WorldWideScience

Sample records for previously reported regions

  1. [Electronic cigarettes - effects on health. Previous reports].

    Science.gov (United States)

    Napierała, Marta; Kulza, Maksymilian; Wachowiak, Anna; Jabłecka, Katarzyna; Florek, Ewa

    2014-01-01

    Currently very popular in the market of tobacco products have gained electronic cigarettes (ang. E-cigarettes). These products are considered to be potentially less harmful in compared to traditional tobacco products. However, current reports indicate that the statements of the producers regarding to the composition of the e- liquids not always are sufficient, and consumers often do not have reliable information on the quality of the product used by them. This paper contain a review of previous reports on the composition of e-cigarettes and their impact on health. Most of the observed health effects was related to symptoms of the respiratory tract, mouth, throat, neurological complications and sensory organs. Particularly hazardous effects of the e-cigarettes were: pneumonia, congestive heart failure, confusion, convulsions, hypotension, aspiration pneumonia, face second-degree burns, blindness, chest pain and rapid heartbeat. In the literature there is no information relating to passive exposure by the aerosols released during e-cigarette smoking. Furthermore, the information regarding to the use of these products in the long term are not also available.

  2. Safety and radiation-enhancing effect of sodium glycididazole in loco regionally advanced laryngeal cancers previously treated with platinum-containing chemotherapy regimens: a preliminary report

    International Nuclear Information System (INIS)

    Zeng, Y.C.; Wu, R.; Xu, Z.G.; Zhang, X.Y.; Wu, L.N.; Wang, Y.M.; Zheng, W.; Chen, X.D.; Chi, F.; Zhang, Z.Y.; Li, X.; Jin, X.Y.; Chen, W.; Wang, S.L.; Xiao, F.D.; Wang, E.Y.; Dong, X.Q.; Jia, M.X.; Li, Y.; Fan, G.L.; Hao, S.H.; Zhang, L.B.; Zhang, H.B.; Xia, H.H.X.

    2010-01-01

    Purpose: To determine the safety and radiation-enhancing effect of sodium glycididazole in laryngeal squamous cell carcinoma (stage T3-4,N0-3,M0) with conventional radiotherapy. Patients and methods: Patients with locoregional advanced laryngeal cancer (stage T3-4,N0-3,M0) were included: group 1(control, n = 30)were not administered of sodium glycididazole; group 2 (test, n = 30) received sodium glycididazole at a dose of 700 mg/m2 intravenous infusion 30 minutes before radiotherapy three times a week. Surrogate end-points of efficacy were tumor and nodal size. Safety parameters were vomiting, nausea, mucositis, laryngeal edema, esophagus and skin reaction, dysphagia, dyspnea, neurological deficit. Patients were evaluated weekly during treatment for 7 weeks and thereafter monthly for 3 months. Results: In the test, the overall response rate was 88.89% (95% CI, 71.00-97.00%) at 7 weeks and 92.59% (95% CI, 76.00 to 99.00%) at 1 month of follow-up. In the control, the overall response rate was 62.5% (95% CI, 41.00 to 81.00%) at 7 weeks and 58.33% (95% CI, 37.00 to 78.00%) at 1 month of follow-up. The short-term locoregional response rate was better in the test group at 7 weeks (p = 0.027) and at 1 month (p = 0.005) of follow-up. The test group had significantly more nausea and vomiting in weeks 1 (p = 0.047), 2 (p = 0.007), and 3 (p = 0.01) of treatment. Conclusions: The study indicates sodium glycididazole is an effective radiation-enhancing agent that improves short-term locoregional control and is well tolerated in patients with loco regionally advanced laryngeal cancer. (authors)

  3. Regional odontodysplasia: case report

    Directory of Open Access Journals (Sweden)

    Ana Carolina Magalhães

    2007-12-01

    Full Text Available Regional odontodysplasia (RO is a rare developmental anomaly involving both mesodermal and ectodermal dental components in a group of contiguous teeth. It affects the primary and permanent dentitions in the maxilla and mandible or both jaws. Generally it is localized in only one arch. The etiology of this dental anomaly is uncertain. Clinically, affected teeth have an abnormal morphology, are soft on probing and typically discolored, yellow or yellowish-brown. Radiographically, the affected teeth show a "ghostlike" appearance. This paper reports the case of a 5-year-old girl presenting this rare anomaly on the left side of the maxillary arch, which crossed the midline. The primary maxillary left teeth (except for the canine and the primary maxillary right central incisor were missing due to previous extractions. The permanent teeth had a "ghostlike" appearance radiographically. The treatment performed was rehabilitation with temporary partial acrylic denture and periodic controls. In the future, the extraction of affected permanent teeth and rehabilitation with dental implants will be evaluated. The presentation of this case adds valuable information to pediatric dentists to review special clinical and radiographic features of RO, which will facilitate the diagnosis and treatment of patients with this condition.

  4. Urethrotomy has a much lower success rate than previously reported.

    Science.gov (United States)

    Santucci, Richard; Eisenberg, Lauren

    2010-05-01

    We evaluated the success rate of direct vision internal urethrotomy as a treatment for simple male urethral strictures. A retrospective chart review was performed on 136 patients who underwent urethrotomy from January 1994 through March 2009. The Kaplan-Meier method was used to analyze stricture-free probability after the first, second, third, fourth and fifth urethrotomy. Patients with complex strictures (36) were excluded from the study for reasons including previous urethroplasty, neophallus or previous radiation, and 24 patients were lost to followup. Data were available for 76 patients. The stricture-free rate after the first urethrotomy was 8% with a median time to recurrence of 7 months. For the second urethrotomy stricture-free rate was 6% with a median time to recurrence of 9 months. For the third urethrotomy stricture-free rate was 9% with a median time to recurrence of 3 months. For procedures 4 and 5 stricture-free rate was 0% with a median time to recurrence of 20 and 8 months, respectively. Urethrotomy is a popular treatment for male urethral strictures. However, the performance characteristics are poor. Success rates were no higher than 9% in this series for first or subsequent urethrotomy during the observation period. Most of the patients in this series will be expected to experience failure with longer followup and the expected long-term success rate from any (1 through 5) urethrotomy approach is 0%. Urethrotomy should be considered a temporizing measure until definitive curative reconstruction can be planned. 2010 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  5. North American Regional Report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-11-15

    North America is an energy community fortunate to be endowed with a rich and varied resource base. It consumes about a third of the world's energy and produces about one quarter of world energy supply. North America depends on a mix of complementary energy sources that should remain competitive but not in conflict. The current supply mix varies between Canada, the United States and Mexico, but fossil fuels are dominant across the region, leaving the three member countries vulnerable to a myriad of risks associated with traditional supply sources. Energy trade between all three countries is also a major contributor to the region's economy. Thus, the impetus for collaboration across the region has grown out of the common goals of energy security and economic prosperity. The goal of the WEC regional group was to discuss avenues for advancing North American cooperation and coordination on a range of energy issues. An additional objective was to develop policy recommendations that will facilitate effective development and use of the region's energy resources. Results and recommendtaions are summarized from three forums that focused on the pertinent issues of energy trade, energy efficiency and energy diversification. The inaugural forum (Energy Trade) was held in Washington, D.C. in the fall of 2005. The following summer, the second forum (Energy Efficiency) took place in Mexico City. The third forum (Energy Diversification) was hosted in Halifax, Nova Scotia.

  6. North American Regional Report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2007-11-15

    North America is an energy community fortunate to be endowed with a rich and varied resource base. It consumes about a third of the world's energy and produces about one quarter of world energy supply. North America depends on a mix of complementary energy sources that should remain competitive but not in conflict. The current supply mix varies between Canada, the United States and Mexico, but fossil fuels are dominant across the region, leaving the three member countries vulnerable to a myriad of risks associated with traditional supply sources. Energy trade between all three countries is also a major contributor to the region's economy. Thus, the impetus for collaboration across the region has grown out of the common goals of energy security and economic prosperity. The goal of the WEC regional group was to discuss avenues for advancing North American cooperation and coordination on a range of energy issues. An additional objective was to develop policy recommendations that will facilitate effective development and use of the region's energy resources. Results and recommendtaions are summarized from three forums that focused on the pertinent issues of energy trade, energy efficiency and energy diversification. The inaugural forum (Energy Trade) was held in Washington, D.C. in the fall of 2005. The following summer, the second forum (Energy Efficiency) took place in Mexico City. The third forum (Energy Diversification) was hosted in Halifax, Nova Scotia.

  7. Previous Employment and Job Satisfaction Conditions: The Case of Regional Administration

    Science.gov (United States)

    Amalia, Myronaki; Nikolaos, Antonakas

    2009-08-01

    In the present work we study the different dimensions of satisfaction and the way of constitution of satisfaction of an important sample of the employees in the Regional administration of Crete and in their connection with the variable of the previous employment. We found statistically important differences for the components of satisfaction from the life, collaboration in and outside from the department, in the social satisfaction and the variable of the years in the service (labour group with satisfaction than the other previous employment groups. In the other hand the group with many years in the service presents bigger satisfaction than the other groups. Finally, is important to note that the sample present some interesting characteristics.

  8. Ecthyma gangrenosum in the periorbital region in a previously healthy immunocompetent woman without bacteremia

    Directory of Open Access Journals (Sweden)

    Somenath Sarkar

    2016-01-01

    Full Text Available Ecthyma gangrenosum (EG is a cutaneous lesion classically associated with potentially fatal Pseudomonas septicemia in immunocompromised patients. Other bacterial and fungal pathogens have also been implicated. Although EG typically occurs in immunocompromised or neutropenic patients, it may occasionally affect a previously healthy person. The cutaneous findings are characteristic with small indurated papulovesicles progressing rapidly to necrotic ulcers with surrounding erythema and a central black Eschar. While lesions can occur at any site, most are commonly found over the buttocks, perineum, limbs, and axillae. We describe a case of EG in periorbital region in a previously healthy woman who responded to appropriate antibiotic treatment for Pseudomonas. It is very important to establish the diagnosis early so that appropriate systemic antibiotic therapy can be initiated to reduce morbidity and potential mortality.

  9. The 1985 central chile earthquake: a repeat of previous great earthquakes in the region?

    Science.gov (United States)

    Comte, D; Eisenberg, A; Lorca, E; Pardo, M; Ponce, L; Saragoni, R; Singh, S K; Suárez, G

    1986-07-25

    A great earthquake (surface-wave magnitude, 7.8) occurred along the coast of central Chile on 3 March 1985, causing heavy damage to coastal towns. Intense foreshock activity near the epicenter of the main shock occurred for 11 days before the earthquake. The aftershocks of the 1985 earthquake define a rupture area of 170 by 110 square kilometers. The earthquake was forecast on the basis of the nearly constant repeat time (83 +/- 9 years) of great earthquakes in this region. An analysis of previous earthquakes suggests that the rupture lengths of great shocks in the region vary by a factor of about 3. The nearly constant repeat time and variable rupture lengths cannot be reconciled with time- or slip-predictable models of earthquake recurrence. The great earthquakes in the region seem to involve a variable rupture mode and yet, for unknown reasons, remain periodic. Historical data suggest that the region south of the 1985 rupture zone should now be considered a gap of high seismic potential that may rupture in a great earthquake in the next few tens of years.

  10. Regional Course: Progress Report

    International Nuclear Information System (INIS)

    Cordero Calderon, C.F.

    1995-01-01

    They chose the Arenal's Dam and its damming, which has a control established from 1978. Currently, this technique is not applied in any other work of the 'Instituto Costarricense de Electricidad'. Their interest is to apply it in similar works. Among the projects that has been accomplished, they have the sampling of different sites water, the most representative to see the quality of water, the most representative waters Ions analysis of the damming, in underground waters of the region, in the available wells and for all of the river banks about the dam. With this technique they hope to obtain some parameters to define the water sources, the underground flow dynamics, the water turbulent stream, the mixings, the movement time and the relation to the damming. (author)

  11. Regional alternative transportation evaluation report - Region 4

    Science.gov (United States)

    2013-08-15

    The U.S. Fish and Wildlife Service (FWS) and the U.S. Department of Transportation (DOT) Volpe Center (Volpe Center) conducted a regional alternative transportation evaluation (RATE) in Region 4, which is comprised of Alabama, Arkansas, Florida, Geor...

  12. Regional alternative transportation evaluation report - region 2

    Science.gov (United States)

    2012-03-01

    The U.S. Fish and Wildlife Service (FWS) and the U.S. Department of Transportation (DOT) Volpe : Center (Volpe Center) conducted a regional alternative transportation evaluation (RATE) in Region 2, : which is comprised of Arizona, Oklahoma, New Mexic...

  13. Regional alternative transportation evaluation report - region 5

    Science.gov (United States)

    2011-11-14

    The U.S. Fish and Wildlife Service (FWS) and the U.S. Department of Transportation (DOT) Volpe Center (Volpe Center) conducted a regional alternative transportation evaluation (RATE) in Region 3, which is comprised of Illinois, Indiana, Iowa, Michiga...

  14. Regional alternative transportation evaluation report - region 1

    Science.gov (United States)

    2011-01-21

    The U.S. Fish and Wildlife Service (FWS) and the U.S. Department of Transportation (DOT) Volpe Center (Volpe Center) conducted a regional alternative transportation evaluation (RATE) in Region 1, which is comprised of Oregon, Idaho, Washington, and H...

  15. Logic of Accounting: The Case of Reporting Previous Options in Norwegian Activation Encounters

    Science.gov (United States)

    Solberg, Janne

    2017-01-01

    The article deals with the enactment of client resistance in Norwegian vocational rehabilitation encounters. More specific, a practice here called "reporting previous options" is analyzed by using the resources of ethnomethodological conversation analysis (CA) in five instances as doing some sort of accounting. In response to the…

  16. Regional Management Plan: Summary report

    International Nuclear Information System (INIS)

    Drobny, N.L.

    1986-01-01

    This summary report describes the results of a 16-month project to develop a Regional Management Plan for low-level radioactive waste management in a seven-state area. The seven states are Indiana, Iowa, Michigan, Minnesota, Missouri, Ohio, and Wisconsin. These states have formed the Midwest Interstate Low-Level Radioactive Waste Commission in accord with Congressional requirements established in 1980. 14 refs., 13 figs., 9 tabs

  17. Nordic Regional Report; Selected Issues

    OpenAIRE

    International Monetary Fund

    2013-01-01

    This Selected Issues paper elaborates findings and discussions of 2013 Cluster Consultation Nordic Regional report. The countries have close economic and financial ties and face some common challenges and shared risks, such as large banking sectors and high household debt. The economic performance of the four continental Nordic economies (Denmark, Finland, Norway, and Sweden—Nordic-4) ranks among the advanced economic development circle. It is analyzed that the large Nordic banking systems su...

  18. Erysipelothrix endocarditis with previous cutaneous lesion: report of a case and review of the literature

    Directory of Open Access Journals (Sweden)

    Marion P. Rocha

    1989-08-01

    Full Text Available This report describes the first documented case of Erysipelothrix rhusiopathiae endocarditis in Latin America. The patient was a 51-years-old male, moderate alcoholic, with a previous history of aortic failure. He was used to fishing and cooking as a hobby and had his left hand wounded by a fish-bone. The disease began with erysipeloid form and developed to septicemia and endocarditis. He was treated with antibiotics and surgery for aortic valve replacement. There are only 46 cases of E. rhusiopathiae endocarditis reported to date. The authors wonder if several other cases might go unreported for lack of microbiological laboratorial diagnosis.

  19. Safety of Potato Consumption in Slovak Region Contaminated by Heavy Metals due to Previous Mining Activity

    Directory of Open Access Journals (Sweden)

    Janette Musilova

    2017-01-01

    Full Text Available Heavy metals are among the most serious environmental contaminants in mining districts. Soil, as one of the main components of the environment, is the place of heavy metal entry into plants and consequently into the food chain, too. Potatoes grown in the region of Middle Spis (Slovakia may be a source of increased content of heavy metals and pose a health risk to the consumer. The contents of heavy metals (Cd, Pb, and Ni in potato and soil samples were determined using the AAS method and compared with limit values set by the Slovak Republic and the European Union. The content of heavy metals was determined in 12 potato cultivars with different length of vegetation period (mid-early, very early, and early, resp., which were grown in three localities with a highly disturbed environment. Total contents and mobile forms of heavy metals as well as physical and chemical properties were determined in soil samples which were collected from the same sampling sites. Only Pb content in potato tubers was higher than the hygienic limit value (0.1 mg kg−1 FM in 15 sampling sites (interval was n.d. –0.2298 mg kg−1 FM. The contents of exchangeable forms (total content of heavy metals in soil were ranged between the intervals: Cd 0.004–0.055 (0.94–1 56, Pb 0.023–0.295 (17.00–26.80, and Ni 0.019–0.475 (30.80–71.00 mg kg−1. At current average consumption levels of potatoes, tolerable weekly intake (TWI or tolerable daily intake (TDI for observed heavy metals was not exceeded.

  20. Granulomatous lobular mastitis: report of a case with previously undescribed histopathological abnormalities.

    Science.gov (United States)

    Axelsen, R A; Reasbeck, P

    1988-10-01

    A 41-yr-old multiparous woman presented with a discrete breast lump which proved histologically to be an example of granulomatous lobular mastitis. The clinical and histological features were similar to those noted in previous reports. Additional histological features in the present case were an intense mononuclear cell infiltration of lobular and ductal epithelium, associated with nuclear fragments morphologically suggestive of apoptosis. These appearances, which have not previously been described, are illustrated, together with the more classical features of the condition well demonstrated by the present case. The novel histological features noted here suggest that the development of granulomatous lobular mastitis may be at least in part immunologically mediated, and that the cellular infiltrates seen may be a manifestation of cell-mediated destruction of mammary epithelium.

  1. Eikenella corrodens endocarditis and liver abscess in a previously healthy male, a case report

    DEFF Research Database (Denmark)

    Nordholm, Anne Christine; Vøgg, Ruth Ottilia Birgitta; Permin, Henrik

    2018-01-01

    BACKGROUND: Eikenella corrodens is one of the HACEK bacteria constituting part of the normal flora of the oropharynx, however, still an uncommon pathogen. We report a case of a large Eikenella corrodens liver abscess with simultaneously endocarditis in a previously healthy male. CASE PRESENTATION...... on pneumonia treatment, a PET-CT scan was performed, which showed a large multiloculated abscess in the liver. The abscess was drained using ultrasound guidance. Culture demonstrated Eikenella corrodens. Transesophageal echocardiography revealed aortic endocarditis. The patient was treated with antibiotics...... corrodens concurrent liver abscess and endocarditis. The case report highlights that Eikenella corrodens should be considered as a cause of liver abscess. Empirical treatment of pyogenic liver abscess will most often cover Eikenella corrodens, but the recommended treatment is a third generation...

  2. Regional Management Plan: Summary report

    International Nuclear Information System (INIS)

    Drobny, N.L.

    1986-01-01

    This summary report describes the results of a 16-month project to develop a Regional Management Plan for low-level radioactive waste management in a seven-state area. The seven states are Indiana, Iowa, Michigan, Minnesota, Missouri, Ohio, and Wisconsin. These states have formed the Midwest Interstate Low-Level Radioactive Waste Commission in accord with Congressional requirements established in 1980. What is low-level radioactive waste? Low-level radioactive waste results from the use of radioactive materials in the treatment of disease, the production of consumer goods and industrial products, and from the generation of electricity at nuclear power plants. Low-level wastes, which are a responsibility of the states, are grouped into three classes, A, B, and C; this classification scheme is prescribed by Federal Regulations and represents different degrees of hazard associated with different concentrations of radioactive materials. Class A wastes are the least hazardous. Classes B and C represent higher hazard classes. 14 refs., 13 figs., 9 tabs

  3. A previously unreported variant of the synostotic sagittal suture: Case report and review of salient literature

    Directory of Open Access Journals (Sweden)

    Madison Budinich

    2016-12-01

    Full Text Available Introduction: Sagittal synostosis is a rare congenital disease caused by the premature fusion of the sagittal suture. Craniosynostosis occurs for a variety of reasons, different for every case, and often the etiology is unclear but the anomaly can frequently be seen as part of Crouzon's or Apert's syndromes. Herein, we discuss a rare case of craniosynostosis where the patient presented with a, to our knowledge, a previously undescribed variant of sagittal synostosis. Case report: A 3-month-old female infant presented to a craniofacial clinic for a consultation regarding an abnormal head shape. Images of the skull were performed, demonstrating that the patient had craniosynostosis. The patient displayed no other significant symptoms besides abnormalities in head shape. The sagittal suture was found to extend into the occipital bone where it was synostotic. Conclusion: To our knowledge, a synostotic sagittal suture has not been reported that extended posteriorly it involve the occipital bone. Those who interpret imaging or operate on this part of the skull should consider such a variation. Keywords: Anatomy, Craniosynostosis, Skull, Malformation, Pediatrics

  4. Adenylosuccinate lyase (ADSL) and infantile autism: Absence of previously reported point mutation

    Energy Technology Data Exchange (ETDEWEB)

    Fon, E.A.; Sarrazin, J.; Rouleau, G.A. [Montreal General Hospital (Canada)] [and others

    1995-12-18

    Autism is a heterogeneous neuropsychiatric syndrome of unknown etiology. There is evidence that a deficiency in the enzyme adenylosuccinate lyase (ADSL), essential for de novo purine biosynthesis, could be involved in the pathogenesis of certain cases. A point mutation in the ADSL gene, resulting in a predicted serine-to-proline substitution and conferring structural instability to the mutant enzyme, has been reported previously in 3 affected siblings. In order to determine the prevalence of the mutation, we PCR-amplified the exon spanning the site of this mutation from the genomic DNA of patients fulfilling DSM-III-R criteria for autistic disorder. None of the 119 patients tested were found to have this mutation. Furthermore, on preliminary screening using single-strand conformation polymorphism (SSCP), no novel mutations were detected in the coding sequence of four ADSL exons, spanning approximately 50% of the cDNA. In light of these findings, it appears that mutations in the ADSL gene represent a distinctly uncommon cause of autism. 12 refs., 2 figs.

  5. [Double mutant alleles in the EXT1 gene not previously reported in a teenager with hereditary multiple exostoses].

    Science.gov (United States)

    Cammarata-Scalisi, Francisco; Cozar, Mónica; Grinberg, Daniel; Balcells, Susana; Asteggiano, Carla G; Martínez-Domenech, Gustavo; Bracho, Ana; Sánchez, Yanira; Stock, Frances; Delgado-Luengo, Wilmer; Zara-Chirinos, Carmen; Chacín, José Antonio

    2015-04-01

    Hereditary forms of multiple exostoses, now called EXT1/EXT2-CDG within Congenital Disorders of Glycosylation, are the most common benign bone tumors in humans and clinical description consists of the formation of several cartilage-capped bone tumors, usually benign and localized in the juxta-epiphyseal region of long bones, although wide body dissemination in severe cases is not uncommon. Onset of the disease is variable ranging from 2-3 years up to 13-15 years with an estimated incidence ranging from 1/18,000 to 1/50,000 cases in European countries. We present a double mutant alleles in the EXT1 gene not previously reported in a teenager and her family with hereditary multiple exostoses.

  6. Self-reported previous knee injury and low knee function increase knee injury risk in adolescent female football.

    Science.gov (United States)

    Clausen, M B; Tang, L; Zebis, M K; Krustrup, P; Hölmich, P; Wedderkopp, N; Andersen, L L; Christensen, K B; Møller, M; Thorborg, K

    2016-08-01

    Knee injuries are common in adolescent female football. Self-reported previous knee injury and low Knee injury and Osteoarthritis Outcome Score (KOOS) are proposed to predict future knee injuries, but evidence regarding this in adolescent female football is scarce. The aim of this study was to investigate self-reported previous knee injury and low KOOS subscale score as risk factors for future knee injuries in adolescent female football. A sample of 326 adolescent female football players, aged 15-18, without knee injury at baseline, were included. Data on self-reported previous knee injury and KOOS questionnaires were collected at baseline. Time-loss knee injuries and football exposures were reported weekly by answers to standardized text-message questions, followed by injury telephone interviews. A priori, self-reported previous knee injury and low KOOS subscale scores (female football. © 2015 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  7. A case report: mixed thrombus formation in a previously sutured right atrium.

    Science.gov (United States)

    Yunfei, Ling; Dongxu, Li; Shuhua, Luo; Yabo, Wang; San, Deep; Changping, Gan; Ke, Lin; Qi, An

    2014-08-01

    We describe the case of a 19-year-old Chinese woman who nine months prior underwent repair of an atrial septal defect and came to our hospital with a right atrial mass attached to the anterior wall of the right atrium on transthoracic echocardiography. Pathologic examination revealed the mass was a mixed-type thrombosis with some unusual organization, which previously was not described in literature.

  8. Health effects of low-level radiation in shipyard workers: report of previous work

    International Nuclear Information System (INIS)

    Matanoski, G.M.

    1984-01-01

    Progress over the course of the Nuclear Shipyard Workers Study is reported. The derivation of the study population, the gathering of health histories, the US Navy radiation protection program, and the determination of radiation exposures is described

  9. Absence of psilocybin in species of fungi previously reported to contain psilocybin and related tryptamine derivatives

    OpenAIRE

    Stijve, T.; Kuyper, Th.W.

    1988-01-01

    Seven taxa of agarics reported in literature to contain psilocybin (viz. Psathyrella candolleana, Gymnopilus spectabilis, G. fulgens, Hygrocybe psittacina var. psittacina and var. californica, Rickenella fibula, R. swartzii) have been analysed for psilocybin and related tryptamines with negative results.

  10. Absence of psilocybin in species of fungi previously reported to contain psilocybin and related tryptamine derivatives

    NARCIS (Netherlands)

    Stijve, T.; Kuyper, Th.W.

    1988-01-01

    Seven taxa of agarics reported in literature to contain psilocybin (viz. Psathyrella candolleana, Gymnopilus spectabilis, G. fulgens, Hygrocybe psittacina var. psittacina and var. californica, Rickenella fibula, R. swartzii) have been analysed for psilocybin and related tryptamines with negative

  11. Groin Problems in Male Soccer Players Are More Common Than Previously Reported

    DEFF Research Database (Denmark)

    Harøy, Joar; Clarsen, Ben; Thorborg, Kristian

    2017-01-01

    surveillance method developed to capture acute and overuse problems. STUDY DESIGN: Descriptive epidemiology study. METHODS: We registered groin problems during a 6-week period of match congestion using the Oslo Sports Trauma Research Center Overuse Injury Questionnaire. A total of 240 players from 15 teams......BACKGROUND: The majority of surveillance studies in soccer have used a time-loss injury definition, and many groin problems result from overuse, leading to gradually increasing pain and/or reduced performance without necessarily causing an absence from soccer training or match play. Thus......, the magnitude of groin problems in soccer has probably been underestimated in previous studies based on traditional injury surveillance methods. PURPOSE: To investigate the prevalence of groin problems among soccer players of both sexes and among male soccer players at different levels of play through a new...

  12. Report to the CCT on COOMET comparison COOMET.T-K3.1 (previously COOMET.T-S1): Key regional comparison of the national standards of temperature in the range from the triple point of water to the freezing point of zinc

    Science.gov (United States)

    Pokhodun, A. I.

    2010-01-01

    In the framework of the CIPM MRA, a first COOMET comparison "Comparison of the ITS-90 realizations in the range from 0.01 °C to 429.7485 °C (from the triple point of water to the freezing point of zinc)", registered in the KCDB under the identifier "COOMET.T-K3", was carried out in 2005-2007. Four national metrology institutes took part in this comparison: VNIIM (Russian Federation), SMU (Slovakia), BelGIM (Republic of Belarus) and NSC IM (Ukraine), and two of them (VNIIM and SMU) ensured the linkage with key comparisons CCT-K3 and CCT-K4, in order to disseminate the metrological equivalence to the measurement standards of NSC IM and BelGIM. NSC IM, however, had to withdraw its results, and at the meeting of Technical Committee T-10 of COOMET it was decided to carry out a supplementary bilateral comparison between VNIIM and the NSC IM for realization of the ITS-90 in the same range of temperature. This was registered in the KCDB under the identifier COOMET.T-S1 and measurements were performed in 2008-2009. From the results presented in this report, it is possible to draw the conclusion that the COOMET supplementary comparison COOMET.T-S1 demonstrates the CMC uncertainties claimed by the NSC IM for the melting point of gallium 0.236 mK (k = 2), and the freezing points of indium 1.040 mK (k = 2), tin 0.858 mK (k = 2) and zinc 0.944 mK (k = 2). In September 2012 the Working Group on key Comparisons (WG 7) of the CCT upgraded this comparison to a COOMET key comparison of the 'CCT-K3' type. It is now identified as COOMET.T-K3.1. In April 2013 this report was superseded by item 03006 in the Technical Supplement of 2013. Main text. To reach the main text of this paper, click on Final Report. Note that this text is that which appears in Appendix B of the BIPM key comparison database kcdb.bipm.org/. The final report has been peer-reviewed and approved for publication by the CCT, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  13. North Central Regional Geologic Characterization Report. Executive summary. Final report

    International Nuclear Information System (INIS)

    1985-08-01

    This Executive Summary of the final North Central Regional Geologic Characterization Report (RGCR) is issued primarily for public information purposes and provides a general overview of the report. The complete RGCR presents available regional geologic information pertinent to siting a repository for high-level nuclear waste in crystalline rock in Minnesota, Wisconsin, and the Upper Peninsula of Michigan. For each of the states within the North Central Region, information is provided on the geologic disqualifying factor and the geologic regional screening variables to be used in region-to-area screening

  14. Northeastern Regional Geologic Characterization Report: executive summary. Final report

    International Nuclear Information System (INIS)

    1985-08-01

    This Executive Summary of the final Northeastern Regional Geologic Characterization Report (RGCR) is issued primarily for public information purposes and provides a general overview of the report. The complete RGCR presents available regional geologic information pertinent to siting a repository for high-level nuclear waste in crystalline rock in Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. For each of the states within the Northeastern Region, information is provided on the geologic disqualifying factor and the geologic regional screening variables to be used in region-to-area screening. 5 refs., 3 figs

  15. Southeastern Regional Geologic Characterization Report. Executive summary. Final report

    International Nuclear Information System (INIS)

    1985-08-01

    This Executive Summary of the final Southeastern Regional Geologic Characterization Report (RGCR) is issued primarily for public information purposes, and provides a general overview of the report. The complete RGCR presents available regional geologic information pertinent to siting a repository for high-level nuclear waste in crystalline rock in central Maryland; noncoastal Virginia, North Carolina, and South Carolina; and northern Georgia. For each of the states within the Southeastern Region, information is provided on the geologic disqualifying factor and the geologic regional screening variables to be used in region-to-area screening

  16. Northeastern Regional Environmental Characterization Report. Executive summary. Final report

    International Nuclear Information System (INIS)

    1985-08-01

    This Executive Summary of the final Northeastern Regional Environmental Characterization Report (RECR) is issued primarily for public information purposes and provides a general overview of the report. The complete RECR presents available regional environmental information pertinent to siting a repository for high-level nuclear waste in crystalline rock in Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. For each of the states within the Northeastern Region, information is provided on the environmental disqualifying factors and the environmental regional screening variables to be used in region-to-area screening

  17. Southeastern Regional Environmental Characterization Report: executive summary. Final report

    International Nuclear Information System (INIS)

    1985-08-01

    This Executive Summary of the final ''Southeastern Regional Environmental Characterization Report'' (RECR) is issued primarily for public information purposes and provides a general overview of the report. The complete RECR presents available regional environmental information pertinent to siting a repository or high-level nuclear waste in crystalline rock in central Maryland; noncoastal Virginia, North Carolina, and South Carolina; and northern Georgia. For each of the states within the Southeastern Region, information is provided on the environmental disqualifying factors and the environmental regional screening variables to be used in region-to-area screening

  18. Alveolar nerve repositioning with rescue implants for management of previous treatment. A clinical report.

    Science.gov (United States)

    Amet, Edward M; Uehlein, Chris

    2013-12-01

    The goal of modern implant dentistry is to return patients to oral health in a rapid and predictable fashion, following a diagnostically driven treatment plan. If only a limited number of implants can be placed, or some fail and the prosthetic phase of implant dentistry is chosen to complete the patient's treatment, the final outcome may result in partial patient satisfaction and is commonly referred to as a "compromise." Previous All-on-4 implant treatment for the patient presented here resulted in a compromise, with an inadequate support system for the mandibular prosthesis and a maxillary complete denture with poor esthetics. The patient was unable to function adequately and also was disappointed with the resulting appearance. Correction of the compromised treatment consisted of bilateral inferior alveolar nerve elevation and repositioning without bone removal for lateral transposition, to gain room for rescue implants for a totally implant-supported and stabilized prosthesis. Treatment time to return the patient to satisfactory comfort, function, facial esthetics, and speech was approximately 2 weeks. The definitive mandibular prosthesis was designed for total implant support and stability with patient retrievability. Adequate space between the mandibular bar system and the soft tissue created a high water bridge effect for self-cleansing. Following a short interim mandibular healing period, the maxillary sinuses were bilaterally grafted to compensate for bone inadequacies and deficiencies for future maxillary implant reconstruction. © 2013 by the American College of Prosthodontists.

  19. [Lessons from abroad. Current and previous crisis in other countries. SESPAS report 2014].

    Science.gov (United States)

    Rivadeneyra-Sicilia, Ana; Minué Lorenzo, Sergio; Artundo Purroy, Carlos; Márquez Calderón, Soledad

    2014-06-01

    The evidence available on the impact of previous crises on health reveals different patterns attributable to study designs, the characteristics of each crisis, and other factors related to the socioeconomic and political context. There is greater consensus on the mediating role of government policy responses to financial crises. These responses may magnify or mitigate the adverse effects of crises on population health. Some studies have shown a significant deterioration in some health indicators in the context of the current crisis, mainly in relation to mental health and communicable diseases. Alcohol and tobacco use have also declined in some European countries. In addition, this crisis is being used by some governments to push reforms aimed at privatizing health services, thereby restricting the right to health and healthcare. Specifically, action is being taken on the three axes that determine health system financing: the population covered, the scope of services, and the share of the costs covered. These measures are often arbitrarily implemented based on ideological decisions rather than on the available evidence and therefore adverse consequences are to be expected in terms of financial protection, efficiency, and equity. Copyright © 2013 SESPAS. Published by Elsevier Espana. All rights reserved.

  20. Increased Symptom Reporting in Young Athletes Based on History of Previous Concussions.

    Science.gov (United States)

    Moser, Rosemarie Scolaro; Schatz, Philip

    2017-01-01

    Research documents increased symptoms in adolescents with a history of two or more concussions. This study examined baseline evaluations of 2,526 younger athletes, ages 10 to 14. Between-groups analyses examined Post Concussion Symptom Scale symptoms by concussion history group (None, One, Two+) and clusters of Physical, Cognitive, Emotional, and Sleep symptoms. Healthy younger athletes with a concussion history reported greater physical, emotional, and sleep-related symptoms than those with no history of concussion, with a greater endorsement in physical/sleep symptom clusters. Findings suggest younger athletes with a history of multiple concussions may experience residual symptoms.

  1. Safety and radiation-enhancing effect of sodium glycididazole in loco regionally advanced laryngeal cancers previously treated with platinum-containing chemotherapy regimens: a preliminary report; Tolerance et effet radiosensibilisateur du sodium glycididazole chez des patients atteints de cancer du larynx localement evolue ayant prealablement recu une chimiotherapie a base de cisplatine: rapport preliminaire

    Energy Technology Data Exchange (ETDEWEB)

    Zeng, Y.C.; Wu, R.; Xu, Z.G.; Zhang, X.Y.; Wu, L.N.; Wang, Y.M.; Zheng, W.; Chen, X.D.; Chi, F.; Zhang, Z.Y.; Li, X.; Jin, X.Y.; Chen, W.; Wang, S.L.; Xiao, F.D.; Wang, E.Y.; Dong, X.Q.; Jia, M.X.; Li, Y. [China Medical Univ., Dept. of Medical Oncology, Shengjing Hospital, Shenyang, PR (China); Fan, G.L. [Harbin First Hospital, Dept. of Otorhinolaryngology, PR (China); Hao, S.H.; Zhang, L.B.; Zhang, H.B. [General Hospital of Shenyang Military Region, Dept. of Nuclear Medicine and Radiology, Shenyang, PR (China); Xia, H.H.X. [Novartis Pharmaceuticals Corporation, East Hanover, New Jersey (United States)

    2010-01-15

    Purpose: To determine the safety and radiation-enhancing effect of sodium glycididazole in laryngeal squamous cell carcinoma (stage T3-4,N0-3,M0) with conventional radiotherapy. Patients and methods: Patients with locoregional advanced laryngeal cancer (stage T3-4,N0-3,M0) were included: group 1(control, n = 30)were not administered of sodium glycididazole; group 2 (test, n = 30) received sodium glycididazole at a dose of 700 mg/m2 intravenous infusion 30 minutes before radiotherapy three times a week. Surrogate end-points of efficacy were tumor and nodal size. Safety parameters were vomiting, nausea, mucositis, laryngeal edema, esophagus and skin reaction, dysphagia, dyspnea, neurological deficit. Patients were evaluated weekly during treatment for 7 weeks and thereafter monthly for 3 months. Results: In the test, the overall response rate was 88.89% (95% CI, 71.00-97.00%) at 7 weeks and 92.59% (95% CI, 76.00 to 99.00%) at 1 month of follow-up. In the control, the overall response rate was 62.5% (95% CI, 41.00 to 81.00%) at 7 weeks and 58.33% (95% CI, 37.00 to 78.00%) at 1 month of follow-up. The short-term locoregional response rate was better in the test group at 7 weeks (p = 0.027) and at 1 month (p = 0.005) of follow-up. The test group had significantly more nausea and vomiting in weeks 1 (p = 0.047), 2 (p = 0.007), and 3 (p = 0.01) of treatment. Conclusions: The study indicates sodium glycididazole is an effective radiation-enhancing agent that improves short-term locoregional control and is well tolerated in patients with loco regionally advanced laryngeal cancer. (authors)

  2. The effects of anticholinergic drugs on regional cerebral blood flow, and oxygen metabolism in previously untreated patients with Parkinson's disease

    International Nuclear Information System (INIS)

    Obara, Satoko; Takahashi, Satoshi; Yonezawa, Hisashi; Sato, Yoshitomo

    1998-01-01

    Regional cerebral blood flow (rCBF) and oxygen metabolism (rCMRO 2 ) were measured using the steady-state 15 O technique and positron emission tomography (PET) in six previously untreated patients with Parkinson's disease before and after trihexyphenidyl (THP) treatment. The patients comprised of 4 men and 2 women with Hoehn-Yahr stage II-III. Their ages at the onset of the study ranged from 46 to 57 years (mean±SD, 51.8±3.7) and the duration of the illness ranged from 10 to 48 months (mean±SD, 28.8±15.5). The PET study, assessments of the disability and cognitive function were undergone twice. The first time assessments were done was when the patients were not receiving any drugs, and the second time was one to three months after administration of 6 mg THP. All patients showed clinical improvement after THP treatment. The mean disability score of Unified Parkinson's Disease Rating Scale decreased from 35.1 (SD±11.3) to 25.7 (SD±11.6). The cognitive function assessed by Hasegawa's dementia rating scale-revised, Mini-Mental State Examination, Wechsler Adult Intelligence Scale-Revised, and Wechsler Memory Scale-Revised, were not significantly different before and after the THP treatment. After the THP treatment, rCBF and rCMRO 2 decreased significantly in the striatum (about 15%) and all cerebral cortices (about 10%) on both sides contralateral and ipsilateral to the predominantly symptomatic limbs. We conclude that an anticholinergic THP decreases the rCBF and rCMRO 2 significantly in the cerebral cortices without cognitive impairment in early untreated patients with Parkinson's disease. (author)

  3. Leiomyosarcoma of the Prostate: Case Report and Review of 54 Previously Published Cases

    Directory of Open Access Journals (Sweden)

    Gerasimos P. Vandoros

    2008-01-01

    Full Text Available Prostate leiomyosarcoma is an extremely rare and highly aggressive neoplasm that accounts for less than 0.1% of primary prostate malignancies. We present a patient with primary leiomyosarcoma of the prostate and review 54 cases reported in the literature to discuss the clinical, diagnostic and therapeutic aspects of this uncommon tumor. Median survival was estimated at 17 months (95% C.I. 20.7–43.7 months and the 1-, 3-, and 5-year actuarial survival rates were 68%, 34%, and 26%, respectively. The only factors predictive of long-term survival were negative surgical margins and absence of metastatic disease at presentation. A multidisciplinary approach is necessary for appropriate management of this dire entity.

  4. Ruptured Rudimentary Horn Pregnancy at 25 Weeks with Previous Vaginal Delivery: A Case Report

    Directory of Open Access Journals (Sweden)

    Deepa V. Kanagal

    2012-01-01

    Full Text Available Unicornuate uterus with rudimentary horn occurs due to failure of complete development of one of the Mullerian ducts and incomplete fusion with the contralateral side. Pregnancy in a noncommunicating rudimentary horn is extremely rare and usually terminates in rupture during first or second trimester of pregnancy. Diagnosis of rudimentary horn pregnancy and its rupture in a woman with prior vaginal delivery is difficult. It can be missed in routine ultrasound scan and in majority of cases it is detected after rupture. It requires a high index of suspicion. We report a case of G2PlL1 with rupture rudimentary horn pregnancy at 25 weeks of gestation which was misdiagnosed as intrauterine pregnancy with fetal demise by ultrasound, and termination was attempted and the case was later referred to our hospital after the patient developed hemoperitoneum and shock with a diagnosis of rupture uterus. Laparotomy revealed rupture of right rudimentary horn pregnancy with massive hemoperitoneum. Timely laparotomy, excision of the horn, and blood transfusion saved the patient.

  5. Stevens-Johnson Syndrome Induced by Carbamazepine Treatment in a Patient Who Previously Had Carbamazepine Induced Pruritus - A Case Report -

    OpenAIRE

    Bae, Hyun Min; Park, Yoo Jung; Kim, Young Hoon; Moon, Dong Eon

    2013-01-01

    Stevens-Johnson syndrome (SJS) is a rare but life-threatening skin reaction disease and carbamazepine is one of its most common causes. We report a case of SJS secondary to carbamazepine in a patient with previous pruritus due to carbamazepine which was given for treatment of trigeminal neuralgia. We would like to caution all providers that carbamazepine readministration should be avoided in the patient with a previous history of SJS or adverse skin reaction. In addition, we strongly recommen...

  6. Continuation of the summarizing interim report on previous results of the Gorleben site survey as of May 1983

    International Nuclear Information System (INIS)

    1990-04-01

    In addition to results from the 1983 interim report, this report contains, in order to supplement the surface explorations, seismic reflection measurements, hydrogeologic and seismologic investigations, sorption experiments, and studies of glacial development in the site region and of long-term safety of final waste repositories in salt domes. The site's high grade of suitability for becoming a final radioactive waste repository, the legal basis as well as quality assurance are evaluated. (orig.) [de

  7. Self-reported previous knee injury and low knee function increase knee injury risk in adolescent female football

    DEFF Research Database (Denmark)

    Clausen, Mikkel Bek; Tang, L; Zebis, M K

    2016-01-01

    with low KOOS subscale scores (Sport/Recreational (RR: 2.2) and Quality of Life (RR: 3.0) (P time-loss knee...... questionnaires were collected at baseline. Time-loss knee injuries and football exposures were reported weekly by answers to standardized text-message questions, followed by injury telephone interviews. A priori, self-reported previous knee injury and low KOOS subscale scores (... as independent variables in the risk factor analyses. The study showed that self-reported previous knee injury significantly increased the risk of time-loss knee injury [relative risk (RR): 3.65, 95% confidence (CI) 1.73-7.68; P time-loss knee injury was also significantly increased in players...

  8. Regional Assessment and Participative Evaluation: Final Report.

    Science.gov (United States)

    Young, Roger L.; Gould, John A., Jr.

    The report surveys the occupational environment of the towns in the region within 30 to 45 minutes' commuting time of North Reading, Massachusetts. A random sample of manufacturing, wholesale and retail trade, service, and to a much lesser extent finance, insurance, real estate establishments was surveyed in person or by mail. Information…

  9. Lack of Cetuximab induced skin toxicity in a previously irradiated field: case report and review of the literature

    Science.gov (United States)

    2010-01-01

    Introduction Mutation, amplification or dysregulation of the EGFR family leads to uncontrolled division and predisposes to cancer. Inhibiting the EGFR represents a form of targeted cancer therapy. Case report We report the case of 79 year old gentlemen with a history of skin cancer involving the left ear who had radiation and surgical excision. He had presented with recurrent lymph node in the left upper neck. We treated him with radiation therapy concurrently with Cetuximab. He developed a skin rash over the face and neck area two weeks after starting Cetuximab, which however spared the previously irradiated area. Conclusion The etiology underlying the sparing of the previously irradiated skin maybe due to either decrease in the population of EGFR expressing cells or decrease in the EGFR expression. We raised the question that "Is it justifiable to use EGFR inhibitors for patients having recurrence in the previously irradiated field?" We may need further research to answer this question which may guide the physicians in choosing appropriate drug in this scenario. PMID:20478052

  10. Dactylogyrid monogeneans parasitising Cyphocharax voga (Hensel) (Teleostei: Curimatidae) from the Pampas region, Argentina: new and previously described species.

    Science.gov (United States)

    Rossin, María Alejandra; Timi, Juan Tomás

    2016-09-01

    Most studies on dactylogyrid monogeneans in Argentina have been carried out during 1980s and 1990s. Many of these species have been later synonymised and other remain under a confusing taxonomic status, particularly those parasitising Cyphocharax voga (Hensel) (Teleostei: Curimatidae). In order to clarify the identity of dactylogyrids, new material was collected from fishes in Lake Chascomús, Buenos Aires Province, Argentina. A total of four species was found in the gills of C. voga. Two known species, Curvianchoratus singularis (Suriano, 1980) Suriano, 1986 and Palombitrema triangulum (Suriano, 1981) Suriano, 1997, are redescribed and their generic and specific status discussed, and two new species are described. Urocleidoides surianoae n. sp. can be distinguished from its congeners by having an anterior medial projection in the ventral bar and a laminar ligament connecting the base of the male copulatory organ and accessory piece. Annulotrematoides bonaerensis n. sp. differs from its congeners principally by having a ventral bar with an anterior medial projection. The diversity of dactylogyrids harboured by C. voga indicates the need of further studies in the Pampas region, which will provide interesting and valuable sources of evidence for future zoogeographical and evolutionary research on dactylogyrids in the Neotropics.

  11. Northeastern Regional geologic characterization report. Volume 1. Final report

    International Nuclear Information System (INIS)

    1985-08-01

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

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

    International Nuclear Information System (INIS)

    1985-08-01

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

  13. Regional Assessment of Supplementation Project. Status report

    Energy Technology Data Exchange (ETDEWEB)

    1991-10-01

    The Fish and Wildlife Program of the Northwest Power Planning Council (NPPC) prescribes several approaches to achieve its goal of doubling the salmon and steelhead runs of the Columbia River. Among those approaches are habitat restoration, improvements in adult and juvenile passage at dams and artificial propagation. Supplementation will be a major part of the new hatchery programs. The purpose of the Regional Assessment of Supplementation Project (RASP) is to provide an overview of ongoing and planned supplementation activities, to construct a conceptual framework and model for evaluating the potential benefits and risks of supplementation and to develop a plan for better regional coordination of research and monitoring and evaluation of supplementation. RASP has completed its first year of work. Progress toward meeting the first year`s objectives and recommendations for future tasks are contained in this report.

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

    International Nuclear Information System (INIS)

    1985-08-01

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

  15. Northeastern Regional environmental characterization report. Volume 1. Final report

    International Nuclear Information System (INIS)

    1985-08-01

    This report presents available environmental information pertinent to siting a repository for high-level nuclear waste in crystalline rock in Maine, New Hampshire, Vermont, northeastern and southeastern New York, Massachusetts, Rhode Island, Connecticut, northern New Jersey, and eastern Pennsylvania. For each of the States within the Northeastern Region, information is provided on those environmental disqualifying factors and regional screening variables to be used in region-to-area screening. These environmental factors and variables include existing and proposed Federal-protected lands, components of National Forest Lands, proximity to Federal-protected lands, existing State-protected lands, proximity to State-protected lands, population density and distribution, proximity to highly populated areas, or to 1-mile-square areas with 1000 or more persons, National and State forest lands, designated critical habitats for threatened and endangered species, surface water bodies, and wetlands. In addition, supplementary descriptive information providing a general characterization of the region is presented, as is information on environmental parameters that will be of use at later phases of screening. Also included is a discussion of the relationship between the US Department of Energy Siting Guidelines (10 CFR 960) and those environmental disqualifying factors and regional screening variables to be used in the region-to-area screening process

  16. Southeastern Regional Environmental Characterization Report. Volume 1. Final report

    International Nuclear Information System (INIS)

    1985-08-01

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

  17. FY08 LDRD Final Report Regional Climate

    Energy Technology Data Exchange (ETDEWEB)

    Bader, D C; Chin, H; Caldwell, P M

    2009-05-19

    An integrated, multi-model capability for regional climate change simulation is needed to perform original analyses to understand and prepare for the impacts of climate change on the time and space scales that are critical to California's future environmental quality and economic prosperity. Our intent was to develop a very high resolution regional simulation capability to address consequences of climate change in California to complement the global modeling capability that is supported by DOE at LLNL and other institutions to inform national and international energy policies. The California state government, through the California Energy Commission (CEC), institutionalized the State's climate change assessment process through its biennial climate change reports. The bases for these reports, however, are global climate change simulations for future scenarios designed to inform international policy negotiations, and are primarily focused on the global to continental scale impacts of increasing emissions of greenhouse gases. These simulations do not meet the needs of California public and private officials who will make major decisions in the next decade that require an understanding of climate change in California for the next thirty to fifty years and its effects on energy use, water utilization, air quality, agriculture and natural ecosystems. With the additional development of regional dynamical climate modeling capability, LLNL will be able to design and execute global simulations specifically for scenarios important to the state, then use those results to drive regional simulations of the impacts of the simulated climate change for regions as small as individual cities or watersheds. Through this project, we systematically studied the strengths and weaknesses of downscaling global model results with a regional mesoscale model to guide others, particularly university researchers, who are using the technique based on models with less complete

  18. Shunt malfunction causing acute neurological deterioration in 2 patients with previously asymptomatic Chiari malformation Type I. Report of two cases.

    Science.gov (United States)

    Elliott, Robert; Kalhorn, Stephen; Pacione, Donato; Weiner, Howard; Wisoff, Jeffrey; Harter, David

    2009-08-01

    Patients with symptomatic Chiari malformation Type I (CM-I) typically exhibit a chronic, slowly progressive disease course with evolution of symptoms. However, some authors have reported acute neurological deterioration in the setting of CM-I and acquired Chiari malformations. Although brainstem dysfunction has been documented in patients with CM-II and hydrocephalus or shunt malfunction, to the authors' knowledge only 1 report describing ventriculoperitoneal (VP) shunt malfunction causing neurological deterioration in a patient with CM-I exists. The authors report on their experience with the treatment of previously asymptomatic CM-I in 2 children who experienced quite different manifestations of acute neurological deterioration secondary to VP shunt malfunction. Presumably, VP shunt malfunction created a positive rostral pressure gradient across a stenotic foramen magnum, resulting in tetraparesis from foramen magnum syndrome in 1 patient and acute ataxia and cranial nerve deficits from syringobulbia in the other. Although urgent shunt revisions yielded partial recovery of neurological function in both patients, marked improvement occurred only after posterior fossa decompression.

  19. Southeastern Regional geologic characterization report. Volume 1. Final report

    International Nuclear Information System (INIS)

    1985-08-01

    This report presents available geologic information pertinent to siting a repository for high-level nuclear waste in crystalline rock in central Maryland; noncoastal Virginia, North Carolina, and South Carolina; and northern Georgia. For each of the states within the Southeastern Region, information is provided on the geological disqualifying factor and the geologic regional screening variables to be used in region-to-area screening. The geological factor and variables include deep mines and quarries, rock mass extent, postemplacement faulting, suspected Quaternary faulting, seismicity, rock and mineral resources, major ground-water discharge zones, ground-water resources, state of stress, thickness of rock mass, and thickness of overburden. Information is presented on the age, areal extent, shape, composition, texture, degree and type of alteration, thickness, and structural features associated with each rock body or complex. Regional seismic and tectonic information is presented, including patterns of earthquake occurrence, earthquake magnitudes, horizontal ground accelerations, and vertical crustal movements. Also included are discussions of the rock and mineral deposits or mines located within or near crystalline bodies; ground-water resources and regional hydrology; postulated changes in climate and the associated effects; and landforms, surface processes, and surficial materials on or near the rock bodies

  20. Placenta Percreta Invading Broad Ligament and Parametrium in a Woman with Two Previous Cesarean Sections: A Case Report

    Directory of Open Access Journals (Sweden)

    Mansoureh Vahdat

    2012-01-01

    Full Text Available Introduction. The incidence of placenta accreta has dramatically increased due to increasing caesarean section rate all over the world. Placenta percreta is the most severe form of placenta accretes. It frequently results in maternal morbidity and mortality mainly caused by massive obstetric hemorrhage or emergency hysterectomy. Percreta invading into the broad ligament has rarely been previously reported. Case presenting. We presented a case of placenta percreta invading left broad ligament and parametrium in a woman with two previous cesarean sections, which led to massive intraoperative hemorrhage during hysterectomy and transient ischemic encephalopathy. Conclusion. In cases of parametrial involvement, it would be more difficult to decide whether to remove placenta or leave it in site. In surgical removal neither local excision of placental bed and uterine repair nor traditional hysterectomy is adequate if parametrium invaded by placenta. We suggest delayed elective hysterectomy in such cases. So, pregnancy-induced pelvic congestion would be decreased, we can gather an expert team of gynecologists, urologists, and vascular surgeons, we could get plenty of blood products, and we may have the chance to administer methotrexate.

  1. Extensive lipoma in chin region. Case report

    Directory of Open Access Journals (Sweden)

    Carlos Victor Ferrereira Bissonho

    Full Text Available Introduction: Lipomas consist of benign tumors of mesenchymal origin that may be found in locations where adipose tissue is normally present. The most common locations for these tumors are the trunk and the end-points of the extremities. However, these tumors may occur in the oral cavity. Objective: The present study conducts a brief review of the literature on oral lipoma (OL and reports a clinical case. Material and Method: Surgical treatment of a patient with swelling in the region of the jugal mucosa was performed for the present study. Result and conclusion: The present study presents a clinical case of a lipoma, as well as the satisfactory treatment of the case with no recurrence of the tumor.

  2. Pushing the boundaries in liver graft utilisation in transplantation: Case report of a donor with previous bile duct injury repair.

    Science.gov (United States)

    Sultana, Asma; Powell, James J; Oniscu, Gabriel C

    2017-01-01

    Liver transplantation is a recognised treatment for extensive bile duct injuries with secondary biliary cirrhosis or recurring sepsis. However, there have been no reports of successful liver transplantation from a donor who sustained a previous bile duct injury. Here we discuss the case of a liver transplant from a 51-year-old brain dead donor who had suffered a Strasberg E1 bile duct injury and had undergone a Roux-en-Y hepaticojejunostomy 24 years prior to donation. The liver was successfully recovered and transplanted into a 56-year-old male recipient with end stage liver disease consequent to alpha 1 antitrypsin deficiency. The graft continues to function well 36 months post-transplant, with normal liver function tests and imaging revealing a patent hepaticojejunostomy. The potential associated vascular injuries should be identified during bench preparation whilst the management of biliary reconstruction at the time of transplant should follow the principles of biliary reconstruction in cases with biliary injuries, extending the hilar opening into the left duct. This case highlights the successful utilisation of a post bile duct injury repair liver, employing an experienced procurement team and careful bench assessment and reconstruction. Copyright © 2017. Published by Elsevier Ltd.

  3. Gulf of Mexico Regional Collaborative Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Judd, Kathleen S. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Judd, Chaeli [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Engel-Cox, Jill A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Gulbransen, Thomas [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Anderson, Michael G. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Woodruff, Dana L. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Thom, Ronald M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Guzy, Michael [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Hardin, Danny [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Estes, Maury [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2007-12-01

    This report presents the results of the Gulf of Mexico Regional Collaborative (GoMRC), a year-long project funded by NASA. The GoMRC project was organized around end user outreach activities, a science applications team, and a team for information technology (IT) development. Key outcomes are summarized below for each of these areas. End User Outreach; Successfully engaged federal and state end users in project planning and feedback; With end user input, defined needs and system functional requirements; Conducted demonstration to End User Advisory Committee on July 9, 2007 and presented at Gulf of Mexico Alliance (GOMA) meeting of Habitat Identification committee; Conducted significant engagement of other end user groups, such as the National Estuary Programs (NEP), in the Fall of 2007; Established partnership with SERVIR and Harmful Algal Blooms Observing System (HABSOS) programs and initiated plan to extend HABs monitoring and prediction capabilities to the southern Gulf; Established a science and technology working group with Mexican institutions centered in the State of Veracruz. Key team members include the Federal Commission for the Protection Against Sanitary Risks (COFEPRIS), the Ecological Institute (INECOL) a unit of the National Council for science and technology (CONACYT), the Veracruz Aquarium (NOAA’s first international Coastal Ecology Learning Center) and the State of Veracruz. The Mexican Navy (critical to coastal studies in the Southern Gulf) and other national and regional entities have also been engaged; and Training on use of SERVIR portal planned for Fall 2007 in Veracruz, Mexico Science Applications; Worked with regional scientists to produce conceptual models of submerged aquatic vegetation (SAV) ecosystems; Built a logical framework and tool for ontological modeling of SAV and HABs; Created online guidance for SAV restoration planning; Created model runs which link potential future land use trends, runoff and SAV viability; Analyzed SAV

  4. External cephalic version among women with a previous cesarean delivery: report on 36 cases and review of the literature.

    Science.gov (United States)

    Abenhaim, Haim A; Varin, Jocelyne; Boucher, Marc

    2009-01-01

    Whether or not women with a previous cesarean section should be considered for an external cephalic version remains unclear. In our study, we sought to examine the relationship between a history of previous cesarean section and outcomes of external cephalic version for pregnancies at 36 completed weeks of gestation or more. Data on obstetrical history and on external cephalic version outcomes was obtained from the C.H.U. Sainte-Justine External Cephalic Version Database. Baseline clinical characteristics were compared among women with and without a history of previous cesarean section. We used logistic regression analysis to evaluate the effect of previous cesarean section on success of external cephalic version while adjusting for parity, maternal body mass index, gestational age, estimated fetal weight, and amniotic fluid index. Over a 15-year period, 1425 external cephalic versions were attempted of which 36 (2.5%) were performed on women with a previous cesarean section. Although women with a history of previous cesarean section were more likely to be older and para >2 (38.93% vs. 15.0%), there were no difference in gestational age, estimated fetal weight, and amniotic fluid index. Women with a prior cesarean section had a success rate similar to women without [50.0% vs. 51.6%, adjusted OR: 1.31 (0.48-3.59)]. Women with a previous cesarean section who undergo an external cephalic version have similar success rates than do women without. Concern about procedural success in women with a previous cesarean section is unwarranted and should not deter attempting an external cephalic version.

  5. The Natural History of Juvenile or Subacute GM2 Gangliosidosis: 21 New Cases and Literature Review of 134 Previously Reported

    Science.gov (United States)

    Maegawa, Gustavo H. B.; Stockley, Tracy; Tropak, Michael; Banwell, Brenda; Blaser, Susan; Kok, Fernando; Giugliani, Roberto; Mahuran, Don; Clarke, Joe T. R.

    2010-01-01

    OBJECTIVE Juvenile GM2 gangliosidosis is a group of inherited neurodegenerative diseases caused by deficiency of lysosomal β-hexosaminidase resulting in GM2 ganglioside accumulation in brain. The purpose of this study was to delineate the natural history of the condition and identify genotype-phenotype correlations that might be helpful in predicting the course of the disease in individual patients. METHODS A cohort of 21 patients with juvenile GM2 gangliosidosis, 15 with the Tay-Sachs variant and 6 with the Sandhoff variant, was studied prospectively in 2 centers. Our experience was compared with previously published reports on 134 patients. Information about clinical features, β-hexosaminidase enzyme activity, and mutation analysis was collected. RESULTS In our cohort of patients, the mean (±SD) age of onset of symptoms was 5.3 ± 4.1 years, with a mean follow-up time of 8.4 years. The most common symptoms at onset were gait disturbances (66.7%), incoordination (52.4%), speech problems (28.6%), and developmental delay (28.6%). The age of onset of gait disturbances was 7.1 ± 5.6 years. The mean time for progression to becoming wheelchair-bound was 6.2 ± 5.5 years. The mean age of onset of speech problems was 7.0 ± 5.6 years, with a mean time of progression to anarthria of 5.6 ± 5.3 years. Muscle wasting (10.6 ± 7.4 years), proximal weakness (11.1 ± 7.7 years), and incontinence of sphincters (14.6 ± 9.7 years) appeared later in the course of the disease. Psychiatric disturbances and neuropathy were more prevalent in patients with the Sandhoff variant than in those with the Tay-Sachs variant. However, dysphagia, sphincter incontinence, and sleep problems occurred earlier in those with the Tay-Sachs variant. Cerebellar atrophy was the most common finding on brain MRI (52.9%). The median survival time among the studied and reviewed patients was 14.5 years. The genotype-phenotype correlation revealed that in patients with the Tay-Sachs variant, the presence

  6. Analysis of over 10,000 Cases finds no association between previously reported candidate polymorphisms and ovarian cancer outcome

    DEFF Research Database (Denmark)

    White, Kristin L; Vierkant, Robert A; Fogarty, Zachary C

    2013-01-01

    Ovarian cancer is a leading cause of cancer-related death among women. In an effort to understand contributors to disease outcome, we evaluated single-nucleotide polymorphisms (SNP) previously associated with ovarian cancer recurrence or survival, specifically in angiogenesis, inflammation, mitosis...

  7. The role of regional nerve block anesthesia for carotid endarterectomy: an experimental comparison with previous series with the use of general anesthesia and barbiturates for cerebral protection.

    Science.gov (United States)

    Agrifoglio, G; Agus, G B; Bonalumi, F; Costantini, A; Carlesi, R

    1987-01-01

    A retrospective analysis was performed on a consecutive series of 60 cases divided into two groups given carotid endarterectomy (C.E.) for atherosclerotic disease. In the first group general anesthesia and barbiturate cerebral protection were employed; in group two, loco-regional anesthesia. Indications and risk factors were similar in the two groups; the surgical procedure was identical. The differences in the results are reported and factors contributing to cerebral protection or reduction in the risk of stroke are analyzed. The analysis indicates that loco-regional anesthesia for C.E. is a reliable method for detecting cerebral ischemia and guaranteeing cerebral protection by means of a temporary shunt when strictly necessary.

  8. Rib cage deformity during two-stage tissue expander breast reconstruction in patient with previous radiotherapy: a case report

    Directory of Open Access Journals (Sweden)

    Aleš Porčnik

    2016-02-01

    Full Text Available Patients undergoing two-stage breast reconstruction with tissue expander and a history of previous irradiation are predisposed to a various chest-wall deformations more than non-irradiated patients. If chest-wall depression with/without rib fracture is found intra-operatively, bigger implant should be used, with a subsequent radiologic evaluation. In the future, the development of a new, modified expander with a harder base could minimise such complications.

  9. Environmental Survey in Region VI, Haltenbanken, 2009. Summary report; Miljoeundersoekelse i Region VI, Haltenbanken, 2009. Sammendragsrapport

    Energy Technology Data Exchange (ETDEWEB)

    Mannvik, Hans-Petter; Wasbotten, Ingar Halvorsen

    2010-07-01

    An environmental survey of Region VI, Haltenbanken, has been carried out. This report presents the results from the analyses carried out on samples from a total of 316 stations at 16 fields and 15 regional stations. A status of the environmental conditions in the region is given at the end of the report. (Author)

  10. Great plains regional climate assessment technical report

    Science.gov (United States)

    The Great Plains region (GP) plays important role in providing food and energy to the economy of the United States. Multiple climatic and non-climatic stressors put multiple sectors, livelihoods and communities at risk, including agriculture, water, ecosystems and rural and tribal communities. The G...

  11. Appalachian Regional Commission: 1982 Annual Report.

    Science.gov (United States)

    Appalachian Regional Commission, Washington, DC.

    Fiscal year 1982 was transitional for the Appalachian Regional Commission (ARC), as it was the last year of the broad economic development program and a year of reduced funding and new limits on programs. In 1981, Congress had requested that ARC prepare a plan for completion of the Appalachian highway system and for a 3 to 5 year ARC finish-up…

  12. Appalachian Regional Commission: 1979 Annual Report.

    Science.gov (United States)

    Appalachian Regional Commission, Washington, DC.

    Narrative text, tables, maps, and photographs present an overview of the Appalachian Regional Commission's (ARC) activities in fiscal year 1979, past achievements, and future goals. Major accomplishments of 1979 include: utilization of the $233 million appropriation for highway construction; approval of over $143 million in ARC funds for 985…

  13. A Case Report of Salmonella muenchen Enteritis Causing Rhabdomyolysis and Myocarditis in a Previously Healthy 26-Year-Old Man.

    Science.gov (United States)

    Chapple, Will; Martell, Jon; Wilson, Joy S; Matsuura, Don T

    2017-04-01

    This case report examines an unusual presentation of a non-typhoidal Salmonella serovar with limited prevalence in the literature. This is the first case report to associate specifically the Salmonella muenchen serovar with rhabdomyolysis and myocarditis. This case report reviews the diagnostic criteria for myocarditis and explores the diagnostic dilemma of troponin elevation in the setting of rhabdomyolysis. It demonstrates that Salmonella muenchen has the ability to present in a broad range of individuals with complications extending beyond classical gastrointestinal symptoms. This report also concludes that diagnosis of the many possible complications from non-typhoidal Salmonella infections can be difficult due to patient comorbidities, variability in the severity of the illnesses, laboratory test limitations, and imaging limitations. When a patient presents with elevated troponins in the setting of rhabdomyolysis a careful workup should be done to evaluate for ischemic causes, myocarditis, or false elevation secondary to rhabdomyolysis.

  14. 24 CFR 1710.558 - Previously accepted state filings-notice of revocation rights on property report cover page.

    Science.gov (United States)

    2010-04-01

    ... will give the purchaser written notification of purchaser's default or breach of contract and the... purchaser loses rights and interest in the lot because of the purchaser's default or breach of contract... Report prior to signing a contract or agreement, you may cancel your contract or agreement by giving...

  15. Leptotrichia endocarditis: report of two cases from the International Collaboration on Endocarditis (ICE) database and review of previous cases

    NARCIS (Netherlands)

    Caram, L. B.; Linefsky, J. P.; Read, K. M.; Murdoch, D. R.; Lalani, T.; Woods, C. W.; Reller, L. B.; Kanj, S. S.; Premru, M. M.; Ryan, S.; Al-Hegelan, M.; Donnio, P. Y.; Orezzi, C.; Paiva, M. G.; Tribouilloy, C.; Watkin, R.; Harris, O.; Eisen, D. P.; Corey, G. R.; Cabell, C. H.; Petti, C. A.; Gordon, David; Devi, Uma; Spelman, Denis; van der Meer, Jan T. M.; Kauffman, Carol; Bradley, Suzanne; Armstrong, William; Giannitsioti, Efthymia; Giamarellou, Helen; Lerakis, Stamatios; del Rio, Ana; Moreno, Asuncion; Mestres, Carlos A.; Paré, Carlos; de la Maria, Cristina Garcia; de Lazzario, Elisa; Marco, Francesc; Gatell, Jose M.; Miró, José M.; Almela, Manel; Azqueta, Manuel; Jiménez-Expósito, Maria Jesús; de Benito, Natividad; Perez, Noel; Almirante, Benito; Fernandez-Hidalgo, Nuria; de Vera, Pablo Rodriguez; Tornos, Pilar; Falcó, Vicente

    2008-01-01

    Leptotrichia species typically colonize the oral cavity and genitourinary tract. We report the first two cases of endocarditis secondary to L. goodfellowii sp. nov. Both cases were identified using 16S rRNA gene sequencing. Review of the English literature revealed only two other cases of

  16. Case report of electronic cigarettes possibly associated with eosinophilic pneumonitis in a previously healthy active-duty sailor.

    Science.gov (United States)

    Thota, Darshan; Latham, Emi

    2014-07-01

    Electronic cigarettes (e-cigarettes) are a technology that has been touted as a safe and effective alternative to traditional cigarettes. There is, however, a paucity of literature showing the adverse outcomes of e-cigarettes and a correlation with acute eosinophilic pneumonia (AEP). To present a possible association between e-cigarettes and AEP. A 20-year-old previously healthy man was found to develop AEP after smoking an e-cigarette. He was treated with antibiotics and steroids and his symptoms improved. Though an alternative to traditional cigarettes, e-cigarettes can have unpredictable and potentially serious adverse effects. More research needs to be conducted to determine their safety. If seeing a patient in the ED with pulmonary symptoms after use of e-cigarettes, AEP should be considered in the differential. Published by Elsevier Inc.

  17. Regionally Applied Research Efforts (RARE) Report titled " ...

    Science.gov (United States)

    The traditional methodology for health risk assessment used by the U. S. Environmental Protection Agency (EPA) is based on the use of exposure assumptions (e.g. exposure duration, food ingestion rate, body weight, etc.) that represent the entire American population, either as a central tendency exposure (e.g. average, median) or as a reasonable maximum exposure (e.g. 95% upper confidence limit). Unfortunately, EPA lacked exposure information for assessing health risks for New England regional tribes sustaining a tribal subsistence way of life. As a riverine tribe, the Penobscot culture and traditions are inextricably tied to the Penobscot River watershed. It is through hunting, fishing, trapping, gathering and making baskets, pottery, moccasins, birch-bark canoes and other traditional practices that the Penobscot culture and people are sustained. The Penobscot River receives a variety of pollutant discharges leaving the Penobscot Indian Nation (PIN) questioning the ecological health and water quality of the river and how this may affect the practices that sustain their way of life. The objectives of this Regional Applied Research Effort (RARE) study were to: (1) Develop culturally sensitive methodologies for assessing the potential level of exposure to contaminants that Penobscot Indian Nation tribal members may have from maintaining tribal sustenance practices; (2) Conduct field surveys and laboratory analysis on targeted flora and fauna for chemical expo

  18. Central posterior capsule pigmentation in a patient with pigment dispersion and previous ocular trauma: a case report.

    Science.gov (United States)

    Al-Mezaine, Hani S

    2010-01-01

    We report a 55-year-old man with unusually dense, unilateral central posterior capsule pigmentation associated with the characteristic clinical features of pigment dispersion syndrome, including a Krukenberg's spindle and dense trabecular pigmentation in both eyes. A history of an old blunt ocular trauma probably caused separation of the anterior hyaloid from the back of the lens, thereby creating an avenue by which pigment could reach the potential space of Berger's from the posterior chamber.

  19. Central posterior capsule pigmentation in a patient with pigment dispersion and previous ocular trauma: A case report

    Directory of Open Access Journals (Sweden)

    Al-Mezaine Hani

    2010-01-01

    Full Text Available We report a 55-year-old man with unusually dense, unilateral central posterior capsule pigmentation associated with the characteristic clinical features of pigment dispersion syndrome, including a Krukenberg′s spindle and dense trabecular pigmentation in both eyes. A history of an old blunt ocular trauma probably caused separation of the anterior hyaloid from the back of the lens, thereby creating an avenue by which pigment could reach the potential space of Berger′s from the posterior chamber.

  20. Southwest Region Experiment Station (SWRES) 1990 report

    Energy Technology Data Exchange (ETDEWEB)

    1991-03-01

    Photovoltaic (PV) systems and components have been tested at the SWRES since 1981. The US Department of Energy provided the initial funding for the 12 support structures on the site. Approximately 40 kW of PV was installed on the roofs of these support structures to study the performance of residential applications. A review of the performance of these systems during the decade of the 1980`s is included in Section 2 of this report.

  1. Regionalism and Statewide Coordination of Postsecondary Education. Report No. 26.

    Science.gov (United States)

    Martorana, S. V.; McGuire, W. Gary

    Initial findings are reported of a continuing study of a new American postsecondary educational planning and coordination concept and its implementation: regionalism and regionalization. Regionalism is defined as that view of a geographic subsection of a state or of several adjoining states that considers all or a number of the postsecondary…

  2. North Central regional environmental characterization report: executive summary - final

    International Nuclear Information System (INIS)

    1985-08-01

    This Executive Summary of the final North Central Regional Environmental Characterization Report (RECR) is issued primarily for public information purposes and provides a general overview of the report. The complete RECR presents available regional environmental information pertinent to siting a repository for high-level nuclear waste in crystalline rock in Minnesota, Wisconsin, and the Upper Peninsula of Michigan. For each of the States within the North Central Region, information is provided on the environmental disqualifying factors and the environmental regional screening variables to be used in region-to-area screening

  3. The Middle East competitiveness report: regional and territorial analysis

    OpenAIRE

    Huggins, R; Mahroum, S; Thompson, P

    2016-01-01

    This report explores the extent to which Middle Eastern regions have generated relatively high or low levels of competitiveness. Whilst many Middle Eastern regions may owe some of their competitiveness to the natural advantages of oil reserves, for others their competitiveness has been achieved through other means. Their small size and high degree of autonomy means that many of the regions are effectively independent states. Middle Eastern nations and their regions have been characterized by ...

  4. Relative impact of previous disturbance history on the likelihood of additional disturbance in the Northern United States Forest Service USFS Region

    Science.gov (United States)

    Hernandez, A. J.

    2015-12-01

    The Landsat archive is increasingly being used to detect trends in the occurrence of forest disturbance. Beyond information about the amount of area affected, forest managers need to know if and how disturbance regimes change. The National Forest System (NFS) has developed a comprehensive plan for carbon monitoring that requires a detailed temporal mapping of forest disturbances across 75 million hectares. A long-term annual time series that shows the timing, extent, and type of disturbance beginning in 1990 and ending in 2011 has been prepared for several USFS Regions, including the Northern Region. Our mapping starts with an automated detection of annual disturbances using a time series of historical Landsat imagery. Automated detections are meticulously inspected, corrected and labeled using various USFS ancillary datasets. The resulting maps of verified disturbance show the timing and types are fires, harvests, insect activity, disease, and abiotic (wind, drought, avalanche) damage. Also, the magnitude of each change event is modeled in terms of the proportion of canopy cover lost. The sequence of disturbances for every pixel since 1990 has been consistently mapped and is available across the entirety of NFS. Our datasets contain sufficient information to describe the frequency of stand replacement, as well as how often disturbance results in only a partial loss of canopy. This information provides empirical insight into how an initial disturbance may predispose a stand to further disturbance, and it also show a climatic signal in the occurrence of processes such as fire and insect epidemics. Thus, we have the information to model the likelihood of occurrence of certain disturbances after a given event (i.e. if we have a fire in the past what does that do to the likelihood of occurrence of insects in the future). Here, we explore if previous disturbance history is a reliable predictor of additional disturbance in the future and we present results of applying

  5. The effects of anticholinergic drugs on regional cerebral blood flow, and oxygen metabolism in previously untreated patients with Parkinson`s disease

    Energy Technology Data Exchange (ETDEWEB)

    Obara, Satoko; Takahashi, Satoshi; Yonezawa, Hisashi; Sato, Yoshitomo [Iwate Medical Univ., Morioka (Japan). School of Medicine

    1998-12-01

    Regional cerebral blood flow (rCBF) and oxygen metabolism (rCMRO{sub 2}) were measured using the steady-state {sup 15}O technique and positron emission tomography (PET) in six previously untreated patients with Parkinson`s disease before and after trihexyphenidyl (THP) treatment. The patients comprised of 4 men and 2 women with Hoehn-Yahr stage II-III. Their ages at the onset of the study ranged from 46 to 57 years (mean{+-}SD, 51.8{+-}3.7) and the duration of the illness ranged from 10 to 48 months (mean{+-}SD, 28.8{+-}15.5). The PET study, assessments of the disability and cognitive function were undergone twice. The first time assessments were done was when the patients were not receiving any drugs, and the second time was one to three months after administration of 6 mg THP. All patients showed clinical improvement after THP treatment. The mean disability score of Unified Parkinson`s Disease Rating Scale decreased from 35.1 (SD{+-}11.3) to 25.7 (SD{+-}11.6). The cognitive function assessed by Hasegawa`s dementia rating scale-revised, Mini-Mental State Examination, Wechsler Adult Intelligence Scale-Revised, and Wechsler Memory Scale-Revised, were not significantly different before and after the THP treatment. After the THP treatment, rCBF and rCMRO{sub 2} decreased significantly in the striatum (about 15%) and all cerebral cortices (about 10%) on both sides contralateral and ipsilateral to the predominantly symptomatic limbs. We conclude that an anticholinergic THP decreases the rCBF and rCMRO{sub 2} significantly in the cerebral cortices without cognitive impairment in early untreated patients with Parkinson`s disease. (author)

  6. Laparoscopy After Previous Laparotomy

    Directory of Open Access Journals (Sweden)

    Zulfo Godinjak

    2006-11-01

    Full Text Available Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previouslaparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. Not even in one patient adhesions in the region of umbilicus were found, and no abdominal organs were injured.

  7. Transient Regional Osteoporosis of the Hip: Case Report - Case Report

    Directory of Open Access Journals (Sweden)

    İlknur Aktaş

    2006-12-01

    Full Text Available Transient regional osteoporosis of the hip (TOH is an uncommon cause of hip pain. It affects mostly healthy middle-aged men, and women in the third trimester of pregnancy. The aetiology is unknown. Differential diagnosis includes avascular necrosis, stress fracture, septic arthritis, malignancy, soft-tissue injury, osteoarthrosis and radiculopathy. Due to its association with bone marrow oedema, TOH is a pathology in which magnetic resonans imaging is extremely important in differential diagnosis. In this paper, a male patient with complaint of hip pain and difficulty in walking, which was diagnosed as TOH was presented by reviewing current literature. (Osteoporoz Dünyasından 2006;12:87-90

  8. Unexpected finding of T-cell lymphoma in a previously healthy 16-year-old patient after a thorax trauma: a case report

    DEFF Research Database (Denmark)

    Bach Okholm-Hansen, Anna; Brorson, Stig

    2014-01-01

    INTRODUCTION: We describe the clinical course and emphasize the difficulties in diagnosing T-cell lymphoblastic lymphoma. The differential diagnostic difficulties have previously been described in regard to pneumonia, but to the best of the authors' knowledge this is the first case report to desc...... relevant to pediatricians, surgeons, anesthesiologists, and general practitioners....

  9. Kaliningrad regional district heating network 2004-2006. Final report

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2006-06-15

    This report concerns: Kaliningrad Regional District Heating Network project which was implemented from 2004 to 2006. The task of the project was to establish and operate an association for district heating companies in the region in order to transfer and distribute district heating know-how to the sector and through activities strengthen the sector. The long term aim was to contribute to establishment of an association to continue as a real association for the heat supply companies in the region. (au)

  10. Final report : Occupational gap analysis, volume 2 Wood Buffalo region

    International Nuclear Information System (INIS)

    2002-06-01

    The general economy of the Wood Buffalo region of Alberta has improved in recent years due to the expansion of the oil sand industry. Many of the oil sands projects are situated in the southern part of the region and are serviced out of Lac LaBiche. This paper examines the implications of this economic growth for the regional supply and demand of workers in key occupational categories. In particular, it projects employment opportunities that are directly attributed to the regional economic expansion, and assesses whether there will be an adequate supply of workers to meet the demand for new and replacement employees. The report includes: an overview of the regional economy; a population forecast for the region and the demand for workers in selected occupations; an analysis of whether or not the new labour force entrants will choose the selected occupations; and, a supply and demand analysis. 7 tabs., 2 figs., 5 appendices

  11. Regional issue identification and assessment. First annual report

    Energy Technology Data Exchange (ETDEWEB)

    1979-09-01

    This regional assessment report portrays the major regional environmental, human health and safety, socioeconomic and institutional effects that might result from the implementation of one of a set of national energy supply and demand projections developed by the Department of Energy in 1978. General problem areas are identified and assessed on a regional and state basis that could either constrain or significantly modify the realization of the energy projections. Many of the issues identified are of a long-standing nature and would continue to exist, in spite of the particular energy projection used. The research and assessments reflected in this document were performed by six national laboratories. It is a compilation of individual reports prepared by Federal regions and available separately.

  12. Hepatic vascular isolation and perfusion for patients with progressive unresectable liver metastases from colorectal carcinoma refractory to previous systemic and regional chemotherapy

    Czech Academy of Sciences Publication Activity Database

    Alexander, HR.; Libutti, S. K.; Barlett, D. L.; Pingpank, J. F.; Kranda, Karel; Helsabeck, C.; Beresnev, T.

    2002-01-01

    Roč. 95, č. 4 (2002), s. 730-736 ISSN 0008-543X R&D Projects: GA AV ČR KSK4055109 Keywords : colorectal carcinoma * liver metastases * regional chemotherapy Subject RIV: FD - Oncology ; Hematology Impact factor: 1.000, year: 2002

  13. Application of the new requirements of safety of the IAEA for the previous management to the final disposal of radioactive waste in the region: a personal vision

    International Nuclear Information System (INIS)

    Sed, Luis Andres Jova

    2013-01-01

    The work includes the requirements for the responsibilities associated with the management prior to the final disposal of radioactive waste and as they are referred to in the Region. Also discusses the requirements for the main stages of the management prior to the final disposal of radioactive waste. A very important section of the new requirements is that establish requirements for safe operation of facilities management prior to the final disposal of radioactive wastes and the implementation of activities under conditions of safety and development. The work is emphatic on the importance of safety justification since the beginning of the development of a facility as a basis for the decision-making and approval process. Emphasis is also on the gradual approach which should provide for the collection, analysis and interpretation of the relevant technical data, plans for the design and operation, and the formulation of the justification of the security. This paper gives a personal view of the situation in the Region

  14. Devolved School Management in Tayside Region. Research Report Series.

    Science.gov (United States)

    Wilson, Valerie; And Others

    This report contains findings of an evaluation of the first phase of Tayside Region's (Scotland) Devolved School Management (DSM) scheme. The evaluation sought to evaluate the first phase of implementation and to suggest ways in which the scheme and accompanying training might be improved. Sixty schools chose to participate in the first phase,…

  15. [Metatropic dysplasia in a girl with c.1811_1812delinsAT mutation in exon 11 of the TRPV4 gene not previously reported].

    Science.gov (United States)

    Cammarata-Scalisi, Francisco; Matysiak-Scholze, Uta; Heinze, Jessica; Barrera, Albaro; Lacruz-Rengel, María Angelina; Bracho, Ana; Guerrero, Yudith

    2015-01-01

    Metatropic dysplasia is a skeletal disorder with clinical heterogeneity, characterized by craniofacial dysmorphy including frontal bossing and midface hypoplasia, short trunk,progressive kyphoscoliosis and shortened limbs. The TRPV4 gene is located on 12q24.11, coding a cation channel with nonselective permeability to calcium; it is expressed and involved in many physiological processes through responses to different stimuli. Over 50 mutations in TRPV4 have been described. We present a seven months old girl with heterozygous mutation c.1811_1812delinsAT; p.I604N in intron 11 not previously reported in the TRPV4 gene and with clinical findings compatible with metatropic dysplasia.

  16. Regional differences in self-reported HIV care and management in the EuroSIDA study

    DEFF Research Database (Denmark)

    Laut, Kamilla Grønborg; Mocroft, Amanda; Lazarus, Jeffrey

    2014-01-01

    INTRODUCTION: EuroSIDA has previously reported a poorer clinical prognosis for HIV-positive individuals in Eastern Europe (EE) as compared with patients from other parts of Europe, not solely explained by differences in patient characteristics. We explored regional variability in self-reported HIV...... management at individual EuroSIDA clinics, with a goal of identifying opportunities to reduce the apparent inequalities in health. METHODS: A survey (www.chip.dk/eurosida/csurvey) on HIV management was conducted in early 2014 in all currently active EuroSIDA clinics. Responders in EE were compared...... with clinics in all other EuroSIDA regions combined (non-EE). Characteristics were compared between regions using Fishers exact test. RESULTS: A total of 80/97 clinics responded (82.5%, 12/15 in EE, 68/82 in non-EE). Participating clinics reported seeing a total of 133,532 patients [a median of 1300 per clinic...

  17. New Record of Sillago sinica (Pisces: Sillaginidae in Korean Waters, and Re-identification of Sillago parvisquamis Previously Reported from Korea as S. sinica

    Directory of Open Access Journals (Sweden)

    Seung Eun Bae

    2013-10-01

    Full Text Available A single specimen of the genus Sillago, collected from Gwangyang, Korea, in May 2009, is characterized by XI first dorsal fin spines, 3 or 4 rows of melanophore pattern along the second dorsal fin membrane, and a darkish posterior margin of the caudal fin. Our specimen was identified as Sillago sinica reported as a new species; this identification is confirmed by mitochondrial DNA cytochrome oxidase subunit I sequences, which show that our specimen corresponds to S. sinica (d=0.000 and differs from the congeneric species Sillago parvisquamis (d=0.170. Comparisons of Korean specimens previously reported as S. parvisquamis with specimens of S. sinica show that the S. parvisquamis specimens are actually S. sinica. We propose the new Korean name “buk-bang-jeom-bo-ri-myeol” for S. sinica.

  18. Centro Regional de Ciencias Nucleares (a Brazilian regional center for nuclear sciences) - activities report - 1999

    International Nuclear Information System (INIS)

    1999-12-01

    The annual activities report of 1999 of nuclear sciences regional center - Brazilian organization - introduces the next main topics: institutional relations; sectorial actions - logistic support and training, laboratory of radiation protection and dosimetry, laboratory of metrology, laboratory of chemical characterization; technical and scientific events; and financial resources and perspectives for 2000

  19. Prospective evaluation of patient-reported quality-of-life outcomes following SBRT ± cetuximab for locally-recurrent, previously-irradiated head and neck cancer

    International Nuclear Information System (INIS)

    Vargo, John A.; Heron, Dwight E.; Ferris, Robert L.; Rwigema, Jean-Claude M.; Wegner, Rodney E.; Kalash, Ronny; Ohr, James; Kubicek, Greg J.; Burton, Steven

    2012-01-01

    Purpose: Stereotactic body radiotherapy (SBRT) has emerged as a promising salvage strategy for unresectable, previously-irradiated recurrent squamous cell carcinomas of the head and neck (rSCCHN). Here-in, we report the first prospective evaluation of patient-reported quality-of-life (PR-QoL) following re-irradiation with SBRT ± cetuximab for rSCCHN. Materials and methods: From November 2004 to May 2011, 150 patients with unresectable, rSCCHN in a previously-irradiated field receiving >40 Gy were treated with SBRT to 40–50 Gy in 5 fractions ± concurrent cetuximab. PR-QoL was prospectively acquired using University of Washington Quality-of-Life Revised (UW-QoL-R). Results: Overall PR-QoL, health-related PR-QoL, and select domains commonly affected by re-irradiation progressively increase following an initial 1-month decline with statistically significant improvements noted in swallowing (p = 0.025), speech (p = 0.017), saliva (p = 0.041), activity (p = 0.032) and recreation (p = 0.039). Conclusions: Especially for patients surviving >1-year, improved tumor control associated with SBRT re-irradiation may ameliorate decreased PR-QoL resulting from rSCCHN. These improvements in PR-QoL transcend all measured domains in a validated PR-QoL assessment tool independent of age, use of cetuximab, tumor volume, and interval since prior irradiation.

  20. Application of the electromagnetic borehole flowmeter and evaluation of previous pumping tests at Paducah Gaseous Diffusion Plant. Final report, June 15, 1992--August 31, 1992

    Energy Technology Data Exchange (ETDEWEB)

    Young, S.C.; Julian, S.C.; Neton, M.J.

    1993-01-01

    Multi-well pumping tests have been concluded at wells MW79, MW108, and PW1 at the Paducah Gaseous Diffusion Plant (PGDP) to determine the hydraulic properties of the Regional Gravel Aquifer (RGA). Soil cores suggest that the RGA consists of a thin sandy facies (2 to 6 feet) at the top of a thicker (> 10 feet) gravelly facies. Previous analyses have not considered any permeability contrast between the two facies. To assess the accuracy of this assumption, TVA personnel conducted borehole flowmeter tests at wells MW108 and PW1. Well MW79 could not be tested. The high K sand unit is probably 10 times more permeable than comparable zone in the gravelly portion of the RGA. Previous analyses of the three multi-well aquifer tests do not use the same conceptual aquifer model. Data analysis for one pumping test assumed that leakance was significant. Data analysis for another pumping test assumed that a geologic boundary was significant. By collectively analyzing all three tests with the borehole flowmeter results, the inconsistency among the three pumping tests can be explained. Disparity exists because each pumping test had a different placement of observation wells relative to the high K zone delineating by flowmeter testing.

  1. Prospective monitoring and self-report of previous falls among older women at high risk of falls and fractures: a study of comparison and agreement.

    Science.gov (United States)

    Garcia, Patrícia A; Dias, João M D; Silva, Silvia L A; Dias, Rosângela C

    2015-01-01

    The identification of the occurrence of falls is an important step for screening and for rehabilitation processes for the elderly. The methods of monitoring these events are susceptible to recording biases, and the choice of the most accurate method remains challenging. (i) To investigate the agreement between retrospective self-reporting and prospective monitoring of methods of recording falls, and (ii) to compare the retrospective self-reporting of falls and the prospective monitoring of falls and recurrent falls over a 12-month period among older women at high risk of falls and fractures. A total of 118 community-dwelling older women with low bone density were recruited. The incidence of falls was monitored prospectively in 116 older women (2 losses) via monthly phone calls over the course of a year. At the end of this monitoring period, the older women were asked about their recall of falls in the same 12-month period. The agreement between the two methods was analyzed, and the sensitivity and specificity of self-reported previous falls in relation to the prospective monitoring were calculated. There was moderate agreement between the prospective monitoring and the retrospective self-reporting of falls in classifying fallers (Kappa = 0.595) and recurrent fallers (Kappa = 0.589). The limits of agreement were 0.35 ± 1.66 falls. The self-reporting of prior falls had a 67.2% sensitivity and a 94.2% specificity in classifying fallers among older women and a 50% sensitivity and a 98.9% specificity in classifying recurrent fallers. Self-reporting of falls over a 12-month period underestimated 32.8% of falls and 50% of recurrent falls. The findings recommend caution if one is considering replacing monthly monitoring with annual retrospective questioning.

  2. Revised draft: Southeastern Regional geologic characterization report. Volume 1

    International Nuclear Information System (INIS)

    1984-11-01

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

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

    International Nuclear Information System (INIS)

    1984-11-01

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

  4. Revised draft: Northeastern Regional environmental characterization report. Volume 1

    International Nuclear Information System (INIS)

    1984-11-01

    This report presents available environmental information pertinent to siting a repository for high-level nuclear waste in crystalline rock in Maine, New Hampshire, Vermont, northeastern and southeastern New York, Massachusetts, Rhode Island, Connecticut, northern New Jersey, and eastern Pennsylvania. For each of the states within the Northeastern Region, information is provided on those environmental disqualifying factors and regional screening variables to be used in region-to-area screening. These environmental factors and variables include existing and proposed federal protected lands, proximity to federal protected lands, existing state protected lands, proximity to state protected lands, population density and distribution, proximity to highly populated areas, national and state forest lands, state wildlife lands, designated critical habitats for threatened and endangered species, surface water bodies, and wetlands. In addition, supplementary descriptive information providing a general characterization of the region is presented, as is information on environmental parameters that may be of use at later phases of screening. Also included is a discussion of the relationship between the US Department of Energy (DOE) Siting Guidelines and those environmental disqualifying factors and regional screening variables to be used in the region-to-area screening process

  5. Revised draft: Southeastern Regional environmental characterization report. Volume 1

    International Nuclear Information System (INIS)

    1984-11-01

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

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

    International Nuclear Information System (INIS)

    1984-11-01

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

  7. Chronic suppurative osteomyelitis of subcondylar region: a case report.

    Science.gov (United States)

    Kumar, G Ravi; Syed, Basheer Ahmed; Prasad, N; Praveen, Sp

    2013-05-01

    Chronic suppurative osteomyelitis (CSO) of the maxillofacial region is primarily caused by infections of odontogenic microorganisms. It may also arise as a complication of dental extractions, maxillofacial trauma, inadequate treatment of a fracture and irradiation to the mandible. This condition is characterized by areas of devitalized bone (sequestra) which serves as a nidus for recurrent episodes of infection. This case report describes a case of CSO in an untreated right subcondylar fracture of the mandible which was successfully treated with a combination of antibiotic therapy and surgical debridement in an 8-year-old boy. How to cite this article: Kumar GR, Syed BA, Prasad N, Praveen SP. Chronic Suppurative Osteomyelitis of Subcondylar Region: A Case Report. Int J Clin Pediatr Dent 2013;6(2): 119-123.

  8. Granular cell tumor on perianal region: a case report.

    Directory of Open Access Journals (Sweden)

    Kesici Ugur

    2013-07-01

    Full Text Available Granular cell tumor (GCT was first described by Abrikossoff in 1926. GCT is a rarely seen soft tissue tumor and is generally benign. While the tumor can be seen in all parts of the body it is generally located on the head and neck region, and especially on the tongue. GCT is rarely seen in the anal-perianal region. In accordance with literature this case was reported because it was thought to be the 27th anal-perianal located GCT case. In this case report, approximately 0,5-1 cm pedunculated polypoid lesion was determined in the perianal region during the physical examination of a 23 year old female patient who applied with palpable mass complaint in the perianal region. Lesion in the patient was totally excited with healthy skin-subcutaneous tissue under local anesthesia. A benign granular cell tumor was detected in the histopathological examination. Positive staining was monitored immunohistochemically with S-100 and neuron specific enolase (NSE. GCT is a rarely seen tumor in the anal-perianal region and its malign transformation rate is very low. Even lesions seen in the perianal region have clinically a benign appearance, a histopathological examination should be conducted and also GCT should be kept in mind during diagnosis. Malign-benign separation of these lesions is difficult so histopathological examination should be conducted with great care. Large local excision in the treatment provides curative treatment. But for those presenting malign transformation further examination must be performed for metastasis. After the treatment local recurrence and metastasis should be considered carefully. Prognosis of metastatic disease is very bad.

  9. Oil Sands Regional Aquatics Monitoring Program (RAMP) 5 year report

    International Nuclear Information System (INIS)

    Fawcett, K.

    2003-05-01

    This 5 year report outlined and examined the activities of the Regional Aquatics Monitoring Program (RAMP) from its introduction in 1997 up to 2001. The RAMP is a multi-stakeholder program comprised of industry and government representatives as well as members of aboriginal groups and environmental organizations. The objectives of RAMP are to monitor aquatic environments in the oil sands region in order to allow for assessment of regional trends and cumulative effects, as well as to provide baseline data against which impact predictions of recent environmental impact assessments can be verified. Scientific programs conducted as part of RAMP during the 5-year period included water quality and sediment quality analyses; fish monitoring; benthic communities monitoring; water quality and aquatic vegetation analyses of wetlands; and hydrology and climate monitoring. RAMP's programs have expanded annually in scope as a result of increased oil sands development in the region. This report provided outlines of RAMP's individual program objectives and organizational structures, as well as details of all studies conducted for each year. Data were collected for all major study areas were presented, and program methodologies for assessing and identifying trends were outlined. refs., tabs., figs

  10. The United States National Climate Assessment - Alaska Technical Regional Report

    Science.gov (United States)

    Markon, Carl J.; Trainor, Sarah F.; Chapin, F. Stuart; Markon, Carl J.; Trainor, Sarah F.; Chapin, F. Stuart

    2012-01-01

    The Alaskan landscape is changing, both in terms of effects of human activities as a consequence of increased population, social and economic development and their effects on the local and broad landscape; and those effects that accompany naturally occurring hazards such as volcanic eruptions, earthquakes, and tsunamis. Some of the most prevalent changes, however, are those resulting from a changing climate, with both near term and potential upcoming effects expected to continue into the future. Alaska's average annual statewide temperatures have increased by nearly 4°F from 1949 to 2005, with significant spatial variability due to the large latitudinal and longitudinal expanse of the State. Increases in mean annual temperature have been greatest in the interior region, and smallest in the State's southwest coastal regions. In general, however, trends point toward increases in both minimum temperatures, and in fewer extreme cold days. Trends in precipitation are somewhat similar to those in temperature, but with more variability. On the whole, Alaska saw a 10-percent increase in precipitation from 1949 to 2005, with the greatest increases recorded in winter. The National Climate Assessment has designated two well-established scenarios developed by the Intergovernmental Panel on Climate Change (Nakicenovic and others, 2001) as a minimum set that technical and author teams considered as context in preparing portions of this assessment. These two scenarios are referred to as the Special Report on Emissions Scenarios A2 and B1 scenarios, which assume either a continuation of recent trends in fossil fuel use (A2) or a vigorous global effort to reduce fossil fuel use (B1). Temperature increases from 4 to 22°F are predicted (to 2070-2099) depending on which emissions scenario (A2 or B1) is used with the least warming in southeast Alaska and the greatest in the northwest. Concomitant with temperature changes, by the end of the 21st century the growing season is expected

  11. Hepatocellular Carcinoma Metastasis to the Orbit in a Coinfected HIV+ HBV+ Patient Previously Treated with Orthotopic Liver Transplantation: A Case Report

    Directory of Open Access Journals (Sweden)

    S. Guerriero

    2011-01-01

    Full Text Available Hepatocellular carcinoma rarely metastasizes to the orbit. We report a 45-year-old male, HBV+, HIV+, with a past history of a liver transplant for ELSD (end-stage liver disease with hepatocellular carcinoma and recurrent HCC, who presented with proptosis and diplopia of the left eye. CT scans of the head revealed a large, irregular mass in the left orbit causing superior and lateral destruction of the orbital bone. Biopsy specimens of the orbital tumor showed features of metastatic foci of hepatocellular carcinoma. Only 16 other cases of HCC metastasis to the orbit have been described in literature, and this is the first case in a previously transplanted HIV+, HBV+ patient.

  12. Tono regional hydrogeological study project. Annual report 2004

    International Nuclear Information System (INIS)

    Iwatsuki, Teruki; Ota, Kunio; Takeuchi, Shinji; Amano, Kenji; Takeuchi, Ryuji; Saegusa, Hiromitsu; Osawa, Hideaki

    2005-09-01

    Tono Geoscience Center, Japan Nuclear Cycle Development Institute has been conducting a wide range of geoscientific research in order to build firm scientific and technological basis for the research and development of geological disposal. One of the geoscientific research programme is a Regional Hydrogeological Study (RHS) project in the Tono region, central Japan. This report mainly summarizes the results of research in DH-14 and DH-15 boreholes at Toki city and Mizunami city in fiscal year 2004 which were carried out to support and improve the results in fiscal year 2003. The research in the regional scale area shows the reliability of conceptual hydrogeological model and numerical simulation for the evaluation of regional hydrogeology. On the other hand, the geological and geophysical investigation, and borehole investigation during the surface-based investigations in the local scale area provide the pragmatic distribution of hydrogeological structure that may control regional groundwater hydrology. Hydrogeological simulations regarding the geological structure such as fault and hydrogeological property demonstrate the priority of investigation of geological structure for the evaluation of hydrogeology. The fault perpendicular to groundwater flow direction crucially affects on regional hydrology. Such fault is necessary to be investigated by priority. Hydrochemical investigation shows that chemical evolution process in this groundwater illustrated is mixing between groundwaters with different salinities. Principal component analysis and mass balance calculation reveal reliable chemistry of end-member waters for mixing. Regarding methodology development, the strategy and procedure of investigations are summarized based on the results of surface-based investigation. Moreover the multi interval monitoring system for water pressure and temperature has developed and started to monitor the in-situ condition of groundwater. The geology, geological structure, hydraulic

  13. Radiation port cutaneous metastases: Reports of two patients whose recurrent visceral cancers presented as skin lesions at the site of previous radiation and literature review

    Directory of Open Access Journals (Sweden)

    Brian Spencer Hoyt

    2014-01-01

    Full Text Available Radiation therapy is associated with a variety of complications, including the development of primary skin cancers in the radiated region. However, it is rare for patients with visceral cancers who are treated with radiation therapy to subsequently develop cutaneous metastasis within the radiation port. We describe two patients with internal malignancies who developed cutaneous metastases within their radiation ports following radiotherapy. In addition, we used PubMed to perform an extensive literature review and identify additional reports of cutaneous metastasis within a radiation port. We excluded patients who developed melanoma or primary skin cancers in the radiation port. We also excluded patients with non-solid organ malignancies. Herein, we summarize the characteristics of 23 additional patients who experienced radiation port cutaneous metastases and explore possible mechanisms for the occurrence of radiation port cutaneous metastases.

  14. Reverse Shoulder Arthroplasty for the Treatment of Rotator Cuff Deficiency: A Concise Follow-up, at a Minimum of 10 Years, of Previous Reports.

    Science.gov (United States)

    Cuff, Derek J; Pupello, Derek R; Santoni, Brandon G; Clark, Rachel E; Frankle, Mark A

    2017-11-15

    We previously evaluated 94 patients (96 shoulders) who underwent reverse shoulder arthroplasty using a central compressive screw with 5.0-mm peripheral locking screws for baseplate fixation and a center of rotation lateral to the glenoid as treatment for end-stage rotator cuff deficiency. The purpose of this study was to report updated results at a minimum follow-up of 10 years. Forty patients (42 shoulders) were available for clinical follow-up. In the patients available for study, implant survivorship, with the end point being revision for any reason, was 90.7%. Since our 5-year report, 2 patients underwent revision surgery; 1 patient sustained a periprosthetic fracture 7 years postoperatively and 1 patient had a dislocation because of chronic shoulder instability at 8 years postoperatively. At a minimum follow-up of 10 years, the patients continued to maintain their improved outcome scores and range of motion, which were comparable with earlier follow-up evaluations. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.

  15. Revised draft: Northeastern Regional geologic characterization report. Volume 1

    International Nuclear Information System (INIS)

    1984-11-01

    This report presents available geologic information pertinent to siting a repository for high-level nuclear waste in crystalline rock in Connecticut, Maine, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island, and Vermont. For each of the states within the Northeastern Region, information is provided on the disqualifying factor and the screening variables to be used in region-to-area screening. These factors and variables include: hydrologically significant natural resources, rock mass extent, post-emplacement faulting, suspected Quaternary faulting, seismicity, rock and mineral resources, major ground-water discharge zones, water resources, ground-water salinity, and state of stress. Information is presented on its age, areal extent, shape, thickness of overburden, composition, texture, degree and type of alteration, rock mass thickness, and structural features associated with each rock body or complex. Regional seismic and tectonic information is presented, including patterns of earthquake occurrence, earthquake magnitudes, horizontal ground accelerations, and vertical crustal movements. Also included are discussions of the rock and mineral deposits or mines located within or near crystalline bodies; ground-water resources and regional hydrology; postulated changes in climate and the associated effects; and landforms, surface processes, and surficial materials on or near the subject rock bodies

  16. Regional issue identification and assessment: study methodology. First annual report

    Energy Technology Data Exchange (ETDEWEB)

    1980-01-01

    The overall assessment methodologies and models utilized for the first project under the Regional Issue Identification and Assessment (RIIA) program are described. Detailed descriptions are given of the methodologies used by lead laboratories for the quantification of the impacts of an energy scenario on one or more media (e.g., air, water, land, human and ecology), and by all laboratories to assess the regional impacts on all media. The research and assessments reflected in this document were performed by the following national laboratories: Argonne National Laboratory; Brookhaven National Laboratory; Lawrence Berkeley Laboratory; Los Alamos Scientific Laboratory; Oak Ridge National Laboratory; and Pacific Northwest Laboratory. This report contains five chapters. Chapter 1 briefly describes the overall study methodology and introduces the technical participants. Chapter 2 is a summary of the energy policy scenario selected for the RIIA I study and Chapter 3 describes how this scenario was translated into a county-level siting pattern of energy development. The fourth chapter is a detailed description of the individual methodologies used to quantify the environmental and socioeconomic impacts of the scenario while Chapter 5 describes how these impacts were translated into comprehensive regional assessments for each Federal Region.

  17. Anastomosing hemangioma involving the para-arotic region: A case report

    International Nuclear Information System (INIS)

    Lee, Jung Min; KIm, Hyun Cheol; Yang, Dal Mo; Kim, Sang Won; Won, Kyu Yeoun

    2017-01-01

    Anastomosing hemangioma (AH) is a rare and benign vascular neoplasm that is regarded as a morphological variant of capillary hemangioma. AH has been encountered primarily in the kidney. To our knowledge, para-aortic involvement of AH has not been reported previously. Here, we report a case of slowly progressing AH involving the left para-aortic region in a 72-year-old woman with a history of breast cancer surgery. A contrast-enhanced, dynamic abdominal CT scan revealed that the lesion had peripheral enhancement with slow centripetal fashion, which is an enhancement pattern similar to that of hepatic hemangioma

  18. Anastomosing hemangioma involving the para-arotic region: A case report

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jung Min; KIm, Hyun Cheol; Yang, Dal Mo; Kim, Sang Won; Won, Kyu Yeoun [Kyung Hee University Hospital at Gangdong, School of Medicine, Kyung Hee University, Seoul (Korea, Republic of)

    2017-05-15

    Anastomosing hemangioma (AH) is a rare and benign vascular neoplasm that is regarded as a morphological variant of capillary hemangioma. AH has been encountered primarily in the kidney. To our knowledge, para-aortic involvement of AH has not been reported previously. Here, we report a case of slowly progressing AH involving the left para-aortic region in a 72-year-old woman with a history of breast cancer surgery. A contrast-enhanced, dynamic abdominal CT scan revealed that the lesion had peripheral enhancement with slow centripetal fashion, which is an enhancement pattern similar to that of hepatic hemangioma.

  19. Study, Talk, and Action. A Report of a National Conference on Regionalism and Regionalization in American Postsecondary Education.

    Science.gov (United States)

    Martorana, S. V., Ed.; Nespoli, Lawrence A., Ed.

    This report of a National Conference on Regionalism and Regionalization in American Postsecondary Education contains an overview and summary of the final project report, a keynote address, four papers on the implications of regionalism, some reactor comments, an essay on leadership, and four descriptive accounts of operational regionalization…

  20. Gas Regional Initiative. North West Regional Energy Market. Transmission Transparency Project. First Implementation Report

    International Nuclear Information System (INIS)

    2008-07-01

    The purpose of this report is to comment on the implementation of the TSO Transmission Transparency Project. In December 2007 sixteen TSOs presented a project plan which committed them to publishing information on capacity availability and gas flows at crossborder interconnection points in the North-West gas region. The data types to be published were agreed between TSOs and network users. It was agreed that TSOs would release new information on capacity and actual gas flows at crossborder interconnection points. The TSOs have committed to publishing the agreed information by three project milestones May, September or December 2008. At the end of May 2008 the TSOs submitted initial data to Ofgem (Office of the Gas and Electricity Markets) on implementation. This report presents the data submitted by the TSOs, provides comment on implementation progress and explains the next steps. This report does not approve or guarantee the accuracy of the data submitted by TSOs

  1. Case report of right hamate hook fracture in a patient with previous fracture history of left hamate hook: is it hamate bipartite?

    Directory of Open Access Journals (Sweden)

    Norton Sandra

    2006-10-01

    Full Text Available Abstract Background Hamate hook fracture is a common fracture in golfers and others who play sports that involve rackets or sticks such as tennis or hockey. This patient had a previous hamate fracture in the opposing wrist along with potential features of hamate bipartite. Case presentation A 19 year old male presented with a complaint of right wrist pain on the ulnar side of the wrist with no apparent mechanism of injury. The pain came on gradually one week before being seen in the office and he reported no prior care for the complaint. His history includes traumatic left hamate hook fracture with surgical excision. Conclusion The patient was found to have marked tenderness over the hamate and with a prior fracture to the other wrist, computed tomography of the wrist was ordered revealing a fracture to the hamate hook in the right wrist. He was referred for surgical evaluation and the hook of the hamate was excised. Post-surgically, the patient was able to return to normal activity within eight weeks. This case is indicative of fracture rather than hamate bipartite. This fracture should be considered in a case of ulnar sided wrist pain where marked tenderness is noted over the hamate, especially after participation in club or racket sports.

  2. Characterization of Cladosporols from the Marine Algal-Derived Endophytic Fungus Cladosporium cladosporioides EN-399 and Configurational Revision of the Previously Reported Cladosporol Derivatives.

    Science.gov (United States)

    Li, Hong-Lei; Li, Xiao-Ming; Mándi, Attila; Antus, Sándor; Li, Xin; Zhang, Peng; Liu, Yang; Kurtán, Tibor; Wang, Bin-Gui

    2017-10-06

    Four new cladosporol derivatives, cladosporols F-I (1-4), the known cladosporol C (5), and its new epimer, cladosporol J (6), were isolated and identified from the marine algal-derived endophytic fungus Cladosporium cladosporioides EN-399. Their structures were determined by detailed interpretation of NMR and MS data, and the absolute configurations were established on the basis of TDDFT-ECD and OR calculations. The configurational assignment of cladosporols F (1) and G (2) showed that the previously reported absolute configuration of cladosporol A and all the related cladosporols need to be revised from (4'R) to (4'S). Compounds 1-6 showed antibacterial activity against Escherichia coli, Micrococcus luteus, and Vibrio harveyi with MIC values ranging from 4 to 128 μg/mL. Compound 3 showed significant cytotoxicity against A549, Huh7, and LM3 cell lines with IC 50 values of 5.0, 1.0, and 4.1 μM, respectively, and compound 5 showed activity against H446 cell line with IC 50 value of 4.0 μM.

  3. Freight planning and regional cooperation in the Piedmont Atlantic megaregion : a regional models of cooperation peer exchange summary report

    Science.gov (United States)

    2017-09-08

    This report highlights key themes identified at the Freight Planning and Regional Cooperation in the Piedmont Atlantic Megaregion Peer Exchange held on January 31, 2017 and February 1, 2017 in Atlanta, Georgia. The Regional Models of Cooperatio...

  4. Resolution of temporomandibular joint dysfunction (TMJD) by correcting a lateral head translation posture following previous failed traditional chiropractic therapy: a CBP® case report.

    Science.gov (United States)

    Jaeger, Jason O; Oakley, Paul A; Moore, Robert R; Ruggeroli, Edward P; Harrison, Deed E

    2018-01-01

    [Purpose] To present the case of the resolution of right temporomandibular joint dysfunction (TMJD) following the correction of a right lateral head translation posture. [Subject and Methods] A 24 year old female reported facial pain and jaw clicking in the right TMJ. Radiography revealed a 19 mm right head (shift) translation posture. TMJ vibration analysis showed characteristic abnormalities for the right TMJ. The patient was treated with CBP ® technique mirror image ® left sided exercises, and traction methods as well as spinal manipulative therapy (SMT). [Results] After 36 treatments over a 12-week time period, a complete correction of the lateral head posture was achieved corresponding with a complete resolution of jaw pain and clicking. TMJ vibration analysis demonstrated normal right side TMJ characteristics following treatment. [Conclusion] Abnormal head/neck postures, such as lateral head translation, may be an unrealized source of TMJD and may be explained through the 'regional interdependence' model or by how seemingly unrelated anatomy may be associated with a primary complaint.

  5. Arrhythmias and sudden death among older children and young adults following tetralogy of Fallot repair in the current era: are previously reported risk factors still applicable?

    Science.gov (United States)

    Arya, Swati; Kovach, Julie; Singh, Harinder; Karpawich, Peter P

    2014-01-01

    Young adult patients (pts) with repaired tetralogy of Fallot (TOF) remain at risk for arrhythmias (Ar) and sudden cardiac death (SCD). Based on past studies with earlier pt subsets, Ar/SCD events were associated with right ventricular (RV) systolic pressures >60 mm Hg, outflow tract gradients >20 mm Hg, and QRS duration >180 ms. However, there are limited recent studies to evaluate these risk factors in the current patient generation. Patients with TOF followed over the past 50 years were grouped by presence of any arrhythmias (group 1), absence of arrhythmias (group 2), and presence of SCD or significant ventricular arrhythmias (group 3) and correlated with current pt age, gender, age at repair, repair types, echocardiogram, cardiac magnetic resonance imaging, electrocardiogram/Holter, hemodynamics, and electrophysiology findings. Of 109 pts, 52 were male aged 17-58 years. Of these, 59 (54%) had Ar, two of whom had SCD. These 59 pts were chronologically older at the time of analysis, with repair at an older age and wider QRS duration (78-240, mean 158 ms) when compared with those without Ar. However, there was no correlation with surgical era, surgical repair, gender, RV pressure >60 mm Hg, right ventricular outflow tract gradient >20 mm Hg, or RV end-diastolic volume on CMRI. Ar/SCD risk continues to correlate with repair age and advancing pt age. QRS duration is longer in these patients but at a shorter interval (mean 158 ms) and less RV pressure (mean 43 mm Hg) than previously reported. In the current TOF patient generation, neither surgical era, type of repair, RV outflow gradient nor RV volume correlate with Ar/SCD. Electrophysiologic testing to verify and identify arrhythmias remains clinically effective. © 2013 Wiley Periodicals, Inc.

  6. Structural analysis of eight novel and 112 previously reported missense mutations in the interactive FXI mutation database reveals new insight on FXI deficiency.

    Science.gov (United States)

    Saunders, Rebecca E; Shiltagh, Nuha; Gomez, Keith; Mellars, Gillian; Cooper, Carolyn; Perry, David J; Tuddenham, Edward G; Perkins, Stephen J

    2009-08-01

    Factor XI (FXI) functions in blood coagulation. FXI is composed of four apple (Ap) domains and a serine protease (SP) domain. Deficiency of FXI leads to an injury-related bleeding disorder, which is remarkable for the lack of correlation between bleeding symptoms and FXI coagulant activity (FXI:C). The number of mutations previously reported in our interactive web database (http://www.FactorXI.org) is now significantly increased to 183 through our new patient studies and from literature surveys. Eight novel missense mutations give a total of 120 throughout the FXI gene (F11). The most abundant defects in FXI are revealed to be those from low-protein plasma levels (Type I: CRM-) that originate from protein misfolding, rather than from functional defects (Type II: CRM+). A total of 70 Ap missense mutations were analysed using a consensus Ap domain structure generated from the FXI dimer crystal structure. This showed that all parts of the Ap domain were affected. The 47 SP missense mutations were also distributed throughout the SP domain structure. The periphery of the Ap beta-sheet structure is sensitive to structural perturbation caused by residue changes throughout the Ap domain, yet this beta-sheet is crucial for FXI dimer formation. Residues located at the Ap4:Ap4 interface in the dimer are much less directly involved. We conclude that the abundance of Type I defects in FXI results from the sensitivity of the Ap domain folding to residue changes within this, and discuss how structural knowledge of the mutations improves our understanding of FXI deficiencies.

  7. Exploratory shaft conceptual design report: Gulf Interior Region salt domes

    International Nuclear Information System (INIS)

    1983-07-01

    This conceptual design report summarizes the conceptualized design for an exploratory shaft facility at a representative site in the Gulf Interior Region of the United States (Louisiana and Mississippi). Conceptualized designs for other possible locations (Paradox Basin in Utah and Permian Basin in Texas) are summarized in separate reports. The purpose of the exploratory shaft facility is to provide access to the reference repository horizon to permit in-situ testing of the salt. The in-situ testing is necessary to verify repository salt design parameters, evaluate isotropy and homoqeneity of the salt, and provide a demonstration of the constructability and confirmation of the design to gain access to the repository. The fundamental purpose of this conceptual design report is to assure the feasibility of the exploratory shaft project and to develop a reliable cost estimate and realistic schedule. Because a site has not been selected and site-specific subsurface data are not available, it has been necessary to make certain assumptions in order to develop a conceptural design for an exploratory shaft facility in salt. As more definitive information becomes available to support the design process, adjustments in the projected schedule and estimated costs will be required

  8. Extraskeletal ewing sarcoma of cervical epidural region: cases report

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ki Jun; Jung, Hyun Seouk; Lee, Jae Hee; Sohn, Kyung Myung; Lee, Sung Yong [Our Lady of Mercy Hospital, Inchon (Korea, Republic of)

    2003-01-01

    Extraskeletal ewing sarcoma is a rare malignant tumor found in children and young adults. It commonly occurs in deep soft tissue of the trunk, especially in the paravertebral region and extremities. We report two cases of extraskeletal ewing sarcoma occurring as a cervical epidural tumor in elderly patients. The MRI and CT findings showed that paravertebral epidural tumors had invaded the spinal canal through the intervertebral foramen. At T1-weighted MR imaging, the masses were isointense to muscle, and at T2* and T2-weighted images were hyperintense, and heterogeneous contrast enhancement was observed. Extraskeletal ewing sarcoma, though quite rare, should be borne in mind in the differential diagnosis of paraspinal epidural tumors.

  9. Regional forecasting with global atmospheric models; Final report

    Energy Technology Data Exchange (ETDEWEB)

    Crowley, T.J.; Smith, N.R. [Applied Research Corp., College Station, TX (United States)

    1994-05-01

    The purpose of the project was to conduct model simulations for past and future climate change with respect to the proposed Yucca Mtn. repository. The authors report on three main topics, one of which is boundary conditions for paleo-hindcast studies. These conditions are necessary for the conduction of three to four model simulations. The boundary conditions have been prepared for future runs. The second topic is (a) comparing the atmospheric general circulation model (GCM) with observations and other GCMs; and (b) development of a better precipitation data base for the Yucca Mtn. region for comparisons with models. These tasks have been completed. The third topic is preliminary assessments of future climate change. Energy balance model (EBM) simulations suggest that the greenhouse effect will likely dominate climate change at Yucca Mtn. for the next 10,000 years. The EBM study should improve rational choice of GCM CO{sub 2} scenarios for future climate change.

  10. Extraskeletal ewing sarcoma of cervical epidural region: cases report

    International Nuclear Information System (INIS)

    Kim, Ki Jun; Jung, Hyun Seouk; Lee, Jae Hee; Sohn, Kyung Myung; Lee, Sung Yong

    2003-01-01

    Extraskeletal ewing sarcoma is a rare malignant tumor found in children and young adults. It commonly occurs in deep soft tissue of the trunk, especially in the paravertebral region and extremities. We report two cases of extraskeletal ewing sarcoma occurring as a cervical epidural tumor in elderly patients. The MRI and CT findings showed that paravertebral epidural tumors had invaded the spinal canal through the intervertebral foramen. At T1-weighted MR imaging, the masses were isointense to muscle, and at T2* and T2-weighted images were hyperintense, and heterogeneous contrast enhancement was observed. Extraskeletal ewing sarcoma, though quite rare, should be borne in mind in the differential diagnosis of paraspinal epidural tumors

  11. Regional Infant and Child Mortality Review Committee--2011 final report.

    Science.gov (United States)

    Wilson, Ann L; Sideras, James

    2012-12-01

    The 2011 annual report of the Regional Infant and Child Mortality Review Committee (RICMRC) is presented. Since 1997, the committee has reviewed 224 deaths to achieve its mission to "review infant and child deaths so that information can be transformed into action to protect young lives." In 2011, the committee reviewed 21 deaths (22 met the committee's criteria) of infants and children who were residents of Minnehaha, Turner, Lincoln, Hanson and Brookings counties in South Dakota. The manner of 12 of the reviewed deaths was natural with eight of these the result of progressive neurological diseases or conditions. In 2011 there were no deaths attributed to Sudden Infant Death Syndrome (SIDS), though there were two deaths of infants during sleep. One of these infants was ruled accidental as the baby died of aspiration and the other death occurred in an unsafe environment with its manner determined to be undecided. Six deaths were accidental, one of which occurred as a result of a fire in a home without functional smoke alarms. One motor vehicle death occurred, through no fault of the teen age driver. Another death resulted from tubing over a low head dam on the Big Sioux River. One youth suicide occurred to a resident of the region.

  12. Developing a Social, Cultural and Economic Report Card for a Regional Industrial Harbour.

    Directory of Open Access Journals (Sweden)

    Sean Pascoe

    Full Text Available Report cards are increasingly used to provide ongoing snap-shots of progress towards specific ecosystem health goals, particularly in coastal regions where planners need to balance competing demands for coastal resources from a range of industries. While most previous report cards focus on the biophysical components of the system, there is a growing interest in including the social and economic implications of ecosystem management to provide a greater social-ecological system understanding. Such a report card was requested on the Gladstone Harbour area in central Queensland, Australia. Gladstone Harbour adjoins the southern Great Barrier Reef, and is also a major industrial and shipping port. Balancing social, economic and environmental interests is therefore of great concern to the regional managers. While environmental benchmarking procedures are well established within Australia (and elsewhere, a method for assessing social and economic performance of coastal management is generally lacking. The key aim of this study was to develop and pilot a system for the development of a report card relating to appropriate cultural, social and economic objectives. The approach developed uses a range of multicriteria decision analysis methods to assess and combine different qualitative and quantitative measures, including the use of Bayesian Belief Networks to combine the different measures and provide an overall quantitative score for each of the key management objectives. The approach developed is readily transferable for purposes of similar assessments in other regions.

  13. Infected Thyroglossal Duct Cyst Involving Submandibular Region: A Case Report

    Directory of Open Access Journals (Sweden)

    Rahul A. Gandhi

    2011-01-01

    Full Text Available Thyroglossal duct cyst presents most frequently in the midline of the neck, either at or just below the level of the hyoid bone. They generally manifest as painless neck swelling, and they move on protrusion of tongue and during swallowing. A case of thyroglossal cyst was reported in the left submandibular region in a 14-year-old girl, above the level of hyoid bone; ultrasound examination favored a cystic lesion which moved in a vertical fashion on swallowing whereas fine needle aspiration cytology report was suggestive of simple cystic lesion of thyroglossal cyst. No lymphoid or malignant cells were present. The cyst was excised completely by surgical procedure under general anesthesia. Histopathological analysis revealed thyroglossal cyst showing columnar and flattened epithelium of cyst with focal aggregate of chronic inflammatory cells supported by fibrocollagenous cyst wall. The clinical, ultrasound, and histopathological findings suggested that the lesion was an infected thyroglossal cyst. There was no evidence of recurrence 6 months after surgery.

  14. Ammolagena clavata (Jones and Parker, 1860), an agglutinated benthic foraminiferal species - first report from the Recent sediments, Arabian Sea, Indian Ocean region

    Digital Repository Service at National Institute of Oceanography (India)

    Nigam, R.; Mazumder, A.; Saraswat, R.

    The rare presence of the agglutinated foraminiferal species Ammolagena clavata is presented for the first time from the Recent sediments of the Indian Ocean region. This species has previously been reported in Recent sediments from all other oceans...

  15. Report on Transparency. Final version CWE. IG Transparency. Electricity Regional Initiative Central Western Regional Electricity Market

    International Nuclear Information System (INIS)

    2007-12-01

    The Central Western Electricity Regional Energy Market (REM), which is a part of ERGEG's Electricity Regional Initiative, is engaged in harmonizing congestion management and transparency in the Central Western electricity market consisting of Belgium, France, Germany, Luxemburg and The Netherlands. his report contains transparency requirements based on the Congestion Management Guidelines (Commission Decision of 9 November 2006, 2006/770/EC, amending the Annex to Regulation (EC) 1228/2003 on conditions for access to transmission network for cross-border exchanges in electricity, hereinafter cited as CM Guidelines) but taking also into account ERGEG Guidelines of Good Practice on Information Management and Transparency (GGP-IMT). Generally, the basis for harmonization of the transparency rules within the Central Western REM is provided by this report. However, there are some restrictions, it has to be stressed that the report only refers to the information requirements set out in the CM Guidelines that are regularly updated. Also, national publication requirements which might go beyond what is prescribed here are not touched. Furthermore, the change of the market design or the legal background might require adoptions of the publication requirements foreseen in this report. One of the main impediments identified by the regulators was the data delivery from generation and consumption units located in the distribution grids. Market participants concerned (also generators and significant consumption units) are obliged to provide the TSOs responsible for publication of all relevant data concerning cross-border trade according to point 5.5 CM Guidelines, with the relevant data. Therefore, TSOs shall be able to get data from generators and significant consumption units connected to the transmission network. Consequently, it is proposed here that each NRA or other competent authority could oblige DSOs to provide data on generation connected to distribution grids to the TSOs

  16. A diagnostic dilemma: Left-sided appendicitis in a 10 year old boy with previously undiagnosed intestinal malrotation. A case report

    Directory of Open Access Journals (Sweden)

    Ashvini Shekhar

    2015-01-01

    Conclusion: Left sided acute appendicitis is a diagnostic dilemma, thus often leading to management delays. It is pertinent to remember that malrotation of the gut is more common than previously thought, and not just a disease of infancy. It is advisable to consider imaging studies while balancing the risk-benefit-ratio of radiation exposure, especially in paediatric cases to cinch the diagnosis.

  17. Xanthogranuloma of the intrasellar region presenting in pituitary dysfunction: a case report

    Directory of Open Access Journals (Sweden)

    Nishiuchi Takamasa

    2012-04-01

    Full Text Available Abstract Introduction Differentiation of cystic mass lesions of the sellar and parasellar regions may pose a diagnostic dilemma for physicians, neurosurgeons, radiologists and pathologists involved in treating patients with these entities. A considerable number of tumors previously identified as craniopharyngiomas may, in fact, have been xanthogranulomas. We report a case of pituitary dysfunction caused by xanthogranuloma of the intrasellar region. Case presentation A 47-year-old man of Japanese descent presented to our institution with a tumor located exclusively in the intrasellar region which manifested as severe hypopituitarism. MRI revealed a clearly defined intrasellar mass that was heterogeneously hyperintense on T1-weighted images and markedly hypointense on T2-weighted images. We preoperatively diagnosed the patient with Rathke's cleft cyst or non-functioning pituitary adenoma. Although the tumor was completely removed using a transsphenoidal approach, the improvement of the patient's endocrine function was marginal, and continued endocrine replacement therapy was needed. Postoperatively, a histological examination revealed the tumor to be a xanthogranuloma of the intrasellar region. His visual field defects and headache improved. Conclusion Because diagnosis depends on surgical intervention and xanthogranulomas of the intrasellar region are very rare, the natural history of xanthogranuloma is still unknown. Therefore, this entity is difficult to diagnose preoperatively. We suggest that xanthogranuloma should be included in the differential diagnosis, even in the case of sellar lesions, to formulate appropriate postoperative management and improve endocrine outcomes.

  18. Regional early development and eruption of permanent teeth: case report.

    Science.gov (United States)

    Al Mullahi, A M; Bakathir, A; Al Jahdhami, S

    2017-02-01

    Early development and eruption of permanent teeth are rarely reported in scientific literature. Early eruption of permanent teeth has been reported to occur due to local factors such as trauma or dental abscesses in primary teeth, and in systemic conditions. Congenital diffuse infiltrating facial lipomatosis (CDIFL) is a rare condition that belongs to a group of lipomatosis tumours. In this disorder, the mature adipocytes invade adjacent soft and hard tissues in the facial region. Accelerated tooth eruption is one of the dental anomalies associated with CDIFL. A 3-year-old boy presented with a swelling of the lower lip localised early development and eruption of permanent teeth and dental caries involving many primary teeth. The planned treatment included biopsy of the swollen lower lip to confirm the diagnosis, surgical reduction and reconstruction of lip aesthetics. The management of the carious primary teeth included preventative and comprehensive dental care and extractions. These procedures were completed under general anaesthesia due to the child's young age and poor cooperation. The lip biopsy showed features of CDIFL such as the presence of infiltrating adipose tissue, prominent number of nerve bundles and thickened vessels. The high recurrence rate of CDIFL mandates long-term monitoring during the facial growth period of the child. Follow-up care by the paediatric dentist and maxillofacial surgeon has been required to manage all aspects of this congenital malformation. This rare disorder has many implications affecting child's facial aesthetics, psychological well being, developing occlusion and risk of dental caries. A multi-disciplinary approach is needed for management of this condition.

  19. Report on state of the environment of the Banska Bystrica region to 2002

    International Nuclear Information System (INIS)

    Adamkovicova, A.; Bebej, J.; Bodova, E.; Bohus, P.; Bracinikova, J.; Bysicka, L.; Gajdos, L.; Goryczkova, A.; Gustafikova, T.; Hajnikova, M.; Chocholova; Jancarik, A.; Jecmenova, I.; Kanianska, R.; Kapusta, P.; Knazovicka, J.; Kovalova, A.; Kralik, A.; Lacuska, M.; Marcinatova, L.; Proksa, P.; Rolkova, M.; Vagasky, V.; Rolkova, M.

    2003-01-01

    The report on state of environment of the Banska Bystrica region to 2002 is presented. In this report the following parts are reviewed: Basic information about region; Compositions of the environment and their protection; Nature protection and landscape management; Environmental regional classification of the environment and endangered regions; Reasons and consequences of the environment; Risk factors in the environment; Environment conservation

  20. Regional Odontodysplasia Crossing Midline: A Rare Case Report

    OpenAIRE

    Upadhyay, Vinod; Chaturvedi, TP; Pandey, RK; Chaurasia, Akhilanand; Singh, Parul

    2010-01-01

    Regional odontodysplasia is a nonhereditary, uncommon developmental abnormality of teeth. Females have more predilections for regional odontodysplasia. The enamel, dentin and pulp of teeth are affected and radiographically, teeth are described as ?ghost teeth?. Many of these :eeth do not erupt and have an increased risk for caries and periapical inflammation. Since the literature on regional odontodysplasia is limited, here is need to discuss this anomaly to have a better approach for the dia...

  1. De novo adamantinomatous craniopharyngioma presenting anew in an elderly patient with previous normal CT and MRI studies: A case report and implications on pathogenesis

    Directory of Open Access Journals (Sweden)

    Amy Walker, B.S.

    2015-09-01

    Full Text Available Adamantinomatous craniopharyngiomas are histologically benign epithelial tumors which arise from embryonic remnants of the craniopharyngeal duct and Rathke’s pouch. They are thought to have a congenital origin and are histologically unique from papillary craniopharyngioma. We describe the case of an elderly male who presented with symptoms related to a large craniopharyngioma with previously normal brain magnetic resonance and computed tomography imaging studies. These findings dispute the embryogenic theory that craniopharyngiomas observed in adults develop from the persistent slow growth of embryonic remnants.

  2. Previous ISD Program Review.

    Science.gov (United States)

    1981-03-01

    report. The detail required for such a review would be unwieldy and would comsume inordinate amounts of time. The result of the document review will...attempts have been made at writing specific behavioral objectives (SBOs). These, however, have proven to be inadequate in that they are not stated in... behavioral terms (e.g., "will understand," "will have a knowledge of," etc.). C. Development of CRO/CRTs? In nearly all cases, ISD teams are just

  3. Two case reports: Carcinoma of the cervix and carcinoma of the endometrium treated with radiotherapy after previous irradiation for benign uterine bleeding

    Energy Technology Data Exchange (ETDEWEB)

    MacLeod, C. [Royal Prince Alfred Hospital, Camperdown, NSW (Australia). Department of Radiation Oncology

    1998-08-01

    In the 1940s, 1950s and 1960s, low doses of radiotherapy were used to treat benign uterine bleeding. The cases of two women who received this form of therapy and later developed gynaecological malignancies and had high-dose pelvic radiotherapy are presented. A 76-year-old woman with an International Federation of Gynecology and Obstetrics (FIGO) stage-II B squamous cell carcinoma of the cervix received external beam radiotherapy and intra-uterine brachytherapy and a 77-year-old woman with a FIGO stage-I B endometrial adenocarcinoma received adjuvant postoperative pelvic radiotherapy. Both women had a significant past history of low-dose-rate intra-uterine irradiation for dysfunctional uterine bleeding. Therefore the theoretical question of carcinogenesis was raised, and also the practical questions of what dose had previously been given and what further dose could be safely given with regard to normal tissue tolerance. Copyright (1998) Blackwell Science Pty Ltd 20 refs.

  4. Two case reports: Carcinoma of the cervix and carcinoma of the endometrium treated with radiotherapy after previous irradiation for benign uterine bleeding

    International Nuclear Information System (INIS)

    MacLeod, C.

    1998-01-01

    In the 1940s, 1950s and 1960s, low doses of radiotherapy were used to treat benign uterine bleeding. The cases of two women who received this form of therapy and later developed gynaecological malignancies and had high-dose pelvic radiotherapy are presented. A 76-year-old woman with an International Federation of Gynecology and Obstetrics (FIGO) stage-II B squamous cell carcinoma of the cervix received external beam radiotherapy and intra-uterine brachytherapy and a 77-year-old woman with a FIGO stage-I B endometrial adenocarcinoma received adjuvant postoperative pelvic radiotherapy. Both women had a significant past history of low-dose-rate intra-uterine irradiation for dysfunctional uterine bleeding. Therefore the theoretical question of carcinogenesis was raised, and also the practical questions of what dose had previously been given and what further dose could be safely given with regard to normal tissue tolerance. Copyright (1998) Blackwell Science Pty Ltd

  5. The use of porcine small intestinal submucosa mesh (SURGISIS as a pelvic sling in a man and a woman with previous pelvic surgery: two case reports

    Directory of Open Access Journals (Sweden)

    Al-Sahaf Osama

    2009-02-01

    Full Text Available Abstract Introduction Closing the pelvic peritoneum to prevent the small bowel dropping into the pelvis after surgery for locally recurrent rectal cancer is important to prevent adhesions deep in the pelvis or complications of adjuvant radiotherapy. Achieving this could be difficult because sufficient native tissue is unavailable; we report on the use of small intestine submucosa extra-cellular matrix mesh in the obliteration of the pelvic brim. Case presentation We describe two cases in which submucosa extra-cellular matrix mesh was used to obliterate the pelvic brim following resection of a recurrent rectal tumour; the first patient, a 78-year-old Caucasian man, presented with small bowel obstruction caused by adhesions to a recurrent rectal tumour. The second patient, an 84-year-old Caucasian woman, presented with vaginal discharge caused by an entero-vaginal fistula due to a recurrent rectal tumour. Conclusion We report on the use of submucosa extra-cellular matrix mesh as a pelvic sling in cases where primary closure of the pelvic peritoneum is unfeasible. Its use had no infective complications and added minimal morbidity to the postoperative period. This is an original case report that would be of interest to general and colorectal surgeons.

  6. Regional disarmament and security issues. Report of working group II

    International Nuclear Information System (INIS)

    Ravenhill, J.

    1994-01-01

    Substantial progress has been made in building cooperation in the Asia-pacific region in remarkably short period of time. Problems of regional disarmament are analysed by linking the economic and security issues. International cooperation regimes, whether in the military sphere, such as the Non-proliferation treaty, or in the trade sphere such as the General Agreement on Tariffs and Trade, inevitably impose restrictions on the autonomy of member States. The integrity of the regime depends on countries' acceptance of the obligations it imposes. The task ahead is to convince all countries in the region that cooperation in the security sphere will be of even greater long-term benefit

  7. Final Scientific and Technical Report State and Regional Biomass Partnerships

    Energy Technology Data Exchange (ETDEWEB)

    Handley, Rick; Stubbs, Anne D.

    2008-12-29

    The Northeast Regional Biomass Program successfully employed a three pronged approach to build the regional capacity, networks, and reliable information needed to advance biomass and bioenergy technologies and markets. The approach included support for state-based, multi-agency biomass working groups; direct technical assistance to states and private developers; and extensive networking and partnership-building activities to share objective information and best practices.

  8. REDI: The Regional Entrepreneurship and Development Index –Measuring regional entrepreneurship Final report

    NARCIS (Netherlands)

    Ortega Argiles, Raquel; Acs, Zoltan J.; Szerb, Laszlo; Autio, Erkko; Komlosi, Eva

    2014-01-01

    The main outcome of the project is a new index (REDI - Regional Entrepreneurship and Development Index) that describes the entrepreneurial process. The index takes into account both individual attitudes and characteristics and the regional context and, accordingly, not only whether people are

  9. Four Forensic Entomology Case Studies: Records and Behavioral Observations on Seldom Reported Cadaver Fauna With Notes on Relevant Previous Occurrences and Ecology.

    Science.gov (United States)

    Lindgren, Natalie K; Sisson, Melissa S; Archambeault, Alan D; Rahlwes, Brent C; Willett, James R; Bucheli, Sibyl R

    2015-03-01

    A yearlong survey of insect taxa associated with human decomposition was conducted at the Southeast Texas Applied Forensic Science (STAFS) facility located in the Center for Biological Field Studies of Sam Houston State University in Huntsville, TX. During this study, four insect-cadaver interactions were observed that represent previously poorly documented yet forensically significant interactions: Syrphidae maggots colonized a corpse in an aquatic situation; Psychodidae adults mated and oviposited on an algal film that was present on a corpse that had been recently removed from water; several Panorpidae were the first insects to feed upon a freshly placed corpse in the autumn; and a noctuid caterpillar was found chewing and ingesting dried human skin. Baseline knowledge of insect-cadaver interactions is the foundation of forensic entomology, and unique observations have the potential to expand our understanding of decomposition ecology. © The Author 2015. Published by Oxford University Press on behalf of Entomological Society of America. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

  10. Report on state of the environment of the Trencin region to 2002

    International Nuclear Information System (INIS)

    Proksa, P.; Rolkova, M.; Adamkovicova, A.; Bebej, J.; Bodova, E.; Bohus, P.; Bracinikova, J.; Gajdos, L.; Goryczkova, A.; Hajnikova, M.; Chocholova; Jancarik, A.; Jecmenova, I.; Kanianska, R.; Kapusta, P.; Knazovicka, J.; Kovalova, A.; Kralik, A.; Lacuska, M.; Novacky, K.; Slamkova, M.; Vaculcikova, B.; Merka, M.

    2003-01-01

    The report on state of environment of the Trencin region to 2002 is presented. In this report the following parts are reviewed: Basic information about region; Compositions of the environment and their protection; Nature protection and landscape management; Environmental regional classification of the environment; Reasons and consequences of the environment; Risk factors in the environment; Environmental care

  11. Report on state of the environment of the Bratislava region to 2002

    International Nuclear Information System (INIS)

    Proksa, P.; Rolkova, M.; Tvrdon, M.; Adamkovicova, A.; Bebej, J.; Bodova, E.; Bohus, P.; Bracinikova, J.; Gajdos, L.; Goryczkova, A.; Hajnikova, M.; Hanzel, L.; Chocholova; Jancarik, A.; Jecmenova, I.; Kanianska, R.; Kapusta, P.; Knazovicka, J.; Kovalova, A.; Kralik, A.; Lacuska, M.; Rostannska, Z.; Merka, M.

    2003-01-01

    he report on state of environment of the Bratislava region to 2002 is presented. In this report the following parts are reviewed: Basic information about region; Compositions of the environment and their protection; Nature protection and landscape management; Environmental regional classification of the environment; Reasons and consequences of the environment; Risk factors in the environment; Environmental care

  12. Report on state of the environment of the Nitra region to 2002

    International Nuclear Information System (INIS)

    Proksa, P.; Rolkova, M.; Hlavata, K.; Adamkovicova, A.; Bebej, J.; Bodova, E.; Bohus, P.; Bracinikova, J.; Gajdos, L.; Goryczkova, A.; Hajnikova, M.; Halabrinova, K.; Hornanova, T.; Hyrrossova, K.; Chocholova; Jancarik, A.; Jecmenova, I.; Kanianska, R.; Kapusta, P.; Knazovicka, J.; Kovalova, A.; Kralik, A.; Lacuska, M.; Lazorissak, V.; Malik, J.; Psenakova, I.; Sekova, E.; Stevicova, L.; Vagasky, V.

    2003-01-01

    The report on state of environment of the Nitra region to 2002 is presented. In this report the following parts are reviewed: Basic information about region; Compositions of the environment and their protection; Nature protection and landscape management; Environmental regional classification of the environment; Reasons and consequences of the environment; Risk factors in the environment; Environmental care

  13. Report on state of the environment of the Zilina region to 2002

    International Nuclear Information System (INIS)

    Proksa, P.; Rolkova, M.; Adamkovicova, A.; Barciakova, E.; Bebej, J.; Bodova, E.; Bohus, P.; Bracinikova, J.; Gajdos, L.; Goryczkova, A.; Hajnikova, M.; Chocholova; Jecmenova, I.; Kanianska, R.; Kapusta, P.; Knazovicka, J.; Kovalova, A.; Kosecky, J.; Kralik, A.; Lacuska, M.; Matecek, L.; Rihalova, A.; Merka, M.; Prievoznik, J.

    2003-01-01

    The report on state of environment of the Zilina region to 2002 is presented. In this report the following parts are reviewed: Basic information about region; Compositions of the environment and their protection; Nature protection and landscape management; Environmental regional classification of the environment; Reasons and consequences of the environment; Risk factors in the environment; Environmental care

  14. Report on state of the environment of the Trnava region to 2002

    International Nuclear Information System (INIS)

    Proksa, P.; Rolkova, M.; Hlavata, K.; Adamkovicova, A.; Bebej, J.; Bodova, E.; Bohus, P.; Bracinikova, J.; Gajdos, L.; Goryczkova, A.; Hajnikova, M.; Halabrinova, K.; Hornanova, T.; Hyrrossova, K.; Chocholova; Jancarik, A.; Jecmenova, I.; Kanianska, R.; Kapusta, P.; Knazovicka, J.; Kovalova, A.; Kralik, A.; Lacuska, M.; Lazorissak, V.; Malik, J.; Psenakova, I.; Sekova, E.; Stevicova, L.; Vagasky, V.

    2003-01-01

    The report on state of environment of the Nitra region to 2002 is presented. In this report the following parts are reviewed: Basic information about region; Compositions of the environment and their protection; Nature protection and landscape management; Environmental regional classification of the environment; Reasons and consequences of the environment; Risk factors in the environment; Environmental care

  15. Report on state of the environment of the Kosice region to 2002

    International Nuclear Information System (INIS)

    Proksa, P.; Rolkova, M.; Gehinova, B.; Dzurdzenik, J.; Adamkovicova, A.; Bebej, J.; Bodova, E.; Bodova, E.; Bohus, P.; Bracinikova, J.; Bysicka, L.; Dugasova, J.; Gajdos, L.; Gazarek, G.; Goryczkova, A.; Hajnikova, M.; Chocholova; Jancarik, A.; Jecmenova, I.; Kanianska, R.; Kapusta, P.; Kliment, P.; Knazovicka, J.; Kovalova, A.; Kralik, A.; Lacuska, M.; Matecek, L.; Palgutova, N.; Vagasky, V.; Bysicka, L.; Hajduova, J.; Mierka, M.; Prievoznik, J.

    2003-01-01

    The report on state of environment of the Kosice region to 2002 is presented. In this report the following parts are reviewed: Basic information about region; Compositions of the environment and their protection; Nature protection and landscape management; Environmental regional classification of the environment; Reasons and consequences of the environment; Risk factors in the environment; Environmental care

  16. Report on state of the environment of the Presov region to 2002

    International Nuclear Information System (INIS)

    Proksa, P.; Rolkova, M.; Gajdos, L.; Adamkovicova, A.; Bebej, J.; Bodova, E.; Bohus, P.; Bracinikova, J.; Durbakova, Z.; Goryczkova, A.; Hajnikova, M.; Hanzel, L.; Chocholova; Jancarik, A.; Jecmenova, I.; Kanianska, R.; Kapusta, P.; Knazovicka, J.; Kovalova, A.; Kralik, A.; Lacuska, M.; Mudronova, M.; Vagasky, V.; Merka, M.

    2003-01-01

    The report on state of environment of the Presov region to 2002 is presented. In this report the following parts are reviewed: Basic information about region; Compositions of the environment and their protection; Nature protection and landscape management; Environmental regional classification of the environment; Reasons and consequences of the environment; Risk factors in the environment; Environmental care

  17. Homozygous loss of function BRCA1 variant causing a Fanconi-anemia-like phenotype, a clinical report and review of previous patients.

    Science.gov (United States)

    Freire, Bruna L; Homma, Thais K; Funari, Mariana F A; Lerario, Antônio M; Leal, Aline M; Velloso, Elvira D R P; Malaquias, Alexsandra C; Jorge, Alexander A L

    2018-03-01

    Fanconi Anemia (FA) is a rare and heterogeneous genetic syndrome. It is associated with short stature, bone marrow failure, high predisposition to cancer, microcephaly and congenital malformation. Many genes have been associated with FA. Previously, two adult patients with biallelic pathogenic variant in Breast Cancer 1 gene (BRCA1) had been identified in Fanconi Anemia-like condition. The proband was a 2.5 year-old girl with severe short stature, microcephaly, neurodevelopmental delay, congenital heart disease and dysmorphic features. Her parents were third degree cousins. Routine screening tests for short stature was normal. We conducted whole exome sequencing (WES) of the proband and used an analysis pipeline to identify rare nonsynonymous genetic variants that cause short stature. We identified a homozygous loss-of-function BRCA1 mutation (c.2709T > A; p. Cys903*), which promotes the loss of critical domains of the protein. Cytogenetic study with DEB showed an increased chromosomal breakage. We screened heterozygous parents of the index case for cancer and we detected, in her mother, a metastatic adenocarcinoma in an axillar lymph node with probable primary site in the breast. It is possible to consolidate the FA-like phenotype associated with biallelic loss-of-function BRCA1, characterized by microcephaly, short stature, developmental delay, dysmorphic face features and cancer predisposition. In our case, the WES allowed to establish the genetic cause of short stature in the context of a chromosome instability syndrome. An identification of BRCA1 mutations in our patient allowed precise genetic counseling and also triggered cancer screening for the patient and her family members. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  18. Feline leprosy due to Candidatus 'Mycobacterium lepraefelis': Further clinical and molecular characterisation of eight previously reported cases and an additional 30 cases.

    Science.gov (United States)

    O'Brien, Carolyn R; Malik, Richard; Globan, Maria; Reppas, George; McCowan, Christina; Fyfe, Janet A

    2017-09-01

    This paper, the last in a series of three on 'feline leprosy', provides a detailed description of disease referable to the previously unnamed species, Candidatus 'Mycobacterium lepraefelis', a close relative of the human pathogens Mycobacterium leprae and Mycobacterium lepromatosis. Cases were sourced retrospectively and prospectively for this observational study, describing clinical, geographical and molecular microbiological data for cats definitively diagnosed with Candidatus 'M lepraefelis' infection. A total of 145 cases of feline leprosy were scrutinised; 114 'new' cases were sourced from the Victorian Infectious Diseases Reference Laboratory (VIDRL) records, veterinary pathology laboratories or veterinarians, and 31 cases were derived from six published studies. Thirty-eight cats were definitively diagnosed with Candidatus 'M lepraefelis' infection. Typically, cats tended to be middle-aged or older when first infected, with a male predilection. Affected cats typically had widespread cutaneous lesions, in some cases after initially localised disease. Advanced cases were often systemically unwell. All cats had outdoor access. The histological picture was lepromatous in the majority of patients, although two cases had tuberculoid disease. In one case that underwent necropsy, lesions were evident in the liver, spleen and lungs. Treatment was varied, although most cats received a combination of oral clarithromycin and rifampicin. Prognosis for recovery was variable, but typically poor. Candidatus 'M lepraefelis' typically causes high bacterial index (lepromatous) feline leprosy that in some cases progresses to systemic mycobacteriosis. The disease has a variable clinical course and prognosis. Many cases either died or were euthanased due to the infection. Multilocus sequence analysis reveals a heterogeneous picture and further analysis of draft genome sequencing may give clues to the taxonomy and epidemiology of this organism. Prospective treatment trials and

  19. Utility of Brain SPECT 99mTc-HMPAO scintigraphy for the evaluation of regional cerebral blood flow changes in patients suffering from dissociative amnesia DA and dissociative motor disorders DMD (previously termed as hysteria)

    International Nuclear Information System (INIS)

    Ali, F.

    2007-01-01

    Full text: The aim of the study was to assess the utility of Brain SPECT 99 mTc-HMPAO scintigraphy for the evaluation of regional cerebral blood flow changes in patients suffering from dissociative amnesia (DA) and dissociative motor disorders (DMD) (previously termed as Hysteria). Materials and Methods: 20 patients were included in the study with a mean age of 26 years, 08 of them suffering from DA and 12 from DMDs. A consultant psychiatrist on the basis of ICD-10 criteria made the diagnosis. Patients were divided into two categories according to the duration of their illness. Category A; included 10 patients having less than six months duration of illness. Category B; included 10 patients having duration of illness more than six months. Ten normal controls having no signs and symptoms of any psychiatric disorder were also included in the study. Brain SPECT study was carried out using 99 mTc-HMPAO. Semiquantitative analysis was done by calculating cortical and cerebellar ratios in normals and comparing the same in the patients. Results: By comparing regional cerebral blood flow ratios of both the categories with normal group, patients suffering from DA showed hypoperfusion in bilateral temporal lobes, in both frontal association areas and both orbito frontal regions and patients suffering for more than 06 months showed a slightly more exaggerated pattern of hypoperfusion in the same cortical areas. On the other hand in DMD only the patients suffering for more than 06 months showed altered cerebral blood perfusion like hypoperfusion in both of the frontal motor areas, hypoperfusion in both temporal lobes and marked hyperperfusion in both orbito frontal areas. Conclusion: Patients of DA show abnormal cerebral perfusion pattern whether in acute or chronic stage while only chronic DMD states precipitate altered cerebral perfusion patterns and these can be visualized on a Brain SPECT study. (author)

  20. Majewski osteodysplastic primordial dwarfism type II (MOPD II) syndrome previously diagnosed as Seckel syndrome: report of a novel mutation of the PCNT gene.

    Science.gov (United States)

    Piane, Maria; Della Monica, Matteo; Piatelli, Gianluca; Lulli, Patrizia; Lonardo, Fortunato; Chessa, Luciana; Scarano, Gioacchino

    2009-11-01

    We report on a 3-year-old boy with prenatal onset of proportionate dwarfism, postnatal severe microcephaly, high forehead with receded hairline, sparse scalp hair, beaked nose, mild retrognathia and hypotonia diagnosed at birth as Seckel syndrome. At age 3 years, he became paralyzed due to a cerebrovascular malformation. Based on the clinical and radiological features showing evidence of skeletal dysplasia, the diagnosis was revised to Majewski osteodysplastic primordial dwarfism type II (MOPD II) syndrome. Western blot analysis of the patient's lymphoblastoid cell line lysate showed the absence of the protein pericentrin. Subsequent molecular analysis identified a novel homozygous single base insertion (c.1527_1528insA) in exon 10 of the PCNT gene, which leads to a frameshift (Treo510fs) and to premature protein truncation. PCNT mutations must be considered diagnostic of MOPD II syndrome. A possible role of pericentrin in the development of cerebral vessels is suggested. Copyright 2009 Wiley-Liss, Inc.

  1. Late type III endoleak after thoracic endovascular aneurysm repair and previous infrarenal stent graft implantation - a case report and review of the literature.

    Science.gov (United States)

    Leszczyński, Jerzy; Macioch, Waldemar; Chudziński, Witold; Gałązka, Zbigniew

    2017-09-01

    Thoracic endovascular aortic repair (TEVAR) effectively improved the results of thoracic aortic aneurysm treatment. TEVAR is a less invasive procedure that can be performed under local anesthesia with shorter hospital stay. The perioperative morbidity and mortality rates are lower for endovascular than open repair, but the rate of secondary interventions is higher for TEVAR. We report a case of an elderly man with synchronous abdominal and thoracic aortic aneurysms. A type III dangerous endoleak was recognized 3 years after TEVAR. It was successfully repaired during an endovascular procedure. There were no new endoleaks after 12 months of follow-up. TEVAR may be the only option of treatment for risky and elderly patients. However, postoperative monitoring is necessary to exclude different types of endoleaks. Most of them undergo effective endovascular repair.

  2. REGIONAL MULTILATERAL DEVELOPMENT BANKS. External Audit Reporting Could Be Expanded

    National Research Council Canada - National Science Library

    2001-01-01

    .... Worldwide, countries and institutions are recognizing the importance of providing independent, external assessments on not only financial reporting, but also on Internal control over an entity's...

  3. Northeast Regional environmental impact study: Waste disposal technical report

    Science.gov (United States)

    Saguinsin, J. L. S.

    1981-04-01

    The potential for cumulative and interactive environmental impacts associated with the conversion of multiple generating stations in the Northeast is assessed. The estimated quantities and composition of wastes resulting from coal conversion, including ash and SO2 scrubber sludge, are presented. Regulations governing the use of ash and scrubber sludge are identified. Currently available waste disposal schemes are described. The location, capacity, and projected life of present and potential disposal sites in the region are identified. Waste disposal problems, both hazardous and nonhazardous, are evaluated. Environmental regulations within the region as they pertain to coal conversion and as they affect the choice of conversion alternatives are discussed. A regional waste management strategy for solid waste disposal is developed.

  4. Developing an intelligent transportation systems (ITS) architecture for the KIPDA region : final report.

    Science.gov (United States)

    2004-08-01

    This report describes the development of a regional Intelligent Transportation Systems (ITS) Architecture for the five-county urban area under the auspices of the Kentuckiana Regional Planning and Development Agency (KIPDA). The architecture developm...

  5. Alligator Rivers Regions Research Institute research report 1983-84

    International Nuclear Information System (INIS)

    1984-01-01

    The Institute undertakes and coordinates research required to ensure the protection of the environment in the Alligator Rivers Region from any consequences resulting from the mining and processing of uranium ore. Research projects outlined are in aquatic biology, terrestrial ecology, analytical chemistry, environmental radioactivity and geomorphology

  6. Transitional nuclei in the A-100 region. Progress report

    International Nuclear Information System (INIS)

    Petry, R.F.

    1981-01-01

    The TRISTAN on-line isotope separator at the Brookhaven High Flux Beam Reactor has been operating productively and reliably with a surface ionization ion source since November of 1980. The yields of neutron-rich fission products of Rb, Sr, Cs, Ba exceed those of any similar facility. Important studies of previously unstudied isotopes of these elements as well as more detailed and definitive new studies of previously studied isotopes and their descendents have occupied the experimenters at TRISTAN since that time. Because of the emphasis in this early stage on development of the facility, most efforts have been collaborative as indicated in the abstracts contained in section V. The Oklahoma group has been a part of these efforts since the beginning

  7. Southeast Region Headboat Survey-Headboat Activity Report

    Data.gov (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — HARs themselves are a quality assurance/compliance tracking tool used to verify the accuracy/completeness of the submitted trip reports.The trip (date, type, number...

  8. Regional State of the Coast Report - Western Indian Ocean

    CSIR Research Space (South Africa)

    Bosire, J

    2015-12-01

    Full Text Available protected area in Africa, covering more than 4020 square miles. The region continues to explore new and innovative options for managing oceans and coasts. We also recognise the transboundary nature of shared ocean resources, and our governments have... to list, we would like to express sincere appreciations to the: All Contracting Parties to the Nairobi Convention for supporting the focal points and the Governments of Kenya and Mozambique for graciously hosting and supporting capacity building...

  9. Regional environmental impacts of methanol-fueled vehicles. Final report

    International Nuclear Information System (INIS)

    Belian, T.; Morris, R.E.; Ligocki, M.P.; Whitten, G.Z.

    1991-01-01

    The objectives of the study were to obtain, through simulation modeling, preliminary estimates of the regional environmental impacts methanol-fueled vehicles and to estimate the sensitivity of the model to important parameters and assumptions that affect the calculation of the impacts. The regional environmental effects of the use of M85 fuel (85 percent methanol and 15 percent gasoline) and M100 (neat methanol) relative to gasoline (an indoline blend) were estimated using a Lagrangian (trajectory) acid deposition model. The Comprehensive Chemistry Acid Deposition Model (CCADM), contains a detailed treatment of gas-phase and aqueous-phase chemistry and associated mass transfer, but provides for a less comprehensive representation of advection and diffusion. Two different meteorological regimes were analyzed: clear sky conditions and cloudy skies with a rain event. The study also included a review of gas- and aqueous-phase chemistry, with particular emphasis on methanol. The CCADM chemical mechanism was updated to include state-of-the-science (as of 1990) gas- and aqueous-phase chemistry including methanol chemistry. The CCADM was then used to analyze the regional environmental impacts from the use of methanol fuels. In performing such an analysis it was necessary to make several assumptions. The sensitivity of the analysis was examined through a series of simulations that varied key input parameters within their ranges of uncertainty

  10. RTSTEP regional transportation simulation tool for emergency planning - final report.

    Energy Technology Data Exchange (ETDEWEB)

    Ley, H.; Sokolov, V.; Hope, M.; Auld, J.; Zhang, K.; Park, Y.; Kang, X. (Energy Systems)

    2012-01-20

    Large-scale evacuations from major cities during no-notice events - such as chemical or radiological attacks, hazardous material spills, or earthquakes - have an obvious impact on large regions rather than on just the directly affected area. The scope of impact includes the accommodation of emergency evacuation traffic throughout a very large area; the planning of resources to respond appropriately to the needs of the affected population; the placement of medical supplies and decontamination equipment; and the assessment and determination of primary escape routes, as well as routes for incoming emergency responders. Compared to events with advance notice, such as evacuations based on hurricanes approaching an affected area, the response to no-notice events relies exclusively on pre-planning and general regional emergency preparedness. Another unique issue is the lack of a full and immediate understanding of the underlying threats to the population, making it even more essential to gain extensive knowledge of the available resources, the chain of command, and established procedures. Given the size of the area affected, an advanced understanding of the regional transportation systems is essential to help with the planning for such events. The objectives of the work described here (carried out by Argonne National Laboratory) is the development of a multi-modal regional transportation model that allows for the analysis of different evacuation scenarios and emergency response strategies to build a wealth of knowledge that can be used to develop appropriate regional emergency response plans. The focus of this work is on the effects of no-notice evacuations on the regional transportation network, as well as the response of the transportation network to the sudden and unusual demand. The effects are dynamic in nature, with scenarios changing potentially from minute to minute. The response to a radiological or chemical hazard will be based on the time-delayed dispersion of

  11. Regional forecasting with global atmospheric models; Third year report

    Energy Technology Data Exchange (ETDEWEB)

    Crowley, T.J.; North, G.R.; Smith, N.R. [Applied Research Corp., College Station, TX (United States)

    1994-05-01

    This report was prepared by the Applied Research Corporation (ARC), College Station, Texas, under subcontract to Pacific Northwest Laboratory (PNL) as part of a global climate studies task. The task supports site characterization work required for the selection of a potential high-level nuclear waste repository and is part of the Performance Assessment Scientific Support (PASS) Program at PNL. The work is under the overall direction of the Office of Civilian Radioactive Waste Management (OCRWM), US Department of Energy Headquarters, Washington, DC. The scope of the report is to present the results of the third year`s work on the atmospheric modeling part of the global climate studies task. The development testing of computer models and initial results are discussed. The appendices contain several studies that provide supporting information and guidance to the modeling work and further details on computer model development. Complete documentation of the models, including user information, will be prepared under separate reports and manuals.

  12. When chronic conditions become emergencies - a report from regional Queensland.

    Science.gov (United States)

    Harriss, Linton R; Thompson, Fintan; Dey, Arindam; Mills, Jane; Watt, Kerrianne; McDermott, Robyn

    2016-12-01

    To describe chronic conditions and injuries as a proportion of total emergency presentations to a large public hospital in regional Queensland, and to investigate differences in presentation rates associated with Indigenous status. Cross-sectional analysis using Emergency Department Information System data between 1 July 2012 and 30 June 2014. Regional Queensland, Australia. A total of 95 238 emergency presentations were generated by 50 083 local residents living in the 10 statistical local areas (SLAs) immediately around the hospital. Emergency presentations for chronic conditions and injuries identified from discharge ICD-10-AM principal diagnosis. Age-standardised presentation rates were calculated using the Australian 2001 reference population. Approximately half of all presentations were for chronic conditions (20.2%) and injuries (28.8%). Two-thirds of all chronic condition presentations were for mental and behavioural disorders (34.6%) and circulatory diseases (33.2%). Head injuries accounted for the highest proportion of injuries (18.9%). Age-standardised rates for major diagnostic groups were consistently higher for Indigenous residents, whose presentations were lower in mean age (95% CI) by 7.7 (7.3-8.1) years, 23% less likely to be potentially avoidable GP-type presentations [RR (95% CI) = 0.77 (0.75-0.80)], 30% more likely to arrive by ambulance [1.31 (1.28-1.33)] and 11% more likely to require hospital admission [1.11 (1.08-1.13)]. Opportunities exist to enhance current coordinated hospital avoidance and primary health services in regional Queensland targeting common mental and circulatory disorders, especially for Indigenous Australians. © 2016 The Authors. Australian Journal of Rural Health published by John Wiley & Sons Australia, Ltd on behalf of National Rural Health Alliance Inc.

  13. Geophagia in Transkei region of South Africa: case reports | Meel ...

    African Journals Online (AJOL)

    She keeps bricks close her bed and eats when she feels to eat. She used to complain abdominal pain and off and on loose motions. She had bladder stones, which passed through urethra. The history of geophagia, mechanism of craving for soil, and associated cultural belief has discussed in this case report. Conclusion: ...

  14. INTRODUCTION Previous reports have documented a high ...

    African Journals Online (AJOL)

    Conclusion: The positive effect of education on oral hygiene practices is highlighted in this study. However there is still need for proper health enlightenment in this population with regards to use of the available oral health care facilities. Keywords: Oral hygiene, Pregnancy, Nigeria. Annals of Ibadan Postgraduate Medicine.

  15. Morganella morganii in sinonasal region: A rare case report

    Directory of Open Access Journals (Sweden)

    Haşmet Yazıcı

    2013-09-01

    Full Text Available Morganella morganii is a gram negative pathogen andmay cause potentially lethal disease especially in patientswith underlying or immunosuppressive disease. It is commonlyfound in long-term urinary catheter used and immunesystem deficiency patients as nosocomial disease.Involving other systems such as skin, skeletal systemand central nervous system can be seen too. Sporadicoccurrence is rare and can be seen in any system by variouscauses like AIDS, snake bites and poisoning. In thiscase we present sporadic Morganella morganii infectionon sinonasal region with the presence of sinusitis, sinocutaneousfistula, preseptal cellulitis and hard palate defecton 58 year old male diabetic patient. Microbiologicalassessment from open wound and sinuses were reportedas Morganella morganii. To our knowledge, this is the firstcase of sino-nasal Morganella morganii infection with sino-cutaneous fistula, preseptal cellulitis and maxillofacialbone destruction. J Clin Exp Invest 2013; 4 (3: 383-386Key words: Morganella Morganii, sino-nasal fistula, preseptalcellulitis, bone destruction

  16. US DOE Regional Test Centers Program - 2016 Annual Report.

    Energy Technology Data Exchange (ETDEWEB)

    Stein, Joshua [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)

    2017-05-01

    The US Department of Energy’s Regional Test Center (RTC) program provides outdoor validation and bankability data for innovative solar technologies at five sites across the US representing a range of climate conditions. Data helps get new technologies to market faster and improves US industry competitiveness. Managed by Sandia National Laboratories and the National Renewable Energy Laboratory (NREL), the RTC program partners with US manufacturers of photovoltaic (PV) technologies, including modules, inverters, and balance-of-system equipment. The study is collaborative, with manufacturers (also known as RTC industry partners) and the national labs working together on a system design and validation strategy that meets a clearly defined set of performance and reliability objectives.

  17. PACIFIC NORTHWEST REGIONAL COLLABORATORY ANNUAL REPORT FOR SYNERGY VII (2007)

    Energy Technology Data Exchange (ETDEWEB)

    Tagestad, Jerry D.; Bolte, John; Guzy, Michael; Woodruff, Dana L.; Humes, Karen; Walden, Von; Wigmosta, Mark S.; Glenn, Nancy; Ames, Dan; Rope, Ronald; Martin, David; Sandgathe, Scott

    2008-04-01

    During this final year of the Pacific Northwest Regional Collaboratory we focused significantly on continuing the relationship between technical teams and government end-users. The main theme of the year was integration. This took the form of data integration via our web portal and integration of our technologies with the end users. The PNWRC's technical portfolio is based on EOS strategies, and focuses on 'applications of national priority: water management, invasive species, coastal management and ecological forecasting.' The products of our technical approaches have been well received by the community of focused end-users. The objective this year was to broaden that community and develop external support to continue and operationalize product development.

  18. Femoral Component Revision with Use of Impaction Bone-Grafting and a Cemented Polished Stem: A Concise Follow-up, at Fifteen to Twenty Years, of a Previous Report*

    NARCIS (Netherlands)

    Te Stroet, M.A.; Gardeniers, J.W.M.; Verdonschot, N.J.; Rijnen, W.H.C.; Slooff, T.J.J.H.; Schreurs, B.W.

    2012-01-01

    We previously reported our results for thirty-three consecutive femoral component revisions with impaction bone-grafting, performed with the X-change femoral revision system and a cemented polished Exeter stem, at a minimum of eight years of follow-up. The present updated study shows the results

  19. U.S. Department of Energy Regional Resource Centers Report: State of the Wind Industry in the Regions

    Energy Technology Data Exchange (ETDEWEB)

    Baranowski, Ruth [National Renewable Energy Lab. (NREL), Golden, CO (United St; Oteri, Frank [National Renewable Energy Lab. (NREL), Golden, CO (United St; Baring-Gould, Ian [National Renewable Energy Lab. (NREL), Golden, CO (United St; Tegen, Suzanne [National Renewable Energy Lab. (NREL), Golden, CO (United St

    2016-03-01

    The wind industry and the U.S. Department of Energy (DOE) are addressing technical challenges to increasing wind energy's contribution to the national grid (such as reducing turbine costs and increasing energy production and reliability), and they recognize that public acceptance issues can be challenges for wind energy deployment. Wind project development decisions are best made using unbiased information about the benefits and impacts of wind energy. In 2014, DOE established six wind Regional Resource Centers (RRCs) to provide information about wind energy, focusing on regional qualities. This document summarizes the status and drivers for U.S. wind energy development on regional and state levels. It is intended to be a companion to DOE's 2014 Distributed Wind Market Report, 2014 Wind Technologies Market Report, and 2014 Offshore Wind Market and Economic Analysis that provide assessments of the national wind markets for each of these technologies.

  20. Regional Studies Program annual report, January 1 through December 31, 1976

    International Nuclear Information System (INIS)

    Davis, R.M.; Parzyck, D.C.; Bjornstad, D.J.; Honea, R.B.; Loebl, A.S.; Peelle, E.

    1977-08-01

    In 1976 the Regional Studies Program focused its attention on the analysis of national and regional effects of energy development and use. The major goal of this work has been to carry out comprehensive regional assessments to identify and evaluate potential environmental, social, and economic effects of energy resource development and use, including the effects of alternative energy technologies. This report presents the results of the assessments completed or under way in 1976, including a discussion of the environmental, social, and economic techniques and methods under development for use in future regional assessments. The report is organized and presented by the four research groups that participate in the Regional Studies Program

  1. International workshop: Planning for climate change through integrated coastal management. Volume 2: Country and regional reports

    International Nuclear Information System (INIS)

    1998-01-01

    This workshop included reports from the following countries: Argentina; Bulgaria; Egypt; Estonia; Fiji; Indonesia; Mozambique; Nigeria; Oman; The Philippines; Senegal; Sri Lanka; Surinam; Thailand; and Tuvalu; Regional reports were included on the following: Small Island Developing States of the Pacific; South Pacific Regional Environment Program; and Sea Level Rise Impacts on Central America

  2. Local, Regional or Global?

    DEFF Research Database (Denmark)

    Geisler Asmussen, Christian

    to be consistent with models of internationalization that incorporate different assumptions about strategic choice and global competition. Preliminary results show that large multinationals follow home region oriented internationalization paths, although much of the regional effect reported by previous studies...

  3. Host state screening process: Regional management plan: [Final report

    International Nuclear Information System (INIS)

    Drobny, N.L.

    1986-01-01

    This report discusses the procedure and cirteria that the Commission selected for designating a host state, should a state not volunteer for this role. Section 2 describes the wide range of approaches considered. Advantages and disadvantages of each are reviewed briefly, and the overall timetable established by the Commission for host state selection is presented. Section 3 describes the selected process for host state designation which involves emphasis on waste quantities generated and transportation factors. Section 4 presents relevant data on characteristics of wastes presently generated and presents estimates for future waste generation to Year 2015. Section 5 presents the results of transportation analyses considering the distance over which waste would be transported and safety (accident) statistics for waste transport routes. Section 6 integrates the conclusions from the analysis of waste volumes generated and transportation factors and suggests how these results might be used to designate a host state. 11 refs., 6 figs., 9 tabs

  4. Dengue virus infection in a French traveller to the hilly region of Nepal in 2015: a case report.

    Science.gov (United States)

    Gupta, Birendra Prasad; Adhikari, Anurag; Rauniyar, Ramanuj; Kurmi, Roshan; Upadhya, Bishnu Prasad; Jha, Bimlesh Kumar; Pandey, Basudev; Das Manandhar, Krishna

    2016-03-21

    Dengue viral infections are known to pose a significant risk during travel to tropical regions, but it is surprising to find dengue transmission in the hilly region of Nepal, which is over 1800mtr above sea level. A 43-year-old Caucasian female traveler from France presented with fever and abdominal pain following a diarrheal illness while visiting the central hilly region of Nepal. Over the course of 9 days, she developed fever, body aches, and joint pain, with hemorrhagic manifestation. She was hospitalized in India and treated with supportive care, with daily monitoring of her platelets. An assessment by enzyme-linked immunosorbent assay showed that she was positive for dengue non-structural protein 1. Upon her return to France, dengue virus was confirmed by reverse transcriptase-polymerase chain reaction. The district where this dengue case was reported is in the hilly region of Nepal, neighboring the capital city Kathmandu. To the best of our knowledge, there has previously been no dengue cases reported from the district. This study is important because it aims to establish a potential region of dengue virus circulation not only in the tropics, but also in the subtropics as well, which in Nepal may exceed elevations of 1800mtr. This recent case report has raised alarm among concerned health personnel, researchers, and organizations that this infectious disease is now on the way to becoming established in a temperate climate.

  5. Towards quality criteria for regional public health reporting: concept mapping with Dutch experts.

    Science.gov (United States)

    van Bon-Martens, Marja J H; Achterberg, Peter W; van de Goor, Ien A M; van Oers, Hans A M

    2012-06-01

    In the Netherlands, municipal health assessments are carried out by 28 Regional Health Services, serving 418 municipalities. In the absence of guidelines, regional public health reports were developed in two pilot regions on the basis of the model and experience of national health reporting. Though they were well received and positively evaluated, it was not clear which specific characteristics determined 'good public health reporting'. Therefore, this study was set up to develop a theoretical framework for the quality of regional public health reporting in The Netherlands. Using concept mapping as a standardized tool for conceptualization, 35 relevant reporting experts formulated short statements in two different brainstorming sessions, describing specific quality criteria of regional public health reports. After the removal of duplicates, the list was supplemented with international criteria, and the statements were sent to each participant for rating and sorting. The results were processed statistically and represented graphically. The output was discussed and interpreted, leading to the final concept map. The final concept map consisted of 97 criteria, grouped into 13 clusters, and plotted in two dimensions: a 'product' dimension, ranging from 'production' to 'content', and a 'context' dimension, ranging from 'science' to 'policy'. The three most important clusters were: (i) 'solution orientation', (ii) 'policy relevance' and (iii) 'policy impact'. This study provided a theoretical framework for the quality of regional public health reporting, indicating relevant domains and criteria. Further work should translate domains and criteria into operational indicators for evaluating regional public health reports.

  6. Environmental neglect that fuels migration. Regional report 3: Mexico.

    Science.gov (United States)

    1994-01-01

    This article reports the impact of environmental neglect on the Mexican population. Despite its participation in the Organization for Economic Cooperation and Development, Mexico is experiencing an environmental crisis. Being the first developing country to engage in the Green Revolution during the 1950s, the country experienced a four-fold increase in grain production. The population increased rapidly from 27 million to 92 million in the 1990s. Due to the increase in population and because the government was too preoccupied with its economic endeavors, the environment suffered, which in a way counteracted the benefits of the Green Revolution. Furthermore, environmental degradation (like loss of forests, less water supply to agricultural lands) had a chain effect. Large farmers engaging in capital-intensive cash cropping for export are buying out small farmers, which leads to many landless or near-landless peasants. Also, many marginalized farmers have long been forced to migrate into marginal lands. Because of the increase in migration in addition to the present population of 92 million, Mexico is showing inadequacy in securing food, employment, and houses. A realistic prognosis is that many Mexicans in the year 2000 could be poorer than they were in 1985; but with the help of the NAFTA free-trade zone, Mexico is hopeful to increase its employment opportunities and reverse its present situation.

  7. Isodense epidermoid cyst in the pineal region. Case report

    Energy Technology Data Exchange (ETDEWEB)

    Yamanouchi, Yasuo; Takahara, Nobuhiko; Kawamura, Yasuo; Matsumura, Hiroshi

    1985-02-01

    A 69-year-old male was admitted complaining of gait disturbances and diplopia, 2.5 years after an episode of serous meningitis. Neurological examination on admission disclosed Parinaud's sign, unsteady gait and dysdiadochokinesis on the left side. A striking finding on the computerized tomography (CT) was the left to right shift of the posterior portion of the third ventricle without visualization of the quadrigeminal and ambient cisterns, which were almost completely occupied by an isodense mass accompanied by high dense flecks and a low dense part. Enhanced CT showed positive enhancement in the vicinity of the pineal calcification. By the suboccipital supracerebellar approach, an encapsulated mass containing brownish yellow fluid was subtotally removed and a histological examination of it revealed epidermoid tissue and hemosiderin deposits in the solid portion. Few reports of isodense epidermoid cysts have so far been found in the literature giving a full explanation for this unusual CT attenuation value. Based on the clinical course and histology of this case, the pathogenesis of the unusual density is discussed along the following lines: The mixture of the low dense factor due to cholesterin and the high dense factor due to prior bleeding is believed to result in the isodense attenuation value in the liquid portion. Also, in the solid part, a microscopically mixed texture of deposited hemosiderin and cholesterin clefts in the inflammatory granulomatous tissue could explain its density on the CT scan.

  8. Centro Regional de Ciencias Nucleares (a Brazilian regional center for nuclear sciences) - activities report - 1999; Centro Regional de Ciencias Nucleares - relatorio de atividades - 1999

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1999-12-01

    The annual activities report of 1999 of nuclear sciences regional center - Brazilian organization - introduces the next main topics: institutional relations; sectorial actions - logistic support and training, laboratory of radiation protection and dosimetry, laboratory of metrology, laboratory of chemical characterization; technical and scientific events; and financial resources and perspectives for 2000.

  9. Cayuga County Regional Digester: Vision Becomes Reality. Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Zadeh, Kamyar V. [Blue Electron Technology Solutions International LLC, Manlius, NY (United States); Young, Jim [Cayuga Soil and Water Conservation District, Auburn, NY (United States)

    2013-03-12

    With an average herd size of 113 mature cows, Cayuga County is home to 280 dairy farms and 31,500 dairy milking cows producing approximately 855 million gallons of milk per year. The Cayuga Dairy industry is a major contributor to the countys economy, employing nearly 1200 people, while generating $140,000,000 of revenue from sale of milk alone. At the same time, the Cayuga County dairy industry also produces 5.7 million gallons of manure daily: (a) Nearly 34% of this manure is produced on smaller farms. (b) Digesters are expensive pieces of equipment and require attention and care. ( c) The on-farm digester systems have fairly long payback (>10 years) even for larger CAFO farms (>1000 milking cows). In 2005, Cayuga County Soil and Water Conservation District (The District), a Public Agency under Cayuga County, decided to undertake a centralized community digester project. The primary goal of the project was to develop an economically sustainable model, under the auspices of The District to address manure management issues facing the smaller dairies, improve the water quality and improve the quality of life for Cayuga County residents. It is believed that the District has accomplished this goal by completing construction of Cayuga County Regional Digester on a parcel of land behind the Cayuga County Natural Resource Center located at 7413 County House Road in the Town of Sennett in Cayuga County, New York. The digester facility consists of the following major components. 1. Transfer Station: This an indoor truck bay, where 35,000 gallons of manure from three local farms, 8,500 gallons of liquid organic food-processor waste, and 1,200 gallons of brown grease are unloaded from tanker trucks and the digested slurry is loaded onto the tanker trucks for delivery back to the participating farms. 2. Anaerobic Digester: The project utilizes a hydraulic mix anaerobic digester, a unique design that has no internal moving parts for mixing. The digester, which operates at

  10. Pacific Northwest and Alaska Regional Bioenergy Program : Five Year Report, 1985-1990.

    Energy Technology Data Exchange (ETDEWEB)

    Pacific Northwest and Alaska Bioenergy Program (U.S.)

    1991-02-01

    This five-year report describes activities of the Pacific Northwest and Alaska Regional Bioenergy Program between 1985 and 1990. Begun in 1979, this Regional Bioenergy Program became the model for the nation's four other regional bioenergy programs in 1983. Within the time span of this report, the Pacific Northwest and Alaska Regional Bioenergy Program has undertaken a number of applied research and technology projects, and supported and guided the work of its five participating state energy programs. During this period, the Regional Bioenergy Program has brought together public- and private-sector organizations to promote the use of local biomass and municipal-waste energy resources and technologies. This report claims information on the mission, goals and accomplishments of the Regional Bioenergy Program. It describes the biomass projects conducted by the individual states of the region, and summarizes the results of the programs technical studies. Publications from both the state and regional projects are listed. The report goes on to consider future efforts of the Regional Bioenergy Program under its challenging assignment. Research activities include: forest residue estimates; Landsat biomass mapping; woody biomass plantations; industrial wood-fuel market; residential space heating with wood; materials recovery of residues; co-firing wood chips with coal; biomass fuel characterization; wood-boosted geothermal power plants; wood gasification; municipal solid wastes to energy; woodstove study; slash burning; forest depletion; and technology transfer. 9 figs., 6 tabs.

  11. A report from the first regional pain medicine symposia in East ...

    African Journals Online (AJOL)

    A report from the first regional pain medicine symposia in East, Central and Southern African ... Definition and concept of the Rhino model in pain education in Africa ... pain medicine among residents to stimulate their ideas for pain research ...

  12. Report: Agency-Wide Application of Region 7 NPDES Program Process Improvements Could Increase EPA Efficiency

    Science.gov (United States)

    Report #11-P-0315, July 6, 2011. Although Region 7 NPDES Kaizen event participants continued to follow up on the commitments and action items identified, no single authority was responsible for tracking the process improvement outcomes.

  13. Model Orlando regionally efficient travel management coordination center (MORE TMCC), phase II : final report.

    Science.gov (United States)

    2012-09-01

    The final report for the Model Orlando Regionally Efficient Travel Management Coordination Center (MORE TMCC) presents the details of : the 2-year process of the partial deployment of the original MORE TMCC design created in Phase I of this project...

  14. EML Chester - 1982. Annual report of the Regional Baseline Station at Chester, New Jersey

    International Nuclear Information System (INIS)

    Volchok, H.L.

    1982-11-01

    The Environmental Measurements Laboratory (EML) has maintained a regional baseline station at Chester, New Jersey since 1976. The site provides EML with a remote, rural facility for carrying out regional baseline research and for testing field equipment. This report updates the various programs underway at the Chester site. Separate abstracts have been prepared for the included papers

  15. North Central Regional geologic characterization report. Volume 2. Plates. Final report

    International Nuclear Information System (INIS)

    1985-08-01

    Volume 8(2) contains the following maps: Geologic map of the Lake Superior Region (Minnesota, Wisconsin, and northern Michigan); Index Map; Overburden Thickness; Faults and Ground Acceleration; Rock and Mineral Resources; Ground Water Basins and Potential Major Discharge Zones; and Ground Water Resource Potential

  16. Connective Tissue Growth Factor reporter mice label a subpopulation of mesenchymal progenitor cells that reside in the trabecular bone region.

    Science.gov (United States)

    Wang, Wen; Strecker, Sara; Liu, Yaling; Wang, Liping; Assanah, Fayekah; Smith, Spenser; Maye, Peter

    2015-02-01

    Few gene markers selectively identify mesenchymal progenitor cells inside the bone marrow. We have investigated a cell population located in the mouse bone marrow labeled by Connective Tissue Growth Factor reporter expression (CTGF-EGFP). Bone marrow flushed from CTGF reporter mice yielded an EGFP+ stromal cell population. Interestingly, the percentage of stromal cells retaining CTGF reporter expression decreased with age in vivo and was half the frequency in females compared to males. In culture, CTGF reporter expression and endogenous CTGF expression marked the same cell types as those labeled using Twist2-Cre and Osterix-Cre fate mapping approaches, which previously had been shown to identify mesenchymal progenitors in vitro. Consistent with this past work, sorted CTGF+ cells displayed an ability to differentiate into osteoblasts, chondrocytes, and adipocytes in vitro and into osteoblast, adipocyte, and stromal cell lineages after transplantation into a parietal bone defect. In vivo examination of CTGF reporter expression in bone tissue sections revealed that it marked cells highly localized to the trabecular bone region and was not expressed in the perichondrium or periosteum. Mesenchymal cells retaining high CTGF reporter expression were adjacent to, but distinct from mature osteoblasts lining bone surfaces and endothelial cells forming the vascular sinuses. Comparison of CTGF and Osterix reporter expression in bone tissue sections indicated an inverse correlation between the strength of CTGF expression and osteoblast maturation. Down-regulation of CTGF reporter expression also occurred during in vitro osteogenic differentiation. Collectively, our studies indicate that CTGF reporter mice selectively identify a subpopulation of bone marrow mesenchymal progenitor cells that reside in the trabecular bone region. Copyright © 2014 Elsevier Inc. All rights reserved.

  17. Coal and energy: a southern perspective. Regional characterization report for the National Coal Utilization Assessment

    Energy Technology Data Exchange (ETDEWEB)

    Boercker, F. D.; Davis, R. M.; Goff, F. G.; Olson, J. S.; Parzyck, D. C.

    1977-08-01

    This publication is the first of several reports to be produced for the National Coal Utilization Assessment, a program sponsored by the Assistant Administrator for Environment and Safety through the Division of Technology Overview of ERDA. The purpose of the report is to present the state and regional perspective on energy-related issues, especially those concerning coal production and utilization for 12 southern states. This report compiles information on the present status of: (1) state government infrastructure that deals with energy problems; (2) the balance between energy consumption and energy production; (3) the distribution of proved reserves of various mineral energy resources; (4) the major characteristics of the population; (5) the important features of the environment; and (6) the major constraints to increased coal production and utilization as perceived by the states and regional agencies. Many energy-related characteristics described vary significantly from state to state within the region. Regional and national generalizations obscure these important local variations. The report provides the state and regional perspective on energy issues so that these issues may be considered objectively and incorporated into the National Coal Utilization Assessment. This Assessment is designed to provide useful outputs for national, regional, and local energy planners.

  18. HIV risk perception and testing behaviours among men having sex with men (MSM) reporting potential transmission risks in the previous 12 months from a large online sample of MSM living in Germany.

    Science.gov (United States)

    Marcus, Ulrich; Gassowski, Martyna; Drewes, Jochen

    2016-10-22

    HIV testing and serostatus awareness are essential to implement biomedical strategies (treatment as prevention; oral chemoprophylaxis), and for effective serostatus-based behaviours (HIV serosorting; strategic positioning). The analysis focuses on the associations between reported sexual risks, the perceived risk for HIV infection, and HIV testing behaviour in order to identify the most relevant barriers for HIV test uptake among MSM living in Germany. MSM were recruited to a nationwide anonymous online-survey in 2013 on MSM social networking/dating sites. Questions covered testing behaviours, reasons for testing decisions, and HIV risk perception (5-point scale). Additional questions addressed arguments in favour of home/ home collection testing (HT). Using descriptive statistics and logistic regression we compared men reporting recent HIV testing (RT; previous 12 month) with men never tested (NT) in a subsample not previously diagnosed with HIV and reporting ≥2 episodes of condomless anal intercourse (CLAI) with a non-steady partner of unknown HIV serostatus in the previous 12 months. The subsample consisted of 775 RT (13 % of RT) and 396 NT (7 % of NT). The number of CLAI episodes in the last 12 months with non-steady partners of unknown HIV status did not differ significantly between the groups, but RT reported significantly higher numbers of partners (>5 AI partners: 65 vs. 44 %). While perceived risks regarding last AI were comparable between the groups, 49vs. 30 % NT were risks (67 %) and routine testing (49 %) were the most common testing reasons for RT, while the strong belief not to be infected (59 %) and various worries (41 %) and fears of testing positive (35 %) were predominant reasons of NT. Greater anonymity (aOR 3.2; 2.4-4.4), less embarrassment, (aOR 2.8; 1.9-4.1), and avoiding discussions on sexual behaviour (aOR 1.6; 1.1-2.2) were emphasized in favour of HT by NT. Perceived partner knowledge and reasons reflecting perceived gay- and

  19. Successful adalimumab treatment of a psoriasis vulgaris patient with hemodialysis for renal failure: A case report and a review of the previous reports on biologic treatments for psoriasis patients with hemodialysis for renal failure.

    Science.gov (United States)

    Kusakari, Yoshiyuki; Yamasaki, Kenshi; Takahashi, Toshiya; Tsuchiyama, Kenichiro; Shimada-Omori, Ryoko; Nasu-Tamabuchi, Mei; Aiba, Setsuya

    2015-07-01

    The efficacy and safety of biologic treatments have been established in patients with moderate to severe psoriasis, but there are few reports on biologic therapy for patients with psoriasis complicated by end-stage renal failure on hemodialysis (HD). In this report, we demonstrated the efficacy and safety of adalimumab for patients with severe psoriasis on HD. A 46-year-old Japanese man with a 14-year history of psoriasis was referred to our clinic in September 2009. He had developed hypertension and renal failure during a 7-year history of cyclosporin treatment. With the infliximab treatment, he achieved 75% improvement of the Psoriasis Area and Severity Index (PASI) score within 3 months from the PASI of 42.3 before the treatment. However, his renal failure gradually deteriorated, and HD was initiated at 1 year after the introduction of infliximab. Because of hydration during the i.v. injection of infliximab, he developed pulmonary edema with every infliximab treatment after starting HD. We switched to ustekinumab treatment, but his psoriasis was not improved. Then, we switched to adalimumab and achieved a PASI-100 response within 2 months. The patient received adalimumab treatment for more than a year without any adverse effects. In addition to our case, five articles reported cases of psoriasis patients with renal failure on HD who were treated with biologics. The psoriatic lesions were improved by biologics in these cases, and no severe adverse effects on the renal function were reported. Thus, biologics are a reasonable treatment option for patients with severe psoriasis with renal failure on HD. © 2015 Japanese Dermatological Association.

  20. Regional differences in the validity of self-reported use of health care in Belgium: selection versus reporting bias

    Directory of Open Access Journals (Sweden)

    J. Van der Heyden

    2016-08-01

    Full Text Available Abstract Background The Health Care Module of the European Health Interview Survey (EHIS is aimed to obtain comparable information on the use of inpatient and ambulatory care in all EU member states. In this study we assessed the validity of self-reported information on the use of health care, collected through this instrument, in the Belgian Health Interview Survey (BHIS, and explored the impact of selection and reporting bias on the validity of regional differences in health care use observed in the BHIS. Methods To assess reporting bias, self-reported BHIS 2008 data were linked with register-based data from the Belgian compulsory health insurance (BCHI. The latter were compared with similar estimates from a random sample of the BCHI to investigate the selection bias. Outcome indicators included the prevalence of a contact with a GP, specialist, dentist and a physiotherapist, as well as inpatient and day patient hospitalisation. The validity of the estimates and the regional differences were explored through measures of agreement and logistic regression analyses. Results Validity of self-reported health care use varies by type of health service and is more affected by reporting than by selection bias. Compared to health insurance estimates, self-reported results underestimate the percentage of people with a specialist contact in the past year (50.5 % versus 65.0 % and a day patient hospitalisation (7.8 % versus 13.9 %. Inversely, survey results overestimated the percentage of people having visited a dentist in the past year: 58.3 % versus 48.6 %. The best concordance was obtained for an inpatient hospitalisation (kappa 0.75. Survey data overestimate the higher prevalence of a contact with a specialist [OR 1.51 (95 % CI 1.33–1.72 for self-report and 1.08 (95 % CI 1.05–1.15 for register] and underestimate the lower prevalence of a contact with a GP [ORs 0.59 (95 % CI 0.51–0.70 and 0.41 (95 % CI 0.39–0.42 respectively] in

  1. Complex Regional Pain Syndrome (CRPS Type II After Carpal Tunnel Release Surgery: Case Report

    Directory of Open Access Journals (Sweden)

    Hakan Tunç

    2010-08-01

    Full Text Available Summary Complex regional pain syndrome is a chronic syndrome characterised with dystrophic changes and neurovascular disordes of bone and skin of extremities. The most common etiological factors are trauma, ischemic heart disease, cerebral lesions, servical region disorders, infections, and surgical treatments. Carpal tunnel syndrome is the most common compressive neuropaty of the upper extremity. There are various surgical and conservative alternatives in the treatment of carpal tunnel syndrome. Complex regional pain syndrome has been reported as a complication of surgical carpal tunnel release in 2-5% of patients. In this case report clinical characteristics and rehabilitation outcomes of a patient with complex regional pain syndrome after carpal tunnel release surgery is presented. (Osteoporoz Dünyasından 2010;16:41-3

  2. Squamous cell carcinoma arising in previously burned or irradiated skin

    International Nuclear Information System (INIS)

    Edwards, M.J.; Hirsch, R.M.; Broadwater, J.R.; Netscher, D.T.; Ames, F.C.

    1989-01-01

    Squamous cell carcinoma (SCC) arising in previously burned or irradiated skin was reviewed in 66 patients treated between 1944 and 1986. Healing of the initial injury was complicated in 70% of patients. Mean interval from initial injury to diagnosis of SCC was 37 years. The overwhelming majority of patients presented with a chronic intractable ulcer in previously injured skin. The regional relapse rate after surgical excision was very high, 58% of all patients. Predominant patterns of recurrence were in local skin and regional lymph nodes (93% of recurrences). Survival rates at 5, 10, and 20 years were 52%, 34%, and 23%, respectively. Five-year survival rates in previously burned and irradiated patients were not significantly different (53% and 50%, respectively). This review, one of the largest reported series, better defines SCC arising in previously burned or irradiated skin as a locally aggressive disease that is distinct from SCC arising in sunlight-damaged skin. An increased awareness of the significance of chronic ulceration in scar tissue may allow earlier diagnosis. Regional disease control and survival depend on surgical resection of all known disease and may require radical lymph node dissection or amputation

  3. New records of Mansonella ozzardi: a parasite that is spreading from the state of Amazonas to previously uninfected areas of the state of Acre in the Purus River region

    Directory of Open Access Journals (Sweden)

    Yara Leite Adami

    2014-02-01

    Full Text Available Mansonella ozzardi infections are common in the riverside communities along the Solimões, Negro and Purus Rivers in the state of Amazonas (AM. However, little is known about the presence of this parasite in communities located in regions bordering AM and the state of Acre. The prevalence rate of M. ozzardi infections was determined in blood samples from volunteers according to the Knott method. A total of 355 volunteers from six riverine communities were enrolled in the study and 65 (18.3% were found to be infected with M. ozzardi. As expected, most of the infections (25% occurred in individuals involved in agriculture, cattle rearing and fishing and an age/sex group analysis revealed that the prevalence increased beginning in the 40-50-years-of-age group and reached 33% in both sexes in individuals over 50 years of age. Based on the described symptomatology, articular pain and headache were found to be significantly higher among infected individuals (56 and 65% prevalence, respectively, p < 0.05. Sera from volunteers were subjected to ELISA using a cocktail of recombinant proteins from Onchocerca volvulus to evaluate the specificity of the test in an endemic M. ozzardi region. No cross-reactions between M. ozzardi-infected individuals and recombinant O. volvulus proteins were detected, thus providing information on the secure use of this particular cocktail in areas where these parasites are sympatric.

  4. 2017 NMC Technology Outlook for Nordic Schools A Horizon Project Regional Report

    DEFF Research Database (Denmark)

    2017-01-01

    research effort between the New Media Consortium (NMC) and the Norwegian Centre for ICT in Education to inform Nordic school leaders and decision-makers about significant developments in technologies supporting teaching, learning, and creative inquiry in primary and secondary education across Denmark......Adams Becker, S., Cummins, M., Freeman, A., and Rose, K. (2017). 2017 NMC Technology Outlook for Nordic Schools: A Horizon Project Regional Report. Austin, Texas: The New Media Consortium. The 2017 NMC Technology Outlook for Nordic Schools: A Horizon Project Regional Report reflects a collaborative...

  5. Multiple Synchronous Central Giant Cell Granulomas of the Maxillofacial Region: A Case Report

    International Nuclear Information System (INIS)

    Kang, Min Seok; Kim, Hak Jin

    2010-01-01

    Multifocal central giant cell granulomas (CGCG) in the maxillofacial region are suggestive of systemic disease such as hyperparathyroidism or an inherited syndrome such as Noonan-like multiple giant cell lesion syndrome. Only 5 cases of multifocal CGCGs in the maxillofacial region without any concomitant systemic disease have currently been reported. We report here on an unusual case of 17-year-old man who presented with multifocal CGCGs of the bilateral posterior mandible and right maxilla and he was without any concomitant systemic disease

  6. Multiple Synchronous Central Giant Cell Granulomas of the Maxillofacial Region: A Case Report

    Energy Technology Data Exchange (ETDEWEB)

    Kang, Min Seok; Kim, Hak Jin [Pusan National University Hospital, Busan (Korea, Republic of)

    2010-01-15

    Multifocal central giant cell granulomas (CGCG) in the maxillofacial region are suggestive of systemic disease such as hyperparathyroidism or an inherited syndrome such as Noonan-like multiple giant cell lesion syndrome. Only 5 cases of multifocal CGCGs in the maxillofacial region without any concomitant systemic disease have currently been reported. We report here on an unusual case of 17-year-old man who presented with multifocal CGCGs of the bilateral posterior mandible and right maxilla and he was without any concomitant systemic disease

  7. Northeast Regional Biomass Program. Final progress report, July--September 1991

    Energy Technology Data Exchange (ETDEWEB)

    O`Connell, R.A.

    1991-11-01

    The management structure and program objectives for the Northeast Regional Biomass Program (NRBP) remain unchanged from previous years. Additional funding was provided by the Bonneville Power Administration Regional Biomass Program to continue the publication of articles in the Biologue. The Western Area Power Administration and the Council of Great Lakes Governors funded the project ``Characterization of Emissions from Burning Woodwaste``. A grant for the ninth year was received from DOE. The Northeast Regional Biomass Steering Committee selected the following four projects for funding for the next fiscal year. (1) Wood Waste Utilization Conference, (2) Performance Evaluation of Wood Systems in Commercial Facilities, (3) Wood Energy Market Utilization Training, (4) Update of the Facility Directory.

  8. Summary Report of the Consultants' Meeting on EXFOR Data in Resonance Region and Spectrometer Response Function

    International Nuclear Information System (INIS)

    Gunsing, F.; Schillebeeckx, P.; Semkova, V.

    2013-12-01

    The Consultants' Meeting 'EXFOR Data in Resonance Region and Spectrometer Response Function' was held at the IAEA Headquarters in Vienna from 8 to 10 October 2013. A summary of the presentations and discussions that took place during the meeting is reported here. The participants have agreed on recommendations on data reporting for EXFOR and on the need of documenting spectrometer response functions. Recommendations are given for experimentalists, for compilers, and for evaluators. (author)

  9. Geophysical investigations of the Western Ohio-Indiana region: Volume 7, Annual report, October 1987--September 1988

    International Nuclear Information System (INIS)

    Schwartz, S.Y.; Lay, T.; Young, C.J.

    1988-12-01

    Earthquake activity in the Western Ohio--Indiana region has been monitored with a precision seismograph network consisting of nine stations located in west-central Ohio and four stations located in Indiana. No local earthquakes have been recorded during this report period. The low level of local seismicity in the last two years suggests that the occurrence of the m/sub b/ = 4.5 earthquake, in St. Marys, Ohio, on July 12, 1986, released most of the crustal strain accumulated. Four regional events were well recorded by the array stations during this year. Their magnitudes range from m/sub bLg/ = 3. 2--4.5. The largest of these events (7 September 1988 in northeastern Kentucky, m/sub b/ = 4.5) had minor damage reported. Upper mantle P wave (P/sub n/) velocities beneath the array stations have been investigated using relative time differences of arrivals recorded by stations located at similar back azimuth from given regional earthquake epicenters. Apparent P/sub n/ velocities determined from arrival times of earthquakes in northeastern Ohio (back azimuths of 50--70/degree/) reveal similar values to those obtained from earthquakes in southern Illinois and southeastern Missouri (back azimuths of 230--250/degree/). Comparable apparent P/sub n/ velocities obtained for rays traveling both to the northeast and to the southwest requires that the Moho not dip in either of these directions beneath the stations. The average P/sub n/ velocity of 8.41 km/s is similar to the values of 8.5 and 8.4 km/s that we obtained previously from the slope of P/sub n/ travel time curves constructed for earthquakes from northeastern Ohio and southeastern Illinois respectively. These values were slightly higher than the value of 8.2 km/s obtained previously from earthquakes in southwestern Indiana, northeastern Kentucky, and northeastern Missouri. 13 refs., 11 figs., 5 tabs

  10. HIV risk perception and testing behaviours among men having sex with men (MSM reporting potential transmission risks in the previous 12 months from a large online sample of MSM living in Germany

    Directory of Open Access Journals (Sweden)

    Ulrich Marcus

    2016-10-01

    Full Text Available Abstract Background HIV testing and serostatus awareness are essential to implement biomedical strategies (treatment as prevention; oral chemoprophylaxis, and for effective serostatus-based behaviours (HIV serosorting; strategic positioning. The analysis focuses on the associations between reported sexual risks, the perceived risk for HIV infection, and HIV testing behaviour in order to identify the most relevant barriers for HIV test uptake among MSM living in Germany. Methods MSM were recruited to a nationwide anonymous online-survey in 2013 on MSM social networking/dating sites. Questions covered testing behaviours, reasons for testing decisions, and HIV risk perception (5-point scale. Additional questions addressed arguments in favour of home/ home collection testing (HT. Using descriptive statistics and logistic regression we compared men reporting recent HIV testing (RT; previous 12 month with men never tested (NT in a subsample not previously diagnosed with HIV and reporting ≥2 episodes of condomless anal intercourse (CLAI with a non-steady partner of unknown HIV serostatus in the previous 12 months. Results The subsample consisted of 775 RT (13 % of RT and 396 NT (7 % of NT. The number of CLAI episodes in the last 12 months with non-steady partners of unknown HIV status did not differ significantly between the groups, but RT reported significantly higher numbers of partners (>5 AI partners: 65 vs. 44 %. While perceived risks regarding last AI were comparable between the groups, 49vs. 30 % NT were <30 years, lived more often in towns/villages <100,000 residents (60 vs. 39 %, were less out-particularly towards care providers-about being attracted to men (aOR 10.1; 6.9–14.8, more often identified as bisexual (aOR 3.5; 2.5–4.8, and reported lower testing intentions (aOR 0.08; 0.06–0.11. Perceived risks (67 % and routine testing (49 % were the most common testing reasons for RT, while the strong belief not to be infected

  11. Environmental monitoring survey of oil and gas fields in Region II in 2009. Summary report

    Energy Technology Data Exchange (ETDEWEB)

    2010-03-15

    The oil companies Statoil ASA, ExxonMobil Exploration and Production Norway AS, Total E&P Norge AS, Talisman Energy Norge AS and Marathon Petroleum Norge AS commissioned Section of Applied Environmental Research at UNI RESEARCH AS to undertake the monitoring survey of Region II in 2009. Similar monitoring surveys in Region II have been carried out in 1996, 2000, 2003 and 2006. The survey in 2009 included in total 18 fields: Rev, Varg, Sigyn, Sleipner Vest, Sleipner OEst, Sleipner Alfa Nord, Glitne, Grane, Balder, Ringhorne, Jotun, Vale, Skirne, Byggve, Heimdal, Volve, Vilje og Alvheim. Sampling was conducted from the vessel MV Libas between May 18 and May 27. Samples were collected from in totally 137 sampling sites, of which 15 were regional sampling sites. Samples for chemical analysis were collected at all sites, whereas samples for benthos analysis were collected at 12 fields. As in previous surveys, Region II is divided into natural sub-regions. One sub-region is shallow (77-96 m) sub-region, a central sub-region (107-130 m) and a northern subregion (115-119 m). The sediments of the shallow sub-region had relatively lower content of TOM and pelite and higher content of fine sand than the central and northern sub-regions. Calculated areas of contamination are shown for the sub-regions in Table 1.1. The fields Sigyn, Sleipner Alfa Nord, Glitne, Grane, Balder, Ringhorne, Jotun, Skirne, Byggve, Vilje og Alvheim showed no contamination of THC. At the other fields there were minor changes from 2006. The concentrations of barium increased in the central sub-region from 2006 to 2009, also at fields where no drilling had been undertaken during the last years. The same laboratory and methods are used during the three last regional investigations. The changes in barium concentrations may be due to high variability of barium concentrations in the sediments. This is supported by relatively large variations in average barium concentrations at the regional sampling sites in

  12. Trends in Tuberculosis Reported from the Appalachian Region: United States, 1993-2005

    Science.gov (United States)

    Wallace, Ryan M.; Armstrong, Lori R.; Pratt, Robert H.; Kammerer, J. Steve; Iademarco, Michael F.

    2008-01-01

    Context: Appalachia has been characterized by its poverty, a factor associated with tuberculosis, yet little is known about the disease in this region. Purpose: To determine whether Appalachian tuberculosis risk factors, trends, and rates differ from the rest of the United States. Methods: Analysis of tuberculosis cases reported to the Centers for…

  13. Environmental Impact Report for thermoelectric from coal in Candiota region - Brazil

    International Nuclear Information System (INIS)

    Rossato, A.C.; Camison, F.L.; Ladniuk, S.T.

    1989-01-01

    The principles for executing the Environmental Impact Studies and the elaboration of Environmental Impact Report, referring to the first module of Candiota III Thermoelectric Plant, near to the Electric Energy State Company are described, with some aspects about the mine, plant, region, executor corporations and comprehend area for the environmental impact studies. (C.G.C.)

  14. Regional Standards for Rangeland Health and Guidelines for Livestock Grazing Management ... A Progress Report

    OpenAIRE

    1996-01-01

    In August 1995, new BLM regulations for rangeland administration went into effect. The new regulations require BLM to establish regional standards for rangeland health and guidelines for grazing management. This publication is a report on the alternatives being considered for the Montana/Dakotas Rangeland Health Standards and Guidelines process.

  15. Report of the 2016 Uniform Regional Scab Nursery for spring wheat parents

    Science.gov (United States)

    The Uniform Regional Scab Nursery for Spring Wheat Parents (URSN) was grown for the 21st year in 2016. Five locations (Brookings, SD, St. Paul and Crookston, MN, Prosper, ND, and Morden, Canada) reported results. A total of 33 entries was included in the 2016 URSN, in addition to the resistant chec...

  16. Response to state comments on the draft regional characterization reports for the Crystalline Repository Project

    International Nuclear Information System (INIS)

    1984-11-01

    In May, 1983, the US Department of Energy (DOE) Crystalline Repository Project Office (CPO) issued six draft Regional Characterization Reports (RCRs) for review and comment to the 17 Crystalline States comprising the Northeastern, Southeastern, and North Central crystalline regions. Comment letters were received from 13 of the 17 states. The more than 2000 comments generally focused on the quality and content of the characterization reports and on their intended use in region-to-area screening. These comments were paraphrased and grouped into 23 subjects within the following four topical areas: (1) General and Programmatic; (2) Geologic; (3) Environmental and Socioeconomic; and (4) Editorial. This document provides responses to the comments submitted by the states

  17. CASE REPORT: Primary Cutaneous Nocardiosis of Axillary Region: A Case Report

    Directory of Open Access Journals (Sweden)

    Basavaraj V. Peerapur

    2012-07-01

    Full Text Available Background: Nocardiosis is an uncommon but world-wide infection caused by several species of soil-borne aerobic bacteria belonging to the genus Nocardia. Primary cutaneous nocardiosis (PCN is an uncommon entity. It usually occurs among immunocompetent but occupationally predisposed individuals. Clinically, it can present as acute infection (abscess or cellulitis, mycetoma, or sporotrichoid infection [1]. Here we are reporting a case of PCN presented as mycetoma in axilla which is a rare site. Case History: The patient had extensive lesions in and around the axilla, which could be attributed to the fact that the patient, being an agriculturist, had been exposed to recurrent trauma while carrying firewood and soiled sacks. Single lesion initiated four years ago, progressed to multiple lesions with few healed scars. Despite the treatment in several hospitals, lesions recurred. The present patient was diagnosed as PCN caused by Nocardia brasiliensis and appropriately treated. Conclusion: Nocardia infection should be considered in the differential diagnosis of a supportive and granulomatous dermatitis that presents clinically as multiple discharging sinuses with papules and nodules in and around axilla apart from tuberculosis.

  18. Solitary intracranial plasmacytoma located in the spheno-clival region mimicking chordoma: a case report.

    Science.gov (United States)

    Liu, Z Y; Qi, X Q; Wu, X J; Luo, C; Lu, Y C

    2010-01-01

    Solitary intracranial plasmacytoma (SIP) is very rare. This case report presents serial findings of SIP located in the spheno-clival region in a 54-year old female who presented with an inferior hemianopia in the right eye and an enlarged physiological blind spot in both eyes. Based on the initial diagnosis of a spheno-clival region chordoma, the tumour was partially resected by the nasal-sphenoidal sinus approach. Subsequently, the correct diagnosis of SIP was made based on the pathology and immunohistochemical staining of the tumour. The patient was treated using a whole skull-base radiation therapy protocol with 45 Gy and she was in good physical condition during the subsequent 22 months. The findings of a series of similar case reports documenting SIP in 20 cases published from 1976 to 2008 are also reviewed. Based on these case reports, the key features of SIP, including their clinical manifestations, clinical imaging characteristics, treatment and prognosis, are described.

  19. Wind Powering America's Regional Stakeholder Meetings and Priority State Reports: FY11 Summary

    Energy Technology Data Exchange (ETDEWEB)

    2013-06-01

    Beginning in 2010, DOE conducted an assessment of Wind Powering America (WPA) activities to determine whether the methods the department had used to help grow the wind industry to provide 2% of the nation's electrical energy should be the same methods used to achieve 20% of the nation's energy from wind (as described in the report 20% Wind Energy by 2030: Increasing Wind Energy's Contribution to U.S. Electricity Supply). After the assessment, it was determined that the initiative's state-based activities should be phased out as part of a shift to regional-based approaches. To assist with this transition, WPA hosted a series of 1-day regional meetings at six strategic locations around the country and a single teleconference for island states, U.S. territories, and remote communities. This report summarizes the results of the inaugural regional meetings and the state reports with a focus on ongoing wind deployment barriers in each region.

  20. Wind Powering America's Regional Stakeholder Meetings and Priority State Reports: FY11 Summary

    Energy Technology Data Exchange (ETDEWEB)

    Baring-Gould, Ian [National Renewable Energy Lab. (NREL), Golden, CO (United States)

    2013-06-01

    Beginning in 2010, DOE conducted an assessment of Wind Powering America (WPA) activities to determine whether the methods the department had used to help grow the wind industry to provide 2% of the nation's electrical energy should be the same methods used to achieve 20% of the nation's energy from wind (as described in the report 20% Wind Energy by 2030: Increasing Wind Energy's Contribution toU.S. Electricity Supply). After the assessment, it was determined that the initiative's state-based activities should be phased out as part of a shift to regional-based approaches. To assist with this transition, WPA hosted a series of 1-day regional meetings at six strategic locations around the country and a single teleconference for island states, U.S. territories, and remote communities.This report summarizes the results of the inaugural regional meetings and the state reports with a focus on ongoing wind deployment barriers in each region.

  1. U.S. Fish and Wildlife Service regional alternative transportation evaluation report - region 3 November 16, 2011

    Science.gov (United States)

    2011-11-16

    The U.S. Fish and Wildlife Service (FWS) and the U.S. Department of Transportation (DOT) Volpe Center (Volpe Center) conducted a regional alternative transportation evaluation (RATE) in Region 3, which is comprised of Illinois, Indiana, Iowa, Michiga...

  2. ARE. Regional energy supplies - progress report 2000-2001; ARE. Regionale Energieversorgung 2000-2001. Taetigkeitsbericht

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2002-05-01

    The ARE progress report discusses the following issues: Economic development and its effects on power supply; Deregulation of the electricity and gas market; Competition between regional utilities; Energy policy of the new German government; European regulations; Legislation on energy supply; Energy supply and cartel law; Regional supply in the East German states. [German] Der Taetigkeitsbericht der ARE befasst sich mit folgenden Themen: Gesamtwirtschaftliche Entwicklung und ihre Auswirkung auf die Energiewirtschaft, Oeffnung des Monopoles fuer Strom und Gas, Wettbewerb der regionalen Energieversorger, Energiepolitik der neuen Bundesregierung, Europaeische Richtlininen, energiewirtschaftsrecht, Versorgungswirtschaft und Kartellrecht und der Regionalversorgung in den neuen Bundeslaendern.

  3. Report on accreditation learning sets in the West Midlands region of the NHS.

    Science.gov (United States)

    Giles, G

    2000-12-01

    This article reports on the evaluation of the first year of a project, which utilized learning sets to support librarians undergoing the accreditation process, in the health libraries in the West Midlands region of the NHS. The West Midlands Health region is divided up into education consortia patches. Each group of patch librarians was allocated a local accreditation facilitator. The groups met regularly to discuss problems and progress relating to their library's accreditation. The results of the evaluation suggest that this is a valuable approach to use. The recommendations state that regular, frequent meetings are needed. Extra training and guidance would help the facilitators to be more effective in their role.

  4. Validation of previously reported predictors for radiation-induced hypothyroidism in nasopharyngeal cancer patients treated with intensity-modulated radiation therapy, a post hoc analysis from a Phase III randomized trial.

    Science.gov (United States)

    Lertbutsayanukul, Chawalit; Kitpanit, Sarin; Prayongrat, Anussara; Kannarunimit, Danita; Netsawang, Buntipa; Chakkabat, Chakkapong

    2018-05-10

    This study aimed to validate previously reported dosimetric parameters, including thyroid volume, mean dose, and percentage thyroid volume, receiving at least 40, 45 and 50 Gy (V40, V45 and V50), absolute thyroid volume spared (VS) from 45, 50 and 60 Gy (VS45, VS50 and VS60), and clinical factors affecting the development of radiation-induced hypothyroidism (RHT). A post hoc analysis was performed in 178 euthyroid nasopharyngeal cancer (NPC) patients from a Phase III study comparing sequential versus simultaneous-integrated boost intensity-modulated radiation therapy. RHT was determined by increased thyroid-stimulating hormone (TSH) with or without reduced free thyroxin, regardless of symptoms. The median follow-up time was 42.5 months. The 1-, 2- and 3-year freedom from RHT rates were 78.4%, 56.4% and 43.4%, respectively. The median latency period was 21 months. The thyroid gland received a median mean dose of 53.5 Gy. Female gender, smaller thyroid volume, higher pretreatment TSH level (≥1.55 μU/ml) and VS60 treatment planning.

  5. 2013 Asia-Pacific Education Research Institutes Network (ERI-Net) Regional Study on Transversal Competencies in Education Policy & Practice (Phase I). Regional Synthesis Report

    Science.gov (United States)

    Yoko, Satoko

    2015-01-01

    This report provides an understanding of how transversal competencies are viewed, implemented, and adapted in education policy and curriculum across the Asia-Pacific region. The publication consolidates the results of ten country studies carried out in 2013-2014 in ten countries and economies of the Asia-Pacific region, including: Australia; China…

  6. Nonsyndromic Synchronous Multifocal Central Giant Cell Granulomas of the Maxillofacial Region: Report of a Case.

    Directory of Open Access Journals (Sweden)

    Anita Munde

    2015-04-01

    Full Text Available Central giant cell granuloma (CGCG is a benign proliferation of fibroblasts and multinucleated giant cells that almost exclusively occurs in the jaws. It commonly occurs in young adults showing a female predilection in the anterior mandible. Multifocal CGCGs in maxillofacial region are very rare and suggestive of systemic diseases such as hyperparathyroidism, an inherited syndrome such as Noonan-like multiple giant cell lesion syndrome or other disorders. Only 10 cases of multifocal CGCGs in the maxillofacial region without any concomitant systemic disease have been reported in the English literature. Here, we report an unusual case of 36 year-old female presented with non-syndromic synchronous, multifocal CGCGs in the left posterior mandible and left posterior maxilla without any concomitant systemic disease. Relevant literature is reviewed and the incidence, clinical features, radiological features, differential diagnosis and management of CGCGs are discussed.

  7. Does stock price synchronicity effect information content of reported earnings? Evidence from the MENA region

    Directory of Open Access Journals (Sweden)

    Omar Farooq

    2016-08-01

    Full Text Available This paper documents the effect of stock price synchronicity on the value relevance of reported earnings in the MENA region during the period between 2009 and 2013. Our results show that the information content of reported earnings increases with increase in stock price synchronicity. We document higher impact of earnings on returns for firms with higher stock price synchronicity. We argue that firms with high synchronicity have better information environment. As a result, these firms disclose information that is of high quality. We also show that information conveyed through stock price synchronicity is more important than information conveyed through traditional governance mechanisms

  8. Annual report on activities of Regional Public Health Offices in the Slovak Republic in 2009

    International Nuclear Information System (INIS)

    2010-01-01

    A brief account of activities carried out by the Regional Public Health Offices in the Slovak Republic in 2009 is presented. These activities are reported under the headings: (1) Environment; (2) Preventive occupational medicine; (3) Hygiene, nutrition, food safety and cosmetic products; (4) Hygiene of children and youth; (5) Epidemiology; (6) Objectification of environmental factors and working environment; (7) Medical microbiology; (8) Health promotion; (9) Health protection against radiation; (10) Complaints and petitions; (11) Control of tobacco and alcohol.

  9. Annual report on activities of Regional Public Health Offices in the Slovak Republic in 2010

    International Nuclear Information System (INIS)

    2011-01-01

    A brief account of activities carried out by the Regional Public Health Offices in the Slovak Republic in 2010 is presented. These activities are reported under the headings: (1) Environment; (2) Preventive occupational medicine; (3) Hygiene, nutrition, food safety and cosmetic products; (4) Hygiene of children and youth; (5) Epidemiology; (6) Objectification of environmental factors and working environment; (7) Medical microbiology; (8) Health promotion; (9) Health protection against radiation; (10) Complaints and petitions; (11) Control of tobacco and alcohol.

  10. Previously unknown species of Aspergillus.

    Science.gov (United States)

    Gautier, M; Normand, A-C; Ranque, S

    2016-08-01

    The use of multi-locus DNA sequence analysis has led to the description of previously unknown 'cryptic' Aspergillus species, whereas classical morphology-based identification of Aspergillus remains limited to the section or species-complex level. The current literature highlights two main features concerning these 'cryptic' Aspergillus species. First, the prevalence of such species in clinical samples is relatively high compared with emergent filamentous fungal taxa such as Mucorales, Scedosporium or Fusarium. Second, it is clearly important to identify these species in the clinical laboratory because of the high frequency of antifungal drug-resistant isolates of such Aspergillus species. Matrix-assisted laser desorption/ionization-time of flight mass spectrometry (MALDI-TOF MS) has recently been shown to enable the identification of filamentous fungi with an accuracy similar to that of DNA sequence-based methods. As MALDI-TOF MS is well suited to the routine clinical laboratory workflow, it facilitates the identification of these 'cryptic' Aspergillus species at the routine mycology bench. The rapid establishment of enhanced filamentous fungi identification facilities will lead to a better understanding of the epidemiology and clinical importance of these emerging Aspergillus species. Based on routine MALDI-TOF MS-based identification results, we provide original insights into the key interpretation issues of a positive Aspergillus culture from a clinical sample. Which ubiquitous species that are frequently isolated from air samples are rarely involved in human invasive disease? Can both the species and the type of biological sample indicate Aspergillus carriage, colonization or infection in a patient? Highly accurate routine filamentous fungi identification is central to enhance the understanding of these previously unknown Aspergillus species, with a vital impact on further improved patient care. Copyright © 2016 European Society of Clinical Microbiology and

  11. IRSN's monitoring strategy for former uranium mining sites: regional radiological report approach

    Energy Technology Data Exchange (ETDEWEB)

    Audrey, L.L.; Marie-Odile, G.; Damien, T. [Institut de radioportection et de surete nucleaire - IRSN (France)

    2014-07-01

    Radiological monitoring of the environment in France was one of the basic missions assigned to the IRSN upon its creation. It is performed regularly through measurement and sampling networks across France, particularly around nuclear facilities. To supplement this system and increase its effectiveness and utility, IRSN recently began issuing regional baseline reference states using radiological reporting. Application of this reporting is currently underway in regions where uranium was mined. The Dordogne river basin is one of twenty basins impacted by uranium mining. Covering some twenty sites, it was selected by IRSN for its initial mining reporting. The objective is to gain detailed knowledge of the distribution of natural radioactivity related to the presence of uranium and its radioactive decay products, including radium, in mining areas and the river basin in general. This knowledge will supplement data already available as part of AREVA's regulatory site reporting, and provide access to a baseline reference state for radioactivity in the environment at local and regional levels. Since the impact of former uranium mining sites is basically tied to water circulation, sampling projects are designed based on the drainage system. Samples are taken of water, sediment and biological indicators such as fish and aquatic plants. Samples are then analysed to determine uranium, radium and polonium concentration. An initial sampling campaign took place in October 2012. It involved an initial contact with local organisations (Regional Directorate for the Environment, Town and Country Planning and Housing (DREAL), local information and oversight committee (Clis), regional public watershed board (EPIDOR), water agencies, mayors, hunting clubs, fishing federation, farmers, etc.). It will be supplemented by a second sampling campaign in late spring 2013 designed to take into account any local issues, including those associated with local water usage (irrigation, livestock

  12. Triple elastofibromas located in the supra- and infrascapular regions. A case report

    Energy Technology Data Exchange (ETDEWEB)

    Olchowy, Cyprian [Medical University of Wroclaw, Department of Radiology, Wroclaw (Poland); Delas-Vigo, Matias de Albert de; Perez, Manolo; Dominguez Oronoz, Rosa [Vall d' Hebron University Hospital, Department of Radiology, Barcelona (Spain); Ciriaco, Nikaoly [Vall d' Hebron University Hospital, Department of Pathology, Barcelona (Spain)

    2018-04-15

    We report a case of triple elastofibromas located in the supra- and infrascapular regions. A 61-year-old female with a history of bilateral elastofibroma in the typical subscapular region (6 years before) was admitted for the evaluation of a left-sided suprascapular mass that she had first noted 3 months before. On physical examination, a firm, painless, mobile mass was palpated in the subcutaneous tissue. The patient had not observed any changes of the two known lesions over the past 6 years. The patient denied a family history of elastofibroma. The signal characteristic on T1- and T2-weighted images as well as contrast enhancement curves on dynamic study was identical in all three masses. Ultrasound-guided biopsy performed before surgical intervention confirmed the diagnosis of elastofibroma. This case report has a teaching value as, to our knowledge, it is the only one in the literature with images of synchronous elastofibromas documented by dynamic contrast-enhanced MRI. In cases of elastofibroma with diagnostic difficulties, particularly in uncommon sites, a dynamic contrast-enhanced MRI may help to establish the proper diagnosis. This case report gives an example of rare multiple elastofibromas, presents current diagnostic imaging methods, and reminds us that elastofibroma is not exclusive to the posterior thoracic region. (orig.)

  13. Hazard risk and vulnerability assessment : Regional District of Nanaimo : final report

    International Nuclear Information System (INIS)

    2006-06-01

    A Hazard Risk and Vulnerability Assessment (HRVA) is a mandated regulatory requirement in British Columbia that requires local authorities to prepare emergency plans that reflect the local authority's assessment of the relative risk of occurrence and the potential impact on people and property of the hazards, emergencies or disasters that could affect the jurisdictional area for which the local authority has responsibility. This report constituted an HRVA for the Regional District of Nanaimo, British Columbia. It presented the study scope and methodology and provided an overview of the Regional District of Nanaimo. This included information on the setting, demographics, and economy. Next, it discussed social vulnerability; critical response and recovery facilities; and critical infrastructure such as water, energy, telecommunications and transportation. A summary of the Regional District of Nanaimo's response capabilities that were considered when assessing the Regional District's overall risk to the hazards was also presented. Response capabilities were discussed with reference to fire and rescue; police; ambulance; and search and rescue. Emergency support and preparedness organizations were also identified. These included the Emergency Coordination Centre, environmental services, emergency social services, amateur radio and health authorities. Last, 33 hazards that could affect the Regional District of Nanaimo were identified and discussed. The study identified the following hazards as high risk: flooding; forest fires and wildland urban interface fires; and human diseases and pandemic. It was recommended that the advancement of business continuity planning in the Regional District of Nanaimo would help to reduce the impact of a possible human disease and pandemic risk outbreak affecting the population. 75 refs., 25 figs., 14 tabs., 2 appendices

  14. Regional differences in self-reported screening, prevalence and management of cardiovascular risk factors in Switzerland

    Science.gov (United States)

    2012-01-01

    Background In Switzerland, health policies are decided at the local level, but little is known regarding their impact on the screening and management of cardiovascular risk factors (CVRFs). We thus aimed at assessing geographical levels of CVRFs in Switzerland. Methods Swiss Health Survey for 2007 (N = 17,879). Seven administrative regions were defined: West (Leman), West-Central (Mittelland), Zurich, South (Ticino), North-West, East and Central Switzerland. Obesity, smoking, hypertension, dyslipidemia and diabetes prevalence, treatment and screening within the last 12 months were assessed by interview. Results After multivariate adjustment for age, gender, educational level, marital status and Swiss citizenship, no significant differences were found between regions regarding prevalence of obesity or current smoking. Similarly, no differences were found regarding hypertension screening and prevalence. Two thirds of subjects who had been told they had high blood pressure were treated, the lowest treatment rates being found in East Switzerland: odds-ratio and [95% confidence interval] 0.65 [0.50-0.85]. Screening for hypercholesterolemia was more frequently reported in French (Leman) and Italian (Ticino) speaking regions. Four out of ten participants who had been told they had high cholesterol levels were treated and the lowest treatment rates were found in German-speaking regions. Screening for diabetes was higher in Ticino (1.24 [1.09 - 1.42]). Six out of ten participants who had been told they had diabetes were treated, the lowest treatment rates were found for German-speaking regions. Conclusions In Switzerland, cardiovascular risk factor screening and management differ between regions and these differences cannot be accounted for by differences in populations' characteristics. Management of most cardiovascular risk factors could be improved. PMID:22452881

  15. Regional power systems planning: a state of the art assessment. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1980-10-01

    The purpose of this report was to define regional power systems planning problems, the tools available and their shortcomings, and to document all of the above in a concise readable form. The approach consisted of a survey and literature search. The survey determined the tools being used by utilities, the tools they had rejected, and the tools they planned to try out. The literature search was conducted for the purpose of documenting the tools available, and performing a comparative analysis of these tools. The project included a mix of utility, university, and consulting organizations. Several organizations were consulted in the selection of the participants. A non-profit organization, The University of Oklahoma, was selected to manage the project. The results were reviewed in a series of four one day meetings by known authorities in each field. This report consists of the results of this project. Perhaps its major finding is that several aspects of the regional planning problem are not well defined, the roles of the various participants in regional planning is not clear, and certainly research is needed for the development of new methodology.

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

    International Nuclear Information System (INIS)

    1985-08-01

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

  17. Response to state comments on the revised draft Southeastern Regional Characterization Reports for the Crystalline Repository Project

    International Nuclear Information System (INIS)

    1985-08-01

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

  18. Response to state comments on the revised draft northeastern regional characterization reports for the Crystalline Repository Project

    International Nuclear Information System (INIS)

    1985-08-01

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

  19. 78 FR 68060 - Availability of FY 12 Grantee Performance Evaluation Reports for the Eight States of EPA Region 4...

    Science.gov (United States)

    2013-11-13

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9902-81--Region 4] Availability of FY 12 Grantee Performance Evaluation Reports for the Eight States of EPA Region 4 and 17 Local Agencies AGENCY: Environmental... evaluation reports. SUMMARY: EPA's grant regulations require the Agency to evaluate the performance of...

  20. Planning report for the Gulf Coast Regional Aquifer-System Analysis in the Gulf of Mexico coastal plain, United States

    Science.gov (United States)

    Grubb, Hayes F.

    1984-01-01

    Large quantities of water for municipal, industrial and agriculture use are supplied from the aquifers in Tertiary and younger sediments over an area of about 225,000 square miles in the Coastal Plain of Alabama, Arkansas, Florida, Illinois, Kentucky, Louisiana, Mississippi, Missouri, Tennessee, and Texas. Three regional aquifer systems, the Mississippi Embayment aquifer system, the Coastal Lowlands aquifer system, and the Texas Coastal Uplands aquifer system have been developed to varying degrees throughout the area. A variety of problems has resulted from development such as movement of the saline-freshwater interface into parts of aquifers that were previously fresh, lowering of the potentiometric surface with resulting increases in pumping lift, and land-surface subsidence due to the compaction of clays within the aquifer. Increased demand for ground water is anticipated to meet the needs of urban growth, expanded energy development, and growth of irrigated agriculture. The U. S. Geological Survey initiated an eightyear study in 1981 to define the geohydrologic framework, describe the chemistry of the ground water, and to analyze the regional ground-water flow patterns. The objectives, plan, and organization of the study are described in this report and the major tasks to be undertaken are outlined.

  1. Changes seen in the environment report from Uusimaa Regional Environment Centre

    International Nuclear Information System (INIS)

    Enckell, E.; Airola, H.; Tornivaara-Ruikka, R.; Villa, L.; Salasto, R.

    2002-05-01

    This publication describes the environmental changes and the influencing factors occurring within the administrative regions of the Uusimaa Regional Environment Centre. The quality of the environment can be judged as satisfying in regards to both the mental and physical health of humans. Areas have a steady trend of a relatively high growth in population density, while the efficiency of land use in new settlements is low. Traffic and the travel distances are on the rise. A considerable part of the population lives in areas where the noise standards are violated, despite control measures. Waste management, water distribution and sewage networks are under continuous development. In regards to the nature, the situation in some parts is of great concern. The manifold of the nature, cultural landscapes and culturally valuable buildings and sites are threatened. The living space of flora and fauna is continuing to decrease and change. The risks caused by human activities in groundwater areas are increasing. For these reasons the implementation of protection programs is important. Emissions from point sources to the water and air have significantly decreased. Yet, the impacts of air quality deprivation can still be seen in some cities and in the vicinity of some industrial sites. The eutrophication have essentially changed the ecology and fishstocks; however, the water quality has improved in many places. Regarding the above issues, as well as some other topics, included in the report are 16 theme maps 66 pictures. However, the report states that the monitoring and reporting of the environmental quality should be improved. (orig.)

  2. Supervising Scientist for the Alligator Rivers Region Annual Report 1996-1997

    International Nuclear Information System (INIS)

    1997-01-01

    One of the most significant developments during the year was the submission by Energy Resources of Australia Ltd of its Environmental Impact Statement for Jabiluka. The proposal is significantly different in technical detail from the Ranger and Nabarlek mines owing to the proposal to mine underground. Evaluation of the Environmental Performance of the uranium mines of the Alligator Rivers Region continued, with twice-yearly Environmental Performance Reviews (EPR) of Ranger and Nabarlek, and results reported to the Alligator Rivers Region Advisory Committee (ARRAC). Ongoing technical consultations took place through meetings of the Ranger Minesite Technical Committee. Issues relating to water disposal were addressed through the Ranger Water Management Working Group. Submissions were made regarding the Jabiluka Environmental Impact Assessment process and technical advice was provided to the Environmental Assessment Branch of Environment Australia during the assessment. The organisation's research program has reflected strategic directions set last year by the Alligator Rivers Region Technical Committee (ARRTC) concerning environmental impacts of mining. Key projects assess radiation exposure by members of the public as a result of uranium mining, the effectiveness of artificial wetlands in the treatment of mine waters, and the development of methods to assess the effectiveness of options for rehabilitation. Development of the research program into wetlands protection and management continued, including establishment of a coordinated monitoring program to measure and assess coastal change as a benchmark for monitoring effects of climate change in the Alligator Rivers Region (a key part of a national network). Other research activities included water quality research for the National River Health Program and revision of the National Water Quality Management Strategy, Water Quality Guidelines for Fresh and Marine Waters and conclusion of research projects in the Mount

  3. Complex regional pain syndrome with associated chest wall dystonia: a case report

    Directory of Open Access Journals (Sweden)

    Schwartzman Robert J

    2011-09-01

    Full Text Available Abstract Patients with complex regional pain syndrome (CRPS often suffer from an array of associated movement disorders, including dystonia of an affected limb. We present a case of a patient with long standing CRPS after a brachial plexus injury, who after displaying several features of the movement disorder previously, developed painful dystonia of chest wall musculature. Detailed neurologic examination found palpable sustained contractions of the pectoral and intercostal muscles in addition to surface allodynia. Needle electromyography of the intercostal and paraspinal muscles supported the diagnosis of dystonia. In addition, pulmonary function testing showed both restrictive and obstructive features in the absence of a clear cardiopulmonary etiology. Treatment was initiated with intrathecal baclofen and the patient had symptomatic relief and improvement of dystonia. This case illustrates a novel form of the movement disorder associated with CRPS with response to intrathecal baclofen treatment.

  4. Annual report of the regional public health authorities in the Slovak Republic. Year 2012

    International Nuclear Information System (INIS)

    2013-02-01

    A brief account of activities carried out by the regional public health authorities of the Public Health Authority of the Slovak Republic (UVZ SR) in 2012 is presented. These activities are reported under the headings: (1) The environment; (2) Preventive occupational medicine; (3) Hygiene of nutrition, food safety and cosmetic products; (4) Hygiene of children and youth; (5) Epidemiology; (6) Objectivization of factors of living conditions; (7) Medical microbiology; (8) Health promotion; (9) Health protection against radiation; (10) Complaints and petitions; (11) Medical informatics and biostatistics; (12) Lectures and publications.

  5. Annual report of the regional public health authorities in the Slovak Republic. Year 2011

    International Nuclear Information System (INIS)

    2011-07-01

    A brief account of activities carried out by the regional public health authorities of the Public Health Authority of the Slovak Republic (UVZ SR) in 2011 is presented. These activities are reported under the headings: (1) The environment; (2) Preventive occupational medicine; (3)Hygiene of nutrition, food safety and cosmetic products; (4) Hygiene of children and youth; (5) Epidemiology; (6) Objectivization of factors of living conditions; (7) Medical microbiology; (8) Health promotion; (9) Health protection against radiation; (10) Complaints and petitions; (11) Medical informatics and biostatistics; (12) Lectures and publications.

  6. Annual report on activities of Regional Public Health Offices in the Slovak Republic in 2008

    International Nuclear Information System (INIS)

    2009-01-01

    A brief account of activities carried out by the Regional Public Health Offices in the Slovak Republic in 2008 is presented. These activities are reported under the headings: (1) Environment; (2) Preventive occupational medicine; (3) Hygiene, nutrition, food safety and cosmetic products; (4) Hygiene of children and youth; (5) Epidemiology; (6) Objectification of environmental factors and working environment; (7) Medical microbiology; (8) Health promotion; (9) Health protection against radiation; (10) Complaints and petitions; (11) Control of tobacco and alcohol; (12) Evaluation of punitive measures for 2008.

  7. Annual report of the regional public health authorities in the Slovak Republic. Year 2010

    International Nuclear Information System (INIS)

    2011-04-01

    A brief account of activities carried out by the regional public health authorities of the Public Health Authority of the Slovak Republic (UVZ SR) in 2010 is presented. These activities are reported under the headings: (1) The environment; (2) Preventive occupational medicine; (3)Hygiene of nutrition, food safety and cosmetic products; (4) Hygiene of children and youth; (5) Epidemiology; (6) Objectivization of factors of living conditions; (7) Medical microbiology; (8) Health promotion; (9) Health protection against radiation; (10) Complaints and petitions; (11) Medical informatics and biostatistics.

  8. First report of canine ocular thelaziosis in the Muntenia Region, Romania.

    Science.gov (United States)

    Tudor, Poliana; Bădicu, Adina; Mateescu, Romaniţa; Tudor, Niculae; Mateescu, Cosmin; Ionaşcu, Iuliana

    2016-04-01

    Ocular thelaziosis by Thelazia callipaeda is a vector-borne disease that infects domestic and wild carnivores as well as humans. In this paper, we present two cases of ocular thelaziosis in dogs that had never traveled outside Romania. Both presented with moderate conjunctivitis and ocular discharge. In total, 41 adult nematodes were removed from the conjunctival sacs of both dogs; these were identified via morphology as T. callipaeda. To the best of our knowledge, this is the first report of canine ocular thelaziosis caused by T. callipaeda from the Muntenia Region of Romania.

  9. Uranium development in the San Juan Basin region: a report on environmental issues. Final edition

    International Nuclear Information System (INIS)

    1980-01-01

    The goal of this study is to provide a regional analysis of the effect of uranium development on the human and natural environment of northwest New Mexico from the present until the year 2000. This report contains comments on the published draft of this study from representatives of federal and state agencies, public interest groups, local governments, leading citizens, and the uranium industry. Many of the comments led to substantial changes in the text and were carefully considered in the final edition of the study

  10. Clinical Characteristics of Ulceroglandular Tularemia in Two Bulgarian Regions, 2014-2015: a Report of Five Cases

    Directory of Open Access Journals (Sweden)

    Pekova Liliya M.

    2017-12-01

    Full Text Available We present here the first five human cases with tularemia from two regions in South Bulgaria in which there had been no previous report of the infection. The cases occurred over a period of 8 months (December 2014 - August 2015. They were treated at the Department of Infectious Diseases in Stara Zagora University Hospital, Bulgaria. We present the clinical, epidemiological and laboratory data for four men and one woman (age range 52 to 73 years. Three men were hunters, four patients took part in handling, preparing/skinning and cooking the game animals. One man marked agricultural work and contact with straw stems. After a mean incubation period of 4.8±1.4 days ulcers appeared, followed by local painful lymphadenitis. All patients presented with liver enlargement and elevation in acute phase reactants. The etiological diagnosis was made by tube agglutination test in all cases, PCR positive result was found in one. The administered antibacterial treatment was a combination of aminoglycosides and 4-quinolones with the outcome being favorable for all patients. The current report suggests presence of Francisella tularensis in South Bulgaria.

  11. Region-specific study of the electric utility industry. Phase I, final report

    International Nuclear Information System (INIS)

    Wacaster, A.J.

    1985-07-01

    This report describes the financial background of the electric utility industry in VACAR, reports on the present condition of the industry and then assesses the future of this industry. The Virginia-Carolinas subregion (VACAR) of the Southeastern Electric Reliability Council (SERC) was selected for this regional study because of its cooperativeness and its representative mix of powerplants, for example coal, hydro, nuclear, oil. It was found that the supply of future economic electricity is in jeopardy because of the regulatory process, the increasing risk associated with large scale generating stations and the weakening of the nuclear option. A number of options for the future were considered, including deregulation, government ownership and retaining the present system with modifications. The option selected to improve the present condition of the electricity industry was to make the present system work. The present system is sound, and with modifications, problems could be solved within the existing framework. 8 figs., 4 tabs

  12. Report on energy saving vision in Santo-cho region; Santocho chiiki sho energy vision hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-02-01

    An energy-saving vision was decided on in Santo-cho region in Hyogo Prefecture, with its outline reported. This town is such that about 80% of the region is mountains, forests and wilderness and that aging is advancing at the rate above that of Hyogo Prefecture or the national average. Nearly entire energy of the town is dependent on the supply from outside. The energy consumption is somewhat increasing as a whole, with that of the people's livelihood/domestic sector and of transportation sector are rising. In the classification of fuels, electricity is growing in consumption. As an energy-saving vision, it aimed principally at personal surroundings in which every one got into the habit of saving energy continuously without being forced. The basic plan for the energy conservation drive consisted of inducement to an energy-saving life style, energy conservation to be spread by the next generation children, continuation of energy saving activity rooted in the region, and promotion of energy conservation as a basis for introducing new energy. The diffusion and enlightenment for children destined to lead the next generation were defined as a particularly important assignment, as was the promotion of energy conservation and environmental education. (NEDO)

  13. Report of the First Meeting of the Governing Board, SEAMEO Regional Centre for Education in Science and Mathematics (Penang, Malaysia, October 8-12, 1970). Final Report.

    Science.gov (United States)

    Southeast Asian Ministers of Education Organization (Singapore). Regional Center for Education in Science and Mathematics.

    This report details the proceedings of the first meeting of the Governing Board of the SEAMEO Regional Centre for Education in Science and Mathematics held in Penang, Malaysia from October 8-12, 1970. Procedural matters detailed in the report include: (1) the election of officers; (2) the acceptance of the annual report of the events and…

  14. Global and regional climate change: new evidences between two IPCC reports

    Energy Technology Data Exchange (ETDEWEB)

    Mika, J. [Eszterhazy Karoly College, Budapest (Hungary). Dept. of Geography

    2011-07-01

    The climate of our planet has never been constant, but the recent changes are by two orders of magnitude faster than the natural changes since the appearance of anthropogenic effects. The discernable global warming started in the 19th century and after speeding up in the 20th century, it has reached about 0.8 K. This fact and the realization of the likely reasons for the changes, plus rapid development of computer technology have resulted in systematic investigations of climate science. The Intergovernmental Panel on Climate Change (IPCC) finalized its Fourth Assessment Report in 2007. The present paper suveys some recent moments of global and regional climate change issued after the Report. Even the economic crisis was not strong enough to deflect the anthropogenic greenhouse gas forcing for more than one year. It tends to develop at the upper edge of the IPCC (2007) projection band of uncertainties. The part of the emitted carbon dioxide remaining in the atmosphere is increasing due to weakening of both the biospheric- and the oceanic sinks of this greenhouse gas. The new radiation balance estimations must admit the imbalance between the atmosphere and the oceans indicating the fact that the greenhouse warming definitely takes place. The year 2010 became most likely the warmest one on the global temperature record. The sea-level rise also follows the most rapid track among the foreseen scenarios. In the meantime modelling effort to better estimate regional features of the changes also develop in their full strength. The ENSEMBLES Project ended in December 2009 and published a lot of maps with 25 km model resolution. These results, however, do not show convergence in the estimations for many regions, including Central Europe.

  15. Toward a regional power plant siting method: AEC-Maryland regional siting factors study, FY 1974 progress report

    International Nuclear Information System (INIS)

    Yaffee, S.L.; Miller, C.A.

    1974-11-01

    The ''AEC-Maryland Regional Siting Factors Study'' examines the process of siting in a regional context. It is developing an analysis method to delineate candidate areas for siting of several power plant technology packages, including both fossil-fueled and nuclear options. Tools that are being used include simulation modeling, economic and demographic forecasting, spatial analysis, and computer graphics and numerical manipulation. The approach will describe the trade-offs incurred if a power plant is located in one candidate area rather than in another. In FY 1974, a suitability analysis method was developed which uses engineering and environmental parameters to define a level of environmental cost incurred if a segment of land is used to site a specific technology package. (U.S.)

  16. First status report on regional and local ground-water flow modeling for Richton Dome, Mississippi

    International Nuclear Information System (INIS)

    Andrews, R.W.; Metcalfe, D.E.

    1984-03-01

    Regional and local ground-water flow within the principal hydrogeologic units in the vicinity of Richton Dome is evaluated by developing conceptual models of the flow regime within these units at three different scales and testing these models using a three-dimensional, finite-difference flow code. Semiquantitative sensitivity analysis is conducted to define the system response to changes in the conceptual model, particularly the hydrologic properties. The effects of salinity on the flow field are evaluated at the refined and local scales. Adjoint sensitivity analysis is applied to the conceptualized flow regime in the Wilcox aquifer. All steps leading to the final results and conclusions are incorporated in this report. The available data utilized in this study is summarized. The specific conceptual models, defining the areal and vertical averaging of lithologic units, aquifer properties, fluid properties, and hydrologic boundary conditions, are described in detail. The results are delineated by the simulated potentiometric surfaces and tables summarizing areal and vertical boundary fluxes, Darcy velocities at specific points, and ground-water travel paths. These results are presented at regional, refined, and local (near-dome) scales. The reported work is the first stage of an ongoing evaluation of the Richton Dome as a potential repository for high-level radioactive wastes. The results and conclusions should thus be considered preliminary and subject to modification with the collection of additional data. However, this report does provide a useful basis for describing the sensitivity and, to a lesser extent, the uncertainty of the present conceptualization of ground-water flow in the vicinity of Richton Dome. 25 references, 69 figures, 15 tables

  17. Environmental monitoring survey of oil and gas fields in Region II in 2009. Summary report; Miljoeovervaaking av olje- og gassfelt i Region II i 2009

    Energy Technology Data Exchange (ETDEWEB)

    2010-03-15

    The oil companies Statoil ASA, ExxonMobil Exploration and Production Norway AS, Total E&P Norge AS, Talisman Energy Norge AS and Marathon Petroleum Norge AS commissioned Section of Applied Environmental Research at UNI RESEARCH AS to undertake the monitoring survey of Region II in 2009. Similar monitoring surveys in Region II have been carried out in 1996, 2000, 2003 and 2006. The survey in 2009 included in total 18 fields: Rev, Varg, Sigyn, Sleipner Vest, Sleipner OEst, Sleipner Alfa Nord, Glitne, Grane, Balder, Ringhorne, Jotun, Vale, Skirne, Byggve, Heimdal, Volve, Vilje og Alvheim. Sampling was conducted from the vessel MV Libas between May 18 and May 27. Samples were collected from in totally 137 sampling sites, of which 15 were regional sampling sites. Samples for chemical analysis were collected at all sites, whereas samples for benthos analysis were collected at 12 fields. As in previous surveys, Region II is divided into natural sub-regions. One sub-region is shallow (77-96 m) sub-region, a central sub-region (107-130 m) and a northern subregion (115-119 m). The sediments of the shallow sub-region had relatively lower content of TOM and pelite and higher content of fine sand than the central and northern sub-regions. Calculated areas of contamination are shown for the sub-regions in Table 1.1. The fields Sigyn, Sleipner Alfa Nord, Glitne, Grane, Balder, Ringhorne, Jotun, Skirne, Byggve, Vilje og Alvheim showed no contamination of THC. At the other fields there were minor changes from 2006. The concentrations of barium increased in the central sub-region from 2006 to 2009, also at fields where no drilling had been undertaken during the last years. The same laboratory and methods are used during the three last regional investigations. The changes in barium concentrations may be due to high variability of barium concentrations in the sediments. This is supported by relatively large variations in average barium concentrations at the regional sampling sites in

  18. Environmental monitoring survey of oil and gas fields in Region II in 2009. Summary report; Miljoeovervaaking av olje- og gassfelt i Region II i 2009. Sammendragsrapport

    Energy Technology Data Exchange (ETDEWEB)

    2010-03-15

    The oil companies Statoil ASA, ExxonMobil Exploration and Production Norway AS, Total E&P Norge AS, Talisman Energy Norge AS and Marathon Petroleum Norge AS commissioned Section of Applied Environmental Research at UNI RESEARCH AS to undertake the monitoring survey of Region II in 2009. Similar monitoring surveys in Region II have been carried out in 1996, 2000, 2003 and 2006. The survey in 2009 included in total 18 fields: Rev, Varg, Sigyn, Sleipner Vest, Sleipner Oest, Sleipner Alfa Nord, Glitne, Grane, Balder, Ringhorne, Jotun, Vale, Skirne, Byggve, Heimdal, Volve, Vilje og Alvheim. Sampling was conducted from the vessel MV Libas between May 18 and May 27. Samples were collected from in totally 137 sampling sites, of which 15 were regional sampling sites. Samples for chemical analysis were collected at all sites, whereas samples for benthos analysis were collected at 12 fields. As in previous surveys, Region II is divided into natural sub-regions. One sub-region is shallow (77-96 m) sub-region, a central sub-region (107-130 m) and a northern subregion (115-119 m). The sediments of the shallow sub-region had relatively lower content of TOM and pelite and higher content of fine sand than the central and northern sub-regions. Calculated areas of contamination are shown for the sub-regions in Table 1.1. The fields Sigyn, Sleipner Alfa Nord, Glitne, Grane, Balder, Ringhorne, Jotun, Skirne, Byggve, Vilje og Alvheim showed no contamination of THC. At the other fields there were minor changes from 2006. The concentrations of barium increased in the central sub-region from 2006 to 2009, also at fields where no drilling had been undertaken during the last years. The same laboratory and methods are used during the three last regional investigations. The changes in barium concentrations may be due to high variability of barium concentrations in the sediments. This is supported by relatively large variations in average barium concentrations at the regional sampling sites in

  19. First status report on regional ground-water flow modeling for Vacherie Dome, Louisiana

    International Nuclear Information System (INIS)

    1986-07-01

    Regional ground-water flow within the principal geohydrologic units in the vicinity of Vacherie Dome, Louisiana is evaluated by developing a conceptual model of the flow regime within these units and testing the model using a three-dimensional, finite-difference flow code (SWENT). Semiquantitative sensitivity analyses (a limited parametric study) are conducted to define the system responses to changes in the conceptual model, particularly in regard to the geohydrologic properties. All steps leading to the final results and conclusions are incorporated in this report. The available data utilized in this study are summarized. The conceptual model is defined in terms of the areal and vertical averaging of lithologic units, aquifer properties, and hydrologic boundary conditions. The simulated ground-water flow fields are described with potentiometric surfaces, areas of upward and downward flow across aquitards, tables summarizing the horizontal and vertical volumetric flows through the principal units, ground-water travel times and paths, and Darcy velocities within specified finite-difference blocks. The reported work is the first stage of an ongoing evaluation of Vacherie Dome as a potential repository for high-level radioactive wastes. The results and conclusions should thus be considered preliminary and subject to modification with the collection of additional data. However, the report does provide a useful basis for describing the sensitivity of the conceptualization of ground-water flow to parameterization and, to a lesser extent, the uncertainties in the present conceptualization. 34 refs., 57 figs., 19 tabs

  20. PGDP Trichloroethene Biodegradation Investigation Summary Report: Regional Gravel Aquifer & Northwest Plume

    Energy Technology Data Exchange (ETDEWEB)

    Hampson, Steve [Univ. of Kentucky, Lexington, KY (United States). Kentucky Research Consortium for Energy and Environment

    2008-09-01

    The evaluation of biological degradation processes addressed by this report are part of a broad trichloroethene (TCE) Fate and Transport Investigation that includes four (4) topics of phased investigation (Table ES1) relative to degradation and/or attenuation of TCE in the Regional Gravel Aquifer (RGA) underlying the United States Department of Energy Paducah Gaseous Diffusion Plant (PGDP). In order of implementation the project phases are: (1) derivation of a TCE first-order rate constant by normalization of TCE values against technetium-99 (99Tc) and chloride. 2) identification of the presence of microbes capable of aerobic co-metabolic TCE biodegradation using enzyme activity probes (this report); 3) Compound-specific isotope analysis (CSIA) to support prevalence of biotic and/or abiotic degradation processes; and 4) evaluation of potential abiotic RGA-TCE attenuation mechanisms including sorption. This report summarizes the Phase II activities related to the identification and evaluation of biological degradation processes that may be actively influencing TCE fate and transport in the RGA contaminant plumes at the United States Department of Energy (DOE) PGDP and its environs (Figure ES1). The goals of these activities were to identify active biological degradation mechanisms in the RGA through multiple lines of evidence and to provide DOE with recommendations for future TCE biological degradation investigations.

  1. KEY COMPARISON: Report on the Regional Comparison COOMET.AUV.A-K3

    Science.gov (United States)

    Barrera-Figueroa, Salvador; Nielsen, Lars; Rasmussen, Knud

    2007-01-01

    COOMET.AUV.A-K3 is a Regional Comparison that supplements the Key Comparison CCAUV.A-K3 organized by the CCAUV. The participating NMIs are GUM (Poland), INM (Romania), VNIIFTRI (Russia) and DP-NDI 'Systema' (Ukraine). The role of Pilot laboratory was undertaken by DPLADFM (Denmark). The measurements took place between May 2005 and February 2006. The time schedule was organized in a single star configuration. Initially, two LS2aP microphones were circulated. However, a sudden change of sensitivity of one of them forced the inclusion of an additional microphone. Nevertheless, the analysis was performed on all microphones involved. This report includes the measurement results from the participants, information about their calibration methods, and the analysis leading to the assignation of degrees of equivalence and the link to the CCAUV.A-K3. Main text. To reach the main text of this paper, click on Final Report. The final report has been peer-reviewed and approved for publication by the CCAUV, according to the provisions of the CIPM Mutual Recognition Arrangement (MRA).

  2. Subsequent childbirth after a previous traumatic birth.

    Science.gov (United States)

    Beck, Cheryl Tatano; Watson, Sue

    2010-01-01

    Nine percent of new mothers in the United States who participated in the Listening to Mothers II Postpartum Survey screened positive for meeting the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition criteria for posttraumatic stress disorder after childbirth. Women who have had a traumatic birth experience report fewer subsequent children and a longer length of time before their second baby. Childbirth-related posttraumatic stress disorder impacts couples' physical relationship, communication, conflict, emotions, and bonding with their children. The purpose of this study was to describe the meaning of women's experiences of a subsequent childbirth after a previous traumatic birth. Phenomenology was the research design used. An international sample of 35 women participated in this Internet study. Women were asked, "Please describe in as much detail as you can remember your subsequent pregnancy, labor, and delivery following your previous traumatic birth." Colaizzi's phenomenological data analysis approach was used to analyze the stories of the 35 women. Data analysis yielded four themes: (a) riding the turbulent wave of panic during pregnancy; (b) strategizing: attempts to reclaim their body and complete the journey to motherhood; (c) bringing reverence to the birthing process and empowering women; and (d) still elusive: the longed-for healing birth experience. Subsequent childbirth after a previous birth trauma has the potential to either heal or retraumatize women. During pregnancy, women need permission and encouragement to grieve their prior traumatic births to help remove the burden of their invisible pain.

  3. Dioctophyma renale in maned wolf in the geoeconomic region of Jatai, GO, Brazil - Case report

    OpenAIRE

    Valcinir Aloisio Scalla Vulcani; Vanessa Sobue Franzo; Diego Pereira de Araújo; Felipen Roncatto Vicenti; Otávio Marins da Costa; Aynna Silva Rangel; Luanna Alves Gomes

    2015-01-01

    ABSTRACT. Vulcani V.A.S., Franzo V.S., de Araújo D.P., Vicentin F.R., da Costa O.M., Rangel A.S. & Gomes L.A. [Dioctophyma renale in maned wolf in the geoeconomic region of Jatai, GO, Brazil - Case report.] Dioctophyma renale em Lobo-Guará na região geoeconômica de Jataí, GO, Brasil - Relato de caso. Revista Brasileira de Medicina Veterinária, 37(2):149-152, 2015. Laboratório de Anatomia, Curso de Medicina Veterinária, Universidade Federal de Goiás, Campus de Jataí, BR 364 Km 192, 3800, Setor...

  4. An extraneural primary anaplastic ependymoma at the subcutaneous inguinal region: Report of a rare case

    Directory of Open Access Journals (Sweden)

    Hamide Sayar

    2015-01-01

    Full Text Available Ependymomas commonly arise in the central nervous system. Extraneural presentation is quite rare. Herein, we describe a primary extraneural ependymoma in a young female. The mass was located in the right inguinal area. The cut surface of the 7.5 mm × 6.5 mm × 4.5 mm sized tumor was brownish-yellow in color. Histologically, it was hypercellular exhibiting pseudorosette or rosette formations and some papillary structures. Mitosis was counted as high as 10 per 10 high power fields. Neither necrosis nor vascular endothelial proliferation within the tumor was observed. Tumor cells showed strong glial fibrillary acidic protein immunoreactivity. On epithelial membrane antigen, intracytoplasmic dot-like immunostaining was observed. This is the first report presenting a primary extraneural anaplastic ependymoma arising in the inguinal subcutaneous region.

  5. An extraneural primary anaplastic ependymoma at the subcutaneous inguinal region: Report of a rare case.

    Science.gov (United States)

    Sayar, Hamide; Ersen, Ayca; Kurtul, Neslihan; Yazar, Mehmet Fatih; Balakan, Ozan

    2015-01-01

    Ependymomas commonly arise in the central nervous system. Extraneural presentation is quite rare. Herein, we describe a primary extraneural ependymoma in a young female. The mass was located in the right inguinal area. The cut surface of the 7.5 mm × 6.5 mm × 4.5 mm sized tumor was brownish-yellow in color. Histologically, it was hypercellular exhibiting pseudorosette or rosette formations and some papillary structures. Mitosis was counted as high as 10 per 10 high power fields. Neither necrosis nor vascular endothelial proliferation within the tumor was observed. Tumor cells showed strong glial fibrillary acidic protein immunoreactivity. On epithelial membrane antigen, intracytoplasmic dot-like immunostaining was observed. This is the first report presenting a primary extraneural anaplastic ependymoma arising in the inguinal subcutaneous region.

  6. 1993 Annual Report: San Francisco estuary regional monitoring program for trace substances

    Science.gov (United States)

    Thompson, B.; Lacy, Jessica; Hardin, Dane; Grovhaug, Tom; Taberski, K.; Jassby, Alan D.; Cloern, James E.; Caffrey, J.; Cole, B.; Schoellhamer, David H.

    1993-01-01

    This first annual report of the San Francisco Estuary Regional Monitoring Program contains the results of monitoring measurements made in 1993. Measurements of conventional water quality parameters and trace contaminant concentrations were made at 16 stations throughout the Estuary three times during the year: the wet period (March), during declining Delta outflow (May), and during the dry period (September). Water toxicity tests were conducted at 8 of those stations. Measurements of sediment quality and contaminant concentrations were made at the same 16 stations during the wet and dry sampling periods. Sediment toxicity was measured at 8 of those stations. Transplanted, bagged bivalve bioaccumulation and condition was measured at 11 stations during the wet and dry sampling periods.

  7. Trends in marine climate change research in the Nordic region since the first IPCC report

    DEFF Research Database (Denmark)

    Pedersen, Martin Wæver; Kokkalis, Alexandros; Bardarson, H.

    2016-01-01

    Oceans are exposed to anthropogenic climate change shifting marine systems toward potential instabilities. The physical, biological and social implications of such shifts can be assessed within individual scientific disciplines, but can only be fully understood by combining knowledge and expertise...... across disciplines. For climate change related problems these research directions have been well-established since the publication of the first IPCC report in 1990, however it is not well-documented to what extent these directions are reflected in published research. Focusing on the Nordic region, we...... evaluated the development of climate change related marine science by quantifying trends in number of publications, disciplinarity, and scientific focus of 1362 research articles published between 1990 and 2011. Our analysis showed a faster increase in publications within climate change related marine...

  8. Report: Implementation Plan With Cost Sharing Methodology Needed for Region 8 Senior Environmental Employee Work on Lead Risk Reduction

    Science.gov (United States)

    Report #13-P-0430, September 24, 2013. The two Region 8 program offices that jointly implement the Lead Renovation, Repair and Painting Program do not have methodology or agreement for sharing SEE funding, which has led to confusion.

  9. The 2008 annual report of the Regional Infant and Child Mortality Review Committee.

    Science.gov (United States)

    Randall, Brad; Wilson, Ann

    2009-12-01

    The 2008 annual report of the Regional Infant and Child Mortality Review Committee (RICMRC) is presented. This committee has as its mission the review of infant and child deaths so that information can be transformed into action to protect young lives. The 2008 review area includes South Dakota's Minnehaha, Turner, Lincoln, Moody, Lake, McCook, Union, Hansen, Miner and Brookings counties. Within our region in 2008, there were six infant deaths labeled as Sudden Unexpected Infant Deaths (SUID), of which two met the criteria for the Sudden Infant Death Syndrome (SIDS). The four non-SIDS SUID deaths all represented deaths where asphyxia from unsafe sleeping environments could not be excluded. In addition, there were two accidental deaths from asphyxia in unsafe sleeping enviroments. We need to continue to promote the "Back to Sleep" campaign message of not only placing infants to sleep on their backs, but also making sure infants are put down to sleep on safe, firm, sleeping surfaces and are appropriately dressed for the ambient temperature. Parents need to be aware of the potential hazards of bed-sharing with their infants. In both 2007 and 2008, four children died in motor vehicle crashes, none of which were alcohol-related. Three fire-related childhood deaths were associated with one house fire involving a nonfunctional smoke alarm and a sleeping arrangement without an easy egress from a fire. Since 1997, the RICMRC has sought to achieve its mission to "review infant and child deaths so that information can be transformed into action to protect young lives". For 2008, the committee reviewed 21 deaths from Minnehaha, Turner, Lincoln, Moody, Lake, McCook, Union, Hansen, Miner and Brookings counties that met the following criteria: Children under the age of 18 dying subsequent to hospital discharge following delivery. Children who either died in these counties from causes sustained in them, or residents who died elsewhere from causes sustained in the ten-county region.

  10. Report of an autopsyzed case of Kaposi sarcoma developed in therapeutically irradiated region

    International Nuclear Information System (INIS)

    Tanahashi, Yoshio; Sato, Akihiko

    1975-01-01

    A case of Kaposi sarcoma developed in the right gluteal region of 57 year-old woman was reported in the present paper. The patient received surgical excision of uterine cervical cancer and also gastric cancer in the different time in her past history. Post-operative radiotherapy following uterine excision consisted of 3,350 to 3,650 R of respective 180 kV of X-ray and 60 Co. The mass developed in the region irradiated during the past deep therapy, and showed resistance to Linac irradiation and bleomycin. The masses which seemed to be the same with that in the skin developed in the both lung, and bleomycin administered was not effective. In addition, a mass developed in the right inguinal lymphnode which was considered to be the metastasis from cervical cancer, and was wholly excised. The patient died from pneumonia one year after the manifestation of Kaposi sarcoma. This case was very extraordinary because of the triplicated tumors, i.e., gastric cancer, uterine cervical cancer, and Kaposi sarcoma. The nature of Kaposi sarcoma was discussed from our experience and literature. Kaposi sarcoma in our case, was suggested to be a radiation-induced tumor, and the mechanism of occurrence was considered to be that of multi-centric tumor. (Tsukamoto, Y.)

  11. Report of an autopsyed case of Kaposi sarcoma developed in therapeutically irradiated region

    Energy Technology Data Exchange (ETDEWEB)

    Tanahashi, Y; Sato, A [Tohoku Univ., Sendai (Japan). School of Medicine

    1975-04-01

    A case of Kaposi sarcoma developed in the right gluteal region of 57 year-old woman was reported in the present paper. The patient received surgical excision of uterine cervical cancer and also gastric cancer in the different time in her past history. Post-operative radiotherapy following uterine excision consisted of 3,350 to 3,650 R of respective 180 kV of X-ray and /sup 60/Co. The mass developed in the region irradiated during the past deep therapy, and showed resistance to Linac irradiation and bleomycin. The masses which seemed to be the same with that in the skin developed in the both lung, and bleomycin administered was not effective. In addition, a mass developed in the right inguinal lymphnode which was considered to be the metastasis from cervical cancer, and was wholly excised. The patient died from pneumonia one year after the manifestation of Kaposi sarcoma. This case was very extraordinary because of the triplicated tumors, i.e., gastric cancer, uterine cervical cancer, and Kaposi sarcoma. The nature of Kaposi sarcoma was discussed from our experience and literature. Kaposi sarcoma in our case, was suggested to be a radiation-induced tumor, and the mechanism of occurrence was considered to be that of multi-centric tumor.

  12. Regional demand forecasting and simulation model: user's manual. Task 4, final report

    Energy Technology Data Exchange (ETDEWEB)

    Parhizgari, A M

    1978-09-25

    The Department of Energy's Regional Demand Forecasting Model (RDFOR) is an econometric and simulation system designed to estimate annual fuel-sector-region specific consumption of energy for the US. Its purposes are to (1) provide the demand side of the Project Independence Evaluation System (PIES), (2) enhance our empirical insights into the structure of US energy demand, and (3) assist policymakers in their decisions on and formulations of various energy policies and/or scenarios. This report provides a self-contained user's manual for interpreting, utilizing, and implementing RDFOR simulation software packages. Chapters I and II present the theoretical structure and the simulation of RDFOR, respectively. Chapter III describes several potential scenarios which are (or have been) utilized in the RDFOR simulations. Chapter IV presents an overview of the complete software package utilized in simulation. Chapter V provides the detailed explanation and documentation of this package. The last chapter describes step-by-step implementation of the simulation package using the two scenarios detailed in Chapter III. The RDFOR model contains 14 fuels: gasoline, electricity, natural gas, distillate and residual fuels, liquid gases, jet fuel, coal, oil, petroleum products, asphalt, petroleum coke, metallurgical coal, and total fuels, spread over residential, commercial, industrial, and transportation sectors.

  13. Dioctophyma renale in maned wolf in the geoeconomic region of Jatai, GO, Brazil - Case report

    Directory of Open Access Journals (Sweden)

    Valcinir Aloisio Scalla Vulcani

    2015-06-01

    Full Text Available ABSTRACT. Vulcani V.A.S., Franzo V.S., de Araújo D.P., Vicentin F.R., da Costa O.M., Rangel A.S. & Gomes L.A. [Dioctophyma renale in maned wolf in the geoeconomic region of Jatai, GO, Brazil - Case report.] Dioctophyma renale em Lobo-Guará na região geoeconômica de Jataí, GO, Brasil - Relato de caso. Revista Brasileira de Medicina Veterinária, 37(2:149-152, 2015. Laboratório de Anatomia, Curso de Medicina Veterinária, Universidade Federal de Goiás, Campus de Jataí, BR 364 Km 192, 3800, Setor Industrial, Jataí, GO 75801-615, Brasil. E-mail: aloisiosv@hotmail.com The maned Wolf (Chrysocyon brachyurus (Illiger, 1815 is the largest animal that represents the canidae species at the South America. The Dioctophyme renale (Goeze, 1782 known as the giant kidney-worm, because it is used to lodges mostly this organs, and it has been also responsible for the majority of captive animals deaths. A maned wolf necropsy was done at the animal anatomy laboratory of the Universidade Federal de Goiás (UFG - Campus Jataí and showed a nematode in the right kidney of the wild dog. This is the second confirmed case report of maned wolf that have free life in the city of Jataí and in State of Goiás, that suggests that is a common parasitism in this region of the country.

  14. First status report on regional ground-water flow modeling for the Paradox Basin, Utah

    International Nuclear Information System (INIS)

    Andrews, R.W.

    1984-05-01

    Regional ground-water flow within the principal hydrogeologic units of the Paradox Basin is evaluated by developing a conceptual model of the flow regime in the shallow aquifers and the deep-basin brine aquifers and testing these models using a three-dimensional, finite-difference flow code. Semiquantitative sensitivity analysis (a limited parametric study) is conducted to define the system response to changes in hydrologic properties or boundary conditions. A direct method for sensitivity analysis using an adjoint form of the flow equation is applied to the conceptualized flow regime in the Leadville limestone aquifer. All steps leading to the final results and conclusions are incorporated in this report. The available data utilized in this study is summarized. The specific conceptual models, defining the areal and vertical averaging of litho-logic units, aquifer properties, fluid properties, and hydrologic boundary conditions, are described in detail. Two models were evaluated in this study: a regional model encompassing the hydrogeologic units above and below the Paradox Formation/Hermosa Group and a refined scale model which incorporated only the post Paradox strata. The results are delineated by the simulated potentiometric surfaces and tables summarizing areal and vertical boundary fluxes, Darcy velocities at specific points, and ground-water travel paths. Results from the adjoint sensitivity analysis include importance functions and sensitivity coefficients, using heads or the average Darcy velocities to represent system response. The reported work is the first stage of an ongoing evaluation of the Gibson Dome area within the Paradox Basin as a potential repository for high-level radioactive wastes

  15. Regional magnetic and gravity features of the Gibson Dome area and surrounding region, Paradox Basin, Utah : a preliminary report

    Science.gov (United States)

    Hildenbrand, T.G.; Kucks, R.P.

    1983-01-01

    Analyses of regional gravity and magnetic anomaly maps have been carried out to assist in the evaluation of the Gibson Dome area as a possible repository site for high-level radioactive waste. Derivative, wavelength-filtered, and trend maps were compiled to aid in properly locating major geophysical trends corresponding to faults, folds, and lithologic boundaries. The anomaly maps indicate that Paradox Basin is characterized by a heterogeneous Precambrian basement, essentially a metamorphic complex of gneisses and schist intruded by granitic rocks and mafic to ultramafic bodies. Interpreted Precambrian structures trend predominantly northwest and northeast although east-west trending features are evident. Prominent gravity lows define the salt anticlines. Structural and lithologic trends in the Gibson Dome area are closely examined. Of greatest interest is a series of circular magnetic highs trending west-northwest into the Gibson Dome area. Further study of the exact definition and geologic significance of this series of anomalies is warranted.

  16. Report of 457 sporotrichosis cases from Jilin province, northeast China, a serious endemic region.

    Science.gov (United States)

    Song, Y; Li, S-S; Zhong, S-X; Liu, Y-Y; Yao, L; Huo, S-S

    2013-03-01

    Most reported sporotrichosis cases came from South American countries, the USA, India and Japan. This mycosis is also endemic in Northeast China. However, the situation is not clear for international researchers due to lack of large series reported in English. To report and analyse 457 sporotrichosis cases. Retrospective study of 457 cases of sporotrichosis diagnosed by fungal culture at the First Hospital of Jilin University from 1 January 2007 to 31 December 2009. In this series, the male: female ratio was 1:1.42. Mean age was 41.2 years. Cases from age group 51-60 years accounted for most of the cases (22.54%). A total of 434 patients lived in rural areas (94.97%). The onset of symptoms in 67.61% cases happened in cold seasons (winter and spring). History of trauma presented in 133 cases (29.1%). The mean duration of the symptoms before the presentation was 6.41 months. A total of 190 (41.58%) showed lymphocutaneous form, 252 patients (55.14%) showed fixed form, 8 patients (1.75%) showed disseminated cutaneous sporotrichosis and the clinical form of 7 patients (1.53%) could not be defined. Extremities and nodules were the most frequently involved sites and founded manifestation. Main histopathology findings were suppurative granuloma, tuberculoid granuloma and mixed inflammatory granuloma. A total of 75 cases (19.74%) had fungal elements revealed by Periodic Acid-Schiff staining. Patients responded well to potassium iodide (KI), itraconazole, terbinafine and combinations of these agents with a mean course of 2.17 months to resolve. As the first report of a large series of sporotrichosis cases from China to be published in English literature, our study indicated a serious sporotrichosis endemic situation in Jilin province, Northeast China, with epidemiological and clinical characteristics similar to those of previous Chinese reports, but different from those in other countries. KI, itraconazole and terbinafine are effective for the treatment. © 2011 The Authors

  17. Second status report on regional ground-water flow modeling for the Palo Duro Basin, Texas

    International Nuclear Information System (INIS)

    1986-07-01

    Regional ground-water flow within the principal geohydrologic units of the Palo Duro Basin is evaluated by developing a conceptual model of the flow regime and testing the model using a three-dimensional, finite-difference flow code. Sensitivity analyses (a limited parametric study) are conducted to define the system responses to changes in the conceptual model. Of particular interest are the impacts of salt permeability and potential climatic changes on the system response. The conceptual model is described in terms of its areal and vertical discretization, aquifer properties, fluid properties and hydrologic boundary conditions. The simulated ground-water flow fields are described with potentiometric surfaces, tables summarizing the areal and vertical volumetric flows through the principal units, and Darcy velocities within specified finite-difference blocks. The reported work is the second stage of an ongoing evaluation of the Palo Duro Basin as a potential repository for high-level radioactive wastes. The results and conclusions should thus be considered preliminary and subject to modification with the collection of additional data. However, the report does provide a useful basis for describing the sensitivity of the present conceptualization of ground-water flow to particular parameters and, to a lesser extent, the uncertainties in the present conceptualization. 28 refs., 44 figs., 13 tabs

  18. Regional ground-water flow modeling for the Paradox Basin, Utah: Second status report

    International Nuclear Information System (INIS)

    1986-09-01

    Regional ground-water flow within the principal geohydrologic units of the Paradox Basin is evaluated by developing a conceptual model of the flow regime between the shallow aquifers, the Paradox salt and the deep-basin brine aquifers. This model is tested using a three-dimensional, finite-difference flow code. Sensitivity analyses (a limited parametric study) are conducted to define the system responses to changes in the conceptual model. The conceptual model is described in terms of its areal and vertical discretization, aquifer properties, fluid properties, and hydrologic boundary conditions. The simulated results are described with potentiometric surfaces, tables summarizing the areal and vertical volumetric flows through the principal units, and Darcy velocities at specified points. The reported work is the second stage of an ongoing evaluation of the Gisbon Dome area within the Paradox Basin as a potential repository for high-level radioactive wastes. The results and conclusions should thus be considered preliminary and subject to modification with the collection of additional data. However, the report does provide a useful basis for describing the sensitivity of the present conceptualization of ground-water flow to the hydrologic parameters and, to a lesser extent, the uncertainties of the present conceptualization. 20 refs., 17 figs., 9 tabs

  19. South African SIBEX 1 Cruise to the Prydz Bay region, 1984: Pt. 6. Preliminary report on the naturally-occurring radioactive nuclide /sup 210/Po in the survey area

    Energy Technology Data Exchange (ETDEWEB)

    Cherry, M I

    1985-01-01

    During the SIBEX 1 cruise seawater, phytoplankton, and zooplankton samples were collected in the survey area for subsequent Polonium 210 determinations. The levels of /sup 210/Po found in the samples appear to be comparable with those previously reported in samples from other oceanographic regions. The determinations are not yet complete but some pleliminary conclusions are drawn.

  20. Complex Regional Pain Syndrome following an Episode of Herpes Zoster: A Case Report.

    Science.gov (United States)

    Marrero, Christopher E; Mclean, Neuyen; Varnado, Keyana

    2017-01-01

    Complex regional pain syndrome (CRPS) is characterized by searing pain, hyperalgesia, edema, allodynia, and skin changes. CRPS may be difficult to diagnose and to treat given poorly understood mechanisms as well as its presentation of symptoms that may mimic common conditions such as joint stiffness in this condition as well as rheumatoid arthritis. A 71-year-old female presented to our clinic post shingles of the right upper extremity. We diagnosed her with CRPS based on the Budapest diagnostic criteria and the clinical findings of pain and decreased the range of motion along with edema, hypersensitivity, discoloration and allodynia of the right thumb and index finger. She was treated with vitamin C as well as gabapentin and physical therapy. The patient was unable to go consistently to physical therapy due to insurance limitations, and we found no clinical benefit of vitamin C in reducing her symptoms. She was lost to follow-up during her treatment but re-emerged at 21 months. At that time she reported, she was largely unchanged in regards to her right-hand symptoms but did believe the gabapentin was helpful and still continued to take 300 mg daily. This case report highlights the usefulness of the Budapest diagnostic criteria to make the diagnosis of CRPS when associated with shingles, which can cause long-term pain and mimic some findings. Prompt diagnosis is important, as recovery typically extends beyond 6 months; our patient still reported continued symptoms at 21 months post initial presentation. Our primary treatment plan was physical therapy, which she discontinued due to insurance limitations. We recommend that patients, physicians, and third-party payers work together to extend access to physical therapy. More investigation is warranted regarding symptomatic treatment, as we found limited clinical benefit of gabapentin and vitamin C.

  1. First status report on regional groundwater flow modeling for the Palo Duro Basin, Texas

    International Nuclear Information System (INIS)

    Andrews, R.W.

    1984-12-01

    Regional groundwater flow within the principal hydrogeological units of the Palo Duro Basin is evaluated by developing a conceptual model of the flow regime in the shallow aquifers and the deep-basin brine aquifers and testing these models using a three-dimensional, finite-difference flow code. Semiquantitative sensitivity analysis (a limited parametric study) is conducted to define the system response to changes in hydrologic properties or boundary conditions. Adjoint sensitivity analysis is applied to the conceptualized flow regime in the Wolfcamp carbonate aquifer. All steps leading to the final results and conclusions are incorporated in this report. The available data utilized in this study are summarized. The specific conceptual models, defining the areal and vertical averaging of lithologic units, aquifer properties, fluid properties, and hydrologic boundary conditions, are described in detail. The results are delineated by the simulated potentiometric surfaces and tables summarizing areal and vertical boundary fluxes, Darcy velocities at specific points, and groundwater travel paths. Results from the adjoint sensitivity analysis included importance functions and sensitivity coefficients, using heads or the average Darcy velocities as the performance measures. The reported work is the first stage of an ongoing evaluation of two areas within the Palo Duro Basin as potantial repositories for high-level radioactive wastes. The results and conclusions should thus be considered preliminary and subject to modification with the collection of additional data. However, this report does provide a useful basis for describing the sensitivity and, to a lesser extent, the uncertainty of the present conceptualization of groundwater flow within the Palo Duro Basin

  2. Regional systems development for geothermal energy resources: Pacific region (California and Hawaii). Task 2: Regional program monitoring and progress evaluation, topical report

    Energy Technology Data Exchange (ETDEWEB)

    1979-03-19

    All the objectives of the regional program monitoring and progress evaluation have been met through personal contacts and the review of data. They are as follows: to determine the existing status of power plant projects and future plans; to identify major problem areas for each project (technical, financial, regulatory) that are affecting progress; and to analyze the data and to develop recommendations directed toward resolving problems. The results have been presented in a tabular summary format that is accompanied by explanatory text covering 25 projects.

  3. Report on a collection of Hydroida from the Caribbean region, including an annotated checklist of Caribbean Hydroids

    NARCIS (Netherlands)

    Vervoort, W.

    1968-01-01

    INTRODUCTION The present report deals with a collection of Hydroids from the Zoological Museum, Munich, German Federal Republic (Zoologische Sammlung des Bayerischen Staates, München), collected during various expeditions in the Caribbean region. I have thought it advisable to include in this report

  4. 77 FR 52022 - Availability of FY 11 Grantee Performance Evaluation Reports for the Eight States of EPA Region 4...

    Science.gov (United States)

    2012-08-28

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9721-4] Availability of FY 11 Grantee Performance Evaluation Reports for the Eight States of EPA Region 4 and 17 Local Agencies AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of availability; Clean Air Act Section 105 grantee performance evaluation reports...

  5. 76 FR 64086 - Availability of FY 10 Grantee Performance Evaluation Reports for the Eight States of EPA Region 4...

    Science.gov (United States)

    2011-10-17

    ... ENVIRONMENTAL PROTECTION AGENCY [FRL-9478-7] Availability of FY 10 Grantee Performance Evaluation Reports for the Eight States of EPA Region 4 and 17 Local Agencies AGENCY: Environmental Protection Agency (EPA). ACTION: Notice of availability; Clean Air Act Section 105 grantee performance evaluation reports...

  6. Associations between the self-reported frequency of hearing chemical alarms in theater and regional brain volume in Gulf War Veterans.

    Science.gov (United States)

    Chao, Linda L; Reeb, Rosemary; Esparza, Iva L; Abadjian, Linda R

    2016-03-01

    We previously reported evidence of reduced cortical gray matter (GM), white matter (WM), and hippocampal volume in Gulf War (GW) veterans with predicted exposure to low-levels of nerve agent according to the 2000 Khamisiyah plume model analysis. Because there is suggestive evidence that other nerve agent exposures may have occurred during the Gulf War, we examined the association between the self-reported frequency of hearing chemical alarms sound during deployment in the Gulf War and regional brain volume in GW veterans. Ninety consecutive GW veterans (15 female, mean age: 52±8years) participating in a VA-funded study underwent structural magnetic resonance imaging (MRI) on a 3T scanner. Freesurfer (version 5.1) was used to obtain regional measures of cortical GM, WM, hippocampal, and insula volume. Multiple linear regression was used to determine the association between the self-reported frequencies of hearing chemical alarms during the Gulf War and regional brain volume. There was an inverse association between the self-reported frequency of hearing chemical alarms sound and total cortical GM (adjusted p=0.007), even after accounting for potentially confounding demographic and clinical variables, the veterans' current health status, and other concurrent deployment-related exposures that were correlated with hearing chemical alarms. Post-hoc analyses extended the inverse relationship between the frequency of hearing chemical alarms to GM volume in the frontal (adjusted p=0.02), parietal (adjusted p=0.01), and occipital (adjusted p=0.001) lobes. In contrast, regional brain volumes were not significantly associated with predicted exposure to the Khamisiyah plume or with Gulf War Illness status defined by the Kansas or Centers for Disease Control and Prevention criteria. Many veterans reported hearing chemical alarms sound during the Gulf War. The current findings suggest that exposure to substances that triggered those chemical alarms during the Gulf War likely

  7. Application of the new requirements of safety of the IAEA for the previous management to the final disposal of radioactive waste in the region: a personal vision; Aplicacion de los nuevos requisitos de seguridad del OIEA para la gestion previa a la disposicion final de desechos radiactivos en la region: una vision personal

    Energy Technology Data Exchange (ETDEWEB)

    Sed, Luis Andres Jova, E-mail: jovaluis@gmail.com [Centro Nacional de Seguridad Nuclear (CNSN), La Habana (Cuba)

    2013-07-01

    The work includes the requirements for the responsibilities associated with the management prior to the final disposal of radioactive waste and as they are referred to in the Region. Also discusses the requirements for the main stages of the management prior to the final disposal of radioactive waste. A very important section of the new requirements is that establish requirements for safe operation of facilities management prior to the final disposal of radioactive wastes and the implementation of activities under conditions of safety and development. The work is emphatic on the importance of safety justification since the beginning of the development of a facility as a basis for the decision-making and approval process. Emphasis is also on the gradual approach which should provide for the collection, analysis and interpretation of the relevant technical data, plans for the design and operation, and the formulation of the justification of the security. This paper gives a personal view of the situation in the Region.

  8. Living better in Nord-Pas de Calais region. For an energy turn and societal transformations - Full report, Synthesis

    International Nuclear Information System (INIS)

    2015-12-01

    In 2008, the NGO Virage-energie Nord-Pas de Calais published a scenario of nuclear power phaseout including objectives of reduction of green gas emissions in the region of Nord-Pas de Calais. In 2013, Virage-energie Nord-Pas de Calais published Scenarios on energy sufficiency and societal transformations: the results of a research project on the evaluation of energy savings potentials from public policies and lifestyle changes. Using data models and assumptions, this study has highlighted that energy sufficiency could generate energy savings from 26 % to 40 %. Global scenarios presented in this report, realised with the financial support of ADEME and regional council of the region Nord-Pas de Calais in partnership with two academic laboratories (TVES, University of Lille 1 - Science and Technologies; and Ceraps, University of Lille 2 - Health and Law), complete previous works with a global vision for the future energetic and social systems. Scenarios explore interactions between energy, lifestyles, agriculture, food habits, consumer goods, industry, buildings, transport and employment, in order to identify and to reduce human, social, economic and environmental vulnerabilities to energetic crisis. Energy sufficiency and resilience are at the heart of this research. Energy sufficiency is a voluntary and organized strategy to reduce energy consumption through lifestyles changes and societal transformations. Energy sufficiency is different from energy efficiency, which concerns only improvement of technical performances in order to reduce energy consumption of a system (building, vehicle, etc.). Sufficiency re-evaluates uses and needs of energy, but also imaginary and culture of a society and its individual and collective organisations. Resilience is the capacity for a system (territory, population, etc.) to absorb a perturbation, to reorganize itself and to continue to remain in a functionally similar state. Through three possible scenarios for the territory and the

  9. Species List of Alaskan Birds, Mammals, Fish, Amphibians, Reptiles, and Invertebrates. Alaska Region Report Number 82.

    Science.gov (United States)

    Taylor, Tamra Faris

    This publication contains a detailed list of the birds, mammals, fish, amphibians, reptiles, and invertebrates found in Alaska. Part I lists the species by geographical regions. Part II lists the species by the ecological regions of the state. (CO)

  10. A case report of percutaneous endoscopic gastrostomy left-side gastropexy to resolve a recurrent gastric dilatation in a dog previously treated with right-side gastropexy for gastric dilatation volvulus.

    Science.gov (United States)

    Spinella, Giuseppe; Cinti, Filippo; Pietra, Marco; Capitani, Ombretta; Valentini, Simona

    2014-12-01

    A 6-year-old, large-breed, female dog was evaluated for gastric dilatation (GD). The dog was affected by GD volvulus, which had been surgically treated with gastric derotation and right incisional gastropexy. Recurrence of GD appeared 36 hours after surgery. The dilatation was immediately treated with an orogastric probe but still recurred 4 times. Therefore, a left-side gastropexy by percutaneous endoscopic gastrostomy (PEG) was performed to prevent intermittent GD. After PEG tube placement, the patient recovered rapidly without side effects. Several techniques of gastropexy have been described as a prophylactic method for gastric dilatation volvulus, but to the authors' knowledge, this is the first report of left-sided PEG gastropexy performed in a case of canine GD recurrence after an incisional right gastropexy. Copyright © 2015 Elsevier Inc. All rights reserved.

  11. Regional Feedstock Partnership Summary Report: Enabling the Billion-Ton Vision

    Energy Technology Data Exchange (ETDEWEB)

    Owens, Vance N. [South Dakota State Univ., Brookings, SD (United States). North Central Sun Grant Center; Karlen, Douglas L. [Dept. of Agriculture Agricultural Research Service, Ames, IA (United States). National Lab. for Agriculture and the Environment; Lacey, Jeffrey A. [Idaho National Lab. (INL), Idaho Falls, ID (United States). Process Science and Technology Division

    2016-07-12

    The U.S. Department of Energy (DOE) and the Sun Grant Initiative established the Regional Feedstock Partnership (referred to as the Partnership) to address information gaps associated with enabling the vision of a sustainable, reliable, billion-ton U.S. bioenergy industry by the year 2030 (i.e., the Billion-Ton Vision). Over the past 7 years (2008–2014), the Partnership has been successful at advancing the biomass feedstock production industry in the United States, with notable accomplishments. The Billion-Ton Study identifies the technical potential to expand domestic biomass production to offset up to 30% of U.S. petroleum consumption, while continuing to meet demands for food, feed, fiber, and export. This study verifies for the biofuels and chemical industries that a real and substantial resource base could justify the significant investment needed to develop robust conversion technologies and commercial-scale facilities. DOE and the Sun Grant Initiative established the Partnership to demonstrate and validate the underlying assumptions underpinning the Billion-Ton Vision to supply a sustainable and reliable source of lignocellulosic feedstock to a large-scale bioenergy industry. This report discusses the accomplishments of the Partnership, with references to accompanying scientific publications. These accomplishments include advances in sustainable feedstock production, feedstock yield, yield stability and stand persistence, energy crop commercialization readiness, information transfer, assessment of the economic impacts of achieving the Billion-Ton Vision, and the impact of feedstock species and environment conditions on feedstock quality characteristics.

  12. Underestimation of Severity of Previous Whiplash Injuries

    Science.gov (United States)

    Naqui, SZH; Lovell, SJ; Lovell, ME

    2008-01-01

    INTRODUCTION We noted a report that more significant symptoms may be expressed after second whiplash injuries by a suggested cumulative effect, including degeneration. We wondered if patients were underestimating the severity of their earlier injury. PATIENTS AND METHODS We studied recent medicolegal reports, to assess subjects with a second whiplash injury. They had been asked whether their earlier injury was worse, the same or lesser in severity. RESULTS From the study cohort, 101 patients (87%) felt that they had fully recovered from their first injury and 15 (13%) had not. Seventy-six subjects considered their first injury of lesser severity, 24 worse and 16 the same. Of the 24 that felt the violence of their first accident was worse, only 8 had worse symptoms, and 16 felt their symptoms were mainly the same or less than their symptoms from their second injury. Statistical analysis of the data revealed that the proportion of those claiming a difference who said the previous injury was lesser was 76% (95% CI 66–84%). The observed proportion with a lesser injury was considerably higher than the 50% anticipated. CONCLUSIONS We feel that subjects may underestimate the severity of an earlier injury and associated symptoms. Reasons for this may include secondary gain rather than any proposed cumulative effect. PMID:18201501

  13. The 2007 annual report of the Regional Infant and Child Mortality Review Committee.

    Science.gov (United States)

    Randall, Brad; Wilson, Ann L

    2008-08-01

    The mission of the Regional Infant and Child Mortality Review Committee (RICMRC) is to review infant and child deaths so that information can be transformed into action to protect young lives. The 2007 review area includes South Dakota's Minnehaha, Turner, Lincoln, Moody, Lake, McCook, Union, Hansen, Miner and Brookings counties. Although there were no deaths in 2007 that met the criteria of the Sudden Infant Death Syndrome (SIDS) in our region, there were three infant deaths associated with unsafe sleeping environments (including adult co-sleeping) that either caused or potentially may have caused these infants' deaths. We need to continue to promote the "Back to Sleep" campaign message of not only placing infants to sleep on their backs, but also making sure infants are put down to sleep on safe, firm sleeping surfaces and that they are appropriately dressed for the ambient temperature. Parents need to be aware of the potential hazards of co-sleeping with their infants. Compared to nine such deaths in 2006, only four deaths in 2007 involved motor-vehicle crashes, none of which were alcohol related. Two drowning deaths illustrated the rapidity in which even momentary caregiver distractions can lead to deaths in children in and around water. Since 1997 the Regional Infant and Child Mortality Review Committee (RICMRC) has sought to achieve its mission to "review infant and child deaths so that information can be transformed into action to protect young lives." For 2007, the committee reviewed 25 deaths from Minnehaha, Turner, Lincoln, Moody, Lake, McCook, Union, Hansen, Miner and Brookings counties that met the following criteria: Children under the age of 18 dying subsequent to hospital discharge following delivery. Children who either died in these counties from causes sustained in them, or residents who died elsewhere from causes sustained in the 10-county region. The report that follows reviews the committee's activities for 2007. No deaths meeting the criteria

  14. Quality of life with palbociclib plus fulvestrant in previously treated hormone receptor-positive, HER2-negative metastatic breast cancer: patient-reported outcomes from the PALOMA-3 trial.

    Science.gov (United States)

    Harbeck, N; Iyer, S; Turner, N; Cristofanilli, M; Ro, J; André, F; Loi, S; Verma, S; Iwata, H; Bhattacharyya, H; Puyana Theall, K; Bartlett, C H; Loibl, S

    2016-06-01

    In the PALOMA-3 study, palbociclib plus fulvestrant demonstrated improved progression-free survival compared with fulvestrant plus placebo in hormone receptor-positive, HER2- endocrine-resistant metastatic breast cancer (MBC). This analysis compared patient-reported outcomes (PROs) between the two treatment groups. Patients were randomized 2 : 1 to receive palbociclib 125 mg/day orally for 3 weeks followed by 1 week off (n = 347) plus fulvestrant (500 mg i.m. per standard of care) or placebo plus fulvestrant (n = 174). PROs were assessed on day 1 of cycles 1-4 and of every other subsequent cycle starting with cycle 6 using the EORTC QLQ-C30 and its breast cancer module, QLQ-BR23. High scores (range 0-100) could indicate better functioning/quality of life (QoL) or worse symptom severity. Repeated-measures mixed-effect analyses were carried out to compare on-treatment overall scores and changes from baseline between treatment groups while controlling for baseline. Between-group comparisons of time to deterioration in global QoL and pain were made using an unstratified log-rank test and Cox proportional hazards model. Questionnaire completion rates were high at baseline and during treatment (from baseline to cycle 14, ≥95.8% in each group completed ≥1 question on the EORTC QLQ-C30). On treatment, estimated overall global QoL scores significantly favored the palbociclib plus fulvestrant group [66.1, 95% confidence interval (CI) 64.5-67.7 versus 63.0, 95% CI 60.6-65.3; P = 0.0313]. Significantly greater improvement from baseline in pain was also observed in this group (-3.3, 95% CI -5.1 to -1.5 versus 2.0, 95% CI -0.6 to 4.6; P = 0.0011). No significant differences were observed for other QLQ-BR23 functioning domains, breast or arm symptoms. Treatment with palbociclib plus fulvestrant significantly delayed deterioration in global QoL (P < 0.025) and pain (P < 0.001) compared with fulvestrant alone. Palbociclib plus fulvestrant allowed patients to maintain good Qo

  15. World-wide and regional intercomparison for the determination of organochlorine compounds and petroleum hydrocarbons in mussel sample IAEA-142. Report no. 59

    International Nuclear Information System (INIS)

    Villeneuve, J.P.; Horvat, M.; Cattini, C.

    1996-03-01

    The accurate and precise determination of organochlorine compounds and petroleum hydrocarbons in marine environmental samples is an important aspect of marine pollution assessments in coastal and ocean environments. Intercomparison exercises represent an essential element of method testing and are used as a basic tool for evaluating data quality on a global and regional level. The Marine Environmental Studies Laboratory (MESL) of IAEA-MEL has conducted intercomparison exercises on trace organic compounds for over nineteen years as part of its contribution to IAEA's analytical quality control service and UNEP's regional seas programme, and occasionally in association with the intergovernmental oceanographic commission (of UNESCO) GIPME programme. These exercises are organized on a continuous basis, at least once per year. Result of previous exercises have revealed serious problems for many regional laboratories to obtain comparable data. As a consequence of this situation, it was decided to seek increased support for quality assurance programmes. Staff of MESL, with funding from UNEP, the World Bank and regional trust funds, embarked on a campaign to train analysts in modern measurement techniques, supply appropriate and reliable reference methods and materials and, where possible, to improve analytical instruments in Member State laboratories. This report describes results of the IAEA/UNEP intercomparison run 142 for the chemical analysis of organochlorine compounds and petroleum hydrocarbons in a homogenised mussel sample

  16. World-wide and regional intercomparison for the determination of organochlorine compounds and petroleum hydrocarbons in sediment sample IAEA-357. Report no. 51

    International Nuclear Information System (INIS)

    Villeneuve, J.P.; Mee, L.D.

    1992-06-01

    This report describes the results of IAEA/UNEP intercomparison run 357 for the chemical analysis of organochlorine compounds and petroleum hydrocarbons in marine sediments. The Marine Environmental Studies Laboratory (MESL) of IAEA-MEL has conducted intercomparison exercises on trace organic compounds for over ten years as part of its contribution to IAEA's analytical quality control service and UNEP's regional seas programme and occasionally in association with the intergovernmental oceanographic Commission (of UNESCO) GIPME programme. Results of previous exercises have revealed serious problems for many regional laboratories to obtain comparable data. This, in turn, has raised serious concerns on the validity of region-wide or global marine pollution assessments. Even more worrisome was the apparent lack of improvement in data quality from exercise to exercise. As a consequence of the above situation, it was decided to seek increased support for quality assurance programmes. Staff of MESL, with funding from UNEP, the World bank and regional trust funds, embarked on a campaign to train analysts in modern measurement techniques, supply appropriate and reliable reference methods and materials and, where possible, to improve analytical instruments in member states laboratories. This work continues at present and recent training programmes have been conducted in the Wider Caribbean, East Africa, The Gulf and the Mediterranean

  17. Cerebral Metastasis from a Previously Undiagnosed Appendiceal Adenocarcinoma

    Directory of Open Access Journals (Sweden)

    Antonio Biroli

    2012-01-01

    Full Text Available Brain metastases arise in 10%–40% of all cancer patients. Up to one third of the patients do not have previous cancer history. We report a case of a 67-years-old male patient who presented with confusion, tremor, and apraxia. A brain MRI revealed an isolated right temporal lobe lesion. A thorax-abdomen-pelvis CT scan showed no primary lesion. The patient underwent a craniotomy with gross-total resection. Histopathology revealed an intestinal-type adenocarcinoma. A colonoscopy found no primary lesion, but a PET-CT scan showed elevated FDG uptake in the appendiceal nodule. A right hemicolectomy was performed, and the specimen showed a moderately differentiated mucinous appendiceal adenocarcinoma. Whole brain radiotherapy was administrated. A subsequent thorax-abdomen CT scan revealed multiple lung and hepatic metastasis. Seven months later, the patient died of disease progression. In cases of undiagnosed primary lesions, patients present in better general condition, but overall survival does not change. Eventual identification of the primary tumor does not affect survival. PET/CT might be a helpful tool in detecting lesions of the appendiceal region. To the best of our knowledge, such a case was never reported in the literature, and an appendiceal malignancy should be suspected in patients with brain metastasis from an undiagnosed primary tumor.

  18. Variety and regional economic growth in the Netherlands : final report to the Ministery of Economic Affairs

    NARCIS (Netherlands)

    Frenken, K.; Oort, van F.G.; Verburg, T.; Boschma, R.A.

    2004-01-01

    In economic theory, one can distinguish between variety as a source of regional knowledge spillovers, called Jacobs externalities, and variety as a portfolio protecting a region from external shocks. We argue that Jacobs externalities are best measured by related variety (within sectors), while the

  19. To Strengthen Policy Guiding Regionalization of Occupational Programs in New Jersey County Community Colleges. A Report.

    Science.gov (United States)

    Martorana, S. V.; And Others

    In 1985 a project was developed to strengthen policy guiding regionalization of occupational programs in New Jersey county community colleges. The project had three major goals: to establish a policy for the regionalization of selected occupational programs offered by the colleges; to describe ways that programs could be identified for regional…

  20. A RESEARCH REPORT ON OPERATIONAL PLANS FOR DEVELOPING REGIONAL EDUCATIONAL MEDIA RESEARCH CENTERS.

    Science.gov (United States)

    CARPENTER, C.R.; AND OTHERS

    THE NEED AND FEASIBILITY OF ESTABLISHING A NUMBER OF "REGIONAL EDUCATIONAL MEDIA RESEARCH CENTERS WITH A PROGRAMMATIC ORIENTATION" WERE INVESTIGATED. A PLANNING GROUP WAS ESTABLISHED TO SERVE AS A STEERING COMMITTEE. CONFERENCES IN WHICH GROUPS IN RESEARCH AND EDUCATION IN WIDELY DISTRIBUTED REGIONS OF THE COUNTRY PARTICIPATED WERE HELD…

  1. Future systems for regional defence: The case in an enlarged European Union. Report on working group 3

    International Nuclear Information System (INIS)

    1998-01-01

    Report deals with the future systems for regional defense in case of an enlarged European Union. In the frame of security issues the future of nuclear arms control and disarmament if of concern. The implications of NATO expansion to the east and desirability of establishing a nuclear-weapon-free-zone from the Baltic to the Black Sea are discussed at length

  2. Investigating Reports of Complex Regional Pain Syndrome: An Analysis of HPV-16/18-Adjuvanted Vaccine Post-Licensure Data

    NARCIS (Netherlands)

    F.J.P.M. Huygen (Frank); K. Verschueren (Kristin); C. McCabe (Candida); J.-U. Stegmann (Jens-Ulrich); J. Zima (Julia); O. Mahaux (Olivia); L. Van Holle (Lionel); M.-G. Angelo (Maria-Genalin)

    2015-01-01

    textabstractComplex regional pain syndrome (CRPS) is a chronic pain disorder that typically follows trauma or surgery. Suspected CRPS reported after vaccination with human papillomavirus (HPV) vaccines led to temporary suspension of proactive recommendation of HPV vaccination in Japan. We

  3. Environmental Impact Report for thermoelectric from coal in Candiota region - Brazil; RIMA para termeletrica a carvao na regiao de Candiota

    Energy Technology Data Exchange (ETDEWEB)

    Rossato, A C; Camison, F L; Ladniuk, S T [Companhia Estadual de Energia Eletrica do Estado do Rio Grande do Sul, Porto Alegre, RS (Brazil)

    1990-12-31

    The principles for executing the Environmental Impact Studies and the elaboration of Environmental Impact Report, referring to the first module of Candiota III Thermoelectric Plant, near to the Electric Energy State Company are described, with some aspects about the mine, plant, region, executor corporations and comprehend area for the environmental impact studies. (C.G.C.).

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

    International Nuclear Information System (INIS)

    1984-11-01

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

  5. Security in the Asia-Pacific region. Report on working group 5

    International Nuclear Information System (INIS)

    1997-01-01

    Security in the Asia-Pacific region is highly dependent on nuclear weapons-proliferation which can be achieved in two steps: non-introduction of nuclear weapons by nuclear powers, and creation of nuclear-weapon-free zone. The causes and steps towards arms build-up in the region are discussed. On of the indispensable factors in improving the relations between the countries in the zone is creation of confidence building measures and a security forum

  6. Seizure is a rare presentation for acute hemolysis due to G6PD deficiency. We report a previously healthy boy who presented initially with seizure and cyanosis and subsequently acute hemolysis, due to glucose-6-phosphate dehydrogenase deficiency (G6PD) an

    OpenAIRE

    Afshin FAYYAZI; Ali KHAJEH; Hosein ESFAHANI

    2012-01-01

    Seizure is a rare presentation for acute hemolysis due to G6PD deficiency. We report a previously healthy boy who presented initially with seizure and cyanosis and subsequently acute hemolysis, due to glucose-6-phosphate dehydrogenase deficiency (G6PD) and probably secondary methemoglobinemia, following the ingestion of fava beans.

  7. The influence of previous low back trouble, general health, and working conditions on future sick-listing because of low back trouble. A 15-year follow-up study of risk indicators for self-reported sick-listing caused by low back trouble.

    Science.gov (United States)

    Müller, C F; Monrad, T; Biering-Sørensen, F; Darre, E; Deis, A; Kryger, P

    1999-08-01

    A 15-year follow-up study. To find risk indicators for self-reported sick-listing because of low back trouble and to evaluate which variables were the most important indicators of work incapacity resulting from low back trouble during the follow-up period of 15 years. The initial data were obtained from a health survey conducted in a general population from the Municipality of Glostrup, Denmark. The follow-up data included information from the Central Person Register, the Early Retirement Pension Register, and a postal questionnaire regarding self-reported sick-listing because of low back trouble. An epidemiologic study, in which logistic regression analyses were used for evaluation of the data. The model used consisted of the variable in question, age, gender, and previous experience of low back trouble, along with interactions. It was found that 22 of 37 variables were risk indicators for later self-reported sick-listing because of low back trouble during the preceding year or the 7 years before the date of follow-up evaluation. In analyzing the most significant variables simultaneously, it was found that information from the initial investigation about sick-listing in general during the previous 10 years, sciatic pain, use of analgesics for low back trouble, previous sick-listing because of low back trouble, and occupation were the most important risk indicators for self-reported work incapacity resulting from low back trouble during the follow-up period of 15 years. Findings showed that the strongest prognostic indicators of later sick-listing because of low back trouble involve information from the person about previous sick-listing behavior in general and previous experience of low back trouble episodes, especially if these had been accompanied by sciatic pain, use of analgesics, or previous low back trouble sick-listing.

  8. Geology and recognition criteria for uraniferous humate deposits, Grants Uranium Region, New Mexico. Final report

    International Nuclear Information System (INIS)

    Adams, S.S.; Saucier, A.E.

    1981-01-01

    The geology of the uraniferous humate uranium deposits of the Grants Uranium Region, northwestern New Mexico, is summarized. The most important conclusions of this study are enumerated. Although the geologic characteristics of the uraniferous humate deposits of the Grants Uranium Region are obviously not common in the world, neither are they bizarre or coincidental. The source of the uranium in the deposits of the Grants Uranium Region is not known with certainty. The depositional environment of the host sediments was apparently the mid and distal portions of a wet alluvial fan system. The influence of structural control on the location and accumulation of the host sediments is now supported by considerable data. The host sediments possess numerous important characteristics which influenced the formation of uraniferous humate deposits. Ilmenite-magnetite distribution within potential host sandstones is believed to be the simplest and most useful regional alteration pattern related to this type of uranium deposit. A method is presented for organizing geologic observations into what is referred to as recognition criteria. The potential of the United States for new districts similar to the Grants Uranium Region is judged to be low based upon presently available geologic information. Continuing studies on uraniferous humate deposits are desirable in three particular areas

  9. First report of Echinococcus shiquicus in dogs from eastern Qinghai-Tibet plateau region, China.

    NARCIS (Netherlands)

    Boufana, B.; Qui, J.; Chen, X.; Budke, C.; Campos Ponce, M.; Craig, P.S.

    2013-01-01

    Echinococcus shiquicus was discovered in foxes and pika wildlife hosts in Sichuan Province, China in 2005. Faecal samples from dogs collected in a previous echinococcosis purgation survey from Shiqu County, Ganzi Tibetan Autonomous Prefecture (Sichuan) were screened by coproPCR to investigate the

  10. The budgeting and reporting process of a multinational organisation across regions and trade centres

    OpenAIRE

    Robusti, Fiorenza

    2012-01-01

    In the contemporary international business environment, a multinational organisation faces great challenges when it comes to budgeting and reporting. The complexity of budgeting and reporting is even greater when it implies the coordination of budgets and reports of trade centres located in other countries than the country of origin. A multinational organisation often adopts the participative budgeting method. The purpose of participative budgeting is to involve managers at lower manage...

  11. Mutations around interferon sensitivity-determining region: a pilot resistance report of hepatitis C virus 1b in a Hong Kong population.

    Science.gov (United States)

    Zhou, Xiao-Ming; Chan, Paul Ks; Tam, John S

    2011-12-28

    To explore mutations around the interferon sensitivity-determining region (ISDR) which are associated with the resistance of hepatitis C virus 1b (HCV-1b) to interferon-α treatment. Thirty-seven HCV-1b samples were obtained from Hong Kong patients who had completed the combined interferon-α/ribavirin treatment for more than one year with available response data. Nineteen of them were sustained virological responders, while 18 were non-responders. The amino acid sequences of the extended ISDR (eISDR) covering 64 amino acids upstream and 67 amino acids downstream from the previously reported ISDR were analyzed. One amino acid variation (I2268V, P = 0.023) was significantly correlated with treatment outcome in this pilot study with a limited number of patients, while two amino acid variations (R2260H, P = 0.05 and S2278T, P = 0.05) were weakly associated with treatment outcome. The extent of amino acid variations within the ISDR or eISDR was not correlated with treatment outcome as previously reported. Three amino acid mutations near but outside of ISDR may associate with interferon treatment resistance of HCV-1b patients in Hong Kong.

  12. Under-reporting of notifiable infectious disease hospitalizations in a health board region in Ireland: room for improvement?

    LENUS (Irish Health Repository)

    Brabazon, E D

    2008-02-01

    Rapid notification of infectious diseases is essential for prompt public health action and for monitoring of these diseases in the Irish population at both a local and national level. Anecdotal evidence suggests, however, that the occurrence of notifiable infectious diseases is seriously underestimated. This study aims to assess the level of hospitalization for notifiable infectious diseases for a 6-year period in one health board region in Ireland and to assess whether or not there was any under-reporting during this period. All hospital in-patient admissions from 1997 to 2002 inclusive with a principal diagnosis relating to \\'infectious and parasitic diseases\\' (ICD codes 001-139) of residents from a health board region in Ireland were extracted from the Hospital In-Patient Enquiry System (HIPE). All notifiable infectious diseases were identified based on the 1981 Irish Infectious Disease Regulations and the data were analysed in the statistical package, JMP. These data were compared with the corresponding notification data. Analysis of the hospital in-patient admission data revealed a substantial burden associated with notifiable infectious diseases in this health board region: there were 2758 hospitalizations by 2454 residents, 17,034 bed days and 33 deaths. The statutory notification data comprises both general practitioner and hospital clinician reports of infectious disease. Therefore, only in cases where there are more hospitalizations than notifications can under-reporting be demonstrated. This occurred in nine out of 22 notifiable diseases and amounted to an additional 18% of notifications (or 572 cases) which were \\'missed\\' due to hospital clinician under-reporting. The majority of these under-reported cases were for viral meningitis (45%), infectious mononucleosis (27%), viral hepatitis C unspecified (15%) and acute encephalitis (5.8%). This study has highlighted the extent of under-reporting of hospitalized notifiable infectious diseases, in a

  13. Regional overview of Latin American and Caribbean energy production, consumption, and future growth. Report series No. 1

    Energy Technology Data Exchange (ETDEWEB)

    Wu, K.

    1994-07-01

    The Latin American and Caribbean region - comprising Mexico, Central and South America, and the Caribbean - is relatively well endowed with energy resources, although the distribution of these resources is uneven across countries. The region produces more energy than it consumes, and the surplus energy, which amounts to 3.6 million barrels of oil equivalent per day (boe/d), is mostly oil. While the region`s total oil (crude and products) exports decreased from 4.4 million barrels per day (b/d) in 1981 to 3.8 million b/d in 1992, its net oil exports increased from about 1.6 million b/d in 1981 to 2.8 million b/d in 1992. In 1993, the surplus oil in Latin America and the Caribbean remained at 2.8 million b/d. This report analyzes the key issues of the Latin American and Caribbean energy industry and presents the future outlook for oil, gas, coal, hydroelectricity, and nuclear power developments in the region. In addition, the status of biomass energy, geothermal, and other noncommercial energy in the region will be briefly discussed in the context of overall energy development. The rest of the report is organized as follows: Section II assesses the current situation of Latin American and Caribbean energy production and consumption, covering primary energy supply, primary energy consumption, downstream petroleum sector development, and natural gas utilization. Section III presents the results of our study of future energy growth in Latin America. Important hydrocarbons policy issues in the region are discussed in Section IV, and a summary and concluding remarks are provided in Section V.

  14. Environmental surveillance monitoring in the Alligator Rivers Region. Report for the six months period ending 30 September 1996

    International Nuclear Information System (INIS)

    1996-01-01

    This report outlines the activities of the Northern Territory Supervising Authorities in meeting their responsibilities for environmental management and surveillance, occupational safety, relating to uranium mining and environment protection in the Alligator Rivers Region. Environmental monitoring was carried out at the Nabarlek Mine, which site has now been rehabilitated and revegetated, and at Ranger, the only mine currently operating in the region. Other uranium projects such as Jabiluka and Koongarra have been delayed due to the former Commonwealth Government's 'three mines policy'. 4 tabs., 10 figs

  15. Report of the advisory group meeting on the establishment of regional ion accelerator centers and user networks

    International Nuclear Information System (INIS)

    1997-11-01

    In this report it is shown that ion accelerators have had a tremendous economic and technological impact on most developed countries, and are beginning to have a significant impact on developing countries. Through the formation of Accelerator Centers and User Networks (which may be national, regional or inter-regional) a mechanism will be outlined by which scientists and other users from developing countries can receive the necessary training and have available the necessary accelerator facilities to use these machines for economic improvement and technological development in their countries

  16. High beta and second stability region transport and stability analysis: Technical progress report

    International Nuclear Information System (INIS)

    Hughes, M.H.; Phillips, M.W.

    1995-03-01

    This report summarizes MHD equilibrium and stability studies carried out at Northrop Grumman's Advanced Technology and Development Center during the 12 month period starting March 1, 1994. Progress is reported in both ideal and resistive MHD modeling of TFTR plasmas. The development of codes to calculate the significant effects of highly anisotropic pressure distributions is discussed along with results from this model

  17. High beta and second stability region transport and stability analysis. Technical progress report

    International Nuclear Information System (INIS)

    Hughes, M.H.; Phillips, M.W.

    1994-09-01

    This report summarizes MHD equilibrium and stability studies carried out at Grumman's Corporate Research Center during the 6 month period starting March 1, 1994. Progress is reported in both ideal and resistive MHD modeling of TFTR plasmas. The development of codes to calculate the significant effects of highly anisotropic pressure distributions is discussed along with initial results from this model

  18. The Potential Application of Qualitative Evaluation Methods in European Regional Development : Reflections on the Use of Performance Story Reporting in Australian Natural Resource Management

    NARCIS (Netherlands)

    Vanclay, Frank

    2015-01-01

    Vanclay F. The potential application of qualitative evaluation methods in European regional development: reflections on the use of Performance Story Reporting in Australian natural resource management, Regional Studies. This paper argues that qualitative evaluation methods potentially have a useful

  19. An evolutionary conserved region (ECR in the human dopamine receptor D4 gene supports reporter gene expression in primary cultures derived from the rat cortex

    Directory of Open Access Journals (Sweden)

    Haddley Kate

    2011-05-01

    Full Text Available Abstract Background Detecting functional variants contributing to diversity of behaviour is crucial for dissecting genetics of complex behaviours. At a molecular level, characterisation of variation in exons has been studied as they are easily identified in the current genome annotation although the functional consequences are less well understood; however, it has been difficult to prioritise regions of non-coding DNA in which genetic variation could also have significant functional consequences. Comparison of multiple vertebrate genomes has allowed the identification of non-coding evolutionary conserved regions (ECRs, in which the degree of conservation can be comparable with exonic regions suggesting functional significance. Results We identified ECRs at the dopamine receptor D4 gene locus, an important gene for human behaviours. The most conserved non-coding ECR (D4ECR1 supported high reporter gene expression in primary cultures derived from neonate rat frontal cortex. Computer aided analysis of the sequence of the D4ECR1 indicated the potential transcription factors that could modulate its function. D4ECR1 contained multiple consensus sequences for binding the transcription factor Sp1, a factor previously implicated in DRD4 expression. Co-transfection experiments demonstrated that overexpression of Sp1 significantly decreased the activity of the D4ECR1 in vitro. Conclusion Bioinformatic analysis complemented by functional analysis of the DRD4 gene locus has identified a a strong enhancer that functions in neurons and b a transcription factor that may modulate the function of that enhancer.

  20. Spotlight on RESA 6: Regional Implementation of the Learning School Initiative. Catalyst Schools Research Study Report

    Science.gov (United States)

    Hammer, Patricia Cahape

    2016-01-01

    West Virginia's Regional Education Service Agency 6 (RESA 6) serves five districts in the northern panhandle of the state--Brooke, Hancock, Marshall, Ohio, and Wetzel--which together are home to 51 schools. RESA 6 joined the pilot implementation of the Learning School approach in the summer of 2015, as part of the second cohort. RESA 6's group…

  1. Spotlight on RESA 2: Regional Implementation of the Learning School Initiative. Catalyst Schools Research Study Report

    Science.gov (United States)

    Hammer, Patricia Cahape

    2016-01-01

    West Virginia's Regional Education Service Agency 2 (RESA 2) serves six districts in the southwestern part of the state--Cabell, Lincoln, Logan, Mason, Mingo, Wayne--which together have 95 schools. RESA 2 was one of two RESAs to pilot implementation of the Learning School approach, beginning in the summer of 2014. RESA 2's first cohort included…

  2. Aerosols: connection between regional climatic change and air quality (Iupac Technical Report)

    NARCIS (Netherlands)

    Slanina, J.; Zhang, Y.H.

    2004-01-01

    yAerosols play an important role in all problems connected with air pollution, ranging from very local effects and human health problems to regional problems such as acid deposition and eutrophication up to continental and global questions such as stratospheric ozone loss and climatic change. In

  3. USDA/Regional Dairy Quality Management Alliance (RDQM) Project-2008 Report

    Science.gov (United States)

    The Regional Dairy Quality Management Alliance (RDQMA) research project has been underway for four years. We have so far been able to study best management practices on three dairy farms in the Northeast. ON these farms very precise data are collected with regard to the health status of the animals ...

  4. Northeast regional biomass program. Second & third quarterly reports, October 1, 1995--March 31, 1996

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-07-01

    The Northeast Regional Biomass Program (NRBP) is comprised of the following states: Connecticut. Delaware, Maine, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Pennsylvania, Rhode Island and Vermont. It is managed for the Department of Energy (DOE) by the CONEG Policy Research Center, Inc. The Northeast states face several near-term barriers to the expanded use of biomass energy. Informational and technical barriers have impeded industrial conversions, delaying the development of a wood energy supply infrastructure. Concern over the environmental impacts on resources are not well understood. Public awareness and concern about safety issues surrounding wood energy use has also grown to the point of applying a brake to the trend of increases in residential applications of biomass energy. In addition, many residential, industrial, and commercial energy users are discouraged from using biomass energy because of the convenience factor. Regardless of the potential for cost savings, biomass energy sources, aside from being perceived as more esoteric, are also viewed as more work for the user. The Northeast Regional Biomass Program (NRBP) is designed to help the eleven Northeastern states overcome these obstacles and achieve their biomass energy potentials. The objective of this program in the current and future years is to increase the role of biomass fuels in the region`s energy mix by providing the impetus for states and the private sector to develop a viable Northeast biomass fuels market.

  5. Use of ultrafast computed tomography to quantitate regional myocardial perfusion: a preliminary report

    International Nuclear Information System (INIS)

    Rumberger, J.A.; Feiring, A.J.; Lipton, M.J.; Higgins, C.B.; Ell, S.R.; Marcus, M.L.

    1987-01-01

    The purpose of this study was to assess the potential for rapid acquisition computed axial tomography (Imatron C-100) to quantify regional myocardial perfusion. Myocardial and left ventricular cavity contrast clearance curves were constructed after injecting nonionic contrast (1 ml/kg over 2 to 3 seconds) into the inferior vena cava of six anesthetized, closed chest dogs (n = 14). Independent myocardial perfusion measurements were obtained by coincident injection of radiolabeled microspheres into the left atrium during control, intermediate and maximal myocardial vasodilation with adenosine (0.5 to 1.0 mg/kg per min, intravenously, respectively). At each flow state, 40 serial short-axis scans of the left ventricle were taken near end-diastole at the midpapillary muscle level. Contrast clearance curves were generated and analyzed from the left ventricular cavity and posterior papillary muscle regions after excluding contrast recirculation and minimizing partial volume effects. The area under the curve (gamma variate function) was determined for a region of interest placed within the left ventricular cavity. Characteristics of contrast clearance data from the posterior papillary muscle region that were evaluated included the peak myocardial opacification, area under the contrast clearance curve and a contrast clearance time defined by the full width/half maximal extent of the clearance curve. Myocardial perfusion (microspheres) ranged from 35 to 450 ml/100 g per min (mean 167 +/- 125)

  6. State of mid-atlantic region forests in 2000-Summary Report

    Science.gov (United States)

    Kenneth W. Stolte

    2012-01-01

    Wet and warm climate, mountainous topography, and deep rich soils produced one of the most magnificent and diverse temperate forests in the world. In 1650 the Mid-Atlantic forests covered 95 percent of the region, but were greatly reduced in 1900 by extensive tree harvesting, and conversion to farms and pastures. Settlement of forests also led to severe wildfires, soil...

  7. Preoperative screening: value of previous tests.

    Science.gov (United States)

    Macpherson, D S; Snow, R; Lofgren, R P

    1990-12-15

    To determine the frequency of tests done in the year before elective surgery that might substitute for preoperative screening tests and to determine the frequency of test results that change from a normal value to a value likely to alter perioperative management. Retrospective cohort analysis of computerized laboratory data (complete blood count, sodium, potassium, and creatinine levels, prothrombin time, and partial thromboplastin time). Urban tertiary care Veterans Affairs Hospital. Consecutive sample of 1109 patients who had elective surgery in 1988. At admission, 7549 preoperative tests were done, 47% of which duplicated tests performed in the previous year. Of 3096 previous results that were normal as defined by hospital reference range and done closest to the time of but before admission (median interval, 2 months), 13 (0.4%; 95% CI, 0.2% to 0.7%), repeat values were outside a range considered acceptable for surgery. Most of the abnormalities were predictable from the patient's history, and most were not noted in the medical record. Of 461 previous tests that were abnormal, 78 (17%; CI, 13% to 20%) repeat values at admission were outside a range considered acceptable for surgery (P less than 0.001, frequency of clinically important abnormalities of patients with normal previous results with those with abnormal previous results). Physicians evaluating patients preoperatively could safely substitute the previous test results analyzed in this study for preoperative screening tests if the previous tests are normal and no obvious indication for retesting is present.

  8. Case report: Greater meningeal inflammation in lumbar than in ventricular region in human bacterial meningitis

    OpenAIRE

    Naija, Walid; Matéo, Joaquim; Raskine, Laurent; Timsit, Jean-François; Lukascewicz, Anne-Claire; George, Bernard; Payen, Didier; Mebazaa, Alexandre

    2004-01-01

    Differences in the composition of ventricular and lumbar cerebrospinal fluid (CSF) based on single pairs of samples have previously been described. We describe a patient that developed post-surgical recurrent meningitis monitored by daily biochemical and bacteriological CSF analysis, simultaneously withdrawn from lumbar space and ventricles. A 20-year-old Caucasian man was admitted to the ICU after a resection of a chordoma that extended from the sphenoidal sinus to the anterior face of C2. C...

  9. Meeting report on third regional workshop on quality assurance and quality control of nuclear analytical techniques

    International Nuclear Information System (INIS)

    2002-01-01

    Over the last 20 years, the Agency, through its Technical Co-operation Programme, has helped to establish many nuclear analytical laboratories in nuclear institutions and universities of Member States. The project RER/2/004 has been approved in 1999 for a period of two years aiming at the implementation of a comprehensive QA/QC protocol in laboratories of Member States following the ISO guide 17025. The project involved 13 laboratories from 12 countries. This report presents the project setup, intended outputs and outcomes, achievements and conclusions. It also contains reports from participating laboratories. Each of the reports has been provided with an abstract and indexed separately

  10. Congenital pial arteriovenous fistula in the temporal region draining into cavernous sinus: A case report

    International Nuclear Information System (INIS)

    Zhang, Ziyin; Wang, Chaohua; Zhang, Changwei; Xie, Xiaodong; Wang, Kun; Tang, Jianjian

    2013-01-01

    This report concerns a 4-month-old infant with progressive prominent and redness of his left eye since birth. This report concerns a 4-month-old infant with progressive prominent redness of his left eye since birth. Angiography revealed a congenital pial arteriovenous fistula between the temporal branch of the left posterior cerebral artery and left cavernous sinus through the sphenoparietal sinus, a condition not reported in the literature. The fistula was successfully occluded with two micro-coils by vertebrobasilar approach.

  11. BioMeeT. Planning of biomass based methanol energy combine - Trollhaettan region. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Brandberg, Aake; Hjortsberg, Hans; Saevbark, Bengt [Ecotraffic R and D AB, Stockholm (Sweden); Ekbom, Tomas; Hjerpe, Carl-Johan; Landaelv, Ingvar [Nykomb Synergetics AB, Stockholm (Sweden)

    2000-04-01

    The conversion of biomass in an energy combine based on primary gasification yields a gas that can be used as fuels gas, for synthesis of motor fuels (methanol or other) or for electric power production. The study gives examples of alternative product mixes. The conclusions of the study are: (1) Potential of new, not yet utilised biomass is available, and new areas of applications, where oil is presently used, are needed to develop the potential. Motor fuel production (methanol, DME) is a presumption in the BioMeeT-study. (2) Yield figures in the energy combine are comparable to those of now used bio-systems for power and co-generation. (3) Which one of the cases in the BioMeeT-project is the most favourable cannot be decided on a plant-to-plant basis alone but the entire system for supply energy carriers in the region has to be considered, as the all plants within the system may change. This would require further investigations. Moreover, the results will be different in various regions in Sweden and Europe due to the markets for all energy carriers. (4) At today's conditions in the Trollhaettan region it must be stated that there is only room for dedicated bio-methanol/DME production (provided such a market will come) with moderate addition to the district heating system as in the BAL-project. (5) In the longer term the future supply of all energy carriers, including new electric power and new bio-fuels, has to be considered for new plants and at renewals. In such a case an energy combine as in the BioMeeT-project may be a central conversion plant with gas deliveries to satellites such as local co-generation, district heat and industries in a regional system within a 50 - 100 km radius. This should be included in regional planning for the future. (6) Estimated investment costs per kW feedstock input is higher for the energy combine compared to present technologies (mature technologies for power and heat) but have to be judged for all plants taken together in the

  12. BioMeeT. Planning of biomass based methanol energy combine - Trollhaettan region. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Brandberg, Aake; Hjortsberg, Hans; Saevbark, Bengt [Ecotraffic R and D AB, Stockholm (Sweden); Ekbom, Tomas; Hjerpe, Carl-Johan; Landaelv, Ingvar [Nykomb Synergetics AB, Stockholm (Sweden)

    2000-04-01

    The conversion of biomass in an energy combine based on primary gasification yields a gas that can be used as fuels gas, for synthesis of motor fuels (methanol or other) or for electric power production. The study gives examples of alternative product mixes. The conclusions of the study are: (1) Potential of new, not yet utilised biomass is available, and new areas of applications, where oil is presently used, are needed to develop the potential. Motor fuel production (methanol, DME) is a presumption in the BioMeeT-study. (2) Yield figures in the energy combine are comparable to those of now used bio-systems for power and co-generation. (3) Which one of the cases in the BioMeeT-project is the most favourable cannot be decided on a plant-to-plant basis alone but the entire system for supply energy carriers in the region has to be considered, as the all plants within the system may change. This would require further investigations. Moreover, the results will be different in various regions in Sweden and Europe due to the markets for all energy carriers. (4) At today's conditions in the Trollhaettan region it must be stated that there is only room for dedicated bio-methanol/DME production (provided such a market will come) with moderate addition to the district heating system as in the BAL-project. (5) In the longer term the future supply of all energy carriers, including new electric power and new bio-fuels, has to be considered for new plants and at renewals. In such a case an energy combine as in the BioMeeT-project may be a central conversion plant with gas deliveries to satellites such as local co-generation, district heat and industries in a regional system within a 50 - 100 km radius. This should be included in regional planning for the future. (6) Estimated investment costs per kW feedstock input is higher for the energy combine compared to present technologies (mature technologies for power and heat) but have to be judged for all plants taken together in

  13. Automatic electromagnetic valve for previous vacuum

    International Nuclear Information System (INIS)

    Granados, C. E.; Martin, F.

    1959-01-01

    A valve which permits the maintenance of an installation vacuum when electric current fails is described. It also lets the air in the previous vacuum bomb to prevent the oil ascending in the vacuum tubes. (Author)

  14. Evaluation of an IPCC climate report. An analysis of conclusions on the possible regional consequences of climate change

    International Nuclear Information System (INIS)

    2010-01-01

    This report contains the results of a study of the reliability of the regional chapters (H9-16) of the contribution of Working Group II to the Fourth Climate Report of the IPCC (the sub report on consequences, adaptation and vulnerability). Moreover an assessment was made of the possible consequences of errors for the conclusions in the high level summaries of that report. The Netherlands Environmental Assessment Agency did not detect any errors that may undermine the main conclusions of the scientific UN Climate Panel IPCC of 2007 on the possible future consequences of climate change. However, some of the substantiations of the conclusions lack clarity. To prevent lack of clarity and inaccuracies the IPCC needs to invest more in quality checks. [nl

  15. Ultrasonography-guided drainage of tuberculous abscess in the retromammary region : a case report

    International Nuclear Information System (INIS)

    Park, Jeong Mi; Choi, Seong Hoon; Yoon, Hyun Ki; Sung, Kyu Bo; Sohn, Byung Ho; Ahn, Sei Hyun; Gong, Gyung Yub

    1999-01-01

    We report our recent experience of successful ultrasonography-guided catheter drainage of a huge retromammary abscess in a 27-year-old female patient with pulmonary tuberculosis. For breast abscesses, the procedure can be used instead of surgery. Its merits are that it is easy and cost-effective, there is less scar formation, outpatient management may be possible, and in reported cases there has been no recurrence

  16. Ultrasonography-guided drainage of tuberculous abscess in the retromammary region : a case report

    Energy Technology Data Exchange (ETDEWEB)

    Park, Jeong Mi; Choi, Seong Hoon; Yoon, Hyun Ki; Sung, Kyu Bo; Sohn, Byung Ho; Ahn, Sei Hyun; Gong, Gyung Yub [Ulsan Asan Medical Center, Ulsan (Korea, Republic of)

    1999-05-01

    We report our recent experience of successful ultrasonography-guided catheter drainage of a huge retromammary abscess in a 27-year-old female patient with pulmonary tuberculosis. For breast abscesses, the procedure can be used instead of surgery. Its merits are that it is easy and cost-effective, there is less scar formation, outpatient management may be possible, and in reported cases there has been no recurrence.

  17. High beta and second stability region transport and stability analysis. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Hughes, M.H.; Phillips, M.W.

    1996-01-01

    This report describes MHD equilibrium and stability studies carried out at Northrop Grumman`s Advanced Technology and Development Center during the period March 1 to December 31, 1995. Significant progress is reported in both ideal and resistive MHD modeling of TFTR plasmas. Specifically, attention is concentrated on analysis of Advanced Tokamak experiments at TFTR involving plasmas in which the q-profiles were non-monotonic.

  18. Local-regional networks of persons with abilities in radioprotection and other actors in radioprotection. Audit report

    International Nuclear Information System (INIS)

    Lefaure, Ch.

    2009-03-01

    As the regulation requires the existence of persons with abilities in radioprotection (PCR, personnes competentes en radioprotection) in many industrial, medical or research activities where ionizing radiations are present, in order to improve worker protection, these professionals who are much less acknowledged in these sectors than in the nuclear sector, felt the need to gather in regional and sector-based networks. This report proposes a presentation of three existing networks (the APCRAP, the Grand-Ouest network, and the Aquitaine-Sud-Ouest network). For each of them, the report addresses the following aspects: creation, objectives, statutes, members, activities, human, technical and financial resources, role. Then answers to a survey and to interviews are analyzed with respect to the professional sector and to the region, in terms of expectations towards the networks, and in terms of network operation and services. Interviews of institutional actors and union and management representatives are also analysed

  19. Management of water hyacinth. Report from India (Regional Research Laboratory, Jorhat, Assam)

    International Nuclear Information System (INIS)

    Baruah, J.N.

    1981-01-01

    The main objective of the project is the development of an environmentally sound management scheme for water hyacinth infestation through its various utilization potentials. Such an approach is considered desirable from the point ov view of economic viability and environmental protection. Accordingly various aspects of the problem have been studied in India in three different laboratories. Regional Research Laboratory, Jorhat, which is the lead laboratory, is concerned with the study of various factors involved in the growth of this weed, production of biogas, paper and board from water hyacinth, screening of compounds and organisms with commercial potential in this plant and utilization of this weed for mushroom cultivation. Developmental and engineering aspects of biogas production from water hyacinth are studied at Central Mechanical Engineering Research Institute, Durgapur, and Nagarjuna Sagar Engineering College, J N Technological University, Hyderabad. Pilot plant investigation on the production of handmade paper and board is being investigated at Regional Research Laboratory, Hyderabad

  20. Panhypopituitarism arising after radiation therapy for germinoma in the suprasellar region. Case report

    Energy Technology Data Exchange (ETDEWEB)

    Maeyama, Masataka; Toribe, Yasuhisa; Adachi, Kouichi; Arita, Kouji [Itami Municipal Hospital, Hyogo (Japan)

    1995-01-01

    A case is presented in which panhypopituitarism occurred in an 8-year-old girl after radiation therapy for germinoma in the suprasellar region. The patient was referred to the hospital because of polydipsia and polyhydruria. She was diagnosed as having pituitary diabetes insipidus by water limitation test. Cranial CT and MRI revealed germinoma in the suprasellar region. Tumor cells were remarkably reduced by tentative irradiation. Thus the patient was treated with whole-body irradiation. Subsequently, she had general fatigue, loss of appetite, and activity decrease. The reaction to TRH test was low. ACTH secretion insufficiency was revealed by insulin test. The patient developed panhypopituitarism associated with GH and ADH secretion insufficiency. She has been managed on hormonal therapy, including DDAVP, hydrocortisone, and Levothyroxine. Although germinoma is highly sensitive to radiation, a long-term follow up is required because of the potential occurrence of postoperative sequelae. (N.K.).

  1. Panhypopituitarism arising after radiation therapy for germinoma in the suprasellar region. Case report

    International Nuclear Information System (INIS)

    Maeyama, Masataka; Toribe, Yasuhisa; Adachi, Kouichi; Arita, Kouji

    1995-01-01

    A case is presented in which panhypopituitarism occurred in an 8-year-old girl after radiation therapy for germinoma in the suprasellar region. The patient was referred to the hospital because of polydipsia and polyhydruria. She was diagnosed as having pituitary diabetes insipidus by water limitation test. Cranial CT and MRI revealed germinoma in the suprasellar region. Tumor cells were remarkably reduced by tentative irradiation. Thus the patient was treated with whole-body irradiation. Subsequently, she had general fatigue, loss of appetite, and activity decrease. The reaction to TRH test was low. ACTH secretion insufficiency was revealed by insulin test. The patient developed panhypopituitarism associated with GH and ADH secretion insufficiency. She has been managed on hormonal therapy, including DDAVP, hydrocortisone, and Levothyroxine. Although germinoma is highly sensitive to radiation, a long-term follow up is required because of the potential occurrence of postoperative sequelae. (N.K.)

  2. Study of the regional potential for the development of small hydroelectricity - Final report

    International Nuclear Information System (INIS)

    Ruillet, Mathieu; Buchet, Eric

    2005-01-01

    Whereas the potential of small hydroelectric plants in the eastern part of the PACA region, and more generally in the whole region appears to be promising to support energy supply safety, to reduce greenhouse gas emissions, and for local development, this study aimed at making an inventory of existing hydraulic plants (to be renewed or developed for a higher production), of existing weirs to be equipped, and of new sites to be possibly developed (non classified rives, irrigation canals, drinkable water networks). Another objective of this study was to propose a selection among the most promising sites or works. Moreover, the power for these existing or possible installations ranges from 100 kW to 10 MW. After a presentation of the adopted methodology, lists of sites are provided, as well as more detailed presentations of selected sites

  3. Final Scientific Report for "The Interhemispheric Pattern in 20th Century and Future Abrupt Change in Regional Tropical Rainfall"

    Energy Technology Data Exchange (ETDEWEB)

    Chiang, John C. H. [University of California, Berkeley, CA (United States); Wehner, Michael F. [Lawrence Berkeley National Lab. (LBNL), Berkeley, CA (United States)

    2012-10-29

    This is the final scientific report for grant DOE-FG02-08ER64588, "The Interhemispheric Pattern in 20th Century and Future Abrupt Change in Regional Tropical Rainfall."The project investigates the role of the interhemispheric pattern in surface temperature – i.e. the contrast between the northern and southern temperature changes – in driving rapid changes to tropical rainfall changes over the 20th century and future climates. Previous observational and modeling studies have shown that the tropical rainband – the Intertropical Convergence Zone (ITCZ) over marine regions, and the summer monsoonal rainfall over land – are sensitive to the interhemispheric thermal contrast; but that the link between the two has not been applied to interpreting long-term tropical rainfall changes over the 20th century and future.The specific goals of the project were to i) develop dynamical mechanisms to explain the link between the interhemispheric pattern to abrupt changes of West African and Asian monsoonal rainfall; ii) Undertake a formal detection and attribution study on the interhemispheric pattern in 20th century climate; and iii) assess the likelihood of changes to this pattern in the future. In line with these goals, our project has produced the following significant results: 1.We have developed a case that suggests that the well-known abrupt weakening of the West African monsoon in the late 1960s was part of a wider co-ordinated weakening of the West African and Asian monsoons, and driven from an abrupt cooling in the high latitude North Atlantic sea surface temperature at the same time. Our modeling work suggests that the high-latitude North Atlantic cooling is effective in driving monsoonal weakening, through driving a cooling of the Northern hemisphere that is amplified by positive radiative feedbacks. 2.We have shown that anthropogenic sulfate aerosols may have partially contributed to driving a progressively southward displacement of the Atlantic Intertropical

  4. Management of low-level radioactive waste in the southeast compact region: Final report: Volume 3, Siting methodology

    International Nuclear Information System (INIS)

    1985-07-01

    This report is a part of the designation process and provides technical criteria and procedures for use in the designation process. It also provides information related to data sources and methodology for applying the criteria. As part of the designation process, the Commissioners will weight the recommended criteria to reflect the relative importance of the various considerations to the goal of providing facilities that will allow for the safe, environmentally sound, and cost-effective management of low-level radioactive waste in the Southeast Region. One possible method for accomplishing this weighting is described in this report

  5. SUMMARY REPORT OF THE INTERACTION REGION WORKING GROUP (T1) AT SNOWMASS

    Energy Technology Data Exchange (ETDEWEB)

    Markiewicz, Thomas W

    2002-09-23

    The Interaction Region Working Group (T1) at Snowmass 2001 reviewed the issues, designs, and plans of existing and proposed colliders, including hadron colliders, e{sup -} hadron colliders, e{sup +}e{sup -} and {gamma}{gamma} linear colliders, e{sup +}e{sup -} circular colliders, and muon colliders. This document summarizes the IR issues, status, and R&D plans for each project.

  6. Confidence-building in the Asia-Pacific region. Report of working group II

    International Nuclear Information System (INIS)

    Cotton, J.

    1992-01-01

    Detailed presentations of South and North Korea offers positive evaluation concerning bilateral agreements, which aim both reconciliation between the two states and denuclearization of the Korean peninsula. Consideration was given to confidence building measures in the Asia-Pacific region as a whole as well as to the progress made in introducing such measures in various Subregions of Asia-Pacific. The concept of confidence building actually implies a two-part agenda, particular procedures and general process

  7. Geologic Characterization Report for the Paradox Basin Study Region Utah Study Areas, Volume V, Appendices

    OpenAIRE

    United States Department of Energy

    1982-01-01

    This study is a part of the U.S. Department of Energy's (DOE) National Waste Terminal Storage Program (NWTS). The scope of DOE's NWTS responsibilities include providing the technology and facilities to isolate high-level radio-active wastes for as long as the wastes represent a hazard. Emplacement of waste packages in mined geologic repositories deep underground in various types of rock formations is one method being evaluated. Using a basic site selection process (Figure 1-1), regions bei...

  8. Central interstate low-level radioactive waste compact region site exclusionary screening study. Phase I. Final report

    International Nuclear Information System (INIS)

    1985-06-01

    The Low-Level Radioactive Waste Policy Act of 1980 assigns to the states the responsibility for disposal of the low-level radioactive waste generated within their boundaries. It also provides for regional compacts among states to address their needs on a broader basis and permits restriction of the use of regional disposal facilities after January 1, 1986, to generators of low-level waste within the region. Each state, either individually or as a member of a compact, must therefore consider the establishment of a low-level radioactive waste disposal facility within its borders. The states of Arkansas, Kansas, Louisiana, Nebraska, and Oklahoma adopted the Central Interstate Low-Level Waste Compact (CILLWC) and legislation was submitted to Congress for consent in June of 1983 legislation is being reintroduced in the 99th Congress. In August of 1984, the CILLWC selected and contracted Dames and Moore to conduct a Phase I-Site Suitability Screening Study for a low-level radioactive waste disposal facility in the five-state region. This report presents the results of the Phase I Screening Study. Dames and Moore reported to the Technical Advisory Committee (TAC) of the CILLWC which provided guidance and comment on work progress and direction

  9. Final Report on the Audit of the Administration of the Contract Closeout Process at the Defense Contract Management Region, Dallas

    Science.gov (United States)

    1990-09-18

    This is our final report on the Audit of the Administration of the Contract Closeout Process at the Defense Contract Management Region, Dallas (DCMR... audit was made from January to October 1989. The objectives of the audit were to determine the timeliness of the contract closeout process, the validity...As part of the audit , we also evaluated internal controls over the contract closeout process. As of December 31, 1988, the Contract Administration

  10. Prevalence of Self-Reported Food Allergy in Six Regions of Inner Mongolia, Northern China: A Population-Based Survey.

    Science.gov (United States)

    Wang, Xiao-Yan; Zhuang, Yan; Ma, Ting-Ting; Zhang, Biao; Wang, Xue-Yan

    2018-04-01

    BACKGROUND The aim of this study was to determine the prevalence of self-reported food allergy in 6 regions of Inner Mongolia, northern China. MATERIAL AND METHODS A random cluster sampling population study using a field questionnaire was distributed to 4714 individuals in 6 regions within Inner Mongolia, northern China; the study included ethnic Mongol minorities and Chinese Han populations. The questionnaire obtained data on ethnicity, age, sex, level of education, income, socioeconomic status, rural versus urban location, medical and family history, and food allergy. RESULTS There were 4441 (73.5%) completed questionnaires. The prevalence of self-reported food allergy was 18.0% (15.2% men; 20.6% women) and was age-related, being significantly greater in children compared with adults (38.7% vs. 11.9%) (P1, P<0.001). There were no significant associations between the prevalence of food allergy and birth history, infant feeding, and duration of breastfeeding. CONCLUSIONS An increase in the prevalence of self-reported food allergy was found in the Inner Mongolia region of northern China, which was greater in urban areas compared with rural areas.

  11. Trends in reported sun bed use, sunburn, and sun care knowledge and attitudes in a U.K. region: results of a survey of the Northern Ireland population.

    Science.gov (United States)

    Boyle, R; O'Hagan, A H; Donnelly, D; Donnelly, C; Gordon, S; McElwee, G; Gavin, A

    2010-12-01

    Sunburn and sun bed use increase risk of malignant melanoma, the incidence of which continues to rise. To document trends in reported sun bed use, sunburn, and sun care knowledge and attitudes in a U.K. region where there have been 20 years of sun-related health promotion campaigns. In 2000, 2004 and 2008, a 'care in the sun' module was included in the Northern Ireland (NI) Omnibus survey. Each year 2200 subjects aged 16 years and over were randomly selected and invited to complete a sun-related questionnaire. Proportions of respondents were analysed by demographic and socioeconomic factors, with differences tested using z-tests and the χ(2) -squared test. In total, 3623 persons responded (response rate 50-59%). Skin cancer knowledge in 2008 was high at 97%. Skin type reporting was inaccurate and since 2000 has become weighted towards the darker Fitzpatrick skin types IV and V (χ(2) = 21·5, P = 0·006). Reported sunburn rose over the 8-year period to 60% in 2008, with 39% of those aged 16-24 years reporting sunburn at least once in the previous year. Twenty per cent reported sun bed use in 2008, a fall from 28% in 2004 (P = 0·01), with greater reported use among those aged 16-24 years (24%) and among women (31% vs. 9% men, P sunburn pose risks for further rises in skin cancer. Barriers for future sun care campaigns to address include poorer sun care knowledge among men, poor skin type awareness, and women's attitudes regarding the health and attractiveness of tanning. Sun bed use, although high, has fallen, possibly in response to recent campaigns. © 2010 The Authors. BJD © 2010 British Association of Dermatologists.

  12. Southwest regional geothermal operations research program. Summary report. First project year, June 1977--August 1978

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, R.T.; Davidson, R.

    1978-12-01

    A summary report is given of the information, data, and results presented by New Mexico Energy Institute and the five State Teams in their separate draft reports. The objective is to develop scenarios for the development of each identified geothermal resource area in Arizona, Colorado, Nevada, New Mexico and Utah. Included are an overview; an economic analysis; institutitional procedures, contraints, and incentives; location of geothermal resources in the southwest; geothermal development postulations, state by state; and recommended actions for promoting and accelerating geothermal development. (MHR)

  13. The earthquakes of stable continental regions. Volume 2: Appendices A to E. Final report

    International Nuclear Information System (INIS)

    Johnston, A.C.; Kanter, L.R.; Coppersmith, K.J.; Cornell, C.A.

    1994-12-01

    The objectives of the study were to develop a comprehensive database of earthquakes in stable continental regions (SCRs) and to statistically examine use of the database for the assessment of large earthquake potential. We identified nine major and several minor SCRs worldwide and compiled a database of geologic characteristics of tectonic domains within each SCR. We examined all available earthquake data from SCRs, from historical accounts of events with no instrumental ground-motion data to present-day instrumentally recorded events. In all, 1,385 events were analyzed. Using moment magnitude 4.5 as the lower bound threshold for inclusion in the database, 870 were assigned to an SCR, 124 were found to be transitional to an SCR, and 391 were examined, but rejected. We then performed a seismotectonic analysis to determine what distinguishes seismic activity in SCRs from other types of crust, such as active plate margins or active continental regions. General observations are: (1) SCRs comprise nearly two-thirds of all continental crust of which 25% is considered to be extended (i.e., rifted); (2) the majority of seismic energy release and the largest earthquakes in SCRs have occurred in extended crust; and (3) active plate margins release seismic energy at a rate per unit area approximately 7,000 times the average for non-extended SCRs. Finally, results of a statistical examination of distributions of historical maximum earthquakes between different crustal domain types indicated that additional information is needed in order to adequately constrain estimates of maximum earthquakes for any given region. Thus, a Bayesian approach was developed in which statistical constraints from the database were used to develop a prior distribution, which may then be combined with source-specific information to constrain maximum magnitude assessments for use in probabilistic seismic hazard analyses

  14. Abort Region Determinator (ARD) module feasibility report. Mission planning, mission analysis and software formulation

    Science.gov (United States)

    Draeger, B. G.; Joyner, J. A.

    1976-01-01

    A detailed performance evaluation of the Abort Region Determinator (ARD) module design was provided in support of OFT-1 ascent and OFT-1 intact launch aborts. The evaluation method used compared ARD results against results obtained using the full-up Space Vehicle Dynamic Simulations program under the same conditions. Results were presented for each of the three major ARD math models: (1) the ascent numerical integrator; (2) the mass model, and (3) the second stage predictor as well as the total ARD module. These results demonstrate that the baselined ARD module meets all design objectives for mission control center orbital flight test launch/abort support.

  15. Inflammatory arthritis mimicking Complex Regional Pain Syndrome (CRPS) in a child: A case report.

    Science.gov (United States)

    Egilmez, Zeliha; Turgut, Selin Turan; Icagasioglu, Afitap; Bicakci, Irem

    2016-01-01

    Joint complaints in childhood are seen frequently and differential diagnosis can be difficult. Juvenile idiopathic arthritis (JIA) is the most common rheumatological disease of childhood. It involves peripheral joint arthritis, chronic synovitis, and extra-articular manifestations. Accurate diagnosis can take a long time and sometimes multiple diagnoses are used while following the patient until a final diagnosis can be reached. Arthritis may be triggered by trauma and confused with other diseases like complex regional pain syndrome (CRPS), in which trauma plays a role in the etiology. In the present case, ankle pain in an 8-year-old girl was misdiagnosed as CRPS.

  16. Mapping land use changes in the carboniferous region of Santa Catarina, report 2

    Science.gov (United States)

    Valeriano, D. D. (Principal Investigator); Bitencourtpereira, M. D.

    1983-01-01

    The techniques applied to MSS-LANDSAT data in the land-use mapping of Criciuma region (Santa Catarina state, Brazil) are presented along with the results of a classification accuracy estimate tested on the resulting map. The MSS-LANDSAT data digital processing involves noise suppression, features selection and a hybrid classifier. The accuracy test is made through comparisons with aerial photographs of sampled points. The utilization of digital processing to map the classes agricultural lands, forest lands and urban areas is recommended, while the coal refuse areas should be mapped visually.

  17. Planning for Integrated Science Education in Africa. Report of a Regional Workshop.

    Science.gov (United States)

    United Nations Educational, Scientific, and Cultural Organization, Paris (France).

    This report of a workshop held in Nigeria for the leaders of science education at primary and lower secondary levels in 15 African nations describes the status of science instruction in those countries. The workshop was sponsored by UNESCO/UNICEF and continued from September 20th through October 4th, 1971. The main address to the conference,…

  18. Topacheous gout as a rare cause of spinal stenosis in the lumbar region. Case report.

    LENUS (Irish Health Repository)

    Kelly, Joseph

    2012-02-03

    Despite the fact that gout is a common metabolic disorder, because its involvement of the axial skeleton is rare the diagnosis is often delayed, even in patients with long-standing gout who present with neurological deficits. The authors report the case of a woman with a history of extensive gout, emphasizing the clinical, radiological, and pathological features of a lumbar spinal stenosis.

  19. EPA Region 10 Climate Change and TMDL Pilot – South Fork Nooksack River, Washington Final Report

    Science.gov (United States)

    This final report provides an overarching summary of the pilot research project, including the methods used in and the findings of the quantitative and qualitative assessments. It is written to appeal to a wide audience of policy makers, managers, agency staff and the general pub...

  20. Greater Vancouver regional district air quality management plan : implementation status report

    International Nuclear Information System (INIS)

    2001-03-01

    In December 1994, an Air Quality Management Plan (AQMP) was adopted by the Greater Vancouver Regional District. The AQMP included ways to improve air quality in the region, leading to reduced emissions from commercial and industrial operations. This Plan encourages cooperation with the various communities affected to achieve clean air lifestyles and manage emissions from human activity to enhance human health and the integrity of the environment. The reduction of total emissions of the common air contaminants sulphur and nitrogen oxides, particulate matter, carbon monoxide and volatile organic compounds by 38 per cent is the stated aim of the AQMP. Five years of planning resulted in the formulation of the AQMP. The issues addressed were assigned one of four priorities as follows: priority 1 deals with ground level ozone and fine particulate, priority 2 looks at visibility, hazardous air pollutants, and global climate change, priority 3 concerns odour, carbon monoxide, sulphur dioxide, acidic deposition, and nitrogen dioxide, and priority 4 contains total suspended particulate matter and volatile organic compounds. A total of 54 Emission Reduction Measures were established, and the document reviewed them. Progress is being made in all areas. 2 tabs., 3 figs

  1. Pneumopyopericardium mimicking an inferior ST elevation myocardial infarction with regional electrocardiogram changes: a case report.

    Science.gov (United States)

    Ratnayake, Eranda Chamara; Premaratne, Sandamali; Lokunarangoda, Niroshan; Fernando, Sanduni; Fernando, Nilanthi; Ponnamperuma, Chandrike; Santharaj, W Samuel

    2015-04-30

    Pneumopyopericardium is a rare disease with poor prognosis. The usual presentation is with fever, shortness of breath and haemodynamic compromise. The Electrocardiogram changes associated with this disease entity would be similar to pericarditis such as concave shaped ST elevations in all leads with PR sagging. Pneumopyopericardium mimicking an acute ST Elevation Myocardial Infarction, with regional Electrocardiogram changes has hitherto not been described in world literature. We describe the case of a 48 year old native Sri Lankan man, presenting with chest pain and Electrocardiogram changes compatible with an Acute ST Elevation Myocardial Infarction, subsequently found to have Pneumopyopericardium secondary to an oesophageal tear. Retrospective history revealed repetitive vomiting due to heavy alcohol consumption, prior to presentation. It unfortunately led to a fatal outcome. Pneumopyopericardium may mimic an acute ST elevation myocardial infarction with associated regional Electrocardiogram changes. A high degree of suspicion should be maintained and an adequate history should always be obtained prior to any intervention in all ST Elevation Myocardial Infarction patients.

  2. Report on regional new energy vision for Kahoku town; Kahokucho chiiki shin energy vision hokokusho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-03-01

    A regional new energy vision has been formulated for Kahoku town, Kochi Prefecture, which features the introduction of recoverable energy harmonious with nature and friendly to human life and environments. The results of activities conducted in this connection are compiled into nine chapters, which cover (1) Kahoku-town's local characteristics relative to new energy, (2) survey of townspeople's awareness of new energy, (3) amounts of new energy in existence, (4) basic policy toward introduction, (5) study of concrete measures for promoting introduction, (6) study of prioritized projects, (7) establishment of target amounts for introduction, (8) coordination with energy conservation measures, and (9) a system for thrusting forward the regional new energy vision toward embodiment. Chapter (7) comprises the way of setting target values for introduction; study of the target values to be achieved by the industry, administration, and citizenry, respectively; and a conclusion on the target values. Studies are conducted in the chapter about the introduction of solar energy, wind power generation, small scale hydroelectric power generation, cogeneration, clean energy vehicles, and the like. It is predicted that 960 kl/year will be introduced in fiscal 2010 in terms of oil, which accounts for 12% of energy consumption. (NEDO)

  3. Summary Report, Southwest Regional Geothermal Operations Research Program: First project year, June 1977-August 1978

    Energy Technology Data Exchange (ETDEWEB)

    Meyer, Richard T.; Davidson, Ray

    1978-12-01

    The overall objectives of the first year project were as follows: (1) to develop realistic but aggressive scenarios with certainty factors for the development of each identified geothermal resource area in Arizona, Colorado, Nevada, New Mexico, and Utah; (2) to delineate the public actions, together with their schedules, required for the scenarios to materialize; and (3) to develop a computer-based data storage and retrieval system (i.e. a Regional Program Progress Monitor) of the level of a preliminary working model, which is capable of displaying program approach but is not loaded with all available data. In addition, each sponsor had supplementary objectives aligned to its own programmatic goals. DOE sought to develop expertise and programs within the appropriate state agencies upon which future DOE development and commercialization activities could be structured. FCRC sought to promote the utilization of geothermal energy throughout the five-state region for purposes of expanded economic development, increased employment, and higher citizen incomes. The goals of the five states varied from state to state, but generally included the following: development of alternative energy sources to replace dwindling supplies of oil and natural gas; economic and industrial development in rural areas; encouragement of industry and utility development of geothermal energy for electrical power generation; demonstration of the practical applications of energy research and development; and close interaction with business and industry for the commercialization of both electric and direct thermal applications.

  4. Beaufort Region Environmental Assessment and Monitoring program (BREAM). Final report for 1992/1993

    International Nuclear Information System (INIS)

    Vonk, P.; Duval, W.; Thomas, D.

    1993-01-01

    The Beaufort Region Environmental Assessment and Monitoring (BREAM) program was established to identify environmental research and monitoring priorities related to future hydrocarbon development activities in the Beaufort Sea and Mackenzie Delta region. The activities occurring during the third year of BREAM focused on major oil spills. Three planning meetings were held: a Project Initiation Meeting and technical meetings of the Community-Based Concerns and Catastrophic Oil Spill Working Groups. The initiation meeting had goals that included identifying specific tasks to be completed by the two Working Groups, discussion of contents and scope of materials being prepared for an oil spill workshop, and determining project schedules. The Community-Based Concerns group focused its work on identifying ecological concerns related to oil spills and their cleanup, identifying community-based ecological issues and concerns, and incorporating local and traditional knowledge into the BREAM program. The group suggested changes to the wording of existing impact hypotheses and oil spill scenarios, and recommended changes in a list of valued ecosystem components. The oil spill group reviewed ecological concerns related to oil spills, and reviewed each oil spill scenario and impact hypothesis selected for an interdisciplinary workshop held in February 1993. The workshop evaluated four of the most important oil spill impact hypotheses (offshore platform blowout, river barge spill of diesel fuel, under-ice spill from a pipeline river crossing, and a pipeline spill affecting mammals). Further research and monitoring related to a number of impact hypotheses was recommended by workshop participants. 57 refs., 29 figs., 12 tabs

  5. Previously unreported abnormalities in Wolfram Syndrome Type 2.

    Science.gov (United States)

    Akturk, Halis Kaan; Yasa, Seda

    2017-01-01

    Wolfram syndrome (WFS) is a rare autosomal recessive disease with non-autoimmune childhood onset insulin dependent diabetes and optic atrophy. WFS type 2 (WFS2) differs from WFS type 1 (WFS1) with upper intestinal ulcers, bleeding tendency and the lack ofdiabetes insipidus. Li-fespan is short due to related comorbidities. Only a few familieshave been reported with this syndrome with the CISD2 mutation. Here we report two siblings with a clinical diagnosis of WFS2, previously misdiagnosed with type 1 diabetes mellitus and diabetic retinopathy-related blindness. We report possible additional clinical and laboratory findings that have not been pre-viously reported, such as asymptomatic hypoparathyroidism, osteomalacia, growth hormone (GH) deficiency and hepatomegaly. Even though not a requirement for the diagnosis of WFS2 currently, our case series confirm hypogonadotropic hypogonadism to be also a feature of this syndrome, as reported before. © Polish Society for Pediatric Endocrinology and Diabetology.

  6. Electroencephalographic evoked pain response is suppressed by spinal cord stimulation in complex regional pain syndrome: a case report.

    Science.gov (United States)

    Hylands-White, Nicholas; Duarte, Rui V; Beeson, Paul; Mayhew, Stephen D; Raphael, Jon H

    2016-12-01

    Pain is a subjective response that limits assessment. The purpose of this case report was to explore how the objectivity of the electroencephalographic response to thermal stimuli would be affected by concurrent spinal cord stimulation. A patient had been implanted with a spinal cord stimulator for the management of complex regional pain syndrome of both hands for 8 years. Following ethical approval and written informed consent we induced thermal stimuli using the Medoc PATHWAY Pain & Sensory Evaluation System on the right hand of the patient with the spinal cord stimulator switched off and with the spinal cord stimulator switched on. The patient reported a clinically significant reduction in thermal induced pain using the numerical rating scale (71.4 % reduction) with spinal cord stimulator switched on. Analysis of electroencephalogram recordings indicated the occurrence of contact heat evoked potentials (N2-P2) with spinal cord stimulator off, but not with spinal cord stimulator on. This case report suggests that thermal pain can be reduced in complex regional pain syndrome patients with the use of spinal cord stimulation and offers objective validation of the reported outcomes with this treatment.

  7. Understanding of the characteristics of the local newspapers providing media coverage on the matters of nuclear energy in the regions where nuclear facilities are located. Based on analysis of the media reports and interviews with journalists

    International Nuclear Information System (INIS)

    Tsuchida, Tatsuro; Kimura, Hiroshi

    2011-01-01

    Taking into consideration the influence of the media coverage, this research aims to analyze the characteristics of the local newspapers that cover diverse events relevant to nuclear energy in regional areas where nuclear facilities are located (hereinafter called the 'region'). According to the previous surveys, local residents in the region are more interested in the nuclear energy matters than those who live in urban areas. Plus, the local newspapers turn out to report more events of nuclear energy from a variety of angles. Through interviews with executives and journalists of the local newspaper companies in the regions, it is revealed that the local newspapers tend not to report news sensationally, but they would rather take a supportive stance toward the development in their regions. The interviewees hope that various activities of the nuclear industry will promote education, employment and cooperation among government, industry and academia. They also desire that the industry's activities will help to increase benefits in their regions. It appears that the interviewees' awareness reflects articles of the local newspapers. As a result of the surveys conducted for this research, it is considered that the journalists expect that their region will make particularly qualitative progress in the future. (author)

  8. Asleep versus awake: does it matter?: Pediatric regional block complications by patient state: a report from the Pediatric Regional Anesthesia Network.

    Science.gov (United States)

    Taenzer, Andreas H; Walker, Benjamin J; Bosenberg, Adrian T; Martin, Lynn; Suresh, Santhanam; Polaner, David M; Wolf, Christie; Krane, Elliot J

    2014-01-01

    The impact of the patient state at time of placement of regional blocks on the risk of complications is unknown. Current opinion is based almost entirely on case reports, despite considerable interest in the question. Analyzing more than 50,000 pediatric regional anesthesia blocks from an observational prospective database, we determined the rate of adverse events in relation to the patient's state at the time of block placement. Primary outcomes considered were postoperative neurologic symptoms (PONSs) and local anesthetic systemic toxicity (LAST). Secondary outcome was extended hospital stay due to a block complication. The Pediatric Regional Anesthesia Network is a multi-institutional research consortium that was created with an emphasis on rigorous, prospective, and complete data collection including a data validation and audit process. For the purpose of the analysis, blocks were divided in major groups by single injection versus continuous and by block location. Rates were determined in aggregate for these groups and classified further based on the patient's state (general anesthesia [GA] without neuromuscular blockade [NMB], GA with NMB, sedated, and awake) at the time of block placement. Postoperative neurological symptoms occurred at a rate of 0.93/1000 (confidence interval [CI], 0.7-1.2) under GA and 6.82/1000 (CI, 4.2-10.5) in sedated and awake patients. The only occurrence of PONSs lasting longer than 6 months (PONSs-L) was a small sensory deficit in a sedated patient (0.019/1000 [CI, 0-0.1] for all, 0.48/1000 [CI, 0.1-2.7] for sedated patients). There were no cases of paralysis. There were 5 cases of LAST or 0.09/1000 (CI, 0.03-0.21). The incidence of LAST in patients under GA (both with and without NMB) was 0.08/1000 (CI, 0.02-0.2) and 0.34/1000 (CI, 0-1.9) in awake/sedated patients. Extended hospital stays were described 18 times (0.33/1000 [CI, 0.2-0.53]). The rate for patients under GA without NMB was 0.29/1000 (CI, 0.13-0.48); GA with NMB, 0

  9. Critical review of the draft Area Recommendation Report and region-to-area screening methodology for the Crystalline Repository Project

    International Nuclear Information System (INIS)

    1986-01-01

    Two documents related to the Crystalline Repository Project have been reviewed. Comments and concerns related to the review of the ''Region-To-Area Screening Methodology'' and the ''Draft Area Recommendation Report'' are presented. These comments will be considered in preparation of the Final Area Recommendation Report, which will serve to formally identify potentially acceptable sites for a second repository in crystalline rock. Following a detailed review of the aforementioned documents, it is concluded that the identification of proposed potentially acceptable sites in the Draft Area Recommendation Report is based on questionable screening methodology and often incomplete data. As a result, ''favorable characteristics'' that are ascribed to each of the proposed potentially acceptable sites are, in many cases, misleading

  10. Multifocal Epithelioid Hemangioendothelioma Derived from the Spine Region: Case Report and Literature Review

    Directory of Open Access Journals (Sweden)

    G. Kerry

    2012-02-01

    Full Text Available Background: Epithelioid hemangioendothelioma (EHE is a rare vascular tumor with malignant biological behavior. It arises from endothelial cells, usually within soft tissues, and can occur in almost all locations. Case Report: We report a unique case of a 25-year-old man who presented with sudden attacks of severe back pain followed by acute non-traumatic paraplegia. Emergency diagnostics revealed a pathologic fracture of the T7 vertebra with tumor tissue invasion of the spinal canal. Furthermore, multifocal metastases were found. Results: To achieve en bloc resection, interdisciplinary surgical approaches were indicated. Despite multimodal therapy concepts, including radiotherapy and chemotherapy as well as endovascular embolization, the patient died within 8 weeks. Conclusion: Prognosis of EHE is unpredictable and mainly determined by its location. The lesions are potentially aggressive; therefore, en bloc resection should be attempted whenever possible. However, as shown in the literature, only 15% of patients are suitable for total resection.

  11. European regional policy: Analysis of the management reports of structural funds 2000-2006

    Directory of Open Access Journals (Sweden)

    José Antonio Vidal Hernández-Mora

    2012-01-01

    Full Text Available The present work endeavours to carry out a study of the weaknesses/errors detected by the European Court of Auditors (ECA in the reports presentedby 15 European countries on the economic and financial management of StructuralFunds in the period ranging from 2000 to 2006. The aim of our study is focusedon the description and analysis of the number and nature of the errors/weaknesses made by the member states, carrying out an empirical analysis on the possiblecauses at the root of this situation, conducting a study with univariate and multivariatestatistical techniques, using a probit choice model type and least squaresestimation. Amongst other conclusions, the current study establishes that the newCouncil Regulation has had an uneven effect on the different countries, and that thevolume of such errors/weaknesses detected in the reports of the EU member statesis linked to the amount of resources allocated to each member state per StructuralFund.

  12. Marginal/peripheral populations of forest tree species and their conservation status: report for Atlantic region

    Directory of Open Access Journals (Sweden)

    Colin T. Kelleher

    2018-04-01

    Full Text Available This report is a synthesis of information from the national reports, prepared as part of the COST Action FP1202 Strengthening conservation: a key issue for adaptation of marginal/peripheral populations of forest trees to climate change in Europe (MaPFGR. The individual national reports can be found as part of the supplemental data to the COST action. The data compiled in this report indicate that the Atlantic area has sufficient resources in terms of knowledge and capacity to assess the potential impact of climate change on marginal and peripheral (MaP sites within the area. Maps of vegetation, soil, climate and climatic predictions are publicly available for most countries and often are of high quality and resolution. These can be utilized to help identify MaP sites and populations in the Atlantic area. In addition, some species have been characterized genetically and the genetic data can also be utilized to identify and characterize sites. However, genetic data is not universally available and in particular may be absent for peripheral sites. There are many data sources for phenotypic traits, such as data from provenance trials but these have not been assessed for MaP populations. There may not be sufficient legislative capacity for the conservation of MaP populations in comparison to, for example, annex habitats of the EU Habitats Directive. Although some of the MaP sites lie within Natura 2000 boundaries, many are not in protected areas. If MaP populations are not characterized and conserved there is a risk of losing traits that may be of potential in adaptation to climate change. A detailed spatial analysis incorporating all of the data is needed to give a comprehensive assessment of the potential threats to MaP populations in this area.

  13. Bioenergy from agro-industrial residues in the East African region. Summary report

    Energy Technology Data Exchange (ETDEWEB)

    Jungersen, G. [Dansk Teknologisk Inst. (Denmark); Kivaisi, A.; Rubindamayugi, M. [Univ. of Dar es Salaam (Tanzania, United Republic of)

    1998-05-01

    Tanzania has recently developed a comprehensive environmental policy which has put high priority on several specific environmental issues. One of the issues is the quality of waste water. A special priority is given to the pollution from the sisal industry. The East-African agro-industries generate very large quantities of organic residues from production and processing of different crops. These residues form a major contribution to the pollution of air, soil and waterways, but, at the same time they constitute a large potential for production of bioenergy through anaerobic digestion as well as potential substrate for other biological fermentation processes. Generally, these residues are regarded as having no or very little value and the different disposal methods are mainly a matter of getting rid of the waste. The generation of residues are very often concentrated on few large units, which makes the exploitation of these resources feasible in large scale biogas systems. Typically the units will have a potential of a daily methane generation of 1,000-20,000 m{sup 3} CH{sub 4}, equivalent to a potential electricity production of 0.2-3.2 MW. The future utilization of these resources for production of valuable products is described in this report. This report consists of 3 volumes. This summary report including the main objectives and findings from the different project report: Mapping and Quantification of Organic Agro-Industrial Residues in East Africa; Biogas - Bioenergy Potential in East Africa, Seminar Proceedings, Siler Sands, Dar es Salaam 22-23 September 1997; Bioenergy from Sisal residues - Experimental results and Capacity Building Activities. (EG)

  14. Ongoing outbreak of dengue type 1 in the Autonomous Region of Madeira, Portugal: preliminary report.

    Science.gov (United States)

    Sousa, C A; Clairouin, M; Seixas, G; Viveiros, B; Novo, M T; Silva, A C; Escoval, M T; Economopoulou, A

    2012-12-06

    Following the identification of two autochthonous cases of dengue type 1 on 3 October 2012, an outbreak of dengue fever has been reported in Madeira, Portugal. As of 25 November, 1,891 cases have been detected on the island where the vector Aedes aegypti had been established in some areas since 2005. This event represents the first epidemic of dengue fever in Europe since 1928 and concerted control measures have been initiated by local health authorities.

  15. 77 FR 70176 - Previous Participation Certification

    Science.gov (United States)

    2012-11-23

    ... participants' previous participation in government programs and ensure that the past record is acceptable prior... information is designed to be 100 percent automated and digital submission of all data and certifications is... government programs and ensure that the past record is acceptable prior to granting approval to participate...

  16. On the Tengiz petroleum deposit previous study

    International Nuclear Information System (INIS)

    Nysangaliev, A.N.; Kuspangaliev, T.K.

    1997-01-01

    Tengiz petroleum deposit previous study is described. Some consideration about structure of productive formation, specific characteristic properties of petroleum-bearing collectors are presented. Recommendation on their detail study and using of experience on exploration and development of petroleum deposit which have analogy on most important geological and industrial parameters are given. (author)

  17. Subsequent pregnancy outcome after previous foetal death

    NARCIS (Netherlands)

    Nijkamp, J. W.; Korteweg, F. J.; Holm, J. P.; Timmer, A.; Erwich, J. J. H. M.; van Pampus, M. G.

    Objective: A history of foetal death is a risk factor for complications and foetal death in subsequent pregnancies as most previous risk factors remain present and an underlying cause of death may recur. The purpose of this study was to evaluate subsequent pregnancy outcome after foetal death and to

  18. Final report development of a regional nitrogen ceiling; Eindrapportage ontwikkeling regionaal stikstofplafond

    Energy Technology Data Exchange (ETDEWEB)

    Bleeker, A.; Hensen, A. [ECN Environment and Energy Engineering, Petten (Netherlands); Rougoor, C. [Centrum voor Landbouw en Milieu CLM, Culemborg (Netherlands)

    2013-01-15

    The development of a methodology in which integrated nitrogen ceilings can be studied on a regional level is described. Next to the agricultural sector, also other sectors are taken into consideration (traffic, industry, etc.) with respect to the development of the nitrogen ceiling methodology. The study consists of two parts: the feasibility of a nitrogen ceiling system and the actual development of such a system [Dutch] Deze rapportage beschrijft de ontwikkeling van een methodiek waarbij integrale stikstofplafonds op gebiedsniveau kunnen worden bestudeerd. Dit onderzoek beschouwt, naast landbouw, ook andere sectoren (verkeer, industrie, etc.) voor het ontwikkelen van de stikstofplafond methodiek. Het onderzoek bestaat uit twee onderdelen: bestuderen van de haalbaarheid van een stikstofplafond systematiek en het feitelijke ontwikkelen van een dergelijke systematiek.

  19. Investigation on crack growth parameters in the elastic plastic region (interim report)

    International Nuclear Information System (INIS)

    Prij, J.

    1982-03-01

    Some theoretical as well as numerical results are presented with respect to the 2D and 3D application of linear elastic fracture mechanics. The application of the finite element method to calculate the stress and strain field in cracked bodies has been discussed with special attention to: singularity representation, parameter extraction and mesh refinement. Detailed 3D stress analyses of fracture mechanics test specimen are presented showing that: the stress intensity concept cannot be extended simply into a 3D concept, the energy release concept is more promising within this aspect and the plastic region along the crackfront will not have a dogbone shape. The 3D elastic fracture mechanics concept is applied to evaluate the consequences of the thermal stresses due to γ-heating in an in-pile crack growth experiment

  20. Creating and Dealing with Cultural Heritage in the Erzgebirge Region – A Field Report

    Directory of Open Access Journals (Sweden)

    Arnika Peselmann

    2009-12-01

    Full Text Available In summer 2009 I carried out initial field research for my dissertation project in the Erzgebirge, a mountain range divided by the Czech-German border – which separates it into a Saxon and Bohemian side – and which is famous for handmade wood arts. Initially my research concerned the question if, and if so how, property claims on wood arts are negotiated in international, national, and local contexts. The ongoing preparation for Montanregion Erzgebirge (the Erzgebirge Mining Region to be nominated as a UNESCO Cultural Landscape widened my interest. Using this example of World Heritage in the making I enquire who the initiators are, what possible resistance there is, how the selection processes for entry onto the preliminary list of artefacts unfolds, and how the selected elements are interpreted.

  1. Report of the radiation group on radiation backgrounds and damage in the ISABELLE intersection regions

    International Nuclear Information System (INIS)

    Ludlam, T.; Kistiakowsky, V.; Toohig, T.E.

    1976-01-01

    The Radiation Group was charged to examine radiation aspects of the current ISABELLE design and the projected experimental arrangements. Some samples of questions to be addressed were: (1) how does the overall shielding design impact the experimental design, (2) what backgrounds might be expected from the proposed beam scraping, shaving, etc. schemes, (3) what are the radiation damage considerations for experimental electronics near the beam, and (4) what backgrounds might be expected in an experiment from operation of another experiment in the same or the adjacent intersection region. A review is given based on the ISABELLE Proposal, The Proceedings of the 1975 ISABELLE Summer Study, and the estimate of ISABELLE shielding requirements by Stevens and Thorndike

  2. Impression management in chairmen’s letters: An empirical study of banks’ annual reports in MENA region

    Directory of Open Access Journals (Sweden)

    Rasha Mahboub

    2016-11-01

    Full Text Available The study aims to investigate the extent of existence of strategies of impression management (IM in the narrative section of 200 annual reports of a sample of 50 banks in five different countries of Middle East and North Africa (MENA region (Egypt, Jordan, Lebanon, Saudi Arabia, and United Arab of Emirates for 2011-2014. Seven variables were employed to identify the existence of IM strategies in the chairmen’s letters of the bank’s annual reports. By employing descriptive statistics, frequency distribution and proportion test, it was found that four out of the seven strategies have existed in the chairmen’s letters. These strategies are reading ease manipulation, visual and structural manipulation, performance comparisons, and performance attribution. It is interesting to note that the narrative of the annual report of major banks in MENA region was very difficult to read. This result may perhaps encourage more consideration to the obstacles of effective communication that are the basic mean of facilitating rational resource decision making. Moreover, the results demonstrated that management of banks in MENA region choose benchmarks that portray current bank performance in the best possible light; further they highlight good news rather than bad news and placing this good news in the most emphasized sections of the chairmen’s letters; also they prefer to blame the environment for bad news, but take the credit themselves for good news. Therefore, the study recommends auditing regulators to issue a new standard in which auditors are required to confirm the reliability of the information in the accounting narratives of banks annual reports.

  3. Venipuncture-Induced Complex Regional Pain Syndrome: A Case Report and Review of the Literature

    Directory of Open Access Journals (Sweden)

    Foad Elahi

    2014-01-01

    Full Text Available Venipuncture, the most frequently performed invasive medical procedure, is usually benign. Generally it produces only transitory mild discomfort. Venipuncture-induced neuropathic pain is hard to recognize at an early stage. Medical literature reviews show that there is not adequate medical knowledge about this important subject. The inciting incident in complex regional pain syndrome (CRPS can often seem far too trivial to result in a condition with such severe pathophysiologic effects. The practicing physician has little information available to enable early recognition of the condition, initiation of multidisciplinary treatment modalities, and proper referral to pain specialists. We encountered a unique case of venipuncture-induced complex regional pain syndrome (CRPS. The patient is a 52-year-old school teacher with no significant past medical history, who presented initially to the Center of Pain Medicine with left upper extremity pain. The pain started while phlebotomy was performed in the patient’s left antecubital area for routine blood check. The patient’s pain did not improve with multiple medications, physical therapy, or several nerve blocks. The patient demonstrated all the signs and symptoms of chronic neuropathic pain of CRPS in the upper extremity with minimal response to the continuous pain management. We decided to proceed with cervical spinal cord nerve stimulation along with continuing other modalities. The patient responded to this combination. During the follow-up, we noticed that the patient’s pain course was complicated by extension of the CRPS to her lower extremity. We will describe the course of treatment for the patient in this paper. In this paper we will discuss the electrical neuromodulation as an important modality in addition to the multidisciplinary pain management for a patient with venipuncture-induced chronic neuropathic pain.

  4. Regional variation in fire weather controls the reported occurrence of Scottish wildfires

    Directory of Open Access Journals (Sweden)

    G. Matt Davies

    2016-11-01

    Full Text Available Fire is widely used as a traditional habitat management tool in Scotland, but wildfires pose a significant and growing threat. The financial costs of fighting wildfires are significant and severe wildfires can have substantial environmental impacts. Due to the intermittent occurrence of severe fire seasons, Scotland, and the UK as a whole, remain somewhat unprepared. Scotland currently lacks any form of Fire Danger Rating system that could inform managers and the Fire and Rescue Services (FRS of periods when there is a risk of increased of fire activity. We aimed evaluate the potential to use outputs from the Canadian Fire Weather Index system (FWI system to forecast periods of increased fire risk and the potential for ignitions to turn into large wildfires. We collated four and a half years of wildfire data from the Scottish FRS and examined patterns in wildfire occurrence within different regions, seasons, between urban and rural locations and according to FWI system outputs. We used a variety of techniques, including Mahalanobis distances, percentile analysis and Thiel-Sen regression, to scope the best performing FWI system codes and indices. Logistic regression showed significant differences in fire activity between regions, seasons and between urban and rural locations. The Fine Fuel Moisture Code and the Initial Spread Index did a tolerable job of modelling the probability of fire occurrence but further research on fuel moisture dynamics may provide substantial improvements. Overall our results suggest it would be prudent to ready resources and avoid managed burning when FFMC > 75 and/or ISI > 2.

  5. Regional variation in fire weather controls the reported occurrence of Scottish wildfires.

    Science.gov (United States)

    Davies, G Matt; Legg, Colin J

    2016-01-01

    Fire is widely used as a traditional habitat management tool in Scotland, but wildfires pose a significant and growing threat. The financial costs of fighting wildfires are significant and severe wildfires can have substantial environmental impacts. Due to the intermittent occurrence of severe fire seasons, Scotland, and the UK as a whole, remain somewhat unprepared. Scotland currently lacks any form of Fire Danger Rating system that could inform managers and the Fire and Rescue Services (FRS) of periods when there is a risk of increased of fire activity. We aimed evaluate the potential to use outputs from the Canadian Fire Weather Index system (FWI system) to forecast periods of increased fire risk and the potential for ignitions to turn into large wildfires. We collated four and a half years of wildfire data from the Scottish FRS and examined patterns in wildfire occurrence within different regions, seasons, between urban and rural locations and according to FWI system outputs. We used a variety of techniques, including Mahalanobis distances, percentile analysis and Thiel-Sen regression, to scope the best performing FWI system codes and indices. Logistic regression showed significant differences in fire activity between regions, seasons and between urban and rural locations. The Fine Fuel Moisture Code and the Initial Spread Index did a tolerable job of modelling the probability of fire occurrence but further research on fuel moisture dynamics may provide substantial improvements. Overall our results suggest it would be prudent to ready resources and avoid managed burning when FFMC > 75 and/or ISI > 2.

  6. Surgical excision of the breast giant fibroadenoma under regional anesthesia by Pecs II and internal intercostal plane block: a case report and brief technical description: a case report.

    Science.gov (United States)

    Kim, Hyungtae; Shim, Junho; Kim, Ikthae

    2017-02-01

    A 22-years-old female patient at 171 cm and 67 kg visited the Department of Breast Surgery of the hospital with a mass accompanied with pain on the left side breast as chief complaints. Since physical examination revealed a suspected huge mass, breast surgeon decided to perform surgical excision and requested anesthesia to our department. Surgery of breast tumor is often under local anesthesia. However, in case of big size tumor, surgery is usually performed under general anesthesia. The patient feared general anesthesia. Unlike abdominal surgery, there is no need to control visceral pain for breast and anterior thoracic wall surgery. Therefore, we decided to perform resection under regional anesthesia. Herein, we report a successful anesthetic and pain management of the patient undergoing excision of a huge breast fibroadenoma under regional anesthesia using Pecs II and internal intercostal plane block.

  7. Second status report on regional and local ground-water flow modeling for Richton and Cypress Creek Domes, Mississippi

    International Nuclear Information System (INIS)

    1986-08-01

    Regional and local ground-water flow within the principal geohydrologic units in the Mississippi salt-dome basin is evaluated by developing conceptual models of the flow regime at a regional and a local scale and testing these models using a three-dimensional, finite-difference flow code. Semiquantitative sensitivity analyses (a limited parametric study) are conducted to define the system response to changes in the conceptual models. The conceptual models are described in terms of their areal and vertical discretizations, aquifer properties, fluid properties, and hydrologic boundary conditions. The simulated ground-water flow fields are described with potentiometric surfaces, areas of upward and downward flow across aquitards, tables summarizing the real and vertical volumetric flows through the principal units, and Darcy velocities with specified finite-difference blocks. Ground-water travel paths and times from both Richton Dome and Cypress Creek Dome are provided. The regional scale simulation results are discussed with regard to measured field data. The reported work is the second state of an ongoing evaluation of Richton and Cypress Creek Domes as potential repositories for high-level radioactive wastes. The results and conclusions should thus be considered preliminary and subject to modification with the collection of additional data. However, the report does provide a useful basis for describing the sensitivity of the present conceptualization of ground-water flow to parameterization and, to a lesser extent, the uncertainties in the present conceptualization. 19 refs., 33 figs., 25 tabs

  8. Peripheral nerve stimulation (PNS) in the trapezius muscle region alleviate chronic neuropathic pain after lower brachial plexus root avulsion lesion: A case report

    DEFF Research Database (Denmark)

    Sørensen, Jens Christian Hedemann; Meier, Kaare; Perinpam, Larshan

    Peripheral nerve stimulation (PNS) in the trapezius muscle region alleviate chronic neuropathic pain after lower brachial plexus root avulsion lesion: A case report......Peripheral nerve stimulation (PNS) in the trapezius muscle region alleviate chronic neuropathic pain after lower brachial plexus root avulsion lesion: A case report...

  9. Regional aerosol deposition in human upper airways. Progress report, March 1, 1992--February 28, 1993

    Energy Technology Data Exchange (ETDEWEB)

    Swift, D.L.

    1992-11-01

    Laboratory experimental studies were carried out to investigate the factors influencing the deposition of aerosols ranging in size from 1 nm to 10 {mu}m in the human nasal, oral, pharyngeal and laryngeal airways. These experimental studies were performed in replicate upper airway physical models and in human volunteer subjects. New replicate models of the oral passage of an infant, the oral passage of an adult at two openings and the combined nasal and oral airways of an adult were constructed during the period, adding to the existing models of adult, child and infant nasal and oral airways models. Deposition studies in the adult oral and adult nasal models were performed under simulated cyclic flow conditions with 1 nm particles to compare with previously measured constant flow studies. Similar studies with inertial particles (1--10 {mu}m diameter) were performed with the adult nasal model; in both instances, results with cyclic flow were similar to constant flow results using a simple average flow rate based on inspiratory volume and time of inspiration. Human subject studies were performed with particle sizes 5--20 nm for nasal inspiration; preliminary analysis shows good agreement with model studies at several representative flow rates. Nasal inspiratory inertial deposition of 1--4 {mu}m diameter particles was measured in several adults as a function of airway dimensions; dimensional changes of the valve area by decongestion did not produce concomitant deposition changes.

  10. Diagnosis and Treatment of Paracoccidioidomycosis in the Maxillofacial Region: A Report of 5 Cases

    Directory of Open Access Journals (Sweden)

    Antonio Dionízio De Albuquerque Neto

    2018-01-01

    Full Text Available Paracoccidioidomycosis is a fungal infection initially described in Brazil in 1908 by Adolfo Lutz. Manifestation of this disease depends on numerous factors, such as microorganism virulence, hormonal profile, genetic predisposition, nutrition, and immune system. It is characterized classically by cutaneous lesions, lymphadenopathy, and pulmonary involvement. It presents male predilection, which can be explained by the protective effect of female hormones. Classic presentation within oral cavity is a superficial ulcer characterized by hemorrhagic dots of moriform aspect. Treatment should be established individually and closely monitored. This manuscript aims at reporting five cases of this pathology.

  11. FutureGen 2.0 Pipeline and Regional Carbon Capture Storage Project - Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Burger, Chris [Patrick Engineering Inc., Lisle, IL (United States); Wortman, David [Patrick Engineering Inc., Lisle, IL (United States); Brown, Chris [Battelle Memorial Inst., Richland, WA (United States); Hassan, Syed [Gulf Interstate Engineering, Houston, TX (United States); Humphreys, Ken [Futuregen Industrial Alliance, Inc., Washington, D.C. (United States); Willford, Mark [Futuregen Industrial Alliance, Inc., Washington, D.C. (United States)

    2016-03-31

    The U.S. Department of Energy’s (DOE) FutureGen 2.0 Program involves two projects: (1) the Oxy-Combustion Power Plant Project and (2) the CO2 Pipeline and Storage Project. This Final Technical Report is focused on the CO2 Pipeline and Storage Project. The FutureGen 2.0 CO2 Pipeline and Storage Project evolved from an initial siting and project definition effort in Phase I, into the Phase II activity consisting permitting, design development, the acquisition of land rights, facility design, and licensing and regulatory approvals. Phase II also progressed into construction packaging, construction procurement, and targeted early preparatory activities in the field. The CO2 Pipeline and Storage Project accomplishments were significant, and in some cases unprecedented. The engineering, permitting, legal, stakeholder, and commercial learnings substantially advance the nation’s understanding of commercial-scale CO2 storage in deep saline aquifers. Voluminous and significant information was obtained from the drilling and the testing program of the subsurface, and sophisticated modeling was performed that held up to a wide range of scrutiny. All designs progressed to the point of securing construction contracts or comfort letters attesting to successful negotiation of all contract terms and willing execution at the appropriate time all major project elements – pipeline, surface facilities, and subsurface – as well as operations. While the physical installation of the planned facilities did not proceed in part due to insufficient time to complete the project prior to the expiration of federal funding, the project met significant objectives prior to DOE’s closeout decision. Had additional time been available, there were no known, insurmountable obstacles that would have precluded successful construction and operation of the project. Due to the suspension of the project, site restoration activities were developed and the work was accomplished. The site restoration

  12. Summary report of the NAAL participation in the regional TC project RER/2/004

    International Nuclear Information System (INIS)

    2002-01-01

    At the end of 1995, the Agency's Laboratories Seibersdorf, together with their counterparts in the Programmatic Divisions in Vienna, agreed to introduce a comprehensive quality assurance system for all their measurements, products and services. The ISO 9000:1994 series of standards was selected as the quality system model for products and services provided, while ISO Guide 25 was selected as the standard for measurements and calibrations. A dedicated effort was initiated in 1997 to establish a quality system in the Chemistry Unit and a Quality Co-ordinator was appointed. This report provides a summary of the NAAL participation in the Project, main achievements and future plans

  13. Neutron scattering studies in the actinide region. Progress report, August 1, 1991--July 31, 1994

    International Nuclear Information System (INIS)

    Kegel, G.H.R.; Egan, J.J.

    1994-09-01

    During the period August 1, 1991 to July 31, 1994 the authors report progress on the following: (a) prompt fission neutron energy spectra for 235 U and 239 Pu; (b) two-parameter measurement of nuclear lifetimes; (c) 'black' neutron detector; (d) data reduction techniques for neutron scattering experiments; (e) elastic and inelastic neutron scattering studies in 197 Au; (f) elastic and inelastic neutron scattering studies in 239 Pu; (g) neutron induced defects in silicon dioxide MOS structures; (h) response of a 235 U fission chamber near reaction thresholds; (i) efficiency calibration of a liquid scintillation detector using the WNR facility at LAMPF; (j) prompt fission neutron energy spectrum measurements below the incident neutron energy; (k) multi-parameter data acquisition system; (l) accelerator improvements; (m) non-DOE supported research. Eight Ph.D. dissertations and two M.S. theses were completed during the report period. Publications consisted of 6 journal articles, 10 conference proceedings, and 19 abstracts of presentations at scientific meetings. One invited talk was given

  14. Primary (Poorly Differentiated Sclerosing Liposarcoma of Temporal Region. An Uncommon Tumor in a Rare Site: A Case Report

    Directory of Open Access Journals (Sweden)

    Anuradha CK Rao

    2015-02-01

    Full Text Available Liposarcoma (LS in the head and neck region is a rare tumor. The sclerosing variant of LS is a subtype of well-differentiated LS characterized by areas of conventional LS admixed with hypocellular areas of stromal sclerosis that show atypical lipomatous cells. The (poorly differentiated sclerosing LS, on the other hand, is more cellular with atypical, pleomorphic and often bizarre giant tumor cells admixed with atypical lipoblasts. We report a case of poorly differentiated sclerosing LS of temporal region in a 49-year-old man. Radiologically, the tumor was dumbbell shaped with intra and extra cranial extension. In this case, we discuss the clinico-radiological and pathological findings of an unusual tumor in a rare location. [J Interdiscipl Histopathol 2015; 3(1.000: 33-35

  15. Autotransplantation and Orthodontic Treatment after Maxillary Central Incisor Region Trauma: A 13-Year Follow-Up Case Report Study.

    Science.gov (United States)

    Piroozmand, Farzad; Hessari, Hossein; Shirazi, Mohsen; Khazaei, Pegah

    2018-01-01

    The anterior maxilla is the most prone region to the trauma during childhood, and tooth loss sometimes happens due to trauma. Replacing the missing teeth has always been one of the dentists' challenges in children and adolescents, since their dentofacial growth is not complete. Autotransplantation of mandibular premolars with two-thirds or three-quarters of root formation provides the best prognosis for the tooth survival. This case report describes the management of a 10-year-old boy suffering a severe dental injury who received the autotransplantation of the premolars from mandible to restore the space caused by trauma in maxillary central incisor region and a 13-year follow-up of the autotransplantation.

  16. The Risk of Reported Cryptosporidiosis in Children Aged <5 Years in Australia is Highest in Very Remote Regions.

    Science.gov (United States)

    Lal, Aparna; Fearnley, Emily; Kirk, Martyn

    2015-09-18

    The incidence of cryptosporidiosis is highest in children <5 years, yet little is known about disease patterns across urban and rural areas of Australia. In this study, we examine whether the risk of reported cryptosporidiosis in children <5 years varies across an urban-rural gradient, after controlling for season and gender. Using Australian data on reported cryptosporidiosis from 2001 to 2012, we spatially linked disease data to an index of geographic remoteness to examine the geographic variation in cryptosporidiosis risk using negative binomial regression. The Incidence Risk Ratio (IRR) of reported cryptosporidiosis was higher in inner regional (IRR 1.4 95% CI 1.2-1.7, p < 0.001), and outer regional areas (IRR 2.4 95% CI 2.2-2.9, p < 0.001), and in remote (IRR 5.2 95% CI 4.3-6.2, p < 0.001) and very remote (IRR 8.2 95% CI 6.9-9.8, p < 0.001) areas, compared to major cities. A linear test for trend showed a statistically significant trend with increasing remoteness. Remote communities need to be a priority for future targeted health promotion and disease prevention interventions to reduce cryptosporidiosis in children <5 years.

  17. The Risk of Reported Cryptosporidiosis in Children Aged <5 Years in Australia is Highest in Very Remote Regions

    Directory of Open Access Journals (Sweden)

    Aparna Lal

    2015-09-01

    Full Text Available The incidence of cryptosporidiosis is highest in children <5 years, yet little is known about disease patterns across urban and rural areas of Australia. In this study, we examine whether the risk of reported cryptosporidiosis in children <5 years varies across an urban-rural gradient, after controlling for season and gender. Using Australian data on reported cryptosporidiosis from 2001 to 2012, we spatially linked disease data to an index of geographic remoteness to examine the geographic variation in cryptosporidiosis risk using negative binomial regression. The Incidence Risk Ratio (IRR of reported cryptosporidiosis was higher in inner regional (IRR 1.4 95% CI 1.2–1.7, p < 0.001, and outer regional areas (IRR 2.4 95% CI 2.2–2.9, p < 0.001, and in remote (IRR 5.2 95% CI 4.3–6.2, p < 0.001 and very remote (IRR 8.2 95% CI 6.9–9.8, p < 0.001 areas, compared to major cities. A linear test for trend showed a statistically significant trend with increasing remoteness. Remote communities need to be a priority for future targeted health promotion and disease prevention interventions to reduce cryptosporidiosis in children <5 years.

  18. [Frequency of cervical epithelial lesions reported in the Regional Laboratory of Exfoliative Cytology in Jalisco].

    Science.gov (United States)

    González-López, Sergio; Martínez-Silva, María G; Hernández-Hernández, Dulce M; Aguilar-Lemarroy, Adriana; Jave-Suárez, Luis Felipe

    2015-01-01

    The Official Mexican Norm for the prevention, treatment and control of Cervical Cancer (CC) indicates that the Papanicolau (Pap) is the procedure for the detection of this neoplasia; therefore, it is of interest to know the prevalence of suspected cases by this technique in Mexican population. In this study, we show the diagnosed cases in the State of Jalisco, México. A retrospective study was made to the samples that arrived for their analysis to the Laboratorio Regional de Citología Exfoliativa (LARCE), of the Instituto Mexicano del Seguro Social (IMSS) in Guadalajara, Jalisco. We considered all cases from January 2010 to December 2012. We analyzed 188 095 cases, from which 5.3 % had a diagnosis of low dysplasia, 0.18 % of moderated dysplasia and 0.05 % of high dysplasia. Microinvasive and invasive cancer showed a low frequency (0.03 %). The frequency of abnormal findings identified by vaginal cervical cytology is relatively low. The number of inadequate and limited samples for cytological assessment is high; there is a high proportion of women attending for the first time in life to cytology evaluation in older age groups.

  19. Snow and Ice Applications of AVHRR in Polar Regions: Report of a Workshop

    Science.gov (United States)

    Steffen, K.; Bindschadler, R.; Casassa, G.; Comiso, J.; Eppler, D.; Fetterer, F.; Hawkins, J.; Key, J.; Rothrock, D.; Thomas, R.; hide

    1993-01-01

    The third symposium on Remote Sensing of Snow and Ice, organized by the International Glaciological Society, took place in Boulder, Colorado, 17-22 May 1992. As part of this meeting a total of 21 papers was presented on snow and ice applications of Advanced Very High Resolution Radiometer (AVHRR) satellite data in polar regions. Also during this meeting a NASA sponsored Workshop was held to review the status of polar surface measurements from AVHRR. In the following we have summarized the ideas and recommendations from the workshop, and the conclusions of relevant papers given during the regular symposium sessions. The seven topics discussed include cloud masking, ice surface temperature, narrow-band albedo, ice concentration, lead statistics, sea-ice motion and ice-sheet studies with specifics on applications, algorithms and accuracy, following recommendations for future improvements. In general, we can affirm the strong potential of AVHRR for studying sea ice and snow covered surfaces, and we highly recommend this satellite data set for long-term monitoring of polar process studies. However, progress is needed to reduce the uncertainty of the retrieved parameters for all of the above mentioned topics to make this data set useful for direct climate applications such as heat balance studies and others. Further, the acquisition and processing of polar AVHRR data must become better coordinated between receiving stations, data centers and funding agencies to guarantee a long-term commitment to the collection and distribution of high quality data.

  20. First Report of Human Fascioliasis in an Endemic Region of Bovine Fascioliasis in Caldas-Colombia

    Science.gov (United States)

    Giraldo-Pinzon, Etna Julieth; Aguilar-Marín, Sandra

    2016-01-01

    Abstract Fascioliasis causes significant economic losses to the cattle industry and is considered a reemerging zoonosis. In Caldas-Colombia, an increase of bovine fascioliasis was detected at the Manizales Municipal Slaughterhouse, which is a potential risk to public health. The ecoepidemiology of human fascioliasis was analyzed in a region of bovine fascioliasis in Caldas-Colombia. The risk factors were studied. Samples were taken from 111 people who were directly related to the bovine milk production process. The immunoglobulin G frequency of Fasciola hepatica was determined in serum. A seriate stool test and a molecular analysis were conducted on those with positive results to look for parasite eggs and DNA, respectively. 6.3% of the samples were positive for the presence of antibodies; none was positive for the presence of eggs, while two samples showed a weak amplification band of the 124-bp DNA fragment of F. hepatica. Fifty-seven percent of the positive samples came from places located at 2026 meters above sea level (masl); 71% of people testing positive had been recently dewormed. Also, 86% had been in contact with cattle and handled grass and excrement. They eat salads and drink untreated water from the springs or ravines of the area. An outbreak of human fascioliasis was detected in Caldas, associated with risk factors for the disease. Clinical trials to confirm the presence of the parasite and implement public health control measures are required. PMID:27045315

  1. First Report of Human Fascioliasis in an Endemic Region of Bovine Fascioliasis in Caldas-Colombia.

    Science.gov (United States)

    Perez-C, Jorge Enrique; Giraldo-Pinzon, Etna Julieth; Aguilar-Marín, Sandra

    2016-06-01

    Fascioliasis causes significant economic losses to the cattle industry and is considered a reemerging zoonosis. In Caldas-Colombia, an increase of bovine fascioliasis was detected at the Manizales Municipal Slaughterhouse, which is a potential risk to public health. The ecoepidemiology of human fascioliasis was analyzed in a region of bovine fascioliasis in Caldas-Colombia. The risk factors were studied. Samples were taken from 111 people who were directly related to the bovine milk production process. The immunoglobulin G frequency of Fasciola hepatica was determined in serum. A seriate stool test and a molecular analysis were conducted on those with positive results to look for parasite eggs and DNA, respectively. 6.3% of the samples were positive for the presence of antibodies; none was positive for the presence of eggs, while two samples showed a weak amplification band of the 124-bp DNA fragment of F. hepatica. Fifty-seven percent of the positive samples came from places located at 2026 meters above sea level (masl); 71% of people testing positive had been recently dewormed. Also, 86% had been in contact with cattle and handled grass and excrement. They eat salads and drink untreated water from the springs or ravines of the area. An outbreak of human fascioliasis was detected in Caldas, associated with risk factors for the disease. Clinical trials to confirm the presence of the parasite and implement public health control measures are required.

  2. Geologic Mapping of the Beta-Atla-Themis (BAT) Region of Venus: A Progress Report

    Science.gov (United States)

    Bleamaster, Leslie F., III

    2009-01-01

    The BAT province is of particular interest with respect to evaluating Venus geologic, tectonic, and volcanic history and provides tests of global paradigms regarding her thermal evolution. The BAT is "ringed" by volcano-tectonic troughs (Parga, Hecate, and Devana Chasmata), has an anomalously high-density of volcanic features with concentrations 2-4 times the global average [1], and is spatially coincident with "young terrain" as illustrated by Average Surface Model Ages [2, 3]. The BAT province is key to understanding Venus current volcanic and tectonic modes, which may provide insight for evaluating Venus historical record. Several quadrangles, two 1:5,000,000 scale - Isabella (V-50) Quadrangle and Devana Chasma (V-29) Quadrangle and two 1:10,000,000 scale - Helen Planitia (I-2477) and Guinevere Planitia (I-2457), are in various stages of production (Figure 1). This abstract will report on their levels of completion as well as highlight some current results and outstanding issues.

  3. Geothermal environmental studies, Heber Region, Imperial Valley, California. Environmental baseline data acquisition. Final report

    Energy Technology Data Exchange (ETDEWEB)

    1977-02-01

    The Electric Power Research Institute (EPRI) has been studying the feasibility of a Low Salinity Hydrothermal Demonstration Plant as part of its Geothermal Energy Program. The Heber area of the Imperial Valley was selected as one of the candidate geothermal reservoirs. Documentation of the environmental conditions presently existing in the Heber area is required for assessment of environmental impacts of future development. An environmental baseline data acquisition program to compile available data on the environment of the Heber area is reported. The program included a review of pertinent existing literature, interviews with academic, governmental and private entities, combined with field investigations and meteorological monitoring to collect primary data. Results of the data acquisition program are compiled in terms of three elements: the physical, the biological and socioeconomic settings.

  4. Evaluation of the neutron cross sections of 235U in the thermal energy region. Final report

    International Nuclear Information System (INIS)

    Leonard, B.R. Jr.; Kottwitz, D.A.; Thompson, J.K.

    1976-02-01

    The objective of this work has been to improve the knowledge of the thermal cross sections of the fissile nuclei as a step toward providing a standard data base for the nuclear industry. The methodology uses a form of the Adler-Adler multilevel-fission theory and Breit-Wigner multilevel-scattering theory. It incorporates these theories in a general nonlinear least-squares (LSQ) fitting program SIGLEARNThe analysis methodology in this work was applied to the thermal data on 235 U. A reference data file has been developed which includes most of the known data of interest. The first important result of this work is the assessment of the shape uncertainties of the partial cross sections. The results of our studies lead to the following values and error estimates for 235 U g factors in a thermal (20.44 0 C) energy spectrum: g/sub f/ = 0.97751 (+-0.11%); g/sub γ/ = 0.98230 (+-0.14%). A second important result of this study is the development of a recommended set of 2200 m/s (0.0253 eV) values of the parameters and the probable range of further adjustment which might be made. The analysis also provides the result of a common interpretation of energy-dependent absolute cross-section data of different measurements to yield a consistent set of experimental 0.0253 eV values with rigorous error estimates. It also provides normalization factors for relative fission and capture cross sections on a common basis with rigorous error estimates. The results of these analyses provide a basis for deciding what new measurements would be most beneficial. The most important of these would be improved direct capture data in the thermal region

  5. Previously undiagnosed hemophilia patient with intracerebral hemorrhage

    Directory of Open Access Journals (Sweden)

    Eray Atalay

    2015-09-01

    Full Text Available Intracranial bleeding in hemophilia patients is a rare but a mortal complication. Diagnosis of hemophilia in adulthood is an uncommon occurrence. In this case report an adult patient with intracranial hemorrhage is presented.

  6. Production of renewable energies in the Mulhouse region. Present situation and production perspectives - Study report June 2015

    International Nuclear Information System (INIS)

    Horodyski, Catherine

    2015-06-01

    After having briefly defined renewable energies, and outlined the benefits of their development, this report first proposes an overview of the present situation of renewable energy production in the Mulhouse region. Thus, it distinguishes hydraulic, photovoltaic, biomass, biogas, solar thermal, geothermal, aero-thermal, aqua-thermal, and fatal energies, and energy recovery from waste waters. It also addresses other resources to be exploited such as wind energy, deep geothermal energy, methanization, and electric production for direct usage. The next part proposes a brief assessment of the development potential with quantitative objectives and perspectives of development for renewable energies. The third part briefly addresses the influence of such a development on land planning

  7. Clear cell hidradenocarcinoma of the ear helix: report of primary ear helix adnexal carcinoma with regional lymph node metastasis.

    Science.gov (United States)

    Bae, Tae Hui; Kang, Shin Hyuk; Kim, Han Koo; Kim, Woo Seob; Kim, Mi Kyung

    2014-07-01

    Clear cell hidradenocarcinoma is a rare tumor of eccrine sweat gland origin that has a predilection for the head and neck. It has an indolent growth pattern and a higher incidence of regional and distant metastases. Metastasizing adnexal carcinomas are rare; thus, currently there is no uniform treatment guideline. We report a case of an 89-year-old female patient with clear cell hidradenocarcinoma manifesting in the right ear helix that metastasized to the right parotid gland who was treated by wide local excision and radiation therapy.

  8. Developing physician consensus on the reporting of patients with mild cognitive impairment and mild dementia to transportation authorities in a region with mandatory reporting legislation.

    Science.gov (United States)

    Rapoport, Mark J; Naglie, Gary; Herrmann, Nathan; Zucchero Sarracini, Carla; Mulsant, Benoit H; Frank, Christopher; Kiss, Alex; Seitz, Dallas; Vrkljan, Brenda; Masellis, Mario; Tang-Wai, David; Pimlott, Nicholas; Molnar, Frank

    2014-12-01

    To establish consensus among dementia experts about which patients with mild cognitive impairment (MCI) or mild dementia should be reported to transportation authorities. We conducted a literature review of predictors of driving safety in patients with dementia and combined these into 26 case scenarios. Using a modified Delphi technique, case scenarios were reviewed by 38 dementia experts (geriatric psychiatrists, geriatricians, cognitive neurologists and family physicians with expertise in elder care) who indicated whether or not they would report the patient in each scenario to regional transportation authorities and recommend a specialized on-road driving test. Scenarios were presented up to five times to achieve consensus, defined as 85% agreement, and discrepancies were discussed anonymously online. By the end of the fifth iteration, there was cumulative consensus on 18 scenarios (69%). The strongest predictors of decision to report were the combination of caregiver concern about the patient's driving and abnormal Clock Drawing Test, which accounted for 62% of the variance in decision to report at the same time as or without a road test (p driving safety is uncertain for patients with MCI and emphasizes the importance of assessing executive dysfunction and caregiver concern about driving. Copyright © 2014 American Association for Geriatric Psychiatry. Published by Elsevier Inc. All rights reserved.

  9. Haemophilus influenzae type f meningitis in a previously healthy boy

    DEFF Research Database (Denmark)

    Ronit, Andreas; Berg, Ronan M G; Bruunsgaard, Helle

    2013-01-01

    Non-serotype b strains of Haemophilus influenzae are extremely rare causes of acute bacterial meningitis in immunocompetent individuals. We report a case of acute bacterial meningitis in a 14-year-old boy, who was previously healthy and had been immunised against H influenzae serotype b (Hib...

  10. Process cells dismantling of EUREX pant: previous activities

    International Nuclear Information System (INIS)

    Gili, M.

    1998-01-01

    In the '98-'99 period some process cells of the EUREX pant will be dismantled, in order to place there the liquid wastes conditioning plant 'CORA'. This report resumes the previous activities (plant rinsing campaigns and inactive Cell 014 dismantling), run in the past three years and the drawn experience [it

  11. First reported case of fulminant TB with progression of infection from lungs to the genitourinary region

    Directory of Open Access Journals (Sweden)

    Tatjana Adzic-Vukicevic

    Full Text Available ABSTRACT Although tuberculosis (TB is a curable disease, it continues to be one of the leading infections associated with death in the world. Extra-pulmonary TB (EPTB occurs in approximately 10% of the total cases, presenting with lymph nodes, pleura, bone and genitourinary tract as the most common locations. Genitourinary tuberculosis, the second most common EPTB, is very difficult to diagnose unless there is a high index of suspicion. Isolated TB orchitis or prostatitis without clinical evidence of renal involvement is a rare entity among genitourinary tuberculosis. We presented the first reported case of TB prostatitis and orchitis associated with pulmonary TB and the presence of an acute massive caseous pneumonia in an immunocompetent man. Despite the anti-TB therapy, the patient presented a rapid progression of disease and deterioration of general conditions taking to death, which occurred four days after TB treatment had started. Disseminated TB is a relatively uncommon cause of acute massive caseous pneumonia; however, there should always be suspicion of the disease, since it is a potentially treatable cause. This rare case supports the assertion that TB should be considered as an important differential diagnosis of genitourinary tumors irrespective of evidence of active TB elsewhere in the body.

  12. Geologic characterization report for the Paradox Basin Study Region, Utah Study Areas. Volume 6. Salt Valley

    International Nuclear Information System (INIS)

    1984-12-01

    Surface landforms in the Salt Valley Area are generally a function of the Salt Valley anticline and are characterized by parallel and subparallel cuestaform ridges and hogbacks and flat valley floors. The most prominent structure in the Area is the Salt Valley anticline. Erosion resulting from the Tertiary uplift of the Colorado Plateau led to salt dissolution and subsequent collapse along the crest of the anticline. Continued erosion removed the collapse material, forming an axial valley along the crest of the anticline. Paleozoic rocks beneath the salt bearing Paradox Formation consist of limestone, dolomite, sandstone, siltstone and shale. The salt beds of the Paradox Formation occur in distinct cycles separated by an interbed sequence of anhydrite, carbonate, and clastic rocks. The Paradox Formation is overlain by Pennsylvanian limestone; Permian sandstone; and Mesozoic sandstone, mudstone, conglomerate and shale. No earthquakes have been reported in the Area during the period of the historic record and contemporary seismicity appears to be diffusely distributed, of low level and small magnitude. The upper unit includes the Permian strata and upper Honaker Trail Formation. The current data base is insufficient to estimate ground-water flow rates and directions in this unit. The middle unit includes the evaporites in the Paradox Formation and no laterally extensive flow systems are apparent. The lower unit consists of the rocks below the Paradox Formation where permeabilities vary widely, and the apparent flow direction is toward the west. 108 refs., 39 figs., 9 tabs

  13. The threat from sea and land. Regional report 2: the Bay of Bengal.

    Science.gov (United States)

    1994-01-01

    This article reports on the environmental threat caused by the Bay of Bengal on the economic situation in Bangladesh and India. More than four-fifths of Bangladesh amount to an extended delta at the confluence of one of the largest river systems in the world, comprising the Ganges, Brahmaputra, and Meghna. In the Brahmaputra watershed, the rate of deforestation caused soil erosion in the Himalayas is five times as much as in the geological past. This sediment loading is often considered to be a prime factor in downstream flooding. Because of this, Bangladesh agriculture products were damaged, which led to economic instability. Furthermore, as a result of the combined impacts of population growth, poverty, no land, and inadequate food supplies, many migrated into the neighboring Indian areas. Moreover, the susceptibility of the Bay of Bengal to cyclones has caused a great number of deaths leaving millions of people homeless. Cyclone episodes are expected to be more frequent as global warming continues. Furthermore, Bangladesh was estimated to be only 5 meters above sea level, which is considered vulnerable to sea level rise. On top of these problems, trouble from the other side of Bangladesh was also predicted with the combined outflow of the Ganges, Brahmaputra, and Meghna leading to more national damage.

  14. Leptospirosis: a report on a series of five autochthonous cases in a Greek region.

    Science.gov (United States)

    Panagopoulos, Periklis; Ganitis, Anestis; Papanas, Nikolaos; Iosifidou, Georgia; Maltsan, Tzelal; Kioutsouk, Serif; Christakidou, Evi; Maltezos, Efstratios

    2016-10-01

    Leptospirosis is a worldwide zoonotic disease difficult to diagnose both to the clinic and the laboratory. Many risk factors have been involved, such as planting, hunting, harvesting and butchering or sports, such as rafting. We reported our experience through a period of 20  months and we tried to investigate prognostic factors predicting clinical outcomes. Five male patients were admitted to our Department with a median age of 40  years. Overall, three out of five patients presented to other hospital and were transferred to ours with a wrong or delayed diagnosis. In terms of clinical signs and symptoms, all presented with fever, myalgia, headache and jaundice, whereas conjunctival suffusion was present in 80% of them. Acute renal injury and liver deficiency were diagnosed in all subjects. Acute renal failure management required dialysis in 3/5 patients, whereas renal recovery was achieved soon after clinical improvement. However, clinical awareness and serology are the most important tools for accurate and quick diagnosis in order to administer the appropriate therapy.

  15. Report of investigation on underground limestone mines in the Ohio region

    International Nuclear Information System (INIS)

    Byerly, D.W.

    1976-06-01

    The following is a report of investigation on the geologic setting of several underground limestone mines in Ohio other than the PPG mine at Barberton, Ohio. Due to the element of available time, the writer is only able to deliver a brief synopsis of the geology of three sites visited. These three sites and the Barberton, Ohio site are the only underground limestone mines in Ohio to the best of the writer's knowledge. The sites visited include: (1) the Jonathan Mine located near Zanesville, Ohio, and currently operated by the Columbia Cement Corporation; (2) the abandoned Alpha Portland Cement Mine located near Ironton, Ohio; and (3) the Lewisburg Mine located at Lewisburg, Ohio, and currently being utilized as an underground storage facility. Other remaining possibilities where limestone is being mined underground are located in middle Ordovician strata near Carntown and Maysville, Kentucky. These are drift mines into a thick sequence of carbonates. The writer predicts, however, that these mines would have some problems with water due to the preponderance of carbonate rocks and the proximity of the mines to the Ohio River. None of the sites visited nor the sites in Kentucky have conditions comparable to the deep mine at Barberton, Ohio

  16. Geologic characterization report for the Paradox Basin Study Region, Utah Study Areas. Volume 6: Salt Valley

    Science.gov (United States)

    1984-12-01

    Surface landforms in the Salt Valley Area are generally a function of the Salt Valley anticline and are characterized by parallel and subparallel cuestaform ridges and hogbacks and flat valley floors. The most prominent structure in the Area is the Salt Valley anticline. Erosion resulting from the Tertiary uplift of the Colorado Plateau led to salt dissolution and subsequent collapse along the crest of the anticline. Continued erosion removed the collapse material, forming an axial valley along the crest of the anticline. Paleozoic rocks beneath the salt bearing Paradox Formation consist of limestone, dolomite, sandstone, siltstone and shale. The salt beds of the Paradox formation occur in distinct cycles separated by an interbed sequence of anhydrite, carbonate, and clastic rocks. The Paradox Formation is overlain by Pennsylvanian limestone; Permian sandstone; and Mesozoic sandstone, mudstone, conglomerate and shale. No earthquakes have been reported in the area during the period of the historic record and contemporary seismicity appears to be diffusely distributed, of low level and small magnitude. The upper unit includes the Permian strata and upper Honaker trail formation.

  17. The global pertussis initiative: Meeting report from the Regional Latin America Meeting, Costa Rica, 5-6 December, 2008.

    Science.gov (United States)

    Ulloa-Gutierrez, Rolando; Hozbor, Daniela; Avila-Aguero, Maria L; Caro, Jaime; Wirsing von König, Carl-Heinz; Tan, Tina; Plotkin, Stanley

    2010-11-01

    Pertussis remains endemic across the world, with an estimated 279,000 deaths in 2002, the majority in infants under 1 year of age. Worldwide epidemiologic data indicates increasing infection rates in older children and adults, which act as a source of infection to young infants. The Global Pertussis Initiative (GPI) is an expert scientific forum, which has published consensus recommendations for the monitoring, prevention, and treatment of the disease. This paper reports the proceedings of a regional meeting, held in Costa Rica in December 2008. The meeting gathered information on regional epidemiological, diagnostic capabilities and the ability to introduce GPI recommended vaccine strategies in Latin America. The capacity of Latin American countries to conduct vaccination programs is high and there is considerable government support. Whole-cell pertussis vaccines are used across Latin America, which appear to be quite effective. A 4-dose schedule is typically used (2, 4, 6, and 18 months), and a booster given at 4 to 6 years of age, with coverage often above 90%, but with regions of low coverage due to political and geographical difficulties. Adequate surveillance is lacking in many countries, giving insufficient data to guide vaccination policy. Improvements are being made, with countries such as Costa Rica, Panama, and Argentina introducing polymerase chain reaction (PCR) diagnosis. Those countries that do not currently use a preschool booster should launch one. Implementing vaccination programs in adolescents and/or adults to reduce exposure to infants would be beneficial and possible in most countries, given their current infrastructure.

  18. Investigation of the potential of wind energy applications in the Sct. Petersburg region. Pre-feasibility study report. Phase 1

    International Nuclear Information System (INIS)

    1995-11-01

    It was proposed to initiate an investigation and, if found to be viable, a feasibility study of the possibilities for partly substituting and supplementing the existing nuclear and fossil fuel based energy supply of the St. Petersburg region with environmentally benign wind energy. The feasibility study is expected to lead to one or more pilot projects. The proposal outlines a three-phased project including an investigation, a feasibility study and a full scale demonstration of wind energy in this region. A 4th phase is envisaged, and this will include the large scale introduction of wind energy applications using national and international financing and resulting in increased local production. The report covers the first phase, the investigation which includes data acquisition and desk studies. It is shown that technically exploitable wind potential exists in the St. Petersburg region, that local production of wind turbine equipment will reduce wind turbine costs due to decreased transport costs and lower local salaries, that suitable sites for the demonstration of both grid-connected wind farms and wind-diesel systems have been preliminarily identified and that the demonstration plants investigated have exhibited reasonable economic parameters - IRR in the range of 9 - 15%. But a feasibility study phase (2) including engineering and economic analyses must be carried out in order to reach the necessary detailed understanding of the technical and economic implications of full scale demonstration projects. (EG)

  19. Regional summary and recommended study areas for the Texas panhandle portion of the Permian Basin. Technical report

    International Nuclear Information System (INIS)

    1979-10-01

    This report summarizes the regional geologic and environmental characterizations that have been completed for the Permian region of study, and describes the procedure used to identify study areas for the next phase of investigation. The factors evaluated in the Permian region fall into three broad areas: health and safety, environmental and socioeconomic, and engineering and economic considerations. Health and safety considerations included salt depth and thickness, faults, seismic activity, groundwater, salt dissolution, energy and mineral resources, presence of boreholes, and interactive land uses. Salt depth and thickness was the key health and safety factor, and when mapped, proved to be a discriminator. The evaluation of environmental and socioeconomic conditions focused primarily on the presence of urban areas and on designated land uses such as parks, wildlife areas, and historic sites. Engineering and economic considerations centered primarily on salt depth, which was already evaluated in the health and safety area. The Palo Duro and Dalhart basins are recommended for future studies on the basis of geology. In these two basins, salt depth and thickness appear promising, and there is less likelihood of past or future oil and gas exploratory holes. Environmental and socioeconomic factors did not preclude any of the basins from further study

  20. Treatment of complex regional pain syndrome type 1 in a pediatric patient using the lidocaine patch 5%: a case report

    Directory of Open Access Journals (Sweden)

    Steven G Frost, MD

    2003-09-01

    Full Text Available Background: Successful treatment of complex regional pain syndrome type 1 (CRPS-1 requires a coordinated, multidisciplinary approach. Physical rehabilitation is an important component of long-term treatment. Unfortunately, patients with significant allodynia or hyperalgesia characteristic of CRPS-1 often have difficulty progressing through a physical therapy (PT regimen. In most adults with CRPS-1, the treatment of choice is PO opioids. Objective: This article presents a case report of the use of the lidocaine patch 5%, a targeted peripheral analgesic, in a pediatric patient and its effects on reducing pain, improving the patient's overall attitude, and facilitating compliance with ongoing PT. Results: A 10-year-old girl developed CRPS-1 after arthroscopic surgery for a sprained ankle. Attempts at PT were unsuccessful due to inadequate pain relief from various treatment modalities. Therapy with the lidocaine patch 5% was initiated and resulted in significant pain relief, improvements in the patient's attitude, and progress with PT. Conclusion: This case report of a child with CRPS-1 showed that therapy with lidocaine patch 5% may be efficacious in treating children with pain resulting from CRPS-1, thereby increasing the success of PT. Keywords: complex regional pain syndrome, lidocaine patch 5%, targeted peripheral analgesic, pediatrics

  1. Books average previous decade of economic misery.

    Science.gov (United States)

    Bentley, R Alexander; Acerbi, Alberto; Ormerod, Paul; Lampos, Vasileios

    2014-01-01

    For the 20(th) century since the Depression, we find a strong correlation between a 'literary misery index' derived from English language books and a moving average of the previous decade of the annual U.S. economic misery index, which is the sum of inflation and unemployment rates. We find a peak in the goodness of fit at 11 years for the moving average. The fit between the two misery indices holds when using different techniques to measure the literary misery index, and this fit is significantly better than other possible correlations with different emotion indices. To check the robustness of the results, we also analysed books written in German language and obtained very similar correlations with the German economic misery index. The results suggest that millions of books published every year average the authors' shared economic experiences over the past decade.

  2. Books Average Previous Decade of Economic Misery

    Science.gov (United States)

    Bentley, R. Alexander; Acerbi, Alberto; Ormerod, Paul; Lampos, Vasileios

    2014-01-01

    For the 20th century since the Depression, we find a strong correlation between a ‘literary misery index’ derived from English language books and a moving average of the previous decade of the annual U.S. economic misery index, which is the sum of inflation and unemployment rates. We find a peak in the goodness of fit at 11 years for the moving average. The fit between the two misery indices holds when using different techniques to measure the literary misery index, and this fit is significantly better than other possible correlations with different emotion indices. To check the robustness of the results, we also analysed books written in German language and obtained very similar correlations with the German economic misery index. The results suggest that millions of books published every year average the authors' shared economic experiences over the past decade. PMID:24416159

  3. Discovery of previously unidentified genomic disorders from the duplication architecture of the human genome

    NARCIS (Netherlands)

    Sharp, Andrew J.; Hansen, Sierra; Selzer, Rebecca R.; Cheng, Ze; Regan, Regina; Hurst, Jane A.; Stewart, Helen; Price, Sue M.; Blair, Edward; Hennekam, Raoul C.; Fitzpatrick, Carrie A.; Segraves, Rick; Richmond, Todd A.; Guiver, Cheryl; Albertson, Donna G.; Pinkel, Daniel; Eis, Peggy S.; Schwartz, Stuart; Knight, Samantha J. L.; Eichler, Evan E.

    2006-01-01

    Genomic disorders are characterized by the presence of flanking segmental duplications that predispose these regions to recurrent rearrangement. Based on the duplication architecture of the genome, we investigated 130 regions that we hypothesized as candidates for previously undescribed genomic

  4. Previous Experience a Model of Practice UNAE

    OpenAIRE

    Ormary Barberi Ruiz; María Dolores Pesántez Palacios

    2017-01-01

    The statements presented in this article represents a preliminary version of the proposed model of pre-professional practices (PPP) of the National University of Education (UNAE) of Ecuador, an urgent institutional necessity is revealed in the descriptive analyzes conducted from technical support - administrative (reports, interviews, testimonials), pedagogical foundations of UNAE (curricular directionality, transverse axes in practice, career plan, approach and diagnostic examination as subj...

  5. Agreement between self-reported and physically verified male circumcision status in Nyanza region, Kenya: Evidence from the TASCO study.

    Science.gov (United States)

    Odoyo-June, Elijah; Agot, Kawango; Mboya, Edward; Grund, Jonathan; Musingila, Paul; Emusu, Donath; Soo, Leonard; Otieno-Nyunya, Boaz

    2018-01-01

    Self-reported male circumcision (MC) status is widely used to estimate community prevalence of circumcision, although its accuracy varies in different settings depending on the extent of misreporting. Despite this challenge, self-reported MC status remains essential because it is the most feasible method of collecting MC status data in community surveys. Therefore, its accuracy is an important determinant of the reliability of MC prevalence estimates based on such surveys. We measured the concurrence between self-reported and physically verified MC status among men aged 25-39 years during a baseline household survey for a study to test strategies for enhancing MC uptake by older men in Nyanza region of Kenya. The objective was to determine the accuracy of self-reported MC status in communities where MC for HIV prevention is being rolled out. Agreement between self-reported and physically verified MC status was measured among 4,232 men. A structured questionnaire was used to collect data on MC status followed by physical examination to verify the actual MC status whose outcome was recorded as fully circumcised (no foreskin), partially circumcised (foreskin is past corona sulcus but covers less than half of the glans) or uncircumcised (foreskin covers half or more of the glans). The sensitivity and specificity of self-reported MC status were calculated using physically verified MC status as the gold standard. Out of 4,232 men, 2,197 (51.9%) reported being circumcised, of whom 99.0% were confirmed to be fully circumcised on physical examination. Among 2,035 men who reported being uncircumcised, 93.7% (1,907/2,035) were confirmed uncircumcised on physical examination. Agreement between self-reported and physically verified MC status was almost perfect, kappa (k) = 98.6% (95% CI, 98.1%-99.1%. The sensitivity of self-reporting being circumcised was 99.6% (95% CI, 99.2-99.8) while specificity of self-reporting uncircumcised was 99.0% (95% CI, 98.4-99.4) and did not differ

  6. Report on the lands of the arid region of the United States with a more detailed account of the land of Utah with maps

    Science.gov (United States)

    Powell, John Wesley

    1879-01-01

    A report from Maj. J. W.Powell, geologist in charge of the United States Geographical and Geological Survey of the Rocky Mountain Region, upon the lands of the Arid Region of the United States, setting forth the extent of said region, and making suggestions as to the conditions under which the lands embraced within its limit may be rendered available for agricultural and grazing purposes. With the report is transmitted a statement of the rainfall of the western portion of the United States, with reports upon the subject of irrigation by Capt. C. E. Button, U. S. A., Prof. A. H. Thompson, and Mr. G. K. Gilbert.

  7. CO{sub 2}MPARE. CO2 Model for Operational Programme Assessment in EU Regions. Improved carbon management with EU Regional Policy. Final Report

    Energy Technology Data Exchange (ETDEWEB)

    Hekkenberg, M. [ECN Policy Studies, Amsterdam (Netherlands); Schram, J. [Energies Demain, Montreuil Sous Bois (France); Amerighi, O. [Italian National Agency for New Technologies, Energy and Sustainable Economic Development ENEA, Rome (Italy); Keppo, I. [University College London UCL, London (United Kingdom); Papagianni, S. [Centre for Renewable Energy Sources and Saving CRES, Pikermi Attiki (Greece); Ten Donkelaar, M. [ENVIROS, Prague (Czech Republic)

    2013-03-15

    The CO2MPARE model supports national and regional authorities in making balanced decisions for their investment portfolio under their regional development programmes, in particular under their Operational Programmes of EU Regional Policy. The EU's climate objectives require that investments across the EU are channeled towards low-carbon development. The carbon impacts of investments should therefore be seriously considered in the decision making process of regional development programmes. The CO2MPARE model informs national and regional authorities on the impacts that the investments under various Operational Programmes can have in terms of CO2 emissions. Knowing which investments lead either to additional emissions or rather to emission reductions, and what the overall impact of a programme is, represents the first step towards investment decisions that have decarbonisation co-benefits. CO2MPARE estimates the combined carbon impact of all activities that take place under a programme, and provides insights into the relative contributions of the different themes. Through its high aggregation level, it allows comparison of investment scenarios rather than individual projects. As such, it aims to support informed decisions on investment strategies rather than project investment decisions. In doing so, it also helps to build and develop a 'carbon culture' within the authorities directly or indirectly in charge of managing Regional Policy Operational Programmes. The model is primarily aimed at Operational Programmes co-financed by the European Regional Development Fund (ERDF)

  8. Investigating Reports of Complex Regional Pain Syndrome: An Analysis of HPV-16/18-Adjuvanted Vaccine Post-Licensure Data

    Science.gov (United States)

    Huygen, Frank; Verschueren, Kristin; McCabe, Candida; Stegmann, Jens-Ulrich; Zima, Julia; Mahaux, Olivia; Van Holle, Lionel; Angelo, Maria-Genalin

    2015-01-01

    Complex regional pain syndrome (CRPS) is a chronic pain disorder that typically follows trauma or surgery. Suspected CRPS reported after vaccination with human papillomavirus (HPV) vaccines led to temporary suspension of proactive recommendation of HPV vaccination in Japan. We investigated the potential CRPS signal in relation to HPV-16/18-adjuvanted vaccine (Cervarix®) by database review of CRPS cases with independent expert confirmation; a disproportionality analysis and analyses of temporality; an observed versus expected analysis using published background incidence rates; systematic reviews of aggregate safety data, and a literature review. The analysis included 17 case reports of CRPS: 10 from Japan (0.14/100,000 doses distributed) and seven from the United Kingdom (0.08/100,000). Five cases were considered by independent experts to be confirmed CRPS. Quantitative analyses did not suggest an association between CRPS and HPV-16/18-adjuvanted vaccine. Observed CRPS incidence after HPV-16/18 vaccination was statistically significantly below expected rates. Systematic database reviews using search terms varying in specificity and sensitivity did not identify new cases. No CRPS was reported during clinical development and no unexpected results found in the literature. There is not sufficient evidence to suggest an increased risk of developing CRPS following vaccination with HPV-16/18-adjuvanted vaccine. Post-licensure safety surveillance confirms the acceptable benefit-risk of HPV-16/18 vaccination. PMID:26501109

  9. Accessibility-based evaluation of transportation and land-use planning : from laboratory to practice : USDOT Region V Regional University Transportation Center final report.

    Science.gov (United States)

    2016-12-16

    The concept of accessibility has made inroads into planning practice, largely at the system level. That is, accessibility is measured or modeled for current or future regional transportation and land-use scenarios for evaluation or broad policy guida...

  10. ASEAN REGIONAL ENTREPRENEURSHIP REPORT

    International Development Research Centre (IDRC) Digital Library (Canada)

    This timely evidence is needed to create the sound policies that help small businesses thrive and benefit society as a whole. Each year GEM countries around the ... more confidence in their own ability to start a business. Coupled with the fairly ...

  11. ASEAN REGIONAL ENTREPRENEURSHIP REPORT

    International Development Research Centre (IDRC) Digital Library (Canada)

    there is high media visibility for successful entrepreneurs. ...... strongly influence the motivations of people to enter entrepreneurship. ... attitude towards entrepreneurship, this can generate cultural and social support, financial and business ...

  12. Report on airborne radioactivity surveys and the uranium deposits in the Red River region of Texas and Oklahoma

    International Nuclear Information System (INIS)

    Blair, R.G.; Stehle, F.T.; Levich, R.A.

    1973-11-01

    The U. S. Atomic Energy Commission conducted an airborne radioactivity survey of the Red River region of Texas and Oklahoma beginning in December 1955 and ending in May 1956. All or parts of Archer, Clay, and Montague Counties in northern Texas and Carter, Cotton, Jefferson, and Stephens Counties in southern Oklahoma were surveyed. Particular attention was paid to those areas where exposures are found of red beds of the Permian Wichita Group. Field examinations were conducted of anomalies discovered by airborne reconnaissance as well as those reported by private individuals. Forty localities were examined, the majority in sandstones, siltstones, or conglomerates. Uranium and copper minerals were identified at several localities. Ferruginous staining, bleaching of the sandstone color, calcium carbonate cement, and carbonized plant remains are common to the deposits

  13. Cervical Epidural Anaesthesia for Radical Mastectomy and Chronic Regional Pain Syndrome of Upper Limb - A Case Report

    Directory of Open Access Journals (Sweden)

    Ashok Jadon

    2009-01-01

    Full Text Available A 47-yrs-female patient presented with carcinoma right breast, swelling and allodynia of right upper limb. radical mastectomy with axillary clearance and skin grafting was done under cervical epidural anaesthesia through 18G epidural catheter placed at C6/C7 level. Postoperative analgesia and rehabilitation of affected right upper limb was managed by continuous epidural infusion of 0.125% bupivacaine and 2.5 µg/ml -1 clonidine solution through epidu-ral catheter for 5 days and physiotherapy. This case report highlights the usefulness of cervical epidural analgesia in managing a complex situation of carcinoma breast with associated periarthitis of shoulder joint and chronic regional pain syndrome (CRPS of right upper limb.

  14. Low- and intermediate level radioactive waste from Risoe, Denmark. Site studies. Report no. 1. Oestermarie - Paradisbakkerne, Bornholm Region

    International Nuclear Information System (INIS)

    Gravesen, P.; Nilsson, B.; Binderup, M.; Larsen, Tine; Schack Pedersen, S.A.

    2012-01-01

    The low- and intermediate-level radioactive wastes from Risoe (the nuclear reactor buildings, different types of material from the research periods and waste from hospitals and research institutes) have to be stored in a final disposal in Denmark for at least 300 years. In 2011, the results of the first analyses of 20 potential areas for siting a waste disposal were published. Of these potential areas, 6 specific sites were selected for further detailed studies. The site studies include information about geology, land use, nature preservation, archaeology, drinking water supply etc. The 5 municipalities with the 6 selected sites have been visited to obtain as much information about local conditions as possible. The present report describes the results for the area at Oestermarie-Paradisbakkerne in the region of Bornholm, East Denmark. (LN)

  15. Cowichan Valley energy mapping and modelling. Report 4 - Analysis of opportunity costs and issues related to regional energy resilience. Final report. [Vancouver Island, Canada

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2012-06-15

    The driving force behind the Integrated Energy Mapping and Analysis project was the identification and analysis of a suite of pathways that the Cowichan Valley Regional District (CVRD) can utilise to increase its energy resilience, as well as reduce energy consumption and GHG emissions, with a primary focus on the residential sector. Mapping and analysis undertaken will support provincial energy and GHG reduction targets, and the suite of pathways outlined will address a CVRD internal target that calls for 75% of the region's energy within the residential sector to come from locally sourced renewables by 2050. The target has been developed as a mechanism to meet resilience and climate action target. The maps and findings produced are to be integrated as part of a regional policy framework currently under development. Based on the outputs from the first three tasks, a suite of coherent pathways towards the overall target of 75% residential local energy consumption was created, and the costs and benefits for the region were calculated. This was undertaken via a scenario analysis which also highlighted the risks and robustness of the different options within the pathways. In addition to a direct economic comparison between the different pathways, more qualitative issues were described, including potential local employment, environmental benefits and disadvantages, etc. The main tool utilised in this analysis was a tailor made Excel energy model that includes mechanisms for analysing improvements in the CVRD energy system down to an area level, for example renewable energy in residential buildings, renewable energy generation, and the effects of energy efficiency improvements. For the industrial, commercial, and transport sectors, simple and generic forecasts and input possibilities were included in the model. The Excel 'technology cost' and 'energy' models are accompanied with a user manual so that planners within the CVRD can become well

  16. Nemaha Uplift seismotectonic study: regional tectonics and seismicity of eastern Kansas. Technical progress report, October 1, 1978-September 30, 1979

    International Nuclear Information System (INIS)

    Wilson, F.W.

    1979-11-01

    Progress and results of all work on this project to the end of its second year, or September 30, 1978, were reported in NUREG/CR-0666, published March 1979. Project third-year activites and results include the following: continued operation of a regional microearthquake monitoring network which detected and located 26 regional events between October 1, 1978, and August 2, 1979; designing and building a triggering system to allow digitized recording of microearthquakes by a modified exploration seismography; continued surface and subsurface studies of selected areas along the Nemaha Uplift-Keweenanan Mafic belt trend; continued study of Precambrian rock types from recently drilled wells; beginning compilation of a fault catalog; terrain analysis and lineament studies which indicate that the alignment of stream drainages and divides are strongly controlled by basement and subsurface structure; continued reduction of gravity data for northeastern Kansas (a Bouguer gravity map probably will be available late Fall 1979); modification of the exploration seismograph system to a more efficient 12-channel Mini-Sosie system and completion of several line-miles of reflection profiling; and beginning integration of data from Oklahoma, Nebraska, and Iowa co-investigators. All major goals for FY 1979 were accomplished. 2 figures

  17. A method for acetylcholinesterase staining of brain sections previously processed for receptor autoradiography.

    Science.gov (United States)

    Lim, M M; Hammock, E A D; Young, L J

    2004-02-01

    Receptor autoradiography using selective radiolabeled ligands allows visualization of brain receptor distribution and density on film. The resolution of specific brain regions on the film often can be difficult to discern owing to the general spread of the radioactive label and the lack of neuroanatomical landmarks on film. Receptor binding is a chemically harsh protocol that can render the tissue virtually unstainable by Nissl and other conventional stains used to delineate neuroanatomical boundaries of brain regions. We describe a method for acetylcholinesterase (AChE) staining of slides previously processed for receptor binding. AChE staining is a useful tool for delineating major brain nuclei and tracts. AChE staining on sections that have been processed for receptor autoradiography provides a direct comparison of brain regions for more precise neuroanatomical description. We report a detailed thiocholine protocol that is a modification of the Koelle-Friedenwald method to amplify the AChE signal in brain sections previously processed for autoradiography. We also describe several temporal and experimental factors that can affect the density and clarity of the AChE signal when using this protocol.

  18. Secondary recurrent miscarriage is associated with previous male birth.

    LENUS (Irish Health Repository)

    Ooi, Poh Veh

    2012-01-31

    Secondary recurrent miscarriage (RM) is defined as three or more consecutive pregnancy losses after delivery of a viable infant. Previous reports suggest that a firstborn male child is associated with less favourable subsequent reproductive potential, possibly due to maternal immunisation against male-specific minor histocompatibility antigens. In a retrospective cohort study of 85 cases of secondary RM we aimed to determine if secondary RM was associated with (i) gender of previous child, maternal age, or duration of miscarriage history, and (ii) increased risk of pregnancy complications. Fifty-three women (62.0%; 53\\/85) gave birth to a male child prior to RM compared to 32 (38.0%; 32\\/85) who gave birth to a female child (p=0.002). The majority (91.7%; 78\\/85) had uncomplicated, term deliveries and normal birth weight neonates, with one quarter of the women previously delivered by Caesarean section. All had routine RM investigations and 19.0% (16\\/85) had an abnormal result. Fifty-seven women conceived again and 33.3% (19\\/57) miscarried, but there was no significant difference in failure rates between those with a previous male or female child (13\\/32 vs. 6\\/25, p=0.2). When patients with abnormal results were excluded, or when women with only one previous child were considered, there was still no difference in these rates. A previous male birth may be associated with an increased risk of secondary RM but numbers preclude concluding whether this increases recurrence risk. The suggested association with previous male birth provides a basis for further investigations at a molecular level.

  19. Secondary recurrent miscarriage is associated with previous male birth.

    LENUS (Irish Health Repository)

    Ooi, Poh Veh

    2011-01-01

    Secondary recurrent miscarriage (RM) is defined as three or more consecutive pregnancy losses after delivery of a viable infant. Previous reports suggest that a firstborn male child is associated with less favourable subsequent reproductive potential, possibly due to maternal immunisation against male-specific minor histocompatibility antigens. In a retrospective cohort study of 85 cases of secondary RM we aimed to determine if secondary RM was associated with (i) gender of previous child, maternal age, or duration of miscarriage history, and (ii) increased risk of pregnancy complications. Fifty-three women (62.0%; 53\\/85) gave birth to a male child prior to RM compared to 32 (38.0%; 32\\/85) who gave birth to a female child (p=0.002). The majority (91.7%; 78\\/85) had uncomplicated, term deliveries and normal birth weight neonates, with one quarter of the women previously delivered by Caesarean section. All had routine RM investigations and 19.0% (16\\/85) had an abnormal result. Fifty-seven women conceived again and 33.3% (19\\/57) miscarried, but there was no significant difference in failure rates between those with a previous male or female child (13\\/32 vs. 6\\/25, p=0.2). When patients with abnormal results were excluded, or when women with only one previous child were considered, there was still no difference in these rates. A previous male birth may be associated with an increased risk of secondary RM but numbers preclude concluding whether this increases recurrence risk. The suggested association with previous male birth provides a basis for further investigations at a molecular level.

  20. Previous Experience a Model of Practice UNAE

    Directory of Open Access Journals (Sweden)

    Ormary Barberi Ruiz

    2017-02-01

    Full Text Available The statements presented in this article represents a preliminary version of the proposed model of pre-professional practices (PPP of the National University of Education (UNAE of Ecuador, an urgent institutional necessity is revealed in the descriptive analyzes conducted from technical support - administrative (reports, interviews, testimonials, pedagogical foundations of UNAE (curricular directionality, transverse axes in practice, career plan, approach and diagnostic examination as subject nature of the pre professional practice and the demand of socio educational contexts where the practices have been emerging to resize them. By relating these elements allowed conceiving the modeling of the processes of the pre-professional practices for the development of professional skills of future teachers through four components: contextual projective, implementation (tutoring, accompaniment (teaching couple and monitoring (meetings at the beginning, during and end of practice. The initial training of teachers is inherent to teaching (academic and professional training, research and links with the community, these are fundamental pillars of Ecuadorian higher education.

  1. Previous induced abortion among young women seeking abortion-related care in Kenya: a cross-sectional analysis.

    Science.gov (United States)

    Kabiru, Caroline W; Ushie, Boniface A; Mutua, Michael M; Izugbara, Chimaraoke O

    2016-05-14

    Unsafe abortion is a leading cause of death among young women aged 10-24 years in sub-Saharan Africa. Although having multiple induced abortions may exacerbate the risk for poor health outcomes, there has been minimal research on young women in this region who have multiple induced abortions. The objective of this study was therefore to assess the prevalence and correlates of reporting a previous induced abortion among young females aged 12-24 years seeking abortion-related care in Kenya. We used data on 1,378 young women aged 12-24 years who presented for abortion-related care in 246 health facilities in a nationwide survey conducted in 2012. Socio-demographic characteristics, reproductive and clinical histories, and physical examination assessment data were collected from women during a one-month data collection period using an abortion case capture form. Nine percent (n = 98) of young women reported a previous induced abortion prior to the index pregnancy for which they were receiving care. Statistically significant differences by previous history of induced abortion were observed for area of residence, religion and occupation at bivariate level. Urban dwellers and unemployed/other young women were more likely to report a previous induced abortion. A greater proportion of young women reporting a previous induced abortion stated that they were using a contraceptive method at the time of the index pregnancy (47 %) compared with those reporting no previous induced abortion (23 %). Not surprisingly, a greater proportion of young women reporting a previous induced abortion (82 %) reported their index pregnancy as unintended (not wanted at all or mistimed) compared with women reporting no previous induced abortion (64 %). Our study results show that about one in every ten young women seeking abortion-related care in Kenya reports a previous induced abortion. Comprehensive post-abortion care services targeting young women are needed. In particular, post

  2. Evaluating officially reported polycyclic aromatic hydrocarbon emissions in the Athabasca oil sands region with a multimedia fate model

    Science.gov (United States)

    Parajulee, Abha; Wania, Frank

    2014-01-01

    Emissions of organic substances with potential toxicity to humans and the environment are a major concern surrounding the rapid industrial development in the Athabasca oil sands region (AOSR). Although concentrations of polycyclic aromatic hydrocarbons (PAHs) in some environmental samples have been reported, a comprehensive picture of organic contaminant sources, pathways, and sinks within the AOSR has yet to be elucidated. We sought to use a dynamic multimedia environmental fate model to reconcile the emissions and residue levels reported for three representative PAHs in the AOSR. Data describing emissions to air compiled from two official sources result in simulated concentrations in air, soil, water, and foliage that tend to fall close to or below the minimum measured concentrations of phenanthrene, pyrene, and benzo(a)pyrene in the environment. Accounting for evaporative emissions (e.g., from tailings pond disposal) provides a more realistic representation of PAH distribution in the AOSR. Such indirect emissions to air were found to be a greater contributor of PAHs to the AOSR atmosphere relative to reported direct emissions to air. The indirect pathway transporting uncontrolled releases of PAHs to aquatic systems via the atmosphere may be as significant a contributor of PAHs to aquatic systems as other supply pathways. Emission density estimates for the three PAHs that account for tailings pond disposal are much closer to estimated global averages than estimates based on the available emissions datasets, which fall close to the global minima. Our results highlight the need for improved accounting of PAH emissions from oil sands operations, especially in light of continued expansion of these operations. PMID:24596429

  3. Facilitation of the Estuary/Ocean Subgroup and the Expert Regional Technical Group, Annual Report for 2015

    Energy Technology Data Exchange (ETDEWEB)

    Johnson, Gary E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

    2015-08-01

    This document is the annual report for the period September 1, 2014 through August 31, 2015 for the project—Facilitation of the Estuary/Ocean Subgroup (EOS) and the Expert Regional Technical Group (ERTG). Pacific Northwest National Laboratory (PNNL) conducted the project for the Bonneville Power Administration (BPA). The EOS and ERTG are part of the research, monitoring, and evaluation (RME) and habitat restoration efforts, respectively, developed by the Action Agencies (BPA, U.S. Army Corps of Engineers [Corps or USACE], and U.S. Bureau of Reclamation) in response to obligations arising from the Endangered Species Act as a result of operation of the Federal Columbia River Power System (FCRPS) and implemented under the Columbia Estuary Ecosystem Restoration Program (CEERP). BPA/Corps (2015) explain the CEERP and the role of RME and the ERTG. For the purposes of this report, the lower Columbia River and estuary (LCRE) includes the floodplain from Bonneville Dam down through the lower river and estuary into the river’s plume in the ocean. The main purpose of this project is to facilitate EOS and ERTG meetings and work products. Other purposes are to provide technical support for CEERP adaptive management, CEERP restoration design challenges, and tributary RME. From 2002 through 2008, the EOS worked to design the federal RME program for the estuary/ocean (Johnson et al. 2008). From 2009 to the present day, EOS activities have involved RME implementation; however, EOS activities were minimal during the current reporting period. PNNL provided technical support to CEERP’s adaptive management process by convening 1.2 meetings of the Action Agencies (AAs) and drafting material for the “CEERP 2015 Restoration and Monitoring Plan” (BPA/Corps 2015).

  4. Reoperative sentinel lymph node biopsy after previous mastectomy.

    Science.gov (United States)

    Karam, Amer; Stempel, Michelle; Cody, Hiram S; Port, Elisa R

    2008-10-01

    Sentinel lymph node (SLN) biopsy is the standard of care for axillary staging in breast cancer, but many clinical scenarios questioning the validity of SLN biopsy remain. Here we describe our experience with reoperative-SLN (re-SLN) biopsy after previous mastectomy. Review of the SLN database from September 1996 to December 2007 yielded 20 procedures done in the setting of previous mastectomy. SLN biopsy was performed using radioisotope with or without blue dye injection superior to the mastectomy incision, in the skin flap in all patients. In 17 of 20 patients (85%), re-SLN biopsy was performed for local or regional recurrence after mastectomy. Re-SLN biopsy was successful in 13 of 20 patients (65%) after previous mastectomy. Of the 13 patients, 2 had positive re-SLN, and completion axillary dissection was performed, with 1 having additional positive nodes. In the 11 patients with negative re-SLN, 2 patients underwent completion axillary dissection demonstrating additional negative nodes. One patient with a negative re-SLN experienced chest wall recurrence combined with axillary recurrence 11 months after re-SLN biopsy. All others remained free of local or axillary recurrence. Re-SLN biopsy was unsuccessful in 7 of 20 patients (35%). In three of seven patients, axillary dissection was performed, yielding positive nodes in two of the three. The remaining four of seven patients all had previous modified radical mastectomy, so underwent no additional axillary surgery. In this small series, re-SLN was successful after previous mastectomy, and this procedure may play some role when axillary staging is warranted after mastectomy.

  5. EMS-physicians' self reported airway management training and expertise; a descriptive study from the Central Region of Denmark

    Directory of Open Access Journals (Sweden)

    Rognås Leif K

    2011-02-01

    Full Text Available Abstract Background Prehospital advanced airway management, including prehospital endotracheal intubation is challenging and recent papers have addressed the need for proper training, skill maintenance and quality control for emergency medical service personnel. The aim of this study was to provide data regarding airway management-training and expertise from the regional physician-staffed emergency medical service (EMS. Methods The EMS in this part of The Central Region of Denmark is a two tiered system. The second tier comprises physician staffed Mobile Emergency Care Units. The medical directors of the programs supplied system data. A questionnaire addressing airway management experience, training and knowledge was sent to the EMS-physicians. Results There are no specific guidelines, standard operating procedures or standardised program for obtaining and maintaining skills regarding prehospital advanced airway management in the schemes covered by this study. 53/67 physicians responded; 98,1% were specialists in anesthesiology, with an average of 17,6 years of experience in anesthesiology, and 7,2 years experience as EMS-physicians. 84,9% reported having attended life support course(s, 64,2% an advanced airway management course. 24,5% fulfilled the curriculum suggested for Danish EMS physicians. 47,2% had encountered a difficult or impossible PHETI, most commonly in a patient in cardiac arrest or a trauma patient. Only 20,8% of the physicians were completely familiar with what back-up devices were available for airway management. Conclusions In this, the first Danish study of prehospital advanced airway management, we found a high degree of experience, education and training among the EMS-physicians, but their equipment awareness was limited. Check-outs, guidelines, standard operating procedures and other quality control measures may be needed.

  6. Regionalism, Regionalization and Regional Development

    Directory of Open Access Journals (Sweden)

    Liviu C. Andrei

    2016-03-01

    Full Text Available Sustained development is a concept associating other concepts, in its turn, in the EU practice, e.g. regionalism, regionalizing and afferent policies, here including structural policies. This below text, dedicated to integration concepts, will limit on the other hand to regionalizing, otherwise an aspect typical to Europe and to the EU. On the other hand, two aspects come up to strengthen this field of ideas, i.e. the region (al-regionalism-(regional development triplet has either its own history or precise individual outline of terms.

  7. Standardized metrics for accessibility : establishing a federal policy-relevant knowledge base : USDOT Region V Regional University Transportation Center final report.

    Science.gov (United States)

    2016-12-01

    This report seeks opportunities for standardization of these data and explains findings on three principal tasks. First, it assesses the current state of standardized transportation data. By studying documentation of other programs of standardized da...

  8. Glioblastoma multiforme of the pineal region: case report Glioblastoma multiforme de região pineal: relato de caso

    Directory of Open Access Journals (Sweden)

    Emerson Leandro Gasparetto

    2003-06-01

    Full Text Available PURPOSE: pineal region tumors are uncommon, and comprise more frequently three categories: germ cell, parenchymal cell and glial tumors. Most pineal gliomas are low-grade astrocytomas. Glioblastoma multiforme, the most aggressive and common brain tumor, is extremely rare at this location with only few cases reported. CASE DESCRIPTION: a 29-year-old woman with a two month history of headache, nuchal pain, fever, nausea and seizures and physical examination showing nuchal rigidity, generalized hypotony, hypotrophy and hyper-reflexia, Babinski sign and left VI cranial par palsy. CT scan examination revealed a ill-defined hypodense lesion at the pineal region with heterogeneous contrast enhancement. MRI showed a lesion at the pineal region infiltrating the right thalamic region. The patient underwent a right craniotomy with partial resection of the mass. The histological examination of paraffin-embedded material defined the diagnosis of glioblastoma multiforme. Post-operative radiotherapy was indicated but the patient refused the treatment and died two months afterwards. CONCLUSION: in spite of its rarity at this location, glioblastoma multiforme should be considered in the differential diagnosis of aggressive lesions at the pineal region.OBJETIVO: Os tumores da região pineal são incomuns e podem ser divididos em três categorias de acordo com a sua origem: células germinativas, células do parênquima e células gliais. Em sua maioria, os gliomas de pineal são astrocitomas de baixo grau, sendo que o seu correspondente maligno, glioblastoma multiforme, é o mais comum e agressivo tumor encefálico e é extremamente raro nesta localização, com apenas alguns casos relatados na literatura. CASO: Mulher com 29 anos apresentando há 2 meses cefaléia, nucalgia, febre, náuseas e crises convulsivas. O exame físico mostrou rigidez de nuca, hipotonia, hipotrofia e hiperreflexia generalizadas, sinal de Babinski e paralisia do VI nervo craniano. A

  9. Stab injury to the preauricular region with laceration of the external carotid artery without involvement of the facial nerve: a case report.

    Science.gov (United States)

    Casal, Diogo; Pelliccia, Giovanni; Pais, Diogo; Carrola-Gomes, Diogo; Angélica-Almeida, Maria; Videira-Castro, José; Goyri-O'Neill, João

    2017-07-29

    Open injuries to the face involving the external carotid artery are uncommon. These injuries are normally associated with laceration of the facial nerve because this nerve is more superficial than the external carotid artery. Hence, external carotid artery lesions are usually associated with facial nerve dysfunction. We present an unusual case report in which the patient had an injury to this artery with no facial nerve compromise. A 25-year-old Portuguese man sustained a stab wound injury to his right preauricular region with a broken glass. Immediate profuse bleeding ensued. Provisory tamponade of the wound was achieved at the place of aggression by two off-duty doctors. He was initially transferred to a district hospital, where a large arterial bleeding was observed and a temporary compressive dressing was applied. Subsequently, the patient was transferred to a tertiary hospital. At admission in the emergency room, he presented a pulsating lesion in the right preauricular region and slight weakness in the territory of the inferior buccal branch of the facial nerve. The physical examination suggested an arterial lesion superficial to the facial nerve. However, in the operating theater, a section of the posterior and lateral flanks of the external carotid artery inside the parotid gland was identified. No lesion of the facial nerve was observed, and the external carotid artery was repaired. To better understand the anatomical rationale of this uncommon clinical case, we dissected the preauricular region of six cadavers previously injected with colored latex solutions in the vascular system. A small triangular space between the two main branches of division of the facial nerve in which the external carotid artery was not covered by the facial nerve was observed bilaterally in all cases. This clinical case illustrates that, in a preauricular wound, the external carotid artery can be injured without facial nerve damage. However, no similar description was found in

  10. Regional assessments of the hydrocarbon generation potential of selected North American proterozoic rock sequences. Progress report, September 1989--April 1990

    Energy Technology Data Exchange (ETDEWEB)

    Engel, M.H.; Elmore, R.D.

    1990-04-01

    Our primary research objectives for the first year of this grant are nearing completion. This includes comprehensive sedimentologic/organic geochemical studies of two depositionally distinct, unmetamorphosed units, the Nonesuch Formation ({approximately}1.1 Ga lacustrine rift deposit) and the Dripping Spring Quartzite ({approximately}1.3 Ga marine shelf deposit). As discussed in this progress report, an attempt has been made to (1) identify source rocks by quantification and characterization of constituent organic matter, (2) recognize depositional/diagenetic/catagenetic factors that may have influenced source rock quality and (3) evaluate the possibility of previous or current hydrocarbon generation and migration. Organic petrology and geochemical analyses suggest important differences between kerogens in the Michigan (MI) and Wisconsin (WI) Nonesuch Formation study areas. When considered within a geographic/stratigraphic framework, the Nonesuch Formation in the MI study area exhibits superior source rock potential. It is suggested that sedimentary organic matter in the WI area was subject to more extensive microbial alteration during early diagenesis. It is also possible that thermal maturity levels were slightly to moderately higher in WI than MI. Petrologic evidence for migrated bitumens and the stable isotope composition of late vein carbonates suggest, furthermore, that oil generation and migration may have actually been more extensive in the WI study area.

  11. Complex Regional Pain Syndrome Revived by Epileptic Seizure Then Disappeared Soon during Treatment with Regional Intravenous Nerve Blockade: A Case Report

    Directory of Open Access Journals (Sweden)

    Masahiko Sumitani

    2011-01-01

    Full Text Available We present a case of complex regional pain syndrome (CRPS, in which symptoms, including burning pain and severe allodynia, were alleviated by using a regional intravenous nerve blockade (Bier block combined with physiotherapy, but reappeared following an epileptic seizure. Symptoms disappeared again following control of epileptic discharges, as revealed by single-photon emission computed tomography (SPECT and electroencephalography (EEG results. Although systemic toxicity of a local anesthetic applied by Bier block was suspected as a cause of the first seizure, the patient did not present any other toxic symptoms, and seizures repeatedly occurred after Bier block cessation; the patient was then diagnosed as having temporal symptomatic epilepsy. This case suggests that symptoms of CRPS may be sustained by abnormal brain conditions, and our findings contribute to the understanding of how the central nervous system participates in maintaining pain and allodynia associated with CRPS.

  12. Sequential assessment of regional cerebral blood flow, regional cerebral blood volume, and blood-brain barrier in focal cerebral ischemia: a case report

    International Nuclear Information System (INIS)

    Di Piero, V.; Perani, D.; Savi, A.; Gerundini, P.; Lenzi, G.L.; Fazio, F.

    1986-01-01

    Regional CBF (rCBF) and regional cerebral blood volume (rCBV) were evaluated by N,N,N'-trimethyl-N'-(2)-hydroxy-3-methyl-5-[123I]iodobenzyl-1, 3-propanediamine-2 HCl- and /sup 99m/TC-labeled red blood cells, respectively, and single-photon emission computerized tomography (SPECT) in a patient with focal cerebral ischemia. Sequential transmission computerized tomography (TCT) and SPECT functional data were compared with clinical findings to monitor the pathophysiological events occurring in stroke. A lack of correlation between rCBF-rCBV distributions and blood-brain barrier (BBB) breakdown was found in the acute phase. In the face of more prolonged alteration of BBB, as seen by TCT enhancement, a rapid evolution of transient phenomena such as luxury perfusion was shown by SPECT studies. Follow-up of the patient demonstrated a correlation between the neurological recovery and a parallel relative improvement of the cerebral perfusion

  13. The frequency of previously undetectable deletions involving 3' Exons of the PMS2 gene.

    Science.gov (United States)

    Vaughn, Cecily P; Baker, Christine L; Samowitz, Wade S; Swensen, Jeffrey J

    2013-01-01

    Lynch syndrome is characterized by mutations in one of four mismatch repair genes, MLH1, MSH2, MSH6, or PMS2. Clinical mutation analysis of these genes includes sequencing of exonic regions and deletion/duplication analysis. However, detection of deletions and duplications in PMS2 has previously been confined to Exons 1-11 due to gene conversion between PMS2 and the pseudogene PMS2CL in the remaining 3' exons (Exons 12-15). We have recently described an MLPA-based method that permits detection of deletions of PMS2 Exons 12-15; however, the frequency of such deletions has not yet been determined. To address this question, we tested for 3' deletions in 58 samples that were reported to be negative for PMS2 mutations using previously available methods. All samples were from individuals whose tumors exhibited loss of PMS2 immunohistochemical staining without concomitant loss of MLH1 immunostaining. We identified seven samples in this cohort with deletions in the 3' region of PMS2, including three previously reported samples with deletions of Exons 13-15 (two samples) and Exons 14-15. Also detected were deletions of Exons 12-15, Exon 13, and Exon 14 (two samples). Breakpoint analysis of the intragenic deletions suggests they occurred through Alu-mediated recombination. Our results indicate that ∼12% of samples suspected of harboring a PMS2 mutation based on immunohistochemical staining, for which mutations have not yet been identified, would benefit from testing using the new methodology. Copyright © 2012 Wiley Periodicals, Inc.

  14. Results of forest insect and disease surveys in the central region of Ontario, 1994. Information report No. O-X-448. Annual publication

    Energy Technology Data Exchange (ETDEWEB)

    Evans, H.J.

    1995-12-31

    Report summarizing forest damage by insects, diseases and abiotic conditions in the Central Region of Ontario. Textual descriptions of pests are accompanied by maps and statistical tables. Pest conditions covered include pine false webworm, budworms, shoot borers, leafcutters, armillaria root rot and other diseases and insects. Abiotic damage reported on covers forest decline, frost injury, salt and wind damage, and winter drying. Forest health reports and special surveys are also described.

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

    Science.gov (United States)

    North Central Regional Center for Rural Development, 2011

    2011-01-01

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

  16. Sialolith removal in the submandibular region using surgical diode laser: report of two cases and literature review.

    Science.gov (United States)

    Haas, Orion Luiz; Scolari, Neimar; da Silva Meirelles, Lucas; Favoretto, André Xavier; de Oliveira, Rogério Belle

    2018-03-01

    Sialolithiasis is defined as the presence of one or more calcified structures within the duct of a major or minor salivary gland. It occurs as a result of deposition of calcium salts around an accumulation of organic debris in the duct lumen. The main signs and symptoms are edema and bacterial infection with abscess formation. This study aimed to report two cases of submandibular sialolithiasis treated surgically with diode laser and conduct a review of the literature by means of a systematic search. In the two cases, the calculi were located in the distal part of the submandibular duct and could be palpated intraorally. Surgery was performed in an outpatient setting under local anesthesia. A linear incision was made in the floor of the mouth, in the region of the opening of Wharton's duct, to expose and remove the calculi. Laser cutting was performed using a diode laser module coupled to a 400-μm optical fiber emitting at a wavelength of 980 nm (infrared), 2.5 W output power, and in continuous pulse mode. The use of diode laser is a safe and minimally invasive option for this type of procedure. Offering advantages such as enhanced coagulation properties and high-quality incision, absence of bleeding, low risk of nerve damage, and few comorbidities.

  17. Report on workshop to incorporate basin response in the design of tall buildings in the Puget Sound region, Washington

    Science.gov (United States)

    Chang, Susan; Frankel, Arthur D.; Weaver, Craig S.

    2014-01-01

    On March 4, 2013, the City of Seattle and the U.S. Geological Survey (USGS) convened a workshop of 25 engineers and seismologists to provide recommendations to the City for the incorporation of amplification of earthquake ground shaking by the Seattle sedimentary basin in the design of tall buildings in Seattle. The workshop was initiated and organized by Susan Chang, a geotechnical engineer with the City of Seattle Department of Planning and Development, along with Art Frankel and Craig Weaver of the USGS. C.B. Crouse of URS Corporation, Seattle made key suggestions for the agenda. The USGS provided travel support for most of the out-of-town participants. The agenda and invited attendees are given in the appendix. The attendees included geotechnical and structural engineers working in Seattle, engineers with experience utilizing basin response factors in other regions, and seismologists who have studied basin response in a variety of locations. In this report, we summarize the technical presentations and the recommendations from the workshop.

  18. Health improvement of domestic hot tap water supply Gusev, Kaliningrad Region, Russia. Make-up water tank project. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Aagaard, Joergen

    1998-07-01

    This report describes the project `Health Improvement of Domestic Hot Tap Water Supply, Gusev, Kaliningrad, Russia`, which was carried out in the autumn of 1996 and financed by the Danish Environmental Protection Agency, the Danish Energy Agency and Gusev Municipality. The project proposal and application outlined the following objectives: Erection of system so that hot tap water, which is tapped directly from the district heating system, obtains an acceptable quality in health terms; Complete training and education, so that the plant can be operated and maintained by the power station`s staff and rehabilitation projects within supply of domestic water and district heating can be promoted to the greatest possible extent; Systems for heat treatment of make-up water were implemented in less than three months; The project was carried out in close Danish-Russian co-operation from the beginning of engineering to the commissioning and resulted in transfer and demonstration of know-how and technology; Information was recorded on the existing domestic water and heat supply systems as well as on the treatment of sewage, and recommendations for rehabilitation projects were made. Previously, when the temperature in the district heating system was relatively high, a heat treatment apparently took place in the district heating system. However, due to the current poor economic situation there are no means with which to buy the fuel quantities necessary to maintain the previously normal district heating temperature. In the new concept the cold make-up water is heated to >80 deg. C as required by the health authorities before it is led to the district heating return system and subsequently heated to the actual supply temperature of 50-60 deg. C. The energy consumption in the two concepts is approximately the same. A 1,000 m{sup 3} tank with heating coils was erected between the make-up water system and the district heating system. The tank should equalise the daily capacity

  19. Convenio "Andres Bello:" Informe Final [de la] Segunda Reunion de Ministros de Educacion de la Region Andina ("Andres Bello" Agreement: Final Report of the Second Meeting of the Andean Region Ministers of Education).

    Science.gov (United States)

    Ministros de Educacion de la Region Andina, Lima (Peru).

    This final report of the second meeting of the Andean Region Ministers of Education subscribing to the Andres Bello Agreement on education and culture contains a resume of the individual sessions and the proposals approved during that meeting. The proposals cover various educational problems and issues and begin with the Declaration of Lima which…

  20. Report on Symposium on Pacific Energy Cooperation 2001. Energy Security in Asian Region; Taiheiyo energy kyoryoku kaigi 2001 hokokusho. Asia chiiki no energy anzen hosho

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2001-02-20

    The Symposium on Pacific Energy Cooperation (SPEC), which started in 1986 to discuss energy problems and international cooperation on energy in the Pacific region, met for 2001 in Tokyo on February 20 and 21, 2001, to discuss Energy Security in Asian Region. The conference comprised two keynote addresses, four sessions, and a panel discussion. Twenty-four countries and an international organization were represented by a total of 785 participants who actively exchanged views and opinions. With Director Tsutomu Toichi, The Institute of Energy Economics, Japan, acting as chairman, two keynote addresses were delivered. Minister of Oil Bijan Namdar Zanganeh of Iran reported on The Role of I. R. Iran in Meeting the Growing Oil and Gas Demand in the Asia-Pacific Region and Potential Cooperation with the Region's Consumers. Managing Director Phil Watts of the Royal Dutch/Shell Group reported on Security in Trust - Meeting Asian Energy Needs in the 21st Century. (NEDO)

  1. Report: policy drivers and the planning and implementation of integrated waste management in Ireland using the regional approach.

    Science.gov (United States)

    Rudden, P J

    2007-06-01

    Waste management in Ireland has been dramatically transformed over the past 10 years from over 90% reliance on landfill towards a fully integrated approach. According to the latest EPA National Database Report in 2007 our municipal (household and commercial but excluding construction and demolition) recycling rate was 35% in 2005. This has been achieved through the implementation of 10 regional waste management plans all prepared within a new national planning framework in accordance with the Waste Management Act 1996 and Government policy document 'Changing Our Ways', published in 1998 by the Irish Department of the Environment, Heritage and Local Government. The principal drivers of the waste management plans and strategies are the EU Waste Framework Directive (recently revised), the EU Packaging Directive and the EU Landfill Directive. In addition, there were substantial political and environmental drivers due to the relatively poor standard of landfills in Ireland. Strict landfill regulation by the Environment Protection Agency commenced in 1997and led to many closures of poor facilities and new standards of siting design and operation. This has led to very high landfill charges that are only now beginning to stabilize. The key to improving public attitudes to the greatly improving waste management system has been the degree and content of stakeholder involvement programmes. These programmes are now consolidated into a national 'Race against Waste' programme (www.raceagainstwaste.ie). The purpose of the programme is to create awareness and deal with many of the misconceptions in the public mind attached to waste treatment methods especially incineration. Waste management is after all about people.

  2. Regional power supply in 1998-1999. Progress report of the association of regional utilities - Arbeitsgemeinschaft regionaler Energieversorgungs-Unternehmen - ARE e.V.; Regionale Energieversorgung 1998-1999. Taetigkeitsbericht der Arbeitsgemeinschaft regionaler Energieversorgungs-Unternehmen - ARE - e.V.

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2000-04-01

    The ARE progress report discusses the following issues: Economic development and its effects on power supply; Deregulation of the electricity and gas market; Competition between regional utilities; Energy policy of the new German government; European regulations; Legislation on energy supply; Energy supply and cartel law; Regional supply in the East German states. [German] Der Taetigkeitsbericht der ARE befasst sich mit folgenden Themen: Gesamtwirtschaftliche Entwicklung und ihre Auswirkung auf die Energiewirtschaft, Oeffnung des Monopoles fuer Strom und Gas, Wettbewerb der regionalen Energieversorger, Energiepolitik der neuen Bundesregierung, Europaeische Richtlininen, energiewirtschaftsrecht, Versorgungswirtschaft und Kartellrecht und der Regionalversorgung in den neuen Bundeslaendern.

  3. Regional Seminar on Community Support for Education and Participation in Educational Management (Bali, Indonesia, October 30-November 4, 1989). Report.

    Science.gov (United States)

    United Nations Educational, Scientific and Cultural Organization, Bangkok (Thailand). Principal Regional Office for Asia and the Pacific.

    In recent years issues concerning community support for education and participation in educational management have come to the fore in developing Asian and Pacific countries. The United Nations Educational, Scientific, and Cultural Organization, Principal Regional Office for Asia and the Pacific (UNESCO/PROAP) has organized regional training…

  4. Variation in Surgical Quality Measure Adherence within Hospital Referral Regions: Do Publicly Reported Surgical Quality Measures Distinguish among Hospitals That Patients Are Likely to Compare?

    Science.gov (United States)

    Safavi, Kyan C; Dai, Feng; Gilbertsen, Todd A; Schonberger, Robert B

    2014-01-01

    Objective To determine whether surgical quality measures that Medicare publicly reports provide a basis for patients to choose a hospital from within their geographic region. Data Source The Department of Health and Human Services' public reporting website, Medicare Claims Processing Manual Baltimore, MD CMS http://www.medicare.gov/hospitalcompare. Study Design We identified hospitals (n = 2,953) reporting adherence rates to the quality measures intended to reduce surgical site infections (Surgical Care Improvement Project, 1–3) in 2012. We defined regions within which patients were likely to compare hospitals using the hospital referral regions (HRRs) from the Dartmouth Atlas of Health Care Project. We described distributions of reported SCIP adherence within each HRR, including medians, interquartile ranges (IQRs), skewness, and outliers. Principal Findings Ninety-seven percent of HRRs had median SCIP-1 scores ≥95 percent. In 93 percent of HRRs, half of the hospitals in the HRR were within 5 percent of the median hospital's score. In 62 percent of HRRs, hospitals were skewed toward the higher rates (negative skewness). Seven percent of HRRs demonstrated positive skewness. Only 1 percent had a positive outlier. SCIP-2 and SCIP-3 demonstrated similar distributions. Conclusions Publicly reported quality measures for surgical site infection prevention do not distinguish the majority of hospitals that patients are likely to choose from when selecting a surgical provider. More studies are needed to improve public reporting's ability to positively impact patient decision making. PMID:24611578

  5. The use of a co-design model in improving timely bleed reporting by adults with haemophilia living in the Auckland region of New Zealand.

    Science.gov (United States)

    d'Young, A I; Young, L; Ockelford, P A; Brasser, M; Slavin, K; Manson, L; Preston, S

    2014-05-01

    Many adult patients diagnosed with phenotypically moderate and severe haemophilia living in the Auckland region of New Zealand do not report bleeding episodes within a timeframe that allows for optimal assessment and management. This can result in poor clinical outcomes for patients and poor oversight of the use of expensive clotting factor concentrates. Our goal was to improve both the number and speed at which bleeding episodes were reported to our centre, improving access to care and clinical oversight of the use of expensive factor concentrates and aiding the development of a care partnership with patients. We worked with 70 adult PWH living in the Auckland region of New Zealand with moderate and severe haemophilia A and B. Over a 5-month period between March and July 2013 we used a co-design model to develop and implement a range of strategies to improve the timing and frequency of bleed reporting. Mean bleed reporting time was reduced threefold, with a threefold increase in the number of bleeds reported per month. We reduced the number of bleeding episodes reported outside of a prespecified 48-h time limit by 68%. We significantly improved bleed reporting and time to report, indicating improved access to our services, improved clinical oversight and improved accountability to our national funder. We have achieved a care partnership and a reduction in factor consumption for the study population without compromising the quality of care they receive. © 2013 John Wiley & Sons Ltd.

  6. Self-reported harassment and bullying in Australian universities: explaining differences between regional, metropolitan and elite institutions

    DEFF Research Database (Denmark)

    Skinner, Timothy C.; Peetz, David; Strachan, Glenda

    2015-01-01

    © 2015 Association for Tertiary Education Management and the LH Martin Institute for Tertiary Education Leadership and Management. We analyse data from the largest survey of university staff in Australia to determine whether bullying and harassment are more common in regional than metropolitan...... of harassment. This probably reflected the labour market and resource context of regional universities. Binary logistic regression indicated that a perceived lack of support for professional development partially explained the effect of regional status on differences in the rates of harassment/bullying across...... university types. Markers of organisational culture only partially account for differences in the rates of harassment/bullying between university types....

  7. Jobs and Self-Sufficiency: Goals of the Project, "Technical Support Services to the Developmentally Disabled, Region III." Final Report, October 1976 to September 1979.

    Science.gov (United States)

    Mallik, Kalisankar; Shaver, Elaine M.

    The final report of a 3 year project to improve the quality of life of mentally retarded, cerebral palsied, and epileptic persons in Region III is presented. The first section details the efforts of the project staff in providing competitive employment opportunities or sheltered employment for 40 severely disabled persons. Equipment modification…

  8. Reports from dissemination and feed-back workshops with presentation of Volante results from WP1 and WP2, and response from local, regional, and national stakeholders

    DEFF Research Database (Denmark)

    Frederiksen, Pia; Vesterager, Jens Peter; Kristensen, Søren Bech Pilgaard

    2014-01-01

    The report constitutes an overview of the dissemination and feed-back workshops in the Volante case study countries: Netherlands, Romania, Austria, Greece and Denmark. The workshops were conducted based on the presentation of findings from WP1 and WP2 to national, regional and local stakeholders...

  9. Regional Meeting of Experts on Environmental Education in Africa, Brazzaville, People's Republic of the Congo, 11-16 September 1976. Final Report.

    Science.gov (United States)

    United Nations Educational, Scientific, and Cultural Organization, Paris (France). Environmental Education Section.

    This is the final report on the background and proceedings of the Regional Meeting of Experts on Environmental Education in Africa, convened by UNESCO with the collaboration of the University of Brazzaville. This meeting was one of five similar ones held throughout the world as a follow-up to the UNESCO Conference held in Belgrade, Yugoslavia.…

  10. Essays in Societal System Dynamics and Transportation : Report of the Third Annual Workshop in Urban and Regional Systems Analysis

    Science.gov (United States)

    1981-03-01

    This document contains the White Papers on urban-regional modeling presented at the Workshop as well as additional research papers aimed at increasing our understanding of the relationships between transportation and society. The ultimate aim is to p...

  11. High-Grade Leiomyosarcoma Arising in a Previously Replanted Limb

    Directory of Open Access Journals (Sweden)

    Tiffany J. Pan

    2015-01-01

    Full Text Available Sarcoma development has been associated with genetics, irradiation, viral infections, and immunodeficiency. Reports of sarcomas arising in the setting of prior trauma, as in burn scars or fracture sites, are rare. We report a case of a leiomyosarcoma arising in an arm that had previously been replanted at the level of the elbow joint following traumatic amputation when the patient was eight years old. He presented twenty-four years later with a 10.8 cm mass in the replanted arm located on the volar forearm. The tumor was completely resected and pathology examination showed a high-grade, subfascial spindle cell sarcoma diagnosed as a grade 3 leiomyosarcoma with stage pT2bNxMx. The patient underwent treatment with brachytherapy, reconstruction with a free flap, and subsequently chemotherapy. To the best of our knowledge, this is the first case report of leiomyosarcoma developing in a replanted extremity. Development of leiomyosarcoma in this case could be related to revascularization, scar formation, or chronic injury after replantation. The patient remains healthy without signs of recurrence at three-year follow-up.

  12. Transcripts of Regional Hearings, St. Louis, Missouri. Annex L to Adjusting to the Drawdown. Report of the Defense Conversion Commission

    Science.gov (United States)

    1992-08-01

    entrepreneurship courses for laid-off McDonnell Douglas employees. Over 500 have participated in the classes. • McDonnell Douglas donated its lease-hold...international programs and organizations • Analysis of regional financing programs The St. Louis World Trade Center franchise was acquired for the region...averaged over the 1970’s, the defense cutbacks are likely contribute only a small part of that objective. 2 38 7 Figure 5.3 REAL GDP BASE VS

  13. Chromosome region-specific libraries for human genome analysis. Final progress report, 1 March 1991--28 February 1994

    Energy Technology Data Exchange (ETDEWEB)

    Kao, F.T.

    1994-04-01

    The objectives of this grant proposal include (1) development of a chromosome microdissection and PCR-mediated microcloning technology, (2) application of this microtechnology to the construction of region-specific libraries for human genome analysis. During this grant period, the authors have successfully developed this microtechnology and have applied it to the construction of microdissection libraries for the following chromosome regions: a whole chromosome 21 (21E), 2 region-specific libraries for the long arm of chromosome 2, 2q35-q37 (2Q1) and 2q33-q35 (2Q2), and 4 region-specific libraries for the entire short arm of chromosome 2, 2p23-p25 (2P1), 2p21-p23 (2P2), 2p14-p16 (wP3) and 2p11-p13 (2P4). In addition, 20--40 unique sequence microclones have been isolated and characterized for genomic studies. These region-specific libraries and the single-copy microclones from the library have been used as valuable resources for (1) isolating microsatellite probes in linkage analysis to further refine the disease locus; (2) isolating corresponding clones with large inserts, e.g. YAC, BAC, P1, cosmid and phage, to facilitate construction of contigs for high resolution physical mapping; and (3) isolating region-specific cDNA clones for use as candidate genes. These libraries are being deposited in the American Type Culture Collection (ATCC) for general distribution.

  14. Study of effects of climate change in the Great South East. Stage 1. PACA report - Part I: Context and study summary, Part II: Climate simulations, Part III: Impact sector sheets, General report. Prospective study of effects of climate change in the Great South East (phase 2) - Mission of study of inter-regional and European collaborations

    International Nuclear Information System (INIS)

    Kornmann, Francois; Guiran, Ghislaine; Sadoux, Emmanuel; Weill, Frederic; Benkhelifa, Fouzi

    2008-01-01

    After a presentation of study objectives and scope, a first report outlines the actuality of climate change, describes predicted climate changes for the PACA region in terms of warming and decrease of precipitations. Regional social-economic challenges and sector impacts are also briefly described. The second report presents the adopted climate simulation parameters, and discusses results obtained in terms of temperature and of precipitations by 2030, 2050 and 2080 for the whole Great South East region. The third part proposes sector sheets which contain discussions of effects of climate change on the water resource, on biodiversity, on forest, on agriculture, on human health, on tourism, on energy, on building and transports, on natural risks. The next document is based on the previous ones. It discusses and comments the outcome of the first phase, the present situation of the region in terms of territorial dynamics and effects of climate change, and indicators of climate change. It also draws lessons from the prospective study which resulted in three scenarios for which a strategic assessment is proposed

  15. Environmental and economic assessment of discharges from Gulf of Mexico Region oil and gas operation. Quarterly technical progress report, 1 October--31 December 1994

    International Nuclear Information System (INIS)

    Gettleson, D.A.

    1995-01-01

    Task 3 (Environmental Field Sampling and Analysis of NORM, Heavy Metals, and Organics) work included analyses of samples. Task 4 (Monitoring of the Recovery of Impacted Wetland and Open Bay Produced Water Discharge Sites in Coastal Louisiana and Texas) activities involved the continued analyses of samples and field sampling at Bay de Chene. Task 5 (Assessment of Economic Impacts of Offshore and Coastal Discharge Requirements on Present and Future Operations in the Gulf of Mexico Region) activities included preparing a draft final report. Task 6 (Synthesis of Gulf of Mexico Seafood Consumption and Use Patterns) work also involved preparing a draft final report. Task 7 (Technology Transfer Plan) activities included a presentation at the Minerals Management Service Information Transfer Meeting for the Gulf of Mexico OCS Region. Task 8 (Project Management and Deliverables) activities involved the submission of the necessary reports and routine management

  16. Management of low-level radioactive waste in the Southeast Compact Region: Volume 2, Management plan: Final report

    International Nuclear Information System (INIS)

    1985-07-01

    The Southeast Compact Commission for Low-Level Radioactive Waste Management has begun the development of a regional low-level radioactive waste management plan. They have reviewed and analyzed existing data on current low-level radioactive waste volumes shipped for disposal by generators in the Southeast region and have supplemented existing data by direct contact with State regulatory personnel, disposal site operators, and individual generators. The Commission has also projected the amounts and types of waste expected to require offsite disposal. This characterized data base and the projections of waste volumes and types through 1996 are included in this volume. Alternative disposal and treatment technologies were evaluated for management of the waste in the region. This evaluation consisted of a review of the literature concerning the several technologies in low level radioactive waste management. This information is summarized in Appendix A. 72 refs., 28 figs., 30 tabs

  17. Significance of some previously unrecognized apomorphies in the nasal region of Homo neanderthalensis.

    OpenAIRE

    Schwartz, J H; Tattersall, I

    1996-01-01

    For many years, the Neanderthals have been recognized as a distinctive extinct hominid group that occupied Europe and western Asia between about 200,000 and 30,000 years ago. It is still debated, however, whether these hominids belong in their own species, Homo neanderthalensis, or represent an extinct variant of Homo sapiens. Our ongoing studies indicate that the Neanderthals differ from modern humans in their skeletal anatomy in more ways than have been recognized up to now. The purpose of ...

  18. 77 FR 4862 - Agency Requests for Renewal of a Previously Approved Information Collection: SBTRC Regional Field...

    Science.gov (United States)

    2012-01-31

    ..., marketing, meetings/ conferences, and services to businesses as completed during the quarter. The Quarterly... include business analysis, general management & technical assistance and training, business counseling...) AGENCY: Office of Small and Disadvantaged Business Utilization (OSDBU), Office of the Secretary of...

  19. Orthodontic treatment of the patients having germinated tooth in the incisor region of maxilla : 2 cases report

    OpenAIRE

    佐藤, 和朗; 小田島, 晶子; 三條, 晃; 桑島, 幸紀; 山田, 裕之; 三浦, 廣行; サトウ, カズロウ; オダシマ, アキコ; サンジョウ, アキラ; クワジマ, ユキノリ; ヤマダ, ヒロユキ; ミウラ, ヒロユキ; Kazuro, SATOH; Akiko, ODASHIMA; Akira, SANJO

    2010-01-01

    We treated the malocclusion of two boys having a germinated tooth in the incisor region of maxilla. In case 1, the germinated tooth was located at the right lateral incisor, in case 2, at the left central incisor region of maxilla. The X-ray and CT examinations revealed that the germinated tooth was united by enamel and dentin and the dental pulp cavity was joined in both cases. So we carried out treatments to avoid pulpectomy in both cases; the germinated tooth aligned in the upper dental ar...

  20. Gastrointestinal tolerability with ibandronate after previous weekly bisphosphonate treatment.

    Science.gov (United States)

    Derman, Richard; Kohles, Joseph D; Babbitt, Ann

    2009-01-01

    Data from two open-label trials (PRIOR and CURRENT) of women with postmenopausal osteoporosis or osteopenia were evaluated to assess whether monthly oral and quarterly intravenous (IV) ibandronate dosing improved self-reported gastrointestinal (GI) tolerability for patients who had previously experienced GI irritation with bisphosphonate (BP) use. In PRIOR, women who had discontinued daily or weekly BP treatment due to GI intolerance received monthly oral or quarterly IV ibandronate for 12 months. The CURRENT subanalysis included women receiving weekly BP treatment who switched to monthly oral ibandronate for six months. GI symptom severity and frequency were assessed using the Osteoporosis Patient Satisfaction Questionnaire. In PRIOR, mean GI tolerability scores increased significantly at month 1 from screening for both treatment groups (oral: 79.3 versus 54.1; IV: 84.4 versus 51.0; p 90% at Month 10). In the CURRENT subanalysis >60% of patients reported improvements in heartburn or acid reflux and >70% indicated improvement in other stomach upset at month 6. Postmenopausal women with GI irritability with daily or weekly BPs experienced improvement in symptoms with extended dosing monthly or quarterly ibandronate compared with baseline.

  1. Regional applicability and potential of salt-gradient solar ponds in the United States. Volume 2: Detailed report

    Science.gov (United States)

    Lin, E. I. H.

    1982-03-01

    A comprehensive assessment of the regional applicability and potential of salt-gradient solar ponds in the United States is provided. The assessment is focused on the general characteristics of twelve defined geographic regions. Natural resources essential to solar ponds are surveyed. Meteorological and hydrogeological conditions affecting pond performance are examined. Potentially favorable pond sites are identified. Regional thermal and electrical energy output from solar ponds is calculated. Selected pond design cases are studied. Five major potential market sectors are evaluated in terms of technical and energy-consumption characteristics, and solar-pond applicability and potential. Relevant pond system data and financial factors are analyzed. Solar-pond energy costs are compared with conventional energy costs. The assessment concludes that, excepting Alaska, ponds are applicable in all regions for at least two market sectors. Total solar pond energy supply potential in the five market sectors examined is estimated to be 8.94 quads/yr by the year 2000, approximately 7.2% of the projected total national energy demand.

  2. Self-Reported Sleep Duration, Napping, and Incident Heart Failure: Prospective Associations in the British Regional Heart Study.

    Science.gov (United States)

    Wannamethee, S Goya; Papacosta, Olia; Lennon, Lucy; Whincup, Peter H

    2016-09-01

    To examine the associations between self-reported nighttime sleep duration and daytime sleep and incident heart failure (HF) in men with and without preexisting cardiovascular disease (CVD). Population-based prospective study. General practices in 24 British towns. Men aged 60-79 without prevalent HF followed for 9 years (N = 3,723). Information on incident HF cases was obtained from primary care records. Assessment of sleep was based on self-reported sleep duration at night and daytime napping. Self-reported short nighttime sleep duration and daytime sleep of longer than 1 hour were associated with preexisting CVD, breathlessness, depression, poor health, physical inactivity, and manual social class. In all men, self-reported daytime sleep of longer than 1 hour duration was associated with significantly greater risk of HF after adjustment for potential confounders (adjusted hazard ratio (aHR) = 1.69, 95% CI = 1.06-2.71) than in those who reported no daytime napping. Self-reported nighttime sleep duration was not associated with HF risk except in men with preexisting CVD (napping of longer than 1 hour is associated with greater risk of HF in older men. Self-reported short sleep (<6 hours) in men with CVD is associated with particularly high risk of developing HF. © 2016 The Authors. The Journal of the American Geriatrics Society published by Wiley Periodicals, Inc. on behalf of The American Geriatrics Society.

  3. Gastrointestinal tolerability with ibandronate after previous weekly bisphosphonate treatment

    Directory of Open Access Journals (Sweden)

    Richard Derman

    2009-09-01

    Full Text Available Richard Derman1, Joseph D Kohles2, Ann Babbitt31Department of Obstetrics and Gynecology, Christiana Hospital, Newark, DE, USA; 2Roche, Nutley, NJ, USA; 3Greater Portland Bone and Joint Specialists, Portland, ME, USAAbstract: Data from two open-label trials (PRIOR and CURRENT of women with postmenopausal osteoporosis or osteopenia were evaluated to assess whether monthly oral and quarterly intravenous (IV ibandronate dosing improved self-reported gastrointestinal (GI tolerability for patients who had previously experienced GI irritation with bisphosphonate (BP use. In PRIOR, women who had discontinued daily or weekly BP treatment due to GI intolerance received monthly oral or quarterly IV ibandronate for 12 months. The CURRENT subanalysis included women receiving weekly BP treatment who switched to monthly oral ibandronate for six months. GI symptom severity and frequency were assessed using the Osteoporosis Patient Satisfaction Questionnaire™. In PRIOR, mean GI tolerability scores increased significantly at month 1 from screening for both treatment groups (oral: 79.3 versus 54.1; IV: 84.4 versus 51.0; p < 0.001 for both. Most patients reported improvement in GI symptom severity and frequency from baseline at all post-screening assessments (>90% at Month 10. In the CURRENT subanalysis >60% of patients reported improvements in heartburn or acid reflux and >70% indicated improvement in other stomach upset at month 6. Postmenopausal women with GI irritability with daily or weekly BPs experienced improvement in symptoms with extended dosing monthly or quarterly ibandronate compared with baseline.Keywords: ibandronate, osteoporosis, bisphosphonate, gastrointestinal

  4. A case report of two male siblings with autism and duplication of Xq13-q21, a region including three genes predisposing for autism.

    Science.gov (United States)

    Wentz, Elisabet; Vujic, Mihailo; Kärrstedt, Ewa-Lotta; Erlandsson, Anna; Gillberg, Christopher

    2014-05-01

    Autism spectrum disorder, severe behaviour problems and duplication of the Xq12 to Xq13 region have recently been described in three male relatives. To describe the psychiatric comorbidity and dysmorphic features, including craniosynostosis, of two male siblings with autism and duplication of the Xq13 to Xq21 region, and attempt to narrow down the number of duplicated genes proposed to be leading to global developmental delay and autism. We performed DNA sequencing of certain exons of the TWIST1 gene, the FGFR2 gene and the FGFR3 gene. We also performed microarray analysis of the DNA. In addition to autism, the two male siblings exhibited severe learning disability, self-injurious behaviour, temper tantrums and hyperactivity, and had no communicative language. Chromosomal analyses were normal. Neither of the two siblings showed mutations of the sequenced exons known to produce craniosynostosis. The microarray analysis detected an extra copy of a region on the long arm of chromosome X, chromosome band Xq13.1-q21.1. Comparison of our two cases with previously described patients allowed us to identify three genes predisposing for autism in the duplicated chromosomal region. Sagittal craniosynostosis is also a new finding linked to the duplication.

  5. A brief report on the statistical study of net electric current in solar active regions with longitudinal fields of opposite polarity

    International Nuclear Information System (INIS)

    Gao Yu

    2013-01-01

    Dynamic processes occurring in solar active regions are dominated by the solar magnetic field. As of now, observations using a solar magnetograph have supplied us with the vector components of a solar photospheric magnetic field. The two transverse components of a photospheric magnetic field allow us to compute the amount of electric current. We found that the electric current in areas with positive (negative) polarity due to the longitudinal magnetic field have both positive and negative signs in an active region, however, the net current is found to be an order-of-magnitude less than the mean absolute magnitude and has a preferred sign. In particular, we have statistically found that there is a systematic net electric current from areas with negative (positive) polarity to areas with positive (negative) polarity in solar active regions in the northern (southern) hemisphere, but during the solar minimum this tendency is reversed over time at some latitudes. The result indicates that there is weak net electric current in areas of solar active regions with opposite polarity, thus providing further details about the hemispheric helicity rule found in a series of previous studies.

  6. Bilateral orbital infarction and retinal detachment in a previously undiagnosed sickle cell hemoglobinopathy African child

    Science.gov (United States)

    Helen, Onakpoya Oluwatoyin; Ajite, K. O.; Oyelami, O. A.; Asaleye, C. M.; Adeoye, A. O.

    2013-01-01

    Bone infarction involving the orbit in sickle cell disease is not common. Bilateral orbital infarction in a previously undiagnosed sickle cell hemoglobinopathy has not been previously reported. In this report, we present a case of an 11-year-old previously undiagnosed sickle cell disease Nigerian girl with severe acute bilateral orbital infarction and retinal detachment to highlight that hemoglobinopathy induced orbital infarction should be considered in African children with acute onset proptosis with or without previous history of sickle cell hemoglobinopathy. PMID:23901183

  7. Regional energy supply in 1996/1997. Progress report of the working pool of regional power supply companies (ARE e.V.); Regionale Energieversorgung 1996-1997. Taetigkeitsbericht der Arbeitsgemeinschaft regionaler Energieversorgungs-Unternehmen - ARE - e.V

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1998-04-01

    Generally speaking the present report deals with the regional power supply as part of the whole economy. In this connection it also addresses issues of economic development. The following topics are covered in its report on the activities of ARE since the annual meeting of 1996; energy policy, regional supply in the new Laender, European common market for electricity and natural gas, energy-economic law, special provisions under cartel law concerning public utilities. The report concludes with a description of the organisation of ARE (tasks and aims, members, executive board, management, committees, headquarters). (RHM) [Deutsch] Gegenstand des Berichtes ist zunaechst die regionale Energieversorgung im Rahmen der Gesamtwirtschaft. Dabei wird sowohl auf die wirtschaftliche Entwicklung als auf die regionale Energieversorgung eingegangen. Anschliessend wird ein Ueberblick ueber die Taetigkeit des ARE seit der Jahrestagung 1996 gegeben. Dabei werden Aktivitaeten in den Bereichen Energiepolitik, Regionalversorgung in den neuen Bundeslaendern, europaeischer Binnenmarkt fuer Elektrizitaet und Gas, Energiewirtschaftsrecht sowie kartellrechtlicher Ausnahmebereich Versorgungswirtschaft behandelt. Abschliessend wird die Organisation der ARE (Aufgaben und Ziele, Mitglieder, Vorstand, Geschaeftsfuehrung, Ausschuesse, Geschaeftsstelle) beschrieben. (RHM)

  8. Regional energy supply in 1994/1995. Progress report of the working pool of regional power supply companies (ARE e.V.); Regionale Energieversorgung 1994/1995. Taetigkeitsbericht der Arbeitsgemeinschaft regionaler Energieversorgungs-Unternehmen - ARE - e.V

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    1996-04-01

    Generally speaking the present report deals with the regional power supply as part of the whole economy. In this connection it also addresses issues of economic development. The following topics are covered in its report on the activities of ARE since the annual meeting of 1994; energy policy, regional supply in the new Laender, European common market for electricity, energy-economic law, special provisions under cartel law concerning public utilities. The report concludes with a description of the organisation of ARE (tasks and aims, members, executive board, management, committees, headquarters). (RHM) [Deutsch] Gegenstand des Berichtes ist zunaechst die regionale Energieversorgung im Rahmen der Gesamtwirtschaft. Dabei wird sowohl auf die wirtschaftliche Entwicklung als auf die regionale Energieversorgung eingegangen. Anschliessend wird ein Ueberblick ueber die Taetigkeit des ARE seit der Jahrestagung 1994 gegeben. Dabei werden Aktivitaeten in den Bereichen Energiepolitik, Regionalversorgung in den neuen Bundeslaendern, europaeischer Binnenmarkt fuer Elektrizitaet, Energiewirtschaftsrecht sowie kartellrechtlicher Ausnahmebereich Versorgungswirtschaft behandelt. Abschliessend wird die Organisation der ARE (Aufgaben und Ziele, Mitglieder, Vorstand, Geschaeftsfuehrung, Ausschuesse, Geschaeftsstelle) beschrieben. (RHM)

  9. Report of the results of the second phase of Research Coordinated Program of IAEA ''Regional Intercomparison of Personnel Dosimetry''

    International Nuclear Information System (INIS)

    Morales, J.; Diaz, E.; Hernandez, E.; Capote, E.

    1998-01-01

    In this report the results of an intercomparison program within a research coordinated program are presented. This is a second phase of the study that consisted in to evaluate the implementation of the new ICRU quantities for individual monitoring by the dosimetry laboratories. In this report the organization aspects, quality control of the irradiations performed by the reference laboratory (SSDL of the Centro de Proteccion e Higiene de las radiaciones) as well the results of the participant laboratories are included

  10. CASE REPORT: CHARACTERIZATION OF THE PRODUCTION SYSTEM OF BEEF CATTLE, DEVELOPED BY BRAZILIANS IN THE REGION OF CHACO BOLIVIANO

    Directory of Open Access Journals (Sweden)

    Ronan Lopes Albino

    2011-12-01

    Full Text Available The purpose of this work is to describe the characteristic of the beef cattle production system in Bolivia. From a scholarship that happened in a Brazilian company who provide management in livestock, during this time it was possible know a little bit about the characteristic on Bolivia livestock. In oriental region from Bolivia the Boviplan Consultoria Agropecuaria Ltda., Brazilian company with head office in Piracicaba-SP, built an office, to offer a bigger technical support for customer that have farm in Bolivia. This region is inside on biome of Bolivian Chaco that is characterized by soil extremely fertile and cheap land. These factora help to explain the favorable scenario of beef cattle found on farms that are managed by Boviplan in Bolivia.

  11. Concurrent Peripheral Pathologies and Complex Regional Pain Syndrome Type 1 as Contributors to Acute Post-Stroke Shoulder Pain: A Case Report

    Directory of Open Access Journals (Sweden)

    Seyed Majid Akhavan Hejazi

    2012-04-01

    Full Text Available Post-stroke shoulder pain is associated with either a peripheral or central pathology. However, most of the time, it is challenging to establish a cause-and-effect relationship between the suggested pathology and shoulder pain reported. We report a 66 year-old man who developed a right hemiplegic shoulder pain two months post stroke with initial investigations suggestive of peripheral pathologies. Pharmacological and non-pharmacological treatment did not improve his shoulder pain. Later he developed complex regional pain syndrome (CRPS of the right hand and the initial shoulder pain subsequently relieved following resolution of the CRPS.

  12. CASE REPORT: CHARACTERIZATION OF THE PRODUCTION SYSTEM OF BEEF CATTLE, DEVELOPED BY BRAZILIANS IN THE REGION OF CHACO BOLIVIANO

    OpenAIRE

    Ronan Lopes Albino; Ricardo Marostegan de Paula; Virgílio Mesquita Gomes; Pedro Veiga Rodrigues Paulino; Rogério de Paula Lana

    2011-01-01

    The purpose of this work is to describe the characteristic of the beef cattle production system in Bolivia. From a scholarship that happened in a Brazilian company who provide management in livestock, during this time it was possible know a little bit about the characteristic on Bolivia livestock. In oriental region from Bolivia the Boviplan Consultoria Agropecuaria Ltda., Brazilian company with head office in Piracicaba-SP, built an office, to offer a bigger technical support for customer th...

  13. 2nd East Africa Regional Workshop Report: Conservation Agriculture in AFRICA - Analysing and Foreseeing its Impact - Comprehending its Adoption

    OpenAIRE

    Apina, T.; Mkomwa, S.; Mutai, W.; Njeri, A.

    2011-01-01

    This resource provides a summary of the 2nd East Africa Sub-regional workshop held in Nanyuki, Kenya, on 28-30 March 2011. Attendees included the African Conservation Tillage Network (ACT), Tropical Soil Biology and Fertility Institute (TSBF/AFNET), Agricultural Research for Development (CIRAD), LEIBNIZ-Centre for Agricultural Landscape Research (ZALF), Agricultural Research Institute (ARI) UYOLE, SELIAN Agricultural Research Institute (SARI-MAFC), Conservation Agriculture for Sustainable Agr...

  14. A method for finding D-region electron density distributions from lf broadband pulse measurements. Telecommunications research and engineering report

    International Nuclear Information System (INIS)

    Wieder, B.; Espeland, R.H.

    1972-11-01

    A Loran-C transmitter is used as the signal source for the experiment. In the experiment, both the normal and abnormal components of the pulses reflected from the ionosphere are measured, and the reflection coeffeicients are determined as a function of frequency through Fourier analysis of both the groundwave and the skywave signals. The resultant data are then compared with reflection coefficients calculated from a series of test D-region electron density profiles

  15. [Implementing population-based integrated care for a region: a work-in-progress report on the project "Gesundes Kinzigtal"].

    Science.gov (United States)

    Hildebrandt, Helmut; Schmitt, Gwendolyn; Roth, Monika; Stunder, Brigitte

    2011-01-01

    The regional integrated care model "Gesundes Kinzigtal" pursues the idea of integrated health care with special focus on increasing the health gain of the served population. Physicians (general practitioners) and psychotherapists, physiotherapists, hospitals, nursing services, non-profit associations, fitness centers, and health insurance companies work closely together with a regional management company and its programs on prevention and care coordination and enhancement. The 10 year-project is run by a company that was founded by the physician network "MQNK" and "OptiMedis AG", a corporation with public health background specialising in integrated health care. The aim of this project is to enhance prevention and quality of health care for a whole region in a sustainable way, and to decrease costs of care. The article describes the special funding model of the project, the engagement of patients, and the different health and prevention programmes. The programmes and projects are developed, implemented, and evaluated by multidisciplinary teams. Copyright © 2011. Published by Elsevier GmbH.

  16. Giant cell tumor of cervicothoracic region treated by triple corpectomy from posterior only approach: A case report with review of literature

    Directory of Open Access Journals (Sweden)

    Rajat Mahajan

    2015-01-01

    Full Text Available Giant cell tumor (GCT is a benign aggressive tumor, which affects axial as well as a peripheral skeleton. It affects epiphysis of long bones and can result in pathological fractures. GCT affects cervical spine rarely and has been known to affect almost all vertebra in the human body. It has a predilection for fixed spine, that is, sacrum though it can affect mobile spine as well. GCT of cervicothoracic region poses a challenge for the surgeon because of the difficulty in approaching this region anteriorly. This situation is further compounded when GCT involves multiple contiguous vertebral bodies in this region and has already spread beyond the confines of its capsule. We report a case of GCT involving three vertebral bodies C7, D1, and D2 at cervicothoracic region who presented to us and was treated with triple corpectomy from the posterior only approach. This is the first ever case report of triple corpectomy and anterior reconstruction by a posterior only approach for GCT at the cervicothoracic junction to the best of author′s knowledge.

  17. Annual report on activities of Regional Public Health Offices in the Slovak Republic in 2010; Vyrocna sprava o cinnosti Regionalnych uradov verejneho zdravotnictva v Slovenskej republike, rok 2010

    Energy Technology Data Exchange (ETDEWEB)

    NONE

    2011-07-01

    A brief account of activities carried out by the Regional Public Health Offices in the Slovak Republic in 2010 is presented. These activities are reported under the headings: (1) Environment; (2) Preventive occupational medicine; (3) Hygiene, nutrition, food safety and cosmetic products; (4) Hygiene of children and youth; (5) Epidemiology; (6) Objectification of environmental factors and working environment; (7) Medical microbiology; (8) Health promotion; (9) Health protection against radiation; (10) Complaints and petitions; (11) Control of tobacco and alcohol.

  18. Light element atom, molecule and radical behaviour in the divertor and edge plasma regions. Summary report of the 1. research coordination meeting

    International Nuclear Information System (INIS)

    Braams, B.J.

    2010-01-01

    The first research coordination meeting of the Coordinated Research Project (CRP) on Light Element Atom, Molecule and Radical Behaviour in the Divertor and Edge Plasma Regions was held 18-20 November 2009 at IAEA headquarters, bringing together experts representing 14 institutions. Participants summarized their recent and ongoing work pertinent to the research project. The specific objectives of the CRP and a detailed work plan were formulated. The discussions, conclusions and recommendations of the meeting are summarized in this report. (author)

  19. Impact of previously disadvantaged land-users on sustainable ...

    African Journals Online (AJOL)

    Impact of previously disadvantaged land-users on sustainable agricultural ... about previously disadvantaged land users involved in communal farming systems ... of input, capital, marketing, information and land use planning, with effect on ...

  20. 22 CFR 40.91 - Certain aliens previously removed.

    Science.gov (United States)

    2010-04-01

    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Certain aliens previously removed. 40.91... IMMIGRANTS UNDER THE IMMIGRATION AND NATIONALITY ACT, AS AMENDED Aliens Previously Removed § 40.91 Certain aliens previously removed. (a) 5-year bar. An alien who has been found inadmissible, whether as a result...