Response to state comments on the revised draft North Central Regional characterization reports for the Crystalline Repository Project

International Nuclear Information System (INIS)

1985-08-01

The purpose of this document is to respond to the comments received from the states of the North Central Region on the revised draft North Central Regional Characterization Reports (RCRs). The responses in this document indicate the manner in which the suggestions or comments received have been considered in modifying the revised draft North Central RCRs. Both general comments related to the overall Crystalline Repository Project (CRP) and comments on specific sections of the RCRs are addressed. This document responds to North Central State comments on both the revised draft North Central Regional Geologic Characterization Report (RGCR) and the revised draft North Central Regional Environmental Characterization Report (RECR)

Paediatric surgical abdominal emergencies in a north central ...

African Journals Online (AJOL)

Paediatric surgical abdominal emergencies in a north central Nigerian centre. ... The causes of PSAEs vary worldwide, and the management is challenging, often with unimaginably poor outcome if not carefully handled. The aim of this ... Keywords: abdominal emergencies, acute abdomen, children, morbidity, mortality ...

The changing climate and human vulnerability in north-central Namibia

Directory of Open Access Journals (Sweden)

Margaret N. Angula

2016-01-01

Full Text Available North-central Namibia is more vulnerable to effects of climate change and variability. Combined effects of environmental degradation, social vulnerability to poverty and a changing climate will compromise subsistence farming in north-central Namibia (NCN. This will make subsistence and small-scale farmers in the region more vulnerable to projected changes in the climate system. Thus, the aim of this article was to examine factors contributing to subsistence farmers’ vulnerability to impacts of climate change. The article further discusses different aspects of human vulnerability and existing adaptation strategies in response to impacts of climate related disasters experienced over the past three to four decades in NCN. Qualitative and quantitative research approaches and methodology were employed to obtain information from subsistence farmers in north-central Namibia. The sociodemographic characteristics of Ohangwena, Oshana and Omusati Region reveals high levels of unemployment, high adult and elderly population and high dependency on agricultural livelihood system. These indicators help understand levels of household vulnerability. The study concludes that households interviewed revealed low levels of adaptive capacity due to exposure to climate risks and combined effects of social, political and cultural factors. This article provided an understanding that is required to inform the adaptation pathways relevant for NCN.

Pattern of Maxillofacial Surgical Conditions in North Central Nigeria ...

African Journals Online (AJOL)

2018-02-07

com on Wednesday, February 7, 2018, IP: 197.89.67.237] ... Table 2: Profile of orofacial surgical conditions seen and treated over 5 years during outreach programmes in ..... The North Central zone of the country, with a population of 20.2 ...

Breeding strategies for north central tree improvement programs

Science.gov (United States)

Ronald P. Overton; Hyun Kang

1985-01-01

The rationales and concepts of long-term tree breeding are discussed and compared with those for short-term breeding. A model breeding program is reviewed which maximizes short-term genetic gain for currently important traits and provides genetic resources that can be used effectively in future short-term breeding. The resources of the north-central region are examined...

Energy management installation at North Middlesex Hospital.

Science.gov (United States)

Hart, V A

1986-05-01

The author is the Energy Conservation Officer for the Haringey Health Authority. The North Middlesex Hospital is an acute unit with approximately 700 beds. Currently, twenty-one outstations control the maternity/radio therapy tower complex plus the outpatients' department. Plans have been approved to extend the system and Phase 2 will cover pathology, administration, medical and surgical blocks together with x-ray and casualty blocks. Transmitton Ltd, as in Phase 1, will supply the hardware and contract management.

Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality

NARCIS (Netherlands)

de Wilde, R. F.; Besselink, M. G. H.; van der Tweel, I.; de Hingh, I. H. J. T.; van Eijck, C. H. J.; Dejong, C. H. C.; Porte, R. J.; Gouma, D. J.; Busch, O. R. C.; Molenaar, I. Q.

Background: The impact of nationwide centralization of pancreaticoduodenectomy (PD) on mortality is largely unknown. The aim of this study was to analyse changes in hospital volumes and in-hospital mortality after PD in the Netherlands between 2004 and 2009. Methods: Nationwide data on International

Impact of nationwide centralization of pancreaticoduodenectomy on hospital mortality

NARCIS (Netherlands)

de Wilde, R. F.; Besselink, M. G. H.; van der Tweel, I.; de Hingh, I. H. J. T.; van Eijck, C. H. J.; Dejong, C. H. C.; Porte, R. J.; Gouma, D. J.; Busch, O. R. C.; Molenaar, I. Q.

2012-01-01

Background: The impact of nationwide centralization of pancreaticoduodenectomy (PD) on mortality is largely unknown. The aim of this study was to analyse changes in hospital volumes and in-hospital mortality after PD in the Netherlands between 2004 and 2009. Methods: Nationwide data on International

Paleothermicity in the Central Asturian Coal Basin, North Spain

Energy Technology Data Exchange (ETDEWEB)

Piedad-Sanchez, Noe; Izart, Alain; Martinez, Luis; Elie, Marcel; Menetrier, Cedric [UMR G2R/7566-Geologie et Gestion des Ressources Minerales et Energetiques, Equipe Dynamique des Bassins Sedimentaires et des Matieres Organiques, Faculte des Sciences, Universite Henri Poincare, Nancy 1, BP-239, Boulevard des Aiguillettes, 54506 Vandoeuvre-les-Nancy Cedex (France); Suarez-Ruiz, Isabel [Instituto Nacional del Carbon (CSIC), C/ Francisco Pintado Fe, 26, 33011-Oviedo (Spain)

2004-06-23

This research shows for the first time maps of vitrinite reflectances and paleotemperatures from the Central Asturian Coal Basin (North Spain) which is a Carboniferous (Pennsylvanian) Basin mainly of Moscovian age. Vitrinite reflectance values decrease from north to south whereas volatile matter distribution increases from south to north. Vitrinite reflectance and volatile matter parameters indicate a coal rank ranging from high volatile bituminous coal in the north, to semianthracite and anthracite in the south. Rock-Eval data show that the organic matter of this basin is Type III kerogen, with a maturation ranging from oil to gas window. Paleotemperatures were calculated by diverse methods using vitrinite reflectance data for different durations of heating and Rock-Eval results. The calculated paleotemperatures and vertical paleotemperature gradients decrease from south to north. The thermal gradient variation in the Central Asturian Coal Basin points to the influence of at least two heating events that affected the organic matter. The first associated with a regular geothermal gradient operating over a long period of time, and the second linked to a southern granitic event of short duration estimated by tectonic data. The short thermal event was located at the end of sedimentation (Late Moscovian and Late Westphalian D) and after folding, but before the overthrusting during the Asturian tectonic phase located before the Early Kasimovian (Cantabrian and Stephanian) deposits. Finally, a simulation of paleotemperatures around the granitic pluton was calculated and compared to maps of paleotemperatures obtained by various methods. These maps refer to an initial depth of one or two km in accordance with the selected methods that are compatible with local erosion. This approach was preferred in order to explain the metamorphism of coal, rather than the hypothesis of hydrothermal fluid flow proposed for other foreland basins. This regional thermal anomaly could be

Habitat improvement for wildlife in North-Central Sonora, Mexico

Science.gov (United States)

Martha Martin-Rivera; Fernando Ibarra-Flores; Fred S. Guthery; William P. Kublesky; Gustavo Camou-Luders; Jesus Fimbres-Preciado; Donald Johnson-Gordon

2001-01-01

Native vegetation of semiarid grasslands and desert ecosystems that comprise the Arbosufrutescent Desert scrub vegetation in north-central Sonora has been degraded by overgrazing, drought, farming, woodcutting, and a host of other activities over the past century. Several studies were conducted at "Rancho Grande" and at "Rancho El Carrizo," Sonora...

Investigation of groundwater flow potential in Makurdi, North Central ...

African Journals Online (AJOL)

hp

Department of Physics and Astronomy, University of Nigeria, Nsukka, Nigeria. Received 6 August, 2015; ... order to study the groundwater flow potential in Makurdi, north central Nigeria. This was done in thirty .... 600 m above sea level. The drainage consists ..... engineering Studies: A Practical Guide to 2D and 3D Surveys.

Crustal insights from gravity and aeromagnetic analysis: Central North Slope, Alaska

Science.gov (United States)

Saltus, R.W.; Potter, C.J.; Phillips, J.D.

2006-01-01

Aeromagnetic and gravity data are processed and interpreted to reveal deep and shallow information about the crustal structure of the central North Slope, Alaska. Regional aeromagnetic anomalies primarily reflect deep crustal features. Regional gravity anomalies are more complex and require detailed analysis. We constrain our geophysical models with seismic data and interpretations along two transects including the Trans-Alaska Crustal Transect. Combined geophysical analysis reveals a remarkable heterogeneity of the pre-Mississippian basement. In the central North Slope, pre-Mississippian basement consists of two distinct geophysical domains. To the southwest, the basement is dense and highly magnetic; this basement is likely mafic and mechanically strong, possibly acting as a buttress to basement involvement in Brooks Range thrusting. To the northeast, the central North Slope basement consists of lower density, moderately magnetic rocks with several discrete regions (intrusions?) of more magnetic rocks. A conjugate set of geophysical trends, northwest-southeast and southwest-northeast, may be a factor in the crustal response to tectonic compression in this domain. High-resolution gravity and aeromagnetic data, where available, reflect details of shallow fault and fold structure. The maps and profile models in this report should provide useful guidelines and complementary information for regional structural studies, particularly in combination with detailed seismic reflection interpretations. Future challenges include collection of high-resolution gravity and aeromagnetic data for the entire North Slope as well as additional deep crustal information from seismic, drilling, and other complementary methods. Copyrights ?? 2006. The American Association of Petroleum Geologists. All rights reserved.

Is the Central America forearc sliver part of the North America plate?

Science.gov (United States)

Guzman-Speziale, M.

2012-04-01

The Central America Forearc sliver is located between the Central America volcanic arc and the Middle America trench. Several authors have suggested that the forearc is being displaced to the northwest with respect to the Caribbean plate; they point to right-lateral, normal-faulting earthquakes along the Central America volcanic arc as prime evidence of this displacement. Apparently, the forearc continues to the northwest into southeastern Mexico, although this portion of the forearc is not being displaced. I present evidence that suggests that the forearc indeed continues into southeastern Mexico and that it belongs to the North America plate. Physiographically, there is a continuity of the forearc into the Coastal plains of southeastern (Chiapas) Mexico, across the Motagua and Polochic faults. Offshore, cross-sections of the Middle America trench are similar along the mexican (Chiapas) segment, and the Central American segment. Furthermore, at the northwestern end of the coastal plain there are no compressive structures, which suggests that the coastal plain is not being displaced to the northwest. As a matter of fact, fault-plane solutions for shallow earthquakes show extension rather than compression. Shallow, interplate earthquakes along the trench show similar parameters along both segments. P-axes and earthquake slip vectors have consistent azimuths, which relate better with Cocos-North America convergence than with Cocos-Caribbean. Azimuth of T-axes for normal-faulting earthquakes also agree well with Cocos-North America convergence. Similarity in several parameters is thus found across both segments, the Chiapas coastal plain and the Central America forearc sliver proper. This suggests that both segments are continuous and probably one and the same, and belonging to the North America plate. Perhaps more properly, the forearc sliver extends into southeastern Mexico and is part of the zone of deformation associated to the Cocos-North America-Caribbean plates

Data bases for forest inventory in the North-Central Region.

Science.gov (United States)

Jerold T. Hahn; Mark H. Hansen

1985-01-01

Describes the data collected by the Forest Inventory and Analysis (FIA) Research Work Unit at the North Central Forest Experiment Station. Explains how interested parties may obtain information from the databases either through direct access or by special requests to the FIA database manager.

World and experiences of AIDS orphans in north central Namibia

NARCIS (Netherlands)

Brug, van der M.

2007-01-01

How do young AIDS orphans deal with the loss of their parents and their changed circumstances? This thesis discusses the social environment, experiences and perceptions of fourteen orphans in north central Namibia. The author followed the children for five months from September 2003 until March

Field Evaluations of Topical Arthropod Repellents in North, Central, and South America

Science.gov (United States)

2014-09-01

De La Rocque et al. 2011) and their spread into higher elevations of Africa, Latin America , and Asia (Epstein 2001). Dengue fever and...denguehemorrhagic fever have resurgeddramatically in Latin America (Zell 2004). In North America ,West Nile virus has impacted signiÞcantly the health and welfare of...VECTOR CONTROL, PEST MANAGEMENT, RESISTANCE, REPELLENTS Field Evaluations of Topical Arthropod Repellents in North, Central , and South America KENDRA

Essential drugs in primary health centres of north central Nigeria ...

African Journals Online (AJOL)

To assess the availability of essential drugs and the perceptions of clients on drugs situation in the primary health centres of Tafa Local Government Area, north central Nigeria. Checklist consisting ofminimum drugs expected in a generic primary health centre developed by the National Primary Health Care Development ...

Revised draft: North Central Regional geologic characterization report. Volume 2. Plates

International Nuclear Information System (INIS)

1984-11-01

Volume 8(2) comprises the following maps pertaining to the North-Central Region: Index Map; Overburden Thickness; Faults and Ground Acceleration; Rock and Mineral Resources; Groundwater Basins and Potential Major Zones; Groundwater Resource Potential; and a Geologic Map

Imperial Japanese Army Intelligence in North and Central China During the Second Sino-Japanese War

Directory of Open Access Journals (Sweden)

Simon Hall

2014-06-01

Full Text Available The Japanese today seek to improve their national intelligence apparatus, particularly in relation to human intelligence assets and higher echelon coordination. To be successful, Japan must examine its wartime past in the intelligence field. The Imperial Japanese Army maintained a prolific intelligence presence in North and Central China during the Second World War. Its intelligence apparatus encompassed all aspects of information collection, with considerable overlap between intelligence organisations in an effort to avoid gaps in intelligence coverage. Japan’s intelligence system in North and Central China was nevertheless inefficient, exacerbated by inherent weaknesses and reactive rather than proactive alterations throughout the course of the conflict. This paper examines this lack of efficacy within Japan’s intelligence system during the Second Sino-Japanese conflict, and the efforts made to overcome difficulties faced by Japanese intelligence in North and Central China throughout this period.

North Central Project: Environment act proposal

International Nuclear Information System (INIS)

1992-05-01

Manitoba Hydro proposes to construct a power transmission and distribution line system to connect 12 northern Manitoba communities to the utility's central power grid. The purpose of this North Central Project (NCP) is to provide reliable and unrestricted electric service to remote communities now largely receiving limited diesel-generated power. The NCP is composed of a 138-kV transmission line running ca 350 km from the Kelsey Generating Station, ca 160 km of 25-kV distribution lines, new transformer stations at four communities, upgraded internal distribution systems within the communities, removal of existing diesel stations and restoration of the sites, modifications and additions to the Kelsey switchyard, and a communications system. The NCP is described in detail, including proposed line routes and transformer station locations, rationales for site and route selection, projected impacts on the environment and local societies, and consultations with the communities to be affected. Potential impacts are expected to be modest, with few unmitigable adverse impacts and a number of potentially significant positive benefits. Impact management measures are proposed to prevent or mitigate adverse effects and to create or enhance positive impacts such as local employment of native peoples. 49 figs., 1 tab

Strategy, leadership and change: the North York General Hospital transformation journey.

Science.gov (United States)

Adamson, Bonnie; Kwolek, Susan

2008-01-01

Improvements in the emergency department and general internal medicine will serve as a case study to examine how North York General Hospital cultural transformation efforts led to improvements in these departments, and why we believe this approach will enable the organization to sustain these improvements over time.

DIGITAL GEOLOGIC MAP OF SHERMAN QUADRANGLE, NORTH CENTRAL TEXAS (CD-ROM)

Science.gov (United States)

This compact disc contains digital data sets of the surficial geology and geologic faults for the 1:250,000-scale Sherman quadrangle, North Central Texas, and can be used to make geologic maps, and determine approximate areas and locations of various geologic units. The source d...

Ground-water resources of north-central Connecticut

Science.gov (United States)

Cushman, Robert Vittum

1964-01-01

The term 'north-central Connecticut' in this report refers to an area of about 640 square miles within the central lowland of the Connecticut River basin north of Middletown. The area is mostly a broad valley floor underlain by unconsolidated deposits of Pleistocene and Recent age which mantle an erosional surface formed on consolidated rocks of pre-Triassic and Triassic age. The mean annual precipitation at Hartford, near the center of the area, is 42.83 inches and is uniformly distributed throughout the year. The average annual streamflow from the area is about 22 inches or about half the precipitation. The consolidated water-bearing formations are crystalline rocks of pre-Triassic age and sedimentary and igneous rocks of the Newark group of Triassic age. The crystalline rocks include the Middletown gneiss, the Maromas granite gneiss, the Glastonbury granite-gneiss of Rice and Gregory (1906), and the Bolton schist which form the basement complex and the Eastern Upland of north-central Connecticut. Enough water for domestic, stock, and small commercial use generally can be obtained from the crystalline rocks. Recoverable ground water occurs in the interconnected joints and fracture zones and is yielded in amounts ranging from 29 to 35 gpm (gallons per minute) to wells ranging in depth from 29 to 550 feet. The sedimentary rocks of Triassic age underlie all the Connecticut River Lowland and are predominantly arkosic sandstone and shale. Water supplies sufficient for domestic, stock, and small commercial use can be obtained from shallow wells penetrating these rocks, and larger supplies sufficient for industries and smaller municipalities can probably be obtained from deeper wells. Reported yields range from ? to 578 gpm; the larger yields are generally obtained from wells between 300 and 600 feet in depth. Yields are larger where the overlying material is sand and gravel or where the rocks are well fractured. The igneous rocks of Triassic age are basalt and have

Bootstrapping data envelopment analysis of efficiency and productivity of county public hospitals in Eastern, Central, and Western China after the public hospital reform.

Science.gov (United States)

Wang, Man-Li; Fang, Hai-Qing; Tao, Hong-Bing; Cheng, Zhao-Hui; Lin, Xiao-Jun; Cai, Miao; Xu, Chang; Jiang, Shuai

2017-10-01

China implemented the public hospital reform in 2012. This study utilized bootstrapping data envelopment analysis (DEA) to evaluate the technical efficiency (TE) and productivity of county public hospitals in Eastern, Central, and Western China after the 2012 public hospital reform. Data from 127 county public hospitals (39, 45, and 43 in Eastern, Central, and Western China, respectively) were collected during 2012-2015. Changes of TE and productivity over time were estimated by bootstrapping DEA and bootstrapping Malmquist. The disparities in TE and productivity among public hospitals in the three regions of China were compared by Kruskal-Wallis H test and Mann-Whitney U test. The average bias-corrected TE values for the four-year period were 0.6442, 0.5785, 0.6099, and 0.6094 in Eastern, Central, and Western China, and the entire country respectively, with average non-technical efficiency, low pure technical efficiency (PTE), and high scale efficiency found. Productivity increased by 8.12%, 0.25%, 12.11%, and 11.58% in China and its three regions during 2012-2015, and such increase in productivity resulted from progressive technological changes by 16.42%, 6.32%, 21.08%, and 21.42%, respectively. The TE and PTE of the county hospitals significantly differed among the three regions of China. Eastern and Western China showed significantly higher TE and PTE than Central China. More than 60% of county public hospitals in China and its three areas operated at decreasing return scales. There was a considerable space for TE improvement in county hospitals in China and its three regions. During 2012-2015, the hospitals experienced progressive productivity; however, the PTE changed adversely. Moreover, Central China continuously achieved a significantly lower efficiency score than Eastern and Western China. Decision makers and administrators in China should identify the causes of the observed inefficiencies and take appropriate measures to increase the efficiency of county

How does the North American Free Trade Agreement (NAFTA) affect Central America?

OpenAIRE

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...

[North] Korea.

Science.gov (United States)

1986-05-01

In 1985, the population of the Democratic People's Republic of Korea (North Korea) stood at 20 million, with an annual growth rate of 2.3%. The infant mortality rate was 30/1000 live births and life expectancy was 66 years. The gross national product (GNP) was US$23 billion in 1984, with a per capita GNP of $1175. Both North Korea's labor force and natural resources have been concentrated in recent years on an effort to achieve rapid economic development. During the early 1970s, a large-scale modernization program involving the importation of Western technology, primarily in the heavy industiral sectors of the economy, was attempted and resulted in a massive foreign debt. North Korea has a strongly centralized government under the control of the communist Korean Workers' Party. Literacy in the country is at the 99% level. Medical treatment is free. There is 1 physician/600 population and 1 hospital bed/350 inhabitants.

Assessment of undiscovered continuous oil and gas resources in the Heath Formation, central Montana and western North Dakota, 2016

Science.gov (United States)

Drake, Ronald M.; Schenk, Christopher J.; Klett, Timothy R.; Le, Phuong A.; Leathers, Heidi M.; Brownfield, Michael E.; Finn, Thomas M.; Gaswirth, Stephanie B.; Marra, Kristen R.; Tennyson, Marilyn E.

2017-06-07

Using a geology-based assessment methodology, the U.S. Geological Survey estimated undiscovered, technically recoverable mean resources of 884 million barrels of oil and 106 billion cubic feet of gas in the North-Central Montana and Williston Basin Provinces of central Montana and western North Dakota.

Updated precipitation reconstruction (AD 1482-2012) for Huashan, north-central China

Science.gov (United States)

Chen, Feng; Zhang, Ruibo; Wang, Huiqin; Qin, Li; Yuan, Yujiang

2016-02-01

We developed a tree-ring width chronology from pine trees ( Pinus tabulaeformis and Pinus armandii) stand near the peaks of Huashan, Shaanxi, north-central China. Growth-climate response analyses showed that the radial growth of pine trees is mainly influenced by April-June precipitation. A model to reconstruct precipitation based on tree widths was constructed, accounting for 55 % of the instrumental variance during the period 1953-2012. Spatial correlation analyses between the reconstruction and observed gridded precipitation data shows that the seasonal precipitation reconstruction captures regional climatic variations over north China. Compared with the historical archives and other tree-ring records in north China, many large-scale drought events, linked to the El Niño-Southern Oscillation (ENSO), were found. Many of these events have had profound impacts on the people of north China over the past several centuries. Composite maps of sea surface temperatures and 500 hPa geopotential heights for selected extremely dry and wet years in Huashan show characteristics similar to those related to the ENSO patterns, particularly with regard to ocean and atmospheric conditions in the equatorial and north Pacific. Our 531-year precipitation reconstruction for Huashan provides a long-term perspective on current and 20th century wet and dry events in north China, and is useful to guide expectations of future variability, and helps us to address climate change.

African American and Hispanic American sportsmen in the north central region

Science.gov (United States)

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...

Prevalence of cleft lip and cleft palate in rural north-central guatemala.

Science.gov (United States)

Matute, Jorge; Lydick, Elaine A; Torres, Olga R; Owen, Karen K; Jacobsen, Kathryn H

2015-05-01

To estimate the number of new cases of cleft lip and cleft palate in the department (state) of Alta Verapaz, Guatemala, in 2012. Cross-sectional survey of midwives from communities identified through a two-stage cluster-sampling process. Midwives were asked how many babies they had delivered in the past year and how many of those newborns had various types of birth defects, as illustrated in pictures. Indigenous Mayan communities in rural north-central Guatemala. Midwives (n = 129) who had delivered babies in the previous year. Reports of babies born with cleft lip and cleft palate. A 1-year prevalence rate of 18.9 per 10,000 for cleft lip and 4.7 per 10,000 for cleft palate was estimated for Alta Verapaz. None of the cases of cleft lip also had cleft palate. The indigenous communities in north-central Guatemala might have a relatively high cleft lip prevalence rate compared with the global average.

Floods of July 4-8, 1969, in north-central Ohio

Science.gov (United States)

Mayo, Ronald I.; Webber, Earl E.; Ellis, Davis W.

1971-01-01

The storm of July 4-5, 1969, in north-central Ohio was an unprecedented event; never before has such intense and widespread precipitation been recorded for a summer storm in Ohio (U.S. Dept. of Commerce, 1969). More than 14 inches of rainfall in less than 24 hours were observed at several places. In areal extent more than 4 inches of rainfall occurred on about 6,000 square miles. Record-breaking floods were observed at many places in north-central Ohio. Of the 50 sites for which the peak discharge was determined 40 are located on unregulated streams. The peak discharge at five of the 40 sites was four times as large as the discharge of the 50-year flood and the peak discharge for 17 sites was more than twice as large as that of the 50-year flood. Severe losses in terms of lives and property damage were experienced; 41 deaths and more than $66 million in property damage were attributed to the rainstorm, accompanying wind, and resulting floods. This report summarizes peak stages and (or) discharges at 55 sites including five reservoirs, in upper Muskingum River basin, in lower Sandusky River basin, and in the Huron River, Vermilion River, and Black River basins.

Availability of ICTs in public libraries in North Central states of Nigeria

African Journals Online (AJOL)

This scenario prompted the researchers to examine the situation of ICTs provision in public libraries in North Central States of Nigeria. Public libraries were del iberately selected for this study because of their importance to the general public (the peoples' university) in Nigeria. The study is predominantly qualitative as most ...

Indications and Outcome of Tracheostomy in Ilorin, North Central Nigeria: 10 Years Review

Science.gov (United States)

Alabi, B. S.; Afolabi, O. A.; Dunmade, A. D.; Omokanye, H. K.; Ajayi, I. O.; Ayodele, S. O.; Busari, N. O.

2018-01-01

Background: The study aims to highlight common indications as well as outcome of treatment among patients with tracheostomy in Ilorin, North-Central Nigeria. Methods: A review of clinical records of all patients with tracheostomy over a period of ten years (2002-2011), using the Theatre, Ward, ICU and the emergency register after approval from the ethical review committee. Data retrieved included; demographic profile, primary diagnosis, indication for tracheostomy, surgical technique, hospital admission and care outcome of management. All information retrieved input and analysed using an SPSS version 17.0 and data analyzed descriptively. Results: Seventy-six patients had complete data for analysis, age range from 1-89yrs, and mean age of 41.9yrs. There are 48males and 28 females with M:F ratio of 1.6:1. Majority of the patients were in the 3rd–5th decade. About 47.4% had temporary tracheostomy. The commonest indication for tracheostomy is upper airway obstruction secondary to aerodigestive tract tumors in 60.5%, then trauma in 26.3%. The complications are higher among the under tens’. Out of the 36 temporary tracheostomy only 18 were successfully decannulated. The mean hospital stay was 22±2days. Overall 15% mortality was recorded. Conclusion: Common reason for tracheostomy is essentially same earlier documentation in developing countries, common among males, emergency type still most common, neoplasm, prolonged intubation and trauma are the commonest indications, its complication is still high among the under tens’. The outcome is good with 15% mortality due to the primary disease and not from tracheostomy. PMID:29363628

Gender, Sexual Health Seeking Behavior, and HIV/AIDS Among Tarok Women in North-Central Nigeria.

Science.gov (United States)

Orisaremi, Titilayo Cordelia

2016-06-01

In this study, which was part of a larger project I undertook in North-central Nigeria, I explored the differences in the sexual health seeking behavior of Tarok women and men and how these differences affect the spread of HIV. With the help of three research assistants, I conducted 16 in-depth interviews and 24 focus group discussions in four Tarok communities in North-central Nigeria. I found certain negative effects of gender inequality on women's sexual health seeking behavior in particular, a situation that has adverse implications for HIV acquisition and transmission. I therefore concluded that addressing the challenges of gender inequality is imperative for a sustained fight against HIV and AIDS in Nigeria.

An integrated outsourcing solution at York Central Hospital.

Science.gov (United States)

Marr, Jo-Anne; Tam, Richard; Simms, Stephen; Bacchus, Feria

2011-01-01

Canadian hospitals struggle to balance the need to increase and improve operational services and quality with diminishing resources. Many realize that sustaining their organization depends on how well they focus their resources and talents on their core business, clinical care delivery. Outsourcing of non-core, non-clinical support services is a solution for many organizations. Most often, this is put into action one service provider at a time. In 2007, however, York Central Hospital (YCH) implemented Sodexo's integrated Comprehensive Service Solutions (CSS) for all its support service functions. In doing so, YCH achieved significant improvements in patient and staff satisfaction rates, substantial cost savings through improved operational efficiency from process improvements and leveraging technology investments, and increased retail food revenue.

Prevalence of Neonatal Jaundice on Central Hospital, Warri, Delta ...

African Journals Online (AJOL)

Methods: 272 babies (aged 1 – 30 days) the Neonatal Clinic of the Department of Child Health, Central Hospital, Warri, Delta State between June 2009 and June 2010 were examined daily for evidence of jaundice. Those with serum bilirubin ³15mg/100ml were subjected to additional clinical and laboratory investigations to ...

The impact of cooling ponds in North Central Texas on dairy farm performance

NARCIS (Netherlands)

Tomaszewski, M.A.; Haan, de M.H.A.; Thompson, J.A.; Jordan, E.R.

2005-01-01

The objective of this study was to determine whether measurable differences existed between farms with and without cooling ponds. Data from Dairy Herd Improvement records for 1999 through 2002 were obtained on 42 herds located in North Central Texas. Nineteen herds had installed cooling ponds,

East and Central African Journal of Surgery http://www.bioline.org.br ...

African Journals Online (AJOL)

Patrick

populations in Asia, far-east, and North America. By far reported cases ... Zomba Central hospital with long standing history of a giant scalp cutenous horn for about 28 years .Excision ... educative pathologies goes under reported. Case Report.

Assessment of undiscovered oil and gas resources in the North-Central Montana Province, 2017

Science.gov (United States)

Schenk, Christopher J.; Mercier, Tracey J.; Brownfield, Michael E.; Tennyson, Marilyn E.; Woodall, Cheryl A.; Le, Phuong A.; Klett, Timothy R.; Gaswirth, Stephanie B.; Finn, Thomas M.; Pitman, Janet K.; Marra, Kristen R.; Leathers-Miller, Heidi M.

2018-02-12

Using a geology-based assessment methodology, the U.S. Geological Survey estimated mean undiscovered, technically recoverable resources of 55 million barrels of oil and 846 billion cubic feet of gas in the North-Central Montana Province.

Central radiological department of the Jahn Ferenc hospital and medical center

Energy Technology Data Exchange (ETDEWEB)

Erdelyi, M Jr [Jahn Ferenc Korhaz-Rendeloeintezet, Budapest (Hungary). Koezponti Radiologia

1982-01-01

The design, organisation and functioning of the central X-ray diagnostical unit of the new hospital, inaugurated in December 1980 are reviewed. The experiences of the shortcomings of the planning are summerized, too.

[Clinical research outside of teaching hospitals: Current situation in north-eastern France].

Science.gov (United States)

Goetz, C; Dupoux, A; Déloy, L; Hertz, C; Jeanmaire, T; Parneix, N

2015-04-01

Most clinical research in France takes place in teaching hospitals. There are, however, many advantages to developing it in other hospitals: access to innovative treatments, improvement in healthcare quality, attractiveness of hospitals, increased trial inclusion rates and reduced selection bias. The objectives of our study were to report on the current situation of clinical research outside teaching hospitals. A three-stage survey was conducted between January 2012 and May 2013 in non-teaching hospitals of north-eastern France. First, questionnaires were sent to administrative and medical boards of all hospitals with more than 100 beds, then to head doctors of every department in hospitals with more than 300 beds and finally meetings were organized with members of 20 selected hospitals. The administrative and medical boards of 85 hospitals participated in the first stage of the survey; half of these hospitals were engaged in clinical research activities and for 10 the internal structuring was cross-disciplinary. Answers from 178 departments were obtained during the second stage; 47% reported a clinical research activity. Meetings with research teams in 20 hospitals allowed us to identify difficulties concerning research funding, transversal organization and sponsoring. Clinical research existed in more than half of the respondent non-teaching hospitals. Obstacles to its development can be grouped in three categories: 1) internal structuring of clinical research, 2) access to information and knowledge of how clinical research functions and to interlocutors outside the hospital and 3) access to skills necessary to sponsor clinical research. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

What caused the cool summer over northern Central Asia, East Asia and central North America during 2009?

International Nuclear Information System (INIS)

Ha, Kyung-Ja; Chu, Jung-Eun; Lee, June-Yi; Wang, Bin; Hameed, Saji N; Watanabe, Masahiro

2012-01-01

Cool and wet weather conditions hit northern Central Asia, East Asia and central North America during the 2009 summer in concert with a strong jet stream and a prominent meandering upper-level circulation in the Northern Hemisphere mid-latitudes despite the fact that the year 2009 is the fifth warmest year globally in the modern record. It is found that the conspicuous atmospheric variability in the entire Northern Hemisphere mid-latitudes during the summer of 2009 was caused by a combination of teleconnections associated with significant tropical thermal forcings, strong polar forcing, and interaction between high-frequency weather events and climate anomalies. The strong negative circumglobal teleconnection pattern associated with the deficient Indian summer monsoon rainfall and developing El Niño condition was the major contributor to the cool and wet summer in June. On the other hand, the July weather conditions were attributable to the high-latitude impact of the unprecedented negative Arctic Oscillation, together with the Rossby wave response to the subtropical heating generated by convective activities over the Western North Pacific summer monsoon region. It is also noted that enhanced storm track activity and frequent cold surges from high-latitudes may have played a role in the cool and wet summer over the regions of interest. (letter)

Diabetic retinopathy at the Yaoundé Central Hospital in Cameroon ...

African Journals Online (AJOL)

We carried out a cross-sectional analytical survey using data from patients who had done Fluorescein Angiography at the Yaounde Central Hospital Diabetic Retinopathy Prevention and Management Project between October 2007 and January 2010 to identify the risk factors, incidence and severity of different types of ...

Herbaceous vegetation in thinned and defoliated forest stands in north central West Virginia

Science.gov (United States)

S. L. C. Fosbroke; D. Feicht; R. M. Muzika

1995-01-01

Herbaceous vegetation was inventoried in 1992 and 1993 in eight Appalachian mixed hardwood stands ( 50% basal area/acre in oak species) in north central West Virginia. Vegetation was sampled on 20 6-foot radius plots per stand twice each growing season (once during late spring to sample spring ephemeral...

Evolving Policy Initiatives for Effective Vocational Technical Education in North Central Zone, Nigeria

Science.gov (United States)

Ombugus, Danjuma A.; Angbre, Francis Adams

2015-01-01

The study focused on evolving policy initiatives for effective Vocational Technical Education (VTE) on sustainable development. The study adopted a descriptive survey research design and was carried out in North Central Geopolitical Zone of Nigeria. The population for the study was 450 respondents (VTE teachers/lecturers, government officials,…

Preliminary report on theNeurology workload ina central hospital in ...

African Journals Online (AJOL)

Introduction: Identification of the local pattern of neurological diseases is expected to help setting the priorities for good planning of management and public education. Objectives: To identify the pattern of neurological disorders in a second biggest central hospital in Sudan. Methodology: Review of the diagnosis of 170 ...

Determinants of utilization of traditional bone setters in Ilorin, north central Nigeria.

Science.gov (United States)

Aderibigbe, S A; Agaja, S R; Bamidele, J O

2013-03-01

Traditional bone setting (TBS) practice is an important part of health care delivery in many developing countries and has been in Nigeria for long. Despite the complications that arise from the cultural practice, TBS services is still in high demand by a significant number of people. This study was conducted to determine the factors that influence the utilization of TBS practice. A descriptive cross-sectional study was carried out using a semi structured questionnaire to gather information from 400 randomly selected residents of ilorin West LGA in north central Nigeria. Multistage sampling technique was used in selecting the respondents. The respondents were between the ages of 18-72 years with a mean age of 36.3 +/- 12.3. Three hundred and three (77.3%) of the respondents know of TBS practice as a way of getting treatment for bone injuries. More than two third 210 (69.3%) of the respondents who know TBS practice as a form of treatment for bone injuries think that TBS therapy is preferable to Orthodox medicine in handling bone injuries. Reasons for preference are that it is cheap 134 (63.8%), acceptable 123 (58.6%) and accessible 109 (51.9%) to them. More than half(52.3%) of the respondents had patronized TBS treatment at one time or the other. Main reason for patronage of TBS was influence from family members and friends (53.6%). However, factors that influence the respondents decision to utilize TBS treatment include attitude of health workers 310 (77.5%), delay in hospitals 284(71.0%) fear of amputation 272 (54.35) and fear of operation 217(54.3%) in hospitals. There was a statistically significant (p advertisement of TBS practice by relevant agencies and the public should be made aware through health education on the dangers of TBS treatment.

Factors blocking the development of north - central Rzeszów

Science.gov (United States)

Rybka, Adam; Mazur, Rafał

2017-12-01

Rzeszów is one of the best developing cities in Poland. Once the small HQ of a principality - due to complicated historical conditioning - it has now become a place where an increasing number of people choose to live. The city with its bursting life, streets and squares starts and ends, however, in an area which only a few dozen years ago still catered for one fifth of the current population. The main reason for this phenomenon is the presence of spatial barriers, which significantly limit the development of the central urban area. This article analyzes the elements, which block the development of the north-central part of Rzeszów. An appropriate diagnosis of the problem may in the future allow the right actions in urban planning to be taken in order to cross these barriers. This may lead to the future development of areas with huge urbanization potential. Investments undertaken by city authorities to develop the northern peripheries of Rzeszów may trigger the development of the central district in this direction. This may occur as a result of concrete design interventions. The new part of the central district should have the scale and proportions of urban space that answer to the needs of a dynamically developing capital of the Podkarpacie region.

Inadequate ventilation for nosocomial tuberculosis prevention in public hospitals in Central Thailand.

Science.gov (United States)

Jiamjarasrangsi, W; Bualert, S; Chongthaleong, A; Chaindamporn, A; Udomsantisuk, N; Euasamarnjit, W

2009-04-01

Forty-two community and general hospitals in central Thailand. To examine the adequacy of indoor ventilation for nosocomial tuberculosis (TB) prevention in public hospitals in central Thailand. A cross-sectional survey was conducted among 323 patient care and ancillary areas in the target hospitals. Data on indoor ventilation rate were collected by the tracer gas method and reported as air changes per hour (ACH). The adequacy of the measured ventilation rates were then determined by comparison with the international recommended standard values. Indoor ventilation rates were inadequate in almost half of the studied areas (144/323, 44.6%). The inadequacy was particularly serious in the emergency rooms (ERs) and radiological areas, where 73.8% (31/42 each) of the rooms had ACH below the recommended standards. Detailed analysis showed that most of the rooms with natural ventilation had air exchange rates that exceeded the recommended standards, while the opposite was the case for rooms with air-conditioning, particularly the window or wall-mount type. Indoor ventilation in high-risk nosocomial TB areas in public hospitals in Thailand was inadequate due to the installation of air-conditioning systems in modern buildings.

Environmental impact of manufacturing softwood lumber in northeastern and north central United States

Science.gov (United States)

Richard D. Bergman; Scott A. Bowe

2010-01-01

Finding the environmental impact of building materials is becoming increasingly more important because of public environmental awareness. Accurate and precise life-cycle inventory data on wood products are needed to meet this demand. This study examined softwood lumber manufacturing in the northeastern and north central US using life-cycle inventory methods. Material...

Local soil quality assessment of north-central Namibia: integrating farmers' and technical knowledge

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B. Prudat

2018-02-01

Full Text Available Soil degradation is a major threat for farmers of semi-arid north-central Namibia. Soil conservation practices can be promoted by the development of soil quality (SQ evaluation toolboxes that provide ways to evaluate soil degradation. However, such toolboxes must be adapted to local conditions to reach farmers. Based on qualitative (interviews and soil descriptions and quantitative (laboratory analyses data, we developed a set of SQ indicators relevant for our study area that integrates farmers' field experiences (FFEs and technical knowledge. We suggest using participatory mapping to delineate soil units (Oshikwanyama soil units, KwSUs based on FFEs, which highlight mostly soil properties that integrate long-term productivity and soil hydrological characteristics (i.e. internal SQ. The actual SQ evaluation of a location depends on the KwSU described and is thereafter assessed by field soil texture (i.e. chemical fertility potential and by soil colour shade (i.e. SOC status. This three-level information aims to reveal SQ improvement potential by comparing, for any location, (a estimated clay content against median clay content (specific to KwSU and (b soil organic status against calculated optimal values (depends on clay content. The combination of farmers' and technical assessment cumulates advantages of both systems of knowledge, namely the integrated long-term knowledge of the farmers and a short- and medium-term SQ status assessment. The toolbox is a suggestion for evaluating SQ and aims to help farmers, rural development planners and researchers from all fields of studies understanding SQ issues in north-central Namibia. This suggested SQ toolbox is adapted to a restricted area of north-central Namibia, but similar tools could be developed in most areas where small-scale agriculture prevails.

Local soil quality assessment of north-central Namibia: integrating farmers' and technical knowledge

Science.gov (United States)

Prudat, Brice; Bloemertz, Lena; Kuhn, Nikolaus J.

2018-02-01

Soil degradation is a major threat for farmers of semi-arid north-central Namibia. Soil conservation practices can be promoted by the development of soil quality (SQ) evaluation toolboxes that provide ways to evaluate soil degradation. However, such toolboxes must be adapted to local conditions to reach farmers. Based on qualitative (interviews and soil descriptions) and quantitative (laboratory analyses) data, we developed a set of SQ indicators relevant for our study area that integrates farmers' field experiences (FFEs) and technical knowledge. We suggest using participatory mapping to delineate soil units (Oshikwanyama soil units, KwSUs) based on FFEs, which highlight mostly soil properties that integrate long-term productivity and soil hydrological characteristics (i.e. internal SQ). The actual SQ evaluation of a location depends on the KwSU described and is thereafter assessed by field soil texture (i.e. chemical fertility potential) and by soil colour shade (i.e. SOC status). This three-level information aims to reveal SQ improvement potential by comparing, for any location, (a) estimated clay content against median clay content (specific to KwSU) and (b) soil organic status against calculated optimal values (depends on clay content). The combination of farmers' and technical assessment cumulates advantages of both systems of knowledge, namely the integrated long-term knowledge of the farmers and a short- and medium-term SQ status assessment. The toolbox is a suggestion for evaluating SQ and aims to help farmers, rural development planners and researchers from all fields of studies understanding SQ issues in north-central Namibia. This suggested SQ toolbox is adapted to a restricted area of north-central Namibia, but similar tools could be developed in most areas where small-scale agriculture prevails.

Shelterwood cutting in a young-growth, mixed-conifer stand in north central California

Science.gov (United States)

Philip M. McDonald

1976-01-01

A two-stage shelterwood cutting, at 12 trees per acre, with site preparation, enhanced seedfall, regeneration, and residual growth at the Challenge Experimental Forest, north central California. Shelterwood trees produced 9.2 times more seed than trees in the control. Ponderosa pine regeneration numbered about 3700 seedlings per acre (9139 per ha) and tolerant conifers...

Accommodation of missing shear strain in the Central Walker Lane, western North America: Constraints from dense GPS measurements

Science.gov (United States)

Bormann, Jayne M.; Hammond, William C.; Kreemer, Corné; Blewitt, Geoffrey

2016-04-01

We present 264 new interseismic GPS velocities from the Mobile Array of GPS for Nevada Transtension (MAGNET) and continuous GPS networks that measure Pacific-North American plate boundary deformation in the Central Walker Lane. Relative to a North America-fixed reference frame, northwestward velocities increase smoothly from ∼4 mm/yr in the Basin and Range province to 12.2 mm/yr in the central Sierra Nevada resulting in a Central Walker Lane deformation budget of ∼8 mm/yr. We use an elastic block model to estimate fault slip and block rotation rates and patterns of deformation from the GPS velocities. Right-lateral shear is distributed throughout the Central Walker Lane with strike-slip rates generally Bodie Hills, Carson Domain, and Mina Deflection are between 1-4°/Myr, lower than published paleomagnetic rotation rates, suggesting that block rotation rates have decreased since the Late to Middle Miocene.

Decentralization and centralization of healthcare resources: investigating the associations of hospital competition and number of cardiologists per hospital with mortality and resource utilization in Japan.

Science.gov (United States)

Park, Sungchul; Lee, Jason; Ikai, Hiroshi; Otsubo, Tetsuya; Imanaka, Yuichi

2013-11-01

To investigate the associations of hospital competition and number of cardiologists per hospital (indicating the decentralization and centralization of healthcare resources, respectively) with 30-day in-hospital mortality, healthcare spending, and length of stay (LOS) among patients with acute myocardial infarction (AMI) in Japan. We collected data from 23,197 AMI patients admitted to 172 hospitals between 2008 and 2011. Hospital competition and number of cardiologists per hospital were analyzed as exposure variables in multilevel regression models for in-hospital mortality, healthcare spending, and LOS. Other covariates included patient, hospital, and regional variables; as well as the use of percutaneous coronary intervention (PCI). Hospitals in competitive regions and hospitals with a higher number of cardiologists were both associated lower in-hospital mortality. Additionally, hospitals in competition regions were also associated with longer LOS durations, whereas hospitals with more cardiologists had higher spending. The use of PCI was also associated with reduced mortality, increased spending and increased LOS. Centralization of cardiologists at the hospital level and decentralization of acute hospitals at the regional level may be contributing factors for improving the quality of care in Japan. Policymakers need to strike a balance between these two approaches to improve healthcare provision and quality. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved.

Genetic diversity of Plasmodium falciparum isolates from naturally infected children in north-central Nigeria using the merozoite surface protein-2 as molecular marker.

Science.gov (United States)

Oyedeji, Segun Isaac; Awobode, Henrietta Oluwatoyin; Anumudu, Chiaka; Kun, Jürgen

2013-08-01

To characterize the genetic diversity of Plasmodium falciparum (P. falciparum) field isolates in children from Lafia, North-central Nigeria, using the highly polymorphic P. falciparum merozoite surface protein 2 (MSP-2) gene as molecular marker. Three hundred and twenty children were enrolled into the study between 2005 and 2006. These included 140 children who presented with uncomplicated malaria at the Dalhatu Araf Specialist Hospital, Lafia and another 180 children from the study area with asymptomatic infection. DNA was extracted from blood spot on filter paper and MSP-2 genes were genotyped using allele-specific nested PCR in order to analyze the genetic diversity of parasite isolates. A total of 31 and 34 distinct MSP-2 alleles were identified in the asymptomatic and uncomplicated malaria groups respectively. No difference was found between the multiplicity of infection in the asymptomatic group and that of the uncomplicated malaria group (P>0.05). However, isolates of the FC27 allele type were dominant in the asymptomatic group whereas isolates of the 3D7 allele type were dominant in the uncomplicated malaria group. This study showed a high genetic diversity of P. falciparum isolates in North-central Nigeria and is comparable to reports from similar areas with high malaria transmission intensity. Copyright © 2013 Hainan Medical College. Published by Elsevier B.V. All rights reserved.

Cob biomass supply for combined heat and power and biofuel in the north central USA

International Nuclear Information System (INIS)

Schmer, Marty R.; Dose, Heather L.

2014-01-01

Corn (Zea mays L.) cobs are being evaluated as a potential bioenergy feedstock for combined heat and power generation (CHP) and conversion into a biofuel. The objective of this study was to determine corn cob availability in north central United States (Minnesota, North Dakota, and South Dakota) using existing corn grain ethanol plants as a proxy for possible future co-located cellulosic ethanol plants. Cob production estimates averaged 6.04 Tg and 8.87 Tg using a 40 km radius area and 80 km radius area, respectively, from existing corn grain ethanol plants. The use of CHP from cobs reduces overall GHG emissions by 60%–65% from existing dry mill ethanol plants. An integrated biorefinery further reduces corn grain ethanol GHG emissions with estimated ranges from 13.9 g CO 2  equiv MJ −1 to 17.4 g CO 2  equiv MJ −1 . Significant radius area overlap (53% overlap for 40 km radius and 86% overlap for 80 km radius) exists for cob availability between current corn grain ethanol plants in this region suggesting possible cob supply constraints for a mature biofuel industry. A multi-feedstock approach will likely be required to meet multiple end user renewable energy requirements for the north central United States. Economic and feedstock logistics models need to account for possible supply constraints under a mature biofuel industry. - Highlights: • Corn cob biomass was estimated for the north central United States region. • Cobs were evaluated for combined heat and power generation and bioethanol. • Co-located ethanol plants showed a reduction in greenhouse gas emissions. • Biomass supply constraints may occur under a mature cellulosic ethanol scenario

Motorcycle crash-related emergency department visits and hospitalizations for traumatic brain injury in North Carolina.

Science.gov (United States)

Harmon, Katherine J; Marshall, Stephen W; Proescholdbell, Scott K; Naumann, Rebecca B; Waller, Anna E

2015-01-01

To examine statewide emergency department (ED) visit data for motorcycle crash morbidity and healthcare utilization due to traumatic brain injuries (TBIs) and non-TBIs. North Carolina ED data (2010-2012) and hospital discharge data (2009-2011). Statewide ED visits and hospitalizations due to injuries from traffic-related motorcycle crashes stratified by TBI status. Descriptive study. Descriptive statistics include age, sex, mode of transport, disposition, expected source of payment, hospital length of stay, and hospital charges. Over the study period, there were 18 780 ED visits and 3737 hospitalizations due to motorcycle crashes. Twelve percent of ED visits for motorcycle crashes and 26% of hospitalizations for motorcycle crashes had a diagnosis of TBI. Motorcycle crash-related hospitalizations with a TBI diagnosis had median hospital charges that were nearly $9000 greater than hospitalizations without a TBI diagnosis. Emergency department visits and hospitalizations due to motorcycle crashes with a TBI diagnosis consumed more healthcare resources than motorcycle crash-related ED visits and hospitalizations without a TBI diagnosis. Increased awareness of motorcyclists by other road users and increased use of motorcycle helmets are 2 strategies to mitigate the incidence and severity of motorcycle crash injuries, including TBIs.

Herbarium specimens reveal the footprint of climate change on flowering trends across north-central North America.

Science.gov (United States)

Calinger, Kellen M; Queenborough, Simon; Curtis, Peter S

2013-08-01

Shifting flowering phenology with rising temperatures is occurring worldwide, but the rarity of co-occurring long-term observational and temperature records has hindered the evaluation of phenological responsiveness in many species and across large spatial scales. We used herbarium specimens combined with historic temperature data to examine the impact of climate change on flowering trends in 141 species collected across 116,000 km(2) in north-central North America. On average, date of maximum flowering advanced 2.4 days °C(-1), although species-specific responses varied from - 13.5 to + 7.3 days °C(-1). Plant functional types exhibited distinct patterns of phenological responsiveness with significant differences between native and introduced species, among flowering seasons, and between wind- and biotically pollinated species. This study is the first to assess large-scale patterns of phenological responsiveness with broad species representation and is an important step towards understanding current and future impacts of climate change on species performance and biodiversity. © 2013 The Authors. Ecology Letters published by John Wiley & Sons Ltd and CNRS.

Elemental composition of air masses under different altitudes in Azores, central north Atlantic

International Nuclear Information System (INIS)

Vieira, B.J.; Wolterbeek, H.Th.

2012-01-01

Between 8th July 2002 and 18th June 2004, aerosol samples were collected in Azores. Their inorganic composition was obtained by neutron activation analysis in order to study the differences of aerosols in two atmospheric altitudes of the central north Atlantic: (1) PICO-NARE observatory (Lower Free Troposphere-LFT) at Pico mountain summit (38,470 deg N, 28,404 deg W, 2,225 m a.s.l.) in Pico Island, Azores, where air masses from the surrounding continents (Africa, Europe, Central and North America) pass through, carrying aerosols with anthropogenic (Sb, Br, Mo, U, Se and Tb) and/or natural emissions (Fe, Co, La, Na, Sm, Cr, Zn, Hf, K and Th); (2) TERCEIRA-NARE station (Marine Boundary Layer) at Serreta (38,69 deg N, 27,36 deg W, 50 m a.s.l.), in Terceira Island, Azores, where natural aerosols (I, Cl, Na, Br and other soil related elements) are predominant. However, a combined interpretation of the data points out to a co-existence of the anthropogenic elements Sb and Mo, eventually with similar origins as the ones passing Pico Mountain summit. Very high concentrations and enrichment factors for Sb, Mo and Br in LFT, higher than the ones found in other areas, confirm atmospheric long-range transport mainly from the west boundary of north Atlantic; this may indicate eventual accumulation and persistence of those elements in the area due to the presence of Azores high pressures or the Hadley cells effect. A significant correlation between Fe and Yb and the enrichment of rare earth elements (La, Sm, Tb and Yb) and Th in LFT aerosols, both reflect a mineral dust intrusions from north Africa (Sahara and Sahel region). (author)

Unretrieved shooting loss of mourning doves in north-central South Carolina

Science.gov (United States)

Haas, G.H.

1977-01-01

Unretrieved loss for mourning doves (Zenaida macroura) in north-central South Carolina was between 27 and 41 percent of the retrieved kill for the 1973 through 1975 hunting seasons based on 1,396 doves shot by 281 hunters. Dove hunters hunted in groups, fired 8.6 shots per retrieved dove, and engaged in a substantial number of illegal activities. Increased dove populations and hunter bag resulted in increased unretrieved loss, numbers of shots per bagged bird, and illegal activities. Retriever dogs increased the efficiency of dove hunters.

A 54 year analysis of articles from Mpilo Central Hospital, Bulawayo ...

African Journals Online (AJOL)

PubMed and Google Scholar were searched to obtain articles originating from Mpilo Central Hospital, Bulawayo, Zimbabwe - 1958 to August 2011 (54 years). 168 articles cited 999 times were retrieved giving about 6 citations per article. Analysis of publication trends over time as well as publication avenues is made.

Color variations within glacial till, east-central North Dakota--A preliminary investigation

Science.gov (United States)

Kelly, T.E.; Baker, Claud H.

1966-01-01

Color variations (orange zones within buff-colored till) in drift in east-central North Dakota are believed to represent two tills of separate origin. Mean size, standard deviation, and number and type of pebbles show greater difference between the two tills than do skewness, kurtosis, and partial chemical analyses. Probably blocks of older till were moved by the last glacier crossing the area and were redeposited in a matrix of younger till.

Astragalus kongrensis Benth. Ex Baker (Fabaceae, a New Record for Central and North-West Himalayas

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Lal Babu Chaudhary

2006-09-01

Full Text Available Astragalus kongrensis Benth. Ex Baker is reported for the first time from Central (Nepal and North-West Himalayas (India. Earlier the species was known from East Himalaya (Sikkim-India, Bhutan and China. The description and illustrations of the species are provided.

Asthma Burden in the Hospitalized Patients in North of Iran

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Javad Ghaffari

2014-10-01

Full Text Available Introduction: Asthma is a chronic inflammatory airway disease. Genetic and environmental factors have been important role in the induction of asthma. It's estimated that asthma affect 2.7 to 35.4% of child (in average 13.4% in Iran. The aims of this study to assess the costs of asthma patients admitted in Boali hospital in Sari in the north of Iran. Patients and Methods: This descriptive study was carried out in asthma patients 1 to 20 years old that admitted in the Boali hospital in Sari from 2008 to2012. Out of 455 folders, 22 folders excluded because incomplete registrations.Results: Out of 432 patients, 280 patients (64.81% were male. 349 patients were 1-5 years old (80.78%. Average annual cost in our asthmatic patients was 1219064 Rials(Iran currency ($ 121.9 per patient, 1183655 ($ 118.3 and 1284789($ 128.5 Rials per male and per female patient respectively. Conclusions: Our study showed asthma disease has been significantly cost for patient, family

New records of long-legged flies (Diptera, Dolichopodidae from Central and North-Eastern Iran

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I. Ya. Grichanov

2017-12-01

Full Text Available During a 2016-2017 survey conducted in Isfahan, Lorestan, Markazi, North Khorasan, Razavi Khorasan, South Khorasan and Tehran provinces located in the Central and North-Eastern Iran, about 1000 specimens of Dolichopodidae were collected and identified. Eight dolichopodid species [Dolichopus jaxarticus Stackelberg, 1927, Hydrophorus viridis (Meigen, 1824, Medetera diadema (Linnaeus, 1767, M. lamprostoma Loew, 1871, M. roghii Rampini et Canzoneri, 1979, Tachytrechus kowarzi Mik, 1864, Tachytrechus sogdianus Loew, 1871, and Thinophilus flavipalpis (Zetterstedt, 1843] are recorded for the first time in Iran. Dolichopus subimmaculatus Kazerani, Pollet, Khaghaninia, 2017, is placed in synonymy with Dolichopus perversus Loew, 1871 (syn. nov.. Lectotype is designated for D. perversus.

Decadal oscillation of autumn precipitation in Central Vietnam modulated by the East Pacific–North Pacific (EP–NP) teleconnection

International Nuclear Information System (INIS)

Li, R; Wang, S-Y; Gillies, R R; Cho, C; Buckley, B M; Truong, L H

2015-01-01

Autumn precipitation over Central Vietnam is associated with an increase in the occurrence of tropical cyclones that lead to frequent flooding and pose a significant threat to lives and property. The present analyses reveal a pronounced decadal oscillation of autumn precipitation in Central Vietnam within the 8–11 year frequency band that is modulated by the East Pacific–North Pacific (EP–NP) teleconnection. The negative phase of the EP–NP pattern is associated with a positive sea surface temperature (SST) anomaly in the South China Sea (SCS) that induces low-level convergence, enhances convection, and increases precipitation over Central Vietnam and adjacent islands including Hainan (China) and the Philippines. This circulation feature around the SCS is embedded in a large-scale circulation associated with SST anomalies across the Pacific Ocean—i.e., cooling in the Eastern and Central tropical Pacific sandwiched by warming in the North and South Pacific as well as the Western Pacific Ocean. The positive phase of the EP–NP features opposite SST and circulation anomalies, with the result being reduced rainfall in Central Vietnam. This out-of-phase relationship and shared decadal spectral coherence between the EP–NP index and autumn precipitation in Central Vietnam might be useful for future climate predictions and flood management. (letter)

Pediatric laparoscopic surgery in North-Central Nigeria: Achievements and challenges

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Lukman Olajide Abdur-Rahman

2016-01-01

Full Text Available Background and Objective: Advances in laparoscopy are making the service accessible even in resource-poor countries where adaptations are made to meet local challenges. We report our experience in the provision of laparoscopy service to children at a tertiary health center in North-central Nigeria. Methods: A team of pediatric surgeons, anesthetists, and nurses collaborated to provide service and train other personnel. A prospective collection of data on biodata, diagnoses, procedure, and outcome over an effective period of 36 months of laparoscopy intervention of the 54 months between September 2009 and February 2014 was done. Consent, which also included the possibility of conversion to open was obtained from the parents of the patients. Results: A total of 73 patients aged 2 weeks to 16 years with a male: female ratio of 3 to 1 had laparoscopy done during the period. Fifty-two (71.2% procedures were therapeutic, and 21 (28.8% cases were done as emergency. Laparoscopic appendectomy was the most commonly performed procedure 25 (34.3%, followed by laparoscopic orchidopexy 17 (23. 3%, and diagnostic laparoscopy for disorders of sexual differentiation in 13 (17.8%. The length of stay in hospital postoperative was 1-3 days with a mean of 1.34 ΁ 0.45 days. The complications recorded included hemorrhage, in a case of infantile hypertrophic pyloric stenosis due to failed electrocautery, one port site burns injury from diathermy dissection, and two periport pain postoperation. There was no mortality recorded. Conclusion: Pediatric laparoscopic service is gaining recognition in our practice in spite of poor resources, incessant industrial actions, and apathy from support staff. The outcomes are encouraging as the patients had minimal morbidities. Skills are improved through practice and retraining and manpower, and instruments are being expanded through our collaboration and training.

Fire history reflects human history in the Pine Creek Gorge of north-central Pennsylvania

Science.gov (United States)

Patrick H. Brose; Richard P. Guyette; Joseph M. Marschall; Michael C. Stambaugh

2015-01-01

Fire history studies are important tools for understanding past fire regimes and the roles humans played in those regimes. Beginning in 2010, we conducted a fire history study in the Pine Creek Gorge area of north-central Pennsylvania to ascertain the number of fires and fire-free intervals, their variability through time, and the role of human influences. We collected...

Controls of late Palaeozoic and Mesozoic extension in the British Isles: evidence from seismic reflection data in the Central North Sea

Science.gov (United States)

Smith, K.; Cameron, T. D. J.

2009-04-01

Controls of late Palaeozoic and Mesozoic extension in the British Isles: evidence from seismic reflection data in the Central North Sea. Kevin Smith (1) and Don Cameron (2) (1) British Geological Survey, Murchison House, West Mains Road, Edinburgh, EH9 3LA. (ksm@bgs.ac.uk). (2) British Geological Survey, 376 Gilmerton Road, Edinburgh, EH17 7QS. In the area of the British Isles during the late Devonian and early Carboniferous, the oblique convergence of Laurentia and Gondwana imposed a torque on the adjoining terranes of Baltica and Avalonia. Their resulting clockwise rotation was accommodated by widely distributed N-S extension in the intervening zones previously formed by Caledonian and Acadian convergence. South of Laurentia and Baltica, late Palaeozoic extension was focused (1) at terrane margins, (2) in areas of limited Caledonian-Acadian plutonism, and (3) in places where the western (Iapetus) and eastern (Tornquist) convergence zones intersect at a high angle. One of these latter areas lies in Central England immediately north of the Midland Microcraton (part of Eastern Avalonia), where thermal subsidence associated with early Carboniferous extension gave rise to the late Carboniferous Pennine Basin. Interpretation of an extensive set of 3D and 2D long-offset seismic reflection data suggests that a similar area of enhanced extension at a fold belt intersection lies to north of the Mid North Sea High in the middle of the Central North Sea. Variscan uplift and inversion of the late Palaeozoic basins began to predominate in mid-Carboniferous times as final amalgamation of all the different terranes to form Pangaea curtailed the initial episode of extension and thermal subsidence. This change in the tectonic regime was associated with the onset of tholeiitic volcanism within the convergence zones, and was followed by localised extension during the earliest Permian. Evidence obtained from seismic interpretation of the deep structure of the UK sector of the Central

Impact of Quota System and Catchment Area Policy on the University Admissions in North Central Nigeria

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Joachim Chinweike Omeje

2016-06-01

Full Text Available The quota system and the catchment areas are federal government policies formulated to bridge the gap between the educationally developed states and the educationally less developed states. Sequel to the enactment of these policies, government established several universities across the country to create equal opportunity for all candidates. In spite of the astronomical growth of the universities in Nigeria, both the federal and the state governments have not been able to contend with the surging demand for the university education, hence the adoption of the quota system and catchment area policies. Serious concerns were expressed by relevant stakeholders on their perceived impact of the quota system and the catchment area on admissions into the federal and state universities in North Central Nigeria. This study therefore examined the impact of the quota system and catchment area policies on students’ admissions in North Central Nigeria. A research question and a null hypothesis guided the study. Descriptive survey design was adopted for the study. The population for the study was 14,347 staff in the federal and state universities in North Central Nigeria. A sample of 1,435 was drawn through stratified proportionate sampling technique. Data were collected using questionnaire and interviews. Mean scores and standard deviations were used to answer the research question, whereas t-test statistics were used to test the hypothesis at 0.05 level of significance. The findings of the results showed, among others, that the impact of the quota system and catchment area policies on students’ admission was to a high extent.

Lightning Evolution In Two North Central Florida Summer Multicell Storms and Three Winter/Spring Frontal Storms

Science.gov (United States)

Caicedo, J. A.; Uman, M. A.; Pilkey, J. T.

2018-01-01

We present the first lightning evolution studies, via the Lightning Mapping Array (LMA) and radar, performed in North Central Florida. Parts of three winter/spring frontal storms (cold season) and two complete summer (warm season) multicell storms are studied. Storm parameters measured are as follows: total number of flashes, flash-type classification, first flashes, flash initiation altitude, flash initiation power, flash rate (flashes per minute), charge structure, altitude and temperature ranges of the inferred charge regions, atmospheric isotherm altitude, radar base reflectivity (dBZ), and radar echo tops (EET). Several differences were found between summer multicell and winter/spring frontal storms in North Central Florida: (1) in winter/spring storms, the range of altitudes that all charge regions occupy is up to 1 km lower in altitude than in summer storms, as are the 0°C, -10°C, and -20°C isotherms; (2) lightning activity in summer storms is highly correlated with changes in radar signatures, in particular, echo tops; and (3) the LMA average initiation power of all flash types in winter/frontal storms is about an order of magnitude larger than that for summer storms. In relation to storms in other geographical locations, North Central Florida seasonal storms were found to have similarities in most parameters studied with a few differences, examples in Florida being (1) colder initiation altitudes for intracloud flashes, (2) charge regions occupying larger ranges of atmospheric temperatures, and (3) winter/spring frontal storms not having much lightning activity in the stratiform region.

The strengthening relationship between Eurasian snow cover and December haze days in central North China after the mid-1990s

Science.gov (United States)

Yin, Zhicong; Wang, Huijun

2018-04-01

The haze pollution in December has become increasingly serious over recent decades and imposes damage on society, ecosystems, and human health. In addition to anthropogenic emissions, climate change and variability were conducive to haze in China. In this study, the relationship between the snow cover over eastern Europe and western Siberia (SCES) and the number of haze days in December in central North China was analyzed. This relationship significantly strengthened after the mid-1990s, which is attributed to the effective connections between the SCES and the Eurasian atmospheric circulations. During 1998-2016, the SCES significantly influenced the soil moisture and land surface radiation, and then the combined underlying drivers of enhanced soil moisture and radiative cooling moved the the East Asia jet stream northward and induced anomalous, anti-cyclonic circulation over central North China. Modulated by such atmospheric circulations, the local lower boundary layer, the decreased surface wind, and the more humid air were conducive to the worsening dispersion conditions and frequent haze occurrences. In contrast, from 1979 to 1997, the linkage between the SCES and soil moisture was negligible. Furthermore, the correlated radiative cooling was distributed narrowly and far from the key area of snow cover. The associated atmospheric circulations with the SCES were not significantly linked with the ventilation conditions over central North China. Consequently, the relationship between the SCES and the number of hazy days in central North China was insignificant before the mid-1990s but has strengthened and has become significant since then.

The strengthening relationship between Eurasian snow cover and December haze days in central North China after the mid-1990s

Directory of Open Access Journals (Sweden)

Z. Yin

2018-04-01

Full Text Available The haze pollution in December has become increasingly serious over recent decades and imposes damage on society, ecosystems, and human health. In addition to anthropogenic emissions, climate change and variability were conducive to haze in China. In this study, the relationship between the snow cover over eastern Europe and western Siberia (SCES and the number of haze days in December in central North China was analyzed. This relationship significantly strengthened after the mid-1990s, which is attributed to the effective connections between the SCES and the Eurasian atmospheric circulations. During 1998–2016, the SCES significantly influenced the soil moisture and land surface radiation, and then the combined underlying drivers of enhanced soil moisture and radiative cooling moved the the East Asia jet stream northward and induced anomalous, anti-cyclonic circulation over central North China. Modulated by such atmospheric circulations, the local lower boundary layer, the decreased surface wind, and the more humid air were conducive to the worsening dispersion conditions and frequent haze occurrences. In contrast, from 1979 to 1997, the linkage between the SCES and soil moisture was negligible. Furthermore, the correlated radiative cooling was distributed narrowly and far from the key area of snow cover. The associated atmospheric circulations with the SCES were not significantly linked with the ventilation conditions over central North China. Consequently, the relationship between the SCES and the number of hazy days in central North China was insignificant before the mid-1990s but has strengthened and has become significant since then.

Field performance of Populus in short-rotation intensive culture plantations in the north-central U.S.

Science.gov (United States)

Edward A. Hansen; Michael E. Ostry; Wendell D. Johnson; David N. Tolsted; Daniel A. Netzer; William E. Berguson; Richard B. Hall

1994-01-01

Describes a network of short-rotation, Populus research and demonstration plantations that has been established across a 5-state region in the north-central U.S. to identify suitable hybrid poplar clones for large-scale biomass plantations in the region. Reports 6-year results.

The relationship of centralization, organizational culture and performance indexes in teaching hospitals affiliated to Tehran University of Medical Sciences.

Science.gov (United States)

Nasirpour, Amir Ashkan; Gohari, Mahmoud Reza; Moradi, Saied

2010-01-01

One of the main problems in the efficiency and efficacy of an organization is its structural issue. Organizational culture is also considered as an effective factor in the performance of many organizations. The main goal of the present study was to determine the relationship of Centralization and organizational culture and performance indexes in Teaching Hospitals affiliated to Tehran University of Medical Sciences. This correlation study was performed in the year 2007. The population studied consisted of 4408 personnel from 13 hospitals among whom 441 subjects were selected and studied via a class sampling method. Data was compiled using a check list concerning the evaluation status of Centralization and another form concerning performance indexes as well as Robbin's organizational culture questionnaire. Data were obtained from the subjects by self answering and analyzed by using descriptive statistical indexes, T- test and Fisher's exact tests. Among the organizational culture indexes of the hospitals studied, control and organizational identity was better as compared to others (mean=3.32 and 3.30). Concerning the extent of Centralization in the hospitals studied, 53.85 % and 46.15 % were reported to have upper and lower organizational Centralization, respectively. Mean ratio of surgical operations to inpatients was 40%, the mean rate of admissions per active bed was 60.83, mean bed occupancy coefficient was 70.79%, average length of stay was 6.96 days, and mean net death rate was 1.41%. No significant correlation was seen between Centralization degree, organizational culture and performance indexes in teaching hospitals Tehran university of medical sciences. (with 95% confidence interval). Due to the fact that first grade Teaching hospitals use board certified members, expert personnel, and advanced equipments and because of the limitation of patients choice and, the extent of Centralization and many organizational culture components have no significant

Update on uncertain etiology of chronic kidney disease in Sri Lanka's north-central dry zone.

Science.gov (United States)

Wanigasuriya, Kamani

2014-04-01

This manuscript updates a review previously published in a local journal in 2012, about a new form of chronic kidney disease that has emerged over the past two decades in the north-central dry zone of Sri Lanka, where the underlying causes remain undetermined. Disease burden is higher in this area, particularly North Central Province, and affects a rural and disadvantaged population involved in rice-paddy farming. Over the last decade several studies have been carried out to estimate prevalence and identify determinants of this chronic kidney disease of uncertain etiology. Summarize the available evidence on prevalence, clinical profile and risk factors of chronic kidney disease of uncertain etiology in the north-central region of Sri Lanka. PubMed search located 16 manuscripts published in peer-reviewed journals. Three peer-reviewed abstracts of presentations at national scientific conferences were also included in the review. Disease prevalence was 5.1%-16.9% with more severe disease seen in men than in women. Patients with mild to moderate stages of disease were asymptomatic or had nonspecific symptoms; urinary sediments were bland; 24-hour urine protein excretion was urine, and mycotoxins detected in foods were below maximum statutory limits. Calcium-bicarbonate-type water with high levels of fluoride was predominant in endemic regions. Significantly high levels of cadmium in urine of cases compared to controls, as well as the disease's dose-related response to these levels, has drawn attention to this element as a possible contributing factor. Familial clustering of patients is suggestive of a polygenic inheritance pattern comparable to that associated with diseases of multifactorial etiology. Available data suggest that chronic kidney disease of uncertain etiology is an environmentally acquired disease, but to date no definitive causal factor has been identified. Geographic distribution and research findings suggest a multifactorial etiology.

An overview of the health and management challenges of rural poultry stock in North Central Nigeria

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Julius Olaniyi Aiyedun

2016-03-01

Full Text Available Objectives: Poultry production in rural areas is considered as an important source of livelihood for most rural communities. The objective of the present study was to investigate the major factors affecting production of rural poultry in three senatorial districts in North Central Nigeria namely Kwara Central, Kwara South and Kwara North.. Materials and Methods: The major factors affecting production of rural poultry were investigated using structured questionnaire to gather data on health and management practices between January to December 2014. Results: The socio-economic characteristics of respondents showed that majority of rural poultry farmers are women and illiterate, that sourced fund from their personal savings, relations and friends. The study also showed that seasonal variation and disease significantly influenced poultry production and its marketability. Conclusion: There is the need to put in place enabling environment to encourage commercialization of rural poultry production in Nigeria and globally. [J Adv Vet Anim Res 2016; 3(1.000: 79-83

Patterns of forest use and endemism in resident bird communities of north-central Michoacan, Mexico

Science.gov (United States)

Santiago Garcia; Deborah M. Finch; Gilberto Chavez. Leon

1998-01-01

We compared breeding avian communities among 11 habitat types in north-central Michoacan, Mexico, to determine patterns of forest use by endemic and nonendemic resident species. Point counts of birds and vegetation measurements were conducted at 124 sampling localities from May through July, in 1994 and 1995. Six native forest types sampled were pine, pine-oak, oak-...

Seismic hazard map of North and Central America and the Caribbean

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K. M. Shedlock

1999-06-01

Full Text Available Minimization of the loss of life, property damage, and social and economic disruption due to earthquakes depends on reliable estimates of seismic hazard. National, state, and local governments, decision makers, engineers, planners, emergency response organizations, builders, universities, and the general public require seismic hazard estimates for land use planning, improved building design and construction (including adoption of building construction codes, emergency response preparedness plans, economic forecasts, housing and employment decisions, and many more types of risk mitigation. The seismic hazard map of North and Central America and the Caribbean is the concatenation of various national and regional maps, involving a suite of approaches. The combined maps and documentation provide a useful regional seismic hazard framework and serve as a resource for any national or regional agency for further detailed studies applicable to their needs. This seismic hazard map depicts Peak Ground Acceleration (PGA with a 10% chance of exceedance in 50 years. PGA, a short-period ground motion parameter that is proportional to force, is the most commonly mapped ground motion parameter because current building codes that include seismic provisions specify the horizontal force a building should be able to withstand during an earthquake. This seismic hazard map of North and Central America and the Caribbean depicts the likely level of short-period ground motion from earthquakes in a fifty-year window. Short-period ground motions effect short-period structures (e.g., one-to-two story buildings. The highest seismic hazard values in the region generally occur in areas that have been, or are likely to be, the sites of the largest plate boundary earthquakes.

Hospitalizations for Endocarditis and Associated Health Care Costs Among Persons with Diagnosed Drug Dependence - North Carolina, 2010-2015.

Science.gov (United States)

Fleischauer, Aaron T; Ruhl, Laura; Rhea, Sarah; Barnes, Erin

2017-06-09

Opioid dependence and overdose have increased to epidemic levels in the United States. The 2014 National Survey on Drug Use and Health estimated that 4.3 million persons were nonmedical users of prescription pain relievers (1). These users are 40 times more likely than the general population to use heroin or other injection drugs (2). Furthermore, CDC estimated a near quadrupling of heroin-related overdose deaths during 2002-2014 (3). Although overdose contributes most to drug-associated mortality, infectious complications of intravenous drug use constitute a major cause of morbidity leading to hospitalization (4). In addition to infections from hepatitis C virus (HCV) and human immunodeficiency virus (HIV), injecting drug users are at increased risk for acquiring invasive bacterial infections, including endocarditis (5,6). Evidence that hospitalizations for endocarditis are increasing in association with the current opioid epidemic exists (7-9). To examine trends in hospitalizations for endocarditis among persons in North Carolina with drug dependence during 2010-2015, data from the North Carolina Hospital Discharge database were analyzed. The incidence of hospital discharge diagnoses for drug dependence combined with endocarditis increased more than twelvefold from 0.2 to 2.7 per 100,000 persons per year over this 6-year period. Correspondingly, hospital costs for these patients increased eighteenfold, from $1.1 million in 2010 to $22.2 million in 2015. To reduce the risk for morbidity and mortality related to opioid-associated endocarditis, public health programs and health care systems should consider collaborating to implement syringe service programs, harm reduction strategies, and opioid treatment programs.

Depositional model for Rival and Midale subintervals (Mississippian), north-central Burke County, North Dakota

Energy Technology Data Exchange (ETDEWEB)

Harris, T.L.

1988-07-01

The Rival and Midale subintervals (Charles Formation, Upper Mississippian), north-central Burke County, North Dakota, represent two relative sea level fluctuations. Updip (northeast), the Rival subinterval contains fine to medium-bedded and chicken-wire anhydrite with interbedded algal bindstone that was deposited on supratidal flats. Basinward (southwest), the lithology changes to oncolitic, peloidal, intraclastic grainstone/packstone that was deposited in intertidal and subtidal restricted lagoonal environments. Evaporites precipitated in the sediment of the intertidal to shallow subtidal restricted lagoonal environment. Overlying the Rival subinterval is skeletal wackestone and packstone of the lower Midale subinterval. The presence of normal-marine fauna (crinoids, brachiopods, trilobites, rugose and tabulate coral) indicates a significant relative sea level transgression occurred following deposition of the Rival. The middle and upper Midale subinterval consists of intensely burrowed dolowackestone and dolomudstone that contain a less diversified faunal assemblage. Overlying the Midale carbonates is a transitional zone of calcareous shale and dolomite that grades upward into mottled (burrowed.) and finely laminated microgranular dolomite and anhydrite. The upper Midale section represents a relative sea level regression (shoreline progradation). Updip (northeast) reservoirs produce from the Midale carbonates, which are sealed laterally and vertically by calcarous shale and microgranular dolomitic anhydrite of the Midale Evaporite. Downdip (southwest), the Rival produces from porous grainstone, which is sealed laterally by intertidal/supratidal carbonates and evaporites, resulting in a stratigraphic trap. Vuggy and intergranular porosity are the major porosity types in the Rival grainstone, and moldic and intercrystalline porosity are dominant in the Midale dolowackestone.

Calculating the ecosystem service of water storage in isolated wetlands using LIDAR in north central Florida, USA

Science.gov (United States)

This study used remotely-sensed Light Detection and Ranging (LiDAR) data to estimate potential water storage capacity of isolated wetlands in north central Florida. The data were used to calculate the water storage potential of >8500 polygons identified as isolated wetlands. We ...

Development of personnel radiation monitoring program for occupationally exposed workers in Malawian Hospitals : A case study of Kamuzu Central, Bwaila and Mtengo Wa Nthenga Hospitals

International Nuclear Information System (INIS)

Chinangwa, Getrude

2016-07-01

Malawi became an IAEA member state in 2006 and developed the Atomic Energy Act and Regulations in 2011 and 2012 respectively. However, regulatory authority and personnel monitoring services have not yet been established. As such, hospitals operating radiological services in Malawi do not have personnel monitoring programme. This study aimed at developing the personnel radiation monitoring program for three hospitals in Malawi namely; Kamuzu Central Hospital, Bwaila Hospital, and Mtengo wa Nthenga Hospital. A radiation protection questionnaire was administered to the X-ray Departments involved in the study to investigate radiation protection practices in the hospitals. Dose rate measurements in the facilities were taken using survey meters and doses to individuals were recorded using personal dosimeters. The results showed that the hospitals lack radiation protection program which covers the critical issues of quality assurance and control as well as the personnel dose monitoring. Average ambient dose rate values were 0.39 μSv/hr for Mtengo wa Nthenga Hospital, 5.03 μSv/hr for Bwaila Hospital and 4μSv/hr for Kamuzu Central Hospital. Average monthly dose for workers was 0.247 mSv. The study recommends the establishment of a regulatory authority, consistent dose assessment, quality control tests and structural shielding assessment in these and probably all the diagnostic facilities in Malawi. The personnel monitoring programme developed from this study is intended to guide diagnostic facilities and personnel monitoring service providers in Malawi in tracking and reporting exposure record for their occupationally exposed workers. (au)

A synoptic climatology of derecho producing mesoscale convective systems in the North-Central Plains

Science.gov (United States)

Bentley, Mace L.; Mote, Thomas L.; Byrd, Stephen F.

2000-09-01

Synoptic-scale environments favourable for producing derechos, or widespread convectively induced windstorms, in the North-Central Plains are examined with the goal of providing pattern-recognition/diagnosis techniques. Fifteen derechos were identified across the North-Central Plains region during 1986-1995. The synoptic environment at the initiation, mid-point and decay of each derecho was then evaluated using surface, upper-air and National Center for Atmospheric Research (NCAR)/National Center for Environmental Prediction (NCEP) reanalysis datasets.Results suggest that the synoptic environment is critical in maintaining derecho producing mesoscale convective systems (DMCSs). The synoptic environment in place downstream of the MCS initiation region determines the movement and potential strength of the system. Circulation around surface low pressure increased the instability gradient and maximized leading edge convergence in the initiation region of nearly all events regardless of DMCS location or movement. Other commonalities in the environments of these events include the presence of a weak thermal boundary, high convective instability and a layer of dry low-to-mid-tropospheric air. Of the two corridors sampled, northeastward moving derechos tend to initiate east of synoptic-scale troughs, while southeastward moving derechos form on the northeast periphery of a synoptic-scale ridge. Other differences between these two DMCS events are also discussed.

Neospora caninum infection in beef cattle reared under grazing conditions in north-central Mexico

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Karina Mondragón-Zavala

2011-05-01

Full Text Available Objetive. To determine the seroprevalence of N. caninum antibodies and prevalence of parasite DNA in blood, and estimate the association between seroprevalence and the potential risk of some factors in beef cattle under grazing conditions in north-central Mexico. Materials and methods. Blood samples from 139 cows and only 10 bulls belonging to 13 farms were collected and evaluated by ELISA test to detect antibodies against N. caninum. Furthermore, to determine the presence of parasite DNA, nested PCR probe was performed on blood samples. Association between potential risk factors and seroprevalence was estimated. Results. Overall seroprevalence was 23% (35/149 samples, while the prevalence of parasite DNA in blood was 28% (42/149 samples. Of the 149 animals examined 28 (19% were positive to both tests (25 cows and 3 bulls. Concordance between tests was k = 0.63. All herds had seropositive animals with positive parasite DNA detection in blood. The only risk factor identified was the presence of dogs (OR= 2.65. Conclusions. This study showed that bovine neospososis should be considered as an important infectious disease in north-central Mexico herds. Therefore, an epidemiological control should be taken into consideration to avoid the negative effect of this disease on mexican beef industry.

Forest Owners’ Organizations in North and Central Portugal – Assessment of Success

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Diana Feliciano

2011-06-01

Full Text Available Background and Purpose: The emergence of forest owners’ organizations (FOOs in Portugal occurred in the 1990s. Fifteen years later there were 173 FOOs providing services to the private forest owners and also to the whole of society. This study aims to evaluate the success of FOOs in increasing their membership and the quantity of services provided. Material and Methods: Eight FOOs from the North and Central Portugal were chosen as case studies. Quantitative data on membership numbers and number of services provided by the eight case studies were collected from the archives of FORESTIS or directly at the FOOs headquarters. Qualitative data from newsletters, annual reports, local newspapers and letters were also collected to be further analysed. Secondary data collected cover a period of ten years (1994-2005. In addition, eight interviews to members of staff or FOOs directors were conducted in 2005. It was hypothesised that the number of members and the quantity of services provided may be interrelated and that the turnover of staff and their productivity influence the success of FOOs in increasing their membership and providing technical advice services. Results and Conclusion: The study showed that although most FOOs were successful in making their membership grow, there were big differences in the number of members, in the forest area covered by them and in the quantity of services provided. It was concluded that human capital, financial capital and path dependence were the factors that most constrained the success FOOs in North and Central Portugal.

North Central Transmission Line: Guidelines for the environmental impact statement

International Nuclear Information System (INIS)

1992-01-01

Guidelines that Manitoba Hydro must follow in the preparation of the environmental impact statement on the proposed North Central Transmission Line (TCTL) project are presented. The project consists of a 138 kV transmission line, two 25 kV distribution lines, and related ancillary structures and facilities. The review process must be sensitive to cultural and community needs and must involve those most directly affected, and should be grounded in the impacted northern communities. The review should include a project background, the proposal, a description of the existing natural and socio-economic environment, and must address employment, education and training, impacts on renewable resource harvesting, environmental impacts, social impacts and economic impacts, legal/jurisdictional issues, infrastructure, mitigation and compensation, and environmental monitoring and follow-up. 1 fig., 20 tabs

Estimating regional pore pressure distribution using 3D seismic velocities in the Dutch Central North Sea Graben

NARCIS (Netherlands)

Winthaegen, P.L.A.; Verweij, J.M.

2003-01-01

The application of the empirical Eaton method to calibrated sonic well information and 3D seismic interval velocity data in the southeastern part of the Central North Sea Graben, using the Japsen (Glob. Planet. Change 24 (2000) 189) normal velocitydepth trend, resulted in the identification of an

Diseases of intensively cultured hybrid poplars: a summary of recent research in the north central region

Science.gov (United States)

M. E. Ostry; H. S. McNabb

1983-01-01

Several potentially damaging diseases of hybrid poplars hue been identified in the north-central United States. Among the most serious are leaf and stem diseases caused by Melampsora, Marssonina, and Septoria. Short-term chemical controls are of limited usefulness. The most practical control strategy appears to be the use of resistant clones obtained through local...

North Central Texas Council of Governments peer exchange on bicycle and pedestrian count programs : a TPCB peer exchange

Science.gov (United States)

2013-05-29

This report highlights key recommendations and best practices identified at the peer exchange on bicycle and pedestrian count programs, held on May 29 and May 30, 2013 in Arlington, Texas. The North Central Texas Council of Governments (NCTCOG) reque...

Pesticide residues in leafy vegetables and human health risk assessment in North Central agricultural areas of Chile.

Science.gov (United States)

Elgueta, Sebastian; Moyano, Stella; Sepúlveda, Paulina; Quiroz, Carlos; Correa, Arturo

2017-06-01

To investigate pesticide residue concentrations and potential human health risk, a study was conducted in 118 leafy vegetable samples collected in 2014-2015 from the North Central agricultural areas of Chile. The pesticide residues were determined using the multiresidue QuEChERS method by gas chromatography as well as high-performance liquid chromatography. The results indicated that 27% of the total samples contained pesticide residues above the maximum residue limits of each active ingredient. The maximum estimated daily intake obtained for carbon disulphide (CS 2 ), methamidophos, azoxystrobin and cypermethrin were 0.57, 0.07, 0.06 and 0.05 mg kg -1 , respectively, which was higher than their acceptable daily intake. It is concluded that inhabitants of the North Central agricultural area of Chile are not exposed to health risks through the consumption of leafy vegetables with the exception of methamidophos. Nevertheless, the high levels of methamidophos detected in leafy vegetables could be considered a potential chronic health risk.

Genetic and morphological divergence among Cooper's Hawk (Accipiter cooperii) populations breeding in north-central and western North America

Science.gov (United States)

Sonsthagen, Sarah A.; Rosenfield, Robert N.; Bielefeldt, John; Murphy, Robert K.; Stewart, Andrew C.; Stout, William C.; Driscoll, Timothy G.; Bozek, Michael A.; Sloss, Brian L.; Talbot, Sandra L.

2012-01-01

Cooper's Hawk (Accipiter cooperii) populations breeding in the northern portion of the species' range exhibit variation in morphological traits that conforms to predictions based on differences in prey size, tree stand density, and migratory behavior. We examined genetic structure and gene flow and compared divergence at morphological traits (PST) and genetic markers (FST) to elucidate mechanisms (selection or genetic drift) that promote morphological diversification among Cooper's Hawk populations. Cooper's Hawks appear to conform to the genetic pattern of an east-west divide. Populations in British Columbia are genetically differentiated from north-central populations (Wisconsin, Minnesota, and North Dakota; pairwise microsatellite FST= 0.031-0.050; mitochondrial DNA ΦST = 0.177-0.204), which suggests that Cooper's Hawks were restricted to at least two Pleistocene glacial refugia. The strength of the Rocky Mountains—Great Plains area as a barrier to dispersal is further supported by restricted gene-flow rates between British Columbia and other sampled breeding populations. Divergence in morphological traits (PST) was also observed across study areas, but with British Columbia and North Dakota differentiated from Wisconsin and Minnesota, a pattern not predicted on the basis of FST and ΦST interpopulation estimates. Comparison of PSTand FSTestimates suggests that heterogeneous selection may be acting on Cooper's Hawks in the northern portion of their distribution, which is consistent with hypotheses that variation in prey mass and migratory behavior among populations may be influencing overall body size and wing chord. We were unable to distinguish between the effects of genetic drift and selection on tail length in the study populations.

Uranium favorability of southwestern Oklahoma and north-central Texas

International Nuclear Information System (INIS)

Stanton, G.D.; Brogdon, L.D.; Quick, J.V.; Thomas, N.G.; Martin, T.S.

1977-10-01

Results are presented of a project to identify and delineate units and (or) facies that are favorable for uranium in the Upper Pennsylvanian and Lower Permian strata of north-central Texas and southwestern Oklahoma. To aid in this evaluation, an assessment of the probable uranium rocks (Wichita and Arbuckle Mountains) was necessary. Surface samples were collected from igneous and sedimentary rocks. Stream-sediment samples were also collected. However, the main emphasis of the investigation of the sedimentary units was on the identification of sedimentary facies trends in the subsurface and an evaluation of the uranium favorability within units studied. The area investigated centers along the Red River, the boundary between Texas and Oklahoma. The project area encompasses approximately 17,000 sq. mi. It includes all or parts of Cooke, Montague, Clay, Wichita, Wilbarger, Hardeman, Baylor, Knox, and Archer Counties in Texas and Love, Jefferson, Cotton, Tillman, Jackson, Stephens, Carter, Comanche, Harmon, and Greer Counties in Oklahoma

Characterization of the radon source in North-Central Florida. Final report part 1 -- Final project report; Final report part 2 -- Technical report

International Nuclear Information System (INIS)

1997-01-01

This report contains two separate parts: Characterization of the Radon Source in North-Central Florida (final report part 1 -- final project report); and Characterization of the Radon Source in North-Central Florida (technical report). The objectives were to characterize the radon 222 source in a region having a demonstrated elevated indoor radon potential and having geology, lithology, and climate that are different from those in other regions of the U.S. where radon is being studied. Radon availability and transport in this region were described. Approaches for predicting the radon potential of lands in this region were developed

Neospora caninum infection in beef cattle reared under grazing conditions in north-central Mexico

OpenAIRE

Karina Mondragón-Zavala; Carlos Cruz-Vázquez; Leticia Medina-Esparza; Miguel Ramos-Parra; Zeferino García-Vázquez

2011-01-01

Objetive. To determine the seroprevalence of N. caninum antibodies and prevalence of parasite DNA in blood, and estimate the association between seroprevalence and the potential risk of some factors in beef cattle under grazing conditions in north-central Mexico. Materials and methods. Blood samples from 139 cows and only 10 bulls belonging to 13 farms were collected and evaluated by ELISA test to detect antibodies against N. caninum. Furthermore, to determine the presence of parasite DNA, ne...

Perceived sustainability of community telepharmacy in North Dakota.

Science.gov (United States)

Scott, David M; Friesner, Daniel L; Undem, Teri; Anderson, Gabrielle; Sem, Kelli; Peterson, Charles D

To assess the sustainability of the business model underlying the North Dakota Telepharmacy Project (NDTP). Of the 38 community pharmacy organizations (14 central, 24 remote), 27 organizations (11 central and 16 remote sites) in North Dakota provided a useable set of responses (71.1% response rate). A twelfth organization (a community pharmacy) ceased operations over the study's time frame and was not included in the data analysis. Emphasis is placed on NDTP community telepharmacies, because the community telepharmacy business model is more established than hospital telepharmacies. Yet little is known about the long-run financial viability of telepharmacies. Originally funded by a series of federal grants, the goal of the NDTP was to create the infrastructure necessary to support the development of telepharmacy sites. A 48-item questionnaire assessed the self-reported operational, financial, and community impacts of a community telepharmacy. The questionnaire was administered from December 2015 to February 2016 to all NDTP community telepharmacy owners-managers. Thus, 1 participant (owner-manager) addressed both central and remote-site locations served by a pharmacy. Most respondents reported that their telepharmacy sites (especially remote sites) generate small positive financial returns for the organization. Respondents also reported that the closure of their remote sites would significantly harm the communities they serve. NDTP aims of restoration and retention have been achieved via the investment and shared decision making with pharmacy owners in North Dakota. The telepharmacy model is sustainable, even if it does not generate significant economic profit. Copyright © 2017 American Pharmacists Association®. Published by Elsevier Inc. All rights reserved.

Resource management and operations in central North Dakota: Climate change scenario planning workshop summary November 12-13, 2015, Bismarck, ND

Science.gov (United States)

Fisichelli, Nicholas A.; Schuurman, Gregor; Symstad, Amy J.; Ray, Andrea; Friedman, Jonathan M.; Miller, Brian; Rowland, Erika

2016-01-01

The Scaling Climate Change Adaptation in the Northern Great Plains through Regional Climate Summaries and Local Qualitative-Quantitative Scenario Planning Workshops project synthesizes climate data into 3-5 distinct but plausible climate summaries for the northern Great Plains region; crafts quantitative summaries of these climate futures for two focal areas; and applies these local summaries by developing climate-resource-management scenarios through participatory workshops and, where possible, simulation models. The two focal areas are central North Dakota and southwest South Dakota (Figure 1). The primary objective of this project is to help resource managers and scientists in a focal area use scenario planning to make management and planning decisions based on assessments of critical future uncertainties.This report summarizes project work for public and tribal lands in the central North Dakota focal area, with an emphasis on Knife River Indian Villages National Historic Site. The report explainsscenario planning as an adaptation tool in general, then describes how it was applied to the central North Dakota focal area in three phases. Priority resource management and climate uncertainties were identified in the orientation phase. Local climate summaries for relevant, divergent, and challenging climate scenarios were developed in the second phase. In the final phase, a two-day scenario planning workshop held November 12-13, 2015 in Bismarck, ND, featured scenario development and implications, testing management decisions, and methods for operationalizing scenario planning outcomes.

A Descriptive and Economic Analysis of Agricultural Teacher Education Programs in Land-Grant Universities of the North-Central Region.

Science.gov (United States)

Trede, Larry D.; Crawford, Harold R.

1981-01-01

Presents a study which assessed the inputs and outputs of the agricultural programs of land-grant universities in the North-Central region. It was found that programs in this region are fairly homogeneous, particularly at the undergraduate level. (CT)

Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers.

Science.gov (United States)

Briner, Matthias; Manser, Tanja; Kessler, Oliver

2013-04-01

The study aims to identify key enablers fostering clinical risk management (CRM) in hospitals to guide health care in this vital area of patient safety. A cross-sectional survey was conducted at the national level in 324 Swiss hospitals in 2007-2008 to assess the relationship between key elements and systematic CRM. Therefore, a comprehensive monitoring instrument for CRM was used for the first time. Organizational factors (e.g. strategy, coordination, resources) and structural conditions (e.g. hospital size) were tested as key elements. CRM was assessed by evaluating its maturity (i.e. the level of CRM development) by 12 theoretically derived indices joining together essential aspects of CRM at the hospital level and the service level. Chi-square measures were used to analyse the relationships between organizational factors or structural conditions and maturity of CRM. Participation in this voluntary survey was good, with CRM experts of 138 out of 324 hospitals responding (response rate 43%). Three key enablers for CRM were identified: implementing a function for central CRM coordination, assuring dialogue with and between the different hospital services, and developing strategic CRM objectives. This study offers, for the first time, an assessment of the maturity of hospitals' CRM and identifies key enablers related to CRM. This is a feasible first step in guiding hospitals to shape their CRM and presents a basis for future studies, for example, linking CRM to outcome data. © 2012 Blackwell Publishing Ltd.

An examination of blood center structure and hospital customer satisfaction: what can centralized and decentralized blood centers learn from each other?

Science.gov (United States)

Carden, Robert; DelliFraine, Jami L

2005-01-01

The cost of blood and blood products has increased rapidly over the last several years while the supply of available blood donors has simultaneously decreased. Higher blood costs and donor shortages have put a strain on the relationship between blood suppliers and their hospital customers. This study examines the association between blood center centralization or decentralization and several aspects of hospital satisfaction. Centralized and decentralized blood centers have significant differences in various aspects of hospital customer satisfaction. Advantages and disadvantages of the two structures are discussed, as well as areas for future research.

Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. I. - July of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX I.- Julio de 2001

Energy Technology Data Exchange (ETDEWEB)

Angeles C, A.; Vizuet G, J

2001-09-15

The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. II.- August of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX II.- Agosto de 2001

Energy Technology Data Exchange (ETDEWEB)

Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

2001-12-15

The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. III.- September of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX III.- Septiembre de 2001

Energy Technology Data Exchange (ETDEWEB)

Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J

2001-12-15

The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. V. - November of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad, PEMEX. V.- Noviembre de 2001

Energy Technology Data Exchange (ETDEWEB)

Angeles C, A; Vizuet G, J; Benitez S, J A; Garcia A, J; Rodriguez A, F

2002-01-15

The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Autho000.

Two-tier charging in Maputo Central Hospital: costs, revenues and effects on equity of access to hospital services.

Science.gov (United States)

McPake, Barbara; Hongoro, Charles; Russo, Giuliano

2011-06-02

Special services within public hospitals are becoming increasingly common in low and middle income countries with the stated objective of providing higher comfort services to affluent customers and generating resources for under funded hospitals. In the present study expenditures, outputs and costs are analysed for the Maputo Central Hospital and its Special Clinic with the objective of identifying net resource flows between a system operating two-tier charging, and, ultimately, understanding whether public hospitals can somehow benefit from running Special Clinic operations. A combination of step-down and bottom-up costing strategies were used to calculate recurrent as well as capital expenses, apportion them to identified cost centres and link costs to selected output measures. The results show that cost differences between main hospital and clinic are marked and significant, with the Special Clinic's cost per patient and cost per outpatient visit respectively over four times and over thirteen times their equivalent in the main hospital. While the main hospital cost structure appeared in line with those from similar studies, salary expenditures were found to drive costs in the Special Clinic (73% of total), where capital and drug costs were surprisingly low (2 and 4% respectively). We attributed low capital and drug costs to underestimation by our study owing to difficulties in attributing the use of shared resources and to the Special Clinic's outsourcing policy. The large staff expenditure would be explained by higher physician time commitment, economic rents and subsidies to hospital staff. On the whole it was observed that: (a) the flow of capital and human resources was not fully captured by the financial systems in place and stayed largely unaccounted for; (b) because of the little consideration given to capital costs, the main hospital is more likely to be subsidising its Special Clinic operations, rather than the other way around. We conclude that the

Two-tier charging in Maputo Central Hospital: Costs, revenues and effects on equity of access to hospital services

Directory of Open Access Journals (Sweden)

Russo Giuliano

2011-06-01

Full Text Available Abstract Background Special services within public hospitals are becoming increasingly common in low and middle income countries with the stated objective of providing higher comfort services to affluent customers and generating resources for under funded hospitals. In the present study expenditures, outputs and costs are analysed for the Maputo Central Hospital and its Special Clinic with the objective of identifying net resource flows between a system operating two-tier charging, and, ultimately, understanding whether public hospitals can somehow benefit from running Special Clinic operations. Methods A combination of step-down and bottom-up costing strategies were used to calculate recurrent as well as capital expenses, apportion them to identified cost centres and link costs to selected output measures. Results The results show that cost differences between main hospital and clinic are marked and significant, with the Special Clinic's cost per patient and cost per outpatient visit respectively over four times and over thirteen times their equivalent in the main hospital. Discussion While the main hospital cost structure appeared in line with those from similar studies, salary expenditures were found to drive costs in the Special Clinic (73% of total, where capital and drug costs were surprisingly low (2 and 4% respectively. We attributed low capital and drug costs to underestimation by our study owing to difficulties in attributing the use of shared resources and to the Special Clinic's outsourcing policy. The large staff expenditure would be explained by higher physician time commitment, economic rents and subsidies to hospital staff. On the whole it was observed that: (a the flow of capital and human resources was not fully captured by the financial systems in place and stayed largely unaccounted for; (b because of the little consideration given to capital costs, the main hospital is more likely to be subsidising its Special Clinic

Visual Impairment Registry of Patients from North Kolkata, Eastern India: A Hospital-based Study.

Science.gov (United States)

Bandyopadhyay, Sabyasachi; Bandyopadhyay, Samir Kumar; Biswas, Jaya; Saha Dutta Chowdhury, Mita; Dey, Asim Kumar; Chakrabarti, Asim

2018-01-01

To study the demographic profile, severity and causes of visual impairment among registered patients in a tertiary care hospital in north Kolkata, eastern India, and to assess the magnitude of under-registration in that population. This is a retrospective analytical study. A review of all visually impaired patients registered at our tertiary care hospital during a ten-year period from January 2005 to December 2014, which is entitled for certification of people of north Kolkata, eastern India (with a population denominator of 1.1 million), was performed. Overall, 2472 eyes of 1236 patients were analyzed in terms of demographic characteristics, cause of visual impairment, and percentage of visual disability as per the guidelines established by the government of India. Male patients (844, 68.28%; 95% confidence interval [CI], 65.69-70.87) registered more often than female patients (392; 31.72%, P = 0.0004). The registration rate for visual impairment was 11.24 per 100,000 per annum; this is not the true incidence rate, as both new patients and those visiting for renewal of certification were included in the study. Optic atrophy was the most common cause of visual impairment (384 eyes, 15.53%; 95% CI, 14.1-16.96). Commonest cause of visual impairment was optic atrophy followed by microphthalmos. Under-registration is a prevalent problem as the registration system is voluntary rather than mandatory, and female patients are more likely to be unregistered in this area.

Vectors and malaria transmission in deforested, rural communities in north-central Vietnam

Directory of Open Access Journals (Sweden)

Do Manh Cuong

2010-09-01

Full Text Available Abstract Background Malaria is still prevalent in rural communities of central Vietnam even though, due to deforestation, the primary vector Anopheles dirus is uncommon. In these situations little is known about the secondary vectors which are responsible for maintaining transmission. Basic information on the identification of the species in these rural communities is required so that transmission parameters, such as ecology, behaviour and vectorial status can be assigned to the appropriate species. Methods In two rural villages - Khe Ngang and Hang Chuon - in Truong Xuan Commune, Quang Binh Province, north central Vietnam, a series of longitudinal entomological surveys were conducted during the wet and dry seasons from 2003 - 2007. In these surveys anopheline mosquitoes were collected in human landing catches, paired human and animal bait collections, and from larval surveys. Specimens belonging to species complexes were identified by PCR and sequence analysis, incrimination of vectors was by detection of circumsporozoite protein using an enzyme-linked immunosorbent assay. Results Over 80% of the anopheline fauna was made up of Anopheles sinensis, Anopheles aconitus, Anopheles harrisoni, Anopheles maculatus, Anopheles sawadwongporni, and Anopheles philippinensis. PCR and sequence analysis resolved identification issues in the Funestus Group, Maculatus Group, Hyrcanus Group and Dirus Complex. Most species were zoophilic and while all species could be collected biting humans significantly higher densities were attracted to cattle and buffalo. Anopheles dirus was the most anthropophilic species but was uncommon making up only 1.24% of all anophelines collected. Anopheles sinensis, An. aconitus, An. harrisoni, An. maculatus, An. sawadwongporni, Anopheles peditaeniatus and An. philippinensis were all found positive for circumsporozoite protein. Heterogeneity in oviposition site preference between species enabled vector densities to be high in both

Prevalencia de displasia y cáncer cervicouterino y factores asociados en el Hospital Central de Chihuahua, México

OpenAIRE

Ivonne Salas-Urrutia; Eyra Alejandra Villalobos; Brenda Lizeth Ramírez-Vega

2006-01-01

Objetivos: Los objetivos del presente estudio fueron determinar la prevalencia y los factores de riesgo asociados a cáncer cervicouterino en; las mujeres que acuden al Hospital Central de Chihuahua en el 2004 ya que no se cuenta registros de esta entidad en la ciudad de Chihuahua.; Material y Métodos: Se realizó un estudio observacional, transversal, donde se incluyó a mujeres que demandaron realizarse la citología; cervical en el Hospital Central del Estado de Chihuahua, en el año 2...

Re-Engineering Vocational and Technical Education (VTE) for Sustainable Development in North Central Geo-Political Zone, Nigeria

Science.gov (United States)

Sofoluwe, Abayomi Olumade

2013-01-01

The purpose of the study is to re-engineer vocational and technical education for sustainable development in the North Central Geo-Political Zone in Nigeria. The research design adopted was a survey inferential type. Stratified random was used to select 36 schools out of 98 schools while 920 students out of 3680 students were sampled. The data…

Beyond the bundle: a survey of central line-associated bloodstream infection prevention practices used in US and Canadian pediatric hospitals.

Science.gov (United States)

Klieger, Sarah B; Potter-Bynoe, Gail; Quach, Caroline; Sandora, Thomas J; Coffin, Susan E

2013-11-01

We surveyed US and Canadian pediatric hospitals about their use of central line-associated bloodstream infection (CLABSI) prevention strategies beyond typical insertion and maintenance bundles. We found wide variation in supplemental strategies across hospitals and in their penetration within hospitals. Future studies should assess specific adjunctive prevention strategies and CLABSI rates.

Land cover mapping of North and Central America—Global Land Cover 2000

Science.gov (United States)

Latifovic, Rasim; Zhu, Zhi-Liang

2004-01-01

The Land Cover Map of North and Central America for the year 2000 (GLC 2000-NCA), prepared by NRCan/CCRS and USGS/EROS Data Centre (EDC) as a regional component of the Global Land Cover 2000 project, is the subject of this paper. A new mapping approach for transforming satellite observations acquired by the SPOT4/VGTETATION (VGT) sensor into land cover information is outlined. The procedure includes: (1) conversion of daily data into 10-day composite; (2) post-seasonal correction and refinement of apparent surface reflectance in 10-day composite images; and (3) extraction of land cover information from the composite images. The pre-processing and mosaicking techniques developed and used in this study proved to be very effective in removing cloud contamination, BRDF effects, and noise in Short Wave Infra-Red (SWIR). The GLC 2000-NCA land cover map is provided as a regional product with 28 land cover classes based on modified Federal Geographic Data Committee/Vegetation Classification Standard (FGDC NVCS) classification system, and as part of a global product with 22 land cover classes based on Land Cover Classification System (LCCS) of the Food and Agriculture Organisation. The map was compared on both areal and per-pixel bases over North and Central America to the International Geosphere–Biosphere Programme (IGBP) global land cover classification, the University of Maryland global land cover classification (UMd) and the Moderate Resolution Imaging Spectroradiometer (MODIS) Global land cover classification produced by Boston University (BU). There was good agreement (79%) on the spatial distribution and areal extent of forest between GLC 2000-NCA and the other maps, however, GLC 2000-NCA provides additional information on the spatial distribution of forest types. The GLC 2000-NCA map was produced at the continental level incorporating specific needs of the region.

Geologic controls on the formation of lakes in north-central Florida

Science.gov (United States)

Kindinger, Jack G.; Davis, Jeffrey B.; Flocks, James G.; Pitman, Janet K.; Carroll, Alan R.

1998-01-01

Fluid exchange between surficial waters and groundwater, as well as the processes that control this exchange, are of critical concern to water management districts and planners. Digital high-resolution seismic systems were used to collect geophysical data from 30 lakes of north-central Florida. Although using seismic profile data in the past has been less than successful, the use of digital technology has increased the potential for success. Seismic profiles collected from the lakes of north-central Florida have shown the potential application of these techniques in understanding the formation of individual lakes. In each case study, lake structure and geomorphology were controlled by solution and/or mechanical processes. Processes that control lake development are twofold: 1) karstification or dissolution of the underlying limestone, and 2) me collapse, subsidence, or slumping of overburden to form sinkholes. Initial lake formation is directly related to the karst topography of the underlying host limestone. Lake size and shape are a factor of the thickness of overburden and size of the collapse or subsidence and/or clustering of depressions allowing for lake development. Lake development is through progressive sequence stages to maturity that can be delineated into geomorphic types. Case studies have shown that lakes can be divided by geomorphic types into progressive developmental phases: (1) active subsidence or collapse phase (young) - the open to partially filled collapse structures typically associated with sink holes; (2) transitional phase (middle age) - the sinkhole is plugged as the voids within the collapse are filled with sediment, periodic reactivation may occur; (3) baselevel phase (mature) - active sinkholes are progressively plugged by the continual erosion of material into the basin, and eventually sediment fills the basins; and (4) polje (drowned prairie) - broad flat-bottom basins located within the epiphreatic zone that are inundated at high

Heat flow in the north-central Colorado Plateau

International Nuclear Information System (INIS)

Bodell, J.M.; Chapman, D.S.

1982-01-01

We report new heat flow measurements at 25 evenly distributed sites in the north-central Colorado Plateau. Heat flow values computed for these new sites and one previously published site range from 43 to 116 mW m -2 but fall into the following district subsets related to physiographic and tectonic elements within the Plateau: (1) heat flow of 51 mW m -2 (12 sites; s.d. 6) in the San Rafael Swell and Green River Desert which constitute the core of the Colorado Plateau at this latitude, (2) heat flows of 69 mW m -2 (5 sites; s.d. 10) in successive parallel north-south bands approaching the Wasatch Plateau to the west but still 80 km east of the Basin and Range physiographic boundary, (3) heat flow of 64 mW m -2 (5 sites; s.d. 2) along the Salt Anticline trend which strikes northwest in the region of Moab, Utah. Heat flow results for the entire Colorado Plateau have been reexamined in view of our new results, and the overall pattern supports the concept of a low heat flow 'thermal interior' for the plateau surrounded by a periphery some 100 km wide having substantially higher heat flow. Average heat flow in the thermal interior is about 60 mW m -2 compared to 80--90 mW m -2 in the periphery. This regional heat flow pattern supports a model of tertiary lithospheric thinning under the Colorado Plateau whereby the plateau is still in transient thermal response and a 15--20 m.y. lag between uplift and corresponding surface heat flow anomaly is to be expected. The position of the heat flow transition between our interior and peripheral regions in the northwest plateau is roughly consistent with lateral warming and weakening of the Colorado Plateau lithosphere initiated at the Basin and Range boundary some 20 m.y. ago

Geology and ground water in north-central Santa Cruz County, California

Science.gov (United States)

Johnson, Michael J.

1980-01-01

North-central Santa Cruz County is underlain mainly by folded sedimentary rocks of Tertiary and Cretaceous age that have been highly fractured by movements in the San Andreas fault system. Ground water is stored in fractures within shale and mudstone formations and in intergranular pore spaces within fine- to very fine-grained sandstone and siltstone formations. Fewer than 10% of the wells yield more than 15 gallons of water per minute. The water in most wells is moderately hard to very hard, is generally of a sodium bicarbonate or calcium bicarbonate type, and commonly has excessive concentrations of iron or manganese. Of the many geologic units in the study area, only the Purisima Formation of Pliocene age has the potential to sustain well yields greater than 100 gallons per minute. (USGS)

The spectrum of central nervous system infections in an adult referral hospital in hanoi, Vietnam

NARCIS (Netherlands)

Taylor, Walter R.; Nguyen, Kinh; Nguyen, Duc; Nguyen, Huyen; Horby, Peter; Nguyen, Ha L.; Lien, Trinh; Tran, Giang; Tran, Ninh; Nguyen, Ha M.; Nguyen, Thai; Nguyen, Ha H.; Nguyen, Thanh; Tran, Giap; Farrar, Jeremy; de Jong, Menno; Schultsz, Constance; Tran, Huong; Nguyen, Diep; Vu, Bich; Le, Hoa; Dao, Trinh; Nguyen, Trung; Wertheim, Heiman

2012-01-01

To determine prospectively the causative pathogens of central nervous system (CNS) infections in patients admitted to a tertiary referral hospital in Hanoi, Vietnam. From May 2007 to December 2008, cerebrospinal fluid (CSF) samples from 352 adults with suspected meningitis or encephalitis underwent

Granitoid emplacement during syn-convergent transtension: An example from the Huamenlou pluton in North Qinling, central China

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Yang Li

2018-01-01

Full Text Available The Huamenlou pluton, is an elongated granite intrusion with high aspect ratio, emplaced within the southern margin of the North Qinling (central China. Here we investigate this pluton through multiple techniques including the fabric study, microstructural observation and zircon geochronology. Our zircon U–Pb data confirm that the granite crystallized at ca. 462 Ma which is consistent with the ages of other linear plutons in North Qinling. Microstructural observations of the Huamenlou granites illustrate that the pluton has undergone superimposed deformation during its emplacement, from magmatic to high-temperature solid state conditions. The internal fabric obtained by anisotropy of magnetic susceptibility (AMS and shape preferred orientation (SPO show similar results. The fabrics are relatively concordant and generally vary from NE–SW to NEE–SWW which are roughly oblique to the trend of the pluton elongation and the regional structures. Meanwhile, scalar parameters reflect two completely different strain regimes for the pluton and its host rocks, i.e., the fabrics within host rocks are mainly oblate while the central part of the intrusion displays mainly prolate fabrics. It is inferred that the structural pattern recorded in this pluton was caused by local dextral transtension in consequence of oblique convergence between the South and North China Blocks. We propose that the local transtension in convergence setting probably evolved from vertical extrusion tectonics that provided room for the magma emplacement and imparted prolate fabrics in the Huamenlou pluton.

Calculating the ecosystem service of water storage in isolated wetlands using LiDAR in north central Florida, USA (presentation)

Science.gov (United States)

This study used remotely-sensed Light Detection and Ranging (LiDAR) data to estimate potential water storage capacity of isolated wetlands in north central Florida. The data were used to calculate the water storage potential of >8500 polygons identified as isolated wetlands. We f...

The economic feasibility of sugar beet biofuel production in central North Dakota

International Nuclear Information System (INIS)

Maung, Thein A.; Gustafson, Cole R.

2011-01-01

This study examines the financial feasibility of producing ethanol biofuel from sugar beets in central North Dakota. Under the Energy Independence and Security Act (EISA) of 2007, biofuel from sugar beets uniquely qualifies as an 'advanced biofuel'. EISA mandates production of 21 billion gallons of advanced biofuels annually by 2022. A stochastic simulation financial model was calibrated with irrigated sugar beet data from central North Dakota to determine economic feasibility and risks of production for 0.038 hm 3 y -1 (or 10 MGY (Million Gallon per Year) and 0.076 hm 3 y -1 (or 20 MGY) ethanol plants. Study results indicate that feedstock costs, which include sugar beets and beet molasses, account for more than 70 percent of total production expenses. The estimated breakeven ethanol price for the 0.076 hm 3 y -1 plant is $400 m -3 ($1.52 per gallon) and $450 m -3 ($1.71 per gallon) for the 0.038 hm 3 y -1 plant. Breakeven prices for feedstocks are also estimated and show that the 0.076 hm 3 y -1 plant can tolerate greater ethanol and feedstock price risks than the 0.038 hm 3 y -1 plant. Our results also show that one of the most important factors that affect investment success is the price of ethanol. At an ethanol price of $484.21 m -3 ($1.84 per gallon), and assuming other factors remain unchanged, the estimated net present value (NPV) for the 0.076 hm 3 y -1 plant is $41.54 million. By comparison, the estimated NPV for the 0.038 hm 3 y -1 plant is only $8.30 million. Other factors such as changes in prices of co-products and utilities have a relatively minor effect on investment viability. -- Highlights: → Sugar beets and beet molasses costs account for more than 70 percent of total production expenses. → The estimated breakeven ethanol prices for the 0.076 hm 3 y -1 and 0.038 hm 3 y -1 ethanol plants are $400 m -3 and $450 m -3 respectively. → The price of ethanol will be one of the most important factors for determining the future feasibility of a

The Ritual "Play of the Congos" of North-Central Panama: Its Sociolinguistic Implications. Sociolinguistic Working Paper Number 85.

Science.gov (United States)

Joly, Luz Graciela

An excerpt from the "Play of the Congos," given in Congo, Spanish, and English, exemplifies the sociolinguistic features of the combined play and ritual language used by the Afro-Hispanic population in the Caribbean region of the Costa Abajo in north-central Panama. The sociolinguistic norms are an important part of the "regulation…

Assessment of College Students' Knowledge and Attitudes toward Solid Waste Management in North Central Zone of Nigeria

Science.gov (United States)

Dung, Mohammed Dauda; Makilik, Mangut; Ozoji, Bernadette Ebele

2017-01-01

This study focused on assessment of colleges of education students' knowledge and attitudes toward solid waste management in the North Central zone of Nigeria. The cross-sectional survey design was adopted. A students' knowledge and attitudes toward solid waste management questionnaire were used to collect data from 1,800 students. The findings…

The ophiolitic North Fork terrane in the Salmon River region, central Klamath Mountains, California

Science.gov (United States)

Ando, C.J.; Irwin, W.P.; Jones, D.L.; Saleeby, J.B.

1983-01-01

The North Fork terrane is an assemblage of ophiolitic and other oceanic volcanic and sedimentary rocks that has been internally imbricated and folded. The ophiolitic rocks form a north-trending belt through the central part of the region and consist of a disrupted sequence of homogeneous gabbro, diabase, massive to pillowed basalt, and interleaved tectonitic harzburgite. U-Pb zircon age data on a plagiogranite pod from the gabbroic unit indicate that at least this part of the igneous sequence is late Paleozoic in age.The ophiolitic belt is flanked on either side by mafic volcanic and volcaniclastic rocks, limestone, bedded chert, and argillite. Most of the chert is Triassic, including much of Late Triassic age, but chert with uncertain stratigraphic relations at one locality is Permian. The strata flanking the east side of the ophiolitic belt face eastward, and depositional contacts between units are for the most part preserved. The strata on the west side of the ophiolitic belt are more highly disrupted than those on the east side, contain chert-argillite melange, and have unproven stratigraphic relation to either the ophiolitic rocks or the eastern strata.Rocks of the North Fork terrane do not show widespread evidence of penetrative deformation at elevated temperatures, except an early tectonitic fabric in the harzburgite. Slip-fiber foliation in serpentinite, phacoidal foliation in chert and mafic rocks, scaly foliation in argillite, and mesoscopic folds in bedded chert are consistent with an interpretation of large-scale anti-formal folding of the terrane about a north-south hinge found along the ophiolitic belt, but other structural interpretations are tenable. The age of folding of North Fork rocks is constrained by the involvement of Triassic and younger cherts and crosscutting Late Jurassic plutons. Deformation in the North Fork terrane must have spanned a short period of time because the terrane is bounded structurally above and below by Middle or Late

Use of bioindicators and passive sampling devices to evaluate ambient ozone concentrations in north central Pennsylvania

Energy Technology Data Exchange (ETDEWEB)

Yuska, D.E.; Skelly, J.M.; Ferdinand, J.A.; Stevenson, R.E.; Savage, J.E.; Mulik, J.D.; Hines, A

2003-09-01

Passive samplers and bioindicator plants detect ozone air pollution in north central Pennsylvania. - Ambient concentrations of tropospheric ozone and ozone-induced injury to black cherry (Prunus serotina) and common milkweed (Asclepias syriaca) were determined in north central Pennsylvania from 29 May to 5 September 2000 and from 28 May to 18 September 2001. Ogawa passive ozone samplers were utilized within openings at 15 forested sites of which six were co-located with TECO model 49 continuous ozone monitors. A significant positive correlation was observed between the Ogawa passive samplers and the TECO model 49 continuous ozone monitors for the 2000 (r=0.959) and 2001 (r=0.979) seasons. In addition, a significant positive correlation existed in 2000 and 2001 between ozone concentration and elevation (r=0.720) and (r=0.802), respectively. Classic ozone-induced symptoms were observed on black cherry and common milkweed. In 2000, initial injury was observed in early June, whereas for the 2001 season, initial injury was initially observed in late June. During both seasons, injury was noted at most sites by mid- to late-July. Soil moisture potential was measured for the 2001 season and a significant positive relationship (P<0.001) showed that injury to black cherry was a function of cumulative ozone concentrations and available soil moisture.

Use of bioindicators and passive sampling devices to evaluate ambient ozone concentrations in north central Pennsylvania

International Nuclear Information System (INIS)

Yuska, D.E.; Skelly, J.M.; Ferdinand, J.A.; Stevenson, R.E.; Savage, J.E.; Mulik, J.D.; Hines, A.

2003-01-01

Passive samplers and bioindicator plants detect ozone air pollution in north central Pennsylvania. - Ambient concentrations of tropospheric ozone and ozone-induced injury to black cherry (Prunus serotina) and common milkweed (Asclepias syriaca) were determined in north central Pennsylvania from 29 May to 5 September 2000 and from 28 May to 18 September 2001. Ogawa passive ozone samplers were utilized within openings at 15 forested sites of which six were co-located with TECO model 49 continuous ozone monitors. A significant positive correlation was observed between the Ogawa passive samplers and the TECO model 49 continuous ozone monitors for the 2000 (r=0.959) and 2001 (r=0.979) seasons. In addition, a significant positive correlation existed in 2000 and 2001 between ozone concentration and elevation (r=0.720) and (r=0.802), respectively. Classic ozone-induced symptoms were observed on black cherry and common milkweed. In 2000, initial injury was observed in early June, whereas for the 2001 season, initial injury was initially observed in late June. During both seasons, injury was noted at most sites by mid- to late-July. Soil moisture potential was measured for the 2001 season and a significant positive relationship (P<0.001) showed that injury to black cherry was a function of cumulative ozone concentrations and available soil moisture

Who benefits from free institutional delivery? evidence from a cross sectional survey of North Central and Southwestern Nigeria.

Science.gov (United States)

Ajayi, Anthony I; Akpan, Wilson

2017-09-02

The reasons for low utilisation of maternal health services in settings where the user-fee removal policy has been implemented continue to generate scholarly debates. Evidence of whether user-fee removal benefits the poor women in underserved settings is scanty and inconsistent. This article examines use of maternal health care services in the context of free maternal healthcare and profiles the beneficiaries of user-fee removal. The study adopted a descriptive design. A three-stage cluster sampling method was used to select a representative sample of 1227 women who gave birth between 2011 and 2015. Questionnaires were administered using a face-to-face interview approach and data generated were analysed using descriptive and inferential statistics. The analysis shows that the use of maternal healthcare services has improved considerably in North Central and Southwestern Nigeria. While socioeconomic and geographical inequality in the use of maternal healthcare services appear to be disappearing in Southwestern Nigeria, it appears to be widening in North Central Nigeria. The findings indicate that 33.6% of women reported to have benefitted from the free child-delivery programme; however, substantial variation exists across the two regions. The proportion of beneficiaries of user-fee removal policy was highest in urban areas (35.9%), among women belonging to the middle income category (38.3%), among women who gave birth in primary health centres (63.1%) and among women who resided in communities where there was availability of health facilities (37.2%). The study concludes that low coverage of the free maternal health programme, especially among women of low socioeconomic status residing in underserved settings is among the reasons for persistent poor maternal health outcomes in the context of free maternal healthcare. A model towards improving maternal health in underserved settings, especially in North Central Nigeria, would entail provisioning of health facilities

A multi-criteria assessment of scenarios on thermal processing of infectious hospital wastes: A case study for Central Macedonia

International Nuclear Information System (INIS)

Karagiannidis, A.; Papageorgiou, A.; Perkoulidis, G.; Sanida, G.; Samaras, P.

2010-01-01

In Greece more than 14,000 tonnes of infectious hospital waste are produced yearly; a significant part of it is still mismanaged. Only one off-site licensed incineration facility for hospital wastes is in operation, with the remaining of the market covered by various hydroclave and autoclave units, whereas numerous problems are still generally encountered regarding waste segregation, collection, transportation and management, as well as often excessive entailed costs. Everyday practices still include dumping the majority of solid hospital waste into household disposal sites and landfills after sterilization, still largely without any preceding recycling and separation steps. Discussed in the present paper are the implemented and future treatment practices of infectious hospital wastes in Central Macedonia; produced quantities are reviewed, actual treatment costs are addressed critically, whereas the overall situation in Greece is discussed. Moreover, thermal treatment processes that could be applied for the treatment of infectious hospital wastes in the region are assessed via the multi-criteria decision method Analytic Hierarchy Process. Furthermore, a sensitivity analysis was performed and the analysis demonstrated that a centralized autoclave or hydroclave plant near Thessaloniki is the best performing option, depending however on the selection and weighing of criteria of the multi-criteria process. Moreover the study found that a common treatment option for the treatment of all infectious hospital wastes produced in the Region of Central Macedonia, could offer cost and environmental benefits. In general the multi-criteria decision method, as well as the conclusions and remarks of this study can be used as a basis for future planning and anticipation of the needs for investments in the area of medical waste management.

Otolith atlas for the western Mediterranean, north and central eastern Atlantic

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Victor M. Tuset

2008-07-01

Full Text Available The sagittal otolith of 348 species, belonging to 99 families and 22 orders of marine Teleostean fishes from the north and central eastern Atlantic and western Mediterranean were described using morphological and morphometric characters. The morphological descriptions were based on the otolith shape, outline and sulcus acusticus features. The morphometric parameters determined were otolith length (OL, mm, height (OH, mm, perimeter (P; mm and area (A; mm2 and were expressed in terms of shape indices as circularity (P2/A, rectangularity (A/(OL×OH, aspect ratio (OH/OL; % and OL/fish size. The present Atlas provides information that complements the characterization of some ichthyologic taxa. In addition, it constitutes an important instrument for species identification using sagittal otoliths collected in fossiliferous layers, in archaeological sites or in feeding remains of bony fish predators.

Comparison of the prevalence of respiratory viruses in patients with acute respiratory infections at different hospital settings in North China, 2012-2015.

Science.gov (United States)

Yu, Jianxing; Xie, Zhengde; Zhang, Tiegang; Lu, Yanqin; Fan, Hongwei; Yang, Donghong; Bénet, Thomas; Vanhems, Philippe; Shen, Kunling; Huang, Fang; Han, Jinxiang; Li, Taisheng; Gao, Zhancheng; Ren, Lili; Wang, Jianwei

2018-02-08

Acute respiratory infections (ARIs) are a great public health challenge globally. The prevalence of respiratory viruses in patients with ARIs attending at different hospital settings is fully undetermined. Laboratory-based surveillance for ARIs was conducted at inpatient and outpatient settings of 11 hospitals in North China. The first 2-5 patients with ARIs were recruited in each hospital weekly from 2012 through 2015. The presence of respiratory viruses was screened by PCR assays. The prevalence of respiratory viruses was determined and compared between patients at different hospital settings. A total of 3487 hospitalized cases and 6437 outpatients/Emergency Department (ED) patients were enrolled. The most commonly detected viruses in the hospitalized cases were respiratory syncytial virus (RSV, 33.3%) in children less than two years old, adenoviruses (13.0%) in patients 15-34 years old, and influenza viruses (IFVs, 9.6%) in patients ≥65 years. IFVs were the most common virus in outpatient/ED patients across all age groups (22.7%). After controlling for the confounders caused by other viruses and covariates, adenoviruses (adjusted odds ratio [aOR]: 3.97, 99% confidence interval [99% CI]: 2.19-7.20) and RSV (aOR: 2.04, 99% CI: 1.34-3.11) were independently associated with increased hospitalization in children, as well as adenoviruses in adults (aOR: 2.14, 99% CI: 1.19-3.85). Additionally, co-infection of RSV with IFVs was associated with increased hospitalization in children (aOR: 12.20, 99% CI: 2.65-56.18). A substantial proportion of ARIs was associated with respiratory viruses in North China. RSV, adenoviruses, and co-infection of RSV and IFVs were more frequent in hospitalized children (or adenoviruses in adults), which might predict the severity of ARIs. Attending clinicians should be more vigilant of these infections.

Prevalence of Clostridium difficile infection and colonization in a tertiary hospital and elderly community of North-Eastern Peninsular Malaysia.

Science.gov (United States)

Zainul, N H; Ma, Z F; Besari, A; Siti Asma, H; Rahman, R A; Collins, D A; Hamid, N; Riley, T V; Lee, Y Y

2017-10-01

Little is known about Clostridium difficile infection (CDI) in Asia. The aims of our study were to explore (i) the prevalence, risk factors and molecular epidemiology of CDI and colonization in a tertiary academic hospital in North-Eastern Peninsular Malaysia; (ii) the rate of carriage of C. difficile among the elderly in the region; (iii) the awareness level of this infection among the hospital staffs and students. For stool samples collected from hospital inpatients with diarrhea (n = 76) and healthy community members (n = 138), C. difficile antigen and toxins were tested by enzyme immunoassay. Stool samples were subsequently analyzed by culture and molecular detection of toxin genes, and PCR ribotyping of isolates. To examine awareness among hospital staff and students, participants were asked to complete a self-administered questionnaire. For the hospital and community studies, the prevalence of non-toxigenic C. difficile colonization was 16% and 2%, respectively. The prevalence of CDI among hospital inpatients with diarrhea was 13%. Out of 22 C. difficile strains from hospital inpatients, the toxigenic ribotypes 043 and 017 were most common (both 14%). In univariate analysis, C. difficile colonization in hospital inpatients was significantly associated with greater duration of hospitalization and use of penicillin (both P difficile colonization is prevalent in a Malaysian hospital setting but not in the elderly community with little or no contact with hospitals. Awareness of CDI is alarmingly poor.

Greenhouse gas fluxes of a shallow lake in south-central North Dakota, USA

Science.gov (United States)

Tangen, Brian; Finocchiaro, Raymond; Gleason, Robert A.; Dahl, Charles F.

2016-01-01

Greenhouse gas (GHG) fluxes of aquatic ecosystems in the northern Great Plains of the U.S. represent a significant data gap. Consequently, a 3-year study was conducted in south-central North Dakota, USA, to provide an initial estimate of GHG fluxes from a large, shallow lake. Mean GHG fluxes were 0.02 g carbon dioxide (CO2) m−2 h−1, 0.0009 g methane (CH4) m−2 h−1, and 0.0005 mg nitrous oxide (N2O) m−2 h−1. Fluxes of CO2 and CH4 displayed temporal and spatial variability which is characteristic of aquatic ecosystems, while fluxes of N2O were consistently low throughout the study. Comparisons between results of this study and published values suggest that mean daily fluxes of CO2, CH4, and N2O fromLong Lakewere low, particularly when compared to the well-studied prairie pothole wetlands of the region. Similarly, cumulative seasonal CH4 fluxes, which ranged from 2.68–7.58 g CH4 m−2, were relatively low compared to other wetland systems of North America. The observed variability among aquatic ecosystems underscores the need for further research.

We are family? Spanish law and lesbian normalization in Hospital Central.

Science.gov (United States)

Calvo, Mónica; Escudero, Maite

2009-01-01

After four decades of a repressive dictatorial regime during which homosexuality was banned and punished with prison sentence and electroshock, Spain became a democratic country in 1978. The social, political, and legal debates previous to the passing of the law on same-sex marriage in June 2005 fueled lesbian visibility in the media. Considering that the emergence of lesbian representation has been linked to these social and political changes, our contribution centers on the ways in which the prime time TV series Hospital Central unravels as a vehicle for the normalization of lesbian relationships and families as addressed to a mostly heterosexual audience.

Prescribing Albumin in a Central Hospital. New Standards versus Old Habits

OpenAIRE

Pasini, J; Marcelino, P

2012-01-01

O presente estudo teve como objectivo aferir a adequação da prescrição de albumina humana num hospital central à evidência científica nesta área actualmente disponível. O estudo foi retrospectivo e analisou os pedidos de albumina aos serviços farmacêuticos entre Setembro de 2007 e Agosto de 2008. Analisadas 761 requisições de 619 doentes com idade média de 58,1 +/- 14,7 anos, 510 (77%) dos quais do sexo masculino. Foram avaliados parâmetros analíticos globais (proteínas totais, album...

Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. IV. - October of 2001; Asesoria especializada en seguridad radiologica a la clinica al hospital central sur de alta especialidad, PEMEX. IV.- Octubre de 2001

Energy Technology Data Exchange (ETDEWEB)

Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F

2002-01-15

The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

Aetiologies of central nervous system infection in Viet Nam: a prospective provincial hospital-based descriptive surveillance study.

Directory of Open Access Journals (Sweden)

Nghia Ho Dang Trung

Full Text Available Infectious diseases of the central nervous system (CNS remain common and life-threatening, especially in developing countries. Knowledge of the aetiological agents responsible for these infections is essential to guide empiric therapy and develop a rational public health policy. To date most data has come from patients admitted to tertiary referral hospitals in Asia and there is limited aetiological data at the provincial hospital level where most patients are seen.We conducted a prospective Provincial Hospital-based descriptive surveillance study in adults and children at thirteen hospitals in central and southern Viet Nam between August 2007-April 2010. The pathogens of CNS infection were confirmed in CSF and blood samples by using classical microbiology, molecular diagnostics and serology.We recruited 1241 patients with clinically suspected infection of the CNS. An aetiological agent was identified in 640/1241 (52% of the patients. The most common pathogens were Streptococcus suis serotype 2 in patients older than 14 years of age (147/617, 24% and Japanese encephalitis virus in patients less than 14 years old (142/624, 23%. Mycobacterium tuberculosis was confirmed in 34/617 (6% adult patients and 11/624 (2% paediatric patients. The acute case fatality rate (CFR during hospital admission was 73/617 (12% in adults and to 42/624 (7% in children.Zoonotic bacterial and viral pathogens are the most common causes of CNS infection in adults and children in Viet Nam.

Depression in chronic respiratory disorders in a tertiary rural hospital of Central India

Institute of Scientific and Technical Information of China (English)

Sameer singhal; Pankaj Banode; Nitish Baisakhiya

2009-01-01

Objective: To determine prevalence of depression in chronic respiratory disorders in a tertiary rural hospital of Central India. Various studies done in past have shown that prevalence of depression in diabetes and hypertension is around 40%-57%. Few studies have been done to screen depression in chronic respiratory disorders. This study was conducted in a tertiary rural hospital of Central India to find out prevalence of depression in indoor patients suffering from chronic respiratory disorders. Methods: Total 68 patients were evaluated for depression. Patients suffering from chronic respiratory disorders (total duration of illness >3 months) were evaluated using Prime MD Questionnaire. Patients suffering from diabetes, heart diseases, stroke, having past history of psychiatric illness, drug abusers, having lack of social support and suffering from chronic upper respiratory tract infections were excluded from this study. Questionnaire was asked when treatment for acute phase of illness is over. Results: Out of 68 patients evaluated, 36 (53%) were found out to be suffering from depression. Female gender (80%) was more prone to depression, inspite of the fact that all alcoholics were male. 39% of all chronic obstructive pulmonary disease (COPD) patients were suffering from depression in comparison to 65% for pulmonary tuberculosis and 44% for other chronic respiratory illness. 54% of patients suffering from depression are 60 yrs of age, suggesting that age has no relation with depression. No association was seen between alcoholism and depression. Conclusion: Prevalence of depression in patients of chronic respiratory illness is very high, like in cases of diabetes and hypertension. Further community and hospital based studies are needed to find out exact prevalence of depression in chronic respiratory illnesses.

Effect of diagenesis on pore pressures in fine-grained rocks in the Egersund Basin, Central North Sea

OpenAIRE

Kalani, Mohsen; Zadeh, Mohammad Koochak; Jahren, Jens; Mondol, Nazmul Haque; Faleide, Jan Inge

2015-01-01

- Pore pressure in fine-grained rocks is important with respect to drilling problems such as kicks, blowouts, borehole instability, stuck pipe and lost circulation. In this study, a succession of overpressured, fine-grained, sedimentary rocks located in the Egersund Basin, Central North Sea, was analysed with respect to mineralogical composition, source-rock maturation and log-derived petrophysical properties to highlight the effect of diagenetic processes on the pore pressure. Pe...

Scrub typhus meningoencephalitis, a diagnostic challenge for clinicians: A hospital based study from North-East India

Directory of Open Access Journals (Sweden)

M D Jamil

2015-01-01

Full Text Available Central nervous system (CNS involvement is a known complication of scrub typhus which range from mild meningitis to frank meninigoencephalitis.Aims and objectives: To study the clinical feature, laboratory parameters and response to treatment of scrub typhus meningitis/meningoencephalitis.Methods and Materials: This is a hospital based prospective observational study from North Eastern India. Diagnosis was based on clinical features and positive serological test (Weil's Felix test and IgM antibody card test.Results: 13 patients of scrub typhus with features of meningitis/meningoencephalitis were included. The mean duration of fever before presentation was 5.61±3.08 days and 4 (30.76 % patients had eschar. Altered sensorium, headache, seizure and meningeal sign were present in 13 (100%, 13 (100%, 6 (46.15% and 10 (76.92% patients respectively. Mean CSF protein, glucose and Adenosine deaminase was 152.16±16.88mg/dl, 55.23±21.7mg/dl, and 16.98±7.37U/L respectively. Mean total count of CSF leukocyte and lymphocyte percentage was 46.07±131 cell/cumm and 98.66±3.09% respectively. Tablet doxycycline with or without injection azithromycin was used and that shows good response 15.38% of patients died and all of them had multi organ dysfunction. Conclusion: Meningoencephalitis is a common manifestation of scrub typhus and diagnosis requires high degree of clinical suspicion which if diagnosed early and specific treatment started, patients usually recover completely with few complications.

Soil respiration rate on the contrasting north- and south-facing slopes of a larch forest in central Siberia

International Nuclear Information System (INIS)

Yanagihara, Y.; Koike, T.; Matsuura, Y.; Mori, S.; Shibata, H.; Satoh, F.; Masuyagina, O.V.; Zyryanova, O.A.; Prokushkin, A.S.; Prokushkin, S.G.; Abaimov, A.P.

2000-01-01

In an attempt to evaluate global warming effects, we measured the soil respiration of the contrasting north- and south- facing slopes of a larch forest in central Siberia, located at Tura City in the Krasnoyarsk District, Russia. The north-facing slope is assumed to be the present condition while the south-facing slope may stand for the future warm condition. As a result of differences in solar radiation, there were clear differences between the north- and south- facing slopes in terms, for example, of the active layer as the growth rate of larch trees. The soil respiration rate was higher on the south-facing slope than on the north-facing slope. At the temperature of 15°C, soil respiration rate of the south-facing slope was ca. 6.2 μ mol CO 2 * m -2 s -1 , which was about 0.6 times lower than that of broad-leaved forests in Hokkaido. There was an exponential correlation between soil temperature at 10 cm depth and the efflux of CO 2 from the soil surface. Various conditions (soil temperature,. nitrogen content and soil water content) seemed to be more favorable for soil respiration on the south-facing slope. (author)

Characteristics and visual outcomes of patients hospitalized for ocular trauma in central China:2006-2011

Directory of Open Access Journals (Sweden)

Ying Qi

2015-05-01

Full Text Available AIM: To complete the data of ocular trauma in central China, as a well-known tertiary referral center for ocular trauma, we documented the epidemiological characteristics and visual outcomes of patients hospitalized for ocular trauma in this region. METHODS: A retrospective study of patients hospitalized for ocular trauma in central China from 2006 to 2011 was performed. RESULTS: This study included 5964 eyes of 5799 patients. The average age was 35.5±21.8y with a male-to-female ratio of 2.8:1. The most common age was 45-59y age group. Most patients were farmers and workers (51.9%. The most common injuries were firework related (24.5%, road traffic related (24.2%, and work related (15.0%. Among the most common causative agents were firecrackers (24.5%, followed by metal/knife/scissors (21.4%. Most injuries occurred in January (14.2%, February (27.0%, and August (10.0%. There were 8.5% patients with ocular injuries combined with other injuries. The incidence of open ocular injuries (4585 eyes, 76.9% was higher than closed ocular injuries (939 eyes, 15.7%. The incidences of chemical and thermal ocular injuries were 1.2% and 0.6%. Ocular trauma score (OTS predicted final visual acuity at non light perception (NLP, 20/200-20/50 and 20/40 with a sensitivity of 100%, and light perception (LP/hand motion (HM and 1/200-19/200 with a specificity of 100%. CONCLUSIONS: This study provides recent epidemiological data of patients hospitalized for ocular trauma in central China. Some factors influencing the visual outcome include time interval between injury and visit to the clinic, wound location, open or closed globe injury, initial visual acuity, and OTS.

Assessment of relative active tectonics, south central Alborz (north Iran)

Science.gov (United States)

Khavari, R.; Ghorashi, M.; Arian, M.

2009-04-01

The paper present a method for evaluating relative active tectonics based on geomorphic indices useful in evaluating morphology and topography. Indices used include: stream length-gradient index (SL), drainage basin asymmetry (Af), hypsometric integral (Hi), ratio of valley-floor width to valley height (Vf), index of drainage basin shape (Bs), and index of mountain front sinuosity (Smf). Results from the analysis are accumulated and expressed as an index of relative active tectonics (Iat), which we divide into four classes from relatively low to highest tectonic activity. The study area along the south flank of the central Alborz mountain range in north Iran is an ideal location to test the concept of an index to predict relative tectonic activity on a basis of area rather than a single valley or mountain front. The recent investigations show that neotectonism has played a key role in the geomorphic evolution of this part of the Alborz mountain range. Geomorphic indices indicate the presence of differential uplifting in the geological past. The area surrounding the Amirkabir lake shows very high relative tectonic activity.

Revised draft: North Central Regional environmental characterization report. Volume 1

International Nuclear Information System (INIS)

1984-11-01

This report presents available environmental information pertinent to siting a repository for high-level nuclear waste in crystalline rock in Minnesota, Wisconsin, and the Upper Peninsula of Michigan. For each of the states within the North Central Region, information is provided on those environmental disqualifying factors and regional screening variables to be used in region-to-area screening. These environmental factors and variables include existing and proposed federal protected lands, proximity to federal protected lands, existing state protected lands, proximity to state protected lands, population density and distribution, proximity to highly populated areas, national and state forest lands, state wildlife lands, designated critical habitats for threatened and endangered species, surface water bodies, and wetlands. In addition, supplementary descriptive information providing a general characterization of the region is presented, as is information on environmental parameters that may be of use at later phases of screening. Also included is a discussion of the relationship between the DOE Siting Guidelines and those environmental disqualifying factors and regional screening variables to be used in the region-to-area screening process

Predictors of Registered Nurses' Intention To Quit: Implications for the Management of Health Care Human Resources in North Dakota Hospitals.

Science.gov (United States)

Pooyan, Abdullah; And Others

Turnover rates for nurses are among the highest for all professional employees. This study investigated the potential predictors of registered nurses' intention to quit. Survey questionnaires were mailed to a population of 779 registered nurses from two hospitals in North Dakota. Approximately 4 weeks later, usable responses were received from 353…

Tubulointerstitial damage as the major pathological lesion in endemic chronic kidney disease among farmers in North Central Province of Sri Lanka.

Science.gov (United States)

Nanayakkara, Shanika; Komiya, Toshiyuki; Ratnatunga, Neelakanthi; Senevirathna, S T M L D; Harada, Kouji H; Hitomi, Toshiaki; Gobe, Glenda; Muso, Eri; Abeysekera, Tilak; Koizumi, Akio

2012-05-01

Chronic kidney disease of uncertain etiology (CKDu) in North Central Province of Sri Lanka has become a key public health concern in the agricultural sector due to the dramatic rise in its prevalence and mortality among young farmers. Although cadmium has been suspected as a causative pathogen, there have been controversies. To date, the pathological characteristics of the disease have not been reported. Histopathological observations of 64 renal biopsies obtained at Anuradhapura General Hospital from October 2008 to July 2009 were scored according to Banff 97 Working Classification of Renal Allograft pathology. The correlations between the histological observations and clinical parameters were statistically analyzed. Interstitial fibrosis and tubular atrophy with or without nonspecific interstitial mononuclear cell infiltration was the dominant histopathological observation. Glomerular sclerosis, glomerular collapse, and features of vascular pathology such as fibrous intimal thickening and arteriolar hyalinosis were also common. Although hypertension was identified as one of the common clinical features among the cases, it did not influence the histopathological lesions in all the cases. This study concludes that tubulointerstitial damage is the major pathological lesion in CKDu. Exposure(s) to an environmental pathogen(s) should be systematically investigated to elucidate such tubulointerstitial damage in CKDu.

"El Miedo y El Hambre": Understanding the Familial, Social, and Educational Realities of Undocumented Latino Families in North Central Indiana

Science.gov (United States)

Viramontez Anguiano, Ruben P.; Lopez, Anayeli

2012-01-01

This study explored how different ecological factors, within and outside the family, affected the educational success of the children of undocumented families. The sample consisted of 63 immigrant Latino parents (40 families) who resided in North Central Indiana. This study utilized an ethnographic research design. Findings demonstrated that…

Identifying Pelagic Habitat Hotspots of Neon Flying Squid in the Temperate Waters of the Central North Pacific.

Science.gov (United States)

Alabia, Irene D; Saitoh, Sei-Ichi; Mugo, Robinson; Igarashi, Hiromichi; Ishikawa, Yoichi; Usui, Norihisa; Kamachi, Masafumi; Awaji, Toshiyuki; Seito, Masaki

2015-01-01

We identified the pelagic habitat hotspots of the neon flying squid (Ommastrephes bartramii) in the central North Pacific from May to July and characterized the spatial patterns of squid aggregations in relation to oceanographic features such as mesoscale oceanic eddies and the Transition Zone Chlorophyll-a Front (TZCF). The data used for the habitat model construction and analyses were squid fishery information, remotely-sensed and numerical model-derived environmental data from May to July 1999-2010. Squid habitat hotspots were deduced from the monthly Maximum Entropy (MaxEnt) models and were identified as regions of persistent high suitable habitat across the 12-year period. The distribution of predicted squid habitat hotspots in central North Pacific revealed interesting spatial and temporal patterns likely linked with the presence and dynamics of oceanographic features in squid's putative foraging grounds from late spring to summer. From May to June, the inferred patches of squid habitat hotspots developed within the Kuroshio-Oyashio transition zone (KOTZ; 37-40°N) and further expanded north towards the subarctic frontal zone (SAFZ; 40-44°N) in July. The squid habitat hotspots within the KOTZ and areas west of the dateline (160°W-180°) were likely influenced and associated with the highly dynamic and transient oceanic eddies and could possibly account for lower squid suitable habitat persistence obtained from these regions. However, predicted squid habitat hotspots located in regions east of the dateline (180°-160°W) from June to July, showed predominantly higher squid habitat persistence presumably due to their proximity to the mean position of the seasonally-shifting TZCF and consequent utilization of the highly productive waters of the SAFZ.

Working Together to Make a Difference in Rural America: North Central Regional Center for Rural Development, 2010 Annual Report

Science.gov (United States)

North Central Regional Center for Rural Development, 2011

2011-01-01

The North Central Regional Center for Rural Development (NCRCRD) is one of four regional centers in the United States that have worked to improve the quality of life in rural communities for nearly 40 years. With funding from the USDA National Institute of Food and Agriculture and the land-grant universities in our 12-state region, the NCRCRD…

Optical dating of perennially frozen deposits associated with preserved ancient plant and animal DNA in north-central Siberia

DEFF Research Database (Denmark)

Arnold, L.J.; Roberts, R.G.; Macphee, R.D.E.

2008-01-01

We present chronological constraints on a suite of permanently frozen fluvial deposits which contain ancient DNA (aDNA) from the Taimyr Peninsula of north-central Siberia. The luminescence phenomenology of these samples is first discussed, focusing on the optically stimulated luminescence (OSL) d...... of providing a reliable chronometric framework for sedimentary aDNA records in permafrost environments. (C) 2007 Elsevier Ltd. All rights reserved Udgivelsesdato: 2008...

Best practices to promote occupational safety and satisfaction: a comparison of three North American hospitals.

Science.gov (United States)

McCaughey, Deirdre; DelliFraine, Jami; Erwin, Cathleen O

2015-01-01

Hospitals in North America consistently have employee injury rates ranking among the highest of all industries. Organizations that mandate workplace safety training and emphasize safety compliance tend to have lower injury rates and better employee safety perceptions. However, it is unclear if the work environment in different national health care systems (United States vs. Canada) is associated with different employee safety perceptions or injury rates. This study examines occupational safety and workplace satisfaction in two different countries with employees working for the same organization. Survey data were collected from environmental services employees (n = 148) at three matched hospitals (two in Canada and one in the United States). The relationships that were examined included: (1) safety leadership and safety training with individual/unit safety perceptions; (2) supervisor and coworker support with individual job satisfaction and turnover intention; and (3) unit turnover, labor usage, and injury rates. Hierarchical regression analysis and ANO VA found safety leadership and safety training to be positively related to individual safety perceptions, and unit safety grade and effects were similar across all hospitals. Supervisor and coworker support were found to be related to individual and organizational outcomes and significant differences were found across the hospitals. Significant differences were found in injury rates, days missed, and turnover across the hospitals. This study offers support for occupational safety training as a viable mechanism to reduce employee injury rates and that a codified training program translates across national borders. Significant differences were found.between the hospitals with respect to employee and organizational outcomes (e.g., turnover). These findings suggest that work environment differences are reflective of the immediate work group and environment, and may reflect national health care system differences.

Radiocarbon in dissolved organic matter in the central North Pacific Ocean

International Nuclear Information System (INIS)

Williams, P.M.; Druffel, E.R.M.

1987-01-01

The authors present the first detailed profile of radiocarbon measured in dissolved organic carbon (DOC) and dissolved inorganic carbon (DIC) in the oligotrophic gyre of the central North Pacific. Δ 14 C of DOC ranged from -150 per mille (1,310 yr BP) in surface waters to -540 per mille (6,240 yr BP) at 5,710 m, 40 m off the bottom. The surprising similarity in the shapes of the profiles of Δ 14 C in the DOC and DIC pools suggest that similar processes are controlling the radiocarbon distribution in each of the two reservoirs and that bomb-produced radiocarbon has penetrated the DOC + DIC pools to a depth of ∼ 900 m. The depletion of the Δ 14 Csub(DOC) values by 300 per mille with respect to the Δ 14 Csub(DIC) values suggests that a certain fraction of the DOC is recycled within the ocean on longer time-scales than DIC. (author)

Helminth parasites of the raccoon (Procyon lotor) from north-central Arkansas.

Science.gov (United States)

Richardson, D J; Owen, W B; Snyder, D E

1992-02-01

Twenty-three species of helminths (4 trematodes, 2 cestodes, 14 nematodes, and 3 acanthocephalans) were found in the gastrointestinal tract, lungs, pancreas, tongue, urinary bladder, and subcutaneous tissues of 30 live-trapped or hunter-shot raccoons from north-central Arkansas between November 1989 and April 1990. Helminths were not detected in the brain, diaphragm, gallbladder, heart, liver, reproductive system, or trachea. Each raccoon examined was infected with 3 or more of the following helminths: Brachylaima virginiana, Eurytrema procyonis, Fibricola cratera, Pharyngostomoides procyonis, Atriotaenia procyonis, Mesocestoides spp., Arthrocephalus lotoris, Capillaria aerophila, Capillaria plica, Capillaria procyonis, Capillaria putorii, Crenosoma goblei, Cruzia americana, Dirofilaria tenuis, Dracunculus insignis, Enterobius sp., Gnathostoma procyonis, Molineus barbatus, Physaloptera rara, Trichinella spiralis, Centrorhynchus wardae, Macracanthorhynchus ingens, and Oligacanthorhynchus tortuosa. All helminths collected with the exception of D. insignis constitute new geographic distribution records. Occurrences of C. aerophila, C. wardae, and O. tortuosa are new host records. One nymphal pentastome, Porocephalus crotali, was found in the liver of 1 raccoon, constituting a new host record.

Correspondence: risk factors of acute respiratory infection in under-fives in a rural hospital of Central India – Authors’ reply

Directory of Open Access Journals (Sweden)

Amar Taksande

2016-07-01

Full Text Available Dear Editor,We thank the authors for their interest and comments on our paper. They have raised some very valid points. This corrispondence refers to the following article:Taksande AM, Yeole M. Risk factors of Acute Respiratory Infection (ARI in under-fives in a rural hospital of Central India. J Pediatr Neonat Individual Med. 2016;5(1:e050105. doi: 10.7363/050105 br />Comments can be found in the following article:Mandal A, Sahi PK. Correspondence: risk factors of acute respiratory infection in under-fives in a rural hospital of Central India. J Pediatr Neonat Individual Med. 2016;5(2:e050207. doi: 10.7363/050207

Phase III (final) evaluation report : national evaluation of the FY01 earmark, area transportation authority of North Central Pennsylvania--regional GIS/ITS initiative.

Science.gov (United States)

2009-08-31

This report presents the results of the United States Department of Transportation evaluation of a federally funded earmark project implemented by the Area Transportation Authority of North Central Pennsylvania (ATA). The project implemented a suite ...

MORPHOLOGICAL CHARACTERISTICS FOR CLASSIFICATION OF GENUS MACROPODUS LACÉPÈDE, 1801 IN GIANH RIVER IN THE NORTH CENTRAL PART OF VIETNAM

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Ho Anh TUAN

2015-12-01

Full Text Available Analysis and identification of 57 specimens of genus Macropodus Lacépède collected from Gianh River in Quang Binh province in north center region Vietnam. We have classified three species: Macropodus erythropterus (Frey. & Her., 2002, Macropodus opercularis (Linneaeus, 1758, Macropodus spechti (Schreitmüller, 1936 was first discovered in the study area and north center region Vietnam.CARACTERISTICA MORFOLOGICĂ PENTRU CLASIFICAREA GENULUI MACROPODUS LACÉPÈDE, 1801 DIN BAZINUL RÂULUI GIANH, REGIUNEA CENTRALĂ DE NORD A VIETNAMULUIAu fost analizate şi identificate 57 de exemplare ale genului Macropodus Lacépède colectate din bazinul râului Gianh, provincia Quang Binh, regiunea centrală de nord a Vietnamului. Noi am clasificat 3 specii: Macropodus erythropterus (Frey. & Her., 2002, Macropodus opercularis (Linneaeus, 1758 şi Macropodus spechti (Schreitmüller, 1936, descoperite în aria de studiu şi în regiunea centrală de nord a Vietnamului.

Forty-two years of change in an old-growth and second-growth beech-maple forest of north central Ohio

Science.gov (United States)

Natalie R. Pinheiro; P. Charles Goebel; David M. Hix

2008-01-01

Using data collected in 1964 and 2006, we examined changes in the composition and structure of a second-growth and old-growth beech-maple forest of Crall Woods, located in Ashland County of north central Ohio. Over the 42 years, the old-growth forest (estimated to be at least 250 years old) experienced a significant shift in species composition as American beech,...

Assessment of electricity generation and energy cost of wind energy conversion systems in north-central Nigeria

International Nuclear Information System (INIS)

Adaramola, M.S.; Paul, S.S.; Oyedepo, S.O.

2011-01-01

Highlights: → The wind energy potential and economic analysis in selected six locations in north central part of Nigeria are investigated. → Economical evaluation of the wind energy in the selected sites was made by using the levelised cost method. → Locations that are suitable electricity generation and small scale applications are identified. - Abstract: In this study, the wind energy potential and economic analysis in selected six locations in north central part of Nigeria were investigated using wind speed data that span between 19 and 37 years measured at 10 m height. The performance of small to medium size commercial wind turbine models were examined and economic evaluation of the wind energy in the selected sites was made by using the levelised cost method. The results showed that the cost of energy production per kWh for the selected sites vary between cents 4.02 and cents 166.79. It was shown that Minna is most viable site while Bida is found to be least among the sites considered. Using three selected wind turbine models (in Minna) as case study, an increase in the escalation rate of operating and maintenance cost from 0% to 10%, lead to an increase in the unit energy cost by about 7%. It was further shown that by increasing the escalation rate of inflation from 0% to 5%, the cost of energy decreases by about 29% while the discount rate (return on investment) decreases from 11.54% to 6.23%.

Evaluation of the Surface Water Distribution in North-Central Namibia Based on MODIS and AMSR Series

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Hiroki Mizuochi

2014-08-01

Full Text Available Semi-arid North-central Namibia has high potential for rice cultivation because large seasonal wetlands (oshana form during the rainy season. Evaluating the distribution of surface water would reveal the area potentially suitable for rice cultivation. In this study, we detected the distribution of surface water with high spatial and temporal resolution by using two types of complementary satellite data: MODIS (MODerate-resolution Imaging Spectroradiometer and AMSR-E (Advanced Microwave Scanning Radiometer–Earth Observing System, using AMSR2 after AMSR-E became unavailable. We combined the modified normalized-difference water index (MNDWI from the MODIS data with the normalized-difference polarization index (NDPI from the AMSR-E and AMSR2 data to determine the area of surface water. We developed a simple gap-filling method (“database unmixing” with the two indices, thereby providing daily 500-m-resolution MNDWI maps of north-central Namibia regardless of whether the sky was clear. Moreover, through receiver-operator characteristics (ROC analysis, we determined the threshold MNDWI (−0.316 for wetlands. Using ROC analysis, MNDWI had moderate performance (the area under the ROC curve was 0.747, and the recognition error for seasonal wetlands and dry land was 21.2%. The threshold MNDWI let us calculate probability of water presence (PWP maps for the rainy season and the whole year. The PWP maps revealed the total area potentially suitable for rice cultivation: 1255 km2 (1.6% of the study area.

Self-Study Report for Candidacy. Prepared by Mennonite College of Nursing for the North Central Association of Colleges and Schools.

Science.gov (United States)

Mennonite Coll. of Nursing, Bloomington, IN.

A self-evaluation report by the Mennonite College of Nursing, which is applying for candidacy status with the North Central Association of Colleges and Schools, is presented. Information is provided on the evolution of the program and the program evaluation process, as well as strengths and concerns of the college and plans for further…

Topography- and Species-Dependent Climatic Responses in Radial Growth of Picea meyeri and Larix principis-rupprechtii in the Luyashan Mountains of North-Central China

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Wentao Zhang

2015-01-01

Full Text Available Dendroecological techniques were used to examine the relationships between topographic aspects, climate factors and radial growth of Picea meyeri and Larix principis-rupprechtii in Luyashan Mountains, North-Central China. Four sites were selected at timberline and totally 67 trees and 134 cores were collected. Pearson correlation and regression surface analysis were conducted to reveal the growth-climate relationships. The results indicated that the two species both showed significant negative correlations with temperature during preceding November on the two topographic aspects. On both slope aspects, growth of P. meyeri exhibited significant negative correlations with precipitation in current June, whereas growth of L. principis-rupprechtii showed significant negative correlations with precipitation in preceding September. On north-facing slope, tree growth was limited by low temperature in early growing season, which not shown on south-facing slope. If climate warming continues, L. principis-rupprechtii may be more favored and a reverse between relationships with temperature and precipitation maybe occur in growth of trees. Treeline position on the north-facing slope may possess a greater potential for elevation shifting than the south-facing slope. Our results supply useful information for discussing the potential effect of future climate on the forest growth in North-Central China.

Anopheline (Diptera:Culicidae) breeding in a traditional tank-based village ecosystem in north central Sri Lanka

DEFF Research Database (Denmark)

Amerasinghe, F P; Konradsen, F; Fonseka, K T

1997-01-01

A 13-mo survey of immature anopheline mosquitoes breeding in surface water habitats was done at Mahameegaswewa village within the Huruluwewa watershed in north central Sri Lanka as part of a multidisciplinary study on malaria epidemiology. The watershed is representative of the ancient small tank......-based irrigation network that still forms an important component of the rice production system in the low elevation dry zone. In total, 3,818 immatures representing 12 species were obtained from 2,940 samples taken from 5 larval habitats within the village ecosystem. Anopheles varuna Iyengar and An. culicifacies...

Hydrogeology and ground-water quality of glacial-drift aquifers, Leech Lake Indian Reservation, north-central Minnesota

Science.gov (United States)

Lindgren, R.J.

1996-01-01

Among the duties of the water managers of the Leech Lake Indian Reservation in north-central Minnesota are the development and protection of the water resources of the Reservation. The U.S. Geological Survey, in cooperation with the Leech Lake Indian Reservation Business Committee, conducted a three and one half-year study (1988-91) of the ground-water resources of the Leech Lake Indian Reservation. The objectives of this study were to describe the availability and quality of ground water contained in glacial-drift aquifers underlying the Reservation.

Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. II.- August of 2001

International Nuclear Information System (INIS)

Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J.

2001-12-01

The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. III.- September of 2001

International Nuclear Information System (INIS)

Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Rodriguez A, F.; Garcia A, J.

2001-12-01

The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. IV. - October of 2001

International Nuclear Information System (INIS)

Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F.

2002-01-01

The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. I. - July of 2001

International Nuclear Information System (INIS)

Angeles C, A.; Vizuet G, J.

2001-09-01

The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

Specialized consultant in radiological safety to the south central hospital of high speciality, PEMEX. V. - November of 2001

International Nuclear Information System (INIS)

Angeles C, A.; Vizuet G, J.; Benitez S, J. A.; Garcia A, J.; Rodriguez A, F.

2002-01-01

The south central hospital of high speciality, dependent of PEMEX, It request consultant of the ININ to be able to maintain their sanitary license for the use of X-ray equipment for the radiologic diagnostic.The proposal of the ININ was to be a program of technical attendance, schedule monthly to be able to solve the observations that are presented in the use of those equipment, and that the hospital can conserve its respective sanitary license.(Author)

Review of DOE's proposal for Crystalline bedrock disposal of radioactive waste, north-central area

International Nuclear Information System (INIS)

Green, J.C.

1986-01-01

The DOE's Region-to-Area Screening Methodology for the Crystalline Repository Project (DOE/CH-1), the Final North-Central Region Geologic Characterization Report (DOE/CH-8(1)), and the Draft Area Recommendation Report for the Crystalline Repository Project (DOE/CH-15), with the associated maps, were reviewed. The review has focused on all general information regarding geologic topics and all site-specific data for DOE sites NC-10 and NC-3. This report contains two parts: (1) a point-by-point critique of perceived errors, omissions, or other shortcomings in each of the three documents; and (2) a discussion of the feasibility of crystalline bedrock as a suitable host medium for high-level radioactive waste

North Central Regional environmental characterization report. Volume 1. Final report

International Nuclear Information System (INIS)

1985-08-01

This report presents available environmental information pertinent to siting a repository for high-level nuclear waste in crystalline rock in Minnesota, Wisconsin, and the Upper Peninsula of Michigan. For each of the states within the North Central Region, information is provided on those environmental disqualifying factors and regional screening variables to be used in region-to-area screening. These environmental factors and variables include existing and proposed Federal-protected lands, proximity to Federal-protected lands, components of national forest lands, existing state-protected lands, proximity to state-protected lands, population density and distribution, proximity to highly populated areas or to 1-mile square areas with 1000 or more persons, national and state forest lands, designated critical habitats for threatened and endangered spcies, surface water bodies, and wetlands. In addition, supplementary descriptive information providing a general characterization of the region is presented, as is information on environmental parameters that will be of use at later phases of screening. Also included is a discussion of the relationship between the US Department of Energy Siting Guidelines (10CFR 960) and those environmental disqualifying factors and regional screening variables to be used in the region-to-area screening process

Diagnostic, evaluation and handling of the tumors of soft tissues. Experience in the Central Military Hospital

International Nuclear Information System (INIS)

Pineda Acero, Gustavo Adolfo; Torres Quintero, Pio

2001-01-01

With the purpose of analyzing the experience of the orthopedics service and traumatology of the central military hospital in the treatment of the tumors of soft tissues, it carries out a descriptive observational study, type series of cases and retrospective. The incidence of the tumors of soft tissues compared with carcinomas and other neoplasia, constitutes less than 1% of all cancerous and the benign ones are more common than the wicked ones in a range of 100:1. The knowledge of the classification, stadification, evaluation strategies, previous biopsy, surgical treatment, radiotherapy y/o chemotherapy is vital for a good final result. 29 clinical histories were included of patient with tumoral lesions in the soft tissues, valued in the central military hospital between March of 1996 and March of 2001. The age average was of 39 years and the pursuit of 24 months. In most of the cases the anatomical commitment belonged to the inferior members (93%), 79% for benign tumors and 21% for wicked tumors. To avoid incorrect diagnoses and inappropriate treatments it is necessary the coordinated evaluation of all multidisciplinary team

Effects of air-sea coupling over the North Sea and the Baltic Sea on simulated summer precipitation over Central Europe

Science.gov (United States)

Ho-Hagemann, Ha Thi Minh; Gröger, Matthias; Rockel, Burkhardt; Zahn, Matthias; Geyer, Beate; Meier, H. E. Markus

2017-12-01

This study introduces a new approach to investigate the potential effects of air-sea coupling on simulated precipitation inland over Central Europe. We present an inter-comparison of two regional climate models (RCMs), namely, the COSMO-CLM (hereafter CCLM) and RCA4 models, which are configured for the EURO-CORDEX domain in the coupled and atmosphere-only modes. Two versions of the CCLM model, namely, 4.8 and 5.0, join the inter-comparison being almost two different models while providing pronouncedly different summer precipitation simulations because of many changes in the dynamics and physics of CCLM in version 5.0. The coupling effect on the prominent summer dry bias over Central Europe is analysed using seasonal (JJA) mean statistics for the 30-year period from 1979 to 2009, with a focus on extreme precipitation under specific weather regimes. The weather regimes are compared between the coupled and uncoupled simulations to better understand the mechanism of the coupling effects. The comparisons of the coupled systems with the atmosphere-only models show that coupling clearly reduces the dry bias over Central Europe for CCLM 4.8, which has a large dry summer bias, but not for CCLM 5.0 and RCA4, which have smaller dry biases. This result implies that if the atmosphere-only model already yields reasonable summer precipitation over Central Europe, not much room for improvement exists that can be caused by the air-sea coupling over the North Sea and the Baltic Sea. However, if the atmosphere-only model shows a pronounced summer dry bias because of a lack of moisture transport from the seas into the region, the considered coupling may create an improved simulation of summer precipitation over Central Europe, such as for CCLM 4.8. For the latter, the benefit of coupling varies over the considered timescales. The precipitation simulations that are generated by the coupled system COSTRICE 4.8 and the atmosphere-only CCLM 4.8 are mostly identical for the summer mean

[Primary lymphoma of the central nervous system: 20 years' experience in a referral hospital].

Science.gov (United States)

Calderón-Garcidueñas, A L; Pacheco-Calleros, J; Castelán-Maldonado, E; Nocedal-Rustrián, F C

Primary central nervous system lymphomas (PCNSL) are rare neoplasms. AIM. To study the clinical aspects and the immuno-phenotype of all cases of PCNSL in a 20 years lapse in a referral hospital in Northeastern Mexico. From January 1986 to December 2005 all PCNSL histologically confirmed were studied. The primary lymphomas were 1% of malignant central nervous system neoplasms. 21 cases were studied (ages from 9-70 years) with male predominance (2:1). 24% patients had immuno-suppression. The more frequent clinical data were: papilledema (71%), headache (62%), paresis (48%) and seizures (33%). 33% of patients died during the first six months after diagnosis. The T lymphomas were 19% of cases and corresponded to small cell type. PCNSL are still a diagnostic challenge. Multicenter studies are required in order to determine the best treatment protocol.

Retention in Differentiated Care: Multiple Measures Analysis for a Decentralized HIV Care and Treatment Program in North Central Nigeria

Science.gov (United States)

Agaba, Patricia A; Genberg, Becky L; Sagay, Atiene S; Agbaji, Oche O; Meloni, Seema T; Dadem, Nancin Y; Kolawole, Grace O; Okonkwo, Prosper; Kanki, Phyllis J; Ware, Norma C

2018-01-01

Objective Differentiated care refers collectively to flexible service models designed to meet the differing needs of HIV-infected persons in resource-scarce settings. Decentralization is one such service model. Retention is a key indicator for monitoring the success of HIV treatment and care programs. We used multiple measures to compare retention in a cohort of patients receiving HIV care at “hub” (central) and “spoke” (decentralized) sites in a large public HIV treatment program in north central Nigeria. Methods This retrospective cohort study utilized longitudinal program data representing central and decentralized levels of care in the Plateau State Decentralization Initiative, north central Nigeria. We examined retention with patient- level (retention at fixed times, loss-to-follow-up [LTFU]) and visit-level (gaps-in-care, visit constancy) measures. Regression models with generalized estimating equations (GEE) were used to estimate the effect of decentralization on visit-level measures. Patient-level measures were examined using survival methods with Cox regression models, controlling for baseline variables. Results Of 15,650 patients, 43% were enrolled at the hub. Median time in care was 3.1 years. Hub patients were less likely to be LTFU (adjusted hazard ratio (AHR)=0.91, 95% CI: 0.85-0.97), compared to spoke patients. Visit constancy was lower at the hub (−4.5%, 95% CI: −3.5, −5.5), where gaps in care were also more likely to occur (adjusted odds ratio=1.95, 95% CI: 1.83-2.08). Conclusion Decentralized sites demonstrated better retention outcomes using visit-level measures, while the hub achieved better retention outcomes using patient-level measures. Retention estimates produced by incorporating multiple measures showed substantial variation, confirming the influence of measurement strategies on the results of retention research. Future studies of retention in HIV care in sub-Saharan Africa will be well-served by including multiple measures

Compliance to topical anti-glaucoma medications among patients at a tertiary hospital in North India

Directory of Open Access Journals (Sweden)

Ketaki Rajurkar

2018-06-01

Full Text Available Purpose: The present study aims to estimate the prevalence of non-compliance and improper drop administration technique among glaucoma patients and describe common obstacles to medication compliance. Methods: A hospital-based cross-sectional study, using standardized questionnaire and direct observation by study personnel was conducted among glaucoma patients aged 18 years and above at a tertiary care charitable eye hospital in North India. 151 consecutive glaucoma patients on medical therapy following up at the glaucoma clinics for at least 6 months were recruited. Non-compliance was defined as missing at-least one drop of medication per week and (or the inability to accurately describe the medication regimen. Study personnel also assessed drop administration technique during application of eye drops by patients treating ophthalmologist-provided information, including measures of disease stability. Factors such as socioeconomic status, presence of caregiver, and number of medications with their effect on compliance were studied using chi-square statistics. Results: Among 151 patients interviewed, around 49% of patients reported problems in using glaucoma medications, with 16% of them reporting total non-compliance. 35% of patients demonstrated improper drop administration technique. Forgetfulness was cited as the main reason for being non-compliant and had a significant association with non-compliance (P = 0.00. Paying patients were more compliant as compared to subsidized patients (P = 0.05. Disease was more stable in compliant patients compared to non-compliant patients (P = 0.05. No other factor had significant association with compliance (P > 0.05. Conclusions: Over 50% of the patients surveyed were non-compliant, and 35% demonstrated improper administration technique. Glaucoma patients should be educated on the importance of compliance and aids that minimize forgetfulness, and delivery systems facilitating the delivery of

Feasibility assessment of a solar-powered charging station for electric vehicles in the North Central region of Bulgaria

Directory of Open Access Journals (Sweden)

Ilieva Liliya Mihaylova

2016-01-01

Full Text Available The paper discusses the topical issue related to the prospects of widespread deployment of electric vehicles and their associated infrastructure in Bulgaria. The main problems hindering the development of electric vehicle transport are summarized and the current status of charging infrastructure in the country is discussed. An approach is proposed for analysis and evaluation of the financial feasibility of investment in a solar-powered charging station for electric vehicles in North Central region of Bulgaria.

Lineamientos de un plan estratégico para el mejoramiento de la calidad del servicio brindado en el Hospital Militar Central de Lima

OpenAIRE

Cabrera Rioja, Luis Alberto

2007-01-01

El presente estudio, realizado en el Hospital Militar Central (HMC) de Lima, está dirigido al diseño de los lineamientos de un plan estratégico que permita formular la misión y visión del HMC, analizar el entorno e intorno organizacional y formular objetivos estratégicos orientados al mejoramiento continuo de la calidad del servicio. A fin de superar las dificultades económicas, logísticas y de personal que afronta actualmente el Hospital Militar Central, debido a los recortes presupuestales ...

Organic matter budget in a mixed-hardwood forest in north central Florida

International Nuclear Information System (INIS)

Lugo, A.E.; Gamble, J.F.; Ewel, K.C.

1978-01-01

Organic-matter flows through a mixed-hardwood forest were analyzed as part of a study of the unusual behavior of 137 Cs in Florida ecosystems. The data suggest that rates of organic-matter flow in the mixed-hardwood forest in north central Florida more closely approach those of similar systems in tropical areas than in temperate areas. Annual litterfall was 1069 g/m 2 ; litter turnover, 1.3/year; net daytime productivity of leaves and twigs, 12.4 g m -2 day -1 ; nighttime respiration, 5.1 g m -2 day -1 ; and stem respiration, 1.4 g m -2 day -1 . Constancy of litter storage (820 g/m 2 ) and leaf fall and lack of net wood deposition indicate that the forest is in steady state. It was concluded that 137 Cs accumulation in this forest is probably caused by intrinsic ecosystem processes, as previously suggested, rather than by buildup that might be expected in a successional ecosystem

Hospital-acquired listeriosis.

Science.gov (United States)

Graham, J C; Lanser, S; Bignardi, G; Pedler, S; Hollyoak, V

2002-06-01

We report four cases of listeriosis that occurred over a two-month period in north east England. Due to the apparent nosocomial acquisition of infection and the clustering of cases in time and place, extended epidemiological investigation was performed and the outbreak was traced to a caterer who was providing sandwiches for hospital shops. We discuss the difficulties in preventing food-borne listeriosis in the hospital setting. Copyright 2002 The Hospital Infection Society.

Linguatula serrata (Porocephalida: Linguatulidae) Infection among Client-Owned Dogs in Jalingo, North Eastern Nigeria: Prevalence and Public Health Implications

OpenAIRE

Oluwasina, Oseni Saheed; ThankGod, Onyiche Emmanuel; Augustine, Omonuwa Omojefe; Gimba, Fufa Ido

2014-01-01

Pentastomiasis is a parasitic zoonosis endemic to western and central Africa. This study was undertaken to determine the prevalence and public health implications of Linguatulosis in client-owned dogs in Jalingo, North Eastern Nigeria. Seven hundred and seventy seven (777) dogs brought for treatment at the hospital were subjected to buccal (sublingual) examination for pentastomiasis. Parameters such as age, sex, and breeds were determined. Also, the months of the year were taken into consider...

An Empirical Ocean Colour Algorithm for Estimating the Contribution of Coloured Dissolved Organic Matter in North-Central Western Adriatic Sea

Directory of Open Access Journals (Sweden)

Alessandra Campanelli

2017-02-01

Full Text Available The performance of empirical band ratio models were evaluated for the estimation of Coloured Dissolved Organic Matter (CDOM using MODIS ocean colour sensor images and data collected on the North-Central Western Adriatic Sea (Mediterranean Sea. Relationships between in situ measurements (2013–2016 of CDOM absorption coefficients at 355 nm (aCDOM355 with several MODIS satellite band ratios were evaluated on a test data set. The prediction capability of the different linear models was assessed on a validation data set. Based on some statistical diagnostic parameters (R2, APD and RMSE, the best MODIS band ratio performance in retrieving CDOM was obtained by a simple linear model of the transformed dependent variable using the remote sensing reflectance band ratio Rrs(667/Rrs(488 as the only independent variable. The best-retrieved CDOM algorithm provides very good results for the complex coastal area along the North-Central Western Adriatic Sea where the Po River outflow is the main driving force in CDOM and nutrient circulation, which in winter mostly remains confined to a coastal boundary layer, whereas in summer it spreads to the open sea as well.

Environmental survey in the Tuul and Orkhon River basins of north-central Mongolia, 2010: metals and other elements in streambed sediment and floodplain soi

Science.gov (United States)

Brumbaugh, William G.; Tillitt, Donald E.; May, Thomas W.; Choijil, J.; Komov, T.V.

2013-01-01

Streambed sediment and subsurface floodplain soil were sampled for elemental analyses from 15 locations in river basins of north-central Mongolia during August 2010. Our primary objective was to conduct a reconnaissance-level assessment of potential inputs of toxicologically important metals and metalloids to Lake Baikal, Russia, that might originate from mining and urban activities within tributaries of the Selenga River in Mongolia. Samples were collected in triplicate from all sites, then dried, and sieved to city of Ulaanbaatar, but those concentrations were considerably less than probable effects benchmarks. Historical and possibly present mining activities have led to considerable metal contamination in certain tributaries of the Orkhon River in north-central Mongolia; however, metals originating from those sources did not appear to be accumulating in sediments at our downstream-most sampling sites located near the border between Mongolia and Russia.

Phylogeny and niche conservatism in North and Central American triatomine bugs (Hemiptera: Reduviidae: Triatominae), vectors of Chagas' disease.

Science.gov (United States)

Ibarra-Cerdeña, Carlos N; Zaldívar-Riverón, Alejandro; Peterson, A Townsend; Sánchez-Cordero, Víctor; Ramsey, Janine M

2014-10-01

The niche conservatism hypothesis states that related species diverge in niche characteristics at lower rates than expected, given their lineage divergence. Here we analyze whether niche conservatism is a common pattern among vector species (Hemiptera: Reduviidae: Triatominae) of Trypanosoma cruzi that inhabit North and Central America, a highly heterogeneous landmass in terms of environmental gradients. Mitochondrial and nuclear loci were used in a multi-locus phylogenetic framework to reconstruct phylogenetic relationships among species and estimate time of divergence of selected clades to draw biogeographic inferences. Then, we estimated similarity between the ecological niche of sister species and tested the niche conservatism hypothesis using our best estimate of phylogeny. Triatoma is not monophyletic. A primary clade with all North and Central American (NCA) triatomine species from the genera Triatoma, Dipetalogaster, and Panstrongylus, was consistently recovered. Nearctic species within the NCA clade (T. p. protracta, T. r. rubida) diverged during the Pliocene, whereas the Neotropical species (T. phyllosoma, T. longipennis, T. dimidiata complex) are estimated to have diverged more recently, during the Pleistocene. The hypothesis of niche conservatism could not be rejected for any of six sister species pairs. Niche similarity between sister species best fits a retention model. While this framework is used here to infer niche evolution, it has a direct impact on spatial vector dynamics driven by human population movements, expansion of transportation networks and climate change scenarios.

Jurassic domes in the North Sea - northern North Atlantic region

Energy Technology Data Exchange (ETDEWEB)

Surlyk, F. [Univ. of Copenhagen, Geological Inst., Copenhagen (Denmark)

1996-12-31

The stratigraphic and tectonic evolution of the Jurassic of East Greenland, the Norwegian Shelf and the North Sea is remarkably similar. A major Middle Jurassic unconformity occurs in all three areas. In the North Sea it is commonly termed the `Mid-Cimmerian Unconformity` and is characterized by progressive truncation of the underlying section towards a centre at the triple junction between the Central Graben, Viking Graben and Moray Firth. Strata above the unconformity show a progressive Late Aalenian-Early Kimmeridgian onlap in the same direction. These relations have been interpreted as caused by Early Jurassic uplift and of a major thermal dome in the central North Sea, followed by Medial and Late Jurassic rifting, erosion, deflation and transgression of the dome. The East Greenland unconformity shows progressive truncation of underlying strata from south to north, and Bajocian to Callovian onlap in the same direction. The same pattern seems to be developed on the conjugate Norwegian margin. This suggests the possibility that the three unconformities have similar causes for their development. It is proposed that major rift domes formed in the Central North Sea and in the Greenland-Norway seaway in Early Jurassic times. The domes were eroded and gradually deflated during Medial Jurassic times and were finally submerged by the Late Oxfordian-Kimmeridgian. They were associated with volcanism and rifting which was delayed with respect to dome initiation. Roughly contemperaneous domes were present west of Britain, north of the Porcupine Seabight, and in Scania, southern Sweden, as reflected by development of asymmetrical unconformities showing progressive truncation of underlying strata, onlap of overlying Jurassic strata, and associated intrusive and extrusive volcanism. The domes are related to impingement of the heads of transient mantle plumes at the base of the lithosphere. The associated unconformities are thus of non-eustatic nature. Domal uplift and

Reliability of Self-Reported Mobile Phone Ownership in Rural North-Central Nigeria: Cross-Sectional Study.

Science.gov (United States)

Menson, William Nii Ayitey; Olawepo, John Olajide; Bruno, Tamara; Gbadamosi, Semiu Olatunde; Nalda, Nannim Fazing; Anyebe, Victor; Ogidi, Amaka; Onoka, Chima; Oko, John Okpanachi; Ezeanolue, Echezona Edozie

2018-03-01

mHealth practitioners seek to leverage the ubiquity of the mobile phone to increase the impact and robustness of their interventions, particularly in resource-limited settings. However, data on the reliability of self-reported mobile phone access is minimal. We sought to ascertain the reliability of self-reported ownership of and access to mobile phones among a population of rural dwellers in north-central Nigeria. We contacted participants in a community-based HIV testing program by phone to determine actual as opposed to self-reported mobile phone access. A phone script was designed to conduct these calls and descriptive analyses conducted on the findings. We dialed 349 numbers: 110 (31.5%) were answered by participants who self-reported ownership of the mobile phone; 123 (35.2%) of the phone numbers did not ring at all; 28 (8.0%) rang but were not answered; and 88 (25.2%) were answered by someone other than the participant. We reached a higher proportion of male participants (68/133, 51.1%) than female participants (42/216, 19.4%; Pphones in rural and low-income areas in north-central Nigeria is higher than actual access. This has implications for mHealth programming, particularly for women's health. mHealth program implementers and researchers need to be cognizant of the low reliability of self-reported mobile phone access. These observations should therefore affect sample-size calculations and, where possible, alternative means of reaching research participants and program beneficiaries should be established. ©William Nii Ayitey Menson, John Olajide Olawepo, Tamara Bruno, Semiu Olatunde Gbadamosi, Nannim Fazing Nalda, Victor Anyebe, Amaka Ogidi, Chima Onoka, John Okpanachi Oko, Echezona Edozie Ezeanolue. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 01.03.2018.

Variation of central corneal thickness in patients with diabetic retinopathy as detected by ultrasonic pachymetry in patients presenting to a tertiary care hospital

International Nuclear Information System (INIS)

Khan, S.A.

2017-01-01

To compare the central corneal thickness between patients with diabetic retinopathy and non diabetics. Study Design: A cross sectional study. Place and Duration of Study: Lahore General Hospital Lahore, from 1st Dec 2015 to 31st May 2016. Material and Methods: A cross-sectional study was conducted in the ophthalmology outpatient department of Lahore General Hospital. A total of one hundred and fifty subjects from different age groups were selected for the study. An ultrasound pachymeter was used to measure CCT. There were two groups for sample, 75 were patients with diabetic retinopathy and 75 of them were non-diabetic subjects. Results: The diabetic patients had average central corneal thickness of value 554.93 +- 33.73 microns. The average central corneal thickness found in non-diabetic patients was 520.41 +- 26.06 microns. The diabetic patients showed an increased central corneal thickness as compared to non-diabetics. The result of this study was statistically significant (p=0.001). Conclusion: The diabetic patients showed an increased central corneal thickness as compared to non-diabetic patients. (author)

HIV-1 Genetic Diversity and Transmitted Drug Resistance Mutations among Patients from the North, Central and South Regions of Angola

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Afonso, Joana Morais; Bello, Gonzalo; Guimarães, Monick L.; Sojka, Marta; Morgado, Mariza G.

2012-01-01

Background Angola presents a very complex HIV-1 epidemic characterized by the co-circulation of several HIV-1 group M subtypes, intersubtype recombinants and unclassified (U) variants. The viral diversity outside the major metropolitan regions (Luanda and Cabinda) and the prevalence of transmitted drug resistance mutations (DRM) since the introduction of HAART in 2004, however, has been barely studied. Methods One hundred and one individuals from the Central (n = 44), North (n = 35), and South (n = 22) regions of Angola were diagnosed as HIV-1 positive and had their blood collected between 2008 and 2010, at one of the National Referral Centers for HIV diagnosis, the Kifangondo Medical Center, located in the border between the Luanda and Bengo provinces. Angolan samples were genotyped based on phylogenetic and bootscanning analyses of the pol (PR/RT) gene and their drug resistance profile was analyzed. Results Among the 101 samples analyzed, 51% clustered within a pure group M subtype, 42% were classified as intersubtype recombinants, and 7% were denoted as U. We observed an important variation in the prevalence of different HIV-1 genetic variants among country regions, with high frequency of subtype F1 in the North (20%), intersubtype recombinants in the Central (42%), and subtype C in the South (45%). Statistically significant difference in HIV-1 clade distribution was only observed in subtype C prevalence between North vs South (p = 0.0005) and Central vs South (p = 0.0012) regions. DRM to NRTI and/or NNRTI were detected in 16.3% of patients analyzed. Conclusions These results demonstrate a heterogeneous distribution of HIV-1 genetic variants across different regions in Angola and also revealed an unexpected high frequency of DRM to RT inhibitors in patients that have reported no antiretroviral usage, which may decrease the efficiency of the standard first-line antiretroviral regimens currently used in the country. PMID:22952625

[A Survey of the Perception of Nurses Toward the Practice Environment at a Regional Teaching Hospital in Central Taiwan].

Science.gov (United States)

Hung, Jui-Tai; Lin, Ching-Wen; Wen, Wei-Chun; Lin, Esther Ching-Lan

2015-08-01

The nursing practice environment has been shown to wield significant influence on nursing retention and nursing quality of care. Because a large percentage of Taiwan nurses currently work at regional teaching hospitals, exploring the perception toward the practice environment of nurses working at this type of hospital is important. This study explored the perception of nurses working at a regional teaching hospital in central Taiwan toward their practice environment. A cross-sectional research design with a sample of 474 nurses from a regional hospital in central Taiwan was conducted. Instruments including the demographic data and the Chinese-version Practice Environment Scale-Nursing Work Index (CPES-NWI) were anonymously self-administered. Overall, participants were moderately satisfied with their practice environment, with the greatest dissatisfaction focused on staffing and resource adequacy. Work unit and nursing level, respectively, had significant impacts on perceptions regarding the practice environment. Furthermore, discriminant analysis identified two new compound variables: 1) adequate staffing resources and partnership in the workplace and 2) supportive administrative management environment. Participants who worked in medical and surgical units were significantly more dissatisfied with the adequacy of staffing resources and partnership in the workplace than participants who worked in acute/intensive and special units. Participants at the N2 level were significantly more dissatisfied with the supportive nature of the administrative management environment. These findings support that the nursing practice environment of regional hospitals may be improved using several measures, including: modifying the staffing and resource adequacy of nurses, fostering collaborative nurse-physician relationships, and further involving nurses in administrative management and decision-making.

North-South precipitation patterns in western North America on interannual-to-decadal timescales

Science.gov (United States)

Dettinger, M.D.; Cayan, D.R.; Diaz, Henry F.; Meko, D.M.

1998-01-01

The overall amount of precipitation deposited along the West Coast and western cordillera of North America from 25??to 55??N varies from year to year, and superimposed on this domain-average variability are varying north-south contrasts on timescales from at least interannual to interdecadal. In order to better understand the north-south precipitation contrasts, their interannual and decadal variations are studied in terms of how much they affect overall precipitation amounts and how they are related to large-scale climatic patterns. Spatial empirical orthogonal functions (EOFs) and spatial moments (domain average, central latitude, and latitudinal spread) of zonally averaged precipitation anomalies along the westernmost parts of North America are analyzed, and each is correlated with global sea level pressure (SLP) and sea surface temperature series, on interannual (defined here as 3-7 yr) and decadal (>7 yr) timescales. The interannual band considered here corresponds to timescales that are particularly strong in tropical climate variations and thus is expected to contain much precipitation variability that is related to El Nino-Southern Oscillation; the decadal scale is defined so as to capture the whole range of long-term climatic variations affecting western North America. Zonal EOFs of the interannual and decadal filtered versions of the zonal-precipitation series are remarkably similar. At both timescales, two leading EOFs describe 1) a north-south seesaw of precipitation pivoting near 40??N and 2) variations in precipitation near 40??N, respectively. The amount of overall precipitation variability is only about 10% of the mean and is largely determined by precipitation variations around 40??-45??N and most consistently influenced by nearby circulation patterns; in this sense, domain-average precipitation is closely related to the second EOF. The central latitude and latitudinal spread of precipitation distributions are strongly influenced by precipitation

Study of Pancytopenia in a Tertiary Care Hospital in North Karnataka

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Kulkarni Naveen S

2017-03-01

Full Text Available Introduction: Pancytopenia refers to the combination of anaemia, leukopenia and thrombocytopenia. Causes may be due to bone marrow failure, bone marrow infiltration, ineffective haematopoiesis or peripheral pooling/ destruction. A bone marrow aspirate is usually required to establish the diagnosis. Aetiologies of pancytopenia vary from one geographical region to other. Aim: Study of pancytopenia in patients admitted to a tertiary care hospital in north Karnataka. Methods: This study was conducted at SNMC and HSK, Bagalkot. This study was prospective, observational undertaken for 6-month period between July 2016-January 2017. History, physical examination, and primary blood investigations were done in all patients. Selected patients were evaluated with bone marrow examination. Materials: A total of 69 human subjects were enrolled. A thorough history, clinical examination and blood investigations were carried out. Results: Dimorphic anaemia is common than megaloblastic anaemia. Among those subjected for bone marrow megaloblastic anaemia was commoner than dual deficiency bone marrow. Other causes of pancytopenia were malaria, dengue, enteric fever, and less common causes included sepsis, MDS, TB, HIV, SLE. Conclusion: Nutritional anaemia is commonest cause for pancytopenia. This may be due to megaloblastic anaemia or deficiency of iron/vitamin B12/folate combined

Clinical Spectrum, Risk Factors, and Behavioral Abnormalities among Dementia Subtypes in a North Indian Population: A Hospital-Based Study

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Suman Kushwaha

2017-07-01

Full Text Available Background: As variability in the clinical profile of dementia subtypes had been reported with regional differences across the world, we conducted a retrospective hospital-based study in a North Indian population. Methods: We retrieved patient records from 2007 to 2014 for details of clinical evaluation, diagnosis, neuroimaging, biochemical investigations, and follow-up of 1,876 patients with dementia (PwD, and the data were analyzed using descriptive statistics. Results: Of the total PwD, Alzheimer disease (AD accounted for 30% followed by vascular dementia (VaD 26%, mixed dementia (MD 21%, Parkinson-related dementia 11%, frontotemporal dementia (FTD 7%, and infective dementia 5%. Of all PwD excluding the infective group (n = 1,777, 63% were men, 39% were from rural areas, 87% had behavioral abnormalities along with cognitive deficits, and 73% had impaired ADLs. Among dementia subtypes, a positive family history, cardiovascular and metabolic risk factors, and behavioral abnormalities were found to be distributed. However, there existed a predominance of specific behavioral pattern in each subtype. The mean duration of follow-up varied from 2.9 ± 2.3 (VaD to 3.6 ± 2.1 (AD and greater than 30% were found to be stable on treatment (except in dementia with Lewy body. Conclusions: This large hospital-based study provides a distribution pattern and clinical spectrum of dementia subtypes in a North Indian population.

Etiologic Agents of Central Nervous System Infections among Febrile Hospitalized Patients in the Country of Georgia

OpenAIRE

Akhvlediani, Tamar; Bautista, Christian T.; Shakarishvili, Roman; Tsertsvadze, Tengiz; Imnadze, Paata; Tatishvili, Nana; Davitashvili, Tamar; Samkharadze, Tamar; Chlikadze, Rusudan; Dvali, Natia; Dzigua, Lela; Karchava, Mariam; Gatserelia, Lana; Macharashvili, Nino; Kvirkvelia, Nana

2014-01-01

OBJECTIVES: There is a large spectrum of viral, bacterial, fungal, and prion pathogens that cause central nervous system (CNS) infections. As such, identification of the etiological agent requires multiple laboratory tests and accurate diagnosis requires clinical and epidemiological information. This hospital-based study aimed to determine the main causes of acute meningitis and encephalitis and enhance laboratory capacity for CNS infection diagnosis. METHODS: Children and adults patients cli...

The Baltic Klint beneath the central Baltic Sea and its comparison with the North Estonian Klint

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Tuuling, Igor; Flodén, Tom

2016-06-01

Along its contact with the Baltic Shield, the margin of the East European Platform reveals a well-developed, flooded terraced relief. The most striking and consistent set of escarpments at the contact of the Lower Palaeozoic calcareous and terrigenous rocks, known as the Baltic Klint (BK), extends from northwest of Russia to the Swedish island of Öland. Marine seismic reflection profiling in 1990-2004 revealed the central Baltic Sea Klint (BSK) section in detail and enabled comparison of its geology/geomorphology with a classical klint-section onshore, namely the North Estonian Klint (NEK). The conception of the BK onshore, which is based on the land-sea separating terraced relief in northern Estonia, is not fully applicable beneath the sea. Therefore, we consider that the BSK includes the entire terraced Cambrian outcrop. We suggest the term "Baltic Klint Complex" to include the well-terraced margin of the Ordovician limestone outcrop, which is weakly developed in Estonia. Because of a steady lithological framework of the bedrock layers across the southern slope of the Fennoscandian Shield, the central BSK in the western and the NEK in the eastern part of the Baltic Homocline have largely identical morphologies. The North Estonian Ordovician limestone plateau with the calcareous crest of the BK extends across the central Baltic Sea, whereas morphological changes/variations along the Klint base occur due to the east-westerly lithostratigraphic/thickness changes in the siliciclastic Cambrian sequence. The verge of the NEK, located some 30-50 m above sea level, starts to drop in altitude as its east-westerly course turns to northeast-southwest in western Estonia. Further westwards, the BK shifts gradually into southerly deepening (0.1-0.2°) layers as its crest drops to c. 150 m below sea level (b.s.l.) near Gotska Sandön. This course change is accompanied by a considerable decrease in thickness of the platform sedimentary cover, as below the central Baltic Sea the

Implementing health care reform: implications for performance of public hospitals in central Ethiopia.

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Manyazewal, Tsegahun; Matlakala, Mokgadi C

2018-06-01

Understanding the way health care reforms have succeeded or failed thus far would help policy makers cater continued reform efforts in the future and provides insight into possible levels of improvement in the health care system. This work aims to assess and describe the implications of health care reform on the performance of public hospitals in central Ethiopia. A facility-based, cross-sectional study was carried out in five public hospitals with different operational characteristics that have been implementing health care reform in central Ethiopia. The reform documents were reviewed to assess the nature and targets of the reform for interpretive analysis. Adopting dimensions of health system performance as the theoretical framework, a self-administered questionnaire was developed. Consenting health care professionals who have been involved in the reform from inception to implementation filled the questionnaire. Cronbach's alpha was measured to ensure internal consistency of the instrument. Descriptive statistics, weighted median score, χ 2 , and Mann-Whitney U and Kruskal-Wallis tests were used for data analysis. s Despite implementation of the reform, the health care system in public hospitals was still fragmented as confirmed by 50% of respondents. Limited effects were reported in favour of quality (48%), access (50%), efficiency (51%), sustainability (53%), and equity (61%) of care, while poor effects were reported in patient-provider (41%) and provider-management (32%) interactions. Though there was substantial gain in infrastructure and workspace, stewardship of health care resources was less benefited. The predominant hindrances of the reform were the working environment (adjusted Odds Ratio (aOR) = 2.27, 95% confidence interval (CI): 1.15-4.47), financial resources (aOR = 3.54, 95%CI = 1.97-6.33), management (aOR = 2.27, 95% CI = 1.15-4.47), and information technology system (aOR = 3.15, 95% CI = 1.57-6.32). s The Ethiopian

Impact of climate variability on runoff in the north-central United States

Science.gov (United States)

Ryberg, Karen R.; Lin, Wei; Vecchia, Aldo V.

2014-01-01

Large changes in runoff in the north-central United States have occurred during the past century, with larger floods and increases in runoff tending to occur from the 1970s to the present. The attribution of these changes is a subject of much interest. Long-term precipitation, temperature, and streamflow records were used to compare changes in precipitation and potential evapotranspiration (PET) to changes in runoff within 25 stream basins. The basins studied were organized into four groups, each one representing basins similar in topography, climate, and historic patterns of runoff. Precipitation, PET, and runoff data were adjusted for near-decadal scale variability to examine longer-term changes. A nonlinear water-balance analysis shows that changes in precipitation and PET explain the majority of multidecadal spatial/temporal variability of runoff and flood magnitudes, with precipitation being the dominant driver. Historical changes in climate and runoff in the region appear to be more consistent with complex transient shifts in seasonal climatic conditions than with gradual climate change. A portion of the unexplained variability likely stems from land-use change.

Electrifying reviews of the central North Sea area; Elektrisifiseringsvurderinger for midtre Nordsjoe

Energy Technology Data Exchange (ETDEWEB)

Husdal, Geir

2012-06-15

We conducted a site evaluation of power from land to several fields in the central North Sea. The findings are included Dagny, Edvard Grieg, Draupne and Johan Sverdrup. In addition, an unidentified future field is included in the evaluation. Unclassified cost estimates have been prepared and measures cost is calculated for a main concept based on a set of assumptions and suppositions. To check the robustness of the results and to identify which parameters the results are most sensitive to, we conducted sensitivity analyzes in which key assumptions are changed. The study shows a cost of Nok 412 Nok / tonne reduction in Co2 emissions. This is slightly higher than the sum of the current Co2 tax and quota price, but lower than the Co2 cost proposed in the white paper. Sensitivity calculations show that the cost of measures is very sensitive to investment costs, future energy demand and the price difference between gas sold on the continent and electricity from the grid in Norway. (eb)

Revised draft: North Central Regional geologic characterization report. Volume 1

International Nuclear Information System (INIS)

1984-11-01

This report presents available geologic information pertinent to siting a repository for high-level nuclear waste in crystalline rock in Minnesota, Wisconsin, and the Upper Peninsula of Michigan. For each of the states within the North Central Region, information is provided on the disqualifying factor and the screening variables to be used in region-to-area screening. These factors and variables include hydrologically significant natural resources, rock mass extent, post-emplacement faulting, suspected Quaternary faulting, seismicity, rock and mineral resources, major groundwater discharge zones, water resources, groundwater salinity, and state of stress. Information is presented on age, areal extent, shape, thickness of overburden, composition, texture, degree and type of alteration, and structural features associated with each rock body or complex. Regional seismic and tectonic information is presented, including patterns of earthquake occurrence, earthquake magnitudes, horizontal ground accelerations, and vertical crustal movements. Also included are discussions of the rock and mineral deposits or mines located within or near crystalline rock bodies; groundwater resources and regional hydrology; postulated changes in climate and the associated effects; and landforms, surface processes, and surficial materials on or near the subject rock bodies. A discussion of the relationship between the DOE Siting Guidelines and the geologic disqualifying factor and regional screening variables to be used in the region-to-area screening process is also presented

Use Of ProductionService Work In Enhancing Skill Acquisition In Technical Colleges In North Central Nigeria

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Peter Ashlame Agu

2015-08-01

Full Text Available Skill acquisition is a critical component of any vocational or technical training program. When this component is missing or falls below expectation it tends to defeat the objectives or the essence of the program. In Nigeria many skill acquisition institutions experience great challenges in trying to provide the necessary facilities required for effective vocational training of those enrolled in their programs because of paucity of funds. The result is that students graduate from the programs without adequate employability skills for meaningful productiveservice work after leaving school. In realization of this shortfall government has directed technical colleges to establish what is called ProductionService Work PSW into its curriculum. This is with the view that in the event that there is shortfall in the supply of training facilities by sponsors of the programs jobs could be brought in from inside or outside the school which could provide opportunity for students to acquire hands-on experience that would equip them with requisite skills for post-graduation work. As laudable as this initiative appears to be many schools in the North Central Nigeria are yet to implement the directive of the federal government in their schools and even where this has been done its implementation does not appear to be viable. Over the years different technical colleges have adopted different approaches toward the establishment and management of productionservice work in their schools. While some have recorded appreciable success in its implementation others seem to exist only in name. The present study therefore sought to identify the current practices employed in the use of PSW in technical colleges the appropriateness of the practices in use and the alternative practices that could be adopted to improve and guide the implementation of the program with a view to enhancing the acquisition of employability skills in technical colleges in North Central Nigeria.

75 FR 20390 - Robert Bosch LLC, Including On-Site Leased Workers From Bosch Management Services North America...

Science.gov (United States)

2010-04-19

...-site leased workers of Bosch Management Services North America, South Haven Community Hospital... leased workers of Bosch Management Services North America, South Haven Community Hospital, Huffmaster Inc..., Including On-Site Leased Workers From Bosch Management Services North America, South Haven Community...

Comparison of stress and burnout among anesthesia and surgical residents in a tertiary care teaching hospital in North India.

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Gandhi, K; Sahni, N; Padhy, S K; Mathew, P J

2017-10-23

The residents undergoing training at hospitals in our country face challenges in terms of infrastructure and high workload with undefined working hours. The aim of the study was to compare the stress and burnout levels in trainee doctors doing residency in surgical fields and anesthesia at a tertiary care academic center in North India. A comparative, observational study was conducted in a tertiary care teaching hospital in North India. After Ethics Committee approval, 200 residents (100 each from surgical branches and anesthesia) were required to fill a questionnaire with information about age, sex, year of residency, marital status, and the Perceived Stress Scale-10, and Burnout Clinical Subtype Questionnaire-12. Burnout and perceived stress were compared between residents of anesthesia and surgical specialties. Residents of both surgical and anesthesia branches scored high in perceived stress, namely 21 and 18, respectively. The score was significantly higher in surgical residents (P = 0.03) and increased progressively with the year of residency. The majority of residents (90% surgical, 80% anesthesia) felt that they were being overloaded with work. However, only 20%-30% of respondents felt that there was lack of development of individual skills and still fewer (<10%) reported giving up in view of difficulties. There is high level of stress and overload dimension of burnout among the residents of anesthesia and surgical branches at our tertiary care academic institution and the surgical residents score marginally higher than anesthesia residents.

The Integration of International Agricultural Concepts into Agricultural Science Programs in the North Central Region of the United States. Summary of Research 78.

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Ibezim, Don O.; McCracken, J. David

A study examined the extent to which international agricultural dimensions were taught in secondary agricultural programs and factors associated with the extent of integration. A systematic sampling technique was used to select a random sample of 332 of the 2,612 secondary agricultural teachers in 12 states of the North Central United States. Of…

Electronic Cigarettes on Hospital Campuses

OpenAIRE

Meernik, Clare; Baker, Hannah M.; Paci, Karina; Fischer-Brown, Isaiah; Dunlap, Daniel; Goldstein, Adam O.

2015-01-01

Smoke and tobacco-free policies on hospital campuses have become more prevalent across the U.S. and Europe, de-normalizing smoking and reducing secondhand smoke exposure on hospital grounds. Concerns about the increasing use of electronic cigarettes (e-cigarettes) and the impact of such use on smoke and tobacco-free policies have arisen, but to date, no systematic data describes e-cigarette policies on hospital campuses. The study surveyed all hospitals in North Carolina (n = 121) to assess w...

Emergency Care Capabilities in North East Haiti: A Cross-sectional Observational Study.

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De Wulf, Annelies; Aluisio, Adam R; Muhlfelder, Dana; Bloem, Christina

2015-12-01

The North East Department is a resource-limited region of Haiti. Health care is provided by hospitals and community clinics, with no formal Emergency Medical System and undefined emergency services. As a paucity of information exists on available emergency services in the North East Department of Haiti, the objective of this study was to assess systematically the existing emergency care resources in the region. This cross-sectional observational study was carried out at all Ministry of Public Health and Population (MSPP)-affiliated hospitals in the North East Department and all clinics within the Fort Liberté district. A modified version of the World Health Organization (WHO) Tool for Situational Analysis to Assess Emergency and Essential Surgical Care and Generic Essential Emergency Equipment Lists were completed for each facility. Three MSPP hospitals and five clinics were assessed. Among hospitals, all had a designated emergency ward with 24 hour staffing by a medical doctor. All hospitals had electricity with backup generators and access to running water; however, none had potable water. All hospitals had x-ray and ultrasound capabilities. No computed tomography scanners existed in the region. Invasive airway equipment and associated medications were not present consistently in the hospitals' emergency care areas, but they were available in the operating rooms. Pulse oximetry was unavailable uniformly. One hospital had intermittently functioning defibrillation equipment, and two hospitals had epinephrine. Basic supplies for managing obstetrical and traumatic emergencies were available at all hospitals. Surgical services were accessible at two hospitals. No critical care services were available in the region. Clinics varied widely in terms of equipment availability. They uniformly had limited emergency medical equipment. The clinics also had inconsistent access to basic assessment tools (sphygmomanometers 20% and stethoscopes 60%). A protocol for transferring

The economics of CO2-EOR cluster developments in the UK Central North Sea

International Nuclear Information System (INIS)

Kemp, Alexander G.; Kasim, Sola

2013-01-01

Studies to date have generally shown that individual CO 2 -EOR offshore projects are uneconomic except under questionable assumptions. The present study is based on an interconnected cluster of nine oilfields in the Central North Sea linked to an onshore CO 2 collection hub by a set of existing and new pipelines. Monte Carlo simulation modelling was undertaken of the prospective returns to investments in CO 2 -EOR in the fields. Relatively high oil prices were employed for the study period (2020–2050) and two contrasting CO 2 transfer price scenarios, the first being the Carbon Price Floor (CPF) introduced by the UK Government and the second being relatively low negotiated prices reflecting recent and prospective levels under the EU-ETS. At CPF prices the investment returns were all found to be negative, but at prices averaging £10 per tonne positive returns were generally achieved. The study emphasises the importance of CO 2 prices and the taxation system in determining the viability of the investments. - Highlights: • Detailed modelling of CO 2 EOR in nine North Sea oil fields. • Overall investment risks are demonstrated to be very high. • Sharing of pipelines in network and cluster of CO 2 -EOR fields significantly reduces investment costs. • Range of plausible CO 2 prices paid by investor results in very wide range of returns from CO 2 -EOR. • CO 2 pricing and tax arrangements for EOR need further attention by policy makers

Seroprevalence of HIV in pregnant women in North India: a tertiary care hospital based study

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Singh Sarman

2007-11-01

Full Text Available Abstract Background Estimating the seroprevalence of HIV in a low risk population such as pregnant women provides essential information for an effective implementation of AIDS control programmes, and also for the monitoring of HIV spread within a country. Very few studies are available from north India showing the current trend in HIV prevalence in the antenatal population;which led us to carry outthis study at a tertiary care hospital in north India Methods Blood samples from pregnant women attending antenatal clinics at the All India Institute of Medical Sciences, New Delhi were collected after informed consent and pre-test counseling. The samples were tested for HIV antibodies as per the WHO guidelines, over a period of four years from January 2003 to December 2006. Results Of the 3529 pregnant women tested in four years, 0.88% (CI 0.5 – 1.24 women were found to be HIV seroreactive. Majority of the seroreactive pregnant women (41.9% were in the age group of 20–24 years followed by the 30–34 yrs (25.8% and 25–29 years (22.6% age group. The mean age of the HIV positive women was 24.9 years (SD ± 1.49 yrs. The HIV seroprevalence rates showed an increasing trend from 0.7% (CI 0.14 – 2.04 in 2003–2004 to 0.9% (CI 0.49 – 1.5 in 2005–2006. This prevalence rate indicates concern, as Delhi and its adjoining states are otherwise considered as 'low prevalence states'. Conclusion Seroprevalence of HIV infection was found to be increasing in the last four years amongst pregnant women of North India. These findings are in contrast to the national projections.

110 years of local glacier and ice cap changes in Central- and North East Greenland

Science.gov (United States)

Bjork, A. A.; Aagaard, S.; Kjaer, K. H.; Khan, S. A.; Box, J.

2014-12-01

The local glaciers and ice caps of Greenland are becoming more apparent players in global sea-level rise, and their contribution to future changes is significant. Very little information on their historical fluctuations exists as much of the focus has been on the Greenland Ice Sheet. Now, we can for the first time present historic data that spans 110 years for more than 200 of the local glaciers and ice caps covering this large and important region of the Arctic. The central- and north eastern part of Greenland is of particular interest as these areas are predicted to exhibit a more active behavior with higher mass loss in the future - simultaneously with an increase in precipitation. Our results show that the glaciers and ice caps in the region are responding very rapidly to changes in temperature and precipitation. The present retreat is the fastest observed within the last eight decades, only surpassed by the rapid post LIA retreat. The 1930s was the golden era for scientific exploration in Central- and North East Greenland as several large expeditions visited the area and photographed from land, sea and air. We use historic recordings from Danish and Norwegian aerial missions and terrestrial recordings from the renowned American Explorer Louise Boyd. These unique pictures from the early 1930s form the backbone of the study and are supplemented the more recent aerial photographs the 1940s and onwards and satellite imagery from the mid-1960s and up until present. From high resolution aerial photographs we are able to map the maximum extent of the glaciers during the LIA (Little Ice Age), from which retreat in this area is estimated to commence in 1900. Using a new SMB (Surface Mass Balance) model and its components covering the entire observational period along with high resolution DEMs and historic sea-ice records we are now able to extract valuable information on the past and present triggers of glacial change.

The Use of Ground Penetrating Radar to Exploring Sedimentary Ore In North-Central Saudi Arabia

Science.gov (United States)

Almutairi, Yasir; Almutair, Muteb

2015-04-01

Ground Penetrating Radar (GPR) is a non-destructive geophysical method that provides a continuous subsurface profile, without drilling. This geophysical technique has great potential in delineating the extension of bauxites ore in north-central Saudi Arabia. Bauxite is from types sedimentary ores. This study aim to evaluate the effectiveness of Ground Penetrating Radar (GPR) to illustrate the subsurface feature of the Bauxite deposits at some selected mining areas north-central Saudi Arabia. Bauxite is a heterogeneous material that consists of complex metals such as alumina and aluminum. An efficient and cost-effect exploration method for bauxite mine in Saudi Arabia is required. Ground penetrating radar (GPR) measurements have been carrying out along outcrop in order to assess the potential of GPR data for imaging and characterising different lithological facies. To do so, we have tested different antenna frequencies to acquire the electromagnetic signals along a 90 m profile using the IDS system. This system equipped with a 25 MHz antenna that allows investigating the Bauxite layer at shallow depths where the clay layers may existed. Therefore, the 25 MHz frequency antenna has been used in this study insure better resolution of the subsurface and to get more penetration to image the Bauxite layer. After the GPR data acquisition, this data must be processed in order to be more easily visualized and interpreted. Data processing was done using Reflex 6.0 software. A series of tests were carried out in frequency filtering on a sample of radar sections, which was considered to better represent the entire set of data. Our results indicated that the GPR profiling has a very good agreement for mapping the bauxite layer depth at range of 7 m to 11 m. This study has emphasized that the high-resolution GPR method is the robust and cost-effect technique to map the Bauxite layer. The exploration of Bauxite resource using the GPR technique could reduce the number of holes to

An Empirical Ocean Colour Algorithm for Estimating the Contribution of Coloured Dissolved Organic Matter in North-Central Western Adriatic Sea

OpenAIRE

Alessandra Campanelli; Simone Pascucci; Mattia Betti; Federica Grilli; Mauro Marini; Stefano Pignatti; Stefano Guicciardi

2017-01-01

The performance of empirical band ratio models were evaluated for the estimation of Coloured Dissolved Organic Matter (CDOM) using MODIS ocean colour sensor images and data collected on the North-Central Western Adriatic Sea (Mediterranean Sea). Relationships between in situ measurements (2013–2016) of CDOM absorption coefficients at 355 nm (aCDOM355) with several MODIS satellite band ratios were evaluated on a test data set. The prediction capability of the different linear models was assess...

Allogenic bone grafts used at Central Hospital during June 1995 to July 1998

International Nuclear Information System (INIS)

Yolchai Jongjirasiri; Yongyudh Vajaradul

1999-01-01

Producing and using allogenic bone graft in Thailand began ten years ago. There are approximately 1,000 cases a year on orthopaedic surgery at Central Hospital. For using allogenic bone graft from the Bangkok Biomaterial Center, 66 cases were operated since June 1995. This was generated by 30 in males, 36 in females and by ages between 12-81 years old. After the operation, 43 cases had bone gap from injuries and 19 cases, fusion of spondylolisthesis and scoliosis were done. Four cases had tumor surgery, and 59 out of 66 cases had good bone union that is 89%. Delayed union happened in 6 cases only. Immune response to allogenic bone graft has not been found yet

Interannual variability of western North Pacific SST anomalies and its impact on North Pacific and North America

Science.gov (United States)

Park, Jae-Heung; An, Soon-Il; Kug, Jong-Seong

2017-12-01

In this study, the interannual variability of sea surface temperature (SST) and its atmospheric teleconnection over the western North Pacific (WNP) toward the North Pacific/North America during boreal winter are investigated. First, we defined the WNP mode as the first empirical orthogonal function (EOF) mode of SST anomalies over the WNP region (100-165°E, 0-35°N), of which the principle component time-series are significantly correlated with several well-known climate modes such as the warm pool mode which is the second EOF mode of the tropical to North Pacific SST anomalies, North Pacific oscillation (NPO), North Pacific gyre oscillation (NPGO), and central Pacific (CP)-El Niño at 95% confidence level, but not correlated with the eastern Pacific (EP)-El Niño. The warm phase of the WNP mode (sea surface warming) is initiated by anomalous southerly winds through reduction of wind speed with the background of northerly mean winds over the WNP during boreal winter, i.e., reduced evaporative cooling. Meanwhile, the atmospheric response to the SST warming pattern and its diabatic heating further enhance the southerly wind anomaly, referred to the wind-evaporation-SST (WES) feedback. Thus, the WNP mode is developed and maintained through winter until spring, when the northerly mean wind disappears. Furthermore, it is also known that anomalous upper-level divergence associated with WNP mode leads to the NPO-like structure over the North Pacific and the east-west pressure contrast pattern over the North America through Rossby wave propagation, impacting the climate over the North Pacific and North America.

Pseudocollapse and rebuilding of North Sea mackerel (Scomber scombrus)

DEFF Research Database (Denmark)

Jansen, Teunis

2014-01-01

The largest observed change in mackerel (Scomber scombrus) abundance in the North Atlantic happened when the so-called “North Sea mackerel” collapsed due to overfishing. Despite protection, it has remained in a depleted state. Central to this interpretation was that the “North Sea mackerel...

Incidence of cassava mosaic disease and associated whitefly vectors in South West and North Central Nigeria: Data exploration.

Science.gov (United States)

Eni, Angela O; Efekemo, Oghenevwairhe P; Soluade, Mojisola G; Popoola, Segun I; Atayero, Aderemi A

2018-08-01

Cassava mosaic disease (CMD) is one of the most economically important viral diseases of cassava, an important staple food for over 800 million people in the tropics. Although several Cassava mosaic virus species associated with CMD have been isolated and characterized over the years, several new super virulent strains of these viruses have evolved due to genetic recombination between diverse species. In this data article, field survey data collected from 184 cassava farms in 12 South Western and North Central States of Nigeria in 2015 are presented and extensively explored. In each State, one cassava farm was randomly selected as the first farm and subsequent farms were selected at 10 km intervals, except in locations were cassava farms are sporadically located. In each selected farm, 30 cassava plants were sampled along two diagonals and all selected plant was scored for the presence or absence of CMD symptoms. Cassava mosaic disease incidence and associated whitefly vectors in South West and North Central Nigeria are explored using relevant descriptive statistics, box plots, bar charts, line graphs, and pie charts. In addition, correlation analysis, Analysis of Variance (ANOVA), and multiple comparison post-hoc tests are performed to understand the relationship between the numbers of whiteflies counted, uninfected farms, infected farms, and the mean of symptom severity in and across the States under investigation. The data exploration provided in this data article is considered adequate for objective assessment of the incidence and symptom severity of cassava mosaic disease and associated whitefly vectors in farmers' fields in these parts of Nigeria where cassava is heavily cultivated.

Response of the Land-Atmosphere System Over North-Central Oklahoma During the 2017 Eclipse

Science.gov (United States)

Turner, D. D.; Wulfmeyer, V.; Behrendt, A.; Bonin, T. A.; Choukulkar, A.; Newsom, R. K.; Brewer, W. A.; Cook, D. R.

2018-02-01

On 21 August 2017, a solar eclipse occurred over the continental United States resulting in a rapid reduction and subsequent increase of solar radiation over a large region of the country. The eclipse's effect on the land-atmosphere system is documented in unprecedented detail using a unique array of sensors deployed at three sites in north-central Oklahoma. The observations showed that turbulent fluxes of heat and momentum at the surface responded quickly to the change in solar radiation. The decrease in the sensible heat flux resulted in a decrease in the air temperature below 200 m, and a large decrease in turbulent motions throughout the boundary layer. Furthermore, the turbulent mixing in the boundary layer lagged behind the change in the surface fluxes, and this lag depended on the height above the surface. The turbulent motions increased and the convective boundary layer was reestablished as the sensible heat flux recovered.

Suburban Housing Development and Off-Grid Electric Power Supply Assessment for North-Central Nigeria

Directory of Open Access Journals (Sweden)

Ibikunle Olalekan Ogundari

2017-01-01

Full Text Available Energy infrastructures in North-Central Nigeria are inadequate and grid electricity is unable to meet suburban housing electricity demand. The alternative power-supply options proposed by government for the region require appropriation analysis for selection. Four public housing estates in suburban Abuja are selected for electricity demand analysis under conventional and energy-efficient lighting scenarios; then techno-economic parameters of two off-grid electric power supply systems (PV and Diesel-powered generation to meet these electricity demands are evaluated. An energy techno-economic assessment methodology is used. The study determines the energy-efficient lighting system is appropriate with 40% energy savings relative to the Conventional Lighting Systems. The diesel generator alternative power-supply option has Life Cycle Costs almost 4 times those of the PV option. The study established the PV-energy-efficient lighting system as the most feasible off-grid electric power supply alternative for implementation.

Coherent changes of wintertime surface air temperatures over North Asia and North America.

Science.gov (United States)

Yu, Bin; Lin, Hai

2018-03-29

The surface temperature variance and its potential change with global warming are most prominent in winter over Northern Hemisphere mid-high latitudes. Consistent wintertime surface temperature variability has been observed over large areas in Eurasia and North America on a broad range of time scales. However, it remains a challenge to quantify where and how the coherent change of temperature anomalies occur over the two continents. Here we demonstrate the coherent change of wintertime surface temperature anomalies over North Asia and the central-eastern parts of North America for the period from 1951 to 2015. This is supported by the results from the empirical orthogonal function analysis of surface temperature and temperature trend anomalies over the Northern Hemisphere extratropical lands and the timeseries analysis of the regional averaged temperature anomalies over North Asia and the Great Plains and Great Lakes. The Asian-Bering-North American (ABNA) teleconnection provides a pathway to connect the regional temperature anomalies over the two continents. The ABNA is also responsible for the decadal variation of the temperature relationship between North Asia and North America.

North Central Regional geologic characterization report. Volume 1. Final report

International Nuclear Information System (INIS)

1985-08-01

This report presents available geologic information pertinent to siting a repository for high-level nuclear waste in crystalline rock in Minnesota, Wisconsin, and the Upper Peninsula of Michigan. For each of the states within the North Central Region, information is provided on the geologic disqualifying factor and the geologic regional screening variables to be used in region-to-area screening. The geologic factor and variables include deep mines and quarries, rock mass extent, post-emplacement faulting, suspected Quaternary faulting, seismicity, rock and mineral resources, major groundwater discharge zones, groundwater resources, state of stress, thickness of rock mass, and thickness of overburden. Information is presented on age, areal extent, shape, composition, texture, degree and type of alteration, thickness, and structural features associated with each rock body or complex. Regional seismic and tectonic information is presented, including patterns of earthquake occurrence, earthquake magnitudes, horizontal ground accelerations, and vertical crustal movements. Also included are discussions of the rock and mineral deposits or mines located within or near crystalline rock bodies; groundwater resources and regional hydrology; postulated changes in climate and the associated effects; and landforms, surface processes, and surficial materials on or near the rock bodies. A discussion is also presented of the relationship between the US Department of Energy Siting Guidelines (10 CFR 960) and the geologic disqualifying factor and regional screening variables to be used in the region-to-area screening process. 43 figs., 15 tabs

Hydrogeology of the cave Vetrovna jama in karst aquifer north from Planinsko polje (Notranjska region, central Slovenia

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Franci Gabrovšek

2009-06-01

Full Text Available For one year we have been measuring level and temperature of underground water in Vetrovna jama, to find outthe origin of underground water and hydraulic characteristics of the cave and karst aquifer north east of Planinsko polje (karst of Notranjska region, central Slovenia. Similar parameters as in Vetrovna jama were measured also at the Unica River and at the Cerknica Lake. Cave is located only 2.7 km north from the polje and is fed by the Unica River, according to measurements. But in contrast with our expectations, we did not directly detect undergroundwater flow, which drains from the Cerknica Lake. Hydrographs measured in Vetrovna jama were compared with those measured in some other caves within the aquifer. Hydrographs from Vetrovna jama are only partly comparablewith hydrographs obtained in other monitored caves, as comparison shows no statistical significant correlation.Final conclusion would be that drainage of water between “eastern” and “western” part of karst aquifer islimited. More over, out flow from Vetrovna jama strongly depends on local hydrogeological restriction, such as supposedrockfall under Laška kukava collapse doline.

Varied presentations of moyamoya disease in a tertiary care hospital of north-east India

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Papori Borah

2014-01-01

Full Text Available Introduction: Moyamoya disease is a chronic progressive cerebrovascular disorder, characterized by stenosis or occlusion of bilateral internal carotid arteries (ICAs, anterior cerebral arteries (ACAs and middle cerebral arteries (MCAs, accompanied by a collateral network of vessels formed at the base of the brain. Ischemia and intracranial hemorrhage are the common typical manifestations. However moyamoya disease has been associated with atypical presentations like headache, seizures and involuntary movements. Although frequently reported from Asian countries like Japan, China and Korea, only few studies reported on clinical manifestations of moyamoya disease from India. Objectives: To study the varied presentations of moyamoya disease in a tertiary care hospital of north-east India. Material and Methods: Relevant investigations were done to rule out other causes of moyamoya syndrome. Results: We report 6 cases of moyamoya disease with varied presentations from a tertiary care referral government hospital. Case 1, 2 and 6 presented with alternating hemiparesis. Case 3 had amaurosis fugax. Case 4 had history suggestive of ischemic stroke and presented with hemichorea. Case 4 had focal seizure as the only manifestation. Cases 4 and 5 notably had stenosis of posterior cerebral artery (PCA in addition to stenosis of bilateral ICAs, ACAs and MCAs. Conclusion: Owing to its low incidence in India, moyamoya disease is easily overlooked as a possible diagnosis. However, because of its progressive nature, it is imperative to diagnose this disease early and offer surgical treatment to the patients.

[Waste management in hospitals. Current situation in the state of North Rhine-Westphalia].

Science.gov (United States)

Popp, W; Hansen, D; Hilgenhöner, M; Grandek, M; Heinemann, A; Blättler, T

2009-07-01

In 20 hospitals in North Rhine-Westphalia in-plant handling wastes and the delivery of the waste to the disposer were examined. Deficits were seen regarding risk assessment and operating instructions, support by company doctors, personal protection equipment, and break areas for the waste collecting personnel. Also the qualification of the waste management officer and his/her time contingent, correct declaration of the wastes, the training of the waste collecting personnel, the cleaning of multi-use containers and transportation vehicles, storage of the wastes at the collecting points, and the use of sharp collecting boxes were to be partly criticized. Consequences and recommendations are given, concerning the company's obligations (e.g., provide risk assessment, operating instructions), waste management officer (e.g., qualification, enough time contingent, regular inspections), waste collecting personnel (e.g., training courses), industrial safety (e.g., protection equipment, break area wash places), company doctors, transportation vehicles in the house (e.g., regular cleaning), one-way collectors (e.g., labelling at the site of the collection), multi-use collectors (e.g., cleaning), and compressing containers (e.g., larger maintenance openings).

A Proposed Solution for Managing Doctor's Smart Cards in Hospitals Using a Single Sign-On Central Architecture

OpenAIRE

Mauro, Christian;Sunyaev, Ali;Leimeister, Jan Marco;Schweiger, Andreas;Krcmar, Helmut

2014-01-01

This paper describes a single sign-on solution for the central management of health care provider?s smart cards in hospitals. The proposed approach which is expected to be an improvement over current methods is made possible through the introduction of a national healthcare telematics infrastructure in Germany where every physician and every patient will automatically be given an electronic health smart card (for patients) and a corresponding health professional card (for health care provider...

Adherence to hand hygiene protocol by clinicians and medical students at Queen Elizabeth Central Hospital, Blantyre-Malawi.

Science.gov (United States)

Kalata, N L; Kamange, L; Muula, A S

2013-06-01

While communicable diseases are the leading causes of morbidity and mortality in Malawi, the contribution of nosocomial or hospital-acquired infections (HAIs) is unknown but could be substantial. The single most important method of preventing nosocomial infections is hand hygiene. We report a study which was conducted in 2011 to investigate adherence to hand hygiene protocols by clinicians and medical students working at Queen Elizabeth Central Hospital in Blantyre, Malawi. There were two parts to the study: a single blinded arm in which participants were observed without their knowledge by trained nurses; and a second arm which included self-completion of questionnaire after participant consent was obtained. The 2009 World Health Organization hand hygiene technique and recommendations which were adopted by Queen Elizabeth Central Hospital were used to define an opportunity for hand washing and effectiveness of hand washing. Hand hygiene effectiveness was defined as adherence to at least 6 out of 7 steps (80%) of the hand hygiene technique when using alcohol-based formulation or at least 8 out of 10 steps (80%) of the hand hygiene technique when using water and soap formulation before and after having direct contact with patients or their immediate surroundings. Clinicians were found to have disinfected their hands more than medical students (phand sanitizer and hand hygiene practice (p=0.3). Adherence to hand hygiene was found to be 23%. Most of the participants mentioned infection transmission prevention as a reason for disinfecting their hands. Other reasons mentioned included: a routine personal hand hygiene behaviour and discomfort if not washing hands. The top three reasons why they did not disinfect hands were forgetfulness, unavailability of sanitizers and negligence. Adherence to hand hygiene practice was found to be low, with forgetfulness and negligence being the major contributing factors. A hospital-wide multifaceted program aiming at clinicians and

Current and future niche of North and Central American sand flies (Diptera: psychodidae in climate change scenarios.

Directory of Open Access Journals (Sweden)

David Moo-Llanes

Full Text Available Ecological niche models are useful tools to infer potential spatial and temporal distributions in vector species and to measure epidemiological risk for infectious diseases such as the Leishmaniases. The ecological niche of 28 North and Central American sand fly species, including those with epidemiological relevance, can be used to analyze the vector's ecology and its association with transmission risk, and plan integrated regional vector surveillance and control programs. In this study, we model the environmental requirements of the principal North and Central American phlebotomine species and analyze three niche characteristics over future climate change scenarios: i potential change in niche breadth, ii direction and magnitude of niche centroid shifts, iii shifts in elevation range. Niche identity between confirmed or incriminated Leishmania vector sand flies in Mexico, and human cases were analyzed. Niche models were constructed using sand fly occurrence datapoints from Canada, USA, Mexico, Guatemala and Belize. Nine non-correlated bioclimatic and four topographic data layers were used as niche components using GARP in OpenModeller. Both B2 and A2 climate change scenarios were used with two general circulation models for each scenario (CSIRO and HadCM3, for 2020, 2050 and 2080. There was an increase in niche breadth to 2080 in both scenarios for all species with the exception of Lutzomyia vexator. The principal direction of niche centroid displacement was to the northwest (64%, while the elevation range decreased greatest for tropical, and least for broad-range species. Lutzomyia cruciata is the only epidemiologically important species with high niche identity with that of Leishmania spp. in Mexico. Continued landscape modification in future climate change will provide an increased opportunity for the geographic expansion of NCA sand flys' ENM and human exposure to vectors of Leishmaniases.

Current and Future Niche of North and Central American Sand Flies (Diptera: Psychodidae) in Climate Change Scenarios

Science.gov (United States)

Moo-Llanes, David; Ibarra-Cerdeña, Carlos N.; Rebollar-Téllez, Eduardo A.; Ibáñez-Bernal, Sergio; González, Camila; Ramsey, Janine M.

2013-01-01

Ecological niche models are useful tools to infer potential spatial and temporal distributions in vector species and to measure epidemiological risk for infectious diseases such as the Leishmaniases. The ecological niche of 28 North and Central American sand fly species, including those with epidemiological relevance, can be used to analyze the vector's ecology and its association with transmission risk, and plan integrated regional vector surveillance and control programs. In this study, we model the environmental requirements of the principal North and Central American phlebotomine species and analyze three niche characteristics over future climate change scenarios: i) potential change in niche breadth, ii) direction and magnitude of niche centroid shifts, iii) shifts in elevation range. Niche identity between confirmed or incriminated Leishmania vector sand flies in Mexico, and human cases were analyzed. Niche models were constructed using sand fly occurrence datapoints from Canada, USA, Mexico, Guatemala and Belize. Nine non-correlated bioclimatic and four topographic data layers were used as niche components using GARP in OpenModeller. Both B2 and A2 climate change scenarios were used with two general circulation models for each scenario (CSIRO and HadCM3), for 2020, 2050 and 2080. There was an increase in niche breadth to 2080 in both scenarios for all species with the exception of Lutzomyia vexator. The principal direction of niche centroid displacement was to the northwest (64%), while the elevation range decreased greatest for tropical, and least for broad-range species. Lutzomyia cruciata is the only epidemiologically important species with high niche identity with that of Leishmania spp. in Mexico. Continued landscape modification in future climate change will provide an increased opportunity for the geographic expansion of NCA sand flys' ENM and human exposure to vectors of Leishmaniases. PMID:24069478

Lower Cretaceous Luscar group (revised) of the northern and north-central foothills of Alberta

Energy Technology Data Exchange (ETDEWEB)

Langenberg, C W; McMechan, M E

1985-03-01

Lower Cretaceous coal-bearing strata exposed in the northern and north-central foothills of Alberta form part of a predominantly nonmarine succession that extends from Montana to northeastern British Columbia. The Luscar Group (revised) forms the sequence of coal bearing Lower Cretaceous strata that disconformably overlies marine and nonmarine strata of the Nikanassin Formation or Minnes Group and disconformably underlies marine shales of the Blackstone or Shaftesbury formations. It includes a thin, basal conglomerate, a predominantly nonmarine sandstone and shale unit that locally contains coal; a marine shale and sandstone unit, and an upper nonmarine sandstone and shale unit that contains thick commercial coal seams. These units form the Cadomin, Gladstone, Moosebar and Gates formations, respectively. The Luscar Group is exposed from Kakwa River to Clearwater River in the Foothills of Alberta. It represents a slight modification, by the inclusion of the thin basal conglomerate, from the previous usage of the term Luscar in the northern Foothills of Alberta. 25 references.

An evaluation of magnetic resonance imaging at the Royal North Shore Hospital of Sydney, 1986-1987

International Nuclear Information System (INIS)

Sorby, W.A.

1989-01-01

The diagnostic accuracy and clinical utility have been evaluated of 2810 consecutive magnetic-resonance-imaging examinations that were performed on a 1.5-T Signa magnetic-resonance-imaging unit at The Royal North Shore Hospital of Sydney between November 1986 and December 1987. The average accuracy of magnetic resonance imaging was 80%, and ranged from 21%-98% in various brain-disease and spinal-disease categories, compared with the average provisional premagnetic-resonance-imaging diagnostic accuracy of 64%, and an average accuracy of computed tomography of 45%. Clinical follow-up at three months after magnetic-resonance-imaging investigation indicated that, as a result of the magnetic-resonance-imaging examination, patient management was altered in 70% of cases, and patient outcome was altered in 62% of cases. 32 refs., 4 tabs

Legitimacy of hospital reconfiguration: the controversial downsizing of Kidderminster hospital.

Science.gov (United States)

Oborn, Eivor

2008-04-01

This paper examines the contested organizational legitimacy of hospital reconfiguration, which continues to be a central issue in health care management. A qualitative study which focuses on the controversial downsizing of Kidderminster Hospital, a highly publicized landmark case of district general hospital closure. Rhetorical strategies are analysed to examine how legitimacy was constructed by stakeholder groups and how these strategies were used to support or resist change. Stakeholders promoting change legitimized re-organization pragmatically and morally arguing the need for centralization as a rational necessity. Stakeholders resisting change argued for cognitive and moral legitimacy in current service arrangements, contrasting local versus regionalized aspects of safety and provision. Groups managed to talk past each other, failing to establish a dialogue, which led to significant conflict and political upheaval. Stakeholders value hospitals in different ways and argue for diverse accounts of legitimacy. Broader discourses of medical science and democratic participation were drawn into rhetorical texts concerning regionalization to render them more powerful.

Rifampicin resistance in mycobacterium tuberculosis patients using GeneXpert at Livingstone Central Hospital for the year 2015: a cross sectional explorative study.

Science.gov (United States)

Masenga, Sepiso K; Mubila, Harrison; Hamooya, Benson M

2017-09-22

Since the recent introduction of GeneXepert for the detection of Tuberculosis (TB) drug resistance mutations in both primary resistance and acquired resistance in Zambia, little has been documented in literature on the issue of rifampicin resistance especially in the face of a high National TB burden. The study aimed to determine the prevalence of rifampicin resistance in tuberculosis patients at Livingstone Central Hospital for the year 2015. This was a cross sectional study conducted at Livingstone Central Hospital where we reviewed 152 records (from January 1, 2015 to 31st December, 2015) involving patients who presented with clinically suspected TB or documented TB, whose samples were sent to the laboratory for GeneXpert Mycobacterium tuberculosis/rifampicin testing. Statistical evaluations used a one-sample test of proportion and Fisher's exact test. The age of participants ranged from 8 months to 73 years old (median = 34). Of the participants with complete data on gender, 99 (66%) and 52 (34%) were males and females respectively. The TB co-infection with HIV prevalence was 98.3% (p < 0.001). Prevalence of rifampicin resistance was 5.9% and there was no statistical significant difference between being male or female (p = 0.721). We were able to show from our study, evidence of rifampicin resistance at Livingstone Central Hospital. Hence, there was need for further in-depth research and appropriate interventions (i.e close follow-up and patient care for drug resistance positive patients).

Twelve Years of Monitoring Phosphorus and Suspended-Solids Concentrations and Yields in the North Fork Ninnescah River above Cheney Reservoir, South-Central Kansas 1997-2008

Science.gov (United States)

Stone, Mandy L.; Graham, Jennifer L.; Ziegler, Andrew C.

2009-01-01

Cheney Reservoir, located on the North Fork Ninnescah River in south-central Kansas, is the primary water supply for the city of Wichita and an important recreational resource. Concerns about taste-and-odor occurrences in Cheney Reservoir have drawn attention to potential pollutants, including total phosphorus (TP) and total suspended solids (TSS). July 2009 was the 15th anniversary of the establishment of the Cheney Reservoir Watershed pollution management plan. The U.S. Geological Survey (USGS), in cooperation with the city of Wichita, has collected water-quality data in the basin since 1996, and has monitored water quality continuously on the North Fork Ninnescah River since 1998. This fact sheet describes 12 years (1997-2008) of computed TP and TSS data and compares these data with water-quality goals for the North Fork Ninnescah River, the main tributary to Cheney Reservoir.

Manual accidents, biological risk control, and quality indicators at a children's hospital in north-east Italy

Directory of Open Access Journals (Sweden)

Parco S

2015-04-01

Full Text Available Sergio Parco, Fulvia Vascotto, Roberto Simeone, Patrizia Visconti Department of Health Technology Assessment, Institute for Maternal and Child Health, Trieste, Italy Background: Working in health care carries the risk of transmission of infected blood to patients by hospital workers and to other health personnel in the form of occupational infections. Conscientious application of the standard precautions is the main method used to avoid needle stick injuries, contamination of skin and mucous membranes, cuts with sharp tools, and inadequate disposal and recapping of needles. The aim of this work was to investigate in Friuli Venezia Giulia, a region in north-east Italy, the enhancement carried out to prevent situations of biologic risk for health care workers, and to verify the related laboratory analyses. Methods: Biological accidents occurring during the years 2012–2013 in the departments of oncology and pediatric-obstetric surgery, and in the intensive care unit at Burlo Garofolo Children's Hospital in Trieste (a large town in Friuli Venezia Giulia were reviewed, and a new panel of tests was introduced for patients and health care workers, to also detect human immunodeficiency virus (HIV, hepatitis C virus (HCV, hepatitis B virus (HBV, and aspartate transaminase and immunoglobulin G. All tests were submitted for external quality assessment. Results: In total, 230 nosocomial events were reported by health care workers in the above-mentioned hospital departments in 2012–2013. There were 158 accidents in 2012, including 55 accidental needle stick injuries (34.81%, 59 blood splashes (37.34%, and 44 cuts with infected instruments (27.84%. The risk of sustaining a cut was related to movement error during surgery when the appropriate procedure was not followed or when devices were being assembled and passed between doctors and nurses. Most accidents happened among physicians compared to nurses; the high percentage of needle stick injuries (34

Analysing workplace violence towards health care staff in public hospitals using alternative ordered response models: the case of north-eastern Turkey.

Science.gov (United States)

Çelik, Ali Kemal; Oktay, Erkan; Çebi, Kübranur

2017-09-01

The main objective of this article is to determine key factors that may have a significant effect on the verbal abuse, emotional abuse and physical assault of health care workers in north-eastern Turkey. A self-administered survey was completed by 450 health care workers in three well-established hospitals in Erzurum, Turkey. Because of the discrete and ordered nature of the dependent variable of the survey, the data were analysed using four distinctive ordered response models. Results revealed that several key variables were found to be a significant determinant of workplace violence, such as the type of health institution, occupational position, weekly working hours, weekly shift hours, number of daily patient contacts, age group of the respondents, experience in the health sector, training against workplace violence and current policies of the hospitals and the Turkish Ministry of Health.

Arthroplasty of hip resection, handling with external fixation - Experience in the central military hospital

International Nuclear Information System (INIS)

Satizabal Azuero, Carlos E; Calderon Uribe, Oscar; Naquira Escobar, Luis F

2006-01-01

This is an observational retrospective study series of cases carried out between January 1998 and July 2004 in the central military hospital, 13 patients were treated with Girdlestone arthroplasty with external fixation, with a pursuit average of 53 months. Function, return to the daily activities and associate complications was evaluated. They were as complication; pain in the fixator site, osteitis, and fixator broke. All patients report at the end of the treatment no pain in the hip. Shortening in the patient without lenghting was 3,5 cm and in the group with lenghting was 1.5 cm. the obtained results demonstrate that Girdlestone arthroplasty with external fixation, is option, to improve the patient's pain and function of the hip

Health outcomes among HIV-positive Latinos initiating antiretroviral therapy in North America versus Central and South America

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Cesar, Carina; Koethe, John R; Giganti, Mark J; Rebeiro, Peter; Althoff, Keri N; Napravnik, Sonia; Mayor, Angel; Grinsztejn, Beatriz; Wolff, Marcelo; Padgett, Denis; Sierra-Madero, Juan; Gotuzzo, Eduardo; Sterling, Timothy R; Willig, James; Levison, Julie; Kitahata, Mari; Rodriguez-Barradas, Maria C; Moore, Richard D; McGowan, Catherine; Shepherd, Bryan E; Cahn, Pedro

2016-01-01

Introduction Latinos living with HIV in the Americas share a common ethnic and cultural heritage. In North America, Latinos have a relatively high rate of new HIV infections but lower rates of engagement at all stages of the care continuum, whereas in Latin America antiretroviral therapy (ART) services continue to expand to meet treatment needs. In this analysis, we compare HIV treatment outcomes between Latinos receiving ART in North America versus Latin America. Methods HIV-positive adults initiating ART at Caribbean, Central and South America Network for HIV (CCASAnet) sites were compared to Latino patients (based on country of origin or ethnic identity) starting treatment at North American AIDS Cohort Collaboration on Research and Design (NA-ACCORD) sites in the United States and Canada between 2000 and 2011. Cox proportional hazards models compared mortality, treatment interruption, antiretroviral regimen change, virologic failure and loss to follow-up between cohorts. Results The study included 8400 CCASAnet and 2786 NA-ACCORD patients initiating ART. CCASAnet patients were younger (median 35 vs. 37 years), more likely to be female (27% vs. 20%) and had lower nadir CD4 count (median 148 vs. 195 cells/µL, p<0.001 for all). In multivariable analyses, CCASAnet patients had a higher risk of mortality after ART initiation (adjusted hazard ratio (AHR) 1.61; 95% confidence interval (CI): 1.32 to 1.96), particularly during the first year, but a lower hazard of treatment interruption (AHR: 0.46; 95% CI: 0.42 to 0.50), change to second-line ART (AHR: 0.56; 95% CI: 0.51 to 0.62) and virologic failure (AHR: 0.52; 95% CI: 0.48 to 0.57). Conclusions HIV-positive Latinos initiating ART in Latin America have greater continuity of treatment but are at higher risk of death than Latinos in North America. Factors underlying these differences, such as HIV testing, linkage and access to care, warrant further investigation. PMID:26996992

Micropaleontologic record of Quaternary paleoenvironments in the Central Albemarle Embayment, North Carolina, U.S.A.

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Culver, Stephen J.; Farrell, Kathleen M.; Mallinson, David J.; Willard, Debra A.; Horton, Benjamin P.; Riggs, Stanley R.; Thieler, E. Robert; Wehmiller, John F.; Parham, Peter; Snyder, Scott W.; Hillier, Caroline

2011-01-01

To understand the temporal and spatial variation of eustatic sea-level fluctuations, glacio-hydro-isostacy, tectonics, subsidence, geologic environments and sedimentation patterns for the Quaternary of a passive continental margin, a nearly complete stratigraphic record that is fully integrated with a three dimensional chronostratigraphic framework, and paleoenvironmental information are necessary. The Albemarle Embayment, a Cenozoic regional depositional basin in eastern North Carolina located on the southeast Atlantic coast of the USA, is an ideal setting to unravel these dynamic, interrelated processes.Micropaleontological data, coupled with sedimentologic, chronostratigraphic and seismic data provide the bases for detailed interpretations of paleoenvironmental evolution and paleoclimates in the 90. m thick Quaternary record of the Albemarle Embayment. The data presented here come from a transect of cores drilled through a barrier island complex in the central Albemarle Embayment. This area sits in a ramp-like setting between late Pleistocene incised valleys.The data document the episodic infilling of the Albemarle Embayment throughout the Quaternary as a series of transgressive-regressive (T-R) cycles, characterized by inner shelf, midshelf, and shoreface assemblages, that overlie remnants of fluvial to estuarine valley-fill. Barrier island and marginal marine deposits have a low preservation potential. Inner to mid-shelf deposits of the early Pleistocene are overlain by similar middle Pleistocene shelf sediments in the south of the study area but entirely by inner shelf deposits in the north. Late Pleistocene marine sediments are of inner shelf origin and Holocene deposits are marginal marine in nature. Pleistocene marine sediments are incised, particularly in the northern half of the embayment by lowstand paleovalleys, partly filled by fluvial/floodplain deposits and in some cases, overlain by remnants of transgressive estuarine sediments. The shallowing

Hospital Presbiteriano Valley

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Luckman, Charles

1964-12-01

Full Text Available This hospital is built on the circular system. This arrangement has economic and functional advantages. The nurses walk 40 % less distance than in a hospital of similar size, of conventional layout. The rooms are situated along the external perimeter and the beds are orientated towards the corridor, rather than towards the window. However, the patients can see out of doors by turning on their side. The hospital is most carefully fitted out, and is very comfortable. There is air conditioning, and patients can control their own TV sets. There are also curtains separating each bed form the rest, thus providing maximum independence. Warm colours have been adopted in the decoration of rooms facing north, whilst those facing south are painted in cooler tones. The circular design arrangement makes the distribution far more flexible, and it will be easier to include further units later on; by adding small adjustments to the central building. To reduce external noise, and to improve the surrounding landscape, small sand hills have been provided in the garden, and the parking site also serves to partially absorb the noise.Presenta esta solución de unidades circulares numerosas ventajas de tipo económico, ahorra espacio y da eficiencia a la circulación— las enfermeras recorren un 40 por 100 menos de camino que en otro hospital de dimensiones similares—. Las habitaciones están distribuidas a lo largo del perímetro exterior y tienen las camas orientadas hacia los corredores, en lugar de hacia las ventanas, pero de tal modo que los pacientes puedan contemplar el exterior al volverse sobre uno de sus costados. Están cuidadosamente diseñadas y dotadas de las máximas comodidades: aire acondicionado y aparatos de televisión controlados por el paciente; así como cortinas divisorias que le proporcionan el grado de aislamiento deseado.

Propuesta de mejora para el Complejo Hospitalario de Navarra, Hospital D: manual de procedimientos para la Central de Esterilización

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Garde Sesma, Idoia

2014-01-01

La esterilización es una ciencia en la que se emplean tecnologías muy variadas con el fin de lograr la destrucción de todos los microorganismos. Una vez que se ha esterilizado todo el material, debe mantenerse esa condición hasta el momento de “uso” de los equipos. La central de esterilización (en adelante CE o Central), es una unidad de vital importancia dentro de la estructura de un hospital. Recibe una enorme cantidad y variedad de instrumental quirúrgico que debe ser recogido, limpiad...

Synoptic Scale North American Weather Tracks and the Formation of North Atlantic Windstorms

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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.

[Introduction of the psychoprophylactic method and its influence on the prenatal care program for institutional parturition in Japan: the practice in the Central Hospital of Maternity of the Japanese Red Cross Society and Oomori Red Cross Hospital, 1953-1964].

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Fujihara, Satoko; Tsukisawa, Miyoko

2014-03-01

The psychoprophylactic method is one of the methods for providing 'painless childbirth without drugs' and was invented by applying I. Pavlov's theory of higher nervous activity. In 1951, it was adopted as a national policy in the Union of Soviet Socialist Republics. This method was then introduced in the People's Republic of China in 1952. In 1953, it was brought to Japan by Masatomo SUGAI, an obstetrician, and was introduced into the Central Hospital of Maternity of the Japanese Red Cross Society with the support of the director, Naotarou KUJI. The practice of this method by the research team, which consisted of the obstetricians and midwives of the Central Hospital of Maternity of the Japanese Red Cross Society and Oomori Red Cross Hospital, resulted in the initiation and characterization of the prenatal care program to encourage the autonomy of the pregnant women for normal parturition in the institutions of Japan.

Tattoo Practices in North-East India: A Hospital-based Cross-sectional Study.

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Thakur, Binod Kumar; Verma, Shikha

2016-01-01

Tattooing has become increasingly popular, particularly among young people. However, little is known about the tattoo practices in North-East India. The primary objective of this study was to know the reasons and motivations of tattoo application and tattoo removal in individuals asking for tattoo removal. The secondary objective was to identify the demography, methods and safety of tattoo practices in these tattooed individuals. A hospital-based cross-sectional study was carried out in 212 consecutive individuals seeking tattoo removal. Chi-square and Fisher's exact tests were performed for intergroup comparisons. There were 178 (84%) males and 34 (16%) females. The mean ± standard deviation (SD) age of individuals seeking tattoo removal was 21.8 ± 4 years. The mean ± SD age of doing tattoo was 15.8 ± 3 years. Most individuals possessed an amateur tattoo (94.3%), 4.2% a professional one and 1.4% had a combination. Sewing needle was the most common instrument used for making tattoos in 51.4%. The individuals made their tattoos in an unsterile manner in 49.1%. The most common reason for doing tattoo was for fashion in 87.7%. The participants wanted tattoo removal to qualify for jobs, especially in armed forces in 49.5% and due to regret in 21.7%. Black was the most preferred colour in 37.3% followed by green in 28.3%. The fabric ink was the choice of ink in maximum number of individuals, i.e. 93.9%. It was a hospital-based study done only on individuals seeking tattoo removal. It needs caution to generalise the findings in population. In addition, there may be recall bias in the participants. The tattoo was done mostly below 18 years of age in a crude unsterile way. The individuals had poor risk perceptions about various infections and complications of tattooing. There is an urgent need to caution and educate the youngsters and school-going children about safe tattooing and consequences of tattooing.

Tattoo practices in north-east India: A hospital-based cross-sectional study

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Binod Kumar Thakur

2016-01-01

Full Text Available Background: Tattooing has become increasingly popular, particularly among young people. However, little is known about the tattoo practices in North-East India. Objectives: The primary objective of this study was to know the reasons and motivations of tattoo application and tattoo removal in individuals asking for tattoo removal. The secondary objective was to identify the demography, methods and safety of tattoo practices in these tattooed individuals. Materials and Methods: A hospital-based cross-sectional study was carried out in 212 consecutive individuals seeking tattoo removal. Chi-square and Fisher's exact tests were performed for intergroup comparisons. Results: There were 178 (84% males and 34 (16% females. The mean ± standard deviation (SD age of individuals seeking tattoo removal was 21.8 ± 4 years. The mean ± SD age of doing tattoo was 15.8 ± 3 years. Most individuals possessed an amateur tattoo (94.3%, 4.2% a professional one and 1.4% had a combination. Sewing needle was the most common instrument used for making tattoos in 51.4%. The individuals made their tattoos in an unsterile manner in 49.1%. The most common reason for doing tattoo was for fashion in 87.7%. The participants wanted tattoo removal to qualify for jobs, especially in armed forces in 49.5% and due to regret in 21.7%. Black was the most preferred colour in 37.3% followed by green in 28.3%. The fabric ink was the choice of ink in maximum number of individuals, i.e. 93.9%. Limitations: It was a hospital-based study done only on individuals seeking tattoo removal. It needs caution to generalise the findings in population. In addition, there may be recall bias in the participants. Conclusion: The tattoo was done mostly below 18 years of age in a crude unsterile way. The individuals had poor risk perceptions about various infections and complications of tattooing. There is an urgent need to caution and educate the youngsters and school-going children about safe

Tattoo Practices in North-East India: A Hospital-based Cross-sectional Study

Science.gov (United States)

Thakur, Binod Kumar; Verma, Shikha

2016-01-01

Background: Tattooing has become increasingly popular, particularly among young people. However, little is known about the tattoo practices in North-East India. Objectives: The primary objective of this study was to know the reasons and motivations of tattoo application and tattoo removal in individuals asking for tattoo removal. The secondary objective was to identify the demography, methods and safety of tattoo practices in these tattooed individuals. Materials and Methods: A hospital-based cross-sectional study was carried out in 212 consecutive individuals seeking tattoo removal. Chi-square and Fisher's exact tests were performed for intergroup comparisons. Results: There were 178 (84%) males and 34 (16%) females. The mean ± standard deviation (SD) age of individuals seeking tattoo removal was 21.8 ± 4 years. The mean ± SD age of doing tattoo was 15.8 ± 3 years. Most individuals possessed an amateur tattoo (94.3%), 4.2% a professional one and 1.4% had a combination. Sewing needle was the most common instrument used for making tattoos in 51.4%. The individuals made their tattoos in an unsterile manner in 49.1%. The most common reason for doing tattoo was for fashion in 87.7%. The participants wanted tattoo removal to qualify for jobs, especially in armed forces in 49.5% and due to regret in 21.7%. Black was the most preferred colour in 37.3% followed by green in 28.3%. The fabric ink was the choice of ink in maximum number of individuals, i.e. 93.9%. Limitations: It was a hospital-based study done only on individuals seeking tattoo removal. It needs caution to generalise the findings in population. In addition, there may be recall bias in the participants. Conclusion: The tattoo was done mostly below 18 years of age in a crude unsterile way. The individuals had poor risk perceptions about various infections and complications of tattooing. There is an urgent need to caution and educate the youngsters and school-going children about safe tattooing and

Forensically important calliphoridae (diptera) associated with pig carrion in rural north-central Florida

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Gruner, Susan V.; Slone, D.H.; Capinera, J.L.

2007-01-01

A study to determine the relative abundance and seasonality of forensically important blow flies (Diptera: Calliphoridae) in rural north-central Florida was conducted using pig carcasses (Sus scrofa L.) as models for human bodies. Seven species of Calliphoridae were collected: Lucilia coeruleiviridis (=Phoenicia) (Macquart), Cochliomyia macellaria (F.), Chrysomya rufifaces (Macquart), Phormia regina (Meigen), Chrysomya megacephala (F.), and a few specimens of Calliphora livida Hall, and Calliphora vicina Robineau-Desvoidy. Species composition in aerial collections of adult flies, preserved larval collections, and samples of larvae reared to the adult stage were all highly correlated. Relative abundance of the species found was significantly different, with L. coeruleiviridis the most abundant species year-round. The relative abundance of the collected species varied significantly by day of decomposition and by season, with significant interactions between season and day, season and species, and day and species. L. coeruleiviridis, C. macellaria, C. rufifaces, and P. regina were found during the entire year, two C. vicina specimens and 11 C. livida specimens were collected from December to March, whereas C. megacephala was collected only from June through September. ?? 2007 Entomological Society of America.

Field Survey of the 2015 Ilapel Tsunami in North Central Chile

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Lagos, M.; Fritz, H. M.

2016-12-01

The magnitude Mw 8.3 earthquake in north-central Chile on September 16, 2015 generated a tsunami that rapidly flooded coastal areas. The tsunami impact was concentrated in Coquimbo region, while the regions of Valparaiso and Atacama were also affected. Fortunately, ancestral knowledge from the past tsunamis in the region, as well as tsunami education and evacuation exercises prompted most coastal residents to spontaneously evacuate to high ground after the earthquake. The event caused 11 fatalities: 8 were associated with the tsunami, while 3 were attributed to building collapses caused by the earthquake. The international scientist joined the local effort from September 20 to 26, 2015. The international tsunami survey team (ITST) interviewed numerous eyewitnesses and documented flow depths, runup heights, inundation distances, sediment deposition, damage patterns, performance of the navigation infrastructure and impact on the natural environment. The ITST covered a 500 km stretch of coastline from Caleta Chañaral de Aceituno (28.8° S) south of Huasco down to Llolleo near San Antonio (33.6° S). We surveyed more than 40 locations and recorded more than 100 tsunami and runup heights with differential GPS and integrated laser range finders. The tsunami impact peaked at Caleta Totoral near Punta Aldea with both tsunami and runup heights exceeding 10 m as surveyed on September 22. Runup exceeded 10 m at a second uninhabited location some 15 km south of Caleta Totoral. A significant variation in tsunami impact was observed along the coastlines of central Chile at local and regional scales. The tsunami occurred in the evening hours limiting the availability of eyewitness video footages. Observations from the 2015 Chile tsunami are compared with recent Chilean tsunamis. The tsunami was characterized by rapid arrival within minutes in the nearfield requiring spontaneous self-evacuation as warning messages did not reach some of the hardest hit fishing villages prior to

Stepwise introduction of the 'Best Care Always' central-line-associated bloodstream infection prevention bundle in a network of South African hospitals.

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Richards, G A; Brink, A J; Messina, A P; Feldman, C; Swart, K; van den Bergh, D

2017-09-01

Healthcare-associated infection (HCAI) remains a major international problem. The 'Best Care Always!' (BCA) campaign was launched in South Africa to reduce preventable HCAI, including central-line-associated bloodstream infection (CLABSI). The intervention took place in 43 Netcare Private Hospitals, increasing later to 49 with 958 intensive care units (ICUs) and 439 high-care (HC) beds and 1207 ICUs and 493 HC beds, respectively. Phase 1, April 2010 to March 2011, ICU infection prevention and control (IPC) nurse-driven change: commitment from management and doctors and training of IPC nurses. Bundle compliance and infections per 1000 central-line-days were incorporated as standard IPC measures and captured monthly. Phase 2, April 2011 to March 2012, breakthrough collaborative method: multiple regional learning sessions for nursing leaders, IPC nurses and unit managers. Phase 3, April 2012 to May 2016: sustained goal-setting, benchmarks, ongoing audits. A total of 1,119,558 central-line-days were recorded. Bundle compliance improved significantly from a mean of 73.1% [standard deviation (SD): 11.2; range: 40.6-81.7%] in Phase 1 to a mean of 90.5% (SD: 4.7; range: 76.5-97.2%) in Phase 3 (P = 0.0004). The CLABSI rate declined significantly from a mean of 3.55 (SD: 0.82; range: 2.54-5.78) per 1000 central-line-days in Phase 1 to a mean of 0.13 (SD: 0.09; range: 0-0.33) (P hospitals resulted in significant decreases in CLABSI. Copyright © 2017 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

Veneer-log production and receipts, North Central Region, 1976.

Science.gov (United States)

James E. Blyth; Jerold T. Hahn

1978-01-01

Shows 1976 veneer-log production and receipts by species in the Lake States (Michigan, Minnesota, and Wisconsin) and in the Central States (Illinois, Indiana, Iowa, and Missouri). Comparisons are made with similar data for 1974. Includes tables showing veneer-log production and receipts (for selected years) since 1946 in the Lake States and since 1956 in the Central...

Veneer-log production and receipts, North Central Region, 1974.

Science.gov (United States)

James E. Blyth; Jerold T. Hahn

1976-01-01

Shows 1974 veneer-log production and receipts by species in the Lake States (Michigan, Minnesota, and Wisconsin) and in the Central States (Illinois, Indiana, Iowa, and Missouri). Comparisons are made with similar data for 1972. Includes tables showing veneer-log production and receipts (for selected years) since 1946 in the Lake States and since 1956 in the Central...

Transfusion practice in Helsinki University Central Hospital: an analysis of diagnosis-related groups (DRG).

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Syrjälä, M T; Kytöniemi, I; Mikkolainen, K; Ranimo, J; Lauharanta, J

2001-12-01

Transfusion data combined with data automatically recorded in hospital databases provides an outstanding tool for blood utilization reporting. When the reporting is performed with an online analytical processing (OLAP) tool, real time reporting can be provided to blood subscribers. When this data is combined with a common patient classification system, Diagnosis-Related Groups (DRG), it is possible to produce statistical results, that are similar in different institutions and may provide a means for international transfusion bench-marking and cost comparison. We use a DRG classification to describe the transfusion practice in Helsinki University Central Hospital. The key indicators include the percentage of transfused patients, the number of transfused units and costs in different DRG groups, as well as transfusion rates per DRG weighted treatment episodes. Ninety-three per cent of all transfusions could be classified into different DRGs. The largest blood-using DRG group was acute adult leukaemia (DRG 473), which accounted for 10.4% of all transfusion costs. The 13 largest blood consuming DRGs accounted for half the total costs in 1998. Currently, there is a lack of an internationally accepted standardized way to report institutional or national transfusion practices. DRG-based transfusion reporting might serve as a means for transfusion benchmarking and thus aid studies of variations in transfusion practice.

Leukaemia at Queen Elizabeth Central Hospital in Blantyre, Malawi.

Science.gov (United States)

Mukiibi, J M; Nyirenda, C M; Adewuyi, J O; Mzula, E L; Magombo, E D; Mbvundula, E M

2001-07-01

To determine the patterns of leukaemias seen in Malawians at Queen Elizabeth Central Hospital (QECH) and to compare the findings with those from elsewhere. An overview of the problems encountered in the management of leukaemia in developing countries especially those in sub-Saharan Africa are highlighted. Retrospective descriptive analysis of consecutive leukaemia cases seen from January 1994 through December 1998. Of the 95 leukaemia patients diagnosed during the study period, childhood (0-15 years) leukaemia occurred in 27 (28.4%) patients while adulthood (above 15 years) leukaemia accounted for 68 (71.6%) patients. The main leukaemia types were: acute lymphoblastic leukaemia (ALL) 14 (14.7%), acute myeloblastic leukaemia (AML) 25 (26.3%), chronic myeloid (granulocytic) leukaemia (CML) 32 (33.7%), chronic lymphocytic (lymphatic) leukaemia (CLL) 22 (23.2%) and hairy cell leukaemia (HCL) two (2.1%) patients. Most of the acute leukaemia (AL) cases occurred in the six to 15 year age bracket with a male preponderance. In ALL, lymphadenopathy was the commonest presenting feature followed by pallor (92.9%) while in the AML group, pallor occurred in 80% of cases. Abdominal swelling (87.5%) due to splenomegaly (81.3%) were the main clinical features in the CML group whereas lymphadenopathy (63.6%) followed by splenomegaly (59.1%) were the dominant presenting features in CLL. Haematologically, although leucocytosis characterised both acute and chronic leukaemias, most cases of acute leukaemia presented with more severe anaemia (Hb charitable organisations.

Infecciones del sistema nervioso central por enterovirus en niños atendidos en un hospital de Lima, Perú Enteroviral central nervous system infections in children treated at a hospital in Lima, Peru

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Iván O Espinoza

2011-12-01

Full Text Available Objetivos. Determinar la frecuencia y las características clínicas de las infecciones del sistema nervioso central por enterovirus en niños atendidos en el Hospital Nacional Cayetano Heredia de Lima, Perú. Materiales y métodos. Se realizó un estudio prospectivo y descriptivo desde abril 2008 hasta marzo 2010. Se enrolaron pacientes de un mes a 14 años con diagnóstico clínico de encefalitis o meningitis asépticas. Se investigó la presencia de enterovirus, virus herpes simple 1 (VHS-1, virus herpes simple 2 (VHS-2 y virus varicela-zoster (VZV mediante reacción en cadena de polimerasa (PCR. Resultados. Se enrolaron 97 pacientes de los cuales 69 % presentaron encefalitis aguda y 31 % meningitis aguda. Se identificó enterovirus en 52,6 % del total de infecciones agudas no bacterianas del sistema nervioso central; encontrándose en 83,3 % de las meningitis y en 38,8 % de las encefalitis. No hubo casos de infección por VHS-1, VHS-2 ni VZV. Las infecciones por enterovirus alcanzaron el 82,9 % en los meses cálidos de noviembre a enero y el 28,6 % en los meses fríos de mayo a julio. Conclusiones. Los enterovirus fueron los principales agentes etiológicos en las encefalitis y meningitis asépticas agudas en pacientes pediátricos de Lima, Perú. Los enterovirus tienen un comportamiento epidemiológico estacional con un claro aumento del número de casos en los meses de verano. Resulta útil tener disponible un método de diagnóstico rápido, como una ayuda para el manejo de las infecciones agudas del sistema nervioso.Objectives. To determine the frequency and clinical features of central nervous system infections caused by enterovirus in children treated at the Hospital Nacional Cayetano Heredia in Lima, Peru. Materials and methods. A prospective, descriptive study was performed from April 2008 to March 2010. Patients aged 1 month - 14 years with clinical diagnosis of encephalitis or aseptic meningitis were included. We investigated the

ARTRODESIS TIBIOTALOCALCANEA CON PLACA PHILOS: EXPERIENCIA EN EL HOSPITAL MILITAR CENTRAL. ENERO 2007 A DICIEMBRE DE 2009

OpenAIRE

MUÑOZ FALLA, GERARDO ALEXI; DELGADO NEIRA, ALEJANDRO; ENRIQUE GAMBA, CESAR; HERNÁNDEZ PERDOMO, EDGAR

2011-01-01

Estudio descriptivo observacional, retrospectivo tipo serie de casos, realizado entre enero de 2007 y diciembre de 2009 en el Hospital Militar Central. Fueron tratados 21 pacientes con artrosis de la articulación tibio talar y subtalar de etiología diversa, con seguimiento mínimo de 6 meses. Se evaluó; la función pre operatoria y post operatoria por medio de la escala AOFAS, el dolor mediante la escala visual análoga, el tiempo de consolidación con controles radiográficos, el tipo de injerto ...

Constructions of Identity and Threat in North Korea’s “Diplomatic War” Discourse

OpenAIRE

Ballbach, Eric J.

2015-01-01

This paper analyzes North Korea’s most central foreign policy discourse in the post-Cold War era: the discourse of the Diplomatic War. Embedding North Korea’s nuclear strive and its conflictual relations with a significant Other – the U.S. – the analysis of this discourse provides crucial insights into the immaterial factors driving North Korea’s foreign relations in the post-Cold War era. In specific, the study focusses on two central characteristics of the discourse, i.e. the writing of ide...

Floristic changes at Khersan Glacier Territory, Alamkuh Mountain, Central Alborz, North of Iran

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KOUROSH KAVOUSI

2016-02-01

Full Text Available Abstract. Kavousi K, Nejadsattari T, Asri Y, Ejtehadi H, Khavari-Nejad RA. 2016. Floristic changes at Khersan Glacier Territory, Alamkuh Mountain, Central Alborz, North of Iran. Biodiversitas 17: 11-15. Extensive investigation in subnival-nival area around Khersan glacier moraine introduced 71 vascular plant species. From this list 43 species have been listed in Noroozi (2001 in “ subnival-nival vascular plant species of Iran : a unique high mountain flora and its threat from climate warming ” and the others are new for subnival- nival area of Iran. Among this plant list 31 species had introduced with Kotschy (1861a,b, Bornmuller (1904, Melchior (1937, Klein (1982, european researchers and the other is named for the first time from Khersan glacier territory. Many species such as Astragalus macrosemius, Pseudocamelina kleinii, Crepis multicaulis subsp. congesta, Didymophysa fedtschenkoana and Draba melanopus due to glacier condition have very sensitive habitat, vulnerable and only gathered from restrict area with conservation value. Vegetation change happened in many nival and subnival area with upward movement in the same habitat and movement from lower altitude at alpine towards summit in subnival and nival. Carex oreophila, Campanula stevenii, Bromus barchystachyus, Oxytropis immersa, Erigeron uniflorus,Trachydium pauciradiatum, Scorzonera radicosa and some other species are surprisingly movement to subnival area and many nival and subnival species such as Didymophysa aucheri, Didymophysa fedtschenkoana, Dracocephalum aucheri and Arabis caucasica have come significantly upward in nival. The movement is different in all side of Khersan glacier moraine in north, south and the east (beside moraine tongue slops and limited with presence of soil natural generation and other ecological remarks. Limitation for soil generation starts at different altitude in northern, southern and eastern slopes of Khersan glacier valley. This study examined

Neurocognitive sequelae of cerebral malaria in adults: a pilot study in Benguela Central Hospital, Angola.

Science.gov (United States)

Peixoto, Bruno; Kalei, Isabel

2013-07-01

To characterize the neurocognitive sequelae of cerebral malaria (CM) in an adult sample of the city of Benguela, Angola. A neuropsychological assessment was carried out in 22 subjects with prior history of CM ranging from 6 to 12 months after the infection. The obtained results were compared to a control group with no previous history of cerebral malaria. The study was conducted in Benguela Central Hospital, Angola in 2011. CM group obtained lower results on the two last trials of a verbal learning task and on an abstract reasoning test. CM is associated to a slower verbal learning rate and to difficulties in the ability to discriminate and perceive relations between new elements.

Prevalence and Significance of Haemoparasitic Infections of Cattle in North- Central, Nigeria

Directory of Open Access Journals (Sweden)

J.Kamani.

Full Text Available The prevalence and significance of hemoparasites of cattle from north-central Nigeria was determined using diagnostic records from Parasitology Division, National Veterinary Research Institute (NVRI Vom, from May 2006 to April 2008. A total of 637 blood samples from cattle from four states (Plateau, Bauchi, Nasarawa and Kaduna of Nigeria in anticoagulant were submitted to the laboratory for parasitological diagnosis. Giemsa stained thin blood smears were examined for hemoparasites. Packed cell volume (PCV for each sample was determined and Hematocrit centrifuge technique (HCT was used to determine the presence of motile parasites. An overall prevalence of 25.7% was recorded for all samples examined. Babesia bigemina and B.bovis accounted for 16.0%, followed by Theileria mutans (3.1%, Trypanosoma spp (T.vivax and T. congolense (2.8%, Anaplasma marginale (1.9%, Microfilaria (1.4%. The hemoparasites identified alone or in combination with others had a significant (P<0.05 effect on the mean PCV of infected animals. Similarly, hemoparasites infection in young animals as well as during the dry season resulted in significant (P<0.05 reduction of PCV values. The result of this study shows these hemoparasites are endemic in cattle in the study area which may result in serious disease conditions when such animals are subjected to stressful condition. [Veterinary World 2010; 3(10.000: 445-448

Georesistivity structure in the central part of North-Eastern Japan Arc; Tohoku chiho chubu chiiki no denki dendodo kozo

Energy Technology Data Exchange (ETDEWEB)

Fujinawa, Y. [National Research Institute for Disaster Prevention, Tsukuba (Japan); Kawakami, N. [GERD Geothermal Energy Research and Development Co. Ltd., Tokyo (Japan); Ueshima, M. [The University of Tokyo, Tokyo (Japan). Earthquake Research Institute; Honkura, Y. [Tokyo Institute of Technology, Tokyo (Japan)

1998-03-13

MT measurement of transects was made in the central part of North-Eastern Japan Arc to clarify tectonics of subduction zones. 1-D, 2-D and 3-D resistivity structures are observed in surface layers, and zones shallower and deeper than a Conrad surface, respectively. A main structure direction is S-N or NNE-SSW. Ishinomaki-Chokai tectonic line and low- resistivity zones due to Quaternary volcanos (Naruko, Onikobe) exist in a backbone range region. Resistivity is 100{Omega}{center_dot}m or less by Bostick Inversion except Mesozoic and Palaeozoic layers in the southern Kitakami mountainous region, resulting in a good agreement with previous results in a north transect. Resistivity is several {Omega}{center_dot}m and depth is several km around Shinjo basin and in surface layers of Kitakami River region. The backbone range region shows complex resistivity structures because of volcanic activity and wide-area hot water activity. High-resistivity layers correspond to stable Mesozoic and Palaeozoic land layers. Seismic velocity increases in the low-resistivity zone. Earthquake generally occurs at the boundary between resistivity structures. 68 refs., 9 figs., 2 tabs.

Determining the Status Quo of Infection Prevention and Control Standards in the Hospitals of Iran: A Case Study in 23 Hospitals

OpenAIRE

Shojaee, Jalil; Moosazadeh, Mahmood

2014-01-01

Background: Applying Prevention and Control of Infection (PCI) standards in hospitals reduces probable risks to patients, staff and visitors; it also increases efficiency, and ultimately improves productivity of hospitals. Objective: The current study aimed to determine the status quo of international standards of PCI in hospitals located in the north of Iran. Materials and Methods: This cross-sectional study was conducted in 23 hospitals. Data collection tool was a questionnaire with confirm...

Mesozoic alkaline plutonism: Evidence for extensional phase in Alpine-Himalayan orogenic belt in Central Alborz, north Iran

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Roghieh Doroozi

2017-12-01

Full Text Available The Kamarbon Jurassic alkaline basic intrusion crops out in Central Alborz, north Iran, along the northern margin of the Alpine-Himalayan belt. The intrusion includes foid gabbros at the margins and foid monzodiorites towards the center. The foid monzodiorites are considered as the evolved melts after the fractional crystallization mostly of olivine and clinopyroxene from a foid gabbro parental magma. Based on mass balance calculation the evolution of the Kamarbon alkaline gabbro could be explained by 19.2% fractionation of clinopyroxene, 13.8% of olivine, 3% of plagioclase and 1.0% Ti-Magnetite, with 63% of residual liquid. REE inversion modeling indicates that the Kamarbon intrusion magma was generated by low degrees (<3% of partial melting from a garnet-bearing mantle source. In primitive mantle-normalized incompatible element diagrams, the Kamarbon rocks show enrichment in LILE elements (Ba, Rb, Sr and Th, HFSE elements (Nb, Ta, Ti, Zr and Hf and P and depletion in K, Y and HREE (Yb, Lu which are similar to patterns of HIMU-OIBs or intraplate alkaline magmas. According to the existence of extensional phases and occurrence of different rifting during late Triassic to middle Jurassic in Central Alborz, the formation of Kamarbon intrusion could be related to an intracontinental rifting.

An analysis of high fine aerosol loading episodes in north-central Spain in the summer 2013 - Impact of Canadian biomass burning episode and local emissions

Science.gov (United States)

Burgos, M. A.; Mateos, D.; Cachorro, V. E.; Toledano, C.; de Frutos, A. M.; Calle, A.; Herguedas, A.; Marcos, J. L.

2018-07-01

This work presents an evaluation of a surprising and unusual high turbidity summer period in 2013 recorded in the north-central Iberian Peninsula (IP). The study is made up of three main pollution episodes characterized by very high aerosol optical depth (AOD) values with the presence of fine aerosol particles: the strongest long-range transport Canadian Biomass Burning (BB) event recorded, one of the longest-lasting European Anthropogenic (A) episodes and an extremely strong regional BB. The Canadian BB episode was unusually strong with maximum values of AOD(440 nm) ∼ 0.8, giving rise to the highest value recorded by photometer data in the IP with a clearly established Canadian origin. The anthropogenic pollution episode originated in Europe is mainly a consequence of the strong impact of Canadian BB events over north-central Europe. As regards the local episode, a forest fire in the nature reserve near the Duero River (north-central IP) impacted on the population over 200 km away from its source. These three episodes exhibited fingerprints in different aerosol columnar properties retrieved by sun-photometers of the AErosol RObotic NETwork (AERONET) as well as in particle mass surface concentrations, PMx, measured by the European Monitoring and Evaluation Programme (EMEP). Main statistics, time series and scatterplots relate aerosol loads (aerosol optical depth, AOD and particulate matter, PM) with aerosol size quantities (Ångström Exponent and PM ratio). More detailed microphysical/optical properties retrieved by AERONET inversion products are analysed in depth to describe these events: contribution of fine and coarse particles to AOD and its ratio (the fine mode fraction), volume particle size distribution, fine volume fraction, effective radius, sphericity fraction, single scattering albedo and absorption optical depth. Due to its relevance in climate studies, the aerosol radiative effect has been quantified for the top and bottom of the atmosphere

Dizziness in a community hospital: central neurological causes, clinical predictors, and diagnostic yield and cost of neuroimaging studies.

Science.gov (United States)

Ammar, Hussam; Govindu, Rukma; Fouda, Ragai; Zohdy, Wael; Supsupin, Emilio

2017-03-01

Objectives : Neuroimaging is contributing to the rising costs of dizziness evaluation. This study examined the rate of central neurological causes of dizziness, relevant clinical predictors, and the costs and diagnostic yields of neuroimaging in dizziness assessment. Methods : We retrospectively reviewed the records of 521 adult patients who visited the hospital during a 12-month period with dizziness as the chief complaint. Clinical findings were analyzed using Fisher's exact test to determine how they correlated with central neurological causes of dizziness identified by neuroimaging. Costs and diagnostic yields of neuroimaging were calculated. Results : Of the 521 patients, 1.5% had dizziness produced by central neurological causes. Gait abnormalities, limb ataxia, diabetes mellitus, and the existence of multiple neurological findings predicted central causes. Cases were associated with gait abnormalities, limb ataxia, diabetes mellitus, and the existence of multiple neurological findings . Brain computed tomography (CT) and magnetic resonance imaging (MRI) were performed in 42% and 9.5% of the examined cases, respectively, with diagnostic yields of 3.6% and 12%, respectively. Nine cases of dizziness were diagnosed from 269 brain scans, costing $607 914. Conclusion : Clinical evaluation can predict the presence of central neurological causes of dizziness, whereas neuroimaging is a costly and low-yield approach. Guidelines are needed for physicians, regarding the appropriateness of ordering neuroimaging studies. Abbreviations : OR: odds ratio; CI: confidence interval; ED: emergency department; CT: computed tomography; MRI: magnetic resonance imaging; HINTS: Head impulse, Nystagmus, Test of skew.

Thermal maturity and organic composition of Pennsylvanian coals and carbonaceous shales, north-central Texas: Implications for coalbed gas potential

Energy Technology Data Exchange (ETDEWEB)

Hackley, Paul C. [U.S. Geological Survey, 956 National Center, Reston, VA 20192 (United States); Guevara, Edgar H.; Hentz, Tucker F. [Bureau of Economic Geology, The University of Texas at Austin, Austin, TX 78713 (United States); Hook, Robert W. [1301 Constant Springs Drive, Austin, TX 78746 (United States)

2009-01-31

Thermal maturity was determined for about 120 core, cuttings, and outcrop samples to investigate the potential for coalbed gas resources in Pennsylvanian strata of north-central Texas. Shallow (< 600 m; 2000 ft) coal and carbonaceous shale cuttings samples from the Middle-Upper Pennsylvanian Strawn, Canyon, and Cisco Groups in Archer and Young Counties on the Eastern Shelf of the Midland basin (northwest and downdip from the outcrop) yielded mean random vitrinite reflectance (R{sub o}) values between about 0.4 and 0.8%. This range of R{sub o} values indicates rank from subbituminous C to high volatile A bituminous in the shallow subsurface, which may be sufficient for early thermogenic gas generation. Near-surface (< 100 m; 300 ft) core and outcrop samples of coal from areas of historical underground coal mining in the region yielded similar R{sub o} values of 0.5 to 0.8%. Carbonaceous shale core samples of Lower Pennsylvanian strata (lower Atoka Group) from two deeper wells (samples from {proportional_to} 1650 m; 5400 ft) in Jack and western Wise Counties in the western part of the Fort Worth basin yielded higher R{sub o} values of about 1.0%. Pyrolysis and petrographic data for the lower Atoka samples indicate mixed Type II/Type III organic matter, suggesting generated hydrocarbons may be both gas- and oil-prone. In all other samples, organic material is dominated by Type III organic matter (vitrinite), indicating that generated hydrocarbons should be gas-prone. Individual coal beds are thin at outcrop (< 1 m; 3.3 ft), laterally discontinuous, and moderately high in ash yield and sulfur content. A possible analog for coalbed gas potential in the Pennsylvanian section of north-central Texas occurs on the northeast Oklahoma shelf and in the Cherokee basin of southeastern Kansas, where contemporaneous gas-producing coal beds are similar in thickness, quality, and rank. (author)

Ground Motion Characteristics of Induced Earthquakes in Central North America

Science.gov (United States)

Atkinson, G. M.; Assatourians, K.; Novakovic, M.

2017-12-01

The ground motion characteristics of induced earthquakes in central North America are investigated based on empirical analysis of a compiled database of 4,000,000 digital ground-motion records from events in induced-seismicity regions (especially Oklahoma). Ground-motion amplitudes are characterized non-parametrically by computing median amplitudes and their variability in magnitude-distance bins. We also use inversion techniques to solve for regional source, attenuation and site response effects. Ground motion models are used to interpret the observations and compare the source and attenuation attributes of induced earthquakes to those of their natural counterparts. Significant conclusions are that the stress parameter that controls the strength of high-frequency radiation is similar for induced earthquakes (depth of h 5 km) and shallow (h 5 km) natural earthquakes. By contrast, deeper natural earthquakes (h 10 km) have stronger high-frequency ground motions. At distances close to the epicenter, a greater focal depth (which increases distance from the hypocenter) counterbalances the effects of a larger stress parameter, resulting in motions of similar strength close to the epicenter, regardless of event depth. The felt effects of induced versus natural earthquakes are also investigated using USGS "Did You Feel It?" reports; 400,000 reports from natural events and 100,000 reports from induced events are considered. The felt reports confirm the trends that we expect based on ground-motion modeling, considering the offsetting effects of the stress parameter versus focal depth in controlling the strength of motions near the epicenter. Specifically, felt intensity for a given magnitude is similar near the epicenter, on average, for all event types and depths. At distances more than 10 km from the epicenter, deeper events are felt more strongly than shallow events. These ground-motion attributes imply that the induced-seismicity hazard is most critical for facilities in

Canada goose nest survival at rural wetlands in north-central Iowa

Science.gov (United States)

Ness, Brenna N.; Klaver, Robert W.

2016-01-01

The last comprehensive nest survival study of the breeding giant Canada goose (Branta canadensis maxima) population in Iowa, USA, was conducted >30 years ago during a period of population recovery, during which available nesting habitat consisted primarily of artificial nest structures. Currently, Iowa's resident goose population is stable and nests in a variety of habitats. We analyzed the effects of available habitat on nest survival and how nest survival rates compared with those of the expanding goose population studied previously to better understand how to maintain a sustainable Canada goose population in Iowa. We documented Canada goose nest survival at rural wetland sites in north-central Iowa. We monitored 121 nests in 2013 and 149 nests in 2014 at 5 Wildlife Management Areas (WMAs) with various nesting habitats, including islands, muskrat (Ondatra zibethicus) houses, and elevated nest structures. We estimated daily nest-survival rate using the nest survival model in Program MARK. Survival was influenced by year, site, stage, presence of a camera, nest age, and an interaction between nest age and stage. Nest success rates for the 28-day incubation period by site and year combination ranged from 0.10 to 0.84. Nest survival was greatest at sites with nest structures (β = 17.34). Nest survival was negatively affected by lowered water levels at Rice Lake WMA (2013 β = −0.77, nest age β = −0.07). Timing of water-level drawdowns for shallow lake restorations may influence nest survival rates.

Profiling agricultural land cover change in the North Central U.S. using ten years of the Cropland Data Layer

Science.gov (United States)

Sandborn, A.; Ebinger, L.

2016-12-01

The Cropland Data Layer (CDL), produced by the USDA/National Agricultural Statistics Service, provides annual, georeferenced crop specific land cover data over the contiguous United States. Several analyses were performed on ten years (2007-2016) of CDL data in order to visualize and quantify agricultural change over the North Central region (North Dakota, South Dakota, and Minnesota). Crop masks were derived from the CDL and layered to produce a ten-year time stack of corn, soybeans, and spring wheat at 30m spatial resolution. Through numerous image analyses, a temporal profile of each crop type was compiled and portrayed cartographically. For each crop, analyses included calculating the mean center of crop area over the ten year sequence, identifying the first and latest year the crop was grown on each pixel, and distinguishing crop rotation patterns and replacement statistics. Results show a clear north-western expansion trend for corn and soybeans, and a western migration trend for spring wheat. While some change may be due to commonly practiced crop rotation, this analysis shows that crop footprints have extended into areas that were previously other crops, idle cropland, and pasture/rangeland. Possible factors contributing to this crop migration pattern include profit advantages of row crops over small grains, improved crop genetics, climate change, and farm management program changes. Identifying and mapping these crop planting differences will better inform agricultural best practices, help to monitor the latest crop migration patterns, and present researchers with a way to quantitatively measure and forecast future agricultural trends.

Central Diabetes Insipidus, Central Hypothyroidism, Renal Tubular ...

African Journals Online (AJOL)

readmitted to the hospital because of jaundice and failure to thrive, for which he was investigated and diagnosed to have central congenital hypothyroidism. Shortly thereafter, he was admitted to our institute with a history of vomiting, decreased oral intake, polyuria, and dehydration having lasted 5 days. He was investigated ...

Mexico North-South Deflections (DMEX97)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This 2' surface deflection of the vertical grid for Mexico, and North-Central is the DMEX97 model. The computation used about one million terrestrial and marine...

Temperature, salinity, nutrients, oxygen and other data profiles from CTD and bottle casts from NOAA/NMFS cruises of NOAA Ship Townsend Cromwell in the central north Pacific, 1997-2002 (NODC Accession 0100295)

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — This dataset contains measurements from CTD hydrocast stations from seven cruises of NOAA Ship Townsend Cromwell in the central north Pacific from 1997 to 2002...

Effects of dietary pattern and education on glycemic control in patients with type 2 diabetes mellitus at Dr. Sardjito Central General Hospital, Yogyakarta.

Science.gov (United States)

Sinorita, Hemi; Saádah; Jazakillah, Setyowati

2008-04-01

to recognize the effect of education and diet on glycemic control in patients with type 2 diabetes mellitus at Dr. Sardjito Central General Hospital, Jogjakarta. a cross-sectional study was conducted in 88 patients with type 2 DM who had routine visit to the outpatient clinic in Endocrinology Division of Dr. Sardjito Central General Hospital, Jogjakarta. As inclusion criteria, patients who had routine visit in 3 month continuously with fasting plasma glucose (GDN) 126 mg/dl as poor glycemic control group. Data were recorded which included age, sex, period of DM, daily diet pattern, and education received. we found that glycemic control was not affected by sex (p=0.52) and age (p=0.38), but it was affected by period of DM (p=0.02). Glycemic control in the present study was affected by dietary pattern (p=0.01), but not by education (p=1.00). the present study has found significant correlation between regulation of dietary pattern and glycemic control (p=0.01).

Modelling thermal stratification in the North Sea: Application of a 2-D potential energy model

DEFF Research Database (Denmark)

Nielsen, Morten Holtegaard; St. John, Michael

2001-01-01

is forced with wind, dew point temperature from Ekofisk oilfield in the central North Sea, and tidal current and atmospheric radiation. The model is used to simulate the seasonal cycle of stratification in the central North Sea in the years 1988, 1989 and 1990 and is compared to density profiles...

Clinical and endoscopic profile of the patients with upper gastrointestinal bleeding in central rural India: A hospital-based cross-sectional study

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Jyoti Jain

2018-01-01

Full Text Available Introduction: Acute Upper Gastrointestinal bleeding (UGIB is one of the common causes with which the patients present to emergency. The upper gastrointestinal (UGI endoscopy remains a crucial tool in identification of UGIB. The aim of the present study was to determine the endoscopic profile of UGIB in adult population of rural central India admitted with history of UGIB (hemetemesis and/or malena. Methods: This prospective, cross sectional study was conducted in rural hospital in central India and we enrolled all consecutive patients aged 18 years and above who were admitted in the hospital ward with the history of UGIB. After obtaining the demographic data, all patients underwent clinical examination, laboratory investigations and video-endoscopy. We used Student's t test to compare means, Chi-square test to compare proportions and Mann-Whitney test to compare medians. P value <0.05 will be considered significant. Results: The mean age of our study population (N = 118 was 46.2 years. Among 118 patients who underwent endoscopy, 47.4% had esophageal varices, 27.1% had portal hypertensive gastropathy, 14.4% had gastric erosions, 5.9% each had duodenal ulcers and esophagitis, 5% had gastric ulcer disease, 4.2% each had Mallory-Weiss tear and had gastric malignancy, 1.7% had esophageal malignancy and 16.1% had normal endoscopic findings. Conclusion: Esophageal varices were the most common cause of UGIB in the adult population of rural central India presenting with UGIB, when diagnosed by video-endoscopy.

Select tissue mineral concentrations and chronic wasting disease status in mule deer from North-central Colorado.

Science.gov (United States)

Wolfe, Lisa L; Conner, Mary M; Bedwell, Cathy L; Lukacs, Paul M; Miller, Michael W

2010-07-01

Trace mineral imbalances have been suggested as having a causative or contributory role in chronic wasting disease (CWD), a prion disease of several North American cervid species. To begin exploring relationships between tissue mineral concentrations and CWD in natural systems, we measured liver tissue concentrations of copper, manganese, and molybdenum in samples from 447 apparently healthy, adult (> or = 2 yr old) mule deer (Odocoileus hemionus) culled or vehicle killed from free-ranging populations in north-central Colorado, United States, where CWD occurs naturally; we also measured copper concentrations in brain-stem (medulla oblongata at the obex) tissue from 181 of these deer. Analyses revealed a wide range of concentrations of all three minerals among sampled deer (copper: 5.6-331 ppm in liver, 1.5-31.9 ppm in obex; manganese: 0.1-21.4 ppm in liver; molybdenum: 0.5-4.0 ppm in liver). Bayesian multiple regression analysis revealed a negative association between obex copper (-0.097; 95% credible interval -0.192 to -0.006) and the probability of sampled deer also being infected with CWD, as well as a positive association between liver manganese (0.158; 95% credible interval 0.066 to 0.253) and probability of infection. We could not discern whether the tendencies toward lower brain-stem copper concentrations or higher systemic manganese concentrations in infected deer preceded prion infection or rather were the result of infection and its subsequent effects, although the distribution of trace mineral concentrations in infected deer seemed more suggestive of the latter.

Carbon Flux of Down Woody Materials in Forests of the North Central United States

International Nuclear Information System (INIS)

Woodall, C.W.

2010-01-01

Across large scales, the carbon (C) flux of down woody material (DWM) detrital pools has largely been simulated based on forest stand attributes (e.g., stand age and forest type). The annual change in forest DWM C stocks and other attributes (e.g., size and decay class changes) was assessed using a forest inventory in the north central United States to provide an empirical assessment of strategic-scale DWM C flux. Using DWM inventory data from the USDA Forest Service's Forest Inventory and Analysis program, DWM C stocks were found to be relatively static across the study region with an annual flux rate not statistically different from zero. Mean C flux rates across the study area were -0.25, -0.12, -0.01, and -0.04 (Mg/ha/yr) for standing live trees, standing dead trees, coarse woody debris, and fine woody debris, respectively. Flux rates varied in their both magnitude and status (emission/sequestration) by forest types, latitude, and DWM component size. Given the complex dynamics of DWM C flux, early implementation of inventory re measurement, and relatively low sample size, numerous future research directions are suggested.

Comparision between bed side testing of blood glucose by glucometer vs centralized testing in a tertiary care hospital.

Science.gov (United States)

Baig, Ayaz; Siddiqui, Imran; Jabbar, Abdul; Azam, Syed Iqbal; Sabir, Salman; Alam, Shahryar; Ghani, Farooq

2007-01-01

To determine the accuracy, turnaround time and cost effectiveness of bedside monitoring of blood glucose levels by non-laboratory health care workers and centralized testing of blood glucose by automated analyzer in a tertiary care hospital. The study was conducted in Section of Chemical Pathology, Department of Pathology and Microbiology and Section of Endocrinology Department of Medicine, Aga Khan University and Hospital Karachi, from April 2005 to March 2006. One hundred and ten patients were included in the study. The blood glucose levels were analyzed on glucometer (Precision Abbott) by finger stick, using Biosensor Technology. At the same time venous blood was obtained to analyze glucose in clinical laboratory on automated analyzer (SYNCHRON CX7) by glucose oxidase method. We observed good correlation between bed side glucometer and laboratory automated analyzer for glucose values between 3.3 mmol/L (60 mg/dl) and 16.7 (300 mg/dl). A significant difference was observed for glucose values less than 3.3 mmol/L (p = 0.002) and glucose values more than 16.67 mmol/l (p = 0.049). Mean Turnaround time for glucometer and automated analyzer were 0.08 hours and 2.49 hours respectively. The cost of glucose testing with glucometer was 48.8% lower than centralized lab based testing. Bedside glucometer testing, though less expensive does not have good accuracy in acutely ill patient with either very high or very low blood glucose levels.

Coexisting contraction-extension consistent with buoyancy of the crust and upper mantle in North-Central Italy

CERN Document Server

Aoudia, A; Ismail-Zadeh, A T; Panza, G F; Pontevivo, A

2002-01-01

The juxtaposed contraction and extension observed in the crust of the Italian Apennines and elsewhere has, for a long time, attracted the attention of geoscientists and is a long-standing enigmatic feature. Several models, invoking mainly external forces, have been put forward to explain the close association of these two end-member deformation mechanisms clearly observed by geophysical and geological investigations. These models appeal to interactions along plate margins or at the base of the lithosphere such as back-arc extension or shear tractions from mantle flow or to subduction processes such as slab roll back, retreat or pull and detachment. We present here a revisited crust and upper mantle model that supports delamination processes beneath North-Central Italy and provides a new background for the genesis and age of the recent magmatism in Tuscany. Although external forces must have been important in the building up of the Apennines, we show that internal buoyancy forces solely can explain the coexist...

Review of the genera of Conoderinae (Coleoptera, Curculionidae from North America, Central America, and the Caribbean

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Salvatore S. Anzaldo

2017-07-01

Full Text Available The thirty-nine extant genera of Conoderinae known to occur in North America, Central America, and the Caribbean are reviewed based on external morphology. An identification key is provided along with diagnoses, distributions, species counts, and natural history information, when known, for each genus. Morphological character systems of importance for weevil classification are surveyed, potential relationships among the tribes and genera are discussed, and groups most in need of taxonomic and phylogenetic attention are identified. The following genera are transferred to new tribes: Acoptus LeConte, 1876 from the Lechriopini to the Othippiini (new placement and the South American genus Hedycera Pascoe, 1870 from the Lechriopini to the Piazurini (new placement. Philides Champion, 1906 and Philinna Champion, 1906 are transferred from the Lechriopini to Conoderinae incertae sedis (new placement although their placement as conoderines is uncertain. The species Copturomimus cinereus Heller, 1895 is designated as the type species of the genus Copturomimus Heller, 1895.

An Abattoir-Based Study on Serodiagnosis of Swine Brucellosis in Makurdi, Benue State, North-Central Nigeria

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Emmanuel Ochefije Ngbede

2013-04-01

Full Text Available An abattoir serological survey of brucellosis in pigs was conducted in Makurdi, Benue State North Central Nigeria between October and November 2011. Blood-sera were collected from a total of 281 slaughtered pigs and their ages and sex were recorded. The sera were tested for brucellosis using the Rose Bengal Plate Test (RBPT. A total of 86 of the 281 (30.60% pigs were serologically positive. The prevalence of positive pigs based on sex was 31.20% and 30.13% for male and female pigs, respectively. The age prevalence was 30.10% and 32.00% for young and adult pigs, respectively. There was no statistically significant association (p>0.05 between positivity of reactor pigs and their sex or age. This study concluded that brucellosis is a problem in the swine industry. Consequently, strict sanitary measures and control of swine brucellosis is urgently warranted to avoid spread of infection through pigs’ populations and their contacted persons as well as pork consumers.

Building partnerships to produce actionable science to support climate-informed management decisions: North Central Climate Science Center example

Science.gov (United States)

Lackett, J.; Ojima, D. S.; McNeeley, S.

2017-12-01

As climate change impacts become more apparent in our environment, action is needed to enhance the social-ecological system resilience. Incorporating principles which lead to actionable research and project co-development, when appropriate, will facilitate building linkages between the research and the natural resource management communities. In order to develop strategies to manage for climatic and ecosystem changes, collaborative actions are needed between researchers and resource managers to apply appropriate knowledge of the ecosystem and management environments to enable feasible solutions and management actions to respond to climate change. Our team has been involved in developing and establishing a research and engagement center, the North Central Climate Science Center (NC CSC), for the US Department of Interior, to support the development and translation of pertinent climate science information to natural resource managers in the north central portion of the United States. The NC CSC has implemented a platform to support the Resource for Vulnerability Assessment, Adaptation, and Mitigation Projects (ReVAMP) with research, engagement, and training activities to support resource managers and researchers. These activities are aimed at the co-production of appropriate response strategies to climate change in the region, in particular to drought-related responses. Through this platform we, with other partners in the region, including the Department of Interior and the Department of Agriculture, are bringing various training tools, climate information, and management planning tools to resource managers. The implementation of ReVAMP has led to development of planning efforts which include a more explicit representation of climate change as a driver of drought events in our region. Scenario planning provides a process which integrates management goals with possible outcomes derived from observations and simulations of ecological impacts of climate change. Co

Projected Motorway Construction in the Central and North-Western Regions of Romania between 2013-2021

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Istvan Csutak

2013-10-01

Full Text Available Romania’s highways and expressways are standing ahead of considerably high investments. The 21st Century has brought important breakthroughs in the building of highways and expressways. Our study focuses on the construction works that have been carried out in the Central and North-Western regions of Romania. The aim of this paper is presenting the two regions’ motorways as compared to the national average, determination of an approximate end date for the highways that are currently under construction, as well as a comparative study of the works planned to be carried out between 2013-2021 as compared to the ones planned between the years 2004-2012. It was proven that highways in these two regions have been built using mainly state funds, thus these works are progressing slowly due to lack of consistent funding. The results of this study also relate to how fast the construction works will be finished on parts where construction has already begun, as well as whether construction works will be conducted in a higher pace than the ones between 2004 and 2012.

Reproduction and spawning habitat of white trevally, Pseudocaranx dentex, in the Azores, central north Atlantic

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Pedro Afonso

2008-06-01

Full Text Available Reproductive biology and habitat preferences of the white trevally, Pseudocaranx dentex (Carangidae, were studied in the Azores islands, central north Atlantic, to determine the spatial and seasonal dynamics of habitat use of immature and mature fish. The sex ratio was close to 1:1 and fish matured at about 30 cm fork length. There were no differences in the maturation or length-weight relationships between sexes. The spawning season lasts from June to September. Underwater visual censuses showed that schools of mature individuals preferentially aggregate around the summits of offshore reefs during the spawning season. In contrast, schools of smaller, immature fish use inshore habitats all year round. Our data support the hypothesis that offshore reefs are a preferential spawning habitat of larger white trevally, and most possibly for a number of visitor pelagic predators as well. Inverse relationships between exploitation levels, abundance and size composition at the two different islands suggest that the summer fishery targeting trevally schools around offshore reefs has negatively impacted the population. These findings bring additional ecological and management relevance to offshore reefs.

Towards a smoke-free hospital: how the smoking status of health professionals influences their knowledge, attitude and clinical activity. Results from a hospital in central Italy.

Science.gov (United States)

Giorgi, E; Marani, A; Salvati, O; Mangiaracina, G; Prestigiacomo, C; Osborn, J F; Cattaruzza, M S

2015-01-01

In Italy, the prevalence of smoking among health professionals is higher than in the general population and this might hamper their role in the promotion of health. This study aimed to investigate how the smoking status of healthcare professionals might influence knowledge, attitudes and clinical practice in a hospital in central Italy in order to enforce effective tobacco control measures. Physicians and professionals of the hospital were asked to complete an anonymous questionnaire which yielded epidemiological and environmental information on knowledge, attitude, clinical practice and quality of the hospital environments, in relation to smoking. Overall, among the employees of the hospital, the smoking prevalence was 47%, (42% among physicians and 43% among nurses); 30% admitted smoking in the hospital and three quarters of the smokers would like to quit. Some knowledge, opinions and attitudes differ statistically among the smoking categories. For example, only 35% of the smokers admitted that smoking is more dangerous to health than atmospheric and car pollution compared with 60% of the ex or never smokers (p=0.04). Fewer smokers realize that their behavior is seen as a role model by patients. A greater percentage of smokers state that patients (34%) and visitors (43%) often smoke in hospital and these percentages are significantly higher than those reported by ex or never smokers (p≤0.05). All smokers claim that they never smoke in patient rooms, infirmaries and clinics, whereas over 20% of ex or never smokers report that smoking sometimes occurs in these places (p=0.015). The mean concentration of PM 2.5 in the 25 rooms was 2.4 μg/m3 with a range from 1 to 7 μg/m3. This study implies that the prevalence of smoking among health professionals may be very high, and might be twice the rate observed in the general population. Generally, smokers report less knowledge compared with ex and never-smokers and it seems that they systematically underestimate the

Peripherally Inserted Central Catheters (PICCs) and Potential Cost Savings and Shortened Bed Stays In an Acute Hospital Setting.

LENUS (Irish Health Repository)

O’Brien, C

2018-01-01

Peripheral inserted central catheters (PICCs) have increasingly become the mainstay of patients requiring prolonged treatment with antibiotics, transfusions, oncologic IV therapy and total parental nutrition. They may also be used in delivering a number of other medications to patients. In recent years, bed occupancy rates have become hugely pressurized in many hospitals and any potential solutions to free up beds is welcome. Recent introductions of doctor or nurse led intravenous (IV) outpatient based treatment teams has been having a direct effect on early discharge of patients and in some cases avoiding admission completely. The ability to deliver outpatient intravenous treatment is facilitated by the placement of PICCs allowing safe and targeted treatment of patients over a prolonged period of time. We carried out a retrospective study of 2,404 patients referred for PICCs from 2009 to 2015 in a university teaching hospital. There was an exponential increase in the number of PICCs requested from 2011 to 2015 with a 64% increase from 2012 to 2013. The clear increase in demand for PICCs in our institution is directly linked to the advent of outpatient intravenous antibiotic services. In this paper, we assess the impact that the use of PICCs combined with intravenous outpatient treatment may have on cost and hospital bed demand. We advocate that a more widespread implementation of this service throughout Ireland may result in significant cost savings as well as decreasing the number of patients on hospital trollies.

[Formation of medical education in North Korea: 1945-1948].

Science.gov (United States)

Heo, Yun-Jung; Cho, Young-Soo

2014-08-01

This study focuses on the formation of medical education in North Korea from 1945 to 1948 in terms of the centralization of medical education, and on the process and significance of the systemization of medical education. Doctors of the past trained under the Japanese colonial system lived and worked as liberalists. More than half of these doctors who were in North Korea defected to South Korea after the country was liberated. Thus the North Korean regime faced the urgent task of cultivating new doctors who would 'serve the state and people.' Since the autumn of 1945, right after national liberation, Local People's Committees organized and implemented medical education autonomously. Following the establishment of the Provisional People's Committee of North Korea, democratic reform was launched, leading to the centralized administration of education. Consequently, medical educational institutions were realigned, with some elevated to medical colleges and others shut down. The North Korean state criticised the liberalistic attitude of doctors and the bureaucratic style of health administration, and tried to reform their political consciousness through political inculcation programs. The state also grant doctors living and housing privileges, which show its endeavor to build 'state medicine'. By 1947, a medical education system was established in which the education administration was put in charge of training new doctors while the health administration was put in charge of nurturing and retraining health workers. In this way, the state was the principal agent that actively established a centralized administrative system in the process of the formation of medical education in North Korea following national liberation. Another agent was deeply involved in this process - the faculty that was directly in charge of educating the new doctors. Studying the medical faculty remains another research task for the future. By exploring how the knowledge, generational experience

Distribution and abundance of fin whales (Balaenoptera physalus in the Northeast and Central Atlantic as inferred from the North Atlantic Sightings Surveys 1987-2001

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Gísli A Víkingsson

2013-10-01

Full Text Available North Atlantic Sightings Surveys (NASS is a series of large scale international cetacean line transect surveys, conducted in 1987, 1989, 1995 and 2001, that covered a large part of the central and eastern North Atlantic. Target species were fin (Balaenoptera physalus, common minke (B. acutorostrata, pilot (Globicephala melas and sei (B. borealis whales. Here we present new estimates of abundance for fin whales from the 2 most recent surveys and analysis of trends throughout the survey period. Fin whales were found in highest densities in the Irminger Sea between Iceland and Greenland. Abundance of fin whales in the survey area of the Icelandic and Faroese vessels (Central North Atlantic was estimated as 19,672 (95% C.I. 12,083-28,986 animals in 1995 and 24,887 (95% C.I. 18,186-30,214 in 2001. The estimates are negatively biased because of whales diving during the passage of vessels, and whales being missed by observers, but these and other potential biases are likely small for this species. The abundance of fin whales increased significantly over the survey period. For all areas combined the estimated annual growth rate was 4%. An estimated annual increase of 10% in the area between Iceland and Greenland was responsible for most of this overall increase in numbers of fin whales in the area. Although high, the estimated rates of increase are not out of bounds of biological plausibility and can thus be viewed as recovery of a depleted population. However, the apparent pattern of population growth and the whaling history in the area indicate that fin whales made a significant recovery during the first half of the 20th century and that the recent observed high growth rates cannot be explained solely by recovery after overexploitation.

The consequences upon patient care of moving Brits Hospital: A ...

African Journals Online (AJOL)

Background. In 2001, North West Province took the decision to increase bed capacity at Brits Hospital from 66 beds to 267 beds. After careful consideration of costs and an assessment of available land, it was decided to demolish the existing hospital and rebuild the new hospital on the same site. It was planned that during ...

CMS penalizes 758 hospitals for safety incidents

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Robbins RA

2015-12-01

Full Text Available No abstract available. Article truncated after 150 words. The Centers for Medicare and Medicaid Services (CMS is penalizing 758 hospitals with higher rates of patient safety incidents, and more than half of those were also fined last year, as reported by Kaiser Health News (1. Among the hospitals being financially punished are some well-known institutions, including Yale New Haven Hospital, Medstar Washington Hospital Center in DC, Grady Memorial Hospital, Northwestern Memorial Hospital in Chicago, Indiana University Health, Brigham and Womens Hospital, Tufts Medical Center, University of North Carolina Hospital, the Cleveland Clinic, Hospital of the University of Pennsylvania, Parkland Health and Hospital, and the University of Virginia Medical Center (Complete List of Hospitals Penalized 2016. In the Southwest the list includes Banner University Medical Center in Tucson, Ronald Reagan UCLA Medical Center, Stanford Health Care, Denver Health Medical Center and the University of New Mexico Medical Center (for list of Southwest hospitals see Appendix 1. In total, CMS ...

Bio-social Predictors of Low Birth Weight- A Prospective study at a Tertiary care Hospital of North Karnataka, India

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DP Paneru

2013-12-01

Full Text Available BACKGROUND: Low Birth Weight is a multi-factorial problem of health and social concern Worldwide. India accounts for 40 percent of Low birth weight (LBW babies of the developing World and more than half of those in Asia. Despite the multitude of services rendered to improve maternal health care, LBW remains a public health problem in India. Objective: To determine bio-social predictors of low birth weight amongst the institutional births in North Karnataka, India. METHODS: A prospective hospital based study was conducted in Belgaum district of north Karnataka during July 2012-March 2013. A total of 426 pregnant women registered within 20 weeks of gestation during July–September 2013; eventually delivered in the same hospital were included in the study. Birth weight was measured by a digital weighing scale of 100 gram accuracy. Data were collected through individual interviews using pretested questionnaire. Data were analyzed by SPSS (16.0 Version. Descriptive statistics and multivariate regression were applied. P value < 0.05 considered significant. RESULTS: Mean age of subjects was 23.2254±3.09 years. About 96.7% were literates. Mean age at first pregnancy was 21.37±2.70 years. Low birth weight was observed amongst 22.5% new born (Mean weight: 2089.58±268.31gm. Almost 10.0% were preterm births. Paternal education and occupation, socio-economic status, religion, maternal blood group and gestation age at delivery were found to be the independent and significant bio-social factors predicting the low birth weight. About 68.0% variations in the birth weight were explained by these predictors. CONCLUSIONS: Low paternal education and occupation (farmers/laborers, low socio-economic status, maternal blood group (A is protective and prematurity were found to be independent bio-social predicators of LBW. Programme targeting paternal education may be useful and study of biological plausibility associated with the maternal blood group is recommended.

Bio-social Predictors of Low Birth Weight- A Prospective study at a Tertiary care Hospital of North Karnataka, India

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D P Paneru

2013-12-01

Full Text Available BACKGROUND: Low Birth Weight is a multi-factorial problem of health and social concern Worldwide. India accounts for 40 percent of Low birth weight (LBW babies of the developing World and more than half of those in Asia. Despite the multitude of services rendered to improve maternal health care, LBW remains a public health problem in India. Objective: To determine bio-social predictors of low birth weight amongst the institutional births in North Karnataka, India. METHODS: A prospective hospital based study was conducted in Belgaum district of north Karnataka during July 2012-March 2013. A total of 426 pregnant women registered within 20 weeks of gestation during July–September 2013; eventually delivered in the same hospital were included in the study. Birth weight was measured by a digital weighing scale of 100 gram accuracy. Data were collected through individual interviews using pretested questionnaire. Data were analyzed by SPSS (16.0 Version. Descriptive statistics and multivariate regression were applied. P value < 0.05 considered significant. RESULTS: Mean age of subjects was 23.2254±3.09 years. About 96.7% were literates. Mean age at first pregnancy was 21.37±2.70 years. Low birth weight was observed amongst 22.5% new born (Mean weight: 2089.58±268.31gm. Almost 10.0% were preterm births. Paternal education and occupation, socio-economic status, religion, maternal blood group and gestation age at delivery were found to be the independent and significant bio-social factors predicting the low birth weight. About 68.0% variations in the birth weight were explained by these predictors. CONCLUSIONS: Low paternal education and occupation (farmers/laborers, low socio-economic status, maternal blood group (A is protective and prematurity were found to be independent bio-social predicators of LBW. Programme targeting paternal education may be useful and study of biological plausibility associated with the maternal blood group is

The Asian-Bering-North American teleconnection: seasonality, maintenance, and climate impact on North America

Science.gov (United States)

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.

Pulpwood production in the North Central Region by county, 1975.

Science.gov (United States)

James E. Blyth; Jerold T. Hahn

1977-01-01

Discusses 1975 pulpwood production and receipts and recent production trends in the Lake States and Central States. Gives pulpwood production in the Lake States by species for each county and compares production by Forest Survey Unit with that of previous years. Presents 1975 pulpwood and receipts data by state for the Central States, and shows four production...

Bio-optical characterization in an ultra-oligotrophic region: the North central Red Sea

KAUST Repository

Kheireddine, Malika

2015-04-01

Until recently, satellite-derived ocean color observations have been the only means of evaluating optical variability of the Red Sea. During a cruise in autumn 2014, we investigated the variability of Inherent Optical Properties (IOPs) in the North Central Red Sea (NCRS) with a particular focus on the particulate backscattering coefficient, bbp, and colored dissolved organic matter, CDOM, absorption. To our knowledge, these are some of the measurements of these properties in the Red Sea. The IOPs are derived from the concentration and physical properties of suspended particles in the ocean. They provide a simple description of the influence of these particles on the light within the water column. Bio-optical relationships found for ultra-oligotrophic waters of the six stations sampled significantly depart from the mean standard relationships provided for the global ocean, showing the peculiar character of the Red Sea. These optical anomalies relate to the specific biological and environmental conditions occurring in the Red Sea ecosystem. Specifically, the surface specific phytoplankton absorption coefficients are lower than the values predicted from the global relationships due to a high proportion of relatively large sized phytoplankton. Conversely, bbp values are much higher than the mean standard values for a given chlorophyll-a concentration, Chl a. This presumably results from the influence of highly refractive submicrometer particles of Saharan origin in the surface layer of the water column.

Pollen analysis of natural honeys from the central region of Shanxi, North China.

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Xiao-Yan Song

Full Text Available Based on qualitative and quantitative melissopalynological analyses, 19 Chinese honeys were classified by botanical origin to determine their floral sources. The honey samples were collected during 2010-2011 from the central region of Shanxi Province, North China. A diverse spectrum of 61 pollen types from 37 families was identified. Fourteen samples were classified as unifloral, whereas the remaining samples were multifloral. Bee-favoured families (occurring in more than 50% of the samples included Caprifoliaceae (found in 10 samples, Laminaceae (10, Brassicaceae (12, Rosaceae (12, Moraceae (13, Rhamnaceae (15, Asteraceae (17, and Fabaceae (19. In the unifloral honeys, the predominant pollen types were Ziziphus jujuba (in 5 samples, Robinia pseudoacacia (3, Vitex negundo var. heterophylla (2, Sophora japonica (1, Ailanthus altissima (1, Asteraceae type (1, and Fabaceae type (1. The absolute pollen count (i.e., the number of pollen grains per 10 g honey sample suggested that 13 samples belonged to Group I (<20,000 pollen grains, 4 to Group II (20,000-100,000, and 2 to Group III (100,000-500,000. The dominance of unifloral honeys without toxic pollen grains and the low value of the HDE/P ratio (i.e., honey dew elements/pollen grains from nectariferous plants indicated that the honey samples are of good quality and suitable for human consumption.

A self-supporting library service in a rural region: a new look at hospital consortia.

Science.gov (United States)

Gillikin, P; Price, L; Lee, S; Sprinkle, M D; Leist, J C

1982-04-01

To meet the informational needs of health care practitioners and trainees in a four-county rural area of northwestern North Carolina, the eleven-member UNIFOUR Consortium was founded as a two-year experimental project from 1978 to 1980. The consortium has several unique features: (1) it is an organization of institutions, not libraries; (2) it employs its own professional librarian who manages a central library, coordinates consortium programs, and makes regular circuit visits to all affiliated institutions; (3) the central library, where the circuit is based, is a developing community hospital library, not an established academic medical center library; and (4) it is ultimately tied to the Northwest Area Health Education Center and that organization's emerging learning resources network, which includes the Bowman Gray School of Medicine, Library, two other subregional libraries, and the libraries of all member institutions. At the end of the experimental period in 1980, member institutions voted unanimously to continue the program and assume their share of the costs.

Pulpwood production in the North Central Region, 1988.

Science.gov (United States)

Ronald L. Hackett; W. Brad Smith

1990-01-01

Lake States pulpwood production climbed to a record 8.1 million cords. Central States pulpwood production dropped 1% from 1987's production of 403 thousand cords. Pulpwood production is shown by county and species group for Michigan, Minnesota, Wisconsin, Iowa, Missouri, Illinois, and Indiana.

An assessment of the SSC impact on the training and employment needs of North Central Texas

International Nuclear Information System (INIS)

Orsak, C.G.; McGlohen, P.; Jenkens, L.

1992-01-01

The Texas Higher Education Coordinating Board has funded the Navarro College/Dallas County Community College Districe SSC Technical Training Project to determine the direct and inderect manpower needs in the eighteen-county North Cenbtral Texas area surrounding the Superconducting Super Collider Laboratory (SSCL) and to identify training programs to be developed by local community colleges. The tasks of this project were specifically designed to maximize the use of existing informatiion resources of various organizations and agencies concerned with lobor force development issues to provide custom databases focusied upon the SSCL. The labor market informataion (LMI) resources developed in this project provide a strong foundation for examining the impacts of the SSCL on the training and employment needs of the North Central Texas region. The direct and indirect effects of the SSCL are analyzed to the smallest level of occupational detail feasible. Regional labor demand estimates and forecasts were updated and expanded, county level demand data was developed, statewide vocational education programs were inventoried and lists of affected regional employers were extracted. All of the data developed in this project is available in standard Dbase disk files, formatted to be compatible with other LMI resources such as INTERLINK's LMIS. Further, a custom version of INTERLINK's PC-based LMIS software was developed for the SSC Technical Training Project to provide the greatest access to and linkage between the labor demand and supply data developed in this study. Future efforts to develop additional information resources relevant to the event of the SSCL must focus upon comparative analyses of similar projects, such as Fermilab and others, to provide more detail to the products developed in this project

Specialized consulting in radiological safety to the south central hospital of high specialty, PEMEX. VI. December of 2001; Asesoria especializada en seguridad radiologica al hospital central sur de alta especialidad. PEMEX. VI. Diciembre de 2001

Energy Technology Data Exchange (ETDEWEB)

Angeles C, A.; Vizuet G, J.; Benitez S, J.A.; Garcia A, J.; Rodriguez A, F. [ININ, 52045 Ocoyoacac, Estado de Mexico (Mexico)

2002-01-15

It is a report of a specialized consulting in radiological safety that to be carried the ININ to PEMEX for the South Central Hospital of High Specialty, to maintain the sanitary license for the use of X-ray equipment of medical diagnostic, and guarantee these services with a program of quality assurance. To give fulfilment to that requests it is programmed a technical assistance monthly, with reports of results during the development of the service. In this document it is carried a report of the advances and results in the month of december of the 2001, where the following documents are analyzed: Manual of radiological safety, program of quality assurance, operation procedures, procedure of maintenance team, procedure of medical radiological control of the specialized personnel; also are annotate the obtained results and their observations. (Author)

First record of giant anteater (xenarthra, myrmecophagidae) in north america.

Science.gov (United States)

Shaw, C A; McDonald, H G

1987-04-10

A right metacarpal III represents the first North American record of the giant anteater (Myrmecophaga tridactyla). Recovered in northwestern Sonora, Mexico, with a rich vertebrate fauna of early Pleistocene (Irvingtonian) age, it belongs to a cohort of large mammals that dispersed from South America to North America along a savanna corridor. Presumably habitat and climatic changes have subsequently driven this mammalian family more than 3000 kilometers back into Central America from its former expansion into temperate North America.

The Development of improved willow clones for eastern North America

Science.gov (United States)

R. F. Kopp; L. B. Smart; C. A. Maynard; J. G. Isebrands; G. A. Tuskan; L. P. Abrahamson

2001-01-01

Efforts aimed at genetic improvement of Salix are increasing in North America.Most of these are directed towards developing improved clones for biomass production, phytoremediation, nutrient filters, and stream bank stabilization in the Northeast and North-central United States. Native species are of primary interest, but a small number of clones containing non-native...

Seasonal habitat use and movements of woodland caribou in the Omineca Mountains, north central British Columbia, 1991-1993

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Mari D. Wood

1996-01-01

Full Text Available From 1991 to 1993, 30 woodland caribou were captured and fitted with radio-collars west of the Williston Reservoir in north central B.C. Monthly radio-telemetry location flights revealed that caribou in the Northern Area, characterized by a complex of mountain ranges, moved greater distances to calving areas than did those in the South, where only one major mountain range exists. In the year of record heavy snowfall for the area, all collared caribou wintered on windswept alpine slopes, while during the below average snowfall year, many caribou remained in forested habitats. In winter, caribou were found to forage on terrestrial lichens in both lowland lodgepole pine flats and on windswept alpine slopes, and on arboreal lichens in upper elevation Engelmann spruce and subalpine fir forests. There are at least 600-700 caribou in the Omineca Mountains.

Retrospective assessment of the status and determinants of tuberculosis treatment outcome among patients treated in government hospitals in North Shoa Administrative Zone, Amhara Regional State, Ethiopia

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Hailemeskel S

2017-06-01

Full Text Available Solomon Hailemeskel,1 Osman Yimer Mohammed,1 Abdurahman Mohammed Ahmed2 1Department of Midwifery, 2Department of Nursing, College of Health Sciences, Institute of Medicine and Health Science, Debre Berhan University, Debre Berhan, Ethiopia Background: One of the specific targets of Directly Observed Treatment, Short-course detailed in the updated Global Plan (2011–2015 was to achieve a treatment success rate of 87% by 2015. This strategy was introduced to Ethiopia in 1995 to reach full coverage in 2005; however, by 2009, treatment had not been as successful as expected.Objective: This study was conducted to determine treatment success rate and identify risk factors for tuberculosis (TB treatment outcomes in North Shoa Administrative Zone, Amhara Regional State, Ethiopia.Methods: A retrospective cohort study was conducted on all TB patients (739 who registered for TB treatment from September 1, 2012 to August 31, 2014 at public hospitals in North Shoa Administrative Zone, Ethiopia. Data were gathered by using a pretested structured medical record checklist. Four data collectors and two supervisors were involved in gathering the data. The data were analyzed using descriptive statistics and logistic regression and were entered into Epi Info and analyzed by using the SPSS software package version 20.Results: This study revealed that the TB treatment success rate was 86.1% (169 [22.9%] cured and 467 [63.2%] completed. In addition, 22 (3% of the study participants defaulted their treatment of which 19 (86.4% withdrew during the intensive phase. The multiple logistic regression model revealed that the study year of treatment, sputum smear positivity at the second-month follow-up, history of treatment default, and subsequent hospitalization were significantly associated with the TB treatment outcome.Conclusion: The TB treatment success rate in the study area was low compared to that estimated by World Health Organization to achieve by 2015. Therefore

Benefiting from networks by occupying central positions: an empirical study of the Taiwan health care industry.

Science.gov (United States)

Peng, Tzu-Ju Ann; Lo, Fang-Yi; Lin, Chin-Shien; Yu, Chwo-Ming Joseph

2006-01-01

At issue is whether network resources imply some resources available to all members in networks or available only to those occupying structurally central positions in networks. In this article, two conceptual models, the additive and interaction models of the firm, are empirically tested regarding the impact of hospital resources, network resources, and centrality on hospital performance in the Taiwan health care industry. The results demonstrate that: (1) in the additive model, hospital resources and centrality independently affect performance, whereas network resources do not; and (2) no evidence supports the interaction effect of centrality and resources on performance. Based on our findings in Taiwanese practices, the extent to which the resources are acquired externally from networks, we suggest that while adopting interorganizational strategies, hospitals should clearly identify those important resources that reside in-house and those transferred from network partners. How hospitals access resources from central positions is more important than what network resources can hospitals acquire from networks. Hospitals should improve performance by exploiting its in-house resources rather than obtaining network resources externally. In addition, hospitals should not only invest in hospital resources for better performance but should also move to central positions in networks to benefit from collaborations.

Comparability of Point-of-Care versus Central Laboratory Hemoglobin Determination in Emergency Patients at a Supra-Maximal Care Hospital.

Science.gov (United States)

Dolscheid-Pommerich, Ramona C; Dolscheid, Sarah; Grigutsch, Daniel; Stoffel-Wagner, Birgit; Graeff, Ingo

2016-01-01

Fulfilling the requirements of point-of-care testing (POCT) training regarding proper execution of measurements and compliance with internal and external quality control specifications is a great challenge. Our aim was to compare the values of the highly critical parameter hemoglobin (Hb) determined with POCT devices and central laboratory analyzer in the highly vulnerable setting of an emergency department in a supra maximal care hospital to assess the quality of POCT performance. In 2548 patients, Hb measurements using POCT devices (POCT-Hb) were compared with Hb measurements performed at the central laboratory (Hb-ZL). Additionally, sub collectives (WHO anemia classification, patients with Hb 85y.) were analyzed. Overall, the correlation between POCT-Hb and Hb-ZL was highly significant (r = 0.96, p2.5g/dl occurred. McNemar´s test revealed significant differences regarding anemia diagnosis according to WHO definition for male, female and total patients (♂ phemoglobin concentration measurement methods, i.e. POCT devices and at the central laboratory. The results confirm the successful implementation of the presented POCT concept. Nevertheless some limitations could be identified in anemic patients stressing the importance of carefully examining clinically implausible results.

Hospital mergers: a panacea?

Science.gov (United States)

Weil, Thomas

2010-10-01

Hospital mergers in Europe and North America have been launched to scale down expenditure, enhance the delivery of health care and elevate quality. However, the outcome of mergers suggest that they neither generated cost savings nor improved the quality of care. Almost all consolidations fall short, since those in leadership positions lack the necessary understanding and appreciation of the differences in culture, values and goals of the existing facilities. In spite of these shortcomings, hospital mergers will continue to be pursued in order to improve market share, eliminate excess capacity, gain access to capital and enhance the personal egos of the organizations' leaders.

Crater palaeolakes in the Tibesti mountains (Central Sahara, North Chad) - New insights into past Saharan climates

Science.gov (United States)

Kröpelin, Stefan; Dinies, Michèle; Sylvestre, Florence; Hoelzmann, Philipp

2016-04-01

For the first time continuous lacustrine sections were sampled from the volcanic Tibesti Mountains (Chad): In the 900 m deep crater of Trou au Natron at Pic Toussidé (3,315 m a.s.l.) and from the 800 m deep Era Kohor, the major sub-caldera of Emi Koussi (3,445 m a.s.l.). The remnant diatomites on their slopes are located 360 m (Trou au Natron) and 125 m (Era Kohor) above the present day bottom of the calderas. These sediments from highly continental positions in the central Sahara are keys for the reconstruction of the last climatic cycles (Kröpelin et al. 2015). We report first results from sedimentary-geochemical (total organic and total inorganic carbon contents; total nitrogen; major elements; mineralogy) and palynological analyses for palaeo-environmental interpretations. The diatomites from the Trou au Natron comprise 330 cm of mostly calcitic sediments with relatively low organic carbon (basin. Two 14C-dated charcoals out of the upper part of the section indicate mid-Holocene ages and a linear extrapolation based on a sediment accumulation rate of 1.4mma-1 would lead to tentative dates of ~8650 cal a BP for basal lacustrine sediments and ~4450 cal a BP for the cessation of this lacustrine sequence. The diatomites from the Era Kohor reflect a suite of sections that in total sum up to 145 cm of mostly silica-based sediments with very low carbon contents (paradox of the Tibesti crater paleolakes (Central Sahara, North Chad). Abstract #64322 AGU-Fall-Meeting-2015.

El Niño effects on soil seed bank dynamics in north-central Chile.

Science.gov (United States)

Gutiérrez, Julio R; Meserve, Peter L

2003-03-01

The soil seed bank was monitored in four 75x75 m plots over 6 years (1990-1995) in an arid thorn scrub community in north-central Chile. Sixty-six species were identified. Total seed densities ranged from 2,000 to 42,000/m(2). Average mass of shrub seeds was significantly greater than that of other growth-forms. Between 70 and 90% of the seeds were less than 1 mg, with those in the 0.51-1.00 mg size class being most numerous. Seed densities were highly variable between years as well as within years, but were also closely associated with plant cover patterns and rainfall regime. Higher seed densities were found in wet years, and in samples taken in early summer and early autumn (i.e., after seed set); the lowest seed densities were in late winter (i.e., after annual plant germination). The annual plant species with the highest cover were also the most abundant in the soil seed bank and exhibited the largest seed density fluctuations. In general, seed densities were 5- to 10-fold higher during the 1991-1992 El Niño/southern oscillation (ENSO) years than non-ENSO years, showing the importance of this phenomenon for seed bank replenishment in the arid region of Chile.

Drinking water and pregnancy outcome in central North Carolina: source, amount, and trihalomethane levels.

Science.gov (United States)

Savitz, D A; Andrews, K W; Pastore, L M

1995-01-01

In spite of the recognition of potentially toxic chemicals in chlorinated drinking water, few studies have evaluated reproductive health consequences of such exposure. Using data from a case-control study of miscarriage, preterm delivery, and low birth weight in central North Carolina, we evaluated risk associated with water source, amount, and trihalomethane (THM) concentration. Water source was not related to any of those pregnancy outcomes, but an increasing amount of ingested water was associated with decreased risks of all three outcomes (odds ratios around 1.5 for 0 glasses per day relative to 1-3 glasses per day, falling to 0.8 for 4+ glasses per day). THM concentration and dose (concentration x amount) were not related to pregnancy outcome, with the possible exception of an increased risk of miscarriage in the highest sextile of THM concentration (adjusted odds ratio = 2.8, 95% confidence interval = 1.1-2.7), which was not part of an overall dose-response gradient. These data do not indicate a strong association between chlorination by-products and adverse pregnancy outcome, but given the limited quality of our exposure assessment and the increased miscarriage risk in the highest exposure group, more refined evaluation is warranted. PMID:7556013

Regional cenozoic uplift and subsidence events in the southeastern North Sea

Energy Technology Data Exchange (ETDEWEB)

Jordt, H.

1995-12-31

The Paleocene topography of the Fennoscandian Shield is indicated by outbuilding towards the Central Trough and the Ringkoebing-Fyn High. From Eocene until Pliocene time three events of relative vertical movements are indicated by changes in outbuilding directions and reflection termination patterns in the central North Sea. The firs event of uplift was in the Eocene and resulted in relative uplift of the Mid North Sea High and contemporary subsidence east of it, indicated by a change in outbuilding from north to west. A second event of uplift is indicated to the north of the study area at the Eocene-Oligocene boundary by renewed southward outbuilding in the Norwegian-Danish Basin. In Miocene until Early Pliocene time a relatively stationary, almost east-west striking, basin margin was probably located to the north along the Tornquist Zone as indicated by the continued outbuilding towards the Ringkoebing-Fyn High. A third event of relative uplift is indicated east of the study area by changes in the Pliocene outbuilding pattern. After the first event of uplift it appears that the deepest parts of the Eocene North Sea Basin was located more easterly than the deepest part are today. Apparently the two latest uplift events north and east of the study area were related to movements of, or along the Tornquist Zone or to regional uplift of the Fennoscandian Shield finally resulting in the present-day configuration of the North Sea. (au) 11 refs.

Change in Vascular Access and Hospitalization Risk in Long-Term Hemodialysis Patients

Science.gov (United States)

Wang, Weiling; Lazarus, J. Michael; Hakim, Raymond M.

2010-01-01

Background and objectives: Conversion from central venous catheters to a graft or a fistula is associated with lower mortality risk in long-term hemodialysis (HD) patients; however, a similar association with hospitalization risk remains to be elucidated. Design, setting, participants, & measurements: We conducted a prospective observational study all maintenance in-center HD patients who were treated in Fresenius Medical Care, North America legacy facilities; were alive on January 1, 2007; and had baseline laboratory data from December 2006. Access conversion (particularly from a catheter to a fistula or a graft) during the 4-month period from January 1 through April 30, 2007, was linked using Cox models to hospitalization risk during the succeeding 1-year follow-up period (until April 30, 2008). Results: The cohort (N = 79,545) on January 1, 2007 had 43% fistulas, 29% catheters, and 27% grafts. By April 30, 2007, 70,852 patients were still on HD, and among 19,792 catheters initially, only 10.3% (2045 patients) converted to either a graft or a fistula. With catheters as reference, patients who converted to grafts/fistulas had similar adjusted hazard ratios (0.69) as patients on fistulas (0.71), while patients with fistulas/grafts who converted to catheters did worse (1.22), all P < 0.0001. Conclusions: Catheters remain associated with the greatest hospitalization risk. Conversion from a catheter to either graft or fistula had significantly lower hospitalization risk relative to keeping the catheter. Prospective studies are needed to determine whether programs that reduce catheters will decrease hospitalization risk in HD patients. PMID:20884778

Radiological health assessment of natural radioactivity in the vicinity of Obajana cement factory, North Central Nigeria

Directory of Open Access Journals (Sweden)

Omoniyi Matthew Isinkaye

2015-01-01

Full Text Available Measurements of activity concentrations of natural radionuclides in and around Obajana cement factory, North Central Nigeria have been carried out in this study to determine the activity levels of natural radionuclides in different environmental matrices in order to assess the radiological health hazards associated with the use of these matrices by the local population. A low-background Pb-shielded gamma spectroscopic counting assembly utilizing NaI (Tl detector was employed for the measurements. The results show that sediment samples have the highest activity concentrations of all the radionuclides relative to soil, farmland soil, and rock samples. The radium equivalent activity and indoor gamma dose rates together with the corresponding annual effective indoor doses evaluated were found to be lower than their permissible limits. It suffices to say, that contrary to age-long fear of radiation risks to the population in the vicinity of the cement factory, no excessive radiological health hazards either indoors and/or outdoors is envisaged. Therefore, the environmental matrices around the factory could be used without any restrictions.

Tuberculosis patients hospitalized in the Albert Schweitzer Hospital, Lambaréné, Gabon-a retrospective observational study

NARCIS (Netherlands)

Stolp, S. M.; Huson, M. A. M.; Janssen, S.; Beyeme, J. O.; Grobusch, M. P.

2013-01-01

Epidemiological data on tuberculosis in Central Africa are limited. We performed a retrospective observational study on clinical characteristics of 719 hospitalized tuberculosis patients in Lambaréné, Gabon. Human immunodeficiency virus (HIV) co-infection rate was high (34%) and in-hospital

Depression amongst healthcare workers in Maiduguri, north-eastern ...

African Journals Online (AJOL)

ABEOLUGBENGAS

1 Department of Mental Health, College of Medical Sciences, University of Maiduguri, Borno State, Nigeria. .... social workers. Similarly, non-clinical staffs were grouped into senior staff of central administration, finance/hospital records, engineering/works & maintenance .... and styles of coping among hospital nurses by.

Decentralization or centralization: striking a balance.

Science.gov (United States)

Dirschel, K M

1994-09-01

An Executive Vice President for Nursing can provide the necessary link to meet diverse clinical demands when encountering centralization--decentralization decisions. Centralized communication links hospital departments giving nurses a unified voice. Decentralization acknowledges the need for diversity and achieves the right balance of uniformity through a responsive communications network.

Perceptions of the hospital ethical environment among hospital social workers in the United States.

Science.gov (United States)

Pugh, Greg L

2015-01-01

Hospital social workers are in a unique context of practice, and one where the ethical environment has a profound influence on the ethical behavior. This study determined the ratings of ethical environment by hospital social workers in large nationwide sample. Correlates suggest by and compared to studies of ethical environment with nurses are explored. Positive ratings of the ethical environment are primarily associated with job satisfaction, as well as working in a centralized social work department and for a non-profit hospital. Religiosity and MSW education were not predictive. Implications and suggestions for managing the hospital ethical environment are provided.

Epidemiology of MRSA: the North/South study of MRSA in Ireland 1999.

LENUS (Irish Health Repository)

McDonald, P

2003-06-01

The North\\/South Study of methicillin-resistant Staphylococcus aureus (MRSA) in Ireland, 1999, includes a joint review of the epidemiology of MRSA across both jurisdictions on the island of Ireland. Data were gathered on all MRSA cases identified in laboratories in Northern Ireland (the North) and in the Republic of Ireland (the South) over a two-week period. The prevalence rate per 100000 population was 11.4 in the North and 14.0 in the South, with a marked variation across geographical regions. MRSA cases were located throughout hospitals and the community, were slightly more common in males than females, and occurred in all age groups, especially in the elderly. The majority of cases were inpatients in acute hospitals and were distributed across all types of wards. Most cases were colonized with MRSA but 5% of cases in the North and 10% in the South had invasive infection. Invasive infection was associated with intravascular lines and invasive procedures\\/surgery. Continuous surveillance is recommended to monitor the epidemiology of MRSA and the effectiveness of control measures.

Pulpwood production in the north-central region, 2005

Science.gov (United States)

Ronald J. Piva

2007-01-01

Discusses 2005 production and receipts in the Lake, Central, and Plains States. Shows Michigan, Minnesota, and Wisconsin production by species for each county and compares production by Forest Inventory Unit with that of previous years. Production data for Illinois, Indiana, Iowa, and Missouri by species group and product form are presented. Production for 2005 for the...

The application of hospitality elements in hospitals.

Science.gov (United States)

Wu, Ziqi; Robson, Stephani; Hollis, Brooke

2013-01-01

In the last decade, many hospital designs have taken inspiration from hotels, spurred by factors such as increased patient and family expectations and regulatory or financial incentives. Increasingly, research evidence suggests the value of enhancing the physical environment to foster healing and drive consumer decisions and perceptions of service quality. Although interest is increasing in the broader applicability of numerous hospitality concepts to the healthcare field, the focus of this article is design innovations, and the services that such innovations support, from the hospitality industry. To identify physical hotel design elements and associated operational features that have been used in the healthcare arena, a series of interviews with hospital and hotel design experts were conducted. Current examples and suggestions for future hospitality elements were also sought from the experts, academic journals, and news articles. Hospitality elements applied in existing hospitals that are addressed in this article include hotel-like rooms and decor; actual hotels incorporated into medical centers; hotel-quality food, room service, and dining facilities for families; welcoming lobbies and common spaces; hospitality-oriented customer service training; enhanced service offerings, including concierges; spas or therapy centers; hotel-style signage and way-finding tools; and entertainment features. Selected elements that have potential for future incorporation include executive lounges and/or communal lobbies with complimentary wireless Internet and refreshments, centralized controls for patients, and flexible furniture. Although the findings from this study underscore the need for more hospitality-like environments in hospitals, the investment decisions made by healthcare executives must be balanced with cost-effectiveness and the assurance that clinical excellence remains the top priority.

A possible indication of anthropogenic climate change in the wave climate in the central North Sea

Energy Technology Data Exchange (ETDEWEB)

Pfizenmayer, A.; Storch, H. von [GKSS-Forschungszentrum Geesthacht GmbH (Germany). Inst. fuer Hydrophysik

2000-07-01

In the central North Sea we observe an increase in the frequency of eastward propagating waves in the recent four decades. To assess the significance of this change the wave statistic for this century was reconstructed with a statistical model. With a linear multivariate technique (redundancy analysis) monthly mean air pressure fields over the North Atlantic and Western Europe were downscaled on the intramonthly frequency of directional wave propagation. When compared against this reference, the recent change appears significant at the 5% level. In order to investigate the reason for this local climatic change, reconstruction was compared with the downscaled results of a transient GCM scenario (ECHAMA-OPYC3) and with results obtained in a high resolution time slice experiment with increased concentrations of greenhouse gases and aerosols. Both estimates are qualitatively consistent with the changes observed in the last decades. We suggest that the recent increase of eastward propagation is a local manifestation of anthropogenic global climate change. (orig.) [German] In den letzten Jahrzehnten konnte in der zentralen Nordsee eine Zunahme der Haeufigkeit ostwaerts laufender Wellen beobachtet werden. Mit Hilfe eines statistischen Modells wurde die Wellenstatistik des 20. Jahrhunderts rekonstruiert. Der monatliche mittlere Bodenluftdruck ueber dem Nordatlantik und Westeuropa wurde mit einer linearen multivariaten Technik auf die monatliche Verteilung der Wellenrichtungen regionalisiert. Der Vergleich der juengsten Aenderungen mit dem gesamten Jahrhundert zeigt, dass diese Aenderung im Wellenklima signifikant ist (5-%-Grenze). Zur Untersuchung der Ursachen dieser Veraenderung wurden diese mit den regionalisierten Ergebnissen aus einem transienten Klimaszenario und einem hochaufgeloesten Zeitscheibenexperiment verglichen. Beide Szenarien produzieren bei ansteigenden Treibhausgasen und Aerosolen eine qualitativ konsistente Aenderung. Die Zunahme der oestlich laufenden

First North American fossil monkey and early Miocene tropical biotic interchange

Science.gov (United States)

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.

Resource Assessment of the In-Place and Potentially Recoverable Deep Natural Gas Resource of the Onshore Interior Salt Basins, North Central and Northeastern Gulf of Mexico

Energy Technology Data Exchange (ETDEWEB)

Ernest A. Mancini; Donald A. Goddard

2005-04-15

The principal research effort for the first six months of Year 2 of the project has been petroleum system characterization. Understanding the burial and thermal maturation histories of the strata in the onshore interior salt basins of the North Central and Northeastern Gulf of Mexico areas is important in petroleum system characterization. The underburden and overburden rocks in these basins and subbasins are a product of their rift-related geohistory. Petroleum source rock analysis and thermal maturation and hydrocarbon expulsion modeling indicate that an effective regional petroleum source rock in the onshore interior salt basins, the North Louisiana Salt Basin, Mississippi Interior Salt Basin, Manila Subbasin and Conecuh Subbasin, was the Upper Jurassic Smackover lime mudstone. The Upper Cretaceous Tuscaloosa shale was an effective local petroleum source rock in the Mississippi Interior Salt Basin and a possible local source bed in the North Louisiana Salt Basin. Hydrocarbon generation and expulsion was initiated in the Early Cretaceous and continued into the Tertiary in the North Louisiana Salt Basin and the Mississippi Interior Salt Basin. Hydrocarbon generation and expulsion was initiated in the Late Cretaceous and continued into the Tertiary in the Manila Subbasin and Conecuh Subbasin. Reservoir rocks include Jurassic, Cretaceous and Tertiary siliciclastic and carbonate strata. Seal rocks include Jurassic, Cretaceous and Tertiary anhydrite and shale beds. Petroleum traps include structural and combination traps.

Contribution of efflux pumps in fluroquinolone resistance in multi-drug resistant nosocomial isolates of Pseudomanas aeruginosa from a tertiary referral hospital in north east India

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D Choudhury

2015-01-01

Full Text Available Background: Pseudomonas aeruginosa is one of the leading opportunistic pathogen and its ability to acquire resistance against series of antimicrobial agents confine treatment option for nosocomial infections. Increasing resistance to fluroquinolone (FQ agents has further worsened the scenario. The major mechanism of resistance to FQs includes mutation in FQs target genes in bacteria (DNA gyrase and/or topoisomerases and overexpression of antibiotic efflux pumps. Objective: We have investigated the role of efflux pump mediated FQ resistance in nosocomial isolates of P. aeruginosa from a tertiary referral hospital in north eastern part of India. Materials and Methods: A total of 234 non-duplicate, consecutive clinical isolates of P. aeruginosa were obtained from a tertiary referral hospital of north-east India. An efflux pump inhibitor (EPI, carbonyl cyanide m-chlorophenylhydrazone (CCCP based method was used for determination of efflux pump activity and multiplex polymerase chain reaction (PCR was performed for molecular characterisation of efflux pump. Minimum inhibitory concentration (MIC reduction assay was also performed for all the isolates. Results and Conclusion: A total number of 56 (23% have shown efflux mediated FQ resistance. MexAB-OprM efflux system was predominant type. This is the first report of efflux pump mediated FQ resistance from this part of the world and the continued emergence of these mutants with such high MIC range from this part of the world demands serious awareness, diagnostic intervention, and proper therapeutic option.

Central Gulf of Alaska Rockfish Permit Program

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The North Pacific Fishery Management Council adopted the Central Gulf of Alaska Rockfish Program (Rockfish Program) on June 14, 2010, to replace the expiring Pilot...

THE INFLUENCE OF E.U. INTEGRATION ON THE OVERALL DEVELOPMENT IN THE REGIONS NORTH-EAST OF ROMANIA, SUBCARPATHIA OF POLAND AND CENTRAL SLOVAKIA

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Adrian Liviu SCUTARIU

2013-06-01

Full Text Available The existence of some notable development differences in EU at interstate and interregional level imposed the elaboration of a regional development policy aimed at reducing such disparities. The financial assistance provided by the EU is to help the underdeveloped regions. In this article we highlight the overall level of development and its evolution in Romania, Poland and Slovakia, at regional level, in the context of EU accession. Our attention will be focused on the North-East region of Romania, achieving a comparative analysis with two other similar regions from Poland and Slovakia: Subcarpathia and Central Slovakia, respectively.

West Nile virus: North American experience

Science.gov (United States)

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.

Partial Hospitalization Programs: A Current Perspective.

Science.gov (United States)

Whitelaw, Carolyn A.; Perez, Edgardo L.

1987-01-01

Reviews the historical background, standards, the issue of day treatment versus day care, functional issues, specialization, efficacy and cost effectiveness, utilization issues, and alternative models of care of partial hospitalization programs in North America. Emphasizes issues of relevance when planning alternative programs to inpatient…

American Hospital Association

Science.gov (United States)

... Central Office-Coding Resources AHA Team Training Health Career Center Health Forum Connect More Regulatory Relief The regulatory burden faced by hospitals is substantial and unsustainable. Read the report . More AHA Opioid Toolkit Stem the Tide: Addressing the Opioid Epidemic More ...

A short review of the distribution of short-beaked common dolphins (Delphinus delphis in the central and eastern North Atlantic with an abundance estimate for part of this area

Directory of Open Access Journals (Sweden)

Ana Cañadas

2009-09-01

Full Text Available This paper uses data from 3 programmes: (1 the North Atlantic Sightings Surveys (NASS surveys undertaken throughout much of the central and eastern North Atlantic north of about 40° N in 1987, 1989, 1995 and 2001; (2 the MICA-93 programme; and (3 the north eastern Atlantic segment of the Small Cetacean Abundance in the North Sea (SCANS survey in 1994. The data from all surveys were used to examine the distribution of common dolphins in the NE Atlantic. No sightings were made north of 57° N. An initial attempt to examine distribution against 4 potential non biological explanatory variables was made. A simple interpretation of the preliminary analyses presented here is that the primary areas for groups of common dolphins were in waters over 15° C and depths of 400-1,000 m (there does appear a link with shelf features, between around 49°-55° N especially between 20°-30°W. An illustrative example of spatial modelling is presented. Only for 1 year (and part of the total survey area were there sufficient data to attempt to estimate abundance: 1995. The estimated abundance in the W Block of the NASS-95 Faroese survey was 273,159 (cv=0.26; 95% CI=153,392-435,104 short-beaked common dolphins. This estimate is corrected for animals missed on the trackline (g(0 and for responsive movement.

Preliminary Results From the CAUGHT Experiment: Investigation of the North Central Andes Subsurface Using Receiver Functions and Ambient Noise Tomography

Science.gov (United States)

Ryan, J. C.; Ward, K. M.; Porter, R. C.; Beck, S. L.; Zandt, G.; Wagner, L. S.; Minaya, E.; Tavera, H.

2011-12-01

Jamie Ryan, Kevin M. Ward, Ryan Porter, Susan Beck, George Zandt, Lara Wagner, Estela Minaya, and Hernando Tavera The University of Arizona The University of North Carolina San Calixto Observatorio, La Paz, Bolivia IGP, Lima, Peru In order to investigate the interplay between crustal shortening, lithospheric removal, and surface uplift we have deployed 50 broadband seismometers in northwestern Bolivia and southern Peru as part of the interdisciplinary Central Andean Uplift and Geodynamics of High Topography (CAUGHT) project. The morphotectonic units of the central Andes from west to east, consist of the Western Cordillera, the active volcanic arc, the Altiplano, an internally drained basin (~4 km elevation), the Eastern Cordillera, the high peaks (~6 km elevation) of an older fold and thrust belt, the Subandean zone, the lower elevation active fold and thrust belt, and the foreland Beni basin. Between northwestern Bolivia and southern Peru, the Altiplano pinches out north of Lake Titicaca as the Andes narrow northward. The CAUGHT seismic instruments were deployed between 13° to 18° S latitudes to investigate the crust and mantle lithosphere of the central Andes in this transitional zone. In northwest Bolivia, perpendicular to the strike of the Andes, there is a total of 275 km of documented upper crustal shortening (15° to 17°S) (McQuarrie et al, 2008). Associated with the shortening is crustal thickening and possibly lithospheric removal as the thickening lithospheric root becomes unstable. An important first order study is to compare upper crustal shortening estimates with present day crustal thickness. To estimate crustal thickness, we have calculated receiver functions using an iterative deconvolution method and used common conversion point stacking along the same profile as the geologically based shortening estimates. In our preliminary results, we observed a strong P to S conversion corresponding to the Moho at approximately 60-65 km depth underneath the

development of improved solid hospital waste management

African Journals Online (AJOL)

user

2016-07-03

Jul 3, 2016 ... procurement of waste segregation practices, double chambered incinerator while evaluation of medical and health .... Government area of Kwara state in the north central ... with an international organization were conducted.

Evaluación de las causas de los eventos adversos o incidentes que afectan la seguridad del paciente, en el hospital central de la policía de enero 2012 a diciembre 2013

OpenAIRE

Alarcon Ruiz, Diego Jesus; Gil Vargas, Luis Fabio

2016-01-01

TITULO DEL TRABAJO: Evaluación de las causas de los eventos adversos o incidentes que afectan la seguridad del paciente, en el hospital central de la policía de enero 2012 a diciembre 2013. OBJETIVO: Determinar y analizar la causa raíz de los principales factores de riesgo que afectan la seguridad del paciente que puedan ocasionar eventos adversos en la atención de los pacientes, con el uso de la teoría de restricciones TOC en el Hospital Central de la Policía HOCEN. MATERIALES Y METODO: Se r...

North-East Asian Super Grid: Renewable energy mix and economics

Science.gov (United States)

Breyer, Christian; Bogdanov, Dmitrii; Komoto, Keiichi; Ehara, Tomoki; Song, Jinsoo; Enebish, Namjil

2015-08-01

Further development of the North-East Asian energy system is at a crossroads due to severe limitations of the current conventional energy based system. For North-East Asia it is proposed that the excellent solar and wind resources of the Gobi desert could enable the transformation towards a 100% renewable energy system. An hourly resolved model describes an energy system for North-East Asia, subdivided into 14 regions interconnected by high voltage direct current (HVDC) transmission grids. Simulations are made for highly centralized, decentralized and country-wide grids scenarios. The results for total system levelized cost of electricity (LCOE) are 0.065 and 0.081 €/(kW·h) for the centralized and decentralized approaches for 2030 assumptions. The presented results for 100% renewable resources-based energy systems are lower in LCOE by about 30-40% than recent findings in Europe for conventional alternatives. This research clearly indicates that a 100% renewable resources-based energy system is THE real policy option.

Compliance with the guidelines of prescription writing in a central hospital in the West Bank.

Science.gov (United States)

Tayem, Y I; Ibrahim, M A; Qubaja, M M; Shraim, R K; Taha, O B; Abu Shkhedem, E

2013-09-01

This retrospective, cross-sectional study was carried out to evaluate the quality of 2208 outpatient prescriptions in a central hospital in the West Bank, Palestine. The physicians' handwriting was poorly readable or illegible in one-third of the prescriptions. The prescriber's name and signature and patient's name were mentioned in almost all orders whereas the patient's age was stated in 54.9%. The vast majority of physicians (95.5%) prescribed drugs using their trade (brand) names. Drug strength, quantity and dose/frequency were stated in 61.1%, 76% and 73.8% of prescriptions respectively. Only 33 prescriptions (1.5%) contained full directions for use for all drugs. Correlation analysis revealed that the presence of certain prescription elements was statistically significantly associated with the clinic of origin and the number of drugs prescribed. The overall poor legibility and incompleteness of the prescriptions is of concern.

Remote sensing data of SP Mountain and SP Lava flow in North-Central Arizona

Science.gov (United States)

Schaber, G.G.; Elachi, C.; Farr, T.G.

1980-01-01

Multifrequency airborne radar image data of SP Mountain [Official name of feature (U.S. Geological Survey, 1970)] and SP flow (and vicinity) in north-central Arizona were obtained in diverse viewing directions and direct and cross-polarization, then compared with surface and aerial photography, LANDSAT multispectral scanner data, airborne thermal infrared imagery, surface geology, and surface roughness statistics. The extremely blocky, basaltic andesite of SP flow is significantly brighter on direct-polarization K-band (0.9-cm wavelength) images than on cross-polarized images taken simultaneously. Conversely, for the longer wavelength (25 cm) L-band radar images, the cross-polarization image returns from SP flow are brighter than the direct-polarized image. This effect is explained by multiple scattering and the strong wavelength dependence of polarization effects caused by the rectilinear basaltic andesite scatters. Two distinct types of surface relief on SP flow, one extremely blocky, the other subdued, are found to be clearly discriminated on the visible and thermal wavelength images but are separable only on the longer wavelength L-band radar image data. The inability of the K- and X- (3-cm wavelength) band radars to portray the differences in roughness between the two SP flow surface units is attributed to the radar frequency dependence of the surface-relief scale, which, described as the Rayleigh criterion, represents the transition between quasispecular and primarily diffuse backscatter. ?? 1980.

Hospital costs of central line-associated bloodstream infections and cost-effectiveness of closed vs. open infusion containers. The case of Intensive Care Units in Italy

Directory of Open Access Journals (Sweden)

Torbica Aleksandra

2010-05-01

Full Text Available Abstract Objectives The aim was to evaluate direct health care costs of central line-associated bloodstream infections (CLABSI and to calculate the cost-effectiveness ratio of closed fully collapsible plastic intravenous infusion containers vs. open (glass infusion containers. Methods A two-year, prospective case-control study was undertaken in four intensive care units in an Italian teaching hospital. Patients with CLABSI (cases and patients without CLABSI (controls were matched for admission departments, gender, age, and average severity of illness score. Costs were estimated according to micro-costing approach. In the cost effectiveness analysis, the cost component was assessed as the difference between production costs while effectiveness was measured by CLABSI rate (number of CLABSI per 1000 central line days associated with the two infusion containers. Results A total of 43 cases of CLABSI were compared with 97 matched controls. The mean age of cases and controls was 62.1 and 66.6 years, respectively (p = 0.143; 56% of the cases and 57% of the controls were females (p = 0.922. The mean length of stay of cases and controls was 17.41 and 8.55 days, respectively (p Conclusions CLABSI results in considerable and significant increase in utilization of hospital resources. Use of innovative technologies such as closed infusion containers can significantly reduce the incidence of healthcare acquired infection without posing additional burden on hospital budgets.

Sex selection through traditional drugs in rural north India

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Bandyopadhyay S

2007-01-01

Full Text Available Background : Repidly declining sex ratio has highlighted a strong son preference among many societies various methods are employed by people to get a son. Objective: To determine the use pattern of sex selection drugs (SSDs in rural North India. Methods: An integrated qualitative and quantitative study was conducted in rural North India. A rapid population and hospital based survey of women in their early reproductive life was done in the study area to enlist the respondents. Few SSD samples were collected and analyzed. Results: SSDs were freely available from grocers, chemist shops and specific people in villages. These contained Shivalingi (Bryonia Laciniosa and Majuphal (Gtuercus infectoria. SSD use rate was 46% and 30% in community based and hospital based studies respectively. Use rate was significantly higher in women who did not have any son. Of the SSD samples and two individual ingredients analyzed by thin layer chromatography, 3 contained testosterone and one progesterone; one ingredient contained testosterone and the other natural steroids. Conclusion: Use of SSDs seems to be very common in North India. Implication of presence of steroids in SSDs needs further evaluation.

Practice environment as perceived by nurses in acute care hospitals in Sharjah and North Emirates.

Science.gov (United States)

Al-Maaitah, Rowaida; AbuAlRub, Raeda F; Al Blooshi, Sumaya

2018-04-01

To explore nurses' perceptions of their practice environment in acute care hospitals in Sharjah and North Emirates in the United Arab Emirates (UAE). The health of the environment in which registered nurses' work is critical to nursing outcomes. The interest to examine the practice environment extended to the Gulf area which has a complex healthcare system including the UAE. The study used an exploratory descriptive design with a qualitative part using two focus group interviews. The sample size was 450 nurses selected through a random sampling method. A self-administered questionnaire including the Practice Environment Scale of Nursing Work Index (PES-NWI) was used. In addition, semi-structured interviews for two focus groups were done. The results showed that UAE practicing nurses reported favorable perceptions of most aspects of their practice environment. Unfavorable perceptions were only reported for Staffing and Resource Adequacy. The analysis of focus group discussions resulted in different emerged themes such as Lack of Recognition and Career Promotion, and Nurses' Workload due to Paper and Administrative Work. The findings of this study suggest that strategic interventions are needed to secure adequate staff and resources and implement an effective system for evaluation of performance. © 2018 Wiley Periodicals, Inc.

Into the black. 1993 Hospital Turnaround Contest winners.

Science.gov (United States)

Cerne, F; Bergman, R

1993-07-20

Turning a hospital around takes a lot more than adjusting the financials, as the winners and finalists in the Great Comebacks 1993: The Hospital Turnaround Contest demonstrate. In every case we report on, the hospital being recognized has worked intensively with its community to reassess the services needed by its patients, build support for major management and delivery changes, and articulate the reasons for the strategies being used. Each of the eight hospital organizations we profile, which are spread across the country from Texas to Wisconsin to Maine to North Carolina--has put together its own version of success--in other words, eight lessons in innovation and progress.

Cesium-134 and 137 activities in the central North Pacific Ocean after the Fukushima Dai-ichi Nuclear Power Plant accident

Directory of Open Access Journals (Sweden)

J. Kameník

2013-09-01

Full Text Available Surface seawater 134Cs and 137Cs samples were collected in the central and western North Pacific Ocean during the 2 yr after the Fukushima Dai-ichi Nuclear Power Plant accident to monitor dispersion patterns of these radioisotopes towards the Hawaiian Islands. In the absence of other recent sources and due to its short half-life, only those parts of the Pacific Ocean would have detectable 134Cs values that were impacted by Fukushima releases. Between March and May 2011, 134Cs was not detected around the Hawaiian Islands and Guam. Here, most 137Cs activities (1.2–1.5 Bq m–3 were in the range of expected preexisting levels. Some samples north of the Hawaiian Islands (1.6–1.8 Bq m–3 were elevated above the 23-month baseline established in surface seawater in Hawaii indicating that those might carry atmospheric fallout. The 23-month time-series analysis of surface seawater from Hawaii did not reveal any seasonal variability or trends, with an average activity of 1.46 ± 0.06 Bq m–3 (Station Aloha, 18 values. In contrast, samples collected between Japan and Hawaii contained 134Cs activities in the range of 1–4 Bq m–3, and 137Cs levels were about 2–3 times above the preexisting activities. We found that the southern boundary of the Kuroshio and Kuroshio extension currents represented a boundary for radiation dispersion with higher activities detected within and north of the major currents. The radiation plume has not been detected over the past 2 yr at the main Hawaiian Islands due to the transport patterns across the Kuroshio and Kuroshio extension currents.

Cesium-134 and 137 activities in the central North Pacific Ocean after the Fukushima Dai-ichi Nuclear Power Plant accident

Energy Technology Data Exchange (ETDEWEB)

Kamenik, J.; Dulaiova, H. [Hawaii Univ., Manoa, Honolulu, HI (United States). Dept. of Geology and Geophysics; Buesseler, K.O.; Pike, S.M. [Woods Hole Oceanographic Institution, Woods Hole, MA (United States). Dept. of Marine Chemistry and Geochemistry; St' astna, K. [Czech Technical Univ., Prague (Czech Republic). Dept. of Nuclear Chemistry

2013-07-01

Surface seawater {sup 134}Cs and {sup 137}Cs samples were collected in the central and western North Pacific Ocean during the 2 yr after the Fukushima Dai-ichi Nuclear Power Plant accident to monitor dispersion patterns of these radioisotopes towards the Hawaiian Islands. In the absence of other recent sources and due to its short half-life, only those parts of the Pacific Ocean would have detectable {sup 134}Cs values that were impacted by Fukushima releases. Between March and May 2011, {sup 134}Cs was not detected around the Hawaiian Islands and Guam. Here, most {sup 137}Cs activities (1.2-1.5 Bq m{sup -3}) were in the range of expected preexisting levels. Some samples north of the Hawaiian Islands (1.6-1.8 Bq m{sup -3}) were elevated above the 23-month baseline established in surface seawater in Hawaii indicating that those might carry atmospheric fallout. The 23-month time-series analysis of surface seawater from Hawaii did not reveal any seasonal variability or trends, with an average activity of 1.46 ± 0.06 Bq m{sup -3} (Station Aloha, 18 values). In contrast, samples collected between Japan and Hawaii contained {sup 134}Cs activities in the range of 1-4 Bq m{sup -3}, and {sup 137}Cs levels were about 2-3 times above the preexisting activities. We found that the southern boundary of the Kuroshio and Kuroshio extension currents represented a boundary for radiation dispersion with higher activities detected within and north of the major currents. The radiation plume has not been detected over the past 2 yr at the main Hawaiian Islands due to the transport patterns across the Kuroshio and Kuroshio extension currents.

Self-medication practices in patients attending a Tertiary Care Teaching Hospital in Urban North-West India

Directory of Open Access Journals (Sweden)

Shilpa Patrick

2018-01-01

Full Text Available Background: This study was designed to determine the frequency, reasons, and the association of self-medication with demographic and other factors reported by participants. Materials and Methods: This study was conducted in 500 patients visiting a tertiary hospital in Ludhiana, North Western India. Participants were interviewed with a preset questionnaire. Data were entered into Microsoft Excel and analysis was performed using SPSS software version 16. Frequencies and proportions were calculated. Results: Of 500 study participants, 93.8% reported self-medication with no gender difference. The participants who took self-medication were of the opinion that self-medication resulted in quick cure of illness 50.75%, saved their time 17.46%, and gave them a sense of independence in 17.06%, respectively. The common reasons self-medication 45.84% for fever, 18.34% for pain, and 10.87% for headache with nonsteroidal anti-inflammatory drugs 49.4% followed by antibiotics (11.6% be the common medication. The most common source of information is local chemists/pharmacy 39%. Conclusions: Self-medication is described as a double-edged sword in India, and regulation of over-the-counter sale of antibiotics prescription medication is necessary to safeguard the populace.

Downscaled Climate Model for the North Central Atlantic Ocean 2000-2100

Data.gov (United States)

National Oceanic and Atmospheric Administration, Department of Commerce — The regional MOM5 domain contain the Atlantic Ocean between 100°W and 20°E bounded north and south by 65°N and 20°S, respectively. The regional MOM5 will have a...

Anaesthesia and hospital links: strengthening healthcare through South-North hospital partnerships.

Science.gov (United States)

Parry, E H O; Percy, D B

2007-12-01

Health services can respond to the needs of the poorest people in developing countries if those who work in the front line of health care are supported and motivated and if development needs in services and training programmes can be filled. This can be achieved when a Health Link between a southern hospital and/or training school and its northern counterpart is designed to build a disciplined and long-term programme of staff development including the needs of anaesthetic services, which meets the needs identified by the southern partner. Development of anaesthetic practice is best carried out in the context of an institution-wide Health Link where not only the staff and systems involved in anaesthesia but all the essential 'back office' or support services are also supported and developed.

Modeling the relationship between water level, wild rice abundance, and waterfowl abundance at a central North American wetland

Science.gov (United States)

Aagaard, Kevin; Eash, Josh D.; Ford, Walt; Heglund, Patricia J.; McDowell, Michelle; Thogmartin, Wayne E.

2018-01-01

Recent evidence suggests wild rice (Zizania palustris), an important resource for migrating waterfowl, is declining in parts of central North America, providing motivation to rigorously quantify the relationship between waterfowl and wild rice. A hierarchical mixed-effects model was applied to data on waterfowl abundance for 16 species, wild rice stem density, and two measures of water depth (true water depth at vegetation sampling locations and water surface elevation). Results provide evidence for an effect of true water depth (TWD) on wild rice abundance (posterior mean estimate for TWD coefficient, β TWD = 0.92, 95% confidence interval = 0.11—1.74), but not for an effect of wild rice stem density or water surface elevation on local waterfowl abundance (posterior mean values for relevant parameters overlapped 0). Refined protocols for sampling design and more consistent sampling frequency to increase data quality should be pursued to overcome issues that may have obfuscated relationships evaluated here.

Electronic Cigarettes on Hospital Campuses

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Clare Meernik

2015-12-01

Full Text Available Smoke and tobacco-free policies on hospital campuses have become more prevalent across the U.S. and Europe, de-normalizing smoking and reducing secondhand smoke exposure on hospital grounds. Concerns about the increasing use of electronic cigarettes (e-cigarettes and the impact of such use on smoke and tobacco-free policies have arisen, but to date, no systematic data describes e-cigarette policies on hospital campuses. The study surveyed all hospitals in North Carolina (n = 121 to assess what proportion of hospitals have developed e-cigarette policies, how policies have been implemented and communicated, and what motivators and barriers have influenced the development of e-cigarette regulations. Seventy-five hospitals (62% completed the survey. Over 80% of hospitals reported the existence of a policy regulating the use of e-cigarettes on campus and roughly half of the hospitals without a current e-cigarette policy are likely to develop one within the next year. Most e-cigarette policies have been incorporated into existing tobacco-free policies with few reported barriers, though effective communication of e-cigarette policies is lacking. The majority of hospitals strongly agree that e-cigarette use on campus should be prohibited for staff, patients, and visitors. Widespread incorporation of e-cigarette policies into existing hospital smoke and tobacco-free campus policies is feasible but needs communication to staff, patients, and visitors.

Electronic Cigarettes on Hospital Campuses.

Science.gov (United States)

Meernik, Clare; Baker, Hannah M; Paci, Karina; Fischer-Brown, Isaiah; Dunlap, Daniel; Goldstein, Adam O

2015-12-29

Smoke and tobacco-free policies on hospital campuses have become more prevalent across the U.S. and Europe, de-normalizing smoking and reducing secondhand smoke exposure on hospital grounds. Concerns about the increasing use of electronic cigarettes (e-cigarettes) and the impact of such use on smoke and tobacco-free policies have arisen, but to date, no systematic data describes e-cigarette policies on hospital campuses. The study surveyed all hospitals in North Carolina (n = 121) to assess what proportion of hospitals have developed e-cigarette policies, how policies have been implemented and communicated, and what motivators and barriers have influenced the development of e-cigarette regulations. Seventy-five hospitals (62%) completed the survey. Over 80% of hospitals reported the existence of a policy regulating the use of e-cigarettes on campus and roughly half of the hospitals without a current e-cigarette policy are likely to develop one within the next year. Most e-cigarette policies have been incorporated into existing tobacco-free policies with few reported barriers, though effective communication of e-cigarette policies is lacking. The majority of hospitals strongly agree that e-cigarette use on campus should be prohibited for staff, patients, and visitors. Widespread incorporation of e-cigarette policies into existing hospital smoke and tobacco-free campus policies is feasible but needs communication to staff, patients, and visitors.

Evaluation of surface water dynamics for water-food security in seasonal wetlands, north-central Namibia

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T. Hiyama

2014-09-01

Full Text Available Agricultural use of wetlands is important for food security in various regions. However, land-use changes in wetland areas could alter the water cycle and the ecosystem. To conserve the water environments of wetlands, care is needed when introducing new cropping systems. This study is the first attempt to evaluate the water dynamics in the case of the introduction of rice-millet mixed-cropping systems to the Cuvelai system seasonal wetlands (CSSWs in north-central Namibia. We first investigated seasonal changes in surface water coverage by using satellite remote sensing data. We also assessed the effect of the introduction of rice-millet mixed-cropping systems on evapotranspiration in the CSSWs region. For the former investigation, we used MODIS and AMSR-E satellite remote sensing data. These data showed that at the beginning of the wet season, surface water appears from the southern (lower part and then expands to the northern (higher part of the CSSWs. For the latter investigation, we used data obtained by the classical Bowen ratio-energy balance (BREB method at an experimental field site established in September 2012 on the Ogongo campus, University of Namibia. This analysis showed the importance of water and vegetation conditions when introducing mixed-cropping to the region.

Long aftershock sequences in North China and Central US: implications for hazard assessment in mid-continents

Science.gov (United States)

Liu, Mian; Luo, Gang; Wang, Hui; Stein, Seth

2014-02-01

Because seismic activity within mid-continents is usually much lower than that along plate boundary zones, even small earthquakes can cause widespread concerns, especially when these events occur in the source regions of previous large earthquakes. However, these small earthquakes may be just aftershocks that continue for decades or even longer. The recent seismicity in the Tangshan region in North China is likely aftershocks of the 1976 Great Tangshan earthquake. The current earthquake sequence in the New Madrid seismic zone in central United States, which includes a cluster of M ~ 7.0 events in 1811-1812 and a number of similar events in the past millennium, is believed to result from recent fault reactivation that releases pre-stored strain energy in the crust. If so, this earthquake sequence is similar to aftershocks in that the rates of energy release should decay with time and the sequence of earthquakes will eventually end. We use simple physical analysis and numerical simulations to show that the current sequence of large earthquakes in the New Madrid fault zone is likely ending or has ended. Recognizing that mid-continental earthquakes have long aftershock sequences and complex spatiotemporal occurrences are critical to improve hazard assessments.

(drls) for radiography examinations in north eastern nigeria

African Journals Online (AJOL)

Nwokem et al.

in two university teaching hospitals in north eastern Nigeria. Seven hundred ... review of procedures and the equipment in order to determine whether the .... The information obtained for the ... products of Variant medical system manufactured in China ... which is connected to the Reader via a serial communications port. a.

GRANNY, a data bank of chemical analyses of Laramide and younger high-silica rhyolites and granites from Colorado and north-central New Mexico

Science.gov (United States)

Steigerwald, Celia H.; Mutschler, Felix E.; Ludington, Steve

1983-01-01

GRANNY is a data bank containing information on 507 chemically analyzed Laramide or younger high-silica rhyolites and granites from Colorado and north-central New Mexico. The data were compiled from both published and unpublished sources. The data bank is designed to aid in the recognition of igneous rocks with a high exploration potential for the discovery of molybdenum (and other lithophile element) deposits. Information on source reference, geographic location, age, mineralogic and petrologic characteristics, major constituent analyses, and trace element analyses for each sample are given. The data bank is available in two formats: 1) paper- or microfiche-hardcopy, and 2) fixed format computer readable magnetic tape.

Geology of the North Sea and Skagerrak

Energy Technology Data Exchange (ETDEWEB)

Michelsen, O. [ed.

1995-12-31

The Marine Geology Unit of the Department of Earth Sciences organized the second Marine Geology symposium at Aarhus University, 7-8 October 1993. The intention was to bring together people working especially with the geology of the North Sea and Skagerrak. Approximately 60 people from different Danish and Norwegian institutions attended the symposium. 28 oral presentations were given and 2 posters presented. A large range of geological topics was covered, embracing biostratigraphy, sequence stratigraphy, sedimentology and structural geology. The majority of the presentations dealt with Quaternary geology and Cenozoic sequence stratigraphy, but also Jurassic and Lower Cretaceous stratigraphy was treated. Studies from the major part of the Danish sector were presented, spanning from Bornholm to the central North Sea, and further into the Norwegian North Sea sector. (au)

A Computerized Hospital Patient Information Management System

Science.gov (United States)

Wig, Eldon D.

1982-01-01

The information processing needs of a hospital are many, with varying degrees of complexity. The prime concern in providing an integrated hospital information management system lies in the ability to process the data relating to the single entity for which every hospital functions - the patient. This paper examines the PRIMIS computer system developed to accommodate hospital needs with respect to a central patient registry, inpatients (i.e., Admission/Transfer/Discharge), and out-patients. Finally, the potential for expansion to permit the incorporation of more hospital functions within PRIMIS is examined.

Quartz-molybdenite veins in the Priestly Lake granodiorite, north-central Maine

Science.gov (United States)

Ayuso, Robert A.; Shank, Stephen G.

1983-01-01

Quartz-molybdenite veins up to 15 cm in width occur in fine to medium-grained porphyritic biotite-hornblende granodiorite at Priestly Lake north-central Maine. An area of about 150 m x 150 m contains quartz-molybdenite veins; a larger area is characterized by barren quartz veins. Quartz-molybdenite veins are concentrated within the most felsic variants of the intrusion as suggested by lower mafic mineral contents. The pluton has a narrow range in SiO2 (67-70 wt.%), major oxides, and in trace-element compositions. Molybdenite occurs as coarse grained clusters in pockets within the quartz veins, and fills fractures in the quartz veins and host rocks. Disseminated molybdenite in the granodiorite is relatively rare and occurs only in the area characterized by a high density of quartz veins (up to 50 veins per square meter). Alteration envelopes along the quartz veins are very thin or absent, although in some areas the granodiorite appears to be selectively and pervasively altered. Sericite, chlorite, epidote, calcite, pyrite, and quartz are concentrated near the quartz-molybdenite veins. Many of the field and geochemical characteristics of the Priestly Lake pluton are unlike those of major molybdenum-producing areas (Climax, Henderson, Urad). For example, the area of alteration seems to be of limited extent, the host rock is not intensely altered hydrothermally at the surface, the density of fractures is rather low in the mineralized area, and the amount of disseminated molybdenite appears to be small. However, the Priestly Lake pluton may be a small fraction of a concealed batholith as suggested by geophysical data. It is conceivable that the type of mineralization at the surface might be the expression of more extensive molybdenite mineralization at depth. The quartz-molybdenite veins in the Priestly Lake pluton are significant because they indicate that potential molybdenum sources for producing mineralized granites were available at depth. Future studies should be

The effects of hospital reforms on the management of public hospitals in Tanzania: Challenges and lessons learnt.

Science.gov (United States)

Shwekerela, Byera

2014-01-01

Although hospital reforms are being advocated internationally as part of a solution to hospital management problems in developing countries, studies have shown that they do give rise to some challenges. A study was undertaken that used in-depth interviews, focus group discussion and document review to examine hospital reforms. The article examines the effects of reforms on the management of Level II public hospitals in Tanzania and documents the related challenges and lessons Learnt. It is shown that hospital reforms have mixed effects in resource-strained hospitals, and that hospital reform actions may have replaced the bureaucratic inefficiencies associated with hospitals being managed from the central level (MoHSW) with the equally bureaucratic inefficiencies that characterize the management of these hospitals from a supposedly local level, the office of the Regional Administrative Secretary (RAS). Managing hospitals from this level seems to cause many hospital management problems to be left unattended.

The 2016 Mihoub (north-central Algeria) earthquake sequence: Seismological and tectonic aspects

Science.gov (United States)

Khelif, M. F.; Yelles-Chaouche, A.; Benaissa, Z.; Semmane, F.; Beldjoudi, H.; Haned, A.; Issaadi, A.; Chami, A.; Chimouni, R.; Harbi, A.; Maouche, S.; Dabbouz, G.; Aidi, C.; Kherroubi, A.

2018-06-01

On 28 May 2016 at 23:54 (UTC), an Mw5.4 earthquake occurred in Mihoub village, Algeria, 60 km southeast of Algiers. This earthquake was the largest event in a sequence recorded from 10 April to 15 July 2016. In addition to the permanent national network, a temporary network was installed in the epicentral region after this shock. Recorded event locations allow us to give a general overview of the sequence and reveal the existence of two main fault segments. The first segment, on which the first event in the sequence was located, is near-vertical and trends E-W. The second fault plane, on which the largest event of the sequence was located, dips to the southeast and strikes NE-SW. A total of 46 well-constrained focal mechanisms were calculated. The events located on the E-W-striking fault segment show mainly right-lateral strike-slip (strike N70°E, dip 77° to the SSE, rake 150°). The events located on the NE-SW-striking segment show mainly reverse faulting (strike N60°E, dip 70° to the SE, rake 130°). We calculated the static stress change caused by the first event (Md4.9) of the sequence; the result shows that the fault plane of the largest event in the sequence (Mw5.4) and most of the aftershocks occurred within an area of increased Coulomb stress. Moreover, using the focal mechanisms calculated in this work, we estimated the orientations of the main axes of the local stress tensor ellipsoid. The results confirm previous findings that the general stress field in this area shows orientations aligned NNW-SSE to NW-SE. The 2016 Mihoub earthquake sequence study thus improves our understanding of seismic hazard in north-central Algeria.

Survival and neurological outcome following in-hospital paediatric cardiopulmonary resuscitation in North India.

Science.gov (United States)

Rathore, Vinay; Bansal, Arun; Singhi, Sunit C; Singhi, Pratibha; Muralidharan, Jayashree

2016-05-01

Data on outcome of children undergoing in-hospital cardiopulmonary resuscitation (CPR) in low- and middle-income countries are scarce. To describe the clinical profile and outcome of children undergoing in-hospital CPR. This prospective observational study was undertaken in the Advanced Pediatric Center, PGIMER, Chandigarh. All patients aged 1 month to 12 years who underwent in-hospital CPR between July 2010 and March 2011 were included. Data were recorded using the 'Utstein style'. Outcome variables included 'sustained return of spontaneous circulation' (ROSC), survival at discharge and neurological outcome at 1 year. The incidence of in-hospital CPR in all hospital admissions (n = 4654) was 6.7% (n = 314). 64.6% (n = 203) achieved ROSC, 14% (n = 44) survived to hospital discharge and 11.1% (n = 35) survived at 1 year. Three-quarters of survivors had a good neurological outcome at 1-year follow-up. Sixty per cent of patients were malnourished. The Median Pediatric Risk of Mortality-III (PRISM-III) score was 16 (IQR 9-25). Sepsis (71%), respiratory (39.5%) and neurological (31.5%) illness were the most common diagnoses. The most common initial arrhythmia was bradycardia (52.2%). On multivariate logistic regression, duration of CPR, diagnosis of sepsis and requirement for vasoactive support prior to arrest were independent predictors of decreased hospital survival. The requirement for in-hospital CPR is common in PGIMER. ROSC was achieved in two-thirds of children, but mortality was higher than in high-income countries because of delayed presentation, malnutrition and severity of illness. CPR >15 min was associated with death. Survivors had good long-term neurological outcome, demonstrating the value of timely CPR.

Effects of Image Gently and the North American guidelines: administered activities in children at 13 North American pediatric hospitals.

Science.gov (United States)

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

[On comparison of hospital performance].

Science.gov (United States)

Kjekshus, L E

2000-10-20

The motivation to identify the causes of rising health care cost and variations across providers has intensified in all industrialized countries. These countries have an ongoing debate on efficiency and effectiveness in hospital production. In this debate, national and international comparative studies are important. There are very few international comparative studies that include Norwegian hospitals. Actually we know very little about how Norwegian hospitals are performing compared to others. This paper gives an introduction to comparative studies and to the DEA model which is often used in such studies and also a multilevel model which is not so common. A short review is given of a comparative study of Norwegian and North American hospitals. I also discuss the feasibility of comparative studies of hospitals from the Nordic countries, with references to several comparative studies performed in these countries. Comparative studies are often closely linked to national health politics, policy making and reforms; thus the outcome of such studies is important for the hospitals included. This makes such studies a sensitive field of research. It is important to be aware of the strength and weaknesses of comparative studies and acknowledge their importance beyond the development of new knowledge.

Detection of meca gene from methicillin resistant staphylococcus aureus isolates of north sumatera

Science.gov (United States)

Septiani Nasution, Gabriella; Suryanto, Dwi; Lia Kusumawati, R.

2018-03-01

Methicillin Resistant Staphylococcus aureus (MRSA) is a major pathogen associated with hospital-acquired infections (nosocomial infections). MRSA is a type of S. aureus resistant to the sub-group of beta-lactam antibiotics such as penicillin, cephalosporin, monobactam, and carbapenem. MRSA is resistant because of genetic changes caused by exposure to irrational antibiotic therapy. This study aimed to detect mecA gene in North Sumatra isolates of MRSA and to determine the pattern of antibiotic resistance in S.aureus isolates classified as MRSA by Vitek 2 Compact in the Central Public Hospital Haji Adam Malik, Medan. Samples were 40 isolates of S. aureus classified as MRSA obtained from clinical microbiology specimens. DNA isolation of the isolates was conducted by a method of freeze-thaw cycling. Amplification of mecA gene was done by PCR technique using specific primer for the gene. PCR products were visualized using mini-gel electrophoresis. The results showed that all MRSA isolates showed to have 533 bp band of mecA. Antibiotics test of Vitek 2 Compact showed that despite all isolates were resistant to beta-lactam antibiotics groups; the isolates showed multidrug resistant to other common antibiotics, such as aminoglycosides, macrolides, and fluoroquinolones. However, they were still sensitive to vancomycin (82.5% isolates), linezolid (97.5% isolates), and tigecycline (100% isolates).

Incidence of thrombosis in children with tunneled central venous access devices versus peripherally inserted central catheters (PICCs).

Science.gov (United States)

Kanin, Maralee; Young, Guy

2013-11-01

The recent proliferation of deep vein thrombosis in children has been attributed to the increased use of central venous catheters, specifically tunneled lines and peripherally inserted central catheters. A formal comparison of the incidence rate for deep vein thrombosis between tunneled lines and peripherally inserted central catheters has not been undertaken. Children inclusion. Data were extracted from the hospital discharge database which includes data on all procedures and up to 20 diagnoses per admission. Diagnoses and procedures were identified by International Classification of Disease, Ninth Revision coding. Patients were excluded if they received more than one central line. Data collected included type of central line, deep vein thrombosis event, and underlying medical illnesses classified according to chronic complex conditions. Over the seven year study period there was an overall rate of 73 deep vein thromboses per 10,000 hospital discharges. Of the 6915 eligible subjects, 181 had a deep vein thrombosis for an overall incidence rate of 2.6%. There were 152 thrombi (2.6%) in subjects with peripherally inserted central catheters and 29 thrombi (3.1%) in subjects with tunneled lines [OR=.83 (0.55, 1.29), p=0.38]. Despite the relative ease and simplicity of use of peripherally inserted central catheters leading to a substantial rise in their use, this study demonstrates that such lines pose a substantial risk for venous thrombosis and no difference in incidence was detected between such lines and tunneled lines. © 2013.

Synthetic review on the genetic relatedness between North Africa ...

African Journals Online (AJOL)

Soumaya

the Horn of Africa and the Indian Ocean in the southeast. ... threatened until the Islamic Arabs expanded their religion and culture to the Maghreb, ... decline from the Middle East toward Central Asia, Caucasus, North Africa and Europe.

Surface-water quality in the Lycoming Creek watershed, north-central Pennsylvania, August 1–3, 2011

Science.gov (United States)

Risser, Dennis W.; Conlon, Matthew D.

2018-05-17

This report presents the methodology and results for a study of surface-water quality of the Lycoming Creek watershed in north-central Pennsylvania during August 1–3, 2011. The study was done in cooperation with the Williamsport Municipal Water Authority and the Pennsylvania Department of Environmental Protection. Samples of stream water were collected from 31 sites in an area of exploration and production of natural gas from the Marcellus Shale – 5 sites on the main stem of Lycoming Creek and 26 sites on tributary streams. The samples provide a snapshot of the base-flow water-quality conditions, which helps document the spatial variability in water-quality and could be useful for assessing future changes.The 272-square mile Lycoming Creek watershed is located within Lycoming, Tioga, and Sullivan Counties in north-central Pennsylvania. Lycoming Creek flows 37.5 miles to its confluence with the West Branch Susquehanna River in the city of Williamsport. A well field that supplies water for Williamsport captures some water that has infiltrated the streambed of Lycoming Creek. Because the stream provides a source of water to the well field, this study focused on the stream-water quality as it relates to drinking-water standards as opposed to aquatic life.Surface-water samples collected at 20 sites by the U.S. Geological Survey and 11 sites by the Pennsylvania Department of Environmental Protection were analyzed by each agency for a suite of constituents that included major ions, trace metals, nutrients, and radiochemicals. None of the analytical results failed to meet standards set by the U.S. Environmental Protection Agency as maximum contaminant levels for drinking water.Results of the sampling show the substantial spatial variability in base-flow water quality within the Lycoming Creek watershed caused by the interrelated effects of physiography, geology and land use. Dissolved-solids concentrations ranged from less than the laboratory reporting level of 12

Granuloma central de células gigantes Giant cells central granuloma

Directory of Open Access Journals (Sweden)

Ayelén María Portelles Massó

2011-03-01

Full Text Available El granuloma reparativo central de células gigantes es una lesión proliferativa no neoplásica de etiología desconocida. Se presenta un paciente masculino de 40 años de edad, portador de prótesis parcial superior. Fue remitido al Servicio de Cirugía Maxilofacial del Hospital "V. I. Lenin" por presentar aumento de volumen en reborde alveolar superior, de color rojo grisáceo y que provocaba expansión de corticales óseas. Una vez analizados los exámenes clínicos, radiográficos e histopatológicos se diagnosticó un granuloma reparativo central de células gigantes Se realizó exéresis quirúrgica de la lesión y extracción de dientes adyacentes con una evolución satisfactoria sin señales de recidivas luego de tres años del tratamiento. El granuloma reparativo central de células gigantes se presentó como respuesta a un trauma. La correcta interpretación de los datos clínicos, radiográficos e histopatológicos nos permitió llegar al correcto diagnóstico y plan de tratamiento.Giant-cell central reparative granuloma is non neoplastic proliferative lesion of unknown etiology. We report a 40 years old male patient who was admitted at the Maxillofacial Service of the "V. I. Lenin" Hospital. The patient had partial upper prosthesis and was complaining of red-grey volume increase lesion in upper alveolar ridge which led to the expansion of cortical bone. Having analyzed clinical, radiographic and histopathological findings the case was concluded as a giant-cell central reparative granuloma. Surgical exeresis and adjunct tooth extraction were done. After three years of treatment, satisfactory follow up without recurrence is reported.

STUDY OF PATTERN AND OUTCOME OF ACUTE POISONING CASES AT TERTIARY CARE HOSPITAL IN NORTH INDIA

Directory of Open Access Journals (Sweden)

Irteqa Ali

2017-01-01

Full Text Available BACKGROUND Poisoning is a global public health problem causing significant morbidity and mortality. It is important to know the pattern and outcome of acute poisoning cases for proper planning, prevention and management of these cases. The aim of the study is to determine the mode (suicidal, accidental, homicidal and type of poisoning in North Indian population; relation to age, sex, occupation, marital status; outcome of different type of poisons and requirement of ventilatory support in different type of poisonings. MATERIALS AND METHODS This observational study was conducted in Department of Medicine of a tertiary care hospital in North India. A total of 379 patients were enrolled in the study after obtaining informed consent. RESULTS Poisoning was more common among males (59.89%. Maximum number of patients were in the age group 21-30 years (40.63% and consumption was found to be more prevalent in rural population (75.99%. Most of the patients were farmers and students. Most common types of poisoning were organophosphate (n=95, 25.07%, snake bite (n=77, 20.32% followed by aluminium phosphide (n=71, 18.73%. Out of 379 patients, 318 (83.91% improved while 61 (16.09% expired. Mortality was highest in aluminium phosphide poisoning. Requirement of ventilatory support was most commonly associated with aluminium phosphide poisoning (37.89% followed by organophosphate poisoning (28.42%. CONCLUSION Poisoning was more common in young males. Pesticides and snake bite were major causes of poisoning. Of the total, 318 improved while rest of the 61 expired. Mortality was higher with use of aluminium phosphide poisoning (57.38%, snake bite (21.31% and organophosphate consumption (9.84%. Requirement of ventilator was most commonly associated with aluminium phosphide poisoning. We suggest strict statutory measures covering import, manufacture, sale, transport, distribution and use of pesticides. Training of peripheral health center personnel to manage cases

Urban and community forests of the North Central West region: Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, South Dakota

Science.gov (United States)

David J. Nowak; Eric J. Greenfield

2010-01-01

This report details how land cover and urbanization vary within the states of Iowa, Kansas, Minnesota, Missouri, Nebraska, North Dakota, and South Dakota by community (incorporated and census designated places), county subdivision, and county. Specifically this report provides critical urban and community...

Organic petrology and geochemistry of Eocene Suzak bituminous marl, north-central Afghanistan: Depositional environment and source rock potential

Science.gov (United States)

Hackley, Paul C.; Sanfilipo, John

2016-01-01

Organic geochemistry and petrology of Eocene Suzak bituminous marl outcrop samples from Madr village in north-central Afghanistan were characterized via an integrated analytical approach to evaluate depositional environment and source rock potential. Multiple proxies suggest the organic-rich (TOC ∼6 wt.%) bituminous marls are ‘immature’ for oil generation (e.g., vitrinite Ro  1) indicating organic input from marine algae and/or bacterial biomass, and sterane/hopane ratios are low (0.12–0.14). Monoaromatic steroids are dominated by C28clearly indicating a marine setting. High gammacerane index values (∼0.9) are consistent with anoxia stratification and may indicate intermittent saline-hypersaline conditions. Stable C isotope ratios also suggest a marine depositional scenario for the Suzak samples, consistent with the presence of marine foraminifera including abundant planktic globigerinida(?) and rare benthic discocyclina(?) and nummulites(?). Biomarker 2α-methylhopane for photosynthetic cyanobacteria implies shallow photic zone deposition of Madr marls and 3β-methylhopane indicates presence of methanotrophic archaea in the microbial consortium. The data presented herein are consistent with deposition of Suzak bituminous marls in shallow stratified waters of a restricted marine basin associated with the southeastern incipient or proto-Paratethys. Geochemical proxies from Suzak rock extracts (S content, high polar content, C isotopes, normal (αααR) C27–29 steranes, and C29/C30 and C26/C25 hopane ratios) are similar to extant data from Paleogene oils produced to the north in the Afghan-Tajik Basin. This observation may indicate laterally equivalent strata are effective source rocks as suggested by previous workers; however, further work is needed to strengthen oil-source correlations.

Capacity development in food composition database management and nutritional research and education in Central and Eastern European, Middle Eastern and North African countries.

Science.gov (United States)

Gurinović, M; Witthöft, C M; Tepšić, J; Ranić, M; Hulshof, P J M; Hollman, P C; Porubska, J; Gohar, A; Debeljak-Martačić, J; Petrović-Oggiano, G; Novaković, R; Glibetić, M; Oshaug, A

2010-11-01

Capacity development (CD) in food and nutrition is much more than formal training and includes human resource development, and organisational, institutional and legal framework development with the aim of enhancing nutrition-relevant knowledge and skills to support infrastructural development. The goal of the European Food Information Resource (EuroFIR) Network of Excellence has been to develop and integrate food composition data throughout Europe. EuroFIR joined forces in CD with the United Nations (UN) University and UN System Standing Committee on Nutrition, the Network for Capacity Development in Nutrition in Central and Eastern Europe, the Central and Eastern European Countries Food Data Systems network and with the Middle East and North African Capacity Building Initiative. The aim of this paper is to discuss an inventory of the status of food composition databases (FCDBs) and the training needs of compilers in non-EuroFIR countries in Central and Eastern Europe (CEE) and in the Middle East and North Africa (MENA), and to present the CD achieved through EuroFIR and other network collaborations. Two online questionnaires were created addressing the FCDB status and specific training needs in countries of the targeted regions. Data were collected during 2006-2008 and then analysed. Subsequently, CD activities were organised. Contacts were established in 19 CEE and 7 MENA countries, of which several had national food composition tables, but no electronic versions. Education, training, workshops, networking and the sharing of experiences were uniformly requested. Subsequently, CD activities in EuroFIR were organised focussing on food composition courses, exchange visits, workshops and individual training for PhD students, junior scientists and other staff categories, as well as conferences linked to food composition research and food information. To facilitate CD activities, EuroFIR has signed a Memorandum of Understanding with the Czech Republic, Hungary

Structural imprints at the front of the Chocó-Panamá indenter: Field data from the North Cauca Valley Basin, Central Colombia

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Suter, F.; Sartori, M.; Neuwerth, R.; Gorin, G.

2008-11-01

The northern Andes are a complex area where tectonics is dominated by the interaction between three major plates and accessory blocks, in particular, the Chocó-Panamá and Northern Andes Blocks. The studied Cauca Valley Basin is located at the front of the Chocó-Panamá Indenter, where the major Romeral Fault System, active since the Cretaceous, changes its kinematics from right-lateral in the south to left-lateral in the north. Structural studies were performed at various scales: DEM observations in the Central Cordillera between 4 and 5.7°N, aerial photograph analyses, and field work in the folded Oligo-Miocene rocks of the Serranía de Santa Barbara and in the flat-lying, Pleistocene Quindío-Risaralda volcaniclastic sediments interfingering with the lacustrine to fluviatile sediments of the Zarzal Formation. The data acquired allowed the detection of structures with a similar orientation at every scale and in all lithologies. These families of structures are arranged similarly to Riedel shears in a right-lateral shear zone and are superimposed on the Cretaceous Romeral suture. They appear in the Central Cordillera north of 4.5°N, and define a broad zone where 060-oriented right-lateral distributed shear strain affects the continental crust. The Romeral Fault System stays active and strain partitioning occurs among both systems. The southern limit of the distributed shear strain affecting the Central Cordillera corresponds to the E-W trending Garrapatas-Ibagué shear zone, constituted by several right-stepping, en-échelon, right-lateral, active faults and some lineaments. North of this shear zone, the Romeral Fault System strike changes from NNE to N. Paleostress calculations gave a WNW-ESE trending, maximum horizontal stress, and 69% of compressive tensors. The orientation of σ1 is consistent with the orientation of the right-lateral distributed shear strain and the compressive state characterizing the Romeral Fault System in the area: it bisects the

The Challenges and Opportunities of Social Media in the Hospitality Industry. A Study of the North East Region of Romania

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Andreea Maha

2015-05-01

and YouTube are apparently not that popular. Social Media accounts are not used at their full capacity and from the total number identified on each segment, not all have a direct reference from their own site, for in case of Facebook 31 out of 48, Twitter 7 out of 10 and YouTube 7 out of 10. The most important limitation is considered to be the consistency of the sample we used. We only investigated the hotels (rated 3 to 5 stars from the North-East region of Romania. A sample including all the hotels from Romania would have given a more realistic view of the use of Social Media in the hospitality industry. Another possible study limitation can be that the Social Media accounts may have been missed as it did not feature in the first three pages search results. The worst part is that the same mistake would be made by the potential customers searching for that hotel that is why we considered this error an acceptable one. As we made only a qualitative research, the results must be validated in a future research. The results of this research can be used by hotel managers and also by those who manage Internet websites. Business people who intend to enter on hospitality market might also be interested in this information. For the North-East region of Romania, during our documentation stage for this article, there was no study identified, similar to the one we realized. Also Romania, as a country where tourism industry it is in early stages of development, needs to benefit from this kind of research, for creating new strategies and implement best practices in the field.

Manual accidents, biological risk control, and quality indicators at a children's hospital in north-east Italy.

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Parco, Sergio; Vascotto, Fulvia; Simeone, Roberto; Visconti, Patrizia

2015-01-01

Working in health care carries the risk of transmission of infected blood to patients by hospital workers and to other health personnel in the form of occupational infections. Conscientious application of the standard precautions is the main method used to avoid needle stick injuries, contamination of skin and mucous membranes, cuts with sharp tools, and inadequate disposal and recapping of needles. The aim of this work was to investigate in Friuli Venezia Giulia, a region in north-east Italy, the enhancement carried out to prevent situations of biologic risk for health care workers, and to verify the related laboratory analyses. Biological accidents occurring during the years 2012-2013 in the departments of oncology and pediatric-obstetric surgery, and in the intensive care unit at Burlo Garofolo Children's Hospital in Trieste (a large town in Friuli Venezia Giulia) were reviewed, and a new panel of tests was introduced for patients and health care workers, to also detect human immunodeficiency virus (HIV), hepatitis C virus (HCV), hepatitis B virus (HBV), and aspartate transaminase and immunoglobulin G. All tests were submitted for external quality assessment. In total, 230 nosocomial events were reported by health care workers in the above-mentioned hospital departments in 2012-2013. There were 158 accidents in 2012, including 55 accidental needle stick injuries (34.81%), 59 blood splashes (37.34%), and 44 cuts with infected instruments (27.84%). The risk of sustaining a cut was related to movement error during surgery when the appropriate procedure was not followed or when devices were being assembled and passed between doctors and nurses. Most accidents happened among physicians compared to nurses; the high percentage of needle stick injuries (34.81%) versus nurses (25.94%) were due to incorrect recapping of needles after use. No cases of health care workers being infected with HCV, HBV, or HIV were identified. In 2013, the number of biological accidents

Outcomes of planned home births with certified professional midwives: large prospective study in North America.

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Johnson, Kenneth C; Daviss, Betty-Anne

2005-06-18

To evaluate the safety of home births in North America involving direct entry midwives, in jurisdictions where the practice is not well integrated into the healthcare system. Prospective cohort study. All home births involving certified professional midwives across the United States (98% of cohort) and Canada, 2000. All 5418 women expecting to deliver in 2000 supported by midwives with a common certification and who planned to deliver at home when labour began. Intrapartum and neonatal mortality, perinatal transfer to hospital care, medical intervention during labour, breast feeding, and maternal satisfaction. 655 (12.1%) women who intended to deliver at home when labour began were transferred to hospital. Medical intervention rates included epidural (4.7%), episiotomy (2.1%), forceps (1.0%), vacuum extraction (0.6%), and caesarean section (3.7%); these rates were substantially lower than for low risk US women having hospital births. The intrapartum and neonatal mortality among women considered at low risk at start of labour, excluding deaths concerning life threatening congenital anomalies, was 1.7 deaths per 1000 planned home births, similar to risks in other studies of low risk home and hospital births in North America. No mothers died. No discrepancies were found for perinatal outcomes independently validated. Planned home birth for low risk women in North America using certified professional midwives was associated with lower rates of medical intervention but similar intrapartum and neonatal mortality to that of low risk hospital births in the United States.

Japanese hospitals--culture and competition: a study of ten hospitals.

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Anbäcken, O

1994-01-01

Japanese health care is characterized by a pluralistic system with a high degree of private producers. Central government regulates the prices and the financing system. All citizens are covered by a mandatory employment-based health insurance operating on a non-profit basis. The consumer has a free choice of physician and hospital. A comparison between Japan, Sweden and some other countries shows significant dissimilarities in the length of stay, number of treatments per hospital bed and year and the staffing of hospitals. About 80 per cent of the hospitals and 94 per cent of the clinics are privately owned. The typical private hospital owned by a physician has less than 100 beds. In this paper, data collected (1992/93) in an empirical study of Japanese hospitals and their leadership is presented. Also discussed are the hospitals' style of management, tools and strategies for competition and competences--personal and formal skills required of the leadership in the hospital. There follows a study of ten hospitals, among which hospital directors and chief physicians were interviewed. Interviews are also made with key persons in the Ministry of Health and Welfare and other organizations in the health care field. The result is also analysed from a cultural perspective--'what kind of impact does the Japanese culture have on the health care organization?' and/or 'what kind of sub-culture is developed in the Japanese hospitals'. Some comparisons are made with Sweden, USA, Canada and Germany. The different roles of the professions in the hospital are included in the study as well as the incentives for different kinds of strategies--specialization, growing in size, investments in new equipment, different kind of ownership and hospitals. Another issue discussed is the attempt to uncover whether there is an implicit distribution of specialties--silent agreements between hospitals, etc.

Evolution of physical and biological characteristics of mesoscale eddy in north-central Red Sea

KAUST Repository

Zarokanellos, Nikolaos

2015-04-01

Eddies appear to be important to both the physical and biogeochemical dynamics of the Red Sea. Numerical simulations of physical dynamics and remote sensing studies of chlorophyll concentration and sea surface height in the Red Sea indicate their importance to the upper portions of the sea (Raitsos et al., 2013; Yao et al., 2014; Zhan et al., 2014). Despite their apparent importance, process studies of these eddies have been lacking. In March 2013 we began an extended observational study of the north-central Red Sea (NCRS) where anticyclonic eddies have been observed. The study began with a ship-based characterization of the eddy and was followed by a three-month observational time series using an autonomous glider equipped with a CTD, oxygen sensor, and optical sensors for chlorophyll, CDOM and optical backscatter. The ship-based study captured an initial snapshot of an anticyclonic eddy and it\\'s associated biological and bio-optical distributions. Initially, chlorophyll distributions tended to mirror the density distribution, with deeper isopycnals and chlorophyll maximum depth in the anticyclonic eddy center. The anticyclone eddy in March had an along basin diameter of 150 km, penetrated vertically less than 150 m and elevated near surface chlorophyll concentrations appeared along its outer boundary. The shallowing of the pycnocline of the outer boundaries of the anticyclone eddy on March may elevate nutrients into the lower euphotic zone, contributing to phytoplankton productivity and biomass within the eddy. This eddy contains most of the kinetic energy of the region with the maximum velocities up to 30 - 35 cm/s. The eddy appeared to interact with the coastal reefs where exchange particulate and dissolved matter may occur. The autonomous glider provided the spring-to-summer progression of the system with increasing stratification, shallowing of the subsurface chlorophyll maximum, and fluctuations in the position and intensity of the eddy. Our glider effort

Presentation and clinical course of Wolfram (DIDMOAD) syndrome from North India.

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Ganie, M A; Laway, B A; Nisar, S; Wani, M M; Khurana, M L; Ahmad, F; Ahmed, S; Gupta, P; Ali, I; Shabir, I; Shadan, A; Ahmed, A; Tufail, S

2011-11-01

Wolfram syndrome, also known as DIDMOAD, is a relatively rare inherited neurodegenerative disorder, first evident in childhood as an association of juvenile-onset diabetes mellitus and optic atrophy, followed by diabetes insipidus and deafness. The aim of the study was to examine the clinical profile of patients with DIDMOAD syndrome presenting to a tertiary care hospital in north India. Clinical presentation of juvenile-onset diabetes mellitus fulfilling the diagnosis of Wolfram syndrome was studied using a prepared standardized form. Subjects with juvenile-onset non-autoimmune diabetes mellitus attending the diabetic clinic at a tertiary care centre in north India were followed for 10 years and a diagnosis of fully developed Wolfram syndrome was confirmed in seven individuals. The series consisted of five male and two female patients with a mean age of 17.5 ±7.34 years. Two subjects had consanguinity and none had any other family member affected. Optic atrophy was present in all, sensorineural hearing loss in 4/7, central diabetes insipidus in 4/7 and nephrogenic diabetes insipidus in 2/7 subjects. The new associations found were: spastic myoclonus, short stature with pancreatic malabsorption, nephrogenic diabetes insipidus, cyanotic heart disease and choledocholithiasis with cholangitis. Genetic analysis revealed mutation in exon 8 of the WFS1 gene in all the cases studied. The present clinical series of Wolfram syndrome reveals a varied clinical presentation of the syndrome and some new associations. © 2011 The Authors. Diabetic Medicine © 2011 Diabetes UK.

Psychoemotional state of patients 60+ years old with chronic cerebrovascular insufficiency relocating with their family from the far north

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Liudmila G. Klimatckaia

2016-12-01

Full Text Available Background. In the Soviet period, people came to work in the Far North of the Krasnoyarsk Territory. Now they are retired. Remaining retired in the North is not economically feasible. Resettlement of unemployed elderly people to the more favorable southern climatic zones of central Siberia is connected with a demographic situation. For families 60+ years old, the “From the Extreme North to the South” program was created. The article presents the results of studies on the psychoemotional state of migrants 60+ years old. Objectives . To study the psychoemotional state of patients 60+ years old with chronic cerebrovascular insufficiency when adapting from the North to the South. Material and methods. 98 migrants from the North to the South were examined. These were people with a chronic insufficiency of brain blood circulation at the age of 60+ years old. Patients were tested utilizing the G. Eysenck and A.S. Zigmond, R.P. Snaith. Hospital Anxiety and Depression Scale. Results . Various types of personality were revealed: extroverts – 60.2% (59 people, introverts – 39.8% (39 people. Emotionally stable migrants 60+ years old – 25.5% (28 people. Emotionally unstable – 74.5% (70 people. The sociability combination with impulsiveness was characteristic with a high level of emotional instability (17.27 ± 0.26 points. At very high level (19.5 ± 0.31 points, low self-esteem and an emotional block were revealed. Conclusions . 1. Emotionally stable migrants 60+ years old readapt fairly. 2. High and very high levels of neuroticism demonstrate the formation of anxiety disorders and restriction of adaptive opportunities in migrants 60+ years old. Treatment and prophylactic actions are provided to them.

Predicting residential air exchange rates from questionnaires and meteorology: model evaluation in central North Carolina.

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Breen, Michael S; Breen, Miyuki; Williams, Ronald W; Schultz, Bradley D

2010-12-15

A critical aspect of air pollution exposure models is the estimation of the air exchange rate (AER) of individual homes, where people spend most of their time. The AER, which is the airflow into and out of a building, is a primary mechanism for entry of outdoor air pollutants and removal of indoor source emissions. The mechanistic Lawrence Berkeley Laboratory (LBL) AER model was linked to a leakage area model to predict AER from questionnaires and meteorology. The LBL model was also extended to include natural ventilation (LBLX). Using literature-reported parameter values, AER predictions from LBL and LBLX models were compared to data from 642 daily AER measurements across 31 detached homes in central North Carolina, with corresponding questionnaires and meteorological observations. Data was collected on seven consecutive days during each of four consecutive seasons. For the individual model-predicted and measured AER, the median absolute difference was 43% (0.17 h(-1)) and 40% (0.17 h(-1)) for the LBL and LBLX models, respectively. Additionally, a literature-reported empirical scale factor (SF) AER model was evaluated, which showed a median absolute difference of 50% (0.25 h(-1)). The capability of the LBL, LBLX, and SF models could help reduce the AER uncertainty in air pollution exposure models used to develop exposure metrics for health studies.

Does being under treatment improve knowledge attitude practice for hypertension: A hospital-based study from North India

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Rajiv Kumar Gupta

2017-01-01

Full Text Available Background: Studies suggest that approximately half of patients with raised blood pressure (BP are undetected, that half of those detected are not treated, and that half of those treated are not controlled, famously described as the “rule of halves.” Importantly, the cornerstone of the primary prevention of cardiovascular diseases is early detection and drug treatment (antihypertensive of patients with high BP. Studies across populations in developed world have shown that awareness and management of high BP levels are far from optimal. The present study was planned with the aim to assess the knowledge, attitude, and practices (KAP regarding hypertension in hypertensive patients visiting Tertiary Care Hospital in North-West India. Materials and Methods: Already diagnosed hypertensive patients seeking care at the tertiary care center were selected for this study. The participants were recruited using consecutive sampling technique. All participants were interviewed with the help of a semi-structured questionnaire after obtaining a written informed consent. The components of the KAP were recorded using a score sheet. Results: In all, 394 hypertensive patients of whom majority (239/394; 61% were males, were included in the study. The KAP score among the study subjects was 88.4%, 90.83%, and 95.83%, respectively. Males had higher knowledge about normal BP levels which was statistically significant (P < 0.01. Among the attitude, regular intake of anti-hypertensive drugs, regular investigations, lifestyle changes, avoidance of salt and allopathic medicines being the best for the treatment of hypertension were found to be significant statistically (P < 0.01. Conclusion: The high score among the study population can be attributed to the fact that all study participants were diagnosed patients of hypertension seeking care in a tertiary care hospital.

Veneer industry and timber use, North Central Region, 1980.

Science.gov (United States)

James E. Blyth; W. Brad Smith

1984-01-01

Shows 1980 veneer-log production and receipts by species in the Lake State (Michigan, Minnesota, and Wisconsin) and in the Central States (Illinois, Indiana, Iowa, and Missouri). Comparisons are made with similar data collected in 1976. Includes tables showing veneer-log production and receipts (for selected years) since 1946 in the Lake States and since 1956 in the...

Vacuolar myelinopathy in waterfowl from a North Carolina impoundment

Science.gov (United States)

Augspurger, T.; Fischer, John R.; Thomas, Nancy; Sileo, L.; Brannian, Roger E.; Miller, Kimberli J.; Rocke, Tonie E.

2003-01-01

Vacuolar myelinopathy was confirmed by light and electron microscopic examination of mallards (Anas platyrhynchos), ring-necked ducks (Aythya collaris), and buffleheads (Bucephala albeola) collected during an epizootic at Lake Surf in central North Carolina (USA) between November 1998 and February 1999. Clinical signs of affected birds were consistent with central nervous system impairment of motor function (incoordination, abnormal movement and posture, weakness, paralysis). This is the first report of this disease in wild waterfowl (Anseriformes).Aug

The Central Valencian region in the context of the Neolithisation of the North-Western Mediterranean facade

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García Atiénzar, Gabriel

2010-06-01

Full Text Available The process of neolithisation of the Mediterranean facade of the Iberian Peninsula has traditionally been associated with the cardial paradigm of the french-iberian region. However, better knowledge of the material record from the north-western Mediterranean arc, the revision of various archaeological sites of the central Valencian region and observation of the patterns of occupation and exploitation of territory in the western Mediterranean allow us to propose a process of Neolithic introduction that is more complex than previously thought and be linked with the world of the Mediterranean impressed pottery.

El proceso de neolitización de la fachada mediterránea peninsular se ha asociado tradicionalmente al paradigma cardial del ámbito franco-ibérico. No obstante, el mejor conocimiento del registro material del arco noroccidental mediterráneo, la revisión de diversos conjuntos arqueológicos de las comarcas centromeridionales valencianas y la observación de los patrones de ocupación y explotación del territorio en el Mediterráneo occidental permiten proponer un proceso de implantación neolítica más complejo del considerado hasta ahora que se puede enlazar con el mundo de la ceramica impressa mediterránea.

Malaria in pregnancy; facts from the parasitology laboratory: a ten-year study in Abuja, North Central Nigeria

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Ibecheozor, N.K.O

2014-09-01

Full Text Available Malaria, which is transmitted by female Anopheles mosquitoes, is the major cause of mortality among the pregnant women in the sub-Saharan Africa. A ten year study of malaria in pregnancy was carried out in Abuja, North Central Nigeria. Thick and thin blood films were stained with the Giemsa methodology. Of the 16760 pregnant women blood samples, 4571 (27.3% were positive for malaria parasites caused by Plasmodium falciparum. Of the 4571 positive cases, 75 (1.7% had parasite density of >5000 parasites/µl of blood; 148 (3.2% had between 500-5000 parasites/µl of blood; 520 (11.4% had between 50 - 500 parasites/µl of blood; while 3828 (83.7% had between 5-50 parasites/µl of blood. With the current estimate of over 4500 deaths of pregnant women in Nigeria due to malaria annually, we must make deliberate efforts to stop these unacceptable and painful losses. The continued use of malaria rapid diagnostic tests (M-RDTs methodologies should be discontinued because of its negative implications. Therefore, the microscopic laboratory diagnostic component should be included in ANC at all level of health care facility.

Teleradiology and PACS - strategy of the Innsbruck University Hospital

International Nuclear Information System (INIS)

Vogl, R.

2005-01-01

Systems for management of digital imaging data are very important and widespread at the Innsbruck University Hospital and constitute a central component of the IT strategies followed by the hospital operating company TILAK (Tyrolean public hospitals). The particular goal is to integrate all imaging data into the electronic medical records and make these available online to each of the approx. 2500 clinic workstations and ensure electronic data exchange with other healthcare services. Teleradiology connections have been established at the University Clinic for Radiology since 1995; these have been continually expanded and linked to the central PACS. An eHealth web portal was recently established to facilitate transfer of images and findings from TILAK hospitals to other healthcare organizations. Registered users can be cleared for a limited time to access all radiological imaging data via this web portal. (orig.) [de

Hospital network performance: a survey of hospital stakeholders' perspectives.

Science.gov (United States)

Bravi, F; Gibertoni, D; Marcon, A; Sicotte, C; Minvielle, E; Rucci, P; Angelastro, A; Carradori, T; Fantini, M P

2013-02-01

Hospital networks are an emerging organizational form designed to face the new challenges of public health systems. Although the benefits introduced by network models in terms of rationalization of resources are known, evidence about stakeholders' perspectives on hospital network performance from the literature is scanty. Using the Competing Values Framework of organizational effectiveness and its subsequent adaptation by Minvielle et al., we conducted in 2009 a survey in five hospitals of an Italian network for oncological care to examine and compare the views on hospital network performance of internal stakeholders (physicians, nurses and the administrative staff). 329 questionnaires exploring stakeholders' perspectives were completed, with a response rate of 65.8%. Using exploratory factor analysis of the 66 items of the questionnaire, we identified 4 factors, i.e. Centrality of relationships, Quality of care, Attractiveness/Reputation and Staff empowerment and Protection of workers' rights. 42 items were retained in the analysis. Factor scores proved to be high (mean score>8 on a 10-item scale), except for Attractiveness/Reputation (mean score 6.79), indicating that stakeholders attach a higher importance to relational and health care aspects. Comparison of factor scores among stakeholders did not reveal significant differences, suggesting a broadly shared view on hospital network performance. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

Non-steroidal anti-inflammatory drugs and antibiotics prescription trends at a central west bank hospital.

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Tayem, Yasin I; Qubaja, Marwan M; Shraim, Riyad K; Taha, Omar B; Abu Shkheidem, Imadeddin A; Ibrahim, Murad A

2013-11-01

We aimed to reliably describe the pattern of outpatient prescription of non-steroidal anti-inflammatory drugs (NSAIDs) and antibiotics (ATBs) at a central hospital in the West Bank, Palestine. This was a retrospective, cross-sectional study investigating a cohort of 2,208 prescriptions ordered by outpatient clinics and the emergency room over one year in Beit Jala Hospital in Bethlehem, West Bank. The orders were analysed for the rate and types of NSAIDs and ATBs utilised, and the appropriateness of these drugs to the diagnosis. Of the total prescriptions, 410 contained NSAIDs (18.6%), including diclofenac (40.2%), low dose aspirin (23.9%), ibuprofen (17.8%) and indomethacin (15.1%). A minority of these prescriptions contained a combination of these agents (2.5%). Only one prescription contained cyclooxyeganse-2 inhibitors (0.2%). The appropriateness of NSAID use to the diagnosis was as follows: appropriate (58.3%), inappropriate (14.4%) and difficult to tell (27.3%). The rate of ATB use was 30.3% (669 prescriptions). The ATBs prescribed were amoxicillin (23.3%), augmentin (14.3%), quinolones (12.7%), first and second generation cephalosporins (9.4% and 12.7%, respectively) and macrolides (7.2%). ATB combinations were identified in 9.4%, with the most common being second-generation cephalopsorins and metronidazole (4.3%). Regarding the appropriateness of prescribing ATBs according to the diagnosis, it was appropriate in 44.8%, inappropriate in 20.6% and difficult to tell in 34.6% of the prescriptions. These findings revealed a relatively large number and inappropriate utilisation of ATBs and NSAIDs. An interventional programme needs to be adopted to reinforce physicians' knowledge of the rational prescription of these agents.

Status of soil acidification in North America

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M. E. Fenn; T. G. Huntington; S. B. McLaughlin; C. Eagar; A. Gomez; R. B. Cook

2006-01-01

Forest soil acidification and depletion of nutrient cations have been reported for several forested regions in North America, predominantly in the eastern United States, including the northeast and in the central Appalachians, but also in parts of southeastern Canada and the southern U.S. Continuing regional inputs of nitrogen and sulfur are of concern because of...

Implementation of the WHO multimodal Hand Hygiene Improvement Strategy in a University Hospital in Central Ethiopia.

Science.gov (United States)

Pfäfflin, Frieder; Tufa, Tafese Beyene; Getachew, Million; Nigussie, Tsehaynesh; Schönfeld, Andreas; Häussinger, Dieter; Feldt, Torsten; Schmidt, Nicole

2017-01-01

The burden of health-care associated infections in low-income countries is high. Adequate hand hygiene is considered the most effective measure to reduce the transmission of nosocomial pathogens. We aimed to assess compliance with hand hygiene and perception and knowledge about hand hygiene before and after the implementation of a multimodal hand hygiene campaign designed by the World Health Organization. The study was carried out at Asella Teaching Hospital, a university hospital and referral centre for a population of about 3.5 million in Arsi Zone, Central Ethiopia. Compliance with hand hygiene during routine patient care was measured by direct observation before and starting from six weeks after the intervention, which consisted of a four day workshop accompanied by training sessions and the provision of locally produced alcohol-based handrub and posters emphasizing the importance of hand hygiene. A second follow up was conducted three months after handing over project responsibility to the Ethiopian partners. Health-care workers' perception and knowledge about hand hygiene were assessed before and after the intervention. At baseline, first, and second follow up we observed a total of 2888, 2865, and 2244 hand hygiene opportunities, respectively. Compliance with hand hygiene was 1.4% at baseline and increased to 11.7% and 13.1% in the first and second follow up, respectively (p hand hygiene was consistent across professional categories and all participating wards and was independently associated with the intervention (adjusted odds ratio, 9.18; 95% confidence interval 6.61-12.76; p hand hygiene actions. The median hand hygiene knowledge score overall was 13 (interquartile range 11-15) at baseline and increased to 17 (15-18) after training (p hand hygiene is feasible and sustainable in a resource-constrained setting using a multimodal improvement strategy. However, absolute compliance remained low. Strong and long-term commitment by hospital management and

Whole-brain radiotherapy and high-dose methylprednisolone for elderly patients with primary central nervous system lymphoma: Results of North Central Cancer Treatment Group (NCCTG) 96-73-51

International Nuclear Information System (INIS)

Laack, Nadia N.; Ballman, Karla V.; Brown, Paul B.; O'Neill, Brian Patrick

2006-01-01

Purpose: The aim of this study was to evaluate the efficacy, toxicity, and survival of whole-brain radiotherapy-treated (WBRT) and high-dose methylprednisolone (HDMP)-treated in elderly patients with primary central nervous system lymphoma (PCNSL). Methods and Materials: Patients with PCNSL who were 70 years and older received 1 g of methylprednisolone daily for 5 days, 30 days after WBRT. Patients then received 1 g of methylprednisolone every 28 days until progression. The primary endpoint was overall survival (OS) at 6 months. Results were compared with those in patients on the previous North Central Cancer Treatment Group (NCCTG) trial who received pre-WBRT cytoxan, adriamycin, vincristine, prednisone (CHOP) and high-dose cytarabine (CHOP-WBRT). A planned interim analysis was performed. The current regimen would be considered inactive if survival was not improved from patients treated with CHOP-WBRT. Results: Nineteen patients were accrued between 1998 and 2003. Median age was 76 years. Interim analysis revealed a 6-month survival of 33%, resulting in closure of the trial. Toxicity, OS, and event-free survival (EFS) were similar to those in patients more than 70 years of age who received CHOP-WBRT. The subgroup of patients who received HDMP had longer OS (12.1 vs. 7.0 months, p = 0.76) and EFS (11.7 vs. 4.0 months, p = 0.04) compared with the CHOP-WBRT patients alive 60 days after the start of treatment. Conclusions: Patients on-study long enough to receive HDMP had prolongation of OS and EFS compared to patients receiving CHOP-WBRT. Although the numbers of patients are too small for statistical conclusions, the HDMP regimen deserves further study

Traffic accident injuries in a referral Orthopedic Hospital in North West of Iran during summer 2009

Directory of Open Access Journals (Sweden)

Amir Mohammad Navali

2015-03-01

Full Text Available Introduction: Road traffic injuries are a major public health problem, requiring huge efforts for effective and sustainable prevention. Because of the high occurrence of traffic accidents in Iran, basic data acquisition is highly needed to implement prevention plans. The present research is conducted as an epidemiological study of the traffic accident victims referred to a referral orthopedic center in North West of Iran. Methods: A cross-sectional study was conducted during a 3 months period from June to September 2009 in Tabriz, Iran. A total of 16681 patients were admitted to the emergency ward, and 3246 patients (19.5% were hospitalized during this period because of traffic related injuries. After randomization, 630 cases were selected to be enrolled in the study. The location of an accident, position of road users, type of crashed vehicle, cause of accident, type of injury, time interval from accident to hospitalization and treatment outcome were recorded. Statistical analyses were carried out using SPSS software. Results: The mean age of the patients was 31 years (range, 6 months to 98 years and 77.0% of patients (468 cases were men. A total of 193 (36.6% patients sustained traffic accident in open roads and 335 (63.4% in urban corridors. In 67 (12.9% of accidents, there was only a single occupant in the vehicle. The time interval between the accident and admission was 6.6 ± 3.2 hours. Of the 608 cases, 45.7% were drivers, 30.3% passengers, and 24.0% pedestrians. Most cases of the car accident happened in urban areas, and the male victims were largely in the driver group. The most frequent type of injury was knee, leg and head trauma. Conclusion: The large number of traffic-related injuries admitted to our emergency ward that comprise mostly young adults should be considered as an alarming signal to policy makers and health providers in our province. Strict control on drivers’ behavior should be taken into account if increasing human

A new species of Perlesta (Plecoptera: Perlidae) from North Carolina with additional records for North Carolina and Virginia

Science.gov (United States)

Kondratieff, B.C.; Zuellig, R.E.; Lenat, D.R.

2011-01-01

Twenty-eight species of Nearctic Perlesta are currently recognized (Stark 1989, 2004; Kondratieff et al. 2006, 2008; Grubbs and DeWalt 2008, Grubbs and DeWalt 2011, Kondratieff and Myers 2011). Interestingly, but needing confirmation, Perlesta has been recently recorded from Central America (Gutiérrez-Fonseca and Springer 2011). Continued collecting and study of Perlesta from North Carolina by the authors revealed one additional undescribed species. Ten species of Perlesta currently have been recorded from North Carolina (Stark 1989, 2004, Kondratieff et al. 2006, 2008, Grubbs and DeWalt 2008). Additionally, new Perlesta species records are given for Virginia. The terminology used in the description of the male adult follows Stark (1989, 2004).

Resource Assessment of the In-Place and Potentially Recoverable Deep Natural Gas Resource of the Onshore Interior Salt Basins, North Central and Northeastern Gulf of Mexico

Energy Technology Data Exchange (ETDEWEB)

Ernest A. Mancini; Paul Aharon; Donald A. Goddard; Roger Barnaby

2005-10-28

The principal research effort for Year 2 of the project has been petroleum system characterization and modeling. Understanding the burial, thermal maturation, and hydrocarbon expulsion histories of the strata in the onshore interior salt basins of the North Central and Northeastern Gulf of Mexico areas is important in hydrocarbon resource assessment. The underburden and overburden rocks in these basins and subbasins are a product of their rift-related geohistory. Petroleum source rock analysis and initial thermal maturation and hydrocarbon expulsion modeling indicated that an effective regional petroleum source rock in the onshore interior salt basins and subbasins, the North Louisiana Salt Basin, Mississippi Interior Salt Basin, Manila Subbasin and Conecuh Subbasin, was Upper Jurassic Smackover lime mudstone. The initial modeling also indicated that hydrocarbon generation and expulsion were initiated in the Early Cretaceous and continued into the Tertiary in the North Louisiana Salt Basin and the Mississippi Interior Salt Basin and that hydrocarbon generation and expulsion were initiated in the Late Cretaceous and continued into the Tertiary in the Manila Subbasin and Conecuh Subbasin. Refined thermal maturation and hydrocarbon expulsion modeling and additional petroleum source rock analysis have confirmed that the major source rock in the onshore interior salt basins and subbasins is Upper Jurassic Smackover lime mudstone. Hydrocarbon generation and expulsion were initiated in the Early to Late Cretaceous and continued into the Tertiary.

Analysis of Volatile Organic and Sulfur Compounds in Air Near a Pulp Paper Mill in North-Central Idaho

Science.gov (United States)

Johnston, N. A. C.; Bundy, B. A.; Andrew, J. P.; Grimm, B. K.; Ketcherside, D.; Rivero-Zevallos, J. A.; Uhlorn, R. P.

2017-12-01

Lewiston, Idaho is a small city in the Snake River Valley bordering North-Central Idaho and Southeastern Washington, with a population of over 40,000 including the surrounding areas. One of the main industries and employers in the region is a kraft paper mill in North Lewiston, which results in odorous levels of sulfur air pollutants there. The Idaho Department of Environmental Quality has an air monitoring station in Lewiston but measures only air particulate matter (PM). Surprisingly, not much long-term data exists on this area for specific air constituents such as volatile organics, hazardous air pollutants, and sulfur compounds. One year-long study conducted in 2006-2007 by the Nez Perce Tribe found high formaldehyde levels in the area, and warranted further study in July of 2016-2017. Our ongoing study began in the fall of 2016 and investigates the seasonal air composition in the Lewiston area. Specifically, active air sampling via sorbent tubes and analysis by thermal desorption gas chromatography-mass spectrometry (TD-GC-MS). was utilized to measure over 50 volatile organic compounds, hazardous air pollutants, and sulfurous compounds in ambient air (adapted from EPA Method TO-17). Seasonal, diurnal, and spatial variations in air composition were explored with weekly to monthly grab sampling. Dimethyl sulfide (DMS) and dimethyl disulfide (DMDS) were the primary sulfur compounds detected, and these varied considerably depending on time of day, season, location and meteorology. DMS was more prevalent in the summer months, while DMDS was more prevalent in the spring. Elevated concentrations of benzene and chloroform were found in the region during 2017, with average values of short term grab samples over three times the acceptable ambient concentrations in Idaho. These levels did not persist during longer term sampling of 12-hours, however further monitoring is needed to assess a potential health concern.

Evaluación del espesor corneal central y su influencia en la presión intraocular en pacientes del Hospital "Dr. Miguel Enríquez" Evaluation of the central corneal thickness and its impact on the intraocular pressure of patients in "Dr. Miguel Enriquez" hospital

Directory of Open Access Journals (Sweden)

María Teresa Arrronte Alarcón

2012-01-01

Full Text Available Objetivo: evaluar el espesor corneal central en sujetos sanos, hipertensos oculares, sospechosos de glaucoma y glaucomatosos, y su influencia en la presión intraocular. Métodos: se realizó un estudio descriptivo y transversal que incluyó 708 ojos de 356 sujetos que acudieron al servicio de oftalmología del Hospital Universitario "Dr. Miguel Enríquez" entre enero y diciembre de 2010. A los pacientes se les midió el espesor corneal central con paquimetría ultrasónica (paquímetro US 4000. El resto de la información se obtuvo a partir de las historias clínicas de los pacientes. Resultados: Los hipertensos oculares presentaron córneas gruesas (p=0,07; el mayor número de casos que tenían diagnóstico de sospecha de glaucoma y de glaucoma primario de ángulo abierto presentaron un grosor corneal delgado (p=0,62 y p=0,08 respectivamente. Si no se hubiese tenido en cuenta el factor de corrección para evaluar la presión intraocular se encontraría 48,1 % de los glaucomatosos y 31,5 % de los hipertensos oculares con diagnóstico inadecuado (pObjective: to evaluate the central corneal thickness in healthy individuals, in persons with ocular hypertension, and in suspected glaucoma and glaucomatous people, and its influence in intraocular pressure. Methods: a cross-sectional and descriptive study was performed in 708 eyes from 356 people who had been seen at ophthalmology service of “Dr. Miguel Enríquez”, university hospital from January to December, 2010. Their central corneal thickness was measured with ultrasonic pachymetry (pachymeter US 4000. The rest of the information came from the clinical histories of the patients. Results: Most of the ocular hypertensives presented thick corneas (p=0,07; a high number of cases that had diagnosis of glaucoma suspicion and primary open-angle glaucoma showed thin corneas (p=0,62 and (p=0,08 respectively. If the correction factor to evaluate the IOP had not been considered, then 48,1 % of the

Salinity Trends within the Upper Layers of the Subpolar North Atlantic

Science.gov (United States)

Tesdal, J. E.; Abernathey, R.; Goes, J. I.; Gordon, A. L.; Haine, T. W. N.

2017-12-01

Examination of a range of salinity products collectively suggest widespread freshening of the North Atlantic from the mid-2000 to the present. Monthly salinity fields reveal negative trends that differ in magnitude and significance between western and eastern regions of the North Atlantic. These differences can be attributed to the large negative interannual excursions in salinity in the western subpolar gyre and the Labrador Sea, which are not apparent in the central or eastern subpolar gyre. This study demonstrates that temporal trends in salinity in the northwest (including the Labrador Sea) are subject to mechanisms that are distinct from those responsible for the salinity trends in central and eastern North Atlantic. In the western subpolar gyre a negative correlation between near surface salinity and the circulation strength of the subpolar gyre suggests that negative salinity anomalies are connected to an intensification of the subpolar gyre, which is causing increased flux of freshwater from the East Greenland Current and subsequent transport into the Labrador Sea during the melting season. Analyses of sea surface wind fields suggest that the strength of the subpolar gyre is linked to the North Atlantic Oscillation and Arctic Oscillation-driven changes in wind stress curl in the eastern subpolar gyre. If this trend of decreasing salinity continues, it has the potential to enhance water column stratification, reduce vertical fluxes of nutrients and cause a decline in biological production and carbon export in the North Atlantic Ocean.

Large-scale evolution of the central-east Greenland margin: New insights to the North Atlantic glaciation history

Science.gov (United States)

Pérez, Lara F.; Nielsen, Tove; Knutz, Paul C.; Kuijpers, Antoon; Damm, Volkmar

2018-04-01

The continental shelf of central-east Greenland is shaped by several glacially carved transverse troughs that form the oceanward extension of the major fjord systems. The evolution of these troughs through time, and their relation with the large-scale glaciation of the Northern Hemisphere, is poorly understood. In this study seismostratigraphic analyses have been carried out to determine the morphological and structural development of this important sector of the East Greenland glaciated margin. The age of major stratigraphic discontinuities has been constrained by a direct tie to ODP site 987 drilled in the Greenland Sea basin plain off Scoresby Sund fan system. The areal distribution and internal facies of the identified seismic units reveal the large-scale depositional pattern formed by ice-streams draining a major part of the central-east Greenland ice sheet. Initial sedimentation along the margin was, however, mainly controlled by tectonic processes related to the margin construction, continental uplift, and fluvial processes. From late Miocene to present, progradational and erosional patterns point to repeated glacial advances across the shelf. The evolution of depo-centres suggests that ice sheet advances over the continental shelf have occurred since late Miocene, about 2 Myr earlier than previously assumed. This cross-shelf glaciation is more pronounced during late Miocene and early Pliocene along Blosseville Kyst and around the Pliocene/Pleistocene boundary off Scoresby Sund; indicating a northward migration of the glacial advance. The two main periods of glaciation were separated by a major retreat of the ice sheet to an inland position during middle Pliocene. Mounded-wavy deposits interpreted as current-related deposits suggest the presence of changing along-slope current dynamics in concert with the development of the modern North Atlantic oceanographic pattern.

Accreted seamounts in North Tianshan, NW China: Implications for the evolution of the Central Asian Orogenic Belt

Science.gov (United States)

Yang, Gaoxue; Li, Yongjun; Kerr, Andrew C.; Tong, Lili

2018-03-01

The Carboniferous Bayingou ophiolitic mélange is exposed in the North Tianshan accretionary complex in the southwestern part of the Central Asian Orogenic Belt (CAOB). The mélange is mainly composed of serpentinised ultramafic rocks (including harzburgite, lherzolite, pyroxenite, dunite and peridotite), pillowed and massive basalts, layered gabbros, radiolarian cherts, pelagic limestones, breccias and tuffs, and displays block-in-matrix structures. The blocks of ultramafic rocks, gabbros, basalts, cherts, and limestones are set in a matrix of serpentinised ultramafic rocks, massive basalts and tuffs. The basaltic rocks in the mélange show significant geochemical heterogeneity, and two compositional groups, one ocean island basalt-like, and the other mid-ocean ridge-like, can be distinguished on the basis of their isotopic compositions and immobile trace element contents (such as light rare earth element enrichment in the former, but depletion in the latter). The more-enriched basaltic rocks are interpreted as remnants/fragments of seamounts, derived from a deep mantle reservoir with low degrees (2-3%) of garnet lherzolite mantle melting. The depleted basalts most likely formed by melting of a shallower spinel lherzolite mantle source with ∼15% partial melting. It is probable that both groups owe their origin to melting of a mixture between plume and depleted MORB mantle. The results from this study, when integrated with previous work, indicate that the Junggar Ocean crust (comprising a significant number of seamounts) was likely to have been subducted southward beneath the Yili-Central Tianshan block in the Late Devonian-Early Carboniferous. The seamounts were scraped-off and accreted along with the oceanic crust in an accretionary wedge to form the Bayingou ophiolitic mélange. We present a model for the tectonomagmatic evolution of this portion of the CAOB involving prolonged intra-oceanic subduction with seamount accretion.

The thrust belts of Western North America

Energy Technology Data Exchange (ETDEWEB)

Moulton, F.C.

1993-08-01

Most of the Basin and Range physiographic province of western North America is now believed to be part of the overthrust. The more obvious overthrust belt along the eastern edge of the Basin and Range Province is named the Sevier orogenic belt, where older rocks are observed thrust onto younger rocks. More detailed surface geological mapping, plus deep multiple-fold geophysical work and many oil and gas wildcat wells, have confirmed an east-vergent shortened and stacked sequence is present in many places in the Basin and Range. This western compressive deformed area in east central Nevada is now named the Elko orogenic belt by the U.S. Geological Survey. This older compressed Elko orogenic belt started forming approximately 250 m.y. ago when the North American plate started to move west as the Pangaea supercontinent started to fragment. The North American plate moved west under the sediments of the Miogeocline that were also moving west. Surface-formed highlands and oceanic island arcs on the west edge of the North American plate restricted the westward movement of the sediments in the Miogeocline, causing east-vergent ramp thrusts to form above the westward-moving North American plate. The flat, eastward-up-cutting thrust assemblages moved on the detachment surfaces.

Calidad del servicio de atención en la Unidad de Laboratorio de Emergencia y Laboratorio Central, Hospital Público de Lima, 2016

OpenAIRE

Castillo Acuña, Marissa Gladys

2016-01-01

La Calidad en el Servicio de Atención de acuerdo a Camarasa (2004) “La Calidad de los servicios de atención constituyen el conjunto de prestaciones y atenciones que el cliente espera recibir de la organización que los presta”. (p.13) Objetivo: Comparar el nivel de calidad del servicio de atención en la unidad de Laboratorio de Emergencia con respecto a la unidad de Laboratorio Central en un Hospital Público de Lima 2016. Metodología: Estudio de Nivel descriptivo comparativo, tr...

‘Reconstructing Centrality and Peripherality in the North Denmark Region

DEFF Research Database (Denmark)

Fisker, Jens Kaae

2013-01-01

, how images of peripherality and centrality change across local, regional, national and international scales. Empirically the paper is based on document analysis (place descriptions, planning and strategy documents, media reports, historical accounts etc.), qualitative interviews (municipal officials...

On the Development of Multi-Hazard Early Warning Networks: Practical experiences from North and Central America.

Science.gov (United States)

Mencin, David; Hodgkinson, Kathleen; Braun, John; Meertens, Charles; Mattioli, Glen; Phillips, David; Blume, Fredrick; Berglund, Henry; Fox, Otina; Feaux, Karl

2015-04-01

The GAGE facility, managed by UNAVCO, maintains and operates about 1300 GNSS stations distributed across North and Central America as part of the EarthScope Plate Boundary Observatory (PBO) and the Continuously Operating Caribbean GPS Observational Network (COCONet). UNAVCO has upgraded about 450 stations in these networks to real-time and high-rate (RT-GNSS) and included surface meteorological instruments. The majority of these streaming stations are part of the PBO but also include approximately 50 RT-GNSS stations in the Caribbean and Central American region as part of the COCONet and TLALOCNet projects. Based on community input UNAVCO has been exploring ways to increase the capability and utility of these resources to improve our understanding in diverse areas of geophysics including seismic, volcanic, magmatic and tsunami deformation sources, extreme weather events such as hurricanes and storms, and space weather. The RT-GNSS networks also have the potential to profoundly transform our ability to rapidly characterize geophysical events, provide early warning, as well as improve hazard mitigation and response. Specific applications currently under development with university, commercial, non-profit and government collaboration on national and international scales include earthquake and tsunami early warning systems and near real-time tropospheric modeling of hurricanes and precipitable water vapor estimate assimilation. Using tsunami early warning as an example, an RT-GNSS network can provide multiple inputs in an operational system starting with rapid assessment of earthquake sources and associated deformation which informs the initial modeled tsunami. The networks can then can also provide direct measurements of the tsunami wave heights and propagation by tracking the associated ionospheric disturbance from several 100's of km away as the waves approaches the shoreline. These GNSS based constraints can refine the tsunami and inundation models and potentially

Specialized consulting in radiological safety to the south central hospital of high specialty, PEMEX. VI. December of 2001

International Nuclear Information System (INIS)

Angeles C, A.; Vizuet G, J.; Benitez S, J.A.; Garcia A, J.; Rodriguez A, F.

2002-01-01

It is a report of a specialized consulting in radiological safety that to be carried the ININ to PEMEX for the South Central Hospital of High Specialty, to maintain the sanitary license for the use of X-ray equipment of medical diagnostic, and guarantee these services with a program of quality assurance. To give fulfilment to that requests it is programmed a technical assistance monthly, with reports of results during the development of the service. In this document it is carried a report of the advances and results in the month of december of the 2001, where the following documents are analyzed: Manual of radiological safety, program of quality assurance, operation procedures, procedure of maintenance team, procedure of medical radiological control of the specialized personnel; also are annotate the obtained results and their observations. (Author)

Gastric cancers at Kibogora Hospital | Ntakiyiruta | East and Central ...

African Journals Online (AJOL)

East and Central African Journal of Surgery. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 14, No 1 (2009) >. Log in or Register to get access to full text downloads.

Environmental impact assessment in the pipeline industry. Experiences with the UK north western ethylene pipeline

Energy Technology Data Exchange (ETDEWEB)

Ryde, A.

1997-12-31

The north western ethylene pipeline is the final link between Shell`s oil and gas fields in the North Sea and its petrochemical complexes in Cheshire. The natural gas from which ethylene is obtained comes from the Brent and central fields in the North Sea. Environmental impacts are discussed in this paper covering topics as follow: Regulatory and legal aspects; environmental assessment during planning and design; environmental control during construction; environmental management during operation; environmental controls at sensitive sites on the north western ethylene pipeline: some examples. 11 refs., 2 figs.

Environmental impact assessment in the pipeline industry. Experiences with the UK north western ethylene pipeline

International Nuclear Information System (INIS)

Ryder, A.

1997-01-01

The north western ethylene pipeline is the final link between Shell's oil and gas fields in the North Sea and its petrochemical complexes in Cheshire. The natural gas from which ethylene is obtained comes from the Brent and central fields in the North Sea. Environmental impacts are discussed in this paper covering topics as follow: Regulatory and legal aspects; environmental assessment during planning and design; environmental control during construction; environmental management during operation; environmental controls at sensitive sites on the north western ethylene pipeline: some examples. 11 refs., 2 figs

Epidemiology of urinary tract infections and antibiotics sensitivity among pregnant women at Khartoum North Hospital

Directory of Open Access Journals (Sweden)

Ali Salah K

2011-01-01

Full Text Available Abstract Background Urinary tract infections (UTI can lead to poor maternal and perinatal outcomes. Investigating epidemiology of UTI and antibiotics sensitivity among pregnant women is fundamental for care-givers and health planners. Methods A cross sectional study has been conducted at Khartoum north teaching hospital Antenatal Care Clinic between February-June 2010, to investigate epidemiology of UTI and antibiotics resistance among pregnant women. Structured questionnaires were used to gather data from pregnant women. UTI was diagnosed using mid stream urine culture on standard culture media Results Out of 235 pregnant women included, 66 (28.0% were symptomatic and 169 (71.9% asymptomatic. the prevalence of bacteriuria among symptomatic and asymptomatic pregnant women were (12.1%, and (14.7% respectively, with no significant difference between the two groups (P = 0.596, and the overall prevalence of UTI was (14.0%. In multivariate analyses, age, gestational age, parity, and history of UTI in index pregnancy were not associated with bacteriuria. Escherichia coli (42.4% and S. aureus (39.3% were the commonest isolated bacteria. Four, 2, 2, 3, 4, 2 and 0 out of 14 E. coli isolates, showed resistance to amoxicillin, naladixic acid, nitrofurantoin, ciprofloxacin, co-trimoxazole, amoxicillin/clavulanate and norfloxacin, respectively Conclusion Escherichia coli were the most prevalent causative organisms and showing multi drug resistance pattern, asymptomatic bacteriuria is more prevalent than symptomatic among pregnant women. Urine culture for screening and diagnosis purpose for all pregnant is recommended.

Epidemiology of urinary tract infections and antibiotics sensitivity among pregnant women at Khartoum North Hospital.

Science.gov (United States)

Hamdan, Hamdan Z; Ziad, Abdel Haliem M; Ali, Salah K; Adam, Ishag

2011-01-18

Urinary tract infections (UTI) can lead to poor maternal and perinatal outcomes. Investigating epidemiology of UTI and antibiotics sensitivity among pregnant women is fundamental for care-givers and health planners. A cross sectional study has been conducted at Khartoum north teaching hospital Antenatal Care Clinic between February-June 2010, to investigate epidemiology of UTI and antibiotics resistance among pregnant women. Structured questionnaires were used to gather data from pregnant women. UTI was diagnosed using mid stream urine culture on standard culture media Out of 235 pregnant women included, 66 (28.0%) were symptomatic and 169 (71.9%) asymptomatic. the prevalence of bacteriuria among symptomatic and asymptomatic pregnant women were (12.1%), and (14.7%) respectively, with no significant difference between the two groups (P = 0.596), and the overall prevalence of UTI was (14.0%). In multivariate analyses, age, gestational age, parity, and history of UTI in index pregnancy were not associated with bacteriuria. Escherichia coli (42.4%) and S. aureus (39.3%) were the commonest isolated bacteria. Four, 2, 2, 3, 4, 2 and 0 out of 14 E. coli isolates, showed resistance to amoxicillin, naladixic acid, nitrofurantoin, ciprofloxacin, co-trimoxazole, amoxicillin/clavulanate and norfloxacin, respectively. Escherichia coli were the most prevalent causative organisms and showing multi drug resistance pattern, asymptomatic bacteriuria is more prevalent than symptomatic among pregnant women. Urine culture for screening and diagnosis purpose for all pregnant is recommended.

Nitrogen Cycling throughout Secondary Succession following Agricultural Disturbance in North-Central Virginia

Science.gov (United States)

Parisien, A.; Epstein, H. E.

2017-12-01

While much is known about the carbon cycle during succession that follows agricultural disturbance, less understood are the dynamics of the nitrogen cycle throughout secondary succession, and how plant-available nitrogen may or may not limit vegetation transitions and net primary productivity over time. Two chronosequences at the Blandy Experimental Farm in Boyce, north-central Virginia were examined to elucidate the complexities of the nitrogen cycle over a temporal successional gradient. Each chronosequence consists of one early, one mid, and one late secondary successional field ( 15 years, 30 years, and 100 years post agricultural abandonment, respectively). Five 10x10 m plots were established in each of the 6 fields for a total of 30 plots. Total soil nitrogen (and carbon) data were collected from soils to 30 cm depth at 10-cm intervals, and net nitrogen mineralization and nitrification were estimated using an in situ soil core with anion-cation exchange resin bag technique. Previous studies of carbon cycling at this location have indicated relatively constant soil CO2 efflux of approximately 1100 g C/m2, as well as increasing net primary production and therefore net ecosystem production, with time since abandonment. In addition, soil C and N, and the soil C:N ratio have been shown to increase from the early to late successional plots. Our current study marks the first comprehensive examination of soil nitrogen dynamics including mineralization and nitrification over a successional gradient at Blandy Farm. A thorough understanding of nitrogen dynamics during secondary succession is especially important in the southeastern United States, where a large portion of previously cultivated land has been abandoned over the past century, due to advances in farming efficiency and the move westward to more fertile soils. Much of the southeastern U.S. is now undergoing secondary succession, and quality data on the dynamics of nitrogen cycling during this procession can

Drug prescribing patterns for outpatients in three hospitals in north ...

African Journals Online (AJOL)

Background: Information about drug utilization at the out patient departments of the Hospitals in Ethiopia is scanty although a large segment of the patients are being served at the outpatient departments. Objective: To evaluate and compare patterns of drug prescribing practiced in the outpatient departments of three ...

Late Devonian spermatophyte diversity and paleoecology at Red Hill, north-central Pennsylvania, USA

Energy Technology Data Exchange (ETDEWEB)

Cressler, Walter L. III. [Francis Harvey Green Library, 29 West Rosedale Avenue, West Chester University, West Chester, PA, 19383 (United States); Prestianni, Cyrille [Universite de Liege, Boulevard du Rectorat B18, Liege 4000 (Belgium); LePage, Ben A. [The Academy of Natural Sciences, 1900 Benjamin Franklin Parkway, Philadelphia, PA, 19103 and PECO Energy Company, 2301 Market Avenue, S9-1, Philadelphia, PA 19103 (United States)

2010-08-01

Early spermatophytes have been discovered at Red Hill, a Late Devonian (Famennian) fossil locality in north-central Pennsylvania, USA. The Red Hill locality contains an Archaeopteris-dominated flora within an outcrop of the Duncannon Member of the Catskill Formation. Palynological analyses of the plant fossil-bearing horizons within the Red Hill outcrop indicate deposition within the VCo palynozone. This is the earliest time horizon known to contain evidence for spermatophytes, and is contemporaneous with well-known spermatophyte-bearing deposits in West Virginia and Belgium. Some of the spermatophyte material from Red Hill compares well with Aglosperma sp., previously known as isolated ovules from the latest Devonian of South Wales and England, thus extending its geographic and stratigraphic range. Red Hill specimens of Aglosperma sp. occur both as isolated ovules and attached to dichotomously forking axes. Additional spermatophyte cupules discovered at Red Hill are morphologically similar to those of the previously described Late Devonian spermatophytes Elkinsia Rothwell, Scheckler, et Gillespie, Moresnetia Stockmans, and Xenotheca Arber et Goode. Some of the Red Hill cupule complexes are distinct from the aforementioned taxa in consisting of slender dichotomously forking axes terminating in paired cupules with highly fused and symmetric cupule quadrant lobes. The distinctive nature of these Red Hill specimens warrants the creation of Duodimidia pfefferkornii Cressler, Prestianni, et LePage gen. et sp. nov. Plant fossil remains with sphenopteroid foliage are also present at Red Hill, possibly attributable to the spermatophytes. Previous systematic sampling of the rich plant-fossil bearing layer at Red Hill and analysis of its floristic diversity and abundance as well as the presence and absence of charcoal suggests a pattern of floral turnover from a local-scale Rhacophyton-dominated community to spermatophyte colonization following disturbance by wildfires

Spatial pattern of foot-and-mouth disease virus serotypes in North Central Nigeria

Directory of Open Access Journals (Sweden)

Yiltawe Simwal Wungak

2017-04-01

Full Text Available Aim: This study aimed to determine the foot-and-mouth disease virus (FMDV serotypes circulating, the prevalence of FMDV serotypes, and the spatial distribution of FMDV among sedentary and pastoral cattle herds in the North-Central Nigeria. Materials and Methods: A cross-sectional study was undertaken, during which a total of 155 sera that tested positive for foot-and-mouth disease (FMD 3ABC non-structural protein antibodies were selected and screened for FMD structural protein serotypes, A, O, SAT 1, and SAT 2 using a solid-phase competitive enzyme-linked immunosorbent assay (ELISA. Epithelial tissue specimens were collected during outbreak investigations which were tested for FMD using an antigen capture ELISA for serotype A, O, SAT 1, and SAT 2. Results: An overall serotype-specific prevalence of 79.35 (95% confidence interval [CI]: 72.4-85.18 was recorded for serotype O, 65.2% (95% CI: 57.41-72.3 for serotype A, 52.9% (95% CI: 45.03-60.67 for SAT-2, and 33.55% (95% CI: 26.45-41.26 for SAT-1. Evidence of exposure to multiple FMDV serotypes showed that 12.26% of the sera samples had antibodies against four serotypes circulating, 30.97% had antibodies against three serotypes circulating, 22.58% had antibodies against two serotypes, and 17% showed exposure to only one serotype. Clinical specimens (epithelial tissue collected during outbreak investigations showed that serotype O has the highest proportion of 50% with serotype A - 25%; SAT 2 - 20.8%; and SAT 1 - 4.1%. Conclusion: The study detected diffuse and co-circulation of serotypes A, O, SAT1, and SAT2 within the study area, and hence the need for the appropriately matched multivalent vaccine is strongly advocated for FMD control in Nigeria.

Insight into the Pacific Sea Surface Temperature- North American Hydroclimate Connection from an Eastern Tropical North Pacific Coral Record

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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.

Mass awareness regarding snake bite induced early morning neuroparalysis can prevent many deaths in North India

OpenAIRE

Sharma, Rupinder; Dogra, Varundeep; Sharma, Gurudutt; Chauhan, Vivek

2016-01-01

Introduction: In North India snake bite deaths are predominantly seen with neurotoxic envenomations (NEs) whereas in South India the hemotoxic envenomation (HE) is more common. Krait is responsible for most deaths in North India. It bites people sleeping on the floors, mostly at night. We describe the profile of venomous snake bites over 1 year in 2013. Materials and Methods: The study was conducted in a rural tertiary care hospital in North India. Demographics, circumstances of bite, envenom...

Hospital costs of central line-associated bloodstream infections and cost-effectiveness of closed vs. open infusion containers. The case of Intensive Care Units in Italy.

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Tarricone, Rosanna; Torbica, Aleksandra; Franzetti, Fabio; Rosenthal, Victor D

2010-05-10

The aim was to evaluate direct health care costs of central line-associated bloodstream infections (CLABSI) and to calculate the cost-effectiveness ratio of closed fully collapsible plastic intravenous infusion containers vs. open (glass) infusion containers. A two-year, prospective case-control study was undertaken in four intensive care units in an Italian teaching hospital. Patients with CLABSI (cases) and patients without CLABSI (controls) were matched for admission departments, gender, age, and average severity of illness score. Costs were estimated according to micro-costing approach. In the cost effectiveness analysis, the cost component was assessed as the difference between production costs while effectiveness was measured by CLABSI rate (number of CLABSI per 1000 central line days) associated with the two infusion containers. A total of 43 cases of CLABSI were compared with 97 matched controls. The mean age of cases and controls was 62.1 and 66.6 years, respectively (p = 0.143); 56% of the cases and 57% of the controls were females (p = 0.922). The mean length of stay of cases and controls was 17.41 and 8.55 days, respectively (p Use of innovative technologies such as closed infusion containers can significantly reduce the incidence of healthcare acquired infection without posing additional burden on hospital budgets.

Evaluation of disaster preparedness for mass casualty incidents in private hospitals in Central Saudi Arabia

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Abdullah A. Bin Shalhoub

2017-03-01

Full Text Available Objectives: To identify and describe the hospital disaster preparedness (HDP in major private hospitals in Riyadh, Saudi Arabia. Methods: This is an observational cross-sectional survey study performed in Riyadh city, Saudi Arabia between December 2015 and April 2016. Thirteen major private hospitals in Riyadh with more than 100 beds capacity were included in this investigation. Results: The 13 hospitals had HDP plan and reported to have an HDP committee. In 12 (92.3% hospitals, the HDP covered both internal and external disasters and HDP was available in every department of the hospital. There were agreements with other hospitals to accept patients during disasters in 9 facilities (69.2% while 4 (30.8% did not have such agreement. None of the hospitals conducted any unannounced exercises in previous year. Conclusion: Most of the weaknesses were apparent particularly in the education, training and monitoring of the hospital staff to the preparedness for disaster emergency occasion. Few hospitals had conducted an exercise with casualties, few had drilled evacuation of staff and patients in the last 12 months, and none had any unannounced exercise in the last year.

Competition or coordination in hospital markets with unionised labour.

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Brekke, Kurt R

2004-03-01

This paper study labour market responses to hospital mergers. The market consists of two hospitals providing horizontally and vertically differentiated services. Hospitals compete either in price and quality or just in quality (non-price competition). To provide medical care, hospitals employ health care workers (e.g., physicians, nurses). The workers collectively bargain wages either at a central level, firm level or plant level. Anticipating wage responses, hospitals decide whether or not to merge. The main finding is that the bargaining structure, the nature of competition and the patient copayment rate have a crucial impact on the profitability of hospital mergers.

Range expansion by Passer montanus in North America

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Burnett, J.L.; Roberts, C.P.; Allen, Craig R.; Brown, M.B.; Moulton, M.P.

2017-01-01

Passer montanus became established in a small area of central North America following its introduction in 1870. P. montanus underwent minimal range expansion in the first 100 years following introduction. However, the North American population of P. montanus is now growing in size and expanding in geographic distribution, having expanded approximately 125 km to the north by 1970. We quantify the distance of spread by P. montanus from its introduction site in the greater St. Louis, Missouri-Illinois, USA area, using distributional (presence) data from the National Audubon Society Christmas Bird Count surveys for the period of 1951 to 2014. Linear regressions of the average annual range center of P. montanus confirmed significant shifts to the north at a rate of 3.3 km/year (P Linear regressions of the linear and angular distance of range center indicates significant northern movement (change in angle of mean range center; P < 0.001) since 1951. Our results quantify the extent of a northward range expansion, and suggesting a probable spread of this species northward.

Jurassic and Cretaceous clays of the northern and central North Sea hydrocarbon reservoirs reviewed

Energy Technology Data Exchange (ETDEWEB)

Wilkinson, M.; Haszeldine, R.S.; Fallick, A.E.

2006-03-15

The principal clays of the northern and central North Sea are illite (sometimes with interlayered smectite) and kaolin. Chlorite is only locally important. Although it has been proposed that kaolin within North Sea sandstones is detrital in origin, the majority of workers have concluded that it is authigenic, largely the product of feldspar alteration. Kaolin is found within a wide range of sedimentary settings (and within shales) apparently defying the notion that kaolin is an indicator of meteoric water deposition. Within sandstones, the earliest authigenic kaolin has a vermiform morphology, the distribution of which is controlled by the availability of detrital mica to act as a nucleus, and the composition of the post-depositional porewaters. This vermiform kaolin formed in meteoric water, the presence of which is easily accounted for below sub-aerial exposure surfaces in non-marine formations, and below unconformities over marine units. In fully marine sands, and even marine shale units, kaolin still occurs. It has therefore been suggested that even these locations have been flushed with meteoric water. Early vermiform kaolin recrystallizes to a more blocky morphology as burial proceeds, at least in the Brent Group. Blocky kaolin has been reported as growing before, synchronously with, and after the formation of quartz overgrowths, though oxygen isotope studies support low-temperature growth, pre-quartz. Blocky kaolin may form during meteoric flushing associated with lower Cretaceous uplift and erosion, though it is found in fault blocks that are thought to have remained below sea level. Here, the kaolin may form in stagnant meteoric water, relics of the post-depositional porewater. It has also been proposed that the blocky kaolin grew in ascending basinal waters charged with carboxylic acids and CO{sub 2}, though this hypothesis is not supported by stable oxygen isotope data. Some of the blocky kaolin is dickite, the stable polymorph above 100{sup o}C. Fibrous

Patient satisfaction regarding eye care services at tertiary hospital of central India

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Anand Sudhan

2011-01-01

Study Design : Descriptive study. Materials and Methods : This study was conducted between September 2005 and June 2006. Patients attending the eye clinic of Sadguru Netra Chikitsalaya, Chitrakoot, Madhya Pradesh, India, and admitted as in-patients in this hospital were our study population. Randomly selected patients were interviewed by trained staff. Close-ended questionnaire was used to conduct these structured interviews. Their responses were grouped into one of five categories and evaluated to determine satisfaction for different components of eye care services. Results : Three hundred and twenty persons were interviewed. The satisfaction was of excellent grade among 77 (48.1% patients attending clinic and 156 (97.5% patients who were admitted in the hospital. The participants expressed dissatisfaction for the long waiting period in clinics, poor cleanliness, and insufficient toilet facilities. Those admitted in the hospital felt that food facilities were less than the expected quality. Child-friendly facilities received high satisfaction scores. Conclusion : Although eye care services both in clinics and in the wards were satisfactory according to the end-users, there are scopes for improvement. Patient satisfaction surveys should be encouraged in hospitals for better accountability and also for strengthening the quality of eye care services.

Post-1980 shifts in the sensitivity of boreal tree growth to North Atlantic Ocean dynamics and seasonal climate. Tree growth responses to North Atlantic Ocean dynamics

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Ols, Clémentine; Trouet, Valerie; Girardin, Martin P.; Hofgaard, Annika; Bergeron, Yves; Drobyshev, Igor

2018-06-01

The mid-20th century changes in North Atlantic Ocean dynamics, e.g. slow-down of the Atlantic meridional overturning thermohaline circulation (AMOC), have been considered as early signs of tipping points in the Earth climate system. We hypothesized that these changes have significantly altered boreal forest growth dynamics in northeastern North America (NA) and northern Europe (NE), two areas geographically adjacent to the North Atlantic Ocean. To test our hypothesis, we investigated tree growth responses to seasonal large-scale oceanic and atmospheric indices (the AMOC, North Atlantic Oscillation (NAO), and Arctic Oscillation (AO)) and climate (temperature and precipitation) from 1950 onwards, both at the regional and local levels. We developed a network of 6876 black spruce (NA) and 14437 Norway spruce (NE) tree-ring width series, extracted from forest inventory databases. Analyses revealed post-1980 shifts from insignificant to significant tree growth responses to summer oceanic and atmospheric dynamics both in NA (negative responses to NAO and AO indices) and NE (positive response to NAO and AMOC indices). The strength and sign of these responses varied, however, through space with stronger responses in western and central boreal Quebec and in central and northern boreal Sweden, and across scales with stronger responses at the regional level than at the local level. Emerging post-1980 associations with North Atlantic Ocean dynamics synchronized with stronger tree growth responses to local seasonal climate, particularly to winter temperatures. Our results suggest that ongoing and future anomalies in oceanic and atmospheric dynamics may impact forest growth and carbon sequestration to a greater extent than previously thought. Cross-scale differences in responses to North Atlantic Ocean dynamics highlight complex interplays in the effects of local climate and ocean-atmosphere dynamics on tree growth processes and advocate for the use of different spatial scales in

Cutaneous leishmaniasis in North Dakota.

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Douvoyiannis, Miltiadis; Khromachou, Tamim; Byers, Norman; Hargreaves, James; Murray, Henry W

2014-09-01

In the United States, autochthonous cutaneous leishmaniasis caused by infection with Leishmania mexicana has been reported from Texas and Oklahoma. Here, we describe a child with 2 new features: cutaneous infection acquired outside of the south-central United States (in North Dakota) and infection caused by Leishmania donovani species complex. © The Author 2014. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Non-communicable diseases among prison inmates in North-West ...

African Journals Online (AJOL)

Background: There is paucity of data on prevalence of non-communicable diseases in prison inmates. The aim of the study was to determine the prevalence and pattern of non-communicable diseases in inmates of Sokoto Central Prison, North-West Nigeria. Methodology: Cross-sectional descriptive study was carried out.

Awareness and Knowledge of Glaucoma in Central India: A Hospital-Based Study.

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Maharana, Prafulla K; Rai, Vaishali G; Pattebahadur, Rajesh; Singhi, Shipra; Chauhan, Ashish K

2017-01-01

To assess the awareness and knowledge of glaucoma among people attending the ophthalmology outpatient department at a tertiary care hospital in central India. A prospective observational study. A questionnaire-based study was conducted, involving persons aged 18 and above attending the ophthalmology outpatient department from October 2014 to September 2015. Data on awareness and knowledge of glaucoma was collected through a face-to-face interview. Fourteen hundred people participated in the study. The mean age of participants was 43 ± 15 years (range, 18-85). The study participants included 53% men and 47% women. Only 27% (n = 380/1400) of the participants were aware of glaucoma. Age, sex, and presence or type of refractive error had no impact on glaucoma awareness. Awareness level was greater in individuals with higher education levels and those belonging to an upper socioeconomic class (SEC). Multiple logistic regression analysis revealed significantly higher levels of glaucoma awareness among participants belonging to the upper 2 SECs (P = 0.05) and those educated above the high school level (P = 0.001). The most common source of awareness was close acquaintance with relatives, famly members, and friends of glaucoma patients. Awareness of glaucoma in India is low. Lack of education and lower socioeconomic status are the major risk factors for late preentation of glaucoma. Continuous presence of a low level of awareness and the same factors accounting for it warrants the need for an aggressive and refined approach to increase awareness of glaucoma to prevent glaucoma-related blindness. Copyright 2017 Asia-Pacific Academy of Ophthalmology.

Segmentation pattern and structural complexities in seismogenic extensional settings: The North Matese Fault System (Central Italy)

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Ferrarini, Federica; Boncio, Paolo; de Nardis, Rita; Pappone, Gerardo; Cesarano, Massimo; Aucelli, Pietro P. C.; Lavecchia, Giusy

2017-02-01

We investigated the northern slope of the Matese Mts. (Molise, Central Italy) with the aim of characterizing the N- to NE-dipping active normal fault system in the Bojano basin, a sector of primary importance from a seismic hazard perspective. We collected field data to define the geometry and segmentation pattern of two sub-systems (Patalecchia-Colle di Mezzo and Bojano-Campochiaro). New evidence of late Quaternary faulting was obtained by exploiting well log interpretations. Kinematic analysis revealed the interaction of pre-Quaternary inherited (mainly E-W-striking) and newly formed (NW-SE-striking) normal faults. Slip accommodation through linkage was clearly noted in the case of the Patalecchia-Colle di Mezzo sub-system. Detailed topographic profiles across the active fault segments provided post-LGM (15 ± 3 kyr) slip rates up to ∼2 mm/yr which agree with the high deformation rates based on different approaches in the literature. Finally, the instrumental seismicity analysis constrained the bottom of the seismogenic layer to depths of 13-14 km, and the gathered information allowed us to reconstruct the North Matese seismogenic source. Its 3D geometry and dimensions agree with both the dimension-magnitude relationships and macroseismic information available for the 1805 earthquake (Mw 6.6), the main historical earthquake to have struck the Bojano basin.

Increased wetness confounds Landsat-derived NDVI trends in the central Alaska North Slope region, 1985-2011

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Raynolds, Martha K.; Walker, Donald A.

2016-08-01

Satellite data from the circumpolar Arctic have shown increases in vegetation indices correlated to warming air temperatures (e.g. Bhatt et al 2013 Remote Sensing 5 4229-54). However, more information is needed at finer scales to relate the satellite trends to vegetation changes on the ground. We examined changes using Landsat TM and ETM+ data between 1985 and 2011 in the central Alaska North Slope region, where the vegetation and landscapes are relatively well-known and mapped. We calculated trends in the normalized difference vegetation index (NDVI) and tasseled-cap transformation indices, and related them to high-resolution aerial photographs, ground studies, and vegetation maps. Significant, mostly negative, changes in NDVI occurred in 7.3% of the area, with greater change in aquatic and barren types. Large reflectance changes due to erosion, deposition and lake drainage were evident. Oil industry-related changes such as construction of artificial islands, roads, and gravel pads were also easily identified. Regional trends showed decreases in NDVI for most vegetation types, but increases in tasseled-cap greenness (56% of study area, greatest for vegetation types with high shrub cover) and tasseled-cap wetness (11% of area), consistent with documented degradation of polygon ice wedges, indicating that increasing cover of water may be masking increases in vegetation when summarized using the water-sensitive NDVI.

The influence of breastfeeding beliefs on the sexual behavior of the Tarok in north-central Nigeria.

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Orisaremi, Titilayo Cordelia

2013-12-01

The paper investigated some of the beliefs around the breastfeeding norm of the postpartum abstinence and how these influence sexual behavior. It was based on a larger project which explored how gender relations affect reproductive processes and the reproductive health of Tarok women in north-central Nigeria. Research was conducted in four Tarok communities using qualitative instruments, namely in-depth interviews (IDIs) and focus group discussion (FGD) guides. Participants were female and male community members of 15 years and above. Sixteen IDIs (four per community) were conducted with women, religious and traditional leaders as well as senior health providers. Twenty-four FGD sessions (six per community) were held with different groups in the community and data were descriptively analyzed. Findings demonstrated customary double standards in sexual matters; the significance and influence of certain unfounded traditional beliefs around breastfeeding on sexual behavior and choices; as well as some of the changes that characterize sexual relationships among modern Tarok couples brought about by Christianity, Western education and modernity. Traditional breastfeeding norms and beliefs seek to overly control women's sexuality while giving precedence to the interest of the child and its father. The study calls for a change in attitude to meet the demands of the current reality in order to strengthen marital unions and guarantee healthy families. Copyright © 2013 Elsevier B.V. All rights reserved.

Sociodemographic Correlates of Choice of Health Care Services in Six Rural Communities in North Central Nigeria

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Onyemocho Audu

2014-01-01

Full Text Available Household expenditure on health has increasingly remained a major source of health care financing in Nigeria despite the introduction of several social health scheme policies provided by the government for meeting the health care costs of patients. Recognizing these limitations, this study assessed the type of health care services people commonly use in various illnesses and the sociodemographic correlates of the preferred health care services by household heads in six rural communities of North Central Nigeria. A cross-sectional community-based descriptive study design was used to study 154 household heads in the settlements using a multistage sampling method. Multiple logistic regressions were performed to investigate independent predictors that had significant chi-square at P<0.05. The leading causes of illness experienced by respondents were medical conditions (42.0% and 41.7% of them sought treatment from patent medicine vendors. The dominant reasons for health-seeking preferences were financial access (53.7% and proximity (48.6%. Age had a higher impact (Beta = 0.892 on the health-seeking preferences of the respondents as compared to their occupation and religion (Beta = 0.368 and −0.746, resp.. Therefore, in order to meet the health care of patients, it is pertinent that the unmet needs of patients are properly addressed by appropriate agencies.

Remote sensing of drivers of spring snowmelt flooding in the North Central US

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Spring snowmelt poses an annual flood risk in non-mountainous regions, such as the northern Great Plains of North America. However, ground observations are often not sufficient to characterize the spatiotemporal variation of drivers of snowmelt floods for operational flood forecasting purposes. Re...

Molecular epidemiology of Acinetobacter baumannii in central intensive care unit in Kosova teaching hospital

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Lul Raka

Full Text Available Infections caused by bacteria of genus Acinetobacter pose a significant health care challenge worldwide. Information on molecular epidemiological investigation of outbreaks caused by Acinetobacter species in Kosova is lacking. The present investigation was carried out to enlight molecular epidemiology of Acinetobacterbaumannii in the Central Intensive Care Unit (CICU of a University hospital in Kosova using pulse field gel electrophoresis (PFGE. During March - July 2006, A. baumannii was isolated from 30 patients, of whom 22 were infected and 8 were colonised. Twenty patients had ventilator-associated pneumonia, one patient had meningitis, and two had coinfection with bloodstream infection and surgical site infection. The most common diagnoses upon admission to the ICU were politrauma and cerebral hemorrhage. Bacterial isolates were most frequently recovered from endotracheal aspirate (86.7%. First isolation occurred, on average, on day 8 following admission (range 1-26 days. Genotype analysis of A. baumannii isolates identified nine distinct PFGE patterns, with predominance of PFGE clone E represented by isolates from 9 patients. Eight strains were resistant to carbapenems. The genetic relatedness of Acinetobacter baumannii was high, indicating cross-transmission within the ICU setting. These results emphasize the need for measures to prevent nosocomial transmission of A. baumannii in ICU.

The relationship between oncologists and peripheral hospital radiologists in the north-west of England

International Nuclear Information System (INIS)

Bungay, Peter M.; Carrington, Bernadette M.; Corgie, Delphine; Eardley, Anne

2002-01-01

AIM: To audit the relationship between Cancer Centre oncologists visiting peripheral hospitals and peripheral hospital radiologists by assessing (i) oncologists' knowledge of local radiological services; (ii) oncologists' perceptions of peripheral radiological services; (iii) peripheral radiologist's perceptions of oncologists; (iv) barriers to communication. MATERIALS AND METHODS: A postal questionnaire was sent to all radiology departments visited by an oncologist, and to all medical and clinical oncologists from two regional oncology centres. RESULTS: The response rate was 100% (21 peripheral hospital radiology departments and all 35 oncologists). (i) Oncologists' knowledge of peripheral hospital imaging modalities was limited (especially MRI and intervention). (ii) 72% of oncologists rated the peripheral hospital radiology service as excellent or good, 46% rated the radiology report quality excellent to good. Deficiencies in oncological reports were identified. (iii) 44% of radiologists thought the oncologist did not relate well with the local radiology department. 50% of radiologists did not know the visiting oncologist's specialist interest. (iv) 69% of oncologists did not regularly attend peripheral hospital clinico-radiological meetings. Lack of written and oral information was hampering both specialities. CONCLUSION: Communication between oncologists and the local radiology department should include: (1) information about local radiology services for visiting oncologists (including trainees) and on the oncology team for radiologists; (2) standardized report content; (3) improved clinical information for radiologists; (4) regular clinico-radiological meetings. Bungay, P.M. et al. (2002)

Patient Experiences of Decentralized HIV Treatment and Care in Plateau State, North Central Nigeria: A Qualitative Study

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Grace O. Kolawole

2017-01-01

Full Text Available Background. Decentralization of care and treatment for HIV infection in Africa makes services available in local health facilities. Decentralization has been associated with improved retention and comparable or superior treatment outcomes, but patient experiences are not well understood. Methods. We conducted a qualitative study of patient experiences in decentralized HIV care in Plateau State, north central Nigeria. Five decentralized care sites in the Plateau State Decentralization Initiative were purposefully selected. Ninety-three patients and 16 providers at these sites participated in individual interviews and focus groups. Data collection activities were audio-recorded and transcribed. Transcripts were inductively content analyzed to derive descriptive categories representing patient experiences of decentralized care. Results. Patient participants in this study experienced the transition to decentralized care as a series of “trade-offs.” Advantages cited included saving time and money on travel to clinic visits, avoiding dangers on the road, and the “family-like atmosphere” found in some decentralized clinics. Disadvantages were loss of access to ancillary services, reduced opportunities for interaction with providers, and increased risk of disclosure. Participants preferred decentralized services overall. Conclusion. Difficulty and cost of travel remain a fundamental barrier to accessing HIV care outside urban centers, suggesting increased availability of community-based services will be enthusiastically received.

Stylolites, porosity, depositional texture, and silicates in chalk facies sediments:Ontong Java Plateau - Gorm and Tyra fields, North Sea

OpenAIRE

Fabricius, Ida Lykke; Borre, Mai K.

2007-01-01

Comparison of chalk on the Ontong Java Plateau and chalk in the Central North Sea indicates that, whereas pressure dissolution is controlled by effective burial stress, pore-filling cementation is controlled by temperature. Effective burial stress is caused by the weight of all overlying water and sediments as counteracted by the pressure in the pore fluid, so the regional overpressure in the Central North Sea is one reason why the two localities have different relationships between temperatu...

Determining the status quo of infection prevention and control standards in the hospitals of iran: a case study in 23 hospitals.

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Shojaee, Jalil; Moosazadeh, Mahmood

2014-02-01

Applying Prevention and Control of Infection (PCI) standards in hospitals reduces probable risks to patients, staff and visitors; it also increases efficiency, and ultimately improves productivity of hospitals. The current study aimed to determine the status quo of international standards of PCI in hospitals located in the north of Iran. This cross-sectional study was conducted in 23 hospitals. Data collection tool was a questionnaire with confirmed validity and reliability. . In this regard, 260 managers, section supervisors and infection control nurses participated in the study according to census basis. SPSS software version 16 was employed to analyze the data through descriptive and analytical statistics. Among the studied hospitals, 18 hospitals were public. Hospitals enjoyed 77.2% of leadership and programming, 80.8% of focus of programs, 67.4% of isolating methods, 88.2% of hand health and protection techniques, 78.8% of improving patient's safety and quality, 90.3% of training personnel, and 78.7% of the average status quo of PCI standards. This study revealed that PCI standards were significantly observed in the studied hospitals and that there were necessary conditions for full deployment of nosocomial infection surveillance.

Risk of central nervous system defects in offspring of women with and without mental illness.

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Ayoub, Aimina; Fraser, William D; Low, Nancy; Arbour, Laura; Healy-Profitós, Jessica; Auger, Nathalie

2018-02-22

We sought to determine the relationship between maternal mental illness and the risk of having an infant with a central nervous system defect. We analyzed a cohort of 654,882 women aged less than 20 years between 1989 and 2013 who later delivered a live born infant in any hospital in Quebec, Canada. The primary exposure was mental illness during pregnancy or hospitalization for mental illness before pregnancy. The outcomes were neural and non-neural tube defects of the central nervous system in any offspring. We computed risk ratios (RR) and 95% confidence intervals (CI) for the association between mental disorders and risk of central nervous system defects in log-binomial regression models adjusted for age at delivery, total parity, comorbidity, socioeconomic deprivation, place of residence, and time period. Maternal mental illness was associated with an increased risk of nervous system defects in offspring (RR 1.76, 95% CI 1.64-1.89). Hospitalization for any mental disorder was more strongly associated with non-neural tube (RR 1.84, 95% CI 1.71-1.99) than neural tube defects (RR 1.31, 95% CI 1.08-1.59). Women at greater risk of nervous system defects in offspring tended to be diagnosed with multiple mental disorders, have more than one hospitalization for mental disease, or be 17 or older at first hospitalization. A history of mental illness is associated with central nervous system defects in offspring. Women hospitalized for mental illness may merit counseling at first symptoms to prevent central nervous system defects at pregnancy.

Cold-water fishes and climate change in North America

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J. E. Williams; Daniel Isaak; J. Imhof; D. A. Hendrickson; J. R. McMillan

2015-01-01

Trout, salmon, grayling and whitefishes (Salmonidae) are among the most ecologically and economically important fishes. They also are among the most vulnerable to global warming, and increasing drought, floods, and wildfires. In North America, salmonids occur from central Mexico northward along coastal regions and mountainous interiors to the Arctic Plains. A...

Measuring Entrepreneurial Activity in the Middle East and North Africa

International Development Research Centre (IDRC) Digital Library (Canada)

Total funding. CA$ 678,500. Country(s). Middle East, North of Sahara, South of Sahara, Central Asia, Far East Asia, South Asia. Project Leader. Dr. Mohamed Derrabi. Institution. Al Akhawayn University. Institution Country. Morocco. Institution Website. http://www.aui.ma. Project Leader. Abedou Abderrahamne. Institution.

Prevalence of Overweight and Obesity among Rural Adults in North ...

African Journals Online (AJOL)

Background: Obesity has been associated with cardiovascular diseases, type 2 diabetes mellitus, several cancers and numerous other Non-Communicable Diseases (NCDs).The objective of this study was to determine the prevalence of overweight and obesity among rural adults in North Central Nigeria. Methods: A ...

Cost of delivering secondary-level health care services through public sector district hospitals in India

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Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

2017-01-01

Background & objectives: Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Methods: Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. Results: The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was 844 (USD 15.5), i; 3481 (USD 64) and 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was 139 (USD 2.5). Interpretation & conclusions: The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India. PMID:29355142

Cost of delivering secondary-level health care services through public sector district hospitals in India.

Science.gov (United States)

Prinja, Shankar; Balasubramanian, Deepak; Jeet, Gursimer; Verma, Ramesh; Kumar, Dinesh; Bahuguna, Pankaj; Kaur, Manmeet; Kumar, Rajesh

2017-09-01

Despite an impetus for strengthening public sector district hospitals for provision of secondary health care in India, there is lack of robust evidence on cost of services provided through these district hospitals. In this study, an attempt was made to determine the unit cost of an outpatient visit consultation, inpatient bed-day of hospitalization, surgical procedure and overall per-capita cost of providing secondary care through district hospitals. Economic costing of five randomly selected district hospitals in two north Indian States - Haryana and Punjab, was undertaken. Cost analysis was done using a health system perspective and employing bottom-up costing methodology. Quantity of all resources - capital or recurrent, used for delivering services was measured and valued. Median unit costs were estimated along with their 95 per cent confidence intervals. Sensitivity analysis was undertaken to assess the effect of uncertainties in prices and other assumptions; and to generalize the findings for Indian set-up. The overall annual cost of delivering secondary-level health care services through a public sector district hospital in north India was ' 11,44,13,282 [US Dollars (USD) 2,103,185]. Human resources accounted for 53 per cent of the overall cost. The unit cost of an inpatient bed-day, surgical procedure and outpatient consultation was ' 844 (USD 15.5), ' 3481 (USD 64) and ' 170 (USD 3.1), respectively. With the current set of resource allocation, per-capita cost of providing health care through district hospitals in north India was ' 139 (USD 2.5). The estimates obtained in our study can be used for Fiscal planning of scaling up secondary-level health services. Further, these may be particularly useful for future research such as benefit-incidence analysis, cost-effectiveness analysis and national health accounts including disease-specific accounts in India.

Central dose data management and analysis in IT-driven radiation protection strategies

International Nuclear Information System (INIS)

Ward, M.; Hughes, D.; Connolly, P.; Moores, B. M.

2005-01-01

The applications of information technology in health care are now widespread and continue to grow. Medical imaging is at the forefront of this revolution and the introduction of digital detection methods to replace film is now addressing the diagnostic X-ray market, the most routinely employed imaging modality. The introduction of picture archiving and communication systems, hospital and radiology information systems is well underway, and the integration of radiation protection initiatives into these developments is desirable. In north-west UK, a project aimed at developing and implementing IT-driven radiation protection strategies has been underway for the past 10 y. Such strategies are geared towards the support of European Commission patient dose directive 97/43 EURATOM, in particular the need to implement clinical audit, patient dose audit and to establish dose reference levels. This paper demonstrates the national and local requirements for establishing a central dose data management system for use in radiation protection strategies. In particular, such a system can help develop and support the role of a medical physics expert in optimisation. The scientific requirements for such an approach are presented in this paper, and a prototype system is described. Preliminary results obtained with the central data management facility are also presented and the implication for analysing multiple site dose data in optimisation strategies for digital radiographic technology is highlighted. (authors)

Implementation of the WHO multimodal Hand Hygiene Improvement Strategy in a University Hospital in Central Ethiopia

Directory of Open Access Journals (Sweden)

Frieder Pfäfflin

2017-01-01

Full Text Available Abstract Background The burden of health-care associated infections in low-income countries is high. Adequate hand hygiene is considered the most effective measure to reduce the transmission of nosocomial pathogens. We aimed to assess compliance with hand hygiene and perception and knowledge about hand hygiene before and after the implementation of a multimodal hand hygiene campaign designed by the World Health Organization. Methods The study was carried out at Asella Teaching Hospital, a university hospital and referral centre for a population of about 3.5 million in Arsi Zone, Central Ethiopia. Compliance with hand hygiene during routine patient care was measured by direct observation before and starting from six weeks after the intervention, which consisted of a four day workshop accompanied by training sessions and the provision of locally produced alcohol-based handrub and posters emphasizing the importance of hand hygiene. A second follow up was conducted three months after handing over project responsibility to the Ethiopian partners. Health-care workers’ perception and knowledge about hand hygiene were assessed before and after the intervention. Results At baseline, first, and second follow up we observed a total of 2888, 2865, and 2244 hand hygiene opportunities, respectively. Compliance with hand hygiene was 1.4% at baseline and increased to 11.7% and 13.1% in the first and second follow up, respectively (p < 0.001. The increase in compliance with hand hygiene was consistent across professional categories and all participating wards and was independently associated with the intervention (adjusted odds ratio, 9.18; 95% confidence interval 6.61-12.76; p < 0.001. After the training, locally produced alcohol-based handrub was used in 98.4% of all hand hygiene actions. The median hand hygiene knowledge score overall was 13 (interquartile range 11–15 at baseline and increased to 17 (15–18 after training (p < 0.001. Health

HIV-Sero- prevalence trend among blood donors in North East ...

African Journals Online (AJOL)

2017-09-03

Sep 3, 2017 ... On the other hand, significantly declining fashion of. HIV seroprevalence were observed in the studies done in blood banks of Jimma University Specialized Hos- pital and Gonder University hospital7,8 and NorthWest. Ethiopia.9 The Federal Ministry of Health reported the. National HIV prevalence as 3.5% ...

77 FR 27869 - Medicare Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the...

Science.gov (United States)

2012-05-11

... Considered HAC Candidate: Iatrogenic Pneumothorax With Venous Catheterization 3. Present on Admission (POA.... History of Measures Adopted for the Hospital IQR Program b. Maintenance of Technical Specifications for...-Associated Infection (HAI) Measures (A) Proposed Central Line Associated Blood Stream Infections ((CLABSI...

Efficiency and productivity of hospitals in Vietnam.

Science.gov (United States)

Pham, Thuy Linh

2011-01-01

The purpose of this paper is to examine the relative efficiency and productivity of hospitals during the health reform process. Data envelopment analyses method (DEA) with the input-oriented variable-returns-to-scale model was used to calculate efficiency scores. Malmquist total factor productivity index approach was then employed to calculate productivity of hospitals. Data of 101 hospitals was extracted from databases of the Ministry of Health, Vietnam from the years 1998 to 2006. There was evidence of improvement in overall technical efficiency from 65 per cent in 1998 to 76 per cent in 2006. Hospitals' productivity progressed around 1.4 per cent per year, which was mainly due to the technical efficiency improvement. Furthermore, provincial hospitals were more technically efficient than their central counterparts and hospitals located in different regions performed differently. The paper provides an insight in the performance of Vietnamese public hospitals that has been rarely examined before and contributes to the existing literature of hospital performance in developing countries

Postsecondary Transitions for Youth in Appalachia's Central Subregions: A Review of Education Research, 1995-2015

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Kannapel, Patricia J.; Flory, Michael A.

2017-01-01

This article reviews research on issues surrounding postsecondary transitions for youth in middle (North Central, Central, and South Central) Appalachia, a region that faces numerous education challenges because of its geography, poverty, and economy. Examining published research and data from 1995 to 2015, the review seeks to inform education…

Central corneal thickness among glaucoma patients attending ...

African Journals Online (AJOL)

AAU_CHS

ocular pressure measurement and is different among different ethnic population and subtypes of glaucoma. The central corneal thickness of different subtypes of glaucoma at Menelik II Hospital ... Intraocular pressure is a key element in the.

Pulpwood production in the North Central Region, by county, 1981.

Science.gov (United States)

James E. Blyth; W. Brad Smith

1983-01-01

Discusses 1981 production and receipts and recent production for other years in the Lake and Central States. Shows Michigan, Minnesota, and Wisconsin production by species for each county and compares production by Forest Inventory Unit with that of previous years. Presents 1980 production and receipt data for Illinois, Indiana, Iowa, and Missouri and shows four...

Pulpwood production in the north central region, by county, 1982.

Science.gov (United States)

James E. Blyth; W. Brad Smith

1984-01-01

Discusses 1982 production and receipts and recent production for other years in the Lake and Central States. Shows Michigan, Minnesota, and Wisconsin production by species for each county and compares production by Forest Survey Unit with that of previous years. Presents 1982 production and receipts data for Illinois, Indiana, Iowa, and Missouri and shows four...

Pulpwood production in the North Central Region by county, 1986.

Science.gov (United States)

James E. Blyth; W. Brad Smith

1988-01-01

Discusses production and receipts for 1986 and production for recent years in the Lake and Central States. Shows Michigan, Minnesota, and Wisconsin production by species for each county and compares production by Forest Survey Unit with that of previous years. Presents 1986 production and receipts data for Illinois, Indiana, Iowa, and Missouri, and shows four...

Aetiological profile of nasal trauma in Ilorin North-Central Nigeria ...

African Journals Online (AJOL)

Background: The nose being the most prominent part of the face is easily traumatized in facial injuries and these has been found to be common among the Caucasians compared to the Africans and Asians. The aim is to ighlight the Aetiological profile of nasal trauma in Ilorin orth-central Nigeria. Method: A prospective study ...

Modular organization and hospital performance.

Science.gov (United States)

Kuntz, Ludwig; Vera, Antonio

2007-02-01

The concept of modularization represents a modern form of organization, which contains the vertical disaggregation of the firm and the use of market mechanisms within hierarchies. The objective of this paper is to examine whether the use of modular structures has a positive effect on hospital performance. The empirical section makes use of multiple regression analyses and leads to the main result that modularization does not have a positive effect on hospital performance. However, the analysis also finds out positive efficiency effects of two central ideas of modularization, namely process orientation and internal market mechanisms.

International overview of hospital procurement.

Science.gov (United States)

Ferrier, Maud; Lariviere, David; Laurent, Claire; Roque, Eric

2011-01-01

This article was written by four French hospital director students at the Ecole des Hautes Etudes en Santé Publique (EHESP-School of Public Health) from a study conducted jointly with students at the Grenoble School of Management to present an international overview of hospital procurement methods in ten countries. An analysis of these methods showed that there was a general trend towards group purchasing, with some common aims in terms of costs and performance and some differences in legislation (competition), size of the public sector and centralization or decentralization.

Enterprise resource planning for hospitals

NARCIS (Netherlands)

van Merode, Godefridus G.; Groothuis, Siebren; Hasman, Arie

2004-01-01

Integrated hospitals need a central planning and control system to plan patients' processes and the required capacity. Given the changes in healthcare one can ask the question what type of information systems can best support these healthcare delivery organizations. We focus in this review on the

Enterprise resource planning for hospitals

NARCIS (Netherlands)

Merode, van G.G.; Groothuis, S.; Hasman, A.

2004-01-01

Integrated hospitals need a central planning and control system to plan patients’ processes and the required capacity. Given the changes in healthcare one can ask the question what type of information systems can best support these healthcare delivery organizations. We focus in this review on the

The architecture of enterprise hospital information system.

Science.gov (United States)

Lu, Xudong; Duan, Huilong; Li, Haomin; Zhao, Chenhui; An, Jiye

2005-01-01

Because of the complexity of the hospital environment, there exist a lot of medical information systems from different vendors with incompatible structures. In order to establish an enterprise hospital information system, the integration among these heterogeneous systems must be considered. Complete integration should cover three aspects: data integration, function integration and workflow integration. However most of the previous design of architecture did not accomplish such a complete integration. This article offers an architecture design of the enterprise hospital information system based on the concept of digital neural network system in hospital. It covers all three aspects of integration, and eventually achieves the target of one virtual data center with Enterprise Viewer for users of different roles. The initial implementation of the architecture in the 5-year Digital Hospital Project in Huzhou Central hospital of Zhejiang Province is also described.

Central line associated sepsis in children receiving parenteral nutrition in Oman.

Science.gov (United States)

Al Lawati, Tawfiq T; Al Jamie, Adawaiya; Al Mufarraji, Nasra

Parenteral Nutrition (PN) is used when gut fails to provide complete nutrition. Central line Associate Blood Stream Infection (CLABSI) a major complication of this therapy. The objective of the study was to report the incidence of CLABSI and associated mortality in children receiving PN in the Royal Hospital and study the indication and duration of PN use. All children from the age of 0-48 months who received TPN outside NICU from the period between 1/1/2011 till 31/12/2014 were included. Data were retrieved from the hospital electronic data base. There were 42 children 27 males and 15 females who used PN through a central line for a total duration of 569 days. The incidence of CLABSI was 14 days per 1000 days catheter and mortality of 556 per 10000. The average duration of TPN was 14.5 days. Most of the patient had CLABSI in the PICU and cardiac related illness or surgery was the most common indication of PN use. The average duration of use was 14 days. Inspite of that short duration use of PN, there is a very high incidence of CLABSI and its related mortality. Bundle policy for central line care is not used in the Royal Hospital and this study calls for urgent implementation of central line care bundle policy in the Royal Hospital. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.

The use of cimetidine in hospitalized patients.

Science.gov (United States)

Kopala, L

1984-01-01

Cimetidine is the most commonly prescribed drug in North America. A clinical review was conducted to identify physicians' prescribing habits. From September 1, 1981 to March 31, 1982, the charts were reviewed of 50 patients receiving cimetidine in an isolated coastal community hospital in British Columbia. It was discovered that physicians prescribed the drug for reasons approved by the Food and Drug Administration (FDA) only 14% of the time. The FDA guidelines approve cimetidine for duodenal ulcer, Zollinger-Ellison syndrome, and other hypersecretory states. A literature review was conducted, and guidelines on prescribing cimetidine were given to all members of the hospital's medical staff.

The hydrology of a drained topographical depression within an agricutlural field in north-central Iowa

Science.gov (United States)

Roth, Jason L.; Capel, Paul D.

2012-01-01

North-central Iowa is an agriculturally intensive area comprising the southeastern portion of the Prairie Pothole Region, a landscape containing a high density of enclosed topographical depressions. Artificial drainage practices have been implemented throughout the area to facilitate agricultural production. Vertical surface drains are utilized to drain the topographical depressions that accumulate water. This study focuses on the hydrology of a drained topographical depression located in a 39.5 ha agricultural field. To assess the hydrology of the drained depression, a water balance was constructed for 11 ponding events during the 2008 growing season. Continuous pond and groundwater level data were obtained with pressure transducers. Flows into the vertical surface drain were calculated based on pond depth. Precipitation inflows and evaporative outflows of the ponds were calculated using climatic data. Groundwater levels were used to assess groundwater/pond interactions. Results of the water balances show distinct differences between the inflows to and outflows from the depression based on antecedent conditions. In wet conditions, groundwater inflow sustained the ponds. The ponds receded only after the groundwater level declined to below the land surface. In drier conditions, groundwater was not a source of water to the depression. During these drier conditions, infiltration comprised 30% of the outflows from the depression during declining pond stages. Over the entire study period, the surface drain, delivering water to the stream, was the largest outflow from the pond, accounting for 97% of the outflow, while evapotranspiration was just 2%. Precipitation onto the pond surface proved to be a minor component, accounting for 4% of the total inflows.

Sediment and discharge yields within a minimally disturbed, headwater watershed in North Central Pennsylvania, USA, with an emphasis on Superstorm Sandy

Science.gov (United States)

Maloney, Kelly O.; Shull, Dustin R.

2015-01-01

We estimated discharge and suspended sediment (SS) yield in a minimally disturbed watershed in North Central Pennsylvania, USA, and compared a typical storm (September storm, 4.80 cm) to a large storm (Superstorm Sandy, 7.47 cm rainfall). Depending on branch, Sandy contributed 9.7–19.9 times more discharge and 11.5–37.4 times more SS than the September storm. During the September storm, the upper two branches accounted for 60.6% of discharge and 88.8% of SS at Lower Branch; during Sandy these percentages dropped to 36.1% for discharge and 30.1% for SS. The branch with close proximity roads had over two-three times per area SS yield than the branch without such roads. Hysteresis loops showed typical clockwise patterns for the September storm and more complicated patterns for Sandy, reflecting the multipeak event. Estimates of SS and hysteresis in minimally disturbed watersheds provide useful information that can be compared spatially and temporally to facilitate management.

Glacitectonic rafting and associated deformation of mid-Pleistocene glacigenic sediments, near Central Graben, central North Sea; results of a 2D High-Resolution Geophysical Survey

Science.gov (United States)

Vaughan-Hirsch, David

2013-04-01

Glacitectonic rafts are defined as dislocated slabs of bedrock or unconsolidated sediments, transported from their original position by glacial action. These relatively thin, slab-like bodies feature transport distances ranging from tens of meters to hundreds of kilometers. They occur as either single rafts, or multiple stacked bodies associated with a variety of ice-pushed landforms. Internally, rafts frequently appear undeformed although at a larger scale, they may be folded or cut by shear zones and brittle faults. However, the processes leading to the detachment, transport and subsequent emplacement of the rafts remain uncertain. This work describes the results of a geophysical 2D seismic survey of thrust-bound glacitectonic rafts and associated deformation structures, occurring within mid-Pleistocene glacigenic sediments of the Central Graben, central North Sea. The total shortened length of the rafted section is 2.4km, comprising a series of nine discrete rafts which individually range from 235m to 1018m in length. The principle basal detachment occurs at the erosive contact between Aberdeen Ground Formation and overlying Ling Bank Formation. The ice-proximal (northern) limit of rafting is defined by the presence of a large-scale palaeo-channel oriented perpendicular to the direction of rafting, composed of sediments of the Ling Bank Formation and the Forth Formation. The observed deformation structures infer a mean tectonic direction of 178°, indicating that they are associated with an active glacial advance from the north. The resulting deformation creates a minimum lateral shortening throughout the observed sequence of 35%, typifying a strongly compressional regieme associated with rafting. Throughout the surveyed area, structurally younger rafts are found to be emplaced towards the south, compared to the structurally older rafts which are emplaced towards the south-east. This distinction is suggested to be caused by early rafts creating an obstacle to

[Munchausen syndrome: need for centralized administrative health-care management].

Science.gov (United States)

Altmark, D; Sigal, M; Gelkopf, M

1991-03-01

The clinical picture of Munchausen syndrome is that of feigned or self-induced illness with the aim of being hospitalized and/or receiving unnecessary medical interventions, peregrination from 1 hospital to another, and disruptive behavior when hospitalized. These patients are a danger to themselves and heavily burden inpatient facilities that care for them. We present a case that illustrates the problems of diagnosing and managing such patients. We stress the need for adequate centralization and distribution of the relevant information concerning these patients.

The Market for Hospital Medicine in Denmark

DEFF Research Database (Denmark)

Hostenkamp, Gisela

2012-01-01

Pharmaceutical expenditure growth has outpaced GDP and healthcare expenditure growth rates in Denmark as in most OECD countries for the last decade. A major part of this increase was due to high growth rates in specialist areas that are typically located in hospital settings. Yet the market...... for hospital medicines and their procurement are still poorly understood. The present paper characterises the market for hospital medicines in Denmark in terms of its organisation and developments between 2005 and 2009. In Denmark hospital medicines are publicly financed and procurement is centrally organised....... 98% of all medicines administered at Danish public hospitals are purchased through a public procurement agency by means of public tenders. Using data on actual contract prices we decompose pharmaceutical expenditure growth into the contributions from newly introduced medicines, price and volume...

Stress drops of induced and tectonic earthquakes in the central United States are indistinguishable.

Science.gov (United States)

Huang, Yihe; Ellsworth, William L; Beroza, Gregory C

2017-08-01

Induced earthquakes currently pose a significant hazard in the central United States, but there is considerable uncertainty about the severity of their ground motions. We measure stress drops of 39 moderate-magnitude induced and tectonic earthquakes in the central United States and eastern North America. Induced earthquakes, more than half of which are shallower than 5 km, show a comparable median stress drop to tectonic earthquakes in the central United States that are dominantly strike-slip but a lower median stress drop than that of tectonic earthquakes in the eastern North America that are dominantly reverse-faulting. This suggests that ground motion prediction equations developed for tectonic earthquakes can be applied to induced earthquakes if the effects of depth and faulting style are properly considered. Our observation leads to the notion that, similar to tectonic earthquakes, induced earthquakes are driven by tectonic stresses.

Work-Related Accidents and Sharp Injuries in Paramedics-Illustrated with an Example of a Multi-Specialist Hospital, Located in Central Poland.

Science.gov (United States)

Garus-Pakowska, Anna; Szatko, Franciszek; Ulrichs, Magdalena

2017-08-10

(1) Background: An analysis of work-related accidents in paramedics in Poland by presenting the model and trend of accidents, accident rates and by identifying causes and results of accidents; (2) Methods: A retrospective analysis of medical documentation regarding work-related accidents in a multi-specialist hospital, located in central Poland, in the period 2005-2015. The study group included paramedics who had an accident while being on duty; (3) Results: According to hospital records, 88 paramedics were involved in 390 accidents and 265 injuries caused by sharp instruments. The annual accident rate was 5.34/100 employed paramedics. Most of the accidents occurred at night. The most common reason for the accident was careless behaviour of the paramedic, which resulted in joint sprains and dislocations. Injuries accounted for a huge portion of the total number of events. As many as 45% of injuries were not officially recorded; (4) Conclusion: High rates of work-related accidents and injuries caused by sharp instruments in paramedics are a serious public health problem. Further studies should be conducted in order to identify risk factors of accidents, particularly injuries, and to implement preventative programmes, aiming to minimise rates of occupational hazards for paramedics.

The Jurassic of North-East Greenland: Jurassic dinoflagellate cysts from Hochstetter Forland, North-East Greenland

Directory of Open Access Journals (Sweden)

Piasecki, Stefan

2004-11-01

Full Text Available Three sections in Hochstetter Forland, North-East Greenland, referred to the Jurassic Payer Dal and Bernbjerg Formations, have been analysed for dinoflagellate cysts. The dinoflagellate cysts,new finds of ammonites and previously recorded marine faunas form the basis for improved dating of the succession. The basal strata of the Payer Dal Formation at Kulhus is here dated as Late Callovian, Peltoceras athleta Chronozone, based on the presence of relatively abundant Limbicysta bjaerkei, Mendicodinium groenlandicum, Rhychoniopsis cladophora and Tubotuberella dangeardii in an otherwise poor Upper Callovian dinoflagellate assemblage. Ammoniteshave not been recorded from these strata. The upper Payer Dal Formation at Agnetesøelven is dated as Late Oxfordian, Amoeboceras glosense – Amoeboceras serratum Chronozones, based onthe presence of Sciniodinium crystallinum, together with Cribroperidinium granuligera and Stephanelytron sp. The age is in accordance with ammonites present in the uppermost part ofthe formation at Søndre Muslingebjerg. New ammonites in the Bernbjerg Formation at Agnetesøelven together with dinoflagellate cysts indicate an earliest Kimmeridgian age, Raseniacymodoce and Aulacostephanoides mutabilis Chronozones.The Upper Callovian dinoflagellate cysts from Hochstetter Forland belong to a local brackish to marginal marine assemblage, which only allows a fairly broad correlation to coeval assemblagesin central East Greenland. In contrast, the Oxfordian and Kimmeridgian assemblages are fully marine and can be correlated from Milne Land in central East Greenland via Hochstetter Forland to Peary Land in eastern North Greenland.

Fall and winter survival of brook trout and brown trout in a north-central Pennsylvania watershed

Science.gov (United States)

Sweka, John A.; Davis, Lori A.; Wagner, Tyler

2017-01-01

Stream-dwelling salmonids that spawn in the fall generally experience their lowest survival during the fall and winter due to behavioral changes associated with spawning and energetic deficiencies during this time of year. We used data from Brook Trout Salvelinus fontinalis and Brown Trout Salmo trutta implanted with radio transmitters in tributaries of the Hunts Run watershed of north-central Pennsylvania to estimate survival from the fall into the winter seasons (September 2012–February 2013). We examined the effects that individual-level covariates (trout species, size, and movement rates) and stream-level covariates (individual stream and cumulative drainage area of a stream) have on survival. Brook Trout experienced significantly lower survival than Brown Trout, especially in the early fall during their peak spawning period. Besides a significant species effect, none of the other covariates examined influenced survival for either species. A difference in life history between these species, with Brook Trout having a shorter life expectancy than Brown Trout, is likely the primary reason for the lower survival of Brook Trout. However, Brook Trout also spawn earlier in the fall than Brown Trout and low flows during Brook Trout spawning may have resulted in a greater risk of predation for Brook Trout compared with Brown Trout, thereby also contributing to the observed differences in survival between these species. Our estimates of survival can aid parameterization of future population models for Brook Trout and Brown Trout through the spawning season and into winter.

Spatial differences in growth of lesser sandeel in the North Sea

DEFF Research Database (Denmark)

Rindorf, Anna; Wright, Peter J.; Jensen, Henrik

2016-01-01

Lesser sandeel, Ammodytes marinus, is a key prey to a variety of North Sea predators, including species such as single load seabirds which are highly sensitive to prey size and condition. Whilst differences in weight at age across the North Sea have been investigated previously, the scale and cause...... of this variation as well as the potential link to spatial differences in predator performance remains unknown. This study presents an analysis of spatial patterns in length and condition of the lesser sandeel in the North Sea and the relationship of these with physical and biological factors. Both mean length...... considerably both spatially and temporally, resulting in 4 fold and 1.9 fold variations in the number of sandeels required to obtain a specific weight, respectively. Hence, the value of sandeel as prey to single load predators varies considerably with values in central and northeastern North Sea being...

Two new genera of metalmark butterflies of North and Central America (Lepidoptera, Riodinidae

Directory of Open Access Journals (Sweden)

Marysol Trujano-Ortega

2018-01-01

Full Text Available Two new genera of Riodinidae (Insecta: Lepidoptera are described, Neoapodemia Trujano-Ortega, gen. n. (Neoapodemia nais (W. H. Edwards, 1876, comb. n., N. chisosensis Freeman, 1964, comb. n. and Plesioarida Trujano-Ortega & García-Vázquez, gen. n. (Plesioarida palmerii palmerii (W. H. Edwards, 1870, comb. n., P. palmerii arizona (Austin, [1989], comb. n., P. palmerii australis (Austin, [1989], comb. n., P. hepburni hepburni (Godman & Salvin, 1886, comb. n., P. hepburni remota (Austin, 1991, comb. n., P. murphyi (Austin, [1989], comb. n., P. hypoglauca hypoglauca (Godman & Salvin, 1878, comb. n., P. hypoglauca wellingi (Ferris, 1985, comb. n., P. walkeri (Godman & Salvin, 1886, comb. n., P. selvatica (De la Maza & De la Maza, 2017, comb. n.. Neoapodemia Trujano-Ortega, gen. n. is distributed in the southwestern USA and northeastern Mexico, while Plesioarida Trujano-Ortega & García-Vázquez, gen. n. is present from the southern USA to Central America. Species of these genera were previously classified as Apodemia C. Felder & R. Felder but molecular and morphological evidence separate them as new taxa. Morphological diagnoses and descriptions are provided for both new genera, including the main distinctive characters from labial palpi, prothoracic legs, wing venation and genitalia, as well as life history traits. A molecular phylogeny of one mitochondrial gene (COI and two nuclear genes (EF-1a and wg are also presented of most species of Apodemia, Neoapodemia Trujano-Ortega, gen. n., Plesioarida Trujano-Ortega & García-Vázquez, gen. n., and sequences of specimens from all tribes of Riodinidae. We compare the characters of Apodemia, Neoapodemia Trujano-Ortega, gen. n. and Plesioarida Trujano-Ortega & García-Vázquez, gen. n. and discuss the differences that support the description of these new taxa. This is a contribution to the taxonomy of the Riodinidae of North America of which the generic diversity is greater than previously recognized.

Provenance and tectonic setting of the supra-crustal succession of the Qinling Complex: Implications for the tectonic affinity of the North Qinling Belt, Central China

Science.gov (United States)

Shi, Yu; Huang, Qianwen; Liu, Xijun; Krapež, Bryan; Yu, Jinhai; Bai, Zhian

2018-06-01

The Qinling Complex lies in the Qinling orogenic belt of Central China and holds the key to understanding the evolution of this feature. The Qinling Complex comprises a basement complex composed of amphibolite and ecologite, overlain by a supra-crustal succession that has been metamorphosed to the upper greenschist facies at approximately 516-509 Ma. The protoliths of the meta-sedimentary rocks are graywackes, which are divided into lower, middle and upper units. Detrital zircons from nine samples of the supra-crustal succession have ages ranging from 1182 to 1158 Ma for the lower unit, 957 to 955 Ma for the middle unit and 917 to 840 Ma for the upper unit. The lower unit is intruded by a ca. 960 Ma pluton. The bulk compositions of these meta-sedimentary rocks and their detrital zircon ages clearly indicate derivation from Meso- and Neo-proterozoic granites. Thus, we suggest that the sedimentary succession was derived from an arc-related tectonic setting and that none of the detritus was sourced from the southern margin of the North China Block or from the northern and western margins of the South China Block. We conclude that the North Qinling Belt was an independent micro-continental block during the Meso- to Neo-proterozoic.

Benthic community structures in the North Sea

Science.gov (United States)

Heip, C.; Craeymeersch, J. A.

1995-03-01

Coherent assemblages of marine benthic species have been recognized from the early twentieth century, and the classical papers of Petersen (1914, 1918) were based on studies of limited areas in the North Sea. In 1986, a synoptic survey of the North Sea north to 57°N was undertaken by a group of ten laboratories from seven North Sea countries. The results of this survey have recently been published (Heip et al., 1992a, b; Künitzer et al., 1992; Huys et al., 1992), and some of the results are summarized in this paper. The analysis of the macrofauna is based on slightly more than 700 taxa. In general, the North Sea macrofauna consists of northern species extending south to the northern margins of the Dogger Bank, and southern species extending north to the 100 m depth line. The central North Sea is an area of overlap of southern and northern species, especially around the 70 m depth contour. Consistent groupings of species are recognized that were summarized in seven faunal groupings. Macrofaunal body weight, density and diversity increase linearly towards the north. Macrofaunal biomass for the whole area averages 7 g adwt. m-2 and decreases from south to north. Distribution patterns and trends within the meiofauna were very different. Nematodes, which are the dominant taxon overall, are least abundant in the sandy sediments of the Southern Bight, then increase to a maximum around 53° 30' N and slowly decrease again towards the north. Copepod density and diversity are highest in the Southern Bight, due to the presence of many interstitial species. A large number of species new to science were recorded by the North Sea Benthos Survey and about 1500 species are expected to occur. Copepods show very distinct assemblages according to water depth and sediment type. The contrasting patterns in latitudinal gradients of body weight and number of species of macro- and meiofauna can be only partially explained. Latitude and sediment characteristics, such as grain size and

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