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Sample records for month day year

  1. Full dates (day, month, year) should be used in population-based cancer survival studies.

    Science.gov (United States)

    Woods, Laura M; Rachet, Bernard; Ellis, Libby; Coleman, Michel P

    2012-10-01

    Accurate survival estimates are essential for monitoring cancer survival trends, for health care planning and for resource allocation. To obtain precise estimates of survival, full dates (day, month and year) rather than partial dates (month and year) are required. In some jurisdictions, however, cancer registries are constrained from providing full dates on the grounds of confidentiality. The bias resulting from the use of partial dates in the estimation and comparison of survival makes it impossible to determine precisely the differences in the risk of death from cancer between population groups or in successive calendar periods. Important operational arguments also exist against the use of incomplete dates for survival analysis, including increased workload for cancer registry staff and the introduction of avoidable complexity for quality control of survival data. Cancer survival is one of the most widely known outputs produced by population-based cancer registries, and it is a crucial metric for the comparative effectiveness of health services. The bodies that set data access guidelines must take a more balanced view of the risks and benefits of using full dates for the estimation of cancer survival.

  2. 4 km AVHRR Pathfinder v5.0 Global Day-Night Sea Surface Temperature Monthly and Yearly Averages, 1985-2009 (NODC Accession 0077816)

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains a set of monthly and yearly global day-night sea surface temperature averages, derived from the AVHRR Pathfinder Version 5 sea surface...

  3. Forecast of Frost Days Based on Monthly Temperatures

    Science.gov (United States)

    Castellanos, M. T.; Tarquis, A. M.; Morató, M. C.; Saa-Requejo, A.

    2009-04-01

    Although frost can cause considerable crop damage and mitigation practices against forecasted frost exist, frost forecasting technologies have not changed for many years. The paper reports a new method to forecast the monthly number of frost days (FD) for several meteorological stations at Community of Madrid (Spain) based on successive application of two models. The first one is a stochastic model, autoregressive integrated moving average (ARIMA), that forecasts monthly minimum absolute temperature (tmin) and monthly average of minimum temperature (tminav) following Box-Jenkins methodology. The second model relates these monthly temperatures to minimum daily temperature distribution during one month. Three ARIMA models were identified for the time series analyzed with a stational period correspondent to one year. They present the same stational behavior (moving average differenced model) and different non-stational part: autoregressive model (Model 1), moving average differenced model (Model 2) and autoregressive and moving average model (Model 3). At the same time, the results point out that minimum daily temperature (tdmin), for the meteorological stations studied, followed a normal distribution each month with a very similar standard deviation through years. This standard deviation obtained for each station and each month could be used as a risk index for cold months. The application of Model 1 to predict minimum monthly temperatures showed the best FD forecast. This procedure provides a tool for crop managers and crop insurance companies to asses the risk of frost frequency and intensity, so that they can take steps to mitigate against frost damage and estimated the damage that frost would cost. This research was supported by Comunidad de Madrid Research Project 076/92. The cooperation of the Spanish National Meteorological Institute and the Spanish Ministerio de Agricultura, Pesca y Alimentation (MAPA) is gratefully acknowledged.

  4. Did the Preflood Earth Have a 30-Day Lunar Month

    Science.gov (United States)

    2015-01-01

    of a year and a month changed. These manuscripts point to a “ cosmic upheaval in [the] remote past.” They explain that we used to have a 360-day year...It is assumed that the Earth’s radius was the same before the flood as it is now, 6378.137 km, and the mass lost at the time of the flood still...eccentricity of the Moon’s orbit after the flood was From these values the Moon’s radius of perigee, RP, and radius of apogee, RA, after the flood were

  5. Your Child's Development: 1 Year (12 Months)

    Science.gov (United States)

    ... Kids For Parents MORE ON THIS TOPIC Your Child's Checkup: 1 Year (12 Months) Your Baby's Growth: 12 Months Your Baby's Hearing, Vision, and Other Senses: 12 Months Sleep and Your 8- to 12-Month-Old Growth ...

  6. Haida Months of the Year.

    Science.gov (United States)

    Cogo, Robert

    Students are introduced to Haida vocabulary in this booklet which briefly describes the seasons and traditional seasonal activities of Southeastern Alaska Natives. The first section lists the months in English and Haida; e.g., January is "Taan Kungaay," or "Bear Hunting Month." The second section contains seasonal names in…

  7. Montessori All Day, All Year

    Science.gov (United States)

    Black, Connie; Davis, Liza

    2015-01-01

    Introducing real community into the Children's House goes back to the roots of Montessori education through all-day Montessori. The all-day environment is a house where children live with a "developmental room" of Montessori materials including a living room, kitchen, dining area, bedroom, bathroom, greeting rooms, and outdoor spaces.…

  8. Your Child's Development: 2 Years (24 Months)

    Science.gov (United States)

    ... Child Too Busy? Helping Your Child Adjust to Preschool School Lunches Kids and Food: 10 Tips for Parents Healthy Habits for TV, Video Games, and the Internet Your Child’s Development: 2 Years (24 Months) KidsHealth > For Parents > Your ...

  9. The relation of 300-day and 360-day years in the oldest Armenian calendars

    Science.gov (United States)

    Broutian, G. H.

    2016-09-01

    As we know the two oldest Armenian calendars - the Haykian and Protohaykian calendars have different durations of year. The year in the Haykian calendar consists of 360 days, while the year of Protohaykian calendar has only 300 days. Parallel to the astronomical explanation of this difference another - "ideological" explanation is suggested. These two canonic durations of the year may be developed as a result of comparison of 30-day lunar month and the solar year on the basis of two different calculation systems. The idea of 300-day year was a result of Moon/Sun relation on the basis of decimal system. On the other hand the 360-day year idea was developed as a result of the same relation on the basis of duodecimal notation system. This also means that the conversion from Protohaykian to Haykian calendar must be caused by a serious cultural - religious conversion.

  10. Forty years of a psychiatric day hospital

    Directory of Open Access Journals (Sweden)

    Rosário Curral

    2014-03-01

    Full Text Available INTRODUCTION: Day hospitals in psychiatry are a major alternative to inpatient care today, acting as key components of community and social psychiatry. Objective: To study trends in the use of psychiatric day hospitals over the last decades of the 20th century and the first decade of the 21st century, focusing on patient age, sex, and diagnostic group, using data from Centro Hospitalar São João, Porto, Portugal. METHODS: Data corresponding to years 1970 to 2009 were collected from patient files. Patients were classified into seven diagnostic groups considering their primary diagnoses only. RESULTS: Mean age upon admission rose from 32.7±12.1 years in the second half of the 1970s to 43.5±12.2 years in 2005-2009 (p for trend < 0.001. Most patients were female (63.2%, however their proportion decreased from nearly 70% in the 1970s to 60% in the first decade of the 21st century. In males, until the late 1980s, neurotic disorders (E were the most common diagnosis, accounting for more than one third of admissions. In the subsequent years, this proportion decreased, and the number of admissions for schizophrenia (C exceeded 50% in 2004- 2009. In females, until the late 1980s, affective disorders (D and neurotic disorders (E, similarly distributed, accounted for most admissions. From the 1990s on, the proportion of neurotic disorders (E substantially decreased, and affective disorders (D came to represent more than 50% of all admissions. CONCLUSIONS: Mean age upon admission rose with time, as did the percentage of female admissions, even though the latter tendency weakened in the last 10 years assessed. There was also an increase in the proportion of patients with schizophrenia.

  11. Visualization on the Day Night Year Globe

    Science.gov (United States)

    Božić, Mirjana; Vušković, Leposava; Popović, Svetozar; Popović, Jelena; Marković-Topalović, Tatjana

    2016-11-01

    The story about a properly oriented outdoor globe in the hands and minds of Eratosthenes, Jefferson, Milanković and science educators is presented. Having the same orientation in space as the Earth, the Day Night Year Globe (DING) shows in real time the pattern of illumination of the Earth’s surface and its diurnal and seasonal variations. It is an ideal object for the visualization of knowledge and increase in knowledge about: the form of the Earth, Earth’s rotation, Earth’s revolution around the Sun, the length of seasons, solstices, equinoxes, the longitude problem, the distribution of the Sun’s radiation over the Earth, the impact of this radiation on Earth’s climate, and how to use it efficiently. By attaching a movable vane to the poles, or adding pins around the equator to read time, DING becomes a spherical/globe-shaped sundial. So, the DING is simultaneously useful for teaching physics, geophysics, astronomy, use of solar energy and promoting an inquiry-based learning environment for students and the public.

  12. Your Child's Development: 1.5 Years (18 Months)

    Science.gov (United States)

    ... Kids For Parents MORE ON THIS TOPIC Your Child's Checkup: 1.5 Years (18 Months) Feeding Your 1- to 2-Year-Old Medical Care and Your 1- to 2-Year-Old Movement, Coordination, and Your 1- to 2-Year-Old Sleep and Your 1- to 2-Year-Old Growth and Your 1- to 2-Year-Old Communication ...

  13. Estimation of Genetic Parameters for First Lactation Monthly Test-day Milk Yields using Random Regression Test Day Model in Karan Fries Cattle

    Science.gov (United States)

    Singh, Ajay; Singh, Avtar; Singh, Manvendra; Prakash, Ved; Ambhore, G. S.; Sahoo, S. K.; Dash, Soumya

    2016-01-01

    A single trait linear mixed random regression test-day model was applied for the first time for analyzing the first lactation monthly test-day milk yield records in Karan Fries cattle. The test-day milk yield data was modeled using a random regression model (RRM) considering different order of Legendre polynomial for the additive genetic effect (4th order) and the permanent environmental effect (5th order). Data pertaining to 1,583 lactation records spread over a period of 30 years were recorded and analyzed in the study. The variance component, heritability and genetic correlations among test-day milk yields were estimated using RRM. RRM heritability estimates of test-day milk yield varied from 0.11 to 0.22 in different test-day records. The estimates of genetic correlations between different test-day milk yields ranged 0.01 (test-day 1 [TD-1] and TD-11) to 0.99 (TD-4 and TD-5). The magnitudes of genetic correlations between test-day milk yields decreased as the interval between test-days increased and adjacent test-day had higher correlations. Additive genetic and permanent environment variances were higher for test-day milk yields at both ends of lactation. The residual variance was observed to be lower than the permanent environment variance for all the test-day milk yields. PMID:26954137

  14. "Day of week, monthly and seasonal variation of acute myocardial infarction "

    Directory of Open Access Journals (Sweden)

    Jalali F

    2002-08-01

    Full Text Available The chronobiology of the acute myocardial infarction (AMI is an interesting matter for recognition of the biological mechanism that might trigger AMI. The present study was aimed to investigate the circadian, seasonal and circannual variation of the AMI occurrence with solar, lunar, and Christian months. A retrospective study of 1174 cases with diagnosis of AMI was conducted. All cases included in our study were admitted to the coronary care unit of Shahid Beheshti and Yahyanejad Hospitals in Babol, the north of Iran, between 1990 and 2000. The data was extracted by the day and month of diagnosis based on the solar, lunar and Christian calendar from hospital charts. The chi-square test was used to test the uniformity of the observed frequencies of AMI onset in relation of the time factors based on solar, lunar, Christian and the days of week. The results showed that there was a significant trend toward higher rate of MI at the beginning of the week, on the Saturday (18.1% and the least (12.3% on Friday. Although, the observed frequency of AMI tended to be higher month than other months, the monthly variation was not statistically significant (P>0.05. However, there was significant difference in MI occurrence in Christian months with high peak in November (P0.05. The average number of AMI occurrence, was significantly greater in three days of full moon phase in lunar months than other days (P<0.05. Our results indicated a significant day of week variation in AMI occurrence with higher peak on Saturday and full moon phase of lunar month. With regard the lunar and solar month variation, more investigation, with larger sample sizes is still necessary but in Christian months, MI occurrence was significantly increased in November.

  15. Cognitive Behavioral Therapy plus Amitriptyline for Children and Adolescents with Chronic Migraine Reduces Headache Days to ≤4 Per Month.

    Science.gov (United States)

    Kroner, John W; Hershey, Andrew D; Kashikar-Zuck, Susmita M; LeCates, Susan L; Allen, Janelle R; Slater, Shalonda K; Zafar, Marium; Kabbouche, Marielle A; O'Brien, Hope L; Shenk, Chad E; Rausch, Joseph R; Kroon Van Diest, Ashley M; Powers, Scott W

    2016-04-01

    The objective of this secondary analysis of results from a previously published trial (Clinical Trials Registration Number: NCT00389038) in chronic migraine in children and adolescents was to examine if participants who received cognitive behavioral therapy and amitriptyline reached a greater level of reduction in headache frequency that no longer indicated a recommendation for preventive treatment as compared to those who received headache education and amitriptyline. Chronic migraine negatively affects children's home, school, and social activities. Preventive medication therapy is suggested for 5 or more headaches per month. Reduction to one headache day per week or less may suggest that preventive treatment is no longer indicated and provide a clinically relevant outcome for treatment efficacy and patient care. Randomized study participants (N = 135) kept a daily record of their headache frequency during 20 weeks of treatment and during a 1 year follow-up period. Baseline headache frequency was determined at the end of a 28 day screening period. Post treatment frequency was determined at 20 weeks (N = 128 completed) and post treatment follow-up was measured 12 months later (N = 124 completed). A chi-square test of independence was conducted by treatment group and by time point to determine group differences in the proportion of headache days experienced. At 20 weeks (post treatment), 47% of the cognitive behavioral therapy plus amitriptyline group had ≤4 headache days per month compared to 20% of the headache education plus amitriptyline group, (P = .0011), and 32% of the cognitive behavioral therapy plus amitriptyline group had ≤3 headache days per month at 20 weeks compared to 16% of the headache education plus amitriptyline group, (P = .0304). At the month 12 follow-up, 72% of the cognitive behavioral therapy plus amitriptyline group had ≤4 headache days per month compared to 52% of the headache education plus amitriptyline group

  16. Your Child's Development: 2.5 Years (30 Months)

    Science.gov (United States)

    ... Child Too Busy? Helping Your Child Adjust to Preschool School Lunches Kids and Food: 10 Tips for Parents Healthy Habits for TV, Video Games, and the Internet Your Child’s Development: 2.5 Years (30 Months) KidsHealth > For Parents > ...

  17. Accumulated Growing Degree Days, Contiguous United States, 1981 - Current Year

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The USA National Phenology Network has available a series of gridded products enabling researchers to analyze current year Accumulated Growing Degree Days (AGDD)...

  18. Climatic Characteristics of the Thunderstorm Days in Heze City in Recent 51 Years

    Institute of Scientific and Technical Information of China (English)

    LI; Suo-ling; MENG; Rui-juan; SUN; Qiu-sheng; HOU; Wen-jie

    2012-01-01

    [Objective]The research aimed to study climatic characteristics of the thunderstorm days in Heze in recent 51 years. [Method] Using observation data of the thunderstorm days in Heze from 1961 to 2011, interannual and monthly change characteristics of the thunderstorm days, change trends of the first and final dates, interannual stage distribution were analyzed. [Result] Annual average thunderstorm days in Heze was 25 d. As decade increase, thunderstorm days decreased at 1.9 d/10 a. Thunderstorm days concentrated from April to September, and occurred most often in July. The minimum days from first date to final date was 86 d, and the most days was 264 d. Average first date of the thunderstorm was on April 16, and final date was on September 16. Climatic characteristics of the thunderstorm had significant stage. [Conclusion] The research provided scientific basis for prediction, assessment, prevention and reduction of the thunderstorm disaster in Heze.

  19. Monthly activity report: Arapaho National Wildlife Refuge: Month September: Year 2013

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This monthly report for Arapaho NWR summarizes highlights, weather, activities, accomplishments, and public relations during September of 2013.

  20. Effect of complications within 90 days on patient-reported outcomes 3 months and 12 months following elective surgery for lumbar degenerative disease.

    Science.gov (United States)

    Chotai, Silky; Parker, Scott L; Sivaganesan, Ahilan; Sielatycki, J Alex; Asher, Anthony L; McGirt, Matthew J; Devin, Clinton J

    2015-12-01

    OBJECT There is a paradigm shift toward rewarding providers for quality rather than volume. Complications appear to occur at a fairly consistent frequency in large aggregate data sets. Understanding how complications affect long-term patient-reported outcomes (PROs) following degenerative lumbar surgery is vital. The authors hypothesized that 90-day complications would adversely affect long-term PROs. METHODS Nine hundred six consecutive patients undergoing elective surgery for degenerative lumbar disease over a period of 4 years were enrolled into a prospective longitudinal registry. The following PROs were recorded at baseline and 12-month follow-up: Oswestry Disability Index (ODI) score, numeric rating scales for back and leg pain, quality of life (EQ-5D scores), general physical and mental health (SF-12 Physical Component Summary [PCS] and Mental Component Summary [MCS] scores) and responses to the North American Spine Society (NASS) satisfaction questionnaire. Previously published minimum clinically important difference (MCID) threshold were used to define meaningful improvement. Complications were divided into major (surgicalsite infection, hardware failure, new neurological deficit, pulmonary embolism, hematoma and myocardial infarction) and minor (urinary tract infection, pneumonia, and deep venous thrombosis). RESULTS Complications developed within 90 days of surgery in 13% (118) of the patients (major in 12% [108] and minor in 8% [68]). The mean improvement in ODI scores, EQ-5D scores, SF-12 PCS scores, and satisfaction at 3 months after surgery was significantly less in the patients with complications than in those who did not have major complications (ODI: 13.5 ± 21.2 vs 21.7 ± 19, lumbar spine surgery have significant impact on the short-term PROs. Patients with complications, however, do eventually achieve clinically meaningful outcomes and report satisfaction equivalent to those without major complications. This information allows a physician to

  1. Day Hospital Treatment for Anorexia Nervosa: A 12-Month Follow-up Study.

    Science.gov (United States)

    Abbate-Daga, Giovanni; Marzola, Enrica; De-Bacco, Carlotta; Buzzichelli, Sara; Brustolin, Annalisa; Campisi, Stefania; Amianto, Federico; Migliaretti, Giuseppe; Fassino, Secondo

    2015-09-01

    Day hospitals (DHs) represent a treatment option for anorexia nervosa (AN), a mental disorder that is difficult to treat and has no evidence-based treatments available. We aimed to determine the effectiveness of a DH treatment that was specifically focused on the emotions of severe AN patients. Body mass index and eating psychopathology were the primary outcome measures. Fifty-six adult patients with AN were assessed upon admission, at the end of treatment (EOT) and at a 12-month follow-up evaluation (T18) using Eating Disorders Inventory-2, Beck Depression Inventory, Hamilton Rating Scale for Anxiety and Brief Social Phobia Scale. All participants received a multidisciplinary treatment programme that focused on psychodynamic psychotherapy. Seventy-eight per cent of participants reported positive outcomes at EOT and 68% at T18. Moreover, 82.1% and 65.4% of long-standing patients showed positive outcomes at EOT and T18, respectively. All measures of psychopathology were significantly improved at EOT and were maintained at follow-up. Our DH was effective at treating severe AN patients; however, further investigations of the processes of change are warranted.

  2. ANALYSIS OF THE STATISTICAL BEHAVIOUR OF DAILY MAXIMUM AND MONTHLY AVERAGE RAINFALL ALONG WITH RAINY DAYS VARIATION IN SYLHET, BANGLADESH

    Directory of Open Access Journals (Sweden)

    G. M. J. HASAN

    2014-10-01

    Full Text Available Climate, one of the major controlling factors for well-being of the inhabitants in the world, has been changing in accordance with the natural forcing and manmade activities. Bangladesh, the most densely populated countries in the world is under threat due to climate change caused by excessive use or abuse of ecology and natural resources. This study checks the rainfall patterns and their associated changes in the north-eastern part of Bangladesh mainly Sylhet city through statistical analysis of daily rainfall data during the period of 1957 - 2006. It has been observed that a good correlation exists between the monthly mean and daily maximum rainfall. A linear regression analysis of the data is found to be significant for all the months. Some key statistical parameters like the mean values of Coefficient of Variability (CV, Relative Variability (RV and Percentage Inter-annual Variability (PIV have been studied and found to be at variance. Monthly, yearly and seasonal variation of rainy days also analysed to check for any significant changes.

  3. Insolation data manual: long-term monthly averages of solar radiation, temperature, degree-days and global anti K/sub T/ for 248 national weather service stations

    Energy Technology Data Exchange (ETDEWEB)

    Knapp, C L; Stoffel, T L; Whitaker, S D

    1980-10-01

    Monthly averaged data is presented which describes the availability of solar radiation at 248 National Weather Service stations. Monthly and annual average daily insolation and temperature values have been computed from a base of 24 to 25 years of data. Average daily maximum, minimum, and monthly temperatures are provided for most locations in both Celsius and Fahrenheit. Heating and cooling degree-days were computed relative to a base of 18.3/sup 0/C (65/sup 0/F). For each station, global anti K/sub T/ (cloudiness index) were calculated on a monthly and annual basis. (MHR)

  4. A 7 YEAR-7-MONTH OLD BOY WITH LEUKEMIC RETINOPATHY

    Directory of Open Access Journals (Sweden)

    Ni Made Rini Suari

    2013-10-01

    Full Text Available Normal 0 false false false IN X-NONE X-NONE MicrosoftInternetExplorer4 Ocular problems in patient with leukemia which are called leukemic retinopathy and subhyaloid hemorrhage is one of its feature. Subhyaloid hemorrhage in children with acute lymphoblastic leukemia (ALL is rarely happened. We reported a boy 7 year 7 month old, complained sudden blurred vision on his both eyes and diagnosed with acute lymphoblastic leukemia. When patient had complained his vision, result of routine hematology showed anemia, thrombocytopenia, and leukocytosis. Treatment of leukemic retinopathy in this patient was supportive and causal therapy with transfusion of thrombocyte concentrate, hydration for leukocytosis, giving chemotherapy intrathecal methotrexate and systemic (vincristine, daunorubicin, L-asparginase. We found gradually undergone resolution of subhyaloid hemorrhages, visible flame shaped thin, and his vision recovered nearly completely to 6/6 OD and 6/20 OS /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0cm 5.4pt 0cm 5.4pt; mso-para-margin:0cm; mso-para-margin-bottom:.0001pt; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin; mso-bidi-font-family:"Times New Roman"; mso-bidi-theme-font:minor-bidi;}

  5. Association of holidays, full moon, Friday the 13th, day of week, time of day, day of week, and time of year on case distribution in an urban referral small animal emergency clinic.

    Science.gov (United States)

    Drobatz, Kenneth J; Syring, Rebecca; Reineke, Erica; Meadows, Cheyney

    2009-10-01

    To interrogate the association of variables: day of week, time of day, day of the year (major holidays, Friday the 13th, and the full moon), and month of year with the caseload of an urban academic emergency service. Retrospective study. Urban small animal teaching hospital emergency clinic. Cats and dogs that were presented to the emergency clinic. None. The hospital computer database was searched for all visits to the Emergency Service of the Mathew J. Ryan Veterinary Hospital of the University of Pennsylvania from January 1, 1987 through December 31, 2002. Variables included in the electronic data were date of admission, time of day of admission, species (dog or cat), hospital service the case was transferred to for ongoing care and whether the case was discharged directly from the emergency service. The association of caseload with day of week, time of day, day of the year (major holidays, Friday the 13th, and the full moon), and month of year was described and statistically evaluated. Saturdays and Sundays were the busiest days of the week and significantly increased caseload was noted for the majority of holidays (except Easter Day and Thanksgiving Day) with Memorial Day being the busiest. Midweek evenings as well as Saturday and Sunday afternoons were the busiest periods of the day. There was no association with caseload and Halloween, the full moon, or Friday the 13th. The busiest times were midweek evenings, Saturday and Sunday afternoons, and most major holidays.

  6. Behaviour of captive Ostrich chicks from 10 days to 5 months of age

    Directory of Open Access Journals (Sweden)

    Marina Freire Amado

    2011-07-01

    Full Text Available The behaviour of ostrich chicks bred in captivity was studied by using groups with 30 birds in five age groups: from 10 to 40 days of age; from 41 to 60 days of age; from 61 to 90 days of age; from 91 to 120 days of age and from 121 to 150 days of age. Six birds at each age were ringed around one of their feet and observed for four consecutive days for eight hours daily in three periods (in the morning, at noon and in the afternoon, following the "one-zero" method for sampling. The order for observation of behaviour of the six selected birds was performed randomly at every thirty minutes, totalling 16 periods or 80 minutes/bird/day. Fourteen types of behaviour were observed. There were differences among ages for behaviour like standing, walking, running, ingesting stones, ingesting feces, picking and attacking. Non-parametric-tests were used to analyse the behaviour according to age of the bird and to the periods of the day. There was a statistical difference between in the morning and at noon periods on behaviours standing, walking, eating ration and in litophagia, which were observed more frequently at the first hours of the day. When periods of the morning and afternoon were compared, the birds' age had a significant effect on behaviour sand bathing. When the periods noon/afternoon were compared, the behaviours which presented significant differences were walking, running, drinking water, eating ration, litophagia, coprophagia, dancing, sand bathing, whose occurrence was the highest during dusk. It was observed that the behaviour of young ostriches diverge according to the age and to day period.

  7. THE DEVELOPMENT OF CRAWLING BETWEEN 18 MONTHS AND 4 YEARS

    NARCIS (Netherlands)

    TOUWEN, BCL; HEMPEL, MS; WESTRA, LC

    1992-01-01

    Various quantitative and qualitative aspects of crawling were analysed in small groups of carefully selected normal toddlers of 1 1/2, two, 2 1/2, three, 3 1/2 and four years of age in a cross-sectional design. Between two and three years of age, major changes occurred in all observed aspects, resul

  8. Day-to-day physical functioning and disability in obese 10- to 13-year-olds.

    Science.gov (United States)

    Tsiros, M D; Buckley, J D; Howe, P R C; Olds, T; Walkley, J; Taylor, L; Mallows, R; Hills, A P; Kagawa, M; Coates, A M

    2013-02-01

    What is already known about this subject? Compared with their healthy-weight peers, children with obesity have; impaired physical health-related quality of life reduced physical activity levels reduced capacity to perform certain weight-bearing tasks in field-based fitness tests What this study adds? First investigation of obesity-related disability in children using the International Classification for Functioning, Disability and Health framework for Children and Youth. Obesity in children appears to be associated with disability impacting basic locomotor skills and physical health-related quality of life. Children's participation in key life areas related to physical functioning appears to be minimally impacted by obesity. The aim of this study was to investigate whether obesity is related to impaired day-to-day physical functioning and disability in children. An observational case-control study was conducted in three Australian states. Obese (n = 107) and healthy-weight (n = 132) 10- to 13-year-olds (132 male, 107 female) were recruited via media advertisements. Assessment of body composition (dual energy X-ray absorptiometry), locomotor capacity (six-minute walk test [6MWT], timed up and down stairs test [TUDS] and timed up and go [TUG]) and child-reported physical health-related quality of life (HRQoL) were undertaken. Participants wore an accelerometer for 8 days and completed two use-of-time telephone interviews to assess participation in key life areas. Compared with their healthy-weight counterparts, obese children had lower physical HRQoL scores (P < 0.01) and reduced locomotor capacity (TUDS z-score, TUG and 6MWT; P < 0.01). Higher percent body fat was significantly related to lower physical HRQoL scores (r = -0.48, P < 0.01), slower performance times for the TUDS and TUG (r = 0.59 and 0.26 respectively, P < 0.01), shorter 6MWT distances (r = -0.51, P < 0.01) and reduced time spent in community participation activities (r = -0.23, P < 0.01). As

  9. Validation of CRASH Model in Prediction of 14-day Mortality and 6-month Unfavorable Outcome of Head Trauma Patients

    Science.gov (United States)

    Hashemi, Behrooz; Amanat, Mahnaz; Baratloo, Alireza; Forouzanfar, Mohammad Mehdi; Rahmati, Farhad; Motamedi, Maryam; Safari, Saeed

    2016-01-01

    Introduction: To date, many prognostic models have been proposed to predict the outcome of patients with traumatic brain injuries. External validation of these models in different populations is of great importance for their generalization. The present study was designed, aiming to determine the value of CRASH prognostic model in prediction of 14-day mortality (14-DM) and 6-month unfavorable outcome (6-MUO) of patients with traumatic brain injury. Methods: In the present prospective diagnostic test study, calibration and discrimination of CRASH model were evaluated in head trauma patients referred to the emergency department. Variables required for calculating CRASH expected risks (ER), and observed 14-DM and 6-MUO were gathered. Then ER of 14-DM and 6-MUO were calculated. The patients were followed for 6 months and their 14-DM and 6-MUO were recorded. Finally, the correlation of CRASH ER and the observed outcome of the patients was evaluated. The data were analyzed using STATA version 11.0. Results: In this study, 323 patients with the mean age of 34.0 ± 19.4 years were evaluated (87.3% male). Calibration of the basic and CT models in prediction of 14-day and 6-month outcome were in the desirable range (P < 0.05). Area under the curve in the basic model for prediction of 14-DM and 6-MUO were 0.92 (95% CI: 0.89-0.96) and 0.92 (95% CI: 0.90-0.95), respectively. In addition, area under the curve in the CT model for prediction of 14-DM and 6-MUO were 0.93 (95% CI: 0.91-0.97) and 0.93 (95% CI: 0.91-0.96), respectively. There was no significant difference between the discriminations of the two models in prediction of 14-DM (p = 0.11) and 6-MUO (p = 0.1). Conclusion: The results of the present study showed that CRASH prediction model has proper discrimination and calibration in predicting 14-DM and 6-MUO of head trauma patients. Since there was no difference between the values of the basic and CT models, using the basic model is recommended to simplify the risk

  10. Validation of CRASH Model in Prediction of 14-day Mortality and 6-month Unfavorable Outcome of Head Trauma Patients

    Directory of Open Access Journals (Sweden)

    Behrooz Hashemi

    2016-08-01

    Full Text Available Introduction: To date, many prognostic models have been proposed to predict the outcome of patients withtraumatic brain injuries. External validation of these models in different populations is of great importancefor their generalization. The present study was designed, aiming to determine the value of CRASH prognosticmodel in prediction of 14-day mortality (14-DM and 6-month unfavorable outcome (6-MUO of patients withtraumatic brain injury. Methods: In the present prospective diagnostic test study, calibration and discriminationof CRASH model were evaluated in head trauma patients referred to the emergency department. Variablesrequired for calculating CRASH expected risks (ER, and observed 14-DM and 6-MUO were gathered. Then ERof 14-DM and 6-MUO were calculated. The patients were followed for 6 months and their 14-DM and 6-MUOwere recorded. Finally, the correlation of CRASH ER and the observed outcome of the patients was evaluated.The data were analyzed using STATA version 11.0. Results: In this study, 323 patients with the mean age of 34.0´s 19.4 years were evaluated (87.3% male. Calibration of the basic and CT models in prediction of 14-day and6-month outcome were in the desirable range (P Ç 0.05. Area under the curve in the basic model for predictionof 14-DM and 6-MUO were 0.92 (95% CI: 0.89–0.96 and 0.92 (95% CI: 0.90–0.95, respectively. In addition,area under the curve in the CT model for prediction of 14-DM and 6-MUO were 0.93 (95% CI: 0.91–0.97 and0.93 (95% CI: 0.91–0.96, respectively. There was no significant difference between the discriminations of thetwo models in prediction of 14-DM (p Æ 0.11 and 6-MUO (p Æ 0.1. Conclusion: The results of the presentstudy showed that CRASH prediction model has proper discrimination and calibration in predicting 14-DMand6-MUO of head trauma patients. Since there was no difference between the values of the basic and CT models,using the basic model is recommended to simplify the risk

  11. Food Consumption and Nutrient Intake by Children Aged 10 to 48 Months Attending Day Care in The Netherlands

    NARCIS (Netherlands)

    Goldbohm, R.A.; Rubingh, C.M.; Lanting, C.L.; Joosten, K.F.M.

    2016-01-01

    The diet of young children is an important determinant of long-term health effects, such as overweight and obesity. We analyzed two-day food consumption records from 1526 young children (10–48 months old) attending 199 daycare centers across The Netherlands. Data were observed and recorded in diarie

  12. Food consumption and nutrient intake by children aged 10 to 48 months attending day care in the Netherlands

    NARCIS (Netherlands)

    R.A. Goldbohm; Rubingh, C.M. (Carina M.); C.I. Lanting (Caren); K.F.M. Joosten (Koen)

    2016-01-01

    textabstractThe diet of young children is an important determinant of long-term health effects, such as overweight and obesity. We analyzed two-day food consumption records from 1526 young children (10–48 months old) attending 199 daycare centers across The Netherlands. Data were observed and record

  13. Food Consumption and Nutrient Intake by Children Aged 10 to 48 Months Attending Day Care in The Netherlands

    NARCIS (Netherlands)

    Goldbohm, R.A.; Rubingh, C.M.; Lanting, C.L.; Joosten, K.F.M.

    2016-01-01

    The diet of young children is an important determinant of long-term health effects, such as overweight and obesity. We analyzed two-day food consumption records from 1526 young children (10–48 months old) attending 199 daycare centers across The Netherlands. Data were observed and recorded in

  14. Coma Etiologies And Its One-Month Outcome Sina Hospital (Year 2000

    Directory of Open Access Journals (Sweden)

    Togha M

    2002-09-01

    Full Text Available Defining the patient outcome and decision making about allocation of our limited fund and technology for comatose patients depends on our knowledge about frequency and outcome of various coma etiologies. We determined the various coma causes frequency and one-month outcome of non traumatic coma. . In addition the co existence of the primary neurologic signs with the one-month outcome of non traumatic coma was defined."nMethods and Materials: Our study is based on 130 comatose patients in a one-year study in Sina Hospital that consisted of 80 non traumatic and 50 traumatic patients."nResults: 74% of the cases were men and 26% were women. The most common etiology of coma was trauma (38.5%. The other common etiologies were cerebro¬vascular diseases (25.4%, cancer (10% and hypoxia-ischemia (8.5%. The most common cause of coma in men was trauma (46.9% while the vascular diseases were the most common etiology of coma in women (41.2%.In under 40 year patients trauma was the cause of coma in 57.5% of cases in respect to 28% in above 40 cases. On the other hand, vascular diseases and malignancies were the etiology of coma in 15% of under 40 year patients and 46.5% of above 40 year patients. Among traumatic etiologies of coma, subdural hematoma was the most frequent (40%. In our research none of patients who did not have one of pupillary, oculocephalic or motor reflexes in the 3rd and 7th day of the onset of coma had acceptable outcome after one month. With consideration of pupillary, corneal, oculocephalic and motor reflexes in combination, loss of at least two of them in the 3rd and 7th day accompanied with no acceptable outcome. On the other hand the presence of three or more reflexes in the 3rd and 7th day of coma was a good prognostic factor, with 80% and 88.9% chance of acceptable recovery respectively."nConclusion: According of the study, the best time for prediction of outcome in a comatose patient, is the third or seventh the day after the onset

  15. Constitution Day: Start the School Year with Civics

    Science.gov (United States)

    Lesser, Eli J.

    2006-01-01

    The celebration and recognition of Constitution Day on September 17th is now required by federal law. The new law, known colloquially as the Byrd Amendment, requires all schools receiving any federal assistance, from kindergarten to higher education, to teach students about the Constitution on Constitution Day. The concept of a school's civic…

  16. [Daily number of births in Norway 1989-93. Variations across months, day of week, phase of the moon and changes in leave entitlements].

    Science.gov (United States)

    Ytterstad, E; Brenn, T

    1997-03-20

    The variation in the daily numbers of births across month, day of week, phase of the moon and maternity leave entitlements have been studied for all births in Norway between 1989 and 1993, a total of 302,209 newborn children. The number of births was highest in the spring and lowest in November and December. A secondary birth maximum was observed in September, possibly related to activities during Christmas and New Year celebrations nine months before. Furthermore, births were least numerous at weekends and were concentrated in the middle of the week. This pattern probably reflects less active obstetric intervention at weekends. The number of births does not seem to vary with phase of the moon. At the time of the latest, and largest increase in national birth maternity leave entitlements, fewer births occurred in the days before and correspondingly more births in the days immediately after the date when the change came into force.

  17. Preschool Children’s Memory for Word Forms Remains Stable Over Several Days, but Gradually Decreases after 6 Months

    Science.gov (United States)

    Gordon, Katherine R.; McGregor, Karla K.; Waldier, Brigitte; Curran, Maura K.; Gomez, Rebecca L.; Samuelson, Larissa K.

    2016-01-01

    Research on word learning has focused on children’s ability to identify a target object when given the word form after a minimal number of exposures to novel word-object pairings. However, relatively little research has focused on children’s ability to retrieve the word form when given the target object. The exceptions involve asking children to recall and produce forms, and children typically perform near floor on these measures. In the current study, 3- to 5-year-old children were administered a novel test of word form that allowed for recognition memory and manual responses. Specifically, when asked to label a previously trained object, children were given three forms to choose from: the target, a minimally different form, and a maximally different form. Children demonstrated memory for word forms at three post-training delays: 10 mins (short-term), 2–3 days (long-term), and 6 months to 1 year (very long-term). However, children performed worse at the very long-term delay than the other time points, and the length of the very long-term delay was negatively related to performance. When in error, children were no more likely to select the minimally different form than the maximally different form at all time points. Overall, these results suggest that children remember word forms that are linked to objects over extended post-training intervals, but that their memory for the forms gradually decreases over time without further exposures. Furthermore, memory traces for word forms do not become less phonologically specific over time; rather children either identify the correct form, or they perform at chance. PMID:27729880

  18. Preschool Children’s Memory for Word Forms Remains Stable Over Several Days, but Gradually Decreases after Six Months

    Directory of Open Access Journals (Sweden)

    Katherine Ruth Gordon

    2016-09-01

    Full Text Available Research on word learning has focused on children’s ability to identify a target object when given the word form after a minimal number of exposures to novel word-object pairings. However, relatively little research has focused on children’s ability to retrieve the word form when given the target object. The exceptions involve asking children to recall and produce forms, and children typically perform near floor on these measures. In the current study, 3- to 5-year-old children were administered a novel test of word form that allowed for recognition memory and manual responses. Specifically, when asked to label a previously trained object, children were given three forms to choose from: the target, a minimally different form, and a maximally different form. Children demonstrated memory for word forms at three post-training delays: 10 minutes (short-term, 2 to 3 days (long-term, and 6 months to 1 year (very long-term. However, children performed worse at the very long-term delay than the other time points, and the length of the very long-term delay was negatively related to performance. When in error, children were no more likely to select the minimally different form than the maximally different form at all time points. Overall, these results suggest that children remember word forms that are linked to objects over extended post-training intervals, but that their memory for the forms gradually decreases over time without further exposures. Furthermore, memory traces for word forms do not become less phonologically specific over time; rather children either identify the correct form, or they perform at chance.

  19. Progressive numbness of distal limbs for two years, unsteady gait for two months

    Directory of Open Access Journals (Sweden)

    Jun MA

    2016-11-01

    Full Text Available A 50-year-old female was admitted to our department, complaining of progressive numbness of distal limbs for two years and unsteady gait for two months. “Peripheral neuropathy” was the presumed diagnosis. She has suffered dry mouth for months. Neurological examination revealed proximal upper muscle strength was normal and distal was 5-/5 while muscle strength in lower limbs was normal. Tendon reflexes in all limbs were reduced, and superficial sensation as well as deep sensation in all limbs was also diminished. Deep sensation below T8-10 was diminished. Romberg’s test was positive with negative pathological reflex. Several sensory nerves action potentials (SNAPs were diminished or absent with normal compound muscle action potentials (CMAPs. Cervical MRI showed hyperintensities in the dorsal column. Serum anti-Ro/SSA antibody was positive. Tear break-up time was abnormal in either eye (5s, normal range>10s; the rate of saliva production declined 0.02 ml/min (> 1.50 ml/15 min; parotid gland contrast sialography was abnormal; lip biopsy was positive with focal lymphocytic sialadenitis with focus score ≥1. The patient was diagnosed as primary Sjogren's syndrome and sensory neuronopathy. She received oral prednisone in dose of 1mg/(kg·d for four weeks, then reduce the dosage with 5mg/w to 0.50mg/ (kg·d. Later she reduced the dosage with 2.5mg/per week. At the same time, she got cyclophosphamide (100mg every other day and hydroxychloroquine (0.20g twice a day. Numbness of limbs and unsteady gait were improved when the patient was discharged. Two month later, during the follow-up, the patient’ gait was slightly improved, but the numbness still existed. DOI: 10.3969/j.issn.1672-6731.2016.11.016

  20. [Prospective assessment of children with pervasive developmental disorder after 2 years of day-hospital treatment].

    Science.gov (United States)

    Poinso, F; Dubois, B; Chatel, C; Viellard, M; Bastard-Rosset, D; Girardot, A-M; Grandgeorge, P; De Martino, S; Sokolowsky, M; Salle-Collemiche, X; Da Fonseca, D

    2013-01-01

    The treatment of children with pervasive developmental disorders (PDD) has not been systematically assessed in French day-care units. In this prospective study, 11 children with a diagnosis of PDD were followed up for 2years in a day-care unit in the Marseille university hospital. The treatment they received is based on an initial assessment by the "Centre Ressources Autisme" (CRA PACA) and further included a continued observation of the child and an assessment of the child's abilities and needs. This treatment used various therapeutic approaches 10h weekly and also included parental counseling and coordinated work with schools. Treatment in our day-care unit can be categorized as eclectic, non-intensive therapy. It is based on methods such as TEACCH (Treatment and Education of Autistic and related Communication handicapped Children), Floor Time Play, speech and language therapy, developmental therapy, and psychotherapy. International studies on intensive behavioral therapies suggest that this treatment is superior to non-behavioral and/or non-intensive treatment. They suggest its efficiency is due both to the nature of the treatment (behavioral) and to its intensity (more than 25h a week). In this study, the CRA diagnosed children using the ADI and ADOS. The 11 children (mean age, 3years 5months) were tested twice, with the Vineland and CARS scales. The first assessment was on admission to the day hospital and the second was 2years later. The results showed developmental progress with a mean increase of 13.5 months at the Vineland Scale, and a decrease of the autism severity score on the CARS. The treatment presented here proves to be efficient; if compared to similar results in international studies, we obtained better results than their eclectic intensive or non-intensive treatment comparison group.

  1. Food Consumption and Nutrient Intake by Children Aged 10 to 48 Months Attending Day Care in The Netherlands

    Directory of Open Access Journals (Sweden)

    R. Alexandra Goldbohm

    2016-07-01

    Full Text Available The diet of young children is an important determinant of long-term health effects, such as overweight and obesity. We analyzed two-day food consumption records from 1526 young children (10–48 months old attending 199 daycare centers across The Netherlands. Data were observed and recorded in diaries by caregivers at the day nursery and by parents at home on days that the children attended the daycare center. According to national and European reference values, the children had an adequate nutrient intake with exception of low intakes of total fat, n-3 fatty acids from fish and possibly iron. Intakes of energy and protein were substantially higher than recommended and part of the population exceeded the tolerable upper intake levels for sodium, zinc and retinol. Consumption of fruit, fats, fish, and fluids was substantially less than recommended. The children used mostly (semi-skimmed milk products and non-refined bread and cereals, as recommended. Two thirds of the consumed beverages, however, contained sugar and contributed substantially to energy intake. In young children, low intakes of n-3 fatty acids and iron are a potential matter of concern, as are the high intakes of energy, protein, sugared beverages, and milk, since these may increase the risk of becoming overweight.

  2. Reliability and Reproducibility of Advanced ECG Parameters in Month-to-Month and Year-to-Year Recordings in Healthy Subjects

    Science.gov (United States)

    Starc, Vito; Abughazaleh, Ahmed S.; Schlegel, Todd T.

    2014-01-01

    Advanced resting ECG parameters such the spatial mean QRS-T angle and the QT variability index (QTVI) have important diagnostic and prognostic utility, but their reliability and reproducibility (R&R) are not well characterized. We hypothesized that the spatial QRS-T angle would have relatively higher R&R than parameters such as QTVI that are more responsive to transient changes in the autonomic nervous system. The R&R of several conventional and advanced ECG para-meters were studied via intraclass correlation coefficients (ICCs) and coefficients of variation (CVs) in: (1) 15 supine healthy subjects from month-to-month; (2) 27 supine healthy subjects from year-to-year; and (3) 25 subjects after transition from the supine to the seated posture. As hypothesized, for the spatial mean QRS-T angle and many conventional ECG parameters, ICCs we-re higher, and CVs lower than QTVI, suggesting that the former parameters are more reliable and reproducible.

  3. The monthly-averaged and yearly-averaged cosine effect factor of a heliostat field

    Energy Technology Data Exchange (ETDEWEB)

    Al-Rabghi, O.M.; Elsayed, M.M. (King Abdulaziz Univ., Jeddah (Saudi Arabia). Dept. of Thermal Engineering)

    1992-01-01

    Calculations are carried out to determine the dependence of the monthly-averaged and the yearly-averaged daily cosine effect factor on the pertinent parameters. The results are plotted on charts for each month and for the full year. These results cover latitude angles between 0 and 45[sup o]N, for fields with radii up to 50 tower height. In addition, the results are expressed in mathematical correlations to facilitate using them in computer applications. A procedure is outlined to use the present results to preliminary layout the heliostat field, and to predict the rated MW[sub th] reflected by the heliostat field during a period of a month, several months, or a year. (author)

  4. Some physiological changes in Waldsteinia trifolia (Roch. leaves in different months of the year

    Directory of Open Access Journals (Sweden)

    Renata Wojciechowska

    2012-12-01

    Full Text Available The study concerned an evergreen herbal plant Waldsteinia trifolia Roch. This species can be found more and more often in garden plantings in Poland. The aim of the study was to estimate the content of photosynthetic pigments, anthocyanins and dry matter as well as the permeability of cytoplasmatic membranes of Waldsteinia leaves. Plants grew in an ornamental plant collection at the premises of the Faculty of Horticulture of the Agricultural University in Kraków. The study was conducted in 2006 and 2007 in the following months: March, May, June, September, October and November. The permeability of cytoplasmatic membranes was estimated based on electrolyte leakage from leaf discs at 20°C in relation to total electrolytes in the tissue after unfreezing. The first days with temperature drops down to around 0°C in autumn resulted in a decrease in chlorophyll a, b and carotenoid content, but significantly increased anthocyanin content. The ratio of chlorophyll a to b and the ratio of total chlorophylls to carotenoids did not change in particular months. In both years of study, similar changes in dry matter content of the Waldsteinia leaves were observed. Dry matter content significantly increased in June and November and decreased in May and October. In June and in autumn, after first slight frosts, an increase of electrolyte leakage from the leaf discs was observed. However, high dry matter content (40.3% was accompanied by lower permeability of the cytoplasmatic membranes of the leaves after winter during March. These results have shown good adaptation of Waldsteinia trifolia plants to the climatic conditions in Poland.

  5. A ten-month program in curriculum development for medical educators: 16 years of experience.

    Science.gov (United States)

    Windish, Donna M; Gozu, Aysegul; Bass, Eric B; Thomas, Patricia A; Sisson, Stephen D; Howard, Donna M; Kern, David E

    2007-05-01

    Despite increased demand for new curricula in medical education, most academic medical centers have few faculty with training in curriculum development. To describe and evaluate a longitudinal mentored faculty development program in curriculum development. A 10-month curriculum development program operating one half-day per week of each academic year from 1987 through 2003. The program was designed to provide participants with the knowledge, attitudes, skills, and experience to design, implement, evaluate, and disseminate curricula in medical education using a 6-step model. One-hundred thirty-eight faculty and fellows from Johns Hopkins and other institutions and 63 matched nonparticipants. Pre- and post-surveys from participants and nonparticipants assessed skills in curriculum development, implementation, and evaluation, as well as enjoyment in curriculum development and evaluation. Participants rated program quality, educational methods, and facilitation in a post-program survey. Sixty-four curricula were produced addressing gaps in undergraduate, graduate, or postgraduate medical education. At least 54 curricula (84%) were implemented. Participant self-reported skills in curricular development, implementation, and evaluation improved from baseline (p higher than nonparticipants (all p sustainability and is associated with participant satisfaction, improvement in self-rated skills, and implementation of curricula on important topics.

  6. One-Month to 10-Year Survival in the Copenhagen Stroke Study

    DEFF Research Database (Denmark)

    Andersen, Klaus Kaae; Olsen, Tom Skyhøj

    2011-01-01

    .0 years; 56% women; mean Scandinavian Stroke Scale [SSS], 38.0 ± 17.4). Evaluation included stroke severity (based on the SSS), computed tomography scan, and a cardiovascular risk profile. Using logistic regression models, we examined the relevance of the SSS on mortality at 1 month and 1, 5, and 10 years....... We analyzed the proportion of the variation explained by the models and bias of risk factors estimates with and without the SSS in the model. Mortality rate was 16.6% at 1 month, 31.5% at 1 year, 60.2% at 5 years, and 81.3% at 10 years. In models including the SSS, 22.4%, 20.9%, 32.8%, and 39.......5% of the variance was explained for the endpoints of 1 month, 1 year, 5 years, and 10 years, respectively. When SSS was left out of the model, the corresponding values were 6.9%, 13.3%, 29.0%, and 35.1%. Factors significantly associated with survival were SSS at 1 month; SSS, age, diabetes, and stroke type at 1...

  7. Visual perception changes and optical stability after intracorneal ring segment implantation: comparison between 3 months and 1 year after surgery

    Directory of Open Access Journals (Sweden)

    Paranhos JFS

    2011-07-01

    Full Text Available Juliane de Freitas Santos Paranhos, Marcos Pereira Ávila, Augusto Paranhos Jr, Paulo SchorFederal University of São Paulo, São Paulo, BrazilPurpose: To prospectively evaluate intracorneal ring segment (ICRS implantation on quality of life (QoL of patients with keratoconus changes and identify factors responsible.Methods: Sixty-nine eyes of 42 keratoconus patients were implanted with the Keraring (Mediphacos, Belo Horizonte, Brazil. Best corrected visual acuity (BCVA, refraction, and steep keratometry were analyzed 3 months and 1 year after surgery. All patients self-administered the National Eye Institute Refractive Error Quality of life instrument at 2 time points: after having worn best correction for at least 30 days since evaluation (mean 4 months after surgery and 1 year after surgery. To analyze if the use of the appropriate correction at 1 year follow up had any impact on visual acuity and V-QoL, patients were divided into 2 groups: group A (appropriate correction and B (not appropriate correction.Results: After 1 year, QoL changes related to scales ‘clarity of vision’, ‘near vision’, and ‘far vision’. Keratometric values, sphere, and spherical equivalent did not differ significantly between 3 months and 1 year postoperative. Cylinder increase was statistically but not clinically significant. Binocular BCVA did not change 1 year after surgery in group A and showed a clinically significant impairment in group B. A year after surgery, 18 patients did not use correction suggested by a physician 3 months after surgery. QoL was not statistically different 1 year after surgery between group A and group B.Conclusion: Our findings show that the way keratoconic patients see is difficult to analyze using only quantitative and 1-visit metrics. They highlight the importance of patients’ self perception and performing longitudinal analysis to consider neural compensation to optical changes from surgery.Keywords: keratoconus, cornea

  8. Twelve-month safety and efficacy of inhaled fluticasone propionate in children aged 1 to 3 years with recurrent wheezing

    DEFF Research Database (Denmark)

    Bisgaard, Hans; Allen, David; Milanowski, Janusz;

    2004-01-01

    : There was no significant difference in mean adjusted growth rates between the 2 groups: 84.0 mm/year in the FP group versus 86.4 mm/year in the SCG group (difference FP-SCG: -2.4 mm/year; 95% confidence interval: -6.6 to 1.8). Growth comparisons were independent of age, gender, previous use of steroid, or whether measured......, exacerbations, and requirements for oral steroid treatment and more symptom-free days and days without use of rescue treatment. CONCLUSIONS: Twelve months of treatment with inhaled FP (100 microg twice daily) in preschool children aged 1 to 3 years with recurrent wheeze has no effect on growth and no other......OBJECTIVE: Our aim was to compare the 12-month safety and efficacy of fluticasone propionate (FP) and sodium cromoglycate (SCG) in children aged 1 to 3 years with mild to moderate recurrent wheeze. METHODS: The study was a randomized, parallel-group, open-label multicenter study of 625 children...

  9. Month of the Year Effect Pada Beberapa Pasar Modal di Asia Tenggara dan Pasar Komoditas

    Directory of Open Access Journals (Sweden)

    Robiyanto Robiyanto

    2016-06-01

    Full Text Available One of prominent phenomenon in capital market is month of the year effect which is the occurence of certain monthly pattern in capital market return during trading years. There were enormous researches, which had been done to explain this phenomenon in capital market but the results always varied. Unfortunately there was a few research to explain this phenomenon in commodities market. Based on these facts, research about this seasonality still need to be done both in capital market and commodities market. Data used in this study were several South East Asia monthly closing stock market indexes and several commodity product monthly closing prices such as gold, silver, platinum, paladium and West Texas Intermediate Crude Oil during January 1999 – March 2014 period. GARCH (1,1 was employed to analyze the data. The finding shows that month of the year effect still exist in capital market in South East Asia and commodity market during research period with various occurences. Each capital market and commodity market behaves variously during trading year. This may lead to an opportunity, which can be grabbed by active market switching strategy for sophisticated investors, and investors who have multiple access to regional capital markets and commodity markets.

  10. Change of residence and functional status within three months and one year following hip fracture surgery.

    Science.gov (United States)

    Ariza-Vega, Patrocinio; Jiménez-Moleón, José Juan; Kristensen, Morten Tange

    2014-01-01

    To study the recovery of patients in terms of 18 activities of daily living and change of residence within the year following a hip fracture. This prospective cohort study was carried out in a trauma service of an acute hospital in southern Spain including 159 patients with a hip fracture, 65 years or older and allowed weight-bearing after surgery. Patients or their relatives were interviewed about their residential status and functional level at pre-fracture, three months and one year after surgery, using the Functional Independence Measure. Losses of function for the main activities affected were, at the first month, third month and one year relative to the pre-fracture status, 50%, 25% and 12%, respectively, for locomotion, 40%, 25% and 20%, respectively, for mobility and 27%, 17% and 15%, respectively, for self care (p loss of independence in the first year after a hip fracture is substantial for specific activities. Recovery mainly takes place during the first three months after surgery. Change of residence mostly involved those patients who lived alone in their own home at pre-fracture. Implications for Rehabilitation One year after fracture, patients did not recover their previous function, and the activities most affected at the one-year follow-up were: dressing lower body, bathing/showering, transfer bathtub/shower and walking up/down stairs. After a hip fracture, most recovery of the function happens within the first three months, though some functional activities continue recovering over the first year. Rehabilitation programs cannot be based only on mobility activities, the recovery of other daily living activities should also be included.

  11. [Focused lithotripsy in the treatment of tendinosis calcarea of the shoulder: results at 2 months and one year].

    Science.gov (United States)

    Sarrat, P; Cohen, M; Carrasset, S; Godde, J; Franceschi, J P; Aswad, R

    2004-10-01

    The authors report their experience with extracorporeal lithotripsy in 30 patients with calcific tendinosis of the rotator cuff. This technique is based upon the utilization of high-energy shockwaves (6000 shocks in 3 sessions Day 1, D8, D30) under continuous ultrasound localization of the lesion (EPOS Ultra1). Calcification were evaluated at plain film, US and CT to characterize their length and features. Complete or partial resorption of calcifying deposits within 2 months and one year was observed in 27.5% and 25% of cases respectively. Clinical improvement results are encouraging at two months (50%), but reduced at one year (28.5%), consistent with the rate of resorption of calcifications. This painful, long, and expensive technique seems to be disappointing in the treatment of the calcific tendinosis.

  12. The psychological process of reintegration following a nine month/260 day solo sailboat circumnavigation of the globe.

    Science.gov (United States)

    Kjaergaard, Anders; Leon, Gloria R; Venables, Noah C

    2015-04-01

    The focus of this case report is on the psychological reintegration process following the achievement of a highly challenging long-duration and solitary endeavor. The participant was a 29 year old male who successfully circumnavigated the globe during a 260 day solo sailing expedition. We assessed the psychological aftermath in terms of stability and change in personality characteristics and personal beliefs prior to, and at 180 and 360 days after the completion of the journey. Overall, the personality configuration reflected adaptive personality functioning. A belief in an internal locus of control was consistent throughout, as were perceptions of personal growth as a result of the circumnavigation experience. NEO PI-R Neuroticism, Extraversion, Openness, and Triarchic Psychopathy Measure (Tri-PM) Boldness scores remained stable. Positive personality change was reflected by an elevation in Conscientiousness; negative change by a decline in Agreeableness and an increase in Tri-PM Disinhibition. While overall the participant exhibited positive change as a result of his journey, there were also some negative aspects of the reintegration phase in regard to interactions with other persons. This latter change may be related to the effects of isolation from usual social contacts over an extended period.

  13. Sixty Days Remaining, Forty Years of CERN, Two Brothers, One Exclusive Interview

    CERN Multimedia

    2001-01-01

    Twins Marcel and Daniel Genolin while sharing memories of their CERN experiences, point out just how much smaller the Meyrin site once was. In a place such as CERN where the physical sciences are in many ways the essence of our daily lives and where technological advancement is an everyday occurrence, it is easy to lose track of the days, months, and even years. But last week twin brothers, Daniel and Marcel Genolin, hired in the early sixties and getting ready to end their eventful forty year CERN experiences, made it clear that the winds of time bluster past us whether we are aware or not. 'CERN was very small when we started' says Marcel, who has worked in transport during his entire time here. A lot has changed. 'When I got here there were no phones in peoples' houses' he recalls,'when there were problems in the control room with the PS (Proton Synchrotron) they used to get a megaphone and tell us {the transport service} to go and get the necessary physicists from their homes in the area. We had to lo...

  14. Cortical specialisation to social stimuli from the first days to the second year of life: A rural Gambian cohort

    Directory of Open Access Journals (Sweden)

    S. Lloyd-Fox

    2017-06-01

    Full Text Available Brain and nervous system development in human infants during the first 1000 days (conception to two years of age is critical, and compromised development during this time (such as from under nutrition or poverty can have life-long effects on physical growth and cognitive function. Cortical mapping of cognitive function during infancy is poorly understood in resource-poor settings due to the lack of transportable and low-cost neuroimaging methods. Having established a signature cortical response to social versus non-social visual and auditory stimuli in infants from 4 to 6 months of age in the UK, here we apply this functional Near Infrared Spectroscopy (fNIRS paradigm to investigate social responses in infants from the first postnatal days to the second year of life in two contrasting environments: rural Gambian and urban UK. Results reveal robust, localized, socially selective brain responses from 9 to 24 months of life to both the visual and auditory stimuli. In contrast at 0–2 months of age infants exhibit non-social auditory selectivity, an effect that persists until 4–8 months when we observe a transition to greater social stimulus selectivity. These findings reveal a robust developmental curve of cortical specialisation over the first two years of life.

  15. Cortical specialisation to social stimuli from the first days to the second year of life: A rural Gambian cohort.

    Science.gov (United States)

    Lloyd-Fox, S; Begus, K; Halliday, D; Pirazzoli, L; Blasi, A; Papademetriou, M; Darboe, M K; Prentice, A M; Johnson, M H; Moore, S E; Elwell, C E

    2016-11-27

    Brain and nervous system development in human infants during the first 1000days (conception to two years of age) is critical, and compromised development during this time (such as from under nutrition or poverty) can have life-long effects on physical growth and cognitive function. Cortical mapping of cognitive function during infancy is poorly understood in resource-poor settings due to the lack of transportable and low-cost neuroimaging methods. Having established a signature cortical response to social versus non-social visual and auditory stimuli in infants from 4 to 6 months of age in the UK, here we apply this functional Near Infrared Spectroscopy (fNIRS) paradigm to investigate social responses in infants from the first postnatal days to the second year of life in two contrasting environments: rural Gambian and urban UK. Results reveal robust, localized, socially selective brain responses from 9 to 24 months of life to both the visual and auditory stimuli. In contrast at 0-2 months of age infants exhibit non-social auditory selectivity, an effect that persists until 4-8 months when we observe a transition to greater social stimulus selectivity. These findings reveal a robust developmental curve of cortical specialisation over the first two years of life.

  16. Im/Ex in April, 2010:First Monthly Trade Deficit in Six Years

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    @@ On April 10, 2010, General Administration of Customs of the People's Republic of China (GAC) released the profile of China foreign trade import and export in April and the first quarter of this year. Chinas trade balance turned red in March with the country's first monthly trade deficit in six years. The GAC attributed the March deficit to shrinking exports of labor-intensive products, surging imports and rising commodity prices.

  17. A 12-month clinical investigation with a 24-day regimen containing 15 microg ethinylestradiol plus 60 microg gestodene with respect to hemostasis and cycle control.

    Science.gov (United States)

    Fruzzetti, F; Genazzani, A R; Ricci, C; De Negri, F; Bersi, C; Carmassi, F

    2001-06-01

    The effects of a 24-day regimen containing 15 microg ethinyl estradiol (EE) plus 60 microg gestodene on cycle control and on hemostasis, were evaluated in 58 healthy women (age 19-47 years). All women received the pill for 12 months. Withdrawal bleeding at every cycle during the tablet-free interval was experienced by 84.5% of the women. The overall incidence of irregular bleedings was 19.3%. Hemostasis was evaluated in 20 women. No changes in plasma fibrinogen concentrations, nor in prothrombin fragment F1+2 were observed. A slight increase in thrombin-antithrombin III complexes was observed after 6 and 12 months of oral contraceptive use. Antithrombin III activity significantly increased after one-year of pill intake. The concentrations of tissue plasminogen activator and plasminogen activator inhibitor, both antigen and activity, did not change. These results show that very low doses of EE, such as 15 microg, do not impair hemostasis in healthy females. However, the reduction for the EE dose is responsible of some of the effects on cycle control.

  18. A longitudinal study of the emerging self from 9 months to the age of 4 years

    Directory of Open Access Journals (Sweden)

    Susanne eKristen-Antonow

    2015-06-01

    Full Text Available The aim of this study was to investigate if children’s early responsiveness towards social partners is developmentally related to their growing concept of self, as reflected in their mirror self recognition (MSR and delayed self recognition (DSR. Thus, a longitudinal study assessed infants' responsiveness (e.g., smiling, gaze towards social partners during the still-face task and a social imitation game and related it to their emerging MSR and DSR. Thereby, children were tested at regular time points from 9 months to 4 years of age. Results revealed significant predictive relations between children’s responsiveness towards a social partner in the still-face task at 9 months and their MSR at 24 months. Further, interindividual differences in children’s awareness of and responsiveness towards being imitated in a social imitation game at 12 months proved to be the strongest predictor of children’s DSR at 4 years, while some additional variance was explained by MSR at 24 months and verbal intelligence. Overall, findings suggest a developmental link between children’s early awareness of and responsiveness towards the social world and their later ability to form a concept of self.

  19. Changes in health-related quality of life from 6 months to 2 years after discharge from intensive care

    Directory of Open Access Journals (Sweden)

    Flaatten Hans

    2003-03-01

    Full Text Available Abstract Background Intensive care patients have, both before and after the ICU stay, a health-related quality of life (HRQOL that differs from that of the normal population. Studies have described changes in HRQOL in the period from before the ICU stay and up to 12 months after. The aim of this study was to investigate possible longitudinal changes in HRQOL in adult patients (>18 years from 6 months to 2 years after discharge from a general, mixed intensive care unit (ICU in a university hospital. Methods This is a prospective cohort study. Follow-up patients were found using the ICU database and the Peoples Registry. HRQOL was measured with the Short Form 36 (SF-36 questionnaire. Answers at 6 months and 2 years were compared for all patients, surgical and medical patients, and different admission cohorts. Differences are presented with 95% confidence intervals. The SF-36 data were scored according to designed equations. SPSS 11.0 was used to perform t-tests and Mann-Whitney tests. Results A total of 100 patients (26 medical and 74 surgical answered the SF-36 after 6 months and again after 2 years. There was overall moderate improvement in 6 out of 8 dimensions of the SF-36, and the average increase in score was + 4.0 for all 8 dimensions. The changes for surgical and medical patients were similar. Neurological and respiratory patients reported increased average HRQOL scores, while cardiovascular patients did not. Patients with worsening of scores from 6 months to 2 years were insignificantly older than patients with improved scores (55.3 vs. 49.7 years, and both groups had comparable severity scores (simplified acute physiology score, SAPS II, 37.2 vs. 36.3 and length of ICU stay (2.7 vs. 3.2 days. The statistically significant changes in HRQOL (in the Role Physical and Social Functioning dimensions were, due to sample size, barely clinically relevant. Conclusion In a mixed ICU population we found moderate increases in HRQOL both for medical

  20. Tympanogram findings in patients with cleft palates aged six months to seven years

    Science.gov (United States)

    Yanti, A.; Widiarni, D.; Alviandi, W.; Tamin, S.; Mansyur, M.

    2017-08-01

    Cleft palate is one of the most common congenital craniofacial deformities. Otitis media with effusion (OME) is a middle ear disease having a prevalence of almost 90% in patients with cleft palates. Tympanometry is a fast, safe, non-invasive, and easy tool for diagnosing middle ear disease qualitatively and quantitatively. Studies have been conducted using tympanometry to detect middle ear conditions in patients with cleft palates, but no research has studied tympanogram findings in patients with cleft palates in Indonesia. The aim of this study is to determine the tympanogram findings in Indonesian children aged six months to seven years with cleft palates. This is a cross-sectional study of 30 patients (17 males and 13 females) with Veau classification of palatal clefts aged six months to seven years (median 26.5 months) who underwent tympanometry examinations using a 226 Hztympanometer. Tympanograms were classified using the Jerger/Liden classification. Examinations of 58 ears found that type B tympanograms occurred most frequently (70.7%). The quantitative values of tympanometry analyzed included SAA (0.1-0.2 cm3), TPP value (-197.2-(-146.8 daPa)), Vec value (0.5-0.6 cm3), and gradient value (0.03-0.07 cm3). Using the Fisher test, a significant relationship was found between age and type of tympanogram (p = 0.0039) with the risk of type B and C tympanograms in infants (6-60 months) as high as 4.8 times that of children without cleft palates. The type B tympanogram was most frequently seen in patients with cleft palates aged six months to seven years old with the quantitative values of tympanometry lower than the normal values. Therefore, there was a significant difference in the type of tympanogram seen with age.

  1. CLINICAL PROFILE OF ACUTE LOWER RESPIRATORY TRACT INFECTIONS IN CHILDREN BETWEEN 2MONTHS TO 5 YEARS

    Directory of Open Access Journals (Sweden)

    Amitoj Singh Chhina

    2015-08-01

    Full Text Available BACKGROUND : Acute respiratory infections are a leading cause of morbidity and mortality in under - five children in developing countries. Hence, the present study was undertaken to study the various risk factors, clinical profile and outcome of acute lower respiratory tract infections (ALRI in children aged 2 month to 5 years. OBJECTIVE : clinical features, laborato ry assessment and morbidity and mortality pattern associated with acute lower respiratory tract infections in children aged 2 months to 5 years. METHODS: 100 ALRI cases fulfilling WHO criteria for pneumonia, in the age group of 2 month to 5 years were evaluated for clinical profile as per a predesigned proforma in a rural medical college. RESULTS : Of cases 61% were infants and remaining 39%12 - 60 months age group, males outnumbered females with sex ratio of 1.3;1. Elevated total leukocyte counts for age were observed in only 22% of cases, of these 3% were having pneumonia, 9% severe pneumonia and 10% very severe pneumonia. Significant association was found between leukocytosis and ALRI severity (p= 0.0001 Positive blood culture was obtained in 8% of cases and was significantly associated with ALRI severity (p=. 0.027. Among the ALRI cases, 84% required oxygen supplementation at any time during the hospital stay and 8% required mechanical ventilation. The mortality rate was 1%; with 99% of cases recovering and getting discharged uneventfully. CONCLUSION : Among the clinical variables, the signs and symptoms of ALRI as per the WHO ARI Control Programme were found in almost all cases. Regarding the laboratory profile, leukocytosis and blood culture positivity w ere observed in a small percentage, but significant association with ALRI severity was observed for both. Thus, clinical signs, and not invasive blood tests are a better diagnostic tools, though the latter may provide additional therapeutic and prognostic information in severe disease

  2. Reactive attachment disorder in maltreated twins follow-up: from 18 months to 8 years.

    Science.gov (United States)

    Heller, Sherryl Scott; Boris, Neil W; Fuselier, Sarah-Hinshaw; Page, Timothy; Koren-Karie, Nina; Miron, Devi

    2006-03-01

    The best means for the diagnosis and treatment of reactive attachment disorder of infancy and early childhood have not been established. Though some longitudinal data on institutionalized children is available, reports of maltreated young children who are followed over time and assessed with measures of attachment are lacking. This paper presents the clinical course of a set of maltreated fraternal twins who were assessed and treated from 19 months to 30 months of age and then seen in follow-up at 3 and 8 years of age. A summary of the early assessment and course is provided and findings from follow-up assessments of the cognitive, behavioral, and interpersonal functioning of each child is analysed. Follow-up measures, chosen to capture social-cognitive processing of these children from an attachment perspective, are highlighted. Finally, findings from the case are discussed from nosological and theoretical perspectives.

  3. Intra-individual variability in day-to-day and month-to-month measurements of physical activity and sedentary behaviour at work and in leisure-time among Danish adults

    DEFF Research Database (Denmark)

    Lunde Pedersen, Eva Sophie; Danquah, I H; Petersen, C B

    2016-01-01

    in accelerometer derived data on sedentary behaviour and physical activity at work and in leisure-time during week days among Danish office employees. METHODS: We included control participants (n = 135) from the Take a Stand! Intervention; a cluster randomized controlled trial conducted in 19 offices. Sitting time...... importance to researchers and health promotion workers planning to use objective measures of sedentary behaviour and physical activity. TRIAL REGISTRATION: Clinical trials NCT01996176 ....

  4. Relation of Growth Rate from Birth to Three Months and Four to Six Months to Body Mass Index at Ages Four to Six Years

    Directory of Open Access Journals (Sweden)

    Robert J. Karp

    2012-01-01

    Full Text Available Background. While rapid early weight gain are common in children who become obese later in life, so is growth faltering in the first 3 months of life. Objective. We seek to determine what relationship weight gain in the first six months of age, separated into two 3-month periods, have with the BMI of children ages 4 to 6 years in an inner-city community. Subjects. A convenience sample cohort of 154 children attending an inner-city clinic. Methods. Consecutive charts were reviewed retrospectively. Age, gender, birth weight and weight change in the first and second 3 months of life were introduced as fixed factors using mixed linear models with BMI in years 4 to 6 as the dependent variable. Results. Weight change quartile in the first 3 months of life did not predict of BMI in years 4 to 6; however, weight changes quartiles during months 4 to 6 were significant predictors for subsequent overweight. Conclusion. The data presented herein suggest that, for this specific population, weight gain can be promoted when it is most essential. It is necessary, however, to identify intermediary variables that could affect outcomes in this and other communities.

  5. Assessing the Efficacy of Tadalafil in Reducing Pulmonary Hypertension in Children and Adolescents Aged 5 Months-15 Years

    Directory of Open Access Journals (Sweden)

    MR Alipour

    2015-11-01

    Full Text Available Introduction: Pulmonary arterial hypertension in children has consequences such as right ventricular failure and even death. Recently, the use of phosphodiesterase 5 inhibitors has been taken into account in the treatment of pulmonary hypertension, among which tadalafil is more acceptable by parents and patients due to its single dose per day compared to sildenafil which should be taken 4 times a day. Therefore, this study aimed to investigate the effect of tadalafil on reducing pulmonary artery pressure in children and adolescents aged 5 months to 15 years old. Methods: This before and after type study entailed 20 patients of 5-month to 15-year with pulmonary arterial hypertension who had outpatient visits in Yazd Khatam-L-Anbiya clinic during 2013-2014. The participants were diagnosed by echocardiography, considering that they had not ever received any pulmonary arterial pressure lowering medicine up to now, whose congenital heart disease were inoperable. They were then treated using a single dose of oral tadalafil for 6 months. The collected data were analyzed using SPSS software via t-test and Chi-square tests. Results: Mean of pulmonary arterial pressure before and six months after taking tadalafil were 52.30 ± 7.948 mmHg and 33/55 ± 10/34 mmHg, respectively, which on average it was decreased by 18.75 mmHg(pv<0.0001. The mean of arterial oxygen saturation was reported %82.45 ± 7.14 and %86.25 ± 6.496 before and after taking tadalafil, respectively which was increased by 3.9% (pv<0.0001. The severity of tricuspid failure was reduced from moderate to mild level. No serious complication was observed leading to drug discontinuation in the patients’ follow-ups. Conclusion: The study findings revealed that tadalafil drug is effective on the treatment of pulmonary arterial hypertension within children and adolescents. Moreover, it can be used instead of sildenafil, due to its single dose per day.

  6. Growing up with Down syndrome: Development from 6 months to 10.7 years.

    Science.gov (United States)

    Marchal, Jan Pieter; Maurice-Stam, Heleen; Houtzager, Bregje A; Rutgers van Rozenburg-Marres, Susanne L; Oostrom, Kim J; Grootenhuis, Martha A; van Trotsenburg, A S Paul

    2016-12-01

    We analysed developmental outcomes from a clinical trial early in life and its follow-up at 10.7 years in 123 children with Down syndrome. To determine 1) strengths and weaknesses in adaptive functioning and motor skills at 10.7 years, and 2) prognostic value of early-life characteristics (early developmental outcomes, parental and child characteristics, and comorbidity) for later intelligence, adaptive functioning and motor skills. We used standardized assessments of mental and motor development at ages 6, 12 and 24 months, and of intelligence, adaptive functioning and motor skills at 10.7 years. We compared strengths and weaknesses in adaptive functioning and motor skills by repeated-measures ANOVAs in the total group and in children scoring above-average versus below-average. The prognostic value of demographics, comorbidity and developmental outcomes was analysed by two-step regression. Socialisation was a stronger adaptive skill than Communication followed by Daily Living. Aiming and catching was a stronger motor skill than Manual dexterity, followed by Balance. Above-average and below-average scoring children showed different profiles of strengths and weaknesses. Gender, (the absence or presence of) infantile spasms and particularly 24-month mental functioning predicted later intelligence and adaptive functioning. Motor skills, however, appeared to be less well predicted by early life characteristics. These findings provide a reference for expected developmental levels and strengths and weaknesses in Down syndrome. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Association between depression in carers and malnutrition in children aged 6 months to 5 years

    Directory of Open Access Journals (Sweden)

    Keneilwe Motlhatlhedi

    2017-01-01

    Full Text Available Background:  Childhood malnutrition is an important risk factor for child mortality and underlies close to 50% of child deaths worldwide. Previous studies have found an association between maternal depression and child malnutrition, but it is not known whether this association exists in Botswana. In addition, previous studies excluded non-maternal primary caregivers (PCGs. It is unclear whether the association between primary caregiver depression and child malnutrition remains when non-maternal PCGs are included.Aim: The aim of this study was to determine if there is an association between PCG depression and malnutrition in children aged between 6 months and 5 years in Mahalapye, Botswana.Setting: The study was conducted in the child welfare clinics of Xhosa and Airstrip clinics, two primary health care facilities in Mahalapye, Botswana.Methods: This was a case control study. Cases were malnourished children aged between 6 months and 5 years, and controls were non-malnourished children matched for age and gender. The outcome of interest was depression in the PCGs of the cases and controls, which was assessed using the Patient Health Questionnaire 9 (PHQ 9, a depression screening tool.Results: From a sample of 171 children, 84 of whom were malnourished, we found that the malnourished children were significantly more likely to have depressed PCGs (odds ratio = 4.33; 95% CI: 1.89, 9.89 than non-malnourished children in the 6-month to 5-year age group; the PCGs of malnourished children also had lower educational status.Conclusion: This study found a significant association between PCG depression and child malnutrition.

  8. MICROBIOLOGICAL STUDY OF ACUTE OTITIS MEDIA IN CHILDREN AGED 2 MONTHS TO 18 YEARS

    Directory of Open Access Journals (Sweden)

    Ramakrishna Pai

    2014-01-01

    Full Text Available Acute Suppurative Otitis media (ASOM is one of the diseases that causedeath in children below the age of 5 years. The pathogens causing otitis media (OM vary from region to region. Both Gram positive and Gram negative bacteria are responsible f or OM. So this study was conducted to know the aerobic bacterial pathogens causing OM and their susceptibility pattern in children below 18 years attending a rural tertiary health care center in north Kerala . MATERIALS AND METHODS : A total of 75 patients in pediatric age group 2 months to 18 years clinically havingASOM , were included in the study . Ear discharge was collected using sterile cotton swabs and processed accordingly. RESULTS : A total of 75 patients aged 2 months to 18 years with discharging ears wer e included in the study. Among them , forty one (54.7% were males and thirty four (45.3% were females. Forty five children were below years. Sixty five (86.6% had unilateral ear discharge. Among the 75 ear swabs cultured , 66 (88% had aerobic bacteria is olated. S.aureus was themost common isolate accounting to 32(47% followed by P.aeruoginosa 19(27.9%. It was observed that most of the Staphylococcus aureusisolates were resistant to p en i cillins and first generation cephalosporins while Pseudomonas aerugi nosa to fluoroquinolones. CONCLUSION : Since there is reduced susceptibility of the pathogens isolated to first and second line antibacterials it is necessary to use these antibacterials judiciously and in the right dosage

  9. Month of the Year and Pre- Holiday Effects In Indonesia and Malaysia Shari’ah Compliance

    Directory of Open Access Journals (Sweden)

    Helma Malini

    2014-01-01

    Full Text Available Normal 0 false false false EN-US X-NONE X-NONE /* Style Definitions */ table.MsoNormalTable {mso-style-name:"Table Normal"; mso-tstyle-rowband-size:0; mso-tstyle-colband-size:0; mso-style-noshow:yes; mso-style-priority:99; mso-style-qformat:yes; mso-style-parent:""; mso-padding-alt:0in 5.4pt 0in 5.4pt; mso-para-margin-top:0in; mso-para-margin-right:0in; mso-para-margin-bottom:10.0pt; mso-para-margin-left:0in; line-height:115%; mso-pagination:widow-orphan; font-size:11.0pt; font-family:"Calibri","sans-serif"; mso-ascii-font-family:Calibri; mso-ascii-theme-font:minor-latin; mso-fareast-font-family:"Times New Roman"; mso-fareast-theme-font:minor-fareast; mso-hansi-font-family:Calibri; mso-hansi-theme-font:minor-latin;} This paper investigates the existence of two anomalies in Indonesia and Malaysia Shari’ah compliance; the month of the year and pre-holiday effect, and their implication for stock market efficiency. Investing in Shari’ah compliant is different from investing in conventional stock. Conventional stock market followed the capital market set of rules and law, while Shari’ah follows not only followed the capital market set of laws but also the Islamic principles. Most of the previous studies investigated issues related to the conventional stock market, this study take one step further by investigating issue related to Shari’ah compliant instrument and make comparison between both Shari’ah compliance stock market in Indonesia and Malaysia. We document high and significant returns in month and pre-holiday in Indonesia and Malaysia stock market that represent by the Shari’ah compliance. Our result indicate that the month of the year effect is prevalent in Indonesia and Malaysia Shari’ah compliance.   Keywords: Calendar effects, Indonesia and Malaysia Shari’ah compliance, Month of the year and pre-holiday effects

  10. Dengue Sentinel Traveler Surveillance: Monthly and Yearly Notification Trends among Japanese Travelers, 2006-2014.

    Directory of Open Access Journals (Sweden)

    Munehisa Fukusumi

    2016-08-01

    Full Text Available Dengue is becoming an increasing threat to non-endemic countries. In Japan, the reported number of imported cases has been rising, and the first domestic dengue outbreak in nearly 70 years was confirmed in 2014, highlighting the need for greater situational awareness and better-informed risk assessment.Using national disease surveillance data and publically available traveler statistics, we compared monthly and yearly trends in the destination country-specific dengue notification rate per 100,000 Japanese travelers with those of domestic dengue cases in the respective country visited during 2006-2014. Comparisons were made for countries accounting for the majority of importations; yearly comparisons were restricted to countries where respective national surveillance data were publicly available.There were 1007 imported Japanese dengue cases (Bali, Indonesia (n = 202, the Philippines (n = 230, Thailand (n = 160, and India (n = 152. Consistent with historic local dengue seasonality, monthly notification rate among travelers peaked in August in Thailand, September in the Philippines, and in Bali during April with a smaller peak in August. While the number of travelers to Bali was greatest in August, the notification rate was highest in April. Annually, trends in the notification rate among travelers to the Philippines and Thailand also closely reflected local notification trends.Travelers to dengue-endemic countries appear to serve as reliable "sentinels", with the trends in estimated risk of dengue infection among Japanese travelers closely reflecting local dengue trends, both seasonally and annually. Sentinel traveler surveillance can contribute to evidence-based pretravel advice, and help inform risk assessments and decision-making for importation and potentially for subsequent secondary transmission. As our approach takes advantage of traveler data that are readily available as a proxy denominator, sentinel traveler surveillance can be a

  11. [Electrolyte levels in feces and urine in healthy breeding calves between the ages of 5 days to 6 months].

    Science.gov (United States)

    Lorenz, I; Herrmann, O; Klee, W

    2001-01-01

    In contrast to the situation in adult cattle there are high concentrations of sodium and low concentrations of potassium in the faeces of suckling calves. It was investigated in this study in which stage of the development of the ruminant these changes in electrolyte levels occur, and whether there are changes in electrolyte levels in urine as well. Samples of faeces and urine from healthy calves were examined fortnightly starting with the 5th day after birth. There was a distinct decrease in sodium concentration in faecal water within the first three weeks of life, i.e. without any relation to the intake of solid feed. However, the levels of sodium, potassium and chloride in urine samples and of potassium in faecal water increased with the development of rumination. The concentration of chloride in faeces was on a low level during the whole period of investigation.

  12. One- to Three-Year-Old Children's Experience of Subjective Wellbeing in Day Care

    Science.gov (United States)

    Seland, Monica; Sandseter, Ellen Beate Hansen; Bratterud, Åse

    2015-01-01

    The aim of the study on which this paper is based was to explore in which situations and contexts Norwegian 1-3-year-olds experience subjective wellbeing in day care. The data in this study was collected through qualitative phenomenological observations of 18 children, and an inductive process of analysis was conducted. The results show that…

  13. Health status of children aged under two years cared for in day-care ...

    African Journals Online (AJOL)

    Health status of children aged under two years cared for in day-care centres and the home ... Journal of Community Medicine and Primary Health Care ... the gradual disintegration of the extended family system, a demand for alternative means ...

  14. Going for (Nano)Gold: A University Open Day Experiment for Year 13 Students

    Science.gov (United States)

    Baker, Christopher; Patel, Bhavik Ani; Cragg, Alexander S.; Cragg, Peter J.

    2013-01-01

    Open day activities rarely give applicants a real sense of the practical and intellectual work that goes on in university chemistry departments. We devised an experiment for year 13 (age 17-18) students based on the size-dependent colours of gold nanoparticles and linked this to current research in diagnostic medicine. The experience was designed…

  15. Can We Forecast 1-Month Span Aftershock Activity from the First Day Data after the Main Shock?

    Science.gov (United States)

    Omi, T.; Ogata, Y.; Hirata, Y.; Aihara, K.

    2014-12-01

    A large earthquake triggers persistent aftershock activity in and near the focal region. Thus, intermediate term forecasting of aftershocks at its earlier stage is important for mitigating seismic risks. A main difficulty for the early forecasting is the substantial incompleteness of early aftershock data. To deal with such incomplete data, we have developed a statistical model of the incomplete data, enabling us to obtain the immediate estimate of the forecasting models from incomplete data [1, 2]. Another difficulty for the intermediate term forecasting is that we have to determine the parameter values of the forecasting models with high accuracy, because even a small bias in the parameter values can lead to a significant bias of the forecasting in intermediate term. However such accurate estimation is quite difficult at the early stage, especially using the early and incomplete data. Here we present a Bayesian forecasting method by using the epidemic-type aftershock sequence (ETAS) model. The Bayesian forecasting considers not only the best parameter values such as the maximum likelihood estimates or maximum a posteriori estimates but also the estimation uncertainty of the parameter values. By analyzing aftershock sequences in Japan, we show the forecasting performances of the intermediate-term aftershocks can be significantly improved by considering the estimation uncertainty of the ETAS model [3]. Furthermore, we discuss the impact of the modeling of the magnitude frequency distribution of detected aftershocks within a day span on the forecasting of large aftershocks. [1] T. Omi, Y. Ogata, Y. Hirata and K. Aihara, "Forecasting large aftershocks within one day after the main shock", Scientific Reports 3, 2218 (2013). [2] T. Omi, Y. Ogata, Y. Hirata and K. Aihara, "Estimating the ETAS model from an early aftershock sequence", Geophysical Research Letters 41, 850 (2014). [3] T. Omi, Y. Ogata, Y. Hirata and K. Aihara, "Intermediate-term forecasting of aftershocks

  16. A 305 year monthly rainfall series for the Island of Ireland (1711-2016)

    Science.gov (United States)

    Murphy, Conor; Burt, Tim P.; Broderick, Ciaran; Duffy, Catriona; Macdonald, Neil; Matthews, Tom; McCarthy, Mark P.; Mullan, Donal; Noone, Simon; Ryan, Ciara; Thorne, Peter; Walsh, Seamus; Wilby, Robert L.

    2017-04-01

    This paper derives a continuous 305-year monthly rainfall series for the Island of Ireland (IoI) for the period 1711-2016. Two key data sources are employed: i) a previously unpublished UK Met Office Note which compiled annual rainfall anomalies and corresponding monthly per mille amounts from weather diaries and early observational records for the period 1711-1977; and ii) a long-term, homogenised monthly IoI rainfall series for the period 1850-2016. Using estimates of long-term average precipitation sampled from the quality assured series, the full record is reconstituted and insights drawn regarding notable periods and the range of climate variability and change experienced. Consistency with other long records for the region is examined, including: the England and Wales Precipitation series (EWP; 1766-2016); the early EWP Glasspoole series (1716-1765) and the Central England Temperature series (CET; 1711-2016). Strong correspondence between all records is noted from 1780 onwards. While disparities are evident between the early EWP and Ireland series, the latter shows strong decadal consistency with CET throughout the record. In addition, independent, early observations from Cork and Dublin, along with available documentary sources, corroborate the derived series and add confidence to our reconstruction. The new IoI rainfall record reveals that the wettest decades occurred in the early 18th Century, despite the fact that IoI has experienced a long-term winter wetting trend consistent with climate model projections. These exceptionally wet winters of the 1720s and 1730s were concurrent with almost unprecedented warmth in the CET, glacial advance throughout Scandinavia, and glacial retreat in West Greenland, consistent with a wintertime NAO-type forcing. Our study therefore demonstrates the value of long-term observational records for providing insight to the natural climate variability of the North Atlantic region.

  17. A 33-year-old Haitian immigrant with 7 months of abdominal pain and progressive distension.

    Science.gov (United States)

    Farhadian, Shelli; Shenoi, Sheela V; Villanueva, Merceditas S

    2014-07-09

    We report a case of a 33-year-old previously healthy Haitian immigrant with a 7-month history of abdominal pain, fever and ascites. He had a history of positive tuberculin skin test but never underwent treatment for latent tuberculosis (TB) infection. Initial examination showed abdominal distension. Abdominal CT scan showed mild ascites, abnormal soft tissue in the greater omentum and small bowel mesentery, retroperitoneal adenopathy, peritoneal thickening and dilated loops of small bowel. Paracentesis and thoracentesis were initially non-diagnostic. HIV testing was negative. The differential diagnosis included lymphoma and TB peritonitis. The omental mass was biopsied under ultrasound guidance, and histopathology revealed non-necrotising granulomas. Sputum cultures and omental biopsy cultures subsequently grew Mycobacterium tuberculosis, and a diagnosis was made of pulmonary TB with TB peritonitis. The patient responded well to the initiation of anti-TB treatment.

  18. An analysis of yearly trends in growing degree days and the relationship between growing degree day values and reference evapotranspiration in Turpan area, China

    Science.gov (United States)

    Su, Lijun; Wang, Quanjiu; Bai, Yungang

    2013-08-01

    The growth and development of crops is commonly regarded as a function of time alone. However, this approach can be inadequate due to temperatures which vary from year to year caused by global climate change. This prompted the development of the growing degree day concept, which incorporates information on both the passage of time and the temperature experienced by the crop plant during that time. Crop water requirements, which are estimated by multiplying reference evapotranspiration values by a crop-specific coefficient, play a crucial role in the management of hydrologic cycles on arable land. Consequently, it would be useful to identify the relationships between cumulative growing degree days and reference evapotranspiration, in order to develop new methods for predicting crop growth and development periods and calculating reference evapotranspiration. This paper describes annual trends in cumulative growing degree days values and their impact on grape growth. Three different methods for calculating cumulative growing degree days values were evaluated as well. Several key findings were achieved. First, for the period between 1952 and 1995, the cumulative growing degree days values for specific days of the year were normally distributed. Second, the relationship between the relative cumulative growing degree days value and the passage of time can be accurately described by using a cubic polynomial function. Third, the day-to-day change in the average relative cumulative reference evapotranspiration can be described using an exponential function of time, which can be used to calculate the relative cumulative reference evapotranspiration value for any given day of the year. Fourth, there was a significant correlation between the relative cumulative growing degree days and cumulative reference evapotranspiration values during the period between grape budding and maturity, which can be described using a cubic polynomial function. Finally, a new method for

  19. Tracking the Teletherms: The spatiotemporal dynamics of the hottest and coldest days of the year

    CERN Document Server

    Dodds, Peter Sheridan; Reagan, Andrew J; Danforth, Christopher M

    2015-01-01

    Instabilities and long term shifts in seasons, whether induced by natural drivers or human activities, pose great disruptive threats to ecological, agricultural, and social systems. Here, we propose, quantify, and explore two fundamental markers of seasonal variations: the Summer and Winter Teletherms---the on-average annual dates of the hottest and coldest days of the year. We analyse daily temperature extremes recorded at 1218 stations across the contiguous United States from 1853--2012 to obtain estimates of the Teletherms, and to characterize their spatial and temporal dynamics. We observe substantial regional variation with the Summer Teletherm falling up to 90 days after the Summer Solstice, and 50 days for the Winter Teletherm after the Winter Solstice, and that in many locations, the Teletherm is better described as one or more sequences of dates---the Teletherm Period. We show Teletherm temporal dynamics are substantive with clear and in some cases dramatic changes moving across broad regions, sugges...

  20. Cognitive and affective assessment in day care versus institutionalized elderly patients: a 1-year longitudinal study

    Directory of Open Access Journals (Sweden)

    Maseda A

    2014-06-01

    Full Text Available Ana Maseda, Aránzazu Balo, Laura Lorenzo–López, Leire Lodeiro–Fernández, José Luis Rodríguez–Villamil, José Carlos Millán–CalentiGerontology Research Group, Faculty of Health Sciences, University of A Coruña, A Coruña, SpainPurpose: Cognitive decline and depression are two common mental health problems that may create a need for long-term care among the elderly. In the last decade, the percentage of older adults who receive health care in nursing homes, day care centers, or home support services has increased in Europe. The objectives of this descriptive and nonrandomized longitudinal study were to evaluate and to compare the cognitive and affective evolution of day care versus institutionalized older patients through a 1-year period, and to assess the presence of cognitive and affective impairment as a function of the care setting.Patients and methods: Ninety-four patients were assessed at baseline, and 63 (67.0% were reassessed 1 year later. Neuropsychological assessment included measures of cognitive performance (general cognitive status, visuospatial, and language abilities and affective status (depressive symptoms.Results: Our findings indicated that the majority of the participants (day care and institutionalized patients had mild–moderate cognitive impairment at baseline, which significantly increased in both groups after 1-year follow-up. However, the rate of change in global cognitive function did not significantly differ between groups over time. Regarding language abilities, naming function maintained among day care patients in comparison with institutionalized patients, who showed worse performance at follow-up. As regards to affective status, results revealed that institutionalized patients had a significant reduction in depressive symptoms at follow-up, when compared to day care patients. Results also highlight the high frequency of cognitive impairment and depressive symptoms regardless of the care setting

  1. Morvan's syndrome and the sustained absence of all sleep rhythms for months or years: An hypothesis.

    Science.gov (United States)

    Touzet, Claude

    2016-09-01

    Despite the predation costs, sleep is ubiquitous in the animal realm. Humans spend a third of their life sleeping, and the quality of sleep has been related to co-morbidity, Alzheimer disease, etc. Excessive wakefulness induces rapid changes in cognitive performances, and it is claimed that one could die of sleep deprivation as quickly as by absence of water. In this context, the fact that a few people are able to go without sleep for months, even years, without displaying any cognitive troubles requires explanations. Theories ascribing sleep to memory consolidation are unable to explain such observations. It is not the case of the theory of sleep as the hebbian reinforcement of the inhibitory synapses (ToS-HRIS). Hebbian learning (Long Term Depression - LTD) guarantees that an efficient inhibitory synapse will lose its efficiency just because it is efficient at avoiding the activation of the post-synaptic neuron. This erosion of the inhibition is replenished by hebbian learning (Long Term Potentiation - LTP) when pre and post-synaptic neurons are active together - which is exactly what happens with the travelling depolarization waves of the slow-wave sleep (SWS). The best documented cases of months-long insomnia are reports of patients with Morvan's syndrome. This syndrome has an autoimmune cause that impedes - among many things - the potassium channels of the post-synaptic neurons, increasing LTP and decreasing LTD. We hypothesize that the absence of inhibitory efficiency erosion during wakefulness (thanks to a decrease of inhibitory LTD) is the cause for an absence of slow-wave sleep (SWS), which results also in the absence of REM sleep.

  2. Children’s Day-Care Centre (EVE) and School kicked off the school year 2016-2017

    CERN Multimedia

    Staff Association

    2016-01-01

    It has been 54 years already, ever since the Nursery school was founded in March 1961, that the Staff Association together with the teachers, the managerial and the administrative staff, welcomes your children at the start of the school year. On Tuesday, 30 August 2016, the Children’s Day-Care Centre (EVE) and School opened its doors again for children between four months and six years old. The start of the school year was carried out gradually and in small groups to allow quality interaction between children, professionals and parents. This year, our structure will accommodate about 130 children divided between the nursery, the kindergarten and the school. Throughout the school year, the children will work on the theme of colours, which will be the common thread linking all our activities. Our team is comprised of 38 people: the headmistress, the deputy headmistress, 2 secretaries, 13 educators, 4 teachers, 11 teaching assistants, 2 nursery assistants and 4 canteen workers. The team is delighted...

  3. The Efficacy of an All-Day, Every-Day Kindergarten Program: A Seven Year Cumulative Report for the St. James-Assiniboia School Division

    Science.gov (United States)

    Zakaluk, Beverley L.; Straw, Stanley B.; Smith, Karen E.

    2005-01-01

    Background: This is the fourth formal report describing the efficacy of the full-day, every day kindergarten program in the St. James School Division which was initiated in one school located in an economically-disadvantaged neighborhood in the 1997-1998 school year. The success of this undertaking led to the extension of the program in 1998-1999,…

  4. Differential gene expression in the liver of the African lungfish, Protopterus annectens, after 6 months of aestivation in air or 1 day of arousal from 6 months of aestivation.

    Directory of Open Access Journals (Sweden)

    Kum C Hiong

    Full Text Available The African lungfish, Protopterus annectens, can undergo aestivation during drought. Aestivation has three phases: induction, maintenance and arousal. The objective of this study was to examine the differential gene expression in the liver of P. annectens after 6 months (the maintenance phase of aestivation as compared with the freshwater control, or after 1 day of arousal from 6 months aestivation as compared with 6 months of aestivation using suppression subtractive hybridization. During the maintenance phase of aestivation, the mRNA expression of argininosuccinate synthetase 1 and carbamoyl phosphate synthetase III were up-regulated, indicating an increase in the ornithine-urea cycle capacity to detoxify ammonia to urea. There was also an increase in the expression of betaine homocysteine-S-transferase 1 which could reduce and prevent the accumulation of hepatic homocysteine. On the other hand, the down-regulation of superoxide dismutase 1 expression could signify a decrease in ROS production during the maintenance phase of aestivation. In addition, the maintenance phase was marked by decreases in expressions of genes related to blood coagulation, complement fixation and iron and copper metabolism, which could be strategies used to prevent thrombosis and to conserve energy. Unlike the maintenance phase of aestivation, there were increases in expressions of genes related to nitrogen, carbohydrate and lipid metabolism and fatty acid transport after 1 day of arousal from 6 months aestivation. There were also up-regulation in expressions of genes that were involved in the electron transport system and ATP synthesis, indicating a greater demand for metabolic energy during arousal. Overall, our results signify the importance of sustaining a low rate of waste production and conservation of energy store during the maintenance phase, and the dependence on internal energy store for repair and structural modification during the arousal phase, of

  5. Social conformity persists at least one day in 6-year-old children.

    Science.gov (United States)

    Sun, Sai; Yu, Rongjun

    2016-12-21

    Humans have a tendency to forgo their own attitudes or beliefs in order to better align with the interests of a majority, a behavioral process known as conformity. Social conformity has been widely studied among adults and adolescents, whereas experimental studies on the impact of peer influence among young children have been relatively limited. The current study aims to investigate both short-term and sustained conforming behaviors among children in situations of relatively low social pressure. Forty-one children aged 5 to 6 years rated the attractiveness of 90 faces presented serially followed by witnessing a group rating in the absence of peers. Subsequently, second judgement was made after 30 minutes (Experiment 1). Results show that 6-year-old children tended to conform to their peers when group ratings differed from their own ratings, while younger children did not. In Experiment 2, children were required to make the second judgment one day after exposure to group ratings. Similarly, children aged 6 years exhibited a sustained conformity effect even after one day. Our findings suggest that 6-year-old children spontaneously change their private opinions under implicit social influence from peers.

  6. The 12-Month Prevalence of DSM-IV Anxiety Disorders among Nigerian Secondary School Adolescents Aged 13-18 Years

    Science.gov (United States)

    Adewuya, Abiodun O.; Ola, Bola A.; Adewumi, Tomi A.

    2007-01-01

    Aims: To estimate the 12-month prevalence of DSM-IV-specific anxiety disorders among Nigerian secondary school adolescents aged 13-18 years. Method: A representative sample of adolescents (n=1090) from senior secondary schools in a semi-urban town in Nigeria was assessed for the 12-month prevalence of DSM-IV-specific anxiety. Results: The 12-month…

  7. The 12-Month Prevalence of DSM-IV Anxiety Disorders among Nigerian Secondary School Adolescents Aged 13-18 Years

    Science.gov (United States)

    Adewuya, Abiodun O.; Ola, Bola A.; Adewumi, Tomi A.

    2007-01-01

    Aims: To estimate the 12-month prevalence of DSM-IV-specific anxiety disorders among Nigerian secondary school adolescents aged 13-18 years. Method: A representative sample of adolescents (n=1090) from senior secondary schools in a semi-urban town in Nigeria was assessed for the 12-month prevalence of DSM-IV-specific anxiety. Results: The 12-month…

  8. Acute Postpartum Pulmonary Edema in a 32-Year-Old Woman Five Days after Cesarean Delivery

    Directory of Open Access Journals (Sweden)

    Masuda Islam Khan

    2013-07-01

    Full Text Available Acute dyspnea after pregnancy is a rare presentation, and a number of important conditions may accompany it. Pulmonary embolism, amniotic fluid embolism, pneumonia, aspiration and pulmonary edema are some of the potential causes that must be considered. The percentage of pregnancies that are complicated by acute pulmonary edema has been estimated 0.08%. The most common contributing factors include the administration of tocolytic agents, underlying cardiac disease, iatrogenic fluid overload and preeclampsia. Here we report a case of 32- year-old woman of 5th postpartum day following lower uterine cesarean section with acute dyspnea from her first pregnancy who was admitted in coronary care unit with history of one episode of raised blood pressure 160/90 mm Hg and cough on 1st postoperative day. Clinical examination and relevant investigations explored that it was a case of bilateral pulmonary edema. Patient was kept in ventilator and was treated with nitroglycerine (GTN, frusemide and ACE inhibitor. After diuresis, considerable improvement was observed in her respiratory status. From the 4th day, the patient became hemodynamically stable and was weaned off the ventilator. After five days, all the biochemical parameters became normal and she had no dyspnea.

  9. Radiographic results after plaster cast fixation for 10 days versus 1 month in reduced distal radius fractures: a prospective randomised study.

    Science.gov (United States)

    Christersson, Albert; Larsson, Sune; Östlund, Bengt; Sandén, Bengt

    2016-11-21

    The aim of this study was to examine whether reduced distal radius fractures can be treated with early mobilisation without affecting the radiographic results. In a prospective randomised study, 109 patients (mean age 65.8 (range 50-92)) with moderately displaced distal radius fractures were treated with closed reduction and plaster cast fixation for about 10 days (range 8-13 days) followed by randomisation to one of two groups: early mobilisation (n = 54, active group) or continued plaster cast fixation for another 3 weeks (n = 55, control group). For three patients in the active group (6%), treatment proved unsuccessful because of severe displacement of the fracture (n = 2) or perceived instability (n = 1). From 10 days to 1 month, i.e. the only period when the treatment differed between the two groups, the active group displaced significantly more in dorsal angulation (4.5°, p < 0.001), radial angulation (2.0°, p < 0.001) and axial compression (0.5 mm, p = 0.01) compared with the control group. However, during the entire study period (i.e. from admission to 12 months), the active group displaced significantly more than the controls only in radial angulation (3.2°, p = 0.002) and axial compression (0.7 mm, p = 0.02). Early mobilisation 10 days after reduction of moderately displaced distal radius fractures resulted in both an increased number of treatment failures and increased displacement in radial angulation and axial compression as compared with the control group. Mobilisation 10 days after reduction cannot be recommended for the routine treatment of reduced distal radius fractures. ClinicalTrail.gov, NCT02798614 . Retrospectively registered 16 June 2016.

  10. A study of malnutrition among children aged 6 months to 2 years from a resettlement colony of Delhi.

    Directory of Open Access Journals (Sweden)

    Khokhar Anita

    2003-07-01

    Full Text Available Nutritional status of 1661 children aged 6 months to 2 years who attended the Well Baby Clinic of UHC Gokulpuri, Delhi during the year 2000 was studied. 60.7% of them were malnourished. Undesirable practices of discarding the colostrum, not exclusively breast feeding the child till at least 4 months of age, delayed weaning, dilution of top milk, use of bottle and nipple for feeding the children are still widely prevalent.

  11. Six-month IVUS and two-year clinical outcomes in the EVOLVE FHU trial

    DEFF Research Database (Denmark)

    Meredith, Ian T; Verheye, Stefan; Weissman, Neil J

    2013-01-01

    The EVOLVE FHU trial demonstrated non-inferiority of six-month late loss with two dose formulations of SYNERGY, a novel bioabsorbable polymer everolimus-eluting stent (EES) compared with the durable polymer PROMUS Element (PE) EES. The current analysis describes the six-month IVUS and clinical re...

  12. Results of a Second Year of Therapy with the 12-Month Histrelin Implant for the Treatment of Central Precocious Puberty

    Directory of Open Access Journals (Sweden)

    Shulman Dorothy

    2009-02-01

    Full Text Available Background. Gonadotropin releasing hormone analogs (GnRHas are standard of care for central precocious puberty (CPP. The histrelin subcutaneous implant is safe and effective in the treatment of CPP for one year. Objective. The study evaluates a second year of therapy in children with CPP who received a new implant after one year of treatment. Methods. A prospective one-year study following an initial 12-month treatment period was conducted. Results. Thirty-one patients (29 girls aged years received a second implant. Eighteen were naïve to GnRHa therapy at first implantation. Peak LH declined from  mIU/mL at 12 months to  mIU/mL at 24 months ( mIU/mL at 12 months to  mIU/mL at 24 months ( in previously treated subjects. Predicted adult height increased by 5.1 cm at 24 months (. Minor implant site reactions occurred in 61%, while minor difficulties with explantation occurred in 32.2% of subjects. Conclusion. The histrelin implant demonstrates profound hypothalamic-pituitary-gonadal axis suppression when a new implant is placed for a second year of treatment. Prospective follow-up of this therapeutic modality for the treatment of CPP is needed.

  13. Performance of Four Rice Cultivars Transplanted Monthly over Full Year under Irrigated Conditions in Tanzania

    Directory of Open Access Journals (Sweden)

    Nobuhito Sekiya

    2015-03-01

    Full Text Available In Tanzania, the phenology and seasonal variations of the yields of different rice cultivars have rarely been studied, especially under fully-irrigated conditions. A trial was conducted to identify the most suitable calendar for rice production in Tanzania under fully-irrigated conditions. Four popular rice cultivars, NERICA1, Wahiwahi, IR64 and TXD306, were transplanted monthly from January to December 2011. The four cultivars recorded similarly higher or lower yields than the annual means when transplanted in July (0.50–0.57 kg/m2 and April (0.07–0.31 kg/m2. A yield-ranking analysis showed that plants transplanted in July was the most productive while those transplanted in April was the least productive, and also revealed a yield-seasonality for irrigated rice in Tanzania, a low-yield season (April–May, a high-yield season (June–August, and an unstable-yield season (September–March. These yield seasons would appear to be closely linked to seasonal temperature variations. When transplanted in April–May, plants were exposed to very low temperatures between panicle initiation and flowering, apparently reducing yield through cold-induced sterility. Those transplanted in June–August prolonged their growth under relatively low temperatures and increased yield through increasing biomass production. In September–March, yield levels varied greatly due to the shortened phenological growth durations at higher temperatures. We conclude that under fully-irrigated conditions in Tanzania, rice should be transplanted in July to ensure the maximum production and yield stability. The yield-seasonality suggests that implementing measures to protect plants from low and high temperature stress at critical phenological stages may allow year-round rice production under fully-irrigated conditions in Tanzania.

  14. Possible damping model of the 6 year oscillation signal in length of day

    Science.gov (United States)

    Duan, Pengshuo; Liu, Genyou; Hu, Xiaogang; Sun, Yafei; Li, Honglei

    2017-04-01

    A significant 6 year oscillation signal exists in the observed length-of-day (LOD) series. We recently used normal Morlet wavelet transform method to recover this oscillation signal. The result indicates that the amplitude of this oscillation has been decreasing for the over past 50 years. Using the simulation analysis, this study further demonstrates that the above result is reliable. However, the geophysical mechanism responsible for this decrease is less clear. Here, we develop a temporal-decaying function to characterize the secular attenuation of the oscillation signal. Using the least squared method, we obtain the corresponding quality factor Q value (51.6 ± 0.4) and the damping relaxation time τ (99.2 ± 0.8 years). We find the attenuation of the 6 year oscillation signal and its Q value can be explained by previous theoretical prediction, providing constraints on the related physical parameters of the lowermost mantle. The dissipative effect of electromagnetic coupling at the core-mantle boundary is likely to be a primary factor to cause the decaying of the 6 year oscillation signal.

  15. Estimating daily global solar radiation by day of the year in Algeria

    Science.gov (United States)

    Aoun, Nouar; Bouchouicha, Kada

    2017-05-01

    This study presents six empirical models based on the day-of-the-year number for estimating global solar radiation on a horizontal surface. For this case study, 21 years of experimental data sets for 21 cities over the whole Algerian territory are utilized to develop these models for each city and for all of Algeria. In this study, the territory of Algeria was divided into four different climatic zones, i.e., Arid, Semi-arid, Highlands and Mediterranean. The accuracy of the all-Algeria model was tested for each city and for each climate zone. To evaluate the accuracy of the models, the RMSE, rRMSE, MABE, MAPE, and R, which are the most commonly applied statistical parameters, were utilized. The results show that the six developed models provide excellent predictions for global solar radiation for each city and for all-Algeria. Furthermore, the model showing the greatest accuracy is the sine and cosine wave trigonometric model.

  16. The incidence, hospital expenditure, and, 30 day and 1 year mortality rates of spontaneous intracerebral hemorrhage in Taiwan.

    Science.gov (United States)

    Chan, Chien-Lung; Ting, Hsien-Wei; Huang, Hsin-Tsung

    2014-01-01

    The risks of morbidity and mortality are high in patients with spontaneous intracerebral hemorrhage (sICH). The medical care resources associated with sICH are also substantial. This study aimed to evaluate the medical expenditure for sICH patients in Taiwan. We analyzed the National Health Insurance Research Database from 2005 to 2010. The inclusion criterion was first-event sICH; traumatic ICH patients were excluded. Student's t-test, multiple linear regression and the chi-squared test were employed as the statistical methods. Our results showed that the incidence of sICH was 40.77 patients per 100,000 of population per year in Taiwan. The incidence increased with age and was greater in men than women. The mean hospital length of stay (LOS) of first-event sICH patients was 31.8 days; the mean LOS in the intensive care unit was 7.9 days; and the mean survival time was 60.4 months. The mortality rate within 30 days and within 1 year was 19.8 and 29.6%, respectively. The mean hospital expenditure of first-event sICH patients was USD $7572, and was highly correlated with LOS. In conclusion, the incidence of sICH in Taiwan is higher than that in white and black populations of northern America and some European countries and lower than that in the Asian populations of Japan and China. The features of male and female sICH patients differ. Our findings suggest that the hospital expenditure and mortality rate of sICH patients in Taiwan are comparable with those of other countries.

  17. Sex difference in response to stress by lunar month: A pilot study of four years' crisis-call frequency

    Directory of Open Access Journals (Sweden)

    Steffert Beverly

    2003-12-01

    Full Text Available Abstract Background This study is in response to the question of whether the moon can influence daily levels of stress. Method Four years of telephone-call frequency data were obtained from a single crisis-call centre. We used the method of lunar-day numbers 1 to 29 for analysis. We also tested the concept of 'strong moons' as occurring when the Sun was near to the lunar-node axis. Results An increase in calls was recorded from females and a decrease in calls by males during the new moon period, suggesting a sex difference in response, and there were proportionally more calls by males a fortnight later. A comparable swing in the male/female call-ratio on a weekly basis over Fridays and Saturdays was noted. Limitations of staffing at the call-centre prohibited comment on seasonal correlations. Conclusion Lunar-related studies of stress should endeavour to separate the data by sex or the effect can be lost. Distress-calls by women were more strongly linked to the lunar month than were those by men.

  18. High resolution reconstruction of monthly autumn and winter precipitation of Iberian Peninsula for last 150 years.

    Science.gov (United States)

    Cortesi, N.; Trigo, R.; González-Hidalgo, J. C.; Ramos, A.

    2012-04-01

    Precipitation over Iberian Peninsula (IP) presents large values of interannual variability and large spatial contrasts between wet mountainous regions in the north and dry regions in the southern plains. Unlike other European regions, IP was poorly monitored for precipitation during 19th century. Here we present a new approach to fill this gap. A set of 26 atmospheric circulation weather types (Trigo R.M. and DaCamara C.C., 2000) derived from a recent SLP dataset, the EMULATE (European and North Atlantic daily to multidecadal climate variability) Project, was used to reconstruct Iberian monthly precipitation from October to March during 1851-1947. Principal Component Regression Analysis was chosen to develop monthly precipitation reconstruction back to 1851 and calibrated over 1948-2003 period for 3030 monthly precipitation series of high-density homogenized MOPREDAS (Monthly Precipitation Database for Spain and Portugal) database. Validation was conducted over 1920-1947 at 15 key site locations. Results show high model performance for selected months, with a mean coefficient of variation (CV) around 0.6 during validation period. Lower CV values were achieved in western area of IP. Trigo, R. M., and DaCamara, C.C., 2000: "Circulation weather types and their impact on the precipitation regime in Portugal". Int. J. Climatol., 20, 1559-1581.

  19. TEN DAYS TRAINING EFECTIVITY ON MEASURED SPECIFIC MOTOR ABILITIES OF BASKETBALL PLAYERS 15 YEARS OF AGE

    Directory of Open Access Journals (Sweden)

    Pavle Rubin

    2009-11-01

    Full Text Available Research took place in the basketball camp “Kikinda 07”. The sample consisted of 20 basketball players, 15 years of age (cadets, from Kikindas basketball clubs. On the inicial (9.VIII 2007. year and final (19.VIII 2007. year measurement, 9 tests spe- cific motor abilities (SMA were done: Player movement with the ball, Ball manipulation and Player movement without the ball. The aim was to prove 10 days training efektivity (15 trainings at 90 min. on specific motor abilities (SMA at cadets. Basketball players (cadets were trained under programme made by author of this research. The differences between two measurements (initial and final were proven using multivariate analysis of variance (MANOVA. Using this results the significant statistical difference appeared between two measuremeents (on .00 level. Univariate analysis of variance (ANOVA proved a statistical significant better results after training (in final measurement in 4 tests (variable: “Kamikaze” (shorted with driving (on .05 level; Driving the ball aro- und central circle (on .00 level (for SMA measurement movement player with a ball; and for SMA ball manipulation: Driblling with variations and Circling with ball around a body (on .00 level.

  20. 63 Years and 715 Days to the “Boxed Warning”: Unmasking of the Propylthiouracil Problem

    Directory of Open Access Journals (Sweden)

    Scott A. Rivkees

    2010-01-01

    Full Text Available 715 days after potential problems related to PTU use in children were presented in a debate in front of the Lawson Wilkins Pediatric Endocrine Society (LWPES, the US Food and Drug Administration issued a “black-box” warning about the hepatotoxicity risk of the antithyroid drug propylthiouracil (PTU. This safety advisory followed the collective actions of academic societies, medical publishers, the National Institutes of Health, and the FDA. Considering that surgery and radioactive iodine are the legitimate treatment options for Grave Disease (GD, and are now the preferred alternative therapy in individuals who developed toxic reactions to MMI, the use of PTU should now be limited to exceptional circumstances and pregnancy. Long-term PTU therapy, especially in children, is not justifiable. The current advisory comes 63 years after the introduction of PTU for clinical use in 1947.

  1. Open globe injury in a 3-year-old child presenting 3 days later!!!

    Directory of Open Access Journals (Sweden)

    Avinash Mishra

    2014-01-01

    Full Text Available Open globe injuries are a very common cause of unilateral visual loss, with children accounting for up to 20% of all these injuries. The principles of management of ocular injuries are the same for children and adults. However, the management in the case of a child is made much more difficult due to variable cooperation with assessment and continuing therapy as well as the subsequent possibility of amblyopia further complicating the treatment. Here we report the successful management of a 3-year-old child who was brought to this center with a full thickness penetrating injury to her cornea, with a pencil, and the presence of hypopyon, 3 days after the occurrence of the injury.

  2. Results of a Second Year of Therapy with the 12-Month Histrelin Implant for the Treatment of Central Precocious Puberty

    Directory of Open Access Journals (Sweden)

    Samar Rahhal

    2009-01-01

    Full Text Available Background. Gonadotropin releasing hormone analogs (GnRHas are standard of care for central precocious puberty (CPP. The histrelin subcutaneous implant is safe and effective in the treatment of CPP for one year. Objective. The study evaluates a second year of therapy in children with CPP who received a new implant after one year of treatment. Methods. A prospective one-year study following an initial 12-month treatment period was conducted. Results. Thirty-one patients (29 girls aged 7.7±1.5 years received a second implant. Eighteen were naïve to GnRHa therapy at first implantation. Peak LH declined from 0.92±0.58 mIU/mL at 12 months to 0.51±0.33 mIU/mL at 24 months (P < .0001 in naïve subjects, and from 0.74±0.50 mIU/mL at 12 months to 0.45±0.35 mIU/mL at 24 months (P=.0081 in previously treated subjects. Predicted adult height increased by 5.1 cm at 24 months (P=.0001. Minor implant site reactions occurred in 61%, while minor difficulties with explantation occurred in 32.2% of subjects. Conclusion. The histrelin implant demonstrates profound hypothalamic-pituitary-gonadal axis suppression when a new implant is placed for a second year of treatment. Prospective follow-up of this therapeutic modality for the treatment of CPP is needed.

  3. Day care attendance in early life, maternal history of asthma, and asthma at the age of 6 years

    NARCIS (Netherlands)

    Celedon, JC; Wright, RJ; Litonjua, AA; Sredl, D; Ryan, L; Weiss, ST; Gold, DR

    2003-01-01

    Among children not selected on the basis of a parental history of atopy, day care attendance in early life is inversely associated with asthma at school age. We examined the relation between day care in the first year of life and asthma, recurrent wheezing, and eczema at the age of 6 years and wheez

  4. Day care attendance in early life, maternal history of asthma, and asthma at the age of 6 years

    NARCIS (Netherlands)

    Celedon, JC; Wright, RJ; Litonjua, AA; Sredl, D; Ryan, L; Weiss, ST; Gold, DR

    2003-01-01

    Among children not selected on the basis of a parental history of atopy, day care attendance in early life is inversely associated with asthma at school age. We examined the relation between day care in the first year of life and asthma, recurrent wheezing, and eczema at the age of 6 years and

  5. [Intestinal parasites in children aged 4-12 months attending day-care centers of Federal University-Uberlândia-MG].

    Science.gov (United States)

    Berbert-Ferreira, M; Costa-Cruz, J M

    1995-01-01

    The objective of this study was to search for the presence of intestinal parasites in 56 suckling babies, ranging from 4 to 12 months in age hosted during the year of 1989 at the nursery kept by the "Universidade Federal de Uberlândia", at Uberlândia, Minas Gerais State, Brazil. From each child a foecal sample was collected and preserved in 10% formalin until processed, what was done by the Hoffman, Pons and Janer's method, in which the sediment is stained by lugol solution. For each sample 6 slides were prepared and examined, what added up to a total of 336 slides. The percentual of positivity was 23.21%, including 17.85% Ancylostomidae eggs, 5.36% Giardia lamblia and 1.78% Endolimax nana. Only one child presented the associated infections of Ancylostomidae and Giardia lamblia. In what host age is concerned, one child was shown to be infected by Ancylostomidae after it reached 6 months; generally speaking there was evidence of an increase of parasitic infections of hosts beyond the age of 9 months. The above results point out to the necessity of searching for the presence of parasitic intestinal infections covering suckling babies in public nurseries, by means of foecal semestral examinations,even when such babies do not manifest clinical signs of parasitism, in order that adequate treatment and preventive sanitary measures may be adopted to avoid or suppress ambiental contamination with the causative organisms.

  6. Quick Critics: Speeding up the Publication of Reviews from Years to Months

    Science.gov (United States)

    Howard, Jennifer

    2009-01-01

    In metabolic terms, publishing in the humanities is more couch potato than sprinter. An idea can take years to move from light-bulb stage to manuscript to finished book. Add another year, or two or three, before an author can expect to see reviews of that book in academic journals. That slows down an already glutted system. "It's just appalling…

  7. Impact of complications and hospital-free days on health related quality of life 1 year after radical cystectomy.

    Science.gov (United States)

    Ritch, Chad R; Cookson, Michael S; Chang, Sam S; Clark, Peter E; Resnick, Matthew J; Penson, David F; Smith, Joseph A; May, Alex T; Anderson, Christopher B; You, Chaochen; Lee, Haerin; Barocas, Daniel A

    2014-11-01

    We determined the extent to which complications as well as number of hospital-free days within 30 and 90 days of surgery predicted health related quality of life 1 year after radical cystectomy. We used data from a prospective health related quality of life study using a validated instrument, the Vanderbilt Cystectomy Index-15. Complications were graded by the Clavien system, and hospital length of stay and length of stay during readmissions were used to calculate 30 and 90-day hospital-free days, respectively. We compared the number of hospital-free days among patients with varying levels of complications. Multivariate analysis was performed to determine predictors of Vanderbilt Cystectomy Index-15 score 1 year after surgery adjusting for demographic (age, gender, comorbidities) and clinical variables (stage and diversion type). A total of 100 patients with complete baseline and 1-year followup health related quality of life data were included in the analysis. Median (IQR) 30 and 90-day hospital-free days were 24 (22-25) and 84 (82-85), respectively. Patients who experienced any complications had significantly fewer 30-day hospital-free days (22 vs 24 days, p free days (81 vs 84 days, p free days than those with lower grade or no complications (p quality of life scores. Patients who experience complications after radical cystectomy have fewer 30 and 90-day hospital-free days. However, neither predicts health related quality of life at 1 year. Instead, long-term health related quality of life appears to be driven largely by baseline health related quality of life and gender. Copyright © 2014 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  8. Monthly Activity Report, Fiscal Year 2004: Presquile and James River National Wildlife Refuges

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This annual narrative report for Presquile and James River National Wildlife Refuges outlines Refuge accomplishments during the 2004 fiscal year. Land acquisition is...

  9. Progression of brain atrophy in PSP and CBS over 6 months and 1 year.

    Science.gov (United States)

    Dutt, Shubir; Binney, Richard J; Heuer, Hilary W; Luong, Phi; Attygalle, Suneth; Bhatt, Priyanka; Marx, Gabe A; Elofson, Jonathan; Tartaglia, Maria C; Litvan, Irene; McGinnis, Scott M; Dickerson, Bradford C; Kornak, John; Waltzman, Dana; Voltarelli, Lisa; Schuff, Norbert; Rabinovici, Gil D; Kramer, Joel H; Jack, Clifford R; Miller, Bruce L; Rosen, Howard J; Boxer, Adam L

    2016-11-08

    To examine the utility and reliability of volumetric MRI in measuring disease progression in the 4 repeat tauopathies, progressive supranuclear palsy (PSP) and corticobasal syndrome (CBS), to support clinical development of new tau-directed therapeutic agents. Six- and 12-month changes in regional MRI volumes and PSP Rating Scale scores were examined in 55 patients with PSP and 33 patients with CBS (78% amyloid PET negative) compared to 30 normal controls from a multicenter natural history study. Longitudinal voxel-based morphometric analyses identified patterns of volume loss, and region-of-interest analyses examined rates of volume loss in brainstem (midbrain, pons, superior cerebellar peduncle), cortical, and subcortical regions based on previously validated atlases. Results were compared to those in a replication cohort of 226 patients with PSP with MRI data from the AL-108-231 clinical trial. Patients with CBS exhibited greater baseline atrophy and greater longitudinal atrophy rates in cortical and basal ganglia regions than patients with PSP; however, midbrain and pontine atrophy rates were similar. Voxel-wise analyses showed distinct patterns of regional longitudinal atrophy in each group as compared to normal controls. The midbrain/pons volumetric ratio differed between diagnoses but remained stable over time. In both patient groups, brainstem atrophy rates were correlated with disease progression measured using the PSP Rating Scale. Volume loss is quantifiable over a period of 6 months in CBS and PSP. Future clinical trials may be able to combine CBS and PSP to measure therapeutic effects. © 2016 American Academy of Neurology.

  10. User experiences of wearable activity monitor among 3-6-year-old preschool children – Are children willing to wear monitor 7 days 24 hours per day?

    Directory of Open Access Journals (Sweden)

    Suvi Määttä

    2015-10-01

    This study was conducted as a part of long-term DAGIS project that aims to improve the health behaviors and diminish socioeconomic inequalities in health behaviors among preschool children in Finland. A large cross-sectional survey is conducted in autumn 2015. Children (N=800, aged 3-6 years wear Actigraph WGT3X-BT accelerometer for seven days, 24 hours per day. Simultaneously with accelerometer use, parents fill in diary with informing the user experiences of accelerometer and possible non-wearing times. Parents are advised that the child wears accelerometer 24 hours and remove the belt only when in water (e.g. in shower. The accelerometer data are checked straight after data collection. Choi (2011 wear time analyses are conducted for data. The device acceptability, compliance for wearing times and reported barriers for using accelerometer 24 hours in seven days among 3-6-year-old children are reported. Conclusions This study provides new information about the usability of wearable activity monitors among 3-6-year-old children, an age group that is less studied.

  11. Precision and within- and between-day variation of bioimpedance parameters in children aged 2-14 years

    DEFF Research Database (Denmark)

    Andersen, Trine B; Jødal, Lars; Arveschoug, Anne;

    2011-01-01

    BACKGROUND & AIMS: Bioimpedance spectroscopy (BIS) offers the possibility to perform rapid estimates of fluid distribution and body composition. Few studies, however, have addressed the precision and biological variation in a pediatric population. Our objectives were to evaluate precision.......4-14.9 years) had one series measured on day one (precision population). Forty-four children had a second series on day one (within-day sub-population). Thirty-two children had a series measured on the next day (between-day sub-population). Each measurement series consisted of three repeated measurements...

  12. Periodontal microbiota of Sardinian children: comparing 200-year-old samples to present-day ones

    Directory of Open Access Journals (Sweden)

    Germano Orrù

    2017-02-01

    Full Text Available Introduction: The microrganisms of the human oral cavity include more than 700 species or phenotypes of bacteria. Some “diseases of civilization” are strictly correlated to changes in the microbiome following the food revolution that occurred after WWII. For that reason, a precise recognition of the microbiome profile before and after this period should be useful to determine the health-compatible model of microbiome. The aim of this study was to compare the microbiome profiles (number of total cells, and pathogen types of dental samples obtained from two distinct groups of children, a 200-year-old retrieved one and a present one.Methods: Two different groups of samples have been studied. The first group was a set of 50 recent subgingival plaque samples obtained from children of age 2-8 years, 14 males and 36 females. They were enrolled by the Department of Dental Disease Prevention (University of Cagliari, in Sardinia, Italy during standard dental care procedures. None reported periodontal disease and none had been under antibiotic therapy during the previous 6 months. The second group was an old retrieved group that included 24 teeth from 6 different 6- to 8-year-old crania fragments; they were obtained from a 200-year-old charnel-house located in Villaputzu, a city close to Cagliari. Representative periodontal bacteria have been identified by a previously published real-time PCR procedure (Sokransky et al., 1998 in which P. gingivalis and T. forsythia (red complex, A. actinomycetemcomitans (green complex and F. nucleatum (orange complex were detected. In addition, the title of each pathogen was expressed as a percentage of the total bacteria (biofilm in the sample.Results and discussion: The profile of periodontal microbiomes, between recent/ancient samples showed a significant difference relative to Sokransky’s red complex bacteria (p < 0.05. In all analyzed periodontal strains, the pathogenic bacteria P. gingivalis and T. forsythia

  13. Change of residence and functional status within three months and one year following hip fracture surgery

    DEFF Research Database (Denmark)

    Ariza-Vega, Patrocinio; Jiménez-Moleón, José Juan; Kristensen, Morten Tange

    2014-01-01

    PURPOSE: To study the recovery of patients in terms of 18 activities of daily living and change of residence within the year following a hip fracture. METHOD: This prospective cohort study was carried out in a trauma service of an acute hospital in southern Spain including 159 patients with a hip...

  14. Development of Allocentric Spatial Memory Abilities in Children from 18 months to 5 Years of Age

    Science.gov (United States)

    Ribordy, Farfalla; Jabes, Adeline; Lavenex, Pamela Banta; Lavenex, Pierre

    2013-01-01

    Episodic memories for autobiographical events that happen in unique spatiotemporal contexts are central to defining who we are. Yet, before 2 years of age, children are unable to form or store episodic memories for recall later in life, a phenomenon known as infantile amnesia. Here, we studied the development of allocentric spatial memory, a…

  15. [Children less than 3 months hospitalised due to acute febrile syndrome. 5 years clinical experience].

    Science.gov (United States)

    Méndez Espinola, Benigno Miguel; Herrera Labarca, Patricio

    2015-01-01

    Acute fever of unknown origin (AFUO) is established when the anamnesis and physical examination cannot identify the cause. In infants less than 3 months-old this is situation for concern, due to the risk of a serious bacterial infection. To describe the clinical and laboratory variable of patients with AFUO, in order to look for clues in order to base studies on the decisions arising drom this problem. A report is presented on a retrospective study conducted on a cohort of children less than three months-old admitted to the Hospital Roberto del Río (2007-2011) due to an AFUO. Clinical histories were reviewed and the patients were grouped, according to the severity of the admission diagnosis, into severe and non-severe. They were compared in strata determined by the variables of clinical interest. A total of 550 children were admitted with AFUO during the study period. There was low agreement between the severity on admission and at discharge (kappa=0.079; P=.26). There were 23.8% of children in the severe group and 76.2% in the non-severe group. Urinary tract infection predominated in the severe group (68.7%) and 40.7% with acute febrile syndrome in the non-severe group. The cut-off levels for C-reactive protein, white cells, and neutrophils per mm(3), to calculate the fixed and variable indices, only showed negative predictive values of some use for ruling out serious bacterial infection. The ROC curves with white cell and neutrophil counts and C-reactive protein, did not provide andy fixed indices of clinical use. More than one-third (34.6%) of lumbar punctures were traumatic or failures. According to the results of this study, there is an obvious excess of hospital admissions, little usefulness in the examinations to identify serious bacterial infection, a high percentage lumbar punctures traumatic and lumbar punctures failures, and an excess of antibiotic treatments. A review of clinical criteria and procedures is needed. Copyright © 2015 Sociedad Chilena de

  16. Prevalence of the Precocious Caries in Infancy in Children of 6 the 36 Months in Public Day-Care Centers of Caruaru/PE, Brazil

    Directory of Open Access Journals (Sweden)

    Shirley Suely Veras Vieira MACIEL

    2007-03-01

    Full Text Available Objective: Describe the prevalence of the precocious caries in infancy in children of 6 the 36 months in public day-care centers of Caruaru-PE, and its association with characteristics of the child, as well as analyzing the knowledge of the responsible parents or related the buccal health. Method: The study drawing is of the type transversal cut (to cross-over. Had been collected through information on knowledge related to the buccal health, as well as had been examined to the dental conditions of the children and through the Sinasc the characteristics of the gestation, the childbirth and the child had been collected. For the tests of association for chi-squared (x2 to evaluate the relationship between the dependent variable (ceo-d and the independent variable, the Program was used Epi-info version 6.04. Results: Of the total of 168 studied children, on average examined 14.65 teeth for child. Of these 62.3% were healthy and carious only 3.3%. 92.9% of the parents had knowledge of that the teeth of its children were of milk and knew of its importance; 78.6% already brushed teeth of the children; 74.4% knew as they were the teeth of the children, although only 16.2% to identify carie would indent and 6.0% to tell that the son had tooth ache. But 12.5% had been to the dentist, being 27.3% for revision and control. Of 22.6% of the children who had caries, 79.4% of them consumed nocturnal baby’s bottle, being that 40.7% of them sweetened; 30.4% consumed candies between the meals increasing this consumption to the 25 months of age. Conclusion: The dental caries increases in function of the age in consequence of the increase of the eruption tooth number and the consumption of sugar in the diet.

  17. Surgical treatment of developmental hip dislocation in children aged 1 to 3 years: a mean 18-year, 9-month follow-up study.

    Science.gov (United States)

    Varner, Kevin E; Incavo, Stephen J; Haynes, Richard J; Dickson, Jesse H

    2010-03-01

    Forty-six consecutive patients with 57 congenitally dislocated hips were treated with open reduction and femoral or acetabular procedures as indicated. Patient age ranged from 12 to 36 months at the time of surgery. We evaluated the outcome of 38 of the 46 patients (83%) with 47 hips (83%) at a mean follow-up of 18 years, 9 months (range, 13 years, 7 months to 24 years, 7 months) after all patients had reached skeletal maturity.Using Severin's radiographic classification, 24 hips (52%) were rated as class I, 12 (26%) as class II, 8 (17%) as class III, 2 (4%) as class IV, and 0 as class V. The mean Iowa Hip Score was 92 points. One patient had significant abductor weakness and a Trendelenburg gait. The mean leg-length discrepancy was <1 cm. Disturbance in growth of the proximal aspect of the femur occurred in 10 hips (22%).In our experience, open reduction of the congenitally dislocated hip in children aged 1 to 3 years, combined with femoral or acetabular procedures, leads to successful clinical and radiographic results in most cases. These patients have an opportunity for normal hip function during childhood and the potential for a straightforward reconstructive procedure should they develop severe degenerative hip arthrosis.

  18. Increasing Fruit, Vegetable and Water Consumption in Summer Day Camps-3-Year Findings of the Healthy Lunchbox Challenge

    Science.gov (United States)

    Beets, Michael W.; Tilley, Falon; Weaver, Robert G.; Turner-McGrievy, Gabrielle M.; Moore, Justin B.

    2014-01-01

    The objective of this study was to describe the 3-year outcomes (2011-2013) from the healthy lunchbox challenge (HLC) delivered in the US-based summer day camps (SDC) (8-10 hours day-1, 10-11 weeks summer-1, SDC) to increase children and staff bringing fruit, vegetables and water (FVW) each day. A single group pre- with multiple post-test design…

  19. Increasing Fruit, Vegetable and Water Consumption in Summer Day Camps-3-Year Findings of the Healthy Lunchbox Challenge

    Science.gov (United States)

    Beets, Michael W.; Tilley, Falon; Weaver, Robert G.; Turner-McGrievy, Gabrielle M.; Moore, Justin B.

    2014-01-01

    The objective of this study was to describe the 3-year outcomes (2011-2013) from the healthy lunchbox challenge (HLC) delivered in the US-based summer day camps (SDC) (8-10 hours day-1, 10-11 weeks summer-1, SDC) to increase children and staff bringing fruit, vegetables and water (FVW) each day. A single group pre- with multiple post-test design…

  20. Progressive memory loss for one year and visual changes for three months

    Directory of Open Access Journals (Sweden)

    Si-yuan FAN

    2014-08-01

    Full Text Available A 49-year-old Chinese male presented with memory loss and vision disturbances. Neurological examination revealed bilateral positive Babinski signs. Cognitive assessments showed cognitive impairments. Neuroimaging studies showed high-intensity signals on bilateral parietal lobes, occipital lobes, temporal lobes, the splenium of the corpus callosum, and pyramidal tracts. Plasma very long chain fatty acids (VLCFA assay was ordered and demonstrated abnormally high concentrations of C26:0, and abnormally high ratios of C24:0 and C26:0 to C22:0. This diagnosis was also supported by the pathogenic mutation detected in the ACBD1 gene. There was no significant adrenal insufficiency, so replacement therapy was not initiated. doi: 10.3969/j.issn.1672-6731.2014.08.018

  1. [Resection of a left obturator lymph node recurrence five years five months after surgery for rectal cancer].

    Science.gov (United States)

    Takenoya, Takashi; Kobayashi, Yukari; Suda, Kouichi; Shimizu, Kazuki; Kikuichi, Masahiro

    2014-11-01

    A 62-year-old man with lower rectal cancer underwent abdominoperineal resection and dissection of the lateral pelvic lymph nodes. The cancer was staged at pT3pN0cM0, pStage II and did not show recurrence. Two years later, the patient had dysphagia and was diagnosed with esophageal cancer based on upper gastrointestinal endoscopy. Positron emission tomography-computed tomography (PET/CT) performed to detect distant metastasis revealed fluorodeoxyglucose (FDG) uptake in the left obturator lymph nodes, indicating rectal cancer recurrence. The patient received radiation therapy (60.4 Gy) for the recurrence. A PET/CT scan obtained 2 years 6 months after the initial rectal cancer resection revealed no FDG uptake. Uraciltegafur plus Leucovorin (UFT+LV) was started and continued for 6 months, but tumor enlargement was noted. Treatment was changed to LV, 5-fluorouracil, and irinotecan (FOLFIRI), but after 4 courses, the patient's carcinoembryonic antigen (CEA) levels rose. The patient then received 4 courses of bevacizumab plus FOLFIRI. A CT scan revealed tumor shrinkage, so the patient received 4 more courses of this regimen. Five years postoperatively, the patient's CEA levels rose again. A PET/CT scan 4 months later revealed FDG uptake in the left obturator lymph nodes, indicative of rectal cancer recurrence. One month later, the lymph nodes were resected. The patient was subsequently recurrence free. Tumor marker measurement and PET/CT helped to assess the patient's condition. When cancer recurs in the lateral pelvic lymph nodes with no involvement of the pelvis and R0 resection is possible, resection should be considered if the patient is capable of undergoing surgery.

  2. Two Years versus One Year of Tianjiu Therapy in Sanfu Days for Chronic Asthma: A Clinical Efficacy Observation Trial

    Directory of Open Access Journals (Sweden)

    Li Bing Zhu

    2014-01-01

    Full Text Available Background. Tianjiu therapy has established efficacy against chronic asthma with related symptoms or the medication need during asthma attack. This study aimed to explore the optimal duration of Tianjiu therapy for asthma. Methods. This study was a self-comparison-to-the-baseline study, which comparing treatment with Tianjiu therapy for 1 year and 2 years in the same 102 chronic asthma patients. Totally 6 sessions of Tianjiu treatment were provided, 3 sessions in a year as a course of treatment and totally two years treatment. The primary endpoint was the number of asthma related symptoms which frequently appeared in asthma patients and the frequency of bronchodilator used during asthma attack. Results. The frequency of bronchodilator used during asthma attack significantly improved (χ2=46.276, P=0.000. But the number of asthma related symptoms which frequently appeared in asthma patients added by 1.38 points (95% CI, 0.25 to 2.51, 2.93±0.41 in 1-year group and 4.31±0.41 in the 2-years group (P<0.05. Conclusions. The effect of 2 years Tianjiu therapy was not as effective as 1 year such treatment for asthma, but the second year Tianjiu therapy was still needed because it has a role to consolidate the curative effect of Tianjiu therapy for asthma.

  3. US stock market efficiency over weekly, monthly, quarterly and yearly time scales

    Science.gov (United States)

    Rodriguez, E.; Aguilar-Cornejo, M.; Femat, R.; Alvarez-Ramirez, J.

    2014-11-01

    In financial markets, the weak form of the efficient market hypothesis implies that price returns are serially uncorrelated sequences. In other words, prices should follow a random walk behavior. Recent developments in evolutionary economic theory (Lo, 2004) have tailored the concept of adaptive market hypothesis (AMH) by proposing that market efficiency is not an all-or-none concept, but rather market efficiency is a characteristic that varies continuously over time and across markets. Within the AMH framework, this work considers the Dow Jones Index Average (DJIA) for studying the deviations from the random walk behavior over time. It is found that the market efficiency also varies over different time scales, from weeks to years. The well-known detrended fluctuation analysis was used for the characterization of the serial correlations of the return sequences. The results from the empirical showed that interday and intraday returns are more serially correlated than overnight returns. Also, some insights in the presence of business cycles (e.g., Juglar and Kuznets) are provided in terms of time variations of the scaling exponent.

  4. Docosahexaenoic acid status at 9 months is inversely associated with communicative skills in 3-year-old girls

    DEFF Research Database (Denmark)

    Engel, Sara; Tronhjem, Kathrine Marie Hagerup; Hellgren, Lars

    2013-01-01

    personal and social skills was also observed, but only for girls. In girls, RBC-DHA was found to be inversely correlated with communication at 3 years of age (odds ratio = 0.69, 95% confidence interval: 0.56-0.86, P = 0.001), but no other associations with psychomotor development or milestones were found....... The results from study indicate that DHA status at 9 months may not have a pronounced beneficial effect on psychomotor development in early childhood and that communicative skills at 3 years of age may even be inversely associated with early RBC-DHA levels in girls....

  5. Between- and within-day variability in physical activity and inactivity in 9- and 15-year-old European children

    DEFF Research Database (Denmark)

    Nilsson, A; Anderssen, S A; Andersen, Lars Bo;

    2008-01-01

    To examine differences in levels of physical activity (PA), time spent at moderate-to-vigorous intensity PA (MVPA) and time spent sedentary between and within days in children from four European countries, 1954 9 - and 15-year-olds were included. PA was measured during 2 weekdays and 2 weekend days...... using the manufacturing technology-incorporated (MTI) accelerometer. Average count per minute, time spent sedentary, time spent at MVPA and the proportion of children accumulating >/=60 min of MVPA were calculated. Data were compared between weekdays and weekend days and between school time and leisure....... Few children (4-31%) accumulated >/=60 min of MVPA either during school time or during leisure-time. Differences in activity patterns between weekdays and weekend days are explained by less accumulated time in MVPA during weekend days. Weekend days and leisure-time during weekdays seem appropriate...

  6. Decreasing Disability Processing Days for Soldiers in the U.S. Army Through Initiatives in Human Resource Management Support Systems: A Two-Tiered, Three Year Evaluation

    Directory of Open Access Journals (Sweden)

    Bernard Kerr, Jr.

    2005-02-01

    Full Text Available This essay highlights the findings of a two tiered, three year evaluation. The first tier studied human resource and quality management initiatives at Walter Reed Army Medical Center (WRAMC Washington, DC from 1992-1994. The second tier researched disability records through the United States Army Physical Disability Agency, Bethesda, Maryland in 1996. The first tier found that Total Quality Management reduced the average length of stay (ALOS and size of the disability population from 220 days and 240 disability cases to 65 days and 57 disability cases over 24 months. The second tier studied 8,301 soldiers whose disability records were processed in Fiscal Year 1996. The research shows only administrative variables affect ALOS. The authors recommend a program of disability case management and increasing emphasis on transition assistance programs to reduce ALOS in the PDES.

  7. Decreasing Disability Processing Days for Soldiers in the U.S. Army Through Initiatives in Human Resource Management Support Systems: A Two-Tiered, Three Year Evaluation

    Directory of Open Access Journals (Sweden)

    Bernard Kerr, Jr.

    2005-02-01

    Full Text Available This essay highlights the findings of a two tiered, three year evaluation. The first tier studied human resource and quality management initiatives at Walter Reed Army Medical Center (WRAMC Washington, DC from 1992-1994. The second tier researched disability records through the United States Army Physical Disability Agency, Bethesda, Maryland in 1996. The first tier found that Total Quality Management reduced the average length of stay (ALOS and size of the disability population from 220 days and 240 disability cases to 65 days and 57 disability cases over 24 months. The second tier studied 8,301 soldiers whose disability records were processed in Fiscal Year 1996. The research shows only administrative variables affect ALOS. The authors recommend a program of disability case management and increasing emphasis on transition assistance programs to reduce ALOS in the PDES.

  8. Dietary patterns on weekdays and weekend days in 4–14-year-old Danish children

    DEFF Research Database (Denmark)

    Rothausen, Berit Worm; Matthiessen, Jeppe; Andersen, L. F.

    2013-01-01

    with high agreement for the ‘processed’ pattern had a significantly higher dietary energy density, which was reflected in significantly higher intakes of sugar-sweetened beverages and lower intakes of fruit and vegetables, compared with children with high agreement for the ‘health conscious’ pattern (P ...·05). Moreover, these variables indicated less healthy dietary intakes on weekend days than on weekdays for both patterns. In conclusion, two distinct dietary patterns, labelled ‘processed’ and ‘health conscious’, were identified on both weekdays and weekend days for each age group. While overall major dietary...

  9. A longitudinal follow-up of posttraumatic stress: from 9 months to 20 years after a major road traffic accident

    Directory of Open Access Journals (Sweden)

    Rydelius Per-Anders

    2011-03-01

    Full Text Available Abstract Background Although road traffic accidents (RTA are a major cause of injury and a cause of posttraumatic stress (PTS in the aftermath, little is known about the long-term psychological effects of RTA. Methods This prospective longitudinal study assessed long-term PTS, grief, and general mental health after a bus carrying 23 sixth-grade schoolchildren crashed on a school outing and 12 children died. Directly affected (i.e., children in the crash and indirectly affected children (i.e., all pupils in the sixth grade who were not in the crash were surveyed at 9 months (N = 102, 4 years (N = 51, and 20 years (N = 40 after the event. Psychological distress was assessed by single items, including sadness, avoidance, intrusions, and guilt. After 20 years, PTS was assessed by the Impact of Event Scale-Revised. Results Stress reactions were prevalent 9 months after the event, with sadness (69% and avoidance (59% being highly represented in both directly and indirectly affected groups, whereas, nightmares (60% and feelings of guilt (50% were only frequent in those directly affected. The frequency of sadness and avoidance decreased after 4 years in the indirectly exposed (ps p = .003, but not decreased general mental health (p = .14, than those indirectly affected. Conclusions The limitations preclude assertive conclusions. Nonetheless, the findings corroborate previous studies reporting traumatic events are associated with long-term PTS, but not with decreased general mental health.

  10. Estimation of the total saliva volume produced per day in five-year-old children.

    Science.gov (United States)

    Watanabe, S; Ohnishi, M; Imai, K; Kawano, E; Igarashi, S

    1995-08-01

    Fifteen boys and 15 girls were asked to record for 2 days the time spent awake, eating meals or snacks, and sleeping. The salivary flow rates elicited by chewing foods were also determined. The mean flow rate (+/- SD) of unstimulated saliva was 0.26 +/- 0.16 ml/min and that of saliva while chewing six different foods was 3.6 +/- 0.8 ml/min. The mean times spent eating, and awake but not eating, were 80.8 +/- 27.3 and 820 +/- 59 min, respectively, and the volumes of saliva produced during those periods would average about 288 and 208 ml, respectively. If the flow rate is virtually zero during sleep, the estimated total salivary volume produced per day is calculated to be about 500 ml.

  11. Sensitivity of equatorial atomic oxygen in the MLT region to the 11-year and 27-day solar cycles

    Science.gov (United States)

    Lednyts'kyy, Olexandr; von Savigny, Christian; Weber, Mark

    2017-09-01

    We report on 27-day and 11-year solar cycle signatures in atomic oxygen (O) concentrations ([O]) in the MLT (Mesosphere/Lower Thermosphere) region of the terrestrial atmosphere. MLT [O] profiles were retrieved on the base of green line (557.7 nm) nightglow data sets provided by the SCanning Imaging Absorption spectroMeter for Atmospheric CHartographY (SCIAMACHY) onboard Envisat from 2002 to 2012. A statistically significant solar 27-day signature was identified (and then quantified with respect to the sensitivity and phase relationship to solar forcing) in time series of MLT [O] profiles with use of cross-correlation and superposed epoch analysis techniques. It was the first identification of the solar 27-day signature in MLT atomic oxygen on the base of such experimental data sets. The sensitivity of [O] to solar cycle variability at the 11-year time scale was quantified with use of cross-correlation and multiple-linear regression analysis techniques, which yield results consistent with known studies and, particularly, indicate that the sensitivity of [O] to solar forcing increases with increasing altitude. A comparison of obtained values of atomic oxygen sensitivity in response to solar forcing at the 27-day and 11-year time scales reveals the fact that the sensitivities agree well to each other within their uncertainties during the descending phase of the last (23rd) 11-year cycle of solar activity, whereas the [O] sensitivity values at the 27-day time scale during the last solar minimum phase were lower than those ones during the descending phase. It was also determined that atomic oxygen is in-phase with the solar forcing (in agreement with model results) at the 11-year time scale, whereas the time lag of the 27-day signature in response to solar forcing was about 12 - 14 days.

  12. Mobility and mobility-related participation outcomes of powered wheelchair and scooter interventions after 4-months and 1-year use.

    Science.gov (United States)

    Löfqvist, C; Pettersson, C; Iwarsson, S; Brandt, A

    2012-05-01

    The aim was to investigate outcomes of powered wheelchair and scooter interventions after 4-months and 1-year use regarding need for assistance when moving around, frequency of mobility-related participation, easiness/difficulty in mobility during participation, and number of participation aspects performed in everyday life. The study was a prospective cohort study, using an instrument focusing on mobility-related participation outcomes of mobility device interventions (NOMO 1.0), at baseline, after 4-months and 1-year use. The results show that the outcomes in terms of participation frequency and easiness in mobility occur in a short time perspective, and that the effects remained stable at 1-year follow-up. The frequency of going for a walk increased most prominently (26%). Even though the majority of the participation aspects were not performed, more often they became easier to perform: 56-91% found that shopping, walking and visiting family/friends were easier. Moreover, independence outdoors and indoors increased. This small study provides knowledge about the outcomes of powered wheelchairs and scooters in terms of mobility and mobility-related participation in real-life situations. The study supports results from former studies, but even so, larger studies are required in order to provide evidence for the effectiveness of powered wheelchairs and scooters. [Box: see text].

  13. Prenatal adversities and Latino children's autonomic nervous system reactivity trajectories from 6 months to 5 years of age.

    Science.gov (United States)

    Alkon, Abbey; Boyce, W Thomas; Tran, Linh; Harley, Kim G; Neuhaus, John; Eskenazi, Brenda

    2014-01-01

    The purpose of the study was to determine whether mothers' adversities experienced during early pregnancy are associated with offspring's autonomic nervous system (ANS) reactivity trajectories from 6 months to 5 years of age. This cohort study of primarily Latino families included maternal interviews at 13-14 weeks gestation about their experience of a range of adversities: father's absence, general social support, poverty level, and household density. ANS measures of heart rate, respiratory sinus arrhythmia (parasympathetic nervous system) and preejection period (sympathetic nervous system) were collected during resting and challenging conditions on children at 6 months and 1, 3.5 and 5 years of age. Reactivity measures were calculated as the mean of the responses to challenging conditions minus a resting condition. Fixed effects models were conducted for the 212 children with two or more timepoints of ANS measures. Interactions between maternal prenatal adversity levels and child age at time of ANS protocol were included in the models, allowing the calculation of separate trajectories or slopes for each level of adversity. Results showed no significant relations between mothers' prenatal socioeconomic or social support adversity and offspring's parasympathetic nervous system trajectories, but there was a statistically significant relationship between social support adversity and offspring's heart rate trajectories (pnervous system trajectories (p = .05). Children whose mothers experienced one, not two, social support adversity had the smallest increases in heart rate reactivity compared to children whose mothers experienced no adversity. The children whose mothers experienced no social support and no socioeconomic adversity had the largest increases in heart rate and preejection period respectively from 6 months to 5 years showing the most plasticity. Mothers' prenatal adverse experiences may program their children's physiologic trajectory to dampen their

  14. Total Number of Acres Under Lease as of Last Day of Fiscal Year by BLM

    Data.gov (United States)

    Bureau of Land Management, Department of the Interior — This table contains the total number of acres, by state, contained in leases considered "in effect" by the BLM at the end of each fiscal year.

  15. Two-year antibody persistence in children vaccinated at 12-15 months with a measles-mumps-rubella virus vaccine without human serum albumin.

    Science.gov (United States)

    Berry, Andrea A; Abu-Elyazeed, Remon; Diaz-Perez, Clemente; Mufson, Maurice A; Harrison, Christopher J; Leonardi, Michael; Twiggs, Jerry D; Peltier, Christopher; Grogg, Stanley; Carbayo, Antonio; Shapiro, Steven; Povey, Michael; Baccarini, Carmen; Innis, Bruce L; Henry, Ouzama

    2017-07-03

    One combined measles-mumps-rubella (MMR) vaccine without Human Serum Albumin (HSA) is currently licensed in the USA (M-M-R II; Merck, USA) and another has been developed (Priorix™ [MMR-RIT, GSK, Belgium]). In this follow-up study, children from USA or Puerto Rico, who had received one dose of M-M-R II or MMR-RIT at 12-15 months of age in the primary study (NCT00861744), were followed-up for 2 y post-vaccination. Anti-measles and anti-rubella antibodies were measured using Enzyme-Linked Immunosorbent Assay (ELISA), and anti-mumps antibodies using ELISA and plaque reduction neutralization (PRN) assays. Serious adverse events (SAEs) were recorded during the entire follow-up. The according-to-protocol (ATP) persistence cohort included 752 children (M-M-R II = 186, MMR-RIT = 566), who received primary vaccination at a mean age of 12.3 ( ± 0.67) months. 104 children were revaccinated with MMR-containing vaccines; therefore, serology results for timepoints after revaccination were excluded from the analysis. Seropositivity for measles (Year 1≥ 98.3%; Year 2≥ 99.4%) and rubella (Year 1≥ 98.9%; Year 2 = 100%) remained as high at Year 2 as at Day 42. Similarly, seropositivity for mumps determined by ELISA (Year 1≥ 90.1%; Year 2≥ 94.1%) and PRN assays (Year 1≥ 87.5%; Year 2≥ 91.7%) persisted. Thirty-three SAEs were recorded in 23 children; 2 SAEs (inguinal adenitis and idiopathic thrombocytopenic purpura) and one SAE (febrile convulsion) were considered as potentially related to MMR-RIT and M-M-R II, respectively. This study showed that antibodies against measles, mumps and rubella persisted for up to 2 y post-vaccination with either MMR vaccine in children aged 12-15 months, and that both vaccines were well-tolerated during the follow-up period.

  16. Association of renal biomarkers with 3-month and 1-year outcomes among critically ill acute stroke patients.

    Directory of Open Access Journals (Sweden)

    Ying-Chih Huang

    Full Text Available BACKGROUND: The comparative relationships of widely recognized biomarkers of renal injury with short-term and long-term outcomes among critically ill acute stroke patients are unknown. We evaluated the impact of baseline albuminuria [urine albumin-creatinine ratio (UACR ≥ 30 mg/g] or low estimated glomerular filtration rate (eGFR<60 ml/min per 1.73 m(2 on stroke patients admitted to the intensive care unit (ICU. METHODS: We reviewed data on consecutive stroke patients admitted to a hospital ICU in Taiwan from September 2007 to August 2010 and followed-up for 1 year. Baseline UACR was categorized into <30 mg/g (normal, 30-299 mg/g (microalbuminuria, and ≥ 300 mg/g (macroalbuminuria, while eGFR was divided into ≥ 60, 45-59, and <45 ml/min per 1.73 m(2. The outcome measure was death or disability at 3-month and 1-year after stroke onset, assessed by dichotomizing the modified Rankin Scale at 3-6 versus 0-2. RESULTS: Of 184 consecutive patients, 153 (83% met study entry criteria. Mean age was 67.9 years and median admission NIHSS score was 16. Among the renal biomarkers, only macroalbuminuria was associated with poorer 3-month outcome (OR 8.44, 95% CI 1.38 to 51.74, P = 0.021 and 1-year outcome (OR 18.06, 95% CI 2.59 to 125.94, P = 0.003 after adjustment of relevant covariates. When ischemic and hemorrhagic stroke were analyzed separately, macroalbuminuria was associated with poorer 1-year outcome among ischemic (OR 17.10, 95% CI 1.04 to 280.07, P = 0.047 and hemorrhagic stroke patients (OR 1951.57, 95% CI 1.07 to 3561662.85, P = 0.048, respectively, after adjustment of relevant covariates and hematoma volume. CONCLUSIONS: Presence of macroalbuminuria indicates poor 3-month and 1-year outcomes among critically ill acute stroke patients.

  17. Effects of 6 Months ALL Treatment on Psychosocial Development and Emotional Status in Children Aged 1 to 3 Years

    Directory of Open Access Journals (Sweden)

    Arzu Kantarcıoğlu

    2012-04-01

    Full Text Available In­tro­duc­ti­on: The aim of the current study was to evaluate possible effects of cancer treatment on psychosocial development and emotional state among children who was diagnosed as acute lymphoblastic leukemia (ALL before hospitalization and six months after treatment process.Materials and Methods: Twelve patients aged 1 to 3 years were screened before and six months after treatment. AGTE (Ankara Developmental Screening Inventory and BITSEA (Brief Infant Toddler Social Emotional Assessment were used for evaluating psychosocial development and social emotional status respectively. Spending time with play, peer groups and physical activity were evaluated twice and investaged with respect to possible relationship with psychosocial development.Results: According the current study results; six months after the diagnosis of ALL, children’s social emotional problems were increased, competence was decreased, fine motor and social development-self care ability were regressed.Conclusions: In early develomental stage, even 6 months after the diagnosis, ALL is a risk factor for psychosocial development and emotional state. Social isolation due to neutropenia seems to have important side effect on the behaviour. In the future studies there is a great need of longidutional research as if that side effect will be permanent. In the mean time during the hospitalization and isolation process, children need environmental stimulations. Care givers should be informed and guided about the ways which support development. If needed, children should be directed to special education programs. (Jo­ur­nal of Cur­rent Pe­di­at­rics 2012; 10: 13-6

  18. Effectiveness of a one-year multi-component day-camp intervention for overweight children

    DEFF Research Database (Denmark)

    Larsen, Kristian Traberg; Huang, Tao; Møller, Niels Christian;

    2014-01-01

    BACKGROUND: Childhood overweight has noticeable psychological and social consequences for the child and leads to an increased risk of mortality and morbidity later in life. With the high prevalence of overweight in children and adolescents, it is important to identify effective approaches...... for the prevention and treatment of overweight in children and young individuals. The primary aim of the study is to assess the effect of an intensive day-camp intervention on body mass index (BMI) in overweight children. METHODS: The Odense Overweight Intervention Study is a semi-blinded randomized controlled trial....... Overweight children from the Municipality of Odense, Denmark, were invited to participate in the trial. Based on power calculations 98 participants were found to be sufficient to randomize in order to find an effect of minimum 1.5 BMI points. Gender-stratified concealed block randomization with a ratio of 1...

  19. Molecular characterization of Cryptosporidium isolates from beef calves under one month of age over three successive years in one herd in western France.

    Science.gov (United States)

    Rieux, Anaïs; Paraud, Carine; Pors, Isabelle; Chartier, Christophe

    2014-05-28

    Cohorts of pre-weaned calves were studied for Cryptosporidium infection over three successive years (2010-2012) in one beef cattle herd in western France. Each year 25-34 calves were sampled weekly from 3 days to one month of age in order to characterize oocyst output, Cryptosporidium species and clinical features associated with infection. Faecal samples were screened for the presence of oocysts using immunofluorescence analysis. DNA was extracted from positive samples and a PCR SSU rRNA followed by RFLP or sequencing was performed. For the subtyping of C. parvum, a gp60 PCR was carried out. Regardless of the year, 92-100% of the animals excreted oocysts on at least one sampling date. Depending on the year of observation, the age of highest prevalence varied. In contrast, the peak of excretion was systematically observed almost at the same age (2nd-3rd week of life) with excretion levels ranging from between 100 and 1.7 × 10(7)oocysts/g of faeces. Differences concerning clinical signs depending on the year of sampling were observed. Different species patterns were observed, with a predominance of C. bovis in the 1st year and a predominance of C. parvum in the last year. Moreover, two zoonotic subtypes of C. parvum, IIaA15G2R1 and IIaA18G2R1, were recorded in different years. This study shows that, in a given farm, the Cryptosporidium species and C. parvum subtypes identified as well as the prevalence of infection and level of excretion may vary greatly and show distinct patterns according to the year. Copyright © 2014 Elsevier B.V. All rights reserved.

  20. Systemic inflammation on postnatal days 21 and 28 and indicators of brain dysfunction 2years later among children born before the 28th week of gestation.

    Science.gov (United States)

    Leviton, Alan; Allred, Elizabeth N; Fichorova, Raina N; Kuban, Karl C K; Michael O'Shea, T; Dammann, Olaf

    2016-02-01

    Systemic inflammation during the first two postnatal weeks in extremely preterm newborns (weeks gestation) has been associated with an increased risk of neurodevelopmental dysfunctions. Little is known, however, about the relationship between systemic inflammation during the third and fourth postnatal weeks and subsequent development. We measured the concentrations of 16 inflammation-related proteins in blood spots collected on postnatal days 21 (N=749) and 28 (N=697) from infants born before the 28th week of gestation and assessed at age 2years. We then sought the developmental correlates of top quartile concentrations for gestational age and day the specimen was collected. Odds ratios and 95% confidence intervals were calculated from regular or multinomial logistic regression models (as appropriate). Top quartile concentrations of CRP, IL-1β, IL-6, IL-6R, TNF-R2, IL-8, ICAM-1, and TSH on both days 21 and 28 were associated with ventriculomegaly (when in the NICU) and microcephaly at age 2years. Top quartile concentrations of CRP, SAA, IL-6, TNF-R2, IL-8, and ICAM-1 were associated with mental development index (MDI) of the Bayley-IIdevelopment index (PDI)weeks were at increased risk of ventriculomegaly during the months after birth, and of microcephaly, and low Bayley Scale scores at 2years old. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  1. A Poem a Day: 180 Thematic Poems and Activities That Teach and Delight All Year Long. Grades K-3.

    Science.gov (United States)

    Moore, Helen H.

    This collection of 180 poems was assembled with classroom needs in mind. Intended to delight students every day, the collection's poems span the school year from September to summertime. Its introduction gives teachers before-, during-, and after-reading ideas. Sections in the collection include: Me and My World, Primary Concepts, Seasons and…

  2. Ninety-day readmissions after inpatient cholecystectomy: A 5-year analysis

    Science.gov (United States)

    Manuel-Vázquez, Alba; Latorre-Fragua, Raquel; Ramiro-Pérez, Carmen; López-Marcano, Aylhin; Al-Shwely, Farah; De la Plaza-Llamas, Roberto; Ramia, José Manuel

    2017-01-01

    AIM To determine the incidence of readmission after cholecystectomy using 90 d as a time limit. METHODS We retrospectively reviewed all patients undergoing cholecystectomy at the General Surgery and Digestive System Service of the University Hospital of Guadalajara, Spain. We included all patients undergoing cholecystectomy for biliary pathology who were readmitted to hospital within 90 d. We considered readmission to any hospital service as cholecystectomy-related complications. We excluded ambulatory cholecystectomy, cholecystectomy combined with other procedures, oncologic disease active at the time of cholecystectomy, finding of malignancy in the resection specimen, and scheduled re-admissions for other unrelated pathologies. RESULTS We analyzed 1423 patients. There were 71 readmissions in the 90 d after discharge, with a readmission rate of 4.99%. Sixty-four point seven nine percent occurred after elective surgery (cholelithiasis or vesicular polyps) and 35.21% after emergency surgery (acute cholecystitis or acute pancreatitis). Surgical non-biliary causes were the most frequent reasons for readmission, representing 46.48%; among them, intra-abdominal abscesses were the most common. In second place were non-surgical reasons, at 29.58%, and finally, surgical biliary reasons, at 23.94%. Regarding time for readmission, almost 50% of patients were readmitted in the first week and most second readmissions occurred during the second month. Redefining the readmissions rate to 90 d resulted in an increase in re-hospitalization, from 3.51% at 30 d to 4.99% at 90 d. CONCLUSION The use of 30-d cutoff point may underestimate the incidence of complications. The current tendency is to use 90 d as a limit to measure complications associated with any surgical procedure. PMID:28522915

  3. Development of a four-day service-learning rotation for third-year medical students.

    Science.gov (United States)

    Packer, Clifford D; Carnell, Robert C; Tomcho, Patricia M; Scott, Jacob G

    2010-07-01

    Despite the proven benefits of service-learning, its use in medical school curricula has been inconsistent. The effect of service-learning on students' primary care residency choices is largely unknown. Fifty-three students completed a 4-day service-learning experience, which included homeless clinics, homeless shelter, and street outreach, then completed surveys and wrote reflection essays. The survey responses were tested for significant differences using an overall F test, and the responses of volunteer versus assigned students were compared. The essays were analyzed for thematic content using an inductive approach. Primary care residency rates of the students were compared with the class as a whole. Of the participating students, 94.3% agreed or strongly agreed that learning objectives were fulfilled, and 81.9% rated the educational experiences as outstanding or good. The best-achieved learning objectives were increased understanding of the role of poverty in disease and development of a sense of professional commitment as a physician. Of the essays, 74% discussed barriers to care, of which substance abuse (28%) and mental illness (19%) were the leading themes. Primary care residency rates of participants were not different from the class as a whole, but there was a nonsignificant trend toward primary care residencies in volunteer versus assigned students. We present a brief service-learning experience that provides educational value to medical students and service to the community, fulfills Liaison Committee on Medical Education accreditation requirements, and has only a small cost in time taken from the clerkship curriculum.

  4. Increasing fruit, vegetable and water consumption in summer day camps--3-year findings of the healthy lunchbox challenge.

    Science.gov (United States)

    Beets, Michael W; Tilley, Falon; Weaver, Robert G; Turner-McGrievy, Gabrielle M; Moore, Justin B

    2014-10-01

    The objective of this study was to describe the 3-year outcomes (2011-2013) from the healthy lunchbox challenge (HLC) delivered in the US-based summer day camps (SDC) (8-10 hours day(-1), 10-11 weeks summer(-1), SDC) to increase children and staff bringing fruit, vegetables and water (FVW) each day. A single group pre- with multiple post-test design was used in four large-scale SDCs serving more than 550 children day(-1) (6-12 years). The percentage of foods/beverages brought by children/staff, staff promotion of healthy eating and children's consumption of FVW was assessed via direct observation over 98 days across three summers. For children (3308 observations), fruit and vegetables (>11-16%) increased; no changes were observed for FVW for staff (398 observations). Reductions in unhealthy foods/beverages (e.g. soda/pop and chips) were observed for both children and staff (minus -10% to 38%). Staff role modeling unhealthy eating/drinking initially decreased but increased by 2013. The majority of children who brought fruit/vegetables consumed them. The HLC can influence the foods/beverages brought to SDCs. Enhancements are required to further increase FVW brought and consumed.

  5. The injury trajectory for young people 16-24 years in the six months following injury: A mixed methods study.

    Science.gov (United States)

    Ogilvie, Rebekah; Foster, Kim; McCloughen, Andrea; Curtis, Kate

    2016-09-01

    Adolescents and young people are the population at greatest risk of injury and therefore injury-related mortality and morbidity. Inquiry into the injury trajectory of young people is needed to identify this group's specific needs for healthcare. This paper reports the integration of quantitative and qualitative findings from a sequential explanatory mixed methods study examining young people aged 16-24 years' experience and trajectory of traumatic physical injury in the initial six months. The aim of integration was to address the question: In what ways are injured young peoples' experiences and self-management during the initial six months of the injury trajectory impacted by their injury, family support, and provision of healthcare? Key findings from epidemiological datasets on young person injuries from hospital and coronial databases (Phase 1) were combined with key findings from qualitative interviews with 12 injured young people and 10 family members (Phase 2). The integration of findings from Phase 1 and Phase 2 resulted in three new findings; [1] (Alfred Health, 2014). A young person's perception of the severity of their injury, as well as the amount of time spent in hospital, impacts substantially on the way in which they experience injury, and this is managed differently between genders; [2] (Newnam et al., 2014). Admission to an Intensive care unit, including the intensity and duration of care, is the primary influence on how a family will provide support to the young person in the inpatient period; and [3] (Lyons et al., 2010). Young people's perception and understanding of their recovery from injury is in contrast with how healthcare systems are structured to provide rehabilitation and recovery care. The injury trajectory and recovery process of young people in the six months following injury have been have conceptualised. These trajectories of recovery can inform the development of anticipatory guidance frameworks for clinicians and guide the

  6. The between-day reproducibility of fasting, satiety-related analytes, in 8 to 11year-old boys.

    Science.gov (United States)

    Allsop, Susan; Rumbold, Penny L S; Green, Benjamin P

    2016-10-01

    The aim of the present study was to establish the between-day reproducibility of fasting plasma GLP-17-36, glucagon, leptin, insulin and glucose, in lean and overweight/obese 8-11year-old boys. A within-group study design was utilised wherein the boys attended two study days, separated by 1week, where a fasting fingertip capillary blood sample was obtained. Deming regression, mean difference, Bland-Altman limits of agreement (LOA) and typical imprecision as a percentage coefficient of variation (CV %), were utilised to assess reproducibility between-days. On a group level, Deming regression detected no evidence of systematic or proportional bias between-days for all of the satiety-related analytes however, only glucose and plasma GLP-17-36 displayed low typical and random imprecision. When analysed according to body composition, good reproducibility was maintained for glucose in the overweight/obese boys and for plasma GLP-17-36, in those with lean body mass. The present findings demonstrate that the measurement of glucose and plasma GLP-17-36 by fingertip capillary sampling on a group level, is reproducible between-days, in 8-11year-old boys. Comparison of blood glucose obtained by fingertip capillary sampling can be made between lean and overweight/obese 8-11year-old boys. Presently, the comparison of fasting plasma GLP-17-36 according to body weight is inappropriate due to high imprecision observed in lean boys between-days. The use of fingertip capillary sampling in the measurement of satiety-related analytes has the potential to provide a better understanding of mechanisms that affect appetite and feeding behaviour in children.

  7. Prevalence and risk factors of anaemia among children aged between 6 months and 14 years in Kenya.

    Directory of Open Access Journals (Sweden)

    Oscar Ngesa

    Full Text Available Anaemia is one of the significant public health problems among children in the world. Understanding risk factors of anaemia provides more insight to the nature and types of policies that can be put up to fight anaemia. We estimated the prevalence and risk factors of anaemia in a population-based, cross-sectional survey.Blood samples from 11,711 children aged between 6 months and 14 years were collected using a single-use, spring-loaded, sterile lancet to make a finger prick. Anaemia was measured based on haemoglobin concentration level. The generalized linear model framework was used to analyse the data, in which the response variable was either a child was anemic or not anemic.The overall prevalence of anaemia among the children in Kenya was estimated to be 28.8%. Across each band of age within which the definition of anaemia remained constant (0–4, 5–11, and 12–14 years old, the prevalence of anaemia declined with each year of age. [corrected]. The risk of anaemia was significantly higher in male than female children. Mothers with secondary and above education had a protective effect on the risk of anaemia on their children. Malaria diagnosis status of a child was positively associated with risk anaemia.Controlling co-morbidity of malaria and improving maternal knowledge are potential options for reducing the burden of anaemia.

  8. Proteus syndrome in a child aged 14 years and 11 months

    Directory of Open Access Journals (Sweden)

    T. V. Elizarova

    2017-01-01

    Full Text Available Proteus syndrome is an extremely rare genetic disorder with problematic genetic identification. It has been hypothesized that it is related to a lethal dominant somatic mutation occurring at a post-zygotic stage of embryonic development. Clinical presentation of the disease has much in common with a  number of hereditary disorders and is frequently associated with malignancies. We present a clinical case of Proteus syndrome in a child aged 14 years and 11 months, in whom late diagnosis and late administration of specific treatment resulted in disease progression with the development of the end stage chronic renal disease. Only correct and early diagnosis allows for timely referral of a  patient to a specialized hospital for adequate care.

  9. Coping with "bad body image days": strategies from first-year young adult college women.

    Science.gov (United States)

    Smith-Jackson, TeriSue; Reel, Justine J; Thackeray, Rosemary

    2011-09-01

    The purpose of this qualitative study was to understand how college women cope with body image concerns, a topic which has rarely been studied. Semi-structured interviews with first-year female college students (N=30) revealed common strategies used for body image coping as well as their perceived effectiveness. While exercise was most frequently cited, other coping strategies included healthy eating, appearance changing, talking to friends or family, religion/spirituality, spending time alone, getting out and doing something, and self-acceptance. One of the emerging themes was participation in a cycle of eating as a result of body image concerns, and then feeling bad about themselves for eating. Participants identified that women in this cycle either adopt a self-defeatist attitude, believing they can do nothing about their appearance, or engage in self-improvement strategies, including goal setting. Far more women reported coping strategies that reflected avoidance or appearance fixing motives rather than acceptance. Copyright © 2011 Elsevier Ltd. All rights reserved.

  10. Obstetric hysterectomy, still a life saving tool in modern day obstetrics: a five year study

    Directory of Open Access Journals (Sweden)

    Neetu Singh

    2014-06-01

    Results: During the study period, 105 emergency obstetric hysterectomies were performed giving an incidence of 0.54% .The incidence of hysterectomy following vaginal delivery was 0.54% and that of caesarean hysterectomy was 2.08%. It was most common in the age group 26-35 years (66.66% and in women of parity 3-4 (71.42%.Rupture uterus was the most common indication accounting for 59.04% cases followed by Atonic PPH (18.09%. Febrile illness and wound infection were the two most common co-morbidities. Maternal mortality was 5.71%. Conclusions: Emergency obstetric hysterectomy is potentially a life saving procedure which every obstetrician must be familiar with in cases of catastrophic rupture uterus and intractable haemorrhage. With the help of prostaglandins, modern policies of active management of labor, timely performance of caesarean section, internal iliac artery ligation, compression sutures etc. obstetric hysterectomy should be made a more rare procedure. [Int J Reprod Contracept Obstet Gynecol 2014; 3(3.000: 540-543

  11. Herpes simplex virus-2 genital tract shedding is not predictable over months or years in infected persons.

    Directory of Open Access Journals (Sweden)

    Varsha Dhankani

    2014-11-01

    Full Text Available Herpes simplex virus-2 (HSV-2 is a chronic reactivating infection that leads to recurrent shedding episodes in the genital tract. A minority of episodes are prolonged, and associated with development of painful ulcers. However, currently, available tools poorly predict viral trajectories and timing of reactivations in infected individuals. We employed principal components analysis (PCA and singular value decomposition (SVD to interpret HSV-2 genital tract shedding time series data, as well as simulation output from a stochastic spatial mathematical model. Empirical and model-derived, time-series data gathered over >30 days consists of multiple complex episodes that could not be reduced to a manageable number of descriptive features with PCA and SVD. However, single HSV-2 shedding episodes, even those with prolonged duration and complex morphologies consisting of multiple erratic peaks, were consistently described using a maximum of four dominant features. Modeled and clinical episodes had equivalent distributions of dominant features, implying similar dynamics in real and simulated episodes. We applied linear discriminant analysis (LDA to simulation output and identified that local immune cell density at the viral reactivation site had a predictive effect on episode duration, though longer term shedding suggested chaotic dynamics and could not be predicted based on spatial patterns of immune cell density. These findings suggest that HSV-2 shedding patterns within an individual are impossible to predict over weeks or months, and that even highly complex single HSV-2 episodes can only be partially predicted based on spatial distribution of immune cell density.

  12. Treatment outcome of 18-month, day hospital mentalization-based treatment (MBT) in patients with severe borderline personality in the Netherlands

    NARCIS (Netherlands)

    D. Bales; N. van Beek; M. Smits; S. Willemsen; J.J.V. Busschbach; R. Verheul; H. Andrea

    2012-01-01

    Psychoanalytically oriented day hospital therapy, later manualized and named mentalization-based treatment (MBT), has proven to be a (cost-) effective treatment for patients with severe borderline personality disorder and a high degree of psychiatric comorbidity (BPD) in the United Kingdom (UK). As

  13. Treatment outcome of 18-month, day hospital Mentalization-Based Treatment (MBT) in patients with severe borderline personality disorder in the Netherlands

    NARCIS (Netherlands)

    D.L. Bales (Dawn); E.R. van Beek (Ermond); M. Smits (Maaike); S.P. Willemsen (Sten); J.J. van Busschbach (Jan); R. Verheul (Roel); H. Andrea (Helene)

    2012-01-01

    textabstractPsychoanalytically oriented day hospital therapy, later manualized and named mentalization-based treatment (MBT), has proven to be a (cost-) effective treatment for patients with severe borderline personality disorder and a high degree of psychiatric comorbidity (BPD) in the United Kingd

  14. Exercise Trajectories of Women from Entry to a 6-Month Cardiac Rehabilitation Program to One Year after Discharge

    Directory of Open Access Journals (Sweden)

    Heather M. Arthur

    2013-01-01

    Full Text Available Background. Physical activity is associated with reduced mortality and morbidity. Cardiac rehabilitation (CR is an effective intervention for patients with cardiovascular disease (CVD. Unfortunately, women are less likely to engage in, or sustain, regular physical activity. Objectives were to (1 describe women’s guidelines-based levels of physical activity during and after CR and (2 determine the physical activity trajectories of women from entry to CR to one year after CR. Methods and Results. A prospective, longitudinal study of 203 women with CVD enrolled in a 6-month CR program. Physical activity was measured using the Godin Leisure Time Exercise Questionnaire (LSI, focusing on moderate-strenuous activity. Data were analyzed using latent class growth analysis (LCGA and logistic regression. Mean scores on the LSI showed women to be “active” at all follow-up points. LCGA revealed a two-class model, respectively, called “inactive relapsers” and “moderately active relapsers.” Predictors of the “moderately active relapsers” class were employment status and diagnosis of myocardial infarction. Conclusions. Women achieved the recommended physical activity levels by the end of CR and sustained them until one year after CR. LCGA allowed us to determine the class trajectories associated with moderate-strenuous activity and, from these, to identify implications for targeted intervention.

  15. Immediate function on the day of surgery compared with a delayed implant loading process in the mandible: a randomized clinical trial over 5 years.

    Science.gov (United States)

    Jokstad, Asbjorn; Alkumru, Hassan

    2014-12-01

    To appraise the feasibility of loading four implants with a pre-existing denture converted to a fixed dental prosthesis (FDP) on the day of implant surgery compared with waiting for 3- to 4-month healing. Patients with an edentulous, fully healed mandible were recruited in a faculty clinic to partake in a blinded two-arm parallel randomized controlled trial (RCT). The participants received four parallel intraforamina mandibular implants with a moderately rough titanium surface (Brånemark System Mk III or Mk IV TiUnite; Nobel Biocare AB, Göteborg, Sweden). The implants were loaded on the same day by converting the participants' pre-existing denture in the experimental group. The implants were placed using a one-stage surgery procedure, and the participants' pre-existing denture were soft-relined in the control group. For both groups, the permanent 10- to 12-unit FDP consisting of a type-3 cast precious alloy veneered with acrylic and artificial teeth was placed 3-4 months after implant surgery. All participants have been recalled annually for 5 years for appraisal of bone loss and registration of adverse events. Thirty-five of the original 42 participants (83%) returned for clinical and radiological examinations at the 5-year follow-up recall. No selective dropout or specific reasons for dropout was identified in the two study arms; leaving n = 17 (Intention-to-treat group, ITT) in the experimental group, alternatively n = 13 as per protocol group (PP), and n = 18 participants in the control group (ITT = PP). At study commencement, five of the participants assigned to the experimental group did not receive their planned intervention. In the control group, one implant failed to osseointegrate and another failed due to bone loss after 5 years. The crestal bone level changes over 5 years were identical in the experimental and control groups, that is, 1.2 mm (SD = 0.7). There were no differences between the two study arms with regard to incidence of biological and

  16. Immediate function on the day of surgery compared with a delayed implant loading process in the mandible: a randomized clinical trial over 5 years

    Science.gov (United States)

    Jokstad, Asbjorn; Alkumru, Hassan

    2014-01-01

    Objectives To appraise the feasibility of loading four implants with a pre-existing denture converted to a fixed dental prosthesis (FDP) on the day of implant surgery compared with waiting for 3- to 4-month healing. Methods Patients with an edentulous, fully healed mandible were recruited in a faculty clinic to partake in a blinded two-arm parallel randomized controlled trial (RCT). The participants received four parallel intraforamina mandibular implants with a moderately rough titanium surface (Brånemark System Mk III or Mk IV TiUnite; Nobel Biocare AB, Göteborg, Sweden). The implants were loaded on the same day by converting the participants' pre-existing denture in the experimental group. The implants were placed using a one-stage surgery procedure, and the participants' pre-existing denture were soft-relined in the control group. For both groups, the permanent 10- to 12-unit FDP consisting of a type-3 cast precious alloy veneered with acrylic and artificial teeth was placed 3–4 months after implant surgery. All participants have been recalled annually for 5 years for appraisal of bone loss and registration of adverse events. Results Thirty-five of the original 42 participants (83%) returned for clinical and radiological examinations at the 5-year follow-up recall. No selective dropout or specific reasons for dropout was identified in the two study arms; leaving n = 17 (Intention-to-treat group, ITT) in the experimental group, alternatively n = 13 as per protocol group (PP), and n = 18 participants in the control group (ITT = PP). At study commencement, five of the participants assigned to the experimental group did not receive their planned intervention. In the control group, one implant failed to osseointegrate and another failed due to bone loss after 5 years. The crestal bone level changes over 5 years were identical in the experimental and control groups, that is, 1.2 mm (SD = 0.7). There were no differences between the two study arms

  17. Altitude dependent sensitivity of equatorial atomic oxygen in the MLT region to the quasi-11-year and quasi-27-day solar cycles

    Science.gov (United States)

    Lednyts'kyy, Olexandr; Von Savigny, Christian

    2016-07-01

    We retrieved atomic oxygen concentration ([O]) profiles with help of volume emission rate (VER) profiles calculated from the measured by SCIAMACHY (SCanning Imaging Absorption spectroMeter for Atmospheric CHartographY) emissions of green line nightglow in the MLT (Mesosphere/Lower Thermosphere) region. We quantified the sensitivity of equatorial [O] to the 11-year and 27-day solar cycle forcing represented by such proxy indicators of solar activity as MgII index and Lyman-α with help of the wavelet, cross-correlation, superposed epoch, regression and harmonical analysis methods. We applied ordinary least squares bisector fitting on MgII index and F10.7 radio flux, which is measured in solar flux units (sfu), to convert the [O] sensitivity values in sfu and finally in percent changes. The same procedure was performed in the case of Lyman-α. Our results of the sensitivity analysis correspond well to the 11-year solar cycle response of O volume mixing ratios found in simulations performed with the WACCM3 (Whole Atmosphere Community Climate Model, v. 3) and the HAMMONIA (3D Hamburg Model of the Neutral and Ionized Atmosphere) model. We identified an 11-year solar cycle variation, quasi-biennial and annual/semi-annual oscillations as well as signatures of the 27-day cycle of solar activity as presented in the MLT O layer. The most remarkable result is that the found sensitivities agree within their uncertainties and do not depend on averaging method (annual, monthly and daily) of the [O] time series. We report on 11-year and 27-day solar cycle signatures in dependence on altitude intervals used to average the [O] time series.

  18. Interns' Day in Surgery: improving intern performance through a simulation-based course for final year medical students.

    Science.gov (United States)

    Sinha, Sankar N; Page, Wendy

    2015-01-01

    The transition from final year medical student into the first year of clinical practice is known to be associated with anxiety and stress that ultimately affects job performance. Studies have shown that much of this stress and anxiety results from a junior doctor's lack of confidence in performing a number of basic tasks. We investigated if implementation of a half-day simulation-based course in the final year medical students results in increased confidence in performing these tasks. Final year medical students of the University of Tasmania's School of Medicine posted at the Royal Hobart Hospital participated in a half-day simulation course, comprised of multiple simulation stations, which required students to perform the basic tasks a competent surgical intern would be expected to complete. Students completed a survey which investigated their confidence with each task before and after the course. Overall, the majority of students thought that the Interns' Day in Surgery course was useful. The most significant improvements perceived were in case presentation (57.5% to 94.6%; P = 0.02) and communication with patients and other professional colleagues (55.5% to 75.5%; P = 0.01). A follow-up survey of doctors who attended this course reinforced its benefits. Simulation-based courses in clinical practice provide good learning opportunities for final year medical students within the curriculum. This study confirms significant gains in all skills categories practised during the course with perceived benefits subsequently identified by interns. This should lead to a less stressful and more successful transition from student to doctor and ultimately, better patient care. © 2014 Royal Australasian College of Surgeons.

  19. The effects on plasma, red cell and platelet fatty acids of taking 12 g/day of ethyl-eicosapentaenoate for 16 months : dihomogammalinolenic, arachidonic and docosahexaenoic acids and relevance to Inuit metabolism

    NARCIS (Netherlands)

    Horrobin, David; Fokkema, M Rebecca; Muskiet, Frits A J

    2003-01-01

    A patient with mantle cell lymphoma took 12g/day of ethyl-eicosapentaenoate for 16 months. Compared to reference values, eicosapentaenoic and docosapentaenoic acids were elevated in plasma, red cells and platelets but docosahexaenoic acid levels were in the normal range. Arachidonic acid levels were

  20. Long-period (30 days-1 year) electromagnetic sounding and the electrical conductivity of the lower mantle beneath Europe

    DEFF Research Database (Denmark)

    Olsen, Nils

    1999-01-01

    The C-response connects the magnetic vertical component and the horizontal gradient of the horizontal components of electromagnetic variations and forms the basis for deriving the conductivity-depth profile of the Earth. Time-series of daily mean values at 42 observatories typically with 50 years...... of data are used to estimate C-responses for periods between 1 month and 1 yr. The Z:y method is applied, which means that the vertical component is taken locally whereas the horizontal components are used globally by expansion in a series of spherical harmonics. In combination with results from previous...

  1. Screening of chronic kidney disease (CKD in general population on world kidney day on three consecutive years: A single day data

    Directory of Open Access Journals (Sweden)

    Pradeep Kumar Rai

    2014-04-01

    Full Text Available Objective: Chronic kidney disease (CKD is increasingly recognized as a global public health problem. There is now convincing evidence that CKD can be detected using simple laboratory tests, and that treatment can prevent or delay complications of decreased kidney function, slow the progression of kidney disease and reduce the risk of cardiovascular disease (CVD. Currently, screening for CKD is accepted practice only in patients with hypertension or diabetes, but more widespread screening is increasingly proposed. We screened a sample of population on World Kidney Day on three consecutive years for detecting patients with CKD and to describe the natural course of the disease. Materials and Methods: Everyone aged ≥18 was invited to participate. The study population was general population from Varanasi were screened in OPAL hospital. The survey comprised an extensive questionnaire and a brief clinical examination, including analysis of serum creatinine concentration in all participants. We screened all the participants who had at least one risk factor for CKD (including hypertension, diabetes mellitus, or a family history of CKD. Urine dipstick tests were done and blood sample was obtained to detect proteinuria and measure serum creatinine concentration, respectively. Results: A total of 547 participants were enrolled of which all 547 subjects were included in the analyses. The mean serum creatinine was 0.9525 mg/dL (0.900 to 1.0050. A high serum creatinine level was demonstrated in 16 participants (2.92 %, and 191 (34.91 % were demonstrated to have proteinuria. There was a significant correlation between CKD and age, DM, urine protein and serum creatinine. There was no significant correlation between serum creatinine level and urinary protein excretion (P = .001. There were no significant differences between CKD and gender. Conclusion: The study demonstrates that increasing age, diabetes mellitus, Serum creatinine and urinary protein were found

  2. The 22-year cycle in the geomagnetic 27-day recurrences reflecting on the F2-layer ionization

    Directory of Open Access Journals (Sweden)

    E. M. Apostolov

    2004-04-01

    Full Text Available Solar cycle variations of the amplitudes of the 27-day solar rotation period reflected in the geomagnetic activity index Ap, solar radio flux F10.7cm and critical frequency foF2 for mid-latitude ionosonde station Moscow from the maximum of sunspot cycle 18 to the maximum of cycle 23 are examined. The analysis shows that there are distinct enhancements of the 27-day amplitudes for foF2 and Ap in the late declining phase of each solar cycle while the amplitudes for F10.7cm decrease gradually, and the foF2 and Ap amplitude peaks are much larger for even-numbered solar cycles than for the odd ones. Additionally, we found the same even-high and odd-low pattern of foF2 for other mid-latitude ionosonde stations in Northern and Southern Hemispheres. This property suggests that there exists a 22-year cycle in the F2-layer variability coupled with the 22-year cycle in the 27-day recurrence of geomagnetic activity.

    Key words. Ionosphere (mid-latitude ionosphere; ionosphere- magnetosphere interactions – Magnetospheric physics (solar wind-magnetosphere interactions

  3. Burden in caregivers of long-term stroke survivors: Prevalence and determinants at 6 months and 5 years after stroke.

    Science.gov (United States)

    Jaracz, Krystyna; Grabowska-Fudala, Barbara; Górna, Krystyna; Jaracz, Jan; Moczko, Jerzy; Kozubski, Wojciech

    2015-08-01

    To assess the prevalence of considerable burden among caregivers of stroke survivors at 6 months (Time 1) and 5 years after stroke (Time 2), to analyse changes in burden severity over time and to identify factors associated with the burden. Eighty eight patient/caregiver pairs were assessed. Caregiver burden was measured with the Caregiver Burden Scale. Socio-demographic, stroke-related and psychological characteristics were analysed as potential determinants of the burden. Exact multiple logistic regression was used to identify the predictive factors. Considerable burden was reported by 44% of the caregivers at Time 1 and 30% at Time 2. The burden was independently associated with caregivers' sense of coherence and amount of time spent caregiving at Time 1, and with caregivers' anxiety at Time 2. A significant proportion of the caregivers experienced considerable burden in the post-acute and chronic phases of stroke, although this proportion declined over time. Several characteristics were associated with the increased burden at different time points. All the independent predictors related to aspects of the carers. Programmes including education about coping strategies and time management, as well as respite care provision, could be beneficial and might help to reduce the burden of caregiving. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  4. Caregiver burden and emotional problems in partners of stroke patients at two months and one year post-stroke : Determinants and prediction

    NARCIS (Netherlands)

    Kruithof, Willeke J.; Post, Marcel W. M.; van Mierlo, Maria L.; van den Bos, Geertrudis A. M.; de Man-van Ginkel, Janneke M.; Visser-Meily, Johanna M. A.

    2016-01-01

    Objectives: (a) To determine levels of and factors explaining partners' burden, anxiety and depressive symptoms at two months post-stroke, (b) to predict partners' burden, anxiety and depressive symptoms at one year post-stroke based on patient and partner characteristics available at two months

  5. Assessing the efficacy of 2 years of maintenance treatment with venlafaxine extended release 75–225 mg/day in patients with recurrent major depression: a secondary analysis of data from the PREVENT study

    Science.gov (United States)

    Kornstein, Susan G.; Kocsis, James H.; Ahmed, Saeeduddin; Thase, Michael; Friedman, Edward S.; Dunlop, Boadie W.; Yan, Bing; Pedersen, Ron; Ninan, Philip T.; Li, Thomas; Keller, Martin

    2013-01-01

    The objective of this study was to evaluate the long-term efficacy of venlafaxine extended release (ER) ≤225 mg/ day in patients with recurrent major depressive disorder (MDD). In this double-blind trial, outpatients with recurrent MDD (N=1096) were randomized to 10 weeks of acute-phase treatment with venlafaxine ER (75–300 mg/ day) or fluoxetine (20–60 mg/day) followed by a 6-month continuation phase and two consecutive 12-month maintenance phases. At the start of each maintenance period, venlafaxine ER responders were randomized to double-blind venlafaxine ER or placebo. In this analysis, data from responders to acute and continuation treatment were analyzed during the combined maintenance phases while receiving venlafaxine ER ≤225 mg/day. Failure to maintain response was defined as an increase in maintenance dose to 300 mg/day or recurrence. Differences were calculated using Kaplan–Meier methods and compared using log-rank tests. Continuation-phase responders (n =114) receiving venlafaxine ER ≤225 mg/ day comprised the analysis population (venlafaxine ER: n= 55; placebo: n= 59). The estimated probability for remaining well across 24 months of maintenance treatment was 67% for venlafaxine ER and 41% for placebo (P = 0.007). Venlafaxine ER effectively maintained response at doses ≤225 mg/day for up to 2.5 years in patients with recurrent MDD. The findings are consistent with those of the full data set. PMID:18854724

  6. A modalidade de assistência Centro-Dia Geriátrico: efeitos funcionais em seis meses de acompanhamento multiprofissional The Geriatric Day-Care assistance mode: functional effects in a six month multidisciplinary health care program

    Directory of Open Access Journals (Sweden)

    Sandra Elizabeth Franciulli

    2007-04-01

    Full Text Available O objetivo deste artigo é descrever os efeitos da assistência multiprofissional na capacidade funcional de idosos atendidos em Centro-Dia Geriátrico após seis meses de acompanhamento. O método usado foi o estudo clínico observacional de seguimento. Catorze pacientes com idade superior a 80 anos foram avaliados na admissão ao serviço e após seis meses de acompanhamento, segundo os seguintes instrumentos: atividades diárias pelo Brazilian OARS Multidimensional Functional Assessment Questionnaire; estado cognitivo por meio do Mini-Mental State Exam, equilíbrio funcional pela Berg Balance Scale e mobilidade pelo Timed Up and Go Test. Foi realizada análise descritiva simples e, para comparação entre os dois momentos de avaliação, os testes Wilcoxon e T-pareado, a=0,05. Observou-se diferença significativa entre a avaliação e a reavaliação com melhora no decorrer do tempo para a capacidade funcional global (p=0,019 e equilíbrio funcional pelas tarefas de transferências posturais (p=0,041. As demais variáveis mostraram manutenção de seus valores no seguimento. Conclusão: a assistência multiprofissional em Centro-Dia potencializou melhora ou manutenção da capacidade funcional dos participantes, revelando ser uma alternativa promissora de modalidade de serviço para a saúde do idoso.The objective is to describe the functional capacity of elderly patients who took part in a six-month follow-up program at a geriatric day care center. The methods used were a six-month observation clinical study. The following tools were used to assess fourteen elderly patients over 80 years old at admission at the day care and for six months thereafter: Brazilian OARS Multidimensional Functional Assessment Questionnaire (daily life activities, Mini-Mental State Exam (cognition, Berg Balance Scale (functional balance evaluation and Timed Up and Go Test (mobility. Data were analyzed using descriptive statistics and Wilcoxon and paired-samples T

  7. Performance assessment of different day-of-the-year-based models for estimating global solar radiation - Case study: Egypt

    Science.gov (United States)

    Hassan, Gasser E.; Youssef, M. Elsayed; Ali, Mohamed A.; Mohamed, Zahraa E.; Shehata, Ali I.

    2016-11-01

    Different models are introduced to predict the daily global solar radiation in different locations but there is no specific model based on the day of the year is proposed for many locations around the world. In this study, more than 20 years of measured data for daily global solar radiation on a horizontal surface are used to develop and validate seven models to estimate the daily global solar radiation by day of the year for ten cities around Egypt as a case study. Moreover, the generalization capability for the best models is examined all over the country. The regression analysis is employed to calculate the coefficients of different suggested models. The statistical indicators namely, RMSE, MABE, MAPE, r and R2 are calculated to evaluate the performance of the developed models. Based on the validation with the available data, the results show that the hybrid sine and cosine wave model and 4th order polynomial model have the best performance among other suggested models. Consequently, these two models coupled with suitable coefficients can be used for estimating the daily global solar radiation on a horizontal surface for each city, and also for all the locations around the studied region. It is believed that the established models in this work are applicable and significant for quick estimation for the average daily global solar radiation on a horizontal surface with higher accuracy. The values of global solar radiation generated by this approach can be utilized in the design and estimation of the performance of different solar applications.

  8. Tracking Climate Change through the Spatiotemporal Dynamics of the Teletherms, the Statistically Hottest and Coldest Days of the Year.

    Science.gov (United States)

    Dodds, Peter Sheridan; Mitchell, Lewis; Reagan, Andrew J; Danforth, Christopher M

    2016-01-01

    Instabilities and long term shifts in seasons, whether induced by natural drivers or human activities, pose great disruptive threats to ecological, agricultural, and social systems. Here, we propose, measure, and explore two fundamental markers of location-sensitive seasonal variations: the Summer and Winter Teletherms-the on-average annual dates of the hottest and coldest days of the year. We analyse daily temperature extremes recorded at 1218 stations across the contiguous United States from 1853-2012, and observe large regional variation with the Summer Teletherm falling up to 90 days after the Summer Solstice, and 50 days for the Winter Teletherm after the Winter Solstice. We show that Teletherm temporal dynamics are substantive with clear and in some cases dramatic shifts reflective of system bifurcations. We also compare recorded daily temperature extremes with output from two regional climate models finding considerable though relatively unbiased error. Our work demonstrates that Teletherms are an intuitive, powerful, and statistically sound measure of local climate change, and that they pose detailed, stringent challenges for future theoretical and computational models.

  9. Tracking Climate Change through the Spatiotemporal Dynamics of the Teletherms, the Statistically Hottest and Coldest Days of the Year.

    Directory of Open Access Journals (Sweden)

    Peter Sheridan Dodds

    Full Text Available Instabilities and long term shifts in seasons, whether induced by natural drivers or human activities, pose great disruptive threats to ecological, agricultural, and social systems. Here, we propose, measure, and explore two fundamental markers of location-sensitive seasonal variations: the Summer and Winter Teletherms-the on-average annual dates of the hottest and coldest days of the year. We analyse daily temperature extremes recorded at 1218 stations across the contiguous United States from 1853-2012, and observe large regional variation with the Summer Teletherm falling up to 90 days after the Summer Solstice, and 50 days for the Winter Teletherm after the Winter Solstice. We show that Teletherm temporal dynamics are substantive with clear and in some cases dramatic shifts reflective of system bifurcations. We also compare recorded daily temperature extremes with output from two regional climate models finding considerable though relatively unbiased error. Our work demonstrates that Teletherms are an intuitive, powerful, and statistically sound measure of local climate change, and that they pose detailed, stringent challenges for future theoretical and computational models.

  10. Changes in flavor precursors, pungency, and sugar content in short-day onion bulbs during 5-month storage at various temperatures or in controlled atmosphere.

    Science.gov (United States)

    Yoo, Kil S; Lee, Eun J; Patil, Bhimanagouda S

    2012-02-01

    Short-day onion bulbs (cv. TG 1015Y) were stored in 1% O(2,) 99% N(2) air at 5 °C (controlled atmosphere [CA]), or in ambient air at 5, 24, or 30 °C, for 5 mo. Changes in flavor precursors, pungency, and sugar content were investigated. After 5 mo of storage, 1-propenyl-L-cysteine sulfoxide concentrations increased continuously at 5 °C, gradually decreased in CA, slightly increased for 3 mo, and returned to initial levels at 24 °C and decreased below initial levels at 34 °C. Methyl-L-cysteine sulfoxide concentrations remained unchanged in all storage conditions. Onion pungency levels significantly increased at 5 °C, and decreased at 30 °C. Storage in CA and at 24 °C resulted in some fluctuations in pungency but the levels remained similar to initial levels. The calculated pyruvic acid concentrations were approximately 1.0 μmole/mL higher than the measured concentrations, and showed an increase at 5 °C and a slight reduction at 30 °C, consistent with the pungency results. Storage at 5 °C and in CA resulted in slight increases in fructose and glucose concentrations for 3 to 4 mo with subsequent rapid decreases, while sucrose concentrations remained unchanged. However, at 24 and 30 °C, fructose and glucose concentrations continuously decreased, accompanied by a continuous increase in sucrose concentrations. Storage in CA maintained the quality of onions best, as evidenced by the smallest changes in flavor precursors, pungency, and sugar concentrations, while storage at 5 °C resulted in increased pungency. Storage at 24 and 30 °C was tested for the purpose of comparison only; these temperatures are not recommended for commercial storage.

  11. Mortality experience, 30-days and 365-days after admission, for the 20 most frequent DRG groups among Medicare inpatients aged 65 or older in Connecticut hospitals, fiscal years 1991, 1992, and 1993.

    Science.gov (United States)

    Hennen, J; Krumholz, H M; Radford, M J

    1995-03-01

    This report presents mortality rates following inpatient admissions for the 20 most frequent DRG categories among Medicare inpatients aged > or = 65 years at Connecticut acute-care hospitals during the three-year period from fiscal year 1991 to fiscal year 1993. We provide frequency distributions of the 30-day and 365-day mortality rates among these 20 DRG categories. Among the 199,680 discharges of elderly Medicare beneficiaries within the 20 most frequent DRG categories in the three-year study period, the crude 30-day mortality rate was 9.51%; the crude 365-day mortality rate was 28.40%. By gender, the crude 30-day mortality rate for women was 8.78%; the corresponding rate for men was 10.48%. This gender mortality differential occurred despite a significant age differential; on average, the females were 2.5 years older than the males. By age group, the crude mortality rates were: age 65-74 years, 6.66%; age 75-84 years, 9.80%; age > or = 85 years, 15.25%. The crude mortality rates for the DRG categories were found to be stable over the three-year study period.

  12. Six-month and one-year followup of 23 weeks of aerobic exercise for individuals with fibromyalgia.

    Science.gov (United States)

    Gowans, S E; Dehueck, A; Voss, S; Silaj, A; Abbey, S E

    2004-12-15

    To measure mood and physical function of individuals with fibromyalgia, 6 and 12 months following 23 weeks of supervised aerobic exercise. This is a followup report of individuals who were previously enrolled in 23 weeks of land-based and water-based aerobic exercise classes. Outcomes included the 6-minute walk test, Beck Depression Inventory (BDI), State-Trait Anxiety Inventory, Arthritis Self-Efficacy Scale (ASES), Fibromyalgia Impact Questionnaire (FIQ), tender point count, patient global assessment score, and exercise compliance. Outcomes were measured at the start and end of the exercise classes and 6 and 12 months later. Analyses were conducted on 29 (intent-to-treat) or 18 (efficacy) subjects. Six-minute walk distances and BDI total scores were improved at followup (all analyses). BDI cognitive/affective scores were improved at the end of 23 weeks of exercise (both analyses) and at the 12-month followup (efficacy analysis only). BDI somatic scores were improved at 6-month (both analyses) and 12-month followup (intent-to-treat only). FIQ and ASES function were improved at all followup points. ASES pain was improved in efficacy analyses only (all followup points). Tender points were unchanged after 23 weeks of exercise and at followup. Exercise duration at followup (total minutes of aerobic plus anaerobic exercise in the preceding week) was related to gains in physical function (6- and 12-month followup) and mood (6-month followup). Exercise can improve physical function, mood, symptom severity, and aspects of self efficacy for at least 12 months. Exercising at followup was related to improvements in physical function and perhaps mood.

  13. Antimicrobial use over a four-year period using days of therapy measurement at a Canadian pediatric acute care hospital

    Science.gov (United States)

    Dalton, Bruce R; MacTavish, Sandra J; Bresee, Lauren C; Rajapakse, Nipunie; Vanderkooi, Otto; Vayalumkal, Joseph; Conly, John

    2015-01-01

    BACKGROUND: Antimicrobial resistance is a concern that is challenging the ability to treat common infections. Surveillance of antimicrobial use in pediatric acute care institutions is complicated because the common metric unit, the defined daily dose, is problematic for this population. OBJECTIVE: During a four-year period in which no specific antimicrobial stewardship initiatives were conducted, pediatric antimicrobial use was quantified using days of therapy (DOT) per 100 patient days (PD) (DOT/100 PD) at the Alberta Children’s Hospital (Calgary, Alberta) for benchmarking purposes. METHODS: Drug use data for systemic antimicrobials administered on wards at the Alberta Children’s Hospital were collected from electronic medication administration records. DOT were calculated and rates were determined using 100 PD as the denominator. Changes over the surveillance period and subgroup proportions were represented graphically and assessed using linear regression. RESULTS: Total antimicrobial use decreased from 93.6 DOT/100 PD to 75.7 DOT/100 PD (19.1%) over the 2010/2011 through to the 2013/2014 fiscal years. During this period, a 20.0% increase in PD and an essentially stable absolute count of DOT (2.9% decrease) were observed. Overall, antimicrobial use was highest in the pediatric intensive care and oncology units. DISCUSSION: The exact changes in prescribing patterns that led to the observed reduction in DOT/100 PD with associated increased PD are unclear, but may be a topic for future investigations. CONCLUSION: Antimicrobial use data from a Canadian acute care pediatric hospital reported in DOT/100 PD were compiled for a four-year time period. These data may be useful for benchmarking purposes. PMID:26600813

  14. Side effects of cellular and acellular DPT vaccine in children aged from 3 months to 5 years

    Directory of Open Access Journals (Sweden)

    Durmišević Smajil

    2004-01-01

    Full Text Available Introduction Both mild and severe local and systemic postvaccination reactions are seen more rarely in infants immunized with DTPa than in those immunized with DTPw vaccine. Material and methods By analysis of medical records and follow-up of patients, the authors searched for sings of adverse effects of DPT vaccines, comparing cellular and acellular vaccines in children aged from three months to five years. The results of investigation were analyzed using X2. Results Out of the total number of 940 applied vaccines, 329 were cellular and 611 were acellular. Body temperature over 38.5oC occurred in 3% of children immunized with cellular DTPw, and vomiting occurred in 0.8% of those immunized with acellular DTPa vaccine. Vomiting occurred (more than five times in 0.9% of children immunized with DPTw and in 0.32% of children immunized with DPTa. Other undesirable symptoms like swelling, redness and pain in the arm were found in 0.6% of children immunized with DPTw, and in 0.32% of children immunized with DPTa; prolonged crying (three hours or longer was registered in 0.3% of cases immunized with DPTw, and in 0.16% of immunized with DPTa vaccine. Convulsions and collapse appeared only in 0.3% of children immunized with DPTw. Discussion Our investigation shows that local and generalized undesirable postvaccination reactions occurred in 5.4% of children immunized with DPTw and in 1.64 of children immunized with DPTa. The latest clinical investigations show that acellular pertussis vaccines are successful in prevention of pertussis and that they are quite safe for infants; in our investigations, local and generalized reactions were markedly rare in children immunized with DPTa. Conclusion Undesirable postvaccination reactions after application of acellular DPT vaccines are less frequent than it is described in relevant references. The most frequent postvaccination reactions was raised body temperature (38.5oC. Convulsions and collapses were not

  15. Population Pharmacokinetics Analysis To Inform Efavirenz Dosing Recommendations in Pediatric HIV Patients Aged 3 Months to 3 Years.

    Science.gov (United States)

    Luo, Man; Chapel, Sunny; Sevinsky, Heather; Savant, Ishani; Cirincione, Brenda; Bertz, Richard; Roy, Amit

    2016-06-01

    Efavirenz (EFV) is a nonnucleoside reverse transcriptase inhibitor approved worldwide for the treatment of HIV in adults and children over 3 years of age or weighing over 10 kg. Only recently EFV was approved in children over 3 months and weighing at least 3.5 kg in the United States and the European Union. The objective of this analysis was to support the selection of an appropriate dose for this younger pediatric population and to explore the impact of CYP2B6 genetic polymorphisms on EFV systemic exposures. A population pharmacokinetic (PPK) model was developed using data from three studies in HIV-1-infected pediatric subjects (n = 168) and one study in healthy adults (n = 24). The EFV concentration-time profile was best described by a two-compartment model with first-order absorption and elimination. Body weight was identified as a significant predictor of efavirenz apparent clearance (CL), oral central volume of distribution (VC), and absorption rate constant (Ka). The typical values of efavirenz apparent CL, VC, oral peripheral volume of distribution (VP), and Ka for a reference pediatric patient were 4.8 liters/h (4.5 to 5.1 liters/h), 84.9 liters (76.8 to 93.0 liters), 287 liters (252.6 to 321.4 liters), and 0.414 h(-1) (0.375 to 0.453 h(-1)), respectively. The final model was used to simulate steady-state efavirenz concentrations in pediatric patients weighing <10 kg to identify EFV doses that produce comparable exposure to adult and pediatric patients weighing ≥10 kg. Results suggest that administration of EFV doses of 100 mg once daily (QD) to children weighing ≥3.5 to <5 kg, 150 mg QD to children weighing ≥5 to <7.5 kg, and 200 mg QD to children weighing ≥7.5 to <10 kg produce exposures within the target range. Further evaluation of the impact of CYP2B6 polymorphisms on EFV PK showed that the identification of CYP2B6 genetic status is not predictive of EFV exposure and thus not informative to guide pediatric dosing regimens.

  16. Mortality and cardiovascular morbidity within 30 days of discharge following acute coronary syndrome in a contemporary European cohort of patients: How can early risk prediction be improved? The six-month GRACE risk score.

    Science.gov (United States)

    Raposeiras-Roubín, Sergio; Abu-Assi, Emad; Cambeiro-González, Cristina; Álvarez-Álvarez, Belén; Pereira-López, Eva; Gestal-Romaní, Santiago; Pedreira-López, Milagros; Rigueiro-Veloso, Pedro; Virgós-Lamela, Alejandro; García-Acuña, José María; González-Juanatey, José Ramón

    2015-06-01

    Given the increasing focus on early mortality and readmission rates among patients with acute coronary syndrome (ACS), this study was designed to evaluate the accuracy of the GRACE risk score for identifying patients at high risk of 30-day post-discharge mortality and cardiovascular readmission. This was a retrospective study carried out in a single center with 4229 ACS patients discharged between 2004 and 2010. The study endpoint was the combination of 30-day post-discharge mortality and readmission due to reinfarction, heart failure or stroke. One hundred and fourteen patients had 30-day events: 0.7% mortality, 1% reinfarction, 1.3% heart failure, and 0.2% stroke. After multivariate analysis, the six-month GRACE risk score was associated with an increased risk of 30-day events (HR 1.03, 95% CI 1.02-1.04; p<0.001), demonstrating good discrimination (C-statistic: 0.79 ± 0.02) and optimal fit (Hosmer-Lemeshow p=0.83). The sensitivity and specificity were adequate (78.1% and 63.3%, respectively), and negative predictive value was excellent (99.1%). In separate analyses for each event of interest (all-cause mortality, reinfarction, heart failure and stroke), assessment of the six-month GRACE risk score also demonstrated good discrimination and fit, as well as adequate predictive values. The six-month GRACE risk score is a useful tool to predict 30-day post-discharge death and early cardiovascular readmission. Clinicians may find it simple to use with the online and mobile app score calculator and applicable to clinical daily practice. Copyright © 2014 Sociedade Portuguesa de Cardiologia. Published by Elsevier España. All rights reserved.

  17. The Day-to-Day Job of the Utilization Volunteer: Structure, Problems, and Solutions. The Peace Corps Educational Television (ETV) Project in Colombia: Two Years of Research.

    Science.gov (United States)

    Comstock, George; Maccoby, Nathan

    For a report on a two-year research project designed to evaluate the introduction of educational television in Colombian schools by the Peace Corps, "critical incidents" which were collected from the utilization Volunteers (those in the field who were serving as educational television consultants) are presented. The first part of the…

  18. Do developmental milestones at 4, 8, 12 and 24 months predict IQ at 5-6 years old? Results of the EDEN mother-child cohort.

    Science.gov (United States)

    Peyre, Hugo; Charkaluk, Marie-Laure; Forhan, Anne; Heude, Barbara; Ramus, Franck

    2017-03-01

    The present study aims: (i) to determine how well developmental milestones at 4, 8, 12 and 24 months may predict IQ at 5-6 years old, (ii) to identify cognitive domains during the first two years that best predict later IQ and (iii) to determine whether children with IQ in the normal range at 5-6 years old may differ from disabled (IQ  130) with regard to their early cognitive development. The main developmental milestones were collected through self-administered questionnaires rated by parents at 4, 8, 12 and 24 months and through parental questionnaires administered by a trained interviewer and questionnaires completed following a medical examination at 12 months. These questionnaires were derived from the Brunet-Lézine Psychomotor Development Scale and they addressed several cognitive domains (gross and fine motor skills, language and socialization). (i) Developmental milestones predict a substantial part of the later IQ variance from 24 months (R(2) ∼ 20%). (ii) Early language skills more strongly predict later IQ than the other cognitive domains. (iii) Several cognitive domains, but particularly language skills, predict disabled children at 5-6 years old (from the age of 8 months) and gifted children (from the age of 12 months). The present study provides valuable information for early developmental assessment and could contribute to a better understanding of intellectual development. Copyright © 2016 European Paediatric Neurology Society. Published by Elsevier Ltd. All rights reserved.

  19. Achilles tendon Total Rupture Score at 3 months can predict patients' ability to return to sport 1 year after injury

    DEFF Research Database (Denmark)

    Hansen, Maria Swennergren; Christensen, Marianne; Budolfsen, Thomas;

    2016-01-01

    PURPOSE: To investigate how the Achilles tendon Total Rupture Score (ATRS) at 3 months and 1 year after injury is associated with a patient's ability to return to work and sports as well as to investigate whether sex and age influence ATRS after 3 months and 1 year. METHOD: This is a retrospective...... study analysing the data from the Danish Achilles tendon Database. A total of 366 patients were included. Logistic regression was conducted to describe the effect of ATRS on return to work and sports. The effect of age and sex on ATRS was analysed by linear regression. RESULTS: Three months after injury...... patients had a significantly increased chance of return to sport after 1 year with an increased ATRS (OR 1.06, p = 0.001) but a non-significant effect on return to work. After 1 year, patients had a significantly increased probability of having returned to sport (OR 1.11, p

  20. Day of the year-based prediction of horizontal global solar radiation by a neural network auto-regressive model

    Science.gov (United States)

    Gani, Abdullah; Mohammadi, Kasra; Shamshirband, Shahaboddin; Khorasanizadeh, Hossein; Seyed Danesh, Amir; Piri, Jamshid; Ismail, Zuraini; Zamani, Mazdak

    2016-08-01

    The availability of accurate solar radiation data is essential for designing as well as simulating the solar energy systems. In this study, by employing the long-term daily measured solar data, a neural network auto-regressive model with exogenous inputs (NN-ARX) is applied to predict daily horizontal global solar radiation using day of the year as the sole input. The prime aim is to provide a convenient and precise way for rapid daily global solar radiation prediction, for the stations and their immediate surroundings with such an observation, without utilizing any meteorological-based inputs. To fulfill this, seven Iranian cities with different geographical locations and solar radiation characteristics are considered as case studies. The performance of NN-ARX is compared against the adaptive neuro-fuzzy inference system (ANFIS). The achieved results prove that day of the year-based prediction of daily global solar radiation by both NN-ARX and ANFIS models would be highly feasible owing to the accurate predictions attained. Nevertheless, the statistical analysis indicates the superiority of NN-ARX over ANFIS. In fact, the NN-ARX model represents high potential to follow the measured data favorably for all cities. For the considered cities, the attained statistical indicators of mean absolute bias error, root mean square error, and coefficient of determination for the NN-ARX models are in the ranges of 0.44-0.61 kWh/m2, 0.50-0.71 kWh/m2, and 0.78-0.91, respectively.

  1. Veterinary students' perceptions of their day-one abilities before and after final-year clinical practice-based training.

    Science.gov (United States)

    Schull, Daniel N; Morton, John M; Coleman, Glen T; Mills, Paul C

    2011-01-01

    The present study evaluated the impact of final-year clinical practice-based training on veterinary students' perceptions of competence in "Day One" abilities by administering a pre- and post-training self-assessment checklist. This study also investigated the influence of student demographics on their perceptions of satisfaction about their own knowledge and skills and preparedness for practice. Perceptions regarding the usefulness of the checklist as a self-audit tool were also sought. Final year students (N=85) were surveyed on commencement and upon completion of the training using a checklist that had been adapted from the list of essential new-graduate abilities that was developed by the Royal College of Veterinary Surgeons and adopted by the Australasian Veterinary Boards Council. Significant improvements in student perceptions of competence were observed for 38 of the 41 abilities. Students' satisfaction with their knowledge and skill base and their perceptions of preparedness for practice were only weakly correlated with overall perceptions of competence for individual ability items and did not vary significantly with student age, gender, background, intended field and location of work, or with their work experience as veterinary nurses-if any-while studying. Two thirds of students believed that access to the self-assessment checklist on commencement of the training helped them identify areas for improvement before graduation. This article concludes that clinical practice-based training results in considerable improvement in senior veterinary students' perceptions of competence in Day One abilities and that a self-assessment checklist may help students guide their learning. Results from the present study may be useful for veterinary schools as they develop or enhance strategies used for outcomes assessment.

  2. Phonology in Swedish-speaking 3-year-olds born with cleft lip and palate and the relationship with consonant production at 18 months.

    Science.gov (United States)

    Klintö, Kristina; Eva-Kristina-Salameh; Olsson, Maria; Flynn, Traci; Svensson, Henry; Lohmander, Anette

    2014-01-01

    Approximately 50% of children born with cleft palate present speech difficulties around 3 years of age, and several studies report on persisting phonological problems after palatal closure. However, studies on early phonology related to cleft palate are few and have so far mainly been carried out on English-speaking children. Studies on phonology related to cleft palate in languages other than English are also warranted. To assess phonology in Swedish-speaking children born with and without unilateral cleft lip and palate (UCLP) at 3 years of age, and to identify variables at 18 months that are associated with restricted phonology at age 3 years. Eighteen consecutive children born with UCLP and 20 children without cleft lip and palate were included. Transcriptions of audio recordings at 18 months and 3 years were used. Per cent correct consonants adjusted for age (PCC-A), the number of established phonemes, and phonological simplification processes at 3 years were assessed and compared with different aspects of consonant inventory at 18 months. PCC-A, the number of established phonemes, and the total number of phonological processes differed significantly at 3 years between the two groups. Total number of oral consonants, oral stops, dental/alveolar oral stops and number of different oral stops at 18 months correlated significantly with PCC-A at 3 years in the UCLP group. As a group, children born with UCLP displayed deviant phonology at 3 years compared with peers without cleft lip and palate. Measures of oral consonant and stop production at 18 months might be possible predictors for phonology at 3 years in children born with cleft palate. © 2013 Royal College of Speech and Language Therapists.

  3. The impact of systematic dietary counseling during the first year of life on prevalence rates of anemia and iron deficiency at 12-16 months.

    Science.gov (United States)

    Bortolini, Gisele Ane; Vitolo, Márcia Regina

    2012-01-01

    To evaluate the impact that a program based on maternal dietary counseling covering breastfeeding and healthy complementary feeding had on the prevalence of iron deficiency, anemia and iron deficiency anemia in children aged 12 to 16 months. Newborn infants were randomized at birth to an intervention or a control group. Mothers in the intervention group received home visits during the children's first year of life on a monthly basis up to 6 months, and at 8, 10 and 12 months. The mothers in the control group received visits for data collection when children reached 6 and 12 months. All children were visited at ages between 12 and 16 months and 24-hour dietary recalls and hemoglobin and ferritin tests were conducted. There was no evidence that the intervention had an effect on anemia incidence, which was 66.5% in the intervention group and 61.8% in the control group. There was also no evidence of any difference between the groups in the prevalence of iron deficiency anemia or of iron deficiency. However, a higher percentage of children in the intervention group were exclusively breastfed at 4 and 6 months, and breastfed at 6 and 12 months. Intervention group children also consumed more meat and were fed diets with better iron bioavailability and consumed less cow's milk and calcium than children from the control group. This intervention had no effect on the prevalence of anemia, iron deficiency or iron deficiency anemia. Clinical trial registry identification number: NCT00629629.

  4. '20 days protected learning' - students' experiences of an overseas nurses programme - 4 years on: a retrospective survey

    Directory of Open Access Journals (Sweden)

    Brown Petra

    2011-04-01

    Full Text Available Abstract Background From September 2005 the Nursing and Midwifery Council (NMC introduced new arrangements for the registration of non-EU overseas nurses which requires all applicants to undertake '20 days of protected learning' time in the UK and for some, a period of supervised practice. A survey was undertaken at Bournemouth University, which offers a '20 days protected learning only' programme, to elicit overseas nurses' demographic details, experiences in completing the programme and their 'final destinations' once registered. Methods An online survey was devised which contained a mixture of tick box and open ended questions which covered demographic details, views on the programme and final destinations This was uploaded to http://www.surveymonkey.com/ and sent out to nurses who had completed the Overseas Nurses Programme (ONP with Bournemouth University (n = 1050. Quantitative data were analysed using descriptive statistics and the qualitative data were coded and analysed using content analysis. Results There were 251 respondents (27.7% response rate. The typical 'profile' of a nurse who responded to the survey was female, aged 25-40 years and had been qualified for more than 5 years with a bachelors degree. The majority came from Australia on a 2 year working holiday visa and the key final destination in the UK, on registration with the NMC, was working for an agency. There were five key findings regarding experience of the programme. Of those surveyed 61.2% did not feel it necessary to undergo an ONP; 71.6% felt that they should be able to complete the programme on-line in their own country; 64.2% that the ONP should only contain information about delivery of healthcare in UK and Legal and professional (NMC issues; 57% that European nurses should also undergo the same programme and sit an IELTS test; and 68.2% that the programme was too theory orientated; and should have links to practice (21%. Conclusions The NMC set the admissions

  5. Analysis on the Climatic Change Characteristics of the Snow Cover Days and Its Influence Factors in Suzhou during Recent 50 Years

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    [Objective] The research aimed to study climatic variation characteristics of snow cover days and its influence factors in Suzhou of Anhui Province during recent 50 years. [Method] According to annual snow cover days and correlated data in Suzhou during 1961-2010, by using linear trend method, accumulative anomaly and complete correlation coefficient method, etc., the climatic variation characteristics of snow cover days and its influence factors in Suzhou were analyzed. [Result] In recent 50 years, the sno...

  6. The Month-of-the-year Effect in the Australian Stock Market: A Short Technical Note on the Market, Industry and Firm Size Impacts

    Directory of Open Access Journals (Sweden)

    George Marrett

    2011-03-01

    Full Text Available This short note examines the month-of-the-year effect in Australian daily returns using a regression-basedapproach. The results indicate that marketwide returns are significantly higher in April, July and Decembercombined with evidence of a small cap effect with systematically higher returns in January, August, andDecember. The analysis of the sub-market returns is also supportive of disparate month-of-the-year effects.However, only in the case of small cap firms and the telecoms industry do these coincide with the higherreturns associated with the January effect as typified in work elsewhere.This

  7. Anomalously heavy monthly and seasonal precipitation in the Polish Carpathian Mountains and their foreland during the years 1881-2010

    Science.gov (United States)

    Twardosz, Robert; Cebulska, Marta; Walanus, Adam

    2016-10-01

    The paper addresses the frequency, amount and geographic coverage of anomalously heavy precipitation in southern Poland in relation to atmospheric circulation at the monthly and seasonal scales between 1881 and 2010. The Carpathian Mountains and their foreland were selected for the study as an area known for its high precipitation totals and frequent precipitation-triggered natural disasters, such as floods and landslides. Records from 18 stations were used to identify anomalously heavy precipitation (AHP) defined for the purposes of the study, as the top quartile ( Q 75 %) plus 1.5 times the interquartile gap (H) of the precipitation total ( P ≥ Q 75 % + 1.5 H). The study found that most cases of AHP were recorded at one single station each. This suggests that, in addition, to the influence of circulation, local factors also play a major role in the formation of particularly heavy precipitation. The greatest absolute anomalously high precipitation totals were recorded in two disparate parts of the study area: (i) its western part exposed to wet air masses from over the Atlantic Ocean brought in by the dominant western circulation in the temperate zone and (ii) elevated parts of its south-eastern part. Two months with AHP (AHP months) occurred over the entire area (18 stations) in May 1940 and 2010. The latter case had both the greatest absolute totals (over 500 mm) and relative totals defined as their ratio to the long-term average (500 %), and it triggered a catastrophic flood in the Upper Vistula basin.

  8. IGF-I at 9 and 36 months of age — relations with body composition and diet at 3 years — the SKOT cohort.

    Science.gov (United States)

    Ejlerskov, K T; Larnkjaer, A; Pedersen, D; Ritz, C; Mølgaard, C; Michaelsen, K F

    2014-12-01

    High infancy levels of insulin-like growth factor-I (IGF-I) have been associated with increased linear growth and fat-free mass (FFM) but also with risk of obesity. This paper examines how IGF-I at 9 and 36 months relates to diet and body composition. Healthy term infants from the prospective cohort study, SKOT, were examined at 9 and 36 months with anthropometry, bioelectrical impedance (36 months), 7-day food records and blood analysis of IGF-I and IGFBP-3 by chemiluminescent immunometric assay. IGF-I at 36 months (n = 229) was positively correlated with 9 months values and values were considerably higher in girls (43%). Children breastfed at 9 months had lower IGF-I concentrations at 9 months but reached the same IGF-I concentrations at 36 months as infants not breastfed at 9 months. IGF-I at 36 months was positively associated with height, weight, BMI, predicted FFM and FFM index (FFM/height (kg/m2)). Although there also was a positive association with predicted fat mass (FM) there was no association with FM index (FM/height (kg/m2)). Further, a negative association with skin fold thickness was observed. A change in IGF-I from 9–36 months was positively related to FFM and FFM index but not BMI, FM and FM index. No associations were seen between IGF-I and current intake of milk, meat or protein energy percentage, but both fat and saturated fat energy percentage were negatively associated with IGF-I. IGF-I concentrations were positively associated with growth but not with adiposity at this age. However, the higher tempo of growth may influence age at adiposity rebound and thereby later risk of obesity. Milk and protein intake at 36 months did not influence IGF-I but there was a negative association with intake of fat and saturated fat. The implications of this finding for development of obesity need further exploration.

  9. A 3-month at-home tube feeding in 118 bulimia nervosa patients: a one-year prospective survey in adult patients.

    Science.gov (United States)

    Daniel, Rigaud; Didier, Perrin; Hélène, Pennacchio

    2014-04-01

    To study the 1-yr follow-up of 118 bulimia nervosa (BN) patients after a 3-month at-home tube feeding (TF) in a prospective study. At-home TF lasted 3 months, including one month of exclusive TF (no food). All patients fulfilled 4 questionnaires (score of binge/purging episodes (BP), eating disorder inventory, anxiety, depression), before, at the 3-month TF point, and 6 and 12 months latter. The score of BP episodes dramatically decreased from 28.8 ± 15 (before TF) to 7.3 ± 5.4 at 3 months, as well as at 1 yr (15.1 ± 6.2). We also obtained a 50% decrease in Beck score (depression) and Hamilton score (anxiety). Curiously, there was no difference between the BP scores of the patients following psychotherapy and those who did not, despite lower scores for anxiety and depression. In conclusion, in bulimia nervosa patients having normal BMI and purging behavior, home-TF allow to obtain total withdrawal from bingeing/purging in at least 75% of the cases at short term (3 months) and in 25% of the patients at one year, whatever the patients have or have not psychotherapy. Copyright © 2013 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

  10. Is pedometer-determined day-of-the-week variability of step counts related to age and BMI in Czech men and women aged 50 to 70 years?

    Directory of Open Access Journals (Sweden)

    Jana Pelclová

    2016-03-01

    Full Text Available Background: Day-to-day walking variability appears not to be random and may fluctuate by day of week or type of day (workdays/non-workdays. The day-of-the-week variability is less clear in period of life transition between the ages of 50-70 years. Moreover, it is unclear whether the variability is related to age or BMI.Objective: The aim of this study was to identify the weekdays-weekends patterns and the day-to-day variability in step patterns in men and women of different age and BMI groups. Methods: During the years 2009-2012, 1,170 individuals (532 men and 638 women aged 50-70 years participated in a seven-day monitoring using a Yamax Digiwalker SW-700 pedometer. Results: Using ANOVA of repeated measures, it was found that steps/day varied across the day of the week in both men and women in younger age groups (≤ 64 years (p ≤ .04, whereas in older age group (65-70 years, no significant systematic variability by day of the week was found. Existence of variability by day of the week with significant drop in steps/day on weekend days, especially on Sunday, was confirmed in normal weight, overweight and obese Czech men and women. Conclusion: In conclusion, this study contributes to the evidence with the findings about the existing the day-of-the-week variability of step counts per day in the population aged 50 to 64 years and about the absence of significant variability in seniors (≥ 65 years. Sunday was the least active day in different age and BMI groups aged 50 to 70 years of Czech population. Researchers and practitioners should take the results of this study into consideration when preparing for data collection of habitual physical activity in senior population and in the development of walking interventions and weight reduction programmes designed for this age group.

  11. Early and intensive nutritional strategy combining parenteral and enteral feeding promotes neurodevelopment and growth at 18months of corrected age and 3years of age in extremely low birth weight infants.

    Science.gov (United States)

    Ohnishi, Satoshi; Ichiba, Hiroyuki; Tanaka, Yuko; Harada, Sayaka; Matsumura, Hisako; Kan, Ayako; Asada, Yuki; Shintaku, Haruo

    2016-09-01

    To evaluate whether aggressive nutrition can improve long-term neurodevelopmental outcomes and growth in extremely low birth weight (ELBW) infants born appropriate for gestational age (AGA). This single-center cohort study included 137 ELBW AGA infants born in two epochs. The first group received standard nutrition (SN; n=79) consisting of amino acids started at 0.5g/kg/day on Day 4 of life and increased to 1.0g/kg/day. The second aggressive nutrition (AN) group received amino acids started at 1.5-2.0g/kg/day within 24h of life and increased to 3.5g/kg/day. Parenteral and enteral feedings were combined in both groups. Neurodevelopmental outcomes by the Kyoto Scale of Psychological Development and growth were followed up to 18months of corrected age or 3years of age and compared by univariate and multivariate analyses. Baseline characteristics were similar between the two groups. At 3years of age, AN children had a significantly greater mean value of head circumference, but not length or weight, than SN children (49.1 vs 48.0cm, p=0.014). The cognitive-adaptive (C-A) score in the AN group was also significantly higher than that in the SN group (98.3 vs 91.9 at 18months, p=0.039 and 89.5 vs 83.1 at 3years, p=0.047). AN infants born ≥26weeks of gestation were less likely to develop borderline disability in C-A, language-social and overall developmental scores compared to gestational age-matched SN infants. Parenteral and enteral AN after birth improved the long-term cognitive neurodevelopment in ELBW AGA infants, especially in those born ≥26weeks of gestational age, however results need to be confirmed in a larger, multi-site randomized trial. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  12. Biomimetics for NASA Langley Research Center: Year 2000 Report of Findings From a Six-Month Survey

    Science.gov (United States)

    Siochi, Emilie J.; Anders, John B., Jr.; Cox, David E.; Jegley, Dawn C.; Fox, Robert L.; Katzberg, Stephen J.

    2002-01-01

    This report represents an attempt to see if some of the techniques biological systems use to maximize their efficiency can be applied to the problems NASA faces in aeronautics and space exploration. It includes an internal survey of resources available at NASA Langley Research Center for biomimetics research efforts, an external survey of state of the art in biomimetics covering the Materials, Structures, Aerodynamics, Guidance and Controls areas. The Biomimetics Planning team also included ideas for potential research areas, as well as recommendations on how to implement this new program. This six-month survey was conducted in the second half of 1999.

  13. Achilles tendon Total Rupture Score at 3 months can predict patients' ability to return to sport 1 year after injury.

    Science.gov (United States)

    Hansen, Maria Swennergren; Christensen, Marianne; Budolfsen, Thomas; Østergaard, Thomas Friis; Kallemose, Thomas; Troelsen, Anders; Barfod, Kristoffer Weisskirchner

    2016-04-01

    To investigate how the Achilles tendon Total Rupture Score (ATRS) at 3 months and 1 year after injury is associated with a patient's ability to return to work and sports as well as to investigate whether sex and age influence ATRS after 3 months and 1 year. This is a retrospective study analysing the data from the Danish Achilles tendon Database. A total of 366 patients were included. Logistic regression was conducted to describe the effect of ATRS on return to work and sports. The effect of age and sex on ATRS was analysed by linear regression. Three months after injury patients had a significantly increased chance of return to sport after 1 year with an increased ATRS (OR 1.06, p = 0.001) but a non-significant effect on return to work. After 1 year, patients had a significantly increased probability of having returned to sport (OR 1.11, p < 0.001) and also having returned to work (OR 1.05, p = 0.007) with an increased ATRS. Men had an average 7 (p = 0.006) points higher ATRS at 3 months and an average 22 (p = 0.006) points higher at 1 year. ATRS is associated with patients' ability to return to sports and work. ATRS at 3 months can be used as a predictor of the patient's ability to return to sports after 1 year. Hereby, ATRS might help to individualise rehabilitation by identifying patients who do not respond adequately to the chosen treatment. II.

  14. Children hospitalised with bronchiolitis in the first year of life have a lower quality of life nine months later.

    Science.gov (United States)

    Rolfsjord, Leif Bjarte; Skjerven, Håvard Ove; Bakkeheim, Egil; Carlsen, Kai-Håkon; Hunderi, Jon Olav Gjengstø; Kvenshagen, Bente Krane; Mowinckel, Petter; Lødrup Carlsen, Karin C

    2015-01-01

    Acute bronchiolitis increases the risk of asthma, and reduced quality of life (QoL) is reported in children with asthma and allergy. However, the impact of asthma risk factors on QoL is unclear. This study investigated whether bronchiolitis and common asthma risk factors in infancy had an influence on later QoL. The parents of 209 infants recruited during hospitalisation for bronchiolitis at a mean age of 4 months, and 206 controls responded to the generic Infant Toddler Quality of Life Questionnaire 9 months later. We used robust regression analyses to assess the association between four asthma risk factors, atopic eczema, parental asthma, parental allergic rhinoconjunctivitis and second-hand smoke and QoL in the two groups. QoL was lower among children with previous bronchiolitis in the overall health and general health domains and lower in six of 13 domains in children with atopic eczema. Compared with no risk factors, children with previous bronchiolitis and three risk factors had lower scores in four domains, and control children with three risk factors had lower scores in three domains. Having acute bronchiolitis, atopic eczema and three asthma risk factors were negatively associated with later QoL in early childhood. ©2014 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  15. Climate Characteristics of High-Temperature and Muggy Days in the Beijing-Tianjin-Hebei Region in the Recent 30 Years

    Directory of Open Access Journals (Sweden)

    Guohua Zhang

    2015-01-01

    Full Text Available The climate characteristics of high-temperature (37°C and above and muggy days in the Beijing-Tianjin-Hebei region over the past 30 years from 1981 to 2010 are analyzed. The results are summarized as follows. During this period, the years with the most number of high-temperature days are 1997–2005 and 2009 in the Beijing-Tianjin-Hebei region, while high-temperature extremes appear in 1999, 2000, 2002, 2009, and 2010. This disparity between the years with high-temperature extremes and the years with the most number of high-temperature days is located primarily in the central and southern cities of the Beijing-Tianjin-Hebei region. High-temperature extremes in the southern cities appear in June and July, while high-temperature extremes in the other cities appear in July. The years with the most number of muggy days are 1994, 1997, 1998, 2000, and 2010 in the Beijing-Tianjin-Hebei region, but the years with the extreme muggy conditions appear in 1981, 2002, 2005, and 2010. The most number of muggy days are in July, and the muggy days in July and August account for about 90% of the entire summer. Over the 30-year period, no apparent changes are observed in the number of days with precipitation and the annual precipitation amount.

  16. Regression equations to estimate seasonal flow duration, n-day high-flow frequency, and n-day low-flow frequency at sites in North Dakota using data through water year 2009

    Science.gov (United States)

    Williams-Sether, Tara; Gross, Tara A.

    2016-02-09

    Seasonal mean daily flow data from 119 U.S. Geological Survey streamflow-gaging stations in North Dakota; the surrounding states of Montana, Minnesota, and South Dakota; and the Canadian provinces of Manitoba and Saskatchewan with 10 or more years of unregulated flow record were used to develop regression equations for flow duration, n-day high flow and n-day low flow using ordinary least-squares and Tobit regression techniques. Regression equations were developed for seasonal flow durations at the 10th, 25th, 50th, 75th, and 90th percent exceedances; the 1-, 7-, and 30-day seasonal mean high flows for the 10-, 25-, and 50-year recurrence intervals; and the 1-, 7-, and 30-day seasonal mean low flows for the 2-, 5-, and 10-year recurrence intervals. Basin and climatic characteristics determined to be significant explanatory variables in one or more regression equations included drainage area, percentage of basin drainage area that drains to isolated lakes and ponds, ruggedness number, stream length, basin compactness ratio, minimum basin elevation, precipitation, slope ratio, stream slope, and soil permeability. The adjusted coefficient of determination for the n-day high-flow regression equations ranged from 55.87 to 94.53 percent. The Chi2 values for the duration regression equations ranged from 13.49 to 117.94, whereas the Chi2 values for the n-day low-flow regression equations ranged from 4.20 to 49.68.

  17. China ship export sharply increased by 50% nearly to 400 million US Dollars monthly last year Summary on China ship import/export in 2005

    Institute of Scientific and Technical Information of China (English)

    Zhu Huaixin

    2006-01-01

    @@ General According to the Customs statistics in 2005,China exported 215761 pieces totally amounting to 4.7189 billion US dollars, which increased 49.4% than the previous year and nearly 400 million US dollars per month in average. It also imported 3818 vessels totally amounting to 490.8 million US dollars, which decreased 52.7% than the previous year. The surplus of the ship import vs. export accumulated to 4.2281 billion US dollars.

  18. Acid-base status at birth, spontaneous motor behaviour at term and 3 months and neurodevelopmental outcome at age 4 years in full-term infants

    NARCIS (Netherlands)

    Wildschut, J; Feron, FJM; Hendriksen, JGM; van Hall, M; Gavilanes-Jiminez, DWD; Hadders-Algra, M; Vles, JSH

    2005-01-01

    Objective: The aim of the study was to assess the relationship between acid-base status and quality and quantity of General Movements (GMs) at birth and quality of GMs at age 3 months and motor, cognitive and behavioural functioning at the age of 4 years. Methods: From a cohort of 84 term children w

  19. Acid-base status at birth, spontaneous motor behaviour at term and 3 months and neurodevelopmental outcome at age 4 years in full-term infants

    NARCIS (Netherlands)

    Wildschut, J; Feron, FJM; Hendriksen, JGM; van Hall, M; Gavilanes-Jiminez, DWD; Hadders-Algra, M; Vles, JSH

    Objective: The aim of the study was to assess the relationship between acid-base status and quality and quantity of General Movements (GMs) at birth and quality of GMs at age 3 months and motor, cognitive and behavioural functioning at the age of 4 years. Methods: From a cohort of 84 term children

  20. Asthma-like symptoms in the first year of life and health-related quality of life at age 12 months: The Generation R study

    NARCIS (Netherlands)

    Mohangoo, A.D.; Koning, H.J. de; Jongste, J.C. de; Landgraf, J.M.; Wouden, J.C. van der; Jaddoe, V.W.V.; Hofman, A.; Moll, H.A.; Mackenbach, J.P.; Raat, H.

    2012-01-01

    Purpose: This study compares HRQOL among subgroups of infants with asthma-like symptoms to a subgroup without such symptoms and examines independent associations between asthma-like symptoms during the first year of life and HRQOL at age 12 months. Methods: Our study sample included 5,000 infants pa

  1. Asthma-like symptoms in the first year of life and health-related quality of life at age 12 months: The Generation R study

    NARCIS (Netherlands)

    Mohangoo, A.D.; Koning, H.J. de; Jongste, J.C. de; Landgraf, J.M.; Wouden, J.C. van der; Jaddoe, V.W.V.; Hofman, A.; Moll, H.A.; Mackenbach, J.P.; Raat, H.

    2012-01-01

    Purpose: This study compares HRQOL among subgroups of infants with asthma-like symptoms to a subgroup without such symptoms and examines independent associations between asthma-like symptoms during the first year of life and HRQOL at age 12 months. Methods: Our study sample included 5,000 infants pa

  2. Developmental outcomes among 18-month-old Malawians after a year of complementary feeding with lipid-based nutrient supplements or corn-soy flour

    Science.gov (United States)

    The major aim of this trial was to compare the development of 18-month-old infants who received complementary feeding for 1 year with either lipid-based nutrient supplements or micronutrient-fortified corn-soy porridge. Our secondary aim was to determine the socio-economic factors associated with de...

  3. Family meals with young children: an online study of family mealtime characteristics, among Australian families with children aged six months to six years.

    Science.gov (United States)

    Litterbach, Eloise-Kate V; Campbell, Karen J; Spence, Alison C

    2017-01-24

    Evidence suggests that family meals influence food intakes and behaviours, which in turn impact children's eating habits, diets and health. Mealtimes therefore offer potential as settings for health promotion. Given diet, health behaviours and health are often socioeconomically patterned, it is important to consider whether family meals differ by socioeconomic position (SEP). The Family Meals with Young Kids study was an online survey completed by parents in 2014. Mealtime characteristics measured included; frequency of shared meals across the day, duration and location of mealtimes, parental modelling, and parental perceived importance of the evening meal. Maternal education was used to assess SEP. The aims of this study were to describe family meal characteristics among Australian families with children aged six months to six years and to describe the socioeconomic patterning of these. Participants (n = 992) were mostly mothers (97%) with a university degree (71%). The evening meal was the most frequently reported meal eaten together with the responding parent and child (77% ≥ five nights/week). Snacks were least commonly eaten together (39% ≥ five days/week). The frequency of having everyone present for the evening meal was inversely associated with SEP (OR 0.70, CI 0.54-0.92). Parent rated importance of family meals was generally high and positively associated with higher SEP (OR 1.32, CI 1.00-1.76). Most children consumed breakfast (73%), lunch (58%) and dinner (82%) sitting at a table or bench and this was positively associated with higher SEP for all meal types (OR 1.61-2.37, p families engage in many healthy mealtime behaviours. Evidence that parents share meals with children and place high value on mealtimes with children provides important opportunities for promoting healthy behaviours in families. The choice of eating location and the practice of viewing TV during mealtimes are examples of two such opportunities. Socioeconomic

  4. Functional and motor outcome 5 years after stroke is equivalent to outcome at 2 months: follow-up of the collaborative evaluation of rehabilitation in stroke across Europe.

    Science.gov (United States)

    Meyer, Sarah; Verheyden, Geert; Brinkmann, Nadine; Dejaeger, Eddy; De Weerdt, Willy; Feys, Hilde; Gantenbein, Andreas R; Jenni, Walter; Laenen, Annouschka; Lincoln, Nadina; Putman, Koen; Schuback, Birgit; Schupp, Wilfried; Thijs, Vincent; De Wit, Liesbet

    2015-06-01

    Recovery of patients within the first 6 months after stroke is well documented, but there has been little research on long-term recovery. The aim of this study was to analyze functional and motor recovery between admission to rehabilitation centres and 5 years after stroke. This follow-up of the Collaborative Evaluation of Rehabilitation in Stroke Across Europe study, included patients from 4 European rehabilitation centres. Patients were assessed on admission, at 2 and 6 months, and 5 years after stroke, using the Barthel Index, Rivermead Motor Assessment Gross Function, Leg and Trunk function, and Arm function. Linear mixed models were used, corrected for baseline characteristics. To account for the drop-out during follow-up, the analysis is likelihood-based (assumption of missingness at random). A total of 532 patients were included in this study, of which 238 were followed up at 5 years post stroke. Mean age at stroke onset was 69 (±10 SD) years, 53% were men, 84% had ischemic strokes, and 53% had left-sided motor impairment. Linear mixed model analysis revealed a significant deterioration for all 4 outcomes between 6 months and 5 years (Pstroke. Higher age (Pstroke severity on admission (Pstroke severity negatively affected recovery up to 5 years after stroke. © 2015 American Heart Association, Inc.

  5. Effect of Probiotic Containing Ice-cream on Salivary Mutans Streptococci (SMS) Levels in Children of 6-12 Years of Age: A Randomized Controlled Double Blind Study with Six-months Follow Up.

    Science.gov (United States)

    Ashwin, Devasya; Ke, Vijayaprasad; Taranath, Mahanthesh; Ramagoni, Naveen Kumar; Nara, Asha; Sarpangala, Mythri

    2015-02-01

    To evaluate the caries risk based on the salivary levels of streptococcus mutans in children of 6-12 years of age group before and after consuming probiotic ice-cream containing Bifidobacterium lactis Bb-12 and Lactobacillus acidophilus La-5. A double blind, placebo controlled trial was carried out in 60 children aged between 6 to 12 years with zero decayed, missing, and filled teeth (DMFT). They were randomly divided into two equal groups. Saliva sample were collected before the consumption of ice-cream and Streptococcus mutans count was calculated and recorded as baseline data. For the next seven days both the groups were given ice creams marked as A and B. Saliva samples were collected after ice-cream consumption at the end of study period and also after a washout period of 30 days and again after six months. Samples were inoculated and colonies were counted. On statistical evaluation by students paired t-test, probiotic ice-cream brought significant reduction in the Streptococcus mutans count after seven days of ice-cream ingestion (pice-cream consumption. After six months of the study period in both the groups the salivary levels of Streptococcus mutans was similar to the baseline. Probiotic ice-cream containing Bifidobacterium lactis Bb-12 and Lactobacillus acidophilus La-5 can cause reduction in caries causative organism. The dosage of the probiotic organisms for the long term or synergetic effect on the oral health are still needed to be explored.

  6. Analysis of China’s Haze Days in the Winter Half-Year and the Climatic Background during 1961-2012

    Institute of Scientific and Technical Information of China (English)

    SONG Lian-Chun; GAO Rong; LI Ying; WANG Guo-Fu

    2014-01-01

    The characteristics of haze days and the climatic background are analyzed by using daily observations of haze, precipitation, mean and maximum wind speed of 664 meteorological stations for the period of 1961-2012. The results show that haze days occur significantly more often in eastern China than in western China. The annual number of haze days is 5-30 d in most parts of central-eastern China, with some areas experiencing more than 30 d, while less than 5 d are averagely occurring in western China. Haze days are mainly concentrated in the winter half-year, with most in winter, followed by autumn, spring, and then summer. Nearly 20% of annual haze days are experienced in December. The haze days in central-eastern China in the winter half-year have a significant increasing trend of 1.7 d per decade during 1961-2012. There were great increases in haze days in the 1960s, 1970s and the beginning of the 21st century. There was also significant abrupt changes of haze days in the early 1970s and 2000s. From 1961 to 2012, haze days in the winter half-year increased in South China, the middle-lower reaches of the Yangtze River, and North China, but decreased in Northeast China, eastern Northwest China and eastern Southwest China. The number of persistent haze is rising. The Longer the haze, the greater the proportion to the number persistent haze. Certain climatic conditions exacerbated the occurrence of haze. The correlation coefficient between haze days and precipitation days in the winter half-year is mainly negative in central-eastern China. The precipitation days show a decreasing trend in most parts of China, with a rate of around -4.0 d per decade in central-eastern China, which reduces the sedimentation capacity of atmospheric pollutants. During the period of 1961-2012, the correlation coefficients between haze days and mean wind speed and strong wind days are mainly negative in central-eastern China, while there exists positive correlation between haze days and

  7. Characterization and scoring of skin changes in severe acute malnutrition in children between 6 months and 5 years of age

    DEFF Research Database (Denmark)

    Heilskov, S; Vestergaard, Christian; Babirekere, E

    2015-01-01

    BACKGROUND: Severe acute malnutrition is a life-threatening condition. It can be associated with severe skin changes, first properly described by Williams in 1933. The aetiology of these skin changes is still unknown and their character has never been systematically described in dermatological...... objective was to identify the skin changes characteristic of children with severe acute malnutrition and to develop a clinical score that describes the morphology and severity in dermatological terms. We also investigated if any of the different skin changes were connected to prognosis. MATERIALS...... AND METHODS: At Mulago Hospital, Mwanamugimu (Department of Paediatrics and Child Health), Uganda, 120 children were included over a period of six months and observed when treated for severe acute malnutrition. Skin changes were registered through clinical examination and photo documentation and associated...

  8. Comparison of the rates of fight-related trauma admissions in Ramadan and the non-Ramadan months during 8 years in public hospitals in Kermanshah, Iran

    Directory of Open Access Journals (Sweden)

    Gholamreza Mohseni

    2016-12-01

    Full Text Available Introduction: Ramadan is a time when Muslims are expected to be calm and peaceful in daily life both mentally and physiologically. Some people believe that they should try to don’t have be involved in bad and deviant behaviors in Ramadan. As increasing social safety and reducing crime in society are the most important concerns of the authorities , psychologists, sociologists and governments, they are try to find ways to increase the social safety and decrease the crime rates. The aim of this study was to investigate the statisticaltraumas Due to fights and rate of ’deviant behaviors during Ramadan compared to Non-Ramadan months  of the years 2001 to 2008 in public hospitals in the city of Kermanshah, Iran. Method: Our study was a prospective study. It included patients who were involved in four types of traumas including beating, gunshot, falling from height and car-accident during Ramadan and the Non-Ramadan months of the years 2001 to 2008 admitted to the Emergency Trauma Center Departments (ETCDs of Taleghani and Imam Reza Hospitals in Kermanshah, Iran. Results: The study included 168753 patients. 155705 patients (442.34 mean ± 436.77 SD were admitted in Non-Ramadan months and the remaining 13048 patients (407.75 mean ± 427.16 SD in Ramadan month. Based on the results, the average of trauma instances in Non-Ramadan months was higher, but no statistically significant difference was noted between the two groups. We did not observe significant differences for types of traumatic events in Ramadan compared to Non-Ramadan months, but for Non Ramadan months all types of traumatic except gunshot and beating were significant. Conclusion: Although Ramadan is not a special controlling factor for trauma admissions, but it can has an important effect on the reduction of numbers and types of fight-related trauma admissions in ETCD of hospitals.

  9. Measles Humoral and Cell-Mediated Immunity in Children Aged 5–10 Years After Primary Measles Immunization Administered at 6 or 9 Months of Age

    Science.gov (United States)

    Gans, Hayley A.; Yasukawa, Linda L.; Sung, Phillip; Sullivan, Barbara; DeHovitz, Ross; Audet, Susette; Beeler, Judy; Arvin, Ann M.

    2013-01-01

    Background. Given the high infant measles mortality rate, there is interest in whether a measles immunization regimen beginning at Measles-specific immune responses were evaluated in 70 children aged 5–10 years after primary measles vaccine administered at 6, 9, or 12 months. Results. At 5–10 years of age, the stimulation index for measles T-cell proliferation was 11.4 (SE, 1.3), 10.9 (SE, 1.5), and 14.4 (SE 2.1) when the first measles dose was given at 6, 9, or 12 months, respectively. Neutralizing antibody concentration (geometric mean titer [GMT]) in those immunized at 6 months of age was 125 mIU/mL (95% confidence interval [CI], 42–377) in the presence of passive antibodies (PAs) and 335 mIU/mL (95% CI, 211–531) in those without PAs; in those immunized at 9 months, GMTs were 186 mIU/mL (95% CI, 103–335) and 1080 mIU/mL (95% CI, 642–1827) in the presence and absence of PAs, respectively. The GMT was 707 mIU/mL (95% CI, 456–1095) when vaccine was administered at 12 months (P ≤ .04). Conclusions. Measles-specific T-cell responses were sustained at 5–10 years of age regardless of age at time of primary measles immunization. Neutralizing antibody concentrations were lower in cohorts given the first vaccine dose at 6 months of age and in the presence of PAs; however, responses could be boosted by subsequent doses. Starting measles vaccination at measles outbreaks or in endemic areas. PMID:23300162

  10. Present-day kinematics and fault slip rates in eastern Iran, derived from 11 years of GPS data

    Science.gov (United States)

    Walpersdorf, A.; Manighetti, I.; Mousavi, Z.; Tavakoli, F.; Vergnolle, M.; Jadidi, A.; Hatzfeld, D.; Aghamohammadi, A.; Bigot, A.; Djamour, Y.; Nankali, H.; Sedighi, M.

    2014-02-01

    We analyze new GPS data spanning 11 years at 92 stations in eastern Iran. We use these data to analyze the present-day kinematics and the slip rates on most seismogenic faults in eastern Iran. The east Lut, west Lut, Kuhbanan, Anar, Dehshir, and Doruneh faults are confirmed as the major faults and are found to currently slip laterally at 5.6 ± 0.6, 4.4 ± 0.4, 3.6 ± 1.3, 2.0 ± 0.7, 1.4 ± 0.9, and 1.3 ± 0.8 mm/yr, respectively. Slip is right-lateral on the ~NS striking east Lut, west Lut, Kuhbanan, Anar, and Dehshir faults and left-lateral on the ~EW Doruneh fault. The ~NS faults slice the eastern Iranian crust into five blocks that are moving northward at 6-13 mm/yr with respect to the stable Afghan crust at the eastern edge of the collision zone. The collective behavior of the ~NS faults might thus allow the Arabian promontory to impinge northward into the Eurasian crust. The ~NS faults achieve additional NS shortening by rotating counterclockwise in the horizontal plane, at current rates up to 0.8°/Ma. Modeling the GPS and available geological data with a block rotation model suggests that the rotations have been going on at a similar rate (1 ± 0.4°/Ma) over the last 12 Ma. We identify large strains at the tips of the rotating east Lut, west Lut, and Kuhbanan faults, which we suspect to be responsible for the important historical and instrumental seismicity in those zones.

  11. Outpatient multimodal intravenous analgesia in patients undergoing day-case surgery: description of a three year experience.

    Science.gov (United States)

    Serra, Magdalena; Vives, Roser; Cañellas, Montserrat; Planell, Josep; Oliva, Joan Carles; Colilles, Carmen; Pontes, Caridad

    2016-09-13

    The use of elastomeric devices for ambulatory intravenous pain treatment in Major Ambulatory Surgery (MAS) has been described to improve postoperative pain management. The objective of the study was to describe the first 3 years experience of the use of elastomeric devices for ambulatory intravenous pain treatment in MAS implemented at our site since 2010. Data were retrieved from the medical records for all patients who, between January 2010 and March 2014, underwent surgical procedures at the ambulatory surgical centre at our hospital and were prescribed a home-based continuous intravenous analgesia. Data were retrieved from the medical records of 1128 patients. The most frequent surgical interventions included orthopedic and proctology surgeries. 80 % of patients were discharged home without pain; during the first 48 h after discharge roughly 40 % of subjects were completely free of pain, 50 % reported mild pain (VAS 1 to 3) and 9 % reported higher pain scores (4 and above). Peripheral nerve block was associated to better pain control in the immediate postoperative period. Vomiting in the first 24 h was 4.6 % before introducing haloperidol into the drug schemes, and 2.6 % thereafter. Complications related with the intravenous route required treatment withdrawal in 1.1 % cases. Only 3.5 % of patients returned to the hospital in the first 72 h, mainly for non-pain related reasons. Overall, 99.5 % of patients were satisfied with the treatment received at home. Our initial experience suggest that outpatient multimodal intravenous analgesia in patients undergoing day-case surgery is a feasible alternative in our setting, that allows an effective management of postoperative pain with a small rate of adverse events and complications requiring readmission.

  12. MELD score measured day 10 after orthotopic liver transplantation predicts death and re-transplantation within the first year

    DEFF Research Database (Denmark)

    Rostved, Andreas A; Lundgren, Jens D; Hillingsø, Jens

    2016-01-01

    day 1 the MELD score significantly diversified and was higher in the poor outcome group (MELD score quartile 4 versus quartile 1-3 at day 10: HR 5.1, 95% CI: 2.8-9.0). This association remained after adjustment for non-identical blood type, autoimmune liver disease and hepatocellular carcinoma...

  13. Day Service Provision for People with Intellectual Disabilities: A Case Study Mapping 15-Year Trends in Ireland

    Science.gov (United States)

    Fleming, Padraic; McGilloway, Sinead; Barry, Sarah

    2017-01-01

    Background: Day services for people with intellectual disabilities are experiencing a global paradigm shift towards innovative person-centred models of care. This study maps changing trends in day service utilization to highlight how policy, emergent patterns and demographic trends influence service delivery. Methods: National intellectual…

  14. Fitness effects of 10-month frequent low-volume ball game training or interval running for 8-10-year-old school children

    DEFF Research Database (Denmark)

    Larsen, Malte Nejst; Nielsen, Claus Malta; Ørntoft, Christina Øyangen

    2017-01-01

    We investigated the exercise intensity and fitness effects of frequent school-based low-volume high-intensity training for 10 months in 8-10-year-old children. 239 Danish 3rd-grade school children from four schools were cluster-randomised into a control group (CON, n = 116) or two training groups...... games and interval running can be conducted over a full school year with high intensity rate but has limited positive fitness effects in 8-10-year-old children....

  15. Assessment of Gastroenteric Viruses Frequency in a Children's Day Care Center in Rio De Janeiro, Brazil: A Fifteen Year Study (1994–2008)

    Science.gov (United States)

    Ferreira, Mônica Simões Rocha; Xavier, Maria da Penha Trindade Pinheiro; Tinga, Anna Carolina De Castro; Rose, Tatiana Lundgren; Fumian, Tulio Machado; Fialho, Alexandre Madi; de Assis, Rosane Maria; Costa, Filipe Aníbal Carvalho; de Oliveira, Solange Artimos; Leite, José Paulo Gagliardi; Miagostovich, Marize Pereira

    2012-01-01

    This 15-year study aimed to determine the role of the main viruses responsible for acute infantile gastroenteritis cases in a day care center in the city of Rio de Janeiro, Brazil. From 1994 to 2008, 539 fecal samples were obtained from 23 outbreaks as well as sporadic cases that occurred in this period. The detection of Rotavirus group A (RVA), norovirus (NoV) and astrovirus (AstV) was investigated both by classical and molecular methods of viral detection. RVA was detected by enzymatic immune assay and/or polyacrylamide gel electrophoresis and genotyped by using semi-nested multiplex PCR. NoV and AstV were subsequently tested by real time PCR in all RVA-negative samples and genotyped throughout genome sequencing. Three protocols for molecular characterization of NoV nucleotide sequencing were performed with the partial nucleotide sequencing of genomic regions known as region B (polymerase gen), C and D (capsid gen).Viruses were identified in 47.7% (257/539) of the cases, and the detection rates of RVA, NoV and AstV in16.1% (87/539), 33.4% (151/452), and 6.3% (19/301), respectively. Most gastroenteritis cases were reported in autumn and winter, although NoV presented a broader monthly distribution. Viruses' detection rates were significantly higher among children aged less than 24 months old, although NoV cases were detected in all age groups. RVA genotypes as G1P[8], G9P[8], G2P[4], G3P[8] and G1+G3P[8] and RVA was no longer detected after 2005. NoV characterization revealed genotypes variability circulating in the period as GI.2, GI.3, GI.8 GII.2, GII.3, GII.4, GII.4 variants 2001 and 2006b, GII.6, GII.7, GII.12 and GII.17. AstV genotypes 1, 2, 4 and 5 were also characterized. Those data demonstrate the impact of NoV infection in cases of infantile gastroenteritis, surpassing RVA infection responsible for high morbidity rate in children under five years old. PMID:22448271

  16. Changes in Glucose Homeostasis after Roux-en-Y Gastric Bypass Surgery for Obesity at Day Three, Two Months, and One Year after Surgery

    DEFF Research Database (Denmark)

    Falkén, Y; Hellström, P M; Holst, Jens Juul;

    2011-01-01

    Context: Endocrine effects of gastric bypass (GBP) surgery for obesity on glucose homeostasis are not fully understood. Main Objective: The main objective of the study was to assess the changes in plasma glucose, insulin, glucagon-like peptide-1 (GLP-1), leptin, somatostatin, glucose...

  17. A stream-gaging network analysis for the 7-Day, 10-year annual low flow in New Hampshire streams

    Science.gov (United States)

    Flynn, Robert H.

    2003-01-01

    The 7-day, 10-year (7Q10) low-flow-frequency statistic is a widely used measure of surface-water availability in New Hampshire. Regression equations and basin-characteristic digital data sets were developed to help water-resource managers determine surface-water resources during periods of low flow in New Hampshire streams. These regression equations and data sets were developed to estimate streamflow statistics for the annual and seasonal low-flow-frequency, and period-of-record and seasonal period-of-record flow durations. generalized-least-squares (GLS) regression methods were used to develop the annual 7Q10 low-flow-frequency regression equation from 60 continuous-record stream-gaging stations in New Hampshire and in neighboring States. In the regression equation, the dependent variables were the annual 7Q10 flows at the 60 stream-gaging stations. The independent (or predictor) variables were objectively selected characteristics of the drainage basins that contribute flow to those stations. In contrast to ordinary-least-squares (OLS) regression analysis, GLS-developed estimating equations account for differences in length of record and spatial correlations among the flow-frequency statistics at the various stations. A total of 93 measurable drainage-basin characteristics were candidate independent variables. On the basis of several statistical parameters that were used to evaluate which combination of basin characteristics contribute the most to the predictive power of the equations, three drainage-basin characteristics were determined to be statistically significant predictors of the annual 7Q10: (1) total drainage area, (2) mean summer stream-gaging station precipitation from 1961 to 90, and (3) average mean annual basinwide temperature from 1961 to 1990. To evaluate the effectiveness of the stream-gaging network in providing regional streamflow data for the annual 7Q10, the computer program GLSNET (generalized-least-squares NETwork) was used to analyze the

  18. Thanksgiving Day

    Institute of Scientific and Technical Information of China (English)

    孙刚

    2004-01-01

    Fourth Thursday in November almost every culture in the world has held celebrations of thanks for a plentiful harvest.The American thanksgiving in the early days of the American colonies almost four hundred years ago.On that date in 1621,the European settlers in Plymouth,Massachusetts,gave their thanks to god for letting them survive their first year in the new world.They celebrated by having a large feast or dinner.

  19. Restenosis in coronary bare metal stents. Importance of time to follow-up: a comparison of coronary angiograms 6 months and 4 years after implantation

    DEFF Research Database (Denmark)

    Jørgensen, Erik; Helqvist, Steffen; Kløvgaard, Lene

    2008-01-01

    Objectives. Angiographic late lumen loss measured 6 to 9 month after bare metal stent implantation in the coronary arteries is a validated restenosis parameter. Design. We performed a second angiographic follow-up after 4 years in event free survivors from the DANSTENT trial cohort. Results....... Quantitative comparison of paired coronary angiograms at 6 months and 4 years showed a reduction of late loss from 0.68+/-0.52mm to 0.42 (+/-0.52) (mean difference 0.26 (0.17 to 0.36), p...% confidence interval: -0.34mm to -0.14mm, pstenosis decreased from 24.8+/-14.2% to 18.6+/-9.3% (mean difference 6.16%, 95% confidence interval: 2.82 to 9.48%, p=0.0006). This observed spontaneous decrease of instent restenosis corresponds to a 19% increase of minimal cross...

  20. In the First Two Months of This Year Nonferrous Metals Mining and Dressing Industry Invested 7.5 Billion Yuan,Up by 15.3%

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    According to relevant economic operation data for the period from January to February this year released by the National Bureau of Statistics,in the first two months the added value of industrial enterprises above designated size actually grew by 6.8%on Y-o-Y basis.Wherein,added value of mining and dressing industry grew by 4.2%)on Y-o-Y basis,slightly

  1. Proposing Chinese Pharmacists Month

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    @@ Dear Pharmacists: Today I would like to share with you about the American Pharmacists Month which is celebrated in October every year.This month-long observance is promoted by American Pharmacist Association.

  2. Variations of the spring precipitation day numbers reconstructed from tree rings in the Urumqi River drainage,Tianshan Mts. Over the last 370 years

    Institute of Scientific and Technical Information of China (English)

    YUAN Yujiang; JIN Liya; SHAO Xuemei; HE Qing; LI Zhizhong; LI Jiangfeng

    2003-01-01

    The tree-ring cores of Tianshan spruces collected from nine sites in the Urumqi River drainage of the middle Tianshan Mountains were used to establishthree types of the tree-ring width chronologies over the last 370 years, using the international standard method of dendrochronology. Our study demonstrates that dendrochronology can be better used to reconstruct the number of the precipitation day than to reconstruct the precipitation amount in middle Tianshan Mountains. It is found that the residual chronology among the three tree-ring width chronologies has the best relationship with number of spring precipitation days from May 20 to June 8. The chronologies at Haxionggou B site and Zaierdegou site in the Urumiqi drainage have the highest correlation with the observed number of spring precipitation days at Daxigou meteorological station, and are used to reconstruct the spring precipitation days over the last 370 years in the drainage. The main significant decreasing trend of the number of the spring precipitation days occurred during 1665-1717, while the significant increasing trends happened during 1805-1841 and 1914-1943. The reconstructed series of the number of spring precipitation days has quasi-periodic variations of 3.3, 2.1, 2.5, 12.3 and32.0 years with the dominated short periodical changes. The long cycle of 32 years is shown quite clearly in the 10-year smoothed sequence. The maximum spring precipitation days occurred mainly in the 1630s, 1840s and 1940s, while the lowest number of spring precipitation days for the 10-year average occurred in the 1710s.

  3. Carbohydrate and lipid metabolism indices dynamic in patients with postinfarction cardiosclerosis, type 2 diabetes and obesity in 6 months and 1 year after myocardial revascularization

    Directory of Open Access Journals (Sweden)

    P. P. Kravchun

    2016-11-01

    Full Text Available Nowadays conservative therapy and reperfusion techniques, which include thrombolytic therapy and percutaneous coronary intervention considered as the main strategies for the acute coronary syndrome treatment. Aim. To assess carbohydrate and lipid metabolism in patients with postinfarction cardiosclerosis, type 2 diabetes and obesity in 6 months and 1 year after myocardial revascularization. Methods and results. 58 patients who underwent thrombolytic therapy and 32 patients who underwent percutaneous coronary intervention were examined. Glucose level was determined by glucose oxidation method, insulin – by ELISA and lipid profile – according to the standard biochemical methods. It was established that in patients with postinfarction cardiosclerosis, type 2 diabetes and obesity positive effect was defined in carbohydrate and lipid metabolism by reducing of serum glucose level, insulin, total cholesterol, low and very low-density lipoproteins, triglycerides and increasing of high density lipoproteins, cholesterol in 6 months and 1 year after reperfusion therapy. Significant differences in carbohydrate and lipid metabolism in the examined patients, depending on the type of reperfusion therapy, have not been detected in 6 months and 1 year after revascularization. Conclusion. Comparative analysis of different methods of myocardial revascularization did not show any advantages of them.

  4. University-School Partnerships: Polymer Chemistry Days Run at a University for 14-15 Year Olds and Their Impact on Attitudes to Science

    Science.gov (United States)

    Shaw, A. J.; Harrison, T. G.; Medley, M. I.; Sellou, L.; Shallcross, K. L.; Croker, S. J.; Williams, S. J.; Shallcross, D. E.

    2010-01-01

    Polymer Chemistry days run by Bristol ChemLabS at the School of Chemistry, University of Bristol for year 10 (14-15 year olds) school students are described. Pre and post questionnaires were analysed to determine the impact on attitudes to science. There was no change in attitudes to the importance of science or practical work in science, but…

  5. A Multi-Component Day-Camp Weight-Loss Program Is Effective in Reducing BMI in Children after One Year

    DEFF Research Database (Denmark)

    Larsen, Kristian Traberg; Huang, Tao; Ried-Larsen, Mathias

    2016-01-01

    The objective of the present study was to evaluate the effectiveness of a one-year multi-component immersive day-camp weight-loss intervention for children with overweight and obesity. The study design was a parallel-group randomized controlled trial. One hundred fifteen 11-13-year-old children...

  6. Is treatment in a day hospital step-down program superior to outpatient individual psychotherapy for patients with personality disorders? 36 months follow-up of a randomized clinical trial comparing different treatment modalities.

    Science.gov (United States)

    Gullestad, Frida Slagstad; Wilberg, Theresa; Klungsøyr, Ole; Johansen, Merete Selsbakk; Urnes, Oyvind; Karterud, Sigmund

    2012-01-01

    Despite increasing interest in the development of effective treatments for patients with PDs, there is still no consensus about the optimal treatment setting for this group of patients. This study reports the 36 months follow-up of the Ullevål Personality Project (UPP) (n=113), a randomized clinical trial comparing two treatment modalities for patients with PDs: an intensive long-term step-down treatment program, consisting of short-term day hospital treatment followed by combined group and individual psychotherapy organized in a hospital setting, with "ordinary" outpatient individual psychotherapy in private practice for patients with moderate to severe PDs. Patients in both treatment groups showed improvements in several clinical measures after 36 months. However, contrary to our expectations, patients in the outpatient treatment setting improved significantly more. Possible explanations for this surprising finding are discussed. The study cannot exclude the possibility that treatment aspects other than differences in modalities could explain some of the differential effectiveness (e.g. differences between therapists).

  7. PREVALENCE OF IRON DEFICIENCY ANAEMIA AMONG CHILDREN AGED 6 MONTHS-5 YEARS ADMITTED AT KBNTGH AND TO KNOW THE RATES OF PROPHYLACTIC IRON SUPPLEMENTATION, A ONE YEAR RETROSPECTIVE STUDY

    Directory of Open Access Journals (Sweden)

    Mujumdar

    2015-12-01

    Full Text Available The aim of this study was to know the prevalence of Iron Deficiency Anaemia (IDA among chilsdren aged 6 months-5 years in KBNTGH (Khaja Bandanawaz Teaching and General Hospital attached to Khaja Bandanawaz Institute of Medical Sciences. The files of 1519 patients aged between 0-5 years, who were hospitalized to KBN Hospital Pediatrics Ward were reviewed. A total of 50 patients with anaemia (Haemoglobin: 9gm% consisting of 35 boys and 15 girls with the mean age of 16.59±1.68 months were included into the study. The prevalence of IDA was 3.29% (Boys: 4.23%, girls: 2.1%. Haemoglobin and haematocrit of these patients was analysed. Hemoglobim and hematocrit of children >24 months were significantly higher than those of the patients with the age of 6–12 months. Of the 28 patients who were older than 12 months, only 44% of them had received a full course of iron supplementation for 8 months. In conclusion, although prophylactic iron supplementation lowered the prevalences of IDA, receiving rates of iron supplementation were not adequate. While IDA is still a public health problem, prophylactic approaches should be carried out more effectively.

  8. Estimates of monthly streamflow characteristics at selected sites in the upper Missouri River basin, Montana, base period water years 1937-86

    Science.gov (United States)

    Parrett, Charles; Johnson, D.R.; Hull, J.A.

    1989-01-01

    Estimates of streamflow characteristics (monthly mean flow that is exceeded 90, 80, 50, and 20 percent of the time for all years of record and mean monthly flow) were made and are presented in tabular form for 312 sites in the Missouri River basin in Montana. Short-term gaged records were extended to the base period of water years 1937-86, and were used to estimate monthly streamflow characteristics at 100 sites. Data from 47 gaged sites were used in regression analysis relating the streamflow characteristics to basin characteristics and to active-channel width. The basin-characteristics equations, with standard errors of 35% to 97%, were used to estimate streamflow characteristics at 179 ungaged sites. The channel-width equations, with standard errors of 36% to 103%, were used to estimate characteristics at 138 ungaged sites. Streamflow measurements were correlated with concurrent streamflows at nearby gaged sites to estimate streamflow characteristics at 139 ungaged sites. In a test using 20 pairs of gages, the standard errors ranged from 31% to 111%. At 139 ungaged sites, the estimates from two or more of the methods were weighted and combined in accordance with the variance of individual methods. When estimates from three methods were combined the standard errors ranged from 24% to 63 %. A drainage-area-ratio adjustment method was used to estimate monthly streamflow characteristics at seven ungaged sites. The reliability of the drainage-area-ratio adjustment method was estimated to be about equal to that of the basin-characteristics method. The estimate were checked for reliability. Estimates of monthly streamflow characteristics from gaged records were considered to be most reliable, and estimates at sites with actual flow record from 1937-86 were considered to be completely reliable (zero error). Weighted-average estimates were considered to be the most reliable estimates made at ungaged sites. (USGS)

  9. Weight Loss Maintenance for 2 Years after a 6-Month Randomised Controlled Trial Comparing Education-Only and Group-Based Support in Japanese Adults

    Directory of Open Access Journals (Sweden)

    Yoshio Nakata

    2014-11-01

    Full Text Available Objective: Our previous study, a 6-month randomised controlled trial, demonstrated that a group-based support promoted weight loss as compared to an education-only intervention. The purpose of this study was to examine weight loss maintenance for 2 years. Methods: Originally, 188 overweight Japanese adults, aged 40-65 years, were randomly assigned to 3 groups: control, education-only or group-based support. After the 6-month intervention, 125 participants in the education-only and the group-based support groups were followed up for 2 years. The primary outcome was the amount of weight lost. The participants were retrospectively grouped into quartiles of percent weight loss for secondary analyses. Results: At the end of follow-up, the amount of weight lost in the education-only and the group-based support groups was the same (3.3 kg. Secondary analyses using data of those who completed the study (n = 100 revealed that the participants in the highest quartile of percent weight loss significantly increased their step counts and moderate-to-vigorous physical activity compared with the lowest quartile. No significant differences were observed in the energy intake among the four groups. Conclusion: The effects of group-based support disappear within 2 years. Increasing physical activity may be a crucial factor for successful maintenance of weight loss.

  10. Predictive value of subclinical autistic traits at age 14-15 months for behavioural and cognitive problems at age 3-5 years.

    Science.gov (United States)

    Möricke, Esmé; Swinkels, Sophie H N; Beuker, Karin T; Buitelaar, Jan K

    2010-08-01

    It is unclear whether subclinical autistic traits at very young age are transient or stable, and have clinical relevance. This study investigated the relationship between early subclinical autistic traits and the occurrence of later developmental and behavioural problems as well as problems in cognitive and language functioning. Parents of infants aged 14-15 months from the general population completed the Early Screening of Autistic Traits Questionnaire (ESAT). Three groups of children with high, moderate, and low ESAT-scores (total n = 103) were selected. Follow-up assessments included the CBCL 1(1/2)-5 at age 3 years, and the SCQ, the ADI-R, the ADOS-G, an on-verbal intelligence test, and language tests for comprehension and production at age 4-5 years. None of the children met criteria for autism spectrum disorder at follow-up. Children with high ESAT-scores at 14-15 months showed significantly more internalizing and externalizing problems at age 3 years and scored significantly lower on language tests at age 4-5 years than children with moderate or low ESAT-scores. Further, significantly more children with high ESAT-scores (14/26, 53.8%) than with moderate and low ESAT-scores (5/36, 13.9% and 1/41, 2.4%, respectively) were in the high-risk/clinical range on one or more outcome domains (autistic symptoms, behavioural problems, cognitive and language abilities). Subclinical autistic traits at 14-15 months predict later behavioural problems and delays in cognitive and language functioning rather than later ASD-diagnoses. The theoretical implications of the findings lie in the pivotal role of early social and communication skills for the development of self-regulation of emotions and impulses. The practical implications bear on the early recognition of children at risk for behavioural problems and for language and cognitive problems.

  11. Parental phonological memory contributes to prediction of outcome of late talkers from 20 months to 4 years: a longitudinal study of precursors of specific language impairment

    Directory of Open Access Journals (Sweden)

    Bishop Dorothy VM

    2012-02-01

    Full Text Available Abstract Background Many children who are late talkers go on to develop normal language, but others go on to have longer-term language difficulties. In this study, we considered which factors were predictive of persistent problems in late talkers. Methods Parental report of expressive vocabulary at 18 months of age was used to select 26 late talkers and 70 average talkers, who were assessed for language and cognitive ability at 20 months of age. Follow-up at 4 years of age was carried out for 24 late and 58 average talkers. A psychometric test battery was used to categorize children in terms of language status (unimpaired or impaired and nonverbal ability (normal range or more than 1 SD below average. The vocabulary and non-word repetition skills of the accompanying parent were also assessed. Results Among the late talkers, seven (29% met our criteria for specific language impairment (SLI at 4 years of age, and a further two (8% had low nonverbal ability. In the group of average talkers, eight (14% met the criteria for SLI at 4 years, and five other children (8% had low nonverbal ability. Family history of language problems was slightly better than late-talker status as a predictor of SLI.. The best predictors of SLI at 20 months of age were score on the receptive language scale of the Mullen Scales of Early Learning and the parent's performance on a non-word repetition task. Maternal education was not a significant predictor of outcome. Conclusions In this study, around three-quarters of late talkers did not have any language difficulties at 4 years of age, provided there was no family history of language impairment. A family history of language-literacy problems was found to be a significant predictor for persisting problems. Nevertheless, there are children with SLI for whom prediction is difficult because they did not have early language delay.

  12. Automating Partial Period Bond Valuation with Excel's Day Counting Functions

    Science.gov (United States)

    Vicknair, David; Spruell, James

    2009-01-01

    An Excel model for calculating the actual price of bonds under a 30 day/month, 360 day/year day counting assumption by nesting the DAYS360 function within the PV function is developed. When programmed into an Excel spreadsheet, the model can accommodate annual and semiannual payment bonds sold on or between interest dates using six fundamental…

  13. Comparison of Inhospital and 12- and 36-Month Outcomes After Acute Coronary Syndrome in Men Versus Women <40 Years (from the PL-ACS Registry).

    Science.gov (United States)

    Trzeciak, Przemysław; Wożakowska-Kapłon, Beata; Niedziela, Jacek; Gierlotka, Marek; Hawranek, Michał; Lekston, Andrzej; Wasilewski, Jarosław; Poloński, Lech; Gąsior, Mariusz

    2016-11-01

    The study was aimed to compare the characteristics and inhospital and 12- and 36-month outcomes of men and women <40 years with acute coronary syndrome (ACS). The analysis involved 932 patients <40 years with ACS in the Silesia region enrolled into the ongoing, prospective Polish Registry of Acute Coronary Syndromes from January 2006 to December 2014. The composite end point involved death, recurrence of ACS, a need for percutaneous coronary intervention, and coronary artery bypass graft surgery within 12 and 36 months after ACS. Compared with men, women <40 years were less frequently smokers (66.1% vs 55.4%, p = 0008), had older average age (35.6 ± 4.2 vs 34.7 ± 4.4, p = 0.002), more often had unstable angina at admission (29.1% vs 19.3%, p <0.001), and less frequently had ST-elevation myocardial infarction: 41.3% versus 51.3%, p = 0.02, at admission. There was no significant difference in the mortality (4.8% vs 3.1%, p = 0.29) and the composite end point (21.6% vs 16.0%, p = 0.14) within 12 months after ACS. Compared with men, women had a higher incidence of the composite end point (28.4% vs 20.1%, p = 0.04) and indicated a tendency of a higher mortality within the 36-month follow-up period (9.2% vs 5.0%, p = 0.055). Female gender turned out to be an independent risk factor of death in the multivariate analysis (hazard ratio 2.76, 95% confidence interval 1.21 to 6.31, p <0.016). In conclusion, women had a higher incidence of the composite end point and showed a tendency toward a higher mortality than the men within the 36-month follow-up period.

  14. Mexican Cervical Cancer Screening Study II: 6-month and 2-year follow-up of HR-HPV women treated with cryotherapy in a low-resource setting.

    Science.gov (United States)

    Starks, David; Arriba, Lucybeth Nieves; Enerson, Christine L; Brainard, Jennifer; Nagore, Norma; Chiesa-Vottero, Andres; Uribe, Jesús Villagran; Belinson, Jerome

    2014-10-01

    To determine the efficacy and tolerance of cryotherapy in a visual inspection with acetic acid (VIA) triage protocol after primary human papillomavirus (HPV) screening in a low-resource setting. This continuous series conducted over 2 years enrolled nonpregnant, high-risk HPV (HR-HPV)-positive women between the ages of 30 and 50 years, who resided in the state of Michoacán, Mexico, and had a history of no Pap smear screening or knowledge of Pap smear results within the last 3 years. These women were initially enrolled in the Mexican Cervical Cancer Screening Study II (MECCS II) trial and were treated with cryotherapy after VIA triage. They subsequently followed up at 6 months and 2 years for repeat VIA, colposcopy, and biopsy. A total of 291 women were treated with cryotherapy, of whom 226 (78%) followed up at 6 months. Of these 226 women, 153 (68%) were HR-HPV-negative; there were no findings of cervical intraepithelial neoplasia grade 2 (CIN2) or worse. The remaining 73 women (32%) were HR-HPV-positive; of these women, 2 had CIN2 and 3 had CIN3. Only 137 women followed up at 2 years. Of these 137 women, 116 were HR-HPV-negative and 21 were HR-HPV-positive. Of the 21 women positive for HR-HPV, 9 had negative biopsy results, 11 had CIN1, and 1 had no biopsy. The clearance rate of HR-HPV was 83% (95% confidence interval: 0.78-0.87). There were no biopsy findings of CIN2 or worse at 2 years. Before cryotherapy, of the 226 women, 15 (6.6%) were positive for endocervical curettage (ECC) and 5 (2.2%) were referred for surgical management. Of these 15 ECC-positive women, 10 (67%) followed up at 6 months and it was shown that no patient was ECC positive at that time point. Moreover, of the 15 ECC-positive women, 11 (73%) followed up at 2 years and it was shown that no patient was ECC positive at that time point. In our study, VIA had a false-positive rate of 5%. Cryotherapy was an effective, acceptable, and well-tolerated means of treating cervical dysplasia in a low

  15. Day to day with COPD

    Science.gov (United States)

    COPD - day to day; Chronic obstructive airways disease - day to day; Chronic obstructive lung disease - day to ... Having COPD can sap your energy. These simple changes can make your days easier and preserve your strength. Ask ...

  16. Chronic Intussusception Caused by Diffuse Large B-Cell Lymphoma in a 6-Year-Old Girl Presenting with Abdominal Pain and Constipation for 2 Months.

    Science.gov (United States)

    Choi, Sun-Hee; Han, Sang-Ah; Won, Kyu Yeoun

    2016-02-01

    The classical triad of abdominal pain, vomiting, and bloody stool is absent in chronic intussusception for more than 2 weeks. Here, we report a 6-year-old female with recurrent abdominal pain for 2 months. Ultrasonography of the abdomen revealed an ileocolic-type intussusception. The lesion accompanying the tight fibrous adhesion was treated by resection and ileocolic anastomosis. It was diagnosed as intussusception with diffuse large B-cell lymphoma. A high index of suspicion for abdominal pain in children should result in the correct diagnosis and appropriate management.

  17. [Three-year follow-up of 12 patients with prostate cancer treated with monthly degarelix in a phase II clinical trial].

    Science.gov (United States)

    Hoshi, Senji; Hayashi, Natsuho; Yagi, Mayu; Ookubo, Teppei; Muto, Akinori; Sugano, Osamu; Numahata, Kenji; Bilim, Vladimir; Hoshi, Kiyotugu; Sasagawa, Isoji

    2014-01-01

    The efficacy and safety of degarelix, a luteinizing hormone-releasing hormone(LH-RH)antagonist, in patients with prostate cancer(PCa)were evaluated in a phase II, open-label, multicenter clinical trial. In this trial, a total of 13 patients were accrued at the Yamagata Prefectural Central Hospital from 2007 to 2008. The median age was 80 years(range, 65-85 years), and clinical stages were T1c, T2, T3, and T4 in 1, 4, 6, and 2 patients, respectively. Nodal(N)status was N0 in 9 patients and N1 in 4 patients. Distant metastases were absent(M0)in 12 patients and present(M1b)in 1 patient. The median prostate- specific antigen(PSA)level was 29.1 ng/mL(range, 6.3-427 ng/mL). All but one patient, who died of an unrelated cause, received a monthly dose(80 or 160mg)of degarelix for 12 months and were followed-up for 3 years. The PSA level declined in all patients. One patient died of an unrelated cause during the phase II trial. After completion of the phase II trial, 5 patients were treated with combined and rogen blockade(CAB)(leuprolide plus anti-androgen therapy), 2 patients were treated with single-agent leuprolide, 2 patients received single-agent bicalutamide, and 1 patient was followed-up without additional treatment. Radical prostatectomy was performed in 2 patients. Among the 5 patients treated with CAB, 2 died of metastatic cancer. CAB was effective in suppressing PSA levels in 3 patients. In 1 patient with T3aN1M1b PCa, colon cancer with lung metastases was detected during the follow-up period. Treatment with chemotherapy for colon cancer was effective in suppressing PSA levels for 12 months. In 1 patient with cT3aN1M0 PCa, the PSA level declined to size of the prostate gland and metastatic lymph nodes was observed. This effect persisted for 3.5 years after the completion of the 12-month degarelix regimen, and no additional treatment was required.

  18. Stripping Voltammetric Determination Of Zinc, Cadmium, Lead And Copper In Blood Samples Of Children Aged Between 3 Months And 6 years

    Directory of Open Access Journals (Sweden)

    Rakesh Kumar Mahajan

    2005-05-01

    Full Text Available Blood samples of 160 children, ranging age between 3 months and 6 years were selected from five different parts of Amritsar district of Punjab (India and were analyzed for Zn, Cd, Pb and Cu using anodic stripping voltammetry. Large variations in the results have been correlated to the area inhabited, age differences and other factors. It was found that the areas, more prone to environmental stress, had shown more quantities of these metals in blood samples in comparison to those which were taken from safer sites. Similarly the younger children lesser exposed to environmental pollution had shown comparatively lesser quantity of these metals in comparison to older objects.

  19. World must build two atomic reactors each day the next hundred years. [Summary of and commentary on book, 'Mankind at the Turning Point'

    Energy Technology Data Exchange (ETDEWEB)

    1974-07-24

    In summarizing and commenting on the ideas presented in Mesarovic and Pestel's book ''Mankind at the Turning Point'' it is pointed out that the global energy crisis makes comprehensive long-term planning a necessity. Assuming, optimistically, that nuclear power alone is able to supply the total projected energy demand in 100 years, it is stated that this will require 3000 nuclear power stations, each with 8 fast breeder reactors, totally 100 GW(t). This means a net rate of construction of four reactors per week, which again means allowing for a 30-year life, two reactors per day, every day, for the next hundred years. Fueling of these reactors will require the production and transport of 15 x 10/sup 6/ kg of /sup 239/Pu per year. It is therefore obvious that the energy crisis is not only a technological, but also a political, social, and even psychological problem.

  20. The most cited articles in hand surgery over the past 20-plus years: a modern-day reading list.

    Science.gov (United States)

    To, Philip; Atkinson, Cameron T; Lee, Donald H; Pappas, Nick D

    2013-05-01

    To create a current reading list of the hand surgery articles most commonly cited in the last 20-plus years. Using the Web of Science Citation Index Search, we searched "hand" and "wrist" in the orthopedic, surgery, and sport sciences research areas. We then reviewed the articles and chose the 50 most commonly cited articles related to hand surgery. Articles were categorized as clinical or basic science. Clinical articles were subcategorized as either therapeutic, prognostic, diagnostic, or economic/decision analysis and assigned a level of evidence rating. We calculated the number of citations per year (citation density). The total number of citations for the top 50 articles ranged from 92 to 317. Citation density ranged from 4 to 24 (average, 9.7). Of the 50 articles, 39 were clinical (78%), whereas the remainder were basic science. Clinical articles were most commonly therapeutic (25 of 39; 64%), followed by diagnostic (11 of 39; 28%) and prognostic (3 of 39; 8%). There were no economic/decision analysis-type articles. The most common level of evidence was level IV, which made up 38% of the list (19 of 50 articles). The second most common was level I, which represented 20% of the list (10 of 50 articles). A total of 70% of the articles (35 of 50) were published between 1990 and 1999, and the remainder of the articles were published after 1999. Fifty percent of the articles appeared in the Journal of Hand Surgery, American volume. Many of the articles found on our list have shaped the way we practice hand surgery today. We hope that this report and the articles it names can help residents and fellows study current hand surgery and its evolution over the past 20 years. Economic and decision analyses IV. Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  1. Can we prepare our bodies over the year to cope with Ramadan fasting more easily? Imam Reza’s health and dietary recommendations for different months of the year

    Directory of Open Access Journals (Sweden)

    Masoumeh Roudi

    2016-06-01

    Full Text Available Weather conditions, comprised of multiple parameters (e.g., atmospheric pressure, wind, temperature, moisture, and heat vary during different months of the year. These variations influence almost all organisms including humans (1. Proper nutritional diet is one of the factors which can lead to human adjustment with atmospheric changes. Imam Reza, the eighth Shia Imam, has presented the most effective and thorough dietary suggestions for different months of the year. In this article, we studied his debates in his medical book, known as “Al-Risalah al-Dhahabiah fi alTibb” (the golden medical dissertation, using the analytical library method. We reviewed and highlighted these recommendations and tried to determine if they could promote the body stamina to cope with Ramadan fasting.

  2. Renal tubular and adrenal medullary tumors in the 2-year rat study with canagliflozin confirmed to be secondary to carbohydrate (glucose) malabsorption in the 15-month mechanistic rat study.

    Science.gov (United States)

    De Jonghe, Sandra; Johnson, Mark D; Mamidi, Rao N V S; Vinken, Petra; Feyen, Bianca; Lammens, Godelieve; Proctor, Jim

    2017-09-12

    During preclinical development of canagliflozin, an SGLT2 inhibitor, treatment-related pheochromocytomas, renal tubular tumors (RTT), and testicular Leydig cell tumors were reported in the 2-year rat toxicology study. In a previous 6-month rat mechanistic study, feeding a glucose free diet prevented canagliflozin effects on carbohydrate malabsorption as well as the increase in cell proliferation in adrenal medulla and kidneys, implicating carbohydrate malabsorption as the mechanism for tumor formation. In this chronic study male Sprague-Dawley rats were dosed orally with canagliflozin at high dose-levels (65 or 100 mg/kg/day) for 15 months and received either a standard diet or a glucose-free diet. Canagliflozin-dosed rats on standard diet showed presence of basophilic renal tubular tumors (6/90) and an increased incidence of adrenal medullary hyperplasia (35/90), which was fully prevented by feeding a glucose-free diet (no RTT's; adrenal medullary hyperplasia in ≤5/90). These data further confirm that kidney and adrenal medullary tumors in the 2-year rat study were secondary to carbohydrate (glucose) malabsorption and were not due to a direct effect of canagliflozin on these target tissues. Copyright © 2017 Elsevier B.V. All rights reserved.

  3. Development of food photographs for use with children aged 18 months to 16 years: Comparison against weighed food diaries – The Young Person’s Food Atlas (UK)

    Science.gov (United States)

    Hawkins, Adrian; Barton, Karen L.; Stamp, Elaine; Matthews, John N. S.; Adamson, Ashley J.

    2017-01-01

    Traditional dietary assessment methods, used in the UK, such as weighed food diaries impose a large participant burden, often resulting in difficulty recruiting representative samples and underreporting of energy intakes. One approach to reducing the burden placed on the participant is to use portion size assessment tools to obtain an estimate of the amount of food consumed, removing the need to weigh all foods. An age range specific food atlas was developed for use in assessing children’s dietary intakes. The foods selected and portion sizes depicted were derived from intakes recorded during the UK National Diet and Nutrition Surveys of children aged 1.5 to 16 years. Estimates of food portion sizes using the food atlas were compared against 4-day weighed intakes along with in-school / nursery observations, by the research team. Interviews were conducted with parents the day after completion of the diary, and for children aged 4 to 16 years, also with the child. Mean estimates of portion size consumed were within 7% of the weight of food recorded in the weighed food diary. The limits of agreement were wide indicating high variability of estimates at the individual level but the precision increased with increasing age. For children 11 years and over, agreement with weighed food diaries, was as good as that of their parents in terms of total weight of food consumed and of intake of energy and key nutrients. The age appropriate food photographs offer an alternative to weighed intakes for dietary assessment with children. PMID:28199319

  4. Development of food photographs for use with children aged 18 months to 16 years: Comparison against weighed food diaries - The Young Person's Food Atlas (UK).

    Science.gov (United States)

    Foster, Emma; Hawkins, Adrian; Barton, Karen L; Stamp, Elaine; Matthews, John N S; Adamson, Ashley J

    2017-01-01

    Traditional dietary assessment methods, used in the UK, such as weighed food diaries impose a large participant burden, often resulting in difficulty recruiting representative samples and underreporting of energy intakes. One approach to reducing the burden placed on the participant is to use portion size assessment tools to obtain an estimate of the amount of food consumed, removing the need to weigh all foods. An age range specific food atlas was developed for use in assessing children's dietary intakes. The foods selected and portion sizes depicted were derived from intakes recorded during the UK National Diet and Nutrition Surveys of children aged 1.5 to 16 years. Estimates of food portion sizes using the food atlas were compared against 4-day weighed intakes along with in-school / nursery observations, by the research team. Interviews were conducted with parents the day after completion of the diary, and for children aged 4 to 16 years, also with the child. Mean estimates of portion size consumed were within 7% of the weight of food recorded in the weighed food diary. The limits of agreement were wide indicating high variability of estimates at the individual level but the precision increased with increasing age. For children 11 years and over, agreement with weighed food diaries, was as good as that of their parents in terms of total weight of food consumed and of intake of energy and key nutrients. The age appropriate food photographs offer an alternative to weighed intakes for dietary assessment with children.

  5. Monthly errors

    Data.gov (United States)

    U.S. Environmental Protection Agency — The 2006 monthly average statistical metrics for 2m Q (g kg-1) domain-wide for the base and MODIS WRF simulations against MADIS observations. This dataset is...

  6. Fitness Effects of 10-Month Frequent Low-Volume Ball Game Training or Interval Running for 8–10-Year-Old School Children

    Directory of Open Access Journals (Sweden)

    Malte Nejst Larsen

    2017-01-01

    Full Text Available We investigated the exercise intensity and fitness effects of frequent school-based low-volume high-intensity training for 10 months in 8–10-year-old children. 239 Danish 3rd-grade school children from four schools were cluster-randomised into a control group (CON, n=116 or two training groups performing either 5×12 min/wk small-sided football plus other ball games (SSG, n=62 or interval running (IR, n=61. Whole-body DXA scans, flamingo balance, standing long-jump, 20 m sprint, and Yo-Yo IR1 children’s tests (YYIR1C were performed before and after the intervention. Mean running velocity was higher (p2; 5.6±3.4 versus 3.7±3.4% and highest HR zone (>90% HRmax; 12.4±8.9 versus 8.4±8.0% in IR compared to SSG. After 10 months, no significant between-group differences were observed for YYIR1C performance and HR after 2 min of YYIR1C (HRsubmax, but median-split analyses showed that HRsubmax was reduced (p0.05 were observed for whole-body or leg aBMD, lean mass, postural balance, or jump length. In conclusion, frequent low-volume ball games and interval running can be conducted over a full school year with high intensity rate but has limited positive fitness effects in 8–10-year-old children.

  7. Digit Sucking Habit and Association with Dental Caries and Oral Hygiene Status of Children Aged 6 Months to 12 Years Resident in Semi-Urban Nigeria.

    Directory of Open Access Journals (Sweden)

    Kikelomo Adebanke Kolawole

    Full Text Available Non-nutritive sucking (NNS is a common behavior in childhood. The association between digit sucking, dental caries and oral health has been studied with inconclusive results. The objectives of this study were to determine the prevalence of, and the association between digit sucking, caries and oral hygiene status of children age six months to 12 years, resident in Ile-Ife, Osun State, Nigeria.A cross-sectional study was conducted in Ife Central Local Government Area of Osun State. Data were collected through a household survey using a multi-stage sampling procedure from children between six months and 12 years. Details of each child's socio-demographic characteristics, digit sucking habits, caries status and oral health status were collected. The association between digit sucking, caries status and oral hygiene status was determined using Chi square and Logistic regression.The mean age of the 992 study participants was 5.8 ± (3.2 years. The prevalence of digit sucking, caries and poor oral hygiene were 7.2%, 10.5% and 2.4% respectively. The mean dmft score was 0.22 ± (0.80, mean DMFT score was 0.04 ± (0.30 while mean Oral Hygiene Index score was 1.27 ± (0.73. Digit sucking increased the odds of having caries (OR: 1.28; CI: 0.58-2.81 but decreased the odds of having poor oral hygiene (OR: 0.58; CI: 0.34-1.01 insignificantly.Digit sucking was not a significant predictor of caries and oral hygiene status, although the odds of having caries increased while the odds of having poor oral hygiene decreased with digit sucking.

  8. Fitness Effects of 10-Month Frequent Low-Volume Ball Game Training or Interval Running for 8–10-Year-Old School Children

    Science.gov (United States)

    Nielsen, Claus Malta; Ørntoft, Christina; Randers, Morten Bredsgaard; Helge, Eva Wulff; Madsen, Mads; Manniche, Vibeke; Hansen, Lone; Bangsbo, Jens

    2017-01-01

    We investigated the exercise intensity and fitness effects of frequent school-based low-volume high-intensity training for 10 months in 8–10-year-old children. 239 Danish 3rd-grade school children from four schools were cluster-randomised into a control group (CON, n = 116) or two training groups performing either 5 × 12 min/wk small-sided football plus other ball games (SSG, n = 62) or interval running (IR, n = 61). Whole-body DXA scans, flamingo balance, standing long-jump, 20 m sprint, and Yo-Yo IR1 children's tests (YYIR1C) were performed before and after the intervention. Mean running velocity was higher (p 2; 5.6 ± 3.4 versus 3.7 ± 3.4%) and highest HR zone (>90% HRmax; 12.4 ± 8.9 versus 8.4 ± 8.0%) in IR compared to SSG. After 10 months, no significant between-group differences were observed for YYIR1C performance and HR after 2 min of YYIR1C (HRsubmax), but median-split analyses showed that HRsubmax was reduced (p 0.05) were observed for whole-body or leg aBMD, lean mass, postural balance, or jump length. In conclusion, frequent low-volume ball games and interval running can be conducted over a full school year with high intensity rate but has limited positive fitness effects in 8–10-year-old children. PMID:28303248

  9. The Lasting Influences of Early Food-Related Variety Experience: A Longitudinal Study of Vegetable Acceptance from 5 Months to 6 Years in Two Populations.

    Directory of Open Access Journals (Sweden)

    Andrea Maier-Nöth

    Full Text Available Children's vegetable consumption falls below current recommendations, highlighting the need to identify strategies that can successfully promote better acceptance of vegetables. Recently, experimental studies have reported promising interventions that increase acceptance of vegetables. The first, offering infants a high variety of vegetables at weaning, increased acceptance of new foods, including vegetables. The second, offering an initially disliked vegetable at 8 subsequent meals markedly increased acceptance for that vegetable. So far, these effects have been shown to persist for at least several weeks. We now present follow-up data at 15 months, 3 and 6 years obtained through questionnaire (15 mo, 3y and experimental (6y approaches. At 15 months, participants who had been breast-fed were reported as eating and liking more vegetables than those who had been formula-fed. The initially disliked vegetable that became accepted after repeated exposure was still liked and eaten by 79% of the children. At 3 years, the initially disliked vegetable was still liked and eaten by 73% of the children. At 6 years, observations in an experimental setting showed that children who had been breast-fed and children who had experienced high vegetable variety at the start of weaning ate more of new vegetables and liked them more. They were also more willing to taste vegetables than formula-fed children or the no or low variety groups. The initially disliked vegetable was still liked by 57% of children. This follow-up study suggests that experience with chemosensory variety in the context of breastfeeding or at the onset of complementary feeding can influence chemosensory preferences for vegetables into childhood.

  10. Dizziness and progressively poor memory for one year, combined with epilepsy, mental and behavior disorder for 19 days

    Directory of Open Access Journals (Sweden)

    Kun JIANG

    2015-04-01

    Full Text Available It is well known that neurosyphilis has various brain MRI manifestations. In this report, we present a rare case with DWI lace-like high signal in cerebral cortex, which is usually seen in Creutzfeldt-Jakob disease (CJD. A 50-year-old male developed dizziness, poor memory, seizures, mental and behavioral disorders, and was admitted to our Emergency Department, where he experienced sudden left hemiplegia. Rapid plasma regain (RPR and treponema pallidum particle agglutination assay (TPPA was positive in blood and cerebrospinal fluid (CSF. CSF: 14-3-3 protein (+. Brain MRI showed high FLAIR signals in the right frontal lobe, temporal lobe, insular lobe, occipital lobe and thalamus before the treatment. As for this patient, it was difficult to differentiate CJD from neurosyphilis at first. He was given penicillin treatment and responded well. Those lesions in brain MRI decreased after treatment. This case was reported to raise the awareness of early treatment of neruosyphilis and showed a special DWI lace-like image of this disease. DOI: 10.3969/j.issn.1672-6731.2015.04.016

  11. May Day

    Institute of Scientific and Technical Information of China (English)

    孙继山

    2005-01-01

    May Day is of course the traditional worldwide holiday for workers. Be sure, even though the market economy is by now the prevalent economic modus operandi in sodalist as well as capitalist countries, the workers movement has not lost a bit of its importance. The workers are those who keep the economy on track. And the workers are also the consumers, Without consumers, as every first term economy student at any university knows by now, there is no national economic growth. Therefore, the second long holiday of the year will certainly- be conducive to the economy.

  12. Changes in dietary pattern in 15 year old adolescents following a 4 month dietary intervention with school breakfast – a pilot study

    Directory of Open Access Journals (Sweden)

    Aarek Ingebjørg

    2006-12-01

    Full Text Available Abstract Background Few studies on impact of meals served in school have been published. However, implications of school meals are an actual issue of both public and political concern in several countries. The objective of this study was to evaluate if breakfast served in a lower secondary school could improve dietary habits and school performance among the students. Methods All students in 10th grade in a lower secondary school, consisting of two school classes, were invited to participate in a controlled study. The students in one class were offered a free breakfast at the beginning of each school day for 4 months, while the students in the second class were controls. Both classes were educated in the importance of healthy eating, and a data program enabling them to evaluate dietary intake was introduced. The students answered two questionnaires, one on school performance and one short food frequency questionnaire, four weeks before study start and one week after. Body weight and height were measured by the school nurse at the beginning and end of the study. Because of few students in each group, non-parametrical statistic analyses were used. Results All students in the intervention group had breakfast at school during the intervention. One week after the intervention the students in the class who received breakfast had returned to their normal breakfast pattern. In the control group the frequency of a lunch intake had increase, as compared to before study start (p Conclusion In a lower secondary school class served breakfast for 4 months, dietary intake changed to a more healthy profile and weight gain was reduced.

  13. Maternal and infant affect at 4 months predicts performance and verbal IQ at 4 and 7 years in a diverse population.

    Science.gov (United States)

    Sheinkopf, Stephen J; Tenenbaum, Elena J; Messinger, Daniel S; Miller-Loncar, Cynthia L; Tronick, Ed; Lagasse, Linda L; Shankaran, Seetha; Bada, Henrietta; Bauer, Charles; Whitaker, Toni; Hammond, Jane; Lester, Barry M

    2016-10-23

    Using existing longitudinal data from 570 infants in the Maternal Lifestyle Study, we explored the predictive value of maternal and infant affect and maternal vocalizations during 2 minutes of face-to-face interactions at 4 months on IQ scores at 4.5 and 7 years. After controlling for demographic factors, maternal depression, and prenatal drug exposure, maternal positive affect and maternal positive vocalizations emerged as predictors of both verbal and performance IQ at 4.5 and 7 years. Although infant positive affect during the interaction with the mother was not predictive of these outcome measures, infant positive affect towards an examiner predicted verbal but not performance IQ at 4.5 years. These results suggest that maternal positive affect may index emotional engagement in interaction that facilitates both verbal and nonverbal cognitive development, while infant social positive affect is specifically related to the acquisition of verbal reasoning abilities. These findings are significant because they are based on a discrete snapshot of observable behavior in infancy (just 2 minutes of interaction), because they extend the range of maternal behaviors and characteristics known to support positive developmental outcomes, and because they are derived from high-risk infants where prevention efforts may be beneficial. Potential mechanisms for these associations are discussed, as are the clinical implications for identifying dyads most in need of targeted interventions.

  14. Association of diabetes in pregnancy with child weight at birth, age 12 months and 5 years--a population-based electronic cohort study.

    Directory of Open Access Journals (Sweden)

    Kelly Morgan

    Full Text Available BACKGROUND: This study examines the effect of diabetes in pregnancy on offspring weight at birth and ages 1 and 5 years. METHODS: A population-based electronic cohort study using routinely collected linked healthcare data. Electronic medical records provided maternal diabetes status and offspring weight at birth and ages 1 and 5 years (n = 147,773 mother child pairs. Logistic regression models were used to obtain odds ratios to describe the association between maternal diabetes status and offspring size, adjusted for maternal pre-pregnancy weight, age and smoking status. FINDINGS: We identified 1,250 (0.9% pregnancies with existing diabetes (27.8% with type 1 diabetes, 1,358 with gestational diabetes (0.9% and 635 (0.4% who developed diabetes post-pregnancy. Children whose mothers had existing diabetes were less likely to be large at 12 months (OR: 0.7 (95%CI: 0.6, 0.8 than those without diabetes. Maternal diabetes was associated with high weight at age 5 years in children whose mothers had a high pre-pregnancy weight tertile (gestational diabetes, (OR:2.1 (95%CI:1.25-3.6, existing diabetes (OR:1.3 (95%CI:1.0 to 1.6. CONCLUSION: The prevention of childhood obesity should focus on mothers with diabetes with a high maternal pre-pregnancy weight. We found little evidence that diabetes in pregnancy leads to long term obesity 'programming'.

  15. Investigation of market efficiency and Financial Stability between S&P 500 and London Stock Exchange: Monthly and yearly Forecasting of Time Series Stock Returns using ARMA model

    Science.gov (United States)

    Rounaghi, Mohammad Mahdi; Nassir Zadeh, Farzaneh

    2016-08-01

    We investigated the presence and changes in, long memory features in the returns and volatility dynamics of S&P 500 and London Stock Exchange using ARMA model. Recently, multifractal analysis has been evolved as an important way to explain the complexity of financial markets which can hardly be described by linear methods of efficient market theory. In financial markets, the weak form of the efficient market hypothesis implies that price returns are serially uncorrelated sequences. In other words, prices should follow a random walk behavior. The random walk hypothesis is evaluated against alternatives accommodating either unifractality or multifractality. Several studies find that the return volatility of stocks tends to exhibit long-range dependence, heavy tails, and clustering. Because stochastic processes with self-similarity possess long-range dependence and heavy tails, it has been suggested that self-similar processes be employed to capture these characteristics in return volatility modeling. The present study applies monthly and yearly forecasting of Time Series Stock Returns in S&P 500 and London Stock Exchange using ARMA model. The statistical analysis of S&P 500 shows that the ARMA model for S&P 500 outperforms the London stock exchange and it is capable for predicting medium or long horizons using real known values. The statistical analysis in London Stock Exchange shows that the ARMA model for monthly stock returns outperforms the yearly. ​A comparison between S&P 500 and London Stock Exchange shows that both markets are efficient and have Financial Stability during periods of boom and bust.

  16. Disaster exposure as a risk factor for mental health problems, eighteen months, four and ten years post-disaster--a longitudinal study.

    Science.gov (United States)

    van den Berg, Bellis; Wong, Albert; van der Velden, Peter G; Boshuizen, Hendriek C; Grievink, Linda

    2012-09-18

    Disaster experiences have been associated with higher prevalence rates of (mental) health problems. The objective of this study was to examine the independent relation between a series of single disaster experiences versus the independent predictive value of a accumulation of disaster experiences, i.e. a sum score of experiences and symptoms of distress and post-traumatic stress disorder (PTSD). Survivors of a fireworks disaster participated in a longitudinal study and completed a questionnaire three weeks (wave 1), eighteen months (wave 2) and four years post-disaster (wave 3). Ten years post-disaster (wave 4) the respondents consisted of native Dutch survivors only. Main outcome measures were general distress and symptoms of PTSD. Degree of disaster exposure (sum score) and some disaster-related experiences (such as house destroyed, injured, confusion) were related to distress at waves 2 and 3. This relation was mediated by distress at an earlier point in time. None of the individual disaster-related experiences was independently related to symptoms of distress. The association between the degree of disaster exposure and symptoms of PTSD at waves 2 and 3 was still statistically significant after controlling for symptoms of distress and PTSD at earlier point in time. The variable 'house destroyed' was the only factor that was independently related to symptoms of PTSD at wave 2. Ten years after the disaster, disaster exposure was mediated by symptoms of PTSD at waves 2 and 3. Disaster exposure was not independently related to symptoms of PTSD ten years post-disaster. Until 4 years after the disaster, degree of exposure (a sum score) was a risk factor for PTSD symptoms while none of the individual disaster experiences could be identified as an independent risk factor. Ten years post-disaster, disaster exposure was no longer an independent risk factor for symptoms of PTSD. Since symptoms of PTSD and distress at earlier waves perpetuate the symptoms at later waves

  17. Sex-based differences in clinical features, management, and 28-day and 7-year prognosis of first acute myocardial infarction. RESCATE II study.

    Science.gov (United States)

    García-García, Cosme; Molina, Lluís; Subirana, Isaac; Sala, Joan; Bruguera, Jordi; Arós, Fernando; Fiol, Miquel; Serra, Jordi; Marrugat, Jaume; Elosua, Roberto

    2014-01-01

    To analyze sex-based differences in clinical characteristics, management, and 28-day and 7-year prognosis after a first myocardial infarction. Between 2001 and 2003, 2042 first myocardial infarction patients were consecutively registered in 6 Spanish hospitals. Clinical characteristics, management, and 28-day case-fatality were prospectively recorded. Seven-year vital status was also ascertained by data linkage with the National Mortality Index. The registry included 449 women and 1593 men with a first myocardial infarction. Compared with men, women were older, had a higher prevalence of hypertension and diabetes, and were more likely to receive angiotensin-converting enzyme (ACE) inhibitors but were less likely to receive beta-blockers or thrombolysis. No differences were observed in use of invasive procedures. More women had non-ST-segment elevation and unclassified myocardial infarction than men (37.9% vs 31.3% and 9.8% vs 6.1%, respectively; both P<.001). Case-fatality at 28 days was similar in women and men (5.57% vs 4.46%; P=.39). After multivariate adjustment, the odds ratio of 28-day mortality for men was 1.06 (95% confidence interval: 0.49-2.27; P=.883) compared with women. After multivariate adjustment, men had higher 7-year mortality than women, hazard ratio 1.93 (95% confidence interval: 1.46-2.56; P<.001). There are demographic and clinical differences between men and women with a first myocardial infarction. The short-term prognosis of a first myocardial infarction in this century is similar in both sexes. However, the long-term vital prognosis after a first myocardial infarction is worse in men than in women. These results are observed in both ST-segment elevation myocardial infarction and non-ST-segment elevation myocardial infarction events. Copyright © 2013 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

  18. Low serum albumin and total lymphocyte count as predictors of 30 day hospital readmission in patients 65 years of age or older

    Directory of Open Access Journals (Sweden)

    Robert Robinson

    2015-08-01

    Full Text Available Introduction. Hospital readmission within 30 days of discharge is a target for health care cost savings through the medicare Value Based Purchasing initiative. Because of this focus, hospitals and health systems are investing considerable resources into the identification of patients at risk of hospital readmission and designing interventions to reduce the rate of hospital readmission. Malnutrition is a known risk factor for hospital readmission.Materials and Methods. All medical patients 65 years of age or older discharged from Memorial Medical Center from January 1, 2012 to March 31, 2012 who had a determination of serum albumin level and total lymphocyte count on hospital admission were studied retrospectively. Admission serum albumin levels and total lymphocyte counts were used to classify the nutritional status of all patients in the study. Patients with a serum albumin less than 3.5 grams/dL and/or a TLC less than 1,500 cells per mm3 were classified as having protein energy malnutrition. The primary outcome investigated in this study was hospital readmission for any reason within 30 days of discharge.Results. The study population included 1,683 hospital discharges with an average age of 79 years. The majority of the patients were female (55.9% and had a DRG weight of 1.22 (0.68. 219 patients (13% were readmitted within 30 days of hospital discharge. Protein energy malnutrition was common in this population. Low albumin was found in 973 (58% patients and a low TLC was found in 1,152 (68% patients. Low albumin and low TLC was found in 709 (42% of patients. Kaplan–Meier analysis shows any laboratory evidence of PEM is a significant (p < 0.001 predictor of hospital readmission. Low serum albumin (p < 0.001 and TLC (p = 0.018 show similar trends. Cox proportional-hazards regression analysis showed low serum albumin (Hazard Ratio 3.27, 95% CI [2.30–4.63] and higher DRG weight (Hazard Ratio 1.19, 95% CI [1.03–1.38] to be significant

  19. T-condylar fracture delayed for 10 days in a 5-year-old boy: a case report and review of the literature

    Institute of Scientific and Technical Information of China (English)

    Shashidhar B Kantharajanna; Vijay Goni; Pebam Sudesh; Nirmal Raj Gopinathan

    2013-01-01

    T-condylar fracture is rare in paediatric age group,especially in skeletally immature children less than 9 years old,with very few cases reported in available literature.We present such a case in a 5 year old child that was initially managed as a supracondylar fracture at another centre before referral to us,10 days after the injury.The child was diagnosed as having a displaced T-condylar fracture on plain radiograph.Open reduction and internal fixation with K-wires was performed.At 2 years follow-up,the child had good range of motion at elbow with 5°of cubitus varus.With this background we discuss the pertinent principles of management of T-condylar fractures in skeletally immature children.

  20. T-condylar fracture delayed for 10 days in a 5-year-old boy: a case report and review of the literature

    Directory of Open Access Journals (Sweden)

    Kantharajanna Shashidhar B

    2013-02-01

    Full Text Available 【Abstract】 T-condylar fracture is rare in paediatric age group, especially in skeletally immature children less than 9 years old, with very few cases reported in available literature. We present such a case in a 5 year old child that was initially managed as a supracondylar fracture at an-other centre before referral to us, 10 days after the injury. The child was diagnosed as having a displaced T-condylar fracture on plain radiograph. Open reduction and internal fixation with K-wires was performed. At 2 years follow-up, the child had good range of motion at elbow with 5 o of cubi-tus varus. With this background we discuss the pertinent principles of management of T-condylar fractures in skele-tally immature children. Key words: Humeral fractures; Fracture fixation; Fracture healing; Child

  1. Identifying factors related to Achilles tendon stress, strain, and stiffness before and after 6 months of growth in youth 10-14 years of age.

    Science.gov (United States)

    Neugebauer, Jennifer M; Hawkins, David A

    2012-09-21

    The purposes of this study were (1) determine if youth peak Achilles tendon (AT) strain, peak AT stress, and AT stiffness, measured during an isometric plantar flexion, differed after six months (mos) of growth, and (2) determine if sex, physical activity level (Physical Activity Questionnaire (PAQ-C)), and/or growth rate (GR) were related to these properties. AT stress, strain, and stiffness were quantified in 20 boys (13.47±0.81 years) and 22 girls (11.18±0.82 years) at 2 times (0 and 6 mos). GR (change in height in 6 mos) was not significantly different between boys and girls (3.5±1.4 and 3.4±1.1cm/6 mos respectively). Peak AT strain and stiffness (mean 3.8±0.4% and 128.9±153.6N/mm, respectively) did not differ between testing sessions or sex. Peak AT stress (22.1±2.4 and 24.0±2.1MPa at 0 and 6 mos, respectively) did not differ between sex and increased significantly at 6 mos due to a significant decrease in AT cross-sectional area (40.6±1.3 and 38.1±1.6mm(2) at 0 and 6 mos, respectively) with no significant difference in peak AT force (882.3±93.9 and 900.3± 65.5N at 0 and 6 mos, respectively). Peak AT stress was significantly greater in subjects with greater PAQ-C scores (9.1% increase with 1 unit increase in PAQ-C score) and smaller in subjects with faster GRs (13.8% decrease with 1cm/6 mos increase in GR). These results indicate that of the AT mechanical properties quantified, none differed between sex, and only peak AT stress significantly differed after 6 months and was related to GR and physical activity.

  2. 30-day mortality after coronary artery bypass grafting and valve surgery has greatly improved over the last decade, but the 1-year mortality remains constant

    Directory of Open Access Journals (Sweden)

    Laura Sommer Hansen

    2015-01-01

    Full Text Available Introduction: European system for cardiac operative risk evaluation (EuroSCORE is a valuable tool in control of the quality of cardiac surgery. However, the validity of the risk score for the individual patient may be questioned. The present study was carried out to investigate whether the continued fall in short-term mortality reflects an actual improvement in late mortality, and subsequently, to investigate EuroSCORE as predictor of 1-year mortality. Methods: A population-based cohort study of 25,602 patients from a 12-year period from three public university hospitals undergoing coronary artery bypass grafting (CABG or valve surgery. Analysis was carried out based on EuroSCORE, age and co-morbidity factors (residual EuroSCORE. Results: During the period the average age increased from 65.1 ± 10.0 years to 68.9 ± 10.7 years (P < 0.001, one-way ANOVA, and the number of females increased from 26.0% to 28.2% (P = 0.0012, Chi-square test. The total EuroSCORE increased from 4.67 to 5.68 while the residual EuroSCORE decreased from 2.64 to 1.83. Thirty-day mortality decreased from 4.07% in 1999-2000 to 2.44% in 2011-2012 (P = 0.0056; Chi-square test, while 1-year mortality was unchanged (6.50% in 1999-2000 vs. 6.25% in 2011-2012 [P = 0.8086; Chi-square test]. Discussion: The study demonstrates that both co-morbidity and age has a great impact on 30-day mortality. However, with time the impact of co-morbidity seems less. Thus, age is more important than co-morbidity in late mortality. The various developments in short and long-term mortality are not readily explained. Conclusion: Although 30-day mortality of CABG and valve surgery patients has decreased during the 12-year period, the 1-year mortality remains the same.

  3. May Day

    Institute of Scientific and Technical Information of China (English)

    王芳

    2009-01-01

    For Teacher: May Day occurs in May 1 and refers to any of several public holidays.In many countries, May Day is synonymous(同义词的)with International Workers' Day, or Labor Day, which celebrates the social and economic achievements(成就)of the labor movement.

  4. May Day

    Institute of Scientific and Technical Information of China (English)

    王芳

    2009-01-01

    For Teachers: May Day occurs on May 1 and refers to any of several public holidays. In many coun- tries, May Day is synonymous (同义词的) with International Workers' Day, or Labor Day, which celebrates the social and economic achievements (成就) of the labor movement. As a day of celebration, the holiday has an- cient origins (起源), and it can relate to many customs that have survived into modem times.

  5. A cluster randomised trial to evaluate a physical activity intervention among 3-5 year old children attending long day care services: study protocol

    Directory of Open Access Journals (Sweden)

    Finch Meghan

    2010-09-01

    Full Text Available Abstract Background Young children are not participating in recommended levels of physical activity and exhibit high levels of sedentary behaviour. Childcare services provide access to large numbers of young children for prolonged periods, yet there is limited experimental evidence regarding the effectiveness of physical activity interventions implemented in this setting. The aim of this study is to assess the effectiveness and acceptability of a multi-component physical activity intervention, delivered by childcare service staff, in increasing the physical activity levels of children attending long day care services. Methods/Design The study will employ a cluster randomised controlled trial design. Three hundred children aged between 3-5 years from twenty randomly selected long day care services in the Hunter Region of New South Wales, Australia will be invited to participate in the trial. Ten of the 20 long day care services will be randomly allocated to deliver the intervention with the remaining ten services allocated to a wait list control group. The physical activity intervention will consist of a number of strategies including: delivering structured fundamental movement skill activities, increasing physical activity opportunities, increasing staff role modelling, providing children with a physical activity promoting indoor and outdoor environment and limiting children's small screen recreation and sedentary behaviours. Intervention effectiveness will be measured via child physical activity levels during attendance at long day care. The study also seeks to determine the acceptability and extent of implementation of the intervention by services and their staff participating in the study. Discussion The trial will address current gaps in the research evidence base and contribute to the design and delivery of future interventions promoting physical activity for young children in long day care settings. Trial registration Australian New

  6. Natural gas monthly, March 1999

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-03-01

    This issue of the Natural Gas Monthly contains estimates for March 1999 for many natural gas data series at the national level. Estimates of national natural gas prices are available through December 1998 for most series. Highlights of the data contained in this issue are listed below. Preliminary data indicate that the national average wellhead price for 1998 declined to 16% from the previous year ($1.96 compared to $2.32 per thousand cubic feet). At the end of March, the end of the 1998--1999 heating season, the level of working gas in underground natural gas storage facilities is estimated to be 1,354 billion cubic feet, 169 billion cubic feet higher than at the end of March 1998. Gas consumption during the first 3 months of 1999 is estimated to have been 179 billion cubic feet higher than in the same period in 1998. Most of this increase (133 billion cubic feet) occurred in the residential sector due to the cooler temperatures in January and February compared to the same months last year. According to the National Weather Service, heating degree days in January 1999 were 15% greater than the previous year while February recorded a 5% increase.

  7. PRIMARY VESICOURETERIC REFLUX IN CHILDREN BETWEEN 1 MONTH AND 12 YEARS WITH URINARY TRACT INFECTION ADM ITTED IN A TERTIARY CARE HOSPITAL

    Directory of Open Access Journals (Sweden)

    Subbiah

    2013-04-01

    Full Text Available ABSTRACT: OBJECTIVE: To determine the proportion of primary vesicoureteric reflux in children between 1 month and 12 years with urinary tract infection admitted in a tertiary care hospital. METHODOLOGY: A Hospital based descriptive cross sectional study was conducted between May 2010 and October 2011 in the Department of pediatrics, Chennai Medical College Hospital, Trichy. Convenient sampling technique was a pplied to select the study subjects. Renal ultrasound and voiding cystourethrography (VCUG exa minations were performed in all confirmed cases of first UTI under 5 years of age a nd recurrent UTI at any age. Any children with underlying anatomic abnormalities of urinary t ract or neurogenic abnormalities were excluded from the study. The severity of reflux expressed as a grade, which is based on the system established by the International Reflux Stud y in Children. The data was analyzed by proportions and chi – square test using SPSS statisti cal package version 11 at 95% confidence interval. P value Grade 2 were not seen. The sensitivity and specificity of ultrasound in detecting VUR were 36.4% and 100% res pectively. CONCLUSION: Since the Vesicoureteric Reflux appears to be more common in the recurrent UTI, Voiding cystourethrogram (VCUG is recommended in all the cases of recurrent UTI, so that prophylaxis can be entertained to prevent renal scarring and chronic glomerular insuf ficiency. Even in the first UTI, if the child is no t ORIGINAL ARTICLE Journal of Evolution of Medical and Dental Sciences/ Volume 2/ Issue 14/ April 8, 2013 Page- 2406 shown improvement as expected, VCUG can be done. Si nce USG is safe noninvasive it is recommended in all confirmed cases of UTI

  8. Prevention of Internalising Disorders in 9-10 year old children: Efficacy of the Aussie Optimism Positive Thinking Skills Program at 30-month follow-up

    Directory of Open Access Journals (Sweden)

    David eMorrison

    2013-12-01

    Full Text Available The Aussie Optimism: Positive Thinking Skills Program (AOPTP is a school-based prevention program aimed at addressing anxious and depressive symptoms in children aged 9-10 years. Nine-hundred and ten students from 22 Australian primary schools situated in low socio-economic areas were randomly assigned to either an intervention or control group, and assessed at a 30-month follow up. Those in the intervention group received the AOPTP program, where the control group continued to receive the regular health education course. Students completed self-report measures regarding their levels of depression, anxiety, and attribution style. Parents also reported on their children’s externalising and internalising problems outside of school. There were no significant differences between groups in regard to anxiety or depression, as well as no significant differences in attributional styles. Parents reported significantly less hyperactive behaviours from children in the intervention group. This finding suggests that AOP-PTS has the capacity to treat externalising problems at a medium term effect. The decrease in the externalising problems provides evidence of a partial medium term intervention effect. Future studies should continue to evaluate the program at a long term follow up.

  9. Oxalosis in primary hyperoxaluria in infancy. Report of a case in a 3-month-old baby. Follow-up for 3 years and review of literature

    Energy Technology Data Exchange (ETDEWEB)

    Orazi, Cinzia; Schingo, Paolo M.S.; Fassari, Fausto M. [Bambino Gesu Children' s Hospital Research Institute, Department of Imaging, Rome (Italy); Picca, Stefano [Bambino Gesu Children' s Hospital Research Institute, Department of Nephrology Dialysis Unit, Rome (Italy); Canepa, Giuseppe [Orthopedics L. Mandic Hospital Merate (LC), Merate (Italy)

    2009-04-15

    Primary hyperoxaluria (PH1) is a rare inborn autosomal recessive metabolic disorder due to the deficiency of hepatic alanine-glyoxylate-aminotransferase. This deficiency results in excessive synthesis and urinary excretion of oxalate, inducing renal stone formation and deposition of calcium oxalate in the kidney, bone, myocardium, and vessels (systemic oxalosis, SO) in the most severely affected individuals. We report renal and skeletal changes in a 3-month-old girl with PH1 and SO. Intense cortico-medullary hyperechogenicity and increased homogeneous radiopacity of normal-sized kidneys suggested the diagnosis of SO. Skeletal survey showed osteopenia and characteristic symmetrical metaphyseal transverse bands in long bones, progressively becoming more dense and migrating towards the diaphysis. Multiple pathological and slowly healing fractures of the limbs occurred at the dense band level. A radiopaque rim was then observed in flat bones, epiphyseal nuclei, and vertebral bodies. Inflammatory granulomatous reaction, induced by the presence of oxalate crystals in the marrow spaces, coexisted with progressively evident radiological signs of secondary hyperparathyroidism, with partially overlapping features. The patient was treated by peritoneal dialysis and hemodialysis until combined liver-kidney transplantation. There are no previous reports of infants treated with hemodialysis for more than 2 years. (orig.)

  10. Hospitalization rate and 30-day mortality among patients with status asthmaticus in Denmark: a 16-year nationwide population-based cohort study

    Directory of Open Access Journals (Sweden)

    Strid JM

    2013-09-01

    Full Text Available Jennie Maria Christin Strid,1 Henrik Gammelager,1 Martin Berg Johansen,1 Else Tønnesen,2 Christian Fynbo Christiansen,11Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus N, Denmark; 2Department of Anesthesiology and Intensive Care Medicine, Aarhus University Hospital, Aarhus C, DenmarkObjective: Current data on hospitalization and prognosis of acute asthma and status asthmaticus are inconclusive. We aim to analyze the rate of first-time hospitalizations for status asthmaticus among patients of all ages, the proportion admitted to intensive care units (ICU, and the 30-day mortality over a 16-year period.Methods: In this population-based cohort study, we used medical registries to identify all first-time status asthmaticus hospitalizations in Denmark from 1996 through 2011. Data on comorbidities were also obtained. We computed yearly hospitalization rates overall and by gender and age groups, and estimated the proportion requiring ICU admission. We estimated 30-day age- and gender-standardized mortality. We examined potential misclassification from acute exacerbation of chronic obstructive pulmonary disease (COPD by excluding patients with preexisting or concurrent COPD.Results: Of the 5,001 patients identified with a first-time status asthmaticus hospitalization, 50.5% were male, 40.3% were ,15 years old, and 12.4% had comorbidity. The hospitalization rate increased from 48.0 per 1,000,000 person-years (PY (95% confidence interval [CI]: 45.1–51.1 PY during 1996–1999 to 70.1 per 1,000,000 PY (95% CI: 66.7–73.7 PY during 2008–2011. This may be explained by an increased hospitalization rate of children. The standardized 30-day mortality risk declined from 3.3% (95% CI: 2.5%–4.1% in 1996–1999 to 1.5% (95% CI: 0.9%–2.1% in 2008–2011. During 2005–2011, 10.1% of status asthmaticus patients were admitted to the ICU. Hospitalization rates and mortality risk decreased by excluding 939 patients also registered with

  11. 30-day mortality after coronary artery bypass grafting and valve surgery has greatly improved over the last decade, but the 1-year mortality remains constant

    DEFF Research Database (Denmark)

    Hansen, Laura Sommer; Hjortdal, Vibeke Elisabeth; Andreasen, Jan Jesper;

    2015-01-01

    the continued fall in short-term mortality reflects an actual improvement in late mortality, and subsequently, to investigate EuroSCORE as predictor of 1-year mortality. METHODS: A population-based cohort study of 25,602 patients from a 12-year period from three public university hospitals undergoing coronary...... (6.50% in 1999-2000 vs. 6.25% in 2011-2012 [P = 0.8086; Chi-square test]). DISCUSSION: The study demonstrates that both co-morbidity and age has a great impact on 30-day mortality. However, with time the impact of co-morbidity seems less. Thus, age is more important than co-morbidity in late...

  12. Leptin levels in patients with anorexia nervosa following day/inpatient treatment do not predict weight 1 year post-referral.

    Science.gov (United States)

    Seitz, Jochen; Bühren, Katharina; Biemann, Ronald; Timmesfeld, Nina; Dempfle, Astrid; Winter, Sibylle Maria; Egberts, Karin; Fleischhaker, Christian; Wewetzer, Christoph; Herpertz-Dahlmann, Beate; Hebebrand, Johannes; Föcker, Manuel

    2016-09-01

    Elevated serum leptin levels following rapid therapeutically induced weight gain in anorexia nervosa (AN) patients are discussed as a potential biomarker for renewed weight loss as a result of leptin-related suppression of appetite and increased energy expenditure. This study aims to analyze the predictive value of leptin levels at discharge as well as the average rate of weight gain during inpatient or day patient treatment for body weight at 1-year follow-up. 121 patients were recruited from the longitudinal Anorexia Nervosa Day patient versus Inpatient (ANDI) trial. Serum leptin levels were analyzed at referral and discharge. A multiple linear regression analysis to predict age-adjusted body mass index (BMI-SDS) at 1-year follow-up was performed. Leptin levels, the average rate of weight gain, premorbid BMI-SDS, BMI-SDS at referral, age and illness duration were included as independent variables. Neither leptin levels at discharge nor rate of weight gain significantly predicted BMI-SDS at 1-year follow-up explaining only 1.8 and 0.4 % of the variance, respectively. According to our results, leptin levels at discharge and average rate of weight gain did not exhibit any value in predicting weight at 1-year follow-up in our longitudinal observation study of adolescent patients with AN. Thus, research should focus on other potential factors to predict weight at follow-up. As elevated leptin levels and average rate of weight gain did not pose a risk for reduced weight, we found no evidence for the beneficial effect of slow refeeding in patients with acute AN.

  13. Hourly model to estimate solar global radiation for all months of the year for Botucatu, Sao Paulo State; Modelos horarios para estimativa da radiacao solar global para todos os meses do ano para Botucatu-SP

    Energy Technology Data Exchange (ETDEWEB)

    Laperuta Filho, Jayme; Lunardi, Dalva M. Cury [UNESP, Botucatu, SP (Brazil). Faculdade de Ciencias Agronomicas

    1997-12-31

    The objective of this work was establish and daily models for estimate of solar global radiation for the months of the year, in Botucatu-SP 22 deg C 52`S,48 deg C 26`W Grw). The obtention of these models showed be viable high degree of reliability considering that they are specific for hours and months that originated them. The coefficients a and b presented monthly and hourly variations, taking into account that b showed higher relative variability than a. In all months studied, the linear adjustment was not appropriate before 7 a.m and after 5 p.m. (author) 7 refs., 5 tabs.

  14. Can Speech Development at 36 Months in Children with Hearing Loss Be Predicted from Information Available in the Second Year of Life?.

    Science.gov (United States)

    Obenchain, Patrick; Menn, Lise; Yoshinaga-Itano, Christine

    1999-01-01

    A study involving 19 children with hearing impairments found that those who developed intelligible speech by 36 months had at 16-23 months a high frequency of vocal utterances, a high proportion of vocal utterances that included intelligible true words, a large consonant inventory, and a high percentage of intonational utterances. (Contains…

  15. Low serum albumin and total lymphocyte count as predictors of 30 day hospital readmission in patients 65 years of age or older.

    Science.gov (United States)

    Robinson, Robert

    2015-01-01

    Introduction. Hospital readmission within 30 days of discharge is a target for health care cost savings through the medicare Value Based Purchasing initiative. Because of this focus, hospitals and health systems are investing considerable resources into the identification of patients at risk of hospital readmission and designing interventions to reduce the rate of hospital readmission. Malnutrition is a known risk factor for hospital readmission. Materials and Methods. All medical patients 65 years of age or older discharged from Memorial Medical Center from January 1, 2012 to March 31, 2012 who had a determination of serum albumin level and total lymphocyte count on hospital admission were studied retrospectively. Admission serum albumin levels and total lymphocyte counts were used to classify the nutritional status of all patients in the study. Patients with a serum albumin less than 3.5 grams/dL and/or a TLC less than 1,500 cells per mm3 were classified as having protein energy malnutrition. The primary outcome investigated in this study was hospital readmission for any reason within 30 days of discharge. Results. The study population included 1,683 hospital discharges with an average age of 79 years. The majority of the patients were female (55.9%) and had a DRG weight of 1.22 (0.68). 219 patients (13%) were readmitted within 30 days of hospital discharge. Protein energy malnutrition was common in this population. Low albumin was found in 973 (58%) patients and a low TLC was found in 1,152 (68%) patients. Low albumin and low TLC was found in 709 (42%) of patients. Kaplan-Meier analysis shows any laboratory evidence of PEM is a significant (p malnutrition.

  16. [Factors associated with the psychological impact of the Great East Japan earthquake on high school students 1 year and 4 months after the disaster].

    Science.gov (United States)

    Funakoshi, Shunichi; Ohno, Takashi; Kodaka, Akira; Okuyama, Junko; Honda, Nami; Inoue, Takao; Sato, Yuki; Miyajima, Maki; Tomita, Hiroaki; Denda, Kenzou; Matsuoka, Hiroo

    2014-01-01

    The purpose of this study was to investigate factors associated with the psychological impact of the Great East Japan Earthquake on high school students 1 year and 4 months after the disaster, and clarify support needs of the students. In the outreach program for students of three high schools in coastal areas of southern Miyagi Prefecture, Japan, 1,973 students were surveyed after obtaining informed consent for participation. Questionnaires included: the Quick Inventory of Depressive Symptomatology (QIDS-J), Self-rating Anxiety Scale (SAS), Impact of Event Scale-revised (IES-R), and Connor-Davidson Resilience Scale (CD-RISC10). All scores were compared using SPSS 20.0 J between school grades, locations of the schools, and extent of damage due to the Great East Japan Earthquake. Our analysis showed a significant positive correlation between school grades and the level of anxiety. PTSR scores, but not anxiety nor depressive scores, of students whose lives have suffered extensive damage were significantly higher than those of students who have not. Students of high schools which have suffered extensive damage and use temporary buildings showed significantly higher levels of depression and anxiety, and significantly lower resilience, compared to students of high schools which were not damaged. Although previous findings demonstrated that younger children have a higher risk of being influenced by disasters, symptoms related to PTSR and depression were found frequently in the high school students as well. Among the high school students, our analysis showed a positive correlation between the level of anxiety and school grades, probably because the disaster has affected an influential and pivotal point in their lives.

  17. Incidence and determinants of endophthalmitis within 6 months of surgeries over a 2-year period at King Khaled Eye Specialist Hospital, Saudi Arabia: A review

    Directory of Open Access Journals (Sweden)

    Rajiv Khandekar

    2015-01-01

    Full Text Available Background: We present the incidence and determinants of endophthalmitis between July 2010 and June 2012 at King Khaled Eye Specialist Hospital, Riyadh, Saudi Arabia. On its basis, we recommended recommendations to strengthen the infection prevention and control strategies. Methods: This is a retrospective review of health records type of study. The details of cases reported having endophthalmitis among those operated in 2 years of study period were studied. The incidence of endophthalmitis was calculated for different eye surgeries and epidemiological variables. The causative organisms in vitreous tap were reviewed. The visual outcomes 6 weeks following intervention/treatment of endophthalmmitis were also studied. Results: Of the 22,554 cases operated, 17 developed endophthalmitis. The incidence was 0.08% (95% confidence interval [CI] 0.04-0.11. The incidence of endophthlamitis among cataract surgeries was 0.12% (95% CI 0.04-0.21. Five specimens did not show any bacteria or fungus. Staphylococcus epidermis (3 cases was the main pathogen identified. In 8 (47% eyes, vision deteriorated in spite of treatment. In 5 (29% eyes, it became stable and in 4 (23.5% eyes, it improved following treatment. Signs of infection were noted in 1 st week, 3 weeks and 12 weeks in 4, 6 and 5 eyes respectively. Late presentation of infection (6 months postoperatively was reported in two eyes. Conclusions: A vigilant infection control unit in a large eye hospital helps in monitoring endophthalmitis related catastrophes and suggests timely preventive measures to reduce the occurrence and appropriate measures to limit visual disabilities following eye surgery related endophthalmitis.

  18. Nutritional status and dietary intakes of children aged 6 months to 12 years: findings of the Nutrition Survey of Malaysian Children (SEANUTS Malaysia).

    Science.gov (United States)

    Poh, Bee Koon; Ng, Boon Koon; Siti Haslinda, Mohd Din; Nik Shanita, Safii; Wong, Jyh Eiin; Budin, Siti Balkis; Ruzita, Abd Talib; Ng, Lai Oon; Khouw, Ilse; Norimah, A Karim

    2013-09-01

    The dual burden of malnutrition reportedly coexists in Malaysia; however, existing data are scarce and do not adequately represent the nutritional status of Malaysian children. The Nutrition Survey of Malaysian Children was carried out with the aim of assessing the nutritional status in a sample of nationally representative population of children aged 6 months to 12 years. A total of 3542 children were recruited using a stratified random sampling method. Anthropometric measurements included weight, height, mid-upper arm circumference, and waist and hip circumferences. Blood biochemical assessment involved analyses of Hb, serum ferritin, and vitamins A and D. Dietary intake was assessed using semi-quantitative FFQ, and nutrient intakes were compared with the Malaysian Recommended Nutrient Intakes (RNI). The prevalence of overweight (9·8%) and obesity (11·8%) was higher than that of thinness (5·4%) and stunting (8·4%). Only a small proportion of children had low levels of Hb (6·6%), serum ferritin (4·4%) and vitamin A (4·4%), but almost half the children (47·5%) had vitamin D insufficiency. Dietary intake of the children was not compatible with the recommendations, where more than one-third did not achieve the Malaysian RNI for energy, Ca and vitamin D. The present study revealed that overnutrition was more prevalent than undernutrition. The presence of high prevalence of vitamin D insufficiency and the inadequate intake of Ca and vitamin D are of concern. Hence, strategies for improving the nutritional status of Malaysian children need to consider both sides of malnutrition and also put emphasis on approaches for the prevention of overweight and obesity as well as vitamin D insufficiency.

  19. Description of OPRA: A Danish database designed for the analyses of risk factors associated with 30-day hospital readmission of people aged 65+ years.

    Science.gov (United States)

    Pedersen, Mona K; Nielsen, Gunnar L; Uhrenfeldt, Lisbeth; Rasmussen, Ole S; Lundbye-Christensen, Søren

    2017-08-01

    To describe the construction of the Older Person at Risk Assessment (OPRA) database, the ability to link this database with existing data sources obtained from Danish nationwide population-based registries and to discuss its research potential for the analyses of risk factors associated with 30-day hospital readmission. We reviewed Danish nationwide registries to obtain information on demographic and social determinants as well as information on health and health care use in a population of hospitalised older people. The sample included all people aged 65+ years discharged from Danish public hospitals in the period from 1 January 2007 to 30 September 2010. We used personal identifiers to link and integrate the data from all events of interest with the outcome measures in the OPRA database. The database contained records of the patients, admissions and variables of interest. The cohort included 1,267,752 admissions for 479,854 unique people. The rate of 30-day all-cause acute readmission was 18.9% ( n=239,077) and the overall 30-day mortality was 5.0% ( n=63,116). The OPRA database provides the possibility of linking data on health and life events in a population of people moving into retirement and ageing. Construction of the database makes it possible to outline individual life and health trajectories over time, transcending organisational boundaries within health care systems. The OPRA database is multi-component and multi-disciplinary in orientation and has been prepared to be used in a wide range of subgroup analyses, including different outcome measures and statistical methods.

  20. Meeting Report: International nephrology days - In honor of the 75(th) anniversary of acad. Momir Polenakovic and 50 years of scientific work, 26-27 September 2014.

    Science.gov (United States)

    Spasovski, G

    2015-01-01

    The International Nephrology Days in honor of the 75(th) anniversary of Academician Momir Polenakovic and 50 years of his scientific work were held in the Macedonian Academy of Sciences and Arts (MASA) on 26 and 27 September 2014. Organizers of the meeting were the Macedonian Academy of Sciences and Arts and the Macedonian Society of Nephrology, Dialysis, Transplantation and Artificial Organs (MSNDTAO). The days were programmed with the VII Macedonian-Croatian Nephrology Meeting and the Continuing Medical Education (CME) Course on "Renal Replacement Therapy - when & how - update on the outcome and cost-efficacy" organized by the MSNDTAO in cooperation with the European Renal Association (ERA-EDTA). Prominent academicians, researchers and nephrologists from Europe and neighboring countries contributed with their lectures and discussion at this scientific event. On September 26, 2014 the opening talk was given by Acad. V. Kambovski, President of the MASA, about the Life and Work of Academician Momir Polenakovic. In honor of his anniversary and valuable scientific opus, during the meeting Acad. Momir Polenakovic was awarded with Certificate of the European Renal Association (ERA-EDTA) for his significant role in the development of nephrology in the Balkan region and couple of other diplomas and acknowledgement. Prof. Polenakovic is founder of the MSNDTAO and his lifetime honorary president.

  1. A day in the life of third-year medical students: using an ethnographic method to understand information seeking and use*

    Science.gov (United States)

    Twiss-Brooks, Andrea B.; Andrade, Ricardo; Bass, Michelle B.; Kern, Barbara; Peterson, Jonna; Werner, Debra A.

    2017-01-01

    Objective The authors undertook this project to learn how third-year medical students seek and use information in the course of daily activities, especially activities conducted in clinical settings in a variety of institutions. Methods We recruited sixty-eight third-year undergraduate medical school students to create a mapping diary of a day that included clinical activities. We conducted semi-structured interviews based on the mapping diaries. Using content and thematic analyses of the resulting interview transcripts, we developed an ethnographic case study for each participant. Results In the studied sample, we identified a broad range of information resources used for personal, clinical, and educational use. Participants relied heavily on technology throughout their day, including desktop computers, smart phones, handheld tablets, and laptops. Time management was a pervasive theme in the interviews, with participants squeezing in time to study for exams wherever and whenever they could. Selection of a particular information resource or technology to use was governed largely by the convenience of using that resource or technology. When obstacles were encountered, workarounds might be sought, but in many cases, the resource or technology would be abandoned in favor of a more convenient solution. Convenience was also a consideration in choosing spaces to use for clinical duties or for study, with specific considerations of available technology, proximity to clinical areas, and security for belongings contributing to choices made. Conclusions Some of our results align with those of other recent studies of information use among medical students, residents, and practicing physicians. In particular, the fast-paced clinical setting favors use of information resources that are fast and easy to use. We demonstrated that the methods used are suitable to better understand clinicians’ discovery and use of information. PMID:28096741

  2. CEMI Days

    Energy Technology Data Exchange (ETDEWEB)

    None

    2015-07-01

    CEMI Days are an important channel of engagement between DOE and the manufacturing industry to identify challenges and opportunities for increasing U.S. manufacturing competitiveness. CEMI Days that are held at manufacturing companies’ facilities can include tours of R&D operations or other points of interest determined by the host company.

  3. Dinosaur Day!

    Science.gov (United States)

    Nakamura, Sandra; Baptiste, H. Prentice

    2006-01-01

    In this article, the authors describe how they capitalized on their first-grade students' love of dinosaurs by hosting a fun-filled Dinosaur Day in their classroom. On Dinosaur Day, students rotated through four dinosaur-related learning stations that integrated science content with art, language arts, math, and history in a fun and time-efficient…

  4. Predictors (0-10 months) of psychopathology at age 11/2 years - a general population study in The Copenhagen Child Cohort CCC 2000

    DEFF Research Database (Denmark)

    Skovgaard, A M; Olsen, Else Marie; Christiansen, E;

    2008-01-01

    Epidemiological studies of mental health problems in the first years of life are few. This study aims to investigate infancy predictors of psychopathology in the second year of life.......Epidemiological studies of mental health problems in the first years of life are few. This study aims to investigate infancy predictors of psychopathology in the second year of life....

  5. April Fools’ Day

    Institute of Scientific and Technical Information of China (English)

    Abby

    2009-01-01

    April Fools’ Day,the day when mischief-makers(恶作剧的人)are ever so indulged(纵容),falls on April 1 every year.On that day,various pranks(恶作剧)are played on one another,and everybody has to be

  6. Report of the Optional Extended-Day Kindergarten Program for the 2009-10 School Year: Utah Code 53A-1a-902; Enrolled S.B. 49, 2007; Board Rule R277-489

    Science.gov (United States)

    Shumway, Larry

    2010-01-01

    Optional Extended-Day Kindergarten benefits students above and beyond non-Optional Extended-Day kindergarten. While OEK students began the 2009-10 school year with significantly lower scores than non-OEK students, by the end of the year OEK students had closed this achievement gap and scored similarly to non-OEK students. In some cases OEK…

  7. The self-created outdoor class-room "Michelbachpark": Practical experiences of 5 years project work in every-day school life

    Science.gov (United States)

    Brake, Jens; Istler, Katharina; Kisser, Thomas

    2015-04-01

    "Economy and ethos" is the guiding principle of the Evangelic Paul-Distelbarth-Gymnasia in Obersulm, located in Baden-Württemberg, Germany. Starting with class 5, the pupils have every year another project to accomplish. Since 5 years, the project in class 10 is the creation of a 1.35 hectare outdoor-class-room near the Michelbach, the "Michelbachpark". The "Michelbachpark" is a consortium project of the school, the community Obersulm, the company Cartondruck and the forestry commission office of the county Heilbronn. The focus of the project "Michelbachpark" is on several aspects of sustainable development. In the years from 2009 to 2013, there was a highlight on the ecological aspect. Since 2012, the social facet is the centre. The aim is to construct an area, which is a place for recreation and also a learning-place for people interested in nature science. Therefore the pupils designed and manufactured different experimental set-ups for younger pupils from about age 6 to 14, and some experiential education stations. Starting from 2014, the outdoor class-room is going to be combined with the use of mobile devices. Several problems aroused in the design-work: - Pupils from age 6 to 14 do not have a mobile device for certain. - The pupils maybe do not know how to handle a mobile device. - The mobile internet in the rural area may not be fast enough for about 30 pupils. - Someone has to pay for the mobile devices and the mobile internet, if it would be used. So, there is need for easily manageable mobile device and also easy manageable application, and the data should be provided without ongoing costs and with acceptable speed. Since the media plays a great part in the prize-winning curricula of the school, a set of tablets is available. The founded solution could be a blue print for other, similar outdoor education settings: The learning modules are working with QR-Codes and the data will be provided through a temporarily available local Webserver. Hence the

  8. Do interactions speak louder than words? Dialogic reading of an interactive tablet-based e-book with children between 16 months and three years of age

    DEFF Research Database (Denmark)

    Knoche, Hendrik; Rasmussen, Niklas Ammitzbøl; Boldreel, Kasper

    2014-01-01

    the effect of interactive elements on speech production of 12 children between the ages of 16 and 33 months when engaged in individual dialogic reading sessions with a tablet-based e-book. Interaction with interactive elements did not reduce the children’s responses to dialogic reading prompts. Spontaneous...

  9. Volunteer bias in recruitment, retention, and blood sample donation in a randomised controlled trial involving mothers and their children at six months and two years: a longitudinal analysis.

    Directory of Open Access Journals (Sweden)

    Sue Jordan

    Full Text Available BACKGROUND: The vulnerability of clinical trials to volunteer bias is under-reported. Volunteer bias is systematic error due to differences between those who choose to participate in studies and those who do not. METHODS AND RESULTS: This paper extends the applications of the concept of volunteer bias by using data from a trial of probiotic supplementation for childhood atopy in healthy dyads to explore 1 differences between a trial participants and aggregated data from publicly available databases b participants and non-participants as the trial progressed 2 impact on trial findings of weighting data according to deprivation (Townsend fifths in the sample and target populations. 1 a Recruits (n = 454 were less deprived than the target population, matched for area of residence and delivery dates (n = 6,893 (mean [SD] deprivation scores 0.09[4.21] and 0.79[4.08], t = 3.44, df = 511, p<0.001. b i As the trial progressed, representation of the most deprived decreased. These participants and smokers were less likely to be retained at 6 months (n = 430[95%] (OR 0.29,0.13-0.67 and 0.20,0.09-0.46, and 2 years (n = 380[84%] (aOR 0.68,0.50-0.93 and 0.55,0.28-1.09, and consent to infant blood sample donation (n = 220[48%] (aOR 0.72,0.57-0.92 and 0.43,0.22-0.83. ii Mothers interested in probiotics or research or reporting infants' adverse events or rashes were more likely to attend research clinics and consent to skin-prick testing. Mothers participating to help children were more likely to consent to infant blood sample donation. 2 In one trial outcome, atopic eczema, the intervention had a positive effect only in the over-represented, least deprived group. Here, data weighting attenuated risk reduction from 6.9%(0.9-13.1% to 4.6%(-1.4-+10.5%, and OR from 0.40(0.18-0.91 to 0.56(0.26-1.21. Other findings were unchanged. CONCLUSIONS: Potential for volunteer bias intensified during the trial, due to non-participation of the most

  10. Anterior Versus Posterior Approaches for Odontoid Fracture Stabilization in Patients Older Than 65 Years: 30-day Morbidity and Mortality in a National Database.

    Science.gov (United States)

    Patterson, Joseph T; Theologis, Alexander A; Sing, David; Tay, Bobby

    2017-10-01

    more revision operations (RR=19.51; 95% confidence interval, 2.49-152.62; P=0.005) than patients who had a posterior operation. An anterior approach for odontoid fracture stabilization in patients ≥65 years old were associated with shorter operative times and greater RRs of unplanned readmissions and revision operations within 30 days of surgery relative to a posterior approach.

  11. IGF-I at 9 and 36 months of age — relations with body composition and diet at 3 years — the SKOT cohort

    DEFF Research Database (Denmark)

    Ejlerskov, Katrine Tschentscher; Larnkjær, A.; Pedersen, D.

    2014-01-01

    Objective High infancy levels of insulin-like growth factor-I (IGF-I) have been associated with increased linear growth and fat-free mass (FFM) but also with risk of obesity. This paper examines how IGF-I at 9 and 36 months relates to diet and body composition. Design Healthy term infants from...... with growth but not with adiposity at this age. However, the higher tempo of growth may influence age at adiposity rebound and thereby later risk of obesity. Milk and protein intake at 36 months did not influence IGF-I but there was a negative association with intake of fat and saturated fat. The implications...... of this finding for development of obesity need further exploration....

  12. MAY DAY

    Institute of Scientific and Technical Information of China (English)

    李佳

    2009-01-01

    @@ May 1 is Intemational Labour Day.It is a great holiday for the working class.On this day working people all over the world demonstrate(显示)their power and solidarity(团结).It has its origins(起因,起源)in the struggle for shorter working hours.In 1884,eight Labour Unions of the United States and Canada held a convention(集会)in Chicago(芝加哥).Here it was decided to wage(开展)a united struggle to win the eight-hour day.A resolution(决议) was adopted (通过)fixing May1,1886,for a great nationwide(全国性的)demonstration(示威).

  13. Open Day at SHMI.

    Science.gov (United States)

    Jarosova, M.

    2010-09-01

    During the World Meteorological Day there has been preparing "Open Day" at Slovak Hydrometeorological Institute. This event has more than 10 years traditions. "Open Day" is one of a lot of possibilities to give more information about meteorology, climatology, hydrology too to public. This "Day" is executed in whole Slovakia. People can visit the laboratories, the forecasting room....and meteo and clima measuring points. The most popular is visiting forecasting room. Visitors are interested in e.g. climatologic change in Slovakia territory, preparing weather forecasting, dangerous phenomena.... Every year we have more than 500 visitors.

  14. Cardiovascular adaptations to 4 and 12 months of football or strength training in 65- to 75-year-old untrained men

    DEFF Research Database (Denmark)

    Schmidt, Jakob Friis; Hansen, Peter Riis; Rostgaard Andersen, Thomas

    2014-01-01

    , with no changes in STG and CG. In FTG, maximum oxygen uptake was 16% and 18% higher (P training elicited superior cardiovascular......The study examined the effects of 1 year of football or strength training on cardiovascular function in 65- to 75-year-old men. Twenty-six untrained men (age: 68.2 ± 3.2 years) were randomized to football training (FTG; n = 9), strength training (STG; n = 9), or control (CG; n = 8). In FTG, left...... effects compared with strength training in elderly untrained men....

  15. Slimmed May Day Holiday

    Institute of Scientific and Technical Information of China (English)

    Liu Xinwen

    2008-01-01

    @@ Last November the State Council of China decided to renew its holiday system by reducing the seven-day Mav Dav holiday to three days and introducing three new one-day public holidays,namely the Qingming Festival,Dragon Boat Festival and Moon Festival.BY doing so,the three golden-week holidays that were introduced in 1999,namely the Spring Festival,Mav Dav and National Day,could be better distributed.The New Year's Eve holiday would remain one day.The new holiday plan was supposed to take effect in 2008.

  16. Comparison of atorvastatin 80 mg/day versus simvastatin 20 to 40 mg/day on frequency of cardiovascular events late (five years) after acute myocardial infarction (from the Incremental Decrease in End Points through Aggressive Lipid Lowering [IDEAL] trial)

    DEFF Research Database (Denmark)

    Pedersen, TR; Cater, Nilo B; Faergeman, Ole;

    2010-01-01

    Previous studies have demonstrated that benefits of intensive statin therapy compared to standard statin therapy begin shortly after an acute event and are continued up to 2 years of follow-up. However, whether efficacy and safety of intensive statin therapy in patients with a recent cardiac even...

  17. Ecuador holds National Immunization Day.

    Science.gov (United States)

    1999-08-01

    Ecuador conducted its National Immunization Day on August 2-13, 1999, against 10 vaccine-preventable diseases, and distributed vitamin A supplementation to children between the ages of 6 to 36 months. The goals of the campaign were: 1) indiscriminate vaccination with oral polio vaccine of all children under 5 years old; 2) nationwide introduction of measles, mumps, and rubella vaccines to all children aged 12-23 months; 3) hepatitis B vaccine introduction to all children below 1 year in the eastern part of the country, vaccination with dT of 60% of all women of childbearing age in 71 areas identified at risk for neonatal tetanus, and nationwide vaccination with dT of all pregnant women; and 4) yellow fever immunization of all children aged 1-14 years in the eastern provinces located in the Amazon Basin and of all adults aged 15-49 years in the provinces of Sucumbios, Napo, Orellana, and the area of Mumullacta in Pastanza.

  18. Day case arthroscopic anterior cruciate ligament reconstruction.

    Science.gov (United States)

    Elgafy, H; Elsafty, M

    1998-10-01

    This is a report of the first 33 consecutive patients who had arthroscopic anterior cruciate ligament (ACL) reconstruction in the day unit of Sandwell District General Hospital. Bone-patellar tendon-bone autograft was used. This study assessed post-operative pain control, clinical results and patient satisfaction with day case surgery. The mean age was 29 years, (range 17-43). The mean period between injury and reconstruction was 29 months, (range 2-50). The mean follow-up period was 16 months (range 6-31). In 31 patients (94%), adequate post-operative pain control was achieved with oral non opioid analgesic. No patient required readmission for pain control, nausea, vomiting or urinary retention. At the last follow up, the mean Lysholm score was 93.9, (range 68-100). Thirty-one patients (94%) were satisfied with the day case surgery and believed that they did not require hospitalization after surgery.

  19. Three-year-olds’ memory for a person met only once at the age of 12 months: Very long-term memory revealed by a late-manifesting novelty preference

    DEFF Research Database (Denmark)

    Kingo, Osman Skjold; Staugaard, Søren Risløv; Krøjgaard, Peter

    2014-01-01

    This study examined three-year-olds’ verbal and non-verbal memory for a person met only once after a 28 month interval. Children in the Test group (N=50) had participated in an earlier experiment at our lab at the age of 12 months where they met one of two possible experimenters. At this past event...... (the Target) and one of the other experimenter (the Foil), with whom they had no experience. When explicitly asked, the children’s responses did not differ from chance. However, eye-tracking data revealed a late-manifesting novelty preference for the “Foil” person indicating memory for the “Target...

  20. My Happiest Day

    Institute of Scientific and Technical Information of China (English)

    姚晶晶; 万正芬

    2002-01-01

    Yesterday I was fourteen years old. Of course, it was my birlhday. My parents were both at home, I wanted to have o birthday party, so they helped me get everything ready for the biilhday the day before yesterday.

  1. Lack of improvement in health-related quality of life (HRQOL) scores 6 months after surgery for adult spinal deformity (ASD) predicts high revision rate in the second postoperative year.

    Science.gov (United States)

    Bourghli, Anouar; Boissiere, Louis; Larrieu, Daniel; Vital, Jean-Marc; Yilgor, Caglar; Pellisé, Ferran; Alanay, Ahmet; Acaroglu, Emre; Perez-Grueso, Francisco-Javier; Kleinstück, Franck; Obeid, Ibrahim

    2017-08-01

    ASD is assessed radiologically with the spinopelvic parameters and clinically with HRQOL scores. The revision rate after ASD surgery is high and usually occurs during the first or second postoperative year. The aim of this study is to find clinical or radiological factors that could predict revision surgery in the second postoperative year. Inclusion criterion: ASD patients operated on by instrumented posterior fusion with more than 2 years follow-up were enrolled prospectively. Additional criterion was no revision surgery during the first postoperative year. From a multicenter database of 560 operated ASD patients, 164 patients met these criteria. The patients were divided into two groups depending on the need of revision surgery during the second postoperative year. Preoperative, 6-month, 1-year and 2-year data were collected and compared for both groups. A total of 22 patients needed revision surgery and 142 did not. All revisions were for mechanical complications (non-fusion and implant related). Preoperatively, there was a significant difference between the groups (no revision vs. revision) for age (48 vs. 60 years), ODI (37 vs. 53), and SVA (29 vs. 76 mm), respectively. At 6 months, a significant difference in sagittal alignment was found, though HRQOL scores were similar. At 1 year, the no revision group scores improved, whereas the revision group scores remained stable or worsened. At 2 years, the no revision group scores remained stable. Comparing 6- and 12-month data, patients with improved, stable and worsened HRQOL scores had 8, 15 and 28% revision rates, respectively. The revision rate at the second-year post-surgery (13.4%) remains high and demonstrated that a 2-year follow-up is mandatory. In addition to usual risk factors for mechanical complications in ASD surgery, stabilization or worsening of the HRQOL scores between the 6th and 12th month postop was highly predictive of revision rate. This observation is beneficial for ASD patient follow

  2. What Do the Children Really Think about a Day-Care Centre--The 5-7-Year-Old Finnish Children Speak out

    Science.gov (United States)

    Kyronlampi-Kylmanen, Taina; Maatta, Kaarina

    2012-01-01

    A day-care centre is a place where a child spends most of his/her week nowadays. A day-care centre as an institution of early childhood education has often been studied from the early childhood educators' point of view or within a wider societal context. The children's voices have not been heard much. The purpose of this article is to describe, on…

  3. What Do the Children Really Think about a Day-Care Centre--The 5-7-Year-Old Finnish Children Speak out

    Science.gov (United States)

    Kyronlampi-Kylmanen, Taina; Maatta, Kaarina

    2012-01-01

    A day-care centre is a place where a child spends most of his/her week nowadays. A day-care centre as an institution of early childhood education has often been studied from the early childhood educators' point of view or within a wider societal context. The children's voices have not been heard much. The purpose of this article is to describe, on…

  4. Colour Day: an innovative project

    CERN Document Server

    Staff Association

    2016-01-01

    This year, the Children’s Day-Care Centre (EVE) and School works on the theme of colours. Every class has their own project revolving around this common theme. The class of Claire, Sandrine and Nadia, introduced a monthly “Colour Day”. The objective of this day is to offer children different activities (arts and crafts, baking, etc.) designed around a specific colour. The children get a chance to decorate their classroom and learn in many different ways inspired by the colours blue, red, and many others. The parents are also called to contribute and invited to dress their children in the colour of the day. In September, we discovered the colour blue, in October it was time for red, and in mid-November yellow will brighten up our structure. Everyone plays along, making this a very festive day for us all. On Tuesday, 20 September, we saw the whole School turn blue! We were all dressed in blue and we made blue paintings, too! We made beautiful artwork inspired by artists like Ma...

  5. 7-Years of Using Distributed Temperature Sensing (DTS) to assess river restoration efforts : synergies of high-resolution observation and modeling on the Middle Fork of the John Day River

    Science.gov (United States)

    Hall, A.; Diabat, M.

    2014-12-01

    Temperature is a key factor for salmonid health and is an important restoration metric on the Middle Fork of the John Day River, northeast Oregon. The longest undammed tributary to the Columbia, the headwaters of the Middle Fork are crucial to steelhead and spring Chinook and summer Chinook juvenile rearing. In the past century the river has been altered by dredge mining, overgrazing, logging activities, and irrigation resulting in bank erosion, low effective shade, and channelization. These factors decreased fish habitat and led to increased stream temperature maxima. Restoration has focused on restoring fish habitat, creating thermal refugia, and planting native vegetation. The most recent completed restoration project diverted the flow into the historic, meandering stream channel from the dredged, straightened channel. Over the past seven years, Oregon State University researchers (Tara O'Donnell-2012, Julie Huff-2009) have been involved in a planned-to-be 10-year stream temperature monitoring study to assess maximum temperatures during low-flow summer months. The use of fiber optics through distributed temperature sensing (DTS) made it possible to record high resolution temperature data at both temporal and spatial scales; data which is used to assess the efficacy of restoration efforts on the reach. Furthermore, DTS provided temperature data that reveals subtle hydrologic processes such as groundwater or hyporheic inflows and quantifies their effect on the stream. Current research has focused on large scale DTS installations on the Middle Fork of the John Day River on the Oxbow, Forrest, and the upstream Galena ("RPB") conservation properties. In the summers of 2013 and 2014, 16 km of river were monitored. Our study compares temperatures before and after the restoration project and provides essential guidance for future restoration projects. Direct comparisons coupled with a deterministic modeling using HeatSource assist in better understanding the

  6. The loss rates of web tags applied to day-old Anas and Aythya ducklings

    Science.gov (United States)

    Blums, P.; Mednis, A.; Bauga, I.; Nichols, J.D.; Hines, J.E.

    1997-01-01

    Researchers studied the loss rate of web tags on Anas and Aythya ducklings by double marking day-old ducklings of five species with web tags and plasticine-filled rings. Tag loss was examined over three-month, one-year, and three-year periods. Web tag loss was greatest for Anas and occurred mostly in the first three months following tagging.

  7. Predictors (0-10 months) of psychopathology at age 1 1/2 years - a general population study in The Copenhagen Child Cohort CCC 2000

    DEFF Research Database (Denmark)

    Skovgaard, Anne Mette; Olsen, Else Marie; Christiansen, E.

    2008-01-01

    2000 was investigated by data from National Danish registers and data collected prospectively from birth in a general child health surveillance programme. Mental health outcome at 11/2 years was assessed by clinical and standardised measures including the Child Behavior Check List 11/2-5 (CBCL 11....../2-5), Infant Toddler Symptom Check List (ITSCL), Checklist for Autism in Toddlers (CHAT), Bayley Scales of Infant Development (BSID II), Mannheim Eltern Interview (MEI), Parent Child Early Relational Assessment (PC ERA) and Parent Infant Relationship Global Assessment Scale (PIR-GAS), and disordered children...

  8. Sirolimus-eluting cobalt alloyed stents in treating patients with coronary artery disease: six-month angiographic and one-year clinical follow-up result A prospective, historically controlled, multi-center clinical study

    Institute of Scientific and Technical Information of China (English)

    ZHANG Qi; HONG Tao; CHEN Ji-lin; HUO Yong; SHEN Wei-feng; GAO Run-lin; XU Bo; YANG Yue-jin; ZHANG Rui-yan; LI Jian-ping; QIAO Shu-bin; ZHANG Jian-sheng; HU Jian; QIN Xue-wen

    2007-01-01

    Background The emergence of drug-eluting stents (DES) has dramatically reduced the incidence of in-stent restenosis.This study was conducted to evaluate the safetyand efficacy of sirolimus-eluting cobalt-chrome stents (Firebird 2) for treating patients with coronary artery disease.Methods Sixty-seven patients with de novo or non-stented restenostic coronary lesions were chosen to receive the Firebird 2 stent as the final treatment (Firebird 2 group). Another 49 consecutive patients were implanted with bare cobalt alloyed stents (Driver, Medtronic) withit the previous six months and served as historical controls (control group).Baseline clinical characteristics, angiographic features, procedural results, 30-day, 6-month and 12-month clinical follow-up regarding the occurrence of major adverse cardiac events (MACE), as well as the primary endpoint of late lumen loss at 6-month angiographic follow-up were compared between the two groups.Results The demographic characteristics were similar between the two groups despite more patients in the Firebird 2group who underwent previous percutaneous coronary intervention (22.4% vs 8.2%, P=0.0418) and who had diabetes mellitus (29.9% vs 12.2%, P=0.0253). In the Firebird 2 group, the mean diameter of the reference vessel was smaller((2.79±0.46) mm vs (2.98±0.49) mm, P=0.0175) and more stents were implanted for each lesion (1.28±0.52 vs 1.10±0.30, P=0.0060). Other angiographic, procedural results and the device success rate were similar between the two groups. The MACE rate at 30-day and 3-month was the same, but significantly fewer MACE occurred in the Firebird 2group at 6- and 12-month follow-up (1.5% vs 12.2% at 6 month, P=0.0168; 1.5% vs 26.5% at 12 month, P<0.0001). The primary endpoint of late lumen loss at 6-month angiographic follow-up was significantly reduced in the Firebird 2 group (in-stent: (0.05±0.09) mm vs (0.98±0.61) mm; in-segment: (0.05±0.18) mm vs (0.72±0.59) mm; P<0.0001) than the control group

  9. 26 CFR 11.412(c)-7 - Election to treat certain retroactive plan amendments as made on the first day of the plan year.

    Science.gov (United States)

    2010-04-01

    ... INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) TEMPORARY INCOME TAX REGULATIONS UNDER THE EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974 § 11.412(c)-7 Election to... the Secretary of Labor has approved the amendment or he has failed to act within 90 days after...

  10. Frequency of Septic Complications after Voiding Cystourethrography without Prior Urine Culture in Children Three Months to Six Years of Age with Urinary Tract Infection and Clinical Response to Antibiotic Treatment

    OpenAIRE

    Mejía Pavony, Juan Gonzalo; Pontificia Universidad Javeriana; Bustos Sánchez, Diana Carolina; Pontificia Universidad Javeriana; Rey Camacho, Sandra Janeth; Pontificia Universidad Javeriana; Vásquez Blanco, Gladys Johanna; Pontificia Universidad Javeriana; Lozano, Juan Manuel; Pontificia Universidad Javeriana

    2014-01-01

    complications secondary to the development of voiding cystourethrography without urine culture in children three months to six years with UTI treated at the Hospital San Ignacio and had adequate clinical response to antibiotics. We designed a retrospective cohort study of two years. We reviewed a total of 243 medical records of patients whose data were extracted based on the data collection form. None of the 59 patients who met the inclusion criteria had septic complications. It intends to de...

  11. Natural gas monthly, November 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-11-01

    This issue of the Natural Gas Monthly presents the most recent estimates of natural gas data from the Energy Information Administration. Estimates extend through November for many data series, and through August for most natural gas prices. Highlights of the most recent data estimates are: (1) Preliminary estimates of dry natural gas production and total consumption available through November 1997 indicate that both series are on track to end the year at levels close to those of 1996. Cumulative dry production is one-half percent higher than in 1996 and consumption is one-half percent lower. (2) Natural gas production is estimated to be 52.6 billion cubic feet per day in November 1997, the highest rate since March 1997. (3) After falling 8 percent in July 1997, the national average wellhead price rose 10 percent in August 1997, reaching an estimated $2.21 per thousand cubic feet. (4) Milder weather in November 1997 compared to November 1996 has resulted in significantly lower levels of residential consumption of natural gas and net storage withdrawls than a year ago. The November 1997 estimates of residential consumption and net withdrawls are 9 and 20 percent lower, respectively, than in November 1996.

  12. Influence of age on radioinduced cognitive disorders: Experimental studies with cerebral irradiation of 30 Gy in 10 sessions and 12 days in the Wistar rat at 1.5, 4 and 18 months; Influence de l'age sur les troubles cognitifs radioinduits : etudes experimentales avec irradiation cerebrale de 30 Gy en 10 seances et 12 jours chez le rat Wistar de 1 1/2, 4 et 18 mois

    Energy Technology Data Exchange (ETDEWEB)

    Lamproglou, I. [Lab. de Chimie et Biophysique des Traceurs, Faculte de Medecine Xavier Bichat, Paris (France); Baillet, F.; Boisserie, G.; Mazeron, J.J. [Service de Radiotherapie, Hopital de la Pitie-Salpetriere, Paris (France); Delattre, J.Y. [Dept. of Neurology and Inst. National de la Sante et de la Recherche Medicale, INSERM, Hopital de la Pitie-Salpetriere, Paris (France)

    2002-07-01

    The objective of this study was to determine the influence of age on the learning and memory dysfunction induced by cranial radiation in the male Wistar rat. Ninety-six 45-day-old, 70 4-month-old, and 78 18-month-old male rats were divided in two equal groups: (i) irradiated and (ii) control. A course of whole-brain radiation therapy (30 Gy in 10 fractions over 12 days) was administered to the irradiated group, while the control group received sham irradiation. Sequential behavioral studies including one and two-way avoidance tests were undertaken before and after the 7 months following radiation. The results suggest that radiation induced progressive and irreversible memory dysfunction in elderly (18-month-old) rats, but this effect was partial or almost reversible in the 4-month-old and 45-day-old rats, respectively. In return, the learning dysfunction was age non-dependent despite the fact that is occurs more rapidly in the young (45 days, 4 months) rats. (author)

  13. Dental therapists' expanded scope of practice in Australia: a 12-month follow-up of an educational bridging program to facilitate the provision of oral health care to patients 26+ years.

    Science.gov (United States)

    Hopcraft, Matthew; Martin-Kerry, Jacqueline M; Calache, Hanny

    2015-01-01

    Prior to 2009, dental therapists' scope of clinical practice in Victoria was limited to patients 25 years or younger. However, increases in dental demand by adults 26+ years required an alternative approach to service delivery. This paper outlines the self-reported confidence and knowledge level of dental therapists at 3, 6, and 12 months postcompletion of an educational program aimed at providing them with the skills to treat adults aged 26+ years. The study also surveyed dentists in the practice about the dental therapists' knowledge and the impact of their extended scope of practice on the clinics' operation. After completion of their educational program, the dental therapists who participated were surveyed at 3, 6, and 12 months postcompletion to assess their self-reported confidence levels and knowledge. Senior dentists at the clinic were surveyed to understand the impact of the subsequent change in practice of the dental therapists who undertook this training, as well as any concerns of perceived educational gaps. Surveys showed increased self-reported confidence levels by the dental therapists at 3, 6, and 12 months after completion of the program. Dental therapists and mentoring dentists identified that further education was needed in areas such as oral medicine, pathology, medically compromised patients, medications, prosthodontics, and referrals. Dental therapists felt confident and knowledgeable postprogram to treat patients 26+ years, within their scope of practice. Dentists generally felt that dental therapists, after completing the educational program, were confident and knowledgeable. Educational areas to focus on in future programs were identified. © 2015 American Association of Public Health Dentistry.

  14. Sun-Earth Days

    Science.gov (United States)

    Thieman, J.; Ng, C.; Lewis, E.; Cline, T.

    2010-08-01

    Sun-Earth Day is a well-coordinated series of programs, resources and events under a unique yearly theme highlighting the fundamentals of heliophysics research and missions. A menu of activities, conducted throughout the year, inspire and educate participants. Sun-Earth Day itself can vary in date, but usually is identified by a celebration on or near the spring equinox. Through the Sun-Earth Day framework we have been able to offer a series of coordinated events that promote and highlight the Sun, its connection to Earth and the other planets. Sun-Earth Day events are hosted by educators, museums, amateur astronomers and scientists and occur at schools, community groups, parks, planetaria and science centers around the globe. Sun-Earth Day raises the awareness and knowledge of formal and informal education audiences concerning space weather and heliophysics. By building on the success of Sun-Earth Day yearly celebrations, we seek to affect people of all backgrounds and ages with the wonders of heliophysics science, discovery, and exploration in ways that are both tangible and meaningful to their lives.

  15. An extended day program

    Directory of Open Access Journals (Sweden)

    Ševkušić-Mandić Slavica G.

    2002-01-01

    Full Text Available The paper presents the results of a pilot project evaluation, carried out as an action investigation whose aim was to provide a better quality extended day for primary school students. The project included the training of teachers involved in extended day program, designing of special activities performed by teachers with children once a week as well as changes and equipping of premises where children stay. The aims of the program were conception and performance of activities in a less formal way than during regular instructional days, linking of learning at school and acquired knowledge to everyday experiences, and work on contents contributing to the development of child's interests and creativity. The program was accomplished in a Belgrade primary school during the 2001/2002 academic year, comprising students of 1st and 2nd grades (N=77. The effects of the program were monitored throughout the academic year (observation and teachers' reports on accomplished workshops and at the end of the academic year (teachers and students' opinions of the program, academic achievement and creativity of students attending the extended day program compared with students not attending it. Findings about positive effects of the program on students' broadening of interests and willingness to express themselves creatively, indicate unequivocally that there is a need for developing special extended day programs. The extended day program is an opportunity for school to exert greater educational influence that has yet to be tapped.

  16. Relationship between 3-month changes in biochemical markers of bone remodelling and changes in bone mineral density and fracture incidence in patients treated with strontium ranelate for 3 years.

    Science.gov (United States)

    Bruyère, O; Collette, J; Rizzoli, R; Decock, C; Ortolani, S; Cormier, C; Detilleux, J; Reginster, J-Y

    2010-06-01

    From two randomised controlled trials, it is shown that 3-month changes in biochemical markers of bone formation (bone-specific alkaline phosphatase and C-terminal propeptide of type I procollagen) were associated with 3-year bone mineral density (BMD) changes, but not fracture incidence in patients treated with strontium ranelate. The purpose of this study was to assess if short-term change in biochemical markers of bone remodelling is associated with long-term BMD change and fracture incidence observed during treatment with strontium ranelate. From the SOTI and TROPOS trials, bone-specific alkaline phosphatase (BALP), C-terminal propeptide of type I procollagen (PICP), serum C-terminal telopeptides (S-CTX) and urine N-terminal telopeptides of type I collagen (U-NTX) were assessed at baseline and after 3 months. Two thousand three hundred seventy-three women were included in this study. Multiple regression analysis showed that 3-month changes in PICP and BALP but not s-CTX I nor s-NTX I were significantly (p < 0.001) associated with 3-year BMD changes at the lumbar spine and the femoral neck. Changes in s-CTX I, PICP and BALP were significantly associated with change in total proximal femur BMD. Changes in biochemical markers explain less than 8% of the BMD changes. The 3-month changes in BALP, PICP s-CTX I and s-NTX I were not significantly associated with fracture incidence. Short-term changes in biochemical markers of bone formation are associated with future BMD changes in patients treated with strontium ranelate, suggesting a bone-forming activity of this treatment, but are not appropriate to monitor the efficacy of strontium ranelate at the individual level.

  17. International Conference on Sustainable Rice Production - Policy, Technology and Extension Celebration Activity for International Year of Rice and World Food Day 2004

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    Rice is the staple food of more than half of the world's population. The production, processing and management of paddy rice have provided the basic conditions for the living of mankind. The production of rice has not only created employment opportunities for one billion agricultural population in developing nations, but has also contributed to the development of the splendid culture associated with rice production. Hence, effective and productive rice systems play an influential role in development of economy and improvement of quality of life. In view of this, on 16 December,2002, the UN General Assembly declared the year of 2004 the International Year of Rice.

  18. "Focus" on the Alternative School Calendar: Year-Round School Programs and Update on the Four-Day School Week. Challenge to Lead

    Science.gov (United States)

    Dixon, Asenith

    2011-01-01

    In recent years, lean economic conditions have led to state and local agency budget cuts, including reductions to elementary and secondary education. To compensate for less state funding and decreasing local revenues, many state legislatures have passed policy and funding bills that give school systems more latitude in making finance and program…

  19. Monthly Meteorological Reports

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Monthly forms that do not fit into any regular submission. Tabulation sheets and generic monthly forms designed to capture miscellaneous monthly observations.

  20. Prevalence and Incidence of Respiratory Syncytial Virus and Other Respiratory Viral Infections in Children Aged 6 Months to 10 Years With Influenza-like Illness Enrolled in a Randomized Trial

    Science.gov (United States)

    Nolan, Terry; Borja-Tabora, Charissa; Lopez, Pio; Weckx, Lily; Ulloa-Gutierrez, Rolando; Lazcano-Ponce, Eduardo; Kerdpanich, Angkool; Weber, Miguel Angel Rodriguez; Mascareñas de Los Santos, Abiel; Tinoco, Juan-Carlos; Safadi, Marco Aurelio P.; Seng, Lim Fong; Hernandez-de Mezerville, Marcela; Faingezicht, Idis; Cruz-Valdez, Aurelio; Feng, Yang; Li, Ping; Durviaux, Serge; Haars, Gerco; Roy-Ghanta, Sumita; Vaughn, David W.; Taylor, Sylvia

    2015-01-01

    Background. The high burden of respiratory syncytial virus (RSV)-associated morbidity and mortality makes vaccine development a priority. Methods. As part of an efficacy trial of pandemic influenza vaccines (NCT01051661), RSV epidemiology in healthy children aged 6 months to <10 years at first vaccination with influenza-like illness (ILI) was evaluated in Australia, Brazil, Colombia, Costa Rica, Mexico, the Philippines, Singapore, and Thailand between February 2010 and August 2011. Active surveillance for ILI was conducted for approximately 1 year, with nasal and throat swabs analyzed by polymerase chain reaction. The prevalence and incidence of RSV among ILI episodes were calculated. Results. A total of 6266 children were included, of whom 2421 experienced 3717 ILI episodes with a respiratory sample available. RSV was detected for 359 ILI episodes, a prevalence of 9.7% (95% confidence interval: 8.7–10.7). The highest prevalence was in children aged 12–23 or 24–35 months in all countries except the Philippines, where it was in children aged 6–11 months. The incidence of RSV-associated ILI was 7.0 (6.3–7.7) per 100 person-years (PY). Eighty-eight ILI episodes resulted in hospitalization, of which 8 were associated with RSV (prevalence 9.1% [4.0–17.1]; incidence 0.2 [0.1–0.3] per 100 PY). The incidence of RSV-associated ILI resulting in medical attendance was 6.0 (5.4–6.7) per 100 PY. RSV B subtypes were observed more frequently than A subtypes. Conclusions. Active surveillance demonstrated the considerable burden of RSV-associated illness that would not be identified through hospital-based surveillance, with a substantial part of the burden occurring in older infants and children. PMID:25673560

  1. STATISTICAL ANALYSIS AND TRENDS OF DRY DAYS IN SYLHET REGION OF BANGLADESH

    Directory of Open Access Journals (Sweden)

    Syed Mustakim Ali Shah

    2014-01-01

    Full Text Available The rainfall distribution in Bangladesh is not uniform and refl ecting topography. Hilly Sylhet region receives substantial rainfall every year compare to other regions of Bangladesh. Though Sylhet region is less vulnerable to drought but weather pattern is not constant and changing day by day. Hence as a part of drought an alysis, behavior of dry days is important. This study focuses on dry days pattern and associ ated changes from daily records of last 54 years for Sylhet region. Monthly, yearly and seasonal variations of dry days were analyzed to check for major changes. In order to inve stigate extreme dry events, time history of monthly dry days data were transformed into fre quency domain using the Fast Fourier Transform (FFT. Variability of dry days in tim e scale was also checked from filtered signals which is very useful for drought a nalysis, agricultural development and disaster management for the north-east region of Bangladesh.

  2. EXPERIENCE OF RADIATION-HYGIENIC MONITORING MANAGEMENT AND ASSESSMENT OF RADIATION SITUATION IN THE BRYANSK REGION TERRITORY AFTER 25 YEARS SINCE THE DAY OF THE CHERNOBYL ACCIDENT

    Directory of Open Access Journals (Sweden)

    L. N. Trapeznikova

    2011-01-01

    Full Text Available The article briefly presents the experience of the radiation-hygienic monitoring system creation in the territory contaminated with the radionuclides due to the Chernobyl accident and application of the radiation hygienic monitoring data for the assessment of protective measures efficiency. Radiation situation data for the territory of the Bryansk region after 25 years of Chernobyl accident and dynamics of the population average annual effective exposure dose are being presented.

  3. Program Planning for 6-12 Year-Olds in Day Care Centers: The Record of a Pilot Institute on Planning and Developing Creative Programs for School-Agers' Growth Through Play.

    Science.gov (United States)

    Eckstein, Esther

    This pamphlet offers guidelines for directors and teachers interested in providing good after-school day care programs for children 6-12 years of age. The typical school-age child served by after-school programs in New York City is described in the introduction, and the importance of creative play is emphasized. Topics include: (1) the role of the…

  4. Interaction of breeds, years, age of bird and pen effects on hen day lay of three layer breeds and their adaptation in the derived Southern Guinea Savannah of Nigeria

    Directory of Open Access Journals (Sweden)

    Terzungwe Ahemen

    2011-12-01

    Full Text Available Egg production of Haco black, Shaver’s brown, Lohman brown and Olympia black werecollected from production records at Big Bam commercial farm Makurdi from 1997 to 2004. The meanhen day lay of the breeds were estimated in percentages at 49-52, 56-60 and 69-73 weeks. The meanhen day lay of effects of breed by year and breed by pen by age of bird interactions were estimated.The hen day lay of Haco black by year interaction were low varied significantly (P1,L2, and L3, were significantly lower than that at 49-56 weeks. The mean hen day lay due to effects ofinteraction of Shavers brown at 56-60 and 69-73 weeks by pen L1, L2, and L3, were significantly higherthan that at 49-56 weeks. The mean hen day lay of interaction of Lohman brown and Olympia black at69-73 weeks by Pen L1, L2, and L3, were significantly higher than that at 56-60 weeks. This resultindicated that the response to the restrictions of the years and their effects on the strategies of aging ofthe breeds on their hen lay varied across the genetic groups. Haco black was more susceptible to thisstress especially at the advanced age. Lohman brown and Olympia black were better than Haco black.Shaver’s brown was superior in this trait as neither the restrictions of the years nor the strategies ofaging affected its hen day lay. In order of fitness, Shavers brown, Lohman brown and Olympia blackwere most adapted to this region. Thus, Shavers brown which is better adapted to the prevailingenvironmental conditions in the Southern Guinea Savannah is recommended for poultry farmers in thislocality.

  5. DNA analysis of a 30,000-year-old Urocitellus glacialis from northeastern Siberia reveals phylogenetic relationships between ancient and present-day arctic ground squirrels

    Science.gov (United States)

    Faerman, Marina; Bar-Gal, Gila Kahila; Boaretto, Elisabetta; Boeskorov, Gennady G.; Dokuchaev, Nikolai E.; Ermakov, Oleg A.; Golenishchev, Fedor N.; Gubin, Stanislav V.; Mintz, Eugenia; Simonov, Evgeniy; Surin, Vadim L.; Titov, Sergei V.; Zanina, Oksana G.; Formozov, Nikolai A.

    2017-01-01

    In contrast to the abundant fossil record of arctic ground squirrels, Urocitellus parryii, from eastern Beringia, only a limited number of fossils is known from its western part. In 1946, unnamed GULAG prisoners discovered a nest with three mummified carcasses of arctic ground squirrels in the permafrost sediments of the El’ga river, Yakutia, Russia, that were later attributed to a new species, Citellus (Urocitellus) glacialis Vinogr. To verify this assignment and to explore phylogenetic relationships between ancient and present-day arctic ground squirrels, we performed 14C dating and ancient DNA analyses of one of the El’ga mummies and four contemporaneous fossils from Duvanny Yar, northeastern Yakutia. Phylogenetic reconstructions, based on complete cytochrome b gene sequences of five Late Pleistocene arctic ground squirrels and those of modern U. parryii from 21 locations across western Beringia, provided no support for earlier proposals that ancient arctic ground squirrels from Siberia constitute a distinct species. In fact, we observed genetic continuity of the glacialis mitochondrial DNA lineage in modern U. parryii of the Kamchatka peninsula. When viewed in a broader geographic perspective, our findings provide new insights into the genetic history of U. parryii in Late Pleistocene Beringia. PMID:28205612

  6. European Antibiotic Awareness Day

    DEFF Research Database (Denmark)

    Earnshaw, S; Mancarella, G; Mendez, A;

    2014-01-01

    Awareness Day (EAAD) on 18 November as platform to support national campaigns across Europe. This article provides an overview of EAAD tools, materials, and activities developed during the first five years. It shows that EAAD has been successful due to good cooperation between ECDC and national institutions...

  7. A quantitative determination of air-water heat fluxes in Hermit Lake, New Hampshire under varying meteorological conditions, time of day, and time of year

    Science.gov (United States)

    Kyper, Nicholas D.

    An extensive heat flux study is performed at Hermit Lake, New Hampshire from May 26, 2010 till November 7, 2010 to determine the effects of the five individual heat fluxes on Hermit Lake and the surrounding amphibian community. Hermit Lake was chosen due to the relatively long meteorological observations record within the White Mountains of New Hampshire, a new lakeside meteorological station, and ongoing phenology studies of the surrounding eco-system. Utilizing meteorological data from the lakeside weather station and moored water temperature sensors, the incident (Qi), blackbody ( Qbnet ), latent (Qe), sensible (Q s), and net (Qn) heat fluxes are calculated. The incident heat flux is the dominate term in the net flux, accounting for 93% of the variance found in Qn and producing a heat gain of ˜ 19x108 J m-2 throughout the period of study. This large gain produces a net gain of heat in the lake until October 1, 2010, where gains by Qi are offset by the large combined losses of Qbnet , Qs, and Qe thereby producing a gradual decline of heat within the lake. The latent and blackbody heat fluxes produce the largest losses of heat in the net heat flux with a total losses of ˜ -8x108 J m-2 and ˜ -7x108 J m-2, respectively. The sensible heat flux is negligible, producing a total minimal loss of ˜ -1x108 J m-2. Overall the net heat produces a net gain of heat of 2x108 J m-2 throughout the study period. Frog calls indicative of breeding are recorded from May 26, 2010 until August 16, 2010. The spring peeper, American toad, and green frog each produced enough actively calling days to be compared to air temperature, surface water temperature, and wind speed data, as well as data from the five heat fluxes. Linear regression analysis reveals that certain water temperature thresholds affect the calling activities of the spring peeper and green frog, while higher wind speeds have a dramatic effect on the calling activities of both the green frog and American toad. All three

  8. Antibody persistence up to 5 years after vaccination of toddlers and children between 12 months and 10 years of age with a quadrivalent meningococcal ACWY-tetanus toxoid conjugate vaccine.

    Science.gov (United States)

    Vesikari, Timo; Forsten, Aino; Bianco, Veronique; Van der Wielen, Marie; Miller, Jacqueline M

    2016-01-01

    We studied the persistence of serum bactericidal antibody using rabbit and human complement (rSBA/hSBA, cut-offs 1:8) 5 y after a single dose of meningococcal serogroups A, C, W, Y tetanus toxoid conjugate vaccine (MenACWY-TT) compared with age-appropriate control vaccines in toddlers and children (NCT00427908). Children were previously randomized (3:1) to receive either MenACWY-TT or control vaccine (MenC-CRM197 in 1-vaccine [Men-PS] in 2-vaccine and discontinued from the study. A repeated measurement statistical model assessed potential selection effects due to drop-outs. At year 5 in MenACWY-TT-vaccinated-toddlers for serogroups A, C, W, and Y respectively, percentages with rSBA titers ≥1:8 were 73.5%, 77.6%, 34.7%, and 42.9%, hSBA ≥1:8 were 35.6%, 91.7%, 82.6% and 80.0%. For MenC-CRM197 recipients, 63.6% had persisting rSBA-MenC titers ≥1:8 and 90.9% had hSBA-MenC ≥1:8 (not significantly different versus MenACWY-TT for either assay: exploratory analyses). In 2-vaccinees were 90.8%, 90.8%, 78.6%, and 78.6% and 15.4%, 100%, 0.0%, 7.7% in Men-PS-vaccinees (significantly different for serogroups A, W and Y, exploratory analyses). Serogroups A, W and Y rSBA GMTs were ≥ 26-fold higher in MenACWY-TT-vaccinees. As expected, GMTs modeled at year 5 to assess the impact of subject drop out (mainly for revaccination), appeared lower for serogroup C. No vaccine-related SAEs were reported. Antibody persistence was observed for all serogroups up to 5 y after MenACWY-TT vaccination.

  9. 38 CFR 52.40 - Monthly payment.

    Science.gov (United States)

    2010-07-01

    ..., domiciliary or hospital care). These forms are set forth in full at 38 CFR 58.12 and 58.13, respectively. If... FOR ADULT DAY HEALTH CARE OF VETERANS IN STATE HOMES Per Diem Payments § 52.40 Monthly payment. (a)(1... day health care for each day the veteran is in a facility recognized as a State home for adult...

  10. Efficacy and safety of FIREHAWK(R) abluminal groove filled biodegradable polymer sirolimus-eluting stents for the treatment of long coronary lesions: nine-month angiographic and one-year clinical results from TARGET I trial long cohort

    Institute of Scientific and Technical Information of China (English)

    XU Bo; GAO Run-lin; ZHANG Rui-yan; WANG Hai-chang; LI Zhan-quan; YANG Yue-jin; MA Chang-sheng

    2013-01-01

    Background Previous studies indicated that long coronary lesions are one of the key predictors of drug-eluting stent (DES) failure.The purpose of this study was to evaluate the efficacy and the safety of the long length FIREHAWK(R) stent in long coronary artery disease.Methods The long cohort of TARGET I was a prospective,multicenter,single arm trial.It was planned to enroll 50 patients undergoing percutaneous coronary intervention (PCI) for the treatment of de novo long lesions in a native coronary artery.The major inclusion criteria of the trial was that patients were intended to undergo the treatment of a long target lesion(s) with diameter stenosis ≥70% and reference vessel diameter 2.5 mm to 4.0 mm by visual estimate,that needed to be covered by at least one 33 mm or 38 mm stent or multiple long stents overlapped.The angiographic follow-up was planned at 9-month and the clinical follow-up will be up to 5 years.The primary end point was in-stent late lumen loss at 9-month.Results Fifty patients (mean age (57.6±10.2) years) with 59 de novo long lesions (reference vessel diameter (2.85±0.44) mm,lesion length (35.2±9.4) mm,and stent length (41.8±11.3) mm) were enrolled.The angiographic follow-up rate was 92% at 9-month.The in-stent late loss was (0.16±0.16) mm.Proximal edge,distal edge and in-segment late loss (mm) were 0.21±0.35,0.03±0.33,and 0.07±0.26,respectively.No in-segment binary restenosis was observed.At 1-year no death,Q wave myocardial infarction (MI),or stent thrombosis occurred.Non-Q-wave MI occurred in two patients (4%) due to procedural complications.Conclusions Treatment of long coronary lesions with the FIREHAWK(R) stent is able to produce similar results as observed in the FIREHAWK(R) FIM clinical trial.Based on this result,we are confident in the treatment prospect of the FIREHAWK(R) for long coronary lesions.

  11. Escolaridade materna e desenvolvimento da linguagem em crianças de 2 meses à 2 anos Maternal education and development of language in 2-month to 2-year old children

    Directory of Open Access Journals (Sweden)

    Andrezza Gonzalez Escarce

    2012-12-01

    Full Text Available OBJETIVO: verificar a influência do nível de escolaridade materna no desenvolvimento da linguagem de crianças de 2 a 24 meses. MÉTODO: trata-se de estudo transversal realizado em uma Unidade Básica de Saúde (UBS localizada no Distrito de Venda Nova em Belo Horizonte, Minas Gerais. A amostra foi composta por 351 crianças, de ambos os sexos, com idades entre 2 e 24 meses. A pesquisa se deu por meio da aplicação do Protocolo de Perfil Comunicativo. RESULTADOS: a maioria (70,1% das crianças avaliadas possuía desenvolvimento adequado à sua idade e a maioria das mães da amostra (54,1% possuía entre 9 e 12 anos de estudo. CONCLUSÃO: o presente estudo não demonstrou diferenças com significância estatística no que diz respeito à escolaridade materna e o desenvolvimento da linguagem de crianças de 2 a 24 meses, pertencentes a uma UBS, localizada no Distrito Sanitário de Venda Nova em Belo Horizonte, Minas Gerais. No entanto, vale ressaltar a homogeneidade da amostra, em que a maioria das mães possuía entre 9 e 12 anos de estudo, ou seja, até o ensino médio completo ou não, sendo este um fator diferencial.PURPOSE: to investigate the influence of maternal educational level in the language development of 2 month to 2-year old children. METHOD: it is a cross-sectional study performed in a Basic Health Unit (BHU located in the District of Venda Nova in Belo Horizonte, Minas Gerais. The sample consisted of 351 children from both genders, between and 24 months old. The research was conducted applying the Communicative Profile Protocol. RESULTS: most of the children had development that was appropriate for their age and the majority of mothers in this sample (54.1% had between 9 and 12 years of study. CONCLUSION: this study showed no statistically significant differences with regard to maternal education and language development of children between 2 and 24 months old, members of a BHU, located at the District of Venda Nova in Belo

  12. Safety and immunogenocity of a novel combined Haemophilus influenzae type b-Neisseria meningitidis serogroups A and C-tetanus-toxoid conjugate vaccine in healthy Chinese children aged 6 months to 5 years old.

    Science.gov (United States)

    Hu, Jian-li; Tao, Hong; Li, Jing-xin; Dai, Wei-ming; Song, Bin; Sun, Jin-fang; Liu, Pei; Tang, Jie; Liu, Wen-yu; Wang, Shi-yuan; Zhu, Feng-cai

    2015-01-01

    A novel combined Haemophilus influenzae type b-Neisseria meningitidis serogroups A and C-tetanus-toxoid conjugate vaccine (Hib-MenAC vaccine) has been developed to protect children against diseases caused by Hib, MenA, and MenC. This study investigated the safety and immunogenicity of the Hib-MenAC vaccine administered in 2-dose series to children aged 6-23 months and in a single dose to children aged 2-5 y. A randomized, positive-controlled, non-inferiority clinical trial was conducted for 1200 healthy participants in each age group. Within each age group, participants were randomly allocated to the Hib-MenAC group or the control group at a ratio of 1:1. Adverse reactions were recorded within 28 d after each dose. Blood samples were obtained to assess immunogenicity on day 0 and at 28 d after a complete vaccination course. For the investigational vaccine, the incidence of total adverse reactions in vaccinees aged 6-23 months was 46.8% and that in vaccinees aged 2-5 y was 29.8%. Most adverse reactions were mild or moderate. One non-fatal serious adverse event occurred in the Hib-MenAC group, but was unrelated to vaccination. The seroconversion rate to the 3 components reached 94.0%, and the proportion of vaccinees with rSBA titers ≥ 1:8 and PRP ≥ 0.15 g/mL reached 97.0% in both age groups. The safety and immunogenicity of the Hib-MenAC vaccine were non-inferior when compared to the licensed vaccines. It was concluded that the novel vaccine would be expected to protect children against all of the targeted diseases.

  13. Monthly Weather Review

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Supplements to the Monthly Weather Review publication. The Weather Bureau published the Monthly weather review Supplement irregularly from 1914 to 1949. The...

  14. Post-operative delirium is an independent predictor of 30-day hospital readmission after spine surgery in the elderly (≥65years old): A study of 453 consecutive elderly spine surgery patients.

    Science.gov (United States)

    Elsamadicy, Aladine A; Wang, Timothy Y; Back, Adam G; Lydon, Emily; Reddy, Gireesh B; Karikari, Isaac O; Gottfried, Oren N

    2017-03-02

    In the last decade, costs of U.S. healthcare expenditures have been soaring, with billions of dollars spent on hospital readmissions. Identifying causes and risk factors can reduce soaring readmission rates and help lower healthcare costs. The aim of this is to determine if post-operative delirium in the elderly is an independent risk factor for 30-day hospital readmission after spine surgery. The medical records of 453 consecutive elderly (≥65years old) patients undergoing spine surgery at Duke University Medical Center from 2008 to 2010 were reviewed. We identified 17 (3.75%) patients who experienced post-operative delirium according to DSM-V criteria. Patient demographics, comorbidities, and post-operative complication rates were collected for each patient. Elderly patients experiencing post-operative delirium had an increased length of hospital stay (10.47days vs. 5.70days, p=0.009). Complication rates were similar between the cohorts with the post-operative delirium patients having increased UTI and superficial surgical site infections. In total, 12.14% of patients were re-admitted within 30-days of discharge, with post-operative delirium patients experiencing approximately a 4-fold increase in 30-day readmission rates (Delirium: 41.18% vs. No Delirium: 11.01%, p=0.002). In a multivariate logistic regression analysis, post-operative delirium is an independent predictor of 30-day readmission after spine surgery in the elderly (p=0.03). Elderly patients experiencing post-operative delirium after spine surgery is an independent risk factor for unplanned readmission within 30-days of discharge. Preventable measures and early awareness of post-operative delirium in the elderly may help reduce readmission rates.

  15. Positive effects on bone mineralisation and muscular fitness after 10 months of intense school-based physical training for children aged 8–10 years: the FIT FIRST randomised controlled trial

    DEFF Research Database (Denmark)

    Larsen, Malte Nejst; Nielsen, Claus Malta; Helge, Eva Wulff

    2017-01-01

    classes), a circuit strength training group (CST) (n=83, four schools, four classes) or a control group (CON, n=116, two schools, five classes). Intervention SSG or CST was performed 3×40 min/week over 10 months. Whole-body dual-energy X-ray absorptiometry (DXA) scans were used to determine areal bone...... vs CST: 12 mg/cm2, 95%CI 3 to 21, ptraining types resulted in higher change scores in postural balance (SSG vs CON: 2.4 fewer falls/min, 95% CI 0.3 to 4.5, CST vs CON: 3...... improves bone mineralisation and several aspects of muscular fitness of children aged 8–10 years, suggesting that well-organised intense physical education classes can contribute positively to develop musculoskeletal health in young children. Trial registration number NCT02000492, post results....

  16. 河北省6月~5岁儿童贫血患病率现况分析%Analysis on anemia status of children between six months and five years old in Hebei Province

    Institute of Scientific and Technical Information of China (English)

    尚煜; 李进华; 闫承生; 刘静; 李小萍; 霍相杰; 张丽萍; 江燕

    2012-01-01

    Objective; To analyze the anemia status of children between six months and five years old in Hebei province. Methods: The children between six months and five years old were studied using stratified random sampling method in 24 counties and 3 cities in Hebei province. . The haemoglobin was measured by cyanmethemoglobin and physical was examined. Results; The 3 992 children had been investigated, average haemoglobin was (123. 5 ±11.7) g/L. The 835 children were anemia, the prevalence of anemia was 20. 92% , light anemia was mainly. The prevalence of anemia in rural areas was 22. 71% , the prevalence of anemia in urban was 11.69% 0k-2=39.9, P = 0.000) . The prevalence of anemia of boys was 24. 18% , the prevalence of anemia of girls was 23.02% (j(2 = 1.92, P = 0. 17 ) . The prevalence of anemia was vary along with the age, the peak of anemia prevalence was found among the children of 12 - 18 months, that was 32. 51%. Compared with non -anemia children, prevalence of underweight and stunting for the anemia children in were higher, RR = 1. 68 and RR = 1. 80. Conclusion; The anemia prevalence among the children between six months and five years old in Hebei province is higher, especially in rural areas and under two years old children, the feasible measures should be set down to decrease the prevalence of anemia.%目的:了解河北省6月~5岁儿童贫血患病状况,为今后开展儿童贫血防治工作提供科学依据.方法:采用分层随机整群抽样法,以河北省24个县、3个城市6月~5岁儿童为研究对象,进行体格测量和血红蛋白(Hb)含量测定.结果:共检测儿童3 992人,平均Hb含量为(123.5±11.7) g/L,贫血人数为835人,贫血患病率为20.92%,以轻度贫血为主,占88.9%.农村儿童贫血患病率(22.71%)高于城市(11.69%),差异有统计学意义(x2=39.9,P=0.000).男孩贫血患病率为24.18%,女孩为23.02%,差异无统计学意义(x2=1.92,P=0.17).6~24月龄儿童是贫血患病

  17. 4th Optimization Day

    CERN Document Server

    Eberhard, Andrew; Ralph, Daniel; Glover, Barney M

    1999-01-01

    Although the monograph Progress in Optimization I: Contributions from Aus­ tralasia grew from the idea of publishing a proceedings of the Fourth Optimiza­ tion Day, held in July 1997 at the Royal Melbourne Institute of Technology, the focus soon changed to a refereed volume in optimization. The intention is to publish a similar book annually, following each Optimization Day. The idea of having an annual Optimization Day was conceived by Barney Glover; the first of these Optimization Days was held in 1994 at the University of Ballarat. Barney hoped that such a yearly event would bring together the many, but widely dispersed, researchers in Australia who were publishing in optimization and related areas such as control. The first Optimization Day event was followed by similar conferences at The University of New South Wales (1995), The University of Melbourne (1996), the Royal Melbourne Institute of Technology (1997), and The University of Western Australia (1998). The 1999 conference will return to Ballarat ...

  18. November 2015 pulmonary case of the month

    Directory of Open Access Journals (Sweden)

    Choi K

    2015-11-01

    Full Text Available No abstract available. Article truncated after 150 words. History of Present Illness: A 66 year-old woman was admitted to neurology with acute-onset dysarthria, right facial droop, and right-sided hemiparesis as a stroke alert. She also had a nonproductive cough and intermittent dyspnea for 4 months. Past Medical History, Social History and Family History: She has a history of hypertension and hyperlipidemia. She smoked 1-2 packs/day for 15 years but quit 35 years ago. She drinks two glasses of wine per day. There is a family history of bowel and breast cancer. Physical Examination: Vital signs: T 36.8, HR 81, BP 129/75, RR 18, O2 sat 93% RA. General: No acute distress. Awake and alert. Heart, abdomen, and lungs: No significant abnormalities. Neurological: Mild right-sided nasolabial fold flattening. Evidence of ptosis o the right eyelid. Hemiparesis on the right, the arm greater than leg. Sensation intact. Dysmetria on the right upper and lower extremities. Laboratory Evaluation: CBC: Hemoglobin 11.9 ...

  19. Multicomponent physical exercise with simultaneous cognitive training to enhance dual-task walking of older adults: a secondary analysis of a 6-month randomized controlled trial with 1-year follow-up

    Directory of Open Access Journals (Sweden)

    Eggenberger P

    2015-10-01

    Full Text Available Patrick Eggenberger,1 Nathan Theill,2,3 Stefan Holenstein,1 Vera Schumacher,4,5 Eling D de Bruin1,6,7 1Department of Health Sciences and Technology, Institute of Human Movement Sciences and Sport, ETH Zurich, 2Division of Psychiatry Research, 3Center for Gerontology, 4Department of Gerontopsychology and Gerontology, 5University Research Priority Program “Dynamics of Healthy Aging”, University of Zurich, Zurich, Switzerland; 6Department of Epidemiology, CAPHRI School for Public Health and Primary Care, 7Centre for Evidence Based Physiotherapy, Maastricht University, Maastricht, the Netherlands Background: About one-third of people older than 65 years fall at least once a year. Physical exercise has been previously demonstrated to improve gait, enhance physical fitness, and prevent falls. Nonetheless, the addition of cognitive training components may potentially increase these effects, since cognitive impairment is related to gait irregularities and fall risk. We hypothesized that simultaneous cognitive–physical training would lead to greater improvements in dual-task (DT gait compared to exclusive physical training.Methods: Elderly persons older than 70 years and without cognitive impairment were randomly assigned to the following groups: 1 virtual reality video game dancing (DANCE, 2 treadmill walking with simultaneous verbal memory training (MEMORY, or 3 treadmill walking (PHYS. Each program was complemented with strength and balance exercises. Two 1-hour training sessions per week over 6 months were applied. Gait variables, functional fitness (Short Physical Performance Battery, 6-minute walk, and fall frequencies were assessed at baseline, after 3 months and 6 months, and at 1-year follow-up. Multiple regression analyses with planned comparisons were carried out.Results: Eighty-nine participants were randomized to three groups initially; 71 completed the training and 47 were available at 1-year follow-up. DANCE/MEMORY showed a

  20. Ten years of International Migratory Bird Day

    Science.gov (United States)

    Jennifer Wheeler; Susan Bonfield

    2005-01-01

    Public awareness and concern are crucial components of migratory bird conservation. Citizens who are enthusiastic about birds, informed about threats, and empowered to become involved in addressing those threats can make a tremendous contribution to maintaining healthy bird populations. One of the most successful vehicles for public education on migratory birds is...

  1. AAS 227: Day 4

    Science.gov (United States)

    Kohler, Susanna

    2016-01-01

    Editors Note:This week were at the 227th AAS Meeting in Kissimmee, FL. Along with several fellow authors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting at the end of each day. Follow along here or atastrobites.com, or catch ourlive-tweeted updates from the@astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Welcome to Day 4 of the winter American Astronomical Society (AAS) meeting in Kissimmee! Several of us are attending the conference this year, and we will report highlights from each day here on astrobites. If youd like to see more timely updates during the day, we encourage you to follow @astrobites on twitter or search the #aas227 hashtag.Helen B. Warner Prize: Origins of Structure in Planetary Systems (by Erika Nesvold)Another excellent prize lecture started off todays sessions. The Helen B. Warner Prize is awarded for achievement in observational or theoretical astrophysics by a young researcher (no more than eight years after their Ph.D.). This years Warner Prize was presented to Ruth Murray-Clay of UC Santa Barbara. For her award lecture, Murray-Clay told us all about planetary system architecture: the number, masses, and orbits of planets in a given system.Ruth Murray-Clay [photo from http://web.physics.ucsb.edu/ ~murray/biocv.html]The underlying question motivating this type of research is: How rare is the Solar System? In other words, how likely is it that a given planetary system will have rocky planets close to their star, gas giants farther out, and ice giants at the outer reaches of the system? Answering this question will help us solve the physics problem of how and where planets form, and will also help us on our search for other planets like Earth.The data on exoplanet population from transit and radial velocity observations and from direct imaging tell us that our Solar System is not common (many systems we observe have much more eccentric gas giants), but that doesnt

  2. Does multicomponent physical exercise with simultaneous cognitive training boost cognitive performance in older adults? A 6-month rando­mized controlled trial with a 1-year follow-up

    Directory of Open Access Journals (Sweden)

    Eggenberger P

    2015-08-01

    Full Text Available Patrick Eggenberger,1 Vera Schumacher,2,3 Marius Angst,1 Nathan Theill,4,5 Eling D de Bruin1,6,7 1Institute of Human Movement Sciences and Sport, Department of Health Sciences and Technology, ETH Zurich, 2Department of Gerontopsychology and Gerontology, 3University Research Priority Program “Dynamics of Healthy Aging”, University of Zurich, Zurich, 4Division of Psychiatry Research, University of Zurich, Schlieren, 5Center for Gerontology, University of Zurich, Zurich, Switzerland; 6CAPHRI School for Public Health and Primary Care, Department of Epidemiology, 7Centre for Evidence Based Physiotherapy, Maastricht University, Maastricht, the Netherlands Background: Cognitive impairment is a health problem that concerns almost every second elderly person. Physical and cognitive training have differential positive effects on cognition, but have been rarely applied in combination. This study evaluates synergistic effects of multicomponent physical exercise complemented with novel simultaneous cognitive training on cognition in older adults. We hypothesized that simultaneous cognitive–physical components would add training specific cognitive benefits compared to exclusively physical training.Methods: Seniors, older than 70 years, without cognitive impairment, were randomly assigned to either: 1 virtual reality video game dancing (DANCE, 2 treadmill walking with simultaneous verbal memory training (MEMORY, or 3 treadmill walking (PHYS. Each program was complemented with strength and balance exercises. Two 1-hour training sessions per week over 6 months were applied. Cognitive performance was assessed at baseline, after 3 and 6 months, and at 1-year follow-up. Multiple regression analyses with planned comparisons were calculated.Results: Eighty-nine participants were randomized to the three groups initially, 71 completed the training, while 47 were available at 1-year follow-up. Advantages of the simultaneous cognitive–physical programs were

  3. Wuqiang New Year Painting:Epitome of Chinese Folklife

    Institute of Scientific and Technical Information of China (English)

    ZhangJing; ZhaoWei

    2003-01-01

    Chinese New Year,or Spring Festival,is the longest and most important holiday for Chinese people,It is usually celebrated from the eighth day of the twelfth month to the fifteenth of the first month(lantern festival),by Chinese lunar calendar,Traditionally,from the 23rd to the 27th of the twelfth lunar month,every

  4. 现实主义影片的电影语言力量--以《四月三周两天》为例%The Cinema Language’s Power of Realism Films---Taking 4 Months,3 Weeks and 2 Days as an Example

    Institute of Scientific and Technical Information of China (English)

    刘星

    2016-01-01

    第60届戛纳电影节金棕榈大奖获得影片《四月三周两天》让“现实主义”电影重返大众视野。影片强有力的观影感受再次展现了现实主义电影语言的力量。文章以此影片为例,从“直接现实”与“感知现实”两方面阐明现实主义电影语言的力量。%The 60th Cannes Palme d’Or Award winner,4 Months,3 Weeks and 2 Days,let the"realism"film return to the public sight.The strong sense of this film once again demonstrates the power of realistic cinema lan-guage.Taking this film as an example,this article interprets the language power of realism films from the aspects of"direct realism"and "perceptual realism".

  5. Estado nutricional e carência de ferro em crianças freqüentadoras de creche antes e 15 meses após intervenção nutricional Nutritional status and iron deficiency among children enrolled in a day care center before and after 15 months of nutritional management

    Directory of Open Access Journals (Sweden)

    Terezinha Soares Biscegli

    2008-06-01

    Full Text Available OBJETIVO: Comparar o estado nutricional e a prevalência de carência de ferro em crianças freqüentadoras de creche antes e 15 meses após orientação nutricional e intervenção terapêutica. MÉTODOS: Estudo coorte com 52 crianças de 32 a 78 meses de idade, freqüentadoras de uma creche em Catanduva, São Paulo, avaliadas em dois períodos: antes e 15 meses após receberem tratamento para anemia e correção das alterações no estado nutricional. O estado nutricional das crianças foi avaliado por meio da curva da Organização Mundial de Saúde (2006. O diagnóstico de carência de ferro foi realizado por dosagem de hemoglobina e nível de ferritina sérica. Dados adicionais das crianças não eutróficas foram obtidos por meio de entrevistas com suas mães. RESULTADOS: Observou-se 2% de desnutrição aguda e 8% de obesidade, não havendo diferença significante entre os dois períodos. 12% das crianças apresentaram anemia, havendo diminuição do número de crianças com anemia após o tratamento. Dois novos casos de obesidade e cinco de carência de ferro surgiram durante o período de intervenção nutricional. Das oito crianças com alterações nutricionais no período inicial, 63% das mães procuraram atendimento médico para tratamento. CONCLUSÕES: O tratamento dos distúrbios nutricionais e da carência de ferro diminuiu o número de crianças afetadas. O aparecimento de novos casos de obesidade e anemia serve de alerta para a necessidade de outras medidas preventivas tanto na creche como no âmbito familiar.OBJECTIVE: To compare the nutritional status and the prevalence of iron deficiency among children enrolled in a day care center before and after 15 months of nutritional management. METHODS: Cohort study of 52 children, aged 32 to 78 months, evaluated before and after treatment of anemia and nutritional disturbs in a no-profit day care center in Catanduva, São Paulo, Brazil. The nutritional status was classified according

  6. Hispanic Heritage Month

    Science.gov (United States)

    York, Sherry

    2004-01-01

    Hispanic heritage month is from September 15 to October 15. One problem that arises when grouping people into categories such as Hispanic or Latino is stereotyping, stereotypes can be promoted or used in this Hispanic month to promote a greater understanding of Latino cultures.

  7. Progress report, 24 months

    DEFF Research Database (Denmark)

    Juhl, Thomas Winther; Nielsen, Jakob Skov

    The work performed during the past 12 months (months 13 – 24) of the project has included the conclusion of Task 1 – Fundamental Studies and Task 2 – Multimirror Cutting Head Design. Work on Task 3 – Compact Cutting Head Design, and Task 4 – Interface Design has been carried out and the tests...... of the multimirror cutting head have been started....

  8. Progress report, 36 months

    DEFF Research Database (Denmark)

    Juhl, Thomas Winther; Nielsen, Jakob Skov

    The work performed during the past 12 months (months 13 – 24) of the project has included the conclusion of Task 1 – Fundamental Studies and Task 2 – Multimirror Cutting Head Design. Work on Task 3 – Compact Cutting Head Design, and Task 4 – Interface Design has been carried out and the tests...... of the multimirror cutting head have been started....

  9. Progress report, 36 months

    DEFF Research Database (Denmark)

    Juhl, Thomas Winther; Nielsen, Jakob Skov

    The work performed during the past 12 months (months 13 – 24) of the project has included the conclusion of Task 1 – Fundamental Studies and Task 2 – Multimirror Cutting Head Design. Work on Task 3 – Compact Cutting Head Design, and Task 4 – Interface Design has been carried out and the tests of ...

  10. Progress report, 24 months

    DEFF Research Database (Denmark)

    Juhl, Thomas Winther; Nielsen, Jakob Skov

    The work performed during the past 12 months (months 13 – 24) of the project has included the conclusion of Task 1 – Fundamental Studies and Task 2 – Multimirror Cutting Head Design. Work on Task 3 – Compact Cutting Head Design, and Task 4 – Interface Design has been carried out and the tests of ...

  11. 2016 SPD: Day 1

    Science.gov (United States)

    Kohler, Susanna

    2016-06-01

    Editors note: This week were in Boulder, Colorado at the 47th meeting of the AAS Solar Physics Division (SPD). Follow along to catch some of the latest news from the field of solar physics!The 2016 SPD meeting was launched this morning from the University of Colorado Boulder campus. Two of the hot topics at this years meeting include celebration of the recent move of the National Solar Observatorys headquarters to Boulder, and discussion of the future Daniel K. Inouye Solar Telescope (DKIST, formerly the Advanced Technology Solar Telescope, ATST). DKIST, planned for a 2019 completion in Hawaii, is the next big telescope on the horizon for solar physics.Todays press conference had an interesting focus: instruments providing new high-energy observations of the Sun. Representatives from four different instruments were here to talk about some of the latest X-ray solar observations.GRIPSThe GRIPS payload flew at 130,000 ft over Antarctica on a giant balloon in January 2016. [NASA/Albert Shih]First up, Albert Shih (NASA Goddard) described the Gamma-Ray Imager/Polarimeter for Solar flares, or GRIPS. GRIPS is a balloon-borne instrument designed to detect X-rays and gamma rays emitted during solar flares. Up to tens of a percent of the energy in solar flares is emitted in the form of accelerated particles, but the physics behind this process is not well understood. GRIPS observes where the highest-energy particles are accelerated, in an effort to learn more about the process.GRIPS was launched on 19 January, 2016 and flew for roughly 12 days gathering ~1 million seconds of data! The logistics of this instruments flight are especially interesting, since it was launched from Antarctica and carried by a balloon at a whopping elevation of 130,000 ft (to get high enough that the atmosphere doesnt absorb all the photons GRIPS is trying to observe). Though the data from the mission has been retrieved, the bulk of the hardware remains where it landed at the end of January. It must

  12. A Day at the Museum

    Science.gov (United States)

    Curriculum Review, 2007

    2007-01-01

    Field trips are not just for the school year. End the year right by encouraging parents and caregivers to continue working children's brains throughout the summer months. For example, the National Parent Teacher Association (PTA) recommends taking children of all ages--preschoolers, children, tweens and teens--to museums. Whether it is a two-hour…

  13. Comparison of motor and cognitive performance of children attending public and private day care centers

    Directory of Open Access Journals (Sweden)

    Mariana M. Santos

    2013-12-01

    Full Text Available BACKGROUND: Given that environmental factors, such as the school environment, can influence child development, more attention should be paid to the development of children attending day care centers. OBJECTIVE: Todetermine whether there are differences in the gross motor, fine motor, or cognitive performances of children between 1 and3 years-old of similar socioeconomic status attending public and private day care centers full time. METHOD: Participants were divided into 2 groups, 1 of children attending public day care centers (69 children and another of children attending private day care centers (47 children. All children were healthy and regularly attended day care full time for over 4 months. To assess cognitive, gross and fine motor performance, the Bayley Scales of Infant and Toddler Development III was used. The Mann-Whitney test was used for comparative analyses between groups of children between 13 and 24 months, 25 and 41 months, and 13 and 41 months. RESULTS: Children in public day care centers exhibited lower scores on the cognitive development scale beginning at 13 months old. The fine and gross motor performance scores were lower in children over the age of 25 months attending public centers. Maternal education was not related to the performance of children in either group. CONCLUSION: The scores of cognitive performance as well as fine and gross motor performance of children of similar socioeconomic status who attend public day care centers are lower than children attending private daycare centers.

  14. Outcome after major trauma: 12-month and 18-month follow-up results from the Trauma Recovery Project.

    Science.gov (United States)

    Holbrook, T L; Anderson, J P; Sieber, W J; Browner, D; Hoyt, D B

    1999-05-01

    The importance of outcome after major injury has continued to gain attention in light of the ongoing development of sophisticated trauma care systems in the United States. The Trauma Recovery Project (TRP) is a large prospective epidemiologic study designed to examine multiple outcomes after major trauma in adults aged 18 years and older, including quality of life, functional outcome, and psychologic sequelae such as depression and posttraumatic stress disorder (PTSD). Patient outcomes were assessed at discharge and at 6, 12, and 18 months after discharge. The specific objectives of the present report are to describe functional outcomes at the 12-month and 18-month follow-ups in the TRP population and to examine the association of putative risk factors with functional outcome. Between December 1, 1993, and September 1, 1996, 1,048 eligible trauma patients triaged to four participating trauma center hospitals in the San Diego Regionalized Trauma System were enrolled in the TRP study. The admission criteria for patients were as follows: (1) age 18 years or older; (2) Glasgow Coma Scale score on admission of 12 or greater; and (3) length of stay greater than 24 hours. Functional outcome after trauma was measured before and after injury using the Quality of Well-Being (QWB) Scale, an index sensitive to the well end of the functioning continuum (0 = death, 1.000 = optimum functioning). Follow-up at 12 months after discharge was completed for 806 patients (79%), and follow-up at 18 months was completed for 780 patients (74%). Follow-up contact at any of the study time points (6, 12, or 18 months) was achieved for 926 (88%) patients. The mean age was 36 +/- 14.8 years, and 70% of the patients were male; 52% were white, 30% were Hispanic, and 18% were black or other. Less than 40% of study participants were married or living together. The mean Injury Severity Score was 13 +/- 8.5, with 85% blunt injuries and a mean length of stay of 7 +/- 9.2 days. QWB scores before injury

  15. Nine-month Angiographic and Two-year Clinical Follow-up of Novel Biodegradable-polymer Arsenic Trioxide-eluting Stent Versus Durable-polymer Sirolimus-eluting Stent For Coronary Artery Disease

    Directory of Open Access Journals (Sweden)

    Li Shen

    2015-01-01

    Full Text Available Background: Despite great reduction of in-stent restenosis, first-generation drug-eluting stents (DESs have increased the risk of late stent thrombosis due to delayed endothelialization. Arsenic trioxide, a natural substance that could inhibit cell proliferation and induce cell apoptosis, seems to be a promising surrogate of sirolimus to improve DES performance. This randomized controlled trial was to evaluate the efficacy and safety of a novel arsenic trioxide-eluting stent (AES, compared with traditional sirolimus-eluting stent (SES. Methods: Patients with symptoms of angina pectoris were enrolled and randomized to AES or SES group. The primary endpoint was target vessel failure (TVF, and the second endpoint includes rates of all-cause death, cardiac death or myocardial infarction, target lesion revascularization (TLR by telephone visit and late luminal loss (LLL at 9-month by angiographic follow-up. Results: From July 2007 to 2009, 212 patients were enrolled and randomized 1:1 to receive either AES or SES. At 2 years of follow-up, TVF rate was similar between AES and SES group (6.67% vs. 5.83%, P = 0.980. Frequency of all-cause death was significantly lower in AES group (0 vs. 4.85%, P = 0.028. There was no significant difference between AES and SES in frequency of TLR and in-stent restenosis, but greater in-stent LLL was observed for AES group (0.29 ± 0.52 mm vs. 0.10 ± 0.25 mm, P = 0.008. Conclusions: After 2 years of follow-up, AES demonstrated comparable efficacy and safety to SES for the treatment of de novo coronary artery lesions.

  16. Natural gas monthly, April 1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    This issue of the Natural Gas Monthly presents the most recent estimates of natural gas data from the Energy Information Administration (EIA). Estimates extend through April 1998 for many data series. The report highlights activities, events, and analyses of interest to public and private sector organizations associated with the natural gas industry. Volume and price data are presented each month for natural gas production, distribution, consumption, and interstate pipeline activities. Producer-related activities and underground storage data are also reported. From time to time, feature articles are presented designed to assist readers in using and interpreting natural gas information. This issue contains the special report, ``Natural Gas 1997: A Preliminary Summary.`` This report provides information on natural gas supply and disposition for the year 1997, based on monthly data through December from EIA surveys. 6 figs., 28 tabs.

  17. Electric power monthly, April 1994

    Energy Technology Data Exchange (ETDEWEB)

    1994-04-01

    The Electric Power Monthly (EPM) presents monthly electricity statistics. The purpose of this publication is to provide energy decisionmakers with accurate and timely information that may be used in forming various perspectives on electric issues that lie ahead. This publication provides monthly statistics at the U.S., Census division, and State levels for net generation, fossil fuel consumption and stocks, quantity and quality of fossil fuels, cost of fossil fuels, electricity sales, revenue, and average revenue per kilowatthour of electricity sold. Data on net generation, fuel consumption, fuel stocks, quantity and cost of fossil fuels are also displayed for the North American Electric Reliability Council (NERC) regions. This April 1994 issue contains 1993 year-end data and data through January 1994.

  18. CONNECTION BETWEEN THE POTENTIAL WIND ENERGY AND THE WINDY DAYS

    Directory of Open Access Journals (Sweden)

    KÁROLY TAR

    2008-06-01

    Full Text Available Preliminary wind climate information are required for the selection of the sites of energetic wind measurements. Optimal locations of wind energy projects, where the amount of utilizable wind energy can be forecasted with a good approach, can be determined using GIS and statistical methods. Anyhow, it is necessary to elaborate methods what make posible to gain data for the wind potential of a given location on the base of measured data. Monthly number of windy days can be such predictor if its basic statistical parameters and its connection to the monthly mean wind power can be determined. This latter one can be substituted by the area under the curve of the function fitted to thehourly averages of the cubes of the wind speeds. A regression modell is fitted to the monthly number of windy days and areas under the curve, on the base of time series of 7 Hungarian weather stations and the error of the modell is determined. On this base, the modell is extrapolated to a 35 years long period. The area under the curve proportional to the monthly mean wind power calculated on the base of the monthly number of windy days show a significant decreasing trend in 4 Hungarian weather stations.

  19. 情人节%Valentine's Day

    Institute of Scientific and Technical Information of China (English)

    Mark Hansen

    2007-01-01

    @@ Valentine's Day has come and gone for this year, and I only got one small present. That may sound like I'm complaining, but I'm not, for it was the most wonderful gift I have ever received on that special day.

  20. TARP Monthly Housing Scorecard

    Data.gov (United States)

    Department of the Treasury — Treasury and the U.S. Department of Housing and Urban Development (HUD) jointly produce a Monthly Housing Scorecard on the health of the nation’s housing market. The...

  1. Lightship Monthly Observations

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Daily Weather Observations (Monthly Form 1001) from lightship stations in the United States. Please see the 'Surface Weather Observations (1001)' library for more...

  2. Oceanographic Monthly Summary

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Oceanographic Monthly Summary contains sea surface temperature (SST) analyses on both regional and ocean basin scales for the Atlantic, Pacific, and Indian Oceans....

  3. 75 FR 24371 - Loyalty Day, 2010

    Science.gov (United States)

    2010-05-05

    ...#0;#0; ] Proclamation 8512 of April 29, 2010 Loyalty Day, 2010 By the President of the United States... 85-529 as amended, has designated May 1 of each year as ``Loyalty Day.'' On this day, we honor the... Loyalty Day. This Loyalty Day, I call upon the people of the United States to join in this...

  4. Virological control during the first 6-18 months after initiating highly active antiretroviral therapy as a predictor for outcome in HIV-infected patients: a Danish, population-based, 6-year follow-up study

    DEFF Research Database (Denmark)

    Lohse, Nicolai; Kronborg, Gitte; Gerstoft, Jan;

    2006-01-01

    BACKGROUND: Our objective was to examine whether virological control during the first 6-18 months after HAART initiation is a predictor for viral suppression, CD4+ cell count increase, and mortality in human immunodeficiency virus (HIV)-infected patients 18-90 months after initiation of highly...

  5. Analysis of iron deficiency anemia of 4 months-3 years old infants in Jinan City%济南市4个月至3岁婴幼儿缺铁性贫血调查分析

    Institute of Scientific and Technical Information of China (English)

    苑赟; 刘淑珍; 鞠丽娜; 孙燕

    2012-01-01

    目的 了解济南市药山社区婴幼儿缺铁性贫血现状,探讨影响济南市儿童缺铁性贫血的影响因素,促进小儿健康成长.方法 对2007年10月至2010年12月来山东黄河医院儿保门诊健康查体的1 094例4个月至3岁健康足月婴幼儿进行研究,查末梢血血常规,分析各年龄段贫血患病率,进一步分析贫血与6个月内喂养方式、母亲文化程度、喂养习惯与缺铁性贫血的关系.结果 药山社区4个月至3岁婴幼儿缺铁性贫血总患病率为37.9%(415/1 094),其中轻度贫血占88.2%(366/415),中度贫血占11.8%(49/415).贫血的患病率与月龄、母亲文化程度、6个月内喂养方式、是否合理添加辅食有关,6个月~<12月婴儿患病率明显高于其他组(χ2=14.95~31.93,P<0.01);母亲文化程度高者贫血的患病率低(χ2=10.86~47.02,P<0.01);人工喂养者的患病率明显高于母乳和混合喂养者(χ2=15.26~23.38,P<0.01);合理添加辅食者贫血的患病率明显下降(χ2=31.18,P<0.01).结论 药山社区婴幼儿贫血总患病率仍较高,贫血现状不容乐观,应采取有效措施大力改善婴幼儿营养性缺铁性贫血.%Objective To understand the current situation of iron deficiency anemia ( IDA ) in infants and young children in Yaoshan Community of Jinan City and to explore the influencing factors of IDA in the studied community, so as to promote the healthy growth of them. Methods From October 2007 to December 2010, 1 094 cases of 4 months to 3 years old healthy full-term infants and young children visiting child health outpatient for health examination were studied. Their peripheral blood samples were taken to analyze the prevalence of anemia at different ages. Further relationship between IDA and feeding patterns in the first 6 months, and the maternal education, and feeding was analyzed. Results The total prevalence rate of IDA was 37. 9% ( 415/1 094 ) in the studied children in Yaoshan Community, including 88.2% ( 366

  6. Analysis of epidemiological characteristics and incidence reason of 8 months to 14 years old children measles in Ji'nan City%济南市8月龄~14岁儿童麻疹流行特征及发病原因分析

    Institute of Scientific and Technical Information of China (English)

    赵小冬; 徐胜平; 李传彬

    2014-01-01

    目的:了解济南市2013年8月龄~14岁人群麻疹流行特征及发病原因,探讨控制策略。方法:收集2013年8月龄~14岁人群麻疹发病资料,进行流行病学分析。结果:2013年济南市8月龄~14岁人群麻疹病例70例,占全部病例的22.73%。病例主要集中在8~11月龄,占该年龄组病例的70.00%。发病主要原因是医院内感染和未及时接种麻疹疫苗,95.72%的麻疹病例在发病前7~21 d有医院就诊史,88.57%病例未接种麻疹疫苗。未及时接种麻疹疫苗的主要原因是未满8月龄生病,占未接种疫苗原因的83.87%。结论:儿童家长尽量不带儿童到大医院就诊、加强医院内感染的控制、提高麻疹疫苗接种及时率是控制该年龄组麻疹发病的主要措施。%Objective:To understand the epidemiological characteristics and incidence reason of 8 months to 14 years old children measles of Ji'nan City in 2013,to explore the control strategy.Methods:The incidence data of 8 months to 14 years old children measles were selected with descriptive epidemiological analysis.Results:In 2013,70 cases of 8 months to 14 years old children measles in Ji'nan City were accountted for 22.73%of all cases.The cases were mainly concentrated in 8~11 months old,and they were accountted for 70.00% of this age group cases.The main reason for the disease were nosocomial infections and failed to timely vaccination of measles vaccine.95.72% of the measles cases had hospital medical history before the onset of 7~21 days.88.57% cases had no measles vaccination.The main reasons for not timely vaccination of measles vaccine was not full 8 months old sick,and they were accountted for 83.87% of without vaccination reasons.Conclusion:Parents of children try not to bring children to the hospital together,strengthening the nosocomial infection control,improving the timeliness rate of measles vaccine vaccination are the major measures to control the prevalence of

  7. Comparison of the safety and immunogenicity of live attenuated and inactivated hepatitis A vaccine in healthy Chinese children aged 18 months to 16 years: results from a randomized, parallel controlled, phase IV study.

    Science.gov (United States)

    Ma, F; Yang, J; Kang, G; Sun, Q; Lu, P; Zhao, Y; Wang, Z; Luo, J; Wang, Z

    2016-09-01

    For large-scale immunization of children with hepatitis A (HA) vaccines in China, accurately designed studies comparing the safety and immunogenicity of the live attenuated HA vaccine (HA-L) and inactivated HA vaccine (HA-I) are necessary. A randomized, parallel controlled, phase IV clinical trial was conducted with 6000 healthy children aged 18 months to 16 years. HA-L or HA-I was administered at a ratio of 1: 1 to randomized selected participants. The safety and immunogenicity were evaluated. Both HA-L and HA-I were well tolerated by all participants. The immunogenicity results showed that the seroconversion rates (HA-L versus HA-I: 98.0% versus 100%, respectively, p >0.05), and geometric mean concentrations in participants negative for antibodies against HA virus IgG (anti-HAV IgG) before vaccination did not differ significantly between the two types of vaccines (HA-L versus HA-I first dose: 898.9 versus 886.2 mIU/mL, respectively, p >0.05). After administration of the booster dose of HA-I, the geometric mean concentrations of anti-HAV IgG (HA-I booster dose: 2591.2 mIU/mL) was higher than that after the first dose (p <0.05) and that reported in participants administered HA-L (p <0.05). Additionally, 12 (25%) of the 48 randomized selected participants who received HA-L tested positive for HA antigen in stool samples. Hence, both HA-L and HA-I could provide acceptable immunogenicity in children. The effects of long-term immunogenicity after natural exposure to wild-type HA virus and the possibility of mutational shifts of the live vaccine virus in the field need to be studied in more detail.

  8. A Day For Love

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Young couples drive Valentine’s Day booms in China It is not clear when Chinese couplesstarted celebrating Valentine’s Day,but it has now firmly established itself as an important day around the Spring Festival,

  9. AAS 228: Day 4

    Science.gov (United States)

    Kohler, Susanna

    2016-06-01

    Editors Note: Lastweek we were at the 228th AAS Meeting in San Diego, CA. Here is a final post aboutselectedevents on the last day of the meeting, written by authors fromastrobites.com, a grad-student collaborative project with which we recently announced a new partnership! Starting in July,keep an eye out for astrobites postsat AAS Nova in between Highlights(i.e., on Tuesdays and Thursdays).Were excited to be working together to bring you more recent astronomy research from AAS journals!Extrasolar Planets: Detection (by Leonardo dos Santos)Thursdays first session on exoplanets was about detecting these distant worlds, and the opening talk was given by Robert Siverd (Las Cumbres Observatory). He describes the NRES, a network of spectrographs that will look for exoplanets using the radial velocity method. One of the coolest aspects of this instrument is that it will feature an on the fly scheduling system that will perform observations as efficiently as possible. The spectrograph is still being tested, but a unit will be deployed at CTIO later this year.@lcogt contracted by @NASA_TESS for follow up of their candidates. #aas228 Jessie Christiansen (@aussiastronomer) June 16, 2016Measuring the depths of transits and eclipses in Spitzer has been problematic in the past, since the Spitzer instrument IRAC (InfraRed Array Camera) has a non-uniform response in its detectors pixels. But, as reported by James Ingalls (Spitzer Science Center, Caltech), observers are circumventing this issue by using what they call the staring mode (avoiding large pointing jumps) and an algorithm to pick sweet spot pixels. Moreover, the results from the IRAC Data Challenge are helping to better understand its behavior. Giuseppe Morello (University College London), on the other hand, explained how his research group gets rid of instrumental effects from IRAC using machine learning. This method removes systematics from exoplanet transit data no matter if the noise source is from an instrument or

  10. Xerostomia: a day and night difference.

    Science.gov (United States)

    Dijkema, Tim; Raaijmakers, Cornelis P J; Braam, Pètra M; Roesink, Judith M; Monninkhof, Evelyn M; Terhaard, Chris H J

    2012-08-01

    To compare patient-reported xerostomia during daytime and during nighttime with objectively measured parotid and submandibular gland function in a cohort of head-and-neck cancer (HNC) patients treated with RT. A cohort of 138 HNC patients underwent objective measurements of parotid (PF) and submandibular (SMF) gland function and completed a xerostomia questionnaire (XQ) before RT, at 6 weeks, 6 months and 1 year after RT. No attempt was made to spare the submandibular gland(s). The XQ contained specific questions concerning the sensation of dry mouth during day- (XD) and nighttime (XN), scored on a 5-point Likert scale. Patients with no or mild (grade 1-3) xerostomia and patients with more severe (grade 4-5) complaints were grouped together. Before RT, no association existed between dry mouth complaints and PF or SMF. At 6 weeks, 6 months and 1 year after RT; 37%, 51% and 36% had grade 4-5 XD and 65%, 64% and 56% had grade 4-5 XN, respectively. Patients with grade 4-5 XD and XN had significantly worse SMF at all time points after RT compared to patients with grade 1-3 XD and XN, while PF was significantly worse only at 6 weeks after RT. In multivariate analyses, SMF was consistently the most important factor related to XN after treatment. PF significantly influenced XD at 6 weeks and 1 year after RT. Differentiating between complaints during day- and nighttime in xerostomia research is necessary. Dry mouth at night is a frequent problem after (parotid-sparing) RT for HNC and is explained by submandibular gland dysfunction. Sparing of the contralateral submandibular gland, in addition to parotid gland sparing, may result in improved patient-reported xerostomia. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

  11. China's first family planning publicity month.

    Science.gov (United States)

    Shen, G

    1983-05-01

    China conducted its 1st nationwide Family Planning Publicity Month in 1983, from New Year's Day to Spring Festival (February 13). The campaign emphasized the rural areas and focused on explaining why family planning is a state policy. The most noticeable achievements of this campaign were that every household became familiar with the fact that family planning is a basic state policy. The majority of the population take this policy seriously, realizing that strict control of population growth is both a good and imperative policy. More than 1,830,000 propaganda columns and photo exhibitions were displayed, 5,900,000 radio and television programs broadcast, 2,010,000 theatrical performances, movie and slide showings presented, and 97,000,000 copies of materials published for public dissemination. The activities were varied and interesting, vivid and lively, and purposeful and persuasive. 1 of the most effective methods of publicizing population control has been the presentation of comparative statistics. This aspect of the campaign was a specific and lively form of education in population theory and practice. The presentation of statistics that show the relationship among population, land use, grain produce, and income enabled the population to reason out why population growth needs to match economic and social development. Another important accomplishment of the publicity month was that a large number of couples of reproductive age became convinced of the need to use contraception. According to the incomplete statistics, 8,860,000 people had surgical operations for birth control. The universal promotion of ligations by either partner of a reproductive couple who already had given birth to a 2nd child was an important development of family planning technique promoted simultaneously with the promotion of IUDs. The increase in the number of people doing family planning work was another achievement of the publicity month. More than 15,240,000 publicity personnel and 760

  12. Monthly energy review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-12-01

    This document presents an overview of the Energy Information Administration`s (EIA) recent monthly energy statistics. The statistics cover the major activities of U.S. production, consumption, trade, stocks, and prices for petroleum, natural gas, coal, electricity, and nuclear energy. Also included are international energy and thermal and metric conversion factors.

  13. Photos of the month

    CERN Multimedia

    Claudia Marcelloni de Oliveira

    Congratulations to Adele Rimoldi, ATLAS physicist from Pavia, who ran her first marathon in New York last month. Adele completed the 42.2 km in a time of 4:49:19. She sure makes it look easy!!! The ATLAS pixel service quarter panel in SR1

  14. Monthly Energy Review

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-05-28

    This publication presents an overview of the Energy information Administration`s recent monthly energy statistics. The statistics cover the major activities of US production, consumption, trade, stocks, and prices for petroleum, natural gas, coal, electricity, and nuclear energy. Also included are international energy and thermal and metric conversion factors. Two brief ``energy plugs`` (reviews of EIA publications) are included, as well.

  15. Mother’s Day

    Institute of Scientific and Technical Information of China (English)

    张萍

    2009-01-01

    Mother’s Day is a day for each family to honor (尊敬,给……以光荣) its mother ,celebrated (庆祝)on various days in many places around the world.It complements (补足,补充) Father’s Day,the celebration

  16. Your Child's Development: 9 Months

    Science.gov (United States)

    ... For Parents MORE ON THIS TOPIC Your Baby's Growth: 9 Months Your Baby's Hearing, Vision, and Other Senses: 9 Months Your Child's Checkup: 9 Months Medical Care and Your 8- to 12-Month-Old Feeding Your 8- to 12-Month-Old Sleep and Your 8- to 12-Month-Old Contact ...

  17. Petroleum supply monthly, March 1994

    Energy Technology Data Exchange (ETDEWEB)

    1994-03-30

    Data presented in the Petroleum Supply Monthly (PSM) describe the supply and disposition of petroleum products in the United States and major US geographic regions. The data series describe production, imports and exports, inter-Petroleum Administration for Defense (PAD) District movements, and inventories by the primary suppliers of petroleum products in the United States (50 States and the District of Columbia). The reporting universe includes those petroleum sectors in primary supply. Included are: petroleum refiners, motor gasoline blenders, operators of natural gas processing plants and fractionators, inter-PAD transporters, importers, and major inventory holders of petroleum products and crude oil. When aggregated, the data reported by these sectors approximately represent the consumption of petroleum products in the United States. Data presented in the PSM are divided into two sections: Summary Statistics and Detailed Statistics. The tables and figures in the Summary Statistics section of the PSM present a time series of selected petroleum data on a US level. Most time series include preliminary estimates for one month based on the Weekly Petroleum Supply Reporting System; statistics based on the most recent data from the Monthly Petroleum Supply Reporting System (MPSRS); and statistics published in prior issues of the PSM and PSA. The Detailed Statistics tables of the PSM present statistics for the most current month available as well as year-to-date. In most cases, the statistics are presented for several geographic areas -- the United States (50 States and the District of Columbia), five PAD Districts, and 12 Refining Districts. At the US and PAD District level, the total volume and the daily rate of activities are presented. The statistics are developed from monthly survey forms submitted by respondents to the EIA and from data provided from other sources.

  18. Petroleum supply monthly, June 1993

    Energy Technology Data Exchange (ETDEWEB)

    1993-06-28

    Data presented in the Petroleum Supply Monthly (PSM) describe the supply and disposition of petroleum products in the United States and major US geographic regions. The data series describe production, imports and exports, inter-Petroleum Administration for Defense (PAD) District movements, and inventories by the primary suppliers of petroleum products in the United States (50 States and the District of Columbia). The reporting universe includes those petroleum sectors in primary supply. Included are: petroleum refiners, motor gasoline blenders, operators of natural gas processing plants and fractionators, inter-PAD transporters, importers, and major inventory holders of petroleum products and crude oil. When aggregated, the data reported by these sectors approximately represent the consumption of petroleum products in the United States. Data presented in the PSM are divided into two sections: Summary Statistics and Detailed Statistics. The tables and figures ih the Summary Statistics section of the PSM present a time series of selected petroleum data on a US level. Most time series include preliminary estimates for one month based on the Weekly Petroleum Supply Reporting System; statistics based on the most recent data from the Monthly Petroleum Supply Reporting System (MPSRS); and statistics published in prior issues of the PSM and PSA. The Detailed Statistics tables of the PSM present statistics for the most current month available as well as year-to-date. In most cases, the statistics are presented for several geographic areas - - the United States (50 States and the District of Columbia), five PAD Districts, and 12 Refining Districts. At the US and PAD District level, the total volume and the daily rate of activities are presented. The statistics are developed from monthly survey forms submitted by respondents to the EIA and from data provided firom other sources.

  19. Petroleum marketing monthly

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-07-01

    Petroleum Marketing Monthly (PPM) provides information and statistical data on a variety of crude oils and refined petroleum products. The publication presents statistics on crude oil costs and refined petroleum products sales for use by industry, government, private sector analysts, educational institutions, and consumers. Data on crude oil include the domestic first purchase price, the f.o. b. and landed cost of imported crude oil, and the refiners` acquisition cost of crude oil. Refined petroleum product sales data include motor gasoline, distillates, residuals, aviation fuels, kerosene, and propane. The Petroleum Marketing Division, Office of Oil and Gas, Energy Information Administration ensures the accuracy, quality, and confidentiality of the published data in the Petroleum Marketing Monthly.

  20. Petroleum marketing monthly

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-02-01

    The Petroleum Marketing Monthly (PMM) provides information and statistical data on a variety of crude oils and refined petroleum products. The publication presents statistics on crude oil costs and refined petroleum products sales for use by industry, government, private sector analysts, educational institutions, and consumers. Data on crude oil include the domestic first purchase price, the f.o.b. and landed cost of imported crude oil, and the refiners acquisition cost of crude oil. Refined petroleum product sales data include motor gasoline, distillates, residuals, aviation fuels, kerosene, and propane. The Petroleum Marketing Division, Office of Oil and Gas, Energy Information Administration ensures the accuracy, quality, and confidentiality of the published data in the Petroleum Marketing Monthly.

  1. Electric power monthly

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-08-01

    The Energy Information Administration (EIA) prepares the Electric Power Monthly (EPM) for a wide audience including Congress, Federal and State agencies, the electric utility industry, and the general public. This publication provides monthly statistics for net generation, fossil fuel consumption and stocks, quantity and quality of fossil fuels, cost of fossil fuels, electricity sales, revenue, and average revenue per kilowatthour of electricity sold. Data on net generation, fuel consumption, fuel stocks, quantity and cost of fossil fuels are also displayed for the North American Electric Reliability Council (NERC) regions. The EIA publishes statistics in the EPM on net generation by energy source, consumption, stocks, quantity, quality, and cost of fossil fuels; and capability of new generating units by company and plant. The purpose of this publication is to provide energy decisionmakers with accurate and timely information that may be used in forming various perspectives on electric issues that lie ahead.

  2. Electric power monthly

    Energy Technology Data Exchange (ETDEWEB)

    Smith, Sandra R.; Johnson, Melvin; McClevey, Kenneth; Calopedis, Stephen; Bolden, Deborah

    1992-05-01

    The Electric Power Monthly is prepared by the Survey Management Division; Office of Coal, Nuclear, Electric and Alternate Fuels, Energy Information Administration (EIA), Department of Energy. This publication provides monthly statistics at the national, Census division, and State levels for net generation, fuel consumption, fuel stocks, quantity and quality of fuel, cost of fuel, electricity sales, revenue, and average revenue per kilowatthour of electricity sold. Data on net generation, fuel consumption, fuel stocks, quantity and cost of fuel are also displayed for the North American Electric Reliability Council (NERC) regions. Additionally, statistics by company and plant are published in the EPM on capability of new plants, new generation, fuel consumption, fuel stocks, quantity and quality of fuel, and cost of fuel.

  3. Skin microbiome before development of atopic dermatitis: Early colonization with commensal staphylococci at 2 months is associated with a lower risk of atopic dermatitis at 1 year.

    Science.gov (United States)

    Kennedy, Elizabeth A; Connolly, Jennifer; Hourihane, Jonathan O'B; Fallon, Padraic G; McLean, W H Irwin; Murray, Deirdre; Jo, Jay-Hyun; Segre, Julia A; Kong, Heidi H; Irvine, Alan D

    2017-01-01

    Disease flares of established atopic dermatitis (AD) are generally associated with a low-diversity skin microbiota and Staphylococcus aureus dominance. The temporal transition of the skin microbiome between early infancy and the dysbiosis of established AD is unknown. We randomly selected 50 children from the Cork Babies After SCOPE: Evaluating the Longitudinal Impact Using Neurological and Nutritional Endpoints (BASELINE) longitudinal birth cohort for microbiome sampling at 3 points in the first 6 months of life at 4 skin sites relevant to AD: the antecubital and popliteal fossae, nasal tip, and cheek. We identified 10 infants with AD and compared them with 10 randomly selected control infants with no AD. We performed bacterial 16S ribosomal RNA sequencing and analysis directly from clinical samples. Bacterial community structures and diversity shifted over time, suggesting that age strongly affects the skin microbiome in infants. Unlike established AD, these patients with infantile AD did not have noticeably dysbiotic communities before or with disease and were not colonized by S aureus. In comparing patients and control subjects, infants who had affected skin at month 12 had statistically significant differences in bacterial communities on the antecubital fossa at month 2 compared with infants who were unaffected at month 12. In particular, commensal staphylococci were significantly less abundant in infants affected at month 12, suggesting that this genus might protect against the later development of AD. This study suggests that 12-month-old infants with AD were not colonized with S aureus before having AD. Additional studies are needed to confirm whether colonization with commensal staphylococci modulates skin immunity and attenuates development of AD. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  4. Neal Smith monthly activities reports FY 2005

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These monthly reports detail activities on Neal Smith National Wildlife Refuge in Prairie City, Iowa during the 2005 fiscal year. Included in the document are...

  5. Neal Smith monthly activities reports FY 2003

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These monthly reports detail activities on Neal Smith National Wildlife Refuge in Prairie City, Iowa during the 2003 fiscal year. Included in the document are...

  6. Neal Smith monthly activities reports FY 2002

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These monthly reports detail activities on Neal Smith National Wildlife Refuge in Prairie City, Iowa during the 2002 fiscal year. Included in the document are...

  7. Neal Smith monthly activities reports FY 2001

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These monthly reports detail activities on Neal Smith National Wildlife Refuge in Prairie City, Iowa during the 2001 fiscal year. Included in the document are...

  8. Neal Smith monthly activities reports FY 2007

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These monthly reports detail activities on Neal Smith National Wildlife Refuge in Prairie City, Iowa during the 2007 fiscal year. Included in the document are...

  9. Neal Smith monthly activities reports FY 2009

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These monthly reports detail activities on Neal Smith National Wildlife Refuge in Prairie City, Iowa during the 2009 fiscal year. Included in the document are...

  10. Neal Smith monthly activities reports FY 2008

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These monthly reports detail activities on Neal Smith National Wildlife Refuge in Prairie City, Iowa during the 2008 fiscal year. Included in the document are...

  11. Neal Smith monthly activities reports FY 2006

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These monthly reports detail activities on Neal Smith National Wildlife Refuge in Prairie City, Iowa during the 2006 fiscal year. Included in the document are...

  12. 75 FR 54455 - National Wilderness Month, 2010

    Science.gov (United States)

    2010-09-07

    ... diverse lands, remarkable wildlife, and untamed beauty during National Wilderness Month, we also look back... restore and protect more of our cherished wild spaces. In April of this year, I established the America's...

  13. Neal Smith monthly activities reports FY 2004

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These monthly reports detail activities on Neal Smith National Wildlife Refuge in Prairie City, Iowa during the 2004 fiscal year. Included in the document are...

  14. Neal Smith monthly activities reports FY 2010

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — These monthly reports detail activities on Neal Smith National Wildlife Refuge in Prairie City, Iowa during the 2010 fiscal year. Included in the document are...

  15. Valentine’s Day

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    <正>February 14 is a day for people who have fallen in love.On this day, these men and women give gifts(presents) and cards to each other for Valentine’s Day(情人节). This day has been popular with people in love for a long time.At first,this holiday was called Lupercalia. Then the name of the day was changed to Saint Valentine’s Day.The man named Saint Valentine was killed on February 14,270 AD,because he was a Christian(基督教徒).

  16. Petroleum supply monthly: December 1993

    Energy Technology Data Exchange (ETDEWEB)

    1993-12-01

    Data are presented which describe the supply and disposition of petroleum products in the United States and major U.S. geographic regions. The data series describe production, imports and exports, inter-Petroleum Administration for Defense (PAD) District movements, and inventories by the primary suppliers of petroleum products in the United States. Data are presented in two sections: Summary Statistics, presenting a time series of selected petroleum data on a U.S. level, and Detailed Statistics, presenting statistics for the most current month available as well as year to date.

  17. Fatores interferentes na alimentação de crianças de 17 a 25 meses de uma creche municipal Aspects interfering in the feeding of children from 17 to 25 months of a municipal day-care center

    Directory of Open Access Journals (Sweden)

    Ana Paola Nicolielo

    2009-01-01

    Full Text Available OBJETIVO: verificar fatores interferentes no padrão de alimentação de crianças de 17 a 25 meses. MÉTODOS: dados de avaliações fonoaudiológicas de todas as crianças do berçário (n=14 de uma creche no município de Bauru/SP. Aplicação de questionário aos pais a respeito das condições de saúde geral e desenvolvimento neuromotor, aleitamento natural ou artificial, hábitos orais e problemas respiratórios. Analisou-se a morfofuncionalidade dos constituintes do sistema estomatognático e características clínico-fisiológicas da mastiga��ão e deglutição. A análise estatística foi descritiva. RESULTADOS: constatou-se alteração em diversos aspectos da saúde nas crianças (92,8%; presença de má oclusão (28,6%; alterações morfológicas para lábio (21,4% e língua (21,4%; alterações de tonicidade de bochechas (57,1%, mento (21,4% e lábios (42,8%; respiração oral ou oronasal (42,8%; alterações na mastigação (35,7% e na deglutição de sólido (50% e líquido (42,8%. CONCLUSÃO: para esse grupo, a presença de hábitos orais, assim como as alterações morfológicas e de tonicidade influenciam o padrão de alimentação das crianças analisadas, evidenciando a necessidade de prevenir e detectar precocemente tais fatores para que a alimentação nas crianças ocorra de forma adequada, promovendo assim condições de saúde para um desenvolvimento hígido.PURPOSE: to check interfering aspects in the feeding standard of children from 17 to 25 months. METHODS: data of speech language pathology evaluation related to 14 children that attended a day-care center in the city of Bauru/SP. A questionnaire was applied in order to get information about general health conditions and neuromotor development, natural or artificial feeding, oral habits and breathing problems. The analysis was made under the following aspects: morpho-functionality of the physician-physiological characteristic constituting the stomatognathic system

  18. Petroleum marketing monthly

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-11-01

    The Petroleum Marketing Monthly (PMM) provides information and statistical data on a variety of crude oils and refined petroleum products. The publication presents statistics on crude oil costs and refined petroleum products sales for use by industry, government, private sector analysts, educational institutions, and consumers. Data on crude oil include the domestic first purchase price, the f.o.b. and landed cost of imported crude oil, and the refiners` acquisition cost of crude oil. Refined petroleum product sales data include motor gasoline, distillates, residuals, aviation fuels, kerosene, and propane. The Petroleum Marketing Division, Office of Oil and Gas, Energy Information Administration ensures the accuracy, quality, and confidentiality of the published data.

  19. AAS 227: Day 3

    Science.gov (United States)

    Kohler, Susanna

    2016-01-01

    Editors Note:This week were at the 227th AAS Meeting in Kissimmee, FL. Along with several fellow authors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting at the end of each day. Follow along here or atastrobites.com, or catch ourlive-tweeted updates from the@astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Welcome to Day 3 of the winter American Astronomical Society (AAS) meeting in Kissimmee! Several of us are attending the conference this year, and we will report highlights from each day here on astrobites. If youd like to see more timely updates during the day, we encourage you to follow @astrobites on twitter or search the #aas227 hashtag.Henry Norris Russell Lecture: Viewing the Universe with Infrared Eyes: The Spitzer Space Telescope (by Erika Nesvold)The Henry Norris Russell Award is the highest honor given by the AAS, for a lifetime of eminence in astronomy research. This years award went to Giovanni Fazio of the Harvard-Smithsonian Center for Astrophysics. Fazio became a leader in gamma ray astronomy before switching mid-career to the study of infrared astronomy, and he gave his award lecture on the latter subject, specifically on the Spitzer Space Telescope, one of the most successful infrared telescopes of all time.Artists rendering of the Spitzer space telescope. [NASA/JPL-Caltech]Spitzer has been operating for more than twelve years, and has resulted in over six thousand papers in refereed journals in that time. The telescope sits in an Earth-trailing orbit around the Sun, and is now farther from the Earth (1.4 AU) than the Earth is from the Sun. Fazio gave the audience a fascinating overview of the science done by Spitzer over more than a decade. One of the most productive areas of research for Spitzer is the study of exoplanets, which hadnt even been discovered when the Spitzer Telescope was first conceived. Spitzers high sensitivity and ability to observe exoplanets over

  20. Day Care Centers

    Data.gov (United States)

    Department of Homeland Security — This database contains locations of day care centers for 50 states and Washington D.C. and Puerto Rico. The dataset only includes center based day care locations...

  1. Is day surgery safe?

    DEFF Research Database (Denmark)

    Majholm, Birgitte; Engbæk, J; Bartholdy, Jens

    2012-01-01

    Day surgery is expanding in several countries, and it is important to collect information about quality. The aim of this study was to assess morbidity and unanticipated hospital visits 0-30 days post-operatively in a large cohort.......Day surgery is expanding in several countries, and it is important to collect information about quality. The aim of this study was to assess morbidity and unanticipated hospital visits 0-30 days post-operatively in a large cohort....

  2. Tehnical day: solar energy

    OpenAIRE

    Carli, Barbara

    2012-01-01

    This dissertation presents an example of planning and carrying out a technical activity day in the field of solar energy in primary school grades 7 and 9. Firstly, we briefly present technical activity days, the goals and criteria for the planning of technical days, and the topics and devices connected to the technical day in question and were needed in the execution of the experiments. We have selected four simple experiments in the field of solar energy and prepared the needed worksheets fo...

  3. A Day to Celebrate

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Participating countries at the 2010 World Expo in Shanghai can choose a day as their National Pavilion Day.The day is usually celebrated with ceremonies and performances,which bring the nation’s culture and its character to life.

  4. Valentine’s Day

    Institute of Scientific and Technical Information of China (English)

    顾晓玲

    2009-01-01

    Valentine’s Day, which falls on February 14, is one of the most popular festivals of western society and even the whole world. It is a day for lovers, a day when people present chocolates, cards and candies to their beloved (心爱的人).

  5. Desempenho motor grosso e sua associação com fatores neonatais, familiares e de exposição à creche em crianças até três anos de idade Gross motor performance and its association with neonatal and familial factors and day care exposure among children up to three years old

    Directory of Open Access Journals (Sweden)

    DCC Santos

    2009-04-01

    evaluated 145 children (58 aged 6-11 months, 54 aged 12-23 months and 33 aged 24-38 months attending six public day care centers in Piracicaba, State of São Paulo. The Peabody Developmental Motor Scale-2 test was used to assess overall gross motor performance and the motor subtests that make up the scale (reflexes, stationary skills, locomotion skills and object manipulation. Neonatal, familial and daycare center exposure data were also collected and their association with suspected delays in gross motor performance was investigated. RESULTS:The prevalence of suspected delays in gross motor performance was 17%, with disadvantages among children under 24 months of age and with regard to locomotion skills. There were associations of risk between suspected delays in gross motor performance and family income, and between suspected delays in locomotion skills and parental educational level. Children whose families had a monthly income of up to 700 reais were 2.81 times more likely to present delays in gross motor performance. Children whose parents had up to eight years of education were 4.63 times more likely to present delays in locomotion skills. There was no association of risk with the other variables. CONCLUSION: The results indicate the need for greater attention to motor development during the first 24 months of children who attend day care centers, especially those with low-income and less-educated parents.

  6. [Use of soft contact lenses in the Riley-Day syndrome in a small child].

    Science.gov (United States)

    Hańczyc, P; Koziorowska, M; Zajac-Pytrus, H; Misiuk-Hojło, M

    1995-01-01

    We present the observation of a boy treated in our Ophthalmological Department in Wrocław from the age of 6 months up to 6 years for the serious keratitis with ulceration. We diagnosed Riley-Day syndrome with regard to many associated pathological features. The efficacy of the local treatment improved after application of soft contact lenses.

  7. Designing and evaluating a health education session on respiratory infections addressed to caregivers of children under three years of age attending day-care centres in Porto, Portugal: A community-based intervention.

    Science.gov (United States)

    Alexandrino, Ana Manuela Ferreira da Silva; Santos, Rita Isabel Garrido Vieira Dos; Melo, Maria Cristina Damas Argel de; Bastos, José Adelino Mesquita

    2017-12-01

    Acute respiratory infections (ARI) are common in children, increasing the pressure on clinicians to prescribe antibiotics and affecting public health Objectives: This study aimed to design a health education session (HES) for caregivers of children, and to evaluate its effects on caregivers' needs, as well as on their knowledge and attitudes concerning ARI. A generalized model of developing, implementing and evaluating a community-based intervention was followed, including caregivers of children under three years of age. Caregivers were randomly distributed into an intervention group (IG) (n = 41) and a control group (CG) (n = 51) and the HES was administered to the IG. The caregivers' needs as well as knowledge of and attitudes to ARI were evaluated in both groups, before (M0) and two months after the HES (M1). At M0 the caregivers from both groups had 'some or great need' about all HES domains; at M1 the caregivers in the IG expressed 'no or low need', whereas the CG maintained 'some or great need' about all HES domains (0.011 ≤ P ≤ .047). Concerning caregivers' knowledge of and attitudes to ARI, at M1 there was a higher frequency of caregivers with right answers in the IG than in the CG (IG =7.5 ± 1 versus CG =6.0 ± 2; P = .000). Those differences occurred in domain (e) nasal clearance techniques, revealing a higher percentage of caregivers who used correctly nasal irrigation (P = .000), nasal aspirators (0.000 ≤P ≤ .001) and nebulization (P = .000) in IG. The HES met the caregivers' needs regarding ARI and increased their knowledge and attitudes towards ARI, especially regarding nasal clearance techniques.

  8. Commissioners' Monthly Case Activity Report

    Data.gov (United States)

    Occupational Safety and Health Review Commission — Total cases pending at the beginning of the month, total cases added to the docket during the month, total cases disposed of during the month, and total cases...

  9. CERN Diabetes Awareness Days

    CERN Multimedia

    2005-01-01

    Do you have diabetes without knowing it? Following last year's successful campaign, the CERN Infirmary has organised two further diabetes prevention and screening days on 10th & 11th October 2005 from 9am to 4pm (INFIRMARY, Bldg 57, ground floor) open to everyone working on the CERN site who was unable to participate in 2004. Testing of blood pressure, cholesterol and sugar levels, Body Mass Index, etc. Information - documentation - personal and individual advice. Presence of a dietician from 2 p.m. to 4 p.m. In cooperation with the NOVAE, DSR & AVENANCE restaurants Diabetes is reaching epidemic proportions in many countries and, if not diagnosed sufficiently early, can be a major cause of blindness and of heart and kidney disease, etc. Prevention is possible through screening and life-style changes such as improved dietary habits and regular physical exercise. Diabetes is not a serious condition in itself if it is diagnosed and treated early enough but it can have very serious consequences...

  10. CERN diabetes awareness days

    CERN Multimedia

    2005-01-01

    Do you have diabetes without knowing it? Following last year's successful campaign, the CERN Infirmary has organised two further diabetes prevention and screening days on 10th & 11th October 2005 from 9am to 4pm (INFIRMARY, Bldg 57, ground floor) open to everyone working on the CERN site who was unable to participate in 2004. Testing of blood pressure, cholesterol and sugar levels, Body Mass Index, etc. Information - documentation - personal and individual advice. Presence of a dietician from 2 p.m. to 4 p.m. In cooperation with the NOVAE, DSR & AVENANCE restaurants. Diabetes is reaching epidemic proportions in many countries and, if not diagnosed sufficiently early, can be a major cause of blindness, heart and kidney disease, etc. Prevention is possible through screening and life-style changes such as improved dietary habits and regular physical exercise. Diabetes is not a serious condition in itself if diagnosed and treated early enough but it can have very serious consequences if und...

  11. Two days of films

    CERN Document Server

    2011-01-01

    The Chinese community at CERN and the CERN CineClub, on the occasion of the Chinese New Year, invite everyone to two days of films Thursday 3 February 2011 at 20:30 - CERN Council Chamber Eat drink man woman Directed by Ang LEE (Taiwan, 1994) 122 min. With Sihung Lung, Yu-Wen Wang, Chien-Lien Wu, Kuei-Mei Yang Senior Master Chef Chu lives in a large house in Taipei with his three unmarried daughters, Jia-Jen, a chemistry teacher converted to Christianity, Jia-Chien, an airline executive, and Jia-Ning, a student who also works in a fast food restaurant. Life in the house revolves around the ritual of an elaborate dinner each Sunday, and the love lives of all the family members. Original version Mandarin with English subtitles Friday 4 February 2011 at 19:30 - CERN Council Chamber Adieu, ma concubine Directed by Chen KAIGE (China / Hong Kong, 1993) 171 min. With Leslie Cheung, Fengyi Zhang, Li Gong "Farewell, My Concubine" is a movie with two parallel, intertwined stories. It is the story of two performers in t...

  12. Deepening the Meaning of Heritage Months.

    Science.gov (United States)

    Menkart, Deborah J.

    1999-01-01

    Heritage month programs may actually reinforce stereotypes. When planning heritage events, schools should develop learning objectives; address values, history, and current power relationships shaping cultures; employ food and dance in context; include all Americas; portray present-day Native Americans; and examine overall school curriculum and…

  13. Benchmarking monthly homogenization algorithms

    Directory of Open Access Journals (Sweden)

    V. K. C. Venema

    2011-08-01

    Full Text Available The COST (European Cooperation in Science and Technology Action ES0601: Advances in homogenization methods of climate series: an integrated approach (HOME has executed a blind intercomparison and validation study for monthly homogenization algorithms. Time series of monthly temperature and precipitation were evaluated because of their importance for climate studies and because they represent two important types of statistics (additive and multiplicative. The algorithms were validated against a realistic benchmark dataset. The benchmark contains real inhomogeneous data as well as simulated data with inserted inhomogeneities. Random break-type inhomogeneities were added to the simulated datasets modeled as a Poisson process with normally distributed breakpoint sizes. To approximate real world conditions, breaks were introduced that occur simultaneously in multiple station series within a simulated network of station data. The simulated time series also contained outliers, missing data periods and local station trends. Further, a stochastic nonlinear global (network-wide trend was added.

    Participants provided 25 separate homogenized contributions as part of the blind study as well as 22 additional solutions submitted after the details of the imposed inhomogeneities were revealed. These homogenized datasets were assessed by a number of performance metrics including (i the centered root mean square error relative to the true homogeneous value at various averaging scales, (ii the error in linear trend estimates and (iii traditional contingency skill scores. The metrics were computed both using the individual station series as well as the network average regional series. The performance of the contributions depends significantly on the error metric considered. Contingency scores by themselves are not very informative. Although relative homogenization algorithms typically improve the homogeneity of temperature data, only the best ones improve

  14. Festivals of the Darkest Days.

    Science.gov (United States)

    Cacha, Frances B.

    1980-01-01

    Presents historical background on various winter festivals around the world including Saturnalia, Christmas, winter solstice, Yule festivals, Hannukah, Divali, and New Year's Day. Suggests how teachers can help elementary school students understand their own culture by studying these and other festivals using maps, mobiles, discussion, and reading…

  15. Comparative study of 5-day cefcapene-pivoxil and 10-day amoxicillin or cefcapene-pivoxil for treatment of group A streptococcal pharyngitis in children.

    Science.gov (United States)

    Sakata, Hiroshi

    2008-06-01

    In order to compare the bacteriological and clinical efficacy and safety of cefcapene-pivoxil (CFPN-PI) for 5 days, CFPN-PI for 10 days, and amoxicillin (AMPC) for 10 days for the treatment of pharyngitis due to group A beta-hemolytic streptococcus (GAS) in children, a prospective multicenter randomized open-label comparative study was performed with 12 pediatric clinics in Asahikawa between June 2006 and February 2007. Two hundred and fifty children (age range 6 months to 12 years) with signs and symptoms of acute pharyngitis were enrolled. All had a positive throat culture for GAS and were fully evaluable. Eighty-two patients received CFPN-PI 9-10 mg/kg/day three times a day for 5 days, 88 received CFPN-PI three times a day for 10 days, and 80 received AMPC three times a day for 10 days. The CFPN-PI for 5 days regimen, the CFPN-PI for 10 days regimen, and the AMPC for 10 days regimen produced bacteriological eradication at the end of treatment in 93.8%, 96.2%, and 91.7% of the patients, respectively. The clinical cure rate observed at the end of therapy was 100% of the patients in the three groups. Relapse rates were 1.3% in CFPN-PI for 5 days, 4.0% in CFPN-PI for 10 days, and 2.9% in AMPC for 10 days. There were no significant differences in eradication rate, clinical cure rate, and relapse rate between the three treatment groups. The only adverse effects were infrequent diarrhea in all three groups, and a rash which occurred in 6 patients (8.0%) of the AMPC treatment group. Five days of treatment with CFPN-PI was as efficacious in bacteriological eradication and clinical response as 10 days of CFPN-PI or AMPC treatment.

  16. The Effects of Non-Maternal Care in the First Twelve Months of Life on Children in the First Year of School: Preliminary Findings from a Two Stage Study (The Australian Early Childhood Study).

    Science.gov (United States)

    Ochiltree, Gay; Edgar, Don

    This paper, which presents preliminary analysis of data from stage one of the Australian Early Childhood study, examined the effects of nonmaternal care in the first year of life on children in their first year of school. The author tested the hypothesis, proposed by John Bowlby and others, that long periods of nonmaternal care in the first 12…

  17. Can a general health surveillance between birth and 10 months identify children with mental disorder at 1(1/2) year? A case-control study nested in cohort CCC 2000

    DEFF Research Database (Denmark)

    Skovgaard, Anne Mette; Houmann, Tine; Christiansen, Eva Storgaard;

    2008-01-01

    Mental health surveillance in infancy was studied in an existing child health surveillance programme with child psychiatric disorder at 1(1/2) year as the outcome.......Mental health surveillance in infancy was studied in an existing child health surveillance programme with child psychiatric disorder at 1(1/2) year as the outcome....

  18. The Effects of Non-Maternal Care in the First Twelve Months of Life on Children in the First Year of School: Preliminary Findings from a Two Stage Study (The Australian Early Childhood Study).

    Science.gov (United States)

    Ochiltree, Gay; Edgar, Don

    This paper, which presents preliminary analysis of data from stage one of the Australian Early Childhood study, examined the effects of nonmaternal care in the first year of life on children in their first year of school. The author tested the hypothesis, proposed by John Bowlby and others, that long periods of nonmaternal care in the first 12…

  19. General Rushes Open Days Day II

    CERN Multimedia

    2013-01-01

    General Footage during the Open Days 2013 (Day 2 -29/09/2013) Images: Antoine Nouel, Clément Sbaffe, Victor Prunier, David Guerazzi, Basile Manent, Réemi Richarme, Noemi Caraban 00:00:00 00:08:56 Interviews 00:08:56 00:20:47 ALICE 00:20:47 00:26:52 ATLAS 00:26:52 00:28:07 Workshops 00:28:07 00:33:13 Crystal Lab 00:33:13 00:44:19 Superconductivity 00:44:19 01:04:42 Cryogenics 01:04:42 01:12:39 Transports 01:12:39 01:16:30 LEIR 01:16:30 01:18:28 LMF 01:18:28 01:19:50 Vacuum 01:19:50 01:36:39 Superconducting magnets (F1) 01:36:39 01:46:06 The idea filled world of vacuum (F2) 01:46:06 01:49:55 CCC 01:49:55 01:52:41 Safety Training Center 01:52:41 01:55:00 COMPASS 01:55:00 02:09:19 Robotics 02:09:19 02:18:36 LHC Point 6 (with DG) 02:18:36 02:25:16 LHC Point 4 02:25:16 02:29:29 LHCb 02:29:29 02:33:12 Control Center 02:33:12 02:39:57 Streets

  20. Changing circadian variation of transient myocardial ischemia during the first year after a first acute myocardial infarction

    DEFF Research Database (Denmark)

    Mickley, H; Pless, P; Nielsen, J R;

    1992-01-01

    In a consecutive series of 123 men (aged 55 +/- 8 years) with a recent first acute myocardial infarction (AMI), 24-hour ambulatory ST-segment monitoring was performed early after discharge (day 11 +/- 5), 6 months (day 185 +/- 6) and 1 year (day 368 +/- 8) after AMI. No difference in the prevalen...

  1. Antarctica Day: An International Celebration

    Science.gov (United States)

    Pope, A.; Hambrook Berkman, J.; Berkman, P. A.

    2013-12-01

    For more than half a century, the 1959 Antarctic Treaty continues to shine as a rare beacon of international cooperation. To celebrate this milestone of peace in our civilization with hope and inspiration for future generations, Antarctica Day is celebrated each year on December 1st , the anniversary of the Antarctic Treaty signing. As an annual event - initiated by the Foundation for the Good Governance of International Spaces (www.internationalspaces.org/) in collaboration with the Association of Polar Early Carer Scientists (www.apecs.is) - Antarctica Day encourages participation from around the world. The Antarctic Treaty set aside 10% of the earth, 'forever to be used exclusively for peaceful purposes in the interest of mankind.' It was the first nuclear arms agreement and the first institution to govern all human activities in an international region beyond sovereign jurisdictions. In this spirit, Antarctica Day aims to: - Demonstrate how diverse nations can work together peacefully, using science as a global language of cooperation for decision making beyond national boundaries, - Provide strategies for students learning about Antarctica through art, science and history at all school levels, - Increase collaboration and communication between classrooms, communities, researchers and government officials around the world, and - Provide a focus for polar educators to build on each year. Through close collaboration with a number of partners. Antarctica Day activities have included: a Polar Film Festival convened by The Explorers Club; live sessions connecting classrooms with scientists in Antarctica thanks to PolarTREC and ARCUS; an international activity that involved children from 13 countries who created over 600 flags which exemplify Antarctica Day (these were actually flown in Antarctica with signed certificates then returned to the classes); a map where Antarctica Day participants all over the world could share what they were doing; an Antarctic bird count

  2. Dynasty by the astronomical method--analyzing the month's law in the yin dynasty

    Science.gov (United States)

    Li, Y.

    2001-05-01

    Using the results of the laws of the calendars being of the moonÆs age characteristic, this paper tries a new astronomical method to compute and set up the time series of the oracle bones scriptures in the late Shang dynasty. As an example in this period, the accurate dates of the thirteen bones are studied in detail. By analyzing the structure of the monthÆs law in the Yin dynasty, two kinds of the Ganzhi (the heavenly stems and earthly branches, the Chinese ancient date recorded method being of the 60-day cycle) at the beginning of the months are gotten and the dates of some of them can be reckoned then. About the monthÆs law of this calendar, it is induced that 1) the month begins at the third day after the new moon; 2) the length is the synodical month; 3) the first lunar month within one year is stable, which just after the Winter SolsticeÆs; 4) there are two kind of the intercalary methods (at the middle or end of the year).

  3. 76 FR 56943 - Patriot Day and National Day of Service and Remembrance, 2011

    Science.gov (United States)

    2011-09-14

    ... values that define us do not simply endure--they are stronger than ever. As a Nation, we responded to... in the days and months that followed. By volunteering our time and unique skills, we can...

  4. Petroleum supply monthly

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-10-01

    The Petroleum Supply Monthly (PSM) is one of a family of four publications produced by the Petroleum Supply Division within the Energy Information Administration (EIA) reflecting different levels of data timeliness and completeness. The other publications are the Weekly Petroleum Status Report (WPSR), the Winter Fuels Report, and the Petroleum Supply Annual (PSA). Data presented in the PSM describe the supply and disposition of petroleum products in the United States and major US geographic regions. The data series describe production, imports and exports, inter-Petroleum Administration for Defense (PAD) District movements, and inventories by the primary suppliers of petroleum products in the United States (50 States and the District of Columbia). The reporting universe includes those petroleum sectors in primary supply. Included are: petroleum refiners, motor gasoline blends, operators of natural gas processing plants and fractionators, inter-PAD transporters, importers, and major inventory holders of petroleum products and crude oil. When aggregated, the data reported by these sectors approximately represent the consumption of petroleum products in the United States.

  5. Petroleum Supply Monthly

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-02-01

    The Petroleum Supply Monthly (PSM) is one of a family of four publications produced by the Petroleum Supply Division within the Energy Information Administration (EIA) reflecting different levels of data timeliness and completeness. The other publications are the Weekly Petroleum Status Report (WPSR), the Winter Fuels Report, and the Petroleum Supply Annual (PSA). Data presented in the PSM describe the supply and disposition of petroleum products in the United States and major U.S. geographic regions. The data series describe production, imports and exports, inter-Petroleum Administration for Defense (PAD) District movements, and inventories by the primary suppliers of petroleum products in the United States (50 States and the District of Columbia). The reporting universe includes those petroleum sectors in primary supply. Included are: petroleum refiners, motor gasoline blenders, operators of natural gas processing plants and fractionators, inter-PAD transporters, importers, and major inventory holders of petroleum products and crude oil. When aggregated, the data reported by these sectors approximately represent the consumption of petroleum products in the United States. Data presented in the PSM are divided into two sections: Summary Statistics and Detailed Statistics.

  6. COSMIC monthly progress report

    Science.gov (United States)

    1994-01-01

    Activities of the Computer Software Management and Information Center (COSMIC) are summarized for the month of May 1994. Tables showing the current inventory of programs available from COSMIC are presented and program processing and evaluation activities are summarized. Nine articles were prepared for publication in the NASA Tech Brief Journal. These articles (included in this report) describe the following software items: (1) WFI - Windowing System for Test and Simulation; (2) HZETRN - A Free Space Radiation Transport and Shielding Program; (3) COMGEN-BEM - Composite Model Generation-Boundary Element Method; (4) IDDS - Interactive Data Display System; (5) CET93/PC - Chemical Equilibrium with Transport Properties, 1993; (6) SDVIC - Sub-pixel Digital Video Image Correlation; (7) TRASYS - Thermal Radiation Analyzer System (HP9000 Series 700/800 Version without NASADIG); (8) NASADIG - NASA Device Independent Graphics Library, Version 6.0 (VAX VMS Version); and (9) NASADIG - NASA Device Independent Graphics Library, Version 6.0 (UNIX Version). Activities in the areas of marketing, customer service, benefits identification, maintenance and support, and dissemination are also described along with a budget summary.

  7. Complete and Voluntary Starvation of 50 days.

    Science.gov (United States)

    Elliott, Bradley; Mina, Michelle; Ferrier, Chrystalla

    2016-01-01

    A 34-year-old obese male (96.8 kg; BMI, 30.2 kg m(-1)) volitionally undertook a 50-day fast with the stated goal of losing body mass. During this time, only tea, coffee, water, and a daily multivitamin were consumed. Severe and linear loss of body mass is recorded during these 50 days (final 75.4 kg; BMI, 23.5 kg m(-1)). A surprising resilience to effects of fasting on activity levels and physical function is noted. Plasma samples are suggestive of early impairment of liver function, and perturbations to cardiovascular dynamics are also noted. One month following resumption of feeding behavior, body weight was maintained (75.0 kg; BMI, 23.4 kg m(-1)). Evidence-based decision-making with the fasting or hunger striking patient is limited by a lack of evidence. This case report suggests that total body mass, not mass lost, may be a key observation in clinical decision-making during fasting and starvation.

  8. Britain's delegation to CERN, the European Centre for Nuclear Research near Geneva, voted in favour of a project which take seven years to build, involve a 27 kilometre long tunnel, and cost 230 million pounds. Now LEP receives the go-ahead later this month

    CERN Multimedia

    Llewellyn Smith, Christopher Hubert

    1981-01-01

    Britain's delegation to CERN, the European Centre for Nuclear Research near Geneva, voted in favour of a project which take seven years to build, involve a 27 kilometre long tunnel, and cost 230 million pounds. Now LEP receives the go-ahead later this month

  9. AAS 227: Day 2

    Science.gov (United States)

    Kohler, Susanna

    2016-01-01

    Editors Note:This week were at the 227th AAS Meeting in Kissimmee, FL. Along with several fellow authors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting at the end of each day. Follow along here or atastrobites.com, or catch ourlive-tweeted updates from the@astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Welcome to Day 2 of the winter American Astronomical Society (AAS) meeting in Kissimmee! Several of us are attending the conference this year, and we will report highlights from each day here on astrobites. If youd like to see more timely updates during the day, we encourage you to follow @astrobites on twitter or search the #aas227 hashtag.Plenary Session: Black Hole Physics with the Event Horizon Telescope (by Susanna Kohler)If anyone needed motivation to wake up early this morning, they got it in the form of Feryal Ozel (University of Arizona) enthralling us all with exciting pictures, videos, and words about black holes and the Event Horizon Telescope. Ozel spoke to a packed room (at 8:30am!) about where the project currently stands, and where its heading in the future.The EHT has pretty much the coolest goal ever: actually image the event horizons of black holes in our universe. The problem is that the largest black hole we can look at (Sgr A*, in the center of our galaxy) has an event horizon size of 50 as. For this kind of resolution roughly equivalent to trying to image a DVD on the Moon! wed need an Earth-sized telescope. EHT has solved this problem by linking telescopes around the world, creating one giant, mm-wavelength effective telescope with a baseline the size of Earth.Besides producing awesome images, the EHT will be able to test properties of black-hole spacetime, the no-hair theorem, and general relativity (GR) in new regimes.Ozel walked us through some of the theory prep work we need to do now in order to get the most science out of the EHT, including devising new

  10. General Rushes Open Days Day I

    CERN Multimedia

    2013-01-01

    General Footage during Open Days 2013 (Day 1 -28/09/2013) Images: Cameramen: Antoine Nouel, Clément Sbaffe, Victor Prunier, David Guerazzi, Basile Manent, Réemi Richarme, Noemi Caraban 00:00:00 00:03:40 Interviews 00:03:40 00:06:54 Beam Instrumentation 00:06:54 00:07:16 Globe 00:07:16 00:10:28 Microcosme 00:10:28 00:12:59 Lectures 00:12:59 00:27:52 Fun with physics 00:27:52 00:28:19 International Village 00:28:19 00:34:18 Fun Zone 00:34:18 00:47:50 ATLAS Surface 00:47:50 00:56:57 ATLAS underground 00:56:57 00:58:53 Detector technologies 00:58:53 01:04:39 CLIC 01:04:39 01:05:56 CMS surface 01:05:56 01:09:32 LINAC 2-3 01:09:32 01:15:29 LINAC 4 01:15:29 01:20:41 Computer Center 01:20:41 01:25:53 Clubs 01:25:53 01:31:49 Beam Instrumentation 01:31:49 01:35:27 Music Festival 01:35:27 01:37:31 SPS 01:37:31 01:46:13 CCC 01:46:13 01:48:24 Safety Trainig Center 01:48:24 01:52:38 COMPASS 01:52:38 01:56:09 EHN1 01:56:09 02:01:42 AMS 02:01:42 02:10:52 Robotics 02:10:52 02:22:48 LHC Point 4 02:22:48 02:23:48 Control Cent...

  11. Valentine's Day

    Institute of Scientific and Technical Information of China (English)

    顾晓玲

    2009-01-01

    Valentine’s Day,which falls on February14,is one of the most popular festivals of western society and even the whole world.It is a day for lovers,a day when people present chocolates,cards and can-dies to their beloved(心爱的人).

  12. Science Challenge Day

    Science.gov (United States)

    Siegel, Deborah

    2013-01-01

    Science fairs can be good motivators, but as extracurricular activities, they leave some students behind. However, by staging a Science Challenge Day at school, educators can involve all students in doing everything from choosing activities to judging projects. This article presents a model for running a successful Science Challenge Day. The…

  13. NO TOBACCO DAY

    CERN Multimedia

    Medical Service

    2002-01-01

    The CERN Medical Service is joining in with the world no tobacco day, which takes place on 31 May 2002. We encourage you to take this opportunity to stop smoking for good. Nurses and Doctors will be present on that day to give out information on methods to stop smoking and to assist you in your efforts.

  14. A Perfect Day

    Institute of Scientific and Technical Information of China (English)

    DOREMICHELUT

    2004-01-01

    THERE are days where not a thing goes wrong. There's not a glitch. Everything you expect happens, and then more comes along, not because you ask, but because it just does. It's the way life is supposed to be when life is perfect. Memory is what names that day perfect and analyzes it in order to create another, just like it.

  15. What difference does a day make? Examining temporal variations in partner maltreatment.

    Science.gov (United States)

    McCarthy, Randy J; Rabenhorst, Mandy M; Milner, Joel S; Travis, Wendy J; Collins, Pamela S

    2014-06-01

    Routine activities (RA) theory posits that changes in people's typical daily activities covary with increases or decreases in criminal behaviors, including, but not limited to, partner maltreatment. Using a large clinical database, we examined temporal variations among 24,460 incidents of confirmed partner maltreatment across an 11-year period within the U.S. Air Force (USAF). Specifically, we created regression models that predicted the number of partner maltreatment incidents per day. In addition to several control variables, we coded temporal variables for days of the week, month, year, and several significant days (e.g., holidays, Super Bowl Sunday), which allowed us to examine the independent influence of these variables on partner maltreatment prevalence. While accounting for the influence of all other study variables, we observed significant increases in partner maltreatment for weekend days, New Year's Day, Independence Day, and Super Bowl Sunday. Similar results were found for partner maltreatment incidents involving offender alcohol/drug use. Furthermore, the proportion of incidents involving offender alcohol/drug use increased on New Year's Day and Independence Day. Consistent with RA theory and data from civilian samples, the current results indicate that certain days are associated with increased incidents of partner maltreatment within the USAF. These findings should be used to inform future preventive efforts.

  16. Natural gas monthly, February 1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-02-01

    This issue of the Natural Gas Monthly (NGM) presents the most recent estimates of natural gas data from the Energy Information Administration. Estimates extend through February 1998 for many data series, and through November 1997 for most natural gas prices. Highlights of the natural gas data contained in this issue are: Preliminary estimates for January and February 1998 show that dry natural gas production, net imports, and consumption are all within 1 percent of their levels in 1997. Warmer-than-normal weather in recent months has resulted in lower consumption of natural gas by the residential sector and lower net withdrawals of gas from under round storage facilities compared with a year ago. This has resulted in an estimate of the amount of working gas in storage at the end of February 1998 that is 18 percent higher than in February 1997. The national average natural gas wellhead price is estimated to be $3.05 per thousand cubic feet in November 1997, 7 percent higher than in October. The cumulative average wellhead price for January through November 1997 is estimated to be $2.42 per thousand cubic feet, 17 percent above that of the same period in 1996. This price increase is far less than 36-percent rise that occurred between 1995 and 1996. 6 figs., 26 tabs.

  17. 20 CFR 226.63 - Determining monthly compensation.

    Science.gov (United States)

    2010-04-01

    ... 20 Employees' Benefits 1 2010-04-01 2010-04-01 false Determining monthly compensation. 226.63... COMPUTING EMPLOYEE, SPOUSE, AND DIVORCED SPOUSE ANNUITIES Years of Service and Average Monthly Compensation § 226.63 Determining monthly compensation. (a) Based on yearly compensation. If Board records do...

  18. Registration Day-Camp 2016

    CERN Multimedia

    Nursery School

    2016-01-01

    Reminder Registration for the CERN Staff Association Day-camp are open for children from 4 to 6 years old More information on the website: http://nurseryschool.web.cern.ch/. The day-camp is open to all children. An inscription per week is proposed, cost 480.-CHF/week, lunch included The camp will be open weeks 27, 28, 29 and 30, from 8:30 am to 5:30 pm. For further questions, thanks you for contacting us by email at Summer.Camp@cern.ch.

  19. 75 FR 68166 - National Adoption Month, 2010

    Science.gov (United States)

    2010-11-04

    ... small. National Adoption Day is a day of hope and happiness when courthouses finalize the adoptions of children out of foster care. Last year, Health and Human Services Secretary Kathleen Sebelius was honored... Health and Human Services, offers technical support to States, territories, and tribes to recruit...

  20. A matter of months

    DEFF Research Database (Denmark)

    Frei, Karin Margarita; Villa, Chiara; Jorkov, Marie Louise

    2017-01-01

    -resolution strontium isotope analyses of hard and soft human tissues and combined these with anthropological investigations including CT-scanning and 3D visualizations. The Skrydstrup Woman lived during a pan-European period characterized by technical innovation and great social transformations stimulated by long......-distance connections; consequently she represents an important part of both Danish and European prehistory. Our multidisciplinary study involves complementary biochemical, biomolecular and microscopy analyses of her scalp hair. Our results reveal that the Skrydstrup Woman was between 17-18 years old when she died...

  1. 78 FR 64385 - United Nations Day, 2013

    Science.gov (United States)

    2013-10-28

    ... October 28, 2013 Part V The President Proclamation 9045--United Nations Day, 2013 #0; #0; #0; Presidential... Documents#0;#0; #0; #0;Title 3-- #0;The President ] Proclamation 9045 of October 23, 2013 United Nations Day..., 68 years after the adoption of the United Nations Charter, we mark United Nations Day by...

  2. 75 FR 63033 - Leif Erikson Day, 2010

    Science.gov (United States)

    2010-10-13

    ... Proclamation 8581--Leif Erikson Day, 2010 Proclamation 8582--General Pulaski Memorial Day, 2010 #0; #0; #0... Erikson Day, 2010 By the President of the United States of America A Proclamation Over 1,000 years ago, the lure of discovery led Leif Erikson--a son of Iceland and grandson of Norway--and his crew on...

  3. Verification of the Calendar Days of the Joseon Dynasty

    Science.gov (United States)

    Lee, Ki-Won; Ahn, Young Sook; Mihn, Byeong-Hee

    2012-08-01

    Astronomical data making such as forming a calendar, period of day, determining the time of rising/setting of the sun and the onset of twilight are essential in our daily lives. Knowing the calendar day of the past is particularly crucial for studying the history of a clan or a nation. To verify previous studies in the calendar day of the Joseon dynasty (1392 -- 1910), we investigate the sexagenary cycle of the new moon day (i.e., the first day in a lunar month) by using sources such as results of the calculations using the Datong calendar (a Chinese Calendar of the Ming Dynasty) and the data of Baekjungryeok (a Perpetual Calendar; literally, a one hundred-year almanac). Compared with the study of Ahn et al., we find that as many as 17 sexagenary cycles show discrepancies. In the cases of nine discrepancies, we find that the sexagenary cycles of this study are identical to those of the almanacs at that time. In addition, we study five sexagenary cycles by using the historical accounts of Joseon Wangjo Sillok (Annals of the Joseon Dynasty), Seungjeongwon Ilgi (Daily Reports of Royal Secretariat), Chungung Ilgi (Logs of Crown Prince), and so forth. For the remaining discrepancies, we present historical literature supporting the results of this study. This study will greatly contribute to the identification of the lunisolar calendar days during the Joseon dynasty as the dates of the modern (i.e., Gregorian) calendar.

  4. That Rainy Day

    Institute of Scientific and Technical Information of China (English)

    吴洪

    2000-01-01

    Many things have happened since I began to remember things. Pleasant or sad, they've left some impressions on my mind. Some are fading from my memory while others are and will be remembered for ever as if they had happened yesterday, and the scene on that rainy day is just one of such memories. It was on July 7th, 1990, the first day of the 3-day college entrance examination. I got up early that morning, feeling so excited and nervous that I lost all my appetite. What's worse, it began raining, adding vexat...

  5. Efficacy and Safety of a Lidocaine Gel in Patients from 6 Months up to 8 Years with Acute Painful Sites in the Oral Cavity: A Randomized, Placebo-Controlled, Double-Blind, Comparative Study

    Directory of Open Access Journals (Sweden)

    Dörte Wolf

    2015-01-01

    Full Text Available Lidocaine is a well-accepted topical anaesthetic, also used in minors to treat painful conditions on mucosal membranes. This randomized, double-blind, placebo-controlled study (registered prospectively as EudraCT number 2011-005336-25 was designed to generate efficacy and safety data for a lidocaine gel (2% in younger children with painful conditions in the oral cavity. One hundred sixty-one children were included in two subgroups: 4–8 years, average age 6.4 years, treated with verum or placebo and 6 months–<4 years, average age 1.8 years, treated only with verum. Pain reduction was measured from the time prior to administration to 10 or 30 minutes after. In addition, adverse events and local tolerability were evaluated. In group I, pain was reduced significantly after treatment with verum compared to placebo at both time points. In group II, the individual pain rating shift showed statistically significant lower pain after treatment. Only seven out of 161 patients reported an adverse event but none were classified as being related to the study medication. The local tolerability was assessed as very good in over 97% of cases. For painful sites in the oral cavity, a 2% lidocaine gel is a meaningful tool for short-term treatment in the paediatric population.

  6. Sixteen years of X-ray monitoring of Sagittarius A*: Evidence for a decay of the faint flaring rate from 2013 August, 13 months before a rise in the bright flaring rate

    Science.gov (United States)

    Mossoux, Enmanuelle; Grosso, Nicolas

    2017-08-01

    rate from 1999 to 2015 and a rise in the flaring rate by a factor of three for the most luminous and most energetic flares from 2014 August 31, i.e., about four months after the pericenter passage of the Dusty S-cluster Object (DSO)/G2 close to Sgr A*. In addition, we identify a decay of the flaring rate for the less luminous and less energetic flares from 2013 August and November, respectively, i.e., about 10 and 7 months before the pericenter passage of the DSO/G2 and 13 and 10 months before the rise in the bright flaring rate. Conclusions: The decay of the faint flaring rate is difficult to explain in terms of the tidal disruption of a dusty cloud since it occurred well before the pericenter passage of the DSO/G2, whose stellar nature is now well established. Moreover, a mass transfer from the DSO/G2 to Sgr A* is not required to produce the rise in the bright flaring rate since the energy saved by the decay of the number of faint flares during a long period of time may be later released by several bright flares during a shorter period of time.

  7. Days of Rock

    Institute of Scientific and Technical Information of China (English)

    YUAN

    2004-01-01

    FROM last October 1 st to 3rd, at the foot of Fragrant Hill, a suburban Beijing resort famous for its flaming maple leaves in autumn, more than 20,000 rock fans indulged themselves in music for three days.

  8. Adult Day Services

    Science.gov (United States)

    ... the National Adult Day Services Association. 2. U.S. Health Care Costs: Background Brief , The Henry J. Kaiser Family Foundation (2008) (www.kaiseredu.org); excerpt from Nursing Homes and Assisted Living Industry Profile , First Research ( ...

  9. Three Years Measuring Sediment Erosion and Deposition from the Largest Dam Removal Ever at Weekly-­to-­Monthly Scales Using SfM: Elwha River, Washington, USA.

    Science.gov (United States)

    Ritchie, A.; Randle, T. J.; Bountry, J.; Warrick, J. A.

    2015-12-01

    The stepwise removal of two dams on the Elwha River beginning in September 2011 exposed ~21 million cubic meters of sediment to fluvial erosion and created an unprecedented opportunity to monitor reservoir sediment erosion and river evolution during base level adjustment and a pulsed sediment release. We have conducted more than 60 aerial surveys with a Cessna 172 using a simple custom wing-mount for consumer grade cameras and SfM photogrammetry to produce orthoimagery and digital elevation models in near-real-time at weekly to monthly time intervals. Multiple lidar flights and ground survey campaigns have provided estimates of both systematic and random error for this uniquely dense dataset. Co-registration of multiple surveys during processing reduces systematic error and allows boot-strapping of subsequently established ground control to earlier flights. Measurements chronicle the erosion of 12 million cubic meters of reservoir sediment and record corresponding changes in channel braiding, wood loading and bank erosion. These data capture reservoir and river channel responses to dam removal at resolutions comparable to hydrologic forcing events, allowing us to quantify reservoir sediment budgets on a per-storm basis. This allows for the analysis of sediment transported relative to rates of reservoir drawdown and river stream power for dozens of intervals of time. Temporal decoupling of peak sediment flux and bank erosion rates is noted from these analyses. This dataset illustrates some of the challenges and opportunities emerging with the advent of big data in remote sensing of earth surface processes.

  10. Open Day: General Information

    CERN Multimedia

    2004-01-01

    http://www.cern.ch/cern50/ With 50 visit points, including theatre performances, debates and visits to installations that have never before been opened to the public, CERN's 50th anniversary Open Day is set to be a day to remember. Seven hundred volunteers have signed up to help for the day. The Open Day team truly appreciates this wonderful show of support! The Open Day would not be possible without their help. Car parking and Access Cars with a CERN sticker can access all CERN sites as normal. However, to avoid congestion on Meyrin site, we ask you to park in areas that will not be open to the public (see below) and to use the shuttle services wherever possible for your transport during the day. Private cars on the French side of the border without a CERN sticker will be diverted to a car park area in the Prévessin site. There is a shuttle service connecting the Meyrin and Prévessin sites via SM18 every 20 minutes. Private cars on the Swiss side of the border without a CERN sticker will be diverte...

  11. The day-to-day monitoring of the 2011 severe drought in China

    Science.gov (United States)

    Lu, Er; Cai, Wenyue; Jiang, Zhihong; Zhang, Qiang; Zhang, Cunjie; Higgins, R. Wayne; Halpert, Michael S.

    2014-07-01

    Dry/wet condition has a large interannual variability. Decision-makers need to know the onset, duration, and intensity of drought, and require droughts be monitored at a daily to weekly scale. However, previous tools cannot monitor drought well at this short timescale. The Palmer Drought Severity Index has been found dissatisfactory in monitoring because of its complexity and numerous limitations. The Standardized Precipitation Index (SPI) always asks for a timescale, and precipitation is averaged over the period of the scale. Because of this, the SPI cannot be used for short scales, e.g., several days, and what it tells is the overall drought situation of the period. The weighted average of precipitation (WAP) developed by Lu (Geophys Res Lett 36:L12707, 2009) overcomes the deficiency of the SPI; it does not require a timescale, and can provide the drought (and flood) extent of each day. Therefore, the WAP can monitor drought at scales from daily to weekly, monthly, and any longer scale, and is really "flexible and versatile for all timescales". In this study, the standardized WAP (SWAP) is used to monitor the 2011 drought over China. Drought swept the country during the year from north to south and from east to west. In spring, a once-in-a-fifty-year drought occurred over the Yangtze River basin and the southern region, causing serious shortage of drinking water for people and livestock, as well as tremendous losses in agriculture and the shipping industry. Results show that the SWAP, with its monthly mean plots, can well reproduce the seasonal shift of the 2011 drought across the country. The animation of daily plots demonstrates that the SWAP would have been able to monitor the day-to-day variation of the spring drought around the Yangtze River basin. It can provide the details of the drought, such as when the drought emerged over the region, how long it maintained there (though drought area may move back and forth with extension and contraction of the area

  12. Electronic Services Monthly MI Report

    Data.gov (United States)

    Social Security Administration — This electronic services monthly MI report contains monthly MI data for most public facing online online applications such as iClaim, electronic access, Mobile wage...

  13. Monthly Energy Review, February 1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-02-01

    This report presents an overview of recent monthly energy statistics. Energy production during November 1997 totaled 5.6 quadrillion Btu, a 0.3-percent decrease from the level of production during November 1996. Natural gas production increased 2.8 percent, production of crude oil and natural gas plant liquids decreased 1.7 percent, and coal production decreased 1.6 percent. All other forms of energy production combined were down 1.1 percent from the level of production during November 1996. Energy consumption during November 1997 totaled 7.5 quadrillion Btu, 0.1 percent above the level of consumption during November 1996. Consumption of natural gas increased 1.5 percent, consumption of coal fell 0.3 percent, while consumption of petroleum products decreased 0.2 percent. Consumption of all other forms of energy combined decreased 0.8 percent from the level 1 year earlier. Net imports of energy during November 1997 totaled 1.7 quadrillion Btu, 8.6 percent above the level of net imports 1 year earlier. Net imports of petroleum increased 6.3 percent, and net imports of natural gas were up 1.2 percent. Net exports of coal fell 17.8 percent from the level in November 1996.

  14. Retrofit Weight-Loss Outcomes at 6, 12, and 24 Months and Characteristics of 12-Month High Performers: A Retrospective Analysis

    Science.gov (United States)

    Hanson, Nicholas Buck; Kachin, Kevin; Berger, Jan

    2016-01-01

    Background Obesity is the leading cause of preventable death costing the health care system billions of dollars. Combining self-monitoring technology with personalized behavior change strategies results in clinically significant weight loss. However, there is a lack of real-world outcomes in commercial weight-loss program research. Objective Retrofit is a personalized weight management and disease-prevention solution. This study aimed to report Retrofit’s weight-loss outcomes at 6, 12, and 24 months and characterize behaviors, age, and sex of high-performing participants who achieved weight loss of 10% or greater at 12 months. Methods A retrospective analysis was performed from 2011 to 2014 using 2720 participants enrolled in a Retrofit weight-loss program. Participants had a starting body mass index (BMI) of >25 kg/m² and were at least 18 years of age. Weight measurements were assessed at 6, 12, and 24 months in the program to evaluate change in body weight, BMI, and percentage of participants who achieved 5% or greater weight loss. A secondary analysis characterized high-performing participants who lost ≥10% of their starting weight (n=238). Characterized behaviors were evaluated, including self-monitoring through weigh-ins, number of days wearing an activity tracker, daily step count average, and engagement through coaching conversations via Web-based messages, and number of coaching sessions attended. Results Average weight loss at 6 months was −5.55% for male and −4.86% for female participants. Male and female participants had an average weight loss of −6.28% and −5.37% at 12 months, respectively. Average weight loss at 24 months was −5.03% and −3.15% for males and females, respectively. Behaviors of high-performing participants were assessed at 12 months. Number of weigh-ins were greater in high-performing male (197.3 times vs 165.4 times, P=.001) and female participants (222 times vs 167 times, P<.001) compared with remaining participants

  15. 2016 SPD: Day 2

    Science.gov (United States)

    Kohler, Susanna

    2016-06-01

    advances in simulating sunspot formation. He and his collaborators have used high-performance computing to build a model that successfully reproduces many of the key properties of sunspots that are observed.In particular, these simulations track the motions of the magnetic field starting within the interior of the Sun (8000 km below the surface!). The magnetic field is generated and intensified by convection deep within the solar interior. Bundles of magnetic field then rise through the convection zone, eventually breaking through the solar surface and giving rise to sunspots.This process of tracking the flow as it travels from the convective layer all the way through the solar surface has resulted in what may be some of the highest fidelity simulations of sunspots thus far. The structures produced in these simulations compares very favorably with actual observations of sunspots including the asymmetry seen in most sunspots.Counting Spots on the SunContinuing the discussion of sunspots, Leif Svalgaard (Stanford University) next took us on a historical journey from the 1600s through the present. For the last 400 years starting with Galileo people have kept records of the number of sunspots visible on the Suns disk.One of Galileos drawings of his sunspot observations from 1612. [The Galileo Project]This turns out to be a very useful practice! Total solar irradiance, a measure used as input into climate models, is reconstructed from sunspot numbers. Therefore, the historical record of sunspots over the last 400 years impacts our estimates of the long-term trends in solar activity.Based on raw sunspot counts, studies have argued that solar activity has been steadily increasing over time. But could this be a misinterpretation resulting from the fact that our technology and therefore our ability to detect sunspots has improved over time? Svalgaard believes so.By studying and reconstructing 18th century telescopes, he demonstrates that modern-day sunspot counts are able to detect

  16. Your Baby's Growth: 3 Months

    Science.gov (United States)

    ... to Be Smart About Social Media Your Baby's Growth: 3 Months KidsHealth > For Parents > Your Baby's Growth: 3 Months Print A A A What's in ... months of life are a period of rapid growth. Your baby will gain about 1 to 1½ ...

  17. Monthly energy review, August 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-08-01

    The Monthly Energy Review for the month of August 1997, presents an overview of the Energy Information Administration`s recent monthly energy statistics. The statistics cover the major activities of U.S. production, consumption, trade, stocks, and prices for petroleum, natural gas, coal, electricity, and nuclear energy. Also included are international energy and thermal and metric conversion factors.

  18. 2016 SPD: Day 3

    Science.gov (United States)

    Kohler, Susanna

    2016-06-01

    observe the Sun all have relatively narrow fields of view. But during an eclipse, we can gain the larger context for the corona with ground-based observations, with the Moon conveniently blocking the light from the Suns disk! The cover photo is a spectacular example of this.Observations of the corona during eclipses can provide information on both enormous events, like coronal mass ejections, and faint dynamical features, like plasma instabilities and expanding loops. In addition, we can learn about the plasma properties by examining emission from highly charged ions. The upcoming eclipse should provide a great opportunity to do some coronal science!A Unique OpportunityThe final press-conference speaker for the meeting was Jay Pasachoff (Williams College and Caltech), a veteran solar eclipse observer who was able to speak to what we could expect if we make it into the path of totality next year.Path of totality across the continental US for the August 2017 eclipse. [Fred Espenak/NASA GSFC]Pasachoff pointed out that there are nearly 12 million people located within the band of totality. There are probably another 200 million within a days drive! He strongly encouraged anyone able to make it to the path of totality to do so, pointing out that the experience in person is completely unlike the experience of watching a video. The process of watching the world around you go dark, he says, is something that simply isnt captured when you watch an eclipse on TV.If you plan to travel for the eclipse, Pasachoffs recommendation is to aim for the northwest end of the path of totality, rather than the southeast end surprisingly, weather statistics suggest you have a better chance of not getting clouded out in the northwest.We now have a year left to educate everyone likely to view the eclipse on when and how to view it safely! Accordingly, Pasachoff concluded the conference by providing a series of links on where to find more information:eclipses.infototalsolareclipse.orgGreatAmericanEclipse.comeclipsophile.com

  19. Transobturator tape for female stress incontinence: A day surgery case

    Directory of Open Access Journals (Sweden)

    Al Taweel Waleed

    2009-01-01

    Full Text Available Aim: To evaluate the effectiveness of transobturator vaginal tape (TOT in the treatment of female stress urinary incontinence (SUI and to analyze functional results and quality of life after12 months follow up. Materials and Methods : All women with SUI who underwent TOT procedure from outside to inside under general or regional anesthesia from December 2004 to January 2007 were included in the study. All must have had a minimal follow up of one year. The patients were prospectively evaluated with history including pads use/day, physical examination - pelvic examination, urinalysis, urogenital distress inventory (UDI-6, and analog global satisfaction scale - and urodynamic studies - filling cystometry, pressure-flow studies, and Valsalva leak point pressure. Results: Sixty two consecutive patients who fulfilled the inclusion criteria underwent TOT procedure by one surgeon. The mean age was 52 ± 9 years (range, 34-70 years and minimal follow up was one year (12-24 months. The mean operative time was 17 ± 4 minutes (15-31 with average amount of bleeding 62 ± 22 cc. We found objectively 89% cure or improvement rate after one year. Conclusion: The out-in transobturator approach is a very effective treatment of SUI with low morbidity and high success rate. However, longer follow up in larger populations should assess the long-term reliability of this attractive procedure.

  20. The effect of exercise intervention on frail elderly in need of care: half-day program in a senior day-care service facility specializing in functional training

    Science.gov (United States)

    Sakamoto, Ryota; Miura, Yasushi

    2016-01-01

    [Purpose] This study investigated the long-term effect of a half-day exercise intervention program on health-related quality of life, life function, and physical function in frail elderly in need of care. The program was conducted at a senior day-care facility specializing in functional training. [Subjects and Methods] Subjects included 41 elderly in need of care who had visited the service facility for at least 1 year. Physical function and life function were evaluated at baseline, 6 months, and 12 months. Quality of life was evaluated with the Short Form-36 at baseline and 12 months. [Results] Improvements in balance, walking speed and endurance, complex performance abilities, self-efficacy during the activities, and the level and sphere of activity were observed at 6 months and maintained up to 12 months. Moreover, improvements in agility, activities of daily living, life function, and quality of life were also observed at 12 months. Improvements in muscle strength, walking ability, self-efficacy over an action, and activities of daily living were related to the improvement in quality of life. [Conclusion] The use of individualized exercise programs developed by physiotherapists led to improvements in activities of daily living and quality of life among elderly in need of care. PMID:27512243

  1. My Favorite Day

    Institute of Scientific and Technical Information of China (English)

    李峰

    2008-01-01

    It’s Friday, November 14th. I’m happy today. In1 8 o’clock I have Chinese. I like it because it’s fun. Then I have math and art. In2 this day I can have P.E. in the afternoon. That’s my favorite subject. I play football and basketball. Then I have a two-days3 holiday. At 6 o’clock p.m. I can swimming4 for an hour. In5 Friday evening I have a party with my friends.

  2. Cold months in a warming climate

    Science.gov (United States)

    Räisänen, Jouni; Ylhäisi, Jussi S.

    2011-11-01

    The frequency of cold months in the 21st century is studied using the CMIP3 ensemble of climate model simulations, using month-, location- and model-specific threshold temperatures derived from the simulated 20th century climate. Unsurprisingly, cold months are projected to become less common, but not non-existent, under continued global warming. As a multi-model mean over the global land area excluding Antarctica and under the SRES A1B scenario, 14% of the months during the years 2011-2050 are simulated to be colder than the 20th century median for the same month, 1.3% colder than the 10th percentile, and 0.1% record cold. The geographic and seasonal variations in the frequency of cold months are strongly modulated by variations in the magnitude of interannual variability. Thus, for example, cold months are most infrequently simulated over the tropical oceans where the variability is smallest, not over the Arctic where the warming is largest.

  3. AAS 227: Day 1

    Science.gov (United States)

    Kohler, Susanna

    2016-01-01

    Editors Note:This week were at the 227th AAS Meeting in Kissimmee, FL. Along with several fellow authors from astrobites.com, I will bewritingupdates on selectedevents at themeeting and posting at the end of each day. Follow along here or at astrobites.com, or catch ourlive-tweeted updates from the @astrobites Twitter account. The usual posting schedule for AAS Nova will resumenext week.Things kicked off last night at our undergraduate reception booth. Thanks to all of you who stopped by we were delightedto have so many people tell us that they already know about and useastrobites, and we were excited to introduce a new cohort of students at AAS to astrobites for the first time.Tuesday morning was the official start of the meeting. Here are just a few of the talks and workshops astrobiters attended today.Opening Address (by Becky Smethurst)The President of the AAS, aka our fearless leader Meg Urry kicked off the meeting this morning at the purely coffee powered hour of 8am this morning. She spoke about the importance of young astronomers at the meeting (heres looking at you reader!) and also the importance of the new Working Group for Accessibility and Disabilities (aka WGAD pronounced like wicked) at the AAS. The Society has made extra effort this year to make the conference accessible to all,a message which was very well received by everyone in attendance.Kavli Lecture: New Horizons Alan Stern (by Becky Smethurst)We were definitely spoilt with the first Plenary lecture at this years conference Alan Stern gave us a a review of the New Horizons mission of the Pluto Fly By (astrobites covered the mission back in July with this post). We were treated to beautiful images, wonderful results and a foray into geology.Before (Hubble) and after #NewHorizons. #thatisall #science #astro alanstern #aas227 pic.twitter.com/kkMt6RsSIR Science News (@topsciencething) January 5, 2016Some awesome facts from the lecture that blew my mind:New Horizons is now 2AU (!) beyond Pluto

  4. Retrofit Weight-Loss Outcomes at 6, 12, and 24 Months and Characteristics of 12-Month High Performers: A Retrospective Analysis.

    Science.gov (United States)

    Painter, Stefanie; Ditsch, Gary; Ahmed, Rezwan; Hanson, Nicholas Buck; Kachin, Kevin; Berger, Jan

    2016-08-22

    Obesity is the leading cause of preventable death costing the health care system billions of dollars. Combining self-monitoring technology with personalized behavior change strategies results in clinically significant weight loss. However, there is a lack of real-world outcomes in commercial weight-loss program research. Retrofit is a personalized weight management and disease-prevention solution. This study aimed to report Retrofit's weight-loss outcomes at 6, 12, and 24 months and characterize behaviors, age, and sex of high-performing participants who achieved weight loss of 10% or greater at 12 months. A retrospective analysis was performed from 2011 to 2014 using 2720 participants enrolled in a Retrofit weight-loss program. Participants had a starting body mass index (BMI) of >25 kg/m² and were at least 18 years of age. Weight measurements were assessed at 6, 12, and 24 months in the program to evaluate change in body weight, BMI, and percentage of participants who achieved 5% or greater weight loss. A secondary analysis characterized high-performing participants who lost ≥10% of their starting weight (n=238). Characterized behaviors were evaluated, including self-monitoring through weigh-ins, number of days wearing an activity tracker, daily step count average, and engagement through coaching conversations via Web-based messages, and number of coaching sessions attended. Average weight loss at 6 months was -5.55% for male and -4.86% for female participants. Male and female participants had an average weight loss of -6.28% and -5.37% at 12 months, respectively. Average weight loss at 24 months was -5.03% and -3.15% for males and females, respectively. Behaviors of high-performing participants were assessed at 12 months. Number of weigh-ins were greater in high-performing male (197.3 times vs 165.4 times, P=.001) and female participants (222 times vs 167 times, Pactivity tracker days and average steps per day were greater in high-performing females (304.7 vs

  5. Existing and projected “worst-year” (year with least available habitat) areas of available primary waterbird habitat (km2) in the Central Valley of California for 17 climate, urbanization, and water management scenarios, by habitat and month

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — The dataset summarizes areas of Central Valley wetland and cropland waterbird habitats available for each of 17 projected scenarios by each month (August–December...

  6. [Day at menarche, "fiesta" expectancy and "memory bias"].

    Science.gov (United States)

    Valenzuela, Carlos Y

    2004-03-01

    The photoperiod and temperature were ruled out as main factors of the annual menarche rhythm. Vacations associate to peaks and study periods to troughs of menarche. Some months show contradictory behavior according to their vacation-study condition. To test the hypothesis that menarche occurs mainly in relation to fiesta or celebration (birthdays, holidays, and vacations) expectancies. To refute the memory bias in recording the day at menarche. Girls from Santiago, Chile (3,957) and Medellin, Colombia (3,616) were asked about the date of birth and menarche. In both cities, menarche occurred more commonly at birthday, Christmas-New Year, Day of the Independence, other holidays and days at vacation. The bias of memory was refuted because in both cities important holidays did not have excesses of menarche and some non-holidays had excesses; the distribution of menarches in the neighbor of peaks was often a left biased bell, with accessory peaks, and menarches/day over the expected mean (in agreement with the fiesta expectancy), and not a U shaped distribution (as expected by the memory bias); menarche distributed homogeneously on days of the week. The fiesta expectancy appears as a cause of the menarche rhythm. The bias of memory does not produce detectable effects. Evidence for recruitment of menarches and synergism between fiesta expectancy and vacations were found.

  7. CERN openlab Open Day

    CERN Multimedia

    Purcell, Andrew Robert

    2015-01-01

    The CERN openlab Open Day took place on 10 June, 2015. This was the first in a series of annual events at which research and industrial teams from CERN openlab can present their projects, share achievements, and collect feedback from their user communities.

  8. Governing To‐day

    DEFF Research Database (Denmark)

    Turner, Kevin

    2014-01-01

    Governing To-day denotes a domain of research, and what the thesis undertakes is a theoretical discussion of some questions of method vis-à-vis researching this domain. There are two aspects to the title that enfold one another. Firstly, “governing to-day” signposts that it is to!day that is to b...... of departure in the research and writing of the French philosopher and historian, Michel Foucault. It is primarily within the writings of Foucault that the thesis seeks to find a workaround to the problem thrown forth by the aforementioned questions of method.......Governing To-day denotes a domain of research, and what the thesis undertakes is a theoretical discussion of some questions of method vis-à-vis researching this domain. There are two aspects to the title that enfold one another. Firstly, “governing to-day” signposts that it is to...... in time, in the present!day, in this time that is our own, and so forth, that forms the object of enquiry. Accordingly, “governing to!day” denotes both a government of the present and government in the present. In working through said questions of method, the thesis sketches out an approach that takes...

  9. 90-Day Cycle Handbook

    Science.gov (United States)

    Park, Sandra; Takahashi, Sola

    2013-01-01

    90-Day Cycles are a disciplined and structured form of inquiry designed to produce and test knowledge syntheses, prototyped processes, or products in support of improvement work. With any type of activity, organizations inevitably encounter roadblocks to improving performance and outcomes. These barriers might include intractable problems at…

  10. Radiochemistry days; Journees radiochimie

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-09-01

    This document provides the 44 papers (transparencies used during the presentations and posters) presented at the Radiochemistry Days, held September 3-4, 1998 in Nantes, France. The main studied topics were problematic questions concerning the nuclear fuel cycle and in particular the management, storage of radioactive wastes and the environmental impact. (O.M.)

  11. Orthopaedics in day surgery

    African Journals Online (AJOL)

    Orthopaedics surgery, University of Nairobi, P.O. Box 52507-00200, Nairobi, Kenya and M.A. Odhiambo, KRN,. KRM, BSc ... processing of day cases is separate, more efficient and cases of ... centre is by rule of the medicare and accreditation.

  12. Olympus and Earth Day

    Institute of Scientific and Technical Information of China (English)

    2009-01-01

    Let your gaze rest upon the poster for Earth Day on April 22. A small polar bear clings tightly to the stem of an aero-vane. Staring at the vanishing floating ice on the wild sea, his eyes are full of panic and fear.

  13. National hearing day

    CERN Multimedia

    2003-01-01

    The 12th of June 2003 Is the French National Hearing Day. The Medical Service invites everyone working at CERN to come and have an ear test at the infirmary. Bld. 57, ground floor, between 9h00 and 16h00 Tel. 73802

  14. World Heart Day

    Centers for Disease Control (CDC) Podcasts

    2009-09-01

    For World Heart Day, learn more about what heart-healthy steps you can take in the workplace.  Created: 9/1/2009 by National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP).   Date Released: 9/9/2009.

  15. NATIONAL HEARING DAY

    CERN Multimedia

    2003-01-01

    The 12th of June 2003 Is the French National Hearing Day. The Medical Service invites everyone working at CERN to come and have an ear test at the infirmary. Bld. 57, ground floor, between 9h00 and 16h00 Tel. 73802

  16. Scheduling: Seven Period Day

    Science.gov (United States)

    Williamson, Ronald

    2010-01-01

    Driven by stable or declining financial resources many school districts are considering the costs and benefits of a seven-period day. While there is limited evidence that any particular scheduling model has a greater impact on student learning than any other, it is clear that the school schedule is a tool that can significantly impact teacher…

  17. April Fool's Day

    Institute of Scientific and Technical Information of China (English)

    2004-01-01

    @@ While popular in the U.S., the April Fool's Day tradition is even more popular in European countries, such as France and Great Britain. Although the roots(起源) of the traditional tricks (恶作剧) are unclear, the French and the British both have claims(声称) on the origin(起源) of the celebration.

  18. "A Day Without Immigrants"

    DEFF Research Database (Denmark)

    Heiskanen, Benita

    2009-01-01

    Abstract This article considers the debates surrounding the "Day Without Immigrants" protests organized in major U.S. cities on 1 May 2006, prompted by H.R. 4437, the Border Protection, Anti-Terrorism, and Illegal Immigration Control Act of 2005, from the multiple perspectives of scholars, pundit...

  19. Monthly Deaths Number And Concomitant Environmental Physical Activity: 192 Months Observation (1990-2005)

    Science.gov (United States)

    Stoupel, E.; Kalediene, R.; Petrauskiene, J.; Starkuviene, S.; Abramson, E.; Israelevich, P.; Sulkes, J.

    2007-12-01

    Human life and health state are dependent on many endogenous and exogenous influence factors. The aim of this study is to check the possible links between monthly deaths distribution and concomitant activity of three groups of cosmophysical factors: solar (SA), geomagnetic (GMA) and cosmic ray (CRA) activities. 192 months death number in years 1990-2005 (n=674004) at the Republic of Lithuania were analyzed. Total and both gender data were considered. In addition to the total death numbers, groups of ischemic heart disease (IHD), stroke (CVA), non-cardiovascular (NCV), accident, traffic accident and suicide-related deaths were studied. Sunspot number and solar radio flux (for SA), Ap, Cp and Am indices (for GMA) and neutron activity on the Earth s surface (for CRA) were the environmental physical activity parameters used in this study. Yearly and monthly deaths distributions were also studied. Pearson correlation coefficients (r) and their probabilities (p) were calculated. Multivariate analysis was conducted. Results revealed: 1) significant correlation of monthly deaths number with CRA (total, stroke, NCV and suicides) and inverse with SA and GMA; 2) significant correlation of monthly number of traffic accidents number with SA and GMA, and inverse with CRA; 3) a strong negative relationship between year and IHD/CVA victims number (an evidence for growing role of stroke in cardiovascular mortality); 4) significant links of rising cardiovascular deaths number at the beginning of the year and traffic accidents victims at the end of the year. It is concluded that CRA is related to monthly deaths distribution.

  20. Desempenho em confinamento, do desmame ao abate aos quatorze meses, de bovinos inteiros ou castrados, produzidos por vacas de dois anos Feedlot performance from weaning to slaughter at fourteen months of age of steers and bulls, produced by two-years old cows

    Directory of Open Access Journals (Sweden)

    João Restle

    1997-12-01

    Full Text Available O objetivo deste trabalho foi avaliar o desempenho de machos Hereford, inteiros ou castrados, filhos de vacas de dois anos, confinados por 193 dias do desmame aos sete meses até o abate aos quatorze meses, quando atingiram em média 205kg de carcaça. A relação volumoso/concentrado foi decrescente, iniciando em 70/30 e finalizando em 40/60. Os volumosos utilizados foram a silagem de sorgo forrageiro, cana-de-açúcar e feno de aveia. Os animais inteiros apresentaram um maior ganho de peso médio diário (1,23 contra l,09kg e uma melhor conversão alimentar (5,8 contra 6,8 em relação aos castrados. A eficiência de conversão expressa em Mcal de energia digestível para cada quilograma de ganho de peso, também foi melhor nos animais inteiros (16,0 contra 18,6 Mcal/kg. O consumo de matéria seca e de energia digestível, ambos ajustados para unidade de tamanho metabólico foram de 109,1 contra 106,1 g e 299,1 contra 29l,2Kcal, para castrados e inteiros, respectivamente.The objective of this work was to study the feedlot performance of Hereford, bulls or steers, produced by two years old cows, kept in feedtot during 193 days, from weaning to slaughter at fourteen months of age, reaching carcass weight of 205kg at slaughter. The roughage/concentrate ratio was reduced yadually, beginnig with 70/30 and ending with 40/60. The roughages used were sorghum silage, chopped sugar cane and oats hay. Bulls showed a higher average daily gain (1.23 vs 1.09 kg and better food convertion (5.8 vs 6.8 than steers. The efficiency of converting Mcal of digestible energy into kilogram of weight gain, was also better for bull calves (16.0 vs 18.6 Mcal/kg. Consumption of dry matter and digestible energy, booth adjusted for metabolic size were 109. l vs 106.1 g and 299. l vs 291.2 Kcal for steers and bulls, respectively.

  1. My Six- Months Internship in "The Dragon"

    Institute of Scientific and Technical Information of China (English)

    程婧莹

    2011-01-01

    @@ In order to complete my first year at SHMS Caux I was required to fulfil a six-months internship in the hotel.I have chosen to work in the "Dragon Hotel".I had the pleasure of having my first year internship there.All the things for me is fresh and strange.I faced many difficulties and problems while I was doing my internship.

  2. 78 FR 54747 - National Wilderness Month, 2013

    Science.gov (United States)

    2013-09-06

    ... have passed through America's most treasured landscapes, leaving their beauty unmarred. This month, we... dedicated to preserving our Nation's wild and scenic places. During my first year as President, I designated... wild spaces. As natural habitats for diverse wildlife; as destinations for family camping trips; and as...

  3. Children's Diurnal Cortisol Activity during the First Year of School

    Science.gov (United States)

    Yang, Pei-Jung; Lamb, Michael E.; Kappler, Gregor; Ahnert, Lieselotte

    2017-01-01

    The present study examined 4- to 5-year-old British children's diurnal cortisol activity during their first year of school. The children's cortisol was measured before enrollment (baseline), upon enrollment, and both 3 and 6 months after enrollment. On each day, cortisol was sampled four times, providing information about the diurnal amount of…

  4. Children's Diurnal Cortisol Activity during the First Year of School

    Science.gov (United States)

    Yang, Pei-Jung; Lamb, Michael E.; Kappler, Gregor; Ahnert, Lieselotte

    2017-01-01

    The present study examined 4- to 5-year-old British children's diurnal cortisol activity during their first year of school. The children's cortisol was measured before enrollment (baseline), upon enrollment, and both 3 and 6 months after enrollment. On each day, cortisol was sampled four times, providing information about the diurnal amount of…

  5. The Temperature Statistics Analysis in the Winter Ice Month of Haerbin Airport Runway in Recent 24 Years%近24a哈尔滨机场跑道易结冰月气温统计分析

    Institute of Scientific and Technical Information of China (English)

    赵凯; 钟伟; 王加平; 赵毅菲

    2011-01-01

    本文统计分析了哈尔滨机场1986—2009年3月份的气温,得出近24a3月份的平均气温总体趋势为先升后降,最低气温的变化先于最高气温,其对平均温度的影响较大。气温跟降水成负相关关系,暖干、冷湿相伴,且最高温度与降水日数相关显著。低气温对应的除冰日数多,高气温则少。雪深对跑道结冰有一定的作用,如果预报日气温均≤-3℃,且雪深≥3cm,要考虑跑道结冰:如果预报日气温均≥2℃,当有雨夹雪或雪时,考虑跑道结冰;如果预报当日气温经过0℃,只要降水发生时段的温度在±3℃,无论雨夹雪或雪的时长、强度是多少,都应该考虑结冰。%The temperature of march from 1986 to 2009 was analyzed, and it showed that the main tendency oI average temperature of march increase then decrease in recent 24 years. The lowest temperature which contributed to the average temperature most changed earlier than the highest temperature.The relation between temperature and precipitation was opposite, usually dry warm air accompanied with the wet cold air, and the hig~hest temperature related to the precipitation clearly. Also lower temperature corresponded to more ice,and higher temperature didn't. The depth of snow can affect the ice formation on the runway, when the average temperature was lower than -3 ℃and the depth of snow was larger than 3 cm, the ice would be formed on the runway, also when the daily average temperature higher than 2 ℃, and it was rain with snow simultaneously, the ice would be formed. It was obviously that if the temperature was between -3 ℃ to 3 ℃,whether it rained or snowed, the ice would be formed.

  6. Open Days in 2008

    CERN Multimedia

    Corinne Pralavorio

    CERN will be organising two Open Days in 2008, one for CERN employees and their families on Saturday, 5 April, and another for the general public on Sunday, 6 April. This is the one last chance to see the LHC and its experiments. In addition to the surface facilities, visitors will be able to go underground to see the accelerator and will have acces to the experiment caverns. Exceptionally, most of the points along the ring will be open. We need a large number of volunteers to ensure the success of these two very special days. Full details of the events will be published in the first January edition of the Bulletin. Volunteers will be able to register by completing an electronic form and an information session will be organised.

  7. CERN Heart Days

    CERN Multimedia

    2003-01-01

    14 & 15 OCTOBER 2003 The Medical Service and the Fire Brigade invite everyone working at CERN to participate in the above event. INFIRMARY 9 am to 16.30 pm Building 57, ground floor No need to book HEALTHY HEART? Evaluation of personal cardiac risks through the monitoring of: Blood pressure Cholesterol and sugar levels Body Mass Index ... and more Leaflets, information and advice concerning cardiac issues FIRE BRIGADE 9 to 12am - Building 65 Please book (limited to 15 people/day) FIRST AID COURSES What to do in a Cardiac Emergency (3 h. duration) Places are limited and on reservation only (15 people/day). To book, e-mail the Medical Services on: service.medical@cern.ch

  8. CERN Heart Days

    CERN Multimedia

    2003-01-01

    14 & 15 OCTOBER 2003 The Medical Service and the Fire Brigade invite everyone working at CERN to participate in the above event. INFIRMARY 9 am to 16.30 pm Building 57, ground floor no need to book HEALTHY HEART? • Evaluation of personal cardiac risks through the monitoring of: Blood pressure Cholesterol and sugar levels Body Mass Index ... and more • Leaflets, information and advice concerning cardiac issues FIRE BRIGADE 9 to 12 am - Building 65 Please book (limited to 15 people/day) FIRST AID COURSES • What to do in a Cardiac Emergency (3 h. duration) Places are limited and on reservation only (15 people/day). To book, e-mail the Medical Services on: service.medical@cern.ch

  9. Computer Security Day

    CERN Multimedia

    CERN Bulletin

    2010-01-01

      Viruses, phishing, malware and cyber-criminals can all threaten your computer and your data, even at CERN! Experts will share their experience with you and offer solutions to keep your computer secure. Thursday, 10 June 2010, 9.30, Council Chamber Make a note in your diary! Presentations in French and English: How do hackers break into your computer? Quels sont les enjeux et conséquences des attaques informatiques contre le CERN ? How so criminals steal your money on the Internet? Comment utiliser votre ordinateur de manière sécurisée ? and a quiz: test your knowledge and win one of the many prizes that will be on offer! For more information and to follow the day's events via a live webcast go to: http://cern.ch/SecDay.  

  10. One Day on Earth

    CERN Multimedia

    2011-01-01

    In collaboration with the CineGlobe Film Festival, the One Day on Earth global film project invites you to share your story of scientific inspiration, scientific endeavors and technological advancement on 11 November 2011 (11.11.11).   Technology in the 21st century continuously inspires us to re-imagine the world. From outer-space to cyberspace, new ideas that we hope will improve the lives of future generations keep us in a state of change. However, these new technologies may alter the nature of our shared existence in ways not yet known. On 11.11.11, we invite you to record the exciting ways that science is a part of your life, together with people around the world who will be documenting their lives on this day of global creation. See www.onedayonearth.org for details on how to participate.

  11. National HIV Testing Day

    Centers for Disease Control (CDC) Podcasts

    2011-06-09

    Dr. Kevin A. Fenton, Director of CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, discusses National HIV Testing Day, an annual observance which raises awareness of the importance of knowing one's HIV status and encourages at-risk individuals to get an HIV test.  Created: 6/9/2011 by National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention (NCHHSTP).   Date Released: 6/9/2011.

  12. Beijing Celebrates National Day

    Institute of Scientific and Technical Information of China (English)

    1995-01-01

    October 1, 1994 marked the 45th anniversary of the founding of New China. On that night more than 100,000 people gathered in Tian’anmen Square to celebrate. There were 58 different celebration areas on the square where 1,800 performers from 25 art organizations danced with Beijing residents. The sound of singing, dancing and laughter could be heard far outside the square. During the day, eight large parks in

  13. A prospective multicenter parallel-controlled trial of TIVOLI biodegradable-polymer-based sirolimus-eluting stent compared to ENDEAVOR zotarolimus-eluting stent for the treatment of coronary artery disease: 8-month angiographic and 2-year clinical follow-up results

    Institute of Scientific and Technical Information of China (English)

    XU Bo; LI Wei-min; CHEN Ji-yan; WANG Lei; WANG Yong; GE Jun-bo; LI Wei; GAO Run-lin; DOU Ke-fei; HAN Ya-ling; L(U) Shu-zheng; YANG Yue-jin; HUO Yong; WANG Le-feng; CHEN Yun-dai; WANG Hai-chang

    2011-01-01

    Background Available drug-eluting stents (DES) have achieved great success in reducing restenosis rates. Recently,investigators have demonstrated that the durable polymer carrier plays a significant role in DES-related hypersensitive reaction and delays vessel healing. TIVOLI stent is a novel sirolimus-eluting coronary stent with biodegradable coating containing sirolimus and polylactic-co-glycolic acid (PLGA) polymer. The present study sought to evaluate the effectiveness and safety of the TIVOLI biodegradable-polymer-based sirolimus-eluting stent in treating patients with coronary artery disease.Methods A prospective, multicenter clinical trial comparing TIVOLI biodegradable coated sirolimus-eluting stent with ENDEAVOR zotarolimus-eluting stent was conducted in 324 patients (TIVOLI group: 168 patients; ENDEAVOR group:156 patients) at 12 centers in China to demonstrate the non-inferiority of in-stent late loss with TIVOLI stent compared to ENDEAVOR stent in subjects with a maximum of two de novo native coronary artery lesions (lesion length ≤40 mm,reference vessel diameter 2.25-4.00 mm). The primary end point was angiographic in-stent late loss at 8-month. The secondary end points were clinical outcomes at 2 years,including major adverse cardiac events (cardiac death,myocardial infarction, or target-lesion revascularization) and stent thrombosis.Results Angiographic late lumen loss at 8 months in the TIVOLI group was superior to the ENDEAVOR group (in-stent (0.25±0.33) mm vs. (0.57±0.55) mm, diff (95% CI)-0.23 (-0.32, -0.14), P <0.0001; in-segment (0.25±-0.33) mm vs. (0.42±-0.55) mm, diff (95% CI) -0.13 (-0.23, -0.02),P=0.0083). The rate of in-stent binary restenosis at 8 months was reduced from 8.6% in the ENDEAVOR group to 2.9% in the TIVOLI group (P=0.0229). Compared to ENDEAVOR stent, TIVOLI stent resulted in a significant reduction in target-lesion revascularization (4.2% vs. 9.6%, P=0.0495) at 2 years. The two-year major adverse cardiac events (MACE

  14. Registration Day-Camp 2016

    CERN Multimedia

    Nursery School

    2016-01-01

    Registration for the CERN SA Day-camp are open for children from 4 to 6 years old From March 14 to 25 for children already enrolled in CERN SA EVE and School From April 4 to 15 for the children of CERN members of the personnel (MP) From April 18 for other children More information on the website: http://nurseryschool.web.cern.ch/. The day-camp is open to all children. An inscription per week is proposed, cost 480.-CHF/week, lunch included The camp will be open weeks 27, 28, 29 and 30, from 8:30 am to 5:30 pm. For further questions, thanks you for contacting us by email at Summer.Camp@cern.ch.

  15. Feeding Your 1- to 3-Month-Old

    Science.gov (United States)

    ... Old Feeding Your 1- to 2-Year-Old Feeding Your 1- to 3-Month-Old KidsHealth > For Parents > Feeding Your 1- to 3-Month-Old Print A ... 3-month-old baby? As your infant grows, feeding will change. Babies move toward consuming more milk ...

  16. Immunogenicity, safety, and antibody persistence at 3, 5, and 10 years postvaccination in adolescents randomized to booster immunization with a combined tetanus, diphtheria, 5-component acellular pertussis, and inactivated poliomyelitis vaccine administered with a hepatitis B virus vaccine concurrently or 1 month apart.

    Science.gov (United States)

    Embree, Joanne; Law, Barbara; Voloshen, Tim; Tomovici, Antigona

    2015-03-01

    An understanding of the antibody persistence elicited by a combined tetanus, diphtheria, 5-component acellular pertussis, and inactivated poliovirus vaccine (Tdap-IPV) after adolescent vaccination is important to optimize booster dosing intervals. Our objectives were to compare the safety and immunogenicity of Tdap-IPV coadministered with hepatitis B vaccine (HepB) and sequential administration and evaluate humoral immunity at 3, 5, and 10 years after Tdap-IPV vaccination in adolescents. This phase II randomized, controlled, and open-label study enrolled 280 11- to 14-year-old adolescents with up to 10 years postvaccination follow-up. Group 1 (n = 145) received Tdap-IPV, followed by a HepB dose 1 month later, and group 2 (n = 135) received both vaccines simultaneously. No consistent increases in solicited reactions or unsolicited adverse events occurred with coadministration. All vaccinees attained seroprotective antibody levels at ≥0.01 IU/ml for diphtheria and tetanus, at a ≥1:8 dilution for poliovirus (serotypes 1, 2, and 3), and ≥10 mIU/ml for hepatitis B at 1 month postvaccination. Clinically relevant immunologic interactions did not occur with coadministration. For pertussis, all participants achieved seropositivity levels (at or above the lower limit of quantitation), and 72.7% to 95.8% had 4-fold increases in pertussis antibodies at 1 month postvaccination. At 10 years postvaccination, the remaining participants (62.8% of the original cohort) maintained seroprotective levels of ≥0.01 IU/ml for diphtheria and tetanus, a ≥1:8 dilution for all 3 poliovirus serotypes, and 74.1% to 98.2% maintained pertussis seropositivity levels depending on the antigen tested. There were no differences between the groups. These results support the coadministration of Tdap-IPV and HepB to adolescents and suggest that vaccination with Tdap-IPV can offer protection for 10 years after an adolescent booster vaccination.

  17. Natural Gas Monthly, October 1993

    Energy Technology Data Exchange (ETDEWEB)

    1993-11-10

    The (NGM) Natural Gas Monthly highlights activities, events, and analyses of interest to public and private sector organizations associated with the natural gas industry. Volume and price data are presented each month for natural gas production, distribution, consumption, and interstate pipeline activities. Producer-related activities and underground storage data are also reported. From time to time, the NGM features articles designed to assist readers in using and interpreting natural gas information. This month`s feature articles are: US Production of Natural Gas from Tight Reservoirs: and Expanding Rule of Underground Storage.

  18. Natural gas monthly, May 1994

    Energy Technology Data Exchange (ETDEWEB)

    1994-05-25

    The Natural Gas Monthly (NGM) highlights activities, events, and analyses of interest to public and private sector organizations associated with the natural gas industry. Volume and price data are presented each month for natural gas production, distribution, consumption, and interstate pipeline activities. Producer-related activities and underground storage data are also reported. From time to time, the NGM features articles designed to assist readers in using and interpreting natural gas information. The featured articles for this month are: Opportunities with fuel cells, and revisions to monthly natural gas data.

  19. Monthly energy review, January 1998

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-01-01

    This report presents an overview of recent monthly energy statistics. Major activities covered include production, consumption, trade, stocks, and prices for fossil fuels, electricity, and nuclear energy.

  20. Natural gas monthly, July 1997

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1997-07-01

    The Natural Gas Monthly (NGM) highlights activities, events, and analyses of interest to public and private sector organizations associated with the natural gas industry. Volume and price data are presented each month for natural gas production, distribution, consumption, and interstate pipeline activities. Producer-related activities and underground storage data are also reported. From time to time, the NGM features articles designed to assist readers in using and interpreting natural gas information. The feature article this month is entitled ``Intricate puzzle of oil and gas reserves growth.`` A special report is included on revisions to monthly natural gas data. 6 figs., 24 tabs.