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Sample records for nonunion sites comparison

  1. Assessing Donor Site Complications of Iliac Crest Bone Graft in Treatment of Scaphoid Nonunion

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    Davod Jafari

    2016-07-01

    Full Text Available Background Bone grafting is a common surgical technique to augment bone regeneration in orthopedic surgery. Autologous bone graft harvesting is the reliable treatment option and iliac crest is the most common harvesting site for healing bone fractures. However, the results of iliac crest bone graft harvesting are associated with morbidity and a number of complications. Objectives The aim of this study was to assess donor site complications of scaphoid nonunion, to find clinical outcomes and the impact of iliac crest bone graft on age, gender, pain, numbness, itching, nerve injury and scar appearance of patients. Methods In a prospective review of 61 cases of iliac crest bone graft procedures at the Shafa hospital from 2013 to 2014, complications including pain, infection, hematoma, stress fracture, hypertrophic scars, numbness area and itching were assessed clinically. Results Pain identified as the most common complication. The most common complications following postoperative pain at the donor site that reduced after six weeks were: numbness 3.27%, unsatisfactory scar appearance 3.27% and itching discomfort 1.63%. Conclusions Harvesting of iliac crest bone graft can be the ideal way to prepare graft procedures required surgery scaphoid nonunion fractures with minimal complications. Nevertheless, with an adequate preoperative planning and appropriate surgical technique, the prevalence of these complications can be reduced.

  2. Recurrent hydatosis at the site of non-union humerus fracture

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    Mohsen Nourbakhsh

    2012-01-01

    Full Text Available Hydatid disease is still endemic in several regions of the world and is caused by two species of tapeworms, Echinococcus granulosus and Echinococcus alveolaris. It primary involves liver and lung, and bone involvement is relatively rare (0.2-4%, where it is most commonly seen in the spine. The skeletal involvement is usually due to secondary extension such as hematogenous spread. The disease has usually a silent manifestation until a complication exists; so, many cases are diagnosed intraoperatively. Treatment of hydatid disease because of its bone involvement and spillage of fluid with subsequent contamination seeding is difficult, so it has a high mortality rate and many cases will recur. Therefore, we can prevent these occurrences if we treat hydatid disease completely and in the primary stage. Adjuvant medical treatment, if the diagnosis is known, prevents systemic spread and recurrence. Here, we present a primary recurrent hydatosis at the site of non-union humerus fracture. We have pointed out osseous hydatosis as one of the important differential diagnoses in destructive bone lesions and the necessity of its radical resection.

  3. Infected nonunion of tibia

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    Milind Madhav Chaudhary

    2017-01-01

    Full Text Available Infected nonunions of tibia pose many challenges to the treating surgeon and the patient. Challenges include recalcitrant infection, complex deformities, sclerotic bone ends, large bone gaps, shortening, and joint stiffness. They are easy to diagnose and difficult to treat. The ASAMI classification helps decide treatment. The nonunion severity score proposed by Calori measures many parameters to give a prognosis. The infection severity score uses simple clinical signs to grade severity of infection. This determines number of surgeries and allows choice of hardware, either external or internal for definitive treatment. Co-morbid factors such as smoking, diabetes, nonsteroidal anti-inflammatory drug use, and hypovitaminosis D influence the choice and duration of treatment. Thorough debridement is the mainstay of treatment. Removal of all necrotic bone and soft tissue is needed. Care is exercised in shaping bone ends. Internal fixation can help achieve union if infection was mild. Severe infections need external fixation use in a second stage. Compression at nonunion site achieves union. It can be combined with a corticotomy lengthening at a distant site for equalization. Soft tissue deficit has to be covered by flaps, either local or microvascular. Bone gaps are best filled with the reliable technique of bone transport. Regenerate bone may be formed proximally, distally, or at both sites. Acute compression can fill bone gaps and may need a fibular resection. Gradual reduction of bone gap happens with bone transport, without need for fibulectomy. When bone ends dock, union may be achieved by vertical or horizontal compression. Biological stimulus from iliac crest bone grafts, bone marrow aspirate injections, and platelet concentrates hasten union. Bone graft substitutes add volume to graft and help fill defects. Addition of rh-BMP-7 may help in healing albeit at a much higher cost. Regeneration may need stimulation and augmentation. Induced

  4. Development of a prognostic naive bayesian classifier for successful treatment of nonunions.

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    Stojadinovic, Alexander; Kyle Potter, Benjamin; Eberhardt, John; Shawen, Scott B; Andersen, Romney C; Forsberg, Jonathan A; Shwery, Clay; Ester, Eric A; Schaden, Wolfgang

    2011-01-19

    predictive models permitting individualized prognostication for patients with fracture nonunion are lacking. The objective of this study was to train, test, and cross-validate a Bayesian classifier for predicting fracture-nonunion healing in a population treated with extracorporeal shock wave therapy. prospectively collected data from 349 patients with delayed fracture union or a nonunion were utilized to develop a naïve Bayesian belief network model to estimate site-specific fracture-nonunion healing in patients treated with extracorporeal shock wave therapy. Receiver operating characteristic curve analysis and tenfold cross-validation of the model were used to determine the clinical utility of the approach. predictors of fracture-healing at six months following shock wave treatment were the time between the fracture and the first shock wave treatment, the time between the fracture and the surgery, intramedullary stabilization, the number of bone-grafting procedures, the number of extracorporeal shock wave therapy treatments, work-related injury, and the bone involved (p < 0.05 for all comparisons). These variables were all included in the naïve Bayesian belief network model. a clinically relevant Bayesian classifier was developed to predict the outcome after extracorporeal shock wave therapy for fracture nonunions. The time to treatment and the anatomic site of the fracture nonunion significantly impacted healing outcomes. Although this study population was restricted to patients treated with shock wave therapy, Bayesian-derived predictive models may be developed for application to other fracture populations at risk for nonunion. prognostic Level II. See Instructions to Authors for a complete description of levels of evidence.

  5. Repair of segmental long bone defect in a rabbit radius nonunion model: comparison of cylindrical porous titanium and hydroxyapatite scaffolds.

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    Zhang, Ming; Wang, Guang-lin; Zhang, Hong-fang; Hu, Xu-dong; Shi, Xiao-yuan; Li, Sen; Lin, Wei

    2014-06-01

    A segmental long bone defect in a rabbit radius nonunion model was repaired using cylindrical porous titanium (Ti) and hydroxyapatite (HA) scaffolds. Each scaffold was produced using the same method, namely, a slurry foaming method. Repairing ability was characterized using x-radiographic score 12 and 24 weeks postprocedure; failure load of the radius-ulna construct, under three-point bending, 12 weeks postprocedure; and the percentage of newly formed bone within the implant, 12 and 24 weeks after postprocedure. For each of these parameters, the difference in the results when porous Ti scaffold was used compared with when HA scaffolds were used was not significant; both porous scaffolds showed excellent repairing ability. Because the trabecular bone is a porous tissue, the interconnected porous scaffolds have the advantages of natural bone, and vasculature can grow into the porous structure to accelerate the osteoconduction and osteointegration between the implant and bone. The porous Ti scaffold not only enhanced the bone repair process, similar to porous HA scaffolds, but also has superior biomechanical properties. The present results suggest that porous Ti scaffolds may have promise for use in the clinical setting.

  6. Aseptic nonunion of the tibia treated by intramedullary osteosynthesis.

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    Gualdrini, G; Rollo, G; Montanari, A; Zinghi, G F

    1996-01-01

    The authors report 52 cases of aseptic nonunion of the tibia treated by intramedullary osteosynthesis. The means of synthesis used were the Küntscher nail, the Eiffel Tower Rush nail, and the Grosse-Kempf nail. Which means of synthesis was used depended on the site and the features of the nonunion. Healing occurred in all of the cases after an average of 5 months. Mean follow-up was 4.5 years.

  7. Electrical stimulation of experimental nonunions

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    Jacobs, R.R.; Luethi, U.; Dueland, R.T.; Perren, S.M.

    Hypertrophic and oligotrophic nonunions were prepared by resection of a portion of the proximal ulna in dogs. In the hypertrophic nonunions, 20 muamps of direct current for eight weeks produced an increase in bone formation compared to the opposite control limb by radiography, photometry, point counting of new bone, and growth rate by sequential fluorochrome labeling and the dynamic uptake of 99mTc-labeled methylene disphosphonate. Oligotrophic nonunions were treated by plating and aspiration grafting in addition to direct-current stimulation. Ony the point counting of new bone showed a significant increase in bone formation with stimulation. Sequential fluorochrome labeling demonstrated that the new bone was laid down on existing bone and not primarily adjacent to the cathode within the fibrous nonunion. This finding supports the cell-mediated rather than physicochemical effect of electrostimulation.

  8. Sacral Fracture Nonunion Treated by Bone Grafting through a Posterior Approach

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    Sang Yang Lee

    2013-01-01

    Full Text Available Nonunion of a sacral fracture is a rare but serious clinical condition which can cause severe chronic pain, discomfort while sitting, and significant restriction of the level of activities. Fracture nonunions reportedly occur most often after nonoperative initial treatment or inappropriate operative treatment. We report a case of fracture nonunion of the sacrum and pubic rami that resulted from non-operative initial treatment, which was treated successfully using bone grafting through a posterior approach and CT-guided percutaneous iliosacral screw fixation combined with anterior external fixation. Although autologous bone grafting has been the gold standard for the treatment of pelvic fracture nonunions, little has been written describing the approach. We utilized a posterior approach for bone grafting, which could allow direct visualization of the nonunion site and preclude nerve root injury. By this procedure, we were able to obtain the healing of fracture nonunion, leading to pain relief and functional recovery.

  9. Risk profile of patients developing nonunion of the clavicle and outcome of treatment-analysis of fifty five nonunions in seven hundred and twenty nine consecutive fractures

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    Ban, Ilija; Troelsen, Anders

    2016-01-01

    PURPOSE: The most common complication following treatment of a clavicle fracture is nonunion. Most nonunions are symptomatic and treatment is mostly operative. The aim of this study was to describe risk profiles of patients developing nonunion and what outcome is observed following operative...... treatment of clavicle nonunions. METHODS: In a consecutive series of 729 clavicle fractures we retrospectively identified 55 that developed nonunion (49 diaphysial and six lateral). All were treated operatively by reconstruction with (n = 28) or without (n = 27) autologous bone graft. Assessment...... was anatomic site, fracture complexity, female gender, smoking habits and initial treatment. A total of eight post-operative complications were found. Remission of symptoms was reported by 29 of the 33. Outright satisfaction with current shoulder condition was reported by 24. The overall median DASH was 8...

  10. Repair of nonunions by electrically pulsed current stimulation.

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    Zichner, L

    1981-01-01

    Five congenital and 52 acquired nonunions of bone were stimulated using an invasive device. The unit delivered a constant but pulsed right-angled current of positive polarity measuring 20 to 25 muAmps (voltage of 750 mV) and a frequency of 20 Hz. The power pack encapsulated in epoxy resin was implanted at the time of operative fragment stabilization. THe cathode was inserted at the site of the nonunion gap. After two to 12 months, all but two of the acquired nonunions and one of the congenital pseudarthroses healed. In the unsuccessful cases, the bone ends were often totally necrotic. Four cases required reimplantation because of broken wires or expiration of the battery, and two cases failed owing to purulent infection. Electrostimulation is an adjuvant treatment to fragment stabilization in hyporeactive and hypovascular or congenital pseudarthroses. Electrical stimuli may be assumed to simulate conditions which are essential for bone healing.

  11. A unified theory of bone healing and nonunion: BHN theory.

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    Elliott, D S; Newman, K J H; Forward, D P; Hahn, D M; Ollivere, B; Kojima, K; Handley, R; Rossiter, N D; Wixted, J J; Smith, R M; Moran, C G

    2016-07-01

    This article presents a unified clinical theory that links established facts about the physiology of bone and homeostasis, with those involved in the healing of fractures and the development of nonunion. The key to this theory is the concept that the tissue that forms in and around a fracture should be considered a specific functional entity. This 'bone-healing unit' produces a physiological response to its biological and mechanical environment, which leads to the normal healing of bone. This tissue responds to mechanical forces and functions according to Wolff's law, Perren's strain theory and Frost's concept of the "mechanostat". In response to the local mechanical environment, the bone-healing unit normally changes with time, producing different tissues that can tolerate various levels of strain. The normal result is the formation of bone that bridges the fracture - healing by callus. Nonunion occurs when the bone-healing unit fails either due to mechanical or biological problems or a combination of both. In clinical practice, the majority of nonunions are due to mechanical problems with instability, resulting in too much strain at the fracture site. In most nonunions, there is an intact bone-healing unit. We suggest that this maintains its biological potential to heal, but fails to function due to the mechanical conditions. The theory predicts the healing pattern of multifragmentary fractures and the observed morphological characteristics of different nonunions. It suggests that the majority of nonunions will heal if the correct mechanical environment is produced by surgery, without the need for biological adjuncts such as autologous bone graft. Cite this article: Bone Joint J 2016;98-B:884-91.

  12. Hypertrophic Nonunion Humerus Mimicking an Enchondroma

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    N. K. Magu

    2014-01-01

    Full Text Available Introduction. Although fractures of humeral shaft show excellent results with conservative management, nonunion does occur. Case Report. We bring forth the case of a young male with a 1.5-year-old hypertrophic nonunion of the humerus mimicking an enchondroma. The initial X-ray images of the patient appeared to be an enchondroma, which only on further evaluation and histopathological analysis was diagnosed conclusively to be a hypertrophic nonunion. Discussion. Enchondromas are often incidentally diagnosed benign tumours. It is however not common to misdiagnose a hypertrophic nonunion to be an enchondroma. We present this case to highlight the unique diagnostic dilemma the treating team had to face.

  13. Pulsed electromagnetic stimulation in nonunion of tibial diaphyseal fractures

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    Gupta Anil

    2009-01-01

    Full Text Available Background: Nonunion of long bones is a difficult clinical problem and challenges the clinical acumen of surgeons. Multiple surgical or nonsurgical modalities have been used to treat nonunions. Noninvasive pulsed electromagnetic stimulation is an entity known to affect the piezoelectric phenomenon of bone forming cells. We conducted a study on 45 long-bone fractures of tibia treated by pulsed electromagnetic stimulation, which are analyzed and reported. Materials and Methods: A total of 45 tibial fractures with established atrophic nonunion were enrolled between 1981 and 1988. All the patients had abnormal mobility and no or minimal gap at fracture site with no evidence of callus formation across the fracture site. The patients′ age ranged between 24 and 68 years; 40 were men and 5 were women. All patients having evidence of infection, implant in situ , and gap nonunions were excluded from study. Pulsed electromagnetic stimulation was given using above-knee plaster of Paris cast (0.008 Weber/m 2 magnetic field was created for 12 h/day. The average duration for pulsed electromagnetic stimulation (PEMS therapy was 8.35 weeks, with the range being 6-12 weeks. The cases were evaluated at 6 weeks and subsequently every 6-weekly interval for clinical and radiological union. The withdrawal of therapy was decided as per clinicoradiological evidence of union. Results: All but three patients showed evidence of union. About 35% (n = 16 cases showed union in 10 weeks, and 85% (n = 38 cases showed union in 4 months. The average duration of therapy using PEMS was 8.35±0.48 weeks, and the average duration of immobilization was 3.02 ± 0.22 months. Three cases that did not show evidence of union were poorly compliant for the apparatus of PEMS. Conclusion: PEMS is a useful noninvasive modality of treatment for difficult nonunion of long bones.

  14. Use of bone marrow derived stem cells in a fracture non-union

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    Binod C. Raulo

    2012-01-01

    Full Text Available This is an attempt of using in vitro cultured mesenchymal stem cells (MSCs from bone marrow in joining of a fracture non-union. Bone marrow cells were obtained and differentially centrifuged for MSCs that were grown in vitro in mesenchymal stem cell basal medium aseptically, for 10 d. The cell mass was injected around the fracture non-union. Healthy conditions of development of tissue regeneration at the trauma site and due bone joining were recorded. It is concluded that in vitro cultured MSCs had a blithesome effect on the fracture non-union.

  15. Use of bone marrow derived stem cells in a fracture non-union

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    Binod C Raulo; Chidananda Dash; Shakti Rath; Sukumar Chakrabarty; Padmanav Rautray; Jagannath Sahoo; Rabindra N Padhy

    2012-01-01

    This is an attempt of using in vitro cultured mesenchymal stem cells (MSCs) from bone marrow in joining of a fracture non-union. Bone marrow cells were obtained and differentially centrifuged for MSCs that were grown in vitro in mesenchymal stem cell basal medium aseptically, for 10 d. The cell mass was injected around the fracture non-union. Healthy conditions of development of tissue regeneration at the trauma site and due bone joining were recorded. It is concluded that in vitro cultured MSCs had a blithesome effect on the fracture non-union.

  16. Extracorporeal shock wave therapy for non-unions and delayed fracture healing

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    Schaden, Wolfgang; Fischer, Andreas; Sailler, Andreas; Karadas, Ender

    2005-04-01

    Although the primary management of fractures is highly developed in Central Europe 1% of fractures develop a non-union. After successful pilot studies the Traumacenter Meidling started in December 1998 to treat non-unions regularly with shock wave therapy. From December 1998 to August 2004, 1153 patients with non-union and delayed healing fractures were treated. The results of 755 patients are available up to September 2004. The patients consisted of 250 (33%) female and 505 (67%) male. The mean age was 44.1 years (10; 90). The mean age of the non-union was 15.5 months. In 74 (10%) osteomyelitis was present before shockwave therapy. Out of 755 non-unions 593 (79%) achieved bony healing. As expected, the subgroup of 284 delayed unions (shockwave therapy 3-6 months after the trauma or the last surgery concerning the bone) showed the best results. 245 (86%) healed. Out of 471 non-unions being older than 6 months 348 (72%) achieved bony healing. Because of the efficacy and the lack of complications as well as the economic advantage in comparison to surgery, shockwave therapy is considered as therapy of first choice in the treatment of non-union and delayed healing fractures.

  17. Avascular necrosis (AVN) of the proximal fragment in scaphoid nonunion: Is intravenous contrast agent necessary in MRI?

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    Schmitt, R., E-mail: schmitt.radiologie@herzchirurgie.de [Department of Diagnostic and Interventional Radiology, Cardiovascular Center, Bad Neustadt an der Saale (Germany); Christopoulos, G.; Wagner, M. [Department of Diagnostic and Interventional Radiology, Cardiovascular Center, Bad Neustadt an der Saale (Germany); Krimmer, H. [Department of Hand Surgery, Cardiovascular Center, Bad Neustadt an der Saale (Germany); Fodor, S. [Department of Diagnostic and Interventional Radiology, Cardiovascular Center, Bad Neustadt an der Saale (Germany); Schoonhoven, J. van; Prommersberger, K.J. [Department of Hand Surgery, Cardiovascular Center, Bad Neustadt an der Saale (Germany)

    2011-02-15

    Purpose: The purpose of this prospective study is to assess the diagnostic value of intravenously applied contrast agent for diagnosing osteonecrosis of the proximal fragment in scaphoid nonunion, and to compare the imaging results with intraoperative findings. Materials and methods: In 88 patients (7 women, 81 men) suffering from symptomatic scaphoid nonunion, preoperative MRI was performed (coronal PD-w FSE fs, sagittal-oblique T1-w SE nonenhanced and T1-w SE fs contrast-enhanced, sagittal T2*-w GRE). MRI interpretation was based on the intensity of contrast enhancement: 0 = none, 1 = focal, 2 = diffuse. Intraoperatively, the osseous viability was scored by means of bleeding points on the osteotomy site of the proximal scaphoid fragment: 0 = absent, 1 = moderate, 2 = good. Results: Intraoperatively, 17 necrotic, 29 compromised, and 42 normal proximal fragments were found. In nonenhanced MRI, bone viability was judged necrotic in 1 patient, compromised in 20 patients, and unaffected in 67 patients. Contrast-enhanced MRI revealed 14 necrotic, 21 compromised, and 53 normal proximal fragments. Judging surgical findings as the standard of reference, statistical analysis for nonenhanced MRI was: sensitivity 6.3%, specificity 100%, positive PV 100%, negative PV 82.6%, and accuracy 82.9%; statistics for contrast-enhanced MRI was: sensitivity 76.5%, specificity 98.6%, positive PV 92.9%, negative PV 94.6%, and accuracy 94.3%. Sensitivity for detecting avascular proximal fragments was significantly better (p < 0.001) in contrast-enhanced MRI in comparison to nonenhanced MRI. Conclusion: Viability of the proximal fragment in scaphoid nonunion can be significantly better assessed with the use of contrast-enhanced MRI as compared to nonenhanced MRI. Bone marrow edema is an inferior indicator of osteonecrosis. Application of intravenous gadolinium is recommended for imaging scaphoid nonunion.

  18. Tibia shaft fractures: costly burden of nonunions

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    Antonova Evgeniya

    2013-01-01

    Full Text Available Abstract Background Tibia shaft fractures (TSF are common for men and women and cause substantial morbidity, healthcare use, and costs. The impact of nonunions on healthcare use and costs is poorly described. Our goal was to investigate patient characteristics and healthcare use and costs associated with TSF in patients with and without nonunion. Methods We retrospectively analyzed medical claims in large U.S. managed care claims databases (Thomson Reuters MarketScan®, 16 million lives. We studied patients ≥ 18 years old with a TSF diagnosis (ICD-9 codes: 823.20, 823.22, 823.30, 823.32 in 2006 with continuous pharmaceutical and medical benefit enrollment 1 year prior and 2 years post-fracture. Nonunion was defined by ICD-9 code 733.82 (after the TSF date. Results Among the 853 patients with TSF, 99 (12% had nonunion. Patients with nonunion had more comorbidities (30 vs. 21, pre-fracture and were more likely to have their TSF open (87% vs. 70% than those without nonunion. Patients with nonunion were more likely to have additional fractures during the 2-year follow-up (of lower limb [88.9% vs. 69.5%, P  Conclusions Nonunions in TSF’s are associated with substantial healthcare resource use, common use of strong opioids, and high per-patient costs. Open fractures are associated with higher likelihood of nonunion than closed ones. Effective screening of nonunion risk may decrease this morbidity and subsequent healthcare resource use and costs.

  19. Sandwich allografts for long-bone nonunions in patients with osteogenesis imperfecta: a retrospective study.

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    Puvanesarajah, Varun; Shapiro, Jay R; Sponseller, Paul D

    2015-02-18

    Patients with osteogenesis imperfecta often develop nonunions, as internal fixation has limited applicability in this condition. We report the outcomes of a modified "sandwich technique" in the treatment of long-bone nonunions in patients with osteogenesis imperfecta; this technique brings circumferential stabilization and normal collagen to the nonunion site. From May 2003 through February 2012, twelve patients (eight females, four males; median age, 39.0 years; range, eleven to seventy-eight years) who had osteogenesis imperfecta (Sillence type I [three], type III [eight], and type IV [one]) and a combined total of thirteen nonunions (two humeral, two radial, three femoral, four tibial, and two ulnar; median duration, 15.0 months; range, six to 204 months) were treated at our institution with compressed sandwich allograft cortical struts. The struts were fashioned to be wide enough to allow for increased osteoconductive surface area and to approximate a hemicylindrical shape. Treatment history and demographics data were acquired through retrospective chart review. Follow-up radiographs were analyzed by two attending orthopaedic surgeons to determine radiographic findings. The median follow-up time was 4.6 years (range, 2.1 to 10.3 years). All thirteen nonunions, including one requiring a second graft procedure, healed with abundant, smooth allograft incorporation, resulting in an initial healing rate of 92% because of a refracture in one patient. This patient's nonunion ultimately healed with additional allograft struts and a new intramedullary rod. One patient required removal of prominent screws. The final follow-up examinations revealed no pain or refracture at the original nonunion site. All patients regained their prefracture level of function. Sandwich allograft struts constitute a durable, safe method for the stabilization and healing of persistent long-bone nonunions in patients with osteogenesis imperfecta. All patients showed incorporation of the

  20. Nonunion of paediatric talar neck fracture

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    Jindal Nipun

    2014-02-01

    Full Text Available 【Abstract】Fractures of the paediatric talus are infrequent injuries, most complicated by posttraumatic arthrosis and avascular necrosis in the course of treatment. Non- union in children has not been reported before in literature. We report a case of a 12-year-old boy who had a nonunion of Hawkins type II fracture of talar neck. The nonunion was treated surgically with a good clinical outcome. The goals of management in nonunion of paediatric talar neck fracture are different from those in fresh fractures. A suboptimal reduction should be acceptable without trying a radical surgery which may cause further impairment.

  1. Nonunion with Breakage of Gamma Nail and Subsequent Fracture in the Ipsilateral Femur

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    Takahiro Niikura

    2013-01-01

    Full Text Available We describe a rare case with breakage of gamma nail accompanied by nonunion of the original fracture and a subsequent new fracture in the ipsilateral femur. A 73-year-old woman suffered a subtrochanteric fracture of the femur, and the fracture was fixed with gamma nail at a previous hospital. However, fracture reduction was not adequately achieved and a large gap remained between the fracture fragments. The fracture demonstrated atrophic nonunion 10 months after surgery, and autologous bone grafting was performed at the same hospital. Two months after the second surgery, a breakage of the nail at the distal screw hole was observed. Twenty-six months after the second surgery, the patient fell and a fracture occurred at the level of the nail breakage. The atrophic nonunion site and fresh fracture site were very close thus demonstrating a segmental fracture. We exchanged the original gamma nail with a long gamma nail and performed autologous bone grafting at the nonunion site. Both the fresh fracture site and the nonunion site obtained bony union. This tragic chain of events was caused by inappropriate initial treatment and replacing the nail to a longer nail and autologous bone grafting were effective as salvage surgery.

  2. Arthroscopic grafting of scaphoid nonunion - surgical technique and preliminary findings from 23 cases.

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    Cognet, J-M; Louis, P; Martinache, X; Schernberg, F

    2017-02-01

    We report our experience with the arthroscopic treatment of 23 cases of scaphoid nonunion. We explain the surgical technique and describe the different steps needed to achieve bone union. We report our initial clinical and radiological results. This was a prospective non-randomized study. Inclusion criteria were a scaphoid nonunion without radiocarpal arthritis, without any time limit and without any selection as to nonunion location. Before the operation, patients underwent an X-Ray and CT scan or MRI. Schernberg's classification was used to evaluate the location of the nonunion. Internal fixation was performed with a screw or K-wires. Bone grafts were taken from the dorsal side of the distal radius using a T-Lok™ bone marrow biopsy needle (Argon Medical Devices, Plano, TX, USA). A CT scan was performed 3 months after the operation to determine whether union was achieved. Pain, strength and range of motion were evaluated before and after the operation. The patients' smoking habits were also documented. The average follow-up was 17.3 months (4-41). There were 20 men and 3 women with an average age of 26 years (17-63). The average duration of nonunion before the operation was 17 months (6-60). Based on Schernberg's classification, there was one type I, 12 type II and 10 type III nonunions. Wrist strength increased from 32 to 41kg. Union was obtained in all patients after an average of 4 months (3-12). Numerous treatments have been described for treating scaphoid nonunion: Matti-Russe, Fisk-Fernadez bone graft, vascularized bone graft, bone substitutes, etc. The success rate varies depending on the technique and study design. We have described an arthroscopic technique for treating scaphoid nonunion with very promising preliminary results. Arthroscopic debridement is needed to ensure good quality bone at the graft site, while preserving extrinsic vascularization. Traction is used during the operation to restore the scaphoid height, once debridement has been

  3. Treatment of nonunions of the distal phalanx with olecranon bone graft.

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    Ozçelik, I B; Kabakas, F; Mersa, B; Purisa, H; Sezer, I; Ertürer, E

    2009-10-01

    Distal phalangeal fractures are the most common fractures of the hand but nonunions are unusual in the distal phalanx. Eleven patients were operated on for nonunions of the distal phalanx. The diagnosis of nonunion was made by the presence of the clinical (pain, deformity, instability) and radiological signs of nonunion more than 4 months after the initial injury. Three patients had developed infection and four of them had bone resorption after their initial treatments, which probably caused nonunion. Olecranon bone grafting combined with Kirschner wire fixation was done in all patients. The mean follow up was 7 months (range 5-18 months). There were no major complications at the donor or recipient sites. One patient had a haematoma formation at the donor site. There was complete radiological union of bone-grafted sites in all patients except one. There were no cases of pain, deformity, or instability after the treatment. The olecranon bone graft was found to be safe and easy to harvest. Its strong tubular structure replaced the distal phalanx successfully.

  4. Nonunion in a distal radius metaphyseal fracture in a child Role of intact periosteal sleeve in management

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    Raju Sivashanmugam

    2015-01-01

    Full Text Available We present an adolescent with distal radius nonunion following an open fracture and failed surgery which eventually united when the length and stability was restored for eight weeks duration. The intact periosteal sleeve at the nonunion site formed new bone when its tension was restored by gradual differential distraction. This case report highlights the possibility of stimulating bony union in an established atrophic nonunion by distracting the minimally disturbed soft tissue and thick osteogenic periosteal envelope in the paediatric age group.

  5. Ilizarov′s method for treatment of nonunion of diaphyseal fractures of the humerus

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    Kiran Manish

    2010-01-01

    Full Text Available Background: Nonunion in diaphyseal fractures of the humerus can be treated by various modalities like plating and bone grafting, exchange nailing, fibular strut grafting and Ilizarov′s method of ring fixation. To achieve union in infected nonunion in which multiple surgeries have already been done is further challenging. We conducted a prospective study wherein the outcome of the treatment of nonunion of diaphyseal fractures of the humerus by Ilizarov′s method was analyzed. Materials and Methods: Nineteen patients with diaphyseal nonunion of the humerus were treated by Ilizarov′s external fixator. These included nonunion after plating (n=11, intramedullary nailing (n=1 or conservative methods (n=7. In post-surgical infected nonunion (n=6, the implants were removed, debridement done, bone fragments were docked followed by application of ring fixator and compression. In aseptic nonunion (n=13, distraction for three weeks followed by compression was the protocol. Early shoulder and elbow physiotherapy was instituted. The apparatus was removed after clinical and radiological union and the results were assessed for bone healing and functional status. Results: Fracture union was achieved in all the 19 cases. Pin site infection was seen in 2 cases (10.52%. The bone healing results were excellent in eighteen cases (94.73% and good in one case (5.26%.The functional results were found to be excellent in fourteen cases (73.68%, good in four (21.05% and fair in one case (5.26%. Conclusion: Ilizarov′s method is an excellent option for treatment of septic and aseptic non union of diaphyseal fractures of the humerus as it addresses all the problems associated with non union of the humerus like infection, deformity and joint stiffness.

  6. Detection of synovial pseudarthrosis by 99mTc scintigraphy: application to treatment of traumatic nonunion with constant direct current

    Energy Technology Data Exchange (ETDEWEB)

    Esterhai, J.L. Jr.; Brighton, C.T.; Heppenstall, R.B.; Alavi, A.; Desai, A.G.

    A prospective study utilizing technetium scintigraphy to evaluate nonunion patients prior to the electrical stimulation of osteogenesis is reported. Roentgenographic evaluation and scintigraphy must include four views (anteroposterior, lateral and both obliques). Although all nonunion technetium scans showed increased uptake of the radionuclide at the fracture site, three bone scan patterns were identified: (1) intense, uniformly increased uptake at the nonunion site (69.5%); (2) photon deficient (cold) cleft between two intense areas of uptake (23.4%); and (3) indeterminate pattern (7.1%). The presence of a cold cleft between two intense areas of uptake on scintigraphy correlated closely with the presence of a synovial pseudarthrosis at surgery. Nonunions of the humerus were most frequently associated with synovial pseudarthrosis (57.1%). The presence of a synovial pseudarthrosis as suggested by technetium scintigraphy mandates open excision of the lining membrane at the time of electrode insertion.

  7. Rodent animal models of delayed bone healing and non-union formation: a comprehensive review

    Directory of Open Access Journals (Sweden)

    P Garcia

    2013-07-01

    Full Text Available Despite the growing knowledge on the mechanisms of fracture healing, delayed healing and non-union formation remain a major clinical challenge. Animal models are needed to study the complex process of normal and impaired fracture healing and to develop new therapeutic strategies. Whereas in the past mainly large animals have been used to study normal and impaired fracture healing, nowadays rodent models are of increasing interest. New osteosynthesis techniques for rat and mice have been developed during the last years, which allowed for the first time stable osteosynthesis in these animals comparable to the standards in large animals and humans. Based on these new implants, different models in rat and mice have been established to study delayed healing and non-union formation. Although in humans the terms delayed union and non-union are well defined, in rodents definitions are lacking. However, especially in scientific studies clear definitions are necessary to develop a uniform scientific language and allow comparison of the results between different studies. In this consensus report, we define the basic terms “union”, “delayed healing” and “non-union” in rodent animal models. Based on a review of the literature and our own experience, we further provide an overview on available models of delayed healing and non-union formation in rats and mice. We further summarise the value of different approaches to study normal and delayed fracture healing as well as non-union formation, and discuss different methods of data evaluation.

  8. Arthroscopic Treatment of Medial Femoral Condylar Coronal Fractures and Nonunions

    Science.gov (United States)

    Ercin, Ersin; Bilgili, M. Gokhan; Basaran, S. Hakan; Baca, Emre; Kural, Cemal; Avkan, M. Cevdet

    2013-01-01

    Nonunion of medial femoral condylar coronal fractures are uncommon. In neglected Hoffa fractures despite nonunion, there is a risk of missing accompanying ligamentous and intra-articular injuries. Neither preoperative clinical examination nor magnetic resonance imaging showed these injuries before arthroscopy. Arthroscopy before internal fixation gives additional information and changes the surgical protocol for these fractures and nonunions. PMID:24400191

  9. Labor law for the nonunion agency.

    Science.gov (United States)

    Gilliland, J C

    1997-03-01

    Providers should not assume that because they are union free they need not worry about labor law. An agency can have obligations under labor laws even when no union is involved. Who are nonunion employees, legally speaking? What rights do they have, and how can agencies ensure that they are in compliance with those rights?

  10. Adult proximal humerus locking plate for the treatment of a pediatric subtrochanteric femoral nonunion: a case report.

    Science.gov (United States)

    Cortes, Luis E; Triana, Miguel; Vallejo, Francisco; Slongo, Theddy F; Streubel, Philipp N

    2011-07-01

    Nonunions of pediatric subtrochanteric femur fractures are exceedingly rare and have to date not been reported in the literature. We present the case of an 11-year-old boy who developed such a nonunion after open reduction internal fixation using a pediatric locked proximal femur plate. Using an adult proximal humerus locking plate, adequate proximal fixation of the nonunion was obtained. Furthermore, previously placed distal screw holes were safely bridged and the biomechanical environment around the nonunion site improved. Uneventful healing was possible with the use of adjuvant bone grafting. No short- or midterm complications occurred. Although other implants can certainly be adapted to a use different than that of its original design, the present case suggests that adult proximal humerus locking plates may be a safe option for revision surgery of the proximal pediatric femur.

  11. Nonunion of forearm fracture: a rare instance in a toddler

    Institute of Scientific and Technical Information of China (English)

    Pramod Saini; Sanjay Meena; Vishal Shekhawat; Tanmay S Kishanpuria

    2012-01-01

    When compared to adults,pediatric fractures unite readily and nonunion is quite rare.Nonunion is often associated with open fractures,operative interventions,infection,pediatric osteogenesis imperfecta and neurofibromatosis.There are only a few studies and reports mentioning nonunion following conservative management of closed pediatric fractures.We report here a case of an eighteen-month-old child who developed nonunion following treatment of fracture of both forearm bones with cast and was successfully treated with plating.To the best of our knowledge,this is the youngest reported case of nonunion following conservative management of closed diaphyseal pediatric fracture.

  12. Nonunion of subtrochanteric fractures: Comminution or Malreduction

    Science.gov (United States)

    Park, Sang Hyun; Kong, Gyu Min; HA, Byeong Ho; Park, Jun Ho; Kim, Kun Hyung

    2016-01-01

    Objective: This study aimed to investigate the impact on nonunion of the extent of comminution and postoperative displacement in patients surgically treated for subtrochanteric fractures. Methods: From 2008 to 2013, 44 patients with subtrochanteric fractures underwent surgery and follow-up. Retrospective data collection showed that it had 32 male and 12 female. Their mean age was 45 years. The case distribution according to Seinsheimer classification was as follows: IIA,8; IIB, 5; IIC, 7; IIIA, 8; IIIB, 3; IV, 9; and V, 4. Cephalomedullary nails were used in 28 cases; ordinary nails, in 9; and plates, in 7. After surgery, the fractures were evaluated for displacement on anteroposterior (AP) and lateral radiography. Results: Of the 44 patients, 37 achieved union from primary surgery at a mean time of 8.4 months. Five cases did not show union within the follow-up period. Two cases of nail breakage were diagnosed as non-union. Among the non-union cases, two were Seinsheimer classification IIIA; 3, IV; and 2, V. Displacement was observed on the lateral and A Pradiographs of 4 cases, on only the lateral radiographs of two cases, and in neither radiograph of one case. The risk of non-union was approximately 15.4 and 24.2 times higher when displacement was observed on the AP (95% confidence interval [CI]: 1.33–176.82) and lateral images (95% CI: 1.76–335.67), respectively. Conclusion: When displacement occurred after surgical treatment for subtrochanteric fractures, the risk of nonunion increased owing to the difficulty achieving stable fixation. PMID:27375695

  13. Valgus osteotomy for nonunion and neglected neck of femur fractures.

    Science.gov (United States)

    Varghese, Viju Daniel; Livingston, Abel; Boopalan, P R; Jepegnanam, Thilak S

    2016-05-18

    Nonunion neck of femur can be a difficult problem to treat, particularly in the young, and is associated with high complication rates of avascular necrosis due to the precarious blood supply and poor biomechanics. The various treatment options that have been described can be broadly divided according to the aim of improving either biology or biomechanics. Surgeries aimed at improving the biology, such as vascularized fibula grafting, have good success rates but require high levels of expertise and substantial resources. A popular surgical treatment aimed at improving the biomechanics-valgus intertrochanteric osteotomy-optimizes conditions for fracture healing by converting shear forces across the fracture site into compressive forces. Numerous variations of this surgical procedure have been developed and successfully applied in clinical practice. As a result, the proximal femoral orientation for obtaining a good functional outcome has evolved over the years, and the present concept of altering the proximal femoral anatomy as little as possible has arisen. This technical objective supports attaining union as well as a good functional outcome, since excessive valgus can lead to increased joint reaction forces. This review summarizes the historical and current literature on valgus intertrochanteric osteotomy treatment of nonunion neck of femur, with a focus on factors predictive of good functional outcome and potential pitfalls to be avoided as well as controversies surrounding this procedure.

  14. Mini-invasive treatment for delayed or non-union: the use of percutaneous autologous bone marrow injection

    Directory of Open Access Journals (Sweden)

    Trung Hau LE THUA

    2015-11-01

    Full Text Available Delayed union or nonunion of bone fracture is becoming less frequent, but still remains a challenging clinical problem. Autologous cancellous bone grafting that is the gold standard method, often involves donor site morbidities and complications. Once these fractures have been mechanically stabilized, other local factors should be investigated to promote delayed healing. The purpose of this study was to evaluate the initial outcome of the percutaneous injection of autologous bone marrow after concentration for the treatment of delayed or nonunion. Our subjects included 10 patients of delayed or nonunion fracture (3 female, 7 male with an average age of 28 years. All fractures were mechanically stabilized after accident. Delayed or nonunion affected the femur in 2 patients, the tibia in 5 patients, the humerus in 2 patients, and the ulna in 1 patient. Bone marrow aspirates were obtained from both the posterior superior iliac crest. Bone marrow aspiration concentrate was produced via density gradient centrifugation. Trocars were inserted in the delayed or nonunion gap under fluoroscopic guidance. The bone marrow aspiration concentrate was injected slowly. As results, all of 10 delayed or nonunion healed after treatment with percutaneous injection of autologous bone marrow. The mean time for new bone formation was 3.3 months, for clinical union was 5.2 months, and for radiological union was 11.8 months. The current study is encouraging in the initial outcome and percutaneous bone marrow implantation could be an effective and safe treatment for delayed or nonunion. [Biomed Res Ther 2015; 2(11.000: 389-395

  15. Nonunion of forearm fracture: a rare instance in a toddler

    Directory of Open Access Journals (Sweden)

    Saini Pramod

    2012-12-01

    Full Text Available 【Abstract】 When compared to adults, pediatric frac-tures unite readily and nonunion is quite rare. Nonunion is often associated with open fractures, operative interventions, infection, pediatric osteogenesis imperfecta and neurofibromatosis. There are only a few studies and reports mentioning nonunion following conservative ma-nagement of closed pediatric fractures. We report here a case of an eighteen-month-old child who developed non-union following treatment of fracture of both forearm bones with cast and was successfully treated with plating. To the best of our knowledge, this is the youngest reported case of nonunion following conservative management of closed diaphyseal pediatric fracture. Key words: Forearm; Fractures, bone; Child

  16. Congenital pseudoarthrosis of the tibia: healing by lengthening over a rod without compression of the nonunion. A preliminary report.

    Science.gov (United States)

    Muhammad Abdul Jamil, Muhammad Kamal; Abdul Rashid, Abdul Halim; Ibrahim, Sharaf

    2013-05-01

    This preliminary report is on two patients with congenital pseudoarthrosis of the tibia who had a persistent nonunion following intramedullary rodding and bone grafting. We do not advocate repeated surgery to achieve union. When limb length discrepancy becomes greater than 5 cm, we proceeded with an Ilizarov procedure with the primary aim of equalizing limb length rather than achieving union. Healing of the pseudoarthrosis occurred in both patients after lengthening over the intramedullary rod without compression of the nonunion site. We believe that union occurs because of hyperaemia during the lengthening. This approach minimizes the repeated surgeries that are usually needed and thus ensures a more normal childhood without frequent hospitalizations.

  17. Effects of extracorporeal shock wave therapy on fracture nonunions.

    Science.gov (United States)

    Vulpiani, Maria C; Vetrano, Mario; Conforti, Federica; Minutolo, Lucia; Trischitta, Donatella; Furia, John P; Ferretti, Andrea

    2012-09-01

    The purpose of this study was to examine the effect of focused extracorporeal shock wave therapy (ESWT) on the treatment of nonunions. As part of a prospective study, we included 143 patients (average age, 41.4 years) with a diagnosis of nonunion (mean, 14.1 months; range, 6-84 months). High-energy shock wave treatment was applied using shock wave generator. The shock waves were applied in 3-5 sessions of 2500 to 3000 impulses each given at 0.25-0.84 mJ/mm(2), at intervals of 48-72 hours between sessions. A maximum of 3 cycles of treatment was given, at 3-month intervals. The patients were followed during a 12-month period until fracture healing or, in case of failure, until another therapy was adopted. Complete healing was observed in 80 of 143 cases (55.9%) at an average time of 7.6 months (range 2-24 months). Partial healing occurred in 41 cases (28.7%) and no healing was observed in 22 cases (15.4%). Patients with trophic nonunions had a better success rate than patients with atrophic nonunions (Pextracorporeal shock wave therapy is a safe and effective treatment for nonunion. ESWT is more effective for trophic nonunions than atrophic nonunions.

  18. Multi-Sited Comparison of "Doing Regulation"

    DEFF Research Database (Denmark)

    Sørensen, Estrid

    2008-01-01

    George Marcus (1995) understreger, at multi-sited etnografi indeholder en komparativ dimension. I forhold til den generelle definition af sammenligning mangler multi-sited etnografi dog et væsentligt komponent, nemlig det uforanderlige element, der går igen på tværs af kontekster - det såkaldte...

  19. Worldwide site comparison for submillimetre astronomy

    CERN Document Server

    Tremblin, P; Minier, V; Durand, G Al; Urban, J

    2012-01-01

    The most important limitation for ground-based submillimetre (submm) astronomy is the broad-band absorption of the total water vapour in the atmosphere above an observation site, often expressed as the Precipitable Water Vapour (PWV). A long-term statistic on the PWV is thus mandatory to characterize the quality of an existing or potential site for observational submm-astronomy. In this study we present a three-year statistic (2008-2010) of the PWV for ground-based telescope sites all around the world and for stratospheric altitudes relevant for SOFIA (Stratospheric Observatory for Far-infrared astronomy). The submm-transmission is calculated for typical PWVs using an atmospheric model. We present the absolute PWV values for each site sorted by year and time percentage. The PWV corresponding to the first decile (10%) and the quartiles (25%, 50%, 75%) are calculated and transmission curves between 150 {\\mu}m and 3 mm for these values are shown. The Antarctic and South-American sites present very good condition...

  20. Outcome of locking compression plates in humeral shaft nonunions

    Directory of Open Access Journals (Sweden)

    Malhar N Kumar

    2013-01-01

    Conclusions: Locking compression plating and cancellous bone grafting is a reliable option for achieving union in humeral diaphyseal nonunion with failed previous internal fixation and results in good functional outcome in patients with higher physiological demands.

  1. Nonunion of acetabular fractures: evaluation with interactive multiplanar CT

    Energy Technology Data Exchange (ETDEWEB)

    Kuhlman, J.E.; Fishman, E.K.; Ney, D.R.; Brooker, A.F. Jr.; Magid, D.

    1989-01-01

    Nonunions involving fractures of the acetabulum are reportedly rare, with few citings and little discussion in the literature. It is possible that acetabular nonunions go undetected because imaging of the acetabulum is difficult by conventional radiography. We report two cases of fracture nonunion involving the weight-bearing surface of the acetabulum diagnosed with the aid of computed tomography (CT) and a newly developed interactive 2D/3D orthotool that uniquely processes and reformats routine CT data. The interactive 2D/3D orthotool is a sophisticated computer program that allows dynamic viewing of standard multiplanar reconstructions in the axial, coronal, and sagittal planes as well as multiple oblique projections. The 2D/3D orthotool provides on screen correlation of two-dimensional multiplanar images with three-dimensional reconstructions of the pelvis. The authors found this capability ideally suited for studying fractures with off-axis orientation such as those through the acetabular dome, greatly facilitating the diagnosis of nonunion.

  2. Effectiveness of plate augmentation for femoral shaft nonunion after nailing

    Directory of Open Access Journals (Sweden)

    Chin-Jung Lin

    2012-08-01

    Conclusion: Plate augmentation with retention of the nail with autologous bone grafting may be an effective and reliable alternative in treating nonunion of the femoral shaft fracture after open reduction and internal fixation with intramedullary nail.

  3. Treatment of nonunions of long bone fractures with shock waves

    Science.gov (United States)

    Wang, Ching-Jen

    2003-10-01

    A prospective clinical study investigated the effectiveness of shock waves in the treatment of 72 patients with 72 nonunions of long bone fractures (41 femurs, 19 tibias, 7 humeri, 1 radius, 3 ulnas and 1 metatarsal). The doses of shock waves were 6000 impulses at 28 kV for the femur and tibia, 3000 impulses at 28 kV for the humerus, 2000 impulses at 24 kV for the radius and ulna, and 1000 impulses at 20 kV for the metatarsal. The results of treatment were assessed clinically, and fracture healing was assessed with plain x-rays and tomography. The rate of bony union was 40% at 3 months, 60.9% at 6 months and 80% at 12 months followup. Shock wave treatment was most successful in hypertrophic nonunions and nonunions with a defect and was least effective in atrophic nonunions. There were no systemic complications or device-related problems. Local complications included petechiae and hematoma formation that resolved spontaneously. In the author's experience, the results of the shock wave treatment were similar to the results of surgical treatment for chronic nonunions with no surgical risks. Shock wave treatment is a safe and effective alternative method in the treatment of chronic nonunions of long bones.

  4. Nonvascularized fibular grafting in nonunion of femoral neck fracture: A systematic review

    Directory of Open Access Journals (Sweden)

    Sujit Kumar Tripathy

    2016-01-01

    Full Text Available Nonunion of femoral neck fractures following primary fixation and neglected femoral neck fracture in young adults is a challenging task. Every effort should be directed toward hip joint salvage in these patients. Among different available options of hip salvage, nonvascularized fibular graft (NVFG osteosynthesis is simple, easy to perform, and a successful technique. In this review, the available literature on NVFG in neglected and nonunion femoral neck fractures has been analyzed. After review of 15 articles on NVFG, the average nonunion rate was estimated to be 7.86% (range 0-31%. Six articles that evaluated the preoperative and postoperative osteonecrosis reported improvement in 50% patients. The clinical and/or functional outcome was good to excellent in 56-96% patients following fibular osteosynthesis. Few complications such as coxa vara deformity, limb shortening, and intraarticular penetration of the graft or hardware have been reported. However, there are minimal donor site morbidities such as mild ankle pain, transient loss of toe flexors and extensors and transient lateral popliteal nerve palsy.

  5. Two-Stage Surgical Treatment for Non-Union of a Shortened Osteoporotic Femur

    Directory of Open Access Journals (Sweden)

    Galal Zaki Said

    2013-01-01

    Full Text Available Introduction: We report a case of non-union with severe shortening of the femur following diaphysectomy for chronic osteomyelitis.Case Presentation: A boy, aged 16 years presented with a dangling and excessively short left lower limb. He was using an elbow crutch in his right hand to help him walk. He had a history of diaphysectomy for chronic osteomyelitis at the age of 9. Examination revealed a freely mobile non-union of the left femur. The femur was the seat of an 18 cm shortening and a 4 cm defect at the non-union site; the knee joint was ankylosed in extension. The tibia and fibula were 10 cm short. Considering the extensive shortening in the femur and tibia in addition to osteoporosis, he was treated in two stages. In stage I, the femoral non-union was treated by open reduction, internal fixation and iliac bone grafting. The patient was then allowed to walk with full weight bearing in an extension brace for 7 months. In Stage II, equalization of leg length discrepancy (LLD was achieved by simultaneous distraction of the femur and tibia by unilateral frames. At the 6 month follow- up, he was fully weight bearing without any walking aid, with a heel lift to compensate the 1.5 cm shortening. Three years later he reported that he was satisfied with the result of treatment and was leading a normal life as a university student.Conclusions: Two-stage treatment succeeded to restore about 20 cm of the femoral shortening in a severely osteoporotic bone. It has also succeeded in reducing the treatment time of the external fixator.

  6. Comparison of Transcription Factor Binding Site Models

    KAUST Repository

    Bhuyan, Sharifulislam

    2012-05-01

    Modeling of transcription factor binding sites (TFBSs) and TFBS prediction on genomic sequences are important steps to elucidate transcription regulatory mechanism. Dependency of transcription regulation on a great number of factors such as chemical specificity, molecular structure, genomic and epigenetic characteristics, long distance interaction, makes this a challenging problem. Different experimental procedures generate evidence that DNA-binding domains of transcription factors show considerable DNA sequence specificity. Probabilistic modeling of TFBSs has been moderately successful in identifying patterns from a family of sequences. In this study, we compare performances of different probabilistic models and try to estimate their efficacy over experimental TFBSs data. We build a pipeline to calculate sensitivity and specificity from aligned TFBS sequences for several probabilistic models, such as Markov chains, hidden Markov models, Bayesian networks. Our work, containing relevant statistics and evaluation for the models, can help researchers to choose the most appropriate model for the problem at hand.

  7. Surgical Treatment of an Infected Nonunion of the Middle Third of the Femur Associated with Femoral Shortening in a Hemophilia Patient

    Directory of Open Access Journals (Sweden)

    Ahmet Salduz

    2016-01-01

    Full Text Available The management of nonunion and limb length discrepancy has remained a constant challenge in hemophilic patients. In this study, we aimed to present the treatment of femur infected nonunion and limb length discrepancy in a twenty-seven-year-old patient with hemophilia type A. A 27-year-old male patient with hemophilia type A referred to our institution for the treatment of right femur infected nonunion and 10 cm shortness of the femur. Resection of the nonunion site and bone-to-bone fixation with autologous bone grafting were performed. Compression to the pseudoarthrosis site and distraction from new osteotomy site were applied with the unilateral external fixator. Union was achieved, and 6 cm lengthening was obtained according to the initial length. Patient was followed up for 7 years. After this treatment, the patient is able to walk with full weight bearing on the affected extremity with 4 cm shortening which is compensated by the heel lift. The results of this case indicate that limb lengthening and treatment of nonunion with the external fixation could be reliable and effective method for hemophilic patients.

  8. Stress Fracture and Nonunion of Coronoid Process in a Gymnast

    Directory of Open Access Journals (Sweden)

    T. Hetling

    2016-01-01

    Full Text Available Background. Gymnasts have high mechanical loading forces of up to 14 times body weight. Overuse lesions are typical in wrists and stress fractures in the olecranon, while isolated fractures of the coronoid process are uncommon. We present a case of retraumatized nonunion stress fracture of the ulnar coronoid process. Case Description. A 19-year-old gymnast presented with elbow pain after training. Imaging confirmed an old fracture of the coronoid process. We describe a 6-month multiphase return to competition rehabilitation program, which allowed him to compete pain-freely. Literature Review. Acute and overuse injuries in gymnasts are known but no nonunion of the coronoid process has been described before. Only one case of stress fracture of coronoid process in a gymnast was reported. Purpose and Clinical Relevance. We could successfully and conservatively return to sport a reactivated nonunion of a stress fracture of the coronoid process.

  9. Nonunion of coronal shear fracture of femoral condyle

    Directory of Open Access Journals (Sweden)

    Singh Ajay Pal

    2011-06-01

    Full Text Available 【Abstract】Isolated coronal fractures of femoral condyle are rare in adults and nonunion of Hoffa fracture is reported only a few times in the literature. We analyzed six cases of nonunion of Hoffa fractures over a period of three years. Three patients were treated conservatively and three patients had fixation failures. Delay of presentation was 2 months to one year. Treatment protocol consisted of open reduction, excision of pseudoarthrosis, bone grafting and internal fixation along with knee arthrolysis. Union was achieved in all patients at mean 16 weeks. The treatment of nonunion of Hoffa fractures requires careful preoperative planning and meticulous surgical technique. The literature regarding the controversies in fracture management and surgical technique are reviewed. Key words: Femoral fracture; Fracture fixation, internal; Retrospective studies

  10. Nonunion of coronal shear fracture of femoral condyle

    Institute of Scientific and Technical Information of China (English)

    Ajay Pal Singh; Ish Kumar Dhammi; Raju Vaishya; Anil Kumar Jain; Arun Pal Singh; Prashant Modi

    2011-01-01

    Isolated coronal fractures of femoral condyle are rare in adults and nonunion of Hoffa fracture is reported only a few times in the literature. We analyzed six cases of nonunion of Hoffa fractures over a period of three years. Three patients were treated conservatively and three patients had fixation failures. Delay of presentation was 2 months to one year. Treatment protocol consisted of open reduction, excision of pseudoarthrosis, bone grafting and internal fixation along with knee arthrolysis. Union was achieved in all patients at mean 16 weeks. The treatment of nonunion of Hoffa fractures requires careful preoperative planning and meticulous surgical technique. The literature regarding the controversies in fracture management and surgical technique are reviewed.

  11. Calcaneal nonunion: Three cases and a review of the literature

    NARCIS (Netherlands)

    T. Schepers (Tim); P. Patka (Peter)

    2008-01-01

    textabstractThe long-term follow-up of intra-articular calcaneal fractures is often accompanied by complications. Frequently occurring are arthrosis, arthrofibrosis of the subtalar joint, and malunion. Uncommon is the calcaneal nonunion. A total of three cases is presented in this report, including

  12. Outcomes after operative management of symptomatic rib nonunion.

    Science.gov (United States)

    Gauger, Erich M; Hill, Brian W; Lafferty, Paul M; Cole, Peter A

    2015-06-01

    To report the outcomes of rib reconstruction after painful nonunion. Retrospective case series. Level I trauma center. Between November 2007 and May 2013, 10 patients who presented with 16 rib nonunions and disabling pain were treated with reconstruction of their nonunited rib fractures. Rib nonunion reconstruction predominately with iliac crest bone graft and a tension band plate with a locked precontoured plating system for ribs. Demographic data, mechanism of injury, and number of rib nonunions were recorded. Operative procedure, length of follow-up, complications, Short Form Survey 36, and a patient questionnaire were also captured and documented. Eight of the 10 patients sustained their original fractures from a fall. Outcomes were available for the 10 patients at a mean follow-up of up of 18.6 months (range, 3-46 months). All 16 ribs went on to union with a mean time from reconstruction to union of 14.7 weeks (range, 12-24 weeks). At final follow-up, the mean mental and physical component Short Form Survey 36 scores were 54.4 and 43.5, respectively. Eight of the 10 patients were able to return to work and/or previous activities without limitations. Complications included 1 wound infection that resolved after irrigation and debridement with adjunctive antibiotics. One symptomatic implant was removed. Ten patients with 16 symptomatic rib nonunions were reconstructed using autologous bone graft and implant/mesh fixation manifesting in successful union with improved patient function and a low rate of complications. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

  13. Low-intensity pulsed ultrasound treatment for postoperative delayed union or nonunion of long bone fractures.

    Science.gov (United States)

    Jingushi, Seiya; Mizuno, Kosaku; Matsushita, Takashi; Itoman, Moritoshi

    2007-01-01

    Postoperative delayed union and nonunion is the most common complication in fracture treatment. Recent studies have shown an accelerating effect of low-intensity pulsed ultrasound (LIPUS) on fracture repair. However, the indications for delayed union and nonunion are not clear. To clarify the factors which influence the effects of LIPUS, the data from a previous prospective multicenter study on LIPUS treatment for postoperative delayed union and nonunion of long bone fractures were reanalyzed. Seventy-two cases of long bone fracture, including those of the femur, tibia, humerus, radius, and ulna, were analyzed. The mean time from the most recent operation to the beginning of LIPUS treatment was 11.5 (3-68) months. The relationship between the background factors and the union rate was analyzed using a logistic regression method. In addition, long bone fractures in an upper extremity or in a lower extremity were analyzed separately. The union rate was 75% in all the cases of long bone fracture. There was a significant relationship between the union rate and the period from the most recent operation to the beginning of LIPUS treatment in all cases and in those that had long bone fracture of an upper extremity. There was also a significant relationship between the union rate and the time when a radiological improvement was first observed after the beginning of the treatment in all cases and in those with fractures in a lower extremity. When LIPUS treatment was started within 6 months of the most recent operation, 89.7% of all fractures healed. When an improvement in the radiological changes at the fracture site was observed after 4 months in those cases, then the sensitivity and specificity for union were more than 90%. LIPUS treatment should be started within 6 months of the most recent operation. Because LIPUS has been shown to be effective without causing either serious invasiveness or any undue risk to the patient, it may be considered the treatment of first choice

  14. Cloud Computing for Protein-Ligand Binding Site Comparison

    Science.gov (United States)

    2013-01-01

    The proteome-wide analysis of protein-ligand binding sites and their interactions with ligands is important in structure-based drug design and in understanding ligand cross reactivity and toxicity. The well-known and commonly used software, SMAP, has been designed for 3D ligand binding site comparison and similarity searching of a structural proteome. SMAP can also predict drug side effects and reassign existing drugs to new indications. However, the computing scale of SMAP is limited. We have developed a high availability, high performance system that expands the comparison scale of SMAP. This cloud computing service, called Cloud-PLBS, combines the SMAP and Hadoop frameworks and is deployed on a virtual cloud computing platform. To handle the vast amount of experimental data on protein-ligand binding site pairs, Cloud-PLBS exploits the MapReduce paradigm as a management and parallelizing tool. Cloud-PLBS provides a web portal and scalability through which biologists can address a wide range of computer-intensive questions in biology and drug discovery. PMID:23762824

  15. Cloud Computing for Protein-Ligand Binding Site Comparison

    Directory of Open Access Journals (Sweden)

    Che-Lun Hung

    2013-01-01

    Full Text Available The proteome-wide analysis of protein-ligand binding sites and their interactions with ligands is important in structure-based drug design and in understanding ligand cross reactivity and toxicity. The well-known and commonly used software, SMAP, has been designed for 3D ligand binding site comparison and similarity searching of a structural proteome. SMAP can also predict drug side effects and reassign existing drugs to new indications. However, the computing scale of SMAP is limited. We have developed a high availability, high performance system that expands the comparison scale of SMAP. This cloud computing service, called Cloud-PLBS, combines the SMAP and Hadoop frameworks and is deployed on a virtual cloud computing platform. To handle the vast amount of experimental data on protein-ligand binding site pairs, Cloud-PLBS exploits the MapReduce paradigm as a management and parallelizing tool. Cloud-PLBS provides a web portal and scalability through which biologists can address a wide range of computer-intensive questions in biology and drug discovery.

  16. Cloud computing for protein-ligand binding site comparison.

    Science.gov (United States)

    Hung, Che-Lun; Hua, Guan-Jie

    2013-01-01

    The proteome-wide analysis of protein-ligand binding sites and their interactions with ligands is important in structure-based drug design and in understanding ligand cross reactivity and toxicity. The well-known and commonly used software, SMAP, has been designed for 3D ligand binding site comparison and similarity searching of a structural proteome. SMAP can also predict drug side effects and reassign existing drugs to new indications. However, the computing scale of SMAP is limited. We have developed a high availability, high performance system that expands the comparison scale of SMAP. This cloud computing service, called Cloud-PLBS, combines the SMAP and Hadoop frameworks and is deployed on a virtual cloud computing platform. To handle the vast amount of experimental data on protein-ligand binding site pairs, Cloud-PLBS exploits the MapReduce paradigm as a management and parallelizing tool. Cloud-PLBS provides a web portal and scalability through which biologists can address a wide range of computer-intensive questions in biology and drug discovery.

  17. Pediatric Scaphoid Proximal Pole Nonunion With Avascular Necrosis.

    Science.gov (United States)

    Jernigan, Edward W; Smetana, Brandon S; Patterson, J Megan M

    2017-04-01

    A 13-year-old, right hand-dominant, otherwise healthy boy presented with left wrist pain 19 months after a nonmotorized scooter injury. Radiographs and magnetic resonance imaging at presentation demonstrated proximal pole scaphoid nonunion with avascular necrosis of the proximal fragment. Operative and nonsurgical treatment options were discussed and the family elected for an attempt at nonsurgical management. The patient was placed in a short-arm thumb spica cast, with a window for a bone stimulator, for 14 weeks. At the conclusion of the treatment, the pain had resolved and x-ray and computed tomography scan demonstrated bony union. The authors recommend considering an initial trial of nonsurgical management for treatment of all pediatric scaphoid nonunions. Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  18. Management of diabetic neuropathic foot and ankle malunions and nonunions

    Directory of Open Access Journals (Sweden)

    John J. Stapleton

    2011-05-01

    Full Text Available The management of diabetic neuropathic foot and ankle malunions and/or nonunions is often complicated by the presence of broken or loosened hardware, Charcot joints, infection, osteomyelitis, avascular bone necrosis, unstable deformities, bone loss, disuse and pathologic osteopenia, and ulcerations. The author discusses a rational approach to functional limb salvage with various surgical techniques that are aimed at achieving anatomic alignment, long-term osseous stability, and adequate soft tissue coverage. Emphasis is placed on techniques to overcome the inherent challenges that are encountered when surgically managing a diabetic nonunion and/or malunion. Particular attention is directed to the management of deep infection and Charcot neuroarthropathy in the majority of the cases presented.

  19. Femoral neck non-union treatment by valgus intertrochanteric osteotomy

    Science.gov (United States)

    Schwartsmann, Carlos Roberto; Spinelli, Leandro de Freitas; Yépez, Anthony Kerbes; Boschin, Leonardo Carbonera; Silva, Marcelo Faria

    2015-01-01

    ABSTRACT OBJECTIVE : The purpose of this study was to evaluate the performance of valgus intertrochanteric osteotomy in femoral neck non-union. METHODS : Forty-two patients with femoral neck fractures with non-union treated using Pauwels' intertrochanteric osteotomy were reviewed. Demographics, time elapsed between fracture and surgery, follow--up, osteosynthesis used, Garden's classification, limb shortening, and x-rays were evaluated. RESULTS : Twenty-two men and 20 women were reviewed. The youngest patient was 18 years old and the oldest 65 years old, with a mean age of 42.4 years (±11.2). The minimum follow-up was 2 years, with a mean of 10.2 years. The average time elapsed between initial fracture and osteotomy was 6.5 months. Twel-ve cases were neglected femoral neck fractures. Nineteen patients were classified as Garden III, and 23 patients as Garden IV. After valgus osteotomy, non-union healing was observed in 38 patients (38/42; 90.4%). Healing of thirty-seven cases of pseudoarthrosis were obtained after the first-attempt osteotomy, and one case required two operations for healing. The osteotomy failed in four cases. Conside-ring the healed osteotomies, good to excellent functional results were achieved in 80.9% (34/42) of the patients. Total hip replacement was subsequently performed in 14.2% (6/42) of the patients for unfavoura-ble outcomes (two for cutting out, two for osteonecrosis, and two for osteoarthritis). CONCLUSIONS : Valgus intertrochanteric osteotomy has a high success rate in archiving healing in femoral neck non-union with good functional results. It is a biological and effective method. Level of Evidence IV, Therapeutic Study. PMID:27057146

  20. Treatment of tibial defect and bone nonunion with limb shortening with external fixator and reconstituted bone xenograft

    Institute of Scientific and Technical Information of China (English)

    王志刚; 刘建; 胡蕴玉; 孟国林; 金格勒; 袁志; 王海强; 戴先文

    2003-01-01

    Objective: To explore the effect of external fixator and reconstituted bone xenograft (RBX) in the treatment of tibial bone defect, tibial bone nonunion and congenital pseudarthrosis of the tibia with limb shortening. Methods: Twenty patients ( 13 males and 7 females) with tibial bone defect, tibial bone nonunion or congenital pseudarthrosis of the tibia with limb shortening were treated with external fixation. Two kinds of external fixators were used: a half ring sulcated external fixator used in 13 patients and a combined external fixator in 7 patients. Foot-drop was corrected at the same time with external fixation in 4 patients. The shortened length of the tibia was in the range of 2-9 cm, with an average of 4.8 cm. For bone grafting, RBX was used in 12 patients, autogenous ilium was used in 3 patients and autogenous fibula was implanted as a bone plug into the medullary canal in 1 case, and no bone graft was used in 4 patients. Results: All the 20 patients were followed-up for 8 months to 7 years, averaging 51 months. Satisfactory function of the affected extremities was obtained. All the shortened extremities were lengthened to the expected length. For all the lengthening area and the fracture sites, bone union was obtained at the last. The average healing time of 12 patients treated with RBX was 4.8 months. Conclusions: Both the half ring sulcated external fixator and the combined external fixator have the advantages of small trauma, simple operation, elastic fixation without stress shielding and non-limitation from local soft tissue conditions, and there is satisfactory functional recovery of affected extremities in the treatment of tibial bone defects, tibial bone nonunion and congenital pseudarthrosis of the tibia combined with limb shortening. RBX has good biocompatibility and does not cause immunological rejections. It can also be safely used in treatment of bone nonunion and has reliable effect to promote bone healing.

  1. Scaphoid nonunions treated with vascularised bone grafts: MRI assessment

    Energy Technology Data Exchange (ETDEWEB)

    Dailiana, Z.H.; Zachos, V.; Varitimidis, S.; Papanagiotou, P.; Karantanas, A.; Malizos, K.N. E-mail: kmalizos@otenet.gr

    2004-06-01

    Purpose: To assess the value of MR imaging (MRI) with regard to union, graft viability and proximal pole bone marrow status, after use of vascularized bone grafts for treating scaphoid nonunions. Materials and methods: Vascularized bone grafts from the distal radius were used to treat 47 scaphoid nonunions resulting from fractures or enchondromas. Clinical and imaging evaluation was used for the pre- and postoperative assessment of all patients. Apart of conventional radiographs obtained in all cases, 15 patients were also assessed postoperatively with MRI at 3 months. From these 15 patients, eight were assessed preoperatively with MRI whereas nine had serial MRI evaluations at 6 and 12 months. The clinical follow-up time of this subgroup of 15 patients ranged from 6 to 27 months. Results: All patients showed clinical signs of union within 12 weeks form the procedure and at the latest follow-up they experienced complete (10 cases) or almost complete (five cases) relief from pain. Both plain and contrast-enhanced MRI obtained at 3 months showed viability of the bone graft in all cases. At 3 months union was established with plain radiographs in 12 patients at both sides of the graft and in three patients between the graft and proximal pole. At 3 months plain MRI showed nonunion in four patients (two between graft and proximal pole, two between graft and distal pole and one at both sides of the graft) whereas contrast-enhanced MRI revealed only one case of nonunion between graft and proximal pole. Four patients were considered to have osteonecrosis of the proximal pole intraoperatively. Two of them showed necrosis of the proximal pole with preoperative and postoperative plain radiographs and three of them with plain postoperative MRI. Contrast-enhanced MRI at 3 months showed postoperative reversal of necrotic changes in all four scaphoids. MRI also revealed bone marrow oedema of the carpal bones surrounding the scaphoid in 14 cases. Serial MRI at 6 and 12 months

  2. Radiological assessment of the PRF/BMSC efficacy in the treatment of aseptic nonunions: A retrospective study on 90 subjects.

    Science.gov (United States)

    Dallari, D; Rani, N; Sabbioni, G; Mazzotta, A; Cenacchi, A; Savarino, L

    2016-11-01

    Nonunion is a major orthopaedic concern because of treatment difficulty, high costs and devastating effects on the patients' life quality. Therefore, there is interest in the use of bone substitutes and cell-based strategies to augment fracture repair. We aimed to verify if Platelet Rich Fibrin (PRF) added with bone marrow stromal cells (BMSC) was able to improve the reparative process in the aseptic nonunion, and to establish whether it was worthwhile with atrophic nonunion. The primary outcome was radiological union. As secondary endpoint, the healing time was assessed, and the radiological consolidation grade at each follow-up. We identified 113 subjects with tibia or femur nonunion and retrospectively created two groups. Group A was constituted by 56 subjects who underwent the standard procedure, i.e. Judet decortication with/out internal fixation devices, and opposite cortical homoplastic stick. In 57 patients, the standard procedure was modified by adding PRF and BMSC carried by homologous lyophilised bone chips (group B). The same surgeon performed all the operations. To our knowledge, no data are reported in the literature about such application. Since a "gold standard" for healing quantification does not exist, a new scoring radiological system was applied, at 1.5, 3, 6, 12 and 24 months after treatment. At the final 24-month follow-up, the radiological union percentage was 94,12 in group B and 95,12% in group A. A decreased healing time was demonstrated in the presence of PRF/BMSC in comparison with the standard procedure. When we compared the radiological scores at each follow-up, we found that the PRF/BMSC combination significantly improved the consolidation grade at 1.5-, 3- and 6-month follow-up in femurs and at 1.5-month follow-up in tibiae. Furthermore, an improved consolidation grade was demonstrated in the atrophic subjects treated with adjuvants compared to atrophic patients treated with the standard procedure at 1.5-month follow-up. This study

  3. Comparison of lactate sampling sites for rock climbing.

    Science.gov (United States)

    Fryer, S; Draper, N; Dickson, T; Blackwell, G; Winter, D; Ellis, G

    2011-06-01

    Comparisons of capillary blood lactate concentrations pre and post climb have featured in the protocols of many rock climbing studies, with most researchers obtaining samples from the fingertip. The nature of rock climbing, however, places a comparatively high physiological loading on the foreaand fingertips. Indeed, the fingertips are continually required for gripping and this makes pre-climb sampling at this site problematic. The purpose of our study was to examine differences in capillary blood lactate concentrations from samples taken at the fingertip and first (big) toe in a rock climbing context. 10 participants (9 males and 1 female) completed climbing bouts at 3 different angles (91°, 100° and 110°). Capillary blood samples were taken simultaneously from the fingertip and first toe pre and post climb. A limit of agreement plot revealed all data points to be well within the upper and lower bounds of the 95% population confidence interval. Subsequent regression analysis revealed a strong relationship (R (2)=0.94, y=0.940x + 0.208) between fingertip and first toe capillary blood lactate concentrations. Findings from our study suggest that the toe offers a valid alternative site for capillary blood lactate concentration analysis in a rock climbing context.

  4. Prevalence of vitamin D deficiency and secondary hyperparathyroidism in nonunion of traumatic fractures.

    Directory of Open Access Journals (Sweden)

    Hojjat Hossein Pourfeizi

    2013-10-01

    Full Text Available Nonunion is common complication of fracture management. Various factors are involved in its occurring. Metabolic and endocrine factors are often overlooked. So that aim of study was to evaluate the level of vitamin D and PTH in patients with unexplained nonunion and fractures due to low energy trauma. In the case control study, 30 patients with tibial nonunion compared with 32 patients with normal bone healing. There were matched according to, surgical treatment, sex, age and body mass index. In order to measure the serum levels of laboratory parameters, vitamin D and parathyroid hormone, blood samples were taken and were sent to a reference laboratory. A high percentage of vitamin D deficiency was observed in tibial unexplained nonunion (60% versus 30% in normal union. The level of vitamin D in patients with nonunion was significant difference compared with normal union (25.8±20.4 nmol/l versus 49.03±26.9 nmol/l, P=0.002. PTH measurement showed that was not meaningful statistical difference between two groups but prevalence of hyperparathyroidism in nonunion was higher than union (33% versus 9.3%. In other laboratory findings were not statistical difference. According to our results, vitamin D deficiency in unexplained tibial nonunion fractures are common. In areas with high prevalence of hypovitaminosis D, that could be one reason of unexplained nonunion.

  5. Non-union of the triquetrum with pseudoarthrosis: a case report.

    Science.gov (United States)

    Sin, Cheuk-Hang; Leung, Yuen-Fai; Ip, Shirley Pui-Sheung; Wai, Yuk-Leung; Ip, Wing-Yuk

    2012-04-01

    We report a case of symptomatic non-union of the triquetrum with pseudoarthrosis in a 34-year-old man. Motion of the pseudoarthrosis was noted from radial to ulnar deviation. The patient was treated with bone grafting and screw fixation. The non-union healed and the symptoms subsided. The Mayo wrist score had improved from 65 (fair) to 90 (excellent).

  6. Intramedullary Screw and Kirschner Wire Fixation for Unstable Scaphoid Nonunion.

    Science.gov (United States)

    Allon, Raviv; Kramer, Aviv; Wollstein, Ronit

    2016-12-01

    Surgical treatment of scaphoid nonunion is not always successful, often requiring stabilization and bone grafting to achieve healing. Even after intramedullary screw fixation, residual instability may still hinder union. The purpose of this study was to describe the addition of Kirschner wires (KWs) through the capitate and the lunate to supplement an intramedullary screw for temporary enhanced stability, possibly improving healing of unstable fractures. A case-control study reviewing 25 cases with addition of KWs and 19 controls was performed. Demographic and fracture information, time to diagnosis, and healing time were documented. We found no differences in population characteristics, fracture characteristics, or outcome measures between patients treated with this method and those treated with a screw alone. We had no complications related to the addition of KWs. Preoperative lunate type and scapholunate gapping was suggestive but not significantly associated with KW insertion. Addition of KWs is safe and may be considered in scaphoid nonunion in the presence of intraoperative suboptimal stability. Intraoperative stability may possibly be inferred by reviewing preoperative radiographs for signs of instability.

  7. Non-union following bilateral simultaneos Ganz trochanteric osteotomy

    Directory of Open Access Journals (Sweden)

    Sean M. Dixon

    2010-01-01

    Full Text Available Between January 2003 and December 2004, 13 patients underwent bilateral resurfacing arthroplasty via a Ganz trochanteric osteotomy. This bilateral group was mobilised fully weight-bearing with crutches. During the same period 139 Ganz trochanteric osteoto-mies were performed for unilateral hip resurfacing. These patients were mobilised with crutches, weight-bearing up to 10 kg on the operated leg. Nine osteotomies (32% in the bilateral group subsequently developed a symptomatic non-union requiring revision of fixation. This compares with 10 patients (7% in the unilateral group. Applying the Fisher’s exact test, the difference reached significance (P=0.0004. In two patients a second revision was required to achieve union. In one patient, revision of trochanteric fixation precipitated a deep infection. Protected weight-bearing following a Ganz trochanteric osteotomy is important to the success of the procedure. Simultaneous bilateral hip arthroplasty through a Ganz approach should be avoided. If it is undertaken, we recommend that patients should be non weight-bearing for 6 weeks following surgery. Non-union following a Ganz trochanteric osteotomy for arthroplasty carries a significant morbidity.

  8. Organizational Commitment and Turnover Intention in Union and Non-Union Firms

    Directory of Open Access Journals (Sweden)

    Hong Y. Park

    2014-01-01

    Full Text Available There are differences in organizational architecture between union and non-union construction firms in early 1990s. The construction industry has traditionally been dominated by strong union firms. However, non-union construction firms began to emerge in the 1990s and this change caused to bring conflicts between union and non-union construction firms. This presents a unique opportunity to study employees’ attitude toward organization. This article investigates workers’ attitudes toward union and non-union construction firms in terms of organizational commitment (OC and turnover intention. Control variables in OC and turnover intention include personal characteristics, job characteristics, group−leader relations and organizational characteristics. The study found that employees in union firms are more committed to the organization than non-union organization, but they have higher intention to job turnover although the regression coefficients of union variable in commitment and turnover intention are not statistically significant at the conventional level of significance.

  9. Gap nonunion of forearm bones treated by modified Nicoll′s technique

    Directory of Open Access Journals (Sweden)

    Gupta Dinesh

    2010-01-01

    Full Text Available Background : The management of an atrophic nonunion with a gap following a fracture of the radius and/or ulna is a challenging problem. Various methods of treatment available in the literature are cortical tibial graft (Boyd, ulnar segment graft (Miller and Phalen, iliac crest graft (Spira, cancellous insert graft (Nicoll, vascularized fibular graft (Jupiter, and bone transport by ring fixator (Tesworth. The present study reports the results of tricorticocancellous bone block grafts using modified Nicoll′s technique, in diaphyseal defects of forearm bones. Materials and Methods : A total of 38 forearm bones (either radius or ulna or both in 23 patients with a gap of 1.5-7.5 cm were treated by debridement and tricorticocancellous bone block graft under compression with intramedullary nail fixation between June 1985 and June 2005. There were 15 male and 8 female patients. Sixteen patients had open and seven patients had closed fractures initially. Time of presentation since the original injury varied from 9 months to 84 months. Eighteen patients had already undergone one to three operations. Results : Thirty-six bones showed union at both host graft junctions. The mean duration of union was 17.5 weeks (range, 14-60 weeks. Two bones had union only at one host graft junction and did not show any evidence of callus formation up to 9 months on the other end, hence requiring subsequent procedure in the form of phemister bone grafting. Patients were followed for a minimum period of 2 years (range, 2-7 years. Results were based on the status of union and range of motion (ROM for elbow/wrist and grip strength at the final follow-up. Complications observed were the reactivation of infection (n = 1 and herniation of the muscles at the donor site (n = 1. Conclusion : The tricorticocancellous strut bone grafting under optimal compression, augmented with intramedullary fixation, provides a promising solution to difficult problem of an atrophic nonunion of

  10. Five types of non-union grievance systems.

    Science.gov (United States)

    Balfour, A

    1984-01-01

    Organizations without a process for hearing and resolving employee complaints leave their employees feeling powerless to affect the system that drives their working hours--a feeling that can send morale and motivation plummeting and fuel a vote to "go union" in an organizing effort. Even if unions fail to capitalize on such situations, the federal government may see a need to step in. Thus there is good reason, says author Alan Balfour (associate professor of management at the University of South Florida), to institute grievance systems for non-union employees. But which system is best? Balfour discusses the advantages and disadvantages of five: an open-door policy; ombudsman; juries of peers; hearing officers; and binding, outside arbitration. In doing so, he distinguishes between those that simply address the facts of a case and those that try to get to the root of a problem and solve it in ways that repair the relationships involved.

  11. Posttraumatic osteonecrosis and nonunion of distal pole of scaphoid

    Directory of Open Access Journals (Sweden)

    Saurabh Kapoor

    2013-01-01

    Full Text Available Posttraumatic osteonecrosis of distal pole of scaphoid is an extremely rare with only two reported cases so far. We present a case of a 30-year-old male with a 2-year-old posttraumatic osteonecrosis and nonunion of distal pole of scaphoid left wrist. He presented with complaints of pain and restriction of movements. There was no evidence of radiocarpal arthritis. He was managed with open reduction and internal fixation with k-wires, supplemented by a pronator quadratus based muscle pedicle bone graft. The fracture union was achieved at 6 months. After 2 years, he had almost complete range of wrist motion and had returned to his preinjury level of functional activity. His MRI (magnetic resonance imaging scans showed evidence of revascularization suggesting successful incorporation of bone graft.

  12. Scapholunate advanced collapse and scaphoid nonunion advanced collapse arthritis--update on evaluation and treatment.

    Science.gov (United States)

    Strauch, Robert J

    2011-04-01

    Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse are common patterns of wrist arthritis. Scaphoid nonunion advanced collapse is caused by trauma, whereas SLAC wrist may also result from chronic pseudogout and can appear bilaterally without a clear history of injury. Surgical treatment for SLAC wrist includes 4-corner arthrodesis, capitolunate arthrodesis, complete wrist arthrodesis, proximal row carpectomy (PRC), denervation, and radial styloidectomy. Scaphoid nonunion advanced collapse wrist has the additional surgical option of excision of the distal ununited scaphoid fragment. Controversy persists over the relative merits of PRC versus 4-corner arthrodesis and whether PRC may be performed in the setting of capitate arthritis.

  13. Comparison of the effect of transplantation of fibula flap with vascular pedicle vs. Ilizarov external fixation in the treatment of nonunion of tibial bone defect%带血管蒂的腓骨瓣移植和Ilizarov外固定骨牵引术治疗胫骨骨缺损骨不连的比较

    Institute of Scientific and Technical Information of China (English)

    陈时高; 孙军锁; 景斗星; 蔡雅楠; 杨森; 王铁涛

    2016-01-01

    Objective To analyze and compare the curative effect of transplantation of fibula flap with vascular pedicle vs. Ilizarov external fixation in the treatment of nonunion of tibia bone defect. Methods The clinical data of 64 patients with nonunion of tibial bone defect from May 2009 to May 2013 were analyzed retro-spectively. From May 2009 to April 2012, 30 patients were given Ilizarov external fixation and bone traction therapy (bone traction group); from May 2012 to May 2013, 34 patients were subjected to vascularized fibula flap transplantation (fibula flap transplantation group). The medical indicators and Johner-Wruhs tibial shaft fracture efficacy evaluation criteria were compared between two groups. Results As compared with fibula flap transplantation group, operative time and hospital stay were significantly shortened in bone traction group ( P0.05). The healing time was significantly reduced in the fibula flap transplantation group as compared with bone traction group (P0.05).治疗后的Johner-Wruhs评分,腓骨瓣移植术组优良率为82.4%(28/34),骨牵引术组为60.0%(18/30),差异有统计学意义(P<0.05).结论 对比Ilizarov外固定骨牵引术,带血管蒂的腓骨瓣移植术治疗胫骨骨缺损骨不连患者具有骨折愈合时间短、疗效更佳的特点,但是其手术时间以及住院时间均显著延长.

  14. Comparison of the Radionuclides Dispersion at the UAE Barakah Site with that at the ROK Shin-Kori Site - Comparison of the radionuclides dispersion in Barakah site with that in Shin-Kori site

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Sung-yeop; Lee, Kun Jai; Chang, Soon Heung [Korea Advanced Institute of Science and Technology, 291 Daehak-ro, Yuseong-gu, Daejeon, 305-701 (Korea, Republic of); Beeley, Philip A. [Khalifa University of Science, Technology and Research, P.O. Box 127788, Abu Dhabi (United Arab Emirates)

    2014-07-01

    In order to understand the characteristics of atmospheric dispersion of radionuclides in the desert environment of Barakah site in UAE, comparison research with the results of other environments could be an appropriate way to facilitate it. Shin-Kori site is the proper comparison target because same reactor type of APR1400 with that in Barakah site is under construction. Hypothetical accident scenario was considered and accident source term which had been developed in previous research has been applied as releasing source. After reviewing several computation codes, ADMS5 has been selected as an atmospheric dispersion modeling tool which is installing advanced Gaussian plum model and plentiful options. The climate data of both Barakah and Shin-Kori were acquired and the environments of both sites have been simulated considering wind speed, wind direction, temperature, humidity, ground surface roughness and etc. Near field final human doses on the maps have been schematised regarding statistical meteorological data of both sites and dose conversion factors from the publications of ICRP and federal guidance report of EPA. The results of this research are expected to enhance the understanding about differences between two environments which have same reactor type and to improve the comprehension of desert environment of Barakah site as well. Applying different dose conversion factors to Barakah site considering the desert biosphere could be further study to obtain more accurate results. (authors)

  15. Twenty-seven-year nonunion of a Hoffa fracture in a 46-year-old patient

    Directory of Open Access Journals (Sweden)

    Jiang Yirui

    2015-07-01

    Full Text Available A Hoffa fracture is an uncommon clinical entity typically seen in adults after high-energy trauma. Nonunion of a Hoffa fracture appears to be even more uncommon. To our knowledge, only three cases of nonunion of a Hoffa fracture have been documented in the literature to date, including two children and one adult. This article presents a case of an adult who had nonunion of a Hoffa fracture for 27 years and was treated by open reduction and internal fixation, and the varus deformity corrected with xenogenous bone graft. An excellent result has been achieved to date. This unusual case reminds us that we cannot neglect the possibility of nonunion of a cancellous bone fracture, especially the Hoffa fractures of the medial femoral condyle if they are treated nonoperatively. It also demonstrates that internal fixation with bone graft is effective, even for the 27-year Hoffa fracture.

  16. From plate to nail: a case-report of proximal humerus non-union.

    Science.gov (United States)

    Pantalone, Andrea; Vanni, Daniele; Guelfi, Matteo; Abate, Michele; Belluati, Alberto; Salini, Vincenzo

    2015-12-01

    The rate of non-union is estimated to be 1.1% to 10% following closed treatment of proximal humerus fracture. Treatment options include revision of fixation and biological enhancement using osteoprogenitor cells, growth factors and scaffolds. However, it is essential to plan the correct type of reconstructive strategy based on the evaluation of the non-union type. The use of the Non-Union Scoring System (NUSS) in this respect can aid the clinician to reach the right decision. We report a case of a 40 years old man who developed an aseptic proximal humerus non-union treated initially with ORIF (Philos(®) plate), bone substitute (Orthoss(®)) and bone morphogenetic protein 7 (BMP-7). Due to implant failure, twelve weeks later the fixation was revised to Titanium Cannulated Humeral Nail. Osseous healing was noted 5 months later.

  17. Plating and Grafting for Nonunion of a Subtrochanteric Femoral Fracture in a Dog

    OpenAIRE

    1984-01-01

    Healing problems following pin and wire reduction of an unstable subtrochanteric femoral fracture are described. A nonunion was treated in a two year old spayed Springer Spaniel by plating and autogenous bone grafting.

  18. NON-UNIONS AFTER FIXATION OF HUMERAL FRACTURES USING HACKETHAL'S BUNDLE NAILING TECHNIQUE

    Science.gov (United States)

    OBRUBA, PETR; RAMMELT, STEFAN; KOPP, LUBOMIR; EDELMANN, KAREL; AVENARIUS, JAKUB

    2016-01-01

    ABSTRACT Objective: The aim of the study was to identify factors contributing to the development of non-union after fixation of diaphyseal humeral fractures using Hackethal's intramedullary nailing technique. Methods: In the time period from 2001 to 2010 156 patients with diaphyseal humeral fractures were treated surgically using Hackethal's technique. Six of them (3.8%) developed non-union. This group included three women and two men aged 63-69 years and one woman aged 37 years. The following parameters of the patients were recorded: age, gender, comorbidities, substance abuse, mechanism of injury, fracture type and location according to the AO/ASIF classification, and the operative technique. Results: A non-union developed in six patients treated with Hackethal´s method (3.8%). Five of six non-unions (83%) were observed in patients in their sixties. In the subgroup of sexagenarians, non-union developed in 20.8% of surgically treated patients, as compared to 3.8 % in entire group. In the union group, fractures have been caused by high energy trauma in 52% of patients. In patients who developed non-union, high energy trauma caused 67% of fractures. With correct surgical technique the development of a non-union was observed in 0.7% of patients, with incorrect technique in 35.7% (p<0.001). Conclusion: Treatment of diaphyseal humeral fractures with Hackethal's intramedullary elastic bundle nailing resulted in an overall high union rate. Factors contributing to the development of non-union were extension of this method to AO type B3 and C fractures and technical imperfection during implantation. Level of Evidence III, Prospective, Case-Control Study. PMID:28149195

  19. TO EVALUATE THE SURGICAL OUTCOME OF NON-UNION CLAVICLE USING PLATE AND SLIVERS OF AUTOLOGOUS ILIAC CREST CORTICOCANCELLOUS BONE GRAFT

    Directory of Open Access Journals (Sweden)

    Mohammed

    2016-03-01

    Full Text Available INTRODUCTION Clavicle fracture is one of the most common fracture presenting to the fracture clinic, accounting for about 5-10% of all the adult trauma reported but still the controversy exists with regards to the definitive management. AIM To evaluate the surgical outcome of nonunion clavicle in patients treated previously with surgical management or conservative management, using plate and slivers of autologous iliac crest corticocancellous bone. DESIGN Retrospective analysis of patients operated between May 2005 and February 2013 for nonunion of the clavicle. METHODS AND MATERIALS Twenty patients who were operated between May 2005 and February 2013 for nonunion of the clavicle at our hospital were recruited for our study and followup data was collected from our hospital records till their last outpatient visit. Inclusion criteria included patients with no evidence of radiological union, persistence of pain, cosmetic deformity, dysfunction or gross movement at the fracture site even after 16 weeks of conservative treatment or in cases of primary fixation failure. STATISTICAL ANALYSIS All Statistical analyses were made using Statistical Package Software for Social Sciences (SPSS version 17.0 software (Chicago, IL, USA for descriptive data. Chi2 test was used to compare the categorical data. RESULTS At the end of an average followup of 19 months, the average Visual Analogue Score for pain was 1.9±2.2 (range 0-6, the mean ASES score was 81±18.5 (51-100, and the mean Constant–Murley score was 80±17 (51-100. All the patients had a stable radiological union at the end of the followup period. There were no complications pertaining to the hardware or infection. CONCLUSION Treatment of nonunion of clavicle by using corticocancellous bone is well documented; however, use of iliac corticocancellous bone graft shaped in long slivers will give mechanical stability to the plate reconstruct in addition to providing a scaffold for new bone formation than

  20. Two-Site Comparison of Transpiration by Larrea Tridentata

    Science.gov (United States)

    Cavanaugh, M. L.; Kurc, S. A.; Scott, R. L.; Bryant, R. B.

    2008-12-01

    As a result of landscape changes within the desert southwestern U.S. such as increased grazing, reduced wildfire frequency, and changes in atmospheric conditions, the native creosotebush (Larrea tridentata) has encroached upon historically grass-dominated ecosystems, expanding in range and land cover density. To understand how creosotebush influences the water budget of ecosystems, heat balance sap flow sensors were employed on creosotebush stems at both the Santa Rita Experimental Range (SRER) and Walnut Gulch Experimental Watershed (WGEW). Additionally, both sites are equipped with eddy covariance towers, associated micrometeorological measurements, and profiles of water content reflectometers for soil moisture. The differences found between the two sites, including soil type and precipitation regime, are the basis of the following hypotheses. Firstly, we hypothesize that we will not see transpiration (T) responses following storms less than 5 mm at both sites. Secondly, we hypothesize that at both sites we will see a lagged response of T to large precipitation events, with evaporation being the dominate component in the partitioning of evapotranspiration (ET) for the first two days. Thirdly, we hypothesize that the ratio of plant transpiration to total evapotranspiration (T/ET) will be less at SRER due to the larger amount of bare soil exposed at this site. In this study, we show data from one summer at both sites and show how these relate to different precipitation events and soil moisture reservoirs.

  1. Chemical Modification of Papain and Subtilisin: An Active Site Comparison

    Science.gov (United States)

    St-Vincent, Mireille; Dickman, Michael

    2004-01-01

    An experiment using methyle methanethiosulfonate (MMTS) and phenylmethylsulfonyl flouride (PMSF) to specifically modify the cysteine and serine residues in the active sites of papain and subtilism respectively is demonstrated. The covalent modification of these enzymes and subsequent rescue of papain shows the beginning biochemist that proteins…

  2. Variables Prognostic for Delayed Union and Nonunion Following Ulnar Shortening Fixed With a Dedicated Osteotomy Plate.

    Science.gov (United States)

    Gaspar, Michael P; Kane, Patrick M; Zohn, Ralph C; Buckley, Taylor; Jacoby, Sidney M; Shin, Eon K

    2016-02-01

    To examine potential risk factors for the development of delayed or nonunion following elective ulnar shortening osteotomy using a dedicated osteotomy plating system. We performed a retrospective review of all patients who underwent elective ulnar shortening using the TriMed single osteotomy dynamic compression plating system by 1 of 2 fellowship-trained hand surgeons over a 5-year period. Demographic data and medical, surgical, and social histories were reviewed. Time to bony union was determined radiographically by a blinded reviewer. Bivariate statistical analysis was performed to examine the effect of explanatory variables on the time to union and the incidence of delayed or nonunion. Those variables associated with the development of delayed or nonunion were used in a multivariate logistic regression model. Complications, including the need for additional surgery, were also recorded. Seventy-two ulnar shortening osteotomy procedures were performed in 69 patients. Delayed union, defined as ≥ 6 months to union, occurred in 8 of 72 cases (11%). Of 72 surgeries, 4 (6%) resulted in nonunions, all of which required additional surgery. Hardware removal was performed in 13 of 72 (18%) of the cases. Time to union was significantly increased in smokers (6 ± 3 months) versus nonsmokers (3 ± 1 months). On multivariable analysis, diabetics and active smokers demonstrated a significantly higher risk of developing delayed union or nonunion. Patient age, sex, body mass index, thyroid disease, worker's compensation status, alcohol use, and amount smoked daily did not have an effect on the time to union or the incidence of delayed or nonunion. Despite the use of an osteotomy-specific plating system, smokers and diabetics were at significantly higher risk for both delayed union and nonunion following elective ulnar shortening osteotomy. Other known risk factors for suboptimal bony healing were not found to have a deleterious effect. Copyright © 2016 American Society for

  3. Non-union of fractures of the distal end of the humerus.

    Science.gov (United States)

    Ackerman, G; Jupiter, J B

    1988-01-01

    The records of twenty patients who had been treated for a non-union of the distal end of the humerus at the Massachusetts General Hospital from 1968 to 1984 were reviewed. Thirteen of the fractures were extra-articular and seven were intra-articular. Seven fractures had been open and nine had been associated with multiple trauma. Eight had been initially treated by open reduction and internal fixation; five, by closed reduction and immobilization; four, by skeletal traction; two, by external fixation; and one, by débridement and immobilization. The average time from the original fracture to the treatment of the non-union was twenty months (range, three to 120 months). All but one patient had pain and instability, and fifteen (75 per cent) had limited motion of the elbow. Radiographically, eleven were considered to have a reactive non-union and nine, a non-reactive non-union. Seventeen (94 per cent) of the eighteen non-unions ultimately united. Two patients underwent excision of the distal end of the humerus and replacement with an allograft. At follow-up (average, 3.6 years), function in one patient was rated as excellent; in six, as good; in seven, as fair; and in six, as poor. The patients who had an extra-articular supracondylar non-union had the best over-all results, while those who had a non-union that was associated with an intra-articular component or severe soft-tissue trauma did less well. It should be emphasized, however, that most of the patients in this study continued to have a major long-term disability, despite the fact that union was successful.

  4. Impact of Binding Site Comparisons on Medicinal Chemistry and Rational Molecular Design.

    Science.gov (United States)

    Ehrt, Christiane; Brinkjost, Tobias; Koch, Oliver

    2016-05-12

    Modern rational drug design not only deals with the search for ligands binding to interesting and promising validated targets but also aims to identify the function and ligands of yet uncharacterized proteins having impact on different diseases. Additionally, it contributes to the design of inhibitors with distinct selectivity patterns and the prediction of possible off-target effects. The identification of similarities between binding sites of various proteins is a useful approach to cope with those challenges. The main scope of this perspective is to describe applications of different protein binding site comparison approaches to outline their applicability and impact on molecular design. The article deals with various substantial application domains and provides some outstanding examples to show how various binding site comparison methods can be applied to promote in silico drug design workflows. In addition, we will also briefly introduce the fundamental principles of different protein binding site comparison methods.

  5. Prospective clinical trial of surgical intervention for painful rib fracture nonunion.

    Science.gov (United States)

    Fabricant, Loic; Ham, Bruce; Mullins, Richard; Mayberry, John

    2014-06-01

    We performed a prospective clinical trial of resection with or without plate fixation for symptomatic rib fracture nonunion three or more months postinjury with 6-month postoperative followup. The McGill Pain Questionnaire (MPQ) and RAND 36 Health Survey were administered and activity level (sedentary, ambulatory, moderately active, vigorous), functional status (disabled, nonphysical labor, physical labor), and work status (employed, unemployed, retired, student) were queried pre- and postoperatively. Twenty-four patients 4 to 197 months (median, 16 months) postinjury underwent surgical intervention for one to four rib fracture nonunions (median, two nonunions). Evidence of intercostal nerve entrapment was present in nine patients (38%). MPQ Present Pain Intensity and Pain Rating Index and RAND 36 Physical Functioning, Role Physical, Social Functioning, Role Social, Bodily Pain, Vitality, Mental Health, and General Health were significantly improved at six months compared with study entry (P rib fracture nonunion may improve chronic pain and disability but without change in functional or work status. Resection of adjacent nonunions with significant gaps may lead to chest wall hernia.

  6. Non-union rate with stand-alone lateral lumbar interbody fusion.

    Science.gov (United States)

    Watkins, Robert; Watkins, Robert; Hanna, Robert

    2014-12-01

    Retrospective radiographic analysis.To determine the fusion rate of stand-alone lateral lumbar interbody fusion (LLIF). Biomechanical studies have indicated that LLIF may be more stable than anterior or transforaminal lumbar interbody fusion. Early clinical reports of stand-alone LLIF have shown success in obtaining fusion and indirectly decompressing nerve roots. A consecutive case series of stand-alone LLIF was analyzed with chart and radiographic review. Non-union was determined by symptomatology consistent with non-union and absence of bridging bone on the CT scan. Thirty-nine levels of stand alone LLIF were performed in 23 patients. Eleven patients received 1-level surgery, 7 patients received 2-level surgery, 3 patients received 3-level surgery, and 1 patient received 4-level surgery. Excluding 1 infected case, we analyzed 37 levels of stand alone LLIF in 22 patients. Non-union incidence was 7 levels in 6 patients. Non-union rate was 7/37 (19%) per level and 6/22 (27%) per patient. While our study population was relatively low, a non-union rate of 19% to 27% is concerning for modern spine surgery. Currently in our practice, we occasionally still perform stand-alone LLIF utilizing 22 mm wide grafts in low-demand levels in non-smoking and non-osteoporotic patients. However, in a majority of patients, we provide supplemental fixation: bilateral pedicle screws in most patients and unilateral pedicle screws or spinous process plates in some patients.

  7. Modified Nicoll's Graft for Treatment of Gap Non-union of Ulna: A Rare Case Report.

    Science.gov (United States)

    Krishna, Chaitanya; Mondal, Jayanta; Sengupta, Anirudhha

    2017-01-01

    Despite the multitude of studies for the treatment of non-unions, no clear criterion has been established for treating a fracture of non-union. Non-union of radius and ulna produces a discrepancy in length which must be restored for adequate rotation and function. Nicoll described a technique of bridging gaps in long bones with solid blocks of cancellous bone and fixing the fragments with metal plates. We utilized modified Nicoll's graft using corticocancellous graft taken from iliac crest. In the present case, a 17-year-old male patient of eastern India presented with gap non-union of 3 cm in ulna of non-dominant hand, left side after 3 years and 6 months of trauma. There was linear surgical scar mark of 8 cm overlying ulna, but there was no sign of infection. He was functionally crippled with severe restriction of range of motion. The tricortical cancellous bone graft under optimal compression provides a good solution for the management of gap non-union of both bone forearm for deficit up to 3 cm with no evidence of infection.

  8. Carbon Fiber Manufacturing Facility Siting and Policy Considerations: International Comparison

    Energy Technology Data Exchange (ETDEWEB)

    Cook, Jeffrey J. [National Renewable Energy Lab. (NREL), Golden, CO (United States); Booth, Samuel [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2017-06-21

    Carbon fiber is increasingly used in a wide variety of applications due largely to its superior material properties such as high strength-to-weight ratio. The current global carbon fiber manufacturing industry is predominately located in China, Europe, Japan, and the United States. The carbon fiber market is expected to expand significantly through 2024 and to require additional manufacturing capacity to meet demand. Carbon fiber manufacturing facilities can offer significant economic development and employment opportunities as exemplified by the $1 billion investment and 500 jobs expected at a new Toray plant in Moore, South Carolina. Though the market is expected to expand, it is unclear where new manufacturing facilities will locate to meet demand. This uncertainty stems from the lack of research evaluating how different nations with significant carbon fiber manufacturing capacity compare as it relates to certain manufacturing facility siting factors such as costs of labor and energy as well as policy directed at supporting carbon fiber development, domestic deployment, and exports. This report fills these gaps by evaluating the top carbon fiber manufacturing countries, including China, European Union countries, Japan, Mexico, South Korea, Taiwan, and the United States. The report documents how the United States compares to these countries based on a range of manufacturing siting considerations and existing policies related to carbon fiber. It concludes with a discussion of various policy options the United States could adopt to both (1) increase the competitiveness of the United States as it relates to attracting new carbon fiber manufacturing and (2) foster broader end-use markets for deployment.

  9. The Sim-SEQ Project: Comparison of Selected Flow Models for the S-3 Site

    Energy Technology Data Exchange (ETDEWEB)

    Mukhopadhyay, Sumit; Doughty, Christine A.; Bacon, Diana H.; Li, Jun; Wei, Lingli; Yamamoto, Hajime; Gasda, Sarah E.; Hosseini, Seyyed; Nicot, Jean-Philippe; Birkholzer, Jens

    2015-05-23

    Sim-SEQ is an international initiative on model comparison for geologic carbon sequestration, with an objective to understand and, if possible, quantify model uncertainties. Model comparison efforts in Sim-SEQ are at present focusing on one specific field test site, hereafter referred to as the Sim-SEQ Study site (or S-3 site). Within Sim-SEQ, different modeling teams are developing conceptual models of CO2 injection at the S-3 site. In this paper, we select five flow models of the S-3 site and provide a qualitative comparison of their attributes and predictions. These models are based on five different simulators or modeling approaches: TOUGH2/EOS7C, STOMP-CO2e, MoReS, TOUGH2-MP/ECO2N, and VESA. In addition to model-to-model comparison, we perform a limited model-to-data comparison, and illustrate how model choices impact model predictions. We conclude the paper by making recommendations for model refinement that are likely to result in less uncertainty in model predictions.

  10. Radius graft pedicled on the anterior interosseous artery for recurrent ulnar nonunion.

    Science.gov (United States)

    Andro, C; Richou, J; Schiele, P; Hu, W; Le Nen, D

    2011-06-01

    Recurrent ulnar nonunion challenges the functional prognosis and raises major problems concerning the best therapeutic strategy to follow. The case of a female patient presenting recurrent nonunion of the ulnar diaphysis despite successive treatments is reported. The radius graft pedicled on the anterior interosseous artery from a retrograde approach obtained bone union in 3 months with no functional sequelae. For the first time, we propose a therapeutic alternative calling on a proximally pedicled anterior interosseous flap. This technique can be performed under locoregional anesthesia and does not sacrifice the main artery of the forearm. However, the size of the graft does not entirely compensate for segmentary bone loss. The radius graft pedicled on the anterior interosseus artery is an inventive technique that can solve the problem of difficult ulna nonunions without the disadvantages of vascularized fibula harvesting.

  11. Internal fixation and bone grafting for intraarticular nonunion of tibial plateau: a report of four cases

    Institute of Scientific and Technical Information of China (English)

    Ramesh K Sen; Ashwani Soni; Uttam Chand Saini; Daljit Singh

    2011-01-01

    Intraarticular nonunion of tibial plateau is rare.In the literature,only 9 patients were found to be treated for intraarticular tibial plateau nonunion and they got varying results.Internal fixation along with bone grafting was done as a standard treatment in all cases.We treated 4 different profile cases of intraarticular tibial plateau nonunion in our institution by 4 different methods.We treated these cases with plaster of paris cast,internal fixation along with bone graft,arthrodesis with K-nail and total knee replacement.Case 1 was treated with plaster of paris (POP)cast as the patient refused surgery.The fracture was united and the patient was fully satisfied with full range of motion despite valgus malalignment.Case 2 was managed with open reduction internal fixation along with bone grafting.The patient had a good union and got full range of motion at the knee joint.Case 3 was treated with total knee arthroplasty due to her old age and got satisfactory result.Case 4 was an infected nonunion.Arthrodesis was done and the patient could walk with full weight bearing independently.We conclude that internal fixation along with bone grafting may not be suitable in all cases of intraarticular nonunion of tibial plateau.Causes of nonunion,present condition and range of motion of the knee joint,as well as the age of patient should be all considered and the treatment should be individualised according to each patient's situation.

  12. [Deep fascia composite autologous red bone marrow transplantation for the treatment of fracture nonunion].

    Science.gov (United States)

    Ling, Hui-Min; Wu, Heng-Xuan; Huang, Cui-Ye; Ma, Shi-Qian

    2009-11-01

    According to bone regeneration under the membrane and the bone regeneration deep fascia composite autologous red bone marrow transplantation applied in the treatment of fracture nonunion, in order to find a simple and effective clinical treatment of nonunion. Since March 2006 to March 2009,17 patients of fracture nonunion were treated by the deep fascia composite autologous bone marrow transplantation,included 10 males and 7 females, aged from 7 to 52 years old (means 32 years). There were 10 cases of tibia, 5 cases of radius, 2 cases of clavicle. Injured to admission time was from 7 to 36 months (means 12 months). Ten cases underwent operation for 1 time,5 cases for twice and 2 cases for 3 times. The position of nonunion were all at bone shaft and the condition of the skin and soft tissue was good. X-ray film showed 11 cases of hyperplasia nonunion, 6 cases of shrinking. The original fixation were removed and the intramedullary nail or plate fixation were re-used, and fracture ends were sutured closed by autogenous deep fascia and implanted with autologous red bone marrow. Seventeen patients were followed-up for from 5 months to 2 years with an average of 1 year. Fracture healing time was from 12 to 20 weeks (means 16 weeks). According to the criteria of fracture healing to assess efficacy, the results were excellent in 14 cases, good in 2 cases and poor in 1 case. Deep fascia composite autologous autologous red bone marrow transplantation for the treatment of fracture nonunion is suitable at the bone shaft and good condition of skin and soft tissue. The method has been observed that the fracture healing time is short.

  13. Selective Self-Presentation and Social Comparison Through Photographs on Social Networking Sites.

    Science.gov (United States)

    Fox, Jesse; Vendemia, Megan A

    2016-10-01

    Through social media and camera phones, users enact selective self-presentation as they choose, edit, and post photographs of themselves (such as selfies) to social networking sites for an imagined audience. Photos typically focus on users' physical appearance, which may compound existing sociocultural pressures about body image. We identified users of social networking sites among a nationally representative U.S. sample (N = 1,686) and examined women's and men's photo-related behavior, including posting photos, editing photos, and feelings after engaging in upward and downward social comparison with others' photos on social networking sites. We identified some sex differences: women edited photos more frequently and felt worse after upward social comparison than men. Body image and body comparison tendency mediated these effects.

  14. Phases 1–3 Clinical Trials Using Adult Stem Cells in Osteonecrosis and Nonunion Fractures

    OpenAIRE

    Jean-Philippe Hauzeur; Valérie Gangji

    2010-01-01

    Nonunion fractures and aseptic bone necrosis are two pathological conditions having some impairment of the cellular part of the repair: a reduction of MSC and of the osteoblastic activation. Both are good candidates for cell-based therapies using stem cells. We made a review of the published human trials. Only autologous bone marrow aspirate implantation was until now used. In Nonunion, a direct injection—15 to 150 ml—was made in 4 case series studies. In another, the bone marrow as...

  15. Successful use of autogenous bone graft for the treatment of a radius-ulna nonunion in an amputee dog

    Directory of Open Access Journals (Sweden)

    B.W. Minto

    2015-08-01

    Full Text Available Fracture nonunions represent important complications in orthopedic surgeries. Nonunion repairs or bone defects are surgically challenging. Our aim was to describe a nonunion case, which was repaired with rapid bone recovery. An 8-month-old male mixed breed dog that has been previously operated was presented to the Veterinary Medical Teaching Hospital of São Paulo State University, with a right radius-ulna nonunion and an amputated contralateral forelimb. A cancellous bone graft was collected from a partially amputated limb, in order to correct the nonunion, and used in association with a locking plate. After four weeks, the bone graft had been incorporated into the original bone. Clinical union with good weight bearing was achieved after eight weeks.

  16. A comparison of surface fluxes at the HAPEX-Sahel fallow bush sites.

    NARCIS (Netherlands)

    Lloyd, C.R.; Bessemoulin, P.; Cropley, F.D.; Culf, A.D.; Dolman, A.J.; Elbers, J.; Moncrieff, J.; Monteny, B.; Verhoef, A.

    1997-01-01

    The variability between surface flux measurements at the fallow sites of the three HAPEX-Sahel supersites is examined over periods of three or four consecutive days. A roving eddy correlation instrument provided a common base for comparison at each supersite. The inhomogeneity of the surface and the

  17. Risk management study for the Hanford Site facilities: Risk reduction cost comparison for the retired Hanford Site facilities. Volume 4

    Energy Technology Data Exchange (ETDEWEB)

    Coles, G.A.; Egge, R.G.; Senger, E.; Shultz, M.W.; Taylor, W.E.

    1994-02-01

    This document provides a cost-comparison evaluation for implementing certain risk-reduction measures and their effect on the overall risk of the 100 and 200 Area retired, surplus facilities. The evaluation is based on conditions that existed at the time the risk evaluation team performed facility investigations, and does not acknowledge risk-reduction measures that occurred soon after risk identification. This evaluation is one part of an overall risk management study for these facilities. The retired facilities investigated for this evaluation are located in the 100 and 200 Areas of the 1450-km{sup 2} Hanford Site. The Hanford Site is a semiarid tract of land in southeastern Washington State. The nearest population center is Richland, Washington, (population 32,000) 30 km southeast of the 200 Area. This cost-comparison evaluation (1) determines relative costs for reducing risk to acceptable levels; (2) compares the cost of reducing risk using different risk-reduction options; and (3) compares the cost of reducing risks at different facilities. The result is an identification of the cost effective risk-reduction measures. Supporting information required to develop costs of the various risk-reduction options also is included.

  18. Implant failure caused by non-union of bisphosphonate-associated subtrochanteric femur fracture.

    LENUS (Irish Health Repository)

    O'Neill, Barry James

    2014-04-03

    Bisphosphonate use has been identified as a contributory factor in atypical subtrochanteric fracture of the femur. These fractures are commonly treated with an intramedullary device. We present a case of implant failure of an intrameduallary device caused by non-union of an atypical subtrochanteric fracture.

  19. An Investigation of Job Satisfaction of Unionized and Nonunionized Office Workers.

    Science.gov (United States)

    Okafor, Amos N.

    1985-01-01

    This study investigated job satisfaction of unionized and nonunionized office workers and determined whether there were significant relationships between job satisfaction of office workers and selected employee personal and job characteristics. Data revealed that unionized office workers perceived themselves to be significantly more satisfied with…

  20. Implant failure caused by non-union of bisphosphonate-associated subtrochanteric femur fracture

    OpenAIRE

    2014-01-01

    Bisphosphonate use has been identified as a contributory factor in atypical subtrochanteric fracture of the femur. These fractures are commonly treated with an intramedullary device. We present a case of implant failure of an intrameduallary device caused by non-union of an atypical subtrochanteric fracture.

  1. Mesenchymal stem cell implantation in atrophic nonunion of the long bones

    Science.gov (United States)

    Phedy, P.; Kholinne, E.; Djaja, Y. P.; Kusnadi, Y.; Merlina, M.; Yulisa, N. D.

    2016-01-01

    Objectives To explore the therapeutic potential of combining bone marrow-derived mesenchymal stem cells (BM-MSCs) and hydroxyapatite (HA) granules to treat nonunion of the long bone. Methods Ten patients with an atrophic nonunion of a long bone fracture were selectively divided into two groups. Five subjects in the treatment group were treated with the combination of 15 million autologous BM-MSCs, 5g/cm3 (HA) granules and internal fixation. Control subjects were treated with iliac crest autograft, 5g/cm3 HA granules and internal fixation. The outcomes measured were post-operative pain (visual analogue scale), level of functionality (LEFS and DASH), and radiograph assessment. Results Post-operative pain evaluation showed no significant differences between the two groups. The treatment group demonstrated faster initial radiographic and functional improvements. Statistically significant differences in functional scores were present during the first (p = 0.002), second (p = 0.005) and third (p = 0.01) month. Both groups achieved similar outcomes by the end of one-year follow-up. No immunologic or neoplastic side effects were reported. Conclusions All cases of nonunion of a long bone presented in this study were successfully treated using autologous BM-MSCs. The combination of autologous BM-MSCs and HA granules is a safe method for treating nonunion. Patients treated with BM-MSCs had faster initial radiographic and functional improvements. By the end of 12 months, both groups had similar outcomes. Cite this article: H.D. Ismail, P. Phedy, E. Kholinne, Y. P. Djaja, Y. Kusnadi, M. Merlina, N. D. Yulisa. Mesenchymal stem cell implantation in atrophic nonunion of the long bones: A translational study. Bone Joint Res 2016;5:287–293. DOI: 10.1302/2046-3758.57.2000587. PMID:27412657

  2. Modeling Staphylococcus epidermidis-Induced Non-Unions: Subclinical and Clinical Evidence in Rats

    Science.gov (United States)

    Lovati, Arianna Barbara; Romanò, Carlo Luca; Bottagisio, Marta; Monti, Lorenzo; De Vecchi, Elena; Previdi, Sara; Accetta, Riccardo; Drago, Lorenzo

    2016-01-01

    S. epidermidis is one of the leading causes of orthopaedic infections associated with biofilm formation on implant devices. Open fractures are at risk of S. epidermidis transcutaneous contamination leading to higher non-union development compared to closed fractures. Although the role of infection in delaying fracture healing is well recognized, no in vivo models investigated the impact of subclinical low-grade infections on bone repair and non-union. We hypothesized that the non-union rate is directly related to the load of this commonly retrieved pathogen and that a low-grade contamination delays the fracture healing without clinically detectable infection. Rat femurs were osteotomized and stabilized with plates. Fractures were infected with a characterized clinical-derived methicillin-resistant S. epidermidis (103, 105, 108 colony forming units) and compared to uninfected controls. After 56 days, bone healing and osteomyelitis were clinically assessed and further evaluated by micro-CT, microbiological and histological analyses. The biofilm formation was visualized by scanning electron microscopy. The control group showed no signs of infection and a complete bone healing. The 103 group displayed variable response to infection with a 67% of altered bone healing and positive bacterial cultures, despite no clinical signs of infection present. The 105 and 108 groups showed severe signs of osteomyelitis and a non-union rate of 83–100%, respectively. The cortical bone reaction related to the periosteal elevation in the control group and the metal scattering detected by micro-CT represented limitations of this study. Our model showed that an intra-operative low-grade S. epidermidis contamination might prevent the bone healing, even in the absence of infectious signs. Our findings also pointed out a dose-dependent effect between the S. epidermidis inoculum and non-union rate. This pilot study identifies a relevant preclinical model to assess the role of subclinical

  3. Nickel-Titanium swan-like memory connector:a new tool to treat humeral shaft nonunion

    Institute of Scientific and Technical Information of China (English)

    沈洪兴; 张春才; 许硕贵; 王家林

    2004-01-01

    Objective: To explore a new strategy to treat humeral shaft nonunion efficiently. Methods: In the light of mechanical characteristics of Nickel-Titanium memory and the anatomic morphology of humeral shaft, we designed the swan-like shape memory alloy connector (SMC). SMC was clinically applied in treating 55 cases of humeral shaft nonunion. Success rate of nonunion repair, reinterventions, complications, range of motion, and patient satisfaction were evaluated. Results: Fifty-five humeral shaft nonunion patients were treated with autogenous bone grafting and SMC internal fixation. The average follow-up period was 32 months. In 50 patients with complete follow-up data, 49 were recovered from nonunion by lamellar bone healing. The excellent and good rate was 98%; one patient suffering from re-fracture in a fall refused further treatment. Neither infection nor re-fracture after SMC extraction or joint dysfunction was found in the whole group. Conclusion: SMC facilitates safe internal fixation and bone grafting; its memory biomechanic properties promote osteosynthesis, resulting in accelerated and high quality healing of humeral shaft nonunion. SMC internal fixation with bone grafting is creative, efficient and promising in treating humeral shaft nonunion.

  4. Dynamic contrast-enhanced magnetic resonance imaging can assess vascularity within fracture non-unions and predicts good outcome

    Energy Technology Data Exchange (ETDEWEB)

    Schoierer, Oliver; Bender, Daniel; Schmidmaier, Gerhard [University Hospital Heidelberg, Heidelberg Trauma Research Group, Department of Orthopaedic and Trauma Surgery, Heidelberg (Germany); Bloess, Konstantin; Kauczor, Hans-Ulrich; Weber, Marc-Andre [University Hospital Heidelberg, Department of Diagnostic and Interventional Radiology, Heidelberg (Germany); Burkholder, Iris [University of Applied Sciences of the Saarland, Department of Nursing and Health, Saarbruecken (Germany)

    2014-02-15

    To prospectively evaluate whether dynamic contrast-enhanced (DCE) MRI can assess vascularity within non-unions and predicts clinical outcome in combination with the clinical Non-Union Scoring System (NUSS). Fifty-eight patients with non-unions of extremities on CT underwent 3-T DCE MRI. Signal intensity curves obtained from a region-of-interest analysis were subdivided into those with more intense contrast agent uptake within the non-union than in adjacent muscle (vascularised non-union) and those with similar or less contrast uptake. The pharmacokinetic parameters of the Tofts model K{sub trans}, K{sub ep}, iAUC and V{sub e} were correlated with union at CT 1 year later (n = 49). Despite inserted osteosynthetic material, DCE parameters could be evaluated in 57 fractures. The sensitivity/specificity of vascularised non-unions as an indicator of good outcome was 83.9 %/50.0 % compared to 96.8 %/33.3 % using NUSS (n = 49). Logistic regression revealed a significant impact of NUSS on outcome (P = 0.04, odds ratio = 0.93). At first examination, median iAUC (initial area under the enhancement curve) for the ratio non-union/muscle was 10.28 in patients with good outcome compared with 3.77 in non-responders (P = 0.023). K{sub trans}, K{sub ep} and V{sub e} within the non-union were not significantly different initially (n = 57) or 1 year later (n = 19). DCE MRI can assess vascularity in fracture non-unions. A vascularised non-union correlates with good outcome. (orig.)

  5. Fluorescence molecular tomography enables in vivo visualization and quantification of nonunion fracture repair induced by genetically engineered mesenchymal stem cells.

    Science.gov (United States)

    Zilberman, Yoram; Kallai, Ilan; Gafni, Yossi; Pelled, Gadi; Kossodo, Sylvie; Yared, Wael; Gazit, Dan

    2008-04-01

    Fluorescence molecular tomography (FMT) is a novel tomographic near-infrared (NIR) imaging modality that enables 3D quantitative determination of fluorochrome distribution in tissues of live small animals at any depth. This study demonstrates a noninvasive, quantitative method of monitoring engineered bone remodeling via FMT. Murine mesenchymal stem cells overexpressing the osteogenic gene BMP2 (mMSCs-BMP2) were implanted into the thigh muscle and into a radial nonunion bone defect model in C3H/HeN mice. Real-time imaging of bone formation was performed following systemic administration of the fluorescent bisphosphonate imaging agent OsteoSense, an hydroxyapatite-directed bone-imaging probe. The mice underwent imaging on days 7, 14, and 21 postimplantation. New bone formation at the implantation sites was quantified using micro-computed tomography (micro-CT) imaging. A higher fluorescent signal occurred at the site of the mMSC-BMP2 implants than that found in controls. Micro-CT imaging revealed a mass of mature bone formed in the implantation sites on day 21, a finding also confirmed by histology. These findings highlight the effectiveness of FMT as a functional platform for molecular imaging in the field of bone regeneration and tissue engineering.

  6. Consumer Decision-Making Styles Extension to Trust-Based Product Comparison Site Usage Model

    Directory of Open Access Journals (Sweden)

    Radoslaw Macik

    2016-09-01

    Full Text Available The paper describes an implementation of extended consumer decision-making styles concept in explaining consumer choices made in product comparison site environment in the context of trust-based information technology acceptance model. Previous research proved that trust-based acceptance model is useful in explaining purchase intention and anticipated satisfaction in product comparison site environment, as an example of online decision shopping aids. Trust to such aids is important in explaining their usage by consumers. The connections between consumer decision-making styles, product and sellers opinions usage, cognitive and affective trust toward online product comparison site, as well as choice outcomes (purchase intention and brand choice are explored trough structural equation models using PLS-SEM approach, using a sample of 461 young consumers. Research confirmed the validity of research model in explaining product comparison usage, and some consumer decision-making styles influenced consumers’ choices and purchase intention. Product and sellers reviews usage were partially mediating mentioned relationships.

  7. Role of compressive-destructive osteosynthesis with introduction of cucumazim and marrow in nonunion fractures and pseudoarthrosis of humeral bone

    Directory of Open Access Journals (Sweden)

    Iskandar Khodjanov

    2014-03-01

    Full Text Available Nonunions and pseudoarthrosis of diaphysis of the humeral bone are one of the main problems of modern traumatology and orthopedics. This problem in the literature little lit: lack of information on use of modern diagnostic techniques (CT, X-ray, densitometry of research nonunions and pseudoarthrosis diaphyseal humeral bone. We analyzed treatment of 51 patients with nonunions and pseudoarthrosis of the humeral bone treated in the department of adult trauma in scientific research institute of traumatology and orthopedics of Uzbekistan for 2009 to 2012. The results showed that the method of treating the condition using a proteolytic enzyme cucumazim combined with transosseous osteosynthesis, can improve patient results of treatment.

  8. Alignment-free ultra-high-throughput comparison of druggable protein-ligand binding sites.

    Science.gov (United States)

    Weill, Nathanaël; Rognan, Didier

    2010-01-01

    Inferring the biological function of a protein from its three-dimensional structure as well as explaining why a drug may bind to various targets is of crucial importance to modern drug discovery. Here we present a generic 4833-integer vector describing druggable protein-ligand binding sites that can be applied to any protein and any binding cavity. The fingerprint registers counts of pharmacophoric triplets from the Calpha atomic coordinates of binding-site-lining residues. Starting from a customized data set of diverse protein-ligand binding site pairs, the most appropriate metric and a similarity threshold could be defined for similar binding sites. The method (FuzCav) has been used in various scenarios: (i) screening a collection of 6000 binding sites for similarity to different queries; (ii) classifying protein families (serine endopeptidases, protein kinases) by binding site diversity; (iii) discriminating adenine-binding cavities from decoys. The fingerprint generation and comparison supports ultra-high throughput (ca. 1000 measures/s), does not require prior alignment of protein binding sites, and is able to detect local similarity among subpockets. It is thus particularly well suited to the functional annotation of novel genomic structures with low sequence identity to known X-ray templates.

  9. Chronic hypertrophic nonunion of the Type II odontoid fracture causing cervical myelopathy: Case report and review of literature

    Directory of Open Access Journals (Sweden)

    Mohammed F Shamji

    2016-01-01

    Conclusion: Rarely, nonunion of Type II odontoid fractures may be hypertrophic where both instability and compression cause neurological morbidity. Such cases require anterior transoral decompression, posterior cervical decompression, and instrumented fusions.

  10. Nonunion of the First Sternocostal Synchondrosis Accompanied by Sternoclavicular Joint Synovitis

    Directory of Open Access Journals (Sweden)

    Makoto Takeuchi

    2014-01-01

    Full Text Available Injury to the sternocostal synchondrosis of the first rib is quite rare. We report one such case in a 50-year-old man with nonunion of the first sternocostal synchondrosis accompanied by synovitis of the sternoclavicular joint. He first underwent arthroscopic surgery of the left sternoclavicular joint. Postoperatively, the patient’s symptoms decreased by half, but another pain and crepitus at the inferior lateral portion of the sternoclavicular joint developed. Since MRI and functional CT reexaminations revealed nonunion of the first sternocostal synchondrosis, resection arthroplasty of the first sternocostal joint was performed. This resulted in immediate resolution of the symptoms. At 2-year follow-up, his symptoms disappeared entirely with no limited range of motion of the shoulder.

  11. Posttraumatic nonunion of the clavicle in a 13-year-old boy causing an arteriovenous fistula

    Directory of Open Access Journals (Sweden)

    Feiran Wu

    2013-01-01

    Full Text Available Context: Fractures of the clavicle are one of the most common injuries to the bone in childhood, but posttraumatic nonunion of pediatric clavicle fractures are extremely rare, with only isolated reports in literature. Case Report: We report a case of a posttraumatic painful nonunion of a clavicle fracture in a 13-year-old boy that caused symptomatic compression of the external jugular vein (EJV and the formation of an arteriovenous fistula. The fracture was treated successfully with open reduction and internal fixation with a contoured recon plate 6 months following the injury. The fistula was treated by ligation and closure. Conclusion: The patient made a full recovery 6 months following surgery and was asymptomatic with full range of shoulder movement. Fracture union was confirmed by computed tomography (CT scanning and no residual fistula was found.

  12. NON-UNIONIZED WORKERS IN BRITISH GREEN SECTORS: EVIDENCE FROM THE LABOR FORCE SURVEY*

    Directory of Open Access Journals (Sweden)

    Ayhan Gormus

    2017-02-01

    Full Text Available International Labour Organization (ILO and United Nations Environment Programme (UNEP suggest that green sectors should offer decent jobs respecting to unions and international labor rights and fulfill requirements of labor laws and collective bargaining system. Also, non-unionized working in green sectors poses a significant challenge in terms of creation decent jobs. In this line, this article presents several evidences from British Labour Force Survey to find some socio-economic obstacles behind unionization in green sectors by using logistic regression modeling method. The results suggest that union membership decision in green sectors is affected by a range of demographic and work-related factors used in the study. For example, those who are 16-24 age band, women workers, those who are employed by small sized enterprises and takes charge in high-ranked occupations are higher likelihood of non-unionized working in green sectors, compared to rest of the sectors.

  13. Management of gap non-union of tibia by tibialisation of ipsilateral vascular fibula.

    Directory of Open Access Journals (Sweden)

    Date A

    1996-10-01

    Full Text Available Gap non-union of tibia following traumatic bone loss or infection dramatically emphasizes the limitation of conventional reconstructive techniques. With presence of significant skin loss or poorly vascularised recepient bed, complications and failure rate increase and solution often lies in amputation. Vascularised ipsilateral fibular grafting offers a viable alternative to this. This is a series of 16 cases of gap non-union of tibia treated by tibialisation of fibula at KEM Hospital, Bombay. All the cases were secondary to osteomyelitis following compound fracture of tibia-fibula or hematogenous osteomyelitis with a large sequestrum. 15 cases had good results with good hypertrophy of bone after union. One case had poor result with fracture going into delayed union with no hypertrophy. We discuss the technique, complications and results of this procedure.

  14. Hidden relationships between metalloproteins unveiled by structural comparison of their metal sites

    Science.gov (United States)

    Valasatava, Yana; Andreini, Claudia; Rosato, Antonio

    2015-03-01

    Metalloproteins account for a substantial fraction of all proteins. They incorporate metal atoms, which are required for their structure and/or function. Here we describe a new computational protocol to systematically compare and classify metal-binding sites on the basis of their structural similarity. These sites are extracted from the MetalPDB database of minimal functional sites (MFSs) in metal-binding biological macromolecules. Structural similarity is measured by the scoring function of the available MetalS2 program. Hierarchical clustering was used to organize MFSs into clusters, for each of which a representative MFS was identified. The comparison of all representative MFSs provided a thorough structure-based classification of the sites analyzed. As examples, the application of the proposed computational protocol to all heme-binding proteins and zinc-binding proteins of known structure highlighted the existence of structural subtypes, validated known evolutionary links and shed new light on the occurrence of similar sites in systems at different evolutionary distances. The present approach thus makes available an innovative viewpoint on metalloproteins, where the functionally crucial metal sites effectively lead the discovery of structural and functional relationships in a largely protein-independent manner.

  15. Hidden relationships between metalloproteins unveiled by structural comparison of their metal sites.

    Science.gov (United States)

    Valasatava, Yana; Andreini, Claudia; Rosato, Antonio

    2015-03-30

    Metalloproteins account for a substantial fraction of all proteins. They incorporate metal atoms, which are required for their structure and/or function. Here we describe a new computational protocol to systematically compare and classify metal-binding sites on the basis of their structural similarity. These sites are extracted from the MetalPDB database of minimal functional sites (MFSs) in metal-binding biological macromolecules. Structural similarity is measured by the scoring function of the available MetalS2 program. Hierarchical clustering was used to organize MFSs into clusters, for each of which a representative MFS was identified. The comparison of all representative MFSs provided a thorough structure-based classification of the sites analyzed. As examples, the application of the proposed computational protocol to all heme-binding proteins and zinc-binding proteins of known structure highlighted the existence of structural subtypes, validated known evolutionary links and shed new light on the occurrence of similar sites in systems at different evolutionary distances. The present approach thus makes available an innovative viewpoint on metalloproteins, where the functionally crucial metal sites effectively lead the discovery of structural and functional relationships in a largely protein-independent manner.

  16. Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis.

    Science.gov (United States)

    Shah, Chirag M; Stern, Peter J

    2013-03-01

    Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) are the two most common patterns of posttraumatic wrist arthritis. This review discusses the etiology and clinical evaluation, as well as up-to-date treatment options, for both of these conditions. Classic as well as newer innovative techniques are discussed with clinical outcomes in order to provide an evidence-based review of the world's literature on SLAC/SNAC wrist.

  17. Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist arthritis

    OpenAIRE

    Shah, Chirag M.; Stern, Peter J.

    2013-01-01

    Scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) are the two most common patterns of posttraumatic wrist arthritis. This review discusses the etiology and clinical evaluation, as well as up-to-date treatment options, for both of these conditions. Classic as well as newer innovative techniques are discussed with clinical outcomes in order to provide an evidence-based review of the world’s literature on SLAC/SNAC wrist.

  18. Transfracture abduction osteotomy: A solution for nonunion of femoral neck fractures

    Directory of Open Access Journals (Sweden)

    Jairamchander Pingle

    2014-01-01

    femur with or without bone graft, valgus osteotomy or hip arthroplasty. We conducted a retrospective analysis of cases of nonunion of femoral neck fracture treated by transfracture abduction osteotomy (TFAO. Materials and Methods: Over a period of 35 years (1974-2008, 30 patients with nonunion of femoral neck fractures were treated with TFAO over a period of 35 years (1974-2008, All patients were less than 50 years of age. Absence of clinical and radiological signs of union after four months was considered as nonunion. Patients more than 50 years of age were excluded from the study. Union was assessed at 6 months radiologically. Limb length was measured at six months. The mean duration of femoral neck fracture was 19 months (range 4 months 10 years. Results were analyzed in terms of radiological union at six months. Average followup was five years and six months. Results: Consistent union was noted at the followup after six months in 29 cases. One case was lost to followup after five and one-half months postoperatively. However, the fracture had united in this case at the last followup. Average shortening of the limb at six months was 1.9 cm. Average neck shaft angle was 127° (range 120-145°. Five cases went into AVN but were asymptomatic. Two cases required reoperation due to back out of Moore′s pins. These were reopened and cancellous screws were inserted in the same tracks. Conclusions: Consistent union of nonunion femoral neck fracture was noted at the followup after six months in 29 cases. The major drawback of the procedure is immobilization of the patient in the hip spica for eight weeks.

  19. What is the Optimal Treatment of Atrophic Scaphoid Non-Union?

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    Alper Cirakli

    2016-09-01

    Full Text Available Aim: To evaluate the efficacy of the treatment method of autogenous iliac wing or radius bone graft and fixation with screw applied to cases of scaphoid non-union. Material and Method: A retrospective evaluation was made of 89 cases between 2000 and 2014. Postoperative measurements were taken of both wrists%u2019 movement with a goniometer and muscle strength was assessed with a dynamometer. Fractures were evaluated radiologically according to the Herbert-Fisher System and the functional results according to the Herbert-Fisher Classification System and the Mayo Clinic Modified Wrist Scoring System. The data were input to the SPSS system and evaluated with the Shapiro-Wilk test. Results: Non-union were on the right side in 47 and the left side in 42 cases. The fracture was seen to be in the waist in 60 cases (67.5%, in the proximal third in 27 cases (30.3% and in the distal third in two cases (2.2%. The mean follow-up period was 16.4 months (range, 5-72 months. Definitive findings of union were observed in 71 cases. The mean time to union was 14.9 weeks (range, 8-40 weeks. Discussion: The grafting procedure applied is an invasive technique but if it is considered that there are negative effects of open surgery on the feeding of the scaphoid bone, then in the treatment of scaphoid non-union which is atrophic non-union, ultimately autogenous bone grafting and screw fixation is a safe and successful method and because of the pain created by an iliac wing graft, radius distal bone graft can be considered more appropriate.

  20. Treatment of distal femoral nonunion and delayed union by using a retrograde intramedullary interlocking nail

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    Objective: To analyze the causes of distal femoral nonunion and delayed union and assess the outcome of the corresponding treatment, retrograde intramedullary interlocking nail (RIIN).   Methods: From June 1995 to December 1998, 15 patients (9 males and 6 females) with distal femoral nonunion and delayed union were treated with RIIN. The average age of the patients was 34.5 years (23-46 years). Bone grafting was performed in 10 patients, closed reaming was done in the other 5 patients. Correction osteotomy was performed in 2 patients, and intra-articular release of knee adhesion in 11 patients. X-ray examination and knee society clinical rating system (KSS) were used to evaluate the results.   Results: All fractures were followed up for at least 9 months with average follow-up duration of 14.5 months (9-33 months). Solid union was documented in all patients at 6.4 months on average. There were no infections or malunions in this series. Based on the final follow-up data, acceptable functional range of motion (ROM) of over 90° was achieved in most patients. The average ROM was 93.5° with significant improvement of 28° (42.7%, P<0.05) compared with the preoperative ROM. The average knee score was 96. Excellent ROM emerged in 13 patients. The knee function score was 90.5 on average.   Conclusions: The main causes of distal femoral nonunion and delayed union are improper indications and improper use of the implants. RIIN is an effective alternative for treatment of distal femoral nonunion and delayed union because it can provide a stable and reliable fixation which is beneficial for early functional exercise of knee. Bone grafting, closed reaming and intra-articular release of knee adhesion should be considered in order to enhance the bone healing and improve ROM and the knee function.

  1. MR imaging of avascular scaphoid nonunion before and after vascularized bone grafting

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, Suzanne E.; Tschering-Vogel, Dechen; Martin, Matthias [University Hospital of Bern, Inselspital, Department of Radiology, Bern (Switzerland); Steinbach, Lynne S. [University of California San Francisco, Department of Radiology, San Francisco, California (United States); Nagy, Ladislav [University Hospital of Bern, Inselspital, Department of Orthopedic Surgery, Bern (Switzerland)

    2005-06-01

    To investigate the magnetic resonance (MR) imaging appearances of chronic nonunion of the scaphoid with proximal pole avascular necrosis before and after insertion of a vascularized bone graft, using computed tomography (CT) as the imaging gold standard. A retrospective study was performed involving MR imaging (n=26), CT scans (n=37) and radiographs (n=52) of 13 men (mean age 29 years, age range 20-38 years) with avascular scaphoid nonunion. Avascular necrosis of the scaphoid proximal pole was confirmed intraoperatively (n=13). MR images were acquired preoperatively and following placement of a vascularized bone graft. Scaphoid MR signal characteristics were assessed for evidence of vascular bone graft incorporation and revascularization of the bone marrow of the proximal pole of the scaphoid and compared with the gold standard of CT. Surgical and clinical notes were reviewed with a minimum 3 year imaging and clinical follow-up in all patients. Graft incorporation with revascularization of the proximal pole of the scaphoid was documented in 9 patients (69%). Graft failure with persistent pseudoarthrosis and avascular necrosis of the scaphoid was seen in 4 patients (31%). MR imaging is useful to determine whether vascularized bone graft incorporation and revascularization of the proximal pole of the scaphoid has occurred in the setting of avascular scaphoid nonunion. (orig.)

  2. Teriparatide anabolic therapy as potential treatment of type II dens non-union fractures

    Science.gov (United States)

    Pola, Enrico; Pambianco, Virginia; Colangelo, Debora; Formica, Virginia M; Autore, Giovanni; Nasto, Luigi A

    2017-01-01

    Odontoid fractures account for 5% to 15% of all cervical spine injuries and 1% to 2% of all spine fractures. Type II fractures are the most common fracture pattern in elderly patients. Treatment (rigid and non-rigid immobilization, anterior screw fixation of the odontoid and posterior C1-C2 fusion) remains controversial and represents a unique challenge for the treating surgeon. The aims of treatment in the elderly is to quickly restore pre-injury function while decreasing morbidity and mortality associated with inactivity, immobilization with rigid collar and prolonged hospitalization. Conservative treatment of type II odontoid fractures is associated with relatively high rates of non-union and in a few cases delayed instability. Options for treatment of symptomatic non-unions include surgical fixation or prolonged rigid immobilization. In this report we present the case of a 73-year-old woman with post-traumatic odontoid non-union successfully treated with Teriparatide systemic anabolic therapy. Complete fusion and resolution of the symptoms was achieved 12 wk after the onset of the treatment. Several animal and clinical studies have confirmed the potential role of Teriparatide in enhancing fracture healing. Our case suggests that Teriparatide may have a role in improving fusion rates of C2 fractures in elderly patients. PMID:28144584

  3. Modeling Staphylococcus epidermidis-Induced Non-Unions: Subclinical and Clinical Evidence in Rats.

    Directory of Open Access Journals (Sweden)

    Arianna Barbara Lovati

    Full Text Available S. epidermidis is one of the leading causes of orthopaedic infections associated with biofilm formation on implant devices. Open fractures are at risk of S. epidermidis transcutaneous contamination leading to higher non-union development compared to closed fractures. Although the role of infection in delaying fracture healing is well recognized, no in vivo models investigated the impact of subclinical low-grade infections on bone repair and non-union. We hypothesized that the non-union rate is directly related to the load of this commonly retrieved pathogen and that a low-grade contamination delays the fracture healing without clinically detectable infection. Rat femurs were osteotomized and stabilized with plates. Fractures were infected with a characterized clinical-derived methicillin-resistant S. epidermidis (10(3, 10(5, 10(8 colony forming units and compared to uninfected controls. After 56 days, bone healing and osteomyelitis were clinically assessed and further evaluated by micro-CT, microbiological and histological analyses. The biofilm formation was visualized by scanning electron microscopy. The control group showed no signs of infection and a complete bone healing. The 10(3 group displayed variable response to infection with a 67% of altered bone healing and positive bacterial cultures, despite no clinical signs of infection present. The 10(5 and 10(8 groups showed severe signs of osteomyelitis and a non-union rate of 83-100%, respectively. The cortical bone reaction related to the periosteal elevation in the control group and the metal scattering detected by micro-CT represented limitations of this study. Our model showed that an intra-operative low-grade S. epidermidis contamination might prevent the bone healing, even in the absence of infectious signs. Our findings also pointed out a dose-dependent effect between the S. epidermidis inoculum and non-union rate. This pilot study identifies a relevant preclinical model to assess the

  4. Modeling Staphylococcus epidermidis-Induced Non-Unions: Subclinical and Clinical Evidence in Rats.

    Science.gov (United States)

    Lovati, Arianna Barbara; Romanò, Carlo Luca; Bottagisio, Marta; Monti, Lorenzo; De Vecchi, Elena; Previdi, Sara; Accetta, Riccardo; Drago, Lorenzo

    2016-01-01

    S. epidermidis is one of the leading causes of orthopaedic infections associated with biofilm formation on implant devices. Open fractures are at risk of S. epidermidis transcutaneous contamination leading to higher non-union development compared to closed fractures. Although the role of infection in delaying fracture healing is well recognized, no in vivo models investigated the impact of subclinical low-grade infections on bone repair and non-union. We hypothesized that the non-union rate is directly related to the load of this commonly retrieved pathogen and that a low-grade contamination delays the fracture healing without clinically detectable infection. Rat femurs were osteotomized and stabilized with plates. Fractures were infected with a characterized clinical-derived methicillin-resistant S. epidermidis (10(3), 10(5), 10(8) colony forming units) and compared to uninfected controls. After 56 days, bone healing and osteomyelitis were clinically assessed and further evaluated by micro-CT, microbiological and histological analyses. The biofilm formation was visualized by scanning electron microscopy. The control group showed no signs of infection and a complete bone healing. The 10(3) group displayed variable response to infection with a 67% of altered bone healing and positive bacterial cultures, despite no clinical signs of infection present. The 10(5) and 10(8) groups showed severe signs of osteomyelitis and a non-union rate of 83-100%, respectively. The cortical bone reaction related to the periosteal elevation in the control group and the metal scattering detected by micro-CT represented limitations of this study. Our model showed that an intra-operative low-grade S. epidermidis contamination might prevent the bone healing, even in the absence of infectious signs. Our findings also pointed out a dose-dependent effect between the S. epidermidis inoculum and non-union rate. This pilot study identifies a relevant preclinical model to assess the role of

  5. Comparison of Olkiluoto (Finland) and Forsmark (Sweden) candidate sites for radioactive-waste disposal

    Science.gov (United States)

    Geier, J. E.; Bath, A.; Stephansson, O.; Luukkonen, A.

    2012-12-01

    Site characterizations for deep radioactive-waste repositories consider rock properties, groundwater conditions, and the influences of regional settings and site-specific evolution. We present a comparison of these aspects for two candidate repository sites that have similar rocks and coastal settings, but are 200 km apart on opposite sides of the Gulf of Bothnia. The Olkiluoto site in Finland and the Forsmark site in Sweden are both in hard crystalline rock (migmatite gneiss and metagranite, respectively) with groundwater flow mainly via fractures. Both sites are undergoing licensing for a high-level radioactive-waste repository. The licensing is stepwise in Finland, and operation in both countries will be strictly regulated, but all responsibility lies with the implementers until accepted closure. The comparison reveals many expected similarities but also unexplained differences, which illustrate the complexities of site characterization in fractured crystalline rock. Both sites underwent a similar sequence of hydrologic conditions over the Weichselian and earlier glacial cycles. Hydrogeologically, Forsmark has more conductive upper bedrock, contributing to a very flat water table. Deep bedrock at Olkiluoto is more fractured in the horizontal plane. At repository depth and below, Forsmark likely contains larger volumes of low-conductivity rock. At both sites, the local model is connected to regional-scale boundaries via submarine deformation zones which (especially at Olkiluoto) are poorly characterized. Stress measurements at the two sites have shown that vertical stress is in agreement with the weight of overburden while horizontal stresses differ in magnitude and orientation. Interpreted overcoring stress measurements from Forsmark are almost twice the magnitudes estimated from hydraulic methods. Rock mechanical differences include the possibility that Olkiluoto bedrock is more prone to spalling than Forsmark. Olkiluoto bedrock is more anisotropic in terms of

  6. The value of online seller reputation: evidence from a price comparison site

    OpenAIRE

    Thompson, Stephen; Haynes, Michelle

    2015-01-01

    This paper examines the value of seller reputation for e-retailers trading via a price comparison site (PCS). E-markets are widely held to accommodate sellers of differing service quality, including some who behave opportunistically. The paper uses a sample of offers on up to 295 digital cameras traded on a leading PCS, over a 134-day period to estimate reputation’s price impact. User-generated reputation measures have a significant impact in the expected direction. However, their magnitude i...

  7. 自体红骨髓移植治疗鼠胫骨骨不连%Experimental study on autologous redbone marrow transplantation for rat tibial nonunion model

    Institute of Scientific and Technical Information of China (English)

    邵擎东; 李宇飞; 许天明; 孙久一; 江峰; 严旭

    2015-01-01

    puncture 2-3 points,the extractionof red bone marrow,bone marrow immediatelyunder direct vision is slowly injected intothe nonunion site.The other 40 rats as the control group,without red bone marrowtransplantation.The rat model ofpostoperative systemicadministration of antibiotics,cleandressing,bone fracture limbs brakingetc.3 months after the rats were sacrificedbygross specimen,histopathologicaland radiological examination confirmed thetibia of tworats in the model groupwithout healing.Results X-ray inspection showed that:autologous red bone marrow transplantation rats,4 weeks after operation,new bone shadow region showed irregular bone nonunion of tibial fracture.8 weeks after operation,bone nonunion shadow increased throughout the region,increased density.12 weeks after the transplantation,autologous bone marrow transplantation rat model of tibial nonunion disappear,medullary cavity.The control rats in the model group,the tibial nonunion did not occur in the bone healing,bone defect exists.Pathological examination showed:12 weeks after transplantation,transplantation of autologous bone marrow transplantation group,all groups of nonunion of tibia has formed the bone healing,bone little Liang Mingxian central reduction,medullary cavity fusion,but not very rules,while the control grouprats model,tibialcortical thinning,even perforation.1 cases of no formation of bone healing,bone defect areato fibrous tissue.There was a statistically significantdifference between the two groups (P <0.01).Conclusion Autologous red bone marrowtransplantation for the treatment of tibialnonunionmethodsratmodel is simple,the effect is better,can effectively promotethe healing oftibialnonunion,walkingfunction recovery of rat model.

  8. Direct site-specific glycoform identification and quantitative comparison of glycoprotein therapeutics: imiglucerase and velaglucerase alfa.

    Science.gov (United States)

    Ye, Hongping; Hill, John; Gucinski, Ashley C; Boyne, Michael T; Buhse, Lucinda F

    2015-03-01

    Gaucher disease, the most common lysosomal metabolic disorder, can be treated with enzyme replacement therapy (ERT). Recombinant human glucocerebrosidase imiglucerase (Cerezyme(®)), produced in Chinese hamster ovary cells, has been used for ERT of Gaucher disease for 20 years. Another recombinant glucocerebrosidase velaglucerase alfa (VPRIV), expressed in a human fibroblast cell line, was approved by the US Food and Drug Administration in 2010. The amino acid sequence difference at residue 495 of these two products is well documented. The overall N-linked qualitative glycan composition of these two products has also been reported previously. Herein, employing our recently developed approach utilizing isobaric tandem mass tag (TMT) labeling and an LTQ Orbitrap XL electron transfer dissociation (ETD) hybrid mass spectrometer, the site-specific glycoforms of these products were identified with ETD and collision-induced dissociation (CID) spectra. The quantitative comparison of site-specific glycans was achieved utilizing higher-energy collisional dissociation (HCD) spectra with a NanoMate used as both a fraction collector and a sample introduction device. From the trypsin-digested mixture of these two products, over 90 glycopeptides were identified by accurate mass matching. In addition to those previously reported, additional glycopeptides were detected with moderate abundance. The relative amount of each glycoform at a specific glycosylation site was determined based on reporter signal intensities of the TMT labeling reagents. This is the first report of site-specific simultaneous qualitative and quantitative comparison of glycoforms for Cerezyme(®) and VPRIV. The results demonstrate that this method could be utilized for biosimilarity determination and counterfeit identification of glycoproteins.

  9. Performance Comparison of Systematic Methods for Rigorous Definition of Coarse-Grained Sites of Large Biomolecules.

    Science.gov (United States)

    Zhang, Yuwei; Cao, Zexing; Zhang, John Zenghui; Xia, Fei

    2017-02-27

    Construction of coarse-grained (CG) models for large biomolecules used for multiscale simulations demands a rigorous definition of CG sites for them. Several coarse-graining methods such as the simulated annealing and steepest descent (SASD) based on the essential dynamics coarse-graining (ED-CG) or the stepwise local iterative optimization (SLIO) based on the fluctuation maximization coarse-graining (FM-CG), were developed to do it. However, the practical applications of these methods such as SASD based on ED-CG are subject to limitations because they are too expensive. In this work, we extend the applicability of ED-CG by combining it with the SLIO algorithm. A comprehensive comparison of optimized results and accuracy of various algorithms based on ED-CG show that SLIO is the fastest as well as the most accurate algorithm among them. ED-CG combined with SLIO could give converged results as the number of CG sites increases, which demonstrates that it is another efficient method for coarse-graining large biomolecules. The construction of CG sites for Ras protein by using MD fluctuations demonstrates that the CG sites derived from FM-CG can reflect the fluctuation properties of secondary structures in Ras accurately.

  10. Social comparison 2.0: examining the effects of online profiles on social-networking sites.

    Science.gov (United States)

    Haferkamp, Nina; Krämer, Nicole C

    2011-05-01

    Through their features--such as profile photographs or the personal vita--online profiles on social-networking sites offer a perfect basis for social comparison processes. By looking at the profile photograph, the user gains an impression of a person's physical attractiveness, and the user's vita shows which career path the person is pursuing. Against the background of Festinger's Social Comparison Theory, the focus of this research is on the effects of online profiles on their recipients. Therefore, qualitative interviews (N = 12) and two online experiments were conducted in which virtual online profiles of either physically attractive or unattractive persons (N = 93) and profiles of users with either high or low occupational attainment (N = 103) were presented to the participants. Although qualitative interviews did not initially give reason to expect online profiles to constitute a basis for comparison processes, results of the experiments proved otherwise. The first study indicates that recipients have a more negative body image after looking at beautiful users than persons who were shown the less attractive profile pictures. Male participants of the second study, who were confronted with profiles of successful males, showed a higher perceived discrepancy between their current career status and an ideal vita than male participants who looked at profiles of less successful persons.

  11. Local inhibition of angiogenesis results in an atrophic non-union in a rat osteotomy model

    Directory of Open Access Journals (Sweden)

    M Fassbender

    2011-07-01

    Full Text Available Long bone and in particular tibia fractures frequently fail to heal. A disturbed revascularisation is supposed to be a major cause for impaired bone healing or the development of non-unions. We aim to establish an animal model, which reliably mimics the clinical situation. Human microvascular endothelial cells (HMEC-1 and primary human osteoblast like cells (POBs were cultured with different angiogenesis-inhibitors (Fumagillin, SU5416, Artesunate and 3,5,4’-Trimethoxystilbene released out of poly(D,L-Lactide (PDLLA coated k-wires and cell activity was determined. Discs containing PDLLA or PDLLA + Fumagillin/Artesunate were placed at the chorionallantoic membrane of hen eggs and the effect on vessel formation and egg vitality was observed. Tibia osteotomy was performed in rats and stabilised with K-wires coated with PDLLA + Fumagillin or with PDLLA only (control group. The healing was compared at different time points to the PDLLA control. Fumagillin and Artesunate inhibited the activity of HMEC-1 with minor effect on POBs. Artesunate caused embryonic death, whereas Fumagillin had no effects on egg vitality, but reduced the blood vessels. In the animal study all rats showed an impaired healing with reduced biomechanical stability. The Fumagillin treated tibiae had a significantly decreased callus size at day 42 and 84, less blood vessels in the early callus, a reduced histological callus size at day 10, 28 and 84, as well as an altered callus composition. This study presents a less vascularised, atrophic, tibia non-union and can be used in further investigations to analyse the pathology of atrophic non-union and to test new interventions.

  12. Treatment of infected non-unions with segmental defects with a rail fixation system.

    Science.gov (United States)

    Mudiganty, Srikanth; Daolagupu, Arup Kumar; Sipani, Arun Kumar; Das, Satyendra Kumar; Dhar, Arijit; Gogoi, Parag Jyoti

    2017-04-01

    We conducted this study to evaluate the use of rail fixation system in infected gap non-union of femur and tibia as an alternative to the established Ilizarov circular fixator technique. Prospective study. The study was done in the Department of Orthopaedic surgery in a medical school and level I trauma center to which the authors are/were affiliated. Between June 2010 and June 2015, 40 patients with infected gap non-union of femur and tibia were treated with the rail fixation system. Patients who were willing to undergo surgery and participate in the post-operative rehabilitation were included in the study. After radical debridement, the system was applied and corticotomy done. For closure of bone gap, acute docking and distraction was done in 18 cases and segmental bone transport in 22 cases. Early mobilization of patient was done along with aggressive physiotherapy. Bone and functional results were calculated according to ASAMI scoring system, and complications were classified according to Paley classification. The mean follow-up period was 22.56 months (range 8-44). Bone union with eradication of infection was achieved in all but 1 case (97.5%). Bone results were excellent in 57.5%, good 40%, fair 0% and poor in 2.5% cases, while functional result was excellent in 32.5%, good 65%, fair 0% and poor in 2.5% cases. The rail fixation system is an excellent alternative method to treat infected gap non-union of femur and tibia. It is simple, easy to use and patient-friendly.

  13. A comparison of chemiluminescent acridinium dimethylphenyl ester labels with different conjugation sites.

    Science.gov (United States)

    Natrajan, Anand; Wen, David

    2015-03-07

    Chemiluminescent acridinium dimethylphenyl esters are highly sensitive labels that are used in automated assays for clinical diagnosis. Light emission from these labels and their conjugates is triggered by treatment with alkaline peroxide. Conjugation of acridinium ester labels is normally done at the phenol. During the chemiluminescent reaction of these acridinium esters, the phenolic ester is cleaved and the light emitting acridone moiety is liberated from its conjugate partner. In the current study, we report the synthesis of three new acridinium esters with conjugation sites at the acridinium nitrogen and compare their properties with that of a conventional acridinium ester with a conjugation site at the phenol. Our study is the first that provides a direct comparison of the emissive properties of acridinium dimethylphenyl esters (free labels and protein conjugates) with different conjugation sites, one where the light emitting acridone remains attached to its conjugate partner versus conventional labeling which results in cleavage of the acridone from the conjugate. Our results indicate that the conjugation at the acridinium nitrogen, which also alters how the acridinium ring and phenol are oriented with respect to the protein surface, has a minimal impact on emission kinetics and emission spectra. However, this mode of conjugation to three different proteins led to a significant increase in light yield which should be useful for improving the assay sensitivity.

  14. Bone SPECT/CT detection of a sequestrum in chronic-infected nonunion of the tibia

    DEFF Research Database (Denmark)

    Madsen, Jan L

    2008-01-01

    Abstract: Sequestra are dead pieces of bone most often seen in long bones affected with prior or current infection. In addition to antibiotic therapy, chronic osteomyelitis with sequestration requires surgical debridement for cure. The author presents a case of tibial fracture associated with chr......Abstract: Sequestra are dead pieces of bone most often seen in long bones affected with prior or current infection. In addition to antibiotic therapy, chronic osteomyelitis with sequestration requires surgical debridement for cure. The author presents a case of tibial fracture associated...... with chronic osteomyelitis, nonunion, and the presence of a sequestrum that was detected by bone SPECT/CT.  ...

  15. [Tibial defects and infected non-unions : Treatment results after Masquelet technique].

    Science.gov (United States)

    Moghaddam, A; Ermisch, C; Fischer, C; Zietzschmann, S; Schmidmaier, G

    2017-03-01

    The treatment of non-unions with large bone defects or osteitis is a major challenge in orthopedic and trauma surgery. A new concept of therapy is a two-step procedure: Masquelet technique according to the diamond concept. Between February 2010 and June 2014, 55 patients with tibia non-unions or infections were treated in a two-step Masquelet technique in our center. The patients' average age was 48 (median 50; minimum 15-maximum 72) with an average BMI (body mass index) of 28 (27; 18-52). There were 10 (18 %) female and 45 (82 %) male patients in the group. All study patients went through a follow up. Bone healing and clinical functional data were collected, as well as data according to subjective patient statements about pain and everyday limitations. In 42 cases (76.4 %) the outcome was a sufficient bony consolidation. On average, the time to heal was 10.3 (8, 5; 3-40) months, defect gaps were 4 cm (3 cm; 0,6-26 cm), and on average the patients had had 6 (median 4; range 1-31) previous operations . In all cases patients received osteosynthesis as well as a defect filling with RIA (reamer-irrigator-aspirator), and growth factor BMP-7 (bone morphogenetic protein-7). In 13 cases (23.6 %) there was no therapeutic success. In the evaluation of the SF12 questionnaire the mental health score increased from 47.4 (49.1; 27.6-65.7) to 49.8 (53.0; 28.7-69.4) and the well-being score from 32.7 (32.7;16.9-55.7) to 36.6 (36.5; 24.6-55.9). The two-step bone grafting method in the Masquelet technique used for tibia non-unions according to the diamond concept is a promising treatment option. Its application for tibia shaft non-unions with large bone defects or infections means a high degree of safety for the patient.

  16. Thoracic Outlet Syndrome in a Volleyball Player Due to Nonunion of the First Rib Fracture.

    Science.gov (United States)

    Puttmann, Kathleen T; Satiani, Bhagwan; Vaccaro, Patrick

    2016-11-01

    Fracture of the first rib with ensuing callus formation is a rare cause of thoracic outlet syndrome. We report a case of a 17-year-old female volleyball player who presented with months of chronic arm pain. Radiographic imaging demonstrated nonunion fracture of the first rib. Physical therapy had been unsuccessful in relieving the pain, and surgical management was performed with resection of the first rib through a transaxillary approach with complete resolution of symptoms. Inflammation surrounding such fractures may destroy tissue planes, making dissection more technically difficult.

  17. Prosthetic options for below knee amputations after osteomyelitis and nonunion of the tibia.

    Science.gov (United States)

    Moshirfar, A; Showers, D; Logan, P; Esterhai, J L

    1999-03-01

    Below the knee amputation after trauma is an appropriate option for many patients with recalcitrant infection and nonunion of the tibia. Patients who have had transtibial amputations have lower energy expenditure, heart rate, and oxygen cost when ambulating with their prostheses than when using a three-point gait with crutches without their artificial limb. Innovative prosthetists have improved each of the five essential components of the limb amputated below the knee: socket, insert, shaft and pylon, foot and ankle assembly, and suspension system. Prosthetists are integral members of the patient's healthcare team. Their recommendations and direct patient care are essential to optimizing the functional ability of patients who have had amputations.

  18. Early Stent Graft Perforation after Endovascular Repair for Pseudoaneurysm That Was Associated with Clavicle Nonunion

    Science.gov (United States)

    Touma, Masanao; Ohno, Nobuhisa; Yoshikawa, Eiji; Yoshizawa, Kousuke; Fujiwara, Keiichi

    2015-01-01

    We report the case of a 62-year-old man who experienced a left axillary artery pseudoaneurysm that was secondary to nonunion of a 30-year-old left midshaft clavicle fracture. He initially underwent endovascular repair using a self-expanding nitinol stent graft, which was perforated at postoperative day 5. Therefore, we performed open repair with concomitant clavicle resection, and no complications were observed during an approximately 6-year follow-up. We recommend performing clavicle resection with vascular repair to prevent recurrence in similar cases. PMID:26421082

  19. THE METHOD OF TREATMENT OF PATIENTS WITH NONUNIONS AND GUNSHOT PSEUDOARTHROSIS OF LONG BONE OF EXTREMITIES

    Directory of Open Access Journals (Sweden)

    B. A. Akhmedov

    2010-01-01

    Full Text Available Developed by the authors the method of treatment for nonunions and pseudoarthrosis of extremities long bones is described. It consist in mini-invasive preparation of interfragmentary space and bone grafting with cancellous graft from the wing of ilium. Successful use this method in 23 patients with gunshot wounds of humeral, forearm, femur and shin bones allows to recommend it for wide application. Suggested method of surgical treatment can be used not only after gunshot wounds, but after long bones fractures of another genesis.

  20. A STUDY ON FUNCTIONAL OUTCOME OF ILIZAROV FIXATION IN THE MANAGEMENT OF INFECTED NONUNION OF LONG BONES

    Directory of Open Access Journals (Sweden)

    Vellanki

    2016-01-01

    Full Text Available Healing of non-union infected fracture bones like tibia is a challenging one. Ilizarov external ring fixation is the appropriate method. The aim of our study is to evaluate the efficacy of Ilizarov external ring fixator in infected nonunion of bones and functional results in 20 patients and to conduct the study of complications. The age group included in our study were between 30 to 40 years of the 20 cases 17 were males and 3 were females. Of the 20 cases in our study, 14 cases had excellent results, 4 cases had good outcome, 1 patient had fair outcome, 1 cases had poor outcome. The study shows that Ilizarov ring external fixator system is ideal for limb salvage in infected nonunion of long bones.

  1. Combined Bone Transportation and Lengthening Techniques for the Treatment of Septic Nonunion of the Forearm Followed by Tendon Transfer

    Directory of Open Access Journals (Sweden)

    Konstantinos Ditsios

    2017-01-01

    Full Text Available Infected nonunion of a forearm fracture complicated by a considerable skin-muscle defect poses a great challenge to orthopaedic surgeons. The treatment strategy comprises eradication of the infection, ensuring bony union and soft tissue coverage along with functional restoration. We report a case of a 23-year-old man with an open Gustilo-Anderson IIIb fracture complicated by infected nonunion after internal fixation. After thorough surgical debridement, a considerable soft tissue defect, extensor muscle loss, and posterior interosseous nerve laceration had to be addressed. He was finally treated with bone transportation and bone lengthening followed by tendon transfers.

  2. Detecting local ligand-binding site similarity in nonhomologous proteins by surface patch comparison.

    Science.gov (United States)

    Sael, Lee; Kihara, Daisuke

    2012-04-01

    Functional elucidation of proteins is one of the essential tasks in biology. Function of a protein, specifically, small ligand molecules that bind to a protein, can be predicted by finding similar local surface regions in binding sites of known proteins. Here, we developed an alignment free local surface comparison method for predicting a ligand molecule which binds to a query protein. The algorithm, named Patch-Surfer, represents a binding pocket as a combination of segmented surface patches, each of which is characterized by its geometrical shape, the electrostatic potential, the hydrophobicity, and the concaveness. Representing a pocket by a set of patches is effective to absorb difference of global pocket shape while capturing local similarity of pockets. The shape and the physicochemical properties of surface patches are represented using the 3D Zernike descriptor, which is a series expansion of mathematical 3D function. Two pockets are compared using a modified weighted bipartite matching algorithm, which matches similar patches from the two pockets. Patch-Surfer was benchmarked on three datasets, which consist in total of 390 proteins that bind to one of 21 ligands. Patch-Surfer showed superior performance to existing methods including a global pocket comparison method, Pocket-Surfer, which we have previously introduced. Particularly, as intended, the accuracy showed large improvement for flexible ligand molecules, which bind to pockets in different conformations.

  3. The development of traumatic temporomandibular joint bony ankylosis: a course similar to the hypertrophic nonunion?

    Science.gov (United States)

    Yan, Ying-Bin; Duan, Deng-Hui; Zhang, Yi; Gan, Ye-Hua

    2012-02-01

    The traumatic temporomandibular joint (TMJ) bony ankylosis has generated great interest in the cranio-maxillofacial surgeons yet remains an enigma, due to its unknown pathogenesis. Organization and ossification of hematoma is the classical hypothesis concerning the underlying pathophysiology, but it could not explain all the unique characters of TMJ bony ankylosis. The previous imaging descriptions about bony ankylosis tend to over-emphasize the obliteration of joint space and the overgrowth of new bone around the joint. Our recent study has found that the radiolucent zone in the bony fusion area indicating impaired bone healing is one of the most important imaging features of bony ankylosis, and this imaging feature is similar to that of hypertrophic nonunion of long bone. We also observe that there is close relationship between the mouth opening and the degree of calcification of radiolucent zone. Therefore, we hypothesize that the development of traumatic TMJ bony ankylosis may be the course of bone healing of two injured articular surfaces under the interference of opening movement, which is similar to the hypertrophic nonunion. Our hypothesis could help to explain some unintelligible characters of bony ankylosis, and deserves further studies.

  4. Changes of Bone Turnover Markers in Long Bone Nonunions Treated with a Regenerative Approach

    Directory of Open Access Journals (Sweden)

    Donatella Granchi

    2017-01-01

    Full Text Available In this clinical trial, we investigated if biochemical bone turnover markers (BTM changed according to the progression of bone healing induced by autologous expanded MSC combined with a biphasic calcium phosphate in patients with delayed union or nonunion of long bone fractures. Bone formation markers, bone resorption markers, and osteoclast regulatory proteins were measured by enzymatic immunoassay before surgery and after 6, 12, and 24 weeks. A satisfactory bone healing was obtained in 23 out of 24 patients. Nine subjects reached a good consolidation already at 12 weeks, and they were considered as the “early consolidation” group. We found that bone-specific alkaline phosphatase (BAP, C-terminal propeptide of type I procollagen (PICP, and beta crosslaps collagen (CTX changed after the regenerative treatment, BAP and CTX correlated to the imaging results collected at 12 and 24 weeks, and BAP variation along the healing course differed in patients who had an “early consolidation.” A remarkable decrease in BAP and PICP was observed at all time points in a single patient who experienced a treatment failure, but the predictive value of BTM changes cannot be determined. Our findings suggest that BTM are promising tools for monitoring cell therapy efficacy in bone nonunions, but studies with larger patient numbers are required to confirm these preliminary results.

  5. The serotonin transporter in rhesus monkey brain: comparison of DASB and citalopram binding sites

    Energy Technology Data Exchange (ETDEWEB)

    Zeng Zhizhen [Imaging Department, Merck Research Laboratories, West Point, PA 19486 (United States)]. E-mail: zhizhen_zeng@merck.com; Chen, T.-B. [Imaging Department, Merck Research Laboratories, West Point, PA 19486 (United States); Miller, Patricia J. [Imaging Department, Merck Research Laboratories, West Point, PA 19486 (United States); Dean, Dennis [Labeled Compound Synthesis Group, Drug Metabolism, Merck Research Laboratories, Rahway, NJ 07065-0900 (United States); Tang, Y.S. [Labeled Compound Synthesis Group, Drug Metabolism, Merck Research Laboratories, Rahway, NJ 07065-0900 (United States); Sur, Cyrille [Imaging Department, Merck Research Laboratories, West Point, PA 19486 (United States); Williams, David L. [Imaging Department, Merck Research Laboratories, West Point, PA 19486 (United States)

    2006-05-15

    We have characterized the interaction of the serotonin transporter ligand [{sup 3}H]-N,N-dimethyl-2-(2-amino-4-cyanophenylthio)-benzylamine (DASB) with rhesus monkey brain in vitro using tissue homogenate binding and autoradiographic mapping. [{sup 3}H]-DASB, a tritiated version of the widely used [{sup 11}C] positron emission tomography tracer, was found to selectively bind to a single population of sites with high affinity (K {sub d}=0.20{+-}0.04 nM). The serotonin transporter density (B {sub max}) obtained for rhesus frontal cortex was found to be 66{+-}8 fmol/mg protein using [{sup 3}H]-DASB, similar to the B {sub max} value obtained using the reference radioligand [{sup 3}H]-citalopram, a well-characterized and highly selective serotonin reuptake inhibitor (83{+-}22 fmol/mg protein). Specific binding sites of both [{sup 3}H]-DASB and [{sup 3}H]-citalopram were similarly and nonuniformly distributed throughout the rhesus central nervous system, in a pattern consistent with serotonin transporter localization reported for human brain. Regional serotonin transporter densities, estimated from optical densities of the autoradiographic images, were well correlated between the two radioligands. Finally, DASB and fluoxetine showed dose-dependent full inhibition of [{sup 3}H]-citalopram binding in a competition autoradiographic study, with K {sub i} values in close agreement with those obtained from rhesus brain homogenates. This side-by-side comparison of [{sup 3}H]-DASB and [{sup 3}H]-citalopram binding sites in rhesus tissue homogenates and in adjacent rhesus brain slices provides additional support for the use of [{sup 11}C]-DASB to assess the availability and distribution of serotonin transporters in nonhuman primates.

  6. Non-invasive shallow seismic source comparison for hazardous waste site investigations

    Energy Technology Data Exchange (ETDEWEB)

    Doll, W.E. [Oak Ridge National Lab., TN (United States). Environmental Sciences Div.; Miller, R.D.; Xia, J. [Kansas Geological survey, Lawrence, KS (United States)

    1994-12-31

    Many commonly used shallow seismic sources are unacceptable for hazardous waste site investigations because they risk exhumation of contaminants in the soil, they add contaminants (e.g. lead) which are not allowed by regulations, or they add new migration paths for contaminants. Furthermore, recently developed high frequency vibrators for shallow investigations could be more effective at some sites than non-invasive impulsive sources because of their ability to tailor the source spectrum and reduce interference. The authors show preliminary results of a comparison test of eight non-invasive impulsive and swept sources in preparation for seismic reflection profiling on the Oak Ridge Reservation, Tennessee. Well log data are used to determine geologic contacts and to generate synthetic seismograms for the site. Common midpoint (CMP) seismic data for each source were collected at 95 geophone groups from 125 shot points along a 400m test line. Hydrophone data were obtained at 1.5m spacing between 61m and 133m depth in a hole near the center of the CMP line. As of March, 1994, brute stacks have been completed for three of the eight sources. Depth penetration is demonstrated in brute stacks and shot gathers, which show a 200ms reflector for all of the sources tested along portions of the line. Source effectiveness will also be evaluated by comparing images of several shallower reflectors (40--150ms) which are apparent in many of the records. Imaging of these reflectors appears to depend upon the ability of the source to generate sufficient high frequency energy (>100 Hz).

  7. Stratification of surgical site infection by operative factors and comparison of infection rates after hernia repair.

    Science.gov (United States)

    Olsen, Margaret A; Nickel, Katelin B; Wallace, Anna E; Mines, Daniel; Fraser, Victoria J; Warren, David K

    2015-03-01

    To investigate whether operative factors are associated with risk of surgical site infection (SSI) after hernia repair. Retrospective cohort study. Patients Commercially insured enrollees aged 6 months-64 years with International Classification of Diseases, Ninth Revision, Clinical Modification procedure or Current Procedural Terminology, fourth edition, codes for inguinal/femoral, umbilical, and incisional/ventral hernia repair procedures from January 1, 2004, through December 31, 2010. SSIs within 90 days after hernia repair were identified by diagnosis codes. The χ2 and Fisher exact tests were used to compare SSI incidence by operative factors. A total of 119,973 hernia repair procedures were analyzed. The incidence of SSI differed significantly by anatomic site, with rates of 0.45% (352/77,666) for inguinal/femoral, 1.16% (288/24,917) for umbilical, and 4.11% (715/17,390) for incisional/ventral hernia repair. Within anatomic sites, the incidence of SSI was significantly higher for open versus laparoscopic inguinal/femoral (0.48% [295/61,142] vs 0.34% [57/16,524], P=.020) and incisional/ventral (4.20% [701/16,699] vs 2.03% [14/691], P=.005) hernia repairs. The rate of SSI was higher following procedures with bowel obstruction/necrosis than procedures without obstruction/necrosis for open inguinal/femoral (0.89% [48/5,422] vs 0.44% [247/55,720], P<.001) and umbilical (1.57% [131/8,355] vs 0.95% [157/16,562], P<.001), but not incisional/ventral hernia repair (4.01% [224/5,585] vs 4.16% [491/11,805], P=.645). The incidence of SSI was highest after open procedures, incisional/ventral repairs, and hernia repairs with bowel obstruction/necrosis. Stratification of hernia repair SSI rates by some operative factors may facilitate accurate comparison of SSI rates between facilities.

  8. Cross-site strain comparison of pharmacological deficits in the touchscreen visual discrimination test.

    Science.gov (United States)

    Mohler, Eric G; Ding, Zhiyong; Rueter, Lynne E; Chapin, Douglas; Young, Damon; Kozak, Rouba

    2015-11-01

    The low rate of success for identifying effective treatments for cognitive dysfunction has prompted recent efforts to improve pharmaceutical discovery and development. In particular, investigators have emphasized improving translation from pre-clinical to clinical research. A specific area of focus has been touchscreen technology; this computer-automated behavioral testing method provides an objective assessment of performance that can be used across species. As part of a larger multi-site study with partners from the Innovative Medicines Initiative (IMI), two US sites, AbbVie and Pfizer, conducted a cross-site experiment with a common protocol for the visual discrimination (VD) task using identical testing equipment, stimuli, and rats of the same strains, sex, and age from the same supplier. As most touchscreen-based rodent experiments have used Lister-Hooded rats that are not readily available outside of Europe, a strain comparison with male Long-Evans rats was conducted as part of the study. Rats were trained for asymptotic performance, and test sessions were performed once per week in a full crossover design with cognition-impairing drugs. Drugs tested were phencyclidine and S-ketamine (N-methyl-D-aspartate (NMDA) antagonists), D-amphetamine (indirect dopamine agonist), and scopolamine (muscarinic antagonist). Satellite brain and plasma samples were taken to confirm appropriate exposures. Results indicate that both rat strains show similar patterns of impairment, although Lister-Hooded rats were more sensitive than Long-Evans rats to three out of four drugs tested. This suggests that researchers should fully explore dose-response relationships in their strain of choice and use care in the interpretation of reversal of cognitive impairment.

  9. Focus on the Part-Timer; Arbitration on a Non-Unionized Campus; Campus Negotiators--A Critical Comment.

    Science.gov (United States)

    Levenstein, Aaron, Ed.; And Others

    1980-01-01

    Job concerns and characteristics of part-time faculty and interests concerning union representation, arbitration on a nonunionized campus and a view of campus negotiators are addressed in this newsletter issue. The issue of protection of part-timers by their union is examined, and adjunct faculty are categorized as follows: the semi-retired, those…

  10. [{sup 18}F]FDG PET accurately differentiates infected and non-infected non-unions after fracture fixation

    Energy Technology Data Exchange (ETDEWEB)

    Wenter, Vera; Albert, Nathalie L.; Brendel, Matthias; Fendler, Wolfgang P.; Bartenstein, Peter [University of Munich, Department of Nuclear Medicine, Munich (Germany); Cyran, Clemens C. [University of Munich, Institute for Clinical Radiology, Munich (Germany); Friederichs, Jan; Mueller, Jan-Philipp; Militz, Matthias; Hungerer, Sven [BG Trauma Center Murnau, Department of Reconstructive Arthroplasty, Murnau (Germany); PMU Salzburg, Paracelsus Medical University, Salzburg (Austria); Hacker, Marcus [University of Vienna, Division of Nuclear Medicine, Department of Biomedical Imaging and Image-guided Therapy, Vienna (Austria)

    2017-03-15

    Complete fracture healing is crucial for good patient outcomes. A major complication in the treatment of fractures is non-union. The pathogenesis of non-unions is not always clear, although implant-associated infections play a significant role, especially after surgical treatment of open fractures. We aimed to evaluate the value of [{sup 18}F]FDG PET in suspected infections of non-union fractures. We retrospectively evaluated 35 consecutive patients seen between 2000 and 2015 with suspected infection of non-union fractures, treated at a level I trauma center. The patients underwent either [{sup 18}F]FDG PET/CT (N = 24), [{sup 18}F]FDG PET (N = 11) plus additional CT (N = 8), or conventional X-ray (N = 3). Imaging findings were correlated with final diagnosis based on intraoperative culture or follow-up. In 13 of 35 patients (37 %), infection was proven by either positive intraoperative tissue culture (N = 12) or positive follow-up (N = 1). [{sup 18}F]FDG PET revealed 11 true-positive, 19 true-negative, three false-positive, and two false-negative results, indicating sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of 85 %, 86 %, 79 %, 90 %, and 86 %, respectively. The SUV{sub max} was 6.4 ± 2.7 in the clinically infected group and 3.0 ± 1.7 in the clinically non-infected group (p <0.01). The SUV{sub ratio} was 5.3 ± 3.3 in the clinically infected group and 2.6 ± 1.5 in the clinically non-infected group (p <0.01). [{sup 18}F]FDG PET differentiates infected from non-infected non-unions with high accuracy in patients with suspected infections of non-union fractures, for whom other clinical findings were inconclusive for a local infection. [{sup 18}F]FDG PET should be considered for therapeutic management of non-unions. (orig.)

  11. Revealing divergent evolution, identifying circular permutations and detecting active-sites by protein structure comparison

    Directory of Open Access Journals (Sweden)

    Wang Yong

    2006-09-01

    Full Text Available Abstract Background Protein structure comparison is one of the most important problems in computational biology and plays a key role in protein structure prediction, fold family classification, motif finding, phylogenetic tree reconstruction and protein docking. Results We propose a novel method to compare the protein structures in an accurate and efficient manner. Such a method can be used to not only reveal divergent evolution, but also identify circular permutations and further detect active-sites. Specifically, we define the structure alignment as a multi-objective optimization problem, i.e., maximizing the number of aligned atoms and minimizing their root mean square distance. By controlling a single distance-related parameter, theoretically we can obtain a variety of optimal alignments corresponding to different optimal matching patterns, i.e., from a large matching portion to a small matching portion. The number of variables in our algorithm increases with the number of atoms of protein pairs in almost a linear manner. In addition to solid theoretical background, numerical experiments demonstrated significant improvement of our approach over the existing methods in terms of quality and efficiency. In particular, we show that divergent evolution, circular permutations and active-sites (or structural motifs can be identified by our method. The software SAMO is available upon request from the authors, or from http://zhangroup.aporc.org/bioinfo/samo/ and http://intelligent.eic.osaka-sandai.ac.jp/chenen/samo.htm. Conclusion A novel formulation is proposed to accurately align protein structures in the framework of multi-objective optimization, based on a sequence order-independent strategy. A fast and accurate algorithm based on the bipartite matching algorithm is developed by exploiting the special features. Convergence of computation is shown in experiments and is also theoretically proven.

  12. Treatment of complex nonunion of the shaft of the tibia using Ilizarov technique and its functional outcome

    Directory of Open Access Journals (Sweden)

    Ramji Lal Sahu

    2016-01-01

    Full Text Available Background: A complex nonunion of the shaft of the tibia is a major cause of morbidity and mortality in patients with lower extremity injuries. Aims: The aim of this study was to evaluate the outcome of the functional and radiological outcome of complex nonunion shaft of tibia, treated by radical debridement, Ilizarov ring fixator with compression and distraction osteogenesis. Methods: From 2005 to 2010, sixty cases of complex nonunion shaft of tibia were included in our study. All infected nonunions were managed by radical debridement, fixed with Ilizarov ring fixator, monofocal/bifocal compression, and distraction osteogenesis. The average duration of follow-up is 36 months (26–50 months. The functional evaluation was done by using Association for the Study and Application of Methods of Ilizarov (ASAMI scoring system and bone union with serial radiographs. Results: All patients had a successful union. The mean time for union was 7 months (5–9 months. The mean time of fixator removal is 12 months (8–14 months. Every patient had pin tract infections which were successfully treated with oral antibiotics. Four patients had an equinus deformity, one patient had insignificant limb shortening (1.5 cm, and three patients had soft tissue dystrophy. Using the ASAMI scoring system, we obtained 45 excellent, 10 good, 3 fair, and 2 poor functional results. Conclusions: The Ilizarov technique for complex nonunions has a high rate of success in achieving union and eradicating infection, bone loss, and malalignment. Radical debridement is the key step to control bone infection.

  13. Nonunion of the femoral neck: Possibilities and limitations of the various treatment modalities

    Directory of Open Access Journals (Sweden)

    Raaymakers Ernst

    2008-01-01

    Full Text Available Nowadays in cases of nonunions of the femoral neck, the surgeon is tempted to perform prosthetic replacement of the hip, more so if there is also evidence of avascular necrosis of the head of femur. This provides rapid pain relief and allows early mobilization. However, long-term results of hip arthroplasties, especially in younger people and in the presence of osteopenia, are not always as expected; and a less radical approach is worth considering. The intertrochanteric valgization osteotomy, described by Pauwels, is an excellent alternative for healthy patients up to 65 years of age with a nonunion of the femoral neck. A union rate of 80-90% of the nonunion is described by most authors. Leg length inequallity, rotational and angular deformities can be corrected at the same time. During the period 1973-1995, we performed valgization osteotomy according to Pauwels in 66 patients of, 18-72 years old (mean 49.5 years. 24 (37% of our patients died 4 months to 24 years (mean: 9.5 years after the operation. Union of the femoral neck was achieved in 58 (88% of the 66 patients; union of the osteotomy in 65 patients (99%. A good or excellent result was achieved in 62% (23 uneventful and 13 with healed, necrosis/arthrosis without need for further treatment of our patients. However, the method has its limits. We feel if there is too little bone stock inside the femoral head, a valgization osteotomy does not give good result. The radiographic signs of avascular necrosis in patients over 30 years of age is considered a contraindication for an osteotomy. However our results show that it is worthwhile trying to save the joint of young patients even in case of a segmental collapse. In the race between revascularization and collapse, often revascularization is the winner. We deliberately give nature its chance and don′t rely on the result of bleeding from drill holes in the head, nuclear scans and other methods to estimate vascularity. A secondary total hip

  14. Comparison of template registration methods for multi-site meta-analysis of brain morphometry

    Science.gov (United States)

    Faskowitz, Joshua; de Zubicaray, Greig I.; McMahon, Katie L.; Wright, Margaret J.; Thompson, Paul M.; Jahanshad, Neda

    2016-03-01

    Neuroimaging consortia such as ENIGMA can significantly improve power to discover factors that affect the human brain by pooling statistical inferences across cohorts to draw generalized conclusions from populations around the world. Voxelwise analyses such as tensor-based morphometry also allow an unbiased search for effects throughout the brain. Even so, such consortium-based analyses are limited by a lack of high-powered methods to harmonize voxelwise information across study populations and scanners. While the simplest approach may be to map all images to a single standard space, the benefits of cohort-specific templates have long been established. Here we studied methods to pool voxel-wise data across sites using templates customized for each cohort but providing a meaningful common space across all studies for voxelwise comparisons. As non-linear 3D MRI registrations represent mappings between images at millimeter resolution, we need to consider the reliability of these mappings. To evaluate these mappings, we calculated test-retest statistics on the volumetric maps of expansion and contraction. Further, we created study-specific brain templates for ten T1-weighted MRI datasets, and a common space from four study-specific templates. We evaluated the efficacy of using a two-step registration framework versus a single standard space. We found that the two-step framework more reliably mapped subjects to a common space.

  15. Predictors of Nonunion and Infectious Complications in Patients With Posttraumatic Subtalar Arthrodesis.

    Science.gov (United States)

    Dingemans, Siem A; Backes, Manouk; Goslings, J Carel; de Jong, Vincent M; Luitse, Jan S K; Schepers, Tim

    2016-10-01

    The objective of the present study was (1) to identify predictors of both nonunion and postoperative wound infections (POWI) and (2) to assess the union and complication rate following posttraumatic subtalar arthrodesis (STA). Retrospective comparative cohort study. Level 1 trauma center. All consecutive adult patients with STA following traumatic injuries between 2000 and May 2015. STA for posttraumatic deformities. Union (described as a combination of radiographic signs of osseous bridging and a clinically fused joint) and POWI as classified by the Centers for Disease and Control. A total number of 93 (96 feet) patients met the inclusion criteria. Union was achieved in 89% of patients. For primary, secondary in situ, and secondary correction arthrodesis, these percentages were 94%, 84,% and 90%, respectively (NS). The union rate significantly increased over time (P = 0.02). In 17 patients (18%), a POWI occurred, of which 2 were classified as superficial and 15 as deep POWIs. The POWI rate did not differ between the groups. Alcohol, nicotine, and drug abuse were not significantly associated with the occurrence of POWIs. Patients with an open fracture or an infection following open reduction internal fixation had a greater risk of a POWI following STA (P = 0.03 and P = 0.04, respectively). We could not identify predictors for nonunion. In 18% of the patients, an infectious complication following surgery occurred. Patients with an open fracture or an infection after primary surgical treatment (ie, open reduction internal fixation) have a higher chance of POWIs following STA. The union rate following posttraumatic STA is 89%. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

  16. Reverse distal femoral locking compression plate a salvage option in nonunion of proximal femoral fractures

    Directory of Open Access Journals (Sweden)

    Sampat S Dumbre Patil

    2016-01-01

    Full Text Available Background: When primary fixation of proximal femoral fractures with implants fails, revision osteosynthesis may be challenging. Tracts of previous implants and remaining insufficient bone stock in the proximal femur pose unique problems for the treatment. Intramedullary implants like proximal femoral nail (PFN or surface implants like Dynamic Condylar Screw (DCS are few of the described implants for revision surgery. There is no evidence in the literature to choose one implant over the other. We used the reverse distal femur locking compression plate (LCP of the contralateral side in such cases undergoing revision surgery. This implant has multiple options of fixation in proximal femur and its curvature along the length matches the anterior bow of the femur. We aimed to evaluate the efficacy of this implant in salvage situations. Materials and Methods: Twenty patients of failed primary proximal femoral fractures who underwent revision surgery with reverse distal femoral locking plate from February 2009 to November 2012 were included in this retrospective study. There were 18 subtrochanteric fractures and two ipsilateral femoral neck and shaft fractures, which exhibited delayed union or nonunion. The study included 14 males and six females. The mean patient age was 43.6 years (range 22-65 years and mean followup period was 52.1 months (range 27-72 months. Delayed union was considered when clinical and radiological signs of union failed to progress at the end of four months from initial surgery. Results: All fractures exhibited union without any complications. Union was assessed clinically and radiologically. One case of ipsilateral femoral neck and shaft fracture required bone grafting at the second stage for delayed union of the femoral shaft fracture. Conclusions: Reverse distal femoral LCP of the contralateral side can be used as a salvage option for failed fixation of proximal femoral fractures exhibiting nonunion.

  17. Reverse distal femoral locking compression plate a salvage option in nonunion of proximal femoral fractures

    Science.gov (United States)

    Dumbre Patil, Sampat S; Karkamkar, Sachin S; Patil, Vaishali S Dumbre; Patil, Shailesh S; Ranaware, Abhijeet S

    2016-01-01

    Background: When primary fixation of proximal femoral fractures with implants fails, revision osteosynthesis may be challenging. Tracts of previous implants and remaining insufficient bone stock in the proximal femur pose unique problems for the treatment. Intramedullary implants like proximal femoral nail (PFN) or surface implants like Dynamic Condylar Screw (DCS) are few of the described implants for revision surgery. There is no evidence in the literature to choose one implant over the other. We used the reverse distal femur locking compression plate (LCP) of the contralateral side in such cases undergoing revision surgery. This implant has multiple options of fixation in proximal femur and its curvature along the length matches the anterior bow of the femur. We aimed to evaluate the efficacy of this implant in salvage situations. Materials and Methods: Twenty patients of failed primary proximal femoral fractures who underwent revision surgery with reverse distal femoral locking plate from February 2009 to November 2012 were included in this retrospective study. There were 18 subtrochanteric fractures and two ipsilateral femoral neck and shaft fractures, which exhibited delayed union or nonunion. The study included 14 males and six females. The mean patient age was 43.6 years (range 22–65 years) and mean followup period was 52.1 months (range 27–72 months). Delayed union was considered when clinical and radiological signs of union failed to progress at the end of four months from initial surgery. Results: All fractures exhibited union without any complications. Union was assessed clinically and radiologically. One case of ipsilateral femoral neck and shaft fracture required bone grafting at the second stage for delayed union of the femoral shaft fracture. Conclusions: Reverse distal femoral LCP of the contralateral side can be used as a salvage option for failed fixation of proximal femoral fractures exhibiting nonunion. PMID:27512218

  18. Discovery of a novel allosteric inhibitor-binding site in ERK5: comparison with the canonical kinase hinge ATP-binding site.

    Science.gov (United States)

    Chen, Hongming; Tucker, Julie; Wang, Xiaotao; Gavine, Paul R; Phillips, Chris; Augustin, Martin A; Schreiner, Patrick; Steinbacher, Stefan; Preston, Marian; Ogg, Derek

    2016-05-01

    MAP kinases act as an integration point for multiple biochemical signals and are involved in a wide variety of cellular processes such as proliferation, differentiation, regulation of transcription and development. As a member of the MAP kinase family, ERK5 (MAPK7) is involved in the downstream signalling pathways of various cell-surface receptors, including receptor tyrosine kinases and G protein-coupled receptors. In the current study, five structures of the ERK5 kinase domain co-crystallized with ERK5 inhibitors are reported. Interestingly, three of the compounds bind at a novel allosteric binding site in ERK5, while the other two bind at the typical ATP-binding site. Binding of inhibitors at the allosteric site is accompanied by displacement of the P-loop into the ATP-binding site and is shown to be ATP-competitive in an enzymatic assay of ERK5 kinase activity. Kinase selectivity data show that the most potent allosteric inhibitor exhibits superior kinase selectivity compared with the two inhibitors that bind at the canonical ATP-binding site. An analysis of these structures and comparison with both a previously published ERK5-inhibitor complex structure (PDB entry 4b99) and the structures of three other kinases (CDK2, ITK and MEK) in complex with allosteric inhibitors are presented.

  19. Social Network Sites, Friends, and Celebrities: The Roles of Social Comparison and Celebrity Involvement in Adolescents’ Body Image Dissatisfaction

    Directory of Open Access Journals (Sweden)

    Shirley S. Ho

    2016-08-01

    Full Text Available This study applies the social comparison theory to examine the effects of adolescents’ engagement in comparison with friends and celebrities on social network sites (SNSs on (a their body image dissatisfaction (BID and (b their drive to be thin (DT or muscular (DM. The study also examines celebrity involvement as an antecedent of the outcome variables. Data were collected through a survey of 1,059 adolescents in Singapore. Regression analyses indicate that SNSs use was related to adolescents’ BID. Specifically, social comparison with friends on SNSs was significantly associated with adolescents’ BID, DT, and DM. Gender differences were also observed—social comparison with celebrities was significantly associated with BID and DT among female adolescents. Celebrity involvement was significantly associated with male BID. Theoretical and practical implications were discussed.

  20. Characterization of gonadotropin binding sites in the intracellular organelles of bovine corpora lutea and comparison with plasma membrane sites.

    Science.gov (United States)

    Rao, C V; Mitra, S; Carman, F R

    1981-03-25

    The specific binding of 125I-human choriogonadotropin (hCG) to plasma membranes, nuclear membranes, lysosomes, rough endoplasmic reticulum, heavy golgi, and medium and light golgi of bovine corpora lutea was dependent on the amount of protein, 125I-hCG concentration and incubation time. The bound hormone in all the organelles was able to rebind to fresh corresponding organelles. Scatchard analysis revealed a homogenous population of gonadotropin binding sites in plasma membrane, rough endoplasmic reticulum, heavy golgi, and medium and light golgi, whose binding affinities (Kd = 8.6-11.0 X 10(-11) M) were similar but whose number of available gonadotropin binding sites varied. Scatchard analyses of nuclear membranes and lysosome binding, on the other hand, were heterogenous (Nuclear membranes, 11 and 23 X 10(-11) M lysosomes, 3.4 and 130 X 10(-11) M). The rate constants for association (5.9 to 12.1 X 10(6) M-1 S-1) and dissociation (7.4 to 9.0 X 10(-4) S-1) were similar among different subcellular organelles except for nuclear membranes and lysosomes, where rate constants for association were significantly lower. The ligand binding specificity, lower effectiveness of human luteinizing hormone as compared to hCG in competition, the optimal pH, the lack of ionic requirements for binding, and the molecular size of 125I-hCG-gonadotropin binding site complexes solubilized from various intracellular organelles were similar to those observed for plasma membranes. Numerous differences were also observed between intracellular organelles and plasma membranes as well as among intracellular organelles themselves with respect to binding losses due to exposure to low and high pH values, di- and monovalent cations, increasing preincubation temperatures, and a variety of enzymes and protein reagents. The possible reasons for these similarities as well as differences observed are discussed. The differences are viewed as an additional indication that contamination cannot solely

  1. Pipeline for Efficient Mapping of Transcription Factor Binding Sites and Comparison of Their Models

    KAUST Repository

    Ba alawi, Wail

    2011-06-01

    The control of genes in every living organism is based on activities of transcription factor (TF) proteins. These TFs interact with DNA by binding to the TF binding sites (TFBSs) and in that way create conditions for the genes to activate. Of the approximately 1500 TFs in human, TFBSs are experimentally derived only for less than 300 TFs and only in generally limited portions of the genome. To be able to associate TF to genes they control we need to know if TFs will have a potential to interact with the control region of the gene. For this we need to have models of TFBS families. The existing models are not sufficiently accurate or they are too complex for use by ordinary biologists. To remove some of the deficiencies of these models, in this study we developed a pipeline through which we achieved the following: 1. Through a comparison analysis of the performance we identified the best models with optimized thresholds among the four different types of models of TFBS families. 2. Using the best models we mapped TFBSs to the human genome in an efficient way. The study shows that a new scoring function used with TFBS models based on the position weight matrix of dinucleotides with remote dependency results in better accuracy than the other three types of the TFBS models. The speed of mapping has been improved by developing a parallelized code and shows a significant speed up of 4x when going from 1 CPU to 8 CPUs. To verify if the predicted TFBSs are more accurate than what can be expected with the conventional models, we identified the most frequent pairs of TFBSs (for TFs E4F1 and ATF6) that appeared close to each other (within the distance of 200 nucleotides) over the human genome. We show unexpectedly that the genes that are most close to the multiple pairs of E4F1/ATF6 binding sites have a co-expression of over 90%. This indirectly supports our hypothesis that the TFBS models we use are more accurate and also suggests that the E4F1/ATF6 pair is exerting the

  2. Structure and nuclearity of active sites in Fe-zeolites: comparison with iron sites in enzymes and homogeneous catalysts.

    Science.gov (United States)

    Zecchina, Adriano; Rivallan, Mickaël; Berlier, Gloria; Lamberti, Carlo; Ricchiardi, Gabriele

    2007-07-21

    Fe-ZSM-5 and Fe-silicalite zeolites efficiently catalyse several oxidation reactions which find close analogues in the oxidation reactions catalyzed by homogeneous and enzymatic compounds. The iron centres are highly dispersed in the crystalline matrix and on highly diluted samples, mononuclear and dinuclear structures are expected to become predominant. The crystalline and robust character of the MFI framework has allowed to hypothesize that the catalytic sites are located in well defined crystallographic positions. For this reason these catalysts have been considered as the closest and best defined heterogeneous counterparts of heme and non heme iron complexes and of Fenton type Fe(2+) homogeneous counterparts. On this basis, an analogy with the methane monooxygenase has been advanced several times. In this review we have examined the abundant literature on the subject and summarized the most widely accepted views on the structure, nuclearity and catalytic activity of the iron species. By comparing the results obtained with the various characterization techniques, we conclude that Fe-ZSM-5 and Fe-silicalite are not the ideal samples conceived before and that many types of species are present, some active and some other silent from adsorptive and catalytic point of view. The relative concentration of these species changes with thermal treatments, preparation procedures and loading. Only at lowest loadings the catalytically active species become the dominant fraction of the iron species. On the basis of the spectroscopic titration of the active sites by using NO as a probe, we conclude that the active species on very diluted samples are isolated and highly coordinatively unsaturated Fe(2+) grafted to the crystalline matrix. Indication of the constant presence of a smaller fraction of Fe(2+) presumably located on small clusters is also obtained. The nitrosyl species formed upon dosing NO from the gas phase on activated Fe-ZSM-5 and Fe-silicalite, have been analyzed

  3. Mercury transfer from soil to olive trees. A comparison of three different contaminated sites.

    Science.gov (United States)

    Higueras, Pablo L; Amorós, José Á; Esbrí, José Maria; Pérez-de-los-Reyes, Caridad; López-Berdonces, Miguel A; García-Navarro, Francisco J

    2016-04-01

    Mercury contents in soil and olive tree leaves have been studied in 69 plots around three different source areas of this element in Spain: Almadén (Ciudad Real), Flix (Tarragona) and Jódar (Jaén). Almadén was the world's largest cinnabar (HgS) mining district and was active until 2003, Flix is the oldest Spanish chlor-alkali plant (CAP) and has been active from 1898 to the present day and Jódar is a decommissioned CAP that was active for 14 years (1977-1991). Total mercury contents have been measured by high-frequency modulation atomic absorption spectrometry with Zeeman effect (ZAAS-HFM) in the soils and olive tree leaves from the three studied areas. The average soil contents range from 182 μg kg(-1) in Flix to 23,488 μg kg(-1) in Almadén, while the average leaf content ranges from 161 μg kg(-1) in Jódar to 1213 μg kg(-1) in Almadén. Despite the wide range of data, a relationship between soil-leaf contents has been identified: in Almadén and Jódar, multiplicative (bilogarithmic) models show significant correlations (R = 0.769 and R = 0.484, respectively). Significant correlations were not identified between soil and leaf contents in Flix. The continuous activity of the Flix CAP, which remains open today, can explain the different uptake patterns for mercury, which is mainly atmospheric in origin, in comparison to the other two sites, where activity ceased more than 10 years ago and only soil uptake patterns based on the Michaelis-Menten enzymatic model curve are observed.

  4. Treatment of atrophic femoral non-unions according to the diamond concept: Results of one- and two-step surgical procedure.

    Science.gov (United States)

    Moghaddam, Arash; Thaler, Benjamin; Bruckner, Thomas; Tanner, Michael; Schmidmaier, Gerhard

    2017-03-01

    The treatment of non-unions in long bones poses a great challenge, particularly in cases of infection or large osseous defects. This article evaluates the use of the diamond concept in the treatment of femoral non-unions in a one-step or two-step procedure according to the Masquelet technique. Between February 2010 and March 2014, 88 patients with atrophic femoral non-unions were included in our study. The treatment was performed in one step (Group G1) on 41 patients and in two-step Masquelet technique (Group G2) on 47 patients, according to the diamond concept. In 72 cases it was decided to apply the growth factor BMP-7. The mean age of patients was 49.9 ± 15.3. The data were analysed after following up all patients for at least 12 months after surgery. 74% of patients achieved consolidation in an average of 9.3 months. Positive bacterial cultures were found in 16 cases (18%). The consolidation rate in G2 was dependent on the non-union localisation and the osteosynthesis method applied. 83% of patients treated by intramedullary reaming achieved consolidation, while this was the case for only 60% of patients with osteosynthesis plates. Smokers in G2 had a larger average osseous defect and a lower consolidation rate. The quality of life as assessed with the SF-12 questionnaire had improved in both groups, with no significant differences between G1 and G2 one year after surgery. One-step therapy is a suitable method of treatment for aseptic femoral non-unions with small osseous defects, using BMP-7 and RIA in the case of primarily failed atrophic non-union treatment. The Masquelet technique is an efficient means of eradicating infections in non-unions. In combination with intramedullary nailing, this technique is the method of choice for the treatment of femoral shaft non-unions with large defects.

  5. Effects of extracorporeal shock waves on the healing of bone nonunion in animals%体外冲击波对动物骨不连愈合的影响

    Institute of Scientific and Technical Information of China (English)

    钟俊; 李家元; 明江华; 彭昊; 刘世清; 王以强; 夏良波

    2006-01-01

    BACKGROUND: The therapy of nonunion has been a difficult issue in orthopedics all the time. Part of nonunion can't heal even after many times of operations. The effects of non-surgical treatments are not satisfactory. Extracorporeal shock waves (ESW) is a new method that popular abroad in recent years.OBJECTIVE: To investigate the effect of ESW on nonunion, and preliminarily probe into its mechanism.DESIGN: Randomized group-division design, animal experiment.SETTING: Department of Orthopedics, Renmin Hospital of Wuhan University.MATERIALS: The experiment was conducted in the Medical Experimental Center of Animal, Wuhan University from September 1997 to March 1999. Forty healthy male rabbits were selected to establish model of nonunion. Thirty-two rabbits with hypertrophic nonunion were taken as materials and randomly divided into treatment group and control group with 16 rabbits in each group.METHODS: A multifunctional ESW apparatus of type HX902Ⅲ was adopted to treat the broken ends of nonunion in the treatment group with the energy, frequency, dose and focus range of 0.54 m J/mm2, 60 times/minute,2 000 times and 1.5 cm2 respectively. The second focus of shock wave was adjusted, aiming at corresponding parts in distal and proximal sites of nonunion, and acted 1 000 times. After that, rabbits were re-fixed with external apparatus and acted freely. Rabbits in the control group were fixed with external apparatus without any other treatments.MAIN OUTCOME MEASURES: Examination of the healing of nonunion with radiograph, transmission electron microscope (TEM) and in histology.RESULTS: A total of 32 enrolled animals were involved in the analysis of results.①X-ray photograph: During the treatment with ESW, the gaps of nonunion were more and more indistinct in X-rays, and the densities of two sclerotic ends were reduced, and the sclerotic marrow cavities became unobstructed. The X-rays of nonunion-gaps before ESW were significantly narrowed than those after the

  6. Surgical treatment of tibial nonunion after wounding by high velocity missile and external fixators: A case report

    OpenAIRE

    2012-01-01

    Introduction. The missiles of modern firearms can cause severe fractures of the extremity. High velocity missile fractures of the tibia are characterized by massive tissue destruction and primary contamination with polymorphic bacteria. Treatment of these fractures is often complicated by delayed healing, poor position healing, nonhealing and bone tissue infection. Case Outline. We present the management of tibial nonunion after wounding by high velocity missile and primary treatment by...

  7. Results of free vascularized fibula grafting for allograft nonunion after limb salvage surgery for malignant bone tumors.

    Science.gov (United States)

    Bae, Donald S; Waters, Peter M; Gebhardt, Mark C

    2006-01-01

    The purpose of this study was to assess the results of free vascularized fibula grafting (FVFG) in the treatment of allograft fracture nonunion after limb salvage surgery for malignant bone tumors.A retrospective study was performed on 8 patients who underwent FVFG for allograft fracture nonunions. All had prior tumor resection and allograft reconstruction for osteosarcoma (n = 6) or Ewing sarcoma (n = 2) of the femur (n = 3), tibia (n = 2), humerus (n = 2), or ulna (n = 1). All patients failed an initial course of immobilization; 4 patients failed prior open reduction and internal fixation with autogenous nonvascularized bone grafting. Average age at the time of FVFG was 14 years. Average follow-up was 44 months. The FVFG resulted in successful bony healing in 7 of 8 patients, providing pain relief, limb preservation, and restoration of function. One patient developed an infection requiring fibula removal and staged prosthetic reconstruction. Additional complications requiring further treatment included limb-length discrepancy, additional allograft fracture, and wound infection. The FVFG is an effective treatment option for allograft nonunion after limb salvage surgery because it provides both the mechanical stability and biological stimulus for bony healing. Attention to internal fixation, limb alignment, and microvascular principles is essential to prevent complications and allow for the best functional outcomes.

  8. Treatment of Radial Nonunion with Corticocancellous Bone Graft and Fascia of Anterolateral Thigh Free Flap: The Wrap Technique

    Science.gov (United States)

    Ronga, Mario; Sallam, Davide; Fagetti, Alessandro; Valdatta, Luigi; Cherubino, Paolo

    2016-01-01

    Summary: The management of nonunion of the forearm bones is a challenging task. Multiple factors have been associated with the establishment of forearm nonunion, such as the fracture position and complexity, general condition of the patient, and the previously utilized surgical technique. The optimal surgical treatment of a bone gap remains a subject of discussion. Autogenous corticocancellous bone grafts and vascularized bone flaps have been used with differing results. The authors describe a technique for the treatment of posttraumatic nonunion of the radius with a 5-cm bone gap using the free anterolateral thigh fascial flap wrapped around a tricortical iliac bone graft. The fracture healed after 5 weeks. The use of a vascularized tissue wrapped around the bone graft resulted in a well-healed bone and no signs of resorption after 2 years of follow-up. A bone graft wrapped by a fascial flap could magnify the restorative effect on the bone defect because of its dual role of constructing vascularization and inducing tissue regeneration.

  9. Surgical treatment of tibial nonunion after wounding by high velocity missile and external fixators: A case report

    Directory of Open Access Journals (Sweden)

    Golubović Ivan

    2012-01-01

    Full Text Available Introduction. The missiles of modern firearms can cause severe fractures of the extremity. High velocity missile fractures of the tibia are characterized by massive tissue destruction and primary contamination with polymorphic bacteria. Treatment of these fractures is often complicated by delayed healing, poor position healing, nonhealing and bone tissue infection. Case Outline. We present the management of tibial nonunion after wounding by high velocity missile and primary treatment by external fixation in a 25-year-old patient. The patient was primarily treated with external fixation and reconstructive operations of the soft tissue without union of the fracture. Seven months after injury we placed a compression-distraction external fixator type Mitkovic and started with compression and distraction in the fracture focus after osteotomy of the fibula and autospongioplasty. We recorded satisfactory fracture healing and good functional outcome. Conclusion. Contamination and devitalization of the softtissue envelope increase the risk of infection and nonunion in fractures after wounding by high velocity missile. The use of the compression-distraction external fixator type Mitkovic may be an effective method in nonunions of the tibia after this kind of injury. [Projekat Ministarstva nauke Republike Srbije, br. III 41004

  10. Radiation-Associated Fracture Nonunion of the Clavicle Treated with Locking Plate Fixation and Autologous Bone Grafting

    Directory of Open Access Journals (Sweden)

    Takahiro Niikura

    2012-01-01

    Full Text Available We describe a case of radiation-associated fracture nonunion of the clavicle, which was treated by locking plate fixation and autologous bone grafting. The patient was a 67-year old man who received 70 Gy radiation therapy to treat nasopharyngeal carcinoma. Eight years later, he suffered a pathological fracture of the right clavicle. One year after the fracture, surgical treatment was performed due to persistent pain and weakness. Radiographs demonstrated atrophic nonunion. Bone scan demonstrated hot uptake at both ends of the fractured bone. MRI demonstrated a formation of pseudoarthrosis with fluid collection and suggested bone marrow edema at both ends of the fracture fragments. In surgery, fibrous pseudoarthrosis tissue was excised and both ends of the fracture fragments were refreshed to identify bleeding. Open reduction and internal fixation using a 7-hole locking plate and autologous bone grafting were performed. Successful bony union was obtained 1 year postoperatively, and no adverse events were observed up to 52 months after the operation. Our case suggests that a locking plate provides sufficient fixation and autologous bone grafting is effective in enhancing bone healing in a radiation-associated fracture nonunion of the clavicle in which it is difficult to achieve bony union.

  11. Temporary Sternoclavicular Plating for an Unusual Double Clavicle Fracture (Medial Nonunion, Lateral Acute Complicated by an Intraoperative Pneumothorax

    Directory of Open Access Journals (Sweden)

    John G. Skedros

    2014-01-01

    Full Text Available Double (segmental clavicle fractures, involving both the medial and lateral aspects of the clavicle, are very uncommon. Even less common is an asynchronous double fracture with one of the fractures being a nonunion. We report the case of a 30-year-old healthy male patient who had an unusual double clavicle fracture (medial nonunion, lateral acute that occurred in separate traumatic events during motocross (motorcycle racing. His fractures were treated surgically in two stages. In the first stage a long reconstruction plate was used that spanned onto the sternum and two transcortical screws were placed into the manubrium to enhance purchase for the deficient bone of the medial clavicle. In accordance with the preoperative plan, the medial one-third of the plate and the medial four screws (of the total 13 used were removed. Although our patient had an excellent final result, he did have an intraoperative pneumothorax that was treated uneventfully with a chest tube. Medial clavicle fractures are difficult to treat, especially if they are nonunions and surgical complication rates can be high. Our case is one of the few that has been described where temporary sternoclavicular plating was successful in achieving an excellent long-term outcome.

  12. Temporary sternoclavicular plating for an unusual double clavicle fracture (medial nonunion, lateral acute) complicated by an intraoperative pneumothorax.

    Science.gov (United States)

    Skedros, John G; Knight, Alex N; Mears, Chad S; Langston, Tanner D

    2014-01-01

    Double (segmental) clavicle fractures, involving both the medial and lateral aspects of the clavicle, are very uncommon. Even less common is an asynchronous double fracture with one of the fractures being a nonunion. We report the case of a 30-year-old healthy male patient who had an unusual double clavicle fracture (medial nonunion, lateral acute) that occurred in separate traumatic events during motocross (motorcycle) racing. His fractures were treated surgically in two stages. In the first stage a long reconstruction plate was used that spanned onto the sternum and two transcortical screws were placed into the manubrium to enhance purchase for the deficient bone of the medial clavicle. In accordance with the preoperative plan, the medial one-third of the plate and the medial four screws (of the total 13 used) were removed. Although our patient had an excellent final result, he did have an intraoperative pneumothorax that was treated uneventfully with a chest tube. Medial clavicle fractures are difficult to treat, especially if they are nonunions and surgical complication rates can be high. Our case is one of the few that has been described where temporary sternoclavicular plating was successful in achieving an excellent long-term outcome.

  13. Aerosol Light Absorption and Scattering at Four Sites in and Near Mexico City: Comparison with Las Vegas, Nevada, USA

    Science.gov (United States)

    Arnott, W. P.; Miranda, G. P.; Gaffney, J. S.; Marley, N. A.

    2007-05-01

    Four photoacoustic spectrometers (PAS) for aerosol light scattering and absorption measurements were deployed in and near Mexico City in March 2006 as part of the Megacity Impacts on Regional and Global Environments (MIRAGE). The four sites included: an urban site at Instituto Mexicano del Petroleo (Mexican Oil Institute, denoted by IMP); a suburban site at the Technological University of Tecamac; a rural site at "La Biznaga" ranch; and a site at the Paseo de Cortes (altitude 3,810 meters ASL) in the rural area above Amecameca in the State of Mexico, on the saddle between the volcanoes Popocatepetl and Iztaccihuatl. A similar campaign was held in Las Vegas, Nevada, USA in January-February, 2003. The IMP site gave in-situ characterization of the Mexico City plume under favorable wind conditions while the other sites provided characterization of the plume, mixed in with any local sources. The second and third sites are north of Mexico City, and the fourth site is south. The PAS used at IMP operates at 532 nm, and conveniently allowed for characterization of gaseous absorption at this wavelength as well. Instruments at the second and third sites operate at 870 nm, and the one at the fourth site at 780 nm. Light scattering measurements are accomplished within the PAS by the reciprocal nephelometery method. In the urban site the aerosol absorption coefficient typically varies between 20 and 180 Mm-1 during the course of the day and significant diurnal variation of the aerosol single scattering albedo was observed probably as a consequence of secondary aerosol formation. Comparisons with TSI nephelometer scattering at the T0 site will be presented. We will present the diurnal variation of the scattering and absorption as well as the single scattering albedo and fraction of absorption due to gases at the IMP site and compare with Las Vegas diurnal variation. Mexico City 'breaths' more during the course of the day than Las Vegas, Nevada in part because the latitude of

  14. Comparison of mosquito control programs in seven urban sites in Africa, the Middle East, and the Americas.

    Science.gov (United States)

    Impoinvil, Daniel E; Ahmad, Sajjad; Troyo, Adriana; Keating, Joseph; Githeko, Andrew K; Mbogo, Charles M; Kibe, Lydiah; Githure, John I; Gad, Adel M; Hassan, Ali N; Orshan, Laor; Warburg, Alon; Calderón-Arguedas, Olger; Sánchez-Loría, Victoria M; Velit-Suarez, Rosanna; Chadee, Dave D; Novak, Robert J; Beier, John C

    2007-10-01

    Mosquito control programs at seven urban sites in Kenya, Egypt, Israel, Costa Rica, and Trinidad are described and compared. Site-specific urban and disease characteristics, organizational diagrams, and strengths, weaknesses, obstacles and threats (SWOT) analysis tools are used to provide a descriptive assessment of each mosquito control program, and provide a comparison of the factors affecting mosquito abatement. The information for SWOT analysis is collected from surveys, focus-group discussions, and personal communication. SWOT analysis identified various issues affecting the efficiency and sustainability of mosquito control operations. The main outcome of our work was the description and comparison of mosquito control operations within the context of each study site's biological, social, political, management, and economic conditions. The issues identified in this study ranged from lack of inter-sector collaboration to operational issues of mosquito control efforts. A lack of sustainable funding for mosquito control was a common problem for most sites. Many unique problems were also identified, which included lack of mosquito surveillance, lack of law enforcement, and negative consequences of human behavior. Identifying common virtues and shortcomings of mosquito control operations is useful in identifying "best practices" for mosquito control operations, thus leading to better control of mosquito biting and mosquito-borne disease transmission.

  15. Trust and Product/Sellers Reviews as Factors Influencing Online Product Comparison Sites Usage by Young Consumers

    Directory of Open Access Journals (Sweden)

    Radoslaw Macik

    2016-06-01

    Full Text Available Paper describes young consumers’ behaviour connected with online product comparison sites usage as an example of online decision shopping aids. Authors’ main goal is to check whether or not such factors as: previous experience in such sites usage, personal innovativeness in domain of information technology – PIIT, and particularly cognitive trust (in several subdimensions, as well as affective trust toward online product comparison site, influence purchase intention via mentioned sites (acting as intermediaries in online sales channel, and anticipated satisfaction from choice made by consumer. Also indirect influence of users’ opinions about product and sellers on mentioned constructs has been researched. Study on effective sample of 456 young consumers with data collected through CAWI questionnaire confirmed reliability and validity of measurement scales. Path model estimated via PLS-SEM confirmed most hypotheses settled, particularly confirming strong positive relationships between cognitive trust (mostly in competence on affective trust, and later on purchase intention and choice satisfaction. Product and sellers reviews were partially mediating some of those relationships.

  16. Reproducibility of radiographic classification of scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist.

    Science.gov (United States)

    Vishwanathan, K; Hearnden, A; Talwalkar, S; Hayton, M; Murali, S R; Trail, I A

    2013-09-01

    The aim of this study was to measure inter- and intra-observer agreement on the radiographic classification of scapholunate advanced collapse (SLAC) and scaphoid nonunion advanced collapse (SNAC) wrist. Radiographs of 41 patients with SLAC wrist and 47 patients with SNAC wrist were graded on two separate occasions by four orthopaedic consultants specializing in hand and wrist surgery. Inter-observer agreement was evaluated using the multi-rater kappa value. Landis and Koch criteria were used to assess the level of agreement. Intra-observer agreement was tested by re-grading the radiographs after an interval of 2 to 4 weeks and calculating the weighted kappa value. For SLAC wrist, the inter-observer agreement was moderate (kappa value = 0.59) and intra-observer agreement substantial (kappa value = 0.65). For SNAC wrist, the inter-observer agreement was slight (kappa value = 0.20) and intra-observer agreement was fair (kappa value = 0.29). Radiographic classification of SLAC wrist has moderate reliability and reproducibility, whereas classification of SNAC wrist has limited reliability.

  17. Comparison of Atmospheric Deposition Among Three Sites In and Near the Flat Tops Wilderness Area, Colorado, 2003-2005

    Science.gov (United States)

    Ingersoll, George P.; Campbell, Donald H.; Mast, M. Alisa

    2008-01-01

    Atmospheric deposition was monitored for ammonium, nitrate, and sulfate concentrations and precipitation amounts in the Flat Tops Wilderness Area of northwestern Colorado at Ned Wilson Lake beginning in 1984 to detect changes that might result from future emissions associated with development of oil-shale resources in northwestern Colorado. Renewed monitoring, by the U.S. Geological Survey, in cooperation with Rio Blanco County, to determine the current status of atmospheric deposition has been ongoing since 2003 at Ned Wilson Lake. Two new monitoring sites were located near Ripple Creek Pass near the Flat Tops Wilderness area and about 12 kilometers north of Ned Wilson Lake because access to the area near Ripple Creek Pass is less difficult and less expensive, particularly in winter and spring. The intent of this study was to establish whether the new deposition data being collected near Ripple Creek Pass, near the northern boundary of the Flat Tops Wilderness Area, would be representative of deposition at sensitive sites within the wilderness such as Ned Wilson Lake and to compare more current (2003 through 2005) deposition data with earlier data (1984 through 1991). At Ned Wilson Lake, bulk ammonium and nitrate concentrations collected from 1984 through 1991 were similar to those from 2003 through 2005. However, in the same comparison significant differences in sulfate concentrations were observed, indicating a decrease consistent with other regional findings for similar periods. Comparison of concentrations of constituents at two bulk-deposition sites located at Ned Wilson Lake (NWLB) and near Ripple Creek Pass (RCPB) showed only one significant difference (p = 0.05) with the winter bulk nitrate concentrations for NWLB significantly lower than winter concentrations from RCPB. Another comparison of concentrations of constituents between the bulk deposition site RCPB and a wet deposition site 100 meters away (RCPW) showed no significant differences for

  18. Electronic Cigarette Marketing Online: a Multi-Site, Multi-Product Comparison.

    Science.gov (United States)

    Chu, Kar-Hai; Sidhu, Anupreet K; Valente, Thomas W

    2015-01-01

    Electronic cigarette awareness and use has been increasing rapidly. E-cigarette brands have utilized social networking sites to promote their products, as the growth of the e-cigarette industry has paralleled that of Web 2.0. These online platforms are cost-effective and have unique technological features and user demographics that can be attractive for selective marketing. The popularity of multiple sites also poses a risk of exposure to social networks where e-cigarette brands might not have a presence. To examine the marketing strategies of leading e-cigarette brands on multiple social networking sites, and to identify how affordances of the digital media are used to their advantage. Secondary analyses include determining if any brands are benefitting from site demographics, and exploring cross-site diffusion of marketing content through multi-site users. We collected data from two e-cigarette brands from four social networking sites over approximately 2.5 years. Content analysis is used to search for themes, population targeting, marketing strategies, and cross-site spread of messages. Twitter appeared to be the most frequently used social networking site for interacting directly with product users. Facebook supported informational broadcasts, such as announcements regarding political legislation. E-cigarette brands also differed in their approaches to their users, from informal conversations to direct product marketing. E-cigarette makers use different strategies to market their product and engage their users. There was no evidence of direct targeting of vulnerable populations, but the affordances of the different sites are exploited to best broadcast context-specific messages. We developed a viable method to study cross-site diffusion, although additional refinement is needed to account for how different types of digital media are used.

  19. Electronic Cigarette Marketing Online: a Multi-Site, Multi-Product Comparison

    Science.gov (United States)

    Sidhu, Anupreet K; Valente, Thomas W

    2015-01-01

    Background Electronic cigarette awareness and use has been increasing rapidly. E-cigarette brands have utilized social networking sites to promote their products, as the growth of the e-cigarette industry has paralleled that of Web 2.0. These online platforms are cost-effective and have unique technological features and user demographics that can be attractive for selective marketing. The popularity of multiple sites also poses a risk of exposure to social networks where e-cigarette brands might not have a presence. Objective To examine the marketing strategies of leading e-cigarette brands on multiple social networking sites, and to identify how affordances of the digital media are used to their advantage. Secondary analyses include determining if any brands are benefitting from site demographics, and exploring cross-site diffusion of marketing content through multi-site users. Methods We collected data from two e-cigarette brands from four social networking sites over approximately 2.5 years. Content analysis is used to search for themes, population targeting, marketing strategies, and cross-site spread of messages. Results Twitter appeared to be the most frequently used social networking site for interacting directly with product users. Facebook supported informational broadcasts, such as announcements regarding political legislation. E-cigarette brands also differed in their approaches to their users, from informal conversations to direct product marketing. Conclusions E-cigarette makers use different strategies to market their product and engage their users. There was no evidence of direct targeting of vulnerable populations, but the affordances of the different sites are exploited to best broadcast context-specific messages. We developed a viable method to study cross-site diffusion, although additional refinement is needed to account for how different types of digital media are used. PMID:27227129

  20. Deficiency of inducible and endothelial nitric oxide synthase results in diminished bone formation and delayed union and nonunion development.

    Science.gov (United States)

    Meesters, D M; Neubert, S; Wijnands, K A P; Heyer, F L; Zeiter, S; Ito, K; Brink, P R G; Poeze, M

    2016-02-01

    Between 5% and 10% of all fractures fail to heal adequately resulting in nonunion of the fracture fragments. This can significantly decrease a patient's quality of life and create associated psychosocial and socio-economic problems. Nitric oxide (NO) and nitric oxide synthases (NOS) have been found to be involved in fracture healing, but until now it is not known if disturbances in these mechanisms play a role in nonunion and delayed union development. In this study, we explored the role of endothelial and inducible NOS deficiency in a delayed union model in mice. A 0.45mm femur osteotomy with periosteal cauterization followed by plate-screw osteosynthesis was performed in the left leg of 20-24week old wild type, Nos2(-/-) and Nos3(-/-) mice. Contralateral unfractured legs were used as a control. Callus volume was measured using micro-computed tomography (μCT) after 28 and 42days of fracture healing. Immuno histochemical myeloperoxidase (MPO) staining was performed on paraffin embedded sections to assess neutrophil influx in callus tissue and surrounding proximal and distal marrow cavities of the femur. After 7 and 28days of fracture healing, femurs were collected for amino acid and RNA analysis to study arginine-NO metabolism. With μCT, delayed union was observed in wild type animals, whereas in both Nos2(-/-) and Nos3(-/-) mice nonunion development was evident. Both knock-out strains also showed a significantly increased influx of MPO when compared with wild type mice. Concentrations of amino acids and expression of enzymes related to the arginine-NO metabolism were aberrant in NOS deficient mice when compared to contralateral control femurs and wild type samples. In the present study we show for the first time that the absence of nitric oxide synthases results in a disturbed arginine-NO metabolism and inadequate fracture healing with the transition of delayed union into a nonunion in mice after a femur osteotomy. Based on these data we suggest that the

  1. A Systematic Review and Meta-Analysis of Ilizarov Methods in the Treatment of Infected Nonunion of Tibia and Femur.

    Directory of Open Access Journals (Sweden)

    Peng Yin

    Full Text Available Infected nonunion of tibia and femur are common in clinical practice, however, the treatment of these diseases has still been a challenge for orthopaedic surgeons. Ilizarov methods can eradicate infection, compensate bone defects and promote the bone union through progressive bone histogenesis. The objective of this systematic review was to review current available studies reporting on Ilizarov methods in the treatment of infected nonunion of tibia and femur, and to perform meta-analysis of bone and functional results and complications to evaluate the efficacy of Ilizarov methods.A comprehensive literature search was performed from the SCI, PubMed, Cochrane Library; and Embase between January 1995 and August 2015. Some major data were statistically analyzed using weighted means based on the sample size in each study by SPSS 13.0, including number of patients, mean age, mean previous surgical procedures, mean bone defects, mean length of follow-up, bone union, complications per patient, external fixation time, and external fixation index(EFI. Bone results (excellent, good, fair and poor rate, functional results (excellent, good, fair and poor rate and complications were analyzed by Stata 9.0.A total of 590 patients from 24 studies were included in this systematic review. The average of bone union rate was 97.26% in all included studies. The poor rate in bone results and functional results was 8% (95%CI, 0.04-0.12; I2 = 44.1%, P = 0.065 and 10% (95%CI, 0.05-0.14; I2 = 34.7%, P = 0.121 in patients with infected nonunion of tibia and femur treated by Ilizarov methods. The rate of refracture, malunion, infectious recurrence, knee stiffness, amputation, limb edema and peroneal nerve palsy was respectively 4%, 7%, 5%, 12%, 4%, 13% and 13%.Our systematic review showed that the patients with infected nonunion of tibia and femur treated by Ilizarov methods had a low rate of poor bone and functional results. Therefore, Ilizarov methods may be a good choice

  2. Comparison of simulated crop yield patterns for site-specific management.

    NARCIS (Netherlands)

    Uffelen, van C.G.R.; Verhagen, J.; Bouma, J.

    1997-01-01

    Site-specific management (SSM) aims to maximise crop production and make efficient use of agrochemicals. This is achieved by varying farm management practices with consideration of local variability. Maps displaying relevant soil variability are needed to guide these site-specific practices. As it t

  3. A comparison of forest dynamics at two sites in the Southeastern Ozark Mountains of Missouri

    Science.gov (United States)

    Michael A. Jenkins; Stephen G. Pallardy

    1993-01-01

    Changes in tree species composition and regeneration patterns were studied in 53 permanent vegetation plots located at two sites (Pioneer Forest and University State Forest) in oak-hickory forests of southeastern Missouri where mortality and decline of red oak species have been identified. The two sites also exhibited differing levels of decline and mortality. Between...

  4. Comparison of conventional vs. modular hydrogen refueling stations and on-site production vs. delivery.

    Energy Technology Data Exchange (ETDEWEB)

    Hecht, Ethan S. [Sandia National Lab. (SNL-CA), Livermore, CA (United States); Pratt, Joseph William [Sandia National Lab. (SNL-CA), Livermore, CA (United States)

    2017-03-01

    To meet the needs of public and private stakeholders involved in the development, construction, and operation of hydrogen fueling stations needed to support the widespread roll-out of hydrogen fuel cell electric vehicles, this work presents publicly available station templates and analyses. These ‘Reference Stations’ help reduce the cost and speed the deployment of hydrogen stations by providing a common baseline with which to start a design, enable quick assessment of potential sites for a hydrogen station, identify contributors to poor economics, and suggest areas of research. This work presents layouts, bills of materials, piping and instrumentation diagrams, and detailed analyses of five new station designs. In the near term, delivered hydrogen results in a lower cost of hydrogen compared to on-site production via steam methane reforming or electrolysis, although the on-site production methods have other advantages. Modular station concepts including on-site production can reduce lot sizes from conventional assemble-on-site stations.

  5. An investigation of site diversity and comparison with ITU-R recommendations

    Science.gov (United States)

    Callaghan, S. A.; Boyes, B.; Couchman, A.; Waight, J.; Walden, C. J.; Ventouras, S.

    2008-08-01

    Earth-space radio systems operating at frequencies of 10 GHz and above are badly attenuated by rain, cloud, and atmospheric gases. As the frequencies of operational systems increase, it becomes increasingly uneconomic to compensate for the effects of fading through the use of a fixed fade margin, hence the implementation of fade mitigation techniques (FMT). The spatial and temporal variation of rain provides the justification for the use of site diversity as an FMT. Site diversity employs two or more ground stations receiving the same satellite signal with a separation distance such that the sites encounter intense rainfall at different times, and switching to the site experiencing the least fading improves system performance considerably. Measurements of the 20.7 GHz beacon carried as part of the Global Broadcast Service (GBS) payload on the U.S. Department of Defense satellite UFO-9 have been made at three sites: two are located in the South of England (˜8 km apart), and the third receiver was located in Scotland. These beacon measurements have produced long term attenuation exceedance and site diversity gain and improvement statistics. This attenuation time series data can simulate the performance of an Earth-space system using site diversity, indicating the optimum method of implementing this FMT. In this paper, unbalanced site diversity is investigated, as this is a more likely scenario than the balanced site diversity modeled by the ITU-R recommendations. This paper also investigates the implementation of site diversity from a commercial context, including cost-benefit analysis and technical feasibility.

  6. Hindfoot Arthrodesis with the Blade Plate: Increased Risk of Complications and Nonunion in a Complex Patient Population.

    Science.gov (United States)

    Gorman, Troy M; Beals, Timothy C; Nickisch, Florian; Saltzman, Charles L; Lyman, Mikayla; Barg, Alexej

    2016-10-01

    Previous hindfoot surgeries present a unique challenge to hindfoot arthrodesis, as the patients may have multiple incisions around the hindfoot. In high-risk patients with compromised soft tissues, a posterior approach can provide an alternative for a fresh soft tissue plane for the surgery. The use of a blade plate construct is widely accepted; however, there are limited data supporting the use of a posterior approach. We asked (1) what proportion of patients treated with this technique achieved osseous union; (2) what complications were observed; (3) were any patient-demographic or health-related factors associated with the likelihood that a patient would have a complication develop? Between December 2001 and July 2014, 42 patients received a posterior blade plate. During the period in question, indications for hindfoot arthrodesis using posterior blade fixation were subtalar osteoarthritis below an ankle fusion, malunion or nonunion, failed tibiotalocalcaneal arthrodesis attributable to nonunion of the tibiotalar and/or subtalar joint; or tibiotalar and subtalar osteoarthritis in patients with impaired bone or soft tissue quality (particularly if the soft tissue problem was anterior). During that period, all patients who met those indications were treated with a posterior blade plate. Forty (95%) were included in this study, and two were lost to followup before the 1-year minimum required by the study. Demographics (age, gender, BMI, smoking status, and comorbidities) and surgical data (indication, previous treatment, and additional procedures) were analyzed. Of the 40 patients included, 27 (68%) were male and 13 (33%) were female, with a median of two previous hindfoot or ankle surgeries (range, 0-9 surgeries). The mean age of the patients was 56 ± 13 years. Followup averaged 47 ± 28 months (range, 14-137 months). Twenty-eight of 40 (70%) patients had a tibiotalocalcaneal arthrodesis as a primary (n = 6), primary staged (n = 10), revision (n = 9), or

  7. Comparison of tree coring and soil gas sampling for screening of contaminated sites

    DEFF Research Database (Denmark)

    Nielsen, Mette Algreen; Stalder, Marcel; Riis, Charlotte;

    and then identify high risk areas. The uptake of BTEX into trees varies to a greater extent with the tree species and the site conditions than chlorinated solvents, which lead to greater uncertainty. Both methods have their advantages and disadvantages. Hence, the methods supplement each other. Based on results...... suitable as initial screening methods for site characterization. The aim of this study is to compare tree coring and soil gas sampling to evaluate to which extent tree coring may supplement or substitute soil gas sampling as a site contaminant screening tool. And where both methods are feasible, evaluate...

  8. Pairwise comparisons of ten porcine tissues identify differential transcriptional regulation at the gene, isoform, promoter and transcription start site level

    Energy Technology Data Exchange (ETDEWEB)

    Farajzadeh, Leila; Hornshøj, Henrik; Momeni, Jamal; Thomsen, Bo; Larsen, Knud; Hedegaard, Jakob; Bendixen, Christian; Madsen, Lone Bruhn, E-mail: LoneB.Madsen@agrsci.dk

    2013-08-23

    Highlights: •Transcriptome sequencing yielded 223 mill porcine RNA-seq reads, and 59,000 transcribed locations. •Establishment of unique transcription profiles for ten porcine tissues including four brain tissues. •Comparison of transcription profiles at gene, isoform, promoter and transcription start site level. •Highlights a high level of regulation of neuro-related genes at both gene, isoform, and TSS level. •Our results emphasize the pig as a valuable animal model with respect to human biological issues. -- Abstract: The transcriptome is the absolute set of transcripts in a tissue or cell at the time of sampling. In this study RNA-Seq is employed to enable the differential analysis of the transcriptome profile for ten porcine tissues in order to evaluate differences between the tissues at the gene and isoform expression level, together with an analysis of variation in transcription start sites, promoter usage, and splicing. Totally, 223 million RNA fragments were sequenced leading to the identification of 59,930 transcribed gene locations and 290,936 transcript variants using Cufflinks with similarity to approximately 13,899 annotated human genes. Pairwise analysis of tissues for differential expression at the gene level showed that the smallest differences were between tissues originating from the porcine brain. Interestingly, the relative level of differential expression at the isoform level did generally not vary between tissue contrasts. Furthermore, analysis of differential promoter usage between tissues, revealed a proportionally higher variation between cerebellum (CBE) versus frontal cortex and cerebellum versus hypothalamus (HYP) than in the remaining comparisons. In addition, the comparison of differential transcription start sites showed that the number of these sites is generally increased in comparisons including hypothalamus in contrast to other pairwise assessments. A comprehensive analysis of one of the tissue contrasts, i

  9. Screening and comparison of remedial alternatives for the South Field and flyash piles at the Fernald site

    Energy Technology Data Exchange (ETDEWEB)

    Bumb, A.C. [Fluor Daniel Inc., Greenville, SC (United States); Jones, G.N. [Fernald Environmental Restoration Management Corp., Cincinnati, OH (United States). Fernald Environmental Management Project; Warner, R.D. [Dept. of Energy, Fernald, OH (United States)

    1996-05-01

    The South Field, the Inactive Flyash Pile, and the Active Flyash Pile are in close proximity to each other and are part of Operable Unit 2 (OU2) at the Fernald Environmental Management Project (FEMP). The baseline risk assessment indicated that the exposure pathways which pose the most significant risk are external radiation from radionuclides in surface soils and use of uranium contaminated groundwater. This paper presents screening and comparison of various remedial alternatives considered to mitigate risks from the groundwater pathway. Eight remedial alternatives were developed which consisted of consolidation and capping, excavation and off-site disposal with or without treatment, excavation and on-site disposal with or without treatment and combinations of these. Risk-based source (soil) preliminary remediation levels (PRLs) and waste acceptance criteria (WACs) were developed for consolidation and capping, excavation, and on-site disposal cell. The PRLs and WACs were developed using an integrated modeling tool consisting of an infiltration model, a surface water model, a vadose zone model, and a three-dimensional contaminant migration model in saturated media. The PRLs and WACs were then used to determine need for soil treatment, determine excavation volumes, and screen remedial alternatives. The selected remedial alternative consisted of excavation and on-site disposal with off-site disposal of the fraction exceeding the WAC.

  10. TREATMENT OF NONUNION OF TIBIA WITH SUPERFICIAL PERONEAL VASCULAR FASCIA PEDICEL TIBIOFIBULAR PERIOSTEAL FLAP%腓浅血管筋膜蒂胫腓骨膜瓣治疗胫骨骨不连

    Institute of Scientific and Technical Information of China (English)

    王华; 孟琳; 马华; 赵奎

    2009-01-01

    目的 总结采用腓浅血管筋膜蒂胫腓骨膜瓣治疗胫骨骨不连的临床疗效.方法 1996年1月-2008年12月,采用腓浅血管筋膜蒂胫腓骨膜瓣加交锁髓内钉并植骨治疗胫骨骨不连18例.其中男14例,女4例;年龄24~67岁,平均32.5岁.原发骨折均为胫腓骨中下1/3闭合性骨折,胫骨中段10例,下段8例.致伤原因:交通事故伤12例,重物砸伤6例.胫骨骨不连形成原因:手法复位石膏外固定致骨不连8例;小夹板固定致骨不连4例;髓内钉固定术后骨不连2例,术中未植骨;钢板内固定术后骨不连4例,其中钢板内固定并游离髂骨植骨术后骨不连3例.均为第1次手术后形成骨不连.发生骨不连至此次手术时间8~16个月,平均10.5个月.术中切取骨膜瓣7 cm×5 cm,取胫骨远端松质骨植骨,植骨量5~10 g.结果 术后切口均Ⅰ期愈合,无皮瓣坏死及感染发生.18例均获随访,随访时间6~36个月,平均20.8个月.X线片示骨折愈合时间5~7个月.采用Johner-Wruh评分标准,优14例,良3例,可1例,优良率为94.4%.结论 以腓浅血管筋膜蒂胫腓骨膜瓣治疗胫骨骨不连,内固定稳定,疗效可靠.%Objective To investigate the surgical treatment method and the curative effect of tibial nonunion with superficial peroneal vascular fascia pedicel tibiofibular periosteal flap. Methods From January 1996 to December 2008, 18 cases of tibial nonunion were treated with superficial peroneal vascular fascia pedicel tibiofibular periosteal flap, interlocking intramedullary nailing and cancellous bone graft of distal tibial. There were 14 males and 4 females, with an average age of 32.5 years old (range, 24-67 years old). Fracture site was middle in 10 cases and distal in 8 cases. Primary injury cause included 12 cases of traffic accident and 6 cases of bruise. The tibial nonunion reasons were manual reduction and plaster immobilization in 8 cases, small splint immobilization in 4 cases, intramedullary nail

  11. Comparison of mosquito control programs in seven urban sites in Africa, the Middle East, and the Americas

    Science.gov (United States)

    Impoinvil, Daniel E.; Ahmad, Sajjad; Troyo, Adriana; Keating, Joseph; Githeko, Andrew K.; Mbogo, Charles M; Kibe, Lydiah; Githure, John I.; Gad, Adel M.; Hassan, Ali N.; Orshan, Laor; Warburg, Alon; Calderón-Arguedas, Olger; Sánchez-Loría, Victoria M.; Velit-Suarez, Rosanna; Chadee, Dave D.; Novak, Robert J.; Beier, John C.

    2007-01-01

    Mosquito control programs at seven urban sites in Kenya, Egypt, Israel, Costa Rica, and Trinidad are described and compared. Site-specific urban and disease characteristics, organizational diagrams, and strengths, weaknesses, obstacles and threats (SWOT) analysis tools are used to provide a descriptive assessment of each mosquito control program, and provide a comparison of the factors affecting mosquito abatement. The information for SWOT analysis is collected from surveys, focus group discussions, and personal communication. SWOT analysis identified various issues affecting the efficiency and sustainability of mosquito control operations. The main outcome of our work was the description and comparison of mosquito control operations within the context of each study site’s biological, social, political, management, and economic conditions. The issues identified in this study ranged from lack of inter-sector collaboration to operational issues of mosquito control efforts. A lack of sustainable funding for mosquito control was a common problem for most sites. Many unique problems were also identified, which included lack of mosquito surveillance, lack of law enforcement, and negative consequences of human behavior. Identifying common virtues and shortcomings of mosquito control operations is useful in identifying “best practices” for mosquito control operations, thus leading to better control of mosquito biting and mosquito-borne disease transmission. PMID:17316882

  12. Airway injury during emergency transcutaneous airway access: a comparison at cricothyroid and tracheal sites.

    LENUS (Irish Health Repository)

    Salah, Nazar

    2009-12-01

    Oxygenation via the cricothyroid membrane (CTM) may be required in emergencies, but inadvertent tracheal cannulation may occur. In this study, we compared airway injury between the tracheal and CTM sites using different techniques for airway access.

  13. An inter-comparison of PM2.5 at urban and urban background sites: Chemical characterization and source apportionment

    Science.gov (United States)

    Cesari, D.; Donateo, A.; Conte, M.; Merico, E.; Giangreco, A.; Giangreco, F.; Contini, D.

    2016-06-01

    A measurement campaign was performed between 04/03/2013 and 17/07/2013 for simultaneous collection of PM2.5 samples in two nearby sites in southeastern Italy: an urban site and an urban background site. PM2.5 at the two sites were similar; however, the chemical composition and the contributions of the main sources were significantly different. The coefficients of divergence (CODs) showed spatial heterogeneity of EC (higher at the urban site because of traffic emissions) and of all metals. Major ions (NH4+, Na+, and SO42 -) and OC had low CODs, suggesting a homogeneous distribution of sea spray, secondary sulfate, and secondary organic matter (SOM = 1.6*OCsec, where OCsec is the secondary OC). The strong correlations between Na+ and Cl-, and the low Cl-/Na+ ratios, suggested the presence of aged sea spray with chloride depletion (about 79% of Cl-) and formation of sodium nitrate at both sites. In both sites, the non-sea-salt sulfate was about 97% of sulfate, and the strong correlation between SO42 - and NH4+ indicated that ammonium was present as ammonium sulfate. However, during advection of Saharan Dust, calcium sulfate was present rather than ammonium sulfate. The source apportionment was performed using the Positive Matrix Factorization comparing outputs of model EPA PMF 3.0 and 5.0 version. Six aerosol sources were identified at both sites: traffic, biomass burning, crustal-resuspended dust, secondary nitrate, marine aerosol, and secondary sulfate. The PMF3.0 model was not completely able, in these sites, to separate marine contribution from secondary nitrate and secondary sulfate from OC, underestimating the marine contribution and overestimating the secondary sulfate with respect to stoichiometric calculations. The application of specific constraints on PMF5.0 provided cleaner profiles, improving the comparison with stoichiometric calculations. The seasonal trends revealed larger biomass burning contributions during the cold period at both sites due to

  14. Microbial profile comparisons of saliva, pooled and site-specific subgingival samples in periodontitis patients

    DEFF Research Database (Denmark)

    Belstrøm, Daniel; Sembler-Møller, Maria Lynn; Grande, Maria Anastasia

    2017-01-01

    OBJECTIVES: The purpose of this study was to compare microbial profiles of saliva, pooled and site-specific subgingival samples in patients with periodontitis. We tested the hypotheses that saliva can be an alternative to pooled subgingival samples, when screening for presence of periopathogens....... DESIGN: Site specific subgingival plaque samples (n = 54), pooled subgingival plaque samples (n = 18) and stimulated saliva samples (n = 18) were collected from 18 patients with generalized chronic periodontitis. Subgingival and salivary microbiotas were characterized by means of HOMINGS (Human Oral...... to an AUC of 0.76 (sensitivity: 0.56, specificity: 0.94) in pooled subgingival samples. CONCLUSIONS: Site-specific presence of periodontal pathogens was detected with comparable accuracy in stimulated saliva samples and pooled subgingival plaque samples. Consequently, saliva may be a reasonable surrogate...

  15. On splice site prediction using weight array models: a comparison of smoothing techniques

    Science.gov (United States)

    Taher, Leila; Meinicke, Peter; Morgenstern, Burkhard

    2007-11-01

    In most eukaryotic genes, protein-coding exons are separated by non-coding introns which are removed from the primary transcript by a process called "splicing". The positions where introns are cut and exons are spliced together are called "splice sites". Thus, computational prediction of splice sites is crucial for gene finding in eukaryotes. Weight array models are a powerful probabilistic approach to splice site detection. Parameters for these models are usually derived from m-tuple frequencies in trusted training data and subsequently smoothed to avoid zero probabilities. In this study we compare three different ways of parameter estimation for m-tuple frequencies, namely (a) non-smoothed probability estimation, (b) standard pseudo counts and (c) a Gaussian smoothing procedure that we recently developed.

  16. An inter-comparison of PM10 source apportionment using PCA and PMF receptor models in three European sites.

    Science.gov (United States)

    Cesari, Daniela; Amato, F; Pandolfi, M; Alastuey, A; Querol, X; Contini, D

    2016-08-01

    Source apportionment of aerosol is an important approach to investigate aerosol formation and transformation processes as well as to assess appropriate mitigation strategies and to investigate causes of non-compliance with air quality standards (Directive 2008/50/CE). Receptor models (RMs) based on chemical composition of aerosol measured at specific sites are a useful, and widely used, tool to perform source apportionment. However, an analysis of available studies in the scientific literature reveals heterogeneities in the approaches used, in terms of "working variables" such as the number of samples in the dataset and the number of chemical species used as well as in the modeling tools used. In this work, an inter-comparison of PM10 source apportionment results obtained at three European measurement sites is presented, using two receptor models: principal component analysis coupled with multi-linear regression analysis (PCA-MLRA) and positive matrix factorization (PMF). The inter-comparison focuses on source identification, quantification of source contribution to PM10, robustness of the results, and how these are influenced by the number of chemical species available in the datasets. Results show very similar component/factor profiles identified by PCA and PMF, with some discrepancies in the number of factors. The PMF model appears to be more suitable to separate secondary sulfate and secondary nitrate with respect to PCA at least in the datasets analyzed. Further, some difficulties have been observed with PCA in separating industrial and heavy oil combustion contributions. Commonly at all sites, the crustal contributions found with PCA were larger than those found with PMF, and the secondary inorganic aerosol contributions found by PCA were lower than those found by PMF. Site-dependent differences were also observed for traffic and marine contributions. The inter-comparison of source apportionment performed on complete datasets (using the full range of

  17. Faculty supervision of NP program practicums: A comparison of rural and urban site differences.

    Science.gov (United States)

    Kaplan, Louise; Klein, Tracy; Skillman, Susan; Andrilla, C Holly

    2016-06-16

    Results of a survey of NP education programs were analyzed to describe factors influencing clinical placement of students in rural clinical rotations, methods used to evaluate NP students in their clinical rotations, and whether the frequency and type of faculty evaluations differed by urban or rural clinical sites.

  18. Intraosseous Infusion Rates under High Pressure: A Cadaveric Comparison of Anatomic Sites

    Science.gov (United States)

    2014-01-01

    joint , infection at the insertion site, inability to locate landmarks due to excessive tissue, and evidence of median sternotomy or other surgical...procedures involving the upper thorax . Sixteen “fresh” cadavers were identified during the study period. Prior to commencing fluid infusion on the

  19. An Investigation of Referral- and Comparison-based Social Influence on Social Networking Sites

    DEFF Research Database (Denmark)

    Tussyadiah, Iis; Kausar, Devi; Soesilo, Primidya K. M.

    This study explored social influence resulting from two distinct social reference processes on social networking sites (SNS). A web-based survey was conducted among consumers in the USA and Indonesia using restaurant consumption as a research context. The study identified the positive relationshi......, which include conformity to consumption trend and social prestige....

  20. An Investigation of Referral- and Comparison-based Social Influence on Social Networking Sites

    DEFF Research Database (Denmark)

    Tussyadiah, Iis; Kausar, Devi; Soesilo, Primidya K. M.

    This study explored social influence resulting from two distinct social reference processes on social networking sites (SNS). A web-based survey was conducted among consumers in the USA and Indonesia using restaurant consumption as a research context. The study identified the positive relationships...

  1. Comparison of site descriptive models for Olkiluoto, Finland and Forsmark, Sweden

    Energy Technology Data Exchange (ETDEWEB)

    Geier, J.; Bath, A.; Stephansson, O.; Luukkonen, A.

    2012-08-15

    The proposed high-level radioactive waste repository sites at Olkiluoto and Forsmark share broadly similar geologic histories and regional settings. Despite differences in lithology, rock strength and patterns of brittle deformation, the sites show similarities in terms of hydrogeochemistry and hydrogeology. These similarities reflect a dominating influence of saline and brackish water intrusion during inundation by the postglacial Littorina Sea and Baltic Sea, followed by exposure to meteoric waters following postglacial uplift and transition to a Baltic coastal setting. Both sites also contain deep bedrock saline groundwater, though this is more evident at Olkiluoto than at Forsmark. A comparative study of site descriptive models for the two sites identifies the following key differences that could potentially impact safety of a repository: (1) Redox controls, buffering and biogeochemistry at proposed repository depths; (2) Salinity gradients at and below proposed repository depths; (3) Methane concentrations at and below proposed repository depths; (4) Depths to which glacial water and Littorina water penetrated; (5) Cation hydrogeochemistry and water-rock reaction; (6) Pore water compositions in rock matrix; (7) Rock fabric, secondary minerals and alteration with respect to radionuclide retention; (8) Brittle deformation fabric differences on multiple scales that affect vertical hydraulic conductivity; (9) Differences in apparent frequency of encountering water-conducting networks at proposed repository depths; (10) Shallow bedrock hydraulic properties; (11) Unique intrusive or dissolution features; (12) Connectivity of site-scale models to regional-scale features; (13) Mesoproterozoic rocks in vicinity and possibilities for human-intrusion scenarios; (14) Rock stresses and bedrock strength and deformability at proposed repository depths; (15) Thermal anisotropy. These differences are all potentially significant to safety functions, but none are so severe that

  2. Comparison of body composition assessment by hydrodensitometry, skinfolds, and multiple site near-infrared spectrophotometry.

    Science.gov (United States)

    Hortobágyi, T; Israel, R G; Houmard, J A; McCammon, M R; O'Brien, K F

    1992-03-01

    Percent body fat (%BF) was assessed in 171 men with underwater weighing (UWW), seven-site skinfolds (7 SF), and near-infrared spectrophotometry (NIR). NIR was determined at eight sites, including biceps, triceps, axilla, chest, abdomen, suprailium, subscapula and thigh. Analysis of variance and Dunnett's post-hoc procedure revealed that NIR significantly (P less than 0.05) underpredicted %BF when using the biceps (12.9%), chest (11.3%), abdomen (10.2%), subscapula (11.3%) and thigh (9.9%) sites compared to the criterion %BF measured with UWW (13.4% +/- SD = 6.49). %BF with 7 SF was only 0.3% higher than %BF with UWW (r = 0.94, standard error of estimate = 2.9%). Correlation coefficients between SF thickness and NIR optical density readings at 940 nm (OD1) and 950 nm (OD2) wavelengths ranged from r = -0.30 (subscapula) to r = -0.67 (biceps) for OD1 and r = -0.39 (axilla) to r = -0.68 (biceps) for OD2. Multiple linear regression showed that the OD readings were not significant predictors of UWW %BF when using body mass, stature, activity level, and frame size as predictors, except for the OD2 reading at the biceps site. Stepwise regression revealed that NIR OD readings did not predict additional variance in %BF beyond mass, stature, activity level, frame size, or 7 SF. It was concluded that 7 SF are better predictors of %BF than NIR, and that NIR at multiple sites is inconsistent in assessing body composition.

  3. A Comparison of Online versus On-site Training in Health Research Methodology: A Randomized Study

    Directory of Open Access Journals (Sweden)

    Kanchanaraksa Sukon

    2011-06-01

    Full Text Available Abstract Background Distance learning may be useful for building health research capacity. However, evidence that it can improve knowledge and skills in health research, particularly in resource-poor settings, is limited. We compared the impact and acceptability of teaching two distinct content areas, Biostatistics and Research Ethics, through either on-line distance learning format or traditional on-site training, in a randomized study in India. Our objective was to determine whether on-line courses in Biostatistics and Research Ethics could achieve similar improvements in knowledge, as traditional on-site, classroom-based courses. Methods Subjects: Volunteer Indian scientists were randomly assigned to one of two arms. Intervention: Students in Arm 1 attended a 3.5-day on-site course in Biostatistics and completed a 3.5-week on-line course in Research Ethics. Students in Arm 2 attended a 3.5-week on-line course in Biostatistics and 3.5-day on-site course in Research Ethics. For the two course formats, learning objectives, course contents and knowledge tests were identical. Main Outcome Measures: Improvement in knowledge immediately and 3-months after course completion, compared to baseline. Results Baseline characteristics were similar in both arms (n = 29 each. Median knowledge score for Biostatistics increased from a baseline of 49% to 64% (p Conclusion On-line and on-site training formats led to marked and similar improvements of knowledge in Biostatistics and Research Ethics. This, combined with logistical and cost advantages of on-line training, may make on-line courses particularly useful for expanding health research capacity in resource-limited settings.

  4. A comparison of online versus on-site training in health research methodology: a randomized study.

    Science.gov (United States)

    Aggarwal, Rakesh; Gupte, Nikhil; Kass, Nancy; Taylor, Holly; Ali, Joseph; Bhan, Anant; Aggarwal, Amita; Sisson, Stephen D; Kanchanaraksa, Sukon; McKenzie-White, Jane; McGready, John; Miotti, Paolo; Bollinger, Robert C

    2011-06-17

    Distance learning may be useful for building health research capacity. However, evidence that it can improve knowledge and skills in health research, particularly in resource-poor settings, is limited. We compared the impact and acceptability of teaching two distinct content areas, Biostatistics and Research Ethics, through either on-line distance learning format or traditional on-site training, in a randomized study in India. Our objective was to determine whether on-line courses in Biostatistics and Research Ethics could achieve similar improvements in knowledge, as traditional on-site, classroom-based courses. Volunteer Indian scientists were randomly assigned to one of two arms. Students in Arm 1 attended a 3.5-day on-site course in Biostatistics and completed a 3.5-week on-line course in Research Ethics. Students in Arm 2 attended a 3.5-week on-line course in Biostatistics and 3.5-day on-site course in Research Ethics. For the two course formats, learning objectives, course contents and knowledge tests were identical. Improvement in knowledge immediately and 3-months after course completion, compared to baseline. Baseline characteristics were similar in both arms (n = 29 each). Median knowledge score for Biostatistics increased from a baseline of 49% to 64% (p platforms for both Biostatistics (16% vs. 12%; p = 0.59) and Research Ethics (17% vs. 13%; p = 0.14). On-line and on-site training formats led to marked and similar improvements of knowledge in Biostatistics and Research Ethics. This, combined with logistical and cost advantages of on-line training, may make on-line courses particularly useful for expanding health research capacity in resource-limited settings.

  5. Augmentation plating in hypertrophic non-union after nail fixation of femoral shaft fracture compared with exchange plating

    Institute of Scientific and Technical Information of China (English)

    Jiang Liangjun; Pan Zhijun; Zheng Qiang

    2014-01-01

    Background Augmentation plating has been used successfully to treat hypertrophic non-union after nail fixation.This study compared the efficacy of augmentation plating and exchange plating for treating hypertrophic non-union of femoral shaft fracture after intramedullary nail fixation.Methods A total of 12 patients received augmentation plating and 15 patients received exchange plating as treatment for femoral shaft hypertrophic non-union.The procedures were conducted at our medical centre between January 2005and January 2012.Clinical follow-up was conducted at 2 weeks,1 month and then monthly until union was achieved to compare union time,operation time,bleeding and complications between the two groups.Results All patients underwent follow-up examinations until fracture union was achieved.The average length of followup time after the second treatment was (18.37±3.28) months.The time needed for union was (4.17±0.94) months in the augmentation plating group and (5.33±1.72) months in the exchange plating group.The operation time was (90.00±17.58) minutes in the augmentation plating group and (160.00±25.35) minutes in the exchange plating group.The amount of blood loss during the operation was (270.00±43.32) ml in the augmentation plating group and (530.00±103.65) ml in the exchange plating group.Both groups showed significant difference (P <0.05) in their results.No complications were reported after the second operation.Conclusions Augmentation plating after nail fixation could remove local rotation instability,facilitate simple operation,create minimal damage and enable exercise for early functional recovery.Therefore,augmentation plating is excellent for treating hypertrophic non-union after nail fixation in femoral shaft fracture.

  6. Modeling sequence-specific polymers using anisotropic coarse-grained sites allows quantitative comparison with experiment

    CERN Document Server

    Haxton, Thomas K; Zuckermann, Ronald N; Whitelam, Stephen

    2014-01-01

    Certain sequences of peptoid polymers (synthetic analogs of peptides) assemble into bilayer nanosheets via a nonequilibrium assembly pathway of adsorption, compression, and collapse at an air-water interface. As with other large-scale dynamic processes in biology and materials science, understanding the details of this supramolecular assembly process requires a modeling approach that captures behavior on a wide range of length and time scales, from those on which individual sidechains fluctuate to those on which assemblies of polymers evolve. Here we demonstrate that a new coarse-grained modeling approach is accurate and computationally efficient enough to do so. Our approach uses only a minimal number of coarse-grained sites, but retains independently fluctuating orientational degrees of freedom for each site. These orientational degrees of freedom allow us to accurately parameterize both bonded and nonbonded interactions, and to generate all-atom configurations with sufficient accuracy to perform atomic sca...

  7. Numerical 2D modeling of site responsein Dinar Graben, Southwest Turkey,and comparison with observations

    Directory of Open Access Journals (Sweden)

    O. Alptekin

    2005-06-01

    Full Text Available The October 1, 1995 Dinar earthquake (ML=5.9 caused extensive damage within a limited area in Dinar town located in southwestern Turkey. Graben structure of the damaged area suggests the basin edge effects as a potential factor on the occurred damage. In this study numerical 2D site responses in the Dinar Graben are computed by using a finite-difference scheme and numerical results are compared with the observations within the graben. Our results suggest that the ground motions within the Dinar Graben were dominated by surface waves generated from the edges of the garben. In addition to magnifying amplitudes within the graben, the surface waves increased the duration of ground motion. Synthetic response spectra of the mainshock have shown that spectral accelerations at different sites in the graben are larger than the observed one. High spectral accelerations and long durations of ground motion may explain the extensive damage observed within the Dinar Graben.

  8. Comparison of nitrate attenuation characterization methods at the Uranium mill tailing site in Monument Valley, Arizona

    Science.gov (United States)

    Carroll, Kenneth C.; Jordan, Fiona L.; Glenn, Edward P.; Jody Waugh, W.; Brusseau, Mark L.

    2009-11-01

    SummarySeveral methods for characterizing the occurrence and rate of nitrate attenuation were tested at a field site near Monument Valley, Arizona. Spatial and temporal nitrate concentration data collected from a transect of monitoring wells located along the plume centerline were analyzed to evaluate the overall rates of natural attenuation. The occurrence and rate of denitrification was evaluated through microcosm experiments, nitrogen isotopic fractionation analysis, and solute-transport modeling. First-order denitrification-rate coefficients calculated with each method were comparable. In addition, the composite natural attenuation rate coefficient was similar to the denitrification-rate coefficients, which suggests that microbially induced decay primarily controls nitrate attenuation at the site. This

  9. Comparison of canine parvovirus with mink enteritis virus by restriction site mapping.

    OpenAIRE

    McMaster, G K; Tratschin, J D; Siegl, G

    1981-01-01

    The genomes of canine parvovirus and mink enteritis virus were compared by restriction enzyme analysis of their replicative-form DNAs. Of 79 mapped sites, 68, or 86%, were found to be common for both types of DNA, indicating that canine parvovirus and mink enteritis virus are closely related viruses. Whether they evolved from a common precursor or whether canine parvovirus is derived from mink enteritis virus, however, cannot be deduced from our present data.

  10. Comparison of mercury concentrations measured at several sites in the Southern Hemisphere

    Directory of Open Access Journals (Sweden)

    F. Slemr

    2014-12-01

    Full Text Available Our knowledge of the distribution of mercury concentrations in air of the Southern Hemisphere was until recently based mostly on intermittent measurements made during ship cruises. In the last few years continuous mercury monitoring has commenced at several sites in the Southern Hemisphere providing new and more refined information. In this paper we compare mercury measurements at several sites in the Southern Hemisphere made over a period of at least one year at each location. Averages of monthly medians show similar although small seasonal variations at both Cape Point and Amsterdam Island. A pronounced seasonal variation at Troll Research Station in Antarctica is due to frequent mercury depletion events in the austral spring. Due to large scatter and large standard deviations of monthly average median mercury concentrations at Cape Grim no systematic seasonal variation could be found there. Nevertheless, the annual average mercury concentrations at all sites during the 2007–2013 period varied only between 0.85 and 1.05 ng m−3. Part of this variability is likely due to systematic measurement uncertainties which we propose can be further reduced by improved calibration procedures. We conclude that mercury is much more uniformly distributed throughout the Southern Hemisphere than the distributions suggested by measurements made onboard ships. This finding implies (a that trends observed at one or a few sites in the Southern Hemisphere are likely to be representative for the whole hemisphere, and (b that smaller trends can be detected in shorter time periods. We also report a change of the trend sign at Cape Point from decreasing mercury concentrations in 1996–2004 to increasing concentrations since 2007.

  11. Ground-based aerosol optical depth inter-comparison campaigns at European EUSAAR super-sites

    Science.gov (United States)

    Nyeki, S.; Gröbner, J.; Wehrli, C.

    2013-05-01

    This work summarizes eight aerosol optical depth (AOD) inter-comparison campaigns conducted during the 2008-2011 period. A PFR (precision filter radiometer) travelling standard from the GAW-PFR network (based at PMOD/WRC, Switzerland) was run alongside existing CIMEL sun-photometers from the PHOTONS/AERONET network located at European stations. Basic statistical analysis of coincident measurements at λ = 500 and 862 nm illustrated good agreement. However, when WMO criteria for traceability were applied only one wavelength at three stations was traceable. Other stations were close to being traceable but had slight issues with window cleanliness and calibration.

  12. Comparison of Statistically Modeled Contaminated Soil Volume Estimates and Actual Excavation Volumes at the Maywood FUSRAP Site - 13555

    Energy Technology Data Exchange (ETDEWEB)

    Moore, James [U.S. Army Corps of Engineers - New York District 26 Federal Plaza, New York, New York 10278 (United States); Hays, David [U.S. Army Corps of Engineers - Kansas City District 601 E. 12th Street, Kansas City, Missouri 64106 (United States); Quinn, John; Johnson, Robert; Durham, Lisa [Argonne National Laboratory, Environmental Science Division 9700 S. Cass Ave., Argonne, Illinois 60439 (United States)

    2013-07-01

    As part of the ongoing remediation process at the Maywood Formerly Utilized Sites Remedial Action Program (FUSRAP) properties, Argonne National Laboratory (Argonne) assisted the U.S. Army Corps of Engineers (USACE) New York District by providing contaminated soil volume estimates for the main site area, much of which is fully or partially remediated. As part of the volume estimation process, an initial conceptual site model (ICSM) was prepared for the entire site that captured existing information (with the exception of soil sampling results) pertinent to the possible location of surface and subsurface contamination above cleanup requirements. This ICSM was based on historical anecdotal information, aerial photographs, and the logs from several hundred soil cores that identified the depth of fill material and the depth to bedrock under the site. Specialized geostatistical software developed by Argonne was used to update the ICSM with historical sampling results and down-hole gamma survey information for hundreds of soil core locations. The updating process yielded both a best guess estimate of contamination volumes and a conservative upper bound on the volume estimate that reflected the estimate's uncertainty. Comparison of model results to actual removed soil volumes was conducted on a parcel-by-parcel basis. Where sampling data density was adequate, the actual volume matched the model's average or best guess results. Where contamination was un-characterized and unknown to the model, the actual volume exceeded the model's conservative estimate. Factors affecting volume estimation were identified to assist in planning further excavations. (authors)

  13. Comparison of Three Internship Training Sites for an Undergraduate Health Information Management Program in Saudi Arabia.

    Science.gov (United States)

    Bah, Sulaiman; Alanzi, Turki

    2017-07-01

    While internship training is well established for medical records and for healthcare quality improvement, it is not quite so for training related to IT/health informatics. A comparison was made on the hospital-based IT/health informatics internship training received by students completing their training at the Imam AbdulRahman Bin Faisal University (IAU) in the Eastern province of Saudi Arabia. The three hospitals studied all have the Joint Commission International accreditation and advanced Electronic Health Record (EHR) systems. Over the period from 2011 to 2015, interns from the IAU prepared 120 reports based on their training at these three hospitals. Data abstraction was done on the internship reports, and the results were summarized and interpreted. The study found wide differences in the training received at these hospitals. The main reason for the differences is whether or not the EHR system used in the hospital was a commercial one or developed in-house. The hospital that had developed its own EHR system made more use of health information management interns during their IT rotation in comparison to hospitals which had adopted commercial EHR systems. Recommendations are made of both local relevance and of international relevance.

  14. Comparison of exit site infection and peritonitis incidences between povidone-iodine and normal saline use for chronic exit site care in peritoneal dialysis patients

    Directory of Open Access Journals (Sweden)

    Su Mi Lee

    2014-09-01

    Conclusion: Exit site care using normal saline did not increase the incidence of exit site infection and peritonitis. Therefore, normal saline may be an alternative treatment for exit site care in patients receiving PD.

  15. 骨不连的常见分型及治疗进展%Advances on common classification and treatment of nonunion fracture

    Institute of Scientific and Technical Information of China (English)

    徐尚胜; 王晋

    2012-01-01

    骨不连、骨折延迟愈合是骨科常见骨折并发症,多种原因所致,造成骨不连的原因分析、病理机制,正确分型、手术及非手术辅助治疗常需多种方法联合应用.Weber-Cech分类对治疗骨不连治疗方法的选择具有重要意义.骨不连的治疗具有挑战性,有待于进一步深入研究.各种内固定物在骨不连的治疗应用中各有所长及缺点.本文对骨不连的常见原因、病理机制、分型及手术固定物的选择等做一综述.%Nonunion and delayed union are common complications of osteology, caused by many reasons. Analysising the causes, pathosenesis, classifications, surgery or non—surgery treatment of nonunion depend on the coalition of multiple methods. The classification of Weber-Cech plays an important role in selecting correct method to treat nonunion. However, there are more challenges to treat nonunion, and needs intensified studies. Various internal fixing has its own advantages and disadvantages in the treatment of nonunion. In this article, we intend to review the common reasons, pathosenesis, classifications and fixings of nonunion.

  16. Comparison of environmental issues related to development of small hydropower resources at new versus existing sites

    Energy Technology Data Exchange (ETDEWEB)

    Loar, J. M.; Hildebrand, S. G.

    1980-01-01

    Many of the ecological issues associated with the development of small hydropower resources are similar at both new (undeveloped) sites and those with existing dams that will be retrofitted for hydroelectric generation. Issues that could occur with both types of development are: (1) blockage of fish migration routes; (2) water level fluctuations; (3) instream flows, (4) water quality; (5) dredging and dredged material disposal; and (6) threatened or endangered species. However, new site development projects require the alteration of existing aquatic and terrestrial ecosystems that will be, in most cases, significantly greater than the environmental changes associated with the retrofitting of existing dams. Although project design and operation are important factors controlling the nature and magnitude of the environmental impacts of small hydropower resource development, the mitigation of adverse impacts (and the optimization of beneficial effects) is dependent, in large measure, on our ability to accurately predict physical, chemical, and biological changes. Predicting the impacts of new impoundments may be considerably more difficult than predicting the impacts that might occur if an existing dam/impoundment system is developed. A comparative approach at the ecosystem level can provide valuable insights into the structure and function of reservoir systems and significantly increase our predictive capability.

  17. Reduced rates of non-union with modified periacetabular osteotomy using peracetic-acid sterilized cancellous allografts.

    Science.gov (United States)

    Wassilew, Georgi I; Janz, Viktor; Renner, Lisa; Perka, Carsten; Pruss, Axel

    2016-12-01

    The objective of the present study was to analyze the clinical and radiological results of periacetabular osteotomies (PAO) using Kirschner wire fixation and an allogeneic cancellous bone graft. This retrospective cohort study included 73 patients (85 PAOs). The allografts were processed from distal femur of cadaveric donors, defatted, sterilized with a peracetic-acid ethanol solution and freeze-dried. The clinical outcome, as measured by the Harris Hip Scores (HHS), the complication rate and the acetabular correction, as measured by radiological parameters, were compared. The postoperative femoral head coverage and HSS were significantly improved. Major complications occurred in five cases (6 %), but in no case did we observe a non-union or a graft-associated adverse effect. Fixation of the acetabular fragment with Kirschner wires in combination with an allogeneic cancellous bone graft is a safe method, with a low complication rate, no loss of correction and can prevent the occurrence of non-union with a high degree of probability.

  18. Impulse propagation over a complex site: a comparison of experimental results and numerical predictions.

    Science.gov (United States)

    Dragna, Didier; Blanc-Benon, Philippe; Poisson, Franck

    2014-03-01

    Results from outdoor acoustic measurements performed in a railway site near Reims in France in May 2010 are compared to those obtained from a finite-difference time-domain solver of the linearized Euler equations. During the experiments, the ground profile and the different ground surface impedances were determined. Meteorological measurements were also performed to deduce mean vertical profiles of wind and temperature. An alarm pistol was used as a source of impulse signals and three microphones were located along a propagation path. The various measured parameters are introduced as input data into the numerical solver. In the frequency domain, the numerical results are in good accordance with the measurements up to a frequency of 2 kHz. In the time domain, except a time shift, the predicted waveforms match the measured waveforms with a close agreement.

  19. Comparison of Kriging and coKriging for soil contamination mapping in abandoned mine sites

    Science.gov (United States)

    Lee, Hyeongyu; Choi, Yosoon

    2015-04-01

    Soil contamination mapping around abandoned mines is an important task for the planning and design of mine reclamation. This study compared the ordinary Kriging and the co-Kriging methods for the soil contamination mapping in abandoned mine sites. Four approaches were conducted as follows: (1) soil contamination mapping using the ordinary Kriging and Inductively Coupled Plasma (ICP) data only; (2) soil contamination mapping using the ordinary Kriging and Portable X-Ray Fluorescence (PXRF) data only; (3) soil contamination mapping using the ordinary Kriging and integrated data from ICP and PXRF; and (4) soil contamination mapping using the co-Kriging and integrated data from ICP and PXRF. Results indicate that the approach 3 provides substantial improvements over other three approaches including a more reasonable spatial pattern of soil contamination and reduction in the error of its estimates.

  20. Aerosol Property Comparison Within and Above the ABL at the ARM Program SGP Site

    Energy Technology Data Exchange (ETDEWEB)

    Delle Monache, L

    2002-05-01

    This thesis determines what, if any, measurements of aerosol properties made at the Earth surface are representative of those within the entire air column. Data from the Atmospheric Radiation Measurement site at the Southern Great Plains, the only location in the world where ground-based and in situ airborne measurements are routinely made. Flight legs during the one-year period from March 2000 were categorized as either within or above the atmospheric boundary layer (ABL) by use of an objective mixing height determination technique. Correlations between aerosol properties measured at the surface and those within and above the ABL were computed. Aerosol extensive and intensive properties measured at the surface were found representative of values within the ABL, but not of within the free atmosphere.

  1. Impression management as symbolic capital: an intercultural comparison of presentations by CEOs on social network sites

    Directory of Open Access Journals (Sweden)

    Klarissa Lueg

    2015-05-01

    Full Text Available Social Network Sites (SNS play an increasingly important role in the European business world, especially with respect to cross-cultural impression management. Departing from the Bourdieusian concept of “capital,” this paper analyzes the differences in the use of two popular business SNS: XING in Germany and LinkedIn in Denmark. We summarize those differences and relate them to different cultural contexts and impression management practices. Our sample consists of Danish Higher Executives (HEs/managers (e.g., CEOs and companies that have profiles on both SNS, thus reaching out to both the German and the Danish markets. It is apparent that even business experts operating in both markets could better adapt to the standards and possibilities offered by the German SNS with respect to impression management. We introduce a set of recommendations to foster SNS-related and culture-sensitive impression management.

  2. Comparison of Aerosol Properties Within and Above the ABL at the ARM Program's SGP Site

    Energy Technology Data Exchange (ETDEWEB)

    Delle Monache, L

    2002-05-01

    The goal of this thesis is to determine under what conditions, if any, measurements of aerosol properties made at the Earth's surface are representative of aerosol properties within the column of air above the surface. This thesis will use data from the Atmospheric Radiation Measurement (ARM) site at the Southern Great Plains (SGP) which is the only location in the world where ground-based and in situ airborne measurements are made on a routine basis. All flight legs in the one-year period from March 2000-March 2001 were categorized as either within or above the atmospheric boundary layer using an objective mixing height determination technique. The correlations between the aerosol properties measured at the surface and the measured within and above the ABL were then computed. The conclusion of this comparison is that the aerosol extensive and intensive properties measured at the surface are representative of values within the ABL, but not within the free atmosphere.

  3. Site specific comparison of H2, CH4 and compressed air energy storage in porous formations

    Science.gov (United States)

    Tilmann Pfeiffer, Wolf; Wang, Bo; Bauer, Sebastian

    2016-04-01

    The supply of energy from renewable sources like wind or solar power is subject to fluctuations determined by the climatic and weather conditions, and shortage periods can be expected on the order of days to weeks. Energy storage is thus required if renewable energy dominates the total energy production and has to compensate the shortages. Porous formations in the subsurface could provide large storage capacities for various energy carriers, such as hydrogen (H2), synthetic methane (CH4) or compressed air (CAES). All three energy storage options have similar requirements regarding the storage site characteristics and consequently compete for suitable subsurface structures. The aim of this work is to compare the individual storage methods for an individual storage site regarding the storage capacity as well as the achievable delivery rates. This objective is pursued using numerical simulation of the individual storage operations. In a first step, a synthetic anticline with a radius of 4 km, a drop of 900 m and a formation thickness of 20 m is used to compare the individual storage methods. The storage operations are carried out using -depending on the energy carrier- 5 to 13 wells placed in the top of the structure. A homogeneous parameter distribution is assumed with permeability, porosity and residual water saturation being 500 mD, 0.35 and 0.2, respectively. N2 is used as a cushion gas in the H2 storage simulations. In case of compressed air energy storage, a high discharge rate of 400 kg/s equating to 28.8 mio. m³/d at surface conditions is required to produce 320 MW of power. Using 13 wells the storage is capable of supplying the specified gas flow rate for a period of 31 hours. Two cases using 5 and 9 wells were simulated for both the H2 and the CH4 storage operation. The target withdrawal rates of 1 mio. sm³/d are maintained for the whole extraction period of one week in all simulations. However, the power output differs with the 5 well scenario producing

  4. Prospective study of peripheral arterial catheter infection and comparison with concurrently sited central venous catheters.

    Science.gov (United States)

    Koh, David Boon Chai; Gowardman, John R; Rickard, Claire M; Robertson, Iain K; Brown, Andrew

    2008-02-01

    Peripheral arterial catheters are perceived as having low infective potential compared with other catheters and may be overlooked as a cause of catheter-related bloodstream infection. We aimed to measure colonization and rates of catheter-related bloodstream infection in arterial catheters, to investigate risk factors for arterial catheter colonization, and to compare arterial catheter infection rates with those in concurrently sited and managed central venous catheters. Prospective 24-month cohort study. Eight-bed combined general intensive care and high-dependency unit of a 350-bed Australian teaching hospital. Three hundred twenty-one arterial catheters in 252 adult and pediatric patients were observed for 1,082 catheter days, and 618 central venous catheters in 410 patients were observed for 4,040 catheter days. All catheters were inserted in, or presented to, the intensive care unit. Both arterial catheters and central venous catheters were inserted by trained personnel under aseptic conditions, and management was standardized. None. The incidence per 1,000 (95% confidence interval) catheter days of colonization (> or = 15 colonies) and catheter-related bloodstream infection was 15.7 (9.5-25.9) and 0.92 (0.13-6.44) for arterial catheters and 16.8 (13.3-21.3) and 2.23 (1.12-4.44) for central venous catheters. Arterial catheter colonization was not significantly different than that in central venous catheters (hazard ratio, 1.17; 95% confidence interval, 0.41-3.36; p = .77). Arterial catheter colonization increased with dwell time and was similar to central venous catheters over time. Femoral arterial catheters were colonized more often than radial arterial catheters (hazard ratio, 5.08; 95% confidence interval, 0.85, 30.3; p = .075), and colonization was significantly higher when the catheter was inserted in the operating theater or emergency department (hazard ratio, 4.45; 95% confidence interval, 1.42-13.9; p = .01) compared with the intensive care unit. The

  5. Comparison of transfer sites for flexor digitorum longus in a cadaveric adult acquired flatfoot model.

    Science.gov (United States)

    Vaudreuil, Nicholas J; Ledoux, William R; Roush, Grant C; Whittaker, Eric C; Sangeorzan, Bruce J

    2014-01-01

    Posterior tibialis tendon (PTT) dysfunction (PTTD) is associated with adult acquired flatfoot deformity. PTTD is commonly treated with a flexor digitorum longus (FDL) tendon transfer (FDLTT) to the navicular (NAV), medial cuneiform (CUN), or distal residuum of the degraded PTT (rPTT). We assessed the kinetic and kinematic outcomes of these three attachment sites using cadaveric gait simulation. Three transfer locations (NAV, CUN, rPTT) were tested on seven prepared flatfoot models using a robotic gait simulator (RGS). The FDLTT procedures were simulated by pulling on the PTT with biomechanically realistic FDL forces (rPTT) or by pulling on the transected FDL tendon after fixation to the navicular or medial cuneiform (NAV and CUN, respectively). Plantar pressure and foot bone motion were quantified. Peak plantar pressure significantly decreased from the flatfoot condition at the first metatarsal (NAV) and hallux (CUN). No difference was found in the medial-lateral center of pressure. Kinematic findings showed minimal differences between flatfoot and FDLTT specimens. The three locations demonstrated only minimal differences from the flatfoot condition, with the NAV and CUN procedures resulting in decreased medial pressures. Functionally, all three surgical procedures performed similarly.

  6. Surgical site infection after caesarean section: space for post-discharge surveillance improvements and reliable comparisons.

    Science.gov (United States)

    Ferraro, Federica; Piselli, Pierluca; Pittalis, Silvia; Ruscitti, Luca E; Cimaglia, Claudia; Ippolito, Giuseppe; Puro, Vincenzo

    2016-04-01

    Surgical site infections (SSI) after caesarean section (CS) represent a substantial health system concern. Surveying SSI has been associated with a reduction in SSI incidence. We report the findings of three (2008, 2011 and 2013) regional active SSI surveillances after CS in community hospital of the Latium region determining the incidence of SSI. Each CS was surveyed for SSI occurrence by trained staff up to 30 post-operative days, and association of SSI with relevant characteristics was assessed using binomial logistic regression. A total of 3,685 CS were included in the study. A complete 30 day post-operation follow-up was achieved in over 94% of procedures. Overall 145 SSI were observed (3.9% cumulative incidence) of which 131 (90.3%) were superficial and 14 (9.7%) complex (deep or organ/space) SSI; overall 129 SSI (of which 89.9% superficial) were diagnosed post-discharge. Only higher NNIS score was significantly associated with SSI occurrence in the regression analysis. Our work provides the first regional data on CS-associated SSI incidence, highlighting the need for a post-discharge surveillance which should assure 30 days post-operation to not miss data on complex SSI, as well as being less labour intensive.

  7. The influence of UV aging of a styrene/butadiene/styrene modified bitumen: comparison between laboratory and on site aging

    Energy Technology Data Exchange (ETDEWEB)

    Francoise Durrieu; Fabienne Farcas; Virginie Mouillet [Service Physico-chimie des Materiaux, Paris (France). Laboratoire Central des Ponts et Chaussees

    2007-07-15

    During the service life in a pavement, neat bitumen and modified bitumen age as the result of the mixing with aggregates, the process of laying, the climatic conditions and the traffic. Laboratory methods for simulating the short-term and long-term ageing (RTFOT and PAV, respectively) are standardized. None of them takes into account the influence of UV radiations. In the particular case of a pavement located in south France, a comparison is drawn through Fourier Transformed InfraRed (FTIR) analysis. Three types of ageing are compared: the standard simulated ageings, the actual on site ageing after 12 and 26 months of road service and the ageing when UV exposure in a weathering oven follows RTFOT simulation. According to carbonyle function evolution by FTIR spectroscopy, this work shows that for all tested binders, the same ageing level as the one simulated by PAV is reached in a few hours when a thin film of binder is submitted to UV exposure after RTFOT. It is also to be noted that the level of the on site ageing of a SBS Polymer modified Bitumen (PmB) reaches the simulated PAV ageing after 12 months of pavement life. 23 refs., 7 figs., 4 tabs.

  8. Comparison of Vaisala radiosondes RS41 and RS92 at the ARM Southern Great Plains site

    Energy Technology Data Exchange (ETDEWEB)

    Jensen, Michael P.; Holdridge, Donna J.; Survo, Petteri; Lehtinen, Raisa; Baxter, Shannon; Toto, Tami; Johnson, Karen L.

    2016-06-20

    In the fall of 2013, the Vaisala RS41 (fourth generation) radiosonde was introduced as a replacement for the RS92-SGP radiosonde with improvements in measurement accuracy of profiles of atmospheric temperature, humidity, and pressure. In order to help characterize these improvements, an intercomparison campaign was undertaken at the US Department of Energy's Atmospheric Radiation Measurement (ARM) Climate Research Facility site in north-central Oklahoma, USA. During 3–8 June 2014, a total of 20 twin-radiosonde flights were performed in a variety of atmospheric conditions representing typical midlatitude continental summertime conditions. The results show that for most of the observed conditions the RS92 and RS41 measurements agree much better than the manufacturer-specified combined uncertainties with notable exceptions when exiting liquid cloud layers where the “wet-bulbing” effect appears to be mitigated for several cases in the RS41 observations. The RS41 measurements of temperature and humidity, with applied correction algorithms, also appear to show less sensitivity to solar heating. These results suggest that the RS41 does provide important improvements, particularly in cloudy conditions. For many science applications – such as atmospheric process studies, retrieval development, and weather forecasting and climate modeling – the differences between the RS92 and RS41 measurements should have little impact. However, for long-term trend analysis and other climate applications, additional characterization of the RS41 measurements and their relation to the long-term observational records will be required.

  9. The Use of Social Networking Sites in Job Related Activities: A Cross-cultural Comparison

    Directory of Open Access Journals (Sweden)

    Małgorzata Bartosik-Purgat

    2017-06-01

    Full Text Available Objective: The main objective of the paper is to identify the use of Social Networking Sites (SNSs in job related activities and indicate the interdependencies between these activities and age, gender, as well as education in culturally diversified markets (China, Poland, Turkey, the United States. Research Design & Methods: In the exploratory empirical study the authors used two research methods: PAPI (Paper and Pen Personal Interview and CAWI (Computer Assisted Web Interview. The empirical data were collected in 2016 and the total number of respondents from four culturally diversified countries was 1246. Findings: The analysis with the use of Kruskal-Wallis and Dunn post-hoc tests showed that the Turkish respondents most often use SNSs for job related activities, while it is the least often done by the studied Americans. Moreover, from among the studied factors (gender, age and education level that differentiate the SNSs usage for job related activities in a statistically significant way age is of greatest importance. Implications & Recommendations: The results of the research provide implications for the recruitment policy of multinational enterprises (MNEs. Since more and more enterprises use SNSs in order to look for new employees and advertise themselves as employers (employer branding, the identified interdependencies between the SNSs activities and the analysed factors can support firm attempts to develop the proper recruitment policy taking into account the cultural diversity of potential workers. Contribution & Value Added: There are not many studies in the literature which present the usage of SNSs for job related activities from the perspective of individual users in the cross-cultural approach. The majority of studies are related to the usage of SNSs by enterprises in the recruitment process.

  10. Comparison of stress-measuring techniques at the DNA-UTP site, Rodgers Hollow, Kentucky

    Energy Technology Data Exchange (ETDEWEB)

    Finley, R.E.

    1994-12-01

    The Defense Nuclear Agency (DNA) is developing explosives technology through its Underground Technology Program (UTP). Sandia National Laboratories (SNL) has supported the DNA by conducting research to characterize the in situ stress and rock mass deformability at one of the UTP underground sites at Rodgers Hollow, near Louisville, Kentucky on the Fort Knox Military Reservation. The purpose of SNL`s testing was to determine the in situ stress using three different measurement techniques and, if possible, to estimate the rock mass modulus near the underground opening. The three stress-measuring techniques are (1) borehole deformation measurements using overcoring, (2) Anelastic Strain Recovery (ASR) complemented by laboratory ultrasonic and mechanical properties testing, and (3) the in situ flatjack technique using cancellation pressure. Rock mass modulus around the underground opening was estimated using the load deformation history of the flatjack and surrounding rock. Borehole deformation measurements using the overcoring technique probably represent the most reliable method for in situ stress determination in boreholes up to 50 ft (15 m) deep in competent rock around an isolated excavation. The technique is used extensively by the tunneling and mining industries. The ASR technique is also a core-based technique and is used in the petroleum and natural gas industries for characterization of in situ stress from deep boreholes. The flatjack technique has also been used in the tunneling and mining industries, and until recently has been limited to measurement of the stress immediately around the excavation. Results from the flatjack technique must be further analyzed to calculate the in situ stress in the far field.

  11. Standardizing clinical trials workflow representation in UML for international site comparison.

    Science.gov (United States)

    de Carvalho, Elias Cesar Araujo; Jayanti, Madhav Kishore; Batilana, Adelia Portero; Kozan, Andreia M O; Rodrigues, Maria J; Shah, Jatin; Loures, Marco R; Patil, Sunita; Payne, Philip; Pietrobon, Ricardo

    2010-11-09

    With the globalization of clinical trials, a growing emphasis has been placed on the standardization of the workflow in order to ensure the reproducibility and reliability of the overall trial. Despite the importance of workflow evaluation, to our knowledge no previous studies have attempted to adapt existing modeling languages to standardize the representation of clinical trials. Unified Modeling Language (UML) is a computational language that can be used to model operational workflow, and a UML profile can be developed to standardize UML models within a given domain. This paper's objective is to develop a UML profile to extend the UML Activity Diagram schema into the clinical trials domain, defining a standard representation for clinical trial workflow diagrams in UML. Two Brazilian clinical trial sites in rheumatology and oncology were examined to model their workflow and collect time-motion data. UML modeling was conducted in Eclipse, and a UML profile was developed to incorporate information used in discrete event simulation software. Ethnographic observation revealed bottlenecks in workflow: these included tasks requiring full commitment of CRCs, transferring notes from paper to computers, deviations from standard operating procedures, and conflicts between different IT systems. Time-motion analysis revealed that nurses' activities took up the most time in the workflow and contained a high frequency of shorter duration activities. Administrative assistants performed more activities near the beginning and end of the workflow. Overall, clinical trial tasks had a greater frequency than clinic routines or other general activities. This paper describes a method for modeling clinical trial workflow in UML and standardizing these workflow diagrams through a UML profile. In the increasingly global environment of clinical trials, the standardization of workflow modeling is a necessary precursor to conducting a comparative analysis of international clinical trials

  12. Hydrogen bonding and spin density distribution in the Qb semiquinone of bacterial reaction centers and comparison with the Qa site.

    Science.gov (United States)

    Martin, Erik; Samoilova, Rimma I; Narasimhulu, Kupala V; Lin, Tzu-Jen; O'Malley, Patrick J; Wraight, Colin A; Dikanov, Sergei A

    2011-04-13

    (B) function and comparisons with the Q(A) site are discussed.

  13. Hydrogen bonding and spin density distribution in the QB semiquinone of bacterial reaction centers and comparison with the QA site

    Science.gov (United States)

    Martin, Erik; Samoilova, Rimma I.; Narasimhulu, Kupala V.; Lin, Tzu-Jen; O’Malley, Patrick J.; Wraight, Colin A.; Dikanov, Sergei A.

    2011-01-01

    In the photosynthetic reaction center from Rhodobacter sphaeroides, the primary (QA) and secondary (QB) electron acceptors are both ubiquinone-10, but with very different properties and functions. To investigate the protein environment that imparts these functional differences, we have applied X-band HYSCORE, a 2D pulsed EPR technique, to characterize the exchangeable protons around the semiquinone (SQ) in the QA and QB sites, using samples of 15N-labeled reaction centers, with the native high spin Fe2+ exchanged for diamagnetic Zn2+, prepared in 1H2O and 2H2O solvent. The powder HYSCORE method is first validated against the orientation-selected Q-band ENDOR study of the QA SQ by Flores et al. (Biophys. J. 2007, 92, 671–682), with good agreement for two exchangeable protons with anisotropic hyperfine tensor components, T, both in the range 4.6–5.4 MHz. HYSCORE was then applied to the QB SQ where we found proton lines corresponding to T~5.2, 3.7 MHz and T~1.9 MHz. Density functional-based quantum mechanics/molecular mechanics (QM/MM) calculations, employing a model of the QB site, were used to assign the observed couplings to specific hydrogen bonding interactions with the QB SQ. These calculations allow us to assign the T=5.2 MHz proton to the His-L190 NδH…O4 (carbonyl) hydrogen bonding interaction. The T =3.7 MHz spectral feature most likely results from hydrogen bonding interactions of O1 (carbonyl) with both Gly-L225 peptide NH and Ser-L223 hydroxyl OH, which possess calculated couplings very close to this value. The smaller 1.9 MHz coupling is assigned to a weakly bound peptide NH proton of Ile-L224. The calculations performed with this structural model of the QB site show less asymmetric distribution of unpaired spin density over the SQ than seen for the QA site, consistent with available experimental data for 13C and 17O carbonyl hyperfine couplings. The implications of these interactions for QB function and comparisons with the QA site are discussed

  14. Changes in soil carbon stocks in Brazil due to land use: paired site comparisons and a regional pasture soil survey

    Directory of Open Access Journals (Sweden)

    E. D. Assad

    2013-03-01

    Full Text Available In this paper we calculated soil carbon stocks in Brazil using 17 paired sites where soil stocks were determined in native vegetation, pastures and crop-livestock systems (CPS, and in other regional samplings encompassing more than 100 pasture soils, from 6.58° S to 31.53° S, involving three major Brazilian biomes: Cerrado, Atlantic Forest, and the Pampa. The average native vegetation soil carbon stocks at 10 and 30 cm soil depth were equal to approximately 33 and 65 Mg ha−1, respectively. In the paired sites, carbon losses of 7.5 Mg ha−1 and 11.9 Mg ha−1 in CPS systems were observed at 10 cm and 30 cm soil depth averages, respectively. In pasture soils, carbon losses were similar and equal to 8.3 Mg ha−1 and 12.2 Mg ha−1 at 10 cm and 30 cm soil depths, respectively. The average soil δ13C under native vegetation at 10 and 30 cm depth were equal to −25.4‰ and −24.0‰, increasing to −19.6 ‰ and −17.7‰ in CPS, and to −18.9‰, and −18.3‰ in pasture soils, respectively; indicating an increasing contribution of C4 carbon in these agrosystems. In the regional survey of pasture soils, the soil carbon stock at 30 cm was equal to approximately 51 Mg ha−1, with an average δ13C value of −19.6‰. Key controllers of soil carbon stock at pasture sites were sand content and mean annual temperature. Collectively, both could explain approximately half of the variance of soil carbon stocks. When pasture soil carbon stocks were compared with the average soil carbon stocks of native vegetation estimated for Brazilian biomes and soil types by Bernoux et al. (2002 there was a carbon gain of 6.7 Mg ha−1, which is equivalent to a carbon gain of 15% compared to the carbon soil stock of the native vegetation. The findings of this study are consistent with differences found between regional comparisons like our pasture sites and local paired study sites in estimating soil carbon stocks changes due to land use changes.

  15. Recombinant Human Bone Morphogenetic Protein-2 (rhBMP-2) for the Treatment of Nonunion of the Femur in Children and Adolescents: A Retrospective Analysis

    Science.gov (United States)

    Stiel, Norbert; Babin, Kornelia; Rupprecht, Martin; Rueger, Johannes M.; Stuecker, Ralf

    2017-01-01

    Background. The aim of this study was to examine clinical and radiographic healing after rhBMP-2 application in children and adolescents presenting with nonunion of the femur and to investigate the safety of rhBMP-2 use in these cases. Materials and Methods. We reviewed the medical records of five patients with a mean age of 11 years (5.4 to 16.2) with nonunion of the femur who were treated with rhBMP-2 and internal fixation using a locking plate at a single institution. Particular attention was paid to identify all adverse events that may be due to rhBMP-2 use. Results. Union occurred in four of five patients at a mean of 12.1 months (7.9 to 18.9). The locking plates were removed after a mean of 16 months (11 to 23). One patient had nonunion due to deep infection. After a mean follow-up of 62.5 months (17 to 100), union was still evident in all four patients and they were fully weight-bearing without pain. Discussion. In this retrospective study, rhBMP-2 combined with a locking plate has been used successfully to treat children and adolescents with nonunion of the femur in four of five cases. One major complication was thought to be possibly related to its use.

  16. Comparison of surface fluxes and boundary-layer measurements at Arctic terrestrial sites

    Science.gov (United States)

    Grachev, Andrey; Uttal, Taneil; Persson, Ola; Stone, Robert; Crepinsek, Sara; Albee, Robert; Makshtas, Alexander; Kustov, Vasily; Repina, Irina; Artamonov, Arseniy

    2014-05-01

    dioxide was mostly negative (uptake by the surface) in summer indicating that the Arctic terrestrial sites are generally net sinks for atmospheric CO2 during the growing season when surface is extensively covered with vegetation. This study also shows that the sensible heat flux, water vapor, and carbon dioxide fluxes as well as air temperature exhibit clear diurnal cycles during the Arctic summer. During the Polar winter and cold seasons, the sensible heat flux, water vapor and carbon dioxide fluxes were small and mostly irregular when the ground is covered with snow and air temperatures are sufficiently below freezing. The work is supported by the U.S. National Science Foundation (NSF) with award ARC 11-07428 and by the U.S. Civilian Research & Development Foundation (CRDF) with award RUG1-2976-ST-10.

  17. Comparison of BTX Profiles and Their Mutagenicity Assessment at Two Sites of Agra, India

    Directory of Open Access Journals (Sweden)

    Vyoma Singla

    2012-01-01

    Full Text Available In the present study, the concentrations of three volatile organic compounds (VOCs, namely, acronym for benzene, toluene, and xylenes (BTX were assessed because of their role in the tropospheric chemistry. Two representative sites, a roadside and a petrol pump, were chosen for sample collection. VOCs were collected using SKC-activated charcoal tubes and SKC personal sampler and characterized by gas chromatograph using flame ionization detector. Among BTX, benzene had the highest concentration. At the roadside, mean concentration of benzene, toluene, o-,m-xylene, and p-xylene were 14.7 ± 2.4 μgm−3, 8.1 ± 1.2 μgm−3, 2.1 ± 0.8 μgm−3, and 5.1 ± 1.2 μgm−3, respectively. At the petrol pump, the mean concentrations of benzene, toluene, o-,m-xylene and p-xylene were 19.5 ± 3.7 μgm−3, 12.9 ± 1.1 μgm−3, 3.6 ± 0.5 μgm−3 and 11.1 ± 1.5 μgm−3, respectively, and were numerically higher by a fraction of 2. Monthly variation of BTX showed maximum concentration in winter. Inter-species ratios and inter-species correlation indicated traffic as the major source of BTX. Extracts of samples were positive in both Salmonella typhimurium tester strains TA98 and TA100 without metabolic activation suggesting the presence of direct mutagens in ambient air that can cause both frame-shift and base-pair mutation. The mutagenic response was greater for TA100 than TA98 suggesting greater activity for base-pair mutagenicity than frame-shift mutagenicity and was found to be statistically significant.

  18. Genetic predisposition to fracture non-union: a case control study of a preliminary single nucleotide polymorphisms analysis of the BMP pathway

    Directory of Open Access Journals (Sweden)

    Giannoudis Peter V

    2011-02-01

    Full Text Available Abstract Background Despite the known multi-factorial nature of atrophic fracture non-unions, a possible genetic predisposition for the development of this complication after long bone fractures remains unknown. This pilot study aimed to address this issue by performing a preliminary SNP analysis of specific genes known to regulate fracture healing. Methods A total of fifteen SNPs within four genes of the Bone Morphogenetic Protein (BMP pathway (BMP-2, BMP-7, NOGGIN and SMAD6 were examined, in 109 randomly selected patients with long bone fractures as a result of motor vehicle accident, fall or direct blow. There were sixty-two patients with atrophic non-union and forty-seven patients (54 fractures with uneventful fracture union. Overall SNPs frequencies were computed with respect to patient's age, gender, smoking habits, fracture-associated parameters and the use of nonsteroidal anti-inflammatory drugs (NSAIDs, and tested for their association to the impaired bone healing process, using binary logistic regression (STATA 11.1; StataCorp, Texas USA. Results Statistical analysis revealed age to be an important covariate in the development of atrophic non-union (p = 0.01, OR 1.05 [per year], and two specific genotypes (G/G genotype of the rs1372857 SNP, located on NOGGIN and T/T genotype of the rs2053423 SNP, located on SMAD6 to be associated with a greater risk of fracture non-union (p = 0.02, OR 4.56 and p = 0.04, OR 10.27, respectively, after adjustment for age. Conclusions This is the first clinical study to investigate the potential existence of genetic susceptibility to fracture non-union. Even though no concrete conclusions can be obtained from this pilot study, our results indicate the existence of a potential genetically predetermined impairment within the BMP signalling cascade, initiated after a fracture and when combined with other risk factors could synergistically increase the susceptibility of a patient to develop non-union. Further

  19. Role of on-site microscopic evaluation of kidney biopsy for adequacy and allocation of glomeruli: comparison of renal biopsies with and without on-site microscopic evaluation.

    Science.gov (United States)

    Gilani, S M; Ockner, D; Qu, H

    2013-12-01

    Evaluation of kidney core biopsies ideally begins with on-site microscopic examination for adequacy and allocation of tissue for light microscopy (LM), immunofluorescence (IF) and electron microscopy (EM). However, some renal biopsies are not microscopically evaluated by a pathologist at the time of procedure, and are allocated without on-site evaluation. This study compares the actual outcome of these two techniques. We reviewed the reports of patients who underwent kidney biopsy for medical causes in the past two years. Eighty-eight biopsies had on-site microscopic evaluation by pathologists, and 70 biopsies did not undergo on-site evaluation. For biopsies without on-site evaluation, no glomeruli were seen in 5 (7.14%) cases for LM, 11 (15.71%) cases for IF and 6 (8.57%) cases for EM. In cases with on-site evaluation, the absence of glomeruli was identified in 1 (1.13%) case for LM, 3 (3.4%) for IF and 3 (3.4%) for EM. The biopsies with on-site microscopic evaluation had 5.68% of the cases considered as inadequate, while 22% of biopsies without on-site evaluation were considered inadequate. The biopsies with on-site evaluation tended to have more glomeruli obtained during the procedure (p < 0.0005). Without on-site evaluation, the likelihood of getting an inadequate specimen compared to on-site evaluation is nearly four times greater.

  20. Safety-related site characteristics - a relative comparison of the Forsmark reference areas; Saekerhetsrelaterade platsegenskaper - en relativ jaemfoerelse av Forsmark med referensomraaden

    Energy Technology Data Exchange (ETDEWEB)

    Winberg, Anders (Conterra AB, Uppsala (Sweden))

    2010-12-15

    SKB has over the years from 2002 to 2008 conducted site investigations in Forsmark and Laxemar, with associated site modeling, design and safety analysis. In mid-2009 Forsmark was selected on the basis of analysis made as site for a future repository for spent nuclear fuel. Based on defined safety-related geoscientific location factors data from Forsmark are compared in relative terms with data from a number of locations in Sweden, previously studied by SKB. The factors compared include: the rock's composition and structures, future climate evolution, rock mechanical conditions, earthquakes, groundwater flow, groundwater composition, delay of solutes, and the ability to characterize and describe the location. Past comparisons of these properties for the selected sites show that none of these sites collectively show any significant benefit over Forsmark site for a repository. This does not preclude that there may be places on the basis of an overall assessment of geoscientific location factors could be equivalent to Forsmark

  1. SMAP-WS: a parallel web service for structural proteome-wide ligand-binding site comparison.

    Science.gov (United States)

    Ren, Jingyuan; Xie, Lei; Li, Wilfred W; Bourne, Philip E

    2010-07-01

    The proteome-wide characterization and analysis of protein ligand-binding sites and their interactions with ligands can provide pivotal information in understanding the structure, function and evolution of proteins and for designing safe and efficient therapeutics. The SMAP web service (SMAP-WS) meets this need through parallel computations designed for 3D ligand-binding site comparison and similarity searching on a structural proteome scale. SMAP-WS implements a shape descriptor (the Geometric Potential) that characterizes both local and global topological properties of the protein structure and which can be used to predict the likely ligand-binding pocket [Xie,L. and Bourne,P.E. (2007) A robust and efficient algorithm for the shape description of protein structures and its application in predicting ligand-binding sites. BMC bioinformatics, 8 (Suppl. 4.), S9.]. Subsequently a sequence order independent profile-profile alignment (SOIPPA) algorithm is used to detect and align similar pockets thereby finding protein functional and evolutionary relationships across fold space [Xie, L. and Bourne, P.E. (2008) Detecting evolutionary relationships across existing fold space, using sequence order-independent profile-profile alignments. Proc. Natl Acad. Sci. USA, 105, 5441-5446]. An extreme value distribution model estimates the statistical significance of the match [Xie, L., Xie, L. and Bourne, P.E. (2009) A unified statistical model to support local sequence order independent similarity searching for ligand-binding sites and its application to genome-based drug discovery. Bioinformatics, 25, i305-i312.]. These algorithms have been extensively benchmarked and shown to outperform most existing algorithms. Moreover, several predictions resulting from SMAP-WS have been validated experimentally. Thus far SMAP-WS has been applied to predict drug side effects, and to repurpose existing drugs for new indications. SMAP-WS provides both a user-friendly web interface and

  2. RADIOLYTIC HYDROGEN GENERATION INSAVANNAH RIVER SITE (SRS) HIGH LEVEL WASTETANKS COMPARISON OF SRS AND HANFORDMODELING PREDICTIONS

    Energy Technology Data Exchange (ETDEWEB)

    Crawford, C; Ned Bibler, N

    2009-04-15

    In the high level waste tanks at the Savannah River Site (SRS), hydrogen is produced continuously by interaction of the radiation in the tank with water in the waste. Consequently, the vapor spaces of the tanks are purged to prevent the accumulation of H{sub 2} and possible formation of a flammable mixture in a tank. Personnel at SRS have developed an empirical model to predict the rate of H{sub 2} formation in a tank. The basis of this model is the prediction of the G value for H{sub 2} production. This G value is the number of H{sub 2} molecules produced per 100 eV of radiolytic energy absorbed by the waste. Based on experimental studies it was found that the G value for H{sub 2} production from beta radiation and from gamma radiation were essentially equal. The G value for H{sub 2} production from alpha radiation was somewhat higher. Thus, the model has two equations, one for beta/gamma radiation and one for alpha radiation. Experimental studies have also indicated that both G values are decreased by the presence of nitrate and nitrite ions in the waste. These are the main scavengers for the precursors of H{sub 2} in the waste; thus the equations that were developed predict G values for hydrogen production as a function of the concentrations of these two ions in waste. Knowing the beta/gamma and alpha heat loads in the waste allows one to predict the total generation rate for hydrogen in a tank. With this prediction a ventilation rate can be established for each tank to ensure that a flammable mixture is not formed in the vapor space in a tank. Recently personnel at Hanford have developed a slightly different model for predicting hydrogen G values. Their model includes the same precursor for H{sub 2} as the SRS model but also includes an additional precursor not in the SRS model. Including the second precursor for H{sub 2} leads to different empirical equations for predicting the G values for H{sub 2} as a function of the nitrate and nitrite concentrations in

  3. Comparison of single and multiple dwell position methods in MammoSite high dose rate (HDR) brachytherapy planning.

    Science.gov (United States)

    Kim, Yongbok; Trombetta, Mark G; Miften, Moyed

    2010-05-28

    The purpose of this study is to dosimetrically compare two plans generated using single dwell position method (SDPM) and multiple dwell position methods (MDPM) in MammoSite high dose rate (HDR) brachytherapy planning for 19 breast cancer patients. In computed tomography (CT) image-based HDR planning, a surface optimization technique was used in both methods. Following dosimetric parameters were compared for fraction 1 plans: %PTV_EVAL (planning target volume for plan evaluation) coverage, dose homogeneity index (DHI), dose con-formal index (COIN), maximum dose to skin and ipsilateral lung, and breast tissue volume receiving 150% (V150[cc]) and 200% (V200[cc]) of the prescribed dose. In addition, a plan was retrospectively generated for each fraction 2-10 to simulate the clinical situation where the fraction 1 plan was used for fractions 2-10 without modification. In order to create nine derived plans for each method and for each of the 19 patients, the catheter location and contours of target and critical structures were defined on the CT images acquired prior to each fraction 2-10, while using the same dwell-time distribution as used for fraction 1 (original plan). Interfraction dose variations were evaluated for 19 patients by comparing the derived nine plans (each for fractions 2-10) with the original plan (fraction 1) using the same dosimetric parameters used for fraction 1 plan comparison. For the fraction 1 plan comparison, the MDPM resulted in slightly increased %PTV_EVAL coverage, COIN, V150[cc] and V200[cc] values by an average of 1.2%, 0.025, 0.5 cc and 0.7cc, respectively, while slightly decreased DHI, maximum skin and ipsilateral lung dose by an average of 0.003, 3.2 cGy and 5.8 cGy, respectively. For the inter-fraction dose variation comparison, the SDPM resulted in slightly smaller variations in %PTV_EVAL coverage, DHI, maximum skin dose and V150[cc] values by an average of 0.4%, 0.0005, 0.5 cGy and 0.2 cc, respectively, while slightly higher average

  4. Multi-technique comparison of atmospheric parameters at the DORIS co-location sites during CONT14

    Science.gov (United States)

    Heinkelmann, Robert; Willis, Pascal; Deng, Zhiguo; Dick, Galina; Nilsson, Tobias; Soja, Benedikt; Zus, Florian; Wickert, Jens; Schuh, Harald

    2016-12-01

    The atmospheric parameters, zenith delays and gradients, obtained by the DORIS, GPS, VLBI, and numerical weather models, ECMWF and NCEP, are compared at five DORIS co-located sites during the 15 days of the CONT14 campaign from 2014-05-06 until 2014-05-20. Further examined are two different solutions of GPS, VLBI and NCEP: for GPS, a network solution comparable to the TIGA reprocessing analysis strategy and a precise point positioning solution, for VLBI, a least squares and a Kalman filtered and smoothed solution, and for NCEP two spatial resolutions, 0.5° and 1.0°, are tested. The different positions of the antenna reference points at co-location sites affect the atmospheric parameters and have to be considered prior to the comparison. We assess and discuss these differences, tropospheric ties, by comparing ray-traced atmospheric parameters obtained at the positions of the various antenna reference points. While ray-traced ZHD and ZWD at the co-located antennas significantly differ, the ray-traced gradients show only very small differences. Weather events can introduce larger disagreement between atmospheric parameters obtained at co-location sites. The various weather model solutions in general agree very well in providing tropospheric ties. The atmospheric parameters are compared using statistical methods, such as the mean difference and standard deviations with repect to a weighted mean value. While GPS and VLBI atmospheric parameters agree very well in general, the DORIS observations are in several cases not dense enough to achieve a comparable level of agreement. The estimated zenith delays from DORIS, however, are competitive with the other space geodetic techniques. If the DORIS observation geometry is insufficient for the estimation of an atmospheric gradient, less than three satellites observed during the definition interval, the DORIS atmospheric parameters degrade and show small quasi-periodic variations that correlate with the number of observations

  5. Morphological description and comparison of the dental remains from Atapuerca-Sima de los Huesos site (Spain).

    Science.gov (United States)

    Martinón-Torres, María; Bermúdez de Castro, José María; Gómez-Robles, Aida; Prado-Simón, Leyre; Arsuaga, Juan Luis

    2012-01-01

    The systematic excavation of the Sima de los Huesos (SH) site in Sierra de Atapuerca (Burgos, Spain) has yielded the largest hominin collection worldwide for the Middle Pleistocene. The dental sample now consists of more than 500 teeth that provide exceptional opportunities to define the dental morphological pattern of a Middle Pleistocene population as well as develop hypotheses about the origins of the Neanderthals. The dental collection has now increased to over 533 specimens (525 permanent and 8 deciduous teeth), necessitating new morphological assessments. Thus, we present a detailed morphological description of the SH permanent dentition recovered up to 2007, accomplishing comparisons with European Middle Pleistocene hominins, Neanderthals, and early and contemporary Homo sapiens. We find that SH dentitions present all the morphological traits that, either in their degree of expression, frequency, or particular combination, are usually considered as typical of Homo neanderthalensis. This study ratifies the deep roots of the Neanderthal lineage in the Middle Pleistocene of Europe. In addition, SH teeth are morphologically "more Neanderthal" than other penecontemporaneous Middle Pleistocene samples such as Mauer or Arago, and even more derived than some classic Neanderthal samples. Thus, our study would not sustain the linearity of the accretion process hypothesized for the origins of the Neanderthals, and we suggest that other evolutionary models and scenarios should be explored for the Middle and Upper Pleistocene of Europe. We propose that more than one hominin lineage may have coexisted during the Middle Pleistocene in Europe. Copyright © 2011 Elsevier Ltd. All rights reserved.

  6. Comparison of modelled and monitored deposition fluxes of sulphur and nitrogen to ICP-forest sites in Europe

    Directory of Open Access Journals (Sweden)

    O. Westling

    2005-08-01

    simple precipitation variability index (PVI was devised to flag sites with large variability, and many outliers in the chemical comparison were shown to be such sites. The largest discrepancies were seen between EMEP and ICP precipitation amounts and for this component the correlation was very poor (r2=0.04-0.23 with all data, and 0.23-0.27 with PVI-filtered data. Although more work is needed to understand these discrepancies, the overall conclusion is that the EMEP model performs rather well in reproducing patterns of S and N deposition to European forests.

  7. The Mediating Roles of Upward Social Comparison and Self-esteem and the Moderating Role of Social Comparison Orientation in the Association between Social Networking Site Usage and Subjective Well-Being.

    Science.gov (United States)

    Wang, Jin-Liang; Wang, Hai-Zhen; Gaskin, James; Hawk, Skyler

    2017-01-01

    The increased pervasiveness of social media use has raised questions about potential effects on users' subjective well-being, with studies reaching contrasting conclusions. To reconcile these discrepancies and shed new light on this phenomenon, the current study examined: (1) whether upward social comparison and self-esteem mediate the association between social networking site (SNS) usage and users' subjective well-being, and (2) whether the association between SNS usage and upward social comparison is moderated by users' social comparison orientation. Data from 696 participants were collected. Structural equation modeling revealed that upward social comparison and self-esteem mediated the relationship between SNS usage and users' subjective well-being. We found that social comparison orientation moderated the association between passive SNS usage and users' upward social comparison. Specifically, social comparison orientation strengthened the association between passive SNS usage and upward social comparison. The results might suggest a process through which passive SNS usage is related to subjective well-being, and identify a context under which these associations may differ.

  8. The Mediating Roles of Upward Social Comparison and Self-esteem and the Moderating Role of Social Comparison Orientation in the Association between Social Networking Site Usage and Subjective Well-Being

    Directory of Open Access Journals (Sweden)

    Jin-Liang Wang

    2017-05-01

    Full Text Available The increased pervasiveness of social media use has raised questions about potential effects on users’ subjective well-being, with studies reaching contrasting conclusions. To reconcile these discrepancies and shed new light on this phenomenon, the current study examined: (1 whether upward social comparison and self-esteem mediate the association between social networking site (SNS usage and users’ subjective well-being, and (2 whether the association between SNS usage and upward social comparison is moderated by users’ social comparison orientation. Data from 696 participants were collected. Structural equation modeling revealed that upward social comparison and self-esteem mediated the relationship between SNS usage and users’ subjective well-being. We found that social comparison orientation moderated the association between passive SNS usage and users’ upward social comparison. Specifically, social comparison orientation strengthened the association between passive SNS usage and upward social comparison. The results might suggest a process through which passive SNS usage is related to subjective well-being, and identify a context under which these associations may differ.

  9. Assessing doses to terrestrial wildlife at a radioactive waste disposal site: Inter-comparison of modelling approaches

    Energy Technology Data Exchange (ETDEWEB)

    Johansen, M.P., E-mail: mathew.johansen@ansto.gov.au [Australian Nuclear Science and Technology Organisation, Locked Bag 2001, Kirrawee DC, NSW, 2232 (Australia); Barnett, C.L., E-mail: clb@ceh.ac.uk [Centre for Ecology and Hydrology, Lancaster (United Kingdom); Beresford, N.A., E-mail: nab@ceh.ac.uk [Centre for Ecology and Hydrology, Lancaster (United Kingdom); Brown, J.E., E-mail: justin.brown@nrpa.no [Norwegian Radiation Protection Authority, Oesteraas (Norway); Cerne, M., E-mail: marko.cerne@ijs.si [Jozef Stefan Institute, Ljubljana (Slovenia); Howard, B.J., E-mail: bjho@ceh.ac.uk [Centre for Ecology and Hydrology, Lancaster (United Kingdom); Kamboj, S., E-mail: skamboj@anl.gov [Argonne National Laboratory, IL (United States); Keum, D.-K., E-mail: dkkeum@kaeri.re.kr [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of); Smodis, B. [Jozef Stefan Institute, Ljubljana (Slovenia); Twining, J.R., E-mail: jrt@ansto.gov.au [Australian Nuclear Science and Technology Organisation, Locked Bag 2001, Kirrawee DC, NSW, 2232 (Australia); Vandenhove, H., E-mail: hvandenh@sckcen.be [Belgian Nuclear Research Centre, Mol (Belgium); Vives i Batlle, J., E-mail: jvbatll@sckcen.be [Belgian Nuclear Research Centre, Mol (Belgium); Wood, M.D., E-mail: m.d.wood@salford.ac.uk [University of Salford, Manchester (United Kingdom); Yu, C., E-mail: cyu@anl.gov [Argonne National Laboratory, IL (United States)

    2012-06-15

    Radiological doses to terrestrial wildlife were examined in this model inter-comparison study that emphasised factors causing variability in dose estimation. The study participants used varying modelling approaches and information sources to estimate dose rates and tissue concentrations for a range of biota types exposed to soil contamination at a shallow radionuclide waste burial site in Australia. Results indicated that the dominant factor causing variation in dose rate estimates (up to three orders of magnitude on mean total dose rates) was the soil-to-organism transfer of radionuclides that included variation in transfer parameter values as well as transfer calculation methods. Additional variation was associated with other modelling factors including: how participants conceptualised and modelled the exposure configurations (two orders of magnitude); which progeny to include with the parent radionuclide (typically less than one order of magnitude); and dose calculation parameters, including radiation weighting factors and dose conversion coefficients (typically less than one order of magnitude). Probabilistic approaches to model parameterisation were used to encompass and describe variable model parameters and outcomes. The study confirms the need for continued evaluation of the underlying mechanisms governing soil-to-organism transfer of radionuclides to improve estimation of dose rates to terrestrial wildlife. The exposure pathways and configurations available in most current codes are limited when considering instances where organisms access subsurface contamination through rooting, burrowing, or using different localised waste areas as part of their habitual routines. - Highlights: Black-Right-Pointing-Pointer Assessment of modelled dose rates to terrestrial biota from radionuclides. Black-Right-Pointing-Pointer The substantial variation among current approaches is quantifiable. Black-Right-Pointing-Pointer The dominant variable was soil

  10. Comparison of indirect methods for the estimation of Boundary Layer height over flat-terrain in a coastal site

    Directory of Open Access Journals (Sweden)

    Daniele Contini

    2009-06-01

    Full Text Available In this paper an analysis of different indirect methods for the calculation of the boundary layer height (BLH using sodar, ultrasonic anemometer and a prognostic model based on single point surface measurements is presented. In particular the automatic spectral routine developed for Remtech sodar is compared with the results obtained with the parameterization of the vertical velocity variance of a minisodar, with the calculation of a prognostic model, with a parameterization based on horizontal velocity spectra and with the BLH evaluated from the intensity of minisodar echoes in stable conditions. The data of a radiosonde system taken in a nearby site was also analysed to get an independent evaluation of BLH for comparison. There is a significant scatter in the data for both the evaluation through the variance of vertical wind speed and the spectral analysis of the horizontal wind velocity although created by different effects. In unstable conditions the different methods give a similar pattern even if the prognostic model in some days predicts a significantly higher BLH with respect to the other methods. In stable nocturnal conditions the performances of the Remtech routine are worse than those in unstable conditions with an evident overestimation of the BLH that it is likely related to the overestimation of vertical turbulence and to the use of multiple range gates in the algorithm. Taking as reference the evaluation of BLH of the sodar, the spectral method applied to ultrasonic anemometer data seems to be affected by the lowest biases and it is a possible candidate, for the development of automatic routines for operational evaluation of BLH possibly with a different parameterisation for stable and unstable cases.

  11. Proximal row carpectomy vs four corner fusion for scapholunate (Slac) or scaphoid nonunion advanced collapse (Snac) wrists: a systematic review of outcomes.

    Science.gov (United States)

    Mulford, J S; Ceulemans, L J; Nam, D; Axelrod, T S

    2009-04-01

    Proximal row carpectomy (PRC) and scaphoid excision with four-corner fusion (4CF) are common motion-preserving, salvage procedures for the treatment of wrists with scaphoid nonunion (SNAC) or scapholunate advanced collapse (SLAC). A systematic review was undertaken to clarify controversies regarding which of these procedures has the better outcome. We collated 52 articles that examine outcomes for SNAC or SLAC patients undergoing PRC or 4CF. Although the lack of unbiased trials must be acknowledged, this systematic review confirms that both procedures give improvements in pain and subjective outcome measures for patients with symptomatic and appropriately staged SLAC or SNAC wrists. PRC may provide better postoperative range of movement and lacks the potential complications specific to 4CF (nonunion, hardware issues and dorsal impingement). However, the risk of subsequent osteoarthritis is significantly higher in PRC patients despite the majority being asymptomatic at the time of review. Grip strength, pain relief and subjective outcomes are similar in both treatment groups.

  12. Posttraumatic arthrodesis of the subtalar joint--outcome in workers compensation and rates of non-union.

    Science.gov (United States)

    Hungerer, Sven; Trapp, Oliver; Augat, Peter; Bühren, Volker

    2011-12-01

    Regardless of the simple surgical technique, the success of the subtalar arthrodesis is limited by the rate of non-unions of the arthrodesis. The functional outcome of workers compensation is known to be poorer compared to patients without pending litigation. The aim of this study was to quantify the rate of non-unions and to determine risk factors leading to failure of the osseous consolidation after arthrodesis of the subtalar joint. The outcome assessed is a general health assessment with the SF-36 questionnaire and more illness specific with the AOFAS hindfoot score. Secondly, the influence of the health insurance status of the patients with or without worker's compensation on the outcome was tested. The inclusive criterion was an arthrodesis of the subtalar joint with and without autologous cancellous bone grafting and screw osteosynthesis. This cohort study included the clinical course of 115 patients with posttraumatic osteoarthritis from 2000 to 2006. The average age of the patients (n=115) was 47±11.0 years, 83% of the treated patients were men. 68% of the patients suffered of secondary osteoarthritis after calcaneal fracture. The time interval from trauma to presenting at the physician due to therapy resistant pain was in the average 5.5±9.9 years. After primary arthrodesis (n=101) of the subtalar joint osseous consolidation was proved in 55% cases, consolidation was questionable in 21% and the rate of no consolidation with revision was remarkable high with 24%. The duration of osseous consolidation was proved by plain projection radiography or computer tomography and clinical reduction of pain. For primary arthrodesis osseous consolidation was reached after 6.4±6.3 month, after secondary arthrodesis osseous consolidation was reached after 9.4±13.1 month. After revision surgery 57% of the arthrodesis healed, 12% the osseous consolidation was questionable, and the failure rate was still 12%. The outcome measures of the patients with SF-36 and the more

  13. Comparison of atmospheric PM2.5-bounded mercury species and their correlation with bromine and iodine at coastal urban and island sites in the eastern China

    Science.gov (United States)

    Cheng, Na; Duan, Lian; Xiu, Guangli; Zhao, Mengfei; Qian, Guanlei

    2017-01-01

    A year-long observation of PM2.5-bounded mercury (PBM) and its species was conducted at a urban site (Shanghai, Xuhui; XH) and an island site (Shengsi, SS) in eastern China from September 2014 to August 2015. The seasonal variation of mercury species including hydrochloric soluble particle-phase mercury (HPM), element soluble particle-phase mercury (EPM) and residual soluble particle-phase mercury (RPM), as well as particulate halogen (Br, I) were determined. Annual average concentration of PBM at urban was 0.32 ± 0.13 ng·m- 3, and was 0.22 ± 0.18 ng·m- 3 at island, which might be attributed to anthropogenic sources. Include more results here, such as EPM, RPM, and with comparison like ;The speciated mercury in PM2.5 was found to be HPM > RPM > EPM at the urban site, while RPM > HPM > EPM at island site, respectively.; The speciated mercury in PM2.5 showed distinct different concentrations between the two sites. HPM concentration is the highest at urban, but RPM showed the largest fraction at island. Higher mass contents of all PM2.5-bounded mercury species were found at island site than those at urban site, which indicated atmospheric mercury is more easily scavenged by particles at ocean atmosphere. Additionally, the correlation between bromine and mercury was stronger at urban site than that at island site, while iodine had the stronger correlation with mercury at island site than that urban site. These results showed marine aerosols played an important role to the transport of mercury.

  14. N-terminal telopeptides of type I collagen and bone mineral density for early diagnosis of nonunion: An experimental study in rabbits

    Directory of Open Access Journals (Sweden)

    Jian-Ping Lin

    2016-01-01

    Full Text Available Background: The diagnosis and treatment of bone nonunion have been studied extensively. Diagnosis and treatment of nonunion are mainly performed based on the interpretation of clinico-radiographic findings, which depend on the clinician′s experience and the degree of bone callus formation during the fracture-healing process. However, resolution may be compromised when the bone mineral content is <25%. A feasible method of monitoring bone-healing is therefore needed. We monitored a rabbit model of bone nonunion by regular radiographic examinations, QCT detection, and biomarker concentrations. Materials and Methods: Twenty purebred New Zealand rabbits (10 male and 10 female, 5-6 months of age, 2.5-3.0 kg were divided into bone defect Group (I that 10 left radius bones underwent resection of 1.5 cm of mid-radius bone and bone fracture Group (II that another 10 left radius bones underwent only mid-radius fracture. Quantitative computed tomography detection of bone mineral density (BMD and serum markers of bone formation (osteocalcin [OC], bone-specific alkaline phosphatase and bone resorption (C- and N-terminal telopeptides of type I collagen (NTX and tartrate-resistant acid phosphatase 5b were assayed. There are twenty rabbits (10 male and 10 females. The age was 5-6 months weighing 2.5-3.0 kg. The defect was created in middle 1/3 radius in 10 rabbits and fracture was created in middle 1/3 radius of 10 rabbits. Results: BMD and NTX concentrations were significantly lower at 5 weeks postoperatively compared to the preoperative values and were significantly different between the two groups. OC showed no significant difference before and after surgery. Conclusions: BMD and NTX concentrations may be useful for early detection of bone nonunion in rabbits.

  15. Health science students and their learning environment: a comparison of perceptions of on-site, remote-site, and traditional classroom students.

    Science.gov (United States)

    Elison-Bowers, P; Snelson, Chareen; Casa de Calvo, Mario; Thompson, Heather

    2008-02-05

    This study compared the responses of on-site, remote-site, and traditional classroom students on measures of student/teacher interaction, course structure, physical learning environment, and overall course enjoyment/satisfaction. The sample population consisted of students taking undergraduate courses in medical terminology at two western colleges. The survey instrument was derived from Thomerson's questionnaire, which included closed- and open-ended questions assessing perceptions of students toward their courses. Controlling for grade expectations, results revealed no significant differences among the on-site, remote-site, and traditional classroom students in any of the four cluster domains. However, a nonsignificant (and continuing) trend suggested that students preferred the traditional classroom environment. When results were controlled for age, significant differences emerged between traditional and nontraditional students on measures of student/teacher interaction, physical learning environment, and overall enjoyment/satisfaction, as nontraditional students exhibited higher scores. Students' responses to open-ended questions indicated they enjoyed the convenience of online instruction, but reported finding frustration with technology itself.

  16. Computer-Assisted 3-Dimensional Reconstructions of Scaphoid Fractures and Nonunions With and Without the Use of Patient-Specific Guides: Early Clinical Outcomes and Postoperative Assessments of Reconstruction Accuracy.

    Science.gov (United States)

    Schweizer, Andreas; Mauler, Flavien; Vlachopoulos, Lazaros; Nagy, Ladislav; Fürnstahl, Philipp

    2016-01-01

    To present results regarding the accuracy of the reduction of surgically reconstructed scaphoid nonunions or fractures using 3-dimensional computer-based planning with and without patient-specific guides. Computer-based surgical planning was performed with computed tomography (CT) data on 22 patients comparing models of the pathological and the opposite uninjured scaphoid in 3 dimensions. For group 1 (9 patients), patient-specific guides were designed and manufactured using additive manufacturing technology. During surgery, the guides were used to define the orientation of the reduced fragments. The scaphoids in group 2 (13 patients) were reduced with the conventional freehand technique. All scaphoids in both groups were fixed with a headless compression screw or K-wires, and all bone defects (except one) were filled with autologous bone grafts or vascularized grafts. Postoperative CT scans were acquired 2 or more months after the operations to monitor consolidation and compare the final result with the preoperative plan. The clinical results and accuracy of the reconstructions were compared. In group 1, 8 of 9 scaphoids healed after 2 to 6 months, and partial nonunion after 9 months was observed in one patient. In group 2, 11 of 13 scaphoids healed between 2 and 34 months whereas 2 scaphoids did not consolidate. Comparison of the preoperative and postoperative 3-dimensional data revealed an average residual displacement of 7° (4° in flexion-extension, 4° in ulnar-radial deviation, and 3° in pronation-supination) in group 1. In group 2, residual displacement after surgery was 26° (22° in flexion-extension, 12° in ulnar-radial deviation, and 7° in pronation-supination). The difference in the accuracy of reconstruction was significant. Although the scaphoid is small, patient-specific guides can be used to perform scaphoid reconstructions. When the guides were used, the reconstructions were significantly more anatomic compared with those resulting from the

  17. Systemic and Local Administration of Antimicrobial and Cell Therapies to Prevent Methicillin-Resistant Staphylococcus epidermidis-Induced Femoral Nonunions in a Rat Model

    Directory of Open Access Journals (Sweden)

    Arianna B. Lovati

    2016-01-01

    Full Text Available S. epidermidis is responsible for biofilm-related nonunions. This study compares the response to S. epidermidis-infected fractures in rats systemically or locally injected with vancomycin or bone marrow mesenchymal stem cells (BMSCs in preventing the nonunion establishment. The 50% of rats receiving BMSCs intravenously (s-rBMSCs died after treatment. A higher cytokine trend was measured in BMSCs locally injected rats (l-rBMSCs at day 3 and in vancomycin systemically injected rats (l-VANC at day 7 compared to the other groups. At day 14, the highest cytokine values were measured in l-VANC and in l-rBMSCs for IL-10. µCT showed a good bony bridging in s-VANC and excellent both in l-VANC and in l-rBMSCs. The bacterial growth was lower in s-VANC and l-VANC than in l-rBMSCs. Histology demonstrated the presence of new woven bone in s-VANC and a more mature bony bridging was found in l-VANC. The l-rBMSCs showed a poor bony bridging of fibrovascular tissue. Our results could suggest the synergic use of systemic and local injection of vancomycin as an effective treatment to prevent septic nonunions. This study cannot sustain the systemic injection of BMSCs due to high risks, while a deeper insight into local BMSCs immunomodulatory effects is mandatory before developing cell therapies in clinics.

  18. Systemic and Local Administration of Antimicrobial and Cell Therapies to Prevent Methicillin-Resistant Staphylococcus epidermidis-Induced Femoral Nonunions in a Rat Model

    Science.gov (United States)

    Drago, Lorenzo; Bottagisio, Marta; Bongio, Matilde; Ferrario, Marzia; Perego, Silvia; Sansoni, Veronica; De Vecchi, Elena; Romanò, Carlo L.

    2016-01-01

    S. epidermidis is responsible for biofilm-related nonunions. This study compares the response to S. epidermidis-infected fractures in rats systemically or locally injected with vancomycin or bone marrow mesenchymal stem cells (BMSCs) in preventing the nonunion establishment. The 50% of rats receiving BMSCs intravenously (s-rBMSCs) died after treatment. A higher cytokine trend was measured in BMSCs locally injected rats (l-rBMSCs) at day 3 and in vancomycin systemically injected rats (l-VANC) at day 7 compared to the other groups. At day 14, the highest cytokine values were measured in l-VANC and in l-rBMSCs for IL-10. µCT showed a good bony bridging in s-VANC and excellent both in l-VANC and in l-rBMSCs. The bacterial growth was lower in s-VANC and l-VANC than in l-rBMSCs. Histology demonstrated the presence of new woven bone in s-VANC and a more mature bony bridging was found in l-VANC. The l-rBMSCs showed a poor bony bridging of fibrovascular tissue. Our results could suggest the synergic use of systemic and local injection of vancomycin as an effective treatment to prevent septic nonunions. This study cannot sustain the systemic injection of BMSCs due to high risks, while a deeper insight into local BMSCs immunomodulatory effects is mandatory before developing cell therapies in clinics. PMID:27478310

  19. Ipsilateral Femoral Fracture Non-Union and Delayed Union Treated By Hybrid Plate Nail Fixation and Vascularized Fibula Bone Grafting: A Case Report

    Directory of Open Access Journals (Sweden)

    CK Chan

    2013-07-01

    Full Text Available Non-union is a well recognized complication of femoral neck fractures. The decision whether to attempt fracture fixation or to resort to hip replacement is particularly difficult in patients in the borderline age group in whom complex attempts at gaining union may fail and later present a difficult revision. On the other hand the patient may be young enough that arthroplasty best be avoided . Besides, presence of ipsilateral femoral shaft fracture with delayed union in addition to the femoral neck non-union will pose major problems at operation. We share our experience in treating a femoral neck fracture non-union with ipsilateral femoral shaft delayed union in the shaft and in the distal femur in a fifty years old patient. The fracture was treated with an angle blade plate and supracondylar nail supplemented with a free vascularised fibular bone grafting and autologous cancellous graft. There was radiological union at fourth month. At sixth months, the patient was free of pain and able to walk without support. Thus, we would like to suggest that vascularised fibula bone grafting with supracondylar nailing is a viable option for this pattern of fracture.

  20. COMPARISON OF HEAVY METAL CONCENTRATIONS IN SURFACE SEDIMENT OF TANJUNG PIAI WETLAND WITH OTHER SITES RECEIVING ANTHROPOGENIC INPUTS ALONG THE SOUTHWESTERN COAST OF PENINSULAR MALAYSIA

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    Tanjung Piai wetland has now been proclaimed to be a wetland of international importance since 2003. Therefore, its heavy metal pollution status should be known and recorded. In this study, sediments in Tanjung Piai wetland were collected in 2002 and 2005 and were analysed for Cd, Cu, Ni, Pb and Zn. For comparison purpose, sediments were also collected for metal analysis from a known polluted site at Kg. Pasir Puteh, four jetties and a river. A comparison with the polluted sediment collected from Kg. Pasir Puteh and the established Sediment Quality Criteria showed that Tanjung Piai was not polluted with Cd, Cu, Ni, Pb and Zn. These background concentrations or baseline data of heavy metals in the sediment is important for future reference. Therefore, Tanjung Piai wetland is a suitable site for sanctuary and wetland conservation and it should be conserved for its pristine conditions in order to support its high biodiversity.

  1. A cross-site comparison of methods used for hydrogeologic characterization of the Galena-Platteville aquifer in Illinois and Wisconsin, with examples from selected Superfund sites

    Science.gov (United States)

    Kay, Robert T.; Mills, Patrick C.; Dunning, Charles P.; Yeskis, Douglas J.; Ursic, James R.; Vendl, Mark

    2004-01-01

    The effectiveness of 28 methods used to characterize the fractured Galena-Platteville aquifer at eight sites in northern Illinois and Wisconsin is evaluated. Analysis of government databases, previous investigations, topographic maps, aerial photographs, and outcrops was essential to understanding the hydrogeology in the area to be investigated. The effectiveness of surface-geophysical methods depended on site geology. Lithologic logging provided essential information for site characterization. Cores were used for stratigraphy and geotechnical analysis. Natural-gamma logging helped identify the effect of lithology on the location of secondary- permeability features. Caliper logging identified large secondary-permeability features. Neutron logs identified trends in matrix porosity. Acoustic-televiewer logs identified numerous secondary-permeability features and their orientation. Borehole-camera logs also identified a number of secondary-permeability features. Borehole ground-penetrating radar identified lithologic and secondary-permeability features. However, the accuracy and completeness of this method is uncertain. Single-point-resistance, density, and normal resistivity logs were of limited use. Water-level and water-quality data identified flow directions and indicated the horizontal and vertical distribution of aquifer permeability and the depth of the permeable features. Temperature, spontaneous potential, and fluid-resistivity logging identified few secondary-permeability features at some sites and several features at others. Flowmeter logging was the most effective geophysical method for characterizing secondary-permeability features. Aquifer tests provided insight into the permeability distribution, identified hydraulically interconnected features, the presence of heterogeneity and anisotropy, and determined effective porosity. Aquifer heterogeneity prevented calculation of accurate hydraulic properties from some tests. Different methods, such as flowmeter

  2. COMPARISON OF VENTED AND ABSOLUTE PRESSURE TRANSDUCERS FOR WATER-LEVEL MONITORING IN HANFORD SITE CENTRAL PLATEAU WELLS

    Energy Technology Data Exchange (ETDEWEB)

    MCDONALD JP

    2011-09-08

    Automated water-level data collected using vented pressure transducers deployed in Hanford Site Central Plateau wells commonly display more variability than manual tape measurements in response to barometric pressure fluctuations. To explain this difference, it was hypothesized that vented pressure transducers installed in some wells are subject to barometric pressure effects that reduce water-level measurement accuracy. Vented pressure transducers use a vent tube, which is open to the atmosphere at land surface, to supply air pressure to the transducer housing for barometric compensation so the transducer measurements will represent only the water pressure. When using vented transducers, the assumption is made that the air pressure between land surface and the well bore is in equilibrium. By comparison, absolute pressure transducers directly measure the air pressure within the wellbore. Barometric compensation is achieved by subtracting the well bore air pressure measurement from the total pressure measured by a second transducer submerged in the water. Thus, no assumption of air pressure equilibrium is needed. In this study, water-level measurements were collected from the same Central Plateau wells using both vented and absolute pressure transducers to evaluate the different methods of barometric compensation. Manual tape measurements were also collected to evaluate the transducers. Measurements collected during this study demonstrated that the vented pressure transducers over-responded to barometric pressure fluctuations due to a pressure disequilibrium between the air within the wellbores and the atmosphere at land surface. The disequilibrium is thought to be caused by the relatively long time required for barometric pressure changes to equilibrate between land surface and the deep vadose zone and may be exacerbated by the restriction of air flow between the well bore and the atmosphere due to the presence of sample pump landing plates and well caps. The

  3. 锁定加压接骨板内固定结合自体髂骨植骨治疗肱骨干骨折术后骨不连%Locking compression plates and autologous bone graft for the humeral shaft nonunion after surgical failure

    Institute of Scientific and Technical Information of China (English)

    王军强; 赵春鹏; 龚晓峰; 张健; 李宁; 王满宜

    2012-01-01

    Objective To evaluate the efficacy of secondary revision with locking compression plates (LCP) and autologous bone graft for nonunion of humeral shaft fracture after surgical failure. Methods Included in this study were 26 patients with nonunion of humeral shaft fracture after various surgical treatments who had received secondary revision with LCP and autologous iliac graft in our department between March 2006 and June 2008 and had been fully followed.They were 19 men and 7 women,with an average age of 46.7 years (range,19 to 63 years).There were 17 cases of hypertrophic nonunion,7 cases of atrophic nonunion and 2 cases of pseudarthrosis.The mean interval between the primary operative treatment and the secondary revision was 9.3 months (from 9.1 to 9.6 months). All nonunions were managed with removal of previous implants,open reduction and internal fixation with LCP,supplemented by cancellous bone graft.Functional recovery was evaluated by Mayo Elbow Performance Index and the modified scale of Constant and Murley. Results The average follow-up was 25.6 months (range,25 to 33 months).The secondary revision led to postoperative bone union in 25 patients after a mean time of 5.2 months (range,4 to 9 months).Only one patient suffered nonunion caused by wound infection before he eventually obtained bone union after anti-infective therapy for 5 months.Temporary palsy of the radial ncrve occurred in 2 cases.The mean functional scores for the shoulder (Constant) and the elbow (Mayo) were 79.1 ±0.1 and 85.7 ±0.8,respectively.Conclusions In revision of the nonunion of humeral shaft fracture after surgical failure,LCP and autologous bone graft can greatly increase the rate of union and reduce complications to ensure good functional recovery of the upper extremity.We believe the key to the procedure lies in complete resection of the nonunion ends and fibrous tissue,cortex-to-cortex apposition with stalwart compression across the entire site and wide use of autologous bone

  4. Experience of the treating application on transposition of pedicled periosteal flap for repairing the scaphoid bone nonunion%带蒂骨膜瓣移位修复手舟骨骨不连改善患者腕部背伸功能26例

    Institute of Scientific and Technical Information of China (English)

    于杰; 李素平; 钟桂舞; 闫毅; 范少地; 周凤金

    2003-01-01

    AIM: To explore the clinical result treating the scaphoid bone nonunion with vascularized periosteal flap. METHODS: 26 cases of scaphoid bone nonunion underwent transplantation with the periosteal flap with dorsal carpal branch of anterior interosseous artery. RESULTS: Following up 4 months to 18 months, in the 26 cases of scaphoid bone nonunion, 19 cases appeared excellent (73%), 7 cases appeared good(27% ) . CONCLUSION: The periosteal flap with dorsal carpal branch of anterior interosseous were used in repairing of scaphoid bone nonunion, the effect is food.

  5. Reexamining age, race, site, and thermometer type as variables affecting temperature measurement in adults – A comparison study

    Directory of Open Access Journals (Sweden)

    Smith Linda S

    2003-06-01

    Full Text Available Abstract Background As a result of the recent international vigilance regarding disease assessment, accurate measurement of body temperature has become increasingly important. Yet, trusted low-tech, portable mercury glass thermometers are no longer available. Thus, comparing accuracy of mercury-free thermometers with mercury devices is essential. Study purposes were 1 to examine age, race, site as variables affecting temperature measurement in adults, and 2 to compare clinical accuracy of low-tech Galinstan-in-glass device to mercury-in-glass at oral, axillary, groin, and rectal sites in adults. Methods Setting 176 bed accredited healthcare facility, rural northwest US Participants Convenience sample (N = 120 of hospitalized persons ≥ 18 years old. Instruments Temperatures (°F measured at oral, skin (simultaneous, immediately followed by rectal sites with four each mercury-glass (BD and Galinstan-glass (Geratherm thermometers; 10 minute dwell times. Results Participants averaged 61.6 years (SD 17.9, 188 pounds (SD 55.3; 61% female; race: 85% White, 8.3% Native Am., 4.2% Hispanic, 1.7 % Asian, 0.8% Black. For both mercury and Galinstan-glass thermometers, within-subject temperature readings were highest rectally; followed by oral, then skin sites. Galinstan assessments demonstrated rectal sites 0.91°F > oral and ≅ 1.3°F > skin sites. Devices strongly correlated between and across sites. Site difference scores between devices showed greatest variability at skin sites; least at rectal site. 95% confidence intervals of difference scores by site (°F: oral (0.142 – 0.265, axilla (0.167 – 0.339, groin (0.037 – 0.321, and rectal (-0.111 – 0.111. Race correlated with age, temperature readings each site and device. Conclusion Temperature readings varied by age, race. Mercury readings correlated with Galinstan thermometer readings at all sites. Site mean differences between devices were considered clinically insignificant. Still considered

  6. Sequence and structural features of binding site residues in protein-protein complexes: comparison with protein-nucleic acid complexes

    Directory of Open Access Journals (Sweden)

    Selvaraj S

    2011-10-01

    Full Text Available Abstract Background Protein-protein interactions are important for several cellular processes. Understanding the mechanism of protein-protein recognition and predicting the binding sites in protein-protein complexes are long standing goals in molecular and computational biology. Methods We have developed an energy based approach for identifying the binding site residues in protein–protein complexes. The binding site residues have been analyzed with sequence and structure based parameters such as binding propensity, neighboring residues in the vicinity of binding sites, conservation score and conformational switching. Results We observed that the binding propensities of amino acid residues are specific for protein-protein complexes. Further, typical dipeptides and tripeptides showed high preference for binding, which is unique to protein-protein complexes. Most of the binding site residues are highly conserved among homologous sequences. Our analysis showed that 7% of residues changed their conformations upon protein-protein complex formation and it is 9.2% and 6.6% in the binding and non-binding sites, respectively. Specifically, the residues Glu, Lys, Leu and Ser changed their conformation from coil to helix/strand and from helix to coil/strand. Leu, Ser, Thr and Val prefer to change their conformation from strand to coil/helix. Conclusions The results obtained in this study will be helpful for understanding and predicting the binding sites in protein-protein complexes.

  7. Energy balance comparison of the Hartheim forest and an adjacent grassland site during the HartX experiment

    Science.gov (United States)

    Wicke, W.; Bernhofer, Ch.

    1996-03-01

    Energy balance components over a grassland surface were compared to those obtained above an adjacent, uniform Scots pine plantation during a five-day period of fine, sunny, spring weather. Soils were judged to contain ample water. Shortwave and total radiation flux densities were measured at both sites with pyranometers and total pyrradiometers. Soil heat flux densities were measured with heat flux plates at both sites, and additional storage changes were estimated for air and canopy at the forest site. The forest gained more shortwave energy than the grassland during daytime because of its lower albedo, but it lost more longwave radiation at night. The turbulent fluxes of sensible and latent energy were evaluated with the Bowen ratio energy balance (BREB) method at both sites. Temperature and humidity gradients were measured with fixed psychrometers at the grassland site, and with interchanging psychrometers at the forest site. Mean daily evapotranspiration (ET) averaged 2.26 mm over the five days for the Scots pine, or only 57 percent of the 3.94 mm measured at the grassland site. The mean Bowen ratios were 2.6 and 0.8, respectively. An error analysis was carried out for the BREB estimates of latent heat flux at the two sites. For a given error in latent heat flux and at a specified Bowen ratio the demands on accuracy of dry- and wet-bulb temperature gradients above the rough forest canopy was found to be 10 times higher than above the smoother grassland. If additionally the observed differences in transpiration rates between the two sites were taken into account, the precision for temperature gradient measurements above the slowly transpiring forest becomes fortyfold greater than required above the rapidly transpiring grass. At present, BREB precision requirements for gradients above rougher, drier canopies appear achievable only through use of specialized instrumentation, such as measurement systems that incorporate interchangeable psychrometers into their

  8. Comparison of ion sites and diffusion paths in glasses obtained by molecular dynamics simulations and bond valence analysis

    OpenAIRE

    Muller, Christian; Zienicke, Egbert; Adams, Stefan; Habasaki, Junko; Maass, Philipp

    2006-01-01

    Based on molecular dynamics simulations of a lithium metasilicate glass we study the potential of bond valence sum calculations to identify sites and diffusion pathways of mobile Li ions in a glassy silicate network. We find that the bond valence method is not well suitable to locate the sites, but allows one to estimate the number of sites. Spatial regions of the glass determined as accessible for the Li ions by the bond valence method can capture up to 90% of the diffusion path. These regio...

  9. Longitudinal analysis of osteogenic and angiogenic signaling factors in healing models mimicking atrophic and hypertrophic non-unions in rats.

    Directory of Open Access Journals (Sweden)

    Susann Minkwitz

    Full Text Available Impaired bone healing can have devastating consequences for the patient. Clinically relevant animal models are necessary to understand the pathology of impaired bone healing. In this study, two impaired healing models, a hypertrophic and an atrophic non-union, were compared to physiological bone healing in rats. The aim was to provide detailed information about differences in gene expression, vascularization and histology during the healing process. The change from a closed fracture (healing control group to an open osteotomy (hypertrophy group led to prolonged healing with reduced mineralized bridging after 42 days. RT-PCR data revealed higher gene expression of most tested osteogenic and angiogenic factors in the hypertrophy group at day 14. After 42 days a significant reduction of gene expression was seen for Bmp4 and Bambi in this group. The inhibition of angiogenesis by Fumagillin (atrophy group decreased the formation of new blood vessels and led to a non-healing situation with diminished chondrogenesis. RT-PCR results showed an attempt towards overcoming the early perturbance by significant up regulation of the angiogenic regulators Vegfa, Angiopoietin 2 and Fgf1 at day 7 and a further continuous increase of Fgf1, -2 and Angiopoietin 2 over time. However µCT angiograms showed incomplete recovery after 42 days. Furthermore, lower expression values were detected for the Bmps at day 14 and 21. The Bmp antagonists Dan and Twsg1 tended to be higher expressed in the atrophy group at day 42. In conclusion, the investigated animal models are suitable models to mimic human fracture healing complications and can be used for longitudinal studies. Analyzing osteogenic and angiogenic signaling patterns, clear changes in expression were identified between these three healing models, revealing the importance of a coordinated interplay of different factors to allow successful bone healing.

  10. Comparison of coral census from Jarvis permanent transect site 11P on March 10, 2002 and March 27, 2004

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This spreadsheet summarizes the number of corals photographed along a permanent transect line at Underwater Site 11P at Jarvis Island NWR on 3/27/2004 and compares...

  11. Comparison of binding parameters of sigma 1 and sigma 2 binding sites in rat and guinea pig brain membranes: novel subtype-selective trishomocubanes.

    Science.gov (United States)

    Nguyen, V H; Kassiou, M; Johnston, G A; Christie, M J

    1996-09-12

    Comparisons of binding parameters of [3H](+)-pentazocine and [3H]1,3-di-o-tolylguanidine (DTG) at sigma binding sites in guinea pig and rat brain membranes demonstrated that [3H](+)-pentazocine binds to a single high-affinity site, whereas [3H]DTG binds to two high-affinity sites in both species. The Kd values of the radioligands were similar in both types of membranes. However, the density of sigma 1 sites in guinea pig was significantly higher than that of rat. Novel trishomocubanes were tested for their affinities at sigma 1 and sigma 2 binding sites in guinea pig brain membranes using [3H](+)-pentazocine and [3H]DTG as the radioligands. N-(4-Phenylbutyl)-3-hydroxy-4- azahexacyclo[5.4.1.0(2,6).0(3,10).0(5,9).0(8,11)]dodecane (ANSTO-14) showed the highest affinity for the sigma 1 site (Ki = 9.4 nM) and 19-fold sigma 1/sigma 2 selectivity, as a result of increasing the alkyl chain between the cubane moiety and the aromatic ring. N-(3'-Fluorophenyl)methyl- 3-hydroxy-4-azahexacyclo[5.4.1.0(2,6).0(3,10).0(5,9).0(8,11]dodeca ne (ANSTO-19), displayed the highest affinity for sigma 2 sites (Ki = 19.6 nM) and 8-fold sigma 2/sigma 1 selectivity due to a fluoro substitution in the meta position of the aromatic ring. These represent structurally novel lead compounds, especially for the development of selective sigma 2 receptor ligands.

  12. Pulsed electromagnetic fields for the treatment of tibial delayed unions and nonunions. A prospective clinical study and review of the literature

    Directory of Open Access Journals (Sweden)

    Assiotis Aggelos

    2012-06-01

    Full Text Available Abstract Background Pulsed electromagnetic fields (PEMF stimulation for the treatment of bone nonunion or delayed union have been in use for several years, but on a limited basis. The aim of this study was to assess the overall efficacy of the method in tibial delayed unions and nonunions and identify factors that could affect the final outcome. Methods We prospectively reviewed 44 patients (27 men with a mean age of 49.6 ± 18.4 years that received PEMF therapy due to tibial shaft delayed union or nonunion. In all cases, fracture gap was less than 1 cm and infection or soft tissue defects were absent. Results Fracture union was confirmed in 34 cases (77.3%. No relationship was found between union rate and age (p = 0.819, fracture side (left or right (p = 0.734, fracture type (simple or comminuted, open or closed (p = 0.111, smoking (p = 0.245, diabetes (p = 0.68 and initial treatment method applied (plates, nail, plaster of paris (p = 0.395. The time of treatment onset didn’t affect the incidence of fracture healing (p = 0.841. Although statistical significance was not demonstrated, longer treatment duration showed a trend of increased probability of union (p = 0.081. Conclusion PEMF stimulation is an effective non-invasive method for addressing non-infected tibial union abnormalities. Its success is not associated with specific fracture or patient related variables and it couldn’t be clearly considered a time-dependent phenomenon.

  13. Nonunion of distal radius fracture and distal radioulnar joint injury: a modified Sauvé-Kapandji procedure with a cubitus proradius transposition as autograft.

    Science.gov (United States)

    Villamor, Angel; Rios-Luna, Antonio; Villanueva-Martínez, Manuel; Fahandezh-Saddi, Homid

    2008-12-01

    The Sauvé-Kapandji (SK) procedure is indicated in distal radius nonunion or malunion and distal radioulnar joint (DRUJ) instability. It can also be used to treat the rheumatoid wrist with severe degenerative changes in the DRUJ. The main objective is to allow a pain-free range of movement. We present a patient with rheumatoid arthritis and distal radius nonunion who, after three operations, was treated with the SK procedure. The clinical and radiological results were excellent. A 53-year-old woman diagnosed with rheumatoid arthritis fell on her forearm at home 2 years ago. Examination at an outpatient clinic revealed a distal radius fracture classified as type V according to the Frykman classification. She had been operated three times with open reduction internal fixation using a plate, screws, and bone allograft. She came to our institution with a distal radius nonunion, positive post-traumatic ulnar variance, and ulnar nerve paresis. The range of movements was 20 degrees -10 degrees flexion-extension and 40 degrees -30 degrees pronation-supination, and she needed daily fentanyl. We performed a modified SK procedure with an autologous iliac crest bone graft and ulnar bone graft from the osteotomy area (cubitus proradius), bone morphogenetic protein, and a low profile distal radius plate. After 1 year of follow-up, the distal radius fracture has healed and the wrist is pain-free with a complete range of movement in flexion-extension and pronation-supination. The main indication for the SK procedure is post-traumatic positive ulnar variance and associated ulnocarpal impaction. The cubitus proradius bone graft transposition is an interesting technical note that makes this case a challenge for skilled orthopedic hand surgeons.

  14. A follow-up study of the in-practice results of pulsed electromagnetic field therapy in the management of nonunion fractures

    Directory of Open Access Journals (Sweden)

    Murray HB

    2016-12-01

    Full Text Available Hallie B Murray,1 Brian A Pethica1,2 1EBI, LLC (a Zimmer Biomet company, Parsippany, NJ, USA; 2Department of Chemical and Biological Engineering, Princeton University, Princeton, NJ, USA Abstract: During normal fracture repair, healing occurs within a few months. However, for a minority of patients, the processes of bone repair are compromised or interrupted leading to the development of delayed union and nonunion fractures. Noninvasive bone growth stimulators using pulsed electromagnetic field (PEMF technology are currently in widespread use by patients with impaired fracture healing. This article reports the results of a follow-up study of 1,382 patients treated with PEMF stimulation to evaluate success rates and the relationship between average daily use and the clinical outcomes of therapy as reported by their prescribing physicians. The reported overall success rate for the 1,382 patients was 89.6%. The results were analyzed in audited subsets comparing days of treatment time and average daily use of the electrical bone growth stimulator, using several statistical methods. Linear regression analysis indicated a 6-day reduction in time to heal with each additional hour of average daily use. Survival analysis concluded that the median heal time was reduced by 35%–60%, depending on the different fracture characteristics of patients who complied with the recommended daily use of 10 hours per day. A third statistical analysis indicated that patients treated with the PEMF device for 9 hours or more per day had a significant reduction in time to heal, achieving successful fracture repair an average of 76 days earlier than patients treated with the PEMF device for an average of 3 hours or less per day. Overall, these different methods of statistical analysis indicate that PEMF therapy correlates with an acceleration in the healing of nonunion fractures. Keywords: PEMF, pulsed electromagnetic field, dose–response, nonunion, time to heal

  15. Comparison of the atmospheric stability and wind profiles at two wind farm sites over a long marine fetch in the North Sea

    DEFF Research Database (Denmark)

    Sathe, Ameya; Gryning, Sven-Erik; Pena Diaz, Alfredo

    2011-01-01

    A comparison of the atmospheric stability and wind profiles using data from meteorological masts located near two wind farm sites in the North Sea, Egmond aan Zee (up to 116 m) in the Dutch North Sea and Horns Rev (HR; up to 45 m) in the Danish North Sea, is presented. Only the measurements...... that represent long marine fetch are considered. It was observed that within a long marine fetch, the conditions in the North Sea are dominated by unstable [41% at Egmond aan Zee Offshore Wind Farm (OWEZ) and 33% at HR] and near-neutral conditions (49% at OWEZ and 47% at HR), and stable conditions (10% at OWEZ...

  16. Comparison of Hourly Solar Radiation from a Ground–Based Station, Remote Sensing and Weather Forecast Models at a Coastal Site of South Italy (Lamezia Terme)

    DEFF Research Database (Denmark)

    Feudo, Teresa Lo; Avolio, Elenio; Gullì, Daniel;

    2015-01-01

    The solar radiation is a critical input parameter when working with solar energy and radiation dependent surface processes. In this study, we present preliminary results from an inter-comparison between hourly values from a pyranometer, MSG-SEVIRI sensor and two meso-scale models, WRF and RAMS......, in clear and cloudy sky conditions. Cloudy sky condition is the most important because the attenuation of solar radiation in the atmosphere is strongly dependent on the cloud variability. Bias and RMSE errors are evaluated at a coastal site in the Mediterranean area. These statistics show the tendency...... of both models to overestimate short-wave radiation....

  17. Peat humification and climate change: a multi-site comparison from mires in south-east Alaska

    Directory of Open Access Journals (Sweden)

    R.J. Payne

    2008-11-01

    Full Text Available Peatland records of Holocene palaeoclimate have been widely used in Europe. Their potential in western North America remains largely unexploited despite an abundance of candidate sites. Peat humification analysis is a widely used technique for palaeoclimatic inference from peatlands. This study attempts to demonstrate a climatic role in determining peat humification by comparing low-resolution peat humification records from five mires in south-east Alaska. Humification was determined by alkali extraction and colorimetry and records dated by radiocarbon and tephrochronology. Testate amoebae analysis was carried out across a major humification-inferred wet shift in three of the sites. The humification results show variability down the length of the cores but there is only limited agreement between records from different sites. Many general trends in the data appear to be out of phase and periods of proxy 'complacency' are shown. This study does not provide strong evidence for climatic forcing of humification in these sites. Methodological issues including possible problems with the age-depth models and the role of a peat-forming plant species signal in the humification data are discussed. The results support previous studies in suggesting the value of employing a multi-proxy, multi-site, and possibly multi-core approach in peat-based palaeoclimatology.

  18. The Plate-Joystick technique to reduce proximal humeral fractures and nonunions with a varus deformity through the extended deltoid-splitting approach.

    Science.gov (United States)

    Robinson, C Michael; Inman, Dominic; Phillips, Sally-Anne

    2011-10-01

    Fractures and nonunions in which there is a varus deformity of the humeral head producing posterinferior subluxation of the articular surface are increasingly recognized as an important subgroup of proximal humeral fractures. Operative open reduction and internal fixation of these injuries is often recommended when the varus deformity is severe. We describe a simple technique to assist in the open reduction and locking plate stabilization of this challenging and complex fracture subtype using tools and implants that are readily available in most modern orthopaedic trauma operating rooms.

  19. A new variant of scaphoid reconstruction: Treatment of scaphoid non-union with avascular bone interponate and high compression screw (Synthes

    Directory of Open Access Journals (Sweden)

    Eder, Christian

    2015-08-01

    Full Text Available Scaphoid fractures as frequently overseen injuries often result in scaphoid non-unions, that need to be treated to prevent carpal collapse and secondary cartilage damage. Vital bone tissue and compression of fracture and bone graft ends seem to be crucial in for ossification and final bone healing. In the present study we compare our results using a high compression screw (HCS Synthes to results in the literature using different kinds of internal fixation including compression screws of various types. We present 22 patients with scaphoid non-unions treated with a bone graft and a HCS Synthes. We evaluated our post-operative results. The Manchester-Modified Disability of the Shoulder, Arm and Hand–Score (M-Dash imposed with an average of 29.8 points (MD=29 / SD=9.46 / MIN=18 / MAX=48. None of the re-evaluated patients sorrowed for pain in rest. Five patients stated pain (ranging from 4 to 8 on numeric analogue scale after heavy burden (e.g. boxing, weight lifting.In exploring the range of motion of the operated hand we deliver the following results: dorsal extension: average 72.73° (MD=80° / SD=17.23° / MIN=30° / MAX=85°, flexion: average 73.64° (MD=80° / SD=8.97° / MIN=60° / MAX=80°, ulnar deviation: average 39.09°, (MD=40° / SD=2.02° / MIN=35° / MAX=40°, radial deviation: average 29.09°, (MD=30° / SD=3.01° / MIN=20° / MAX=30°. Additionally a performance testing was conducted: fist clenching sign: complete without pain in 100%, pinch grip: complete in 100%, moderate pain in n=1 (8.33%, opposition digitus manus I–V complete in 100%, moderate pain n=2 (16.67%. Three patients with persisting fracture gap had a scaphoid bone fractured in the proximal third; one patient even with a very small proximal fragment. One persisting non-union was localized in the middle third (period between injury and operation = . In conclusion, our patients showed better healing rates compared to results presented in the literature. Non-unions

  20. Site-specific rectocele repair with dermal graft augmentation: comparison of porcine dermal xenograft (Pelvicol) and human dermal allograft.

    Science.gov (United States)

    Biehl, Roger C; Moore, Robert D; Miklos, John R; Kohli, Neeraj; Anand, Indu S; Mattox, T Fleming

    2008-01-01

    This study is a retrospective chart review comparing 195 women who underwent rectocele repair with either a porcine dermal xenograft or human allogenic cadaveric dermal graft augmentation over a two year period. A site-specific defect repair was completed prior to augmentation with the graft. Examinations were performed preoperatively and postoperatively using the pelvic organ prolapse quantification system. Questionnaires were used to assess constipation and dyspareunia. De novo dyspareunia and cure rates for constipation and dyspareunia were not statistically different between the two groups. Site-specific fascial rectocele repairs with xenograft or allograft augmentation were found to have similar complication rates as well as objective and subjective cure rates.

  1. Comparison of topological clustering within protein networks using edge metrics that evaluate full sequence, full structure, and active site microenvironment similarity.

    Science.gov (United States)

    Leuthaeuser, Janelle B; Knutson, Stacy T; Kumar, Kiran; Babbitt, Patricia C; Fetrow, Jacquelyn S

    2015-09-01

    The development of accurate protein function annotation methods has emerged as a major unsolved biological problem. Protein similarity networks, one approach to function annotation via annotation transfer, group proteins into similarity-based clusters. An underlying assumption is that the edge metric used to identify such clusters correlates with functional information. In this contribution, this assumption is evaluated by observing topologies in similarity networks using three different edge metrics: sequence (BLAST), structure (TM-Align), and active site similarity (active site profiling, implemented in DASP). Network topologies for four well-studied protein superfamilies (enolase, peroxiredoxin (Prx), glutathione transferase (GST), and crotonase) were compared with curated functional hierarchies and structure. As expected, network topology differs, depending on edge metric; comparison of topologies provides valuable information on structure/function relationships. Subnetworks based on active site similarity correlate with known functional hierarchies at a single edge threshold more often than sequence- or structure-based networks. Sequence- and structure-based networks are useful for identifying sequence and domain similarities and differences; therefore, it is important to consider the clustering goal before deciding appropriate edge metric. Further, conserved active site residues identified in enolase and GST active site subnetworks correspond with published functionally important residues. Extension of this analysis yields predictions of functionally determinant residues for GST subgroups. These results support the hypothesis that active site similarity-based networks reveal clusters that share functional details and lay the foundation for capturing functionally relevant hierarchies using an approach that is both automatable and can deliver greater precision in function annotation than current similarity-based methods.

  2. Nuclear Energy Center: upper St. Lawrence region. Part I. Siting. Part II. Fort Drum surrogate site, description and impact assessment. Part III. Dispersed sites impact assessment and comparison with the NEC

    Energy Technology Data Exchange (ETDEWEB)

    Merry, P.A.; Luner, C.; Hong, S.W.; Canham, H.O.; Boggs, J.F.; McCool, T.P.

    1976-12-01

    This report is one of many supporting documents used by the Nuclear Regulatory commission in the preparation of the Nuclear Energy Center Site Survey (NECSS) mandated by Congress. While the overall study focuses on the feasibility and practicability of nuclear energy centers (NECs), this report is directed towards choosing a suitable surrogate site in the upper St. Lawrence region of New York State, assessing the probable impacts associated with construction and operation of the NEC, and comparing these impacts with those associated with small dispersed nuclear power stations. The upper St. Lawrence region is surveyed to identify a specific site that might be suitable for a surrogate NEC. Several assumptions about the basic design of an NEC are delineated, and a general overview of the characteristics of the region is given. The Fort Drum Military Reservation is chosen as a suitable surrogate site. Fort Drum and the surrounding area are described in terms of land use and population patterns, terrestrial and aquatic ecology, water use and quality, meteorology, institutional framework, and socioeconomic structure. The impacts associated with NEC development are assessed. Then the impacts associated with smaller dispersed nuclear power stations located throughout New York State are assessed and compared with the impacts associated with the NEC. Finally, the impacts due to development of the transmission line networks associated with the NEC and with the dispersed power stations are assessed and compared.

  3. A Comparison of Users' Personal Information Sharing Awareness, Habits, and Practices in Social Networking Sites and E-Learning Systems

    Science.gov (United States)

    Ball, Albert L.

    2012-01-01

    Although reports of identity theft continue to be widely published, users continue to post an increasing amount of personal information online, especially within social networking sites (SNS) and e-learning systems (ELS). Research has suggested that many users lack awareness of the threats that risky online personal information sharing poses to…

  4. Cross-site comparison of herbivore impact on nitrogen availability in grasslands : the role of plant nitrogen concentration

    NARCIS (Netherlands)

    Bakker, E. S.; Knops, J. M. H.; Milchunas, D. G.; Ritchie, M. E.; Olff, H.; Boutin, Stan

    2009-01-01

    We tested whether there is a relationship between plant N concentration and herbivore impact on soil N availability (measured with resin bags) with a study of replicate 6-8 year old exclosures (with an unfenced control) of vertebrate herbivores (> 1 kg) established at each of seven grassland sites i

  5. Comparison of fracture site callus with iliac crest bone marrow as the source of plastic-adherent cells

    Directory of Open Access Journals (Sweden)

    Achmad Zaki

    2013-05-01

    Full Text Available Background: Red marrow has been described as the main source of mesenchymal stem cells although its aspiration and isolation from bone marrow was reported to have significant donor site morbidity. Since secondary bone healing occurs through formation of callus as the result of proliferation and differentiation of mesenchymal stem cells, callus may become alternative source for mesenchymal stem cells. In this study, we compared the number of plastic-adherent cells from fracture site callus and bone marrow of iliac crest after two and four weeks of culture.Methods: Sixteen New Zealand rabbits were fracturized at the femoral shaft. Then, these rabbits were taken care. After two weeks of fracturization, 3 mL iliac crest bone marrow aspiration and callus extraction of eight rabbits were cultured (group I. The other eight rabbits were treated equally after four weeks of fracturization (group II. Simultaneously, the cultures were observed after one and two weeks. Four weeks later, they were harvested. Cells were counted using Neubauer hemocytometer. The average number of cells between the sources and groups were statistically analyzed using the unpaired t-test. Results: In group I, there were 2.6 ± 0.1 x 104 cells in the culture of iliac crest bone marrow aspirate and 2.5 ± 0.1 x 104 cells in culture of callus extract from fracture site (p = 0.34. In group II, there were 2.7 ± 0.1 x 104 cells and 2.1 ± 0.1 x 104 cells, respectively (p < 0.001.Conclusion: Fracture site callus at the second week post-fracturization may be potential as source of plastic-adherent cells compared with iliac crest bone marrow. (Med J Indones. 2013;22:70-5Keywords: Bone marrow, fracture site callus, iliac crest, long bone, mesenchymal stem cell, plastic-adherent cells

  6. 骨外固定治疗复杂骨不连与骨缺损的临床效果%External Fixation for the Treatment of Complex Bone Nonunion and Bone Defect of Clinical effect

    Institute of Scientific and Technical Information of China (English)

    徐占辉

    2015-01-01

    目的:探讨骨外固定治疗复杂骨不连及骨缺损临床效果。方法对56例患者采用骨外固定技术治疗复复杂骨不连与骨缺损的效果进行分析。结果56例骨不连与骨缺损患者均实现骨性愈合。17例感染性骨不连患者的伤口得到有效控制。非感染性骨不连患者一般需要4个月左右的时间愈合,感染性骨不连患者一般需要6个月左右的时间愈合,患者重建肢体长度后肢体长度均衡。结论采用骨外固定技术治疗骨不连患者可获得令人满意的疗效。%Objective To study the bone external fixation in treatment of complex bone nonunion and bone defect of clinical effects.Methods colecting effect were treated byexternal fixation for treatment of bone nonunion in 56 cases were analyzed.Results 56 cases of nonunion patients achieved bone healing.Not even the patient's wound infection has been effectively controled in 17 cases of infected bone.The healing of non infectious nonunion Bone patients generaly need 5 months time,healing of infected nonunion Bone patients generaly need about 6 months time,reconstruction in limb length after limb length equalization.Conclusion The use of external fixation for treatment of nonunion has obtained the satisfactory effect.

  7. Inter-comparison of source apportionment of PM10 using PMF and CMB in three sites nearby an industrial area in central Italy

    Science.gov (United States)

    Cesari, Daniela; Donateo, Antonio; Conte, Marianna; Contini, Daniele

    2016-12-01

    Receptor models (RMs), based on chemical composition of particulate matter (PM), such as Chemical Mass Balance (CMB) and Positive Matrix Factorization (PMF), represent useful tools for determining the impact of PM sources to air quality. This information is useful, especially in areas influenced by anthropogenic activities, to plan mitigation strategies for environmental management. Recent inter-comparison of source apportionment (SA) results showed that one of the difficulties in the comparison of estimated source contributions is the compatibility of the sources, i.e. the chemical profiles of factor/sources used in receptor models. This suggests that SA based on integration of several RMs could give more stable and reliable solutions with respect to a single model. The aim of this work was to perform inter-comparison of PMF (using PMF3.0 and PMF5.0 codes) and CMB outputs, focusing on both source chemical profiles and estimates of source contributions. The dataset included 347 daily PM10 samples collected in three sites in central Italy located near industrial emissions. Samples were chemically analysed for the concentrations of 21 chemical species (NH4+, Ca2 +, Mg2 +, Na+, K+, Mg2 +, SO42 -, NO3-, Cl-, Si, Al, Ti, V, Mn, Fe, Ni, Cu, Zn, Br, EC, and OC) used as input of RMs. The approach identified 9 factor/sources: marine, traffic, resuspended dust, biomass burning, secondary sulphate, secondary nitrate, crustal, coal combustion power plant and harbour-industrial. Results showed that the application of constraints in PMF5.0 improved interpretability of profiles and comparability of estimated source contributions with stoichiometric calculations. The inter-comparison of PMF and CMB gave significant differences for secondary nitrate, biomass burning, and harbour-industrial sources, due to non-compatibility of these source profiles that have local specificities. When these site-dependent specificities were taken into account, optimising the input source profiles of

  8. Effects of bioaugmentation on enhanced reductive dechlorination of 1,1,1-trichloroethane in groundwater - a comparison of three sites

    DEFF Research Database (Denmark)

    Scheutz, Charlotte; Durant, Neal D.; Broholm, Mette Martina

    2014-01-01

    , microcosms were amended with various concentrations of chloroethanes (TCA or monochloroethane [CA]) and/or chloroethenes (tetrachloroethene [PCE], trichloroethene [TCE], or 1,1-dichloroethene [1,1-DCE]). Results showed that combined electron donor addition and bioaugmentation stimulated dechlorination of TCA...... and 1,1-dichloroethane (1,1-DCA) to CA, and dechlorination of PCE, TCE, 1,1-DCE and cDCE to ethane. Dechlorination of CA was not observed. Bioaugmentation improved the rate and extent of TCA and 1,1-DCA dechlorination at two sites, but did not accelerate dechlorination at a third site where geochemical...... conditions were reducing and Dhc and Dhb were indigenous. TCA at initial concentrations of 5 mg/L inhibited (i.e., slowed the rate of) TCA dechlorination, TCE dechlorination, donor fermentation, and methanogenesis. 1 mg/L TCA did not inhibit dechlorination of TCA, TCE or cDCE. Moreover, complete...

  9. A Comparison of the Bacterial Microflora between Coastal Sites in Qingdao, P.R. China and Loch Fyne, Scotland

    Institute of Scientific and Technical Information of China (English)

    Maclnnes, J.; Robertson, P.A.W.; Austin, B.

    2002-01-01

    Aerobic, heterotrophic bacteria, recovered from two sites located on the west coast of Scotland, were comparedto cultures obtained in a similar way from industrial, aquacultural and clean sites in the vicinity of Qingdao, Shandong, P.R.China. Gram-negative bacterial cultures were examined by BIOLOG-GN, and the data analysed by the simple matching(SsM) and Jaccard coefficients (Sj) and unweighted average linkage clustering using NTSys. The output revealed that 20% of the bacteria, namely, Acinetobacterjohnsonii, Aquaspirillum dispar, Pseudomonas spp. (two groups), Sphingobacteriumsp., Vibrio sp., V. Campbellii, V. Mimicus and V. Hollisae, were common between the two geographical locations. However,the study revealed shortcomings with the BIOLOG-GN system for the study of coastal Gram-negative bacteria.

  10. Data requirement comparison between the fixed site upgrade rule guidance compendium and the Structured Assessment Approach Licensee Submittal Document

    Energy Technology Data Exchange (ETDEWEB)

    Parziale, A.A.; Sacks, I.J.

    1980-12-01

    We compared the Structured Assessment Approach's (SAA) Licensee Submittal Document (LSD) with the Fixed Site Physical Protection Upgrade Rule Guidance Compendium Standard Format and Content (SFC) Guide using correlation matrices to see how well the data requirements of the SFC Guide coincided with those of a specific automated vulnerability assessment technique for fixed-site nuclear fuel cycle facilities, namely, SAA. We found that a limited SAA assessment is possible using the SFC Guide, but significant and critical safeguards vulnerabilities might be missed. Also, it was found that in some cases the organization and format of the SFC Guide input data and information made the preparation of data for the SAA somewhat awkward. 2 refs., 2 tabs.

  11. Comparison of Phytoscreening and Direct-Push- Based Site Investigation at a Rural Megasite Contaminated with Chlorinated Ethenes

    DEFF Research Database (Denmark)

    Rein, Arno; Holm, Olaf; Trapp, Stefan

    2015-01-01

    areas in particular. Here we compare two site screening techniques that can be applied quickly at relatively low cost, namely Direct Push (DP)-based groundwater sampling and tree core sampling. The effectiveness of both methods is compared for a rural megasite contaminated with chlorinated hydrocarbons......The reliable characterization of subsurface contamination of spatially extended contaminated sites is a challenging task, especially with an unknown history of land use. Conventional technologies often fail due to temporal and financial constraints and thus hinder the redevelopment of abandoned....... Unexpected pollution hot spots could be identified using both of these methods, while tree coring even enabled the delineation of the contaminant plume flowing into an adjacent wetland inaccessible for DP units. Both methods showed a good agreement in revealing the spatial pattern of the contamination...

  12. 111Cd TDPAC investigation of metal sites in superoxide dismutase: A comparison with X-ray diffraction data

    DEFF Research Database (Denmark)

    Bauer, R.; Bjerrum, M.J.; Danielsen, E.

    1990-01-01

    111Cd Time Differential Ferturbed γ-γ Angular Correlation (TDPAC) has been used to investigate the Zn-site in Cu2, Zn2-superoxide dismutase. These experiments show a clear difference between Cu(II)2 Cd2 SOD and Cu(I)2Cd2SOD. The result of Cu(II)2, Cd2-SOD agrees with the Angular Overlap Model (AOM...

  13. 111Cd TDPAC investigation of metal sites in superoxide dismutase: A comparison with X-ray diffraction data

    DEFF Research Database (Denmark)

    Bauer, R.; Bjerrum, M.J.; Danielsen, E.

    1990-01-01

    111Cd Time Differential Ferturbed γ-γ Angular Correlation (TDPAC) has been used to investigate the Zn-site in Cu2, Zn2-superoxide dismutase. These experiments show a clear difference between Cu(II)2 Cd2 SOD and Cu(I)2Cd2SOD. The result of Cu(II)2, Cd2-SOD agrees with the Angular Overlap Model (AOM...

  14. Comparison of mesenchymal stem cell surface markers from bone marrow aspirates and adipose stromal vascular fraction sites

    Directory of Open Access Journals (Sweden)

    Meghan eSullivan

    2016-01-01

    Full Text Available AbstractThe objective of this study was to subjectively evaluate the harvest of 2 areas of adipose collection and 3 areas of bone marrow collection as potential sites for clinical harvest of adipose stromal vascular fraction and bone marrow concentrate for clinical use by quantifying the amount of tissue harvested, subjective ease of harvest, the variation of each site, and determining the cell surface marker characteristics using commercially available antibodies. Bone marrow and adipose tissue samples were collected from 10 adult mixed breed dogs. Adipose tissue was collected from the caudal scapular region and falciform fat ligament. Bone marrow aspirates were collected from the ilium, humerus, and tibia. Tissues were weighed (adipose or measured by volume (bone marrow, processed to isolate the stromal vascular fraction or bone marrow concentrate, and flow cytometry was performed to quantitate the percentage of cells that were CD90, CD44 positive and CD45 negative. Sites and tissue types were compared using matched pairs t-test. Subjectively subcutaneous fat collection was the most difficult and large amounts of tissue dissection were necessary. Additionally the subcutaneous area yielded less than the goal amount of tissue. The bone marrow harvest ranged from 10-27.5 ml. Adipose tissue had the highest concentration of cells with CD90+, CD44+, and CD45- markers (p<0.05, and bone marrow had the highest total number of these cells at harvest (p<0.05. Variation was high for all sites but the adipose collection yielded more consistent results. These results describe the relative cellular components in the stromal vascular fraction of adipose tissue and bone marrow as defined by the biomarkers chosen. Although bone marrow yielded higher absolute cell numbers on average, adipose tissue yielded more consistent results. Fat from the falciform ligament was easily obtained with less dissection and therefore created less perceived relative patient trauma.

  15. Field study of the composition of greywater and comparison of microbiological indicators of water quality in on-site systems.

    Science.gov (United States)

    Leonard, Margaret; Gilpin, Brent; Robson, Beth; Wall, Katrina

    2016-08-01

    Thirty on-site greywater systems were sampled to determine greywater characteristics and practices in the field. Kitchen greywater was present at eight sites and urine was included at seven sites. These non-traditional sources resulted in significantly higher concentrations of enterococci and 5-day biochemical oxygen demand (BOD5) in greywater. Even with the removal of these sources, the concentrations of microbial indicators indicated high levels of contamination could occur across all greywater sources, including "light" greywater. Using multiple microbial indicators showed that all samples had the potential for faecal contamination. Bacteroidales markers were confirmed in treated greywater and in each greywater source, highlighting the potential for human faecal contamination. Although Escherichia coli was absent in treated greywater recycled to the house, other microbial indicators were present; hence, caution is required in using E. coli concentrations as the sole indicator of microbiological water quality. High BOD5 or total suspended solid concentrations exceeded the levels recommended for effective disinfection. Subsurface irrigation, which is assumed to provide a five-log reduction in exposure, is a suitable reuse option for non-disinfected greywater. Only half the occupants had a good understanding of their greywater systems and 25 % of systems were poorly maintained. Elevated microbial indicator contamination of greywater sludge is a potential hazard during maintenance.

  16. Site amplification at five locations in San Francisco, California: A comparison of S waves, codas, and microtremors

    Science.gov (United States)

    Seekins, Linda C.; Wennerberg, Leif; Margheriti, L.; Liu, Hsi-Ping

    1996-01-01

    We compare microtremor data to weak-motion 5-wave and coda recordings at sites in San Francisco in order to clarify the range of applicability of microtremor data to ground-motion prediction. We also compare 5-wave results to coda results. For each type of data, we compute spectral ratios of motions from two soil/rock station pairs and from an uphole/downhole pair in the Marina district. We compute horizontal/vertical ratios (Nakamura's method) at a soil site, a rock site, and the surface and borehole instruments. In the station-pair analyses, microtremor data show amplifications at the same fundamental frequency as S waves, but the frequencies of other peaks do not agree. The amplification at frequencies higher than 2 Hz is greater in the microtremor data. Station-pair ratios of coda data generally show spectral peaks occurring at the same frequencies, but with levels varying from one to four times the amplification from S-wave ratios. Nakamura's method of analyzing microtremors agrees better with S-wave station-pair results than the microtremor station-pair method over a limited frequency band that varies from station to station.

  17. Measurement of intrinsic and scattering attenuation of shear waves in two sedimentary basins and comparison to crystalline sites in Germany

    Science.gov (United States)

    Eulenfeld, Tom; Wegler, Ulrich

    2016-05-01

    We developed an improved method for the separation of intrinsic and scattering attenuation of seismic shear waves by envelope inversion called Qopen. The method optimizes the fit between Green's functions for the acoustic, isotropic radiative transfer theory and observed energy densities of earthquakes. The inversion allows the determination of scattering and intrinsic attenuation, site corrections and spectral source energies for the investigated frequency bands. Source displacement spectrum and the seismic moment of the analysed events can be estimated from the obtained spectral source energies. We report intrinsic and scattering attenuation coefficients of shear waves near three geothermal reservoirs in Germany for frequencies between 1 and 70 Hz. The geothermal reservoirs are located in Insheim, Landau (both Upper Rhine Graben) and Unterhaching (Molasse basin). We compare these three sedimentary sites to two sites located in crystalline rock with respect to scattering and intrinsic attenuation. The inverse quality factor for intrinsic attenuation is constant in sediments for frequencies smaller than 10 Hz and decreasing for higher frequencies. For crystalline rock, it is on a lower level and strictly monotonic decreasing with frequency. Intrinsic attenuation dominates scattering except for the Upper Rhine Graben, where scattering is dominant for frequencies below 10 Hz. Observed source displacement spectra show a high-frequency fall-off greater than or equal to 3.

  18. Comparison of crestal bone loss around dental implants placed in healed sites using flapped and flapless techniques: a systematic review.

    Science.gov (United States)

    Vohra, Fahim; Al-Kheraif, Abdulaziz A; Almas, Khalid; Javed, Fawad

    2015-02-01

    The aim of the present systematic review is to compare the crestal bone loss (CBL) around dental implants placed in healed sites using flapped and flapless surgical techniques. The focused question was, "Does flapped and flapless surgical technique influence CBL around dental implants placed in healed sites?" Databases were searched from 1975 up to and including May 2014 using different combinations of the following keywords: "crestal bone loss"; "dental implant"; "surgery"; "flap"; and "flapless." Unpublished data, experimental studies, letters to the editor, review articles, case reports, commentaries, and articles published in languages other than English were excluded. In all studies, the test group comprised implants placed using flapless surgery, and the control group, implants placed after reflection of a full-thickness mucoperiosteal flap. Ten clinical studies were included. In five studies, CBL around implants was comparable between the test and control groups. In four studies, implants in the test group showed significantly less CBL compared with the control group. In one study, CBL was significantly higher in the test group than the control group. CBL around dental implants placed in healed sites using flapped and flapless techniques is comparable.

  19. Donor site morbidity following iliac crest bone harvesting for cervical fusion: a comparison between minimally invasive and open techniques

    Science.gov (United States)

    Pollock, Raymond; Bhatia, Chandra; Chuter, Graham; Lingutla, Kiran; Budithi, Chakravarty; Krishna, Manoj

    2008-01-01

    We have studied the occurrence of donor site morbidity, cosmesis and overall satisfaction with graft procedure in 76 patients who had undergone iliac crest bone harvesting for anterior cervical discectomy and fusion (ACDF). Totally 24 patients underwent an open procedure and 52 a minimally invasive trephine harvesting method. Although our study demonstrated substantial donor site pain and its effect on ambulation in both groups, this was of limited duration. Two patients, one in each group, suffered long-term pain that was eventually resolved. Totally 8.3% of patients in the open group suffered minor complications and 11.5% in the trephine group. There were two cases of meralgia parasthetica. There were no major complications in either group. There was no statistically significant difference in morbidity between the open and trephine groups. There was a trend towards significance (P = 0.076) for pain at the donor site, with less pain reported by patients who underwent the trephine procedure for harvesting. PMID:18389294

  20. A comparison of the growth of Scots pine (Pinus sylvestris L.) in a reclaimed oil shale post-mining area and in a Calluna site in Estonia.

    Science.gov (United States)

    Kuznetsova, Tatjana; Mandre, Malle; Klõseiko, Jaan; Pärn, Henn

    2010-07-01

    The growth of Scots pine and its suitability for afforestation of post-mining landscapes in Northeast Estonia were assessed in comparative analytical studies by using morphological parameters and mineral nutrition characteristics. The growth and nutrient uptake of Scots pine growing on post-mining substrate were compared with the characteristics of pines of the same age (22-23 years) in a Calluna forest site type predominant in North Estonia in similar climatic zone. Results of the analyses of soil upper layers showed that the concentration of N and P in soil did not differ between the opencast spoil and Calluna site, but significantly higher pH of soil and concentrations of K, Ca, and Mg were found in mine spoil. The concentrations of K and Mg in needles were significantly higher in the post-mining area, but the concentrations of N, P, and Ca did not differ significantly. Comparison of the needle nutrient concentration with the standard for optimum concentrations revealed P deficit in the post-mining area and P and K deficit in the Calluna site. Scots pine formed longer and thinner needles and shoots in the post-mining substrate than in the Calluna site. It was assumed that in the post-mining area the growth of pines is predominantly dependent on K and Ca concentrations in their tissues as the biomass of needles was strongly correlated with the K/Ca ratio, whereas the biomass in the Calluna site was correlated with the N/P ratio. The height and diameter of trees were significantly larger in the post-mining area.

  1. 2. The Effect of Combined Therapy, Percutaneous Autologous Concentrated Bone Marrow Grafting and Low-Intensity Pulsed Ultrasound (LIPUS), on the Treatment of Non-Unions.

    Science.gov (United States)

    Mishima, Hajime; Sugaya, Hisashi; Yoshioka, Tomokazu; Wada, Hiroshi; Aoto, Katsuya; Hyodo, Kojirou; Tomaru, Youhei; Kumagai, Hiroshi; Akaogi, Hiroshi; Ochiai, Naoyuki; Yamazaki, Masashi

    2016-08-01

    We discuss the effect of combined therapy of percutaneous autologous concentrated bone graft and LIPUS on complex non-union treatment. Seventeen of 27 treated patients who had received the therapy at least 1 year before were discussed (10 femurs, 5 tibiae, 1 humerus, and 1 ulna). The average age of the patients was 40.7, and atrophic degeneration was observed in all cases. After 12 months of treatment, bone union was recognized in 76% in all cases, and in 87% of lower long bones. It was reported that LIPUS was effective at improving blood flow, accelerating cytokines which induce angiogenesis, promoting the transport of nutrition and enzymes to living cells, developing the differentiation of osteoblast from mesenchymal stem cells (MSC), inhibiting the differentiation and development of osteoclast, and promoting endochondral ossification. In this study, all patients had been treated with LIPUS for more than 3 months before the grafting was conducted, but the bone union seemed to stop. It was thought that this combined therapy provided a bone marrow cell growth factor sufficient to enable new bone formation to re-start bone union, and then LIPUS worked effectively to promote the initial differentiation, contributing to new bone formation. This combination therapy-less invasive, safe, and low cost-was considered one useful treatment option for non-union.

  2. Management of a distal femoral non-union with coexisting failure of the knee extensor mechanism using osteobridge knee-arthrodesis system: A case report

    Directory of Open Access Journals (Sweden)

    Begkas Dimitrios

    2015-01-01

    Full Text Available Introduction. Reconstruction of bone defects is a long, challenging process both for the patient and for the treating surgeon. Bone defects frequently occur as a result of aggressive surgical debridement and bone resection in case of acute trauma, open fractures, chronic bone infections, tumors and non-unions. Early amputation is often superior to prolonged attempts at salvage because they can create serious problems in the patients’ lives. There are numerous alternative methods of limb-salvage nowadays. Case Report. We report a case of a fifty-year-old man with a distal femoral non-union and a co-existing failure of the knee extensor mechanism, who was treated using an intramedullary segmental defect bridging knee arthrodesis system (Osteobridge. At the final check-up twenty four months later, he had excellent clinical, functional and radiological results. Conclusion. Osteobridge is an excellent knee arthrodesis system, which is preferable to other methods in case of resection of the distal femur along with the failure of the knee extensor mechanism.

  3. A COMPARATIVE STUDY ON MANAGEMENT OF INFECTED GAP NONUNION WITH MASQUELET-2-STAGED INDUCED MEMBRANE TECHNIQUE VERSUS CONVENTIONAL DISTRACTION OSTEOSYNTHESIS

    Directory of Open Access Journals (Sweden)

    Satish Koti

    2016-07-01

    =15 are treated by conventional distraction osteosynthesis while the patients in the group M (n=10 are treated by Masquelet’s technique. Patient demographics, radiological bone union rates, time taken to achieve bone union, and infection rates and their statistical significances are compared to come to a scientific conclusion. RESULTS The study was done over a period of 2 years (November 2012 to September 2014. During this period, we observed 25 cases of tibial bone defects, which were managed by either distraction osteogenesis (Group D:15 cases or Masquelet technique (Group M:10 cases. In our study, the mean age of group D and group M were 40.9 years (SD±9.89 and 37.8 years (9.13 respectively. In the present study, most of the patients belong to male gender in either groups (8 in group M and 13 in group D. Female gender has 2 patients in either group. In the present study, we observed trauma with infection (46.66% and trauma (40% were common aetiological causes for tibial bone defects. There was no significant difference in defect size between the two groups (p=0.889. There was no significant difference between the union rates between the two groups (p=0.358. There was a statistically significant lower duration of union time in group D (p=0.045.There was no statistically significant difference in postoperative infections between the two groups (p=0.175. In group D, two different techniques were done (Compression distraction technique and bone transport technique. On comparing the union rates in both subgroups in group D, there was no statistically significant difference (p=1.0. There was a statistically significant strongly positive correlation between tibial bone defect size and time taken for union in group D, which was not so in group M. CONCLUSION Masquelet two-stage technique for management of defect nonunions is a relatively newer technique with its own share of technical difficulty and disadvantages. This technique requires a lot of improvisation to improve

  4. Stability of detectability over 17 years at a single site and other lizard detection comparisons from Guam

    Science.gov (United States)

    Rodda, Gordon H.; Dean-Bradley, Kathryn; Campbell, Earl W.; Fritts, Thomas H.; Lardner, Bjorn; Yackel Adams, Amy A.; Reed, Robert N.

    2015-01-01

    To obtain quantitative information about population dynamics from counts of animals, the per capita detectabilities of each species must remain constant over the course of monitoring. We characterized lizard detection constancy for four species over 17 yr from a single site in northern Guam, a relatively benign situation because detection was relatively easy and we were able to hold constant the site, habitat type, species, season, and sampling method. We monitored two species of diurnal terrestrial skinks (Carlia ailanpalai [Curious Skink], Emoia caeruleocauda [Pacific Bluetailed Skink]) using glueboards placed on the ground in the shade for 3 h on rainless mornings, yielding 10,286 skink captures. We additionally monitored two species of nocturnal arboreal geckos (Hemidactylus frenatus [Common House Gecko]; Lepidodactylus lugubris [Mourning Gecko]) on the basis of 15,212 sightings. We compared these count samples to a series of complete censuses we conducted from four or more total removal plots (everything removed to mineral soil) totaling 400 m2(about 1% of study site) in each of the years 1995, 1999, and 2012, providing time-stamped quantification of detectability for each species. Unfortunately, the actual population trajectories taken by the four species were masked by unexplained variation in detectability. This observation of debilitating latent variability in lizard detectability under nearly ideal conditions undercuts our trust in population estimation techniques that fail to quantify venue-specific detectability, rely on pooled detection probability estimates, or assume that modulation in predefined environmental covariates suffices for estimating detectability.

  5. Comparison of Mesenchymal Stem Cell Surface Markers from Bone Marrow Aspirates and Adipose Stromal Vascular Fraction Sites.

    Science.gov (United States)

    Sullivan, Meghan O; Gordon-Evans, Wanda J; Fredericks, Lisa Page; Kiefer, Kristina; Conzemius, Michael G; Griffon, Dominique J

    2015-01-01

    The objective of this study was to subjectively evaluate the harvest of two areas of adipose collection and three areas of bone marrow collection as potential sites for clinical harvest of adipose stromal vascular fraction (SVF) and bone marrow concentrate for clinical use by quantifying the amount of tissue harvested, subjective ease of harvest, the variation of each site, and determining the cell surface marker characteristics using commercially available antibodies. Bone marrow and adipose tissue samples were collected from 10 adult mixed breed dogs. Adipose tissue was collected from the caudal scapular region and falciform fat ligament. Bone marrow aspirates were collected from the ilium, humerus, and tibia. Tissues were weighed (adipose) or measured by volume (bone marrow), processed to isolate the SVF or bone marrow concentrate, and flow cytometry was performed to quantitate the percentage of cells that were CD90, CD44 positive, and CD45 negative. Sites and tissue types were compared using matched pairs t-test. Subjectively subcutaneous fat collection was the most difficult and large amounts of tissue dissection were necessary. Additionally the subcutaneous area yielded less than the goal amount of tissue. The bone marrow harvest ranged from 10 to 27.5 ml. Adipose tissue had the highest concentration of cells with CD90(+), CD44(+), and CD45(-) markers (P adipose collection yielded more consistent results. These results describe the relative cellular components in the SVF of adipose tissue and bone marrow as defined by the biomarkers chosen. Although bone marrow yielded higher absolute cell numbers on average, adipose tissue yielded more consistent results. Fat from the falciform ligament was easily obtained with less dissection and therefore created less perceived relative patient trauma.

  6. A comparison of copper and acid site zeolites for the production of nitric oxide for biomedical applications.

    Science.gov (United States)

    Russell, Samantha E; González Carballo, Juan María; Orellana-Tavra, Claudia; Fairen-Jimenez, David; Morris, Russell E

    2017-03-21

    Copper-exchanged and acidic zeolites are shown to produce nitric oxide (NO) from a nitrite source in biologically active (nanomolar) concentrations. Four zeolites were studied; mordenite, ferrierite, ZSM-5 and SSZ-13, which had varying pore size, channel systems and Si/Al ratios. ZSM-5 and SSZ-13 produced the highest amounts of NO in both the copper and acid form. The high activity and regeneration of the copper active sites makes them good candidates for long-term NO production. Initial cytotoxicity tests have shown at least one of the copper zeolites (Cu-SSZ-13) to be biocompatible, highlighting the potential usage within biomedical applications.

  7. A comparison of geospatially modeled fire behavior and potential application to fire and fuels management for the Savannah River Site.

    Energy Technology Data Exchange (ETDEWEB)

    Kurth, Laurie; Hollingsworth, LaWen; Shea, Dan

    2011-12-20

    This study evaluates modeled fire behavior for the Savannah River Site in the Atlantic Coastal Plain of the southeastern U.S. using three data sources: FCCS, LANDFIRE, and SWRA. The Fuel Characteristic Classification System (FCCS) was used to build fuelbeds from intensive field sampling of 629 plots. Custom fire behavior fuel models were derived from these fuelbeds. LANDFIRE developed surface fire behavior fuel models and canopy attributes for the U.S. using satellite imagery informed by field data. The Southern Wildfire Risk Assessment (SWRA) developed surface fire behavior fuel models and canopy cover for the southeastern U.S. using satellite imagery.

  8. A comparison of winter mercury accumulation at forested and no-canopy sites measured with different snow sampling techniques

    Science.gov (United States)

    Nelson, S.J.; Johnson, K.B.; Weathers, K.C.; Loftin, C.S.; Fernandez, I.J.; Kahl, J.S.; Krabbenhoft, D.P.

    2008-01-01

    Atmospheric mercury (Hg) is delivered to ecosystems via rain, snow, cloud/fog, and dry deposition. The importance of snow, especially snow that has passed through the forest canopy (throughfall), in delivering Hg to terrestrial ecosystems has received little attention in the literature. The snowpack is a dynamic system that links atmospheric deposition and ecosystem cycling through deposition and emission of deposited Hg. To examine the magnitude of Hg delivery via snowfall, and to illuminate processes affecting Hg flux to catchments during winter (cold season), Hg in snow in no-canopy areas and under forest canopies measured with four collection methods were compared: (1) Hg in wet precipitation as measured by the Mercury Deposition Network (MDN) for the site in Acadia National Park, Maine, USA, (2) event throughfall (collected after snowfall cessation for accumulations of >8 cm), (3) season-long throughfall collected using the same apparatus for event sampling but deployed for the entire cold season, and (4) snowpack sampling. Estimates (mean ?? SE) of Hg deposition using these methods during the 91-day cold season in 2004-2005 at conifer sites showed that season-long throughfall Hg flux (1.80 ??g/m2) Mercury deposition at the MDN site (0.91 ??g/m2) was similar to that measured at other no-canopy sites in the area using the other methods, but was 3.4 times less than was measured under conifer canopies using the event sampling regime. This indicates that snow accumulated under the forest canopy received Hg from the overstory or exhibited less re-emission of Hg deposited in snow relative to open areas. The soil surface of field-scale plots were sprayed with a natural rain water sample that contained an Hg tracer (202Hg) just prior to the first snowfall to explore whether some snowpack Hg might be explained from soil emissions. The appearance of the 202Hg tracer in the snowpack (0-64% of the total Hg mass in the snowpack) suggests that movement of Hg from the soil

  9. An improved chronology for the Lateglacial palaeoenvironmental record of Lake Haemelsee, Germany: challenges for independent site comparisons

    Science.gov (United States)

    Lane, Christine; Brauer, Achim; Ramsey Christopher, Bronk; Engels, Stefan; Haliuc, Aritina; Hoek, Wim; Hubay, Katalin; Jones, Gwydion; Sachse, Dirk; Staff, Richard; Turner, Falko; Wagner-Cremer, Frederike

    2016-04-01

    Exploring temporal and spatial variability of environmental response to climatic changes requires the comparison of widespread palaeoenvironmental sequences on their own, independently-derived, age models. High precision age-models can be constructed using statistical methods to combine absolute and relative age estimates measured using a range of techniques. Such an approach may help to highlight otherwise unrecognised uncertainties, where a single dating method has been applied in isolation. Radiocarbon dating, tephrochronology and varve counting have been combined within a Bayesian depositional model to build a chronology for a sediment sequence from Lake Haemelsee (Northern Germany) that continuously covers the entire Lateglacial and early Holocene. Each of the dating techniques used brought its own challenges. Radiocarbon dates provide the only absolute ages measured directly in the record, however a low macrofossil content led to small sample sizes and a limited number of low precision dates. A floating varved interval provided restricted but very precise relative dating for sediments covering the Allerød to Younger Dryas transition. Well-spaced, visible and crypto- tephra layers, including the widespread Laacher See , Vedde Ash, Askja-S and Saksunarvatn tephra layers, allow absolute ages for the tephra layers established in other locations to be imported into the Haemelsee sequence. These layers also provide multiple tie-lines that allow the Haemelsee sequences to be directly compared at particular moments in time, and within particular intervals, to other important Lateglacial archives. However, selecting the "best" published tephra ages to use in the Haemelsee age model is not simple and risks biasing comparison of the palaeoenvironmental record to fit one or another comparative archive. Here we investigate the use of multiple age models for the Haemelsee record, in order to retain an independent approach to investigating the environmental transitions of

  10. 一期节段性清创骨搬运技术治疗胫骨感染性骨不连%Primary segmental debridement and bone transport for tibial infective nonunion

    Institute of Scientific and Technical Information of China (English)

    魏星; 王虎; 庄岩; 王鹏飞; 温晓东; 从雨轩; 付亚辉; 黄海; 雷金来

    2015-01-01

    Objective To observe the clinical outcomes of primary segmental debridement and bone transport in the treatment of tibial infective nonunion.Methods From August 2008 to August 2011,we used primary segmental debridement and bone transport to treat 15 patients with tibial infective nonunion.They were 12 males and 3 females,with an average age of 36.9 years (from 20 to 55 years).Treatment procedures included segmental resection of the infection site,proximal tibial metaphyseal osteotomy,bone transport,opening infected wounds,bone graft and debridement for docking site.We divided the treatment process into 4 stages:stage Ⅰ (from admission till the primary operation),stage Ⅱ (from bone transport till the gap disappeared),stage Ⅲ (from docking site manoeuvre till removal of the external fixator),and stage Ⅳ (from removal of the external fixator till 2 years postoperation).Complications during the follow-up were recorded.Scores of physical component summary (PCS) and mental component summary (MCS) in SF-36 and the visual analogue scale (VAS) were recorded during the 4 stages.Bone healing index and surgical frequency were calculated for each patient.Results Of all the patients,one was followed up until removal of the external fixator,and 14 of them (93%) until 2 years after removal of the external fixator.After debridement the tibial defects averaged 7.5 cm(from 3 to 12cm).The healing index was 43.1 d/cm (from 33 to 62 d/cm).The surgical treatment time averaged 48 weeks (from 30 to 62 weeks).The PCS,MCS and VAS scores of stage Ⅰ were significantly higher than those of stages Ⅱ & Ⅲ but significantly lower than those of stage Ⅳ (P < 0.05);the PCS,MCS and VAS scores of stage Ⅳ were significantly higher than those of stages Ⅱ & Ⅲ (P < 0.05).The 15 patients received a total of 23 operations,averaging 1.5 times per patient.Conclusions Although primary segmental debridement and bone transport is a time-consuming treatment of tibial infective nonunion

  11. Ultrafine particles at eight urban sites in Antwerp. Instrument comparison and spatiotemporal variation in particle number concentration and size distribution

    Energy Technology Data Exchange (ETDEWEB)

    Staelens, J.; Matheeussen, C.; Roekens, E. [Department Air, Environment and Communication, Flemish Environment Agency VMM, Antwerp, 2000 (Belgium); Frijns, E.; Berghmans, P. [Flemish Institute for Technological Research VITO, Mol, 2400 (Belgium); Kos, G.P.A.; Weijers, E.P. [Environment and Energy Engineering, Energy research Centre of the Netherlands ECN, Petten, 1755 ZG (Netherlands); Panteliadis, P. [Department of Air Quality, Public Health Service ofAmsterdam, Amsterdam, 1000 CE (Netherlands); Bergmans, B. [Air Quality, Institut Scientifique de Service Public (ISSeP), Liege, 4000 (Belgium); Wyche, K. [Department of Chemistry, University of Leicester, Leicester, LE2 7TG (United Kingdom)

    2013-03-15

    Due to the short atmospheric lifetime of ultrafine particles (UFP) and their strong dependence on local sources, ambient particle number concentrations and size distributions may vary significantly on short spatial and temporal scales. Because UFP are a primary pollutant that is rapidly transformed by physicochemical processes (dispersion, coagulation, deposition, etc.) and emitted mainly by mobile sources, they show a very high spatial variation. The particle number concentration is known to be elevated near roads and to decrease with increasing distance to the road primarily as a result of dispersion. Therefore, UFP measurements at a single urban background air quality monitoring station may not be indicative of the actual exposure in the communities surrounding this station. To address this problem and to more accurately estimate human exposure and subsequent health impacts of UFP, more intensive measurements on finer spatial scales are needed. Therefore, UFP measurements were carried out at eight urban background or hotspot sites in the city of Antwerp (Belgium)

  12. A comparison of two photosynthesis parameterization schemes for an alpine meadow site on the Qinghai-Tibetan Plateau

    Science.gov (United States)

    Wang, Xufeng; Cheng, Guodong; Li, Xin; Lu, Ling; Ma, Mingguo; Su, Peixi; Zhu, Gaofeng; Tan, Junlei

    2016-11-01

    Photosynthesis is a very important sub-process in the carbon cycle and is a crucial sub-modular function in carbon cycle models. In this study, two typical photosynthesis parameterization schemes were compared based on meteorological and eddy covariance (EC) observations at an alpine meadow site. The photosynthesis model parameters were estimated using the Markov Chain Monte Carlo (MCMC) method. The results indicated that the Farquhar-conductance coupled model better predicted the gross primary production (GPP) for the alpine meadow ecosystem at an hourly time scale than the light use efficiency (LUE) model even though the Farquhar-conductance coupled model has a lower computational efficiency than the LUE model. Compared to the Ball-Woodrow-Berry (BWB) stomatal conductance model, coupling the Farquhar model with the Leuning stomatal conductance model more accurately simulated GPP.

  13. Cannibalism versus funerary defleshing and disarticulation after a period of decay: comparisons of bone modifications from four prehistoric sites.

    Science.gov (United States)

    Bello, Silvia M; Wallduck, Rosalind; Dimitrijević, Vesna; Živaljević, Ivana; Stringer, Chris B

    2016-12-01

    Humanly induced modifications on human and non-human bones from four archaeological sites of known funerary rituals (one interpreted as cannibalism and three interpreted as funerary defleshing and disarticulation after a period of decay) were analyzed to ascertain whether macromorphological and micromorphological characteristics of cut marks can be used to distinguish cannibalistic from secondary burial practices. Four collections were analyzed: the Magdalenian assemblage from Gough's Cave (UK) and the Mesolithic-Neolithic bone samples from Lepenski Vir, Padina and Vlasac (Serbia). A total of 647 cut marks (345 on human and 302 on non-human remains) were imaged and measured using an optical surface measurement system, the Alicona InfiniteFocus, housed at the Natural History Museum (London, UK). The frequency of cut marks at Gough's Cave exceeds 65%, while it is below 1% in the Serbian sites, and no human tooth marks and only one case of percussion damage have been observed on the three Serbian collections. The distribution of cut marks on human bones is comparable in the four assemblages. Cannibalized human remains, however, present a uniform cut mark distribution, which can be associated with disarticulation of persistent and labile articulations, and the scalping and filleting of muscles. For secondary burials where modification occurred after a period of decay, disarticulation marks are less common and the disarticulation of labile joints is rare. The micromorphometric analyses of cut marks on human and non-human remains suggest that cut marks produced when cleaning partially decayed bodies are significantly different from cut marks produced during butchery of fresh bodies. A distinction between cannibalism and secondary treatment of human bodies can be made based on frequency, distribution and micromorphometric characteristics of cut marks. © 2016 Wiley Periodicals, Inc.

  14. Gas hydrates distribution in the Shenhu area, northern South China Sea: comparisons between the eight drilling sites with gashydrate petroleum system

    Energy Technology Data Exchange (ETDEWEB)

    Su, M.; Yang, R.; Wang, H.; Sha, Z.; Liang, J.; Wu, N.; Qiao, S.; Cong, X.

    2016-07-01

    The results of the first marine gas hydrate drilling expedition of Guangzhou Marine Geological Survey (GMGS-1) in northern continental slope of the South China Sea revealed a variable distribution of gas hydrates in the Shenhu area. In this study, comparisons between the eight sites with gas-hydrate petroleum system were used to analyze and re-examine hydrate potential. In the Shenhu gas hydrate drilling area, all the sites were located in a suitable low-temperature, high-pressure environment. Biogenic and thermogenic gases contributed to the formation of hydrates. Gas chimneys and some small-scale faults (or micro-scale fractures) compose the migration pathways for gas-bearing fluids. Between these sites, there are three key differences: the seafloor temperatures and pressures; geothermal gradient and sedimentary conditions. Variations of seafloor temperatures and pressures related to water depths and geothermal gradient would lead to changes in the thickness of gas hydrate stability zones. Although the lithology and grain size of the sediments were similar, two distinct sedimentary units were identified for the first time through seismic interpretation, analysis of deep-water sedimentary processes, and the Cm pattern (plotted one-percentile and median values from grain-size analyses), implying the heterogeneous sedimentary conditions above Bottom Simulating Reflectors (BSRs). Based on the analyses of forming mechanisms and sedimentary processes, these two fine-grained sedimentary units have different physical properties. Fine-grained turbidites (Unit I) with thin-bedded chaotic reflectors at the bottom acted as the host rocks for hydrates; whereas, finegrained sediments related to soft-sediment deformation (Unit II) characterized by thick continuous reflectors at the top would serve as regional homogeneous caprocks. Low-flux methane that migrated upwards along chimneys could be enriched preferentially in fine-grained turbidites, resulting in the formation of

  15. Statistical comparison of models for estimating the monthly average daily diffuse radiation at a subtropical African site

    Energy Technology Data Exchange (ETDEWEB)

    Bashahu, M. [University of Burundi, Bujumbura (Burundi). Institute of Applied Pedagogy, Department of Physics and Technology

    2003-07-01

    Nine correlations have been developed in this paper to estimate the monthly average diffuse radiation for Dakar, Senegal. A 16-year period data on the global (H) and diffuse (H{sub d}) radiation, together with data on the bright sunshine hours (N), the fraction of the sky's (Ne/8), the water vapour pressure in the air (e) and the ambient temperature (T) have been used for that purpose. A model inter-comparison based on the MBE, RMSE and t statistical tests has shown that estimates in any of the obtained correlations are not significantly different from their measured counterparts, thus all the nine models are recommended for the aforesaid location. Three of them should be particularly selected for their simplicity, universal applicability and high accuracy. Those are simple linear correlations between K{sub d} and N/N{sub d}, Ne/8 or K{sub t}. Even presenting adequate performance, the remaining correlations are either simple but less accurate, or multiple or nonlinear regressions needing one or two input variables. (author)

  16. Archaeometric comparison between the Neolithic pottery of different cultures at the archaeological site of Alba Iulia (Transylvania, Romania

    Directory of Open Access Journals (Sweden)

    Bruno Fabbri

    2009-06-01

    Full Text Available A large quantity of pottery has been discovered at the Lumea Nouă Neolithic and Eneolithic settlement in Alba Iulia City (Romania. It belongs to different cultures, and in this paper a comparison among three of them is made: Vinča, Lumea Nouă and Foeni. An analogous number of samples has been selected for each of the three cultures, together with some clay samples collected in the Alba Iulia settlement area. The samples have been analysed by means of XRF, XRPD, and in thin section. Significant differences among the three cultures are only related to the alkalis contents. The Lumea Nouă pottery has higher potassium contents and contains microfossils, while the Foeni pottery differs to each other for the higher sodium contents. A clear correspondence between pottery and clays has not been found, so that we hypothesize that not all the pottery is local or, more probable, that a geological gradual variation in local clay deposits existed.

  17. Automated ground-based remote sensing measurements of greenhouse gases at the Białystok site in comparison with collocated in situ measurements and model data

    Directory of Open Access Journals (Sweden)

    J. Messerschmidt

    2012-08-01

    Full Text Available The in situ boundary layer measurement site in Białystok (Poland has been upgraded with a fully automated observatory for total greenhouse gas column measurements. The automated Fourier Transform Spectrometer (FTS complements the on-site in situ facilities and FTS solar absorption measurements have been recorded nearly continuously in clear and partially cloudy conditions since March 2009. Here, the FTS measurements are compared with the collocated tall tower data. Additionally, simulations of the Jena CO2 inversion model are evaluated with the Białystok measurement facilities. The simulated seasonal CO2 cycle is slightly overestimated by a mean difference of 1.2 ppm ± 0.9 ppm (1σ in comparison with the FTS measurements. CO2 concentrations at the surface, measured at the tall tower (5 m, 90 m, 300 m, are slightly underestimated by −1.5 ppm, −1.6 ppm, and −0.7 ppm respectively during the day and by −9.1 ppm, −5.9 ppm, and −1.3 ppm during the night. The comparison of the simulated CO2 profiles with low aircraft profiles shows a slight overestimation of the lower troposphere (by up to 1 ppm and an underestimation in near-surface heights until 800 m (by up to 2.5 ppm. In an appendix the automated FTS observatory, including the hardware components and the automation software, is described in its basics.

  18. Comparison of CO2 Detection Methods Tested in Shallow Groundwater Monitoring Wells at a Geological Sequestration Site

    Energy Technology Data Exchange (ETDEWEB)

    Edenborn, Harry M.; Jain, Jinesh N.

    2016-05-17

    The geological storage of anthropogenic carbon dioxide (CO2) is one method of reducing the amount of CO2 released into the atmosphere. Monitoring programs typically determine baseline conditions in surface and near-surface environments before, during, and after CO2 injection to evaluate if impacts related to injection have occurred. Because CO2 concentrations in groundwater fluctuate naturally due to complex geochemical and geomicrobiologicalinteractions, a clear understanding of the baseline behavior of CO2 in groundwater near injection sites is important. Numerous ways of measuring aqueous CO2 in the field and lab are currently used, but most methods have significant shortcomings (e.g., are tedious, lengthy, have interferences, or have significant lag time before a result is determined). In this study, we examined the effectiveness of two novel CO2 detection methods and their ability to rapidly detect CO2in shallow groundwater monitoring wells associated with the Illinois Basin –Decatur Project geological sequestration site. The CarboQC beverage carbonation meter was used to measure the concentration of CO2 in water by monitoring temperature and pressure changes and calculating the PCO2 from the ideal gas law. Additionally, a non-dispersive infrared (NDIR) CO< sub>2sensor enclosed in a gas-permeable, water-impermeable membrane measured CO2by determining an equilibrium concentration. Results showed that the CarboQC method provided rapid (< 3 min) and repeatable results under field conditions within a measured concentration range of 15 –125 mg/L CO2. The NDIR sensor results correlated well (r2= 0.93) with the CarboQC data, but CO2 equilibration required at least 15 minutes, making the method somewhat less desirable under field conditions. In contrast, NDIR-based sensors have a greater potential for long-term deployment. Both

  19. Clinical Research of Extracorporeal Shock Wave Therapy for the Treatment of Bone Nonunion%体外冲击波治疗骨不连临床研究

    Institute of Scientific and Technical Information of China (English)

    李恩; 李平; 韩永斌; 刘宇强; 范晓洁; 赵爱玲

    2016-01-01

    Objective:To observe the clinical curative effect of extracorporeal shock wave treatment (ESWT)of different time points on bone nonunion.Method:21 patients with bone nonunion undergoing extracorporeal shock wave treatment in our hospital from 2010 to 2015 were selected as the research objects. 11 patients 3 to 6 months after operation were selected as group A,10 patients 7 to 10 months after operation were selected as group B.They were all treated by focused extracorporeal shock wave therapy with personalized treatment parameters.They were regularly reviewed X-ray.The treatment effects were compared between the two groups.Result:The differences in scores of callus and fracture line of different time points inner the two groups were statistically significant(P<0.001).The differences in scores of callus and fracture line of different time points between the two groups were statistically significant(P<0.05).Conclusion:Extracorporeal shock wave treatment for bone nonunion is safe and effective,the effect of early intervention is better.%目的:观察不同时间体外冲击波疗法(ESWT)治疗骨不连的临床疗效。方法:收集本院2010-2015年收治的采用ESWT治疗骨不连的患者21例作为研究对象,以术后3~6个月患者为A组,以术后7~10个月患者为B组,两组均采用聚焦式体外冲击波机治疗,个性化确定治疗参数。定期复查X片,分析比较两组治疗效果。结果:两组组内不同时间骨痂及骨折线评分比较,差异均有统计学意义(P<0.001);两组组间不同时间骨痂及骨折线评分比较,差异均有统计学意义(P<0.05);骨痂及骨折线评分估算边际均值A组较B组上升趋势更明显。结论:ESWT治疗骨不连安全、有效,早期进行干预效果更佳。

  20. Cost of riparian buffer zones: A comparison of hydrologically adapted site-specific riparian buffers with traditional fixed widths

    Science.gov (United States)

    Tiwari, T.; Lundström, J.; Kuglerová, L.; Laudon, H.; Öhman, K.; Ågren, A. M.

    2016-02-01

    Traditional approaches aiming at protecting surface waters from the negative impacts of forestry often focus on retaining fixed width buffer zones around waterways. While this method is relatively simple to design and implement, it has been criticized for ignoring the spatial heterogeneity of biogeochemical processes and biodiversity in the riparian zone. Alternatively, a variable width buffer zone adapted to site-specific hydrological conditions has been suggested to improve the protection of biogeochemical and ecological functions of the riparian zone. However, little is known about the monetary value of maintaining hydrologically adapted buffer zones compared to the traditionally used fixed width ones. In this study, we created a hydrologically adapted buffer zone by identifying wet areas and groundwater discharge hotspots in the riparian zone. The opportunity cost of the hydrologically adapted riparian buffer zones was then compared to that of the fixed width zones in a meso-scale boreal catchment to determine the most economical option of designing riparian buffers. The results show that hydrologically adapted buffer zones were cheaper per hectare than the fixed width ones when comparing the total cost. This was because the hydrologically adapted buffers included more wetlands and low productive forest areas than the fixed widths. As such, the hydrologically adapted buffer zones allows more effective protection of the parts of the riparian zones that are ecologically and biogeochemically important and more sensitive to disturbances without forest landowners incurring any additional cost than fixed width buffers.

  1. Spatial distribution of heavy metals in the surface soil of source-control stormwater infiltration devices - Inter-site comparison.

    Science.gov (United States)

    Tedoldi, Damien; Chebbo, Ghassan; Pierlot, Daniel; Branchu, Philippe; Kovacs, Yves; Gromaire, Marie-Christine

    2017-02-01

    Stormwater runoff infiltration brings about some concerns regarding its potential impact on both soil and groundwater quality; besides, the fate of contaminants in source-control devices somewhat suffers from a lack of documentation. The present study was dedicated to assessing the spatial distribution of three heavy metals (copper, lead, zinc) in the surface soil of ten small-scale infiltration facilities, along with several physical parameters (soil moisture, volatile matter, variable thickness of the upper horizon). High-resolution samplings and in-situ measurements were undertaken, followed by X-ray fluorescence analyses and spatial interpolation. Highest metal accumulation was found in a relatively narrow area near the water inflow zone, from which concentrations markedly decreased with increasing distance. Maximum enrichment ratios amounted to >20 in the most contaminated sites. Heavy metal patterns give a time-integrated vision of the non-uniform infiltration fluxes, sedimentation processes and surface flow pathways within the devices. This element indicates that the lateral extent of contamination is mainly controlled by hydraulics. The evidenced spatial structure of soil concentrations restricts the area where remediation measures would be necessary in these systems, and suggests possible optimization of their hydraulic functioning towards an easier maintenance. Heterogeneous upper boundary conditions should be taken into account when studying the fate of micropollutants in infiltration facilities with either mathematical modeling or soil coring field surveys.

  2. Comparison of two minimal invasive techniques of splenectomy: Standard laparoscopy versus transumbilical multiport single-site laparoscopy with conventional instruments

    Directory of Open Access Journals (Sweden)

    Baris Bayraktar

    2015-01-01

    Full Text Available Background: Laparoendoscopic single-site (LESS splenectomy which is performed on small number of patients, has been introduced with better cosmetic outcome, less postoperative pain, greater patient satisfaction and faster recovery compared to standard laparoscopy. Materials and Methods : Thirty six patients were included in the study comparing standard laparoscopic splenectomy (LS, 17 patients transumbilical multiport splenectomy performed with conventional laparoscopic instruments (TUMP-LS, 19 patients. Two groups of patients were compared retrospectively by means of operation time, intra- and postoperative blood loss, perioperative complications, packed red cell and platelet requirements, lenght of hospitalization, pain scores and patient satisfaction. Results: There was no mortality in any of the groups, and no significant differences determined in operative time (P = 0,069, intraoperative blood loss (P = 0,641, patient satisfaction (P = 0,506, pain scores (P = 0,173 and the average length of hospital stay (P = 0,257. Umbilical incisions healed uneventfully and no hernia formation or wound infection was observed during follow-up period (2-34 months. There were no conversions to open surgery. Conclusions: Transumbilical multiport splenectomy performed with the conventional laparoscopic instruments is feasible and could be a logical alternative to classical laparoscopic splenectomy by combining the advantages of single access techniques and standard laparoscopy.

  3. Aerosol light scattering measurements as a function of relative humidity: a comparison between measurements made at three different sites

    Science.gov (United States)

    Day, Derek E.; Malm, William C.

    The water uptake by fine aerosol particles in the atmosphere has been investigated at three rural National Parks in the United States (Great Smoky Mountains, Grand Canyon and Big Bend National Parks). The relative humidity (RH) of sample aerosols was varied from less than 20% to greater than 90% using Perma Pure drying tubes as the scattering coefficient of the aerosol was measured with a Radiance Research M903 nephelometer. Data from these studies show that growth curves at all the three sites are similar in shape but the magnitude of growth can vary considerably from day to day. The growth curves from Great Smoky Mountains show smooth continuous growth over the entire range of RH, while the growth curves from the Grand Canyon and Big Bend show smooth and continuous growth on some days and deliquescence on other days. Comparing 12-h filter samples of chemical composition data with the aerosol growth curves, we find that higher fractions of soluble inorganic compounds (sulfate and nitrate) produce growth curves of greater magnitude than do higher concentrations of either organic carbon or soil material.

  4. Donor-site morbidity after fibula free flap transfer: a comparison of subjective evaluation using a visual analogue scale and point evaluation system.

    Science.gov (United States)

    Vittayakittipong, P

    2013-08-01

    The aims of this study were: (1) to compare the visual analogue scale (VAS) with the point evaluation system (PES) in the subjective evaluation of donor-site morbidity after fibula free flap transfer; (2) to compare the functional outcomes of fibula free flap surgery between patients with a normal body mass index (BMI) and patients with a high BMI, and between skin paddle and non-skin paddle harvesting; and (3) to determine the correlation between functional outcomes and related factors. This study included 15 patients who underwent a vascularized fibula free flap transfer for oral and maxillofacial reconstruction. Demographic data, preoperative, intraoperative, and postoperative data were collected. Subjective self-evaluation of functional outcomes was done using a VAS followed by a PES. Comparison of the VAS and PES scores was assessed with Pearson's correlation coefficient. The statistical significance was set at P<0.05. The VAS score was significantly correlated with the PES score (r=0.63, P=0.01). The tourniquet times for the skin paddle group were longer than for the non-skin paddle group (P=0.02), while the satisfaction score of the non-skin paddle group was higher than that of the skin paddle group (P=0.03). The VAS is a potential option for the subjective evaluation of donor-site morbidity after fibula free flap transfer.

  5. Monte carlo simulation of base and nucleotide excision repair of clustered DNA damage sites. II. Comparisons of model predictions to measured data.

    Science.gov (United States)

    Semenenko, V A; Stewart, R D

    2005-08-01

    Clustered damage sites other than double-strand breaks (DSBs) have the potential to contribute to deleterious effects of ionizing radiation, such as cell killing and mutagenesis. In the companion article (Semenenko et al., Radiat. Res. 164, 180-193, 2005), a general Monte Carlo framework to simulate key steps in the base and nucleotide excision repair of DNA damage other than DSBs is proposed. In this article, model predictions are compared to measured data for selected low-and high-LET radiations. The Monte Carlo model reproduces experimental observations for the formation of enzymatic DSBs in Escherichia coli and cells of two Chinese hamster cell lines (V79 and xrs5). Comparisons of model predictions with experimental values for low-LET radiation suggest that an inhibition of DNA backbone incision at the sites of base damage by opposing strand breaks is active over longer distances between the damaged base and the strand break in hamster cells (8 bp) compared to E. coli (3 bp). Model estimates for the induction of point mutations in the human hypoxanthine guanine phosphoribosyl transferase (HPRT) gene by ionizing radiation are of the same order of magnitude as the measured mutation frequencies. Trends in the mutation frequency for low- and high-LET radiation are predicted correctly by the model. The agreement between selected experimental data sets and simulation results provides some confidence in postulated mechanisms for excision repair of DNA damage other than DSBs and suggests that the proposed Monte Carlo scheme is useful for predicting repair outcomes.

  6. Comparison of soil sampling and analytical methods for asbestos at the Sumas Mountain Asbestos Site-Working towards a toolbox for better assessment.

    Science.gov (United States)

    Wroble, Julie; Frederick, Timothy; Frame, Alicia; Vallero, Daniel

    2017-01-01

    Established soil sampling methods for asbestos are inadequate to support risk assessment and risk-based decision making at Superfund sites due to difficulties in detecting asbestos at low concentrations and difficulty in extrapolating soil concentrations to air concentrations. Environmental Protection Agency (EPA)'s Office of Land and Emergency Management (OLEM) currently recommends the rigorous process of Activity Based Sampling (ABS) to characterize site exposures. The purpose of this study was to compare three soil analytical methods and two soil sampling methods to determine whether one method, or combination of methods, would yield more reliable soil asbestos data than other methods. Samples were collected using both traditional discrete ("grab") samples and incremental sampling methodology (ISM). Analyses were conducted using polarized light microscopy (PLM), transmission electron microscopy (TEM) methods or a combination of these two methods. Data show that the fluidized bed asbestos segregator (FBAS) followed by TEM analysis could detect asbestos at locations that were not detected using other analytical methods; however, this method exhibited high relative standard deviations, indicating the results may be more variable than other soil asbestos methods. The comparison of samples collected using ISM versus discrete techniques for asbestos resulted in no clear conclusions regarding preferred sampling method. However, analytical results for metals clearly showed that measured concentrations in ISM samples were less variable than discrete samples.

  7. A comparison of cloud layers from ground and satellite active remote sensing at the Southern Great Plains ARM site

    Science.gov (United States)

    Zhang, Jinqiang; Xia, Xiang'ao; Chen, Hongbin

    2017-03-01

    Using the data collected over the Southern Great Plains ARM site from 2006 to 2010, the surface Active Remote Sensing of Cloud (ARSCL) and CloudSat-CALIPSO satellite (CC) retrievals of total cloud and six specified cloud types [low, mid-low (ML), high-mid-low (HML), mid, high-mid (HM) and high] were compared in terms of cloud fraction (CF), cloud-base height (CBH), cloud-top height (CTH) and cloud thickness (CT), on different temporal scales, to identify their respective advantages and limitations. Good agreement between the two methods was exhibited in the total CF. However, large discrepancies were found between the cloud distributions of the two methods at a high (240-m) vertical grid spacing. Compared to the satellites, ARSCL retrievals detected more boundary layer clouds, while they underestimated high clouds. In terms of the six specific cloud types, more low- and mid-level clouds but less HML- and high-level clouds were detected by ARSCL than by CC. In contrast, the ARSCL retrievals of ML- and HM-level clouds agreed more closely with the estimations from the CC product. Lower CBHs tended to be reported by the surface data for low-, ML- and HML-level clouds; however, higher CTHs were often recorded by the satellite product for HML-, HM- and high-level clouds. The mean CTs for low- and ML-level cloud were similar between the two products; however, the mean CTs for HML-, mid-, HM- and high-level clouds from ARSCL were smaller than those from CC.

  8. Multiple Natural Hazards Assessment and Comparison to Planned Land Use in an Andean Touristic Site within the Riskscape Central Chile

    Science.gov (United States)

    Braun, Andreas; Jaque Castillo, Edilia

    2017-04-01

    The Andes of central Chile are a natural environment characterized by multiple natural hazards (mass movements, volcanic hazards, seismic hazards, snow avalanches to name a few). The totality of these hazards, according to the notion of Müller-Mahn et al. an in relation to vulnerable entities, spans a riskscape. Spatial planning should take this riskscape into account in order to ensure a save an resilient regional development. However, as frequently observed in developing or newly developed countries, such precaution measures are only hardly realized. Spatial planing tends to be reactive to private inversion, opportunistic and frequently clientelistic. This results in spatial structures whose future development is vulnerable to natural disasters. The contribution analyses these circumstances within a riskscape in central Chile. Within the VIII. Region, close to the volcanic complex Nevados de Chillan, a touristic development around a Hotel for winter sports is established. However, the place is affected by a multitude of natural hazards. The contribution, on the basis of primary and secondary data, first provides hazard maps for several natural hazards. Secondly, the individual hazard maps are merged to an overall hazard map. This overall hazard map is related to the vulnerable entities to span a riskscape. The vulnerable entities are settlements, but also tourist infrastructures. Then, the contribution compares how a precautions spatial planning could have avoided putting vulnerable entities at risk, which spatial structure - especially regarding tourism - is actually found and which challenges for spatial development do exist. It reveals that the most important tourist infrastructures are found particularly at places, characterized by a high overall hazard. Furthermore, it will show that alternatives at economically equally attractive sites, but with a much smaller overall hazard, would have existed. It concludes by discussing possible reasons for this by

  9. Comparison between seismic and domestic risk in moderate seismic hazard prone region: the Grenoble City (France test site

    Directory of Open Access Journals (Sweden)

    F. Dunand

    2012-02-01

    Full Text Available France has a moderate level of seismic activity, characterized by diffuse seismicity, sometimes experiencing earthquakes of a magnitude of more than 5 in the most active zones. In this seismicity context, Grenoble is a city of major economic and social importance. However, earthquakes being rare, public authorities and the decision makers are only vaguely committed to reducing seismic risk: return periods are long and local policy makers do not have much information available. Over the past 25 yr, a large number of studies have been conducted to improve our knowledge of seismic hazard in this region. One of the decision-making concerns of Grenoble's public authorities, as managers of a large number of public buildings, is to know not only the seismic-prone regions, the variability of seismic hazard due to site effects and the city's overall vulnerability, but also the level of seismic risk and exposure for the entire city, also compared to other natural or/and domestic hazards. Our seismic risk analysis uses a probabilistic approach for regional and local hazards and the vulnerability assessment of buildings. Its applicability to Grenoble offers the advantage of being based on knowledge acquired by previous projects conducted over the years. This paper aims to compare the level of seismic risk with that of other risks and to introduce the notion of risk acceptability in order to offer guidance in the management of seismic risk. This notion of acceptability, which is now part of seismic risk consideration for existing buildings in Switzerland, is relevant in moderately seismic-prone countries like France.

  10. Comparison of PM10 concentrations and metal content in three different sites of the Venice Lagoon: An analysis of possible aerosol sources

    Institute of Scientific and Technical Information of China (English)

    Daniele Contini; Franco Belosi; Andrea Gambaro; Daniela Cesari; Angela Maria Stortini; Maria Chiara Bove

    2012-01-01

    The Venice Lagoon is exposed to atmospheric pollutants from industrial activities,thermoelectric power plants,petrochemical plants,incinerator,domestic heating,ship traffic,glass factories and vehicular emissions on the mainland.In 2005,construction began on the mobile dams (MOSE),one dam for each channel connecting the lagoon to the Adriatic Sea as a barrier against high tide.These construction works could represent an additional source of pollutants.PM10 samples were taken on random days between 2007 and 2010 at three different sites:Punta Sabbioni,Chioggia and Malamocco,located near the respective dam construction worksites.Chemical analyses of V,Cr,Fe,Co,Ni,Cu,Zn,As,Mo,Cd,Sb,T1 and Pb in PM10 samples were performed by Inductively coupled plasmaquadrupole mass spectrometry (ICP-QMS) and results were used to identify the main aerosol sources.The correlation of measured data with meteorology,and source apportionment,failed to highlight a contribution specifically associated to the emissions of the MOSE construction works.The comparison of the measurements at the three sites showed a substantial homogeneity of metal concentrations in the area.Source apportionment with principal component analysis (PCA) and positive matrix factorization (PMF) showed that a four principal factors model could describe the sources of metals in PM10.Three of them were assigned to specific sources in the area and one was characterised as a source of mixed origin (anthropogenic and crustal).A specific anthropogenic source of PM10 rich in Ni and Cr,active at the Chioggia site,was also identified.

  11. Transoral vertebral augmentation with polymethylmethacrylate in the treatment of a patient with a dens fracture nonunion and subarticular vertebral body fracture of C2.

    Science.gov (United States)

    Beall, Douglas P; Stanfield, Matthew; Martin, Hal D; Stapp, Annette M

    2007-05-01

    The injection of polymethylmethacrylate (PMMA) is a minimally invasive, image-guided procedure used to treat vertebral fractures due to osteoporosis, metastatic lesions, multiple myeloma, and benign but destabilizing bone tumors. The injection of PMMA into the C2 vertebral body using the transoral technique has been reported in three separate patients for treatment of benign tumors (a vertebral hemangioma and an aneurysmal bone cyst) and for multiple myeloma in the third patient. Although the injection of PMMA into the vertebral body is most commonly performed to treat benign vertebral compression fractures, a transoral C2 approach has not been reported in the English literature as a treatment for a benign fracture of C2. We report the treatment of a fracture and nonunion of the base of the dens and a subarticular fracture of the vertebral body of C2 using a bilateral transoral approach.

  12. Site-Specific Management of Miscanthus Genotypes for Combustion and Anaerobic Digestion: A Comparison of Energy Yields.

    Science.gov (United States)

    Kiesel, Andreas; Nunn, Christopher; Iqbal, Yasir; Van der Weijde, Tim; Wagner, Moritz; Özgüven, Mensure; Tarakanov, Ivan; Kalinina, Olena; Trindade, Luisa M; Clifton-Brown, John; Lewandowski, Iris

    2017-01-01

    In Europe, the perennial C4 grass miscanthus is currently mainly cultivated for energy generation via combustion. In recent years, anaerobic digestion has been identified as a promising alternative utilization pathway. Anaerobic digestion produces a higher-value intermediate (biogas), which can be upgraded to biomethane, stored in the existing natural gas infrastructure and further utilized as a transport fuel or in combined heat and power plants. However, the upgrading of the solid biomass into gaseous fuel leads to conversion-related energy losses, the level of which depends on the cultivation parameters genotype, location, and harvest date. Thus, site-specific crop management needs to be adapted to the intended utilization pathway. The objectives of this paper are to quantify (i) the impact of genotype, location and harvest date on energy yields of anaerobic digestion and combustion and (ii) the conversion losses of upgrading solid biomass into biogas. For this purpose, five miscanthus genotypes (OPM 3, 6, 9, 11, 14), three cultivation locations (Adana, Moscow, Stuttgart), and up to six harvest dates (August-March) were assessed. Anaerobic digestion yielded, on average, 35% less energy than combustion. Genotype, location, and harvest date all had significant impacts on the energy yield. For both, this is determined by dry matter yield and ash content and additionally by substrate-specific methane yield for anaerobic digestion and moisture content for combustion. Averaged over all locations and genotypes, an early harvest in August led to 25% and a late harvest to 45% conversion losses. However, each utilization option has its own optimal harvest date, determined by biomass yield, biomass quality, and cutting tolerance. By applying an autumn green harvest for anaerobic digestion and a delayed harvest for combustion, the conversion-related energy loss was reduced to an average of 18%. This clearly shows that the delayed harvest required to maintain biomass quality

  13. Comparison of Field Groundwater Biostimulation Experiments Using Polylactate and Lactate Solutions at the Chromium-Contaminated Hanford 100-H Site

    Science.gov (United States)

    Hazen, T. C.; Faybishenko, B.; Beller, H. R.; Brodie, E. L.; Sonnenthal, E. L.; Steefel, C.; Larsen, J.; Conrad, M. E.; Bill, M.; Christensen, J. N.; Brown, S. T.; Joyner, D.; Borglin, S. E.; Geller, J. T.; Chakraborty, R.; Nico, P. S.; Long, P. E.; Newcomer, D. R.; Arntzen, E.

    2011-12-01

    The primary contaminant of concern in groundwater at the DOE Hanford 100 Area (Washington State) is hexavalent chromium [Cr(VI)] in Hanford coarse-grained sediments. Three lactate injections were conducted in March, August, and October 2010 at the Hanford 100-H field site to assess the efficacy of in situ Cr(VI) bioreductive immobilization. Each time, 55 gal of lactate solution was injected into the Hanford aquifer. To characterize the biogeochemical regimes before and after electron donor injection, we implemented a comprehensive plan of groundwater sampling for microbial, geochemical, and isotopic analyses. These tests were performed to provide evidence of transformation of toxic and soluble Cr(VI) into less toxic and poorly soluble Cr(III) by bioimmobilization, and to quantify critical and interrelated microbial metabolic and geochemical mechanisms affecting chromium in situ reductive immobilization and the long-term sustainability of chromium bioremediation. The results of lactate injections were compared with data from two groundwater biostimulation tests that were conducted in 2004 and 2008 by injecting Hydrogen Release Compound (HRC°), a slow-release glycerol polylactate, into the Hanford aquifer. In all HRC and lactate injection tests, 13C-labeled lactate was added to the injected solutions to track post-injection carbon pathways. Monitoring showed that despite a very low initial total microbial density (from 107 cells/mL (including sulfate- and nitrate-reducing bacteria), resulting in a significant decrease in soluble Cr(VI) concentrations to below the MCL. In all tests, lactate was consumed nearly completely within the first week, much faster than HRC. Modeling of biogeochemical and isotope fractionation processes with the reaction-transport code TOUGHREACT captured the biodegradation of lactate, fermentative production of acetate and propionate, the evolution of 13C in bicarbonate, and the rate of sulfate reduction. In contrast to the slow-release HRC

  14. Reconstructing Holocene palaeo-environmental conditions in the Baltic: A multi-proxy comparison from the Little Belt (IODP Expedition 347, Site M0059)

    Science.gov (United States)

    Kotthoff, Ulrich; Andrén, Elinor; Andrén, Thomas; Ash, Jeanine; Bauersachs, Thorsten; Fanget, Anne-Sophie; Granoszewski, Wojciech; Groeneveld, Jeroen; Krupinski, Nadine; Peyron, Odile; Slomp, Caroline; Stepanova, Anna; Warnock, Jonathan; van Helmond, Niels; Expedition 347 Science Party

    2016-04-01

    Some of the largest marine environmental impacts from ongoing global climate change are occurring in continental shelf seas and enclosed basins, including severe oxygen depletion, intensifying stratification, and increasing temperatures. In order to predict future changes in water mass conditions, it is essential to reconstruct how these conditions have changed in the past against the background of climate changes. The brackish Baltic Sea is one of the largest semi-enclosed basins worldwide, and its sediment records provide a unique opportunity to analyse palaeo-environmental and climate change in central and northern Europe. IODP Expedition 347 recovered an exceptional set of sediment cores from the Baltic Sea which allow high-resolution reconstructions in unprecedented quality. We present a comparison of commonly-used proxies to reconstruct palaeoecosystems, -temperatures, and -salinity from IODP Site M0059 in the Little Belt over the past ˜8000 years. Our aim is to reconstruct the development of the terrestrial and marine ecosystems in the research area and the related environmental conditions, and to identify potential limitations of individual proxies. The age model for Site M0059 is based on 14Cdating, biostratigraphic correlation with neighbouring terrestrial pollen records, and sediment stratigraphy. Sedimentary organic carbon content and the bulk elemental composition have been measured, and can be used to determine the depositional environment and degree of oxygen depletion (e.g., Mo, Corg/Ptot). Pollen is used as proxy for vegetation development in the hinterland of the southern Baltic Sea and as a land/air-temperature proxy. Comparison with dinoflagellate cysts, insect remains, and green algae remains from the same samples provides a direct land-sea comparison. The application of the modern analogues technique to pollen assemblages has previously yielded precise results for late Pleistocene and Holocene datasets, including specific information on

  15. Comparison and evaluation of the Chang'E microwave radiometer data based on theoretical computation of brightness temperatures at the Apollo 15 and 17 sites

    Science.gov (United States)

    Hu, Guo-Ping; Chan, Kwing L.; Zheng, Yong-Chun; Tsang, Kang T.; Xu, Ao-Ao

    2017-09-01

    There are significant differences (in the order of 3 to 20 K) between the lunar brightness temperatures (TBs) as measured by the microwave radiometers (MRM) onboard Chang'E (CE)-1 and -2. To determine which set is more accurate, we have carried out a dataset comparison using theoretical calculations of the TBs (four frequency channels) versus local time at the Apollo 15 and 17 landing sites, where the thermal parameters are well-constrained by the in-situ measurements. Based on these parameters, we sought to constrain fits between theory and observation, as uncertainties still exist in parameters involved in the microwave transfer computation. We found that: (i) CE-1/2 TBs have almost constant biases (negative, different for different channels) from the theoretical TBs. The averaged biases for each channel are smaller for CE-1; (ii) TBs of the high frequency channels (19.35/37 GHz) show a better fit with theory than the low frequency channels. The channel 4 (37 GHz) TBs from CE-1 are consistently shifted by about 1 K from the theoretical values. Adjustments in the order of 20 K are instead needed for the two CE-2 low frequency channels (3/7.8 GHz). Based on this comparison, we conclude that the CE-1 dataset to be more accurate than CE-2 one in terms of temperature accuracy (not spatial resolution). We also offer a possible explanation for the significant TB differences between CE-1 and CE-2, and propose a possible recalibration method as a starting point towards the realignment of the two datasets.

  16. A first principles comparison of the mechanism and site requirements for the electrocatalytic oxidation of methanol and formic acid over Pt.

    Science.gov (United States)

    Neurock, Matthew; Janik, Michael; Wieckowski, Andrzej

    2008-01-01

    First principles density functional theoretical calculations were carried out to examine and compare the reaction paths and ensembles for the electrocatalytic oxidation of methanol and formic acid in the presence of solution and applied electrochemical potential. Methanol proceeds via both direct and indirect pathways which are governed by the initial C-H and O-H bond activation, respectively. The primary path requires an ensemble size of between 3-4 Pt atoms, whereas the secondary path is much less structure sensitive, requiring only 1-2 metal atoms. The CO that forms inhibits the surface at potentials below 0.66 V NHE. The addition of Ru results in bifunctional as well as electronic effects that lower the onset potential for CO oxidation. In comparison, formic acid proceeds via direct, indirect and formate pathways. The direct path, which involves the activation of the C-H bond followed by the rapid activation of the O-H bond, was calculated to be the predominant path especially at potentials greater than 0.6 V. The activation of the O-H bond of formic acid has a very low barrier and readily proceeds to form surface formate intermediates as the first step of the indirect formate path. Adsorbed formate, however, was calculated to be very stable, and thus acts as a spectator species. At potentials below 0.6 V NHE, CO, which forms via the non-Faradaic hydrolytic splitting of the C-O bond over stepped or defect sites in the indirect path, can build up and poison the surface. The results indicate that the direct path only requires a single Pt atom whereas the indirect path requires a larger surface ensemble and stepped sites. This suggests that alloys will not have the same influence on formic acid oxidation as they do for methanol oxidation.

  17. Modeling the development of a target site resistant Apera spica-venti (L. P. Beauv. population – A comparison of model output and field data

    Directory of Open Access Journals (Sweden)

    Rummland, Janin

    2014-02-01

    Full Text Available A population dynamic model was combined with a genetic model and embedded into a cellular automaton. The model was evaluated with data from two three year field trials which were conducted on commercial fields in Lower Saxony and Saxony where target-site resistance to acetolactate synthase (ALS inhibitors was detected in Apera spica-venti. The cropping system consisted of continuous winter wheat in the trial period. On four plots different herbicide strategies were tested. These were continuous application of a soil herbicide, alternation between ALS inhibitor and soil herbicide, continuous use of an ALS inhibitor and two applications per growing season with different mode of actions (MoA. In the beginning of the trial soil samples were taken to estimate the number of viable seeds in the seed bank. This data was used to produce seed distribution maps by interpolating the estimated seed data over the field. These seed maps were then used as the initial seed bank in the model and simulations over three years were executed with the assumption of herbicide use as conducted in the field trial. A comparison of the model output with the field data showed very good analogies in the weed density. Also the development of resistance was reproduced well. The model can now be used to assess herbicide management strategies concerning the development of herbicide resistance for A. spica-venti.

  18. A Prospective Comparison of 18F-FDG PET/CT and CT as Diagnostic Tools to Identify the Primary Tumor Site in Patients with Extracervical Carcinoma of Unknown Primary Site

    DEFF Research Database (Denmark)

    Moller, Anne Kirstine H; Loft, Annika; Berthelsen, Anne K

    2012-01-01

    ), true-negative, false-negative, and false-positive results.Results. SR identified a primary tumor site in 66 CUP patients (48.9%). PET/CT identified 38 TP primary tumor sites and CT identified 43 TP primary tumor sites. No statistically significant differences were observed between (18)F-FDG PET...

  19. Comparative analysis between extracorporeal shock wave and surgical treatment of nonunion%体外冲击波疗法与手术治疗骨不连疗效对比分析

    Institute of Scientific and Technical Information of China (English)

    王志强; 赵栋; 谢鹏; 王景贵

    2012-01-01

    [Objective] To explore the effect of shock wave in the treatment of nonunion. [ Methods] Shock wave group, 50 nonunion patients, shock wave treatment was used for 2 to 4 times and the treatment interval was 7~10 days. Surgery group, 35 cases of nonunion, according to the patient's condition different surgical approach were applied. [ Results] Two groups of patients received an average 11 months follow-up. In the shock wave group 46 patients healed, and in the surgical group 32 patients healed. [Conclusion]In the case of similar efficacy, extracorporeal shock wave therapy of nonunion is non-invasive, low cost, without hospitalization, but forgetting satisfactory results, indications must be strictly followed.%[目的]探讨冲击波在治疗骨不连中的疗效.[方法]冲击波组50例骨不连患者,应用冲击波治疗2~4次,治疗间隔7~10d.手术组,35例骨不连患者,根据患者病情选择不同的手术方式.[结果]两组患者均获平均11个月随访,冲击波组46例愈合,手术组32例愈合.[结论]在疗效相近的情况下,体外冲击波治疗骨不连具有无创、费用低、无需住院等优点,但要获得满意的疗效,必须严格掌握适应证.

  20. 治疗胫骨骨折不愈合的正中植骨方法介绍%Introducing a method of central bone grafting for nonunion of tiabial fractures

    Institute of Scientific and Technical Information of China (English)

    张功林; 葛宝丰

    2012-01-01

    引起胫骨骨折不愈合的原因较多,主要有局部感染、软组织缺损、骨缺损、骨折对位不良、骨端髓腔闭塞以及损伤的严重程度等.正中植骨方法(Central bone grafting)治疗选择性胫骨骨折不愈合优于其他治疗方法,并发症较低.该方法采用外侧入路,经腓骨的前侧进入,将取自髂骨的新鲜自体骨植在胫腓骨之间和胫骨不愈合平面的上下端.应用内固定有利于纠正骨折畸形和促进骨折愈合.正中植骨技术是治疗胫骨不愈合安全有效的方法.%Nonunion of the tibia fracture may be caused by local infection,soft tissue defect,bone defect,fracture malaignment, bone marrow cavity block and degree of injury and so on. For less complications, central bone grafting is better than other methods for the treatment of selected nonunions of the tibia fracture. This procedure is performed through lateral approach, anterior to the fibula. Fresh autogenous bone from the iliac crest is used to form a central bridge between the tibia and fibula and the nonunion of the tibia at top and below. Application of internal fixation is beneficial to correct deformity and promote fracture healing. Central bone grafting is a safe and effective treatment for nonunions of the tibia.

  1. Efficient chain moves for Monte Carlo simulations of a wormlike DNA model: excluded volume, supercoils, site juxtapositions, knots, and comparisons with random-flight and lattice models.

    Science.gov (United States)

    Liu, Zhirong; Chan, Hue Sun

    2008-04-14

    We develop two classes of Monte Carlo moves for efficient sampling of wormlike DNA chains that can have significant degrees of supercoiling, a conformational feature that is key to many aspects of biological function including replication, transcription, and recombination. One class of moves entails reversing the coordinates of a segment of the chain along one, two, or three axes of an appropriately chosen local frame of reference. These transformations may be viewed as a generalization, to the continuum, of the Madras-Orlitsky-Shepp algorithm for cubic lattices. Another class of moves, termed T+/-2, allows for interconversions between chains with different lengths by adding or subtracting two beads (monomer units) to or from the chain. Length-changing moves are generally useful for conformational sampling with a given site juxtaposition, as has been shown in previous lattice studies. Here, the continuum T+/-2 moves are designed to enhance their acceptance rate in supercoiled conformations. We apply these moves to a wormlike model in which excluded volume is accounted for by a bond-bond repulsion term. The computed autocorrelation functions for the relaxation of bond length, bond angle, writhe, and branch number indicate that the new moves lead to significantly more efficient sampling than conventional bead displacements and crankshaft rotations. A close correspondence is found in the equilibrium ensemble between the map of writhe computed for pair of chain segments and the map of site juxtapositions or self-contacts. To evaluate the more coarse-grained freely jointed chain (random-flight) and cubic lattice models that are commonly used in DNA investigations, twisting (torsional) potentials are introduced into these models. Conformational properties for a given superhelical density sigma may then be sampled by computing the writhe and using White's formula to relate the degree of twisting to writhe and sigma. Extensive comparisons of contact patterns and knot

  2. First characterization and comparison of TEB model simulations with in situ measurements regarding radiation balance in a single urban canyon at the BOKU site (Vienna)

    Science.gov (United States)

    Oswald, Sandro; Trimmel, Heidelinde; Revesz, Michael; Nadeem, Imran; Masson, Valéry; Weihs, Philipp

    2017-04-01

    According to the World Health Organization more than half of the world population lives in a city since 2010. Predictions foresee that by 2030 six out of ten people will live in an urban area. As a result, many cities are expanding in size. Almost 10% of all urban dwellers live in megacities (defined according to UN HABITAT as a city with a population of more than 10 million). There are several effects in cities which strongly influence human health. Visible influences like the severe emissions of air pollutants by industry and traffic (e.g. Mayer H., 1999, Grimmond et al., 2010) are obvious to people but thermal stress in urban areas is only recently recognized for its strong devastating effect on human health. As a consequence, the urban environment virtually influences all weather parameters that have an impact on human comfort and thermal stress. Within this study, we investigate effects of city growth and the development of outlying districts on the local climate of Vienna. We focus particularly on the influence of urban heat island and consequent the risk for heat related illnesses or thermal stress for people. To quantify radiation balance and other important meteorological factors, we performed an extensive field campaign with three types of net radiometer in three different heights at BOKU site in August 2016. The first results indicated a strong correlation (ρ=0.96) between the Town Energy Balance (TEB) model and the measurements of the top net radiometer regarding radiation balance at roof level, meanwhile the TEB results are slightly underestimated. Further check if the measurements are reasonable, a comparison of the input values (global and direct solar radiation) for the TEB simulation with Secondary Standard measurements of ARAD site Wien Hohe Warte shows a deviation under 2% concerning interquartile range on clear sky days. The next steps will enclose TEB simulations, coupled with the mesoscale Weather Research and Forecasting (WRF) model, for

  3. 锁定加压钢板治疗骨折术后骨不连20例效果分析%Effect analysis of locking compression plate in the treatment of nonunion after fracture operation in 20 cases

    Institute of Scientific and Technical Information of China (English)

    曾雪松

    2016-01-01

    目的:观察使用锁定加压钢板(LCP)治疗20例骨折术后骨不连的临床效果。方法:对20例骨折术后骨不连患者给予锁定加压钢板方法治疗,观察疗效。结果:愈合率90.0%,平均愈合时间(7.2±0.3)个月。结论:使用锁定加压钢板治疗骨折术后骨不连的临床效果较好。%Objective:To observe the clinical effect of using locking compression plate in the treatment of nonunion after fracture operation in 20 cases.Methods:20 patients with nonunion after fracture operation were given locking compression plate method treatment.The curative effect was observed.Results:The healing rate was 90.0% ,and the average healing time was (7.2 ± 0.3) months.Conclusion:The clinical effect of using locking compression plate in the treatment of nonunion after fracture operation is better.

  4. Multi-EM27/SUN Total Carbon Column Observing Network (TCCON) Comparison at the Southern Great Plains Site Field Campaign Report

    Energy Technology Data Exchange (ETDEWEB)

    Parker, H. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Hedelius, J. [California Inst. of Technology (CalTech), Pasadena, CA (United States)

    2016-04-01

    During the summer of 2015, a field campaign took place to help characterize off-the-shelf portable solar-viewing Fourier Transform Spectrometer (FTS) instruments (EM27/SUN). These instruments retrieve greenhouse gas (GHG) abundances from direct solar spectra. A focus of this campaign was to test possible dependence on different atmospheric conditions. Along with the U.S. Department of Energy’s Atmospheric Radiation Measurement (ARM) Climate Research Facility Southern Great Plains (SGP) site in Oklahoma, experiments were conducted in Pasadena, California; Park Falls, Wisconsin; and the Armstrong Flight Research Center (AFRC), California. These locations are home to instruments in the Total Column Carbon Observing Network (TCCON). TCCON measurements were used as standards for the portable (EM27/SUN) measurements. Comparisons between the two types of instruments are crucial in the attempt to use the portable instruments to broaden the capabilities of GHG measurements for monitoring, reporting, and verification of carbon in the atmosphere. This campaign was aimed at testing the response of the portable FTS to different atmospheric conditions both local and regional. Measurements made at ARM SGP provided data in an agricultural environment with a relatively clean atmosphere with respect to pollution. Due to the homogeneity of the region surrounding Lamont, Oklahoma, portable FTS measurements were less effected by large changes in column GHG abundances from air mass movement between regions. These conditions aided in characterizing potential artificial solar zenith angle dependence of the retrievals. Data collected under atmospheric conditions at ARM SGP also provide for the analysis of cloud interference on solar spectra. In situ measurements were also made using a Picarro isotopic methane analyzer to determine surface-level in situ GHG concentrations and possible influences due to local agriculture and nearby towns. Data collected in this campaign have been presented

  5. Functional state of blood circulation and neuromuscular system of the lower limb of patients with congenital pseudarthrosis of the tibia after consolidation of the nonunion

    Directory of Open Access Journals (Sweden)

    Александр Павлович Поздеев

    2015-12-01

    Full Text Available The aim of this study was to evaluate the clinical and functional state of the neuromuscular system and the blood supply to the lower limbs of children with congenital pseudarthrosis of the tibia (CPT after consolidation. Material and Methods. A total of 100 patients with CPT were analyzed. We performed a clinical examination of patients, panoramic X-ray of the lower extremities, electroneuromyogram, and reovasography. Results and Conclusions. The primary complaints of patients with CPT after the consolidation of the non-union were lameness, deformations of lower extremities, and pain in the local joints. The electromyoneuromyogram data of the lower limbs of patients with CPT exhibited a decrease of the contractility of the muscles of the lower limbs, and neuropathy of the peroneal nerves of both lower limbs. The reovasography data of the lower limbs of patients with CPT displayed improvement in blood circulation in the lower extremities after the consolidation of the tibia. These data promote the current methods of treatment of patients with CPT; however, the temperature, degree of limb lengthening, and deformity correction should be considered in the future.

  6. Genomic and microarray analysis of aromatics degradation in Geobacter metallireducens and comparison to a Geobacter isolate from a contaminated field site

    Directory of Open Access Journals (Sweden)

    Zhou Jizhong

    2007-06-01

    Full Text Available Abstract Background Groundwater and subsurface environments contaminated with aromatic compounds can be remediated in situ by Geobacter species that couple oxidation of these compounds to reduction of Fe(III-oxides. Geobacter metallireducens metabolizes many aromatic compounds, but the enzymes involved are not well known. Results The complete G. metallireducens genome contained a 300 kb island predicted to encode enzymes for the degradation of phenol, p-cresol, 4-hydroxybenzaldehyde, 4-hydroxybenzoate, benzyl alcohol, benzaldehyde, and benzoate. Toluene degradation genes were encoded in a separate region. None of these genes was found in closely related species that cannot degrade aromatic compounds. Abundant transposons and phage-like genes in the island suggest mobility, but nucleotide composition and lack of synteny with other species do not suggest a recent transfer. The inferred degradation pathways are similar to those in species that anaerobically oxidize aromatic compounds with nitrate as an electron acceptor. In these pathways the aromatic compounds are converted to benzoyl-CoA and then to 3-hydroxypimelyl-CoA. However, in G. metallireducens there were no genes for the energetically-expensive dearomatizing enzyme. Whole-genome changes in transcript levels were identified in cells oxidizing benzoate. These supported the predicted pathway, identified induced fatty-acid oxidation genes, and identified an apparent shift in the TCA cycle to a putative ATP-yielding succinyl-CoA synthase. Paralogs to several genes in the pathway were also induced, as were several putative molybdo-proteins. Comparison of the aromatics degradation pathway genes to the genome of an isolate from a contaminated field site showed very similar content, and suggested this strain degrades many of the same compounds. This strain also lacked a classical dearomatizing enzyme, but contained two copies of an eight-gene cluster encoding redox proteins that was 30-fold

  7. A comparison between standard well test evaluation methods used in SKB's site investigations and the generalised radial flow concept

    Energy Technology Data Exchange (ETDEWEB)

    Follin, Sven (SF GeoLogic AB (Sweden)); Ludvigson, Jan-Erik; Leven, Jakob (Geosigma AB (Sweden))

    2011-09-15

    According to the strategy for hydrogeological characterisation within the SKB's site investigation programme, two single-hole test methods are available for testing and parameterisation of groundwater flow models - constant-head injection testing with the Pipe String System (PSS method) and difference flow logging with the Posiva Flow Log (PFL method). This report presents the results of an investigation to assess discrepancies in the results of single-hole transmissivity measurements using these methods in the Forsmark site characterisation. The investigation explores the possibility that the source of the discrepancy observed lies in the assumptions of the flow geometry that are inherent to the methods used for standard constant-head injection well test analysis and difference flow logging analysis, respectively. In particular, the report looks at the generalised radial flow (GRF) concept by Barker (1988) as a means that might explain some of the differences. A confirmation of the actual flow geometries (dimensions) observed during hydraulic injection tests could help to identify admissible conceptual models for the tested system, and place the hydraulic testing with the PSS and PFL test methods in its full hydrogeological context. The investigation analyses 151 constant-head injection tests in three cored boreholes at Forsmark. The results suggest that the transmissivities derived with standard constant-head injection well test analysis methods and with the GRF concept, respectively, are similar provided that the dominating flow geometry during the testing is radial (cylindrical). Thus, having flow geometries with dimensions other than 2 affects the value of the interpreted transmissivity. For example, a flow system with a dimension of 1 may require an order of magnitude or more, higher transmissivity to produce the same flow rates. The median of the GRF flow dimensions of all 151 constant-head injection tests is 2.06 with 33% of the tests in the range 1

  8. Comparison of the effects of variable site temperatures and constant incubation temperatures on the biodegradation of petroleum hydrocarbons in pilot-scale experiments with field-aged contaminated soils from a cold regions site.

    Science.gov (United States)

    Chang, Wonjae; Whyte, Lyle; Ghoshal, Subhasis

    2011-02-01

    Temporal atmospheric temperature changes during summers at sub-Arctic sites often cause periodic fluctuations in shallow landfarm and surface soil temperatures. However, little information is available on the effect of site-relevant variations on biodegradation performance in cold climates. This study compares the rate and extents of biodegradation of petroleum hydrocarbons at variable site temperatures (1-10 °C) representative of summers at a sub-Arctic site reported previously with those obtained under a constant average temperature of 6 °C. The biodegradation was evaluated in pilot-scale landfarming experiments with field-aged petroleum-contaminated soils shipped from Resolution Island (61°30'N, 65°00'W), Nunavut, Canada. Under the variable site temperature conditions biodegradation rate constants of semi- (F2) and non-volatile (F3) hydrocarbon fractions were enhanced by over a factor of two during the 60-d experiment, compared to the constant temperature mode. The decrease in total petroleum hydrocarbons (TPH) under the variable site temperature mode was 55% compared to only 19% under the constant average temperature mode. The enhanced biodegradation is attributable to the non-linear acceleration of microbial activity between 4.7 and 10°C and faster growth of indigenous hydrocarbon-degrading microbial populations. The first-order biodegradation rate constants of 0.018, 0.024 and 0.016 d(-1) for TPH, F2 and F3 fractions at the variable site temperature were in agreement with those determined by an on-site experiment at the same site.

  9. Formation of secondary hematite and its role in attenuation of contaminants at mine tailings: review and comparison of sites in Zambia and Namibia

    OpenAIRE

    Sracek eOndra

    2015-01-01

    Mine tailings in African countries Zambia and Namibia have been investigated with an objective to determine the role of secondary hematite in immobilization of contaminants. Two sites, Chambishi and Mindolo, are located in the Copperbelt in Zambia with relatively humid climates and two sites, Berg Aukas and Kombat, are in Namibia, where the climate is semiarid. At the Chambishi site which is about 40 years old, a hardpan composed of hematite and gypsum has formed at a depth of about 60 cm and...

  10. A comparison of single- and multi-site calibration and validation: a case study of SWAT in the Miyun Reservoir watershed, China

    Science.gov (United States)

    Bai, Jianwen; Shen, Zhenyao; Yan, Tiezhu

    2017-09-01

    An essential task in evaluating global water resource and pollution problems is to obtain the optimum set of parameters in hydrological models through calibration and validation. For a large-scale watershed, single-site calibration and validation may ignore spatial heterogeneity and may not meet the needs of the entire watershed. The goal of this study is to apply a multi-site calibration and validation of the Soil andWater Assessment Tool (SWAT), using the observed flow data at three monitoring sites within the Baihe watershed of the Miyun Reservoir watershed, China. Our results indicate that the multi-site calibration parameter values are more reasonable than those obtained from single-site calibrations. These results are mainly due to significant differences in the topographic factors over the large-scale area, human activities and climate variability. The multi-site method involves the division of the large watershed into smaller watersheds, and applying the calibrated parameters of the multi-site calibration to the entire watershed. It was anticipated that this case study could provide experience of multi-site calibration in a large-scale basin, and provide a good foundation for the simulation of other pollutants in followup work in the Miyun Reservoir watershed and other similar large areas.

  11. Automated ground-based remote sensing measurements of greenhouse gases at the Bialystok site in comparison with collocated in situ measurements and model data

    NARCIS (Netherlands)

    Messerschmidt, J.; Chen, H.; Deutscher, N. M.; Gerbig, C.; Grupe, P.; Katrynski, K.; Koch, F. -T.; Lavric, J. V.; Notholt, J.; Roedenbeck, C.; Ruhe, W.; Warneke, T.; Weinzierl, C.

    2012-01-01

    The in situ boundary layer measurement site in Bialystok (Poland) has been upgraded with a fully automated observatory for total greenhouse gas column measurements. The automated Fourier Transform Spectrometer (FTS) complements the on-site in situ facilities and FTS solar absorption measurements hav

  12. Automated ground-based remote sensing measurements of greenhouse gases at the Bialystok site in comparison with collocated in situ measurements and model data

    NARCIS (Netherlands)

    Messerschmidt, J.; Chen, H.; Deutscher, N. M.; Gerbig, C.; Grupe, P.; Katrynski, K.; Koch, F. -T.; Lavric, J. V.; Notholt, J.; Roedenbeck, C.; Ruhe, W.; Warneke, T.; Weinzierl, C.

    2012-01-01

    The in situ boundary layer measurement site in Bialystok (Poland) has been upgraded with a fully automated observatory for total greenhouse gas column measurements. The automated Fourier Transform Spectrometer (FTS) complements the on-site in situ facilities and FTS solar absorption measurements hav

  13. Comparison of the G and V methods for ventrogluteal site identification: Muscle and subcutaneous fat thicknesses and considerations for successful intramuscular injection.

    Science.gov (United States)

    Larkin, Theresa A; Elgellaie, Asmahan; Ashcroft, Elfriede

    2017-07-28

    The ventrogluteal site is increasingly recommended for long-acting antipsychotic intramuscular injections; however, it remains infrequently utilized due to nurses' lack of confidence in site identification. The more recent G (geometric) method of ventrogluteal site identification is less subjective and likely more reliable than the V method for successful intramuscular injection outcomes. Knowledge of muscle and subcutaneous fat thicknesses, and the influence of sex and anthropometry on theoretical injection outcome, is necessary to support evidence-based use of the ventrogluteal site. In the presents study, we compared the V and G methods for injection site subcutaneous fat, muscle, and total tissue thicknesses, and theoretical injection outcome (bone injury, intramuscular or subcutaneous), and determined anthropometric predictors of injection outcome. Subcutaneous fat and muscle thicknesses were measured via ultrasound, bilaterally at V and G method sites (28 males, 32 females). Muscle and total tissue were significantly thicker, and successful intramuscular injection significantly more likely, using the G versus V method (75% versus 57%). Females had significantly thicker subcutaneous fat than males at both sites. Even using the G method, 92% of males but only 59% of females, would have a successful intramuscular injection, with remaining females at risk of bone injury (16%) or subcutaneous injection (25%). The G method site is more reliable for successful intramuscular injection, with less risk of bone injury than the V method site. Appropriate needle-length selection is essential for females with a body mass index (BMI) 30 kg m(-2) and hip >90 cm (to avoid subcutaneous injection). © 2017 Australian College of Mental Health Nurses Inc.

  14. 桡骨远端骨膜瓣转位治疗舟状骨骨折不愈合%Treatment of nonunion of scaphoid with transposition of distal radial periosteal flap

    Institute of Scientific and Technical Information of China (English)

    成超; 杨惠光

    2012-01-01

    目的:探讨桡骨远端骨膜瓣转位治疗舟状骨骨折不愈合的临床效果.方法:采取桡骨远端骨膜瓣转位治疗舟状骨骨折不愈合21例,对患者术前、术后腕关节功能采用改良Mayo腕关节功能评分进行评估.结果:21例均获得随访,随访时间6~ 19个月,优良率为95.2%.比较治疗前后腕关节功能,差异有统计学意义(P<0.01).结论:桡骨远端骨膜瓣转位是治疗舟状骨骨折不愈合的有效方法,其疗效满意.%Objective: To investigate the clinical efficacy of transposition of distal radial periosteal flap for treatment of scaphoid nonunion. Methods: Transposition of distal radial periosteal flap were underwent in 21 patients with nonunion of scaphoid, the wrist joint function was evaluated with modified Mayo score system before and after operation. Results: The follow-up time were from 6 to 19 months,the good rate of the effect was 95. 2%. The wrist joint function was different statistically before and after treatment(P <0. 01). Conclusion: Transposition of distal radial periosteal flap is effective and satisfactory for treating nonunion of scaphoid.

  15. Effects of Extracorporeal Shock Wave Therapy Combined with Hyperbaric Oxygen on Nonunion of Long Bone Fractures%冲击波联合高压氧治疗长骨骨折不愈合的疗效分析

    Institute of Scientific and Technical Information of China (English)

    王海东; 杨智权; 张平; 张庆民; 徐啸; 李贵忠; 黄广林; 满立波

    2014-01-01

    Objective To explore the effect of extracorporeal shock wave therapy (ESWT) combined with hyperbaric oxygen on non-union after surgery. Methods 83 patients with nonunion were treated with ESWT combined with hyperbaric oxygen (treatment group), and 32 cases served as control group. ESWT application was conducted using a protocol totaling 3000 shocks per treatment. The treatment group received 3~5 times of treatment, at the same time hyperbaric oxygen therapy was performed. The control group received no treatment and was followed up at least 3 months after treatment. Results The overall success rate was 78.31% in the treatment group, while only 12.50%recovered in the control group (P<0.01). The complications of treatment group were less and negligible. Conclusion Treatment of nonunion by extracorporeal shock wave combined with hyperbaric oxygen is safe and effective.%目的:探讨体外冲击波疗法(ESWT)联合高压氧对骨折不愈合的治疗效果。方法将115例骨折不愈合患者分为ESWT联合高压氧治疗组(治疗组,n=83)和对照组(n=32)。治疗组采用ESWT治疗3~5次,每次治疗冲击计量3000次,期间配合高压氧治疗。对照组继续观察,随访3个月以上。结果治疗组总治愈率为78.31%,对照组为12.50%(P<0.01)。治疗组并发症少且轻微。结论 ESWT联合高压氧治疗骨折不愈合安全有效。

  16. Osteotomia valgizante para pseudartrose do colo do fêmur: relato de 32 casos Valgusing intertrochanteric osteotomy for the treatment of femoral neck non-unions: report of 32 cases

    Directory of Open Access Journals (Sweden)

    Carlos Roberto Schwartsmann

    2009-04-01

    Full Text Available OBJETIVO: Avaliar a consolidação pós-osteotomia osteotomia valgizante do fêmur no tratamento do pseudartrose do colo femoral. MÉTODO: Durante 15 anos (1988-2003, 32 casos de pseudartrose do colo do fêmur foram tratados com osteotomia valgizante e fixação. O seguimento médio dos casos foi de 9,8 anos e a média de idade dos pacientes foi de 41,7 anos. RESULTADOS: Dos 32 casos quatro evoluíram para prótese total do quadril e 28 evoluíram para consolidação (87,4%. Oito casos evoluíram necrose parcial. CONCLUSÃO: A osteotomia valgizante é altamente eficaz para obtenção da consolidação na pseudartrose do colo do fêmur 87,4% (28/32 A recuperação integral da função do quadril só foi obtida em 56,2% (18/32PURPOSE: The purpose of the present study was to review the results of femoral neck non-unions treatment with valgusing intertrochanteric osteotomy. METHODS: Between 1988 and 2003 we treaded thirty two femoral neck non-unions with valgusing osteotomy and fixation. The mean follow-up time was 9.8 years and the mean age was 41.7 years. RESULTS: Twenty eight (87.4% of the thirty two valgusing osteotomies evolved to femoral neck union, while four cases (12.6% evolved to total hip arthroplasty. Eight cases evolved to partial osteonecrosis. CONCLUSIONS: The valgusing intertrochanteric osteotomy for treating femoral neck non-unions achieved consolidation in 87.4% (28/32. However, only 56.2% (18/32 achieved full recovery of hip function.

  17. Cross species comparison of C/EBPα and PPARγ profiles in mouse and human adipocytes reveals interdependent retention of binding sites

    Directory of Open Access Journals (Sweden)

    Sandelin Albin

    2011-03-01

    Full Text Available Abstract Background The transcription factors peroxisome proliferator activated receptor γ (PPARγ and CCAAT/enhancer binding protein α (C/EBPα are key transcriptional regulators of adipocyte differentiation and function. We and others have previously shown that binding sites of these two transcription factors show a high degree of overlap and are associated with the majority of genes upregulated during differentiation of murine 3T3-L1 adipocytes. Results Here we have mapped all binding sites of C/EBPα and PPARγ in human SGBS adipocytes and compared these with the genome-wide profiles from mouse adipocytes to systematically investigate what biological features correlate with retention of sites in orthologous regions between mouse and human. Despite a limited interspecies retention of binding sites, several biological features make sites more likely to be retained. First, co-binding of PPARγ and C/EBPα in mouse is the most powerful predictor of retention of the corresponding binding sites in human. Second, vicinity to genes highly upregulated during adipogenesis significantly increases retention. Third, the presence of C/EBPα consensus sites correlate with retention of both factors, indicating that C/EBPα facilitates recruitment of PPARγ. Fourth, retention correlates with overall sequence conservation within the binding regions independent of C/EBPα and PPARγ sequence patterns, indicating that other transcription factors work cooperatively with these two key transcription factors. Conclusions This study provides a comprehensive and systematic analysis of what biological features impact on retention of binding sites between human and mouse. Specifically, we show that the binding of C/EBPα and PPARγ in adipocytes have evolved in a highly interdependent manner, indicating a significant cooperativity between these two transcription factors.

  18. Does a Comparison View Improve the Reliability of Staging Wrist Osteoarthritis?

    Science.gov (United States)

    Ten Berg, Paul W L; Drijkoningen, Tessa; Guitton, Thierry G; Ring, David

    2017-09-01

    Radiological grading of wrist osteoarthritis associated with scaphoid nonunion advanced collapse (SNAC) can be difficult. A comparison radiograph of the contralateral healthy wrist and an educational training in the various SNAC stages may improve reliability. Our purposes were to evaluate the difference in the reliability: (1) between observers who rate SNAC wrists with and without a comparison radiograph; and (2) between observers who receive training prior to ratings and those who do not. In this cross-sectional survey study, 82 fully trained orthopedic or hand surgeons rated anteroposterior radiographs of 19 patient wrists following a scaphoid nonunion based on SNAC stages 0 to 4. Observers were randomized online in 4 groups: one group rated unilateral views without training, a second group unilateral views with training, a third group bilateral views without training, and a fourth group bilateral views with training. Training included a 1-page clarification of the SNAC stages. Interobserver agreement was calculated using kappa statistics. There was no significant difference between agreement between observers who rated unilateral radiographs (κ = 0.55) and who rated bilateral radiographs (κ = 0.58) ( P = .14), nor between agreement between observers who received training (κ = 0.59) and who did not (κ = 0.54) ( P = .058). The use of an additional comparison view and/or training does not seem to be clinically relevant in SNAC staging. There is room for improvement in the way we assess patients with SNAC wrists.

  19. Comparison of Freshwater Diatom Assemblages from a High Arctic Oasis to Nearby Polar Desert Sites and Their Application to Environmental Inference Models.

    Science.gov (United States)

    Michelutti, Neal; McCleary, Kathryn; Douglas, Marianne S V; Smol, John P

    2013-02-01

    Arctic oases are regions of atypical warmth and relatively high biological production and diversity. They are small in area (Achnanthes sensu lato, Fragilaria sensu lato, and Nitzschia dominating the assemblages. A correspondence analysis (CA) ordination showed that oasis sites generally plotted separately from the northern sites, although the sites also appear to plot separately based on whether they were lakes or ponds. Canonical correspondence analysis (CCA) identified specific conductivity, DOC, and SiO2 as explaining significant (P < 0.05) and additional amounts of variation in the diatom data set. The most robust diatom-based inference model was generated for DOC, which will provide useful reconstructions on long-term changes in paleo-optics of high Arctic lakes.

  20. Development of site-specific sediment quality guidelines for North and South Atlantic littoral zones: comparison against national and international sediment quality benchmarks.

    Science.gov (United States)

    Choueri, R B; Cesar, A; Abessa, D M S; Torres, R J; Morais, R D; Riba, I; Pereira, C D S; Nascimento, M R L; Mozeto, A A; DelValls, T A

    2009-10-15

    We aimed to develop site-specific sediment quality guidelines (SQGs) for two estuarine and port zones in Southeastern Brazil (Santos Estuarine System and Paranaguá Estuarine System) and three in Southern Spain (Ría of Huelva, Bay of Cádiz, and Bay of Algeciras), and compare these values against national and traditionally used international benchmark values. Site-specific SQGs were derived based on sediment physical-chemical, toxicological, and benthic community data integrated through multivariate analysis. This technique allowed the identification of chemicals of concern and the establishment of effects range correlatively to individual concentrations of contaminants for each site of study. The results revealed that sediments from Santos channel, as well as inner portions of the SES, are considered highly polluted (exceeding SQGs-high) by metals, PAHs and PCBs. High pollution by PAHs and some metals was found in São Vicente channel. In PES, sediments from inner portions (proximities of the Ponta do Félix port's terminal and the Port of Paranaguá) are highly polluted by metals and PAHs, including one zone inside the limits of an environmental protection area. In Gulf of Cádiz, SQGs exceedences were found in Ria of Huelva (all analysed metals and PAHs), in the surroundings of the Port of Cádiz (Bay of Cádiz) (metals), and in Bay of Algeciras (Ni and PAHs). The site-specific SQGs derived in this study are more restricted than national SQGs applied in Brazil and Spain, as well as international guidelines. This finding confirms the importance of the development of site-specific SQGs to support the characterisation of sediments and dredged material. The use of the same methodology to derive SQGs in Brazilian and Spanish port zones confirmed the applicability of this technique with an international scope and provided a harmonised methodology for site-specific SQGs derivation.

  1. Comparison of templates for homology model of ρ1 GABAC receptors: More insights to the orthosteric binding site's structure and functionality.

    Science.gov (United States)

    Naffaa, Moawiah M; Chebib, Mary; Hibbs, David E; Hanrahan, Jane R

    2015-11-01

    Five sets of ρ1 GABAC homology models were generated based on X-ray crystal structures of the acetylcholine binding protein (AChBP), the ion channel from Caenorhabditis elegans (GLIC), the ion channel from Erwinia chrysanthemi (ELIC), the homomeric GABAA β3 ion channel, and the homomeric α-subunit of glutamate-gated homopentameric chloride channel (GluCl). The GluCl based model was found to the represent the structure of ρ1 GABAC receptors. The GABA pose docked in the selected best model was confirmed by QM-polarized ligand docking and induced fit docking protocol, and used to study molecular interactions in the ρ1 GABA binding site. The potential interactions of identified residues are discussed. This study identified several residues with potential ligand interactions located on loops F and G with their side chain oriented toward the binding site such as Ser215 and Gln83. The partial agonists muscimol and imidazole-4-acetic acid (I4AA) were docked into the binding site of the most reliable 'GABA bound' homology model. The potency and efficacy of these partial agonists in activating recombinant ρ1 receptors were correlated with their docking results. The model predicts that muscimol resembles GABA in the docking pose with similar interactions. However, I4AA has a very different docking pose to GABA and was predicted by the model to form π-π stacking with aromatic residues in the orthosteric binding site. A set of TPMPA bound ρ1 homology models based on the GluClα 'apo state' template was built in order to study a competitive antagonist in the ρ1 orthosteric binding site. The results demonstrated the ability of our model to explain most experimental findings and predict potential roles of residues within the orthosteric binding site. Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved.

  2. The effect of man made source processes on the behavior of total gaseous mercury in air: a comparison between four urban monitoring sites in Seoul Korea.

    Science.gov (United States)

    Kim, Ki-Hyun; Shon, Zang-Ho; Nguyen, Hang Thi; Jung, Kweon; Park, Chan-Goo; Bae, Gwi Nam

    2011-09-01

    Concentrations of total gaseous mercury (TGM) were measured continuously at four urban residential locations (G (Guro-gu); N (Nowon-gu); S (Songpa-gu); and Y (Yongsan-gu)) in Seoul, Korea from 2004 to 2009. The mean concentrations of Hg at these sites were found on the order of N (3.98±1.68 ng m(-3)), S (3.87±1.56 ng m(-3)), G (3.80±1.60 ng m(-3)), and Y (3.36±1.55 ng m(-3)). Evidence indicates that the spatial distribution of Hg should be affected by the combined effects of both local anthropogenic (incineration facilities and thermal power plants) and natural (soil) emission sources in association with the meteorological parameters. Inspection of the Hg temporal patterns indicates the co-existence of contrasting seasonal patterns between the central site Y (winter dominance) and all other outbound sites near city borders (summer dominance). The long-term trend of Hg, if examined by combining our previous studies and the present one, shows that Hg levels in this urban area declined gradually across decadal periods despite slight variabilities in spatial scale: (1) above 10 ng m(-3) in the late 1980s, (2) ~5 ng m(-3) in the late 1990s, and (3) ~3 ng m(-3) toward the late 2000s. The results of the principal component analysis along with observed differences in seasonal patterns (between study sites) suggest that Hg distributions between different urban sites are greatly distinguishable with strong source signatures at each individual site.

  3. A comparison of radiometric fluxes influenced by parameterization cirrus clouds with observed fluxes at the Southern Great Plains (SGP) cloud and radiation testbed (CART) site

    Energy Technology Data Exchange (ETDEWEB)

    Mace, G.G.; Ackerman, T.P.; George, A.T. [Penn State Univ., University Park, PA (United States)

    1996-04-01

    The data from the Atmospheric Radiation Measurement (ARM) Program`s Southern Great plains Site (SCP) is a valuable resource. We have developed an operational data processing and analysis methodology that allows us to examine continuously the influence of clouds on the radiation field and to test new and existing cloud and radiation parameterizations.

  4. A Cross-Cultural Comparison of Korean and American Social Network Sites: Exploring Cultural Differences in Social Relationships and Self-Presentation

    Science.gov (United States)

    Cho, Seong Eun

    2010-01-01

    National culture is being challenged as societies evolve from their homogeneous origins. The theoretical base of this study uses two cultural dimensions, individualism-collectivism (Hofstede, 2001) and high-and low-context cultures (Hall, 1976), to unpack the effects of national culture on social network sites (SNSs). This study explores cultural…

  5. Integrated carbon budget models for the Everglades terrestrial-coastal-oceanic gradient: Current status and needs for inter-site comparisons

    Science.gov (United States)

    T. G. Troxler; E. Gaiser; J. Barr; J. D. Fuentes; R. Jaffe; D. L. Childers; L. Collado-Vides; V. H. Rivera-Monroy; E. Castaneda-Moya; W. Anderson; R. Chambers; M. Chen; C. Coronado-Molina; S. E. Davis; V. Engel; C. Fitz; J. Fourqurean; T. Frankovich; J. Kominoski; C. Madden; S. L. Malone; S. F. Oberbauer; P. Olivas; J. Richards; C. Saunders; J. Schedlbauer; L. J. Scinto; F. Sklar; T. Smith; J. M. Smoak; G. Starr; R. R. Twilley; K. Whelan

    2013-01-01

    Recent studies suggest that coastal ecosystems can bury significantly more C than tropical forests, indicating that continued coastal development and exposure to sea level rise and storms will have global biogeochemical consequences. The Florida Coastal Everglades Long Term Ecological Research (FCE LTER) site provides an excellent subtropical system for examining...

  6. Impact of transseptal puncture site on acute and mid-term outcomes during cryoballoon ablation: A comparison between anterior, medial and posterior transatrial access

    NARCIS (Netherlands)

    Chierchia, G.B.; Casado-Arroyo, R.; Asmundis, C. de; Rodriguez-Manero, M.; Sarkozy, A.; Conte, G.; Sieira, J.; Levinstein, M.; Baltogiannis, G.; Giovanni, G.; Overeinder, I.; Ocello, S.; Rosas, E.; Isola, F.; Brugada, P.

    2013-01-01

    BACKGROUND: Cryoballoon ablation (CBA) (Arctic Front, Medtronic, USA) has proven very effective in achieving pulmonary vein isolation (PVI). Different transseptal (TS) puncture sites might influence CBA procedure. The aim of the present study was to analyze the influence of different TS puncture sit

  7. Site and extent of starch degradation in the dairy cow - a comparison between in vivo, in situ and in vitro measurements.

    NARCIS (Netherlands)

    Hindle, V.A.; Vuuren, van A.M.; Klop, A.; Mathijssen-Kamman, A.A.; Gelder, van A.H.; Cone, J.W.

    2005-01-01

    Prediction of the supply of glycogenic precursors to dairy cows and the site of degradation of wheat, maize and potato starch (PS) were determined in an in vivo experiment and the results were compared with data obtained from experiments involving in situ nylon bag and in vitro gas production techni

  8. COMPARISON OF GEOPROBE PRT AND AMS GVP SOIL-GAS SAMPLING SYSTEMS WITH DEDICATED VAPOR PROBES IN SANDY SOILS AT THE RAYMARK SUPERFUND SITE

    Science.gov (United States)

    A study was conducted near the Raymark Superfund Site in Stratford, Connecticut to compare results of soil-gas sampling using dedicated vapor probes, a truck-mounted direct-push technique - the Geoprobe Post-Run-Tubing (PRT) system, and a hand-held rotary hammer technique - the A...

  9. Comparison of the Content of Web Sites of Higher Education Institutions Providing for Sports Management Education: The Case of Turkish and English Universities

    Science.gov (United States)

    Katirci, Hakan

    2016-01-01

    Considering various themes, this study aims to examine the content of web sites of universities that provide sports management education in higher education level in Turkey and in England. Within this framework, the websites of the higher education institutions that provide sports management education are analyzed by using the content analysis…

  10. SOURCE APPORTIONMENT OF PM2.5 IN SEATTLE, WA URBAN IMPROVE SITE: COMPARISON OF THREE RECEPTOR MODELS AND SOURCE PROFILES

    Science.gov (United States)

    IMPROVE protocol data were collected at the urban Beacon Hill monitoring site in Seattle, WA from 1996-99. The 289 sets of PM2.5 filters were analyzed for: metals using PIXIE and XRF, anions using ion chromatography, elemental hydrogen (H) by proton scattering, and elemental an...

  11. Impact of transseptal puncture site on acute and mid-term outcomes during cryoballoon ablation: A comparison between anterior, medial and posterior transatrial access

    NARCIS (Netherlands)

    Chierchia, G.B.; Casado-Arroyo, R.; Asmundis, C. de; Rodriguez-Manero, M.; Sarkozy, A.; Conte, G.; Sieira, J.; Levinstein, M.; Baltogiannis, G.; Giovanni, G.; Overeinder, I.; Ocello, S.; Rosas, E.; Isola, F.; Brugada, P.

    2013-01-01

    BACKGROUND: Cryoballoon ablation (CBA) (Arctic Front, Medtronic, USA) has proven very effective in achieving pulmonary vein isolation (PVI). Different transseptal (TS) puncture sites might influence CBA procedure. The aim of the present study was to analyze the influence of different TS puncture sit

  12. Effects of organic matter removal, soil compaction, and vegetation control on 5-year seedling performance: a regional comparison of long-term soil productivity sites

    Science.gov (United States)

    Robert L. Fleming; Robert F. Powers; Neil W. Foster; J. Marty Kranabetter; D. Andrew Scott; Felix Jr. Ponder; Shannon Berch; William K. Chapman; Richard D. Kabzems; Kim H. Ludovici; David M. Morris; Deborah S. Page-Dumroese; Paul T. Sanborn; Felipe G. Sanchez; Douglas M. Stone; Allan E. Tiarks

    2006-01-01

    We examined fifth-year seedling response to soil disturbance and vegetation control at 42 experimental locations representing 25 replicated studies within the North American Long-Term Soil Productivity (LTSP) program. These studies share a common experimental design while encompassing a wide range of climate, site conditions, and forest types. Whole-tree harvest had...

  13. Comparison of unmanned aircraft systems (UAS) to LiDAR for streambank erosion measurement at the site-specific and river network scales

    Science.gov (United States)

    Hamshaw, S. D.; Dewoolkar, M. M.; Rizzo, D.; ONeil-Dunne, J.; Frolik, J.

    2016-12-01

    Measurement of rates and extent of streambank erosion along river corridors is an important component of many catchment studies and necessary for engineering projects such as river restoration, hazard assessment, and total maximum daily load (TMDL) development. A variety of methods have been developed to quantify streambank erosion, including bank pins, ground surveys, photogrammetry, LiDAR, and analytical models. However, these methods are not only resource intensive, but many are feasible and appropriate only for site-specific studies and not practical for erosion estimates at larger scales. Recent advancements in unmanned aircraft systems (UAS) and photogrammetry software provide capabilities for more rapid and economical quantification of streambank erosion and deposition at multiple scales (from site-specific to river network). At the site-specific scale, the capability of UAS to quantify streambank erosion was compared to terrestrial laser scanning (TLS) and RTK-GPS ground survey and assessed at seven streambank monitoring sites in central Vermont. Across all sites, the UAS-derived bank topography had mean errors of 0.21 m compared to TLS and GPS data. Highest accuracies were achieved in early spring conditions where mean errors approached 10 cm. The cross sectional area of bank erosion at a typical, vegetated streambank site was found to be reliably calculated within 10% of actual for erosion areas greater than 3.5 m2. At the river network-level scale, 20 km of river corridor along the New Haven, Winooski, and Mad Rivers was flown on multiple dates with UAS and used to generate digital elevation models (DEMs) that were then compared for change detection analysis. Airborne LiDAR data collected prior to UAS surveys was also compared to UAS data to determine multi-year rates of bank erosion. UAS-based photogrammetry for generation of fine scale topographic data shows promise for the monitoring of streambank erosion both at the individual site scale and river

  14. Formation of secondary hematite and its role in attenuation of contaminants at mine tailings: review and comparison of sites in Zambia and Namibia

    Directory of Open Access Journals (Sweden)

    Sracek eOndra

    2015-01-01

    Full Text Available Mine tailings in African countries Zambia and Namibia have been investigated with an objective to determine the role of secondary hematite in immobilization of contaminants. Two sites, Chambishi and Mindolo, are located in the Copperbelt in Zambia with relatively humid climates and two sites, Berg Aukas and Kombat, are in Namibia, where the climate is semiarid. At the Chambishi site which is about 40 years old, a hardpan composed of hematite and gypsum has formed at a depth of about 60 cm and large amounts of Cu and Co have been deposited. At the much younger Mindolo site (30 years old, but most V remains in primary descloizite, embedded in a carbonate matrix while a relatively small amount of released V is incorporated into hematite. In contrast, released Zn and Pb are incorporated mainly into smithsonite and cerussite, which are less stable from an environmental viewpoint. Finally, at the Kombat mine tailings (< 5 years old, As released from pyrite is also incorporated into hematite, but Cu released by dissolution of chalcopyrite and bornite has precipitated as malachite, which is less stable than hematite. Water-leached concentrations of contaminants such as Cu, Zn, and Pb (also present in some carbonate phases are an order of magnitude higher than water-leached concentrations of V and As which are bound to crystalline ferric minerals such as hematite and soluble only in the aqua regia fraction of sequential extraction. It seems that rapid formation of hematite under tropical climate conditions and incorporation of contaminants into this mineral phase is favourable for attenuation of released contaminants. These findings have implications at other mining sites with similar climates in Africa, South America and Asia.

  15. Cross-site comparison of land-use decision-making and its consequences across land systems with a generalized agent-based model.

    Science.gov (United States)

    Magliocca, Nicholas R; Brown, Daniel G; Ellis, Erle C

    2014-01-01

    Local changes in land use result from the decisions and actions of land-users within land systems, which are structured by local and global environmental, economic, political, and cultural contexts. Such cross-scale causation presents a major challenge for developing a general understanding of how local decision-making shapes land-use changes at the global scale. This paper implements a generalized agent-based model (ABM) as a virtual laboratory to explore how global and local processes influence the land-use and livelihood decisions of local land-users, operationalized as settlement-level agents, across the landscapes of six real-world test sites. Test sites were chosen in USA, Laos, and China to capture globally-significant variation in population density, market influence, and environmental conditions, with land systems ranging from swidden to commercial agriculture. Publicly available global data were integrated into the ABM to model cross-scale effects of economic globalization on local land-use decisions. A suite of statistics was developed to assess the accuracy of model-predicted land-use outcomes relative to observed and random (i.e. null model) landscapes. At four of six sites, where environmental and demographic forces were important constraints on land-use choices, modeled land-use outcomes were more similar to those observed across sites than the null model. At the two sites in which market forces significantly influenced land-use and livelihood decisions, the model was a poorer predictor of land-use outcomes than the null model. Model successes and failures in simulating real-world land-use patterns enabled the testing of hypotheses on land-use decision-making and yielded insights on the importance of missing mechanisms. The virtual laboratory approach provides a practical framework for systematic improvement of both theory and predictive skill in land change science based on a continual process of experimentation and model enhancement.

  16. Cross-site comparison of land-use decision-making and its consequences across land systems with a generalized agent-based model.

    Directory of Open Access Journals (Sweden)

    Nicholas R Magliocca

    Full Text Available Local changes in land use result from the decisions and actions of land-users within land systems, which are structured by local and global environmental, economic, political, and cultural contexts. Such cross-scale causation presents a major challenge for developing a general understanding of how local decision-making shapes land-use changes at the global scale. This paper implements a generalized agent-based model (ABM as a virtual laboratory to explore how global and local processes influence the land-use and livelihood decisions of local land-users, operationalized as settlement-level agents, across the landscapes of six real-world test sites. Test sites were chosen in USA, Laos, and China to capture globally-significant variation in population density, market influence, and environmental conditions, with land systems ranging from swidden to commercial agriculture. Publicly available global data were integrated into the ABM to model cross-scale effects of economic globalization on local land-use decisions. A suite of statistics was developed to assess the accuracy of model-predicted land-use outcomes relative to observed and random (i.e. null model landscapes. At four of six sites, where environmental and demographic forces were important constraints on land-use choices, modeled land-use outcomes were more similar to those observed across sites than the null model. At the two sites in which market forces significantly influenced land-use and livelihood decisions, the model was a poorer predictor of land-use outcomes than the null model. Model successes and failures in simulating real-world land-use patterns enabled the testing of hypotheses on land-use decision-making and yielded insights on the importance of missing mechanisms. The virtual laboratory approach provides a practical framework for systematic improvement of both theory and predictive skill in land change science based on a continual process of experimentation and model

  17. A Comparison of One-Rate and Two-Rate Inference Frameworks for Site-Specific dN/dS Estimation.

    Science.gov (United States)

    Spielman, Stephanie J; Wan, Suyang; Wilke, Claus O

    2016-10-01

    Two broad paradigms exist for inferring [Formula: see text] the ratio of nonsynonymous to synonymous substitution rates, from coding sequences: (i) a one-rate approach, where [Formula: see text] is represented with a single parameter, or (ii) a two-rate approach, where [Formula: see text] and [Formula: see text] are estimated separately. The performances of these two approaches have been well studied in the specific context of proper model specification, i.e., when the inference model matches the simulation model. By contrast, the relative performances of one-rate vs. two-rate parameterizations when applied to data generated according to a different mechanism remain unclear. Here, we compare the relative merits of one-rate and two-rate approaches in the specific context of model misspecification by simulating alignments with mutation-selection models rather than with [Formula: see text]-based models. We find that one-rate frameworks generally infer more accurate [Formula: see text] point estimates, even when [Formula: see text] varies among sites. In other words, modeling [Formula: see text] variation may substantially reduce accuracy of [Formula: see text] point estimates. These results appear to depend on the selective constraint operating at a given site. For sites under strong purifying selection ([Formula: see text]), one-rate and two-rate models show comparable performances. However, one-rate models significantly outperform two-rate models for sites under moderate-to-weak purifying selection. We attribute this distinction to the fact that, for these more quickly evolving sites, a given substitution is more likely to be nonsynonymous than synonymous. The data will therefore be relatively enriched for nonsynonymous changes, and modeling [Formula: see text] contributes excessive noise to [Formula: see text] estimates. We additionally find that high levels of divergence among sequences, rather than the number of sequences in the alignment, are more critical for

  18. 带锁髓内钉治疗下肢长骨复杂骨折及骨折不连%Clinical use of Interlocking intramedullary nail treating in complex and nonunion fracture of femur and tibia

    Institute of Scientific and Technical Information of China (English)

    王万春; 谢亮; 张庆; 李定国; 陈游; 陈汉平

    2001-01-01

    目的:应用带锁髓内钉治疗下肢长骨复杂骨折及长骨不连并观察其疗效。方法:对1998年2月~2000年7月的48例51处复杂骨折及骨折不连应用带锁髓内钉进行回顾性分析和探讨。结果:随访时间6~29个月,46例49处骨折愈合,愈合率95.8%,骨折愈合时间分别为:股骨新鲜骨折16周(10~24周),骨折不连20周(14~46周);胫骨新鲜骨折18周(12~28周),骨折不连24周(16~32周)。功能评价:股骨骨折的优良率95.2%,差4.8%,胫骨骨折的优良率100%。并发症8例,发生率16.67%,其中远端锁钉打偏3例,骨质劈裂1例,肢体短偏1例,锁钉松动2例,骨折不连1例。结论:带锁髓内钉可用于下肢长骨各种类型的骨折,尤其适用于复杂骨折及原内固定失败的骨折不连。%Fifty-one complex and nonunion fractures of femur and tibia in forty eight patients were treated with interlocking intramedullary nail. All patients were followed-up for 6 to 29 months to evaluate the curative effect. Forty-nine fractures in forty-six patients were healed(95.8%). The time of healing was 16 weeks(10~24weeks) in femur and 18 weeks (12~28week) in tibia in fresh fracture, and 20 weeks(14~46weeks) in femur nonunion and 18 weeks (12~28 weeks) in tibia nonunion. In femur, the efficacy of 28 cases was excellent or good (93.3%), and 2 cases mediate (6.7%); in tibia, 18 cases were all assessed as excellent or good. The complications were observed in 8 patients (16.67%), including distal screw misinserting, extremity shortening, screw loosening, distal shaft fracture and fracture nonunion. The results suggest that interlocking intramedullary nail can be used in many kinds of femur and tibia fracture with satisfactory result, especially in the complex fracture and nonunion after fixation failure.

  19. Visit our Site

    NARCIS (Netherlands)

    Jos de Haan; Renée Mast; Marleen Varekamp; Susanne Janssen

    2006-01-01

    Original title: Bezoek onze site. More and more cultural organisations are digitising content and making this cultural treasure chest available to a wider public via the Internet. International comparison shows that the Netherlands is one of the leaders in this regard. This report summarises the ma

  20. Comparison of modelled and measured ozone concentrations and meteorology for a site in south-west Sweden: implications for ozone uptake calculations.

    Science.gov (United States)

    Klingberg, Jenny; Danielsson, Helena; Simpson, David; Pleijel, Håkan

    2008-09-01

    Measurements of ground-level ozone concentrations and meteorology (temperature, vapour pressure deficit (VPD), solar radiation) at the monitoring site Ostad (south-west Sweden) were compared to data from the corresponding grid in the EMEP photo-oxidant model for 1997, 1999 and 2000. The influence of synoptic weather on the agreement between model and measurements was studied. Implications of differences between modelled and observed inputs for ozone flux calculations for wheat and potato were investigated. The EMEP model output of ozone, temperature and VPD correlated well with measurements during daytime. Deviations were larger during the night, especially in calm conditions, attributed to local climatological conditions at the monitoring site deviating from average conditions of the grid. These differences did not lead to significant differences in calculated ozone uptake, which was reproduced remarkably well. The uptake calculations were sensitive to errors in the ozone and temperature input data, especially when including a flux threshold.

  1. Synthesis of the enantiomers of [N-methyl-[sup 11]C]PK 11195 and comparison of their behaviours as radioligands for PK binding sites in rats

    Energy Technology Data Exchange (ETDEWEB)

    Shah, Farah; Hume, S.P.; Pike, V.W.; Ashworth, S.; McDermott, J. (Hammersmith Hospital, London (United Kingdom). M.R.C. Cyclotron Unit)

    1994-05-01

    The enantiomers of [N-methyl-[sup 11]C]PK 11195, a radioligand for PET studies of PK (peripheral benzodiazepine) binding sites, have been prepared from the newly synthesized N-desmethyl-enantiomers by [sup 11]C-methylation with N.C.A. [[sup 11]C]iodomethane. The brain uptake and retention of each enantiomer was compared with that of the racemic radioligand after i.v. administration into normal rats and into rats with focal cortical lesions. The observed differences are consistent with the approximately 2-fold greater affinity of the R-enantiomer for PK binding sites reported in vitro and imply that the use of this entantiomer would have advantages over the use of the racemate currently used for PET studies. (author).

  2. SWEIS Yearbook-2012 Comparison of 2012 Data to Projections of the 2008 Site-Wide Environmental Impact Statement for Continued Operation of Los Alamos National Laboratory

    Energy Technology Data Exchange (ETDEWEB)

    Mahowald, Hallie B. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Wright, Marjorie Alys [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2014-01-16

    Los Alamos National Laboratory (LANL or the Laboratory) operations data for Calendar Year (CY) 2012 mostly fell within the 2008 Site-Wide Environmental Impact Statement (SWEIS) projections. Operation levels for one LANL facility exceeded the 2008 SWEIS capability projections—Radiochemistry Facility; however, none of the capability increases caused exceedances in radioactive air emissions, waste generation, or National Pollutant Discharge Elimination System (NPDES) discharge. Several facilities exceeded the2008 SWEIS levels for waste generation quantities; however, all were one-time, non-routine events that do not reflect the day-to-day operations of the Laboratory. In addition, total site-wide waste generation quantities were below SWEIS projections for all waste types, reflecting the overall levels of operations at both the Key and Non-Key Facilities. Although gas and electricity consumption have remained within the 2008 SWEIS limits for utilities, water consumption exceeded the 2008 SWEIS projections by 27 million gallons in CY 2012.

  3. A comparison between PIXE and ICP-AES measurements of metals in aerosol particulate collected in urban and marine sites in Italy

    Energy Technology Data Exchange (ETDEWEB)

    Traversi, R.; Becagli, S. [Department of Chemistry “Ugo Schiff”, University of Florence, Via della Lastruccia 3, I-50019 Sesto F.no, Florence (Italy); Calzolai, G.; Chiari, M.; Giannoni, M. [Department of Physics and Astronomy, University of Florence and I.N.F.N., Florence, Via G. Sansone 1, I-50019 Sesto F.no, Florence (Italy); Lucarelli, F., E-mail: lucarelli@fi.infn.it [Department of Physics and Astronomy, University of Florence and I.N.F.N., Florence, Via G. Sansone 1, I-50019 Sesto F.no, Florence (Italy); Nava, S. [Department of Physics and Astronomy, University of Florence and I.N.F.N., Florence, Via G. Sansone 1, I-50019 Sesto F.no, Florence (Italy); Rugi, F.; Severi, M.; Udisti, R. [Department of Chemistry “Ugo Schiff”, University of Florence, Via della Lastruccia 3, I-50019 Sesto F.no, Florence (Italy)

    2014-01-01

    PIXE and ICP-AES techniques are largely used in atmospheric aerosol studies. Since PIXE is able to provide the total elemental concentrations, while ICP-AES results depend on the extraction conditions, parallel PIXE and ICP-AES measurements of Fe, Al, Cu, Pb, Mn, Cr, Ni, V, As on PM10 and PM2.5 samples were compared. Two extraction procedures were applied to samples from 5 sites at different anthropization level in Italy: a “weak” extraction (HNO{sub 3} at pH = 1.5) and a “strong” extraction (micro-wave oven in HNO{sub 3} and H{sub 2}O{sub 2} – following EU rules). The amount of the metal extracted in the different conditions resulted to be strongly dependent on the sampling site, on the main sources of the particle (crustal or anthropic) containing the metal and on the sampled size class.

  4. Docking modes of BB-3497 into the PDF active site--a comparison of the pure MM and QM/MM based docking strategies.

    Science.gov (United States)

    Kumari, Tripti; Issar, Upasana; Kakkar, Rita

    2014-01-01

    Peptide deformylase (PDF) has emerged as an important antibacterial drug target. Considerable effort is being directed toward developing peptidic and non-peptidic inhibitors for this metalloprotein. In this work, the known peptidic inhibitor BB-3497 and its various ionization and tautomeric states are evaluated for their inhibition efficiency against PDF using a molecular mechanics (MM) approach as well as a mixed quantum mechanics/molecular mechanics (QM/MM) approach, with an aim to understand the interactions in the binding site. The evaluated Gibbs energies of binding with the mixed QM/MM approach are shown to have the best predictive power. The experimental pose is found to have the most negative Gibbs energy of binding, and also the smallest strain energy. A quantum mechanical evaluation of the active site reveals the requirement of strong chelation by the ligand with the metal ion. The investigated ligand chelates the metal ion through the two oxygens of its reverse hydroxamate moiety, particularly the N-O(-) oxygen, forming strong covalent bonds with the metal ion, which is penta-coordinated. In the uninhibited state, the metal ion is tetrahedrally coordinated, and hence chelation with the inhibitor is associated with an increase of the metal ion coordination. Thus, the strong binding of the ligand at the binding site is accounted for.

  5. Sourcing the affinity of flavonoids for the glycogen phosphorylase inhibitor site via crystallography, kinetics and QM/MM-PBSA binding studies: comparison of chrysin and flavopiridol.

    Science.gov (United States)

    Tsitsanou, Katerina E; Hayes, Joseph M; Keramioti, Maria; Mamais, Michalis; Oikonomakos, Nikos G; Kato, Atsushi; Leonidas, Demetres D; Zographos, Spyros E

    2013-11-01

    Flavonoids have been discovered as novel inhibitors of glycogen phosphorylase (GP), a target to control hyperglycemia in type 2 diabetes. To elucidate the mechanism of inhibition, we have determined the crystal structure of the GPb-chrysin complex at 1.9 Å resolution. Chrysin is accommodated at the inhibitor site intercalating between the aromatic side chains of Phe285 and Tyr613 through π-stacking interactions. Chrysin binds to GPb approximately 15 times weaker (Ki=19.01 μM) than flavopiridol (Ki=1.24 μM), exclusively at the inhibitor site, and both inhibitors display similar behavior with respect to AMP. To identify the source of flavopiridols' stronger affinity, molecular docking with Glide and postdocking binding free energy calculations using QM/MM-PBSA have been performed and compared. Whereas docking failed to correctly rank inhibitor binding conformations, the QM/MM-PBSA method employing M06-2X/6-31+G to model the π-stacking interactions correctly reproduced the experimental results. Flavopiridols' greater binding affinity is sourced to favorable interactions of the cationic 4-hydroxypiperidin-1-yl substituent with GPb, with desolvation effects limited by the substituent conformation adopted in the crystallographic complex. Further successful predictions using QM/MM-PBSA for the flavonoid quercetagetin (which binds at the allosteric site) leads us to propose the methodology as a useful and inexpensive tool to predict flavonoid binding. Copyright © 2012 Elsevier Ltd. All rights reserved.

  6. Comparison of the effects of lidocaine pre-administration and local warming of the intravenous access site on propofol injection pain: Randomized, double-blind controlled trial.

    Science.gov (United States)

    Jeong, Meejeong; Yoon, Haesang

    2016-09-01

    Lidocaine reduces pain that occurs upon the intravenous injection of propofol. But, there are few non-pharmacological nursing interventions to reduce propofol injection pain. To compare the effects of lidocaine pre-administration and local warming of the intravenous access site on propofol injection pain. Prospective, double-blind, randomized controlled trial. The 555 bed, non-teaching National Cancer Center in Kyunggido, South Korea. A total of 96 patients who underwent thyroidectomy under total intravenous general anesthesia with propofol were randomly allocated to the control, lidocaine pre-administration (LA) or local warming (LW) group. All three groups received 2% propofol with an effect-site target at 3μg/mL for induction dose. The control group received 2% propofol with no intervention. The lidocaine pre-administration group received 2% propofol 30s after 1% lidocaine 30mg. The local warming group received 2% propofol after warming of the intravenous access site for 1min using 43°C forced air. Propofol injection pain was assessed by four-point verbal categorial scoring (VCS), numerical rating scale (NRS) and surgical pleth index (SPI). Pain VCS of the LA group (mean±SD, 1.11±0.45) was significantly reduced (U=-3.92, plidocaine pre-administration. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Prospective comparison of collagen plug (angio-seal{sup TM}) and suture-mediated (the closer S{sup TM}) closure devices at femoral access sites

    Energy Technology Data Exchange (ETDEWEB)

    Park, Yulri; Roh, Hong Gee; Choo, Sung Wook; Lee, Sung Hoon; Shin, Sung Wook; Do, Young Soo; Byun, Hong Sik; Park, Kwang Bo; Jeon, Pyoung [Sungkyunkwan University School of Medicine, Seoul (Korea, Republic of)

    2005-12-15

    Rapid and effective hemostasis at femoral puncture sites minimizes both the hospital stay and patient discomfort. Therefore, a variety of arterial closure devices have been developed to facilitate the closure of femoral arteriotomy. The objective of this prospective study was to compare the efficacy of two different closure devices; a collagen plug device (Angio-Seal) and a suture-mediated closure device (the Closer S). From March 28, 2003 to August 31, 2004, we conducted a prospective study in which 1,676 cases of 1,180 patients were treated with two different types of closure device. Angio-Seal was used in 961 cases and the Closer S in 715 cases. The efficacy of the closure devices was assessed, as well as complications occurring at the puncture sites. Successful immediate hemostasis was achieved in 95.2% of the cases treated with Angio-Seal, and in 89.5% of the cases treated with the Closer S ({rho} < 0.05). The rates of minor and major complications occurring between the two groups were not significantly different. In the Closer S group, we observed four major complications (0.6%), that consisted of one massive retroperitoneal hemorrhage (surgically explored) and three pseudoaneurysms. In the Angio-Seal group, we observed three major complications (0.3%) that consisted of one femoral artery occlusion, one case of infection treated with intravenous antibiotics and one pseudoaneurysm. The use of Angio-Seal was found to be more effective than that of the Closer S with regard to the immediate hemostasis of the femoral puncture sites. However, we detected no significant differences in the rate at which complications occurred.

  8. Impact of non-target-site-resistance on herbicidal activity of imazamox on blackgrass (Alopecurus myosuroides Huds. in comparison to other ALS-graminicides

    Directory of Open Access Journals (Sweden)

    Sievernich, Bernd

    2014-02-01

    Full Text Available A black-grass (Alopecurus myosuroides Huds. resistance-monitoring conducted by BASF in 2010 - 2012 revealed a high number of accessions with resistance against imazamox. However, application of imazamoxbased products in a winter crop was limited to winter beans in France and United Kingdom only until the introduction of the Clearfield®-production system in autumn 2012 in winter oilseed rape. It is therefore assumed that the resistance mechanisms were probably selected by the frequent use of ACCase- and ALSinhibitors in winter crop rotations during the last 2 decades. Resistance level for each product-biotype combination was calculated according the “R”-classification system (S, R?, RR, RRR by directly comparing the product performance on a biotype versus untreated control. Majority of resistant biotypes did not show a target-site mutation at the known codon Pro197 or Trp574. In order to better evaluate the impact of Non-Target-Site-Resistance (NTSR on the activity of BEYOND (imazamox, ATLANTIS WG (mesosulfuron+iodosulfuron and ABAK (pyroxsulam, biotypes who have shown an ALS-target-site mutation were removed from further analysis. At the dose rate of 35 g ai/ha BEYOND provided good activity on susceptible biotypes of black-grass almost matching up with ATLANTIS WG and ABAK. However, activity of BEYOND declined stronger on biotypes classified as R? or RR for that product, while ATLANTIS WG and ABAK hardly showed any decline in control on this group of biotypes when applied at the recommended dose rate. It is assumed that the underlying NTSR-mechanism is not effective enough yet to confer resistance to ATLANTIS WG and ABAK, but on BEYOND. In contrast, biotypes classified as R? for ATLANTIS WG did show a stronger impact on the activity of BEYOND and ABAK then of ATLANTIS WG. These differences in control level probably do translate into differences in selection pressure as well.

  9. Multifunctional in situ photopolymerized semi-interpenetrating network system is an effective donor site dressing: a cross comparison study in a swine model.

    Science.gov (United States)

    Kleinbeck, Kyle R; Faucher, Lee; Kao, Weiyuan John

    2009-01-01

    Effective dressings for donor sites or other partial thickness wounds must promote removal of nonviable or necrotic tissue, eradication and prevention of microbial infiltrate, exudate absorbance, and regrowth of healthy epidermis and dermis. There are many commonly used products that facilitate these processes. Established properties of an in situ photopolymerizable semi-interpenetrating network (sIPN) suggest that it is also a viable treatment option. The widely varying material properties suggest that these dressing treatments may elicit different healing responses via different cellular mechanisms. In this study, we sought to resolve the differences in healing between Acticoat, sIPN, nonadherent dressing with Tisseel, and Xeroform dressing treatments in a porcine partial thickness wound model. Donor site wounds were produced on pigs at two cut depths and dressed with Acticoat, sIPN, nonadherent dressing with Tisseel, and Xeroform with alternatively placed autografts to provide a control area between each test site. Pigs were euthanized at 4, 7, 14, and 42 days for macroscopic examination and biopsy collection. Biopsies were analyzed histologically by two blinded observers for cellular densities and regional thicknesses within the tissue. sIPN- and Xeroform-treated wounds were healed by 7 days, and Acticoat- and nonadherent dressing with Tisseel-treated wounds were healed by 14 days. Inflammatory responses were between comparable treatment type across all time periods. Dermal granulation features increased with time but were not significantly different. All dressing treatments elicited wound healing without outstanding toxicity or pathology indicating that sIPN is a comparable and viable treatment for partial thickness wounds.

  10. Comparison of the Adipose and Luminal Mammary Gland Compartment as Orthotopic Inoculation Sites in a 4T1-Based Immunocompetent Preclinical Model for Triple-Negative Breast Cancer.

    Science.gov (United States)

    Steenbrugge, Jonas; Breyne, Koen; Denies, Sofie; Dekimpe, Melissa; Demeyere, Kristel; De Wever, Olivier; Vermeulen, Peter; Van Laere, Steven; Sanders, Niek N; Meyer, Evelyne

    2016-12-01

    Breast tumorigenesis is classically studied in mice by inoculating tumor cells in the fat pad, the adipose compartment of the mammary gland. Alternatively, the mammary ducts, which constitute the luminal mammary gland compartment, also provide a suitable inoculation site to induce breast cancer in murine models. The microenvironments in these compartments influence tumor cell progression, yet this effect has not been investigated in an immunocompetent context. Here, we compared both mammary gland compartments as distinct inoculation sites, taking into account the immunological aspect by inoculating 4T1 tumor cells in immunocompetent mice. Following tumor cell inoculation in the adipose compartment of non-pretreated/naive, hormonally pretreated/naive and non-pretreated/lactating mice, the primary tumors developed similarly. However, a slower onset of primary tumor growth was found after inoculations in the luminal compartment of non-pretreated/lactating mice. Despite this difference in tumor development rate, metastasis to the liver and lungs was equally observed and was accompanied by lymphatic spreading of tumor cells and progressive splenomegaly with both inoculation types. Chitinase 3-like 1 (CHI3L1) and lipocalin 2 (LCN2) served as innovative biomarkers for disease progression showing increased levels in primary tumors and sera of the non-pretreated/lactating inoculation groups. A slower increase in circulating CHI3L1 but not LCN2 levels, was observed after inoculations in the luminal compartment which corroborated the slower tumor development at this inoculation site. Our results highlight the critical impact of different mammary gland compartments on tumor development in syngeneic murine models and support the use of novel tumor progression biomarkers in an immune-competent environment.

  11. Dependence of aerosol scattering coefficients on relative humidity observed at two coastal sites on the East China Sea: Comparison to remote observations and influence of chemical composition

    Science.gov (United States)

    Kanaya, Y.; Taketani, F.; Irie, H.; Komazaki, Y.; Takashima, H.; Xiaole, P.; Takami, A.; Wang, Z.

    2011-12-01

    We employed an integrating nephelometer equipped with a humidifier (where the relative humidity (RH) was scanned between 40 and 90%) to measure the aerosol scattering coefficients and their dependence on RH at Fukue Island (32.75N, 128.68E), west of Japan, in May 2009 and at Rudong, Jiangsu, China (32.26N, 121.37E) in May/June 2010, aiming at better characterization of optical properties of the regional-scale aerosol pollution over East Asia. The two coastal sites are located east and west of the East China Sea and are separated by about 700 km. The observed scattering coefficients are normalized by the concurrently measured PM2.5 mass concentrations and thereby behaviors of the mass scattering coefficients are discussed. At Fukue, the mass scattering coefficients under the ambient RH conditions were >1.5 times higher than those observed under the dry condition (RH = 40%), suggesting that the RH effect was crucial in determining optical properties under ambient conditions. The coefficients under the ambient RH conditions, rather than the dry values, agreed better with the extinction coefficients determined by MAX-DOAS (Multi-Axis Differential Optical Absorption Spectroscopy) technique based on remote measurements of O4 optical depths. The single-scattering albedo (SSA), estimated in combination to the absorption coefficients determined by a MAAP (Multi-Angle Absorption Photometer) instrument, had similar average values (~0.95) at the two sites. The SSA values at the two sites were commonly lowered (to below 0.90) when the air traveled from the North China Plain region. At Fukue, the RH dependence was found to be weakened when the organics/sulfate ratio increased (as observed by an Aerodyne Aerosol Mass Spectrometer), while such influence of chemical composition was less clear at Rudong, possibly masked by large temporal variations in the particle size distributions.

  12. Progression of a fracture site impaction as a prognostic indicator of impacted femoral neck fracture treated with multiple pinning.

    Science.gov (United States)

    Yoon, Pil Whan; Shin, Young Ho; Yoo, Jeong Joon; Yoon, Kang Sup; Kim, Hee Joong

    2012-03-01

    We evaluated the clinical and radiologic results of impacted femoral neck fractures treated with multiple pinning and determined the influence of the progression of impaction at the fracture site on clinical outcome. There were 34 patients with a mean age of 65.5 years. The mean follow-up period was 3.4 years. Progression of fracture site impaction was measured using an articulo-trochanteric distance index and the percentage decrease in the articulo-trochanteric distance index between follow-up intervals. The failure of treatment was clarified as non-union and avascular necrosis. Other characteristics of the patients, including mean waiting time for surgery, preoperative Singh index score, and body mass index, were also measured to evaluate the influence on the clinical outcome of surgery. There were 6 fractures which were not treated successfully (3 non-union, 8.8% and 3 avascular necrosis, 8.8%). The mean percentage decrease of the articulo-trochanteric distance index within the first 6 weeks after surgery was 4.5% in the successful group and 25.1% in the failure group (p articulo-trochanteric distance index between 6 weeks and 3 months (p articulo-trochanteric distance index between the successful group and the failure group, we could not verify it as a risk factor for failure of treatment because the odds ratio was not statistically significant.

  13. Aespoe HRL - Geoscientific evaluation 1997/3. Results from pre-investigation and detailed site characterization. Comparison of predictions and observations. Geology and mechanical stability

    Energy Technology Data Exchange (ETDEWEB)

    Stanfors, R. [RS Consulting, Lund (Sweden); Olsson, Paer [Skanska AB Stockholm (Sweden); Stille, H. [Royal Inst. of Tech., Stockholm (Sweden)

    1997-05-01

    Prior to excavation of the laboratory in 1990 predictions were made for the excavation phase. The predictions concern five key issues: Geology, groundwater flow, groundwater chemistry, transport of solutes, and mechanical stability. Comparisons between predictions and observations were made during excavation in order to verify the reliability of the pre-investigations. This report presents a comparison between the geological and mechanical stability predictions and observations and an evaluation of data and investigation methods used for the 700-2874 m section of the tunnel. The report is specially highlighting the following conclusions: It is possible to localize major fracture zones during the pre-investigation at shallow (<200 m) depths; A number of minor fracture zones striking NNW-NNE were predicted to be hydraulically important and penetrate the southern area. A number of narrow fracture zone indications - 0.1-1 m wide - striking WNW-NE were mapped in the tunnel and pre-grouted sections confirm hydraulic conductors; It has not been possible to confirm the gently dipping zone EW-5, which was predicted as `possible`, with data from the tunnel; Predictions of the amount of different rock types were generally reliable as regards the major rocks, but the prediction of the distribution in space were poor as regards the minor rock types; The prediction of rock stress orientation corresponds well to the outcome; The prediction of rock quality for the tunnel, while applying the RMR-system, shows good correspondence to the observations made in the tunnel. 59 refs, 51 figs, 21 tabs.

  14. 吻合血管腓骨移植治疗陈旧性股骨颈骨折%Treatment of Non-union Femoral Neck Fractures with Vascularized Fibula Grafting

    Institute of Scientific and Technical Information of China (English)

    王春生; 王坤正; 党晓谦; 陈君长; 张开放; 金辽沙

    2003-01-01

    Objective: To investigate the value of transplantation of vascularized fibula intreating non-union femoral neck fractures and preventing ischemic necrosis of the femoral head. Meth-ods:Vascularized heterotopic fibula was transplanted to the anterior-lateral part of the femoral neck.The fibula artery and vein were anastomosised with lateral circumflex artery and vein. Results:Onehundred and twenty-nine cases of non-union femoral neck fracture were treated with vascularized fibulagraft in our hospital from 1982 to 2002. Eighty-seven cases of them were followed up for 3 to 19years with functional and X-ray examination. The percentage of fracture healing and effect were 94. 3and 81.6, respectively. Conclusion:The fibula with blood supply has a synergistic fixation impacton the non-union femoral neck fractures. The fibula is solid enough for supporting the femoral headand preventing it from collapse. The vascularized fibula grafting, by providing blood supply to the af-fected femoral head and neck, could promote the femoral head restoration and reconstruction. In addi-tion, the periosteum of fibula plays a role in fracture healing.%目的:了解吻合血管腓骨移植治疗陈旧性股骨颈骨折和预防股骨头坏死的效果.方法:带血管腓骨移植到股骨颈的前外侧,腓动静脉与旋股外动静脉吻合.结果:1982~2002年间共吻合血管腓骨移植治疗陈旧性股骨颈骨折129例.获得随访89例,随访时间3~19年,随访患者进行X线和功能检查.按骨折愈合和功能情况分析,有效率和良好率分别是95.4%和85.1%.结论:对股骨颈骨折,腓骨有协同固定作用,对股骨头坏死腓骨作为皮质骨有支撑和防止塌陷的作用,吻合的腓骨血管为股骨头颈部提供血供,促进了股骨颈骨折的愈合和股骨头的恢复与重建.腓骨骨膜在骨折的愈合中可能起一定的作用.

  15. 金属植入物内固定治疗四肢骨折后骨不连效果观察%The Effect of Metallic Implants in the Treatment of Nonunion After Fracture of Extremities

    Institute of Scientific and Technical Information of China (English)

    彭志明

    2016-01-01

    Objective To observe the effect of metal implants internal fixation in the treatment of nonunion after fracture of extremities.Methods Extraction of 50patients with limbs fracture after bone nonunion were included in the study, admission time in April 2012and 2014, June, according to the principle of randomized divided into two groups, the observation group (25 cases) and control group(25 cases) and control group patients were treated with fixed pressure therapy, the observed group treated with in-terlocking intramedullary nail in treatment, the therapeutic effects of the two groups of comparative analysis.Results The recur-rence rate and infection rate of observation group were lower than the control group, the healing rate was significantly higher than the control group, and the healing time was significantly shorter than that of the control group, the data of the two groups was sta-tistically significant(P<0.05).Conclusion The use of metal implants in the treatment of bone nonunion after fracture of limbs, ob-vious advantages, recommended in clinical application.%目的:观察金属植入物内固定治疗四肢骨折后骨不连的效果。方法选择50例四肢骨折后骨不连患者纳入研究,入院时间2012年4月至2014年6月,根据随机均分原则分为两组,即观察组25例和对照组25例,对照组患者采取外固定加压治疗,观察组应用带锁髓内钉固定治疗,对两组治疗效果进行比较分析。结果观察组复发率和感染率均低于对照组,愈合率高于对照组,同时骨折愈合时间也明显短于对照组,差异具有统计学意义(P<0.05)。结论应用金属植入物内固定治疗四肢骨折后骨不连,优势明显,推荐在临床中应用。

  16. Site Features

    Data.gov (United States)

    U.S. Environmental Protection Agency — This dataset consists of various site features from multiple Superfund sites in U.S. EPA Region 8. These data were acquired from multiple sources at different times...

  17. Comparison of contaminants of emerging concern removal, discharge, and water quality hazards among centralized and on-site wastewater treatment system effluents receiving common wastewater influent.

    Science.gov (United States)

    Du, Bowen; Price, Amy E; Scott, W Casan; Kristofco, Lauren A; Ramirez, Alejandro J; Chambliss, C Kevin; Yelderman, Joe C; Brooks, Bryan W

    2014-01-01

    A comparative understanding of effluent quality of decentralized on-site wastewater treatment systems, particularly for contaminants of emerging concern (CECs), remains less understood than effluent quality from centralized municipal wastewater treatment plants. Using a novel experimental facility with common influent wastewater, effluent water quality from a decentralized advanced aerobic treatment system (ATS) and a typical septic treatment system (STS) coupled to a subsurface flow constructed wetland (WET) were compared to effluent from a centralized municipal treatment plant (MTP). The STS did not include soil treatment, which may represent a system not functioning properly. Occurrence and discharge of a range of CECs were examined using isotope dilution liquid chromatography-tandem mass spectrometry during fall and winter seasons. Conventional parameters, including total suspended solids, carbonaceous biochemical oxygen demand and nutrients were also evaluated from each treatment system. Water quality of these effluents was further examined using a therapeutic hazard modeling approach. Of 19 CECs targeted for study, the benzodiazepine pharmaceutical diazepam was the only CEC not detected in all wastewater influent and effluent samples over two sampling seasons. Diphenhydramine, codeine, diltiazem, atenolol, and diclofenac exhibited significant (ptreatment systems was generally not influenced by season. However, significant differences (pwater quality indicators were observed among the various treatment technologies. For example, removal of most CECs by ATS was generally comparable to MTP. Lowest removal of most CECs was observed for STS; however, removal was improved when coupling the STS to a WET. Across the treatment systems examined, the majority of pharmaceuticals observed in on-site and municipal effluent discharges were predicted to potentially present therapeutic hazards to fish.

  18. Direct comparison of liquid-based and smear-based cytology with and without rapid on-site evaluation for fine needle aspirates of thoracic tumors.

    Science.gov (United States)

    Mfokazi, A; Wright, C A; Louw, M; Von Groote-Bidlingmaier, F; Schubert, P T; Koegelenberg, C F N; Diacon, A H

    2016-05-01

    Liquid-based cytology (LBC) and rapid on-site evaluation (ROSE) are proposed to improve the quality of fine needle aspirates (FNA) and their diagnostic yield compared with conventional smear cytology (CSC). This prospective study directly compared outcomes of sonar-guided FNA of thoracic tumors supported by LBC, CSC, or CSC with ROSE. Three aspirates each for both LBC and CSC with separate 22G spinal needles in a randomized, alternating sequence during 64 transthoracic FNA of thoracic tumors were collected. Smears were prepared by cytology staff on site but evaluated with ROSE only when all six samples had been collected. If no diagnostic material was found on the first three CSC additional needle passes guided by ROSE were performed. Final diagnoses were non-small cell lung cancer in 50 (78.1%), small cell lung cancer in 11 (17.2%), mesothelioma in 1 (1.6%), and inflammation in 2 cases (3.1%), respectively. LBC and CSC were diagnostic in 42 (65.6%) and 49 (76.6%) cases, respectively (P = 0.039), with both methods diagnostic in 41 cases (64.1%). Fifteen cases (23.4%) remained undiagnosed following three passes for CSC but 9 (14.1%) of these were diagnosed using FNA and ROSE with a total yield of 58 cases (90.6%; P < 0.001). The diagnostic yield of transthoracic FNA submitted for LBC is significantly lower than with CSC when slides are prepared professionally. ROSE significantly increases the yield of transthoracic FNA. © 2016 Wiley Periodicals, Inc.

  19. Genomic comparison of multi-drug resistant invasive and colonizing Acinetobacter baumannii isolated from diverse human body sites reveals genomic plasticity

    Directory of Open Access Journals (Sweden)

    Hsiao William W

    2011-06-01

    Full Text Available Abstract Background Acinetobacter baumannii has recently emerged as a significant global pathogen, with a surprisingly rapid acquisition of antibiotic resistance and spread within hospitals and health care institutions. This study examines the genomic content of three A. baumannii strains isolated from distinct body sites. Isolates from blood, peri-anal, and wound sources were examined in an attempt to identify genetic features that could be correlated to each isolation source. Results Pulsed-field gel electrophoresis, multi-locus sequence typing and antibiotic resistance profiles demonstrated genotypic and phenotypic variation. Each isolate was sequenced to high-quality draft status, which allowed for comparative genomic analyses with existing A. baumannii genomes. A high resolution, whole genome alignment method detailed the phylogenetic relationships of sequenced A. baumannii and found no correlation between phylogeny and body site of isolation. This method identified genomic regions unique to both those isolates found on the surface of the skin or in wounds, termed colonization isolates, and those identified from body fluids, termed invasive isolates; these regions may play a role in the pathogenesis and spread of this important pathogen. A PCR-based screen of 74 A. baumanii isolates demonstrated that these unique genes are not exclusive to either phenotype or isolation source; however, a conserved genomic region exclusive to all sequenced A. baumannii was identified and verified. Conclusions The results of the comparative genome analysis and PCR assay show that A. baumannii is a diverse and genomically variable pathogen that appears to have the potential to cause a range of human disease regardless of the isolation source.

  20. Measurements of aerosol absorption and scattering in the Mexico City Metropolitan Area during the MILAGRO field campaign: a comparison of results from the T0 and T1 sites

    Directory of Open Access Journals (Sweden)

    N. A. Marley

    2009-01-01

    Full Text Available In March 2006, a multiagency field campaign was undertaken in Mexico City called the Megacities Initiative: Local and Global Research Observations (MILAGRO. Two of the five field components of the MILAGRO study focused a major part of their efforts on atmospheric particulate emissions from the Mexico City basin and their effects on radiative balance as a function of time, location and processing conditions. As part of these two MILAGRO components, measurements of aerosol optical properties were obtained at a site located in the northern part of Mexico City (T0 and also at a site located 29 km northwest (T1 to estimate the regional effects of aerosol emissions from the basin.

    Measurements of aerosol absorption and scattering for fine mode aerosols were obtained at both sites. Aerosol absorption at 550 nm was similar at both sites, ranging from 7–107 Mm−1 at T0 and from 3–147 Mm−1 at T1. Aerosol scattering measured at 550 nm at T0 ranged from 16–344 Mm−1 while the aerosol scattering values at T1 were much lower than at T0 ranging from 2–136 Mm−1. Aerosol single scattering albedos (SSAs were calculated at 550 nm for the fine mode aerosols at both sites using these data. The SSAs at T0 ranged from 0.47–0.92 while SSAs at T1 ranged from 0.35–0.86. The presence of these highly absorbing fine aerosols in the lower atmosphere of the Mexico City area will result in a positive climate forcing and a local warming of the boundary layer in the region.

    Broadband UVB intensity was found to be higher at site T0, with an average of 64 μW/cm2 at solar noon, than at site T1, which had an average of 54 μW/cm2 at solar noon. Comparisons of clear-sky modeled UVB intensities with the simultaneous UVB measurements obtained at sites T0 and T1 for cloudless days indicate a larger diffuse radiation field at site T0 than at site T1. The determination of aerosol

  1. Pollen analysis of a peaty mud sample from the Dunajec River alluvial fan (Sandomierz Basin, Poland in the context of its morphological position, radiocarbon dating, and comparison with neighbouring sites

    Directory of Open Access Journals (Sweden)

    Mamakowa Kazimiera

    2015-06-01

    Full Text Available The paper presents the results of pollen analysis and radiocarbon dating of a peaty mud sample from a gravel-sand outlier of the Vistulian alluvial fan of the Dunajec River. The study showed the occurrence of open birch-pine forests with sporadic larch and stone pine at the time of mud deposition. The vegetation, of park tundra type, was characterised by the development of shrubby and sedge-grass communities. The radiocarbon dating of 39 100 ± 3000 BP indicates that deposition occurred in the Middle Plenivistulian (Hengelo interstadial or older, colder climatic stadial. A comparison of the palynological analysis and radiocarbon dating with data from other sites suggests that both the alluvia of the north-western part of the Dunajec River fan and the alluvia of its southern part were formed during the Middle Plenivistulian.

  2. Simulation of aerosol optical properties over a tropical urban site in India using a global model and its comparison with ground measurements

    Directory of Open Access Journals (Sweden)

    T. Takemura

    2011-05-01

    Full Text Available Aerosols have great impacts on atmospheric environment, human health, and earth's climate. Therefore, information on their spatial and temporal distribution is of paramount importance. Despite numerous studies have examined the variation and trends of BC and AOD over India, only very few have focused on their spatial distribution or even correlating the observations with model simulations. In the present study, a three-dimensional aerosol transport-radiation model coupled with a general circulation model. SPRINTARS, simulated atmospheric aerosol distributions including BC and aerosol optical properties, i.e., aerosol optical thickness (AOT, Ångström Exponent (AE, and single scattering albedo (SSA. The simulated results are compared with both BC measurements by aethalometer and aerosol optical properties measured by ground-based skyradiometer and by satellite sensor, MODIS/Terra over Hyderabad, which is a tropical urban area of India, for the year 2008. The simulated AOT and AE in Hyderabad are found to be comparable to ground-based measured ones. The simulated SSA tends to be higher than the ground-based measurements. Both these comparisons of aerosol optical properties between the simulations with different emission inventories and the measurements indicate that, firstly the model uncertainties derived from aerosol emission inventory cannot explain the gaps between the simulations and the measurements and secondly the vertical transport of BC and the treatment of BC-containing particles can be the main issue in the global model to solve the gap.

  3. Comparison of geochemical data obtained using four brine sampling methods at the SECARB Phase III Anthropogenic Test CO2 injection site, Citronelle Oil Field, Alabama

    Science.gov (United States)

    Conaway, Christopher; Thordsen, James J.; Manning, Michael A.; Cook, Paul J.; Trautz, Robert C.; Thomas, Burt; Kharaka, Yousif K.

    2016-01-01

    The chemical composition of formation water and associated gases from the lower Cretaceous Paluxy Formation was determined using four different sampling methods at a characterization well in the Citronelle Oil Field, Alabama, as part of the Southeast Regional Carbon Sequestration Partnership (SECARB) Phase III Anthropogenic Test, which is an integrated carbon capture and storage project. In this study, formation water and gas samples were obtained from well D-9-8 #2 at Citronelle using gas lift, electric submersible pump, U-tube, and a downhole vacuum sampler (VS) and subjected to both field and laboratory analyses. Field chemical analyses included electrical conductivity, dissolved sulfide concentration, alkalinity, and pH; laboratory analyses included major, minor and trace elements, dissolved carbon, volatile fatty acids, free and dissolved gas species. The formation water obtained from this well is a Na–Ca–Cl-type brine with a salinity of about 200,000 mg/L total dissolved solids. Differences were evident between sampling methodologies, particularly in pH, Fe and alkalinity. There was little gas in samples, and gas composition results were strongly influenced by sampling methods. The results of the comparison demonstrate the difficulty and importance of preserving volatile analytes in samples, with the VS and U-tube system performing most favorably in this aspect.

  4. Small-scale spatial variation of soft-bottom polychaete biomass in an Antarctic glacial fjord (Ezcurra Inlet, South Shetlands): comparison of sites at different levels of disturbance

    Science.gov (United States)

    Pabis, Krzysztof; Sobczyk, Robert

    2015-03-01

    There is still only a small number of studies dedicated to Southern Ocean benthic biomass, especially on species level. Here, we analyze polychaete biomass in two areas of the Antarctic fjord Ezcurra Inlet characterized by different levels of disturbance associated with activity of glaciers. Material was collected in March 2007 in the 90-130 m depth range. Twenty van Veen grab (0.1 m2) samples were collected in the inner area of the fjord and 20 in the fjord mouth. Cluster analysis clearly separated those two parts of the fjord. Mean total biomass was significantly higher in the outer region (14.4 ± 5.5 g/0.1 m2) compared with the inner part (3.6 ± 0.8 g/0.1 m2). The highest biomass in the outer, not disturbed area was noted for Amphitrite kerguelensis, Aphelochaeta/Chaetozone, Scalibregma inflatum, Euchone pallida and Maldane sarsi antarctica, while in the inner region, only Aphelochaeta/Chaetozone had high biomass values. Average individual biomass and biomass of majority of polychaete functional groups was also higher in the outer area. Comparison of species composition and abundance with data collected 30 years ago in the studied area revealed also important differences in community structure.

  5. Comparison of Exo-Seal(®) and Angio-Seal (®) for arterial puncture site closure: A randomized, multicenter, single-blind trial.

    Science.gov (United States)

    Ketterle, Johannes; Rittger, Harald; Helmig, Inga; Klinghammer, Lutz; Zimmermann, Stefan; Hohenforst-Schmidt, Wolfgang; Brachmann, Johannes; Nef, Holger; Achenbach, Stephan; Schlundt, Christian

    2015-08-01

    The use of extravascular femoral closure devices in patients undergoing coronary angiography/intervention has not been sufficiently evaluated. We sought to define the impact of an extravascular polyglycolic acid (PGA) plug for the closure of a femoral access site in patients undergoing coronary angiography and/or percutaneous coronary intervention. In this prospective, single-blind, multicenter trial we randomly assigned 319 patients to vessel closure with Angio-Seal(®) or Exo-Seal(®). We hypothesized that the use of an extravascular closure device is not inferior to an anchor/plug-mediated device regarding the occurrence of the composite primary endpoint: hematoma > 5 cm, significant groin bleeding (TIMI major bleed), false aneurysm, and device failure. There was no significant difference in patient baseline characteristics or procedural results. After 24 h the primary endpoint occurred in nine patients (5.6 %) in the Angio-Seal(®) group and in 13 patients (8.2 %) inthe Exo-Seal(®) group (p = 0.38). Hematoma > 5 cm was noted in three patients (1.9 %) receiving Angio-Seal(®) vs. two patients (1.3 %) receiving Exo-Seal(®) (p = 0.99). In one patient (0.6 %) of the Exo-Seal(®) group, TIMI major bleeding occurred, requiring transfusion (p = 0.49). There were four (2.5 %) false aneurysms found in patients treated with Angio-Seal(®) and two (1.3 %) in patients treated with Exo-Seal(®) (p = 0.68). There was a trend for a higher incidence of device failure in the Exo-Seal(®) group (1.2 vs. 5.2 %, p = 0.06). At telephone interview after 30 days, there was no significant difference found regarding the events readmission with surgery of puncture site, infection, bleeding, hematoma, or pain. In the present study, there were no significant differences found regarding the occurrence of hematoma > 5 cm, major bleeding, false aneurysm, and device failure between Angio-Seal(®) and Exo-Seal(®) 24 h after device implantation.

  6. Effect-site concentration of remifentanil for preventing cough during emergence in elderly patients undergoing nasal surgery: a comparison with adult patients

    Directory of Open Access Journals (Sweden)

    Yoo JY

    2016-09-01

    Full Text Available Ji Young Yoo,1 Jong Yeop Kim,1 Hyun Jeong Kwak,2 Dong Chul Lee,2 Go Wun Kim,1 Sook Young Lee,1 Yun Jeong Chae1 1Department of Anaesthesiology and Pain Medicine, Ajou University School of Medicine, Suwon, 2Department of Anaesthesiology and Pain Medicine, Gachon University, Gil Medical Center, Incheon, Korea Purpose: Prevention of cough during emergence after nasal surgery is important for avoiding surgical site bleeding. We investigated the remifentanil effect-site concentration in 50% (EC50 of the elderly patients undergoing nasal surgery for smooth emergence without cough and compared it with that of adult patients.Methods: Twenty-two elderly (aged 65–80 years and 25 adult patients (aged 20–60 years with an American Society of Anesthesiologists physical status I/II undergoing nasal surgery were enrolled. Anesthesia was maintained with sevoflurane and remifentanil. Remifentanil EC50 and EC95 for preventing cough were determined using the modified Dixon’s up-and-down method and isotonic regression with bootstrapping approach. Recovery profiles were also recorded.Results: With Dixon’s up-and-down method, the EC50 of remifentanil in elderly patients (2.40±0.25 ng/mL was not significantly different from that of adults (2.33±0.30 ng/mL (P=0.687. With isotonic regression, the EC95 of remifentanil in elderly patients (3.32 [95% confidence interval: 3.06–3.38] ng/mL was not significantly different from that of adults (3.30 [95% confidence interval: 2.96–3.37] ng/mL. However, eye opening time (14.1±3.8 vs 12.0±2.9 seconds, extubation time (17.2±4.1 vs 14.0±3.0 seconds, and postanesthesia care unit duration (44.5±7.6 vs 38.7±3.4 minutes in elderly patients were significantly longer than those in adults (P<0.05.Conclusion: Remifentanil EC50 for preventing cough after nasal surgery with sevoflurane anesthesia did not differ between elderly and adult patients. However, delayed awakening and respiratory adverse events may warrant attention

  7. Timing of Landform Displacements along the Mojave Section of the San Andreas Fault: A Comparison of Field-based and Remote Reconstructions at Two Sites

    Science.gov (United States)

    Barr, M. A.; Cowgill, E.

    2013-12-01

    Determining the Holocene slip rate of the Mojave section of the San Andreas Fault (MSAF) is key for assessing the earthquake hazard that this ~150-km-long section of fault poses to the Los Angeles metropolitan area, which is located ~45 km to the southwest. Possible temporal variations in slip rate along the MSAF are suggested by an apparent discrepancy between geologically and geodetically determined slip rates, with rates from geologic observations reported to be up to twice as fast as those reported from geodetic data. This apparent variability could be the result of changes in slip rate over time, which is known as secular variation in slip. To test the hypothesis that the MSAF exhibits variability in slip rate over time requires establishing not just a Holocene-average slip rate, but a Holocene slip history. Previous work along the MSAF using remote, virtual-reality based analysis of B4 LiDAR topographic data and pilot field observations identified ~60 potential slip-rate sites with landform offsets between 30 and 300 m, 10 of which are particularly promising. We are currently conducting detailed, field-based studies at two of these 10 sites (Oakdale and Shoemaker Canyon), with an emphasis on collecting age and offset data to determine both Holocene-average slip rates and constrain slip-history analysis. Initial offset estimates were made by remote analysis using 3D visualization software with 1-meter resolution LiDAR (Light Detection and Ranging) data. We plan to excavate exploratory, fault-parallel trenches both northwest and southeast of the fault to constrain the ages of offset landforms, correlate depositional events across the fault, and test the offset estimates that were determined remotely. Upon establishing the stratigraphic relationships of lithologic units within the trenches and correlating this stratigraphy across the fault, we plan to employ geochronologic techniques to quantify the age of depositional events. The nature of the deposits will

  8. Comparison of water absorption methods: testing the water absorption of recently quarried and weathered porous limestone on site and under laboratory conditions

    Science.gov (United States)

    Rozgonyi-Boissinot, Nikoletta; Agárdi, Tamás; Karolina Cebula, Ágnes; Török, Ákos

    2017-04-01

    The water absorption of weathering sensitive stones is a critical parameter that influences durability. The current paper compares different methods of water absorption tests by using on site and laboratory tests. The aims of the tests were to assess the water absorption of un-weathered quarry stones and various weathering forms occurring on porous limestone monuments. For the tests a Miocene porous limestone was used that occurs in Central and Western Hungary and especially near and in Budapest. Besides the Hungarian occurrences the same or very similar porous limestones are found in Austria, Slovakia and in the Czech Republic. Several quarries were operating in these countries. Due to the high workability the stone have been intensively used as construction material from the Roman period onward. The most prominent monuments made of this stone were built in Vienna and in Budapest during the 18th -19th century and in the early 20th century. The high porosity and the micro-fabric of the stone make it prone to frost- and salt weathering. Three different limestone types were tested representing coarse-, medium- and fine grained lithologies. The test methods included Rilem tube (Karsten tube) tests and capillary water absorption tests. The latter methodology has been described in detail in EN 1925:2000. The test results of on-site tests of weathered porous limestone clearly show that the water absorption of dissolved limestone surfaces and crumbling or micro-cracked limestone is similar. The water absorption curves have similar inclinations marking high amount of absorbed water. To the contrary, the white weathering crusts covered stone blocks and black crusts have significantly lower water absorptions and many of these crusts are considered as very tight almost impermeable surfaces. Capillary water absorption tests in the laboratory allowed the determination of maximum water absorption of quarried porous limestone. Specimens were placed in 3 mm of water column and the

  9. Tropospheric CH4 signals as observed by NDACC FTIR at globally distributed sites and comparison to GAW surface in situ measurements

    Directory of Open Access Journals (Sweden)

    E. Sepúlveda

    2014-07-01

    Full Text Available We present lower/middle tropospheric column-averaged CH4 mole fraction time series measured by nine globally distributed ground-based FTIR (Fourier transform infrared remote sensing experiments of the Network for the Detection of Atmospheric Composition Change (NDACC. We show that these data are well representative of the tropospheric regional-scale CH4 signal, largely independent of the local surface small-scale signals, and only weakly dependent on upper tropospheric/lower stratospheric (UTLS CH4 variations. In order to achieve the weak dependency on the UTLS, we use an a posteriori correction method. We estimate a typical precision for daily mean values of about 0.5% and a systematic error of about 2.5%. The theoretical assessments are complemented by an extensive empirical study. For this purpose, we use surface in situ CH4 measurements made within the Global Atmosphere Watch (GAW network and compare them to the remote sensing data. We briefly discuss different filter methods for removing the local small-scale signals from the surface in situ data sets in order to obtain the in situ regional-scale signals. We find good agreement between the filtered in situ and the remote sensing data. The agreement is consistent for a variety of timescales that are interesting for CH4 source/sink research: day-to-day, monthly, and inter-annual. The comparison study confirms our theoretical estimations and proves that the NDACC FTIR measurements can provide valuable data for investigating the cycle of CH4.

  10. Tropospheric CH4 signals as observed by NDACC FTIR at globally distributed sites and comparison to GAW surface in-situ measurements

    Directory of Open Access Journals (Sweden)

    E. Sepúlveda

    2014-01-01

    Full Text Available We present lower/middle tropospheric column-averaged CH4 mole fraction time series measured by nine globally distributed ground-based FTIR (Fourier Transform InfraRed remote sensing experiments of the Network for the Detection of Atmospheric Composition Change (NDACC. We show that these data are well representative of the tropospheric regional-scale CH4 signal, largely independent of the local small-scale signals of the boundary layer, and only weakly dependent on upper tropospheric/lower stratospheric (UTLS CH4 variations. In order to achieve the weak dependency on the UTLS, we use an a posteriori correction method. We estimate a typical precision for daily mean values of about 0.5% and a systematic error of about 2.5%. The theoretical assessments are complemented by an extensive empirical study. For this purpose, we use surface in-situ CH4 measurements made within the Global Atmosphere Watch (GAW network and compare them to the remote sensing data. We briefly discuss different filter methods for removing the local small-scale signals from the surface in-situ datasets in order to obtain the in-situ regional-scale signals. We find good agreement between the filtered in-situ and the remote sensing data. The agreement is consistent for a variety of time scales that are interesting for CH4 source/sink research: day-to-day, monthly, and inter-annual. The comparison study confirms our theoretical estimations and proves that the NDACC FTIR measurements can provide valuable data for investigating the cycle of CH4.

  11. 1997–2007 CO trend at the high Alpine site Jungfraujoch: a comparison between NDIR surface in situ and FTIR remote sensing observations

    Directory of Open Access Journals (Sweden)

    B. Dils

    2011-07-01

    Full Text Available Within the atmospheric research community, there is a strong interest in integrated datasets, combining data from several instrumentations. This integration is complicated by the different characteristics of the datasets, inherent to the measurement techniques. Here we have compared two carbon monoxide time series (1997 till 2007 acquired at the high-Alpine research station Jungfraujoch (3580 m above sea level, with two well-established measurement techniques, namely in situ surface concentration measurements using Non-Dispersive Infrared Absorption technology (NDIR, and ground-based remote sensing measurements using solar absorption Fourier Transform Infrared spectrometry (FTIR. The profile information available in the FTIR signal allowed us to extract an independent layer with a top height of 7.18 km above sea level, appropriate for comparison with our in situ measurements. We show that, even if both techniques are able to measure free troposphere CO concentrations, the datasets exhibit marked differences in their overall trends (−3.21 ± 0.03 ppb year−1 for NDIR vs. −0.8 ± 0.4 ppb year−1 for FTIR. Removing measurements that are polluted by uprising boundary layer air has a strong impact on the NDIR trend (now −2.62 ± 0.03 ppb year−1, but its difference with FTIR remains significant. Using the LAGRANTO trajectory model, we show that both measurement techniques are influenced by different source regions and therefore are likely subject to exhibit significant differences in their overall trend behaviour. However the observation that the NDIR-FTIR trend difference is as significant before as after 2001 is at odds with available emission databases which claim a significant Asian CO increase after 2001 only.

  12. Relationship between the CT Value and Cortical Bone Thickness at Implant Recipient Sites and Primary Implant Stability with Comparison of Different Implant Types.

    Science.gov (United States)

    Howashi, Miori; Tsukiyama, Yoshihiro; Ayukawa, Yasunori; Isoda-Akizuki, Kei; Kihara, Masafumi; Imai, Yu; Sogo, Motofumi; Koyano, Kiyoshi

    2016-02-01

    Studies have shown that bone quality at the implant recipient site can influence primary stability. The aims of this study were to explore the quantitative estimation of the primary stability of implants preoperatively using CT values and to examine the effect of different implant designs with recommended socket preparation on primary stability. Forty-four fresh porcine femoral heads were prepared. The bone surrounding implant sockets was preoperatively evaluated by helical CT. Forty-four implants (φ 4.3 × 10 mm), 22 straight and 22 tapered, were placed according to the manufacturer's instructions. The insertion torque value (ITV), implant stability quotient (ISQ), and removal torque value (RTV) were recorded as indicators of primary implant stability. Significant correlations and linear relationships were found between the CT value and ITV, ISQ, and RTV for both straight and tapered implants (Spearman's correlation coefficient, p quantitatively estimated using the CT value preoperatively, indicating the CT value of bone surrounding an implant can contribute considerably to implant planning and design choice in clinical situations. © 2014 Wiley Periodicals, Inc.

  13. Transfer of heavy metals in the food chain earthworm Black-tailed godwit (Limosa limosa): Comparison of a polluted and a reference site in The Netherlands

    Energy Technology Data Exchange (ETDEWEB)

    Roodbergen, Maja [Department of Ecology and Environment, ALTERRA, PO Box 47, 6700 AA, Wageningen (Netherlands); Animal Ecology Group, Centre for Ecological and Evolutionary Studies, University of Groningen, Haren (Netherlands)], E-mail: maja.roodbergen@sovon.nl; Klok, Chris; Hout, Annemariet van der [Department of Ecology and Environment, ALTERRA, PO Box 47, 6700 AA, Wageningen (Netherlands)

    2008-12-01

    The Black-tailed godwit (Limosa limosa) is a migratory wader that favours wet meadows for breeding. The species has a Red List status in The Netherlands, as it strongly declined in numbers since the 1960s. Intensification of agriculture and land use change resulting in habitat loss are considered major causes of this decline. In some areas the breeding habitat is contaminated with heavy metals. Adult godwits mainly feed on earthworms in the breeding season, which are known to accumulate heavy metals from the soil. In this paper we investigate the transfer of heavy metals from the soil to the Black-tailed godwit, which may have an additive negative effect on the viability of local populations. We measured heavy metal concentrations in soil, earthworms, and godwit eggs and feathers at a polluted and a reference site. The results suggest that Lead, Mercury and Cadmium are transferred from the soil to godwits even though the species spends only a few months in the breeding area during the year.

  14. Integrated carbon budget models for the Everglades terrestrial-coastal-oceanic gradient: Current status and needs for inter-site comparisons

    Science.gov (United States)

    Troxler, Tiffany G.; Gaiser, Evelyn; Barr, Jordan; Fuentes, Jose D.; Jaffe, Rudolf; Childers, Daniel L.; Collado-Vides, Ligia; Rivera-Monroy, Victor H.; Castañeda-Moya, Edward; Anderson, William; Chambers, Randy; Chen, Meilian; Coronado-Molina, Carlos; Davis, Stephen E.; Engel, Victor C.; Fitz, Carl; Fourqurean, James; Frankovich, Tom; Kominoski, John; Madden, Chris; Malone, Sparkle L.; Oberbauer, Steve F.; Olivas, Paulo; Richards, Jennifer; Saunders, Colin; Schedlbauer, Jessica; Scinto, Leonard J.; Sklar, Fred; Smith, Thomas J.; Smoak, Joseph M.; Starr, Gregory; Twilley, Robert; Whelan, Kevin

    2013-01-01

    Recent studies suggest that coastal ecosystems can bury significantly more C than tropical forests, indicating that continued coastal development and exposure to sea level rise and storms will have global biogeochemical consequences. The Florida Coastal Everglades Long Term Ecological Research (FCE LTER) site provides an excellent subtropical system for examining carbon (C) balance because of its exposure to historical changes in freshwater distribution and sea level rise and its history of significant long-term carbon-cycling studies. FCE LTER scientists used net ecosystem C balance and net ecosystem exchange data to estimate C budgets for riverine mangrove, freshwater marsh, and seagrass meadows, providing insights into the magnitude of C accumulation and lateral aquatic C transport. Rates of net C production in the riverine mangrove forest exceeded those reported for many tropical systems, including terrestrial forests, but there are considerable uncertainties around those estimates due to the high potential for gain and loss of C through aquatic fluxes. C production was approximately balanced between gain and loss in Everglades marshes; however, the contribution of periphyton increases uncertainty in these estimates. Moreover, while the approaches used for these initial estimates were informative, a resolved approach for addressing areas of uncertainty is critically needed for coastal wetland ecosystems. Once resolved, these C balance estimates, in conjunction with an understanding of drivers and key ecosystem feedbacks, can inform cross-system studies of ecosystem response to long-term changes in climate, hydrologic management, and other land use along coastlines

  15. A Comparison Study of Volatile Organic Compound Species and Concentrations in Snow Samples From Rural Sites in South-Western Quebec and at Alert, Nunavut

    Science.gov (United States)

    Mortazavi, R.; Kos, G.; Ariya, P. A.

    2006-12-01

    An intercomparison study was undertaken to evaluate volatile organic compound (VOC) species and concentrations in snow from different environments. Samples were collected in semi-urban/rural environments in Montreal, south-western Quebec, approximately 50 and 150 km east and north of Montreal, Quebec. Samples were also collected in the High Arctic near Alert, Nunavut. Analysis was carried out using pre- concentration with solid phase micro-extraction (SPME) and subsequent analyses using gas chromatography systems fitted with mass spectrometric (GC/MS) and flame ionisation detectors (GC/FID). Headspace and liquid phase of the snow samples were analysed. Bacterial and fungal species were isolated from sampled snow and their ice nucleation ability was assessed. Results demonstrate how VOC species and concentrations vary with the degree of anthropogenic activity and how long-range transport causes anthropogenic compounds to get deposited in the snow pack of remote areas. It is also shown, that snow provides a reservoir of various photo-labile compounds, and serves as an active site for microbiological processes. Atmospheric implications of the results will be discussed.

  16. Comparison of surface NMR with non-invasive and in-situ measurements of soil water content at a floodplain field site

    Science.gov (United States)

    Werban, Ulrike; Schrön, Martin; Dietrich, Peter; Walsh, David; Grunewald, Elliot; Pohle, Marco; Kathage, Susanne

    2016-04-01

    Quantification of soil water content is a very relevant issue in soil and environmental studies. There is a broad spectrum of methods applied for measuring soil water content in the field either deployed in situ or non-invasively from the surface. For many reasons the latter is preferred in field studies. Nuclear Magnetic Resonance (NMR) is one of the rare methods that measure the water content directly. Whereas others, e.g. geophysical methods, make use of proximal relationships for determination of soil water content. We applied a new single-sided NMR sensor to non-invasively measure in-situ soil moisture profiles at several points along two transects in a floodplain. The field site exhibits variations in soil water content due to morphology, e.g. flood channels and alluvial fan structures. Furthermore we applied at the same transects (1) in situ methods: soil sampling for gravimetrical analysis and TDR and (2) non-invasive methods: electromagnetical induction, mobile cosmic-ray neutron sensing with a rover and gamma-ray spectrometry. We will present results that confirm agreement of NMR and gravimetrical analysis from soil sampling and discuss issues that arise when using non-unique proxy methods and relationships for determination of soil water content.

  17. Comparison of Escherichia coli tRNAPhe in the free state, in the ternary complex and in the ribosomal A and P sites by chemical probing

    DEFF Research Database (Denmark)

    Douthwaite, S; Garrett, R A; Wagner, R

    1983-01-01

    with elongation factor EF-Tu and GTP and in the ribosomal A and P sites were compared. A special procedure was devised to monitor, exclusively, tRNA molecules in the aminoacylated state. In the free tRNA, the most reactive bases are confined to the A73-C-C-A sequence of the aminoacyl stem, the anticodon loop......tRNAPheE.coli was modified at accessible guanosine, cytidine, and adenosine residues using the chemical modification method described by Peattie and Gilbert [Proc. Natl Acad. Sci. USA, 77, 4679-4689 (1980)]. Modification characteristics of the tRNA in the free state, in the ternary complex......, the D-loop and the extra loop and the results correlate well with the three-dimensional structure of tRNAPheyeast determined by X-ray studies. The pattern of reactivity was not affected either by charging the tRNA with phenylalanine or by labelling the 3' terminus with pCp. In the ternary complex...

  18. Site-City Interaction through Modifications of Site Effects

    CERN Document Server

    Semblat, Jean-François; Guéguen, Philippe; Bard, Pierre-Yves; Duval, Anne Marie

    2009-01-01

    The analysis of seismic site effects generally disregards the influence of surface structures on the free field motion in densely urbanized areas. This paper aims at investigating this particular problem called site-city interaction especially by comparison to the "free-field" amplification process. Several evidences (experimental, analytical, numerical) of the site-city interaction phenomenon have been given in previous work (Gu\\'eguen, Bard, Semblat 2000). The influence of site city-interaction could be large for structures having eigenfrequencies close to that of the surface soil layers. Furthermore, the density of structures is also an important governing parameter of the problem. Considering a specific site (Nice, France) where site-city interaction is supposed to be significant, we start from detailed experimental and numerical studies of seismic site effects giving both amplification levels and occuring frequencies, as well as the location of the maximum amplification areas. The influence of site-city ...

  19. Environmental assessment, Deaf Smith County site, Texas

    Energy Technology Data Exchange (ETDEWEB)

    1986-05-01

    The Nuclear Waste Policy Act of 1982 (42 USC sections 10101-10226) requires the environmental assessment of a proposed site to include a statement of the basis for nominating a site as suitable for characterization. Volume 2 provides a detailed statement evaluating the site suitability of the Deaf Smith County Site under DOE siting guidelines, as well as a comparison of the Deaf Smith County Site to the other sites under consideration. The evaluation of the Deaf Smith County Site is based on the impacts associated with the reference repository design, but the evaluation will not change if based on the Mission Plan repository concept. The second part of this document compares the Deaf Smith County Site to Davis Canyon, Hanford, Richton Dome and Yucca Mountain. This comparison is required under DOE guidelines and is not intended to directly support subsequent recommendation of three sites for characterization as candidate sites. 259 refs., 29 figs., 66 refs. (MHB)

  20. Comparison of Remote Sensing and Fixed-Site Monitoring Approaches for Examining Air Pollution and Health in a National Study Population

    Science.gov (United States)

    Prud'homme, Genevieve; Dobbin, Nina A.; Sun, Liu; Burnet, Richard T.; Martin, Randall V.; Davidson, Andrew; Cakmak, Sabit; Villeneuve, Paul J.; Lamsal, Lok N.; vanDonkelaar, Aaron; hide

    2013-01-01

    Satellite remote sensing (RS) has emerged as a cutting edge approach for estimating ground level ambient air pollution. Previous studies have reported a high correlation between ground level PM2.5 and NO2 estimated by RS and measurements collected at regulatory monitoring sites. The current study examined associations between air pollution and adverse respiratory and allergic health outcomes using multi-year averages of NO2 and PM2.5 from RS and from regulatory monitoring. RS estimates were derived using satellite measurements from OMI, MODIS, and MISR instruments. Regulatory monitoring data were obtained from Canada's National Air Pollution Surveillance Network. Self-reported prevalence of doctor-diagnosed asthma, current asthma, allergies, and chronic bronchitis were obtained from the Canadian Community Health Survey (a national sample of individuals 12 years of age and older). Multi-year ambient pollutant averages were assigned to each study participant based on their six digit postal code at the time of health survey, and were used as a marker for long-term exposure to air pollution. RS derived estimates of NO2 and PM2.5 were associated with 6e10% increases in respiratory and allergic health outcomes per interquartile range (3.97 mg m3 for PM2.5 and 1.03 ppb for NO2) among adults (aged 20e64) in the national study population. Risk estimates for air pollution and respiratory/ allergic health outcomes based on RS were similar to risk estimates based on regulatory monitoring for areas where regulatory monitoring data were available (within 40 km of a regulatory monitoring station). RS derived estimates of air pollution were also associated with adverse health outcomes among participants residing outside the catchment area of the regulatory monitoring network (p < 0.05).

  1. Comparison of internal ribosome entry site (IRES and Furin-2A (F2A for monoclonal antibody expression level and quality in CHO cells.

    Directory of Open Access Journals (Sweden)

    Steven C L Ho

    Full Text Available Four versions of tricistronic vectors expressing IgG1 light chain (LC, IgG1 heavy chain (HC, and dihydrofolate reductase (DHFR in one transcript were designed to compare internal ribosome entry site (IRES and furin-2A (F2A for their influence on monoclonal antibody (mAb expression level and quality in CHO DG44 cells. LC and HC genes are arranged as either the first or the second cistron. When using mAb quantification methods based on the detection antibodies against HC Fc region, F2A-mediated tricistronic vectors appeared to express mAb at higher levels than the IRES-mediated tricistronic vectors in both transient and stable transfections. Further analysis revealed that more than 40% of products detected in stably transfected pools generated using the two F2A-mediated tricistronic vectors were aggregates. LC and HC from the F2A stably transfected pools were not properly processed, giving rise to LC+F2A+HC or HC+F2A+LC fusion proteins, LC and HC polypeptides with F2A remnants, and incorrectly cleaved signal peptides. Both IRES-mediated tricistronic vectors express mAb with correct sizes and signal peptide cleavage. Arrangement of LC as the first cistron in the IRES-mediated tricistronic vectors exhibits increased mAb expression level, better growth, and minimized product aggregation, while arrangement of HC as first cistron results in low expression, slower growth, and high aggregation. The results obtained will be beneficial for designing vectors that enhance mAb expression level and quality in mammalian cells.

  2. Measurements of volatile organic compounds at a suburban ground site (T1 in Mexico City during the MILAGRO 2006 campaign: measurement comparison, emission ratios, and source attribution

    Directory of Open Access Journals (Sweden)

    D. M. Bon

    2011-03-01

    Full Text Available Volatile organic compound (VOC mixing ratios were measured with two different instruments at the T1 ground site in Mexico City during the Megacity Initiative: Local and Global Research Observations (MILAGRO campaign in March of 2006. A gas chromatograph with flame ionization detector (GC-FID quantified 18 light alkanes, alkenes and acetylene while a proton-transfer-reaction ion-trap mass spectrometer (PIT-MS quantified 12 VOC species including oxygenated VOCs (OVOCs and aromatics. A GC separation system was used in conjunction with the PIT-MS (GC-PIT-MS to evaluate PIT-MS measurements and to aid in the identification of unknown VOCs. The VOC measurements are also compared to simultaneous canister samples and to two independent proton-transfer-reaction mass spectrometers (PTR-MS deployed on a mobile and an airborne platform during MILAGRO. VOC diurnal cycles demonstrate the large influence of vehicle traffic and liquid propane gas (LPG emissions during the night and photochemical processing during the afternoon. Emission ratios for VOCs and OVOCs relative to CO are derived from early-morning measurements. Average emission ratios for non-oxygenated species relative to CO are on average a factor of ~2 higher than measured for US cities. Emission ratios for OVOCs are estimated and compared to literature values the northeastern US and to tunnel studies in California. Positive matrix factorization analysis (PMF is used to provide insight into VOC sources and processing. Three PMF factors were distinguished by the analysis including the emissions from vehicles, the use of liquid propane gas and the production of secondary VOCs + long-lived species. Emission ratios to CO calculated from the results of PMF analysis are compared to emission ratios calculated directly from measurements. The total PIT-MS signal is summed to estimate the fraction of identified versus unidentified VOC species.

  3. Ground motions recorded in Rome during the April 2009 L’Aquila seismic sequence: site response and comparison with ground‐motion predictions based on a global dataset

    Science.gov (United States)

    Caserta, Arrigo; Boore, David; Rovelli, Antonio; Govoni, Aladino; Marra, Fabrizio; Monica, Gieseppe Della; Boschi, Enzo

    2013-01-01

    The mainshock and moderate‐magnitude aftershocks of the 6 April 2009 M 6.3 L’Aquila seismic sequence, about 90 km northeast of Rome, provided the first earthquake ground‐motion recordings in the urban area of Rome. Before those recordings were obtained, the assessments of the seismic hazard in Rome were based on intensity observations and theoretical considerations. The L’Aquila recordings offer an unprecedented opportunity to calibrate the city response to central Apennine earthquakes—earthquakes that have been responsible for the largest damage to Rome in historical times. Using the data recorded in Rome in April 2009, we show that (1) published theoretical predictions of a 1 s resonance in the Tiber valley are confirmed by observations showing a significant amplitude increase in response spectra at that period, (2) the empirical soil‐transfer functions inferred from spectral ratios are satisfactorily fit through 1D models using the available geological, geophysical, and laboratory data, but local variability can be large for individual events, (3) response spectra for the motions recorded in Rome from the L’Aquila earthquakes are significantly amplified in the radial component at periods near 1 s, even at a firm site on volcanic rocks, and (4) short‐period response spectra are smaller than expected when compared to ground‐motion predictions from equations based on a global dataset, whereas the observed response spectra are higher than expected for periods near 1 s.

  4. IN SITU COMPARISON OF TREE-RING RESPONSES TO CLIMATE AND POPULATION GENETICS: THE NEED TO CONTROL FOR LOCAL CLIMATE AND SITE VARIABLES

    Directory of Open Access Journals (Sweden)

    Johann Mathias Housset

    2016-10-01

    Full Text Available Tree species responses to climate change will be greatly influenced by their evolutionary potential and their phenotypic plasticity. Investigating tree-rings responses to climate and population genetics at the regional scale is therefore crucial in assessing the tree behaviour to climate change. This study combined in situ dendroclimatology and population genetics over a latitudinal gradient and compared the variations between the two at the intra- and inter-population levels. This approach was applied on the northern marginal populations of Thuja occidentalis (eastern white-cedar in the Canadian boreal forest. We aimed first to assess the radial growth variability (response functional trait within populations across the gradient and to compare it with the genetic diversity (microsatellites. Second, we investigated the variability in the growth response to climate at the regional scale through the radial growth-climate relationships, and tested its correlation with environmental variables and population genetic structure. Model selection based on the Akaike Information Criteria revealed that the growth synchronicity between pairs of trees of a population covariates with both the genetic diversity of this population and the amount of precipitation (inverse correlation, although these variables only explained a small fraction of the observed variance. At the regional scale, variance partitioning and partial redundancy analysis indicate that the growth response to climate was greatly modulated by stand environmental variables, suggesting predominant plastic variations in growth-response to climate. Combining in situ dendroclimatology and population genetics is a promising way to investigate species’ response capacity to climate change in natural stands. We stress the need to control for local climate and site conditions effects on dendroclimatic response to climate to avoid misleading conclusions regarding the associations with genetic variables.

  5. Comparison of Two Surface Contamination Sampling Techniques Conducted for the Characterization of Two Pajarito Site Manhattan Project National Historic Park Properties

    Energy Technology Data Exchange (ETDEWEB)

    Lopez, Tammy Ann [Montana Tech of the Univ. of Montana, Butte, MT (United States); Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-07-29

    Technical Area-18 (TA-18), also known as Pajarito Site, is located on Los Alamos National Laboratory property and has historic buildings that will be included in the Manhattan Project National Historic Park. Characterization studies of metal contamination were needed in two of the four buildings that are on the historic registry in this area, a “battleship” bunker building (TA-18-0002) and the Pond cabin (TA-18-0029). However, these two buildings have been exposed to the elements, are decades old, and have porous and rough surfaces (wood and concrete). Due to these conditions, it was questioned whether standard wipe sampling would be adequate to detect surface dust metal contamination in these buildings. Thus, micro-vacuum and surface wet wipe sampling techniques were performed side-by-side at both buildings and results were compared statistically. A two-tail paired t-test revealed that the micro-vacuum and wet wipe techniques were statistically different for both buildings. Further mathematical analysis revealed that the wet wipe technique picked up more metals from the surface than the microvacuum technique. Wet wipes revealed concentrations of beryllium and lead above internal housekeeping limits; however, using an yttrium normalization method with linear regression analysis between beryllium and yttrium revealed a correlation indicating that the beryllium levels were likely due to background and not operational contamination. PPE and administrative controls were implemented for National Park Service (NPS) and Department of Energy (DOE) tours as a result of this study. Overall, this study indicates that the micro-vacuum technique may not be an efficient technique to sample for metal dust contamination.

  6. Measurements of volatile organic compounds at a suburban ground site (T1 in Mexico City during the MILAGRO 2006 campaign: measurement comparison, emission ratios, and source attribution

    Directory of Open Access Journals (Sweden)

    D. M. Bon

    2010-10-01

    Full Text Available Volatile organic compound (VOC mixing ratios were measured with two different instruments at the T1 ground site in Mexico City during the Megacity Initiative: Local and Global Research Observations (MILAGRO campaign in March of 2006. A gas chromatograph with flame ionization detector (GC-FID quantified 18 light alkanes, alkenes and acetylene while a proton-transfer-reaction ion-trap mass spectrometer (PIT-MS quantified 12 VOC species including oxygenated VOCs (OVOCs and aromatics. A GC separation system was used in conjunction with the PIT-MS (GC-PIT-MS to evaluate PIT-MS measurements and to aid in the identification of unknown VOCs. The VOC measurements are also compared to simultaneous canister samples and to two independent proton-transfer-reaction mass spectrometers (PTR-MS deployed on a mobile and an airborne platform during MILAGRO. VOC diurnal cycles demonstrate the large influence of vehicle traffic and liquid propane gas (LPG emissions during the night and photochemical processing during the afternoon. Emission ratios for VOCs and OVOCs are determined from early-morning enhancement ratios and compared to emission ratios calculated from the PMF results. Average emission ratios for non-oxygenated species relative to CO are on average a factor of 2 higher than measured for US cities. Emission ratios for OVOCs are estimated and compared to literature values the northeastern US and to tunnel studies in California. Positive matrix factorization analysis (PMF is used to provide insight into VOC sources and processing and to estimate OVOC emission ratios. Three PMF factors were distinguished by the analysis including the emissions from vehicles, the use of liquid propane gas and the production of secondary VOCs + long-lived species. The total PIT-MS signal was summed to estimate the fraction of identified vs. unidentified VOC species.

  7. A Comparison of Vanadate to a 2'-5' Linkage at the Active Site of a Small Ribozyme Suggests a Role for Water in Transition-State Stabilization

    Energy Technology Data Exchange (ETDEWEB)

    Torelli, A.T.; Krucinska, J.; Wedekind, J.E.

    2009-06-04

    The potential for water to participate in RNA catalyzed reactions has been the topic of several recent studies. Here, we report crystals of a minimal, hinged hairpin ribozyme in complex with the transition-state analog vanadate at 2.05 A resolution. Waters are present in the active site and are discussed in light of existing views of catalytic strategies employed by the hairpin ribozyme. A second structure harboring a 2',5'-phosphodiester linkage at the site of cleavage was also solved at 2.35 A resolution and corroborates the assignment of active site waters in the structure containing vanadate. A comparison of the two structures reveals that the 2',5' structure adopts a conformation that resembles the reaction intermediate in terms of (1) the positioning of its nonbridging oxygens and (2) the covalent attachment of the 2'-O nucleophile with the scissile G+1 phosphorus. The 2',5'-linked structure was then overlaid with scissile bonds of other small ribozymes including the glmS metabolite-sensing riboswitch and the hammerhead ribozyme, and suggests the potential of the 2',5' linkage to elicit a reaction-intermediate conformation without the need to form metalloenzyme complexes. The hairpin ribozyme structures presented here also suggest how water molecules bound at each of the nonbridging oxygens of G+1 may electrostatically stabilize the transition state in a manner that supplements nucleobase functional groups. Such coordination has not been reported for small ribozymes, but is consistent with the structures of protein enzymes. Overall, this work establishes significant parallels between the RNA and protein enzyme worlds.

  8. Treatment of old proximal humerus fracture nonunion with reverse total shoulder arthroplasty%反球型人工肩关节置换术治疗肱骨近端陈旧骨折不愈合

    Institute of Scientific and Technical Information of China (English)

    李奉龙; 姜春岩

    2015-01-01

    Background The nonunion treatment of proximal humerus fracture is one of the difficulties that the shoulder surgery faces .Usually these patients have old fracture are complicated with poor block blood supply ,dysfunction of rotator cuff as well as other unfavorable conditions .If the patients are operated with bone grafting and then fixation ,or artificial humeral head arthroplasty ,it will be difficult to predict the results of post‐operation functional shoulder recovery .During recent years ,there have been reports from abroad about adopting reverse total shoulder arthroplasty in treating proximal humerus fracture nonunion which achieved great curative effects .However ,reports about adopting reverse total shoulder arthroplasty in treating old proximal humerus fracture nonunion are still rare .This thesis will firstly analyze the clinical effects of adopting reverse total shoulder arthroplasty for treatment of old proximal humerus fracture nonunion in our hospital ,and then get preliminary conclusions on the curative effects of this arthroplasty .Methods General data:inclusion criteria of cases:(1) patients who had old proximal humerus fracture nonunion and were given reverse total shoulder arthroplasty in our hospital;(2) no complicated with neurovascular injury ;(3) the post‐operation visit should be not less than two years .Cases exclusion criteria:(1 ) complicated with neurovascular injury ;(2) the post‐operation visit less than two years .From October 2010 to February 2013 ,our hospital has received nine patients with old proximal humerus fracture nonunion who were performed reverse total shoulder arthroplasty .Three males and six females and their average ages were from 70 to 86 years old (75 .2 ± 8 .6) .Six patients among them got the dominant side affected .The latest operation was about 10 to 29 months (15 ± 7 .3) long from last time .All patients had gotten the proximal humerus fracture open reduction and internal fixation operation .Three

  9. Comparison of remote sensing and fixed-site monitoring approaches for examining air pollution and health in a national study population

    Science.gov (United States)

    Prud'homme, Genevieve; Dobbin, Nina A.; Sun, Liu; Burnett, Richard T.; Martin, Randall V.; Davidson, Andrew; Cakmak, Sabit; Villeneuve, Paul J.; Lamsal, Lok N.; van Donkelaar, Aaron; Peters, Paul A.; Johnson, Markey

    2013-12-01

    Satellite remote sensing (RS) has emerged as a cutting edge approach for estimating ground level ambient air pollution. Previous studies have reported a high correlation between ground level PM2.5 and NO2 estimated by RS and measurements collected at regulatory monitoring sites. The current study examined associations between air pollution and adverse respiratory and allergic health outcomes using multi-year averages of NO2 and PM2.5 from RS and from regulatory monitoring. RS estimates were derived using satellite measurements from OMI, MODIS, and MISR instruments. Regulatory monitoring data were obtained from Canada's National Air Pollution Surveillance Network. Self-reported prevalence of doctor-diagnosed asthma, current asthma, allergies, and chronic bronchitis were obtained from the Canadian Community Health Survey (a national sample of individuals 12 years of age and older). Multi-year ambient pollutant averages were assigned to each study participant based on their six digit postal code at the time of health survey, and were used as a marker for long-term exposure to air pollution. RS derived estimates of NO2 and PM2.5 were associated with 6-10% increases in respiratory and allergic health outcomes per interquartile range (3.97 μg m-3 for PM2.5 and 1.03 ppb for NO2) among adults (aged 20-64) in the national study population. Risk estimates for air pollution and respiratory/allergic health outcomes based on RS were similar to risk estimates based on regulatory monitoring for areas where regulatory monitoring data were available (within 40 km of a regulatory monitoring station). RS derived estimates of air pollution were also associated with adverse health outcomes among participants residing outside the catchment area of the regulatory monitoring network (p health among participants living outside the catchment area for regulatory monitoring suggest that RS can provide useful estimates of long-term ambient air pollution in epidemiologic studies. This is

  10. Trophic transfer and effects of DDT in male hornyhead turbot (Pleuronichthys verticalis) from Palos Verdes Superfund site, CA (USA) and comparisons to field monitoring.

    Science.gov (United States)

    Crago, Jordan; Xu, Elvis Genbo; Kupsco, Allison; Jia, Fang; Mehinto, Alvine C; Lao, Wenjian; Maruya, Keith A; Gan, Jay; Schlenk, Daniel

    2016-06-01

    High concentrations of DDT and metabolites (ΣDDT) have been detected in sediment and the demersal flatfish hornyhead turbot (Pleuronichtys verticalis) collected from Palos Verdes (PV), California, USA, a site contaminated with over 100 metric tons of DDT throughout 1960s-70s. This study was conducted to assess the transfer of ΣDDT from PV-sediment into polychaetes (Neanthes arenaceodentata) and hornyhead turbot, and to investigate if the responses in turbots from two different laboratory exposures mimic those in turbots caught in PV (PV-turbot). Turbot fed PV-sediment-contaminated polychaete for 7 days had liver concentrations of ΣDDT similar to PV-turbot. After 28 days, ΣDDT also accumulated in livers of turbot gavaged with a ΣDDT mixture. In vitro cell bioassays indicated significant increases of 17β-estradiol equivalents (EEQ) in turbot bile extracts as compared to the control in the 7-day study. These responses corresponded to those measured in PV-fish. Glucocorticoid receptor (GR), anti-androgen receptor (anti-AR), estrogen receptor (ER) or aryl hydrocarbon receptor (AhR) activities were also observed in extracts of PV-sediment, and PV-sediment-exposed worm. Anti-AR, AhR and GR activities were significantly higher in PV-sediment than reference sediment (San Diego, SD). Higher transcripts of hepatic VTG, ERα and ERβ were found in PV-turbot than SD-turbot, but were unaltered in fish exposed to sediment-contaminated worms for the 7-day study. In contrast, liver extracts from the 28-day treatment of ΣDDT showed lower EEQ but similar hepatic VTG and ERβ transcripts relative to those of PV-turbot. These data indicated that trophic transfer of sediment-associated DDT in 7-day exposures corresponded to field measurements of DDT residues and in vitro ER bioactivities, but failed to mimic in vivo biological effects observed in field fish. In contrast, treatment with ΣDDT alone for 28 days mimicked in vivo biological effects of DDTs in PV fish, but did not

  11. GFRs measured by gates' method according to 5 background sites: comparison with GFR measured by I-125-lothalamate method

    Energy Technology Data Exchange (ETDEWEB)

    Chung, Hyun Seok; Chung, Yong An; Kim, Sung Hoon; Kim, Chung Ho; Lee, Sung Young; Sohn, Hyung Seon; Baik, Jun Hyun; Chung, Soo Kyo [School of Medicine, The Catholic Univ. of Korea, Seoul (Korea, Republic of)

    2004-08-01

    The aim was to assess how the background site affects the Gates' glomerular filtration rate(GFR) measurement using Tc-99m-DTPA in correlation with GFR by I-125-iothalamate method. The study populations were 63 adults with 39 men and 24 women aged from 20 to 59 yrs (mean = 37.9 yrs). The following five background regions of interest were used in measurement of GFR using Gates' method: 1) lower side of each kidney(subrenal), 2) around each kidney(circumferential), 3) upper side of each kidney(suprarenal), 4) lateral side of each kidney(lateral), 5) between the two kidney(inter-renal). We also measured GFR using I-125-iothalamate in each subject. The two studies were separated by 1 to 3 weeks. The subjects were divided into two groups by renal depth. Group 1 with renal depth{>=}7 cm and group 2 with renal depth < 7 cm. We calculated the means and standard deviations of the GFRs measured by two studies. And we statistically analyzed the correlation and differences among GFRs by Gates' method and the GFR by iothalamate method with correlation analysis. The GFRs Gates' method using suprarenal and inter-renal background correction showed better correlation with the GFR measured by I-125-iothalamate. And GFRs measured by Gates' method showed statistically significant correlation with the GFR measured by I-125-iothalamate in the group with renal depth < 7 cm. But GFRs measured by Gates' method did not show statistically significant correlation with the GFR measured by I-125-iothalamate in the group with renal depth {>=}7 cm. GFRs measured with Gates' method showed higher correlation with the GFR measured by I-125-iothalamate when the regions of interest were placed over the suprarenal and inter-renal backgrounds. And GFRs measured with Gates method showed statistically significant correlation with the GFR measured by I-125-iothalamate in the group with renal depth < 7 cm.

  12. Comparison between Snow Albedo Obtained from Landsat TM, ETM+ Imagery and the SPOT VEGETATION Albedo Product in a Mediterranean Mountainous Site

    Directory of Open Access Journals (Sweden)

    Rafael Pimentel

    2016-02-01

    Full Text Available Albedo plays an important role in snow evolution modeling quantifying the amount of solar radiation absorbed and reflected by the snowpack, especially in mid-latitude regions with semiarid conditions. Satellite remote sensing is the most extensive technique to determine the variability of snow albedo over medium to large areas; however, scale effects from the pixel size of the sensor source may affect the results of snow models, with different impacts depending on the spatial resolution. This work presents the evaluation of snow albedo values retrieved from (1 Landsat images, L (16-day frequency with 30 × 30 m pixel size and (2 SPOT VEGETATION albedo products, SV (10-day frequency with 1 × 1 km pixel size in the Sierra Nevada mountain range in South Spain, a Mediterranean site representative of highly heterogeneous conditions. Daily snow albedo map series were derived from both sources, and used as input for the snow module in the WiMMed (Watershed Integrated Management in Mediterranean Environment hydrological model, which was operational at the study area for snow monitoring for two hydrological years, 2011–2012 and 2012–2013, in the Guadalfeo river basin in Sierra Nevada. The results showed similar albedo trends in both data sources, but with different values, the shift between both sources being distributed in space according to the altitude. This difference resulted in lower snow cover fraction values in the SV-simulations that affected the rest of snow variables included in the simulation. This underestimation, mainly due to the effects of mixed pixels composed by both snow and snow-free areas, produced higher divergences from both sources during the melting periods when the evapo-sublimation and melting fluxes are more relevant. Therefore, the selection of the albedo data source in these areas, where snow evapo-sublimation plays a very important role and the presence of snow-free patches is very frequent, can condition the final

  13. Practice-based randomized controlled-comparison clinical trial of chiropractic adjustments and brief massage treatment at sites of subluxation in subjects with essential hypertension: pilot study.

    Science.gov (United States)

    Plaugher, Gregory; Long, Cynthia R; Alcantara, Joel; Silveus, Alyssa D; Wood, Herbert; Lotun, Kapildeo; Menke, J Michael; Meeker, William C; Rowe, Stephen H

    2002-05-01

    To determine the feasibility of conducting a randomized clinical trial in the private practice setting examining short- and long-term effects of chiropractic adjustments for subjects with essential hypertension compared with a brief soft tissue massage, as well as a nontreatment control group. Randomized controlled-comparison trial with 3 parallel groups. Private practice outpatient chiropractic clinic. Twenty-three subjects, aged 24 to 50 years with systolic or diastolic essential hypertension. Two months of full-spine chiropractic care (ie, Gonstead) consisting primarily of specific-contact, short-lever-arm adjustments delivered at motion segments exhibiting signs of subluxation. The massage group had a brief effleurage procedure delivered at localized regions of the spine believed to be exhibiting signs of subluxation. The nontreatment control group rested alone for a period of approximately 5 minutes in an adjustment room. Cost per enrolled subject, as well as systolic and diastolic blood pressure (BP) measured with a random-0 sphygmomanometer and patient reported health status (SF-36). Pilot study outcome measures also included an assessment of cooperation of subjects to randomization procedures and drop-out rates, recruitment effectiveness, analysis of temporal stability of BPs at the beginning of care, and the effects of inclusion/exclusion criteria on the subject pool. Thirty subjects enrolled, yielding a cost of $161 per enrolled subject. One subject was later determined to be ineligible, and 6 others dropped out. In both the chiropractic and massage therapy groups, all subjects were classified as either overweight or obese; in the control group there were only 2 classified as such. SF-36 profiles for the groups were similar to that of a normal population. The mean change in diastolic BP was -4 (95% confidence interval [CI]: -8.6, 0.5) in the chiropractic care group, 0.5 (95% CI: -3.5, 4.5) in the brief massage treatment group, and -4.9 (95% CI: -9.7, -0

  14. Site assessment

    DEFF Research Database (Denmark)

    Vesth, Allan; Gómez Arranz, Paula

    This report describes the site assessment of given position in a given site, for a wind turbine with a well-defined hub height and rotor diameter. The analysis is carried out in accordance to IEC 61400-12-1 [1], and both an obstacle assessment and a terrain assessment are performed....

  15. Site assessment

    DEFF Research Database (Denmark)

    Villanueva, Héctor; Gómez Arranz, Paula

    This report describes the site assessment of given position in a given site, for a wind turbine with a well-defined hub height and rotor diameter. The analysis is carried out in accordance to IEC 61400-12-1 [1], and both an obstacle assessment and a terrain assessment are performed....

  16. Risk factors for surgical site infection following nonshunt pediatric neurosurgery: a review of 9296 procedures from a national database and comparison with a single-center experience.

    Science.gov (United States)

    Sherrod, Brandon A; Arynchyna, Anastasia A; Johnston, James M; Rozzelle, Curtis J; Blount, Jeffrey P; Oakes, W Jerry; Rocque, Brandon G

    2017-04-01

    OBJECTIVE Surgical site infection (SSI) following CSF shunt operations has been well studied, yet risk factors for nonshunt pediatric neurosurgery are less well understood. The purpose of this study was to determine SSI rates and risk factors following nonshunt pediatric neurosurgery using a nationwide patient cohort and an institutional data set specifically for better understanding SSI. METHODS The authors reviewed the American College of Surgeons National Surgical Quality Improvement Program-Pediatric (ACS NSQIP-P) database for the years 2012-2014, including all neurosurgical procedures performed on pediatric patients except CSF shunts and hematoma evacuations. SSI included deep (intracranial abscesses, meningitis, osteomyelitis, and ventriculitis) and superficial wound infections. The authors performed univariate analyses of SSI association with procedure, demographic, comorbidity, operative, and hospital variables, with subsequent multivariate logistic regression analysis to determine independent risk factors for SSI within 30 days of the index procedure. A similar analysis was performed using a detailed institutional infection database from Children's of Alabama (COA). RESULTS A total of 9296 nonshunt procedures were identified in NSQIP-P with an overall 30-day SSI rate of 2.7%. The 30-day SSI rate in the COA institutional database was similar (3.3% of 1103 procedures, p = 0.325). Postoperative time to SSI in NSQIP-P and COA was 14.6 ± 6.8 days and 14.8 ± 7.3 days, respectively (mean ± SD). Myelomeningocele (4.3% in NSQIP-P, 6.3% in COA), spine (3.5%, 4.9%), and epilepsy (3.4%, 3.1%) procedure categories had the highest SSI rates by procedure category in both NSQIP-P and COA. Independent SSI risk factors in NSQIP-P included postoperative pneumonia (OR 4.761, 95% CI 1.269-17.857, p = 0.021), immune disease/immunosuppressant use (OR 3.671, 95% CI 1.371-9.827, p = 0.010), cerebral palsy (OR 2.835, 95% CI 1.463-5.494, p = 0.002), emergency operation (OR 1

  17. Risk factors for surgical site infection following nonshunt pediatric neurosurgery: a review of 9296 procedures from a national database and comparison with a single-center experience

    Science.gov (United States)

    Sherrod, Brandon A.; Arynchyna, Anastasia A.; Johnston, James M.; Rozzelle, Curtis J.; Blount, Jeffrey P.; Oakes, W. Jerry; Rocque, Brandon G.

    2017-01-01

    Objective Surgical site infection (SSI) following CSF shunt operations has been well studied, yet risk factors for nonshunt pediatric neurosurgery are less well understood. The purpose of this study was to determine SSI rates and risk factors following nonshunt pediatric neurosurgery using a nationwide patient cohort and an institutional dataset specifically for better understanding SSI. Methods The authors reviewed the American College of Surgeons National Surgical Quality Improvement Program Pediatric (ACS NSQIP-P) database for the years 2012–2014, including all neurosurgical procedures performed on pediatric patients except CSF shunts and hematoma evacuations. SSI included deep (intracranial abscesses, meningitis, osteomyelitis, and ventriculitis) and superficial wound infections. The authors performed univariate analyses of SSI association with procedure, demographic, comorbidity, operative, and hospital variables, with subsequent multivariate logistic regression analysis to determine independent risk factors for SSI within 30 days of the index procedure. A similar analysis was performed using a detailed institutional infection database from Children’s Hospital of Alabama (COA). Results A total of 9296 nonshunt procedures were identified in NSQIP-P with an overall 30-day SSI rate of 2.7%. The 30-day SSI rate in the COA institutional database was similar (3.3% of 1103 procedures, p = 0.325). Postoperative time to SSI in NSQIP-P and COA was 14.6 ± 6.8 days and 14.8 ± 7.3 days, respectively (mean ± SD). Myelomeningocele (4.3% in NSQIP-P, 6.3% in COA), spine (3.5%, 4.9%), and epilepsy (3.4%, 3.1%) procedure categoriess had the highest SSI rates by procedure category in both NSQIP-P and COA. Independent SSI risk factors in NSQIP-P included postoperative pneumonia (OR 4.761, 95% CI 1.269–17.857, p = 0.021), immune disease/immunosuppressant use (OR 3.671, 95% CI 1.371–9.827, p = 0.010), cerebral palsy (OR 2.835, 95% CI 1.463–5.494, p = 0.002), emergency

  18. Blind comparisons of shear-wave velocities at closely-spaced sites in San Jose, California: Proceedings of a Workshop held at the US Geological Survey, Menlo Park, May 3, 2004

    Science.gov (United States)

    Asten, Michael W.; Boore, David M.

    2005-01-01

    Shear-wave velocities within several hundred meters of Earth's surface are important in specifying earthquake ground motions for engineering design. Not only are the shearwave velocities used in classifying sites for use of modern building codes, but they are also used in site-specific studies of particularly significant structures. Many are the methods for estimating sub-surface shear-wave velocities, but few are the blind comparisons of a number of the methods at a single site. The word 'blind' is important here and means that the measurements and interpretations are done completely independent of one another. Stephen Hartzell of the USGS office on Golden, Colorado realized that such an experiment would be very useful for assessing the strengths and weaknesses of the various methods, and he and Jack Boatwright of the USGS office in Menlo Park, California, in cooperation with Carl Wentworth of the Menlo Park USGS office found a convenient site in the city of San Jose, California. The site had good access and space for conducting experiments, and a borehole drilled to several hundred meters by the Santa Clara Valley Water District was made available for downhole logging. Jack Boatwright asked David Boore to coordinate the experiment. In turn, David Boore persuaded several teams to make measurements, helped with the local logistics, collected the results, and organized and conducted an International Workshop in May, 2004. At this meeting the participants in the experiment gathered in Menlo Park to describe their measurements and interpretations, and to see the results of the comparisons of the various methods for the first time. This Open-File Report describes the results of that workshop. One of the participants, Michael Asten, offered to help the coordinator prepare this report. Because of his lead role in pulling the report together, Dr. Asten is the lead author of the paper to follow and is also the lead Compiler for the Open-File Report. It is important to

  19. A method for measuring total aerosol oxidative potential (OP) with the dithiothreitol (DTT) assay and comparisons between an urban and roadside site of water-soluble and total OP

    Science.gov (United States)

    Gao, Dong; Fang, Ting; Verma, Vishal; Zeng, Linghan; Weber, Rodney J.

    2017-08-01

    An automated analytical system was developed for measuring the oxidative potential (OP) with the dithiothreitol (DTT) assay of filter extracts that include both water-soluble and water-insoluble (solid) aerosol species. Three approaches for measuring total oxidative potential were compared. These include using methanol as the solvent with (1) and without (2) filtering the extract, followed by removing the solvent and reconstituting with water, and (3) extraction in pure water and performing the OP analysis in the extraction vial with the filter. The water extraction method (the third approach, with filter remaining in the vial) generally yielded the highest DTT responses with better precision (coefficient of variation of 1-5 %) and was correlated with a greater number of other aerosol components. Because no organic solvents were used, which must be mostly eliminated prior to DTT analysis, it was easiest to automate by modifying an automated analytical system for measuring water-soluble OP developed by Fang et al. (2015). Therefore, the third method was applied to the field study for the determination of total OP. Daily 23 h filter samples were collected simultaneously at a roadside (RS) and a representative urban (Georgia Tech, GT) site for two 1-month study periods, and both water-soluble (OPWS-DTT) and total (OPTotal-DTT) OP were measured. Using PM2. 5 (aerodynamic diameter coefficient (r) of 0.71 (N = 35; p value < 0.01), compared to a ratio of 62 % and r = 0. 56 (N = 31; p value < 0.01) at the roadside site. The same DTT analyses were performed, and similar results were found using particle composition monitors (flow rate of 16.7 L min-1) with Teflon filters. Comparison of measurements between sites showed only slightly higher levels of both OPWS-DTT and OPTotal-DTT at the RS site, indicating both OPWS-DTT and OPTotal-DTT were largely spatially homogeneous. These results are consistent with roadway emissions as sources of DTT-quantified PM2. 5 OP and indicate

  20. Intra-individual, randomised comparison of the MRI contrast agents gadobutrol and gadoterate in imaging the distal lower limb of patients with known or suspected osteomyelitis, evaluated in an off-site blinded read

    Energy Technology Data Exchange (ETDEWEB)

    Pennekamp, Werner; Roggenland, Daniela; Lemburg, Stefan; Peters, Soeren; Sterl, Sabrina; Nicolas, Volkmar [University Clinics Bergmannsheil, Department of Radiology and Nuclear Medicine, Bochum (Germany); Hering, Steffen [University Clinics Bergmannsheil, Department of Internal Medicine, Bochum (Germany); Schwenke, Carsten [SCO:SSiS-Statistical Consulting, Berlin (Germany)

    2011-05-15

    To prove that 1.0 M gadobutrol provides superior contrast enhancement in suspicion of osteomyelitis of the feet compared with 0.5 M gadoterate. MRI of feet was performed on 2 separate occasions. Independent injections of 1.0 M gadobutrol and 0.5 M gadoterate at doses of 0.1 mmol Gd/kg body weight were administered per patient. The interval between the two MR examinations was between 24 h and 7 days. Evaluation was performed in an off-site blinded read. 41 patients were eligible for efficacy analysis. Results of secondary efficacy variables did not show statistically significant differences. For the primary efficacy variable, a trend in favour of gadobutrol was seen in the full analysis set (ITT) population resulting in at least non-inferiority. In the per protocol (PP) analysis set gadobutrol had better contrast than gadoterate (Wilcoxon signed rank test, p = 0.0466). Imaging of the distal lower limb in this special patient population requires a large number of patients to obtain enough comparative images where non-contrast-agent-dependent factors do not disturb contrast agent efficacy. The ITT analysis showed at least non-inferiority of gadobutrol in comparison to gadoterate. The avoidance of imaging artefacts demonstrates a better outcome for gadobutrol. (orig.)

  1. Site Practice

    DEFF Research Database (Denmark)

    Wahedi, Haseebullah

    2016-01-01

    different practices in the construction phase. The research is based on an ethnographic study of a case in Denmark. The empirical data were collected through direct observations and semi-structured interviews with site managers, contract managers, foremen and craftsmen. Findings revealed...... that the construction phase comprises several communities and practices, leading to various uses of the drawings. The results indicated that the craftsmen used drawings to position themselves in the correct location, and that the site managers and contract managers used them as management tools and legal documents...

  2. Site Restoration

    Energy Technology Data Exchange (ETDEWEB)

    Noynaert, L.; Bruggeman, A.; Cornelissen, R.; Massaut, V.; Rahier, A

    2001-04-01

    The objectives, the programme, and the achievements of the Site Restoration Department of SCK-CEN in 2000 are summarised. Main activities include the decommissioning of the BR3 PWR-reactor as well as other clean-up activities, projects on waste minimisation and activities related to the management of decommissioning projects. The department provides consultancy and services to external organisations.

  3. Environmental assessment, Richton Dome site, Mississippi (US)

    Energy Technology Data Exchange (ETDEWEB)

    none,

    1986-05-01

    The Nuclear Waste Policy Act of 1982 (42 USC Sections 10101-10226) requires the environmental assessment of a potential site to include a statement of the basis for the nomination of a site as suitable for characterization. Volume 2 of this environmental assessment provides a detailed evaluation of the Richton Dome Site and its suitability as the site for a radioactive waste disposal facility under DOE siting guidelines, as well as a comparison of the Richton Dome site with other proposed sites. Evaluation of the Richton Dome site is based on the reference repository design, but the evaluation will not change if based on the Mission Plan repository concept. The comparative evaluation of proposed sites is required under DOE guidelines, but is not intended to directly support the subsequent recommendation of three sites for characterization as candidate sites. 428 refs., 24 figs., 62 tabs. (MHB)

  4. Electromagnetic stimulation in treating nonunion or delayed union of long bone fractures : a meta analysis%长骨骨折未愈合患者电磁刺激治疗的效果评价

    Institute of Scientific and Technical Information of China (English)

    邢丹; 马信龙; 马剑雄; 王杰; 陈阳; 杨阳; 马宝意; 朱少文; 冯睿

    2013-01-01

    Objective To collect and analyze the literature on electromagnetic field stimulation in the treatment of nonunion or delayed union of long bone fractures,and to evaluate its efficacy and safety.Methods Research on electromagnetic stimulation indexed by Medline,Embase and other databases including unpublished literature was collected using pre-established inclusion and exclusion criteria.Comparative studies reporting on the outcomes of electromagnetic field stimulation for the treatment of long bone fractures were the focus.Data were extracted for outcomes including total union rate,nonunion rate,adverse events,and visual analogue scale (VAS) ratings of pain.The quality of each reference was assessed.Where feasible,meta-analyses were performed using RevMan 5.1 software.Results A total of 4 papers reporting 4 randomized controlled trials were found.They reported on 58 patients treated with electromagnetic field stimulation and 63 in sham stimulation groups.There was no significant difference in total union rate after treatment for 12 weeks,or in the nonunion rate after treatment for 24 weeks.VAS scale ratings were also not significantly different in the two groups.Conclusions Electromagnetic field stimulation may be an effective and safe therapy to treat nonunion or delayed union of long bone fractures,but there is not yet adequate evidence to determine its real efficiency and safety.Large,well designed and multi-centre randomized and controlled clinical trials are needed.%目的 通过检索和分析国内外相关文献,评价电磁刺激治疗长骨骨折延迟愈合以及不愈合的临床疗效及安全性.方法 采用计算机检索1978年1月至2012年2月荷兰医学文摘(Embase)、Medline、Ovid和万方医学网等中英文数据库并结合手工检索,按照既定的纳入标准和排除标准查找有关电磁刺激治疗长骨骨折愈合延迟及不愈合的临床随机对照试验,对纳入的研究进行质量评价,使用RevMan 5.1软件对数据

  5. Hanford Site peak gust wind speeds

    Energy Technology Data Exchange (ETDEWEB)

    Ramsdell, J.V.

    1998-09-29

    Peak gust wind data collected at the Hanford Site since 1945 are analyzed to estimate maximum wind speeds for use in structural design. The results are compared with design wind speeds proposed for the Hanford Site. These comparisons indicate that design wind speeds contained in a January 1998 advisory changing DOE-STD-1020-94 are excessive for the Hanford Site and that the design wind speeds in effect prior to the changes are still appropriate for the Hanford Site.

  6. SITE-94. Radionuclide solubilities for SITE-94

    Energy Technology Data Exchange (ETDEWEB)

    Arthur, R.; Apted, M. [QuantiSci, Denver, CO (United States)

    1996-12-01

    In this report, solubility constraints are evaluated on radioelement source-term concentrations supporting the SITE-94 performance assessment. Solubility models are based on heterogeneous-equilibrium, mass- and charge-balance constraints incorporated into the EQ3/6 geochemical software package, which is used to calculate the aqueous speciation behavior and solubilities of U, Th, Pu, Np, Am, Ni, Ra, Se, Sn, Sr, Tc and Zr in site groundwaters and near-field solutions. The chemical evolution of the near field is approximated using EQ3/6 in terms of limiting conditions at equilibrium, or steady state, in three closed systems representing fully saturated bentonite, Fe{sup o} corrosion products of the canister, and spent fuel. The calculations consider both low-temperature (15 deg C) and high-temperature (80 deg C) conditions in the near field, and the existence of either reducing or strongly oxidizing conditions in each of the bentonite, canister, and spent-fuel barriers. Heterogeneities in site characteristics are evaluated through consideration of a range of initial groundwaters and their interactions with engineered barriers. Aqueous speciation models for many radioelements are constrained by thermodynamic data that are estimated with varying degrees of accuracy. An important question, however, is how accurate do these models need to be for purposes of estimating source-term concentrations? For example, it is unrealistic to expect a high degree of accuracy in speciation models if such models predict solubilities that are below the analytical detection limit for a given radioelement. From a practical standpoint, such models are irrelevant if calculated solubilities cannot be tested by direct comparison to experimental data. In the absence of models that are both accurate and relevant for conditions of interest, the detection limit could define a pragmatic upper limit on radioelement solubility 56 refs, 25 tabs, 10 figs

  7. Site Restoration

    Energy Technology Data Exchange (ETDEWEB)

    Noynaert, L.; Bruggeman, A.; Cornelissen, R.; Massaut, V.; Rahier, A

    2002-04-01

    The objectives, the programme, and the achievements of SCK-CEN's Site Restoration Department for 2001 are described. Main activities include the decommissioning of the BR3 PWR-reactor as well as other clean-up activities, projects on waste minimisation and the management of spent fuel and the flow of dismantled materials and the recycling of materials from decommissioning activities based on the smelting of metallic materials in specialised foundries. The department provides consultancy and services to external organisations and performs R and D on new techniques including processes for the treatment of various waste components including the reprocessing of spent fuel, the treatment of tritium, the treatment of liquid alkali metals into cabonates through oxidation, the treatment of radioactive organic waste and the reconditioning of bituminised waste products.

  8. The quality of life of earthquake victims with nonunion fracture in limbs after medical rehabilitation%医疗康复对四肢骨不连地震伤员生活质量的影响

    Institute of Scientific and Technical Information of China (English)

    张霞; 励建安; 陈思婧; 胡筱蓉; 刘守国; 赵正恩

    2011-01-01

    Objective To analyze factors contributing to the quality of life of earthquake victims with nonunion fracture in limbs after medical rehabilitation and to provide a clinical reference for future disasters.Methods Thirty-one wounded who sustained their injuries in the Sichuan earthquake completed the short form-36(SF-36)questionnaire 2 weeks before their amputation,and after 3,6 and 12 months of medical rehabilitation.The SF-36scores were compared with Sichuan population norms.Stepwise multiple linear regression was used to highlight variables which influenced their functional recovery and their physical and mental health.Results The physical and mental health composite scores of the 31 victims were significantly lower than Sichuan population norms before medical rehabilitation,but they had a significant increasing trend after 3,6 and 12 months of treatment.Their scores on all the domains remained significantly lower than Sichuan population norms at a later follow-up.Smoking,external fixations and chronic diseases were related to their recovery of physical function.Age,permanent housing,family income and casualties among family members were related to their mental health recovery.Conclusion The quality of life of patients with nonunion fracture caused by earthquake can be improved significantly through medical rehabilitation.But social factors should be considered in addition to medical rehabilitation after an earthquake.%目的 分析医疗康复对四肢骨不连地震伤员生活质量的影响,为今后同类伤员的处理提供依据.方法利用简明健康调查问卷(SF-36量表)评估四川绵竹31例四肢骨不连伤员术前2周、术后3个月、6个月及12个月的生理及心理健康,并与当地正常人群比较;多元线性回归分析影响生理及心理健康恢复的因素.结果 ①术前所有伤员生理及心理健康评分均显著低于正常人群值(P<0.01),术后3个月综合评分显著提高(P<0.05),6

  9. 双钢板加带血管蒂尺骨上段骨膜瓣转位治疗肱骨远端骨折不愈合%Treatment of Nonunion of Distal Humeral Fractures with Double Plates Combined Transposition of Vascularized Proximal Ulnar Periosteal Flap

    Institute of Scientific and Technical Information of China (English)

    陈磊; 余永桂; 黄振华; 程鑫华; 吕涛

    2011-01-01

    Objective To explore the curative effect of double plates combined transposition of vascularized proximal ulnar periosteal flap for the treatment of nonunion of adult distal humeral fractures. Methods Double plates combined transposition of vaseularized proximal ulnar periosteal flap were underwent in 12 patients of nonunion of distal humeral fractures,the curative effects were evaluated with modified Cassebaum score system. Results All patients were healed,the therapeutic time were from 2.5 to 3.5 months( average 3 months). The results of modified Cassebaum score,9 cases were excellent,2 cases were good and 1 case was poor. Conclusion Double reconstituted plates combined uansposition of recurrent interosseous artery vascularized proximal ulnar periosteal flap could effectively treat the nonunion of adult distal humeral fractures,and promote the fracture to heal.%目的:探讨双钢板加骨间返动脉蒂尺骨上段骨膜瓣逆向转位治疗肱骨远端骨折不愈的效果.方法:对12例肱骨远端骨不连成年患者采用双钢板加骨间返动脉为蒂的尺骨上段骨膜瓣逆向转位进行治疗,并用改良Cassebaum评分系统进行疗效评估.结果:12例骨不连均愈合,时间2.5~3.5个月.Cassebaum评估:优9例,良2例,可1例.结论:双侧重建钢板联合骨间返动脉为蒂的尺骨上段骨膜瓣逆向转位治疗肱骨远端骨不连能促进骨折愈合.

  10. Region 9 NPL Sites (Superfund Sites) Polygons

    Data.gov (United States)

    U.S. Environmental Protection Agency — NPL site POLYGON locations for the US EPA Region 9. NPL (National Priorities List) sites are hazardous waste sites that are eligible for extensive long-term cleanup...

  11. Region 9 NPL Sites (Superfund Sites 2013)

    Data.gov (United States)

    U.S. Environmental Protection Agency — NPL site POINT locations for the US EPA Region 9. NPL (National Priorities List) sites are hazardous waste sites that are eligible for extensive long-term cleanup...

  12. Region 9 NPL Sites (Superfund Sites)

    Data.gov (United States)

    U.S. Environmental Protection Agency — NPL site POINT locations for the US EPA Region 9. NPL (National Priorities List) sites are hazardous waste sites that are eligible for extensive long-term cleanup...

  13. Contaminated Sites in Iowa

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — Sites contaminated by hazardous materials or wastes. These sites are those administered by the Contaminated Sites Section of Iowa DNR. Many are sites which are...

  14. ANALYSIS OF CLINICAL CURATIVE EFFECT OF THE TREATMENT OF PRESSURIZED STEEL SCREWS INTERNAL FIXATION FOR 106 PATIENTS WITH NONUNION OF HUMERUS BACKBONE FRACTURE%加压钢板螺钉内固定用于106例肱骨干骨折术后骨不愈合治疗的临床疗效分析

    Institute of Scientific and Technical Information of China (English)

    吐尔洪江·阿不拉; 吐尔松·热合曼; 邓龙君

    2011-01-01

    [Objective] To explore the clinical curative effect of the treatment of pressurized steel screws internal fixation for patients with nonunion of humerus backbone fracture. [ Methods] 106 patients with brachial backbone fracture nonunion (observation group) were treated by the application of pressurized steel screws internal fixation, analyzed its therapeutic effect, and compared with clinical curative effect of 72 cases (control group) of nun-steel screws adopted the pressure of internal fixation for brachial backbone fracture nonunion. [Results] 106 patients were performed successfully, all were followed up 9 months to 24 months effectively, the average time was 17 months. The line of force was good, 92 cases reached anatomicalreattachment, 14 cases reached the function restoration. The time of X-ray examination for osteoarthritis was 2-11 months, the average was 4.9 months, no one nonunion. 4 patients happened postoperative wound infection, after in time antibiotic treatment, all healed. All patients were without elbows, shoulders, activity function limitation. The excellent and good rates were 100%, and significantly higher than those in the control group. [Conclusion] Pressurized steel screws internal fixation in the treatment of postoperative nonunion after screw humerus fracture has good curative effect, can acquire satisfactory results, and widely used and promoted in clinic.%[目的]探讨加压钢板螺钉内固定在治疗肱骨干骨折术后不愈合方面的临床意义.[方法]对某院经治的106例肱骨干骨折术后不愈合的患者(观察组),应用加压钢板螺钉内固定术,分析其治疗效果,并与72例以往采用非加压钢板螺钉内固定治疗的肱骨干骨折术后不愈合患者(对照组)的临床疗效比较.[结果]106例患者手术均顺利完成,均进行有效随访,随访时闻9~24个月,平均17个月.上肢的力线良好,106例中92例达到了解剖复位,余14例均达到了功能复位.X线检查结

  15. Technical guidance for siting criteria development

    Energy Technology Data Exchange (ETDEWEB)

    Aldrich, D.C.; Sprung, J.L.; Alpert, D.J.; Diegert, K.; Ostmeyer, R.M.; Ritchie, L.T.; Strip, D.R.; Johnson, J.D.; Hansen, K.; Robinson, J.

    1982-12-01

    Technical guidance to support the formulation and comparison of possible siting criteria for nuclear power plants has been developed in four areas: (1) consequences of hypothetical severe nuclear-power-plant accidents, (2) characteristics of population distributions about current reactor sites, (3) site availability within the continental United States, and (4) socioeconomic impacts of reactor siting. The impact on consequences of source-term magnitude, meteorology, population distribution, and emergency response have been analyzed. Population distributions about current sites were analyzed to identify statistical characteristics, time trends, and regional differences. A site-availability data bank was constructed for the continential United States. The data bank contains information about population densities, seismicity, topography, water availability, and land-use restrictions. Finally, the socioeconomic impacts of rural-industrialization projects, energy boomtowns, and nuclear power plants were examined to determine their nature, magnitude, and dependence on site demography and remoteness.

  16. Habitat structure of chimpanzee communities in Nigeria: a com-parison of sites%尼日利亚不同区域黑猩猩社群的栖息地比较

    Institute of Scientific and Technical Information of China (English)

    B.G.OGUNJEMITE; B.A.JAYI; E.A.AGBELUSI

    2007-01-01

    研究了尼日利亚三处黑猩猩群落的生境结构,并利用点中心四分样方法评估了植被. 共记录了38科150种植物,其中位于尼日利亚东北部的Gashaka Gumti国立公园Kwano栖息地(A区)有28科70种、位于尼日利亚东南部的Cross Rivers国立公园Butatong区域(B区)有36科120种、位于尼日利亚西南部的Ise森林保护区(C区)有30科92种.23科 (60.53%)34种植物(22.67%) 为三个区域的共有种,包括Afzelia africana、Drypetes gilgiana、Blighia sapida、Brachystegia eurycoma、Tetrapleura tetraptera等.在所有区域,对黑猩猩重要的科包括夹竹桃科 (羊角棉Alstonia boonei、 Picralima nitida)、含羞草亚科(腺瘤豆Piptadeniastrum africanum、 Tetrapleura tetraptera)、云实亚科(Brachystegia spp.、 Daniellia ogea)、桑科 (非洲毒箭木Antiaris africana、 Bosqueia angolensis、 Ficus spp.) 和梧桐科 (Cola spp.、 Sterculia spp.).在所有区域中,1 m-10 m高的树木是最常见的,胸径分布为B区最高,次之为C区,A区最低.结果表明,在尼日利亚的黑猩猩生境中具有重要的关键性植物,植物的垂直分层结构是尼日利亚黑猩猩生境管理的重要方面.%Habitat structure of chimpanzee communities was studied in three sites across Nigeria. The Point-Center Quarter (PCQ) method was used to assess vegetation in all the sites. A total of 150 species of plants in 38 families were recorded in all the sites. Seventy species in 28 families were recorded at site A, Kwano chimpanzee community in Gashaka Gumti National Park Northeast Nigeria. One hundred and twenty species in 36 families were recorded at site B, Butatong chimpanzee community in Okwango Division of Cross Rivers National Park Southeast Nigeria while 92 species in 30 families were recorded at site C, Ise Forest Reserve Southwest Nigeria. Thirty-four species (22.67%) were common to all sites; these include Afzelia africana, Drypetes gilgiana, Blighia sapida, Brachystegia eurycoma and

  17. Results of a multi-site field treatability test for bioslurping: A comparison of LNAPL rates using vacuum-enhanced recovery (bioslurping), passive skimming, and pump drawdown recovery techniques. Field test report

    Energy Technology Data Exchange (ETDEWEB)

    Kittel, J.A.; Leeson, A.; Hinchee, R.E.; Miller, R.E.; Haas, P.E.

    1995-12-31

    Bioslurping is a new dynamic technology designed to efficiently recover free-floating petroleum hydrocarbons (free product) from the subsurface while simultaneously enhancing natural biodegradation of petroleum hydrocarbons in the vadose zone. Bioslurping is a vacuum-enhanced fluids pumping technology that simultaneously extracts groundwater, free product, and soil gas in the same process stream. The U.S. Air Force has initiated a multi-site program to evaluate the widespread application of bioslurping at free product-contaminated Air Force sites. The Air Force Bioslurper Initiative is designed to access the field application of the bioslurping technology at 36 Air Force sites. The field studies are designed to evaluate the efficacy of bioslurping for the recovery of free-floating fuel (free product) and to evaluate the potential for bioventing to enhance natural biodegradation of petroleum contaminants. The technical approach for conducting the bioslurper pilot tests includes assessing the geologic and hydrologic characteristics of each site, free-product baildown testing in site monitoring wells, soil gas analysis, and a bioslurper pump test. Bioslurping free-product recovery efficiency is compared to conventional skimming and dual-pump free-product recovery technologies, and bioventing potential is assessed via in situ respiration testing. The Air Force field program was initiated in July 1994. At the time of this writing, seven field tests have been completed. At each site bioslurping has yielded the highest LNAPL recovery rate. This paper presents a summary of LNAPL recovery data to date. Operational issues such as permitting and treatment of vapor and wastewater discharge will be discussed.

  18. Rayleigh LIDAR and satellite (HALOE, SABER, CHAMP and COSMIC) measurements of stratosphere-mesosphere temperature over a southern sub-tropical site, Reunion (20.8° S; 55.5° E): climatology and comparison study

    CSIR Research Space (South Africa)

    Sivakumar, V

    2011-01-01

    Full Text Available For the first time, climatology of the middle atmosphere thermal structure is presented, based on 14 years of LIDAR and satellite (HALOE, SABER, CHAMP and COSMIC) temperature measurements. The data is collected over a southern sub-tropical site...

  19. Ames expedited site characterization demonstration at the former manufactured gas plant site, Marshalltown, Iowa

    Energy Technology Data Exchange (ETDEWEB)

    Bevolo, A.J.; Kjartanson, B.H.; Wonder, J.D.

    1996-03-01

    The goal of the Ames Expedited Site Characterization (ESC) project is to evaluate and promote both innovative technologies (IT) and state-of-the-practice technologies (SOPT) for site characterization and monitoring. In April and May 1994, the ESC project conducted site characterization, technology comparison, and stakeholder demonstration activities at a former manufactured gas plant (FMGP) owned by Iowa Electric Services (IES) Utilities, Inc., in Marshalltown, Iowa. Three areas of technology were fielded at the Marshalltown FMGP site: geophysical, analytical and data integration. The geophysical technologies are designed to assess the subsurface geological conditions so that the location, fate and transport of the target contaminants may be assessed and forecasted. The analytical technologies/methods are designed to detect and quantify the target contaminants. The data integration technology area consists of hardware and software systems designed to integrate all the site information compiled and collected into a conceptual site model on a daily basis at the site; this conceptual model then becomes the decision-support tool. Simultaneous fielding of different methods within each of the three areas of technology provided data for direct comparison of the technologies fielded, both SOPT and IT. This document reports the results of the site characterization, technology comparison, and ESC demonstration activities associated with the Marshalltown FMGP site. 124 figs., 27 tabs.

  20. Evaluation of four oral fluid devices (DDS®, Drugtest 5000®, Drugwipe 5+® and RapidSTAT®) for on-site monitoring drugged driving in comparison with UHPLC-MS/MS analysis.

    Science.gov (United States)

    Strano-Rossi, Sabina; Castrignanò, Erika; Anzillotti, Luca; Serpelloni, Giovanni; Mollica, Roberto; Tagliaro, Franco; Pascali, Jennifer P; di Stefano, Delfina; Sgalla, Roberto; Chiarotti, Marcello

    2012-09-10

    New Italian legislation on driving under the influence of drugs considers oral fluid (OF) as a possible alternative drug testing matrix. On this basis, the present research was carried out to evaluate the applicability of four commercial on-site OF drug screening devices, namely DDS(®), Drugtest 5000(®), Drugwipe 5+(®) and RapidSTAT(®), in a real operative context. Preliminarily trained police officers tested randomly stopped drivers with two different kits side-by-side during roadside patrols. A central laboratory confirmed on-site kits' results by UHPLC-MS/MS analysis of the saliva specimen remaining after the screening analysis. 1025 drivers were submitted to the OF tests: 11.6% were positive for cocaine and metabolites, 11.1% for THC, 6% for amphetamines and amphetamine-type designer drugs and 2.3% for ketamine. The sensitivities of the kits were 81% (RapidSTAT(®)), 82% (DDS(®)), 90% (Drugwipe 5+(®)) and 97% (Drugtest 5000(®)) for cocaine and 38% (DDS(®)), 47% (Drugwipe 5+(®)), 72% (RapidSTAT(®)) and 92% (Drugtest 5000(®)) for THC. Drugtest 5000 was the only kit showing an acceptable sensitivity for on-site application. Only Drugtest 5000(®) and RapidSTAT(®) could be evaluated for amphetamines and methamphetamines: Drugtest 5000(®) showed a sensitivity of 100% in the case of amphetamines and 86% for methamphetamines, while RapidSTAT(®) 90% and 76% respectively. Nowadays, ketamine is not included in the target analytes of any on-site devices, but it was systematically included in the UHPLC-MS/MS confirmatory analysis. To ensure adequate reliability, MS confirmation of on-site OF screening tests is anyway always necessary, due to the presence of a significant number of false positive results even when using the commercial kit with the best performance.

  1. Instrumentation for CTA site characterization

    CERN Document Server

    Fruck, Christian; Ernenwein, Jean-Pierre; Mandát, Dušan; Schweizer, Thomas; Häfner, Dennis; Bulik, Tomasz; Cieslar, Marek; Costantini, Heide; Dominik, Michal; Ebr, Jan; Garczarczyk, Markus; Lorentz, Eckart; Pareschi, Giovanni; Pech, Miroslav; Puerto-Giménez, Irene; Teshima, Masahiro

    2015-01-01

    Many atmospheric and climatic criteria have to be taken into account for the selection of a suitable site for the next generation of imaging air-shower Cherenkov telescopes, the "Cherenkov Telescope Array" CTA. Such data are not available with sufficient precision or the comparability to allow for a comprehensive characterization of the proposed sites to be made. Identical cross-calibrated instruments have been developed which allow for precise comparison between sites, the cross-validation of existing data, and the ground-validation of satellite data. The site characterization work package of the CTA consortium opted to construct and deploy 9 copies of an autonomous multi-purpose weather sensor, incorporating an infrared cloud sensor a newly developed sensor for measuring the light of the night sky, and an All-Sky-Camera, the whole referred to as Autonomous Tool for Measuring Observatory Site COnditions PrEcisely (ATMOSCOPE). We present here the hardware that was combined into the ATMOSCOPE and characterize ...

  2. Comparison of two threshold detection criteria methodologies for determination of probe positivity for intraoperative in situ identification of presumed abnormal 18F-FDG-avid tissue sites during radioguided oncologic surgery.

    Science.gov (United States)

    Chapman, Gregg J; Povoski, Stephen P; Hall, Nathan C; Murrey, Douglas A; Lee, Robert; Martin, Edward W

    2014-09-13

    Intraoperative in situ identification of (18)F-FDG-avid tissue sites during radioguided oncologic surgery remains a significant challenge for surgeons. The purpose of our study was to evaluate the 1.5-to-1 ratiometric threshold criteria method versus the three-sigma statistical threshold criteria method for determination of gamma detection probe positivity for intraoperative in situ identification of presumed abnormal (18)F-FDG-avid tissue sites in a manner that was independent of the specific type of gamma detection probe used. From among 52 patients undergoing appropriate in situ evaluation of presumed abnormal (18)F-FDG-avid tissue sites during (18)F-FDG-directed surgery using 6 available gamma detection probe systems, a total of 401 intraoperative gamma detection probe measurement sets of in situ counts per second measurements were cumulatively taken. For the 401 intraoperative gamma detection probe measurement sets, probe positivity was successfully met by the 1.5-to-1 ratiometric threshold criteria method in 150/401 instances (37.4%) and by the three-sigma statistical threshold criteria method in 259/401 instances (64.6%) (P < 0.001). Likewise, the three-sigma statistical threshold criteria method detected true positive results at target-to-background ratios much lower than the 1.5-to-1 target-to-background ratio of the 1.5-to-1 ratiometric threshold criteria method. The three-sigma statistical threshold criteria method was significantly better than the 1.5-to-1 ratiometric threshold criteria method for determination of gamma detection probe positivity for intraoperative in situ detection of presumed abnormal (18)F-FDG-avid tissue sites during radioguided oncologic surgery. This finding may be extremely important for reshaping the ongoing and future research and development of gamma detection probe systems that are necessary for optimizing the in situ detection of radioisotopes of higher-energy gamma photon emissions used during radioguided oncologic surgery.

  3. Ocean Disposal Site Monitoring

    Science.gov (United States)

    EPA is responsible for managing all designated ocean disposal sites. Surveys are conducted to identify appropriate locations for ocean disposal sites and to monitor the impacts of regulated dumping at the disposal sites.

  4. Effect observation and care of applying extracorporeal shock wave therapy to nonunion and delayed union of fractures%体外冲击波治疗骨不连与骨折延迟愈合的效果观察与护理

    Institute of Scientific and Technical Information of China (English)

    李丽娟; 邵凤娣; 李锦英; 马蓝; 邓带欢

    2016-01-01

    目的:探讨应用体外冲击波治疗骨折延迟愈合以及骨不连的作用效果及其护理方法。方法:选择我院收治的2012年10月~2015年10月40例术后骨不连以及骨折延迟愈合患者作为研究对象,均实施体外冲击波治疗并予以针对性护理,对结果进行观察分析。结果:所有患者完成两个疗程治疗及护理后,治愈34例,好转6例。发生局部水肿2例,