Sample records for north american pancreatitis
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Kenner, Barbara J; Fleshman, Julie M; Goldberg, Ann E; Rothschild, Laura J
2015-11-01
A meeting of North American Pancreatic Cancer Organizations planned by Kenner Family Research Fund and Pancreatic Cancer Action Network was held on July 15-16, 2015, in New York City. The meeting was attended by 32 individuals from 20 nonprofit groups from the United States and Canada. The objectives of this inaugural convening were to share mission goals and initiatives, engage as leaders, cultivate potential partnerships, and increase participation in World Pancreatic Cancer Day. The program was designed to provide opportunities for informal conversations, as well as facilitated discussions to meet the stated objectives. At the conclusion of the meeting, the group agreed that enhancing collaboration and communication will result in a more unified approach within the field and will benefit individuals diagnosed with pancreatic cancer. As a first step, the group will actively collaborate to participate in World Pancreatic Cancer Day, which is planned for November 13, 2015, and seeks to raise the level of visibility about the disease globally.
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Whitcomb, David C.; Yadav, Dhiraj; Adam, Slivka; Hawes, Robert H.; Brand, Randall E.; Anderson, Michelle A.; Money, Mary E.; Banks, Peter A.; Bishop, Michele D.; Baillie, John; Sherman, Stuart; DiSario, James; Burton, Frank R.; Gardner, Timothy B.; Amann, Stephen T.; Gelrud, Andres; Lo, Simon K.; DeMeo, Mark T.; Steinberg, William M.; Kochman, Michael L.; Etemad, Babak; Forsmark, Christopher E.; Elinoff, Beth; Greer, Julia B.; O’Connell, Michael; Lamb, Janette; Barmada, M. Michael
2008-01-01
Background Recurrent acute pancreatitis (RAP) and chronic pancreatitis (CP) are complex syndromes associated with numerous etiologies, clinical variables and complications. We developed the North American Pancreatitis Study 2 (NAPS2) to be sufficiently powered to understand the complex environmental, metabolic and genetic mechanisms underlying RAP and CP. Methods Between August 2000 and September 2006, a consortium of 20 expert academic and private sites prospectively ascertained 1,000 human subjects with RAP or CP, plus 695 controls (spouse, family, friend or unrelated). Standardized questionnaires were completed by both the physicians and study subjects and blood was drawn for genomic DNA and biomarker studies. All data were double-entered into a database and systematically reviewed to minimize errors and include missing data. Results A total of 1,000 subjects (460 RAP, 540 CP) and 695 controls who completed consent forms and questionnaires and donated blood samples comprised the final dataset. Data were organized according to diagnosis, supporting documentation, etiological classification, clinical signs and symptoms (including pain patterns and duration, and quality of life), past medical history, family history, environmental exposures (including alcohol and tobacco use), medication use and therapeutic interventions. Upon achieving the target enrollment, data were organized and classified to facilitate future analysis. The approaches, rationale and datasets are described, along with final demographic results. Conclusion The NAPS2 consortium has successfully completed a prospective ascertainment of 1,000 subjects with RAP and CP from the USA. These data will be useful in elucidating the environmental, metabolic and genetic conditions, and to investigate the complex interactions that underlie RAP and CP. PMID:18765957
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North American oil demand outlook
International Nuclear Information System (INIS)
Stewart, M.B.
1995-01-01
An understanding of the relationship of economic growth and potential petroleum product demand is needed to forecast the potential for North American oil demand growth as well as knowledge of world supply and price. The bullish expectations for economic growth in the US and Canada auger well for North American refiners and marketeers. The growth in world economic output forecast, however, means a larger oil demand and an increase in OPEC's pricing power. Such price increases could depress North American oil demand growth. (author)
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International Nuclear Information System (INIS)
Osten, James; Haltmaier, Susan
2000-01-01
This article examines the current status of the North American refining industry, and considers the North American economy and the growth in demand in the petroleum industry, petroleum product demand and quality, crude oil upgrading to meet product standards, and changes in crude oil feedstocks such as the use of heavier crudes and bitumens. Refining expansion, the declining profits in refining, and changes due to environmental standards are discussed. The Gross Domestic Product and oil demand for the USA, Canada, Mexico, and Venezuela for the years 1995-2020 are tabulated
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Is There Really A North American Plate?
Krill, A.
2011-12-01
Lithospheric plates are typically identified from earthquake epicenters and evidence such as GPS movements. But no evidence indicates a plate boundary between the North American and South American Plates. Some plate maps show them separated by a transform boundary, but it is only a fracture zone. Other maps show an "undefined plate boundary" or put no boundary between these two plates (check Google images). Early plate maps showed a single large American Plate, quite narrow east of the Caribbean Plate (Le Pichon 1968, Morgan 1968). The North and South American Plates became established by the leading textbook Earth (Press & Siever 1974). On their map, from a Scientific American article by John Dewey (1972), these new plates were separated by an "uncertain plate boundary." The reasons for postulating a North American Plate were probably more psychological than geological. Each of the other continents of the world had its own plate, and North American geologists naturally wanted theirs. Similarly, European geographers used to view Europe as its own continent. A single large plate should again be hypothesized. But the term American Plate would now be ambiguous ("Which plate, North or South?") Perhaps future textbook authors could call it the "Two-American Plate." Textbook authors ultimately decide such global-tectonic matters. I became aware of textbook authors' opinions and influence from my research into the history of Alfred Wegener's continental drift (see Fixists vs. Mobilists by Krill 2011). Leading textbook author Charles Schuchert realized that continental drift would abolish his cherished paleogeographic models of large east-west continents (Eria, Gondwana) and small oceans (Poseiden, Nereis). He and his junior coauthors conspired to keep drift evidence out of their textbooks, from the 1934-editions until the 1969-editions (Physical Geology by Longwell et al. 1969, Historical Geology by Dunbar & Waage 1969). Their textbooks ruled in America. Textbooks
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North Dakota Native American Essential Understandings
North Dakota Department of Public Instruction, 2015
2015-01-01
In the spring of 2015, the North Dakota Department of Public Instruction brought together tribal Elders from across North Dakota to share stories, memories, songs, and wisdom in order to develop the North Dakota Native American Essential Understandings (NDNAEU) to guide the learning of both Native and non-Native students across the state. They…
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The carbon balance of North American wetlands
Scott D. Bridgham; J. Patrick Megonigal; Jason K. Keller; Norman b. Bliss; Carl Trettin
2006-01-01
We examine the carbon balance of North American wetlands by reviewing and synthesizing the published literature and soil databases. North American wetlands contain about 220 Pg C, most of which is in peat. They are a small to moderate carbon sink of about 49 Tg C yr-l, although the uncertainty around this estimate is greater than 100%, with the...
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The Zoogeography of North American freshwater fishes
National Research Council Canada - National Science Library
Hocutt, Charles H; Wiley, E. O
1986-01-01
..., and Pleistoscene glaciation. The Zoogeography of North American Freshwater Fishes is a comprehensive treatment of the freshwater biogeography of North America, with implications for other disciplines...
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The message in North American energy prices
Energy Technology Data Exchange (ETDEWEB)
Serletis, A. [Department of Economics, The University of Calgary, Calgary, Alberta (Canada); Herbert, J. [Virginia Polytechnic Institute and State University, Blacksburg, Virginia (United States)
1999-10-01
How similar is the price behavior of North American natural gas, fuel oil, and power prices? Using current state-of-the-art econometric methodology, we explore the degree of shared trends across North American energy markets. Across these markets, there appear to be effective arbitraging mechanisms for the price of natural gas and fuel oil, but not for the price of electricity. 11 refs.
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West Nile virus: North American experience
Hofmeister, Erik K.
2011-01-01
West Nile virus, a mosquito-vectored flavivirus of the Japanese encephalitis serogroup, was first detected in North America following an epizootic in the New York City area in 1999. In the intervening 11 years since the arrival of the virus in North America, it has crossed the contiguous USA, entered the Canadian provinces bordering the USA, and has been reported in the Caribbean islands, Mexico, Central America and, more recently, South America. West Nile virus has been reported in over 300 species of birds in the USA and has caused the deaths of thousands of birds, local population declines of some avian species, the clinical illness and deaths of thousands of domestic horses, and the clinical disease in over 30 000 Americans and the deaths of over 1000. Prior to the emergence of West Nile virus in North America, St. Louis encephalitis virus and Dengue virus were the only other known mosquito-transmitted flaviviruses in North America capable of causing human disease. This review will discuss the North American experience with mosquito-borne flavivirus prior to the arrival of West Nile virus, the entry and spread of West Nile virus in North America, effects on wild bird populations, genetic changes in the virus, and the current state of West Nile virus transmission.
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Yu, Bin; Lin, H.; Wu, Z. W.; Merryfield, W. J.
2018-03-01
The Asian-Bering-North American (ABNA) teleconnection index is constructed from the normalized 500-hPa geopotential field by excluding the Pacific-North American pattern contribution. The ABNA pattern features a zonally elongated wavetrain originating from North Asia and flowing downstream across Bering Sea and Strait towards North America. The large-scale teleconnection is a year-round phenomenon that displays strong seasonality with the peak variability in winter. North American surface temperature and temperature extremes, including warm days and nights as well as cold days and nights, are significantly controlled by this teleconnection. The ABNA pattern has an equivalent barotropic structure in the troposphere and is supported by synoptic-scale eddy forcing in the upper troposphere. Its associated sea surface temperature anomalies exhibit a horseshoe-shaped structure in the North Pacific, most prominent in winter, which is driven by atmospheric circulation anomalies. The snow cover anomalies over the West Siberian plain and Central Siberian Plateau in autumn and spring and over southern Siberia in winter may act as a forcing influence on the ABNA pattern. The snow forcing influence in winter and spring can be traced back to the preceding season, which provides a predictability source for this teleconnection and for North American temperature variability. The ABNA associated energy budget is dominated by surface longwave radiation anomalies year-round, with the temperature anomalies supported by anomalous downward longwave radiation and damped by upward longwave radiation at the surface.
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Knowledge Organisation Systems in North American Digital Library Collections
Shiri, Ali; Chase-Kruszewski, Sarah
2009-01-01
Purpose: The purpose of this paper is to report an investigation into the types of knowledge organisation systems (KOSs) utilised in North American digital library collections. Design/methodology/approach: The paper identifies, analyses and deep scans online North American hosted digital libraries. It reviews the literature related to the…
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76 FR 38203 - Proposed Information Collection; North American Woodcock Singing Ground Survey
2011-06-29
...] Proposed Information Collection; North American Woodcock Singing Ground Survey AGENCY: Fish and Wildlife... populations. The North American Woodcock Singing Ground Survey is an essential part of the migratory bird.... II. Data OMB Control Number: 1018-0019. Title: North American Woodcock Singing Ground Survey. Service...
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The North American Transborder Freight Database
Department of Transportation — The North American Transborder Freight Database, available since April 1993, contains freight flow data by commodity type and by mode of transportation (rail, truck,...
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Testing for common features in North American energy markets
Energy Technology Data Exchange (ETDEWEB)
Serletis, Apostolos; Rangel-Ruiz, Ricardo [Calgary Univ., Dept. of Economics, Calgary, AB (Canada)
2004-05-01
Using recent advances in the field of applied econometrics, we explore the strength of shared trends and shared cycles between North American natural gas and crude oil markets. In doing so, we use daily data from January 1991 to April 2001 on spot U.S. Henry Hub natural gas and WTI crude oil prices. The results show that there has been 'decoupling' of the prices of these two sources of energy as a result of oil and gas deregulation in the United States. We also investigate the interconnectedness of North American natural gas markets and find that North American natural gas prices are largely defined by the U.S. Henry Hub price trends (Author)
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Climate change effects on North American inland fish populations and assemblages
Lynch, Abigail J.; Myers, Bonnie; Chu, Cindy; Eby, Lisa A.; Falke, Jeffrey A.; Kovach, Ryan P.; Krabbenhoft, Trevor J.; Kwak, Thomas J.; Lyons, John; Paukert, Craig P.; Whitney, James E.
2016-01-01
Climate is a critical driver of many fish populations, assemblages, and aquatic communities. However, direct observational studies of climate change impacts on North American inland fishes are rare. In this synthesis, we (1) summarize climate trends that may influence North American inland fish populations and assemblages, (2) compile 31 peer-reviewed studies of documented climate change effects on North American inland fish populations and assemblages, and (3) highlight four case studies representing a variety of observed responses ranging from warmwater systems in the southwestern and southeastern United States to coldwater systems along the Pacific Coast and Canadian Shield. We conclude by identifying key data gaps and research needs to inform adaptive, ecosystem-based approaches to managing North American inland fishes and fisheries in a changing climate.
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African American and Hispanic American sportsmen in the north central region
Allan Marsinko; John Dwyer
2003-01-01
Public forest managers need an awareness and understanding of their clients in order to better address their needs for recreational uses of forest lands. This study examines and characterizes African American and Hispanic American sportsmen (hunters and anglers) in the North Central Region of the United Stares (IA, IL, IN, MI, MN, MO, WI) and compares them to African...
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North American natural gas supply and demand
International Nuclear Information System (INIS)
Goobie, G.
2006-01-01
This presentation was given by leading energy analysts Pervin and Gertz, and provided their outlook on the North American natural gas supply and demand as well as transportation and processing options for the Mackenzie Valley project and the Alaska natural gas project. Arctic gas development was discussed in relation to larger North American and world energy markets. The impacts of liquefied natural gas (LNG) infrastructure development were compared with the potential impacts of the Alaska and Mackenzie Valley pipelines. A review of North American gas supplies was presented. LNG imports to the United States are expected to exceed 8 BCF/D by 2010. In addition, huge growth in the LNG markets is expected in middle eastern countries as well as in Africa. There is currently strong growth in liquefaction capacity in most regions. However, many proposed LNG terminals will not proceed due to opposition on the west coast of North America. It is also expected that natural gas liquids (NGL) delivered to Alberta from the Mackenzie Valley Gas project are expected to be used by the heavy oil industry. Canadian crude supplies are expected to grow to nearly 4 million barrels per day by 2015. The impacts of Alaska and Mackenzie Valley gas projects on western NGL markets and the petrochemicals industry were reviewed. It was concluded that major investments in supply and infrastructure are need in order to develop Arctic gas, as LNG is likely to be the largest source of incremental supply. tabs., figs
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Acceptance of irradiated food by North American consumers
International Nuclear Information System (INIS)
Marcotte, M.; Kunstadt, P.
1993-01-01
Sales of irradiated foods clearly indicate that North American consumers appreciate the value of irradiated foods. The results of North American consumer attitude surveys can be used to predict acceptance of quality irradiated foods, especially when improved food safety is the perceived benefit. Consumers perceive the most benefit when irradiation is used to improve food safety or to reduce the chemicals used on foods. Information about irradiation seems to increase consumer willingness to buy. Consumer activists continue to attempt to prevent the sale of labelled irradiated foods, but they have not been successful. (author)
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NCEP North American Regional Reanalysis (NARR)
National Oceanic and Atmospheric Administration, Department of Commerce — The NARR dataset is an extension of the NCEP Global Reanalysis which is run over the North American Region. The NARR model uses the very high resolution NCEP Eta...
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DEFF Research Database (Denmark)
Heerspink, Hiddo J L; Makino, Hirofumi; Andress, Dennis
2017-01-01
AIMS: The selective endothelin (ET) A receptor antagonist atrasentan has been shown to lower albuminuria in North American and Asian patients with type 2 diabetes and nephropathy. As drug responses to many drugs may differ between North American and Asian populations, we assessed the influence...... change in albuminuria. Bodyweight change, a proxy of fluid retention, was used as a safety endpoint. Pharmacodynamics were determined in Asians (N = 77) and North Americans (N = 134). Atrasentan plasma concentration was measured in 161 atrasentan-treated patients. RESULTS: Mean albuminuria reduction...... in Asian, compared to North American, patients was, respectively, -34.4% vs -26.3% for 0.75 mg/d ( P = .44) and -48.0% vs -28.9% for 1.25 mg/d ( P = .035). Bodyweight gain did not differ between North American and Asian populations. Atrasentan plasma concentrations were higher in Asians compared to North...
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Investigators share improved understanding of the North American carbon cycle
Richard A. Birdsey; Robert Cook; Scott Denning; Peter Griffith; Beverly Law; Jeffrey Masek; Anna Michalak; Stephen Ogle; Dennis Ojima; Yude Pan; Christopher Sabine; Edwin Sheffner; Eric Sundquist
2007-01-01
The U.S. North American Carbon Program (NACP) sponsored an "all-scientist" meeting to review progress in understanding the dynamics of the carbon cycle of North American and adjacent oceans, and to chart a course for improved integration across scientifi c disciplines, scales, and Earth system boundaries. The meeting participants also addressed the need for...
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Variation in the γ-glutamyltransferase 1 gene and risk of chronic pancreatitis.
Brand, Harrison; Diergaarde, Brenda; O'Connell, Michael R; Whitcomb, David C; Brand, Randall E
2013-07-01
Individuals with chronic pancreatitis are at increased risk for pancreatic cancer. We hypothesized that genetic variation in the γ-glutamyltransferase 1 (GGT1) gene, which was recently reported associated with pancreatic cancer risk in a genome-wide association study, is also associated with risk of chronic pancreatitis. Associations between common polymorphisms in GGT1 and chronic pancreatitis were evaluated using data and samples from the North American Pancreatitis Study 2. Patients (n = 496) and control subjects (n = 465) were genotyped for 4 single-nucleotide polymorphisms: rs4820599, rs2017869, rs8135987, and rs5751901. Odds ratios (ORs) and corresponding 95% confidence intervals (95% CI) for chronic pancreatitis risk were calculated using multiple logistic regression models. Interactions with cigarette smoking and alcohol use were explored. Single-nucleotide polymorphisms rs8135987 and rs4820599 were both statistically significantly associated with risk of chronic pancreatitis; compared with common allele homozygotes, individuals with at least 1 minor allele were at increased risk (rs8135987: OR, 1.36; 95% CI, 1.03-1.80 [P(trend) = 0.01]; rs4820599: OR, 1.39; 95% CI, 1.04-1.84 [P(trend) = 0.0]; adjusted for age, sex, race, smoking status, and alcohol use). No significant interactions with cigarette smoking and alcohol use were observed. Our results suggest that common variation in the GGT1 gene may also affect risk of chronic pancreatitis.
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78 FR 57838 - North American Free Trade Agreement Binational Panel Reviews
2013-09-20
... DEPARTMENT OF COMMERCE International Trade Administration [Secretariat File No. USA-MEX-2011- 1904-02] North American Free Trade Agreement Binational Panel Reviews AGENCY: NAFTA Secretariat, United... Decision and Order of the North American Free Trade Agreement (NAFTA) Binational Panel dated August 6, 2013...
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76 FR 53149 - North American Waterfowl Management Plan
2011-08-25
... fundamental objectives for waterfowl management from a list of 31 candidate objectives. During Round Two... American Waterfowl Management Plan AGENCY: Fish and Wildlife Service, Interior. ACTION: Notice of document... availability of the draft North American Waterfowl Management Plan Revision (draft Plan Revision) for public...
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Atmospheric teleconnection influence on North American land surface phenology
Dannenberg, Matthew P.; Wise, Erika K.; Janko, Mark; Hwang, Taehee; Kolby Smith, W.
2018-03-01
Short-term forecasts of vegetation activity are currently not well constrained due largely to our lack of understanding of coupled climate-vegetation dynamics mediated by complex interactions between atmospheric teleconnection patterns. Using ecoregion-scale estimates of North American vegetation activity inferred from remote sensing (1982-2015), we examined seasonal and spatial relationships between land surface phenology and the atmospheric components of five teleconnection patterns over the tropical Pacific, north Pacific, and north Atlantic. Using a set of regression experiments, we also tested for interactions among these teleconnection patterns and assessed predictability of vegetation activity solely based on knowledge of atmospheric teleconnection indices. Autumn-to-winter composites of the Southern Oscillation Index (SOI) were strongly correlated with start of growing season timing, especially in the Pacific Northwest. The two leading modes of north Pacific variability (the Pacific-North American, PNA, and West Pacific patterns) were significantly correlated with start of growing season timing across much of southern Canada and the upper Great Lakes. Regression models based on these Pacific teleconnections were skillful predictors of spring phenology across an east-west swath of temperate and boreal North America, between 40°N-60°N. While the North Atlantic Oscillation (NAO) was not strongly correlated with start of growing season timing on its own, we found compelling evidence of widespread NAO-SOI and NAO-PNA interaction effects. These results suggest that knowledge of atmospheric conditions over the Pacific and Atlantic Oceans increases the predictability of North American spring phenology. A more robust consideration of the complexity of the atmospheric circulation system, including interactions across multiple ocean basins, is an important step towards accurate forecasts of vegetation activity.
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2010-12-16
... Activities: North American Free Trade Agreement Duty Deferral AGENCY: U.S. Customs and Border Protection (CBP... collection requirement concerning the North American Free Trade Agreement (NAFTA) Duty Deferral. This request...: 1651-0071. Abstract: The provisions of North American Free Trade Agreement (NAFTA) were adopted by the...
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Motivations of North American Indians in Athletic Games.
Pesavento, Wilma J.
This is a report on the motives of North American Indians in holding their athletic games. Data were researched from "Annual Reports of the Bureau of American Ethnology" published between 1881 and 1933. Anthropologists, artifact collectors, artist-writers, and historians provided primary evidential sources for athletic game motivation.…
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Reconstructed North American Snow Extent, 1900-1993
National Oceanic and Atmospheric Administration, Department of Commerce — This data set contains reconstructed monthly North American snow extent values for November through March, 1900-1993. Investigators used a combination of satellite...
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Extinction rates in North American freshwater fishes, 1900-2010
Burkhead, Noel M.
2012-01-01
Widespread evidence shows that the modern rates of extinction in many plants and animals exceed background rates in the fossil record. In the present article, I investigate this issue with regard to North American freshwater fishes. From 1898 to 2006, 57 taxa became extinct, and three distinct populations were extirpated from the continent. Since 1989, the numbers of extinct North American fishes have increased by 25%. From the end of the nineteenth century to the present, modern extinctions varied by decade but significantly increased after 1950 (post-1950s mean = 7.5 extinct taxa per decade). In the twentieth century, freshwater fishes had the highest extinction rate worldwide among vertebrates. The modern extinction rate for North American freshwater fishes is conservatively estimated to be 877 times greater than the background extinction rate for freshwater fishes (one extinction every 3 million years). Reasonable estimates project that future increases in extinctions will range from 53 to 86 species by 2050.
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Analysis of GRI North American Regional Gas Supply-Demand Model
International Nuclear Information System (INIS)
Nesbitt, D.M.; Singh, J.; Pine, G.D.; Kline, D.; Barron, M.; Cheung, P.D.
1989-01-01
This paper summarizes the results from the GRI North American Regional Gas Supply-Demand Model using the four scenarios defined for the Energy Modeling Forum Number 9 (EMF-9) described in EMF-9 Working Paper 9.4 (1987). The analysis is designed both to showcase the GRI North American Regional model as well as to infer meaningful results about the North American natural gas system. The focus of the analysis is not R ampersand D per se; R ampersand D analysis using the model is conducted regularly by GRI and described elsewhere. Rather, the objective is to analyze some of the major uncertainties in the North American gas market, uncertainties that potentially affect all players including GRI. In particular, the authors seek to quantify the overall economic environment in which production, transmission, distribution, consumption, and R ampersand D decisions will be made and how different that overall environment might be under alternative assumptions. An attendant objective of this analysis has been to enlist economists from a range of organizations (producers, regulators, GRI, and consultants) to carefully scrutinize the GRI North American Regional model and results. In particular, the coauthors were assembled from diverse organizations to review and evaluate model outputs, applying their particular experience and perspective. The four EMF-9 scenarios upon which this paper is based are described in detail later in this document. Briefly, scenario one represents a world with a surfeit of gas and a relatively high oil price projection; scenario two considers a lower oil price forecast; scenario three assumes a pessimistic outlook for the gas resource base with the same oil prices as scenario one; and scenario four examines a higher level of demand for gas in the North American gas market. An important objective of this analysis is to illustrate the predictive power of multi-scenario comparisons (as contrasted with detailed analysis of any individual scenario)
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Historical genomics of North American maize
Heerwaarden, van J.; Hufford, M.B.; Ross-Ibarra, J.
2012-01-01
Since the advent of modern plant breeding in the 1930s, North American maize has undergone a dramatic adaptation to high-input agriculture. Despite the importance of genetic contributions to historical yield increases, little is known about the underlying genomic changes. Here we use high-density
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Teaching Media and Methods in Marketing: European and North American Universities
Vila, Natalia; Kuster, Ines
2009-01-01
This article aims to examine the most widely used teaching media and methods in university education. To achieve this objective, international research has been carried out among 135 marketing teachers from North American and European universities. The study shows that North American teachers use more traditional media and participatory methods…
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Should we establish a North American school of global health sciences?
Hotez, Peter J
2004-08-01
Since 1997, an unprecedented amount of American philanthropy from both private and federal sources has been directed toward research and control programs for the major tropical infectious diseases of developing countries. The US and Canadian capacity to respond to these new initiatives might prove inadequate, however, as tropical disease research and training infrastructures have deteriorated at most North American academic health centers over the last three decades. Training opportunities in clinical tropical medicine, parasitology laboratory diagnostics, vector control, and public health practice are especially depleted and portend a lost generation of experts in these areas. In addition, unlike some of the European schools of tropical medicine, no North American medical or public health school currently boasts a comprehensive faculty in the global health sciences, with expertise that spans laboratory investigation, clinical and translational research, health policy, and international development. To meet the challenge presented by the new philanthropy targeting the global diseases of poverty, a North American school of global health sciences should be established. The North American school, possibly in association with one of the existing schools of medicine or public health, would provide interdisciplinary training to produce a new generation of global health scientists.
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2011-11-29
... or municipal authority play in forming your bulk power system reliability plans? b. Do you support..., North American Electric Reliability Corporation (NERC) Nick Akins, CEO of American Electric Power (AEP..., EL11-62-000] Reliability Technical Conference, North American Electric Reliability Corporation, Public...
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Chronic liver disease in Aboriginal North Americans
Institute of Scientific and Technical Information of China (English)
John D Scott; Naomi Garland
2008-01-01
A structured literature review was performed to detail the frequency and etiology of chronic liver disease (CLD) in Aboriginal North Americans. CLD affects Aboriginal North Americans disproportionately and is now one of the most common causes of death.Alcoholic liver disease is the leading etiology of CLD,but viral hepatitis, particularly hepatitis C, is an important and growing cause of CLD. High rates of autoimmune hepatitis and primary biliary cirrhosis (PBC) are reported in regions of coastal British Columbia and southeastern Alaska. Non-alcoholic liver disease is a common, but understudied, cause of CLD.Future research should monitor the incidence and etiology of CLD and should be geographically inclusive.In addition, more research is needed on the treatment of hepatitis C virus (HCV) infection and non-alcoholicfatty liver disease (NAFLD) in this population.
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Presumptive fenbendazole toxicosis in North American porcupines.
Weber, Martha A; Miller, Michele A; Neiffer, Donald L; Terrell, Scott P
2006-04-15
4 North American porcupines were evaluated because of diarrhea or neutropenia (or both) that developed after treatment with fenbendazole for intestinal parasites. Complete blood cell count abnormalities included severe neutropenia in all affected porcupines and mild anemia in some of them. In 2 porcupines, postmortem findings included bone marrow hypoplasia and intestinal crypt cell necrosis. Affected porcupines received supportive care including fluid supplementation and broad-spectrum antimicrobials. The 2 surviving animals recovered after 9 to 33 days of treatment. Fenbendazole is an anthelminthic that may be used in an extralabel manner for the treatment of intestinal parasitism in wildlife species. The drug inhibits mitosis and can affect rapidly dividing cell lines, such as those in the bone marrow and intestinal crypt mucosa. Fenbendazole may not be an appropriate anthelminthic choice in North American porcupines.
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Mobile Extracorporeal Membrane Oxygenation Teams: The North American Versus the European Experience.
Nwozuzu, Adambeke; Fontes, Manuel L; Schonberger, Robert B
2016-12-01
To evaluate differences in the inclusion of anesthesiologists in mobile extracorporeal membrane oxygenation (ECMO) teams between North American and European centers. A retrospective review of North American versus European mobile ECMO teams. The search terms used to identify relevant articles were the following: "extracorporeal membrane transport," "mobile ECMO," and "interhospital transport." MEDLINE review of articles. None. None. Between 1986 and 2015, 25 articles were published that reported the personnel makeup of mobile ECMO teams in North America and Europe: 6 from North American centers and 19 from European centers. The included articles reported a total of 1,329 cases: 389 (29%) adult-only cohorts and 940 (71%) mixed-age cohorts. Among North American studies, 0 of 6 (0%) reported the presence of an anesthesiologist on the mobile ECMO team in contrast to European studies, in which 10 of 19 (53%) reported the inclusion of an anesthesiologist (Fisher exact p for difference = 0.05). In terms of number of cases, this discrepancy translated to 543 total cases in North America (all without an anesthesiologist) and 499 cases in Europe (37%) including an anesthesiologist on the team (Fisher exact p for difference<0.001). This study demonstrated significant geographic discrepancies in the inclusion of anesthesiologists on mobile ECMO teams, with European centers more likely to incorporate an anesthesiologist into the mobile ECMO process compared with North American centers. Copyright © 2016. Published by Elsevier Inc.
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Goedde, H W; Agarwal, D P; Harada, S; Rothhammer, F; Whittaker, J O; Lisker, R
1986-01-01
While about 40% of the South American Indian populations (Atacameños, Mapuche, Shuara) were found to be deficient in aldehyde dehydrogenase isozyme I (ALDH2 or E2), preliminary investigations showed very low incidence of isozyme deficiency among North American natives (Sioux, Navajo) and Mexican Indians (mestizo). Possible implications of such trait differences on cross-cultural behavioral response to alcohol drinking are discussed. PMID:3953578
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LNG : its potential impact on North American markets
International Nuclear Information System (INIS)
Schlesinger, B.
2003-01-01
Liquefied natural gas (LNG) is expected to play a greater role in North American gas supplies and markets due to the decrease in conventional natural gas production in North America accompanied by an increase in demand for energy. It is expected that the overall share of the LNG gas market will rise from about 1.4 per cent in 2002 to more than 5 per cent by 2020, and potentially up to 15 per cent by that year. The construction of at least 15 new LNG receiving terminals has been proposed for location in the U.S., Canada, and Mexico. In addition, El Paso has proposed a novel offshore LNG receiving concept involving offshore gas pipelines and on-board-ship regasification. As trading of LNG increases in the Atlantic, markets in eastern United States and Canada will benefit from improved gas supplies, but pricing patterns are expected to change. Basis differentials along the Atlantic coastline will probably diminish, potentially reducing the value of Sable Island gas and the pipeline system that runs north to south along the eastern coast of North America. It was noted that Middle Eastern suppliers of LNG will play an important potential role in North American markets. 19 figs
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Fahey, Frederic H; Ziniel, Sonja I; Manion, Dacie; Treves, S Ted
2015-06-01
The goal of this investigation was to assess the impact of the publication of the 2010 North American guidelines on the practice of nuclear medicine in children at 13 dedicated pediatric institutions within the United States and Canada by comparing results of similar surveys from 2007 and 2013. In 2013, a follow-up survey was performed of the original 13 dedicated pediatric institutions initially surveyed in 2007. Both surveys inquired about the administered activities for 16 nuclear medicine procedures commonly performed on children. The administered activity per body mass, the maximum activity, and the minimum activity for patients for each procedure were requested from each site. For each parameter the minimum and maximum reported values, as well as the median and the mean, were tabulated. The mean difference in the mean between 2007 and 2013 was calculated, as well as the 95% confidence intervals for the mean administered activity per body mass for both years. The factor of variation used with the previous survey for each parameter was calculated by taking the ratio of the maximum and minimum reported values. For the 8 procedures addressed in the 2010 North American guidelines, the percentage of institutions that were compliant (defined as within 20%) for each parameter were noted for both surveys. Institutions were asked whether they were familiar with "Image Gently," the North American guidelines, and the "Go with the Guidelines" campaign and whether they adjusted their administered activities on the basis of these guidelines. In general, the 13 pediatric institutions have reduced their administered activities in children, particularly for those procedures addressed by the 2010 North American guidelines. The average variability in the activity per body mass and the minimum activity as measured by the factor of variation were substantially reduced by 9.7% (from 3.1 to 2.8) and 24% (from 10.0 to 7.6). The average variability of the maximum activity was
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76 FR 16743 - Applications for New Awards; Program for North American Mobility in Higher Education
2011-03-25
... DEPARTMENT OF EDUCATION Applications for New Awards; Program for North American Mobility in Higher... Postsecondary Education (FIPSE)--Special Focus Competition: Program for North American Mobility in Higher... Program for North American Mobility in Higher Education, CFDA number 84.116N, must be submitted...
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North-American MP Tandem accelerators
International Nuclear Information System (INIS)
Wegner, H.E.; Thieberger, P.
1977-01-01
There are six North-American MP Tandem accelerators: Yale; Minnesota; Chalk River; Rochester; and two at Brookhaven. The current status and operating characteristics of these six tandem accelerators are discussed. Upgrade and special improvements of the different machines is reviewed and new developments since the last Electrostatic Conference are discussed in detail. The overall operating characteristics of the different machines during the last year of operation are compared
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Conwell, Darwin L.; Lee, Linda S.; Yadav, Dhiraj; Longnecker, Daniel S.; Miller, Frank H.; Mortele, Koenraad J.; Levy, Michael J.; Kwon, Richard; Lieb, John G.; Stevens, Tyler; Toskes, Philip P.; Gardner, Timothy B.; Gelrud, Andres; Wu, Bechien U.; Forsmark, Christopher E.; Vege, Santhi S.
2016-01-01
The diagnosis of chronic pancreatitis remains challenging in early stages of the disease. This report defines the diagnostic criteria useful in the assessment of patients with suspected and established chronic pancreatitis. All current diagnostic procedures are reviewed and evidence based statements are provided about their utility and limitations. Diagnostic criteria for chronic pancreatitis are classified as definitive, probable or insufficient evidence. A diagnostic (STEP-wise; S-survey, T-tomography, E-endoscopy and P-pancreas function testing) algorithm is proposed that proceeds from a non-invasive to a more invasive approach. This algorithm maximizes specificity (low false positive rate) in subjects with chronic abdominal pain and equivocal imaging changes. Futhermore, a nomenclature is suggested to further characterize patients with established chronic pancreatitis based on TIGAR-O (T-toxic, I-idiopathic, G-genetic, A- autoimmune, R-recurrent and O-obstructive) etiology, gland morphology (Cambridge criteria) and physiologic state (exocrine, endocrine function) for uniformity across future multi-center research collaborations. This guideline will serve as a baseline manuscript that will be modified as new evidence becomes available and our knowledge of chronic pancreatitis improves. PMID:25333398
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Conwell, Darwin L; Lee, Linda S; Yadav, Dhiraj; Longnecker, Daniel S; Miller, Frank H; Mortele, Koenraad J; Levy, Michael J; Kwon, Richard; Lieb, John G; Stevens, Tyler; Toskes, Phillip P; Gardner, Timothy B; Gelrud, Andres; Wu, Bechien U; Forsmark, Christopher E; Vege, Santhi S
2014-11-01
The diagnosis of chronic pancreatitis remains challenging in early stages of the disease. This report defines the diagnostic criteria useful in the assessment of patients with suspected and established chronic pancreatitis. All current diagnostic procedures are reviewed, and evidence-based statements are provided about their utility and limitations. Diagnostic criteria for chronic pancreatitis are classified as definitive, probable, or insufficient evidence. A diagnostic (STEP-wise; survey, tomography, endoscopy, and pancreas function testing) algorithm is proposed that proceeds from a noninvasive to a more invasive approach. This algorithm maximizes specificity (low false-positive rate) in subjects with chronic abdominal pain and equivocal imaging changes. Furthermore, a nomenclature is suggested to further characterize patients with established chronic pancreatitis based on TIGAR-O (toxic, idiopathic, genetic, autoimmune, recurrent, and obstructive) etiology, gland morphology (Cambridge criteria), and physiologic state (exocrine, endocrine function) for uniformity across future multicenter research collaborations. This guideline will serve as a baseline manuscript that will be modified as new evidence becomes available and our knowledge of chronic pancreatitis improves.
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22 CFR 41.59 - Professionals under the North American Free Trade Agreement.
2010-04-01
... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Professionals under the North American Free Trade Agreement. 41.59 Section 41.59 Foreign Relations DEPARTMENT OF STATE VISAS VISAS: DOCUMENTATION OF... Professionals under the North American Free Trade Agreement. (a) Requirements for classification as a NAFTA...
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Carbon fluxes on North American rangelands
Tony Svejcar; Raymond Angell; James A. Bradford; William Dugas; William Emmerich; Albert B. Frank; Tagir Gilmanov; Marshall Haferkamp; Douglas A. Johnson; Herman Mayeux; Pat Mielnick; Jack Morgan; Nicanor Z. Saliendra; Gerald E. Schuman; Phillip L. Sims; Kereith Snyder
2008-01-01
Rangelands account for almost half of the earth's land surface and may play an important role in the global carbon (C) cycle. We studied net ecosystem exchange (NEE) of C on eight North American rangeland sites over a 6-yr period. Management practices and disturbance regimes can influence NEE; for consistency, we compared ungrazed and undisturbed rangelands...
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North American trade growth continued in 2007
2009-02-01
Trade between the United States and its North American Free Trade Agreement (NAFTA) partnersCanada and Mexicohas more than doubled in dollar value since the inception of NAFTA in 1994. In 2007, U.S. trade with Canada and Mexico reached $909 bil...
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The North American coach tourist to Ireland: a factor analysis approach
Ryan, Marie; Deegan, Jim
2010-01-01
The objective of this paper is to identify the most significant travel behaviours and characteristics of North American coach tourists visiting Ireland. The data, identifying travel behaviours and characteristics, such as travel constraints, motivation, activities, accommodation attributes, life focus and personality traits was elucidated from questionnaires (n = 741) distributed to North American coach tourists that visited Ireland between June 2007 and March 2008. Factor analysis, which is ...
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Evaluation of harvest and information needs for North American sea ducks.
Koneff, Mark D; Zimmerman, Guthrie S; Dwyer, Chris P; Fleming, Kathleen K; Padding, Paul I; Devers, Patrick K; Johnson, Fred A; Runge, Michael C; Roberts, Anthony J
2017-01-01
Wildlife managers routinely seek to establish sustainable limits of sport harvest or other regulated forms of take while confronted with considerable uncertainty. A growing body of ecological research focuses on methods to describe and account for uncertainty in management decision-making and to prioritize research and monitoring investments to reduce the most influential uncertainties. We used simulation methods incorporating measures of demographic uncertainty to evaluate risk of overharvest and prioritize information needs for North American sea ducks (Tribe Mergini). Sea ducks are popular game birds in North America, yet they are poorly monitored and their population dynamics are poorly understood relative to other North American waterfowl. There have been few attempts to assess the sustainability of harvest of North American sea ducks, and no formal harvest strategy exists in the U.S. or Canada to guide management. The popularity of sea duck hunting, extended hunting opportunity for some populations (i.e., special seasons and/or bag limits), and population declines have led to concern about potential overharvest. We used Monte Carlo simulation to contrast estimates of allowable harvest and observed harvest and assess risk of overharvest for 7 populations of North American sea ducks: the American subspecies of common eider (Somateria mollissima dresseri), eastern and western populations of black scoter (Melanitta americana) and surf scoter (M. perspicillata), and continental populations of white-winged scoter (M. fusca) and long-tailed duck (Clangula hyemalis). We combined information from empirical studies and the opinions of experts through formal elicitation to create probability distributions reflecting uncertainty in the individual demographic parameters used in this assessment. Estimates of maximum growth (rmax), and therefore of allowable harvest, were highly uncertain for all populations. Long-tailed duck and American common eider appeared to be at high
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North American Regional Report
Energy Technology Data Exchange (ETDEWEB)
NONE
2007-11-15
North America is an energy community fortunate to be endowed with a rich and varied resource base. It consumes about a third of the world's energy and produces about one quarter of world energy supply. North America depends on a mix of complementary energy sources that should remain competitive but not in conflict. The current supply mix varies between Canada, the United States and Mexico, but fossil fuels are dominant across the region, leaving the three member countries vulnerable to a myriad of risks associated with traditional supply sources. Energy trade between all three countries is also a major contributor to the region's economy. Thus, the impetus for collaboration across the region has grown out of the common goals of energy security and economic prosperity. The goal of the WEC regional group was to discuss avenues for advancing North American cooperation and coordination on a range of energy issues. An additional objective was to develop policy recommendations that will facilitate effective development and use of the region's energy resources. Results and recommendtaions are summarized from three forums that focused on the pertinent issues of energy trade, energy efficiency and energy diversification. The inaugural forum (Energy Trade) was held in Washington, D.C. in the fall of 2005. The following summer, the second forum (Energy Efficiency) took place in Mexico City. The third forum (Energy Diversification) was hosted in Halifax, Nova Scotia.
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North American Mesoscale Forecast System (NAM) [12 km
National Oceanic and Atmospheric Administration, Department of Commerce — The North American Mesoscale Forecast System (NAM) is one of the major regional weather forecast models run by the National Centers for Environmental Prediction...
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P450 Pharmacogenetics in Indigenous North American Populations
Directory of Open Access Journals (Sweden)
Lindsay M. Henderson
2018-02-01
Full Text Available Indigenous North American populations, including American Indian and Alaska Native peoples in the United States, the First Nations, Métis and Inuit peoples in Canada and Amerindians in Mexico, are historically under-represented in biomedical research, including genomic research on drug disposition and response. Without adequate representation in pharmacogenetic studies establishing genotype-phenotype relationships, Indigenous populations may not benefit fully from new innovations in precision medicine testing to tailor and improve the safety and efficacy of drug treatment, resulting in health care disparities. The purpose of this review is to summarize and evaluate what is currently known about cytochrome P450 genetic variation in Indigenous populations in North America and to highlight the importance of including these groups in future pharmacogenetic studies for implementation of personalized drug therapy.
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Futures trading and the storage of North American natural gas
Energy Technology Data Exchange (ETDEWEB)
Serletis, Apostolos; Shahmoradi, Asghar [Calgary Univ., Dept. of Economics, Calgary, AB (Canada)
2006-03-15
This paper tests the theory of storage in North American natural gas markets, using the Fama and French (1988) indirect test. In particular, we test the theory's prediction that when inventory is high, large inventory responses to shocks imply roughly equal changes in spot and futures prices, whereas when inventory is low, smaller inventory responses to shocks imply larger changes in spot prices than in futures prices. Our tests on spot and futures North American natural gas prices confirm these predictions of the theory of storage. (Author)
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North American Land Change Monitoring System (NALCMS) Collection
U.S. Geological Survey, Department of the Interior — The North American Land Change Monitoring System (NALCMS) is a trilateral effort between Canada, the United States, and Mexico, and is produced by the Canada Centre...
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International Nuclear Information System (INIS)
Russell, D.
2002-06-01
When considering a multi-pollutant emissions trading system covering Mexico, the United States and Canada, several issues must be looked at. Such a system would result from the changing environment in the electricity sector. An understanding of the architectural elements involved in the design of an emissions trading regime was the stated goal for the preparation of this working paper. In the event of the implementation of a North American emissions trading system, some potential interface issues resulting from the North American Free Trade Agreement (NAFTA) were identified. An overview of the emissions trading systems currently in place in North America and their results was included in a background paper, as well as a description of architectural elements comprised in the design of an emissions trading system, the implications of cross-border harmonization taking into account environmental integrity and economic efficiency, and potential trade issues. This paper was circulated among a broad section of policy experts in environmental matters, and was then discussed at an informal workshop in December 2001, attended by 25 cross-sectoral experts. The author also identified several areas where further work is required. refs., 2 tabs
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Outlook and overview of the North American marketplace: 1997-2015
International Nuclear Information System (INIS)
Sitzer, S.
1997-01-01
A series of projections for natural gas prices and production patterns in North America to the year 2015 were presented, based on the 'Annual Energy Outlook 1997' (AEO97) and on the 'International Energy Outlook 1996' (IEO96), two publications of the US Energy Information Administration. AEO's primary focus is the U.S. domestic situation, whereas the IEO provides international forecasts and analysis. In general, it is expected that while the growth in U.S. demand will put severe strain on North American natural gas reserves, production and delivery systems, deregulation will provide the incentives to maintain the improvements in efficiency and deliverability that have characterized gas supply over the past 10 years. To buttress these predictions, a series of analysis on U.S. economic growth, energy demand, world oil prices, U.S. electricity generation and cogeneration by fuel type, U.S. natural gas supply and prices were modelled under different price scenarios. Estimates included Canadian and Mexican reserves, storage and productive capacities in the overall North American energy picture. It was concluded that because of the relatively abundant supply and low environmental emissions, natural gas will continue to play a key role in North American energy markets. 4 refs., 13 figs
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Integration of the North American energy market
International Nuclear Information System (INIS)
Lapointe, A.
2002-07-01
The US energy policy of President Bush administration proposes to develop a North American energy framework with a greater energy integration between Canada, the USA and Mexico in the respect of the sovereignty of each country. This article tries to evaluate the integration status of the energy sector in Northern America with respect to the North American free-exchange agreement and to the deregulation process observed in the natural gas and electric power sectors. The commercial energy fluxes between Canada, Mexico and the US show that the integration is a reality and that it is in constant progress. This integration is particularly important in the case of Canada and the USA while major constraints remain in Mexico where the property and exploitation of natural resources is a government monopoly. For this reason, Mexico could never exploit the full potentialities of its resources and suffers from a chronical under-investment in its energy infrastructures which limits the energy trade. Despite this, there is a strong will from the Mexican authorities to ensure the modernization of its energy sector and to contribute more to the integration process of the north American energy market. A series of reforms, and in particular the fiscal reform started by the government should reduce the excessive dependence of the government incomes with the dividends from the energy sector. This should allow the different government companies to reinvest more its benefits in order to improve the existing infrastructures and to increase the capacities (in particular in the gas and electricity sectors). Finally, the recent will of the government to open the gas sector should allow the development of this energy source. (J.S.)
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Heerspink, Hiddo J. L.; Makino, Hirofumi; Andress, Dennis; Brennan, John J.; Correa-Rotter, Ricardo; Coll, Blai; Davis, Justin W.; Idler, Ken; Kohan, Donald E.; Liu, Mohan; Perkovic, Vlado; Remuzzi, Giuseppe; Tobe, Sheldon W.; Toto, Robert; Parving, Hans-Henrik; de Zeeuw, Dick
Aims: The selective endothelin (ET) A receptor antagonist atrasentan has been shown to lower albuminuria in North American and Asian patients with type 2 diabetes and nephropathy. As drug responses to many drugs may differ between North American and Asian populations, we assessed the influence of
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48 CFR 27.204-1 - Use of patented technology under the North American Free Trade Agreement.
2010-10-01
... under the North American Free Trade Agreement. 27.204-1 Section 27.204-1 Federal Acquisition Regulations... Patents and Copyrights 27.204-1 Use of patented technology under the North American Free Trade Agreement... the patent holder is from a country that is a party to the North American Free Trade Agreement (NAFTA...
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2011-02-23
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement... Secretariat pursuant to Article 1904 of the North American Free Trade Agreement. Panel Review was requested of...-5438. SUPPLEMENTARY INFORMATION: Chapter 19 of the North American Free Trade Agreement (``Agreement...
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2012-11-05
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement... North American Free Trade Agreement. Panel Review was requested of the U.S. Department of Commerce's..., (202) 482-5438. SUPPLEMENTARY INFORMATION: Chapter 19 of the North American Free Trade Agreement...
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Diabetes awareness among African Americans in rural North Carolina.
Antony, Angela K; Baaklini, Walid A
2004-01-01
To evaluate the extent of diabetes unawareness in rural North Carolina. Randomly administered an eight-question survey to African Americans age 15-74 living in Halifax County North Carolina. Ninety-five out of 116 eligible participants completed the survey (82% response rate). Most (67%) of the participants reported having two or more major risk factors for Type II diabetes (diabetes mellitus). More than half (51.6%) of the participants were obese. Most (96.8%) of the participants reported having been tested for diabetes at some point in their lives (10% testedpositive, only 8.4% of the remaining 9o% reported ever having a second test). Diabetes mellitus is a very prevalentproblem among the African American population of Halifax County North Carolina. Our study underscores the fact that patients are not systematically screened and followed-up for diabetes melitus. More healthcare and commnity programs need to be adapted to fight this serious public health problem.
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North American Regional Report
Energy Technology Data Exchange (ETDEWEB)
NONE
2007-11-15
North America is an energy community fortunate to be endowed with a rich and varied resource base. It consumes about a third of the world's energy and produces about one quarter of world energy supply. North America depends on a mix of complementary energy sources that should remain competitive but not in conflict. The current supply mix varies between Canada, the United States and Mexico, but fossil fuels are dominant across the region, leaving the three member countries vulnerable to a myriad of risks associated with traditional supply sources. Energy trade between all three countries is also a major contributor to the region's economy. Thus, the impetus for collaboration across the region has grown out of the common goals of energy security and economic prosperity. The goal of the WEC regional group was to discuss avenues for advancing North American cooperation and coordination on a range of energy issues. An additional objective was to develop policy recommendations that will facilitate effective development and use of the region's energy resources. Results and recommendtaions are summarized from three forums that focused on the pertinent issues of energy trade, energy efficiency and energy diversification. The inaugural forum (Energy Trade) was held in Washington, D.C. in the fall of 2005. The following summer, the second forum (Energy Efficiency) took place in Mexico City. The third forum (Energy Diversification) was hosted in Halifax, Nova Scotia.
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2012-05-03
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement... the North American Free Trade Agreement. On April 25, 2012, an additional Request was filed on behalf... INFORMATION: Chapter 19 of the North American Free Trade Agreement (``Agreement'') established a mechanism to...
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Ecology and conservation of North American sea ducks
Savard, Jean-Pierre L.; Derksen, Dirk V.; Esler, Daniel N.; Eadie, John M.
2015-01-01
The past decade has seen a huge increase in the interest and attention directed toward sea ducks, the Mergini tribe. This has been inspired, in large part, by the conservation concerns associated with numerical declines in several sea duck species and populations, as well as a growing appreciation for their interesting ecological attributes. Reflecting the considerable research recently conducted on this tribe, Ecology and Conservation of North American Sea Ducks examines the 15 extant species of sea ducks from North America.
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47 CFR 52.11 - North American Numbering Council.
2010-10-01
... 47 Telecommunication 3 2010-10-01 2010-10-01 false North American Numbering Council. 52.11 Section... recommendations, reached through consensus, that foster efficient and impartial number administration; (c) Initially resolving disputes, through consensus, that foster efficient and impartial number administration...
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How might the North American ice sheet influence the northwestern Eurasian climate?
Beghin, P.; Charbit, S.; Dumas, C.; Kageyama, M.; Ritz, C.
2015-10-01
It is now widely acknowledged that past Northern Hemisphere ice sheets covering Canada and northern Europe at the Last Glacial Maximum (LGM) exerted a strong influence on climate by causing changes in atmospheric and oceanic circulations. In turn, these changes may have impacted the development of the ice sheets themselves through a combination of different feedback mechanisms. The present study is designed to investigate the potential impact of the North American ice sheet on the surface mass balance (SMB) of the Eurasian ice sheet driven by simulated changes in the past glacial atmospheric circulation. Using the LMDZ5 atmospheric circulation model, we carried out 12 experiments under constant LGM conditions for insolation, greenhouse gases and ocean. In these experiments, the Eurasian ice sheet is removed. The 12 experiments differ in the North American ice-sheet topography, ranging from a white and flat (present-day topography) ice sheet to a full-size LGM ice sheet. This experimental design allows the albedo and the topographic impacts of the North American ice sheet onto the climate to be disentangled. The results are compared to our baseline experiment where both the North American and the Eurasian ice sheets have been removed. In summer, the sole albedo effect of the American ice sheet modifies the pattern of planetary waves with respect to the no-ice-sheet case, resulting in a cooling of the northwestern Eurasian region. By contrast, the atmospheric circulation changes induced by the topography of the North American ice sheet lead to a strong decrease of this cooling. In winter, the Scandinavian and the Barents-Kara regions respond differently to the American ice-sheet albedo effect: in response to atmospheric circulation changes, Scandinavia becomes warmer and total precipitation is more abundant, whereas the Barents-Kara area becomes cooler with a decrease of convective processes, causing a decrease of total precipitation. The gradual increase of the
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North American demand and supply dynamics - implications for pricing
International Nuclear Information System (INIS)
George, R.
1998-01-01
Key issues regarding the natural gas industry and the long-term outlook for North American supply and demand for natural gas were discussed. The North American market was characterized as not a mature market, meaning that demand will continue to increase in the coming years. It was confidently predicted that supplies will be available for development at reasonable costs. However, real prices will slowly increase over time. Short-term fundamentals, expectations and pricing outlook were also discussed. The influence of upstream activity levels, the health of the economy, weather and storage were all identified as factors that will impact on short-term price expectations. According to this author a minor increase in price may be expected during the winter of 1998/1999. tabs., figs
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2011-01-07
...-AA87 Security Zone; 23rd Annual North American International Auto Show, Detroit River, Detroit, MI... officials at the 23rd Annual North American International Auto Show (NAIAS) being held at Cobo Hall in... 23rd Annual North American International Auto Show (NAIAS) being held at Cobo Hall in downtown Detroit...
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2012-12-28
...-AA87 Security Zone; 25th Annual North American International Auto Show, Detroit River, Detroit, MI..., visitors, and public officials at the 25th Annual North American International Auto Show (NAIAS), which is... Purpose The 25th Annual North American International Auto Show (NAIAS) will be held at Cobo Hall in...
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2012-01-18
...-AA87 Security Zone; 24th Annual North American International Auto Show, Detroit River, Detroit, MI..., visitors, and public officials at the 24th Annual North American International Auto Show (NAIAS), which is... The 24th Annual North American International Auto Show (NAIAS) will be held at Cobo Hall in downtown...
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International Nuclear Information System (INIS)
Egan, T.
2006-03-01
Electricity supply and infrastructure solutions for the United States and Canada were discussed along with the availability of fuel supply and the diversity of fuel sources. This document focuses on investment in transmission infrastructure in order to assure sustainable generation sources for both countries while addressing constraints along the border, which will allow for enhanced cross-border trade. The Canadian Electricity Association has proposed 3 areas of bi-national cooperation to promote effective investment in electricity infrastructure and supply in the North American market: (1) cooperation in enhancing electricity supply, (2) cooperation in enhancing transmission infrastructure, and (3) cooperation in addressing air quality issues and climate change. The report discussed electricity generation by fuel source in Canada and the United States; status of restructuring in Canada; as well as the economic and environmental benefits of an integrated market. It also discussed regulatory and policy matters affecting the investment environment. Last, it discussed the need for opportunities for investment in the North American market, distribution and demand side measures, and cooperation in enhancing transmission infrastructure. It was concluded that growing electricity demand in both the United States and Canada requires investment in electricity infrastructure and supply in the future. Resolving electricity infrastructure and supply needs must be an international concern, requiring the full engagement and cooperation of both countries. 1 tab, 2 figs
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Beringer, Almut
2007-01-01
Purpose: To assess the Luneburg Sustainable University Project (the Project) in a non-European international context; to relate the project scholarly approach to selected scholarly and practice-oriented North American sustainability in higher education (SHE) methods; to analyze project innovations against North American initiatives.…
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Attribution of the Regional Patterns of North American Climate Trends
Hoerling, M.; Kumar, A.; Karoly, D.; Rind, D.; Hegerl, G.; Eischeid, J.
2007-12-01
North American trends in surface temperature and precipitation during 1951-2006 exhibit large spatial and seasonal variations. We seek to explain these by synthesizing new information based on existing model simulations of climate and its forcing, and based on modern reanalyses that describe past and current conditions within the free atmosphere. The presentation focuses on current capabilities to explain the spatial variations and seasonal differences in North American climate trends. It will address whether various heterogeneities in space and time can be accounted for by the climate system's sensitivity to time evolving anthropogenic forcing, and examines the influences of non-anthropogenic processes. New findings are presented that indicate anthropogenic forcing alone was unlikely the cause for key regional and seasonal patterns of change, including the absence of summertime warming over the Great Plains of the United States, and the absence of warming during both winter and summer over the southern United States. Key regional features are instead attributed to trends in the principal patterns of atmospheric flow that affect North American climate. It is demonstrated that observed variations in global sea surface temperatures have significantly influenced these patterns of atmospheric flow.
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Flint, Paul L.
2013-01-01
Broad-scale multi-species declines in populations of North American sea ducks for unknown reasons is cause for management concern. Oceanic regime shifts have been associated with rapid changes in ecosystem structure of the North Pacific and Bering Sea. However, relatively little is known about potential effects of these changes in oceanic conditions on marine bird populations at broad scales. I examined changes in North American breeding populations of sea ducks from 1957 to 2011 in relation to potential oceanic regime shifts in the North Pacific in 1977, 1989, and 1998. There was strong support for population-level effects of regime shifts in 1977 and 1989, but little support for an effect of the 1998 shift. The continental-level effects of these regime shifts differed across species groups and time. Based on patterns of sea duck population dynamics associated with regime shifts, it is unclear if the mechanism of change relates to survival or reproduction. Results of this analysis support the hypothesis that population size and trends of North American sea ducks are strongly influenced by oceanic conditions. The perceived population declines appear to have halted >20 years ago, and populations have been relatively stable or increasing since that time. Given these results, we should reasonably expect dramatic changes in sea duck population status and trends with future oceanic regime shifts.
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Climate Prediction Center (CPC) Daily Pacific North American Index
National Oceanic and Atmospheric Administration, Department of Commerce — The Pacific-North American pattern (PNA) is one of the leading teleconnection patterns in the Northern Hemisphere circulation. It is calculated as a Rotated...
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Singhi, Aatur D; Zeh, Herbert J; Brand, Randall E; Nikiforova, Marina N; Chennat, Jennifer S; Fasanella, Kenneth E; Khalid, Asif; Papachristou, Georgios I; Slivka, Adam; Hogg, Melissa; Lee, Kenneth K; Tsung, Allan; Zureikat, Amer H; McGrath, Kevin
2016-06-01
The American Gastroenterological Association (AGA) recently reported evidence-based guidelines for the management of asymptomatic neoplastic pancreatic cysts. These guidelines advocate a higher threshold for surgical resection than prior guidelines and imaging surveillance for a considerable number of patients with pancreatic cysts. The aims of this study were to assess the accuracy of the AGA guidelines in detecting advanced neoplasia and present an alternative approach to pancreatic cysts. The study population consisted of 225 patients who underwent EUS-guided FNA for pancreatic cysts between January 2014 and May 2015. For each patient, clinical findings, EUS features, cytopathology results, carcinoembryonic antigen analysis, and molecular testing of pancreatic cyst fluid were reviewed. Molecular testing included the assessment of hotspot mutations and deletions for KRAS, GNAS, VHL, TP53, PIK3CA, and PTEN. Diagnostic pathology results were available for 41 patients (18%), with 13 (6%) harboring advanced neoplasia. Among these cases, the AGA guidelines identified advanced neoplasia with 62% sensitivity, 79% specificity, 57% positive predictive value, and 82% negative predictive value. Moreover, the AGA guidelines missed 45% of intraductal papillary mucinous neoplasms with adenocarcinoma or high-grade dysplasia. For cases without confirmatory pathology, 27 of 184 patients (15%) with serous cystadenomas (SCAs) based on EUS findings and/or VHL alterations would continue magnetic resonance imaging (MRI) surveillance. In comparison, a novel algorithmic pathway using molecular testing of pancreatic cyst fluid detected advanced neoplasias with 100% sensitivity, 90% specificity, 79% positive predictive value, and 100% negative predictive value. The AGA guidelines were inaccurate in detecting pancreatic cysts with advanced neoplasia. Furthermore, because the AGA guidelines manage all neoplastic cysts similarly, patients with SCAs will continue to undergo unnecessary MRI
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2011-08-08
... DEPARTMENT OF COMMERCE International Trade Administration North American Free-Trade Agreement.... SUPPLEMENTARY INFORMATION: Chapter 19 of the North American Free-Trade Agreement (``Agreement'') established a..., United States Section, International Trade Administration, Department of Commerce. ACTION: Notice of...
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Thermal adaptation in North American cicadas (Hemiptera: Cicadidae).
Sanborn, Allen F; Heath, James E; Heath, Maxine S; Phillips, Polly K
2017-10-01
We determine and summarize the thermal responses for 118 species and subspecies of North American cicadas representing more than 50 years of fieldwork and experimentation. We investigate the role that habitat and behavior have on the thermal adaptation of the North American cicadas. There are general patterns of increasing thermal responses in warmer floristic provinces and increasing maximum potential temperature within a habitat. Altitude shows an inverse relationship with thermal responses. Comparison of thermal responses of species emerging early or late in the season within the same habitat show increases in the thermal responses along with the increasing environmental temperatures late in the summer. However, behavior, specifically the use of endothermy as a thermoregulatory strategy, can influence the values determined in a particular habitat. Subspecies generally do not differ in their thermal tolerances and thermal tolerances are consistent within a species over distances of more than 7600km. Copyright © 2017 Elsevier Ltd. All rights reserved.
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International Nuclear Information System (INIS)
2003-01-01
Leaders and experts from the petroleum and natural gas industry outlined some of the recent changes that have taken place in the North America gas and electricity industry. The relationship between pipeline and storage capacity was discussed with reference to how the connection affects prices at North American storage hubs. The topics of discussion ranged from the challenges associated with declines in capacity and market dynamics, to how gas marketability will be affected by the slowdown in pipeline development in North America. The investment community offered advice on long-run value creation in natural gas. The current state of development of Arctic gas was highlighted along with a review of how growth in liquefied natural gas (LNG) is changing the role of gas infrastructure in North America. It was noted that although markets will work to balance supply and demand, there is a need for new sources of North American supply to meet growing long-term demand. The fall-off in U.S. domestic natural gas supplies combined with low storage levels has created a supply crisis. The conference featured 19 presentations, of which 4 have been indexed separately for inclusion in this database. refs., tabs., figs
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North American Society for Pediatric Gastroenterology, Hepatology and Nutrition
North American Society for Pediatric Gastroenterology, Hepatology and Nutrition Skip to Navigation NASPGHAN Annual Meeting and Postgraduate ... transition well. Moreover, Doc4me provides information about medications, nutrition and living with IBD. Please help us promote ...
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EPA's Role with the North American Development Bank (NADB)
Following the 1993 signature of the North American Free Trade Agreement (NAFTA), two binational institutions were created to improve the environmental conditions of the U.S.-Mexico border region and enhance the well-being of residents.
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Procop, Gary W
2009-07-01
Paragonimus species are highly evolved parasites with a complex life cycle that involves at least three different hosts, i.e., snails, crustaceans, and mammals. The adult forms of Paragonimus species reside and mate in the lungs of a variety of permissive mammalian hosts, including humans. Although human paragonimiasis is uncommonly encountered in North America, both autochthonous and imported disease may be encountered. Paragonimus kellicotti, the species endemic to North America, is a well-known pathogen in wild and domestic animals. Five patients with North American paragonimiasis have been reported in the recent medical literature. The biologic, clinical, radiologic, and laboratory features of paragonimiasis are reviewed, with emphasis on North American paragonimiasis whenever possible.
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Multilocus phylogeography and systematic revision of North American water shrews (genus: Sorex)
Hope, Andrew G.; Panter, Nicholas; Cook, Joseph A.; Talbot, Sandra L.; Nagorsen, David W.
2014-01-01
North American water shrews, which have traditionally included Sorex alaskanus, S. bendirii, and S. palustris, are widely distributed through Nearctic boreal forests and adapted for life in semiaquatic environments. Molecular mitochondrial signatures for these species have recorded an evolutionary history with variable levels of regional divergence, suggesting a strong role of Quaternary environmental change in speciation processes. We expanded molecular analyses, including more-comprehensive rangewide sampling of specimens representing North American water shrew taxa, except S. alaskanus, and sequencing of 4 independent loci from the nuclear and mitochondrial genomes. We investigated relative divergence of insular populations along the North Pacific Coast, and newly recognized diversity from southwestern montane locations, potentially representing refugial isolates. Congruent independent genealogies, lack of definitive evidence for contemporary gene flow, and high support from coalescent species trees indicated differentiation of 4 major geographic lineages over multiple glacial cycles of the late Quaternary, similar to a growing number of boreal taxa. Limited divergence of insular populations suggested colonization following the last glacial. Characterization of southwestern montane diversity will require further sampling but divergence over multiple loci is indicative of a relictual sky-island fauna. We have reviewed and revised North American water shrew taxonomy including the recognition of 3 species within what was previously known as S. palustris. The possibility of gene flow between most distantly related North American water shrew lineages coupled with unresolved early diversification of this group and other sibling species reflects a complex but potentially productive system for investigating speciation processes.
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North American Forest Futures 2018-2090: Scenarios for Building a More Resilient Forest Sector
David N. Bengston; Jonathan Peck; Robert Olson; Melissa Barros; Richard A. Birdsey; Daniel R. Williams; Juan Carlos Leyva Reyes; Francisco José Zamudio
2018-01-01
North American forests and forest management institutions are experiencing a wide range of significant ecological disturbances and socioeconomic changes, which point to the need for enhanced resilience. A critical capacity for resilience in institutions is strategic foresight. This article reports on a project of the North American Forest Commission to use Futures...
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2012-02-22
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement... Section of the NAFTA Secretariat pursuant to Article 1904 of the North American Free Trade Agreement... American Free Trade Agreement (``Agreement'') established a mechanism to replace domestic judicial review...
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48 CFR 18.119 - Use of patented technology under the North American Free Trade Agreement.
2010-10-01
... under the North American Free Trade Agreement. 18.119 Section 18.119 Federal Acquisition Regulations... Available Acquisition Flexibilities 18.119 Use of patented technology under the North American Free Trade Agreement. Requirement to obtain authorization prior to use of patented technology may be waived in...
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Influenza a virus migration and persistence in North American wild birds.
Directory of Open Access Journals (Sweden)
Justin Bahl
Full Text Available Wild birds have been implicated in the emergence of human and livestock influenza. The successful prediction of viral spread and disease emergence, as well as formulation of preparedness plans have been hampered by a critical lack of knowledge of viral movements between different host populations. The patterns of viral spread and subsequent risk posed by wild bird viruses therefore remain unpredictable. Here we analyze genomic data, including 287 newly sequenced avian influenza A virus (AIV samples isolated over a 34-year period of continuous systematic surveillance of North American migratory birds. We use a Bayesian statistical framework to test hypotheses of viral migration, population structure and patterns of genetic reassortment. Our results reveal that despite the high prevalence of Charadriiformes infected in Delaware Bay this host population does not appear to significantly contribute to the North American AIV diversity sampled in Anseriformes. In contrast, influenza viruses sampled from Anseriformes in Alberta are representative of the AIV diversity circulating in North American Anseriformes. While AIV may be restricted to specific migratory flyways over short time frames, our large-scale analysis showed that the long-term persistence of AIV was independent of bird flyways with migration between populations throughout North America. Analysis of long-term surveillance data provides vital insights to develop appropriately informed predictive models critical for pandemic preparedness and livestock protection.
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Antimicrobial peptides from the skins of North American frogs.
Conlon, J Michael; Kolodziejek, Jolanta; Nowotny, Norbert
2009-08-01
North America is home to anuran species belonging to the families Bufonidae, Eleutherodactylidae, Hylidae, Leiopelmatidae, Ranidae, and Scaphiopodidae but antimicrobial peptides have been identified only in skin secretions and/or skin extracts of frogs belonging to the Leiopelmatidae ("tailed frogs") and Ranidae ("true frogs"). Eight structurally-related cationic alpha-helical peptides with broad-spectrum antibacterial activity, termed ascaphins, have been isolated from specimens of Ascaphus truei (Leiopelmatidae) occupying a coastal range. Characterization of orthologous antimicrobial peptides from Ascaphus specimens occupying an inland range supports the proposal that this population should be regarded as a separate species A. montanus. Ascaphin-8 shows potential for development into a therapeutically valuable anti-infective agent. Peptides belonging to the brevinin-1, esculentin-1, esculentin-2, palustrin-1, palustrin-2, ranacyclin, ranatuerin-1, ranatuerin-2, and temporin families have been isolated from North American ranids. It is proposed that "ranalexins" represent brevinin-1 peptides that have undergone a four amino acid residue internal deletion. Current taxonomic recommendations divide North American frogs from the family Ranidae into two genera: Lithobates and Rana. Cladistic analysis based upon the amino acid sequences of the brevinin-1 peptides provides strong support for this assignment.
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First North American fossil monkey and early Miocene tropical biotic interchange
Bloch, Jonathan I.; Woodruff, Emily D.; Wood, Aaron R.; Rincon, Aldo F.; Harrington, Arianna R.; Morgan, Gary S.; Foster, David A.; Montes, Camilo; Jaramillo, Carlos A.; Jud, Nathan A.; Jones, Douglas S.; MacFadden, Bruce J.
2016-05-01
New World monkeys (platyrrhines) are a diverse part of modern tropical ecosystems in North and South America, yet their early evolutionary history in the tropics is largely unknown. Molecular divergence estimates suggest that primates arrived in tropical Central America, the southern-most extent of the North American landmass, with several dispersals from South America starting with the emergence of the Isthmus of Panama 3-4 million years ago (Ma). The complete absence of primate fossils from Central America has, however, limited our understanding of their history in the New World. Here we present the first description of a fossil monkey recovered from the North American landmass, the oldest known crown platyrrhine, from a precisely dated 20.9-Ma layer in the Las Cascadas Formation in the Panama Canal Basin, Panama. This discovery suggests that family-level diversification of extant New World monkeys occurred in the tropics, with new divergence estimates for Cebidae between 22 and 25 Ma, and provides the oldest fossil evidence for mammalian interchange between South and North America. The timing is consistent with recent tectonic reconstructions of a relatively narrow Central American Seaway in the early Miocene epoch, coincident with over-water dispersals inferred for many other groups of animals and plants. Discovery of an early Miocene primate in Panama provides evidence for a circum-Caribbean tropical distribution of New World monkeys by this time, with ocean barriers not wholly restricting their northward movements, requiring a complex set of ecological factors to explain their absence in well-sampled similarly aged localities at higher latitudes of North America.
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2011-03-25
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement... American Free Trade Agreement. Panel Review was requested of the U.S. Department of Commerce's final... INFORMATION: Chapter 19 of the North American Free Trade Agreement (``Agreement'') established a mechanism to...
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2013-06-24
...: Mazda North American Operations (MNAO),\\1\\ on behalf of Mazda Motor Corporation of Hiroshima, Japan (Mazda),\\2\\ has determined that certain Mazda brand motor vehicles manufactured between 2000 and 2012 for...\\ Mazda North American Operations is a U.S. company that manufacturers and imports motor vehicles. \\2...
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2012-10-24
...: Mazda North American Operations (MNAO),\\1\\ on behalf of Mazda Motor Corporation of Hiroshima, Japan (Mazda),\\2\\ has determined that certain Mazda brand motor vehicles manufactured between 2007 and 2012 for... North American Operations, is a U.S. company that manufactures and imports motor vehicles. \\2\\ Mazda...
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2012-09-28
...: Mazda North American Operations (MNAO),\\1\\ on behalf of Mazda Motor Corporation of Hiroshima, Japan (Mazda),\\2\\ has determined that certain Mazda brand motor vehicles manufactured between 2000 and 2012 for...\\ Mazda North American Operations, is a U.S. company that manufacturers and imports motor vehicles. \\2...
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North American Natural Gas Markets
International Nuclear Information System (INIS)
1989-02-01
This report summarizes die research by an Energy Modeling Forum working group on the evolution of the North American natural gas markets between now and 2010. The group's findings are based partly on the results of a set of economic models of the natural gas industry that were run for four scenarios representing significantly different conditions: two oil price scenarios (upper and lower), a smaller total US resource base (low US resource case), and increased potential gas demand for electric generation (high US demand case). Several issues, such as the direction of regulatory policy and the size of the gas resource base, were analyzed separately without the use of models
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North American Natural Gas Markets
International Nuclear Information System (INIS)
1988-12-01
This report sunnnarizes the research by an Energy Modeling Forum working group on the evolution of the North American natural gas markets between now and 2010. The group's findings are based partly on the results of a set of economic models of the natural gas industry that were run for four scenarios representing significantly different conditions: two oil price scenarios (upper and lower), a smaller total US resource base (low US resource case), and increased potential gas demand for electric generation (high US demand case). Several issues, such as the direction of regulatory policy and the size of the gas resource base, were analyzed separately without the use of models
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Consequences of climate change for biotic disturbances in North American forests
Aaron S. Weed; Matthew P. Ayres; Jeffrey A. Hicke
2013-01-01
About one-third of North America is forested. These forests are of incalculable value to human society in terms of harvested resources and ecosystem services and are sensitive to disturbance regimes. Epidemics of forest insects and diseases are the dominant sources of disturbance to North American forests. Here we review current understanding of climatic effects...
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Model comparisons for estimating carbon emissions from North American wildland fire
Nancy H.F. French; William J. de Groot; Liza K. Jenkins; Brendan M. Rogers; Ernesto Alvarado; Brian Amiro; Bernardus De Jong; Scott Goetz; Elizabeth Hoy; Edward Hyer; Robert Keane; B.E. Law; Donald McKenzie; Steven G. McNulty; Roger Ottmar; Diego R. Perez-Salicrup; James Randerson; Kevin M. Robertson; Merritt. Turetsky
2011-01-01
Research activities focused on estimating the direct emissions of carbon from wildland fires across North America are reviewed as part of the North American Carbon Program disturbance synthesis. A comparison of methods to estimate the loss of carbon from the terrestrial biosphere to the atmosphere from wildland fires is presented. Published studies on emissions from...
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2013-07-26
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement..., (202) 482-5438. SUPPLEMENTARY INFORMATION: Chapter 19 of the North American Free Trade Agreement... Secretariat, United States Section, International Trade Administration, Department of Commerce. ACTION: On...
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Romagnuolo, Joseph; Talluri, Jyothsna; Kennard, Elizabeth; Sandhu, Bimaljit S; Sherman, Stuart; Cote, Gregory A; Al-Kaade, Samer; Gardner, Timothy B; Gelrud, Andres; Lewis, Michele D; Forsmark, Christopher E; Guda, Nalini M; Conwell, Darwin L; Banks, Peter A; Muniraj, Thiruvengadam; Wisniewski, Stephen R; Tian, Ye; Wilcox, C Mel; Anderson, Michelle A; Brand, Randall E; Slivka, Adam; Whitcomb, David C; Yadav, Dhiraj
2016-08-01
Historically, chronic pancreatitis (CP) was considered a disease of alcoholic males, but recent data suggest its etiology to be complex. To better understand CP in women, we compared data on women and men with CP in a large, prospectively ascertained multicenter US cohort. Patients with CP enrolled in the NAPS2 Continuation and Validation study were studied. Information on demographics, etiology, risk factors, phenotype, and treatment(s) used was obtained from detailed questionnaires completed by the patients and physicians. Of 521 cases, 45% were women. Women were significantly (P etiology (30% vs 58.5%) and more likely to have nonalcoholic etiologies (idiopathic, 32% vs 18%; obstructive, 12% vs 2.4%; genetic, 12.8% vs 7.3%). Demographics, pain experience, morphologic findings, exocrine and endocrine insufficiency, CP-related disability, and use of medical therapies were mostly similar in both sexes. Sphincterotomy (biliary, 33% vs 24%; pancreatic, 38% vs 28%; P etiologies. In contrast to many other chronic diseases, clinical phenotype of CP is determined by the disease and is independent of sex.
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Weakening of the North American monsoon with global warming
Pascale, Salvatore; Boos, William R.; Bordoni, Simona; Delworth, Thomas L.; Kapnick, Sarah B.; Murakami, Hiroyuki; Vecchi, Gabriel A.; Zhang, Wei
2017-11-01
Future changes in the North American monsoon, a circulation system that brings abundant summer rains to vast areas of the North American Southwest, could have significant consequences for regional water resources. How this monsoon will change with increasing greenhouse gases, however, remains unclear, not least because coarse horizontal resolution and systematic sea-surface temperature biases limit the reliability of its numerical model simulations. Here we investigate the monsoon response to increased atmospheric carbon dioxide (CO2) concentrations using a 50-km-resolution global climate model which features a realistic representation of the monsoon climatology and its synoptic-scale variability. It is found that the monsoon response to CO2 doubling is sensitive to sea-surface temperature biases. When minimizing these biases, the model projects a robust reduction in monsoonal precipitation over the southwestern United States, contrasting with previous multi-model assessments. Most of this precipitation decline can be attributed to increased atmospheric stability, and hence weakened convection, caused by uniform sea-surface warming. These results suggest improved adaptation measures, particularly water resource planning, will be required to cope with projected reductions in monsoon rainfall in the American Southwest.
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Can north american fish passage tools work for South american migratory fishes?
Directory of Open Access Journals (Sweden)
Claudio Rafael Mariano Baigún
Full Text Available In North America, the Numerical Fish Surrogate (NFS is used to design fish bypass systems for emigrating juvenile salmon as they migrate from hatchery outfalls and rearing habitats to adult habitat in the oceans. The NFS is constructed of three linked modules: 1 a computational fluid dynamics model describes the complex flow fields upstream of dams at a scale sufficiently resolved to analyze, understand and forecast fish movement, 2 a particle tracking model interpolates hydraulic information from the fixed nodes of the computational fluid model mesh to multiple locations relevant to migrating fish, and 3 a behavior model simulates the cognition and behavior of individual fish in response to the fluid dynamics predicted by the computational fluid dynamics model. These three modules together create a virtual reality where virtual fish exhibit realistic dam approach behaviors and can be counted at dam exits in ways similar to the real world. Once calibrated and validated with measured fish movement and passage data, the NFS can accurately predict fish passage proportions with sufficient precision to allow engineers to select one optimum alternative from among many competing structural or operational bypass alternatives. Although South American fish species are different from North American species, it is likely that the basic computational architecture and numerical methods of the NFS can be used for fish conservation in South America. Consequently, the extensive investment made in the creation of the NFS need not be duplicated in South America. However, its use in South America will require that the behavioral response of the continent's unique fishes to hydrodynamic cues must be described, codified and tested before the NFS can be used to conserve fishes by helping design efficient South American bypass systems. To this end, we identify studies that could be used to describe the movement behavior of South American fishes of sufficient detail
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Kokes Award for the 24th North American Catalysis Society Meeting
Energy Technology Data Exchange (ETDEWEB)
Rioux, Robert M. [Pennsylvania State Univ., University Park, PA (United States)
2016-05-02
The objective of the Richard. J. Kokes Travel Award program is to encourage the participation of students in the biennial North American Catalysis Society (NACS) Meetings. The Kokes Award covers a significant portion of the transportation, lodging, and conference registration costs. Eligible students must be enrolled at a North American university and need to present a paper at the meeting. The Kokes awardee will be required to contribute some time to the organizing committee to assist in meeting operations and to be present at the meeting during the entire time. Similar to the 23rd Kokes Award program, undergraduate students are also eligible for the 24th Kokes Award program.
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19 CFR 102.25 - Textile or apparel products under the North American Free Trade Agreement.
2010-04-01
... 19 Customs Duties 1 2010-04-01 2010-04-01 false Textile or apparel products under the North American Free Trade Agreement. 102.25 Section 102.25 Customs Duties U.S. CUSTOMS AND BORDER PROTECTION... or apparel products under the North American Free Trade Agreement. In connection with a claim for...
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Precision Rescue Behavior in North American Ants
Directory of Open Access Journals (Sweden)
Katherine Taylor
2013-07-01
Full Text Available Altruistic behavior, in which one individual provides aid to another at some cost to itself, is well documented. However, some species engage in a form of altruism, called rescue, that places the altruist in immediate danger. Here we investigate one such example, namely rescuing victims captured by predators. In a field experiment with two North American ant species, Tetramorium sp. E and Prenolepis imparis, individuals were held in artificial snares simulating capture. T. sp. E, but not P. imparis, exhibited digging, pulling, and snare biting, the latter precisely targeted to the object binding the victim. These results are the first to document precision rescue in a North American ant species; moreover, unlike rescue in other ants, T. sp. E rescues conspecifics from different colonies, mirroring their atypical social behavior, namely the lack of aggression between non-nestmate (heterocolonial conspecifics. In a second, observational study designed to demonstrate rescue from an actual predator, T. sp. E victims were dropped into an antlion's pit and the behavior of a single rescuer was observed. Results showed that T. sp. E not only attempted to release the victim, but also risked attacking the predator, suggesting that precision rescue may play an important role in this species' antipredator behavior.
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Directory of Open Access Journals (Sweden)
Aleksandar Radic
2016-01-01
Full Text Available Purpose –The key to understanding motivation of tourists from cruisers who are visiting Dubrovnik is to understand their needs and wants for consuming history and culture as tourism products. The purpose of this paper is to assess the motivations of North American tourists visiting Dubrovnik on their cruises around the Mediterranean. Design/Methods/Approach – In this paper, the author decided to use two paradigms: pragmatism and positivism, which are usually followed by quantitative techniques of data collection. A structured questionnaire enabled author to collect quantitative data that were processed by descriptive statistics. Findings – The paper introduces new perspective on motivations of North American tourists who visit Dubrovnik on their cruises around the Mediterranean. The findings indicated that Cultural component was the most important dimension perceived by North American tourist, for choosing cruises with Dubrovnik as one of port of calls on their itinerary. Research limitations – Main limitations of this research paper were relatively small sample size and participants from only one Cruise Company. Originality – The article depicts motivation of North American tourists from cruise ships that choose to visit cultural-historical destination (Dubrovnik.
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North american natural gas supply forecast: the Hubbert method including the effects of institutions
International Nuclear Information System (INIS)
Reynolds, D. B.; Kolodziej, M.
2009-01-01
In this article, the U.S. and southern Canadian natural gas supply market is considered. An important model for oil and natural gas supply is the Hubbert curve. Not all regions of the world are producing oil or natural gas following a Hubbert curve, even when price and market conditions are accounted for. One reason is that institutions are affecting supply. We investigate the possible effects of oil and gas market institutions in North America on natural gas supply. A multi-cycle Hubbert curve with inflection points similar to the Soviet Union's oil production multi-cycle Hubbert curve is used to determine North American natural gas discovery rates and to analyze how market specific institutions caused the inflection points. In addition, we analyze the latest shale natural gas projections critically. While currently, unconventional resources of natural gas suggest that North American natural gas production will increase without bound, the model here suggests a peak in North American natural gas supplies could happen in 2013. (author)
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Canadian hydro potential in the North American market
International Nuclear Information System (INIS)
Adams, K.
2002-01-01
Canada's hydro potential in the North American energy market was discussed. Canada is a net exporter of electricity in North America, and since 1990, has exported an average of 28 Terawatt hours/year to the United States. More than 65 per cent of these exports were generated from hydro power plants. It was emphasized that significant reductions in greenhouse gases can be achieved if Canadian hydroelectricity is substituted for coal power generation. It was also noted that although there may not be enough hydro capacity to meet all of North America's energy requirements, development of new large hydro resources in Canada could help meet the growing demand for electricity in the United States. Hydro can also complement other renewable energy sources such as wind and solar. The factors that will determine if Canadian hydropower will contribute to the energy demand are market mechanisms such as greenhouse gas credit trading systems which provide incentive for renewable energy projects. In addition, the existing infrastructure must be expanded both east and west within Canada and north and south between Canada and the United States. 5 figs
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Propane supply picture: North American perspective
International Nuclear Information System (INIS)
Horner, N.
1992-01-01
An overview is presented of the North American propane supply and demand situation. Propane has a distribution network in place and a well established market. North America is virtually self-sufficient in propane with a market of over 1,000,000 bbl/d. Approximately 80% of Canada's propane supply is produced at gas plants in western Canada as a byproduct of natural gas production. The expansion in natural gas markets will mean that propane supply will rise further, unlike crude oil. Canada's daily supply of nearly 160,000 bbl is used for heating (30%), transport (12%), petrochemicals (7.8%), and enhanced oil recovery (4.7%), with the remainder being exported. Propane surpluses are expected to grow, between 70,000 and 100,000 bbl/d in the next 5 years. Nearly 30% of North America's demand for propane is in the petrochemical industry, for which various other feedstocks can be substituted. An availability of over 400,000 bbl/d could fuel ca 5 million vehicles. Only natural gas has a comparable infrastructure and this suffers from high utilization pressure and poor energy density. Wholesale propane is now available at under 9 cents/liter, significantly below the projected ethanol price of 18 cents/liter, which excludes grain feedstock or capital cost. 8 refs., 6 figs
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Phylogeny and taxonomy of the North American clade of the Ceratocystis fimbriata complex.
Johnson, Jason A; Harrington, Thomas C; Engelbrecht, C J B
2005-01-01
Ceratocystis fimbriata is a widely distributed, plant pathogenic fungus that causes wilts and cankers on many woody hosts. Earlier phylogenetic analyses of DNA sequences revealed three geographic clades within the C. fimbriata complex that are centered respectively in North America, Latin America and Asia. This study looked for cryptic species within the North American clade. The internal transcribed spacer regions (ITS) of the rDNA were sequenced, and phylogenetic analysis indicated that most isolates from the North American clade group into four host-associated lineages, referred to as the aspen, hickory, oak and cherry lineages, which were isolated primarily from wounds or diseased trees of Populus, Carya, Quercus and Prunus, respectively. A single isolate collected from P. serotina in Wisconsin had a unique ITS sequence. Allozyme electromorphs also were highly polymorphic within the North American clade, and the inferred phylogenies from these data were congruent with the ITS-rDNA analyses. In pairing experiments isolates from the aspen, hickory, oak and cherry lineages were interfertile only with other isolates from their respective lineages. Inoculation experiments with isolates of the four host-associated groupings showed strong host specialization by isolates from the aspen and hickory lineages on Populus tremuloides and Carya illinoensis, respectively, but isolates from the oak and cherry lineages did not consistently reveal host specialization. Morphological features distinguish isolates in the North American clade from those of the Latin American clade (including C. fimbriata sensu stricto). Based on the phylogenetic evidence, interfertility, host specialization and morphology, the oak and cherry lineages are recognized as the earlier described C. variospora, the poplar lineage as C. populicola sp. nov., and the hickory lineage as C. caryae sp. nov. A new species associated with the bark beetle Scolytus quadrispinosus on Carya is closely related to C
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Vegetative Propagation and the Genetic Improvement of North American Hardwoods
R. E. Farmer
1973-01-01
Progress and problems in vegetative propagation of important North American hardwoods are reviewed with emphasis on rooting cuttings and the application of propagation techniques in breeding research. Some problems in rooting physiology are discussed.
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North American sturgeon otolith morphology
Chalupnicki, Marc A.; Dittman, Dawn E.
2016-01-01
Accurate expedient species identification of deceased sturgeon (Acipenseridae) when external physical characteristic analysis is inconclusive has become a high priority due to the endangered or threatened status of sturgeon species around the world. Examination of otoliths has provided useful information to aid in population management, age and size-class analysis, understanding predator–prey interactions, and archeological research in other fish species. The relationship between otolith characteristics and sturgeon species has remained unknown. Therefore, we analyzed the shape of otoliths from the eight species of sturgeon found in North America to test the utility of otolith characteristic morphology in species identification. There were distinct differences in the size and shape of the otoliths between species of sturgeon with little shape variation among individuals of the same species. The relationship between otolith length axes was linear, and most of the variability was explained by a Log (axis + 1) transformation of the x and y axes (r2 = 0.8983) using the equation y = 0.73x + 0.0612. Images of otoliths from all eight North American species are presented to assist in the identification process.
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In North American energy markets : stronger credibility
International Nuclear Information System (INIS)
Lefevre, M.
1997-01-01
Hydro-Quebec''s competitive position as it expands and diversifies its business in the future was discussed. The utility has an outstanding debt of CAN$37 billion, nevertheless, it is considered to be a solid investment by financial experts. Hydro-Quebec is recognized as North America''s biggest electric utility in terms of sales and also has the lowest cost structure on the continent. Moody Investor Services, Duff and Phelps Credit Rating Co., and Standard and Poor, have recently conducted ratings of the utility''s standing on financial markets. Hydro-Quebec maintained their high ratings, of A2, AA-, and A+ respectively. The restructuring of North American electricity market gives Hydro-Quebec substantial growth potential. The utility has an extensive transmission network and can offer reasonable electricity rates
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Didaleusky, J.R.; Jorgenson, J.D.; Corathers, L.A.; Fenton, M.D.; Kuck, P.H.; Papp, J.F.; Polyak, D.E.; Shedd, Kim B.
2010-01-01
This analysis of changes in the North American (Canada, Mexico, and the United States) ferroalloys industry between 1987 and 2007 includes the locations and types of ferroalloy plants in North America and the changes in production, imports, exports, pricing, and the structure of ownership since 1987, which was just prior to the implementation of the North American Free Trade Agreement. Significant events affect the supply of and demand for North American ferroalloys -- changes in end uses, global industry structure, political stability, and technology. Mergers and acquisitions in the ferroalloys industries of North America and their impact on trade are other significant issues in international trade as are antidumping and countervailing duty orders, and trade agreements and policies related to ferroalloys occurring during this period and affecting the North American region. Raw materials and energy supply to the ferroalloy industry, the logistics involved in the trade of North American ferroalloys, and the use of ferroalloys within major downstream industries are also important factors. Emphasis is placed on the bulk ferroalloys—ferrochromium, ferromanganese, ferrosilicon, and silicomanganese. Other ferroalloys investigated include those of boron, molybdenum, nickel, niobium, titanium, tungsten, and vanadium.
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Directory of Open Access Journals (Sweden)
Masahito Asada
2018-04-01
Full Text Available We report, for the first time, the presence of ungulate malaria parasites in South America. We conducted PCR-based surveys of blood samples of multiple deer species and water buffalo from Brazil and detected Plasmodium sequences from pampas deer (Ozotoceros bezoarticus samples. Phylogenic analysis revealed that the obtained sequences are closely related to the Plasmodium odocoilei clade 2 sequence from North American white-tailed deer (Odocoileus virginianus. Nucleotide differences suggest that malaria parasites in South American pampas deer and North American P. odocoilei clade 2 branched more recently than the Great American Interchange. Keywords: Malaria, Pampas deer, South America, Plasmodium odocoilei, Brazil
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International Nuclear Information System (INIS)
Russell, D.
2009-12-01
This paper discussed energy and climate policies and programs aimed at reducing greenhouse gas (GHG) emissions in North America. The aim of the study was to determine how energy production and use will impact policy responses to climate change and the development of clean energy technologies. Energy sectors in Canada, the United States and Mexico were outlined, and the relationships between the different countries and their energy systems were discussed. Energy policy drivers and infrastructure in each of the 3 countries were also discussed. The influence of energy security on energy trading, clean energy technology, and climate change policy was also investigated in order to identify barriers to future cooperation between the countries. Emerging areas of cooperation were outlined. Potential climate policy scenarios were reviewed, and the implications of a more highly integrated North American energy and climate policy were discussed. The study indicated that increased linkages between the Canadian and United States systems are likely in the future. 62 refs., 11 tabs., 7 figs.
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Hall, Jeffrey S.; Ip, Hon S.; Franson, J.C.; Meteyer, C.; Nashold, Sean W.; Teslaa, Joshua L.; French, J.; Redig, P.; Brand, C.
2009-01-01
Several species of wild raptors have been found in Eurasia infected with highly pathogenic avian influenza virus (HPAIV) subtype H5N1. Should HPAIV (H5N1) reach North America in migratory birds, species of raptors are at risk not only from environmental exposure, but also from consuming infected birds and carcasses. In this study we used American kestrels as a representative species of a North American raptor to examine the effects of HPAIV (H5N1) infection in terms of dose response, viral shedding, pathology, and survival. Our data showed that kestrels are highly susceptible to HPAIV (H5N1). All birds typically died or were euthanized due to severe neurologic disease within 4-5 days of inoculation and shed significant amounts of virus both orally and cloacally, regardless of dose administered. The most consistent microscopic lesions were necrosis in the brain and pancreas. This is the first experimental study of HPAIV infection in a North American raptor and highlights the potential risks to birds of prey if HPAIV (H5N1) is introduced into North America.
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North American Natural Gas Markets
Energy Technology Data Exchange (ETDEWEB)
1988-12-01
This report sunnnarizes the research by an Energy Modeling Forum working group on the evolution of the North American natural gas markets between now and 2010. The group's findings are based partly on the results of a set of economic models of the natural gas industry that were run for four scenarios representing significantly different conditions: two oil price scenarios (upper and lower), a smaller total US resource base (low US resource case), and increased potential gas demand for electric generation (high US demand case). Several issues, such as the direction of regulatory policy and the size of the gas resource base, were analyzed separately without the use of models.
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North American Natural Gas Markets
Energy Technology Data Exchange (ETDEWEB)
1989-02-01
This report summarizes die research by an Energy Modeling Forum working group on the evolution of the North American natural gas markets between now and 2010. The group's findings are based partly on the results of a set of economic models of the natural gas industry that were run for four scenarios representing significantly different conditions: two oil price scenarios (upper and lower), a smaller total US resource base (low US resource case), and increased potential gas demand for electric generation (high US demand case). Several issues, such as the direction of regulatory policy and the size of the gas resource base, were analyzed separately without the use of models.
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2013-12-23
... on issues related to North American Numbering Plan (NANP) administration. The NANP is the telephone numbering plan for the United States and its territories, Canada, Bermuda, and 17 Caribbean nations. The... annual evaluations of the current North American Numbering Plan Administrator, the Pooling Administrator...
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2010-04-01
... reference of North American Energy Standards Board Wholesale Electric Quadrant standards. 38.2 Section 38.2 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY... UTILITIES § 38.2 Incorporation by reference of North American Energy Standards Board Wholesale Electric...
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Sex and cultural differences in spatial performance between Japanese and North Americans.
Sakamoto, Maiko; Spiers, Mary V
2014-04-01
Previous studies have suggested that Asians perform better than North Americans on spatial tasks but show smaller sex differences. In this study, we evaluated the relationship between long-term experience with a pictorial written language and spatial performance. It was hypothesized that native Japanese Kanji (a complex pictorial written language) educated adults would show smaller sex differences on spatial tasks than Japanese Americans or North Americans without Kanji education. A total of 80 young healthy participants (20 native Japanese speakers, 20 Japanese Americans-non Japanese speaking, and 40 North Americans-non Japanese speaking) completed the Rey Complex Figure Test (RCFT), the Mental Rotations Test (MRT), and customized 2D and 3D spatial object location memory tests. As predicted, main effects revealed men performed better on the MRT and RCFT and women performed better on the spatial object location memory tests. Also, as predicted, native Japanese performed better on all tests than the other groups. In contrast to the other groups, native Japanese showed a decreased magnitude of sex differences on aspects of the RCFT (immediate and delayed recall) and no significant sex difference on the efficiency of the strategy used to copy and encode the RCFT figure. This study lends support to the idea that intensive experience over time with a pictorial written language (i.e., Japanese Kanji) may contribute to increased spatial performance on some spatial tasks as well as diminish sex differences in performance on tasks that most resemble Kanji.
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North American natural gas supply dynamics: A focus on U.S. supply
International Nuclear Information System (INIS)
George, R.
1999-01-01
This paper discusses US natural gas supply dynamics in the context of the North American gas marketplace. Supply fundamentals are examined, methodology is briefly presented, regional supply outlooks are discussed. Assumptions, drivers and issues are highlighted. The analysis and outlook indicate that the sizeable North American resource base can be economically developed to supply growing US natural gas requirements. The major incremental supply sources are likely to come from deepwater Gulf of Mexico, Rocky Mountain regions, onshore Texas and imports from Canada. Given this outlook, major business and investment opportunities exist for the gas upstream and midstream sectors despite some short-term challenges
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2005 the North American Solar Challenge
Energy Technology Data Exchange (ETDEWEB)
Dan Eberle
2008-12-22
In July 2005 the North American Solar Challenge (NASC) featured university built solar powered cars ran across the United States into Canada. The competition began in Austin, Texas with stops in Weatherford, Texas; Broken Arrow, Oklahoma; Topeka, Kansas; Omaha, Nebraska; Sioux Falls, South Dakota, Fargo, North Dakota; Winnipeg, Manitoba; Brandon, Manitoba; Regina, Saskatchewan; Medicine Hat, Alberta; mainly following U.S. Highway 75 and Canadian Highway 1 to the finish line in Calgary, Alberta, Canada, for a total distance of 2,500 miles. NASC major sponsors include the U.S. Department of Energy (DOE), Natural Resources Canada and DOEs National Renewable Energy Laboratory. The event is designed to inspire young people to pursue careers in science and engineering. NASCs predecessors, the American Solar Challenge and Sunrayce, generally have been held every two years since 1990. With each race, the solar cars travel faster and further with greater reliability. The NASC promotes: -Renewable energy technologies (specifically photovoltaic or solar cells) -Educational excellence in science, engineering and mathematics -Creative integration of technical and scientific expertise across a wide-range of disciplines -Hands-on experience for students and engineers to develop and demonstrate their technical and creative abilities. Safety is the first priority for the NASC. Each team put its car through grueling qualifying and technical inspections. Teams that failed to meet the requirements were not allowed participate. During the race, each team was escorted by lead and chase vehicles sporting rooftop hazard flashers. An official observer accompanied each solar car team to keep it alert to any safety issues.
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(North American Studies in Spain: between eclecticism and politics
Directory of Open Access Journals (Sweden)
Francisco Collado Rodríguez
2006-01-01
Full Text Available At present, the Spanish university system does not offer any specific place for American Studies. In practical terms, this means that there is not such a thing as a degree in (North American Studies for undergraduate students. The study of the history and culture of the United States of America is mostly disseminated all over the country in a number of departments of English, English—and English literature—still being the main subject of study in the only BA degree somehow related to our fie...
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Seeds of Doubt: North American farmers' experiences of GM crops
Warwick, Hugh; Meziani, Gundula
2002-01-01
The picture the biotechnology industry has painted of GM crops in North America is one of unqualified success, after six years of commercial growing. The objective of this report was to assess whether this image is accurate and if not what problems have occurred. We present interviews with North American farmers about their experiences of GM soya, maize and oilseed rape, and review of some of the independent research. The evidence we have gathered demonstrates that GM food crops are far f...
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2012-12-05
... DEPARTMENT OF COMMERCE International Trade Administration North American Free-Trade Agreement... Free Trade Agreement. Panel Review was requested of the Final resolution of the Countervailing Duty... 19 of the North American Free-Trade Agreement (``Agreement'') established a mechanism to replace...
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2010-03-22
... DEPARTMENT OF COMMERCE International Trade Administration North American Free-Trade Agreement... Secretariat pursuant to Article 1904 of the North American Free Trade Agreement. Panel Review was requested of... Section, International Trade Administration, Department of Commerce. ACTION: Notice of First Request for...
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2012-11-07
... DEPARTMENT OF COMMERCE International Trade Administration North American Free-Trade Agreement... Trade Agreement. Panel Review was requested of the Final Results of the Antidumping Administrative... INFORMATION: Chapter 19 of the North American Free-Trade Agreement (``Agreement'') established a mechanism to...
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2011-11-25
... DEPARTMENT OF COMMERCE International Trade Administration North American Free-Trade Agreement... Trade Agreement. Panel review was requested of the final determination of the effective examination and... 20230, (202) 482-5438. SUPPLEMENTARY INFORMATION: Chapter 19 of the North American Free-Trade Agreement...
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Final report of the Conference on Forging North American Energy Security
International Nuclear Information System (INIS)
2004-06-01
This paper discussed the main themes of the Forging American Energy Security Forum. The factors that may contribute to a potential energy crisis were identified as being the major blackout affecting the American Northeast and Ontario, political tensions in the Middle East, the volatility of oil and natural gas prices, fear of terrorist attacks on energy infrastructures and attempts to reform the Mexican energy sector. The conference addressed issues such as the reliability and physical integrity of the North American power supply grids, supply of energy at a stable and competitive price, growth of energy autonomy through increasing North American power supply and energy efficiency and the development of interconnections between power grids in the three countries. Diversification of energy supply sources was discussed, with particular reference to the increased use of renewable energies. Improvements in efficiency were suggested for how different levels of government interact on issues concerning energy development. It was recommended that the energy sector could serve as a springboard to implement a North American investment fund, and that Mexico should take advantage of its energy resources to attract foreign investors in order to finance an increase in Mexican energy production. It was suggested that a trilateral strategy aiming for energy security would accelerate national objectives. The fact that Mexico imports energy from the United States even though it already has the energy resources was also examined. Lack of capital in Mexico was seen as an impediment to development. It was concluded that relaxing regulations would facilitate in the management of the energy sector. The challenges of using clean energy sources were highlighted, as well the difficulties associated with establishing an integrated market for tradable renewable energy certificates. refs., figs
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Final report of the Conference on Forging North American Energy Security
Energy Technology Data Exchange (ETDEWEB)
NONE
2004-06-01
This paper discussed the main themes of the Forging American Energy Security Forum. The factors that may contribute to a potential energy crisis were identified as being the major blackout affecting the American Northeast and Ontario, political tensions in the Middle East, the volatility of oil and natural gas prices, fear of terrorist attacks on energy infrastructures and attempts to reform the Mexican energy sector. The conference addressed issues such as the reliability and physical integrity of the North American power supply grids, supply of energy at a stable and competitive price, growth of energy autonomy through increasing North American power supply and energy efficiency and the development of interconnections between power grids in the three countries. Diversification of energy supply sources was discussed, with particular reference to the increased use of renewable energies. Improvements in efficiency were suggested for how different levels of government interact on issues concerning energy development. It was recommended that the energy sector could serve as a springboard to implement a North American investment fund, and that Mexico should take advantage of its energy resources to attract foreign investors in order to finance an increase in Mexican energy production. It was suggested that a trilateral strategy aiming for energy security would accelerate national objectives. The fact that Mexico imports energy from the United States even though it already has the energy resources was also examined. Lack of capital in Mexico was seen as an impediment to development. It was concluded that relaxing regulations would facilitate in the management of the energy sector. The challenges of using clean energy sources were highlighted, as well the difficulties associated with establishing an integrated market for tradable renewable energy certificates. refs., figs.
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The later evolution of modern sport in Latin America: the North American influence.
Arbena, J L
2001-01-01
American impact on modern sports in Latin America overlaps geographically and chronologically with the European, especially British, impact. Principally baseball in the Caribbean basin, more recently basketball and volleyball across the hemisphere and occasionally American football in more limited areas illustrate a north-to-south movement executed by businessmen, educators, missionaries, military personnel, returning travelers (often students), sports entrepreneurs and television. Often initially supported by promoters of development within Latin America, this transfer has altered local recreational patterns and attracted Latin athletes to pursue careers in North America, provoking accusations of cultural imperialism and exploitation.
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Exploring research priorities for the North American hardwood industry
David Brinberg; Earl Kline; Delton Alderman; Philip Araman; Ed Cesa; Steve Milauskas; Tom Walthousen; Jan Wiedenbeck
2008-01-01
With the increase of globalization, the North American hardwood industry is facing many challenges to remain competitive and sustainable, facing drastic changes in the areas of labor, land, manufacturing, markets and marketing, and supply chain. The hardwood industry is especially vulnerable, with the influx of foreign manufacturers and suppliers with greater natural...
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Directory of Open Access Journals (Sweden)
Jeffrey S Hall
2009-10-01
Full Text Available Several species of wild raptors have been found in Eurasia infected with highly pathogenic avian influenza virus (HPAIV subtype H5N1. Should HPAIV (H5N1 reach North America in migratory birds, species of raptors are at risk not only from environmental exposure, but also from consuming infected birds and carcasses. In this study we used American kestrels as a representative species of a North American raptor to examine the effects of HPAIV (H5N1 infection in terms of dose response, viral shedding, pathology, and survival. Our data showed that kestrels are highly susceptible to HPAIV (H5N1. All birds typically died or were euthanized due to severe neurologic disease within 4-5 days of inoculation and shed significant amounts of virus both orally and cloacally, regardless of dose administered. The most consistent microscopic lesions were necrosis in the brain and pancreas. This is the first experimental study of HPAIV infection in a North American raptor and highlights the potential risks to birds of prey if HPAIV (H5N1 is introduced into North America.
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2011-07-18
... DEPARTMENT OF COMMERCE International Trade Administration North American Free-Trade Agreement... Free Trade Agreement. Panel Review was requested of the Final Results of the 2008- 2009 and 2009-2010.... SUPPLEMENTARY INFORMATION: Chapter 19 of the North American Free Trade Agreement (``Agreement'') established a...
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Speier, Amy R
2011-11-01
North Americans who suffer infertility often reach an end to treatment options at home, whether it is due to a lack of egg donors in Canada or the high cost of treatment in the USA. Patients navigate their way onto the internet, seeking support and other options. As women and couples 'do the research' online, they conduct endless Google searches, come across IVF brokers, join support groups, read blogs and meet others on the road of infertility. This paper considers the journeys that North American patients make to clinics in Moravia, Czech Republic. Along these travels, patients engage with support groups, other patients, IVF brokers and clinic co-ordinators. Since the distance travelled between North America and Europe is extensive, reproductive travels may be arranged by clinical staff, travel brokers and patients. Acting as consumers, North Americans make different 'choices' along their journeys – the use of a broker, if and when they should join online communities, which clinic to visit and where to stay. This study focuses on the question of how patient choices often determine the success of brokers and clinics, thus influencing the structure of cross-border reproductive care in the Czech Republic. Copyright © 2011 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.
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Directory of Open Access Journals (Sweden)
A Shoayb
2007-01-01
Full Text Available Introduction: Atherosclerotic stenosis of carotid territory is the most common cause of ischemic stroke. A higher frequency of intracranial arterial stenosis has been reported in Africa and the Far East. Methods: 304 geriatric ischemic stroke patients admitted in Mackenzie hospital, Canada and the same number of geriatric ischemic stroke patients with similar sex ratio admitted in Valie-Asr hospital, Iran during 2003-2005 were enrolled in a double center and prospective study. Diagnosis of brain infarction in the carotid territory was made by stroke neurologists. All of the patients underwent transcranial and carotid doppler studies. Doppler studies performed were based on the standard method by a neurosonologist. Fisher exact test served for statistical analysis and p<0.05 was declared significant. Results: In Iranian group 71 patients (23.3% and in North American group 83 patients (27.3% had extracranial ICA stenosis without a significant difference df=1, p=0.305. Sever ³70% Extracranial ICA stenosis was found in 14 Iranian patients (4.6% and 23 North American patients (7.5% without a significant difference. df=1, p=0.17. In Iranian group, 14 cases (4.6% and in North American group 5 cases (1.6% had intracranial stenosis in carotid territory which was significantly different df=1, p=0.038. Mixed intracranial and extracranial carotid territory stenosis was present in 2 Iranian and 1 North American patient. Conclusion: Atherosclerotic stenosis of intracranial branches of carotid territory is more common in Iranian than North American populations.
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Endangered Species and North American Waterfowl Management Plan Joint Venture Areas
National Research Council Canada - National Science Library
Allred, Karla
1996-01-01
...) Endangered Species Recovery Plans that meet the recovery plan requirements; and the percent of Corps acreage included within North American Waterfowl Management Joint Venture Implementation Plans where proposed work has been accomplished...
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Strategic Plan for the North American Breeding Bird Survey: 2006-2010
,
2007-01-01
Executive Summary The mission of the North American Breeding Bird Survey (BBS) is to provide scientifically credible measures of the status and trends of North American bird populations at continental and regional scales to inform biologically sound conservation and management actions. Determining population trends, relative abundance, and distributions of North American avifauna is critical for identifying conservation priorities, determining appropriate conservation actions, and evaluating those actions. The BBS program, jointly coordinated by the U.S. Geological Survey and Environment Canada?s Canadian Wildlife Service, provides the U.S. and Canadian Federal governments, state and provincial agencies, other conservation practitioners, and the general public with science-based avian population trend estimates and other information for regional and national species' population assessments. Despite the demonstrated value of the BBS for furthering avian conservation across North America, its importance is often underappreciated, and it is underfunded compared with many other government-supported programs that report on status of the environment. Today, BBS resources, adjusted for inflation, are below the amount allocated in the 1970s and are still only sufficient to support two biologists. Yet the number of routes, participants, data, and data requests has quadrupled. Data and information management and delivery requirements and security concerns, non-existent in 1966, impose further demands on BBS resources. In addition, the Mexican expansion of the BBS offers new hope for a truly continental approach to avian conservation, but also brings additional challenges. Meeting the goals of this plan will take cooperation among myriad stakeholders; yet, even with collaboration, most objectives of this plan will be unattainable if BBS program support is not increased. The BBS developed this strategic plan to help set priorities and identify resources required for the
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Sex Education Attitudes and Outcomes among North American Women
Williams, Monnica T.; Bonner, Laura
2006-01-01
Attitudes and outcomes of sex education received by North American women are examined via an Internet survey (N = 1,400). Mean age was 19.5, with 24% reporting one or more unplanned pregnancies. Women were more satisfied with sex education from informal sources than from parents, schools, and physicians. Those receiving sex education from parents…
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Evaluation of harvest and information needs for North American sea ducks
Koneff, Mark D.; Zimmerman, Guthrie S.; Dwyer, Chris P.; Fleming, Kathleen K.; Padding, Paul I.; Devers, Patrick K.; Johnson, Fred A.; Runge, Michael C.; Roberts, Anthony J.
2017-01-01
Wildlife managers routinely seek to establish sustainable limits of sport harvest or other regulated forms of take while confronted with considerable uncertainty. A growing body of ecological research focuses on methods to describe and account for uncertainty in management decision-making and to prioritize research and monitoring investments to reduce the most influential uncertainties. We used simulation methods incorporating measures of demographic uncertainty to evaluate risk of overharvest and prioritize information needs for North American sea ducks (Tribe Mergini). Sea ducks are popular game birds in North America, yet they are poorly monitored and their population dynamics are poorly understood relative to other North American waterfowl. There have been few attempts to assess the sustainability of harvest of North American sea ducks, and no formal harvest strategy exists in the U.S. or Canada to guide management. The popularity of sea duck hunting, extended hunting opportunity for some populations (i.e., special seasons and/or bag limits), and population declines have led to concern about potential overharvest. We used Monte Carlo simulation to contrast estimates of allowable harvest and observed harvest and assess risk of overharvest for 7 populations of North American sea ducks: the American subspecies of common eider (Somateria mollissima dresseri), eastern and western populations of black scoter (Melanitta americana) and surf scoter (M. perspicillata), and continental populations of white-winged scoter (M. fusca) and long-tailed duck (Clangula hyemalis). We combined information from empirical studies and the opinions of experts through formal elicitation to create probability distributions reflecting uncertainty in the individual demographic parameters used in this assessment. Estimates of maximum growth (rmax), and therefore of allowable harvest, were highly uncertain for all populations. Long-tailed duck and American common eider appeared to be at high
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Mark T. Banik; Daniel L. Lindner; Yuko Ota; Tsutomu Hattori
2010-01-01
Relationships were investigated among North American and Japanese isolates of Laetiporus using phylogenetic analysis of ITS sequences and single-spore isolate incompatibility. Single-spore isolate pairings revealed no significant compatibility between North American and Japanese isolates. ITS analysis revealed 12 clades within the core ...
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Climate variability and land cover change over the North American monsoon region (Invited)
Zeng, X.; Scheftic, W. D.; Broxton, P. D.
2013-12-01
The North American Monsoon System over Mexico and southwestern United States represents a weather/climate and ecosystem coupled "macrosystem". The weather and climate affect the seasonal and interannual variability of ecosystem, while the ecosystem change affects surface energy, water, and carbon fluxes that, in turn, affect weather and climate. Furthermore, long-term weather/climate data have a much coarser horizontal resolution than the satellite land cover data. Here the North American Regional Reanalysis (NARR) data at 32 km grid spacing will be combined with various satellite remote sensing products at 1 km and/or 8 km resolution from AVHRR, MODIS, and SPOT for the period of 1982 to present. Our analysis includes: a) precipitation, wind, and precipitable water data from NARR to characterize the North American monsoon; b) land cover type, normalized difference vegetation index (NDVI), green vegetation fraction, and leaf-area index (LAI) data to characterize the seasonal and interannual variability of ecosystem; c) assessing the consistency of various satellite products; and d) testing the coherence in the weather/climate and ecosystem variability.
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A Suspicious Pancreatic Mass in Chronic Pancreatitis: Pancreatic Actinomycosis
Directory of Open Access Journals (Sweden)
F. de Clerck
2015-01-01
Full Text Available Introduction. Pancreatic actinomycosis is a chronic infection of the pancreas caused by the suppurative Gram-positive bacterium Actinomyces. It has mostly been described in patients following repeated main pancreatic duct stenting in the context of chronic pancreatitis or following pancreatic surgery. This type of pancreatitis is often erroneously interpreted as pancreatic malignancy due to the specific invasive characteristics of Actinomyces. Case. A 64-year-old male with a history of chronic pancreatitis and repeated main pancreatic duct stenting presented with weight loss, fever, night sweats, and abdominal pain. CT imaging revealed a mass in the pancreatic tail, invading the surrounding tissue and resulting in splenic vein thrombosis. Resectable pancreatic cancer was suspected, and pancreatic tail resection was performed. Postoperative findings revealed pancreatic actinomycosis instead of neoplasia. Conclusion. Pancreatic actinomycosis is a rare type of infectious pancreatitis that should be included in the differential diagnosis when a pancreatic mass is discovered in a patient with chronic pancreatitis and prior main pancreatic duct stenting. Our case emphasizes the importance of pursuing a histomorphological confirmation.
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Identification of exotic North American crayfish in Europe by DNA barcoding
Directory of Open Access Journals (Sweden)
Filipová L.
2011-05-01
Full Text Available Several alien crayfish of North American origin have become established in Europe in recent decades, but their identification is often confusing. Our aim was to verify the taxonomic status of their European populations by DNA barcoding. We sequenced the cytochrome c oxidase subunit I (COI gene fragment of individuals representing all American crayfish known from European waters, and compared the results with reference sequences from North America. Our results confirm the morphological identification of Orconectes juvenilis from a population in eastern France, and of the marbled crayfish (Marmorkrebs, i.e., a parthenogenetic form of Procambarus fallax, from south-western Germany. Sequences of most individuals of presumed Procambarus acutus from the Netherlands were similar to American P. cf. acutus, but one was divergent, closer to a sequence of a reference individual of P. cf. zonangulus. However, divergences among three American P. cf. zonangulus samples were also high, comparable to interspecific variation within cambarid species complexes. The divergence between O. immunis from Europe and America also reached values corresponding to those observed among distinct Orconectes species. Genetic variation in the American range of these crayfish should therefore be further studied. Our study shows that DNA barcoding is useful for the rapid and accurate identification of exotic crayfish in Europe, and also provides insights into overall variation within these taxa.
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Climate Prediction Center (CPC) Monthly Pacific North American Teleconnection Pattern Index
National Oceanic and Atmospheric Administration, Department of Commerce — Monthly tabulated index of the Pacific/ North American teleconnection pattern. The data spans the period 1950 to present. The index is derived from a rotated...
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Castilla, Elias A; Jessen, Robert; Sheck, David N; Procop, Gary W
2003-08-01
North American paragonimiasis is well described in omnivorous and carnivorous animals on this continent. Humans are rarely infected, largely because of dietary customs, but are at risk for infection if raw or undercooked crayfish are consumed. We describe a patient with a pleuropulmonary infection due to Paragonimus kellicotti that presented as recurrent pneumothoraces and a cavitary lesion. This is the first case of North American paragonimiasis in which the diagnosis was based on the morphology of the eggs present in histologic sections.
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Reconnecting fragmented sturgeon populations in North American rivers
Jager, Henriette; Parsley, Michael J.; Cech, Joseph J. Jr.; McLaughlin, R.L.; Forsythe, Patrick S.; Elliott, Robert S.
2016-01-01
The majority of large North American rivers are fragmented by dams that interrupt migrations of wide-ranging fishes like sturgeons. Reconnecting habitat is viewed as an important means of protecting sturgeon species in U.S. rivers because these species have lost between 5% and 60% of their historical ranges. Unfortunately, facilities designed to pass other fishes have rarely worked well for sturgeons. The most successful passage facilities were sized appropriately for sturgeons and accommodated bottom-oriented species. For upstream passage, facilities with large entrances, full-depth guidance systems, large lifts, or wide fishways without obstructions or tight turns worked well. However, facilitating upstream migration is only half the battle. Broader recovery for linked sturgeon populations requires safe “round-trip” passage involving multiple dams. The most successful downstream passage facilities included nature-like fishways, large canal bypasses, and bottom-draw sluice gates. We outline an adaptive approach to implementing passage that begins with temporary programs and structures and monitors success both at the scale of individual fish at individual dams and the scale of metapopulations in a river basin. The challenge will be to learn from past efforts and reconnect North American sturgeon populations in a way that promotes range expansion and facilitates population recovery.
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Manual phased arrays for weld inspections using North American codes
International Nuclear Information System (INIS)
Moles, Michael
2008-01-01
Phased arrays are primarily a method of generating and receiving ultrasound, not a new technology. In addition, the physics of ultrasound generated by phased arrays is identical to that from conventional monocrystals. Not surprisingly, all the major North American (and some European) codes accept phased arrays, either explicitly or implicitly. However, the technique and procedures needs to be proven, typically by a Performance Demonstration. The ASME (AmeicanSociety for Mechanical Engineers) Section V and API RP2X explicitly accept phased arrays. Three ASME code cases have been written specifically fo manual phased array: Code Cases 2541. 2557 and 2558. Over and above the general requirements of Article 4, these Code Cases require full waveform calibration. This is echoed in ASTM E-2491, a Standard Guide for setting up phased arrays. In addition. details such as focusing and reporting are addressed. The American Petroleum Institute QUTE procedure did not need any modifications to be compatible with manual phased arrays. The American Welding Society (AWS) Structural Welding Code D1.1 implicitly accepts phased arrays. New technologies such as phased arrays can be proven using Annex K. Nonetheless, a manual phased array unit using the standard AWS probe and displaying 45, 60 and 70degrees waveforms would be acceptable for D1.1 a s is . Overall, most major North American codes accept phased arrays, however, the technique and procedures must be proven, often using a Performance Demonstration. (author)
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Acculturation and smoking in North Americans of Chinese ancestry: A systematic review.
Gotay, Carolyn C; Reid, Michelle S; Dawson, Marliese Y; Wang, Shouzheng
2015-04-30
Many North American immigrants come from China. Given the critical impact of tobacco use on health, it is important to understand rates and correlates of smoking in this population. This systematic review addressed the question: based on current research, what is the association between acculturation and smoking behaviours in Chinese immigrants to North America? The search was conducted in PubMed, Medline, Web of Science, and Academic Search Complete for papers published from 2005 to 2014. Data were extracted from Canadian and American studies for population characteristics, study design, measures of smoking and acculturation, and findings regarding smoking rates and associations between smoking and acculturation. The literature search identified 147 articles, and 14 met inclusion criteria. Three studies were based on Canadian samples and the remaining 11 were from the United States. Of the 14 papers, 3 reported findings for youth and 11 for adults. Among adults, daily smoking rates were consistently much higher in men than women; for men, rates varied from 9% to 30%. Language use and time in North America were the most common indicators of acculturation. Almost all studies found a relationship between acculturation and smoking, such that more acculturated men smoke less and more acculturated women smoke more. The findings suggest that the association between acculturation and smoking is gender-specific. This correlation is found in youth and adults and in both Canada and the US. Increased acculturation has a protective effect on smoking for Chinese North American men, but a harmful effect for women. Tobacco control interventions need to develop targeted strategies appropriate to these different populations.
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North American Integration after 20 Years
Directory of Open Access Journals (Sweden)
Galina M. Kostyunina
2015-01-01
Full Text Available Formation of the North American Free Trade Area (NAFTA among the three countries - the U.S., Canada and Mexico is the most striking example of successful development of integration processes in the Western Hemisphere. This year NAFTA marks the 20th anniversary of its foundation (1994. NAFTA covers trade in goods, services and movement of capital, intellectual property rights, environmental cooperation and labor cooperation. Its main advantages for member countries related to the dynamic growth of regional trade and investments, promoting the growth of industrial production (capital-intensive and high-tech industries in the U.S. and Canada, and labor-intensive industries in Mexico, increase the investment attractiveness of the economies of member countries and the promotion of employment. But there are costs, both general and specific to the individual member countries. Common costs are primarily asymmetrical level of economic interdependence, where mutual economic relations are the most developed between the U.S. and Canada, the U.S. and Mexico, and the least developed between Mexico and Canada due to historical conditions. Other costs are the differentiation in the levels of economic development, in volumes of overall GDP and per capita, population and size of the territory. But despite the costs, integration processes are successfully developed and repeatedly raised the issue of deepening economic integration between the U.S., Canada and Mexico. So, in 2000, there was put forward the concept of creating the North American community as an economic and security community by 2010, and in 2005 proposed the idea of a common currency called the Amero. But these proposals did not come true. On the agenda - the possibility of signing a new, more expanded NAFTA+, and even in the last year - the possibility to form a customs union under NAFTA.
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Comeau, Gilles; Huta, Veronika; Liu, YiFei
2015-01-01
This study compared 50 Chinese and 100 North American Caucasian children aged 6 to 17 who were learning piano, in terms of their work ethic, motivation, and parental influences. Compared to North American Caucasians, Chinese children and parents believed more strongly that musical ability requires hard work, and Chinese children were more…
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The North American iron ore industry: a decade into the 21st century
Jorgenson, John D.; Perez, A. A
2011-01-01
During the 20th century, the iron ore mining industries of Canada and the United States passed through periods of transformation. The beginning of the 21st century has seen another period of transformation, with the failure of a number of steel companies and with consolidation of control within the North American iron ore industry. Canadian and United States iron ore production and the market control structure involved are changing rapidly. Consolidation of ownership, formation of foreign joint ventures, divestitures of upstream activities by steelmakers, and industry changes to ensure availability of feedstocks all played a role in recent developments in the North American iron ore industry. Canadian and U.S. iron ore operations and their strong linkage to downstream production, although isolated, must also be considered within the context of the changing global economy. Projects using new technology to produce direct reduced iron nuggets of 96-98% iron content and other projects designed to produce steel at minesites may once again change the face of the iron ore industry. Social and environmental issues related to sustainable development have had a significant effect on the North American iron ore industry.
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Random fractal structures in North American energy markets
Energy Technology Data Exchange (ETDEWEB)
Serletis, Apostolos [Calgary Univ., Dept. of Economics, Calgary, AB (Canada); Andreadis, Ioannis [European Univ. of the Hague, Center of Management Studies, The Hague (Netherlands)
2004-05-01
This paper uses daily observations on West Texas Intermediate (WTI) crude oil prices at Chicago and Henry Hub natural gas prices at LA (over the deregulated period of the 1990s) and various tests from statistics and dynamical systems theory to support a random fractal structure for North American energy markets. In particular, this evidence is supported by the Vassilicos et al. (1993) multifractal structure test and the Ghashghaie et al. [Nature 381 (1996) 767] turbulent behavior test. (Author)
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Energy Technology Data Exchange (ETDEWEB)
Commoner, B.; Woods Bartlett, P.; Eisl, H.; Couchot, K. [City University of New York, Queens College, Center for Biology of Natural Systems, New York, NY (United States)
2000-07-01
This study was commissioned by the North American Commission for Environmental Cooperation (NACEC). It was designed to model on a continental scale the rates of deposition of airborne dioxin (polychlorinated dibenzo-p-dioxin and polychlorinated dibenzofurans PCDD/PCDF) in the Canadian Arctic territory of Nunavut and to identify the major contributing North American sources. The study was commissioned in response to findings showing twice the level of dioxin concentration in the milk of Inuit mothers than that observed in southern Quebec, despite the fact that there are no significant sources of dioxin in Nunavut or within 500 kms of its boundaries. This high concentration is attributed to indigenous diet, i. e. traditional foods such as caribou, fish and marine mammals, which in turn ingest it from airborne sources through the terrestrial food chain, chiefly through lichen, mosses, shrubs and marine algae. Since these avenues of entry into the food chain cannot be protected from airborne pollutants, remedial action must be directed at the sources that emit dioxin. Results of the study show that of the total North American annual emission of airborne dioxin (4,713 grams toxicity equivalent quotient (TEQ)), Canadian sources account for 364 grams TEQ, United States sources for 2,937 TEQ, Mexican sources 1.412 grams TEQ, and emissions from sources within Nunavut a total of 0.12 grams TEQ. The North American national dioxin inventories include 44,091 sources, of which 5,343 are individual facilities such as trash-burning incinerators, the rest are sources such as backyard trash-burning in the United States and Mexico, but only a handful of sources are responsible for the deposition in Nunavut. The overall conclusion of the study confirm that atmospheric and ecological processes that carry dioxin from its numerous sources through terrestrial and marine food chains to human beings is a problem of continental dimensions. The challenge is to establish analytical methods and
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J. E. Winandy
2006-01-01
Since 1991, thermal load histories for various roof cladding types have been monitored in outdoor attic structures that simulate classic North American light-framed construction. In this paper, the 2005 thermal loads for wood-based composite roof sheathing, wood rafters, and attics under wood-plastic composite shingles are compared to common North American roof...
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Differences in Ostomy Pouch Seal Leakage Occurrences Between North American and European Residents.
Fellows, Jane; Forest Lalande, Louise; Martins, Lina; Steen, Anne; Størling, Zenia M
The purpose of this study was to compare experiences and concerns about pouch seal leakage between persons with ostomies residing in North America (Canada and the United States) and Europe (United Kingdom, Netherlands, Sweden, Germany, Belgium, France, and Italy). Differences in reported pouch wear time and accessories used between the 2 groups were also examined. Secondary analysis of data from a cross-sectional study (Ostomy Life Study). Responses from persons residing in European countries (n = 1939) were compared with responses of 1387 individuals residing in North American countries. Persons with an ostomy completed a questionnaire that focused on 4 topics related to the daily use of an ostomy pouching system (pouch seal leakage, ballooning, appearance of pouching system such as color and size of the pouch and whether it is discrete under clothing, and coupling failure of 2-piece pouching systems). Pouch seal leakage was defined as stomal effluent seeping between the skin and the wafer of the ostomy pouching system. Statistical analysis was performed using a proportional odds model including various variable effects. Special attention was given to frequency of pouch seal leakage occurrences. All tests were 2-sided; P values ≤.05 were deemed statistically significant. Participants living in the North American countries indicated they were more likely to experience leakage from the ostomy (odds ratio = 2.610, 95% CI 2.187-3.115; P < .0001). Findings also indicated they were more likely to worry about pouch seal leakage than those in the European countries' data set (odds ratio = 2.722, 95% CI 2.283-3.246; P < .0001). Participants residing in the North American countries had significantly longer wear times than those participants in the European countries (P < .0001, χ test). The use of accessories was associated with a longer pouching system wear time. Study results suggest that participants from the North American countries indicated significantly more
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Conservation status of imperiled North American freshwater and diadromous fishes
Howard L. Jelks; Stephen J. Walsh; Noel M. Burkhead; Salvador Contreras-Balderas; Edmundo Diaz-Pardo; Dean A. Hendrickson; John Lyons; Nicholas E. Mandrak; Frank McCormick; Joseph S. Nelson; Steven P. Plantania; Brady A. Porter; Claude B. Renaud; Juan Jacobo Schmitter-Soto; Eric B. Taylor; Melvin L. Jr. Warren
2008-01-01
This is the third compilation of imperiled (i.e., endangered, threatened, vulnerable) plus extinct freshwater and diadromous fishes of North America prepared by the American Fisheries Society?s Endangered Species Committee. Since the last revision in 1989, imperilment of inland fishes has increased substantially. This list includes 700 extant taxa representing 133...
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Framework for Interpretation of Genetic Variations in Pancreatitis Patients
Directory of Open Access Journals (Sweden)
David eWhitcomb
2012-12-01
Full Text Available Chronic pancreatitis (CP is defined by irreversible damage to the pancreas as a result of inflammation-driven pancreatic tissue destruction and fibrosis occurring over many years. The disorder is complex, with multiple etiologies leading to the same tissue pathology, and unpredictable clinical courses with variable pain, exocrine and endocrine organ dysfunction and cancer. Underlying genetic variants are central CP susceptibility and progression. Three genes, with Mendelian genetic biology (PRSS1, CFTR, SPINK1 have been recognized for over a decade, and little progress has been made since then.. Furthermore, application of high-throughput genetic techniques, including genome-wide association studies (GWAS and next generation sequencing (NGS will provide a large volume of new genetic variants that are associated with CP, but with small independent effect that are impossible to apply in the clinic. The problem of interpretation is using the old framework of the germ theory of disease to understand complex genetic disorders. To understand these variants and translate them into clinically useful information requires a new framework based on modeling and simulation of physiological processes with or without genetic, metabolic and environmental variables considered at the cellular and organ levels, with integration of the immune system, nervous system, tissue injury and repair system and DNA repair system. The North American Pancreatitis Study II (NAPS2 study was designed to capture this type of date and construct a time line to understand and later predict rates of disease progression from the initial symptom to end-stage disease. This effort is needed to target the etiology of pancreatic dysfunction beginning at the first signs of disease and thereby prevent the development of irreversible damage and the complications of CP. The need for a new framework and the rational for implementing it into clinical practice are described.
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Shelley Bayard de Volo; Richard T. Reynolds; Sarah A. Sonsthagen; Sandra L. Talbot; Michael F. Antolin
2013-01-01
Climate cycling during the Quaternary played a critical role in the diversification of avian lineages in North America, greatly influencing the genetic characteristics of contemporary populations. To test the hypothesis that North American Northern Goshawks (Accipiter gentilis) were historically isolated within multiple Late Pleistocene refugia, we assessed diversity...
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Thomas George Lee - Implantation and early development of North American rodents
DEFF Research Database (Denmark)
Carter, Anthony Michael
2011-01-01
A century ago Thomas G. Lee amassed an unparalleled collection of developmental series of North American rodents such as the thirteen-lined ground squirrel, the Plains pocket gopher and Merriam's kangaroo rat. He was the first to describe the initial attachment of the squirrel blastocyst to the a......A century ago Thomas G. Lee amassed an unparalleled collection of developmental series of North American rodents such as the thirteen-lined ground squirrel, the Plains pocket gopher and Merriam's kangaroo rat. He was the first to describe the initial attachment of the squirrel blastocyst...... to the antimesometrial side of the uterus. The full potential of Lee's material was not realized until after his death, when it came into the possession of Mossman. The latter relied heavily on Lee's collection when writing his seminal monograph on the comparative morphogenesis of fetal membranes and much of Lee...
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Triskaidekaphobia and North American Residential Real Estate Prices
James E. Larsen
2015-01-01
A previous study led its authors to conclude that superstition impacts price formation for single-family dwellings in the Vancouver area. Houses there with an address that ends in the ¡§unlucky¡¨ number 13 are found to sell at a discount compared to otherwise similar houses. The primary objective of this study is to determine whether the previous results apply in another North American housing market. Hedonic regression is applied to single-family house transactions that occurred in Montgomer...
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Opportunities for Canadian stakeholders in the North American large wind turbine supply chain
Energy Technology Data Exchange (ETDEWEB)
NONE
2008-07-01
Wind energy is the fastest growing source of electricity in terms of annual installed capacity. This report presented a study of the North American large wind turbine generator supply chain and technological innovation challenges, and identified opportunities for Canadian industrial and research stakeholders to increase their participation in the wind industry. The study was conducted in three phases. The report described each of these phases, which included identification of the North American turbine supply chain needs and opportunities and its technological innovation challenges; identification of Canadian industrial and research stakeholders, either currently involved in the wind sector or external to it, which had strong transferable skills or capabilities to respond to the specific opportunities; and an assessment of the overall likelihood of Canadian stakeholders being able to respond to specific opportunities within the large wind turbine manufacturing segment of the supply chain. The report provided a market overview of the global, American and Canadian markets and discussed the key North American market drivers and potential economic benefits of wind power. The report also presented an overview of drivers for success in major markets jurisdictions and discussed the large wind turbine supply chain. Several strategic recommendations were offered, such as establishing and maintaining an open line of communication with key contacts within prime contractor and component manufacturer organizations; and maintaining and strengthening wind market policies and creating long-term market signals. refs., tabs., figs.
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Evaluation of harvest and information needs for North American sea ducks.
Directory of Open Access Journals (Sweden)
Mark D Koneff
Full Text Available Wildlife managers routinely seek to establish sustainable limits of sport harvest or other regulated forms of take while confronted with considerable uncertainty. A growing body of ecological research focuses on methods to describe and account for uncertainty in management decision-making and to prioritize research and monitoring investments to reduce the most influential uncertainties. We used simulation methods incorporating measures of demographic uncertainty to evaluate risk of overharvest and prioritize information needs for North American sea ducks (Tribe Mergini. Sea ducks are popular game birds in North America, yet they are poorly monitored and their population dynamics are poorly understood relative to other North American waterfowl. There have been few attempts to assess the sustainability of harvest of North American sea ducks, and no formal harvest strategy exists in the U.S. or Canada to guide management. The popularity of sea duck hunting, extended hunting opportunity for some populations (i.e., special seasons and/or bag limits, and population declines have led to concern about potential overharvest. We used Monte Carlo simulation to contrast estimates of allowable harvest and observed harvest and assess risk of overharvest for 7 populations of North American sea ducks: the American subspecies of common eider (Somateria mollissima dresseri, eastern and western populations of black scoter (Melanitta americana and surf scoter (M. perspicillata, and continental populations of white-winged scoter (M. fusca and long-tailed duck (Clangula hyemalis. We combined information from empirical studies and the opinions of experts through formal elicitation to create probability distributions reflecting uncertainty in the individual demographic parameters used in this assessment. Estimates of maximum growth (rmax, and therefore of allowable harvest, were highly uncertain for all populations. Long-tailed duck and American common eider appeared
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Synoptic Scale North American Weather Tracks and the Formation of North Atlantic Windstorms
Baum, A. J.; Godek, M. L.
2014-12-01
Each winter, dozens of fatalities occur when intense North Atlantic windstorms impact Western Europe. Forecasting the tracks of these storms in the short term is often problematic, but long term forecasts provide an even greater challenge. Improved prediction necessitates the ability to identify these low pressure areas at formation and understand commonalities that distinguish these storms from other systems crossing the Atlantic, such as where they develop. There is some evidence that indicates the majority of intense windstorms that reach Europe have origins far west, as low pressure systems that develop over the North American continent. This project aims to identify the specific cyclogenesis regions in North America that produce a significantly greater number of dangerous storms. NOAA Ocean Prediction Center surface pressure reanalysis maps are used to examine the tracks of storms. Strong windstorms are characterized by those with a central pressure of less than 965 hPa at any point in their life cycle. Tracks are recorded using a coding system based on source region, storm track and dissipation region. The codes are analyzed to determine which region contains the most statistical significance with respect to strong Atlantic windstorm generation. The resultant set of codes also serves as a climatology of North Atlantic extratropical cyclones. Results indicate that a number of windstorms favor cyclogenesis regions off the east coast of the United States. A large number of strong storms that encounter east coast cyclogenesis zones originate in the central mountain region, around Colorado. These storms follow a path that exits North America around New England and subsequently travel along the Canadian coast. Some of these are then primed to become "bombs" over the open Atlantic Ocean.
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IAP/APA evidence-based guidelines for the management of acute pancreatitis
Goor, H. van; et al.,
2013-01-01
BACKGROUND: There have been substantial improvements in the management of acute pancreatitis since the publication of the International Association of Pancreatology (IAP) treatment guidelines in 2002. A collaboration of the IAP and the American Pancreatic Association (APA) was undertaken to revise
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IAP/APA evidence-based guidelines for the management of acute pancreatitis
Besselink, Marc; van Santvoort, Hjalmar; Freeman, Martin; Gardner, Timothy; Mayerle, Julia; Vege, Santhi Swaroop; Werner, Jens; Banks, Peter; McKay, Colin; Fernandez-del Castillo, Carlos; French, Jeremy; Gooszen, Hein; Johnson, Colin; Sarr, Mike; Takada, Tadahiro; Windsor, John; Saluja, Ashok; Liddle, Rodger; Papachristou, Georgios; Singh, Vijay; Rünzi, Michael; Wu, Bechien; Singh, Vikesh; Bollen, Thomas; Morgan, Desiree; Mortele, Koenraad; Mittal, Anubhav; En-qiang, Mao; de Waele, Jan; Petrov, Maxim; Dellinger, Patchen; Lerch, Markus M.; Anderson, Roland; McClave, Stephen; Hartwig, Werner; Bruno, Marco; Oria, Alejandro; Baron, Todd; Castillo, Carlos Fernandez-Del; Fagenholz, Peter; Horvath, Karen; van Baal, Mark; Nealon, William; Andren-Sandberg, Ake; Bakker, Olaf; Bassi, Claudio; Buchler, Markus; Boermeester, Marja; Bradley, Ed; Fockens, Paul
2013-01-01
There have been substantial improvements in the management of acute pancreatitis since the publication of the International Association of Pancreatology (IAP) treatment guidelines in 2002. A collaboration of the IAP and the American Pancreatic Association (APA) was undertaken to revise these
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DEFF Research Database (Denmark)
Nielsen, Lene Rostgaard; McKinney, Lea Vig; Hietala, Ari M.
2017-01-01
susceptibility where closely related Asian, European and North American species in section Fraxinus had relatively high levels of H. fraxineus DNA in the leaves and supported high production of apothecia. Leaves from some North American species also contained relatively high levels of H. fraxineus DNA, supported...... that there is species-specific variation in disease susceptibility among European and North American Fraxinus species, but a wider comparison at the genus level has been missing so far. We assessed disease symptoms and pathogen apothecium development in 17 Fraxinus species from Asia, Europe and North America exposed...
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Pancreatic Tuberculosis or Autoimmune Pancreatitis
Directory of Open Access Journals (Sweden)
Ayesha Salahuddin
2014-01-01
Full Text Available Introduction. Isolated pancreatic and peripancreatic tuberculosis is a challenging diagnosis due to its rarity and variable presentation. Pancreatic tuberculosis can mimic pancreatic carcinoma. Similarly, autoimmune pancreatitis can appear as a focal lesion resembling pancreatic malignancy. Endoscopic ultrasound-guided fine needle aspiration provides an effective tool for differentiating between benign and malignant pancreatic lesions. The immune processes involved in immunoglobulin G4 related systemic diseases and tuberculosis appear to have some similarities. Case Report. We report a case of a 59-year-old Southeast Asian male who presented with fever, weight loss, and obstructive jaundice. CT scan revealed pancreatic mass and enlarged peripancreatic lymph nodes. Endoscopic ultrasound-guided fine needle aspiration confirmed the presence of mycobacterium tuberculosis. Patient also had high immunoglobulin G4 levels suggestive of autoimmune pancreatitis. He was started on antituberculosis medications and steroids. Clinically, he responded to treatment. Follow-up imaging showed findings suggestive of chronic pancreatitis. Discussion. Pancreatic tuberculosis and autoimmune pancreatitis can mimic pancreatic malignancy. Accurate diagnosis is imperative as unnecessary surgical intervention can be avoided. Endoscopic ultrasound-guided fine needle aspiration seems to be the diagnostic test of choice for pancreatic masses. Long-term follow-up is warranted in cases of chronic pancreatitis.
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Amy L. Ross-Davis; John W. Hanna; Mee-Sook Kim; Ned B. Klopfenstein
2012-01-01
The translation elongation factor-1 alpha gene was used to examine the phylogenetic relationships among 30 previously characterized isolates representing ten North American Armillaria species: A. solidipes (=A. ostoyae), A. gemina, A. calvescens, A. sinapina, A. mellea, A. gallica, A. nabsnona, North American biological species X, A. cepistipes, and A. tabescens. The...
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National Oceanic and Atmospheric Administration, Department of Commerce — Light transmission and other data from Cape Henlopen from North American Coastline. Transmissometer data was collected by Lamont-Doherty Geological Observatory in...
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Women in perfusion: a survey of North American female perfusionists.
Brewer, Stacey L; Mongero, Linda B
2013-09-01
Perfusion as a career has long been dominated by men (American Board of Cardiovascular Perfusion, Booklet of information since 1975). Women represent 33.3% of the present workforce in North America (1187 certified women). In the 1900s, fewer than 20% of women participated in the labor force compared with 75% today and growing (1). In addition women make only 77 cents for every dollar that men earn and the more education a woman has, the greater the disparity in her wages (2). Only 53% of employers provide at least some replacement pay during periods of maternity leave (2). The purpose of this survey was to poll women in perfusion to evaluate concerns and opinions in their careers and to compare this with the female labor force. In October 2011, a 40-question survey (surveymonkey.com) was made available to all female perfusionists in North American by postcard mailing through the American Board of Cardiovascular Perfusion. There were 538 responses to the survey, which is 45% of all female certified perfusionists in North America. A total of 32.6% of the survey participants have been in perfusion for more than 20 years and 75% are staff perfusionists, working for a hospital (59.5%) rather than a contract group (36.7%). A total of 44.7% of women who had children during their employment were out on leave 10 weeks or less. A total of 95.9% feel they miss important family functions as a result of their work schedules and 63% consider themselves under moderate stress. Direct supervision of the participants by men occurred in 76.5% of cases, and 68.2% felt that they were treated with the same respect as male coworkers. Nonetheless, 50.9% felt discriminated against because of gender. This survey suggests that the female perfusionists in North America share the same difficulties as women in the labor force. The role of women in society in general is clearly changing. Female perfusionists will be part of that change. Seventy percent of those surveyed would recommend perfusion
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Gould, Douglas J; Clarkson, Mackenzie J; Hutchins, Bob; Lambert, H Wayne
2014-03-01
The purpose of this study was to determine how North American dental students are taught neuroscience during their preclinical dental education. This survey represents one part of a larger research project, the Basic Science Survey Series for Dentistry, which covers all of the biomedical science coursework required of preclinical students in North American dental schools. Members of the Section on Anatomical Sciences of the American Dental Education Association assembled, distributed, and analyzed the neuroscience survey, which had a 98.5 percent response from course directors of the sixty-seven North American dental schools. The eighteen-item instrument collected demographic data on the course directors, information on the content in each course, and information on how neuroscience content is presented. Findings indicate that 1) most neuroscience instruction is conducted by non-dental school faculty members; 2) large content variability exists between programs; and 3) an increase in didactic instruction, integrated curricula, and use of computer-aided instruction is occurring. It is anticipated that the information derived from the survey will help guide neuroscience curricula in dental schools and aid in identifying appropriate content.
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48 CFR 3027.208 - Use of patented technology under the North American Free Trade Agreements.
2010-10-01
... 48 Federal Acquisition Regulations System 7 2010-10-01 2010-10-01 false Use of patented technology under the North American Free Trade Agreements. 3027.208 Section 3027.208 Federal Acquisition... American Free Trade Agreements. (f) Contracting officers shall ensure compliance. ...
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How does the North American Free Trade Agreement (NAFTA) affect Central America?
Leamer, Edward E.; Guerra, Alfonso; Kaufman, Martin; Segura, Boris
1995-01-01
Most Central American economies experienced slower growth in the 1980s than in the 1960s and 1970s, trailing far behind the Asian Tigers. Contributing to slow growth were severe external shocks, sizable macroeconomic disturbances, and widespread political instability. The challenges Central America faces now may be even greater, conclude the authors, because of Mexican liberalization, continuing instability of the real exchange rate, low savings rates, and, finally, the North American Free Tr...
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A guide to processing bat acoustic data for the North American Bat Monitoring Program (NABat)
Reichert, Brian; Lausen, Cori; Loeb, Susan; Weller, Ted; Allen, Ryan; Britzke, Eric; Hohoff, Tara; Siemers, Jeremy; Burkholder, Braden; Herzog, Carl; Verant, Michelle
2018-06-14
The North American Bat Monitoring Program (NABat) aims to improve the state of conservation science for all species of bats shared by the United States, Canada, and Mexico. To accomplish this goal, NABat offers guidance and standardized protocols for acoustic monitoring of bats. In this document, “A Guide to Processing Bat Acoustic Data for the North American Bat Monitoring Program (NABat),” we provide general recommendations and specific workflows for the process of identifying bat species from acoustic files recorded using the NABat stationary point and mobile transect acoustic monitoring protocols.
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Providing reliable energy in a time of constraints : a North American concern
International Nuclear Information System (INIS)
Egan, T.; Turk, E.
2008-04-01
The reliability of the North American electricity grid was discussed. Government initiatives designed to control carbon dioxide (CO 2 ) and other emissions in some regions of Canada may lead to electricity supply constraints in other regions. A lack of investment in transmission infrastructure has resulted in constraints within the North American transmission grid, and the growth of smaller projects is now raising concerns about transmission capacity. Labour supply shortages in the electricity industry are also creating concerns about the long-term security of the electricity market. Measures to address constraints must be considered in the current context of the North American electricity system. The extensive transmission interconnects and integration between the United States and Canada will provide a framework for greater trade and market opportunities between the 2 countries. Coordinated actions and increased integration will enable Canada and the United States to increase the reliability of electricity supply. However, both countries must work cooperatively to increase generation supply using both mature and emerging technologies. The cross-border transmission grid must be enhanced by increasing transmission capacity as well as by implementing new reliability rules, building new infrastructure, and ensuring infrastructure protection. Barriers to cross-border electricity trade must be identified and avoided. Demand-side and energy efficiency measures must also be implemented. It was concluded that both countries must focus on developing strategies for addressing the environmental concerns related to electricity production. 6 figs
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Overview of North American Hydrogen Sensor Standards
Energy Technology Data Exchange (ETDEWEB)
O' Malley, Kathleen [SRA International, Inc., Colorado Springs, CO (United States); Lopez, Hugo [UL LLC, Chicago, IL (United States); Cairns, Julie [CSA Group, Cleveland, OH (United States); Wichert, Richard [Professional Engineering, Inc.. Citrus Heights, CA (United States); Rivkin, Carl [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Burgess, Robert [National Renewable Energy Laboratory (NREL), Golden, CO (United States); Buttner, William [National Renewable Energy Laboratory (NREL), Golden, CO (United States)
2015-08-11
An overview of the main North American codes and standards associated with hydrogen safety sensors is provided. The distinction between a code and a standard is defined, and the relationship between standards and codes is clarified, especially for those circumstances where a standard or a certification requirement is explicitly referenced within a code. The report identifies three main types of standards commonly applied to hydrogen sensors (interface and controls standards, shock and hazard standards, and performance-based standards). The certification process and a list and description of the main standards and model codes associated with the use of hydrogen safety sensors in hydrogen infrastructure are presented.
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North American Natural Gas Markets. Volume 2
Energy Technology Data Exchange (ETDEWEB)
1989-02-01
This report summarizes die research by an Energy Modeling Forum working group on the evolution of the North American natural gas markets between now and 2010. The group`s findings are based partly on the results of a set of economic models of the natural gas industry that were run for four scenarios representing significantly different conditions: two oil price scenarios (upper and lower), a smaller total US resource base (low US resource case), and increased potential gas demand for electric generation (high US demand case). Several issues, such as the direction of regulatory policy and the size of the gas resource base, were analyzed separately without the use of models.
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Homer, C.; Colditz, R. R.; Latifovic, R.; Llamas, R. M.; Pouliot, D.; Danielson, P.; Meneses, C.; Victoria, A.; Ressl, R.; Richardson, K.; Vulpescu, M.
2017-12-01
Land cover and land cover change information at regional and continental scales has become fundamental for studying and understanding the terrestrial environment. With recent advances in computer science and freely available image archives, continental land cover mapping has been advancing to higher spatial resolution products. The North American Land Change Monitoring System (NALCMS) remains the principal provider of seamless land cover maps of North America. Founded in 2006, this collaboration among the governments of Canada, Mexico and the United States has released two previous products based on 250m MODIS images, including a 2005 land cover and a 2005-2010 land cover change product. NALCMS has recently completed the next generation North America land cover product, based upon 30m Landsat images. This product now provides the first ever 30m land cover produced for the North American continent, providing 19 classes of seamless land cover. This presentation provides an overview of country-specific image classification processes, describes the continental map production process, provides results for the North American continent and discusses future plans. NALCMS is coordinated by the Commission for Environmental Cooperation (CEC) and all products can be obtained at their website - www.cec.org.
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Language Learning for the 21st Century: Challenges for the North American Free Trade Agreement.
Tucker, G. Richard
1993-01-01
The American phenomenon of pervasive monolingualism is considered, and potential implications of the North American Free Trade Agreement are described. Five second-language learning/teaching areas are projected: language for specific purposes; obligatory language study; exchange programs; technological advances; and information resources.…
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Standard methods for sampling North American freshwater fishes
Bonar, Scott A.; Hubert, Wayne A.; Willis, David W.
2009-01-01
This important reference book provides standard sampling methods recommended by the American Fisheries Society for assessing and monitoring freshwater fish populations in North America. Methods apply to ponds, reservoirs, natural lakes, and streams and rivers containing cold and warmwater fishes. Range-wide and eco-regional averages for indices of abundance, population structure, and condition for individual species are supplied to facilitate comparisons of standard data among populations. Provides information on converting nonstandard to standard data, statistical and database procedures for analyzing and storing standard data, and methods to prevent transfer of invasive species while sampling.
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NRAO Welcomes Taiwan as a New North American ALMA Partner
2008-12-01
The National Radio Astronomy Observatory (NRAO) has announced a formal agreement enabling Taiwanese astronomers to participate in the North American component of the international ALMA partnership, alongside American and Canadian astronomers. Taiwan's efforts will be led by the Academia Sinica Institute of Astronomy and Astrophysics (ASIAA). ALMA, the Atacama Large Millimeter/submillimeter Array, is the most ambitious ground-based astronomical observatory in history. Currently under construction in Chile’s Atacama Desert at an altitude of 16,500 feet, it promises to revolutionize our understanding of the formation of planets, stars, and galaxies when it begins full science operations early in the next decade. The agreement, signed by the Taipei Economic and Cultural Representative Office and the American Institute in Taiwan, provides for approximately $20 million in ALMA construction funding through the National Science Council (NSC), Taiwan’s equivalent to the US National Science Foundation (NSF) and Canada's National Research Council (NRC), which have jointly funded North America's existing contribution to the international ALMA project. Activities under the agreement will include joint research projects, development projects, collaboration on construction, support of observatory operations and other forms of cooperation. Access to ALMA observing time will be shared, as will membership on advisory committees. “Taiwan is a world-class center for submillimeter-wavelength astronomical research, and we’re delighted that the ALMA project and all its future users will benefit from the resources and expertise that Taiwan’s deepening participation brings to this great, global endeavor,” said Dr. Fred Lo, NRAO's director. This new agreement increases and diversifies Taiwan’s Academia Sinica investment in ALMA beyond the levels achieved through its participation in the East Asian component of the ALMA partnership, which is led by the National Astronomical
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David E. Schreiber; Karen J. Garner; James M. Slavicek
1997-01-01
Gypsy moths originating in Asia have recently been introduced into North America, making it necessary to develop markers for distinguishing the Asian strain from the established North American population. We have identified 3 randomly amplified polymorphic DNA-polymerase chain reaction generated (RAPD-PCR) markers which are specific for either Asian or North American...
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Male sleep duration and fecundability in a North American preconception cohort study
DEFF Research Database (Denmark)
Wise, Lauren Anne; Rothman, Kenneth Jay; Wesselink, Amelia Kent
2018-01-01
OBJECTIVE: To evaluate prospectively the association between male sleep duration and fecundability. DESIGN: Pregnancy Online Study (PRESTO), a Web-based prospective cohort study of North American couples enrolled during the preconception period (2013-2017). SETTING: Not applicable. PATIENT(S): Male...
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Current oil and gas production from North American Upper Cretaceous chalks
Scholle, Peter A.
1977-01-01
Production of oil and natural gas from North American chalks has increased significantly during the past five years, spurred by the prolific production from North Sea chalks, as well as by higher prices and improved production technology. Chalk reservoirs have been discovered in the Gulf Coast in the Austin Group, Saratoga and Annona Chalks, Ozan Formation, Selma Group, Monroe gas rock (an informal unit of Navarro age), and other Upper Cretaceous units. In the Western Interior, production has been obtained from the Cretaceous Niobrara and Greenhorn Formations. Significant, though subcommercial, discoveries of natural gas and gas condensate also have been made in the Upper Cretaceous Wyandot Formation on the Scotian Shelf of eastern Canada. All North American chalk units share a similar depositional and diagenetic history. The chalks consist primarily of whole and fragmented coccoliths with subordinate planktonic and benthonic Foraminifera, inoceramid prisms, oysters, and other skeletal grains. Most have between 10 and 35 percent HCl-insoluble residue, predominantly clay. Deposition was principally below wave base in tens to hundreds of meters of water. The diagenetic history of a chalk is critical in determining its reservoir potential. All chalk has a stable composition (low-Mg calcite) and very high primary porosity. With subsequent burial, mechanical and chemical (solution-transfer) compaction can reduce or completely eliminate pore space. The degree of loss of primary porosity in chalk sections is normally a direct function of the maximum depth to which it has been buried. Pore-water chemistry, pore-fluid pressures, and tectonic stresses also influence rates of cementation. Oil or gas reservoirs of North American chalk fall into three main groups: 1. Areas with thin overburden and significant primary porosity retention (for example, Niobrara Formation of Kansas and eastern Colorado). 2. Areas with thicker overburden but considerable fracturing. Here primary
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Batrachochytrium salamandrivorans: The North American response and a call for action
Matthew J. Gray; James P. Lewis; Priya Nanjappa; Blake Klocke; Frank Pasmans; An Martel; Craig Stephen; Gabriela Parra Olea; Scott A. Smith; Allison Sacerdote-Velat; Michelle R. Christman; Jennifer M. Williams; Deanna H. Olson; Deborah A. Hogan
2015-01-01
Batrachochytrium salamandrivorans (Bsal) is an emerging fungal pathogen that has caused recent die-offs of native salamanders in Europe and is known to be lethal to at least some North American species in laboratory trials [1]. Bsal appears to have originated in Asia, and may have been introduced by humans...
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Strategies for Success: Open Access Policies at North American Educational Institutions
Fruin, Christine; Sutton, Shan
2016-01-01
Recognizing the paucity of quantitative and qualitative data from North American educational institutions that have pursued open access policies, the authors devised a survey to collect information on the characteristics of these institutions, as well as the elements of the open access policies, the methods of promoting these policies, faculty…
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Troendle, David M; Abraham, Omana; Huang, Rong; Barth, Bradley A
2015-01-01
Risk factors for the development of post-ERCP pancreatitis (PEP) have not been identified in the pediatric population. It remains unclear what constitutes appropriate prophylaxis in this patient population. To assess the prevalence and severity of PEP in the pediatric population and identify factors associated with developing PEP and to evaluate the effect of prophylactic pancreatic duct stenting in high-risk patients. Retrospective analysis of an ERCP database at a single large pediatric center. Academic center. A total of 432 ERCPs performed on 313 patients younger than 19 years of age from January 2004 to October 2013. ERCP for any indication. Rates and severity of PEP, preprocedural and procedural risk factors for the development of PEP, and the effect of pancreatic stents on preventing PEP in high-risk patients. PEP occurred after 47 procedures (prevalence, 10.9%). Thirty-four cases were mild, 9 were moderate, and 4 were severe. There was no mortality. On multiple logistic analysis, pancreatic duct injection (Ppancreatic sphincterotomy (Passociated with PEP. A history of chronic pancreatitis was negatively associated with PEP (Ppancreatic stent was associated with significantly increased rates of PEP in patients with pancreatic duct injection compared with those who had no attempt at stent placement (Ppancreatitis had prophylactic pancreatic stents in place. Retrospective investigation. In the pediatric population, pancreatic duct injection and pancreatic sphincterotomy are associated with significantly increased rates of PEP, whereas a history of chronic pancreatitis is negatively associated. Prophylactic pancreatic stenting is associated with higher rates of PEP in high-risk patients and does not eliminate severe PEP. Copyright © 2015 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
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Underestimation of the Tambora effects in North American taiga ecosystems
Gennaretti, Fabio; Boucher, Etienne; Nicault, Antoine; Gea-Izquierdo, Guillermo; Arseneault, Dominique; Berninger, Frank; Savard, Martine M.; Bégin, Christian; Guiot, Joel
2018-03-01
The Tambora eruption (1815 AD) was one of the major eruptions of the last two millennia and has no equivalents over the last two centuries. Here, we collected an extensive network of early meteorological time series, climate simulation data and numerous, well-replicated proxy records from Eastern Canada to analyze the strength and the persistence of the Tambora impact on the regional climate and forest processes. Our results show that the Tambora impacts on the terrestrial biosphere were stronger than previously thought, and not only affected tree growth and carbon uptake for a longer period than registered in the regional climate, but also determined forest demography and structure. Increased tree mortality, four times higher than the background level, indicates that the Tambora climatic impact propagated to influence the structure of the North American taiga for several decades. We also show that the Tambora signal is more persistent in observed data (temperature, river ice dynamics, forest growth, tree mortality) than in simulated ones (climate and forest-growth simulations), indicating that our understanding of the mechanisms amplifying volcanic perturbations on climates and ecosystems is still limited, notably in the North American taiga.
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Zirwas, Matthew J; Hamann, Dathan; Warshaw, Erin M; Maibach, Howard I; Taylor, James S; Sasseville, Denis; DeKoven, Joel G; Fransway, Anthony F; Mathias, C G Toby; Zug, Kathryn A; DeLeo, Vincent A; Fowler, Joseph F; Marks, James G; Pratt, Melanie D; Belsito, Donald V
Preservative sensitivity patterns evolve with changing use patterns in products. During the last decade, the use of methylisothiazolinone (MI) at higher concentrations in both leave-on and rinse-off products has significantly increased. This is the first North American Contact Dermatitis Group reporting cycle that includes both methylchloroisothiazolinone (MCI)/MI and MI data. The aim of this study was to report the prevalence of isothiazolinone allergy (MCI/MI and MI) in the North American Contact Dermatitis Group patch-test population from January 1, 2013, to December 31, 2014. At 13 centers in North America, 4860 patients were patch tested in a standardized manner with a series of 70 allergens, including MCI/MI 0.01% aqueous (aq) and MI 0.2% aq. Three hundred five patients (6.3%) had a positive reaction to MCI/MI; this is a significant increase from the previous cycle (5.0%, 2011-2012; P = 0.011). Five hundred twenty-one patients (10.7%) had a positive reaction to MI. These 2 isothiazolinones were among the most common preservative allergens in the 2013 to 2014 cycle; 11.9% of patch-tested individuals were allergic to 1 or both isothiazolinones. Individuals with MCI/MI and MI allergy were significantly more likely to have occupationally related skin disease (P dermatitis (P < 0.0001, P = 0.0474). The epidemic of isothiazolinone sensitivity documented in Europe is now in North America. Patch testing with only MCI/MI 0.01% aq will miss approximately half of isothiazolinone allergy cases, whereas testing with only MI 0.2% aq will miss approximately 10% of isothiazolinone allergy cases.
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Lithospheric structure and deformation of the North American continent
Magdala Tesauro; Mikhail Kaban; S. Cloetingh; W. D. Mooney
2013-01-01
We estimate the integrated strength and elastic thickness (Te) of the North American lithosphere based on thermal, density and structural (seismic) models of the crust and upper mantle. The temperature distribution in the lithosphere is estimated considering for the first time the effect of composition as a result of the integrative approach based on a joint analysis of seismic and gravity data. We do this via an iterative adjustment of the model. The upper mantle temperatures are initially e...
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ENDOCRINE PANCREATIC FUNCTION IN ACUTE PANCREATITIS
Directory of Open Access Journals (Sweden)
P. V. Novokhatny
2014-02-01
Full Text Available Introduction Among the organs of internal secretion pancreas has a special place thanks to active exocrine function and a wide range of physiological actions of produced hormones. Violations of endocrine pancreas arises in 6.5-38 % of patients with acute pancreatitis. However, there is still no clear understanding of the pathogenetic mechanisms of hormonal dysfunction of the pancreas in acute pancreatitis, there is no uniform algorithms for its correction. Aim of the research was to study the endocrine function of pancreas in acute pancreatitis. To define the role of endocrine pancreatic function in the etiology and pathogenesis of the acute pancreatitis. To assess the prospects of the use of pancreatic hormones in the treatment and predicting the outcomes of acute pancreatitis. Materials and methods of the research Survey of publications in specialized periodical medical journals, PubMed sources developed by the National Center for Biotechnology Information. Search in PubMed was carried out in the following databases: MEDLINE, Pre MEDLINE. Results of the research. In a significant proportion of patients who recovered from acute pancreatitis, exocrine and endocrine functional impairments were found. This finding was not detected only in patients after severe acute pancreatitis. Routine evaluation of pancreatic function after acute pancreatitis should be considered. The comparative analysis of the synthetic analogues (somatostatin, calcitonin, leu-enkefalin-dalargin influence on the glucose metabolism of rats in acute pancreatitis of was made. Physiological reaction of beta-cells is preserved in infusion of somatostatin. However, infusion of calcitonin results in the distortion of counterregulatory action of insulin and glucagon. It was detected that pancreatic renin-angiotensin system is markedly activated in the experimental rat models of chronic hypoxia and acute pancreatitis. The activation of the pancreatic renin-angiotensin system by
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Extended duration of parturition season in North American elk (Cervus elaphus)
Barbara J. Keller; Amy D. Bleisch; Joshua J. Millspaugh; Chad P. Lehman; Jackie J. Kragel; Lonnie P. Hansen; Jason Sumners; Mark A. Rumble; Gary C. Brundige
2015-01-01
The timing of births in ungulates has significant implications for juvenile survival and population growth. For North American elk (Cervus elaphus), typical parturition season ranges from late May to early Jun., and juveniles born outside of this peak characteristically exhibit lowered survival. We observed abnormally long parturition seasons in free-ranging elk...
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Team Update on North American Proton Facilities for Radiation Testing
Label, Kenneth A.; Turflinger, Thomas; Haas, Thurman; George, Jeffrey; Moss, Steven; Davis, Scott; Kostic, Andrew; Wie, Brian; Reed, Robert; Guertin, Steven;
2016-01-01
In the wake of the closure of the Indiana University Cyclotron Facility (IUCF), this presentation provides an overview of the options for North American proton facilities. This includes those in use by the aerospace community as well as new additions from the cancer therapy regime. In addition, proton single event testing background is provided for understanding the criteria needed for these facilities for electronics testing.
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Warshaw, Erin M; Wang, Michael Z; Mathias, C G Toby; Maibach, Howard I; Belsito, Donald V; Zug, Kathryn A; Taylor, James S; Zirwas, Matthew J; Fransway, Anthony F; Deleo, Vincent A; Marks, James G; Pratt, Melanie D; Storrs, Frances J; Rietschel, Robert L; Fowler, Joseph F; Sasseville, Denis
2012-01-01
European studies document that occupational contact dermatitis (CD) is common in hairdressers, but studies from North America are lacking. The objectives of this study were to estimate the prevalence of occupational CD among North American hairdressers/cosmetologists (HD/CS) and to characterize responsible allergens and irritants as well as their sources. A cross-sectional analysis of patients patch tested by the North American Contact Dermatitis Group between 1994 and 2010 was conducted. Of 35,842 patients, 432 (1.2%) were HD/CS. Significantly, most of the HD/CS were female (89.8%) and younger than 40 years (55.6%) as compared with non-hairdressers (P Contact Dermatitis Group allergen series missed at least 1 occupationally-related allergen in 26.2% of patients. Contact dermatitis in North American HD/CS is common, and occupationally related allergens are those found in HD/CS products. Supplemental hairdressing/cosmetology antigen series are important in detecting all occupationally related allergens in this population.
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Sexuality education in North American medical schools: current status and future directions.
Shindel, Alan W; Parish, Sharon J
2013-01-01
Both the general public and individual patients expect healthcare providers to be knowledgeable and approachable regarding sexual health. Despite this expectation there are no universal standards or expectations regarding the sexuality education of medical students. To review the current state of the art in sexuality education for North American medical students and to articulate future directions for improvement. Evaluation of: (i) peer-reviewed literature on sexuality education (focusing on undergraduate medical students); and (ii) recommendations for sexuality education from national and international public health organizations. Current status and future innovations for sexual health education in North American medical schools. Although the importance of sexuality to patients is recognized, there is wide variation in both the quantity and quality of education on this topic in North American medical schools. Many sexual health education programs in medical schools are focused on prevention of unwanted pregnancy and sexually transmitted infection. Educational material on sexual function and dysfunction, female sexuality, abortion, and sexual minority groups is generally scant or absent. A number of novel interventions, many student initiated, have been implemented at various medical schools to improve the student's training in sexual health matters. There is a tremendous opportunity to mold the next generation of healthcare providers to view healthy sexuality as a relevant patient concern. A comprehensive and uniform curriculum on human sexuality at the medical school level may substantially enhance the capacity of tomorrow's physicians to provide optimal care for their patients irrespective of gender, sexual orientation, and individual sexual mores/beliefs. © 2013 International Society for Sexual Medicine.
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Comparison of arch forms between Turkish and North American
Directory of Open Access Journals (Sweden)
Ahmet A. Celebi
2016-04-01
Full Text Available ABSTRACT Objective: The aim of this study was to clarify the morphological differences in the mandibular arches of Turkish and North American white subjects. Methods: The sample included 132 Turkish (34 Class I, 58 Class II, and 40 Class III and 160 North American (60 Class I, 50 Class II, and 50 Class III subjects. The most facial portion of 13 proximal contact areas was digitized from photocopied images of patients' mandibular dental arches. Clinical bracket points were calculated for each tooth based on mandibular tooth thickness data. Four linear and two proportional measurements were taken. The subjects were grouped according to arch form types (tapered, ovoid and square in order to have frequency distribution compared between ethnic groups in each Angle classification. Results: The Turkish group showed significantly lower molar depth and more significant molar width-depth (W/D ratio in all three Angle classifications. On the other hand, the Turkish group also showed a significantly larger intercanine width in Class III malocclusion and intermolar width in Class II malocclusion. The most frequent arch forms seen were the ovoid arch form in the Turkish group and the tapered form in the white group. Conclusions: Our results demonstrate that when treating Turkish patients, one should expect to use preformed ovoid arch form orthodontic wires in a significant percentage of patients.
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Characterisation of North American Brucella isolates from marine mammals.
Whatmore, Adrian M; Dawson, Claire; Muchowski, Jakub; Perrett, Lorraine L; Stubberfield, Emma; Koylass, Mark; Foster, Geoffrey; Davison, Nicholas J; Quance, Christine; Sidor, Inga F; Field, Cara L; St Leger, Judy
2017-01-01
Extension of known ecological niches of Brucella has included the description of two novel species from marine mammals. Brucella pinnipedialis is associated predominantly with seals, while two major Brucella ceti clades, most commonly associated with porpoises or dolphins respectively, have been identified. To date there has been limited characterisation of Brucella isolates obtained from marine mammals outside Northern European waters, including North American waters. To address this gap, and extend knowledge of the global population structure and host associations of these Brucella species, 61 isolates from marine mammals inhabiting North American waters were subject to molecular and phenotypic characterisation enabling comparison with existing European isolates. The majority of isolates represent genotypes previously described in Europe although novel genotypes were identified in both B. ceti clades. Harp seals were found to carry B. pinnipedialis genotypes previously confined to hooded seals among a diverse repertoire of sequence types (STs) associated with this species. For the first time Brucella isolates were characterised from beluga whales and found to represent a number of distinct B. pinnipedialis genotypes. In addition the known host range of ST27 was extended with the identification of this ST from California sea lion samples. Finally the performance of the frequently used diagnostic tool Bruce-ladder, in differentiating B. ceti and B. pinnipedialis, was critically assessed based on improved knowledge of the global population structure of Brucella associated with marine mammals.
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The status of evolutionary medicine education in North American medical schools.
Hidaka, Brandon H; Asghar, Anila; Aktipis, C Athena; Nesse, Randolph M; Wolpaw, Terry M; Skursky, Nicole K; Bennett, Katelyn J; Beyrouty, Matthew W; Schwartz, Mark D
2015-03-08
Medical and public health scientists are using evolution to devise new strategies to solve major health problems. But based on a 2003 survey, medical curricula may not adequately prepare physicians to evaluate and extend these advances. This study assessed the change in coverage of evolution in North American medical schools since 2003 and identified opportunities for enriching medical education. In 2013, curriculum deans for all North American medical schools were invited to rate curricular coverage and perceived importance of 12 core principles, the extent of anticipated controversy from adding evolution, and the usefulness of 13 teaching resources. Differences between schools were assessed by Pearson's chi-square test, Student's t-test, and Spearman's correlation. Open-ended questions sought insight into perceived barriers and benefits. Despite repeated follow-up, 60 schools (39%) responded to the survey. There was no evidence of sample bias. The three evolutionary principles rated most important were antibiotic resistance, environmental mismatch, and somatic selection in cancer. While importance and coverage of principles were correlated (r = 0.76, P evolutionary principles were covered by 4 to 74% more schools. Nearly half (48%) of responders anticipated igniting controversy at their medical school if they added evolution to their curriculum. The teaching resources ranked most useful were model test questions and answers, case studies, and model curricula for existing courses/rotations. Limited resources (faculty expertise) were cited as the major barrier to adding more evolution, but benefits included a deeper understanding and improved patient care. North American medical schools have increased the evolution content in their curricula over the past decade. However, coverage is not commensurate with importance. At a few medical schools, anticipated controversy impedes teaching more evolution. Efforts to improve evolution education in medical schools
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North American Wood Waste Forum: Summary of Group Feedback, 2-3, 2012
Bob Falk
2012-01-01
This report summarizes the feedback and recommendations of the North American Wood Recovery Group. This report summarizes the barriers and opportunities in wood recovery, reuse, and recycling as identified by this group of stakeholders from the wood industry, waste industry, and relevant government agencies.
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Warshaw, Erin M; Aschenbeck, Kelly A; Zug, Kathryn A; Belsito, Donald V; Zirwas, Matthew J; Fowler, Joseph F; Taylor, James S; Sasseville, Denis; Fransway, Anthony F; DeLeo, Vincent A; Marks, James G; Pratt, Melanie D; Maibach, Howard I; Mathias, C G Toby; DeKoven, Joel G
Although there are several case reports of wet wipe-associated contact dermatitis, the prevalence of wipes as a source of allergic contact dermatitis in larger populations and the responsible allergens are largely unknown. The aim of the study was to determine the prevalence of wet wipes as a source of contact allergy and the most commonly associated allergens in a North American tertiary referral patch test population. Data collected from 2011 to 2014 by the North American Contact Dermatitis Group was used to conduct a retrospective cross-sectional analysis of patient demographics and patch test results associated with the triple-digit source code for "wet wipe." Of the 9037 patients patch tested during the study period, 79 (0.9%) had a positive patch test reaction to an allergen identified with a wet wipe source. The most commonly associated allergens were preservatives, including the following: methylisothiazolinone (MI) (59.0%), methylchloroisothiazolinone (MCI)/MI (35.6%), bronopol (2-bromo-2-nitropropane-1,3-diol) (27.4%), and iodopropynyl butylcarbamate (12.3%). Fragrance (combined) represented 12.3%. Anal/genital dermatitis was 15 times more likely (P contact allergy had their contact allergens detected by the North American Contact Dermatitis Group screening series. Wet wipes are an important source of contact allergy. Preservatives are the main allergens, especially isothiazolinones.
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Pancreatic cancer seeding of percutaneous needle tract
Directory of Open Access Journals (Sweden)
Qiao Zhou, MD
2017-03-01
Full Text Available A 65-year old African-American female presents with biliary ductal dilatation due to an obstructive pancreatic head mass. Percutaneous transhepatic cholangiogram performed and biliary drainage catheter placement for decompression of the biliary system. The patient had a Whipple procedure performed several months later. On follow up CT imaging, there was interval development and enlargement of a subcutaneous lesion by the right oblique muscles. Biopsy of this lesion revealed pancreatic adenocarcinoma from percutaneous seeding of the transhepatic needle tract.
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Cook, E. R.
2007-05-01
The North American Drought Atlas describes a detailed reconstruction of drought variability from tree rings over most of North America for the past 500-1000 years. The first version of it, produced over three years ago, was based on a network of 835 tree-ring chronologies and a 286-point grid of instrumental Palmer Drought Severity Indices (PDSI). These gridded PDSI reconstructions have been used in numerous published studies now that range from modeling fire in the American West, to the impact of drought on palaeo-Indian societies, and to the determination of the primary causes of drought over North America through climate modeling experiments. Some examples of these applications will be described to illustrate the scientific value of these large-scale reconstructions of drought. Since the development and free public release of Version 1 of the North American Drought Atlas (see http:iridl.ldeo.columbia.edu/SOURCES/.LDEO/.TRL/.NADA2004/.pdsi-atlas.html), great improvements have been made in the critical tree-ring network used to reconstruct PDSI at each grid point. This network has now been enlarged to 1743 annual tree-ring chronologies, which greatly improves the density of tree-ring records in certain parts of the grid, especially in Canada and Mexico. In addition, the number of tree-ring records that extend back before AD 1400 has been substantially increased. These developments justify the creation of Version 2 of the North American Drought Atlas. In this talk I will describe this new version of the drought atlas and some of its properties that make it a significant improvement over the previous version. The new product provides enhanced resolution of the spatial and temporal variability of prolonged drought such as the late 16th century event that impacted regions of both Mexico and the United States. I will also argue for the North American Drought Atlas being used as a template for the development of large-scale drought reconstructions in other land areas of
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The North-American Long-Term Soil Productivity Study: Concepts and literature
Deborah S. Page-Dumroese
2010-01-01
The resiliency of forest sites after a pulse disturbance is one of the key questions mandated by the National Forest Management Act (NFMA) of 1976. This Act mandated that we maintain the productive capacity of federally managed stands. The original USDA Forest Service soil quality standards were based largely on professional judgment. The North American Long-Term Soil...
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Previsual detection of two conifer-infesting adelgid species in North American forest
Stephen Cook; Karen Humes; Ryan Hruska; Christopher Williams; Grant Fraley
2010-01-01
The balsam woolly adelgid, Adelges piceae, and hemlock woolly adelgid, A. tsugae (Homoptera: Adelgidae), are invasive pests of coniferous forests in both the Eastern and Western United States. Balsam woolly adelgid is capable of attacking and killing native North American firs, with Fraser fir (Abies fraseri...
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Visibility graph network analysis of natural gas price: The case of North American market
Sun, Mei; Wang, Yaqi; Gao, Cuixia
2016-11-01
Fluctuations in prices of natural gas significantly affect global economy. Therefore, the research on the characteristics of natural gas price fluctuations, turning points and its influencing cycle on the subsequent price series is of great significance. Global natural gas trade concentrates on three regional markets: the North American market, the European market and the Asia-Pacific market, with North America having the most developed natural gas financial market. In addition, perfect legal supervision and coordinated regulations make the North American market more open and more competitive. This paper focuses on the North American natural gas market specifically. The Henry Hub natural gas spot price time series is converted to a visibility graph network which provides a new direction for macro analysis of time series, and several indicators are investigated: degree and degree distribution, the average shortest path length and community structure. The internal mechanisms underlying price fluctuations are explored through the indicators. The results show that the natural gas prices visibility graph network (NGP-VGN) is of small-world and scale-free properties simultaneously. After random rearrangement of original price time series, the degree distribution of network becomes exponential distribution, different from the original ones. This means that, the original price time series is of long-range negative correlation fractal characteristic. In addition, nodes with large degree correspond to significant geopolitical or economic events. Communities correspond to time cycles in visibility graph network. The cycles of time series and the impact scope of hubs can be found by community structure partition.
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The anatomical diaspora: evidence of early American anatomical traditions in North Dakota.
Stubblefield, Phoebe R
2011-09-01
The current focus in forensic anthropology on increasing scientific certainty in ancestry determination reinforces the need to examine the ancestry of skeletal remains used for osteology instruction. Human skeletal remains were discovered on the University of North Dakota campus in 2007. After recovery, the osteological examination resulted in a profile for a 33- to 46-year-old woman of African descent with stature ranging from 56.3 to 61.0 in. The pattern of postmortem damage indicated that the remains had been prepared for use as an anatomical teaching specimen. Review of the American history of anatomical teaching revealed a preference for Black subjects, which apparently extended to states like North Dakota despite extremely low resident populations of people of African descent. This study emphasizes the need to examine the ancestry of older teaching specimens that lack provenience, rather than assuming they are derived from typical (i.e., Indian) sources of anatomical material. © 2011 American Academy of Forensic Sciences.
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Ghiabi, Edmond; Taylor, K Lynn
2010-06-01
This project aimed at documenting the surgical training curricula offered by North American graduate periodontics programs. A survey consisting of questions on teaching methods employed and the content of the surgical training program was mailed to directors of all fifty-eight graduate periodontics programs in Canada and the United States. The chi-square test was used to assess whether the residents' clinical experience was significantly (Pperiodontal plastic procedures, hard tissue grafts, and implants. Furthermore, residents in programs offering a structured preclinical component performed significantly more procedures (P=0.012) using lasers than those in programs not offering a structured preclinical program. Devising new and innovative teaching methods is a clear avenue for future development in North American graduate periodontics programs.
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Emergence of the North American center of excellence for transportation equipment
Directory of Open Access Journals (Sweden)
Richard Gottschall
2017-07-01
Full Text Available Following the closure of Plattsburgh Air Force Base in 1995, the northeastern region of New York State faced a unique economic development challenge. In addition to the loss of the air base, the rural area suffers from urbanization and automation in manufacturing trends. While the quality of life is highly rated, population and job growth stagnate. Isolated geographically by Lake Champlain to the East, the Adirondack Mountains to the South and West, and long distances to southern economic centers in the state, the region has looked north of the Canadian border and positioned itself as "Montreal's US suburb". Economic developers have crafted bi-national agreements between regional organizations, improved cross-border infrastructure, and enhanced educational institutions for the purpose of attracting Canadian and international manufacturers to the region. In 2015, the North American Center of Excellence in Transportation Equipment was launched and six new companies joined the cluster, doubling its size and perhaps providing a base for further growth. Manufacturing jobs are likely to grow for the first time in more than 20-years. We use cluster theory to argue that this formation of companies may still be insufficient to catalyze cluster emergence and the desired goal of regional competitiveness. Moving forward in the crafting of regional economic development policy, we emphasize the importance of viewing the North American Center of Excellence for Transportation Equipment as a pre-emergent cluster in need of further support to reach its potential.
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Development of a miRNA-based diagnostic assay for pancreatic ductal adenocarcinoma.
Szafranska-Schwarzbach, Anna E; Adai, Alex T; Lee, Linda S; Conwell, Darwin L; Andruss, Bernard F
2011-04-01
Diagnosis of pancreatic cancer remains a clinical challenge. Both chronic pancreatitis and pancreatic cancer may present with similar symptoms and similar imaging features, often leading to incorrect interpretation. Thus, the use of an objective molecular test that can discriminate between chronic pancreatitis and pancreatic cancer will be a valuable asset in obtaining a definitive diagnosis of pancreatic cancer. Following Clinical Laboratory Improvement Amendments and College of American Pathologists guidelines, Asuragen Clinical Services Laboratory has developed and validated a laboratory-developed test, miRInform(®) Pancreas, to aid in the identification of pancreatic ductal adenocarcinoma. This molecular diagnostic tool uses reverse-transcription quantitative PCR to measure the expression difference between two miRNAs, miR-196a and miR-217, in fixed tissue specimens. This article describes the test validation process as well as determination of performance parameters of miRInform Pancreas.
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Commercial Trucking: Safety and Infrastructure Issues Under the North American Free Trade Agreement
1996-02-29
The North American Free Trade Agreement (NAFTA) provided for the U.S.-Mexican border to be opened for increased commercial truck traffic within the respective border states-four in the United States (Arizona, California, New Mexico, and Texas) and si...
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Early Detection of Sporadic Pancreatic Cancer
Kenner, Barbara J.; Chari, Suresh T.; Cleeter, Deborah F.; Go, Vay Liang W.
2015-01-01
Abstract Innovation leading to significant advances in research and subsequent translation to clinical practice is urgently necessary in early detection of sporadic pancreatic cancer. Addressing this need, the Early Detection of Sporadic Pancreatic Cancer Summit Conference was conducted by Kenner Family Research Fund in conjunction with the 2014 American Pancreatic Association and Japan Pancreas Society Meeting. International interdisciplinary scientific representatives engaged in strategic facilitated conversations based on distinct areas of inquiry: Case for Early Detection: Definitions, Detection, Survival, and Challenges; Biomarkers for Early Detection; Imaging; and Collaborative Studies. Ideas generated from the summit have led to the development of a Strategic Map for Innovation built upon 3 components: formation of an international collaborative effort, design of an actionable strategic plan, and implementation of operational standards, research priorities, and first-phase initiatives. Through invested and committed efforts of leading researchers and institutions, philanthropic partners, government agencies, and supportive business entities, this endeavor will change the future of the field and consequently the survival rate of those diagnosed with pancreatic cancer. PMID:25938853
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The Epidemiology of Pancreatitis and Pancreatic Cancer
Yadav, Dhiraj; Lowenfels, Albert B.
2013-01-01
Acute pancreatitis is one of the most frequent gastrointestinal causes for hospital admission in the US. Chronic pancreatitis, although lower in incidence, significantly reduces patients’ quality of life. Pancreatic cancer has high mortality and is 1 of the top 5 causes of death from cancer. The burden of pancreatic disorders is expected to increase over time. The risk and etiology of pancreatitis differ with age and sex, and all pancreatic disorders affect Blacks more than any other race. Gallstones are the most common cause of acute pancreatitis, and early cholecystectomy eliminates the risk of future attacks. Alcohol continues to be the single most important risk factor for chronic pancreatitis. Smoking is an independent risk factor for acute and chronic pancreatitis, and its effects could synergize with those of alcohol. Significant risk factors for pancreatic cancer include smoking and non-O blood groups. Alcohol abstinence and smoking cessation can alter progression of pancreatitis and reduce recurrence; smoking cessation is the most effective strategy to reduce the risk of pancreatic cancer. PMID:23622135
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Characterisation of North American Brucella isolates from marine mammals.
Directory of Open Access Journals (Sweden)
Adrian M Whatmore
Full Text Available Extension of known ecological niches of Brucella has included the description of two novel species from marine mammals. Brucella pinnipedialis is associated predominantly with seals, while two major Brucella ceti clades, most commonly associated with porpoises or dolphins respectively, have been identified. To date there has been limited characterisation of Brucella isolates obtained from marine mammals outside Northern European waters, including North American waters. To address this gap, and extend knowledge of the global population structure and host associations of these Brucella species, 61 isolates from marine mammals inhabiting North American waters were subject to molecular and phenotypic characterisation enabling comparison with existing European isolates. The majority of isolates represent genotypes previously described in Europe although novel genotypes were identified in both B. ceti clades. Harp seals were found to carry B. pinnipedialis genotypes previously confined to hooded seals among a diverse repertoire of sequence types (STs associated with this species. For the first time Brucella isolates were characterised from beluga whales and found to represent a number of distinct B. pinnipedialis genotypes. In addition the known host range of ST27 was extended with the identification of this ST from California sea lion samples. Finally the performance of the frequently used diagnostic tool Bruce-ladder, in differentiating B. ceti and B. pinnipedialis, was critically assessed based on improved knowledge of the global population structure of Brucella associated with marine mammals.
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Directory of Open Access Journals (Sweden)
Salvador Peniche Camps
2017-06-01
Full Text Available Ecological Economics studies social metabolism; that is, the material and energy flow into and out of the economy. Using the ecological economics perspective, we analyse the transformation of the economic landscape of the Santiago river basin, Mexico. We discuss why the appropriation of water resources is one of the most important drivers of North American economic integration. We argue that the theoretical model of neo-extractivism can explain the dynamics of social metabolism behind the North American Free Trade Agreement (NAFTA.
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North American NGL exciting times are just ahead
International Nuclear Information System (INIS)
Gist, R.L.; Otto, K.W.
1998-01-01
Although it is a fairly conservative consulting company, Purvin and Gertz believes that exciting times are just ahead for the North American NGL industry. In the United States, NGL production will be rising rapidly, particularly in the Gulf of Mexico offshore from Louisiana. Demand will also be increasing in many sectors, with the largest increases as petrochemical feedstocks. Similarly, in Canada natural gas export pipelines will result in higher gas and NGL production. Petrochemicals will also play a large role in rapidly rising demand for NGL. Lastly, in Mexico quickly growing demand for natural gas to produce electrical power will push up NGL production
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Antioxidant capacities of ten edible North American plants.
Acuña, Ulyana Muñoz; Atha, Daniel E; Ma, Jun; Nee, Michael H; Kennelly, Edward J
2002-02-01
The EtOAc extract obtained from ten edible North American plants, Acorus calamus, Clintonia borealis, Gaultheria shallon, Juniperus osteosperma, Opuntia polyacantha, Prunus americana, Prunus virginiana, Sambucus cerulea, Sorbus americana and Vaccinium parvifolium, were tested in the 1,1-diphenyl-2-picrylhydrazyl (DPPH) free radical assay. High antioxidant activity was obtained from the extracts of three fruits, Gaultheria shallon, Sambucus cerulea and Prunus americana and one extracted rhizome, Acorus calamus. Catechin and epicatechin, potent polyphenolic antioxidants, were identified in the EtOAc extracts of Gaultheria shallon and Sambucus cerulea by reversed-phase thin-layer chromatography (TLC) and reversed-phase high-performance liquid chromatography (HPLC). Copyright 2002 John Wiley & Sons, Ltd.
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E. J. Fichtner; D. M. Rizzo; S. A. Kirk; J. F. Webber
2011-01-01
Phytophthora kernoviae exhibits comparable epidemiology to Phytophthora ramorum in invaded UK woodlands. Because both pathogens have an overlapping geographic range in the UK and often concurrently invade the same site, it is speculated that P. kernoviae may also invade North American (NA) forests...
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Pancreatic Cancer-Derived Exosomes Cause Paraneoplastic β-cell Dysfunction.
Javeed, Naureen; Sagar, Gunisha; Dutta, Shamit K; Smyrk, Thomas C; Lau, Julie S; Bhattacharya, Santanu; Truty, Mark; Petersen, Gloria M; Kaufman, Randal J; Chari, Suresh T; Mukhopadhyay, Debabrata
2015-04-01
Pancreatic cancer frequently causes diabetes. We recently proposed adrenomedullin as a candidate mediator of pancreatic β-cell dysfunction in pancreatic cancer. How pancreatic cancer-derived adrenomedullin reaches β cells remote from the cancer to induce β-cell dysfunction is unknown. We tested a novel hypothesis that pancreatic cancer sheds adrenomedullin-containing exosomes into circulation, which are transported to β cells and impair insulin secretion. We characterized exosomes from conditioned media of pancreatic cancer cell lines (n = 5) and portal/peripheral venous blood of patients with pancreatic cancer (n = 20). Western blot analysis showed the presence of adrenomedullin in pancreatic cancer-exosomes. We determined the effect of adrenomedullin-containing pancreatic cancer exosomes on insulin secretion from INS-1 β cells and human islets, and demonstrated the mechanism of exosome internalization into β cells. We studied the interaction between β-cell adrenomedullin receptors and adrenomedullin present in pancreatic cancer-exosomes. In addition, the effect of adrenomedullin on endoplasmic reticulum (ER) stress response genes and reactive oxygen/nitrogen species generation in β cells was shown. Exosomes were found to be the predominant extracellular vesicles secreted by pancreatic cancer into culture media and patient plasma. Pancreatic cancer-exosomes contained adrenomedullin and CA19-9, readily entered β cells through caveolin-mediated endocytosis or macropinocytosis, and inhibited insulin secretion. Adrenomedullin in pancreatic cancer exosomes interacted with its receptor on β cells. Adrenomedullin receptor blockade abrogated the inhibitory effect of exosomes on insulin secretion. β cells exposed to adrenomedullin or pancreatic cancer exosomes showed upregulation of ER stress genes and increased reactive oxygen/nitrogen species. Pancreatic cancer causes paraneoplastic β-cell dysfunction by shedding adrenomedullin(+)/CA19-9(+) exosomes into
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The epidemiology of pancreatitis and pancreatic cancer.
Yadav, Dhiraj; Lowenfels, Albert B
2013-06-01
Acute pancreatitis is one of the most frequent gastrointestinal causes of hospital admission in the United States. Chronic pancreatitis, although lower in incidence, significantly reduces patients' quality of life. Pancreatic cancer is associated with a high mortality rate and is one of the top 5 causes of death from cancer. The burden of pancreatic disorders is expected to increase over time. The risk and etiology of pancreatitis differ with age and sex, and all pancreatic disorders affect the black population more than any other race. Gallstones are the most common cause of acute pancreatitis, and early cholecystectomy eliminates the risk of future attacks. Alcohol continues to be the single most important risk factor for chronic pancreatitis. Smoking is an independent risk factor for acute and chronic pancreatitis, and its effects could synergize with those of alcohol. Significant risk factors for pancreatic cancer include smoking and non-O blood groups. Alcohol abstinence and smoking cessation can alter the progression of pancreatitis and reduce recurrence; smoking cessation is the most effective strategy to reduce the risk of pancreatic cancer. Copyright © 2013 AGA Institute. Published by Elsevier Inc. All rights reserved.
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International Nuclear Information System (INIS)
Kim, Eun Kyung; Kim, Ki Whang; Lee, Jong Tae; Kim, Hee Soo; Yoo, Hyung Sik; Yu, Jeong Sik; Yoon, Sang Wook
1995-01-01
To differentiate the pancreatic adenocarcinoma from focal pancreatitis on CT and ERCP in cases of focal pancreatic enlargement. We analysed CT findings of 66 patients of pancreatic adenocarcinoma (n = 45) or focal pancreatitis (n = 21) with respect to size, density, calcification, pancreatic or biliary duct dilatation, fat plane obliteration around the vessels, direction of retroperitoneal extension, lymphadenopathy, pseudocyst formation and atrophy of pancreas. ERCP available in 48 patients were analysed in respect to morphologic appearance of CBD and pancreatic duct, and distance between the two ducts. The patients in focal pancreatitis were younger with more common history of alcohol drinking. There was no statistical difference in calcifications of the mass (18% in the adenocarcinoma, 33% in the focal pancreatitis), but a tendency of denser, larger number of calcifications was noted in focal pancreatitis. The finding of fat plane obliteration around the vessels were more common in pancreatic adenocarcinoma, and fascial thickenings were more prominent in focal pancreatitis, although not statistically significant. On ERCP, there were no differential points of CBD, pancreatic duct morphology, but distance between the two ducts at the lesion center was more wider in focal pancreatitis. Differentiating focal pancreatitis from pancreatic adenocarcinoma is difficult. However, we should consider the possibility of focal pancreatitis in cases of patients with young age, having alcoholic history in association with CT findings of large numbers of and dense calcifications, and ERCP findings of prominent separation of two duct at the lesion center
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Natural Selection and Origin of a Melanistic Allele in North American Gray Wolves.
Schweizer, Rena M; Durvasula, Arun; Smith, Joel; Vohr, Samuel H; Stahler, Daniel R; Galaverni, Marco; Thalmann, Olaf; Smith, Douglas W; Randi, Ettore; Ostrander, Elaine A; Green, Richard E; Lohmueller, Kirk E; Novembre, John; Wayne, Robert K
2018-05-01
Pigmentation is often used to understand how natural selection affects genetic variation in wild populations since it can have a simple genetic basis, and can affect a variety of fitness-related traits (e.g., camouflage, thermoregulation, and sexual display). In gray wolves, the K locus, a β-defensin gene, causes black coat color via a dominantly inherited KB allele. The allele is derived from dog-wolf hybridization and is at high frequency in North American wolf populations. We designed a DNA capture array to probe the geographic origin, age, and number of introgression events of the KB allele in a panel of 331 wolves and 20 dogs. We found low diversity in KB, but not ancestral ky, wolf haplotypes consistent with a selective sweep of the black haplotype across North America. Further, North American wolf KB haplotypes are monophyletic, suggesting that a single adaptive introgression from dogs to wolves most likely occurred in the Northwest Territories or Yukon. We use a new analytical approach to date the origin of the KB allele in Yukon wolves to between 1,598 and 7,248 years ago, suggesting that introgression with early Native American dogs was the source. Using population genetic simulations, we show that the K locus is undergoing natural selection in four wolf populations. We find evidence for balancing selection, specifically in Yellowstone wolves, which could be a result of selection for enhanced immunity in response to distemper. With these data, we demonstrate how the spread of an adaptive variant may have occurred across a species' geographic range.
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Obesity adversely affects survival in pancreatic cancer patients.
McWilliams, Robert R; Matsumoto, Martha E; Burch, Patrick A; Kim, George P; Halfdanarson, Thorvardur R; de Andrade, Mariza; Reid-Lombardo, Kaye; Bamlet, William R
2010-11-01
Higher body-mass index (BMI) has been implicated as a risk factor for developing pancreatic cancer, but its effect on survival has not been thoroughly investigated. The authors assessed the association of BMI with survival in a sample of pancreatic cancer patients and used epidemiologic and clinical information to understand the contribution of diabetes and hyperglycemia. A survival analysis using Cox proportional hazards by usual adult BMI was performed on 1861 unselected patients with pancreatic adenocarcinoma; analyses were adjusted for covariates that included clinical stage, age, and sex. Secondary analyses incorporated self-reported diabetes and fasting blood glucose in the survival model. BMI as a continuous variable was inversely associated with survival from pancreatic adenocarcinoma (hazard ratio [HR], 1.019 for each increased unit of BMI [kg/m2], PFasting blood glucose and diabetes did not affect the results. Higher BMI is associated with decreased survival in pancreatic cancer. Although the mechanism of this association remains undetermined, diabetes and hyperglycemia do not appear to account for the observed association. Copyright © 2010 American Cancer Society.
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Atanycolus cappaerti Marsh and Strazanac is a native North American parasitoid that has been found to parasitize the emerald ash borer, Agrilus planipennis Fairmaire, a serious invasive pests of North American ash trees (Fraxinus spp.). To facilitate the development of potential augmentative biocon...
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Transition problems in economic reform: agriculture in the North American free trade agreement
van Wijnbergen, S.J.G.
1995-01-01
Investigates the effecto of the North American Free Trade Agreement on agriculture in Mexico. Implications on policy design for the absence of efficient capital markets, on the welfare costs of reforming gradually, on incentive problems created by trade adjustement policies and on the redistribution
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K.J. Garner; J.M. Slavicek
1996-01-01
The recent introduction of the Asian gypsy moth (Lymantria dispar L.) into North America has necessitated the development of genetic markers to distinguish Asian moths from the established North American population, which originated in Europe. We used RAPD-PCR to identify a DNA length polymorphism that is diagnostic for the two moth strains. The...
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Kokes Awards for the 23rd North American Catalysis Society Meeting
Energy Technology Data Exchange (ETDEWEB)
Jacobs, Gary [University of Kentucky Research Foundation, Lexington, KY (United States)
2014-01-31
The Tri-State Catalysis Society awarded 107 Kokes Travel Awards. The program was very successful and to date this was the most Kokes Travel Awards ever awarded at a North American Catalysis Society Meeting. It provided students who merited an award the opportunity to attend the meeting, present a paper in the form of either an oral presentation or a poster presentation, and to serve the North American Catalysis Society by participating in the organization of the meeting. Students worked very hard during the week of the meeting to make it a success. Financial support for the Kokes awards was provided by DOE, NSF, NACS, as well as the Tri-State Catalysis Society, the latter through fund raising activities, and other donations. AT the meeting, each student received over $1050 in kind to offset the costs of registration fees ($260), hotel accommodations ($295.7), transportation ($400 travel allowance), as well as T-shirts ($20), and banquet tickets ($95 provided by donations from society members). In addition, for the first time, students received certificates that were signed by the President of NACS, Professor Enrique Iglesia, and by the Kokes Awards Chair, Gary Jacobs (see last page). A list of meeting co-chairs (i.e., Uschi M. Graham, Umit S. Ozkan, and Madan Bhassin) and the honorary chair (Burtron H. Davis) was also included on the certificate, along with the name of the recipient. The awardees were chosen on a merit-based guideline which also included the requirements of having a presentation accepted at the meeting and being a student at a North American University. The Richard J. Kokes Student Travel Award Committee (Gary Jacobs, Rodney Andrews, and Peter Smirniotis) with help from the Organizing Committee were able to secure money from four sources as detailed in Table 1. As detailed by our Treasurer, Dr. Helge Toufar of Clariant, the total amount spent was $105,000.
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Autoimmune pancreatitis can develop into chronic pancreatitis
2014-01-01
Autoimmune pancreatitis (AIP) has been recognized as a distinct type of pancreatitis that is possibly caused by autoimmune mechanisms. AIP is characterized by high serum IgG4 and IgG4-positive plasma cell infiltration in affected pancreatic tissue. Acute phase AIP responds favorably to corticosteroid therapy and results in the amelioration of clinical findings. However, the long-term prognosis and outcome of AIP remain unclear. We have proposed a working hypothesis that AIP can develop into ordinary chronic pancreatitis resembling alcoholic pancreatitis over a long-term course based on several clinical findings, most notably frequent pancreatic stone formation. In this review article, we describe a series of study results to confirm our hypothesis and clarify that: 1) pancreatic calcification in AIP is closely associated with disease recurrence; 2) advanced stage AIP might have earlier been included in ordinary chronic pancreatitis; 3) approximately 40% of AIP patients experience pancreatic stone formation over a long-term course, for which a primary risk factor is narrowing of both Wirsung’s and Santorini’s ducts; and 4) nearly 20% of AIP patients progress to confirmed chronic pancreatitis according to the revised Japanese Clinical Diagnostic Criteria, with independent risk factors being pancreatic head swelling and non-narrowing of the pancreatic body duct. PMID:24884922
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Autoimmune pancreatitis can develop into chronic pancreatitis.
Maruyama, Masahiro; Watanabe, Takayuki; Kanai, Keita; Oguchi, Takaya; Asano, Jumpei; Ito, Tetsuya; Ozaki, Yayoi; Muraki, Takashi; Hamano, Hideaki; Arakura, Norikazu; Kawa, Shigeyuki
2014-05-21
Autoimmune pancreatitis (AIP) has been recognized as a distinct type of pancreatitis that is possibly caused by autoimmune mechanisms. AIP is characterized by high serum IgG4 and IgG4-positive plasma cell infiltration in affected pancreatic tissue. Acute phase AIP responds favorably to corticosteroid therapy and results in the amelioration of clinical findings. However, the long-term prognosis and outcome of AIP remain unclear. We have proposed a working hypothesis that AIP can develop into ordinary chronic pancreatitis resembling alcoholic pancreatitis over a long-term course based on several clinical findings, most notably frequent pancreatic stone formation. In this review article, we describe a series of study results to confirm our hypothesis and clarify that: 1) pancreatic calcification in AIP is closely associated with disease recurrence; 2) advanced stage AIP might have earlier been included in ordinary chronic pancreatitis; 3) approximately 40% of AIP patients experience pancreatic stone formation over a long-term course, for which a primary risk factor is narrowing of both Wirsung's and Santorini's ducts; and 4) nearly 20% of AIP patients progress to confirmed chronic pancreatitis according to the revised Japanese Clinical Diagnostic Criteria, with independent risk factors being pancreatic head swelling and non-narrowing of the pancreatic body duct.
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Pancreatic Exocrine Insufficiency in Pancreatic Cancer
Directory of Open Access Journals (Sweden)
Miroslav Vujasinovic
2017-02-01
Full Text Available Abstract: Cancer patients experience weight loss for a variety of reasons, commencing with the tumor’s metabolism (Warburg effect and proceeding via cachexia to loss of appetite. In pancreatic cancer, several other factors are involved, including a loss of appetite with a particular aversion to meat and the incapacity of the pancreatic gland to function normally when a tumor is present in the pancreatic head. Pancreatic exocrine insufficiency is characterized by a deficiency of the enzymes secreted from the pancreas due to the obstructive tumor, resulting in maldigestion. This, in turn, contributes to malnutrition, specifically a lack of fat-soluble vitamins, antioxidants, and other micronutrients. Patients with pancreatic cancer and pancreatic exocrine insufficiency have, overall, an extremely poor prognosis with regard to surgical outcome and overall survival. Therefore, it is crucial to be aware of the mechanisms involved in the disease, to be able to diagnose pancreatic exocrine insufficiency early on, and to treat malnutrition appropriately, for example, with pancreatic enzymes.
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Pancreatic Exocrine Insufficiency in Pancreatic Cancer.
Vujasinovic, Miroslav; Valente, Roberto; Del Chiaro, Marco; Permert, Johan; Löhr, J-Matthias
2017-02-23
Abstract : Cancer patients experience weight loss for a variety of reasons, commencing with the tumor's metabolism (Warburg effect) and proceeding via cachexia to loss of appetite. In pancreatic cancer, several other factors are involved, including a loss of appetite with a particular aversion to meat and the incapacity of the pancreatic gland to function normally when a tumor is present in the pancreatic head. Pancreatic exocrine insufficiency is characterized by a deficiency of the enzymes secreted from the pancreas due to the obstructive tumor, resulting in maldigestion. This, in turn, contributes to malnutrition, specifically a lack of fat-soluble vitamins, antioxidants, and other micronutrients. Patients with pancreatic cancer and pancreatic exocrine insufficiency have, overall, an extremely poor prognosis with regard to surgical outcome and overall survival. Therefore, it is crucial to be aware of the mechanisms involved in the disease, to be able to diagnose pancreatic exocrine insufficiency early on, and to treat malnutrition appropriately, for example, with pancreatic enzymes.
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CT diagnosis of pancreatic carcinoma and chronic pancreatitis
International Nuclear Information System (INIS)
Luan Baoqing; Jin Erhu; Zhang Lizhen; Jiang Haibin
1997-01-01
To improve the diagnostic accuracy of pancreatic carcinoma and chronic pancreatitis. The CT findings of 154 cases with pancreatic carcinoma, chronic pancreatitis and mis-diagnosed other pancreatic diseases proven clinically and pathologically were analysed. Slice thickness of 8 mm and slice interval of 8 mm were used and thin-section scan and enhancement study were performed in some cases. The main signs in degassing and differential diagnosis between pancreatic carcinoma and chronic pancreatitis included: (1) focal or diffuse enlargement and density abnormality of pancreas; (2) dilated common bile duct was suddenly obstructed, peripancreatic blood vessels were invaded and cancerous thrombus was revealed, enlargement of abdominal lymph nodes and metastasis in the liver were discovered; (3) calcium deposit in the pancreatic duct area and dilated pancreatic duct which passed through the lesion or not; (4) presence and location of pancreatic cyst and its relationship to pancreatic contour. CT is the imaging modality of choice in the diagnosis of pancreatic carcinoma and chronic pancreatitis at present. The diagnostic accuracy of CT was over 90% in this series
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Chronic pancreatitis - chronic; Pancreatitis - chronic - discharge; Pancreatic insufficiency - chronic; Acute pancreatitis - chronic ... abuse over many years. Repeated episodes of acute pancreatitis can lead to chronic pancreatitis. Genetics may be ...
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Cross-cultural similarities and differences in North Americans' geographic location judgments.
Friedman, Alinda; Kerkman, Dennis D; Brown, Norman R; Stea, David; Cappello, Hector M
2005-12-01
We examined some potential causes of bias in geographic location estimates by comparing location estimates of North American cities made by Canadian, U.S., and Mexican university students. All three groups placed most Mexican cities near the equator, which implies that all three groups were influenced by shared beliefs about the locations of geographical regions relative to global reference points. However, the groups divided North America into different regions and differed in the relative accuracy of the estimates within them, which implies that there was an influence of culture-specific knowledge. The data support a category-based system of plausible reasoning, in which biases in judgments are multiply determined, and underscore the utility of the estimation paradigm as a tool in cross-cultural cognitive research.
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Wall, M A; Olson, D; Bonn, B A; Creelman, T; Buist, A S
1982-02-01
Reference standards of lung function was determined in 176 healthy North American Indian children (94 girls, 82 boys) 7 to 18 yr of age. Spirometry, maximal expiratory flow volume curves, and peak expiratory flow rate were measured using techniques and equipment recommended by the American Thoracic Society. Standing height was found to be an accurate predictor of lung function, and prediction equations for each lung function variable are presented using standing height as the independent variable. Lung volumes and expiratory flow rates in North American Indian children were similar to those previously reported for white and Mexican-American children but were greater than those in black children. In both boys and girls, lung function increased in a curvilinear fashion. Volume-adjusted maximal expiratory flow rates after expiring 50 or 75% of FVC tended to decrease in both sexes as age and height increased. Our maximal expiratory flow volume curve data suggest that as North American Indian children grow, lung volume increases at a slightly faster rate than airway size does.
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Cohnstaedt, Lee W; Snyder, Darren; Maki, Elin; Schafer, Shawn
2016-06-30
Crowdsourcing is obtaining needed services, ideas, or content by soliciting contributions from a large group of people. This new method of acquiring data works well for single reports, but fails when long-term data collection is needed, mainly due to reporting fatigue or failure of repeated sampling by individuals. To establish a crowdsourced collections network researchers must recruit, reward, and retain contributors to the project. These 3 components of crowdsourcing are discussed using the United States Department of Agriculture social networks, the Cervid Disease Network, and the North American Mosquito Project. The North American Mosquito Project is a large network of professional mosquito control districts and public health agencies, which collects mosquito specimens for genetic studies. The Cervid Disease Network is a crowd-sourced disease monitoring system, which uses voluntary sentinel farms or wildlife programs throughout the United States of America to report the onset and severity of diseases in local areas for pathogen surveillance studies.
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Social Determinants of Traumatic Brain Injury in the North American Indigenous Population: A Review.
Zeiler, Kaitlin J; Zeiler, Frederick A
2017-09-01
Given the difficult to navigate literature on social determinants in Indigenous traumatic brain injury (TBI) we wished to identify all available literature on the social determinants of health linked to TBI in the North American Indigenous populations. We performed a systematically conducted review. We searched MEDLINE, BIOSIS, EMBASE, Global Health, SCOPUS, and Cochrane Library from inception to January 2016. A two-step review process of the search results was performed, applying defined inclusion/exclusion criteria. The final group of articles had the data extracted and summarized. Ten manuscripts were identified to discuss some social determinant linked to TBI in the North American Indigenous populations. Two studies were focused on Canadian populations, with the remaining 8 studies focused on populations within the United States. Six social health determinants were identified within the studies, including: Rural location (Physical Environment) in seven studies, Male gender in five studies and Female gender in one study (in the setting of interpersonal violence) (Gender), Substance use in four studies and failure to utilize personal protective equipment in one study (Personal Health Practices and Coping Skills), Interpersonal Violence in one study (Social Environment), availability of rehabilitation services in one study (Health Services), and lack of family and friend presence during meetings with healthcare professionals in one study (Social Support Network). To date, little literature is available on the social determinants that impact TBI in the North American Indigenous population. Further research is warranted to better determine the incidence and social determinants associated.
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Quest for professionalism: a biography of the North American Medical and Surgical Journal (1826-31).
Shultz, S M
2011-08-01
This is the biography of a deceased medical journal, the North American Medical and Surgical Journal, born in 1826 in Philadelphia. It was a publication of the Philadelphia Chapter of the Kappa Lambda Society. In the prospectus of the North American Medical and Surgical Journal the promoters observed that a well-conducted journal would achieve the object of elevating the medical profession to its legitimate rank which up to that time had been the recipient of low public opinion. The Journal hoped to inculcate 'a higher standard of excellence not merely in the professional or ministrative but also in the ethical relations and duties of physicians'. After several successful and productive years it passed into history in October 1831, the victim of financial difficulty.
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Xiang, Kun-Li; Erst, Andrey S; Xiang, Xiao-Guo; Jabbour, Florian; Wang, Wei
2018-05-24
Numerous studies have favored dispersal (colonization) over vicariance (past fragmentation) events to explain eastern Asian-North American distribution patterns. In plants, however the disjunction between eastern Asia and western North America has been rarely examined using the integration of phylogenetic, molecular dating, and biogeographical methods. Meanwhile, the biogeographic patterns within eastern Asia remain poorly understood. The goldthread genus Coptis Salisb. includes 15 species disjunctly distributed in North America, Japan, mainland China, and Taiwan. We present a dated phylogeny for Coptis under the optimal clock model and infer its historical biogeography by comparing different biogeographic models. The split of Coptis and Xanthorhiza Marshall occurred in the middle Miocene (ca. 15.47 Ma). Coptis started their diversification in the early late Miocene (ca. 9.55 Ma). A late Miocene vicariance event resulted in the eastern Asian and western North American disjunction in the genus. Within eastern Asia, dispersals from mainland Asia to Japan and from Japan to Taiwan occurred at ca. 4.85 Ma and at ca. 1.34 Ma, respectively. Our analyses provide evidence that both vicariance and dispersal events have played important roles in shaping the current distribution and endemism of Coptis, likely resulting from eustatic sea-level changes, mountain formation processes and an increasing drier and cooler climate from the middle Miocene onwards.
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Pancreatic fibrosis correlates with exocrine pancreatic insufficiency after pancreatoduodenectomy.
Tran, T C K; van 't Hof, G; Kazemier, G; Hop, W C; Pek, C; van Toorenenbergen, A W; van Dekken, H; van Eijck, C H J
2008-01-01
Obstruction of the pancreatic duct can lead to pancreatic fibrosis. We investigated the correlation between the extent of pancreatic fibrosis and the postoperative exocrine and endocrine pancreatic function. Fifty-five patients who were treated for pancreatic and periampullary carcinoma and 19 patients with chronic pancreatitis were evaluated. Exocrine pancreatic function was evaluated by fecal elastase-1 test, while endocrine pancreatic function was assessed by plasma glucose level. The extent of fibrosis, duct dilation and endocrine tissue loss was examined histopathologically. A strong correlation was found between pancreatic fibrosis and elastase-1 level less than 100 microg/g (p pancreatic insufficiency. A strong correlation was found between pancreatic fibrosis and endocrine tissue loss (p pancreatic fibrosis nor endocrine tissue loss were correlated with the development of postoperative diabetes mellitus. Duct dilation alone was neither correlated with exocrine nor with endocrine function loss. The majority of patients develop severe exocrine pancreatic insufficiency after pancreatoduodenectomy. The extent of exocrine pancreatic insufficiency is strongly correlated with preoperative fibrosis. The loss of endocrine tissue does not correlate with postoperative diabetes mellitus. Preoperative dilation of the pancreatic duct per se does not predict exocrine or endocrine pancreatic insufficiency postoperatively. Copyright 2008 S. Karger AG, Basel.
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Genetic susceptibility factors for alcohol-induced chronic pancreatitis.
Aghdassi, Ali A; Weiss, F Ulrich; Mayerle, Julia; Lerch, Markus M; Simon, Peter
2015-07-01
Chronic pancreatitis is a progressive inflammatory disease of the pancreas and frequently associated with immoderate alcohol consumption. Since only a small proportion of alcoholics eventually develop chronic pancreatitis genetic susceptibility factors have long been suspected to contribute to the pathogenesis of the disease. Smaller studies in ethnically defined populations have found that not only polymorphism in proteins involved in the metabolism of ethanol, such as Alcohol Dehydrogenase and Aldehyde Dehydrogenase, can confer a risk for developing chronic pancreatitis but also mutations that had previously been reported in association with idiopathic pancreatitis, such as SPINK1 mutations. In a much broader approach employing genome wide search strategies the NAPS study found that polymorphisms in the Trypsin locus (PRSS1 rs10273639), and the Claudin 2 locus (CLDN2-RIPPLY1-MORC4 locus rs7057398 and rs12688220) confer an increased risk of developing alcohol-induced pancreatitis. These results from North America have now been confirmed by a European consortium. In another genome wide approach polymorphisms in the genes encoding Fucosyltransferase 2 (FUT2) non-secretor status and blood group B were not only found in association with higher serum lipase levels in healthy volunteers but also to more than double the risk for developing alcohol-associated chronic pancreatitis. These novel genetic associations will allow to investigate the pathophysiological and biochemical basis of alcohol-induced chronic pancreatitis on a cellular level and in much more detail than previously possible. Copyright © 2015 IAP and EPC. Published by Elsevier B.V. All rights reserved.
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Stram, Michelle; Liu, Shu; Singhi, Aatur D
2016-12-01
Chronic pancreatitis is a debilitating condition often associated with severe abdominal pain and exocrine and endocrine dysfunction. The underlying cause is multifactorial and involves complex interaction of environmental, genetic, and/or other risk factors. The pathology is dependent on the underlying pathogenesis of the disease. This review describes the clinical, gross, and microscopic findings of the main subtypes of chronic pancreatitis: alcoholic chronic pancreatitis, obstructive chronic pancreatitis, paraduodenal ("groove") pancreatitis, pancreatic divisum, autoimmune pancreatitis, and genetic factors associated with chronic pancreatitis. As pancreatic ductal adenocarcinoma may be confused with chronic pancreatitis, the main distinguishing features between these 2 diseases are discussed. Copyright © 2016 Elsevier Inc. All rights reserved.
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Survey on current hydrotherapy use among North American burn centers.
Davison, Peter G; Loiselle, Frederick B; Nickerson, Duncan
2010-01-01
The authors have reviewed hydrotherapy practices in North American burn centers and described the epidemiology of hydrotherapy-associated nosocomial infections. A web-based survey was distributed to the directors of all burn care facilities listed by the American Burn Association. Questions addressed aspects of practice, including the method, additives, disposable liners, decontamination practices, nosocomial pathogens, and perceptions regarding the "ideal" method of hydrotherapy. The response rate was 44%, 59 of 142 centers, or 827 of 1900 beds. Hydrotherapy is regularly used by 83% of centers. Among these centers, 10% use exclusively immersion hydrotherapy (IH), 54% use exclusively shower cart hydrotherapy (SCH), and 35% use a combination of IH and SCH. Disposable liners are used at 80% of centers. Tap water alone is used by 51% of centers, 27% add detergent, 16% chlorhexidine, and 7% povidone-iodine. The majority of centers (57%) do not routinely culture their hydrotherapy equipment, 20% culture weekly, 7% monthly, and 17% less than once per month. Directors believe that Pseudomonas aeruginosa, methicillin-sensitive Staphylococcus aureus, and methicillin-resistant S. aureus are the most common nosocomial pathogens, followed by Acinetobacter species and Candida albicans. The relative frequency of occurrence of the first three pathogens did not vary with regard to the hydrotherapy method used. Given the opportunity to redesign, 45% of burn unit directors would implement SCH only, 42% a combination of SCH and IH, 2% exclusively IH, and 11% no hydrotherapy or bedside irrigation only. The prevalence of hydrotherapy use at North American burn centers has decreased since 1990 (83% vs 95%), yet continues to be used at the majority of centers. The use of IH has also declined (55% vs 81%). The trend away from the exclusive use of IH will likely continue, because more centers incorporate showering methods.
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Manabe-Kim, Rie
2012-01-01
This study focused on presenting the fieldwork findings derived from studying North-American missionaries' relational dynamics with the Japanese people, and the strategies that impacted their language-culture learning. This study also focused on applying the fieldwork findings towards the creation of a coaching model designed to help missionaries…
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Pancreatic cancer risk in hereditary pancreatitis
Directory of Open Access Journals (Sweden)
Frank Ulrich Weiss
2014-02-01
Full Text Available Inflammation is part of the body’s immune response in order to remove harmful stimuli – like pathogens, irritants or damaged cells - and start the healing process. Recurrent or chronic inflammation on the other side seems a predisposing factor for carcinogenesis and has been found associated with cancer development. In chronic pancreatitis mutations of the cationic trypsinogen (PRSS1 gene have been identified as risk factors of the disease. Hereditary pancreatitis is a rare cause of chronic pancreatic inflammation with an early onset, mostly during childhood. Hereditary pancreatitis often starts with recurrent episodes of acute pancreatitis and the clinical phenotype is not very much different from other etiologies of the disease. The long-lasting inflammation however generates a tumor promoting environment and represents a major risk factor for tumor development This review will reflect our knowledge concerning the specific risk of hereditary pancreatitis patients to develop pancreatic cancer.
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Warshaw, Erin M; Hagen, Solveig L; DeKoven, Joel G; Zug, Kathryn A; Sasseville, Denis; Belsito, Donald V; Zirwas, Matthew J; Fowler, Joseph F; Taylor, James S; Fransway, Anthony F; DeLeo, Vincent A; Marks, James G; Pratt, Melanie D; Maibach, Howard I; Mathias, C G Toby
Little is known about the epidemiology of contact dermatitis in production workers (PWs). The aims of this study were to estimate the prevalence of contact dermatitis and characterize clinically relevant and occupationally related allergens among North American PWs undergoing patch testing. This was a retrospective cross-sectional analysis of North American Contact Dermatitis Group data from 1998 to 2014. Of 39,332 patch-tested patients, 2732 (7.0%) were PWs. Among PWs, most were men (62.4%) and white (83.9%). A history of childhood eczema was uncommon (11.3%). Prevalent occupations included machine operators (27.3%); fabricators, assemblers, and hand-working occupations (16.8%); and precision metalworking occupations (16.1%). The most frequent sites of dermatitis were the hands (53.8%) and arms (29.4%), which were significantly more commonly affected compared with non-PWs (P contact dermatitis, and irritant contact dermatitis were also significantly more common in PWs (49.9% vs 10.6%, 58.9% vs 53.7%, and 32.7% vs 25.7%, respectively; all Ps contact dermatitis. Involvement of exposed body areas was common. Frequently identified allergens included adhesives/glues, rubber accelerators, metals, and preservatives.
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Sanchez, S. C.; Charles, C. D.; Carriquiry, J. D.
2015-12-01
The last few years of record-breaking climate anomalies across North America--a resilient atmospheric ridge and extreme drought over the West Coast, and severe winters across the Midwest and East Coast regions--have been linked to anomalous Pacific sea surface temperatures (Seager et al. 2014, Wang et al. 2014, Hartmann 2015). The synoptic associations prompt important questions on the relation between these unusual phenomena and extreme expressions of known Pacific decadal modes, such as the North Pacific Gyre Oscillation (NPGO). These questions motivate our pursuit to document multiple realizations of decadal variability in the Pacific-North American region through periods of varied radiative forcing. Here we introduce a 178 year, seasonally resolved Porites coral record from Clarion Island (18N, 115W), the westernmost island of the Revillagigedo Archipelago, a region both highly influenced by NPGO SST and SSS variability and critical for NPGO tropical-extratropical communication via the Seasonal Footprinting Mechanism (Vimont et al. 2003). When coupled with tree ring records from the western United States (Griffin and Anchukaitis 2014, MacDonald and Case 2005) and coral records from the central tropical Pacific (Cobb et al. 2001), the δ18O signal from the Clarion coral offers an extended framework of coherent continental hydroclimate and oceanic variability across the Pacific basin beyond the instrumental record. Over the last 200 years, we find clear commonality in the timing, magnitude and spatial expression of variability (illustrated through the NADA Atlas, Cook et al. 2004) amongst the proxy records. The strong relationship between Northeastern Pacific Clarion and the Central Pacific Palmyra record with the North American hydroclimate records can be viewed within the mechanistic framework of the NPGO; this framework is then explored over the last millennium across intervals of varied radiative forcing.
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Biggins, D.E.; Kosoy, M.Y.
2001-01-01
Intercontinental movements of invasive species continue to modify the world's ecosystems. The plague bacterium (Yersinia pestis) has colonized and altered animal communities worldwide but has received much more attention as a human pathogen. We reviewed studies on the ecology of Y. pestis in ancient foci of central Asia and in western North America, where the bacterium apparently has become established much more recently. Although rodent populations on both continents are affected dramatically by epizootics of plague, the epidemiologically important species of Asia demonstrate resistance in portions of their populations, whereas those of North America are highly susceptible. Individual variation in resistance, which is widespread in Asian rodents and allows a microevolutionary response, has been documented in few North American species of rodents. Plague increases costs of sociality and coloniality in susceptible hosts, increases benefits of disease resistance in general, and increases benefits of adaptability to variable environments for species at higher trophic levels. Prairie dogs (Cynomys) epitomize taxa with high risk to plague because prairie dogs have uniformly low resistance to plague and are highly social. Relationships to plague are poorly understood for many North American rodents, but more than one-half of the species of conservation concern occur within the geographic range of plague.
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Modeling and Synthesis Support for the North American Carbon Program
Baskaran, L.; Cook, R. B.; Thornton, P. E.; Post, W. M.; Wilson, B. E.; Dadi, U.
2007-12-01
The Modeling and Synthesis Thematic Data Center (MAST-DC) supports the North American Carbon Program by providing data products and data management services needed for modeling and synthesis activities. The overall objective of MAST-DC is to provide advanced data management support to NACP investigators doing modeling and synthesis, thereby freeing those investigators from having to perform data management functions. MAST-DC has compiled a number of data products for North America, including sub-pixel land-water content, daily meteorological data, and soil, land cover, and elevation data. In addition, we have developed an internet-based WebGIS system that enables users to browse, query, display, subset, and download spatial data using a standard web browser. For the mid-continent intensive, MAST-DC is working with a group of data assimilation modelers to generate a consistent set of meteorological data to drive bottom-up models.
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The competitive environment of the North American energy marketing industry
International Nuclear Information System (INIS)
Tonkin, S.L.
1999-01-01
Various issues regarding U.S. wholesale energy marketing were discussed with particular emphasis on how energy marketing is changing industries in North America. In 1998, the energy industry reported a growth in revenue of 26 per cent despite declining natural gas prices. It was emphasized that several major competitive issues need to be addressed by industry competitors in order to operate in this unpredictable market. These issues include profitability, market volatility and mergers and acquisitions. This paper presented a list of the top 10 North American Energy marketers in 1998. Although the number of marketers in the energy sector continues to grow, it is expected that the numbers will decline significantly within three years. This will be due mostly to the continuation of major mergers and acquisitions. It was concluded that in general, energy marketing may become an even more attractive industry because of increasing operating margins. 5 tabs., 2 figs
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Energy Technology Data Exchange (ETDEWEB)
Rutledge, I.; Wright, Ph. [Sheffield Univ., Energy Studies Programme (United Kingdom); Wright, Ph. [Montpellier-1 Univ., CREDEN-LASER, 34 (France)
2000-09-01
This paper seeks to explore the extent to which the corporate realignments which have occurred in the North American Natural Gas Industry during a now relatively lengthy experience with liberalization involving a large number of players, will be imitated in the future by European Union countries other than the UK (which is of course already long-embarked along the path of Anglo-Saxon liberalization). The paper first of all catalogues the North American experience, drawing on company performance data assembled by the authors over the last decade (Rutledge and Wright, 1993, 1995, 1997, 1999, 2000). Secondly, this empirical exploration gives way to theoretical speculation: are there elements of the North American experience for which explanatory generalizations are possible? Thirdly, these empirical and theoretical insights are employed to identify and explore actual and potential differences in the corporate evolution of the European Union natural gas industry. (authors)
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Chronic pancreatitis - discharge; Pancreatitis - chronic - discharge; Pancreatic insufficiency - discharge; Acute pancreatitis - discharge ... You were in the hospital because you have pancreatitis. This is a swelling of the pancreas. You ...
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A New Estimate of North American Mountain Snow Accumulation From Regional Climate Model Simulations
Wrzesien, Melissa L.; Durand, Michael T.; Pavelsky, Tamlin M.; Kapnick, Sarah B.; Zhang, Yu; Guo, Junyi; Shum, C. K.
2018-02-01
Despite the importance of mountain snowpack to understanding the water and energy cycles in North America's montane regions, no reliable mountain snow climatology exists for the entire continent. We present a new estimate of mountain snow water equivalent (SWE) for North America from regional climate model simulations. Climatological peak SWE in North America mountains is 1,006 km3, 2.94 times larger than previous estimates from reanalyses. By combining this mountain SWE value with the best available global product in nonmountain areas, we estimate peak North America SWE of 1,684 km3, 55% greater than previous estimates. In our simulations, the date of maximum SWE varies widely by mountain range, from early March to mid-April. Though mountains comprise 24% of the continent's land area, we estimate that they contain 60% of North American SWE. This new estimate is a suitable benchmark for continental- and global-scale water and energy budget studies.
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DEPRESSION AND GUILT IN INDIAN AND NORTH AMERICAN PATIENTS: A COMPARATIVE STUDY
Ananth, Jambur; Engelsman, Frank; Ghadirian, A.M.; Wohl, Marcy; Shamasundara, Padmini; Narayanan, H.S.
1993-01-01
SUMMARY One hundred and nineteen Indian and one hundred and fourteen North American depressed patients were compared to assess the differences in psychopathology. The study revealed two important findings: 1) Indian patients scored significantly higher than American patients on the HAMD items of poor appetite, hypochondriasis, diurnal variation, and psychomotor retardation; and lower on the items of anxiety and middle insomnia. 2) Guilt was expressed less often by Indian patients. Guilt was more common among those who felt that God was responsible for their depression and in those who believed in reincarnation. These differences may be related to cultural factors and not to religious beliefs. PMID:21776166
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Host ranges of North American isolates of Penicillium causing blue mold of bulb crops
Single isolates of four Penicillium species belonging to series Corymbifera (Penicillium allii, P. hirsutum, P. tulipae, P. venetum) plus an isolate of P. polonicum, all from North American sources, were inoculated individually into Crocus sativus, Allium sativum (garlic), A. cepa (onion), Iris holl...
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78 FR 5778 - North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews
2013-01-28
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews AGENCY: NAFTA Secretariat, United States Section... the Panel Order and Rule 80 of the Article 1904 Panel Rules, the Panel Review was completed and the...
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78 FR 17639 - North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews
2013-03-22
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews AGENCY: NAFTA Secretariat, United States Section... Order and Rule 80 of the Article 1904 Panel Rules, the Panel Review was completed and the panelists were...
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78 FR 10600 - North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews
2013-02-14
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews AGENCY: NAFTA Secretariat, United States Section... Order and Rule 80 of the Article 1904 Panel Rules, the Panel Review was completed and the panelists were...
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78 FR 11627 - North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews
2013-02-19
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews AGENCY: NAFTA Secretariat, United States Section... Order and Rule 80 of the Article 1904 Panel Rules, the Panel Review was completed and the panelists were...
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77 FR 72325 - North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews
2012-12-05
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews AGENCY: NAFTA Secretariat, United States Section... Order and Rule 80 of the Article 1904 Panel Rules, the Panel Review was completed and the panelists were...
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... Contact Us DONATE NOW GENERAL DONATION PURPLESTRIDE Pancreatic enzymes Home Facing Pancreatic Cancer Living with Pancreatic Cancer ... and see a registered dietitian. What are pancreatic enzymes? Pancreatic enzymes help break down fats, proteins and ...
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Ma, Chunhui; Dastmalchi, Keyvan; Flores, Gema; Wu, Shi-Biao; Pedraza-Peñalosa, Paola; Long, Chunlin; Kennelly, Edward J
2013-04-10
There are many neotropical blueberries, and recent studies have shown that some have even stronger antioxidant activity than the well-known edible North American blueberries. Antioxidant marker compounds were predicted by applying multivariate statistics to data from LC-TOF-MS analysis and antioxidant assays of 3 North American blueberry species (Vaccinium corymbosum, Vaccinium angustifolium, and a defined mixture of Vaccinium virgatum with V. corymbosum) and 12 neotropical blueberry species (Anthopterus wardii, Cavendishia grandifolia, Cavendishia isernii, Ceratostema silvicola, Disterigma rimbachii, Macleania coccoloboides, Macleania cordifolia, Macleania rupestris, Satyria boliviana, Sphyrospermum buxifolium, Sphyrospermum cordifolium, and Sphyrospermum ellipticum). Fourteen antioxidant markers were detected, and 12 of these, including 7 anthocyanins, 3 flavonols, 1 hydroxycinnamic acid, and 1 iridoid glycoside, were identified. This application of multivariate analysis to bioactivity and mass data can be used for identification of pharmacologically active natural products and may help to determine which neotropical blueberry species will be prioritized for agricultural development. Also, the compositional differences between North American and neotropical blueberries were determined by chemometric analysis, and 44 marker compounds including 16 anthocyanins, 15 flavonoids, 7 hydroxycinnamic acid derivatives, 5 triterpene glycosides, and 1 iridoid glycoside were identified.
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The impact of West Nile virus on the abundance of selected North American birds
Directory of Open Access Journals (Sweden)
Beard Raphaelle H
2011-08-01
Full Text Available Abstract Background The emergence of West Nile virus (WNV in North America has been associated with high mortality in the native avifauna and has raised concerns about the long-term impact of WNV on bird populations. Here, we present results from a longitudinal analysis of annual counts of six bird species, using North American Breeding Bird Survey data from ten states (1994 to 2010. We fit overdispersed Poisson models to annual counts. Counts from successive years were linked by an autoregressive process that depended on WNV transmission intensity (annual West Nile neuroinvasive disease reports and was adjusted by El Niño Southern Oscillation events. These models were fit using a Markov chain Monte Carlo algorithm. Results Model fit was mostly excellent, especially for American Crows, for which our models explained between 26% and 81% of the observed variance. The impact of WNV on bird populations was quantitatively evaluated by contrasting hypothetical count trajectories (omission of WNV with observed counts. Populations of American crows were most consistently affected with a substantial cumulative impact in six of ten states. The largest negative impact, almost 60%, was found in Illinois. A regionally substantial decline was also seen for American Robins and House Sparrows, while the other species appeared unaffected. Conclusions Our results confirm findings from previous studies that single out American Crows as the species most vulnerable to WNV infection. We discuss strengths and limitations of this and other methods for quantifying the impact of WNV on bird populations.
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The outlook for North American supply
International Nuclear Information System (INIS)
Coppens, J.
1998-01-01
An overview of North American natural gas assets and operations is presented, along with an outlook for natural gas demand, supply, and prices. Future natural gas demand was considered in the light of 1997 natural gas consumption by the residential, commercial, industrial and utility sectors, and an attempt was made to provide answers to questions such as the reasonableness of projections 30 Tcf annual demand, and the availability of gas resources or gas infrastructure to sustain demand of this magnitude. According to projections by the Electric Industry Association, 65 per cent of gas demand growth is for electric power generation. Natural gas supply on a regional and continental basis was reviewed and the implications for production were assessed. The overall conclusion was that resource supply will not be the constraining factor since there is plenty of gas, and the demand is regionally dispersed. However, if the demand for power generation comes anywhere near the high consumption forecast of 100 to 150 GW, a huge amount of gas-fired power plants would have to be built. Expansion of this magnitude would not be inexpensive
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77 FR 74174 - North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews
2012-12-13
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement (NAFTA), Article 1904 Binational Panel Reviews AGENCY: NAFTA Secretariat, United States Section.... Therefore, on the basis of the Panel Order and Rule 80 of the Article 1904 Panel Rules, the Panel Review was...
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International Nuclear Information System (INIS)
Anon.
1997-01-01
Future prospects of North American natural gas and electric utilities following deregulation, competition and restructuring have been the principal topics of the 22 papers presented at the 6. North American Natural Gas and Electricity Conference and Trade Fair. Progress in some of the major pipeline projects that will bring Canadian gas to US markets, other pipeline issues, energy financing and the impact of technology in this new era of competition also received attention. figs
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Business Guests Satisfaction in the Hotel Industry: A Case Study of North American Hotel Chains
Milan Bradić; Ljiljana Kosar; Bojana Kalenjuk
2013-01-01
This paper considers the problem of satisfaction of business guests with hotel brands in North America. In analysis we used the guests responses (scores) given for 12 different elements of hotel product. In order to arrive at more accurate results, monitored hotel chains are grouped into price tiers. The aim of this paper is to indicate what facilities and services the North American business guests appreciate most. Industry trends and results may be beneficial to all hoteliers, especially in...
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The North American Energy System: Chapter 3 of SOCCR-2
Gurney, K. R.; Marcotullio, P. J.; McGlynn, E.; Bruhwiler, L.; Davis, K. J.; Davis, S. J.; Engel-Cox, J.; Field, J.; Gately, C.; Kammen, D. M.; McMahon, J.; Morrow, W.; Torrie, R.
2017-12-01
North America (Canada, Mexico and the United States), has a large and complex energy system, which in this case includes the extraction and conversion of primary energy sources and their storage, transmission, distribution and ultimate end use in the building, transportation and industrial sectors. The presentation assesses the contribution of this energy system to the carbon cycle. The assessment includes the identification of CO2 emissions from fossil fuel use in the different end use, changes over the past 10 years (since the last SOCCR) and the drivers of change. The assessment focuses on our understanding of the energy trends and system feedback dynamics, key drivers of change as a basis for carbon management. The energy systems' carbon emissions from the North American system are placed in global context and a review of scenarios into the future emissions levels, which demonstrate the requirements for de-carbonization in the medium and longer term.
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Toward 2000 - potential changes facing the North American gas industry
International Nuclear Information System (INIS)
Baron, R.L.; Godec, M.L.
1997-01-01
Rapid changes in U.S. gas market developments and key factors that are likely to change future market outlook were reviewed. Currently, the biggest challenges facing the North American gas industry are deregulation in the electric power industry, technological advances, Canadian exports, environmental considerations, and new sources of natural gas from Mexico and Sable Island. Forces driving the natural gas demand include technological advances, growth in gas demand by electric utilities, and expansion of pipeline capacity. Uncertainties and threats to natural gas use include the rising cost of environmental compliance, the continued use of coal for power generation, and the Alliance Pipeline development. Technological advances such as 3-D seismic, horizontal drilling, improved completion techniques, longer-life bits, improved control systems, and reduced project cycle time, have been credited for producers now finding more gas reserves per well drilled than a decade ago. Present estimates of technically recoverable gas resources in North America run to about 2,500 trillion cubic feet
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North American box turtles: A natural history
Dodd, C. Kenneth
2002-01-01
Once a familiar backyard visitor in many parts of the United States and Mexico, the box turtle is losing the battle against extinction. In North American Box Turtles, C. Kenneth Dodd, Jr., has written the first book-length natural history of the twelve species and subspecies of this endangered animal. This volume includes comprehensive information on the species’ evolution, behavior, courtship and reproduction, habitat use, diet, population structure, systematics, and disease. Special features include color photos of all species, subspecies, and their habitats; a simple identification guide to both living and fossil species; and a summary of information on fossil Terrapene and Native uses of box turtles. End-of-chapter sections highlight future research directions, including the need for long-term monitoring and observation of box turtles within their natural habitat and conservation applications. A glossary and a bibliography of literature on box turtles accompany the text.
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Management and outcome of patients with pancreatic trauma
Directory of Open Access Journals (Sweden)
Ravinder Pal Singh
2017-01-01
Full Text Available Introduction: Pancreatic trauma is a rare entity occurring in 0.2% of patients with blunt trauma abdomen. Once the diagnosis is made, the management of patients is dependent on multiple variables. Conservative management, suture repair, drainage, and resection have been utilized with varying degree of success. This study is aimed to evaluate the management of patients with pancreatic trauma. Materials and Methods: This was a prospective study done in the Department of Surgery in Dayanand Medical College and Hospital where forty hemodynamically stable patients diagnosed to have pancreatic trauma on contrast-enhanced computed tomography abdomen were included in the study. Results: Out of forty patients taken in this study, 38 were male and two were female with age ranging from 3 to 50 years. Road traffic accident was the most common cause of pancreatic injury. Pancreatic injuries were graded according to the American Association for Surgery in Trauma scale. Twelve patients had Grade I and II injuries. Grade III was the most common injury occurring in 14 patients. Twenty-four patients underwent surgical management. Mortality rate was 45% and it was in direct correlation with the severity of injury. Conclusion: Grade I and II pancreatic injury can be managed conservatively depending upon the hemodynamic status of the patient. Grade III and IV injuries have a better prognosis if managed surgically.
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Pancreatic fibrosis correlates with exocrine pancreatic insufficiency after pancreatoduodenectomy
T.C. Tran; G. van 't Hof; G. Kazemier (Geert); W.C.J. Hop (Wim); C.J. Pek (Chulja); A.W. van Toorenenbergen (Albert); H. van Dekken (Herman); C.H.J. van Eijck (Casper)
2008-01-01
textabstractBackground: Obstruction of the pancreatic duct can lead to pancreatic fibrosis. We investigated the correlation between the extent of pancreatic fibrosis and the postoperative exocrine and endocrine pancreatic function. Methods: Fifty-five patients who were treated for pancreatic and
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International Nuclear Information System (INIS)
Dukert, J.M.
2002-06-01
North America produces and uses over 50 per cent of the electricity in the industrialized world. Regulatory trends in Mexico, the United States and Canada converge toward the opening up of electricity markets, while regional trade of electricity across national borders is being encouraged. Fundamental questions remain concerning the effects on the natural air-water-and-land environment in all three countries and the manner in which this trade occurs. Public health is also a factor to be considered. Some government intervention is required, was the general consensus arrived at at the symposium organized by the Commission for Environmental Cooperation of North America (CEC). This intervention should probably take the form of emission standards, transparent regulatory hearings and efforts to render the rules in the three countries more compatible. Demand growth and the incorporation of pollution controls will require some private investment. The author indicated that the symposium participants recognized that the reconciliation of an efficient continental electricity market with environmental goals will come with improving the efficiency with which North Americans use energy. refs., 1 tab., 1 fig
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The association between dietary zinc intake and risk of pancreatic cancer: a meta-analysis.
Li, Li; Gai, Xuesong
2017-06-30
Previous reports have suggested a potential association on dietary zinc intake with the risk of pancreatic cancer. Since the associations between different studies were controversial, we therefore conducted a meta-analysis to reassess the relationship between dietary zinc intake and pancreatic cancer risk. A comprehensive search from the databases of PubMed, Embase, Web of Science, and Medline was performed until January 31, 2017. Relative risk (RR) with 95% confidence intervals (CI) derived by using random effect model was used. Sensitivity analysis and publication bias were conducted. Our meta-analysis was based on seven studies involving 1659 cases, including two prospective cohort studies and five case-control studies. The total RR of pancreatic cancer risk for the highest versus the lowest categories of dietary zinc intake was 0.798 (0.621-0.984), with its significant heterogeneity among studies ( I 2 =58.2%, P =0.026). The average Newcastle-Ottawa scale (NOS) score was 7.29, suggesting a high quality. There was no publication bias in the meta-analysis about dietary zinc intake on the risk of pancreatic cancer. Subgroup analyses showed that dietary zinc intake could reduce the risk of pancreatic cancer in case-control studies and among American populations. In conclusion, we found that highest category of dietary zinc intake can significantly reduce the risk of pancreatic cancer, especially among American populations. © 2017 The Author(s).
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Hancock, Rebecca L; Ungar, Wendy J; Einarson, Adrienne; Goodstadt, Michael; Koren, Gideon
2008-04-01
Teratology Information Services (TIS) provide information on exposures during pregnancy and breast-feeding. Maintaining ongoing funding is a challenge. The purpose was to gather descriptive information on current TIS operations. All North American TIS (16 American, 2 Canadian) completed a detailed survey. Service goal ranked as most important was correction of risk misperceptions. Inquiries were primarily for medications (mean 43.5%, S.D. 14.1), lactation exposures, and workplace exposures. Median employees per TIS: three (range 1-12.5). Two TIS only counsel health care professionals (HCPs). Main callers to remaining TIS were pregnant women (mean 46.8%, S.D. 22.8), physicians, and nurses. Calls per week varied (median 20, range 4-600). Median annual budget: US dollars 69,000 (range dollars 3000-335,000). Seventeen TIS collect patient data for research. This survey was the first to document TIS operations in North America and demonstrates a spectrum of clinical and research activities, and provides data for a future cost-benefit analysis of TIS.
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Fire-induced wounding elicits changes in the wood anatomy of North American conifers
Estelle Arbellay; Markus Stoffel; Elaine K. Sutherland; Kevin T. Smith; Donald A. Falk
2013-01-01
Fire is a major disturbance agent in North American forests. Fires injure trees when heat transfer through the bark partially kills the cambium and the compartmentalization process results in a fire scar. Dendrochronologists use these scars in the xylem to reconstruct fire regimes. However, little information exists on the wood anatomy of fire scars. Consequently, this...
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2013-02-04
... Board of Trustees Meetings, Board of Trustees Compliance Committee, Corporate Governance and Human Resources Committee, and Standards Oversight and Technology Committee Meetings. Hotel del Coronado, 1500... Association, Inc. v. Western Electric Coordinating Council and North American Electric Reliability Corporation...
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Intrinsic Religiosity and Hypertension Among Older North American Seventh-Day Adventists.
Charlemagne-Badal, Sherma J; Lee, Jerry W
2016-04-01
A unique lifestyle based on religious beliefs has been associated with longevity among North American Seventh-day Adventists (SDAs); however, little is known about how religion is directly associated with hypertension in this group. Identifying and understanding the relationship between hypertension and its predictors is important because hypertension is responsible for half of all cardiovascular-related deaths and one in every seven deaths in the USA. The relationship between intrinsic religiosity and hypertension is examined. Cross-sectional data from the Biopsychosocial Religion and Health Study (N = 9581) were used. The relationship between intrinsic religiosity and hypertension when controlling for demographics, lifestyle variables, and church attendance was examined using binary logistic regression. While lifestyle factors such as vegetarian diet and regular exercise were important predictors of reduced rates of hypertension, even after controlling for these, intrinsic religiosity was just as strongly related to lower hypertension rates as the lifestyle factors. This study is the first to examine the relationship between intrinsic religiosity and hypertension among North American SDAs and demonstrates that in addition to the positive effects of lifestyle choices on health noted in the group, religion may offer direct salutary effects on hypertension. This finding is particularly important because it suggests that religiosity and not just lifestyle is related to lower risk of hypertension, a leading cause of death in the USA.
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[Chronic pancreatitis diagnosed after the first attack of acute pancreatitis].
Bojková, Martina; Dítě, Petr; Uvírová, Magdalena; Dvořáčková, Nina; Kianička, Bohuslav; Kupka, Tomáš; Svoboda, Pavel; Klvaňa, Pavel; Martínek, Arnošt
2016-02-01
One of the diseases involving a potential risk of developing chronic pancreatitis is acute pancreatitis. Of the overall number of 231 individuals followed with a diagnosis of chronic pancreatitis, 56 patients were initially treated for acute pancreatitis (24.2 %). Within an interval of 12- 24 months from the first attack of acute pancreatitis, their condition gradually progressed to reached the picture of chronic pancreatitis. The individuals included in the study abstained (from alcohol) following the first attack of acute pancreatitis and no relapse of acute pancreatitis was proven during the period of their monitoring. The etiology of acute pancreatitis identified alcohol as the predominant cause (55.3 %), biliary etiology was proven in 35.7 %. According to the revised Atlanta classification, severe pancreatitis was established in 69.6 % of the patients, the others met the criterion for intermediate form, those with the light form were not included. Significant risk factors present among the patients were smoking, obesity and 18 %, resp. 25.8 % had pancreatogenous diabetes mellitus identified. 88.1 % of the patients with acute pancreatitis were smokers. The majority of individuals with chronic pancreatitis following an attack of acute pancreatitis were of a productive age from 25 to 50 years. It is not only acute alcoholic pancreatitis which evolves into chronic pancreatitis, we have also identified this transition for pancreatitis of biliary etiology.
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Striving for equilibrium : the changing role of storage in the North American natural gas industry
International Nuclear Information System (INIS)
Clifton, S.
2003-01-01
This presentation included an analysis of North American storage patterns and transport of natural gas. Gas-fired generation has impacted the value of storage operations significantly. The role of natural gas storage in North America is changing to meet the demands of peak-load generators, to manage tight gas supplies, and expand pipeline infrastructure. Storage facilities help in optimizing the flexibility of gas procurement. The historic role of storage was compared to the current role of storage as an economic asset. In 2002, the major developments affecting gas storage were a decline in liquidity, a decline in North American natural gas production, a recovery in forecasted gas consumption, and a capital dilemma. It is expected that the traditional role of gas storage will intensify as local distribution companies (LDCs) try to manage tight gas supplies, optimize pipeline capacity and manage price volatility. The role of storage as an economic asset will become more prominent and gas storage will be used to meet the needs of power plants. Desirable elements in future storage include a good location, high flexible performance, environmentally secure, and easy to use. The Stagecoach storage facility was presented as a case study. 1 tab., 14 figs
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Wessels, J M; Khalaj, K; Kridli, R T; Edwards, A K; Bidarimath, M; Tayade, C
2014-08-01
The objective of this review is to evaluate the effectiveness of using pharmacological compounds on reproductive outcomes, particularly litter size, in North American swine. While the opportunity to improve reproduction in North American pigs exists, numerous hurdles need to be overcome in order to achieve measureable results. In the swine industry, the majority of piglet losses are incurred during pregnancy and around farrowing. Over the last 20 years, a reduction in losses has been achieved through genetic selection and nutritional management; however, these topics are the focus of other reviews. This review will evaluate attempts to improve litter size by reducing losses at various stages of the reproductive process, from the time of conception to the time of farrowing, using pharmacological compounds. Generally, these compounds are used to either alter physiological processes related to fertilization, embryonic attachment or uterine capacity, etc., or to facilitate management aspects of the breeding females such as inducing parturition. Although some of the pharmacological agents reviewed here show some positive effects on improving reproductive parameters, the inconsistent results and associated risks usually outweigh the benefits gained. Thus, at the present time, the use of pharmacological agents to enhance reproduction in North American swine may only be recommended for herds with low fertility and presents an avenue of research that could be further explored. © 2014 Blackwell Verlag GmbH.
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United States versus Mexican Perceptions of the Impact of the North American Free Trade Agreement.
Nicholson, Joel D.; And Others
1994-01-01
Surveys U.S. and Mexican managerial attitudes concerning the impact of the North American Free Trade Agreement (NAFTA) process on the United States. Discusses differences in Mexican and U.S. attitudes concerning NAFTA and a number of socioeconomic concerns. (SR)
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Is there an East-West split in North-American natural gas markets?
Serletis, Apostolos
1997-01-01
This paper presents evidence concerning shared stochastic trends in North American natural gas (spot) markets, using monthly data for the period that natural gas has been traded on organized exchanges (from June, 1990 to January, 1996). In doing so, it uses the Engle and Granger (1987) approach for estimating bivariate cointegrating relationships as well as Johansen's (1988) maximum likelihood approach for estimating cointegrating relationships in multivariate vector autoregressive models. Th...
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Kirks, Russell C; Sola, Richard; Iannitti, David A; Martinie, John B; Vrochides, Dionisios
2016-01-01
Pancreatic and peripancreatic fluid collections may develop after severe acute pancreatitis. Organized fluid collections such as pancreatic pseudocyst and walled-off pancreatic necrosis (WOPN) that mature over time may require intervention to treat obstructive or constitutional symptoms related to the size and location of the collection as well as possible infection. Endoscopic, open surgical and minimally invasive techniques are described to treat post-inflammatory pancreatic fluid collections. Surgical intervention may be required to treat collections containing necrotic pancreatic parenchyma or in locations not immediately apposed to the stomach or duodenum. Comprising a blend of the surgical approach and the clinical benefits of minimally invasive surgery, the robot-assisted technique of pancreatic cystgastrostomy with pancreatic debridement is described.
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an extended pancreatic normal subjects and ~in pancreatItIs In ...
African Journals Online (AJOL)
function . . patIents. N. H. GILlNSKY, A. S. MEE, I. N. MARKS. Summary. Exocrine pancreatic response was evaluated in patients with varying degrees of pancreatic damage and in control subjects by ... hormones, the Lundh meal and an oral pancreatic function test .... is any different from that of the cells in me normal gland.
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Pancreatic Pseudocyst Pleural Fistula in Gallstone Pancreatitis
Directory of Open Access Journals (Sweden)
Sala Abdalla
2016-01-01
Full Text Available Extra-abdominal complications of pancreatitis such as pancreaticopleural fistulae are rare. A pancreaticopleural fistula occurs when inflammation of the pancreas and pancreatic ductal disruption lead to leakage of secretions through a fistulous tract into the thorax. The underlying aetiology in the majority of cases is alcohol-induced chronic pancreatitis. The diagnosis is often delayed given that the majority of patients present with pulmonary symptoms and frequently have large, persistent pleural effusions. The diagnosis is confirmed through imaging and the detection of significantly elevated amylase levels in the pleural exudate. Treatment options include somatostatin analogues, thoracocentesis, endoscopic retrograde cholangiopancreatography (ERCP with pancreatic duct stenting, and surgery. The authors present a case of pancreatic pseudocyst pleural fistula in a woman with gallstone pancreatitis presenting with recurrent pneumonias and bilateral pleural effusions.
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Dietary Factors Reduce Risk of Acute Pancreatitis in a Large Multiethnic Cohort.
Setiawan, Veronica Wendy; Pandol, Stephen J; Porcel, Jacqueline; Wei, Pengxiao C; Wilkens, Lynne R; Le Marchand, Loïc; Pike, Malcolm C; Monroe, Kristine R
2017-02-01
Pancreatitis is a source of substantial morbidity and health cost in the United States. Little is known about how diet might contribute to its pathogenesis. To characterize dietary factors that are associated with risk of pancreatitis by disease subtype, we conducted a prospective analysis of 145,886 African Americans, Native Hawaiians, Japanese Americans, Latinos, and whites in the Multiethnic Cohort. In the Multiethnic Cohort (age at baseline, 45-75 y), we identified cases of pancreatitis using hospitalization claim files from 1993 through 2012. Patients were categorized as having gallstone-related acute pancreatitis (AP) (n = 1210), AP not related to gallstones (n = 1222), or recurrent AP or suspected chronic pancreatitis (n = 378). Diet information was obtained from a questionnaire administered when the study began. Associations were estimated by hazard ratios and 95% confidence intervals using Cox proportional hazard models adjusted for confounders. Dietary intakes of saturated fat (P trend = .0011) and cholesterol (P trend = .0008) and their food sources, including red meat (P trend associated positively with gallstone-related AP. Fiber intake, however, was associated inversely with gallstone-related AP (P trend = .0005) and AP not related to gallstones (P trend = .0035). Vitamin D, mainly from milk, was associated inversely with gallstone-related AP (P trend = .0015), whereas coffee consumption protected against AP not related to gallstones (P trend factors were associated with recurrent acute or suspected chronic pancreatitis. Associations between dietary factors and pancreatitis were observed mainly for gallstone-related AP. Interestingly, dietary fiber protected against AP related and unrelated to gallstones. Coffee drinking protected against AP not associated with gallstones. Further studies are warranted to confirm our findings. Copyright © 2017 AGA Institute. Published by Elsevier Inc. All rights reserved.
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Li, Shuang; Li, Rui; Wang, Heping; Li, Lisha; Li, Huiyu; Li, Yulin
2018-04-01
An important question in systems biology is what role the underlying molecular mechanisms play in disease progression. The relationship between chronic pancreatitis and pancreatic cancer needs further exploration in a system view. We constructed the disease network based on gene expression data and protein-protein interaction. We proposed an approach to discover the underlying core network and molecular factors in the progression of pancreatic diseases, which contain stages of chronic pancreatitis and pancreatic cancer. The chronic pancreatitis and pancreatic cancer core network and key factors were revealed and then verified by gene set enrichment analysis of pathways and diseases. The key factors provide the microenvironment for tumor initiation and the change of gene expression level of key factors bridge chronic pancreatitis and pancreatic cancer. Some new candidate genes need further verification by experiments. Transcriptome profiling-based network analysis reveals the importance of chronic pancreatitis genes and pathways in pancreatic cancer development on a system level by computational method and they can be therapeutic targets.
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13th North American Caribou Workshop, 25-28 October 2010, Winnipeg, Manitoba, Canada.
Directory of Open Access Journals (Sweden)
Rolf Egil Haugerud (editor in chief
2012-03-01
Full Text Available The 13th North American Caribou Workshop which was held in Winnipeg, Manitoba, was a great success with more than 400 participants: people from Canada, the United States, Norway and Greenland, representatives from co-management and resource management boards across North America, First Nations, Inuit and Inuvialuit, governmental and non-governmental organisations, private companies, researchers, students and youth. The theme of the Workshop was Sustaining Caribou and their Landscapes – Knowledge to Action and the intent of the organizers was twofold: first, to provide participants with the opportunity to share scientific and traditional knowledge on different subspecies and ecotypes of Rangifer across the circumpolar North, the particularities of the different landscapes and land use management issues; second, to explore innovative ways to transfer knowledge to action, ensuring the long-term persistence of Rangifer throughout its range through the development of better governance structures, sound policies and effective communication.
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Energy Technology Data Exchange (ETDEWEB)
Felker, P.; Clark, P.R.; Osborn, J.F.; Cannell, G.H.
Prosopis pod production was compared in 3 field trials in southern California, i.e., a typical orchard planting, an irrigation trial, and a heat/drought stress trial. Thirteen species representing North American, South American, Hawaiian, and African germplasm were evaluated. Hawaiian and African accessions were eliminated from the irrigation trial by a minus 5/sup 0/C temperature. The most productive pod producers were P. velutina accessions from southern Arizona. In the fifth season, 5 trees of the most productive accession, i.e. P. velutina 32 had a mean pod production of 7.2 kg/tree with a range of 3.2-12.2 kg/tree. P. chilensis and P. alba trees of the same age were much larger but had less pod production. Pod production estimates of 3000-4000 kg/ha were obtained in the dry irrigation treatment by P. velutina 20 which received 370 mm rainfall in the year preceding harvest.
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Life-history strategies of North American elk: trade-offs associated with reproduction and survival
Sabrina Morano; Kelley M. Stewart; James S. Sedinger; Christopher A. Nicolai; Marty Vavra
2013-01-01
The principle of energy allocation states that individuals should attempt to maximize fitness by allocating resources optimally among growth, maintenance, and reproduction. Such allocation may result in trade-offs between survival and reproduction, or between current and future reproduction. We used a marked population of North American elk (Cervus elaphus...
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Business Guests Satisfaction in the Hotel Industry: A Case Study of North American Hotel Chains
Directory of Open Access Journals (Sweden)
Milan Bradić
2013-04-01
Full Text Available This paper considers the problem of satisfaction of business guests with hotel brands in North America. In analysis we used the guests responses (scores given for 12 different elements of hotel product. In order to arrive at more accurate results, monitored hotel chains are grouped into price tiers. The aim of this paper is to indicate what facilities and services the North American business guests appreciate most. Industry trends and results may be beneficial to all hoteliers, especially in business tourism segment.
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Lahiri, R; Bhattacharya, S
2013-05-01
Pancreatic trauma occurs in approximately 4% of all patients sustaining abdominal injuries. The pancreas has an intimate relationship with the major upper abdominal vessels, and there is significant morbidity and mortality associated with severe pancreatic injury. Immediate resuscitation and investigations are essential to delineate the nature of the injury, and to plan further management. If main pancreatic duct injuries are identified, specialised input from a tertiary hepatopancreaticobiliary (HPB) team is advised. A comprehensive online literature search was performed using PubMed. Relevant articles from international journals were selected. The search terms used were: 'pancreatic trauma', 'pancreatic duct injury', 'radiology AND pancreas injury', 'diagnosis of pancreatic trauma', and 'management AND surgery'. Articles that were not published in English were excluded. All articles used were selected on relevance to this review and read by both authors. Pancreatic trauma is rare and associated with injury to other upper abdominal viscera. Patients present with non-specific abdominal findings and serum amylase is of little use in diagnosis. Computed tomography is effective in diagnosing pancreatic injury but not duct disruption, which is most easily seen on endoscopic retrograde cholangiopancreaticography or operative pancreatography. If pancreatic injury is suspected, inspection of the entire pancreas and duodenum is required to ensure full evaluation at laparotomy. The operative management of pancreatic injury depends on the grade of injury found at laparotomy. The most important prognostic factor is main duct disruption and, if found, reconstructive options should be determined by an experienced HPB surgeon. The diagnosis of pancreatic trauma requires a high index of suspicion and detailed imaging studies. Grading pancreatic injury is important to guide operative management. The most important prognostic factor is pancreatic duct disruption and in these cases
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Directory of Open Access Journals (Sweden)
Davorin Dajčman
2007-05-01
Full Text Available Background: Autoimmune pancreatitis is a recently described type of pancreatitis of presumed autoimmune etiology. Autoimmune pancreatitis is often misdiagnosed as pancreatic cancer difficult, since their clinical presentations are often similar. The concept of autoimmune pancreatitis was first published in 1961. Since then, autoimmune pancreatitis has often been treated not as an independent clinical entity but rather as a manifestation of systemic disease. The overall prevalence and incidence of the disease have yet to be determined, but three series have reported the prevalence as between 5 and 6 % of all patients with chronic pancreatitis. Patient vary widely in age, but most are older than 50 years. Patients with autoimmune pancreatitis usually complain of the painless jaundice, mild abdominal pain and weight loss. There is no laboratory hallmark of the disease, even if cholestatic profiles of liver dysfunction with only mild elevation of amylase and lipase levels have been reported.Conclusions: Proposed diagnostic criteria contains: (1 radiologic imaging, diffuse enlargement of the pancreas and diffusely irregular narrowing of the main pancreatic duct, (2 laboratory data, elevated levels of serum ã-globulin and/or IgG, specially IgG4, or the presence of autoantibodies and (3 histopathologic examination, fibrotic change with dense lymphoplasmacytic infiltration in the pancreas. For correct diagnosis of autoimmune pancreatitis, criterion 1 must be present with criterion 2 and/or 3. Autoimmune pancreatitis is frequently associated with rheumatoid arthritis, Sjogren’s syndrome, inflammatory bowel disease, tubulointersticial nephritis, primary sclerosing cholangitis and idiopathic retroperitoneal fibrosis. Pancreatic biopsy using an endoscopic ultrasound-guided fine needle aspiration biopsy is the most important diagnostic method today. Treatment with corticosteroids leads to the and resolution of pancreatic inflamation, obstruction and
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On the dynamic of franchise (re)location in the North-American sport leagues
Narme, Thibaut
2013-01-01
As the cost of tax-dollar paid stadia rises and the talks of relocations in the main North-American pro leagues increase, a multi-field analysis on the different mechanisms that decides team relocation seems necessary. This paper reviews the different mechanisms participating team location and finally offer a new angle of analysis on the actual equilibrium and demonstrates its dynamic nature.
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Endocrine pancreatic function changes after acute pancreatitis.
Wu, Deqing; Xu, Yaping; Zeng, Yue; Wang, Xingpeng
2011-10-01
This study aimed to investigate the impairment of pancreatic endocrine function and the associated risk factors after acute pancreatitis (AP). Fifty-nine patients were subjected to tests of pancreatic function after an attack of pancreatitis. The mean time after the event was 3.5 years. Pancreatic endocrine function was evaluated by fasting blood glucose (FBG), glycosylated hemoglobin, fasting blood insulin, and C-peptide. Homeostasis model assessment was used to evaluate insulin resistance and islet β-cell function. Pancreatic exocrine function was evaluated by fecal elastase 1. Factors that could influence endocrine function were also investigated. Nineteen patients (32%) were found to have elevated FBG, whereas 5 (8%) had abnormal glycosylated hemoglobin levels. The levels of FBG, fasting blood insulin, and C-peptide were higher in patients than in controls (P endocrine insufficiency. Pancreatic exocrine functional impairment was found at the same time. Endocrine functional impairment with insulin resistance was found in patients after AP. Obesity, hyperlipidemia, and diabetes-related symptoms increased the likelihood of developing functional impairment after AP.
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Sathiyasekaran, Malathi; Biradar, Vishnu; Ramaswamy, Ganesh; Srinivas, S; Ashish, B; Sumathi, B; Nirmala, D; Geetha, M
2016-11-01
Pancreatic disease in children has a wide clinical spectrum and may present as Acute pancreatitis (AP), Acute recurrent pancreatitis (ARP), Chronic pancreatitis (CP) and Pancreatic disease without pancreatitis. This article highlights the etiopathogenesis and management of pancreatitis in children along with clinical data from five tertiary care hospitals in south India [Chennai (3), Cochin and Pune].
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International Nuclear Information System (INIS)
Egan, T.
2003-03-01
The stability of the North American electricity industry has always been recognized, in both Canada and the United States. However, this sector is facing uncertainty mainly due to lack of clarity concerning market rules, environmental challenges, and the very poor investment climate. The principal thesis that was developed for this paper used those three factors as context and justification. The thesis is as follows: the evolving North American market is more and more regionally integrated, and that continued and growing regional integration will lessen uncertainty. All problems cannot be solved simply through increased regional integration, but it represents a step in the right direction in that it leads to greater efficiency, increased reliability, more predictable regulation and policy, lower costs and greater environmental benefits. The result is increased investor confidence and reduced uncertainty in the marketplace. To assist in the strengthening of this integration, the Canadian Electricity Association made seven recommendations. They were: (1) increased focus on harmonizing market rules and increased participation in the Regional Transmission Organizations, (2) development of North American strategy for the management of greenhouse gas emissions resulting from electricity generation, (3) identification of oportunites to further harmonize management of other air emissions, (4) creation of consistent methodology for the measurement of environmental performance, (5) enhancement of cross-border and interprovincial transmission transfer capability, (6) coordination of critical infrastructure protection, and (7) support of self-governing international organization for the development and enforcement of mandatory reliability standards for the evolving electricity industry. 5 figs
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Is there an east-west split in North American natural gas markets?
Energy Technology Data Exchange (ETDEWEB)
Serletis, A. [Univ. of Calgary, Alberta (Canada)
1997-02-01
In the last decade, the North American natural gas industry has seen a dramatic transformation from a highly regulated industry to one which is more market-driven. The transition to a less regulated, more market-oriented environment has led to the emergence of different spot markets throughout North America. In particular, producing area spot markets have emerged in Alberta, British Columbia, Rocky Mountain, Anadarko, San Juan, Permian, South Texas, and Louisiana basins. Moreover, production sites, pipelines and storage services are more accessible today, thereby ensuring that changes in market demand and supply are reflected in prices on spot, future, and swaps markets. The paper is organized as follows. The second section provides some background regarding North America natural gas spot markets. The third section discusses the data and investigates the univariate time series properties of the variables, since meaningful cointegration tests critically depend on such properties. The fourth section tests for cointegration and presents the results. The last section concludes the paper. 16 refs., 3 figs., 4 tabs.
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North American pipelines supply/demand update: challenges and opportunities
International Nuclear Information System (INIS)
Gopal, J.
2002-01-01
The author began the presentation by providing a little definition of forecasting supply, demand and price as applied to the natural gas industry, indicating that it is both science and art. An integrated grid in North America, the natural gas sector modeling relates to supply basins, demand centers and pipes includes the United States, Canada and Mexico. Some of the considerations are: huge demand from proposed power generation, conservation, and drilling impacts, as well as pipeline capacity. A chart displaying the North American model was explained. The author discussed the technically recoverable natural gas resources as well as the estimates in both Canada and the United States. The next section deals with exploration and development of frontier resources and power plant licensing, with emphasis on power plants in California. The generation assumptions for the Western Systems Coordinating Council from the Energy Commission are reviewed, placing the numbers in their proper perspective. California natural gas supply by source is examined, followed by regional natural gas spot price. The wellhead natural gas prices for North America and for the Lower 48 states are presented. The author indicates that additional pipeline capacity is required to meet the growing demand. Several factors have to be considered: the number of power plants, when and where; pipeline capacity (how much); regulations; slack capacity; cost of slack capacity, and supply. The concluding remarks touched upon the availability of gas resources, the environmental issues that affect demand, hub services that enhance service flexibility and reliability, and pipeline capacity and storage. 2 tabs., 15 figs
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Evaluating North American Electric Grid Reliability Using the Barabasi-Albert Network Model
Chassin, David P.; Posse, Christian
2004-01-01
The reliability of electric transmission systems is examined using a scale-free model of network structure and failure propagation. The topologies of the North American eastern and western electric networks are analyzed to estimate their reliability based on the Barabasi-Albert network model. A commonly used power system reliability index is computed using a simple failure propagation model. The results are compared to the values of power system reliability indices previously obtained using s...
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Malaria incidence and prevention among European and North American travellers to Kenya.
Lobel, H. O.; Phillips-Howard, P. A.; Brandling-Bennett, A. D.; Steffen, R.; Campbell, C. C.; Huong, A. Y.; Were, J. B.; Moser, R.
1990-01-01
A longitudinal survey was conducted among travellers departing from Nairobi airport to determine the use of malaria prevention measures and assess the risk for malaria while travelling in Kenya. Among 5489 European and North American travellers, 68 different drug regimens were used for prophylaxis, and 48% of travellers used both regular chemoprophylaxis and more than 1 antimosquito measure during travel; 52% of 3469 travellers who used chemoprophylaxis did so without interruption during thei...
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Conservation of Mexican wetlands: role of the North American Wetlands Conservation Act
Wilson, M.H.; Ryan, D.A.
1997-01-01
Mexico's wetlands support a tremendous biological diversity and provide significant natural resource benefits to local communities. Because they are also critical stopover and wintering grounds for much of North America's waterfowl and other migratory birds, Mexico has become an important participant in continental efforts to conserve these resources through the North American Wetlands Conservation Act. Funding from the Act has supported partnerships in a number of Mexico's priority wetlands to conduct data analyses and dissemination, mapping, environmental education, wetland restoration, development of sustainable economic alternatives for local people, and reserve planning and management. These partnerships, with the close involvement of Mexico's Federal Government authority, the Instituto Nacional de Ecologia, have advanced conservation in a uniquely Mexican model that differs from that employed in the United States and Canada.
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2011-10-25
... Mazda Motor Corporation of Hiroshima, Japan (Mazda), has determined the lens of the headlamps equipped... December 16, 2009. \\1\\ Mazda Motor Corporation of Hiroshima, Japan (Mazda) is the manufacturer of the...-0141; Notice 2] Mazda North American Operations, Grant of Petition for Decision of Inconsequential...
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2010-10-21
... Noncompliance Mazda North American Operations (MNAO),\\1\\ on behalf of Mazda Motor Corporation of Hiroshima..., Defect and Noncompliance Responsibility and Reports, dated December 18, 2009. \\1\\ Mazda Motor Corporation... noncompliance is inconsequential to motor vehicle safety. This notice of receipt of Mazda's petition is...
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DEFF Research Database (Denmark)
Clausen, Helene Balslev
2018-01-01
. Still the Mexican state does not seize the second home owners as a resource and ‘producers’ rather only as consumers of different Mexican objects, food etc. The chapter addresses this research gap and proposes rather than only perceive North American second home owners as part of tourism development...... participate in reshaping and reconfigure public policy and Mexican culture/identity construction. The purpose of the chapter is to explore the role of the North American second home owners and their impact on the planning and regulation of Mexican state policies, and how they might reconfigure practices and...
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Future Projections and Consequences of the Changing North American Carbon Cycle
Huntzinger, D. N.; Cooley, S. R.; Moore, D. J.
2017-12-01
The rise of atmospheric carbon dioxide (CO2), primarily due to human-caused fossil fuel emissions and land-use change, has been dampened by carbon uptake by the oceans and terrestrial biosphere. Nevertheless, today's atmospheric CO2 levels are higher than at any time in the past 800,000 years. Over the past decade, there has been considerable effort to understand how carbon cycle changes interact with, and influence, atmospheric CO2 concentrations and thus climate. Here, we summarize the key findings related to projected changes to the North American carbon cycle and the consequences of these changes as reported in Chapters 17 and 19 of the 2nd State of the Carbon Cycle Report (SOCCR-2). In terrestrial ecosystems, increased atmospheric CO2 causes enhanced photosynthesis, plant growth, and water-use efficiency. Together, these may lead to changes in vegetation composition, carbon storage, hydrology and biogeochemical cycling. In the ocean, increased uptake of atmospheric CO2 causes ocean acidification, which leads to changes in reproduction, survival, and growth of many marine species. These direct physiological responses to acidification are likely to have indirect ecosystem-scale consequences that we are just beginning to understand. In all environments, the effects of rising CO2 also interact with other global changes. For example, nutrient availability can set limits on growth and a warming climate alters carbon uptake depending on a number of other factors. As a result, there is low confidence in the future evolution of the North American carbon cycle. For example, models project that terrestrial ecosystems could continue to be a net sink (of up to 1.19 PgC yr-1) or switch to a net source of carbon to the atmosphere (of up to 0.60 PgC yr-1) by the end of the century under business-as-usual emission scenarios. And, while North American coastal areas have historically been a sink of carbon (e.g., 2.6 to 3.5 PgC since 1995) and are projected to continue to take up
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LGMD2I in a North American population
Directory of Open Access Journals (Sweden)
White Alexander J
2007-11-01
Full Text Available Abstract Background There is a marked variation in clinical phenotypes that have been associated with mutations in FKRP, ranging from severe congenital muscular dystrophies to limb-girdle muscular dystrophy type 2I (LGMD2I. Methods We screened the FKRP gene in two cohorts totaling 87 patients with the LGMD phenotype. Results The c.826C>A, p.L276I mutation was present in six patients and a compound heterozygote mutation in a seventh patient. Six patients had a mild LGMD2I phenotype, which resembles that of Becker muscular dystrophy. The other patient had onset before the age of 3 years, and thus may follow a more severe course. Conclusion These findings suggest that LGMD2I may be common in certain North American populations. This diagnosis should be considered early in the evaluation of LGMD.
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North American Indian rock art and hallucinogenic drugs.
Wellmann, K F
1978-04-14
It is proposed that the aboriginal rock paintings in two areas of North America may have been produced by shamans while they were under the influence of hallucinogenic agents derived from plants. The first of these areas is the Chumash and Yokuts Indian region of California, where polychrome paintings show designs similar to those visualized during the trance induced by decoctions of jimsonweed (Datura species). The second area is the lower Pecos River region of Texas, where shamanistic figures display traits considered to be conceptual analogues of the mescal bean (Sophora secundiflora) cult as practiced during historic times by Great Plains Indians. Although the evidence is only circumstantial, the proposed connections between these rock drawings and mind-expanding pharmacologic compounds fit well into the documented relationship that encompasses hallucinogenic drugs and certain movable objects of pre-Columbian American art.
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North American natural gas pipeline and supply update
International Nuclear Information System (INIS)
Molyneaux, M.
1999-01-01
A series of overhead viewgraphs accompanied this presentation which presented an update of North American natural gas supply. Some of the graphs depicted the following: (1) natural gas consumption in the United States, (2) U.S. imports of Canadian natural gas, (3) natural gas prices differential: Henry Hub versus Empress, (4) natural gas production in the U.S., and (5) Baker Hughes active rig count, U.S. gas rigs. First Energy's view of U.S. natural gas supply is that the estimate of 50.0 Bcf/d for U.S. domestic production is looking too high. The first quarter 1999 exit production rates are behind expectations. U.S. domestic natural gas expenditure budgets are still down by more than 40 per cent compared to 1998 levels. The impact that this will have on prices was discussed. 21 figs
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Risk of Pancreatic Cancer After a Primary Episode of Acute Pancreatitis.
Rijkers, Anton P; Bakker, Olaf J; Ahmed Ali, Usama; Hagenaars, Julia C J P; van Santvoort, Hjalmar C; Besselink, Marc G; Bollen, Thomas L; van Eijck, Casper H
2017-09-01
Acute pancreatitis may be the first manifestation of pancreatic cancer. The aim of this study was to assess the risk of pancreatic cancer after a first episode of acute pancreatitis. Between March 2004 and March 2007, all consecutive patients with a first episode of acute pancreatitis were prospectively registered. Follow-up was based on hospital records audit, radiological imaging, and patient questionnaires. Outcome was stratified based on the development of chronic pancreatitis. We included 731 patients. The median follow-up time was 55 months. Progression to chronic pancreatitis was diagnosed in 51 patients (7.0%). In this group, the incidence rate per 1000 person-years for developing pancreatic cancer was 9.0 (95% confidence interval, 2.3-35.7). In the group of 680 patients who did not develop chronic pancreatitis, the incidence rate per 1000 person-years for developing pancreatic cancer in this group was 1.1 (95% confidence interval, 0.3-3.3). Hence, the rate ratio of pancreatic cancer was almost 9 times higher in patients who developed chronic pancreatitis compared with those who did not (P = 0.049). Although a first episode of acute pancreatitis may be related to pancreatic cancer, this risk is mainly present in patients who progress to chronic pancreatitis.
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Pain education in North American medical schools.
Mezei, Lina; Murinson, Beth B
2011-12-01
Knowledgeable and compassionate care regarding pain is a core responsibility of health professionals associated with better medical outcomes, improved quality of life, and lower healthcare costs. Education is an essential part of training healthcare providers to deliver conscientious pain care but little is known about whether medical school curricula meet educational needs. Using a novel systematic approach to assess educational content, we examined the curricula of Liaison Committee on Medical Education-accredited medical schools between August 2009 and February 2010. Our intent was to establish important benchmark values regarding pain education of future physicians during primary professional training. External validation was performed. Inclusion criteria required evidence of substantive participation in the curriculum management database of the Association of American Medical Colleges. A total of 117 U.S. and Canadian medical schools were included in the study. Approximately 80% of U.S. medical schools require 1 or more pain sessions. Among Canadian medical schools, 92% require pain sessions. Pain sessions are typically presented as part of general required courses. Median hours of instruction on pain topics for Canadian schools was twice the U.S. median. Many topics included in the International Association for the Study of Pain core curriculum received little or no coverage. There were no correlations between the types of pain education offered and school characteristics (eg, private versus public). We conclude that pain education for North American medical students is limited, variable, and often fragmentary. There is a need for innovative approaches and better integration of pain topics into medical school curricula. This study assessed the scope and scale of pain education programs in U.S. and Canadian medical schools. Significant gaps between recommended pain curricula and documented educational content were identified. In short, pain education was
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Serological Evidence of Hepatitis E Virus Infection in an Indigenous North American Population
Directory of Open Access Journals (Sweden)
GY Minuk
2007-01-01
Full Text Available BACKGROUND: Hepatitis E virus (HEV infections are thought to be uncommon in North America. Recently, HEV transmission has been reported following the consumption of deer meat. Because deer are closely related to caribou and caribou meat is a staple of the Canadian Inuit and the American Eskimo diet, the present study explored the seroprevalence of HEV infection in an isolated Canadian Inuit community.
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Gopal, A.; Goyal, M.; Netessine, S.; Reindorp, M.J.
2013-01-01
Product launch—an event when a new product debuts for production in a plant—is an important phase in product development. But launches disrupt manufacturing operations, resulting in productivity losses. Using data from North American automotive plants from years 1999–2007, we estimate that a product
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2013-03-26
...-AM78 Prevailing Rate Systems; North American Industry Classification System Based Federal Wage System... applicable sections. The Federal Prevailing Rate Advisory Committee, the national labor- management committee... proposing to amend 5 CFR part 532 as follows: PART 532--PREVAILING RATE SYSTEMS 0 1. The authority citation...
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DEFF Research Database (Denmark)
Belser, Jessica A; Blixt, Ola; Chen, Li-Mei
2008-01-01
Avian H7 influenza viruses from both the Eurasian and North American lineage have caused outbreaks in poultry since 2002, with confirmed human infection occurring during outbreaks in The Netherlands, British Columbia, and the United Kingdom. The majority of H7 infections have resulted in self-lim...
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International Nuclear Information System (INIS)
2006-01-01
This conference was attended by decision makers throughout the supply chain in the natural gas industry who face the continuing challenges of changes in market mechanisms, pricing options, and transmission alternatives. It provided an opportunity to review issues affecting producers, shippers, marketers, and end-users in an environment of tight energy markets and high, inelastic demand. The constraints on adequate energy supplies are influenced by economic factors, current and future resources, materials, equipment, skilled labour, technology and financial capital. The 8 sessions of the conference dealt with the tight North American gas supply; the slow development of new supplies; resource access issues, including politics and supply security; the geopolitics of natural gas; impacts of high prices on the North American economy; energy industry impacts of high natural gas prices; domestic politics and high natural gas prices; and, radical planning scenarios for the future of natural gas. The conference featured 23 presentations, of which 6 have been catalogued separately for inclusion in this database. refs., tabs., figs
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2011-04-26
... DEPARTMENT OF COMMERCE International Trade Administration North American Free Trade Agreement... Secretariat, United States Section, International Trade Administration, Department of Commerce. ACTION: Notice... International Trade Commission, in the matter of Light-Walled Rectangular Pipe and Tube from Mexico, Secretariat...
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Coastal Contacts’ Business Development in the North American Online Retail Eyeglass Market
Petersen, Curtis
2011-01-01
The following paper is an analysis of Coastal Contacts Inc. and the North American retail eyeglass industry. Coastal Contacts is an online retailer of contact lenses and prescription eyeglasses. At the time of writing the company has recently entered the eyeglasses market. This industry has an underdeveloped online retail channel. The reason the channel has not developed as quickly as other products such as contact lenses is because eyeglasses are a more complicated purchase. As more purchase...
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LEARNING FROM COMMERCIAL VERNACULAR BUILDING TYPES: A NORTH AMERICAN CASE STUDY
Directory of Open Access Journals (Sweden)
Stephen Verderber
2016-07-01
Full Text Available A substantial literature exists on commercial vernacular architecture in North America. This literature has examined everyday places and iconic building types including suburbia, roadside motels, vintage diners, fast food franchises, residential trailer parks, signage, unique commercial establishments, and shopping malls. These places and buildings are generally classified as expressions of folk vernacular culture. In response, Attention Restoration Theory, an environmental cognition perspective based in human information processing research, provided the foundation for an investigation of the food truck/ trailer and its immediate installation context within a North American case study context. Visual documentation, interviews, and archival fieldwork provided the basis for the articulation of a typology. These structures were found to express automaticity, as satisfying the timeless human preference for association with nature, a sense of psychological respite, and as a physical setting visually distinct from its larger urban environment context. Directions for future research on this topic are outlined together with insights for application by architects and urban planners.
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Energy Efficiency in the North American Existing Building Stock
Energy Technology Data Exchange (ETDEWEB)
NONE
2007-07-01
This report presents the findings of a new assessment of the techno-economic and policy-related efficiency improvement potential in the North American building stock conducted as part of a wider appraisal of existing buildings in member states of the International Energy Agency. It summarizes results and provides insights into the lessons learned through a broader global review of best practice to improve the energy efficiency of existing buildings. At this time, the report is limited to the USA because of the large size of its buildings market. At a later date, a more complete review may include some details about policies and programs in Canada. If resources are available an additional comprehensive review of Canada and Mexico may be performed in the future.
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Solitary main pancreatic ductal calculus of possible biliary origin causing acute pancreatitis.
Chaparala, Ramakrishna Prasad Chowdary; Patel, Rafiuddin; Guthrie, James Ahsley; Davies, Mervyn Huw; Guillou, Pierre J; Menon, Krishna V
2005-09-10
Pancreatic ductal calculi are most often associated with chronic pancreatitis. Radiological features of chronic pancreatitis are readily evident in the presence of these calculi. However, acute pancreatitis due to a solitary main pancreatic ductal calculus of biliary origin is rare. A 59-year-old man presented with a first episode of acute pancreatitis. Contrast enhanced computerized tomography (CT) scan and endoscopic retrograde cholangiopancreatography (ERCP) revealed a calculus in the main pancreatic duct in the head of the pancreas causing acute pancreatitis. There were no features suggestive of chronic pancreatitis on CT scanning. The episode acute pancreatitis was managed conservatively. ERCP extraction of the calculus failed as the stone was impacted in the main pancreatic duct resulting in severe acute pancreatitis. Once this resolved, a transduodenal exploration and extraction of the pancreatic ductal calculus was performed successfully. Crystallographic analysis revealed the composition of the calculus was different to that seen in chronic pancreatitis, but more in keeping with a calculus of biliary origin. This could be explained by migration of the biliary calculus via the common channel into the main pancreatic duct. Following the operation the patient made an uneventful recovery and was well at two-year follow up. Acute pancreatitis due to a solitary main pancreatic ductal calculus of biliary origin is rare. Failing endoscopic extraction, transduodenal exploration and extraction is a safe option after resolution of acute pancreatitis.
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Islet Cells Serve as Cells of Origin of Pancreatic Gastrin-Positive Endocrine Tumors.
Bonnavion, Rémy; Teinturier, Romain; Jaafar, Rami; Ripoche, Doriane; Leteurtre, Emmanuelle; Chen, Yuan-Jia; Rehfeld, Jens F; Lepinasse, Florian; Hervieu, Valérie; Pattou, François; Vantyghem, Marie-Christine; Scoazec, Jean-Yves; Bertolino, Philippe; Zhang, Chang Xian
2015-10-01
The cells of origin of pancreatic gastrinomas remain an enigma, since no gastrin-expressing cells are found in the normal adult pancreas. It was proposed that the cellular origin of pancreatic gastrinomas may come from either the pancreatic cells themselves or gastrin-expressing cells which have migrated from the duodenum. In the current study, we further characterized previously described transient pancreatic gastrin-expressing cells using cell lineage tracing in a pan-pancreatic progenitor and a pancreatic endocrine progenitor model. We provide evidence showing that pancreatic gastrin-expressing cells, found from embryonic day 12.5 until postnatal day 7, are derived from pancreatic Ptf1a(+) and neurogenin 3-expressing (Ngn3(+)) progenitors. Importantly, the majority of them coexpress glucagon, with 4% coexpressing insulin, indicating that they are a temporary subpopulation of both alpha and beta cells. Interestingly, Men1 disruption in both Ngn3 progenitors and beta and alpha cells resulted in the development of pancreatic gastrin-expressing tumors, suggesting that the latter developed from islet cells. Finally, we detected gastrin expression using three human cohorts with pancreatic endocrine tumors (pNETs) that have not been diagnosed as gastrinomas (in 9/34 pNETs from 6/14 patients with multiple endocrine neoplasia type 1, in 5/35 sporadic nonfunctioning pNETs, and in 2/20 sporadic insulinomas), consistent with observations made in mouse models. Our work provides insight into the histogenesis of pancreatic gastrin-expressing tumors. Copyright © 2015, American Society for Microbiology. All Rights Reserved.
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2010-09-14
...] North American Bioproducts Corporation; Filing of Food Additive Petition (Animal Use); Penicillin G... food additive regulations be amended to provide for the safe use of penicillin G procaine as an... Water of Animals (21 CFR part 573) to provide for the safe use of penicillin G procaine as an...
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Ahmed Ali, Usama; Issa, Yama; Hagenaars, Julia C; Bakker, Olaf J; van Goor, Harry; Nieuwenhuijs, Vincent B; Bollen, Thomas L; van Ramshorst, Bert; Witteman, Ben J; Brink, Menno A; Schaapherder, Alexander F; Dejong, Cornelis H; Spanier, B W Marcel; Heisterkamp, Joos; van der Harst, Erwin; van Eijck, Casper H; Besselink, Marc G; Gooszen, Hein G; van Santvoort, Hjalmar C; Boermeester, Marja A
2016-05-01
Patients with a first episode of acute pancreatitis can develop recurrent or chronic pancreatitis (CP). However, little is known about the incidence or risk factors for these events. We performed a cross-sectional study of 669 patients with a first episode of acute pancreatitis admitted to 15 Dutch hospitals from December 2003 through March 2007. We collected information on disease course, outpatient visits, and hospital readmissions, as well as results from imaging, laboratory, and histology studies. Standardized follow-up questionnaires were sent to all available patients to collect information on hospitalizations and interventions for pancreatic disease, abdominal pain, steatorrhea, diabetes mellitus, medications, and alcohol and tobacco use. Patients were followed up for a median time period of 57 months. Primary end points were recurrent pancreatitis and CP. Risk factors were evaluated using regression analysis. The cumulative risk was assessed using Kaplan-Meier analysis. Recurrent pancreatitis developed in 117 patients (17%), and CP occurred in 51 patients (7.6%). Recurrent pancreatitis developed in 12% of patients with biliary disease, 24% of patients with alcoholic etiology, and 25% of patients with disease of idiopathic or other etiologies; CP occurred in 3%, 16%, and 10% of these patients, respectively. Etiology, smoking, and necrotizing pancreatitis were independent risk factors for recurrent pancreatitis and CP. Acute Physiology and Chronic Health Evaluation II scores at admission also were associated independently with recurrent pancreatitis. The cumulative risk for recurrent pancreatitis over 5 years was highest among smokers at 40% (compared with 13% for nonsmokers). For alcohol abusers and current smokers, the cumulative risks for CP were similar-approximately 18%. In contrast, the cumulative risk of CP increased to 30% in patients who smoked and abused alcohol. Based on a retrospective analysis of patients admitted to Dutch hospitals, a first
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The North American opinion climate for nanotechnology and its products: Opportunities and challenges
International Nuclear Information System (INIS)
Priest, Susanna
2006-01-01
A January 2005 telephone survey of 1200 people in the U.S. and 2000 Canadians provides a snapshot of current North American opinion regarding nanotechnology at this crucial early point in its emergence from the laboratory to the arena of public discourse and public understanding. Using a typology of 'publics' developed through analysis of a previous comparative survey (Priest, S., 2006) and subsequently tested against these newer data (Priest, S., 2005) this article describes the opinion climate for nanotechnology across North America. The comparison of key results from the two countries helps illustrate how social and cultural differences contribute to reactions to new technologies, including nanotech. The article also discusses implications for nanotechnology-related public outreach and risk communication efforts
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Vujasinovic, Miroslav; Tepes, Bojan; Makuc, Jana; Rudolf, Sasa; Zaletel, Jelka; Vidmar, Tjasa; Seruga, Maja; Birsa, Bostjan
2014-12-28
To investigate impairment and clinical significance of exocrine and endocrine pancreatic function in patients after acute pancreatitis (AP). Patients with AP were invited to participate in the study. Severity of AP was determined by the Atlanta classification and definitions revised in 2012. Pancreatic exocrine insufficiency (PEI) was diagnosed by the concentration of fecal elastase-1. An additional work-up, including laboratory testing of serum nutritional markers for determination of malnutrition, was offered to all patients with low levels of fecal elastase-1 FE. Hemoglobin A1c or oral glucose tolerance tests were also performed in patients without prior diabetes mellitus, and type 3c diabetes mellitus (T3cDM) was diagnosed according to American Diabetes Association criteria. One hundred patients were included in the study: 75% (75/100) of patients had one attack of AP and 25% (25/100) had two or more attacks. The most common etiology was alcohol. Mild, moderately severe and severe AP were present in 67, 15 and 18% of patients, respectively. The mean time from attack of AP to inclusion in the study was 2.7 years. PEI was diagnosed in 21% (21/100) of patients and T3cDM in 14% (14/100) of patients. In all patients with PEI, at least one serologic nutritional marker was below the lower limit of normal. T3cDM was more frequently present in patients with severe AP (P = 0.031), but was also present in some patients with mild and moderately severe AP. PEI was present in all degrees of severity of AP. There were no statistically significantly differences according to gender, etiology and number of AP attacks. As exocrine and endocrine pancreatic insufficiency can develop after AP, routine follow-up of patients is necessary, for which serum nutritional panel measurements can be useful.
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Environmental risk factors for chronic pancreatitis and pancreatic cancer.
Nitsche, Claudia; Simon, Peter; Weiss, F Ulrich; Fluhr, Gabriele; Weber, Eckhard; Gärtner, Simone; Behn, Claas O; Kraft, Matthias; Ringel, Jörg; Aghdassi, Ali; Mayerle, Julia; Lerch, Markus M
2011-01-01
Chronic pancreatitis has long been thought to be mainly associated with immoderate alcohol consumption. The observation that only ∼10% of heavy drinkers develop chronic pancreatitis not only suggests that other environmental factors, such as tobacco smoke, are potent additional risk factors, but also that the genetic component of pancreatitis is more common than previously presumed. Either disease-causing or protective traits have been indentified for mutations in different trypsinogen genes, the gene for the trypsin inhibitor SPINK1, chymotrypsinogen C, and the cystic fibrosis transmembane conductance regulator (CFTR). Other factors that have been proposed to contribute to pancreatitis are obesity, diets high in animal protein and fat, as well as antioxidant deficiencies. For the development of pancreatic cancer, preexisting chronic pancreatitis, more prominently hereditary pancreatitis, is a risk factor. The data on environmental risk factors for pancreatic cancer are, with the notable exception of tobacco smoke, either sparse, unconfirmed or controversial. Obesity appears to increase the risk of pancreatic cancer in the West but not in Japan. Diets high in processed or red meat, diets low in fruits and vegetables, phytochemicals such as lycopene and flavonols, have been proposed and refuted as risk or protective factors in different trials. The best established and single most important risk factor for cancer as well as pancreatitis and the one to clearly avoid is tobacco smoke. Copyright © 2011 S. Karger AG, Basel.
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Acute Pancreatitis and Pregnancy
... Pancreatitis Acute Pancreatitis and Pregnancy Acute Pancreatitis and Pregnancy Timothy Gardner, MD Acute pancreatitis is defined as ... pancreatitis in pregnancy. Reasons for Acute Pancreatitis and Pregnancy While acute pancreatitis is responsible for almost 1 ...
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Talukdar, Rupjyoti; Vege, Santhi S
2015-09-01
To summarize recent data on classification systems, cause, risk factors, severity prediction, nutrition, and drug treatment of acute pancreatitis. Comparison of the Revised Atlanta Classification and Determinant Based Classification has shown heterogeneous results. Simvastatin has a protective effect against acute pancreatitis. Young black male, alcohol, smoldering symptoms, and subsequent diagnosis of chronic pancreatitis are risk factors associated with readmissions after acute pancreatitis. A reliable clinical or laboratory marker or a scoring system to predict severity is lacking. The PYTHON trial has shown that oral feeding with on demand nasoenteric tube feeding after 72 h is as good as nasoenteric tube feeding within 24 h in preventing infections in predicted severe acute pancreatitis. Male sex, multiple organ failure, extent of pancreatic necrosis, and heterogeneous collection are factors associated with failure of percutaneous drainage of pancreatic collections. The newly proposed classification systems of acute pancreatitis need to be evaluated more critically. New biomarkers are needed for severity prediction. Further well designed studies are required to assess the type of enteral nutritional formulations for acute pancreatitis. The optimal minimally invasive method or combination to debride the necrotic collections is evolving. There is a great need for a drug to treat the disease early on to prevent morbidity and mortality.
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The role of the North American Breeding Bird Survey in conservation
Hudson, Marie-Anne R.; Francis, Charles M.; Campbell, Kate J.; Downes, Constance M.; Smith, Adam C.; Pardieck, Keith L.
2017-01-01
The North American Breeding Bird Survey (BBS) was established in 1966 in response to a lack of quantitative data on changes in the populations of many bird species at a continental scale, especially songbirds. The BBS now provides the most reliable regional and continental trends and annual indices of abundance available for >500 bird species. This paper reviews some of the ways in which BBS data have contributed to bird conservation in North America over the past 50 yr, and highlights future program enhancement opportunities. BBS data have contributed to the listing of species under the Canadian Species at Risk Act and, in a few cases, have informed species assessments under the U.S. Endangered Species Act. By raising awareness of population changes, the BBS has helped to motivate bird conservation efforts through the creation of Partners in Flight. BBS data have been used to determine priority species and locations for conservation action at regional and national scales through Bird Conservation Region strategies and Joint Ventures. Data from the BBS have provided the quantitative foundation for North American State of the Birds reports, and have informed the public with regard to environmental health through multiple indicators, such as the Canadian Environmental Sustainability Indicators and the U.S. Environmental Protection Agency's Report on the Environment. BBS data have been analyzed with other data (e.g., environmental, land cover, and demographic) to evaluate potential drivers of population change, which have then informed conservation actions. In a few cases, BBS data have contributed to the evaluation of management actions, including informing the management of Mourning Doves (Zenaida macroura), Wood Ducks (Aix sponsa), and Golden Eagles (Aquila chrysaetos). Improving geographic coverage in northern Canada and in Mexico, improving the analytical approaches required to integrate data from other sources and to address variation in detectability, and
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Wildlife values of North American ricelands
Eadie, J.M.; Elphick, C.S.; Reinecke, K.J.; Miller, M.R.; Manley, Scott W.
2008-01-01
derermining threshold food levels required to maintain bird use; (3) quantifying use of ricefields by nonwaterfowl species throughout the year; and (4) determining the amount and distribution of rice habitat needed to meet objectives of the North American Waterfowl Management Plan and the United States Shorebird Conservation Plan.
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Circumportal Pancreas-a Must Know Pancreatic Anomaly for the Pancreatic Surgeon.
Luu, Andreas Minh; Braumann, C; Herzog, T; Janot, M; Uhl, W; Chromik, A M
2017-02-01
Circumportal pancreas is a rare congenital pancreatic anomaly with encasement of the portal vein and/or the superior mesenteric vein by pancreatic tissue. It is often overlooked on cross-sectional imaging studies and can be encountered during pancreatic surgery. Pancreatic head resection with circumportal pancreas is technically difficult and bears an increased risk of postoperative pancreatic fistula. A retrospective chart review of our data base for all patients who had undergone pancreatic head resection between 2004 and 2015 was performed. We identified six patients out of 1102 patients who had undergone pancreatic head surgery in the study period. CT-scan and MRI were never able to identify circumportal pancreas prior to surgery. The right hepatic an artery derived from the superior mesenteric artery in four cases (67%). Additional resection of the pancreatic body was always performed. Postoperative course was uneventful in all cases without occurrence of pancreatic fistula. Circumportal pancreas is a rare entity every pancreatic surgeon should be aware of. It is difficult to identify on cross-sectional imaging studies. A right hepatic artery arising from the superior mesenteric artery should raise suspicion of circumportal pancreas. Additional pancreatic tissue resection should be performed during pancreatic head resections to avoid pancreatic fistula.
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IAP/APA evidence-based guidelines for the management of acute pancreatitis.
2013-01-01
There have been substantial improvements in the management of acute pancreatitis since the publication of the International Association of Pancreatology (IAP) treatment guidelines in 2002. A collaboration of the IAP and the American Pancreatic Association (APA) was undertaken to revise these guidelines using an evidence-based approach. Twelve multidisciplinary review groups performed systematic literature reviews to answer 38 predefined clinical questions. Recommendations were graded using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. The review groups presented their recommendations during the 2012 joint IAP/APA meeting. At this one-day, interactive conference, relevant remarks were voiced and overall agreement on each recommendation was quantified using plenary voting. The 38 recommendations covered 12 topics related to the clinical management of acute pancreatitis: A) diagnosis of acute pancreatitis and etiology, B) prognostication/predicting severity, C) imaging, D) fluid therapy, E) intensive care management, F) preventing infectious complications, G) nutritional support, H) biliary tract management, I) indications for intervention in necrotizing pancreatitis, J) timing of intervention in necrotizing pancreatitis, K) intervention strategies in necrotizing pancreatitis, and L) timing of cholecystectomy. Using the GRADE system, 21 of the 38 (55%) recommendations, were rated as 'strong' and plenary voting revealed 'strong agreement' for 34 (89%) recommendations. The 2012 IAP/APA guidelines provide recommendations concerning key aspects of medical and surgical management of acute pancreatitis based on the currently available evidence. These recommendations should serve as a reference standard for current management and guide future clinical research on acute pancreatitis. Copyright © 2013 IAP and EPC. Published by Elsevier B.V. All rights reserved.
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Energy Technology Data Exchange (ETDEWEB)
Felker, P.; Clark, P.R.; Osborn, J.F.; Cannell, G.H.
Prosopis pod production was compared in 3 field trials in southern California, i.e., a typical orchard planting, an irrigation trial, and a heat/drought stress trial. Thirteen species representing North American, South American, Hawaiian, and African germplasm were evaluated. Hawaiian and African accessions were eliminated from the irrigation trial by a minus 5/sup 0/C temperature. The most productive pod producers were P. velutina accessions from southern Arizona. In the fifth season, 5 trees of the most productive accession, i.e., P. velutina 32 had a mean pod production of 7.2 kg/tree with a range of 3.2-12.2 kg/tree. P. chilensis and P. alba trees of the same age were much larger but had less pod production. Trees in the driest irrigation treatment had the greatest pod production. Pod production estimates of 3000-4000 kg/ha were obtained in the dry irrigation treatment by P. velutina 20 which received 370 mm rainfall in the year preceding harvest. 32 references, 1 figure, 6 tables.
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NMDA receptors are important regulators of pancreatic cancer and are potential targets for treatment
Directory of Open Access Journals (Sweden)
North WG
2017-07-01
Full Text Available William G North,1,2 Fuli Liu,1 Liz Z Lin,1 Ruiyang Tian,2 Bonnie Akerman1 1Department of Molecular and Systems Biology, Geisel School of Medicine at Dartmouth College, 2Woomera Therapeutics Inc, Lebanon, NH, USA Abstract: Pancreatic cancer, particularly adenocarcinoma of the pancreas, is a common disease with a poor prognosis. In this study, the importance of N-methyl-D-aspartate (NMDA receptors for the growth and survival of pancreatic cancer was investigated. Immunohistochemistry performed with antibodies against GluN1 and GluN2B revealed that all invasive adenocarcinoma and neuroendocrine pancreatic tumors likely express these two NMDA receptor proteins. These proteins were found to be membrane components of pancreatic cancer cell lines, and both channel-blocker antagonist and GluN2B antagonist significantly reduced cell viability in vitro. Both types of antagonists caused an internalization of the receptors. Dizocilpine maleate (MK-801 and ifenprodil hemitartrate both significantly inhibited the growth of pancreatic tumor xenografts in nu/nu mice. These findings predict that, as for other solid tumors investigated by us, pancreatic cancer could be successfully treated, alone or in combination, with NMDA receptor antagonists or other receptor-inhibiting blocking agents. Keywords: pancreatic cancer, NMDA receptors, inhibitors, potential therapy
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Kelley M. Stewart; R. Terry Bowyer; Brian L. Dick; Bruce K. Johnson; John G. Kie
2005-01-01
Density dependence plays a key role in life-history characteristics and population ecology of large, herbivorous mammals. We designed a manipulative experiment to test hypotheses relating effects of density-dependent mechanisms on physical condition and fecundity of North American elk (Cervus elaphus) by creating populations at low and high density...
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Chronic Pancreatitis and Pancreatic Cancer Risk: A Systematic Review and Meta-analysis.
Kirkegård, Jakob; Mortensen, Frank Viborg; Cronin-Fenton, Deirdre
2017-09-01
Chronic pancreatitis is a putative risk factor for pancreatic cancer. The aim of this study was to examine the magnitude and temporality of this association. We searched MEDLINE and EMBASE for observational studies investigating the association between chronic pancreatitis and pancreatic cancer. We computed overall effect estimates (EEs) with associated 95% confidence intervals (CIs) using a random-effects meta-analytic model. The EEs were stratified by length of follow-up from chronic pancreatitis diagnosis to pancreatic cancer (lag period). Robustness of the results was examined in sensitivity analyses. We identified 13 eligible studies. Pooled EEs for pancreatic cancer in patients with chronic pancreatitis were 16.16 (95% CI: 12.59-20.73) for patients diagnosed with pancreatic cancer within 2 years from their chronic pancreatitis diagnosis. The risk of pancreatic cancer in patients with chronic pancreatitis decreased when the lag period was increased to 5 years (EE: 7.90; 95% CI: 4.26-14.66) or a minimum of 9 years (EE: 3.53; 95% CI: 1.69-7.38). In conclusion, chronic pancreatitis increases the risk of pancreatic cancer, but the association diminishes with long-term follow-up. Five years after diagnosis, chronic pancreatitis patients have a nearly eight-fold increased risk of pancreatic cancer. We suggest that common practice on inducing a 2-year lag period in these studies may not be sufficient. We also recommend a close follow-up in the first years following a diagnosis of chronic pancreatitis to avoid overlooking a pancreatic cancer.
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An Empty Donut Hole: the Great Collapse of a North American Fishery
Directory of Open Access Journals (Sweden)
Kevin M. Bailey
2011-06-01
Full Text Available Walleye pollock (Theragra chalcogramma is North America's most abundant and lucrative natural fishery, and is the world's largest fishery for human food. The little-known demise of the "Donut Hole" stock of pollock in the Aleutian Basin of the central Bering Sea during the 1980s is the most spectacular fishery collapse in North American history, dwarfing the famous crashes of the northern cod and Pacific sardine (Sardinops sagax. This collapse has received scant recognition and became evident only in 1993 when fishing was banned by an international moratorium; nearly 20 years later it has not recovered. The history of fishing in the North Pacific Ocean after World War II offers some insights into how the Donut Hole pollock fishery developed, and the societal and economic pressures behind it that so influenced the stock's fate. Overfishing was, without a doubt, the greatest contributor to the collapse of the Aleutian Basin pollock fishery, but a lack of knowledge about population biocomplexity added to the confusion of how to best manage the harvest. Unfortunately, the big scientific questions regarding the relationship of Donut Hole fish to other stocks are still unanswered.
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Early laparoendoscopic rendezvous for acute biliary pancreatitis: preliminary results.
Borzellino, G; Lombardo, F; Minicozzi, A M; Donataccio, M; Cordiano, C
2010-02-01
Early restored patency of the papilla has been hypothesized to reduce complications and mortality of acute biliary pancreatitis. The aim of this study was to evaluate the role of urgent laparoscopic cholecystectomy with intraoperative cholangiography and rendezvous when necessary in acute biliary pancreatitis natural history. Patients observed in the early stage of an acute biliary pancreatitis were included in the study. Operative risk assessment based on American Society of Anesthesiologists (ASA) score allowed the performance of urgent laparoscopic cholecystectomy within 72 h from onset of symptoms in 55 patients and a delayed intervention during the same admission in 21 patients. Intraoperative cholangiography was performed in all cases, and clearance of common bile duct was performed by flushing when possible, or rendezvous when necessary. Evolution of pancreatitis was evaluated with clinical and radiological monitoring. Urgent laparoscopic cholecystectomy was performed in all cases without conversion. At intraoperative cholangiography common bile duct was free in 25 patients, a papillary spasm was observed in 9, and common bile duct stones in 21 patients. Patency of the papilla was restored by flushing in 13 patients, while a rendezvous was necessary in 17 patients. The rate of organ failure and pancreatic necrosis was 1.8%, overall mortality was 1.8%, and overall morbidity 21.8%. No infectious complications of peripancreatic collections were observed. Urgent laparoscopic cholecystectomy with selective intraoperative rendezvous may be considered as a treatment option in the early stage of acute biliary pancreatitis.
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Zhan, Xianbao; Wang, Fan; Bi, Yan; Ji, Baoan
2016-09-01
Animal models of pancreatitis are useful for elucidating the pathogenesis of pancreatitis and developing and testing novel interventions. In this review, we aim to summarize the most commonly used animal models, overview their pathophysiology, and discuss their strengths and limitations. We will also briefly describe common animal study procedures and refer readers to more detailed protocols in the literature. Although animal models include pigs, dogs, opossums, and other animals, we will mainly focus on rodent models because of their popularity. Autoimmune pancreatitis and genetically engineered animal models will be reviewed elsewhere. Copyright © 2016 the American Physiological Society.
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Directory of Open Access Journals (Sweden)
Martynov Sergey
2016-12-01
Full Text Available A comparative analysis of genetic diversity of North American spring wheat varieties differing in resistance to pre-harvest sprouting was carried out. For identification of sources of resistance the genealogical profiles of 148 red-grained and 63 white-grained North-American spring wheat varieties with full pedigrees were calculated and estimates were made of pre-harvest sprouting. The cluster structure of the populations of red-grained and white-grained varieties was estimated. Analysis of variance revealed significant differences between the average contributions of landraces in the groups of resistant and susceptible varieties. Distribution of the putative sources of resistance in the clusters indicated that varieties having different genetic basis may have different sources of resistance. For red-grained varieties the genetic sources of resistance to pre-harvest sprouting are landraces Crimean, Hard Red Calcutta, and Iumillo, or Button, Kenya 9M-1A-3, and Kenya-U, or Red Egyptian and Kenya BF4-3B-10V1. Tracking of pedigrees showed these landraces contributed to the pedigrees, respectively, via Thatcher, Kenya-Farmer, and Kenya-58, which were likely donors of resistance for red-grained varieties. For white-grained varieties the sources of resistance were landraces Crimean, Hard Red Calcutta, Ostka Galicyjska, Iumillo, Akakomugi, Turco, Hybrid English, Rough Chaff White and Red King, and putative donors of resistance — Thatcher, RL2265, and Frontana. The genealogical profile of accession RL4137, the most important donor of resistance to pre-harvest sprouting in North American spring wheat breeding programmes, contains almost all identified sources of resistance.
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Carrasco, Marc A; Barnosky, Anthony D; Graham, Russell W
2009-12-16
Earth has experienced five major extinction events in the past 450 million years. Many scientists suggest we are now witnessing a sixth, driven by human impacts. However, it has been difficult to quantify the real extent of the current extinction episode, either for a given taxonomic group at the continental scale or for the worldwide biota, largely because comparisons of pre-anthropogenic and anthropogenic biodiversity baselines have been unavailable. Here, we compute those baselines for mammals of temperate North America, using a sampling-standardized rich fossil record to reconstruct species-area relationships for a series of time slices ranging from 30 million to 500 years ago. We show that shortly after humans first arrived in North America, mammalian diversity dropped to become at least 15%-42% too low compared to the "normal" diversity baseline that had existed for millions of years. While the Holocene reduction in North American mammal diversity has long been recognized qualitatively, our results provide a quantitative measure that clarifies how significant the diversity reduction actually was. If mass extinctions are defined as loss of at least 75% of species on a global scale, our data suggest that North American mammals had already progressed one-fifth to more than halfway (depending on biogeographic province) towards that benchmark, even before industrialized society began to affect them. Data currently are not available to make similar quantitative estimates for other continents, but qualitative declines in Holocene mammal diversity are also widely recognized in South America, Eurasia, and Australia. Extending our methodology to mammals in these areas, as well as to other taxa where possible, would provide a reasonable way to assess the magnitude of global extinction, the biodiversity impact of extinctions of currently threatened species, and the efficacy of conservation efforts into the future.
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Directory of Open Access Journals (Sweden)
Marc A Carrasco
2009-12-01
Full Text Available Earth has experienced five major extinction events in the past 450 million years. Many scientists suggest we are now witnessing a sixth, driven by human impacts. However, it has been difficult to quantify the real extent of the current extinction episode, either for a given taxonomic group at the continental scale or for the worldwide biota, largely because comparisons of pre-anthropogenic and anthropogenic biodiversity baselines have been unavailable. Here, we compute those baselines for mammals of temperate North America, using a sampling-standardized rich fossil record to reconstruct species-area relationships for a series of time slices ranging from 30 million to 500 years ago. We show that shortly after humans first arrived in North America, mammalian diversity dropped to become at least 15%-42% too low compared to the "normal" diversity baseline that had existed for millions of years. While the Holocene reduction in North American mammal diversity has long been recognized qualitatively, our results provide a quantitative measure that clarifies how significant the diversity reduction actually was. If mass extinctions are defined as loss of at least 75% of species on a global scale, our data suggest that North American mammals had already progressed one-fifth to more than halfway (depending on biogeographic province towards that benchmark, even before industrialized society began to affect them. Data currently are not available to make similar quantitative estimates for other continents, but qualitative declines in Holocene mammal diversity are also widely recognized in South America, Eurasia, and Australia. Extending our methodology to mammals in these areas, as well as to other taxa where possible, would provide a reasonable way to assess the magnitude of global extinction, the biodiversity impact of extinctions of currently threatened species, and the efficacy of conservation efforts into the future.
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... hormones that help control blood sugar levels. Pancreatic cancer usually begins in the cells that produce the juices. Some risk factors for developing pancreatic cancer include Smoking Long-term diabetes Chronic pancreatitis Certain ...
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Tensile deformation and failure of North American porcupine quills
Energy Technology Data Exchange (ETDEWEB)
Chou, S.F.; Overfelt, R.A., E-mail: overfra@auburn.edu
2011-12-01
Although the mechanical properties of some keratin-based biological materials have been extensively studied (i.e., wool) and others are beginning to be studied (e.g., horn, hooves and avian quills), data on the properties of porcupine quill are less common. Porcupine quill is a keratin-based biological material composed of a cylindrical outer shell with an inner foam core. The present paper reports on the physical characteristics, tensile properties and fracture behavior of North American porcupine quills conditioned at relative humidities of 65% and 100%. Increasing the water content decreased the tensile stiffness and strength and increased the strain at fracture of the porcupine quills. The tensile fracture strength of porcupine quill was found to be 146 MPa at 65% RH and 60 MPa at 100% RH. Although these values compare favorably with reported values for African porcupine quill, reported values of the tensile strengths of wool with similar moisture contents are considerably higher. The initial moduli of porcupine quill (2700 MPa at 65% RH and 1000 MPa at 100% RH) compare favorably to those reported for wool but are considerably less than previous reports for African porcupine quill. The engineering strains at fracture were measured as 25% at 65% RH and 49% at 100% RH and these values are also comparable to other keratin-based mammalian materials. Scanning electron microscopy of the fracture surfaces of porcupine quills revealed that the cylindrical outer shells of quills are composed of 2-3 layers with distinctly different fracture characteristics, especially when the samples contain 100% RH. The outer layer of the porcupine quill shell appears to resist the plasticizing effects of moisture and appears to exhibit considerably less ductility than the inner layers, perhaps due to the presence of hydrophobic lipids in the outer layer. Highlights: {yields} We characterize the tensile properties of north American porcupine quill. {yields} Elastic modulus, tensile
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The Mechanic Eye: North American Visual Poetry in the Digital Age
Directory of Open Access Journals (Sweden)
Maria Goicoechea de Jorge
2012-07-01
Full Text Available http://dx.doi.org/10.5007/1807-9288.2012v8n1p78 This paper offers a revision of North American visual poetry from the contemporary perspective of the digital revolution. From the Native American chants to the digital poetry found on the Web, it will explore the internal drives of this sort of poetic manifestations that have endured through different time periods, aesthetic currents and cultural functions despite the various mediums employed for their production and dissemination. Digital poetry nourishes itself from previous literary traditions as well as from the multimedia convergence favored by the digital medium. We will analyze these influences, and the new reading strategies required to contextualize and make sense out of the digital work of poetry. As readers and writers reorganize their reading pacts, researchers of literature face a new challenge: the polymorphic and metamorphosing liquid text made possible by the digital language
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Development of a North American paleoclimate pollen-based reconstruction database application
Ladd, Matthew; Mosher, Steven; Viau, Andre
2013-04-01
Recent efforts in synthesizing paleoclimate records across the globe has warranted an effort to standardize the different paleoclimate archives currently available in order to facilitate data-model comparisons and hence improve our estimates of future climate change. It is often the case that the methodology and programs make it challenging for other researchers to reproduce the results for a reconstruction, therefore there is a need for to standardize paleoclimate reconstruction databases in an application specific to proxy data. Here we present a methodology using the open source R language using North American pollen databases (e.g. NAPD, NEOTOMA) where this application can easily be used to perform new reconstructions and quickly analyze and output/plot the data. The application was developed to easily test methodological and spatial/temporal issues that might affect the reconstruction results. The application allows users to spend more time analyzing and interpreting results instead of on data management and processing. Some of the unique features of this R program are the two modules each with a menu making the user feel at ease with the program, the ability to use different pollen sums, select one of 70 climate variables available, substitute an appropriate modern climate dataset, a user-friendly regional target domain, temporal resolution criteria, linear interpolation and many other features for a thorough exploratory data analysis. The application program will be available for North American pollen-based reconstructions and eventually be made available as a package through the CRAN repository by late 2013.
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New standards for reducing gravity data: The North American gravity database
Hinze, W. J.; Aiken, C.; Brozena, J.; Coakley, B.; Dater, D.; Flanagan, G.; Forsberg, R.; Hildenbrand, T.; Keller, Gordon R.; Kellogg, J.; Kucks, R.; Li, X.; Mainville, A.; Morin, R.; Pilkington, M.; Plouff, D.; Ravat, D.; Roman, D.; Urrutia-Fucugauchi, J.; Veronneau, M.; Webring, M.; Winester, D.
2005-01-01
The North American gravity database as well as databases from Canada, Mexico, and the United States are being revised to improve their coverage, versatility, and accuracy. An important part of this effort is revising procedures for calculating gravity anomalies, taking into account our enhanced computational power, improved terrain databases and datums, and increased interest in more accurately defining long-wavelength anomaly components. Users of the databases may note minor differences between previous and revised database values as a result of these procedures. Generally, the differences do not impact the interpretation of local anomalies but do improve regional anomaly studies. The most striking revision is the use of the internationally accepted terrestrial ellipsoid for the height datum of gravity stations rather than the conventionally used geoid or sea level. Principal facts of gravity observations and anomalies based on both revised and previous procedures together with germane metadata will be available on an interactive Web-based data system as well as from national agencies and data centers. The use of the revised procedures is encouraged for gravity data reduction because of the widespread use of the global positioning system in gravity fieldwork and the need for increased accuracy and precision of anomalies and consistency with North American and national databases. Anomalies based on the revised standards should be preceded by the adjective "ellipsoidal" to differentiate anomalies calculated using heights with respect to the ellipsoid from those based on conventional elevations referenced to the geoid. ?? 2005 Society of Exploration Geophysicists. All rights reserved.
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Representations of OxyContin in North American newspapers and medical journals
Whelan, Emma; Asbridge, Mark; Haydt, Susan
2011-01-01
BACKGROUND: There are public concerns regarding OxyContin (Purdue Pharma, Canada) and charges within the pain medicine community that media coverage of the drug has been biased. OBJECTIVE: To analyze and compare representations of OxyContin in medical journals and North American newspapers in an attempt to shed light on how each contributes to the ‘social problem’ associated with OxyContin. METHODS: Using searches of newspaper and medical literature databases, two samples were drawn: 924 stories published between 1995 and 2005 in 27 North American newspapers, and 197 articles published between 1995 and 2007 in 33 medical journals in the fields of addiction/substance abuse, pain/anesthesiology and general/internal medicine. The foci, themes, perspectives represented and evaluations of OxyContin presented in these texts were analyzed statistically. RESULTS: Newspaper coverage of OxyContin emphasized negative evaluations of the drug, focusing on abuse, addiction, crime and death rather than the use of OxyContin for the legitimate treatment of pain. Newspaper stories most often conveyed the perspectives of law enforcement and courts, and much less often represented the perspectives of physicians. However, analysis of physician perspectives represented in newspaper stories and in medical journals revealed a high degree of inconsistency, especially across the fields of pain medicine and addiction medicine. CONCLUSION: The prevalence of negative representations of OxyContin is often blamed on biased media coverage and an ignorant public. However, the proliferation of inconsistent messages regarding the drug from physicians plays a role in the drug’s persistent status as a social problem. PMID:22059195
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... enzymes become prematurely active and irritate the pancreas (pancreatitis). Pseudocysts can also result from injury to the ... alcohol use and gallstones are risk factors for pancreatitis, and pancreatitis is a risk factor for pseudocysts. ...
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Dendritic Cells Promote Pancreatic Viability in Mice with Acute Pancreatitis
Bedrosian, Andrea S.; Nguyen, Andrew H.; Hackman, Michael; Connolly, Michael K.; Malhotra, Ashim; Ibrahim, Junaid; Cieza-Rubio, Napoleon E.; Henning, Justin R.; Barilla, Rocky; Rehman, Adeel; Pachter, H. Leon; Medina-Zea, Marco V.; Cohen, Steven M.; Frey, Alan B.; Acehan, Devrim; Miller, George
2011-01-01
Background & Aims Acute pancreatitis increases morbidity and mortality from organ necrosis by mechanisms that are incompletely understood. Dendritic cells (DCs) can promote or suppress inflammation, depending on their subtype and context. We investigated the roles of DC in development of acute pancreatitis. Methods Acute pancreatitis was induced in CD11c.DTR mice using caerulein or L-arginine; DCs were depleted by administration of diphtheria toxin. Survival was analyzed using Kaplan-Meier analysis. Results Numbers of MHC II+CD11c+DC increased 100-fold in pancreas of mice with acute pancreatitis, to account for nearly 15% of intra-pancreatic leukocytes. Intra-pancreatic DC acquired an immune phenotype in mice with acute pancreatitis; they expressed higher levels of MHC II and CD86 and increased production of interleukin-6, membrane cofactor protein (MCP)-1, and tumor necrosis factor (TNF)-α. However, rather than inducing an organ-destructive inflammatory process, DC were required for pancreatic viability; the exocrine pancreas died in mice that were depleted of DC and challenged with caerulein or L-arginine. All mice with pancreatitis that were depleted of DC died from acinar cell death within 4 days. Depletion of DC from mice with pancreatitis resulted in neutrophil infiltration and increased levels of systemic markers of inflammation. However, the organ necrosis associated with depletion of DC did not require infiltrating neutrophils, activation of NF-κB, or signaling by mitogen-activated protein kinase or TNF-α. Conclusions DC are required for pancreatic viability in mice with acute pancreatitis and might protect organs against cell stress. PMID:21801698
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Laparoscopic pancreatic cystogastrostomy.
Obermeyer, Robert J; Fisher, William E; Salameh, Jihad R; Jeyapalan, Manjula; Sweeney, John F; Brunicardi, F Charles
2003-08-01
The purpose of the review was to evaluate the feasibility and outcome of laparoscopic pancreatic cystogastrostomy for operative drainage of symptomatic pancreatic pseudocysts. A retrospective review of all patients who underwent laparoscopic pancreatic cystogastrostomy between June 1997 and July 2001 was performed. Data regarding etiology of pancreatitis, size of pseudocyst, operative time, complications, and pseudocyst recurrence were collected and reported as median values with ranges. Laparoscopic pancreatic cystogastrostomy was attempted in 6 patients. Pseudocyst etiology included gallstone pancreatitis (3), alcohol-induced pancreatitis (2), and post-ERCP pancreatitis (1). The cystogastrostomy was successfully performed laparoscopically in 5 of 6 patients. However, the procedure was converted to open after creation of the cystgastrostomy in 1 of these patients. There were no complications in the cases completed laparoscopically and no deaths in the entire group. No pseudocyst recurrences were observed with a median followup of 44 months (range 4-59 months). Laparoscopic pancreatic cystgastrostomy is a feasible surgical treatment of pancreatic pseudocysts with a resultant low pseudocyst recurrence rate, length of stay, and low morbidity and mortality.
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2013-06-18
... DEPARTMENT OF THE INTERIOR Bureau of Ocean Energy Management [MMAA104000] North American Datum of 1983 (NAD 83) Outer Continental Shelf (OCS) Provisional Official Protraction Diagram (OPDs) AGENCY... OPDs. SUMMARY: Notice is hereby given that effective with this publication two NAD 83-based OCS...
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2012-10-01
... applicable to workers and former workers of Johnson Controls, North American Refrigeration, Dixon, Illinois... to TA-W-71,663 is hereby issued as follows: All workers of Johnson Controls, including workers whose... DEPARTMENT OF LABOR Employment and Training Administration [TA-W-71,663] Johnson Controls...
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2013-04-03
... INTERNATIONAL TRADE COMMISSION [Investigation No. TA-103-027] Probable Economic Effect of Certain... investigation No. TA-103-027, Probable Economic Effect of Certain Modifications to the North American Free Trade... reached agreement in principle with representatives of the governments of Canada and Mexico on proposed...
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P. R. Aldrich; M. Jagtap; C. H. Michler; J. Romero-Severson
2003-01-01
We examined the cross-species amplification success of thirty microsatellite markers developed from North American northern red oak (Quercus rubra) in other members of the family Fagaceae. Sixteen of these markers are newly developed and we report primer sequences and amplification conditions here. Twelve of the thirty (40.0%) red oak markers...
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North American free trade and the European situation compared.
Weintraub, S
1992-01-01
The author analyzes and compares the trade situation in the European Community (EC) with the North American Free Trade Agreement (NAFTA). He finds that "while both the EC and NAFTA are designed to provide trade preferences to the member countries, the two groupings differ markedly in other respects. The Treaty of Rome, establishing what is now the EC, consciously used economic means to foster political cohesion in Western Europe; whereas, the NAFTA negotiations seek free trade rather than more comprehensive economic integration precisely to minimize political content. The EC contains many social provisions absent from the NAFTA discussions, the most important of which is the right of migration from one EC country to another." The effects of NAFTA on the economy of Mexico and on Mexican migration to the United States are also assessed. excerpt
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Longitudinal trends in climate drive flowering time clines in North American Arabidopsis thaliana.
Samis, Karen E; Murren, Courtney J; Bossdorf, Oliver; Donohue, Kathleen; Fenster, Charles B; Malmberg, Russell L; Purugganan, Michael D; Stinchcombe, John R
2012-06-01
Introduced species frequently show geographic differentiation, and when differentiation mirrors the ancestral range, it is often taken as evidence of adaptive evolution. The mouse-ear cress (Arabidopsis thaliana) was introduced to North America from Eurasia 150-200 years ago, providing an opportunity to study parallel adaptation in a genetic model organism. Here, we test for clinal variation in flowering time using 199 North American (NA) accessions of A. thaliana, and evaluate the contributions of major flowering time genes FRI, FLC, and PHYC as well as potential ecological mechanisms underlying differentiation. We find evidence for substantial within population genetic variation in quantitative traits and flowering time, and putatively adaptive longitudinal differentiation, despite low levels of variation at FRI, FLC, and PHYC and genome-wide reductions in population structure relative to Eurasian (EA) samples. The observed longitudinal cline in flowering time in North America is parallel to an EA cline, robust to the effects of population structure, and associated with geographic variation in winter precipitation and temperature. We detected major effects of FRI on quantitative traits associated with reproductive fitness, although the haplotype associated with higher fitness remains rare in North America. Collectively, our results suggest the evolution of parallel flowering time clines through novel genetic mechanisms.
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[Pancreatic anastomosis in operative treatment of chronic pancreatitis].
Bellon, E; Izbicki, J R; Bockhorn, M
2017-01-01
Chronic pancreatitis (CP) is an irreversible, inflammatory process, which is characterized by progressive fibrosis of the pancreas and leads to abdominal pain, endocrine and exocrine insufficiency. Surgical therapy is indicated by the absence of pain relief and local complications. The target of the surgical approach is to relieve the pancreatic and bile ducts and resection of the fibrotic and calcified parenchyma. Drainage procedures, such as the Partington-Rochelle method, are used in patients with isolated congestion of the pancreatic duct without further organ complications, such as inflammatory processes of the pancreatic head; however, patients with CP often have an inflammatory swelling of the pancreatic head. In this case classical pancreatoduodenectomy (PD) or organ-sparing duodenum-preserving pancreatic head resection (DPPHR) with its various techniques (e.g. Beger, Frey, Bern and V‑shape) can be applied. Due to similar long-term results PD should be carried out in cases of suspicion or detection of malignancies and DPPHR for treatment of CP.
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Lukovsky-Akhsanov, Nicole; Keating, M Kelly; Spivey, Pamela; Lathrop, George W; Powell, Nathaniel; Levin, Michael L
2016-01-01
Rickettsia slovaca is a tick-borne human pathogen that is associated with scalp eschars and neck lymphadenopathy known as tick-borne lymphadenopathy (TIBOLA) or Dermacentor-borne necrosis erythema and lymphadenopathy (DEBONEL). Originally, R. slovaca was described in Eastern Europe, but since recognition of its pathogenicity, human cases have been reported throughout Europe. European vertebrate reservoirs of R. slovaca remain unknown, but feral swine and domestic goats have been found infected or seropositive for this pathogen. Recently, a rickettsial pathogen identical to R. slovaca was identified in, and isolated from, the American dog tick, Dermacentor variabilis. In previous experimental studies, this organism was found infectious to guinea pigs and transovarially transmissible in ticks. In this study, domestic goats (Capra hircus) were experimentally inoculated with the North American isolate of this R. slovaca-like agent to assess their reservoir competence-the ability to acquire the pathogens and maintain transmission between infected and uninfected ticks. Goats were susceptible to infection as demonstrated by detection of the pathogen in skin biopsies and multiple internal tissues, but the only clinical sign of illness was transient fever noted in three out of four goats, and reactive lymphoid hyperplasia. On average, less than 5% of uninfected ticks acquired the pathogen while feeding upon infected goats. Although domestic goats are susceptible to the newly described North American isolate of R. slovaca, they are likely to play a minor role in the natural transmission cycle of this pathogen. Our results suggest that goats do not propagate the North American isolate of R. slovaca in peridomestic environments and clinical diagnosis of infection could be difficult due to the brevity and mildness of clinical signs. Further research is needed to elucidate the natural transmission cycle of R. slovaca both in Europe and North America, as well as to identify a
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Coffee drinking and pancreatic cancer risk: a meta-analysis of cohort studies.
Dong, Jie; Zou, Jian; Yu, Xiao-Feng
2011-03-07
To quantitatively assess the relationship between coffee consumption and incidence of pancreatic cancer in a meta-analysis of cohort studies. We searched MEDLINE, EMBASE, Science Citation Index Expanded and bibliographies of retrieved articles. Studies were included if they reported relative risks (RRs) and corresponding 95% CIs of pancreatic cancer with respect to frequency of coffee intake. We performed random-effects meta-analyses and meta-regressions of study-specific incremental estimates to determine the risk of pancreatic cancer associated with a 1 cup/d increment in coffee consumption. Fourteen studies met the inclusion criteria, which included 671,080 individuals (1496 cancer events) with an average follow-up of 14.9 years. Compared with individuals who did not drink or seldom drank coffee per day, the pooled RR of pancreatic cancer was 0.82 (95% CI: 0.69-0.95) for regular coffee drinkers, 0.86 (0.76-0.96) for low to moderate coffee drinkers, and 0.68 (0.51-0.84) for high drinkers. In subgroup analyses, we noted that, coffee drinking was associated with a reduced risk of pancreatic cancer in men, while this association was not seen in women. These associations were also similar in studies from North America, Europe, and the Asia-Pacific region. Findings from this meta-analysis suggest that there is an inverse relationship between coffee drinking and risk of pancreatic cancer.
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Kudo, Yujin; Kamisawa, Terumi; Anjiki, Hajime; Takuma, Kensuke; Egawa, Naoto
2011-01-01
Pancreatic cancer sometimes occurs during the course of chronic pancreatitis. This study aimed to identify risk factors for developing pancreatic cancer associated with chronic pancreatitis. The incidence of pancreatic cancer developing in 218 patients with chronic pancreatitis and clinical features of the chronic pancreatitis patients who developed pancreatic cancer were studied. Nine patients developed pancreatic cancer. Average period from the diagnosis of chronic pancreatitis to the diagnosis of pancreatic cancer was 9.6 years. All pancreatic cancers were diagnosed at an advanced stage. Only 2 patients had been followed-up periodically. There were no significant differences between chronic pancreatitis patients who developed pancreatic cancer and those who did not in male/female ratio (3.5 vs. 8), average age on diagnosis (65.0 vs. 56.5), alcoholic/non-alcoholic chronic pancreatitis (1.6 vs. 2.6), smoking habits (62.5% vs. 70.7%), diabetes mellitus (77.8% vs. 54.4%), and continued alcohol drinking (37.5% vs. 53.1%). Over the period examined, 4% of chronic pancreatitis patients developed pancreatic cancer. Sex ratio, onset age, etiology, smoking habits, diabetes mellitus, and continued alcohol drinking were not significant risk factors for developing pancreatic cancer in chronic pancreatitis patients. Periodic follow-up due to the possibility of pancreatic cancer is necessary in chronic pancreatitis patients.
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Normal pancreatic exocrine function does not exclude MRI/MRCP chronic pancreatitis findings.
Alkaade, Samer; Cem Balci, Numan; Momtahen, Amir Javad; Burton, Frank
2008-09-01
Abnormal pancreatic function tests have been reported to precede the imaging findings of chronic pancreatitis. Magnetic resonance imaging (MRI) with magnetic resonance cholangiopancreatography (MRCP) is increasingly accepted as the primary imaging modality for the detection of structural changes of early mild chronic pancreatitis. The aim of this study was to evaluate MRI/MRCP findings in patients with symptoms consistent with chronic pancreatitis who have normal Secretin Endoscopic Pancreatic Function test. A retrospective study of 32 patients referred for evaluation of chronic abdominal pain consistent with chronic pancreatitis and reported normal standard abdominal imaging (ultrasound, computed tomography, or MRI). All patients underwent Secretin Endoscopic Pancreatic Function testing and pancreatic MRI/MRCP at our institution. We reviewed the MRI/MRCP images in patients who had normal Secretin Endoscopic Pancreatic Function testing. MRI/MRCP images were assessed for pancreatic duct morphology, gland size, parenchymal signal and morphology, and arterial contrast enhancement. Of the 32 patients, 23 had normal Secretin Endoscopic Pancreatic Function testing, and 8 of them had mild to marked spectrum of abnormal MRI/MRCP findings that were predominantly focal. Frequencies of the findings were as follows: pancreatic duct stricture (n=3), pancreatic duct dilatation (n=3), side branch ectasia (n=4), atrophy (n=5), decreased arterial enhancement (n=5), decreased parenchymal signal (n=1), and cavity formation (n=1). The remaining15 patients had normal pancreatic structure on MRI/MRCP. Normal pancreatic function testing cannot exclude abnormal MRI/MRCP especially focal findings of chronic pancreatitis. Further studies needed to verify significance of these findings and establish MRI/MRCP imaging criteria for the diagnosis of chronic pancreatitis.
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A measurement of $\\Omega$ from the North American test flight of BOOMERANG
Melchiorri, A; De Bernardis, P; Bock, J J; Borrill, J; Boscaleri, A; Crill, B P; De Troia, G; Farese, P; Ferreira, P G; Ganga, K; De Gasperis, G; Giacometti, M; Hristov, V V; Jaffe, A H; Lange, A E; Masi, S; Mauskopf, P D; Miglio, L; Netterfield, C B; Pascale, E; Piacentini, F; Romeo, G
2000-01-01
We use the angular power spectrum of the Cosmic Microwave Background, measured during the North American test flight of the BOOMERANG experiment, to constrain the geometry of the universe. Within the class of Cold Dark Matter models, we find that the overall fractional energy density of the universe, Omega, is constrained to be 0.85 < Omega < 1.25 at the 68% confidence level. Combined with the COBE measurement and the high redshift supernovae data we obtain new constraints on the fractional matter density and the cosmological constant.
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Yamada, Kyoko
2003-01-01
Discusses how inexperienced English-as-a-Second/Foreign-Language (ESL/EFL) writers can be helped to avoid plagiarism. Analyzes 10 North American Web sites on plagiarism, which provide a window to understanding how this issue has been problemitized and explained in Anglophone academic contexts. Concludes ESL/EFL may need to emphasize the role of…
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Hu, Wenyan; Fu, Ling
2013-05-01
Pancreatic stellate cells (PSCs) and other pancreatic components that play a critical role in exocrine pancreatic diseases are generally identified separately by conventional studies, which provide indirect links between these components. Here, nonlinear optical microscopy was evaluated for simultaneous characterization of these components within a three-dimensional (3-D) tissue environment, primarily based on multichannel detection of intrinsic optical emissions and cell morphology. Fresh rat pancreatic tissues harvested at 1 day, 7 days, and 28 days after induction of chronic pancreatitis were imaged, respectively. PSCs, inflammatory cells, blood vessels, and collagen fibers were identified simultaneously. The PSCs at day 1 of chronic pancreatitis showed significant enlargement compared with those in normal pancreas (ppancreatic components coincidently within 3-D pancreatic tissues. It is a prospect for intravital observation of dynamic events under natural physiological conditions, and might help uncover the key mechanisms of exocrine pancreatic diseases, leading to more effective treatments.
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Armenta, Brian E.; Hautala, Dane S.; Whitbeck, Les B.
2015-01-01
In the present study, we considered the utility of the prototype/willingness model in predicting alcohol use among North-American Indigenous adolescents. Specifically, using longitudinal data, we examined the associations among subjective drinking norms, positive drinker prototypes, drinking expectations (as a proxy of drinking willingness), and…
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Crespo, Manuel
2000-01-01
Describes accomplishments in increasing collaboration in higher education within the North American Free Trade Agreement (NAFTA). Analyzes procedures for determining equivalencies of courses and degrees and for improving transnational mobility of students and professors. Also discusses the role of the private sector in research, education and…
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Shen, Hao; Wan, Fang; Wyer, Robert S
2011-02-01
Asians are more likely than North Americans to refuse a small gift that is offered to them by a casual acquaintance. Five experiments confirmed this difference and explored the reasons for its occurrence. Asians, who are inclined to think of themselves in relation to others, are more likely than North Americans to invoke a reciprocity norm in exchanging gifts with casual acquaintances, and they refuse a gift in order to avoid the feeling of indebtedness they would experience if they cannot reciprocate. North Americans, however, who are inclined to think of themselves independently of others, are more likely to base their acceptance of the gift on its attractiveness without considering their obligation to reciprocate. These cultural differences are not evident when the gift is offered by a close friend with whom individuals have a communal relationship. Implications of our findings for miscommunication between members of different cultures are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved).
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Emmenegger, E.J.; Kurath, G.
2008-01-01
The emergence of spring viremia of carp virus (SVCV) in the United States constitutes a potentially serious alien pathogen threat to susceptible fish stocks in North America. A DNA vaccine with an SVCV glycoprotein (G) gene from a North American isolate was constructed. In order to test the vaccine a challenge model utilizing a specific pathogen-free domestic koi stock and a cold water stress treatment was also developed. We have conducted four trial studies demonstrating that the pSGnc DNA vaccine provided protection in vaccinated fish against challenge at low, moderate, and high virus doses of the homologous virus. The protection was significant (p DNA immunized fish were challenged 28-days post-vaccination (546 degree-days) and experienced low mortalities varying from 10 to 50% with relative percent survivals ranging from 50 to 88%. The non-vaccinated controls and mock construct vaccinated fish encountered high cumulative percent mortalities ranging from 70 to 100%. This is the first report of a SVCV DNA vaccine being tested successfully in koi. These experiments prove that the SVCV DNA (pSGnc) vaccine can elicit specific reproducible protection and validates its potential use as a prophylactic vaccine in koi and other vulnerable North American fish stocks.
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Pancreatic stellate cells promote epithelial-mesenchymal transition in pancreatic cancer cells
International Nuclear Information System (INIS)
Kikuta, Kazuhiro; Masamune, Atsushi; Watanabe, Takashi; Ariga, Hiroyuki; Itoh, Hiromichi; Hamada, Shin; Satoh, Kennichi; Egawa, Shinichi; Unno, Michiaki; Shimosegawa, Tooru
2010-01-01
Research highlights: → Recent studies have shown that pancreatic stellate cells (PSCs) promote the progression of pancreatic cancer. → Pancreatic cancer cells co-cultured with PSCs showed loose cell contacts and scattered, fibroblast-like appearance. → PSCs decreased the expression of epithelial markers but increased that of mesenchymal markers, along with increased migration. → This study suggests epithelial-mesenchymal transition as a novel mechanism by which PSCs contribute to the aggressive behavior of pancreatic cancer cells. -- Abstract: The interaction between pancreatic cancer cells and pancreatic stellate cells (PSCs), a major profibrogenic cell type in the pancreas, is receiving increasing attention. There is accumulating evidence that PSCs promote the progression of pancreatic cancer by increasing cancer cell proliferation and invasion as well as by protecting them from radiation- and gemcitabine-induced apoptosis. Because epithelial-mesenchymal transition (EMT) plays a critical role in the progression of pancreatic cancer, we hypothesized that PSCs promote EMT in pancreatic cancer cells. Panc-1 and SUIT-2 pancreatic cancer cells were indirectly co-cultured with human PSCs isolated from patients undergoing operation for pancreatic cancer. The expression of epithelial and mesenchymal markers was examined by real-time PCR and immunofluorescent staining. The migration of pancreatic cancer cells was examined by scratch and two-chamber assays. Pancreatic cancer cells co-cultured with PSCs showed loose cell contacts and a scattered, fibroblast-like appearance. The expression of E-cadherin, cytokeratin 19, and membrane-associated β-catenin was decreased, whereas vimentin and Snail (Snai-1) expression was increased more in cancer cells co-cultured with PSCs than in mono-cultured cells. The migration of pancreatic cancer cells was increased by co-culture with PSCs. The PSC-induced decrease of E-cadherin expression was not altered by treatment with anti
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North American Natural Gas Markets: Selected technical studies
International Nuclear Information System (INIS)
Huntington, H.G.; Schuler, G.E.
1989-04-01
The Energy Modeling Forum (EMF) was established in 1976 at Stanford University to provide a structural framework within which energy experts, analysts, and policymakers could meet to improve their understanding of critical energy problems. The ninth EMF study, North American Natural Gas Markets, was conducted by a working group comprised of leading natural gas analysts and decision-makers from government, private companies, universities, and research and consulting organizations. The EMF 9 working group met five times from October 1986 through June 1988 to discuss key issues and analyze natural gas markets. This third volume includes technical papers that support many of the conclusions discussed in the EMF 9 summary report (Volume 1) and full working group report (Volume 2). These papers discuss the results from the individual models as well as some nonmodeling analysis related to US natural gas imports and industrial natural gas demand. Individual papers have been processed separately for inclusion in the Energy Science and Technology Database
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North American Natural Gas Markets: Selected technical studies
Energy Technology Data Exchange (ETDEWEB)
Huntington, H.G.; Schuler, G.E. (eds.)
1989-04-01
The Energy Modeling Forum (EMF) was established in 1976 at Stanford University to provide a structural framework within which energy experts, analysts, and policymakers could meet to improve their understanding of critical energy problems. The ninth EMF study, North American Natural Gas Markets, was conducted by a working group comprised of leading natural gas analysts and decision-makers from government, private companies, universities, and research and consulting organizations. The EMF 9 working group met five times from October 1986 through June 1988 to discuss key issues and analyze natural gas markets. This third volume includes technical papers that support many of the conclusions discussed in the EMF 9 summary report (Volume 1) and full working group report (Volume 2). These papers discuss the results from the individual models as well as some nonmodeling analysis related to US natural gas imports and industrial natural gas demand. Individual papers have been processed separately for inclusion in the Energy Science and Technology Database.
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Directory of Open Access Journals (Sweden)
Divya eSingh
2015-12-01
Full Text Available Background and aim- Genetic factors regulating alcohol metabolism could predispose in developing alcoholic pancreatitis (ACP. Studies revealed that alcohol could be metabolized by both ways, oxidative and non-oxidative. The main oxidative pathway includes alcohol dehydrogenase (ADH, aldehyde dehydrogenase (ALDH and cytochrome P450 enzyme. We investigated whether polymorphism in these alcohol metabolizing enzyme genes could be associated with alcoholic pancreatitis and is the purpose of our study. Method- Patients with alcoholic pancreatitis (ACP (n=72, tropical calcific pancreatitis (TCP (n=75, alcoholic controls (AC (n=40 and healthy controls (HC (n=100 were included in the study. Blood samples were collected from the subjects in EDTA coated vials. DNA was extracted and genotyping for ADH3, ALDH2 and CYP2E1 was done by PCR-RFLP (polymerase chain reaction- restriction fragment length polymorphism. The products were analyzed by gel electrophoresis. Result- The frequency distribution of ADH3*1/*1 genotype was significantly higher in ACP group (59.7% compared with TCP (38.7%, HC (42% and AC (37.5% and was found to be associated with increased risk of alcoholic pancreatitis. There was no statistically significant difference between the frequency distribution of ADH3*1/*1, ADH3*1/*2 and ADH3*2/*2 genotype between TCP and HC and healthy alcoholics. ALDH2 gene was monomorphic in our population, and the frequencies for CYP2E1 intron 6 Dra I polymorphism were comparable in all four groups. Conclusion- This study shows that carriers of ADH3*1/*1 individuals consuming alcohol are at higher risk for alcoholic pancreatitis than those with other genotypes such as ADH3*1/*2 and ADH3*2/*2.
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Trang, Vu Thi Thu; Park, Jae Hyun; Bayome, Mohamed; Shastry, Shruti; Mellion, Alex; Kook, Yoon-Ah
2015-01-01
The purpose of this study was to investigate the three-dimensional (3D) morphologic differences in the mandibular arch of Vietnamese and North American White subjects. The sample included 113 Vietnamese subjects (41 Class I, 37 Class II and 35 Class III) and 96 White subjects (29 Class I, 30 Class II and 37 Class III). The samples were regrouped according to arch form types (tapered, ovoid, and square) to compare the frequency distribution of the three arch forms between ethnic groups in each angle classification. The facial axis point of each tooth was digitized on 3D virtual models. Four linear and two ratio variables were measured. In comparing arch dimensions, the intercanine and intermolar widths were wider in Vietnamese than in Whites (p Vietnamese group, the square arch form was the most frequent followed by tapered and ovoid arch forms. The arch forms of Whites were narrower than Vietnamese. In North American Whites, the distribution of the arch form types showed similar frequency. In Vietnamese, the square arch form was more frequent.
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International Nuclear Information System (INIS)
2006-01-01
This conference addressed the global competitiveness of the Canadian petrochemical industry and its potential markets. Recent advances in technology were highlighted along with issues concerning transportation and infrastructure. In addition to addressing capital cost requirements and feedstock availability, the presentations addressed opportunities for growth and product diversification. Alberta's role in the North American energy markets was also discussed, along with issues concerning feedstock from Canadian oil sands. It was noted that the survival of the North American petrochemical industry depends on the price of natural gas liquids. With feedstock at two to three times the price in the Middle East, petrochemical producers, governments, and suppliers need to adopt aggressive strategies to maintain a competitive position and profitability. The sessions of the conference addressed global competitive issues; integration and mastering competitiveness; the Alberta advantage; feedstock and technologies; and, reaching international markets. The conference featured 18 presentations, of which 7 have been catalogued separately for inclusion in this database. refs., tabs., figs
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[External pancreatic fistulas management].
Stepan, E V; Ermolov, A S; Rogal', M L; Teterin, Yu S
The main principles of treatment of external postoperative pancreatic fistulas are viewed in the article. Pancreatic trauma was the reason of pancreatic fistula in 38.7% of the cases, operations because of acute pancreatitis - in 25.8%, and pancreatic pseudocyst drainage - in 35.5%. 93 patients recovered after the treatment. Complex conservative treatment of EPF allowed to close fistulas in 74.2% of the patients with normal patency of the main pancreatic duct (MPD). The usage of octreotide 600-900 mcg daily for at least 5 days to decrease pancreatic secretion was an important part of the conservative treatment. Endoscopic papillotomy was performed in patients with major duodenal papilla obstruction and interruption of transporting of pancreatic secretion to duodenum. Stent of the main pancreatic duct was indicated in patients with extended pancreatic duct stenosis to normalize transport of pancreatic secretion to duodenum. Surgical formation of anastomosis between distal part of the main pancreatic duct and gastro-intestinal tract was carried out when it was impossible to fulfill endoscopic stenting of pancreatic duct either because of its interruption and diastasis between its ends, or in the cases of unsuccessful conservative treatment of external pancreatic fistula caused by drainage of pseudocyst.
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SOCCR-2, Chapter 2: A Synthesis of the North American Carbon Budget
Hayes, D. J.; Vargas, R.; Alin, S. R.; Conant, R. T.; Hutyra, L.; Jacobson, A. R.; Kurz, W. A.; Liu, S.; McGuire, A. D.; Poulter, B.; Woodall, C. W.
2017-12-01
Scientific information quantifying and characterizing the continental-scale carbon budget is necessary for developing national and international policy on climate change. The North American continent (NA) has been considered to be a significant net source of carbon to the atmosphere, with fossil fuel emissions from the U.S., Canada and Mexico far outpacing uptake on land, inland waters and adjacent coastal oceans. As reported in the First State of the Carbon Cycle Report (SOCCR-1), the three countries combined to emit approximately 1800 MtC of carbon in 2003, or 27% of the global total fossil fuel inventory. Based on inventory data from various sectors, SOCCR-1 estimated a 500 MtC/yr natural sink that offset about 30% of emissions primarily through forest growth, storage in wood products and sequestration in agricultural soils. Here we present a synthesis of the NA carbon budget for the next report (SOCCR-2) based on updated inventory data and new research over the last decade. The North American continent— including its energy systems, land-base and coastal oceans—is very likely to have been a net source of carbon to the atmosphere over the 2004-2013 time period, having contributed on average approximately 1037 (+/- 25%) MtC/yr. At 1765 (+/-2%) MtC/yr, total fossil fuel emissions from Canada, the United States, and Mexico very likely contributed the largest source of carbon over the 2004-2013 time period - a level of magnitude similar to that reported for 2003 (1856 MtC/yr +/- 10%) in SOCCR-1. Between one-quarter and one half of the total fossil fuel emissions over the 2004 - 2013 time period were likely offset by natural sinks on North American land and adjacent coastal ocean. The strength of the natural sink was likely persistent over the 2004-2013 time period as compared to the ca. 2003 magnitude reported in SOCCR-1 (500 MtC/yr), maintained primarily by carbon uptake with forest growth and storage in wood products offsetting carbon losses from natural
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Early Detection of Pancreatic Cancer: The Role of Industry in the Development of Biomarkers.
Kenner, Barbara J; Go, Vay Liang W; Chari, Suresh T; Goldberg, Ann E; Rothschild, Laura J
A diagnosis of pancreatic cancer is devastating owing to its poor prognosis, with a 5-year survival rate of only 9%. Currently, most individuals are diagnosed at a late stage when treatment options are limited. Early detection of pancreatic cancer provides the greatest hope for making substantial improvements in survival. The Kenner Family Research Fund in partnership with the American Pancreatic Association has sponsored a series of fora to stimulate discussion and collaboration on early detection of pancreatic cancer. At the first forum in 2014, "Early Detection of Sporadic Pancreatic Cancer Summit Conference," a strategic plan was set forth by an international group of interdisciplinary scientific representatives and subsequently The Strategic Map for Innovation was generated. The current conference report is the third forum in the series, "Early Detection of Pancreatic Cancer: The Role of Industry in the Development of Biomarkers," which was held in Boston, Massachusetts, on October 27, 2016. This report provides an overview of examples of innovative initiatives by industry and confirms the critical need for collaboration among industry, government, research institutions, and advocacy groups in order to make pancreatic cancer more easily detectable in its earlier stages, when it is more treatable.
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Eosinophilic Pancreatitis: A Rare Cause of Recurrent Acute Pancreatitis
Directory of Open Access Journals (Sweden)
Jennifer Reppucci
2017-03-01
Full Text Available Eosinophilic pancreatitis is a rare form of recurrent acute pancreatitis that demonstrates distinct histologic features, including diffuse, periductal, acinar, and septal inflammatory infiltrates comprised of a pure or predominant population of eosinophils, eosinophilic phlebitis and arteritis, and localized eosinophilic infiltrates with pseudocyst formation. It is associated with elevated serum immunoglobulin E levels, an elevated eosinophil count with systemic manifestations, and eosinophilic infiltrates in other organs of the gastrointestinal tract. We present a case of eosinophilic pancreatitis in a 44-year-old man who was diagnosed after pancreatic resection for recurrent bouts of acute pancreatitis. While the gross and histologic evaluations matched other reported cases of eosinophilic pancreatitis, our patient had only minimal peripheral eosinophilia, no reported history of symptoms related to elevated eosinophilia or immunoglobulin E, and only mild eosinophilic infiltrates in his gallbladder.
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Qian, Yang-Yang; Chen, Hui; Tang, Xin-Ying; Jiang, Xi; Qian, Wei; Zou, Wen-Bin; Xin, Lei; Li, Bo; Qi, Yan-Fen; Hu, Liang-Hao; Zou, Duo-Wu; Jin, Zhen-Dong; Wang, Dong; Du, Yi-Qi; Wang, Luo-Wei; Liu, Feng; Li, Zhao-Shen; Liao, Zhuan
2017-11-02
Pancreatic extracorporeal shock wave lithotripsy (P-ESWL) is the first-line therapy for large pancreatic duct stones. Although it is a highly effective and safe procedure for the fragmentation of pancreatic stones, it is still not complication-free. Just like endoscopic retrograde cholangiopancreatography (ERCP), pancreatitis is the most common complication. To date, nonsteroidal anti-inflammatory drugs (NSAIDs) have proven to be the only effective prophylactic medication for post-ERCP pancreatitis and the European, American and Japanese Society for Gastrointestinal Endoscopy guidelines have recommended prophylactic rectally administered indomethacin for all patients undergoing ERCP. Given the little research about effective prevention for post P-ESWL pancreatitis, we aim to determine whether rectally administered indomethacin can reduce post-ESWL-pancreatitis. The RIPEP study is a prospective, randomized, double-blinded, placebo-controlled trial. One thousand three hundred and seventy patients with chronic pancreatitis and pancreatic stones (>5 mm in diameter) treated with P-ESWL at Changhai Hospital will be randomly allocated to rectally administered indomethacin or placebo therapy before the procedure. The primary endpoint is the incidence of post-ESWL pancreatitis. Secondary endpoints include the severity of pancreatitis, occurrence rate of asymptomatic hyperamylasemia and other complications. The RIPEP trial is designed to show that rectally administered indomethacin reduces the development and severity of post-ESWL pancreatitis and benefits patients treated with P-ESWL. ClinicalTrials.gov, ID: NCT02797067 . Registered on 17 November 2016.
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Publication rates following pancreas meetings.
Timmer, A; Blum, T; Lankisch, P G
2001-08-01
Publication rates and determinants of publication were studied based on abstracts presented at pancreatic meetings. All abstracts presented at the 1994 and 1995 annual meetings of the European Pancreatic Club (EPC) and the American Pancreatic Association (APA) were followed up by searching MEDLINE. Publication rates were compared using log-rank tests and multiple logistic regression. The prestige of the publishing journals was compared using Kruskal-Wallis tests on scientific impact factors (SIF). Overall, 340 abstracts were presented at the EPC, and 254 were presented at the APA. Of these, 203 (59.7%, EPC) and 138 (54.3%, APA) were later published in peer-reviewed journals. Publication rates did not differ by study type or country region of origin. In addition, median SIFs were similar by conference (APA vs. EPC) and research type (basic science vs. clinical studies) (overall, 1.7). However, North American and North/West European articles were published in higher impact journals as compared with those from other countries. Publication rates and median journal SIFs in pancreas research are similar to those reported from other medical specialty meetings. There is no difference by conference, type of research, or origin (North American vs. European).
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International Nuclear Information System (INIS)
Jang, Yong Suk; Kim, Mi Sung; Park, Chan Sub; Park, Ji Yeon; Park, Noh Hyuck
2012-01-01
Pancreatic panniculitis is an inflammation and necrosis of fat at distant foci in patients with pancreatic disorders, most frequently, pancreatitis and pancreatic carcinoma. Clinically, pancreatic panniculitis is manifested by painless or painful subcutaneous nodules on the legs, buttocks, or trunk. The usual sites are the distal parts of the lower extremities. To the best of our knowledge, there have not been many reports for the radiologic findings of pancreatic panniculitis. In this article, we report a case of pancreatic panniculitis, including radiologic findings of CT and ultrasonography. The patient was presented with painful subcutaneous nodules on the trunk, and had underlying acute pancreatitis and hemorrhagic pseudocysts
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Energy Technology Data Exchange (ETDEWEB)
Jang, Yong Suk; Kim, Mi Sung; Park, Chan Sub; Park, Ji Yeon; Park, Noh Hyuck [Kwandong Univ., Myongji Hospital, Goyang (Korea, Republic of)
2012-10-15
Pancreatic panniculitis is an inflammation and necrosis of fat at distant foci in patients with pancreatic disorders, most frequently, pancreatitis and pancreatic carcinoma. Clinically, pancreatic panniculitis is manifested by painless or painful subcutaneous nodules on the legs, buttocks, or trunk. The usual sites are the distal parts of the lower extremities. To the best of our knowledge, there have not been many reports for the radiologic findings of pancreatic panniculitis. In this article, we report a case of pancreatic panniculitis, including radiologic findings of CT and ultrasonography. The patient was presented with painful subcutaneous nodules on the trunk, and had underlying acute pancreatitis and hemorrhagic pseudocysts.
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International Nuclear Information System (INIS)
2002-01-01
This two-day event provided a forum for all interested parties and stakeholders to exchange ideas and trends concerning the North American pipelines sector. The participants heard from speakers representing a vast array of disciplines, who discussed several topics. The presentations touched on the trends that are developing in the North American natural gas market; Arctic gas and the attempts to secure greater continental energy supply; ways to meet the unique gas supply needs of peak load generation; the impact of new pipeline projects in North America's East and West; the corporate acquisitions, regulatory changes, and storage trends expected to affect the sector; and the strategies for marketing gas in an unbundled market. A presentation also dealt with the business case behind the West Coast acquisition from Duke Energy
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Lateral Pancreaticojejunostomy for Chronic Pancreatitis and Pancreatic Ductal Dilation in Children.
Shah, Adil A; Petrosyan, Mikael; Kane, Timothy D
2018-06-06
Pancreatic ductal obstruction leading to ductal dilation and recurrent pancreatitis is uncommon in children. Treatment is dependent upon etiology but consists of decompression of the pancreatic duct (PD) proximally, if possible, by endoscopic retrograde cholangiopancreatography (ERCP) intervention or surgical decompression with pancreaticojejunal anastomosis. After institutional review board approval, we retrospectively reviewed the records for 2 children who underwent lateral pancreaticojejunostomy for pancreatic ductal dilation. Data, including demographics, diagnostic studies, operative details, complications, outcomes, and follow-up, were analyzed. Case 1 was a 4-year-old female with pancreatic ductal obstruction with multiple episodes of recurrent pancreatitis and failure of ERCP to clear her PD of stones. She underwent a laparoscopic cholecystectomy with a lateral pancreaticojejunostomy (Puestow procedure). She recovered well with no further episodes of pancreatitis and normal pancreatic function 4 years later. Case 2 was a 2-year-old female who developed recurrent pancreatitis and was found to have papillary stenosis and long common bile-PD channel. Despite multiple sphincterotomies, laparoscopic cholecystectomy, and laparoscopic hepaticoduodenostomy, she continued to experience episodes of pancreatitis. She underwent a laparoscopy converted to open lateral pancreaticojejunostomy. Her recovery was also smooth having had no episodes of pancreatitis or hospital admissions for over 2 years following the Puestow. Indication for lateral pancreaticojejunostomy or Puestow procedure is rare in children and even less often performed using laparoscopy. In our small experience, both patients with pancreatic ductal obstruction managed with Puestow's procedure enjoy durable symptom and pain relief in the long term.
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International Nuclear Information System (INIS)
Huguet, Florence; Goodman, Karyn A.; Azria, David; Racadot, Severine; Abrams, Ross A.
2012-01-01
Summary: Pancreatic carcinoma is a leading cause of cancer-related mortality. Approximately 30% of pancreatic cancer patients present with locally advanced, unresectable nonmetastatic disease. For these patients, two therapeutic options exist: systemic chemotherapy or chemoradiotherapy. Within this context, the optimal technique for pancreatic irradiation is not clearly defined. A search to identify relevant studies was undertaken using the Medline database. All Phase III randomized trials evaluating the modalities of radiotherapy in locally advanced pancreatic cancer were included, as were some noncontrolled Phase II and retrospective studies. An expert panel convened with members of the Radiation Therapy Oncology Group and GERCOR cooperative groups to review identified studies and prepare the guidelines. Each member of the working group independently evaluated five endpoints: total dose, target volume definition, radiotherapy planning technique, dose constraints to organs at risk, and quality assurance. Based on this analysis of the literature, we recommend either three-dimensional conformal radiation therapy or intensity-modulated radiation therapy to a total dose of 50 to 54 Gy at 1.8 to 2 Gy per fraction. We propose gross tumor volume identification to be followed by an expansion of 1.5 to 2 cm anteriorly, posteriorly, and laterally, and 2 to 3 cm craniocaudally to generate the planning target volume. The craniocaudal margins can be reduced with the use of respiratory gating. Organs at risk are liver, kidneys, spinal cord, stomach, and small bowel. Stereotactic body radiation therapy should not be used for pancreatic cancer outside of clinical trials. Radiotherapy quality assurance is mandatory in clinical trials. These consensus recommendations are proposed for use in the development of future trials testing new chemotherapy combinations with radiotherapy. Not all of these recommendations will be appropriate for trials testing radiotherapy dose or dose
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Huguet, Florence; Goodman, Karyn A; Azria, David; Racadot, Severine; Abrams, Ross A
2012-08-01
Pancreatic carcinoma is a leading cause of cancer-related mortality. Approximately 30% of pancreatic cancer patients present with locally advanced, unresectable nonmetastatic disease. For these patients, two therapeutic options exist: systemic chemotherapy or chemoradiotherapy. Within this context, the optimal technique for pancreatic irradiation is not clearly defined. A search to identify relevant studies was undertaken using the Medline database. All Phase III randomized trials evaluating the modalities of radiotherapy in locally advanced pancreatic cancer were included, as were some noncontrolled Phase II and retrospective studies. An expert panel convened with members of the Radiation Therapy Oncology Group and GERCOR cooperative groups to review identified studies and prepare the guidelines. Each member of the working group independently evaluated five endpoints: total dose, target volume definition, radiotherapy planning technique, dose constraints to organs at risk, and quality assurance. Based on this analysis of the literature, we recommend either three-dimensional conformal radiation therapy or intensity-modulated radiation therapy to a total dose of 50 to 54 Gy at 1.8 to 2 Gy per fraction. We propose gross tumor volume identification to be followed by an expansion of 1.5 to 2 cm anteriorly, posteriorly, and laterally, and 2 to 3 cm craniocaudally to generate the planning target volume. The craniocaudal margins can be reduced with the use of respiratory gating. Organs at risk are liver, kidneys, spinal cord, stomach, and small bowel. Stereotactic body radiation therapy should not be used for pancreatic cancer outside of clinical trials. Radiotherapy quality assurance is mandatory in clinical trials. These consensus recommendations are proposed for use in the development of future trials testing new chemotherapy combinations with radiotherapy. Not all of these recommendations will be appropriate for trials testing radiotherapy dose or dose intensity
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Possibilities of radiologic diagnosis of pancreatic calcinosis and chronic calculous pancreatics
International Nuclear Information System (INIS)
Loginov, A.S.; Sivash, Eh.S.; Kudryavtseva, G.V.
1982-01-01
X-ray diagnosis of the pancreatic gland calculous damage as well as chronic pancreatitis have been studied in 23 patients. A methodologic approach to examination of this group of patients was defined. Posteroanterior radiography has been shown to be of decisive importance in diagnosis of the calcified pancreatic gland. Duodenography and choleduodenography both considerably promote recognition of chronic pancreatitis. The radiologic method also allows one to reveal a series of complications: the common bile duct compression, duodenal stenosis, pancreatic tumor in the presence of chronic pancreatitis, malabsorption syndrome
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Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis
Cahen, Djuna L.; Gouma, Dirk J.; Nio, Yung; Rauws, Erik A. J.; Boermeester, Marja A.; Busch, Olivier R.; Stoker, Jaap; Lameris, Johan S.; Dijkgraaf, Marcel G. W.; Huibregtse, Kees; Bruno, Marco J.
2007-01-01
BACKGROUND: For patients with chronic pancreatitis and a dilated pancreatic duct, ductal decompression is recommended. We conducted a randomized trial to compare endoscopic and surgical drainage of the pancreatic duct. METHODS: All symptomatic patients with chronic pancreatitis and a distal
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Chambers, E Anne; Hebert, Paul D N
2016-01-01
High rates of species discovery and loss have led to the urgent need for more rapid assessment of species diversity in the herpetofauna. DNA barcoding allows for the preliminary identification of species based on sequence divergence. Prior DNA barcoding work on reptiles and amphibians has revealed higher biodiversity counts than previously estimated due to cases of cryptic and undiscovered species. Past studies have provided DNA barcodes for just 14% of the North American herpetofauna, revealing the need for expanded coverage. This study extends the DNA barcode reference library for North American herpetofauna, assesses the utility of this approach in aiding species delimitation, and examines the correspondence between current species boundaries and sequence clusters designated by the BIN system. Sequences were obtained from 730 specimens, representing 274 species (43%) from the North American herpetofauna. Mean intraspecific divergences were 1% and 3%, while average congeneric sequence divergences were 16% and 14% in amphibians and reptiles, respectively. BIN assignments corresponded with current species boundaries in 79% of amphibians, 100% of turtles, and 60% of squamates. Deep divergences (>2%) were noted in 35% of squamate and 16% of amphibian species, and low divergences (reptiles and 23% of amphibians, patterns reflected in BIN assignments. Sequence recovery declined with specimen age, and variation in recovery success was noted among collections. Within collections, barcodes effectively flagged seven mislabeled tissues, and barcode fragments were recovered from five formalin-fixed specimens. This study demonstrates that DNA barcodes can effectively flag errors in museum collections, while BIN splits and merges reveal taxa belonging to deeply diverged or hybridizing lineages. This study is the first effort to compile a reference library of DNA barcodes for herpetofauna on a continental scale.
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Integration of the North American energy market; Integration du marche Nord-Americain de l'energie
Energy Technology Data Exchange (ETDEWEB)
Lapointe, A
2002-07-01
The US energy policy of President Bush administration proposes to develop a North American energy framework with a greater energy integration between Canada, the USA and Mexico in the respect of the sovereignty of each country. This article tries to evaluate the integration status of the energy sector in Northern America with respect to the North American free-exchange agreement and to the deregulation process observed in the natural gas and electric power sectors. The commercial energy fluxes between Canada, Mexico and the US show that the integration is a reality and that it is in constant progress. This integration is particularly important in the case of Canada and the USA while major constraints remain in Mexico where the property and exploitation of natural resources is a government monopoly. For this reason, Mexico could never exploit the full potentialities of its resources and suffers from a chronical under-investment in its energy infrastructures which limits the energy trade. Despite this, there is a strong will from the Mexican authorities to ensure the modernization of its energy sector and to contribute more to the integration process of the north American energy market. A series of reforms, and in particular the fiscal reform started by the government should reduce the excessive dependence of the government incomes with the dividends from the energy sector. This should allow the different government companies to reinvest more its benefits in order to improve the existing infrastructures and to increase the capacities (in particular in the gas and electricity sectors). Finally, the recent will of the government to open the gas sector should allow the development of this energy source. (J.S.)
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A measurement of Omega from the North American test flight of Boomerang
International Nuclear Information System (INIS)
Melchiorri, A.; Ade, P.A.R.; De Bernardis, P.; Bock, J.J.; Borrill, J.; Boscaleri, A.; Crill, B.P.; De Troia, G.; Farese, P.; Ferreira, P.G.; Ganga, K.; Gasperis, G. de; Giacometti, M.; Hristov, V.V.; Jaffe, A.H.; Lange, A.E.; Masi, S.; Mauskopf, P.D.; Miglio, L.; Netterfield, C.B.; Pascale, E.; Piacentini, F.; Romeo, G.; Ruhl, J.E.; Vittorio, N.
1999-01-01
We use the power spectrum of the Cosmic Microwave Background, measured during the North American test flight of the BOOMERANG experiment, to constrain the geometry of the universe. Within the class of Cold Dark Matter models, we find the overall fractional energy density of the universe, Omega, is constrained to be 0.85 < or = Omega < or = 1.25 at the 68 percent confidence level. Combined with the COBE measurement and the high redshift supernovae data we obtain new constraints on the fractional matter density and the cosmological constant
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Abraham, I L; Chalifoux, Z L; Evers, G C; De Geest, S
1995-04-01
This study compared the conceptual foci and methodological characteristics of research projects which tested the effects of nursing interventions, published in four general nursing research journals with predominantly North American, and two with predominantly European/International authorship and readership. Dimensions and variables of comparison included: nature of subjects, design issues, statistical methodology, statistical power, and types of interventions and outcomes. Although some differences emerged, the most striking and consistent finding was that there were no statistically significant differences (and thus similarities) in the content foci and methodological parameters of the intervention studies published in both groups of journals. We conclude that European/International and North American nursing intervention studies, as reported in major general nursing research journals, are highly similar in the parameters studied, yet in need of overall improvement. Certainly, there is no empirical support for the common (explicit or implicit) ethnocentric American bias that leadership in nursing intervention research resides with and in the United States of America.
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How do you keto? Survey of North American pediatric ketogenic diet centers.
Jung, Da Eun; Joshi, Sucheta M; Berg, Anne T
2015-06-01
We surveyed ketogenic diet centers in North America about their practices surrounding the ketogenic diet. An internet survey was disseminated via REDCap(©) to North American ketogenic diet centers identified from the Charlie Foundation and Ketocal(©) websites. Fifty-six centers responded. In addition to physicians, nurses and dieticians, ketogenic teams included social workers (39%), feeding specialists (14%), educational liaisons (4%), psychologists (5%), and pharmacists (36%). A child attending school (2%), non-English speaking family (19%), single-parent family (0%), and oral feeding (6%) were rarely considered barriers. Overall, the diet was considered the first or second (0%), third or fourth (67%), fifth or sixth (29%), and last resort treatment (4%) by centers. It was considered the first or second treatment for GLUT1 disease (86%) and third or fourth for Dravet (63%), West (71%), and Doose (65%) syndromes. Ketogenic diet is no longer a last resort option. Traditional barriers do not influence its use. © The Author(s) 2014.
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North American nuclear maintenance best practices compared to Japanese utility maintenance practices
International Nuclear Information System (INIS)
Harazim, M.L.; Ferguson, B.J.
2003-01-01
The purpose of this paper is to compare the best practices in North America concerning Preventive Maintenance, Predictive Maintenance and Reliability Centered Maintenance (RCM) or Preventive Maintenance Optimization (PMO) with the time-directed maintenance philosophies utilized by Japanese utilities, and how the Japanese utilities are considering (and some have begun) adopting North American ways of doing business. Preventive Maintenance Living Programs are also discussed, along with the Institute of Nuclear Power Operations AP-913 process, Equipment Reliability Process. Also, a cost benefit analysis will be demonstrated showing how major cost savings can be achieved by shifting from a predominantly time-directed maintenance philosophy to a predominantly predictive strategy utilizing vibration analysis, lubricating oil analysis, thermography and other predictive technologies to better utilize resources, reduce spare part consumption and to minimize maintenance induced errors. As a result of the strides made while incorporating these new philosophies, we no longer advocate tearing apart perfectly good equipment. (author)
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Finney, B.; Anderson, L.; Berkelhammer, M. B.; Barron, J. A.; Steinman, B. A.; Abbott, M. B.
2015-12-01
A network of western North American lake sediment isotope records (calcium carbonate-δ18O) developed during the past decade provides substantial evidence of Pacific ocean-atmosphere forcing of precipitation variability during the Holocene. We present an overview of the eighteen lake carbonate-δ18O records located in the North American Rocky Mountains with a new compilation of modern lake water isotope measurements to characterize their sensitivity to variations in precipitation-δ18O and fractionation effects by evaporation. Comparative analysis of the carbonate-δ18O records that reflect precipitation isotope (δ18O) values (i.e., precipitation "isometers") indicates a sequence of time-varying in-phase and antiphase patterns between northern and southern regions during the Holocene that provide evidence for a highly non-stationary influence of Pacific ocean-atmosphere processes on the hydroclimate of western North America. We identify a prominent precipitation-δ18O dipole, which was sustained for ~2000 years between ~3.5 and 1.5 ka. The dipole contrasts with divergent earlier Holocene patterns and appears to indicate the onset of linkages between northern and tropical Pacific ocean-atmosphere dynamics as we know them today. These observations are informed by previous research on North Pacific precipitation-δ18O. Further investigation of short (observational) and long (Holocene) time scale patterns are needed to improve our understanding of the processes that 1) drive regional precipitation-δ18O responses to Pacific Ocean-atmosphere variability, and 2) cause varying internal ocean-atmosphere responses to external climate forcing.
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Busireddy, Kiran K; AlObaidy, Mamdoh; Ramalho, Miguel; Kalubowila, Janaka; Baodong, Liu; Santagostino, Ilaria; Semelka, Richard C
2014-01-01
Pancreatitis is defined as the inflammation of the pancreas and considered the most common pancreatic disease in children and adults. Imaging plays a significant role in the diagnosis, severity assessment, recognition of complications and guiding therapeutic interventions. In the setting of pancreatitis, wider availability and good image quality make multi-detector contrast-enhanced computed tomography (MD-CECT) the most used imaging technique. However, magnetic resonance imaging (MRI) offers diagnostic capabilities similar to those of CT, with additional intrinsic advantages including lack of ionizing radiation and exquisite soft tissue characterization. This article reviews the proposed definitions of revised Atlanta classification for acute pancreatitis, illustrates a wide range of morphologic pancreatic parenchymal and associated peripancreatic changes for different types of acute pancreatitis. It also describes the spectrum of early and late chronic pancreatitis imaging findings and illustrates some of the less common types of chronic pancreatitis, with special emphasis on the role of CT and MRI. PMID:25133027
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Ueda, Junji; Tanaka, Masao; Ohtsuka, Takao; Tokunaga, Shoji; Shimosegawa, Tooru
2013-03-01
Chronic pancreatitis is suggested to be one of the risk factors for the development of pancreatic cancer. The aim of this study was to confirm the high incidence of pancreatic cancer in patients with chronic pancreatitis in Japan and to determine the factors associated with the risk for pancreatic cancer in patients with chronic pancreatitis. The working group of the Research Committee of Intractable Disease supported by the Ministry of Health, Labour and Welfare of Japan carried out a nationwide survey to investigate the relationship between chronic pancreatitis and pancreatic cancer. This retrospective study included patients diagnosed with chronic pancreatitis who had had at least 2 years of follow-up. They were contacted through 22 Japanese referral centers experienced in the management of chronic pancreatitis. The standardized incidence ratio (95 CI) of pancreatic cancer was 11.8 (7.1-18.4). The incidence of pancreatic cancer was significantly lower in patients who had received surgery for chronic pancreatitis than in those who had not undergone surgery (hazard ratio estimated by Cox regression 0.11; 95% CI, 0.0014-0.80; P = .03). Patients who continued to drink alcohol after diagnosis of chronic pancreatitis showed a significantly higher incidence of pancreatic cancer than those who stopped drinking after diagnosis of chronic pancreatitis (hazard ratio, 5.07; 95% CI, 1.13-22.73; P = .03). This study confirmed that chronic pancreatitis is an important risk factor for the development of pancreatic cancer in Japan. Patients who underwent surgery for the treatment of chronic pancreatitis had significantly lower incidences of pancreatic cancer. Surgery for chronic pancreatitis may inhibit the development of pancreatic cancer in patients with chronic pancreatitis. Copyright © 2013 Mosby, Inc. All rights reserved.
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Rassam, G.N.; Eisler, R.
2001-01-01
North American fishery professionals? continuing education needs were investigated in an American Fisheries Society questionnaire sent to 111 senior fishery officials in winter 2000. Based on a response rate of 52.2% (N = 58), a minimum of 2,967 individuals would benefit from additional training, especially in the areas of statistics and analysis (83% endorsement rate), restoration and enhancement (81%), population dynamics (81%), multi-species interactions (79%), and technical writing (79%). Other skills and techniques recommended by respondents included computer skills (72%), fishery modeling (69%), habitat modification (67%), watershed processes (66%), fishery management (64%), riparian and stream ecology (62%), habitat management (62%), public administration (62%), nonindigenous species (57%), and age and growth (55%). Additional comments by respondents recommended new technical courses, training in various communications skills, and courses to more effectively manage workloads.
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International Nuclear Information System (INIS)
DeMar, A.R.; Lake, R.; Fink, A.S.
1991-01-01
Pancreatic polypeptide (PP) and peptide YY (PYY) are inhibitors of pancreatic exocrine secretion in vivo but not in vitro, which suggests intermediate mechanisms of action. To examine the role of pancreatic blood flow in these inhibitory effects, xenon-133 gas clearance was used to measure pancreatic blood flow while simultaneously measuring pancreatic exocrine secretion. PP or PYY (400 pmol/kg/h) was administered during the intermediate hour of a 3-h secretin (125 ng/kg/h)/cholecystokinin octapeptide (CCK-8) (50 ng/kg/h) infusion. Exocrine secretion and pancreatic blood flow during the PP or PYY hours were compared with that observed in the first and third hours of the secretin/CCK-8 infusion. PP and PYY significantly inhibited secretin/CCK-8-induced pancreatic exocrine secretion. In addition, PYY (but not PP) significantly reduced pancreatic blood flow during secretin/CCK-8 stimulation. Nevertheless, there was no correlation between pancreatic blood flow and bicarbonate or protein outputs. It is concluded that changes in pancreatic blood flow do not mediate the inhibitory effects of PP or PYY on the exocrine pancreas
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Incidental oligotrophication of North American Great Lakes.
Evans, Mary Anne; Fahnenstiel, Gary; Scavia, Donald
2011-04-15
Phytoplankton production is an important factor in determining both ecosystem stability and the provision of ecosystem goods and services. The expansive and economically important North American Great Lakes are subjected to multiple stressors and understanding their responses to those stresses is important for understanding system-wide ecological controls. Here we show gradual increases in spring silica concentration (an indicator of decreasing growth of the dominant diatoms) in all basins of Lakes Michigan and Huron (USA and Canadian waters) between 1983 and 2008. These changes indicate the lakes have undergone gradual oligotrophication coincident with and anticipated by nutrient management implementation. Slow declines in seasonal drawdown of silica (proxy for seasonal phytoplankton production) also occurred, until recent years, when lake-wide responses were punctuated by abrupt decreases, putting them in the range of oligotrophic Lake Superior. The timing of these dramatic production drops is coincident with expansion of populations of invasive dreissenid mussels, particularly quagga mussels, in each basin. The combined effect of nutrient mitigation and invasive species expansion demonstrates the challenges facing large-scale ecosystems and suggest the need for new management regimes for large ecosystems.
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Boreham, B; Ammori, B J
2003-01-01
The aim of this prospective study was to assess pancreatic exocrine function in patients recovering from a first attack of acute pancreatitis, and to evaluate its relationship to severity of attack, extent of pancreatic necrosis and severity of pancreatic endocrine insufficiency. Between December 2000 and November 2001, 23 patients were prospectively evaluated. Pancreatic exocrine function was measured by the faecal elastase-1 test and insufficiency was classified as moderately impaired or severely impaired. Pancreatic necrosis was determined by contrast-enhanced CT scan, and its extent was categorised according to Balthazar's classification. The severity of pancreatic endocrine insufficiency was categorised according to insulin dependence. Attacks were classified as mild (n = 16) or severe (n = 7) according to the Atlanta criteria. Pancreatic exocrine insufficiency was significantly more frequent in patients recovering from severe attacks than mild (n = 6, 86% vs. n = 2, 13%; p = 0.002), and in those who developed pancreatic necrosis or pseudocyst than those who did not (6 of 7 patients vs. 2 of 16 patients, and 5 of 5 patients vs. 3 of 18 patients respectively; p = 0.002). The development of exocrine insufficiency correlated strongly with the extent of pancreatic necrosis (r = -0.754, p pancreatic endocrine insufficiency (n = 4, r = -0.453, p = 0.03). Pancreatic exocrine insufficiency is a common occurrence in patients recovering from severe acute pancreatitis, and its severity correlates with the extent of pancreatic necrosis and the severity of concomitant pancreatic endocrine insufficiency. Copyright 2003 S. Karger AG, Basel and IAP
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... the hormones insulin and glucagon into the bloodstream. Pancreatitis is inflammation of the pancreas. It happens when digestive enzymes start digesting the pancreas itself. Pancreatitis can be acute or chronic. Either form is ...
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Phylogenetic analysis of algal symbionts associated with four North American amphibian egg masses.
Kim, Eunsoo; Lin, Yuan; Kerney, Ryan; Blumenberg, Lili; Bishop, Cory
2014-01-01
Egg masses of the yellow-spotted salamander Ambystoma maculatum form an association with the green alga "Oophila amblystomatis" (Lambert ex Wille), which, in addition to growing within individual egg capsules, has recently been reported to invade embryonic tissues and cells. The binomial O. amblystomatis refers to the algae that occur in A. maculatum egg capsules, but it is unknown whether this population of symbionts constitutes one or several different algal taxa. Moreover, it is unknown whether egg masses across the geographic range of A. maculatum, or other amphibians, associate with one or multiple algal taxa. To address these questions, we conducted a phylogeographic study of algae sampled from egg capsules of A. maculatum, its allopatric congener A. gracile, and two frogs: Lithobates sylvatica and L. aurora. All of these North American amphibians form associations with algae in their egg capsules. We sampled algae from egg capsules of these four amphibians from localities across North America, established representative algal cultures, and amplified and sequenced a region of 18S rDNA for phylogenetic analysis. Our combined analysis shows that symbiotic algae found in egg masses of four North American amphibians are closely related to each other, and form a well-supported clade that also contains three strains of free-living chlamydomonads. We designate this group as the 'Oophila' clade, within which the symbiotic algae are further divided into four distinct subclades. Phylogenies of the host amphibians and their algal symbionts are only partially congruent, suggesting that host-switching and co-speciation both play roles in their associations. We also established conditions for isolating and rearing algal symbionts from amphibian egg capsules, which should facilitate further study of these egg mass specialist algae.
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Phylogenetic analysis of algal symbionts associated with four North American amphibian egg masses.
Directory of Open Access Journals (Sweden)
Eunsoo Kim
Full Text Available Egg masses of the yellow-spotted salamander Ambystoma maculatum form an association with the green alga "Oophila amblystomatis" (Lambert ex Wille, which, in addition to growing within individual egg capsules, has recently been reported to invade embryonic tissues and cells. The binomial O. amblystomatis refers to the algae that occur in A. maculatum egg capsules, but it is unknown whether this population of symbionts constitutes one or several different algal taxa. Moreover, it is unknown whether egg masses across the geographic range of A. maculatum, or other amphibians, associate with one or multiple algal taxa. To address these questions, we conducted a phylogeographic study of algae sampled from egg capsules of A. maculatum, its allopatric congener A. gracile, and two frogs: Lithobates sylvatica and L. aurora. All of these North American amphibians form associations with algae in their egg capsules. We sampled algae from egg capsules of these four amphibians from localities across North America, established representative algal cultures, and amplified and sequenced a region of 18S rDNA for phylogenetic analysis. Our combined analysis shows that symbiotic algae found in egg masses of four North American amphibians are closely related to each other, and form a well-supported clade that also contains three strains of free-living chlamydomonads. We designate this group as the 'Oophila' clade, within which the symbiotic algae are further divided into four distinct subclades. Phylogenies of the host amphibians and their algal symbionts are only partially congruent, suggesting that host-switching and co-speciation both play roles in their associations. We also established conditions for isolating and rearing algal symbionts from amphibian egg capsules, which should facilitate further study of these egg mass specialist algae.
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Testosterone, plumage colouration and extra-pair paternity in male North-American barn swallows.
Directory of Open Access Journals (Sweden)
Cas Eikenaar
Full Text Available In most monogamous bird species, circulating testosterone concentration in males is elevated around the social female's fertile period. Variation in elevated testosterone concentrations among males may have a considerable impact on fitness. For example, testosterone implants enhance behaviours important for social and extra-pair mate choice. However, little is known about the relationship between natural male testosterone concentration and sexual selection. To investigate this relationship we measured testosterone concentration and sexual signals (ventral plumage colour and tail length, and determined within and extra-pair fertilization success in male North American barn swallows (Hirundo rustica erythrogaster. Dark rusty coloured males had higher testosterone concentrations than drab males. Extra-pair paternity was common (42% and 31% of young in 2009 and 2010, respectively, but neither within- nor extra-pair fertilization success was related to male testosterone concentration. Dark rusty males were less often cuckolded, but did not have higher extra-pair or total fertilization success than drab males. Tail length did not affect within- or extra-pair fertilization success. Our findings suggest that, in North American barn swallows, male testosterone concentration does not play a significant direct role in female mate choice and sexual selection. Possibly plumage colour co-varies with a male behavioural trait, such as aggressiveness, that reduces the chance of cuckoldry. This could also explain why dark males have higher testosterone concentrations than drab males.
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Glacial cycles as an allopatric speciation pump in north-eastern American freshwater fishes.
April, Julien; Hanner, Robert H; Dion-Côté, Anne-Marie; Bernatchez, Louis
2013-01-01
Allopatric speciation may be the principal mechanism generating new species. Yet, it remains difficult to judge the generality of this process because few studies have provided evidence that geographic isolation has triggered the development of reproductive isolation over multiple species of a regional fauna. Here, we first combine results from new empirical data sets (7 taxa) and published literature (9 taxa) to show that the eastern Great Lakes drainage represents a multispecies suture zone for glacial lineages of freshwater fishes with variable levels of genetic divergence. Second, we performed amplified fragment length polymorphism analyses among four pairs of lineages. Results indicate that lineages with relatively deep levels of mtDNA 5' COI (barcode) sequence divergence (>2%) developed strong reproductive barriers, while lineages with lower levels of divergence show weaker reproductive isolation when found in sympatry. This suggests that a threshold of 2% sequence divergence at mtDNA could be used as a first step to flag cryptic species in North American freshwater fishes. By describing different levels of divergence and reproductive isolation in different co-occurring fishes, we offer strong evidence that allopatric speciation has contributed significantly to the diversification of north-eastern American freshwater fishes and confirm that Pleistocene glacial cycles can be viewed as a 'speciation pump' that played a predominant role in generating biodiversity. © 2012 Blackwell Publishing Ltd.
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Sequential changes from minimal pancreatic inflammation to advanced alcoholic pancreatitis.
Noronha, M; Dreiling, D A; Bordalo, O
1983-11-01
A correlation of several clinical parameters and pancreatitis morphological alterations observed in chronic alcoholics with and without pancreatic is presented. Three groups of patients were studied: asymptomatic chronic alcoholics (24); non-alcoholic controls (10); and cases with advanced chronic pancreatitis (6). Clinical, biochemical and functional studies were performed. Morphological studies were made on surgical biopsy specimens in light and electron microscopy. The results of this study showed: 1) fat accumulates within pancreatic acinar cells in alcoholics drinking more than 80 g of ethanol per day; 2) ultrastructural changes found in acinar cells of the alcoholics are similar to those described for liver cells; 3) the alterations found in alcoholics without pancreatitis are also observed in those with advanced chronic pancreatitis. An attempt to correlate the sequential changes in the histopathology of alcoholic pancreatic disease with the clinical picture and secretory patterns was made. According to these observations, admitting the ultrastructural similarities between the liver and the pancreas and the recently demonstrated abnormalities of lipid metabolism in pancreatic cells in experimental animal research, the authors postulate a toxic-metabolic mechanism as a likely hypothesis for the pathogenesis of chronic alcoholic inflammation of the pancreas.
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Bouguer images of the North American craton and its structural evolution
Arvidson, R. E.; Bowring, S.; Eddy, M.; Guinness, E.; Leff, C.; Bindschadler, D.
1984-01-01
Digital image processing techniques have been used to generate Bouguer images of the North American craton that diplay more of the granularity inherent in the data as compared with existing contour maps. A dominant NW-SE linear trend of highs and lows can be seen extending from South Dakota, through Nebraska, and into Missouri. The structural trend cuts across the major Precambrian boundary in Missouri, separating younger granites and rhyolites from older sheared granites and gneisses. This trend is probably related to features created during an early and perhaps initial episode of crustal assembly by collisional processes. The younger granitic materials are probably a thin cover over an older crust.
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Endoscopic versus surgical drainage of the pancreatic duct in chronic pancreatitis.
Cahen, Djuna L; Gouma, Dirk J; Nio, Yung; Rauws, Erik A J; Boermeester, Marja A; Busch, Olivier R; Stoker, Jaap; Laméris, Johan S; Dijkgraaf, Marcel G W; Huibregtse, Kees; Bruno, Marco J
2007-02-15
For patients with chronic pancreatitis and a dilated pancreatic duct, ductal decompression is recommended. We conducted a randomized trial to compare endoscopic and surgical drainage of the pancreatic duct. All symptomatic patients with chronic pancreatitis and a distal obstruction of the pancreatic duct but without an inflammatory mass were eligible for the study. We randomly assigned patients to undergo endoscopic transampullary drainage of the pancreatic duct or operative pancreaticojejunostomy. The primary end point was the average Izbicki pain score during 2 years of follow-up. The secondary end points were pain relief at the end of follow-up, physical and mental health, morbidity, mortality, length of hospital stay, number of procedures undergone, and changes in pancreatic function. Thirty-nine patients underwent randomization: 19 to endoscopic treatment (16 of whom underwent lithotripsy) and 20 to operative pancreaticojejunostomy. During the 24 months of follow-up, patients who underwent surgery, as compared with those who were treated endoscopically, had lower Izbicki pain scores (25 vs. 51, Psurgical drainage (P=0.007). Rates of complications, length of hospital stay, and changes in pancreatic function were similar in the two treatment groups, but patients receiving endoscopic treatment required more procedures than did patients in the surgery group (a median of eight vs. three, PSurgical drainage of the pancreatic duct was more effective than endoscopic treatment in patients with obstruction of the pancreatic duct due to chronic pancreatitis. (Current Controlled Trials number, ISRCTN04572410 [controlled-trials.com].). Copyright 2007 Massachusetts Medical Society.
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Early Detection of Sporadic Pancreatic Cancer
Chari, Suresh T.; Kelly, Kimberly; Hollingsworth, Michael A.; Thayer, Sarah P.; Ahlquist, David A.; Andersen, Dana K.; Batra, Surinder K.; Brentnall, Teresa A.; Canto, Marcia; Cleeter, Deborah F.; Firpo, Matthew A.; Gambhir, Sanjiv Sam; Go, Vay Liang W.; Hines, O. Joe; Kenner, Barbara J.; Klimstra, David S.; Lerch, Markus M.; Levy, Michael J.; Maitra, Anirban; Mulvihill, Sean J.; Petersen, Gloria M.; Rhim, Andrew D.; Simeone, Diane M.; Srivastava, Sudhir; Tanaka, Masao; Vinik, Aaron I.; Wong, David
2015-01-01
Abstract Pancreatic cancer (PC) is estimated to become the second leading cause of cancer death in the United States by 2020. Early detection is the key to improving survival in PC. Addressing this urgent need, the Kenner Family Research Fund conducted the inaugural Early Detection of Sporadic Pancreatic Cancer Summit Conference in 2014 in conjunction with the 45th Anniversary Meeting of the American Pancreatic Association and Japan Pancreas Society. This seminal convening of international representatives from science, practice, and clinical research was designed to facilitate challenging interdisciplinary conversations to generate innovative ideas leading to the creation of a defined collaborative strategic pathway for the future of the field. An in-depth summary of current efforts in the field, analysis of gaps in specific areas of expertise, and challenges that exist in early detection is presented within distinct areas of inquiry: Case for Early Detection: Definitions, Detection, Survival, and Challenges; Biomarkers for Early Detection; Imaging; and Collaborative Studies. In addition, an overview of efforts in familial PC is presented in an addendum to this article. It is clear from the summit deliberations that only strategically designed collaboration among investigators, institutions, and funders will lead to significant progress in early detection of sporadic PC. PMID:25931254
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Endosonography of groove pancreatitis
Tio, T. L.; Luiken, G. J.; Tytgat, G. N.
1991-01-01
Groove pancreatitis is a rare form of chronic pancreatitis. Distinction between pancreatitis and pancreatic carcinoma is often difficult. Two cases of groove pancreatitis diagnosed by endosonography are described. A hypoechoic pattern between the duodenal wall and pancreas was clearly imaged in both
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Energy Technology Data Exchange (ETDEWEB)
Fujinaga, Yasunari, E-mail: fujinaga@shinshu-u.ac.jp [Department of Radiology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621 (Japan); Kadoya, Masumi [Department of Radiology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621 (Japan); Kawa, Shigeyuki [Center of Health, Safety and Environmental Management, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621 (Japan); Hamano, Hideaki [Department of Medicine, Gastroenterology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621 (Japan); Ueda, Kazuhiko; Momose, Mitsuhiro; Kawakami, Satoshi; Yamazaki, Sachie; Hatta, Tomoko; Sugiyama, Yukiko [Department of Radiology, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, 390-8621 (Japan)
2010-11-15
Purpose: Autoimmune pancreatitis is a unique form of chronic pancreatitis characterized by a variety of extra-pancreatic involvements which are frequently misdiagnosed as lesions of corresponding organs. The purpose of this study was to clarify the diagnostic imaging features of extra-pancreatic lesions associated with autoimmune pancreatitis. Materials and methods: We retrospectively analyzed diagnostic images of 90 patients with autoimmune pancreatitis who underwent computer-assisted tomography, magnetic resonance imaging, and/or gallium-67 scintigraphy before steroid therapy was initiated. Results: AIP was frequently (92.2%) accompanied by a variety of extra-pancreatic lesions, including swelling of lachrymal and salivary gland lesions (47.5%), lung hilar lymphadenopathy (78.3%), a variety of lung lesions (51.2%), wall thickening of bile ducts (77.8%), peri-pancreatic or para-aortic lymphadenopathy (56.0%), retroperitoneal fibrosis (19.8%), a variety of renal lesions (14.4%), and mass lesions of the ligamentum teres (2.2%). Characteristic findings in CT and MRI included lymphadenopathies of the hilar, peri-pancreatic, and para-aortic regions; wall thickening of the bile duct; and soft tissue masses in the kidney, ureters, aorta, paravertebral region, ligamentum teres, and orbit. Conclusions: Recognition of the diagnostic features in the images of various involved organs will assist in the diagnosis of autoimmune pancreatitis and in differential diagnoses between autoimmune pancreatitis-associated extra-pancreatic lesions and lesions due to other pathologies.
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Berne, Clarence J.; Walters, Robert L.
1953-01-01
Traumatic pancreatitis should be considered as a diagnostic possibility when trauma to the epigastrium is followed by phenomena suggestive of intra-abdominal injury. The presence or absence of hyperamylasemia should be established immediately. Even when traumatic pancreatitis is believed to exist, any suggestion of injury to other viscera should indicate laparotomy. Retroperitoneal rupture of the duodenum may simulate traumatic pancreatitis in all respects, including hyperamylasemia. X-ray studies may be of value in differentiation. Non-complicated traumatic pancreatitis is best treated conservatively. Gunshot and knife wounds of the pancreas should be drained. PMID:13094537
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Krohn, William B.
2012-01-01
Contractions in the geographic distributions of the American marten ( Martes americana) and fi sher ( M. pennanti) in eastern North America south of the St. Lawrence River between Colonial times (ca. 1650–1800) and the fi sher’s recent range expansion (ca. 1930–present) are well documented, but causal factors in these range contractions have only partially been studied. Traditional explanations for range contractions by both species are forest clearing and unregulated trapping; little consideration has been given to alternative explanations. It has been hypothesized that deep snow limits the distribution of fi shers, and that high fi sher populations limit the distribution of martens. I assessed the potential contributions of these factors to observed range contractions for these species by evaluating expected patterns of change in their historical distributions since Colonial times. Using published data on the distribution of martens and fi shers in eastern North America, including early and contemporary fur-harvest records ( n = 60,702), I found that broad-scale changes in their geographic distributions in eastern North America were consistent with 3 of those expectations, and partially so with a 4th. I recognize that retrospective analyses cannot establish the relative importance of land clearing, unregulated trapping, and changing climatic conditions on observed range contractions; nevertheless, when historical data from eastern North America are viewed in the context of long-term climate warming and the results of recent ecological studies, they suggest that traditional arguments may only partially explain historical range contractions for both species. This study further suggests that under a warming climate, northern range boundaries for the fi sher will expand, and southern range boundaries for the American marten will continue to contract.
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Barry Goodwin; Matthew Holt; Jeffrey P. Prestemon
2011-01-01
Price dynamics for North American oriented strand board markets are examined. The role of transactions costs are explored vis-Ã -vis the law of one price. Nonlinearities induced by unobservable transactions costs are modeled by estimating time-varying smooth transition autoregressions (TV-STARs). Results indicate that nonlinearity and structural change are important...
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Ahmed Ali, Usama; Issa, Yama; Hagenaars, Julia C.; Bakker, Olaf J.; van Goor, Harry; Nieuwenhuijs, Vincent B.; Bollen, Thomas L.; van Ramshorst, Bert; Witteman, Ben J.; Brink, Menno A.; Schaapherder, Alexander F.; Dejong, Cornelis H.; Spanier, B. W. Marcel; Heisterkamp, Joos; van der Harst, Erwin; van Eijck, Casper H.; Besselink, Marc G.; Gooszen, Hein G.; van Santvoort, Hjalmar C.; Boermeester, Marja A.
2016-01-01
Patients with a first episode of acute pancreatitis can develop recurrent or chronic pancreatitis (CP). However, little is known about the incidence or risk factors for these events. We performed a cross-sectional study of 669 patients with a first episode of acute pancreatitis admitted to 15 Dutch
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Pancreatic tissue fluid pressure during drainage operations for chronic pancreatitis
DEFF Research Database (Denmark)
Ebbehøj, N; Borly, L; Madsen, P
1990-01-01
Pancreatic tissue fluid pressure was measured in 10 patients undergoing drainage operations for painful chronic pancreatitis. The pressure was measured by the needle technique in the three anatomic regions of the pancreas before and at different stages of the drainage procedure, and the results...... a decrease in pancreatic tissue fluid pressure during drainage operations for pain in chronic pancreatitis. Regional pressure decrease were apparently unrelated to ERCP findings....
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Delayed-type hypersensitivity to fragrance materials in a select North American population.
Belsito, Donald V; Fowler, Joseph F; Sasseville, Denis; Marks, James G; De Leo, Vincent A; Storrs, Frances J
2006-03-01
In published reports from Europe, 3- and 4-(4-hydroxy-4-methylpentyl)cyclohexene-1-carboxaldehyde (HMPCC) (Lyral) has been described as a common cause of allergic contact dermatitis (ACD). In Europe, the rates of reaction to HMPCC among patients undergoing patch testing for suspected ACD have varied from 1.2 to 17.0%, depending on the country. Data on the incidence of sensitivity to HMPCC among North Americans with suspected ACD have not been reported. The goals of this study were (1) to assess the incidence of delayed-type hypersensitivity reactions to HMPCC among patients undergoing patch testing for evaluation of eczematous dermatitis at six centers throughout North America; (2) to determine the most appropriate concentration of HMPCC to use in performing patch tests; and (3) to compare and contrast the incidence rates for HMPCC hypersensitivity to those for other fragrance materials screened with the North American Contact Dermatitis Group (NACDG) screening tray, which includes fragrance mix, Myroxilon pereirae (balsam of Peru), cinnamic aldehyde, ylang ylang oil, jasmine absolute, and tea tree oil. This report represents the prospective multicenter data on patients tested with the fragrance-related allergens on the NACDG standard screening tray and with HMPCC at 5%, 1.5%, and 0.5% concentrations in petrolatum. Statistical analyses were performed with Student's t-test (two tailed) and the chi-square test. Data from 1,603 patients evaluated at five US sites and one Canadian site were analyzed. Most patients (87.8%) were Caucasian. The majority (67%) were women, and 26.2% had a history consistent with atopic dermatitis. The patients ranged in age from 1 to 88 years, and the mean +/- standard deviation was 46.3 +/- 16.5 years. Myroxilon pereirae (balsam of Peru) and fragrance mix were the most frequent patch-test-positive fragrance allergens (6.6% and 5.9%, respectively). Cinnamic aldehyde (1.7%), ylang ylang oil (0.6%), jasmine absolute (0.4%), HMPCC (0.4% for 5
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Pathogenic mechanisms of pancreatitis
Manohar, Murli; Verma, Alok Kumar; Venkateshaiah, Sathisha Upparahalli; Sanders, Nathan L; Mishra, Anil
2017-01-01
Pancreatitis is inflammation of pancreas and caused by a number of factors including pancreatic duct obstruction, alcoholism, and mutation in the cationic trypsinogen gene. Pancreatitis is represented as acute pancreatitis with acute inflammatory responses and; chronic pancreatitis characterized by marked stroma formation with a high number of infiltrating granulocytes (such as neutrophils, eosinophils), monocytes, macrophages and pancreatic stellate cells (PSCs). These inflammatory cells are known to play a central role in initiating and promoting inflammation including pancreatic fibrosis, i.e., a major risk factor for pancreatic cancer. A number of inflammatory cytokines are known to involve in promoting pancreatic pathogenesis that lead pancreatic fibrosis. Pancreatic fibrosis is a dynamic phenomenon that requires an intricate network of several autocrine and paracrine signaling pathways. In this review, we have provided the details of various cytokines and molecular mechanistic pathways (i.e., Transforming growth factor-β/SMAD, mitogen-activated protein kinases, Rho kinase, Janus kinase/signal transducers and activators, and phosphatidylinositol 3 kinase) that have a critical role in the activation of PSCs to promote chronic pancreatitis and trigger the phenomenon of pancreatic fibrogenesis. In this review of literature, we discuss the involvement of several pro-inflammatory and anti-inflammatory cytokines, such as in interleukin (IL)-1, IL-1β, IL-6, IL-8 IL-10, IL-18, IL-33 and tumor necrosis factor-α, in the pathogenesis of disease. Our review also highlights the significance of several experimental animal models that have an important role in dissecting the mechanistic pathways operating in the development of chronic pancreatitis, including pancreatic fibrosis. Additionally, we provided several intermediary molecules that are involved in major signaling pathways that might provide target molecules for future therapeutic treatment strategies for
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Singh, S; Choudhuri, G; Kumar, R; Agarwal, S
2012-12-22
MTHFR is a key enzyme in folate metabolism that catalyzes the conversion of 5, 10—methlenetetrahydrofolate (5, 10— methylene THF) to 5—methyltetrahydrofolate (5—methyl THF), a predominant circulatory form of folate and methyl donor for the remethylation of homocysteine to methionine. Some studies have shown that C667T polymorphism increases the risk of pancreatic cancer. Since MTHFR is involved in methylation, inflammation and protection against oxidative stress, the processes especially important for pancreatic homeostasis. The altered enzyme activity could play a role in pancreatic injury. The role of MTHFR C677T polymorphism in chronic pancreatitis has been explored by conducting a hospital based; case—control study involving 100 patients radiologically confirmed chronic pancreatitis and 329 healthy controls. All samples were analyzed for MTHFR C677T polymorphism using PCR—RFLP method. Restriction enzyme Hinf I was used to digest the 198 bp amplified product. The frequency of the MTHFR was 57.3%, 34.1% and 8.5% among cases compared with 87.2%,11.2% and 1.5% of controls for CC, CT and TT genotypes, respectively. The T Allele frequency was found significantly higher in patients than in controls. A significant association with T allele was observed with p—value (< 0.0001) odds ratio 4.475 and (95% CI=2.961—7.046). It could be predisposing to the traditional risk factors such as diabetes, dietary, alcohal and smoking habit that are known to be associated with chronic pancreatitis. Additionally it was observed that smoking increases the risk of chronic pancreatitis by 4.1 times. The T allele frequency of MTHFR (C667T) was found to be a significant risk factor for chronic pancreatitis playing a crucial role in altered folate metabolsim.
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An update on pancreatic pathophysiology (do we have to rewrite pancreatic pathophysiology?).
Hammer, Heinz F
2014-02-01
This review focuses on seven aspects of physiology and pathophysiology of the exocrine pancreas that have been intensively discussed and studied within the past few years: (1) the role of neurohormonal mechanisms like melatonin, leptin, or ghrelin in the stimulation of pancreatic enzyme secretion; (2) the initiation processes of acute pancreatitis, like fusion of zymogen granules with lysosomes leading to intracellular activation of trypsinogen by the lysosomal enzyme cathepsin B, or autoactivation of trypsinogen; (3) the role of genes in the pathogenesis of acute pancreatitis; (4) the role of alcohol and constituents of alcoholic beverages in the pathogenesis of acute pancreatitis; (5) the role of pancreatic hypertension, neuropathy, and central mechanisms for the pathogenesis of pain in chronic pancreatitis; (6) the relation between exocrine pancreatic function and diabetes mellitus; and (7) pathophysiology, diagnosis and treatment of pancreatic steatorrhea.
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Hereditary chronic pancreatitis
Directory of Open Access Journals (Sweden)
Mössner Joachim
2007-01-01
Full Text Available Abstract Hereditary chronic pancreatitis (HCP is a very rare form of early onset chronic pancreatitis. With the exception of the young age at diagnosis and a slower progression, the clinical course, morphological features and laboratory findings of HCP do not differ from those of patients with alcoholic chronic pancreatitis. As well, diagnostic criteria and treatment of HCP resemble that of chronic pancreatitis of other causes. The clinical presentation is highly variable and includes chronic abdominal pain, impairment of endocrine and exocrine pancreatic function, nausea and vomiting, maldigestion, diabetes, pseudocysts, bile duct and duodenal obstruction, and rarely pancreatic cancer. Fortunately, most patients have a mild disease. Mutations in the PRSS1 gene, encoding cationic trypsinogen, play a causative role in chronic pancreatitis. It has been shown that the PRSS1 mutations increase autocatalytic conversion of trypsinogen to active trypsin, and thus probably cause premature, intrapancreatic trypsinogen activation disturbing the intrapancreatic balance of proteases and their inhibitors. Other genes, such as the anionic trypsinogen (PRSS2, the serine protease inhibitor, Kazal type 1 (SPINK1 and the cystic fibrosis transmembrane conductance regulator (CFTR have been found to be associated with chronic pancreatitis (idiopathic and hereditary as well. Genetic testing should only be performed in carefully selected patients by direct DNA sequencing and antenatal diagnosis should not be encouraged. Treatment focuses on enzyme and nutritional supplementation, pain management, pancreatic diabetes, and local organ complications, such as pseudocysts, bile duct or duodenal obstruction. The disease course and prognosis of patients with HCP is unpredictable. Pancreatic cancer risk is elevated. Therefore, HCP patients should strongly avoid environmental risk factors for pancreatic cancer.
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Acute Pancreatitis and Pancreatic Cancer Risk: A Nationwide Matched-cohort Study in Denmark
DEFF Research Database (Denmark)
Kirkegård, Jakob; Cronin Fenton, Deirdre; Heide-Jørgensen, Uffe
2018-01-01
. Pancreatic cancer risk was expressed as hazard ratios (HRs) with 95% CIs, calculated using the Cox proportional hazards model. Cox models were stratified by age, sex, and year of pancreatitis diagnosis and adjusted for alcohol- and smoking-related conditions, and Charlson Comorbidity Index score. Results We...... included 41,669 patients diagnosed with incident acute pancreatitis and 208,340 comparison individuals. Patients with acute pancreatitis had an increased risk of pancreatic cancer compared with the age- and sex-matched general population throughout the follow-up period. The risk decreased over time......Background & Aims Acute pancreatitis may be a risk factor for pancreatic cancer. However, findings from studies on this association are conflicting. We investigated the association between acute pancreatitis and increased risk of pancreatic cancer. Methods We conducted a nationwide, population...
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Chen, Zheng; Gan, Bolan; Wu, Lixin; Jia, Fan
2017-09-01
Based on reanalysis datasets and as many as 35 CMIP5 models, this study evaluates the capability of climate models to simulate the spatiotemporal features of Pacific-North American teleconnection (PNA) and North Pacific Oscillation (NPO) in the twentieth century wintertime, and further investigates their responses to greenhouse warming in the twenty-first century. Analysis reveals that while the majority (80%) of models reasonably simulate either the geographical distribution or the amplitude of PNA/NPO pattern, only half of models can well capture both features in space. As for the temporal features, variabilities of PNA and NPO in most models are biased toward higher amplitude. Additionally, most models simulate the interannual variabilities of PNA and NPO, qualitatively consistent with the observation, whereas models generally lack the capability to reproduce the decadal (20-25 years) variability of PNA. As the climate warms under the strongest future warming scenario, the PNA intensity is found to be strengthened, whereas there is no consensus on the direction of change in the NPO intensity among models. The intensification of positive PNA is primarily manifested in the large deepening of the North Pacific trough, which is robust as it is 2.3 times the unforced internal variability. By focusing on the tropical Pacific Ocean, we find that the multidecadal evolution of the North Pacific trough intensity (dominating the PNA intensity evolution) is closely related to that of the analogous trough in the PNA-like teleconnection forced by sea surface temperature anomalies (SSTa) in the tropical central Pacific (CP) rather than the tropical eastern Pacific (EP). Such association is also found to act under greenhouse warming: that is, the strengthening of the PNA-like teleconnection induced by the CP SSTa rather than the EP SSTa is a driving force for the intensification of PNA. This is in part owing to the robust enhancement of the tropical precipitation response to
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Chen, Zheng; Gan, Bolan; Wu, Lixin; Jia, Fan
2018-06-01
Based on reanalysis datasets and as many as 35 CMIP5 models, this study evaluates the capability of climate models to simulate the spatiotemporal features of Pacific-North American teleconnection (PNA) and North Pacific Oscillation (NPO) in the twentieth century wintertime, and further investigates their responses to greenhouse warming in the twenty-first century. Analysis reveals that while the majority (80%) of models reasonably simulate either the geographical distribution or the amplitude of PNA/NPO pattern, only half of models can well capture both features in space. As for the temporal features, variabilities of PNA and NPO in most models are biased toward higher amplitude. Additionally, most models simulate the interannual variabilities of PNA and NPO, qualitatively consistent with the observation, whereas models generally lack the capability to reproduce the decadal (20-25 years) variability of PNA. As the climate warms under the strongest future warming scenario, the PNA intensity is found to be strengthened, whereas there is no consensus on the direction of change in the NPO intensity among models. The intensification of positive PNA is primarily manifested in the large deepening of the North Pacific trough, which is robust as it is 2.3 times the unforced internal variability. By focusing on the tropical Pacific Ocean, we find that the multidecadal evolution of the North Pacific trough intensity (dominating the PNA intensity evolution) is closely related to that of the analogous trough in the PNA-like teleconnection forced by sea surface temperature anomalies (SSTa) in the tropical central Pacific (CP) rather than the tropical eastern Pacific (EP). Such association is also found to act under greenhouse warming: that is, the strengthening of the PNA-like teleconnection induced by the CP SSTa rather than the EP SSTa is a driving force for the intensification of PNA. This is in part owing to the robust enhancement of the tropical precipitation response to
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Directory of Open Access Journals (Sweden)
Jian J. Duan
2018-03-01
Full Text Available After emerald ash borer (EAB, Agrilus planipennis Fairmaire, was discovered in the United States, a classical biological control program was initiated against this destructive pest of ash trees (Fraxinus spp.. This biocontrol program began in 2007 after federal regulatory agencies and the state of Michigan approved release of three EAB parasitoid species from China: Tetrastichus planipennisi Yang (Eulophidae, Spathius agrili Yang (Braconidae, and Oobius agrili Zhang and Huang (Encyrtidae. A fourth EAB parasitoid, Spathius galinae Belokobylskij (Braconidae from Russia, was approved for release in 2015. We review the rationale and ecological premises of the EAB biocontrol program, and then report on progress in North American ash recovery in southern Michigan, where the parasitoids were first released. We also identify challenges to conserving native Fraxinus using biocontrol in the aftermath of the EAB invasion, and provide suggestions for program improvements as EAB spreads throughout North America. We conclude that more work is needed to: (1 evaluate the establishment and impact of biocontrol agents in different climate zones; (2 determine the combined effect of EAB biocontrol and host plant resistance or tolerance on the regeneration of North American ash species; and (3 expand foreign exploration for EAB natural enemies throughout Asia.
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Ma, Gene K; Goldberg, David S; Thiruvengadam, Nikhil; Chandrasekhara, Vinay; Kochman, Michael L; Ginsberg, Gregory G; Vollmer, Charles M; Ahmad, Nuzhat A
2016-11-01
In 2015, the American Gastroenterological Association (AGA) published guidelines to provide recommendations for management of suspected pancreatic cystic neoplasms (PCNs). The aim of this study was to compare efficacy of these with the Fukuoka consensus guidelines in predicting advanced neoplasia (AN) in patients with suspected PCNs. We performed a retrospective study of 239 patients who underwent surgical resection for suspected mucinous PCN at a tertiary care center from 2000 to 2014. Surgical pathology was the gold standard. The AGA and Fukuoka criteria were applied, and their performance in predicting AN, defined as invasive cancer or high-grade dysplasia (HGD), was assessed. Advanced neoplasia was found in 71 of 239 (29.7%) patients (28 invasive cancer, 43 HGD). The Fukuoka "high-risk" (FG-HR) and AGA "high-risk" (AGA-HR) criteria identified patients with AN with sensitivities of 28.2% and 35.2%, specificities of 95.8% and 94.0%, positive predictive values of 74.1% and 71.4%, and negative predictive values of 75.9% and 77.5%, respectively. Overall, there was no significant difference between the guidelines for prediction of AN. There were 7 and 6 cases with invasive cancer, and 23 and 24 cases with HGD missed by the FG-HR and AGA-HR guidelines, respectively. In a retrospective analysis, the AGA guidelines are not superior to the Fukuoka guidelines in identifying AN in suspected PCNs. Both sets of guidelines have fair PPV for detection of AN, which would lead to avoidable resections in patients without AN. Additionally, the high-risk features of both guidelines do not accurately identify all patients with AN. Copyright © 2016 American College of Surgeons. Published by Elsevier Inc. All rights reserved.
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Hancock, Rebecca L; Ungar, Wendy J; Einarson, Adrienne; Koren, Gideon
2010-10-01
Teratology Information Services (TIS) provide health care professionals and the public with information regarding the safety and/or risk of exposures during pregnancy and lactation, mainly via telephone consultations. An international comparison of clinical practices at TIS has never been conducted. The survey objective was to compare international TIS to North American TIS, with an aim to identify strengths and challenges that can lead to service improvement. Twenty-two international TIS were approached for participation during an international conference. TIS were surveyed on information in six categories: services, staffing, operations, data collection, knowledge transfer activities and additional information. Data were summarized using descriptive statistics. Statistical tests were conducted using SPSS®. Sixteen TIS from 12 countries participated. Survey results were compared with previously reported results from a similar survey of North American TIS (16 US, two Canadian). TIS exist in a variety of departments and settings, but most commonly are in university hospitals. Pregnant women were the most commonly counselled group worldwide. International TIS spent significantly more time fielding inquiries regarding medications, while North American TIS had a wider variety of inquiry categories. All TIS could improve budget tracking. Overall, service practices and goals were similar, although international TIS conducted more follow-up with service users than North American TIS. This report offers TIS the first ever opportunity to compare practices. Increased dialogue between TIS encourages sharing of best practices and improves the ability of these important public health programmes to support women and health care providers. © 2010 Blackwell Publishing Ltd.
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International Nuclear Information System (INIS)
Moomaw, W.R.
2002-06-01
A substantial contribution to the electricity supply of North America can be made by renewable energy. Its uses range from transport fuels based on biomass, to space and hot water heating in buildings and industry. Two possible options are distributed forms of renewable energy and central large-scale technology. Significant employment opportunities could be created from the manufacturing, installation and maintenance of renewable technology. In Mexico, the United States and Canada, rural economic development could be enhanced through the use of wind and biomass fuels. Every three years between 1994 and 2001, wind power installations doubled, and a comparable rate was achieved for the period 1996 to 2001 in the case of photovoltaic shipments. North America's share of this accelerating market in renewable energy sources is declining. To rectify the situation, the author indicated that several issues need to be addressed in all three countries and the trading rules in place under the North American Free Trade Agreement (NAFTA) need to be reconciled. Several recommendations were made concerning topics as varied as general policy principles to promote renewable technology, establishment of incentives for renewables, renewable electricity, biomass fuels, economic and social policies, research and development and purchasing. 30 refs
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Luong, Thang; Castro, Christopher; Nguyen, Truong; Cassell, William; Chang, Hsin-I
2018-01-01
A commonly noted problem in the simulation of warm season convection in the North American monsoon region has been the inability of atmospheric models at the meso-β scales (10 s to 100 s of kilometers) to simulate organized convection, principally
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Beyene, Mussie T.; Jain, Shaleen
2018-06-01
El Niño-Southern Oscillation (ENSO) teleconnections induced wintertime surface air temperature (SAT) anomalies over North America show inter-event variability, asymmetry, and nonlinearity. This diagnostic study appraises the assumption that ENSO-induced teleconnections are adequately characterized as symmetric shifts in the SAT probability distributions for North American locations. To this end, a new conditional quantile functional estimation approach presented here incorporates: (a) the detailed nature of location and amplitude of SST anomalies—in particular the Eastern Pacific (EP), Central Pacific (CP) ENSO events—based on its two leading principal components, and (b) over the entire range of SATs, characterize the differential sensitivity to ENSO. Statistical significance is assessed using a wild bootstrap approach. Conditional risk at upper and lower quartile SAT conditioned on archetypical ENSO states is derived. There is marked asymmetry in ENSO effects on the likelihood of upper and lower quartile winter SATs for most North American regions. CP El Niño patterns show 20-80% decrease in the likelihood of lower quartile SATs for Canada and US west coast and a 20-40% increase across southeastern US. However, the upper quartile SAT for large swathes of Canada shows no sensitivity to CP El Niño. Similarly, EP El Niño is linked to a 40-80% increase in the probability of upper quartile winter SATs for Canada and northern US and a 20% decrease for southern US and northern Mexico regions; however, little or no change in the risk of lower quartile winter temperatures for southern parts of North America. Localized estimate of ENSO-related risk are also presented.
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Campo, D; Lehmann, K; Fjeldsted, C; Souaiaia, T; Kao, J; Nuzhdin, S V
2013-10-01
The prevailing demographic model for Drosophila melanogaster suggests that the colonization of North America occurred very recently from a subset of European flies that rapidly expanded across the continent. This model implies a sudden population growth and range expansion consistent with very low or no population subdivision. As flies adapt to new environments, local adaptation events may be expected. To describe demographic and selective events during North American colonization, we have generated a data set of 35 individual whole-genome sequences from inbred lines of D. melanogaster from a west coast US population (Winters, California, USA) and compared them with a public genome data set from Raleigh (Raleigh, North Carolina, USA). We analysed nuclear and mitochondrial genomes and described levels of variation and divergence within and between these two North American D. melanogaster populations. Both populations exhibit negative values of Tajima's D across the genome, a common signature of demographic expansion. We also detected a low but significant level of genome-wide differentiation between the two populations, as well as multiple allele surfing events, which can be the result of gene drift in local subpopulations on the edge of an expansion wave. In contrast to this genome-wide pattern, we uncovered a 50-kilobase segment in chromosome arm 3L that showed all the hallmarks of a soft selective sweep in both populations. A comparison of allele frequencies within this divergent region among six populations from three continents allowed us to cluster these populations in two differentiated groups, providing evidence for the action of natural selection on a global scale. © 2013 John Wiley & Sons Ltd.
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Kleeff, Jorg; Whitcomb, David C; Shimosegawa, Tooru; Esposito, Irene; Lerch, Markus M; Gress, Thomas; Mayerle, Julia; Drewes, Asbjørn Mohr; Rebours, Vinciane; Akisik, Fatih; Muñoz, J Enrique Domínguez; Neoptolemos, John P
2017-09-07
Chronic pancreatitis is defined as a pathological fibro-inflammatory syndrome of the pancreas in individuals with genetic, environmental and/or other risk factors who develop persistent pathological responses to parenchymal injury or stress. Potential causes can include toxic factors (such as alcohol or smoking), metabolic abnormalities, idiopathic mechanisms, genetics, autoimmune responses and obstructive mechanisms. The pathophysiology of chronic pancreatitis is fairly complex and includes acinar cell injury, acinar stress responses, duct dysfunction, persistent or altered inflammation, and/or neuro-immune crosstalk, but these mechanisms are not completely understood. Chronic pancreatitis is characterized by ongoing inflammation of the pancreas that results in progressive loss of the endocrine and exocrine compartment owing to atrophy and/or replacement with fibrotic tissue. Functional consequences include recurrent or constant abdominal pain, diabetes mellitus (endocrine insufficiency) and maldigestion (exocrine insufficiency). Diagnosing early-stage chronic pancreatitis is challenging as changes are subtle, ill-defined and overlap those of other disorders. Later stages are characterized by variable fibrosis and calcification of the pancreatic parenchyma; dilatation, distortion and stricturing of the pancreatic ducts; pseudocysts; intrapancreatic bile duct stricturing; narrowing of the duodenum; and superior mesenteric, portal and/or splenic vein thrombosis. Treatment options comprise medical, radiological, endoscopic and surgical interventions, but evidence-based approaches are limited. This Primer highlights the major progress that has been made in understanding the pathophysiology, presentation, prevalence and management of chronic pancreatitis and its complications.
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Accounts of famous North American Wolves, Canis lupus
Gipson, P.S.; Ballard, W.B.
1998-01-01
We examined historical accounts of 59 famous North American Gray Wolves (Canis lupus) reported during the late nineteenth and early twentieth centuries. Fifty of the 59 wolves were purportedly responsible for great losses to livestock, but for 29 reports, evidence suggested that ???2 wolves (e.g., packs) were responsible for the purported kills; in addition, seven wolves had traits that suggested they were hybrids with dogs, and one wolf was probably not from the area where the damage purportedly occurred. Reported livestock losses, especially to Longhorn cattle, from individual wolves appeared excessively high in relation to current literature. Most famous wolves were old and/or impaired from past injuries: 19 were reportedly ???10 years old, 18 had mutilated feet from past trap injuries, and one had a partially severed trachea from being in a snare. Old age and physical impairments probably contributed to livestock depredations by some famous wolves. Several accounts appeared exaggerated, inaccurate, or fabricated. Historical accounts of famous wolves should be interpreted with great caution, especially when considering impacts of wolf reintroductions or when modeling predation rates.
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Observed Decrease of North American Winter Temperature Variability
Rhines, A. N.; Tingley, M.; McKinnon, K. A.; Huybers, P. J.
2015-12-01
There is considerable interest in determining whether temperature variability has changed in recent decades. Model ensembles project that extratropical land temperature variance will detectably decrease by 2070. We use quantile regression of station observations to show that decreasing variability is already robustly detectable for North American winter during 1979--2014. Pointwise trends from GHCND stations are mapped into a continuous spatial field using thin-plate spline regression, resolving small-scales while providing uncertainties accounting for spatial covariance and varying station density. We find that variability of daily temperatures, as measured by the difference between the 95th and 5th percentiles, has decreased markedly in winter for both daily minima and maxima. Composites indicate that the reduced spread of winter temperatures primarily results from Arctic amplification decreasing the meridional temperature gradient. Greater observed warming in the 5th relative to the 95th percentile stems from asymmetric effects of advection during cold versus warm days; cold air advection is generally from northerly regions that have experienced greater warming than western or southwestern regions that are generally sourced during warm days.
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International Nuclear Information System (INIS)
Egan, T.
2002-03-01
This report provided a Canadian industry perspective on strategies to improve the way electricity markets operate in North America, particularly following the events of September 11, 2001 which highlighted how closely the integrated infrastructure between Canada and the United States really is. Other major and recent events that have influenced the process of fundamental change across much of the North American electricity industry include the electricity crisis in California, the downturn in the North American economy, and the collapse of Enron. These events have forced governments to work collaboratively on integrating policy initiatives related to electricity. This report also discussed the impact that the U.S. withdrawal from the Kyoto Protocol would have on Canada. Canada is not yet on a path to meet the greenhouse gas emission reduction target of 6 per cent below 1990 levels by 2008-2012. Should Canada decide to implement Kyoto, the fact that the U.S. plan is much less aggressive than Kyoto, would place Canada at a cost disadvantage relative to its major trading partner. The Canadian Electricity Association (CEA) believes that this problem can be solved using a continental approach to climate change with realistic targets to reduce greenhouse gases over a long-term period. The energy strategy delivered by the Bush administration focuses on security of supply. Within Canada, there is no crisis in supply, and to keep it that way, due attention must be given to future demand through investment in new generation and transmission. The CEA believes that an effective partnership between Canada and the United States would ensure security and economic advantages for both countries. This report summarized the following: (1) electricity generation by fuel type in Canada and the United States in 2000, (2) electricity exports from Canada and imports from United States from 1992 to 2001, (3) volume of net exports and imports in 2001, and (4) the status of restructuring in
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Altered central pain processing after pancreatic surgery for chronic pancreatitis
Bouwense, S. A.; Ahmed Ali, U.; ten Broek, R. P.; Issa, Y.; van Eijck, C. H.; Wilder-Smith, O. H.; van Goor, H.
2013-01-01
Chronic abdominal pain is common in chronic pancreatitis (CP) and may involve altered central pain processing. This study evaluated the relationship between pain processing and pain outcome after pancreatic duct decompression and/or pancreatic resection in patients with CP. Patients with CP
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Sugito, Kiminobu; Furuya, Takeshi; Kaneda, Hide; Masuko, Takayuki; Ohashi, Kensuke; Inoue, Mikiya; Ikeda, Taro; Koshinaga, Tsugumichi; Tomita, Ryouichi; Maebayashi, Toshiya
2012-05-01
The objectives of the present study were to determine nutritional status, pancreatic function, and morphological changes of the pancreatic remnant after pancreatic tumor resection in children. The nutritional status was evaluated by the patterns of growth. Pancreatic function was evaluated by using a questionnaire, the Bristol stool form chart, the serum levels of fasting blood glucose, and hemoglobin A1c (HbA1c). Morphological changes of the pancreatic remnant were evaluated by computed tomography, magnetic resonance image, or magnetic resonance cholangiopancreatography. The present study consisted of 6 patients with pancreatic tumor (5 solid pseudopapillary tumors of the pancreas and 1 pancreatoblastoma) who underwent the following operations: tumor enucleation (3), distal pancreatectomy with splenectomy (1), and pylorus-preserving pancreatoduodenectomy (PPPD [2]). The serum levels of HbA1c have been gradually elevated in 2 patients with PPPD. A significant decrease in pancreatic parenchymal thickness and dilatation of the main pancreatic duct were observed in 2 patients with PPPD. Endocrine pancreatic insufficiency after PPPD may be explainable by obstructive pancreatitis after operation. Taking together the results of pancreatic endocrine function and morphological changes of pancreatic remnant after PPPD, tumor enucleation should be considered as surgical approach in children with pancreas head tumor whenever possible.
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Nutrition Following Pancreatic Surgery
... BACK Contact Us DONATE NOW GENERAL DONATION PURPLESTRIDE Nutrition Following Pancreatic Surgery Home Facing Pancreatic Cancer Living with Pancreatic Cancer Diet and Nutrition Nutrition Following Pancreatic Surgery Ver esta página en ...
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Thirty-seventh supplement to the American Ornithologists' Union Check-list of North American birds
Monroe, Burt L.; Banks, Richard C.; Fitzpatrick, John W.; Howell, Thomas R.; Johnson, Ned K.; Ouellet, Henri; Remsen, J.V.; Storer, Robert W.
1989-01-01
This third supplement subsequent to the 6th edition (1983) of the A.O.U. "Check-list of North American Birds" consists of changes adopted by the Committee on Classification and Nomenclature as of 1 March 1989. The changes fall into nine categories: (1) six species are added to the main list (Pterodroma longirostris, Larus crassirostris, Streptopelia decaocto, Cocccyzus julieni, Chrysolampis mosquitus, Emberiza aureola) because of new distributional information; (2) five species (Ara cubensis, Chlorostilbon bracei, Empidonax occidentalis, Polioptila californica, Pipilo crissalis) are added to the main list because of the splitting of species already on the list; (3) one name (Anthus rubescens) is changed because of the splitting of a species from outside the Checklist area; (4) two names (Morus bassanus, Nyctanassa violacea) is removed from the main list to Appendix B because of re-evaluation of Northern Hemisphere records; (6) three species (Pterodrama rostrata, P. alba, P. solandri) are moved from Appendix A to Appendix B, and one (P. defilippiana) is added to Appendix B because of questionable sight records; (7)A.O.U. numbers are added to three species (Ciccaba virgata, Myiopagis viridicata, Molothrus bonariensis) on the basis on new distributional records or supporting data; (8) several corrections in spelling or citations are made; and (9) English names are changed for twelve species to accommodate worldwide usage of these names. No new distributional information is included except as indicated above (i.e. minor changes of distribution are not noted). These actions bring the number of species recognized as occurring in North America (main list) to 1,945.
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Dray, Danielle; Dahlke, Joshua D; Rouse, Dwight J
2014-08-01
Solid pseudopapillary pancreatic tumor is a rare tumor affecting young women. Case reports have presented pregnancy outcomes after pancreaticoduodenectomy (Whipple procedure) in pregnancy for this neoplasm. We report a case of a woman who underwent a preconception Whipple procedure for a solid pseudopapillary pancreatic tumor who experienced recurrent pancreatitis confined to pregnancy. A 28-year-old gravida 2 para 1 woman with a history of a Whipple procedure for a solid pseudopapillary pancreatic tumor 2 years prior had three episodes of severe pancreatitis in pregnancy. She was managed conservatively with each episode. She delivered at term and did not have a recurrence in the 8 months since her delivery. Recurrent pancreatitis in pregnancy after a preconception Whipple procedure can be managed conservatively without surgical intervention.
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Acute Pancreatitis in Children
... a feeding tube or an IV to prevent malnutrition and improve healing. Does my child have to ... Acute Pancreatitis in Children Chronic Pancreatitis in Children Childhood Inherited Disorders Pancreatic Cancer Pancreatic Cancer Risks and ...
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John G. Kie; Alan A. Ager; R. Terry. Bowyer
2005-01-01
We examined movements of North American elk (Cervus elaphus) in northeastern Oregon, USA. Movement vectors at 449 locations over a 7762 ha area were calculated based on 16,724 sequential observations of 94 female elk-year combinations during spring (15 April-14 May) 1993, 1995, 1996. We calculated movement vectors at the start of morning and...
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Bond, Vanessa L.
2015-01-01
Renowned around the world, schools within the municipality of Reggio Emilia, Italy, have inspired North American early childhood educators for over 25 years. Despite the popularity and usage of the Reggio Emilia approach in the United States, music educators may find it unfamiliar. There is a lack of research that has discussed the use of music or…
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HYDROCEPHALUS IN THREE JUVENILE NORTH AMERICAN BLACK BEARS (URSUS AMERICANUS).
Ferguson, Sylvia H; Novak, Janelle; Hecht, Silke; Craig, Linden E
2016-06-01
Hydrocephalus has been reported in a variety of species, including the North American black bear ( Ursus americanus ). This report describes three cases of hydrocephalus in this species from wild bears aged 3-4 mo considered retrospectively from necropsy records of one institution. Clinical signs included cortical blindness and ataxia. Primary gross findings were doming of the skull, gyri compression and flattening, and lateral ventricle dilation. Two cases had severe bilateral ventricular dilation with loss of the septum pellucidum; atrophy of the surrounding corpus callosum; and bilateral periventricular tears involving the caudate nuclei, internal capsule, and adjacent cerebrum. Histologically, the cases with periventricular tearing had severe axonal loss and degeneration, malacia, hemorrhage, and variable periventricular astrocytosis. All cases were likely congenital, given the bears' age and lack of an apparent acquired obstruction.
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A plan for the North American Bat Monitoring Program (NABat)
Loeb, Susan C.; Rodhouse, Thomas J.; Ellison, Laura E.; Lausen, Cori L.; Reichard, Jonathan D.; Irvine, Kathryn M.; Ingersoll, Thomas E.; Coleman, Jeremy; Thogmartin, Wayne E.; Sauer, John R.; Francis, Charles M.; Bayless, Mylea L.; Stanley, Thomas R.; Johnson, Douglas H.
2015-01-01
The purpose of the North American Bat Monitoring Program (NABat) is to create a continent-wide program to monitor bats at local to rangewide scales that will provide reliable data to promote effective conservation decisionmaking and the long-term viability of bat populations across the continent. This is an international, multiagency program. Four approaches will be used to gather monitoring data to assess changes in bat distributions and abundances: winter hibernaculum counts, maternity colony counts, mobile acoustic surveys along road transects, and acoustic surveys at stationary points. These monitoring approaches are described along with methods for identifying species recorded by acoustic detectors. Other chapters describe the sampling design, the database management system (Bat Population Database), and statistical approaches that can be used to analyze data collected through this program.
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Nutritional and Metabolic Derangements in Pancreatic Cancer and Pancreatic Resection.
Gilliland, Taylor M; Villafane-Ferriol, Nicole; Shah, Kevin P; Shah, Rohan M; Tran Cao, Hop S; Massarweh, Nader N; Silberfein, Eric J; Choi, Eugene A; Hsu, Cary; McElhany, Amy L; Barakat, Omar; Fisher, William; Van Buren, George
2017-03-07
Pancreatic cancer is an aggressive malignancy with a poor prognosis. The disease and its treatment can cause significant nutritional impairments that often adversely impact patient quality of life (QOL). The pancreas has both exocrine and endocrine functions and, in the setting of cancer, both systems may be affected. Pancreatic exocrine insufficiency (PEI) manifests as weight loss and steatorrhea, while endocrine insufficiency may result in diabetes mellitus. Surgical resection, a central component of pancreatic cancer treatment, may induce or exacerbate these dysfunctions. Nutritional and metabolic dysfunctions in patients with pancreatic cancer lack characterization, and few guidelines exist for nutritional support in patients after surgical resection. We reviewed publications from the past two decades (1995-2016) addressing the nutritional and metabolic status of patients with pancreatic cancer, grouping them into status at the time of diagnosis, status at the time of resection, and status of nutritional support throughout the diagnosis and treatment of pancreatic cancer. Here, we summarize the results of these investigations and evaluate the effectiveness of various types of nutritional support in patients after pancreatectomy for pancreatic adenocarcinoma (PDAC). We outline the following conservative perioperative strategies to optimize patient outcomes and guide the care of these patients: (1) patients with albumin 10% should postpone surgery and begin aggressive nutrition supplementation; (2) patients with albumin endocrine and exocrine pancreatic insufficiency alongside implementation of appropriate treatment to improve the patient's quality of life.
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Arvieux, C; Guillon, F; Létoublon, Ch; Oughriss, M
2003-10-01
Early diagnosis of pancreatic trauma has always been challenging because of the lack of correlation between the initial clinical symptomatology, radiologic and laboratory findings, and the severity of the injury. Thanks to the improved performance of spiral CT scanning and magnetic resonance pancreatography, it is now often possible to make an early diagnosis of pancreatic contusion, to localize the site of the injury, and (most importantly) to identify injury to the main pancreatic duct which has major implications for the management of the case. When the trauma victim is unstable, radiologic work-up may be impossible and urgent laparotomy is required. Control of hemorrhage is the primary concern here and a damage control approach with packing may be appropriate; if the pancreatic head has been destroyed, a pancreaticoduodenectomy with delayed reconstruction may be required. If the trauma victim is stable, the treatment strategy will be governed by a variety of parameters--age, clinical condition, associated local anatomic findings (pancreatitis, injury to the duodenum or biliary tract), involvement of the pancreatic duct, and localization of the injury within the gland (to right or left of the mesenteric vessels).
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Evaluation of pancreatic scintigram in the diagnosis of pancreatic diseases
International Nuclear Information System (INIS)
Takai, Yukihiro; Ueda, Noriyuki; Takasago, Noritsugu; Minemoto, Hiromasa; Namiki, Masayoshi
1981-01-01
The classification of accumulative patterns with the pancreatic scintigram findings of chronic pancreatitis and carcinoma of the pancreas were compared with endoscopic retrograde pancreatography (ERP) findings and Pancreozymin-Secretin test (P-S test). I) The frequency of pancreatic cancer was 93%, whilst, the chronic pancreatitis was 88% in the abnormal pancreatic scintigram. II) In the scintigram the type II (localyzed defect shadows) of pancreatic cancer was comparatively high and it is proportional to evidence. derived from ERP. Localized diagnostic certainty is helpful, although the two tests are related. The P-S test is only restricted to the carcinoma of head, whilst, scintigram is more useful to detect the carcinoma of the body and tail of the pancreas. III) As for the chronic pancreatitis, there are various accumulative patterns. This is resemblance to that of ERP findings, but in the P-S normal test, it showed discrepancy in part of the result. Particularly, in the type I (slightly generalized low uptake with density silhouette) and type II. Therefore in order to obtain an accurate diagnosis, it is essential to have both the P-S test and scintigram. (author)
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A Continent-Wide Migratory Divide in North American Breeding Barn Swallows (Hirundo rustica.
Directory of Open Access Journals (Sweden)
Keith A Hobson
Full Text Available Populations of most North American aerial insectivores have undergone steep population declines over the past 40 years but the relative importance of factors operating on breeding, wintering, or stopover sites remains unknown. We used archival light-level geolocators to track the phenology, movements and winter locations of barn swallows (Hirdundo rustica; n = 27 from populations across North America to determine their migratory connectivity. We identified an east-west continental migratory divide for barn swallows with birds from western regions (Washington State, USA (n = 8 and Saskatchewan, Canada (n = 5 traveling shorter distances to wintering areas ranging from Oregon to northern Colombia than eastern populations (Ontario (n = 3 and New Brunswick (n = 10, Canada which wintered in South America south of the Amazon basin. A single swallow from a stable population in Alabama shared a similar migration route to eastern barn swallows but wintered farther north in northeast Brazil indicating a potential leap frog pattern migratory among eastern birds. Six of 9 (67% birds from the two eastern populations and Alabama underwent a loop migration west of fall migration routes including around the Gulf of Mexico travelling a mean of 2,224 km and 722 km longer on spring migration, respectively. Longer migration distances, including the requirement to cross the Caribbean Sea and Gulf of Mexico and subsequent shorter sedentary wintering periods, may exacerbate declines for populations breeding in northeastern North America.
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International Nuclear Information System (INIS)
Ozaki, Yayoi; Hamano, Hideaki; Oguchi, Kazuhiro
2008-01-01
Fluorine-18 fluorodeoxyglucose positron emission tomography (FDG-PET) has been widely used for the diagnosis of pancreatic cancer. Because autoimmune pancreatitis is easily misdiagnosed as pancreatic cancer and can be tested for by FDG-PET analysis based on the presence of suspected pancreatic cancer, we attempted to clarify the differences in FDG-PET findings between the two conditions. We compared FDG-PET findings between 15 patients with autoimmune pancreatitis and 26 patients with pancreatic cancer. The findings were evaluated visually or semiquantitatively using the maximum standardized uptake value and the accumulation pattern of FDG. FDG uptake was found in all 15 patients with autoimmune pancreatitis, whereas it was found in 19 of 26 patients (73.1%) with pancreatic cancer. An accumulation pattern characterized by nodular shapes was significantly more frequent in pancreatic cancer, whereas a longitudinal shape indicated autoimmune pancreatitis. Heterogeneous accumulation was found in almost all cases of autoimmune pancreatitis, whereas homogeneous accumulation was found in pancreatic cancer. Significantly more cases of pancreatic cancer showed solitary localization, whereas multiple localization in the pancreas favored the presence of autoimmune pancreatitis. FDG uptake by the hilar lymph node was significantly more frequent in autoimmune pancreatitis than in pancreatic cancer, and uptake by the lachrymal gland, salivary gland, biliary duct, retroperitoneal space, and prostate were seen only in autoimmune pancreatitis. FDG-PET is a useful tool for differentiating autoimmune pancreatitis from suspected pancreatic cancer, if the accumulation pattern and extrapancreatic involvement are considered. IgG4 measurement and other current image tests can further confirm the diagnosis. (author)
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The endophytic fungal community associated with the wild ethnomedicinal North American plant Echinacea purpurea was investigated as well as its potential for providing antifungal compounds against plant pathogenic fungi. A total of 233 endophytic fungal isolates were obtained and classified into 42 ...
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History and progress of the North American Soil Geochemical Landscapes Project, 2001-2010
Smith, David B.; Cannon, William F.; Woodruff, Laurel G.; Rivera, Francisco Moreira; Rencz, Andrew N.; Garrett, Robert G.
2012-01-01
In 2007, the U.S. Geological Survey, the Geological Survey of Canada, and the Mexican Geological Survey initiated a low-density (1 site per 1600 km2, 13323 sites) geochemical and mineralogical survey of North American soils (North American Soil Geochemical Landscapes Project). Sampling and analytical protocols were developed at a series of workshops in 20032004 and pilot studies were conducted from 20042007. The ideal sampling protocol at each site includes a sample from 05 cm depth, a composite of the soil A horizon, and a sample from the soil C horizon. The 3, HClO4, and HF. Separate methods are used for As, Hg, Se, and total C on this same size fraction. The major mineralogical components are determined by a quantitative X-ray diffraction method. Sampling in the conterminous U.S. was completed in 2010 (c. 4800 sites) with chemical and mineralogical analysis currently underway. In Mexico, approximately 66% of the sampling (871 sites) had been done by the end of 2010 with completion expected in 2012. After completing sampling in the Maritime provinces and portions of other provinces (472 sites, 7.6% of the total), Canada withdrew from the project in 2010. Preliminary results for a swath from the central U.S. to Florida clearly show the effects of soil parent material and climate on the chemical and mineralogical composition of soils. A sample archive will be established and made available for future investigations.
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A Geodetic Strain Rate Model for the Pacific-North American Plate Boundary, western United States
Kreemer, C.; Hammond, W. C.; Blewitt, G.; Holland, A. A.; Bennett, R. A.
2012-04-01
We present a model of crustal strain rates derived from GPS measurements of horizontal station velocities in the Pacific-North American plate boundary in the western United States. The model reflects a best estimate of present-day deformation from the San Andreas fault system in the west to the Basin and Range province in the east. Of the total 2,846 GPS velocities used in the model, 1,197 are derived by ourselves, and 1,649 are taken from (mostly) published results. The velocities derived by ourselves (the "UNR solution") are estimated from GPS position time-series of continuous and semi-continuous stations for which data are publicly available. We estimated ITRF2005 positions from 2002-2011.5 using JPL's GIPSY-OASIS II software with ambiguity resolution applied using our custom Ambizap software. Only stations with time-series that span at least 2.25 years are considered. We removed from the time-series continental-scale common-mode errors using a spatially-varying filtering technique. Velocity uncertainties (typically 0.1-0.3 mm/yr) assume that the time-series contain flicker plus white noise. We used a subset of stations on the stable parts of the Pacific and North American plates to estimate the Pacific-North American pole of rotation. This pole is applied as a boundary condition to the model and the North American - ITRF2005 pole is used to rotate our velocities into a North America fixed reference frame. We do not include parts of the time-series that show curvature due to post-seismic deformation after major earthquakes and we also exclude stations whose time-series display a significant unexplained non-linearity or that are near volcanic centers. Transient effects longer than the observation period (i.e., slow viscoelastic relaxation) are left in the data. We added to the UNR solution velocities from 12 other studies. The velocities are transformed onto the UNR solution's reference frame by estimating and applying a translation and rotation that minimizes
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International Nuclear Information System (INIS)
Takeda, Yutaka; Kitagawa, Toru; Nakamori, Shoji
2009-01-01
Pancreatic cancer remains one of the most difficult diseases to cure. Japan pancreas society guidelines for management of pancreatic cancer indicate therapeutic algorithm according to the clinical stage. For locally limited pancreatic cancer (cStage I, II, III in Japanese classification system), surgical resection is recommended, however prognosis is still poor. Major randomized controlled trials of resected pancreatic cancer indicates that adjuvant chemotherapy is superior to observation and gemcitabine is superior to 5-fluorouracil (FU). For locally advanced resectable pancreatic cancer (cStage IVa in Japanese classification system (JCS)), we perform neoadjuvant chemoradiotherapy. Phase I study established a recommended dose of 800 mg gemcitabine and radiation dose of 36 Gy. For locally advanced nonresectable pancreatic cancer (cStage IVa in JCS), chemoradiotherapy followed by chemotherapy is recommended. Although pancreatic cancer is chemotherapy resistant tumor, systemic chemotherapy is recommended for metastatic pancreatic cancer (cStage IVb in JCS). Single-agent gemcitabine is the standard first line agent for the treatment of advanced pancreatic cancer. Meta-analysis of chemotherapy showed possibility of survival benefit of gemcitabine combination chemotherapy over gemcitabine alone. We hope gemcitabine combination chemotherapy or molecular targeted therapy will improve prognosis of pancreatic cancer in the future. (author)
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The North American electricity markets
International Nuclear Information System (INIS)
Harvie, I.
1999-01-01
The wide ranging changes that will drive the evolution of the North American electricity industry in the future are discussed. Deregulation and the advent of competition in both the United States and Canada are the principal forces that will change the shape of the electricity market, bringing new players and new forms of doing business into the marketplace. A review of the current state of the business shows that especially in the United States where deregulation began earlier than in Canada, independent generators already constitute a multi-billion dollar industry. Non-utility generation capacity is about seven per cent of total U.S. capacity and accounts for about 10 per cent of total U. S. electricity supply, including imports. Examples from other industries clearly show that restructuring and the breakup of vertically integrated industries could be accomplished much faster than anticipated, that a decrease in prices followed rapidly as products became more like commodities, and that decreasing prices fostered product differentiation and competition. Major legislation affecting the electric power industry in the U.S. and Canada (U.S. National Energy Policy Act 1992, Alberta Electric Utilities Act 1995, Ontario Energy Competition Act 1998) decreeing open access transmission, unbundling of generation, transmission and ancillary services, and promoting competition, and the impacts of these legislative actions are also reviewed. The most visible impact is the explosion that can be seen in power marketing and energy trading on a scale unimaginable only a few short years ago, where the total volume of trade may be worth multiples of the value of the underlying commodity. At the same time, there is concern about the reliability of the system, and thus making it imperative to find new ways to manage reliability. Various suggestions are made as to how increased reliability of supply could be achieved by better management, new standards and better enforcement of
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The 2017 hormone therapy position statement of The North American Menopause Society.
2017-07-01
The 2017 Hormone Therapy Position Statement of The North American Menopause Society (NAMS) updates the 2012 Hormone Therapy Position Statement of The North American Menopause Society and identifies future research needs. An Advisory Panel of clinicians and researchers expert in the field of women's health and menopause was recruited by NAMS to review the 2012 Position Statement, evaluate new literature, assess the evidence, and reach consensus on recommendations, using the level of evidence to identify the strength of recommendations and the quality of the evidence. The Panel's recommendations were reviewed and approved by the NAMS Board of Trustees.Hormone therapy (HT) remains the most effective treatment for vasomotor symptoms (VMS) and the genitourinary syndrome of menopause (GSM) and has been shown to prevent bone loss and fracture. The risks of HT differ depending on type, dose, duration of use, route of administration, timing of initiation, and whether a progestogen is used. Treatment should be individualized to identify the most appropriate HT type, dose, formulation, route of administration, and duration of use, using the best available evidence to maximize benefits and minimize risks, with periodic reevaluation of the benefits and risks of continuing or discontinuing HT.For women aged younger than 60 years or who are within 10 years of menopause onset and have no contraindications, the benefit-risk ratio is most favorable for treatment of bothersome VMS and for those at elevated risk for bone loss or fracture. For women who initiate HT more than 10 or 20 years from menopause onset or are aged 60 years or older, the benefit-risk ratio appears less favorable because of the greater absolute risks of coronary heart disease, stroke, venous thromboembolism, and dementia. Longer durations of therapy should be for documented indications such as persistent VMS or bone loss, with shared decision making and periodic reevaluation. For bothersome GSM symptoms not
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T.C. Harder (Timm); M. Harder; H. Vos; K. Kulonen; S. Kennedy-Stoskopf; B. Liess; M.J.G. Appel (Max); A.D.M.E. Osterhaus (Albert)
1996-01-01
textabstractTo study the relationships between herpesvirus recently isolated from different pinniped species, antigenic and genetic analyses were performed. First, herpesviruses isolated from North American harbour seals (Phoca vitulina), a Californian sea lion (Zalophus californianus) and a
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Contraceptive usage patterns in North American medical students
Rowen, Tami S.; Smith, James F.; Eisenberg, Michael L.; Breyer, Benjamin N.; Drey, Eleanor A.; Shindel, Alan W.
2013-01-01
Background Previous studies indicate that the sexual beliefs and mores of students in medical professions may influence their capacity to care for patients’ sexuality and contraception issues. Students also represent a large sample of reproductive-age individuals. In this study, we examined contraceptive usage patterns in North American medical students. Study Design Students using online medical student social and information networks enrolled in allopathic and osteopathic medical schools in North America between February and July of 2008 were invited to participate via email and published announcements in an Internet-based survey consisting of a questionnaire that assessed ethnodemographic factors, year in school and sexual history. We also collected information about current use of contraceptive and barrier methods. Descriptive statistics and logistic regression were utilized to analyze responses. Results Among our 2269 complete responses, at least one form of contraception was being utilized by 71% of men and 76% of women. Condoms were the most popular form of contraceptive, utilized by 1011 respondents (50% of men and 40% of women). Oral contraceptive pills were the contraceptive of choice for 34% of men and 41% of women. Decreased rates of contraception use were associated with being black or Asian, not being in a relationship and having more sexual dysfunction in female respondents. Students who reported comfort discussing sexual issues with patients were more likely to use effective contraceptive methods themselves. Ten percent of this of sexually active medical students was not currently using contraception. Conclusions There are significant differences in contraceptive use based on demographics, even at the highest education levels. The personal contraception choices of medical students may influence their ability to accurately convey information about contraception to their patients. In addition, medical students may personally benefit from improved
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Recent changes in the ranges of North American birds
Robbins, C.S.; Ilyichev, V.D.; Gavrilov, V.M.
1985-01-01
The North American Breeding Bird Survey has provided an annual index of population change since 1966. About 2400 randomly distributed roadside routes of 50 three-minute stops each provide the basic data for computer analysis. One of the reports produced shows the percentage of routes on which each species is encountered in each state and each Canadian province. This percentage is used to show expansion and contraction of breeding range and also important changes in frequency of encounter within various portions of the range of each species. Most of the recent changes in range fall in one of these 7 categories: (1) introduced species; (2) species given special protection; (3) species benefiting from artificial feeding in winter; (4) species taking advantage of shelterbelts; (5) species nesting on large highway bridges and dams; (6) species that feed on grain lost during mechanical harvesting: and (7) species losing habitat as a result of urban expansion. Examples of each category are supported by changes in the rate of encounter.
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Zug, Kathryn A; Kornik, Rachel; Belsito, Donald V; DeLeo, Vincent A; Fowler, Joseph F; Maibach, Howard I; Marks, James G; Mathias, C G Toby; Pratt, Melanie D; Rietschel, Robert L; Sasseville, Denis; Storrs, Frances J; Taylor, James S; Warshaw, Erin M
2008-01-01
The most common differential diagnoses for patients presenting with lip dermatitis or inflammation include atopic, allergic, and irritant contact dermatitis. Patch testing can be performed to identify the allergic contact conditions. To report North American Contact Dermatitis Group (NACDG) patch-test results of patients who presented for patch testing with only lip involvement from 2001 to 2004. Patient characteristics, allergen frequencies, relevance, final diagnoses, and relevant allergic sources not in the NACDG screening series were evaluated. The NACDG 2001-2004 database was used to select patients presenting with only lip involvement. Of 10,061 patients tested, 2% (n = 196) had lips as the sole involved site. Most (84.2%) were women. After patch testing, 38.3% (n = 75) were diagnosed with allergic contact cheilitis. Fragrance mix, Myroxilon pereirae, and nickel were the most common relevant allergens. Of 75 patients, 27 (36%) had relevant positive patch-test reactions to items not on the NACDG series; lipstick and cosmetics were the predominant sources. Patch testing is valuable in the evaluation and identification of contact allergy in patients referred for lip dermatitis. The use of supplementary allergens based on history and exposure is important in the identification of additional relevant allergens. Over a third of patients with contact allergy had other factors, such as irritant dermatitis, considered relevant to their condition.
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International Nuclear Information System (INIS)
Prassopoulos, P.
2012-01-01
Full text: Acute pancreatitis (AP) is an acute inflammatory process of the pancreas with variable involvement of peripancreatic tissues or remote organ systems. Mild AP accounts for 75-80% of the cases and it is characterized by interstitial oedema, absent or minimal organ dysfunction, lack of complications and, usually, uneventful recovery. Severe AP is characterized by pancreatic necrosis, protracted clinical course, high incidence of complications, and high mortality rate. The diagnosis of acute pancreatitis (AP) is generally based on clinical and laboratory findings. The role of imaging is to confirm diagnosis, to assess disease severity - especially by detecting pancreatic necrosis-, to reveal complications of the disease and to guide interventions). Contrast- enhanced multidetector CT is the current 'gold standard' imaging modality in the evaluation of patients with AP. The spectrum of findings seen on CT ranges from a normal appearance to diffuse pancreatic enlargement with poorly defined pancreatic contour and heterogeneous attenuation. Stranding of the fat surrounding the pancreas and fluid collections in the anterior pararenal space, the peritoneal cavity or elsewhere, acquiring the form of the anatomic space where they are developed, may also be disclosed. Lack of pancreatic parenchyma enhancement is indicative of the presence of pancreatic necrosis. CT may reveal biliary tract calculi, calcifications in patients with AP combined with chronic pancreatitis- and air in an inflamed pancreas. Pancreatic abscess is usually seen on CT as a focal low attenuation area with a thick wall that may exhibit enhancement following i.v. contrast media administration. Haemorrhage, pseudoaneurysms, renal and splenic parenchyma complications can also be demonstrated by CT. Balthazar et.al have developed CT classification and severity scores based on the presence of fluid collections and pancreatic necrosis. These scores correlate with the incidence of morbidity and
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Comparison of electricity prices in major North American cities : rates effective May 1, 2001
International Nuclear Information System (INIS)
2002-01-01
This report presents the major findings of a comparative evaluation of electricity prices in major North American cities, by customer category, based on rates in effect on May 1, 2001. Besides Hydro-Quebec, the comparison includes 21 utilities, of which 11 serve the major cities across Canada and 10 utilities located in 10 American states. Hydro-Quebec is one of the largest electric utilities in North America with one of the most extensive systems. Of the 190 billion kilowatt-hours delivered annually, 37 billion are exported to neighbouring provinces in Canada and to the United States. 93 per cent of the generating facilities are hydroelectric. The report covers consumption levels, taxes, optional programs, location, time-of-use rates, exchange rates, and other factors that affect electricity prices such as fuel adjustment clauses for utilities that produce electricity in thermal power plants. It was noted that Hydro-Quebec has frozen its rates until April 2002, keeping them at the same level as those set on May 1, 1998. The report showed that Hydro-Quebec has maintained a competitive position at a level similar to or better than previous years. Three of the 11 Canadian utilities implemented rate increases between May 1, 2000 and May 1, 2001, and 2 utilities reduced their rates. Two utilities modified their rate structure following deregulation. During the same time period, 3 of the 10 utilities in the United States increased their rates, and one reduced them. The rates in the United States varied regardless of increases or freezes because many utilities had incorporated adjustment clauses. Quebec residential consumers enjoy the second lowest rates in North America. Only Winnipeg ranked higher. Hydro-Quebec has also remained competitive when it comes to small, medium and large power customers. It ranked fifth for small power customers, third for medium power customers, and third for large power customers. tabs., figs., appendices
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Challenges of hepatitis C treatment in Native Americans in two North Dakota medical facilities.
Hossain, S; Jalil, S; Guerrero, D M; Sahmoun, A E
2014-01-01
The prevalence of chronic liver disease (CLD) in the Aboriginal North American population is disproportionately higher than that of the non-indigenous population. Hepatitis C virus (HCV) is the second leading cause of CLD in American Indians or Alaska Natives (AIANs). This study described the experience of two teaching community medical centers in North Dakota in treating HCV infection among AIANs and compared treatment outcomes to a cohort of Caucasian patients. The retrospective study described the characteristics and proportion of AIAN patients with HCV who received treatment. Documented reasons for not receiving treatment were analyzed. For those AIAN patients treated for HCV infection, responses to treatment, including rapid, early and sustained virological responses (SVRs), were compared with those of Caucasians. Only 22 (18%) of 124 AIANs with HCV infection received treatment. Common reasons for not receiving treatment include lack of access to specialists, concomitant or decompensated liver disease, alcohol and drug abuse and cost. There were no significant differences in the baseline characteristics and key predictors of SVR in AIANs compared to Caucasian controls. Most AIAN patients with HCV infection do not receive treatment despite comparable treatment response rates to Caucasians. Further population-based studies, addressing access to specialized hepatitis C treatment and public health concerns are warranted, as it is crucial to treat chronic HCV infection to decrease the burden of disease in the AIAN community.
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The role of genetics in chronic wasting disease of North American cervids
Robinson, Stacie J.; Samuel, Michael D.; O'Rourke, Katherine; Johnson, Chad J.
2012-01-01
Chronic wasting disease (CWD) is a major concern for the management of North American cervid populations. This fatal prion disease has led to declines in populations which have high CWD prevalence and areas with both high and low infection rates have experienced economic losses in wildlife recreation and fears of potential spill-over into livestock or humans. Research from human and veterinary medicine has established that the prion protein gene (Prnp) encodes the protein responsible for transmissible spongiform encephalopathies (TSEs). Polymorphisms in the Prnp gene can lead to different prion forms that moderate individual susceptibility to and progression of TSE infection. Prnp genes have been sequenced in a number of cervid species including those currently infected by CWD (elk, mule deer, white-tailed deer, moose) and those for which susceptibility is not yet determined (caribou, fallow deer, sika deer). Over thousands of sequences examined, the Prnp gene is remarkably conserved within the family Cervidae; only 16 amino acid polymorphisms have been reported within the 256 amino acid open reading frame in the third exon of the Prnp gene. Some of these polymorphisms have been associated with lower rates of CWD infection and slower progression of clinical CWD. Here we review the body of research on Prnp genetics of North American cervids. Specifically, we focus on known polymorphisms in the Prnp gene, observed genotypic differences in CWD infection rates and clinical progression, mechanisms for genetic TSE resistance related to both the cervid host and the prion agent and potential for natural selection for CWD-resistance. We also identify gaps in our knowledge that require future research.
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Elie Aoun; Adam Slivka; Dionysios J Papachristou; David C Whitcomb; Ferga C Gleeson; Georgios I Papachristou
2007-01-01
Context Growing evidence suggests that recurrent acute pancreatitis leads to chronic pancreatitis, but this sequence is seldom reported in human subjects. The sentinel acute pancreatitis event hypothesis suggests that an initial episode of acute pancreatitis is the first step in a complicated series of events ultimately leading to chronic pancreatitis. Objective To identify patients who evolved from recurrent acute pancreatitis to chronic pancreatitis. Setting The Severity of Acute Pancreatit...
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Sonia Garcia; Miguel A. Canela; Teresa Garnatje; E. Durant McArthur; Jaume Pellicer; Stewart C. Sanderson; Joan Valles
2008-01-01
The genome size of 51 populations of 20 species of the North American endemic sagebrushes (subgenus Tridentatae), related species, and some hybrid taxa were assessed by flow cytometry, and were analysed in a phylogenetic framework. Results were similar for most Tridentatae species, with the exception of three taxonomically conflictive species: Artemisia bigelovii Gray...
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Maraví-Poma, E; Patchen Dellinger, E; Forsmark, C E; Layer, P; Lévy, P; Shimosegawa, T; Siriwardena, A K; Uomo, G; Whitcomb, D C; Windsor, J A; Petrov, M S
2014-05-01
To develop a new classification of acute pancreatitis severity on the basis of a sound conceptual framework, comprehensive review of the published evidence, and worldwide consultation. The Atlanta definitions of acute pancreatitis severity are ingrained in the lexicon of specialist in pancreatic diseases, but are suboptimal because these definitions are based on the empiric description of events not associated with severity. A personal invitation to contribute to the development of a new classification of acute pancreatitis severity was sent to all surgeons, gastroenterologists, internists, intensivists and radiologists currently active in the field of clinical acute pancreatitis. The invitation was not limited to members of certain associations or residents of certain countries. A global web-based survey was conducted, and a dedicated international symposium was organized to bring contributors from different disciplines together and discuss the concept and definitions. The new classification of severity is based on the actual local and systemic determinants of severity, rather than on the description of events that are non-causally associated with severity. The local determinant relates to whether there is (peri) pancreatic necrosis or not, and if present, whether it is sterile or infected. The systemic determinant relates to whether there is organ failure or not, and if present, whether it is transient or persistent. The presence of one determinant can modify the effect of another, whereby the presence of both infected (peri) pancreatic necrosis and persistent organ failure has a greater impact upon severity than either determinant alone. The derivation of a classification based on the above principles results in four categories of severity: mild, moderate, severe, and critical. This classification is the result of a consultative process among specialists in pancreatic diseases from 49 countries spanning North America, South America, Europe, Asia, Oceania and
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Directory of Open Access Journals (Sweden)
Surlin Valeriu
2012-09-01
Full Text Available Abstract Pancreatic neuroendocrine tumors are a rare entity with an incidence between 2 per million to 5 per 100 000. Association with pancreatitis (acute or chronic is rare and is considered to be determined by the tumoral obstruction of pancreatic ducts, but sometimes occurs without any apparent relationship between them. Non-functional neuroendocrine pancreatic tumors are usually diagnosed when either very large or metastatic. Small ones are occasionally diagnosed when imagery is performed for other diagnostic reasons. Intraoperative discovery is even rarer and poses problems of differential diagnosis with other pancreatic tumors. Association with chronic pancreatitis is rare and usually due to pancreatic duct obstruction by the tumor. We describe the case of a patient with a small non-functioning neuroendocrine tumor in the pancreatic tail accidentally discovered during surgery for delayed traumatic splenic rupture associated with chronic alcoholic pancreatitis. The tumor of 1.5cm size was well differentiated and confined to the pancreas, and was resected by a distal splenopancreatectomy. Conclusions Surgeons should be well aware of the rare possibility of a non-functional neuroendocrine tumor in the pancreas, associated with chronic pancreatitis, surgical resection being the optimal treatment for cure. Histopathology is of utmost importance to establish the correct diagnosis, grade of differentiation, malignancy and prognosis. Virtual slides The virtual slide(s for this article can be found here: http://www.diagnosticpathology.diagnomx.eu/vs/2114470176676003.
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Ny klassifikation af pancreatitis acuta
DEFF Research Database (Denmark)
Hansen, Benny Østerbye; Schmidt, Palle Nordblad
2011-01-01
The course of acute pancreatitis is in the initial phase dominated by a systemic inflammatory response, later by local complications. A new classification defines three specific types of pancreatitis: 1) interstitial oedematous pancreatitis and 2) necrotizing pancreatitis with pancreatic...
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Alcohol and smoking as risk factors in an epidemiology study of patients with chronic pancreatitis.
Coté, Gregory A; Yadav, Dhiraj; Slivka, Adam; Hawes, Robert H; Anderson, Michelle A; Burton, Frank R; Brand, Randall E; Banks, Peter A; Lewis, Michele D; Disario, James A; Gardner, Timothy B; Gelrud, Andres; Amann, Stephen T; Baillie, John; Money, Mary E; O'Connell, Michael; Whitcomb, David C; Sherman, Stuart
2011-03-01
Alcohol has been implicated in the development of chronic pancreatitis (CP) in 60%-90% of patients, although percentages in the United States are unknown. We investigated the epidemiology of alcohol-related CP at tertiary US referral centers. We studied data from CP patients (n = 539) and controls (n = 695) enrolled in the North American Pancreatitis Study-2 from 2000 to 2006 at 20 US referral centers. CP was defined by definitive evidence from imaging or histologic analyses. Subjects and physicians each completed a study questionnaire. Using physician-assigned diagnoses, patients were assigned to an etiology group: alcohol (with/without other diagnoses), nonalcohol (any etiology of CP from other than alcohol), or idiopathic (no etiology identified). The distribution of patients among etiology groups was: alcohol (44.5%), nonalcohol (26.9%), and idiopathic (28.6%). Physicians identified alcohol as the etiology more frequently in men (59.4% men vs 28.1% women), but nonalcohol (18% men vs 36.7% women) and idiopathic etiologies (22.6% men vs 35.2% women) more often in women (P chronic renal disease or failure (5.2% vs 1.2%, P associated with idiopathic CP. The frequency of alcohol-related CP at tertiary US referral centers is lower than expected. Idiopathic CP and nonalcohol etiologies represent a large subgroup, particularly among women. Smoking is an independent risk factor for idiopathic CP. Copyright © 2011 AGA Institute. Published by Elsevier Inc. All rights reserved.
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Sequelae of radiation facial epilation (North American Hiroshima maiden syndrome)
International Nuclear Information System (INIS)
Rosen, I.B.; Walfish, P.G.
1989-01-01
Radiation for benign problems of the head and neck area has been uniformly recognized as unacceptable practice. This includes epilation for facial hirsutism. Twelve such patients, recently encountered, have characteristic radiodermatitis facies and have demonstrated multisite neoplastic involvement--including skin, thyroid, parathyroid, salivary gland, oral cavity, facial skeleton, and breast--and have also undergone extensive dermatologic treatment of complications of radiodermatitis. There was one cancer death, and three patients are alive with cancer. Such patients have a superficial resemblance to the Hiroshima maiden group of young women who survived atomic bombing and experienced severe facial burns, necessitating extensive plastic surgery. As atomic survivors they are at increased risk for cancer of thyroid, salivary gland, lung, breast, bone marrow, and gastrointestinal tract. The North American Hiroshima maiden should warrant easy clinical recognition and require lifetime scrutiny for multisite neoplastic disease
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International Nuclear Information System (INIS)
Massoud Amin, S.; Gellings, Clark W.
2006-01-01
The North American electric power system was developed over the last 100 years without a conscious awareness and analysis of the system-wide implications of its current evolution under the forces of deregulation, system complexity, power-market impacts, terrorism, and human error. The possibility of power delivery beyond neighboring areas was a distant secondary consideration. Today, the North American power network may realistically be considered to be the largest machine in the world. With the advent of deregulation and competition in the electric power industry, new ways are being sought to improve the efficiency of that network without seriously diminishing its reliability and security. Controlling a heterogeneous, widely dispersed, yet globally interconnected system is a serious technological problem in any case. It is even more complex and difficult to control it for optimal efficiency and maximum benefit to the ultimate consumers while still allowing all its business components to compete fairly and freely. In this paper we present an overview of key issues and the context in which the electricity infrastructure is being operated under the above forces along with a strategic vision extending to a decade, or longer, that would enable more secure and robust systems operation, security monitoring, and efficient energy markets. (author)
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New exposure-based metric approach for evaluating O3 risk to North American aspen forests
International Nuclear Information System (INIS)
Percy, K.E.; Nosal, M.; Heilman, W.; Dann, T.; Sober, J.; Legge, A.H.; Karnosky, D.F.
2007-01-01
The United States and Canada currently use exposure-based metrics to protect vegetation from O 3 . Using 5 years (1999-2003) of co-measured O 3 , meteorology and growth response, we have developed exposure-based regression models that predict Populus tremuloides growth change within the North American ambient air quality context. The models comprised growing season fourth-highest daily maximum 8-h average O 3 concentration, growing degree days, and wind speed. They had high statistical significance, high goodness of fit, include 95% confidence intervals for tree growth change, and are simple to use. Averaged across a wide range of clonal sensitivity, historical 2001-2003 growth change over most of the 26 M ha P. tremuloides distribution was estimated to have ranged from no impact (0%) to strong negative impacts (-31%). With four aspen clones responding negatively (one responded positively) to O 3 , the growing season fourth-highest daily maximum 8-h average O 3 concentration performed much better than growing season SUM06, AOT40 or maximum 1 h average O 3 concentration metrics as a single indicator of aspen stem cross-sectional area growth. - A new exposure-based metric approach to predict O 3 risk to North American aspen forests has been developed
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Energy Technology Data Exchange (ETDEWEB)
NONE
2006-07-01
This conference addressed the global competitiveness of the Canadian petrochemical industry and its potential markets. Recent advances in technology were highlighted along with issues concerning transportation and infrastructure. In addition to addressing capital cost requirements and feedstock availability, the presentations addressed opportunities for growth and product diversification. Alberta's role in the North American energy markets was also discussed, along with issues concerning feedstock from Canadian oil sands. It was noted that the survival of the North American petrochemical industry depends on the price of natural gas liquids. With feedstock at two to three times the price in the Middle East, petrochemical producers, governments, and suppliers need to adopt aggressive strategies to maintain a competitive position and profitability. The sessions of the conference addressed global competitive issues; integration and mastering competitiveness; the Alberta advantage; feedstock and technologies; and, reaching international markets. The conference featured 18 presentations, of which 7 have been catalogued separately for inclusion in this database. refs., tabs., figs.
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Jones, Michael J; Neal, Christopher P; Ngu, Wee Sing; Dennison, Ashley R; Garcea, Giuseppe
2017-08-01
The aim of this study was to compare the prognostic value of established scoring systems with early warning scores in a large cohort of patients with acute pancreatitis. In patients presenting with acute pancreatitis, age, sex, American Society of Anaesthesiologists (ASA) grade, Modified Glasgow Score, Ranson criteria, APACHE II scores and early warning score (EWS) were recorded for the first 72 h following admission. These variables were compared between survivors and non-survivors, between patients with mild/moderate and severe pancreatitis (based on the 2012 Atlanta Classification) and between patients with a favourable or adverse outcome. A total of 629 patients were identified. EWS was the best predictor of adverse outcome amongst all of the assessed variables (area under curve (AUC) values 0.81, 0.84 and 0.83 for days 1, 2 and 3, respectively) and was the most accurate predictor of mortality on both days 2 and 3 (AUC values of 0.88 and 0.89, respectively). Multivariable analysis revealed that an EWS ≥2 was independently associated with severity of pancreatitis, adverse outcome and mortality. This study confirms the usefulness of EWS in predicting the outcome of acute pancreatitis. It should become the mainstay of risk stratification in patients with acute pancreatitis.
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The significance of pancreatic juice trace-element concentration in chronic pancreatitis
International Nuclear Information System (INIS)
Persigehl, M.; Loeffler, A.; Hoeck, A.
1979-01-01
The diagnosis of exocrine pancreas insufficiency in patients with chronic pancreatitis is still not easy. The best-suited method to confirm the diagnosis seems to be the secretin pancreozymin test (SPT). As previous results have shown, the determination of trace elements in the pancreatic juice can improve the diagnostic value of the SPT. During the SPT, the concentrations of Zn, Fe, Rb, Co, Cr, Se, Sb, Cs, Sc and Ag were measured in the duodenal aspirate of 50 patients by instrumental neutron activation analysis. Of the 50 patients, 24 suffered from pancreatic insufficiency in chronic pancreatitis and 26 had no signs of pancreatic insufficiency. Only the concentration of zinc differed significantly in the two groups; the other elements showed a similar behaviour. In patients without disease of the exocrine pancreas the zinc content of the pancreatic juice during the SPT ws 0.46+-0.13μg/ml, whereas in patients with pancreatic insufficiency it was only 0.18+-0.07μg/ml. The corresponding output was 171+-49.3μg zinc in controls and 41+-17.4μg in patients. After stimulation with pancreozymin the concentrations of zinc increased in normal patients to 1.13+-0.14μg/ml and to 0.22+-0.12μg/ml in patients with pancreatic insufficiency. The data demonstrate that the measurement of zinc in the duodenal juice during the SPT improves the diagnostic value of the test and that zinc should also be determined in doubtful cases of pancreatic insufficiency. (author)
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International Nuclear Information System (INIS)
Ishigami, Kousei; Tajima, Tsuyoshi; Nishie, Akihiro; Kakihara, Daisuke; Fujita, Nobuhiro; Asayama, Yoshiki; Ushijima, Yasuhiro; Irie, Hiroyuki; Nakamura, Masafumi; Takahata, Shunichi; Ito, Tetsuhide; Honda, Hiroshi
2010-01-01
Purpose: To clarify if the portal venous phase is helpful for the differential diagnosis of groove pancreatic carcinomas and groove pancreatitis. Materials and methods: MDCT and MRI of groove pancreatic carcinomas (n = 7) and groove pancreatitis (n = 15) were retrospectively reviewed by two radiologists independently. The signal intensity on T2-weighted images was subjectively assessed. The presence or absence of common bile duct (CBD) and main pancreatic duct (MPD) strictures, calcifications, and cystic lesions was evaluated. Additionally, the appearance of groove pancreatic carcinoma and that of groove pancreatitis in the portal venous phase on dynamic MDCT and MRI were compared. Results: There were no significant differences in the signal intensity on T2-weighted images and in the presence or absence of CBD and MPD strictures, calcifications, and cystic lesions between groove pancreatic carcinomas and groove pancreatitis. However, patchy focal enhancement in the portal venous phase was more commonly observed in groove pancreatitis than groove pancreatic carcinoma (Reviewers 1 and 2: 14/15 [93.3%] vs. 1/7 [14.3%], P < 0.0001). In addition, peripheral enhancement was only seen in groove pancreatic carcinomas (Reviewer 1: 4/7 [57.1%] vs. 0/15 [0%], P < 0.005, and Reviewer 2: 3/7 [42.9%] vs. 0/15 [0%], P < 0.05). Conclusion: The portal venous phase may be helpful for the differential diagnosis of groove pancreatic carcinomas and groove pancreatitis.
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Diagnosing autoimmune pancreatitis with the Unifying-Autoimmune-Pancreatitis-Criteria.
Schneider, Alexander; Michaely, Henrik; Rückert, Felix; Weiss, Christel; Ströbel, Philipp; Belle, Sebastian; Hirth, Michael; Wilhelm, Torsten J; Haas, Stephan L; Jesenofsky, Ralf; Schönberg, Stefan; Marx, Alexander; Singer, Manfred V; Ebert, Matthias P; Pfützer, Roland H; Löhr, J Matthias
We had developed the Unifying-Autoimmune-Pancreatitis-Criteria (U-AIP) to diagnose autoimmune pancreatitis (AiP) within the M-ANNHEIM classification of chronic pancreatitis. In 2011, International-Consensus-Diagnostic-Criteria (ICDC) to diagnose AiP have been published. We had applied the U-AIP long before the ICDC were available. The aims of the study were, first, to describe patients with AiP diagnosed by the U-AIP; second, to compare diagnostic accuracies of the U-AIP and other diagnostic systems; third, to evaluate the clinical applicability of the U-AIP. From 1998 until 2008, we identified patients with AiP using U-AIP, Japanese-, Korean-, Asian-, Mayo-HISORt-, Revised-Mayo-HISORt- and Italian-criteria. We retrospectively verified the diagnosis by ICDC and Revised-Japanese-2011-criteria, compared diagnostic accuracies of all systems and evaluated all criteria in consecutive patients with pancreatitis (2009 until 2010, Pancreas-Outpatient-Clinic-Cohort, n = 84). We retrospectively validated our diagnostic approach in consecutive patients with a pancreatic lesion requiring surgery (Surgical-Cohort, n = 98). Overall, we identified 21 patients with AiP. Unifying-Autoimmune-Pancreatitis-Criteria and ICDC presented the highest diagnostic accuracies (each 98.8%), highest Youden indices (each 0.95238), and highest proportions of diagnosed patients (each n = 20/21, U-AIP/ICDC vs. other diagnostic systems, p Pancreatitis-Criteria revealed a satisfactory clinical applicability and offered an additional approach to diagnose AiP. Copyright © 2017 IAP and EPC. Published by Elsevier B.V. All rights reserved.
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Directory of Open Access Journals (Sweden)
María Jimena Sáenz
2017-06-01
Full Text Available One of the particular characteristics of the interdisciplinary law and literature movement, which sets it apart from the large number of law and literature movements that proliferated during the sixties and seventies in the American academy that saw it born, is the migration of concern in examining the intersections and limitations between the two, from a legal starting point to the field of literary studies called Literature and Human Rights. This paper proposes to examine such migration in the context of the North American tradition, and to analyze the the forms that it assumes and its critical potentialities.
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Directory of Open Access Journals (Sweden)
Jiang-Xia Lei
2016-10-01
Full Text Available Objective: To analyze the assessment value of the quantitative indexes of pancreatic CT perfusion scanning for malignant degree of pancreatic cancer. Methods: A total of 58 patients with space-occupying pancreatic lesions were divided into 20 patients with pancreatic cancer and 38 patients with benign pancreatic lesions after pancreatic CT perfusion. Patients with pancreatic cancer received palliative surgery, and the cancer tissue and para-carcinoma tissue specimens were collected during operation. The differences in pancreatic CT perfusion scanning parameter values and serum tumor marker levels were compared between patients with pancreatic cancer and patients with benign pancreatic lesions, mRNA expression levels of malignant molecules in pancreatic cancer tissue and para-carcinoma tissue were further determined, and the correlation between pancreatic CT perfusion scanning parameter values and malignant degree of pancreatic cancer was analyzed. Results: CT perfusion scanning BF, BV and Per values of patients with pancreatic cancer were lower than those of patients with benign pancreatic lesions; serum CA19-9, CEA, CA125 and CA242 levels were higher than those of patients with benign pancreatic lesions (P<0.05; mRNA expression levels of Bcl-2, Bcl-xL and survivin in pancreatic cancer tissue samples were higher than those in paracarcinoma tissue samples, and mRNA expression levels of P53 and Bax were lower than those in para-carcinoma tissue samples (P<0.05; CT perfusion scanning parameters BF, BV and Per values of patients with pancreatic cancer were negatively correlated with CA19-9, CEA, CA125 and CA242 levels in serum as well as mRNA expression levels of Bcl-2, Bcl-xL and survivin in pancreatic cancer tissue, and positively correlated with mRNA expression levels of P53 and Bax in pancreatic cancer tissue (P<0.05. Conclusions: Pancreatic CT perfusion scanning is a reliable way to judge the malignant degree of pancreatic cancer and plays a
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Changing landscape for North American supply
International Nuclear Information System (INIS)
Deegan, J.
2005-01-01
The United States represents 29 per cent of world natural gas consumption but holds 5 per cent of world natural gas resources. Supply and demand balances in the United States were examined in this PowerPoint presentation. Issues concerning market considerations and the Energy Policy Act were reviewed. The impacts of hurricanes were assessed and the U.S. supply and demand balance for the winter of 2004-2005 was considered. Growing producer expenditures were reviewed, and average finding and development cost increases were presented. New supply sources were examined, and details of expected major domestic supply contributors by 2010 were presented by region. It was suggested that unconventional sources will play a greater role in U.S. natural gas supply, and that liquefied natural gas (LNG) will be needed to attract resources within the world market. Increased regulatory certainty and supply flexibility is essential to economical supply development decisions. Issues concerning the Federal Energy Regulatory Commission's role in LNG terminal siting were examined. Permits, taxes and royalty incentives for deep water exploration were discussed. It was suggested that the Energy Policy Act falls short on increasing access to new supply. It was observed that traditional North American producing areas will provide only 75 per cent of long-term U.S. needs. Access to multi-use, non-park, non-wilderness federal lands for gas exploration will be needed. It was concluded that non-conventional resources are more costly and face greater public resistance than conventional resource plays. tabs., figs
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Changing landscape for North American supply
Energy Technology Data Exchange (ETDEWEB)
Deegan, J. [Natural Gas Supply Association, Washington DC (United States)
2005-07-01
The United States represents 29 per cent of world natural gas consumption but holds 5 per cent of world natural gas resources. Supply and demand balances in the United States were examined in this PowerPoint presentation. Issues concerning market considerations and the Energy Policy Act were reviewed. The impacts of hurricanes were assessed and the U.S. supply and demand balance for the winter of 2004-2005 was considered. Growing producer expenditures were reviewed, and average finding and development cost increases were presented. New supply sources were examined, and details of expected major domestic supply contributors by 2010 were presented by region. It was suggested that unconventional sources will play a greater role in U.S. natural gas supply, and that liquefied natural gas (LNG) will be needed to attract resources within the world market. Increased regulatory certainty and supply flexibility is essential to economical supply development decisions. Issues concerning the Federal Energy Regulatory Commission's role in LNG terminal siting were examined. Permits, taxes and royalty incentives for deep water exploration were discussed. It was suggested that the Energy Policy Act falls short on increasing access to new supply. It was observed that traditional North American producing areas will provide only 75 per cent of long-term U.S. needs. Access to multi-use, non-park, non-wilderness federal lands for gas exploration will be needed. It was concluded that non-conventional resources are more costly and face greater public resistance than conventional resource plays. tabs., figs.
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Pancreatic stellate cells enhance stem cell-like phenotypes in pancreatic cancer cells
International Nuclear Information System (INIS)
Hamada, Shin; Masamune, Atsushi; Takikawa, Tetsuya; Suzuki, Noriaki; Kikuta, Kazuhiro; Hirota, Morihisa; Hamada, Hirofumi; Kobune, Masayoshi; Satoh, Kennichi; Shimosegawa, Tooru
2012-01-01
Highlights: ► Pancreatic stellate cells (PSCs) promote the progression of pancreatic cancer. ► Pancreatic cancer cells co-cultured with PSCs showed enhanced spheroid formation. ► Expression of stem cell-related genes ABCG2, Nestin and LIN28 was increased. ► Co-injection of PSCs enhanced tumorigenicity of pancreatic cancer cells in vivo. ► This study suggested a novel role of PSCs as a part of the cancer stem cell niche. -- Abstract: The interaction between pancreatic cancer cells and pancreatic stellate cells (PSCs), a major profibrogenic cell type in the pancreas, is receiving increasing attention. There is accumulating evidence that PSCs promote the progression of pancreatic cancer by increasing cancer cell proliferation and invasion as well as by protecting them from radiation- and gemcitabine-induced apoptosis. Recent studies have identified that a portion of cancer cells, called “cancer stem cells”, within the entire cancer tissue harbor highly tumorigenic and chemo-resistant phenotypes, which lead to the recurrence after surgery or re-growth of the tumor. The mechanisms that maintain the “stemness” of these cells remain largely unknown. We hypothesized that PSCs might enhance the cancer stem cell-like phenotypes in pancreatic cancer cells. Indirect co-culture of pancreatic cancer cells with PSCs enhanced the spheroid-forming ability of cancer cells and induced the expression of cancer stem cell-related genes ABCG2, Nestin and LIN28. In addition, co-injection of PSCs enhanced tumorigenicity of pancreatic cancer cells in vivo. These results suggested a novel role of PSCs as a part of the cancer stem cell niche.
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Directory of Open Access Journals (Sweden)
Yuki Ishikawa-Kakiya
Full Text Available Advanced techniques have been developed to overcome difficult cannulation cases in endoscopic retrograde cholangiopancreatography (ERCP. Pancreatic duct guidewire placement method (PGW is performed in difficult cannulation cases; it is possible that it places patients at risk of post-ERCP pancreatitis (PEP. The mechanism of PEP is still unclear, but pancreatic duct pressure and injury of pancreatic duct are known causes of PEP. Therefore, we hypothesized a relationship between pancreatic duct diameter and PEP and predicted that PGW would increase the risk of PEP in patients with non-dilated pancreatic ducts. This study aimed to investigate whether PGW increased the risk of PEP in patients with pancreatic duct diameter ≤ 3 mm.We analyzed 332 patients with pancreatic duct ≤ 3 mm who performed first time ERCP session. The primary endpoint was the rate of adverse event of PEP. We evaluated the risk of PEP in patients who had undergone PGW compared to those who had not, using the inverse probability of treatment weighting (IPTW analysis.PGW was found to be an independent risk factor for PEP by univariate analysis (odds ratio [OR], 2.45; 95% confidence interval [CI], 1.12-5.38; p = 0.03 after IPTW in patients with pancreatic duct diameter ≤ 3 mm. Adjusted for all covariates, PGW remained an independent risk factor for PEP (OR, 3.12; 95% CI, 1.33-7.33; p = 0.01.Our results indicate that PGW in patients with pancreatic duct diameter ≤ 3 mm increases the risk of PEP.
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Ferri, María José; Saez, Marc; Figueras, Joan; Fort, Esther; Sabat, Miriam; López-Ben, Santiago; de Llorens, Rafael; Aleixandre, Rosa Núria; Peracaula, Rosa
2016-01-01
There is still no reliable biomarker for the diagnosis of pancreatic adenocarcinoma. Carbohydrate antigen 19-9 (CA 19-9) is a tumor marker only recommended for pancreatic adenocarcinoma follow-up. One of the clinical problems lies in distinguishing between this cancer and other benign pancreatic diseases such as chronic pancreatitis. In this study we will assess the value of panels of serum molecules related to pancreatic cancer physiopathology to determine whether alone or in combination could help to discriminate between these two pathologies. CA 19-9, carcinoembryonic antigen (CEA), C-reactive protein, albumin, insulin growth factor-1 (IGF-1) and IGF binding protein-3 were measured using routine clinical analyzers in a cohort of 47 pancreatic adenocarcinoma, 20 chronic pancreatitis and 15 healthy controls. The combination of CA 19-9, IGF-1 and albumin resulted in a combined area under the curve (AUC) of 0.959 with 93.6% sensitivity and 95% specificity, much higher than CA 19-9 alone. An algorithm was defined to classify the patients as chronic pancreatitis or pancreatic cancer with the above specificity and sensitivity. In an independent validation group of 20 pancreatic adenocarcinoma and 13 chronic pancreatitis patients, the combination of the four molecules classified correctly all pancreatic adenocarcinoma and 12 out of 13 chronic pancreatitis patients. Although this panel of markers should be validated in larger cohorts, the high sensitivity and specificity values and the convenience to measure these parameters in clinical laboratories shows great promise for improving pancreatic adenocarcinoma diagnosis.
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Directory of Open Access Journals (Sweden)
María José Ferri
Full Text Available There is still no reliable biomarker for the diagnosis of pancreatic adenocarcinoma. Carbohydrate antigen 19-9 (CA 19-9 is a tumor marker only recommended for pancreatic adenocarcinoma follow-up. One of the clinical problems lies in distinguishing between this cancer and other benign pancreatic diseases such as chronic pancreatitis. In this study we will assess the value of panels of serum molecules related to pancreatic cancer physiopathology to determine whether alone or in combination could help to discriminate between these two pathologies.CA 19-9, carcinoembryonic antigen (CEA, C-reactive protein, albumin, insulin growth factor-1 (IGF-1 and IGF binding protein-3 were measured using routine clinical analyzers in a cohort of 47 pancreatic adenocarcinoma, 20 chronic pancreatitis and 15 healthy controls.The combination of CA 19-9, IGF-1 and albumin resulted in a combined area under the curve (AUC of 0.959 with 93.6% sensitivity and 95% specificity, much higher than CA 19-9 alone. An algorithm was defined to classify the patients as chronic pancreatitis or pancreatic cancer with the above specificity and sensitivity. In an independent validation group of 20 pancreatic adenocarcinoma and 13 chronic pancreatitis patients, the combination of the four molecules classified correctly all pancreatic adenocarcinoma and 12 out of 13 chronic pancreatitis patients.Although this panel of markers should be validated in larger cohorts, the high sensitivity and specificity values and the convenience to measure these parameters in clinical laboratories shows great promise for improving pancreatic adenocarcinoma diagnosis.
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Cho, Woo Kyung; Ankrum, James A.; Guo, Dagang; Chester, Shawn A.; Yang, Seung Yun; Kashyap, Anurag; Campbell, Georgina A.; Wood, Robert J.; Rijal, Ram K.; Karnik, Rohit; Langer, Robert; Karp, Jeffrey M.
2012-01-01
North American porcupines are well known for their specialized hairs, or quills that feature microscopic backward-facing deployable barbs that are used in self-defense. Herein we show that the natural quill’s geometry enables easy penetration and high tissue adhesion where the barbs specifically contribute to adhesion and unexpectedly, dramatically reduce the force required to penetrate tissue. Reduced penetration force is achieved by topography that appears to create stress concentrations al...
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The Outlier Sectors: Areas of Non-Free Trade in the North American Free Trade Agreement
Eric T. Miller
2002-01-01
Since its entry into force, the North American Free Trade Agreement (NAFTA) has been enormously influential as a model for trade liberalization. While trade in goods among Canada, the United States and Mexico has been liberalized to a significant degree, this most famous of agreements nonetheless contains areas of recalcitrant protectionism. The first part of this paper identifies these "outlier sectors" and classifies them by primary source advocating protectionism, i.e., producer interests ...
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Differential diagnosis of focal pancreatitis and pancreatic cancer
van Gulik, T. M.; Moojen, T. M.; van Geenen, R.; Rauws, E. A.; Obertop, H.; Gouma, D. J.
1999-01-01
The differentiation of focal, chronic pancreatitis (CP) and pancreatic cancer (PAC) poses a diagnostic dilemma. Both conditions may present with the same symptoms and signs. The complexity of differential diagnosis is enhanced because PAC is frequently associated with secondary inflammatory changes
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Takada, Tadahiro; Yasuda, Hideki; Nagashima, Ikuo; Amano, Hodaka; Yoshiada, Masahiro; Toyota, Naoyuki
2003-06-01
A duodenum-preserving pancreatic head resection (DPPHR) was first reported by Beger et al. in 1980. However, its application has been limited to chronic pancreatitis because of it is a subtotal pancreatic head resection. In 1990, we reported duodenum-preserving total pancreatic head resection (DPTPHR) in 26 cases. This opened the way for total pancreatic head resection, expanding the application of this approach to tumorigenic morbidities such as intraductal papillary mucinous tumor (IMPT), other benign tumors, and small pancreatic cancers. On the other hand, Nakao et al. reported pancreatic head resection with segmental duodenectomy (PHRSD) as an alternative pylorus-preserving pancreatoduodenectomy technique in 24 cases. Hirata et al. also reported this technique as a new pylorus-preserving pancreatoduodenostomy with increased vessel preservation. When performing DPTPHR, the surgeon should ensure adequate duodenal blood supply. Avoidance of duodenal ischemia is very important in this operation, and thus it is necessary to maintain blood flow in the posterior pancreatoduodenal artery and to preserve the mesoduodenal vessels. Postoperative pancreatic functional tests reveal that DPTPHR is superior to PPPD, including PHSRD, because the entire duodenum and duodenal integrity is very important for postoperative pancreatic function.
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Directory of Open Access Journals (Sweden)
Sandra L Talbot
Full Text Available Subspecies relationships within the peregrine falcon (Falco peregrinus have been long debated because of the polytypic nature of melanin-based plumage characteristics used in subspecies designations and potential differentiation of local subpopulations due to philopatry. In North America, understanding the evolutionary relationships among subspecies may have been further complicated by the introduction of captive bred peregrines originating from non-native stock, as part of recovery efforts associated with mid 20th century population declines resulting from organochloride pollution. Alaska hosts all three nominal subspecies of North American peregrine falcons-F. p. tundrius, anatum, and pealei-for which distributions in Alaska are broadly associated with nesting locales within Arctic, boreal, and south coastal maritime habitats, respectively. Unlike elsewhere, populations of peregrine falcon in Alaska were not augmented by captive-bred birds during the late 20th century recovery efforts. Population genetic differentiation analyses of peregrine populations in Alaska, based on sequence data from the mitochondrial DNA control region and fragment data from microsatellite loci, failed to uncover genetic distinction between populations of peregrines occupying Arctic and boreal Alaskan locales. However, the maritime subspecies, pealei, was genetically differentiated from Arctic and boreal populations, and substructured into eastern and western populations. Levels of interpopulational gene flow between anatum and tundrius were generally higher than between pealei and either anatum or tundrius. Estimates based on both marker types revealed gene flow between augmented Canadian populations and unaugmented Alaskan populations. While we make no attempt at formal taxonomic revision, our data suggest that peregrine falcons occupying habitats in Alaska and the North Pacific coast of North America belong to two distinct regional groupings-a coastal grouping
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Smith, Antonia
2015-01-01
Within the larger North American food security movement, self-professed "urban homesteaders" have been tearing up their backyard lawns to plant vegetable gardens and install chicken coops in search of greater self-sufficiency and independence from industrial agriculture and the corporate food chain. Participants are most often white,…
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Okano, Keisuke; Murakami, Yoshiaki; Nakagawa, Naoya; Uemura, Kenichiro; Sudo, Takeshi; Hashimoto, Yasushi; Kondo, Naru; Takahashi, Shinya; Sueda, Taijiro
2016-03-01
Pancreatectomy, including pancreatoduodenectomy and distal pancreatectomy, often causes postoperative pancreatic exocrine insufficiency (PEI). Our aim was to clarify a relationship between remnant pancreatic volume and postoperative PEI. A total of 227 patients who underwent pancreatoduodenectomy or distal pancreatectomy were enrolled in this study. All patients underwent a (13)C-labeled mixed triglyceride breath test to assess pancreatic exocrine function and abdominal dynamic computed tomography for assessing remnant pancreatic volume after pancreatectomy at a median of 7 months postoperatively. The percent (13)CO2 cumulative dose at 7 hours (% dose (13)C cum 7 h) pancreatectomy were performed in 174 (76.7%) and 53 (23.3%) patients, respectively. Of the 227 patients, 128 (56.3%) developed postoperative PEI. Postoperative % dose (13)C cum 7 h was strongly correlated with remnant pancreatic volume (r = .509, P pancreatectomy (P pancreatectomy. Remnant pancreatic volume may predict postoperative PEI in patients who undergo pancreatectomy. Copyright © 2016 Elsevier Inc. All rights reserved.