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Sample records for preliminary total intensity

  1. Message Control Intensity: Rationale and Preliminary Findings.

    Science.gov (United States)

    Rogers, L. Edna; And Others

    The discussions of four family-related topics by 85 married couples were recorded and analyzed to test the validity of an expanded version of the relational communication coding system developed by L. Edna Rogers and Richard V. Farace. The expanded version of the system is based on the implicit intensity continuum that underlies the communication…

  2. Preliminary results of an intercomparison of total ozone spectrophotometers

    Science.gov (United States)

    Parsons, C. L.; Gerlach, J. C.; Williams, M. E.; Kerr, J. B.

    1981-01-01

    Preliminary results from an intercomparison of five total ozone spectrophotometers are presented. These are the Dobson spectrophotometer, the USSR M-83 ozonometer, the Canterbury filter photometer, the SenTran Company filter photometer, and the Brewer grating spectrophotometer. The pertinent characteristics of each are described, and conclusions are drawn about the agreement of each instrument's measurements with the Dobson's values over a time period of nearly one year. A discussion of the importance of calibration and long-term stability and reliability is included.

  3. Relationship between normalized light intensity and attenuated total reflection ratio

    Institute of Scientific and Technical Information of China (English)

    Yingcai Wu; Zhengtian Gu

    2008-01-01

    Attenuated total reflection (ATR) ratio is usually utilized to study the properties of surface plasmon resonance (SPR) sensors. The relationship between normalized light intensity and ATR ratio is investigated, and a modification coefficient is put forward to describe the relationship. A mathematical expression is built up for the coefficient based on Fresnel principle. The result shows that the ATR ratio, which cannot be measured directly in experiments, can be determined with the coefficient and the normalized intensity of light. The characteristic of the coefficient is also discussed.

  4. Preliminary Results on Sediment Sorting Under Intense Bedload Transport

    Science.gov (United States)

    Hernandez Moreira, R. R.; Vautin, D.; Mathews, S. L.; Kuprenas, R.; Viparelli, E.

    2014-12-01

    Previous experiments show that parallel-laminated deposits are emplaced under upper plane bed regime by the migration of small-amplitude, long-wavelength bedforms. The present research focuses on how sediment is sorted under upper plane bed and sheet flow transport regimes, and whether parallel-lamination is inhibited during sheet flow transport. The problem of studying the sorting of sediment under so intense transport conditions is plagued by the uncertainties related to flow resistances and bedload transport rates. We simplify the problem by first running the experiments with uniform sediment, to establish a baseline that will aid in the design of the experiments with poorly sorted material. We are running experiments at the Hydraulics Laboratory of the Department of Civil and Environmental Engineering at the University of South Carolina in Columbia, in a unidirectional sediment-feed flume, 9 meters long by 0.2 meters wide, of which 7 meters are used as test section. During the experiments, water surface and bed elevations are periodically measured to characterize the global parameters of the flow, e.g. mean flow velocity and bed shear stress. When the flow and the sediment transport reach conditions of mobile bed equilibrium, bed elevation fluctuations are measured with ultrasonic transducer systems at six fixed locations. Channel bed aggradation is then induced by slowly raising the tail gate of the flume such that there is no change in transport regime, as confirmed by additional measurements of water surface and bed elevation and bed elevation fluctuations. Preliminary observations under upper plane bed regime show the formation of the small-amplitude and long-wavelength bedforms, as well as hints of parallel lamination in the deposits. In the near future we aim to achieve sheet flow transport conditions with both uniform and non-uniform grain size distributions to look at the internal structure of the emplaced deposit.

  5. The total Somali clan genealogy : a preliminary sketch

    NARCIS (Netherlands)

    Abbink, J.

    1999-01-01

    This paper presents a preliminary genealogy of all Somali 'clans'. Somali kinship is based on patrilineal descent, but there are no equivalents in the Somali language for the words 'clan' and 'lineage'. The Somali terminology for the levels of social segmentation is complex, amongst others because o

  6. Increased mortality in patients with severe COPD associated with high-intensity exercise: a preliminary cohort study.

    Science.gov (United States)

    Schaadt, Lone; Christensen, Robin; Kristensen, Lars Erik; Henriksen, Marius

    2016-01-01

    Intensity of exercise is believed to be a key determinant of response to chronic obstructive pulmonary disease (COPD) rehabilitation. We hypothesized that a higher intensity of exercise, in combination with physiotherapist-led instructions and education in management of breathlessness, would lead to better self-management, possibly delaying calls to the emergency service and preventing hospitalization. We aimed to test this hypothesis in a subsequent randomized trial, and in order to test study processes and estimate hospitalization rates, we did a small preliminary prospective cohort study on severe COPD patients referred to outpatient rehabilitation. In 2013, four rehabilitation courses were scheduled (spring, summer, autumn, and winter) each lasting 8 weeks and including eight to ten patients. This preliminary study was designed as a controlled cohort study. The bi-weekly exercise sessions in the spring and autumn courses included a high-intensity walking exercise at 95% of estimated VO2 max for as long as possible. The other two rehabilitation courses included the usual walking exercise intensity (85% of estimated VO2 max). Hospitalization rates were assessed from the participants' medical records in an 18-month period. We were able to enroll 31 patients in total (15 in the high-intensity exercise group and 16 in regular intensity). There were no group differences in the hospitalization rates. However, during review of the medical records, we observed a striking mortality rate among participants who had attended the high-intensity rehabilitation courses (five deaths) compared to the standard rehabilitation (zero deaths). Four of the five deaths were COPD exacerbations. Fisher's exact test was statistically significant (P=0.046), as was a log-rank test (P=0.019) of the Kaplan-Meier estimated survival rates. These results from this small preliminary cohort study are alarming and raise concerns about the possible serious risks associated with high-intensity

  7. Preliminary Experience with a New Total Distal Radioulnar Joint Replacement

    Science.gov (United States)

    Ewald, Timothy J.; Skeete, Kshamata; Moran, Steven L.

    2012-01-01

    This study reports the intermediate-term results of four patients from a series eight patients who have had an insertion of a new complete distal radioulnar joint (DRUJ) prosthesis. A retrospective review was performed for all patients who underwent DRUJ joint replacement with the STABILITY Sigmoid Notch Total DRUJ System between the years of 2003 and 2008. To be included in this report, all patients had to have more than 24 months of follow-up and hand examination by the senior author. From the eight patients with this procedure, four patients met the inclusion criteria. These included one patient with painful posttraumatic arthritis, two patients with failed hemiarthroplasty, and one patient with a failed Sauvé–Kapandji procedure. Mean age at the time of surgery was 42.5 years (range: 35 to 51 years) and mean follow-up was 46 months (range: 36 to 66 months). Preoperative and postoperative assessment included range of motion, grip strength, visual analog pain scale, patient satisfaction, and radiographic evaluation. There was a successful replacement of the DRUJ in all four patients. Final range of motion showed mean pronation of 80 degrees (range: 60 to 90 degrees) and mean supination of 64 degrees (range: 45 to 90 degrees). Final grip strength on the operated extremity was 25.5 kg and averaged 73% of contralateral side. This was an improvement from preoperative grip strength of 14.5 kg visual analog pain scale decreased from 8 to 2.5 following surgery (scale: 1 to 10). Patient satisfaction was 100%. One patient returned to manual labor, one patient returned to office work, and two patients remained off work. Postoperative radiographs depict appropriate alignment of the DRUJ, and there have been no cases of subluxation or dislocation. Implant survival has been 100%. Total DRUJ joint replacement with sigmoid notch resurfacing and distal ulna replacement is an alternative to ulnar head resection in cases of DRUJ arthritis. Total DRUJ arthroplasty with this

  8. Anaerobic culture by Total Air Barrier: A preliminary study

    Directory of Open Access Journals (Sweden)

    Soma Sarkar

    2010-03-01

    Full Text Available BackgroundFor study with obligate anaerobes, inoculated platescontaining suitable reduced media need handling andincubation under strict anaerobic condition. Instead ofensuring a confined oxygen free chamber for placing seededplates, same purpose may be achieved by creating total airbarrier to the surface.MethodUpper moist surface of freshly prepared anaerobic media inPetri plates were intimately covered with very thintransparent bacteriological inert sterile polyester sheets.Stock culture of Bacteroides fragilis, ATCC 23745 andClostridium sporogenes, ATCC 11437 were grown in cookedmeat broth and then sub-cultured on respective plates, afterlifting the cover sheets. Sheets were again covered andincubated at 37oC ordinary incubator. To performantimicrobial susceptibility test, similarly covered seededplates with well inoculums were inverted en-block afterstripping sides with the help of a spatula. Now antibiotic diskswere placed on upper bare surfaces. After short pre-diffusion,plates were incubated keeping inoculated surface below.Same study was performed by conventional method usingGaspak.ResultsGood growths were noted in both sets of the study;however discrete colonies appeared more flat in nature intest set. Almost identical zones of inhibition were noted inboth sets of sensitivity study. Seven days old growths incovered blood agar plates were found viable when subculturedin cooked meat broths.ConclusionIsolation, identification and susceptibility study for mostclinically important obligate anaerobes may be performedby simple barrier method after appropriatestandardization.

  9. Evaluation of salivary sialic acid, total protein, and total sugar in oral cancer: A preliminary report

    Directory of Open Access Journals (Sweden)

    Sanjay P

    2008-01-01

    Full Text Available Aim: Detection of cancer at the early stage is of utmost importance to decrease the morbidity and mortality of the disease. Apart from the conventional biopsy, noninvasive methods like analysis of saliva may provide a cost-effective approach for screening a large population. Thus, this study aimed to estimate salivary levels of sialic acid, total protein, and total sugar in the oral cancer patients and in healthy control group to evaluate their role in diagnosis and prognosis of oral cancer. Study Design: Unstimulated whole saliva samples were collected from 30 healthy controls (Group I and 30 squamous cell carcinoma patients (group II. Estimations of salivary levels of sialic acid, total protein, and total sugar were performed. This was correlated histopathologically with the grades of carcinoma. Statistical Analysis and Results: The Student′s ′ t ′ test and multivariate regression analysis were performed. The results showed that salivary levels of total protein, total sugar, protein-bound sialic acid, and free sialic acid were significantly higher in oral cancer patients compared to those of normal healthy controls ( P values in all the results were less than 0.001. The salivary free sialic acid levels were found to be significantly higher in well-differentiated squamous cell carcinoma than in moderately differentiated carcinoma ( P < 0.001. However, protein-bound sialic acid, total proteins, and total sugars did not show any statistical significance between well and moderately differentiated carcinomas. Conclusion: Biochemical analysis of saliva can be used in early detection of cancer and is best correlated with histopathological degree of squamous cell carcinoma.

  10. Increased mortality in patients with severe COPD associated with high-intensity exercise: a preliminary cohort study

    Directory of Open Access Journals (Sweden)

    Schaadt L

    2016-09-01

    Full Text Available Lone Schaadt,1,2 Robin Christensen,2 Lars Erik Kristensen,2 Marius Henriksen1,21Department of Physio- and Occupational Therapy, 2The Parker Institute, Copenhagen University Hospital Bispebjerg-Frederiksberg, Copenhagen, DenmarkIntroduction: Intensity of exercise is believed to be a key determinant of response to chronic obstructive pulmonary disease (COPD rehabilitation. We hypothesized that a higher intensity of exercise, in combination with physiotherapist-led instructions and education in management of breathlessness, would lead to better self-management, possibly delaying calls to the emergency service and preventing hospitalization.Objective: We aimed to test this hypothesis in a subsequent randomized trial, and in order to test study processes and estimate hospitalization rates, we did a small preliminary prospective cohort study on severe COPD patients referred to outpatient rehabilitation.Methods: In 2013, four rehabilitation courses were scheduled (spring, summer, autumn, and winter each lasting 8 weeks and including eight to ten patients. This preliminary study was designed as a controlled cohort study. The bi-weekly exercise sessions in the spring and autumn courses included a high-intensity walking exercise at 95% of estimated VO2 max for as long as possible. The other two rehabilitation courses included the usual walking exercise intensity (85% of estimated VO2 max. Hospitalization rates were assessed from the participants’ medical records in an 18-month period.Results: We were able to enroll 31 patients in total (15 in the high-intensity exercise group and 16 in regular intensity. There were no group differences in the hospitalization rates. However, during review of the medical records, we observed a striking mortality rate among participants who had attended the high-intensity rehabilitation courses (five deaths compared to the standard rehabilitation (zero deaths. Four of the five deaths were COPD exacerbations. Fisher

  11. Magnetic Field - Total Field Intensity for the Epoch 2010.0 - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This map layer shows isodynamic lines (lines of equal total intensity of the Earth's magnetic field), derived from the International Geomagnetic Reference Field...

  12. Zenith skylight intensity and color during the total solar eclipse of 20 July 1963.

    Science.gov (United States)

    Sharp, W E; Lloyd, J W; Silverman, S M

    1966-05-01

    The zenith skylight intensity was measured, with a resolution of 10 A, over the wavelength range from 5200 A to 6400 A during a total solar eclipse at Hermon, Maine. The intensity was found to change by about two orders of magnitude in the 2-min period before totality and reached a minimum during totality of 19.5 kR/A at 5200 A. The spectral distribution remained that of the day sky until the sun was more than 99.8% obscured. During totality, the shorter wavelengths were enhanced, indicating a shift to the blue in sky color. Comparisons with an independent measurement from an aircraft show that the intensity scale height of the secondary scattered component, predominating at totality, is significantly less than that of the day sky. The measurements are compared with the day and twilight sky.

  13. EFFECT OF LIGHT INTENSITY ON THE TOTAL LIPID AND FATTY ACID COMPOSITION OF SIX STRAINS OF

    Institute of Scientific and Technical Information of China (English)

    2001-01-01

    The effect of light intensity (1500 lx and 5000 lx) on the total lipid and fatty acid composition of six strains of marine diatoms Cylindrotheca fusiformis (B211), Phaeodactylum tricornutum (B114, B118 and B221) Nitzschia closterium (B222) and Chaetoceros gracilis (B13) was investigated. The total lipids of B13, B114, and B211 grown at 5000 lx were lower than those grown at 1500 lx. No evident changes were observed in B118, B221 and B222. Fatty acid composition changed considerably at different light intensity although no consistent correlation between the relative proportion of a single FA and light intensity. The major fatty acids of the 6 strains were 14:0, 16:0, 16:1(n-7) and 20:5(n-3). Cylindrotheca fusiformis had high percentage of 20:4n-6 (9.2-10.9%). The total polyunsaturated fatty acid in all 6 strains decreased with increasing light intensity. The percentage of the highly unsaturated fatty acid eicosapentaenoic acid (EPA) decreased with increasing light intensity in all strains except Chaetoceros gracilis.

  14. The Effect of Structured Exercise Intervention on Intensity and Volume of Total Physical Activity

    Directory of Open Access Journals (Sweden)

    Niko Wasenius

    2014-12-01

    Full Text Available This study aimed to investigate the effects of a 12-week structured exercise intervention on total physical activity and its subcategories. Twenty-three overweight or obese middle aged men with impaired glucose regulation were randomized into a 12-week Nordic walking group, a power-type resistance training group, and a non-exercise control group. Physical activity was measured with questionnaires before the intervention (1–4 weeks and during the intervention (1–12 weeks and was expressed in metabolic equivalents of task. No significant change in the volume of total physical activity between or within the groups was observed (p > 0.050. The volume of total leisure-time physical activity (structured exercises + non-structured leisure-time physical activity increased significantly in the Nordic walking group (p 0.050 compared to the control group. In both exercise groups increase in the weekly volume of total leisure-time physical activity was inversely associated with the volume of non-leisure-time physical activities. In conclusion, structured exercise intervention did not increase the volume of total physical activity. Albeit, endurance training can increase the volume of high intensity physical activities, however it is associated with compensatory decrease in lower intensity physical activities. To achieve effective personalized exercise program, individuality in compensatory behavior should be recognised.

  15. Preliminary results of the solar corona spectroscopic observation of 9th March 2016 Total Solar Eclipse

    Science.gov (United States)

    Sungging Mumpuni, Emanuel; Zamzam Nurzaman, Muhamad; Suryana, Nana

    2016-11-01

    Spectroscopy observation of solar corona has been carried out from 9th March 2016 Total Solar Eclipse expedition in Maba, East Halmahera. Due to limitation by the weather condition during the observation, the obtained data were not favorable. Because of the low signal to noise ratio, the wavelength calibration was not straightforward. To obtain the optimum results, steps for data reduction were performed as the following: selecting the finest data, extracting the 1D spectrum from 2D spectrum, and calibrating spectrum wavelength (including careful interpolation). In this preliminary result, we discuss the instrumentation, the data under investigation, the extraction process of spectrum, and the polynomial interpolation that has been used for extracting information from our data.

  16. Monte Carlo simulation applied in total reflection x-ray fluorescence: Preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Meira, Luiza L. C.; Inocente, Guilherme F.; Vieira, Leticia D.; Mesa, Joel [Departamento de Fisica e Biofisica - Instituto de Biociencias de Botucatu, Universidade Estadual Paulista Julio de Mesquita Filho (Brazil)

    2013-05-06

    The X-ray Fluorescence (XRF) analysis is a technique for the qualitative and quantitative determination of chemical constituents in a sample. This method is based on detection of the characteristic radiation intensities emitted by the elements of the sample, when properly excited. A variant of this technique is the Total Reflection X-ray Fluorescence (TXRF) that utilizes electromagnetic radiation as excitation source. In total reflection of X-ray, the angle of refraction of the incident beam tends to zero and the refracted beam is tangent to the sample support interface. Thus, there is a minimum angle of incidence at which no refracted beam exists and all incident radiation undergoes total reflection. In this study, we evaluated the influence of the energy variation of the beam of incident x-rays, using the MCNPX code (Monte Carlo NParticle) based on Monte Carlo method.

  17. A constrained, total-variation minimization algorithm for low-intensity X-ray CT

    CERN Document Server

    Sidky, Emil Y; Ullberg, Christer; Pan, Xiaochuan

    2010-01-01

    Purpose: We develop an iterative image-reconstruction algorithm for application to low-intensity computed tomography (CT) projection data, which is based on constrained, total-variation (TV) minimization. The algorithm design focuses on recovering structure on length scales comparable to a detector-bin width. Method: Recovering the resolution on the scale of a detector bin, requires that pixel size be much smaller than the bin width. The resulting image array contains many more pixels than data, and this undersampling is overcome with a combination of Fourier upsampling of each projection and the use of constrained, TV-minimization, as suggested by compressive sensing. The presented pseudo-code for solving constrained, TV-minimization is designed to yield an accurate solution to this optimization problem within 100 iterations. Results: The proposed image-reconstruction algorithm is applied to a low-intensity scan of a rabbit with a thin wire, to test resolution. The proposed algorithm is compared with filtere...

  18. Scattering for mixtures of hard spheres: comparison of total scattering intensities with model.

    Science.gov (United States)

    Anderson, B J; Gopalakrishnan, V; Ramakrishnan, S; Zukoski, C F

    2006-03-01

    The angular dependence of the intensity of x-rays scattered from binary and ternary hard sphere mixtures is investigated and compared to the predictions of two scattering models. Mixture ratio and total volume fraction dependent effects are investigated for size ratios equal to 0.51 and 0.22. Comparisons of model predictions with experimental results indicate the significant impact of the role of particle size distributions in interpreting the angular dependence of the scattering at wave vectors probing density fluctuations intermediate between the sizes of the particles in the mixture.

  19. Preliminary safety analysis of high-intensity interval training (HIIT) in persons with chronic stroke.

    Science.gov (United States)

    Carl, Daniel L; Boyne, Pierce; Rockwell, Bradley; Gerson, Myron; Khoury, Jane; Kissela, Brett; Dunning, Kari

    2017-03-01

    The purpose of this study was to assess safety via electrocardiographic (ECG), blood pressure (BP), heart rate (HR), and orthopedic responses to 3 different high-intensity interval training (HIIT) protocols in persons with stroke. Eighteen participants (10 male; 61.9 + 8.3 years of age; 5.8 + 4.2 years poststroke) completed a symptom-limited graded exercise test (GXT) with ECG monitoring to screen for eligibility and determine HR peak. The 3 HIIT protocols involved repeated 30 s bursts of treadmill walking at maximum speed alternated with rest periods of 30 s (P30), 1 min (P60), or 2 min (P120). Sessions were performed in random order and included 5 min warm up, 20 min HIIT, and 5 min cool down. Variables measured included ECG activity, BP, HR, signs and symptoms of cardiovascular intolerance, and orthopedic concerns. Generalized linear mixed models and Tukey-Kramer adjustment were used to compare protocols using p HIIT session. HIIT elicited HRs in excess of 88% of measured HRpeak including 6 (P30), 8 (P60), and 2 (P120) participants eliciting a HR response above their GXT HRpeak. Both maximum BP and HR were significantly higher in P30 and P60 relative to P120. Preliminary data indicate that persons with chronic stroke who have been prescreened with an ECG stress test, a symptom-limited GXT, and a harness for fall protection may safely participate in HIIT, generating substantially higher HRs than what is seen in traditional moderate intensity training.

  20. Clinical application of intense pulsed light depilation technology in total auricular reconstruction.

    Science.gov (United States)

    Guo, Ying; Shan, Jing; Zhang, Tianyu

    2017-08-01

    Although ear reconstruction technology has been highly developed in recent years, hair growth on the reconstructed ear has plagued both surgeons and patients. In this paper, the authors introduce a clinical application of intense pulsed light depilation in total auricular reconstruction. From August 2012 to August 2013, 27 patients (28 ears) suffering from congenital microtia were treated by intense pulsed light depilation (650-950-nm filter, initial fluence of 14-16 J/cm(2) and gradually increased, pulse width of 30-50 ms, spot size of 20 × 30 mm(2), intervals of 6-8 weeks, a total of four sessions) either before or after auricular reconstruction. According to the treatment situation at diagnosis, the patients were divided into two groups: the preoperative group and the postoperative group. There were no differences between the two groups in terms of age or initial fluence for hair removal; however, there were less treatments in the former than in the latter group (preoperative group 4.1 ± 0.3, postoperative group 4.7 ± 0.7, F = 9.10, P = 0.006), and the maximum fluence used for hair removal was lower in the former than in the latter group (preoperative group 18-20 J/cm(2), postoperative group 19-22 J/cm(2), F = 22.31, P < 0.001). After follow-up for ≥4-6 months, the effective rate was 100% in the preoperative group, and the effective rate was 80% in the postoperative group. Intense pulsed light depilation technology is a reasonable complementary approach to total auricular reconstruction. And preoperative depilation is recommended over postoperative depilation. The non-invasive modern photonic technology can resolve the problem of postoperative residual hair on the reconstructed auricle, improving auricular shape and increasing patient satisfaction. In addition, an adequately set preoperative hair removal area can provide surface skin that is most similar to normal auricle skin for auricular reconstruction.

  1. Measurement of total body water in intensive care patients with fluid overload

    Energy Technology Data Exchange (ETDEWEB)

    Streat, S.J.; Beddoe, A.H.; Hill, G.L.

    1985-07-01

    The measurement of total body water (TBW) in critically ill intensive care patients with greatly expanded TBW allows body composition studies to be undertaken in such patients with potentially important clinical consequences. Previous workers in this field have stressed the importance of the distortion of compartmental specific activity resulting from continued intravenous (IV) fluid administration during the period of equilibration and have made attempts to predict the equilibrium value of specific activity from the early arterial kinetics. In this paper a method for the measurement of TBW in critically ill intensive care patients is presented together with results of 16 studies on 11 such patients (mean TBW 54.61). It is shown that the effect of continued IV fluid administration in association with prolonged equilibration is small and that the prediction of TBW from analysis of the early (first hour) arterial kinetics is inappropriate. It is concluded that in such patients the volume of distribution of the isotope is constant after four hours from IV injection and that TBW can be measured with a mean precision of 0.7% (SD) from the fourth, fifth, and sixth hour measurements.

  2. Early detection of breast cancer using total biochemical analysis of peripheral blood components: a preliminary study.

    Science.gov (United States)

    Zelig, Udi; Barlev, Eyal; Bar, Omri; Gross, Itai; Flomen, Felix; Mordechai, Shaul; Kapelushnik, Joseph; Nathan, Ilana; Kashtan, Hanoch; Wasserberg, Nir; Madhala-Givon, Osnat

    2015-05-15

    Most of the blood tests aiming for breast cancer screening rely on quantification of a single or few biomarkers. The aim of this study was to evaluate the feasibility of detecting breast cancer by analyzing the total biochemical composition of plasma as well as peripheral blood mononuclear cells (PBMCs) using infrared spectroscopy. Blood was collected from 29 patients with confirmed breast cancer and 30 controls with benign or no breast tumors, undergoing screening for breast cancer. PBMCs and plasma were isolated and dried on a zinc selenide slide and measured under a Fourier transform infrared (FTIR) microscope to obtain their infrared absorption spectra. Differences in the spectra of PBMCs and plasma between the groups were analyzed as well as the specific influence of the relevant pathological characteristics of the cancer patients. Several bands in the FTIR spectra of both blood components significantly distinguished patients with and without cancer. Employing feature extraction with quadratic discriminant analysis, a sensitivity of ~90 % and a specificity of ~80 % for breast cancer detection was achieved. These results were confirmed by Monte Carlo cross-validation. Further analysis of the cancer group revealed an influence of several clinical parameters, such as the involvement of lymph nodes, on the infrared spectra, with each blood component affected by different parameters. The present preliminary study suggests that FTIR spectroscopy of PBMCs and plasma is a potentially feasible and efficient tool for the early detection of breast neoplasms. An important application of our study is the distinction between benign lesions (considered as part of the non-cancer group) and malignant tumors thus reducing false positive results at screening. Furthermore, the correlation of specific spectral changes with clinical parameters of cancer patients indicates for possible contribution to diagnosis and prognosis.

  3. Moderate Intensity Resistance Training Significantly Elevates Testosterone following Upper Body and Lower Body Bouts When Total Volume is Held Constant

    Directory of Open Access Journals (Sweden)

    Robert Rietjens

    2015-10-01

    Full Text Available Introduction: It is unknown whether resistance training intensity or total volume of work affects the acute testosterone response to a greater extent. Purpose: Therefore, the circulating testosterone response was investigated following four resistance training protocols where total volume of work was held constant: moderate intensity (70% 1RM upper body (bench press, bent barbell row, and military press, moderate intensity lower body (squat and deadlift, high intensity (90% 1RM upper body, high intensity lower body. Methods: Total volume of work performed by each participant between protocols was maintained by adjusting the number of sets and or repetitions performed. Ten healthy, resistance trained men volunteered, and performed exercise protocols on separate days in a counterbalanced order. Capillary blood was obtained via finger stick at baseline (pre, immediately following the exercise session (post, and 1h post for the determination of testosterone concentration. Data were analyzed using a factorial ANOVA and significance was accepted at p≤ 0.05. Results: Both moderate intensity resistance protocols (upper and lower body significantly increased testosterone concentration (p=0.026, and p=0.024 respectively, whereas the high intensity protocols elevated testosterone but failed to achieve significance (upper p=0.272, lower p=0.658. No difference was noted in post session testosterone concentration between upper and lower body protocols for either moderate (p=0.248 or high intensity (p=0.990. Conclusion: This may be useful for novice resistance trained individuals because it provides evidence that moderate intensity is sufficient to increase testosterone compared to high intensity protocols that could be associated with a greater risk of injury. Keywords: hormone response, equal total work, high intensity protocol

  4. Current rehabilitation practices in intensive care units: a preliminary survey by the Japanese Society of Education for Physicians and Trainees in Intensive Care (JSEPTIC) Clinical Trial Group.

    Science.gov (United States)

    Taito, Shunsuke; Sanui, Masamitsu; Yasuda, Hideto; Shime, Nobuaki; Lefor, Alan Kawarai

    2016-01-01

    We conducted an internet survey targeting healthcare providers in intensive care units (ICUs) in Japan and received 318 responses. Eighteen percent of respondents replied that full-time physical therapists (PTs) exist in their ICUs. Practicing sitting upright or sitting in a chair is frequently performed, while standing and walking are occasionally performed for patients undergoing mechanical ventilation. However, only 16 % of respondents use staged rehabilitation protocols. This preliminary survey suggests that full-time involvement of PTs in the ICU and introduction of rehabilitation protocols may not be common in Japanese ICUs.

  5. A preliminary total-system performance assessment for the potential repository site Yucca Mountain

    Energy Technology Data Exchange (ETDEWEB)

    Wilson, M.L.; Barnard, R.W.; Dockerey, H.A. [Sandia National Labs., Albuquerque, NM (United States); Gauthier, J.H. [Spectra Research Inst., Albuquerque, NM (United States)

    1994-12-31

    We present a preliminary performance assessment of Yucca Mountain, Nevada, U.S.A., as a potential site for a radioactive-waste repository. Models and results are discussed for four basic categories of processes and events: groundwater flow and aqueous transport, gas flow and gaseous transport, human intrusion, and basaltic volcanism. Calculated releases of radioactivity to the accessible environment are compared with U.S. Environmental Protection Agency requirements. The preliminary results show releases from human intrusion and volcanisms to fall well below the regulatory limits, though not all aspects of those categories have yet been considered. Calculated releases for nominal gaseous transport (of {sup 14}CO{sub 2}) are closest to the limits, indicating that models and data relating to gaseous releases may need to receive higher priority. (author) 15 figs., 33 refs.

  6. Dynamical properties of total intensity fluctuation spectrum in two-mode Nd:YVO4 microchip laser

    Science.gov (United States)

    Zhang, Shao-Hui; Shu-Lian, Zhang; Tan, Yi-Dong; Sun, Li-Qun

    2015-12-01

    We investigate the total intensity fluctuation spectrum of the two-longitudinal- mode Nd:YVO4 microchip laser (ML). We find that low-frequency relaxation oscillation (RO) peaks still appear in the total intensity fluctuation spectrum, which is different from a previous research result that the low-frequency RO peaks exist in the spectrum of the individual mode but compensate for each other totally in the total intensity fluctuation spectrum. Taking the spatial hole-burning effect into account, one and two-mode rate equations for Nd:YVO4 ML laser are established and studied. Based on the theoretical model, we find that when the gains and losses for two longitudinal models are different, a low-frequency RO peak will appear in the total intensity fluctuation spectrum, while when they share the same gain and loss, the total spectrum will behave like that of a single mode laser. Theoretical simulation results coincide with experimental results very well. Project supported by the Beijing Higher Education Young Elite Teacher Project, China (Grant No. YETP0086), the Tsinghua University Initiative Scientific Research Programme, China (Grant No. 2012Z02166), and the Special-funded Programme on National Key Scientific Instruments and Equipment Development of China (Grant No. 2011YQ04013603).

  7. Relocating labour-intensive manufacturing firms from China to Southeast Asia: a preliminary investigation

    National Research Council Canada - National Science Library

    Yang, Chun

    2016-01-01

    ...). Since 2000, these export-led regions have encountered unprecedented challenges, particularly the rising cost of labour, which have engendered spatial relocation of labour-intensive manufacturing...

  8. Total Synthesis of Lagunamide A via Remote Vinylogous Mukaiyama Aldol Reactions, Chemical Studies Toward the Total Synthesis of Micromide and Preliminary Studies Toward the Total Synthesis of Azaspirene

    OpenAIRE

    2016-01-01

    Lagunamide A represents a class of novel cyclic depsipeptide obtained from the marine cyanobacterium Lyngbya majuscula. With an array of biological activity and impressive IC50 values including anti-malarial properties (IC50 0.19-0.91 μM), significant cytotoxic properties against P388 murine leukemia cell lines (IC50 6.4-20.5 nM) and ileocecal colon cancer (1.6 nM), lagunamide A shows promise as an extremely powerful therapeutic agent. Unexpectedly, in a recent total synthesis of lagunamide ...

  9. EFFECT OF LIGHT INTENSITY ON THE TOTAL LIPID AND FATTY ACID COMPOSITION OF SIX STRAINS OF MARINE DIATOMS

    Institute of Scientific and Technical Information of China (English)

    梁英; 麦康森; 孙世春; 于道展

    2001-01-01

    The effect of light intensity ( 1500 Ix and 5000 Ix) on the total lipid and fatty acid composition of six strains of marine diatoms Cylindrotheca fusiformis (B211 ), Phaeodactylum tricornutum (Bl14, Bl18 and B221) Nitzschia closterium (B222) and Chaetoceros gracilis (B13) was investigated.The total lipids of B13, Bl14, and B211 grown at 5000 Ix were lower than those grown at 1500 Ix. No evident changes were observed in Bl18, B221 and B222. Fatty acid composition changed considerably at different light intensity although no consistent correlation between the relative proportion of a single FA and light intensity. The major fatty acids of the 6 strains were 14:0, 16:0, 16:l(n- 7) and 20:5(n-3) . Cylindrothecafusiformis had high percentage of 20:4n - 6 (9.2 - 10.9% ) . The total polyunsaturated fatty acid /rl all 6 strains decreased with increasing light intensity. The percentage of the highly unsaturated fatty acid eicosapentaenoic acid (EPA) decreased with increasing light intensity in all strains except Chaetoceros gracilis.

  10. Fort Hood Solar Total Energy Project. Volume II. Preliminary design. Part 1. System criteria and design description. Final report

    Energy Technology Data Exchange (ETDEWEB)

    None,

    1979-01-01

    This volume documents the preliminary design developed for the Solar Total Energy System to be installed at Fort Hood, Texas. Current system, subsystem, and component designs are described and additional studies which support selection among significant design alternatives are presented. Overall system requirements which form the system design basis are presented. These include program objectives; performance and output load requirements; industrial, statutory, and regulatory standards; and site interface requirements. Material in this section will continue to be issued separately in the Systems Requirements Document and maintained current through revision throughout future phases of the project. Overall system design and detailed subsystem design descriptions are provided. Consideration of operation and maintenance is reflected in discussion of each subsystem design as well as in an integrated overall discussion. Included are the solar collector subsystem; the thermal storage subsystem, the power conversion sybsystem (including electrical generation and distribution); the heating/cooling and domestic hot water subsystems; overall instrumentation and control; and the STES building and physical plant. The design of several subsystems has progressed beyond the preliminary stage; descriptions for such subsystems are therefore provided in more detail than others to provide complete documentation of the work performed. In some cases, preliminary design parameters require specific verificaton in the definitive design phase and are identified in the text. Subsystem descriptions will continue to be issued and revised separately to maintain accuracy during future phases of the project. (WHK)

  11. A preliminary investigation on exercise intensities of gardening tasks in older adults.

    Science.gov (United States)

    Park, Sin-Ae; Shoemaker, Candice A; Haub, Mark D

    2008-12-01

    Heart rate (HR) was measured continuously while men (n=6) and women (n=2) ages 71 to 85 years (M=77.4, SD=4.1) completed nine gardening tasks. HR and VO2 from a submaximal graded exercise test were used to estimate gardening VO2, energy expenditure, % HRmax, and metabolic equivalents (METs). Tasks were low to moderate intensity physical activity (1.6-3.6 METs); those which worked the upper and lower body were moderate intensity physical activity while those that worked primarily the upper body were low intensity physical activity.

  12. Preliminary study on total protein extraction methods from Enterococcus faecalis biofilm.

    Science.gov (United States)

    Chen, W; Liang, J; He, Z; Jiang, W

    2016-08-30

    Enterococcus faecalis is the major pathogen of post-endodontic disease and refractory periapical periodontitis, and recent research on this species has focused on its pathogenicity. E. faecalis most often causes disease in the form of a biofilm, and total protein expression shows a strong association with its virulence. Therefore, the purpose of our study was to explore different methods of extracting the total proteins of the E. faecalis (ATCC 33186 standard strain) biofilm. The total proteins in the biofilm were extracted using an ultrasonication method with varied parameters, including duration, amplitude setting, period, and duty cycle. After the optimal conditions of ultrasonication were determined based on the protein profile from sodium dodecyl sulfate-polyacrylamide gel electrophoresis analysis, the total protein content in the biofilm was detected using the bicinchoninic acid assay, Bradford Coomassie brilliant blue assay, and Lowry assay, and the results were compared and analyzed. The parameters for the optimal conditions of ultrasonication were as follows: a processing duration of 2 min, amplitude setting of 20%, and ultrasonication period of 4 s at a 50% duty cycle. The total protein content was 2299.1 mg/dish when measured by the bicinchoninic assay, 3793.8 mg/dish when measured by the Bradford Coomassie brilliant blue assay, and 1858.0 mg/dish when measured by the Lowry assay. These results demonstrate that the Bradford Coomassie brilliant blue assay is a simple and feasible method for use in detecting the total protein content in a bacterial biofilm.

  13. Are Total, Intensity- and Domain-Specific Physical Activity Levels Associated with Life Satisfaction among University Students?

    Science.gov (United States)

    Pedišić, Željko; Greblo, Zrinka; Phongsavan, Philayrath; Milton, Karen; Bauman, Adrian E.

    2015-01-01

    Background Thorough information about the relationship between physical activity (PA) and life satisfaction is still lacking. Therefore, this study examined the cross-sectional relationships between life satisfaction and meeting the World Health Organization (WHO) moderate to vigorous-intensity PA recommendations, total volume and duration of PA, intensity-specific PA (walking, moderate- and vigorous-intensity), domain-specific PA (work, transport-related, domestic, and leisure-time), and 11 domain and intensity-specific PA types among university students. Additionally, we examined the associations between life satisfaction and gender, age, disposable income, community size, smoking, alcohol intake, body mass index (BMI), and self-rated health. Methods The study included a random sample of 1750 university students in Zagreb, Croatia (response rate = 71.7%; 62.4% females; mean age 21.5 ± 1.8 years), using the International Physical Activity Questionnaire — long form and the Satisfaction with Life Scale. Results Higher life satisfaction was associated with female gender (β = 0.13; p = intensity PA was significantly associated with life satisfaction after adjustments for socio-demographic characteristics, lifestyle and self-rated general health (β = 0.06; p = 0.045). Conclusions This study indicated a weak positive relationship between leisure-time vigorous-intensity PA and life satisfaction, whilst no such association was found for other PA variables. These findings underscore the importance of analyzing domain and intensity-specific PA levels in future studies among university students, as drawing conclusions about the relationship between PA and life satisfaction based on total PA levels only may be misleading. PMID:25695492

  14. Are total, intensity- and domain-specific physical activity levels associated with life satisfaction among university students?

    Science.gov (United States)

    Pedišić, Željko; Greblo, Zrinka; Phongsavan, Philayrath; Milton, Karen; Bauman, Adrian E

    2015-01-01

    Thorough information about the relationship between physical activity (PA) and life satisfaction is still lacking. Therefore, this study examined the cross-sectional relationships between life satisfaction and meeting the World Health Organization (WHO) moderate to vigorous-intensity PA recommendations, total volume and duration of PA, intensity-specific PA (walking, moderate- and vigorous-intensity), domain-specific PA (work, transport-related, domestic, and leisure-time), and 11 domain and intensity-specific PA types among university students. Additionally, we examined the associations between life satisfaction and gender, age, disposable income, community size, smoking, alcohol intake, body mass index (BMI), and self-rated health. The study included a random sample of 1750 university students in Zagreb, Croatia (response rate = 71.7%; 62.4% females; mean age 21.5 ± 1.8 years), using the International Physical Activity Questionnaire-long form and the Satisfaction with Life Scale. Higher life satisfaction was associated with female gender (β = 0.13; p = life satisfaction and size of community (p = 0.567), smoking status (p = 0.056), alcohol consumption (p = 0.058), or BMI (p = 0.508). Among all PA variables, only leisure-time vigorous-intensity PA was significantly associated with life satisfaction after adjustments for socio-demographic characteristics, lifestyle and self-rated general health (β = 0.06; p = 0.045). This study indicated a weak positive relationship between leisure-time vigorous-intensity PA and life satisfaction, whilst no such association was found for other PA variables. These findings underscore the importance of analyzing domain and intensity-specific PA levels in future studies among university students, as drawing conclusions about the relationship between PA and life satisfaction based on total PA levels only may be misleading.

  15. SOME PRELIMINARY DATA ON THE TOTAL DNA CONTENT IN HYPOPHTHALMICHTHS MOLITRIX AND ARISTICHTHYS NOBILIS

    Directory of Open Access Journals (Sweden)

    Gabriela Vasile

    2006-08-01

    Full Text Available The work presents a comparative study between the total amount of DNA from five different types of tissues (gills, muscle, liver, spleen, kidneys in two cultured cyprinids species from the Ezreni accumulation, namely - silver carp (Hypophthalmichthys molitrix and bighead carp (Aristichthys nobilis. The results obtained show that for both Asian cyprinids species the highest average value of the total amount of DNA is to be found in the spleeny tissue comparatively with the muscular tissue, which has the lowest average value, confirming that the spleeny tissue has a more

  16. Preliminary measurements of velocity, density and total temperature fluctuations in compressible subsonic flow

    Science.gov (United States)

    Stainback, P. C.; Johnson, C. B.; Basnett, C. B.

    1983-01-01

    The heat transfer characteristics of a three-wire hot-wire probe operated with a constant temperature anemometer were investigated in the subsonic compressible flow regime. The sensitivity coefficients, with respect to velocity, density and total temperature, were measured and the results were used to calculate the velocity, density, and total temperature fluctuations in the test section of the Langley 0.3-m Transonic Cryogenic Tunnel (TCT). These results were extended to give estimates for fluctuations due to vorticity, sound, and entropy. In addition, attempts were made to determine the major source of disturbances in the 0.3-m TCT.

  17. Canadian Home Total Parenteral Nutrition Registry: Preliminary Data on the Patient Population

    Directory of Open Access Journals (Sweden)

    Maitreyi Raman

    2007-01-01

    Full Text Available BACKGROUND: Long-term administration of home total parenteral nutrition (HTPN has permitted patients with chronic intestinal failure to survive for prolonged periods of time. However, HTPN is associated with numerous complications, all of which increase morbidity and mortality. In Canada, a comprehensive review of the HTPN population has never been performed.

  18. Muscle strength and exercise intensity adaptation to resistance training in older women with knee osteoarthritis and total knee arthroplasty

    Directory of Open Access Journals (Sweden)

    Emmanuel Gomes Ciolac

    2011-01-01

    Full Text Available OBJECTIVES: To analyze muscle strength and exercise intensity adaptation to resistance training in older women with knee osteoarthritis and total knee arthroplasty. METHODS: Twenty-three community-dwelling women were divided into the following groups: older, with knee osteoarthritis and total knee arthroplasty in the contralateral limb (OKG; N= 7; older, without symptomatic osteoarthritis (OG; N= 8; and young and healthy (YG; N= 8. Muscle strength (1-repetition maximum strength test and exercise intensity progression (workload increases of 5%-10% were made whenever adaptation occurred were compared before and after 13 weeks of a twice-weekly progressive resistance-training program. RESULTS: At baseline, OKG subjects displayed lower muscle strength than those in both the OG and YG. Among OKG subjects, baseline muscle strength was lower in the osteoarthritic leg than in the total arthroplasty leg. Muscle strength improved significantly during follow-up in all groups; however, greater increases were observed in the osteoarthritic leg than in the total knee arthroplasty leg in OKG subjects. Greater increases were also seen in the osteoarthritic leg of OKG than in OG and YG. The greater muscle strength increase in the osteoarthritic leg reduced the interleg difference in muscle strength in OKG subjects, and resulted in similar posttraining muscle strength between OKG and OG in two of the three exercises analyzed. Greater exercise intensity progression was also observed in OKG subjects than in both OG and YG subjects. CONCLUSIONS: OKG subjects displayed greater relative muscle strength increases (osteoarthritic leg than subjects in the YG, and greater relative exercise intensity progression than subjects in both OG and YG. These results suggest that resistance training is an effective method to counteract the lower-extremity strength deficits reported in older women with knee osteoarthritis and total knee arthroplasty.

  19. A preliminary study on the intensity of cold wave storm surges of Laizhou Bay

    Science.gov (United States)

    Li, Xue; Dong, Sheng

    2016-12-01

    Dike failure and marine losses are quite prominent in Laizhou Bay during the period of cold wave storm surges because of its open coastline to the north and flat topography. In order to evaluate the intensity of cold wave storm surge, the hindcast of marine elements induced by cold waves in Laizhou Bay from 1985 to 2004 is conducted using a cold wave storm surge-wave coupled model and the joint return period of extreme water level, concomitant wave height, and concomitant wind speed are calculated. A new criterion of cold wave storm surge intensity based on such studies is developed. Considering the frequency of cold wave, this paper introduces a Poisson trivariate compound reconstruction model to calculate the joint return period, which is closer to the reality. By using the newly defined cold wave storm surge intensity, the `cold wave grade' in meteorology can better describe the severity of cold wave storm surges and the warning level is well corresponding to different intensities of cold wave storm surges. Therefore, it provides a proper guidance to marine hydrological analysis, disaster prevention and marine structure design in Laizhou Bay.

  20. A preliminary investigation of cell growth after irradiation using a modulated x-ray intensity pattern

    Energy Technology Data Exchange (ETDEWEB)

    Bromley, Regina [Northern Sydney Cancer Centre, Radiation Oncology, Royal North Shore Hospital, Sydney, NSW 2065 (Australia); Davey, Ross [Institute of Medical Physics, School of Physics, Sydney University, NSW 2006 (Australia); Oliver, Lyn [Northern Sydney Cancer Centre, Radiation Oncology, Royal North Shore Hospital, Sydney, NSW 2065 (Australia); Harvie, Rozelle [Institute of Medical Physics, School of Physics, Sydney University, NSW 2006 (Australia); Baldock, Clive [Bill Walsh Cancer Research Laboratories, Department of Medical Oncology, Royal North Shore Hospital, Sydney, NSW 2065 (Australia)

    2006-08-07

    In this study we have investigated a spatial distribution of cell growth after their irradiation using a modulated x-ray intensity pattern. An A549 human non-small cell lung cancer cell line was grown in a 6-well culture. Two of the wells were the unirradiated control wells, whilst another two wells were irradiated with a modulated x-ray intensity pattern and the third two wells were uniformly irradiated. A number of plates were incubated for various times after irradiation and stained with crystal violet. The spatial distribution of the stained cells within each well was determined by measurement of the crystal violet optical density at multiple positions in the plate using a microplate photospectrometer. The crystal violet optical density for a range of cell densities was measured for the unirradiated well and this correlated with cell viability as determined by the MTT cell viability assay. An exponential dose response curve was measured for A549 cells from the average crystal violet optical density in the uniformly irradiated well up to a dose of 30 Gy. By measuring the crystal violet optical density distribution within a well the spatial distribution of cell growth after irradiation with a modulated x-ray intensity pattern can be plotted. This method can be used for in vitro investigation into the changes in radiation response associated with treatment using intensity modulated radiation therapy (IMRT)

  1. Does early intensive multifactorial treatment reduce total cardiovascular burden in individuals with screen-detected diabetes?

    DEFF Research Database (Denmark)

    Simmons, R K; Sharp, S J; Sandbaek, A

    2012-01-01

    Aims  To describe the total cardiovascular burden (cardiovascular morbidity or mortality, revascularization or non-traumatic amputation) in individuals with screen-detected diabetes in the ADDITION-Europe trial and to quantify the impact of the intervention on multiple cardiovascular events over ...

  2. [Prophylactic total thyroidectomy in childhood for multiple endocrine neoplasia type 2A: preliminary results].

    Science.gov (United States)

    Arts, C H; Bax, N M; Jansen, M; Lips, C J; Vroom, T M; van Vroonhoven, T J

    1999-01-09

    Evaluation of prophylactic total thyroidectomy in childhood in case of MEN2A gene carriership. Retrospective. Prophylactic thyroidectomy was performed in 14 MEN2A gene carriers (7 boys, 7 girls; median age 9.1 year (range: 4.8-14.7)), in June 1993-July 1997 at the department Pediatric Surgery of the Wilhelmina Children's Hospital in Utrecht, the Netherlands. Median time between genetic investigation and operation was 5.5 months (range: 2-35). Lymph node dissection was not performed. The parathyroids were identified and left untouched as far as possible, autotransplantation was performed twice because of doubt about viability. Outpatient follow-up took place every 3-6 months. One patient (13.4 year) showed macroscopic, the other 13 microscopic multifocal medullary thyroid carcinoma, 11 bilateral and 3 unilateral. In 1 child (6.2 year) neuroinvasive growth existed already. Surgical sections were free of tumour. After the operation temporary hoarseness occurred once, temporary hypocalcaemia three times and permanent hypoparathyroidism twice; after autotransplantation no hypocalcaemia occurred. Median follow-up was 3.2 year (range: 1 month-4.0 year). Mild psychological problems were observed in 4 patients, psychiatric problems in 1. Prophylactic total thyroidectomy during the first decade is recommended. Additional lymph node dissection and total parathyroidectomy are unnecessary than. In order to prevent postoperative hypoparathyroidism, autotransplantation of at least one parathyroid is advisable.

  3. [Impact of personality on the alcohol withdrawal syndrome intensity: a preliminary study with the Cloninger's model].

    Science.gov (United States)

    Coton, X; Pinto, E; Reggers, J; Hansenne, M; Parent, M; Ansseau, M

    2007-01-01

    The personality of alcohol dependant patients as a factor influencing the intensity of the alcohol withdrawal syndrome has been seldom examined. Cloninger's biosocial model of personality describes four temperaments (novelty seeking, harm avoidance, reward dependence, persistence) which, except for persistence, are admittedly linked to specific central neurotransmitters, and three characters. Novelty seeking is linked with low levels of mesencephalic dopamine, harm avoidance with high levels of serotonin in the septo-hippocampic system and reward dependence with low levels of noradrenaline in the ascending pathways from the locus coeruleus to the limbic system. The same neurotransmitters pathways are known to be involved in alcohol withdrawal, with a decrease of dopaminergic activity in the mesolimbic system, a decrease of serotonergic activity in the nucleus accumbens and an increase of the noradrenergic system. In view of the similarities between the neurobiological systems involved in Cloninger's model and in the neurobiological changes occurring during the withdrawal period, one would expect to observe severe withdrawal symptoms more frequently for patients with high novelty seeking, low harm avoidance and low reward dependence. To test this hypothesis, alcohol dependent patients according to DSM IV classification criteria who have drunk in the last twenty four hours were included in the study and received a standardized withdrawal treatment. The withdrawal syndrome intensity was examined with repeated measures of CIWA-Ar, the scores of which were correlated with TCI-R. Twenty eight patients, between 30 et 65 years old and drinking 22,2 +/- 12 standard drinks per day were included. Antidepressant drugs, benzodiazepines and neuroleptics treatment introduced before hospitalisation were stopped or decreased as much as possible. A correlation matrix was carried out between all the variables which could influence withdrawal intensity (age at the hospitalisation, age

  4. BIN PIXEL COUNT, MEAN AND TOTAL OF INTENSITIES EXTRACTED FROM PARTITIONED EQUALIZED HISTOGRAM FOR CBIR

    Directory of Open Access Journals (Sweden)

    H. B. Kekre

    2012-03-01

    Full Text Available In this paper we have introduced three simple feature vector extraction ideas to retrieve the images from database of 2000 images includes 20 different classes into it. The feature extraction process mainly based on splitting the image into three planes, for each plane an equalized histogram will be calculated which is divided in two, three and four equal parts to form the 8, 27 and 64 bins respectively. Three simple ways are used to extract the information in these three different sizes of bin sets. One is, ‘Count’ of the pixels falling in specific range of the histogram of each plane into its destination bin. Second, ‘Total’ intensities of these pixels in each of these bins is taken into consideration, and in third variation is the ‘Mean’ of these intensities is considered to represent the feature vector. Determination of the destination bin address for each pixel under process depends upon the R,G, B value of that pixel which falls in any one part of the equalized partitioned histogram, because based on it the 3digits flag will be assigned to that pixel with respect to its R, G, and B values. This way, sixfeature vector databases are prepared for 2000 images with three variable sizes and 3 variations in the extraction methods. We have maintained the separate set of bins for each plane and that way we have 3 more variations in databases. Means in all we have 18 feature vector databases that is six databases for each Red, Green and Blueplane. Experimentation uses image database of 20 classes having 100 images of each of the following classes: Flower, Sunset, Mountain, Buliding, Bus, Dinosaur, Elephant, Barbie, Mickey, Horses,Kingfisher, Dove, Crow, Rainbowrose, Pyramids, Plates, Car, Trees, Ship and Waterfall. Performance of our approaches is evaluated using two parameters LIRS and LSRR and results are refined and combined using three criteria Criterion1, 2 and 3.

  5. The Total Work Measured During a High Intensity Isokinetic Fatigue Test Is Associated With Anaerobic Work Capacity

    Science.gov (United States)

    Bosquet, Laurent; Gouadec, Kenan; Berryman, Nicolas; Duclos, Cyril; Gremeaux, Vincent; Croisier, Jean Louis

    2016-01-01

    The purpose of the study was to determine whether total work measured during a high intensity isokinetic fatigue test (TWFAT) could be considered as a valid measure of anaerobic work capacity (AWC), such as determined by total work measured during a Wingate Anaerobic Test (TWWAnT). Twenty well-trained cyclists performed 2 randomly ordered sessions involving a high intensity isokinetic fatigue test consisting in 30 reciprocal maximal concentric contractions of knee flexors and extensors at 180°·s-1, and a Wingate Anaerobic Test. We found that TWFAT of knee extensors was largely lower than TWWAnT (4151 ± 691 vs 22313 ± 2901 J, respectively, p knee flexors (2151 ± 540 J) was largely lower than TWWAnT (p knee flexors and knee extensors into a single measure (6302 ± 818 J) did not changed neither improved these observations. We still found a large difference with TWWAnT (p knee extensors could be considered as a valid measure of AWC, since both measure were highly associated. However, the mean difference between both measures and their 95% LoA were too large to warrant interchangeability. Key points Total work performed during a high intensity isokinetic fatigue test can be considered as a valid measure of anaerobic work capacity (as determined by total work performance during a 30-s Wingate anaerobic test). The 95% limits of agreement are two large to allow a direct comparison between both measures. In other words, it is not possible to estimate the magnitude of performance improvement during a 30-s Wingate anaerobic test from that observed during a high intensity isokinetic fatigue test. In addition to provide sport scientists and coaches with measures of peak torque and ratios between agonists and antagonists muscles in a perspective of injury prevention, isokinetic dynamometry can also be used in the physiological assessment of athletes. However, some precautions should be taken in the interpretation of data. PMID:26957935

  6. SRS 2010 Vegetation Inventory GeoStatistical Mapping Results for Custom Reaction Intensity and Total Dead Fuels.

    Energy Technology Data Exchange (ETDEWEB)

    Edwards, Lloyd A. [Leading Solutions, LLC.; Paresol, Bernard [U.S. Department of Agriculture, Forest Service, Pacific Northwest Research Station, Portland, OR.

    2014-09-01

    This report of the geostatistical analysis results of the fire fuels response variables, custom reaction intensity and total dead fuels is but a part of an SRS 2010 vegetation inventory project. For detailed description of project, theory and background including sample design, methods, and results please refer to USDA Forest Service Savannah River Site internal report “SRS 2010 Vegetation Inventory GeoStatistical Mapping Report”, (Edwards & Parresol 2013).

  7. Comparing intensities and modalities within the sensory attenuation paradigm: Preliminary evidence.

    Science.gov (United States)

    Burin, Dalila; Battaglini, Alvise; Pia, Lorenzo; Falvo, Giusy; Palombella, Mattia; Salatino, Adriana

    2017-11-01

    It is well-documented that the intensity of a self-generated somatosensory stimulus is perceived to be attenuated in respect to an identical stimulus generated by others. At present, it is not clear whether such a phenomenon, known as somatosensory attenuation, is based not only on feedforward motor signals but also on re-afferences towards the body. To answer this question, in the present pilot investigation on twelve healthy subjects, three types of stimulations (sensory non-nociceptive electrical - ES, nociceptive electrical - NES, and vibrotactile - VTS) and intensities (1 = sensory threshold ∗ 2.5 + 2 mA, 2 = sensory threshold ∗ 2.5 + 3 mA, 3 = sensory threshold ∗ 2.5 + 4 mA for ES and NES; 1 = sensory threshold ∗ 2 Hz, 2 = sensory threshold ∗ 3 Hz, 3 = sensory threshold ∗ 4 Hz for VTS) have been directly compared in a somatosensory attenuation paradigm. The results show that the attenuation effect emerged only with electrical stimuli and that it increased with higher intensities. These pilot findings suggest that, depending on the type and the intensity of stimulation, re-afferences can have a role in somatosensory attenuation. Additionally, it is possible to speculate the effect is present only with electrical stimuli because those stimuli are prospectively judged as potentially dangerous. This, in turn, would optimize planning successful reactions to incoming threatening stimuli.

  8. Salivary total sialic acid levels increase in breast cancer patients: a preliminary study.

    Science.gov (United States)

    Oztürk, Leyla Koç; Emekli-Alturfan, Ebru; Kaşikci, Emel; Demir, Gokhan; Yarat, Aysen

    2011-09-01

    Breast cancer is the most common cancer in women living in the Western world, even though it occurs worldwide. Cancer and cancer therapy induce multiple oral complications including dental and periodontal disease. Saliva is a complex and dynamic biologic fluid, which reflects both oral and systemic changes. While saliva is easily accessible body fluid, there has been little effort to study its value in cancer diagnosis. Sialic acids (SA), the end moieties of the carbohydrate chains, are biologically important and essential for functions of glycoconjugates that are reported to be altered in both blood and saliva of various cancer patients. Increased sialylation has been shown to be a characteristic feature in cancer tissue and blood in breast cancer patients. However, there is no data about salivary SA in breast cancer. The aim of this study was to evaluate salivary total sialic acid (TSA) levels in breast cancer patients who were under chemotheraphy. The study included 15 breast cancer patients in different stages and 10 healthy individuals as age-matched controls. Unstimulated whole saliva was collected. Salivary total protein and SA levels were determined. Flow rate was calculated from salivary volume by the time of secretion. Salivary SA was significantly higher and total protein was lower in breast cancer patients compared to controls. It is concluded that sialylation may be increased in saliva of patients with breast cancer as the same way for cancer tissue and for blood . Increased salivary SA may therefore be useful as a non-invasive predictive marker for breast cancer patients and for the prevention and management of oral complications of cancer and cancer therapy to improve oral function and quality-of-life. The effects of different types of chemotherapies and different stages of the disease on salivary SA levels and salivary sialo-glycomic are worthy of being further investigated in breast cancer patients.

  9. The mobility of Atlantic baric depressions leading to intense precipitation over Italy: a preliminary statistical analysis

    Directory of Open Access Journals (Sweden)

    N. Tartaglione

    2006-01-01

    Full Text Available The speed of Atlantic surface depressions, occurred during the autumn and winter seasons and that lead to intense precipitation over Italy from 1951 to 2000, was investigated. Italy was divided into 5 regions as documented in previous climatological studies (based on Principal Component Analysis. Intense precipitation events were selected on the basis of in situ rain gauge data and clustered according to the region that they hit. For each intense precipitation event we tried to identify an associated surface depression and we tracked it, within a large domain covering the Mediterranean and Atlantic regions, from its formation to cyclolysis in order to estimate its speed. 'Depression speeds' were estimated with 6-h resolution and clustered into slow and non-slow classes by means of a threshold, coinciding with the first quartile of speed distribution and depression centre speeds were associated with their positions. Slow speeds occurring over an area including Italy and the western Mediterranean basin showed frequencies higher than 25%, for all the Italian regions but one. The probability of obtaining by chance the observed more than 25% success rate was estimated by means of a binomial distribution. The statistical reliability of the result is confirmed for only one region. For Italy as a whole, results were confirmed at 95% confidence level. Stability of the statistical inference, with respect to errors in estimating depression speed and changes in the threshold of slow depressions, was analysed and essentially confirmed the previous results.

  10. First Total Reflection X-Ray Fluorescence round-robin test of water samples: Preliminary results

    Science.gov (United States)

    Borgese, Laura; Bilo, Fabjola; Tsuji, Kouichi; Fernández-Ruiz, Ramón; Margui, Eva; Streli, Christina; Pepponi, Giancarlo; Stosnach, Hagen; Yamada, Takashi; Vandenabeele, Peter; Maina, David M.; Gatari, Michael; Shepherd, Keith D.; Towett, Erick K.; Bennun, Leonardo; Custo, Graciela; Vasquez, Cristina; Depero, Laura E.

    2014-11-01

    Total Reflection X-Ray Fluorescence (TXRF) is a mature technique to evaluate quantitatively the elemental composition of liquid samples deposited on clean and well polished reflectors. In this paper the results of the first worldwide TXRF round-robin test of water samples, involving 18 laboratories in 10 countries are presented and discussed. The test was performed within the framework of the VAMAS project, interlaboratory comparison of TXRF spectroscopy for environmental analysis, whose aim is to develop guidelines and a standard methodology for biological and environmental analysis by means of the TXRF analytical technique.

  11. Genetic Association Between Insulin Resistance And Total Cholesterol In Type 2 Diabetes Mellitus - A Preliminary Observation

    Directory of Open Access Journals (Sweden)

    Hettihewa Lukshmy Menik

    2005-05-01

    Full Text Available We investigated the degree of genetic association between insulin resistance (IR with type 2 diabetes mellitus (DM and abnormalities in lipid metabolism in 42 patients. IR was assessed by fasting insulin test (FI, McAuley (McA, HOMA and QUICKI methods. IR was detected in 34 (81% patients by FI, McA and in 39 (93% patients by HOMA and QUICKI. 26 (62% patients had family history of DM and 23 (89% of them displayed IR by FI & McA. 24 of them (92% displayed IR by HOMA and QUICKI. Our results suggest that association between the family history of DM and IR were statistically significant by chi-square test (P<0.05. Further, 29 (69% patients had elevated total cholesterol levels. Association between elevated total cholesterol and IR as assessed by FI test was also statistically significant (x2=4.6; p<0.05. Results of our study indicate the statistically significant genetic association of IR with abnormal cholesterol metabolism and family history of DM.

  12. First Total Reflection X-Ray Fluorescence round-robin test of water samples: Preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Borgese, Laura; Bilo, Fabjola [Chemistry for Technologies Laboratory, University of Brescia, Brescia (Italy); Tsuji, Kouichi [Graduate School of Engineering, Osaka City University, Osaka (Japan); Fernández-Ruiz, Ramón [Servicio Interdepartamental de Investigación (SIdI), Laboratorio de TXRF, Universidad Autónoma de Madrid, Madrid (Spain); Margui, Eva [Department of Chemistry, University of Girona, Girona (Spain); Streli, Christina [TU Wien, Atominstitut,Radiation Physics, Vienna (Austria); Pepponi, Giancarlo [Fondazione Bruno Kessler, Povo, Trento (Italy); Stosnach, Hagen [Bruker Nano GmbH, Berlin (Germany); Yamada, Takashi [Rigaku Corporation, Takatsuki, Osaka (Japan); Vandenabeele, Peter [Department of Archaeology, Ghent University, Ghent (Belgium); Maina, David M.; Gatari, Michael [Institute of Nuclear Science and Technology, University of Nairobi, Nairobi (Kenya); Shepherd, Keith D.; Towett, Erick K. [World Agroforestry Centre (ICRAF), Nairobi (Kenya); Bennun, Leonardo [Laboratorio de Física Aplicada, Departamento de Física, Universidad de Concepción (Chile); Custo, Graciela; Vasquez, Cristina [Gerencia Química, Laboratorio B025, Centro Atómico Constituyentes, San Martín (Argentina); Depero, Laura E., E-mail: laura.depero@unibs.it [Chemistry for Technologies Laboratory, University of Brescia, Brescia (Italy)

    2014-11-01

    Total Reflection X-Ray Fluorescence (TXRF) is a mature technique to evaluate quantitatively the elemental composition of liquid samples deposited on clean and well polished reflectors. In this paper the results of the first worldwide TXRF round-robin test of water samples, involving 18 laboratories in 10 countries are presented and discussed. The test was performed within the framework of the VAMAS project, interlaboratory comparison of TXRF spectroscopy for environmental analysis, whose aim is to develop guidelines and a standard methodology for biological and environmental analysis by means of the TXRF analytical technique. - Highlights: • The discussion of the first worldwide TXRF round-robin test of water samples (18 laboratories of 10 countries) is reported. • Drinking, waste, and desalinated water samples were tested. • Data dispersion sources were identified: sample concentration, preparation, fitting procedure, and quantification. • The protocol for TXRF analysis of drinking water is proposed.

  13. Fort Hood Solar Total Energy Project. Volume II. Preliminary design. Part 2. System performance and supporting studies. Final report

    Energy Technology Data Exchange (ETDEWEB)

    None,

    1979-01-01

    The preliminary design developed for the Solar Total Energy System to be installed at Fort Hood, Texas, is presented. System performance analysis and evaluation are described. Feedback of completed performance analyses on current system design and operating philosophy is discussed. The basic computer simulation techniques and assumptions are described and the resulting energy displacement analysis is presented. Supporting technical studies are presented. These include health and safety and reliability assessments; solar collector component evaluation; weather analysis; and a review of selected trade studies which address significant design alternatives. Additional supporting studies which are generally specific to the installation site are reported. These include solar availability analysis; energy load measurements; environmental impact assessment; life cycle cost and economic analysis; heat transfer fluid testing; meteorological/solar station planning; and information dissemination. (WHK)

  14. The role of metrics and measurements in a software intensive total quality management environment

    Science.gov (United States)

    Daniels, Charles B.

    1992-01-01

    Paramax Space Systems began its mission as a member of the Rockwell Space Operations Company (RSOC) team which was the successful bidder on a massive operations consolidation contract for the Mission Operations Directorate (MOD) at JSC. The contract awarded to the team was the Space Transportation System Operations Contract (STSOC). Our initial challenge was to accept responsibility for a very large, highly complex and fragmented collection of software from eleven different contractors and transform it into a coherent, operational baseline. Concurrently, we had to integrate a diverse group of people from eleven different companies into a single, cohesive team. Paramax executives recognized the absolute necessity to develop a business culture based on the concept of employee involvement to execute and improve the complex process of our new environment. Our executives clearly understood that management needed to set the example and lead the way to quality improvement. The total quality management policy and the metrics used in this endeavor are presented.

  15. Short communication: Absence of campylobacter spp. In intensive rabbit farming in eastern Spain, preliminary results

    Directory of Open Access Journals (Sweden)

    C. Marín

    2016-12-01

    Full Text Available Campylobacteriosis and salmonellosis are the most frequently reported zoonoses and among the most common causes of diarrhoeal illness in the European Union and the United States, and their incidence appears to be increasing. Campylobacter species are routinely found in poultry, swine, cattle, dairy cows and sheep. So far, there are few descriptions of Campylobacter isolation from rabbits. Rabbit meat is a common item in the Mediterranean diet. In this context, the aim of the present study was to investigate the occurrence of Campylobacter spp. in healthy rabbits reared in intensive farms in the Alto Palancia region, eastern Spain. Caecal contents from 70 healthy does reared on 7 different farms were collected. Bacteriological culture was performed in accordance with ISO 10272-1:2006. All samples tested negative for Campylobacter spp. To our knowledge, this is the first study in which comprehensive monitoring was specifically carried out in order to provide data on the occurrence of thermophilic Campylobacter spp. in large intensive rabbit farms in Spain. However, further microbiological studies throughout the Spanish territory are needed to determine the prevalence and risk of other foodborne pathogens in rabbits at farm level.

  16. Prospective study comparing functional outcomes and revision rates between hip resurfacing and total hip arthroplasty: preliminary results for 2 years.

    Science.gov (United States)

    Pailhé, Régis; Reina, Nicolas; Cavaignac, Etienne; Sharma, Akash; Lafontan, Valérie; Laffosse, Jean-Michel; Chiron, Philippe

    2013-01-01

    There is a need of independent prospective studies about modern generation of hip resurfacing implants. The aim of this propective observational study was to compare the functional outcomes and revision rates with hip resurfacing arthroplasty and total hip arthroplasty and to present the preliminary results at 2 years. Patients included were recruited prospectively in the Partial Pelvic Replacement Hip Project by a single surgeon between January 2007 and January 2010. Patients were assessed with the Harris Hip Score (HHS) and Postel-Merle d'Aubigné (MDA) score and Devane Score. The end point of the study was reoperation for any cause related to the prosthesis. At a mean follow up of 38.6 months there were a total of 142 patients with hip resurfacing (group 1) [100 Durom(®) (Zimmer Inc., Warsaw, IN, USA) and 42 Birmingham Hip Resurfacing(®) (Smith & Nephew, Memphis, TN, USA)] and 278 patients with total hip arthroplasty (group 2). The results showed significantly greater gain of HHS, MDA and Devane score with hip resurfacing procedures. However, considering all the complications, the rate was significantly higher in group 16.4% vs 1.79% in group 2 (P<0.0001). In group 1 we observed 6 complications only concerned males with Durom(®) implants. The follow up of this cohort is still on going and may deliver more information on the evolution of these results in time.

  17. Prospective study comparing functional outcomes and revision rates between hip resurfacing and total hip arthroplasty: preliminary results for 2 years

    Directory of Open Access Journals (Sweden)

    Régis Pailhé

    2013-07-01

    Full Text Available There is a need of independent prospective studies about modern generation of hip resurfacing implants. The aim of this propective observational study was to compare the functional outcomes and revision rates with hip resurfacing arthroplasty and total hip arthroplasty and to present the preliminary results at 2 years. Patients included were recruited prospectively in the Partial Pelvic Replacement Hip Project by a single surgeon between January 2007 and January 2010. Patients were assessed with the Harris Hip Score (HHS and Postel-Merle d’Aubigné (MDA score and Devane Score. The end point of the study was reoperation for any cause related to the prosthesis. At a mean follow up of 38.6 months there were a total of 142 patients with hip resurfacing (group 1 [100 Durom® (Zimmer Inc., Warsaw, IN, USA and 42 Birmingham Hip Resurfacing® (Smith & Nephew, Memphis, TN, USA] and 278 patients with total hip arthroplasty (group 2. The results showed significantly greater gain of HHS, MDA and Devane score with hip resurfacing procedures. However, considering all the complications, the rate was significantly higher in group 16.4% vs 1.79% in group 2 (P<0.0001. In group 1 we observed 6 complications only concerned males with Durom® implants. The follow up of this cohort is still on going and may deliver more information on the evolution of these results in time.

  18. Are total, intensity- and domain-specific physical activity levels associated with life satisfaction among university students?

    Directory of Open Access Journals (Sweden)

    Željko Pedišić

    Full Text Available Thorough information about the relationship between physical activity (PA and life satisfaction is still lacking. Therefore, this study examined the cross-sectional relationships between life satisfaction and meeting the World Health Organization (WHO moderate to vigorous-intensity PA recommendations, total volume and duration of PA, intensity-specific PA (walking, moderate- and vigorous-intensity, domain-specific PA (work, transport-related, domestic, and leisure-time, and 11 domain and intensity-specific PA types among university students. Additionally, we examined the associations between life satisfaction and gender, age, disposable income, community size, smoking, alcohol intake, body mass index (BMI, and self-rated health.The study included a random sample of 1750 university students in Zagreb, Croatia (response rate = 71.7%; 62.4% females; mean age 21.5 ± 1.8 years, using the International Physical Activity Questionnaire-long form and the Satisfaction with Life Scale.Higher life satisfaction was associated with female gender (β = 0.13; p = <0.001, younger age (β = -0.07; p = 0.024, higher disposable income (β = 0.10; p = 0.001, and better self-rated health (β = 0.30; p = <0.001. No significant association was found between life satisfaction and size of community (p = 0.567, smoking status (p = 0.056, alcohol consumption (p = 0.058, or BMI (p = 0.508. Among all PA variables, only leisure-time vigorous-intensity PA was significantly associated with life satisfaction after adjustments for socio-demographic characteristics, lifestyle and self-rated general health (β = 0.06; p = 0.045.This study indicated a weak positive relationship between leisure-time vigorous-intensity PA and life satisfaction, whilst no such association was found for other PA variables. These findings underscore the importance of analyzing domain and intensity-specific PA levels in future studies among university students, as drawing conclusions about the

  19. Totally videoscopic bilateral, simultaneous lumbar sympathectomy: original modification – preliminary report

    Directory of Open Access Journals (Sweden)

    Tomasz Stefaniak

    2010-03-01

    Full Text Available Introduction: Lumbar sympathectomy seems to be technically a much more demanding procedure than thoracic sympathectomy.Nevertheless, some patients require this particular procedure. In our centre, the operation is performed nosooner than 12 months after initial thoracic sympathectomy as a simultaneous bilateral retro-peritoneoscopic procedure.Aim: To evaluate early effectiveness of totally videoretroperitoneoscopic lumbar sympathectomy from a posteriorapproach.Material and methods: Between June 2008 and June 2009, there were 12 patients operated on for primary plantarhyperhidrosis in the Department of General, Endocrine and Transplant Surgery, Medical University of Gdansk, Poland.A bilateral procedure was performed in 6 patients, and in 6 other cases (initial ones the procedure had to be split dueto too slow progress of the procedure (learning curve.Results: Mean operation time was 92.5 ±27.16 min (for 6 bilateral procedures and 84 ±20.17 min (for the initial12 unilateral procedures. There was no postoperative mortality. Morbidity involved post-sympathectomy syndromepresenting as moderate burning pain in the buttocks and thighs up to 4 weeks postoperatively. Postoperative stay was1 day in 7 cases and 2 days in 3 cases (due to long train travel awaiting the patient on his/her way home. In themajority of patients, early postoperative results were very good, expressed by both the subjective opinion of thepatient and gravimetric results. In one case dryness of the feet was so severe that the patient had to consult a dermatologist.Conclusions: We believe that videoretroperitoneoscopic lumbar sympathectomy from a posterior approach is a goodmethod of treatment for primary hyperhidrosis with plantar symptoms, but should be reserved for surgeonsexperienced in laparoscopic and retroperitoneoscopic surgery.

  20. Preliminary Study of the Effect of Low-Intensity Home-Based Physical Therapy in Chronic Stroke Patients

    Directory of Open Access Journals (Sweden)

    Jau-Hong Lin

    2004-01-01

    Full Text Available This study was a preliminary examination of the effect of low-intensity home-based physical therapy on the performance of activities of daily living (ADL and motor function in patients more than 1 year after stroke. Twenty patients were recruited from a community stroke register in Nan-Tou County, Taiwan, to a randomized, crossover trial comparing intervention by a physical therapist immediately after entry into the trial (Group I or after a delay of 10 weeks (Group II. The intervention consisted of home-based physical therapy once a week for 10 weeks. The Barthel Index (BI and Stroke Rehabilitation Assessment of Movement (STREAM were used as standard measures for ADL and motor function. At the first follow-up assessment at 11 weeks, Group I showed greater improvement in lower limb motor function than Group II. At the second follow-up assessment at 22 weeks, Group II showed improvement while Group I had declined. At 22 weeks, the motor function of upper limbs, mobility, and ADL performance in Group II had improved slightly more than in Group I, but the between-group differences were not significant. It appears that low-intensity home-based physical therapy can improve lower limb motor function in chronic stroke survivors. Further studies will be needed to confirm these findings.

  1. Do cry features reflect pain intensity in preterm neonates? A preliminary study.

    Science.gov (United States)

    Johnston, C C; Sherrard, A; Stevens, B; Franck, L; Stremler, R; Jack, A

    1999-08-01

    The purpose of this study was to investigate if cries from preterm neonates would reflect changes in pain intensity following interventions. The cries from 25 preterm neonates from an original sample of 122 were audiorecorded while the infant was undergoing heelstick during a randomized crossover design testing the efficacy of: pacifier with sucrose or water, or prone position as compared to standard care. Both pacifier conditions reduced procedural pain according to a validated composite pain measure (the Premature Infant Pain Profile). There were proportionately fewer cries in the two pacifier groups compared to the prone positioning and standard care groups, and cry duration was positively correlated with PIPP scores. However, neither cry duration nor fundamental frequency reflected group differences. Further research is needed to determine if cry is a sensitive and valid indicator of pain in preterm infants.

  2. Preliminary study of the behavioral and biological effects of high-intensity 60-Hz electric fields. Quarterly technical progress report No. 3

    Energy Technology Data Exchange (ETDEWEB)

    Feldstone, C.S.

    1979-02-01

    This preliminary study develops and thoroughly tests the experimental protocols and apparatus that are planned for a major study of the behavioral and biological effects of high-intensity 60-Hz electric fields. The behavior of baboons will be observed before, during, and after exposure to the field at maximum intensity of 60 kV/m. Both individual performance (operant conditioning) and social behavior will be examined. The present report covers Week 25 through Week 36 of the project. Construction of the facility was nearly completed, the preliminary training of the individual behavior animals was brought close to completion, and the two sets of social animals were allowed to adapt to each other and to their environment. The report addresses the following major areas: the high-voltage exposure facility; the electric-field-probe accuracy; the holding cages for social-behavior subjects; the preliminary shaping facility; the shaping procedures; and the social-behavior subjects.

  3. Hypofractionated intensity-modulated radiotherapy in patients with localized prostate cancer: a preliminary study

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Hye Jin; Kay, Chul Seung; Son, Seok Hyun; Kim, Myung Soo; Jo, In Young; Lee, So Jung; Lee, Dong Hwan; Suh, Hong Jin; Choi, Yong Sun [Incheon St. Mary' s Hospital, The Catholic University of Korea College of Medicine, Incheon (Korea, Republic of)

    2016-03-15

    The aim of this work was to assess the efficacy and tolerability of hypofractionated intensity-modulated radiotherapy (IMRT) in patients with localized prostate cancer. Thirty-nine patients who received radical hypofractionated IMRT were retrospectively reviewed. Based on a pelvic lymph node involvement risk of 15% as the cutoff value, we decided whether to deliver treatment prostate and seminal vesicle only radiotherapy (PORT) or whole pelvis radiotherapy (WPRT). Sixteen patients (41%) received PORT with prostate receiving 45 Gy in 4.5 Gy per fraction in 2 weeks and the other 23 patients (59%) received WPRT with the prostate receiving 72 Gy in 2.4 Gy per fraction in 6 weeks. The median equivalent dose in 2 Gy fractions to the prostate was 79.9 Gy based on the assumption that the α/β ratio is 1.5 Gy. The median follow-up time was 38 months (range, 4 to 101 months). The 3-year biochemical failure-free survival rate was 88.2%. The 3-year clinical failure-free and overall survival rates were 94.5% and 96.3%, respectively. The rates of grade 2 acute genitourinary (GU) and gastrointestinal (GI) toxicities were 20.5% and 12.8%, respectively. None of the patients experienced grade ≥3 acute GU and GI toxicities. The grade 2-3 late GU and GI toxicities were found in 8.1% and 5.4% of patients, respectively. No fatal late toxicity was observed. Favorable biochemical control with low rates of toxicity was observed after hypofractionated IMRT, suggesting that our radiotherapy schedule can be an effective treatment option in the treatment of localized prostate cancer.

  4. Whole pelvic intensity-modulated radiotherapy for high-risk prostate cancer: a preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    Joo, Ji Hyeon; Kim, Yeon Joo; Kim, Young Seok [Asan Medical Center, University of Ulsan College of Medicine, Seoul (Korea, Republic of); and others

    2013-12-15

    To assess the clinical efficacy and toxicity of whole pelvic intensity-modulated radiotherapy (WP-IMRT) for high-risk prostate cancer. Patients with high-risk prostate cancer treated between 2008 and 2013 were reviewed. The study included patients who had undergone WP-IMRT with image guidance using electronic portal imaging devices and/or cone-beam computed tomography. The endorectal balloon was used in 93% of patients. Patients received either 46 Gy to the whole pelvis plus a boost of up to 76 Gy to the prostate in 2 Gy daily fractions, or 44 Gy to the whole pelvis plus a boost of up to 72.6 Gy to the prostate in 2.2 Gy fractions. The study cohort included 70 patients, of whom 55 (78%) had a Gleason score of 8 to 10 and 50 (71%) had a prostate-specific antigen level > 20 ng/mL. The androgen deprivation therapy was combined in 62 patients. The biochemical failure-free survival rate was 86.7% at 2 years. Acute any grade gastrointestinal (GI) and genitourinary (GU) toxicity rates were 47% and 73%, respectively. The actuarial rate of late grade 2 or worse toxicity at 2 years was 12.9% for GI, and 5.7% for GU with no late grade 4 toxicity. WP-IMRT was well tolerated with no severe acute or late toxicities, resulting in at least similar biochemical control to that of the historic control group with a small field. The long-term efficacy and toxicity will be assessed in the future, and a prospective randomized trial is needed to verify these findings.

  5. Carotid sparing intensity modulated radiotherapy on early glottic cancer: Preliminary study

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Hoon Sik; Jeong, Bae Kwon; Jeong, Ho Jin; Song, Jin Ho; Kim, Jin Pyeong; Park, Jung Je; Woo, Seung Hoon; Kang, Ki Mun [Gyeongsang National University Hospital, Gyeongsang National University School of Medicine, Jinju (Korea, Republic of)

    2016-03-15

    To compare the dose distribution between carotid sparing intensity modulated radiotherapy (IMRT) and opposed lateral field technique (LAFT), and to determine the effects of carotid sparing IMRT in early glottic cancer patients who have risk factors for atherosclerosis. Ten early glottic cancer patients were treated with carotid sparing IMRT. For each patient, the conventional LAFT plan was developed for comparison. IMRT and LAFT plans were compared in terms of planning target volume (PTV) coverage, conformity index, homogeneity index, and the doses to planning organ at risk volume (PRV) for carotid arteries, spinal cord and pharyngeal constrictor muscle. Recurrence was not observed in any patients during the follow-up period. V95% for PTV showed no significant difference between IMRT and LAFT plans, while V100% was significantly higher in the IMRT plan (95.5% vs. 94.6%, p = 0.005). The homogeneity index (11.6%) and conformity index (1.4) in the IMRT plan were significantly better than those in the LAFT plans (8.5% and 5.1, respectively) (p = 0.005). The median V5Gy (90.0%), V25Gy (13.5%), and V50Gy (0%) for carotid artery PRV in the IMRT plan were significantly lower than those in the LAFT plan (99.1%, 89.0%, and 77.3%, respectively) (p = 0.005). Our study suggests that carotid sparing IMRT can significantly decrease the dose to carotid arteries compared to LAFT, and it would be considered for early glottic cancer patient with high risk of atherosclerosis.

  6. Detection of short period intensity oscillations in the solar corona observed during the total solar eclipse of august 11, 1999

    Directory of Open Access Journals (Sweden)

    R. Rezaei

    2005-03-01

    Full Text Available   An experiment to search for short-period intensity oscillations in the solar corona was conducted during the total solar eclipse of August 11, 1999 in Esfahan, Iran. The intensity in the continuum, centered about 4700 Å and with a passband having a half-width of 190 Å, was recorded at a counting rate of 5 Hz using six low-noise Hamamatsu R647 photomultiplier tubes. We recorded intensity values from 6 different regions on the image of the solar corona from 1.2 R ° to 1.5 R ° . The power spectrum analysis of all channels, except for a channel that failed to receive any coronal light, shows excess power in the frequency range 0.02-0.2 Hz. The results of analyzing all channels demonstrate various waves with some degree of coherence and amplitudes from 0.3 to 0.7 percent of the mean coronal brightness. There are some similarities between waves in various channels and it may show that these waves exist in a large region of the corona, of the order of a few hundred thousand kilometers, much larger than the fiber optic diaphragms. The energy flux of each wave was calculated by assuming them as the slow or fast mode waves for the active and quiet regions of the solar corona. The energy flux of the fast mode waves in the active regions is comparable with the required energy flux for heating up the solar corona. The intensity oscillations observed in this experiment are similar to those detected during the 1995 and 1997 eclipses.

  7. The Effect of Exercise Intensity on Total PYY and GLP-1 in Healthy Females: A Pilot Study

    Science.gov (United States)

    Hallworth, Jillian R.; Copeland, Jennifer L.

    2017-01-01

    We compared the acute response of anorexigenic signals (total PYY and GLP-1) in response to submaximal and supramaximal exercise. Nine females completed three sessions: (1) moderate-intensity continuous training (MICT; 30 min; 65%  VO2max); (2) sprint interval training (SIT; 6 × 30 sec “all-out” cycling sprints with 4 min recovery); or (3) control (CTRL; no exercise). PYY and GLP-1 were measured via blood samples drawn before, immediately after, and 90 min after exercise. Perceptions of hunger were rated using a visual analogue scale at all blood sampling time points. There was a session × time interaction for GLP-1 (p = 0.004) where SIT and MICT (p < 0.015 and p < 0.001) were higher compared to CTRL both immediately and 90 min after exercise. There was a main effect of time for PYY where 90 min after exercise it was decreased versus before and immediately after exercise. There was a session × time interaction for hunger with lower ratings following SIT versus MICT (p = 0.027) and CTRL (p = 0.031) 90 min after exercise. These results suggest that though GLP-1 is elevated after exercise in women, it is not affected by exercise intensity though hunger was lower 90 min after exercise with SIT. As the sample size is small further study is needed to confirm these findings. PMID:28286674

  8. Magnetic Field - Secular Variation of the Horizontal Component of the Total Field Intensity for the Epoch 2010.0 - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This map layer shows lines of equal annual change (secular variation) in the horizontal component of the total field intensity of the Earth's magnetic field, derived...

  9. Magnetic Field - Secular Variation of the Vertical Component of the Total Field Intensity for the Epoch 2010.0 - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This map layer shows lines of equal annual change (secular variation) in the vertical component of the total field intensity of the Earth's magnetic field, derived...

  10. MR image segmentation and bias field estimation based on coherent local intensity clustering with total variation regularization.

    Science.gov (United States)

    Tu, Xiaoguang; Gao, Jingjing; Zhu, Chongjing; Cheng, Jie-Zhi; Ma, Zheng; Dai, Xin; Xie, Mei

    2016-12-01

    Though numerous segmentation algorithms have been proposed to segment brain tissue from magnetic resonance (MR) images, few of them consider combining the tissue segmentation and bias field correction into a unified framework while simultaneously removing the noise. In this paper, we present a new unified MR image segmentation algorithm whereby tissue segmentation, bias correction and noise reduction are integrated within the same energy model. Our method is presented by a total variation term introduced to the coherent local intensity clustering criterion function. To solve the nonconvex problem with respect to membership functions, we add auxiliary variables in the energy function such as Chambolle's fast dual projection method can be used and the optimal segmentation and bias field estimation can be achieved simultaneously throughout the reciprocal iteration. Experimental results show that the proposed method has a salient advantage over the other three baseline methods on either tissue segmentation or bias correction, and the noise is significantly reduced via its applications on highly noise-corrupted images. Moreover, benefiting from the fast convergence of the proposed solution, our method is less time-consuming and robust to parameter setting.

  11. A set cover approach to fast beam orientation optimization in intensity modulated radiation therapy for total marrow irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Chieh-Hsiu Jason; Aleman, Dionne M [Department of Mechanical and Industrial Engineering, University of Toronto, 5 King' s College Road, Toronto, ON M5S 3G8 (Canada); Sharpe, Michael B, E-mail: chjlee@mie.utoronto.ca, E-mail: aleman@mie.utoronto.ca, E-mail: michael.sharpe@rmp.uhn.on.ca [Princess Margaret Hospital, Department of Radiation Oncology, University of Toronto, 610 University Avenue, Toronto, ON M5G 2M9 (Canada)

    2011-09-07

    The beam orientation optimization (BOO) problem in intensity modulated radiation therapy (IMRT) treatment planning is a nonlinear problem, and existing methods to obtain solutions to the BOO problem are time consuming due to the complex nature of the objective function and size of the solution space. These issues become even more difficult in total marrow irradiation (TMI), where many more beams must be used to cover a vastly larger treatment area than typical site-specific treatments (e.g., head-and-neck, prostate, etc). These complications result in excessively long computation times to develop IMRT treatment plans for TMI, so we attempt to develop methods that drastically reduce treatment planning time. We transform the BOO problem into the classical set cover problem (SCP) and use existing methods to solve SCP to obtain beam solutions. Although SCP is NP-Hard, our methods obtain beam solutions that result in quality treatments in minutes. We compare our approach to an integer programming solver for the SCP to illustrate the speed advantage of our approach.

  12. Changes in VO2 Max. Resulting from Bicycle Training at Different Intensities Holding Total Mechanical Work Constant.

    Science.gov (United States)

    Burke, Edmund A., Jr.; Franks, B. Don

    Effects of different training intensities on oxygen intake were determined in this study. Sixteen male subjects aged 16-18 were randomly assigned to one of three training groups or a control group. The training groups trained 3 days per week on bicycle ergometers at different intensities (85 percent, 75 percent, or 65 percent of heart rate…

  13. Evaluation of the preliminary effectiveness of hand massage therapy on postoperative pain of adults in the intensive care unit after cardiac surgery: a pilot randomized controlled trial.

    Science.gov (United States)

    Boitor, Mădălina; Martorella, Géraldine; Arbour, Caroline; Michaud, Cécile; Gélinas, Céline

    2015-06-01

    Although many intensive care unit patients experience significant pain, very few studies explored massage to maximize their pain relief. This study aimed to evaluate the preliminary effects of hand massage on pain after cardiac surgery in the adult intensive care unit. A pilot randomized controlled trial was used for this study. The study was conducted in a Canadian medical-surgical intensive care unit. Forty adults who were admitted to the intensive care unit after undergoing elective cardiac surgery in the previous 24 hours participated in the study. They were randomly assigned to the experimental (n = 21) or control (n = 19) group. The experimental group received a 15-minute hand massage, and the control group received a 15-minute hand-holding without massage. In both groups the intervention was followed by a 30-minute rest period. The interventions were offered on 2-3 occasions within 24 hours after surgery. Pain, muscle tension, and vital signs were assessed. Pain intensity and behavioral scores were decreased for the experimental group. Although hand massage decreased muscle tension, fluctuations in vital signs were not significant. This study supports potential benefits of hand massage for intensive care unit postoperative pain management. Although larger randomized controlled trials are necessary, this low-cost nonpharmacologic intervention can be safely administered.

  14. A preliminary comparison of dendritic cell maturation by total cellular RNA to total cellular lysate derived from breast cancer stem cells

    Directory of Open Access Journals (Sweden)

    Phong Minh Le

    2016-06-01

    Full Text Available Introduction: Dendritic cells (DCs have been widely considered as the most potent antigen-presenting cells. As such, DC-based vaccines are regarded as a promising strategy in cancer vaccination and therapy. This study compared the maturation of DCs induced by total cellular RNA and cell lysate (i.e. nucleic acid and protein. Methods: Both total RNA and cell lysate were isolated from breast cancer stem cells (BCSCs. The lysates were used to incubate with monocyte-derived immature DCs. To track the transfection efficiency, the BCSCs were stably transfected with green fluorescent protein (GFP. The maturation of DCs was evaluated by expression of costimulatory molecules including CD40, CD80, and CD86. Transfections were confirmed by evaluating GFP expression in DCs at 24 hours post transfection. Results: The results of this study showed that GFP is expressed in DCs after both total RNA and lysate incubation. The expression of costimulatory molecules (CD40, CD80, and CD86 was significantly higher in RNA-transfected DCs than in cell lysate-primed DCs. Conclusion: Our findings suggest that total RNA primed BCSCs can be a suitable platform for DC-based vaccine therapy of breast cancer. [Biomed Res Ther 2016; 3(6.000: 679-686

  15. Magnetic Field - Vertical Component of the Total Field Intensity for the Epoch 2010.0 - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This map layer shows lines of equal vertical intensity of the Earth's magnetic field, derived from the International Geomagnetic Reference Field (IGRF) for the epoch...

  16. Magnetic Field - Horizontal Component of the Total Field Intensity for the Epoch 2010.0 - Direct Download

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — This map layer shows lines of equal horizontal intensity of the Earth's magnetic field, derived from the International Geomagnetic Reference Field (IGRF) for the...

  17. Goal Oriented Activity Towards Life Skill Training: Preliminary Indications of a Task-intensive Approach to Manage Cerebral Palsy

    Directory of Open Access Journals (Sweden)

    Saumen Gupta

    2013-02-01

    Full Text Available Purpose: To devise a viable programme of intervention for older people with Cerebral Palsy (CP. Methods: Using focus group interviews, a ‘top down’ model of intervention was devised among older children and adolescents with CP. Ten participants volunteered and a custom tailored approach was employed, in keeping with the participants’ goals. Results: The outcomes are described qualitatively. Conclusions: There are preliminary indications that the programme is versatile and feasible. Further trials must be conducted before conclusive comments can be made.

  18. Adipose tissue concentrations of persistent organic pollutants and total cancer risk in an adult cohort from Southern Spain: preliminary data from year 9 of the follow-up.

    Science.gov (United States)

    Arrebola, Juan P; Fernández, Mariana F; Martín-Olmedo, Piedad; Molina-Molina, José Manuel; Sánchez-Pérez, María J; Sánchez-Cantalejo, Emilio; Molina-Portillo, Elena; Expósito, José; Bonde, Jens Peter; Olea, Nicolás

    2014-12-01

    There is an increasing trend in the incidence of cancer worldwide, and it has been accepted that environmental factors account for an important proportion of the global burden. The present paper reports preliminary findings on the influence of the historical exposure to a group of persistent organic pollutants on total cancer risk, at year 9 in the follow-up of a cohort from Southern Spain. A cohort of 368 participants (median age 51 years) was recruited in 2003. Their historical exposure was estimated by analyzing residues of persistent organic pollutants in adipose tissue. Estimation of cancer incidence was based on data from a population-based cancer registry. Statistical analyses were performed using multivariable Cox-regression models. In males, PCB 153 concentrations were positively associated with total cancer risk, with an adjusted hazard ratio (95% confidence interval) of 1.20 (1.01-1.41) for an increment of 100 ng/g lipid. Our preliminary findings suggest a potential relationship between the historical exposure to persistent organic pollutants and the risk of cancer in men. However, these results should be interpreted with caution and require verification during the future follow-up of this cohort. Copyright © 2014 Elsevier B.V. All rights reserved.

  19. The influence of magnetic total intensity and inclination on directions preferred by migrating European robins (Erithacus rubecula)

    Science.gov (United States)

    Wiltschko, W.

    1972-01-01

    The directional orientation of migratory European robins in relation to magnetic cues is analyzed. Major efforts were made to determine what information the birds derive from the fields. It was determined that magnetic fields provide: (1) field intensity which determines whether the magnetic field can be used for orientation, (2) a means by which axial direction may be perceived, and (3) a means by which the bird can find the north direction. The north direction is sensed from the angle between gravity and the magnetic field.

  20. “Remotion” Total Wrist Arthroplasty: Preliminary Results of a Prospective International Multicenter Study of 215 Cases

    DEFF Research Database (Denmark)

    Herzberg, Guillaume; Boeckstyns, Michel Ernest Henri; Sorensen, Allan Ibsen

    2012-01-01

    preoperative and postoperative reports of "ReMotion" TWA at regular intervals. The cases of 7 centers with more than 15 inclusions were considered for this article. A total of 215 wrists were included. In the rheumatoid arthritis (RA; 129 wrists) and nonrheumatoid arthritis (non-RA; 86 wrists) groups......, there were respectively 5 and 6% complications requiring implant revision with a survival rate of 96 and 92%, respectively, at an average follow-up of 4 years. Within the whole series, only one dislocation was observed in one non-RA wrist. A total of 112 wrists (75 rheumatoid and 37 nonrheumatoid) had more...... than 2 years of follow-up (minimum: 2 years, maximum: 8 years). In rheumatoid and non-RA group, visual analog scale (VAS) pain score improved by 48 and 54 points, respectively, and QuickDASH score improved by 20 and 21 points, respectively, with no statistical differences. Average postoperative arc...

  1. Preliminary stochastic model for managing Vibrio parahaemolyticus and total viable bacterial counts in a Pacific oyster (Crassostrea gigas) supply chain.

    Science.gov (United States)

    Fernandez-Piquer, Judith; Bowman, John P; Ross, Tom; Estrada-Flores, Silvia; Tamplin, Mark L

    2013-07-01

    Vibrio parahaemolyticus can accumulate and grow in oysters stored without refrigeration, representing a potential food safety risk. High temperatures during oyster storage can lead to an increase in total viable bacteria counts, decreasing product shelf life. Therefore, a predictive tool that allows the estimation of both V. parahaemolyticus populations and total viable bacteria counts in parallel is needed. A stochastic model was developed to quantitatively assess the populations of V. parahaemolyticus and total viable bacteria in Pacific oysters for six different supply chain scenarios. The stochastic model encompassed operations from oyster farms through consumers and was built using risk analysis software. Probabilistic distributions and predictions for the percentage of Pacific oysters containing V. parahaemolyticus and high levels of viable bacteria at the point of consumption were generated for each simulated scenario. This tool can provide valuable information about V. parahaemolyticus exposure and potential control measures and can help oyster companies and regulatory agencies evaluate the impact of product quality and safety during cold chain management. If coupled with suitable monitoring systems, such models could enable preemptive action to be taken to counteract unfavorable supply chain conditions.

  2. Motion analysis of total cervical disc replacements using computed tomography: Preliminary experience with nine patients and a model

    Energy Technology Data Exchange (ETDEWEB)

    Svedmark, Per (Div. of Orthopedics, Dept. of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm (Sweden); Stockholm Spine Center, Lowenstromska Hospital, Stockholm (Sweden)), email: per.svedmark@spinecenter.se; Lundh, Fredrik; Olivecrona, Henrik (Div. of Orthopedics, Dept. of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm (Sweden)); Nemeth, Gunnar (Capio group, Stockholm (Sweden)); Noz, Marilyn E. (Dept. of Radiology, New York Univ. School of Medicine, New York (United States)); Maguire Jr, Gerald Q. (School of Information and Communication Technology, Royal Inst. of Technology, Kista (Sweden)); Zeleznik, Michael P. (Saya Systems Inc., Salt Lake City (United States))

    2011-12-15

    Background. Cervical total disc replacement (CTDR) is an alternative to anterior fusion. Therefore, it is desirable to have an accurate in vivo measurement of prosthetic kinematics and assessment of implant stability relative to the adjacent vertebrae. Purpose. To devise an in vivo CT-based method to analyze the kinematics of cervical total disc replacements (CTDR), specifically of two prosthetic components between two CT scans obtained under different conditions. Material and Methods. Nine patients with CTDR were scanned in flexion and extension of the cervical spine using a clinical CT scanner with a routine low-dose protocol. The flexion and extension CT volume data were spatially registered, and the prosthetic kinematics of two prosthetic components, an upper and a lower, was calculated and expressed in Euler angles and orthogonal linear translations relative to the upper component. For accuracy analysis, a cervical spine model incorporating the same disc replacement as used in the patients was also scanned and processed in the same manner. Results. Analysis of both the model and patients showed good repeatability, i.e. within 2 standard deviations of the mean using the 95% limits of agreement with no overlapping confidence intervals. The accuracy analysis showed that the median error was close to zero. Conclusion. The mobility of the cervical spine after total disc replacement can be effectively measured in vivo using CT. This method requires an appropriate patient positioning and scan parameters to achieve suitable image quality

  3. Inverse correlation among organochlorine pesticide levels to total lipid serum contents: a preliminary study in Veracruz, México.

    Science.gov (United States)

    Caba, Mario; Meza, Enrique; Waliszewski, Stefan M; Martínez-Valenzuela, Carmen

    2015-07-01

    Organochlorine pesticides, due to their hydrophobic nature and persistence, accumulate in tissues rich in lipids, which had been used as a biomarker for environmental pollution. In humans, organochlorine pesticides are continuously circulating and equilibrating among body compartments. The objective of the study was to evaluate the concentrations of organochlorine pesticides in blood serum and compare their levels to the total lipid contents in Veracruz, México inhabitants. Our hypothesis is that concentrations of organochlorine pesticides will increase just as lipid concentrations. Levels of organochlorine pesticides were divided in ascending tertils according to their total lipid content. The linear trend model applied surprisingly reveals that the average level of all organochlorine pesticides decreases as the lipid concentration increases. From one tertil to the next β-HCH, it shows a decrease of -3.19 mg kg(-1) on lipid basis, pp.'DDE levels decrease by -3.70 mg kg(-1) on lipid basis and pp.'DDT levels decrease -1.13 mg kg(-1) on lipid basis. We conclude that the levels and the orderly sequence of organochlorine pesticide distributions in the blood serum maintain an inverse relationship to total lipid blood serum concentrations.

  4. Evaluation of the Applicability of the Chapman-Miller Method on Variation of the Geomagnetic Total Intensity Field in Taiwan from 1988 to 2007

    Directory of Open Access Journals (Sweden)

    Chieh-Hung Chen

    2009-01-01

    Full Text Available The solar (S and lunar (L variations of geomagnetic fields at the horizontal (H, declination (D, and the downward vertical component data (Z are modeled by the Chap man-Miller method with four order harmonics. In this paper, we compare S and L variations of the geomagnetic total intensity field using a consistent method with 3-component data for seasonal variations (summer, winter, and equinox for three distinct phases during the years 1988 - 2007. The results show that consistency in the S and L variations for geomagnetic total intensity indicates normal stations and discrepancies are occurred due to data quality. In application, consistent results also prove that the function of the magnetometers at TW was normal and that large anomalies were certainly in existence during the Chia-Yi earthquake.

  5. Preliminary efficacy and feasibility of embedding high intensity interval training into the school day: A pilot randomized controlled trial

    OpenAIRE

    Costigan, S.A.; Eather, N.; Plotnikoff, R.C.; Taaffe, D R; E. Pollock; S.G. Kennedy; Lubans, D. R.

    2015-01-01

    Current physical activity and fitness levels among adolescents are low, increasing the risk of chronic disease. Although the efficacy of high intensity interval training (HIIT) for improving metabolic health is now well established, it is not known if this type of activity can be effective to improve adolescent health. The primary aim of this study is to assess the effectiveness and feasibility of embedding HIIT into the school day. A 3-arm pilot randomized controlled trial was conducted in o...

  6. Effect of low level laser therapy and high intensity laser therapy on endothelial cell proliferation in vitro: preliminary communication

    Science.gov (United States)

    Lukowicz, Malgorzata; Szymanska, Justyna; Goralczyk, Krzysztof; Zajac, Andrzej; Rość, Danuta

    2013-01-01

    Background: The main purpose of this study was to analyze the influence of power intensity and wavelength of Low Level Laser Therapy (LLLT) and HILT (High Intensity Laser Therapy) on endothelial cell proliferation. Material and methods: The tests were done on human umbilical vein endothelial cells (HUVEC). Cultures were exposed to laser irradiation of 660 nm and 670 nm at different dosages, power output was 10 - 40 mW as well as 820 nm with power 100 mW and 808 nm with power 1500 mW. Energy density was from 0.28 to 11,43 J/cm2. Cell proliferation of a control and tested culture was evaluated with a colorimetric device to detect live cells. The tests were repeated 8 times. Results: We observed good effects of LLLT on live isolated ECs and no effects in experiments on previous deep-frozen cultures. Also HILT stimulated the proliferation of HUVEC. Conclusion: Endothelial cells play a key role in vascular homeostasis in humans. We observed the stimulatory effect of LLLT and HILT on proliferation of HUVEC. Many factors influence the proliferation of EC, so is it necessary to continue the experiment with different doses, intensity and cell concentration.

  7. Evaluating the intensity of the acoustic radiation force impulse (ARFI) in intravascular ultrasound (IVUS) imaging: Preliminary in vitro results.

    Science.gov (United States)

    Shih, Cho-Chiang; Lai, Ting-Yu; Huang, Chih-Chung

    2016-08-01

    The ability to measure the elastic properties of plaques and vessels is significant in clinical diagnosis, particularly for detecting a vulnerable plaque. A novel concept of combining intravascular ultrasound (IVUS) imaging and acoustic radiation force impulse (ARFI) imaging has recently been proposed. This method has potential in elastography for distinguishing between the stiffness of plaques and arterial vessel walls. However, the intensity of the acoustic radiation force requires calibration as a standard for the further development of an ARFI-IVUS imaging device that could be used in clinical applications. In this study, a dual-frequency transducer with 11MHz and 48MHz was used to measure the association between the biological tissue displacement and the applied acoustic radiation force. The output intensity of the acoustic radiation force generated by the pushing element ranged from 1.8 to 57.9mW/cm(2), as measured using a calibrated hydrophone. The results reveal that all of the acoustic intensities produced by the transducer in the experiments were within the limits specified by FDA regulations and could still displace the biological tissues. Furthermore, blood clots with different hematocrits, which have elastic properties similar to the lipid pool of plaques, with stiffness ranging from 0.5 to 1.9kPa could be displaced from 1 to 4μm, whereas the porcine arteries with stiffness ranging from 120 to 291kPa were displaced from 0.4 to 1.3μm when an acoustic intensity of 57.9mW/cm(2) was used. The in vitro ARFI images of the artery with a blood clot and artificial arteriosclerosis showed a clear distinction of the stiffness distributions of the vessel wall. All the results reveal that ARFI-IVUS imaging has the potential to distinguish the elastic properties of plaques and vessels. Moreover, the acoustic intensity used in ARFI imaging has been experimentally quantified. Although the size of this two-element transducer is unsuitable for IVUS imaging, the

  8. Association between ongoing pain intensity, health-related quality of life, disability and quality of sleep in elderly people with total knee arthroplasty

    Directory of Open Access Journals (Sweden)

    María Dolores Herrero-Sánchez

    2014-06-01

    Full Text Available The scope of this paper was to study the relationship between pain intensity, health-related quality of life, disability, sleep quality and demographic data in elderly people with total knee arthroplasty (TKA. 24 subjects who had been subjected to TKA the previous month (4 females; 66 ± 9years and 21 comparable controls (8 male; 70 ± 9years participated in the study. Intensity of pain, and highest and lowest pain intensity experienced in the preceding week were collected. The Western Ontario and McMaster Universities index function, quality of life (Medical Outcomes Study Short Form 36, and Pittsburgh Sleep Quality Index were assessed. Age, gender, weight, height, body mass index were also collected. Individuals with TKA presented worse physical function (P < 0.01, social role (P = 0.01, physical performance (P < 0.01, pain (P = 0.04, disability (P = 0.04 and sleep quality (P = 0.03 than the controls. Higher intensity of pain was associated with lower physical function, social role, mental health, vitality and general health, and with higher disability and sleep quality. Disability and sleep quality were negatively associated with several quality of life domains. The associations between the intensity of pain, disability, quality of life and sleep reveal the multidimensional experience of TKA.

  9. Preliminary evaluation of Community-Led Total Sanitation for the control of Taenia solium cysticercosis in Katete District of Zambia.

    Science.gov (United States)

    Bulaya, Carol; Mwape, Kabemba E; Michelo, Charles; Sikasunge, Chummy S; Makungu, Chitwambi; Gabriel, Sarah; Dorny, Pierre; Phiri, Isaac K

    2015-01-30

    Taenia solium taeniasis/cysticercosis is a zoonotic disease endemic in sub-Saharan Africa. It is associated with poor sanitary practices, free-range pig husbandry and lack of disease awareness in endemic communities. A comparative research was conducted with pre and post-intervention assessments in nine villages to evaluate Community-Led Total Sanitation (CLTS) as an intervention measure for the control of porcine cysticercosis in Katete District in the Eastern Province of Zambia. Blood samples were collected from pigs for circulating antigen detection and a questionnaire focused on the household was administered to a total of 153 respondents whose pigs were examined (64 pre-intervention, 89 post-intervention), in order to obtain information on general demographic characteristics, pig husbandry practices, sanitation practices and associated knowledge and awareness of T. solium infections. The first sampling was conducted prior to the implementation of the CLTS and second sampling eight months after triggering of CLTS in the selected villages. A total of 379 pig serum samples were examined using the B158/B60 Ag-ELISA to detect T. solium cysticercosis, 104 pre-intervention and 275 post-intervention, of which 14 (13.5%) and 45 (16.4%) were positive, respectively. Wald test p-values were computed to assess significant differences in the variables of interest mentioned above for the pre and post CLTS. The research revealed that CLTS as a control measure did not significantly improve T. solium infections in pigs. The research also revealed that the sanitation practices and awareness of cysticercosis did not change. It is recommended that a longer term evaluation be undertaken when the villages have been declared open defaecation free. In addition, the research recommends that health education, mass drug treatment and pig vaccination be incorporated, as an essential component of prevention and control programmes for T. solium infections.

  10. The relationship of walking intensity to total and cause-specific mortality. Results from the National Walkers' Health Study.

    Directory of Open Access Journals (Sweden)

    Paul T Williams

    Full Text Available PURPOSE: Test whether: 1 walking intensity predicts mortality when adjusted for walking energy expenditure, and 2 slow walking pace (≥24-minute mile identifies subjects at substantially elevated risk for mortality. METHODS: Hazard ratios from Cox proportional survival analyses of all-cause and cause-specific mortality vs. usual walking pace (min/mile in 7,374 male and 31,607 female recreational walkers. Survival times were left censored for age at entry into the study. Other causes of death were treated as a competing risk for the analyses of cause-specific mortality. All analyses were adjusted for sex, education, baseline smoking, prior heart attack, aspirin use, diet, BMI, and walking energy expenditure. Deaths within one year of baseline were excluded. RESULTS: The National Death Index identified 1968 deaths during the average 9.4-year mortality surveillance. Each additional minute per mile in walking pace was associated with an increased risk of mortality due to all causes (1.8% increase, P=10(-5, cardiovascular diseases (2.4% increase, P=0.001, 637 deaths, ischemic heart disease (2.8% increase, P=0.003, 336 deaths, heart failure (6.5% increase, P=0.001, 36 deaths, hypertensive heart disease (6.2% increase, P=0.01, 31 deaths, diabetes (6.3% increase, P=0.004, 32 deaths, and dementia (6.6% increase, P=0.0004, 44 deaths. Those reporting a pace slower than a 24-minute mile were at increased risk for mortality due to all-causes (44.3% increased risk, P=0.0001, cardiovascular diseases (43.9% increased risk, P=0.03, and dementia (5.0-fold increased risk, P=0.0002 even though they satisfied the current exercise recommendations by walking ≥7.5 metabolic equivalent (MET-hours per week. CONCLUSIONS: The risk for mortality: 1 decreases in association with walking intensity, and 2 increases substantially in association for walking pace ≥24 minute mile (equivalent to <400 m during a six-minute walk test even among subjects who exercise regularly.

  11. Relationships between post operative pain management and short term functional mobility in total knee arthroplasty patients with a femoral nerve catheter: A preliminary study

    Directory of Open Access Journals (Sweden)

    Ward Sarah

    2011-02-01

    Full Text Available Abstract Background Effective pain management following total knee arthroplasty (TKA is fundamental in achieving positive rehabilitation outcomes. The purpose of our study was to investigate post operative pain management in relation to short term functional mobility in an intervention group receiving concomitant use of an IV narcotic PCA and a continuous infusion of local anaesthetic via a femoral nerve catheter (CFNC, compared to a group receiving narcotic PCA alone. This was a preliminary study conducted to establish an appropriate design for a larger investigative study. Methods A prospective design was used to measure the effect of a CFNC on post operative pain management and functional mobility prior to hospital discharge. The amount of fentanyl used, pain and nausea scores, timed up and go (TUG tests and active range of knee movement (AROM were used to compare a CFNC and supplemental narcotic patient controlled analgesia (PCA group (n = 27 with a PCA only group (n = 25. Results The CFNC group used significantly less fentanyl than the PCA only group (p s = .505 p s = .529 p s = .328, p = .034 Conclusions In this small preliminary study improved TUG performance at Day 4 post op was not influenced by the use of a CFNC but was positively correlated with male gender, preoperative performance, time elapsed since last oral analgesia and pain score. However AROM was decreased in the CFNC group suggesting further research on the relationship between CFNCs, local anaesthetic concentration and quadriceps strength should be incorporated in the follow up study's design.

  12. A Preliminary Exercise Study of Japanese Version of High-intensity Interval Aerobic Training (J-HIAT)

    Science.gov (United States)

    Matsuo, Tomoaki; Seino, Satoshi; Ohkawara, Kazunori; Tanaka, Kiyoji; Yamada, Shin; Ohshima, Hiroshi; Mukai, Chiaki

    In a microgravity environment, the volume load on the left ventricle is reduced and the cardiac function deteriorates.Consequently, maximal oxygen consumption (VO2max) decreases during spaceflight. Reduced cardiac function can lead to serious health problems such as cardiac atrophy, diastolic dysfunction, and orthostatic hypotension. An exercise using a bicycle ergometer during spaceflight may help to increase the volume load on the left ventricle. On the other hand, many astronauts also experience weight loss during spaceflight because energy imbalances can occur. Some researchers indicate that excessive exercise may promote the energy deficit and have a negative impact on long-term spaceflight. Therefore, we have been devising an original bicyle erogometer protocol better suited to astronauts experiencing long-term spaceflight.One of our candidate protocols is the 3 × 3 protocol named J-HIAT, i.e., three times 3-min intervals with a 2-min active recovery period between intervals. In response to our preliminary experiments, we concluded that J-HIAT would be a potential protocol to control the increase of energy consumption and to have a significant impact on VO2max and the cardiac function. To further verify this method, we are working on full-scale experiments. In future, we will show the results of these experiments.

  13. Preliminary results from two intensive campaigns characterizing urban aerosols at two high altitude cities in the Tropical Andes

    Science.gov (United States)

    Andrade, M. F.; Wiedensohler, A.; Velarde, F.; Moreno, I.; Weinhold, K.; Avila, F.

    2013-05-01

    Preliminary results from a short campaign carried out between September and December of 2012 at the cities of El Alto (16°30'36.09"S; 68°11'55.31"W; 4040 masl) and La Paz (16°30'13.83"S; 68° 7'45.56"W; 3580 masl), Bolivia are presented on this work. Particle size distribution was measured using a Mobility Particle Size Spectrometer (Reference of the World Calibration Center for Aerosol Physics) whereas concentration of black carbon was measured using a Multi Angle Absorption Photometer (MAAP). In addition meteorological parameters as well as CO concentration were collected on both locations. In the case of El Alto, the instruments were located within the International Airport of the city at approximately 300 m from the main and only landing strip and at least 1.5 km away from the main roads. On the other hand, in the case of La Paz, the instruments were set up at the Planetarium of University Mayor de San Andres. The building is located besides a road with heavy traffic. Because the two cities are part of the same metropolitan area (the sites were located 7.5 km apart), the cars and trucks produce a similar signature and therefore both background and non-background urban aerosols were sampled during the campaign. In addition, an interesting case was registered at La Paz where a day with practically no vehicular traffic was studied.

  14. A Prospective, Randomized Study of Component Position in Two-Incision MIS Total Hip Arthroplasty: A Preliminary Study.

    Science.gov (United States)

    Meneghini, R Michael; Smits, Shelly A

    2011-12-01

    Controversy exists regarding the ability to position the implants reliably in minimally invasive surgery (MIS) total hip arthroplasty (THA). This study compared the ability to accurately position components in the MIS two-incision versus single-incision approaches. Twenty-four patients were randomized to THA through one of three approaches, including the two-incision approach. Component position was measured with computed tomography. The mean deviation from the target acetabular anteversion was 14.8 degrees in the two-incision MIS group versus 6.4 degrees in the other two approaches (p = 0.006). A mean of 9.8 degrees deviation from the target femoral anteversion in the two-incision MIS approach group was observed compared with 5.3 degrees in the single-incision groups (p = 0.05). These results suggest there is a decreased ability to accurately position the components in the two-incision approach.

  15. The Effect of Increased Vocal Intensity on Interarticulator Timing in Speakers with Parkinson’s Disease: A Preliminary Analysis

    Science.gov (United States)

    Richardson, Kelly; Sussman, Joan E.; Stathopoulos, Elaine T.; Huber, Jessica E.

    2014-01-01

    Purpose The purpose of the current study was to investigate the effect of increased vocal intensity on interarticulator timing in individuals with Parkinson’s disease (PD). Methods Ten individuals with mild to moderate hypophonia, secondary to PD, were selected for study. Over an 8-week treatment period, multi-talker babble noise was presented monaurally to the individuals with PD during everyday communication contexts to elicit increased vocal intensity (Lombard effect). Outcome measures included sound pressure level (SPL), voice onset time (VOT), VOT ratio, percent voicing, and speech intelligibility. Results Group and individual participant responses to the treatment are reported and discussed. Speakers with PD were shown to significantly increase SPL in response to treatment. Six of the ten speakers showed improved temporal coordination between the laryngeal and supralaryngeal mechanisms (interarticulator timing) in response to treatment. Four of the ten speakers, however, showed reduced laryngeal-supralaryngeal timing at the end of treatment. Group speech intelligibility scores were significantly higher post-treatment as compared to pre-treatment. Conclusions Voice treatment during everyday communication resulted in improved temporal coordination across the laryngeal and supralaryngeal mechanisms for the majority of speakers with PD and made them easier to understand. Further investigations are planned to explore individual differences in response to treatment. The identification of speaker-specific voicing and devoicing strategies is consistent with the heterogeneous nature of PD. PMID:25459460

  16. Bihemispheric repetitive transcranial magnetic stimulation combined with intensive occupational therapy for upper limb hemiparesis after stroke: a preliminary study.

    Science.gov (United States)

    Yamada, Naoki; Kakuda, Wataru; Kondo, Takahiro; Shimizu, Masato; Mitani, Sugao; Abo, Masahiro

    2013-12-01

    We investigated the safety, feasibility, and efficacy of the combination of bihemispheric repetitive transcranial magnetic stimulation (rTMS) and intensive occupational therapy (OT) for upper limb hemiparesis in poststroke patients. The study participants were eight poststroke patients with upper limb hemiparesis (age at intervention: 62.8±4.9 years, time after stroke: 84.3±87.2 months, mean±SD). During 15 days of hospitalization, each patient received 10 sessions of 40-min bihemispheric rTMS and 240-min intensive OT (120-min one-to-one training and 120-min self-training). One session of bihemispheric rTMS comprised the application of both 1 and 10 Hz rTMS (2000 stimuli for each hemisphere). The Fugl-Meyer Assessment, Wolf Motor Function Test, and the Modified Ashworth Scale were administered on the day of admission and at discharge. All patients completed the treatment without any adverse effects. Motor function of the affected upper limb improved significantly, on the basis of changes in Fugl-Meyer Assessment and Wolf Motor Function Test (Ptherapy for poststroke hemiparetic patients, and improved motor function of the hemiparetic upper limb in poststroke patients. The findings provide a new avenue for the treatment of patients with poststroke hemiparesis.

  17. Preliminary vitrinite and bitumen reflectance, total organic carbon, and pyrolysis data for samples from Upper and Lower Cretaceous strata, Maverick Basin, south Texas

    Science.gov (United States)

    Hackley, Paul C.; Dennen, Kristin O.; Gesserman, Rachel M.; Ridgley, Jennie L.

    2009-01-01

    The Lower Cretaceous Pearsall Formation, a regionally occurring limestone and shale interval of 500-600-ft maximum thickness (Rose, 1986), is being evaluated as part of an ongoing U.S. Geological Survey (USGS) assessment of undiscovered hydrocarbon resources in onshore Lower Cretaceous strata of the northern Gulf of Mexico. The purpose of this report is to release preliminary vitrinite and bitumen reflectance, total organic carbon, and pyrolysis data for Pearsall Formation, Glen Rose Formation, Hosston Formation, Austin Group, and Eagle Ford Group samples from the Maverick Basin in south Texas in order to aid in the characterization of these strata in this area. The preliminary nature of this report and the data contained herein reflect that the assessment and characterization of these samples is a work currently in progress. Pearsall Formation subdivisions are, in ascending stratigraphic order, the Pine Island Shale, James Limestone, and Bexar Shale Members (Loucks, 2002). The Lower Cretaceous Glen Rose Formation is also part of the USGS Lower Cretaceous assessment and produces oil in the Maverick Basin (Loucks and Kerans, 2003). The Hosston Formation was assessed by the USGS for undiscovered oil and gas resources in 2006 (Dyman and Condon, 2006), but not in south Texas. The Upper Cretaceous Austin Group is being assessed as part of the USGS assessment of undiscovered hydrocarbon resources in the Upper Cretaceous strata of the northern Gulf of Mexico and, along with the Upper Cretaceous Eagle Ford Group, is considered to be an important source rock in the Smackover-Austin-Eagleford Total Petroleum System (Condon and Dyman, 2006). Both the Austin Group and the Eagle Ford Group are present in the Maverick Basin in south Texas (Rose, 1986).

  18. Preliminary study of the behavioral and biological effects of high intensity 60 Hz electric fields. Quarterly technical progress report, No. 1. [Development and testing of experimental protocols and apparatus

    Energy Technology Data Exchange (ETDEWEB)

    1978-08-01

    The major objective of this preliminary study is to develop and thoroughly test the experimental protocols and apparatus, which are planned for a major study of the behavioral and biological effects of high intensity 60 Hz electric fields. The behavior of baboons will be observed before, during, and after exposure to 60 Hz electric fields at a maximum intensity of 60 kV/m. Both individual performance (operant conditioning) and social behavior will be examined. The preliminary study will differ from the planned major study as follows: subjects will be used as their own controls; a smaller number of subjects will be run; field intensity will not be varied; the electric field should be non-uniform; the preliminary study exposure facility will be basically an outdoor facility; to avoid deterioration of plastic materials, the high intensity fields will not be turned on during or just after rainfall; and in the preliminary study the biological work will be restricted to the clinical determination of the health of subjects before and after exposure. The present report is the first of three quarterly technical progress reports. It covers approximately the first two and one-half months of activity and, therefore, consists primarily of plans. The report addresses four major areas: the high intensity field exposure facility; the field measurement instrumentation; the operation conditioning equipment; and experimental methods including experimental design and data analysis.

  19. A preliminary study of the feasibility of using superconducting quarter-wave resonators for accelerating high intensity proton beams

    Institute of Scientific and Technical Information of China (English)

    YANG Liu; LU Xiang-Yang; QUAN Sheng-Wen; YAO Zhong-Yuan; LUO Xing; ZHOU Kui

    2012-01-01

    The superconducting (SC) cavities currently used for the acceleration of protons at a low velocity range are based on half-wave resonators.Due to the rising demand on high current,the issue of beam loading and space-charge problems has arisen.Qualities of low cost and high accelerating efficiency are required for SC cavities,which are properly fitted by using SC quarter-wave resonators (QWR).We propose a concept of using QWRs with frequency 162.5 MHz to accelerate high current proton beams.The main factor limiting SC QWRs being applied to high current proton beams is vertical beam steering,which is dominantly caused by the magnetic field on axis.In this paper,we intend to analyze steering and eliminate it to verify the qualification of using QWRs to accelerate high intensity proton beams.

  20. [The determination of total protein is not a suitable diagnosis for the treatment of hypoalbuminemia in intensive care patients].

    Science.gov (United States)

    Zielmann, S; Mielck, F; Roth, A T; Lüdtke, R; Sydow, M; Oellerich, M; Burchardi, H

    1995-10-01

    In clinical practice, the administration of supplementary albumin often depends on the measured plasma concentration of total protein (TPC). A TPC of less than 5 g/dl is generally accepted as an indication for albumin therapy, assuming an albumin concentration of less than 2.5 g/dl. However, a physiological relation between TPC and albumin cannot be expected in critically ill patients, and thus, measurement of TPC may be misleading as an indicator for the use of albumin. Therefore, we investigated the sensitivity and specificity of TPC testing for diagnosing hypoalbuminaemia requiring treatment. METHODS. In this prospective study, 210 consecutive patients were included. Protein electrophoresis was performed three times a week; the second electrophoresis was selected for evaluation. Applied statistical analysis revealed the number of positive total protein tests indicating hypoalbuminaemia requiring treatment (sensitivity) and the number of negative with tolerable reduced albumin concentrations (specificity). RESULTS. Of the investigated patients, 27.6% had normal TPCs between 6.2 and 8.0 g/dl. In 81.9% of cases an albumin concentration below 3.5 g/dl was found, while 43 patients had a concentration below 2.5 g/dl. The sensitivity and specificity of TPC measurement for the diagnosis of clinically relevant hypoalbuminaemia (albumin concentration protein. With a TPC of 6.0 g/dl, the sensitivity was 0.96 and the specificity 0.44. With a cutoff point of 5.0 g/dl, the sensitivity was reduced to 0.65 and specificity increased to 0.86. Finally, with a TPC of 4.0 g/dl sensitivity was 0.25 and specificity almost 1. CONCLUSIONS. Depending on the cutoff point for TPC, a relevant albumin requirement would frequently not be detected. In other cases, a need for albumin would be assumed from a reduced TPC even though the albumin concentration still exceeded 2.5 g/dl. Therefore, determination of TPC is not a suitable indicator of the need for albumin replacement. As a result, we

  1. Effect of Different Light Intensities on Total Phenolics and Flavonoids Synthesis and Anti-oxidant Activities in Young Ginger Varieties (Zingiber officinale Roscoe)

    Science.gov (United States)

    Ghasemzadeh, Ali; Jaafar, Hawa Z. E.; Rahmat, Asmah; Wahab, Puteri Edaroyati Megat; Halim, Mohd Ridzwan Abd

    2010-01-01

    Nowadays, phytochemicals and antioxidants in plants are raising interest in consumers for their roles in the maintenance of human health. Phenolics and flavonoids are known for their health-promoting properties due to protective effects against cardiovascular disease, cancers and other disease. Ginger (Zingiber officinale) is one of the traditional folk medicinal plants and it is widely used in cooking in Malaysia. In this study, four levels of glasshouse light intensities (310, 460, 630 and 790 μmol m−2s−1) were used in order to consider the effect of light intensity on the production, accumulation and partitioning of total phenolics (TP), total flavonoids (TF) and antioxidant activities in two varieties of Malaysian young ginger (Zingiber officinale). TF biosynthesis was highest in the Halia Bara variety under 310 μmol m−2s−1 and TP was high in this variety under a light intensity of 790 μmol m−2s−1. The highest amount of these components accumulated in the leaves and after that in the rhizomes. Also, antioxidant activities determined by the 1,1-Diphenyl-2-picryl-hydrazyl (DPPH) assay in both of varieties, increased significantly (p ≤ 0.01) with increasing TF concentration, and high antioxidant activity was observed in the leaves of Halia Bara grown under 310 μmol m−2s−1. The ferric reducing (FRAP) activity of the rhizomes was higher than that of the leaves in 310 μmol m−2s−1 of sun light. This study indicates the ability of different light intensities to enhance the medicinal components and antioxidant activities of the leaves and young rhizomes of Zingiber officinale varieties. Additionally, this study also validated their medicinal potential based on TF and TP contents. PMID:21152306

  2. Effect of Different Light Intensities on Total Phenolics and Flavonoids Synthesis and Anti-oxidant Activities in Young Ginger Varieties (Zingiber officinale Roscoe

    Directory of Open Access Journals (Sweden)

    Ali Ghasemzadeh

    2010-10-01

    Full Text Available Nowadays, phytochemicals and antioxidants in plants are raising interest in consumers for their roles in the maintenance of human health. Phenolics and flavonoids are known for their health-promoting properties due to protective effects against cardiovascular disease, cancers and other disease. Ginger (Zingiber officinale is one of the traditional folk medicinal plants and it is widely used in cooking in Malaysia. In this study, four levels of glasshouse light intensities (310, 460, 630 and 790 μmol m−2s−1 were used in order to consider the effect of light intensity on the production, accumulation and partitioning of total phenolics (TP, total flavonoids (TF and antioxidant activities in two varieties of Malaysian young ginger (Zingiber officinale. TF biosynthesis was highest in the Halia Bara variety under 310 μmol m−2s−1 and TP was high in this variety under a light intensity of 790 μmol m−2s−1. The highest amount of these components accumulated in the leaves and after that in the rhizomes. Also, antioxidant activities determined by the 1,1-Diphenyl-2-picryl-hydrazyl (DPPH assay in both of varieties, increased significantly (p ≤ 0.01 with increasing TF concentration, and high antioxidant activity was observed in the leaves of Halia Bara grown under 310 μmol m−2s−1. The ferric reducing (FRAP activity of the rhizomes was higher than that of the leaves in 310 μmol m−2s−1 of sun light. This study indicates the ability of different light intensities to enhance the medicinal components and antioxidant activities of the leaves and young rhizomes of Zingiber officinale varieties. Additionally, this study also validated their medicinal potential based on TF and TP contents.

  3. Preliminary efficacy and feasibility of embedding high intensity interval training into the school day: A pilot randomized controlled trial

    Science.gov (United States)

    Costigan, S.A.; Eather, N.; Plotnikoff, R.C.; Taaffe, D.R.; Pollock, E.; Kennedy, S.G.; Lubans, D.R.

    2015-01-01

    Current physical activity and fitness levels among adolescents are low, increasing the risk of chronic disease. Although the efficacy of high intensity interval training (HIIT) for improving metabolic health is now well established, it is not known if this type of activity can be effective to improve adolescent health. The primary aim of this study is to assess the effectiveness and feasibility of embedding HIIT into the school day. A 3-arm pilot randomized controlled trial was conducted in one secondary school in Newcastle, Australia. Participants (n = 65; mean age = 15.8(0.6) years) were randomized into one of three conditions: aerobic exercise program (AEP) (n = 21), resistance and aerobic exercise program (RAP) (n = 22) and control (n = 22). The 8-week intervention consisted of three HIIT sessions per week (8–10 min/session), delivered during physical education (PE) lessons or at lunchtime. Assessments were conducted at baseline and post-intervention to detect changes in cardiorespiratory fitness (multi-stage shuttle-run), muscular fitness (push-up, standing long jump tests), body composition (Body Mass Index (BMI), BMI-z scores, waist circumference) and physical activity motivation (questionnaire), by researchers blinded to treatment allocation. Intervention effects for outcomes were examined using linear mixed models, and Cohen's d effect sizes were reported. Participants in the AEP and RAP groups had moderate intervention effects for waist circumference (p = 0.024), BMI-z (p = 0.037) and BMI (not significant) in comparison to the control group. A small intervention effect was also evident for cardiorespiratory fitness in the RAP group. PMID:26844177

  4. Preliminary efficacy and feasibility of embedding high intensity interval training into the school day: A pilot randomized controlled trial

    Directory of Open Access Journals (Sweden)

    S.A. Costigan

    2015-01-01

    Full Text Available Current physical activity and fitness levels among adolescents are low, increasing the risk of chronic disease. Although the efficacy of high intensity interval training (HIIT for improving metabolic health is now well established, it is not known if this type of activity can be effective to improve adolescent health. The primary aim of this study is to assess the effectiveness and feasibility of embedding HIIT into the school day. A 3-arm pilot randomized controlled trial was conducted in one secondary school in Newcastle, Australia. Participants (n = 65; mean age = 15.8(0.6 years were randomized into one of three conditions: aerobic exercise program (AEP (n = 21, resistance and aerobic exercise program (RAP (n = 22 and control (n = 22. The 8-week intervention consisted of three HIIT sessions per week (8–10 min/session, delivered during physical education (PE lessons or at lunchtime. Assessments were conducted at baseline and post-intervention to detect changes in cardiorespiratory fitness (multi-stage shuttle-run, muscular fitness (push-up, standing long jump tests, body composition (Body Mass Index (BMI, BMI-z scores, waist circumference and physical activity motivation (questionnaire, by researchers blinded to treatment allocation. Intervention effects for outcomes were examined using linear mixed models, and Cohen's d effect sizes were reported. Participants in the AEP and RAP groups had moderate intervention effects for waist circumference (p = 0.024, BMI-z (p = 0.037 and BMI (not significant in comparison to the control group. A small intervention effect was also evident for cardiorespiratory fitness in the RAP group.

  5. Preliminary safety and efficacy results with robotic high-intensity focused ultrasound : A single center Indian experience

    Directory of Open Access Journals (Sweden)

    Shashikant Mishra

    2011-01-01

    Full Text Available Background : There are no Indian data of high-intensity focused ultrasound (HIFU. Being an alternative, still experimental modality, reporting short-term safety outcome is paramount. Aims : This study was aimed at to assess the safety and short-term outcome in patients with prostate cancer treated by HIFU. Settings and Design : A retrospective study of case records of 30 patients undergoing HIFU between January 2008 to September 2010 was designed and conducted. Materials and Methods : The procedural safety was analyzed at 3 months. Follow-up consisted of 3 monthly prostate-specific antigen (PSA levels and transrectal biopsy if indicated. All the patients had a minimum follow-up of 6 months. Results : A mean prostate volume of 26.9 ± 8.5 cm 3 was treated in a mean time of 115 ± 37.4 min. There was no intraoperative complication. The postoperative pain visual analogue score at day 0 was 2.1 ± 1.9 and at day 1 was 0.4 ± 0.8 on a scale of 1-10. Mean duration of perurethral catheter removal was 3.9 days. The complications after treatment were: LUTS in seven patients, stress incontinence in two, stricture in two, and symptomatic urinary tract infection in five. Average follow-up duration was 10.4 months (range, 6-20 months. Mean time to obtain PSA nadir was 6 ± 3 months with a median PSA nadir value of 0.3 ng/ml. Two patients had positive prostatic biopsy in the localized (high risk group. Conclusions : HIFU was safe in carcinoma prostate patients. The short-term results were efficacious in localized disease. The low complication rates and favorable functional outcome support the planning of further larger studies.

  6. Preliminary efficacy and feasibility of embedding high intensity interval training into the school day: A pilot randomized controlled trial.

    Science.gov (United States)

    Costigan, S A; Eather, N; Plotnikoff, R C; Taaffe, D R; Pollock, E; Kennedy, S G; Lubans, D R

    2015-01-01

    Current physical activity and fitness levels among adolescents are low, increasing the risk of chronic disease. Although the efficacy of high intensity interval training (HIIT) for improving metabolic health is now well established, it is not known if this type of activity can be effective to improve adolescent health. The primary aim of this study is to assess the effectiveness and feasibility of embedding HIIT into the school day. A 3-arm pilot randomized controlled trial was conducted in one secondary school in Newcastle, Australia. Participants (n = 65; mean age = 15.8(0.6) years) were randomized into one of three conditions: aerobic exercise program (AEP) (n = 21), resistance and aerobic exercise program (RAP) (n = 22) and control (n = 22). The 8-week intervention consisted of three HIIT sessions per week (8-10 min/session), delivered during physical education (PE) lessons or at lunchtime. Assessments were conducted at baseline and post-intervention to detect changes in cardiorespiratory fitness (multi-stage shuttle-run), muscular fitness (push-up, standing long jump tests), body composition (Body Mass Index (BMI), BMI-z scores, waist circumference) and physical activity motivation (questionnaire), by researchers blinded to treatment allocation. Intervention effects for outcomes were examined using linear mixed models, and Cohen's d effect sizes were reported. Participants in the AEP and RAP groups had moderate intervention effects for waist circumference (p = 0.024), BMI-z (p = 0.037) and BMI (not significant) in comparison to the control group. A small intervention effect was also evident for cardiorespiratory fitness in the RAP group.

  7. A simplified modification of the AOAC official method for determination of total dietary fiber using newly developed enzymes: preliminary interlaboratory study.

    Science.gov (United States)

    Kanaya, Kenichiro; Tada, Shusaku; Mori, Bunpei; Takahashi, Rie; Ikegami, Sachie; Kurasawa, Shin'ichi; Okuzaki, Masami; Mori, Yoko; Innami, Satoshi

    2007-01-01

    A preliminary interlaboratory study was conducted to evaluate the validity of the modified AOAC method for determination of total dietary fiber by Tada and Innami, in which the 3-step enzymatic digestion process in AOAC Method 991.43 is modified to a 2-step process without pH adjustment. Total dietary fiber contents in 8 representative foodstuffs were measured using both the original AOAC Method 991.43 and the modified method in 6 research facilities in Japan. Repeatability relative standard deviations, reproducibility relative standard deviations, and Horwitz ratio values from the modified method were equivalent to those from AOAC Method 991.43, except in the rice sample. However, this exceptional case shown in the modified method was entirely dissolved by the addition of alpha-amylase stabilizing agents. The modified method, which shortens the process of enzymatic digestion from 3 to 2 steps and in which only reaction temperature is adjusted under the same pH, was found not only to give accurate values comparable to the original method, but also to substantially reduce the labor required by the laboratory staff in the process of routine analysis. This study revealed that the validity of the modified method was further ensured by adding alpha-amylase stabilizing agents to the reaction system.

  8. Mindfulness meditation, well-being, and heart rate variability: a preliminary investigation into the impact of intensive Vipassana meditation.

    Science.gov (United States)

    Krygier, Jonathan R; Heathers, James A J; Shahrestani, Sara; Abbott, Maree; Gross, James J; Kemp, Andrew H

    2013-09-01

    Mindfulness meditation has beneficial effects on brain and body, yet the impact of Vipassana, a type of mindfulness meditation, on heart rate variability (HRV) - a psychophysiological marker of mental and physical health - is unknown. We hypothesised increases in measures of well-being and HRV, and decreases in ill-being after training in Vipassana compared to before (time effects), during the meditation task compared to resting baseline (task effects), and a time by task interaction with more pronounced differences between tasks after Vipassana training. HRV (5-minute resting baseline vs. 5-minute meditation) was collected from 36 participants before and after they completed a 10-day intensive Vipassana retreat. Changes in three frequency-domain measures of HRV were analysed using 2 (Time; pre- vs. post-Vipassana)× 2 (Task; resting baseline vs. meditation) within subjects ANOVA. These measures were: normalised high-frequency power (HF n.u.), a widely used biomarker of parasympathetic activity; log-transformed high frequency power (ln HF), a measure of RSA and required to interpret normalised HF; and Traube-Hering-Mayer waves (THM), a component of the low frequency spectrum linked to baroreflex outflow. As expected, participants showed significantly increased well-being, and decreased ill-being. ln HF increased overall during meditation compared to resting baseline, while there was a time∗task interaction for THM. Further testing revealed that pre-Vipassana only ln HF increased during meditation (vs. resting baseline), consistent with a change in respiration. Post-Vipassana, the meditation task increased HF n.u. and decreased THM compared to resting baseline, suggesting post-Vipassana task-related changes are characterised by a decrease in absolute LF power, not parasympathetic-mediated increases in HF power. Such baroreflex changes are classically associated with attentional load, and our results are interpreted in light of the concept of 'flow' - a state of

  9. Preliminary results of modeled ozone uptake for Fagus sylvatica L. trees at selected EU/UN-ECE intensive monitoring plots

    Energy Technology Data Exchange (ETDEWEB)

    Schaub, Marcus [Swiss Federal Institute for Forest, Snow and Landscape Research WSL, Zuercherstrasse 111, 8903 Birmensdorf (Switzerland)]. E-mail: marcus.schaub@wsl.ch; Emberson, Lisa [Stockholm Environment Institute at York, University of York, York YO10 5DD (United Kingdom); Bueker, Patrick [Stockholm Environment Institute at York, University of York, York YO10 5DD (United Kingdom); Kraeuchi, Norbert [Swiss Federal Institute for Forest, Snow and Landscape Research WSL, Zuercherstrasse 111, 8903 Birmensdorf (Switzerland)

    2007-02-15

    The objective of this study was to establish whether EU and UN-ECE/ICP-Forests monitoring data (i) provide the variables necessary to apply the flux-based modeling methods and (ii) meet the quality criteria necessary to apply the flux-based critical level concept. Application of this model has been possible using environmental data collected from the EU and UN-ECE/ICP-Forests monitoring network in Switzerland and Italy for 2000-2002. The test for data completeness and plausibility resulted in 6 out of a possible total of 20 Fagus sylvatica L. plots being identified as suitable from Switzerland, Italy, Spain, and France. The results show that the collected data allow the identification of different spatial and temporal areas and periods as having higher risk to ozone than those identified using the AOT40 approach. However, it was also apparent that the quality and completeness of the available data may severely limit a complete risk assessment across Europe. - Data sets of the EU and UN-ECE/ICP-Forests monitoring network are examined regarding their suitability for the modeling of ozone uptake in trees in the view of risk assessment.

  10. Effects of a 6-Week Upper Extremity Low-Volume, High Intensity Interval Training on Oxygen Uptake, Peak Power Output and Total Exercise Time.

    Science.gov (United States)

    Pinto, Nicole; Salassi, James W; Donlin, Ayla; Schroeder, Jan; Rozenek, Ralph

    2017-05-30

    The purpose of this study was to compare the effects of upper extremity (UE) high intensity interval training (HIIT) to UE continuous training (CT) when training at a similar intensity. 20 participants (mean age = 23 ± 3 yrs) were randomly assigned to either a HIIT (n = 10) or CT (n = 10) group. Participants completed a graded exercise test utilizing arm cranking prior to and following 6 wks (2 sessions · wk-1) of UE training. During sessions, HIIT performed 10 repetitions of 60 s of work at 92.3 ± 1.0% of the arm HRpeak (%aHRpeak) and 60 s of passive recovery (%aHRpeak = 73.0 ± 4.0%) yielding an average training intensity of 82.6 ± 1.5 %aHRpeak. CT exercised for 20 min. at an average intensity of 81.9 ± 2.2 %aHRpeak. Following training HIIT showed greater improvement in V[Combining Dot Above]O2peak compared to CT (Δ = 4.1 ml · min-¹ · kg-¹, 95%CI: 1.3 - 6.9 ml · min-¹ · kg-¹, p = .007). Total exercise time during the post-test GXT was also improved as a result of HIIT (Δ = 1.4 min, 95%CI: 0.4 - 2.3 min, p = .008). Both groups improved peak power output, but no difference was observed between them (Δ = 3.3 W, 95%CI: -3.3 - 9.9 W, p = .305). For a similar time investment, HIIT appeared to improve cardiopulmonary capacity and exercise time to a greater extent than CT and may be a time-efficient alternative for those who incorporate UE aerobic activity into a training program.

  11. Preliminary evaluation of total protein concentration and electrophoretic protein fractions in fresh and frozen serum from wild Horned Vipers (Vipera ammodytes ammodytes).

    Science.gov (United States)

    Proverbio, Daniela; de Giorgi, Giada Bagnagatti; Della Pepa, Alessandra; Baggiani, Luciana; Spada, Eva; Perego, Roberta; Comazzi, Carlo; Belloli, Angelo

    2012-12-01

    Determination of the health status of reptiles is based on physical examination and evaluation of hematologic and biochemical values. Evaluation of serum total protein (TP) concentration and protein fractions plays an important role in health assessment; however, little is known about references value for these analytes in wild viperoid snakes. In addition, studies evaluating the stability of proteins in frozen viperoid serum are lacking. The aims of this study were to establish preliminary reference values for concentrations of TP and protein fractions in serum from wild vipers and to evaluate the stability of serum proteins in frozen serum samples from viperoid snakes. Blood samples were collected from wild Horned Vipers (Vipera ammodytes ammodytes). Using fresh serum, TP concentrations were determined using the biuret method and protein fractions were analyzed using agarose gel electrophoresis (AGE); albumin/globulin ratios were calculated. Analyses were also performed on serum frozen at -20°C for 70 days and then thawed. Pre- and post-storage results were compared using the Mann-Whitney U-test. Five adult wild Horned Vipers were sampled and comprised 4 males and 1 female. The female snake had higher TP concentrations than the male snakes. The electrophoretic patterns demonstrated 6 protein fractions that were similar for all 5 snakes. There were no significant changes in the concentrations of the 6 protein fractions post-storage; the percentage of the alpha-1 fraction was increased in frozen/thawed serum. Total protein concentrations in serum from Vipera ammodytes ammodytes were in agreement with published reference intervals for healthy reptiles and viperoid snakes. Serum protein fractions were easy to identify using AGE electrophoresis. © 2012 American Society for Veterinary Clinical Pathology.

  12. Preliminary assessment of a water-quality monitoring program for total maximum daily loads in Johnson County, Kansas, January 2015 through June 2016

    Science.gov (United States)

    Rasmussen, Teresa J.; Paxson, Chelsea R.

    2017-08-25

    Municipalities in Johnson County in northeastern Kansas are required to implement stormwater management programs to reduce pollutant discharges, protect water quality, and comply with applicable water-quality regulations in accordance with National Pollutant Discharge Elimination System permits for stormwater discharge. To this end, municipalities collect grab samples at streams entering and leaving their jurisdiction to determine levels of excessive nutrients, sediment, and fecal bacteria to characterize pollutants and understand the factors affecting them.In 2014, the U.S. Geological Survey and the Johnson County Stormwater Management Program, with input from the Kansas Department of Health and Environment, initiated a 5-year monitoring program to satisfy minimum sampling requirements for each municipality as described by new stormwater permits issued to Johnson County municipalities. The purpose of this report is to provide a preliminary assessment of the monitoring program. The monitoring program is described, a preliminary assessment of the monitoring program design is provided using water-quality data collected during the first 2 years of the program, and the ability of the current monitoring network and sampling plan to provide data sufficient to quantify improvements in water quality resulting from implemented and planned best management practices is evaluated. The information in this initial report may be used to evaluate changes in data collection methods while data collection is still ongoing that may lead to improved data utility.Discrete water-quality samples were collected at 27 sites and analyzed for nutrients, Escherichia coli (E. coli) bacteria, total suspended solids, and suspended-sediment concentration. In addition, continuous water-quality data (water temperature, pH, dissolved oxygen, specific conductance, turbidity, and nitrate plus nitrite) were collected at one site to characterize variability and provide a basis for comparison to discrete

  13. Which patients need critical care intervention after total joint arthroplasty? : a prospective study of factors associated with the need for intensive care following surgery.

    Science.gov (United States)

    Courtney, P M; Melnic, C M; Gutsche, J; Hume, E L; Lee, G-C

    2015-11-01

    Older patients with multiple medical co-morbidities are increasingly being offered and undergoing total joint arthroplasty (TJA). These patients are more likely to require intensive care support, following surgery. We prospectively evaluated the need for intensive care admission and intervention in a consecutive series of 738 patients undergoing elective hip and knee arthroplasty procedures. The mean age was 60.6 years (18 to 91; 440 women, 298 men. Risk factors, correlating with the need for critical care intervention, according to published guidelines, were analysed to identify high-risk patients who would benefit from post-operative critical care monitoring. A total of 50 patients (6.7%) in our series required critical care level interventions during their hospital stay. Six independent multivariate clinical predictors were identified (p 1000 mL (OR 17.36, 95% CI 5.36 to 56.19), chronic obstructive pulmonary disease (13.90, 95% CI 4.78 to 40.36), intra-operative use of vasopressors (OR 8.10, 95% CI 3.23 to 20.27), revision hip arthroplasty (OR 2.71, 95% CI 1.04 to 7.04) and body mass index > 35 kg/m(2) (OR 2.70, 95% CI 123 to 5.94). The model was then validated against an independent, previously published data set of 1594 consecutive patients. The use of this risk stratification model can be helpful in predicting which high-risk patients would benefit from a higher level of monitoring and care after elective TJA and aid hospitals in allocating precious critical care resources.

  14. Intra-hospital transfers to a higher level of care: contribution to total hospital and intensive care unit (ICU) mortality and length of stay (LOS).

    Science.gov (United States)

    Escobar, Gabriel J; Greene, John D; Gardner, Marla N; Marelich, Gregory P; Quick, Bryon; Kipnis, Patricia

    2011-02-01

    Patients who experience intra-hospital transfers to a higher level of care (eg, ward to intensive care unit [ICU]) are known to have high mortality. However, these findings have been based on single-center studies or studies that employ ICU admissions as the denominator. To employ automated bed history data to examine outcomes of intra-hospital transfers using all hospital admissions as the denominator. Retrospective cohort study. A total of 19 acute care hospitals. A total of 150,495 patients, who experienced 210,470 hospitalizations, admitted to these hospitals between November 1st, 2006 and January 31st, 2008. Predictors were age, sex, admission type, admission diagnosis, physiologic derangement on admission, and pre-existing illness burden; outcomes were: 1) occurrence of intra-hospital transfer, 2) death following admission to the hospital, 3) death following transfer, and 4) total hospital length of stay (LOS). A total of 7,868 hospitalizations that began with admission to either a general medical surgical ward or to a transitional care unit (TCU) had at least one transfer to a higher level of care. These hospitalizations constituted only 3.7% of all admissions, but accounted for 24.2% of all ICU admissions, 21.7% of all hospital deaths, and 13.2% of all hospital days. Models based on age, sex, preadmission laboratory test results, and comorbidities did not predict the occurrence of these transfers. Patients transferred to higher level of care following admission to the hospital have excess mortality and LOS. Copyright © 2010 Society of Hospital Medicine.

  15. SU-E-T-632: Preliminary Study On Treating Nose Skin Using Energy and Intensity Modulated Electron Beams with Monte Carlo Based Dose Calculations

    Energy Technology Data Exchange (ETDEWEB)

    Jin, L; Eldib, A; Li, J; Price, R; Ma, C [Fox Chase Cancer Center, Philadelphia, PA (United States)

    2015-06-15

    Purpose: Uneven nose surfaces and air cavities underneath and the use of bolus present complexity and dose uncertainty when using a single electron energy beam to plan treatments of nose skin with a pencil beam-based planning system. This work demonstrates more accurate dose calculation and more optimal planning using energy and intensity modulated electron radiotherapy (MERT) delivered with a pMLC. Methods: An in-house developed Monte Carlo (MC)-based dose calculation/optimization planning system was employed for treatment planning. Phase space data (6, 9, 12 and 15 MeV) were used as an input source for MC dose calculations for the linac. To reduce the scatter-caused penumbra, a short SSD (61 cm) was used. Our previous work demonstrates good agreement in percentage depth dose and off-axis dose between calculations and film measurement for various field sizes. A MERT plan was generated for treating the nose skin using a patient geometry and a dose volume histogram (DVH) was obtained. The work also shows the comparison of 2D dose distributions between a clinically used conventional single electron energy plan and the MERT plan. Results: The MERT plan resulted in improved target dose coverage as compared to the conventional plan, which demonstrated a target dose deficit at the field edge. The conventional plan showed higher dose normal tissue irradiation underneath the nose skin while the MERT plan resulted in improved conformity and thus reduces normal tissue dose. Conclusion: This preliminary work illustrates that MC-based MERT planning is a promising technique in treating nose skin, not only providing more accurate dose calculation, but also offering an improved target dose coverage and conformity. In addition, this technique may eliminate the necessity of bolus, which often produces dose delivery uncertainty due to the air gaps that may exist between the bolus and skin.

  16. PEEK-OPTIMA(™) as an alternative to cobalt chrome in the femoral component of total knee replacement: A preliminary study.

    Science.gov (United States)

    Cowie, Raelene M; Briscoe, Adam; Fisher, John; Jennings, Louise M

    2016-11-01

    duration of the study. These preliminary findings showed that PEEK-OPTIMA(™) gives promise as an alternative bearing material to cobalt chrome alloy in the femoral component of a total knee replacement with respect to wear performance.

  17. Analysis of Contrast-Enhanced Ultrasound Perfusion Patterns and Time-Intensity Curves for Metastatic Lymph Nodes From Lung Cancer: Preliminary Results.

    Science.gov (United States)

    Yin, Shanshan; Cui, Qiuli; Wang, Song; Fan, Zhihui; Yan, Kun

    2017-09-06

    To retrospectively summarize the similarities and differences in contrast-enhanced ultrasound (US) findings for lymph node metastasis from adenocarcinoma, squamous carcinoma, and small cell lung cancer. Patients who had received contrast-enhanced US examinations and had a histologic diagnosis of supraclavicular lymph node metastasis from lung cancer were included. The perfusion patterns on contrast-enhanced US images and time-intensity curve parameters were analyzed for the different pathologic types. The microvascular density and microvascular diameter were evaluated. Totally, 61 patients were enrolled in this study, including 26 cases with lung squamous carcinoma, 26 with lung adenocarcinoma, and 9 with small cell lung cancer. Contrast-enhanced US perfusion showed no significant differences in enhancement uniformity during the arterial phase and in the presence of unenhanced areas of metastatic lymph nodes with the 3 different pathologic origins (P > .05), but fewer unenhanced areas could be seen in metastatic lymph nodes from adenocarcinoma. The analysis of the time-intensity curve parameters showed that there were significant differences in the peak intensity between metastatic lymph nodes from lung squamous carcinoma and lung adenocarcinoma (P lymph nodes from adenocarcinoma was significantly higher than that of metastatic lymph nodes from squamous carcinoma and small cell lung cancer (P lymph nodes from adenocarcinoma was significantly smaller than that from squamous carcinoma and small cell lung cancer (P = .0277; P lymph nodes during contrast-enhanced US examinations, even in the same organ. © 2017 by the American Institute of Ultrasound in Medicine.

  18. Similar Survival for Patients Undergoing Reduced-Intensity Total Body Irradiation (TBI) Versus Myeloablative TBI as Conditioning for Allogeneic Transplant in Acute Leukemia

    Energy Technology Data Exchange (ETDEWEB)

    Mikell, John L., E-mail: jmikell@emory.edu [Department of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia (United States); Waller, Edmund K. [Department of Hematology and Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia (United States); Switchenko, Jeffrey M. [Department of Biostatistics and Bioinformatics, Winship Cancer Institute, Emory University, Atlanta, Georgia (United States); Rangaraju, Sravanti; Ali, Zahir; Graiser, Michael [Department of Hematology and Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia (United States); Hall, William A. [Department of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia (United States); Langston, Amelia A. [Department of Hematology and Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia (United States); Esiashvili, Natia [Department of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia (United States); Khoury, H. Jean [Department of Hematology and Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia (United States); Khan, Mohammad K. [Department of Radiation Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia (United States)

    2014-06-01

    Purpose: Hematopoietic stem cell transplantation (HSCT) is the mainstay of treatment for adults with acute leukemia. Total body irradiation (TBI) remains an important part of the conditioning regimen for HCST. For those patients unable to tolerate myeloablative TBI (mTBI), reduced intensity TBI (riTBI) is commonly used. In this study we compared outcomes of patients undergoing mTBI with those of patients undergoing riTBI in our institution. Methods and Materials: We performed a retrospective review of all patients with acute leukemia who underwent TBI-based conditioning, using a prospectively acquired database of HSCT patients treated at our institution. Patient data including details of the transplantation procedure, disease status, Karnofsky performance status (KPS), response rates, toxicity, survival time, and time to progression were extracted. Patient outcomes for various radiation therapy regimens were examined. Descriptive statistical analysis was performed. Results: Between June 1985 and July 2012, 226 patients with acute leukemia underwent TBI as conditioning for HSCT. Of those patients, 180 had full radiation therapy data available; 83 had acute lymphoblastic leukemia and 94 had acute myelogenous leukemia; 45 patients received riTBI, and 135 received mTBI. Median overall survival (OS) was 13.7 months. Median relapse-free survival (RFS) for all patients was 10.2 months. Controlling for age, sex, KPS, disease status, and diagnosis, there were no significant differences in OS or RFS between patients who underwent riTBI and those who underwent mTBI (P=.402, P=.499, respectively). Median length of hospital stay was shorter for patients who received riTBI than for those who received mTBI (16 days vs 23 days, respectively; P<.001), and intensive care unit admissions were less frequent following riTBI than mTBI (2.22% vs 12.69%, respectively, P=.043). Nonrelapse survival rates were also similar (P=.186). Conclusions: No differences in OS or RFS were seen between

  19. The Kjeldahl method as a primary reference procedure for total protein in certified reference materials used in clinical chemistry. II. Selection of direct Kjeldahl analysis and its preliminary performance parameters.

    Science.gov (United States)

    Vinklárková, Bára; Chromý, Vratislav; Šprongl, Luděk; Bittová, Miroslava; Rikanová, Milena; Ohnútková, Ivana; Žaludová, Lenka

    2015-01-01

    To select a Kjeldahl procedure suitable for the determination of total protein in reference materials used in laboratory medicine, we reviewed in our previous article Kjeldahl methods adopted by clinical chemistry and found an indirect two-step analysis by total Kjeldahl nitrogen corrected for its nonprotein nitrogen and a direct analysis made on isolated protein precipitates. In this article, we compare both procedures on various reference materials. An indirect Kjeldahl method gave falsely lower results than a direct analysis. Preliminary performance parameters qualify the direct Kjeldahl analysis as a suitable primary reference procedure for the certification of total protein in reference laboratories.

  20. The clinical and economic value of the dipeptide alanyl-glutamine in total parenteral nutrition of critically ill patients treated in intensive care units in Italy

    Directory of Open Access Journals (Sweden)

    Maurizio Muscaritoli

    2009-06-01

    Full Text Available Introduction: the supplementation of alanyl-glutamine dipeptide in critically ill patients necessitating total parenteral nutrition (TPN improves clinical outcomes, reducing mortality, infection rate, and shortening ICU hospital lengths of stay (LOS, as compared to standard TPN regimens. Here we present a pharmacoeconomic evaluation of alanyl-glutamine dipeptide in critically ill patients admitted to Italian Intensive Care Units (ICUs. Methods: a Discrete Event Simulation model that incorporates outcomes rates from 200 Italian ICUs for over 60,000 patients, alanyl-glutamine dipeptide efficacy data synthesized by means of a Bayesian Random-Effects meta-analysis, and national cost data has been developed to evaluated the alternatives from the point of view of the hospital. Simulated clinical outcomes are death and infection rates in ICU, death rate in general ward, and hospital LOSs. One-way and probabilistic sensitivity analyses are performed by varying all uncertain parameter values in a plausible range. Results: alanyl-glutamine dipeptide results more effective and less costly than standard TPN: reduced mortality rate (23.55% ± 15.2% vs 34.50% ± 2.06%, infection rate (15.91% ± 3.95% vs 18.97% ± 3.94%, and hospital LOS (25.47 ± 0.26 vs 26.00 ± 0.27 days come at a lower total cost per patient (23,922 ± 3,249 vs 24,145 ± 3,361 Euro. Treatment cost is completely offset by savings on ICU and antibiotic costs. The cost/effectiveness acceptability curve indicates an estimated 78% probability of alanyl-glutamine dipeptide resulting dominant and a 90% probability of resulting cost/effective for a willingness to pay up to 1,500 Euro for one patient death avoided. Conclusions: alanyl-glutamine dipeptide is expected to improve clinical outcomes and to do so with a concurrent saving for the hospital.

  1. A Southern-Sky Total Intensity Source Catalogue at 2.3 GHz from S-Band Polarisation All-Sky Survey Data

    Science.gov (United States)

    Meyers, B. W.; Hurley-Walker, N.; Hancock, P. J.; Franzen, T. M. O.; Carretti, E.; Staveley-Smith, L.; Gaensler, B. M.; Haverkorn, M.; Poppi, S.

    2017-03-01

    The S-band Polarisation All-Sky Survey has observed the entire southern sky using the 64-m Parkes radio telescope at 2.3 GHz with an effective bandwidth of 184 MHz. The surveyed sky area covers all declinations δ ⩽ 0°. To analyse compact sources, the survey data have been re-processed to produce a set of 107 Stokes I maps with 10.75 arcmin resolution and the large scale emission contribution filtered out. In this paper, we use these Stokes I images to create a total intensity southern-sky extragalactic source catalogue at 2.3 GHz. The source catalogue contains 23 389 sources and covers a sky area of 16 600 deg2, excluding the Galactic plane for latitudes |b| Sky Survey source positions are typically accurate to within 35 arcsec. At a flux density of 225 mJy, the S-band Polarisation All-Sky Survey source catalogue is more than 95% complete, and 94% of S-band Polarisation All-Sky Survey sources brighter than 500 mJy beam-1 have a counterpart at lower frequencies.

  2. Dosimetric comparison of intensity-modulated radiotherapy (IMRT) and volumetric modulated arc therapy (VMAT) in total scalp irradiation: a single institutional experience

    Energy Technology Data Exchange (ETDEWEB)

    Ostheimer, Christian; Huebsch, Patrick; Janich, Martin; Gerlach, Reinhard; Vordermark, Dirk [Dept. of Radiation Oncology, Faculty of Medicine, Martin Luther University Halle-Wittenberg, Halle (Germany)

    2016-12-15

    Total scalp irradiation (TSI) is a rare but challenging indication. We previously reported that non-coplanar intensity-modulated radiotherapy (IMRT) was superior to coplanar IMRT in organ-at-risk (OAR) protection and target dose distribution. This consecutive treatment planning study compared IMRT with volumetric-modulated arc therapy (VMAT). A retrospective treatment plan databank search was performed and 5 patient cases were randomly selected. Cranial imaging was restored from the initial planning computed tomography (CT) and target volumes and OAR were redelineated. For each patients, three treatment plans were calculated (coplanar/non-coplanar IMRT, VMAT; prescribed dose 50 Gy, single dose 2 Gy). Conformity, homogeneity and dose volume histograms were used for plan. VMAT featured the lowest monitor units and the sharpest dose gradient (1.6 Gy/mm). Planning target volume (PTV) coverage and homogeneity was better in VMAT (coverage, 0.95; homogeneity index [HI], 0.118) compared to IMRT (coverage, 0.94; HI, 0.119) but coplanar IMRT produced the most conformal plans (conformity index [CI], 0.43). Minimum PTV dose range was 66.8% –88.4% in coplanar, 77.5%–88.2% in non-coplanar IMRT and 82.8%–90.3% in VMAT. Mean dose to the brain, brain stem, optic system (maximum dose) and lenses were 18.6, 13.2, 9.1, and 5.2 Gy for VMAT, 21.9, 13.4, 14.5, and 6.3 Gy for non-coplanar and 22.8, 16.5, 11.5, and 5.9 Gy for coplanar IMRT. Maximum optic chiasm dose was 7.7, 8.4, and 11.1 Gy (non-coplanar IMRT, VMAT, and coplanar IMRT). Target coverage, homogeneity and OAR protection, was slightly superior in VMAT plans which also produced the sharpest dose gradient towards healthy tissue.

  3. Dose optimization with first-order total-variation minimization for dense angularly sampled and sparse intensity modulated radiation therapy (DASSIM-RT).

    Science.gov (United States)

    Kim, Hojin; Li, Ruijiang; Lee, Rena; Goldstein, Thomas; Boyd, Stephen; Candes, Emmanuel; Xing, Lei

    2012-07-01

    A new treatment scheme coined as dense angularly sampled and sparse intensity modulated radiation therapy (DASSIM-RT) has recently been proposed to bridge the gap between IMRT and VMAT. By increasing the angular sampling of radiation beams while eliminating dispensable segments of the incident fields, DASSIM-RT is capable of providing improved conformity in dose distributions while maintaining high delivery efficiency. The fact that DASSIM-RT utilizes a large number of incident beams represents a major computational challenge for the clinical applications of this powerful treatment scheme. The purpose of this work is to provide a practical solution to the DASSIM-RT inverse planning problem. The inverse planning problem is formulated as a fluence-map optimization problem with total-variation (TV) minimization. A newly released L1-solver, template for first-order conic solver (TFOCS), was adopted in this work. TFOCS achieves faster convergence with less memory usage as compared with conventional quadratic programming (QP) for the TV form through the effective use of conic forms, dual-variable updates, and optimal first-order approaches. As such, it is tailored to specifically address the computational challenges of large-scale optimization in DASSIM-RT inverse planning. Two clinical cases (a prostate and a head and neck case) are used to evaluate the effectiveness and efficiency of the proposed planning technique. DASSIM-RT plans with 15 and 30 beams are compared with conventional IMRT plans with 7 beams in terms of plan quality and delivery efficiency, which are quantified by conformation number (CN), the total number of segments and modulation index, respectively. For optimization efficiency, the QP-based approach was compared with the proposed algorithm for the DASSIM-RT plans with 15 beams for both cases. Plan quality improves with an increasing number of incident beams, while the total number of segments is maintained to be about the same in both cases. For the

  4. Preliminary study of the behavioral and biological effects of high intensity 60 HZ electric fields. Interim technical progress report No. 4

    Energy Technology Data Exchange (ETDEWEB)

    Feldstone, C.; Spiegel, R.J.; Winters, W.; Polonis, J.J.

    1980-03-01

    Progress is reported in studies of the effects of high intensity 60 Hz electric fields on baboon behavior - both individual performance (operant conditioning) and natural (social) behavior. The result of the study should be either a clear indication of the electric field intensity which produces deleterious effects in the baboon or an indication that the highest field intensity of practical interest (analogous to the highest intensity that can be encountered by man under power lines) produces no deleterious effects. The generalization of results to man will be futher aided by the development of models relating the physical effects of electric fields on man to the physical effects on the baboon. (LCL)

  5. Lifelong exercise, but not short-term high-intensity interval training, increases GDF11, a marker of successful aging: a preliminary investigation.

    Science.gov (United States)

    Elliott, Bradley T; Herbert, Peter; Sculthorpe, Nicholas; Grace, Fergal M; Stratton, Daniel; Hayes, Lawrence D

    2017-07-01

    Lifelong exercise is associated with regulation of skeletal mass and function, reductions in frailty, and successful aging. Yet, the influence of exercise on myostatin and myostatin-interacting factors is relatively under examined in older males. Therefore, we investigated whether serum total myostatin, free myostatin, follistatin, and growth and differentiation factor 11 (GDF11) were altered following high-intensity interval training (HIIT) in a group of 13 lifelong sedentary (SED; 64 [6] years) and 11 lifelong exercising (LEX; 62 [6] years) older males. SED follistatin was moderately greater than LEX pre-HIIT (Cohen's d = 0.66), and was largely greater post-HIIT (Cohen's d = 1.22). The HIIT-induced increase in follistatin was large in SED (Cohen's d = 0.82) and absent in LEX (Cohen's d = 0.03). GDF11 was higher in LEX pre-HIIT (Cohen's d = 0.49) and post-HIIT (Cohen's d = 0.63) compared to SED HIIT resulted in no change to GDF11 in LEX or SED (Cohen's d = 0.00-0.03). Peak power output and GDF11 were correlated (r = 0.603), independent of grouping. Differences in GDF11 with lifelong exercise training, paired with the correlation between GDF11 and peak power output, suggested that GDF11 may be a relevant myostatin-interacting peptide to successful aging in humans, and strategies to maintain this need to be further explored. © 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society.

  6. Intensity-modulated pelvic radiation therapy and simultaneous integrated boost to the prostate area in patients with high-risk prostate cancer: a preliminary report of disease control.

    Science.gov (United States)

    Saracino, Biancamaria; Petrongari, Maria Grazia; Marzi, Simona; Bruzzaniti, Vicente; Sara, Gomellini; Arcangeli, Stefano; Arcangeli, Giorgio; Pinnarò, Paola; Giordano, Carolina; Ferraro, Anna Maria; Strigari, Lidia

    2014-10-01

    The aim of the study was to report the clinical results in patients with high-risk prostate cancer treated with pelvic intensity-modulated radiation therapy (IMRT) and simultaneous integrated boost (SIB) to the prostate area. A total of 110 patients entered our study, 37 patients presented with localized prostate cancer and radiological evidence of node metastases or ≥15% estimated risk of lymph node (LN) involvement, while 73 patients underwent postoperative adjuvant or salvage irradiation for biochemical or residual/recurrent disease, LN metastases, or high risk of harboring nodal metastases. All patients received androgen deprivation therapy (ADT) for 2 years. The median follow-up was 56.5 months. For the whole patient group, the 3- and 5-year freedom from biochemical failure were 82.6% and 74.6%, respectively, with a better outcome in patients treated with radical approach. The 3- and 5-year freedom from local failure were 94.4% and 90.2%, respectively, while the 3- and 5-year distant metastasis-free survival were 87.8% and 81.7%, respectively. For all study patients, the rate of freedom from G2 acute rectal, intestinal, and urinary toxicities was 60%, 77%, and 61%, respectively. There was no G3 acute toxicity, ≥G2 late intestinal toxicity, or G3 late urinary or rectal toxicity. The 3- and 5-year ≥G2 freedom from late rectal toxicity rate were 98% and 95%, respectively, while the 3- and 5-year ≥G2 freedom from late urinary toxicity rate were 95% and 88%, respectively. The study concludes that pelvic IMRT and SIB to the prostatic area in association with 2-year ADT was a well-tolerated technique, providing high disease control in patients with prostate cancer requiring LN treatment.

  7. Preliminary Prioritization of California Oil and Gas Fields for Regional Groundwater Monitoring Based on Intensity of Petroleum Resource Development and Proximity to Groundwater Resources

    Science.gov (United States)

    Davis, T. A.; Landon, M. K.; Bennett, G.

    2016-12-01

    The California State Water Resources Control Board is collaborating with the U.S. Geological Survey to implement a Regional Monitoring Program (RMP) to assess where and to what degree groundwater resources may be at risk of contamination from oil and gas development activities including stimulation, well integrity issues, produced water ponds, and underground injection. A key issue in the implementation of the RMP is that the state has 487 onshore oil fields covering 8,785 square kilometers but detailed characterization work can only be done in a few oil fields annually. The first step in the RMP is to prioritize fields using available data that indicate potential risk to groundwater from oil and gas development, including vertical proximity of groundwater and oil/gas resources, density of petroleum and water wells, and volume of water injected in oil fields. This study compiled data for these factors, computed summary metrics for each oil field, analyzed statewide distributions of summary metrics, used those distributions to define relative categories of potential risk for each factor, and combined these into an overall priority ranking. Aggregated results categorized 22% (107 fields) of the total number of onshore oil and gas fields in California as high priority, 23% as moderate priority, and 55% as low priority. On an area-weighted basis, 41% of the fields ranked high, 30% moderate, and 29% low, highlighting that larger fields tend to have higher potential risk because of greater intensity of development, sometimes coupled with closer proximity to groundwater. More than half of the fields ranked as high priority were located in the southern Central Valley or the Los Angeles Basin. The prioritization does not represent an assessment of groundwater risk from oil and gas development; rather, such assessments are planned to follow based on detailed analysis of data from the RMP near the oil fields selected for study in the future.

  8. A Pilot Study of Sensation-Focused Intensive Treatment for Panic Disorder with Moderate to Severe Agoraphobia: Preliminary Outcome and Benchmarking Data

    Science.gov (United States)

    Bitran, Stella; Morissette, Sandra B.; Spiegel, David A.; Barlow, David H.

    2008-01-01

    This report presents results of a treatment for panic disorder with moderate to severe agoraphobia (PDA-MS) called sensation-focused intensive treatment (SFIT). SFIT is an 8-day intensive treatment that combines features of cognitive-behavioral treatment for panic disorder, such as interoceptive exposure and cognitive restructuring with ungraded…

  9. Preliminary Identification of Red Pigment and Positive Correlation between the Contents of Red Pigment and Total Saponins of Panax notoginseng Fruits

    Institute of Scientific and Technical Information of China (English)

    Changling ZHAO; Zhongjian CHEN; Wenlong CHEN; Weite ZHI; Fugang WEI; Degong SONG

    2012-01-01

    [Objective] This study aimed to identify red pigment of Panax notoginseng fruits and explore the correlation between pigment content and total saponins of the fruits. [Method] The red pigment of Panax notoginseng fruits was preliminarily identi- fied with specific color reactions and UV-vis spectra, and the contents of the pigment and total saponins were determined via spectrophotometry. [Result] The red hues of the fruits were contributed by anthocyanins and/or the anthocyanidins. The contents of anthocyanins and total saponins of the fruits both decreased along with thinning of the red hues. The content difference of the anthocyanins in fruits with different red hues reached extremely significant level, but that of total saponins just reached significant level. [Conclusion] The red pigment of P. notoginseng fruits is anthocyanins which are of extremely significant positive correlation with total saponins in contents.

  10. The Accumulative Effect of Concentric-Biased and Eccentric-Biased Exercise on Cardiorespiratory and Metabolic Responses to Subsequent Low-Intensity Exercise: A Preliminary Study.

    Science.gov (United States)

    Gavin, James Peter; Myers, Stephen; Willems, Mark Elisabeth Theodorus

    2015-12-22

    The study investigated the accumulative effect of concentric-biased and eccentric-biased exercise on cardiorespiratory, metabolic and neuromuscular responses to low-intensity exercise performed hours later. Fourteen young men cycled at low-intensity (~60 rpm at 50% maximal oxygen uptake) for 10 min before, and 12 h after: concentric-biased, single-leg cycling exercise (CON) (performed ~19:30 h) and eccentric-biased, double-leg knee extension exercise (ECC) (~06:30 h the following morning). Respiratory measures were sampled breath-by-breath, with oxidation values derived from stoichiometry equations. Knee extensor neuromuscular function was assessed before and after CON and ECC. Cardiorespiratory responses during low-intensity cycling were unchanged by accumulative CON and ECC. The RER was lower during low-intensity exercise 12 h after CON and ECC (0.88 ± 0.08), when compared to baseline (0.92 ± 0.09; p = 0.02). Fat oxidation increased from baseline (0.24 ± 0.2 g·min(-1)) to 12 h after CON and ECC (0.39 ± 0.2 g·min(-1); p = 0.01). Carbohydrate oxidation decreased from baseline (1.59 ± 0.4 g·min(-1)) to 12 h after CON and ECC (1.36 ± 0.4 g·min(-1); p = 0.03). These were accompanied by knee extensor force loss (right leg: -11.6%, p eccentric-biased exercise led to increased fat oxidation and decreased carbohydrate oxidation, without impairing cardiorespiration, during low-intensity cycling. An accumulation of fatiguing and damaging exercise increases fat utilisation during low intensity exercise performed as little as 12 h later.

  11. The Accumulative Effect of Concentric-Biased and Eccentric-Biased Exercise on Cardiorespiratory and Metabolic Responses to Subsequent Low-Intensity Exercise: A Preliminary Study

    Science.gov (United States)

    Gavin, James Peter; Myers, Stephen; Willems, Mark Elisabeth Theodorus

    2015-01-01

    The study investigated the accumulative effect of concentric-biased and eccentric-biased exercise on cardiorespiratory, metabolic and neuromuscular responses to low-intensity exercise performed hours later. Fourteen young men cycled at low-intensity (~60 rpm at 50% maximal oxygen uptake) for 10 min before, and 12 h after: concentric-biased, single-leg cycling exercise (CON) (performed ~19:30 h) and eccentric-biased, double-leg knee extension exercise (ECC) (~06:30 h the following morning). Respiratory measures were sampled breath-by-breath, with oxidation values derived from stoichiometry equations. Knee extensor neuromuscular function was assessed before and after CON and ECC. Cardiorespiratory responses during low-intensity cycling were unchanged by accumulative CON and ECC. The RER was lower during low-intensity exercise 12 h after CON and ECC (0.88 ± 0.08), when compared to baseline (0.92 ± 0.09; p = 0.02). Fat oxidation increased from baseline (0.24 ± 0.2 g·min−1) to 12 h after CON and ECC (0.39 ± 0.2 g·min−1; p = 0.01). Carbohydrate oxidation decreased from baseline (1.59 ± 0.4 g·min−1) to 12 h after CON and ECC (1.36 ± 0.4 g·min−1; p = 0.03). These were accompanied by knee extensor force loss (right leg: −11.6%, p eccentric-biased exercise led to increased fat oxidation and decreased carbohydrate oxidation, without impairing cardiorespiration, during low-intensity cycling. An accumulation of fatiguing and damaging exercise increases fat utilisation during low intensity exercise performed as little as 12 h later. PMID:26839613

  12. Low-Frequency Repetitive Transcranial Magnetic Stimulation and Intensive Occupational Therapy for Poststroke Patients with Upper Limb Hemiparesis: Preliminary Study of a 15-Day Protocol

    Science.gov (United States)

    Kakuda, Wataru; Abo, Masahiro; Kobayashi, Kazushige; Momosaki, Ryo; Yokoi, Aki; Fukuda, Akiko; Ishikawa, Atsushi; Ito, Hiroshi; Tominaga, Ayumi

    2010-01-01

    The purpose of the study was to determine the safety and feasibility of a 15-day protocol of low-frequency repetitive transcranial magnetic stimulation (rTMS) combined with intensive occupational therapy (OT) on motor function and spasticity in hemiparetic upper limbs in poststroke patients. Fifteen poststroke patients (age at study entry 55 [plus…

  13. Number and Controllability of Reinforcers as Predictors of Individual Outcome for Children with Autism Receiving Early and Intensive Behavioral Intervention: A Preliminary Study

    Science.gov (United States)

    Klintwall, Lars; Eikeseth, Svein

    2012-01-01

    Although Early and Intensive Behavioral Intervention (EIBI) is an effective treatment for many children with autism, there is a substantial individual difference in outcome. This study was designed to investigate whether treatment gains were associated with the number and type of stimuli that function as reinforcers for 21 preschool-aged children…

  14. The Accumulative Effect of Concentric‐Biased and Eccentric‐ Biased Exercise on Cardiorespiratory and Metabolic Responses to Subsequent Low‐Intensity Exercise: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Gavin James Peter

    2015-12-01

    Full Text Available The study investigated the accumulative effect of concentric-biased and eccentric-biased exercise on cardiorespiratory, metabolic and neuromuscular responses to low-intensity exercise performed hours later. Fourteen young men cycled at low-intensity (~60 rpm at 50% maximal oxygen uptake for 10 min before, and 12 h after: concentric-biased, single-leg cycling exercise (CON (performed ~19:30 h and eccentric-biased, double-leg knee extension exercise (ECC (~06:30 h the following morning. Respiratory measures were sampled breath-by-breath, with oxidation values derived from stoichiometry equations. Knee extensor neuromuscular function was assessed before and after CON and ECC. Cardiorespiratory responses during low-intensity cycling were unchanged by accumulative CON and ECC. The RER was lower during low-intensity exercise 12 h after CON and ECC (0.88 ± 0.08, when compared to baseline (0.92 ± 0.09; p = 0.02. Fat oxidation increased from baseline (0.24 ± 0.2 g·min1 to 12 h after CON and ECC (0.39 ± 0.2 g·min1; p = 0.01. Carbohydrate oxidation decreased from baseline (1.59 ± 0.4 g·min-1 to 12 h after CON and ECC (1.36 ± 0.4 g·min1; p = 0.03. These were accompanied by knee extensor force loss (right leg: -11.6%, p < 0.001; left leg: -10.6%, p = 0.02 and muscle soreness (right leg: 2.5 ± 0.9, p < 0.0001; left leg: 2.3 ± 1.2, p < 0.01. Subsequent concentric-biased and eccentric-biased exercise led to increased fat oxidation and decreased carbohydrate oxidation, without impairing cardiorespiration, during low-intensity cycling. An accumulation of fatiguing and damaging exercise increases fat utilisation during low intensity exercise performed as little as 12 h later.

  15. Simple method of determination of copper, mercury and lead in potable water with preliminary pre-concentration by total reflection X-ray fluorescence spectrometry

    Science.gov (United States)

    Hołyńska, B.; Ostachowicz, B.; Wȩgrzynek, D.

    1996-06-01

    Total reflection X-ray fluorescence spectrometry and chemical pre-concentration procedures have been applied for the analysis of trace concentrations of copper, mercury, and lead in drinking water samples. A simple total reflection module has been used in X-ray measurements. The elements under investigation were pre-concentrated by complexation using a mixture of carbamates followed by solvent extraction with methyl isobutyl ketone. The preconcentration procedure was tested with the use of twice-distilled water samples and samples of mineral and tap water spiked with known additions of copper, mercury, and lead. The obtained recovery and precision values are presented. The minimum detection limits for the determination of these elements in mineral and tap water samples were found to be 40 ng l -1, 60 ng l -1, and 60 ng l -1, respectively.

  16. Total antioxidant status in lung cancer is associated with levels of endogenous antioxidants and disease stage rather than lifestyle factors – preliminary study

    Science.gov (United States)

    Porębska, Irena; Gołecki, Marcin; Kosacka, Monika; Pawełczyk, Konrad; Pawlik-Sobecka, Lilla; Zarębska, Katarzyna; Grajeta, Halina

    2016-01-01

    Aim of the study Decreased total antioxidant capacity (TAC) has been reported in different neoplasms, including lung cancer. However, no study concerning the relationship between endogenous antioxidants, lifestyle factors, and TAC has been conducted among lung cancer patients. The purpose of the study was to investigate the associations between endogenous antioxidants, severity of disease, lifestyle factors, and TAC in lung cancer patients. Material and methods The study was conducted among 59 lung cancer patients. The levels of total antioxidant status (ATBS method), endogenous antioxidants, and C-reactive protein were measured in patients’ sera automatically. Dietary habits of the subjects were evaluated based on the Food Frequency Questionnaire (FFQ) on the day of admission to hospital. Results We found a positive correlation between serum albumin, uric acid (UA), and TAC and a negative correlation between CRP and TAC. Moreover, TAC was significantly positively associated with disease stage. We did not find any significant relationship between the frequency of selected food consumption and TAC in lung cancer patients, except for a positive correlation between the frequency of refined cereal products consumption and TAC level. Smoking status did not correlate with TAC. Conclusions Total antioxidant status of lung cancer patients results from their disease stage and levels of endogenous antioxidants rather than from lifestyle factors. The lack of influence of diet and smoking on the TAC presumably result from disturbed homeostasis in which cancer, while developing, could determine the redox state to a greater extent than lifestyle factors. PMID:27688727

  17. Sound level intensity severely disrupts sleep in ventilated ICU patients throughout a 24-h period: a preliminary 24-h study of sleep stages and associated sound levels.

    Science.gov (United States)

    Elbaz, Maxime; Léger, Damien; Sauvet, Fabien; Champigneulle, Benoit; Rio, Stéphane; Strauss, Mélanie; Chennaoui, Mounir; Guilleminault, Christian; Mira, Jean Paul

    2017-12-01

    It is well recognized that sleep is severely disturbed in patients in intensive care units (ICU) and that this can compromise their rehabilitation potential. However, it is still difficult to objectively assess sleep quantity and quality and the determinants of sleep disturbance remain unclear. The aim of this study was therefore to evaluate carefully the impact of ICU sound intensity levels and their sources on ICU patients' sleep over a 24-h period. Sleep and sound levels were recorded in 11 ICU intubated patients who met the criteria. Sleep was recorded using a miniaturized multi-channel ambulatory recording device. Sound intensity levels and their sources were recorded with the Nox-T3 monitor. A 30-s epoch-by-epoch analysis of sleep stages and sound data was carried out. Multinomial and binomial logistic regressions were used to associate sleep stages, wakefulness and sleep-wake transitions with sound levels and their sources. The subjects slept a median of 502.2 [283.2-718.9] min per 24 h; 356.9 [188.6-590.9] min at night (22.00-08.00) and 168.5 [142.5-243.3] during daytime (8 am-10 pm). Median sound intensity level reached 70.2 [65.1-80.3] dBC at night. Sound thresholds leading to disturbed sleep were 63 dBC during the day and 59 dBC during the night. With levels above 77 dBC, the incidence of arousals (OR 3.9, 95% CI 3.0-5.0) and sleep-to-wake transitions (OR 7.6, 95% CI 4.1-14) increased. The most disturbing noises sources were monitor alarms (OR 4.5, 95% CI 3.5-5.6) and ventilator alarms (OR 4.2, 95% CI 2.9-6.1). We have shown, in a small group of 11 non-severe ICU patients, that sound level intensity, a major disturbance factor of sleep continuity, should be strictly controlled on a 24-h profile.

  18. Effect of eprosartan-based therapy on systolic blood pressure and total cardiovascular risk in a large international population: preliminary report of the observational POWER study.

    Science.gov (United States)

    Goudev, Assen; Berrou, Jean-Pascal; Pathak, Atul

    2012-01-01

    Estimation of total cardiovascular risk is useful for developing preventive strategies for individual patients. The POWER (Physicians' Observational Work on Patient Education According to their Vascular Risk) survey, a 6-month, open-label, multinational, post-marketing observational evaluation of eprosartan, an angiotensin II receptor blocker, was undertaken to assess the efficacy and safety of eprosartan-based therapy in the treatment of high arterial blood pressure in a large population recruited from 16 countries with varying degrees of baseline cardiovascular risk, and the effect of eprosartan-based therapy on total cardiovascular risk, as represented by the SCORE (Systematic Coronary Risk Assessment) or Framingham risk equations. Participating physicians recruited > 29,000 hypertensive patients whom they considered to be candidates (according to specified criteria) for treatment with eprosartan 600 mg/day, with other drugs added at the discretion of the physician. During treatment, systolic blood pressure decreased by 25.8 ± 14.4 mmHg to 134.6 ± 11.4 mmHg (P blood pressure fell by 12.6 ± 9.5 mmHg to 81.1 ± 7.6 mmHg, and pulse pressure fell by 13.2 ± 13.5 mmHg to 53.6 ± 11.4 mmHg (both P risk declined in parallel with the reduction in blood pressure. The POWER study has demonstrated, in a large and nonselected population, the feasibility and practicability of reducing total cardiovascular risk through systematic management of high blood pressure.

  19. Effect of eprosartan-based therapy on systolic blood pressure and total cardiovascular risk in a large international population: preliminary report of the observational POWER study

    Directory of Open Access Journals (Sweden)

    Goudev A

    2012-09-01

    Full Text Available Assen Goudev,1 Jean-Pascal Berrou,2 Atul Pathak3 On behalf of the POWER Investigators1Department of Cardiology, Queen Giovanna University Hospital, Sofia, Bulgaria; 2Strategic Medical Affairs, CardioMetabolic Established Products, Abbott Products Operations AG, Allschwil, Switzerland; 3Faculte´ de Médecine et CHU Toulouse, Unité de Pharmacologie Cardiovasculaire et Autonome, Service de Pharmacologie et Cardiologie, INSERM U 1048, Université Paul Sabatier, Toulouse, FranceBackground: Estimation of total cardiovascular risk is useful for developing preventive strategies for individual patients. The POWER (Physicians' Observational Work on Patient Education According to their Vascular Risk survey, a 6-month, open-label, multinational, post-marketing observational evaluation of eprosartan, an angiotensin II receptor blocker, was undertaken to assess the efficacy and safety of eprosartan-based therapy in the treatment of high arterial blood pressure in a large population recruited from 16 countries with varying degrees of baseline cardiovascular risk, and the effect of eprosartan-based therapy on total cardiovascular risk, as represented by the SCORE® (Systematic Coronary Risk Assessment or Framingham risk equations.Methods: Participating physicians recruited > 29,000 hypertensive patients whom they considered to be candidates (according to specified criteria for treatment with eprosartan 600 mg/day, with other drugs added at the discretion of the physician.Results: During treatment, systolic blood pressure decreased by 25.8 ± 14.4 mmHg to 134.6 ± 11.4 mmHg (P < 0.001, mean diastolic blood pressure fell by 12.6 ± 9.5 mmHg to 81.1 ± 7.6 mmHg, and pulse pressure fell by 13.2 ± 13.5 mmHg to 53.6 ± 11.4 mmHg (both P < 0.01. Calculated total cardiovascular risk declined in parallel with the reduction in blood pressure.Conclusion: The POWER study has demonstrated, in a large and nonselected population, the feasibility and practicability of

  20. Total encephalic irradiation with complementary dose: preliminary results and prognostic factors; Irradiation encephalique en totalite avec complement de dose: resultats preliminaires et facteurs pronostiques

    Energy Technology Data Exchange (ETDEWEB)

    Assouline, A.; Kzrisch, C. [CHU d' Amiens, 80 (France); Assouline, A.; Levy, A.; Chargari, C.; Lamproglou, I.; Mazeron, J.J. [CHU Pitie Salpetriere, 75 - Paris (France); Chargari, C. [Hopital d' instruction des armees du Val-de-Grace, 75 - Paris (France)

    2010-10-15

    The authors report an assessment study of prognostic factors of global survival and of the benefit of a complementary dose delivered by a conventional linear accelerator for brain metastases after a total encephalic irradiation. This study is based on data from 250 patients treated in Amiens hospital for secondary brain metastases of a lung or breast cancer and melanoma. Five prognostic factors have been studied: type of primitive tumour, gender, number of metastases, surgical resection of metastases, and improvement of neurological symptoms after radiotherapy. An analysis is performed on a subgroup to determine whether a complementary dose would improve survival in the group of patients presenting less than three metastases. Short communication

  1. High-intensity drying processes -- Impulse drying: Report 15 (final report). Production of linerboard on a pilot paper machine, subsequent commercial converting trials and preliminary economic assessment

    Energy Technology Data Exchange (ETDEWEB)

    Orloff, D.I.

    1999-04-01

    In September 1998, 33{number_sign} liner was produced on the {number_sign}4 pilot machine under both single-felted wet pressing and impulse drying conditions. In October 1998, the pilot produced liner and commercial liner were converted to combined board and corrugated boxes at a commercial box plant. In January 1999, linerboard, medium, and combined board and box testing were completed. The pilot trials demonstrated that 33{number_sign} liner could be impulse dried at a reel speed of 380 m/min. Press dryness was improved by as much as 4 points, while CD STFI and CD ring crush were improved by more than 10%. Improvements to the smoothness of heated side of sheet were also realized. Commercial box plant converting trials demonstrated that impulse dried linerboard can be used to increase ECT and box compression strength by as much as 10%. As anticipated, print quality was found to be superior. A preliminary economic analysis was performed in which an impulse dryer would increase press dryness by 4 points and would allow the basis weight to be reduced by 10%. The economic model showed that the 4 points in dryness would translate to a 17% tonnage increase. Applying the 10% basis weight reduction resulted in an increase in productivity, on an area basis, of 30%. The pulp cost savings was found to outweigh any additional electric power costs.

  2. Effect of Nonviral Plasmid Delivered Basic Fibroblast Growth Factor and Low Intensity Pulsed Ultrasound on Mandibular Condylar Growth: A Preliminary Study

    OpenAIRE

    Harmanpreet Kaur; Hasan Uludağ; Tarek El-Bialy

    2014-01-01

    Objective. Basic fibroblast growth factor (bFGF) is an important regulator of tissue growth. Previous studies have shown that low intensity pulsed ultrasound (LIPUS) stimulates bone growth. The objective of this study was to evaluate the possible synergetic effect of LIPUS and local injection of nonviral bFGF plasmid DNA (pDNA) on mandibular growth in rats. Design. Groups were control, blank pDNA, bFGF pDNA, LIPUS, and bFGF pDNA + LIPUS. Treatments were performed for 28 days. Significant incr...

  3. Prótesis total de rodilla en pacientes con enfermedad de Parkinson. Resultados preliminares. [Total ­knee­ arthroplasty­ in­ Parkinson’s ­disease­ patients. Preliminary results.

    Directory of Open Access Journals (Sweden)

    Juan P. Bonifacio

    2014-06-01

    Full Text Available In­tro­duc­ción: La enfermedad de Parkinson es un trastorno neurodegenerativo progresivo y crónico, con una incidencia aproximada de 31/100.000 habitantes en la Argentina. El objetivo de este estudio fue analizar un grupo de pacientes con enfermedad de Parkinson sometidos a artroplastia total de rodilla. Materiales­ y ­Métodos:­ Entre 2009 y 2011, se evaluó a 11 pacientes (edad promedio 68 años, rango 65-80 con enfermedad de Parkinson que fueron operados por artrosis de rodilla con prótesis cementadas estabilizadas a posteriori. Todos fueron evaluados con la escala analógica visual para el dolor, el Knee Society Scoring, el WOMAC y el grado de satisfacción subjetiva. El grado de afectación de la enfermedad de Parkinson se determinó con la escala modificada de Hoehn y Yahr. Se registraron las complicaciones. Resultados: El seguimiento promedio fue de 2 años (rango 1-3. Las evaluaciones para dolor y funcionales arrojaron los siguientes resultados: la escala analógica visual para el dolor mejoró 3 puntos promedio; KSS dolor 37/74; KSS funcional 36/51, WOMAC 67/31. El grado de satisfacción de los pacientes fue de bueno a excelente en 7 casos. La escala modificada de Hoehn y Yahr fue de 1,5 puntos en el preoperatorio y de 2,6 puntos en el posoperatorio. Hubo 6 complicaciones: dos síndromes confusionales, una trombosis venosa profunda, una luxación protésica y dos prótesis dolorosas. Conclusión:­ La artroplastia total de rodilla en pacientes con enfermedad de Parkinson es un procedimiento que mejora los resultados funcionales y el dolor, pero provoca mayores complicaciones que en la población general.

  4. A Preliminary Estimate of Total Petroleum Hydrocarbons in Water and Some Commercially Important Fish Species in the Amba Estuary, West Coast of India.

    Science.gov (United States)

    Nageswar Rao, M; Ram, Anirudh; Rokade, M A; Raja, P; Rakesh, P S; Chemburkar, Parul; Gajbhiye, S N

    2016-07-01

    Amba Estuary, which receives effluent from several industries including a petrochemical complex, opens to the southern limits of the Mumbai Harbor. The study was conducted to find out the level of Total Petroleum Hydrocarbons (TPHs) in water and their bioconcentration in ten commercially important fishes from Amba Estuary during different months. In water high concentration of TPHs (39.7 μg/L) was obtained during December (middle of estuary) and minimum value (7.2 μg/L) was observed in September (lower estuarine). The maximum concentration of TPHs was found to be in Trichiurus savala (3.2 µg/g) during December and minimum in Boleophthalmus sp (0.4 µg/g) during May. Irrespective of the monthly variations, TPHs accumulation in all the species was considerably lower than hazardous levels. Although there was no statistical significance between TPHs and total length/weight, the T. savala recording maximum concentration during all months and it can be used as indicator of hydrocarbon pollution in this region.

  5. A FUNCTIONAL AND ROENTGENOGRAPHIC PRELIMINARY COMPARATIVE STUDY USING METAL-BACKED AND ALL-POLYETHYLENE TIBIAL COMPONENTS IN TOTAL KNEE ARTHROPLASTY

    Science.gov (United States)

    de Andrade, Marco Antônio Percope; dos Santos, Juliano Rodrigues; Gonzaga, Luiz Gustavo Alves; Silva, Guilherme Moreira Abreu e

    2015-01-01

    Objective: To describe and clinically and radiographically compare patients who underwent total knee arthroplasty (TKA) with all-polyethylene (ALP) and metal-backed (MTB) tibial implants. Methods: Patients who underwent TKA between January 1988 and December 2004 were grouped according to the type of implant received: all-polyethylene or metal-backed. Sixty patients came for evaluations, totaling 82 operated knees. Among these, 22 patients had undergone TKA only with ALP (12 unilateral and 10 bilateral cases), 33 patients only with MTB (26 unilateral and 7 bilateral cases) and five patients underwent TKA with ALP in one knee and MTB in the other. The knees were divided thus: group 1, 37 knees with ALP; and group 2, 45 knees with MTB. Results: There were no differences in clinical or functional evaluations between the groups. The mean radiolucency in the femur was 0.838 mm for the patients in group 1 and 0.356 mm for the patients in group 2 (p = 0.049). For the tibia, in the AP view, there was a mean value of 2.703 mm for group 1 and 0.733 mm for group 2 (p = 0.000). In the lateral view, the mean values for osteolysis was 0.405 mm for group 1 and 0.200 mm for group 2 (p = 0.074). Conclusions: There were no differences between the groups in the functional and clinical evaluations. However, greater radiolucency was observed in the arthroplasties with ALP, both in the femur in the lateral view and in the tibia in the AP view. Level of evidence IV – case series study. PMID:27022556

  6. Usefulness of perfusion weighted magnetic resonance imaging with signal-intensity curves analysis in the differential diagnosis of sellar and parasellar tumors: Preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    Bladowska, Joanna, E-mail: asia.bladowska@gmail.com [Department of General Radiology, Interventional Radiology and Neuroradiology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw (Poland); Zimny, Anna, E-mail: abernac@wp.pl [Department of General Radiology, Interventional Radiology and Neuroradiology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw (Poland); Guziński, Maciej, E-mail: guziol@wp.pl [Department of General Radiology, Interventional Radiology and Neuroradiology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw (Poland); Hałoń, Agnieszka, E-mail: ahalon2@gmail.com [Department of Pathomorphology and Oncological Cytology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw (Poland); Tabakow, Paweł, E-mail: p.tabakov@wp.pl [Department of Neurosurgery, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw (Poland); Czyż, Marcin, E-mail: mt.czyz@gmail.com [Department of Neurosurgery, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw (Poland); Czapiga, Bogdan, E-mail: bogdanczapiga@op.pl [Department of Neurosurgery, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw (Poland); Jarmundowicz, Włodzimierz, E-mail: jarmund@wp.pl [Department of Neurosurgery, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw (Poland); Sąsiadek, Marek J., E-mail: marek.sasiadek@am.wroc.pl [Department of General Radiology, Interventional Radiology and Neuroradiology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw (Poland)

    2013-08-15

    Purpose: The most common pituitary tumors are adenomas, which however may be mimicked by other tumors that can show a very similar appearance in plain MRI. The aim of our study was to evaluate the usefulness of perfusion weighted MR imaging (PWI), including signal-intensity curves analysis in the differential diagnosis of sellar/parasellar tumors. Methods: Forty-one patients with sellar/parasellar tumors (23 macroadenomas, 10 meningiomas, 5 craniopharyngiomas, 1 intrasellar hemangioblastoma, 1 intrasellar prostate cancer metastasis, 1 suprasellar glioma), underwent plain MRI followed by PWI using a 1.5T unit. In each tumor, the mean and maximum values of relative cerebral blood volume (rCBV), as well as the relative peak height (rPH) and the relative percentage of signal intensity recovery (rPSR) were calculated. Results: The high perfusion tumors were: macroadenomas, meningiomas, squamous-papillary type of craniopharyngiomas, hemangioblastoma, glioma and metastasis. The low perfusion neoplasms included adamantinomatous type of craniopharyngiomas. By comparing adenomas and meningiomas, we found statistically significant differences in the mean and maximum rCBV values (p = 0.026 and p = 0.019, respectively), but not in rPH and rPSR. The maximum rCBV values >7.14 and the mean rCBV values >5.74 with the typical perfusion curve were very suggestive of the diagnosis of meningioma. There were differences between adenomas and other high perfusion tumors in rPH and rPSR values. Conclusions: PWI can provide additional information helpful in differential diagnosis of sellar/parasellar tumors. In our opinion PWI, as an easy to perform and fast technique should be incorporated into the MR protocol of all intracranial neoplasms including sellar/parasellar tumors.

  7. Derivation of a T2-weighted MRI total colonic inflammation score (TCIS) for assessment of patients with severe acute inflammatory colitis - a preliminary study

    Energy Technology Data Exchange (ETDEWEB)

    Hafeez, Rehana; Boulos, Paul [University College London Hospitals NHS Trust, Department of Surgery, London (United Kingdom); Punwani, Shonit; Halligan, Steve [University College London, Centre for Medical Imaging, London (United Kingdom); University College London Hospitals NHS Trust, Department of Specialist X-ray, Level 2 podium, London (United Kingdom); Pendse, Doug [University College London, Centre for Medical Imaging, London (United Kingdom); Bloom, Stuart [University College London Hospitals NHS Trust, Department of Gastroenterology, London (United Kingdom); Taylor, Stuart A. [University College London, Centre for Medical Imaging, London (United Kingdom); University College London Hospitals NHS Trust, Department of Specialist X-ray, Level 2 podium, London (United Kingdom)

    2011-02-15

    To derive an MRI score for assessing severity, therapeutic response and prognosis in acute severe inflammatory colitis. Twenty-one patients with acute severe colitis underwent colonic MRI after admission and again (n = 16) after median 5 days of treatment. Using T2-weighted images, two radiologists in consensus graded segmental haustral loss, mesenteric and mural oedema, mural thickness, and small bowel and colonic dilatation producing a total colonic inflammatory score (TCIS, range 6-95). Pre- and post-treatment TCIS were compared, and correlated with CRP, stool frequency, and number of inpatient days (therapeutic response marker). Questionnaire assessment of patient worry, satisfaction and discomfort graded 1 (bad) to 7 (good) was administered Admission TCIS correlated significantly with CRP (Kendall's tau=0.45, 95% confidence interval [CI] 0.11-0.79, p = 0.006), and stool frequency (Kendall's tau 0.39, 95% CI 0.14-0.64, p = 0.02). TCIS fell after treatment (median [22 range 15-31]) to median 20 [range 8-25], p = 0.01. Admission TCIS but not CRP or stool frequency was correlated with length of inpatient stay (Kendall's tau 0.40, 95% CI 0.11-0.69, p = 0.02). Patients reported some discomfort (median score 4) during MRI. MRI TCIS falls after therapy, correlates with existing markers of disease severity, and in comparison may better predict therapeutic response. (orig.)

  8. Metal ion levels in large-diameter total hip and resurfacing hip arthroplasty-Preliminary results of a prospective five year study after two years of follow-up

    Directory of Open Access Journals (Sweden)

    Maurer-Ertl W

    2012-04-01

    Full Text Available Abstract Background Metal-on-metal hip resurfacing is an alternative to metal-on-metal total hip arthroplasty, especially for young and physically active patients. However, wear which might be detected by increased serum ion levels is a matter of concern. Methods The aims of this preliminary study were to determine the raise of metal ion levels at 2-years follow-up in a prospective setting and to evaluate differences between patients with either resurfacing or total hip arthroplasty. Furthermore we investigated if the inclination of the acetabular component and the arc of cover would influence these findings. Therefore, 36 patients were followed prospectively. Results The results showed increments for Co and Cr in both implant groups. Patients treated with large-diameter total hip arthroplasty showed fourfold and threefold, respectively, higher levels for Co and Cr compared to the resurfacing group (Co: p  Discussion In order to clarify the biologic effects of ion dissemination and to identify risks concerning long-term toxicity of metals, the exposure should be monitored carefully. Therefore, long-term studies have to be done to determine adverse effects of Co and Cr following metal-on-metal hip replacement.

  9. A Correction Method for Attenuated Total Reflection-Far Ultraviolet Spectra Via the Use of Charge Transfer to Solvent Band Intensities of Iodide in the Ultraviolet Region.

    Science.gov (United States)

    Ikehata, Akifumi; Goto, Takeyoshi; Morisawa, Yusuke

    2017-07-01

    Attenuated total reflection (ATR) spectra, which are often used in IR analysis, can be transformed into extinction and refraction spectra by Kramers-Kronig transformation (KKT) with Fresnel equations. However, it is often difficult to obtain correct optical indices due to the inherent instrumental functions. This paper proposes a simple practical method for correction of KKT with two parameters, which include all the effects of the instrumental function. In order to obtain the parameters of the instrumental function, absorption ratios of charge transfer to solvent (CTTS) transitions of aqueous iodide ions observed at 195 nm and 230 nm were used as a standard. The absorption indices calculated from the ATR spectra with the parameters correspond reasonably well to those given by the transmittance spectra not only in the UV region but also in the far-ultraviolet (FUV, 120-200 nm) region. By applying the corrected KKT to the ATR-FUV spectra of aqueous potassium halide solutions in the range of 0-2 M, correct features of the absorption spectra of KCl and KBr, whose CTTS bands are thought to be observed in FUV region, were confirmed. It is possible to use the parameters representing the instrument function as long as the instrument is not changed.

  10. EFFECT OF LIGHT INTENSITY, TEMPERATURE, TOTAL NITROGEN CONCENTRATION AND THEIR INTERACTION ON HYDRILLA VERTICILLATA%光强、温度、总氮浓度对黑藻生长的影响

    Institute of Scientific and Technical Information of China (English)

    朱丹婷; 乔宁宁; 李铭红; 陈攀

    2011-01-01

    为寻求沉水植物生长的主效环境因子,探求富营养化水体沉水植物的衰亡机理并选择治理富营养化的先锋植物,实验选择长江中下游常见沉水植物种黑藻(Hydrilla verticillata),利用正交试验设计,通过室内静态模拟实验研究三种主要环境因子光照强度、温度、总氮浓度及其互作对黑藻断枝生长的影响.结果表明:光照强度和温度为影响黑藻生长的主效环境因子,并且光强与温度的交互作用对黑藻生长有较为显著的影响,具体表现为黑藻的生长指标(株高、生物量、分枝数)、光合指标(叶绿素a+b浓度、叶绿素a/b、叶绿体总色素含量)和生理活性指标(根活力、可溶性糖含量、MDA含量)的变化均与这两个环境因子及其互作呈显著相关;总氮浓度的变化对黑藻生长影响不大,在2-8 mg/L的总氮浓度下,黑藻均可以正常生长.根据本实验黑藻生长指标、光合色素含量以及生理活性在不同环境因子组合的变化结果可知,黑藻在5320-12000 lx光照强度、20℃-30℃、4-8 mg/L水体总氮浓度的条件下生长良好,故推测黑藻可作为春夏季富营养化水体中恢复和重建沉水植被的先锋工具种.%With the strengthening of freshwater eutrophication, the original aquatic vegetation gradually reduced and even disappeared, resulting in the well-functional grass type water degraded to algae-based water. Submerged plant is a key factor for the construction of stable and well-functioning freshwater ecosystems. Therefore, restoration and reconstruction of submerged plants is very important for prevention and control of eutrophication. The growth and development, decline and extinction of submerged plants are closely related with environmental factors due to their aquatic characteristics. In this study, we aim to explore the effects of light intensity, temperature, total nitrogen concentration and their interactions on the growth and development

  11. Effect of Nonviral Plasmid Delivered Basic Fibroblast Growth Factor and Low Intensity Pulsed Ultrasound on Mandibular Condylar Growth: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Harmanpreet Kaur

    2014-01-01

    Full Text Available Objective. Basic fibroblast growth factor (bFGF is an important regulator of tissue growth. Previous studies have shown that low intensity pulsed ultrasound (LIPUS stimulates bone growth. The objective of this study was to evaluate the possible synergetic effect of LIPUS and local injection of nonviral bFGF plasmid DNA (pDNA on mandibular growth in rats. Design. Groups were control, blank pDNA, bFGF pDNA, LIPUS, and bFGF pDNA + LIPUS. Treatments were performed for 28 days. Significant increase was observed in mandibular height and condylar length in LIPUS groups. MicroCT analysis showed significant increase in bone volume fraction in bFGF pDNA + LIPUS group. Histomorphometric analysis showed increased cell count and condylar proliferative and hypertrophic layers widths in bFGF pDNA group. Results. Current study showed increased mandibular condylar growth in either bFGF pDNA or LIPUS groups compared to the combined group that showed only increased bone volume fraction. Conclusion. It appears that there is an additive effect of bFGF + LIPUS on the mandibular growth.

  12. Short- and Long-Term Efficacy of Intensive Rehabilitation Treatment on Balance and Gait in Parkinsonian Patients: A Preliminary Study with a 1-Year Followup

    Directory of Open Access Journals (Sweden)

    Giuseppe Frazzitta

    2013-01-01

    Full Text Available Parkinson’s disease (PD is a neurodegenerative disease in which gait and balance disturbances are relevant symptoms that respond poorly to pharmacological treatment. The aim of this study was to investigate whether a 4-week inpatient multidisciplinary intensive rehabilitation treatment (MIRT is effective in improving balance and gait and whether improvements persist at a one-year followup. We studied 20 PD inpatients (stage 3 Hoehn-Yahr who underwent a MIRT. Outcome measures were UPDRS items for balance (30, falls (13, and walk (29, Berg Balance Scale, six-minute walking test, Timed Up and Go Test, and Comfortable-Fast gait speeds. Patients were evaluated at admission, at the end of the 4-week treatment, and at a 1-year followup. Pharmacological therapy was unchanged during MIRT and follow-up. All outcome measures improved significantly at the end of treatment. At 1-year follow-up control, UPDRS walk and Comfortable-Fast gait speeds still maintained better values with respect to admission (P=0.009, P=0.03, and P=0.02, resp., while the remaining scales did not differ significantly. Our results demonstrate that the MIRT was effective in improving balance and gait and that the improvement in gait performances was partially maintained also after 1 year.

  13. Postoperative simultaneous integrated boost-intensity modulated radiation therapy for patients with locoregionally advanced papillary thyroid carcinoma: preliminary results of a phase II trial and propensity score analysis.

    Science.gov (United States)

    Lee, Eun Kyung; Lee, You Jin; Jung, Yuh-S; Ryu, Junsun; Kim, Tae Hyun; Lee, Chang Yoon; Ryu, Chang Hwan; Kim, Tae Sung; Kim, Seok Ki; Chung, Ki-Wook; Kim, Sang Soo; Kim, Dae Yong; Kim, Joo Young; Cho, Kwan Ho

    2015-03-01

    With recent technical advances in radiotherapy (RT) planning, simultaneous integrated boost intensity modulated radiotherapy (SIB-IMRT) has made possible the delivery of high radiation dose to the tumor, minimizing surrounding normal tissues. This study aimed to evaluate the clinical effectiveness and safety of postoperative SIB-IMRT in patients with locoregionally advanced papillary thyroid cancer (PTC). This was a propensity score-matched case control study conducted at a tertiary referring center. This study included locoregionally advanced patients with PTC (pT4 or N1b) who underwent thyroid cancer surgery and radioactive iodine ablation (RIA) followed by postoperative SIB-IMRT (RT group) under a phase II trial or no postoperative RT (Non-RT group) Intervention: Postoperative SIB-IMRT was the intervention. locoregional relapse-free survival (LRFS) was compared between RT group and Non-RT group. Multivariate analysis showed that several factors, including sex, American Thyroid Association risk category, and use of postoperative RT were significantly associated with LRFS in all 201 patients (P propensity score-matched patients, there were no significant differences in baseline characteristics between the RT and Non-RT groups, but the LRFS rate was significantly higher in the RT than in the Non-RT group (4 y: 100% vs 84.6%, P = .002). Overall, SIB-IMRT was well tolerated, with no grade ≥3 toxicity, and was completed as planned in all patients. Postoperative SIB-IMRT is feasible and effective in improving locoregional control in patients with locally advanced PTC. Large-scale randomized studies are warranted.

  14. Feasibility Study on MR-Guided High-Intensity Focused Ultrasound Ablation of Sciatic Nerve in a Swine Model: Preliminary Results

    Energy Technology Data Exchange (ETDEWEB)

    Kaye, Elena A., E-mail: kayee@mskcc.org [Memorial Sloan Kettering Cancer Center, Department of Medical Physics (United States); Gutta, Narendra Babu, E-mail: gnbabu.aiims@gmail.com [Memorial Sloan Kettering Cancer Center, Department of Radiology (United States); Monette, Sebastien, E-mail: monettes@mskcc.org [The Rockefeller University, Tri-Institutional Laboratory of Comparative Pathology, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical College (United States); Gulati, Amitabh, E-mail: gulatia@mskcc.org; Loh, Jeffrey, E-mail: jeffreyloh@gmail.com [Memorial Sloan Kettering Cancer Center, Department of Anesthesiology-Critical Care (United States); Srimathveeravalli, Govindarajan, E-mail: srimaths@mskcc.org [Memorial Sloan Kettering Cancer Center, Department of Radiology (United States); Ezell, Paula C., E-mail: paula.ezell@intusurg.com [The Rockefeller University, Tri-Institutional Laboratory of Comparative Pathology, Memorial Sloan Kettering Cancer Center, Weill Cornell Medical College (United States); Erinjeri, Joseph P., E-mail: erinjerj@mskcc.org; Solomon, Stephen B., E-mail: solomons@mskcc.org; Maybody, Majid, E-mail: maybodym@mskcc.org [Memorial Sloan Kettering Cancer Center, Department of Radiology (United States)

    2015-08-15

    IntroductionSpastic patients often seek neurolysis, the permanent destruction of the sciatic nerve, for better pain management. MRI-guided high-intensity focused ultrasound (MRgHIFU) may serve as a noninvasive alternative to the prevailing, more intrusive techniques. This in vivo acute study is aimed at performing sciatic nerve neurolysis using a clinical MRgHIFU system.MethodsThe HIFU ablation of sciatic nerves was performed in swine (n = 5) using a HIFU system integrated with a 3 T MRI scanner. Acute lesions were confirmed using T1-weighted contrast-enhanced (CE) MRI and histopathology using hematoxylin and eosin staining. The animals were euthanized immediately following post-ablation imaging.ResultsReddening and mild thickening of the nerve and pallor of the adjacent muscle were seen in all animals. The HIFU-treated sections of the nerves displayed nuclear pyknosis of Schwann cells, vascular hyperemia, perineural edema, hyalinization of the collagenous stroma of the nerve, myelin sheet swelling, and loss of axons. Ablations were visible on CE MRI. Non-perfused volume of the lesions (5.8–64.6 cc) linearly correlated with estimated lethal thermal dose volume (4.7–34.2 cc). Skin burn adjacent to the largest ablated zone was observed in the first animal. Bilateral treatment time ranged from 55 to 138 min, and preparation time required 2 h on average.ConclusionThe acute pilot study in swine demonstrated the feasibility of a noninvasive neurolysis of the sciatic nerve using a clinical MRgHIFU system. Results revealed that acute HIFU nerve lesions were detectable on CE MRI, gross pathology, and histology.

  15. Stereotactic body radiation therapy for abdominal targets using volumetric intensity modulated arc therapy with RapidArc: Feasibility and clinical preliminary results

    Energy Technology Data Exchange (ETDEWEB)

    Scorsetti, Marta; Bignardi, Mario; Alongi, Filippo; Mancosu, Pietro; Navarria, Piera; Castiglioni, Simona; Pentimalli, Sara; Tozzi, Angelo (IRCCS Istituto Clinico Humanitas, Rozzano (Italy)), e-mail: pietro.mancosu@humanitas.it; Fogliata, Antonella; Cozzi, Luca (Oncology Inst. of Southern Switzerland, Bellinzona (Switzerland))

    2011-05-15

    Purpose. To report early clinical experience in stereotactic body radiation therapy (SBRT) delivered using volumetric intensity modulated arc therapy with RapidArc (RA) in patients with primary or metastatic tumours at abdominal sites. Material and methods. Thirty-seven consecutive patients were treated using RA. Of these, 16 had primary or metastatic liver tumours, nine had pancreatic cancer and 12 a nodal metastasis in the retro-peritoneum. Dose prescription varied from 45 to 75 Gy to the Clinical Target Volume in 3 to 6 fractions. The median follow-up was 12 months (6-22). Early local control and toxicity were investigated and reported. Results. Planning objectives on target volumes and organs at risk were met in most cases. Delivery time ranged from 2.8 +- 0.3 to 9.2 +- 2.4 minutes and pre-treatment plan verification resulted in a Gamma Agreement Index from 95.3 +- 3.8 to 98.3 +- 1.7%. At the time of analysis, local control (freedom from progression) at six months, was assessable in 24 of 37 patients and was achieved in 19 patients with a crude rate of 79.2%. Seven patients experienced treatment-related toxicity. Three patients experienced a mild and transient G1 enteritis and two showed a transient G1 liver damage. Two had late toxicity: one developed chronic enteritis causing G1 diarrhoea and G1 abdominal pain and one suffered at three months a G3 gastric bleeding. No patients experienced G4 acute toxicity. Conclusions. SBRT for abdominal targets delivered by means of RA resulted to be feasible with good early clinical results in terms of local control rate and acute toxicity profile. RA allowed to achieve required target coverage as well as to keep within normal tissue dose/volume constraints

  16. A preliminary evaluation of the San Pedro daisy (Lasianthaea podocephala tuber powder, as a feed additive on the intensive culture of shrimp (Litopenaeus vannamei under laboratory conditions

    Directory of Open Access Journals (Sweden)

    Marcel Martínez-Porchas

    2013-07-01

    Full Text Available An experimental study was carried out during seven weeks to preliminarily evaluate the effect of the dietary inclusion of powder from the tuber Lasianthaeapodocephala, commonly known as the San Pedro daisy or pionilla, as a feed additive on the production parameters, food consumption, and nutritional condition of the white shrimp, Litopenaeus vannamei, intensively farmed under laboratory conditions. Hypothetically, the additive should improve these parameters as it does when used for humans. The powder was included at different levels (0 [Control], 0.2 [T1] and 1 g kg-1 [T2] in a commercial shrimp feed. The tuber powder exhibited a free amino acid profile being arginine (8.59 mg g-1 and glutamine (3.36 mg g-1 the most abundant. Feed consumption was not influenced by any treatment; however, the survival and the overall production responses were higher in both treatments using the powder (T1 and T2 compared to the control. No significant differences were detected in muscle concentrations of lactate and glucose, although higher protein and lower cholesterol concentrations were observed in shrimp reared in the control. The lower cholesterol concentration of shrimp from the control could be associated to a poor nutritional status. In conclusion, addition of the powder of San Pedro daisy did not improve the feed consumption, but apparently had a positive effect on survival, production response and nutritional status of shrimp. These responses could be associated to an hypothetic effect of some plant components at a nutritional-molecular level, or to a possible antimicrobial effect; however, further specific studies are needed.

  17. A computer-assisted recording, diagnosis and management of the medically ill system for use in the intensive care unit: A preliminary report

    Directory of Open Access Journals (Sweden)

    John George

    2009-01-01

    Full Text Available Background: Computerized medical information systems have been popularized over the last two decades to improve quality and safety, and for decreasing medical errors. Aim: To develop a clinician-friendly computer-based support system in the intensive care unit (ICU that incorporates recording, reminders, alerts, checklists and diagnostic differentials for common conditions encountered in critical care. Materials and Methods: This project was carried out at the Medical ICU CMC Hospital, Vellore, in collaboration with the Computer Science Department, VIT University. The first phase was to design and develop monitoring and medication sheets. Terminologies such as checklists (intervention list that pops up at defined times for all patients, reminders (intervention unique to each patient and alerts (time-based, value-based, trend-based were defined. The diagnostic and intervention bundles were characterized in the second phase. The accuracy and reliability of the software to generate alerts, reminders and diagnoses was tested in the third phase. The fourth phase will be to integrate this with the hospital information system and the bedside monitors. Results: Alpha testing was performed using six scenarios written by intensivists. The software generated real-time alerts and reminders and provided diagnostic differentials relevant to critical care. Predefined interventions for each diagnostic possibility appeared as pop-ups. Problems identified during alpha testing were rectified prior to beta testing. Conclusions: The use of a computer-assisted monitoring, recording and diagnostic system appears promising. It is envisaged that further software refinements following beta testing would facilitate the improvement of quality and safety in the critical care environment.

  18. Development of a Standardized Method for Contouring the Lumbosacral Plexus: A Preliminary Dosimetric Analysis of this Organ at Risk Among 15 Patients Treated With Intensity-Modulated Radiotherapy for Lower Gastrointestinal Cancers and the Incidence of Radiation-Induced Lumbosacral Plexopathy

    Energy Technology Data Exchange (ETDEWEB)

    Yi, Sun K., E-mail: sun.yi@ucdmc.ucdavis.edu [Department of Radiation Oncology, University of California, Davis Cancer Center, Sacramento, CA (United States); Mak, Walter [Department of Radiology, University of California, Davis Medical Center, Sacramento, CA (United States); Yang, Claus C.; Liu Tianxiao [Department of Radiation Oncology, University of Mississippi Medical Center, Jackson, MS (United States); Cui Jing; Chen, Allen M.; Purdy, James A.; Monjazeb, Arta M. [Department of Radiation Oncology, University of California, Davis Cancer Center, Sacramento, CA (United States); Do, Ly [Cancer Care Institute, San Jose, CA (United States)

    2012-10-01

    Purpose: To generate a reproducible step-wise guideline for the delineation of the lumbosacral plexus (LSP) on axial computed tomography (CT) planning images and to provide a preliminary dosimetric analysis on 15 representative patients with rectal or anal cancers treated with an intensity-modulated radiotherapy (IMRT) technique. Methods and Materials: A standardized method for contouring the LSP on axial CT images was devised. The LSP was referenced to identifiable anatomic structures from the L4-5 interspace to the level of the sciatic nerve. It was then contoured retrospectively on 15 patients treated with IMRT for rectal or anal cancer. No dose limitations were placed on this organ at risk during initial treatment planning. Dosimetric parameters were evaluated. The incidence of radiation-induced lumbosacral plexopathy (RILSP) was calculated. Results: Total prescribed dose to 95% of the planned target volume ranged from 50.4 to 59.4 Gy (median 54 Gy). The mean ({+-}standard deviation [SD]) LSP volume for the 15 patients was 100 {+-} 22 cm{sup 3} (range, 71-138 cm{sup 3}). The mean maximal dose to the LSP was 52.6 {+-} 3.9 Gy (range, 44.5-58.6 Gy). The mean irradiated volumes of the LSP were V40Gy = 58% {+-} 19%, V50Gy = 22% {+-} 23%, and V55Gy = 0.5% {+-} 0.9%. One patient (7%) was found to have developed RILSP at 13 months after treatment. Conclusions: The true incidence of RILSP in the literature is likely underreported and is not a toxicity commonly assessed by radiation oncologists. In our analysis the LSP commonly received doses approaching the prescribed target dose, and 1 patient developed RILSP. Identification of the LSP during IMRT planning may reduce RILSP. We have provided a reproducible method for delineation of the LSP on CT images and a preliminary dosimetric analysis for potential future dose constraints.

  19. Technological Implementation of Renewable Energy in Rural-Isolated Areas and Small-Medium Islands in Indonesia: Problem Mapping And Preliminary Surveys of Total People Participation in a Local Wind Pump Water Supply

    Science.gov (United States)

    Taufik, Ahmad

    2007-10-01

    This article discusses a formulation of problem mapping and preliminary surveys of total people participation in a local wind pump (LWP) water supply in term of technological implementation of renewable energy (RE) in rural-isolated areas and small-medium islands in Indonesia. The formulation was constructed in order to enhance and to promote the local product of RE across Indonesia. It was also addressed to accommodate local potencies, barriers and opportunities into a priority map. Moreover, it was designed into five aspects such as (1) local technology of the RE: a case of pilot project of the LWP; (2) environmental-cultural aspects related to global issues of energy-renewable energy; (3) potencies and barriers corresponding to local, national, regional and international contents; (4) education and training and (5) gender participation. To focus the formulation, serial preliminary surveys were conducted in five major areas, namely: (1) survey on support and barrier factors of the aspects; (2) strategic planning model, a concept A-B-G which stands for Academician-Business people-Government; (3) survey on background based knowledge on energy conservation; (4) survey on gender participation in energy conservation and (5) survey on local stakeholder involvement. Throughout the surveys, it has been notified that the concept needs to be developed to any level of its component since its elements were identified in tolerance values such as high potency value of the LWP development (95%); a strong potency of rural area application (88%); a medium background of energy, energy conservation (EC) identified in a range of 56%-72%, sufficient support from local stakeholders and gender participation.

  20. Effects of 16-week high-intensity interval training using upper and lower body ergometers on aerobic fitness and morphological changes in healthy men: a preliminary study

    Directory of Open Access Journals (Sweden)

    Osawa Y

    2014-11-01

    Full Text Available Yusuke Osawa,1,2,* Koichiro Azuma,3,* Shogo Tabata,3 Fuminori Katsukawa,2 Hiroyuki Ishida,2 Yuko Oguma,2 Toshihide Kawai,4 Hiroshi Itoh,4 Shigeo Okuda,5 Hideo Matsumoto3 1Japan Society for the Promotion of Science, Graduate School of Arts and Sciences, University of Tokyo, Tokyo, Japan; 2Sports Medicine Research Center, Keio University, Kanagawa, Japan; 3Institute for Integrated Sports Medicine, School of Medicine, Keio University, Tokyo, Japan; 4Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan; 5Department of Radiology, School of Medicine, Keio University, Tokyo, Japan *Yusuke Osawa and Koichiro Azuma are co-first authors of this article Abstract: It is unclear whether combined leg and arm high-intensity interval training (HIIT improves fitness and morphological characteristics equal to those of leg-based HIIT programs. The aim of this study was to compare the effects of HIIT using leg-cycling (LC and arm-cranking (AC ergometers with an HIIT program using only LC. Effects on aerobic capacity and skeletal muscle were analyzed. Twelve healthy male subjects were assigned into two groups. One performed LC-HIIT (n=7 and the other LC- and AC-HIIT (n=5 twice weekly for 16 weeks. The training programs consisted of eight to 12 sets of >90% VO2 (the oxygen uptake that can be utilized in one minute peak for 60 seconds with a 60-second active rest period. VO2 peak, watt peak, and heart rate were measured during an LC incremental exercise test. The cross-sectional area (CSA of trunk and thigh muscles as well as bone-free lean body mass were measured using magnetic resonance imaging and dual-energy X-ray absorptiometry. The watt peak increased from baseline in both the LC (23%±38%; P<0.05 and the LC–AC groups (11%±9%; P<0.05. The CSA of the quadriceps femoris muscles also increased from baseline in both the LC (11%±4%; P<0.05 and the LC–AC groups (5%±5%; P<0.05. In contrast, increases were observed in the CSA of

  1. Intensive Observation of Reservoirinduced Seismicity and Preliminary Analysis on the Causes of Earthquakes in the Three Gorges Reservoir Area, Yangtze River

    Institute of Scientific and Technical Information of China (English)

    Ma Wentao; Xu Changpeng; Yuan Jingli; Li Hai'ou; Xu Xiwei; Zhang Xindong; Zhang Lanfeng

    2011-01-01

    In accordance with the requirements of the National Key Technology R&D Program of the 11th "Five-year Plan", a densified seismic network consisting of 26 seismic stations was established at the Three Gorges Reservoir area in the section of Hubei Province in March 2009 (21 short-period seismographs, 5 broadband digital seismographs). From March to December, 2009, a total of 2,995 ML -0. 8 - 2. 9 earthquakes were detected during the trial impounding of the Three Gorges Reservoir ( water level rose from 145 m to 172.8m). Using the double difference earthquake location algorithm, 2,837 earthquakes were precisely re-located. The results show that the pattern of small local earthquake swarms in the Three Gorges Reservoir area took on a linear distribution or mass-like cluster distribution, the mass-like clusters of events were generally within a distance of 5 km from waterfront, and the linear distribution of the earthquakes could be extended to a distance of 16 km away from the waterfront. In the Hubei section of the Three Gorges Reservoir, earthquakes were mainly concentrated in the northern end of the Xiannvshan and Jiuwanxi faults near the Xiangxihe River, and along the banks of the Yangtze River at the west of Xietan township and the Shenlongxi area on the northern bank in the Badong region, with focal depths less than 10km, and 4km in average. Earthquake frequency in the reservoir region had a positive correlation with reservoir water level fluctuations, indicating that the seismicity belongs to reservoir induced earthquakes. Along the Shenlong River in the reservoir area, earthquakes showed three linear distributions in the northern Badong county, and distributed according to Karst distribution. There are underground rivers in the carbonate strata. When the reservoir was impounded, water permeated into the underground rivers, thus inducing earthquakes. Earthquakes in the areas on the crossriver segment of Xiannvshan fault, the Jiuwanxi fault and at

  2. Reduction in pulmonary complications in high risk patients undergoing surgery for total hip replacement under general anesthesia by preoperative intensive inspiratory muscle training:A randomized controlled clinical trial

    Institute of Scientific and Technical Information of China (English)

    Bingqiang Ma; Hongguang Bao

    2009-01-01

    Objective: To evaluate the effects of preoperative inspiratory muscle training (IMT) on the incidence of atelectasis in patients at high risk of postoperative pulmonary complications scheduled for elective total hip replacement surgery under general anesthesia. Methods: Thirty two high-risk paticnts undergoing elective total hip replacement surgery under general anesthesia were chosen from Nanjing Medical University, Affiliated Nanjing First Hospital. In this single-blind randomized controlled clinical trial, patients were randomly assigned to receive preoperative inspiratory muscle training or conventional treatment (CT). The major effectiveness outcome variables were atelectasis and duration of postoperative hospitalization. Results: Both groups were comparable prior to surgery. Seven patients in the CT group and 3 in the IMT group developed atelectasis (P = 0.25). Median duration of postoperative hospitalization was 13 days (range, 10~17 days) in the IMT group versus 16 days (range, 11~23 days) in the CT group (Mann-Whitney U statistics, Z =-2.22, P = 0.03). Mean postoperative inspiratory pressure was 5% higher in the IMT group. Conclusion: Preoperative intensive inspiratory muscle training appears to reduce the incidence of atelectasis and duration of postoperative hospitalization in patients at high risk of developing postoperative pulmonary complications who were scheduled for elective total hip replacement surgery under general anesthesia.

  3. Sequential flow injection analysis system on-line coupled to high intensity focused ultrasound: green methodology for trace analysis applications as demonstrated for the determination of inorganic and total mercury in waters and urine by cold vapor atomic absorption spectrometry.

    Science.gov (United States)

    Fernandez, C; Conceição, Antonio C L; Rial-Otero, R; Vaz, C; Capelo, J L

    2006-04-15

    A new concept is presented for green analytical applications based on coupling on-line high-intensity focused ultrasound (HIFU) with a sequential injection/flow injection analysis (SIA/FIA) system. The potential of the SIA/HIFU/FIA scheme is demonstrated by taking mercury as a model analyte. Using inorganic mercury, methylmercury, phenylmercury, and diphenylmercury, the usefulness of the proposed methodology for the determination of inorganic and total mercury in waters and urine was demonstrated. The procedure requires low sample volumes and reagents and can be further applied to all chemical reactions involving HIFU. The inherent advantages of SIA, FIA, and HIFU applications in terms of high throughput, automation, low reagent consumption, and green chemistry are accomplished together for the first time in the present work.

  4. Preliminary Toxicity Analysis of 3-Dimensional Conformal Radiation Therapy Versus Intensity Modulated Radiation Therapy on the High-Dose Arm of the Radiation Therapy Oncology Group 0126 Prostate Cancer Trial

    Energy Technology Data Exchange (ETDEWEB)

    Michalski, Jeff M., E-mail: jmichalski@radonc.wustl.edu [Department of Radiation Oncology Washington University Medical Center, St. Louis, Missouri (United States); Yan, Yan [Radiation Therapy Oncology Group Statistical Center, Philadelphia, Pennsylvania (United States); Watkins-Bruner, Deborah [Emory University School of Nursing, Atlanta, Georgia (United States); Bosch, Walter R. [Department of Radiation Oncology Washington University Medical Center, St. Louis, Missouri (United States); Winter, Kathryn [Radiation Therapy Oncology Group Statistical Center, Philadelphia, Pennsylvania (United States); Galvin, James M. [Department of Radiation Oncology Thomas Jefferson University Hospital, Philadelphia, Pennsylvania (United States); Bahary, Jean-Paul [Department of Radiation Oncology Centre Hospitalier de l' Université de Montréal-Notre Dame, Montreal, QC (Canada); Morton, Gerard C. [Department of Radiation Oncology Toronto-Sunnybrook Regional Cancer Centre, Toronto, ON (Canada); Parliament, Matthew B. [Department of Oncology Cross Cancer Institute, Edmonton, AB (Canada); Sandler, Howard M. [Department of Radiation Oncology Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Los Angeles, California (United States)

    2013-12-01

    Purpose: To give a preliminary report of clinical and treatment factors associated with toxicity in men receiving high-dose radiation therapy (RT) on a phase 3 dose-escalation trial. Methods and Materials: The trial was initiated with 3-dimensional conformal RT (3D-CRT) and amended after 1 year to allow intensity modulated RT (IMRT). Patients treated with 3D-CRT received 55.8 Gy to a planning target volume that included the prostate and seminal vesicles, then 23.4 Gy to prostate only. The IMRT patients were treated to the prostate and proximal seminal vesicles to 79.2 Gy. Common Toxicity Criteria, version 2.0, and Radiation Therapy Oncology Group/European Organization for Research and Treatment of Cancer late morbidity scores were used for acute and late effects. Results: Of 763 patients randomized to the 79.2-Gy arm of Radiation Therapy Oncology Group 0126 protocol, 748 were eligible and evaluable: 491 and 257 were treated with 3D-CRT and IMRT, respectively. For both bladder and rectum, the volumes receiving 65, 70, and 75 Gy were significantly lower with IMRT (all P<.0001). For grade (G) 2+ acute gastrointestinal/genitourinary (GI/GU) toxicity, both univariate and multivariate analyses showed a statistically significant decrease in G2+ acute collective GI/GU toxicity for IMRT. There were no significant differences with 3D-CRT or IMRT for acute or late G2+ or 3+ GU toxicities. Univariate analysis showed a statistically significant decrease in late G2+ GI toxicity for IMRT (P=.039). On multivariate analysis, IMRT showed a 26% reduction in G2+ late GI toxicity (P=.099). Acute G2+ toxicity was associated with late G3+ toxicity (P=.005). With dose–volume histogram data in the multivariate analysis, RT modality was not significant, whereas white race (P=.001) and rectal V70 ≥15% were associated with G2+ rectal toxicity (P=.034). Conclusions: Intensity modulated RT is associated with a significant reduction in acute G2+ GI/GU toxicity. There is a trend for a

  5. Total protein

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/003483.htm Total protein To use the sharing features on this page, please enable JavaScript. The total protein test measures the total amount of two classes ...

  6. Evaluating the impact of Relative Total Dose Intensity (RTDI on patients' short and long-term outcome in taxane- and anthracycline-based chemotherapy of metastatic breast cancer- a pooled analysis

    Directory of Open Access Journals (Sweden)

    Brodowicz Thomas

    2011-04-01

    Full Text Available Abstract Background Chemotherapy dose delay and/or reduction lower relative total dose intensity (RTDI and may affect short- and long-term outcome of metastatic breast cancer (MBC patients. Methods Based on 933 individual patients' data of from 3 randomized MBC trials using an anthracycline and taxane we examined the impact of RTDI on efficacy and determined the lowest optimal RTDI for MBC patients. Results Median time to disease progression (TTDP and overall survival (OS of all patients were 39 and 98 weeks. Overall higher RTDI was correlated with a shorter TTDP (log-rank p = 0.0525 for 85% RTDI cut-off. Proportional hazards assumption was violated, there was an early drop in the TTDP-curve for the high RTDI group. It was explained by the fact that patients with primary disease progression (PDP do have a high RTDI per definition. Excluding those 114 patients with PDP the negative correlation between RTDI and TTDP vanished. However, non-PDP patients with RTDI-cut-off levels Conclusions Optimizing RTDI above 85% appears to improve long-term outcome of MBC patients receiving first-line chemotherapy. Lowering RTDI had no negative influence on short term outcome like OR and TTDP.

  7. 机器人外科手术系统体外循环心脏手术的初步经验%Total endoscopic robot-assisted on-pump cardiac surgery: preliminary experience with robot-assisted surgery

    Institute of Scientific and Technical Information of China (English)

    魏来; 黄麒; 王春生; 沈金强; 夏利民; 罗红; 廖庆武; 胡克俭; 王萍; 徐竹静

    2011-01-01

    Objective To introduce our preliminary experience in total endoscopic robot-assisted onpump cardiac surgery with da Vinci system. Methods Five patients with mitral insufficiency (MI) and five patients with atrial septai defect (ASD) underwent on-pump cardiac surgical procedures using da Vinci S system from Aug. 2010 to Dec. 2010. After double-lumen endotracheal intubation and intravenous inhalation anesthesia,the peripheral extracorporeal circulation was established with femoral arterial cannula, femoral venous cannula and right internal jugular venous cannula. Through a 3 cm-length working-port and other three 0.8 cm-length mini-ports,the total endoscopic robotic-assisted operations (including mitral valve repair and ASD repair) were performed.Results All procedures were successfully performed without incision expansion or converting to sternotomy.Transesophageal echocardiography (TEE) showed no moderate or severe .m. itral valve regurgitation or atrial septal shunt. There were no in-hospital death or post-operative complications. The patients recovered quickly with less bleeding and shorter hospital stay. All patients were followed-up for 1 - 3 months and had satisfactory TEE results.Conclusion The da Vinci robotic surgery system is safe and reliable for cardiac surgery, with satisfactory outcome, mini-invasiveness, rapid recovery and bright future. (Shanghai Med J, 2011, 34: 38-42)%目的 介绍复旦大学附属中山医院应用达芬奇S机器人外科手术系统辅助开展全内镜体外循环心脏手术的初步经验.方法 2010年8-12月在达芬奇S机器人外科手术系统辅助下完成全内镜二尖瓣成形术5例,房间隔缺损修补术5例.全组患者均采用双腔气管插管、静脉吸入复合麻醉,经股动脉、股静脉及右颈内静脉插管建立外周体外循环.于右胸第4肋间隙作3 cm工作孔,右胸第3、4、6肋间隙分别作0.8 cm器械孔,由术者操控机械臂完成全内镜下心内直视手术.结果 所有

  8. Comparison between cold water immersion therapy (CWIT) and light emitting diode therapy (LEDT) in short-term skeletal muscle recovery after high-intensity exercise in athletes--preliminary results.

    Science.gov (United States)

    Leal Junior, Ernesto Cesar; de Godoi, Vanessa; Mancalossi, José Luis; Rossi, Rafael Paolo; De Marchi, Thiago; Parente, Márcio; Grosselli, Douglas; Generosi, Rafael Abeche; Basso, Maira; Frigo, Lucio; Tomazoni, Shaiane Silva; Bjordal, Jan Magnus; Lopes-Martins, Rodrigo Alvaro Brandão

    2011-07-01

    In the last years, phototherapy has becoming a promising tool to improve skeletal muscle recovery after exercise, however, it was not compared with other modalities commonly used with this aim. In the present study we compared the short-term effects of cold water immersion therapy (CWIT) and light emitting diode therapy (LEDT) with placebo LEDT on biochemical markers related to skeletal muscle recovery after high-intensity exercise. A randomized double-blind placebo-controlled crossover trial was performed with six male young futsal athletes. They were treated with CWIT (5°C of temperature [SD ±1°]), active LEDT (69 LEDs with wavelengths 660/850 nm, 10/30 mW of output power, 30 s of irradiation time per point, and 41.7 J of total energy irradiated per point, total of ten points irradiated) or an identical placebo LEDT 5 min after each of three Wingate cycle tests. Pre-exercise, post-exercise, and post-treatment measurements were taken of blood lactate levels, creatine kinase (CK) activity, and C-reactive protein (CRP) levels. There were no significant differences in the work performed during the three Wingate tests (p > 0.05). All biochemical parameters increased from baseline values (p muscles with LEDT 5 min after the Wingate cycle test seemed to inhibit the expected post-exercise increase in blood lactate levels and CK activity. This suggests that LEDT has better potential than 5 min of CWIT for improving short-term post-exercise recovery.

  9. Preoperative home-based physical therapy versus usual care to improve functional health of frail older adults scheduled for elective total hip arthroplasty: A pilot randomized controlled trial

    NARCIS (Netherlands)

    Oosting, E.; Jans, M.P.; Dronkers, J.J.; Naber, R.H.; Dronkers-Landman, C.M.; Appelman-De Vries, S.M.; Meeteren, N.L. van

    2012-01-01

    Preoperative home-based physical therapy versus usual care to improve functional health of frail older adults scheduled for elective total hip arthroplasty: a pilot randomized controlled trial. Objective: To investigate the feasibility and preliminary effectiveness of a home-based intensive exercise

  10. Total body irradiation: present and future; Irradiation corporelle totale: present et avenir

    Energy Technology Data Exchange (ETDEWEB)

    Zilli, T.; Miralbell, R.; Ozsahin, M. [Hopitaux Universitaires de Geneve, Service de Radio-Oncologie (Switzerland); Ozsahin, M. [Centre Hospitalier Universitaire Vaudois, Service de Radio-Oncologie, Lausanne (Switzerland)

    2009-09-15

    Total body irradiation (T.B.I.) has an established role as preparative regimen for bone-marrow transplantation in the treatment of hematological malignancies. Many randomized trials demonstrated that the clinical outcomes obtained from the association of T.B.I. and cyclophosphamide are equivalent, or, sometimes, better than those based on chemotherapeutic agents. Despite the therapeutic progress of the last years, and the consequent improvement in the overall survival, this preparative regimen remains always associated with a relatively high rate of acute and late toxicity. In this article, we review the actual indications of T.B.I. in clinical practice, and analyze the technological progress in this domain. We focus on the hypothesis that a selective irradiation of the hematopoietic or lymphoid organs is actually possible with intensity-modulated radiotherapy. Technical limits and preliminary results in terms of acute and late toxicities of intensity-modulated T.B.I. are analyzed. With these new technologies, treatment-related toxicity is not anymore a major limiting factor in the preparative regimens for bone-marrow transplantation, allowing for a larger spectrum of T.B.I. indications, a possible extension to patients older than 50 years, or a dose escalation. Preliminary results warrant, however, further evaluation in clinical trials to better assess the impact of this new approach on disease control and the long-term toxicity. (authors)

  11. Total algorithms

    NARCIS (Netherlands)

    Tel, G.

    1993-01-01

    We define the notion of total algorithms for networks of processes. A total algorithm enforces that a "decision" is taken by a subset of the processes, and that participation of all processes is required to reach this decision. Total algorithms are an important building block in the design of distri

  12. Intensive Language Teaching in Schools. Teaching Languages 1.

    Science.gov (United States)

    Hawkins, Eric, Ed.; Perren, G. E., Ed.

    The papers in this volume concerning intensive language teaching are grouped into three sections: "Sections bilingues,""Intensive courses within schools," and "Intensive courses at external centres." A preliminary chapter by Eric Hawkins introduces the historical context of intensive language teaching and a concluding…

  13. Sound Intensity

    DEFF Research Database (Denmark)

    Crocker, M.J.; Jacobsen, Finn

    1997-01-01

    This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique....

  14. Sound Intensity

    DEFF Research Database (Denmark)

    Crocker, M.J.; Jacobsen, Finn

    1997-01-01

    This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique.......This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique....

  15. Sound intensity

    DEFF Research Database (Denmark)

    Crocker, Malcolm J.; Jacobsen, Finn

    1998-01-01

    This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique.......This chapter is an overview, intended for readers with no special knowledge about this particular topic. The chapter deals with all aspects of sound intensity and its measurement from the fundamental theoretical background to practical applications of the measurement technique....

  16. An Operational Perspective of Total Lightning Information

    Science.gov (United States)

    Nadler, David J.; Darden, Christopher B.; Stano, Geoffrey; Buechler, Dennis E.

    2009-01-01

    The close and productive collaborations between the NWS Warning and Forecast Office, the Short Term Prediction and Research Transition Center at NASA Marshall Space Flight Center and the University of Alabama in Huntsville have provided a unique opportunity for science sharing and technology transfer. One significant technology transfer that has provided immediate benefits to NWS forecast and warning operations is the use of data from the North Alabama Lightning Mapping Array. This network consists of ten VHF receivers deployed across northern Alabama and a base station located at the National Space Science and Technology Center. Preliminary investigations done at WFO Huntsville, along with other similar total lightning networks across the country, have shown distinct correlations between the time rate-of-change of total lightning and trends in intensity/severity of the parent convective cell. Since May 2003 when WFO HUN began receiving these data - in conjunction with other more traditional remotely sensed data (radar, satellite, and surface observations) -- have improved the situational awareness of the WFO staff. The use of total lightning information, either from current ground based systems or future space borne instrumentation, may substantially contribute to the NWS mission, by enhancing severe weather warning and decision-making processes. Operational use of the data has been maximized at WFO Huntsville through a process that includes forecaster training, product implementation, and post event analysis and assessments. Since receiving these data, over 50 surveys have been completed highlighting the use of total lightning information during significant events across the Tennessee Valley. In addition, around 150 specific cases of interest have been archived for collaborative post storm analysis. From these datasets, detailed trending information from radar and total lightning can be compared to corresponding damage reports. This presentation will emphasize

  17. Intensity Biased PSP Measurement

    Science.gov (United States)

    Subramanian, Chelakara S.; Amer, Tahani R.; Oglesby, Donald M.; Burkett, Cecil G., Jr.

    2000-01-01

    The current pressure sensitive paint (PSP) technique assumes a linear relationship (Stern-Volmer Equation) between intensity ratio (I(sub o)/I) and pressure ratio (P/P(sub o)) over a wide range of pressures (vacuum to ambient or higher). Although this may be valid for some PSPs, in most PSPs the relationship is nonlinear, particularly at low pressures (less than 0.2 psia when the oxygen level is low). This non-linearity can be attributed to variations in the oxygen quenching (de-activation) rates (which otherwise is assumed constant) at these pressures. Other studies suggest that some paints also have non-linear calibrations at high pressures; because of heterogeneous (non-uniform) oxygen diffusion and quenching. Moreover, pressure sensitive paints require correction for the output intensity due to light intensity variation, paint coating variation, model dynamics, wind-off reference pressure variation, and temperature sensitivity. Therefore to minimize the measurement uncertainties due to these causes, an insitu intensity correction method was developed. A non-oxygen quenched paint (which provides a constant intensity at all pressures, called non-pressure sensitive paint, NPSP) was used for the reference intensity (I(sub NPSP) with respect to which all the PSP intensities (I) were measured. The results of this study show that in order to fully reap the benefits of this technique, a totally oxygen impermeable NPSP must be available.

  18. Total Thyroidectomy

    Directory of Open Access Journals (Sweden)

    Lopez Moris E

    2016-06-01

    Full Text Available Total thyroidectomy is a surgery that removes all the thyroid tissue from the patient. The suspect of cancer in a thyroid nodule is the most frequent indication and it is presume when previous fine needle puncture is positive or a goiter has significant volume increase or symptomes. Less frequent indications are hyperthyroidism when it is refractory to treatment with Iodine 131 or it is contraindicated, and in cases of symptomatic thyroiditis. The thyroid gland has an important anatomic relation whith the inferior laryngeal nerve and the parathyroid glands, for this reason it is imperative to perform extremely meticulous dissection to recognize each one of these elements and ensure their preservation. It is also essential to maintain strict hemostasis, in order to avoid any postoperative bleeding that could lead to a suffocating neck hematoma, feared complication that represents a surgical emergency and endangers the patient’s life.It is essential to run a formal technique, without skipping steps, and maintain prudence and patience that should rule any surgical act.

  19. Intensive mobilities:

    DEFF Research Database (Denmark)

    Vannini, Phillip; Bissell, David; Jensen, Ole B.

    This paper explores the intensities of long distance commuting journeys as a way of exploring how bodily sensibilities are being changed by the mobilities that they undertake. The context of this paper is that many people are travelling further to work than ever before owing to a variety of facto....... By exploring how experiences of long-distance workers become constituted by a range of different material forces enables us to more sensitively consider the practical, technical, and political implications of this increasingly prevalent yet underexplored regime of work....... which relate to transport, housing and employment. Yet we argue that the experiential dimensions of long distance mobilities have not received the attention that they deserve within geographical research on mobilities. This paper combines ideas from mobilities research and contemporary social theory...... with fieldwork conducted in Canada, Denmark and Australia to develop our understanding of the experiential politics of long distance workers. Rather than focusing on the extensive dimensions of mobilities that are implicated in patterns and trends, our paper turns to the intensive dimensions of this experience...

  20. A preliminary study on the effects of serum total cholesterol and triglyceride on cognitive function%血清总胆固醇和甘油三酯对认知功能影响的探讨

    Institute of Scientific and Technical Information of China (English)

    李钦云; 张守字; 王维山; 吕继辉; 陈楠; 邹义壮

    2011-01-01

    Objective To investigate the effects of serum total cholesterol and triglyceride on cognitive function. Methods In this study, sixty-five patients with high blood lipids were collected, including 40 hypercholesterolemia- alone, 25 hypertriglyceridemia- alone. Furthermore, 65 normal controls with matched age, sex, education and years of work were selected. Cognitive function of all subjects was measured by MATRICS Consensus Cognitive Battery (MCCB), their serum total cholesterol and triglyceride levels were measured using enzymic method. Results compared with normal control group, the MCCB score from group with increased serum triglyceride was significantly lower (t = 2.74, P = 0. 04), in HVLT-R-Verbal learning (t = 2.04,P = 0.05)、 NAB-Mazes (t = 3.44,P = 0.00)、 and Category Fluency (t = 3.24,P = 0.03)、 MSCEIT- Managing Emotions (t = 3.12,P = 0. 03) ; the score of group with increased serum total cholesterol was significantly lower in HVLT-R-Verbal learning (t = 2.08,P = 0.04)、 BVMT-R-Visuospatial Memory (t = 1.91, P = 0.05) and Category Fluency (t = 1.93,P = 0.05). Conclusions The level of serum total cholesterol and triglyceride has significant influence on cognitive function.%目的 探讨血清总胆固醇、甘油三酯对认知功能的影响.方法 从健康体检者中筛查出高脂血症患者65例,其中高胆固醇血症组40例,高甘油三酯血症组25例,从同期体检者中入选年龄、性别、受教育年限、工作年限完全匹配的正常对照者65例.认知功能评定采用认知功能成套测验-共识版(MATRICS Consensus Cognitive Battery,MCCB),酶法测定血清总胆固醇、甘油三酯.结果 高甘油三酯血症组的得分低于对照组(t=2.74,P=0.04),其中言语记忆(t=2.04,P=0.05)、迷宫(t=3.44,P=0.00)、言语流畅性(t=3.24,P=0.03)、情绪管理(t=3.12,P=0.03)有显著性差异;高胆固醇血症组得分均低于对照组,但无显著性差异,分测验中的言语记忆(t=2.08,P=0.04)、视觉记忆(t=1

  1. Totally absorbable screws in fixation of subtalar extra articular arthrodesis in children with spastic neuromuscular disease: preliminary report of a randomized prospective study of fourteen arthrodeses fixed with absorbable or metallic screws.

    Science.gov (United States)

    Partio, E K; Merikanto, J; Heikkilä, J T; Ylinen, P; Mäkelä, E A; Vainio, J; Törmälä, P; Rokkanen, P

    1992-01-01

    Seven patients with spastic neuromuscular disease and severe hindfoot valgus deformity were treated by subtalar arthrodesis. Arthrodesis was performed in both feet at the same operation and fixed on one side with a self-reinforced poly-L-lactide (SR-PLLA) screw, and with a standard AO screw on the other side. The functional status state was improved, and radiographic union of the arthrodesis occurred in all feet. The radiograph showed better solid fusion in five feet treated with PLLA screws, similar fusion in both sides in one patient, and one slower fusion in the side treated initially with a PLLA screw. Totally absorbable SR-PLLA screws appear to be firm enough for fixation of subtalar extraarticular arthrodesis in children.

  2. 集约化养猪场嗜流产衣原体病流行状况的初步调查%Preliminary Investigation of Chlamydophila abortus in Intensive Pig Farms

    Institute of Scientific and Technical Information of China (English)

    田德雨; 刘哲翔; 李靖; 杨君敬; 信先; 汪明; 何诚

    2012-01-01

    本试验对北京郊区5个规模化猪场断奶仔猪、育成猪、育肥猪和怀孕母猪采集血清共507份,同时采集密切接触饲养人员、仔猪、育肥猪的喉头拭子、母猪阴道拭子及公猪的精液共183份.分别使用间接血凝诊断试剂盒、法国ELISA试剂盒检测抗体;利用直接荧光染色法检测抗原,包括166份猪喉头拭子、阴道拭子和精液以及17份饲养人员喉头拭子.结果发现间接血凝诊断试剂盒、ELISA试剂盒抗体阳性率分别为4.14%和2.17%;抗原平均阳性率为14.8%,其中精液阳性率达到37.5%,母猪阴道拭子阳性率为27.5%,饲养人员阳性率为23.5%.本试验证实北京郊区猪嗜流产衣原体在种公猪、母猪群和饲养员呈高流行趋势.同时研究结果显示,5个被调查的规模化猪场嗜流产衣原体抗体阳性率显著低于有报道的其他省市,这与间接血凝诊断试剂盒检测结果高于ELISA试剂有关.针对发现的问题,必须采取有效措施控制种公猪精液污染衣原体现象,阻断向母猪和饲养人员传播,以降低人兽共患病发生的风险.%In order to evaluate prevalence of swine Chlamydophila abortus in Beijing intensive pig farms, 507 blood samples were detected for antibodies using indirectly hemorrhage assay (IHA) and ELISA while 183 clinical samples were determined for positive antigens by immunofluorescence test kits(IF), including 166 samples from pig swabs and pig sperms and 17 throat swabs from pig farmers. The positive antibody against Chlamydophila abortus was 4. 14% (IHA) and 2. 17% (ELISA). Respectively while the average positive antigen was average 14. 8% (IF). Moreover, the higher antigen positivity was found in the boar sperm samples, sow virginal swabs and in throat swabs from pig farmers, which accounted for 37. 5%, 27. 5% and 23. 5% , respectively in the survey. On contrary to the previous reports, the positive antibody in Beijing intensive pig farms was found

  3. Progress of General Test Stand for Intensive Beam Cyclotron

    Institute of Scientific and Technical Information of China (English)

    2008-01-01

    <正>The general test stand for intensive beam cyclotron is one of the preliminary tasks of BRIF project at CIAE. The test stand, which actually is a small compact cyclotron with designed energy of 10 MeV,

  4. Effect of sepsis on calcium uptake and content in skeletal muscle and regulation in vitro by calcium of total and myofibrillar protein breakdown in control and septic muscle: Results from a preliminary study

    Energy Technology Data Exchange (ETDEWEB)

    Benson, D.W.; Hasselgren, P.O.; Hiyama, D.T.; James, J.H.; Li, S.; Rigel, D.F.; Fischer, J.E.

    1989-07-01

    Because high calcium concentration in vitro stimulates muscle proteolysis, calcium has been implicated in the pathogenesis of increased muscle breakdown in different catabolic conditions. Protein breakdown in skeletal muscle is increased during sepsis, but the effect of sepsis on muscle calcium uptake and content is not known. In this study the influence of sepsis, induced in rats by cecal ligation and puncture, on muscle calcium uptake and content was studied. Sixteen hours after cecal ligation and puncture or sham operation, calcium content of the extensor digitorum longus (EDL) and soleus (SOL) muscles was determined with an atomic absorption spectrometer. Calcium uptake was measured in intact SOL muscles incubated in the presence of calcium 45 (45Ca) for between 1 and 120 minutes. Total and myofibrillar protein breakdown was determined in SOL muscles, incubated in the presence of different calcium concentrations (0; 2.5; 5.0 mmol/L), and measured as release into the incubation medium of tyrosine and 3-methylhistidine (3-MH), respectively. Calcium content was increased by 51% (p less than 0.001) during sepsis in SOL and by 10% (p less than 0.05) in EDL muscle. There was no difference in 45Ca uptake between control and septic muscles during the early phase (1 to 5 minutes) of incubation. During more extended incubation (30 to 120 minutes), muscles from septic rats took up significantly more 45Ca than control muscles (p less than 0.05). Tyrosine release by incubated SOL muscles from control and septic rats was increased when calcium was added to the incubation medium, and at a calcium concentration of 2.5 mmol/L, the increase in tyrosine release was greater in septic than in control muscle. Addition of calcium to the incubation medium did not affect 3-MH release in control or septic muscle.

  5. Preliminary Discussion about How to Decide the Standard of Total Pollution Charges Site%浅谈如何确定总量排污收费试点征收标准

    Institute of Scientific and Technical Information of China (English)

    闫玉德; 张璞; 李秀敏; 张军杰

    2001-01-01

    通过一年的总量排污收费实际征收,本文用实践经验,从确定征收标准的原则、测算样本、数据的统计分析三方面,结合郑州市的实际情况,对水污染物和大气污染物征收标准的确定进行了探讨。特别是在数据的统计分析方面,通过不同的统计方法计算出不同的统计结果,说明了制定统计方法的重要性,提出了科学合理的统计分析方法。同时简述了确定试点征收标准时应注意的一些问题。%Through one-year really collecting total pollution charges,wediscussed about deciding the standard of water pollution and atmospherie pollution charges from deciding the principle of charge standard,testing the samples and statistical analysis of the data.Especially in the statistical analysis of the data,the article obtained the different results using the different statistical methods,thus explained the importance of statistical methods,and proposed the scientific method of statistical analysis.Meanwhile,the article simply described some questions that we should notice when deciding the standard of site charges.

  6. Preliminary Monthly Climatological Summaries

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Preliminary Local Climatological Data, recorded since 1970 on Weather Burean Form 1030 and then National Weather Service Form F-6. The preliminary climate data pages...

  7. Preliminary Study of Short- duration Rainfall Intensity in the Central Region of Taiwan%台湾中部地区短延时降雨强度初步探讨

    Institute of Scientific and Technical Information of China (English)

    赵怡婷; 李锦育

    2012-01-01

    台湾地区在经历1999年的“9.21”地震后,山坡地土体松动严重,仅仅短延时的降雨即有机会引起土石流的发生,而近年微小的降雨条件下即有可能触动土石流发生,因此将台湾中部地区14个测站所测得的台风降雨资料,依照台风降雨强度进行水文频率分析,分析方法采用对数常态分布法、极端值第一类分布法、皮尔逊第三类分布法及对数皮尔逊第三类分布法等4种方法,计算短延时重现期距并绘成降雨强度一延时一频率分析曲线,再整合各区域土石流潜势溪流的分布情况,分析台风降雨对台湾中部地区所造成的影响。%After the 921 Earthquake in 1999, Taiwan had suffered from serious loosening soil o,f hill side, even a short time delay of rainfall may cause debris flow. In addition, in recent years, ting rainfall conditions could also trigger the debris flow. Therefore, the data of typhoon and rainfall measured by 14 stations in the central region of Taiwan were analyzed by hydrological frequency analysis ( depending on the base of the intensity of typhoon and rainfall). The anal- ysis includes the methods of Log - normal distribution, Extreme - value type I distribution, Pearson type III and Log - Pearson type III distribution. Finally, it is calculated the short delay return period and diagrammed the rainfall intensi- ty - duration - frequency (IDF) curve, and then integrated the regional distribution of potential debris flow torrent to estimate the influence brought by typhoon and rainfall on the central part of Taiwan.

  8. Preliminary organizational culture scale focused on artifacts.

    Science.gov (United States)

    Bonavia, Tomas

    2006-12-01

    In this preliminary study, an Organizational Culture Scale was developed to assess cultural artifacts according to Schein's typology (1985). It includes a set of cultural artifacts to measure the extent to which an organization is more or less traditional. A total of 249 managers from a range of different companies responded to the items. Preliminary analysis yielded a one-dimensional scale with 14 items with high internal consistency and homogeneity.

  9. Preliminary organizational culture scale focused on artifacts

    OpenAIRE

    Bonavia, Tomas

    2006-01-01

    In this preliminary study, an organizational culture scale was developed to assess cultural artifacts according to Schein´s typology (1985). It includes a set of cultural artifacts to measure the extent to which an organization is more or less traditional. A total of 249 managers from a range of different companies responded to the items. Preliminary analysis yielded a one-dimensional scale with 14 items with high internal consistency and homogeneity.

  10. Yearly variation and annual cycle of total column ozone over New Delhi (29°N, 77°E), India and Halley Bay (76°S, 27°W), British Antarctic Survey Station and its effect on night airglow intensity of OH(8, 3) for the period 1979–2005

    Indian Academy of Sciences (India)

    P K Jana; D K Saha; D Sarkar

    2012-12-01

    A critical analysis made on the long-term monthly, seasonal, yearly variation and annual cycle of total column ozone (TCO) concentration at New Delhi (29°N,77°E), India and Halley Bay (76°S, 27°W), a British Antarctic Service Station reveals more decline in yearly mean ozone concentration at Halley Bay than at New Delhi from 1979 to 2005. The nature of variations of monthly mean TCO during the months of August and September was the most identical with that of yearly mean ozone values at New Delhi and Halley Bay, respectively, for the same period. Annual cycles of TCO over these stations are completely different for the above period. The effect of O3 depletion on night airglow emission of OH(8, 3) line at New Delhi and Halley Bay has been studied. Calculations based on chemical kinetics show that the airglow intensity of OH(8, 3) has also been affected due to the depletion of O3 concentration. The yearly variations and annual cycle of intensities of OH(8, 3) line for the above two stations are depicted and compared. It has been shown that the rate of decrease of intensity of OH(8, 3) line was comparatively more at Halley Bay due to dramatic decrease of Antarctic O3 concentration.

  11. Results of high intensity afterloading irradiation with 192 iridium in the therapy of genital tumors in women under different dose rates, fractionations and total doses in comparison with conventional radium contact irradiation. Ergebnisse der High-Intensity-Afterloadingbestrahlung mit 192 Iridium in der Therapie von Genitaltumoren der Frau unter verschiedenen Dosisleistungen, Fraktionierungen und Gesamtdosen im Vergleich mit konventioneller Radiumkontaktbestrahlung

    Energy Technology Data Exchange (ETDEWEB)

    Giers, G.

    1986-05-07

    In comparison to conventional radium therapy are to be evaluated the results of the high intensity afterloading technique with the help of the parameters survial rate and complication rate. Thereby were included in the examination 4 documentations of results (collum, cervix stump, corpus and vaginal carcinoma) with altogether 742 patients with 2806 single irradiations and an evaluation of the therapy after several modifications of the therapy schemes. The 5-year survival rate was in the case of collum carcinoma: 68.4%, cervix stump: 50%, corpus carcinoma: 76%, and vaginal carcinoma: 66.6%. The corresponding 3-year survival rates were: 74.2%, 80%, 84% and 70% with primary irradiation. Only with cervix stump carcinoma were the values for post-operative irradiation. The description of the irradiation results showed, that with the changing of the fractionation mode and the dose level in collum and corpus carcinoma the irreversible complications as an expression of the success of a new therapy were reduced. The for now best suited therapy schema (fractionation and dosing) are described. (TRV).

  12. Families' experiences of intensive care unit quality of care

    DEFF Research Database (Denmark)

    Jensen, Hanne Irene; Gerritsen, Rik T; Koopmans, Matty;

    2015-01-01

    PURPOSE: The purpose of the study is to adapt and provide preliminary validation for questionnaires evaluating families' experiences of quality of care for critically ill patients in the intensive care unit (ICU). MATERIALS AND METHODS: This study took place in 2 European ICUs. Based on literature...... and qualitative interviews, we adapted 2 previously validated North American questionnaires: "Family Satisfaction with the ICU" and "Quality of Dying and Death." Family members were asked to assess relevance and understandability of each question. Validation also included test-retest reliability and construct...... validity. RESULTS: A total of 110 family members participated. Response rate was 87%. For all questions, a median of 97% (94%-99%) was assessed as relevant, and a median of 98% (97%-100%), as understandable. Median ceiling effect was 41% (30%-47%). There was a median of 0% missing data (0%-1%). Test...

  13. Families' experiences of intensive care unit quality of care

    DEFF Research Database (Denmark)

    Jensen, Hanne Irene; Gerritsen, Rik T; Koopmans, Matty

    2015-01-01

    and qualitative interviews, we adapted 2 previously validated North American questionnaires: "Family Satisfaction with the ICU" and "Quality of Dying and Death." Family members were asked to assess relevance and understandability of each question. Validation also included test-retest reliability and construct......PURPOSE: The purpose of the study is to adapt and provide preliminary validation for questionnaires evaluating families' experiences of quality of care for critically ill patients in the intensive care unit (ICU). MATERIALS AND METHODS: This study took place in 2 European ICUs. Based on literature...... validity. RESULTS: A total of 110 family members participated. Response rate was 87%. For all questions, a median of 97% (94%-99%) was assessed as relevant, and a median of 98% (97%-100%), as understandable. Median ceiling effect was 41% (30%-47%). There was a median of 0% missing data (0%-1%). Test...

  14. Optimal physicians schedule in an Intensive Care Unit

    Science.gov (United States)

    Hidri, L.; Labidi, M.

    2016-05-01

    In this paper, we consider a case study for the problem of physicians scheduling in an Intensive Care Unit (ICU). The objective is to minimize the total overtime under complex constraints. The considered ICU is composed of three buildings and the physicians are divided accordingly into six teams. The workload is assigned to each team under a set of constraints. The studied problem is composed of two simultaneous phases: composing teams and assigning the workload to each one of them. This constitutes an additional major hardness compared to the two phase's process: composing teams and after that assigning the workload. The physicians schedule in this ICU is used to be done manually each month. In this work, the studied physician scheduling problem is formulated as an integer linear program and solved optimally using state of the art software. The preliminary experimental results show that 50% of the overtime can be saved.

  15. Measuring Physical Activity Intensity

    Science.gov (United States)

    ... aerobic activity: relative intensity and absolute intensity. Relative Intensity The level of effort required by a person to do an activity. When using relative intensity, people pay attention to how physical activity affects ...

  16. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... aerobic activity: relative intensity and absolute intensity. Relative Intensity The level of effort required by a person to do an activity. When using relative intensity, people pay attention to how physical activity affects ...

  17. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... Compartir For more help with what counts as aerobic activity, watch this video: Windows Media Player, 4: ... ways to understand and measure the intensity of aerobic activity: relative intensity and absolute intensity. Relative Intensity ...

  18. The economics of intense exercise.

    Science.gov (United States)

    Meltzer, David O; Jena, Anupam B

    2010-05-01

    Despite the well-known benefits of exercise, the time required for exercise is widely understood as a major reason for low levels of exercise in the US. Intensity of exercise can change the time required for a given amount of total exercise but has never been studied from an economic perspective. We present a simple model of exercise behavior which suggests that the intensity of exercise should increase relative to time spent exercising as wages increase, holding other determinants of exercise constant. Our empirical results identify an association between income and exercise intensity that is consistent with the hypothesis that people respond to increased time costs of exercise by increasing intensity. More generally, our results suggest that time costs may be an important determinant of exercise patterns and that factors that can influence the time costs of exercise, such as intensity, may be important concerns in designing interventions to promote exercise.

  19. Clinical swallowing assessment in intensive care unit.

    Science.gov (United States)

    Padovani, Aline Rodrigues; Moraes, Danielle Pedroni; Sassi, Fernanda Chiarion; Andrade, Claudia Regina Furquim de

    2013-01-01

    To report the results of the full clinical swallowing assessment in acute-care population in a large Brazilian teaching hospital. A prospective, descriptive clinical study was conducted during three months in a 30-bed adult clinical emergency ICU from a large Brazilian teaching hospital. Thirty-five patients consecutively referred to the Speech-Language Pathology Service according to our standard clinical practice were included. A full clinical swallowing assessment was completed and includes a Preliminary Assessment Protocol (PAP), a Dysphagia Risk Evaluation Protocol (DREP) and an Oral Feeding Transition Protocol (OFTP). In this study, the prevalence of OD in the ICU setting was of 63%, most of which were classified as moderate and moderate-severe (39%). Patients submitted to orotracheal intubation were very frequently referred to swallowing assessment (74%). The results of the statistical analyses revealed clinical indicators that could correctly classify patients as either having or not having OD on clinical tests. These include cough strength, coordination between breathing and speaking, dysphonia severity, and laryngeal elevation. Twenty six patients (74%) completed all protocols. Of these total, 38% were able to eat a regular diet. The practice with standardized protocols adds an important option for the management of oropharyngeal dysphagia in intensive care unit.

  20. Progress on FP13 Total Cross Section Measurements Capability

    Energy Technology Data Exchange (ETDEWEB)

    Ullmann, John Leonard [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Couture, Aaron Joseph [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Koehler, Paul E. [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Mocko, Michal [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Mosby, Shea Morgan [Los Alamos National Lab. (LANL), Los Alamos, NM (United States); Wender, Stephen Arthur [Los Alamos National Lab. (LANL), Los Alamos, NM (United States)

    2016-09-26

    An accurate knowledge of the neutron capture cross section is important for many applications. Experimental measurements are important since theoretical calculations of capture have been notoriously difficult, with the ratio of measured to calculated cross sections often a factor of 2 or more in the 10 keV to 1 MeV region. However, a direct measurement of capture cannot be made on many interesting radioactive nuclides because of their short half-life or backgrounds caused by their nuclear decay. On the other hand, neutron transmission measurements of the total cross section are feasible for a wide range of radioactive nuclides since the detectors are far from the sample, and often are less sensitive to decay radiation. The parameters extracted from a total cross section measurement, which include the average resonance spacing, the neutron strength function, and the average total radiation width, (Γγ), provide tight constraints on the calculation of the capture cross section, and when applied produce much more accurate results. These measurements can be made using the intense epithermal neutron flux at the Lujan Center on relatively small quantities of target material. It was the purpose of this project to investigate and develop the capability to make these measurements. A great deal of progress was made towards establishing this capability during 2016, including setting up the flight path and obtaining preliminary results, but more work remains to be done.

  1. Linac design for intense hadron beams

    Energy Technology Data Exchange (ETDEWEB)

    Zhang, Chuan

    2009-12-14

    Based on the RFQ and H-type DTL structures, this dissertation is dedicated to study the beam dynamics in the presence of significantly strong space-charge effects while accelerating intense hadron beams in the low- and medium-{beta} region. Besides the 5 mA/30 mA, 17 MeV proton injector (RFQ+DTL) and the 125 mA, 40 MeV deuteron DTL of the EUROTRANS and IFMIF facilities, a 200 mA, 700 keV proton RFQ has been also intensively studied for a small-scale but ultra-intense neutron source FRANZ planned at Frankfurt University. The most remarkable properties of the FRANZ RFQ and the IFMIF DTL are the design beam intensities, 200 mA and 125 mA. A new design approach, which can provide a balanced and accelerated beam bunching at low energy, has been developed for intense beams. To design the IFMIF DTL and the injector DTL part of the EUROTRANS driver linac, which have been foreseen as the first real applications of the novel superconducting CH-DTL structure, intensive attempts have been made to fulfill the design goals under the new conditions. For the IFMIF DTL, the preliminary IAP design has been considerably improved with respect to the linac layout as well as the beam dynamics. By reserving sufficient drift spaces for the cryosystem, diagnostic devices, tuner and steerer, introducing SC solenoid lenses and adjusting the accelerating gradients and accordingly other configurations of the cavities, a more realistic, reliable and efficient linac system has been designed. On the other hand, the specifications and positions of the transverse focusing elements as well as the phase- and energy-differences between the bunch-center particle and the synchronous particle at the beginning of the {phi}{sub s}=0 sections have been totally redesigned. For the EUROTRANS injector DTL, in addition to the above-mentioned procedures, extra optimization concepts to coordinate the beam dynamics between two intensities have been applied. In the beam transport simulations for both DTL designs

  2. Knowledge-intensive entrepreneurship and financial capital

    DEFF Research Database (Denmark)

    Bøllingtoft, Anne; Neergaard, Helle; Ulhøi, John Parm

    2001-01-01

    the survival and preliminary growth of new ventures in high-tech and knowledge-intensive sectors. The paper builds in part upon existing literature on venture capital, theory on risk and trust and network theory. The results document that high variation on several dimensions can be found across the two sectors...... investigated (IT and life sciences). In closing, the paper briefly touches upon implications for policy makers, investors and business managers and for research....

  3. Communication of mechanically ventilated patients in intensive care units

    Science.gov (United States)

    Martinho, Carina Isabel Ferreira; Rodrigues, Inês Tello Rato Milheiras

    2016-01-01

    Objective The aim of this study was to translate and culturally and linguistically adapt the Ease of Communication Scale and to assess the level of communication difficulties for patients undergoing mechanical ventilation with orotracheal intubation, relating these difficulties to clinical and sociodemographic variables. Methods This study had three stages: (1) cultural and linguistic adaptation of the Ease of Communication Scale; (2) preliminary assessment of its psychometric properties; and (3) observational, descriptive-correlational and cross-sectional study, conducted from March to August 2015, based on the Ease of Communication Scale - after extubation answers and clinical and sociodemographic variables of 31 adult patients who were extubated, clinically stable and admitted to five Portuguese intensive care units. Results Expert analysis showed high agreement on content (100%) and relevance (75%). The pretest scores showed a high acceptability regarding the completion of the instrument and its usefulness. The Ease of Communication Scale showed excellent internal consistency (0.951 Cronbach's alpha). The factor analysis explained approximately 81% of the total variance with two scale components. On average, the patients considered the communication experiences during intubation to be "quite hard" (2.99). No significant correlation was observed between the communication difficulties reported and the studied sociodemographic and clinical variables, except for the clinical variable "number of hours after extubation" (p < 0.05). Conclusion This study translated and adapted the first assessment instrument of communication difficulties for mechanically ventilated patients in intensive care units into European Portuguese. The preliminary scale validation suggested high reliability. Patients undergoing mechanical ventilation reported that communication during intubation was "quite hard", and these communication difficulties apparently existed regardless of the

  4. LHC Report: reaching high intensity

    CERN Multimedia

    Jan Uythoven

    2015-01-01

    After both beams having been ramped to their full energy of 6.5 TeV, the last two weeks saw the beam commissioning process advancing on many fronts. An important milestone was achieved when operators succeeded in circulating a nominal-intensity bunch. During the operation, some sudden beam losses resulted in beam dumps at top energy, a problem that needed to be understood and resolved.   In 2015 the LHC will be circulating around 2800 bunches in each beam and each bunch will contain just over 1 x 1011 protons. Until a few days ago commissioning was taking place with single bunches of 5 x 109 protons. The first nominal bunch with an intensity of 1 x 1011 protons was injected on Tuesday, 21 April. In order to circulate such a high-intensity bunch safely, the whole protection system must be working correctly: collimators, which protect the aperture, are set at preliminary values known as coarse settings; all kicker magnets for injecting and extracting the beams are commissioned with beam an...

  5. Advances in total scattering analysis

    Energy Technology Data Exchange (ETDEWEB)

    Proffen, Thomas E [Los Alamos National Laboratory; Kim, Hyunjeong [Los Alamos National Laboratory

    2008-01-01

    In recent years the analysis of the total scattering pattern has become an invaluable tool to study disordered crystalline and nanocrystalline materials. Traditional crystallographic structure determination is based on Bragg intensities and yields the long range average atomic structure. By including diffuse scattering into the analysis, the local and medium range atomic structure can be unravelled. Here we give an overview of recent experimental advances, using X-rays as well as neutron scattering as well as current trends in modelling of total scattering data.

  6. Different femoral postrior condyle of total knee arthroplasty on the impact of the postoperative maximum flexion degeree by preliminary basic research%全膝关节置换术不同股骨后髁偏心距对术后膝关节最大屈曲度影响的初步研究

    Institute of Scientific and Technical Information of China (English)

    黄威; 孔荣; 李守民; 方诗元; 禹德万; 朱晨; 李乾明; 徐泽; 王磊

    2015-01-01

    目的:通过初步基础实验研究,探讨股骨后髁偏心距与膝关节置换术后膝关节最大屈曲度的关系。方法对6具尸体膝关节(6膝)进行全膝关节置换术,应用股骨前参照测量导板系统,保持前髁截骨平面不变,调整导板钻头导向刻度决定股骨后髁截骨平面,依股骨后髁截骨量变化数值再调整胫骨侧截骨平面,保持膝关节屈曲间隙和胫骨平台后倾角恒定,依此安装相应型号股骨侧试模假体,最大屈曲膝关节纯侧位1∶1摄X线片,测量并记录股骨后髁偏心距、膝关节最大屈曲角度,进行统计学分析。结果经Pearson相关系数和Spearman相关系数检验,同一标本不同股骨髁偏心距与术后膝关节最大屈曲度并无相关性(P>0.05)。结论全膝关节置换术应用后稳定型假体股骨后髁偏心距大小与术后膝关节最大屈曲度无相关性。%Objective Application of preliminary experiment research,this paper discusses the relationship between the femoral postrior condyle and the maximum flexion of the knee after the total knee arthroplasty. Methods To take the total knee arthroplasty on the six lower limb corpse knees(six knees),adjusting the drill of the guide to decide posterior condylar osteotomy plane,depanding on the amount of postrior condylar osteotomy change and then adjust the value of the tibial osteotomy plane,keeping the knee flexion gap and posterior tibial slope constantly,then install the appropriate type of the femoral prosthetic tryout in turn,get the Maximum flexion knee pure lateral 1 ∶ 1 X-ray images,measure and record the value of the femoral condyle and knee maximum flexion degree for statistical analysis. Results The data were assessed by the Pearson and Spearman correlation coefficients,the same sample of different femoral condylar offset and knee maximum flexion degree after total knee arthroplasty has no relevance. (P>0. 05,had no significant

  7. 2016 TRI Preliminary Dataset

    Science.gov (United States)

    The TRI preliminary dataset includes the most current TRI data available and reflects toxic chemical releases and pollution prevention activities that occurred at TRI facilities during the 2016 calendar year.

  8. High intensity protons in RHIC

    Energy Technology Data Exchange (ETDEWEB)

    Montag, C.; Ahrens, L.; Blaskiewicz, M.; Brennan, J. M.; Drees, K. A.; Fischer, W.; Huang, H.; Minty, M.; Robert-Demolaize, G.; Thieberger, P.; Yip, K.

    2012-01-05

    During the 2012 summer shutdown a pair of electron lenses will be installed in RHIC, allowing the beam-beam parameter to be increased by roughly 50 percent. To realize the corresponding luminosity increase bunch intensities have to be increased by 50 percent, to 2.5 {center_dot} 10{sup 11} protons per bunch. We list the various RHIC subsystems that are most affected by this increase, and propose beam studies to ensure their readiness. The proton luminosity in RHIC is presently limited by the beam-beam effect. To overcome this limitation, electron lenses will be installed in IR10. With the help of these devices, the headon beam-beam kick experienced during proton-proton collisions will be partially compensated, allowing for a larger beam-beam tuneshift at these collision points, and therefore increasing the luminosity. This will be accomplished by increasing the proton bunch intensity from the presently achieved 1.65 {center_dot} 10{sup 11} protons per bunch in 109 bunches per beam to 2.5 {center_dot} 10{sup 11}, thus roughly doubling the luminosity. In a further upgrade we aim for bunch intensities up to 3 {center_dot} 10{sup 11} protons per bunch. With RHIC originally being designed for a bunch intensity of 1 {center_dot} 10{sup 11} protons per bunch in 56 bunches, this six-fold increase in the total beam intensity by far exceeds the design parameters of the machine, and therefore potentially of its subsystems. In this note, we present a list of major subsystems that are of potential concern regarding this intensity upgrade, show their demonstrated performance at present intensities, and propose measures and beam experiments to study their readiness for the projected future intensities.

  9. Reaction time as a function of stimulus intensity for the monkey1

    Science.gov (United States)

    Stebbins, William C.; Miller, Josef M.

    1964-01-01

    Monkeys were trained to release a telegraph key in response to a visual or auditory stimulus. The latency of the key release response was measured for different stimulus intensities. In general, the relation between latency and intensity is inverse and exponential with greater variability of latency at the lower intensities. Some preliminary data involving differential reinforcement of short latencies are presented. PMID:14176278

  10. Restricted total stability and total attractivity

    Directory of Open Access Journals (Sweden)

    Giuseppe Zappala'

    2006-08-01

    Full Text Available In this paper the new concepts of restricted total stability and total attractivity is formulated. For this purpose the classical theory of Malkin with suitable changes and the theory of limiting equations, introduced by Sell developed by Artstein and Andreev, are used. Significant examples are presented.

  11. Total cardiovascular disease risk assessment: a review.

    LENUS (Irish Health Repository)

    Cooney, Marie Therese

    2011-09-01

    The high risk strategy for the prevention of cardiovascular disease (CVD) requires an assessment of an individual\\'s total CVD risk so that the most intensive risk factor management can be directed towards those at highest risk. Here we review developments in the assessment and estimation of total CVD risk.

  12. Iowa Intensive Archaeological Survey

    Data.gov (United States)

    Iowa State University GIS Support and Research Facility — This shape file contains intensive level archaeological survey areas for the state of Iowa. All intensive Phase I surveys that are submitted to the State Historic...

  13. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... for a breath. Absolute Intensity The amount of energy used by the body per minute of activity. ... or vigorous-intensity based upon the amount of energy used by the body while doing the activity. ...

  14. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... Older Adults Overcoming Barriers Measuring Physical Activity Intensity Target Heart Rate & Estimated Maximum Heart Rate Perceived Exertion ( ... a heavy backpack Other Methods of Measuring Intensity Target Heart Rate and Estimated Maximum Heart Rate Perceived ...

  15. NSLS-II Preliminary Design Report

    Energy Technology Data Exchange (ETDEWEB)

    Dierker, S.

    2007-11-01

    . Together these will enable the study of material properties and functions with a spatial resolution of {approx}1 nm, an energy resolution of {approx}0.1 meV, and the ultra high sensitivity required to perform spectroscopy on a single atom. In order to meet this need, NSLS-II has been designed to provide world-leading brightness and flux and exceptional beam stability. The brightness is defined as the number of photons emitted per second, per photon energy bandwidth, per solid angle, and per unit source size. Brightness is important because it determines how efficiently an intense flux of photons can be refocused to a small spot size and a small divergence. It scales as the ring current and the number of total periods of the undulator field (both of which contribute linearly to the total flux), as well as eing nversely proportional to the horizontal and vertical emittances (the product of beam size and divergence) of the electron beam. Raising the current in the storage ring to obtain even brighter beams is ultimately limited by beam-driven, collective instabilities in the accelerator. Thus, to maximize the brightness, the horizontal and vertical emittances must be made as small as possible. With the concept of using damping wigglers, low-field bending magnets, and a large number of lattice cells to achieve ultra small emittance, the performance of NSLS-II will be nearly at the ultimate limit of storage ring light sources, set by the intrinsic properties of the synchrotron radiation process. The facility will produce x-rays more than 10,000 times brighter than those produced at NSLS today. The facility, with various insertion devices, including three-pole-wigglers and low-field dipole radiations, has the capability of covering a broad range of radiation spectra, from hard x-ray to far infra-red. The superlative character and combination of capabilities will have broad impact on a wide range of disciplines and scientific initiatives in the coming decades, including new

  16. NSLS-II Preliminary Design Report

    Energy Technology Data Exchange (ETDEWEB)

    Dierker, S.

    2007-11-01

    . Together these will enable the study of material properties and functions with a spatial resolution of {approx}1 nm, an energy resolution of {approx}0.1 meV, and the ultra high sensitivity required to perform spectroscopy on a single atom. In order to meet this need, NSLS-II has been designed to provide world-leading brightness and flux and exceptional beam stability. The brightness is defined as the number of photons emitted per second, per photon energy bandwidth, per solid angle, and per unit source size. Brightness is important because it determines how efficiently an intense flux of photons can be refocused to a small spot size and a small divergence. It scales as the ring current and the number of total periods of the undulator field (both of which contribute linearly to the total flux), as well as eing nversely proportional to the horizontal and vertical emittances (the product of beam size and divergence) of the electron beam. Raising the current in the storage ring to obtain even brighter beams is ultimately limited by beam-driven, collective instabilities in the accelerator. Thus, to maximize the brightness, the horizontal and vertical emittances must be made as small as possible. With the concept of using damping wigglers, low-field bending magnets, and a large number of lattice cells to achieve ultra small emittance, the performance of NSLS-II will be nearly at the ultimate limit of storage ring light sources, set by the intrinsic properties of the synchrotron radiation process. The facility will produce x-rays more than 10,000 times brighter than those produced at NSLS today. The facility, with various insertion devices, including three-pole-wigglers and low-field dipole radiations, has the capability of covering a broad range of radiation spectra, from hard x-ray to far infra-red. The superlative character and combination of capabilities will have broad impact on a wide range of disciplines and scientific initiatives in the coming decades, including new

  17. Rainfed intensive crop systems

    DEFF Research Database (Denmark)

    Olesen, Jørgen E

    2014-01-01

    This chapter focuses on the importance of intensive cropping systems in contributing to the world supply of food and feed. The impact of climate change on intensive crop production systems is also discussed.......This chapter focuses on the importance of intensive cropping systems in contributing to the world supply of food and feed. The impact of climate change on intensive crop production systems is also discussed....

  18. UVISS preliminary visibility analysis

    DEFF Research Database (Denmark)

    Betto, Maurizio

    1998-01-01

    The goal of this work is to obtain a preliminary assessment of the sky visibility for anastronomical telescope located on the express pallet of the International SpaceStation (ISS)} taking into account the major constraints imposed on the instrument by the ISSattitude and structure. Part of the w......The goal of this work is to obtain a preliminary assessment of the sky visibility for anastronomical telescope located on the express pallet of the International SpaceStation (ISS)} taking into account the major constraints imposed on the instrument by the ISSattitude and structure. Part...

  19. Qualidade total do produto Products total quality

    Directory of Open Access Journals (Sweden)

    Henrique Silveira de Almeida

    1992-06-01

    Full Text Available O texto aborda o conceito de qualidade total do produto, seus determinantes, bem como as dimensões que compõem essa qualidade. Parte-se do pressuposto de que a qualidade do produto deve ser avaliada pela satisfação total do consumidor. Para o consumidor a qualidade do produto envolve pelo menos as seguintes dimensões: a qualidade do produto em si; a qualidade do produto ao longo do tempo; a qualidade dos serviços associados ao uso do produto; e o custo do ciclo de vida do produto. O trabalho procura detalhar e discutir cada uma dessas dimensões da qualidade, tendo em vista a satisfação do consumidor.The paper concerns to the concept of product's total quality, its determinants, and the dimensions wich constitute this quality. We admit that product quality should be evaluated via consumer's total satisfaction. Product quality for consumers includes at least the following dimensions: the product quality per se; the performance of product quality over time; the quality of services related to the use of the product; and the product lifecycle costs. This study seeks to specify and to discuss each of these quality dimensions related to consumer's satisfaction.

  20. UVISS preliminary visibility analysis

    DEFF Research Database (Denmark)

    Betto, Maurizio

    1998-01-01

    The goal of this work is to obtain a preliminary assessment of the sky visibility for anastronomical telescope located on the express pallet of the International SpaceStation (ISS)} taking into account the major constraints imposed on the instrument by the ISSattitude and structure. Part...

  1. Total abdominal colectomy

    Science.gov (United States)

    ... the rectum. This can cause an infection or abscess. Scarring of the connection between the small intestine ... More Crohn disease Ileostomy Total proctocolectomy and ileal - anal pouch Total proctocolectomy with ileostomy Ulcerative colitis Patient ...

  2. Total parenteral nutrition - infants

    Science.gov (United States)

    ... medlineplus.gov/ency/article/007239.htm Total parenteral nutrition - infants To use the sharing features on this page, please enable JavaScript. Total parenteral nutrition (TPN) is a method of feeding that bypasses ...

  3. Total parenteral nutrition

    Science.gov (United States)

    ... medlineplus.gov/ency/patientinstructions/000177.htm Total parenteral nutrition To use the sharing features on this page, please enable JavaScript. Total parenteral nutrition (TPN) is a method of feeding that bypasses ...

  4. Reemplazo total de cadera

    OpenAIRE

    Sánchez Vergel, Alfredo; Fundación Valle de Lili

    2002-01-01

    Definición/Tipos de prótesis/ ¿Qué pacientes se podrían beneficiar de un reemplazo total de cadera?/Artrosis de cadera/Tipos de artrosis de cadera/Alternativas al reemplazo total de cadera/Preguntas frecuentes sobre el reemplazo total de cadera.

  5. Reemplazo total de cadera

    OpenAIRE

    Sánchez Vergel, Alfredo; Fundación Valle de Lili

    2002-01-01

    Definición/Tipos de prótesis/ ¿Qué pacientes se podrían beneficiar de un reemplazo total de cadera?/Artrosis de cadera/Tipos de artrosis de cadera/Alternativas al reemplazo total de cadera/Preguntas frecuentes sobre el reemplazo total de cadera.

  6. Total well dominated trees

    DEFF Research Database (Denmark)

    Finbow, Arthur; Frendrup, Allan; Vestergaard, Preben D.

    cardinality then G is a total well dominated graph. In this paper we study composition and decomposition of total well dominated trees. By a reversible process we prove that any total well dominated tree can both be reduced to and constructed from a family of three small trees....

  7. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... Adults Overcoming Barriers Measuring Physical Activity Intensity Target Heart Rate & Estimated Maximum Heart Rate Perceived Exertion (Borg Rating of Perceived Exertion Scale) ...

  8. Lasers and Intense Pulsed Light Hidradenitis Suppurativa.

    Science.gov (United States)

    Saunte, Ditte M; Lapins, Jan

    2016-01-01

    Lasers and intense pulsed light (IPL) treatment are useful for the treatment of hidradenitis suppurativa (HS). Carbon dioxide lasers are used for cutting or vaporization of the affected area. It is a effective therapy for the management of severe and recalcitrant HS with persistent sinus tract and scarring, and can be performed under local anesthesia. HS has a follicular pathogenesis. Lasers and IPL targeting the hair have been found useful in treating HS by reducing the numbers of hairs in areas with HS. The methods have few side effects, but the studies are preliminary and need to be repeated.

  9. Pediatric intensive care.

    Science.gov (United States)

    Macintire, D K

    1999-07-01

    To provide optimal care, a veterinarian in a pediatric intensive care situation for a puppy or kitten should be familiar with normal and abnormal vital signs, nursing care and monitoring considerations, and probable diseases. This article is a brief discussion of the pediatric intensive care commonly required to treat puppies or kittens in emergency situations and for canine parvovirus type 2 enteritis.

  10. Incapacidad laboral total

    Directory of Open Access Journals (Sweden)

    Orlando Díaz Tabares

    1997-04-01

    Full Text Available Se realizó un estudio longitudinal, descriptivo y retrospectivo con el objetivo de conocer el comportamiento de la incapacidad permanente para el trabajo en el municipio "San Cristóbal" durante el decenio 1982-1991, y se aplicó el método de encuesta por el que se recogieron datos que fueron extraídos del modelo oficial de peritaje médico laboral y de la entrevista con el peritado. Los resultados fueron plasmados en tablas de contingencias donde se relacionan las variables por cada año estudiado, y se aplicó la prueba estadística de chi cuadrado. El número de individuos dictaminados con incapacidad laboral total fue de 693; predominó en reportes el año 1988 con 114 casos y muy discretamente el sexo femenino sobre el masculino, el grupo etáreo de 45 a 54 años con 360 casos y la artrosis como entidad valorada por ortopedia, con análisis estadísticos significativos. No resultó estadísticamente significativo, el predominio de la hipertensión arterial sistémica entre las entidades valoradas por la especialidad de medicina interna como causas de incapacidad laboral. Fue muy significativa la variación del número de dictaminados por la comisión en cada uno de los años estudiados y que el porcentaje de ellos que se encontraban realizando trabajos que demandan esfuerzo físico de moderado a intenso al momento de aplicar la encuesta, ascendió al 64,9.A longitudinal, descriptive and retrospective study was conducted in order to know the behavior of permanent labor disability at the municipality of San Cristóbal during 1982-1991. A survey was done to collect data taken from the official model of medical inspections and from the interview with the disabled worker. The results were shown in contingency tables where the variables are related by every year studied. The chi square statistical test was applied. The number of individuals with labor disability was 693. As for reports, the year 1988 predominated with 114. There was a discreet

  11. Uso de solução bucal com sistema enzimático em pacientes totalmente dependentes de cuidados em unidade de terapia intensiva Use of oral rinse with enzymatic system in patients totally dependent in the intensive care unit

    Directory of Open Access Journals (Sweden)

    Paulo Sérgio da Silva Santos

    2008-06-01

    Full Text Available JUSTIFICATIVA E OBJETIVOS: Os pacientes internados em unidades de terapia intensiva (UTI, na maioria das vezes, não possuem higienização oral adequada. Esta condição de deficiência de higiene oral em pacientes graves desencadeia freqüentemente periodontites, gengivites e outras complicações sistêmicas e orais. O objetivo deste estudo foi avaliar a eficiência da ação antimicrobiana da solução bucal com sistema enzimático associada à higiene oral, em pacientes totalmente dependentes de cuidados internados em UTI. MÉTODO: Estudo piloto prospectivo duplamente encoberto, realizado com 20 pacientes internados em UTI, divididos em 2 grupos com protocolos de higienização bucal com a mesma técnica, mas utilizando-se soluções diferentes, sendo o grupo de estudo (n = 10 utilizando solução bucal com sistema enzimático e o grupo controle (n = 10 utilizando solução bucal à base de cetilpiridínio. RESULTADOS: Os resultados microbiológicos das culturas coletadas nos grupos de estudo e controle, antes e após o uso da solução enzimática, mostraram que não houve diferença significativa entre os grupos (p = 0,41. Na avaliação clínica do Índice de Higiene Oral Simplificada (IHOS houve significância estatística pelo teste Exato de Fisher (p = 0,01, quando comparados os grupos de estudo e controle. O valor de significância estatística foi estabelecido em 5%, ou p BACKGROUND AND OBJECTIVES: Patients admitted to an intensive care unit (ICU, in most cases do not have a proper oral hygiene. This deficient condition of oral hygiene in critical patients often triggers periodontitis, gingivitis and other systemic and oral complications. This research aimed to evaluate the efficiency of the antimicrobial action of a solution with bioactive enzymatic system for oral hygiene, in totally care-dependent patients admitted to ICU. METHODS: A prospective, double blind pilot study was conducted with 20 patients admitted to an ICU, divided

  12. On Preliminary Breakdown

    Science.gov (United States)

    Beasley, W. H.; Petersen, D.

    2013-12-01

    The preliminary breakdown phase of a negative cloud-to-ground lightning flash was observed in detail. Observations were made with a Photron SA1.1 high-speed video camera operating at 9,000 frames per second, fast optical sensors, a flat-plate electric field antenna covering the SLF to MF band, and VHF and UHF radio receivers with bandwidths of 20 MHz. Bright stepwise extensions of a negative leader were observed at an altitude of 8 km during the first few milliseconds of the flash, and were coincident with bipolar electric field pulses called 'characteristic pulses'. The 2-D step lengths of the preliminary processes were in excess of 100 meters, with some 2-D step lengths in excess of 200 meters. Smaller and shorter unipolar electric field pulses were superposed onto the bipolar electric field pulses, and were coincident with VHF and UHF radio pulses. After a few milliseconds, the emerging negative stepped leader system showed a marked decrease in luminosity, step length, and propagation velocity. Details of these events will be discussed, including the possibility that the preliminary breakdown phase consists not of a single developing lightning leader system, but of multiple smaller lightning leader systems that eventually join together into a single system.

  13. Revision Total Elbow Arthroplasty.

    Science.gov (United States)

    Ramirez, Miguel A; Cheung, Emilie V; Murthi, Anand M

    2017-08-01

    Despite recent technologic advances, total elbow arthroplasty has complication rates higher than that of total joint arthroplasty in other joints. With new antirheumatic treatments, the population receiving total elbow arthroplasty has shifted from patients with rheumatoid arthritis to those with posttraumatic arthritis, further compounding the high complication rate. The most common reasons for revision include infection, aseptic loosening, fracture, and component failure. Common mechanisms of total elbow arthroplasty failure include infection, aseptic loosening, fracture, component failure, and instability. Tension band fixation, allograft struts with cerclage wire, and/or plate and screw constructs can be used for fracture stabilization.

  14. Totalization Data Exchange (TDEX)

    Data.gov (United States)

    Social Security Administration — The Totalization Data Exchange (TDEX) process is an exchange between SSA and its foreign country partners to identify deaths of beneficiaries residing abroad. The...

  15. Strictness and Totality Analysis

    DEFF Research Database (Denmark)

    Solberg, K. L.; Nielson, Hanne Riis; Nielson, Flemming

    1998-01-01

    We define a novel inference system for strictness and totality analysis for the simply-typed lazy lambda-calculus with constants and fixpoints. Strictness information identifies those terms that definitely denote bottom (i.e. do not evaluate to WHNF) whereas totality information identifies those ...

  16. Genoptraening efter total knaealloplastik

    DEFF Research Database (Denmark)

    Holm, Bente; Kehlet, Henrik

    2009-01-01

    The short- and long-term benefits of post-discharge physiotherapy regimens after total knee arthroplasty are debatable. A national survey including hospitals in Denmark that perform total knee arthroplasty showed a large variability in indication and regimen for post-knee arthroplasty rehabilitat...

  17. 胫骨后倾截骨对后十字韧带保留型全膝关节置换术疗效的影响%Investigation of preliminary clinical outcome following PCL-retaining total knee arthroplasty with posterior tibial slope

    Institute of Scientific and Technical Information of China (English)

    肖瑜; 张福江; 郭军; 任凯晶; 于建华; 高志国

    2010-01-01

    Objective To investigate the preliminary clinical outcome following PCL-retaining total knee arthroplasty (TKA) with 0°or 5°posterior tibial slope. Methods From Jan 2008 to Mar 2009, 84 patients (84 knees) with osteoarthritis (OA) underwent primary PCL-retaining TKA operations by the same surgical team. Among them, 27 patients (7 males, 20 females, with the average age of 69.5 years) underwent TKA using a cutting block and intramedullary cutting guide designed to impart a 5° posterior tibial slope (group A); 57 patients (15 males, 42 females, with the average age of 67.4 years) underwent TKA using a cutting block and intramedullary cutting guide designed to impart a 5°posterior tibial slope (group B). The preoperative demographic data and functional data had no statistical differences. The postoperative tibial posterior angle, maximum extension, maximum flexion and Knee Society Score (KSS) were compared between the two groups. Results All patients were followed up 12~24 months with an average of 15.7 months. No paralysis, wound infection, prosthesis dislocation and loosening were found. The postoperative tibial posterior angle was 5.7°±2.1° in group A and 0.9°±0.6°in group B (P< 0.05). The postoperative maximum extension was 0.8°±0.3°in group A and 1.2°±0.4°in group B (P >0.05). The postoperative maximum flexion was 115.7°±4.8°in group A and 101.1°±5.6°in group B (P< 0.05). The postoperative KSS was 87.6±5.9 in group A and 83.3±7.2 in group B (P >0.05). Conclusion Increasing tibial posterior slope improved the postoperative maximum flexion, but not the maximum extension and KSS, in PCL-retaining TKA.%目的 探讨胫骨后倾截骨对后十字韧带保留型全膝关节置换术后临床疗效的影响.方法 2008年1月至2009年3月应用胫骨后倾5°截骨(后倾组)进行后十字韧带保留型全膝关节置换治疗骨关节炎患者27例(27膝),男7例7膝,女20例20膝;平均年龄69.5岁.同期应用胫骨后倾0

  18. Transanal total mesorectal excision - a systematic review

    DEFF Research Database (Denmark)

    Bjørn, Maya Xania; Perdawood, Sharaf Karim

    2015-01-01

    of the dissection. We aimed to evaluate the literature on TaTME. METHODS: We performed a systematic search of the literature in the PubMed and Embase databases. Both authors assessed the studies. All publications on TaTME were included with the exception of review articles. RESULTS: A total of 29 studies (336...... the potential advantages seem to be related to a bulky mesorectum in the male pelvis. The preliminary results are encouraging and the most serious complication is urethral injury. The oncological results are acceptable, although the follow-up is short. CONCLUSION: TaTME is a feasible approach for mid and low...

  19. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... rate and breathing. The talk test is a simple way to measure relative intensity. In general, if ... Healthy Weight Breastfeeding Micronutrient Malnutrition State and Local Programs File Formats Help: How do I view different ...

  20. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... Button Our Division About Us Nutrition Physical Activity Overweight & Obesity Healthy Weight Breastfeeding Micronutrient Malnutrition State and Local Programs Measuring Physical Activity Intensity Recommend on Facebook Tweet Share Compartir For ...

  1. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... energy used by the body while doing the activity. Top of Page Moderate Intensity Walking briskly (3 miles per hour or faster, but not race-walking) Water aerobics Bicycling slower than 10 miles per hour ...

  2. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... Measuring Intensity Target Heart Rate and Estimated Maximum Heart Rate Perceived Exertion (Borg Rating of Perceived Exertion Scale) Get Email Updates To receive email updates about this page, enter your ... ...

  3. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... per hour or faster, but not race-walking) Water aerobics Bicycling slower than 10 miles per hour Tennis (doubles) Ballroom dancing General gardening Vigorous Intensity Race walking, jogging, or running Swimming ...

  4. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... Measuring Intensity Target Heart Rate and Estimated Maximum Heart Rate Perceived Exertion (Borg Rating of Perceived Exertion Scale) Get Email Updates To receive email updates about this page, enter your email ... ...

  5. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... be able to say more than a few words without pausing for a breath. Absolute Intensity The ... per hour or faster, but not race-walking) Water aerobics Bicycling slower than 10 miles per hour ...

  6. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... be able to say more than a few words without pausing for a breath. Absolute Intensity The ... site? Adobe PDF file Microsoft PowerPoint file Microsoft Word file Microsoft Excel file Audio/Video file Apple ...

  7. Measuring Physical Activity Intensity

    Medline Plus

    Full Text Available ... Adults Needs for Children What Counts Needs for Older Adults Needs for Pregnant or Postpartum Women Physical Activity & ... to Your Life Activities for Children Activities for Older Adults Overcoming Barriers Measuring Physical Activity Intensity Target Heart ...

  8. Laparoscopic total pancreatectomy

    Science.gov (United States)

    Wang, Xin; Li, Yongbin; Cai, Yunqiang; Liu, Xubao; Peng, Bing

    2017-01-01

    Abstract Rationale: Laparoscopic total pancreatectomy is a complicated surgical procedure and rarely been reported. This study was conducted to investigate the safety and feasibility of laparoscopic total pancreatectomy. Patients and Methods: Three patients underwent laparoscopic total pancreatectomy between May 2014 and August 2015. We reviewed their general demographic data, perioperative details, and short-term outcomes. General morbidity was assessed using Clavien–Dindo classification and delayed gastric emptying (DGE) was evaluated by International Study Group of Pancreatic Surgery (ISGPS) definition. Diagnosis and Outcomes: The indications for laparoscopic total pancreatectomy were intraductal papillary mucinous neoplasm (IPMN) (n = 2) and pancreatic neuroendocrine tumor (PNET) (n = 1). All patients underwent laparoscopic pylorus and spleen-preserving total pancreatectomy, the mean operative time was 490 minutes (range 450–540 minutes), the mean estimated blood loss was 266 mL (range 100–400 minutes); 2 patients suffered from postoperative complication. All the patients recovered uneventfully with conservative treatment and discharged with a mean hospital stay 18 days (range 8–24 days). The short-term (from 108 to 600 days) follow up demonstrated 3 patients had normal and consistent glycated hemoglobin (HbA1c) level with acceptable quality of life. Lessons: Laparoscopic total pancreatectomy is feasible and safe in selected patients and pylorus and spleen preserving technique should be considered. Further prospective randomized studies are needed to obtain a comprehensive understanding the role of laparoscopic technique in total pancreatectomy. PMID:28099344

  9. [Intensive medicine in Spain].

    Science.gov (United States)

    2011-03-01

    Intensive care medicine is a medical specialty that was officially established in our country in 1978, with a 5-year training program including two years of common core training followed by three years of specific training in an intensive care unit accredited for training. During this 32-year period, intensive care medicine has carried out an intense and varied activity, which has allowed its positioning as an attractive and with future specialty in the hospital setting. This document summarizes the history of the specialty, its current situation, the key role played in the programs of organ donation and transplantation of the National Transplant Organization (after more than 20 years of mutual collaboration), its training activities with the development of the National Plan of Cardiopulmonary Resuscitation, with a trajectory of more than 25 years, its interest in providing care based on quality and safety programs for the severely ill patient. It also describes the development of reference registries due to the need for reliable data on the care process for the most prevalent diseases, such as ischemic heart disease or ICU-acquired infections, based on long-term experience (more than 15 years), which results in the availability of epidemiological information and characteristics of care that may affect the practical patient's care. Moreover, features of its scientific society (SEMICYUC) are reported, an organization that agglutinates the interests of more than 280 ICUs and more than 2700 intensivists, with reference to the journal Medicina Intensiva, the official journal of the society and the Panamerican and Iberian Federation of Critical Medicine and Intensive Care Societies. Medicina Intensiva is indexed in the Thompson Reuters products of Science Citation Index Expanded (Scisearch(®)) and Journal Citation Reports, Science Edition. The important contribution of the Spanish intensive care medicine to the scientific community is also analyzed, and in relation to

  10. Estonian total ozone climatology

    Directory of Open Access Journals (Sweden)

    K. Eerme

    Full Text Available The climatological characteristics of total ozone over Estonia based on the Total Ozone Mapping Spectrometer (TOMS data are discussed. The mean annual cycle during 1979–2000 for the site at 58.3° N and 26.5° E is compiled. The available ground-level data interpolated before TOMS, have been used for trend detection. During the last two decades, the quasi-biennial oscillation (QBO corrected systematic decrease of total ozone from February–April was 3 ± 2.6% per decade. Before 1980, a spring decrease was not detectable. No decreasing trend was found in either the late autumn ozone minimum or in the summer total ozone. The QBO related signal in the spring total ozone has an amplitude of ± 20 DU and phase lag of 20 months. Between 1987–1992, the lagged covariance between the Singapore wind and the studied total ozone was weak. The spring (April–May and summer (June–August total ozone have the best correlation (coefficient 0.7 in the yearly cycle. The correlation between the May and August total ozone is higher than the one between the other summer months. Seasonal power spectra of the total ozone variance show preferred periods with an over 95% significance level. Since 1986, during the winter/spring, the contribution period of 32 days prevails instead of the earlier dominating 26 days. The spectral densities of the periods from 4 days to 2 weeks exhibit high interannual variability.

    Key words. Atmospheric composition and structure (middle atmosphere – composition and chemistry; volcanic effects – Meteorology and atmospheric dynamics (climatology

  11. Data-intensive science

    CERN Document Server

    Critchlow, Terence

    2013-01-01

    Data-intensive science has the potential to transform scientific research and quickly translate scientific progress into complete solutions, policies, and economic success. But this collaborative science is still lacking the effective access and exchange of knowledge among scientists, researchers, and policy makers across a range of disciplines. Bringing together leaders from multiple scientific disciplines, Data-Intensive Science shows how a comprehensive integration of various techniques and technological advances can effectively harness the vast amount of data being generated and significan

  12. Towards higher intensities

    CERN Multimedia

    CERN Bulletin

    2010-01-01

    Over the past 2 weeks, commissioning of the machine protection system has advanced significantly, opening up the possibility of higher intensity collisions at 3.5 TeV. The intensity has been increased from 2 bunches of 1010 protons to 6 bunches of 2x1010 protons. Luminosities of 6x1028 cm-2s-1 have been achieved at the start of fills, a factor of 60 higher than those provided for the first collisions on 30 March.   The recent increase in LHC luminosity as recorded by the experiments. (Graph courtesy of the experiments and M. Ferro-Luzzi) To increase the luminosity further, the commissioning crews are now trying to push up the intensity of the individual proton bunches. After the successful injection of nominal intensity bunches containing 1.1x1011 protons, collisions were subsequently achieved at 450 GeV with these intensities. However, half-way through the first ramping of these nominal intensity bunches to 3.5 TeV on 15 May, a beam instability was observed, leading to partial beam loss...

  13. Total Water Management - slides

    Science.gov (United States)

    Total Water Management (TWM) examines urban water systems in an interconnected manner. It encompasses reducing water demands, increasing water recycling and reuse, creating water supply assets from stormwater management, matching water quality to end-use needs, and achieving envi...

  14. Total 2004 results

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2005-02-01

    This document presents the 2004 results of Total Group: consolidated account, special items, number of shares, market environment, adjustment for amortization of Sanofi-Aventis merger-related intangibles, 4. quarter 2004 results (operating and net incomes, cash flow), upstream (results, production, reserves, recent highlights), downstream (results, refinery throughput, recent highlights), chemicals (results, recent highlights), Total's full year 2004 results (operating and net income, cash flow), 2005 sensitivities, Total SA parent company accounts and proposed dividend, adoption of IFRS accounting, summary and outlook, main operating information by segment for the 4. quarter and full year 2004: upstream (combined liquids and gas production by region, liquids production by region, gas production by region), downstream (refined product sales by region, chemicals), Total financial statements: consolidated statement of income, consolidated balance sheet (assets, liabilities and shareholder's equity), consolidated statements of cash flows, business segments information. (J.S.)

  15. Revised Total Coliform Rule

    Science.gov (United States)

    The Revised Total Coliform Rule (RTCR) aims to increase public health protection through the reduction of potential pathways for fecal contamination in the distribution system of a public water system (PWS).

  16. Total Ecosystem Carbon Stock

    Data.gov (United States)

    U.S. Geological Survey, Department of the Interior — Total ecosystem carbon includes above- and below-ground live plant components (such as leaf, branch, stem and root), dead biomass (such as standing dead wood, down...

  17. Environmental Survey preliminary report

    Energy Technology Data Exchange (ETDEWEB)

    1988-04-01

    This report presents the preliminary findings from the first phase of the Environmental Survey of the United States Department of Energy (DOE) Sandia National Laboratories conducted August 17 through September 4, 1987. The objective of the Survey is to identify environmental problems and areas of environmental risk associated with Sandia National Laboratories-Albuquerque (SNLA). The Survey covers all environmental media and all areas of environmental regulation. It is being performed in accordance with the DOE Environmental Survey Manual. This phase of the Survey involves the review of existing site environmental data, observations of the operations carried on at SNLA, and interviews with site personnel. 85 refs., 49 figs., 48 tabs.

  18. Ruiz Volcano: Preliminary report

    Science.gov (United States)

    Ruiz Volcano, Colombia (4.88°N, 75.32°W). All times are local (= GMT -5 hours).An explosive eruption on November 13, 1985, melted ice and snow in the summit area, generating lahars that flowed tens of kilometers down flank river valleys, killing more than 20,000 people. This is history's fourth largest single-eruption death toll, behind only Tambora in 1815 (92,000), Krakatau in 1883 (36,000), and Mount Pelée in May 1902 (28,000). The following briefly summarizes the very preliminary and inevitably conflicting information that had been received by press time.

  19. Pediatric intensive care in Argentina.

    Science.gov (United States)

    Schnitzler, E J

    1993-09-01

    8.2% of the gross domestic product is spent annually on health care in Argentina, a country of 32 million people. There is 1 medical doctor of every 147,000 beds in a total 3180 hospitals. The infant mortality rate in Argentina is 24.5/1000 live births which is high compared to developed countries. Perinatal causes and congenital anomalies are the main cause of death after the neonatal period, and accidents, cardiac disease, and respiratory tract infections are the main causes of death among children over age 1 year. Argentina has approximately 35 pediatric intensive care units (ICU), but 154 of 244 beds are within or near the capital. Only 2 hospitals have pediatric intensive care fellowship programs, so full time dedicated staff is rare. 250 registered pediatricians dedicated to intensive care are in the Argentine Pediatric Society and the nurse/bed ratio is 1:2-1:3. Moreover, the country has neither postanesthesia recuperation units, burn units, chronic ventilation units, nor approved home assistance programs, and intermediate care is not clearly standardized. These inadequacies have led to a shortage of beds and the caring for of critically ill children in general pediatric or emergency wards in hospitals which lack adequate equipment; patients are often discharged inappropriately to clear bed space. Even so, prehospital and emergency room care tends to be provided without the necessary coordination with the pediatric ICU, and structural conditions regarding electrical self-sufficiency, air conditioning, and circulation are met in only few units. Despite the existence of these adverse conditions for the care of critically ill children, a pediatric organ transplant program developed since 1987 has demonstrated 70% to 100% survival rates for 16l orthotopic liver and 9 heart transplants, respectively. Alternatives to improving intensive care in Argentina include optimizing the response of emergency and critical care delivery systems, categorizing hospitals and

  20. Total lymphoid irradiation

    Energy Technology Data Exchange (ETDEWEB)

    Sutherland, D.E.; Ferguson, R.M.; Simmons, R.L.; Kim, T.H.; Slavin, S.; Najarian, J.S.

    1983-05-01

    Total lymphoid irradiation by itself can produce sufficient immunosuppression to prolong the survival of a variety of organ allografts in experimental animals. The degree of prolongation is dose-dependent and is limited by the toxicity that occurs with higher doses. Total lymphoid irradiation is more effective before transplantation than after, but when used after transplantation can be combined with pharmacologic immunosuppression to achieve a positive effect. In some animal models, total lymphoid irradiation induces an environment in which fully allogeneic bone marrow will engraft and induce permanent chimerism in the recipients who are then tolerant to organ allografts from the donor strain. If total lymphoid irradiation is ever to have clinical applicability on a large scale, it would seem that it would have to be under circumstances in which tolerance can be induced. However, in some animal models graft-versus-host disease occurs following bone marrow transplantation, and methods to obviate its occurrence probably will be needed if this approach is to be applied clinically. In recent years, patient and graft survival rates in renal allograft recipients treated with conventional immunosuppression have improved considerably, and thus the impetus to utilize total lymphoid irradiation for its immunosuppressive effect alone is less compelling. The future of total lymphoid irradiation probably lies in devising protocols in which maintenance immunosuppression can be eliminated, or nearly eliminated, altogether. Such protocols are effective in rodents. Whether they can be applied to clinical transplantation remains to be seen.

  1. Performance of a low-cost methane sensor for ambient concentration measurements in preliminary studies

    Science.gov (United States)

    Eugster, W.; Kling, G. W.

    2012-08-01

    Methane is the second most important greenhouse gas after CO2 and contributes to global warming. Its sources are not uniformly distributed across terrestrial and aquatic ecosystems, and most of the methane flux is expected to stem from hotspots which often occupy a very small fraction of the total landscape area. Continuous time-series measurements of CH4 concentrations can help identify and locate these methane hotspots. Newer, low-cost trace gas sensors such as the Figaro TGS 2600 can detect CH4 even at ambient concentrations. Hence, in this paper we tested this sensor under real-world conditions over Toolik Lake, Alaska, to determine its suitability for preliminary studies before placing more expensive and service-intensive equipment at a given locality. A reasonably good agreement with parallel measurements made using a Los Gatos Research FMA 100 methane analyzer was found after removal of the strong sensitivities for temperature and relative humidity. Correcting for this sensitivity increased the absolute accuracy required for in-depth studies, and the reproducibility between two TGS 2600 sensors run in parallel is very good. We conclude that the relative CH4 concentrations derived from such sensors are sufficient for preliminary investigations in the search of potential methane hotspots.

  2. Evaluación del impacto funcional e intensidad del dolor antes y después de la inyección de esteroides por vía transforaminal en una muestra preliminar de pacientes con radiculopatía lumbar por hernia de disco Evaluation of functionality and pain intensity before and after a transformial steroid injection in a preliminary sample of patients with lumbar radiculopathy due to a disk hernia

    Directory of Open Access Journals (Sweden)

    P. Medel

    2007-04-01

    Full Text Available Objetivo: Evaluar el grado de mejoría en el estado funcional e intensidad del dolor, en una muestra preliminar de pacientes con radiculopatía compresiva lumbar por hernia de disco a quienes se les realizó una inyección de esteroides por vía transforaminal (ITE bajo guía fluoroscópica. Material y método: Se seleccionaron prospectivamente en el periodo de Octubre a Diciembre del 2006, pacientes con dolor de espalda baja por radiculopatía secundaria a hernia de disco lumbar corroborado por clínica e imagen de resonancia magnética y que presentaran mala respuesta al manejo conservador. Se evaluó la intensidad de dolor por medio de la Escala Visual Análoga (EVA y el índice de funcionalidad mediante el Cuestionario de Oswestry previo al ITE y posterior al mismo a los 7,14 y 30 días en todos los pacientes incluidos. Resultados: Se incluyeron a 14 pacientes; de ellos doce fueron mujeres (87.5% y dos varones (14.3%; con una edad promedio de 62 ± 12.8 (40-84. La intensidad de dolor antes del procedimiento, según la EVA fue de 74.0 ± 17.0. Se observaron diferencias significativas en la intensidad del dolor a los 7 (EVA 46.4 ± 22.4, 14 (EVA 45.0 ± 17.0 y 30 (EVA 46.4 ± 25.9 días después del ITE (p Objective: To evalUate the level of improvement in the functionality and pain intensity in a preliminary sample of patients with compressive lumbar radiculopathology due to disk hernia who received a transforaminal steroid injection (TSI under fluoroscopic guidance. Material and Method: From October to December 2006, patients experiencing back pain due to radiculopathy secondary to a lumbar disk hernia were selected. These diagnoses had to have been corroborated clinically and by a magnetic resonance image. Furthermore, these were patients that responded poorly to conservative management. Pain intensity was evaluated by Visual Analog Scale Analogy (VAS and the functionality by the Oswestry Questionnaire before the TSI and 7, 14 and 30 days

  3. Stardust Interstellar Preliminary Examination (ISPE)

    Science.gov (United States)

    Westphal, A. J.; Allen, C.; Bajt, S.; Basset, R.; Bastien, R.; Bechtel, H.; Bleuet, P.; Borg, J.; Brenker F.; Bridges, J.

    2009-01-01

    In January 2006 the Stardust sample return capsule returned to Earth bearing the first solid samples from a primitive solar system body, C omet 81P/Wild2, and a collector dedicated to the capture and return o f contemporary interstellar dust. Both collectors were approximately 0.1m(exp 2) in area and were composed of aerogel tiles (85% of the co llecting area) and aluminum foils. The Stardust Interstellar Dust Col lector (SIDC) was exposed to the interstellar dust stream for a total exposure factor of 20 m(exp 2-) day during two periods before the co metary encounter. The Stardust Interstellar Preliminary Examination ( ISPE) is a three-year effort to characterize the collection using no ndestructive techniques. The ISPE consists of six interdependent proj ects: (1) Candidate identification through automated digital microsco py and a massively distributed, calibrated search (2) Candidate extr action and photodocumentation (3) Characterization of candidates thro ugh synchrotronbased FourierTranform Infrared Spectroscopy (FTIR), S canning XRay Fluoresence Microscopy (SXRF), and Scanning Transmission Xray Microscopy (STXM) (4) Search for and analysis of craters in f oils through FESEM scanning, Auger Spectroscopy and synchrotronbased Photoemission Electron Microscopy (PEEM) (5) Modeling of interstell ar dust transport in the solar system (6) Laboratory simulations of h ypervelocity dust impacts into the collecting media

  4. Total Energy Monitor

    Energy Technology Data Exchange (ETDEWEB)

    Friedrich, S

    2008-08-11

    The total energy monitor (TE) is a thermal sensor that determines the total energy of each FEL pulse based on the temperature rise induced in a silicon wafer upon absorption of the FEL. The TE provides a destructive measurement of the FEL pulse energy in real-time on a pulse-by-pulse basis. As a thermal detector, the TE is expected to suffer least from ultra-fast non-linear effects and to be easy to calibrate. It will therefore primarily be used to cross-calibrate other detectors such as the Gas Detector or the Direct Imager during LCLS commissioning. This document describes the design of the TE and summarizes the considerations and calculations that have led to it. This document summarizes the physics behind the operation of the Total Energy Monitor at LCLS and derives associated engineering specifications.

  5. Algebraic totality, towards completeness

    CERN Document Server

    Tasson, Christine

    2009-01-01

    Finiteness spaces constitute a categorical model of Linear Logic (LL) whose objects can be seen as linearly topologised spaces, (a class of topological vector spaces introduced by Lefschetz in 1942) and morphisms as continuous linear maps. First, we recall definitions of finiteness spaces and describe their basic properties deduced from the general theory of linearly topologised spaces. Then we give an interpretation of LL based on linear algebra. Second, thanks to separation properties, we can introduce an algebraic notion of totality candidate in the framework of linearly topologised spaces: a totality candidate is a closed affine subspace which does not contain 0. We show that finiteness spaces with totality candidates constitute a model of classical LL. Finally, we give a barycentric simply typed lambda-calculus, with booleans ${\\mathcal{B}}$ and a conditional operator, which can be interpreted in this model. We prove completeness at type ${\\mathcal{B}}^n\\to{\\mathcal{B}}$ for every n by an algebraic metho...

  6. The intense neutron generator

    Energy Technology Data Exchange (ETDEWEB)

    Lewis, W.B

    1966-07-01

    The presentation discusses both the economic and research contexts that would be served by producing neutrons in gram quantities at high intensities by electrical means without uranium-235. The revenue from producing radioisotopes is attractive. The array of techniques introduced by the multipurpose 65 megawatt Intense Neutron Generator project includes liquid metal cooling, superconducting magnets for beam bending and focussing, super-conductors for low-loss high-power radiofrequency systems, efficient devices for producing radiofrequency power, plasma physics developments for producing and accelerating hydrogen, ions at high intensity that are still far out from established practice, a multimegawatt high voltage D.C. generating machine that could have several applications. The research fields served relate principally to materials science through neutron-phonon and other quantum interactions as well as through neutron diffraction. Nuclear physics is served through {mu}-, {pi}- and K-meson production. Isotope production enters many fields of applied research. (author)

  7. [Total temporomandibular joint prostheses].

    Science.gov (United States)

    Zwetyenga, N; Amroun, S; Wajszczak, B-L; Moris, V

    2016-09-01

    The temporomandibular joint (TMJ) is probably the most complex human joint. As in all joints, its prosthetic replacement may be indicated in selected cases. Significant advances have been made in the design of TMJ prostheses during the last three decades and the indications have been clarified. The aim of our work was to make an update on the current total TMJ total joint replacement. Indications, contraindications, prosthetic components, advantages, disadvantages, reasons for failure or reoperation, virtual planning and surgical protocol have been exposed. Copyright © 2016 Elsevier Masson SAS. All rights reserved.

  8. Greenhouse gas emissions intensity of global croplands

    Science.gov (United States)

    Carlson, Kimberly M.; Gerber, James S.; Mueller, Nathaniel D.; Herrero, Mario; MacDonald, Graham K.; Brauman, Kate A.; Havlik, Petr; O'Connell, Christine S.; Johnson, Justin A.; Saatchi, Sassan; West, Paul C.

    2017-01-01

    Stabilizing greenhouse gas (GHG) emissions from croplands as agricultural demand grows is a critical component of climate change mitigation. Emissions intensity metrics--including carbon dioxide equivalent emissions per kilocalorie produced (`production intensity’)--can highlight regions, management practices, and crops as potential foci for mitigation. Yet the spatial and crop-wise distribution of emissions intensity has been uncertain. Here, we develop global crop-specific circa 2000 estimates of GHG emissions and GHG intensity in high spatial detail, reporting the effects of rice paddy management, peatland draining, and nitrogen (N) fertilizer on CH4, CO2 and N2O emissions. Global mean production intensity is 0.16 Mg CO2e M kcal-1, yet certain cropping practices contribute disproportionately to emissions. Peatland drainage (3.7 Mg CO2e M kcal-1)--concentrated in Europe and Indonesia--accounts for 32% of these cropland emissions despite peatlands producing just 1.1% of total crop kilocalories. Methane emissions from rice (0.58 Mg CO2e M kcal-1), a crucial food staple supplying 15% of total crop kilocalories, contribute 48% of cropland emissions, with outsized production intensity in Vietnam. In contrast, N2O emissions from N fertilizer application (0.033 Mg CO2e M kcal-1) generate only 20% of cropland emissions. We find that current total GHG emissions are largely unrelated to production intensity across crops and countries. Climate mitigation policies should therefore be directed to locations where crops have both high emissions and high intensities.

  9. Total Quality Management Simplified.

    Science.gov (United States)

    Arias, Pam

    1995-01-01

    Maintains that Total Quality Management (TQM) is one method that helps to monitor and improve the quality of child care. Lists four steps for a child-care center to design and implement its own TQM program. Suggests that quality assurance in child-care settings is an ongoing process, and that TQM programs help in providing consistent, high-quality…

  10. Total versus subtotal hysterectomy

    DEFF Research Database (Denmark)

    Gimbel, Helga; Zobbe, Vibeke; Andersen, Anna Birthe;

    2005-01-01

    The aim of this study was to compare total and subtotal abdominal hysterectomy for benign indications, with regard to urinary incontinence, postoperative complications, quality of life (SF-36), constipation, prolapse, satisfaction with sexual life, and pelvic pain at 1-year postoperative. Eighty...

  11. Total Quality Management Simplified.

    Science.gov (United States)

    Arias, Pam

    1995-01-01

    Maintains that Total Quality Management (TQM) is one method that helps to monitor and improve the quality of child care. Lists four steps for a child-care center to design and implement its own TQM program. Suggests that quality assurance in child-care settings is an ongoing process, and that TQM programs help in providing consistent, high-quality…

  12. Total Quality Management Seminar.

    Science.gov (United States)

    Massachusetts Career Development Inst., Springfield.

    This booklet is one of six texts from a workplace literacy curriculum designed to assist learners in facing the increased demands of the workplace. The booklet contains seven sections that cover the following topics: (1) meaning of total quality management (TQM); (2) the customer; (3) the organization's culture; (4) comparison of management…

  13. Total hip arthroplasty

    Directory of Open Access Journals (Sweden)

    Slavković Nemanja

    2012-01-01

    Full Text Available Total hip arthroplasty is most common reconstructive hip procedure in adults. In this surgery we replace some parts of the upper femur and acetabulum with biocompatible materials. The main goal of this surgery is to eliminate pain and regain full extent of joint motion, maintaining hip stability. Surgical technique, biomaterials, design of the prosthesis and fixation techniques have evolved with time adjusting to each other. After total hip arthroplasty patients’ quality of life should be improved. There are many various postoperative complications. Some of them are fatal, and some are minor, which may become manifested years after surgery. Each next surgical procedure following previous hip surgery is associated with considerably lower chances to be successful. Therefore, in primary total hip arthroplasty, preoperative evaluation and preparation of patients are essential. Every orthopaedic surgeon needs to improve already adopted surgical skills applying them with precision and without compromise, with the main goal to achieve long-term durability of the selected implant. The number of total hip arthroplasties will also increase in future, and newer and higher quality materials will be used.

  14. CSF total protein

    Science.gov (United States)

    CSF total protein is a test to determine the amount of protein in your spinal fluid, also called cerebrospinal fluid (CSF). ... The normal protein range varies from lab to lab, but is typically about 15 to 60 milligrams per deciliter (mg/dL) ...

  15. Total Cost of Ownership

    DEFF Research Database (Denmark)

    Zachariassen, Frederik

    2007-01-01

    Total Cost of Ownership (TCO), som giver et bud på, hvordan virksomheder kan opnå en bedre indsigt i, hvilke leverandører der forårsager hvilke omkostninger og dermed danne et forbedret beslutningsgrundlag for besparelser i leverandørleddet. I artiklen argumenteres først og fremmest for, hvorfor TCO er...

  16. Supravaginal eller total hysterektomi?

    DEFF Research Database (Denmark)

    Edvardsen, L; Madsen, E M

    1994-01-01

    is examined. It is concluded that the risk of developing carcinoma of the cervical stump is low, and no longer a weighty indication for the total in preference to the supravaginal hysterectomy as long as subsequent screening of the cervix is performed. At the same time it is important to inform the women...

  17. Total synthesis of aquatolide

    NARCIS (Netherlands)

    Saya, J.M.; Vos, K.; Klein Nijenhuis, R.A.; van Maarseveen, J.H.; Ingemann, S.; Hiemstra, H.

    2015-01-01

    A total synthesis of the sesquiterpene lactone aquatolide has been accomplished. The central step is an intramolecular [2 + 2]-photocycloaddition of an allene onto an alpha,beta-unsaturated delta-lactone. Other key steps are an intramolecular Horner-Wadsworth-Emmons reaction to close the lactone and

  18. Total knee arthroplasty

    DEFF Research Database (Denmark)

    Schrøder, Henrik M.; Petersen, Michael M.

    2016-01-01

    Total knee arthroplasty (TKA) is a successful treatment of the osteoarthritic knee, which has increased dramatically over the last 30 years. The indication is a painful osteoarthritic knee with relevant radiographic findings and failure of conservative measures like painkillers and exercise. Trea...

  19. Total Synthesis of Naloxone

    Institute of Scientific and Technical Information of China (English)

    HU Wen-Xiang; WANG Jian-Ying; XU Ming

    2003-01-01

    @@ Naloxone (1) is one of the 14-hydroxyl substituted opium antagonists which are valuable medications for treat ment of opiate abuse, opiate overdose, and alcohol addiction. Here, the total synthesis of naloxone was described. We selected 2,6-dihydroxynaphalene (2) as the starting material.

  20. Total Quality Management.

    Science.gov (United States)

    Focus in Change, 1992

    1992-01-01

    The philosophy known as Total Quality Management (TQM) is frequently presented as a way to change and improve public education. This issue of "Focus in Change" examines Deming's original 14 TQM points and their application to education. Myron Tribus lays out the core philosophy of the movement and discusses its possible application to…

  1. A Preliminary Jupiter Model

    CERN Document Server

    Hubbard, W B

    2016-01-01

    In anticipation of new observational results for Jupiter's axial moment of inertia and gravitational zonal harmonic coefficients from the forthcoming Juno orbiter, we present a number of preliminary Jupiter interior models. We combine results from ab initio computer simulations of hydrogen-helium mixtures, including immiscibility calculations, with a new nonperturbative calculation of Jupiter's zonal harmonic coefficients, to derive a self-consistent model for the planet's external gravity and moment of inertia. We assume helium rain modified the interior temperature and composition profiles. Our calculation predicts zonal harmonic values to which measurements can be compared. Although some models fit the observed (pre-Juno) second- and fourth-order zonal harmonics to within their error bars, our preferred reference model predicts a fourth-order zonal harmonic whose absolute value lies above the pre-Juno error bars. This model has a dense core of about 12 Earth masses, and a hydrogen-helium-rich envelope with...

  2. A Preliminary Jupiter Model

    Science.gov (United States)

    Hubbard, W. B.; Militzer, B.

    2016-03-01

    In anticipation of new observational results for Jupiter's axial moment of inertia and gravitational zonal harmonic coefficients from the forthcoming Juno orbiter, we present a number of preliminary Jupiter interior models. We combine results from ab initio computer simulations of hydrogen-helium mixtures, including immiscibility calculations, with a new nonperturbative calculation of Jupiter's zonal harmonic coefficients, to derive a self-consistent model for the planet's external gravity and moment of inertia. We assume helium rain modified the interior temperature and composition profiles. Our calculation predicts zonal harmonic values to which measurements can be compared. Although some models fit the observed (pre-Juno) second- and fourth-order zonal harmonics to within their error bars, our preferred reference model predicts a fourth-order zonal harmonic whose absolute value lies above the pre-Juno error bars. This model has a dense core of about 12 Earth masses and a hydrogen-helium-rich envelope with approximately three times solar metallicity.

  3. Stochastic conditional intensity processes

    DEFF Research Database (Denmark)

    Bauwens, Luc; Hautsch, Nikolaus

    2006-01-01

    model allows for a wide range of (cross-)autocorrelation structures in multivariate point processes. The model is estimated by simulated maximum likelihood (SML) using the efficient importance sampling (EIS) technique. By modeling price intensities based on NYSE trading, we provide significant evidence...

  4. Emotion understanding in clinically anxious children: A preliminary investigation.

    OpenAIRE

    Bender, Patrick K; Francisco ePons; Harris, Paul L.; Barbara H. Esbjørn; Reinholdt-Dunne, Marie L.

    2015-01-01

    Children’s understanding of the nature, origins and consequences of emotions has been intensively investigated over the last 30–40 years. However, few empirical studies have looked at the relation between emotion understanding and anxiety in children and their results are mixed. The aim of the present study was to perform a preliminary investigation of the relationships between emotion understanding, anxiety, emotion dysregulation, and attachment security in clinically anxious children. A sam...

  5. Submillimeter observations of solar limb-brightening in the total solar eclipse of 31 July 1981

    Science.gov (United States)

    Becklin, E. E.; Jefferies, J. T.; Lindsey, C.; Orrall, F.; Gatley, I.; Werner, M.

    1981-01-01

    Eight flights of the Kuiper Airborne Observatory (KAO) were devoted to solar observation. The successful observation of a total solar eclipse was accomplished. The observations were made simultaneously at 30, 50, 100, and 200 microns. The successful adaptation of the KAO for solar observations thus provided the most detailed data to date in this spectral band. The results from a preliminary analysis of the KAO data are summarized: (1) the 200 micron limb is extended about 3 arc sec above the 30 micron limb, indicating the prescence of cool dense material up to the altitudes of spicules; (2) strong radial darkening of the quiet sun intensity profile appeared at 200 microns, probably an indication that hot material in the low chromosphere is recessed into vertical magnetic flux tubes embedded in a cooler nonmagnetic substrate, which obscures the heated material approaching the limb; (3) active regions were observed to undergo a strong increase in contrast above the quiet sun background at wave lengths of 100 microns and longer; and (4) the moon was mapped for use as a photometric standard for determining the absolute intensity of the sun in all four wavelength bands.

  6. Thermal energy storage in aquifiers: preliminary information

    Energy Technology Data Exchange (ETDEWEB)

    Allen, R.D.

    1979-12-01

    Topics discussed include: conceptual designs; numerical modelling; field experiments; relevant technical information; feasibility studies; preliminary aquifer selection considerations; and preliminary design and operating considerations. (TFD)

  7. Spectral intensities in trivalent lanthanide systems

    Energy Technology Data Exchange (ETDEWEB)

    Acevedo, Roberto [Facultad de Ingenieria, Universidad Mayor, Avenida Manuel Montt 367, Postal code 7500994, Providencia, Santiago (Chile)], E-mail: roberto.acevedo@umayor.cl; Soto-Bubert, Andres; Bosch, Paul [Instituto de Ciencias Basicas, Facultad de Ingenieria, Universidad Diego Portales, Avenida Ejercito 441, Casilla 298-V, Santiago (Chile); Strek, Wieslaw [Institute of Low Temperature and Structure Research, Polish Academy of Sciences, Okoelna 2, 50-422 Wroclaw (Poland)

    2008-08-11

    The main goal of this research work is to rationalize the rich vibronic structure of lanthanide type crystals, such as Cs{sub 2}NaDyCl{sub 6} and Cs{sub 2}NaHoCl{sub 6}, in the space group Fm3m(O{sub h}{sup 5}). These systems are known to be highly relativistic and as a consequence, major corrections to previous model calculations should be taken into account so as to explain from a semi-quantitative viewpoint, the observed spectral intensities. We have decided to tackle this study taking special care, of both the physics and the chemistry involved with special emphasis on the theoretical model to be employed as well as, in the strategy to be followed to rationalize the available experimental data. This paper aims to advance our understanding of the intensity mechanisms, associated with observed radiative transitions, say for complex highly relativistic systems, in the solid state physics. The spectral intensities associated with superpositions (juxtapositions) of peaks and/or bands in the absortion and emission spectra are considered in detail and a preliminary working methodology is put forward with reference to the Cs{sub 2}NaDyCl{sub 6} and Cs{sub 2}NaHoCl{sub 6} crystals.

  8. Total design of participation

    DEFF Research Database (Denmark)

    Munch, Anders V.

    2016-01-01

    The idea of design as an art made not only for the people, but also by the people is an old dream going back at least to William Morris. It is, however, reappearing vigoriously in many kinds of design activism and grows out of the visions of a Total Design of society. The ideas of participation...... by Tim Brown can be compared to considerations by László Moholy-Nagy and Walter Gropuis on the training and education of active and capable citizens. This opens, though, some dilemmas to discuss: To what extend is the capability of creativity then a (pre)condition to be a citizen of the society wished...... for? To which degree should everyone be educated in ’design literacy’ to participate? Total design of participation is an artistic intervention in society and must be discussed in this utopian tradition....

  9. Total Synthesis of (-)-Conolutinine.

    Science.gov (United States)

    Feng, Xiangyang; Jiang, Guangde; Xia, Zilei; Hu, Jiadong; Wan, Xiaolong; Gao, Jin-Ming; Lai, Yisheng; Xie, Weiqing

    2015-09-18

    The first enantioselective synthesis of (-)-conolutinine was achieved in 10 steps. The synthesis featured a catalytic asymmetric bromocyclization of tryptamine to forge the tricycle intermediate. Hydration of an alkene catalyzed by Co(acac)2 was also employed as a key step to diastereoselectively introduce the tertiary alcohol moiety. The absolute configuration of (-)-conolutinine was established to be (2S,5aS,8aS,13aR) based on this asymmetric total synthesis.

  10. Cervical Total Disc Arthroplasty

    OpenAIRE

    Basho, Rahul; Hood, Kenneth A.

    2012-01-01

    Symptomatic adjacent segment degeneration of the cervical spine remains problematic for patients and surgeons alike. Despite advances in surgical techniques and instrumentation, the solution remains elusive. Spurred by the success of total joint arthroplasty in hips and knees, surgeons and industry have turned to motion preservation devices in the cervical spine. By preserving motion at the diseased level, the hope is that adjacent segment degeneration can be prevented. Multiple cervical disc...

  11. TOTAL PERFORMANCE SCORECARD

    OpenAIRE

    Anca ȘERBAN; Oana DUMITRAȘCU

    2013-01-01

    The purpose of this paper is to present the evolution of the Balanced Scorecard from a measurement instrument to a strategic performance management tool and to highlight the advantages of implementing the Total Performance Scorecard, especially for Human Resource Management. The study has been accomplished using the methodology of bibliographic study and various secondary sources. Implementing the classical Balanced Scorecard indicated over the years, repeatedly failure. It can be indicated t...

  12. Total synthesis of teixobactin

    Science.gov (United States)

    Jin, Kang; Sam, Iek Hou; Po, Kathy Hiu Laam; Lin, Du'an; Ghazvini Zadeh, Ebrahim H.; Chen, Sheng; Yuan, Yu; Li, Xuechen

    2016-08-01

    To cope with the global bacterial multidrug resistance, scientific communities have devoted significant efforts to develop novel antibiotics, particularly those with new modes of actions. Teixobactin, recently isolated from uncultured bacteria, is considered as a promising first-in-class drug candidate for clinical development. Herein, we report its total synthesis by a highly convergent Ser ligation approach and this strategy allows us to prepare several analogues of the natural product.

  13. Beam intensity upgrade at Fermilab

    Energy Technology Data Exchange (ETDEWEB)

    Marchionni, A.; /Fermilab

    2006-07-01

    The performance of the Fermilab proton accelerator complex is reviewed. The coming into operation of the NuMI neutrino line and the implementation of slip-stacking to increase the anti-proton production rate has pushed the total beam intensity in the Main Injector up to {approx} 3 x 10{sup 13} protons/pulse. A maximum beam power of 270 kW has been delivered on the NuMI target during the first year of operation. A plan is in place to increase it to 350 kW, in parallel with the operation of the Collider program. As more machines of the Fermilab complex become available with the termination of the Collider operation, a set of upgrades are being planned to reach first 700 kW and then 1.2 MW by reducing the Main Injector cycle time and by implementing proton stacking.

  14. Sobredentadura total superior implantosoportada

    Directory of Open Access Journals (Sweden)

    Luis Orlando Rodríguez García

    2010-06-01

    Full Text Available Se presenta un caso de un paciente desdentado total superior, rehabilitado en la consulta de implantología de la Clínica "Pedro Ortiz" del municipio Habana del Este en Ciudad de La Habana, Cuba, en el año 2009, mediante prótesis sobre implantes osteointegrados, técnica que se ha incorporado a la práctica estomatológica en Cuba como alternativa al tratamiento convencional en los pacientes desdentados totales. Se siguió un protocolo que comprendió una fase quirúrgica, procedimiento con o sin realización de colgajo y carga precoz o inmediata. Se presenta un paciente masculino de 56 años de edad, que acudió a la consulta multidisciplinaria, preocupado, porque se le habían elaborado tres prótesis en los últimos dos años y ninguna reunía los requisitos de retención que él necesitaba para sentirse seguro y cómodo con las mismas. El resultado final fue la satisfacción total del paciente, con el mejoramiento de la calidad estética y funcional.

  15. Preliminary Design of a Femtosecond Oscilloscope

    CERN Document Server

    Gazazyan, Edmond D; Kalantaryan, Davit K; Laziev, Edouard; Margaryan, Amour

    2005-01-01

    The calculations on motion of electrons in a finite length electromagnetic field of linearly and circularly polarized laser beams have shown that one can use the transversal deflection of electrons on a screen at a certain distance after the interaction region for the measurement of the length and longitudinal particle distribution of femtosecond bunches. In this work the construction and preliminary parameters of various parts of a device that may be called femtosecond oscilloscope are considered. The influence of various factors, such as the energy spread and size of the electron bunches, are taken into account. For CO2 laser intensity 1016 W/cm2 and field free drift length 1m the deflection is 5.3 and 0.06 cm, while the few centimeters long interaction length between 2 mirrors requires assembling accuracy 6 mm and 1.3 micron for 20 MeV to 50 keV, respectively.

  16. Intensive culture”

    DEFF Research Database (Denmark)

    Michelsen, Anders Ib

    2012-01-01

    Scott Lash argumenterer i bogen Intensive Culture for en vending fra ”ekstensiv” til ”intensiv” i den nutidige globalisering. Bogens udgangspunkt er en stadig mere ekstensiv og gennemtrængende globalisering af kultur, forbrugs- og vareformer, ”comtemporary culture, today’s capitalism – our global...... information society – is ever more extensive”. Dette medfører imidlertid et paradoks, fordi den ekstensive kultur slår om i intensive kulturformer: ”Given this growing extensification of contemporary culture, on another level and at the same time, we seem to be experiencing a parallel phenomenon whose colours......, samlivsmøstre etc.; ”the sheer pace of life in the streets of today’s mega-city would seem somehow to be intensive”....

  17. Intensities of Mobility

    DEFF Research Database (Denmark)

    Bissell, David; Vannini, Phillip; Jensen, Ole B.

    2016-01-01

    This paper explores the intensities of long-distance commuting journeys in order to understand how bodily sensibilities become attuned to the regular mobilities which they undertake. More people are travelling farther to and from work than ever before, owing to a variety of factors which relate...... to complex social and geographical dynamics of transport, housing, lifestyle, and employment. Yet, the experiential dimensions of long-distance commuting have not received the attention that they deserve within research on mobilities. Drawing from fieldwork conducted in Australia, Canada, and Denmark...... this paper aims to further develop our collective understanding of the experiential particulars of long-distance workers or ‘supercommuters’. Rather than focusing on the extensive dimensions of mobilities that are implicated in broad social patterns and trends, our paper turns to the intensive dimensions...

  18. Depletion of intense fields

    CERN Document Server

    Seipt, D; Marklund, M; Bulanov, S S

    2016-01-01

    The interaction of charged particles and photons with intense electromagnetic fields gives rise to multi-photon Compton and Breit-Wheeler processes. These are usually described in the framework of the external field approximation, where the electromagnetic field is assumed to have infinite energy. However, the multi-photon nature of these processes implies the absorption of a significant number of photons, which scales as the external field amplitude cubed. As a result, the interaction of a highly charged electron bunch with an intense laser pulse can lead to significant depletion of the laser pulse energy, thus rendering the external field approximation invalid. We provide relevant estimates for this depletion and find it to become important in the interaction between fields of amplitude $a_0 \\sim 10^3$ and electron bunches with charges of the order of nC.

  19. Depletion of Intense Fields

    Science.gov (United States)

    Seipt, D.; Heinzl, T.; Marklund, M.; Bulanov, S. S.

    2017-04-01

    The interaction of charged particles and photons with intense electromagnetic fields gives rise to multiphoton Compton and Breit-Wheeler processes. These are usually described in the framework of the external field approximation, where the electromagnetic field is assumed to have infinite energy. However, the multiphoton nature of these processes implies the absorption of a significant number of photons, which scales as the external field amplitude cubed. As a result, the interaction of a highly charged electron bunch with an intense laser pulse can lead to significant depletion of the laser pulse energy, thus rendering the external field approximation invalid. We provide relevant estimates for this depletion and find it to become important in the interaction between fields of amplitude a0˜1 03 and electron bunches with charges of the order of 10 nC.

  20. Intense fusion neutron sources

    Science.gov (United States)

    Kuteev, B. V.; Goncharov, P. R.; Sergeev, V. Yu.; Khripunov, V. I.

    2010-04-01

    The review describes physical principles underlying efficient production of free neutrons, up-to-date possibilities and prospects of creating fission and fusion neutron sources with intensities of 1015-1021 neutrons/s, and schemes of production and application of neutrons in fusion-fission hybrid systems. The physical processes and parameters of high-temperature plasmas are considered at which optimal conditions for producing the largest number of fusion neutrons in systems with magnetic and inertial plasma confinement are achieved. The proposed plasma methods for neutron production are compared with other methods based on fusion reactions in nonplasma media, fission reactions, spallation, and muon catalysis. At present, intense neutron fluxes are mainly used in nanotechnology, biotechnology, material science, and military and fundamental research. In the near future (10-20 years), it will be possible to apply high-power neutron sources in fusion-fission hybrid systems for producing hydrogen, electric power, and technological heat, as well as for manufacturing synthetic nuclear fuel and closing the nuclear fuel cycle. Neutron sources with intensities approaching 1020 neutrons/s may radically change the structure of power industry and considerably influence the fundamental and applied science and innovation technologies. Along with utilizing the energy produced in fusion reactions, the achievement of such high neutron intensities may stimulate wide application of subcritical fast nuclear reactors controlled by neutron sources. Superpower neutron sources will allow one to solve many problems of neutron diagnostics, monitor nano-and biological objects, and carry out radiation testing and modification of volumetric properties of materials at the industrial level. Such sources will considerably (up to 100 times) improve the accuracy of neutron physics experiments and will provide a better understanding of the structure of matter, including that of the neutron itself.

  1. The Preliminaries of a Reference

    DEFF Research Database (Denmark)

    Butler, Graham; Sadl, Urska

    2017-01-01

    by the reasons why the Court after an oral hearing held in the presence of the parties and eight intervening Member States, and after hearing the Advocate General did not deliver one. The comment examines the legal framework, as well as the detailed procedural rules and guidelines that govern the cooperation...... of national courts in the preliminary reference procedure. It highlights the fact that preliminary references can only work when the preliminaries of a reference – the culture of sincere cooperation and litigation, efficient communication and flexible procedural rules – are in place....

  2. Total ankle joint replacement.

    Science.gov (United States)

    2016-02-01

    Ankle arthritis results in a stiff and painful ankle and can be a major cause of disability. For people with end-stage ankle arthritis, arthrodesis (ankle fusion) is effective at reducing pain in the shorter term, but results in a fixed joint, and over time the loss of mobility places stress on other joints in the foot that may lead to arthritis, pain and dysfunction. Another option is to perform a total ankle joint replacement, with the aim of giving the patient a mobile and pain-free ankle. In this article we review the efficacy of this procedure, including how it compares to ankle arthrodesis, and consider the indications and complications.

  3. Total quality accounting

    Directory of Open Access Journals (Sweden)

    Andrijašević Maja

    2008-01-01

    Full Text Available The focus of competitive "battle" shifted from the price towards non-price instruments, above all, towards quality that became the key variable for profitability increase and achievement of better comparative position of a company. Under such conditions, management of a company, which, according to the established and certified system of total quality, strives towards achieving of a better market position, faces the problem of quality cost measurement and determination. Management, above all, cost accounting can help in solving of this problem, but the question is how much of its potential is being used for that purpose.

  4. Total Logistic Plant Solutions

    Directory of Open Access Journals (Sweden)

    Dusan Dorcak

    2016-02-01

    Full Text Available The Total Logistics Plant Solutions, plant logistics system - TLPS, based on the philosophy of advanced control processes enables complex coordination of business processes and flows and the management and scheduling of production in the appropriate production plans and planning periods. Main attributes of TLPS is to create a comprehensive, multi-level, enterprise logistics information system, with a certain degree of intelligence, which accepts the latest science and research results in the field of production technology and logistics. Logistic model of company understands as a system of mutually transforming flows of materials, energy, information, finance, which is realized by chain activities and operations

  5. Proton energy dependence of slow neutron intensity

    Energy Technology Data Exchange (ETDEWEB)

    Teshigawara, Makoto; Harada, Masahide; Watanabe, Noboru; Kai, Tetsuya; Sakata, Hideaki; Ikeda, Yujiro [Japan Atomic Energy Research Inst., Tokai, Ibaraki (Japan). Tokai Research Establishment; Ooi, Motoki [Hokkaido Univ., Sapporo (Japan)

    2001-03-01

    The choice of the proton energy is an important issue for the design of an intense-pulsed-spallation source. The optimal proton beam energy is rather unique from a viewpoint of the leakage neutron intensity but no yet clear from the slow-neutron intensity view point. It also depends on an accelerator type. Since it is also important to know the proton energy dependence of slow-neutrons from the moderators in a realistic target-moderator-reflector assembly (TMRA). We studied on the TMRA proposed for Japan Spallation Neutron Source. The slow-neutron intensities from the moderators per unit proton beam power (MW) exhibit the maximum at about 1-2 GeV. At higher proton energies the intensity per MW goes down; at 3 and 50 GeV about 0.91 and 0.47 times as low as that at 1 GeV. The proton energy dependence of slow-neutron intensities was found to be almost the same as that of total neutron yield (leakage neutrons) from the same bare target. It was also found that proton energy dependence was almost the same for the coupled and decoupled moderators, regardless the different moderator type, geometry and coupling scheme. (author)

  6. A PRELIMINARY JUPITER MODEL

    Energy Technology Data Exchange (ETDEWEB)

    Hubbard, W. B. [Lunar and Planetary Laboratory, The University of Arizona, Tucson, AZ 85721 (United States); Militzer, B. [Department of Earth and Planetary Science, Department of Astronomy, University of California, Berkeley, CA 94720 (United States)

    2016-03-20

    In anticipation of new observational results for Jupiter's axial moment of inertia and gravitational zonal harmonic coefficients from the forthcoming Juno orbiter, we present a number of preliminary Jupiter interior models. We combine results from ab initio computer simulations of hydrogen–helium mixtures, including immiscibility calculations, with a new nonperturbative calculation of Jupiter's zonal harmonic coefficients, to derive a self-consistent model for the planet's external gravity and moment of inertia. We assume helium rain modified the interior temperature and composition profiles. Our calculation predicts zonal harmonic values to which measurements can be compared. Although some models fit the observed (pre-Juno) second- and fourth-order zonal harmonics to within their error bars, our preferred reference model predicts a fourth-order zonal harmonic whose absolute value lies above the pre-Juno error bars. This model has a dense core of about 12 Earth masses and a hydrogen–helium-rich envelope with approximately three times solar metallicity.

  7. Preliminary reference Earth model

    Science.gov (United States)

    Dziewonski, Adam M.; Anderson, Don L.

    1981-06-01

    A large data set consisting of about 1000 normal mode periods, 500 summary travel time observations, 100 normal mode Q values, mass and moment of inertia have been inverted to obtain the radial distribution of elastic properties, Q values and density in the Earth's interior. The data set was supplemented with a special study of 12 years of ISC phase data which yielded an additional 1.75 × 10 6 travel time observations for P and S waves. In order to obtain satisfactory agreement with the entire data set we were required to take into account anelastic dispersion. The introduction of transverse isotropy into the outer 220 km of the mantle was required in order to satisfy the shorter period fundamental toroidal and spheroidal modes. This anisotropy also improved the fit of the larger data set. The horizontal and vertical velocities in the upper mantle differ by 2-4%, both for P and S waves. The mantle below 220 km is not required to be anisotropic. Mantle Rayleigh waves are surprisingly sensitive to compressional velocity in the upper mantle. High S n velocities, low P n velocities and a pronounced low-velocity zone are features of most global inversion models that are suppressed when anisotropy is allowed for in the inversion. The Preliminary Reference Earth Model, PREM, and auxiliary tables showing fits to the data are presented.

  8. THE EFFECTS OF REFLECTIVE TEACHING ON AN INTENSIVE TEACHER TRAINING PROGRAM

    Directory of Open Access Journals (Sweden)

    Mei Hua Lan

    2013-07-01

    Full Text Available Abstract: The preliminary case study was conducted to understand the effects of reflective teaching approach on English teachers' teaching performances in a short-term intensive teacher training program, and to know the participating English teachers’ feedback to the program. Totally 13 English teachers, who had taught English for 1 to 5 years, participated in this program for 3 weeks with 54 instruction hours. During the intensive program, teachers were asked to design lesson plans and demonstrate their lessons, while their peers, other experienced teachers, provided them with constructive feedback. In addition, the presenters self-assessed and reflected on their own teaching. Through several cycles of teaching demonstrations, peer-assessments, self-assessments and reflections, most teachers indicated that the reflective teaching approach was beneficial for sharpening their teaching skills, equipping them with additional teaching strategies and class management skills, and raising their awareness of the needs for examinations of their teaching reflectively in the future, and the importance of reflection of their own teaching for improvements. To give the teachers more inputs and inspirations, experienced teachers with creative teaching ideas were invited as guest speakers, and positive feedback to the guest speeches was also drawn. The findings of this study were expected to provide some pedagogical inspirations for the related fields, especially English teacher training in EFL contexts.

  9. Arapahoe NWR diversion reconstruction : Preliminary

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — This is a preliminary plan for a diversion reconstruction for Hubbard #2. Oklahoma #1, Dryer, Hill and Crowder sites on the Arapahoe National Wildlife Refuge.

  10. The Signature of Flares in VIRGO Total Solar Irradiance Measurements

    CERN Document Server

    Quesnel, A; Fleck, B; Froelich, C; Hudson, H S

    2010-01-01

    We use Total Solar Irradiance (TSI) measurements from the VIRGO (Variability of solar IRradiance and Gravity Oscillations) instrument on board SOHO to obtain preliminary estimates of the mean total radiative energy emitted by X-class solar flares. The basic tool is that of summed-epoch analysis, which has also enabled us to detect and partially characterize systematic errors present in the basic data. We describe these errors, which significantly degrade the photometry at high frequencies. We find the ratio of GOES 1-8\\{AA} luminosity to total bolometric luminosity to be of order 0.01.

  11. Total system performance assessment for Yucca Mountain

    Energy Technology Data Exchange (ETDEWEB)

    Boak, J.M. [USDOE Yucca Mountain Site Characterization Project Office, Las Vegas, NV (United States)

    1994-12-31

    As part of the U.S. Department of Energy`s evaluation of site suitability for a potential high-level radioactive waste repository, the long-term behavior of the mined geologic disposal system must be determined. This determination requires a knowledge of the characteristics of the present natural system, waste-package and engineered-system designs, a description of the environment around the emplacement zone, and descriptions of possible perturbations that may affect the nature of the engineered and natural systems. In 1991, participants in the Yucca Mountain Site Characterization Project completed a preliminary assessment of the likely performance of a potential repository at Yucca Mountain, Nevada. This preliminary assessment evaluated aqueous and gaseous flow, future climatic conditions, and disturbances to the system by basaltic volcanism and inadvertent human intrusion. A second total system performance evaluation is currently in progress. This second iteration is building on the previous analyses in a number of ways. More recent site characterization information and a much more complex model representing the source term are being incorporated. Multiple waste package designs, emplacement modes, and areal power densities are being analyzed. (author).

  12. 家庭综合服务中心全面质量管理研究--基于广州市的初步探索%The Study on Total Quality Management of Family Comprehensive Service Center--- Based on the Preliminary Exploration in Guangzhou

    Institute of Scientific and Technical Information of China (English)

    张琴

    2016-01-01

    In the face of increasingly com pl ex environment, the family comprehensive service center needs to seek a balance between quantity and quality of service. As a kind of widely used in any organization method, total quality management is inevitable choice to improve the quality of service. Around the domestic and foreign current situation of the development of total quality management theory, and according to the development of our country family comprehensive service center, this paper puts forward countermeasures and suggestions for the family comprehensive service center to introduce total quality management.%面对日益复杂的环境,家庭综合服务中心越来越需要在服务数量和质量之间寻求平衡。全面质量管理作为一种普遍使用于任何组织的方法,无疑是家综提高服务质量的必然选择。文章围绕国内外全面质量管理理论发展现状,结合我国家庭综合发展实际,提出了家庭综合引进全面质量管理的对策和建议。

  13. Influence of physical and chemical properties of HTSXT-FTIR samples on the quality of prediction models developed to determine absolute concentrations of total proteins, carbohydrates and triglycerides: a preliminary study on the determination of their absolute concentrations in fresh microalgal biomass.

    Science.gov (United States)

    Serrano León, Esteban; Coat, Rémy; Moutel, Benjamin; Pruvost, Jérémy; Legrand, Jack; Gonçalves, Olivier

    2014-11-01

    Absolute concentrations of total macromolecules (triglycerides, proteins and carbohydrates) in microorganisms can be rapidly measured by FTIR spectroscopy, but caution is needed to avoid non-specific experimental bias. Here, we assess the limits within which this approach can be used on model solutions of macromolecules of interest. We used the Bruker HTSXT-FTIR system. Our results show that the solid deposits obtained after the sampling procedure present physical and chemical properties that influence the quality of the absolute concentration prediction models (univariate and multivariate). The accuracy of the models was degraded by a factor of 2 or 3 outside the recommended concentration interval of 0.5-35 µg spot(-1). Change occurred notably in the sample hydrogen bond network, which could, however, be controlled using an internal probe (pseudohalide anion). We also demonstrate that for aqueous solutions, accurate prediction of total carbohydrate quantities (in glucose equivalent) could not be made unless a constant amount of protein was added to the model solution (BSA). The results of the prediction model for more complex solutions, here with two components: glucose and BSA, were very encouraging, suggesting that this FTIR approach could be used as a rapid quantification method for mixtures of molecules of interest, provided the limits of use of the HTSXT-FTIR method are precisely known and respected. This last finding opens the way to direct quantification of total molecules of interest in more complex matrices.

  14. Total Absorption Spectroscopy of Fission Fragments Relevant for Reactor Antineutrino Spectra and Decay Heat Calculations

    Directory of Open Access Journals (Sweden)

    Porta A.

    2016-01-01

    Full Text Available Beta decay of fission products is at the origin of decay heat and antineutrino emission in nuclear reactors. Decay heat represents about 7% of the reactor power during operation and strongly impacts reactor safety. Reactor antineutrino detection is used in several fundamental neutrino physics experiments and it can also be used for reactor monitoring and non-proliferation purposes. 92,93Rb are two fission products of importance in reactor antineutrino spectra and decay heat, but their β-decay properties are not well known. New measurements of 92,93Rb β-decay properties have been performed at the IGISOL facility (Jyväskylä, Finland using Total Absorption Spectroscopy (TAS. TAS is complementary to techniques based on Germanium detectors. It implies the use of a calorimeter to measure the total gamma intensity de-exciting each level in the daughter nucleus providing a direct measurement of the beta feeding. In these proceedings we present preliminary results for 93Rb, our measured beta feedings for 92Rb and we show the impact of these results on reactor antineutrino spectra and decay heat calculations.

  15. Total Absorption Spectroscopy of Fission Fragments Relevant for Reactor Antineutrino Spectra and Decay Heat Calculations

    Science.gov (United States)

    Porta, A.; Zakari-Issoufou, A.-A.; Fallot, M.; Algora, A.; Tain, J. L.; Valencia, E.; Rice, S.; Bui, V. M.; Cormon, S.; Estienne, M.; Agramunt, J.; Äystö, J.; Bowry, M.; Briz, J. A.; Caballero-Folch, R.; Cano-Ott, D.; Cucouanes, A.; Elomaa, V.-V.; Eronen, T.; Estévez, E.; Farrelly, G. F.; Garcia, A. R.; Gelletly, W.; Gomez-Hornillos, M. B.; Gorlychev, V.; Hakala, J.; Jokinen, A.; Jordan, M. D.; Kankainen, A.; Karvonen, P.; Kolhinen, V. S.; Kondev, F. G.; Martinez, T.; Mendoza, E.; Molina, F.; Moore, I.; Perez-Cerdán, A. B.; Podolyák, Zs.; Penttilä, H.; Regan, P. H.; Reponen, M.; Rissanen, J.; Rubio, B.; Shiba, T.; Sonzogni, A. A.; Weber, C.

    2016-03-01

    Beta decay of fission products is at the origin of decay heat and antineutrino emission in nuclear reactors. Decay heat represents about 7% of the reactor power during operation and strongly impacts reactor safety. Reactor antineutrino detection is used in several fundamental neutrino physics experiments and it can also be used for reactor monitoring and non-proliferation purposes. 92,93Rb are two fission products of importance in reactor antineutrino spectra and decay heat, but their β-decay properties are not well known. New measurements of 92,93Rb β-decay properties have been performed at the IGISOL facility (Jyväskylä, Finland) using Total Absorption Spectroscopy (TAS). TAS is complementary to techniques based on Germanium detectors. It implies the use of a calorimeter to measure the total gamma intensity de-exciting each level in the daughter nucleus providing a direct measurement of the beta feeding. In these proceedings we present preliminary results for 93Rb, our measured beta feedings for 92Rb and we show the impact of these results on reactor antineutrino spectra and decay heat calculations.

  16. Identity and total institution

    Directory of Open Access Journals (Sweden)

    Ljubičić Milana

    2015-01-01

    Full Text Available This paper analyses a psychiatric institution resident’s identity (self- construction processes. Our quest was grounded on constructivist theoretical paradigm that sees identity as a manner a person defines oneself in accordance with offered social repertoire. In other words, the total institution milieu offers limited range of identities to its residents. On the other hand, the latter are not just passive subjects that identity is imposed upon. They are able to use a number of adjustment mechanisms to the knowledge about themselves - ranging from symbolic escape to open resistance against the imposed image about them; to obedience, and we were interested to understand the (supposed complex dynamic of identity (re-building in, so-called, special or forensic patients. In order to understand this process and attempting to discover, besides the manifest also the latent layer of the story about self, the local, or personal, identity understanding was examined.

  17. Total organic carbon analyzer

    Science.gov (United States)

    Godec, Richard G.; Kosenka, Paul P.; Smith, Brian D.; Hutte, Richard S.; Webb, Johanna V.; Sauer, Richard L.

    The development and testing of a breadboard version of a highly sensitive total-organic-carbon (TOC) analyzer are reported. Attention is given to the system components including the CO2 sensor, oxidation reactor, acidification module, and the sample-inlet system. Research is reported for an experimental reagentless oxidation reactor, and good results are reported for linearity, sensitivity, and selectivity in the CO2 sensor. The TOC analyzer is developed with gravity-independent components and is designed for minimal additions of chemical reagents. The reagentless oxidation reactor is based on electrolysis and UV photolysis and is shown to be potentially useful. The stability of the breadboard instrument is shown to be good on a day-to-day basis, and the analyzer is capable of 5 sample analyses per day for a period of about 80 days. The instrument can provide accurate TOC and TIC measurements over a concentration range of 20 ppb to 50 ppm C.

  18. Preliminary investigation of the magnetostratigraphy of the Ringold Formation

    Energy Technology Data Exchange (ETDEWEB)

    Packer, D.R.; Johnston, J.M.

    1979-05-01

    The Ringold Formation consists of lacustrine and fluvial deposits overlying the Columbia River Basalt. The Ringold Formation, because of its thickness, extent, and age, is an excellent unit in which to detect and possibly data the deformation that has occurred since deposition of the basalt. One objective of this study was to investigate the paleomagnetism of the upper Ringold unit exposed at one location in the White Bluffs in enough detail to resolve, with reasonable confidence, the magnetostratigraphy of the rock units sampled. The other objective was to evaluate, in a preliminary manner, the paleomagnetic favorability and magnetostratigraphy of the subsurface Ringold Formation in the Pasco Basin and at selected exposures outside the Pasco Basin. The scope of this study was the collection of 300 paleomagnetic samples, their measurement, and analysis. Samples were collected from the White Bluffs, from core recovered from six drill holes on the Hanford Site, and from two surface exposures outside the Pasco Basin. A total of 294 samples was collected, and 2928 paleomagnetic measurements were performed on these samples. The samples were measured by means of a three-axis super-conducting rock magnetometer having a sensitivity of 10/sup -8/ emu/cm/sup 3/ and were demagnetized progressively in a 400-hertz alternating field (AF). All data were recorded and processed during measurement by an on-line computer.The declination, inclination, and intensity of magnetization of the samples from the various sections are plotted as a function of their stratigraphic position. The directions of the magnetization of the various sections are also plotted as a group on Wulff equal-angle stereonets. 22 figures, 8 tables.

  19. Comparative study of total RNA extraction methods from the grape callus and a preliminary analysis of the genes' differential expression between the embryogenic callus and non- embryogenic callus%葡萄愈伤组织RNA提取方法比较及部分基因的表达差异初步分析

    Institute of Scientific and Technical Information of China (English)

    代茹; 冀敏; 舒小梅; 陈尚武; 张文; 马会勤

    2009-01-01

    The quality of total RNA extracted by different methods from embryogenic callus ( EC ) and non -embryogenic callus ( NEC ) of Vitis vinifera L.cv.Cabernet Sauvignon was compared.The result demonstrated that " RNAplant" was a suitable reagent for high quality total RNA extraction from grape EC and NEC.The OD260/280 nm of total RNA was between 1.8 and 2.0, and the 28S and 18S bands were clear on the agarose gel after electro-phoresis.The expression of a set of genes including actin, tubulin, CLA and other three genes in EC and NEC were successfully compared by semi - quantitative RT - PCR with the total RNA as templates.The results showed that the total RNA extracted with this protocol was qualified for cDNA and qRT -PCR use, and could be further applied in gene expression and regulation research of grapevine somatic embryogenesis.%以欧亚种酿酒葡萄品种赤霞珠(Vitis vinifera L.cv.Cabernet Sauvignon)的胚性愈伤组织(EC)和非胚性愈伤组织(NEC)为材料,进行了总RNA不同提取方法的比较.结果表明葡萄EC和NEc的总RNA的最佳提取方法是RNAplant试剂法.通过此方法提取的总RNA完整性好,28s和18s条带清晰,且OD260/280nm值都在1.8~2.0之间.以此RNA为模板,对actin,tubilin,CLV等基因进行了半定量RT-PCR对比,发现EC与NEC在不同基因表达上存在差异.以上结果说明,以RNAplant试剂提取的RNA质量,可以满足cDNA合成和qRT-PCR等研究用途.这为深入研究葡萄花药愈伤组织胚性与非胚性细胞系的基因表达特点,以及葡萄体细胞胚发育过程中的基因时序表达奠定了基础.

  20. [intensive Phototherapy Treatment For Severe Haemolytic Disease Of The Newborn

    OpenAIRE

    Facchini, F P; BIANCHI, M. de O.; Silva, B A

    2015-01-01

    OBJECTIVE: To discuss the use of alternative treatment methods in hemolytic disease of newborn to replace common early exchange transfusion. METHODS: Case report of newborn with intensive Rh incompatibility treated with intensive phototherapy, plus phenobarbital instead of traditional early exchange transfusion.RESULTS: The neonatés cord blood showed 9.2 mg/dL of total bilirubin and 39% hematocrit. He was medicated with phenobarbital and intensive phototherapy at once. There was a rapid growi...

  1. Quantitative Analysis of Human Disturbance Intensity of Landscape Patterns and Preliminary Optimization of Ecological Function Regions:A Case of Minqing County in Fujian Province%景观格局的人类干扰强度定量分析与生态功能区优化初探——以福建省闽清县为例

    Institute of Scientific and Technical Information of China (English)

    梁发超; 刘黎明

    2011-01-01

    Landscape patterns are formed from long-term interactions of natural factors and human disturbances. In the processes of landscape ecology, landscape patterns determine landscape functions. As such, the relationship between landscape patterns and human disturbance intensity is needed to be quantitatively analyzed. Landscape elements that promote the ecological processes should be unraveled. The abovementioned two measures are helpful for sustainable development of the regional environment. In this paper, we investigated landscape patterns of Minqing County based on GIS and two scenes of satellite imageries acquired in 2000 and 2005. Landscape metrics of typical significance were chosen to quantify landscape pattern changes. Meanwhile, methods of landscape ecology and geo-statistics were comprehensively used to study the relationship between landscape spatial pattern variation and human disturbance intensity. Results demonstrated that: 1) the degree of landscape fragmentation was significantly reduced, and patches density of dry land,paddy fields, woodland, grassland, water bodies, and unused land were significantly reduced. Patch density of construction land increased. The average patch area of all landscape elements increased.Landscape types were increasingly controlled by a minority of patches, and the degree of regional connectivity was moderate. The change in the landscape pattern was essentially consistent with changes in human disturbance intensity. 2) The distribution of human disturbance intensity and its change were essentially consistent with the intensity and direction of urban expansion. Areas with low-middle impact strength kept fairly invariant. While areas with middle and middle-high impact strength increased. Patches with high impact strength also increased. The region with strong disturbance intensity was distributed mainly in the county town and around villages and towns.With speeding up of the urbanization process, the spread of disturbance

  2. Preliminary discussion of program and evaluation system for standardized training residents in the intensive care unit%重症医学科住院医师规范化培训模式与考核体系的探讨

    Institute of Scientific and Technical Information of China (English)

    刘宁; 董丹江; 唐健; 顾勤

    2015-01-01

    Critical care medicine has the characteristics of complex,a wide range of knowledge,and interdisciplinary,so standardized training is difficult.Intensive Care Unit explored a standardized training mode and evaluation system suitable for standardized training residents in the Intensive Care Unit,including generalizing training target,developing step by step teaching plans,establishment of entrance education,basic theory,basic skills,scientific thinking and doctor-patient communication training with diversity of teaching methods,including lecture-based learning,problem-based and casebased learning,implement the flexible and strict evaluation system.%重症医学具有复杂、知识面广、与多学科交叉等特点,规范化培训难度大.通过统一培训目标;制定循序渐进的教学计划;建立包括入科教育、基础理论、基本技能、科研思维和医患沟通的培训制度;采用以教师教学为主、问题和案例教学为辅的多样性教学方法;落实灵活而又严格的考核体系;探索出适合重症医学科的住院医师规范化培训模式和考核体系.

  3. Primary total elbow arthroplasty

    Directory of Open Access Journals (Sweden)

    Suresh Kumar

    2013-01-01

    Full Text Available Background: Primary total elbow arthroplasty (TEA is a challenging procedure for orthopedic surgeons. It is not performed as frequently as compared to hip or knee arthroplasty. The elbow is a nonweight-bearing joint; however, static loading can create forces up to three times the body weight and dynamic loading up to six times. For elderly patients with deformity and ankylosis of the elbow due to posttraumatic arthritis or rheumatoid arthritis or comminuted fracture distal humerus, arthroplasty is one of the option. The aim of this study is to analyze the role of primary total elbow arthroplasty in cases of crippling deformity of elbow. Materials and Methods: We analyzed 11 cases of TEA, between December 2002 and September 2012. There were 8 females and 3 males. The average age was 40 years (range 30-69 years. The indications for TEA were rheumatoid arthritis, comminuted fracture distal humerus with intraarticular extension, and posttraumatic bony ankylosis of elbow joint. The Baksi sloppy (semi constrained hinge elbow prosthesis was used. Clinico-radiological followup was done at 1 month, 3 months, 6 months, 1 year, and then yearly basis. Results: In the present study, average supination was 70° (range 60-80° and average pronation was 70° (range 60-80°. Average flexion was 135° (range 130-135°. However, in 5 cases, there was loss of 15 to 35° (average 25° of extension (45° out of 11 cases. The mean Mayo elbow performance score was 95.4 points (range 70-100. Arm length discrepancy was only in four patients which was 36% out of 11 cases. Clinico-radiologically all the elbows were stable except in one case and no immediate postoperative complication was noted. Radiolucency or loosening of ulnar stem was seen in 2 cases (18% out of 11 cases, in 1 case it was noted after 5 years and in another after 10 years. In second case, revision arthroplasty was done, in which only ulnar hinge section, hinge screw and lock screw with hexagonal head

  4. Preliminary characterization of abandoned septic tank systems. Volume 1

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1995-12-01

    This report documents the activities and findings of the Phase I Preliminary Characterization of Abandoned Septic Tank Systems. The purpose of the preliminary characterization activity was to investigate the Tiger Team abandoned septic systems (tanks and associated leachfields) for the purpose of identifying waste streams for closure at a later date. The work performed was not to fully characterize or remediate the sites. The abandoned systems potentially received wastes or effluent from buildings which could have discharged non-domestic, petroleum hydrocarbons, hazardous, radioactive and/or mixed wastes. A total of 20 sites were investigated for the preliminary characterization of identified abandoned septic systems. Of the 20 sites, 19 were located and characterized through samples collected from each tank(s) and, where applicable, associated leachfields. The abandoned septic tank systems are located in Areas 5, 12, 15, 25, and 26 on the Nevada Test Site.

  5. Changing land use intensity in Europe

    DEFF Research Database (Denmark)

    van der Sluis, Theo; Pedroli, Bas; Kristensen, Søren Bech Pilgaard

    2016-01-01

    In recent decades the intensification of agricultural production in many European countries has been one of the key components of land-use change. The impact of agricultural intensification varies according to national and local contexts and a greater understanding of the drivers of intensification...... will help to mitigate against its negative impacts and harness potential benefits. This paper analyses changes in land use intensity in six case studies in Europe. A total of 437 landowners were interviewed and their responses were analysed in relation to changes in land use intensity and agricultural...... use intensity) versus those in the Netherlands, Denmark and Greece (decreasing). In the Mediterranean cases we observe a process where agriculture is becoming increasingly marginalised, at the same time as changes in function with regard to urbanisation and recreational land uses have taken place...

  6. Transanal total mesorectal excision - a systematic review

    DEFF Research Database (Denmark)

    Bjørn, Maya Xania; Perdawood, Sharaf Karim

    2015-01-01

    of the dissection. We aimed to evaluate the literature on TaTME. METHODS: We performed a systematic search of the literature in the PubMed and Embase databases. Both authors assessed the studies. All publications on TaTME were included with the exception of review articles. RESULTS: A total of 29 studies (336...... patients) were included. Only low-quality evidence is available, and the literature consists of case reports and case series. Studies represent the initial experience of surgeons/centres. No precise indication for TaTME is yet specified other than the presence of mid and low rectal tumours, although...... the potential advantages seem to be related to a bulky mesorectum in the male pelvis. The preliminary results are encouraging and the most serious complication is urethral injury. The oncological results are acceptable, although the follow-up is short. CONCLUSION: TaTME is a feasible approach for mid and low...

  7. The total artificial heart.

    Science.gov (United States)

    Cook, Jason A; Shah, Keyur B; Quader, Mohammed A; Cooke, Richard H; Kasirajan, Vigneshwar; Rao, Kris K; Smallfield, Melissa C; Tchoukina, Inna; Tang, Daniel G

    2015-12-01

    The total artificial heart (TAH) is a form of mechanical circulatory support in which the patient's native ventricles and valves are explanted and replaced by a pneumatically powered artificial heart. Currently, the TAH is approved for use in end-stage biventricular heart failure as a bridge to heart transplantation. However, with an increasing global burden of cardiovascular disease and congestive heart failure, the number of patients with end-stage heart failure awaiting heart transplantation now far exceeds the number of available hearts. As a result, the use of mechanical circulatory support, including the TAH and left ventricular assist device (LVAD), is growing exponentially. The LVAD is already widely used as destination therapy, and destination therapy for the TAH is under investigation. While most patients requiring mechanical circulatory support are effectively treated with LVADs, there is a subset of patients with concurrent right ventricular failure or major structural barriers to LVAD placement in whom TAH may be more appropriate. The history, indications, surgical implantation, post device management, outcomes, complications, and future direction of the TAH are discussed in this review.

  8. Total disc replacement.

    Science.gov (United States)

    Vital, J-M; Boissière, L

    2014-02-01

    Total disc replacement (TDR) (partial disc replacement will not be described) has been used in the lumbar spine since the 1980s, and more recently in the cervical spine. Although the biomechanical concepts are the same and both are inserted through an anterior approach, lumbar TDR is conventionally indicated for chronic low back pain, whereas cervical TDR is used for soft discal hernia resulting in cervicobrachial neuralgia. The insertion technique must be rigorous, with precise centering in the disc space, taking account of vascular anatomy, which is more complex in the lumbar region, particularly proximally to L5-S1. All of the numerous studies, including prospective randomized comparative trials, have demonstrated non-inferiority to fusion, or even short-term superiority regarding speed of improvement. The main implant-related complication is bridging heterotopic ossification with resulting loss of range of motion and increased rates of adjacent segment degeneration, although with an incidence lower than after arthrodesis. A sufficiently long follow-up, which has not yet been reached, will be necessary to establish definitively an advantage for TDR, particularly in the cervical spine. Copyright © 2014 Elsevier Masson SAS. All rights reserved.

  9. Evaluation of the Doppler component contribution in the total backscattered flux for noninvasive medical spectroscopy

    Science.gov (United States)

    Lapitan, Denis; Rogatkin, Dmitry

    2014-05-01

    The widespread introduction of laser noninvasive diagnostic techniques in medicine gave rise interest to theoretical description of light propagation in turbid media. One of the purposes for that is a preliminary simulation of incoming radiation for diagnostic spectrophotometry equipment. For complex diagnostic devices combining the Laser Doppler Flowmetry (LDF) and the tissue reflectance oximetry (TRO) it is necessary to know a ratio of signals in each diagnostic channel for a proper choice of the radiation power of laser sources, sensitivity of photodetectors, etc. In LDF the lightbeating backscattered signal mixed from moving red blood cells and static inhomogeneities inside the tissue is the useful signal, while in TRO both signals from static and moving scatterers are registered in the sum. The aim of our study was an estimation of the ratio between flux with the Doppler shifted signal and the total backscattered flux. For this purpose the simple analytical model describing the backscattered radiation for a two-layered tissue with different levels of blood volume in the second layer was under consideration. The physical model was based on the improved Kubelka-Munk approach. This approach involves an additional parameter of the density of scatterers, so it is useful for the Doppler signal intensity calculation as well. To assess the intensity of the Doppler component the single-scattering approximation inside the tissue's second layer was used. It was found that the fraction of the Doppler component in the total backscattered flux can vary in the range of 1-10% for the blood volume of 1-20%.

  10. Intensive Care for Eclampic Coma

    Directory of Open Access Journals (Sweden)

    V. V. Moroz

    2010-01-01

    Full Text Available Objective: to enhance the efficiency of treatment of puerperas with eclampic coma, by substantiating, developing, and introducing new algorithms for correction of systemic hemodynamic, metabolic disturbances, and perfusion-metabolic changes in brain tissues. Subjects and methods. Studies were conducted in 18 puerperas with eclampic coma (Group 2 in whom the authors used a new treatment algorithm aimed at maintaining baseline cerebral perfusion pressure (CPP, restoring volemic levels at the expense of interstitial fluid. A control group (Group 1 included 30 patients who received conventional standard therapy. Regional cerebral circulation was measured by a non-invasive (inhalation radioisotopic method, by applying the tracer 131Xe, as described by V. D. Obrist et al., on a modified КПРДИ-1 apparatus (USSR. The rate of brain oxygen uptake was determined from the oxygen content between the artery and the internal jugular vein. Central hemodynamic parameters were studied by the direct method of right heart catheterization using a flow-directed Swan-Ganz catheter. The volumes of total and extracellular fluids were estimated using 20% urea and mannitol solutions, respectively, at 0.2 g/kg weight by the procedure of V. M. Mogen. Circulating blood volume (CBV was determined by a radioisotopic method using 131iodine albumin on an УPI-7 apparatus (USSR. Cerebral spinal fluid pressure was measured by an ИиНД apparatus. Studies were made in four steps: 1 on admission; 2 on days 2—3; 3 during emergence from coma; 4 before transition. Results. The use of the new algorithm for intensive care for eclampic coma, which is aimed at improving the perfusion metabolic provision of brain structures, with a reduction in mean blood pressure by 10—15% of the baseline level, by administering magnesium sulfate and nimodipine, and at compensating for CBV by high-molecular-weight hydroxyethylated starch (stabizol, ensured early emergence from a comatose state

  11. [Medication errors in Spanish intensive care units].

    Science.gov (United States)

    Merino, P; Martín, M C; Alonso, A; Gutiérrez, I; Alvarez, J; Becerril, F

    2013-01-01

    To estimate the incidence of medication errors in Spanish intensive care units. Post hoc study of the SYREC trial. A longitudinal observational study carried out during 24 hours in patients admitted to the ICU. Spanish intensive care units. Patients admitted to the intensive care unit participating in the SYREC during the period of study. Risk, individual risk, and rate of medication errors. The final study sample consisted of 1017 patients from 79 intensive care units; 591 (58%) were affected by one or more incidents. Of these, 253 (43%) had at least one medication-related incident. The total number of incidents reported was 1424, of which 350 (25%) were medication errors. The risk of suffering at least one incident was 22% (IQR: 8-50%) while the individual risk was 21% (IQR: 8-42%). The medication error rate was 1.13 medication errors per 100 patient-days of stay. Most incidents occurred in the prescription (34%) and administration (28%) phases, 16% resulted in patient harm, and 82% were considered "totally avoidable". Medication errors are among the most frequent types of incidents in critically ill patients, and are more common in the prescription and administration stages. Although most such incidents have no clinical consequences, a significant percentage prove harmful for the patient, and a large proportion are avoidable. Copyright © 2012 Elsevier España, S.L. and SEMICYUC. All rights reserved.

  12. Preliminary design of a coffee harvester

    Directory of Open Access Journals (Sweden)

    Raphael Magalhães Gomes Moreira

    2016-10-01

    Full Text Available Design of an agricultural machine is a highly complex process due to interactions between the operator, machine, and environment. Mountain coffee plantations constitute an economic sector that requires huge investments for the development of agricultural machinery to improve the harvesting and post-harvesting processes and to overcome the scarcity of work forces in the fields. The aim of this study was to develop a preliminary design for a virtual prototype of a coffee fruit harvester. In this study, a project methodology was applied and adapted for the development of the following steps: project planning, informational design, conceptual design, and preliminary design. The construction of a morphological matrix made it possible to obtain a list of different mechanisms with specific functions. The union between these mechanisms resulted in variants, which were weighed to attribute scores for each selected criterion. From each designated proposal, two variants with the best scores were selected and this permitted the preparation of the preliminary design of both variants. The archetype was divided in two parts, namely the hydraulically articulated arms and the harvesting system that consisted of the vibration mechanism and the detachment mechanism. The proposed innovation involves the use of parallel rods, which were fixed in a plane and rectangular metal sheet. In this step, dimensions including a maximum length of 4.7 m, a minimum length of 3.3 m, and a total height of 2.15 m were identified based on the functioning of the harvester in relation to the coupling point of the tractor.

  13. 21 cm Intensity Mapping

    CERN Document Server

    Peterson, Jeffrey B; Ansari, Reza; Bandura, Kevin; Bond, Dick; Bunton, John; Carlson, Kermit; Chang, Tzu-Ching; DeJongh, Fritz; Dobbs, Matt; Dodelson, Scott; Darhmaoui, Hassane; Gnedin, Nick; Halpern, Mark; Hogan, Craig; Goff, Jean-Marc Le; Liu, Tiehui Ted; Legrouri, Ahmed; Loeb, Avi; Loudiyi, Khalid; Magneville, Christophe; Marriner, John; McGinnis, David P; McWilliams, Bruce; Moniez, Marc; Palanque-Delabruille, Nathalie; Pasquinelli, Ralph J; Pen, Ue-Li; Rich, Jim; Scarpine, Vic; Seo, Hee-Jong; Sigurdson, Kris; Seljak, Uros; Stebbins, Albert; Steffen, Jason H; Stoughton, Chris; Timbie, Peter T; Vallinotto, Alberto; Wyithe, Stuart; Yeche, Christophe

    2009-01-01

    Using the 21 cm line, observed all-sky and across the redshift range from 0 to 5, the large scale structure of the Universe can be mapped in three dimensions. This can be accomplished by studying specific intensity with resolution ~ 10 Mpc, rather than via the usual galaxy redshift survey. The data set can be analyzed to determine Baryon Acoustic Oscillation wavelengths, in order to address the question: 'What is the nature of Dark Energy?' In addition, the study of Large Scale Structure across this range addresses the questions: 'How does Gravity effect very large objects?' and 'What is the composition our Universe?' The same data set can be used to search for and catalog time variable and transient radio sources.

  14. Cosmic Dawn Intensity Mapper

    CERN Document Server

    Cooray, Asantha; Burgarella, Denis; Chary, Ranga; Chang, Tzu-Ching; Doré, Olivier; Fazio, Giovanni; Ferrara, Andrea; Gong, Yan; Santos, Mario; Silva, Marta; Zemcov, Michael

    2016-01-01

    Cosmic Dawn Intensity Mapper is a "Probe Class" mission concept for reionization studies of the universe. It will be capable of spectroscopic imaging observations between 0.7 to 6-7 microns in the near-Infrared. The primary observational objective is pioneering observations of spectral emission lines of interest throughout the cosmic history, but especially from the first generation of distant, faint galaxies when the universe was less than 800 million years old. With spectro-imaging capabilities, using a set of linear variable filters (LVFs), CDIM will produce a three-dimensional tomographic view of the epoch of reionization (EoR). CDIM will also study galaxy formation over more than 90% of the cosmic history and will move the astronomical community from broad-band astronomical imaging to low-resolution (R=200-300) spectro-imaging of the universe.

  15. Preliminary results of the assessment of intensity modulated radiotherapy (IMRT) for prostatic and head and neck tumors (STIC 2001); Resultats preliminaires de l'evaluation de la radiotherapie conformationnelle avec modulation d'intensite (RCMI) pour le traitement des cancers prostatiques et ORL (STIC 2001)

    Energy Technology Data Exchange (ETDEWEB)

    Marchal, C.; Lapeyre, M.; Beckendorf, V.; Aletti, P.; Marchesi, V. [Centre Alexis-Vautrin, Dept. de Radiotherapie, 54 - Vandoeuvre-les-Nancy (France); Hasle, E.; Carrere, M.O. [Centre de Lutte Contre le Cancer Leon-Berard, GRESAC, UMR 5823 du CNRS, 69 - Lyon (France); Dubois, J.B.; Ailleres, N. [Centre Regional de Lutte Contre le Cancer Paul Lamarque, Service de Radiotherapie, 34 - Montpellier (France); Maigon, P.; Naudy, S. [Centre de Lutte Contre le Cancer Georges-Francois-Leclerc, Service de Radiotherapie, 21 - Dijon (France); Bensadoun, R.J.; Marcie, S.; Gerard, J.P. [Centre Antoine-Lacassagne, Service de Radiotherapie, 06 - Nice (France); Le Prise, E.; Manens, J.P. [Centre Eugene-Marquis, Service de Radiotherapie, 35 - Rennes (France); Lartigau, E.; Mazurier, J. [Centre de Lutte Contre le Cancer Oscar-Lambret, Service de Radiotherapie, 59 - Lille (France); Carrie, C.; Ginestet, C.; Pommier, P. [Centre de Lutte Contre le Cancer Leon-Berard, Service de Radiotherapie, 69 - Lyon (France); Dubray, B.; Chauvin, F. [Centre de Lutte Contre le Cancer Leon-Berard, Dept. de Sante Publique, 69 - Lyon (France)

    2004-11-01

    Introduction. - Between May 2002 and May 2004, eight French comprehensive cancer centres did a prospective non-randomized study including 200 patients, 100 with cancer of the prostate and 100 with head and neck cancers. Half of each patient group was treated by IMRT and the others by RTC 3D. This clinical study was associated with an economic study and a physics study. We report here the first results. Patients and methods. - For the clinical study, the analysis of the data of the first 88 patients irradiated for a prostatic cancer shows that 39 received RTC and 49 IMRT with a mean dose of 78 Gy at the ICRU point at 2 Gy per fraction. For H and N tumours, the preliminary analysis was done on the 87 first patients with a mean follow-up of 11.5 months (2 to 25 months) and a median of 8.4 months for the IMRT groups and 13,2 months for the RTC group. The economic study was done on the first 157 patients included during the first 18 months: 71 treated by RTC (35 for H and N and 36 for prostate) and 86 treated by IMRT (38 for H and N and 48 for prostate). The assessment of the direct costs was realized y a micro-costing technique. The physical study compared dose distributions for both techniques and has created quality control recommendations. Results. - Clinical studies of the acute reactions do not show any difference between groups, but we want to point out the short follow-up and the relatively high dose delivered to cancers of the prostate. The physics study demonstrates that IMRT is technically feasible in good clinical conditions with high quality assurance, a good reproducibility and precision. Dosimetric data show that IMRT could certainly spare organs at risk more than RTC for H and N tumours. The direct costs of 'routine' treatments for H and N tumours were 4922 euros for IMRT versus 1899 euros for RTC and for the prostatic cancers 4911 euros for IMRT versus 2357 for RTC. (authors)

  16. The Danish Intensive Care Database

    DEFF Research Database (Denmark)

    Christiansen, Christian Fynbo; Møller, Morten Hylander; Nielsen, Henrik

    2016-01-01

    AIM OF DATABASE: The aim of this database is to improve the quality of care in Danish intensive care units (ICUs) by monitoring key domains of intensive care and to compare these with predefined standards. STUDY POPULATION: The Danish Intensive Care Database (DID) was established in 2007...

  17. The Taxonomy of Intervention Intensity

    Science.gov (United States)

    Fuchs, Lynn S.; Fuchs, Douglas; Malone, Amelia S.

    2016-01-01

    The purpose of this article is to describe the Taxonomy of Intervention Intensity, which articulates 7 dimensions for evaluating and building intervention intensity. We explain the Taxonomy's dimensions of intensity. In explaining the Taxonomy, we rely on a case study to illustrate how the Taxonomy can systematize the process by which special…

  18. Spiral 2: preliminary design study

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-11-15

    The scientific council of GANIL asked to perform a comparative study on the production methods based on gamma induced fission and rapid-neutron induced fission concerning the nature and the intensity of the neutron-rich products. The production rate expected should be around 10{sup 13} fissions per second. The study should include the implantation and the costs of the concerned accelerators. The scientific committee recommended also to study the possibility to re-inject the radioactive beams of SPIRAL-II in the cyclotrons available at GANIL in order to give access to an energy range from 1.7 to 100 MeV/nucleon. For that purpose, some study groups have been formed to evaluate the possibility of such a project in the different components: physics case, target-ion sources, drivers, post-acceleration and general infrastructure. The organization of the project study is given at the end of this report. The following report presents an overview of the study. Particularly the total costs have been assessed according to 3 options for the driver: 38.0*10{sup 6} euros for a 40 MeV deuteron linac, 18.7*10{sup 6} euros for a 45 MeV electron linac, and 29.1*10{sup 6} euros for a 80 MeV deuteron cyclotron.

  19. Repair of ruptured quadriceps tendon after total knee arthroplasty:a preliminary report of 12 cases%全关节置换后股四头肌肌腱完全性断裂的修复--12例初步报告

    Institute of Scientific and Technical Information of China (English)

    史少敏; James T. Ninomiya; 史光禹

    2013-01-01

      目的观察改良V-Y翻转肌腱瓣修复膝关节置换术后股四头肌肌腱断裂的临床疗效.方法2005年至2010年,应用改良V-Y翻转肌腱瓣方法修复全膝关节置换术后股四头肌肌腱完全性断裂共12例患者,男4例,女8例;年龄45~77岁,平均62岁.术中通过切取全层肌腱瓣,松解股内、外侧肌远侧1/3,并将两侧肌肉缝合在一起,恢复股四头肌的完整性.术后采用膝关节评分标准评估患者功能恢复情况.结果所有患者均获得随访,随访时间12-54个月,平均24个月.术前所有患者行走需要助行器或轮椅帮助,术后则均可行走,无需协助.10例为优秀,2例良好.末次随访时,美国特种外科医院(The Hospital for Special Surgery,HSS)膝关节评分为75~100分,平均为90分.股四头肌肌力平均为4/5级(3~5/5级),关节活动度为0°~120°.术后无患者发生肌腱二次断裂和感染.结论全膝关节置换后股四头肌肌腱断裂的治疗具有挑战性,改良V-Y翻转肌腱瓣是一种有效、可靠的手术修复方法.%Objective To evaluate the clinical results of a modified V-Y turndown flap reconstruction technique for the treatment of ruptured quadriceps tendon after total knee arthroplasty. Methods From 2005 to 2010, 12 patients who had a quadriceps tendon rupture after total knee arthroplasty were treated with a modified V-Y turndown flap reconstruction at our institution. Among them, there were 4 males and 8 females, whose average age was 62 years old (range; 45-77 years). The modification involved harvesting the quadriceps tendon as a full thickness flap. The vastus medialis and lateralis muscles were released 1/3 distally and then sutured together to reinforce the repair without wires during the surgery. Postoperatively patients were evaluated with the knee joint surgery standard. Results All patients were followed up for a mean period of 24 months (range;12-54 months). Preoperatively all patients needed to use walking aid

  20. Preliminary impression techniques for microstomia patients.

    Science.gov (United States)

    Kumar, K Aswini; Bhat, Vinaya; Nair, K Chandrasekheran; Suresh, Reshma

    2016-01-01

    The Prosthetic rehabilitation of microstomia patients presents difficulties at all the stages. The difficulty starts with the preliminary impression making. This is due to the tongue rigidity and the decreased oral opening. A maximum oral opening which is smaller than the size of the tray can make prosthetic treatment challenging. Due to the restricted mouth opening, insertion and removal of the impression trays is extremely cumbersome and various modifications of the trays have been used in the past. Among these are the flexible trays and the sectional trays used with different modes of reassembling the segments extra orally after the impression is made. This article reviews the literature published from 1971 to 2015 concerning preliminary impression techniques used in making impressions for patients with microstomia based on various tray designs. An electronic search was performed across three databases (PubMed, Science Direct and Google Scolar) for relevant citations. The keywords/combinations used for the search were microstomia, limited/constricted/restricted mouth opening/oral access, trismus, sectional trays, impressions and prosthetic/prosthodontic rehabilitation. The search was limited to papers written in English which resulted in a total of 45 related articles of which 17 articles were included for discussion of this review.

  1. Preliminary impression techniques for microstomia patients

    Directory of Open Access Journals (Sweden)

    K Aswini Kumar

    2016-01-01

    Full Text Available The Prosthetic rehabilitation of microstomia patients presents difficulties at all the stages. The difficulty starts with the preliminary impression making. This is due to the tongue rigidity and the decreased oral opening. A maximum oral opening which is smaller than the size of the tray can make prosthetic treatment challenging. Due to the restricted mouth opening, insertion and removal of the impression trays is extremely cumbersome and various modifications of the trays have been used in the past. Among these are the flexible trays and the sectional trays used with different modes of reassembling the segments extra orally after the impression is made. This article reviews the literature published from 1971 to 2015 concerning preliminary impression techniques used in making impressions for patients with microstomia based on various tray designs. An electronic search was performed across three databases (PubMed, Science Direct and Google Scolar for relevant citations. The keywords/combinations used for the search were microstomia, limited/constricted/restricted mouth opening/oral access, trismus, sectional trays, impressions and prosthetic/prosthodontic rehabilitation. The search was limited to papers written in English which resulted in a total of 45 related articles of which 17 articles were included for discussion of this review.

  2. Estudo preliminar sobre a qualidade de vida de médicos e enfermeiros intensivistas pediátricos e neonatais Estudio preliminar sobre la calidad de vida de médicos y enfermeros intensivistas pediátricos y neonatales Preliminary study about qualify of life of physicians and nurses working in pediatric and neonatal intensive care units

    Directory of Open Access Journals (Sweden)

    Monalisa de Cássia Fogaça

    2010-09-01

    Full Text Available Comparar a Qualidade de Vida (QV de médicos e enfermeiros que trabalham em UTI Pediátrica (PED e Neonatal (NEO e, também, avaliar se há diferença entre a QV na mesma categoria profissional, mas diferindo de acordo com a unidade de trabalho. Estudo descritivo com 37 médicos e 20 enfermeiros. O WHOQOL-100 foi utilizado. Médicos da PED diferiram estatisticamente no domínio VI (p=0,003, quando comparados com médicos da NEO. Médicos e enfermeiros da PED apresentaram diferença estatística significante no domínio V (p Comparar la Calidad de Vida (QV de médicos y enfermeros que trabajan en UTI Pediátrica (PED y neonatal (NEO y, también evaluar si existe diferencia entre la QV en la misma categoría profesional, aunque variando de acuerdo con la unidad de trabajo. Estudio descriptivo con 37 médicos y 20 enfermeros. Fue utilizado el WHOQOL-100. Los médicos de PED diferían estadísticamente en el dominio VI (p=0,003 en comparación con los médicos de NEO. Médicos y enfermeros de PED presentaron una diferencia estadística significativa en el dominio V (pCompare the Quality of Life (QL of doctors and nurses who work in Pediatric (PED and Neonatal (NEO Intensive Care Units, and to evaluate whether there are differences between the QL in the same job category, but differing according to the work unit. This descriptive study was performed with 37 physicians and 20 nurses. The WHOQOL100 was used. Physicians from the PED differ statistically in the field VI (p=0.003 compared with physicians from the NEO. Physicians and nurses from the PED showed a statistically significant difference in field V (p<0.01, while physicians and nurses from the NEO showed a statistically significant difference in field VI (p=0.05. The QL assessment of physicians and nurses working in pediatric and neonatal intensive care units was below the scores found in scientific literature, compared to studies that evaluated patients with chronic pain and mental health

  3. A preliminary report on stem cell therapy for neuropathic pain in humans

    Directory of Open Access Journals (Sweden)

    Vickers ER

    2014-05-01

    Full Text Available E Russell Vickers,1 Elisabeth Karsten,2 John Flood,3 Richard Lilischkis21Sydney Oral and Maxillofacial Surgery, NSW, Australia; 2Regeneus Ltd, Gordon, NSW, Australia; 3St Vincents Hospital, Sydney, NSW, AustraliaObjective: Mesenchymal stem cells (MSCs have been shown in animal models to attenuate chronic neuropathic pain. This preliminary study investigated if: i injections of autologous MSCs can reduce human neuropathic pain and ii evaluate the safety of the procedure.Methods: Ten subjects with symptoms of neuropathic trigeminal pain underwent liposuction. The lipoaspirate was digested with collagenase and washed with saline three times. Following centrifugation, the stromal vascular fraction was resuspended in saline, and then transferred to syringes for local injections into the pain fields. Outcome measures at 6 months assessed reduction in: i pain intensity measured by standard numerical rating scale from 0–10 and ii daily dosage requirements of antineuropathic pain medication.Results: Subjects were all female (mean age 55.3 years ± standard deviation [SD] 14.67; range 27–80 years with pain symptoms lasting from 4 months to 6 years and 5 months. Lipoaspirate collection ranged from 102–214 g with total cell numbers injected from 33 million to 162 million cells. Cell viability was 62%–91%. There were no systemic or local tissue side effects from the stem cell therapy (n=41 oral and facial injection sites. Clinical pain outcomes showed that at 6 months, 5/9 subjects had reduced both pain intensity scores and use of antineuropathic medication. The mean pain score pre-treatment was 7.5 (SD 1.58 and at 6 months had decreased to 4.3 (SD 3.28, P=0.018, Wilcoxon signed-rank test. Antineuropathic pain medication use showed 5/9 subjects reduced their need for medication (gabapentin, P=0.053, Student's t-test.Conclusion: This preliminary open-labeled study showed autologous administration of stem cells for neuropathic trigeminal pain

  4. Quantitative Comparison of Immunohistochemical Staining Intensity in Tissues Fixed in Formalin and Histochoice

    Directory of Open Access Journals (Sweden)

    D. Geoffrey Vince

    1997-01-01

    Full Text Available Formaldehyde fixatives have traditionally been used to preserve tissues as they impart excellent morphological preservation. Formaldehyde fixes tissue by cross linking, a process which can reduce the antigenicity of tissue and weakens the intensity of immunohistochemical stains. Preliminary studies have shown that Histochoice tissue fixative offers equal or greater staining intensity than neutral buffered formalin (NBF. This study compares these fixatives quantitatively and presents the results in unambiguous statistical terms.

  5. TQM - Total Quality Management (Bibliography)

    Science.gov (United States)

    1990-05-01

    TOTAL QUALITY MANAGEMENT (BIBLIOORAPHY) PREPARED BY... Total Quality Management (TQM), it is an appropriate time to provide an overview of the literature available on the topic. The Total Quality Management bibliography...Secretary 32 CFR Part 281 Total Quality Management Agency: Office of the Secretary, DOD Action: Proposed rule Summary: This proposed rule establishes

  6. Whistler intensities above thunderstorms

    Directory of Open Access Journals (Sweden)

    J. Fiser

    2010-01-01

    Full Text Available We report a study of penetration of the VLF electromagnetic waves induced by lightning to the ionosphere. We compare the fractional hop whistlers recorded by the ICE experiment onboard the DEMETER satellite with lightning detected by the EUCLID detection network. To identify the fractional hop whistlers, we have developed software for automatic detection of the fractional-hop whistlers in the VLF spectrograms. This software provides the detection times of the fractional hop whistlers and the average amplitudes of these whistlers. Matching the lightning and whistler data, we find the pairs of causative lightning and corresponding whistler. Processing data from ~200 DEMETER passes over the European region we obtain a map of mean amplitudes of whistler electric field as a function of latitudinal and longitudinal difference between the location of the causative lightning and satellite magnetic footprint. We find that mean whistler amplitude monotonically decreases with horizontal distance up to ~1000 km from the lightning source. At larger distances, the mean whistler amplitude usually merges into the background noise and the whistlers become undetectable. The maximum of whistler intensities is shifted from the satellite magnetic footprint ~1° owing to the oblique propagation. The average amplitude of whistlers increases with the lightning current. At nighttime (late evening, the average amplitude of whistlers is about three times higher than during the daytime (late morning for the same lightning current.

  7. Emotionally Intense Science Activities

    Science.gov (United States)

    King, Donna; Ritchie, Stephen; Sandhu, Maryam; Henderson, Senka

    2015-08-01

    Science activities that evoke positive emotional responses make a difference to students' emotional experience of science. In this study, we explored 8th Grade students' discrete emotions expressed during science activities in a unit on Energy. Multiple data sources including classroom videos, interviews and emotion diaries completed at the end of each lesson were analysed to identify individual student's emotions. Results from two representative students are presented as case studies. Using a theoretical perspective drawn from theories of emotions founded in sociology, two assertions emerged. First, during the demonstration activity, students experienced the emotions of wonder and surprise; second, during a laboratory activity, students experienced the intense positive emotions of happiness/joy. Characteristics of these activities that contributed to students' positive experiences are highlighted. The study found that choosing activities that evoked strong positive emotional experiences, focused students' attention on the phenomenon they were learning, and the activities were recalled positively. Furthermore, such positive experiences may contribute to students' interest and engagement in science and longer term memorability. Finally, implications for science teachers and pre-service teacher education are suggested.

  8. Intensity Frontier Instrumentation

    Energy Technology Data Exchange (ETDEWEB)

    Kettell S.; Rameika, R.; Tshirhart, B.

    2013-09-24

    The fundamental origin of flavor in the Standard Model (SM) remains a mystery. Despite the roughly eighty years since Rabi asked “Who ordered that?” upon learning of the discovery of the muon, we have not understood the reason that there are three generations or, more recently, why the quark and neutrino mixing matrices and masses are so different. The solution to the flavor problem would give profound insights into physics beyond the Standard Model (BSM) and tell us about the couplings and the mass scale at which the next level of insight can be found. The SM fails to explain all observed phenomena: new interactions and yet unseen particles must exist. They may manifest themselves by causing SM reactions to differ from often very precise predictions. The Intensity Frontier (1) explores these fundamental questions by searching for new physics in extremely rare processes or those forbidden in the SM. This often requires massive and/or extremely finely tuned detectors.

  9. Accessing Defect Dynamics using Intense, Nanosecond Pulsed Ion Beams

    Science.gov (United States)

    Persaud, A.; Barnard, J. J.; Guo, H.; Hosemann, P.; Lidia, S.; Minor, A. M.; Seidl, P. A.; Schenkel, T.

    Gaining in-situ access to relaxation dynamics of radiation induced defects will lead to a better understanding of materials and is important for the verification of theoretical models and simulations. We show preliminary results from experiments at the new Neutralized Drift Compression Experiment (NDCX-II) at Lawrence Berkeley National Laboratory that will enable in-situ access to defect dynamics through pump-probe experiments. Here, the unique capabilities of the NDCX-II accelerator to generate intense, nanosecond pulsed ion beams are utilized. Preliminary data of channeling experiments using lithium and potassium ions and silicon membranes are shown. We compare these data to simulation results using Crystal Trim. Furthermore, we discuss the improvements to the accelerator to higher performance levels and the new diagnostics tools that are being incorporated.

  10. Postoperative pain treatment after total hip arthroplasty

    DEFF Research Database (Denmark)

    Højer Karlsen, Anders Peder; Geisler, Anja; Petersen, Pernille Lykke

    2015-01-01

    of this systematic review was to document the procedure-specific evidence for analgesic interventions after total hip arthroplasty (THA). This PRISMA-compliant and PROSPERO-registered review includes randomized placebo-controlled trials (RCTs) of medication-based analgesic interventions after THA. Endpoints were......, and lumbar plexus block reduced nausea and pruritus. The GRADE-rated quality of evidence ranged from low to very low throughout the analyses. This review demonstrated, that some analgesic interventions may have the capacity to reduce mean opioid requirements and/or mean pain intensity compared with controls...

  11. The relationship between the presence of autoantibodies, indicators of local and systemic inflammation, the serum concentration of B-cell activating factor (BAFF) and the intensity of salivary gland infiltration in patients with primary Sjögren's syndrome – a preliminary study

    Science.gov (United States)

    Kontny, Ewa; Kwiatkowska, Brygida

    2016-01-01

    Objectives The aim of this study was to find markers related to activation of B cells, which show a correlation with the systemic inflammation markers – erythrocyte sedimentation rate and C-reactive protein and with the intensity of in situ inflammation. Material and methods Forty-one primary Sjögren's syndrome (pSS) patients (33 female, 8 male) of the mean age 52.9 ±15 years were included. A group of 20 healthy volunteers was applied as a control. Erythrocyte sedimentation rate (ESR), concentration of gamma-globulins, C-reactive protein (CRP) and rheumatoid factor (RF) were measured by routine laboratory tests. Titres of antinuclear antibodies (ANAs) were determined by the indirect immunofluorescence method, while anti-SS-A/SS-B antibodies were detected by both the dot-blot method and an enzyme immunoassay. The concentrations of BAFF in sera were measured by sandwich ELISA. Biopsies of minor salivary glands were taken and the focus score (FS) was calculated. Correlations between quantitative variables were assessed using the Spearman correlation coefficient (r). Results Serum concentrations of BAFF was significantly higher in the pSS patients than in the control group. The study revealed a statistically significant correlation between ANAs titre and the FS (r = 0.421). Anti-SS-A/Ro and anti-SS-B/La antibodies positively correlated with ESR. There was also a positive correlation between the gamma globulin level and the titres of all tested autoantibodies. Conclusions The positive correlation between ANAs and FS confirms the importance of these autoantibodies in the local inflammatory process. The positive correlation between anti-SS-A/SS-B antibodies and ESR suggests involvement of these antibodies in generalization of the inflammatory response. In the pSS group serum concentrations of BAFF were statistically significantly higher than healthy volunteers. All presented results confirm the role of activity of B cells in the course of pSS. PMID:27407265

  12. The Preliminary Analysis about Helping Process --Research Based on the Practice of "Intensive Community Mentoring in Beijing"%助人过程的初步分析——基于“成长向导计划”的实践研究

    Institute of Scientific and Technical Information of China (English)

    王晓慧

    2012-01-01

    China mainland carrying out " Intensive Community Mentoring in Beijing" is a unique attempt. University students in the school provide near one year's "one-to-one'" service for the middle school pupils in school for children of migrant. The bilateral relational developments have four types: the steady advancement type, a turn in the course of events type, always insipid type, the accident interrupt type. Helping processes have three main points: the mentor is received by the mentee and his family, entering the mentee's life world, the mentor finding the meaning of the action. Finally, participating in the plan, both sides have grown up, but also has the negative influence. In the later project operation, something about it needs attention.%中国内地推行的"成长向导计划"是个独特的尝试,由在校大学生为打工子弟学校的初中生提供近一年的"一对一"服务。双方的关系发展有四种类型:平稳推进型、先抑后扬型、始终平淡型、意外中断型。助人过程中有三个要点:向导被受导者及其家庭接纳;进入受导者的生活世界;向导寻找到行动的意义。最终参与计划的双方都获得了成长,但有些问题处理不当也会存在负面影响。在以后的项目运作中,需要引起注意。

  13. 非影像依赖型计算机辅助全膝关节置换术的初步临床观察%Investigation of preliminary clinical outcome following total knee arthroplasty using image-free computer-assisted navigation system

    Institute of Scientific and Technical Information of China (English)

    李晓辉; 于建华; 郑得志; 贾健; 龚跃昆; 卜延民; 赵秀祥

    2009-01-01

    Objective To investigate the technique, learning curve, and early clinical effects of computer-assisted total knee arthroplasty (TKA) or standard instrumentation TKA. Methods From August2007 to May 2008, 60 KSS-A type patients (67 knees) underwent primary TKA operations by the same surgi-cal team. Among them, 22 knees underwent THA with the aid of the image-free navigation system (including5 knees and 17 knees, with the average age of 64.53 years); the other 45 underwent conventional TKA (12 knees and 33 knees, with the average age of 66.34 years). The preoperative demographic data and functional data have no statistical differences. The operation time, blood loss, duration of early postoperative quadriceps dysfunctions and complications were compared between the two groups. Results The operating time was significantly longer in computer-assisted group compared with conventional TKA group (P0.05). No patient who received computer-assisted TKA had an extent lag of more than 25 degrees 5 days postoperatively. Conclusion Use of image-free navigation system in TKA has improved the accuracy of total knee prosthesis alignment, and provided faster quadriceps functional re-covery than conventional manual methods. The technique of using of Image-free navigation system in TKA is easy to use, and has a short learning curve.%目的 探讨非影像依赖型计算机辅助全膝关节置换术的技术特点、学习曲线及早期临床疗效.方法 2007年8月至2008年5月应用非影像依赖型无线导航技术(导航组)辅助人工全膝关节置换术治疗KSS.A类患者19例22膝,男5例5膝,女14例17膝,平均年龄64.53岁;同期应用器械定位技术(非导航组)41例45膝,男11例12膝,女30例33膝,平均年龄66.34岁.两组患者术前一般资料、下肢力线和关节活动度无差异.比较两组手术时间、出血量、术后力线内或外翻偏差、早期关节最大屈曲角度及股四头肌功能恢复情况.结果 导航组手术时间比非

  14. Rotational total skin and total nodal radiotherapy in mycosis fungoides

    Energy Technology Data Exchange (ETDEWEB)

    Bamberg, M.; Molls, M.; Langrock, J.; Muskalla, K.; Quast, U.

    1987-04-01

    The following report describes our technique of rotational total skin radiotherapy with electrons (TSER). We present stage related treatment results. Furthermore our first experiences with the combination of TSER and total nodal irradiation (TNI) are communicated.

  15. Preliminary experiments on quantification of skin condition

    Science.gov (United States)

    Kitajima, Kenzo; Iyatomi, Hitoshi

    2014-03-01

    In this study, we investigated a preliminary assessment method for skin conditions such as a moisturizing property and its fineness of the skin with an image analysis only. We captured a facial images from volunteer subjects aged between 30s and 60s by Pocket Micro (R) device (Scalar Co., Japan). This device has two image capturing modes; the normal mode and the non-reflection mode with the aid of the equipped polarization filter. We captured skin images from a total of 68 spots from subjects' face using both modes (i.e. total of 136 skin images). The moisture-retaining property of the skin and subjective evaluation score of the skin fineness in 5-point scale for each case were also obtained in advance as a gold standard (their mean and SD were 35.15 +/- 3.22 (μS) and 3.45 +/- 1.17, respectively). We extracted a total of 107 image features from each image and built linear regression models for estimating abovementioned criteria with a stepwise feature selection. The developed model for estimating the skin moisture achieved the MSE of 1.92 (μS) with 6 selected parameters, while the model for skin fineness achieved that of 0.51 scales with 7 parameters under the leave-one-out cross validation. We confirmed the developed models predicted the moisture-retaining property and fineness of the skin appropriately with only captured image.

  16. THE EFFECTS OF PRELIMINARY RULINGS

    Directory of Open Access Journals (Sweden)

    Iuliana-Mădălina LARION

    2015-07-01

    Full Text Available The study analyses the effects of the preliminary rulings rendered by the Court of Justice for the judicial body that made the reference and for other bodies dealing with similar cases, for the member states, for the European Union’ s institutions and for EU legal order. Starting from the binding effect of the preliminary judgment for national judicial bodies, which requires them to follow the ruling or make a new reference, to the lack of precedent doctrine in EU law, continuing with the possibility to indirectly verify the compatibility of national law of the member states with EU law and ending with the administrative or legislative measures that can or must be taken by the member states, the study intends to highlight the limits, nuances and consequences of the binding effect. It mentions the contribution of the national courts and of the Court of Justice of the European Union to the development of EU law, such as clarifying autonomous notions and it emphasizes the preliminary procedure's attributes of being a form of judicial protection of individual rights, as well as a means to review the legality of acts of EU institutions. The paper is meant to be a useful instrument for practitioners. Therefor, it also deals with the possibility and limits of asking new questions, in order to obtain reconsideration or a refinement of the legal issue and with the problem of judicial control over the interpretation and application of the preliminary ruling by the lower court.

  17. Preliminary studies of reversing K562/ADR cell effects of abnormal savda munziq total flavonoids%维药异常黑胆质成熟剂总黄酮逆转K562/ADR细胞株作用机制初步研究

    Institute of Scientific and Technical Information of China (English)

    刘玉; 古丽巴哈·买买提; 严媚; 王学梅

    2016-01-01

    ObjectiveTo probe and analyses whether the abnormal savda munziq total flavonoids (ASMq) has a reverse effect on K562/ADR, the resistant strain to human leukemia doxorubicin. Methods First cultivated K562 and K562/ADR cells, and Chose the cytotoxicity-free dose of ASMq which had a cell inhibition rate less than 10%. Resistance index=IC50(K562/ADR)/IC50(K562)=3.075/ 0.069=44.565 22. Then determined two doses for measuring the reverse multiple. At last, calculated the IC50 of K562, K562/ADR cells and K562/ADR+ASMq cells influenced by ADR.Results IC50(K562)= 0.06, IC50(K562/ADR)=3.075, IC50(K562/ADR+X1)=3.146, IC50(K562/ADR+X2)=3.274. Result fold reversal=IC50(K562/ADR)/IC50(K562/ADR+ASMq). X1 fold reversal=IC50(K562/ADR)/IC50(K562/ ADR+X1)=3.075/3.146=0.977 432, X2 fold reversal=0.939 218. According to the results, the impact of ASMq wasn't evident among the groups.ConclusionsASMq in a small dose doesn’t have an evident impact on reversion of multidrug resistance to K562/ADR. The deeper research need to be done about whether a large dose can make a difference.%目的:探讨维药异常黑胆质成熟剂总黄酮(ASMq)是否对人白血病阿霉素耐药株K562/ADR有逆转作用。方法首先对K562及K562/ADR细胞进行培养,选择对K562细胞抑制率<10%的药物浓度为 ASMq 的非细胞毒性剂量,耐药倍数=IC50(K562/ADR)/IC50(K562)=3.075/0.069=44.56522,再确定两个剂量用于逆转倍数的测定(X1,X2)。计算ADR对K562、K562/ADR细胞和K562/ADR+ASMq细胞的IC50。结果 IC50(K562)=0.069,IC50(K562/ADR)=3.075, IC50(K562/ADR+X1)=3.146,IC50(K562/ADR+X2)=3.274。逆转倍数=IC50(K562/ADR)/IC50(K562/ADR+ASMq)。X1逆转倍数=IC50(K562/ADR)/IC50(K562/ADR+X1)=3.075/3.146=0.977432,X2逆转倍数=0.939218。由K562、K562/ADR、K562/ADR+X1、K562/ADR+X2的IC50和计算出的逆转倍数得出,ASMq在各组之间的作用不明显。结论低剂量的ASMq对K562/ADR

  18. The Integration of Total Lightning Information Into National Weather Service Operations

    Science.gov (United States)

    Darden, C.; Burks, J.; Bradshaw, T.; Boccippio, D.; Goodman, S.; Blakeslee, R.; McCaul, E.; Buechler, D.; Hall, J.; Bailey, J.

    2003-12-01

    The collocation of a National Weather Service (NWS) Forecast Office with atmospheric scientists from NASA/Marshall Space Flight Center (MSFC) and the University of Alabama in Huntsville (UAH) has afforded a unique opportunity for science sharing and technology transfer. One such technology transfer is the utilization of the North Alabama Lightning Mapping Array (LMA) in daily forecast and warning operations. The LMA consists of ten VHF receivers deployed across northern Alabama and a base station located at the National Space Science and Technology Center (NSSTC) on the UAH campus. Preliminary investigations have shown a strong correlation between the time rate-of-change (trending) of total lightning and changes in intensity/severity of the parent convective cell. It is hoped that through the use of near real-time total lightning information, in conjunction with other remote sensing datasets (radar, satellite, observations), that the forecaster can achieve an even greater level of situational awareness. The primary mission of the NWS is to protect life and property. The utilization of the LMA data may prove to be a vital contributor to this mission by enhancing severe weather warning and decision-making, improving warning lead times, and increasing the probability of detection of severe and hazardous weather. To maximize the use of total lightning information, the LMA data is being ingested in real-time into the NWS Advanced Weather Interactive Processing System (AWIPS) decision support system. The presentation will focus on the collaborative process, technology transfer methodologies and a look to the future. In addition, a brief review of recent LMA case studies will be provided.

  19. Preliminary Study on Triptolide and Total Alkaloid Production of Tripterygium wilfordii Hook.f.Embryoid Culture%雷公藤胚状体培养合成雷公藤甲素与总生物碱的初步研究

    Institute of Scientific and Technical Information of China (English)

    祝传书; 冯慧娜; 薛璐莎; 杨广隶; 冯俊涛; 张兴

    2013-01-01

    Tripterygium wilfordii Hook.f.is a kind of perennial woody vine plant,and it's period of growth is very long and the content of secondary metabolites is low.The natural resources can' t supply enough needs in medicine and agriculture.The way that modem cell engineering technology which produces the secondary metabolites can solve the natural resource shortage and protect the ecological environment for wild T.wilfordii.The leaves of one-year-old T.wilfordii were used to induce calli and suspension embryoid was established using the loose calli.The results showed that green embryoid could be easily induced from calli in 1/2MS+60 mL/L coconut juice liquid medium.The separate embryoid would grow and propagate in 1/2MS +0.5 mg/L NAA.The suitable condition for embryoid culture was 1/2MS basal medium with 1.0 mg/L NAA and 30 g/L sucrose,the initial inoculum was 1.5 g/100mL,pH 5.8,and the medium volume per flask was 120 mL/250 mL after screening inoculum size,pH,the medium volume per flask.The two culture systems were obtained according to the biomass accumulation after adding endophyte fungal elicitors.The triptolide was 1.07 and 1.44 times in embryoid than that in the leaves and in the natural root bark in 1/2MS+0.5 mg/L NAA+30 g/L sucrose+Y1(leaf endophytes),pH 5.8; the total alkaloids were 17.02 and 1.46 times in embryoid than that in the leaves and in the natural root bark in 1/2MS+0.5 mg/L NAA+30 g/L sucrose+G4(root endophytes),pH 5.8.The death rate of embryoid extracts was over 90% after 72 h on Plutella xylostella L.3rd,the biological activity of embryoid extracts were the same as root bark.The content of triptolide and total alkaloid in embryoid which was induced from leaf calli matched the wild leaf and root bark,there was no significant difference of insecticidal activities between the embryoid extract and root bark.These results show that the culture of embryoid may be one of the pathways to solve the shortage of natural resource in T

  20. SALIVARY CORTISOL RESPONSES AND PERCEIVED EXERTION DURING HIGH INTENSITY AND LOW INTENSITY BOUTS OF RESISTANCE EXERCISE

    Directory of Open Access Journals (Sweden)

    Alison D. Egan

    2004-03-01

    Full Text Available The purpose of this study was to measure the salivary cortisol response to different intensities of resistance exercise. In addition, we wanted to determine the reliability of the session rating of perceived exertion (RPE scale to monitor resistance exercise intensity. Subjects (8 men, 9 women completed 2 trials of acute resistance training bouts in a counterbalanced design. The high intensity resistance exercise protocol consisted of six, ten-repetition sets using 75% of one repetition maximum (RM on a Smith machine squat and bench press exercise (12 sets total. The low intensity resistance exercise protocol consisted of three, ten-repetition sets at 30% of 1RM of the same exercises as the high intensity protocol. Both exercise bouts were performed with 2 minutes of rest between each exercise and sessions were repeated to test reliability of the measures. The order of the exercise bouts was randomized with least 72 hours between each session. Saliva samples were obtained immediately before, immediately after and 30 mins following each resistance exercise bout. RPE measures were obtained using Borg's CR-10 scale following each set. Also, the session RPE for the entire exercise session was obtained 30 minutes following completion of the session. There was a significant 97% increase in the level of salivary cortisol immediately following the high intensity exercise session (P<0.05. There was also a significant difference in salivary cortisol of 145% between the low intensity and high intensity exercise session immediately post-exercise (P<0.05. The low intensity exercise did not result in any significant changes in cortisol levels. There was also a significant difference between the session RPE values for the different intensity levels (high intensity 7.1 vs. low intensity 1.9 (P<0.05. The intraclass correlation coefficient for the session RPE measure was 0.95. It was concluded that the session RPE method is a valid and reliable method of

  1. Ranking welding intensity in pyroclastic deposits

    Science.gov (United States)

    Quane, Steven L.; Russell, James K.

    2005-02-01

    Welding of pyroclastic deposits involves flattening of glassy pyroclasts under a compactional load at temperatures above the glass transition temperature. Progressive welding is recorded by changes in the petrographic (e.g., fabric) and physical (e.g., density) properties of the deposits. Mapping the intensity of welding can be integral to studies of pyroclastic deposits, but making systematic comparisons between deposits can be problematical. Here we develop a scheme for ranking welding intensity in pyroclastic deposits on the basis of petrographic textural observations (e.g., oblateness of pumice lapilli and micro-fabric orientation) and measurements of physical properties, including density, porosity, point load strength and uniaxial compressive strength. Our dataset comprises measurements on 100 samples collected from a single cooling unit of the Bandelier Tuff and parallel measurements on 8 samples of more densely welded deposits. The proposed classification comprises six ranks of welding intensity ranging from unconsolidated (Rank I) to obsidian-like vitrophyre (Rank VI) and should allow for reproducible mapping of subtle variations in welding intensity between different deposits. The application of the ranking scheme is demonstrated by using published physical property data on welded pyroclastic deposits to map the total accumulated strain and to reconstruct their pre-welding thicknesses.

  2. Calculating the need for intensive care beds.

    Science.gov (United States)

    Pearson, Gale A; Reynolds, Fiona; Stickley, John

    2012-11-01

    Prompted by high refused admission rates, we sought to model demand for our 20 bed paediatric intensive care unit. We analysed activity (admissions) and demand (admissions plus refused admissions). The recommended method for calculating the required number of intensive care beds assumes a Poisson distribution based upon the size of the local catchment population, the incidence of intensive care admission and the average length of stay. We compared it to the Monte Carlo method which would also include supra-regional referrals not otherwise accounted for but which, due to their complexity, tend to have a longer stay than average. For the new method we assigned data from randomly selected emergency admissions to the refused admissions. We then compared occupancy scenarios obtained by random sampling from the data with replacement. There was an increase in demand for intensive care over time. Therefore, in order to provide an up-to-date model, we restricted the final analysis to data from the two most recent years (2327 admissions and 324 refused admissions). The conventional method suggested 27 beds covers 95% of the year. The Monte Carlo method showed 95% compliance with 34 beds, with seasonal variation quantified as 30 beds needed in the summer and 38 in the winter. Both approaches suggest that the high refused admission rate is due to insufficient capacity. The Monte Carlo analysis is based upon the total workload (including supra-regional referrals) and predicts a greater bed requirement than the current recommended approach.

  3. 45 CFR 150.217 - Preliminary determination.

    Science.gov (United States)

    2010-10-01

    ... 45 Public Welfare 1 2010-10-01 2010-10-01 false Preliminary determination. 150.217 Section 150.217... Are Failing To Substantially Enforce HIPAA Requirements § 150.217 Preliminary determination. If, at... designees). (b) Notifies the State of CMS's preliminary determination that the State has failed to...

  4. The Sodankylä Total Ozone Intercomparison and Validation Campaign (SAUNA)

    Science.gov (United States)

    McPeters, R. D.; Bojkov, B.; Bhartia, P. K.; Kyro, E.; Zehner, C.

    2006-05-01

    Years of comparisons of space born measurements of total column ozone with ground based measurements show a pattern of large differences at high latitudes under conditions of high ozone amounts and low sun angles. These persistent differences are likely due in part to the problems with the accuracy of the groundbased measurements, in part to observational differences between satellite and groundbased techniques, and in part to problems with the accuracy of the various satellite algorithms. This intense campaign of measurements at high latitudes in March is designed to establish the accuracy of the different ground based measurement systems. The secondary objective of SAUNA is the validation of EOS-Aura instruments (OMI, TES, MLS, and HIRDLS) the ERS-GOME, and Envisat-Sciamachy, by performing satellite coincident measurements. SAUNA took place at Sodankylä, Finland (67.4° N, 26.6° E) from March 20 through April 13, 2006. A wide variety of groundbased instruments from nine institutes in eight countries participated. Instruments included three Brewer spectrophotometers, two Dobson instruments, two DOAS, a SAOZ, and the NDSC traveling standard stratospheric ozone LIDAR. Daily ozonesonde launches gave the ozone vertical distribution. An overview of the campaign and preliminary results will be presented.

  5. Preliminary macroseismic survey of the 2016 Amatrice seismic sequence

    Directory of Open Access Journals (Sweden)

    Mariano Angelo Zanini

    2016-11-01

    Full Text Available After the recent destructive L’Aquila 2009 and Emilia-Romagna 2012 earthquakes, a sudden Mw 6.0 seismic event hit Central Italy on August 24, 2016. A low population density characterizes the area but, due to its nighttime occurrence, about 300 victims were registered. This work presents the first preliminary results of a macroseismic survey conducted by two teams of the University of Padova in the territories that suffered major damages. Macroseismic intensities were assessed according to the European Macroseismic Scale (EMS98 for 180 sites.

  6. The language of pain: intensity.

    Science.gov (United States)

    Bailey, C A; Davidson, P O

    1976-09-01

    Thirty-nine adjectives which may be used to describe a pain experience were rated on an "intensity" continuum by 93 subjects, and in a second study by an additional 90 subjects. In each study these ratings were intercorrelated and factor-analyzed. The first 6 factors extracted were rotated to a simple structure criterion. The first factor was identified as an "intensity" factor. Examination of the adjectives indicated that intensity relates to "affective-evaluative" adjectives rather than "sensory" ones. The implications of these findings for the language a patient may use to communicate the intensity of a pain are discussed.

  7. Handbook of data intensive computing

    CERN Document Server

    Furht, Borko

    2011-01-01

    Data Intensive Computing refers to capturing, managing, analyzing, and understanding data at volumes and rates that push the frontiers of current technologies. The challenge of data intensive computing is to provide the hardware architectures and related software systems and techniques which are capable of transforming ultra-large data into valuable knowledge. Handbook of Data Intensive Computing is written by leading international experts in the field. Experts from academia, research laboratories and private industry address both theory and application. Data intensive computing demands a fund

  8. Total Restrained Bondage in Graphs

    Institute of Scientific and Technical Information of China (English)

    Nader JAFARI RAD; Roslan HASNI; Joanna RACZEK; Lutz VOLKMANN

    2013-01-01

    A subset S of vertices of a graph G with no isolated vertex is a total restrained dominating set if every vertex is adjacent to a vertex in S and every vertex in V(G)-S is also adjacent to a vertex in V(G)-S.The total restrained domination number of G is the minimum cardinality of a total restrained dominating set of G.In this paper we initiate the study of total restrained bondage in graphs.The total restrained bondage number in a graph G with no isolated vertex,is the minimum cardinality of a subset of edges E such that G-E has no isolated vertex and the total restrained domination number of G-E is greater than the total restrained domination number of G.We obtain several properties,exact values and bounds for the total restrained bondage number of a graph.

  9. A preliminary study on treatment of cornual pregnancy by high intensity focused ultrasound combined with curettage of uterine cavity%高强度聚焦超声联合清宫术治疗宫角妊娠的初步探讨

    Institute of Scientific and Technical Information of China (English)

    朱黎菲; 黄国华; 何佳; 邹建中

    2016-01-01

    目的:评价高强度聚焦超声(HIFU)联合清宫术治疗宫角妊娠的疗效及价值。方法6例宫角妊娠患者行 HIFU 联合清宫术治疗,记录患者治疗前后临床症状、术中出血量、术前及术后血清β-HCG 水平。结果5例患者于HIFU 治疗后、清宫术前腹痛症状缓解;6例于清宫术后腹痛和阴道流血症状均消失;1例因无法探及病灶而转行开腹病灶清除术,余5例行超声引导下清宫术,平均出血量为(10.00±6.12)ml,清除妊娠组织4~6 d 后,其血清β-HCG 水平较术前均明显下降,差异有统计学意义(P<0.05)。结论 HIFU 联合清宫术治疗宫角妊娠副作用少、创伤小、疗效肯定,值得临床推广应用。%Objective To evaluate the efficacy and value of high intensity focused ultrasound(HIFU) combined with curettage of uterine cavity in the treatment of cornual pregnancy.Methods Six patients with cornual pregnancy were treated by HIFU combined with curettage of uterine cavity. Clinical symptoms before and after treatments,intraoperative blood loss,and the serum level of β-human chorionic gonadotropin(β-HCG) before and after treatment were recorded.Results Five patients’ abdominal pain alleviated after HIFU treatment and before curettage of uterine cavity. Six patients’ abdominal pain and vaginal bleeding disappeared after curettage of uterine cavity. One patient was converted into open surgery due to the impalpability of the pregnancy tissue,and the rest 5 patients underwent curettage of uterine cavity under ultrasound guidance,the mean volume of blood loss in the curettage of uterine cavity was(10.00±6.12)ml. Compared before cureattage of uterine cavity,the serum level of β-HCG of the patients 4~6 d after the curettage of uterine cavity was decreased,there was significant difference(P<0.05). Conclusion HIFU combined with curettage of uterine cavity in treatments of the cornual pregnancy is worthy of widely applying in

  10. The role of pain for early rehabilitation in fast track total knee arthroplasty

    DEFF Research Database (Denmark)

    Holm, Bente; Kristensen, Morten Tange; Myhrmann, Lis;

    2010-01-01

    To investigate the relationship between early functional mobility and pain intensity in a fast track program after total knee arthroplasty (TKA).......To investigate the relationship between early functional mobility and pain intensity in a fast track program after total knee arthroplasty (TKA)....

  11. Sensory intensity assessment of olive oils using an electronic tongue.

    Science.gov (United States)

    Veloso, Ana C A; Dias, Luís G; Rodrigues, Nuno; Pereira, José A; Peres, António M

    2016-01-01

    Olive oils may be commercialized as intense, medium or light, according to the intensity perception of fruitiness, bitterness and pungency attributes, assessed by a sensory panel. In this work, the capability of an electronic tongue to correctly classify olive oils according to the sensory intensity perception levels was evaluated. Cross-sensitivity and non-specific lipid polymeric membranes were used as sensors. The sensor device was firstly tested using quinine monohydrochloride standard solutions. Mean sensitivities of 14±2 to 25±6 mV/decade, depending on the type of plasticizer used in the lipid membranes, were obtained showing the device capability for evaluating bitterness. Then, linear discriminant models based on sub-sets of sensors, selected by a meta-heuristic simulated annealing algorithm, were established enabling to correctly classify 91% of olive oils according to their intensity sensory grade (leave-one-out cross-validation procedure). This capability was further evaluated using a repeated K-fold cross-validation procedure, showing that the electronic tongue allowed an average correct classification of 80% of the olive oils used for internal-validation. So, the electronic tongue can be seen as a taste sensor, allowing differentiating olive oils with different sensory intensities, and could be used as a preliminary, complementary and practical tool for panelists during olive oil sensory analysis.

  12. Magnesium in obstetric anesthesia and intensive care.

    Science.gov (United States)

    Kutlesic, Marija S; Kutlesic, Ranko M; Mostic-Ilic, Tatjana

    2017-02-01

    Magnesium, one of the essential elements in the human body, has numerous favorable effects that offer a variety of possibilities for its use in obstetric anesthesia and intensive care. Administered as a single intravenous bolus dose or a bolus followed by continuous infusion during surgery, magnesium attenuates stress response to endotracheal intubation, and reduces intraoperative anesthetic and postoperative analgesic requirements, while at the same time preserving favorable hemodynamics. Applied as part of an intrathecal or epidural anesthetic mixture, magnesium prolongs the duration of anesthesia and diminishes total postoperative analgesic consumption with no adverse maternal or neonatal effects. In obstetric intensive care, magnesium represents a first-choice medication in the treatment and prevention of eclamptic seizures. If used in recommended doses with close monitoring, magnesium is a safe and effective medication.

  13. Weak Total Resolvability In Graphs

    Directory of Open Access Journals (Sweden)

    Casel Katrin

    2016-02-01

    Full Text Available A vertex v ∈ V (G is said to distinguish two vertices x, y ∈ V (G of a graph G if the distance from v to x is di erent from the distance from v to y. A set W ⊆ V (G is a total resolving set for a graph G if for every pair of vertices x, y ∈ V (G, there exists some vertex w ∈ W − {x, y} which distinguishes x and y, while W is a weak total resolving set if for every x ∈ V (G−W and y ∈ W, there exists some w ∈ W −{y} which distinguishes x and y. A weak total resolving set of minimum cardinality is called a weak total metric basis of G and its cardinality the weak total metric dimension of G. Our main contributions are the following ones: (a Graphs with small and large weak total metric bases are characterised. (b We explore the (tight relation to independent 2-domination. (c We introduce a new graph parameter, called weak total adjacency dimension and present results that are analogous to those presented for weak total dimension. (d For trees, we derive a characterisation of the weak total (adjacency metric dimension. Also, exact figures for our parameters are presented for (generalised fans and wheels. (e We show that for Cartesian product graphs, the weak total (adjacency metric dimension is usually pretty small. (f The weak total (adjacency dimension is studied for lexicographic products of graphs.

  14. Catfish production using intensive aeration

    Science.gov (United States)

    For the last 3 years, researchers at UAPB and NWAC have been monitoring and verifying production yields in intensively aerated catfish ponds with aeration rates greater than 6 hp/acre. We now have three years of data on commercial catfish production in intensively aerated ponds. With stocking densi...

  15. The Dynamics of Intensive Cultivation

    OpenAIRE

    Christian Bidard

    2008-01-01

    An increase in the demand for agricultural goods leads to the use of more intensive cultivation methods. Though Ricardo sees no difficulties in the intensification process, their existence is revealed by the possible occurrence of multiple equilibria. A general theory of intensive rent is based on a formal parallel with single-product systems without land.

  16. Traffic light intensity meter, TIM®

    NARCIS (Netherlands)

    Leden, N. van der; Varkevisser, J.; Vroom, J. de; Oijen, T van

    2005-01-01

    The intensity of traffic lights decreases over time as a result of pollution and ageing. The Dutch Traffic Research Centre of the Ministry of Transport, Public Works and Water Management is searching for a convenient method for measuring the luminous intensity of traffic lights on the road, in order

  17. MRI intensity inhomogeneity correction by combining intensity and spatial information

    Energy Technology Data Exchange (ETDEWEB)

    Vovk, Uros; Pernus, Franjo; Likar, Bostjan [Faculty of Electrical Engineering, University of Ljubljana, Trzaska 25, 1000 Ljubljana (Slovenia)

    2004-09-07

    We propose a novel fully automated method for retrospective correction of intensity inhomogeneity, which is an undesired phenomenon in many automatic image analysis tasks, especially if quantitative analysis is the final goal. Besides most commonly used intensity features, additional spatial image features are incorporated to improve inhomogeneity correction and to make it more dynamic, so that local intensity variations can be corrected more efficiently. The proposed method is a four-step iterative procedure in which a non-parametric inhomogeneity correction is conducted. First, the probability distribution of image intensities and corresponding second derivatives is obtained. Second, intensity correction forces, condensing the probability distribution along the intensity feature, are computed for each voxel. Third, the inhomogeneity correction field is estimated by regularization of all voxel forces, and fourth, the corresponding partial inhomogeneity correction is performed. The degree of inhomogeneity correction dynamics is determined by the size of regularization kernel. The method was qualitatively and quantitatively evaluated on simulated and real MR brain images. The obtained results show that the proposed method does not corrupt inhomogeneity-free images and successfully corrects intensity inhomogeneity artefacts even if these are more dynamic.

  18. [Intensive care services resources in Spain].

    Science.gov (United States)

    Martín, M C; León, C; Cuñat, J; del Nogal, F

    2013-10-01

    To identify the resources related to the care of critically ill patients in Spain, which are available in the units dependent of the Services of Intensive Care Medicine (ICM) or other services/specialties, analyzing their distribution according to characteristics of the hospitals and by autonomous communities. Prospective observational study. Spanish hospitals. Heads of the Services of ICM. Number of units and beds for critically ill patients and functional dependence. The total number of registries obtained with at least one Service of ICM was 237, with a total of 100,198 hospital beds. Level iii (43.5%) and level ii (35%) hospitals predominated. A total of 73% were public hospitals and 55.3% were non-university centers. The total number of beds for adult critically ill patients, was 4,738 (10.3/100,000 inhabitants). The services of ICM registered had available 258 intensive are units (ICUs), with 3,363 beds, mainly polyvalent ICUs (81%) and 43 intermediate care units. The number of patients attended in the Services of ICM in 2008 was 174,904, with a percentage of occupation of 79.5% A total of 228 units attending critically ill patients, which are dependent of other services with 2,233 beds, 772 for pediatric patients or neonates, were registered. When these last specialized units are excluded, there was a marked predominance of postsurgical units followed by coronary and cardiac units. Seventy one per cent of beds available in the Critical Care Units in Spain are characterized by attending severe adult patients, are dependent of the services of ICM, and most of them are polyvalent. Copyright © 2013 Elsevier España, S.L. and SEMICYUC. All rights reserved.

  19. Intense electron and ion beams

    CERN Document Server

    Molokovsky, Sergey Ivanovich

    2005-01-01

    Intense Ion and Electron Beams treats intense charged-particle beams used in vacuum tubes, particle beam technology and experimental installations such as free electron lasers and accelerators. It addresses, among other things, the physics and basic theory of intense charged-particle beams; computation and design of charged-particle guns and focusing systems; multiple-beam charged-particle systems; and experimental methods for investigating intense particle beams. The coverage is carefully balanced between the physics of intense charged-particle beams and the design of optical systems for their formation and focusing. It can be recommended to all scientists studying or applying vacuum electronics and charged-particle beam technology, including students, engineers and researchers.

  20. 中文版约翰霍普金斯改编认知检查量表在神经重症患者中应用的初步研究%Preliminary study of application of John-Hopkins adapted cognitive exam (Chinese version) in the neurological intensive care unit patients

    Institute of Scientific and Technical Information of China (English)

    张一; 姚秋近; 张瑜; 王卉; 严程; 吴野环; 王涯; 杨伊林

    2016-01-01

    目的:初步探讨中文版约翰霍普金斯改编认知检查量表( John-Hopkins adapted cogni⁃tive exam,ACE)在神经重症患者中应用的效度和信度,为其在国内临床应用提供客观依据。方法对英文版ACE量表进行翻译汉化为中文版本,选择40例神经外科NICU患者分别用中文版简易精神状态量表( mini⁃mental state examination, MMSE)和ACE评定其认知功能,用内容效度、结构效度、同时效度、内部一致性、评估者间一致性信度及重测信度对测试结果进行评价。结果中文版ACE量表各项目与总分的相关系数在0.617~0.938之间(均P<0.05),具有较好的内容效度;ACE总分与MMSE总分呈显著相关( r=0.822, P<0.05),效标效度良好;采用正交旋转主成分分析法进行因子分析,提取公因子5个,累计方差贡献率为85.90%,各条目在相应因子的因子载荷均>0.50,结构效度良好;中文版ACE量表Cronbachα系数为0.756,内部一致性良好;评估者间一致性及重测信度良好(评估者间一致性ICC系数>0.95,重测ICC系数0.652~0.979)。结论中文版ACE量表是一份具有较好信度和效度的测评工具,可作为我国NICU患者的认知功能障碍的测定筛查工具。%Objective To test the reliability and validity of the Chinese version of the John Hopkins Adapted Cognitive Exam ( ACE) in NICU patients. Methods The English ACE was translated and adapted into the Chinese version . Cognitive functions of 40 critically ill patients in NICU were assessed with the Chi⁃nese version of ACE and MMSE battery.The scores of ACE and MMSE were analyzed to test the content va⁃lidity,construct validity,concurrent validity,internal consistency,inter⁃rater reliability and test⁃retest reliabil⁃ity.Result The correlation coefficient between each factor and the total score ranged from 0.617 to 0.938, and the content validity

  1. Intensive insulin therapy in the intensive cardiac care unit.

    Science.gov (United States)

    Hasin, Tal; Eldor, Roy; Hammerman, Haim

    2006-01-01

    Treatment in the intensive cardiac care unit (ICCU) enables rigorous control of vital parameters such as heart rate, blood pressure, body temperature, oxygen saturation, serum electrolyte levels, urine output and many others. The importance of controlling the metabolic status of the acute cardiac patient and specifically the level of serum glucose was recently put in focus but is still underscored. This review aims to explain the rationale for providing intensive control of serum glucose levels in the ICCU, especially using intensive insulin therapy and summarizes the available clinical evidence suggesting its effectiveness.

  2. I costi delle Terapie Intensive italiane

    Directory of Open Access Journals (Sweden)

    Enrico Arrighi

    2001-09-01

    Full Text Available In the 1995 the (GiViTI started a programme for the research about the economic features of the Intensive unit in Italy. After a preliminary check on available data, the GiViTI research considered 30 multipurpose ICUs during the period between 1996 and 1998. Every selected units received a questionnaire to fill up with information about staff, drugs and blood derivatives, other medical products, diagnostic and therapeutic services. The studied departments held on average 8 beds and their overall annual costs came to £ 3,4 billion. The single patient costs was £ 9,9 million and one day of stay in hospital amounted £ 1,3 million. These expenditures were allocated according to this percentage: 62% far the staff; 12% far drugs and blood derivatives, 12,7 for other medical products, 7% for laboratory services and 6,3% for different diagnostic and non sanitary services. Besides, the research showed the presence of scale economies production in the Italian multipurpose ICUs, even if only for the work costs. The GiViTI programme now is tackling the next phase, that studies the relations between treatment costs clinical characteristics of patients.

  3. Universal newborn hearing screening: preliminary experience at the University Hospital of Cagliari

    Directory of Open Access Journals (Sweden)

    Giulia Pinna

    2012-10-01

    Full Text Available Bilateral congenital or acquired sensorineural hearing loss is a pathological condition affecting 1-2 children per 1,000 live births; it represents a major issue in public health because its late identification can negatively affect speech and language development. The aim of hearing screening is to obtain diagnosis and management of hearing loss as soon as possible; in fact early diagnosis and treatment allow children with congenital hearing impairment to acquire adequate linguistic competence. The present study reports our preliminary experience in newborn hearing screening at Neonatology services of University of Cagliari (Italy. During the first semester of surveillance, between January 2012 and June 2012, hearing screening was performed on a total of 901 babies using two different methods, TEOAEs in healthy neonates and automated ABR in high-risk babies. All infants were screened prior to hospital discharge; in some cases, especially for preterm infants of Neonatal Intensive Care Unit and Puericulture Institute, the screening was performed after discharge, to achieve a possible better global and acoustic maturation; 5 cases of hearing impairment were found. In the present study the Authors confirmed that it is possible to start a universal hearing screening in a relatively short time reaching the percentages suggested by Joint Committee on Infant Hearing.

  4. Effects of radiation damping in ultra-intense laser matter interaction at extreme intensity regime

    Science.gov (United States)

    Sentoku, Yasuhiko; Pandit, Rishi

    2011-10-01

    Effects of the radiation damping in the interaction of extremely intense laser (>1022 W/cm2) with metal targets are studied via a relativistic collisional particle- in-cell simulation, PICLS. We had introduced the Landau-Lifshitz equation, which is the first order term of the Lorentz-Dirac equation to PIC, and also derived the second order term to check its effect. We had implemented these damping terms in the two- dimensional PICLS code, and had studied the laser plasma interaction at >1022 W/cm2 intensities. Hot electrons generated by such extreme-intense laser lights on the target get the relativistic energy with relativistic Lorentz factor γ > 100 , and lose energy strongly by emitting radiations. Especially, we had studied the second term's effect in a comparison with the first order damping term, and found that the second term becomes comparable to the first order term when the laser intensity >1023 W/cm2. With the higher order term, the hot electrons with energies greater than 500 MeV are totally suppressed and hard them to go beyond that energy even increasing the laser intensity >1023 W/cm2. Supported by US DOE DE-PS02-08ER08-16 and DE-FC02-04ER54789.

  5. Preliminary dose assessment of the Chernobyl accident

    Energy Technology Data Exchange (ETDEWEB)

    Hull, A.P.

    1987-01-01

    From the major accident at Unit 4 of the Chernobyl nuclear power station, a plume of airborne radioactive fission products was initially carried northwesterly toward Poland, thence toward Scandinavia and into Central Europe. Reports of the levels of radioactivity in a variety of media and of external radiation levels were collected in the Department of Energy's Emergency Operations Center and compiled into a data bank. Portions of these and other data which were obtained directly from published and official reports were utilized to make a preliminary assessment of the extent and magnitude of the external dose to individuals downwind from Chernobyl. Radioactive /sup 131/I was the predominant fission product. The time of arrival of the plume and the maximum concentrations of /sup 131/I in air, vegetation and milk and the maximum reported depositions and external radiation levels have been tabulated country by country. A large amount of the total activity in the release was apparently carried to a significant elevation. The data suggest that in areas where rainfall occurred, deposition levels were from ten to one-hundred times those observed in nearby ''dry'' locations. Sufficient spectral data were obtained to establish average release fractions and to establish a reference spectra of the other nuclides in the release. Preliminary calculations indicated that the collective dose equivalent to the population in Scandinavia and Central Europe during the first year after the Chernobyl accident would be about 8 x 10/sup 6/ person-rem. From the Soviet report, it appears that a first year population dose of about 2 x 10/sup 7/ person-rem (2 x 10/sup 5/ Sv) will be received by the population who were downwind of Chernobyl within the U.S.S.R. during the accident and its subsequent releases over the following week. 32 refs., 14 figs., 20 tabs.

  6. Preliminary results of an algorithm to determine the total absorption coefficient of water

    Digital Repository Service at National Institute of Oceanography (India)

    Suresh, T.; Talaulikar, M.; Desa, E.J.; Lotlikar, A.

    coefficient of net irradiance, KE were obtained from radiative transfer simulations using Hydrolight with large in-situ measured data from the coastal and estuarine waters of Goa. A refined algorithm of spectral micro as in Ref. [1] is used...

  7. Preliminary proteomics analysis of the total proteins of flower bud induction of apple trees

    Institute of Scientific and Technical Information of China (English)

    Shangyin CAO; Qiuming ZHANG; Zhiyong ZHU; Junying GUO; Yuling CHEN; Huabai XUE

    2008-01-01

    Apple is one of the most important fruit trees in the world. Nevertheless, mainly due to its long juvenile period, its breeding work constantly falls far behind other crops. So the aim of this study is to reveal the mechanism of apple flower bud differentiation, shorten the juvenile period and accelerate its breeding process. Proteomics technology (including two-dimensional gel electrophor-esis (2-DE), biomass spectrometry and bioinformatics) was applied to work on the specific protein of flower bud and leaf bud after the brachyblasts of 'Fuji' stopped growth for 3-9 weeks. The results showed that the mor-phodifferentiation of flower bud did not begin until the seventh week after the brachyblast stopped growth. Furthermore, compared with the leaf bud, flower bud had significant changes in the expression of 283 protein spots in quality and quantity on 2-DE maps. Among the 283 protein spots, four protein spots (16.4, 30.2, 40.3 and 65.1 kD) were characteristic of the flower bud in the archae-stage (initial inflorescence appeared) at the begin-ning of flower-bud differentiation, three (39.3, 60.2 and 66.3 kD) in the post-stage (Lateral-flower appears) and one (77.1 kD) in the sepal stage on 2-DE maps. Analysis by peptide mass fingerprinting and matrix-assisted laser desorption ionization time of flight mass spectrometry also identified and forecasted functionally by blasting dif-ferent databases. In the four specific proteins, it was found that spots No. 256 (16.4 kD) and 298 (30.2 kD) were unknown proteins, spot Nos. 327 (40.3 kD) was identified as the synthesis enzyme protein and spot No. 367 (40.3 kD) was identified as a RNA-binding protein involved in transcription. When flower bud started to dif-ferentiate morphologically, we detected four specific pro-teins which were 16.4, 30.2, 40.3 and 65.1 kD. Three specific proteins 39.3, 60.2 and 66.3 kD were observed at side flower-appearing stage. When calyx began to emerge, there was one specific protein: 77.1 kD. The pro-teins 16.4 kD and 30.2 kD were two unknown specific proteins. The 40.3 kD protein was related to methionine synthetase while 65.1 kD protein, a RNA-binding pro-tein, was related to transcription.

  8. Monitoring of intense neuromuscular blockade in a pig model

    DEFF Research Database (Denmark)

    Madsen, Matias V; Donatsky, Anders M; Jensen, Bente Rona

    2014-01-01

    .15 min after injection. We established a pig model for monitoring intense NMB with surface stimulation electrodes and acceleromyography. We verified total relaxation of the diaphragm and the abdominal muscles at the PTC 0-1 by suction test and with surface electromyography. This pig model is suitable...... for studies with experimental abdominal surgery with monitoring of intense NMB, and where relaxation of the diaphragm and the abdominal muscles are required....

  9. Low-intensity beam diagnostics with particle detectors

    Energy Technology Data Exchange (ETDEWEB)

    Rovelli, A.; Ciavola, G.; Cuttone, G.; Finocchiaro, P.; Raia, G. [INFN-LNS, Via S. Sofia 44/A Catania, 95125 (Italy); De Martinis, C.; Giove, D. [INFN-LASA, Via F.lli Cervi 201 Segrate (Midway Islands), 20090 (Italy)

    1997-01-01

    The measure of low intensity beams at low-medium energy is one of the major challenge in beam diagnostics. This subject is of great interest for the design of accelerator-based medical and radioactive beam facilities. In this paper we discuss new developments in image-based devices to measure low-intensity beams. All the investigated devices must guarantee measurement of the total beam current and its transverse distribution. {copyright} {ital 1997 American Institute of Physics.}

  10. Comparison of Columnar Water Vapor Measurements During The Fall 1997 ARM Intensive Observation Period: Optical Methods

    Science.gov (United States)

    Schmid, Beat; Michalsky, J.; Slater, D.; Barnard, J.; Halthore, R.; Liljegren, J.; Holben, B.; Eck, T.; Livingston, J.; Russell, P.; Hipskind, R. Stephen (Technical Monitor)

    2000-01-01

    In the fall of 1997 the Atmospheric Radiation Measurement (ARM program conducted an intensive Observation Period (IOP) to study water vapor at its Southern Great Plains (SGP) site. Among the large number of instruments, four sun-tracking radiometers were present to measure the columnar water vapor (CWV). All four solar radiometers retrieve CWV by measuring solar transmittance in the 0.94-micrometer water vapor absorption band. As one of the steps in the CWV retrievals the aerosol component is subtracted from the total transmittance, in the 0.94-micrometer band. The aerosol optical depth comparisons among the same four radiometers are presented elsewhere. We have used three different methods to retrieve CWV. Without attempting to standardize on the same radiative transfer model and its underlying water vapor spectroscopy we found the CWV to agree within 0.13 cm (rms) for CWV values ranging from 1 to 5 cm. Preliminary results obtained when using the same updated radiative transfer model with updated spectroscopy for all instruments will also be shown. Comparisons to the microwave radiometer results will be included in the comparisons.

  11. Total Quality Management (TQM) Bibliography

    Science.gov (United States)

    1990-04-01

    GTE FIE COPY DTIC c" ECTE 8JUL 25 1990u TOTAL QUALITY MANAGEMENT (TQM) BIBLIOGRAPHY APRIL-1990 Jointly supported by __’__________-_________ Jointly...Arsenal, AL 35898-5241 1I. TITLE (Include Security Classification) TOTAL QUALITY MANAGEMENT (TQM) BIBL IRAPHY APRIL-1990 12. PERSONAL AUTHOR(S) Knott...implementation of the concept of total quality management (TQM). The selected coverage includes books, periodical articles, conference papers and reports. Coded

  12. A prospective study on medication and total parenteral nutrition practices at a Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Vijayakumar Arumugam

    2016-01-01

    Conclusion: TPN and medication practices at the NICU should be highly monitored for avoiding medication errors, drug interactions, and mortality rate in neonates. The most effective method can be achieved when a clinical pharmacist become a part of it.

  13. A NUMERICAL MODEL OF THE LASER LIGHT INTENSITY TRANSVERSAL DISTRIBUTION INTO UNDEFORMED/DEFORMED OPTICAL FIBERS

    Directory of Open Access Journals (Sweden)

    Paula COPĂESCU

    2009-12-01

    Full Text Available Preliminary results obtained in developing a numerical model of laser light intensity transversedistribution into undeformed/deformed step index optical fiber are presented. The main purpose ofthe presented preliminary numerical modelling results consists in developing a simple method offiber optical sensors interrogation, especially concerning strain and pressure measurements. It is apotential important matter for aeronautical research and industry because of the more extendeduse of fibre optic sensors in aircraft manufacturing. The developed numerical model relies onsolving the equations of electromagnetic waves propagation into optical fibers by using the finiteelement method technique (FEM. The results of numerical simulation obtained by consideringsingle mode or multimode and various laser wavelengtsh are presented. One importantachievement reported in this paper consists in preliminary experimental results concerning themodification of laser intensity transverse distribution observed for multimode optical fiber with andwithout perpendicular mechanical load. The reported preliminary experimental results confirm tosome extent the predictions of numerical simulations regarding laser intensity distribution underlow and medium transverse mechanical load. One important conclusion of this paper consists inthe future development of fiber optic sensor interrogation techniques based on the reportedpreliminary experimental and numerical simulation results.

  14. TASKS OF THE "INTENSIVE READING"

    Institute of Scientific and Technical Information of China (English)

    伍向梅

    1984-01-01

    @@ To Chinese students who are learning English as a foreign language, the "intensive reading" course is of great practical value,especially in the intermediate stage,i.e.senior-middle school or the second or third year in college. "Intensive reading"implies the recognition of the configuration, pronunciation, grammatical inflexion and structure of words, sentences, paragraphs, and the whole text. It strength ens listening and speaking, affords language, content, and models for writing.It helps the student lay a solid foundation of the language. Thus, the tasks assigned to the "intensive reading" are worth studying.

  15. The response of farmland bird communities to agricultural intensity as influenced by its spatial aggregation.

    Directory of Open Access Journals (Sweden)

    Félix Teillard

    Full Text Available The shape of the relationship between biodiversity and agricultural intensity determines the range of intensities that should be targeted by conservation policies to obtain the greatest environmental benefits. Although preliminary evidence of this relationship exists, the influence of the spatial arrangement of intensity on biodiversity remains untested. We conducted a nationwide study linking agricultural intensity and its spatial arrangement to a farmland bird community of 22 species. Intensity was described with a continuous indicator based on Input Cost per hectare, which was relevant for both livestock and crop production. We used the French Breeding Bird Survey to compute several descriptors of the farmland bird community along the intensity gradient and tested for the significance of an interaction effect between intensity and its spatial aggregation on these descriptors. We found that the bird community was comprised of both winner and loser species with regard to intensity. The community composition descriptors (trophic level, specialisation, and specialisation for grassland indices displayed non-linear relationships to intensity, with steeper slopes in the lower intensity range. We found a significant interaction effect between intensity and its spatial aggregation on the grassland specialisation index of the bird community; the effect of agricultural intensity was strengthened by its spatial aggregation. We suggest that an opportunity to improve the effectiveness of conservation policies exists by targeting measures in areas where intensity is moderate to low and aggregated. The effect of the aggregation of agricultural intensity on biodiversity should be considered in other scales and taxa when developing optimal policy targeting and intensity allocation strategies.

  16. Total joint replacement in multiplex congenita contractures: a case report

    OpenAIRE

    Cameron, Hugh U.

    1998-01-01

    A 34-year-old man with multiplex congenita contractures underwent replacement of 2 hips and 1 knee. Even though a good range of movement was achieved at surgery and intensive physiotherapy, his joints returned to their preoperative status within 2 years. This outcome suggests that total joint replacement has little to offer the patient with multiplex congenita contractures who has immobile joints.

  17. Total Synthesis of Bryostatin 9

    OpenAIRE

    Wender, Paul A.; Schrier, Adam J.

    2011-01-01

    The total synthesis of bryostatin 9 was accomplished using a uniquely step economical and convergent Prins-driven macrocyclization strategy. At 25 linear and 42 total steps, this is currently the most concise and convergent (5 steps post fragment coupling) synthesis of a potent bryostatin.

  18. Total synthesis of bryostatin 9.

    Science.gov (United States)

    Wender, Paul A; Schrier, Adam J

    2011-06-22

    The total synthesis of bryostatin 9 was accomplished using a uniquely step-economical and convergent Prins-driven macrocyclization strategy. At 25 linear and 42 total steps, this is currently the most concise and convergent synthesis of a potent bryostatin.

  19. The total charm cross section

    Energy Technology Data Exchange (ETDEWEB)

    Vogt, R

    2007-09-14

    We assess the theoretical uncertainties on the total charm cross section. We discuss the importance of the quark mass, the scale choice and the parton densities on the estimate of the uncertainty. We conclude that the uncertainty on the total charm cross section is difficult to quantify.

  20. Total parenteral nutrition in children.

    Science.gov (United States)

    Zlotkin, S H; Stallings, V A; Pencharz, P B

    1985-04-01

    This article first focuses on the indications for total parenteral nutrition and the effect of its use on the outcome of various nutrient-depleting diseases in infants and children. This is followed by a discussion of some of the newer nutrient additions to total parenteral nutrition regimens, such as biotin, carnitine, zinc, copper, iron, and others.

  1. Merging ultrasound in the intensive care routine.

    Science.gov (United States)

    Jakobson, Daniel J; Shemesh, Iftach

    2013-11-01

    Goal-oriented ultrasound examination is gaining a place in the intensive care unit. Some protocols have been proposed but the applicability of ultrasound as part of a routine has not been studied. To assess the influence of ultrasound performed by intensive care physicians. This retrospective descriptive clinical study was performed in a medical-surgical intensive care unit of a university-affiliated general hospital. Data were collected from patients undergoing ultrasound examinations performed by a critical care physician during the period 2010 to June 2011. A total of 299 ultrasound exams were performed in 113 mechanically ventilated patients (70 males, mean age 65 years). Exams included trans-cranial Doppler (n = 24), neck evaluation before tracheostomy (n = 15), chest exam (n = 83), focuse cardiac echocardiography (n = 60), abdominal exam (n = 41), and comprehensive screening at patient admission (n = 30). Ultrasound was used to guide invasive procedures for vascular catheter insertion (n = 42), pleural fluid drainage (n = 24), and peritoneal fluid drainage (n = 7). One pneumothorax was seen during central venous line insertion but no complications were observed after pleural or abdominal drainage. The ultrasound study provided good quality visualization in 86% (258 of 299 exams) and was a diagnostic tool that induced a change in treatment in 58% (132 of 226 exams). Bedside ultrasound examinations performed by critical care physicians provide an important adjunct to diagnostic and therapeutic performance, improving quality of care and patient safety.

  2. High-intensity intermittent swimming improves cardiovascular health status for women with mild hypertension

    DEFF Research Database (Denmark)

    Mohr, Magni; Nordsborg, Nikolai Baastrup; Lindenskov, Annika;

    2014-01-01

    To test the hypothesis that high-intensity swim training improves cardiovascular health status in sedentary premenopausal women with mild hypertension, sixty-two women were randomized into high-intensity (n = 21; HIT), moderate-intensity (n = 21; MOD), and control groups (n = 20; CON). HIT...... high-intensity intermittent swimming is an effective training strategy to improve cardiovascular health and physical performance...... in sedentary women with mild hypertension. Adaptations are similar with high- and moderate-intensity training, despite markedly less total time spent and distance covered in the high-intensity group....

  3. Fractionation and determination of total antioxidant capacity, total ...

    African Journals Online (AJOL)

    DEYAKS PLC

    2014-01-29

    Jan 29, 2014 ... components that can scavenge reactive oxygen species. In this study, the total ... Medicinal plants containing active chemical constituents with high antioxidant property play an important role in the prevention of various ...

  4. Fracture Blisters After Primary Total Knee Arthroplasty.

    Science.gov (United States)

    Halawi, Mohamad J

    2015-08-01

    Fracture blisters are tense vesicles that arise on markedly swollen skin overlying traumatized soft tissue. While this relatively uncommon complication has been well described in the trauma literature, this article reports for the first time a case of fracture blisters after primary total knee arthroplasty. The fracture blisters developed within 36 hours of surgery and were associated with profound swelling and erythema. There was no evidence of vascular injury, compartment syndrome, iatrogenic fracture, or deep venous thrombosis. The patient was treated with leg elevation, loosely applied nonadhesive dressings, and a short course of oral antibiotics after skin desquamation. Blood-filled blisters required longer time to reepithelialization than fluid-filled blisters. Knee stiffness developed because of pain and fear of participation with physical therapy, but the patient was able to resume intensive rehabilitation after resolution of the blisters. Patient factors, surgical factors, and review of the literature are discussed.

  5. Preliminaries

    Directory of Open Access Journals (Sweden)

    Desde el jardín de Freud

    2014-10-01

    Full Text Available Desde el Jardín de Freud se encuentra indexada en el IBN-Publindex (Colciencias, en categoría C, y en Latindex. También se encuentra en las siguientes bases de datos y catálogos: ebsco, Dialnet, Rebiun, Doaj y e-Revistas.

  6. Totality eclipses of the Sun

    CERN Document Server

    Littmann, Mark; Willcox, Ken

    2008-01-01

    A total eclipse of the Sun is the most awesome sight in the heavens. Totality: Eclipses of the Sun takes you to eclipses of the past, present, and future, and lets you see - and feel - why people travel to the ends of the Earth to observe them. - ;A total eclipse of the Sun is the most awesome sight in the heavens. Totality: Eclipses of the Sun takes you to eclipses of the past, present, and future, and lets you see - and feel - why people travel to the ends of the Earth to observe them. Totality: Eclipses of the Sun is the best guide and reference book on solar eclipses ever written. It explains: how to observe them; how to photograph and videotape them; why they occur; their history and mythology; and future eclipses - when and where to see them. Totality also tells the remarkable story of how eclipses shocked scientists, revealed the workings of the Sun, and made Einstein famous. And the book shares the experiences and advice of many veteran eclipse observers. Totality: Eclipses of the Sun is profusely ill...

  7. On the Signal-Image Intensity-Curvature Content

    Directory of Open Access Journals (Sweden)

    Carlo Ciulla

    2013-04-01

    Full Text Available The biomedical engineering problem addressed in this work is the one of finding a novel signal-image content measure called intensity-curvature functional making use of all of the second order derivatives of the model function fitted to the data. Given a signal-image made of a sequel of discrete samples and given a model function which embeds the property of second order differentiability, it is possible to quantify the content of the signal-image through a novel approach based on both of the intensity and of the total curvature of the signal-image. The signal-image is fitted with the model function. The total curvature can be calculated through the sum of all of the second order derivatives of the Hessian of the model function fitted to the data. The intensity-curvature functional is defined as the ratio between: (i the integral of the multiplication between the value of the signal modeled through an interpolation function and the total curvature of the signal-image; both of them at the temporal-spatial location of its sampling (the grid nodes and, (ii the integral of the value of the multiplication between the signal modeled through an interpolation function and the total curvature of the signal-image; both of them at any given temporal-spatial location of its re-sampling (intra-pixel location. This manuscript shows both of the formulae and the qualitative results of: the intensity-curvature functional and the intensity-curvature measures which are conceptually linked to the intensity-curvature functional. The formulations here presented make the engineering innovation. The intensity-curvature functional depends on both of the model function fitting the signal-image and the magnitude of re-sampling employed to calculate the second order derivatives of the Hessian of the model function.

  8. Preliminary ECLSS waste water model

    Science.gov (United States)

    Carter, Donald L.; Holder, Donald W., Jr.; Alexander, Kevin; Shaw, R. G.; Hayase, John K.

    1991-01-01

    A preliminary waste water model for input to the Space Station Freedom (SSF) Environmental Control and Life Support System (ECLSS) Water Processor (WP) has been generated for design purposes. Data have been compiled from various ECLSS tests and flight sample analyses. A discussion of the characterization of the waste streams comprising the model is presented, along with a discussion of the waste water model and the rationale for the inclusion of contaminants in their respective concentrations. The major objective is to establish a methodology for the development of a waste water model and to present the current state of that model.

  9. Preliminary ECLSS waste water model

    Science.gov (United States)

    Carter, Donald L.; Holder, Donald W., Jr.; Alexander, Kevin; Shaw, R. G.; Hayase, John K.

    1991-01-01

    A preliminary waste water model for input to the Space Station Freedom (SSF) Environmental Control and Life Support System (ECLSS) Water Processor (WP) has been generated for design purposes. Data have been compiled from various ECLSS tests and flight sample analyses. A discussion of the characterization of the waste streams comprising the model is presented, along with a discussion of the waste water model and the rationale for the inclusion of contaminants in their respective concentrations. The major objective is to establish a methodology for the development of a waste water model and to present the current state of that model.

  10. Preliminary considerations concerning actinide solubilities

    Energy Technology Data Exchange (ETDEWEB)

    Newton, T.W.; Bayhurst, B.P.; Daniels, W.R.; Erdal, B.R.; Ogard, A.E.

    1980-01-01

    Work at the Los Alamos Scientific Laboratory on the fundamental solution chemistry of the actinides has thus far been confined to preliminary considerations of the problems involved in developing an understanding of the precipitation and dissolution behavior of actinide compounds under environmental conditions. Attempts have been made to calculate solubility as a function of Eh and pH using the appropriate thermodynamic data; results have been presented in terms of contour maps showing lines of constant solubility as a function of Eh and pH. Possible methods of control of the redox potential of rock-groundwater systems by the use of Eh buffers (redox couples) is presented.

  11. A preliminary evaluation of trust and shared decision making among intensive care patients' family members.

    Science.gov (United States)

    Epstein, Elizabeth G; Wolfe, Katherine

    2016-11-01

    The purpose of this study was to preliminarily evaluate ICU family members' trust and shared decision making using modified versions of the Wake Forest Trust Survey and the Shared Decision Making-9 Survey. Using a descriptive approach, the perceptions of family members of ICU patients (n=69) of trust and shared decision making were measured using the Wake Forest Trust Survey and the 9-item Shared Decision Making (SDM-9) Questionnaire. Both surveys were modified slightly to apply to family members of ICU patients and to include perceptions of nurses as well as physicians. Overall, family members reported high levels of trust and inclusion in decision making. Family members who lived with the patient had higher levels of trust than those who did not. Family members who reported strong agreement among other family about treatment decisions had higher levels of trust and higher SDM-9 scores than those who reported less family agreement. The modified surveys may be useful in evaluating family members' trust and shared decision making in ICU settings. Future studies should include development of a comprehensive patient-centered care framework that focuses on its central goal of maintaining provider-patient/family partnerships as an avenue toward effective shared decision making. Copyright © 2016 Elsevier Inc. All rights reserved.

  12. Contrast-enhanced US of the prostate with time/intensity curves: Preliminary results.

    Science.gov (United States)

    Valentino, M; De Matteis, M; Casadio Baleni, M; Monteduro, F; Paganelli, F; Pavlica, P; Barozzi, L

    2008-03-01

    Sommario SCOPO: Determinare la performance diagnostica dell'ecografia con mezzo di contrasto di seconda generazione nello studio delle lesioni focali della prostata nei pazienti con elevati valori sierologici di antigene prostatico specifico. MATERIALI E METODI: Sei pazienti consecutivi (età 72–87 anni) con elevati valori di antigene prostatico specifico (≥4 ng/ml) sono stati sottoposti a ecografia transrettale tradizionale seguita da ecografia con mezzo di contrasto. In ogni paziente sono state identificate le aree periferiche di alterata ecostruttura sospette per lesione neoplastica. Queste aree sono state valutate con ecografia con mezzo di contrasto mediante curve di intensità/tempo. I dati ottenuti sono stati confrontati con la biopsia dell'area sospetta. RISULTATI: L'ecografia con mezzo di contrasto ha consentito di identificare due pattern distinti: pattern 1 caratterizzato da rapida elevazione della curva calcolata a livello della lesione rispetto all'intensità di impregnazione del parenchima adiacente. Due dei sei pazienti con questo pattern hanno dimostrato presenza di lesione neoplastica nell'area sottoposta a biopsia. Pattern 2 caratterizzato da scarsa elevazione della curva rispetto all'intensità dell'impregnazione del parenchima adiacente. I rimanenti 4 dei 6 pazienti esaminati avevano questo pattern e l'area bioptizzata ha dimostrato assenza di lesione neoplastica. CONCLUSIONI: L'ecografia con mezzo di contrasto di seconda generazione, attraverso le curve di intensità/tempo può identificare differenze di comportamento tra tessuto normale e patologico. Queste caratteristiche possono risultare utili soprattutto nel caso di aree ipoecogene all'ecografia basale per identificare le aree da sottoporre a biopsia.

  13. [Preliminary Study on Cognitive Determinants Influencing Argentine Youngsters towards Intensive Alcohol Consumption or Binge Drinking].

    Science.gov (United States)

    Gómez, Raúl Ángel; Luque, Leticia Elizabeth; Tomas, María Teresa Cortés; Tort, Begoña Espejo; Giménez, José Antonio

    2012-06-01

    The current alcohol consumption pattern among youngsters and adolescents, characterized by heavy drinking during a few hours, several days a week, or binge drinking (binge drinking, concentrated drinking or long-gulp drinking) is a reality in many countries, including Spain and Argentina. To describe cognitive determinants in the behavior regarding excessive alcohol consumption (binge drinking) in 16-25 year subjects in Argentina. An ad hoc survey was conducted to assess cognitive determinants influencing heavy alcohol consumption, according to I. Ajzen's guidelines. There are significant statistic differences between the group of heavy drinkers and the group that does not reach such level of consumption in relation to behavioral beliefs, and control beliefs. Both groups recognized consumption is noxious and not safe; no differences were observed concerning normative beliefs. There is a complex interaction mong attitudinal factors, motivational and behavior control factors. Instruments require greater sensitivity and further in-depth analysis is required regardomg short, middle and long consequences generated by binge drinking and its role as a positive or negative reinforment. Copyright © 2012 Asociación Colombiana de Psiquiatría. Publicado por Elsevier España. All rights reserved.

  14. Qualità totale e mobilità totale

    Directory of Open Access Journals (Sweden)

    Giuseppe Trieste

    2010-04-01

    Full Text Available FIABA ONLUS (Italian Fund for Elimination of Architectural Barriers was founded in 2000 with the aim of promoting a culture of equal opportunities and, above all, it has as its main goal to involve public and private institutions to create a really accessible and usable environment for everyone. Total accessibility, Total usability and Total mobility are key indicators to define quality of life within cities. A supportive environment that is free of architectural, cultural and psychological barriers allows everyone to live with ease and universality. In fact, people who access to goods and services in the urban context can use to their advantage time and space, so they can do their activities and can maintain relationships that are deemed significant for their social life. The main aim of urban accessibility is to raise the comfort of space for citizens, eliminating all barriers that discriminate people, and prevent from an equality of opportunity. “FIABA FUND - City of ... for the removal of architectural barriers” is an idea of FIABA that has already affected many regions of Italy as Lazio, Lombardy, Campania, Abruzzi and Calabria. It is a National project which provides for opening a bank account in the cities of referring, in which for the first time, all together, individuals and private and public institutions can make a donation to fund initiatives for the removal of architectural barriers within its own territory for a real and effective total accessibility. Last February the fund was launched in Rome with the aim of achieving a Capital without barriers and a Town European model of accessibility and usability. Urban mobility is a prerequisite to access to goods and services, and to organize activities related to daily life. FIABA promotes the concept of sustainable mobility for all, supported by the European Commission’s White Paper. We need a cultural change in management and organization of public means, which might focus on

  15. Total Product Life Cycle (TPLC)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Total Product Life Cycle (TPLC) database integrates premarket and postmarket data about medical devices. It includes information pulled from CDRH databases...

  16. Total Product Life Cycle (TPLC)

    Data.gov (United States)

    U.S. Department of Health & Human Services — The Total Product Life Cycle (TPLC) database integrates premarket and postmarket data about medical devices. It includes information pulled from CDRH databases...

  17. Efficacy of high intensity atorvastatin versus moderate intensity atorvastatin for acute coronary syndrome patients with diabetes mellitus.

    Science.gov (United States)

    Liu, Zhi; Xu, Yueqiao; Hao, Hengjian; Yin, Chunlin; Xu, Ji; Li, Jing; Wang, Yanling; Xu, Dong

    2016-11-01

    To investigate whether more benefits can be achieved through high intensity atorvastatin compared with moderate intensity atorvastatin in acute coronary syndrome (ACS) patients with diabetes mellitus (DM). This was a randomized controlled trail. Total 591 ACS patients with DM who underwent percutaneous coronary intervention were enrolled, 297 in high intensity atorvastatin group (40mg/day) and 294 in moderate intensity atorvastatin group (20mg/day). The primary end point was one-year incidence of major adverse cardiovascular events (MACE, including cardiovascular death, spontaneous myocardial infarction, unplanned revascularization). Cox proportional hazard regression models were used to analyze the association between clinical endpoints and atorvastatin treatment. At the end of one-year, low-density lipoprotein cholesterol level was lower in high intensity group than in moderate group (1.6±0.6 vs 1.8±0.6, p=0.041). MACE in high intensity group decreased 44.5% than moderate group (8.4% vs. 14.6%, p=0.018). The adjusted hazard ratio (HR) for MACE in patients with atorvastatin 40mg/d was lower compared to patients with atorvastatin 20mg/d (HR [95% CI] 0.61 [0.36 to 0.91], p=0.026). The rates of adverse events were no significantly different between the two groups. For ACS patients with DM, high intensity atorvastatin induced better long-term outcomes compared with moderate intensity. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  18. Total eclipses of the sun.

    Science.gov (United States)

    Zirker, J B

    1980-12-19

    Total eclipses of the sun offer research opportunities in a variety of sciences. Some of the advances in solar physics resulting from eclipse observations are discussed. Experiments at the total eclipse of 16 February 1980 in India are also described. These included a test of general relativity, studies in coronal physics, investigations of solar prominences, diameter measurements, a search for interplanetary dust, a study of the gravity waves in the earth's atmosphere, and experiments on the biological effects on animals and humans.

  19. Total Quality Management Implementation Plan.

    Science.gov (United States)

    1989-06-01

    E 14. SUBJECT TERMS 15. NUMBER OF PAGES TOM ( Total Quality Management ), Continuous Process Improvement,_________ Depot Operations, Supply Support 16... Quality Management Implementation Plan 6. AUTHOR(S) 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) 8. PERFORMING ORGANIZATION Defense General...Reduction PrOtect (O704.Ot8SL Wasilngton, OC 20503j. .EPORT DATE 3. REPORT TYPE AND DATES COVERED June 19891 4. TITLE AND SUBTITLE S. FUNDING NUMBERS Total

  20. The total synthesis of psymberin.

    Science.gov (United States)

    Huang, Xianhai; Shao, Ning; Palani, Anandan; Aslanian, Robert; Buevich, Alexei

    2007-06-21

    The total synthesis of a new member of the pederin family of natural products, psymberin 1, was accomplished. Using a recently reported novel and efficient PhI(OAc)2 mediated oxidative entry to 2-(N-acylaminal)-substituted tetrahydropyrans as the key step, this total synthesis was executed in a convergent and efficient manner. The longest linear sequence of this synthesis was 22 steps starting from known 6.

  1. Total Quality From The Top

    Science.gov (United States)

    1993-04-01

    product followed. But, according to V. Daniel Hunt, author of Quality in America, "the time bomb ticks silently 1 V. Daniel Hunt. Quality in America...Michael L., Richard K. Lester, and Robert M. Solow . Made In America. Cambridge, MA:MIT Press, 1989. Doyle, Kevin. "Who’s Killing Total Quality?" Incentive...Gatanas, Harry. Lt Col, USA. "Leadership and Total Quality Management." Carlisle Barracks, PA:U.S. Army War College. April 1992. Hunt, V. Daniel

  2. The English «Teaching Excellence Framework» and Professionalising Teaching and Learning in Research-Intensive Universities: An Exploration of Opportunities, Challenges, Rewards and Values from a Recent Empirical Study

    National Research Council Canada - National Science Library

    Robinson, Wendy; Hilli, Angelique

    2016-01-01

    ... of a «Teaching Excellence Framework» for universities. This paper examines and contextualises the current important policy debates and then presents some preliminary findings from a recent empirical case study which explored how research-intensive...

  3. [Total Joint Replacement and Return to Sports].

    Science.gov (United States)

    Oehler, N; Schmidt, T; Niemeier, A

    2016-12-01

    Background: An increasing number of physically active patients not only need to know if they will basically be able to engage in sports after undergoing arthroplasty. They also would like to know whether or not they will be able to resume their preoperative activity levels. This article aims to provide an overview of recent data regarding the following questions on hip, knee and shoulder arthroplasty: (1) What is the impact of physical activity on an endoprosthesis? (2) What level of sports can be achieved after an arthroplasty procedure? (3) What types of sport are recommended for patients with an endoprosthesis? Methods: PubMed-based review of the literature. Narrative review focusing on current data from the years 2010 to 2016. Results: The commonly known recommendation to exercise low-impact sports such as hiking, swimming, cycling or golf at a moderate intensity remains valid for all types of prostheses in all joints. There is broad consensus that the benefits of these sports outweigh the negative effects. Having undergone total hip or knee arthroplasty, most patients with a high preoperative activity level return to sports after 3-6 months, albeit with a clear tendency to lower intensity and a shift from high-impact to low-impact sports. Some key questions have to be answered regarding the effects of low-impact sports that are exercised with high intensity, the effects resulting from high-impact sports, effects specific to different types of sport, and possibilities provided by different prosthesis types. In this context, a lot remains to be done to investigate the limits between positive and negative effects resulting from physical activity of varying intensity. New data suggests that generally a higher physical performance level may be achieved than has been traditionally recommended. Early results of unicondylar knee prostheses are far better than those achieved with bicondylar prostheses. In contrast to expert recommendations, shoulder endoprostheses show

  4. Preliminary Investigation of a Paraglider

    Science.gov (United States)

    Rogallo, Francis M.; Lowry, John G.; Croom, Delwin R.; Taylor, Robert T.

    1960-01-01

    A preliminary investigation of the aerodynamic and control characteristics of a flexible glider similar to a parachute in construction has been made at the Langley Research Center to evaluate its capabilities as a reentry glider. Preliminary weight estimates of the proposed vehicle indicate that such a structure can be made with extremely low wing loading. Maximum temperatures during the reentry maneuver might be held as low as about 1,500 F. The results of wind-tunnel and free-glide tests show that the glider when constructed of nonporous material performed extremely well at subsonic speeds and could be flown at angles of attack from about 200 to 900. At supersonic speeds the wing showed none of the unfavorable tendencies exhibited by conventional parachutes at these speeds, such as squidding and breathing. Several methods of packing and deploying the glider have been successfully demonstrated. The results of this study indicate that this flexible-lifting-surface concept may provide a lightweight controllable paraglider for manned space vehicles.

  5. Topaz II preliminary safety assessment

    Science.gov (United States)

    Marshall, Albert C.; Standley, Vaughn; Voss, Susan S.; Haskin, Eric

    1993-01-01

    The Strategic Defense Initiative Organization (SDIO) decided to investigate the possibility of launching a Russian Topaz II space nuclear power system. A preliminary safety assessment was conducted to determine whether or not a space mission could be conducted safely and within budget constraints. As part of this assessment, a safety policy and safety functional requirements were developed to guide both the safety assessment and future Topaz II activities. A review of the Russian flight safety program was conducted and documented. Our preliminary safety assessment included a top level event tree, neutronic analysis of normal and accident configurations, an evaluation of temperature coefficients of reactivity, a reentry and disposal analysis, and analysis of postulated launch abort impact accidents, and an analysis of postulated propellant fire and explosion accidents. Based on the assessment, it appears that it will be possible to safely launch the Topaz II system in the U.S. with some possible system modifications. The principal system modifications will probably include design changes to preclude water flooded criticality and to assure intact reentry.

  6. Total hip and total knee replacement: preoperative nursing management.

    Science.gov (United States)

    Lucas, Brian

    Total hip replacement (THR) and total knee replacement (TKR) surgery are carried out for the relief of hip or knee pain, usually caused by osteoarthritis. This is the first of two articles on THR and TKR. It will outline the different types of replacement used in lower limb joint replacement surgery. Preparation of patients for surgery requires attention to physical, psychological and social factors and these are explored in detail. The organization of services along the patient pathway to ensure comprehensive preparation is considered and the nursing role highlighted. The second article, to be published in the next issue, will discuss recovery and rehabilitation from THR and TKR surgery.

  7. [The future of intensive medicine].

    Science.gov (United States)

    Palencia Herrejón, E; González Díaz, G; Mancebo Cortés, J

    2011-05-01

    Although Intensive Care Medicine is a young specialty compared with other medical disciplines, it currently plays a key role in the process of care for many patients. Experience has shown that professionals with specific training in Intensive Care Medicine are needed to provide high quality care to critically ill patients. In Europe, important steps have been taken towards the standardization of training programs of the different member states. However, it is now necessary to take one more step forward, that is, the creation of a primary specialty in Intensive Care Medicine. Care of the critically ill needs to be led by specialists who have received specific and complete training and who have the necessary professional competences to provide maximum quality care to their patients. The future of the specialty presents challenges that must be faced with determination, with the main objective of meeting the needs of the population.

  8. Nanostructured intense-laser cleaner

    CERN Document Server

    Li, Xiao Feng; Kong, Qing; Wang, Ping Xiao; Yu, Qin; Gu, Yan Jan; Qu, Jun Fan

    2016-01-01

    A nanostructured target is proposed to enhance an intense-laser contrast: when a laser prepulse is injected on a nanostructured solid target surface, the prepulse is absorbed effectively by the nanostructured surface. The nanostructure size should be less than the laser wavelength. After the prepulse absorption, the front part of the main pulse destroys the microstructure and makes the surface a flat plasma mirror. The body of the main pulse is reflected almost perfectly. Compared with the plasma mirrors, the nanostructured surface is effective for the absorption of the intense laser prepulse, higher than 10^14 W/cm2. By the nanostructured laser cleaner, the laser pulse contrast increases about a hundredfold. The nanostructured laser cleaner works well for near-future intense lasers.

  9. Raman spectroscopy an intensity approach

    CERN Document Server

    Guozhen, Wu

    2017-01-01

    This book summarizes the highlights of our work on the bond polarizability approach to the intensity analysis. The topics covered include surface enhanced Raman scattering, Raman excited virtual states and Raman optical activity (ROA). The first chapter briefly introduces the Raman effect in a succinct but clear way. Chapter 2 deals with the normal mode analysis. This is a basic tool for our work. Chapter 3 introduces our proposed algorithm for the Raman intensity analysis. Chapter 4 heavily introduces the physical picture of Raman virtual states. Chapter 5 offers details so that the readers can have a comprehensive idea of Raman virtual states. Chapter 6 demonstrates how this bond polarizability algorithm is extended to ROA intensity analysis. Chapters 7 and 8 offer details on ROA, showing many findings on ROA mechanism that were not known or neglected before. Chapter 9 introduces our proposed classical treatment on ROA which, as combined with the results from the bond polarizability analysis, leads to a com...

  10. Low intensity transcranial electric stimulation

    DEFF Research Database (Denmark)

    Antal, Andrea; Alekseichuk, I; Bikson, M

    2017-01-01

    Low intensity transcranial electrical stimulation (TES) in humans, encompassing transcranial direct current (tDCS), transcutaneous spinal Direct Current Stimulation (tsDCS), transcranial alternating current (tACS), and transcranial random noise (tRNS) stimulation or their combinations, appears...... following stimulation as well as prickling and burning sensations occurring during tDCS at peak-to-baseline intensities of 1-2mA and during tACS at higher peak-to-peak intensities above 2mA. The prevalence of published AEs is different in studies specifically assessing AEs vs. those not assessing them......, being higher in the former. AEs are frequently reported by individuals receiving placebo stimulation. The profile of AEs in terms of frequency, magnitude and type is comparable in healthy and clinical populations, and this is also the case for more vulnerable populations, such as children, elderly...

  11. ALMA Nutator Design and Preliminary Performance

    CERN Document Server

    Martin-Cocher, Pierre; Koch, Patrick M; Ni, Chih-Wen; Chen, Wei-Long; Chen, Ming-Tang; Raffin, Philippe; Ong, Chin-Long; Ho, Paul T P; Symmes, Arthur

    2013-01-01

    We report the past two years of collaboration between the di?erent actors on the ALMA nutator. Building on previous developments, the nutator has seen changes in much of the design. A high-modulus carbon ?fiber structure has been added on the back of the mirror in order to transfer the voice coils forces with less deformation, thus reducing delay problems due to flexing. The controller is now an off?-the-shelf National Instrument NI-cRIO, and the ampli?fier a class D servo drive from Advanced Motion Controls, with high peak power able to drive the coils at 300 Volts DC. The stow mechanism has been totally redesigned to improve on the repeatability and precision of the stow position, which is also the reference for the 26 bits Heidenhain encoders. This also improves on the accuracy of the stow position with wind loading. Finally, the software, written largely with National Instrument's LabView, has been developed. We will discuss these changes and the preliminary performances achieved to date. Keywords: ALMA, ...

  12. Antioxidant activity, total phenolic and total flavonoid contents of whole plant extracts Torilis leptophylla L

    Directory of Open Access Journals (Sweden)

    Saeed Naima

    2012-11-01

    Full Text Available Abstract Background The aim of this study was to screen various solvent extracts of whole plant of Torilis leptophylla to display potent antioxidant activity in vitro and in vivo, total phenolic and flavonoid contents in order to find possible sources for future novel antioxidants in food and pharmaceutical formulations. Material and methods A detailed study was performed on the antioxidant activity of the methanol extract of whole plant of Torilis leptophylla (TLM and its derived fractions {n-hexane (TLH, chloroform (TLC ethyl acetate (TLE n-butanol (TLB and residual aqueous fraction (TLA} by in vitro chemical analyses and carbon tetrachloride (CCl4 induced hepatic injuries (lipid peroxidation and glutathione contents in male Sprague-Dawley rat. The total yield, total phenolic (TPC and total flavonoid contents (TFC of all the fractions were also determined. TLM was also subjected to preliminary phytochemical screening test for various constituents. Results The total phenolic contents (TPC (121.9±3.1 mg GAE/g extract of TLM while total flavonoid contents (TFC of TLE (60.9 ±2.2 mg RTE/g extract were found significantly higher as compared to other solvent fractions. Phytochemical screening of TLM revealed the presence of alkaloids, anthraquinones, cardiac glycosides, coumarins, flavonoids, saponins, phlobatannins, tannins and terpenoids. The EC50 values based on the DPPH (41.0±1 μg/ml, ABTS (10.0±0.9 μg/ml and phosphomolybdate (10.7±2 μg/ml for TLB, hydroxyl radicals (8.0±1 μg/ml for TLC, superoxide radicals (57.0±0.3 μg/ml for TLM and hydrogen peroxide radicals (68.0±2 μg/ml for TLE were generally lower showing potential antioxidant properties. A significant but marginal positive correlation was found between TPC and EC50 values for DPPH, hydroxyl, phosphomolybdate and ABTS, whereas another weak and positive correlation was determined between TFC and EC50 values for superoxide anion and hydroxyl radicals. Results of in vivo

  13. Total body water and total body potassium in anorexia nervosa

    Energy Technology Data Exchange (ETDEWEB)

    Dempsey, D.T.; Crosby, L.O.; Lusk, E.; Oberlander, J.L.; Pertschuk, M.J.; Mullen, J.L.

    1984-08-01

    In the ill hospitalized patient with clinically relevant malnutrition, there is a measurable decrease in the ratio of the total body potassium to total body water (TBK/TBW) and a detectable increase in the ratio of total exchangeable sodium to total exchangeable potassium (Nae/Ke). To evaluate body composition analyses in anorexia nervosa patients with chronic uncomplicated semistarvation, TBK and TBW were measured by whole body K40 counting and deuterium oxide dilution in 10 females with stable anorexia nervosa and 10 age-matched female controls. The ratio of TBK/TBW was significantly (p less than 0.05) higher in anorexia nervosa patients than controls. The close inverse correlation found in published studies between TBK/TBW and Nae/Ke together with our results suggest that in anorexia nervosa, Nae/Ke may be low or normal. A decreased TBK/TBW is not a good indicator of malnutrition in the anorexia nervosa patient. The use of a decreased TBK/TBW ratio or an elevated Nae/Ke ratio as a definition of malnutrition may result in inappropriate nutritional management in the patient with severe nonstressed chronic semistarvation.

  14. Total 2004 annual report; TOTAL 2004 rapport annuel

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2004-07-01

    This annual report of the Group Total brings information and economic data on the following topics, for the year 2004: the corporate governance, the corporate social responsibility, the shareholder notebook, the management report, the activities, the upstream (exploration and production) and downstream (refining and marketing) operating, chemicals and other matters. (A.L.B.)

  15. Solar irradiance, total and spectral; Irradiancia solar, total e espectral

    Energy Technology Data Exchange (ETDEWEB)

    Fraidenraich, Naum [Pernambuco Univ., Recife, PE (Brazil). Centro de Energia Nuclear; Lyra, Francisco [Companhia Hidroeletrica do Sao Francisco (CHESF), Recife, PE (Brazil)

    1995-12-31

    In this chapter some important characteristics concerning solar irradiance are presented, such as: solar constant; spectral irradiance for a zeroed mass of air; solar constant variation according to Earth-Sun distance; solar energy variation on Earth`s surface; atmospheric attenuation of solar energy; and total radiation and spectral irradiation on Earth`s surface. 3 refs., 5 figs., 6 tabs.

  16. Sound intensity and its measurement

    DEFF Research Database (Denmark)

    Jacobsen, Finn

    1997-01-01

    The paper summarises the basic theory of sound intensity and its measurement and gives an overview of the state of the art with particular emphasis on recent developments in the field. Eighty references are given, most of which to literature published in the past two years. The paper describes...... and discusses the sources of error in measurement of sound intensity and the resulting limitations imposed on various applications of such measurements. Finally, some unresolved problems are mentioned, and the possibility of improving the instrumentation is discussed....

  17. [Physiotherapy in intensive care medicine].

    Science.gov (United States)

    Nessizius, S

    2014-10-01

    A high amount of recently published articles and reviews have already focused on early mobilisation in intensive care medicine. However, in the clinical setting the problem of its practicability remains as each professional group in the mobility team has its own expectations concerning the interventions made by physiotherapy. Even though there are as yet no standard operation procedures (SOP), there do exist distinctive mobilisation concepts that are well implemented in certain intensive care units (http://www.fruehmobilisierung.de/Fruehmobilisierung/Algorithmen.html). Due to these facts and the urgent need for SOPs this article presents the physiotherapeutic concept for the treatment of patients in the intensive care unit which has been developed by the author: First the patients' respiratory and motor functions have to be established in order to classify the patients and allocate them to their appropriate group (one out of three) according to their capacities; additionally, the patients are analysed by checking their so-called "surrounding conditions". Following these criteria a therapy regime is developed and patients are treated accordingly. By constant monitoring and re-evaluation of the treatment in accordance with the functions of the patient a dynamic system evolves. "Keep it simple" is one of the key features of that physiotherapeutic concept. Thus, a manual for the classification and the physiotherapeutic treatment of an intensive care patient was developed. In this article it is demonstrated how this concept can be implemented in the daily routine of an intensive care unit. Physiotherapy in intensive care medicine has proven to play an important role in the patients' early rehabilitation if the therapeutic interventions are well adjusted to the needs of the patients. A team of nursing staff, physiotherapists and medical doctors from the core facility for medical intensive care and emergency medicine at the medical university of Innsbruck developed the

  18. Therapeutic effect of a moderate intensity interval training program ...

    African Journals Online (AJOL)

    Therapeutic effect of a moderate intensity interval training program on the lipid profile ... Also, factors such as elevated total cholesterol (TC) and reduced high density ... (n=105; 58.27 ± 6.24 years) group remained sedentary during this period.

  19. New hybrid 1971 energy intensities. Final report, Part 1

    Energy Technology Data Exchange (ETDEWEB)

    Penner, P S; Herendeen, R A; Milke, T

    1978-12-01

    The Energy Research Group at the University of Illinois has computed a set of 1971 hybrid energy intensities from 1971 direct energy-use data and 1967 economic input/output information from the Bureau of Economic Analysis (BEA). Energy intensities represent the total energy used through the economy to produce one unit of output from each of the 90 sectors defined by BEA as spanning the U.S. economy in 1967. The program creating the intensities marks one of the few applications of the comprehensive National Energy Accounts data base. This data base contains, among other items, data on the consumption of over 100 fuel types by 154 consuming sectors in the U.S. economy. The energy-intensity program automatically aggregates the number of consuming sectors to 90 and the number of fuel types to 5: coal, crude oil and gas extraction (called crude), refined petroleum, electricity, and utility gas.

  20. 23 CFR 645.109 - Preliminary engineering.

    Science.gov (United States)

    2010-04-01

    ... 23 Highways 1 2010-04-01 2010-04-01 false Preliminary engineering. 645.109 Section 645.109 Highways FEDERAL HIGHWAY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION ENGINEERING AND TRAFFIC OPERATIONS UTILITIES Utility Relocations, Adjustments, and Reimbursement § 645.109 Preliminary engineering. (a) As...

  1. 33 CFR 116.10 - Preliminary review.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 1 2010-07-01 2010-07-01 false Preliminary review. 116.10... ALTERATION OF UNREASONABLY OBSTRUCTIVE BRIDGES § 116.10 Preliminary review. (a) Upon receipt of a written complaint, the District Commander will review the complaint to determine if, in the District...

  2. Plutonium Immobilization Can Loading Preliminary Specifications

    Energy Technology Data Exchange (ETDEWEB)

    Kriikku, E.

    1998-11-25

    This report discusses the Plutonium Immobilization can loading preliminary equipment specifications and includes a process block diagram, process description, equipment list, preliminary equipment specifications, plan and elevation sketches, and some commercial catalogs. This report identifies loading pucks into cans and backfilling cans with helium as the top priority can loading development areas.

  3. 18 CFR 1b.6 - Preliminary investigations.

    Science.gov (United States)

    2010-04-01

    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Preliminary investigations. 1b.6 Section 1b.6 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY COMMISSION, DEPARTMENT OF ENERGY GENERAL RULES RULES RELATING TO INVESTIGATIONS § 1b.6 Preliminary investigations....

  4. Totally ossified metaplastic spinal meningioma.

    Science.gov (United States)

    Ju, Chang Il; Hida, Kazutoshi; Yamauchi, Tomohiro; Houkin, Kiyohiro

    2013-09-01

    A 61-year-old woman with a very rare case of totally ossified large thoracic spinal metaplastic meningioma, showing progressing myelopathy is presented. Computed tomographic images showed a large totally ossfied intradural round mass occupying the spinal canal on T9-10 level. Magnetic resonance imaging revealed a large T9-10 intradural extramedullary mass that was hypointense to spinal cord on T1- and T2-weighted sequences, partial enhancement was apparent after Gadolinium administration. The spinal cord was severely compressed and displaced toward the right at the level of T9-10. Surgical removal of the tumor was successfully accomplished via the posterior midline approach and the histological diagnosis verified an ossified metaplastic meningioma. The clinical neurological symptoms of patient were improved postoperatively. In this article we discuss the surgical and pathological aspects of rare case of spinal totally ossified metaplastic meningioma.

  5. Qualidade total e cultura organizacional

    OpenAIRE

    Machado, Denise Del Pra Netto

    1996-01-01

    Dissertação (mestrado) - Universidade Federal de Santa Catarina, Centro Socio-Economico O ambiente dinâmico em que as organizações estão inseridas determina uma constante busca de competitividade. Com a adoção da Qualidade Total, como um processo ofensivo de enfrentamento das exigências de mercado, procura-se uma vantagem competitiva, além da sobrevi-vência organizacional. Com base no referencial teórico-empírico sobre Qualidade Total e Cultura Organizacional, procurou-se verifi-car o efei...

  6. Total Ozone Prediction: Stratospheric Dynamics

    Science.gov (United States)

    Jackman, Charles H.; Kawa, S. Ramdy; Douglass, Anne R.

    2003-01-01

    The correct prediction of total ozone as a function of latitude and season is extremely important for global models. This exercise tests the ability of a particular model to simulate ozone. The ozone production (P) and loss (L) will be specified from a well- established global model and will be used in all GCMs for subsequent prediction of ozone. This is the "B-3 Constrained Run" from M&MII. The exercise mostly tests a model stratospheric dynamics in the prediction of total ozone. The GCM predictions will be compared and contrasted with TOMS measurements.

  7. Stereoselective Total Synthesis of Mycalamides

    Institute of Scientific and Technical Information of China (English)

    Masahiro Toyota

    2005-01-01

    @@ 1Introduction Mycalamides A (1a) and B (1b) are potent antiviral compounds from a New Zealand sponge of the genus Mycale. Apart from their antitumor property, mycalamide A (1a) exhibits immunosuppressive action by blocking T-cell activation in mice and is significantly more potent than FK-506 and cyclosporine A. Because of their intriguing biological activity, unique structures and scarce supply of these natural products, mycalamides A (1a) and B (1b) have attracted considerable attention as target molecules for total synthesis, and total, formal, or partial syntheses of this family of compounds have been reported[1,2].

  8. VOICE REHABILITATION FOLLOWING TOTAL LARYNGECTOMY

    Directory of Open Access Journals (Sweden)

    Balasubramanian Thiagarajan

    2015-03-01

    Full Text Available Despite continuing advances in surgical management of laryngeal malignancy, total laryngectomy is still the treatment of choice in advanced laryngeal malignancies. Considering the longevity of the patient following total laryngectomy, various measures have been adopted in order to provide voice function to the patient. Significant advancements have taken place in voice rehabilitation of post laryngectomy patients. Advancements in oncological surgical techniques and irradiation techniques have literally cured laryngeal malignancies. Among the various voice rehabilitation techniques available TEP (Tracheo oesophageal puncture is considered to be the gold standard. This article attempts to explore the various voice rehabilitation technique available with primary focus on TEP.

  9. The accuracy of intensity ratings of emotions from facial expressions

    Directory of Open Access Journals (Sweden)

    Kostić Aleksandra P.

    2003-01-01

    Full Text Available The results of a study on the accuracy of intensity ratings of emotion from facial expressions are reported. The so far research into the field has shown that spontaneous facial expressions of basic emotions are a reliable source of information about the category of emotion. The question is raised of whether this can be true for the intensity of emotion as well and whether the accuracy of intensity ratings is dependent on the observer’s sex and vocational orientation. A total of 228 observers of both sexes and of various vocational orientations rated the emotional intensity of presented facial expressions on a scale-range from 0 to 8. The results have supported the hypothesis that spontaneous facial expressions of basic emotions do provide sufficient information about emotional intensity. The hypothesis on the interdependence between the accuracy of intensity ratings of emotion and the observer’s sex and vocational orientation has not been confirmed. However, the accuracy of intensity rating has been proved to vary with the category of the emotion presented.

  10. Families' experiences of intensive care unit quality of care : Development and validation of a European questionnaire (euroQ2)

    NARCIS (Netherlands)

    Jensen, Hanne Irene; Gerritsen, Rik T.; Koopmans, Matty; Zijlstra, Jan G.; Curtis, Jared Randall; Ording, Helle

    2015-01-01

    Purpose: The purpose of the study is to adapt and provide preliminary validation for questionnaires evaluating families' experiences of quality of care for critically ill patients in the intensive care unit (ICU). Materials and methods: This study took place in 2 European ICUs. Based on literature a

  11. Sobredentadura total superior implantosoportada Superior total overdenture on implants

    Directory of Open Access Journals (Sweden)

    Luis Orlando Rodríguez García

    2010-06-01

    Full Text Available Se presenta un caso de un paciente desdentado total superior, rehabilitado en la consulta de implantología de la Clínica "Pedro Ortiz" del municipio Habana del Este en Ciudad de La Habana, Cuba, en el año 2009, mediante prótesis sobre implantes osteointegrados, técnica que se ha incorporado a la práctica estomatológica en Cuba como alternativa al tratamiento convencional en los pacientes desdentados totales. Se siguió un protocolo que comprendió una fase quirúrgica, procedimiento con o sin realización de colgajo y carga precoz o inmediata. Se presenta un paciente masculino de 56 años de edad, que acudió a la consulta multidisciplinaria, preocupado, porque se le habían elaborado tres prótesis en los últimos dos años y ninguna reunía los requisitos de retención que él necesitaba para sentirse seguro y cómodo con las mismas. El resultado final fue la satisfacción total del paciente, con el mejoramiento de la calidad estética y funcional.This is the case of a total maxilla edentulous patient seen in consultation of the "Pedro Ortíz" Clinic Implant of Habana del Este municipality in 2009 and con rehabilitation by prosthesis over osteointegration implants added to stomatology practice in Cuba as an alternative to conventional treatment in patients totally edentulous. We follow a protocol including a surgery or surgical phase, technique without or with flap creation and early or immediate load. This is a male patient aged 56 came to our multidisciplinary consultation worried because he had three prostheses in last two years and any fulfilled the requirements of retention to feel safe and comfortable with prostheses. The final result was the total satisfaction of rehabilitated patient improving its aesthetic and functional quality.

  12. Light-intensity and high-intensity interval training improve cardiometabolic health in rats.

    Science.gov (United States)

    Batacan, Romeo B; Duncan, Mitch J; Dalbo, Vincent J; Connolly, Kylie J; Fenning, Andrew S

    2016-09-01

    Physical activity has the potential to reduce cardiometabolic risk factors but evaluation of different intensities of physical activity and the mechanisms behind their health effects still need to be fully established. This study examined the effects of sedentary behaviour, light-intensity training, and high-intensity interval training on biometric indices, glucose and lipid metabolism, inflammatory and oxidative stress markers, and vascular and cardiac function in adult rats. Rats (12 weeks old) were randomly assigned to 1 of 4 groups: control (CTL; no exercise), sedentary (SED; no exercise and housed in small cages to reduce activity), light-intensity trained (LIT; four 30-min exercise bouts/day at 8 m/min separated by 2-h rest period, 5 days/week), and high-intensity interval trained (HIIT, four 2.5-min work bouts/day at 50 m/min separated by 3-min rest periods, 5 days/week). After 12 weeks of intervention, SED had greater visceral fat accumulation (p < 0.01) and slower cardiac conduction (p = 0.04) compared with the CTL group. LIT and HIIT demonstrated beneficial changes in body weight, visceral and epididymal fat weight, glucose regulation, low-density lipoprotein cholesterol, total cholesterol, and mesenteric vessel contractile response compared with the CTL group (p < 0.05). LIT had significant improvements in insulin sensitivity and cardiac conduction compared with the CTL and SED groups whilst HIIT had significant improvements in systolic blood pressure and endothelium-independent vasodilation to aorta and mesenteric artery compared with the CTL group (p < 0.05). LIT and HIIT induce health benefits by improving traditional cardiometabolic risk factors. LIT improves cardiac health while HIIT promotes improvements in vascular health.

  13. Intensity-intensity and intensity-amplitude correlation of microwave photons from a superconducting artificial atom

    Science.gov (United States)

    Wang, Fei; Feng, Xunli; Oh, C. H.

    2016-10-01

    We investigate the dynamics of the microwave-frequency nonclassical correlations in a three-level Δ -configuration artificial atom, which is realized by superconducting quantum circuits. The intensity-intensity correlation and intensity field are strongly dependent on the relative phase Φ of the driven fields. It is found that two interference loops are formed in the dressed state picture at Φ =0 or π, which are responsible for the generation of nonclassical microwave photons. When the phase is changed into Φ =π /2 or 3π /2 , the temporal correlation functions exhibit different oscillating behaviors. The phase-sensitive nonclassical correlations of fluorescence photons may find practical application in the design of all-optical switches and quantum information processing.

  14. Sound intensity and its measurement

    DEFF Research Database (Denmark)

    Jacobsen, Finn

    1997-01-01

    The paper summarises the basic theory of sound intensity and its measurement and gives an overview of the state of the art with particular emphasis on recent developments in the field. Eighty references are given, most of which to literature published in the past two years. The paper describes...

  15. Intensive care of haematological patients

    DEFF Research Database (Denmark)

    Magid, Tobias; Haase, Nicolai; Andersen, Jakob Steen

    2012-01-01

    This article presents the treatment results of 320 consecutive patients with malignant haematological diagnoses admitted to a tertiary intensive care unit at a Danish University hospital over a six-year period (2005-2010). With reference to international publications, we describe the development...

  16. Perceiving the Intensity of Light

    Science.gov (United States)

    Purves, Dale; Williams, S. Mark; Nundy, Surajit; Lotto, R. Beau

    2004-01-01

    The relationship between luminance (i.e., the photometric intensity of light) and its perception (i.e., sensations of lightness or brightness) has long been a puzzle. In addition to the mystery of why these perceptual qualities do not scale with luminance in any simple way, "illusions" such as simultaneous brightness contrast, Mach bands,…

  17. How is intensive care reimbursed?

    DEFF Research Database (Denmark)

    Bittner, Martin-Immanuel; Donnelly, Maria; van Zanten, Arthur Rh

    2013-01-01

    Reimbursement schemes in intensive care are more complex than in other areas of healthcare, due to special procedures and high care needs. Knowledge regarding the principles of functioning in other countries can lead to increased understanding and awareness of potential for improvement. This can ...

  18. KALIMER preliminary conceptual design report

    Energy Technology Data Exchange (ETDEWEB)

    Hahn, Do Hee; Kim, Y. J.; Kim, Y. G. and others

    2000-08-01

    This report, which summarizes the result of preliminary conceptual design activities during Phase 1, follows the format of safety analysis report. The purpose of publishing this report is to gather all of the design information developed so far in a systematic way so that KALIMER designers have a common source of the consistent design information necessary for their future design activities. This report will be revised and updated as design changes occur and more detailed design specification is developed during Phase 2. Chapter 1 describes the KALIMER Project. Chapter 2 includes the top level design requirements of KALIMER and general plant description. Chapter 3 summarizes the design of structures, components, equipment and systems. Specific systems and safety analysis results are described in the remaining chapters. Appendix on the HCDA evaluation is attached at the end of this report.

  19. Preliminary Investigation of Supersonic Diffusers

    Science.gov (United States)

    1945-05-01

    No. L5D20 This pressure was measured with a large mercury manometer . The total ’head after diffusion can be assumed equal to the static pressure at...of the entering kinetic energy. A mercury manometer was used to measure the difference between the total heads before and after diffusion. ‘J!hesetwo

  20. The Effects of Ionising Radiation on MEMS Silicon Strain Gauges: Preliminary Background and Methodology

    Science.gov (United States)

    2006-09-01

    Technology Organisation ( ANSTO ). Preliminary proton irradiations have been performed to define the methodology for the exposures in the ANSTO facility. This...Science and Technology Organisation ( ANSTO ). The Radiological Exposure Lab has a High-Intensity Gamma Calibrator facility that can be used to expose the...available for neutron exposures within the Lab. ANSTO runs a dedicated particle accelerator facility – STAR, Small Tandem for Applied Research – for

  1. Preliminary study on mechanics-based rainfall kinetic energy

    Directory of Open Access Journals (Sweden)

    Yuan Jiuqin Ms.

    2014-09-01

    Full Text Available A raindrop impact power observation system was employed to observe the real-time raindrop impact power during a rainfall event and to analyze the corresponding rainfall characteristics. The experiments were conducted at different simulated rainfall intensities. As rainfall intensity increased, the observed impact power increased linearly indicating the power observation system would be satisfactory for characterizing rainfall erosivity. Momentum is the product of mass and velocity (Momentum=MV, which is related to the observed impact power value. Since there is no significant difference between momentum and impact power, observed impact power can represent momentum for different rainfall intensities. The relationship between momentum and the observed impact power provides a convenient way to calculate rainfall kinetic energy. The value of rainfall kinetic energy based on the observed impact power was higher than the classic rainfall kinetic energy. The rainfall impact power based kinetic energy and the classic rainfall kinetic energy showed linear correlation, which indicates that the raindrop impact power observation system can characterize rainfall kinetic energy. The article establishes a preliminary way to calculate rainfall kinetic energy by using the real-time observed momentum, providing a foundation for replacing the traditional methods for estimating kinetic energy of rainstorms.

  2. Preliminary hazards analysis -- vitrification process

    Energy Technology Data Exchange (ETDEWEB)

    Coordes, D.; Ruggieri, M.; Russell, J.; TenBrook, W.; Yimbo, P. [Science Applications International Corp., Pleasanton, CA (United States)

    1994-06-01

    This paper presents a Preliminary Hazards Analysis (PHA) for mixed waste vitrification by joule heating. The purpose of performing a PHA is to establish an initial hazard categorization for a DOE nuclear facility and to identify those processes and structures which may have an impact on or be important to safety. The PHA is typically performed during and provides input to project conceptual design. The PHA is then followed by a Preliminary Safety Analysis Report (PSAR) performed during Title 1 and 2 design. The PSAR then leads to performance of the Final Safety Analysis Report performed during the facility`s construction and testing. It should be completed before routine operation of the facility commences. This PHA addresses the first four chapters of the safety analysis process, in accordance with the requirements of DOE Safety Guidelines in SG 830.110. The hazards associated with vitrification processes are evaluated using standard safety analysis methods which include: identification of credible potential hazardous energy sources; identification of preventative features of the facility or system; identification of mitigative features; and analyses of credible hazards. Maximal facility inventories of radioactive and hazardous materials are postulated to evaluate worst case accident consequences. These inventories were based on DOE-STD-1027-92 guidance and the surrogate waste streams defined by Mayberry, et al. Radiological assessments indicate that a facility, depending on the radioactive material inventory, may be an exempt, Category 3, or Category 2 facility. The calculated impacts would result in no significant impact to offsite personnel or the environment. Hazardous materials assessment indicates that a Mixed Waste Vitrification facility will be a Low Hazard facility having minimal impacts to offsite personnel and the environment.

  3. Total Phenolics and Total Flavonoids in Selected Indian Medicinal Plants

    OpenAIRE

    C T Sulaiman; Indira Balachandran

    2012-01-01

    Plant phenolics and flavonoids have a powerful biological activity, which outlines the necessity of their determination. The phenolics and flavonoids content of 20 medicinal plants were determined in the present investigation. The phenolic content was determined by using Folin-Ciocalteu assay. The total flavonoids were measured spectrophotometrically by using the aluminium chloride colorimetric assay. The results showed that the family Mimosaceae is the richest source of phenolics, (Acacia ni...

  4. What is Total Quality Management?

    Science.gov (United States)

    Bryan, William A.

    1996-01-01

    Provides a general overview of Total Quality Management (TQM) and explains why there is pressure for change in higher education institutions. Defines TQM and the various themes, tools, and beliefs that make it different from other management approaches. Presents 14 principles and how they might be applied to student affairs. (RJM)

  5. The Total Cost of Technology.

    Science.gov (United States)

    Freeman, Jim

    2002-01-01

    Presents overview of areas to consider when planning for the total cost of technology, including a brief look at the planning needed, equipment that should be considered, infrastructure needs, software considerations, maintenance issues, training, upgrades, and planning for system failures. (Author/PKP)

  6. Leadership and Total Quality Management

    Science.gov (United States)

    1992-04-15

    Quality Management when combine with good leadership and management skills yields increased productivity. This paper will focus on the skills required of...The leadership of large and complex organizations in today’s environment of shrinking resources requires a strong commitment by the leader. Total

  7. Spraakrevalidatie na een totale laryngectomie

    NARCIS (Netherlands)

    Timmermans, A.J.; Krap, M.; Hilgers, F.J.M.; van den Brekel, M.W.M.

    2012-01-01

    In patients with advanced laryngeal or hypopharyngeal cancer, or in cases when the disease recurs after treatment with (chemo)radiation, a total laryngectomy (TLE) is performed. For them to be able to function properly, speech rehabilitation is of the utmost importance for these patients. For voice

  8. The Total Cost of Ownership.

    Science.gov (United States)

    Day, C. William

    2000-01-01

    Examines what Total Cost of Ownership is regarding the purchase of technological resources for schools and the major expenses that are likely to occur after technological hardware and software have been installed. A list of best practices that can reduce costs approximately 15 percent and a checklist for technology budgeting are provided. (GR)

  9. Total enantioselective synthesis of (-)-cytisine.

    Science.gov (United States)

    Danieli, Bruno; Lesma, Giordano; Passarella, Daniele; Sacchetti, Alessandro; Silvani, Alessandra; Virdis, Andrea

    2004-02-19

    [reaction: see text] The first total enantiosynthesis of the biologically active alkaloid (-)-cytisine is reported, featuring a ruthenium-catalyzed RCM reaction as the key step. The approach relies on readily available cis-piperidine-3,5-dimethanol monoacetate as the chiral building block, and it is suited for achieving the target compound in both enantiomeric forms.

  10. [Hypoparathyroid risk after total thyroidectomy].

    Science.gov (United States)

    Milone, Antonino; Carditello, Antonio; Stilo, Francesco; Paparo, Domenica; Paparo, Teresa

    2004-01-01

    From January 1970 to December 1999, 881 patients with thyroid pathology underwent surgery consisting in 551 subtotal thyroidectomies and 330 total thyroidectomies. Permanent hypocalcaemia was present in 32 patients (3.6%). The importance of accurate isolation and ultraligature of the branches of the inferior thyroid artery in the prevention of parathyroid damage is stressed.

  11. [The advantages of the short intensive training course in endoscopic surgery].

    Science.gov (United States)

    Fedorov, A V; Khripun, A I; Ivanov, A A; Gushchin, A V; Tariverdiev, M L; Sazhin, A V

    2013-01-01

    The advantages of one-day training courses on the example of the short intensive course "manual suture in endoscopic surgery" are represented. The programme consists of the short 8-hours course, including theoretic lectures, practice seminars, virtual trainings and the trainee's self work under the control of the experienced supervisors. The preliminary assessment of the course, performed with the use of questionnaires and testing in small groups, showed it's unarguable efficacy for surgeons.

  12. Patients’ narratives of lived experiences of intensive care during after-care

    DEFF Research Database (Denmark)

    Nilsson, Karen; Berner, Susanne; Hertz, Iben

    2013-01-01

    -care. Several studies have investigated psychological consequences. Additionally, the meaning of dreams and follow-up care been explored. It may therefore seem appropriate to further investigate patients individual experiences in order to search for a deeper understanding of the dimensions that influence...... and critical interpretation and discussion. RESULTS. The preliminary findings indicate that there are three categories of lived experiences of intensive care. CONCLUSIONS. This clinical nursing research provides new basic knowledge useful in the efforts to enhance patient psychological processing after...

  13. 75 FR 26922 - Magnesium Metal From the Russian Federation: Preliminary Results of Antidumping Duty...

    Science.gov (United States)

    2010-05-13

    ... the total net realizable value (NRV) of raw magnesium. This value is used to value the raw magnesium... value. If these preliminary results are adopted in the final results of this administrative review, we... Than Fair Value: Pure Magnesium in Granular Form From the People's Republic of China, 66 FR...

  14. 76 FR 26247 - Magnesium Metal From the Russian Federation: Preliminary Results of Antidumping Duty...

    Science.gov (United States)

    2011-05-06

    ...-off costs. Because AVISMA considers the remaining amount to represent the total net realizable value... value. If these preliminary results are adopted in the final results of this administrative review, we... Than Fair Value: Pure Magnesium in Granular Form From the People's Republic of China, 66 FR...

  15. The determinants of advertising intensity in the Brazilian manufacturing industry: an econometric study

    Directory of Open Access Journals (Sweden)

    Marcelo Resende

    2009-06-01

    Full Text Available The paper econometrically investigates the determinants of advertising intensity in the manufacturing industry of São Paulo, Brazil in 1996 taking as reference an extensive survey carried out by Fundação SEADE. The preliminary investigation indicated a substantial degree of endogeneity in structure and performance variables. The instrumental variables estimation also considered instruments referring to information technology and organizational practices and indicated relevant roles for industrial concentration, barriers to entry, profitability and prevalence of durable goods in explaining advertising intensity. The results lend some support to an informative role of advertising in the Brazilian case.

  16. The determinants of advertising intensity in the Brazilian manufacturing industry: an econometric study

    Directory of Open Access Journals (Sweden)

    Marcelo Resende

    2006-12-01

    Full Text Available The paper econometrically investigates the determinants of advertising intensity in the manufacturing industry of São Paulo, Brazil in 1996 taking as reference an extensive survey carried out by Fundação SEADE. The preliminary investigation indicated a substantial degree of endogeneity in structure and performance variables. The instrumental variables estimation also considered instruments referring to information technology and organizational practices and indicated relevant roles for industrial concentration, barriers to entry, profitability and prevalence of durable goods in explaining advertising intensity. The results lend some support to an informative role of advertising in the Brazilian case.

  17. Intensive Outpatient Cognitive Behaviour Therapy for Eating Disorder

    Directory of Open Access Journals (Sweden)

    Riccardo Dalle Grave

    2008-12-01

    Full Text Available The aim of this paper is to describe a novel model of intensive outpatient cognitive-behaviour therapy (CBT indicated for eating disorder patients who are having difficulty modifying their eating habits in response to conventional outpatient CBT. Intensive outpatient CBT is a manual based treatment derived by the CBT-Enhanced (CBT-E for eating disorders. The treatment has four features that distinguish it from the conventional outpatient CBT-E: (1 it is designed to be suitable for both adult and adolescent patients, (2 it is delivered by a multidisciplinary non-eclectic team trained in CBT, (3 there is assistance with eating, (4 there is a family therapy module for patients under the age of 18 years. Preliminary outcome of intensive outpatient CBT-E are encouraging. The treatment has been applied to 20 consecutive underweight eating disorder patients (age 18.2 ± 6.5 years; BMI 14.6 ± 1.5 kg/m2. Thirteen patients (65% concluded the treatment, five (25% were admitted at an eating disorder inpatient unit, and two (10% prematurely interrupted the treatment. Completers obtained significant weight regain and improvement of eating disorder and general psychopathology. Most of the improvements were maintained at six-month follow-up.

  18. Burnout in the intensive care unit professionals

    Directory of Open Access Journals (Sweden)

    Kalpalatha K Guntupalli

    2014-01-01

    Full Text Available Background: Professional burnout has been widely explored in health care. We conducted this study in our hospital intensive care unit (ICU in United States to explore the burnout among nurses and respiratory therapists (RT. Materials and Methods: A survey consisting of two parts was used to assess burnout. Part 1 addressed the demographic information and work hours. Part 2 addressed the Maslach Burnout Inventory-Human Service Survey. Results: The analysis included 213 total subjects; Nurses 151 (71% and RT 62 (29%. On the emotional exhaustion (EE scale, 54% scored "Moderate" to "High" and 40% scored "Moderate" to "High" on the depersonalization (DP scale. Notably 40.6% scored "Low" on personal accomplishment (PA scale. Conclusion: High level of EE, DP and lower PAs were seen among two groups of health care providers in the ICUs.

  19. Burnout in the intensive care unit professionals

    Science.gov (United States)

    Guntupalli, Kalpalatha K.; Wachtel, Sherry; Mallampalli, Antara; Surani, Salim

    2014-01-01

    Background: Professional burnout has been widely explored in health care. We conducted this study in our hospital intensive care unit (ICU) in United States to explore the burnout among nurses and respiratory therapists (RT). Materials and Methods: A survey consisting of two parts was used to assess burnout. Part 1 addressed the demographic information and work hours. Part 2 addressed the Maslach Burnout Inventory-Human Service Survey. Results: The analysis included 213 total subjects; Nurses 151 (71%) and RT 62 (29%). On the emotional exhaustion (EE) scale, 54% scored “Moderate” to “High” and 40% scored “Moderate” to “High” on the depersonalization (DP) scale. Notably 40.6% scored “Low” on personal accomplishment (PA) scale. Conclusion: High level of EE, DP and lower PAs were seen among two groups of health care providers in the ICUs. PMID:24701063

  20. Real-time, mixed-mode computing architecture for waveform-resolved lidar systems with total propagated uncertainty

    Science.gov (United States)

    Ortman, Robert L.; Carr, Domenic A.; James, Ryan; Long, Daniel; O'Shaughnessy, Matthew R.; Valenta, Christopher R.; Tuell, Grady H.

    2016-05-01

    We have developed a prototype real-time computer for a bathymetric lidar capable of producing point clouds attributed with total propagated uncertainty (TPU). This real-time computer employs a "mixed-mode" architecture comprised of an FPGA, CPU, and GPU. Noise reduction and ranging are performed in the digitizer's user-programmable FPGA, and coordinates and TPU are calculated on the GPU. A Keysight M9703A digitizer with user-programmable Xilinx Virtex 6 FPGAs digitizes as many as eight channels of lidar data, performs ranging, and delivers the data to the CPU via PCIe. The floating-point-intensive coordinate and TPU calculations are performed on an NVIDIA Tesla K20 GPU. Raw data and computed products are written to an SSD RAID, and an attributed point cloud is displayed to the user. This prototype computer has been tested using 7m-deep waveforms measured at a water tank on the Georgia Tech campus, and with simulated waveforms to a depth of 20m. Preliminary results show the system can compute, store, and display about 20 million points per second.

  1. Total non-methane volatile organic compounds (TNMVOC) in the atmosphere of Delhi

    Science.gov (United States)

    Kumar Padhy, Pratap; Varshney, C. K.

    Volatile organic compounds (VOC), more specifically, non-methane volatile organic compounds (NMVOC) play a critical role in the atmospheric chemistry. NMVOC, through complex photochemical reactions, contribute to the formation of toxic oxidants, such as tropospheric ozone and PAN, which are injurious to health and highly phytotoxic. Certain NMVOC have been shown to be highly toxic, mutagenic and carcinogenic. NMVOC are receiving increasing attention in the west on account of their implication for human health and air quality. On the other hand, information on NMVOC in India and other developing countries is not available. As a result, appreciation of potential threat from NMVOC in relation to air quality and public health is sadly lacking among planners and policy makers. The paper deals with the estimation of total NMVOC at 13 sites in the urban environment of Delhi during November 1994 to June 1995. An inexpensive, labour intensive manual sample collection device was used and the air samples were analysed using GC-FID. The results show that the amount of NMVOC in the ambient environment of Delhi varied between 1.3 and 32.5 ppmv exhibiting wide temporal and seasonal variation. NMVOC levels mostly peaked at 0900 h, which coincide with the peak traffic hour. The implications of NMVOC build-up in the urban atmosphere are obvious for air quality. The results of this preliminary study make out a strong case for developing a regular monitoring programme for NMVOC in the urban environment of Delhi as well as in other major cities in the region.

  2. NOSOCOMIAL ACINETOBACTER INFECTIONS IN INTENSIVE CARE UNIT

    Directory of Open Access Journals (Sweden)

    Nwadike V. Ugochukwu

    2013-01-01

    Full Text Available Acinetobacter plays an important role in the infection of patients admitted to hospitals. Acinetobacter are free living gram-negative coccobacilli that emerge as significant nosocomial pathogens in the hospital setting and are responsible for intermittent outbreaks in the Intensive Care Unit. The aim of this study was to determine the prevalence of Acinetobacter in patients admitted into the Intensive Care Unit and determine their role in infections in the ICU. A total of one hundred patients were recruited for the study, catheter specimen urine, tracheal aspirate and blood culture were collected aseptically from the patients. The specimens were cultured on blood and MacConkey and the organisms identified using Microbact 12E (0xoid. The Plasmid analysis was done using the TENS miniprep method. Fourteen (14% of the 100 patients recruited into the study, developed Acinetobacter infection. Acinetobacter spp constituted 9% of the total number of isolates. Twelve (86% of the isolates were recovered from tracheal aspirate, 1(7% from urine and 1(7% from blood. All of the isolates harbor plasmids of varying molecular sizes. Ten of the fourteen Acinetobacter were isolated at about the same period of time in the ICU with 6(42.7% having plasmid size in the 23.1kb band and all showed similar pattern revealing that the isolates exhibit some relatedness. The clonal nature of the isolates suggest that strict infection control practices must be adopted in ICU, also an antibiotic policy must be developed for the ICU to prevent abuse of antibiotics that may lead to selection of resistant bacteria.

  3. Repeated high-intensity exercise in professional rugby union.

    Science.gov (United States)

    Austin, Damien; Gabbett, Tim; Jenkins, David

    2011-07-01

    The aim of the present study was to describe the frequency, duration, and nature of repeated high-intensity exercise in Super 14 rugby union. Time-motion analysis was used during seven competition matches over the 2008 and 2009 Super 14 seasons; five players from each of four positional groups (front row forwards, back row forwards, inside backs, and outside backs) were assessed (20 players in total). A repeated high-intensity exercise bout was considered to involve three or more sprints, and/or tackles and/or scrum/ruck/maul activities within 21 s during the same passage of play. The range of repeated high-intensity exercise bouts for each group in a match was as follows: 11-18 for front row forwards, 11-21 for back row forwards, 13-18 for inside backs, and 2-11 for outside backs. The durations of the most intense repeated high-intensity exercise bouts for each position ranged from 53 s to 165 s and the minimum recovery periods between repeated high-intensity exercise bouts ranged from 25 s for the back row forwards to 64 s for the front row forwards. The present results show that repeated high-intensity exercise bouts vary in duration and activities relative to position but all players in a game will average at least 10 changes in activity in the most demanding bouts and complete at least one tackle and two sprints. The most intense periods of activity are likely to last as long as 120 s and as little as 25 s recovery may separate consecutive repeated high-intensity exercise bouts. The present findings can be used by coaches to prepare their players for the most demanding passages of play likely to be experienced in elite rugby union.

  4. ARTHROFIBROSIS FOLLOWING TOTAL KNEE ARTHROPLASTY

    Directory of Open Access Journals (Sweden)

    Ravi B. Solanki

    2014-11-01

    Full Text Available Arthrofibrosis following total knee arthroplasty is an uncommon complication defined as less than 80 degrees of knee flexion 6-8 weeks post operatively. It is characterized by abnormal scarring of the joint in which the formation of dense fibrous tissue and tissue metaplasia prevent normal range of motion. Clinical features include limited knee Range of motion with extension deficit, pain with activities of daily living and unusual amount of pain and swelling post operatively in the absence of infection, bleeding or mechanical complications. We present case of 55 years old female who undergone for total knee replacement before 3 months and presented to our department with complain of knee pain and swelling with activities of daily living. She was diagnosed on the basis of clinical examination. Her detailed evaluation was carried out and Physiotherapy treatment was started.

  5. Edge adaptive directional total variation

    Directory of Open Access Journals (Sweden)

    Hua Zhang

    2013-11-01

    Full Text Available The directional total variation (DTV model has been proposed very recently for image denoising. However, the DTV model works well when there is just one dominant direction in the image. In this Letter, the authors propose to make the DTV model adaptive to image edge direction so that the proposed model can handle images with several dominant directions. Experiment and comparison show the effectiveness of the proposed method.

  6. Rehabilitation for total joint arthroplasty.

    Science.gov (United States)

    Ritterman, Scott; Rubin, Lee E

    2013-05-01

    Total hip and knee replacement are two of the most common and successful elective surgeries preformed in the United States each year. Preoperative medical preparation and postoperative rehabilitation are equally important to a successful outcome. Physical deconditioning, tobacco use, obesity and medical co-morbidities can adversely affect outcomes and should be addressed before any elective procedure. Formal postoperative therapy is geared towards the specific surgery and is aimed at returning the patient to independent activity.

  7. TICMR: Total Image Constrained Material Reconstruction via Nonlocal Total Variation Regularization for Spectral CT.

    Science.gov (United States)

    Liu, Jiulong; Ding, Huanjun; Molloi, Sabee; Zhang, Xiaoqun; Gao, Hao

    2016-12-01

    This work develops a material reconstruction method for spectral CT, namely Total Image Constrained Material Reconstruction (TICMR), to maximize the utility of projection data in terms of both spectral information and high signal-to-noise ratio (SNR). This is motivated by the following fact: when viewed as a spectrally-integrated measurement, the projection data can be used to reconstruct a total image without spectral information, which however has a relatively high SNR; when viewed as a spectrally-resolved measurement, the projection data can be utilized to reconstruct the material composition, which however has a relatively low SNR. The material reconstruction synergizes material decomposition and image reconstruction, i.e., the direct reconstruction of material compositions instead of a two-step procedure that first reconstructs images and then decomposes images. For material reconstruction with high SNR, we propose TICMR with nonlocal total variation (NLTV) regularization. That is, first we reconstruct a total image using spectrally-integrated measurement without spectral binning, and build the NLTV weights from this image that characterize nonlocal image features; then the NLTV weights are incorporated into a NLTV-based iterative material reconstruction scheme using spectrally-binned projection data, so that these weights serve as a high-SNR reference to regularize material reconstruction. Note that the nonlocal property of NLTV is essential for material reconstruction, since material compositions may have significant local intensity variations although their structural information is often similar. In terms of solution algorithm, TICMR is formulated as an iterative reconstruction method with the NLTV regularization, in which the nonlocal divergence is utilized based on the adjoint relationship. The alternating direction method of multipliers is developed to solve this sparsity optimization problem. The proposed TICMR method was validated using both simulated

  8. Ossiculoplasty in Missing Malleus and Stapes Patients : Experimental and Preliminary Clinical Results With a New Malleus Replacement Prosthesis With the Otology-Neurotology Database

    NARCIS (Netherlands)

    Vincent, Robert; Bittermann, Arnold J. N.; Wenzel, Gentiana; Oates, John; Sperling, Neil; Lenarz, Thomas; Grolman, Wilko

    2013-01-01

    Objective: To present the preliminary results of new malleus replacement prosthesis combined with a total ossicular prosthesis in middle ear reconstruction in patients missing the malleus and stapes. Study Design: Prospective experimental and nonrandomized clinical study. Setting: Tertiary referral

  9. Intrathoracic Hernia after Total Gastrectomy

    Directory of Open Access Journals (Sweden)

    Yoshihiko Tashiro

    2016-05-01

    Full Text Available Intrathoracic hernias after total gastrectomy are rare. We report the case of a 78-year-old man who underwent total gastrectomy with antecolic Roux-Y reconstruction for residual gastric cancer. He had alcoholic liver cirrhosis and received radical laparoscopic proximal gastrectomy for gastric cancer 3 years ago. Early gastric cancer in the remnant stomach was found by routine upper gastrointestinal endoscopy. We initially performed endoscopic submucosal dissection, but the vertical margin was positive in a pathological result. We performed total gastrectomy with antecolic Roux-Y reconstruction by laparotomy. For adhesion of the esophageal hiatus, the left chest was connected with the abdominal cavity. A pleural defect was not repaired. Two days after the operation, the patient was suspected of having intrathoracic hernia by chest X-rays. Computed tomography showed that the transverse colon and Roux limb were incarcerated in the left thoracic cavity. He was diagnosed with intrathoracic hernia, and emergency reduction and repair were performed. Operative findings showed that the Roux limb and transverse colon were incarcerated in the thoracic cavity. After reduction, the orifice of the hernia was closed by suturing the crus of the diaphragm with the ligament of the jejunum and omentum. After the second operation, he experienced anastomotic leakage and left pyothorax. Anastomotic leakage was improved with conservative therapy and he was discharged 76 days after the second operation.

  10. Preliminary assessment of beam impact consequences on LHC Collimators

    CERN Document Server

    Cauchi, M; Bertarelli, A; Bruce, R; Carra, F; Dallocchio, A; Deboy, D; Mariani, N; Rossi, A; Lari, L; Mollicone, P; Sammut, N

    2011-01-01

    The correct functioning of the LHC collimation system is crucial to attain the desired LHC luminosity performance. However, the requirements to handle high intensity beams can be demanding. In this respect, the robustness of the collimators plays an important role. An accident, which causes the proton beam to hit a collimator, might result in severe beam-induced damage and, in some cases, replacement of the collimator, with consequent downtime for the machine. In this paper, several case studies representing different realistic beam impact scenarios are shown. A preliminary analysis of the thermal response of tertiary collimators to beam impact is presented, from which the most critical cases can be identified. Such work will also help to give an initial insight on the operational constraints of the LHC by taking into account all relevant collimator damage limits.

  11. Sound intensity radiated by Gaohu

    Institute of Scientific and Technical Information of China (English)

    2010-01-01

    Gaohu is one of the main bowed stringed instruments used in Guangdong music and Chinese native Orchestra. However its sound intensity has never been carefully measured. In this paper the sound power measurements of Gaohu were performed in a reverberation chamber according to the Chinese national standard. Two qualified musicians performed on their own instruments. The mean sound power levels and the dynamic ranges of Gaohu were investigated by four channel acoustic measuring equipments when single notes, music scale and melodies were performed under pp, mp, f and ff dynamics. Great differences were found when Gaohu performed single notes, while the sound power levels were quite close when music scale were performed under f dynamic to those when melodies were performed under normal dynamic mark, the sound power levels of Gaohu when music scale was performed under f dynamics were suggested as the typical and representative value of the sound intensities of Gaohu instrument.

  12. IN DEFENCE OF INTENSIVE READING

    Institute of Scientific and Technical Information of China (English)

    1997-01-01

    In his article‘Why Intensive Reading Hinders the Development of Both English Language Teachingand English Language Learning in China’.Ian Cotton.a British lecturer in Chongqing University,concludes thai the teaching method of Intensive Reading(IR)in China is mainly responsible for the,comparatively low level of Chinese students skills in listening and speaking.He believes IRcontributes nothing to the development of English language teaching and learning in China.Such aconclusion,in my.opinion,is extreme and does not reflect the actual situation of ELT in China.Infact.IR has proved to be an effective teaching method to improve students’English.The question ishow to use the method effectively.

  13. CIM—Compact intensity modulation

    Science.gov (United States)

    Bleuel, M.; Lang, E.; Gähler, R.; Lal, J.

    2008-07-01

    Compact intensity modulation (CIM), a new method to modulate the intensity of a neutron beam is demonstrated. CIM allows the production of arbitrary signals where the focus point can be chosen and changed without any constraints. A novel feature in this technique compared to spin echo techniques is that the neutron polarization is kept parallel or anti-parallel to the static fields during the passage through the magnetic fields and the beating pattern at the detector is produced by an amplitude modulation (AM) of the adiabatic RF-spin flippers rather than Larmor precession like in neutron spin echo (NSE) instruments; thus, the achievable contrast is very high and the instrument resolution can be changed very quickly. This gives the fascinating possibility at pulsed neutron sources to sweep the modulation frequency of the flippers in order to increase dynamic resolution range during the same neutron pulse.

  14. Ultrahigh-intensity inverse bremsstrahlung

    Science.gov (United States)

    Kostyukov, I. Yu.; Rax, J.-M.

    1999-01-01

    We study inverse bremsstrahlung in the ultrahigh intensity relativistic regime. The fully relativistic ultrahigh intensity absorption (emission) coefficient is derived for an arbitrary scattering potential and small-angle scattering. We find that in the Coulomb field case this absorption (emission) coefficient can be calculated as a function of the quiver energy, drift momentum, and impact parameter in two complementary regimes: (i) for remote collisions when the impact parameter is larger than the amplitude of the quiver motion, and (ii) for instantaneous collisions when the scattering time is shorter than the period of the wave. Both circular and linear polarizations are considered, and this study reveals that in this relativistic regime inverse bremsstrahlung absorption can be viewed as a harmonic Compton resonance heating of the laser-driven electron by the virtual photon of the ion Coulomb field. The relativistic modification of Marcuse's effect [Bell Syst. Tech. J. 41, 1557 (1962)] are also discussed, and relations with previous nonrelativistic results are elucidated.

  15. Neutrino physics with an intense \

    CERN Document Server

    Henning, R

    2010-01-01

    We study some of the physics potential of an intense $1\\,\\mathrm{MCi}$ $^{51}\\mathrm{Cr}$ source combined with the {\\sc Majorana Demonstrator} enriched germanium detector array. The {\\sc Demonstrator} will consist of detectors with ultra-low radioactive backgrounds and extremely low energy thresholds of~$\\sim 400\\,\\mathrm{eV}$. We show that it can improve the current limit on the neutrino magnetic dipole moment. We briefly discuss physics applications of the charged-current reaction of the $^{51}\\mathrm{Cr} neutrino with the $^{73}\\mathrm{Ge} isotope. Finally, we argue that the rate from a realistic, intense tritium source is below the detectable limit of even a tonne-scale HPGe experiment

  16. Intensive temperature and quantum correlations

    CERN Document Server

    Ferraro, Alessandro; Acin, Antonio

    2011-01-01

    We consider quantum systems of coupled harmonic oscillators and study the question of whether temperature is an intensive quantity, in the sense that a block of a thermal state can be approximated by an effective thermal state at the same temperature as the whole system. We identify instances in which this approximation is not valid, as the block state and the reference thermal state are distinguishable. Contrary to the standard thermodynamic intuition, this distinguishability may even increase with the block size. However, we also show that the two states do become less distinguishable with the block size for standard coarse-grained measurements. Finally, we point out the role entanglement plays in this problem: in general, the thermodynamic paradigm of local intensive temperature applies whenever entanglement is not present in the system.

  17. INTENSIVE PROCESSES OF RETAIL INTERNATIONALIZATION

    OpenAIRE

    Ishak Mesic

    2010-01-01

    Integration and globalization of world market have resulted in trade internationalization, especially in the sector of retailing. Global trade, and in particular global retail, has become more intensive. Free European market has speeded up cross border retail expansion within European Union. Retail internationalization, with increased tempo, has redefined relationships in distribution channels on a global scale. Even though the speed of retail internationalization is, without a doubt, increas...

  18. IONIS: Approximate atomic photoionization intensities

    Science.gov (United States)

    Heinäsmäki, Sami

    2012-02-01

    A program to compute relative atomic photoionization cross sections is presented. The code applies the output of the multiconfiguration Dirac-Fock method for atoms in the single active electron scheme, by computing the overlap of the bound electron states in the initial and final states. The contribution from the single-particle ionization matrix elements is assumed to be the same for each final state. This method gives rather accurate relative ionization probabilities provided the single-electron ionization matrix elements do not depend strongly on energy in the region considered. The method is especially suited for open shell atoms where electronic correlation in the ionic states is large. Program summaryProgram title: IONIS Catalogue identifier: AEKK_v1_0 Program summary URL:http://cpc.cs.qub.ac.uk/summaries/AEKK_v1_0.html Program obtainable from: CPC Program Library, Queen's University, Belfast, N. Ireland Licensing provisions: Standard CPC licence, http://cpc.cs.qub.ac.uk/licence/licence.html No. of lines in distributed program, including test data, etc.: 1149 No. of bytes in distributed program, including test data, etc.: 12 877 Distribution format: tar.gz Programming language: Fortran 95 Computer: Workstations Operating system: GNU/Linux, Unix Classification: 2.2, 2.5 Nature of problem: Photoionization intensities for atoms. Solution method: The code applies the output of the multiconfiguration Dirac-Fock codes Grasp92 [1] or Grasp2K [2], to compute approximate photoionization intensities. The intensity is computed within the one-electron transition approximation and by assuming that the sum of the single-particle ionization probabilities is the same for all final ionic states. Restrictions: The program gives nonzero intensities for those transitions where only one electron is removed from the initial configuration(s). Shake-type many-electron transitions are not computed. The ionized shell must be closed in the initial state. Running time: Few seconds for a

  19. Tropospheric Ozone Pollution from Space: New Views from the TOMS (Total Ozone Mapping Spectrometer) Instrument

    Science.gov (United States)

    Thompson, Anne M.; Hudson, Robert D.; Frolov, Alexander D.; Witte, Jacquelyn C.; Kucsera, Tom L.; Einaudi, Franco (Technical Monitor)

    2000-01-01

    New products from the TOMS (Total Ozone Mapping Spectrometer) >satellite instrument can resolve pollution events in tropical and mid-latitudes, Over the past several years, we have developed tropospheric ozone data sets by two methods. The modified-residual technique [Hudson and Thompson, 1998; Thompson and Hudson, 1999] uses v. 7 TOMS total ozone and is applicable to tropical regimes in which the wave-one pattern in total ozone is observed. The TOMSdirect method [Hudson et at., 2000] represents a new algorithm that uses TOMS radiances to extract tropospheric ozone in regions of constant stratospheric ozone and tropospheric ozone displaying high mixing ratios and variability characteristic of pollution, Absorbing aerosols (dust and smoke; Herman et at., 1997 Hsu et al., 1999), a standard TOMS product, provide transport and/or source marker information to interpret tropospheric ozone. For the Nimbus 7/TOMS observing period (1979-1992), modified-residual TTO (tropical tropospheric ozone) appears as two maps/month at I-degree latitude 2-degree longitude resolution at a homepage and digital data are available (20S to 20N) by ftp at http://metosrv2. umd.edu/tropo/ 14y_data.d. Preliminary modified-residual TTO data from the operational Earth-Probe/TOMS (1996- present) are posted in near-real-time at the same website. Analyses with the new tropospheric ozone and aerosol data are illustrated by the following (I)Signals in tropical tropospheric ozone column and smoke amount during ENSO (El Nino-Southern Oscillation) events, e.g. 1982-1983 and the intense ENSO induced biomass fires of 1997-1998 over the Indonesian region [Thompson et a[, 2000a, Thompson and Hudson, 1999]. (2) Trends in tropospheric ozone and smoke aerosols in various tropical regions (Atlantic, Pacific, Africa, Brazil). No significant trends were found for ozone from1980-1990 [Thompson and Hudson, 19991 although smoke aerosols increased during the period [Hsu et al.,1999]. (3) Temporal and spatial offsets

  20. Total Monomeric Anthocyanin and Total Flavonoid Content of Processed Purple

    Directory of Open Access Journals (Sweden)

    Potato Florentina Damşa

    2016-01-01

    Full Text Available It is well known that processing change physical and chemical composition of foods, thus affecting the content in bioactive substances. Potatoes are almost always consumed after processing (baked, fried or boiled making it critical to understand the effect of such processing techniques on the containing in bioactive compounds. In order to determine the influence of processing on the content of anthocyanin pigments and flavonoids was achieved the extraction of these compounds from boiled and baked purple potato tuber (Albastru-Violet de Galanesti variety. Also, in order to obtain the maximum amount of anthocyanin pigments and flavonoids from processed potatoes was applied ultrasonic extraction (20 kHz and was performed the mathematical modeling (central composite design using SigmaXL software. The total anthocyanins content were determined spectrophotometrically by the pH differential method and the total flavonoids content were determine colorimetric by AlCl3 method. This study proves that the potato processing decreases the content of anthocyanin pigments and flavonoids.