2014-11-01

    To assess maternal morbidity and outcome in women undergoing minimal-access fetoscopic surgery for spina bifida aperta. This was a retrospective study of 51 women undergoing minimal-access fetoscopic surgery to improve postnatal neurological outcome of spina bifida aperta, at a mean gestational age of 24 weeks, at our center between July 2010 and June 2013. We analyzed various perioperative complications of surgery, namely: maternal and fetal death, need for maternal blood transfusion, placental abruption, pulmonary edema, spontaneous labor, oligohydramnios, chorioamnionitis, chorioamniotic membrane separation, duration of hospitalization, amniotic fluid leakage, gestational age at delivery and status of hysterotomy site. In none of the 51 women was there maternal demise, spontaneous labor, placental abruption or a need for maternal blood transfusion in the perioperative period. Chorioamniotic membrane separation occurred in one patient, mild pulmonary edema occurred in one and oligohydramnios occurred in seven. All fetuses survived surgery, but there was one very early preterm delivery 1 week after the procedure and this neonate died immediately, from early postoperative chorioamnionitis. Amniotic fluid leakage occurred in 43 patients, at a mean gestational age of 29.7 (range, 22.6-37.3) weeks; two of these patients developed chorioamnionitis. Duration of maternal hospitalization after surgery was 7.2 (range, 4-12) days. Mean gestational age at delivery was 33 (range, 24.6-38.1) weeks. All abdominal and uterine trocar insertion sites healed well. Minimal-access fetoscopic surgery for spina bifida aperta is apparently safe for most maternal patients. Despite the common occurrence of amniotic leakage, the majority of women deliver beyond 32 weeks of gestation. Copyright © 2014 ISUOG. Published by John Wiley & Sons Ltd.

  12. Predictors of parenting stress in mothers of children with spina bifida.

    Science.gov (United States)

    Kanaheswari, Y; Razak, N N A; Chandran, V; Ong, L C

    2011-03-01

    Prospective cross-sectional multidimensional study using clinical assessment and standard measures. To determine the medical and social factors associated with parenting stress among mothers of children with spina bifida. Spina bifida clinics of two tertiary hospitals in urban Kuala Lumpur, Malaysia. A total of 81 mothers of children aged 1-18 years completed the Parenting Stress Index-Short Form (PSI/SF). Each child's adaptive skills were assessed using the Vineland Adaptive Behaviour Scales (VABS), Interview Edition. Medical and social data were obtained from direct interviews and case note reviews. Hierarchical multiple regression analysis was used to investigate factors that were determinants for high scores in the parental distress (PD), difficult child (DC) and parent-child dysfunctional interaction (P-CDI) subdomains of the PSI/SF. Results were expressed as beta coefficient (β) and 95% confidence intervals (95% CIs). Single-parent families (β 8.6, 95% CI 3.4-13.9) and the need for clean intermittent catheterization of bladder (β 3.5, 95% CI 0.7-6.2) were associated with high PD scores. Clean intermittent catheterization (β 3.0, 95% CI 0.5-5.5) was associated with higher DC scores. Lower composite VABS scores (β -0.08, 95% CI -0.02 to -0.15) and mother as the sole caregiver (β 2.6, 95% CI 0.15-4.96) was associated with higher P-CDI scores. The need for clean intermittent catheterization was the only medical factor associated with parenting stress in mothers of children with spina bifida. This was mediated by single parenthood, caregiver status and the child's adaptive skills.

  13. Topological Analyses of Symmetric Eruptive Prominences

    Science.gov (United States)

    Panasenco, O.; Martin, S. F.

    Erupting prominences (filaments) that we have analyzed from Hα Doppler data at Helio Research and from SOHO/EIT 304 Å, show strong coherency between their chirality, the direction of the vertical and lateral motions of the top of the prominences, and the directions of twisting of their legs. These coherent properties in erupting prominences occur in two patterns of opposite helicity; they constitute a form of dynamic chirality called the ``roll effect." Viewed from the positive network side as they erupt, many symmetrically-erupting dextral prominences develop rolling motion toward the observer along with right-hand helicity in the left leg and left-hand helicity in the right leg. Many symmetricaly-erupting sinistral prominences, also viewed from the positive network field side, have the opposite pattern: rolling motion at the top away from the observer, left-hand helical twist in the left leg, and right-hand twist in the right leg. We have analysed the motions seen in the famous movie of the ``Grand Daddy" erupting prominence and found that it has all the motions that define the roll effect. From our analyses of this and other symmetric erupting prominences, we show that the roll effect is an alternative to the popular hypothetical configuration of an eruptive prominence as a twisted flux rope or flux tube. Instead we find that a simple flat ribbon can be bent such that it reproduces nearly all of the observed forms. The flat ribbon is the most logical beginning topology because observed prominence spines already have this topology prior to eruption and an initial long magnetic ribbon with parallel, non-twisted threads, as a basic form, can be bent into many more and different geometrical forms than a flux rope.

  14. A unifying hypothesis for hydrocephalus, Chiari malformation, syringomyelia, anencephaly and spina bifida

    Directory of Open Access Journals (Sweden)

    Williams Helen

    2008-04-01

    Full Text Available Abstract This work is a modified version of the Casey Holter Memorial prize essay presented to the Society for Research into Hydrocephalus and Spina Bifida, June 29th 2007, Heidelberg, Germany. It describes the origin and consequences of the Chiari malformation, and proposes that hydrocephalus is caused by inadequate central nervous system (CNS venous drainage. A new hypothesis regarding the pathogenesis, anencephaly and spina bifida is described. Any volume increase in the central nervous system can increase venous pressure. This occurs because veins are compressible and a CNS volume increase may result in reduced venous blood flow. This has the potential to cause progressive increase in cerebrospinal fluid (CSF volume. Venous insufficiency may be caused by any disease that reduces space for venous volume. The flow of CSF has a beneficial effect on venous drainage. In health it moderates central nervous system pressure by moving between the head and spine. Conversely, obstruction to CSF flow causes localised pressure increases, which have an adverse effect on venous drainage. The Chiari malformation is associated with hindbrain herniation, which may be caused by low spinal pressure relative to cranial pressure. In these instances, there are hindbrain-related symptoms caused by cerebellar and brainstem compression. When spinal injury occurs as a result of a Chiari malformation, the primary pathology is posterior fossa hypoplasia, resulting in raised spinal pressure. The small posterior fossa prevents the flow of CSF from the spine to the head as blood enters the central nervous system during movement. Consequently, intermittent increases in spinal pressure caused by movement, result in injury to the spinal cord. It is proposed that posterior fossa hypoplasia, which has origins in fetal life, causes syringomyelia after birth and leads to damage to the spinal cord in spina bifida. It is proposed that hydrocephalus may occur as a result of

  15. Parental stress and support of parents of children with spina bifida in Uganda

    Directory of Open Access Journals (Sweden)

    Femke Bannink

    2016-02-01

    Full Text Available Background: Children with disabilities in Sub-Saharan Africa depend for a large part of their functioning on their parent or caregiver. This study explores parental stress and support of parents of children with spina bifida in Uganda.Objectives: The study aimed to explore perceived stress and support of parents of children with spina bifida living in Uganda and the factors that influence them.Methods: A total of 134 parents were interviewed. Focus group discussions were held with four parent support groups in four different regions within the country. The Vineland Adaptive Behaviour Scales, Daily Functioning Subscales and Parental Stress Index Short Form (PSI/SF were administered to measure the child’s daily functioning level and parental stress levels.Results: Parental stress was high in our study population with over half of the parents having a > 90% percentile score on the PSI/SF. Stress outcomes were related to the ability to walk (Spearman’s correlation coefficient [ρ] = −0.245, continence (ρ = −0.182, use of clean intermittent catheterisation (ρ = −0.181 and bowel management (ρ = −0.213, receiving rehabilitative care (ρ = −0.211, household income (ρ = −0.178, geographical region (ρ = −0.203 and having support from another parent in taking care of the child (ρ = −0.234. Linear regression showed parental stress was mostly explained by the child’s inability to walk (β = −0.248, practicing bowel management (β = −0.468 and having another adult to provide support in caring for the child (β = −0.228. Parents in northern Uganda had significantly higher scores compared to parents in other regions (Parental Distress, F = 5.467*; Parent–Child Dysfunctional Interaction, F = 8.815**; Difficult Child score, F = 10.489**.Conclusion: Parents of children with spina bifida experience high levels of stress. To reduce this stress, rehabilitation services should focus on improving mobility. Advocacy to reduce

  16. Spina bifida and unilateral focal destruction of the distal femoral epiphysis

    Energy Technology Data Exchange (ETDEWEB)

    Wolverson, M.K.; Sundaram, M.; Graviss, E.R.

    1981-03-01

    Focal destruction of the postero-lateral distal femoral epiphysis was present on radiographs in two children with spina bifida and objective lower limb sensory loss. Each patient presented with painless swelling of the knee. In one patient the epiphysis showed sclerosis and fragmentation associated with a defect. In the second patient the destructive change was the dominant radiographic abnormality and simulated bone tumor. Computed tomography in this patient showed a bone fragment occupying the defect suggesting epiphyseal fracture. The lesions in each patient were believed to be traumatic in origin and to represent a stage in the development toward neuropathic arthropathy.

  17. A unifying hypothesis for hydrocephalus, Chiari malformation, syringomyelia, anencephaly and spina bifida.

    Science.gov (United States)

    Williams, Helen

    2008-04-11

    This work is a modified version of the Casey Holter Memorial prize essay presented to the Society for Research into Hydrocephalus and Spina Bifida, June 29th 2007, Heidelberg, Germany. It describes the origin and consequences of the Chiari malformation, and proposes that hydrocephalus is caused by inadequate central nervous system (CNS) venous drainage. A new hypothesis regarding the pathogenesis, anencephaly and spina bifida is described.Any volume increase in the central nervous system can increase venous pressure. This occurs because veins are compressible and a CNS volume increase may result in reduced venous blood flow. This has the potential to cause progressive increase in cerebrospinal fluid (CSF) volume. Venous insufficiency may be caused by any disease that reduces space for venous volume. The flow of CSF has a beneficial effect on venous drainage. In health it moderates central nervous system pressure by moving between the head and spine. Conversely, obstruction to CSF flow causes localised pressure increases, which have an adverse effect on venous drainage.The Chiari malformation is associated with hindbrain herniation, which may be caused by low spinal pressure relative to cranial pressure. In these instances, there are hindbrain-related symptoms caused by cerebellar and brainstem compression. When spinal injury occurs as a result of a Chiari malformation, the primary pathology is posterior fossa hypoplasia, resulting in raised spinal pressure. The small posterior fossa prevents the flow of CSF from the spine to the head as blood enters the central nervous system during movement. Consequently, intermittent increases in spinal pressure caused by movement, result in injury to the spinal cord. It is proposed that posterior fossa hypoplasia, which has origins in fetal life, causes syringomyelia after birth and leads to damage to the spinal cord in spina bifida. It is proposed that hydrocephalus may occur as a result of posterior fossa hypoplasia, where

  18. Marjolin's ulcers: theories, prognostic factors and their peculiarities in spina bifida patients

    Directory of Open Access Journals (Sweden)

    Nthumba Peter M

    2010-12-01

    Full Text Available Abstract Background Due to improved care, more and more children born with spina bifida in rural Kenya are surviving into adulthood. This improved survival has led to significant challenges in their lifestyles, especially the need to ensure pressure ulcer prevention and treatment. Malignant degeneration of pressure ulcers in spina bifida patients is very rare. The author describes the clinical presentation of two pressure ulcer carcinomas that are at variance from classical descriptions. Materials and methods An internet/Medline/PubMed search of English literature for theories on Marjolin's ulcer evolution and prognostic features of Marjolin's ulcers was performed. A chart review of two young adults with spina bifida who had presented to the author's hospital between 2004 and August 2010 with chronic pressure ulcers found to be Marjolin's ulcers on histo-pathological examination was performed, and the clinical features are reported. Results The two ulcers appeared clinically benign: one was a deep ulcer, while the other was shallow; both had normal, benign-appearing edges, and a foul smelling discharge. The two ulcers were surrounded by induration and multiple communicating sinuses, with no evidence of chronic osteomyelitis. The internet search revealed a total of nine theories on Marjolin's ulcer development, as well as seven clinical and four histological prognostic features. Discussion The multifactorial theory, a coalescence of a number of proposed theories, best explains the evolution of Marjolin's ulcers. Poor prognostic features include pressure ulcer carcinomas, lesions and location in the lower limbs/trunks, all present in the two patients making their prognosis dim: this is despite the surgical margins being clear of tumor. Benign appearance, induration and presence of multiple communicating sinuses are features that have not been previously described as presenting features of pressure ulcers carcinomas. Conclusion There is need for

  19. Linguistic performance as a function of abstract task demands in children with spina bifida.

    Science.gov (United States)

    Culatta, B; Young, C

    1992-05-01

    Children with spina bifida and hydrocephalus (SBH) have been observed to have deficits in discourse, characterized by a high frequency of irrelevant utterances and poorer performance with abstract than concrete language. The Preschool Language Assessment Instrument (PLAI) was used to compare children with SBH and language-age controls on discourse skills at four levels of abstraction. In addition, a qualitative assessment of differences in types of inadequate productions was conducted. Children with SBH performed comparably to controls on concrete levels of the PLAI, but they produced significantly more 'no response' and irrelevant responses than the controls.

  20. Disorders of Sex Development: Lessons to be Learned from Studies of Spina Bifida and Craniofacial Conditions.

    Science.gov (United States)

    Holmbeck, G N; Aspinall, C L

    2015-05-01

    The purpose of this review is to discuss research methods and clinical management strategies employed with other conditions (i. e., spina bifida and craniofacial conditions) and how these methods and strategies could be applied to youth with disorders of sex development (DSD). The review focuses specifically on the potential overlap between DSD and these other conditions across the following 3 areas: (1) developmentally-oriented theories that underlie the research base for chronic physical conditions; (2) research designs and methodological features that have proved fruitful in these areas; and (3) the potential applicability to DSD of clinical management practices for youth with craniofacial conditions.

  1. A journey through manufacturing and supply chain strategy research a tribute to professor Gianluca Spina

    CERN Document Server

    Cagliano, Raffaella; Caniato, Federico; Ronchi, Stefano

    2016-01-01

    The book is a ‘Liber Amicorum’ for the late Gianluca Spina, Professor at Politecnico di Milano, Italy, who was well-known and respected in the European Operations Management research community. It consists of reprints of 7 of his most important cited and representative papers, spanning his research career from the early 90s and presenting his research trajectory. Each paper has original comments by one or two relevant international scholars in the field, who were also his close friends. These offer a critical discussion of the papers' content, as well as a discussion of their contribution to the academic debate since publication.

  2. A model for Plinian eruptions of Vesuvius

    Science.gov (United States)

    Sheridan, M. F.; Barberi, F.; Rosi, M.; Santacroce, R.

    1981-01-01

    The term `Plinian' has been widely used1-4 to describe continuous gas-blast eruptions of large magnitude a typical example5, of which is the AD 79 eruption of Vesuvius which destroyed Pompei and the surrounding region. We develop a new model here for the AD 79 event that explains the complete Plinian eruptive episode including pyroclastic fall, pyroclastic flow, base surge, laharic and phreatic activity. This model has widespread implications with regard to volcanic hazard evaluation and geothermal exploration at Vesuvius and other volcanoes with similar patterns of activity, such as Mount St Helens.

  3. Letter: Lichenoid eruption induced by etanercept.

    Science.gov (United States)

    Barrientos, Nuria; García-Sánchez, Sagrario; Domínguez, José D

    2012-07-15

    Lichenoid drug eruption is an uncommon, but previously reported, side effect of anti-tumor necrosis factor therapy. The majority of these adverse events relate to infliximab. We report a patient who developed a lichenoid eruption on the back of her hands during etanercept therapy. She improved with topical treatment and discontinuation of the drug was not necessary. The physiopathological link between anti-TNF treatment and lichenoid eruptions remains unclear. It is important to realize that a lichenoid reaction pattern may occur during anti-TNF agent treatment.

  4. Toward Forecasting Volcanic Eruptions using Seismic Noise

    CERN Document Server

    Brenguier, Florent; Campillo, Michel; Ferrazzini, Valerie; Duputel, Zacharie; Coutant, Olivier; Nercessian, Alexandre

    2007-01-01

    During inter-eruption periods, magma pressurization yields subtle changes of the elastic properties of volcanic edifices. We use the reproducibility properties of the ambient seismic noise recorded on the Piton de la Fournaise volcano to measure relative seismic velocity variations of less than 0.1 % with a temporal resolution of one day. Our results show that five studied volcanic eruptions were preceded by clearly detectable seismic velocity decreases within the zone of magma injection. These precursors reflect the edifice dilatation induced by magma pressurization and can be useful indicators to improve the forecasting of volcanic eruptions.

  5. Monts Jura Jazz Festival

    CERN Multimedia

    2012-01-01

    The 5th edition of the "Monts Jura Jazz Festival" will take place at the Esplanade du Lac in Divonne-les-Bains, France on September 21 and 22. This festival organized by the CERN Jazz Club and supported by the CERN Staff Association is becoming a major musical event in the Geneva region. International Jazz artists like Didier Lockwood and David Reinhardt are part of this year outstanding program. Full program and e-tickets are available on the festival website. Don't miss this great festival!

  6. Monts Jura Jazz Festival

    CERN Multimedia

    Jazz Club

    2012-01-01

    The 5th edition of the "Monts Jura Jazz Festival" that will take place on September 21st and 22nd 2012 at the Esplanade du Lac in Divonne-les-Bains. This festival is organized by the "CERN Jazz Club" with the support of the "CERN Staff Association". This festival is a major musical event in the French/Swiss area and proposes a world class program with jazz artists such as D.Lockwood and D.Reinhardt. More information on http://www.jurajazz.com.

  7. LMC: Logarithmantic Monte Carlo

    Science.gov (United States)

    Mantz, Adam B.

    2017-06-01

    LMC is a Markov Chain Monte Carlo engine in Python that implements adaptive Metropolis-Hastings and slice sampling, as well as the affine-invariant method of Goodman & Weare, in a flexible framework. It can be used for simple problems, but the main use case is problems where expensive likelihood evaluations are provided by less flexible third-party software, which benefit from parallelization across many nodes at the sampling level. The parallel/adaptive methods use communication through MPI, or alternatively by writing/reading files, and mostly follow the approaches pioneered by CosmoMC (ascl:1106.025).

  8. Preliminary investigation of methylation status of microRNA-124a in spinal cords of rat fetuses with congenital spina bifida.

    Science.gov (United States)

    Qin, Pan; Li, Lin; Zhang, Da; Liu, Qiu-Liang; Chen, Xin-Rang; Yang, He-Ying; Fan, Yingzhong; Wang, Jia-Xiang

    2017-01-01

    We investigated the expression of microRNA-124a and its methylation status in the spinal cords of rats with congenital spina bifida versus rats with normal fetuses. Real-time quantitative reverse transcription-polymerase chain reaction was used to compare the expression of microRNA-124a in the spinal cords of 42 rats with all-trans retinoic acid induced congenital spina bifida and 42 rats with normal fetuses. The DNA methylation status in the promoter region of miRNA-124a was detected using methylation specific-PCR. Compared with rats with normal fetuses, expression of microRNA-124a was significantly decreased in rats with congenital spina bifida fetuses. The percentages of spinal cords with DNA hypermethylation in the microRNA-124a promoter were 81% and 14% in the congenital spina bifida and normal control groups, respectively. The difference was statistically significant. Further apoptosis testing revealed increased apoptosis cell numbers in the congenital spina bifida samples. Meanwhile, the phosphorylated mitogen-activated protein kinase protein expression level dramatically decreased in the congenital spina bifida samples. Aberrant DNA methylation was responsible for down-regulation of microRNA-124a by regulating the mitogen-activated protein kinase pathway, suggesting that microRNA-124a is a potential diagnostic biomarker in congenital spina bifida.

  9. Eruption and degassing dynamics of the major August 2015 Piton de la Fournaise eruption

    Science.gov (United States)

    Di Muro, Andrea; Arellano, Santiago; Aiuppa, Alessandro; Bachelery, Patrick; Boudoire, Guillaume; Coppola, Diego; Ferrazzini, Valerie; Galle, Bo; Giudice, Gaetano; Gurioli, Lucia; Harris, Andy; Liuzzo, Marco; Metrich, Nicole; Moune, Severine; Peltier, Aline; Villeneuve, Nicolas; Vlastelic, Ivan

    2016-04-01

    Piton de la Fournaise (PdF) shield volcano is one of the most active basaltic volcanoes in the World with one eruption every nine months, on average. This frequent volcanic activity is broadly bimodal, with frequent small volume, short lived eruptions (volume summit to proximal eruptions of relatively evolved cotectic magmas and relatively long repose periods (up to 3.5 years between 2010 and 2014). The August 2015 eruption was the first large (45±15 Mm3) and long lasting (2 months) eruption since 2007 and the only event to be fully monitored by the new gas geochemical network of Piton de la Fournaise volcanological observatory (DOAS, MultiGaS, diffuse CO2 soil emissions). Regular lava and tephra sampling was also performed for geochemical and petrological analysis. The eruption was preceded by a significant increase in CO2 soil emissions at distal soil stations (ca. 15 km from the summit), with CO2 enrichment also being recorded at summit low temperature fumaroles. Eruptive products were spectacularly zoned, with plagioclase and pyroxene being abundant in the early erupted products and olivine being the main phase in the late-erupted lavas. Total gas emissions at the eruptive vent underwent a decrease during the first half of the eruption and then an increase, mirroring the time evolution of magma discharge rate (from 5-10 m3/s in September to 15-30 m3/s in late-October) and the progressive change in magma composition. In spite of significant evolution in magma and gas output, CO2/SO2 ratios in high temperature gases remained quite low (pulse of deep magma. While erupted magma and high temperature gases were mostly provided by the shallow part of the system, distal sites and summit low temperature fumaroles recorded a deeper triggering mechanism.

  10. Italian super-eruption larger than thought

    Science.gov (United States)

    Schultz, Colin

    2012-07-01

    Recent research suggested that the super-eruption of the Campi Flegrei caldera volcano in southern Italy about 40,000 years ago may have played a part in wiping out, or forcing the migration of, the Neanderthal and modern human populations in the eastern Mediterranean regions that were covered in ash. Now a new modeling study by Costa et al. suggests that this eruption may have been even larger than previously thought. This Campi Flegrei eruption produced a widespread ash layer known as Campanian Ignimbrite (CI). Using ash thickness measurements collected at 115 sites and a three-dimensional ash dispersal model, the researchers found that the CI super-eruption would have spread 250-300 cubic kilometers of ash across a 3.7-million-square kilometer region—2 to 3 times previous ash volume estimates.

  11. Depth of origin of magma in eruptions.

    Science.gov (United States)

    Becerril, Laura; Galindo, Ines; Gudmundsson, Agust; Morales, Jose Maria

    2013-09-26

    Many volcanic hazard factors--such as the likelihood and duration of an eruption, the eruption style, and the probability of its triggering large landslides or caldera collapses--relate to the depth of the magma source. Yet, the magma source depths are commonly poorly known, even in frequently erupting volcanoes such as Hekla in Iceland and Etna in Italy. Here we show how the length-thickness ratios of feeder dykes can be used to estimate the depth to the source magma chamber. Using this method, accurately measured volcanic fissures/feeder-dykes in El Hierro (Canary Islands) indicate a source depth of 11-15 km, which coincides with the main cloud of earthquake foci surrounding the magma chamber associated with the 2011-2012 eruption of El Hierro. The method can be used on widely available GPS and InSAR data to calculate the depths to the source magma chambers of active volcanoes worldwide.

  12. Scabies with bullous pemphigoid - like eruption

    Directory of Open Access Journals (Sweden)

    Shah H

    2003-01-01

    Full Text Available Association of scabies with a bullus pemphigoid - like eruption is being reported because of its rarity. Histopathology revealed subepidermal bullae with intact basal layer. Treatment with topical gammabenzene hexachloride and systemic antibiotics was effective.

  13. Scabies with bullous pemphigoid - like eruption

    OpenAIRE

    Shah H; Mehta A; Shah K; trivedi A

    2003-01-01

    Association of scabies with a bullus pemphigoid - like eruption is being reported because of its rarity. Histopathology revealed subepidermal bullae with intact basal layer. Treatment with topical gammabenzene hexachloride and systemic antibiotics was effective.

  14. Scabies with bullous pemphigoid - like eruption

    Directory of Open Access Journals (Sweden)

    Shah H

    2003-03-01

    Full Text Available Association of scabies with a bullus pemphigoid - like eruption is being reported because of its rarity. Histopathology revealed subepidermal bullae with intact basal layer. Treatment with topical gammabenzene hexachloride and systemic antibiotics was effective.

  15. Fixed drug eruption due to paracetamol

    Directory of Open Access Journals (Sweden)

    Anjali Kushwah

    2013-12-01

    Full Text Available Fixed drug eruption is a common type of drug eruption seen in dermatology OPD’s. Usually it is seen with sulphonamides, salicylates, tetracyclines, oxyphenbutazones, dapsone, barbiturates, phenolphthalein, morphine, codeine, quinine, phenacetin, erythromycin, griseofulvin, mebendazole etc. We hereby report a case of fixed drug eruption due to single dose of oral paracetamol in an otherwise healthy male after one hour of consuming it. A provisional diagnosis of Paracetamol induced fixed drug eruption was made. Paracetamol was stopped and patient advised never to take Paracetamol in future. Patient was managed with prednisolone 10mg /day, cetirizine 10 mg/day, and amoxicillin 500 mg twice a day and mometasone + fusidic acid cream to be applied over the lesions. [Int J Basic Clin Pharmacol 2013; 2(6.000: 833-835

  16. Eruptive seborrheic keratoses associated with adalimumab use.

    Science.gov (United States)

    Eastman, Kristin L; Knezevich, Stevan R; Raugi, Gregory J

    2013-06-30

    Seborrheic keratoses are common, benign cutaneous growths, however in rare situations they can acutely erupt in large numbers. Eruptive seborrheic keratoses can be associated with internal malignancy (sign of Leser-Trelat), but may also appear in conjunction with inflammatory dermatoses and adverse drug reactions. A 71-year-old Caucasian man presented with acute onset of a pruritic, burning papular erythematous rash on his chest, upper extremities and lower extremities after a routine adalimumab injection for rheumatoid arthritis. Two skin biopsies obtained showed findings diagnostic of seborrheic keratoses. Spontaneous resolution of the diffuse eruptive seborrheic keratoses was achieved within 3 months of discontinuing adalimumab therapy. We believe the development of eruptive seborrheic keratoses due to adalimumab therapy is rare, and because our patient responded promptly to discontinuation of the drug we suggest this should be the preferred course of action in future cases.

  17. Solar Eruptions: Coronal Mass Ejections and Flares

    Science.gov (United States)

    Gopalswamy, Nat

    2012-01-01

    This lecture introduces the topic of Coronal mass ejections (CMEs) and solar flares, collectively known as solar eruptions. During solar eruptions, the released energy flows out from the Sun in the form of magnetized plasma and electromagnetic radiation. The electromagnetic radiation suddenly increases the ionization content of the ionosphere, thus impacting communication and navigation systems. Flares can be eruptive or confined. Eruptive flares accompany CMEs, while confined flares hav only electromagnetic signature. CMEs can drive MHD shocks that accelerate charged particles to very high energies in the interplanetary space, which pose radiation hazard to astronauts and space systems. CMEs heading in the direction of Earth arrive in about two days and impact Earth's magnetosphere, producing geomagnetic storms. The magnetic storms result in a number of effects including induced currnts that can disrupt power grids, railroads, and underground pipelines

  18. Late Holocene Andesitic Eruptions at Mount Rainier

    Science.gov (United States)

    Sisson, T. W.; Vallance, J. W.

    2005-12-01

    Holocene Mt. Rainier erupted much more frequently than is recorded by its 11 pumiceous tephras. In the 2.6-2.2 ka Summerland eruptive period, 6 groups of thin (1-5 mm) Sparsely Vesicular Glassy (SVG) ashes were deposited (S1-S6), followed by the 0.3 km3 C-tephra. Two groups of andesitic lava flows and one andesitic block-and-ash flow (2.45 ka) also erupted in the Summerland period (ice conceals any other products). Based on glass composition the pyroclastic flow correlates with S4 ashes that also contain pumiceous grains and rare pumice lapilli. The first of the lava groups, exposed in windows through the Emmons and Winthrop glaciers, is Sr-rich for Mt. Rainier eruptives and correlates with S5 & S6 ashes based on similar high-Sr plagioclase. The ensuing C-tephra formed by plinian eruption of mixed and mingled magma comprising 4 juvenile components: mixed porphyritic andesite pumice, crystal-poor andesite scoria, vesicular high-Sr dacite blebs in pumice and scoria, and poorly inflated crystal-rich high-Sr dacite. High-Sr components were probably entrained conduit linings and segregations from the preceding high-Sr eruptions. The youngest lava group, exposed at the summit, is normal-Sr andesite lacking mixing textures of the C-tephra, and represents eruption of another small batch of andesitic magma perhaps just after the C event. SVG ash grains have blocky-to-fluidal shapes, are rich in plagioclase microlites, and their glasses are high-SiO2 (66-78%) and low-Al2O3 (15-11%). Melting experiments yield apparent equilibration pressures <50MPa for SVG liquids. SVG ashes likely result from shallow hydromagmatic explosions as largely degassed magmas transited the upper-edifice hydrothermal system during effusive eruptions. Rare pumice lapilli codeposited with S1, S2, and S4 ashes have microlite-free dacitic glasses, one with nonreacted hbl phenocrysts. These pumice formed from magmas that ascended rapidly from reservoir depths, synchronous with or closely between effusive

  19. IMPORTANCE OF ILIOPSOAS AND ERECTOR SPINAE MUSCLES IN PREDICTING THE FUNCTIONAL COMPETENCE OF TRANSFEMORAL AMPUTEES

    Directory of Open Access Journals (Sweden)

    Lajja K Rishi

    2014-10-01

    Full Text Available Purpose: Muscle imbalance in transfemoral amputees impair physical mobility and activities of daily living. Aim of this study was to correlate the muscle imbalance with functional competence in transfemoral amputees. Methods: Thirty amputees were evaluated under inclusion criteria and randomly allocated into 2 groups. Group A received stretching(1 week followed by strengthening(3 weeks and in group B strengthening(3 weeks were followed by stretching(1 week . Phase I includes values after 1 week stretching program in group A and 3 weeks strengthening program in group B. Data were recorded at baseline, after phase I completion and end of treatment. Physical mobility was assessed by “Timed up and go” test. Results: Muscle imbalance and physical mobility improved significantly in both groups at the end of treatment. The correlation values of “Timed up and go” test with Iliopsoas and Erector spinae muscle showed significant improvement in both groups. Conclusion: Baseline measurements showed that Iliopsoas and Erector spinae muscles were tight whereas Gluteus maximus and Abdominal muscles were weak in transfemoral amputees. Functional mobility improved after correction of muscle imbalance. Stretching followed by strengthening gave more significant results than vice versa. Good posture in transfemoral amputee prevents muscle dysfunction and improves functional mobility.

  20. Confirmation of microevolutionary increase in spina bifida occulta among Swiss birth cohorts.

    Science.gov (United States)

    Lee, Yu Chao; Solomon, Lucian Bogdan; Rühli, Frank Jakobus; Schiess, Regula; Öhrström, Lena; Sullivan, Thomas; Alkadhi, Hatem; Henneberg, Maciej

    2011-05-01

    Previous studies on the prevalence of spina bifida occulta have indicated a microevolutionary increase in its frequency and possible population differences in the prevalence of the condition. We studied the frequencies of closed and open sacral canals at each sacral level among two birth cohorts in Switzerland. Transverse CT scans and multiplanar reconstruction images of sacra of 95 males and 96 females born in 1940-1950 and 99 males and 94 females born in 1970-1980 in Switzerland were reviewed. We found that individuals born later have significantly more open sacral arches at all sacral levels compared to those born 30-40 years earlier. When results were related to previously published data on Australian cohorts, the trend was the same, but Swiss in both cohorts were less likely to have an open section than Australians at all locations apart from S2. This study confirmed a microevolutionary trend in the opening of sacral canal among two different generations in Switzerland and demonstrated a population difference in the prevalence of spina bifida occulta.

  1. Curly tail: a 50 year history of the mouse spina bifida model

    Science.gov (United States)

    van Straaten, Henny W.M.; Copp, Andrew J.

    2014-01-01

    Summary This paper reviews 50 years of progress towards understanding the aetiology and pathogenesis of neural tube defects (NTD) in the curly tail (ct) mutant mouse. More than 45 papers have been published on various aspects of curly tail with the result that it is now the best understood mouse model of NTD pathogenesis. The failure of closure of the spinal neural tube, which leads to spina bifida in this mouse, has been traced back to a tissue-specific defect of cell proliferation in the tail bud of the E9.5 embryo. This cell proliferation defect results in a growth imbalance in the caudal region that generates ventral curvature of the body axis. Neurulation movements are opposed, leading to delayed neuropore closure and spina bifida, or tail defects. It is interesting to reflect that these advances have been achieved in the absence of information on the nature of the ct gene product, which remains unidentified. In addition to the principal ct gene, which maps to distal Chromosome 4, the curly tail phenotype is influenced by several modifier genes and by environmental factors. NTD in curly tail are resistant to folic acid, but can be prevented by myo-inositol. These and other features of NTD in this system bear striking similarities to the situation in humans, making curly tail a model for understanding a sub-type of human NTD. PMID:11396850

  2. PALYNOLOGICAL AND PHYSICOCHEMICAL CHARACTERISATION OF CROATIAN HONEYS - CHRIST’S THORN (PALIURUS SPINA CHRISTI MILL. HONEY

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    DANIELA Kenjerić

    2009-06-01

    Full Text Available The aim of this research was to determine physicochemical parameters and pollen spectrum of Christ’s thorn (Paliurus spina christi Mill. honey. 15 samples of honey from three production seasons were analysed. Pollen spectrum indicated that all honey samples were unifloral, with Paliurus spina Christi pollen content of 46 – 92 %, while number of other botanical species varied in range from 5 to 16. Moisture, electrical conductivity, pH, free, lactone and total acidity, invertase and diastase activity, hydroxymethylfurfural and proline content and specific rotation were determined, as well as content of sugars. Physicochemical parameters showed that Chist’s thorn honey is characterized by high activity of enzymes diastase (25.39-50.51, mean 42.08 and especially invertase (164.9-299.7 U/kg, mean 245.5 U/ kg, high electrical conductivity (0.45-0.89 mS/cm, mean 0.68 mS/cm and high proline content (346.4-667.1 mg/kg, mean 518.6 mg/kg.

  3. Resilience, self-esteem and self-compassion in adults with spina bifida.

    Science.gov (United States)

    Hayter, M R; Dorstyn, D S

    2014-02-01

    Cross-sectional survey. To examine factors that may enhance and promote resilience in adults with spina bifida. Community-based disability organisations within Australia. Ninety-seven adults with a diagnosis of spina bifida (SB) completed a survey comprising of demographic questions in addition to standardised self-report measures of physical functioning (Craig Handicap Assessment and Reporting Technique), resilience (Connor-Davidson Resilience Scale, 10 item), self-esteem (Rosenberg Self-esteem Scale), self-compassion (Self-compassion Scale) and psychological distress (Depression Anxiety Stress Scales, 21 item). The majority (66%) of respondents reported moderate to high resilience. Physical disability impacted on coping, with greater CD-RISC 10 scores reported by individuals who were functionally independent in addition to those who experienced less medical co-morbidities. Significant correlations between resilience and psychological traits (self-esteem r=0.36, Pself-esteem and self-compassion. It follows that cognitive behavioural strategies with a focus on self-management may, in part, contribute to the process of resilience in this group. Further large-scale and longitudinal research will help to confirm these findings.

  4. Climatic impact of volcanic eruptions

    Science.gov (United States)

    Rampino, Michael R.

    1991-01-01

    Studies have attempted to 'isolate' the volcanic signal in noisy temperature data. This assumes that it is possible to isolate a distinct volcanic signal in a record that may have a combination of forcings (ENSO, solar variability, random fluctuations, volcanism) that all interact. The key to discovering the greatest effects of volcanoes on short-term climate may be to concentrate on temperatures in regions where the effects of aerosol clouds may be amplified by perturbed atmospheric circulation patterns. This is especially true in subpolar and midlatitude areas affected by changes in the position of the polar front. Such climatic perturbation can be detected in proxy evidence such as decrease in tree-ring widths and frost rings, changes in the treeline, weather anomalies, severity of sea-ice in polar and subpolar regions, and poor grain yields and crop failures. In low latitudes, sudden temperature drops were correlated with the passage overhead of the volcanic dust cloud (Stothers, 1984). For some eruptions, such as Tambora, 1815, these kinds of proxy and anectdotal information were summarized in great detail in a number of papers and books (e.g., Post, 1978; Stothers, 1984; Stommel and Stommel, 1986; C. R. Harrington, in press). These studies lead to the general conclusion that regional effects on climate, sometimes quite severe, may be the major impact of large historical volcanic aerosol clouds.

  5. Mafic Plinian eruptions: Is fast ascent required?

    Science.gov (United States)

    Szramek, Lindsay Ann

    2016-10-01

    It has been hypothesized that for a Plinian eruption of mafic magma to occur, that magma must ascend rapidly from the chamber to cause it to fragment into a jet containing juvenile and nonjuvenile tephra. To determine how fast mafic Plinian magmas need to travel to the level of fragmentation, a number of decompression experiments were carried out on two hydrous mafic magmas, and the results are compared to the products of two well-documented mafic Plinian eruptions: the basaltic andesite Fontana eruption of Masaya (Nicaragua) and the hawaiite 122 B.C. eruption of Etna (Italy). Comparison of natural and experimental textures shows that the Fontana eruption can be replicated in the lab at decompression rates between 0.1 MPa s-1 and 0.2 MPa s-1. This decompression rate is faster than any previously determined experimentally rate for more silicic eruptions. The hawaiite was unable to be reproduced in the lab. The natural groundmass is highly crystalline, which would have raised the viscosity of the initial melt by 1-2 orders of magnitude, which may not be enough to cause fragmentation.

  6. Arm cranking versus wheelchair propulsion for testing aerobic fitness in children with spina bifida who are wheelchair dependent

    NARCIS (Netherlands)

    Bloemen, Manon A T; De Groot, Janke F.; Backx, FJG; Westerveld, Rosalyne A.; Takken, Tim

    2015-01-01

    Objective: To determine the best test performance and feasibility using a Graded Arm Cranking Test vs a Graded Wheelchair Propulsion Test in young people with spina bifida who use a wheelchair, and to determine the reliability of the best test. Design: Validity and reliability study. Subjects: Young

  7. Trajectories of Psychosocial Adjustment in Adolescents with Spina Bifida: A 6-Year, Four-Wave Longitudinal Follow-up

    Science.gov (United States)

    Holmbeck, Grayson N.; DeLucia, Christian; Essner, Bonnie; Kelly, Lauren; Zebracki, Kathy; Friedman, Deborah; Jandasek, Barbara

    2010-01-01

    Objective: As a follow-up to an earlier cross-sectional study (Holmbeck et al., 2003), the current multimethod, multi-informant investigation examined individual growth in psychosocial adjustment across the adolescent transition in 2 samples: young adolescents with spina bifida (SB) and typically developing adolescents (N = 68 in both groups at…

  8. Does folic acid use decrease the risk for spina bifida after in utero exposure to valproic acid?

    NARCIS (Netherlands)

    Jentink, J.; Bakker, M.K.; Nijenhuis, C.M.; Wilffert, B.; de Jong-van den Berg, L.T.W.

    2010-01-01

    Purpose Women with child wish are advised to take folic acid supplements to reduce the risk for spina bifida. However, there is less evidence for this protective effect in women using valproic acid (VPA). We investigated the effect of folic acid in women exposed to VPA in the first trimester of preg

  9. Trajectories of Psychosocial Adjustment in Adolescents with Spina Bifida: A 6-Year, Four-Wave Longitudinal Follow-up

    Science.gov (United States)

    Holmbeck, Grayson N.; DeLucia, Christian; Essner, Bonnie; Kelly, Lauren; Zebracki, Kathy; Friedman, Deborah; Jandasek, Barbara

    2010-01-01

    Objective: As a follow-up to an earlier cross-sectional study (Holmbeck et al., 2003), the current multimethod, multi-informant investigation examined individual growth in psychosocial adjustment across the adolescent transition in 2 samples: young adolescents with spina bifida (SB) and typically developing adolescents (N = 68 in both groups at…

  10. Outcomes of intra-detrusor injections of botulinum toxin in patients with spina bifida: A systematic review.

    Science.gov (United States)

    Hascoet, Juliette; Manunta, Andrea; Brochard, Charlène; Arnaud, Alexis; Damphousse, Mireille; Menard, Hélène; Kerdraon, Jacques; Journel, Hubert; Bonan, Isabelle; Odent, Sylvie; Fremond, Benjamin; Siproudhis, Laurent; Gamé, Xavier; Peyronnet, Benoit

    2017-03-01

    Bladder management in spina bifida patients relies on clean intermittent catheterization and oral antimuscarinics with a significant failure rate. The efficacy of intradetrusor injections of botulinum toxin has been confirmed in patients with spinal cord injury or multiple sclerosis but not in patients with myelomeningocele. To conduct a systematic review of current evidence regarding the efficacy of intra-detrusor injections of Botulinum Toxin A (BTX-A) in spina bifida patients with neurogenic detrusor overactivity (NDO) refractory to antimuscarinics. A research has been conducted on Medline and Embase using the keywords: ("spina bifida" OR "myelomeningocele" OR "dysraphism") AND "toxin." The search strategy and studies selection were performed using the PICOS method according to the PRISMA statement. Twelve published series were included (n = 293 patients). All patients were spina bifida but this assumption is not supported by high level of evidence studies. There is no data available in adult patients. Neurourol. Urodynam. 36:557-564, 2017. © 2016 Wiley Periodicals, Inc. © 2016 Wiley Periodicals, Inc.

  11. Central Somatosensory Networks Respond to a De Novo Innervated Penis : A Proof of Concept in Three Spina Bifida Patients

    NARCIS (Netherlands)

    Kortekaas, Rudie; Nanetti, Luca; Overgoor, Max L. E.; de Jong, Bauke M.; Georgiadis, Janniko R.

    Introduction. Spina bifida (SB) causes low spinal lesions, and patients often have absent genital sensation and a highly impaired sex life. TOMAX (TO MAX-imize sensation, sexuality and quality of life) is a surgical procedure whereby the penis is newly innervated using a sensory nerve originally

  12. Effect of NaCl Salinity on Growth and Mineral Composition of Ziziphus spina-christi (L. Willd.

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    M. Sohail

    2009-10-01

    Full Text Available Ziziphus spina-christi (L. Willd. is a fruit tree species growing wild in arid and semi-arid areas of Asia and Africa where rural populations intensively use its fruits, leaves, bark and wood. However, little is known about the effects of salinity, a widespread problem in these regions, on early growth and mineral composition of this species. This study was conducted under controlled conditions to contribute to filling this gap. Six weeks old seedlings of Z. spina-christi germinated in a full strength Hoagland solution were subjected to 0, 40, 80 and 160 mM NaCl. Compared to the unstressed control salinity levels of 80 and 160 mM reduced plant height, leaf number, leaf chlorophyll, total leaf area and dry matter by > 50%. Salinity levels of 40, 80 and 160 mM enhanced leaf water contents by 14, 16 and 17%, respectively and 160 mM NaCl raised the concentration of Na and Cl ions in leaf tissues 81- and 21-fold. The K/Na ratio, in contrast, was hardly affected by increasing salinity indicating adaptation or tolerance of Z. spina-christi to low or moderate NaCl salinity. These results suggest that Z. spina-christi could be an interesting species for re-vegetation of moderately degraded saline lands.

  13. Arm cranking versus wheelchair propulsion for testing aerobic fitness in children with spina bifida who are wheelchair dependent

    NARCIS (Netherlands)

    Bloemen, Manon A T; De Groot, Janke F.; Backx, FJG|info:eu-repo/dai/nl/069615039; Westerveld, Rosalyne A.; Takken, Tim|info:eu-repo/dai/nl/184586674

    2015-01-01

    Objective: To determine the best test performance and feasibility using a Graded Arm Cranking Test vs a Graded Wheelchair Propulsion Test in young people with spina bifida who use a wheelchair, and to determine the reliability of the best test. Design: Validity and reliability study. Subjects: Young

  14. Central Somatosensory Networks Respond to a De Novo Innervated Penis : A Proof of Concept in Three Spina Bifida Patients

    NARCIS (Netherlands)

    Kortekaas, Rudie; Nanetti, Luca; Overgoor, Max L. E.; de Jong, Bauke M.; Georgiadis, Janniko R.

    2015-01-01

    Introduction. Spina bifida (SB) causes low spinal lesions, and patients often have absent genital sensation and a highly impaired sex life. TOMAX (TO MAX-imize sensation, sexuality and quality of life) is a surgical procedure whereby the penis is newly innervated using a sensory nerve originally tar

  15. Family functioning in children and adolescents with spina bifida: an evidence-based review of research and interventions.

    Science.gov (United States)

    Holmbeck, Grayson N; Greenley, Rachel Neff; Coakley, Rachael Millstein; Greco, Joshua; Hagstrom, Jennifer

    2006-06-01

    Research on the adjustment of families of children with spina bifida is reviewed, with a focus on delineating the impact of spina bifida on family functioning, the strengths and weaknesses of past research, and the needs for future evidence-based research on family interventions with this population. PsychINFO and MEDLINE literature searches were used to identify studies of family functioning and family-based interventions for children with spina bifida. Identified studies were empirically evaluated for the presence or absence of key methodological or analytic criteria. Thirty-two studies of family functioning were identified from 25 separate research groups; most studies displayed significant methodological limitations. No published studies of interventions to promote adaptive family functioning were identified. Methodologically sound, longitudinal, and theory-driven studies of family functioning are needed, as are randomized family-based intervention trials to promote adaptive functioning and better psychosocial outcomes in families of children with spina bifida. Specific recommendations for future work as well as clinical implications are noted.

  16. Lumbar and cervical erector spinae fatigue elicit compensatory postural responses to assist in maintaining head stability during walking.

    Science.gov (United States)

    Kavanagh, Justin J; Morrison, Steven; Barrett, Rod S

    2006-10-01

    The purpose of this study was to examine how inducing fatigue of the 1) lumbar erector spinae and 2) cervical erector spinae (CES) muscles affected the ability to maintain head stability during walking. Triaxial accelerometers were attached to the head, upper trunk, and lower trunk to measure accelerations in the vertical, anterior-posterior, and mediolateral directions during walking. Using three accelerometers enabled two adjacent upper body segments to be defined: the neck segment and trunk segment. A transfer function was applied to root mean square acceleration, peak power, and harmonic data derived from spectral analysis of accelerations to quantify segmental gain. The structure of upper body accelerations were examined using measures of signal regularity and smoothness. The main findings were that head stability was only affected in the anterior-posterior direction, as accelerations of the head were less regular following CES fatigue. Furthermore, following CES fatigue, the central nervous system altered the attenuation properties of the trunk segment in the anterior-posterior direction, presumably to enhance head stability. Following lumbar erector spinae fatigue, the trunk segment had greater gain and increased regularity and smoothness of accelerations in the mediolateral direction. Overall, the results of this study suggest that erector spinae fatigue differentially altered segmental attenuation during walking, according to the level of the upper body that was fatigued and the direction that oscillations were attenuated. A compensatory postural response was not only elicited in the sagittal plane, where greater segmental attenuation occurred, but also in the frontal plane, where greater segmental gain occurred.

  17. 118 SNPs of folate-related genes and risks of spina bifida and conotruncal heart defects

    Directory of Open Access Journals (Sweden)

    Shaw Gary M

    2009-06-01

    Full Text Available Abstract Background Folic acid taken in early pregnancy reduces risks for delivering offspring with several congenital anomalies. The mechanism by which folic acid reduces risk is unknown. Investigations into genetic variation that influences transport and metabolism of folate will help fill this data gap. We focused on 118 SNPs involved in folate transport and metabolism. Methods Using data from a California population-based registry, we investigated whether risks of spina bifida or conotruncal heart defects were influenced by 118 single nucleotide polymorphisms (SNPs associated with the complex folate pathway. This case-control study included 259 infants with spina bifida and a random sample of 359 nonmalformed control infants born during 1983–86 or 1994–95. It also included 214 infants with conotruncal heart defects born during 1983–86. Infant genotyping was performed blinded to case or control status using a designed SNPlex assay. We examined single SNP effects for each of the 118 SNPs, as well as haplotypes, for each of the two outcomes. Results Few odds ratios (ORs revealed sizable departures from 1.0. With respect to spina bifida, we observed ORs with 95% confidence intervals that did not include 1.0 for the following SNPs (heterozygous or homozygous relative to the reference genotype: BHMT (rs3733890 OR = 1.8 (1.1–3.1, CBS (rs2851391 OR = 2.0 (1.2–3.1; CBS (rs234713 OR = 2.9 (1.3–6.7; MTHFD1 (rs2236224 OR = 1.7 (1.1–2.7; MTHFD1 (hcv11462908 OR = 0.2 (0–0.9; MTHFD2 (rs702465 OR = 0.6 (0.4–0.9; MTHFD2 (rs7571842 OR = 0.6 (0.4–0.9; MTHFR (rs1801133 OR = 2.0 (1.2–3.1; MTRR (rs162036 OR = 3.0 (1.5–5.9; MTRR (rs10380 OR = 3.4 (1.6–7.1; MTRR (rs1801394 OR = 0.7 (0.5–0.9; MTRR (rs9332 OR = 2.7 (1.3–5.3; TYMS (rs2847149 OR = 2.2 (1.4–3.5; TYMS (rs1001761 OR = 2.4 (1.5–3.8; and TYMS (rs502396 OR = 2.1 (1.3–3.3. However, multiple SNPs observed for a given gene showed evidence of linkage disequilibrium indicating

  18. The effect of spinal cord level on sexual function in the spina bifida population.

    Science.gov (United States)

    Lee, N G; Andrews, E; Rosoklija, I; Logvinenko, T; Johnson, E K; Oates, R D; Estrada, C R

    2015-06-01

    Sexual dysfunction and infertility are prevalent in the spina bifida (SB) population; however, the mechanism of how they affect a person with spina bifida is poorly understood. Additionally, the management of children with spina bifida becomes more difficult as they exit from pediatric institutes. The present study sought to evaluate sexual health (using validated questionnaires) and fertility in adults with spina bifida and to correlate spinal cord level and ambulatory status with degree of sexual function. After institutional board review approval, 199 adult patients with SB, aged 18 and older and who were followed in one pediatric institution, were identified. Patients who were non-English speaking, cognitively and/or developmentally delayed, or unable to be contacted were excluded. Surveys regarding demographics, sexual health and infertility were mailed to the patients and administered in the clinic with the option to opt-out of the survey. Survey questions regarding sexual health were constructed using validated questionnaires: Female Sexual Function Index (FSFI) for females, and International Index of Erectile Function (IIEF) and Sexual Health Inventory for Men (SHIM) for males. Sexual dysfunction scores were correlated to the patients' spinal level and ambulatory status. Of the 121 eligible patients, 45 replied, with a response rate of 39%. For females, using a cut-off value of 26.5 for FSFI scoring, 25 out of 28 (89%) had sexual dysfunction. No association was seen between spinal level or ambulatory status and overall FSFI, satisfaction, or desire scores. For males, 10 out of 17 (59%) had severe erectile dysfunction (ED), and one out of 17 (6%) had no ED. No association was seen between ambulatory status and sexual function scores for the males. However, SHIM, satisfaction, and ED scores were higher in males with lower spinal lesions. People with spina bifida of both genders tended to have more severe dysfunction compared to those with sexual dysfunction

  19. Association between clean intermittent catheterization and urinary tract infection in infants and toddlers with spina bifida.

    Science.gov (United States)

    Kaye, I Y; Payan, M; Vemulakonda, V M

    2016-10-01

    The primary goal of urologic management in children with spina bifida is to reduce the risk of urinary tract infection (UTI) and associated renal injury. While clean intermittent catheterization (CIC) has been the mainstay of treatment, recent studies have suggested that this approach is not without risk. The objective of this study was to examine the association between alternative bladder management strategies and UTI in infants and toddlers with spina bifida. A retrospective cohort study was conducted on spina bifida patients, aged 0-3 years, seen in a multidisciplinary spinal defects clinic between 2008 and 2013. Inclusion criteria included: a primary diagnosis of meningocele, myelomeningocele, or lipomyelomeningocele. Patients were excluded if they had: <1 year of follow-up, urologic surgery prior to initial evaluation, or incomplete data for analysis. Bivariate analyses were performed using Chi-squared or Fisher's exact tests. Multivariate analyses were performed using logistic regression. A total of 107 patients meeting study criteria were identified. The majority of patients had lumbar lesions (74.8%) and ventriculoperitoneal (VP) shunts (72.9%). Initial bladder management was by CIC in 39.3% of patients and spontaneous voiding in 60.8% of patients. Median age at follow-up was 2.5 years. During the study period, 23.4% of patients switched from spontaneous voiding to CIC. Patients managed with CIC were more likely to have UTIs at final follow-up than those managed with voiding (35.7% vs. 18.5%; P = 0.045). Patients with vesicoureteral reflux (VUR) were also more likely to have UTIs (54.5% vs. 17.9%; P = 0.015). Patients who switched from spontaneous voiding to CIC over the study period were more likely to be evaluated with urodynamics (72.0% vs. 31.8%; P < 0.0001) than those managed with voiding alone. Patients who switched to CIC were also more likely to have VUR (16% vs. 0%; P = 0.09) and UTIs (24% vs. 15%; P = 0.06) than those managed with

  20. Pre-, Syn- and Post Eruptive Seismicity of the 2011 Eruption of Nabro Volcano, Eritrea

    Science.gov (United States)

    Goitom, Berhe; Hammond, James; Kendall, Michael; Nowacky, Andy; Keir, Derek; Oppenheimer, Clive; Ogubazghi, Ghebrebrhan; Ayele, Atalay; Ibrahim, Said; Jacques, Eric

    2014-05-01

    Nabro volcano, located in south-east Eritrea, East Africa, lies at the eastern margin of the Afar Rift and the Danakil Depression. Its tectonic behaviour is controlled by the divergence of the Arabian, Nubian and Somali plates. Nabro volcano was thought to be seismically quiet until it erupted in June 2011 with limited warning. The volcano erupted on June 12, 2011 around 20:32 UTC, following a series of earthquakes on that day that reached a maximum magnitude of 5.8. It is the first recorded eruption of Nabro volcano and only the second in Eritrea, following the Dubbi eruption in 1861. A lava flow emerged from the caldera and travelled about 20 km from the vent and buried settlements in the area. At the time of this eruption there was no seismic network in Eritrea, and hence the volcano was not monitored. In this study we use ten Ethiopian, one Yemeni and one Djibouti stations to investigate the seismicity of the area before, during and after the eruption. Four Eritrean seismic stations deployed in June 2011, four days after the eruption, are also included in the dataset. Travel time picks supplied by colleagues from Djibouti were also incorporated into the dataset. Our analysis covers roughly three months before and after the eruption and shows that Nabro was seismically quiet before the eruption (nine events), with the exception of one major earthquake (4.8 magnitude) that occurred on March 31, 2011. In contrast, the region shows continued seismic activity after the eruption (92 events). During the eruption seismicity levels are high (123 events), with two days particularly active, June 12 and June 17 with 85 and 28 discrete events, respectively. Maximum magnitudes of 5.8 and 5.9 were recorded on these two days. The two days of increased seismicity are consistent with satellite observations of the eruption which show two distinct phases of the eruption. The period between these two phases was dominated by volcanic tremor. The tremor signal lasted for almost one

  1. Gas-driven eruptions at Mount Ruapehu, New Zealand: towards a coherent model of eruption

    Science.gov (United States)

    Kilgour, G. N.; Mader, H. M.; Mangan, M.; Blundy, J.

    2010-12-01

    Mt. Ruapehu is an andesitic cone volcano situated at the southern end of the Taupo Volcanic Zone. The summit plateau at Ruapehu consists of three craters (South, Central and North). Historical activity has consisted of frequent small phreatic and phreatomagmatic eruptions from South Crater. The active vents of South Crater are submerged beneath Crater Lake - a warm, acidic lake. The most recent eruption at Ruapehu occurred on 25th September, 2007 that generated a moderate steam column to about 4.5 km above Crater Lake, and a directed ballistic and surge deposit of coarse blocks and ash to the north of Crater Lake. It also initiated lahars in two catchments. The eruption occurred during the ski season and it resulted in the temporary closure of the three ski fields. Seismicity for the main eruption lasted for about 4 minutes and included an explosive phase which lasted for less than 1 minute and a post-explosion phase which probably indicated resonance in the conduit together with signals generated from lahars and vent stabilisation. Preceding seismicity occurred ~ 10 min before the eruption. The 2007 eruption appears strikingly similar to phreatic/phreatomagmatic eruptions of 1969 and 1975. In those eruptions, limited precursory seismicity was recorded, the bulk of the erupted deposits were accidental lithics, including lake sediments and older lavas, and only a small amount of juvenile material was erupted (~ 5%). It is likely that all three eruptions were driven by magmatic gases, either stored and pressurised beneath a hydrothermal seal, or rapidly exsolved during a gas release event. This poster outlines the plan that we will use to model this common type of eruption at Ruapehu. We will analyse the volatile content of phenocryst-hosted melt inclusions to determine the degassing depth of historic eruptions. This will allow us to identify where the magmas have been or are degassing beneath Crater Lake. Analogue modelling of gas and fluid flow through a visco

  2. CHKA and PCYT1A gene polymorphisms, choline intake and spina bifida risk in a California population

    Directory of Open Access Journals (Sweden)

    Lammer Edward J

    2006-12-01

    Full Text Available Abstract Background Neural tube defects (NTDs are among the most common of all human congenital defects. Over the last two decades, accumulating evidence has made it clear that periconceptional intake of folic acid can significantly reduce the risk of NTD affected pregnancies. This beneficial effect may be related to the ability of folates to donate methyl groups for critical physiological reactions. Choline is an essential nutrient and it is also a methyl donor critical for the maintenance of cell membrane integrity and methyl metabolism. Perturbations in choline metabolism in vitro have been shown to induce NTDs in mouse embryos. Methods This study investigated whether single nucleotide polymorphisms (SNPs in human choline kinase A (CHKA gene and CTP:phosphocholine cytidylytransferase (PCYT1A gene were risk factors for spina bifida. Fluorescence-based allelic discrimination analysis was performed for the two CHKA intronic SNPs hCV1562388 (rs7928739 and hCV1562393, and PCYT1A SNP rs939883 and rs3772109. The study population consisted of 103 infants with spina bifida and 338 non-malformed control infants who were born in selected California counties in the period 1989–1991. Results The CHKA SNP hCV1562388 genotypes with at least one C allele were associated with a reduced risk of spina bifida (odds ratio = 0.60, 95%CI = 0.38–0.94. The PCYT1A SNP rs939883 genotype AA was associated with a twofold increased risk of spina bifida (odds ratio = 1.89, 95% CI = 0.97–3.67. These gene-only effects were not substantially modified by analytic consideration to maternal periconceptional choline intake. Conclusion Our analyses showed genotype effects of CHKA and PCYT1A genes on spina bifida risk, but did not show evidence of gene-nutrient interactions. The underlying mechanisms are yet to be resolved.

  3. The Kennedy Krieger Independence Scales–Spina Bifida Version: A Measure of Executive Components of Self-Management

    Science.gov (United States)

    Jacobson, Lisa A.; Tarazi, Reem A.; McCurdy, Mark D.; Schultz, Scott; Levey, Eric; Mahone, E. Mark; Zabel, T. Andrew

    2014-01-01

    Purpose/Objective Successful implementation of functional self-care skills depends upon adequate executive functioning; however, many scales assessing adaptive skills do not address the inherent executive burden of these tasks. This omission is especially relevant for individuals with spina bifida, for whom medical self-care tasks impose a significant burden requiring initiation and prospective memory. The Kennedy Krieger Independence Scales–Spina Bifida Version (KKIS–SB) is a caregiver-reported measure designed to address this gap; it assesses skills for managing both typical and spina bifida-related daily self-care demands, with a focus on the timely and independent initiation of adaptive skills. Research Method/Design Parents of 100 youth and young adults with spina bifida completed the KKIS–SB. Exploratory factor analysis and Pearson's correlations were used to assess the factor structure, reliability, and construct validity of the KKIS–SB. Results The scale demonstrates excellent internal consistency (Cronbach's alpha = .891). Exploratory factor analysis yielded four factors, explaining 65.1% of the total variance. Two primary subscales were created, initiation of routines and prospective memory, which provide meaningful clinical information regarding management of a variety of typical (e.g., get up on time, complete daily hygiene routines on time) and spina bifida-specific self-care tasks (e.g., begin self-catheterization on time, perform self-examination for pressure sores). Conclusions/Implications Based upon internal consistency estimates and correlations with measures of similar constructs, initial data suggest good preliminary reliability and validity of the KKIS–SB. PMID:23438006

  4. MCMini: Monte Carlo on GPGPU

    Energy Technology Data Exchange (ETDEWEB)

    Marcus, Ryan C. [Los Alamos National Laboratory

    2012-07-25

    MCMini is a proof of concept that demonstrates the possibility for Monte Carlo neutron transport using OpenCL with a focus on performance. This implementation, written in C, shows that tracing particles and calculating reactions on a 3D mesh can be done in a highly scalable fashion. These results demonstrate a potential path forward for MCNP or other Monte Carlo codes.

  5. Volcano shapes, entropies, and eruption probabilities

    Science.gov (United States)

    Gudmundsson, Agust; Mohajeri, Nahid

    2014-05-01

    We propose that the shapes of polygenetic volcanic edifices reflect the shapes of the associated probability distributions of eruptions. In this view, the peak of a given volcanic edifice coincides roughly with the peak of the probability (or frequency) distribution of its eruptions. The broadness and slopes of the edifices vary widely, however. The shapes of volcanic edifices can be approximated by various distributions, either discrete (binning or histogram approximation) or continuous. For a volcano shape (profile) approximated by a normal curve, for example, the broadness would be reflected in its standard deviation (spread). Entropy (S) of a discrete probability distribution is a measure of the absolute uncertainty as to the next outcome/message: in this case, the uncertainty as to time and place of the next eruption. A uniform discrete distribution (all bins of equal height), representing a flat volcanic field or zone, has the largest entropy or uncertainty. For continuous distributions, we use differential entropy, which is a measure of relative uncertainty, or uncertainty change, rather than absolute uncertainty. Volcano shapes can be approximated by various distributions, from which the entropies and thus the uncertainties as regards future eruptions can be calculated. We use the Gibbs-Shannon formula for the discrete entropies and the analogues general formula for the differential entropies and compare their usefulness for assessing the probabilities of eruptions in volcanoes. We relate the entropies to the work done by the volcano during an eruption using the Helmholtz free energy. Many factors other than the frequency of eruptions determine the shape of a volcano. These include erosion, landslides, and the properties of the erupted materials (including their angle of repose). The exact functional relation between the volcano shape and the eruption probability distribution must be explored for individual volcanoes but, once established, can be used to

  6. Monte Carlo methods for electromagnetics

    CERN Document Server

    Sadiku, Matthew NO

    2009-01-01

    Until now, novices had to painstakingly dig through the literature to discover how to use Monte Carlo techniques for solving electromagnetic problems. Written by one of the foremost researchers in the field, Monte Carlo Methods for Electromagnetics provides a solid understanding of these methods and their applications in electromagnetic computation. Including much of his own work, the author brings together essential information from several different publications.Using a simple, clear writing style, the author begins with a historical background and review of electromagnetic theory. After addressing probability and statistics, he introduces the finite difference method as well as the fixed and floating random walk Monte Carlo methods. The text then applies the Exodus method to Laplace's and Poisson's equations and presents Monte Carlo techniques for handing Neumann problems. It also deals with whole field computation using the Markov chain, applies Monte Carlo methods to time-varying diffusion problems, and ...

  7. Characterize Eruptive Processes at Yucca Mountain, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    G. Valentine

    2001-12-20

    This Analysis/Model Report (AMR), ''Characterize Eruptive Processes at Yucca Mountain, Nevada'', presents information about natural volcanic systems and the parameters that can be used to model their behavior. This information is used to develop parameter-value distributions appropriate for analysis of the consequences of volcanic eruptions through a potential repository at Yucca Mountain. Many aspects of this work are aimed at resolution of the Igneous Activity Key Technical Issue (KTI) as identified by the Nuclear Regulatory Commission (NRC 1998, p. 3), Subissues 1 and 2, which address the probability and consequence of igneous activity at the proposed repository site, respectively. Within the framework of the Disruptive Events Process Model Report (PMR), this AMR provides information for the calculations in two other AMRs ; parameters described herein are directly used in calculations in these reports and will be used in Total System Performance Assessment (TSPA). Compilation of this AMR was conducted as defined in the Development Plan, except as noted. The report begins with considerations of the geometry of volcanic feeder systems, which are of primary importance in predicting how much of a potential repository would be affected by an eruption. This discussion is followed by one of the physical and chemical properties of the magmas, which influences both eruptive styles and mechanisms for interaction with radioactive waste packages. Eruptive processes including the ascent velocity of magma at depth, the onset of bubble nucleation and growth in the rising magmas, magma fragmentation, and velocity of the resulting gas-particle mixture are then discussed. The duration of eruptions, their power output, and mass discharge rates are also described. The next section summarizes geologic constraints regarding the interaction between magma and waste packages. Finally, they discuss bulk grain size produced by relevant explosive eruptions and grain

  8. Activity Pattern of the Erector Spinae Muscles During Two Lumbar Strengthening Exercises Patrón de activación del músculo erector spinae en dos ejercicios de fortalecimiento lumbar

    Directory of Open Access Journals (Sweden)

    D. Sánchez

    2010-09-01

    Full Text Available

    ABSTRACT

    The flexion-relaxation-phenomenon is the specific response of the erector spinae muscles, in free-pain subjects, during forward bending from upright standing. The contraction intensity of the erector spinae has been studied during trunk exercises on the roman chair, which has brought about significant information in order to graduate lumbar training intensity. To our knowledge, no study determined the pattern of erector spinae activity in the course of movement at the roman-chair exercises. The EMG of the right erector spinae and the angular displacement of the dorso-lumbar spine were symultaneously recorded during the time-course of flexion-extension exercises at upright standing and roman chair (n=20, M: 21.4 years, 64.5Kg and  168.4cm, the muscles activation were compared between the two exercises and different patterns were observed. The flexion-relaxation–phenomenon was  observed during flexion form upright standing but not  during exercises at the roman chair, the maximum amplitude of flexion was significantly less (p ≤ 0.05 and progresive decrease in ES activity occurred when the trunk flexed by maximum. Avoiding maximum range of flexion during trunk exercises is recommended since, as a rule during lumbar training, it may prevent from spine injury.
    KEY WORDS: Erector spinae, flexion-relaxation phenomenon, roman-chair exercises, lumbar-strengthening-exercises, lumbar motion.

     

    El fenómeno de flexión-relajación, disminución brusca y espontánea de la actividad del músculo erector spinae durante la flexión, es la respuesta específica de este músculo en personas sanas. Se ha estudiado la intensidad de contracción del ES durante ejercicios en el banco romano con el objeto de graduar la intensidad del entrenamiento de la musculatura lumbar, pero se desconoce si el

  9. Reconstructing eruptive source parameters from tephra deposit: a numerical approach for medium-sized explosive eruptions

    CERN Document Server

    Spanu, A; Barsotti, S

    2015-01-01

    Since the seventies, several reconstruction techniques have been proposed, and are currently used, to extrapolate and quantify eruptive parameters from sampled deposit datasets. Discrete numbers of tephra ground loadings or stratigraphic records are usually processed to estimate source eruptive values. Reconstruction techniques like Pyle, Power law and Weibull are adopted as standard to quantify the erupted mass (or volume) whereas Voronoi for reconstructing the granulometry. Reconstructed values can be affected by large uncertainty due to complexities occurring within the atmospheric dispersion and deposition of volcanic particles. Here we want to quantify the sensitivity of reconstruction techniques, and to quantify how much estimated values of mass and grain size differ from emitted and deposited ones. We adopted a numerical approach simulating with a dispersal code a mild explosive event occurring at Mt. Etna, with eruptive parameters similar to those estimated for eruptions occurred in the last decade. T...

  10. Chlorine as a geobarometer tool: Application to the explosive eruptions of the Volcanic Campanian District (Mount Somma-Vesuvius, Phlegrean Fields, Ischia)

    Science.gov (United States)

    Balcone-Boissard, Hélène; Boudon, Georges; Zdanowicz, Géraldine; Orsi, Giovanni; Civetta, Lucia; Webster, Jim D.; Cioni, Raffaello; D'Antonio, Massimo

    2016-04-01

    One of the current stakes in modern volcanology is the definition of magma storage conditions which has direct implications on the eruptive style and thus on the associated risks and the management of likely related crisis. In alkaline differentiated magmas, chlorine (Cl), contrary to H2O, occurs as a minor volatile species but may be used as a geobarometer. Numerous experimental studies on Cl solubility have highlighted its saturation conditions in silicate melts. The NaCl-H2O system is characterized by immiscibility under wide ranges of pressure, temperature and NaCl content (Mount Somma-Vesuvius, Phlegrean Fields and Ischia. We have analysed the products of the representative explosive eruptions of each volcano, including Plinian, sub-Plinian and strombolian events. We have focussed our research on the earliest emitted, most evolved products of each eruption, likely representing the shallower, fluid-saturated portion of the reservoir. As the studied eruptions cover the entire eruptive history of each volcanic system, the results allow better constraining the evolution through time of the shallow plumbing system. We highlighted for Mount Somma - Vesuvius two magma ponding zones, at ~170-200 MPa and ~105-115 MPa, alternatively active in time. For Phlegrean Fields, we evidence a progressive deepening of the shallow reservoirs, from the Campanian Ignimbrite (30-50 MPa) to the Monte Nuovo eruption (115 MPa). Only one eruption was studied for Ischia, the Cretaio eruption, that shows a reservoir at 140 MPa. The results on pressure are in large agreement with literature. The Cl geobarometer may help scientists to define the reservoir dynamics through time and provide strong constraints on pre-eruptive conditions, of utmost importance for the interpretation of the monitoring data and the identification of precursory signals.

  11. A Review of the Potential for Cardiometabolic Dysfunction in Youth with Spina Bifida and the Role for Physical Activity and Structured Exercise

    Directory of Open Access Journals (Sweden)

    Kevin R. Short

    2012-01-01

    Full Text Available Children and adolescents who have decreased mobility due to spina bifida may be at increased risk for the components of metabolic syndrome, including abdominal obesity, insulin resistance, and dyslipidemia due to low physical activity. Like their nondisabled peers, adolescents with spina bifida that develop metabolic risk factors early in life have set the stage for adult disease. Exercise interventions can improve metabolic dysfunction in nondisabled youth, but the types of exercise programs that are most effective and the mechanisms involved are not known. This is especially true in adolescents with spina bifida, who have impaired mobility and physical function and with whom there have been few well-controlled studies. This paper highlights the current lack of knowledge about the role of physical activity and the need to develop exercise strategies targeting the reduction of cardiometabolic risk and improving quality of life in youth with spina bifida.

  12. Impact of Surfactant Type on Adsorption Process and Oil Recovery: Implementation of New Surfactant Produced from Zizyphus Spina-Christi Extract

    National Research Council Canada - National Science Library

    Zargartalebi, Mohammad; Barati, Nasim; Pordel Shahri, Mojtaba

    2014-01-01

    Three different types of surfactants containing an anionic, a cationic and a new nonionic biosurfactant, Zizyphus Spina-Christi extract were used for the purpose of oil recovery in a core flood system...

  13. Guided tooth eruption: Comparison of open and closed eruption techniques in labially impacted maxillary canines

    Directory of Open Access Journals (Sweden)

    S M londhe

    2014-01-01

    Full Text Available Background: After third molars, the maxillary canines are the most commonly impacted permanent teeth and one-third of these are labial impactions. Impacted canines often require orthodontic guidance in the eruption. This study was conducted to assess the posttreatment results of surgically exposed and orthodontically aligned labially impacted maxillary canines comparing two different surgical techniques. Materials and Methods: The study was conducted in two phases, a surgical phase and an orthodontic phase. In surgical phase, events during surgical exposure and recovery of 31 patients with labially impacted maxillary canine were recorded. Patients were managed with open and closed eruption technique. The assessment included comparison of two techniques of surgical exposure, postoperative pain, mobility, vitality, periodontal health, level of impaction, and duration of orthodontic treatment. Results: The postoperative recovery was longer after open eruption than close eruption technique (P = 0.000. Postoperative pain experienced by patients was similar, but regression of pain was faster in closed eruption technique. The mean surgical time for open eruption technique was lesser when compared with closed eruption technique (P = 0.000. The total duration of orthodontic treatment was directly dependent upon the level of impaction, with deeper level of impaction having longer duration of orthodontic treatment. The mobility and vitality of guided canine was similar in both techniques. Conclusion: The closed eruption technique was a longer surgical procedure, but the postoperative pain regression was faster. The duration of orthodontic treatment was longer with deeper level of impaction. The closed eruption surgical techniques provide better periodontal tissues around the guided erupted teeth.

  14. Metropolis Methods for Quantum Monte Carlo Simulations

    OpenAIRE

    Ceperley, D. M.

    2003-01-01

    Since its first description fifty years ago, the Metropolis Monte Carlo method has been used in a variety of different ways for the simulation of continuum quantum many-body systems. This paper will consider some of the generalizations of the Metropolis algorithm employed in quantum Monte Carlo: Variational Monte Carlo, dynamical methods for projector monte carlo ({\\it i.e.} diffusion Monte Carlo with rejection), multilevel sampling in path integral Monte Carlo, the sampling of permutations, ...

  15. Long-term outcomes of cutaneous vesicostomy in patients with neuropathic bladder caused by spina bifida.

    Science.gov (United States)

    Dönmez, M İrfan; Carrasco, Alonso; Saltzman, Amanda F; Vemulakonda, Vijaya; Wilcox, Duncan T

    2017-06-16

    To evaluate the outcomes of patients who underwent cutaneous vesicostomy for management of neuropathic bladder secondary to spina bifida. We hypothesize that vesicostomy, in select patients, is beneficial to prevent upper urinary tract deterioration (UTD), reduce febrile urinary tract infections (UTIs), and preserve renal function. We performed a retrospective chart review on patients with spina bifida who underwent cutaneous vesicostomy at our institution between 2000 and 2016. Demographic information, indication for vesicostomy, pre and postoperative laboratory/radiologic studies, incidence of febrile UTIs, and urodynamic findings were abstracted. A total of 14 patients (eight females and six males) were identified. The indication for vesicostomy was UTD in four, recurrent febrile UTIs in five, parental request in two, both UTD and recurrent febrile UTIs in two, and both UTI and parental request in one patient. Seven patients had a median of three (range one to five) febrile UTI prior to surgery for cutaneous vesicostomy. Median creatinine level before surgery was 0.26 mg/dL (range 0.16-0.97). Either unilateral or bilateral ≥SFU Grade 2 hydronephrosis was present in six patients. Median age at vesicostomy creation was 26.5 months (range 4-96). Mean functional bladder capacity assessed during preoperative urodynamic studies was 107 mL (range 20-279), and detrusor sphincter dysynergia was present in all patients. High-grade vesicoureteral reflux (grade ≥3) was present in three patients, all with UTD. Mean follow-up after vesicostomy was 62.4 ± 39.3 months. After vesicostomy, only two of the seven patients with history of febrile UTIs experienced an additional febrile UTI. The median serum creatinine level was 0.36 mg/dL (range 0.2-0.58) at last follow-up. Moreover, 11/14 patients had no hydronephrosis and just two patients had unilateral SFU grade 1 hydronephrosis (Table). Worsening UTD, recurrent febrile UTIs, and high-pressure bladder despite maximal

  16. Eruption precursors: Manifestations and strategies for detection

    Science.gov (United States)

    Poland, Michael; Pritchard, Matthew

    2017-04-01

    The past several decades have seen a rapid increase in volcano monitoring and modeling capabilities. Diverse arrays of instrument networks can detect a variety of pre-, co-, and post-eruptive phenomena, and remote sensing observations are available across a range of spatial, temporal, and spectral resolutions. A growing class of models, based on the physics of magmatic systems, are making use of these expanding datastreams, providing probabilistic assessments of such parameters as magma supply, volatile content, and eruption duration. To what extent, however, do these developments heighten our ability to identify eruption precursors? The advent of better data and new models provides an opportunity to reexamine our understanding of pre-eruption unrest, as well as our ability to detect and recognize it as such. An idealized model of the buildup to a volcanic eruption might include magma ascent from a deep source region and accumulation in the mid- to upper crust in the preceding months to years. The process might be manifested by surface inflation and deep long-period earthquakes, and accompanied by an increase in CO2 emissions. As magma continues to accumulate, distal volcano-tectonic earthquakes may result as stress builds on nearby faults, H2S emissions may increase as sulfur in a shallow reservoir is hydrolyzed by groundwater, and fumarole and spring temperatures may increase and show changes in chemistry. In the days to hours before an eruption, sudden changes in the rate and style of earthquakes (including repeating earthquakes and tremor) and deformation may occur as the magma reservoir ruptures and magma moves laterally or vertically. Phreatic eruptions might result as ascending magma comes into contact with groundwater, and SO2 emissions might increase as the path between the magma and surface dries out. How often does such a sequence actually occur? Relatively few volcanoes are comprehensively monitored prior to obvious expressions of unrest, so this is not

  17. Russian eruption warning systems for aviation

    Science.gov (United States)

    Neal, C.; Girina, O.; Senyukov, S.; Rybin, A.; Osiensky, J.; Izbekov, P.; Ferguson, G.

    2009-01-01

    More than 65 potentially active volcanoes on the Kamchatka Peninsula and the Kurile Islands pose a substantial threat to aircraft on the Northern Pacific (NOPAC), Russian Trans-East (RTE), and Pacific Organized Track System (PACOTS) air routes. The Kamchatka Volcanic Eruption Response Team (KVERT) monitors and reports on volcanic hazards to aviation for Kamchatka and the north Kuriles. KVERT scientists utilize real-time seismic data, daily satellite views of the region, real-time video, and pilot and field reports of activity to track and alert the aviation industry of hazardous activity. Most Kurile Island volcanoes are monitored by the Sakhalin Volcanic Eruption Response Team (SVERT) based in Yuzhno-Sakhalinsk. SVERT uses daily moderate resolution imaging spectroradiometer (MODIS) satellite images to look for volcanic activity along this 1,250-km chain of islands. Neither operation is staffed 24 h per day. In addition, the vast majority of Russian volcanoes are not monitored seismically in real-time. Other challenges include multiple time-zones and language differences that hamper communication among volcanologists and meteorologists in the US, Japan, and Russia who share the responsibility to issue official warnings. Rapid, consistent verification of explosive eruptions and determination of cloud heights remain significant technical challenges. Despite these difficulties, in more than a decade of frequent eruptive activity in Kamchatka and the northern Kuriles, no damaging encounters with volcanic ash from Russian eruptions have been recorded. ?? Springer Science+Business Media B.V. 2009.

  18. Coronal bright points associated with minifilament eruptions

    Energy Technology Data Exchange (ETDEWEB)

    Hong, Junchao; Jiang, Yunchun; Yang, Jiayan; Bi, Yi; Li, Haidong [Yunnan Observatories, Chinese Academy of Sciences, Kunming 650011 (China); Yang, Bo; Yang, Dan, E-mail: hjcsolar@ynao.ac.cn [Also at Graduate School of Chinese Academy of Sciences, Beijing, China. (China)

    2014-12-01

    Coronal bright points (CBPs) are small-scale, long-lived coronal brightenings that always correspond to photospheric network magnetic features of opposite polarity. In this paper, we subjectively adopt 30 CBPs in a coronal hole to study their eruptive behavior using data from the Atmospheric Imaging Assembly (AIA) and the Helioseismic and Magnetic Imager (HMI) on board the Solar Dynamics Observatory. About one-quarter to one-third of the CBPs in the coronal hole go through one or more minifilament eruption(s) (MFE(s)) throughout their lifetimes. The MFEs occur in temporal association with the brightness maxima of CBPs and possibly result from the convergence and cancellation of underlying magnetic dipoles. Two examples of CBPs with MFEs are analyzed in detail, where minifilaments appear as dark features of a cool channel that divide the CBPs along the neutral lines of the dipoles beneath. The MFEs show the typical rising movements of filaments and mass ejections with brightenings at CBPs, similar to large-scale filament eruptions. Via differential emission measure analysis, it is found that CBPs are heated dramatically by their MFEs and the ejected plasmas in the MFEs have average temperatures close to the pre-eruption BP plasmas and electron densities typically near 10{sup 9} cm{sup –3}. These new observational results indicate that CBPs are more complex in dynamical evolution and magnetic structure than previously thought.

  19. Filament eruption with apparent reshuffle of endpoints

    CERN Document Server

    Filippov, Boris

    2014-01-01

    Filament eruption on 30 April - 1 May 2010, which shows the reconnection of one filament leg with a region far away from its initial position, is analyzed. Observations from three viewpoints are used for as precise as possible measurements of endpoint coordinates. The northern leg of the erupting prominence loop 'jumps' laterally to the latitude lower than the latitude of the originally southern endpoint. Thus, the endpoints reshuffled their positions in the limb view. Although this behaviour could be interpreted as the asymmetric zipping-like eruption, it does not look very likely. It seems more likely to be reconnection of the flux-rope field lines in its northern leg with ambient coronal magnetic field lines rooted in a quiet region far from the filament. From calculations of coronal potential magnetic field, we found that the filament before the eruption was stable for vertical displacements, but was liable to violation of the horizontal equilibrium. This is unusual initiation of an eruption with combinat...

  20. Laboratory models of Hawaiian and Strombolian eruptions

    Science.gov (United States)

    Jaupart, Claude; Vergniolle, Sylvie

    1988-01-01

    Basaltic eruptions are often characterized by cyclic changes of activity. At Hawaii, periods of continuous fountaining alternate with much longer periods of effusive outflow1,2. In Strombolian eruptions, activity proceeds through intermittent discrete bursts2-5. We report laboratory experiments that simulate the degassing process in basaltic eruptions. Gas bubbles are generated at the bottom of a tank filled with viscous liquid and topped by a small open conduit. The bubbles rise and accumulate at the roof in a foam layer whose thickness increases. At a critical thickness the bubbles coalesce and the foam collapses, generating gas pockets whose size depends on liquid viscosity and surface tension. At low viscosity a single large gas pocket is formed, which flows into the conduit. This erupts in an annular flow configuration where a central jet expels the liquid films that wet the conduit walls6. At higher viscosity many smaller pockets are formed, which rise as slugs and burst out intermittently at the vent. The experiments imply that the presence of constrictions in the chamber and conduits plays a major role in determining eruption behaviour.

  1. Precursors of eruptions at Vesuvius (Italy)

    Science.gov (United States)

    Scandone, Roberto; Giacomelli, Lisetta

    2008-04-01

    The historical record of activity of Mount Vesuvius is uncommonly long and may serve as a guide to understand precursors before the outbreak of new activity. Reposes of different lengths have been observed in the past, with long ones preceding violent explosive eruptions. Eruptions occurring during periods of permanent activity have been preceded by possible deformation of the volcanic edifice and by short duration, earthquake swarms. Otherwise they have occurred without any reported precursors. The renewal of activity after long periods, like the current one, has been preceded by unrest lasting years to weeks, as a new eruption would require connection to the surface of a reservoir at depth ranging between 6 and 4 km. Since 1944, episodic seismic swarms, have occurred with a frequency similar to that of the violent strombolian eruptions during the last period of permanent activity; they are interpreted as intrusions and arrest of magma batches into a reservoir at the same depth of that feeding past sub-plinian eruptions.

  2. Screening for Fetal Spina Bifida Aperta by the Ultrasound and Intracranial Translucency Examinations at 11-13(+6) Weeks of Gestation.

    Science.gov (United States)

    Liu, Min; Liu, Ying; Li, Zhi-Hong; Yu, Ding

    2015-06-01

    The objective of the study is to evaluate the clinical significance of screening for fetal spina bifida aperta by ultrasound examination and intracranial translucency (IT) measurement at 11-13(+6) weeks of gestation. About 1,479 women at 11-13(+6) weeks of gestation in our hospital in 2012 were included as observation group, and 1,608 women at 11-13(+6) weeks of gestation without IT measurement in 2011 was included as controls. Detection rates of fetal spina bifida aperta in two groups were compared. The translucency thickness between the brain stem and choroid plexus and crown-rump length (CRL) in mid-sagittal view of the fetal face was measured, and translucency thickness and CRL in fetuses with spina bifida and healthy ones were compared. Detection rate of fetal spina bifida aperta in observation group was significantly higher than that in control group (six cases in observation group and one case in control group, p = 0.046). IT thickness was significantly lower in fetuses with spina bifida aperta (0.01 ± 1.25 mm) than that in healthy ones (1.73 ± 0.32 mm) (p spina bifida aperta (r = 0.001, p = 0.081). Ultrasound examination with IT measurement at 11-13(+6) weeks of gestation can be used to screen for fetal spina bifida aperta, and the reduction of IT thickness is an indicator of spina bifida aperta.

  3. Prevalence of spina bifida occulta in patients with functional disorders of the lower urinary tract and its relation to urodynamic and neurophysiological measurements.

    OpenAIRE

    Fidas, A.; MacDonald, H. L.; Elton, R A; McInnes, A.; Wild, S. R.; Chisholm, G D

    1989-01-01

    OBJECTIVE--To determine the relation between neurophysiological abnormalities and the radiological detection of spina bifida occulta in patients with dysfunction of the lower urinary tract. DESIGN--Blind assessment and subsequent decoding of mixed batch of abdominal radiographs from patients with and without urological symptoms for evidence of spina bifida occulta and comparison of results with those of previous control series. SETTING--Review study among tertiary referrals to an incontinence...

  4. Urinary Tract Infection Caused by Citrobacter koseri in a Patient With Spina Bifida, an Ileal Conduit and Renal Caluli Progressing to Peri-nephric Abscess and Empyema.

    Science.gov (United States)

    Stewart, Zachary E; Shaker, Mohammed; Baxter, J David

    2017-02-01

    Urological problems are common in spina bifida and are often treated with urinary diversions. Spina bifida and ileal conduits put patients at increased risk for ascending urinary tract infections. Here we present a novel case of a Citrobacter koseri urinary tract infection complicated by a perinephric abscess with pleural extension. To our knowledge, no case of an ascending C. koseri UTI progressing to peri-nephric abscess and empyema by direct extension exists in the literature.

  5. Are Avellino (4365 cal BP) and Pompeii twin plinian eruptions? Pre-eruptive constraints and degassing history

    Science.gov (United States)

    Boudon, Georges; Balcone-Boissard, Hélène; Villemant, Benoît.; Ucciani, Guillaume; Cioni, Raffaello

    2010-05-01

    Somma-Vesuvius activity started 35 ky ago and is characterized by numerous eruptions of variable composition and eruptive style, sometimes interrupted by long periods of unrest. The main explosive eruptions are represented by four plinian eruptions: Pomici di Base eruption (22 cal ky), Mercato (~8900 cal BP), Avellino (4365 cal BP) and Pompeii (79 AD). The 79 AD eruption embodies the most famous eruption since it's responsible of the destruction of Pompeii and Herculanum and it's the first described eruption. The Avellino eruption represents the last plinian event that preceded the Pompeii eruption. The eruptive sequence is similar to the 79 AD plinian eruption, with an opening phase preceding a main plinian fallout activity which ended by a phreatomagmatic phase. The fallout deposit displays a sharp colour contrast from white to grey pumice, corresponding to a magma composition evolution. We focus our study on the main fallout deposit that we sampled in detail in the Traianello quarry, 9 km North-North East of the crater, to investigate the degassing processes during the eruption, using volatile content and textural observations. Density and vesicularity measurements were obtained on a minimum of 100 pumice clasts sampled in 10 stratigraphic levels in the fallout deposit. On the basis of the density distribution, bulk geochemical data, point analytical measurements on glasses (melt inclusions and residual glass) and textural observations were obtained simultaneously on a minimum of 5 pumice clasts per eruptive unit. The glass composition, in particular the Na/K ratio, evolves from Na-rich phonolite for white pumices to a more K-rich phonolite for grey pumices. The pre-eruptive conditions are constrained by systematic Cl measurements in melt inclusions and matrix glass of pumice clasts. The entire magma was saturated relative to sub-critical fluids (a Cl-rich H2O vapour phase and a brine), with a Cl melt content buffered at ~6000 ppm, and a mean pre-eruptive H2O

  6. The influence of eruption season on the global aerosol evolution and radiative impact of tropical volcanic eruptions

    Directory of Open Access Journals (Sweden)

    M. Toohey

    2011-12-01

    Full Text Available Simulations of tropical volcanic eruptions using a general circulation model with coupled aerosol microphysics are used to assess the influence of season of eruption on the aerosol evolution and radiative impacts at the Earth's surface. This analysis is presented for eruptions with SO2 injection magnitudes of 17 and 700 Tg, the former consistent with estimates of the 1991 Mt. Pinatubo eruption, the later a near-"super eruption". For each eruption magnitude, simulations are performed with eruptions at 15° N, at four equally spaced times of year. Sensitivity to eruption season of aerosol optical depth (AOD, clear-sky and all-sky shortwave (SW radiative flux is quantified by first integrating each field for four years after the eruption, then calculating for each cumulative field the absolute or percent difference between the maximum and minimum response from the four eruption seasons. Eruption season has a significant influence on AOD and clear-sky SW radiative flux anomalies for both eruption magnitudes. The sensitivity to eruption season for both fields is generally weak in the tropics, but increases in the mid- and high latitudes, reaching maximum values of ~75 %. Global mean AOD and clear-sky SW anomalies show sensitivity to eruption season on the order of 15–20 %, which results from differences in aerosol effective radius for the different eruption seasons. Smallest aerosol size and largest cumulative impact result from a January eruption for Pinatubo-magnitude eruption, and from a July eruption for the near-super eruption. In contrast to AOD and clear-sky SW anomalies, all-sky SW anomalies are found to be insensitive to season of eruption for the Pinatubo-magnitude eruption experiment, due to the reflection of solar radiation by clouds in the mid- to high latitudes. However, differences in all-sky SW anomalies between eruptions in different seasons are significant for the larger eruption magnitude, and the ~15 % sensitivity to

  7. Health professional expectations for self-care skill development in youth with spina bifida.

    Science.gov (United States)

    Greenley, Rachel Neff

    2010-01-01

    The author examined expectations for the development of self-care skills for youth with spina bifida (SB) among a multidisciplinary group of health professionals, including physicians, nurse practitioners, nurses, and other professionals. Ninety-seven professionals from U.S. SB clinics completed a Web-based survey of expectations for youth attainment of bowel, bladder, and skin care skills. Professionals rated expectations for two hypothetical vignettes: a child with moderate SB severity and a child with greater severity. Most professionals believed that all skills were attainable by the end of elementary school in the moderate severity condition. Expectations for skill attainment in the severe condition were lower and significantly later (end of high school) than in the moderate condition. Professionals who treated more patients annually expected earlier bowel and bladder skill attainment. Findings highlight the importance of developing different timelines for nursing education of youth with moderate versus more severe condition impairment.

  8. Perinatal factors associated with neural tube defects (anencephaly [correction of anancephaly], spina bifida and encephalocele).

    Science.gov (United States)

    Ogata, A J; Camano, L; Brunoni, D

    1992-01-01

    The objective of the present study was to determine the presence of risk factors for the occurrence of neural tube defects. Data for 33,535 births which occurred at Hospital do Servidor Público Estadual de São Paulo from July 1973 to December 1986 were collected in a prospective manner as recommended by "Estudo Colaborativo Latino-Americano de Malformações Congênitas" (ECLAMC, Collaborative Latin American Study on Congenital Malformations). Twenty-six cases of neural tube defects were detected (0.77/1000 births). Of these, 11 were cases of spina bifida (0.39/1000 births), 9 of anencephaly (0.27/1000 births) and 6 of encephalocele (0.18/1000 births). We observed a higher frequency of polyhydramnios, premature labor, Apgar scores of less than 7 at the first and fifth minutes, low birth weight and intrauterine growth retardation.

  9. Lack of significant association between spina bifida and the fragile X syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Schiano, C.M. [United Cerebral Palsy of Nassau County, Roosevelt, NY (United States); Demb, H.B. [Albert Einstein College of Medicine, Bronx, NY (United States); Brown, W.T. [Inst. for Basic Research, Staten Island, NY (United States)

    1995-12-04

    Folic acid is involved in two common disorders associated with developmental disabilities. Spina bifida is a malformation that may be associated with mental retardation, learning disabilities, and epilepsy. Its incidence can be reduced by the ingestion of folic acid before, and at the time of, conception. The fragile X syndrome is a genetic disorder which is the most common form of inherited mental retardation. This disorder can be diagnosed by the induction of fragile sites on the X chromosome which is cultured in a medium deficient in folic acid. In several studies, folic acid was reported to alleviate some of the developmental and behavioral manifestations associated in the fragile X syndrome, while in others, it has no effect. 9 refs.

  10. GDNF plasma levels in spina bifida: correlation with severity of spinal damage and motor function.

    Science.gov (United States)

    Chiaretti, Antonio; Rendeli, Claudia; Antonelli, Alessia; Barone, Giuseppe; Focarelli, Benedetta; Tabacco, Fabrizia; Massimi, Luca; Ausili, Emanuele

    2008-12-01

    Glial-derived neurotrophic factor (GDNF) is one of several powerful survival factors for spinal motoneurons that play a key role in sprouting, synaptic plasticity, and reorganization after spinal cord damage. The aim of this study was to investigate the expression of GDNF in plasma of children with spina bifida (SB) and to determine its correlation with both the severity of spinal cord damage and the motor function of these patients. To measure the GDNF expression, we collected plasma samples from 152 children with SB and in 149 matched controls. Endogenous GDNF levels were quantified using a two-site immuno-enzymatic assay. The statistical analysis was performed using the Mann-Whitney two-tailed two-sample test. In children with SB the mean levels of GDNF (131.2 +/- 69.6 pg/mL) were significantly higher (p spine injury.

  11. Rare case of spina bifida in both twins with possible genetic basis.

    Science.gov (United States)

    Lembet, Arda; Uğurlu, Evin Nil; Toprak, Taner; Bastu, Ercan

    2011-11-01

    Neural tube defects (NTD) are a group of congenital malformations of the brain and spine, the etiology of which is still debated. Although presumed to be the consequence of interactions between genetic and environmental factors, so far, it is not known which genes are involved in the pathogenesis of these malformations. NTD affecting both fetuses in a twin gestation is a rare event. In view of this rarity, we present a case of dichorionic diamniotic twin pregnancy with spina bifida in both fetuses concordantly. This gestation was preceeded by another dichorionic diamniotic twin pregnancy that was complicated by placental abruption. © 2011 The Authors. Journal of Obstetrics and Gynaecology Research © 2011 Japan Society of Obstetrics and Gynecology.

  12. [Association of intercalary cervical bone and occult lumbar and sacral spina bifida. Case report].

    Science.gov (United States)

    Ruiz-Osuna, César; Avila-Zamorano, Myrna Lizeth; Suárez-Ahedo, Carlos; Trueba-Davalillo, Cesáreo

    2009-01-01

    The defects of the spinal cord enclose diverse malformations that go from spina bifida to myelomeningocele but there is also a rare variant that is the intercalary bone. The incidence of this phenomenon may vary in 1 to 1,000 to 5,000. At our knowledge, there are no cases reported where it can be an association of intercalary bone and a bifid spine in different levels. In this article we report the case of one patient that coincide with an intercalary cervical bone, bifid spine in lumbar column and bifid spine in sacral column. The objective of this article is also to comment how the clinical symptoms are unspecific, the chronic pain is the frequent symptom, and how the physiotherapy and anti-inflammatory drugs can provide excellent results in a short and medium term.

  13. Systematic review of bladder cancer outcomes in patients with spina bifida.

    Science.gov (United States)

    Rove, K O; Husmann, D A; Wilcox, D T; Vricella, G J; Higuchi, T T

    2017-06-01

    In patients with congenital bladder anomalies, bladder augmentation is used as a last resort to reduce intravesical pressure, but concerns about malignant transformation in augmented patients were first raised in the 1980s. The best evidence to date indicates that augmentation does not appear to increase the risk of bladder cancer in spina bifida patients. To date, oncologic outcomes from patients with spina bifida with and without augmentation have only been available in small case reports. To systematically evaluate factors in myelomeningocele patients with bladder cancer, including bladder augmentation, that contribute to overall survival (OS). A systematic review using PubMed was conducted by cross referencing terms 'myelomeningocele,' 'cystoplasty,' 'bladder cancer' and respective synonyms according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Inclusion criteria were studies with patients with an underlying diagnosis of myelomeningocele and bladder cancer with data on age, stage, and mortality status. Studies were excluded for spinal cord injury, history of tuberculosis or schistosomiasis, or prior ureterosigmoidostomy. Fifty-two patients were identified from 28 studies with a median age at bladder cancer diagnosis of 41 years (range 13-73); 37 (71%) presented with stage III or IV bladder cancer. Overall survival at 1 year and 2 years was 48.5% and 31.5%, respectively. Overall survival was different between those with and without augmentation (P = 0.009) by log-rank analysis. No between-group differences in OS were seen based on age, management with indwelling catheter, diversion with ileal conduit or being on a surveillance program. Only stage remained a significant predictor of OS on multivariate analysis (HR 2.011, 95% CI 1.063-3.804, P = 0.032). Secondary analysis was performed after removing patients with gastric augmentation (n = 8), and no difference in OS was seen between patients with (n = 8

  14. Arithmetic processing in children with spina bifida: Calculation accuracy, strategy use, and fact retrieval fluency.

    Science.gov (United States)

    Barnes, Marcia A; Wilkinson, Margaret; Khemani, Ekta; Boudesquie, Amy; Dennis, Maureen; Fletcher, Jack M

    2006-01-01

    Three studies compared 98 children with spina bifida myelomeningocele (SBM)-a disorder associated with high rates of math disability and spatial deficits-to 94 typically developing children on multidigit subtraction and cognitive addition tasks. Children with SBM were classified into those with reading decoding and math disability, only math disability, and no reading or math disability. Study 1 showed that visual-spatial errors in multidigit arithmetic were not elevated in children with SBM. In Study 2, deficits in accuracy, speed, and strategy-use in single-digit addition characterized groups with math disability regardless of reading status. Accuracy and speed on single-digit addition was strongly related to performance on multidigit subtraction. A math-level matching design in Study 3 revealed less mastery of math facts by the group with SBM. The results are discussed with reference to cognitive and neuropsychological models of math disability.

  15. Physiatrists and developmental pediatricians working together to improve outcomes in children with spina bifida.

    Science.gov (United States)

    Swanson, Mark E; Dicianno, Brad E

    2010-08-01

    Based on the experience of 2 physicians from physiatry and developmental pediatrics, this article proposes a framework for improving care and outcomes for children with spina bifida. The combined skills of physiatrists and developmental pediatricians, along with other disciplines, can form the ideal team to manage the complex issues faced by this population. The developmental pediatrician is best suited for directing care for younger children through the elementary and middle school years, during which time behavioral and educational issues are prominent. As the child assumes more responsibility for self-management in adolescence, the physiatrist is ideally suited to provide major clinical input that improves functional outcomes. The addition of the discipline of physiatry to traditional, developmentally oriented pediatric interdisciplinary teams can add the much needed dimensions of activity and participation, and improve functional outcomes at the adult level by encouraging activities in adolescence that lead to full participation in adulthood.

  16. Supernumerary Nipples, Congenital Scoliosis, Spina Bifida, Diastematomyelia, and Crossed Renal Ectopia in a child

    Directory of Open Access Journals (Sweden)

    Kiran Panthee

    2016-11-01

    Full Text Available Introduction: Supernumerary nipples are common anomalies which may be associated with several systemic disorders, particularly urinary tract abnormalities.   Case report: Here we report a case of a 4½ year old male presenting to the pediatric out patient clinic with fever for three days and recurrent sinopulmonary infections. The child had supernumerary nipples over the right side with deformed thoracic cage, congenital scoliosis, diastematomyelia, crossed renal ectopia, and spina bifida. All the conditions present together did not match any syndrome reported till date.   Conclusion: This was a rare syndrome and did not match fully with any known syndromes till date. This case warranted further investigation for its definite diagnosis but we do not have resources to that extent.

  17. Lectures on Monte Carlo methods

    CERN Document Server

    Madras, Neal

    2001-01-01

    Monte Carlo methods form an experimental branch of mathematics that employs simulations driven by random number generators. These methods are often used when others fail, since they are much less sensitive to the "curse of dimensionality", which plagues deterministic methods in problems with a large number of variables. Monte Carlo methods are used in many fields: mathematics, statistics, physics, chemistry, finance, computer science, and biology, for instance. This book is an introduction to Monte Carlo methods for anyone who would like to use these methods to study various kinds of mathemati

  18. Detection of Spina Bifida by First Trimester Screening - Results of the Prospective Multicenter Berlin IT-Study.

    Science.gov (United States)

    Chen, Frank Chih-Kang; Gerhardt, Janine; Entezami, Michael; Chaoui, Rabih; Henrich, Wolfgang

    2017-04-01

    Purpose To evaluate the potential of routine assessment of intracranial translucency (IT) and other posterior brain parameters in the early detection of open spina bifida during the 11 - 14 weeks screening examination. Materials and Methods This prospective, multicenter longitudinal study was conducted with the participation of 20 certified DEGUM II or III experts in Berlin, Germany, between June 2010 and October 2013. All pregnant women undergoing a first trimester screening were included in the study and in every patient were the IT, brain stem (BS), cisterna magna (CM), BS to occipital bone distance (BSOB) and BS/BSOB ratio measured. All patients with continuing pregnancy underwent a second trimester scan. Our data was used to develop our own reference ranges. The primary outcome parameter was the presence of open spina bifida. Results A total of 15 526 women with 16 164 fetuses were examined. Median of the IT was 2.1 mm, of the CM 1.6 mm, of the BS 2.7 mm, of the BSOB 5.5 mm, and of the BS/BSOB ratio 0.49. There were 11 cases with open spina bifida (incidence of 6.8/10 000). The detection rate was 100 % and in all cases of spina bifida, the anomaly was detected either at the first examination (n = 8) or considered suspicious and the lesion then detected a few weeks later (n = 3). Considering individual measurements, however, the detection rate was 18 % with the complete absence of the IT and 45 % with cut-off values. For the CM measurement, the detection rate was 64 % with the absence of the CM and 73 % with cut-off values. The other parameters proved not to be predictive of open spina bifida. Conclusion In the hands of an expert, open spina bifida can be reliably diagnosed early in gestation during the 11 - 14 weeks screening. The measurement of different parameters of the posterior brain, especially the CM and the use of cut-off values are of tremendous benefit in achieving a high sensitivity in the detection

  19. Altered expression of 14-3-3ζ protein in spinal cords of rat fetuses with spina bifida aperta.

    Directory of Open Access Journals (Sweden)

    Li-na Wu

    Full Text Available BACKGROUND: A large number of studies have confirmed that excessive apoptosis is one of the reasons for deficient neuronal function in neural tube defects (NTDs. A previous study from our laboratory used 2-D gel electrophoresis to demonstrate that 14-3-3ζ expression was low in the spinal cords of rat fetuses with spina bifida aperta at embryonic day (E 17. As a member of the 14-3-3 protein family, 14-3-3ζ plays a crucial role in the determination of cell fate and anti-apoptotic activity. However, neither the expression of 14-3-3ζ in defective spinal cords, nor the correlation between 14-3-3ζ and excessive apoptosis in NTDs has been fully confirmed. METHODOLOGY/PRINCIPAL FINDINGS: We used immunoblotting and quantitative real-time PCR (qRT-PCR to quantify the expression of 14-3-3ζ and double immunofluorescence to visualize 14-3-3ζ and apoptosis. We found that, compared with controls, 14-3-3ζ was down-regulated in spina bifida between E12 and E15. Excessive apoptotic cells and low expression of 14-3-3ζ were observed in the dorsal region of spinal cords with spina bifida during the same time period. To initially explore the molecular mechanisms of apoptosis in NTDs, we investigated the expression of microRNA-7 (miR-7, microRNA-375 (miR-375 and microRNA-451 (miR-451, which are known to down-regulate 14-3-3ζ in several different cell types. We also investigated the expression of p53, a molecule that is downstream of 14-3-3ζ and can be down-regulated by it. We discovered that, in contrast to the reduction of 14-3-3ζ expression, the expression of miR-451, miR-375 and p53 increased in spina bifida rat fetuses. CONCLUSIONS/SIGNIFICANCE: These data suggest that the reduced expression of 14-3-3ζ plays a role in the excessive apoptosis that occurs in spina bifida and may be partly regulated by the over-expression of miR-451 and miR-375, and the consequent up-regulation of p53 might further promote apoptosis in spina bifida.

  20. Altered expression of 14-3-3ζ protein in spinal cords of rat fetuses with spina bifida aperta.

    Science.gov (United States)

    Wu, Li-na; Wei, Xiao-wei; Fan, Yang; Miao, Jia-ning; Wang, Li-li; Zhang, Yi; Wu, Di; Yuan, Zheng-wei

    2013-01-01

    A large number of studies have confirmed that excessive apoptosis is one of the reasons for deficient neuronal function in neural tube defects (NTDs). A previous study from our laboratory used 2-D gel electrophoresis to demonstrate that 14-3-3ζ expression was low in the spinal cords of rat fetuses with spina bifida aperta at embryonic day (E) 17. As a member of the 14-3-3 protein family, 14-3-3ζ plays a crucial role in the determination of cell fate and anti-apoptotic activity. However, neither the expression of 14-3-3ζ in defective spinal cords, nor the correlation between 14-3-3ζ and excessive apoptosis in NTDs has been fully confirmed. We used immunoblotting and quantitative real-time PCR (qRT-PCR) to quantify the expression of 14-3-3ζ and double immunofluorescence to visualize 14-3-3ζ and apoptosis. We found that, compared with controls, 14-3-3ζ was down-regulated in spina bifida between E12 and E15. Excessive apoptotic cells and low expression of 14-3-3ζ were observed in the dorsal region of spinal cords with spina bifida during the same time period. To initially explore the molecular mechanisms of apoptosis in NTDs, we investigated the expression of microRNA-7 (miR-7), microRNA-375 (miR-375) and microRNA-451 (miR-451), which are known to down-regulate 14-3-3ζ in several different cell types. We also investigated the expression of p53, a molecule that is downstream of 14-3-3ζ and can be down-regulated by it. We discovered that, in contrast to the reduction of 14-3-3ζ expression, the expression of miR-451, miR-375 and p53 increased in spina bifida rat fetuses. These data suggest that the reduced expression of 14-3-3ζ plays a role in the excessive apoptosis that occurs in spina bifida and may be partly regulated by the over-expression of miR-451 and miR-375, and the consequent up-regulation of p53 might further promote apoptosis in spina bifida.

  1. A two-view ultrasound CAD system for spina bifida detection using Zernike features

    Science.gov (United States)

    Konur, Umut; Gürgen, Fikret; Varol, Füsun

    2011-03-01

    In this work, we address a very specific CAD (Computer Aided Detection/Diagnosis) problem and try to detect one of the relatively common birth defects - spina bifida, in the prenatal period. To do this, fetal ultrasound images are used as the input imaging modality, which is the most convenient so far. Our approach is to decide using two particular types of views of the fetal neural tube. Transcerebellar head (i.e. brain) and transverse (axial) spine images are processed to extract features which are then used to classify healthy (normal), suspicious (probably defective) and non-decidable cases. Decisions raised by two independent classifiers may be individually treated, or if desired and data related to both modalities are available, those decisions can be combined to keep matters more secure. Even more security can be attained by using more than two modalities and base the final decision on all those potential classifiers. Our current system relies on feature extraction from images for cases (for particular patients). The first step is image preprocessing and segmentation to get rid of useless image pixels and represent the input in a more compact domain, which is hopefully more representative for good classification performance. Next, a particular type of feature extraction, which uses Zernike moments computed on either B/W or gray-scale image segments, is performed. The aim here is to obtain values for indicative markers that signal the presence of spina bifida. Markers differ depending on the image modality being used. Either shape or texture information captured by moments may propose useful features. Finally, SVM is used to train classifiers to be used as decision makers. Our experimental results show that a promising CAD system can be actualized for the specific purpose. On the other hand, the performance of such a system would highly depend on the qualities of image preprocessing, segmentation, feature extraction and comprehensiveness of image data.

  2. Assessment on self-care, mobility and social function of children with spina biifda in Turkey

    Institute of Scientific and Technical Information of China (English)

    Hulya Sirzai; Beril Dogu; Selamet Demir; Figen Yilmaz; Banu Kuran

    2014-01-01

    The aim of the study was to investigate the functional performance in children with spina biifda, using the Pediatric Evaluation of Disability Inventory (PEDI) to look into capacity of twen-ty-eight children with spina biifda with lesions at different levels in different dimensions of self-care, mobility and social function. Mean age of the patients was 3.5 ± 2.3 (1-10) years. In the muscle test carried out, 13 patients (44.8%) had no movements including pelvic elevation in lower extremity muscles and they were at level 5. Sixteen patients (54%) were non-ambulatory according to the Hoofer ambulation classiifcation. Raw and scale scores in the self-care, mobil-ity and social function domains both in the functional skill scale and in the caregiver scale were found to be lower compared to the data of the normal population. A statistically significant correlation was observed in the self-care values of the Functional Skills Scales and the Caregiver Assistance Scale measurements, which was positive for age and negative for Functional Ambu-lation Scale and muscle test (P< 0.05). A positive relation was found between the Functional Skills Scales-mobility area and age while a negative relation was observed between Functional Ambulation Scale and muscle test (P < 0.005). A negative relation was also found between Care-giver Assistance Scale-mobility and Functional Ambulation Scale and muscle test (P < 0.005). In our study, the functional performance of the children was found to be low. Low-level lesions, encouraging muscular strength and independence in mobility are all very important factors for functional independence.

  3. Tethered cord due to spina bifida occulta presenting in adulthood: a tricenter review of 61 patients.

    Science.gov (United States)

    Rajpal, Sharad; Tubbs, R Shane; George, Timothy; Oakes, W Jerry; Fuchs, Herbert E; Hadley, Mark N; Iskandar, Bermans J

    2007-03-01

    Children with spina bifida occulta require early surgery to prevent neurological deficits. The treatment of patients with a congenitally tethered cord who present in adulthood remains controversial. The authors studied the medical records of 61 adult patients who underwent surgical untethering for spina bifida occulta at three institutions between 1994 and 2003. Patients who had undergone prior myelomeningocele repair or tethered cord release surgery were excluded. The most common intraoperative findings were lipomyelomeningocele (41%) and a tight terminal filum (36%). The follow-up duration ranged from 10.8 to 149.5 months. Of the 34 patients with back pain, status improved in 65%, worsened in 3%, remained unchanged in 18%, and improved and later recurred in 15%. Lower-extremity pain improved in 16 patients (53%), remained unchanged in 23%, improved and then recurred in 17%, and worsened in 7%. Lower-extremity weakness improved in 47%, remained unchanged in 47%, and improved and then recurred in 5%. Finally, of the 17 patients with lower-extremity sensory changes, status improved in 35%, remained unchanged in 35%, and the information on five patients was unavailable. Surgical complications included three wound infections, one cerebrospinal fluid leak, and two pseudomeningoceles requiring surgical revision. One patient developed acute respiratory distress syndrome and sepsis postoperatively and died several days later. Adult-age presentation of a congenital tethered cord is unusual. Despite a slight increase in postoperative neurological injury in adults, surgery has relatively low risk and offers good potential for neurological improvement or stabilization. As they do in children, the authors recommend early surgery in adults with this disorder. The decision to undertake surgery, however, should be modulated by other factors such as a patient's general medical condition and risk posed by anesthesia.

  4. Sexuality and Relationships in Young People With Spina Bifida and Their Partners.

    Science.gov (United States)

    Heller, Mariel Kupfert; Gambino, Sara; Church, Paige; Lindsay, Sally; Kaufman, Miriam; McPherson, Amy C

    2016-08-01

    Research focusing on sexuality in those living with disabilities, such as spina bifida (SB), has not specifically addressed adolescents and has been largely quantitative in design. Our study qualitatively explored how young people with SB think about and discuss sexuality with their sexual and romantic partners in the context of their disability. Participants aged 16-25 years were recruited using purposive sampling from a large urban pediatric rehabilitation center in Toronto, Canada, as well as through a large Spina Bifida and Hydrocephalus Association. Semistructured interviews were conducted in person or by telephone. Inductive coding and descriptive thematic analysis were conducted on verbatim transcripts. There were mixed views on the importance of disclosing their condition to partners. While some participants strongly believed that their disability was important to share with partners, others worried that potential partners would focus on the disability rather than the person. Participants reported challenges about the timing of disclosure, lack of confidence in their abilities to express their sexual needs, and fears of rejection. After disclosure, however, participants often experienced increased confidence in themselves and their relationships. Participants identified a lack of SB-specific sexual education and a desire to learn more from their health care providers. The findings underscore the importance of empowering young people to become more confident talking about their disability, especially in the context of sexual and romantic relationships. Being able to discuss their abilities, needs and desires could potentially facilitate the development of healthy relationships during their transition to adulthood. Copyright © 2016 Society for Adolescent Health and Medicine. Published by Elsevier Inc. All rights reserved.

  5. Assessing health-related quality of life in children with spina bifida.

    Science.gov (United States)

    Rocque, Brandon G; Bishop, E Ralee'; Scogin, Mallory A; Hopson, Betsy D; Arynchyna, Anastasia A; Boddiford, Christina J; Shannon, Chevis N; Blount, Jeffrey P

    2015-02-01

    The purpose of this study is to explore various aspects of health-related quality of life (HRQOL) in children with spinal dysraphism. The authors enrolled a prospective cohort of 159 patients from the multidisciplinary spina bifida clinic. Surveys were distributed to caregivers of patients with spina bifida who were 5 years old and older. Data were collected using the Health Utilities Index Mark 3 focusing on vision, speech, hearing, dexterity, ambulation, cognition, emotions, and pain. Each participant received an overall HRQOL utility score and individual domain subscores. These were correlated with demographic and treatment variables. Analysis was done using SPSS statistics (version 21). There were 125 patients with myelomeningocele, 25 with lipomyelomeningocele, and 9 with other dysraphisms. Among patients with myelomeningocele, 107 (86%) had CSF shunts in place, 14 (11%) had undergone Chiari malformation Type II decompression, 59 (47%) were community ambulators, and 45 (36%) were nonambulatory. Patients with myelomeningocele had significantly lower overall HRQOL scores than patients with closed spinal dysraphism. Among patients with myelomeningocele, younger patients had higher HRQOL scores. Patients with impaired bowel continence had lower overall HRQOL scores. History of a ventriculoperitoneal shunt was associated with worse HRQOL (overall score, ambulation, and cognition subscores). History of Chiari malformation Type II decompression was associated with worse overall, speech, and cognition scores. Patients who could ambulate in the community had higher overall and ambulation scores. A history of tethered cord release was correlated with lower pain subscore. No association was found between sex, race, insurance type, or bladder continence and HRQOL. Patients with myelomeningocele have significantly lower HRQOL scores than those with other spinal dysraphisms. History of shunt treatment and Chiari decompression correlate with lower HRQOL scores.

  6. Comparison between Major Confined and Eruptive Flares

    Science.gov (United States)

    Gopalswamy, N.; Yashiro, S.; Mäkelä, P.; Dennis, B. R.

    2012-05-01

    Statistical studies have shown that a large fraction of major solar flares (42% M-class and 15% X-class) are not associated with coronal mass ejections (CMEs). The CME-less flares are confined flares as opposed to the eruptive flares associated with CMEs. Confined flares are certainly good particle accelerators as inferred from intense microwave, hard X-ray, and gamma-ray emissions. Note that a single acceleration mechanism operates in confined flares, whereas eruptive flares can have both flare-resident and shock accelerations (the shock acceleration is due to energetic CMEs). In this paper, we report on a statistical study of more than two dozen confined flares with soft X-ray flare size exceeding M5 in comparison with a control sample of eruptive flares with similar soft X-ray flare size. We compare the microwave and X-ray emission characteristics in the two populations; these emissions correspond to sunward energy flow. For a given X-ray flare size, the microwave flux is scattered over a wider range for the eruptive flares when compared to the confined flares. We also compare the metric and longer wavelength radio bursts between the two populations; these emissions correspond to the flow of nonthermal electrons away from the Sun. We find that almost all the confined flares lack metric radio bursts, suggesting that there is very little flow of energy into the interplanetary medium. On the other hand, there is high degree of association between eruptive flares and metric radio bursts. This suggests that in confined flares the accelerated electrons have no access to open magnetic field lines. Finally, we examined the association of EUV waves with the two flare populations. While we find EUV waves in most of the eruptive flares, there was no confined flare with EUV waves. This suggests that CMEs is a necessary condition for the generation of global waves.

  7. Research oriented MSc course on solar eruptions

    Science.gov (United States)

    Vainio, Rami; Heber, Bernd; Agueda, Neus; Kilpua, Emilia; Isavnin, Alexey; Afanasiev, Alexandr; Ganse, Urs; Koskinen, Hannu E. J.

    2014-05-01

    Department of Physics, University of Helsinki, organized a five-credit-point Master-level course on "Solar Eruptions and Space Environment" in spring 2013. The course, attended by nine students, included twenty hours of introductory lectures on solar eruptive phenomena (focusing on energetic particle emissions) as well as experimental and theoretical methods to analyze them. In addition, the course contained ten hours of exercise sessions, where solutions on short calculation exercises were presented and discussed. The main learning method on the course was, however, a coordinated scientific analysis of five solar eruptions observed by the STEREO spacecraft in 2010-2011. The students were grouped in four teams to study the solar eruptive events from four different view points: (1) Analysis of morphology and kinematics of coronal mass ejections, (2) analysis of EUV imaging observations of coronal wave-like transients, (3) solar and interplanetary magnetic field conditions during the eruptions, and (4) emission and transport modelling of near-relativistic electron events associated with the eruptions. Each group of students was assigned a scientist to oversee their work. The students reported weekly on their progress and gave a final presentation (of 30 minutes) in a seminar session at the end of the seven-week course. Grading of the course was based on the home exercises and final presentations. Students were also asked to give anonymous feedback on the course. Learning results on the course were very encouraging, showing that research oriented courses with practical research exercises on specific topics give students deeper knowledge and more practical skills than traditional lectures and home exercises alone.

  8. CHAIN RECONNECTIONS OBSERVED IN SYMPATHETIC ERUPTIONS

    Energy Technology Data Exchange (ETDEWEB)

    Joshi, Navin Chandra; Magara, Tetsuya [School of Space Research, Kyung Hee University, Yongin, Gyeonggi-Do, 446-701 (Korea, Republic of); Schmieder, Brigitte; Aulanier, Guillaume [LESIA, Observatoire de Paris, PSL Research University, CNRS Sarbonne Universités, Univ. Paris 06, Univ. Paris Diderot, Sorbonne Paris Cité, 5 place Jules Jansson, F-92195 Meudon (France); Guo, Yang, E-mail: navin@khu.ac.kr, E-mail: njoshi98@gmail.com [School of Astronomy and Space Science, Nanjing University, 210023 Nanjing (China)

    2016-04-01

    The nature of various plausible causal links between sympathetic events is still a controversial issue. In this work, we present multiwavelength observations of sympathetic eruptions, associated flares, and coronal mass ejections (CMEs) occurring on 2013 November 17 in two close active regions. Two filaments, i.e., F1 and F2, are observed in between the active regions. Successive magnetic reconnections, caused for different reasons (flux cancellation, shear, and expansion) have been identified during the whole event. The first reconnection occurred during the first eruption via flux cancellation between the sheared arcades overlying filament F2, creating a flux rope and leading to the first double-ribbon solar flare. During this phase, we observed the eruption of overlying arcades and coronal loops, which leads to the first CME. The second reconnection is believed to occur between the expanding flux rope of F2 and the overlying arcades of filament F1. We suggest that this reconnection destabilized the equilibrium of filament F1, which further facilitated its eruption. The third stage of reconnection occurred in the wake of the erupting filament F1 between the legs of the overlying arcades. This may create a flux rope and the second double-ribbon flare and a second CME. The fourth reconnection was between the expanding arcades of the erupting filament F1 and the nearby ambient field, which produced the bi-directional plasma flows both upward and downward. Observations and a nonlinear force-free field extrapolation confirm the possibility of reconnection and the causal link between the magnetic systems.

  9. Geyser's Eruptive Activity in Broadband Seismic Records

    Science.gov (United States)

    Kugaenko, Yulia; Saltykov, Vadim

    2010-05-01

    A geyser is a spring characterized by intermittent discharge of water ejected turbulently and accompanied by a vapor phase (steam). The formation of geysers is due to particular hydrogeological conditions, which exist in only a few places on Earth, so they are a fairly rare phenomenon. The reasons of geyser periodicity and specifics of the activity for every particular geyser are not completely clear yet. So almost for all known geysers it is necessary to develop the personal model. In given study we first use seismic method for detection of possible hidden feature of geyser's eruptive activity in Kamchatkan Valley of the Geysers. Broadband seismic records of geyser generated signals were obtained in hydrothermal field. The Valley of the Geysers belongs to Kronotskiy State Natural Biosphere Reserve and the UNESCO World Natural Heritage Site "Volcanoes of Kamchatka". Neither seismological nor geophysical investigations were carried out here earlier. In September, 2009 seismic observation was organized in geyser's field by 24-bit digital output broadband seismometers (GURALP CMG-6TD flat velocity response 0.033-50 Hz). Four geysers were surveyed: the fountain type Big and Giant geysers; the cone type Pearl geyser and the short-period Gap geyser. Seismometers were set as possible close to the geyser's surface vent (usually at the distance near 3-5 m). Main parameters of the eruptions for the investigated geysers: - The Giant geyser is the most powerful among the regular active geysers in Kamchatkan Valley of the Geysers. The height of the fountain reaches 30 meters, the mass of water erupted is about 40-60 tons. The main cycle of activity varies significantly: in 1945 the intervals between eruptions was near 3 hours, nowadays it is 5-6 hours. As a geyser of fountain type, the Giant geyser erupts from the 2*3 m2 pool of water. - The Big geyser was flooded by the lake after the natural catastrophe (giant mud-stone avalanche, formed by landslide, bed into Geiyzernaya

  10. Terbinafine-induced lichenoid drug eruption.

    Science.gov (United States)

    Zheng, Yue; Zhang, Jie; Chen, Haiyan; Lai, Wei; Maibach, Howard I

    2017-03-01

    Drug-induced lichen planus has been induced by antibiotics, anticonvulsants, antidiabetics, antimalarials, antitubercular drugs, antihypertensives, psychiatric drugs, chemotherapeutic agents, diuretic, heavy metals, NSAIDs, etc. Terbinafine, an antifungal agent, is widely used for dermatophyte infections and onychomycosis. Cutaneous adverse effects of terbinafine are rarely reported. Here, we report a case of terbinafine-induced lichenoid drug eruption in a 22-year-old who presented with generalized lichenoid eruption 2 weeks after terbinafine initiation of. The body and lip cleared completely after 8 weeks of drug withdrawal; nail change cleared after 12 weeks.

  11. Adalimumab-induced lichenoid drug eruption.

    Science.gov (United States)

    El Habr, Constantin; Meguerian, Zarouwi; Sammour, Rita

    2014-01-01

    Tumor necrosis factor (TNF)-α inhibitors are being widely and increasingly used for the management of a spectrum of rheumatologic diseases that are refractory to conventional disease modifying anti-rheumatic drugs. Various cutaneous side effects have been reported after treatment with TNF-α inhibitors. We present a case report of a 26-year-old male patient who developed a lichenoid drug eruption few months after the initiation of adalimumab for the management of Crohn's disease. We also highlight the clinical and histopathologic differences between lichenoid drug eruptions and idiopathic lichen planus.

  12. Filament Eruptions, Jets, and Space Weather

    Science.gov (United States)

    Moore, Ronald; Sterling, Alphonse; Robe, Nick; Falconer, David; Cirtain, Jonathan

    2013-01-01

    Previously, from chromospheric H alpha and coronal X-ray movies of the Sun's polar coronal holes, it was found that nearly all coronal jets (greater than 90%) are one or the other of two roughly equally common different kinds, different in how they erupt: standard jets and blowout jets (Yamauchi et al 2004, Apl, 605, 5ll: Moore et all 2010, Apj, 720, 757). Here, from inspection of SDO/AIA He II 304 A movies of 54 polar x-ray jets observed in Hinode/XRT movies, we report, as Moore et al (2010) anticipated, that (1) most standard x-ray jets (greater than 80%) show no ejected plasma that is cool enough (T is less than or approximately 10(exp 5K) to be seen in the He II 304 A movies; (2) nearly all blownout X-ray jets (greater than 90%) show obvious ejection of such cool plasma; (3) whereas when cool plasma is ejected in standard X-ray jets, it shows no lateral expansion, the cool plasma ejected in blowout X-ray jets shows strong lateral expansion; and (4) in many blowout X-ray jets, the cool plasma ejection displays the erupting-magnetic-rope form of clasic filament eruptions and is thereby seen to be a miniature filament eruption. The XRT movies also showed most blowout X-ray jets to be larger and brighter, and hence to apparently have more energy, than most standard X-ray jets. These observations (1) confirm the dichotomy of coronal jets, (2) agree with the Shibata model for standard jets, and (3) support the conclusion of Moore et al (2010) that in blowout jets the magnetic-arch base of the jet erupts in the manner of the much larger magnetic arcades in which the core field, the field rooted along the arcade's polarity inversion line, is sheared and twisted (sigmoid), often carries a cool-plasma filament, and erupts to blowout the arcade, producing a CME. From Hinode/SOT Ca II movies of the polar limb, Sterling et al (2010, ApJ, 714, L1) found that chromospheric Type-II spicules show a dichotomy of eruption dynamics similar to that found here for the cool

  13. Spina Bifida

    Science.gov (United States)

    ... with language and reading comprehension, and trouble learning math. Additional problems such as latex allergies, skin problems, ... Center for Children with Disabilities U.S. Dept. of Education, Office of Special Education Programs 1825 Connecticut Avenue ...

  14. Spina Bifida

    Science.gov (United States)

    ... and "swelling." In this type, the baby is born with a sac sticking out from the opening in the spine. This sac contains nerves and part of the spinal cord. About 1 in 1,000 babies born in the United States has this type of ...

  15. Rapid laccolith intrusion driven by explosive volcanic eruption

    Science.gov (United States)

    Castro, Jonathan M.; Cordonnier, Benoit; Schipper, C. Ian; Tuffen, Hugh; Baumann, Tobias S.; Feisel, Yves

    2016-11-01

    Magmatic intrusions and volcanic eruptions are intimately related phenomena. Shallow magma intrusion builds subsurface reservoirs that are drained by volcanic eruptions. Thus, the long-held view is that intrusions must precede and feed eruptions. Here we show that explosive eruptions can also cause magma intrusion. We provide an account of a rapidly emplaced laccolith during the 2011 rhyolite eruption of Cordón Caulle, Chile. Remote sensing indicates that an intrusion began after eruption onset and caused severe (>200 m) uplift over 1 month. Digital terrain models resolve a laccolith-shaped body ~0.8 km3. Deformation and conduit flow models indicate laccolith depths of only ~20-200 m and overpressures (~1-10 MPa) that likely stemmed from conduit blockage. Our results show that explosive eruptions may rapidly force significant quantities of magma in the crust to build laccoliths. These iconic intrusions can thus be interpreted as eruptive features that pose unique and previously unrecognized volcanic hazards.

  16. 3D analysis of craniofacial growth and tooth eruption

    DEFF Research Database (Denmark)

    Kreiborg, Sven

    The 9th International Congress on Cleft Palate and Related Craniofacial Anomalies, 3D analysis, craniofacial growth, tooth eruption......The 9th International Congress on Cleft Palate and Related Craniofacial Anomalies, 3D analysis, craniofacial growth, tooth eruption...

  17. Monte Carlo integration on GPU

    OpenAIRE

    Kanzaki, J.

    2010-01-01

    We use a graphics processing unit (GPU) for fast computations of Monte Carlo integrations. Two widely used Monte Carlo integration programs, VEGAS and BASES, are parallelized on GPU. By using $W^{+}$ plus multi-gluon production processes at LHC, we test integrated cross sections and execution time for programs in FORTRAN and C on CPU and those on GPU. Integrated results agree with each other within statistical errors. Execution time of programs on GPU run about 50 times faster than those in C...

  18. Transient Source Processes Prior to the March 2011 Kamoamoa Fissure Eruption, Kīlauea Volcano, Hawaíi

    Science.gov (United States)

    Lundgren, P.; Poland, M. P.; Miklius, A.; Anderson, K. R.

    2014-12-01

    Interferometric synthetic aperture radar (InSAR) and continuous GPS observations at the summit of Kīlauea Volcano, Hawaíi, show spatially and temporally transient surface displacements in the months and weeks before the 5-9 March 2011 Kamoamoa fissure eruption. Interferograms computed from the Italian Space Agency's COSMO-SkyMed satellites and the German Aerospace Center's TerraSAR-X satellite show a distinctive triangular pattern of surface deformation that extends to the SE of Kīlauea Caldera starting approximately one month prior to the Kamoamoa eruption. GPS and electronic tilt meter time series for sites in the vicinity of this deformation show that this inflation transient is superimposed on the longer (~4-6 month) summit inflation. We examine and model the spatiotemporal evolution of the summit deformation. InSAR data from ascending and descending tracks are used to constrain models of the transient. To achieve low-levels of atmospheric phase noise required interferograms spanning four months prior to the eruption, thus involving multiple sources within the summit region (see figure). To solve for model parameters we use a Markov Chain Monte Carlo optimization approach. First, we model the co-eruption summit deflation to isolate the intra-caldera sources, consisting of a steeply dipping tensile dislocation (D) beneath the western edge of the caldera and a sub-horizontal, NE trending spheroidal pressure source (Y) in the center of the caldera at 1.5 km depth. We use these sources as starting models for the pre-eruption transient, which requires the addition of a sill (S) to explain the deformation that extends to the SE of the caldera. In a third step we add a simplified model for Kīlauea's rifts and basal detachment system to explain the coupled summit and south flank motion. Modeled at over 3 km beneath the surface, the transient sill source inflates over the month before the eruption and deflates during the four-day eruption. The sill runs parallel to

  19. Relationship between earthquake and volcanic eruption inferred from historical records

    Institute of Scientific and Technical Information of China (English)

    陈洪洲; 高峰; 吴雪娟; 孟宪森

    2004-01-01

    A large number of seismic records are discovered for the first time in the historical materials about Wudalianchi volcanic group eruption in 1720~1721, which provides us with abundant volcanic earthquake information. Based on the written records, the relationship between earthquake and volcanic eruption is discussed in the paper. Furthermore it is pointed that earthquake swarm is an important indication of volcanic eruption. Therefore, monitoring volcanic earthquakes is of great significance for forecasting volcanic eruption.

  20. Burst conditions of explosive volcanic eruptions recorded on microbarographs

    Science.gov (United States)

    Morrissey, M.M.; Chouet, B.A.

    1997-01-01

    Explosive volcanic eruptions generate pressure disturbances in the atmosphere that propagate away either as acoustic or as shock waves, depending on the explosivity of the eruption. Both types of waves are recorded on microbarographs as 1- to 0.1-hertz N-shaped signals followed by a longer period coda. These waveforms can be used to estimate burst pressures end gas concentrations in explosive volcanic eruptions and provide estimates of eruption magnitudes.