Sample records for profiler precipitation consensus

  1. Kinome profiling of Arabidopsis using arrays of kinase consensus substrates

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    Pieterse Corné MJ


    Full Text Available Abstract Background Kinome profiling aims at the parallel analysis of kinase activities in a cell. Novel developed arrays containing consensus substrates for kinases are used to assess those kinase activities. The arrays described in this paper were already used to determine kinase activities in mammalian systems, but since substrates from many organisms are present we decided to test these arrays for the determination of kinase activities in the model plant species Arabidopsis thaliana. Results Kinome profiling using Arabidopsis cell extracts resulted in the labelling of many consensus peptides by kinases from the plant, indicating the usefulness of this kinome profiling tool for plants. Method development showed that fresh and frozen plant material could be used to make cell lysates containing active kinases. Dilution of the plant extract increased the signal to noise ratio and non-radioactive ATP enhances full development of spot intensities. Upon infection of Arabidopsis with an avirulent strain of the bacterial pathogen Pseudomonas syringae pv. tomato, we could detect differential kinase activities by measuring phosphorylation of consensus peptides. Conclusion We show that kinome profiling on arrays with consensus substrates can be used to monitor kinase activities in plants. In a case study we show that upon infection with avirulent P. syringae differential kinase activities can be found. The PepChip can for example be used to purify (unknown kinases that play a role in P. syringae infection. This paper shows that kinome profiling using arrays of consensus peptides is a valuable new tool to study signal-transduction in plants. It complements the available methods for genomics and proteomics research.

  2. PROSPECT improves cis-acting regulatory element prediction by integrating expression profile data with consensus pattern searches (United States)

    Fujibuchi, Wataru; Anderson, John S. J.; Landsman, David


    Consensus pattern and matrix-based searches designed to predict cis-acting transcriptional regulatory sequences have historically been subject to large numbers of false positives. We sought to decrease false positives by incorporating expression profile data into a consensus pattern-based search method. We have systematically analyzed the expression phenotypes of over 6000 yeast genes, across 121 expression profile experiments, and correlated them with the distribution of 14 known regulatory elements over sequences upstream of the genes. Our method is based on a metric we term probabilistic element assessment (PEA), which is a ranking of potential sites based on sequence similarity in the upstream regions of genes with similar expression phenotypes. For eight of the 14 known elements that we examined, our method had a much higher selectivity than a naïve consensus pattern search. Based on our analysis, we have developed a web-based tool called PROSPECT, which allows consensus pattern-based searching of gene clusters obtained from microarray data. PMID:11574681

  3. Similarities and Improvements of GPM Dual-Frequency Precipitation Radar (DPR upon TRMM Precipitation Radar (PR in Global Precipitation Rate Estimation, Type Classification and Vertical Profiling

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    Jinyu Gao


    Full Text Available Spaceborne precipitation radars are powerful tools used to acquire adequate and high-quality precipitation estimates with high spatial resolution for a variety of applications in hydrological research. The Global Precipitation Measurement (GPM mission, which deployed the first spaceborne Ka- and Ku-dual frequency radar (DPR, was launched in February 2014 as the upgraded successor of the Tropical Rainfall Measuring Mission (TRMM. This study matches the swath data of TRMM PR and GPM DPR Level 2 products during their overlapping periods at the global scale to investigate their similarities and DPR’s improvements concerning precipitation amount estimation and type classification of GPM DPR over TRMM PR. Results show that PR and DPR agree very well with each other in the global distribution of precipitation, while DPR improves the detectability of precipitation events significantly, particularly for light precipitation. The occurrences of total precipitation and the light precipitation (rain rates < 1 mm/h detected by GPM DPR are ~1.7 and ~2.53 times more than that of PR. With regard to type classification, the dual-frequency (Ka/Ku and single frequency (Ku methods performed similarly. In both inner (the central 25 beams and outer swaths (1–12 beams and 38–49 beams of DPR, the results are consistent. GPM DPR improves precipitation type classification remarkably, reducing the misclassification of clouds and noise signals as precipitation type “other” from 10.14% of TRMM PR to 0.5%. Generally, GPM DPR exhibits the same type division for around 82.89% (71.02% of stratiform (convective precipitation events recognized by TRMM PR. With regard to the freezing level height and bright band (BB height, both radars correspond with each other very well, contributing to the consistency in stratiform precipitation classification. Both heights show clear latitudinal dependence. Results in this study shall contribute to future development of spaceborne

  4. Retrieving moisture profiles from precipitable water measurements using a variational data assimilation approach

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    Guo, Y.R.; Zou, X.; Kuo, Y.H. [National Center for Atmospheric Research, Boulder, CO (United States)


    Atmospheric moisture distribution is directly related to the formation of clouds and precipitation and affects the atmospheric radiation and climate. Currently, several remote sensing systems can measure precipitable water (PW) with fairly high accuracy. As part of the development of an Integrated Data Assimilation and Sounding System in support of the Atmospheric Radiation Measurement Program, retrieving the 3-D water vapor fields from PW measurements is an important problem. A new four dimensional variational (4DVAR) data assimilation system based on the Penn State/National Center for Atmospheric Research (NCAR) mesoscale model (MM5) has been developed by Zou et al. (1995) with the adjoint technique. In this study, we used this 4DVAR system to retrieve the moisture profiles. Because we do not have a set of real observed PW measurements now, the special soundings collected during the Severe Environmental Storm and Mesoscale Experiment (SESAME) in 1979 were used to simulate a set of PW measurements, which were then assimilated into the 4DVAR system. The accuracy of the derived water vapor fields was assessed by direct comparison with the detailed specific humidity soundings. The impact of PW assimilation on precipitation forecast was examined by conducting a series of model forecast experiments started from the different initial conditions with or without data assimilation.

  5. Quantitative precipitation estimation in complex orography using quasi-vertical profiles of dual polarization radar variables (United States)

    Montopoli, Mario; Roberto, Nicoletta; Adirosi, Elisa; Gorgucci, Eugenio; Baldini, Luca


    Weather radars are nowadays a unique tool to estimate quantitatively the rain precipitation near the surface. This is an important task for a plenty of applications. For example, to feed hydrological models, mitigate the impact of severe storms at the ground using radar information in modern warning tools as well as aid the validation studies of satellite-based rain products. With respect to the latter application, several ground validation studies of the Global Precipitation Mission (GPM) products have recently highlighted the importance of accurate QPE from ground-based weather radars. To date, a plenty of works analyzed the performance of various QPE algorithms making use of actual and synthetic experiments, possibly trained by measurement of particle size distributions and electromagnetic models. Most of these studies support the use of dual polarization variables not only to ensure a good level of radar data quality but also as a direct input in the rain estimation equations. Among others, one of the most important limiting factors in radar QPE accuracy is the vertical variability of particle size distribution that affects at different levels, all the radar variables acquired as well as rain rates. This is particularly impactful in mountainous areas where the altitudes of the radar sampling is likely several hundred of meters above the surface. In this work, we analyze the impact of the vertical profile variations of rain precipitation on several dual polarization radar QPE algorithms when they are tested a in complex orography scenario. So far, in weather radar studies, more emphasis has been given to the extrapolation strategies that make use of the signature of the vertical profiles in terms of radar co-polar reflectivity. This may limit the use of the radar vertical profiles when dual polarization QPE algorithms are considered because in that case all the radar variables used in the rain estimation process should be consistently extrapolated at the surface

  6. Regional Precipitation Forecast with Atmospheric InfraRed Sounder (AIRS) Profile Assimilation (United States)

    Chou, S.-H.; Zavodsky, B. T.; Jedloved, G. J.


    . Section 3 presents an overall precipitation improvement with AIRS assimilation during a 37-day case study period, and Section 4 focuses on a single case study to further investigate the meteorological impact of AIRS profiles on synoptic scale models. Finally, Section 5 provides a summary of the paper.

  7. Systematic enrichment analysis of gene expression profiling studies identifies consensus pathways implicated in colorectal cancer development

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    Jesús Lascorz


    Full Text Available Background: A large number of gene expression profiling (GEP studies on colorectal carcinogenesis have been performed but no reliable gene signature has been identified so far due to the lack of reproducibility in the reported genes. There is growing evidence that functionally related genes, rather than individual genes, contribute to the etiology of complex traits. We used, as a novel approach, pathway enrichment tools to define functionally related genes that are consistently up- or down-regulated in colorectal carcinogenesis. Materials and Methods: We started the analysis with 242 unique annotated genes that had been reported by any of three recent meta-analyses covering GEP studies on genes differentially expressed in carcinoma vs normal mucosa. Most of these genes (218, 91.9% had been reported in at least three GEP studies. These 242 genes were submitted to bioinformatic analysis using a total of nine tools to detect enrichment of Gene Ontology (GO categories or Kyoto Encyclopedia of Genes and Genomes (KEGG pathways. As a final consistency criterion the pathway categories had to be enriched by several tools to be taken into consideration. Results: Our pathway-based enrichment analysis identified the categories of ribosomal protein constituents, extracellular matrix receptor interaction, carbonic anhydrase isozymes, and a general category related to inflammation and cellular response as significantly and consistently overrepresented entities. Conclusions: We triaged the genes covered by the published GEP literature on colorectal carcinogenesis and subjected them to multiple enrichment tools in order to identify the consistently enriched gene categories. These turned out to have known functional relationships to cancer development and thus deserve further investigation.

  8. Global peak flux profile of proton precipitation in the equatorial zone

    International Nuclear Information System (INIS)

    Miah, M.A.


    Particle precipitation near the equator within ± 30deg geomagnetic latitude was investigated by the Phoenix-1 instrumentation on board the S81-1 mission. The monitor telescope on board the mission was sensitive to protons in the energy range 0.6-9.1 MeV, to alpha particles in the energy range 0.4-80 MeV/nucleon and Z→3 particles ( 12 C) of energy greater than 0.7 MeV/nucleon. The peak efficiency of the telescope was for particles of ∼88deg pitch angles at the line of minimum magnetic field. Careful separation of the magnetically quiet time equatorial particle data from global data coverage and subsequent analysis shows that the ML detector on board the mission detected mostly protons. The proton peak flux profile follows the line of minimum magnetic field. The full width at half maximum (FWHM) of the equatorial zone is ∼ 13deg, which is well within the EUV emission zone. (author). 14 refs., 9 figs

  9. Instability of an infiltration-driven dissolution-precipitation front with a nonmonotonic porosity profile (United States)

    Kondratiuk, Paweł; Dutka, Filip; Szymczak, Piotr


    . The porosity profile is not monotonic as in the case of pure dissolution, but it typically has a minimum in the vicinity of the front. Additionally, the porosity difference between the initial rock far-downstream and the well-developed secondary rock far-upstream can be either negative or positive, which either destabilizes of stabilized the front. We propose a theoretical model of a simple infiltration-driven dissolution-precipitation system and find the morphology of the resulting planar reaction front. By performing linear stability analysis of the stationary planar solutions we show that the front can be unstable for a wide range of control parameters, even if the porosity of the secondary rock is lower than the porosity of the primary rock. Next, by numerical simulations of the full nonlinear model we present the long-term evolution of the system. [1] D. Chadam et al., IMA J. Appl. Math. 36, 207-221, 1986. [2] A. Putnis, Rev. Mineral. Geochemistry, 70(1), 87-124, 2009.

  10. Identification and uncertainty estimation of vertical reflectivity profiles using a Lagrangian approach to support quantitative precipitation measurements by weather radar (United States)

    Hazenberg, P.; Torfs, P. J. J. F.; Leijnse, H.; Delrieu, G.; Uijlenhoet, R.


    This paper presents a novel approach to estimate the vertical profile of reflectivity (VPR) from volumetric weather radar data using both a traditional Eulerian as well as a newly proposed Lagrangian implementation. For this latter implementation, the recently developed Rotational Carpenter Square Cluster Algorithm (RoCaSCA) is used to delineate precipitation regions at different reflectivity levels. A piecewise linear VPR is estimated for either stratiform or neither stratiform/convective precipitation. As a second aspect of this paper, a novel approach is presented which is able to account for the impact of VPR uncertainty on the estimated radar rainfall variability. Results show that implementation of the VPR identification and correction procedure has a positive impact on quantitative precipitation estimates from radar. Unfortunately, visibility problems severely limit the impact of the Lagrangian implementation beyond distances of 100 km. However, by combining this procedure with the global Eulerian VPR estimation procedure for a given rainfall type (stratiform and neither stratiform/convective), the quality of the quantitative precipitation estimates increases up to a distance of 150 km. Analyses of the impact of VPR uncertainty shows that this aspect accounts for a large fraction of the differences between weather radar rainfall estimates and rain gauge measurements.

  11. Improvement in Protein Domain Identification Is Reached by Breaking Consensus, with the Agreement of Many Profiles and Domain Co-occurrence.

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    Juliana Bernardes


    Full Text Available Traditional protein annotation methods describe known domains with probabilistic models representing consensus among homologous domain sequences. However, when relevant signals become too weak to be identified by a global consensus, attempts for annotation fail. Here we address the fundamental question of domain identification for highly divergent proteins. By using high performance computing, we demonstrate that the limits of state-of-the-art annotation methods can be bypassed. We design a new strategy based on the observation that many structural and functional protein constraints are not globally conserved through all species but might be locally conserved in separate clades. We propose a novel exploitation of the large amount of data available: 1. for each known protein domain, several probabilistic clade-centered models are constructed from a large and differentiated panel of homologous sequences, 2. a decision-making protocol combines outcomes obtained from multiple models, 3. a multi-criteria optimization algorithm finds the most likely protein architecture. The method is evaluated for domain and architecture prediction over several datasets and statistical testing hypotheses. Its performance is compared against HMMScan and HHblits, two widely used search methods based on sequence-profile and profile-profile comparison. Due to their closeness to actual protein sequences, clade-centered models are shown to be more specific and functionally predictive than the broadly used consensus models. Based on them, we improved annotation of Plasmodium falciparum protein sequences on a scale not previously possible. We successfully predict at least one domain for 72% of P. falciparum proteins against 63% achieved previously, corresponding to 30% of improvement over the total number of Pfam domain predictions on the whole genome. The method is applicable to any genome and opens new avenues to tackle evolutionary questions such as the reconstruction of

  12. Rain cell-based identification of the vertical profile of reflectivity as observed by weather radar and its use for precipitation uncertainty estimation (United States)

    Hazenberg, P.; Torfs, P. J. J. F.; Leijnse, H.; Uijlenhoet, R.


    The wide scale implementation of weather radar systems over the last couple of decades has increased our understanding concerning spatio-temporal precipitation dynamics. However, the quantitative estimation of precipitation by these devices is affected by many sources of error. A very dominant source of error results from vertical variations in the hydrometeor size distribution known as the vertical profile of reflectivity (VPR). Since the height of the measurement as well as the beam volume increases with distance from the radar, for stratiform precipitation this results in a serious underestimation (overestimation) of the surface reflectivity while sampling within the snow (bright band) region. This research presents a precipitation cell-based implementation to correct volumetric weather radar measurements for VPR effects. Using the properties of a flipping carpenter square, a contour-based identification technique was developed, which is able to identify and track precipitation cells in real time, distinguishing between convective, stratiform and undefined precipitation. For the latter two types of systems, for each individual cell, a physically plausible vertical profile of reflectivity is estimated using a Monte Carlo optimization method. Since it can be expected that the VPR will vary within a given precipitation cell, a method was developed to take the uncertainty of the VPR estimate into account. As a result, we are able to estimate the amount of precipitation uncertainty as observed by weather radar due to VPR for a given precipitation type and storm cell. We demonstrate the possibilities of this technique for a number of winter precipitation systems observed within the Belgian Ardennes. For these systems, in general, the precipitation uncertainty estimate due to vertical reflectivity profile variations varies between 10-40%.

  13. Practical consensus recommendations on management of HR + ve early breast cancer with specific reference to genomic profiling

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    S Aggarwal


    Full Text Available Breast cancer is a heterogeneous disease and patients are managed clinically based on ER, PR, HER2 expression, and key risk factors. The use of gene expression assays for early stage disease is already common practice. These tests have found a place in risk stratifying the heterogeneous group of stage I–II breast cancers for recurrence, for predicting chemotherapy response, and for predicting breast cancer-related mortality. Most guidelines for hormone receptor (HR–positive early breast cancer recommend addition of adjuvant chemotherapy for most women, leading to overtreatment, which causes considerable morbidity and cost. Expert oncologist discussed about strategies of gene expression assays and aid in chemotherapy recommendations for treatment of HR + ve EBC and the expert group used data from published literature, practical experience and opinion of a large group of academic oncologists to arrive at this practical consensus recommendations for the benefit of community oncologists.

  14. Resolving precipitation-induced water content profiles through inversion of dispersive GPR data (United States)

    Mangel, A. R.; Moysey, S. M.; Van Der Kruk, J.


    Ground-penetrating radar (GPR) has become a popular tool for monitoring hydrologic processes. When monitoring infiltration, the thin wetted zone that occurs near the ground surface at early times may act as a dispersive waveguide. This low-velocity layer traps the GPR waves, causing specific frequencies of the signal to travel at different phase velocities, confounding standard traveltime analysis. In a previous numerical study we demonstrated the potential of dispersion analysis for estimating the depth distribution of waveguide water contents. Here, we evaluate the effectiveness of the methodology when applying it to experimental time-lapse dispersive GPR data collected during a laboratory infiltration experiment in a relatively homogenous soil. A large sand-filled tank is equipped with an automated gantry to independently control the position of 1000 MHz source and receiver antennas. The system was programmed to repeatedly collect a common mid-point (CMP) profile at the center of the tank followed by two constant offset profiles (COP) in the x and y direction. Each collection was completed in 30 s and repeated 50 times during a 28 min experiment. Two minutes after the start of measurements, the surface of the sand was irrigated at a constant flux rate of 0.006 cm/sec for 23 minutes. Time-lapse COPs show increases in traveltime to reflectors in the tank associated with increasing water content, as well as the development of a wetting front reflection. From 4-10 min, the CMPs show a distinct shingling characteristic that is indicative of waveguide dispersion. Forward models where the waveguide is conceptualized as discrete layers and a piece-wise linear function were used to invert picked dispersion curves for waveguide properties. We show the results from both inversion approaches for multiple dispersive CMPs and show how the single layer model fails to represent the gradational nature of the wetting front.

  15. Crafting consensus

    Czech Academy of Sciences Publication Activity Database

    Zápal, Jan


    Roč. 173, 1–2 (2017), s. 169-200 ISSN 0048-5829 R&D Projects: GA ČR(CZ) GP14-27902P Institutional support: Progres-Q24 Keywords : consensus building * agenda setting * vote buying Subject RIV: AH - Economics OBOR OECD: Economic Theory Impact factor: 0.788, year: 2016

  16. Why Consensus?

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    Francesca Polletta


    Full Text Available Activists have long justified their egalitarian organizational forms in prefigurative terms. Making decisions by consensus, decentralizing organization, and rotating leadership serves to model the radically democratic society that activists hope to bring into being. Our comparison of consensus-based decision-making in three historical periods, however, shows that activists have understood the purposes of prefiguration in very different ways. Whereas radical pacifists in the 1940s saw their cooperative organizations as sustaining movement stalwarts in a period of political repression, new left activists in the 1960s imagined that their radically democratic practices would be adopted by ever-widening circles. Along with the political conditions in which they have operated, activists’ distinctive understandings of equality have also shaped the way they have made decisions. Our interviews with 30 leftist activists today reveal a view of decision-making as a place to work through inequalities that are informal, unacknowledged, and pervasive.

  17. Mesoscale kinematics derived from X-band Doppler radar observations of convective versus stratiform precipitation and comparison with GPS radiosonde profiles (United States)

    Deshpande, Sachin M.; Dhangar, N.; Das, S. K.; Kalapureddy, M. C. R.; Chakravarty, K.; Sonbawne, S.; Konwar, M.


    Single Doppler analysis techniques known as velocity azimuth display (VAD) and volume velocity processing (VVP) are used to analyze kinematics of mesoscale flow such as horizontal wind and divergence using X-band Doppler weather radar observations, for selected cases of convective, stratiform, and shallow cloud systems near tropical Indian sites Pune (18.58°N, 73.92°E, above sea level (asl) 560 m) and Mandhardev (18.51°N, 73.85°E, asl 1297 m). The vertical profiles of horizontal wind estimated from radar VVP/VAD methods agree well with GPS radiosonde profiles, with the low-level jet at about 1.5 km during monsoon season well depicted in both. The vertical structure and temporal variability of divergence and reflectivity profiles are indicative of the dynamical and microphysical characteristics of shallow convective, deep convective, and stratiform cloud systems. In shallow convective systems, vertical development of reflectivity profiles is limited below 5 km. In deep convective systems, reflectivity values as large as 55 dBZ were observed above freezing level. The stratiform system shows the presence of a reflectivity bright band (~35 dBZ) near the melting level. The diagnosed vertical profiles of divergence in convective and stratiform systems are distinct. In shallow convective conditions, convergence was seen below 4 km with divergence above. Low-level convergence and upper level divergence are observed in deep convective profiles, while stratiform precipitation has midlevel convergence present between lower level and upper level divergence. The divergence profiles in stratiform precipitation exhibit intense shallow layers of "melting convergence" at 0°C level, near 4.5 km altitude, with a steep gradient on the both sides of the peak. The level of nondivergence in stratiform situations is lower than that in convective situations. These observed vertical structures of divergence are largely indicative of latent heating profiles in the atmosphere, an

  18. Effects of revegetation and precipitation gradient on soil carbon and nitrogen variations in deep profiles on the Loess Plateau of China. (United States)

    Tuo, Dengfeng; Gao, Guangyao; Chang, Ruiying; Li, Zongshan; Ma, Ying; Wang, Shuai; Wang, Cong; Fu, Bojie


    Precipitation is one of the most important factors affecting the variations in soil carbon (C) and nitrogen (N) following revegetation. However, the effects of revegetation and precipitation gradients on soil organic carbon (SOC), total nitrogen (TN) and C-N interactions in deep profiles over large scales are poorly understood. This study measured the SOC and TN stocks to depth of 300 cm in three revegetation types (grassland, shrubland and forestland) and paired cropland stands at seven sites along a precipitation gradient with mean annual precipitation (MAP) from 280 to 540 mm yr -1 in the Loess Plateau of China. The results showed that the SOC and TN stocks in the 0-300 cm profile increased along the precipitation gradient. Revegetation did not always result in accumulation of SOC and TN stocks, which depended on the precipitation condition and varied among different vegetation types. Grassland restoration resulted in more SOC and TN accumulation than shrubland and forestland in areas with MAP  510 mm. The changes in SOC and TN stocks following revegetation (∆SOC and ∆TN) were significantly correlated with MAP in only the 0-20 cm layer, whereas the changes in the C/N ratio of each depth were significantly and negatively correlated with MAP. The correlations between ∆SOC and ∆TN were stronger in the 0-60 cm layer than that in the 60-300 cm layer, and an accumulation of 1 g TN was associated with approximately 7.9 g increase of SOC in the 0-300 cm profile following revegetation. This study indicated that the changes in soil C and N stocks following revegetation had different patterns along precipitation gradient and among depths, and grassland restoration and N fertilizer input benefitted soil C and N sequestration in drier areas. Copyright © 2018 Elsevier B.V. All rights reserved.

  19. Target Product Profile for a Diagnostic Assay to Differentiate between Bacterial and Non-Bacterial Infections and Reduce Antimicrobial Overuse in Resource-Limited Settings: An Expert Consensus.

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    Sabine Dittrich

    Full Text Available Acute fever is one of the most common presenting symptoms globally. In order to reduce the empiric use of antimicrobial drugs and improve outcomes, it is essential to improve diagnostic capabilities. In the absence of microbiology facilities in low-income settings, an assay to distinguish bacterial from non-bacterial causes would be a critical first step. To ensure that patient and market needs are met, the requirements of such a test should be specified in a target product profile (TPP. To identify minimal/optimal characteristics for a bacterial vs. non-bacterial fever test, experts from academia and international organizations with expertise in infectious diseases, diagnostic test development, laboratory medicine, global health, and health economics were convened. Proposed TPPs were reviewed by this working group, and consensus characteristics were defined. The working group defined non-severely ill, non-malaria infected children as the target population for the desired assay. To provide access to the most patients, the test should be deployable to community health centers and informal health settings, and staff should require 90% and >80% for sensitivity and specificity, respectively. Other key characteristics, to account for the challenging environment at which the test is targeted, included: i time-to-result <10 min (but maximally <2 hrs; ii storage conditions at 0-40°C, ≤90% non-condensing humidity with a minimal shelf life of 12 months; iii operational conditions of 5-40°C, ≤90% non-condensing humidity; and iv minimal sample collection needs (50-100μL, capillary blood. This expert approach to define assay requirements for a bacterial vs. non-bacterial assay should guide product development, and enable targeted and timely efforts by industry partners and academic institutions.

  20. TRMM Precipitation Radar (PR) Level 2 Rainfall Rate and Profile Product (TRMM Product 2A25) V6 (United States)

    National Aeronautics and Space Administration — The TRMM Precipitation Radar (PR), the first of its kind in space, is an electronically scanning radar, operating at 13.8 GHz that measures the 3-D rainfall...

  1. CLIMABR parte II: geração do perfil de precipitação CLIMABR part II: generation of precipitation profile

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    Vicente de P. S. de Oliveira


    Full Text Available As pesquisas sobre precipitação no Brasil têm-se restringido à previsão da lâmina total máxima ou da intensidade máxima provável, esta feita com base em séries históricas. Poucos trabalhos, no entanto, consideram o perfil correspondente a essas precipitações. A falta de modelos representativos tem forçado o uso daqueles desenvolvidos no exterior; contudo, os resultados obtidos demonstram, muitas vezes, que eles não representam adequadamente as condições climáticas típicas do Brasil. Objetivou-se, com o presente trabalho, detalhar complementarmente o desenvolvimento do modelo denominado CLIMABR, descrito por Oliveira et al. (2003, e mostrar sua aplicação para a geração do perfil instantâneo associado às séries sintéticas de precipitação, para as condições climáticas encontradas no Estado do Rio de Janeiro. Na série sintética gerada foram obtidos, para cada dia simulado, entre outros resultados, a duração dos eventos e os valores padronizados da intensidade máxima instantânea de precipitação e do tempo de sua ocorrência ao longo dos eventos. Os dois últimos valores obtidos no modelo foram utilizados para a obtenção do perfil de precipitação representado por uma função dupla exponencial, que foi ajustada a cada evento diário.The research about precipitation in Brazil has been restricted, most of time, to predict the maximum - total - or probable maximum intensity, this being done on the basis of historical series. Only few projects consider the corresponding profiles to these precipitations. The lack of representative models has forced the use of models developed abroad, despite the fact that the obtained results demonstrate, many times, was in inadequability to represent the typical climatic conditions in Brazil. The aim of the present work to detail complementarily to the development of the CLIMABR model, described by Oliveira et al. (2003, and show its application for instantaneous profile


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    Madhava Vijaya Kumar


    Full Text Available BACKGROUND The aim of the study is to study the clinical profile of diabetic ketoacidosis in children with type 1 diabetes to identify the precipitating factors, to assess the metabolic alterations due to this illness and to correlate these parameters with the outcome. MATERIALS AND METHODS This was a prospective observational study and 33 children admitted in PICU during the study period were recruited for the study. RESULTS 24 children were newly-diagnosed cases and 9 children were already established cases of type 1 diabetes. Mean age group was 10.7 years. Major precipitating causes of DKA in established cases were intercurrent respiratory infections and omission of insulin. Nausea, vomiting, thirst and polyuria were the most common symptoms. Mean duration of symptoms before diagnosing DKA were 20 days in newly-diagnosed cases and 4 days in established cases. ¾ of children had dehydration at the time of admission. Severity was more in younger children. Commonest biochemical abnormality was hypokalaemia. Late diagnosis and delay in the initiation of treatment were the commonest predisposing factors for the development of cerebral oedema. CONCLUSION DKA is a life-threatening complication of type 1 diabetes and the red flag signs of bad outcome were young age, late diagnosis, late referral and late initiation of treatment. Hence, a high index of suspicion is necessary to diagnose DKA in first presentation of diabetes as well as in established cases.

  3. Time Variations of Observed H α Line Profiles and Precipitation Depths of Nonthermal Electrons in a Solar Flare

    Energy Technology Data Exchange (ETDEWEB)

    Falewicz, Robert; Radziszewski, Krzysztof; Rudawy, Paweł; Berlicki, Arkadiusz, E-mail:, E-mail:, E-mail:, E-mail: [Astronomical Institute, University of Wrocław, 51-622 Wrocław, ul. Kopernika 11 (Poland)


    We compare time variations of the H α and X-ray emissions observed during the pre-impulsive and impulsive phases of the C1.1-class solar flare on 2013 June 21 with those of plasma parameters and synthesized X-ray emission from a 1D hydrodynamic numerical model of the flare. The numerical model was calculated assuming that the external energy is delivered to the flaring loop by nonthermal electrons (NTEs). The H α spectra and images were obtained using the Multi-channel Subtractive Double Pass spectrograph with a time resolution of 50 ms. The X-ray fluxes and spectra were recorded by RHESSI . Pre-flare geometric and thermodynamic parameters of the model and the delivered energy were estimated using RHESSI data. The time variations of the X-ray light curves in various energy bands and those of the H α intensities and line profiles were well correlated. The timescales of the observed variations agree with the calculated variations of the plasma parameters in the flaring loop footpoints, reflecting the time variations of the vertical extent of the energy deposition layer. Our result shows that the fast time variations of the H α emission of the flaring kernels can be explained by momentary changes of the deposited energy flux and the variations of the penetration depths of the NTEs.

  4. Profiles

    International Nuclear Information System (INIS)


    Profiles is a synthetic overview of more than 100 national energy markets in the world, providing insightful facts and key energy statistics. A Profile is structured around 6 main items and completed by key statistics: Ministries, public agencies, energy policy are concerned; main companies in the oil, gas, electricity and coal sectors, status, shareholders; reserve, production, imports and exports, electricity and refining capacities; deregulation of prices, subsidies, taxes; consumption trends by sector, energy market shares; main energy projects, production and consumption prospects. Statistical Profiles are present in about 3 pages the main data and indicators on oil, gas, coal and electricity. (A.L.B.)

  5. The Limits of Consensus. (United States)

    Poster, John B.

    Dynamics in the education policy arena suggest that, despite two generations of researchers extolling democratic leadership styles and consensus building over autocratic techniques, wide participation in policymaking and the broadest possible consensus are not always productive: American society has not yet agreed on what schools should…

  6. Model-based consensus

    NARCIS (Netherlands)

    Boumans, M.; Martini, C.; Boumans, M.


    The aim of the rational-consensus method is to produce "rational consensus", that is, "mathematical aggregation", by weighing the performance of each expert on the basis of his or her knowledge and ability to judge relevant uncertainties. The measurement of the performance of the experts is based on

  7. Precipitation and measurements of precipitation

    NARCIS (Netherlands)

    Schmidt, F.H.; Bruin, H.A.R. de; Attmannspacher, W.; Harrold, T.W.; Kraijenhoff van de Leur, D.A.


    In Western Europe, precipitation is normal phenomenon; it is of importance to all aspects of society, particularly to agriculture, in cattle breeding and, of course, it is a subject of hydrological research. Precipitation is an essential part in the hydrological cycle. How disastrous local

  8. Precipitous Birth

    Directory of Open Access Journals (Sweden)

    Jennifer Yee


    Full Text Available Audience: This scenario was developed to educate emergency medicine residents on the management of a precipitous birth in the emergency department (ED. The case is also appropriate for teaching of medical students and advanced practice providers, as well as reviewing the principles of crisis resource management, teamwork, and communication. Introduction: Patients with precipitous birth require providers to manage two patients simultaneously with limited time and resources. Crisis resource management skills will be tested once baby is delivered, and the neonate will require assessment for potential neonatal resuscitation. Objectives: At the conclusion of the simulation session, learners will be able to manage women who have precipitous deliveries, as well as perform neonatal assessment and management. Method: This session was conducted using high-fidelity simulation, followed by a debriefing session and lecture on precipitous birth management and neonatal evaluation.

  9. TCA precipitation. (United States)

    Koontz, Laura


    Trichloroacetic acid (TCA) precipitation of proteins is commonly used to concentrate protein samples or remove contaminants, including salts and detergents, prior to downstream applications such as SDS-PAGE or 2D-gels. TCA precipitation denatures the protein, so it should not be used if the protein must remain in its folded state (e.g., if you want to measure a biochemical activity of the protein). © 2014 Elsevier Inc. All rights reserved.


    McKenzie, T.R.


    A process is given for improving the precipitation of strontium from an aqueous phosphoric-acid-containing solution with nickel or cobalt ferrocyanide by simultaneously precipitating strontium or calcium phosphate. This is accomplished by adding to the ferrocyanide-containing solution calcium or strontium nitrate in a quantity to yield a concentration of from 0.004 to 0.03 and adjusting the pH of the solution to a value of above 8.

  11. Precipitation Matters (United States)

    McDuffie, Thomas


    Although weather, including its role in the water cycle, is included in most elementary science programs, any further examination of raindrops and snowflakes is rare. Together rain and snow make up most of the precipitation that replenishes Earth's life-sustaining fresh water supply. When viewed individually, raindrops and snowflakes are quite…

  12. Informed consent -- Building consensus

    International Nuclear Information System (INIS)

    Lovenheim, R.


    The author shares his observations and offers an approach to 'building consensus' for what he believes is the only environmentally sound option, i.e., safe, permanent disposal of low-level radioactive waste (LLRW). Consensus does not mean unanimity, acceptance, or harmony. The low-level radioactive waste disposal issue is fraught with fear and hysteria. The paper discusses major emotions that fracture public opinion regarding this issue. The author defines consensus as the informed consent of LLRW disposal strategies by a majority of citizens whose cooperation is required to achieve the goals of environmentally sound solution. The political aspects are reviewed. The need for US Department of Energy to fulfill its importance technical assistance role is discussed

  13. Continuity and consensus

    DEFF Research Database (Denmark)

    Abrahamson, Peter


    maternal leave. These changes can be explained as adjustments to post-industrial conditions within a political culture relying on class compromises and a broad consensus informed by expert advice coming from civil servants and ad hoc policy commissions. The paper concludes that changes in Danish family...... policy reflect changing conditions for employment and the minding of children and that there has been a high degree of continuity and consensus about the change, as indicated by the strong increase in female labour market involvement....

  14. Model-based consensus

    NARCIS (Netherlands)

    Boumans, Marcel


    The aim of the rational-consensus method is to produce “rational consensus”, that is, “mathematical aggregation”, by weighing the performance of each expert on the basis of his or her knowledge and ability to judge relevant uncertainties. The measurement of the performance of the experts is based on

  15. Achieving diagnosis by consensus

    LENUS (Irish Health Repository)

    Kane, Bridget


    This paper provides an analysis of the collaborative work conducted at a multidisciplinary medical team meeting, where a patient’s definitive diagnosis is agreed, by consensus. The features that distinguish this process of diagnostic work by consensus are examined in depth. The current use of technology to support this collaborative activity is described, and experienced deficiencies are identified. Emphasis is placed on the visual and perceptual difficulty for individual specialities in making interpretations, and on how, through collaboration in discussion, definitive diagnosis is actually achieved. The challenge for providing adequate support for the multidisciplinary team at their meeting is outlined, given the multifaceted nature of the setting, i.e. patient management, educational, organizational and social functions, that need to be satisfied.

  16. Spanish Consensus Statement (United States)

    Rey, Guillermo Álvarez; Cuesta, Jordi Ardevol; Loureda, Rafael Arriaza; España, Fernando Ávila; Matas, Ramón Balius; Pazos, Fernando Baró; de Dios Beas Jiménez, Juan; Rosell, Jorge Candel; Fernandez, César Cobián; Ros, Francisco Esparza; Colmenero, Josefina Espejo; de Prado, Jorge Fernández; Cota, Juan José García; González, Jose Ignacio Garrido; Santander, Manuela González; Munilla, Miguel Ángel Herrador; Ruiz, Francisco Ivorra; Díaz, Fernando Jiménez; Marqueta, Pedro Manonelles; Fernandez, Antonio Maestro; Benito, Juan José Muñoz; Vilás, Ramón Olivé; Teres, Xavier Peirau; Amaro, José Peña; Roque, Juan Pérez San; Parenteu, Christophe Ramírez; Serna, Juan Ribas; Álvarez, Mikel Sánchez; Marchori, Carlos Sanchez; Soto, Miguel del Valle; Alonso, José María Villalón; García, Pedro Guillen; de la Iglesia, Nicolas Hugo; Alcorocho, Juan Manuel Lopez


    On the 21st of March, 2015, experts met at Clínica CEMTRO in Madrid, Spain, under the patronage of The Spanish Society for Sports Traumatology (SETRADE), The Spanish Federation of Sports Medicine (FEMEDE), The Spanish Association of Medical Services for Football Clubs (AEMEF), and The Spanish Association of Medical Services for Basketball Clubs (AEMB) with the aim of establishing a round table that would allow specialists to consider the most appropriate current general actions to be taken when treating muscle tears in sport, based on proven scientific data described in the medical literature. Each expert received a questionnaire prior to the aforementioned meeting comprising a set of questions concerning therapeutic indications generally applied in the different stages present during muscle repair. The present Consensus Document is the result of the answers to the questionnaire and resulting discussion and consensus over which are the best current indications in the treatment of muscle tears in sport. Avoiding immobilization, not taking nonsteroidal anti-inflammatory drugs (NSAIDs) randomly, fostering early mobilization, increasing vascularization of injured, site and regulating inflammatory mechanisms—without inhibiting these from the early stages of the recovery period—all stood out as main points of the Consensus Document. Additionally, there is controversy concerning cell stimulation techniques and the use of growth factors or cell inhibitors. The decision concerning discharge was unanimous, as was the criteria considered when it came to performing sport techniques without pain. PMID:27213161

  17. Effective Assimilation of Global Precipitation (United States)

    Lien, G.; Kalnay, E.; Miyoshi, T.; Huffman, G. J.


    Assimilating precipitation observations by modifying the moisture and sometimes temperature profiles has been shown successful in forcing the model precipitation to be close to the observed precipitation, but only while the assimilation is taking place. After the forecast start, the model tends to "forget" the assimilation changes and lose their extra skill after few forecast hours. This suggests that this approach is not an efficient way to modify the potential vorticity field, since this is the variable that the model would remember. In this study, the ensemble Kalman filter (EnKF) method is used to effectively change the potential vorticity field by allowing ensemble members with better precipitation to receive higher weights. In addition to using an EnKF, two other changes in the precipitation assimilation process are proposed to solve the problems related to the highly non-Gaussian nature of the precipitation variable: a) transform precipitation into a Gaussian distribution based on its climatological distribution, and b) only assimilate precipitation at the location where some ensemble members have positive precipitation. The idea is first tested by the observing system simulation experiments (OSSEs) using SPEEDY, a simplified but realistic general circulation model. When the global precipitation is assimilated in addition to conventional rawinsonde observations, both the analyses and the medium range forecasts are significantly improved as compared to only having rawinsonde observations. The improvement is much reduced when only modifying the moisture field with the same approach, which shows the importance of the error covariance between precipitation and all other model variables. The effect of precipitation assimilation is larger in the Southern Hemisphere than that in the Northern Hemisphere because the Northern Hemisphere analyses are already accurate as a result of denser rawinsonde stations. Assimilation of precipitation using a more comprehensive

  18. Achieving consensus in environmental programs

    International Nuclear Information System (INIS)

    Kurstedt, H.A.; Jones, R.M.; Walker, J.A.; Middleman, L.I.


    In this paper, the authors describe a research effort on consensus tied to the Environmental Restoration Program (ERP) within the U.S. Department of Energy's Office of Defense Waste and Transportation Management (DWTM). They define consensus and explain why consensus decisions are not merely desirable but necessary in furthering ERP activities. As examples of their planned applied research, the authors first discuss nominal group technique as a representative consensus-generating tool, and conclude by describing the consensus-related mission of the Waste Management Review Group, established to conduct independent, third-party review of DWTM/ERP plans and activities

  19. Achieving consensus in environmental programs

    Energy Technology Data Exchange (ETDEWEB)

    Kurstedt, Jr., H. A.; Jones, R. M.; Walker, J. A.; Middleman, L. I.


    In this paper, we describe a new research effort on consensus tied to the Environmental Restoration Program (ERP) within the US Department of Energy's Office of Defense Waste and Transportation Management (DWTM). We define consensus and explain why consensus decisions are not merely desirable but necessary in furthering ERP activities. As examples of our planned applied research, we first discuss Nominal Group Technique as a representative consensus-generating tool, and we conclude by describing the consensus-related mission of the Waste Management Review Group, established at Virginia Tech to conduct independent, third-party review of DWTM/ERP plans and activities. 10 refs.

  20. Microscopic enteritis: Bucharest consensus. (United States)

    Rostami, Kamran; Aldulaimi, David; Holmes, Geoffrey; Johnson, Matt W; Robert, Marie; Srivastava, Amitabh; Fléjou, Jean-François; Sanders, David S; Volta, Umberto; Derakhshan, Mohammad H; Going, James J; Becheanu, Gabriel; Catassi, Carlo; Danciu, Mihai; Materacki, Luke; Ghafarzadegan, Kamran; Ishaq, Sauid; Rostami-Nejad, Mohammad; Peña, A Salvador; Bassotti, Gabrio; Marsh, Michael N; Villanacci, Vincenzo


    Microscopic enteritis (ME) is an inflammatory condition of the small bowel that leads to gastrointestinal symptoms, nutrient and micronutrient deficiency. It is characterised by microscopic or sub-microscopic abnormalities such as microvillus changes and enterocytic alterations in the absence of definite macroscopic changes using standard modern endoscopy. This work recognises a need to characterize disorders with microscopic and submicroscopic features, currently regarded as functional or non-specific entities, to obtain further understanding of their clinical relevance. The consensus working party reviewed statements about the aetiology, diagnosis and symptoms associated with ME and proposes an algorithm for its investigation and treatment. Following the 5(th) International Course in Digestive Pathology in Bucharest in November 2012, an international group of 21 interested pathologists and gastroenterologists formed a working party with a view to formulating a consensus statement on ME. A five-step agreement scale (from strong agreement to strong disagreement) was used to score 21 statements, independently. There was strong agreement on all statements about ME histology (95%-100%). Statements concerning diagnosis achieved 85% to 100% agreement. A statement on the management of ME elicited agreement from the lowest rate (60%) up to 100%. The remaining two categories showed general agreement between experts on clinical presentation (75%-95%) and pathogenesis (80%-90%) of ME. There was strong agreement on the histological definition of ME. Weaker agreement on management indicates a need for further investigations, better definitions and clinical trials to produce quality guidelines for management. This ME consensus is a step toward greater recognition of a significant entity affecting symptomatic patients previously labelled as non-specific or functional enteropathy.

  1. Consensus Convolutional Sparse Coding

    KAUST Repository

    Choudhury, Biswarup; Swanson, Robin; Heide, Felix; Wetzstein, Gordon; Heidrich, Wolfgang


    In this paper, we propose a new approach to solving CSC as a consensus optimization problem, which lifts these limitations. By learning CSC features from large-scale image datasets for the first time, we achieve significant quality improvements in a number of imaging tasks. Moreover, the proposed method enables new applications in high dimensional feature learning that has been intractable using existing CSC methods. This is demonstrated for a variety of reconstruction problems across diverse problem domains, including 3D multispectral demosaickingand 4D light field view synthesis.

  2. Expert consensus document

    DEFF Research Database (Denmark)

    Boehm, Ulrich; Bouloux, Pierre-Marc; Dattani, Mehul T


    Congenital hypogonadotropic hypogonadism (CHH) is a rare disorder caused by the deficient production, secretion or action of gonadotropin-releasing hormone (GnRH), which is the master hormone regulating the reproductive axis. CHH is clinically and genetically heterogeneous, with >25 different...... migration of GnRH-synthesizing neurons. CHH can be challenging to diagnose, particularly when attempting to differentiate it from constitutional delay of puberty. A timely diagnosis and treatment to induce puberty can be beneficial for sexual, bone and metabolic health, and might help minimize some...... of the psychological effects of CHH. In most cases, fertility can be induced using specialized treatment regimens and several predictors of outcome have been identified. Patients typically require lifelong treatment, yet ∼10-20% of patients exhibit a spontaneous recovery of reproductive function. This Consensus...

  3. Aircraft profile measurements of 18O/16O and D/H isotope ratios of cloud condensate and water vapor constrain precipitation efficiency and entrainment rates in tropical clouds (United States)

    Noone, D. C.; Raudzens Bailey, A.; Toohey, D. W.; Twohy, C. H.; Heymsfield, A.; Rella, C.; Van Pelt, A. D.


    Convective clouds play a significant role in the moisture and heat balance of the tropics. The dynamics of organized and isolated convection are a function of the background thermodynamic profile and wind shear, buoyancy sources near the surface and the latent heating inside convective updrafts. The stable oxygen and hydrogen isotope ratios in water vapor and condensate can be used to identify dominant moisture exchanges and aspects of the cloud microphysics that are otherwise difficult to observe. Both the precipitation efficiency and the dilution of cloud updrafts by entrainment can be estimated since the isotopic composition outside the plume is distinct from inside. Measurements of the 18O/16O and D/H isotope ratios were made in July 2011 on 13 research flights of the NCAR C130 aircraft during the ICE-T (Ice in Clouds Experiment - Tropical) field campaign near St Croix. Measurements were made using an instrument based on the Picarro Wave-Length Scanning Cavity Ring Down platform that includes a number of optical, hardware and software modifications to allow measurements to be made at 5 Hz for deployment on aircraft. The measurement system was optimized to make precise measurements of the isotope ratio of liquid and ice cloud condensate by coupling the gas analyzer to the NCAR Counter flow Virtual Impactor inlet. The inlet system provides a particle enhancement while rejecting vapor. Sample air is vigorously heated before flowing into the gas phase analyzer. We present statistics that demonstrate the performance and calibration of the instrument. Measured profiles show that environmental air exhibits significant layering showing controls from boundary layer processes, large scale horizontal advection and regional subsidence. Condensate in clouds is consistent with generally low precipitation efficiency, although there is significant variability in the isotope ratios suggesting heterogeneity within plumes and the stochastic nature of detrainment processes

  4. American Burn Association Consensus Statements (United States)


    quality consensus conference was underwrit- ten in part by unrestricted educational grants from Molnlycke Health Care and Baxter Health Care. Address... nutrition , psychological outcomes, resuscitation, and wound repair. After reviewing the literature, debating the issues at the consensus conference and...need for intubation, concomitant trauma. 3. Resuscitation characteristics: Lab values (base defi- cit, lactate, hemoglobin /hematocrit, blood urea

  5. Attitude extremity, consensus and diagnosticity

    NARCIS (Netherlands)

    van der Pligt, J.; Ester, P.; van der Linden, J.


    Studied the effects of attitude extremity on perceived consensus and willingness to ascribe trait terms to others with either pro- or antinuclear attitudes. 611 Ss rated their attitudes toward nuclear energy on a 5-point scale. Results show that attitude extremity affected consensus estimates. Trait

  6. Political Consensus and Fiscal Outcomes

    DEFF Research Database (Denmark)

    Houlberg, Kurt; Holm Pedersen, Lene


    It is becoming difficult to maintain consensus in a period of economic austerity, and this possibly challenges the ability of democratic institutions to take decisions on tough economic questions. In order to find out how political consensus influences fiscal outcomes, this article sets out...

  7. Consensus Convolutional Sparse Coding

    KAUST Repository

    Choudhury, Biswarup


    Convolutional sparse coding (CSC) is a promising direction for unsupervised learning in computer vision. In contrast to recent supervised methods, CSC allows for convolutional image representations to be learned that are equally useful for high-level vision tasks and low-level image reconstruction and can be applied to a wide range of tasks without problem-specific retraining. Due to their extreme memory requirements, however, existing CSC solvers have so far been limited to low-dimensional problems and datasets using a handful of low-resolution example images at a time. In this paper, we propose a new approach to solving CSC as a consensus optimization problem, which lifts these limitations. By learning CSC features from large-scale image datasets for the first time, we achieve significant quality improvements in a number of imaging tasks. Moreover, the proposed method enables new applications in high-dimensional feature learning that has been intractable using existing CSC methods. This is demonstrated for a variety of reconstruction problems across diverse problem domains, including 3D multispectral demosaicing and 4D light field view synthesis.

  8. Between consensus and contestation. (United States)

    Weale, Albert


    Purpose - Noting that discussions of public participation and priority setting typically presuppose certain political theories of democracy, the purpose of this paper is to discuss two theories: the consensual and the agonistic. The distinction is illuminating when considering the difference between institutionalized public participation and contestatory participation. Design/methodology/approach - The approach is a theoretical reconstruction of two ways of thinking about public participation in relation to priority setting in health care, drawing on the work of Habermas, a deliberative theorist, and Mouffe, a theorist of agonism. Findings - The different theoretical approaches can be associated with different ways of understanding priority setting. In particular, agonistic democratic theory would understand priority setting as system of inclusions and exclusions rather than the determination of a consensus of social values, which is the typical deliberative way of thinking about the issues. Originality/value - The paper shows the value of drawing out explicitly the tacit assumptions of practices of political participation in order to reveal their scope and limitations. It suggests that making such theoretical presuppositions explicit has value for health services management in recognizing these implicit choices.

  9. Consensus Convolutional Sparse Coding

    KAUST Repository

    Choudhury, Biswarup


    Convolutional sparse coding (CSC) is a promising direction for unsupervised learning in computer vision. In contrast to recent supervised methods, CSC allows for convolutional image representations to be learned that are equally useful for high-level vision tasks and low-level image reconstruction and can be applied to a wide range of tasks without problem-specific retraining. Due to their extreme memory requirements, however, existing CSC solvers have so far been limited to low-dimensional problems and datasets using a handful of low-resolution example images at a time. In this paper, we propose a new approach to solving CSC as a consensus optimization problem, which lifts these limitations. By learning CSC features from large-scale image datasets for the first time, we achieve significant quality improvements in a number of imaging tasks. Moreover, the proposed method enables new applications in high dimensional feature learning that has been intractable using existing CSC methods. This is demonstrated for a variety of reconstruction problems across diverse problem domains, including 3D multispectral demosaickingand 4D light field view synthesis.

  10. Brazilian Consensus on Photoprotection (United States)

    Schalka, Sérgio; Steiner, Denise; Ravelli, Flávia Naranjo; Steiner, Tatiana; Terena, Aripuanã Cobério; Marçon, Carolina Reato; Ayres, Eloisa Leis; Addor, Flávia Alvim Sant'anna; Miot, Helio Amante; Ponzio, Humberto; Duarte, Ida; Neffá, Jane; da Cunha, José Antônio Jabur; Boza, Juliana Catucci; Samorano, Luciana de Paula; Corrêa, Marcelo de Paula; Maia, Marcus; Nasser, Nilton; Leite, Olga Maria Rodrigues Ribeiro; Lopes, Otávio Sergio; Oliveira, Pedro Dantas; Meyer, Renata Leal Bregunci; Cestari, Tânia; dos Reis, Vitor Manoel Silva; Rego, Vitória Regina Pedreira de Almeida


    Brazil is a country of continental dimensions with a large heterogeneity of climates and massive mixing of the population. Almost the entire national territory is located between the Equator and the Tropic of Capricorn, and the Earth axial tilt to the south certainly makes Brazil one of the countries of the world with greater extent of land in proximity to the sun. The Brazilian coastline, where most of its population lives, is more than 8,500 km long. Due to geographic characteristics and cultural trends, Brazilians are among the peoples with the highest annual exposure to the sun. Epidemiological data show a continuing increase in the incidence of non-melanoma and melanoma skin cancers. Photoprotection can be understood as a set of measures aimed at reducing sun exposure and at preventing the development of acute and chronic actinic damage. Due to the peculiarities of Brazilian territory and culture, it would not be advisable to replicate the concepts of photoprotection from other developed countries, places with completely different climates and populations. Thus the Brazilian Society of Dermatology has developed the Brazilian Consensus on Photoprotection, the first official document on photoprotection developed in Brazil for Brazilians, with recommendations on matters involving photoprotection. PMID:25761256

  11. Consensus Convolutional Sparse Coding

    KAUST Repository

    Choudhury, Biswarup; Swanson, Robin; Heide, Felix; Wetzstein, Gordon; Heidrich, Wolfgang


    Convolutional sparse coding (CSC) is a promising direction for unsupervised learning in computer vision. In contrast to recent supervised methods, CSC allows for convolutional image representations to be learned that are equally useful for high-level vision tasks and low-level image reconstruction and can be applied to a wide range of tasks without problem-specific retraining. Due to their extreme memory requirements, however, existing CSC solvers have so far been limited to low-dimensional problems and datasets using a handful of low-resolution example images at a time. In this paper, we propose a new approach to solving CSC as a consensus optimization problem, which lifts these limitations. By learning CSC features from large-scale image datasets for the first time, we achieve significant quality improvements in a number of imaging tasks. Moreover, the proposed method enables new applications in high-dimensional feature learning that has been intractable using existing CSC methods. This is demonstrated for a variety of reconstruction problems across diverse problem domains, including 3D multispectral demosaicing and 4D light field view synthesis.

  12. Consensus on consensus: a synthesis of consensus estimates on human-caused global warming (United States)

    Cook, John; Oreskes, Naomi; Doran, Peter T.; Anderegg, William R. L.; Verheggen, Bart; Maibach, Ed W.; Carlton, J. Stuart; Lewandowsky, Stephan; Skuce, Andrew G.; Green, Sarah A.; Nuccitelli, Dana; Jacobs, Peter; Richardson, Mark; Winkler, Bärbel; Painting, Rob; Rice, Ken


    The consensus that humans are causing recent global warming is shared by 90%-100% of publishing climate scientists according to six independent studies by co-authors of this paper. Those results are consistent with the 97% consensus reported by Cook et al (Environ. Res. Lett. 8 024024) based on 11 944 abstracts of research papers, of which 4014 took a position on the cause of recent global warming. A survey of authors of those papers (N = 2412 papers) also supported a 97% consensus. Tol (2016 Environ. Res. Lett. 11 048001) comes to a different conclusion using results from surveys of non-experts such as economic geologists and a self-selected group of those who reject the consensus. We demonstrate that this outcome is not unexpected because the level of consensus correlates with expertise in climate science. At one point, Tol also reduces the apparent consensus by assuming that abstracts that do not explicitly state the cause of global warming (‘no position’) represent non-endorsement, an approach that if applied elsewhere would reject consensus on well-established theories such as plate tectonics. We examine the available studies and conclude that the finding of 97% consensus in published climate research is robust and consistent with other surveys of climate scientists and peer-reviewed studies.

  13. Mexican consensus on dyspepsia

    Directory of Open Access Journals (Sweden)

    R. Carmona-Sánchez


    Full Text Available Since the publication of the 2007 dyspepsia guidelines of the Asociación Mexicana de Gastroenterología, there have been significant advances in the knowledge of this disease. A systematic search of the literature in PubMed (01/2007 to 06/2016 was carried out to review and update the 2007 guidelines and to provide new evidence-based recommendations. All high-quality articles in Spanish and English were included. Statements were formulated and voted upon using the Delphi method. The level of evidence and strength of recommendation of each statement were established according to the GRADE system. Thirty-one statements were formulated, voted upon, and graded. New definition, classification, epidemiology, and pathophysiology data were provided and include the following information: Endoscopy should be carried out in cases of uninvestigated dyspepsia when there are alarm symptoms or no response to treatment. Gastric and duodenal biopsies can confirm Helicobacter pylori infection and rule out celiac disease, respectively. Establishing a strong doctor-patient relationship, as well as dietary and lifestyle changes, are useful initial measures. H2-blockers, proton-pump inhibitors, prokinetics, and antidepressants are effective pharmacologic therapies. H. pylori eradication may be effective in a subgroup of patients. There is no evidence that complementary and alternative therapies are beneficial, with the exception of Iberogast and rikkunshito, nor is there evidence on the usefulness of prebiotics, probiotics, or psychologic therapies. The new consensus statements on dyspepsia provide guidelines based on up-to-date evidence. A discussion, level of evidence, and strength of recommendation are presented for each statement. Resumen: Desde la publicación de las guías de dispepsia 2007 de la Asociación Mexicana de Gastroenterología ha habido avances significativos en el conocimiento de esta enfermedad. Se realizó una revisión sistemática de la

  14. NIH Consensus Conference. Acupuncture. (United States)


    To provide clinicians, patients, and the general public with a responsible assessment of the use and effectiveness of acupuncture to treat a variety of conditions. A nonfederal, nonadvocate, 12-member panel representing the fields of acupuncture, pain, psychology, psychiatry, physical medicine and rehabilitation, drug abuse, family practice, internal medicine, health policy, epidemiology, statistics, physiology, biophysics, and the representatives of the public. In addition, 25 experts from these same fields presented data to the panel and a conference audience of 1200. Presentations and discussions were divided into 3 phases over 2 1/2 days: (1) presentations by investigators working in areas relevant to the consensus questions during a 2-day public session; (2) questions and statements from conference attendees during open discussion periods that were part of the public session; and (3) closed deliberations by the panel during the remainder of the second day and morning of the third. The conference was organized and supported by the Office of Alternative Medicine and the Office of Medical Applications of Research, National Institutes of Health, Bethesda, Md. The literature, produced from January 1970 to October 1997, was searched through MEDLINE, Allied and Alternative Medicine, EMBASE, and MANTIS, as well as through a hand search of 9 journals that were not indexed by the National Library of Medicine. An extensive bibliography of 2302 references was provided to the panel and the conference audience. Expert speakers prepared abstracts of their own conference presentations with relevant citations from the literature. Scientific evidence was given precedence over clinical anecdotal experience. The panel, answering predefined questions, developed their conclusions based on the scientific evidence presented in the open forum and scientific literature. The panel composed a draft statement, which was read in its entirety and circulated to the experts and the audience

  15. Engineering analysis of the two-stage trifluoride precipitation process

    International Nuclear Information System (INIS)

    Luerkens, D.w.W.


    An engineering analysis of two-stage trifluoride precipitation processes is developed. Precipitation kinetics are modeled using consecutive reactions to represent fluoride complexation. Material balances across the precipitators are used to model the time dependent concentration profiles of the main chemical species. The results of the engineering analysis are correlated with previous experimental work on plutonium trifluoride and cerium trifluoride

  16. Manufacturing Green Consensus

    DEFF Research Database (Denmark)

    Gulsrud, Natalie Marie; Ooi, Can Seng


    In an increasingly global economy, being green, or having an environmentally sustainbale place brand, provides a competitive advantage. Singapore, long known as the ``garden city´´ has been a leader in green city imaging since the founding of the equatorial city-state, contributing, in large part...... to the city’s profile as the economic giant of Southeast Asia. Using a political ecology lens, the paper aims to uncover the contested socio-economic narratives of green city imaging by examining the evolution of the garden city branding scheme since Singapore’s independence in 1959. Results show...

  17. Is There a Consensus on Consensus Methodology? Descriptions and Recommendations for Future Consensus Research. (United States)

    Waggoner, Jane; Carline, Jan D; Durning, Steven J


    The authors of this article reviewed the methodology of three common consensus methods: nominal group process, consensus development panels, and the Delphi technique. The authors set out to determine how a majority of researchers are conducting these studies, how they are analyzing results, and subsequently the manner in which they are reporting their findings. The authors conclude with a set of guidelines and suggestions designed to aid researchers who choose to use the consensus methodology in their work.Overall, researchers need to describe their inclusion criteria. In addition to this, on the basis of the current literature the authors found that a panel size of 5 to 11 members was most beneficial across all consensus methods described. Lastly, the authors agreed that the statistical analyses done in consensus method studies should be as rigorous as possible and that the predetermined definition of consensus must be included in the ultimate manuscript. More specific recommendations are given for each of the three consensus methods described in the article.

  18. Experience from one year of operating a boundary-layer profiler in the center of a large city

    Directory of Open Access Journals (Sweden)

    R. R. Rogers


    Full Text Available Since May 1992 a small, 915-MHz profiler has been operated continuously in downtown Montreal. It is a five-beam system employing a microstrip array antenna, located atop a 14-story office building that houses several academic departments of McGill University. The data are used for research on precipitation physics and the clear-air reflectivity in addition to wind profiling. We are especially interested in situations in which the reflectivities of the clear air and the precipitation are comparable. This permits the study of interactions between the precipitation and the clear air, a new area of research made possible by wind profilers. On clear days in the summer, 30-min consensus winds can often be measured to an altitude of 3 km, but ground clutter in the antenna sidelobes interferes with measurements below 600 m. Rain when present often permits wind profiling down to 100 m and up to 6 km or higher. On cold winter days there are some periods when the reflectivity is too weak at all levels to permit wind estimation. Falling snow, however, provides readily detectable echoes and serves as a good tracer of the wind and so allows profiling over its full altitude extent. The best conditions for observing interactions between precipitation and the clear air are when light rain falls through a reflective layer associated with a frontal surface or inversion. Unexpectedly, flocks of migrating birds sometimes completely dominate the signal at night in the spring and fall seasons.

  19. Experience from one year of operating a boundary-layer profiler in the center of a large city

    Directory of Open Access Journals (Sweden)

    R. R. Rogers

    Full Text Available Since May 1992 a small, 915-MHz profiler has been operated continuously in downtown Montreal. It is a five-beam system employing a microstrip array antenna, located atop a 14-story office building that houses several academic departments of McGill University. The data are used for research on precipitation physics and the clear-air reflectivity in addition to wind profiling. We are especially interested in situations in which the reflectivities of the clear air and the precipitation are comparable. This permits the study of interactions between the precipitation and the clear air, a new area of research made possible by wind profilers. On clear days in the summer, 30-min consensus winds can often be measured to an altitude of 3 km, but ground clutter in the antenna sidelobes interferes with measurements below 600 m. Rain when present often permits wind profiling down to 100 m and up to 6 km or higher. On cold winter days there are some periods when the reflectivity is too weak at all levels to permit wind estimation. Falling snow, however, provides readily detectable echoes and serves as a good tracer of the wind and so allows profiling over its full altitude extent. The best conditions for observing interactions between precipitation and the clear air are when light rain falls through a reflective layer associated with a frontal surface or inversion. Unexpectedly, flocks of migrating birds sometimes completely dominate the signal at night in the spring and fall seasons.

  20. Radar-Derived Quantitative Precipitation Estimation Based on Precipitation Classification

    Directory of Open Access Journals (Sweden)

    Lili Yang


    Full Text Available A method for improving radar-derived quantitative precipitation estimation is proposed. Tropical vertical profiles of reflectivity (VPRs are first determined from multiple VPRs. Upon identifying a tropical VPR, the event can be further classified as either tropical-stratiform or tropical-convective rainfall by a fuzzy logic (FL algorithm. Based on the precipitation-type fields, the reflectivity values are converted into rainfall rate using a Z-R relationship. In order to evaluate the performance of this rainfall classification scheme, three experiments were conducted using three months of data and two study cases. In Experiment I, the Weather Surveillance Radar-1988 Doppler (WSR-88D default Z-R relationship was applied. In Experiment II, the precipitation regime was separated into convective and stratiform rainfall using the FL algorithm, and corresponding Z-R relationships were used. In Experiment III, the precipitation regime was separated into convective, stratiform, and tropical rainfall, and the corresponding Z-R relationships were applied. The results show that the rainfall rates obtained from all three experiments match closely with the gauge observations, although Experiment II could solve the underestimation, when compared to Experiment I. Experiment III significantly reduced this underestimation and generated the most accurate radar estimates of rain rate among the three experiments.

  1. Genome-wide conserved consensus transcription factor binding motifs are hyper-methylated

    Directory of Open Access Journals (Sweden)

    Down Thomas A


    Full Text Available Abstract Background DNA methylation can regulate gene expression by modulating the interaction between DNA and proteins or protein complexes. Conserved consensus motifs exist across the human genome ("predicted transcription factor binding sites": "predicted TFBS" but the large majority of these are proven by chromatin immunoprecipitation and high throughput sequencing (ChIP-seq not to be biological transcription factor binding sites ("empirical TFBS". We hypothesize that DNA methylation at conserved consensus motifs prevents promiscuous or disorderly transcription factor binding. Results Using genome-wide methylation maps of the human heart and sperm, we found that all conserved consensus motifs as well as the subset of those that reside outside CpG islands have an aggregate profile of hyper-methylation. In contrast, empirical TFBS with conserved consensus motifs have a profile of hypo-methylation. 40% of empirical TFBS with conserved consensus motifs resided in CpG islands whereas only 7% of all conserved consensus motifs were in CpG islands. Finally we further identified a minority subset of TF whose profiles are either hypo-methylated or neutral at their respective conserved consensus motifs implicating that these TF may be responsible for establishing or maintaining an un-methylated DNA state, or whose binding is not regulated by DNA methylation. Conclusions Our analysis supports the hypothesis that at least for a subset of TF, empirical binding to conserved consensus motifs genome-wide may be controlled by DNA methylation.

  2. Objective consensus from decision trees

    International Nuclear Information System (INIS)

    Putora, Paul Martin; Panje, Cedric M; Papachristofilou, Alexandros; Pra, Alan Dal; Hundsberger, Thomas; Plasswilm, Ludwig


    Consensus-based approaches provide an alternative to evidence-based decision making, especially in situations where high-level evidence is limited. Our aim was to demonstrate a novel source of information, objective consensus based on recommendations in decision tree format from multiple sources. Based on nine sample recommendations in decision tree format a representative analysis was performed. The most common (mode) recommendations for each eventuality (each permutation of parameters) were determined. The same procedure was applied to real clinical recommendations for primary radiotherapy for prostate cancer. Data was collected from 16 radiation oncology centres, converted into decision tree format and analyzed in order to determine the objective consensus. Based on information from multiple sources in decision tree format, treatment recommendations can be assessed for every parameter combination. An objective consensus can be determined by means of mode recommendations without compromise or confrontation among the parties. In the clinical example involving prostate cancer therapy, three parameters were used with two cut-off values each (Gleason score, PSA, T-stage) resulting in a total of 27 possible combinations per decision tree. Despite significant variations among the recommendations, a mode recommendation could be found for specific combinations of parameters. Recommendations represented as decision trees can serve as a basis for objective consensus among multiple parties

  3. Objective consensus from decision trees. (United States)

    Putora, Paul Martin; Panje, Cedric M; Papachristofilou, Alexandros; Dal Pra, Alan; Hundsberger, Thomas; Plasswilm, Ludwig


    Consensus-based approaches provide an alternative to evidence-based decision making, especially in situations where high-level evidence is limited. Our aim was to demonstrate a novel source of information, objective consensus based on recommendations in decision tree format from multiple sources. Based on nine sample recommendations in decision tree format a representative analysis was performed. The most common (mode) recommendations for each eventuality (each permutation of parameters) were determined. The same procedure was applied to real clinical recommendations for primary radiotherapy for prostate cancer. Data was collected from 16 radiation oncology centres, converted into decision tree format and analyzed in order to determine the objective consensus. Based on information from multiple sources in decision tree format, treatment recommendations can be assessed for every parameter combination. An objective consensus can be determined by means of mode recommendations without compromise or confrontation among the parties. In the clinical example involving prostate cancer therapy, three parameters were used with two cut-off values each (Gleason score, PSA, T-stage) resulting in a total of 27 possible combinations per decision tree. Despite significant variations among the recommendations, a mode recommendation could be found for specific combinations of parameters. Recommendations represented as decision trees can serve as a basis for objective consensus among multiple parties.

  4. Ocular allergy latin american consensus

    Directory of Open Access Journals (Sweden)

    Myrna Serapião dos Santos


    Full Text Available PURPOSE: To establish current definition, classification and staging, and to develop diagnosis and treatment recommendations for ocular allergy, by using Delphi approach. METHODS: Ten Latin American experts on ocular allergy participated in a 4-round Delphi panel approach. Four surveys were constructed and answered by panelists. A two-thirds majority was defined as consensus. Definition, classification, staging and diagnosis and treatment recommendations were the main outcomes. RESULTS: "Ocular allergy" was proposed as the general term to describe ocular allergic diseases. Consensus regarding classification was not reached. Signs and symptoms were considered extremely important for the diagnosis. It was consensus that a staging system should be proposed based on the disease severity. Environmental control, avoidance of allergens and the use of artificial tears were recommended as first line treatment. The secondary treatment should include topical anti-histamines, mast cell stabilizers and multi actions drugs. Topical non-steroidal anti-inflammatory and vasoconstrictors were not recommended. Topical corticosteroids were recommended as third line of treatment for the most severe keratoconjunctivitis. Consensus was not reached regarding the use of systemic corticosteroids or immunosuppressant. Surgical approach and unconventional treatments were not recommended as routine. CONCLUSION: The task of creating guidelines for ocular allergies showed to be very complex. Many controversial topics remain unsolved. A larger consensus including experts from different groups around the world may be needed to further improve the current recommendations for several aspects of ocular allergy.

  5. Modelled Precipitation Over Greenland (United States)

    National Aeronautics and Space Administration — This data set includes the annual total precipitation from 1985 to 1999 and monthly total precipitation from January 1985 to December 1999. The data is derived from...

  6. Multi-Optimisation Consensus Clustering (United States)

    Li, Jian; Swift, Stephen; Liu, Xiaohui

    Ensemble Clustering has been developed to provide an alternative way of obtaining more stable and accurate clustering results. It aims to avoid the biases of individual clustering algorithms. However, it is still a challenge to develop an efficient and robust method for Ensemble Clustering. Based on an existing ensemble clustering method, Consensus Clustering (CC), this paper introduces an advanced Consensus Clustering algorithm called Multi-Optimisation Consensus Clustering (MOCC), which utilises an optimised Agreement Separation criterion and a Multi-Optimisation framework to improve the performance of CC. Fifteen different data sets are used for evaluating the performance of MOCC. The results reveal that MOCC can generate more accurate clustering results than the original CC algorithm.

  7. The Copenhagen Consensus Conference 2016

    DEFF Research Database (Denmark)

    Bangsbo, Jens; Krustrup, Peter; Duda, Joan


    that consists of many structured and unstructured forms within school and out-of-school-time contexts, including organised sport, physical education, outdoor recreation, motor skill development programmes, recess, and active transportation such as biking and walking. This consensus statement presents the accord......From 4 to 7 April 2016, 24 researchers from 8 countries and from a variety of academic disciplines gathered in Snekkersten, Denmark, to reach evidence-based consensus about physical activity in children and youth, that is, individuals between 6 and 18 years. Physical activity is an overarching term...... on the effects of physical activity on children’s and youth’s fitness, health, cognitive functioning, engagement, motivation, psychological well-being and social inclusion, as well as presenting educational and physical activity implementation strategies. The consensus was obtained through an iterative process...

  8. Building consensus in the community

    International Nuclear Information System (INIS)

    Bishop, J.


    The importance for the development of UK renewable energy projects of building consensus in the community is discussed. After outlining the benefits of such an approach, some of the likely concerns and questions from a developer's viewpoint are explored. The key principles of good practice are considered and an example from a wind project examined. (UK)

  9. Consensus standard requirements and guidance

    International Nuclear Information System (INIS)

    Putman, V.L.


    This report presents information from the ANS Criticality Alarm System Workshop relating to the consensus standard requirements and guidance. Topics presented include: definition; nomenclature; requirements and recommendations; purpose of criticality alarms; design criteria; signal characteristics; reliability, dependability and durability; tests; and emergency preparedness and planning

  10. Possibilities of consensus: toward democratic moral discourse. (United States)

    Jennings, B


    The concept of consensus is often appealed to in discussions of biomedical ethics and applied ethics, and it plays an important role in many influential ethical theories. Consensus is an especially influential notion among theorists who reject ethical realism and who frame ethics as a practice of discourse rather than a body of objective knowledge. It is also a practically important notion when moral decision making is subject to bureaucratic organization and oversight, as is increasingly becoming the case in medicine. Two models of consensus are examined and criticized: pluralistic consensus and overlapping consensus. As an alternative to these models, the paper argues that consensus refers to the dialogic aspects of a broader normative conception of democratic moral agency. When the preconditions for that dialogic democratic practice are met, consensus has a justificatory role in ethics; when they are not, consensus, as distinct from mere agreement, does not emerge and can have no moral authority.

  11. Cerium oxalate precipitation

    International Nuclear Information System (INIS)

    Chang, T.P.


    Cerium, a nonradioactive, common stand-in for plutonium in development work, has been used to simulate several plutonium precipitation processes at the Savannah River Laboratory. There are similarities between the plutonium trifluoride and the cerium oxalate precipitations in particle size and extent of plating, but not particle morphology. The equilibrium solubility, precipitation kinetics, particle size, extent of plating, and dissolution characteristics of cerium oxalate have been investigated. Interpretations of particle size and plating based on precipitation kinetics (i.e., nucleation and crystal growth) are presented. 16 refs., 7 figs., 6 tabs

  12. Implicit Consensus: Blockchain with Unbounded Throughput


    Ren, Zhijie; Cong, Kelong; Pouwelse, Johan; Erkin, Zekeriya


    Recently, the blockchain technique was put in the spotlight as it introduced a systematic approach for multiple parties to reach consensus without needing trust. However, the application of this technique in practice is severely restricted due to its limitations in throughput. In this paper, we propose a novel consensus model, namely the implicit consensus, with a distinctive blockchain-based distributed ledger in which each node holds its individual blockchain. In our system, the consensus i...

  13. Trust, values and false consensus


    Butler, Jeffrey V.; Giuliano, Paola; Guiso, Luigi


    Trust beliefs are heterogeneous across individuals and, at the same time, persistent across generations. We investigate one mechanism yielding these dual patterns: false consensus. In the context of a trust game experiment, we show that individuals extrapolate from their own type when forming trust beliefs about the same pool of potential partners – i.e., more (less) trustworthy individuals form more optimistic (pessimistic) trust beliefs - and that this tendency continues to color trust beli...

  14. Endodontic retreatment decisions: no consensus. (United States)

    Aryanpour, S; Van Nieuwenhuysen, J P; D'Hoore, W


    The objectives of the present study were to: (i) evaluate the consensus, if any, amongst dental schools, students and their instructors managing the same clinical cases, all of which involved endodontically treated teeth; and (ii) determine the predominant proposed treatment option. Final year students, endodontic staff members and instructors of 10 European dental schools were surveyed as decision makers. Fourteen different radiographic cases of root canal treated teeth accompanied by a short clinical history were presented to them in a uniform format. For each case the decision makers were requested to: (i) choose only one out of nine treatment alternatives proposed, from 'no treatment' to 'extraction' via 'retreatment' and 'surgery' (ii) assess on two 5-point scales: the difficulty of making a decision, and the technical complexity of the retreatment procedure. The results indicate wide inter- and also intra-school disagreements in the clinical management of root canal treated teeth. Analysis of variance showed that the main source of variation was the 'school effect', explaining 1.8% (NS) to 18.6% (P < 0.0001) of the treatment variations. No other factor explained as much variance. Decision difficulty was moderately correlated to technical complexity (Pearsons' r ranging from 0.19 to 0.35, P < 0.0001). No clear consensus occurred amongst and within dental schools concerning the clinical management of the 14 cases. The lack of consensus amongst schools seems to be due mainly to chance or uncertainty, but can be partly explained by the 'school effect'.

  15. Laparoscopic adhesiolysis: consensus conference guidelines. (United States)

    Vettoretto, N; Carrara, A; Corradi, A; De Vivo, G; Lazzaro, L; Ricciardelli, L; Agresta, F; Amodio, C; Bergamini, C; Borzellino, G; Catani, M; Cavaliere, D; Cirocchi, R; Gemini, S; Mirabella, A; Palasciano, N; Piazza, D; Piccoli, M; Rigamonti, M; Scatizzi, M; Tamborrino, E; Zago, M


    Laparoscopic adhesiolysis has been demonstrated to be technically feasible in small bowel obstruction and carries advantages in terms of post-surgical course. The increasing dissemination of laparoscopic surgery in the emergency setting and the lack of concrete evidence in the literature have called for a consensus conference to draw recommendations for clinical practice. A literature search was used to outline the evidence, and a consensus conference was held between experts in the field. A survey of international experts added expertise to the debate. A public jury of surgeons discussed and validated the statements, and the entire process was reviewed by three external experts. Recommendations concern the diagnostic evaluation, the timing of the operation, the selection of patients, the induction of the pneumoperitoneum, the removal of the cause of obstructions, the criteria for conversion, the use of adhesion-preventing agents, the need for high-technology dissection instruments and behaviour in the case of misdiagnosed hernia or the need for bowel resection. Evidence of this kind of surgery is scanty because of the absence of randomized controlled trials. Nevertheless laparoscopic skills in emergency are widespread. The recommendations given with the consensus process might be a useful tool in the hands of surgeons. © 2012 The Authors. Colorectal Disease © 2012 The Association of Coloproctology of Great Britain and Ireland.

  16. International consensus on safety principles

    International Nuclear Information System (INIS)

    Warnecke, E.


    The International Atomic Energy Agency (IAEA) has been regularly requested by its Member States to provide evidence that radioactive waste can be managed safely and to help demonstrate a harmonization of approach at the international level by providing safety documents. In response, IAEA established a special series of safety documents devoted to radioactive waste management. These documents will be elaborated within the Radioactive Waste Safety Standards (RADWASS) programme [1,2] which covers all aspects of radioactive waste management. The RADWASS programme develops a series of international consensus documents on all parts of the safe management of radioactive waste, including disposal. The purpose of the RADWASS programme is to (i) document existing international consensus in the approaches and methodologies for safe radioactive waste management, (ii) create a mechanism to establish consensus where it does not exist and (iii) provide Member States with a comprehensive series of internationally agreed upon documents to complement national standards and criteria. This paper describes the RADWASS programme, and covers the structure, implementation plans and status of documents under preparation

  17. Attitude Importance and the False Consensus Effect. (United States)

    Fabrigar, Leandre R.; Krosnick, Jon A.


    Explores the possibility that importance may regulate the magnitude of the false consensus effect. Analysis revealed a strong false consensus effect but no reliable relation between its magnitude and attitude importance. Results contradict assumptions that the false consensus effect arises from attitudes that directly or indirectly influence…


    Moore, R.L.


    An lmprovement in the separation of protactinium from aqueous nitric acid solutions is described. 1t covers the use of lead dioxide and tin dioxide as carrier precipitates for the protactinium. In carrying out the process, divalent lead or divalent tin is addcd to the solution and oxidized, causing formation of a carrier precipitate of lead dioxide or stannic oxide, respectively.

  19. Global Precipitation Measurement Poster (United States)

    Azarbarzin, Art


    This poster presents an overview of the Global Precipitation Measurement (GPM) constellation of satellites which are designed to measure the Earth's precipitation. It includes the schedule of launches for the various satellites in the constellation, and the coverage of the constellation, It also reviews the mission capabilities, and the mission science objectives.

  20. Data Quality Assessment Methods for the Eastern Range 915 MHz Wind Profiler Network (United States)

    Lambert, Winifred C.; Taylor, Gregory E.


    The Eastern Range installed a network of five 915 MHz Doppler Radar Wind Profilers with Radio Acoustic Sounding Systems in the Cape Canaveral Air Station/Kennedy Space Center area to provide three-dimensional wind speed and direction and virtual temperature estimates in the boundary layer. The Applied Meteorology Unit, staffed by ENSCO, Inc., was tasked by the 45th Weather Squadron, the Spaceflight Meteorology Group, and the National Weather Service in Melbourne, Florida to investigate methods which will help forecasters assess profiler network data quality when developing forecasts and warnings for critical ground, launch and landing operations. Four routines were evaluated in this study: a consensus time period check a precipitation contamination check, a median filter, and the Weber-Wuertz (WW) algorithm. No routine was able to effectively flag suspect data when used by itself. Therefore, the routines were used in different combinations. An evaluation of all possible combinations revealed two that provided the best results. The precipitation contamination and consensus time routines were used in both combinations. The median filter or WW was used as the final routine in the combinations to flag all other suspect data points.

  1. Precipitates in irradiated Zircaloy

    International Nuclear Information System (INIS)

    Chung, H.M.


    Precipitates in high-burnup (>20 MWd/kg U) Zircaloy spent-fuel cladding discharged from commercial boiling- and pressurized-water reactors have been characterized by TEM-HVEM. Three classes of primary precipitates were observed in the irradiated Zircaloys: Zr 3 O (2 to 6 nm), cubic-ZrO 2 (greater than or equal to 10 nm), and delta-hydride (35 to 100 nm). The former two precipitations appears to be irradiation induced in nature. Zr(Fe/sub x/Cr/sub 1-x/) 2 and Zr 2 (Fe/sub x/Ni/sub 1-x/) intermetallics, which are the primary precipitates in unirradiated Zircaloys, were largely dissolved after the high burnup. It seems, therefore, that the influence of the size and distribution of the intermetallics on the corrosion behavior may be quite different for the irradiated Zircaloys

  2. WPA Precipitation Tabulations (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Hourly precipitation data tabulated under the Work Projects Administration (WPA), a New Deal program created to reduce unemployment during the Great Depression....

  3. Transient bedrock channel evolution across a precipitation gradient: A case study from Kohala, Hawaii. (United States)

    Gasparini, N. M.; Han, J.; Johnson, J. P.; Menking, J. A.


    This study uses observations from the Kohala Peninsula, on the Big Island of Hawaii, and numerical modeling, to explore how precipitation gradients may affect fluvial bedrock incision and channel morphology. Orographic precipitation patterns result in over 4 m/yr of rainfall on the wet side of the peninsula and less than 0.5 m/yr on the dry side. These precipitation patterns likely strongly contribute to the observed channel morphology. Further, the region is subsiding, leading to prolonged transient channel evolution. We explore changes in a number of channel morphologic parameters with watershed averaged precipitation rate. We use PRISM precipitation data and data from isohyets developed from historic rain gauge data. Not surprisingly, valley depth, measured from a 10 meter DEM, increases with spatially averaged precipitation rate. We also find that channel profile form varies with precipitation rate, with drier channels exhibiting a straight to slightly concave channel form and wetter channels exhibiting a convex to concave channel form. The precipitation value at which this transition in channel profile form occurs depends on the precipitation data-set used, highlighting the need for more accurate measurements of precipitation in settings with extreme precipitation patterns similar to our study area. The downstream pattern in precipitation is likely significant in the development of the convex-concave profile form. Numerical modeling results support that precipitation patterns such as those observed on the wet-side of the Kohala Peninsula may contribute to the convex-concave profile form. However, we emphasize that while precipitation patterns may contribute to the channel form, these channel features are transient and not expected to be sustained in steady-state landscapes. We also emphasize that it is fluvial discharge, as driven by precipitation, rather than precipitation alone, that drives the processes shaping the channel form. Because fluvial discharge is

  4. Validation of consensus panel diagnosis in dementia. (United States)

    Gabel, Matthew J; Foster, Norman L; Heidebrink, Judith L; Higdon, Roger; Aizenstein, Howard J; Arnold, Steven E; Barbas, Nancy R; Boeve, Bradley F; Burke, James R; Clark, Christopher M; Dekosky, Steven T; Farlow, Martin R; Jagust, William J; Kawas, Claudia H; Koeppe, Robert A; Leverenz, James B; Lipton, Anne M; Peskind, Elaine R; Turner, R Scott; Womack, Kyle B; Zamrini, Edward Y


    The clinical diagnosis of dementing diseases largely depends on the subjective interpretation of patient symptoms. Consensus panels are frequently used in research to determine diagnoses when definitive pathologic findings are unavailable. Nevertheless, research on group decision making indicates that many factors can adversely affect panel performance. To determine conditions that improve consensus panel diagnosis. Comparison of neuropathologic diagnoses with individual and consensus panel diagnoses based on clinical scenarios only, fludeoxyglucose F 18 positron emission tomography images only, and scenarios plus images. Expert and trainee individual and consensus panel deliberations using a modified Delphi method in a pilot research study of the diagnostic utility of fludeoxyglucose F 18 positron emission tomography. Forty-five patients with pathologically confirmed Alzheimer disease or frontotemporal dementia. Statistical measures of diagnostic accuracy, agreement, and confidence for individual raters and panelists before and after consensus deliberations. The consensus protocol using trainees and experts surpassed the accuracy of individual expert diagnoses when clinical information elicited diverse judgments. In these situations, consensus was 3.5 times more likely to produce positive rather than negative changes in the accuracy and diagnostic certainty of individual panelists. A rule that forced group consensus was at least as accurate as majority and unanimity rules. Using a modified Delphi protocol to arrive at a consensus diagnosis is a reasonable substitute for pathologic information. This protocol improves diagnostic accuracy and certainty when panelist judgments differ and is easily adapted to other research and clinical settings while avoiding the potential pitfalls of group decision making.

  5. Subclinical hypothyroidism: Controversies to consensus

    Directory of Open Access Journals (Sweden)

    Syed Abbas Raza


    Full Text Available Diagnoses of subclinicaal hypothyroidism (SCH is biochemically made, when serum thyroid stimulating hormone (TSH levels is elevated while free thyroid hormone levels are within normal reference range. SCH is diagnosed after excluding all other causes of elevated TSH levels. Symptoms of SCH may vary from being asymptomatic to having mild nonspecific symptoms. The risk of progression to overt hypothyroidism is related to number of factors including initial serum TSH concentration, presence of auto antibodies, family history and presence goiter. Various screening recommendations for thyroid function assessment are in practice. There are still controversies surrounding SCH and associated risk of various cardiovascular diseases (CVDs, pregnancy outcomes, neuropsychiatric issues, metabolic syndrome, and dyslipidemia. Consensus will require more large randomized clinical studies involving various age groups and medical condition, especially in developing countries. All these efforts will definitely improve our understanding of disease and ultimately patient outcomes.

  6. Learning consensus in adversarial environments (United States)

    Vamvoudakis, Kyriakos G.; García Carrillo, Luis R.; Hespanha, João. P.


    This work presents a game theory-based consensus problem for leaderless multi-agent systems in the presence of adversarial inputs that are introducing disturbance to the dynamics. Given the presence of enemy components and the possibility of malicious cyber attacks compromising the security of networked teams, a position agreement must be reached by the networked mobile team based on environmental changes. The problem is addressed under a distributed decision making framework that is robust to possible cyber attacks, which has an advantage over centralized decision making in the sense that a decision maker is not required to access information from all the other decision makers. The proposed framework derives three tuning laws for every agent; one associated with the cost, one associated with the controller, and one with the adversarial input.

  7. Hilar cholangiocarcinoma: expert consensus statement. (United States)

    Mansour, John C; Aloia, Thomas A; Crane, Christopher H; Heimbach, Julie K; Nagino, Masato; Vauthey, Jean-Nicolas


    An American Hepato-Pancreato-Biliary Association (AHPBA)-sponsored consensus meeting of expert panellists met on 15 January 2014 to review current evidence on the management of hilar cholangiocarcinoma in order to establish practice guidelines and to agree consensus statements. It was established that the treatment of patients with hilar cholangiocarcinoma requires a coordinated, multidisciplinary approach to optimize the chances for both durable survival and effective palliation. An adequate diagnostic and staging work-up includes high-quality cross-sectional imaging; however, pathologic confirmation is not required prior to resection or initiation of a liver transplant trimodal treatment protocol. The ideal treatment for suitable patients with resectable hilar malignancy is resection of the intra- and extrahepatic bile ducts, as well as resection of the involved ipsilateral liver. Preoperative biliary drainage is best achieved with percutaneous transhepatic approaches and may be indicated for patients with cholangitis, malnutrition or hepatic insufficiency. Portal vein embolization is a safe and effective strategy for increasing the future liver remnant (FLR) and is particularly useful for patients with an FLR of hilar cholangiocarcinoma should be evaluated for a standard trimodal protocol incorporating external beam and endoluminal radiation therapy, systemic chemotherapy and liver transplantation. Post-resection chemoradiation should be offered to patients who show high-risk features on surgical pathology. Chemoradiation is also recommended for patients with locally advanced, unresectable hilar cancers. For patients with locally recurrent or metastatic hilar cholangiocarcinoma, first-line chemotherapy with gemcitabine and cisplatin is recommended based on multiple Phase II trials and a large randomized controlled trial including a heterogeneous population of patients with biliary cancers. © 2015 International Hepato-Pancreato-Biliary Association.

  8. International Consensus on drug allergy. (United States)

    Demoly, P; Adkinson, N F; Brockow, K; Castells, M; Chiriac, A M; Greenberger, P A; Khan, D A; Lang, D M; Park, H-S; Pichler, W; Sanchez-Borges, M; Shiohara, T; Thong, B Y- H


    When drug reactions resembling allergy occur, they are called drug hypersensitivity reactions (DHRs) before showing the evidence of either drug-specific antibodies or T cells. DHRs may be allergic or nonallergic in nature, with drug allergies being immunologically mediated DHRs. These reactions are typically unpredictable. They can be life-threatening, may require or prolong hospitalization, and may necessitate changes in subsequent therapy. Both underdiagnosis (due to under-reporting) and overdiagnosis (due to an overuse of the term ‘allergy’) are common. A definitive diagnosis of such reactions is required in order to institute adequate treatment options and proper preventive measures. Misclassification based solely on the DHR history without further testing may affect treatment options, result in adverse consequences, and lead to the use of more-expensive or less-effective drugs, in contrast to patients who had undergone a complete drug allergy workup. Several guidelines and/or consensus documents on general or specific drug class-induced DHRs are available to support the medical decision process. The use of standardized systematic approaches for the diagnosis and management of DHRs carries the potential to improve outcomes and should thus be disseminated and implemented. Consequently, the International Collaboration in Asthma, Allergy and Immunology (iCAALL), formed by the European Academy of Allergy and Clinical Immunology (EAACI), the American Academy of Allergy, Asthma and Immunology (AAAAI), the American College of Allergy, Asthma and Immunology (ACAAI), and the World Allergy Organization (WAO), has decided to issue an International CONsensus (ICON) on drug allergy. The purpose of this document is to highlight the key messages that are common to many of the existing guidelines, while critically reviewing and commenting on any differences and deficiencies of evidence, thus providing a comprehensive reference document for the diagnosis and management of

  9. Centrifugal precipitation chromatography (United States)

    Ito, Yoichiro; Lin, Qi


    Centrifugal precipitation chromatography separates analytes according their solubility in ammonium sulfate (AS) solution and other precipitants. The separation column is made from a pair of long spiral channels partitioned with a semipermeable membrane. In a typical separation, concentrated ammonium sulfate is eluted through one channel while water is eluted through the other channel in the opposite direction. The countercurrent process forms an exponential AS concentration gradient through the water channel. Consequently, protein samples injected into the water channel is subjected to a steadily increasing AS concentration and at the critical AS concentration they are precipitated and deposited in the channel bed by the centrifugal force. Then the chromatographic separation is started by gradually reducing the AS concentration in the AS channel which lowers the AS gradient concentration in the water channel. This results in dissolution of deposited proteins which are again precipitated at an advanced critical point as they move through the channel. Consequently, proteins repeat precipitation and dissolution through a long channel and finally eluted out from the column in the order of their solubility in the AS solution. The present method has been successfully applied to a number of analytes including human serum proteins, recombinant ketosteroid isomerase, carotenoid cleavage enzymes, plasmid DNA, polysaccharide, polymerized pigments, PEG-protein conjugates, etc. The method is capable to single out the target species of proteins by affinity ligand or immunoaffinity separation. PMID:19541553

  10. Delay-Induced Consensus and Quasi-Consensus in Multi-Agent Dynamical Systems

    NARCIS (Netherlands)

    Yu, Wenwu; Chen, Guanrong; Cao, Ming; Ren, Wei


    This paper studies consensus and quasi-consensus in multi-agent dynamical systems. A linear consensus protocol in the second-order dynamics is designed where both the current and delayed position information is utilized. Time delay, in a common perspective, can induce periodic oscillations or even

  11. Consensus based scheduling of storage capacities in a virtual microgrid

    DEFF Research Database (Denmark)

    Brehm, Robert; Top, Søren; Mátéfi-Tempfli, Stefan


    We present a distributed, decentralized method for coordinated scheduling of charge/discharge intervals of storage capacities in a utility grid integrated microgrid. The decentralized algorithm is based on a consensus scheme and solves an optimisation problem with the objective of minimising......, by use of storage capacities, the power flow over a transformer substation from/to the utility grid integrated microgrid. It is shown that when using this coordinated scheduling algorithm, load profile flattening (peak-shaving) for the utility grid is achieved. Additionally, mutual charge...

  12. Construction of barley consensus map showing chromosomal ...

    African Journals Online (AJOL)

    In the past, it has been difficult to accurately determine the location of many types of barley molecular markers due to the lack of commonality between international barley linkage maps. In this study, a consensus map of barley was constructed from five different maps (OWB, VxHs, KxM, barley consensus 2 and barley ...

  13. Bruxism defined and graded: an international consensus

    NARCIS (Netherlands)

    Lobbezoo, F.; Ahlberg, J.; Glaros, A.G.; Kato, T.; Koyano, K.; Lavigne, G.J.; de Leeuw, R.; Manfredini, D.; Svensson, P.; Winocur, E.


    To date, there is no consensus about the definition and diagnostic grading of bruxism. A written consensus discussion was held among an international group of bruxism experts as to formulate a definition of bruxism and to suggest a grading system for its operationalisation. The expert group defined

  14. Limited consensus around ARM information protection practices ...

    African Journals Online (AJOL)

    An existing enterprise IP SoP was adapted to ARM through literature analysis and produced a draft ARM SoP. The draft ARM SoP was applied in a rote fashion to a small sample of government-operated archives to identify likely areas of consensus and lack of consensus surrounding the various elements of the SoP.

  15. Veto-Consensus Multiple Kernel Learning

    NARCIS (Netherlands)

    Zhou, Y.; Hu, N.; Spanos, C.J.


    We propose Veto-Consensus Multiple Kernel Learning (VCMKL), a novel way of combining multiple kernels such that one class of samples is described by the logical intersection (consensus) of base kernelized decision rules, whereas the other classes by the union (veto) of their complements. The

  16. Automated consensus contour building for prostate MRI. (United States)

    Khalvati, Farzad


    Inter-observer variability is the lack of agreement among clinicians in contouring a given organ or tumour in a medical image. The variability in medical image contouring is a source of uncertainty in radiation treatment planning. Consensus contour of a given case, which was proposed to reduce the variability, is generated by combining the manually generated contours of several clinicians. However, having access to several clinicians (e.g., radiation oncologists) to generate a consensus contour for one patient is costly. This paper presents an algorithm that automatically generates a consensus contour for a given case using the atlases of different clinicians. The algorithm was applied to prostate MR images of 15 patients manually contoured by 5 clinicians. The automatic consensus contours were compared to manual consensus contours where a median Dice similarity coefficient (DSC) of 88% was achieved.

  17. Consensus statement on genetic research in dementia

    DEFF Research Database (Denmark)

    Rikkert, M.G. Olde; der, V van; Burns, A.


    In this article, the authors describe how the European Dementia Consensus Network developed a consensus on research ethics in dementia, taking into account the questions posed by the era of genetic research and its new research methods. The consensus process started with a Delphi procedure...... to analyze relevant stakeholders' positions by describing their statements on the possibilities and limitations of research into genetic determinants of Alzheimer disease and to describe and analyze the moral desirability of genetic research on Alzheimer disease. The conclusions drawn from the Delphi...... procedure fuelled the development of the consensus statement, which is presented in this paper. The consensus statement aims to stimulate ethically acceptable research in the field of dementia and the protection of vulnerable elderly patients with dementia from application of inadequate research methods...

  18. Role of mixed precipitating cloud systems on the typhoon rainfall

    Directory of Open Access Journals (Sweden)

    C. J. Pan


    Full Text Available L-band wind profiler data are utilized to diagnose the vertical structure of the typhoon precipitating cloud systems in Taiwan. For several typhoons, a pronounced bright band (BB around 5 km is commonly observed from the observation. Since strong convection within typhoon circulation may disturb and/or disrupt the melting layer, the BB shall not appear persistently. Hence, an understanding of the vertical structure of the BB region is important because it holds extensive hydrometeors information on the type of precipitation and its variability. Wind profiler observational results suggest that the mixture of convective and stratiform (embedded type clouds are mostly associated with typhoons. In the case of one typhoon, BB is appeared around 5.5 km with embedded precipitation and also BB height of 1 km higher than ordinary showery precipitation. This is evident from the long-term observations of wind profiler and Tropical Rainfall Measuring Mission. The Doppler velocity profiles show hydrometers (ice/snow at 6 km but liquid below 5 km for typhoons and 4 km for showery precipitation. In the BB region the melting particles accelerations of 5.8 ms−1 km−1 and 3.2 ms−1 km−1 are observed for typhoon and showery precipitation, respectively.

  19. Role of mixed precipitating cloud systems on the typhoon rainfall

    Directory of Open Access Journals (Sweden)

    C. J. Pan


    Full Text Available L-band wind profiler data are utilized to diagnose the vertical structure of the typhoon precipitating cloud systems in Taiwan. For several typhoons, a pronounced bright band (BB around 5 km is commonly observed from the observation. Since strong convection within typhoon circulation may disturb and/or disrupt the melting layer, the BB shall not appear persistently. Hence, an understanding of the vertical structure of the BB region is important because it holds extensive hydrometeors information on the type of precipitation and its variability. Wind profiler observational results suggest that the mixture of convective and stratiform (embedded type clouds are mostly associated with typhoons. In the case of one typhoon, BB is appeared around 5.5 km with embedded precipitation and also BB height of 1 km higher than ordinary showery precipitation. This is evident from the long-term observations of wind profiler and Tropical Rainfall Measuring Mission. The Doppler velocity profiles show hydrometers (ice/snow at 6 km but liquid below 5 km for typhoons and 4 km for showery precipitation. In the BB region the melting particles accelerations of 5.8 ms−1 km−1 and 3.2 ms−1 km−1 are observed for typhoon and showery precipitation, respectively.

  20. [Spanish consensus on infantile haemangioma]. (United States)

    Baselga Torres, Eulalia; Bernabéu Wittel, José; van Esso Arbolave, Diego L; Febrer Bosch, María Isabel; Carrasco Sanz, Ángel; de Lucas Laguna, Raúl; Del Pozo Losada, Jesús; Hernández Martín, Ángela; Jiménez Montañés, Lorenzo; López Gutiérrez, Juan Carlos; Martín-Santiago, Ana; Redondo Bellón, Pedro; Ruíz-Canela Cáceres, Juan; Torrelo Fernández, Antonio; Vera Casaño, Ángel; Vicente Villa, María Asunción


    Infantile haemangiomas are benign tumours produced by the proliferation of endothelial cells of blood vessels, with a high incidence in children under the age of one year (4-10%). It is estimated that 12% of them require treatment. This treatment must be administered according to clinical practice guidelines, expert experience, patient characteristics and parent preferences. The consensus process was performed by using scientific evidence on the diagnosis and treatment of infantile haemangiomas, culled from a systematic review of the literature, together with specialist expert opinions. The recommendations issued were validated by the specialists, who also provided their level of agreement. This document contains recommendations on the classification, associations, complications, diagnosis, treatment, and follow-up of patients with infantile haemangioma. It also includes action algorithms, and addresses multidisciplinary management and referral criteria between the different specialities involved in the clinical management of this type of patient. The recommendations and the diagnostic and therapeutic algorithms of infantile haemangiomas contained in this document are a useful tool for the proper management of these patients. Copyright © 2015 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  1. Consensus Paper: Cerebellum and Emotion. (United States)

    Adamaszek, M; D'Agata, F; Ferrucci, R; Habas, C; Keulen, S; Kirkby, K C; Leggio, M; Mariën, P; Molinari, M; Moulton, E; Orsi, L; Van Overwalle, F; Papadelis, C; Priori, A; Sacchetti, B; Schutter, D J; Styliadis, C; Verhoeven, J


    Over the past three decades, insights into the role of the cerebellum in emotional processing have substantially increased. Indeed, methodological refinements in cerebellar lesion studies and major technological advancements in the field of neuroscience are in particular responsible to an exponential growth of knowledge on the topic. It is timely to review the available data and to critically evaluate the current status of the role of the cerebellum in emotion and related domains. The main aim of this article is to present an overview of current facts and ongoing debates relating to clinical, neuroimaging, and neurophysiological findings on the role of the cerebellum in key aspects of emotion. Experts in the field of cerebellar research discuss the range of cerebellar contributions to emotion in nine topics. Topics include the role of the cerebellum in perception and recognition, forwarding and encoding of emotional information, and the experience and regulation of emotional states in relation to motor, cognitive, and social behaviors. In addition, perspectives including cerebellar involvement in emotional learning, pain, emotional aspects of speech, and neuropsychiatric aspects of the cerebellum in mood disorders are briefly discussed. Results of this consensus paper illustrate how theory and empirical research have converged to produce a composite picture of brain topography, physiology, and function that establishes the role of the cerebellum in many aspects of emotional processing.

  2. Precipitation Reconstruction (PREC) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The PREC data set is an analysis of monthly precipitation constructed on a 2.5(o)lat/lon grid over the global for the period from 1948 to the present. The land...

  3. Delphi consensus on the diagnosis and management of dyslipidaemia in chronic kidney disease patients: A post hoc analysis of the DIANA study

    Directory of Open Access Journals (Sweden)

    Aleix Cases Amenós


    Conclusions: The consensus to analyse the lipid profile in CKD patients suggests acknowledgement of the high cardiovascular risk of this condition. However, the lack of consensus in considering renal function or albuminuria, both when selecting a statin and during follow-up, suggests a limited knowledge of the differences between statins in relation to CKD. Thus, it would be advisable to develop a guideline/consensus document on the use of statins in CKD.

  4. International Veterinary Epilepsy Task Force consensus proposal

    DEFF Research Database (Denmark)

    Bhatti, Sofie F M; De Risio, Luisa; Muñana, Karen


    with the initial drug is unsatisfactory, and 4) when treatment changes should be considered. In this consensus proposal, an overview is given on the aim of AED treatment, when to start long-term treatment in canine epilepsy and which veterinary AEDs are currently in use for dogs. The consensus proposal for drug...... treatment protocols, 1) is based on current published evidence-based literature, 2) considers the current legal framework of the cascade regulation for the prescription of veterinary drugs in Europe, and 3) reflects the authors' experience. With this paper it is aimed to provide a consensus...

  5. Acidity of Scandinavian precipitation

    Energy Technology Data Exchange (ETDEWEB)

    Barrett, E; Bordin, G


    Data on the pH of the total monthly precipitation at stations of a Swedish network for sampling and chemical analysis of precipitation and atmospheric aerosols during the year July 1953 to June 1954 are presented and discussed, together with the pH data from the first two months of operation of a large pan-Scandinavian net. It is found that well-defined regions of acidity and alkalinity relative to the pH of water in equilibrium with atmospheric carbon dioxide exist, and that these regions persist to such an extent that the monthly deviations from the pattern of the annual mean pH at stations unaffected by local pollution show persistently high acidity, while inland northern stations show equally persistent alkalinity. Some possible reasons for the observed distributions are considered.

  6. Magnetite precipitation and characterisation

    International Nuclear Information System (INIS)

    Joyce, A.; Garside, J.; Ivens, R.


    Magnetite (Fe 3 O 4 ) precipitation was investigated as a possible alternative treatment process to the conventional ferric hydroxide for removal of actinides from radioactive effluents. This offered the possibility of improved dewatering of filtered residues. Whilst a poor quality magnetite could be produced from deoxygenated ferrous/ferric solutions, all attempts to prepare magnetite from effluent simulates were unsuccessful. The failure was attributed to the presence of high nitrate and other interfering ions. (author)

  7. Patterns of Precipitation and Streamflow Responses to Moisture Fluxes during Atmospheric Rivers (United States)

    Henn, B. M.; Wilson, A. M.; Asgari Lamjiri, M.; Ralph, M.


    Precipitation from landfalling atmospheric rivers (ARs) have been shown to dominate the hydroclimate of many parts of the world. ARs are associated with saturated, neutrally-stable profiles in the lower atmosphere, in which forced ascent by topography induces precipitation. Understanding the spatial and temporal variability of precipitation over complex terrain during AR-driven precipitation is critical for accurate forcing of distributed hydrologic models and streamflow forecasts. Past studies using radar wind profilers and radiosondes have demonstrated predictability of precipitation rates based on upslope water vapor flux over coastal terrain, with certain levels of moisture flux exhibiting the greatest influence on precipitation. Additionally, these relationships have been extended to show that streamflow in turn responds predictably to upslope vapor flux. However, past studies have focused on individual pairs of profilers and precipitation gauges; the question of how orographic precipitation in ARs is distributed spatially over complex terrain, at different topographic scales, is less well known. Here, we examine profiles of atmospheric moisture transport from radiosondes and wind profilers, against a relatively dense network of precipitation gauges, as well as stream gauges, to assess relationships between upslope moisture flux and the spatial response of precipitation and streamflow. We focus on California's Russian River watershed in the 2016-2017 cool season, when regular radiosonde launches were made at two locations during an active sequence of landfalling ARs. We examine how atmospheric water vapor flux results in precipitation patterns across gauges with different topographic relationships to the prevailing moisture-bearing winds, and conduct a similar comparison of runoff volume response from several unimpaired watersheds in the upper Russian watershed, taking into account antecedent soil moisture conditions that influence runoff generation. Finally

  8. testing a consensus conference method by discussing

    African Journals Online (AJOL)



    Oct 10, 2000 ... Objectives: To test the recommended consensus conference methods in Tanzania by discussing the management ... “wrong”, based on recommendations advocated in western ..... future scenarios sponsored the conference.

  9. OGC Consensus: How Successful Standards Are Made

    Directory of Open Access Journals (Sweden)

    Carl Reed


    Full Text Available This paper describes the history, background, and current status of the Open Geospatial Consortium (OGC standards development consensus process. The roots of the formation of the OGC lie in the early 1990s when a very strong market requirement for exchanging GIS data content was clearly stated. At that time, each GIS vendor had their own formats for publishing and/or exchanging their GIS data. There was no mechanism or organization that provided a forum for the GIS vendors and GIS data users to collaborate and agree on how to share GIS data. That requirement, along with the vision of a few individuals, led to the formation of the OGC. This paper describes the early development of the consensus process in the OGC, how this process has evolved over time, why consensus is so important for defining open standards that are implemented in the marketplace, and the future of the OGC consensus process.

  10. Overlapping community detection using weighted consensus ...

    Indian Academy of Sciences (India)


    Sep 21, 2016 ... Complex networks; overlapping community; consensus clustering. PACS Nos 89.75 ... networks, a person may be in several social groups like family, friends ..... the social interactions between individuals in a karate club in an.

  11. The emergence of consensus: a primer (United States)

    Baronchelli, Andrea


    The origin of population-scale coordination has puzzled philosophers and scientists for centuries. Recently, game theory, evolutionary approaches and complex systems science have provided quantitative insights on the mechanisms of social consensus. However, the literature is vast and widely scattered across fields, making it hard for the single researcher to navigate it. This short review aims to provide a compact overview of the main dimensions over which the debate has unfolded and to discuss some representative examples. It focuses on those situations in which consensus emerges `spontaneously' in the absence of centralized institutions and covers topics that include the macroscopic consequences of the different microscopic rules of behavioural contagion, the role of social networks and the mechanisms that prevent the formation of a consensus or alter it after it has emerged. Special attention is devoted to the recent wave of experiments on the emergence of consensus in social systems.

  12. Statistical Inference for Cultural Consensus Theory (United States)


    Social Network Conference XXXII , Redondo Beach, California, March 2012. Agrawal, K. (Presenter), and Batchelder, W. H. Cultural Consensus Theory...Aggregating Complete Signed Graphs Under a Balance Constraint -- Part 2. International Sunbelt Social Network Conference XXXII , Redondo Beach

  13. Precipitation in partially stabilized zirconia

    International Nuclear Information System (INIS)

    Bansal, G.K.


    Transmission electron microscopy was used to study the substructure of partially stabilized ZrO 2 (PSZ) samples, i.e., 2-phase systems containing both cubic and monoclinic modifications of zirconia, after various heat treatments. Monoclinic ZrO 2 exists as (1) isolated grains within the polycrystalline aggregate (a grain- boundary phase) and (2) small plate-like particles within cubic grains. These intragranular precipitates are believed to contribute to the useful properties of PSZ via a form of precipitation hardening. These precipitates initially form as tetragonal ZrO 2 , with a habit plane parallel to the brace 100 brace matrix planes. The orientation relations between the tetragonal precipitates and the cubic matrix are brace 100 brace/sub matrix/ 2 parallel brace 100 brace /sub precipitate/ or (001)/sub precipitate/ and broken bracket 100 broken bracket/sub matrix/ 2 parallel broken bracket 100 broken bracket/sub precipitate/ or [001]/sub precipitate/. (U.S.)

  14. Hourly Precipitation Data (HPD) Publication (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Hourly Precipitation Data (HPD) Publication is archived and available from the National Climatic Data Center (NCDC). This publication contains hourly precipitation...

  15. Blockchain Consensus Protocols in the Wild


    Cachin, Christian; Vukolić, Marko


    A blockchain is a distributed ledger for recording transactions, maintained by many nodes without central authority through a distributed cryptographic protocol. All nodes validate the information to be appended to the blockchain, and a consensus protocol ensures that the nodes agree on a unique order in which entries are appended. Consensus protocols for tolerating Byzantine faults have received renewed attention because they also address blockchain systems. This work discusses the process o...

  16. Judicial Deference Allows European Consensus to Emerge

    DEFF Research Database (Denmark)

    Dothan, Shai


    jurisdiction. But the ECHR sometimes defers to countries, even if their policies fall short of the standard accepted by most of the countries in Europe. This deference is accomplished by using the so-called "margin of appreciation" doctrine. Naturally, emerging consensus and margin of appreciation are often......, the paper demonstrates that a correct application of the margin of appreciation doctrine actually helps emerging consensus reach optimal results, by giving countries an incentive to make their policies independently....

  17. Discontinuous precipitation in cobalt-tungsten alloys

    International Nuclear Information System (INIS)

    Zieba, P.; Cliff, G.; Lorimer, G.W.


    Discontinuous precipitation in a Co32 wt% W alloy aged in the temperature range from 875 K to 1025 K has been investigated. Philips EM 430 STEM has been used to characterize the microstructure and to measure the composition profiles across individual lamellae of ε Co and Co 3 W phases in partially transformed specimens. Two kinds of cellular precipitates have been found in the alloy. The initial transformation product, identified as primary lamellae with spacing of a few nanometers is replaced during prolonged ageing by secondary lamellae with a much larger interlamellar spacing, typically a few tens of nm. Line scans across cell boundaries of the primary lamellae revealed that, just behind the advancing cell boundary, the solute content is far from the equilibrium state. This solute excess within the cells is quickly removed at the ageing temperature. Calculations show that the diffusion process was too rapid to be identified as ordinary volume diffusion. Investigation of the kinetics showed that discontinuous precipitation is controlled by diffusion processes at the advancing cell boundary. This proposal has been confirmed by STEM analysis of tungsten profiles in the depleted ε Co lamellae

  18. Pragmatism and Political Pluralism - Consensus and Pluralism

    Directory of Open Access Journals (Sweden)

    Michele Marsonet


    In our day the German philosopher Jürgen Habermas has in a way revived these Peircean insights, putting forward an influential theory to the effect that consensus indeed plays a key role in human praxis, so that the primary task of philosophy is to foster it by eliminating the disagreement which we constantly have to face in the course of our daily life. In his “communicative theory of consensus,” furthermore, he claims that human communication rests on an implicit commitment to a sort of “ideal speech situation” which is the normative foundation of agreement in linguistic matters. Consequently, the quest for consensus is a constitutive feature of our nature of (rational human beings: rationality and consensus are tied together. A very strong consequence derives from Habermas’ premises: were we to abandon the search for consensus we would lose rationality, too, and this makes us understand that he views the pursuit of consensus as a regulative principle (rather than as a merely practical objective. Rescher opposes both Peirce’s eschatological view and Habermas’ regulative and idealized one.

  19. Precipitation Indices Low Countries (United States)

    van Engelen, A. F. V.; Ynsen, F.; Buisman, J.; van der Schrier, G.


    Since 1995, KNMI published a series of books(1), presenting an annual reconstruction of weather and climate in the Low Countries, covering the period AD 763-present, or roughly, the last millennium. The reconstructions are based on the interpretation of documentary sources predominantly and comparison with other proxies and instrumental observations. The series also comprises a number of classifications. Amongst them annual classifications for winter and summer temperature and for winter and summer dryness-wetness. The classification of temperature have been reworked into peer reviewed (2) series (AD 1000-present) of seasonal temperatures and temperature indices, the so called LCT (Low Countries Temperature) series, now incorporated in the Millennium databases. Recently we started a study to convert the dryness-wetness classifications into a series of precipitation; the so called LCP (Low Countries Precipitation) series. A brief outline is given here of the applied methodology and preliminary results. The WMO definition for meteorological drought has been followed being that a period is called wet respectively dry when the amount of precipitation is considerable more respectively less than usual (normal). To gain a more quantitative insight for four locations, geographically spread over the Low Countries area (De Bilt, Vlissingen, Maastricht and Uccle), we analysed the statistics of daily precipitation series, covering the period 1900-present. This brought us to the following definition, valid for the Low Countries: A period is considered as (very) dry respectively (very) wet if over a continuous period of at least 60 days (~two months) cq 90 days (~three months) on at least two out of the four locations 50% less resp. 50% more than the normal amount for the location (based on the 1961-1990 normal period) has been measured. This results into the following classification into five drought classes hat could be applied to non instrumental observations: Very wet period

  20. Precipitation-productivity Relation in Grassland in Northern China: Investigations at Multiple Spatiotemporal Scales (United States)

    Hu, Z.


    Climate change is predicted to cause dramatic variability in precipitation regime, not only in terms of change in annual precipitation amount, but also in precipitation seasonal distribution and precipitation event characteristics (high frenquency extrem precipitation, larger but fewer precipitation events), which combined to influence productivity of grassland in arid and semiarid regions. In this study, combining remote sensing products with in-situ measurements of aboveground net primary productivity (ANPP) and gross primary productivity (GPP) data from eddy covariance system in grassland of northern China, we quantified the effects of spatio-temporal vairation in precipitation on productivity from local sites to region scale. We found that, for an individual precipitation event, the duration of GPP-response to the individual precipitation event and the maximum absolute GPP response induced by the individual precipitation event increased linearly with the size of precipitation events. Comparison of the productivity-precipitation relationships between multi-sites determined that the predominant characteristics of precipitation events (PEC) that affected GPP differed remarkably between the water-limited temperate steppe and the temperature-limited alpine meadow. The number of heavy precipitation events (>10 mm d-1) was the most important PEC to impact GPP in the temperate steppe through affecting soil moisture at different soil profiles, while precipitation interval was the factor that affected GPP most in the alpine meadow via its effects on temperature. At the region scale, shape of ANPP-precipitation relationship varies with distinct spatial scales, and besides annual precipitation, precipitation seasonal distribution also has comparable impacts on spatial variation in ANPP. Temporal variability in ANPP was lower at both the dry and wet end, and peaked at a precipitation of 243.1±3.5mm, which is the transition region between typical steppe and desert steppe

  1. Sodium hydride precipitation in sodium cold traps

    International Nuclear Information System (INIS)

    McPheeters, C.C.; Raue, D.J.


    A series of experiments have been performed to test a calculational model for precipitation of NaH in sodium cold traps. The calculational model, called ACTMODEL, is a computer simulation that uses the system geometry and operating conditions as input to calculate a mass-transfer coefficient and the distribution of NaH in a cold trap. The ACTMODEL was tested using an analytical cold trap (ACT) that is simple and essentially one-dimensional. The ACT flow and temperature profile can be controlled at any desired condition. The ACT was analyzed destructively after each test to measure the actual NaH distribution. Excellent agreement was obtained between the ACTMODEL simulations and the experiments. Mass-transfer coefficients ranging upward from 6 x 10 -5 m/s were measured in both packless and packed traps. As much as a fourfold increase in precipitation surface area was observed with increasing amount of NaH deposited. 11 figures, 2 tables

  2. Pareto-optimal estimates that constrain mean California precipitation change (United States)

    Langenbrunner, B.; Neelin, J. D.


    Global climate model (GCM) projections of greenhouse gas-induced precipitation change can exhibit notable uncertainty at the regional scale, particularly in regions where the mean change is small compared to internal variability. This is especially true for California, which is located in a transition zone between robust precipitation increases to the north and decreases to the south, and where GCMs from the Climate Model Intercomparison Project phase 5 (CMIP5) archive show no consensus on mean change (in either magnitude or sign) across the central and southern parts of the state. With the goal of constraining this uncertainty, we apply a multiobjective approach to a large set of subensembles (subsets of models from the full CMIP5 ensemble). These constraints are based on subensemble performance in three fields important to California precipitation: tropical Pacific sea surface temperatures, upper-level zonal winds in the midlatitude Pacific, and precipitation over the state. An evolutionary algorithm is used to sort through and identify the set of Pareto-optimal subensembles across these three measures in the historical climatology, and we use this information to constrain end-of-century California wet season precipitation change. This technique narrows the range of projections throughout the state and increases confidence in estimates of positive mean change. Furthermore, these methods complement and generalize emergent constraint approaches that aim to restrict uncertainty in end-of-century projections, and they have applications to even broader aspects of uncertainty quantification, including parameter sensitivity and model calibration.


    Fries, B.A.


    A plutonium separatory ore concentration procedure involving the use of a fluoride type of carrier is presented. An improvement is given in the derivation step in the process for plutonium recovery by carrier precipitation of plutonium values from solution with a lanthanum fluoride carrier precipitate and subsequent derivation from the resulting plutonium bearing carrier precipitate of an aqueous acidic plutonium-containing solution. The carrier precipitate is contacted with a concentrated aqueous solution of potassium carbonate to effect dissolution therein of at least a part of the precipitate, including the plutonium values. Any remaining precipitate is separated from the resulting solution and dissolves in an aqueous solution containing at least 20% by weight of potassium carbonate. The reacting solutions are combined, and an alkali metal hydroxide added to a concentration of at least 2N to precipitate lanthanum hydroxide concomitantly carrying plutonium values.

  4. Democracy-based consensus in medicine. (United States)

    Greco, Massimiliano; Zangrillo, Alberto; Mucchetti, Marta; Nobile, Leda; Landoni, Paolo; Bellomo, Rinaldo; Landoni, Giovanni


    High-quality evidence and derived guidelines, as typically published in major academic journals, are a major process that shapes physician decision-making worldwide. However, for many aspects of medical practice, there is a lack of High-quality evidence or an overload of somewhat contradictory low-quality information, which makes decision-making a difficult, uncertain, and unpredictable process. When the issues in question are important and evidence limited or controversial, the medical community seeks to establish common ground for "best practice" through consensus conferences and consensus statements or guidelines. Such consensus statements are seen as a useful tool to establish expert agreement, define the boundaries of acceptable practice, provide priorities for the research agenda, and obtain opinions from different countries and healthcare systems. This standard approach, however, can be criticized for being elitist, noninclusive, and poorly representative of the community of clinicians who will have to make decisions about the implementation of such recommendations. Accordingly, the authors propose a new model based on a combination of a local core meeting (detailed review and expert input) followed by a worldwide web-based network assessment (democracy-based consensus). The authors already have applied this approach to develop consensus on all nonsurgical interventions that increase or reduce perioperative mortality in critically ill patients and in those with acute kidney injury. The methodology was based on 5 sequential local and web-based steps. Both a panel of experts and a large number of professionals from all over the world were involved, giving birth to a new type of "democracy-based consensus." This new type of "democracy-based consensus" has the potential to increase grass-root clinician involvement, expand the reach to less-developed countries, provide a more global perspective on proposed interventions, and perhaps more importantly, increase

  5. Asian Consensus Report on Functional Dyspepsia (United States)

    Miwa, Hiroto; Ghoshal, Uday C; Gonlachanvit, Sutep; Gwee, Kok-Ann; Ang, Tiing-Leong; Chang, Full-Young; Fock, Kwong Ming; Hongo, Michio; Hou, Xiaohua; Kachintorn, Udom; Ke, Meiyun; Lai, Kwok-Hung; Lee, Kwang Jae; Lu, Ching-Liang; Mahadeva, Sanjiv; Miura, Soichiro; Park, Hyojin; Rhee, Poong-Lyul; Sugano, Kentaro; Vilaichone, Ratha-korn; Wong, Benjamin CY


    Background/Aims Environmental factors such as food, lifestyle and prevalence of Helicobacter pylori infection are widely different in Asian countries compared to the West, and physiological functions and genetic factors of Asians may also be different from those of Westerners. Establishing an Asian consensus for functional dyspepsia is crucial in order to attract attention to such data from Asian countries, to articulate the experience and views of Asian experts, and to provide a relevant guide on management of functional dyspepsia for primary care physicians working in Asia. Methods Consensus team members were selected from Asian experts and consensus development was carried out using a modified Delphi method. Consensus teams collected published papers on functional dyspepsia especially from Asia and developed candidate consensus statements based on the generated clinical questions. At the first face-to-face meeting, each statement was reviewed and e-mail voting was done twice. At the second face-to-face meeting, final voting on each statement was done using keypad voting system. A grade of evidence and a strength of recommendation were applied to each statement according to the method of the GRADE Working Group. Results Twenty-nine consensus statements were finalized, including 7 for definition and diagnosis, 5 for epidemiology, 9 for pathophysiology and 8 for management. Algorithms for diagnosis and management of functional dyspepsia were added. Conclusions This consensus developed by Asian experts shows distinctive features of functional dyspepsia in Asia and will provide a guide to the diagnosis and management of functional dyspepsia for Asian primary care physicians. PMID:22523724

  6. A novel electrostatic precipitator

    International Nuclear Information System (INIS)

    Tang, Minkang; Wang, Liqian; Lin, Zhigui


    ESP (Electrostatic Precipitation) has been widely used in the mining, building materials, metallurgy and power industries. Dust particles or other harmful particles from the airstream can be precipitated by ESP with great collecting efficiency. Because of its' large size, high cost and energy consumption, the scope of application of ESP has been limited to a certain extent. By means of the theory of electrostatics and fluid dynamics, a corona assembly with a self-cleaning function and a threshold voltage automatic tracking technology has been developed and used in ESP. It is indicated that compared with conventional ESP, the electric field length has been reduced to 1/10 of the original, the current density on the collecting electrode increased 3-5 times at the maximum, the approach speed of dust particles in the electric field towards the collecting electrode is 4 times that in conventional ESP and the electric field wind speed may be enhanced by 2-3 times the original. Under the premise of ESP having a high efficiency of dust removal, equipment volume may be actually reduced to 1/5 to 1/10 of the original volume and energy consumption may be reduced by more than 50%.

  7. Impact of the surface wind flow on precipitation characteristics over the southern Himalayas: GPM observations (United States)

    Zhang, Aoqi; Fu, Yunfei; Chen, Yilun; Liu, Guosheng; Zhang, Xiangdong


    The distribution and influence of precipitation over the southern Himalayas have been investigated on regional and global scales. However, previous studies have been limited by the insufficient emphasis on the precipitation triggers or the lack of droplet size distribution (DSD) data. Here, precipitating systems were identified using Global Precipitation Mission dual-frequency radar data, and then categorized into five classes according to surface flow from the European Centre for Medium-Range Weather Forecast Interim data. The surface flow is introduced to indicate the precipitation triggers, which is validated in this study. Using case and statistical analysis, we show that the precipitating systems with different surface flow had different precipitation characteristics, including spatio-temporal features, reflectivity profile, DSD, and rainfall intensity. Furthermore, the results show that the source of the surface flow influences the intensity and DSD of precipitation. The terrain exerts different impacts on the precipitating systems of five categories, leading to various distributions of precipitation characteristics over the southern Himalayas. Our results suggest that the introduction of surface flow and DSD for precipitating systems provides insight into the complex precipitation of the southern Himalayas. The different characteristics of precipitating systems may be caused by the surface flow. Therefore, future study on the orographic precipitations should take account the impact of the surface flow and its relevant dynamic mechanism.

  8. 43 CFR 46.110 - Incorporating consensus-based management. (United States)


    ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Incorporating consensus-based management... § 46.110 Incorporating consensus-based management. (a) Consensus-based management incorporates direct... carry out those plans and activities. For the purposes of this Part, consensus-based management involves...

  9. The Global Precipitation Climatology Project (GPCP) Combined Precipitation Dataset (United States)

    Huffman, George J.; Adler, Robert F.; Arkin, Philip; Chang, Alfred; Ferraro, Ralph; Gruber, Arnold; Janowiak, John; McNab, Alan; Rudolf, Bruno; Schneider, Udo


    The Global Precipitation Climatology Project (GPCP) has released the GPCP Version 1 Combined Precipitation Data Set, a global, monthly precipitation dataset covering the period July 1987 through December 1995. The primary product in the dataset is a merged analysis incorporating precipitation estimates from low-orbit-satellite microwave data, geosynchronous-orbit -satellite infrared data, and rain gauge observations. The dataset also contains the individual input fields, a combination of the microwave and infrared satellite estimates, and error estimates for each field. The data are provided on 2.5 deg x 2.5 deg latitude-longitude global grids. Preliminary analyses show general agreement with prior studies of global precipitation and extends prior studies of El Nino-Southern Oscillation precipitation patterns. At the regional scale there are systematic differences with standard climatologies.

  10. Optimization of precipitation conditions of thorium oxalate precipitate

    International Nuclear Information System (INIS)

    Pazukhin, Eh.M.; Smirnova, E.A.; Krivokhatskij, A.S.; Pazukhina, Yu.L.; Kiselev, P.P.


    Thorium precipitation in the form of difficultly soluble oxalate has been investigated. The equation binding the concentration of metal with the nitric acid in the initial solution and quantity of a precipitator necessary for minimization of desired product losses is derived. The graphical solution of this equation for a case, when the oxalic acid with 0.78 mol/l concentration is the precipitator, is presented

  11. Dynamic Average Consensus and Consensusability of General Linear Multiagent Systems with Random Packet Dropout

    Directory of Open Access Journals (Sweden)

    Wen-Min Zhou


    Full Text Available This paper is concerned with the consensus problem of general linear discrete-time multiagent systems (MASs with random packet dropout that happens during information exchange between agents. The packet dropout phenomenon is characterized as being a Bernoulli random process. A distributed consensus protocol with weighted graph is proposed to address the packet dropout phenomenon. Through introducing a new disagreement vector, a new framework is established to solve the consensus problem. Based on the control theory, the perturbation argument, and the matrix theory, the necessary and sufficient condition for MASs to reach mean-square consensus is derived in terms of stability of an array of low-dimensional matrices. Moreover, mean-square consensusable conditions with regard to network topology and agent dynamic structure are also provided. Finally, the effectiveness of the theoretical results is demonstrated through an illustrative example.

  12. [SECOT consensus on medial femorotibial osteoarthritis]. (United States)

    Moreno, A; Silvestre, A; Carpintero, P


    A consensus, prepared by SECOT, is presented on the management of medial knee compartment osteoarthritis, in order to establish clinical criteria and recommendations directed at unifying the criteria in its management, dealing with the factors involved in the pathogenesis of medial femorotibial knee osteoarthritis, the usefulness of diagnostic imaging techniques, and the usefulness of arthroscopy. Conservative and surgical treatments are also analysed. The experts consulted showed a consensus (agreed or disagreed) in 65.8% of the items considered, leaving 14items where no consensus was found, which included the aetiopathogenesis of the osteoarthritis, the value of NMR in degenerative disease, the usefulness of COX-2 and the chondroprotective drugs, as well as on the ideal valgus tibial osteotomy technique. © 2013 SECOT. Published by Elsevier Espana. All rights reserved.

  13. Lack of consensus in social systems (United States)

    Benczik, I. J.; Benczik, S. Z.; Schmittmann, B.; Zia, R. K. P.


    We propose an exactly solvable model for the dynamics of voters in a two-party system. The opinion formation process is modeled on a random network of agents. The dynamical nature of interpersonal relations is also reflected in the model, as the connections in the network evolve with the dynamics of the voters. In the infinite time limit, an exact solution predicts the emergence of consensus, for arbitrary initial conditions. However, before consensus is reached, two different metastable states can persist for exponentially long times. One state reflects a perfect balancing of opinions, the other reflects a completely static situation. An estimate of the associated lifetimes suggests that lack of consensus is typical for large systems.

  14. Acid precipitation literature review

    Energy Technology Data Exchange (ETDEWEB)

    Seip, H M; Andersen, B; Andersson, G; Hov, Oe; Kucera, V; Moseholm, L


    There is an increasing number of publications on acid deposition and related phenomena. Interest in these topics has also been reflected in a considerable number of meetings and conferences in this field. The largest of these in 1985 was the ''International Symposium on Acidic Precipitation'' (Muskoka, Ontario). Most work so far has been carried out in North America and Europe. There is, however, an increasing interest in obtaining a better picture of sensitive areas and possible acidification in other parts of the world. Anthropogenic SO/sub 2/ emissions have been estimated to be (in TgSyr/sup -1/): 2.4 (Africa), 4.1 (South America), 0.7 (Ocenia), and 18.3 (Asia). The largest increase during the last decade has been in Asia. Based on Studies of precipitation in remote areas it has been suggested that the natural background concentration for sulphate in many areas should be about 6 1/sup -1/. A new study of sulphate and nitrate in Greenland snow showed that both ions increased by a factor of about 2 from 1895 to 1978. The concentrations of SO/sub 2/ at Norwegian rural sites show a decreasing trend since late 1970s, while concentrations of sulphate in air show no clear trend. More reliable models for transformation, transport and deposition of chemicals are being developed, including three-dimensional grid models to describe episodes of elevated pollution levels lasting for a few days. Model calculations indicate that control of hydrocarbon (HC) emissions is much more efficient in reducing the ozone level in southern Scandinavia in episodes influenced by long-range transported pollutants than NO/sub x/ control of combined NO/sub x/ and HC control. 36 refs. (EG).

  15. Eastern Canadian Gastrointestinal Cancer Consensus Conference 2016. (United States)

    Bossé, D; Ng, T; Ahmad, C; Alfakeeh, A; Alruzug, I; Biagi, J; Brierley, J; Chaudhury, P; Cleary, S; Colwell, B; Cripps, C; Dawson, L A; Dorreen, M; Ferland, E; Galiatsatos, P; Girard, S; Gray, S; Halwani, F; Kopek, N; Mahmud, A; Martel, G; Robillard, L; Samson, B; Seal, M; Siddiqui, J; Sideris, L; Snow, S; Thirwell, M; Vickers, M; Goodwin, R; Goel, R; Hsu, T; Tsvetkova, E; Ward, B; Asmis, T


    The annual Eastern Canadian Gastrointestinal Cancer Consensus Conference 2016 was held in Montreal, Quebec, 5-7 February. Experts in radiation oncology, medical oncology, surgical oncology, and infectious diseases involved in the management of patients with gastrointestinal malignancies participated in presentations and discussion sessions for the purpose of developing the recommendations presented here. This consensus statement addresses multiple topics: ■ Follow-up and survivorship of patients with resected colorectal cancer■ Indications for liver metastasectomy■ Treatment of oligometastases by stereotactic body radiation therapy■ Treatment of borderline resectable and unresectable pancreatic cancer■ Transarterial chemoembolization in hepatocellular carcinoma■ Infectious complications of antineoplastic agents.

  16. Two-stage precipitation of plutonium trifluoride

    International Nuclear Information System (INIS)

    Luerkens, D.W.


    Plutonium trifluoride was precipitated using a two-stage precipitation system. A series of precipitation experiments identified the significant process variables affecting precipitate characteristics. A mathematical precipitation model was developed which was based on the formation of plutonium fluoride complexes. The precipitation model relates all process variables, in a single equation, to a single parameter that can be used to control particle characteristics

  17. Electrical operation of electrostatic precipitators

    CERN Document Server

    Parker, Ken


    The electrostatic precipitator remains on of the most cost effective means of controlling the emission of particulates from most industrial processes. This book will be of interest to both users and suppliers of electrostatic precipitators as well as advanced students on environmental based courses. The author identifies the physical and engineering basis for the development of electrical equipment for electrostatic precipitators and thoroughly explores the technological factors which optimize the efficiency of the precipitator and hence minimize emissions, as well as future developments in th

  18. Performance indicators for clinical practice management in primary care in Portugal: consensus from a Delphi study. (United States)

    Basto-Pereira, Miguel; Furtado, Sara Isabel Félix; Silva, Ricardo Jorge Pereira; Fachado González, Francisco; Vara Fernandes, Tito Manuel; Correia de Sousa, Jaime; Yaphe, John


    Performance indicators assessing the quality of medical care and linked to pay for performance may cause disagreement. Portuguese indicators included in recent health care reform are controversial. To obtain consensus from opinion leaders in family medicine regarding the performance indicators for practice management used in the evaluation of Family Health Units in Portugal. Eighty-nine specialists in primary care were invited to answer the following question in an online Delphi study: 'Which performance indicators should be assessed regarding the organization and management of clinical practice in primary care in Portugal?' A Likert scale was used to evaluate validity, reliability, feasibility and sensitivity to change. Twenty-seven experts participated in the second round and achieved a high degree of consensus. Eight categories were created for analysis. The experts suggested the use of existing indicators as well as new indicators. Thirty-nine indicators suggested by the experts are currently in use in Portugal. The assessment of the number of clinical acts performed, the number of administrative acts, and evaluation of the clinical demographic profile achieved a high degree of consensus. The expert panel suggested fifty new indicators. Five categories of these new indicators had a high degree of consensus, and three categories had a low degree of consensus. The expert panel recommended that performance indicators of practice management should first assess the quantity of clinical and administrative activities undertaken. These indicators must take into account the human and financial resources available to the clinic and its demographic context.

  19. Consensus among Economists--An Update (United States)

    Fuller, Dan; Geide-Stevenson, Doris


    In this article, the authors explore consensus among economists on specific propositions based on a fall 2011 survey of American Economic Association members. Results are based on 568 responses and provide evidence of changes in opinion over time by including propositions from earlier studies in 2000 (Fuller and Geide-Stevenson 2003) and 1992…

  20. Health Promoting Schools: Consensus, Strategies, and Potential (United States)

    Macnab, Andrew J.; Gagnon, Faith A.; Stewart, Donald


    Purpose: The purpose of this paper is to summarize a consensus statement generated on the current challenges, strategies, and potential of health promoting schools (HPS) at a 2011 colloquium at the Stellenbosch Institute for Advanced Study where 40 people from five continents came together to share their global and regional experience surrounding…

  1. Consensus and Cognitivism in Habermas's Discourse | Moellendorf ...

    African Journals Online (AJOL)

    Habermas asserts that his discourse ethics rests on two main commitments: 1) Moral judgements have cognitive content analogous to truth value; and 2) moral justification requires real- life discourse. Habermas elaborates on the second claim by making actual consensus a necessary condition of normative validity. I argue ...

  2. Construction of barley consensus map showing chromosomal ...

    African Journals Online (AJOL)



    Feb 2, 2006 ... the purpose of this consensus map (containing QTL) is to provide a tool for scientists to accurately locate molecular markers to ... community with powerful tools for comparative genomics. (Gai et al., 2000; Mekhdov et al., ...... and controlled by almost the same loci (Marquez et al.,. 2000). In the present study ...

  3. Consensus over peri-implantaire infecties

    NARCIS (Netherlands)

    van Winkelhoff, A J


    In 2008, in a workshop of the European Federation on Periodontology, a consensus was reached concerning oral peri-implant infections on the basis of the state of the art in the relevant sciences. Important conclusions were that peri-implant mucositis occurs in 80% of subjects with oral implants, and

  4. 3rd BRAZILIAN CONSENSUS ON Helicobacter pylori

    Directory of Open Access Journals (Sweden)

    Luiz Gonzaga Coelho


    Full Text Available Significant progress has been obtained since the Second Brazilian Consensus Conference on Helicobacter pylori Infection held in 2004, in São Paulo, SP, Brazil, and justify a third meeting to establish updated guidelines on the current management of H. pylori infection. The Third Brazilian Consensus Conference on H pylori Infection was organized by the Brazilian Nucleus for the Study of Helicobacter, a Department of the Brazilian Federation of Gastroenterology and took place on April 12-15, 2011, in Bento Gonçalves, RS, Brazil. Thirty-one delegates coming from the five Brazilian regions and one international guest, including gastroenterologists, pathologists, epidemiologists, and pediatricians undertook the meeting. The participants were allocated in one of the five main topics of the meeting: H pylori, functional dyspepsia and diagnosis; H pylori and gastric cancer; H pylori and other associated disorders; H pylori treatment and retreatment; and, epidemiology of H pylori infection in Brazil. The results of each subgroup were submitted to a final consensus voting to all participants. Relevant data were presented, and the quality of evidence, strength of recommendation, and level of consensus were graded. Seventy per cent and more votes were considered as acceptance for the final statement. This article presents the main recommendations and conclusions to guide Brazilian doctors involved in the management of H pylori infection.

  5. 2016 updated MASCC/ESMO consensus recommendations

    DEFF Research Database (Denmark)

    Roila, Fausto; Warr, David; Hesketh, Paul J


    PURPOSE: An update of the recommendations for the prophylaxis of acute and delayed emesis induced by moderately emetogenic chemotherapy published after the last MASCC/ESMO antiemetic consensus conference in 2009 has been carried out. METHODS: A systematic literature search using PubMed from Janua...

  6. Consensus among Economics Teachers from Transition Economies (United States)

    Leet, Don R.; Lang, Nancy A.


    The authors analyze the economic opinions of teachers and economists from the former Soviet Union who participated in economic education programs sponsored by the U.S. Department of Education under the auspices of the National Council on Economic Education from 1995-2001. They sought to determine the level of consensus on economic topics among the…

  7. Prostate cancer: ESMO Consensus Conference Guidelines 2012

    NARCIS (Netherlands)

    Horwich, A.; Hugosson, J.; de Reijke, T.; Wiegel, T.; Fizazi, K.; Kataja, V.; Parker, Chris; Bellmunt, Joaquim; Berthold, Dominik; Bill-Axelson, Anna; Carlsson, Sigrid; Daugaard, Gedske; de Meerleer, Gert; Dearnaley, David; Fizazi, Karim; Fonteyne, Valérie; Gillessen, Silke; Heinrich, Daniel; Horwich, Alan; Hugosson, Jonas; Kataja, Vesa; Kwiatkowski, Maciej; Nilsson, Sten; Padhani, Anwar; Papandreou, Christos; Roobol, Monique; Sella, Avishay; Valdagni, Riccardo; van der Kwast, Theo; Verhagen, Paul; Wiegel, Thomas


    The first ESMO Consensus Conference on prostate cancer was held in Zurich, Switzerland, on 17-19 November 2011, with the participation of a multidisciplinary panel of leading professionals including experts in methodological aspects. Before the conference, the expert panel prepared clinically

  8. A consensus view on liquidity risk

    NARCIS (Netherlands)

    Acharya, V.; Krishnamurthy, A.; Perotti, E.


    Liquidity risk - which was at the heart of the September 2008 financial meltdown and explains regulatory concerns about a Greek default today - remains an open issue in financial regulatory reform. This column presents a consensus view of several leading academics on what more needs to be done to

  9. Adult Asthma Consensus Guidelines Update 2003

    Directory of Open Access Journals (Sweden)

    Catherine Lemière


    Full Text Available BACKGROUND: Several sets of Canadian guidelines for the diagnosis and management of asthma have been published over the past 15 years. Since the last revision of the 1999 Canadian Asthma Consensus Report, important new studies have highlighted the need to incorporate new information into the asthma guidelines.

  10. Quality controls for wind measurement of a 1290-MHz boundary layer profiler under strong wind conditions. (United States)

    Liu, Zhao; Zheng, Chaorong; Wu, Yue


    Wind profilers have been widely adopted to observe the wind field information in the atmosphere for different purposes. But accuracy of its observation has limitations due to various noises or disturbances and hence need to be further improved. In this paper, the data measured under strong wind conditions, using a 1290-MHz boundary layer profiler (BLP), are quality controlled via a composite quality control (QC) procedure proposed by the authors. Then, through the comparison with the data measured by radiosonde flights (balloon observations), the critical thresholds in the composite QC procedure, including consensus average threshold T 1 and vertical shear threshold T 3 , are systematically discussed. And the performance of the BLP operated under precipitation is also evaluated. It is found that to ensure the high accuracy and high data collectable rate, the optimal range of subsets is determined to be 4 m/s. Although the number of data rejected by the combined algorithm of vertical shear examination and small median test is quite limited, it is proved that the algorithm is quite useful to recognize the outlier with a large discrepancy. And the optimal wind shear threshold T 3 can be recommended as 5 ms -1 /100m. During patchy precipitation, the quality of data measured by the four oblique beams (using the DBS measuring technique) can still be ensured. After the BLP data are quality controlled by the composite QC procedure, the output can show good agreement with the balloon observation.

  11. Improving precipitation measurement (United States)

    Strangeways, Ian


    Although rainfall has been measured for centuries scientifically and in isolated brief episodes over millennia for agriculture, it is still not measured adequately even today for climatology, water resources, and other precise applications. This paper outlines the history of raingauges, their errors, and describes the field testing over 3 years of a first guess design for an aerodynamic rain collector proposed by Folland in 1988. Although shown to have aerodynamic advantage over a standard 5 gauge, the new rain collector was found to suffer from outsplash in heavy rain. To study this problem, and to derive general basic design rules for aerodynamic gauges, its performance was investigated in turbulent, real-world conditions rather than in the controlled and simplified environment of a wind tunnel or mathematical model as in the past. To do this, video records were made using thread tracers to indicate the path of the wind, giving new insight into the complex flow of natural wind around and within raingauges. A new design resulted, and 2 years of field testing have shown that the new gauge has good aerodynamic and evaporative characteristics and minimal outsplash, offering the potential for improved precipitation measurement.

  12. CEOS precipitation constellation (United States)

    Neeck, Steven P.; Oki, Riko


    The outcomes of the 19th Committee on Earth Observing Satellites (CEOS) Plenary held in London in November 2005, recognized that the CEOS Implementation Plan for Space-Based Observations for Global Earth Observation System of Systems (GEOSS) should: - identify the supply of space-based observations required to satisfy the requirements expressed by the 10-year implementation plan for GEOSS; and - propose an innovative process whereby the many disparate types of Earth observing programs funded by CEOS Member agencies might contribute to the supply of the required observations. The CEOS Task Force charged with drafting the CEOS Implementation Plan for Space-Based Observations for GEOSS focused its early efforts on the creation of a 'new planning process' which would satisfy the various criteria demanded by member space agencies, and which would hopefully encourage a new phase of specificity and focus in the multi-lateral co-operation efforts undertaken by space agencies under the CEOS umbrella - resulting in improved engagement of all CEOS Members and real implementation results. The CEOS Constellations is the title given to this new process, and four pilot studies have been initiated in order to pioneer and test the concept. The Japan Aerospace Exploration Agency (JAXA) and the National Aeronautics and Space Administration (NASA) were selected as the lead agencies for the study of the development of a CEOS Precipitation Constellation with the support of other CEOS space agency and user community participants. The goals, approach, and anticipated outcomes for the study will be discussed.

  13. Precipitation in the Solar System (United States)

    McIntosh, Gordon


    As an astronomy instructor, I am always looking for commonly observed Earthly experiences to help my students and me understand and appreciate similar occurrences elsewhere in the solar system. Recently I wrote a short TPT article on frost. This paper is on the related phenomena of precipitation. Precipitation, so common on most of the Earth's…

  14. Building consensus in developing radioactive waste management systems

    International Nuclear Information System (INIS)

    Terrell, R.; Philpott, R.; Smith, S.L.; Gibson, J.


    To successfully develop radioactive waste management systems, national authorities must work to establish consensus on numerous complex issues among many affected and interested parties. This paper explores the meaning of consensus in waste management, with special attention to the different arenas in which consensus is established and how DOE can respond if consensus is withheld. Highlights of other national waste management programs are introduced to provide a broader perspective on consensus. It is suggested that the US waste management program has reached a point where Congress needs to act to reaffirm consensus on the direction of the US program

  15. In vitro site selection of a consensus binding site for the Drosophila melanogaster Tbx20 homolog midline.

    Directory of Open Access Journals (Sweden)

    Nima Najand

    Full Text Available We employed in vitro site selection to identify a consensus binding sequence for the Drosophila melanogaster Tbx20 T-box transcription factor homolog Midline. We purified a bacterially expressed T-box DNA binding domain of Midline, and used it in four rounds of precipitation and polymerase-chain-reaction based amplification. We cloned and sequenced 54 random oligonucleotides selected by Midline. Electromobility shift-assays confirmed that 27 of these could bind the Midline T-box. Sequence alignment of these 27 clones suggests that Midline binds as a monomer to a consensus sequence that contains an AGGTGT core. Thus, the Midline consensus binding site we define in this study is similar to that defined for vertebrate Tbx20, but differs from a previously reported Midline binding sequence derived through site selection.

  16. Kinetics of cadmium hydroxide precipitation

    International Nuclear Information System (INIS)

    Patterson, J.W.; Marani, D.; Luo, B.; Swenson, P.


    This paper presents some preliminary results on the kinetics of Cd(OH)/sub 2/ precipitation, both in the absence and the presence of citric acid as an inhibiting agent. Batch and continuous stirred tank reactor (CSTR) precipitation studies are performed by mixing equal volumes of NaOH and Cd(NO/sub 3/)/sub 2/ solutions, in order to avoid localized supersaturation conditions. The rate of metal removal from the soluble phase is calculated from the mass balance for the CSTR precipitation tests. In addition, precipitation kinetics are studied in terms of nucleation and crystal growth rates, by means of a particle counter that allows a population balance analysis for the precipitation reactor at steady state conditions

  17. Encoding information into precipitation structures

    International Nuclear Information System (INIS)

    Martens, Kirsten; Bena, Ioana; Droz, Michel; Rácz, Zoltan


    Material design at submicron scales would be profoundly affected if the formation of precipitation patterns could be easily controlled. It would allow the direct building of bulk structures, in contrast to traditional techniques which consist of removing material in order to create patterns. Here, we discuss an extension of our recent proposal of using electrical currents to control precipitation bands which emerge in the wake of reaction fronts in A + + B – → C reaction–diffusion processes. Our main result, based on simulating the reaction–diffusion–precipitation equations, is that the dynamics of the charged agents can be guided by an appropriately designed time-dependent electric current so that, in addition to the control of the band spacing, the width of the precipitation bands can also be tuned. This makes straightforward the encoding of information into precipitation patterns and, as an amusing example, we demonstrate the feasibility by showing how to encode a musical rhythm

  18. Use of co-precipitates of Brachystegia Eurycoma gum and egg ...

    African Journals Online (AJOL)

    precipitates of Brachystegia gum and egg albumin as binder, and testing the stability of the metronidazole tablets with regard to moisture uptake and also the effect of moisture sorption on disintegration and dissolution profiles of the tablets.

  19. The Consensus of Strategic Consensus: A Study of the State of the Art about the Theme

    Directory of Open Access Journals (Sweden)

    Marcelo Curth


    Full Text Available This paper aims to present the state of the art regarding the strategic consensus, emphasizing the approaches and the nature of the research methods used, the results obtained and the future agenda for this theme studies. Analyzing beyond the last four decades of publications, it was understood that relating the strategic consensus only with the performance and strategic levels can be seen as something limited, suggesting the need to bring to the researching field new aspects and backgrounds as innovation, the methods for generating new ideas, the occurrence beyond the Top Management Team level (TMT, among others. Moreover, concludes that the predominant approach the strategic consensus is a process and the methodology used is based on quantitative techniques. As a suggestion for future studies, this study indicates the investigation of situations in which the strategic consensus is not positive.

  20. Consensus statement update on posttraumatic stress disorder from the international consensus group on depression and anxiety. (United States)

    Ballenger, James C; Davidson, Jonathan R T; Lecrubier, Yves; Nutt, David J; Marshall, Randall D; Nemeroff, Charles B; Shalev, Arieh Y; Yehuda, Rachel


    To provide an update to the "Consensus Statement on Posttraumatic Stress Disorder From the International Consensus Group on Depression and Anxiety" that was published in a supplement to The Journal of Clinical Psychiatry (2000) by presenting important developments in the field, the latest recommendations for patient care, and suggestions for future research. The 4 members of the International Consensus Group on Depression and Anxiety were James C. Ballenger (chair), Jonathan R. T. Davidson, Yves Lecrubier, and David J. Nutt. Other faculty who were invited by the chair were Randall D. Marshall, Charles B. Nemeroff, Arieh Y. Shalev, and Rachel Yehuda. The consensus statement is based on the 7 review articles in this supplement and the related scientific literature. Group meetings were held over a 2-day period. On day 1, the group discussed topics to be represented by the 7 review articles in this supplement, and the chair identified key issues for further debate. On day 2, the group discussed these issues to arrive at a consensus view. After the group meetings, the consensus statement was drafted by the chair and approved by all faculty. There have been advancements in the science and treatment of posttraumatic stress disorder. Attention to this disorder has increased with recent world events; however, continued efforts are needed to improve diagnosis, treatment, and prevention of posttraumatic stress disorder.

  1. Consensus statement on social anxiety disorder from the International Consensus Group on Depression and Anxiety. (United States)

    Ballenger, J C; Davidson, J R; Lecrubier, Y; Nutt, D J; Bobes, J; Beidel, D C; Ono, Y; Westenberg, H G


    The goal of this consensus statement is to provide primary care clinicians with a better understanding of management issues in social anxiety disorder (social phobia) and guide clinical practice with recommendations for appropriate pharmacotherapy. The 4 members of the International Consensus Group on Depression and Anxiety were James C. Ballenger (chair), Jonathan R. T. Davidson, Yves Lecrubier, and David J. Nutt. Other faculty invited by the chair were Julio Bobes, Deborah C. Beidel, Yukata Ono, and Herman G. M. Westenberg. The consensus statement is based on the 7 review papers published in this supplement and on the scientific literature relevant to the issues reviewed in these papers. The group met over a 2-day period. On day 1, the group discussed each review paper, and the chair identified key issues for further debate. On day 2, the group discussed these issues to arrive at a consensus view. After the group meetings, the consensus statement was drafted by the chair and approved by all attendees. The consensus statement underlines the importance of recognizing social anxiety disorder and provides recommendations on how it may be distinguished from other anxiety disorders. It proposes definitions for response and remission and considers appropriate management strategies. Selective serotonin reuptake inhibitors are recommended as first-line therapy, and effective treatment should be continued for at least 12 months. Long-term treatment is indicated if symptoms are unresolved, the patient has a comorbid condition or a history of relapse, or there was an early onset of the disorder.

  2. VHF signal power suppression in stratiform and convective precipitation

    Directory of Open Access Journals (Sweden)

    A. J. McDonald


    Full Text Available Previous studies have indicated that VHF clear-air radar return strengths are reduced during periods of precipitation. This study aims to examine whether the type of precipitation, stratiform and convective precipitation types are identified, has any impact on the relationships previously observed and to examine the possible mechanisms which produce this phenomenon. This study uses a combination of UHF and VHF wind-profiler data to define periods associated with stratiform and convective precipitation. This identification is achieved using an algorithm which examines the range squared corrected signal to noise ratio of the UHF returns for a bright band signature for stratiform precipitation. Regions associated with convective rainfall have been defined by identifying regions of enhanced range corrected signal to noise ratio that do not display a bright band structure and that are relatively uniform until a region above the melting layer. This study uses a total of 68 days, which incorporated significant periods of surface rainfall, between 31 August 2000 and 28 February 2002 inclusive from Aberystwyth (52.4° N, 4.1° W. Examination suggests that both precipitation types produce similar magnitude reductions in VHF signal power on average. However, the frequency of occurrence of statistically significant reductions in VHF signal power are very different. In the altitude range 2-4 km stratiform precipitation is related to VHF signal suppression approximately 50% of the time while in convective precipitation suppression is observed only 27% of the time. This statistical result suggests that evaporation, which occurs more often in stratiform precipitation, is important in reducing the small-scale irregularities in humidity and thereby the radio refractive index. A detailed case study presented also suggests that evaporation reducing small-scale irregularities in humidity may contribute to the observed VHF signal suppression.

  3. VHF signal power suppression in stratiform and convective precipitation

    Directory of Open Access Journals (Sweden)

    A. J. McDonald


    Full Text Available Previous studies have indicated that VHF clear-air radar return strengths are reduced during periods of precipitation. This study aims to examine whether the type of precipitation, stratiform and convective precipitation types are identified, has any impact on the relationships previously observed and to examine the possible mechanisms which produce this phenomenon. This study uses a combination of UHF and VHF wind-profiler data to define periods associated with stratiform and convective precipitation. This identification is achieved using an algorithm which examines the range squared corrected signal to noise ratio of the UHF returns for a bright band signature for stratiform precipitation. Regions associated with convective rainfall have been defined by identifying regions of enhanced range corrected signal to noise ratio that do not display a bright band structure and that are relatively uniform until a region above the melting layer.

    This study uses a total of 68 days, which incorporated significant periods of surface rainfall, between 31 August 2000 and 28 February 2002 inclusive from Aberystwyth (52.4° N, 4.1° W. Examination suggests that both precipitation types produce similar magnitude reductions in VHF signal power on average. However, the frequency of occurrence of statistically significant reductions in VHF signal power are very different. In the altitude range 2-4 km stratiform precipitation is related to VHF signal suppression approximately 50% of the time while in convective precipitation suppression is observed only 27% of the time. This statistical result suggests that evaporation, which occurs more often in stratiform precipitation, is important in reducing the small-scale irregularities in humidity and thereby the radio refractive index. A detailed case study presented also suggests that evaporation reducing small-scale irregularities in humidity may contribute to the observed VHF signal

  4. Managing Carious Lesions: Consensus Recommendations on Carious Tissue Removal

    NARCIS (Netherlands)

    Schwendicke, F.; Frencken, J.E.; Bjorndal, L.; Maltz, M.; Manton, D.J.; Ricketts, D.; Van Landuyt, K.; Banerjee, A.; Campus, G.; Domejean, S.; Fontana, M.; Leal, S.; Lo, E.; Machiulskiene, V.; Schulte, A.; Splieth, C.; Zandona, A.F.; Innes, N.P.


    The International Caries Consensus Collaboration undertook a consensus process and here presents clinical recommendations for carious tissue removal and managing cavitated carious lesions, including restoration, based on texture of demineralized dentine. Dentists should manage the disease dental

  5. Consensus Through Conversation How to Achieve High-Commitment Decisions

    CERN Document Server

    Dressler, Larry


    Facilitation expert Larry Dressler's Consensus Through Conversation is a guide for the effective facilitation and practice of one of business's most popular - but most widely misunderstood - decision-making models: consensus.

  6. 76 FR 45647 - Consensus Standards, Light-Sport Aircraft (United States)


    ... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Consensus Standards, Light-Sport... previously accepted consensus standards relating to the provisions of the Sport Pilot and Light-Sport... Light Sport Aircraft developed the revised standards with Federal Aviation Administration (FAA...

  7. [Experts consensus of dental esthetic photography]. (United States)


    Clinical photography in esthetic dentistry is an essential skill in clinical practice. It is widely applied clinically in multiple fields related to esthetic dentistry. Society of Esthetic Dentistry of Chinese Stomatological Association established a consensus for clinical photography and standards for images in esthetic dentistry in order to standardize domestic dental practitioners' procedure, and meet the demands of diagnosis and design in modern esthetic dentistry. It was also developed to facilitate domestic and international academic communication. Sixteen commonly used images in practice, which are of apparent importance in guiding esthetic analysis, design and implementation, are proposed in the standards. This consensus states the clinical significance of these images and the standard protocol of acquiring them.

  8. Bruxism defined and graded: an international consensus. (United States)

    Lobbezoo, F; Ahlberg, J; Glaros, A G; Kato, T; Koyano, K; Lavigne, G J; de Leeuw, R; Manfredini, D; Svensson, P; Winocur, E


    To date, there is no consensus about the definition and diagnostic grading of bruxism. A written consensus discussion was held among an international group of bruxism experts as to formulate a definition of bruxism and to suggest a grading system for its operationalisation. The expert group defined bruxism as a repetitive jaw-muscle activity characterised by clenching or grinding of the teeth and/or by bracing or thrusting of the mandible. Bruxism has two distinct circadian manifestations: it can occur during sleep (indicated as sleep bruxism) or during wakefulness (indicated as awake bruxism). For the operationalisation of this definition, the expert group proposes a diagnostic grading system of 'possible', 'probable' and 'definite' sleep or awake bruxism. The proposed definition and grading system are suggested for clinical and research purposes in all relevant dental and medical domains. © 2012 Blackwell Publishing Ltd.

  9. ESMO consensus conference on malignant lymphoma

    DEFF Research Database (Denmark)

    Ladetto, M; Buske, C; Hutchings, M


    The European Society for Medical Oncology (ESMO) consensus conference on mature B-cell lymphomas and chronic lymphocytic leukaemia (CLL) was held on 20 June 2015 in Lugano, Switzerland, and included a multidisciplinary panel of 25 leading experts. The aim of the conference was to develop recommen......The European Society for Medical Oncology (ESMO) consensus conference on mature B-cell lymphomas and chronic lymphocytic leukaemia (CLL) was held on 20 June 2015 in Lugano, Switzerland, and included a multidisciplinary panel of 25 leading experts. The aim of the conference was to develop...... to their potentially high prognostic value, at least in some lymphoma entities, implementation of interim PET, COO and MRD was highly recommended in the context of clinical trials. All expert panel members approved this final article....

  10. Consensus on Exercise Reporting Template (CERT)

    DEFF Research Database (Denmark)

    Slade, Susan C; Dionne, Clermont E; Underwood, Martin


    the reporting of exercise programs in all evaluative study designs and contains 7 categories: materials, provider, delivery, location, dosage, tailoring, and compliance. The CERT will encourage transparency, improve trial interpretation and replication, and facilitate implementation of effective exercise......BACKGROUND: Exercise interventions are often incompletely described in reports of clinical trials, hampering evaluation of results and replication and implementation into practice. OBJECTIVE: The aim of this study was to develop a standardized method for reporting exercise programs in clinical...... trials: the Consensus on Exercise Reporting Template (CERT). DESIGN AND METHODS: Using the EQUATOR Network's methodological framework, 137 exercise experts were invited to participate in a Delphi consensus study. A list of 41 items was identified from a meta-epidemiologic study of 73 systematic reviews...

  11. Using consensus building to improve utility regulation

    International Nuclear Information System (INIS)

    Raab, J.


    The utility industry and its regulatory environment are at a crossroads. Utilities, intervenors and even public utility commissions are no longer able to initiate and sustain changes unilaterally. Traditional approaches to regulation are often contentious and costly, producing results that are not perceived as legitimate or practical. Consensus building and alternative dispute resolution have the potential to help utilities, intervenors and regulators resolve a host of regulatory issues. This book traces the decline of consensus in utility regulation and delineates current controversies. It presents the theory and practice of alternative dispute resolution in utility regulation and offers a framework for evaluating the successes and failures of attempts to employ these processes. Four regulatory cases are analyzed in detail: the Pilgrim nuclear power plant outage settlement, the use of DSM collaboratives, the New Jersey resource bidding policy and the formation of integrated resource management rules in Massachusetts

  12. Intercomparison of spaceborne precipitation radars and its applications in examining precipitation-topography relationships in the Tibetan Plateau (United States)

    Tang, G.; Gao, J.; Long, D.


    Precipitation is one of the most important components in the water and energy cycles. Spaceborne radars are considered the most direct technology for observing precipitation from space since 1998. This study compares and evaluates the only three existing spaceborne precipitation radars, i.e., the Ku-band precipitation radar (TRMM PR), the W-band Cloud Profiling Radar (CloudSat CPR), and the Ku/Ka-band Dual-frequency Precipitation Radar (GPM DPR). In addition, TRMM PR and GPM DPR are evaluated against hourly rain gauge data in Mainland China. The Tibetan Plateau (TP) is known as the Earth's third pole where precipitation is affected profoundly by topography. However, ground gauges are extremely sparse in the TP, and spaceborne radars can provide valuable data with relatively high accuracy. The relationships between precipitation and topography over the TP are investigated using 17-year TRMM PR data and 2-year GPM DPR data, in combination with rain gauge data. Results indicate that: (1) DPR and PR agree with each other and correlate very well with gauges in Mainland China. DPR improves light precipitation detectability significantly compared with PR. However, DPR high sensitivity scans (HS) deviates from DPR normal and matched scans (NS and MS) and PR in the comparison based on global coincident events and rain gauges in China; (2) CPR outperforms the other two radars in terms of light precipitation detection. In terms of global snowfall estimation, DPR and CPR show very different global snowfall distributions originating from different frequencies, retrieval algorithms, and sampling characteristics; and (3) Precipitation generally decreases exponentially with increasing elevation in the TP. The precipitation-topography relationships are regressed using exponential fitting in seventeen river basins in the TP with good coefficients of determination. Due to the short time span of GPM DPR, the relationships based on GPM DPR data are less robust than those derived from

  13. Lone ranger decision making versus consensus decision making: Descriptive analysis


    Maite Sara Mashego


    Consensus decision making, concerns group members make decisions together with the requirement of reaching a consensus that is all members abiding by the decision outcome. Lone ranging worked for sometime in a autocratic environment. Researchers are now pointing to consensus decision-making in organizations bringing dividend to many organizations. This article used a descriptive analysis to compare the goodness of consensus decision making and making lone ranging decision management. This art...

  14. IAEA Director General welcomes NPT consensus

    International Nuclear Information System (INIS)


    The document informs that the Director General of the IAEA welcomed the adoption with consensus by the Review Conference of the Parties to the Treaty on the Non-Proliferation of Nuclear Weapons of the final document on the review and operation of the Treaty, and that he was pleased by the vote of confidence shown in the IAEA and its role in the implementation of the Treaty

  15. Consensus in the Age of Blockchains


    Bano, Shehar; Sonnino, Alberto; Al-Bassam, Mustafa; Azouvi, Sarah; McCorry, Patrick; Meiklejohn, Sarah; Danezis, George


    The blockchain initially gained traction in 2008 as the technology underlying bitcoin, but now has been employed in a diverse range of applications and created a global market worth over $150B as of 2017. What distinguishes blockchains from traditional distributed databases is the ability to operate in a decentralized setting without relying on a trusted third party. As such their core technical component is consensus: how to reach agreement among a group of nodes. This has been extensively s...

  16. The Mexican consensus on irritable bowel syndrome. (United States)

    Carmona-Sánchez, R; Icaza-Chávez, M E; Bielsa-Fernández, M V; Gómez-Escudero, O; Bosques-Padilla, F; Coss-Adame, E; Esquivel-Ayanegui, F; Flores-Rendón, Á R; González-Martínez, M A; Huerta-Iga, F; López-Colombo, A; Méndez-Gutiérrez, T H; Noble-Lugo, A; Nogueira-de Rojas, J R; Raña-Garibay, R H; Remes-Troche, J M; Roesch-Dietlen, F; Schmulson, M J; Soto-Pérez, J C; Tamayo, J L; Uscanga, L F; Valdovinos, M Á; Valerio-Ureña, J; Zavala-Solares, M R


    Since the publication in 2009 of the Guidelines on the Diagnosis and Treatment of Irritable Bowel Syndrome of the Asociación Mexicana de Gastroenterología (2009 Guidelines), there have been significant advances in our knowledge of the epidemiology, pathophysiology, diagnosis, and treatment of this disease. To present a consensus review of the most current knowledge of IBS, updating the 2009 Guidelines by incorporating new internationally published scientific evidence, with a special interest in Mexican studies. The PubMed literature from January 2009 to March 2015 was reviewed and complemented through a manual search. Articles in English and Spanish were included and preference was given to consensuses, guidelines, systematic reviews, and meta-analyses. Statements referring to the different aspects of the disease were formulated and voted upon by 24 gastroenterologists employing the Delphi method. Once a consensus on each statement was reached, the quality of evidence and strength of recommendation were determined through the GRADE system. Forty-eight statements were formulated, updating the information on IBS and adding the complementary data that did not appear in the 2009 Guidelines regarding the importance of exercise and diet, diagnostic strategies, and current therapy alternatives that were analyzed with more stringent scientific vigor or that emerged within the last 5 years. We present herein a consensus review of the most relevant advances in the study of IBS, updating and complementing the 2009 Guidelines. Several studies conducted in Mexico were included. Copyright © 2016 Asociación Mexicana de Gastroenterología. Publicado por Masson Doyma México S.A. All rights reserved.

  17. UK national consensus conference on radwaste management

    International Nuclear Information System (INIS)

    Craven-Howe, Andrew


    UK CEED organised a consensus conference to debate radwaste disposal. It lasted from 21-24 May 1999. Among the witnesses called to give evidence were UKAEA, BNFL, Nuclear Industries' Inspectorate, Department of the Environment, Transport and the Regions, Friends of the Earth and Greenpeace. The end result was a report produced by the panel of members of the public, recording their views and recommendations. Conclusions are presented. (author)

  18. International Consensus for ultrasound lesions in gout

    DEFF Research Database (Denmark)

    Gutierrez, Marwin; Schmidt, Wolfgang A; Thiele, Ralf G


    OBJECTIVE: To produce consensus-based definitions of the US elementary lesions in gout and to test their reliability in a web-based exercise. METHODS: The process consisted of two steps. In the first step a written Delphi questionnaire was developed from a systematic literature review and expert...... lesions in gout, demonstrated good reliability overall. It constitutes an essential step in developing a core outcome measurement that permits a higher degree of homogeneity and comparability between multicentre studies....

  19. The Mexican consensus on probiotics in gastroenterology


    M.A. Valdovinos; E. Montijo; A.T. Abreu; S. Heller; A. González-Garay; D. Bacarreza; M. Bielsa-Fernández; M.C. Bojórquez-Ramos; F. Bosques-Padilla; A.I. Burguete-García; R. Carmona-Sánchez; A. Consuelo-Sánchez; E. Coss-Adame; J.A. Chávez-Barrera; M. de Ariño


    Introduction: Probiotics are frequently prescribed in clinical practice. Their efficacy in treating gastrointestinal disorders is supported by a significant number of clinical trials. However, the correct prescription of these agents is hampered due to a lack of knowledge of the scientific evidence and to the different presentations and microbial compositions of the probiotics that are currently available. Aim: To provide the clinician with a consensus review of probiotics and recommendati...

  20. On the Precipitation and Precipitation Change in Alaska

    Directory of Open Access Journals (Sweden)

    Gerd Wendler


    Full Text Available Alaska observes very large differences in precipitation throughout the state; southeast Alaska experiences consistently wet conditions, while northern Arctic Alaska observes very dry conditions. The maximum mean annual precipitation of 5727 mm is observed in the southeastern panhandle at Little Port Arthur, while the minimum of 92 mm occurs on the North Slope at Kuparuk. Besides explaining these large differences due to geographic and orographic location, we discuss the changes in precipitation with time. Analyzing the 18 first-order National Weather Service stations, we found that the total average precipitation in the state increased by 17% over the last 67 years. The observed changes in precipitation are furthermore discussed as a function of the observed temperature increase of 2.1 °C, the mean temperature change of the 18 stations over the same period. This observed warming of Alaska is about three times the magnitude of the mean global warming and allows the air to hold more water vapor. Furthermore, we discuss the effect of the Pacific Decadal Oscillation (PDO, which has a strong influence on both the temperature and precipitation in Alaska.

  1. Applying consensus standards to cask development

    International Nuclear Information System (INIS)

    Leatham, J.; Abbott, D.G.; Warrant, M.M.


    The Department of Energy's (DOE's) Office of Civilian Radioactive Waste Management is procuring cask systems for transporting commercial spent nuclear fuel and is encouraging development of innovative cask designs and materials to improve system efficiency. New designs and innovative materials require that consensus standards be established so that cask designers and regulators have criteria for determining acceptability. Recent DOE experience in certifying three spent fuel shipping casks, NUPAC-125B, TN-BRP, and TN-REG, is discussed. Certification of the NUPAC-125B was expedited because it was made of conventional American Society for Testing and Materials (ASTM) materials and complied with the American Society of Mechanical Engineers (ASME) Code and Nuclear Regulatory Commission Regulatory Guides. The TN-BRP and TN-REG cask designs are still being reviewed because baskets included in the casks are made of borated stainless steel, which has no ASTM Specification or ASME Code approval. The process of developing and approving consensus standards is discussed, including the role of ANSI and ANSI N14. Specific procedures for ASTM and ASME are described. A draft specification or standard must be prepared and then approved by the appropriate body. For new material applications to the ASME Code, an existing ASTM Specification is needed. These processes may require several years. The status of activities currently in progress to develop consensus standards for spent fuel casks is discussed, including (1) ASME NUPAC, and (2) ASTM Specifications for ductile cast iron and borated stainless steel

  2. ESMO Consensus Conference on malignant lymphoma

    DEFF Research Database (Denmark)

    Buske, C; Hutchings, M; Ladetto, M


    The European Society for Medical Oncology (ESMO) consensus conference on mature B cell lymphomas and chronic lymphocytic leukaemia (CLL) was held on 20 June 2015 in Lugano, Switzerland, and included a multidisciplinary panel of 25 leading experts. The aim of the conference was to develop recommen......The European Society for Medical Oncology (ESMO) consensus conference on mature B cell lymphomas and chronic lymphocytic leukaemia (CLL) was held on 20 June 2015 in Lugano, Switzerland, and included a multidisciplinary panel of 25 leading experts. The aim of the conference was to develop...... of the three key areas identified. This manuscript presents the consensus recommendations regarding the clinical management of elderly patients diagnosed with malignant lymphoma. Four clinically-relevant topics identified by the panel were: 1) how to define patient fitness, 2) assessing quality of life, 3......) diagnostic work-up and 4) clinical management of elderly patients with lymphoma. Each of these key topics is addressed in the context of five different lymphoma entities, namely: CLL, follicular lymphoma, mantle cell lymphoma, peripheral T-cell lymphoma and diffuse large B-cell lymphoma. Results, including...

  3. A Self-Categorization Explanation for Opinion Consensus Perceptions (United States)

    Zhang, Jinguang; Reid, Scott A.


    The public expression of opinions (and related communicative activities) hinges upon the perception of opinion consensus. Current explanations for opinion consensus perceptions typically focus on egocentric and other biases, rather than functional cognitions. Using self-categorization theory we showed that opinion consensus perceptions flow from…

  4. Precipitation of lithium in germanium

    International Nuclear Information System (INIS)

    Masaik, M.; Furgolle, B.


    The precipitation of Lithium in Germanium was studied. Taking account of the interactions Ga LI, LiO, we calculated the oxygen content in germanium samples from the resistivity measurements. (authors)

  5. Environmental Radioactivity, Temperature, and Precipitation. (United States)

    Riland, Carson A.


    Reports that environmental radioactivity levels vary with temperature and precipitation and these effects are due to radon. Discusses the measurement of this environmental radioactivity and the theory behind it. (JRH)

  6. Aluminum precipitation from Hanford DSSF

    International Nuclear Information System (INIS)

    Borgen, D.; Frazier, P.; Staton, G.


    A series of pilot scale tests using simulated Double Shell Slurry Feed (DSSF) showed that well-settled aluminum precipitate can be produced in Hanford double shell tank (DST) high level waste by slow neutralization with carbon dioxide. This pretreatment could provide an early grout feed and free tank space, as well as facilitate downstream processes such as ion exchange by providing a less caustic feed. A total of eight test runs were completed using a 10-ft tall 3-in i.d. glass column. The 10-ft height corresponds to about one third of the vertical height of a DST, hence providing a reasonable basis for extrapolating the observed precipitate settling and compaction to the actual waste tank environment. Four runs (three with a simplified simulant and one with a chemically complete simulant) produced well settled precipitates averaging 1.5 to 2 feet high. Aluminum gel rather than settled precipitate resulted from one test where neutralization was too rapid

  7. Hourly and Daily Precipitation Data (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Precipitation reports submitted on many form types, including tabular and autographic charts. Reports are almost exclusively from the US Cooperative Observer Network.

  8. Evaluation of Coupled Precipitator Two

    International Nuclear Information System (INIS)

    Stone, M.E.


    The offline testing of the Coupled Precipitator Two (CP-2) has been completed. The tests were conducted and are documented. The tests were conducted at an offline test rack near the Drain Tube Test Stand facility in 672-T

  9. Autoantibody profiling in APS. (United States)

    Roggenbuck, D; Somma, V; Schierack, P; Borghi, M O; Meroni, P L


    The international consensus for the classification of antiphospholipid syndrome (APS) requires clinical and laboratory criteria to be considered at an equal level for diagnosing APS. Thus, detection of antiphospholipid antibodies (aPL) being a hallmark of APS has been the object of intensive investigation over the past 40 years. However, appropriate detection of aPL still remains a laboratory challenge due to their heterogeneity comprising autoantibodies reactive to different phospholipid-binding plasma proteins, such as beta-2 glycoprotein I (β2GPI) and prothrombin. The relevance of aPL interacting with phospholipids other than cardiolipin (CL, diphosphatidylglycerol), such as phosphatidylserine (PS), remains elusive with regard to the diagnosis of APS. Recently, the concept of aPL profiling has been introduced to assess the risk of thrombotic complications in patients with APS. New assay techniques, apart from enzyme-linked immunosorbent assays (ELISAs) recommended by the international consensus for the classification of APS, have been proposed for multiplexing of aPL testing. Line immunoassays (LIAs) employing a novel hydrophobic solid phase for the simultaneous detection of different aPL seem to be an intriguing alternative. We evaluated a novel multiplex LIA employing a hydrophobic membrane coated with different phospholipid (PL)-binding proteins or PLs. The performance characteristics of this new multiplexing assay technique demonstrated its usefulness for aPL profiling. © The Author(s) 2014 Reprints and permissions:

  10. Consensus statement on panic disorder from the International Consensus Group on Depression and Anxiety. (United States)

    Ballenger, J C; Davidson, J R; Lecrubier, Y; Nutt, D J; Baldwin, D S; den Boer, J A; Kasper, S; Shear, M K


    To provide primary care clinicians with a better understanding of management issues in panic disorder and guide clinical practice with recommendations for appropriate pharmacotherapy. The 4 members of the International Consensus Group on Depression and Anxiety were James C. Ballenger (chair), Jonathan R. T. Davidson, Yves Lecrubier, and David J. Nutt. Four faculty invited by the chairman also participated: David S. Baldwin, Johan A. den Boer, Siegfried Kasper, and M. Katherine Shear. The consensus statement is based on the 6 review papers that are published in this supplement and on the scientific literature relevant to these issues. There were group meetings held during a 2-day period. On day 1, the group discussed each review paper and the chairman and discussant (Dr. Kasper) identified key issues for further debate. On day 2, the group discussed these key issues to arrive at a consensus view. After the group meetings, the consensus statement was drafted by the chairman and approved by all attendees. The consensus statement provides standard definitions for response and remission and identifies appropriate strategy for the management of panic disorder in a primary care setting. Serotonin selective reuptake inhibitors are recommended as drugs of first choice with a treatment period of 12 to 24 months. Pharmacotherapy should be discontinued slowly over a period of 4 to 6 months.

  11. Development of precipitator of fluid film type

    International Nuclear Information System (INIS)

    Liu Yupu


    The precipitator of fluid film type is developed for the determination of fuel element cladding failure of water-cooled reactor. It integrates the scrubber, precipitator and detector. The jet of element cooling water automatically circulates carrier gas and the flow water film transfers precipitates onto the surface of centre electrode. Three different types are designed. On the special test loop, the uranium sample pellets of simulating cladding failure is measured. The sensitivity of precipitators, saturated precipitation voltage, incremental speed of signal, speed of driving out precipitates and the contents of the precipitates are determined. The test shows that the precipitators are highly sensitive, reliable, cheap and easy to operate

  12. Constructive conflict and staff consensus in substance abuse treatment. (United States)

    Melnick, Gerald; Wexler, Harry K; Chaple, Michael; Cleland, Charles M


    Previous studies demonstrated the relationship between consensus among both staff and clients with client engagement in treatment and between client consensus and 1-year treatment outcomes. The present article explores the correlates of staff consensus, defined as the level of agreement among staff as to the importance of treatment activities in their program, using a national sample of 80 residential substance abuse treatment programs. Constructive conflict resolution had the largest effect on consensus. Low client-to-staff ratios, staff education, and staff experience in substance abuse treatment were also significantly related to consensus. Frequency of training, an expected correlate of consensus, was negatively associated with consensus, whereas frequency of supervision was not a significant correlate. The implications of the findings for future research and program improvement are discussed.

  13. Sodium hydride precipitation in sodium cold traps

    International Nuclear Information System (INIS)

    McPheeters, C.C.; Raue, D.J.


    A series of experiments have been performed to test a calculational model for precipitation of NaH in sodium cold traps. The calculational model, called ACTMODEL, is a computer simulation that uses the system geometry and operating conditions as input to calculate a mass transfer coefficient and the distribution of NaH in a cold trap. The ACTMODEL was tested using an analytical cold trap (ACT) that is simple and essentially one-dimensional. The ACT flow and temperature profile may be controlled at any desired condition. The ACT was analyzed destructively after each test to measure the actual NaH distribution. Excellent agreement was obtained between the ACTMODEL simulations and the experiments

  14. Satellite-Based Precipitation Datasets (United States)

    Munchak, S. J.; Huffman, G. J.


    Of the possible sources of precipitation data, those based on satellites provide the greatest spatial coverage. There is a wide selection of datasets, algorithms, and versions from which to choose, which can be confusing to non-specialists wishing to use the data. The International Precipitation Working Group (IPWG) maintains tables of the major publicly available, long-term, quasi-global precipitation data sets ( ipwg/data/datasets.html), and this talk briefly reviews the various categories. As examples, NASA provides two sets of quasi-global precipitation data sets: the older Tropical Rainfall Measuring Mission (TRMM) Multi-satellite Precipitation Analysis (TMPA) and current Integrated Multi-satellitE Retrievals for Global Precipitation Measurement (GPM) mission (IMERG). Both provide near-real-time and post-real-time products that are uniformly gridded in space and time. The TMPA products are 3-hourly 0.25°x0.25° on the latitude band 50°N-S for about 16 years, while the IMERG products are half-hourly 0.1°x0.1° on 60°N-S for over 3 years (with plans to go to 16+ years in Spring 2018). In addition to the precipitation estimates, each data set provides fields of other variables, such as the satellite sensor providing estimates and estimated random error. The discussion concludes with advice about determining suitability for use, the necessity of being clear about product names and versions, and the need for continued support for satellite- and surface-based observation.

  15. Analyzing coastal precipitation using TRMM observations

    Directory of Open Access Journals (Sweden)

    R. H. Heiblum


    Full Text Available The interaction between breezes and synoptic gradient winds, and surface friction increase in transition from sea to land can create persistent convergence zones nearby coastlines. The low level convergence of moist air promotes the dynamical and microphysical processes responsible for the formation of clouds and precipitation.

    Our work focuses on the winter seasons of 1998–2011 in the Eastern Mediterranean. During the winter the Mediterranean sea is usually warmer than the adjacent land, resulting in frequent occurrence of land breeze that opposes the common synoptic winds. Using rain-rate vertical profiles from the Tropical Rainfall Measurement Mission (TRMM satellite, we examined the spatial and temporal distribution of average hydrometeor mass in clouds as a function of the distance from coastlines.

    Results show that coastlines in the Eastern Mediterranean are indeed favored areas for precipitation formation. The intra-seasonal and diurnal changes in the distribution of hydrometeor mass indicate that the land breeze may likely be the main responsible mechanism behind our results.

  16. New ICRP recommendations 2005: without full consensus?

    International Nuclear Information System (INIS)

    Novakovic, M.


    Ionising radiation is viewed as one of the most studied of all known carcinogens. Over the last 50 years Recommendations of International Commission for Radiological Protection (ICRP) have been changed regularly every 10 years. At the beginning these changes were significant, sometimes even radical, according to quick acquiring of new scientific evidence on physical, biological and health effects of radiation. In order to handle each new situation evolution of the radiation protection system has been extended and new portions have been added (the ubiquitous exposure of public to radon gas and its progeny, and the need to develop an appropriate response to emergency situations, increasing social desire to participate in decision making processes, concern for the protection of non-human species and environment), that resulted in a system that is increasingly complicated. Over the last few years very broad discussions of major radiation protection concepts have been encouraged by the ICRP in order to achieve consensus on a more operational and coherent system of radiation protection elaborated in a transparent fashion, and presented in readily understandable terms. This process for the first time involves a broad spectrum of stake holders in these discussions. It is further assumed that these debates will eventually result in consensus on the basis for the next round of ICRP general recommendations, probably in the 2005. While now it is certain that the consensus is not yet reached within the international community and the discussion of these issues will continue for some time the new recommendations should be seen as a consolidation of recommendations from 1990 to give a single unified set that can be simply and coherently expressed. The paper presents essential issues of the outcome of the Commission discussions and improvement of the current system of radiation protection.(author)

  17. II Brazilian consensus statement on endoscopic ultrasonography. (United States)

    Maluf-Filho, Fauze; de Oliveira, Joel Fernandez; Mendonça, Ernesto Quaresma; Carbonari, Augusto; Maciente, Bruno Antônio; Salomão, Bruno Chaves; Medrado, Bruno Frederico; Dotti, Carlos Marcelo; Lopes, César Vivian; Braga, Cláudia Utsch; M Dutra, Daniel Alencar; Retes, Felipe; Nakao, Frank; de Sousa, Giovana Biasia; de Paulo, Gustavo Andrade; Ardengh, Jose Celso; Dos Santos, Juliana Bonfim; Sampaio, Luciana Moura; Okawa, Luciano; Rossini, Lucio; de Brito Cardoso, Manoel Carlos; Ribeiro Camunha, Marco Antonio; Clarêncio, Marcos; Lera Dos Santos, Marcos Eduardo; Franco, Matheus; Schneider, Nutianne Camargo; Mascarenhas, Ramiro; Roda, Rodrigo; Matuguma, Sérgio; Guaraldi, Simone; Figueiredo, Viviane


    At the time of its introduction in the early 80s, endoscopic ultrasonography (EUS) was indicated for diagnostic purposes. Recently, EUS has been employed to assist or to be the main platform of complex therapeutic interventions. From a series of relevant new topics in the literature and based on the need to complement the I Brazilian consensus on EUS, twenty experienced endosonographers identified and reviewed the pertinent literature in databases. The quality of evidence, strength of recommendations, and level of consensus were graded and voted on. Consensus was reached for eight relevant topics: treatment of gastric varices, staging of nonsmall cell lung cancer, biliary drainage, tissue sampling of subepithelial lesions (SELs), treatment of pancreatic fluid collections, tissue sampling of pancreatic solid lesions, celiac neurolysis, and evaluation of the incidental pancreatic cysts. There is a high level of evidence for staging of nonsmall cell lung cancer; biopsy of SELs as the safest method; unilateral and bilateral injection techniques are equivalent for EUS-guided celiac neurolysis, and in patients with visible ganglia, celiac ganglia neurolysis appears to lead to better results. There is a moderate level of evidence for: yield of tissue sampling of pancreatic solid lesions is not influenced by the needle shape, gauge, or employed aspiration technique; EUS-guided and percutaneous biliary drainage present similar clinical success and adverse event rates; plastic and metallic stents are equivalent in the EUS-guided treatment of pancreatic pseudocyst. There is a low level of evidence in the routine use of EUS-guided treatment of gastric varices.

  18. Wireless sensor networks distributed consensus estimation

    CERN Document Server

    Chen, Cailian; Guan, Xinping


    This SpringerBrief evaluates the cooperative effort of sensor nodes to accomplish high-level tasks with sensing, data processing and communication. The metrics of network-wide convergence, unbiasedness, consistency and optimality are discussed through network topology, distributed estimation algorithms and consensus strategy. Systematic analysis reveals that proper deployment of sensor nodes and a small number of low-cost relays (without sensing function) can speed up the information fusion and thus improve the estimation capability of wireless sensor networks (WSNs). This brief also investiga

  19. Energy consensus talks collapse over nuclear issues

    International Nuclear Information System (INIS)



    Germany's energy consensus talks, ongoing since March 1993, were brought to unsuccessful end on October 26. Representatives from the Social Democratic Party (SDP), led by Lower Saxony's prime minister, Gerhard Schroeder, failed to get approval from party leaders on continued development of advanced reactors with enhanced safety - notably the Siemens/Framatome-designed 1500-MWe European pressurized water reactor (EPR) plan, for which the prospective schedule envisages a construction start in 1998. Nor would the SDP leadership accept the continued operation of existing nuclear plans to the end of their design life (some 20 to 25 years)

  20. The Mexican consensus on probiotics in gastroenterology

    Directory of Open Access Journals (Sweden)

    M.A. Valdovinos


    Results and conclusions: Eleven statements on the general concepts of probiotics and 27 statements on the use of probiotics in gastrointestinal diseases in both adults and children were formulated. The consensus group recommends the use of probiotics under the following clinical conditions: the prevention of diarrhea associated with antibiotics, the treatment of acute infectious diarrhea, the prevention of Clostridium difficile infection and necrotizing enterocolitis, the reduction of adverse events from Helicobacter pylori eradication therapy, relief from irritable bowel syndrome symptoms, the treatment of functional constipation in the adult, and the induction and maintenance of remission in patients with ulcerative colitis (UC and pouchitis, and the treatment of covert and overt hepatic encephalopathy.

  1. International consensus and States non-Parties

    International Nuclear Information System (INIS)

    Kellman, B.


    It is significant to recognize the contribution that international law can make to the promotion of consensus for arms control. Issues surface with a constancy that demand consistent, codified responses. International law should be more powerful, especially in addressing non-members and non-complying states. Successful negotiation of a multilateral treaty is not an end but a means to establish a law enforcement system capable of promoting important global interests. Accordingly arms control should generate the development of authoritative legal doctrines and institutions that can meet the challenge

  2. Supercritical antisolvent co-precipitation of rifampicin and ethyl cellulose. (United States)

    Djerafi, Rania; Swanepoel, Andri; Crampon, Christelle; Kalombo, Lonji; Labuschagne, Philip; Badens, Elisabeth; Masmoudi, Yasmine


    Rifampicin-loaded submicron-sized particles were prepared through supercritical anti-solvent process using ethyl cellulose as polymeric encapsulating excipient. Ethyl acetate and a mixture of ethyl acetate/dimethyl sulfoxide (70/30 and 85/15) were used as solvents for both drug and polymeric excipient. When ethyl acetate was used, rifampicin was crystallized separately without being embedded within the ethyl cellulose matrix while by using the ethyl acetate/dimethyl sulfoxide mixture, reduced crystallinity of the active ingredient was observed and a simultaneous precipitation of ethyl cellulose and drug was achieved. The effect of solvent/CO 2 molar ratio and polymer/drug mass ratio on the co-precipitates morphology and drug loading was investigated. Using the solvent mixture, co-precipitates with particle sizes ranging between 190 and 230nm were obtained with drug loading and drug precipitation yield from respectively 8.5 to 38.5 and 42.4 to 77.2% when decreasing the ethyl cellulose/rifampicin ratio. Results show that the solvent nature and the initial drug concentrations affect morphology and drug precipitation yield of the formulations. In vitro dissolution studies revealed that the release profile of rifampicin was sustained when co-precipitation was carried out with the solvent mixture. It was demonstrated that the drug to polymer ratio influenced amorphous content of the SAS co-precipitates. Differential scanning calorimetry thermograms and infrared spectra revealed that there is neither interaction between rifampicin and the polymer nor degradation of rifampicin during co-precipitation. In addition, stability stress tests on SAS co-precipitates were carried out at 75% relative humidity and room temperature in order to evaluate their physical stability. SAS co-precipitates were X-ray amorphous and remained stable after 6months of storage. The SAS co-precipitation process using a mixture of ethyl acetate/dimethyl sulfoxide demonstrates that this strategy can

  3. Impact of AIRS Thermodynamic Profile on Regional Weather Forecast (United States)

    Chou, Shih-Hung; Zavodsky, Brad; Jedlovee, Gary


    Prudent assimilation of AIRS thermodynamic profiles and quality indicators can improve initial conditions for regional weather models. AIRS-enhanced analysis has warmer and moister PBL. Forecasts with AIRS profiles are generally closer to NAM analyses than CNTL. Assimilation of AIRS leads to an overall QPF improvement in 6-h accumulated precipitation forecasts. Including AIRS profiles in assimilation process enhances the moist instability and produces stronger updrafts and a better precipitation forecast than the CNTL run.

  4. Global Aesthetics Consensus: Avoidance and Management of Complications from Hyaluronic Acid Fillers—Evidence- and Opinion-Based Review and Consensus Recommendations (United States)

    Liew, Steven; Sundaram, Hema; De Boulle, Koenraad L.; Goodman, Greg J.; Monheit, Gary; Wu, Yan; Trindade de Almeida, Ada R.; Swift, Arthur; Vieira Braz, André


    Background: Although the safety profile of hyaluronic acid fillers is favorable, adverse reactions can occur. Clinicians and patients can benefit from ongoing guidance on adverse reactions to hyaluronic acid fillers and their management. Methods: A multinational, multidisciplinary group of experts in cosmetic medicine convened the Global Aesthetics Consensus Group to review the properties and clinical uses of Hylacross and Vycross hyaluronic acid products and develop updated consensus recommendations for early and late complications associated with hyaluronic acid fillers. Results: The consensus panel provided specific recommendations focusing on early and late complications of hyaluronic acid fillers and their management. The impact of patient-, product-, and technique-related factors on such reactions was described. Most of these were noted to be mild and transient. Serious adverse events are rare. Early adverse reactions to hyaluronic acid fillers include vascular infarction and compromise; inflammatory reactions; injection-related events; and inappropriate placement of filler material. Among late reactions are nodules, granulomas, and skin discoloration. Most adverse events can be avoided with proper planning and technique. Detailed understanding of facial anatomy, proper patient and product selection, and appropriate technique can further reduce the risks. Should adverse reactions occur, the clinician must be prepared and have tools available for effective treatment. Conclusions: Adverse reactions with hyaluronic acid fillers are uncommon. Clinicians should take steps to further reduce the risk and be prepared to treat any complications that arise. PMID:27219265

  5. Standardization of laboratory lipid profile assessment: A call for action with a special focus on the 2016 ESC/EAS dyslipidemia guidelines - Executive summary: A consensus endorsed by the Cardiovascular Risk and Prevention Group of the Portuguese Internal Medicine Society, the Portuguese Atherosclerosis Society, the Portuguese Society of Cardiology, the Portuguese Society of Laboratory Medicine, and the Portuguese Association of Clinical Chemistry. (United States)

    da Silva, Pedro Marques; Sequeira Duarte, João; von Hafe, Pedro; Gil, Victor; Nunes de Oliveira, Jorge; de Sousa, Germano


    Even with improvements in lifestyle interventions, better control of cardiovascular (CV) risk factors, and improvements in CV outcomes, cardiovascular disease (CVD) remains the leading cause of morbidity and mortality in Portugal and Europe. Atherogenic dyslipidemias, particularly hypercholesterolemia, have a crucial causal role in the development of atherosclerotic CVD. The clinical approach to a patient with dyslipidemia requires an accurate diagnosis, based on harmonized and standardized lipid and lipoprotein laboratory assessments. Results and reports of these tests, together with assessment of total CV risk and the respective therapeutic targets, will help ensure that clinical guidelines and good clinical practices are followed, increasing the reliability of screening for lipid disorders, producing more accurate diagnoses and CV risk stratification, and improving CV prevention. To this end, this consensus aims to provide clinicians with practical guidance for the harmonization and standardization of laboratory lipid tests, focusing on the most recent dyslipidemia management guidelines. Copyright © 2018 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

  6. Measurement of precipitation using lysimeters (United States)

    Fank, Johann; Klammler, Gernot


    Austria's alpine foothill aquifers contain important drinking water resources, but are also used intensively for agricultural production. These groundwater bodies are generally recharged by infiltrating precipitation. A sustainable water resources management of these aquifers requires quantifying real evapotranspiration (ET), groundwater recharge (GR), precipitation (P) and soil water storage change (ΔS). While GR and ΔS can be directly measured by weighable lysimeters and P by separate precipitation gauges, ET is determined by solving the climatic water balance ET = P GR ± ΔS. According to WMO (2008) measurement of rainfall is strongly influenced by precipitation gauge errors. Most significant errors result from wind loss, wetting loss, evaporation loss, and due to in- and out-splashing of water. Measuring errors can be reduced by a larger area of the measuring gaugés surface and positioning the collecting vessel at ground level. Modern weighable lysimeters commonly have a surface of 1 m², are integrated into their typical surroundings of vegetation cover (to avoid oasis effects) and allow scaling the mass change of monolithic soil columns in high measuring accuracy (0.01 mm water equivalent) and high temporal resolution. Thus, also precipitation can be quantified by measuring the positive mass changes of the lysimeter. According to Meissner et al. (2007) also dew, fog and rime can be determined by means of highly precise weighable lysimeters. Furthermore, measuring precipitation using lysimeters avoid common measuring errors (WMO 2008) at point scale. Though, this method implicates external effects (background noise, influence of vegetation and wind) which affect the mass time series. While the background noise of the weighing is rather well known and can be filtered out of the mass time series, the influence of wind, which blows through the vegetation and affects measured lysimeter mass, cannot be corrected easily since there is no clear relation between

  7. Precipitation process for supernate decontamination

    International Nuclear Information System (INIS)

    Lee, L.M.; Kilpatrick, L.L.


    A precipitation and adsorption process has been developed to remove cesium, strontium, and plutonium from water-soluble, high-level radioactive waste. An existing waste tank serves as the reaction vessel and the process begins with the addition of a solution of sodium tetraphenylborate and a slurry of sodium titanate to the contained waste salt solution. Sodium tetraphenylborate precipitates the cesium and sodium titanate adsorbs the strontium and plutonium. The precipitate/adsorbate is then separated from the decontaminated salt solution by crossflow filtration. This new process offers significant capital savings over an earlier ion exchange process for salt decontamination. Chemical and small-scale engineering studies with actual waste are reported. The effect of many variables on the decontamination factors and filter performance are defined

  8. Arsenic precipitation from metallurgical effluents

    International Nuclear Information System (INIS)

    Navarro, P.; Vargas, C.; Araya, E.; Martin, I.; Alguacil, F. J.


    In the mining-metallurgical companies different liquid effluents are produced, which can contain a series of dissolved elements that are considered dangerous from an environmental point of view. One of these elements is the arsenic, especially in the state of oxidation +5 that can be precipitated as calcium or iron arsenate. To fulfil the environmental requests it should have in solution a content of arsenic lower than 0,5 mg/l and the obtained solid product should be very stable under the condition in which it will be stored. this work looks for the best conditions of arsenic precipitation, until achieving contents in solution lower than such mentioned concentration. Also, the stability of the precipitates was studied. (Author) 7 refs

  9. Methodological Quality of Consensus Guidelines in Implant Dentistry. (United States)

    Faggion, Clovis Mariano; Apaza, Karol; Ariza-Fritas, Tania; Málaga, Lilian; Giannakopoulos, Nikolaos Nikitas; Alarcón, Marco Antonio


    Consensus guidelines are useful to improve clinical decision making. Therefore, the methodological evaluation of these guidelines is of paramount importance. Low quality information may guide to inadequate or harmful clinical decisions. To evaluate the methodological quality of consensus guidelines published in implant dentistry using a validated methodological instrument. The six implant dentistry journals with impact factors were scrutinised for consensus guidelines related to implant dentistry. Two assessors independently selected consensus guidelines, and four assessors independently evaluated their methodological quality using the Appraisal of Guidelines for Research & Evaluation (AGREE) II instrument. Disagreements in the selection and evaluation of guidelines were resolved by consensus. First, the consensus guidelines were analysed alone. Then, systematic reviews conducted to support the guidelines were included in the analysis. Non-parametric statistics for dependent variables (Wilcoxon signed rank test) was used to compare both groups. Of 258 initially retrieved articles, 27 consensus guidelines were selected. Median scores in four domains (applicability, rigour of development, stakeholder involvement, and editorial independence), expressed as percentages of maximum possible domain scores, were below 50% (median, 26%, 30.70%, 41.70%, and 41.70%, respectively). The consensus guidelines and consensus guidelines + systematic reviews data sets could be compared for 19 guidelines, and the results showed significant improvements in all domain scores (p dentistry journals is needed. The findings of the present study may help researchers to better develop consensus guidelines in implant dentistry, which will improve the quality and trust of information needed to make proper clinical decisions.

  10. Stabilizing IkappaBalpha by "consensus" design. (United States)

    Ferreiro, Diego U; Cervantes, Carla F; Truhlar, Stephanie M E; Cho, Samuel S; Wolynes, Peter G; Komives, Elizabeth A


    IkappaBalpha is the major regulator of transcription factor NF-kappaB function. The ankyrin repeat region of IkappaBalpha mediates specific interactions with NF-kappaB dimers, but ankyrin repeats 1, 5 and 6 display a highly dynamic character when not in complex with NF-kappaB. Using chemical denaturation, we show here that IkappaBalpha displays two folding transitions: a non-cooperative conversion under weak perturbation, and a major cooperative folding phase upon stronger insult. Taking advantage of a native Trp residue in ankyrin repeat (AR) 6 and engineered Trp residues in AR2, AR4 and AR5, we show that the cooperative transition involves AR2 and AR3, while the non-cooperative transition involves AR5 and AR6. The major structural transition can be affected by single amino acid substitutions converging to the "consensus" ankyrin repeat sequence, increasing the native state stability significantly. We further characterized the structural and dynamic properties of the native state ensemble of IkappaBalpha and the stabilized mutants by H/(2)H exchange mass spectrometry and NMR. The solution experiments were complemented with molecular dynamics simulations to elucidate the microscopic origins of the stabilizing effect of the consensus substitutions, which can be traced to the fast conformational dynamics of the folded ensemble.

  11. Dialogic Consensus In Clinical Decision-Making. (United States)

    Walker, Paul; Lovat, Terry


    This paper is predicated on the understanding that clinical encounters between clinicians and patients should be seen primarily as inter-relations among persons and, as such, are necessarily moral encounters. It aims to relocate the discussion to be had in challenging medical decision-making situations, including, for example, as the end of life comes into view, onto a more robust moral philosophical footing than is currently commonplace. In our contemporary era, those making moral decisions must be cognizant of the existence of perspectives other than their own, and be attuned to the demands of inter-subjectivity. Applicable to clinical practice, we propose and justify a Habermasian approach as one useful means of achieving what can be described as dialogic consensus. The Habermasian approach builds around, first, his discourse theory of morality as universalizable to all and, second, communicative action as a cooperative search for truth. It is a concrete way to ground the discourse which must be held in complex medical decision-making situations, in its actual reality. Considerations about the theoretical underpinnings of the application of dialogic consensus to clinical practice, and potential difficulties, are explored.

  12. Consensus for the brain metastases treatment

    International Nuclear Information System (INIS)

    Rabadan, Alejandra; Diez, Blanca; Martinez, Ana M.; Antico, Julio; Saidon, Patricia; Christiansen, Silvia; Rojas, Galeno


    The advancement in oncology therapies has made brain metastases treatment a major factor influencing the survival time and quality of life of patients with cancer. Although there are numerous publications on the issue, there is not yet to be consensus regarding the best strategy for treatment, which is probably due to population heterogeneity in terms of functional status, type of neoplasia, control of the systemic disease, and the number and localization of the lesions in the central nervous system. Our objective is to present general recommendations based on rational analysis in order to guide the practical management of brain metastases. With this purpose, a multidisciplinary team composed by neurosurgeons, neuro-oncologists, neuro-pathologist, radio therapist and neurologists was brought together, conducting a thorough search, in english and spanish, for publications in Pub- Med from 1980 to July 2006 (the starting period was set at the beginning of use of RM in medical practice). Review and original articles with n= or >20 were selected. Also, book chapters of renowned authors in the different consulted areas were included. The assessment of the literature, in addition to the experience of the authors allowed for the development of the 'Consensus for the brain metastases treatment'. Finally, the authors expect the present work will contribute to the multidisciplinary approach for the management of brain metastases with simple and practical recommendations, and probably stimulating future developments in this field. (author)

  13. Calcium hydroxylapatite for jawline rejuvenation: consensus recommendations. (United States)

    Dallara, Jean-Marie; Baspeyras, Martine; Bui, Patrick; Cartier, Hugues; Charavel, Marie-Hélène; Dumas, Laurent


    Age-associated volume loss is now known to play an important role in the structural changes of the aging face. In the lower face, this manifests as drooping of the corners of the mouth and jowl leading to a loss of the oval jawline of youth. Jawline reshaping by replacing volume has therefore become an indispensable component of modern facial rejuvenation. Calcium hydroxylapatite (CaHA; Radiesse® , Merz Pharmaceuticals GmbH, Frankfurt, Germany) is an injectable filler with a cosmetic indication for tissue augmentation. The ability of calcium hydroxylapatite to provide immediate and long-lasting volume enhancement makes it an ideal agent for restoring an oval jawline. This consensus statement has been developed to assist clinicians who would like to gain more experience in the use of volumizing agents to achieve an optimal outcome with this procedure. Using the recently developed Merz Aesthetics Scale® for jawline, the consensus provides a treatment protocol for individuals at each stage of oval loss and presents a series of before and after images to illustrate the improvements that can be achieved. Specific recommendations for calcium hydroxylapatite including type of anesthesia, injection techniques, volume for injection, use in combination with other procedures, and expected duration of corrections are provided. Techniques for minimizing and managing expected problems and potential complications are also described. Calcium hydroxylapatite is appropriate for treating patients at any stage of oval loss. © 2014 Wiley Periodicals, Inc.

  14. International Consensus (ICON): allergic reactions to vaccines. (United States)

    Dreskin, Stephen C; Halsey, Neal A; Kelso, John M; Wood, Robert A; Hummell, Donna S; Edwards, Kathryn M; Caubet, Jean-Christoph; Engler, Renata J M; Gold, Michael S; Ponvert, Claude; Demoly, Pascal; Sanchez-Borges, Mario; Muraro, Antonella; Li, James T; Rottem, Menachem; Rosenwasser, Lanny J


    Routine immunization, one of the most effective public health interventions, has effectively reduced death and morbidity due to a variety of infectious diseases. However, allergic reactions to vaccines occur very rarely and can be life threatening. Given the large numbers of vaccines administered worldwide, there is a need for an international consensus regarding the evaluation and management of allergic reactions to vaccines. Following a review of the literature, and with the active participation of representatives from the World Allergy Organization (WAO), the European Academy of Allergy and Clinical Immunology (EAACI), the American Academy of Allergy, Asthma, and Immunology (AAAAI), and the American College of Allergy, Asthma, and Immunology (ACAAI), the final committee was formed with the purpose of having members who represented a wide-range of countries, had previously worked on vaccine safety, and included both allergist/immunologists as well as vaccinologists. Consensus was reached on a variety of topics, including: definition of immediate allergic reactions, including anaphylaxis, approaches to distinguish association from causality, approaches to patients with a history of an allergic reaction to a previous vaccine, and approaches to patients with a history of an allergic reaction to components of vaccines. This document provides comprehensive and internationally accepted guidelines and access to on-line documents to help practitioners around the world identify allergic reactions following immunization. It also provides a framework for the evaluation and further management of patients who present either following an allergic reaction to a vaccine or with a history of allergy to a component of vaccines.

  15. Maastricht consensus-5: analytical review of statements

    Directory of Open Access Journals (Sweden)

    Yu.M. Stepanov


    Full Text Available This article analyzes the statements of Maastricht consensus-5 on H. pylori infection studying. There was shown the changes in approaches to diagnostics and treatment of H. pylori infection in previous Maastricht consensuses. H. pylori associated gastritis was considered to be an infection disease. There was also analyzed the relation between this infection and gatroduodenal pathology including functional dyspepsia, NSAID-gastropathy and others. The paper deals with up-to-date approaches to diagnostics of H. pylori infection with determination of the most optimal diagnostic method in different situations. The approaches to antihelicobacter therapy were analyzed. The special attention was paid to dependence of modern therapeutic schemes of helicobacteriosis therapy on H. pylori resistance to key antibiotics. There was confirmed the importance of H. pylori eradication for prevention of precancerous changes in the stomach. The increased interest of researchers to non-helicobacter flora in the stomach was shown. There was regarded an important role of probiotics in antihelicobacter therapy.

  16. [SECOT consensus on painful knee replacement]. (United States)

    Vaquero, J; Macule, F; Bello, S; Chana, F; Forriol, F


    The opinions of 21 experts in knee surgery were evaluated in this study, using a DELPHI questionnaire method in two successive rounds, on 64 controversial scenarios that covered both the diagnosis and possible treatment of painful knee replacements. The level of consensus was significantly unanimous in 42 items and of the design in 5, with no agreement in 17 of the questions presented. light of the published scientific evidence, the surgeons who took part showed to have a notable level of information on the most effective diagnostic tests, although, it should be pointed out that there was a lack of confidence in the possibility of ruling out an infection when the erythrocyte sedimentation rate and the C-reactive protein were within normal values, which have been demonstrated in the literature to have a high negative predictive value As regards the treatments to employ in the different situations, the responses of the expert panel were mainly in agreement with the data in the literature. The conclusions of this consensus may help other surgeons when they are faced with a painful knee prosthesis. Copyright © 2013 SECOT. Published by Elsevier Espana. All rights reserved.

  17. Diurnal phase of late-night against late-afternoon of stratiform and convective precipitation in summer southern contiguous China

    Energy Technology Data Exchange (ETDEWEB)

    Yu, Rucong [Chinese Academy of Sciences, LASG, Institute of Atmospheric Physics, Beijing (China); China Meteorological Administration, LaSW, Chinese Academy of Meteorological Sciences, Beijing (China); Yuan, Weihua [Chinese Academy of Sciences, LASG, Institute of Atmospheric Physics, Beijing (China); Graduate School of the Chinese Academy of Sciences, Beijing (China); Li, Jian [China Meteorological Administration, LaSW, Chinese Academy of Meteorological Sciences, Beijing (China); Fu, Yunfei [Chinese Academy of Sciences, LASG, Institute of Atmospheric Physics, Beijing (China); University of Science and Technology of China, Laboratory of Satellite Remote Sensing and Climate Environment, Hefei, Anhui (China)


    Using the tropical rainfall measuring mission (TRMM) Precipitation Radar (PR) observations combined with the surface rain gauge data during 1998-2006, the robust diurnal features of summer stratiform and convective precipitation over the southern contiguous China are revealed by exploring the diurnal variations of rain rate and precipitation profile. The precipitation over the southern contiguous China exhibits two distinguishing diurnal phases: late-night (2200-0600 LST) and late-afternoon (1400-2200 LST), dependent on the location, precipitation type and duration time. Generally, the maximum rain rate and the highest profile of stratiform precipitation occur in the late-afternoon (late-night) over the southeastern (southwestern) China, while most of the stratiform short-duration rain rate tends to present late-afternoon peaks over the southern China. For convective precipitation, the maximum rain rate and the highest profile occur in the late-afternoon over most of the southern contiguous China, while the convective long-duration rain rate exhibits late-night peaks over the southwestern China. Without regional dependence, the convective precipitation exhibits much larger amplitude of diurnal variations in both near surface rain rate and vertical extension compared with stratiform precipitation and the convective rain top rises most rapidly between noon and afternoon. However, there are two distinctive sub-regions. The diurnal phases of precipitation there are very weakly dependent on precipitation type and duration time. Over the eastern periphery of the Tibetan Plateau, the maximum rain rate and the highest profile of either convective or stratiform precipitation occur in the late-night. Over the southeastern coastal regions, both the near surface rain rate and rain top of convective and stratiform precipitation peak in the late-afternoon. (orig.)

  18. Consensus statement on panic disorder from the International Consensus Group on Depression and Anxiety

    NARCIS (Netherlands)

    Ballenger, JC; Lecrubier, Y; Nutt, DJ; Baldwin, DS; den Boer, JA; Kasper, S; Shear, MK


    Objective: To provide primary care clinicians with a better understanding of management issues in panic disorder and guide clinical practice with recommendations for appropriate pharmacotherapy. Participants: The 4 members of the International Consensus Group on Depression and Anxiety were James C.

  19. Consensus statement on posttraumatic stress disorder from the International Consensus Group on Depression and Anxiety. (United States)

    Ballenger, J C; Davidson, J R; Lecrubier, Y; Nutt, D J; Foa, E B; Kessler, R C; McFarlane, A C; Shalev, A Y


    To provide primary care clinicians with a better understanding of management issues in posttraumatic stress disorder (PTSD) and guide clinical practice with recommendations on the appropriate management strategy. The 4 members of the International Consensus Group on Depression and Anxiety were James C. Ballenger (chair), Jonathan R. T. Davidson, Yves Lecrubier, and David J. Nutt. Other faculty invited by the chair were Edna B. Foa, Ronald C. Kessler, Alexander C. McFarlane, and Arieh Y. Shalev. The consensus statement is based on the 6 review articles that are published in this supplement and the scientific literature relevant to the issues reviewed in these articles. Group meetings were held over a 2-day period. On day 1, the group discussed the review articles and the chair identified key issues for further debate. On day 2, the group discussed these issues to arrive at a consensus view. After the group meetings, the consensus statement was drafted by the chair and approved by all attendees. PTSD is often a chronic and recurring condition associated with an increased risk of developing secondary comorbid disorders, such as depression. Selective serotonin reuptake inhibitors are generally the most appropriate choice of first-line medication for PTSD, and effective therapy should be continued for 12 months or longer. The most appropriate psychotherapy is exposure therapy, and it should be continued for 6 months, with follow-up therapy as needed.

  20. The Mexican consensus on chronic constipation

    Directory of Open Access Journals (Sweden)

    J.M. Remes-Troche


    Full Text Available Introduction: Significant advances have been made in the knowledge and understanding of the epidemiology, pathophysiology, diagnosis, and treatment of chronic constipation, since the publication of the 2011 guidelines on chronic constipation diagnosis and treatment in Mexico from the Asociación Mexicana de Gastroenterología. Aims: To present a consensus review of the current state of knowledge about chronic constipation, providing updated information and integrating the new scientific evidence. Methods: Three general coordinators reviewed the literature published within the time frame of January 2011 and January 2017. From that information, 62 initial statements were formulated and then sent to 12 national experts for their revision. The statements were voted upon, using the Delphi system in 3 voting rounds (2 electronic and one face-to-face. The statements were classified through the GRADE system and those that reached agreement > 75% were included in the consensus. Results and conclusions: The present consensus is made up of 42 final statements that provide updated knowledge, supplementing the information that had not been included in the previous guidelines. The strength of recommendation and quality (level of evidence were established for each statement. The current definitions of chronic constipation, functional constipation, and opioid-induced constipation are given, and diagnostic strategies based on the available diagnostic methods are described. The consensus treatment recommendations were established from evidence on the roles of diet and exercise, fiber, laxatives, new drugs (such as prucalopride, lubiprostone, linaclotide, plecanatide, biofeedback therapy, and surgery. Resumen: Introducción: Desde la publicación de las guías de diagnóstico y tratamiento del estreñimiento crónico (EC en México de la Asociación Mexicana de Gastroenterología en el 2011 se han producido avances significativos en el conocimiento de la

  1. Silver precipitation from electrolytic effluents

    International Nuclear Information System (INIS)

    Rivera, I.; Patino, F.; Cruells, M.; Roca, A.; Vinals, J.


    The recovery of silver contained in electrolytic effluents is attractive due to its high economic value. These effluents are considered toxic wastes and it is not possible to dump them directly without any detoxification process. One of the most important way for silver recovery is the precipitation with sodium ditionite, sodium borohidride or hydrazine monohidrate. In this work, the most significant aspects related to the use of these reagents is presented. Results of silver precipitation with sodium ditionite from effluents containing thiosulfate without previous elimination of other species are also presented. silver concentration in the final effluents w <1 ppm. (Author) 15 refs

  2. The characterisation of precipitated magnetites

    International Nuclear Information System (INIS)

    Rush, D.F.; Segal, D.L.


    Methods are described for the preparation of magnetite by precipitation from aqueous solutions of iron(II) and iron(III) salts. The magnetites have been characterised by transmission electron microscopy, chemical analysis and X-ray diffraction. Transmission Moessbauer spectroscopy has also been used to characterise precipitated magnetites and a comparison of the spectra has been made with those obtained from nickel ferrite and hydrated ferric oxides. The hydrothermal stability of magnetite at 573 K has also been investigated. This work is relevant to corrosion processes that can occur in the water coolant circuits of nuclear reactors. (author)

  3. An Improved Plutonium Trifluoride Precipitation Flowsheet

    Energy Technology Data Exchange (ETDEWEB)

    Harmon, H.D.


    This report discusses results of the plutonium trifluoride two-stage precipitation study. A series of precipitation experiments was used to identify the significant process variables affecting precipitation performance. A mathematical model of the precipitation process was developed which is based on the formation of plutonium fluoride complexes. The precipitation model relates all process variables, in a single equation, to a single parameter which can be used to control the performance of the plutonium trifluoride precipitation process. Recommendations have been made which will optimize the FB-Line plutonium trifluoride precipitation process.

  4. An Improved Plutonium Trifluoride Precipitation Flowsheet

    International Nuclear Information System (INIS)

    Harmon, H.D.


    This report discusses results of the plutonium trifluoride two-stage precipitation study. A series of precipitation experiments was used to identify the significant process variables affecting precipitation performance. A mathematical model of the precipitation process was developed which is based on the formation of plutonium fluoride complexes. The precipitation model relates all process variables, in a single equation, to a single parameter which can be used to control the performance of the plutonium trifluoride precipitation process. Recommendations have been made which will optimize the FB-Line plutonium trifluoride precipitation process

  5. Forecasting gastrointestinal precipitation and oral pharmacokinetics of dantrolene in dogs using an in vitro precipitation testing coupled with in silico modeling and simulation. (United States)

    Kambayashi, Atsushi; Dressman, Jennifer B


    The aim of the current research was to determine the precipitation kinetics of dantrolene sodium using canine biorelevant in vitro testing and to model the precipitation kinetics by appropriately coupling the data with an in silico tool adapted for dogs. The precipitation profiles of dantrolene sodium solutions were obtained with the in vitro paddle apparatus at a revolution rate of 50rpm. The in silico prediction tool was designed using STELLA software and the predicted plasma concentration profiles of dantrolene using the in vitro precipitation data were compared with the observed in vivo pharmacokinetics in beagle dogs. The plasma profiles of dantrolene, which served as a model weakly acidic drug which precipitates in the upper gastrointestinal tract, was successfully predicted using the in vitro precipitation testing coupled with the in silico modeling and simulation approach. The approach was subsequently used to forecast the effect of pharmaceutical excipients (HPMC/PG) on the ability of the drug to supersaturate in the gut and the resulting pharmacokinetics. The agreement of the simulated pharmacokinetics with the observed values confirms the ability of canine biorelevant media to predict oral performance of enhanced dosage forms in dogs. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Responses of Seasonal Precipitation Intensity to Global Warming (United States)

    Lan, Chia-Wei; Lo, Min-Hui; Chou, Chia


    Under global warming, the water vapor increases with rising temperature at the rate of 7%/K. Most previous studies focus on the spatial differences of precipitation and suggest that wet regions become wetter and dry regions become drier. Our recent studies show a temporal disparity of global precipitation, which the wet season becomes wetter and dry season becomes drier; therefore, the annual range increases. However, such changes in the annual range are not homogeneous globally, and in fact, the drier trend over the ocean is much larger than that over the land, where the dry season does not become drier. Such precipitation change over land is likely because of decreased omega at 500hPa (more upward motion) in the reanalysis datasets from 1980 to 2013. The trends of vertical velocity and moist static energy profile over the increased precipitation regions become more unstable. The instability is most likely attributed to the change in specific humility below 400hPa. Further, we will use Coupled Model Intercomparison Project Phase 5 (CMIP5) archives to investigate whether the precipitation responses in dry season are different between the ocean and land under global warming.

  7. Low cloud precipitation climatology in the southeastern Pacific marine stratocumulus region using CloudSat

    International Nuclear Information System (INIS)

    Rapp, Anita D; Lebsock, Matthew; L’Ecuyer, Tristan


    A climatology of low cloud surface precipitation occurrence and intensity from the new CloudSat 2C-RAIN-PROFILE algorithm is presented from June 2006 through December 2010 for the southeastern Pacific region of marine stratocumulus. Results show that over 70% of low cloud precipitation falls as drizzle. Application of an empirical evaporation model suggests that 50–80% of the precipitation evaporates before it reaches the surface. Segregation of the CloudSat ascending and descending overpasses shows that the majority of precipitation occurs at night. Examination of the seasonal cycle shows that the precipitation is most frequent during the austral winter and spring; however there is considerable regional variability. Conditional rain rates increase from east to west with a maximum occurring in the region influenced by the South Pacific Convergence Zone. Area average rain rates are highest in the region where precipitation rates are moderate, but most frequent. The area average surface rain rate for low cloud precipitation for this region is ∼0.22 mm d −1 , in good agreement with in situ estimates, and is greatly improved over earlier CloudSat precipitation products. These results provide a much-needed quantification of surface precipitation in a region that is currently underestimated in existing satellite-based precipitation climatologies. (letter)

  8. Utilizing the Vertical Variability of Precipitation to Improve Radar QPE (United States)

    Gatlin, Patrick N.; Petersen, Walter A.


    Characteristics of the melting layer and raindrop size distribution can be exploited to further improve radar quantitative precipitation estimation (QPE). Using dual-polarimetric radar and disdrometers, we found that the characteristic size of raindrops reaching the ground in stratiform precipitation often varies linearly with the depth of the melting layer. As a result, a radar rainfall estimator was formulated using D(sub m) that can be employed by polarimetric as well as dual-frequency radars (e.g., space-based radars such as the GPM DPR), to lower the bias and uncertainty of conventional single radar parameter rainfall estimates by as much as 20%. Polarimetric radar also suffers from issues associated with sampling the vertical distribution of precipitation. Hence, we characterized the vertical profile of polarimetric parameters (VP3)-a radar manifestation of the evolving size and shape of hydrometeors as they fall to the ground-on dual-polarimetric rainfall estimation. The VP3 revealed that the profile of ZDR in stratiform rainfall can bias dual-polarimetric rainfall estimators by as much as 50%, even after correction for the vertical profile of reflectivity (VPR). The VP3 correction technique that we developed can improve operational dual-polarimetric rainfall estimates by 13% beyond that offered by a VPR correction alone.

  9. Precipitation of iron (III) using magnesium oxide in fluidized bed

    International Nuclear Information System (INIS)

    Esteban-Bocardo, P. A.; Ferreira-Rocha, S. D.


    A process for iron (III) removal by hydroxide precipitation from and acid synthetic inorganic effluent using magnesium oxide as an alternative precipitant agent in a fluidized bed was developed. An acid synthetic inorganic effluent containing 100 and 200 mg/l of ferric ions (pH=1.0) was continuously fed up to the acrylic column (30 cm high and 2 cm diameter) during 180 minutes. Magnesium oxide pulp (3% v/v) was injected at the beginning of the experiment in order to allow the iron hydroxides precipitation. The concentration and pH profiles agreed in their curves, while the pH profile rose,the concentration profile decreased and a high percentage of iron removal /higher to 99%) was reached. Extremely low iron concentrations have been reached, thus permitting to attend to the environmental standard of 10.0 mg/l for discharge of effluent containing ferric ions established by the law DN 10/86 of COPAM (Conselho de Politica Ambiental do Estado de Minas Gerais-Brazil). (Author)

  10. On the Control of Consensus Networks: Theory and Applications (United States)

    Hudoba de Badyn, Mathias

    Signed networks allow the study of positive and negative interactions between agents. In this thesis, three papers are presented that address controllability of networked dynamics. First, controllability of signed consensus networks is approached from a symmetry perspective, for both linear and nonlinear consensus protocols. It is shown that the graph-theoretic property of signed networks known as structural balance renders the consensus protocol uncontrollable when coupled with a certain type of symmetry. Stabilizability and output controllability of signed linear consensus is also examined, as well as a data-driven approach to finding bipartite consensus stemming from structural balance for signed nonlinear consensus. Second, an algorithm is constructed that allows one to grow a network while preserving controllability, and some generalizations of this algorithm are presented. Submodular optimization is used to analyze a second algorithm that adds nodes to a network to maximize the network connectivity.

  11. Exercise management in type 1 diabetes: a consensus statement. (United States)

    Riddell, Michael C; Gallen, Ian W; Smart, Carmel E; Taplin, Craig E; Adolfsson, Peter; Lumb, Alistair N; Kowalski, Aaron; Rabasa-Lhoret, Remi; McCrimmon, Rory J; Hume, Carin; Annan, Francesca; Fournier, Paul A; Graham, Claudia; Bode, Bruce; Galassetti, Pietro; Jones, Timothy W; Millán, Iñigo San; Heise, Tim; Peters, Anne L; Petz, Andreas; Laffel, Lori M


    Type 1 diabetes is a challenging condition to manage for various physiological and behavioural reasons. Regular exercise is important, but management of different forms of physical activity is particularly difficult for both the individual with type 1 diabetes and the health-care provider. People with type 1 diabetes tend to be at least as inactive as the general population, with a large percentage of individuals not maintaining a healthy body mass nor achieving the minimum amount of moderate to vigorous aerobic activity per week. Regular exercise can improve health and wellbeing, and can help individuals to achieve their target lipid profile, body composition, and fitness and glycaemic goals. However, several additional barriers to exercise can exist for a person with diabetes, including fear of hypoglycaemia, loss of glycaemic control, and inadequate knowledge around exercise management. This Review provides an up-to-date consensus on exercise management for individuals with type 1 diabetes who exercise regularly, including glucose targets for safe and effective exercise, and nutritional and insulin dose adjustments to protect against exercise-related glucose excursions. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Laser Range Profiling for Active Protection System Target Classification and Aim-Point Selection

    National Research Council Canada - National Science Library

    Jones, Michael


    .... The attractiveness of smaller, faster interceptors precipitated the investigation of a laser radar sensor augmentation for CIAPS that could quickly resolve the range profile of an incoming projectile...

  13. Precipitation kinetics of a continuous precipitator, with application to the precipitation of ammonium polyuranate

    International Nuclear Information System (INIS)

    Hoyt, R.C.


    A mathematical model describing the kinetics of continuous precipitation was developed which accounts for crystal nucleation, crystal growth, primary coagulation, and secondary coagulation. Population density distributions, average particle sizes, dominant particle sizes, and suspension density fractions of the crystallites, primary agglomerates, and secondary agglomerates leaving the continuous precipitator can be determined. This kinetic model was applied to the continuous precipitation of ammonium polyuranate, which consists of: (1) elementary crystals, (2) clusters or primary coagulated particles, and (3) agglomerates or secondary coagulated particles. The crystallites are thin, submicron, hexagonal platelets. The clusters had an upper size limit of about 7 μ in diameter and contained numerous small voids (less than 0.3 μm) due to the packing of the crystallites. The agglomerates had an upper size limit of about 40 μm in diameter and contained large voids (approximately 1 μm). The particle size distribution and particle structure of the ammonium polyuranate precipitate can be controlled through proper regulation of the precipitation conditions. The ratio of clusters to agglomerates can be best controlled through the uranium concentration, and the cohesiveness or internal bonding strength of the particles can be controlled with the ammonium to uranium reacting feed mole ratio. These two conditions, in conjunction with the residence time, will determine the nucleation rates, growth rates, and size distributions of the particles leaving the continuous precipitator. With proper control of these physical particle characteristics, the use of pore formers, ball-milling, and powder blending can probably be eliminated from the nuclear fuel fabrication process, substantially reducing the cost

  14. Precipitation kinetics of a continuous precipitator, with application to the precipitation of ammonium polyuranate

    Energy Technology Data Exchange (ETDEWEB)

    Hoyt, R.C.


    A mathematical model describing the kinetics of continuous precipitation was developed which accounts for crystal nucleation, crystal growth, primary coagulation, and secondary coagulation. Population density distributions, average particle sizes, dominant particle sizes, and suspension density fractions of the crystallites, primary agglomerates, and secondary agglomerates leaving the continuous precipitator can be determined. This kinetic model was applied to the continuous precipitation of ammonium polyuranate, which consists of: (1) elementary crystals, (2) clusters or primary coagulated particles, and (3) agglomerates or secondary coagulated particles. The crystallites are thin, submicron, hexagonal platelets. The clusters had an upper size limit of about 7 in diameter and contained numerous small voids (less than 0.3 due to the packing of the crystallites. The agglomerates had an upper size limit of about 40 in diameter and contained large voids (approximately 1 The particle size distribution and particle structure of the ammonium polyuranate precipitate can be controlled through proper regulation of the precipitation conditions. The ratio of clusters to agglomerates can be best controlled through the uranium concentration, and the cohesiveness or internal bonding strength of the particles can be controlled with the ammonium to uranium reacting feed mole ratio. These two conditions, in conjunction with the residence time, will determine the nucleation rates, growth rates, and size distributions of the particles leaving the continuous precipitator. With proper control of these physical particle characteristics, the use of pore formers, ball-milling, and powder blending can probably be eliminated from the nuclear fuel fabrication process, substantially reducing the cost.

  15. Uranium precipitation with hydrogen peroxide

    International Nuclear Information System (INIS)

    Brown, R.A.


    Although hydrogen peroxide precipitation of uranium continues to be used primarily as means of producing a high purity yellowcake, it has also become an important process due to its superior physical properties. Processing costs such as filtering, drying and/or calcining and drumming, can be reduced. 5 refs

  16. Tritium Level in Romanian Precipitation

    Energy Technology Data Exchange (ETDEWEB)

    Varlam, C.; Stefanescu, I.; Faurescu, I.; Bogdan, D.; Soare, A. [Institute for Cryogenic and Isotope Technologies, Rm. Valcea (Romania); Duliu, O. G. [Faculty of Physics, University of Bucharest, Magurele (Romania)


    Romania is one of the countries that has no station included in GNIP (Global Network of Isotopes in Precipitation) on its territory. This paper presents results regarding the tritium concentration in precipitation for the period 1999-2009. The precipitation fell at the Institute for cryogenic and Isotope technologies (geographical coordinates: altitude 237 m, latitude 45{sup o}02'07' N, longitude 24{sup o}17'03' E) an was collected both individually and as a composite average of each month. It was individually measured and the average was calculated and compared with the tritium concentration measured in the composite sample. tritium concentration levels ranged from 9.9 {+-} 2.1 TU for 2004 and 13.7 {+-} 2.2 TU for 2009. Comparing the arithmetic mean values with the weighted mean for the period of observation, it was noticed that the higher absolute values of the weighted means were constant. It was found that for the calculated monthly average for the period of observation (1999-2009), the months with the maximum tritium concentration are the same as the months with the maximum amount of precipitation. This behaviour is typical for the monitored location. (author)

  17. Waste and Simulant Precipitation Issues

    International Nuclear Information System (INIS)

    Steele, W.V.


    As Savannah River Site (SRS) personnel have studied methods of preparing high-level waste for vitrification in the Defense Waste Processing Facility (DWPF), questions have arisen with regard to the formation of insoluble waste precipitates at inopportune times. One option for decontamination of the SRS waste streams employs the use of an engineered form of crystalline silicotitanate (CST). Testing of the process during FY 1999 identified problems associated with the formation of precipitates during cesium sorption tests using CST. These precipitates may, under some circumstances, obstruct the pores of the CST particles and, hence, interfere with the sorption process. In addition, earlier results from the DWPF recycle stream compatibility testing have shown that leaching occurs from the CST when it is stored at 80 C in a high-pH environment. Evidence was established that some level of components of the CST, such as silica, was leached from the CST. This report describes the results of equilibrium modeling and precipitation studies associated with the overall stability of the waste streams, CST component leaching, and the presence of minor components in the waste streams

  18. Rheology of tetraphenylborate precipitate slurry

    International Nuclear Information System (INIS)

    Goren, I.D.; Martin, H.D.; McLain, M.A.


    The rheological properties of tetraphenylborate precipitate slurry were determined. This nonradioactive slurry simulates the radioactive tetraphenylborate precipitate generated at the Savannah River Plant by the In-Tank Precipitation Process. The data obtained in this study was applied in the design of slurry pumps, transfer pumps, transfer lines, and vessel agitation for the Defense Waste Processing Facility and other High Level Waste treatment projects. The precipitate slurry behaves as a Bingham plastic. The yield stress is directly proportional to the concentration of insoluble solids over the range of concentrations studied. The consistency is also a linear function of insoluble solids over the same concentration range. Neither the yield stress nor the consistency was observed to be affected by the presence of the soluble solids. Temperature effects on flow properties of the slurry were also examined: the yield stress is inversely proportional to temperature, but the consistency of the slurry is independent of temperature. No significant time-dependent effects were found. 4 refs., 4 figs., 3 tabs

  19. Precipitation scavenging of aerosol particles

    International Nuclear Information System (INIS)

    Radke, L.F.; Eltgroth, M.W.; Hobbs, P.V.


    The paper presents the results of precipitation scavenging measurements of particles in the atmosphere and in plumes which were obtained using an airborne measuring system. Attention is given to the so-called 'Greenfield gap' and collection efficiencies for submicron particles

  20. Consensus of Heterogeneous Multiagent Systems with Arbitrarily Bounded Communication Delay

    Directory of Open Access Journals (Sweden)

    Xue Li


    Full Text Available This paper focuses on the consensus problem of high-order heterogeneous multiagent systems with arbitrarily bounded communication delays. Through the method of nonnegative matrices, we get a sufficient consensus condition for the systems with dynamically changing topology. The results of this paper show, even when there are arbitrarily bounded communication delays in the systems, all agents can reach a consensus no matter whether there are spanning trees for the corresponding communication graphs at any time.

  1. Consensus states of local majority rule in stochastic process

    Energy Technology Data Exchange (ETDEWEB)

    Luo, Yu-Pin [Department of Electronic Engineering, National Formosa University, Huwei, 63201, Taiwan (China); Tang, Chia-Wei; Xu, Hong-Yuan [Department of Physics, Chung-Yuan Christian University, Chungli, 32023, Taiwan (China); Wu, Jinn-Wen [Department of Applied Mathematics, Chung-Yuan Christian University, Chungli, 32023, Taiwan (China); Huang, Ming-Chang, E-mail: [Center for Theoretical Science and Department of Physics, Chung-Yuan Christian University, Chungli, 32023, Taiwan (China)


    A sufficient condition for a network system to reach a consensus state of the local majority rule is shown. The influence of interpersonal environment on the occurrence probability of consensus states for Watts–Strogatz and scale-free networks with random initial states is analyzed by numerical method. We also propose a stochastic local majority rule to study the mean first passage time from a random state to a consensus and the escape rate from a consensus state for systems in a noisy environment. Our numerical results show that there exists a window of fluctuation strengths for which the mean first passage time from a random to a consensus state reduces greatly, and the escape rate of consensus states obeys the Arrhenius equation in the window. - Highlights: • A sufficient condition for reaching a consensus. • The relation between the geometry of networks and the reachability of a consensus. • Stochastic local majority rule. • The mean first-passage time and the escape rate of consensus states.

  2. Consensus states of local majority rule in stochastic process

    International Nuclear Information System (INIS)

    Luo, Yu-Pin; Tang, Chia-Wei; Xu, Hong-Yuan; Wu, Jinn-Wen; Huang, Ming-Chang


    A sufficient condition for a network system to reach a consensus state of the local majority rule is shown. The influence of interpersonal environment on the occurrence probability of consensus states for Watts–Strogatz and scale-free networks with random initial states is analyzed by numerical method. We also propose a stochastic local majority rule to study the mean first passage time from a random state to a consensus and the escape rate from a consensus state for systems in a noisy environment. Our numerical results show that there exists a window of fluctuation strengths for which the mean first passage time from a random to a consensus state reduces greatly, and the escape rate of consensus states obeys the Arrhenius equation in the window. - Highlights: • A sufficient condition for reaching a consensus. • The relation between the geometry of networks and the reachability of a consensus. • Stochastic local majority rule. • The mean first-passage time and the escape rate of consensus states

  3. Cultural Consensus Theory for the ordinal data case. (United States)

    Anders, Royce; Batchelder, William H


    A Cultural Consensus Theory approach for ordinal data is developed, leading to a new model for ordered polytomous data. The model introduces a novel way of measuring response biases and also measures consensus item values, a consensus response scale, item difficulty, and informant knowledge. The model is extended as a finite mixture model to fit both simulated and real multicultural data, in which subgroups of informants have different sets of consensus item values. The extension is thus a form of model-based clustering for ordinal data. The hierarchical Bayesian framework is utilized for inference, and two posterior predictive checks are developed to verify the central assumptions of the model.

  4. Rooted triple consensus and anomalous gene trees

    Directory of Open Access Journals (Sweden)

    Schmidt Heiko A


    Full Text Available Abstract Background Anomalous gene trees (AGTs are gene trees with a topology different from a species tree that are more probable to observe than congruent gene trees. In this paper we propose a rooted triple approach to finding the correct species tree in the presence of AGTs. Results Based on simulated data we show that our method outperforms the extended majority rule consensus strategy, while still resolving the species tree. Applying both methods to a metazoan data set of 216 genes, we tested whether AGTs substantially interfere with the reconstruction of the metazoan phylogeny. Conclusion Evidence of AGTs was not found in this data set, suggesting that erroneously reconstructed gene trees are the most significant challenge in the reconstruction of phylogenetic relationships among species with current data. The new method does however rule out the erroneous reconstruction of deep or poorly resolved splits in the presence of lineage sorting.

  5. Using Network Dynamical Influence to Drive Consensus (United States)

    Punzo, Giuliano; Young, George F.; MacDonald, Malcolm; Leonard, Naomi E.


    Consensus and decision-making are often analysed in the context of networks, with many studies focusing attention on ranking the nodes of a network depending on their relative importance to information routing. Dynamical influence ranks the nodes with respect to their ability to influence the evolution of the associated network dynamical system. In this study it is shown that dynamical influence not only ranks the nodes, but also provides a naturally optimised distribution of effort to steer a network from one state to another. An example is provided where the “steering” refers to the physical change in velocity of self-propelled agents interacting through a network. Distinct from other works on this subject, this study looks at directed and hence more general graphs. The findings are presented with a theoretical angle, without targeting particular applications or networked systems; however, the framework and results offer parallels with biological flocks and swarms and opportunities for design of technological networks.

  6. [First Mexican Consensus of Vaccination in Adults]. (United States)

    Gutiérrez-Robledo, Luis Miguel; Caro-López, Elizabeth; Guerrero-Almeida, María de Lourdes; Dehesa-Violante, Margarita; Rodríguez-Noriega, Eduardo; García-Lara, Juan Miguel; Medina-López, Zaira; Báez-Saldaña, Renata; Díaz-López, Elsa; Avila-Fematt, Flor Maria de Guadalupe; Betancourt-Cravioto, Miguel; Garcia-Garcia, Lourdes


    For years our efforts have been focused on vaccination during childhood. Today we know that this is not enough to ensure health in the rest of the life. Childhood is as important as any other stage and, therefore, vaccination must be permanent and differentiated, according to our age, throughout life. Introducing a life course perspective in vaccination programs, with emphasis on adult vaccination, particularly in older adults, offers us the opportunity to review the performance of health programs, actions, and services in the field of immunization, as well as strengthening health promotion actions. In this context, the first Mexican Consensus on Adult Vaccination was carried out in a joint effort of the National Institute of Geriatrics, bringing together a group of specialists who worked on three central objectives: establishing vaccination guidelines throughout the life course, with emphasis on new vaccines; defining priority groups according to their risk factors; and contributing to the effort to promote healthy aging.

  7. Consensus and new improvements of disability glare

    Directory of Open Access Journals (Sweden)

    Yu-Wei Zheng


    Full Text Available Patients with early cataract may have normal visual acuity(VAbut complain that they have problems in driving at night, like seeing things through a veil. This phenomenon is defined as disability glare which maybe caused by growing stray light. Patients with intraocular lens following cataract surgery may complain about glare, halos and shadows in visual field, which are also resulted from dysphotopia. Disability glare is the VA loss due to disturbing luminance in visual field. In other words, it's the retinal contrast sensitivity reduction because of the straylight. This article contains the consensus and new progress of disability glare. It provides solutions according to its effect factors and offers clues for further study.

  8. Achieving Consensus Through Professionalized Head Nods

    DEFF Research Database (Denmark)

    Oshima, Sae


    of nodding in a particular professional-client setting, namely, hair salon interactions. My interest specifically lies in the frequent occurrence of synchronized head nods during the “service-assessment sequence,” where both service provider and customer inspect and determine whether the completed work...... is adequate. I pursue mechanisms of synchronized head nods by revealing exactly how participants collaborate in producing a nod, and how their verbal actions may at times be designed accordingly. In doing so, the study provides insight into what consensus may look like at service encounters in Japan......While the interactional functions of head nodding in everyday Japanese conversation have been frequently studied, a discourse on head nodding as a professional communicative practice has yet to be explored. With the method of multimodal conversation analysis, the current study examines the role...

  9. Distributed consensus and fault tolerance - Lecture 2

    CERN Multimedia

    CERN. Geneva


    In a world where clusters with thousands of nodes are becoming commonplace, we are often faced with the task of having them coordinate and share state. As the number of machines goes up, so does the probability that something goes wrong: a node could temporarily lose connectivity, crash because of some race condition, or have its hard drive fail. What are the challenges when designing fault-tolerant distributed systems, where a cluster is able to survive the loss of individual nodes? In this lecture, we will discuss some basics on this topic (consistency models, CAP theorem, failure modes, byzantine faults), detail the raft consensus algorithm, and showcase an interesting example of a highly resilient distributed system, bitcoin.

  10. Distributed consensus and fault tolerance - Lecture 1

    CERN Multimedia

    CERN. Geneva


    In a world where clusters with thousands of nodes are becoming commonplace, we are often faced with the task of having them coordinate and share state. As the number of machines goes up, so does the probability that something goes wrong: a node could temporarily lose connectivity, crash because of some race condition, or have its hard drive fail. What are the challenges when designing fault-tolerant distributed systems, where a cluster is able to survive the loss of individual nodes? In this lecture, we will discuss some basics on this topic (consistency models, CAP theorem, failure modes, byzantine faults), detail the raft consensus algorithm, and showcase an interesting example of a highly resilient distributed system, bitcoin.

  11. Consensus classification of posterior cortical atrophy. (United States)

    Crutch, Sebastian J; Schott, Jonathan M; Rabinovici, Gil D; Murray, Melissa; Snowden, Julie S; van der Flier, Wiesje M; Dickerson, Bradford C; Vandenberghe, Rik; Ahmed, Samrah; Bak, Thomas H; Boeve, Bradley F; Butler, Christopher; Cappa, Stefano F; Ceccaldi, Mathieu; de Souza, Leonardo Cruz; Dubois, Bruno; Felician, Olivier; Galasko, Douglas; Graff-Radford, Jonathan; Graff-Radford, Neill R; Hof, Patrick R; Krolak-Salmon, Pierre; Lehmann, Manja; Magnin, Eloi; Mendez, Mario F; Nestor, Peter J; Onyike, Chiadi U; Pelak, Victoria S; Pijnenburg, Yolande; Primativo, Silvia; Rossor, Martin N; Ryan, Natalie S; Scheltens, Philip; Shakespeare, Timothy J; Suárez González, Aida; Tang-Wai, David F; Yong, Keir X X; Carrillo, Maria; Fox, Nick C


    A classification framework for posterior cortical atrophy (PCA) is proposed to improve the uniformity of definition of the syndrome in a variety of research settings. Consensus statements about PCA were developed through a detailed literature review, the formation of an international multidisciplinary working party which convened on four occasions, and a Web-based quantitative survey regarding symptom frequency and the conceptualization of PCA. A three-level classification framework for PCA is described comprising both syndrome- and disease-level descriptions. Classification level 1 (PCA) defines the core clinical, cognitive, and neuroimaging features and exclusion criteria of the clinico-radiological syndrome. Classification level 2 (PCA-pure, PCA-plus) establishes whether, in addition to the core PCA syndrome, the core features of any other neurodegenerative syndromes are present. Classification level 3 (PCA attributable to AD [PCA-AD], Lewy body disease [PCA-LBD], corticobasal degeneration [PCA-CBD], prion disease [PCA-prion]) provides a more formal determination of the underlying cause of the PCA syndrome, based on available pathophysiological biomarker evidence. The issue of additional syndrome-level descriptors is discussed in relation to the challenges of defining stages of syndrome severity and characterizing phenotypic heterogeneity within the PCA spectrum. There was strong agreement regarding the definition of the core clinico-radiological syndrome, meaning that the current consensus statement should be regarded as a refinement, development, and extension of previous single-center PCA criteria rather than any wholesale alteration or redescription of the syndrome. The framework and terminology may facilitate the interpretation of research data across studies, be applicable across a broad range of research scenarios (e.g., behavioral interventions, pharmacological trials), and provide a foundation for future collaborative work. Copyright © 2017 The Authors

  12. The Mexican consensus on probiotics in gastroenterology. (United States)

    Valdovinos, M A; Montijo, E; Abreu, A T; Heller, S; González-Garay, A; Bacarreza, D; Bielsa-Fernández, M; Bojórquez-Ramos, M C; Bosques-Padilla, F; Burguete-García, A I; Carmona-Sánchez, R; Consuelo-Sánchez, A; Coss-Adame, E; Chávez-Barrera, J A; de Ariño, M; Flores-Calderón, J; Gómez-Escudero, O; González-Huezo, M S; Icaza-Chávez, M E; Larrosa-Haro, A; Morales-Arámbula, M; Murata, C; Ramírez-Mayans, J A; Remes-Troche, J M; Rizo-Robles, T; Peláez-Luna, M; Toro-Monjaraz, E M; Torre, A; Urquidi-Rivera, M E; Vázquez, R; Yamamoto-Furusho, J K; Guarner, F

    Probiotics are frequently prescribed in clinical practice. Their efficacy in treating gastrointestinal disorders is supported by a significant number of clinical trials. However, the correct prescription of these agents is hampered due to a lack of knowledge of the scientific evidence and to the different presentations and microbial compositions of the probiotics that are currently available. To provide the clinician with a consensus review of probiotics and recommendations for their use in gastroenterology. Controlled clinical trials, meta-analyses, and systematic reviews published up to 2015 were selected, using the MESH terms: probiotics, gastrointestinal diseases, humans, adults, AND children. The Delphi method was employed. Eighteen gastroenterologists treating adult patients and 14 pediatric gastroenterologists formulated statements that were voted on until agreement>70% was reached. The level of evidence based on the GRADE system was evaluated for each statement. Eleven statements on the general concepts of probiotics and 27 statements on the use of probiotics in gastrointestinal diseases in both adults and children were formulated. The consensus group recommends the use of probiotics under the following clinical conditions: the prevention of diarrhea associated with antibiotics, the treatment of acute infectious diarrhea, the prevention of Clostridium difficile infection and necrotizing enterocolitis, the reduction of adverse events from Helicobacter pylori eradication therapy, relief from irritable bowel syndrome symptoms, the treatment of functional constipation in the adult, and the induction and maintenance of remission in patients with ulcerative colitis and pouchitis, and the treatment of covert and overt hepatic encephalopathy. Copyright © 2016 Asociación Mexicana de Gastroenterología. Publicado por Masson Doyma México S.A. All rights reserved.

  13. Consensus for the management of IPMN

    International Nuclear Information System (INIS)

    Tanaka, Masao


    International Consensus Guidelines for management of intraductal papillary mucious neoplasms (IPMIN) and mucious cystic neoplasms (MCN) of the pancreas defined their difference in 2006 Sendai Conference, and this paper describes about their still remaining problem in the consensus by referring related literatures. The author explains the macroscopic classification of IPMIN in types of brunch duct (BD), main duct (MD) and their mixture. Guidelines are obscure concerning which of the histology or preoperative imaging is appropriate for diagnosis of the mixed type and the author considers that the latter imaging is better as the method used has influence on indication of surgery thereafter. MD-IPMIN is easily diagnosed differentially from chronic pantreatitis, but differential diagnosis of BD-IPMIN and other cystic lesion is rather complex, particularly, for MCN tending to malignancy and macrocystic serous CN (SCN). For this, analysis of the intraductal mucious liquid obtained by endoscopic ultrasonography-fine needle aspiration biopsy (EUS-FNA) is useful but its safety to see the grade of malignancy for extending the indication leading to resection is not established. Diagnosis of the malignancy of BD-IPMIN can be done best based on the presence of mural nodules, and other markers are of low reliability. In fact, cysts with >3 cm, when resected, are found mostly (80%) benign, indicating the necessity of a more reliable sign and of detailed classification of sub-tissue type. The purpose of progress observation involves diagnoses of changing to malignancy, of concurrent cancer and of recurrence of resected lesion, and an author's case report of this is given with MR cholangiopancreatography (MRCP), CT and MRI images. Observatory approach, interval and period of the disease progression are yet unestablished. (T.T.)

  14. 2003 Canadian Asthma Consensus Guidelines Executive Summary

    Directory of Open Access Journals (Sweden)

    Becker Allan


    Full Text Available Abstract Background Guidelines for the diagnosis and management of asthma have been published over the last 15 years; however, there has been little focus on issues relating to asthma in childhood. Since the last revision of the 1999 Canadian Asthma Consensus Report, important new studies, particularly in children, have highlighted the need to incorporate new information into the asthma guidelines. The objectives of this article are to review the literature on asthma published between January 2000 and June 2003 and to evaluate the influence of new evidence on the recommendations made in the 1999 Canadian Asthma Consensus Report and its 2001 update, with a major focus on pediatric issues. Methods The diagnosis of asthma in young children and prevention strategies, pharmacotherapy, inhalation devices, immunotherapy, and asthma education were selected for review by small expert resource groups. The reviews were discussed in June 2003 at a meeting under the auspices of the Canadian Network For Asthma Care and the Canadian Thoracic Society. Data published through December 2004 were subsequently reviewed by the individual expert resource groups. Results This report evaluates early-life prevention strategies and focuses on treatment of asthma in children, emphasizing the importance of early diagnosis and preventive therapy, the benefits of additional therapy, and the essential role of asthma education. Conclusion We generally support previous recommendations and focus on new issues, particularly those relevant to children and their families. This document is a guide for asthma management based on the best available published data and the opinion of health care professionals, including asthma experts and educators.

  15. Robust point matching via vector field consensus. (United States)

    Jiayi Ma; Ji Zhao; Jinwen Tian; Yuille, Alan L; Zhuowen Tu


    In this paper, we propose an efficient algorithm, called vector field consensus, for establishing robust point correspondences between two sets of points. Our algorithm starts by creating a set of putative correspondences which can contain a very large number of false correspondences, or outliers, in addition to a limited number of true correspondences (inliers). Next, we solve for correspondence by interpolating a vector field between the two point sets, which involves estimating a consensus of inlier points whose matching follows a nonparametric geometrical constraint. We formulate this a maximum a posteriori (MAP) estimation of a Bayesian model with hidden/latent variables indicating whether matches in the putative set are outliers or inliers. We impose nonparametric geometrical constraints on the correspondence, as a prior distribution, using Tikhonov regularizers in a reproducing kernel Hilbert space. MAP estimation is performed by the EM algorithm which by also estimating the variance of the prior model (initialized to a large value) is able to obtain good estimates very quickly (e.g., avoiding many of the local minima inherent in this formulation). We illustrate this method on data sets in 2D and 3D and demonstrate that it is robust to a very large number of outliers (even up to 90%). We also show that in the special case where there is an underlying parametric geometrical model (e.g., the epipolar line constraint) that we obtain better results than standard alternatives like RANSAC if a large number of outliers are present. This suggests a two-stage strategy, where we use our nonparametric model to reduce the size of the putative set and then apply a parametric variant of our approach to estimate the geometric parameters. Our algorithm is computationally efficient and we provide code for others to use it. In addition, our approach is general and can be applied to other problems, such as learning with a badly corrupted training data set.

  16. Fasting is not routinely required for determination of a lipid profile: clinical and laboratory implications including flagging at desirable concentration cut-points—a joint consensus statement from the European Atherosclerosis Society and European Federation of Clinical Chemistry and Laboratory Medicine (United States)

    Nordestgaard, Børge G.; Langsted, Anne; Mora, Samia; Kolovou, Genovefa; Baum, Hannsjörg; Bruckert, Eric; Watts, Gerald F.; Sypniewska, Grazyna; Wiklund, Olov; Borén, Jan; Chapman, M. John; Cobbaert, Christa; Descamps, Olivier S.; von Eckardstein, Arnold; Kamstrup, Pia R.; Pulkki, Kari; Kronenberg, Florian; Remaley, Alan T.; Rifai, Nader; Ros, Emilio; Langlois, Michel


    Abstract Aims To critically evaluate the clinical implications of the use of non-fasting rather than fasting lipid profiles and to provide guidance for the laboratory reporting of abnormal non-fasting or fasting lipid profiles. Methods and results Extensive observational data, in which random non-fasting lipid profiles have been compared with those determined under fasting conditions, indicate that the maximal mean changes at 1–6 h after habitual meals are not clinically significant [+0.3 mmol/L (26 mg/dL) for triglycerides; −0.2 mmol/L (8 mg/dL) for total cholesterol; −0.2 mmol/L (8 mg/dL) for LDL cholesterol; +0.2 mmol/L (8 mg/dL) for calculated remnant cholesterol; −0.2 mmol/L (8 mg/dL) for calculated non-HDL cholesterol]; concentrations of HDL cholesterol, apolipoprotein A1, apolipoprotein B, and lipoprotein(a) are not affected by fasting/non-fasting status. In addition, non-fasting and fasting concentrations vary similarly over time and are comparable in the prediction of cardiovascular disease. To improve patient compliance with lipid testing, we therefore recommend the routine use of non-fasting lipid profiles, while fasting sampling may be considered when non-fasting triglycerides >5 mmol/L (440 mg/dL). For non-fasting samples, laboratory reports should flag abnormal concentrations as triglycerides ≥2 mmol/L (175 mg/dL), total cholesterol ≥5 mmol/L (190 mg/dL), LDL cholesterol ≥3 mmol/L (115 mg/dL), calculated remnant cholesterol ≥0.9 mmol/L (35 mg/dL), calculated non-HDL cholesterol ≥3.9 mmol/L (150 mg/dL), HDL cholesterol ≤1 mmol/L (40 mg/dL), apolipoprotein A1 ≤1.25 g/L (125 mg/dL), apolipoprotein B ≥1.0 g/L (100 mg/dL), and lipoprotein(a) ≥50 mg/dL (80th percentile); for fasting samples, abnormal concentrations correspond to triglycerides ≥1.7 mmol/L (150 mg/dL). Life-threatening concentrations require separate referral when triglycerides >10 mmol/L (880 mg/dL) for the risk of pancreatitis, LDL cholesterol >13 mmol/L (500 mg

  17. Data Profiling


    Hladíková, Radka


    Title: Data Profiling Author: Radka Hladíková Department: Department of Software Engineering Supervisor: Ing. Vladimír Kyjonka Supervisor's e-mail address: Abstract: This thesis puts mind on problems with data quality and data profiling. This Work analyses and summarizes problems of data quality, data defects, process of data quality, data quality assessment and data profiling. The main topic is data profiling as a process of researching data available in existing...

  18. Distributed Data-aggregation Consensus for Sensor Networks: Relaxation of Consensus Concept and Convergence Property (United States)


    consensus algorithm called randomized gossip is more suitable [7, 8]. In asynchronous randomized gossip algorithms, pairs of neighboring nodes exchange...messages and perform updates in an asynchronous and unattended manner, and they also 1 The class of broadcast gossip algorithms [9, 10, 11, 12] are...dynamics [2] and asynchronous pairwise randomized gossip [7, 8], broadcast gossip algorithms do not require that nodes know the identities of their

  19. Consensus statement on generalized anxiety disorder from the International Consensus Group on Depression and Anxiety. (United States)

    Ballenger, J C; Davidson, J R; Lecrubier, Y; Nutt, D J; Borkovec, T D; Rickels, K; Stein, D J; Wittchen, H U


    To provide primary care clinicians with a better understanding of management issues in generalized anxiety disorder (GAD) and guide clinical practice with recommendations on the appropriate treatment strategy. The 4 members of the International Consensus Group on Depression and Anxiety were James C. Ballenger (chair), Jonathan R.T. Davidson, Yves Lecrubier, and David J. Nutt. Four additional faculty members invited by the chair were Karl Rickels, Hans-Ulrich Wittchen, Dan J. Stein, and Thomas D. Borkovec. The consensus statement is based on the 6 review articles that are published in this supplement and the scientific literature relevant to the issues reviewed in these articles. Group meetings were held over a 2-day period. On day 1, the group discussed the review articles and the chair identified key issues for further debate. On day 2, the group discussed these issues to arrive at a consensus view. After the group meetings, the consensus statement was drafted by the chair and approved by all attendees. GAD is the most common anxiety disorder in primary care and is highly debilitating. Furthermore, it is frequently comorbid with depression and other anxiety disorders, which exacerbates functional impairment. Antidepressants (serotonin reuptake inhibitors, serotonin-norepinephrine reuptake inhibitors, and nonsedating tricyclic antidepressants) are generally the most appropriate first-line pharmacotherapy for GAD, since they are also effective against comorbid psychiatric disorders and are suitable for long-term use. Cognitive-behavioral therapy is the preferred form of psychotherapy for GAD, although when GAD is comorbid with depression, pharmacotherapy is increasingly indicated.


    Fries, B.A.


    A method is given for separating plutonium from lanthanum in a lanthanum fluoride carrier precipitation process for the recovery of plutonium values from an aqueous solution. The carrier precipitation process includes the steps of forming a lanthanum fluoride precipi- . tate, thereby carrying plutonium out of solution, metathesizing the fluoride precipitate to a hydroxide precipitate, and then dissolving the hydroxide precipitate in nitric acid. In accordance with the invention, the nitric acid solution, which contains plutonium and lanthanum, is made 0.05 to 0.15 molar in potassium iodate. thereby precipitating plutonium as plutonous iodate and the plutonous iodate is separated from the lanthanum- containing supernatant solution.

  1. Global Precipitation Measurement (GPM) Mission: Overview and Status (United States)

    Hou, Arthur Y.


    The Global Precipitation Measurement (GPM) Mission is an international satellite mission specifically designed to unify and advance precipitation measurements from a constellation of research and operational microwave sensors. NASA and JAXA will deploy a Core Observatory in 2014 to serve as a reference satellite to unify precipitation measurements from the constellation of sensors. The GPM Core Observatory will carry a Ku/Ka-band Dual-frequency Precipitation Radar (DPR) and a conical-scanning multi-channel (10-183 GHz) GPM Microwave Radiometer (GMI). The DPR will be the first dual-frequency radar in space to provide not only measurements of 3-D precipitation structures but also quantitative information on microphysical properties of precipitating particles. The DPR and GMI measurements will together provide a database that relates vertical hydrometeor profiles to multi-frequency microwave radiances over a variety of environmental conditions across the globe. This combined database will be used as a common transfer standard for improving the accuracy and consistency of precipitation retrievals from all constellation radiometers. For global coverage, GPM relies on existing satellite programs and new mission opportunities from a consortium of partners through bilateral agreements with either NASA or JAXA. Each constellation member may have its unique scientific or operational objectives but contributes microwave observations to GPM for the generation and dissemination of unified global precipitation data products. In addition to the DPR and GMI on the Core Observatory, the baseline GPM constellation consists of the following sensors: (1) Special Sensor Microwave Imager/Sounder (SSMIS) instruments on the U.S. Defense Meteorological Satellite Program (DMSP) satellites, (2) the Advanced Microwave Scanning Radiometer-2 (AMSR-2) on the GCOM-W1 satellite of JAXA, (3) the Multi-Frequency Microwave Scanning Radiometer (MADRAS) and the multi-channel microwave humidity sounder

  2. Assessment of WRF microphysics schemes to simulate extreme precipitation events from the perspective of GMI radiative signatures (United States)

    Choi, Y.; Shin, D. B.; Joh, M.


    Numerical simulations of precipitation depend to a large degree on the assumed cloud microphysics schemes representing the formation, growth and fallout of cloud droplets and ice crystals. Recent studies show that assumed cloud microphysics play a major role not only in forecasting precipitation, especially in cases of extreme precipitation events, but also in the quality of the passive microwave rainfall estimation. Evaluations of the various Weather Research Forecasting (WRF) model microphysics schemes in this study are based on a method that was originally developed to construct the a-priori databases of precipitation profiles and associated brightness temperatures (TBs) for precipitation retrievals. This methodology generates three-dimensional (3D) precipitation fields by matching the GPM dual frequency radar (DPR) reflectivity profiles with those calculated from cloud resolving model (CRM)-derived hydrometeor profiles. The method eventually provides 3D simulated precipitation fields over the DPR scan swaths. That is, atmospheric and hydrometeor profiles can be generated at each DPR pixel based on CRM and DPR reflectivity profiles. The generated raining systems over DPR observation fields can be applied to any radiometers that are unaccompanied with a radar for microwave radiative calculation with consideration of each sensor's channel and field of view. Assessment of the WRF model microphysics schemes for several typhoon cases in terms of emission and scattering signals of GMI will be discussed.

  3. Influence of chemical composition of precipitation on migration of radioactive caesium in natural soils

    International Nuclear Information System (INIS)

    Thørring, H.; Skuterud, L.; Steinnes, E.


    The aim of the present work was to study the impact of the chemical composition of precipitation on radiocaesium mobility in natural soil. This was done through column studies. Three types of precipitation regimes were studied, representing a natural range found in Norway: Acidic precipitation (southernmost part of the country); precipitation rich in marine cations (highly oceanic coastal areas); and low concentrations of sea salts (slightly continental inland areas). After 50 weeks and a total precipitation supply of ∼10 000 L m −2 per column, results indicate that acidic precipitation increased the mobility of 134 Cs added during the experiment. However, depth distribution of already present Chernobyl fallout 137 Cs was not significantly affected by the chemical composition of precipitation. - Highlights: • Mobility of freshly added Cs-134 was higher in soil receiving acidic precipitation. • Depth penetration of Cs-134 was higher in soil profiles with a thicker humus layer. • Depth distribution of Chernobyl Cs-137 was not affected by precipitation type

  4. Acid precipitation; an annotated bibliography (United States)

    Wiltshire, Denise A.; Evans, Margaret L.


    This collection of 1660 bibliographies references on the causes and environmental effects of acidic atmospheric deposition was compiled from computerized literature searches of earth-science and chemistry data bases. Categories of information are (1) atmospheric chemistry (gases and aerosols), (2) precipitation chemistry, (3) transport and deposition (wet and dry), (4) aquatic environments (biological and hydrological), (5) terrestrial environments, (6) effects on materials and structures, (7) air and precipitation monitoring and data collection, and (8) modeling studies. References date from the late 1800 's through December 1981. The bibliography includes short summaries of most documents. Omitted are unpublished manuscripts, publications in press, master 's theses and doctoral dissertations, newspaper articles, and book reviews. Coauthors and subject indexes are included. (USGS)

  5. Isotopic composition of past precipitation

    International Nuclear Information System (INIS)

    Edwards, T.W.D.


    The distribution of stable isotopes in precipitation provides critical quantitative information about the global water cycle. The first PAGES/IAEA ISOMAP workshop was held at the IAEA headquarters in Vienna, 24-26 August 1998, which gathered 32 participants. The presentation and discussions demonstrated that a high level of sophistication already exists in the development of transfer functions between measured parameters and precipitation, as a result of the extensive use of water isotope tracers in paleo-environmental investigations, but a major challenge facing both producers and users of paleo-isotope data is the effective management of data and meta-data, to permit ready retrieval of raw and inferred data for comparison and reinterpretation. This will be in important goal of future ISOMAP activities. The critical need for more paleo-data from low latitudes was clearly recognized

  6. Precipitation patterns during channel flow (United States)

    Jamtveit, B.; Hawkins, C.; Benning, L. G.; Meier, D.; Hammer, O.; Angheluta, L.


    Mineral precipitation during channelized fluid flow is widespread in a wide variety of geological systems. It is also a common and costly phenomenon in many industrial processes that involve fluid flow in pipelines. It is often referred to as scale formation and encountered in a large number of industries, including paper production, chemical manufacturing, cement operations, food processing, as well as non-renewable (i.e. oil and gas) and renewable (i.e. geothermal) energy production. We have studied the incipient stages of growth of amorphous silica on steel plates emplaced into the central areas of the ca. 1 meter in diameter sized pipelines used at the hydrothermal power plant at Hellisheidi, Iceland (with a capacity of ca 300 MW electricity and 100 MW hot water). Silica precipitation takes place over a period of ca. 2 months at approximately 120°C and a flow rate around 1 m/s. The growth produces asymmetric ca. 1mm high dendritic structures ';leaning' towards the incoming fluid flow. A novel phase-field model combined with the lattice Boltzmann method is introduced to study how the growth morphologies vary under different hydrodynamic conditions, including non-laminar systems with turbulent mixing. The model accurately predicts the observed morphologies and is directly relevant for understanding the more general problem of precipitation influenced by turbulent mixing during flow in channels with rough walls and even for porous flow. Reference: Hawkins, C., Angheluta, L., Hammer, Ø., and Jamtveit, B., Precipitation dendrites in channel flow. Europhysics Letters, 102, 54001

  7. Precipitation processes in implanted materials

    International Nuclear Information System (INIS)

    Borders, J.A.


    Ion implantation is a nonequilibrium process. It is possible to implant materials with impurities to concentration levels which exceed the solid solubilities. The return of the system to thermodynamic equilibrium is often accomplished by precipitation of the implanted species or a compound involving atoms of both the host and the implanted species. This may involve long time scales when taking place at room temperature or it may take place during the implantation

  8. Precipitation-Static-Reduction Research (United States)


    if» 85 z \\ PRECIPITATION-STATIC-REDUCTION RESEARCH study of the effects of flame length , flame spacing, and burner spacing on B shows that there...unod: Flame length *. The visual length of the flame from the burner tip to the flame tip when examined in a darkened room against a black background...Postlve and Negative Flames The use of the second flame-conduction coefficient, B, facilitates considerably the study of the effect of flame length , spacing

  9. Phase characterization of precipitated zirconia

    International Nuclear Information System (INIS)

    Gutzov, S.; Ponahlo, J.; Lengauer, C.L.; Beran, A.


    The phase compositions of undoped and europium-doped zirconia samples, obtained by precipitation and thermal treatment from 350 to 1,000 C, have been investigated by powder X-ray diffractometry, infrared spectroscopy, and cathodoluminescence spectroscopy. The low-temperature stabilization of tetragonal zirconia is mainly controlled by the presence of anion additives, such as ammonium chloride. The influences of the crystallite size is less important. Cathodoluminescence spectra show a structural similarity between tetragonal and amorphous zirconia

  10. Kyoto global consensus report on Helicobacter pylori gastritis

    NARCIS (Netherlands)

    K. Sugano (Kentaro); J. Tack (Jan); E.J. Kuipers (Ernst); D.Y. Graham (David Y.); E. El-Omar; S. Miura (Soichiro); K. Haruma (Ken); M. Asaka (Masahiro); N. Uemura (Naomi); P. Malfertheiner


    textabstractObjective To present results of the Kyoto Global Consensus Meeting, which was convened to develop global consensus on (1) classification of chronic gastritis and duodenitis, (2) clinical distinction of dyspepsia caused by Helicobacter pylori from functional dyspepsia, (3) appropriate

  11. Treatment of adrenocorticotropin-dependent cushing's syndrome: A consensus statement

    NARCIS (Netherlands)

    B.M.K. Biller; A. Grossman (Ashley Barry); P.M. Stewart; S. Melmed (Shlomo); X. Bertagna; J. Bertherat (Jerome); M. Buchfelder; A. Colao (Annamaria); A.R.M.M. Hermus (Ad); L.J. Hofland (Leo); A. Klibanski; A. Lacroix; J.R. Lindsay; J. Newell-Price (John); L.K. Nieman; S. Petersenn; N. Sonino; G.K. Stalla (Günter); B. Swearingen; M.L. Vance; J.A.H. Wass (John); M. Boscaro


    textabstractObjective: Our objective was to evaluate the published literature and reach a consensus on the treatment of patients with ACTH-dependent Cushing's syndrome, because there is no recent consensus on the management of this rare disorder. Participants: Thirty-two leading endocrinologists,

  12. Treatment of adrenocorticotropin-dependent Cushing's syndrome: a consensus statement.

    NARCIS (Netherlands)

    Biller, B.M.; Grossman, A.B.; Stewart, P.M.; Melmed, S.; Bertagna, X.; Bertherat, J.; Buchfelder, M.; Colao, A.; Hermus, A.R.M.M.; Hofland, L.J.; Klibanski, A.; Lacroix, A.; Lindsay, J.R.; Newell-Price, J.; Nieman, L.K.; Petersenn, S.; Sonino, N.; Stalla, G.K.; Swearingen, B.; Vance, M.L.; Wass, J.A.; Boscaro, M.


    OBJECTIVE: Our objective was to evaluate the published literature and reach a consensus on the treatment of patients with ACTH-dependent Cushing's syndrome, because there is no recent consensus on the management of this rare disorder. PARTICIPANTS: Thirty-two leading endocrinologists, clinicians,

  13. Communitarian Consensus: A New Social Philosophy for Good ...

    African Journals Online (AJOL)

    ... and discuss the communitarian consensus as a new social philosophy of development and reconstruction for Africa. The notion of consensus as first canvassed by Kwasi Wiredu, is an important element in traditional African societies. It revolves around the view that African should be able to speak with one voice on issues ...

  14. 75 FR 70074 - Consensus Standards, Light-Sport Aircraft (United States)


    ... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Consensus Standards, Light-Sport... accepted consensus standards relating to the provisions of the Sport Pilot and Light-Sport Aircraft rule issued July 16, 2004, and effective September 1, 2004. ASTM International Committee F37 on Light Sport...

  15. Power, conflict and consensus building in Africa: Ideology revisited ...

    African Journals Online (AJOL)

    This paper interrogates and rejects the effectiveness of consensus building as a mechanism for conflict resolution in Africa. Drawing from the conflict/consensus theoretical debates of the 1960s, the paper argues that because of the inherent character of power, and considering the nature of the state in Africa which is ...

  16. Model of Decision Making through Consensus in Ranking Case (United States)

    Tarigan, Gim; Darnius, Open


    The basic problem to determine ranking consensus is a problem to combine some rankings those are decided by two or more Decision Maker (DM) into ranking consensus. DM is frequently asked to present their preferences over a group of objects in terms of ranks, for example to determine a new project, new product, a candidate in a election, and so on. The problem in ranking can be classified into two major categories; namely, cardinal and ordinal rankings. The objective of the study is to obtin the ranking consensus by appying some algorithms and methods. The algorithms and methods used in this study were partial algorithm, optimal ranking consensus, BAK (Borde-Kendal)Model. A method proposed as an alternative in ranking conssensus is a Weighted Distance Forward-Backward (WDFB) method, which gave a little difference i ranking consensus result compare to the result oethe example solved by Cook, (2005).

  17. Precipitation Sedimentation and Advection in GFS (United States)

    Sun, R.; Tallapragada, V.


    Zhao and Carr microphysics scheme as implemented in the NCEP Global Forecasting System (GFS) predicts only the total cloud condensate (cloud water or ice). The precipitation generated in the column fall to the ground instantly. This mean precipitation sedimentation and advection are not considered. As resolution increases the lack of the two physical processes creates problems. The slowly falling precipitation (snow) falls to the wrong surface grid box, which may have led to the observed spotty-precipitation pattern. To solve the problem two prognositic variables, snow and rain, are added. Addition of the two precipitation variable allows their advection. The corresponding sedimentation process are also added. In this study we examine the effect of precipitation advection and sedimentation on the precipitation pattern, associated precipitation skills and clouds.

  18. U.S. 15 Minute Precipitation Data (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — U.S. 15 Minute Precipitation Data is digital data set DSI-3260, archived at the National Climatic Data Center (NCDC). This is precipitation data. The primary source...

  19. European climate change experiments on precipitation change

    DEFF Research Database (Denmark)

    Beier, Claus

    Presentation of European activities and networks related to experiments and databases within precipitation change......Presentation of European activities and networks related to experiments and databases within precipitation change...

  20. Amazon River Basin Precipitation, 1972-1992 (United States)

    National Aeronautics and Space Administration — ABSTRACT: The precipitation data is 0.2 degree gridded monthly precipitation data based upon monthly rain data from Peru and Bolivia and daily rain data from Brazil....

  1. Karolinske psychodynamic profile (KAPP)

    DEFF Research Database (Denmark)

    Mathiesen, Birgit Bork; Søgaard, Ulf


    psykologiske testmetoder, assesment, Karolinska psychodynamic profile (KAPP), psykodynamisk profil......psykologiske testmetoder, assesment, Karolinska psychodynamic profile (KAPP), psykodynamisk profil...

  2. First brazilian consensus of advanced prostate cancer: recommendations for clinical practice

    Directory of Open Access Journals (Sweden)

    Andre Deeke Sasse

    Full Text Available ABSTRACT Introduction Prostate cancer still represents a major cause of morbidity, and still about 20% of men with the disease are diagnosed or will progress to the advanced stage without the possibility of curative treatment. Despite the recent advances in scientific and technological knowledge and the availability of new therapies, there is still considerable heterogeneity in the therapeutic approaches for metastatic prostate cancer. Objectives This article presents a summary of the I Brazilian Consensus on Advanced Prostate Cancer, conducted by the Brazilian Society of Urology and Brazilian Society of Clinical Oncology. Materials and Methods Experts were selected by the medical societies involved. Forty issues regarding controversial issues in advanced disease were previously elaborated. The panel met for consensus, with a threshold established for 2/3 of the participants. Results and Conclusions The treatment of advanced prostate cancer is complex, due to the existence of a large number of therapies, with different response profiles and toxicities. The panel addressed recommendations on preferred choice of therapies, indicators that would justify their change, and indicated some strategies for better sequencing of treatment in order to maximize the potential for disease control with the available therapeutic arsenal. The lack of consensus on some topics clearly indicates the absence of strong evidence for some decisions.

  3. Exploring Database Improvements for GPM Constellation Precipitation Retrievals (United States)

    Ringerud, S.; Kidd, C.; Skofronick Jackson, G.


    The Global Precipitation Measurement Mission (GPM) offers an unprecedented opportunity for understanding and mapping of liquid and frozen precipitation on a global scale. GPM mission development of physically based retrieval algorithms, for application consistently across the constellation radiometers, relies on combined active-passive retrievals from the GPM core satellite as a transfer standard. Radiative transfer modeling is then utilized to compute a priori databases at the frequency and footprint geometry of each individual radiometer. The Goddard Profiling Algorithm (GPROF) performs constellation retrievals across the GPM databases in a Bayesian framework, constraining searches using model data on a pixel-by-pixel basis. This work explores how the retrieval might be enhanced with additional information available within the brightness temperature observations themselves. In order to better exploit available information content, model water vapor is replaced with retrieved water vapor. Rather than treating each footprint as a 1D profile alone in space, information regarding Tb variability in the horizontal is added as well as variability in the time dimension. This additional information is tested and evaluated for retrieval improvement in the context of the Bayesian retrieval scheme. Retrieval differences are presented as a function of precipitation and surface type for evaluation of where the added information proves most effective.

  4. [Mexican National Consensus on Assisted Reproduction Treatment]. (United States)

    Kably Ambe, Alberto; López Ortiz, Carlos Salazar; Serviere Zaragoza, Claudio; Velázquez Cornejo, Gerardo; Pérez Peña, Efrain; Santos Haliscack, Roberto; Luna Rojas, Martha; Valerio, Emilio; Santana, Héctor; Gaviño Gaviño, Fernando


    It is estimated that 15% of couples living in industrialized countries are infertile, ie have failed to conceive, reproductive age, after 12 months ormore of regular intercourse without contraception. During the past decade has increased the demand for fertility treatments because they believe are moreeffective now. To unify the therapeutic approach and service to patients and set a precedent for a Mexican Official Standard respect and support for the legislation of these procedures. Consensus by technical experts group panel with the participation of 34 national centers accredited for use in assisted reproduction. He organized seven workshops with the following themes: 1) selection of patients for assisted reproduction treatment, 2) schemes controlled ovarian stimulation for assisted reproduction techniques of high complexity, 3) preparation and egg retrieval technique, 4) transferembryo; 5) luteal phase supplementation; 6) indications and techniques of cryopreservation and 7) informed consent. Each table had a coordinator who wrote and presented the findings to the full, it made a number of observations until they reached unanimity of criteria, which are reflected in this document. Patient selection for assisted reproduction techniques is the first step of the process. Proper selection lead to success, in the same way that a bad pick up for failure. In the case of egg donation the most important recommendation is that only one to two embryos transferred in order to reduce multiple pregnancy rates and maintaining high pregnancy rates.

  5. The Revised Academic Consensus Definition of Terrorism

    Directory of Open Access Journals (Sweden)

    Alex P. Schmid


    Full Text Available Terrorism is a contested concept. While there are many national and regional definitions, there is no universal legal definition approved by the General Assembly of the United Nations (the one proposed by the Security Council in Res. 1566 (2004 is non-binding, lacking legal authority in international law. The Ad Hoc Committee on Terrorism of the 6th (legal Committee of the General Assembly has, with some interruptions, been trying to reach a legal definition since 1972 - but in vain. In the absence of a legal definition, attempts have been made since the 1980s to reach agreement on an academic consensus definition. The latest outcome is the revised definition reprinted below. It is the result of three rounds of consultations among academics and other professionals. A description how it was arrived at can be found on pp. 39 - 98 of Alex P. Schmid (Ed.. The Routledge Handbook of Terrorism Research. London and New York: Routledge, 2011. The same volume also contains 260 other definitions compiled by Joseph J. Easson and Alex P. Schmid on pp. 99 -200.

  6. Consensus conference on irradiation of foodstuffs

    International Nuclear Information System (INIS)


    The Danish government is obliged to define its attitude to a proposal made by the European Communities regarding common regulations for the irradiation of food (May 1989). Denmark, in comparison to some other European countries, tends to show reserve on this issue. At the consensus conference a panel discussed related questions. The participants reached the conclusion that as yet disagreement and uncertainty about the subjects of safety, public health and food quality is so significant that they were not able to recommend that sanctions for irradiation of food should be given in Denmark. It was also agreed that problems related to control and determination of radiation content were too serious to allow this method of food preservation. The panel felt that there were many areas of research, such as long-term biological effects, that had not been investigated satisfactorily. Experiments carried out in India and China did not encourage confidence, as the people tested had recommenced eating food preserved by other methods, so that long term effects could not be measured. The specialists claim that Danish standards in relation to the food industry are very high so that alternative methods of preservation to those already used do not appear to be necessary. The only applications to the National Food Agency for authorization to irradiate food had come from producers of spices and in relation to educative acitivites. (AB)

  7. The Delphi Technique: Making Sense of Consensus

    Directory of Open Access Journals (Sweden)

    Chia-Chien Hsu


    Full Text Available The Delphi technique is a widely used and accepted method for gathering data from respondents within their domain of expertise. The technique is designed as a group communication process which aims to achieve a convergence of opinion on a specific real-world issue. The Delphi process has been used in various fields of study such as program planning, needs assessment, policy determination, and resource utilization to develop a full range of alternatives, explore or expose underlying assumptions, as well as correlate judgments on a topic spanning a wide range of disciplines. The Delphi technique is well suited as a method for consensus-building by using a series of questionnaires delivered using multiple iterations to collect data from a panel of selected subjects. Subject selection, time frames for conducting and completing a study, the possibility of low response rates, and unintentionally guiding feedback from the respondent group are areas which should be considered when designing and implementing a Delphi study.

  8. [National consensus on the ketogenic diet]. (United States)

    Armeno, Marisa; Caraballo, Roberto; Vaccarezza, María; Alberti, M Julia; Ríos, Viviana; Galicchio, Santiago; de Grandis, Elizabeth S; Mestre, Graciela; Escobal, Nidia; Matarrese, Pablo; Viollaz, Rocío; Agostinho, Ariela; Díez, Cecilia; Cresta, Araceli; Cabrera, Analía; Blanco, Virginia; Ferrero, Hilario; Gambarini, Victoria; Sosa, Patricia; Bouquet, Cecilia; Caramuta, Luciana; Guisande, Silvina; Gamboni, Beatriz; Hassan, Amal; Pesce, Laura; Argumedo, Laura; Dlugoszewski, Corina; DeMartini, Martha G; Panico, Luis


    Epilepsy is a chronic disease with onset in infancy affecting 0.5-1% of the population. One third of the patients is refractory to antiepileptic drugs and they pose a challenge for the health care team. The ketogenic diet is an effective, non-pharmacological, alternative treatment for the management of refractory epilepsy. There is a need to establish guidelines for the adequate and increased use of the ketogenic diet in Spanish-speaking countries. The National Committee on the Ketogenic Diet, consisting of paediatric neurologists, clinical nutritionists, and dietitians, of the Argentine Society of Child Neurology has developed this consensus statement to standardize the use of the ketogenic diet based on the literature and clinical experience. Patient selection, pre-treatment family counseling, drug interactions, micronutrient supplementation, adverse effects, and discontinuation of the diet are discussed. The ketogenic diet is an effective treatment for children with refractory epilepsy. Education and collaboration of the patient and their family is essential. The patient should be managed by an experienced multidisciplinary team using a protocol. The formation of a national multidisciplinary team and the publication of this document provide possibilities for new centers to integrate the ketogenic diet into their treatment options.

  9. Recovery and Performance in Sport: Consensus Statement. (United States)

    Kellmann, Michael; Bertollo, Maurizio; Bosquet, Laurent; Brink, Michel; Coutts, Aaron J; Duffield, Rob; Erlacher, Daniel; Halson, Shona L; Hecksteden, Anne; Heidari, Jahan; Kallus, K Wolfgang; Meeusen, Romain; Mujika, Iñigo; Robazza, Claudio; Skorski, Sabrina; Venter, Ranel; Beckmann, Jürgen


    The relationship between recovery and fatigue and its impact on performance has attracted the interest of sport science for many years. An adequate balance between stress (training and competition load, other life demands) and recovery is essential for athletes to achieve continuous high-level performance. Research has focused on the examination of physiological and psychological recovery strategies to compensate external and internal training and competition loads. A systematic monitoring of recovery and the subsequent implementation of recovery routines aims at maximizing performance and preventing negative developments such as underrecovery, nonfunctional overreaching, the overtraining syndrome, injuries, or illnesses. Due to the inter- and intraindividual variability of responses to training, competition, and recovery strategies, a diverse set of expertise is required to address the multifaceted phenomena of recovery, performance, and their interactions to transfer knowledge from sport science to sport practice. For this purpose, a symposium on Recovery and Performance was organized at the Technical University Munich Science and Study Center Raitenhaslach (Germany) in September 2016. Various international experts from many disciplines and research areas gathered to discuss and share their knowledge of recovery for performance enhancement in a variety of settings. The results of this meeting are outlined in this consensus statement that provides central definitions, theoretical frameworks, and practical implications as a synopsis of the current knowledge of recovery and performance. While our understanding of the complex relationship between recovery and performance has significantly increased through research, some important issues for future investigations are also elaborated.

  10. Consensus and Synchronization in Complex Networks

    CERN Document Server


    Synchronization in complex networks is one of the most captivating cooperative phenomena in nature and has been shown to be of fundamental importance in such varied circumstances as the continued existence of species, the functioning of heart pacemaker cells, epileptic seizures, neuronal firing in the feline visual cortex and cognitive tasks in humans. E.g. coupled visual and acoustic interactions make fireflies flash, crickets chirp, and an audience clap in unison. On the other hand, in distributed systems and networks, it is often necessary for some or all of the nodes to calculate some function of certain parameters, e.g. sink nodes in sensor networks being tasked with calculating the average measurement value of all the sensors or multi-agent systems in which all agents are required to coordinate their speed and direction. When all nodes calculate the same function of the initial values in the system, they are said to reach consensus. Such concepts - sometimes also called state agreement, rendezvous, and ...

  11. A Global Model for Circumgalactic and Cluster-core Precipitation (United States)

    Voit, G. Mark; Meece, Greg; Li, Yuan; O'Shea, Brian W.; Bryan, Greg L.; Donahue, Megan


    We provide an analytic framework for interpreting observations of multiphase circumgalactic gas that is heavily informed by recent numerical simulations of thermal instability and precipitation in cool-core galaxy clusters. We start by considering the local conditions required for the formation of multiphase gas via two different modes: (1) uplift of ambient gas by galactic outflows, and (2) condensation in a stratified stationary medium in which thermal balance is explicitly maintained. Analytic exploration of these two modes provides insights into the relationships between the local ratio of the cooling and freefall timescales (I.e., {t}{cool}/{t}{ff}), the large-scale gradient of specific entropy, and the development of precipitation and multiphase media in circumgalactic gas. We then use these analytic findings to interpret recent simulations of circumgalactic gas in which global thermal balance is maintained. We show that long-lasting configurations of gas with 5≲ \\min ({t}{cool}/{t}{ff})≲ 20 and radial entropy profiles similar to observations of cool cores in galaxy clusters are a natural outcome of precipitation-regulated feedback. We conclude with some observational predictions that follow from these models. This work focuses primarily on precipitation and AGN feedback in galaxy-cluster cores, because that is where the observations of multiphase gas around galaxies are most complete. However, many of the physical principles that govern condensation in those environments apply to circumgalactic gas around galaxies of all masses.

  12. Simulations of Precipitate Microstructure Evolution during Heat Treatment (United States)

    Wu, Kaisheng; Sterner, Gustaf; Chen, Qing; Jou, Herng-Jeng; Jeppsson, Johan; Bratberg, Johan; Engström, Anders; Mason, Paul

    Precipitation, a major solid state phase transformation during heat treatment processes, has for more than one century been intensively employed to improve the strength and toughness of various high performance alloys. Recently, sophisticated precipitation reaction models, in assistance with well-developed CALPHAD databases, provide an efficient and cost-effective way to tailor precipitate microstructures that maximize the strengthening effect via the optimization of alloy chemistries and heat treatment schedules. In this presentation, we focus on simulating precipitate microstructure evolution in Nickel-base superalloys under arbitrary heat treatment conditions. The newly-developed TC-PRISMA program has been used for these simulations, with models refined especially for non-isothermal conditions. The effect of different cooling profiles on the formation of multimodal microstructures has been thoroughly examined in order to understand the underlying thermodynamics and kinetics. Meanwhile, validations against several experimental results have been carried out. Practical issues that are critical to the accuracy and applicability of the current simulations, such as modifications that overcome mean-field approximations, compatibility between CALPHAD databases, selection of key parameters (particularly interfacial energy and nucleation site densities), etc., are also addressed.

  13. Estimation of the characteristic energy of electron precipitation

    Directory of Open Access Journals (Sweden)

    C. F. del Pozo


    Full Text Available Data from simultaneous observations (on 13 February 1996, 9 November 1998, and 12 February 1999 with the IRIS, DASI and EISCAT systems are employed in the study of the energy distribution of the electron precipitation during substorm activity. The estimation of the characteristic energy of the electron precipitation over the common field of view of IRIS and DASI is discussed. In particular, we look closely at the physical basis of the correspondence between the characteristic energy, the flux-averaged energy, as defined below, and the logarithm of the ratio of the green-light intensity to the square of absorption. This study expands and corrects results presented in the paper by Kosch et al. (2001. It is noticed, moreover, that acceleration associated with diffusion processes in the magnetosphere long before precipitation may be controlling the shape of the energy spectrum. We propose and test a "mixed" distribution for the energy-flux spectrum, exponential at the lower energies and Maxwellian or modified power-law at the higher energies, with a threshold energy separating these two regimes. The energy-flux spectrum at Tromsø, in the 1–320 keV range, is derived from EISCAT electron density profiles in the 70–140 km altitude range and is applied in the "calibration" of the optical intensity and absorption distributions, in order to extrapolate the flux and characteristic energy maps.Key words. Ionosphere (auroral ionosphere; particle precipitation; particle acceleration

  14. Estimation of the characteristic energy of electron precipitation

    Directory of Open Access Journals (Sweden)

    C. F. del Pozo

    Full Text Available Data from simultaneous observations (on 13 February 1996, 9 November 1998, and 12 February 1999 with the IRIS, DASI and EISCAT systems are employed in the study of the energy distribution of the electron precipitation during substorm activity. The estimation of the characteristic energy of the electron precipitation over the common field of view of IRIS and DASI is discussed. In particular, we look closely at the physical basis of the correspondence between the characteristic energy, the flux-averaged energy, as defined below, and the logarithm of the ratio of the green-light intensity to the square of absorption. This study expands and corrects results presented in the paper by Kosch et al. (2001. It is noticed, moreover, that acceleration associated with diffusion processes in the magnetosphere long before precipitation may be controlling the shape of the energy spectrum. We propose and test a "mixed" distribution for the energy-flux spectrum, exponential at the lower energies and Maxwellian or modified power-law at the higher energies, with a threshold energy separating these two regimes. The energy-flux spectrum at Tromsø, in the 1–320 keV range, is derived from EISCAT electron density profiles in the 70–140 km altitude range and is applied in the "calibration" of the optical intensity and absorption distributions, in order to extrapolate the flux and characteristic energy maps.

    Key words. Ionosphere (auroral ionosphere; particle precipitation; particle acceleration

  15. A polychromatic turbidity microplate assay to distinguish discovery stage drug molecules with beneficial precipitation properties. (United States)

    Morrison, John; Nophsker, Michelle; Elzinga, Paul; Donoso, Maria; Park, Hyunsoo; Haskell, Roy


    A material sparing microplate screening assay was developed to evaluate and compare the precipitation of discovery stage drug molecules as a function of time, concentration and media composition. Polychromatic turbidity time course profiles were collected for cinnarizine, probucol, dipyridamole as well as BMS-932481, and compared with turbidity profiles of monodisperse particle size standards. Precipitation for select sample conditions were further characterized at several time points by size, morphology, amount and form via laser diffraction, microscopy, size based particle counting and X-ray diffraction respectively. Wavelength dependent turbidity was found indicative of nanoprecipitate, while wavelength independent turbidity was consistent with larger microprecipitate formation. A transition from wavelength dependent to wavelength independent turbidity occurred for nanoparticle to microparticle growth, and a decrease in wavelength independent turbidity correlated with continued growth in size of microparticles. Other sudden changes in turbidity signal over time such as rapid fluctuation, a decrease in slope or a sharp inversion were correlated with very large or aggregated macro-precipitates exceeding 100μm in diameter, a change in the rate of precipitate formation or an amorphous to crystalline form conversion respectively. The assay provides an effective method to efficiently monitor and screen the precipitation fates of drug molecules, even during the early stages of discovery with limited amounts of available material. This capability highlights molecules with beneficial precipitation properties that are able to generate and maintain solubility enabling amorphous or nanoparticle precipitates. Copyright © 2017 Elsevier B.V. All rights reserved.

  16. Precipitation variability assessment of northeast China: Songhua ...

    Indian Academy of Sciences (India)

    Variability in precipitation is critical for the management of water resources. ... applied on precipitation data on a monthly, seasonally, annually, decade scale and the number of rainy ... 2015). As a result, such irregularities in precipitation,. i.e., droughts and floods can affect the ... (January–December), years and decades.

  17. The profile analysis of attempted-suicide patients referred to ...

    African Journals Online (AJOL)

    The profile analysis of attempted-suicide patients referred to Pelonomi ... The main precipitating factors included problematic relationships (55.4%), ... physical – 18.2%), low self-esteem/ worthlessness/hopelessness/humiliation (16.7%), and

  18. A cross-biome synthesis of soil respiration and its determinants under simulated precipitation changes. (United States)

    Liu, Lingli; Wang, Xin; Lajeunesse, Marc J; Miao, Guofang; Piao, Shilong; Wan, Shiqiang; Wu, Yuxin; Wang, Zhenhua; Yang, Sen; Li, Ping; Deng, Meifeng


    Soil respiration (Rs) is the second-largest terrestrial carbon (C) flux. Although Rs has been extensively studied across a broad range of biomes, there is surprisingly little consensus on how the spatiotemporal patterns of Rs will be altered in a warming climate with changing precipitation regimes. Here, we present a global synthesis Rs data from studies that have manipulated precipitation in the field by collating studies from 113 increased precipitation treatments, 91 decreased precipitation treatments, and 14 prolonged drought treatments. Our meta-analysis indicated that when the increased precipitation treatments were normalized to 28% above the ambient level, the soil moisture, Rs, and the temperature sensitivity (Q10) values increased by an average of 17%, 16%, and 6%, respectively, and the soil temperature decreased by -1.3%. The greatest increases in Rs and Q10 were observed in arid areas, and the stimulation rates decreased with increases in climate humidity. When the decreased precipitation treatments were normalized to 28% below the ambient level, the soil moisture and Rs values decreased by an average of -14% and -17%, respectively, and the soil temperature and Q10 values were not altered. The reductions in soil moisture tended to be greater in more humid areas. Prolonged drought without alterations in the amount of precipitation reduced the soil moisture and Rs by -12% and -6%, respectively, but did not alter Q10. Overall, our synthesis suggests that soil moisture and Rs tend to be more sensitive to increased precipitation in more arid areas and more responsive to decreased precipitation in more humid areas. The responses of Rs and Q10 were predominantly driven by precipitation-induced changes in the soil moisture, whereas changes in the soil temperature had limited impacts. Finally, our synthesis of prolonged drought experiments also emphasizes the importance of the timing and frequency of precipitation events on ecosystem C cycles. Given these

  19. International consensus on preliminary definitions of improvement in adult and juvenile myositis. (United States)

    Rider, Lisa G; Giannini, Edward H; Brunner, Hermine I; Ruperto, Nicola; James-Newton, Laura; Reed, Ann M; Lachenbruch, Peter A; Miller, Frederick W


    To use a core set of outcome measures to develop preliminary definitions of improvement for adult and juvenile myositis as composite end points for therapeutic trials. Twenty-nine experts in the assessment of myositis achieved consensus on 102 adult and 102 juvenile paper patient profiles as clinically improved or not improved. Two hundred twenty-seven candidate definitions of improvement were developed using the experts' consensus ratings as a gold standard and their judgment of clinically meaningful change in the core set of measures. Seventeen additional candidate definitions of improvement were developed from classification and regression tree analysis, a data-mining decision tree tool analysis. Six candidate definitions specifying percentage change or raw change in the core set of measures were developed using logistic regression analysis. Adult and pediatric working groups ranked the 13 top-performing candidate definitions for face validity, clinical sensibility, and ease of use, in which the sensitivity and specificity were >/=75% in adult, pediatric, and combined data sets. Nominal group technique was used to facilitate consensus formation. The definition of improvement (common to the adult and pediatric working groups) that ranked highest was 3 of any 6 of the core set measures improved by >/=20%, with no more than 2 worse by >/=25% (which could not include manual muscle testing to assess strength). Five and 4 additional preliminary definitions of improvement for adult and juvenile myositis, respectively, were also developed, with several definitions common to both groups. Participants also agreed to prospectively test 6 logistic regression definitions of improvement in clinical trials. Consensus preliminary definitions of improvement were developed for adult and juvenile myositis, and these incorporate clinically meaningful change in all myositis core set measures in a composite end point. These definitions require prospective validation, but they are now

  20. Inferring gene and protein interactions using PubMed citations and consensus Bayesian networks. (United States)

    Deeter, Anthony; Dalman, Mark; Haddad, Joseph; Duan, Zhong-Hui


    The PubMed database offers an extensive set of publication data that can be useful, yet inherently complex to use without automated computational techniques. Data repositories such as the Genomic Data Commons (GDC) and the Gene Expression Omnibus (GEO) offer experimental data storage and retrieval as well as curated gene expression profiles. Genetic interaction databases, including Reactome and Ingenuity Pathway Analysis, offer pathway and experiment data analysis using data curated from these publications and data repositories. We have created a method to generate and analyze consensus networks, inferring potential gene interactions, using large numbers of Bayesian networks generated by data mining publications in the PubMed database. Through the concept of network resolution, these consensus networks can be tailored to represent possible genetic interactions. We designed a set of experiments to confirm that our method is stable across variation in both sample and topological input sizes. Using gene product interactions from the KEGG pathway database and data mining PubMed publication abstracts, we verify that regardless of the network resolution or the inferred consensus network, our method is capable of inferring meaningful gene interactions through consensus Bayesian network generation with multiple, randomized topological orderings. Our method can not only confirm the existence of currently accepted interactions, but has the potential to hypothesize new ones as well. We show our method confirms the existence of known gene interactions such as JAK-STAT-PI3K-AKT-mTOR, infers novel gene interactions such as RAS- Bcl-2 and RAS-AKT, and found significant pathway-pathway interactions between the JAK-STAT signaling and Cardiac Muscle Contraction KEGG pathways.

  1. Effective assimilation of global precipitation: simulation experiments

    Directory of Open Access Journals (Sweden)

    Guo-Yuan Lien


    Full Text Available Past attempts to assimilate precipitation by nudging or variational methods have succeeded in forcing the model precipitation to be close to the observed values. However, the model forecasts tend to lose their additional skill after a few forecast hours. In this study, a local ensemble transform Kalman filter (LETKF is used to effectively assimilate precipitation by allowing ensemble members with better precipitation to receive higher weights in the analysis. In addition, two other changes in the precipitation assimilation process are found to alleviate the problems related to the non-Gaussianity of the precipitation variable: (a transform the precipitation variable into a Gaussian distribution based on its climatological distribution (an approach that could also be used in the assimilation of other non-Gaussian observations and (b only assimilate precipitation at the location where at least some ensemble members have precipitation. Unlike many current approaches, both positive and zero rain observations are assimilated effectively. Observing system simulation experiments (OSSEs are conducted using the Simplified Parametrisations, primitivE-Equation DYnamics (SPEEDY model, a simplified but realistic general circulation model. When uniformly and globally distributed observations of precipitation are assimilated in addition to rawinsonde observations, both the analyses and the medium-range forecasts of all model variables, including precipitation, are significantly improved as compared to only assimilating rawinsonde observations. The effect of precipitation assimilation on the analyses is retained on the medium-range forecasts and is larger in the Southern Hemisphere (SH than that in the Northern Hemisphere (NH because the NH analyses are already made more accurate by the denser rawinsonde stations. These improvements are much reduced when only the moisture field is modified by the precipitation observations. Both the Gaussian transformation and

  2. Transatlantic Multispecialty Consensus on Fundamental Endovascular Skills: Results of a Delphi Consensus Study. (United States)

    Maertens, H; Aggarwal, R; Macdonald, S; Vermassen, F; Van Herzeele, I


    The aim of this study was to establish a consensus on Fundamental Endovascular Skills (FES) for educational purposes and development of training curricula for endovascular procedures. The term "Fundamental Endovascular Skills" is widely used; however, the current literature does not explicitly describe what skills are included in this concept. Endovascular interventions are performed by several specialties that may have opposing perspectives on these skills. A two round Delphi questionnaire approach was used. Experts from interventional cardiology, interventional radiology, and vascular surgery from the United States and Europe were invited to participate. An electronic questionnaire was generated by endovascular therapists with an appropriate educational background but who would not participate in subsequent rounds. The questionnaire consisted of 50 statements describing knowledge, technical, and behavioral skills during endovascular procedures. Experts received the questionnaires by email. They were asked to rate the importance of each skill on a Likert scale from 1 to 5. A statement was considered fundamental when more than 90% of the experts rated it 4 or 5 out of 5. Twenty-three of 53 experts invited agreed to participate: six interventional radiologists (2 USA, 4 Europe), 10 vascular surgeons (4 USA, 6 Europe), and seven interventional cardiologists (4 USA, 3 Europe). There was a 100% response rate in the first round and 87% in the second round. Results showed excellent consensus among responders (Cronbach's alpha = .95 first round; .93 second round). Ninety percent of all proposed skills were considered fundamental. The most critical skills were determined. A transatlantic multispecialty consensus was achieved about the content of "FES" among interventional radiologists, interventional cardiologists, and vascular surgeons from Europe and the United States. These results can serve as directive principles for developing endovascular training curricula

  3. Precipitation interpolation in mountainous areas (United States)

    Kolberg, Sjur


    Different precipitation interpolation techniques as well as external drift covariates are tested and compared in a 26000 km2 mountainous area in Norway, using daily data from 60 stations. The main method of assessment is cross-validation. Annual precipitation in the area varies from below 500 mm to more than 2000 mm. The data were corrected for wind-driven undercatch according to operational standards. While temporal evaluation produce seemingly acceptable at-station correlation values (on average around 0.6), the average daily spatial correlation is less than 0.1. Penalising also bias, Nash-Sutcliffe R2 values are negative for spatial correspondence, and around 0.15 for temporal. Despite largely violated assumptions, plain Kriging produces better results than simple inverse distance weighting. More surprisingly, the presumably 'worst-case' benchmark of no interpolation at all, simply averaging all 60 stations for each day, actually outperformed the standard interpolation techniques. For logistic reasons, high altitudes are under-represented in the gauge network. The possible effect of this was investigated by a) fitting a precipitation lapse rate as an external drift, and b) applying a linear model of orographic enhancement (Smith and Barstad, 2004). These techniques improved the results only marginally. The gauge density in the region is one for each 433 km2; higher than the overall density of the Norwegian national network. Admittedly the cross-validation technique reduces the gauge density, still the results suggest that we are far from able to provide hydrological models with adequate data for the main driving force.

  4. Status of conversion of NE standards to national consensus standards

    International Nuclear Information System (INIS)

    Jennings, S.D.


    One major goal of the Nuclear Standards Program is to convert existing NE standards into national consensus standards (where possible). This means that an NE standard in the same subject area using the national consensus process. This report is a summary of the activities that have evolved to effect conversion of NE standards to national consensus standards, and the status of current conversion activities. In some cases, all requirements in an NE standard will not be incorporated into the published national consensus standard because these requirements may be considered too restrictive or too specific for broader application by the nuclear industry. If these requirements are considered necessary for nuclear reactor program applications, the program standard will be revised and issued as a supplement to the national consensus standard. The supplemental program standard will contain only those necessary requirements not reflected by the national consensus standard. Therefore, while complete conversion of program standards may not always be realized, the standards policy has been fully supported in attempting to make maximum use of the national consensus standard. 1 tab

  5. Developing syndrome definitions based on consensus and current use (United States)

    Dowling, John N; Baer, Atar; Buckeridge, David L; Cochrane, Dennis; Conway, Michael A; Elkin, Peter; Espino, Jeremy; Gunn, Julia E; Hales, Craig M; Hutwagner, Lori; Keller, Mikaela; Larson, Catherine; Noe, Rebecca; Okhmatovskaia, Anya; Olson, Karen; Paladini, Marc; Scholer, Matthew; Sniegoski, Carol; Thompson, David; Lober, Bill


    Objective Standardized surveillance syndromes do not exist but would facilitate sharing data among surveillance systems and comparing the accuracy of existing systems. The objective of this study was to create reference syndrome definitions from a consensus of investigators who currently have or are building syndromic surveillance systems. Design Clinical condition–syndrome pairs were catalogued for 10 surveillance systems across the United States and the representatives of these systems were brought together for a workshop to discuss consensus syndrome definitions. Results Consensus syndrome definitions were generated for the four syndromes monitored by the majority of the 10 participating surveillance systems: Respiratory, gastrointestinal, constitutional, and influenza-like illness (ILI). An important element in coming to consensus quickly was the development of a sensitive and specific definition for respiratory and gastrointestinal syndromes. After the workshop, the definitions were refined and supplemented with keywords and regular expressions, the keywords were mapped to standard vocabularies, and a web ontology language (OWL) ontology was created. Limitations The consensus definitions have not yet been validated through implementation. Conclusion The consensus definitions provide an explicit description of the current state-of-the-art syndromes used in automated surveillance, which can subsequently be systematically evaluated against real data to improve the definitions. The method for creating consensus definitions could be applied to other domains that have diverse existing definitions. PMID:20819870

  6. Expert surgical consensus for prenatal counseling using the Delphi method. (United States)

    Berman, Loren; Jackson, Jordan; Miller, Kristen; Kowalski, Rebecca; Kolm, Paul; Luks, Francois I


    Pediatric surgeons frequently offer prenatal consultation for congenital pulmonary airway malformation (CPAM) and congenital diaphragmatic hernia (CDH); however, there is no evidence-based consensus to guide prenatal decision making and counseling for these conditions. Eliciting feedback from experts is integral to defining best practice regarding prenatal counseling and intervention. A Delphi consensus process was undertaken using a panel of pediatric surgeons identified as experts in fetal therapy to address current limitations. Areas of discrepancy in the literature on CPAM and CDH were identified and used to generate a list of content and intervention questions. Experts were invited to participate in an online Delphi survey. Items that did not reach first-round consensus were broken down into additional questions, and consensus was achieved in the second round. Fifty-four surgeons (69%) responded to at least one of the two survey rounds. During round one, consensus was reached on 54 of 89 survey questions (61%), and 45 new questions were developed. During round two, consensus was reached on 53 of 60 survey questions (88%). We determined expert consensus to establish guidelines regarding perinatal management of CPAM and CDH. Our results can help educate pediatric surgeons participating in perinatal care of these patients. V. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. A collaborative platform for consensus sessions in pathology over Internet. (United States)

    Zapletal, Eric; Le Bozec, Christel; Degoulet, Patrice; Jaulent, Marie-Christine


    The design of valid databases in pathology faces the problem of diagnostic disagreement between pathologists. Organizing consensus sessions between experts to reduce the variability is a difficult task. The TRIDEM platform addresses the issue to organize consensus sessions in pathology over the Internet. In this paper, we present the basis to achieve such collaborative platform. On the one hand, the platform integrates the functionalities of the IDEM consensus module that alleviates the consensus task by presenting to pathologists preliminary computed consensus through ergonomic interfaces (automatic step). On the other hand, a set of lightweight interaction tools such as vocal annotations are implemented to ease the communication between experts as they discuss a case (interactive step). The architecture of the TRIDEM platform is based on a Java-Server-Page web server that communicate with the ObjectStore PSE/PRO database used for the object storage. The HTML pages generated by the web server run Java applets to perform the different steps (automatic and interactive) of the consensus. The current limitations of the platform is to only handle a synchronous process. Moreover, improvements like re-writing the consensus workflow with a protocol such as BPML are already forecast.

  8. Public Awareness of the Scientific Consensus on Climate

    Directory of Open Access Journals (Sweden)

    Lawrence C. Hamilton


    Full Text Available Questions about climate change elicit some of the widest political divisions of any items on recent U.S. surveys. Severe polarization affects even basic questions about the reality of anthropogenic climate change (ACC, or whether most scientists agree that humans are changing the Earth’s climate. Statements about scientific consensus have been contentious among social scientists, with some arguing for consensus awareness as a “gateway cognition” that leads to greater public acceptance of ACC, but others characterizing consensus messaging (deliberate communication about the level of scientific agreement as a counterproductive tactic that exacerbates polarization. A series of statewide surveys, with nationwide benchmarks, repeated questions about the reality of ACC and scientific consensus many times over 2010 to 2016. These data permit tests for change in beliefs and polarization. ACC and consensus beliefs have similar trends and individual background predictors. Both rose gradually by about 10 points over 2010 to 2016, showing no abrupt shifts that might correspond to events such as scientific reports, leadership statements, or weather. Growing awareness of the scientific consensus, whether from deliberate messaging or the cumulative impact of many studies and publicly engaged scientists, provides the most plausible explanation for this rise in both series. In state-level data, the gap between liberal and conservative views on the reality of ACC did not widen over this period, whereas the liberal–conservative gap regarding existence of a scientific consensus narrowed.

  9. Radiation Induced Precipitation in Iron

    Energy Technology Data Exchange (ETDEWEB)

    Solly, B


    Foils of iron have been neutron-irradiated in the Swedish re- search reactor R2 to integrated doses in the range 10{sup 17} - 10{sup 19} nvt (> 1 MeV) and examined by transmission electron microscopy. Features have been observed having diffraction contrast similar to that of the prismatic dislocation loops formed in f.c.c. metals by the collapse of point-defect clusters. The features have been shown to be due to precipitation of impurities at radiation damage centres in the iron matrix.

  10. Recent Developments on Discontinuous Precipitation

    Directory of Open Access Journals (Sweden)

    Zięba P.


    Full Text Available The discontinuous precipitation (DP belongs to a group of diffusive solid state phase transformations during which the formation of a new phase is heterogeneous and limited to a migrating reaction front (RF. The use of analytical electron microscopy provided reliable information that there is no differences in the diffusion rate at the stationary grain boundary and moving RF of DP reaction. On the other hand, the use of “in situ” transmission electron microscopy observations indicated the importance of stop-go motion or oscillatory movement of the RF.

  11. Acid precipitation and forest vegetation

    Energy Technology Data Exchange (ETDEWEB)

    Tamm, C O; Cowling, E B


    Effects of acidic precipitation on forest vegetation may be classified as being either direct or indirect. Among the most important direct effects are damage to protective cuticular layers, interference with normal functioning of guard cells, poisoning of plant cells after diffusion of acidic substances through stomata or cuticle and interference with reproductive processes. Indirect effects include accelerated leaching of substances from foliar organs, increased susceptibility to drought and other environmental stress factors, and alteration of symbiotic associations and host-parasite interactions. The potential importance of nutrient uptake through foliage and the need to understand atmosphere-plant-soil interactions are stressed.

  12. Radiation Induced Precipitation in Iron

    International Nuclear Information System (INIS)

    Solly, B.


    Foils of iron have been neutron-irradiated in the Swedish re- search reactor R2 to integrated doses in the range 10 17 - 10 19 nvt (> 1 MeV) and examined by transmission electron microscopy. Features have been observed having diffraction contrast similar to that of the prismatic dislocation loops formed in f.c.c. metals by the collapse of point-defect clusters. The features have been shown to be due to precipitation of impurities at radiation damage centres in the iron matrix

  13. Precipitation of uranium concentrates by hydrogen peroxide

    International Nuclear Information System (INIS)

    Barbosa Filho, O.; Teixeira, L.A.C.


    An experimental study on the precipitation of uranyl peroxide (UO 4 x H 2 O) has been carried out in a laboratory scale. The objective was to assess the possibility of the peroxide route as an alternative to a conventional ammonium diuranate process. A factorial design was used to evaluate the effects of the initial pH, precipitation pH and H 2 O 2 /UO 2 2+ ratio upon the process. The responses were measured in terms of: efficiency of U precipitation, content of U in the precipitates, and distribution of impurities in the precipitates. (Author) [pt

  14. Improving consensus structure by eliminating averaging artifacts

    Directory of Open Access Journals (Sweden)

    KC Dukka B


    Full Text Available Abstract Background Common structural biology methods (i.e., NMR and molecular dynamics often produce ensembles of molecular structures. Consequently, averaging of 3D coordinates of molecular structures (proteins and RNA is a frequent approach to obtain a consensus structure that is representative of the ensemble. However, when the structures are averaged, artifacts can result in unrealistic local geometries, including unphysical bond lengths and angles. Results Herein, we describe a method to derive representative structures while limiting the number of artifacts. Our approach is based on a Monte Carlo simulation technique that drives a starting structure (an extended or a 'close-by' structure towards the 'averaged structure' using a harmonic pseudo energy function. To assess the performance of the algorithm, we applied our approach to Cα models of 1364 proteins generated by the TASSER structure prediction algorithm. The average RMSD of the refined model from the native structure for the set becomes worse by a mere 0.08 Å compared to the average RMSD of the averaged structures from the native structure (3.28 Å for refined structures and 3.36 A for the averaged structures. However, the percentage of atoms involved in clashes is greatly reduced (from 63% to 1%; in fact, the majority of the refined proteins had zero clashes. Moreover, a small number (38 of refined structures resulted in lower RMSD to the native protein versus the averaged structure. Finally, compared to PULCHRA 1, our approach produces representative structure of similar RMSD quality, but with much fewer clashes. Conclusion The benchmarking results demonstrate that our approach for removing averaging artifacts can be very beneficial for the structural biology community. Furthermore, the same approach can be applied to almost any problem where averaging of 3D coordinates is performed. Namely, structure averaging is also commonly performed in RNA secondary prediction 2, which

  15. In control? IQC consensus and statutory regulation. (United States)

    Lee, Graham R; Fitzgibbon, Maria C; O'Shea, Paula


    have provided a template to potentially harmonise IQC practice nationally. Given the central and critical role that IQC practice plays in ensuring the quality of patient results' importance, the authors contend that the time has come for international consensus and statutory regulation regarding the minimally acceptable criteria for its implementation, monitoring and review.

  16. Consensus statement on diabetes in children

    Directory of Open Access Journals (Sweden)

    K M Prasanna Kumar


    Full Text Available While T1DM has been traditionally seen as a minor concern in the larger picture of pediatric ailments, new data reveals that the incidence of T1DM has assumed alarming proportions. It has long been clear that while the disease may be diagnosed at an early age, its impact is not isolated to afflicted children. The direct impact of the disease on the patient is debilitating due to the nature of the disease and lack of proper access to treatment in India. But this impact is further compounded by the utter apathy and often times antipathy, which patients withT1DM have to face. Lack of awareness of the issue in all stakeholders, low access to quality healthcare, patient, physician, and system level barriers to the delivery of optimal diabetes care are some of the factors which hinder successful management of T1DM. The first international consensus meet on diabetes in children was convened with the aim of providing a common platform to all the stakeholders in the management of T1DM, to discuss the academic, administrative and healthcare system related issues. The ultimate aim was to articulate the problems faced by children with diabetes in a way that centralized their position and focused on creating modalities of management sensitive to their needs and aspirations. It was conceptualized to raise a strong voice of advocacy for improving the management of T1DM and ensuring that "No child should die of diabetes". The unique clinical presentations of T1DM coupled with ignorance on the part of the medical community and society in general results in outcomes that are far worse than that seen with T2DM. So there is a need to substantially improve training of HCPs at all levels on this neglected aspect of healthcare.

  17. The Contribution of Extreme Precipitation to the Total Precipitation in China

    Institute of Scientific and Technical Information of China (English)

    SUN Jian-Qi


    Using daily precipitation data from weather stations in China, the variations in the contribution of extreme precipitation to the total precipitation are analyzed. It is found that extreme precipitation accounts for approximately one third of the total precipitation based on the overall mean for China. Over the past half century, extreme precipitation has played a dominant role in the year-to-year variability of the total precipitation. On the decadal time scale, the extreme precipitation makes different contributions to the wetting and drying regions of China. The wetting trends of particular regions are mainly attributed to increases in extreme precipitation; in contrast, the drying trends of other regions are mainly due to decreases in non-extreme precipitation.

  18. Estimating Tropical Cyclone Precipitation from Station Observations

    Institute of Scientific and Technical Information of China (English)

    REN Fumin; WANG Yongmei; WANG Xiaoling; LI Weijing


    In this paper, an objective technique for estimating the tropical cyclone (TC) precipitation from station observations is proposed. Based on a comparison between the Original Objective Method (OOM) and the Expert Subjective Method (ESM), the Objective Synoptic Analysis Technique (OSAT) for partitioning TC precipitation was developed by analyzing the western North Pacific (WNP) TC historical track and the daily precipitation datasets. Being an objective way of the ESM, OSAT overcomes the main problems in OOM,by changing two fixed parameters in OOM, the thresholds for the distance of the absolute TC precipitation (D0) and the TC size (D1), into variable parameters.Case verification for OSAT was also carried out by applying CMORPH (Climate Prediction Center MORPHing technique) daily precipitation measurements, which is NOAA's combined satellite precipitation measurement system. This indicates that OSAT is capable of distinguishing simultaneous TC precipitation rain-belts from those associated with different TCs or with middle-latitude weather systems.

  19. Consensus Making in Requirements Negotiation: the communication perspective

    Directory of Open Access Journals (Sweden)

    Jenny Price


    Full Text Available When developing an Information System (IS, organizational goals of various stakeholders are commonly in direct conflict. Furthermore, individuals often rank their private objectives well over their management's directions. Recognising and reconciling all these diverse goals, and reaching agreement among the stakeholders, are prerequisite to establishing project cooperation and collaboration. This paper focuses, in particular, on the negotiation and consensus making during requirements elicitation - the earliest stages of the IS development process. As requirements elicitation involves rich communication between project stakeholders, we therefore explore negotiation and consensus making from the communication perspective. The resulting model assists our understanding of the communication factors that influence the consensus process during requirements negotiation.

  20. Risk communication strategies : achieving a multidisciplinary consensus; La communication des risques : un consensus multidisciplinaire

    Energy Technology Data Exchange (ETDEWEB)

    Robert, B.; Cloutier, I. [Ecole Polytechnique, Montreal, PQ (Canada). Dept. de Mathematiques et de Genie Industriel; Sabourin, J.P. [Ville de Quebec, Quebec, PQ (Canada)


    Risk management related to floods and dam failures requires input from a variety of stakeholders from both the private and the public sector. This paper provided details of a risk management communication strategy based on a consequence approach that established work sequence modes to achieve a multidisciplinary consensus of opinion. The communication of risk was considered as a bilateral exchange of information between concerned parties, who were divided into 2 spheres: (1) a public sphere which included interest groups, government agencies, individuals and the media; and (2) a technical sphere comprised of industry members, scientific experts, and government agencies. Divided between the 2 spheres, government agencies play a distinct role in both the communication and understanding of risk. In Quebec, municipal agencies are required to identify risk and develop plans that ensure public safety. Risk management plans developed by industry members are a valuable source of information for municipal authorities, who can identify vulnerabilities in their own risk communication strategies. In addition, members of the public play an important role in eliciting further risk communications to improve areas of vulnerability. Interest groups can demand further analyses from impartial sources on sensitive issues. Conflicting results offer a plurality of opinions that must be considered to obtain a consensus in risk assessment, which is the ultimate aim of all risk analyses and communications strategies. It was concluded that risk communication strategies benefit from the engagement of a variety of often conflicting views. 8 refs., 3 figs.

  1. The development of a consensus definition for healthcare improvement science (HIS) in seven European countries: A consensus methods approach. (United States)

    Skela-Savič, Brigita; Macrae, Rhoda; Lillo-Crespo, Manuel; Rooney, Kevin D


    There is a limited body of research in the field of healthcare improvement science (HIS). Quality improvement and 'change making' should become an intrinsic part of everyone's job, every day in all parts of the healthcare system. The lack of theoretical grounding may partly explain the minimal transfer of health research into health policy. This article seeks to present the development of the definition for healthcare improvement science. A consensus method approach was adopted with a two-stage Delphi process, expert panel and consensus group techniques. A total of 18 participants were involved in the expert panel and consensus group, and 153 answers were analysed as a part of the Delphi survey. Participants were researchers, educators and healthcare professionals from Scotland, Slovenia, Spain, Italy, England, Poland, and Romania. A high level of consensus was achieved for the broad definition in the 2nd Delphi iteration (86%). The final definition was agreed on by the consensus group: 'Healthcare improvement science is the generation of knowledge to cultivate change and deliver person-centred care that is safe, effective, efficient, equitable and timely. It improves patient outcomes, health system performance and population health.' The process of developing a consensus definition revealed different understandings of healthcare improvement science between the participants. Having a shared consensus definition of healthcare improvement science is an important step forward, bringing about a common understanding in order to advance the professional education and practice of healthcare improvement science.

  2. Performance of Evapotranspirative Covers Under Enhanced Precipitation: Preliminary Data

    International Nuclear Information System (INIS)

    David C. Anderson; Lloyd T. Desotell; David B. Hudson; Gregory J. Shott; Vefa Yucel


    Since January 2001, drainage lysimeter studies have been conducted at Yucca Flat, on the Nevada Test Site, in support of an evapotranspirative cover design. Yucca Flat has an arid climate with average precipitation of 16.5 cm annually. The facility consists of six drainage lysimeters 3 m in diameter, 2.4 m deep, and backfilled with a single layer of native soil. The bottom of each lysimeter is sealed and equipped with a small drain that enables direct measurement of saturated drainage. Each lysimeter has eight time-domain reflectometer probes to measure moisture content-depth profiles paired with eight heat-dissipation probes to measure soil-water potential depth profiles. Sensors are connected to dataloggers which are remotely accessed via a phone line. The six lysimeters have three different surface treatments: two are bare-soil; two were revegetated with native species (primarily shadscale, winterfat, ephedra, and Indian rice grass); and two were allowed to revegetate naturally with such species as Russian thistle, halogeton, tumblemustard and cheatgrass. Beginning in October 2003, one half of the paired cover treatments (one bare soil, one invader species, and one native species) were irrigated with an amount of water equal to two times the natural precipitation to achieve a three times natural precipitation treatment. From October 2003 through December 2005, all lysimeters received 52.8 cm precipitation, and the four irrigated lysimeters received an extra 105.6 cm of irrigation. No drainage has occurred from any of the nonirrigated lysimeters, but moisture has accumulated at the bottom of the bare-soil lysimeter and the native-plant lysimeter. All irrigated lysimeters had some drainage. The irrigated baresoil lysimeter had 48.3 cm of drainage or 26.4 percent of the combined precipitation and applied irrigation for the entire monitoring record. The irrigated invader species lysimeter had 5.8 cm of drainage, about 3.2 percent of the combined precipitation and

  3. Precipitation and Hardening in Magnesium Alloys (United States)

    Nie, Jian-Feng


    Magnesium alloys have received an increasing interest in the past 12 years for potential applications in the automotive, aircraft, aerospace, and electronic industries. Many of these alloys are strong because of solid-state precipitates that are produced by an age-hardening process. Although some strength improvements of existing magnesium alloys have been made and some novel alloys with improved strength have been developed, the strength level that has been achieved so far is still substantially lower than that obtained in counterpart aluminum alloys. Further improvements in the alloy strength require a better understanding of the structure, morphology, orientation of precipitates, effects of precipitate morphology, and orientation on the strengthening and microstructural factors that are important in controlling the nucleation and growth of these precipitates. In this review, precipitation in most precipitation-hardenable magnesium alloys is reviewed, and its relationship with strengthening is examined. It is demonstrated that the precipitation phenomena in these alloys, especially in the very early stage of the precipitation process, are still far from being well understood, and many fundamental issues remain unsolved even after some extensive and concerted efforts made in the past 12 years. The challenges associated with precipitation hardening and age hardening are identified and discussed, and guidelines are outlined for the rational design and development of higher strength, and ultimately ultrahigh strength, magnesium alloys via precipitation hardening.

  4. Towards a New Democracy: Consensus Through Quantum Parliament


    Aerts, Diederik


    We compare different actual forms of democracy and analyse in which way they are variations of a 'natural consensus decision process'. We analyse how 'consensus decision followed by majority voting' is open to 'false play' by the majority, and investigate how other types of false play appear in alternative types of democratic decision procedures. We introduce the combined notion of 'quantum parliament' and 'quantum decision procedure', and prove it to be the only one, when applied after conse...

  5. Blockchain Consensus Protocols in the Wild (Keynote Talk)


    Cachin, Christian; Vukolic, Marko


    A blockchain is a distributed ledger for recording transactions, maintained by many nodes without central authority through a distributed cryptographic protocol. All nodes validate the information to be appended to the blockchain, and a consensus protocol ensures that the nodes agree on a unique order in which entries are appended. Consensus protocols for tolerating Byzantine faults have received renewed attention because they also address blockchain systems. This work discusses the process o...

  6. Consensus algorithm in smart grid and communication networks (United States)

    Alfagee, Husain Abdulaziz

    On a daily basis, consensus theory attracts more and more researches from different areas of interest, to apply its techniques to solve technical problems in a way that is faster, more reliable, and even more precise than ever before. A power system network is one of those fields that consensus theory employs extensively. The use of the consensus algorithm to solve the Economic Dispatch and Load Restoration Problems is a good example. Instead of a conventional central controller, some researchers have explored an algorithm to solve the above mentioned problems, in a distribution manner, using the consensus algorithm, which is based on calculation methods, i.e., non estimation methods, for updating the information consensus matrix. Starting from this point of solving these types of problems mentioned, specifically, in a distribution fashion, using the consensus algorithm, we have implemented a new advanced consensus algorithm. It is based on the adaptive estimation techniques, such as the Gradient Algorithm and the Recursive Least Square Algorithm, to solve the same problems. This advanced work was tested on different case studies that had formerly been explored, as seen in references 5, 7, and 18. Three and five generators, or agents, with different topologies, correspond to the Economic Dispatch Problem and the IEEE 16-Bus power system corresponds to the Load Restoration Problem. In all the cases we have studied, the results met our expectations with extreme accuracy, and completely matched the results of the previous researchers. There is little question that this research proves the capability and dependability of using the consensus algorithm, based on the estimation methods as the Gradient Algorithm and the Recursive Least Square Algorithm to solve such power problems.

  7. Voting experiments: Bandwagon voting or false-consensus effect?


    Ivo Bischoff; Henrik Egbert


    In an experiment designed to test for expressive voting, Tyran (JPubEc 2004) found a strong positive correlation between the participants' approval for a proposal to donate money for charity and their expected approval rate for fellow voters. This phenomenon can be due to bandwagon voting or a false consensus effect. The social science literature reports both effects for voting decisions. Replicating Tyran's experiment and adding new treatments, we provide evidence for a false consensus effec...

  8. Consensus formation in science modeled by aggregated bibliographic coupling

    DEFF Research Database (Denmark)

    Nicolaisen, Jeppe; Frandsen, Tove Faber


    as their unit of analysis. To produce a more fine grained citation analysis one needs to study consensusformation on an even more detailed level – i.e. the scientific document or article. To do so, we have developed a new technique that measures consensus by aggregatedbibliographiccouplings (ABC) between...... documents. The advantages of the ABC-technique are demonstrated in a study of two selected disciplines in which the levels of consensus are measured using the propopsed technique....

  9. Deriving consensus rankings via multicriteria decision making methodology


    Amy Poh Ai Ling; Mohamad Nasir Saludin; Masao Mukaidono


    Purpose - This paper seeks to take a cautionary stance to the impact of the marketing mix on customer satisfaction, via a case study deriving consensus rankings for benchmarking on selected retail stores in Malaysia. Design/methodology/approach - The ELECTRE I model is used in deriving consensus rankings via multicriteria decision making method for benchmarking base on the marketing mix model 4P's. Descriptive analysis is used to analyze best practice among the four marketing tactics. Finding...

  10. Consensus clustering approach to group brain connectivity matrices

    Directory of Open Access Journals (Sweden)

    Javier Rasero


    Full Text Available A novel approach rooted on the notion of consensus clustering, a strategy developed for community detection in complex networks, is proposed to cope with the heterogeneity that characterizes connectivity matrices in health and disease. The method can be summarized as follows: (a define, for each node, a distance matrix for the set of subjects by comparing the connectivity pattern of that node in all pairs of subjects; (b cluster the distance matrix for each node; (c build the consensus network from the corresponding partitions; and (d extract groups of subjects by finding the communities of the consensus network thus obtained. Different from the previous implementations of consensus clustering, we thus propose to use the consensus strategy to combine the information arising from the connectivity patterns of each node. The proposed approach may be seen either as an exploratory technique or as an unsupervised pretraining step to help the subsequent construction of a supervised classifier. Applications on a toy model and two real datasets show the effectiveness of the proposed methodology, which represents heterogeneity of a set of subjects in terms of a weighted network, the consensus matrix.

  11. Forced normalisation precipitated by lamotrigine. (United States)

    Clemens, Béla


    To report two patients with lamotrigine-induced forced normalization (FN). Evaluation of the patient files, EEG, and video-EEG records, with special reference to the parallel clinical and EEG changes before, during, and after FN. This is the first documented report of lamotrigine-induced FN. The two epileptic patients (one of them was a 10-year-old girl) were successfully treated with lamotrigine. Their seizures ceased and interictal epileptiform events disappeared from the EEG record. Simultaneously, the patients displayed de novo occurrence of psychopathologic manifestations and disturbed behaviour. Reduction of the daily dose of LTG led to disappearance of the psychopathological symptoms and reappearance of the spikes but not the seizures. Lamotrigine may precipitate FN in adults and children. Analysis of the cases showed that lamotrigine-induced FN is a dose-dependent phenomenon and can be treated by reduction of the daily dose of the drug.

  12. Experimental study of diffuse auroral precipitations

    International Nuclear Information System (INIS)

    Mouaia, K.


    First chapter is devoted to low energy electron precipitation in the evening sector of the auroral magnetosphere, during quiet and disturbed magnetic periods. Four subjects are studied in detail: the latitude distribution of the varied auroral forms and their relations to external magnetosphere; the time coefficients related to precipitations, the form and the dynamic of the diffuse precipitation equatorial frontier; the precipitation effect on the ionosphere concentration. The last part of the chapter shows that the plasma convection in the magnetosphere, associated to wave-particle interactions near the equatorial accounts for the principal characteristics of the evening sector diffuse electronic precipitations. The second chapter deals with subauroral precipitations of low energy ions, after the magnetospheric substorms, in the high latitude regions of the morning sector [fr

  13. Profiling hydrogen in materials using ion beams

    International Nuclear Information System (INIS)

    Ziegler, J.F.; Wu, C.P.; Williams, P.


    Over the last few years many ion beam techniques have been reported for the profiling of hydrogen in materials. Nine of these were evaluated using similar samples of hydrogen ion-implanted into silicon. When possible the samples were analyzed using two or more techniques to confirm the ion-implanted accuracy. The results of this analysis which has produced a consensus profile of H in silicon which is useful as a calibration standard are reported. The analytical techniques used have capabilities ranging from very high depth resolution (approximately 50 A) and high sensitivity (less than 1 ppM) to deep probes for hydrogen which can sample throughout thin sheets

  14. Alcohol use and pregnancy consensus clinical guidelines. (United States)

    Carson, George; Cox, Lori Vitale; Crane, Joan; Croteau, Pascal; Graves, Lisa; Kluka, Sandra; Koren, Gideon; Martel, Marie-Jocelyne; Midmer, Deana; Nulman, Irena; Poole, Nancy; Senikas, Vyta; Wood, Rebecca


    to establish national standards of care for the screening and recording of alcohol use and counselling on alcohol use of women of child-bearing age and pregnant women based on the most up-to-date evidence. published literature was retrieved through searches of PubMed, CINAHL, and the Cochrane Library in May 2009 using appropriate controlled vocabulary (e.g., pregnancy complications, alcohol drinking, prenatal care) and key words (e.g., pregnancy, alcohol consumption, risk reduction). Results were restricted to literature published in the last five years with the following research designs: systematic reviews, randomized control trials/controlled clinical trials, and observational studies. There were no language restrictions. Searches were updated on a regular basis and incorporated in the guideline to May 2010. Grey (unpublished) literature was identified through searching the websites of health technology assessment (HTA) and HTA-related agencies, national and international medical specialty societies, clinical practice guideline collections, and clinical trial registries. Each article was screened for relevance and the full text acquired if determined to be relevant. The evidence obtained was reviewed and evaluated by the members of the Expert Workgroup established by the Society of Obstetricians and Gynaecologists of Canada. The quality of evidence was evaluated and recommendations were made according to guidelines developed by the Canadian Task Force on Preventive Health Care. the quality of evidence was rated using the criteria described by the Canadian Task Force on Preventive Health Care (Table 1). the Public Health Agency of Canada and the Society of Obstetricians and Gynaecologists of Canada. these consensus guidelines have been endorsed by the Association of Obstetricians and Gynecologists of Quebec; the Canadian Association of Midwives; the Canadian Association of Perinatal, Women's Health and Neonatal Nurses (CAPWHN); the College of Family Physicians of

  15. EURECCA colorectal: multidisciplinary management: European consensus conference colon & rectum. (United States)

    van de Velde, Cornelis J H; Boelens, Petra G; Borras, Josep M; Coebergh, Jan-Willem; Cervantes, Andres; Blomqvist, Lennart; Beets-Tan, Regina G H; van den Broek, Colette B M; Brown, Gina; Van Cutsem, Eric; Espin, Eloy; Haustermans, Karin; Glimelius, Bengt; Iversen, Lene H; van Krieken, J Han; Marijnen, Corrie A M; Henning, Geoffrey; Gore-Booth, Jola; Meldolesi, Elisa; Mroczkowski, Pawel; Nagtegaal, Iris; Naredi, Peter; Ortiz, Hector; Påhlman, Lars; Quirke, Philip; Rödel, Claus; Roth, Arnaud; Rutten, Harm; Schmoll, Hans J; Smith, Jason J; Tanis, Pieter J; Taylor, Claire; Wibe, Arne; Wiggers, Theo; Gambacorta, Maria A; Aristei, Cynthia; Valentini, Vincenzo


    Care for patients with colon and rectal cancer has improved in the last 20years; however considerable variation still exists in cancer management and outcome between European countries. Large variation is also apparent between national guidelines and patterns of cancer care in Europe. Therefore, EURECCA, which is the acronym of European Registration of Cancer Care, is aiming at defining core treatment strategies and developing a European audit structure in order to improve the quality of care for all patients with colon and rectal cancer. In December 2012, the first multidisciplinary consensus conference about cancer of the colon and rectum was held. The expert panel consisted of representatives of European scientific organisations involved in cancer care of patients with colon and rectal cancer and representatives of national colorectal registries. The expert panel had delegates of the European Society of Surgical Oncology (ESSO), European Society for Radiotherapy & Oncology (ESTRO), European Society of Pathology (ESP), European Society for Medical Oncology (ESMO), European Society of Radiology (ESR), European Society of Coloproctology (ESCP), European CanCer Organisation (ECCO), European Oncology Nursing Society (EONS) and the European Colorectal Cancer Patient Organisation (EuropaColon), as well as delegates from national registries or audits. Consensus was achieved using the Delphi method. For the Delphi process, multidisciplinary experts were invited to comment and vote three web-based online voting rounds and to lecture on the subjects during the meeting (13th-15th December 2012). The sentences in the consensus document were available during the meeting and a televoting round during the conference by all participants was performed. This manuscript covers all sentences of the consensus document with the result of the voting. The consensus document represents sections on diagnostics, pathology, surgery, medical oncology, radiotherapy, and follow-up where

  16. Precipitation variability increases in a warmer climate. (United States)

    Pendergrass, Angeline G; Knutti, Reto; Lehner, Flavio; Deser, Clara; Sanderson, Benjamin M


    Understanding changes in precipitation variability is essential for a complete explanation of the hydrologic cycle's response to warming and its impacts. While changes in mean and extreme precipitation have been studied intensively, precipitation variability has received less attention, despite its theoretical and practical importance. Here, we show that precipitation variability in most climate models increases over a majority of global land area in response to warming (66% of land has a robust increase in variability of seasonal-mean precipitation). Comparing recent decades to RCP8.5 projections for the end of the 21 st century, we find that in the global, multi-model mean, precipitation variability increases 3-4% K -1 globally, 4-5% K -1 over land and 2-4% K -1 over ocean, and is remarkably robust on a range of timescales from daily to decadal. Precipitation variability increases by at least as much as mean precipitation and less than moisture and extreme precipitation for most models, regions, and timescales. We interpret this as being related to an increase in moisture which is partially mitigated by weakening circulation. We show that changes in observed daily variability in station data are consistent with increased variability.

  17. Profiling cancer

    DEFF Research Database (Denmark)

    Ciro, Marco; Bracken, Adrian P; Helin, Kristian


    In the past couple of years, several very exciting studies have demonstrated the enormous power of gene-expression profiling for cancer classification and prediction of patient survival. In addition to promising a more accurate classification of cancer and therefore better treatment of patients......, gene-expression profiling can result in the identification of novel potential targets for cancer therapy and a better understanding of the molecular mechanisms leading to cancer....

  18. Asymmetric responses of primary productivity to precipitation extremes: A synthesis of grassland precipitation manipulation experiments. (United States)

    Wilcox, Kevin R; Shi, Zheng; Gherardi, Laureano A; Lemoine, Nathan P; Koerner, Sally E; Hoover, David L; Bork, Edward; Byrne, Kerry M; Cahill, James; Collins, Scott L; Evans, Sarah; Gilgen, Anna K; Holub, Petr; Jiang, Lifen; Knapp, Alan K; LeCain, Daniel; Liang, Junyi; Garcia-Palacios, Pablo; Peñuelas, Josep; Pockman, William T; Smith, Melinda D; Sun, Shanghua; White, Shannon R; Yahdjian, Laura; Zhu, Kai; Luo, Yiqi


    Climatic changes are altering Earth's hydrological cycle, resulting in altered precipitation amounts, increased interannual variability of precipitation, and more frequent extreme precipitation events. These trends will likely continue into the future, having substantial impacts on net primary productivity (NPP) and associated ecosystem services such as food production and carbon sequestration. Frequently, experimental manipulations of precipitation have linked altered precipitation regimes to changes in NPP. Yet, findings have been diverse and substantial uncertainty still surrounds generalities describing patterns of ecosystem sensitivity to altered precipitation. Additionally, we do not know whether previously observed correlations between NPP and precipitation remain accurate when precipitation changes become extreme. We synthesized results from 83 case studies of experimental precipitation manipulations in grasslands worldwide. We used meta-analytical techniques to search for generalities and asymmetries of aboveground NPP (ANPP) and belowground NPP (BNPP) responses to both the direction and magnitude of precipitation change. Sensitivity (i.e., productivity response standardized by the amount of precipitation change) of BNPP was similar under precipitation additions and reductions, but ANPP was more sensitive to precipitation additions than reductions; this was especially evident in drier ecosystems. Additionally, overall relationships between the magnitude of productivity responses and the magnitude of precipitation change were saturating in form. The saturating form of this relationship was likely driven by ANPP responses to very extreme precipitation increases, although there were limited studies imposing extreme precipitation change, and there was considerable variation among experiments. This highlights the importance of incorporating gradients of manipulations, ranging from extreme drought to extreme precipitation increases into future climate change

  19. Properties of Extreme Precipitation and Their Uncertainties in 3-year GPM Precipitation Radar Data (United States)

    Liu, N.; Liu, C.


    Extreme high precipitation rates are often related to flash floods and have devastating impacts on human society and the environments. To better understand these rare events, 3-year Precipitation Features (PFs) are defined by grouping the contiguous areas with nonzero near-surface precipitation derived using Global Precipitation Measurement (GPM) Ku band Precipitation Radar (KuPR). The properties of PFs with extreme precipitation rates greater than 20, 50, 100 mm/hr, such as the geographical distribution, volumetric precipitation contribution, seasonal and diurnal variations, are examined. In addition to the large seasonal and regional variations, the rare extreme precipitation rates often have a larger contribution to the local total precipitation. Extreme precipitation rates occur more often over land than over ocean. The challenges in the retrieval of extreme precipitation might be from the attenuation correction and large uncertainties in the Z-R relationships from near-surface radar reflectivity to precipitation rates. These potential uncertainties are examined by using collocated ground based radar reflectivity and precipitation retrievals.

  20. Simulation of effects of redox and precipitation on diffusion of uranium solution species in backfill

    International Nuclear Information System (INIS)

    Carnahan, C.L.


    This investigation addresses the problem of prediction of the rate of migration of redox-sensitive solution species within packing and backfill materials under conditions of variable oxidation potential. Effects of changes of oxidation potential and precipitation of stable uranium compounds during diffusion of uranium from a region of high oxidation potential into a region of low oxidation potential were simulated numerically. Questions of particular interest addressed in the investigation were the existence of a moving ''redox front'' and the influence of precipitation-dissolution processes on uranium migration. The simulations showed that no expanding redox fronts existed at any simulated time up to 3.2 x 10 5 years (10 13 s). In simulations where precipitation of stable solids was not allowed, variations of oxidation potential did not affect total uranium concentrations in solution. Concentration profiles could be predicted simply by diffusion of the (constant) source concentrations. In simulations where precipitation of stable solids was allowed, uraninite and calcium uranate accumulated at the source-transport domain interface, while coffinite penetrated further into the transport domain. Total uranium concentrations in regions of precipitation were determined by solubilities of the precipitated solids, and were six to seven orders of magnitude lower than those in the simulations without precipitation, throughout the domain of transport. 14 refs., 7 figs., 2 tabs

  1. Reconstruction of March-June precipitation from tree rings in central Liaoning, China (United States)

    Wang, Yanchao; Liu, Yu


    A dendrochronological profile was generated from Chinese pines ( Pinus tabulaeformis Carr.) in the Qianshan Mountains in northeastern China. Based on correlation analyses, the pattern of precipitation from March to June ( P 36 ) was reconstructed using a simple linear model, which explained 42.7% of the total variance in observed precipitation from 1951 to 2012. The reconstructed P 36 series revealed a consistently increasing trend in precipitation during the twentieth century in the Qianshan Mountains. The reconstructed data showed trends that were similar to those in the variation in trends for March-June precipitation observed at the Shenyang station, the reconstructed January-May precipitation trends in Shenyang City, and the reconstructed average June-September relative humidity for Yiwulü Mountain. The reconstructed data also showed good agreement with the droughts reported in historical documents and recorded by meteorological stations in Liaoning. Spatial correlation analyses show that the reconstructed data reflect the variability in precipitation that occurs over much of northeastern China. In addition, our reconstruction showed a significant periodicity. The significant correlations between the reconstructed P 36 and the El Niño-Southern Oscillation (ENSO), Pacific Decadal Oscillation (PDO) and sunspot numbers indicate that precipitation variability in the Qianshan Mountain region is probably driven by extensive atmosphere-sea interactions and solar activities.

  2. Effects of Ramadan Fasting on Lipid Profile: A Narrative Review


    Mohsen Mazidi; Peyman Rezaie; Ehsan Karimi; Mohsen Nematy


    Ramadan Fasting during the month of Ramadan is a religious obligation, practiced by millions of people around the world. Ramadan fasting is essentially a fundamental change in lifestyle for one lunar month. This type of fasting may have significant effects on lipid profile. Although there is no scientific consensus about the effects of fasting on cardiovascular risks such as changes in lipid profile, some studies have revealed the positive effects of Ramadan fasting (and similar religious fas...

  3. Variation in the isotopic content of precipitation with altitude

    International Nuclear Information System (INIS)

    Stowhas, L.; Silva, C.; Moser, H.; Stichler, W.


    Monthly precipitation and single storms have been collected during three years at 12 stations along a W-E profile in Chile, going from Juan Fernandez Islands to Valparaiso, Santiago and Infiernillo in the Andes, and analysed for their deuterium content. The deltaD values are correlated with the altitude of the station, the mean temperature - which also largely depends on the altitude - and the distance from the sea. The correlation parameters show however important variations from year to year and even more from month to month. For instance, in the stretch Santiago (520 m a.s.l.) - La Parva (2680 m) the mean isotopic gradient with altitude were: -1.84 deltaD per mil/100 m in 1970, -1.09 in 1971 and -2.0 in 1972. The low value observed in 1971 could be a consequence of the peculiar weather characteristics of this unusually dry year. In the stretch from the coast to Santiago the trend of the isotopic composition of precipitation is more complicated, because the so-called continental effect is superimposed to the altitude effect. The deuterium content variations have been also determined in snowpack profiles at La Parva station. The results show that snow melting occurs slowly at the bottom during the whole winter, at the expenses of the heat stored during summer in the soil. The melting of the surface snow layers only starts at the end of the winter and then proceeds very fast

  4. A consensus statement on how to conduct inclusive health research. (United States)

    Frankena, T K; Naaldenberg, J; Cardol, M; Garcia Iriarte, E; Buchner, T; Brooker, K; Embregts, P; Joosa, E; Crowther, F; Fudge Schormans, A; Schippers, A; Walmsley, J; O'Brien, P; Linehan, C; Northway, R; van Schrojenstein Lantman-de Valk, H; Leusink, G


    The active involvement of people with intellectual disabilities in research, or inclusive research, is relatively common. However, inclusive health research is less common, even though it is expected to lead to appropriate healthcare and increased quality of life. Inclusive health research can build upon lessons learned from inclusive research. A total of 17 experts on inclusive (health) research without intellectual disabilities and 40 experts with intellectual disabilities collaborated in this consensus statement. The consensus statement was developed in three consecutive rounds: (1) an initial feedback round; (2) a roundtable discussion at the 2016 International Association for the Scientific Study of Intellectual and Developmental Disabilities World Congress; and (3) a final feedback round. This consensus statement provides researchers with guidelines, agreed upon by experts in the field, regarding attributes, potential outcomes, reporting and publishing, and future research directions, for designing and conducting inclusive health research. Consensus was reached on how to design and conduct inclusive health research. However, this statement should be continuously adapted to incorporate recent knowledge. The focus of this consensus statement is largely on inclusive health research, but the principles can also be applied to other areas. © 2018 MENCAP and International Association of the Scientific Study of Intellectual and Developmental Disabilities and John Wiley & Sons Ltd.

  5. ncRNA consensus secondary structure derivation using grammar strings. (United States)

    Achawanantakun, Rujira; Sun, Yanni; Takyar, Seyedeh Shohreh


    Many noncoding RNAs (ncRNAs) function through both their sequences and secondary structures. Thus, secondary structure derivation is an important issue in today's RNA research. The state-of-the-art structure annotation tools are based on comparative analysis, which derives consensus structure of homologous ncRNAs. Despite promising results from existing ncRNA aligning and consensus structure derivation tools, there is a need for more efficient and accurate ncRNA secondary structure modeling and alignment methods. In this work, we introduce a consensus structure derivation approach based on grammar string, a novel ncRNA secondary structure representation that encodes an ncRNA's sequence and secondary structure in the parameter space of a context-free grammar (CFG) and a full RNA grammar including pseudoknots. Being a string defined on a special alphabet constructed from a grammar, grammar string converts ncRNA alignment into sequence alignment. We derive consensus secondary structures from hundreds of ncRNA families from BraliBase 2.1 and 25 families containing pseudoknots using grammar string alignment. Our experiments have shown that grammar string-based structure derivation competes favorably in consensus structure quality with Murlet and RNASampler. Source code and experimental data are available at

  6. Negative-pressure wound therapy with instillation: international consensus guidelines. (United States)

    Kim, Paul J; Attinger, Christopher E; Steinberg, John S; Evans, Karen K; Lehner, Burkhard; Willy, Christian; Lavery, Larry; Wolvos, Tom; Orgill, Dennis; Ennis, William; Lantis, John; Gabriel, Allen; Schultz, Gregory


    Negative-pressure wound therapy with instillation is increasingly utilized as an adjunct therapy for a wide variety of wounds. Despite its growing popularity, there is a paucity of evidence and lack of guidance to provide effective use of this therapy. A panel of experts was convened to provide guidance regarding the appropriate use of negative-pressure wound therapy with instillation. A face-to-face meeting was held where the available evidence was discussed and individual clinical experience with this therapy was shared. Follow-up communication among the panelists continued until consensus was achieved. The final consensus recommendations were derived through more than 80 percent agreement among the panelists. Nine consensus statements were generated that address the appropriate use of negative-pressure wound therapy with instillation. The question of clinical effectiveness of this therapy was not directly addressed by the consensus panel. This document serves as preliminary guidelines until more robust evidence emerges that will support or modify these consensus recommendations.

  7. Consensus guidelines on management of childhood convulsive status epilepticus. (United States)

    Mishra, Devendra; Sharma, Suvasini; Sankhyan, Naveen; Konanki, Ramesh; Kamate, Mahesh; Kanhere, Sujata; Aneja, Satinder


    Status epilepticus has a wide etiological spectrum, and significant morbidity and mortality. Management using a pre-determined uniform protocol leads to better outcomes. Multiple protocols for management of childhood status epilepticus are available, without much consensus. A 'Multi-disciplinary Consensus Development Workshop on Management of Status Epilepticus in Children in India' was organized. The invited experts included Pediatricians, Pediatric neurologists, Neurologists, Epileptologists, and Pediatric intensive care specialists from India, with experience in the relevant field. Experts had previously been divided into focus groups and had interacted on telephone and e-mail regarding their group recommendations, and developed consensus on the topic. During the meeting, each group presented their recommendations, which were deliberated upon by the house and a consensus was reached on various issues; the document was finalized after incorporating suggestions of experts on the draft document. To provide consensus guidelines on evaluation and management of convulsive status epilepticus in children in India (excluding neonatal and super-refractory status epilepticus). Each institution should use a pre-determined protocol for management of status epilepticus; pre-hospital management and early stabilization is the key to a satisfactory outcome of status epilepticus. Pharmacotherapy should not be delayed for any investigations; the initial management should consist of a parenteral benzodiazepine by any route feasible. Subsequent management has been detailed. The group also felt the need for more epidemiological research on status epilepticus from India, and identified certain research areas for the purpose.

  8. Weighted voting-based consensus clustering for chemical structure databases (United States)

    Saeed, Faisal; Ahmed, Ali; Shamsir, Mohd Shahir; Salim, Naomie


    The cluster-based compound selection is used in the lead identification process of drug discovery and design. Many clustering methods have been used for chemical databases, but there is no clustering method that can obtain the best results under all circumstances. However, little attention has been focused on the use of combination methods for chemical structure clustering, which is known as consensus clustering. Recently, consensus clustering has been used in many areas including bioinformatics, machine learning and information theory. This process can improve the robustness, stability, consistency and novelty of clustering. For chemical databases, different consensus clustering methods have been used including the co-association matrix-based, graph-based, hypergraph-based and voting-based methods. In this paper, a weighted cumulative voting-based aggregation algorithm (W-CVAA) was developed. The MDL Drug Data Report (MDDR) benchmark chemical dataset was used in the experiments and represented by the AlogP and ECPF_4 descriptors. The results from the clustering methods were evaluated by the ability of the clustering to separate biologically active molecules in each cluster from inactive ones using different criteria, and the effectiveness of the consensus clustering was compared to that of Ward's method, which is the current standard clustering method in chemoinformatics. This study indicated that weighted voting-based consensus clustering can overcome the limitations of the existing voting-based methods and improve the effectiveness of combining multiple clusterings of chemical structures.

  9. Projections of precipitation, air temperature and potential ...

    African Journals Online (AJOL)


    Precipitation and air temperature records from 6 sites in Rwanda in the period from 1964 to 2010 are used for past/present climate assessment. Future climate projections (2010-2099) based on 3 general circulation models and 2 emission scenarios (A2 and B1) are used for climate projections. Precipitation, air temperature ...

  10. Landscape runoff, precipitation variation and reservoir limnology


    Geraldes, Ana Maria


    Landscape runoff potential impact on reservoir limnology was indirectly evaluated by assessing the effect of precipitation variation on several water quality parameters, on Anabaena (Cyanophyta) and crustacean zooplankton abundances. The obtained results showed that total phosphorus increased with strong precipitation events whereas water transparency presented an opposite trend. Wet periods followed by long dry periods favored Anabaena dominance, which induced a...

  11. Cesium removal and kinetics equilibrium: Precipitation kinetics

    International Nuclear Information System (INIS)

    Barnes, M.J.


    This task consisted of both non-radioactive and radioactive (tracer) tests examining the influence of potentially significant variables on cesium tetraphenylborate precipitation kinetics. The work investigated the time required to reach cesium decontamination and the conditions that affect the cesium precipitation kinetics

  12. Discontinuous precipitation in copper base alloys

    Indian Academy of Sciences (India)

    Discontinuous precipitation (DP) is associated with grain boundary migration in the wake of which alternate plates of the precipitate and the depleted matrix form. Some copper base alloys show DP while others do not. In this paper the misfit strain parameter, , has been calculated and predicted that if 100 > ± 0.1, DP is ...


    Institute of Scientific and Technical Information of China (English)

    WANG Yong-mei; REN Fu-min; LI Wei-jing; WANG Xiao-ling


    The spatio-temporal characteristics of typhoon precipitation over China are analyzed in this study. The results show that typhoon precipitation covers most of central-eastern China. Typhoon precipitation gradually decreases from the southeastern coastal regions to the northwestern mainland. The maximum annual typhoon precipitation exceeds 700 mm in central-eastern Taiwan and part of Hainan, while the minimum annual typhoon precipitation occurs in parts of Inner Mongolia, Shanxi, Shaanxi and Sichuan, with values less than 10 mm. Generally, typhoons produce precipitation over China during April - December with a peak in August. The annual typhoon precipitation time series for observation stations are examined for long-term trends. The results show that decreasing trends exist in most of the stations from 1957 to 2004 and are statistically significant in parts of Taiwan, Hainan, coastal Southeast China and southern Northeast China. The anomaly of typhoon precipitation mainly results from that of the general circulation over Asia and the Walker Cell circulation over the equatorial central and eastern Pacific. Typhoon torrential rain is one of the extreme rainfall events in the southeastern coastal regions and parts of central mainland. In these regions, torrential rains are mostly caused by typhoons.

  14. Meteorological features associated with unprecedented precipitation ...

    Indian Academy of Sciences (India)

    Unprecedented precipitation along with heavy falls occurred over many parts of India from 28th February to 2nd March 2015. Many of the stations of northwest and central India received an all time high 24 hr cumulative precipitation of March during this period. Even the national capital, New Delhi, broke all the previous ...

  15. Application of probabilistic precipitation forecasts from a ...

    African Journals Online (AJOL)


    Feb 14, 2014 ... Application of probabilistic precipitation forecasts from a deterministic model ... aim of this paper is to investigate the increase in the lead-time of flash flood warnings of the SAFFG using probabilistic precipitation forecasts ... The procedure is applied to a real flash flood event and the ensemble-based.

  16. Precipitation of humic acid with divalent ions

    DEFF Research Database (Denmark)

    Andersen, Niels Peder Raj; Mikkelsen, Lene Haugaard; Keiding, Kristian


    and Ba2+. The phase diagram model can not account for the observed precipitation in region III and However, in region IV the HA appears to posses colloidal properties, which is supported by precipitation taking place at a constant zeta-potential -21mV with the same amount of added barium ion regardless...

  17. Precipitation of uranium concentrates by hydrogen peroxide

    International Nuclear Information System (INIS)

    Barbosa Filho, O.


    An experimental study on the (UO 4 .xH 2 ) uranyl peroxide precipitation from a uranium process strip solution is presented. The runs were performed in a batch reactor, in laboratory scale. The main objective was to assess the possibility of the peroxide route as an alternative to a conventional ammonium diuranate process. The chemical composition of process solution was obtained. The experiments were conducted according to a factorial design, aiming to evaluate the effects of initial pH, precipitation pH and H 2 O 2 /UO 2 2+ ratio upon the process. The responses were measured in terms of the efficiency of U precipitation, the content of U in the precipitates and the distribution of impurities in the precipitates. The results indicated that the process works is satisfactory on the studied conditions and depending on conditions, it is possible to achieve levels of U precipitation efficiency greater than 99.9% in reaction times of 2 hours. The precipitates reach grades around 99% U 3 O 8 after calcination (900 0 C) and impurities fall below the limit for penalties established by the ASTM and the Allied Chemical Standards. The precipitates are composed of large aggregates of crystals of 1-4 μm, are fast settling and filtering, and are free-flowing when dry. (Author) [pt

  18. Investigation of Asphaltene Precipitation at Elevated Temperature

    DEFF Research Database (Denmark)

    Andersen, Simon Ivar; Lindeloff, Niels; Stenby, Erling Halfdan


    In order to obtain quantitative data on the asphaltene precipitation induced by the addition of n-alkane (heptane) at temperatures above the normal boiling point of the precipitant, a high temperature/high pressure filtration apparatus has been constructed. Oil and alkane are mixed...

  19. Salts-based size-selective precipitation: toward mass precipitation of aqueous nanoparticles. (United States)

    Wang, Chun-Lei; Fang, Min; Xu, Shu-Hong; Cui, Yi-Ping


    Purification is a necessary step before the application of nanocrystals (NCs), since the excess matter in nanoparticles solution usually causes a disadvantage to their subsequent coupling or assembling with other materials. In this work, a novel salts-based precipitation technique is originally developed for the precipitation and size-selective precipitation of aqueous NCs. Simply by addition of salts, NCs can be precipitated from the solution. After decantation of the supernatant solution, the precipitates can be dispersed in water again. By means of adjusting the addition amount of salt, size-selective precipitation of aqueous NCs can be achieved. Namely, the NCs with large size are precipitated preferentially, leaving small NCs in solution. Compared with the traditional nonsolvents-based precipitation technique, the current one is simpler and more rapid due to the avoidance of condensation and heating manipulations used in the traditional precipitation process. Moreover, the salts-based precipitation technique was generally available for the precipitation of aqueous nanoparticles, no matter if there were semiconductor NCs or metal nanoparticles. Simultaneously, the cost of the current method is also much lower than that of the traditional nonsolvents-based precipitation technique, making it applicable for mass purification of aqueous NCs.

  20. Mineral Precipitation in Fractures: Multiscale Imaging and Geochemical Modeling (United States)

    Hajirezaie, S.; Peters, C. A.; Swift, A.; Sheets, J. M.; Cole, D. R.; Crandall, D.; Cheshire, M.; Stack, A. G.; Anovitz, L. M.


    effects of transport dynamics and reaction kinetics were investigated in the context of profiles of the precipitated minerals and permeability behavior of the fracture flow path. This study contributes rich knowledge toward mastering the subsurface for energy production and storage and for the management of energy waste streams.

  1. Calibration Plans for the Global Precipitation Measurement (GPM) (United States)

    Bidwell, S. W.; Flaming, G. M.; Adams, W. J.; Everett, D. F.; Mendelsohn, C. R.; Smith, E. A.; Turk, J.


    The Global Precipitation Measurement (GPM) is an international effort led by the National Aeronautics and Space Administration (NASA) of the U.S.A. and the National Space Development Agency of Japan (NASDA) for the purpose of improving research into the global water and energy cycle. GPM will improve climate, weather, and hydrological forecasts through more frequent and more accurate measurement of precipitation world-wide. Comprised of U.S. domestic and international partners, GPM will incorporate and assimilate data streams from many spacecraft with varied orbital characteristics and instrument capabilities. Two of the satellites will be provided directly by GPM, the core satellite and a constellation member. The core satellite, at the heart of GPM, is scheduled for launch in November 2007. The core will carry a conical scanning microwave radiometer, the GPM Microwave Imager (GMI), and a two-frequency cross-track-scanning radar, the Dual-frequency Precipitation Radar (DPR). The passive microwave channels and the two radar frequencies of the core are carefully chosen for investigating the varying character of precipitation over ocean and land, and from the tropics to the high-latitudes. The DPR will enable microphysical characterization and three-dimensional profiling of precipitation. The GPM-provided constellation spacecraft will carry a GMI radiometer identical to that on the core spacecraft. This paper presents calibration plans for the GPM, including on-board instrument calibration, external calibration methods, and the role of ground validation. Particular emphasis is on plans for inter-satellite calibration of the GPM constellation. With its Unique instrument capabilities, the core spacecraft will serve as a calibration transfer standard to the GPM constellation. In particular the Dual-frequency Precipitation Radar aboard the core will check the accuracy of retrievals from the GMI radiometer and will enable improvement of the radiometer retrievals

  2. Global precipitations and climate change. Proceedings

    International Nuclear Information System (INIS)

    Desbois, M.; Desalmand, F.


    The workshop reviewed the present status of knowledge concerning the past and present evolution of the distribution of precipitations at global scale, related to climate evolution at different time scales. This review was intended to assess the availability and quality of data which could help, through validation and initialization of model studies, to improve our understanding of the processes determining these precipitation changes. On another hand, the modelling specialists presented their actual use of precipitation data. Exchanges of views between the modelling and observing communities were thus made possible, leading to a set of recommendations for future studies. Sessions were then devoted to specific themes: 1) Paleoclimatology, 2) data collection, history and statistics, programmes, 3) methodologies and accuracy of large scale estimation of precipitation from conventional data, 4) estimation of precipitation from satellite data, 5) modelling studies. (orig.)

  3. Research of chemical structure of atmospheric precipitation

    International Nuclear Information System (INIS)

    Korenyak, D.


    The structure of atmospheric precipitation changes in its passing through the air medium. Thus, the atmospheric precipitation is one of the ecological factors, acting regularly. The research of chemical structure of atmospheric precipitation is closely connected with the problems of turnover of elements, with sanitary - ecological conditions of regions, with the matters of agricultural equipment and of salt balance of the soils. In paper the author for the first time represents the data on chemical structure of precipitation in the town. The data of chemical analysis of 18 samples are given. Obtained results permitted, to a certain extent, to determine the mechanisms of formation of atmospheric precipitation in the region investigated and its genesis. (authors)

  4. Formation of copper precipitates in silicon (United States)

    Flink, Christoph; Feick, Henning; McHugo, Scott A.; Mohammed, Amna; Seifert, Winfried; Hieslmair, Henry; Heiser, Thomas; Istratov, Andrei A.; Weber, Eicke R.


    The formation of copper precipitates in silicon was studied after high-temperature intentional contamination of p- and n-type FZ and Cz-grown silicon and quench to room temperature. With the Transient Ion Drift (TID) technique on p-type silicon a critical Fermi level position at EC-0.2 eV was found. Only if the Fermi level position, which is determined by the concentrations of the acceptors and the copper donors, surpasses this critical value precipitation takes place. If the Fermi level is below this level the supersaturated interstitial copper diffuses out. An electrostatic precipitation model is introduced that correlates the observed precipitation behavior with the electrical activity of the copper precipitates as detected with Deep Level Transient Spectroscopy (DLTS) on n-type and with Minority Carrier Transient Spectroscopy (MCTS) on p-type silicon.

  5. Study of asphaltene precipitation by Calorimetry

    DEFF Research Database (Denmark)

    Verdier, Sylvain Charles Roland; Plantier, Frédéric; Bessières, David


    Can calorimetry bring new input to the Current understanding of asphaltene precipitation? In this work, two types of precipitation were studied by means of calorimetry: addition of n-heptane into asphaltene solutions and temperature/pressure variations on a recombined live oil. The first series...... of experiments showed that weak forces determine precipitation. Indeed, isothermal titration calorimetry could not detect any clear signal although this technique can detect low-energy transitions such as liquid-liquid equilibrium and rnicellization. The second series of tests proved that precipitation caused...... by T and P variations is exothermic for this system. Furthermore, the temperature-induced precipitation is accompanied by an increase in the apparent thermal expansivity. Therefore, it seems that these two phase transitions exhibit different calorimetric behaviours and they may not be as similar...

  6. Two-stage precipitation of neptunium (IV) oxalate

    International Nuclear Information System (INIS)

    Luerkens, D.W.


    Neptunium (IV) oxalate was precipitated using a two-stage precipitation system. A series of precipitation experiments was used to identify the significant process variables affecting precipitate characteristics. Process variables tested were input concentrations, solubility conditions in the first stage precipitator, precipitation temperatures, and residence time in the first stage precipitator. A procedure has been demonstrated that produces neptunium (IV) oxalate particles that filter well and readily calcine to the oxide

  7. Precipitation Dynamical Downscaling Over the Great Plains (United States)

    Hu, Xiao-Ming; Xue, Ming; McPherson, Renee A.; Martin, Elinor; Rosendahl, Derek H.; Qiao, Lei


    Detailed, regional climate projections, particularly for precipitation, are critical for many applications. Accurate precipitation downscaling in the United States Great Plains remains a great challenge for most Regional Climate Models, particularly for warm months. Most previous dynamic downscaling simulations significantly underestimate warm-season precipitation in the region. This study aims to achieve a better precipitation downscaling in the Great Plains with the Weather Research and Forecast (WRF) model. To this end, WRF simulations with different physics schemes and nudging strategies are first conducted for a representative warm season. Results show that different cumulus schemes lead to more pronounced difference in simulated precipitation than other tested physics schemes. Simply choosing different physics schemes is not enough to alleviate the dry bias over the southern Great Plains, which is related to an anticyclonic circulation anomaly over the central and western parts of continental U.S. in the simulations. Spectral nudging emerges as an effective solution for alleviating the precipitation bias. Spectral nudging ensures that large and synoptic-scale circulations are faithfully reproduced while still allowing WRF to develop small-scale dynamics, thus effectively suppressing the large-scale circulation anomaly in the downscaling. As a result, a better precipitation downscaling is achieved. With the carefully validated configurations, WRF downscaling is conducted for 1980-2015. The downscaling captures well the spatial distribution of monthly climatology precipitation and the monthly/yearly variability, showing improvement over at least two previously published precipitation downscaling studies. With the improved precipitation downscaling, a better hydrological simulation over the trans-state Oologah watershed is also achieved.

  8. Flood forecasting and uncertainty of precipitation forecasts

    International Nuclear Information System (INIS)

    Kobold, Mira; Suselj, Kay


    The timely and accurate flood forecasting is essential for the reliable flood warning. The effectiveness of flood warning is dependent on the forecast accuracy of certain physical parameters, such as the peak magnitude of the flood, its timing, location and duration. The conceptual rainfall - runoff models enable the estimation of these parameters and lead to useful operational forecasts. The accurate rainfall is the most important input into hydrological models. The input for the rainfall can be real time rain-gauges data, or weather radar data, or meteorological forecasted precipitation. The torrential nature of streams and fast runoff are characteristic for the most of the Slovenian rivers. Extensive damage is caused almost every year- by rainstorms affecting different regions of Slovenia' The lag time between rainfall and runoff is very short for Slovenian territory and on-line data are used only for now casting. Forecasted precipitations are necessary for hydrological forecast for some days ahead. ECMWF (European Centre for Medium-Range Weather Forecasts) gives general forecast for several days ahead while more detailed precipitation data with limited area ALADIN/Sl model are available for two days ahead. There is a certain degree of uncertainty using such precipitation forecasts based on meteorological models. The variability of precipitation is very high in Slovenia and the uncertainty of ECMWF predicted precipitation is very large for Slovenian territory. ECMWF model can predict precipitation events correctly, but underestimates amount of precipitation in general The average underestimation is about 60% for Slovenian region. The predictions of limited area ALADIN/Si model up to; 48 hours ahead show greater applicability in hydrological forecasting. The hydrological models are sensitive to precipitation input. The deviation of runoff is much bigger than the rainfall deviation. Runoff to rainfall error fraction is about 1.6. If spatial and time distribution

  9. Cultural Consensus Theory: Aggregating Continuous Responses in a Finite Interval (United States)

    Batchelder, William H.; Strashny, Alex; Romney, A. Kimball

    Cultural consensus theory (CCT) consists of cognitive models for aggregating responses of "informants" to test items about some domain of their shared cultural knowledge. This paper develops a CCT model for items requiring bounded numerical responses, e.g. probability estimates, confidence judgments, or similarity judgments. The model assumes that each item generates a latent random representation in each informant, with mean equal to the consensus answer and variance depending jointly on the informant and the location of the consensus answer. The manifest responses may reflect biases of the informants. Markov Chain Monte Carlo (MCMC) methods were used to estimate the model, and simulation studies validated the approach. The model was applied to an existing cross-cultural dataset involving native Japanese and English speakers judging the similarity of emotion terms. The results sharpened earlier studies that showed that both cultures appear to have very similar cognitive representations of emotion terms.

  10. Consensus and stratification in the affective meaning of human sociality. (United States)

    Ambrasat, Jens; von Scheve, Christian; Conrad, Markus; Schauenburg, Gesche; Schröder, Tobias


    We investigate intrasocietal consensus and variation in affective meanings of concepts related to authority and community, two elementary forms of human sociality. Survey participants (n = 2,849) from different socioeconomic status (SES) groups in German society provided ratings of 909 social concepts along three basic dimensions of affective meaning. Results show widespread consensus on these meanings within society and demonstrate that a meaningful structure of socially shared knowledge emerges from organizing concepts according to their affective similarity. The consensus finding is further qualified by evidence for subtle systematic variation along SES differences. In relation to affectively neutral words, high-status individuals evaluate intimacy-related and socially desirable concepts as less positive and powerful than middle- or low-status individuals, while perceiving antisocial concepts as relatively more threatening. This systematic variation across SES groups suggests that the affective meaning of sociality is to some degree a function of social stratification.

  11. The importance of assessing and communicating scientific consensus (United States)

    Maibach, Edward W.; van der Linden, Sander L.


    The spread of influential misinformation, such as conspiracy theories about the existence of a secret, large-scale atmospheric spraying program (SLAP), is contributing to the politicization of science. In an important recent study, Shearer et al (2016 Environ. Res. Lett. 11 084011) employ a novel methodology to quantify the expert consensus of popular SLAP assertions. The authors find that 99% (76/77) of surveyed experts have not encountered any evidence that would support the existence of such a program. Here we argue that this finding is important because a growing body of research has shown that the public’s perception of expert consensus on key societal issues acts an important ‘gateway’ to science acceptance. Furthermore, communicating normative agreement among experts, such as the strong scientific consensus against the existence of a SLAP, can help limit the spread of misinformation and promote more effective public decision-making about science and society.

  12. Stem cell research ethics: consensus statement on emerging issues. (United States)

    Caulfield, Timothy; Ogbogu, Ubaka; Nelson, Erin; Einsiedel, Edna; Knoppers, Bartha; McDonald, Michael; Brunger, Fern; Downey, Robin; Fernando, Kanchana; Galipeau, Jacques; Geransar, Rose; Griener, Glenn; Grenier, Glenn; Hyun, Insoo; Isasi, Rosario; Kardel, Melanie; Knowles, Lori; Kucic, Terrence; Lotjonen, Salla; Lyall, Drew; Magnus, David; Mathews, Debra J H; Nisbet, Matthew; Nisker, Jeffrey; Pare, Guillaume; Pattinson, Shaun; Pullman, Daryl; Rudnicki, Michael; Williams-Jones, Bryn; Zimmerman, Susan


    This article is a consensus statement by an international interdisciplinary group of academic experts and Canadian policy-makers on emerging ethical, legal and social issues in human embryonic stem cells (hESC) research in Canada. The process of researching consensus included consultations with key stakeholders in hESC research (regulations, stem cell researchers, and research ethics experts), preparation and distribution of background papers, and an international workshop held in Montreal in February 2007 to discuss the papers and debate recommendations. The recommendations provided in the consensus statement focus on issues of immediate relevance to Canadian policy-makers, including informed consent to hESC research, the use of fresh embryos in research, management of conflicts of interest, and the relevance of public opinion research to policy-making.

  13. Neural mechanisms underlying human consensus decision-making. (United States)

    Suzuki, Shinsuke; Adachi, Ryo; Dunne, Simon; Bossaerts, Peter; O'Doherty, John P


    Consensus building in a group is a hallmark of animal societies, yet little is known about its underlying computational and neural mechanisms. Here, we applied a computational framework to behavioral and fMRI data from human participants performing a consensus decision-making task with up to five other participants. We found that participants reached consensus decisions through integrating their own preferences with information about the majority group members' prior choices, as well as inferences about how much each option was stuck to by the other people. These distinct decision variables were separately encoded in distinct brain areas-the ventromedial prefrontal cortex, posterior superior temporal sulcus/temporoparietal junction, and intraparietal sulcus-and were integrated in the dorsal anterior cingulate cortex. Our findings provide support for a theoretical account in which collective decisions are made through integrating multiple types of inference about oneself, others, and environments, processed in distinct brain modules. Copyright © 2015 Elsevier Inc. All rights reserved.

  14. Appropriateness of clinical and organizational criteria for intra-articular injection therapies in osteoarthritis: A Delphi method consensus initiative among experts in Italy

    Directory of Open Access Journals (Sweden)

    Marco Paoloni


    Full Text Available OBJECTIVE: The aim of the study was to identify the main aspects involved in patient selection, the choice of therapeutic agents and the safety profile, as well as the medico-legal and organizational aspects of intra-articular injection therapies for osteoarthritis. METHODS: A committee of 10 experts from Italian universities, public hospitals, territorial services, research institutes and patient associations was set up. Fifty-two clinicians from a large number of Italian medical centers specialized in intra-articular injection therapy took part in a Delphi process aimed at obtaining consensus statements among the participants. RESULTS: Large consensus was obtained for statements grouped under the following main themes: treatment indications; drug/medical device choice; treatment efficacy; and appropriate setting. CONCLUSIONS: The consensus statements developed by a large number of experts may be used as a practical reference tool to help physicians treat osteoarthritis patients by means of intra-articular injection therapies.

  15. Acceptance, acceptability, and energy consensus. Can there still be a consensus on nuclear energy?

    International Nuclear Information System (INIS)

    Renn, O.


    The question of public acceptance of nuclear energy has for years fueled the discussion on social issues. Denial of this acceptance has without doubt delayed, if not altogether prevented, the further development of nuclear energy during the past two decades. Public perception of nuclear energy is still dominated by resent. In the eyes of the German public it is a dangerous and unacceptable technology that deserves to be substituted as soon as possible. The necessity of this is widely agreed, the only unsettled question being how fast it must happen. Sociologists are often reproached for having only created the acceptance problems they purport to analyse. All sociology can do is describe our reality and make suggestions how to cope with social problems more effectively. The sociologist is the herald of social reality: he should neither gloss over nor dramatise things but rather present a real picture of what is happening. With this premise in mind the author attempts to point out possibilities of and limits to a consensus on the valuation of energy systems, particularly that of nuclear energy. (orig./UA) [de

  16. Kyoto global consensus report on Helicobacter pylori gastritis. (United States)

    Sugano, Kentaro; Tack, Jan; Kuipers, Ernst J; Graham, David Y; El-Omar, Emad M; Miura, Soichiro; Haruma, Ken; Asaka, Masahiro; Uemura, Naomi; Malfertheiner, Peter


    To present results of the Kyoto Global Consensus Meeting, which was convened to develop global consensus on (1) classification of chronic gastritis and duodenitis, (2) clinical distinction of dyspepsia caused by Helicobacter pylori from functional dyspepsia, (3) appropriate diagnostic assessment of gastritis and (4) when, whom and how to treat H. pylori gastritis. Twenty-three clinical questions addressing the above-mentioned four domains were drafted for which expert panels were asked to formulate relevant statements. A Delphi method using an anonymous electronic system was adopted to develop the consensus, the level of which was predefined as ≥80%. Final modifications of clinical questions and consensus were achieved at the face-to-face meeting in Kyoto. All 24 statements for 22 clinical questions after extensive modifications and omission of one clinical question were achieved with a consensus level of >80%. To better organise classification of gastritis and duodenitis based on aetiology, a new classification of gastritis and duodenitis is recommended for the 11th international classification. A new category of H. pylori-associated dyspepsia together with a diagnostic algorithm was proposed. The adoption of grading systems for gastric cancer risk stratification, and modern image-enhancing endoscopy for the diagnosis of gastritis, were recommended. Treatment to eradicate H. pylori infection before preneoplastic changes develop, if feasible, was recommended to minimise the risk of more serious complications of the infection. A global consensus for gastritis was developed for the first time, which will be the basis for an international classification system and for further research on the subject. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  17. Pediatric psycho-oncology care: standards, guidelines, and consensus reports. (United States)

    Wiener, Lori; Viola, Adrienne; Koretski, Julia; Perper, Emily Diana; Patenaude, Andrea Farkas


    The aim of this study was to identify existing guidelines, standards, or consensus-based reports for psychosocial care of children with cancer and their families. Psychosocial standards of care for children with cancer can systematize the approach to care and create a replicable model that can be utilized in pediatric hospitals around the world. Determining gaps in existing standards in pediatric psycho-oncology can guide development of useful evidence-based and consensus-based standards. The MEDLINE and PubMed databases were searched by investigators at two major pediatric oncology centers for existing guidelines, consensus-based reports, or standards for psychosocial care of patients with pediatric cancer and their families published in peer-reviewed journals in English between 1980 and 2013. We located 27 articles about psychosocial care that met inclusion criteria: 5 set forth standards, 19 were guidelines, and 3 were consensus-based reports. None was sufficiently up to date, comprehensive, specific enough, or evidence- or consensus-based to serve as a current standard for psychosocial care for children with cancer and their families. Despite calls by a number of international pediatric oncology and psycho-oncology professional organizations about the urgency of addressing the psychosocial needs of the child with cancer to reduce suffering, there remains a need for development of a widely acceptable, evidence-based and consensus-based, comprehensive standard of care to guide provision of essential psychosocial services to all patients with pediatric cancer. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

  18. ConStruct: Improved construction of RNA consensus structures

    Directory of Open Access Journals (Sweden)

    Steger Gerhard


    Full Text Available Abstract Background Aligning homologous non-coding RNAs (ncRNAs correctly in terms of sequence and structure is an unresolved problem, due to both mathematical complexity and imperfect scoring functions. High quality alignments, however, are a prerequisite for most consensus structure prediction approaches, homology searches, and tools for phylogeny inference. Automatically created ncRNA alignments often need manual corrections, yet this manual refinement is tedious and error-prone. Results We present an extended version of CONSTRUCT, a semi-automatic, graphical tool suitable for creating RNA alignments correct in terms of both consensus sequence and consensus structure. To this purpose CONSTRUCT combines sequence alignment, thermodynamic data and various measures of covariation. One important feature is that the user is guided during the alignment correction step by a consensus dotplot, which displays all thermodynamically optimal base pairs and the corresponding covariation. Once the initial alignment is corrected, optimal and suboptimal secondary structures as well as tertiary interaction can be predicted. We demonstrate CONSTRUCT's ability to guide the user in correcting an initial alignment, and show an example for optimal secondary consensus structure prediction on very hard to align SECIS elements. Moreover we use CONSTRUCT to predict tertiary interactions from sequences of the internal ribosome entry site of CrP-like viruses. In addition we show that alignments specifically designed for benchmarking can be easily be optimized using CONSTRUCT, although they share very little sequence identity. Conclusion CONSTRUCT's graphical interface allows for an easy alignment correction based on and guided by predicted and known structural constraints. It combines several algorithms for prediction of secondary consensus structure and even tertiary interactions. The CONSTRUCT package can be downloaded from the URL listed in the Availability and

  19. Consensus stability testing protocols for organic photovoltaic materials and devices

    DEFF Research Database (Denmark)

    Reese, Matthew O.; Gevorgyan, Suren; Jørgensen, Mikkel


    Procedures for testing organic solar cell devices and modules with respect to stability and operational lifetime are described. The descriptions represent a consensus of the discussion and conclusions reached during the first 3 years of the international summit on OPV stability (ISOS). The proced......Procedures for testing organic solar cell devices and modules with respect to stability and operational lifetime are described. The descriptions represent a consensus of the discussion and conclusions reached during the first 3 years of the international summit on OPV stability (ISOS...

  20. Acute pancreatitis: reflections through the history of the Atlanta Consensus


    Torres López, Ana María; Hoyos Duque, Sergio Iván


    Acute pancreatitis is an inflammatory process with systemic and local repercussions. Most cases are mild with low mortality rate, but 20% of the patients have severe pancreatitis with a mortality rate up to 30%. Through the years the medical community has tried to reach consensus about this disease in order to better understand, classify and treat it. The most important of these has been known as the Atlanta Consensus 1992, in use for many years. However, it has been recently the subject of v...

  1. Consensus paper on post-operative pediatric cerebellar mutism syndrome

    DEFF Research Database (Denmark)

    Gudrunardottir, Thora; Morgan, Angela T; Lux, Andrew L


    -operative pediatric CMS" was formed, preliminary recommendations for diagnostic and follow-up procedures were created, two working groups on a new scoring scale and risk prediction and prevention were established, and areas were identified where further information is needed. DISCUSSION: The consensus process...... to provide a more solid foundation for future clinical and research work. It is thought as a consensus for moving forward and hopefully paves the way to developing a standard approach to this challenging problem with the advent of better scoring methods and ultimate goal of reducing the risk of CMS....

  2. [GEITDAH consensus on conduct disorders in children and adolescents]. (United States)

    Sasot-Llevadot, Jordi; Ibáñez-Bordas, Rosa M; Soto-López, Antonio; Montañés-Rada, Francisco; Gastaminza-Pérez, Xavier; Alda-Díez, José A; Cantó-Díez, Tomás; Catalá, Miguel A; Ferrin-Erdozáin, Maite; García-Giral, Marta; Graell-Bernal, Montserrat; Granada-Jiménez, Olvido; Herreros-Rodríguez, Óscar; Mardomingo-Sanz, María J; Mojarro-Práxedes, Dolores; Morey-Canyelles, Jaume; Ortiz-Guerra, Juan; Pàmies-Massana, Montserrat; Rey-Sánchez, Francisco; Romera-Torrens, María; Rubio-Morell, Belén; Ruiz-Lázaro, Pedro M; Ruiz-Sanz, Francisco


    In this paper, the Special Interest Group on Attention Deficit Hyperactivity Disorder (GEITDAH, from its name in Spanish) presents a consensus reached by experts from all over Spain on conduct disorders in children and adolescents. Following the initial work by the team at the Pedopsychiatry Unit at the Quiron-Teknon Hospital in Barcelona, agreements have been reached on a number of basic aspects that could be the starting point for future consensuses. A top priority aim of the work was also to update the criteria in the Diagnostic and statistical manual of mental disorders, fifth edition, for conduct disorders in children and adolescents, together with their comorbidity with attention deficit hyperactivity disorder.

  3. Acute pancreatitis: reflections through the history of the Atlanta Consensus

    Directory of Open Access Journals (Sweden)

    Torres López, Ana María


    Full Text Available Acute pancreatitis is an inflammatory process with systemic and local repercussions. Most cases are mild with low mortality rate, but 20% of the patients have severe pancreatitis with a mortality rate up to 30%. Through the years the medical community has tried to reach consensus about this disease in order to better understand, classify and treat it. The most important of these has been known as the Atlanta Consensus 1992, in use for many years. However, it has been recently the subject of various proposals for changes and updates, which are discussed in this review article.

  4. Consensus Based Nuclear Public-Hearing System Model

    International Nuclear Information System (INIS)

    Young Wook Lee; Suk Hoon Kim; Young Ho Cho; Hyun Seok Ko; Dong Hoon Shin; Chang Sun Kang; Joo Hyun Moon


    Although the government admit the benefit of construction of a nuclear facility for national electric source, related policy could be developed and carried out only if the public, especially who have some stake on it, recognize the benefit and accept the policy. For public participation, Korea has a system of public-hearing in accordance with the law. Because of the absence of the detailed way for public opinion aggregation and for the reflection of the aggregated opinion, Korean public-hearing system is only a conceptual model. Therefore, some specific system for Korean Public-Hearing should be developed and applied. In this study, to share the right of decision making, which is an ultimate concept for public participation, decision making components and the characteristics of each phase are analyzed. The criteria weight for assessment and comparison with alternatives are founded as a valuation factor of the decision making components, which should be based on the social consensus. On these foundations, a system for aggregation and reflection of the public opinion was proposed. The system named 'CPDM' (Consensus based Participatory Decision Making) has three authority groups for decision making. At first, 'advisory experts group' play a role for the technical assessment and the serve utility value on the criteria for each alternatives. Next, 'participatory deliberation group' play a role for consensus building on the relative-importance (weight) between the criteria by feedback to promote degree of consensus. Lastly including gentlemen of the long robe, 'expert group for decision making' play a role to reflect the utility and weight and make a decision with agreement for performance of it. Also, in this study, a mathematical model for the quantification of the degree of consensus was conceptualized using Ordered Weighted Averaging (OWA) aggregation operator and fuzzy similarity theory, which is a comparison concept. Since this model enables influence of each

  5. Precipitation isoscapes for New Zealand: enhanced temporal detail using precipitation-weighted daily climatology. (United States)

    Baisden, W Troy; Keller, Elizabeth D; Van Hale, Robert; Frew, Russell D; Wassenaar, Leonard I


    Predictive understanding of precipitation δ(2)H and δ(18)O in New Zealand faces unique challenges, including high spatial variability in precipitation amounts, alternation between subtropical and sub-Antarctic precipitation sources, and a compressed latitudinal range of 34 to 47 °S. To map the precipitation isotope ratios across New Zealand, three years of integrated monthly precipitation samples were acquired from >50 stations. Conventional mean-annual precipitation δ(2)H and δ(18)O maps were produced by regressions using geographic and annual climate variables. Incomplete data and short-term variation in climate and precipitation sources limited the utility of this approach. We overcome these difficulties by calculating precipitation-weighted monthly climate parameters using national 5-km-gridded daily climate data. This data plus geographic variables were regressed to predict δ(2)H, δ(18)O, and d-excess at all sites. The procedure yields statistically-valid predictions of the isotope composition of precipitation (long-term average root mean square error (RMSE) for δ(18)O = 0.6 ‰; δ(2)H = 5.5 ‰); and monthly RMSE δ(18)O = 1.9 ‰, δ(2)H = 16 ‰. This approach has substantial benefits for studies that require the isotope composition of precipitation during specific time intervals, and may be further improved by comparison to daily and event-based precipitation samples as well as the use of back-trajectory calculations.

  6. Precipitation behavior and effect of new precipitated β phase in AZ80 magnesium alloy

    Institute of Scientific and Technical Information of China (English)

    TANG Wei; HAN En-hou; XU Yong-bo; LIU Lu


    Granular precipitate that was a new kind of β-Mg17Al12 phase found in aged AZ80 wrought Mg alloy at all aging temperature was studied. The structure and precipitation behavior of this granular β-Mg17Al12 precipitate were studied by environmental scanning electron microscopy (ESEM) and transmission electron microscopy (TEM). The effect of the granular precipitate on mechanical properties of AZ80 alloy was also studied. The new precipitate that was granular and nucleated both on grain boundaries (GBs) and twin boundaries, has the same crystal structure and lattice parameter as those of the continuous or discontinuous precipitated β-Mg17Al12. And the nucleation and growth of the granular precipitate are faster than those of the other two precipitates at higher temperatures (above 583 K), but are suppressed at lower temperatures (below 423 K). At lower temperatures, the discontinuous β-Mg17Al12 precipitates firstly and the granular β-Mg17Al12 precipitates after aged more than 40 h. The crack is easily nucleated on the phase boundaries of granular phase and matrix because of the weak binding force. As a result, the strength and ductility of AZ80 Mg alloy are decreased by the granular β-Mg17Al12 precipitate.

  7. Improved CO sub 2 enhanced oil recovery -- Mobility control by in-situ chemical precipitation

    Energy Technology Data Exchange (ETDEWEB)

    Ameri, S.; Aminian, K.; Wasson, J.A.; Durham, D.L.


    The overall objective of this study has been to evaluate the feasibility of chemical precipitation to improve CO{sub 2} sweep efficiency and mobility control. The laboratory experiments have indicated that carbonate precipitation can alter the permeability of the core samples under reservoir conditions. Furthermore, the relative permeability measurements have revealed that precipitation reduces the gas permeability in favor of liquid permeability. This indicates that precipitation is occurring preferentially in the larger pores. Additional experimental work with a series of connected cores have indicated that the permeability profile can be successfully modified. However, Ph control plays a critical role in propagation of the chemical precipitation reaction. A numerical reservoir model has been utilized to evaluate the effects of permeability heterogeneity and permeability modification on the CO{sub 2} sweep efficiency. The computer simulation results indicate that the permeability profile modification can significantly enhance CO{sub 2} vertical and horizontal sweep efficiencies. The scoping studies with the model have further revealed that only a fraction of high permeability zones need to be altered to achieve sweep efficiency enhancement. 64 refs., 30 figs., 16 tabs.

  8. Precipitation Climatology on Titan-like Exomoons. (United States)

    Tokano, Tetsuya


    The availability of liquid water on the surface on Earth's continents in part relies on the precipitation of water. This implies that the habitability of exomoons has to consider not only the surface temperature and atmospheric pressure for the presence of liquid water, but also the global precipitation climatology. This study explores the sensitivity of the precipitation climatology of Titan-like exomoons to these moons' orbital configuration using a global climate model. The precipitation rate primarily depends on latitude and is sensitive to the planet's obliquity and the moon's rotation rate. On slowly rotating moons the precipitation shifts to higher latitudes as obliquity is increased, whereas on quickly rotating moons the latitudinal distribution does not strongly depend on obliquity. Stellar eclipse can cause a longitudinal variation in the mean surface temperature and surface pressure between the subplanetary and antiplanetary side if the planet's obliquity and the moon's orbital distance are small. In this particular condition the antiplanetary side generally receives more precipitation than the subplanetary side. However, precipitation on exomoons with dense atmospheres generally occurs at any longitude in contrast to tidally locked exoplanets.

  9. Consensus statement on transcultural issues in depression and anxiety from the International Consensus Group on Depression and Anxiety. (United States)

    Ballenger, J C; Davidson, J R; Lecrubier, Y; Nutt, D J; Kirmayer, L J; Lépine, J P; Lin, K M; Tajima, O; Ono, Y


    To provide primary care physicians with a better understanding of transcultural issues in depression and anxiety. The 4 members of the International Consensus Group on Depression and Anxiety were James C. Ballenger (chair), Jonathan R. T. Davidson, Yves Lecrubier, and David J. Nutt. Five faculty invited by the chair also participated: Laurence J. Kirmayer, Jean-Pierre Lepine, Keh-Ming Lin, Osamu Tajima, and Yutaka Ono. The consensus statement is based on the 5 review articles that are published in this supplement and the scientific literature relevant to the issues reviewed in these articles. Group meetings were held over a 2-day period. On day 1, the group discussed the review articles, and the chair identified key issues for further debate. On day 2, the group discussed these issues to arrive at a consensus view. After the group meetings, the consensus statement was drafted by the chair and approved by all attendees. The consensus statement underlines the prevalence of depression and anxiety disorders across all cultures and nations while recognizing that cultural differences exist in symptom presentation and prevalence estimates. In all countries, the recognition of depression by clinicians in the primary care setting is low (generally less than 50%), and the consensus group recommends a 2-step process to aid the recognition and diagnosis of depression. In line with the low recognition of depression and anxiety disorders is the finding that only a small proportion of patients with depression or anxiety are receiving appropriate treatments for their condition. Biological diversity across ethnic groups may account for the differential sensitivity of some groups to psychotropic medication, but this area requires further investigation.

  10. Continuous precipitation process of plutonium salts

    International Nuclear Information System (INIS)

    Richard, P.


    This work concerns the continuous precipitation process of plutonium oxalate. Investigations about the solubility of different valence states in nitric-oxalic and in nitric-sulfuric-oxalic medium lead to select the precipitation process of tetravalent plutonium oxalate. Settling velocity and granulometry of tetravalent oxalate plutonium have been studied with variation of several precipitation parameters such as: temperature, acidity, excess of oxalic acid and aging time. Then are given test results of some laboratory continuous apparatus. Conditions of operation with adopted tubular apparatus are defined in conclusion. A flow-sheet is given for a process at industrial scale. (author) [fr

  11. Inorganic nitrogen in precipitation and atmospheric sediments

    Energy Technology Data Exchange (ETDEWEB)

    Matheson, D H


    In an investigation covering 18 months, daily determinations were made of the inorganic nitrogen contained in precipitation and atmospheric sediments collected at Hamilton, Ont. The nitrogen fall for the whole period averaged 5.8 lb. N per acre per year. Sixty-one per cent of the total nitrogen was collected on 25% of the days when precipitation occurred. The balance, occurring on days without precipitation, is attributable solely to the sedimentation of dust. Ammonia nitrogen averaged 56% of the total, but the proportion for individual days varied widely.

  12. Uranium peroxide precipitate drying temperature relationships

    Energy Technology Data Exchange (ETDEWEB)

    Rodgers, C.; Dyck, B., E-mail: [Cameco Corp., Saskatoon, SK (Canada)


    Cameco Corporation is in the process of revitalizing the mill at its Key Lake operation in northern Saskatchewan. The current Key Lake process employs ammonia stripping and ammonia precipitation. As part of the revitalization, the company is considering installing strong acid stripping in solvent extraction as used at its Rabbit Lake operation. This change would lead to using hydrogen peroxide for uranium precipitation. As part of the process evaluation, tests were carried out to study how changes in the temperature of an indirect fired dryer affected the properties of uranium peroxide [yellowcake] precipitate. This paper discusses the results of the test work, including the relationships between drying temperature and the following: (author)

  13. Recent and future extreme precipitation over Ukraine (United States)

    Vyshkvarkova, Olena; Voskresenskaya, Elena


    The aim of study is to analyze the parameters of precipitation extremes and inequality over Ukraine in recent climate epoch and their possible changes in the future. Data of observations from 28 hydrometeorological stations over Ukraine and output of GFDL-CM3 model (CMIP5) for XXI century were used in the study. The methods of concentration index (J. Martin-Vide, 2004) for the study of precipitation inequality while the extreme precipitation indices recommended by the ETCCDI - for the frequency of events. Results. Precipitation inequality on the annual and seasonal scales was studied using estimated CI series for 1951-2005. It was found that annual CI ranges vary from 0.58 to 0.64. They increase southward from the north-west (forest zone) and the north-east (forest steppe zone) of Ukraine. CI maxima are located in the coastal regions of the Black Sea and the Sea of Azov. Annual CI spatial distribution indicates that the contribution of extreme precipitation into annual totals is most significant at the boundary zone between steppe and marine regions. At the same time precipitation pattern at the foothill of Carpathian Mountains is more homogenous. The CI minima (0.54) are typical for the winter season in foothill of Ukrainian Carpathians. The CI maxima reach 0.71 in spring at the steppe zone closed to the Black Sea coast. It should be noted that the greatest ranges of CI maximum and CI minimum deviation are typical for spring. It is associated with patterns of cyclone trajectories in that season. The most territory is characterized by tendency to decrease the contribution of extreme precipitation into the total amount (CI linear trends are predominantly negative in all seasons). Decadal and interdecadal variability of precipitation inequality associated with global processes in ocean-atmosphere system are also studied. It was shown that precipitation inequality over Ukraine on 10 - 15 % stronger in negative phase of Pacific Decadal Oscillation and in positive phase

  14. Development of a Unified Dissolution and Precipitation Model and Its Use for the Prediction of Oral Drug Absorption. (United States)

    Jakubiak, Paulina; Wagner, Björn; Grimm, Hans Peter; Petrig-Schaffland, Jeannine; Schuler, Franz; Alvarez-Sánchez, Rubén


    Drug absorption is a complex process involving dissolution and precipitation, along with other kinetic processes. The purpose of this work was to (1) establish an in vitro methodology to study dissolution and precipitation in early stages of drug development where low compound consumption and high throughput are necessary, (2) develop a mathematical model for a mechanistic explanation of generated in vitro dissolution and precipitation data, and (3) extrapolate in vitro data to in vivo situations using physiologically based models to predict oral drug absorption. Small-scale pH-shift studies were performed in biorelevant media to monitor the precipitation of a set of poorly soluble weak bases. After developing a dissolution-precipitation model from this data, it was integrated into a simplified, physiologically based absorption model to predict clinical pharmacokinetic profiles. The model helped explain the consequences of supersaturation behavior of compounds. The predicted human pharmacokinetic profiles closely aligned with the observed clinical data. In summary, we describe a novel approach combining experimental dissolution/precipitation methodology with a mechanistic model for the prediction of human drug absorption kinetics. The approach unifies the dissolution and precipitation theories and enables accurate predictions of in vivo oral absorption by means of physiologically based modeling.

  15. Structural changes in precipitates and cell model for the conversion of amorphous calcium phosphate to hydroxyapatite during the initial stage of precipitation (United States)

    Zyman, Z.; Rokhmistrov, D.; Glushko, V.


    A new insight on the conversion of an amorphous calcium phosphate, ACP, to hydroxyapatite, HA, has been proposed. The ACP has been precipitated under appropriate conditions of the nitrous method (low concentrations of reactants, pH>10, 25 °С, fast mixing). The ACP to HA conversion has been found to commence immediately after the ACP precipitation. The conversion reveals itself in the first detected shift of the diffuse maximum from 29.5° 2θ (ACP) to about 32° 2θ (the position of principal peaks of HA) in the XRD patterns for the precipitates of 2 min-6 h lifetimes. The precipitates are biphasic mixtures of ACP and nanocrystalline HA, nHA, with increasing nHA/ACP ratio for longer lifetimes. Characteristics of the simulated XRD profiles calculated proceeding on such a picture are excellently confirmed by experimental results. At the end of the conversion, HA nanocrystals start growing. This follows from the appearance of broadened diffraction maxima, which gradually sharpen, along with the appearance and gradual increase of splitting of the initially featureless υ3 and υ4PO43- bands in the IR spectra of precipitates with their aging (after 6 h of the precipitation). Based on the detected structural and compositional peculiarities of ACP in the early stage of precipitation, a cell model for the HA crystallization has been proposed. Proceeding on the model, the principal data in this and earlier studies, considering the ACP to HA conversion as an internal rearrangement process in the ACP particles, has been reasonably explained.

  16. The ''Article Act'' - a substitute for the miscarried energy consensus?

    International Nuclear Information System (INIS)

    Knott, G.


    A prerequisite for arriving at a long-term energy policy is that all political parties come to an energy consensus. This paper reviews the chronology of the energy consensus negatiations, their failure, and the consequent energy-political rerouting which is to be realised by an act securing hard coal a share in electricity generation and amending the Atomic Energy Act (termed 'Article Act'). The Article Act is an attempt at a binding definition of central issues of the energy consensus talks even in the absence of an all-party agreement. It is particularly noteworthy that the bill makes mention of both coal and nuclear energy, reviving this link-up between the two energy sources already decined lost. The German electricity industry considers the provisions on atomic energy law contained in the Article Act insufficient for securing already existing power plants an untroubled future and for providing the investment climate needed by the manufacturing industry. To the electricity industry the main problems lie in the execution deficits at the Laender level, but these are not affected by the Article Act. It is concluded that an all-party consensus on an answerable nuclear energy utilisation will have to be found by 1995 at the latest in order to give the manufacturing industry the go-alread for continuing research and provide electricity producers with a sound basis for investment decisions. (orig./HSCH) [de

  17. Yes, But...Creating a Consensus for Educational Change. (United States)

    Hampel, Robert L.


    Maintains that the division of opinions in a staff can determine an educational innovation's success or failure. Teacher empowerment can help forge widespread agreement and consensus for the innovation. These principles are exemplified by the Sizer initiative in the Delaware schools, which is described. (BB)

  18. Forging Consensus for Implementing Youth Socialization Policy in Northwest China (United States)

    Fairbrother, Gregory P.


    The goal of this article is to examine how the provincial education media in China play a role of forging consensus among local actors responsible for the implementation of new centrally-promulgated youth socialization policy. In doing so, it also explores the tension among three of the Chinese state's claims to legitimacy: economic development,…

  19. Global Consensus Recommendations on Prevention and Management of Nutritional Rickets. (United States)

    Munns, Craig F; Shaw, Nick; Kiely, Mairead; Specker, Bonny L; Thacher, Tom D; Ozono, Keiichi; Michigami, Toshimi; Tiosano, Dov; Mughal, M Zulf; Mäkitie, Outi; Ramos-Abad, Lorna; Ward, Leanne; DiMeglio, Linda A; Atapattu, Navoda; Cassinelli, Hamilton; Braegger, Christian; Pettifor, John M; Seth, Anju; Idris, Hafsatu Wasagu; Bhatia, Vijayalakshmi; Fu, Junfen; Goldberg, Gail; Sävendahl, Lars; Khadgawat, Rajesh; Pludowski, Pawel; Maddock, Jane; Hyppönen, Elina; Oduwole, Abiola; Frew, Emma; Aguiar, Magda; Tulchinsky, Ted; Butler, Gary; Högler, Wolfgang


    Vitamin D and calcium deficiencies are common worldwide, causing nutritional rickets and osteomalacia, which have a major impact on health, growth, and development of infants, children, and adolescents; the consequences can be lethal or can last into adulthood. The goals of this evidence-based consensus document are to provide health care professionals with guidance for prevention, diagnosis, and management of nutritional rickets and to provide policy makers with a framework to work toward its eradication. A systematic literature search examining the definition, diagnosis, treatment, and prevention of nutritional rickets in children was conducted. Evidence-based recommendations were developed using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system that describe the strength of the recommendation and the quality of supporting evidence. Thirty-three nominated experts in pediatric endocrinology, pediatrics, nutrition, epidemiology, public health, and health economics evaluated the evidence on specific questions within five working groups. The consensus group, representing 11 international scientific organizations, participated in a multiday conference in May 2014 to reach a global evidence-based consensus. This consensus document defines nutritional rickets and its diagnostic criteria and describes the clinical management of rickets and osteomalacia. Risk factors, particularly in mothers and infants, are ranked, and specific prevention recommendations including food fortification and supplementation are offered for both the clinical and public health contexts. Rickets, osteomalacia, and vitamin D and calcium deficiencies are preventable global public health problems in infants, children, and adolescents. Implementation of international rickets prevention programs, including supplementation and food fortification, is urgently required.

  20. If Not Consensus, at Least Coherence and Transparency. (United States)

    Phillips, June K.


    Suggests that consensus is the result of intellectual inquiry among scholars for some common purpose. External and internal forces impel the academic community to move beyond argumentation about what students should be able to achieve as they progress. Legislatures and boards of regents are exercising increasing oversight over public and private…

  1. When goals diverge: Staff consensus and the organizational climate. (United States)

    Melnick, Gerald; Ulaszek, Wendy R; Lin, Hsiu-Ju; Wexler, Harry K


    A sample of correctional officers and prison substance abuse treatment staff collected by the National Criminal Justice Treatment Practices Survey is used to provide an exploratory study of an aspect of organizational culture consisting of consensus (agreement) among prison personnel regarding their beliefs about rehabilitation in the presence of conflicting organizational goals and aspects of the organizational climate important to change. Findings show that among those staff members responding to the survey, the belief in rehabilitation scale mean score was associated with higher levels of organizational commitment, and interdepartmental coordination. However, an hierarchical linear modeling (HLM) analysis that used an index score derived from the standard deviation for staff consensus regarding these same beliefs about rehabilitation produced a different pattern of results, showing that high levels of consensus were associated with job frustration, cynicism towards the ability of the institution to change, and lower levels of organizational commitment. The authors conclude that, although the sample may not express the beliefs of corrections officers or prison-based treatment staff at large, within the sample, consensus appeared to play a unique role in evaluating the effect of divergent goals on organizational climate as it relates to change, and warrants consideration when considering the effects of organizational climate.

  2. False consensus in situational judgment tests : What would others do?

    NARCIS (Netherlands)

    Oostrom, J.K.; Köbis, N.C.; Ronay, R.; Cremers, M.


    We introduce an alternative response instruction to reduce the fakability of situational judgment tests. This novel instruction is based on the false consensus effect, a robust social psychological bias whereby people infer that the majority of other people’s thoughts, attitudes, and behaviors are

  3. The False Consensus Bias as Applied to Psychologically Disturbed Adolescents. (United States)

    Range, Lillian M.; And Others


    Twelve adolescents who described themselves as depressed or suicidal and 43 nondisturbed adolescents read article about child's suicidal or viral illness death. Both groups viewed suicidal child and family more negatively than family and child with viral illness. Consistent with false consensus hypothesis, psychologically disturbed adolescents…

  4. Attributions, false consensus and valence: two field studies

    NARCIS (Netherlands)

    van der Pligt, J.


    Two studies, with 1,056 Ss, investigated attitudes, knowledge, and behavior with regard to several environmental issues. Findings demonstrate that observers tend to perceive a false consensus with respect to the relative commonness of their own behavioral choices. This phenomenon was replicated

  5. A Computerized Demonstration of the False Consensus Effect. (United States)

    Clement, Russell W.; And Others


    Replicates a classic psychology laboratory experiment where students either endorsed or refuted personal statements and estimated how other people would respond. Students always overestimated an affirmative response on the statements they endorsed, thus illustrating the false consensus effect. Includes a list of the statements and statistical…

  6. Power, conflict and consensus building in Africa: Ideology revisited

    African Journals Online (AJOL)

    As presently applied in Africa, consensus building seems to be a product of knowledge ... Often international professional negotiators and .... The conflict model views individual or group relationships in all structures of power as a ..... for political parties to win and maintain power, Weber states that 'parties live in the house of ...

  7. Consensus in the network with uniform constant communication delay

    NARCIS (Netherlands)

    Wang, Xu; Saberi, Ali; Stoorvogel, Antonie Arij; Grip, H°avard Fjær; Yang, Tao


    This paper studies consensus among identical agents that are at most critically unstable and coupled through networks with uniform constant communication delay. An upper bound for delay tolerance is obtained which explicitly depends on agent dynamics and network topology. The dependence on network

  8. Implants and/or teeth: consensus statements and recommendations

    DEFF Research Database (Denmark)

    Gotfredsen, K; Carlsson, G E; Jokstad, A


    In August 23-25, 2007, the Scandinavian Society for Prosthetic Dentistry in collaboration with the Danish Society of Oral Implantology arranged a consensus conference on the topic 'Implants and/or teeth'. It was preceded by a workshop in which eight focused questions were raised and answered in e...

  9. Helicobacter pylori management in ASEAN: The Bangkok consensus report. (United States)

    Mahachai, Varocha; Vilaichone, Ratha-Korn; Pittayanon, Rapat; Rojborwonwitaya, Jarin; Leelakusolvong, Somchai; Maneerattanaporn, Monthira; Chotivitayatarakorn, Peranart; Treeprasertsuk, Sombat; Kositchaiwat, Chomsri; Pisespongsa, Pises; Mairiang, Pisaln; Rani, Aziz; Leow, Alex; Mya, Swe Mon; Lee, Yi-Chia; Vannarath, Sengdao; Rasachak, Bouachanh; Chakravuth, Oung; Aung, Moe Myint; Ang, Tiing-Leong; Sollano, Jose D; Trong Quach, Duc; Sansak, Inchaya; Wiwattanachang, Olarn; Harnsomburana, Piyathida; Syam, Ari Fahrial; Yamaoka, Yoshio; Fock, Kwong-Ming; Goh, Khean-Lee; Sugano, Kentaro; Graham, David


    Helicobacter pylori (H. pylori) infection remains to be the major cause of important upper gastrointestinal diseases such as chronic gastritis, peptic ulcer, gastric adenocarcinoma, and mucosa-associated lymphoid tissue lymphoma. H. pylori management in ASEAN: the Bangkok consensus report gathered key opinion leaders for the region to review and evaluate clinical aspects of H. pylori infection and to develop consensus statements, rationales, and grades of recommendation for the management of H. pylori infection in clinical practice in ASEAN countries. This ASEAN Consensus consisted of 34 international experts from 10 ASEAN countries, Japan, Taiwan, and the United States. The meeting mainly focused on four issues: (i) epidemiology and disease association; (ii) diagnostic tests; (iii) management; and (iv) follow-up after eradication. The final results of each workshop were presented for consensus voting by all participants. Statements, rationale, and recommendations were developed from the available current evidence to help clinicians in the diagnosis and treatment of H. pylori and its clinical diseases. © 2017 Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd.

  10. A consensus linkage map of the chicken genome

    NARCIS (Netherlands)

    Groenen, M.A.M.; Cheng, H.H.; Bumstead, N.; Benkel, B.; Briles, E.; Burt, D.W.; Burke, T.; Dodgson, J.; Hillel, J.; Lamont, S.; Ponce, de F.A.; Soller, M.


    A consensus linkage map has been developed in the chicken that combines all of the genotyping data from the three available chicken mapping populations. Genotyping data were contributed by the laboratories that have been using the East Lansing and Compton reference populations and from the Animal

  11. Consensus double reading of mammograms in private practice

    International Nuclear Information System (INIS)

    Pacher, B.; Tscherney, R.; Litmann-Rowenta, B.; Liskutin, J.; Mazewski, I.; Leitner, H.; Tscholakoff, D.


    Purpose: To evaluate retrospectively the results of consensus double reading of mammograms in a private practice for a period of 1.5 years (November 2001 to March 2003). Materials and Method: Two independent experts with dedicated training read all mammograms on a weekly basis. All mammograms including sonographic examinations were evaluated independently and categorized using the Bl-RADS classification. The achieved consensus included a possible recommendation for recall or therapy. A total of 3936 mammograms and 1912 sonography studies were evaluated. All cases with BI-RADS 4 and 5 categories were compared with the histologic results. For a period of three months, the acceptance of double reading including a delay of the final report by one week was tested with a questionnaire and informed consent sheet. Results: BI-RADS categories 4 and 5 were found in 57 cases, with 41 consensus results by two independent readers and 26 carcinomas verified by histology. No consensus could be reached in 16 patients, of which 10 had a final histologic result, with 5 benign lesions and 5 carcinomas of less than 1 cm in diameter. Clinical symptoms or alterations were absent in all patients. The 5 carcinomas were discovered by the double reading procedure. The result of the questionnaire (695 questionnaires) showed a refusal rate of 0.7%, with only 5 women refusing the opportunity of double reading their mammograms. Conclusion: Double reading of mammograms by independent experts is feasible, shows a measurable increase in quality and is accepted by almost all women. (orig.)

  12. Recommendations for Probiotic Use--2015 Update: Proceedings and Consensus Opinion

    NARCIS (Netherlands)

    Floch, Martin H.; Walker, W. Allan; Sanders, Mary Ellen; Nieuwdorp, Max; Kim, Adam S.; Brenner, David A.; Qamar, Amir A.; Miloh, Tamir A.; Guarino, Alfredo; Guslandi, Mario; Dieleman, Levinus A.; Ringel, Yehuda; Quigley, Eamonn M. M.; Brandt, Lawrence J.


    This paper describes the consensus opinion of the participants in the 4th Triennial Yale/Harvard Workshop on Probiotic Recommendations. The recommendations update those of the first 3 meetings that were published in 2006, 2008, and 2011. Recommendations for the use of probiotics in necrotizing

  13. On consensus through communication without a commonly known protocol


    Tsakas Elias; Voorneveld Mark


    The present paper extends the standard model of pairwise communication among Bayesianagents to cases where the structure of the communication protocol is not commonly known.We show that, even under strict conditions on the structure of the protocols and the nature of the transmitted signals, a consensus may never be reached if very little asymmetric information about the protocol is introduced.

  14. 78 FR 35085 - Consensus Standards, Light-Sport Aircraft (United States)


    ... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Consensus Standards, Light-Sport... to the provisions of the Sport Pilot and Light-Sport Aircraft rule issued July 16, 2004, and effective September 1, 2004. ASTM International Committee F37 on Light Sport Aircraft developed the new and...

  15. 77 FR 24251 - Consensus Standards, Light-Sport Aircraft (United States)


    ... DEPARTMENT OF TRANSPORTATION Federal Aviation Administration Consensus Standards, Light-Sport... relating to the provisions of the Sport Pilot and Light-Sport Aircraft rule issued July 16, 2004, and effective September 1, 2004. ASTM International Committee F37 on Light Sport Aircraft developed the new and...

  16. Functional Analysis of HIV/AIDS Stigma: Consensus or Divergence? (United States)

    Hosseinzadeh, Hassan; Hossain, Syeda Zakia


    Functional theory proposes that attitudes may serve a variety of purposes for individuals. This study aimed to determine whether stigmatized attitudes toward HIV/AIDS serve the same function for all (consensus function) or serve different functions for different individuals (divergence function) by assessing various aspects of HIV/AIDS stigma…

  17. Expert Consensus on Characteristics of Wisdom: A Delphi Method Study (United States)

    Jeste, Dilip V.; Ardelt, Monika; Blazer, Dan; Kraemer, Helena C.; Vaillant, George; Meeks, Thomas W.


    Purpose: Wisdom has received increasing attention in empirical research in recent years, especially in gerontology and psychology, but consistent definitions of wisdom remain elusive. We sought to better characterize this concept via an expert consensus panel using a 2-phase Delphi method. Design and Methods: A survey questionnaire comprised 53…

  18. Recurrence of Dupuytren's contracture: A consensus-based definition.

    Directory of Open Access Journals (Sweden)

    Hester J Kan

    Full Text Available One of the major determinants of Dupyutren disease (DD treatment efficacy is recurrence of the contracture. Unfortunately, lack of agreement in the literature on what constitutes recurrence makes it nearly impossible to compare the multiple treatments alternatives available today. The aim of this study is to bring an unbiased pool of experts to agree upon what would be considered a recurrence of DD after treatment; and from that consensus establish a much-needed definition for DD recurrence.To reach an expert consensus on the definition of recurrence we used the Delphi method and invited 43 Dupuytren's research and treatment experts from 10 countries to participate by answering a series of questionnaire rounds. After each round the answers were analyzed and the experts received a feedback report with another questionnaire round to further hone in of the definition. We defined consensus when at least 70% of the experts agreed on a topic.Twenty-one experts agreed to participate in this study. After four consensus rounds, we agreed that DD recurrence should be defined as "more than 20 degrees of contracture recurrence in any treated joint at one year post-treatment compared to six weeks post-treatment". In addition, "recurrence should be reported individually for every treated joint" and afterwards measurements should be repeated and reported yearly.This study provides the most comprehensive to date definition of what should be considered recurrence of DD. These standardized criteria should allow us to better evaluate the many treatment alternatives.

  19. Building consensus on clinical procedural skills for South African ...

    African Journals Online (AJOL)

    Background: The development of registrar training as part of the newly created speciality of family medicine in South Africa requires the development of a national consensus on the clinical procedural skills outcomes that should be expected of training programmes. Methods: This study utilized a Delphi technique to ...

  20. Differential diagnosis of suspected multiple sclerosis: a consensus approach

    NARCIS (Netherlands)

    Miller, D. H.; Weinshenker, B.G.; Filippi, M.; Banwell, B.L.; Cohen, J.A.; Freedman, M.S.; Galetta, S.L.; Hutchinson, M.; Johnson, R.T.; Kappos, L.; Kira, J.; Lublin, F.D.; McFarland, H.F.; Montalban, X.; Panitch, H.; Richert, J.R.; Reingold, S.C.; Polman, C.H.


    Background and objectives: Diagnosis of multiple sclerosis (MS) requires exclusion of diseases that could better explain the clinical and paraclinical findings. A systematic process for exclusion of alternative diagnoses has not been defined. An International Panel of MS experts developed consensus

  1. Effects of heterogeneous convergence rate on consensus in opinion dynamics (United States)

    Huang, Changwei; Dai, Qionglin; Han, Wenchen; Feng, Yuee; Cheng, Hongyan; Li, Haihong


    The Deffuant model has attracted much attention in the study of opinion dynamics. Here, we propose a modified version by introducing into the model a heterogeneous convergence rate which is dependent on the opinion difference between interacting agents and a tunable parameter κ. We study the effects of heterogeneous convergence rate on consensus by investigating the probability of complete consensus, the size of the largest opinion cluster, the number of opinion clusters, and the relaxation time. We find that the decrease of the convergence rate is favorable to decreasing the confidence threshold for the population to always reach complete consensus, and there exists optimal κ resulting in the minimal bounded confidence threshold. Moreover, we find that there exists a window before the threshold of confidence in which complete consensus may be reached with a nonzero probability when κ is not too large. We also find that, within a certain confidence range, decreasing the convergence rate will reduce the relaxation time, which is somewhat counterintuitive.

  2. Radar-derived quantitative precipitation estimation in complex terrain over the eastern Tibetan Plateau (United States)

    Gou, Yabin; Ma, Yingzhao; Chen, Haonan; Wen, Yixin


    Quantitative precipitation estimation (QPE) is one of the important applications of weather radars. However, in complex terrain such as Tibetan Plateau, it is a challenging task to obtain an optimal Z-R relation due to the complex spatial and temporal variability in precipitation microphysics. This paper develops two radar QPE schemes respectively based on Reflectivity Threshold (RT) and Storm Cell Identification and Tracking (SCIT) algorithms using observations from 11 Doppler weather radars and 3264 rain gauges over the Eastern Tibetan Plateau (ETP). These two QPE methodologies are evaluated extensively using four precipitation events that are characterized by different meteorological features. Precipitation characteristics of independent storm cells associated with these four events, as well as the storm-scale differences, are investigated using short-term vertical profile of reflectivity (VPR) clusters. Evaluation results show that the SCIT-based rainfall approach performs better than the simple RT-based method for all precipitation events in terms of score comparison using validation gauge measurements as references. It is also found that the SCIT-based approach can effectively mitigate the local error of radar QPE and represent the precipitation spatiotemporal variability better than the RT-based scheme.


    Faris, B.F.


    This patent relates to an improvement in the bismuth phosphate process for separating and recovering plutonium from neutron irradiated uranium, resulting in improved decontamination even without the use of scavenging precipitates in the by-product precipitation step and subsequently more complete recovery of the plutonium in the product precipitation step. This improvement is achieved by addition of fluomolybdic acid, or a water soluble fluomolybdate, such as the ammonium, sodium, or potassium salt thereof, to the aqueous nitric acid solution containing tetravalent plutonium ions and contaminating fission products, so as to establish a fluomolybdate ion concentration of about 0.05 M. The solution is then treated to form the bismuth phosphate plutonium carrying precipitate.

  4. U.S. Hourly Precipitation Data (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — Hourly Precipitation Data (HPD) is digital data set DSI-3240, archived at the National Climatic Data Center (NCDC). The primary source of data for this file is...

  5. NESDIS Blended Total Precipitable Water (TPW) Products (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The blended Total Precipitable Water (TPW) product is derived from multiple sensors/satellites. The Percentage of TPW normal (PCT), or TPW anomaly, shows the...

  6. Differential Precipitation and Solubilization of Proteins. (United States)

    Ryan, Barry J; Kinsella, Gemma K


    Differential protein precipitation is a rapid and economical step in protein purification and is based on exploiting the inherent physicochemical properties of the polypeptide. Precipitation of recombinant proteins, lysed from the host cell, is commonly used to concentrate the protein of choice before further polishing steps with more selective purification columns (e.g., His-Tag, Size Exclusion, etc.). Recombinant proteins can also precipitate naturally as inclusion bodies due to various influences during overexpression in the host cell. Although this phenomenon permits easier initial separation from native proteins, these inclusion bodies must carefully be differentially solubilized so as to reform functional, correctly folded proteins. Here, appropriate bioinformatics tools to aid in understanding a protein's propensity to aggregate and solubilize are explored as a backdrop for a typical protein extraction, precipitation, and selective resolubilization procedure, based on a recombinantly expressed protein.

  7. Identifying external influences on global precipitation

    Energy Technology Data Exchange (ETDEWEB)

    Marvel, K.; Bonfils, C.


    Changes in global (ocean and land) precipitation are among the most important and least well-understood consequences of climate change. Increasing greenhouse gas concentrations are thought to affect the zonal-mean distribution of precipitation through two basic mechanisms. First, increasing temperatures will lead to an intensification of the hydrological cycle (“thermodynamic” changes). Second, changes in atmospheric circulation patterns will lead to poleward displacement of the storm tracks and subtropical dry zones and to a widening of the tropical belt (“dynamic” changes). We demonstrate that both these changes are occurring simultaneously in global precipitation, that this behavior cannot be explained by internal variability alone, and that external influences are responsible for the observed precipitation changes. Whereas existing model experiments are not of sufficient length to differentiate between natural and anthropogenic forcing terms at the 95% confidence level, we present evidence that the observed trends result from human activities.

  8. U.S. Hourly Precipitation Data Publication (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — This publication contains hourly precipitation amounts obtained from recording rain gages located at National Weather Service, Federal Aviation Administration, and...

  9. An integrated computational tool for precipitation simulation (United States)

    Cao, W.; Zhang, F.; Chen, S.-L.; Zhang, C.; Chang, Y. A.


    Computer aided materials design is of increasing interest because the conventional approach solely relying on experimentation is no longer viable within the constraint of available resources. Modeling of microstructure and mechanical properties during precipitation plays a critical role in understanding the behavior of materials and thus accelerating the development of materials. Nevertheless, an integrated computational tool coupling reliable thermodynamic calculation, kinetic simulation, and property prediction of multi-component systems for industrial applications is rarely available. In this regard, we are developing a software package, PanPrecipitation, under the framework of integrated computational materials engineering to simulate precipitation kinetics. It is seamlessly integrated with the thermodynamic calculation engine, PanEngine, to obtain accurate thermodynamic properties and atomic mobility data necessary for precipitation simulation.

  10. Precipitation Reconstruction over Land (PREC/L) (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The monthly data set consists files of 3 resolutions of monthly averaged precipitation totals. The global analyses are defined by interpolation of gauge observations...

  11. On the Mass Balance of Asphaltene Precipitation

    DEFF Research Database (Denmark)

    Andersen, Simon Ivar; Lira-Galeana, C.; Stenby, Erling Halfdan


    In the evaluation of experimental data as well as in calculation of phase equilibria the necessity of the application of mass balances is obvious. In the case of asphaltenes the colloidal nature of these compounds may highly affect the mass balance. In the present paper several experiments are pe......, and that the material in the second precipitation step was often of higher apparent molecular weight anti had an increased overall absorbance coefficient.......In the evaluation of experimental data as well as in calculation of phase equilibria the necessity of the application of mass balances is obvious. In the case of asphaltenes the colloidal nature of these compounds may highly affect the mass balance. In the present paper several experiments...... indicates that in temperature experiments as well as in solvent series experiments the precipitation of heavy asphaltenes affects the following precipitation of lighter asphaltenes. In both cases the mass balance using standard separation techniques cannot be closed, as less material is precipitated...

  12. Satellite precipitation estimation over the Tibetan Plateau (United States)

    Porcu, F.; Gjoka, U.


    Precipitation characteristics over the Tibetan Plateau are very little known, given the scarcity of reliable and widely distributed ground observation, thus the satellite approach is a valuable choice for large scale precipitation analysis and hydrological cycle studies. However,the satellite perspective undergoes various shortcomings at the different wavelengths used in atmospheric remote sensing. In the microwave spectrum often the high soil emissivity masks or hides the atmospheric signal upwelling from light-moderate precipitation layers, while low and relatively thin precipitating clouds are not well detected in the visible-infrared, because of their low contrast with cold and bright (if snow covered) background. In this work an IR-based, statistical rainfall estimation technique is trained and applied over the Tibetan Plateau hydrological basin to retrive precipitation intensity at different spatial and temporal scales. The technique is based on a simple artificial neural network scheme trained with two supervised training sets assembled for monsoon season and for the rest of the year. For the monsoon season (estimated from June to September), the ground radar precipitation data for few case studies are used to build the training set: four days in summer 2009 are considered. For the rest of the year, CloudSat-CPR derived snowfall rate has been used as reference precipitation data, following the Kulie and Bennartz (2009) algorithm. METEOSAT-7 infrared channels radiance (at 6.7 and 11 micometers) and derived local variability features (such as local standard deviation and local average) are used as input and the actual rainrate is obtained as output for each satellite slot, every 30 minutes on the satellite grid. The satellite rainrate maps for three years (2008-2010) are computed and compared with available global precipitation products (such as C-MORPH and TMPA products) and with other techniques applied to the Plateau area: similarities and differences are

  13. Precipitation from the GPM Microwave Imager and Constellation Radiometers (United States)

    Kummerow, Christian; Randel, David; Kirstetter, Pierre-Emmanuel; Kulie, Mark; Wang, Nai-Yu


    Satellite precipitation retrievals from microwave sensors are fundamentally underconstrained requiring either implicit or explicit a-priori information to constrain solutions. The radiometer algorithm designed for the GPM core and constellation satellites makes this a-priori information explicit in the form of a database of possible rain structures from the GPM core satellite and a Bayesian retrieval scheme. The a-priori database will eventually come from the GPM core satellite's combined radar/radiometer retrieval algorithm. That product is physically constrained to ensure radiometric consistency between the radars and radiometers and is thus ideally suited to create the a-priori databases for all radiometers in the GPM constellation. Until a robust product exists, however, the a-priori databases are being generated from the combination of existing sources over land and oceans. Over oceans, the Day-1 GPM radiometer algorithm uses the TRMM PR/TMI physically derived hydrometer profiles that are available from the tropics through sea surface temperatures of approximately 285K. For colder sea surface temperatures, the existing profiles are used with lower hydrometeor layers removed to correspond to colder conditions. While not ideal, the results appear to be reasonable placeholders until the full GPM database can be constructed. It is more difficult to construct physically consistent profiles over land due to ambiguities in surface emissivities as well as details of the ice scattering that dominates brightness temperature signatures over land. Over land, the a-priori databases have therefore been constructed by matching satellite overpasses to surface radar data derived from the WSR-88 network over the continental United States through the National Mosaic and Multi-Sensor QPE (NMQ) initiative. Databases are generated as a function of land type (4 categories of increasing vegetation cover as well as 4 categories of increasing snow depth), land surface temperature and

  14. An updated Asia Pacific Consensus Recommendations on colorectal cancer screening. (United States)

    Sung, J J Y; Ng, S C; Chan, F K L; Chiu, H M; Kim, H S; Matsuda, T; Ng, S S M; Lau, J Y W; Zheng, S; Adler, S; Reddy, N; Yeoh, K G; Tsoi, K K F; Ching, J Y L; Kuipers, E J; Rabeneck, L; Young, G P; Steele, R J; Lieberman, D; Goh, K L


    Since the publication of the first Asia Pacific Consensus on Colorectal Cancer (CRC) in 2008, there are substantial advancements in the science and experience of implementing CRC screening. The Asia Pacific Working Group aimed to provide an updated set of consensus recommendations. Members from 14 Asian regions gathered to seek consensus using other national and international guidelines, and recent relevant literature published from 2008 to 2013. A modified Delphi process was adopted to develop the statements. Age range for CRC screening is defined as 50-75 years. Advancing age, male, family history of CRC, smoking and obesity are confirmed risk factors for CRC and advanced neoplasia. A risk-stratified scoring system is recommended for selecting high-risk patients for colonoscopy. Quantitative faecal immunochemical test (FIT) instead of guaiac-based faecal occult blood test (gFOBT) is preferred for average-risk subjects. Ancillary methods in colonoscopy, with the exception of chromoendoscopy, have not proven to be superior to high-definition white light endoscopy in identifying adenoma. Quality of colonoscopy should be upheld and quality assurance programme should be in place to audit every aspects of CRC screening. Serrated adenoma is recognised as a risk for interval cancer. There is no consensus on the recruitment of trained endoscopy nurses for CRC screening. Based on recent data on CRC screening, an updated list of recommendations on CRC screening is prepared. These consensus statements will further enhance the implementation of CRC screening in the Asia Pacific region. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  15. Global Precipitation Measurement (GPM) L-6 (United States)

    Neeck, Steven P.; Kakar, Ramesh K.; Azarbarzin, Ardeshir A.; Hou, Arthur Y.


    The Global Precipitation Measurement (GPM) mission will advance the measurement of global precipitation, making possible high spatial resolution precipitation measurements. GPM will provide the first opportunity to calibrate measurements of global precipitation across tropical, mid-latitude, and polar regions. The GPM mission has the following scientific objectives: (1) Advance precipitation measurement capability from space through combined use of active and passive remote-sensing techniques; (2) Advance understanding of global water/energy cycle variability and fresh water availability; (3) Improve climate prediction by providing the foundation for better understanding of surface water fluxes, soil moisture storage, cloud/precipitation microphysics and latent heat release in the Earth's atmosphere; (4) Advance Numerical Weather Prediction (NWP) skills through more accurate and frequent measurements of instantaneous rain rates; and (5) Improve high impact natural hazard (flood/drought, landslide, and hurricane hazard) prediction capabilities. The GPM mission centers on the deployment of a Core Observatory carrying an advanced radar / radiometer system to measure precipitation from space and serve as a reference standard to unify precipitation measurements from a constellation of research and operational satellites. GPM, jointly led with the Japan Aerospace Exploration Agency (JAXA), involves a partnership with other international space agencies including the French Centre National d'Études Spatiales (CNES), the Indian Space Research Organisation (ISRO), the U.S. National Oceanic and Atmospheric Administration (NOAA), the European Organisation for the Exploitation of Meteorological Satellites (EUMETSAT), and others. The GPM Core Observatory is currently being prepared for shipment to Japan for launch. Launch is scheduled for February 2014 from JAXA's Tanegashima Space Center on an H-IIA 202 launch vehicle.

  16. Kinetics of niobium carbide precipitation in ferrite

    International Nuclear Information System (INIS)

    Gendt, D.


    The aim of this study is to develop a NbC precipitation modelling in ferrite. This theoretical study is motivated by the fact it considers a ternary system and focus on the concurrence of two different diffusion mechanisms. An experimental study with TEP, SANS and Vickers micro-hardening measurements allows a description of the NbC precipitation kinetics. The mean radius of the precipitates is characterized by TEM observations. To focus on the nucleation stage, we use the Tomographic Atom Probe that analyses, at an atomistic scale, the position of the solute atoms in the matrix. A first model based on the classical nucleation theory and the diffusion-limited growth describes the precipitation of spherical precipitates. To solve the set of equations, we use a numerical algorithm that furnishes an evaluation of the precipitated fraction, the mean radius and the whole size distribution of the particles. The parameters that are the interface energy, the solubility product and the diffusion coefficients are fitted with the data available in the literature and our experimental results. It allows a satisfactory agreement as regards to the simplicity of the model. Monte Carlo simulations are used to describe the evolution of a ternary alloy Fe-Nb-C on a cubic centred rigid lattice with vacancy and interstitial mechanisms. This is realized with an atomistic description of the atoms jumps and their related frequencies. The model parameters are fitted with phase diagrams and diffusion coefficients. For the sake of simplicity, we consider that the precipitation of NbC is totally coherent and we neglect any elastic strain effect. We can observe different kinetic paths: for low supersaturations, we find an expected precipitation of NbC but for higher supersaturations, the very fast diffusivity of carbon atoms conducts to the nucleation of iron carbide particles. We establish that the occurrence of this second phenomenon depends on the vacancy arrival kinetics and can be related

  17. Precipitation Nowcast using Deep Recurrent Neural Network (United States)

    Akbari Asanjan, A.; Yang, T.; Gao, X.; Hsu, K. L.; Sorooshian, S.


    An accurate precipitation nowcast (0-6 hours) with a fine temporal and spatial resolution has always been an important prerequisite for flood warning, streamflow prediction and risk management. Most of the popular approaches used for forecasting precipitation can be categorized into two groups. One type of precipitation forecast relies on numerical modeling of the physical dynamics of atmosphere and another is based on empirical and statistical regression models derived by local hydrologists or meteorologists. Given the recent advances in artificial intelligence, in this study a powerful Deep Recurrent Neural Network, termed as Long Short-Term Memory (LSTM) model, is creatively used to extract the patterns and forecast the spatial and temporal variability of Cloud Top Brightness Temperature (CTBT) observed from GOES satellite. Then, a 0-6 hours precipitation nowcast is produced using a Precipitation Estimation from Remote Sensing Information using Artificial Neural Network (PERSIANN) algorithm, in which the CTBT nowcast is used as the PERSIANN algorithm's raw inputs. Two case studies over the continental U.S. have been conducted that demonstrate the improvement of proposed approach as compared to a classical Feed Forward Neural Network and a couple simple regression models. The advantages and disadvantages of the proposed method are summarized with regard to its capability of pattern recognition through time, handling of vanishing gradient during model learning, and working with sparse data. The studies show that the LSTM model performs better than other methods, and it is able to learn the temporal evolution of the precipitation events through over 1000 time lags. The uniqueness of PERSIANN's algorithm enables an alternative precipitation nowcast approach as demonstrated in this study, in which the CTBT prediction is produced and used as the inputs for generating precipitation nowcast.

  18. IDF-curves for precipitation In Belgium

    International Nuclear Information System (INIS)

    Mohymont, Bernard; Demarde, Gaston R.


    The Intensity-Duration-Frequency (IDF) curves for precipitation constitute a relationship between the intensity, the duration and the frequency of rainfall amounts. The intensity of precipitation is expressed in mm/h, the duration or aggregation time is the length of the interval considered while the frequency stands for the probability of occurrence of the event. IDF-curves constitute a classical and useful tool that is primarily used to dimension hydraulic structures in general, as e.g., sewer systems and which are consequently used to assess the risk of inundation. In this presentation, the IDF relation for precipitation is studied for different locations in Belgium. These locations correspond to two long-term, high-quality precipitation networks of the RMIB: (a) the daily precipitation depths of the climatological network (more than 200 stations, 1951-2001 baseline period); (b) the high-frequency 10-minutes precipitation depths of the hydro meteorological network (more than 30 stations, 15 to 33 years baseline period). For the station of Uccle, an uninterrupted time-series of more than one hundred years of 10-minutes rainfall data is available. The proposed technique for assessing the curves is based on maximum annual values of precipitation. A new analytical formula for the IDF-curves was developed such that these curves stay valid for aggregation times ranging from 10 minutes to 30 days (when fitted with appropriate data). Moreover, all parameters of this formula have physical dimensions. Finally, adequate spatial interpolation techniques are used to provide nationwide extreme values precipitation depths for short- to long-term durations With a given return period. These values are estimated on the grid points of the Belgian ALADIN-domain used in the operational weather forecasts at the RMIB.(Author)

  19. Harmonic analysis of the precipitation in Greece (United States)

    Nastos, P. T.; Zerefos, C. S.


    Greece is a country with a big variety of climates due to its geographical position, to the many mountain ranges and also to the multifarious and long coastline. The mountainous volumes are of such orientation that influences the distribution of the precipitation, having as a result, Western Greece to present great differentiations from Central and Eastern Greece. The application of harmonic analysis to the annual variability of precipitation is the goal of this study, so that the components, which compose the annual variability, be elicited. For this purpose, the mean monthly precipitation data from 30 meteorological stations of National Meteorological Service were used for the time period 1950-2000. The initial target is to reduce the number of variables and to detect structure in the relationships between variables. The most commonly used technique for this purpose is the application of Factor Analysis to a table having as columns the meteorological stations-variables and rows the monthly mean precipitation, so that 2 main factors were calculated, which explain the 98% of total variability of precipitation in Greece. Factor 1, representing the so-called uniform field and interpreting the most of the total variance, refers in fact to the Mediterranean depressions, affecting mainly the West of Greece and also the East Aegean and the Asia Minor coasts. In the process, the Fourier Analysis was applied to the factor scores extracted from the Factor Analysis, so that 2 harmonic components are resulted, which explain above the 98% of the total variability of each main factor, and are due to different synoptic and thermodynamic processes associated with Greece's precipitation construction. Finally, the calculation of the time of occurrence of the maximum precipitation, for each harmonic component of each one of the two main factors, gives the spatial distribution of appearance of the maximum precipitation in the Hellenic region.

  20. Composition of atmospheric precipitation. I. Nitrogen compounds

    Energy Technology Data Exchange (ETDEWEB)

    Eriksson, E


    The purpose of this paper is to present a survey of published data on chemical analysis of atmospheric precipitation to discuss different cycles proposed for inorganic compounds in atmospheric precipitation and, finally, to assess the importance of these compounds from different points of view. Investigations of rainwater with a view to determine atmospheric pollution in industrial areas are mentioned incidentally but no results are detailed.

  1. Scale-up of precipitation processes


    Zauner, R.


    This thesis concerns the scale-up of precipitation processes aimed at predicting product particle characteristics. Although precipitation is widely used in the chemical and pharmaceutical industry, successful scale-up is difficult due to the absence of a validated methodology. It is found that none of the conventional scale-up criteria reported in the literature (equal power input per unit mass, equal tip speed, equal stirring rate) is capable of predicting the experimentally o...

  2. Climate Prediction Center (CPC) Global Precipitation Time Series (United States)

    National Oceanic and Atmospheric Administration, Department of Commerce — The global precipitation time series provides time series charts showing observations of daily precipitation as well as accumulated precipitation compared to normal...

  3. A Survey of Precipitation Data for Environmental Modeling (United States)

    This report explores the types of precipitation data available for environmental modeling. Precipitation is the main driver in the hydrological cycle and modelers use this information to understand water quality and water availability. Models use observed precipitation informatio...

  4. Precipitation in a lead calcium tin anode

    Energy Technology Data Exchange (ETDEWEB)

    Perez-Gonzalez, Francisco A., E-mail: [Facultad de Ingenieria Mecanica y Electrica, Universidad Autonoma de Nuevo Leon (Mexico); Centro de Innovacion, Investigacion y Desarrollo en Ingenieria y Tecnologia, Universidad Autonoma de Nuevo Leon (Mexico); Camurri, Carlos G., E-mail: [Departamento de Ingenieria de Materiales, Universidad de Concepcion (Chile); Carrasco, Claudia A., E-mail: [Departamento de Ingenieria de Materiales, Universidad de Concepcion (Chile); Colas, Rafael, E-mail: [Facultad de Ingenieria Mecanica y Electrica, Universidad Autonoma de Nuevo Leon (Mexico); Centro de Innovacion, Investigacion y Desarrollo en Ingenieria y Tecnologia, Universidad Autonoma de Nuevo Leon (Mexico)


    Samples from a hot rolled sheet of a tin and calcium bearing lead alloy were solution heat treated at 300 Degree-Sign C and cooled down to room temperature at different rates; these samples were left at room temperature to study natural precipitation of CaSn{sub 3} particles. The samples were aged for 45 days before analysing their microstructure, which was carried out in a scanning electron microscope using secondary and backscattered electron detectors. Selected X-ray spectra analyses were conducted to verify the nature of the precipitates. Images were taken at different magnifications in both modes of observation to locate the precipitates and record their position within the images and calculate the distance between them. Differential scanning calorimeter analyses were conducted on selected samples. It was found that the mechanical properties of the material correlate with the minimum average distance between precipitates, which is related to the average cooling rate from solution heat treatment. - Highlights: Black-Right-Pointing-Pointer The distance between precipitates in a lead alloy is recorded. Black-Right-Pointing-Pointer The relationship between the distance and the cooling rate is established. Black-Right-Pointing-Pointer It is found that the strengthening of the alloy depends on the distance between precipitates.

  5. Flotation separation of strontium via phosphate precipitation. (United States)

    Thanh, Luong H V; Liu, J C


    Flotation separation of strontium (Sr) from wastewater via phosphate precipitation was investigated. While 37.33% of Sr precipitated at highly alkaline pH in the absence of PO 4 3- , it completely precipitated as Sr 3 (PO 4 ) 2 at a molar ratio ([PO 4 3- ]:[Sr 2+ ]) of 0.62 at a lower pH value. The presence of Ca 2+ hindered Sr precipitation, yet it could be overcome by increasing the PO 4 3- dose. Sodium dodecyl sulfate (SDS) was a better collector for dispersed air flotation of Sr 3 (PO 4 ) 2 than cetyl trimethyl ammonium bromide, or mixed collector systems of SDS and saponin. The highest separation efficiency of 97.5% was achieved at an SDS dose of 40 mg/L. The main mechanism in the precipitate flotation is adsorption of anionic SDS on the positively charged surface of colloidal Sr 3 (PO 4 ) 2 via electrostatic interaction. SDS enhanced the aggregation of Sr 3 (PO 4 ) 2 precipitates as the size increased from 1.65 to 28.0 μm, which was beneficial to separation as well.

  6. Mechanisms affecting swelling in alloys with precipitates

    International Nuclear Information System (INIS)

    Mansur, L.K.; Haynes, M.R.; Lee, E.H.


    In alloys under irradiation many mechanisms exist that couple phase instability to cavity swelling. These are compounded with the more familiar mechanisms associated with point defect behavior and the evolution of microstructure. The mechanisms may be classified according to three modes of operation. Some affect cavity swelling directly by cavity-precipitate particle association, others operate indirectly by precipitate-induced changes in sinks other than cavities and finally there are mechanisms that are mediated by precipitate-induced changes in the host matrix. The physics of one mechanism of each type is developed in detail and the results compared where possible to experimental measurements. In particular, we develop the theory necessary to treat the effects on swelling of precipitation-induced changes in overall sink density; precipitation-induced changes in point defect trapping by solute depletion and creation of precipitate particle-matrix interfacial trap sites; and preciwill come from waste wood available locally requiring minimal energy for recovery and transportation to the site. The applicant is strongly considering the use of a solar preheating unit anium southward as well as to deeper dened al half-lives with experimental ones, over a range of 24 orders of magnitude was obtained. This is a strong argument that the alpha decay could be considered a fission process with very high mass asymmetry and charge density asymmetry

  7. How is climate change impacting precipitation? (United States)

    Heidari, A.; Houser, P. R.


    Water is an integrating component of the climate, energy and geochemical cycles, regulating biological and ecological activities at all spatial and temporal scales. The most significant climate warming manifestation would be a change in the distribution of precipitation and evaporation, and the exacerbation of extreme hydrologic events. Due to this phenomenon and the fact that precipitation is the most important component of the water cycle, the assumption of its stationarity for water management and engineering design should be examined closely. The precipitation Annual Maximum Series (AMS) over some stations in Virginia based on in situ data were been used as a starting point to examine this important issue. We analyzed the AMS precipitation on NOAA data for the stations close to Fairfax VA, looked for trends in extreme values, and applied our new method of Generalized Extreme Value (GEV) theory based on quadratic forms to address changes in those extreme values and to quantify non-stationarities. It is very important to address the extreme values of precipitation based on several statistical tests to have better understanding of climate change impact on the extreme water cycle events. In our study we compared our results with the conclusion on NOAA atlas 14 Ap.3 which found no sign of precipitation non-stationarity. We then assessed the impact of this uncertainty in IDF curves on the flood map of Fairfax and compared the results with the classic IDF curves.

  8. Precipitation in a lead calcium tin anode

    International Nuclear Information System (INIS)

    Pérez-González, Francisco A.; Camurri, Carlos G.; Carrasco, Claudia A.; Colás, Rafael


    Samples from a hot rolled sheet of a tin and calcium bearing lead alloy were solution heat treated at 300 °C and cooled down to room temperature at different rates; these samples were left at room temperature to study natural precipitation of CaSn 3 particles. The samples were aged for 45 days before analysing their microstructure, which was carried out in a scanning electron microscope using secondary and backscattered electron detectors. Selected X-ray spectra analyses were conducted to verify the nature of the precipitates. Images were taken at different magnifications in both modes of observation to locate the precipitates and record their position within the images and calculate the distance between them. Differential scanning calorimeter analyses were conducted on selected samples. It was found that the mechanical properties of the material correlate with the minimum average distance between precipitates, which is related to the average cooling rate from solution heat treatment. - Highlights: ► The distance between precipitates in a lead alloy is recorded. ► The relationship between the distance and the cooling rate is established. ► It is found that the strengthening of the alloy depends on the distance between precipitates.

  9. Precipitation of ammonium diuranate : a study

    International Nuclear Information System (INIS)

    Krishnamoorthy, T.S.; Mahadevan, N.; Sankar Das, M.


    The precipitation of ammonium diuranate (ADU) forms the first step in the production of UO 2 fuel for reactors, and hence the quality and consistency of the ADU precipitate is very important in industrial operations. An investigation, on the precipitation of ADU, was carried out under conditions similar to those in industrial production, to evaluate the effect of various variables on the consistency and the quality of ADU. The variables studied were concentration of uranium and ammonia, pH, temperature and form of ammonia (gas or solution). The properties studied were the settling rate of the precipitates, surface area of the ADUs and calcined oxides and compositional characteristics of the ADUs. Multifactorial experiments and ruggedness tests were applied to identify the parameters to which the precipitation process is most vulnerable, so that such parameters may be controlled effectively. Besides, the effect and the importance of equilibrium conditions during the precipitation process, on the quality of the final ADU, was also established. The paper presents the results of these studies. (author). 6 refs., 3 figs., 7 tabs

  10. Global Precipitation Responses to Land Hydrological Processes (United States)

    Lo, M.; Famiglietti, J. S.


    Several studies have established that soil moisture increases after adding a groundwater component in land surface models due to the additional supply of subsurface water. However, impacts of groundwater on the spatial-temporal variability of precipitation have received little attention. Through the coupled groundwater-land-atmosphere model (NCAR Community Atmosphere Model + Community Land Model) simulations, this study explores how groundwater representation in the model alters the precipitation spatiotemporal distributions. Results indicate that the effect of groundwater on the amount of precipitation is not globally homogeneous. Lower tropospheric water vapor increases due to the presence of groundwater in the model. The increased water vapor destabilizes the atmosphere and enhances the vertical upward velocity and precipitation in tropical convective regions. Precipitation, therefore, is inhibited in the descending branch of convection. As a result, an asymmetric dipole is produced over tropical land regions along the equator during the summer. This is analogous to the "rich-get-richer" mechanism proposed by previous studies. Moreover, groundwater also increased short-term (seasonal) and long-term (interannual) memory of precipitation for some regions with suitable groundwater table depth and found to be a function of water table depth. Based on the spatial distributions of the one-month-lag autocorrelation coefficients as well as Hurst coefficients, air-land interaction can occur from short (several months) to long (several years) time scales. This study indicates the importance of land hydrological processes in the climate system and the necessity of including the subsurface processes in the global climate models.

  11. Experimental droughts: Are precipitation variability and methodological trends hindering our understanding of ecological sensitivities to drought? (United States)

    Hoover, D. L.; Wilcox, K.; Young, K. E.


    Droughts are projected to increase in frequency and intensity with climate change, which may have dramatic and prolonged effects on ecosystem structure and function. There are currently hundreds of published, ongoing, and new drought experiments worldwide aimed to assess ecosystem sensitivities to drought and identify the mechanisms governing ecological resistance and resilience. However, to date, the results from these experiments have varied widely, and thus patterns of drought sensitivities have been difficult to discern. This lack of consensus at the field scale, limits the abilities of experiments to help improve land surface models, which often fail to realistically simulate ecological responses to extreme events. This is unfortunate because models offer an alternative, yet complementary approach to increase the spatial and temporal assessment of ecological sensitivities to drought that are not possible in the field due to logistical and financial constraints. Here we examined 89 published drought experiments, along with their associated historical precipitation records to (1) identify where and how drought experiments have been imposed, (2) determine the extremity of drought treatments in the context of historical climate, and (3) assess the influence of precipitation variability on drought experiments. We found an overall bias in drought experiments towards short-term, extreme experiments in water-limited ecosystems. When placed in the context of local historical precipitation, most experimental droughts were extreme, with 61% below the 5th, and 43% below the 1st percentile. Furthermore, we found that interannual precipitation variability had a large and potentially underappreciated effect on drought experiments due to the co-varying nature of control and drought treatments. Thus detecting ecological effects in experimental droughts is strongly influenced by the interaction between drought treatment magnitude, precipitation variability, and key

  12. Precipitation from Space: Advancing Earth System Science (United States)

    Kucera, Paul A.; Ebert, Elizabeth E.; Turk, F. Joseph; Levizzani, Vicenzo; Kirschbaum, Dalia; Tapiador, Francisco J.; Loew, Alexander; Borsche, M.


    Of the three primary sources of spatially contiguous precipitation observations (surface networks, ground-based radar, and satellite-based radar/radiometers), only the last is a viable source over ocean and much of the Earth's land. As recently as 15 years ago, users needing quantitative detail of precipitation on anything under a monthly time scale relied upon products derived from geostationary satellite thermal infrared (IR) indices. The Special Sensor Microwave Imager (SSMI) passive microwave (PMW) imagers originated in 1987 and continue today with the SSMI sounder (SSMIS) sensor. The fortunate longevity of the joint National Aeronautics and Space Administration (NASA) and Japan Aerospace Exploration Agency (JAXA) Tropical Rainfall Measuring Mission (TRMM) is providing the environmental science community a nearly unbroken data record (as of April 2012, over 14 years) of tropical and sub-tropical precipitation processes. TRMM was originally conceived in the mid-1980s as a climate mission with relatively modest goals, including monthly averaged precipitation. TRMM data were quickly exploited for model data assimilation and, beginning in 1999 with the availability of near real time data, for tropical cyclone warnings. To overcome the intermittently spaced revisit from these and other low Earth-orbiting satellites, many methods to merge PMW-based precipitation data and geostationary satellite observations have been developed, such as the TRMM Multisatellite Precipitation Product and the Climate Prediction Center (CPC) morphing method (CMORPH. The purpose of this article is not to provide a survey or assessment of these and other satellite-based precipitation datasets, which are well summarized in several recent articles. Rather, the intent is to demonstrate how the availability and continuity of satellite-based precipitation data records is transforming the ways that scientific and societal issues related to precipitation are addressed, in ways that would not be

  13. Case detection and diagnosis of primary aldosteronism – The consensus of Taiwan Society of Aldosteronism

    Directory of Open Access Journals (Sweden)

    Vin-Cent Wu


    Full Text Available Background/Purpose: Even though the increasing clinical recognition of primary aldosteronism (PA as a public health issue, its heightened risk profiles and the availability of targeted surgical/medical treatment being more understood, consensus in its diagnosis and management based on medical evidence, while recognizing the constraints of our real-world clinical practice in Taiwan, has not been reached. Methods: The Taiwan Society of Aldosteronism (TSA Task Force acknowledges the above-mentioned issues and reached this Taiwan PA consensus at its inaugural meeting, in order to provide updated information of internationally acceptable standards, and also to incorporate our local disease characteristics into the management of PA. Results: When there is suspicion of PA, a plasma aldosterone to renin ratio (ARR should be obtained initially. Patients with abnormal ARR will undergo confirmatory laboratory and image tests. Subtype classification with adrenal venous sampling (AVS or NP-59 nuclear imaging, if AVS not available, to lateralize PA is recommended when patients are considered for adrenalectomy. The strengths and weaknesses of the currently available identification methods are discussed, focusing especially on result interpretation. Conclusion: With this consensus we hope to raise more awareness of PA among medical professionals and hypertensive patients in Taiwan, and to facilitate reconciliation of better detection, identification and treatment of patients with PA. Index words: Primary aldosteronism, Guideline, TAIPAI, TSA

  14. In Vitro, in Silico, and in Vivo Assessments of Intestinal Precipitation and Its Impact on Bioavailability of a BCS Class 2 Basic Compound. (United States)

    Kou, Dawen; Zhang, Chen; Yiu, Hiuwing; Ng, Tania; Lubach, Joseph W; Janson, Matthew; Mao, Chen; Durk, Matthew; Chinn, Leslie; Winter, Helen; Wigman, Larry; Yehl, Peter


    In this study, a multipronged approach of in vitro experiments, in silico simulations, and in vivo studies was developed to evaluate the dissolution, supersaturation, precipitation, and absorption of three formulations of Compound-A, a BCS class 2 weak base with pH-dependent solubility. In in vitro 2-stage dissolution experiments, the solutions were highly supersaturated with no precipitation at the low dose but increasing precipitation at higher doses. No difference in precipitation was observed between the capsules and tablets. The in vitro precipitate was found to be noncrystalline with higher solubility than the crystalline API, and was readily soluble when the drug concentration was lowered by dilution. A gastric transit and biphasic dissolution (GTBD) model was developed to better mimic gastric transfer and intestinal absorption. Precipitation was also observed in GTBD, but the precipitate redissolved and partitioned into the organic phase. In vivo data from the phase 1 clinical trial showed linear and dose proportional PK for the formulations with no evidence of in vivo precipitation. While the in vitro precipitation observed in the 2-stage dissolution appeared to overestimate in vivo precipitation, the GTBD model provided absorption profiles consistent with in vivo data. In silico simulation of plasma concentrations by GastroPlus using biorelevant in vitro dissolution data from the tablets and capsules and assuming negligible precipitation was in line with the observed in vivo profiles of the two formulations. The totality of data generated with Compound-A indicated that the bioavailability differences among the three formulations were better explained by the differences in gastric dissolution than intestinal precipitation. The lack of intestinal precipitation was consistent with several other BCS class 2 basic compounds in the literature for which highly supersaturated concentrations and rapid absorption were also observed.


    National Aeronautics and Space Administration — The GPM Ground Validation Precipitation Video Imager (PVI) GCPEx dataset collected precipitation particle images and drop size distribution data from November 2011...

  16. World Endometriosis Society consensus on the classification of endometriosis. (United States)

    Johnson, Neil P; Hummelshoj, Lone; Adamson, G David; Keckstein, Jörg; Taylor, Hugh S; Abrao, Mauricio S; Bush, Deborah; Kiesel, Ludwig; Tamimi, Rulla; Sharpe-Timms, Kathy L; Rombauts, Luk; Giudice, Linda C


    What is the global consensus on the classification of endometriosis that considers the views of women with endometriosis? We have produced an international consensus statement on the classification of endometriosis through systematic appraisal of evidence and a consensus process that included representatives of national and international, medical and non-medical societies, patient organizations, and companies with an interest in endometriosis. Classification systems of endometriosis, developed by several professional organizations, traditionally have been based on lesion appearance, pelvic adhesions, and anatomic location of disease. One system predicts fertility outcome and none predicts pelvic pain, response to medications, disease recurrence, risks for associated disorders, quality of life measures, and other endpoints important to women and health care providers for guiding appropriate therapeutic options and prognosis. A consensus meeting, in conjunction with pre- and post-meeting processes, was undertaken. A consensus meeting was held on 30 April 2014 in conjunction with the World Endometriosis Society's 12th World Congress on Endometriosis. Rigorous pre- and post-meeting processes, involving 55 representatives of 29 national and international, medical and non-medical organizations from a range of disciplines, led to this consensus statement. A total of 28 consensus statements were made. Of all, 10 statements had unanimous consensus, however none of the statements was made without expression of a caveat about the strength of the statement or the statement itself. Two statements did not achieve majority consensus. The statements covered women's priorities, aspects of classification, impact of low resources, as well as all the major classification systems for endometriosis. Until better classification systems are developed, we propose a classification toolbox (that includes the revised American Society for Reproductive Medicine and, where appropriate, the

  17. Future changes of precipitation characteristics in China (United States)

    Wu, S.; Wu, Y.; Wen, J.


    Global warming has the potential to alter the hydrological cycle, with significant impacts on the human society, the environment and ecosystems. This study provides a detailed assessment of potential changes in precipitation characteristics in China using a suite of 12 high-resolution CMIP5 climate models under a medium and a high Representative Concentration Pathways: RCP4.5 and RCP8.5. We examine future changes over the entire distribution of precipitation, and identify any shift in the shape and/or scale of the distribution. In addition, we use extreme-value theory to evaluate the change in probability and magnitude for extreme precipitation events. Overall, China is going to experience an increase in total precipitation (by 8% under RCP4.5 and 12% under RCP8.5). This increase is uneven spatially, with more increase in the west and less increase in the east. Precipitation frequency is projected to increase in the west and decrease in the east. Under RCP4.5, the overall precipitation frequency for the entire China remains largely unchanged (0.08%). However, RCP8.5 projects a more significant decrease in frequency for large part of China, resulting in an overall decrease of 2.08%. Precipitation intensity is likely increase more uniformly, with an overall increase of 11% for RCP4.5 and 19% for RCP8.5. Precipitation increases for all parts of the distribution, but the increase is more for higher quantiles, i.e. strong events. The relative contribution of small quantiles is likely to decrease, whereas contribution from heavy events is likely to increase. Extreme precipitation increase at much higher rates than average precipitation, and high rates of increase are expected for more extreme events. 1-year events are likely to increase by 15%, but 20-year events are going to increase by 21% under RCP4.5, 26% and 40% respectively under RCP8.5. The increase of extreme events is likely to be more spatially uniform.

  18. Regional climate scenarios - A study on precipitation

    International Nuclear Information System (INIS)

    Hesselbjerg Christensen, J.; Boessing Christensen, O.


    A set of nested climate change simulations for the Nordic region and Denmark has been revisited. In the present work we have re-examined the results of CCMB and MBC with special emphasis on precipitation intensity frequencies, in particular the more extreme part of the frequency distribution. It has been demonstrated that the role of extreme precipitation events appears to be more realistically described in a high-resolution model, in terms of numerical agreement as well as seasonal variation. This is mainly due to a better simulation of deep low-pressure systems and mesoscale circulation. Generally, the analysis has confirmed the results from CCMB, but furthermore a resolution effect has been identified which seems essential to the understanding of climate change effects on the extreme end of the precipitation intensity distribution. In order to analyse the role of the model resolution we have aggregated both the nested model data and observational records to the GCM grid from the driving AOGCM. It was found that, in spite of changes in absolute numbers, the seasonal behaviour of decay constants does not change appreciably because of the aggregation. The RCM results show a seasonal behaviour very similar to an observed data set. It is therefore concluded that the GCM has an unrealistic simulation of the dependence of heavy precipitation on climate, as manifested in seasonal variation. In contrast, the regional simulations remain close to observation in this respect. Furthermore, they agree on a conclusion that extreme precipitation generally scales with average precipitation (no significant change in decay constants were detected), but that crucial summer season may be an exception, exhibiting an anomalous increase in heavy precipitation due to the anthropogenic greenhouse effect. The analysis has only been performed over Denmark due to lack of daily observational data for other regions. It is, however, necessary to extend the work to other areas, for instance

  19. Global Precipitation Measurement (GPM) Mission: Precipitation Processing System (PPS) GPM Mission Gridded Text Products Provide Surface Precipitation Retrievals (United States)

    Stocker, Erich Franz; Kelley, O.; Kummerow, C.; Huffman, G.; Olson, W.; Kwiatkowski, J.


    In February 2015, the Global Precipitation Measurement (GPM) mission core satellite will complete its first year in space. The core satellite carries a conically scanning microwave imager called the GPM Microwave Imager (GMI), which also has 166 GHz and 183 GHz frequency channels. The GPM core satellite also carries a dual frequency radar (DPR) which operates at Ku frequency, similar to the Tropical Rainfall Measuring Mission (TRMM) Precipitation Radar, and a new Ka frequency. The precipitation processing system (PPS) is producing swath-based instantaneous precipitation retrievals from GMI, both radars including a dual-frequency product, and a combined GMIDPR precipitation retrieval. These level 2 products are written in the HDF5 format and have many additional parameters beyond surface precipitation that are organized into appropriate groups. While these retrieval algorithms were developed prior to launch and are not optimal, these algorithms are producing very creditable retrievals. It is appropriate for a wide group of users to have access to the GPM retrievals. However, for researchers requiring only surface precipitation, these L2 swath products can appear to be very intimidating and they certainly do contain many more variables than the average researcher needs. Some researchers desire only surface retrievals stored in a simple easily accessible format. In response, PPS has begun to produce gridded text based products that contain just the most widely used variables for each instrument (surface rainfall rate, fraction liquid, fraction convective) in a single line for each grid box that contains one or more observations.This paper will describe the gridded data products that are being produced and provide an overview of their content. Currently two types of gridded products are being produced: (1) surface precipitation retrievals from the core satellite instruments GMI, DPR, and combined GMIDPR (2) surface precipitation retrievals for the partner constellation

  20. Modeling winter precipitation over the Juneau Icefield, Alaska, using a linear model of orographic precipitation (United States)

    Roth, Aurora; Hock, Regine; Schuler, Thomas V.; Bieniek, Peter A.; Pelto, Mauri; Aschwanden, Andy


    Assessing and modeling precipitation in mountainous areas remains a major challenge in glacier mass balance modeling. Observations are typically scarce and reanalysis data and similar climate products are too coarse to accurately capture orographic effects. Here we use the linear theory of orographic precipitation model (LT model) to downscale winter precipitation from a regional climate model over the Juneau Icefield, one of the largest ice masses in North America (>4000 km2), for the period 1979-2013. The LT model is physically-based yet computationally efficient, combining airflow dynamics and simple cloud microphysics. The resulting 1 km resolution precipitation fields show substantially reduced precipitation on the northeastern portion of the icefield compared to the southwestern side, a pattern that is not well captured in the coarse resolution (20 km) WRF data. Net snow accumulation derived from the LT model precipitation agrees well with point observations across the icefield. To investigate the robustness of the LT model results, we perform a series of sensitivity experiments varying hydrometeor fall speeds, the horizontal resolution of the underlying grid, and the source of the meteorological forcing data. The resulting normalized spatial precipitation pattern is similar for all sensitivity experiments, but local precipitation amounts vary strongly, with greatest sensitivity to variations in snow fall speed. Results indicate that the LT model has great potential to provide improved spatial patterns of winter precipitation for glacier mass balance modeling purposes in complex terrain, but ground observations are necessary to constrain model parameters to match total amounts.

  1. Interannual variation of annual precipitation and urban effect on precipitation in the Beijing region

    Institute of Scientific and Technical Information of China (English)


    The large scale character of the interannual variation of precipitation and the urban effect on local annual precipitation anomaly are investigated in this paper based on the 1960-2000 annual precipitation observations at 20 stations in the Beijing region. The results show that: the annual precipitation in the Beijing region possesses the large scale variation character with the linear trend of - 1.197/10 yr, which corresponds to a total reduction of 27.82 mm in annual precipitation in the 41 years; the local annual precipitation anomalies (percent of the normal 1960-2000) show a positive center near the urban area, i.e. urban precipitation island (UPI), whose intensity increases with the linear trend of 0. 6621%/10 yr, opposite to the interannual trend of large scale precipitation over the Beijing region; changes in the UPI are also associated with the intensity of synoptic processes of precipitation, and when the synoptic processes are strong (wet years), the intensity of UPI strengthens, while the synoptic processes are weak (dry years), and the UPI disappears in the Beijing region.

  2. DWPF integrated cold runs revised technical bases for precipitate hydrolysis

    International Nuclear Information System (INIS)

    Landon, L.F.


    The report defines new precipitate hydrolysis process operating parameters for DWPF Chemical runs assuming the precipitate feed simulants to be processed reflect the decision to implement a final wash of the tetraphenylborate slurry before transfer to DWPF (i.e. the Late Wash Facility). Control of the nitrite content of the tetraphenylborate slurry to 0.01M or less has eliminated the need for hydroxylamine nitrate (HAN) during hydrolysis. Consequently, the oxidant nitrous oxide will not be generated. However, nitric oxide (NO) is expected to be generated (reaction of formic acid with nitrite) and some fraction of the NO can be expected to be oxidized to nitrogen dioxide. The rate of NO generation with low nitrite feed has not been quantified at this time nor is the extent to which the NO is oxidized to NO 2 known. A mass spectrometer is being installed in the Precipitate Hydrolysis Experimental Facility (PHEF) which will enable the NO generation rate to be defined as well as the extent to which the NO is oxidized to NO 2 . There is some undocumented data available for C 6 H 6 /NO and C 6 H 6 /NO 2 with N 2 as the diluent but no similar data for CO 2 . Development of test data in the required time frame is not possible. However, MOC's will be estimated for benzene/NO/NO 2 /CO 2 gas mixtures (the MOC is expected to be approximately 60% less than for the HAN process). Once these data are obtained, and NO/NO 2 concentration profiles are obtained from PHEF hydrolysis process demonstrations, a flammability control strategy for the DWPF Salt Processing Cell will be developed. Implementation of the HAN process purge strategy upon startup of the SPC with the late wash process would be conservative

  3. Consensus on Recording Deep Endometriosis Surgery: the CORDES statement. (United States)

    Vanhie, A; Meuleman, C; Tomassetti, C; Timmerman, D; D'Hoore, A; Wolthuis, A; Van Cleynenbreugel, B; Dancet, E; Van den Broeck, U; Tsaltas, J; Renner, S P; Ebert, A D; Carmona, F; Abbott, J; Stepniewska, A; Taylor, H; Saridogan, E; Mueller, M; Keckstein, J; Pluchino, N; Janik, G; Zupi, E; Minelli, L; Cooper, M; Dunselman, G; Koh, C; Abrao, M S; Chapron, C; D'Hooghe, T


    Which essential items should be recorded before, during and after endometriosis surgery and in clinical outcome based surgical trials in patients with deep endometriosis (DE)? A DE surgical sheet (DESS) was developed for standardized reporting of the surgical treatment of DE and an international expert consensus proposal on relevant items that should be recorded in surgical outcome trials in women with DE. Surgery is an important treatment for symptomatic DE. So far, data have been reported in such a way that comparison of different surgical techniques is impossible. Therefore, we present an international expert proposal for standardized reporting of surgical treatment and surgical outcome trials in women with DE. International expert consensus based on a systematic review of literature. Taking into account recommendations from Consolidated Standards of Reporting Trials (CONSORT), the Innovation Development Exploration Assessment and Long-term Study (IDEAL), the Initiative on Methods, Measurement and Pain Assessment in Clinical trials (IMMPACT) and the World Endometriosis Research Foundation Phenome and Biobanking Harmonisation Project (WERF EPHect), a systematic literature review on surgical treatment of DE was performed and resulted in a proposal for standardized reporting, adapted by contributions from eight members of the multidisciplinary Leuven University Hospitals Endometriosis Care Program, from 18 international experts and from audience feedback during three international meetings. We have developed the DESS to record in detail the surgical procedures for DE, and an international consensus on pre-, intra- and post-operative data that should be recorded in surgical outcome trials on DE. The recommendations in this paper represent a consensus among international experts based on a systematic review of the literature. For several items and recommendations, high-quality RCTs were not available. Further research is needed to validate and evaluate the

  4. Two case studies on NARCCAP precipitation extremes (United States)

    Weller, Grant B.; Cooley, Daniel; Sain, Stephan R.; Bukovsky, Melissa S.; Mearns, Linda O.


    We introduce novel methodology to examine the ability of six regional climate models (RCMs) in the North American Regional Climate Change Assessment Program (NARCCAP) ensemble to simulate past extreme precipitation events seen in the observational record over two different regions and seasons. Our primary objective is to examine the strength of daily correspondence of extreme precipitation events between observations and the output of both the RCMs and the driving reanalysis product. To explore this correspondence, we employ methods from multivariate extreme value theory. These methods require that we account for marginal behavior, and we first model and compare climatological quantities which describe tail behavior of daily precipitation for both the observations and model output before turning attention to quantifying the correspondence of the extreme events. Daily precipitation in a West Coast region of North America is analyzed in two seasons, and it is found that the simulated extreme events from the reanalysis-driven NARCCAP models exhibit strong daily correspondence to extreme events in the observational record. Precipitation over a central region of the United States is examined, and we find some daily correspondence between winter extremes simulated by reanalysis-driven NARCCAP models and those seen in observations, but no such correspondence is found for summer extremes. Furthermore, we find greater discrepancies among the NARCCAP models in the tail characteristics of the distribution of daily summer precipitation over this region than seen in precipitation over the West Coast region. We find that the models which employ spectral nudging exhibit stronger tail dependence to observations in the central region.

  5. European academy of dermatology and venereology European prurigo project: expert consensus on the definition, classification and terminology of chronic prurigo. (United States)

    Pereira, M P; Steinke, S; Zeidler, C; Forner, C; Riepe, C; Augustin, M; Bobko, S; Dalgard, F; Elberling, J; Garcovich, S; Gieler, U; Gonçalo, M; Halvorsen, J A; Leslie, T A; Metz, M; Reich, A; Şavk, E; Schneider, G; Serra-Baldrich, E; Ständer, H F; Streit, M; Wallengren, J; Weller, K; Wollenberg, A; Bruland, P; Soto-Rey, I; Storck, M; Dugas, M; Weisshaar, E; Szepietowski, J C; Legat, F J; Ständer, S


    The term prurigo has been used for many decades in dermatology without clear definition, and currently used terminology of prurigo is inconsistent and confusing. Especially, itch-related prurigo remains unexplored regarding the epidemiology, clinical profile, natural course, underlying causes, available treatments and economic burden, although burdensome and difficult to treat. To address these issues, the multicentre European Prurigo Project (EPP) was designed to increase knowledge on chronic prurigo (CPG). In the first step, European experts of the EADV Task Force Pruritus (TFP) aimed to achieve a consensus on the definition, classification and terminology of CPG. Additionally, procedures of the cross-sectional EPP were discussed and agreed upon. Discussions and surveys between members of the TFP served as basis for a consensus conference. Using the Delphi method, consensus was defined as an agreement ≥75% among the present members. Twenty-four members of the TFP participated in the consensus conference. Experts consented that CPG should be used as an umbrella term for the range of clinical manifestations (e.g. papular, nodular, plaque or umbilicated types). CPG is considered a distinct disease defined by the presence of chronic pruritus for ≥6 weeks, history and/or signs of repeated scratching and multiple localized/generalized pruriginous skin lesions (whitish or pink papules, nodules and/or plaques). CPG occurs due to a neuronal sensitization to itch and the development of an itch-scratch cycle. This new definition and terminology of CPG should be implemented in dermatology to harmonize communication in the clinical routine, clinical trials and scientific literature. Acute/subacute forms of prurigo are separated entities, which need to be differentiated from CPG and will be discussed in a next step. In the near future, the cross-sectional EPP will provide relevant clinical data on various aspects of CPG leading to new directions in the scientific

  6. Learning Gene Regulatory Networks Computationally from Gene Expression Data Using Weighted Consensus

    KAUST Repository

    Fujii, Chisato


    the performance of the consensus. The linear programming- based consensus method is evaluated and it had the best performance on in silico and Saccharomyces cerevisiae networks, and the second best on the Escherichia coli network outperformed by Inferelator

  7. Climate change and precipitation: Detecting changes Climate change and precipitation: Detecting changes

    International Nuclear Information System (INIS)

    Van Boxel, John H


    Precipitation is one of the most, if not the most important climate parameter In most studies on climate change the emphasis is on temperature and sea level rise. Often too little attention is given to precipitation. For a large part this is due to the large spatial en temporal variability of precipitation, which makes the detection of changes difficult. This paper describes methods to detect changes in precipitation. In order to arrive at statistically significant changes one must use long time series and spatial averages containing the information from several stations. In the Netherlands the average yearly precipitation increased by 11% during the 20th century .In the temperate latitudes on the Northern Hemisphere (40-60QN) the average increase was about 7% over the 20th century and the globally averaged precipitation increased by about 3%. During the 20th century 38% of the land surface of the earth became wetter, 42% experienced little change (less than 5% change) and 20% became dryer. More important than the average precipitation is the occurrence of extremes. In the Netherlands there is a tendency to more extreme precipitations, whereas the occurrence of relatively dry months has not changed. Also in many other countries increases in heavy precipitation events are observed. All climate models predict a further increase of mean global precipitation if the carbon dioxide concentration doubles. Nevertheless some areas get dryer, others have little change and consequently there are also areas where the increase is much more than the global average. On a regional scale however there are large differences between the models. Climate models do not yet provide adequate information on changes in extreme precipitations

  8. A savanna response to precipitation intensity.

    Directory of Open Access Journals (Sweden)

    Ryan S Berry

    Full Text Available As the atmosphere warms, precipitation events are becoming less frequent but more intense. A three-year experiment in Kruger National Park, South Africa, found that fewer, more intense precipitation events encouraged woody plant encroachment. To test whether or not these treatment responses persisted over time, here, we report results from all five years of that experiment. Grass growth, woody plant growth, total fine root number and area and hydrologic tracer uptake by grasses and woody plants were measured in six treated plots (8 m by 8 m and six control plots. Treatment effects on soil moisture were measured continuously in one treated and one control plot. During the fourth year, increased precipitation intensity treatments continued to decrease water flux in surface soils (0-10 cm, increase water flux in deeper soils (20+ cm, decrease grass growth and increase woody plant growth. Greater root numbers at 20-40 cm and greater woody plant uptake of a hydrological tracer from 45-60 cm suggested that woody plants increased growth by increasing root number and activity (but not root area in deeper soils. During the fifth year, natural precipitation events were large and intense so treatments had little effect on precipitation intensity or plant available water. Consistent with this effective treatment removal, there was no difference in grass or woody growth rates between control and treated plots, although woody plant biomass remained higher in treated than control plots due to treatment effects in the previous four years. Across the five years of this experiment, we found that 1 small increases in precipitation intensity can result in large increases in deep (20-130 cm soil water availability, 2 plant growth responses to precipitation intensity are rapid and disappear quickly, and 3 because woody plants accumulate biomass, occasional increases in precipitation intensity can result in long-term increases in woody plant biomass (i.e., shrub

  9. Secondary Coordinated Control of Islanded Microgrids Based on Consensus Algorithms

    DEFF Research Database (Denmark)

    Wu, Dan; Dragicevic, Tomislav; Vasquez, Juan Carlos


    systems. Nevertheless, the conventional decentralized secondary control, although does not need to be implemented in a microgrid central controller (MGCC), it has the limitation that all decentralized controllers must be mutually synchronized. In a clear cut contrast, the proposed secondary control......This paper proposes a decentralized secondary control for islanded microgrids based on consensus algorithms. In a microgrid, the secondary control is implemented in order to eliminate the frequency changes caused by the primary control when coordinating renewable energy sources and energy storage...... requires only a more simplified communication protocol and a sparse communication network. Moreover, the proposed approach based on dynamic consensus algorithms is able to achieve the coordinated secondary performance even when all units are initially out-of-synchronism. The control algorithm implemented...

  10. Consensus, Polarization, and Alignment in the Economics Profession

    Directory of Open Access Journals (Sweden)

    Tod S. Van Gunten


    Full Text Available Scholars interested in the political influence of the economics profession debate whether the discipline is unified by policy consensus or divided among competing schools or factions. We address this question by reanalyzing a unique recent survey of elite economists. We present a theoretical framework based on a formal sociological approach to the structure of belief systems and propose alignment, rather than consensus or polarization, as a model for the structure of belief in the economics profession. Moreover, we argue that social clustering in a heterogeneous network topology is a better model for disciplinary social structure than discrete factionalization. Results show that there is a robust latent ideological dimension related to economists’ departmental affiliations and political partisanship. Furthermore, we show that economists closer to one another in informal social networks also share more similar ideologies.

  11. Automating the expert consensus paradigm for robust lung tissue classification (United States)

    Rajagopalan, Srinivasan; Karwoski, Ronald A.; Raghunath, Sushravya; Bartholmai, Brian J.; Robb, Richard A.


    Clinicians confirm the efficacy of dynamic multidisciplinary interactions in diagnosing Lung disease/wellness from CT scans. However, routine clinical practice cannot readily accomodate such interactions. Current schemes for automating lung tissue classification are based on a single elusive disease differentiating metric; this undermines their reliability in routine diagnosis. We propose a computational workflow that uses a collection (#: 15) of probability density functions (pdf)-based similarity metrics to automatically cluster pattern-specific (#patterns: 5) volumes of interest (#VOI: 976) extracted from the lung CT scans of 14 patients. The resultant clusters are refined for intra-partition compactness and subsequently aggregated into a super cluster using a cluster ensemble technique. The super clusters were validated against the consensus agreement of four clinical experts. The aggregations correlated strongly with expert consensus. By effectively mimicking the expertise of physicians, the proposed workflow could make automation of lung tissue classification a clinical reality.

  12. Multilevel stake holder consensus building in radioactive waste management

    International Nuclear Information System (INIS)

    Dreimanis, Andrejs


    Full text: The increased demand of our society to its quality of life, global security and environmental safety as well as to observing a basic ethical principle of equity have advanced our attitude towards the recent proposals to develop shared multinational projects in the use of nuclear energy technologies, in particular, to: a) Siting of shared deep repositories for high-level radioactive waste (RW) and spent nuclear fuel safe disposal. In turn, arrangement of multinational facilities requires to gain more complex consensus between all involved parties. Method: We propose an interdisciplinary synergetic approach to multilevel consensus building for siting and construction of shared multinational repositories for RW deep disposal, based on self-organization (SO) of various stake holders, chaos and fuzziness concepts as well as Ashby principle of requisite variety. In the siting of a multi-national repository there appears an essential novel component of stake holder consensus building, namely: to reach consent - political, social, economic, ecological - among international partners, in addition to solving the whole set of intra-national consensus building items. An entire partnering country is considered as a national stake holder, represented by the national government, being faced to simultaneous seeking an upward (international) and a downward (intra-national) consensus in a psychologically stressed environment, having possibly diverse political, economic and social interests. Main Results: Following inferences about building of multilevel consensus are developed: 1) The basis of synergetic approach to stake holder interaction - informational SO, by forming a knowledge-creating stake holder community via cooperation and competition among individuals, public bodies/groups, companies, institutions; 2) Building of international stake holder consensus could be promoted by activating and diversifying multilateral interactions between intra- and international stake

  13. A case study of consensus modelling for tracking oil spills

    International Nuclear Information System (INIS)

    King, Brian; Brushett, Ben; Lemckert, Charles


    Metocean forecast datasets are essential for the timely response to marine incidents and pollutant spill mitigation at sea. To effectively model the likely drift pattern and the area of impact for a marine spill, both wind and ocean current forecast datasets are required. There are two ocean current forecast models and two wind forecast models currently used operationally in the Australia and Asia Pacific region. The availability of several different forecast models provides a unique opportunity to compare the outcome of a particular modelling exercise with the outcome of another using a different model and determining whether there is consensus in the results. Two recent modelling exercises, the oil spill resulting from the damaged Pacific Adventurer (in Queensland) and the oil spill from the Montara well blowout (in Western Australia) are presented as case studies to examine consensus modelling.

  14. [Neuroendocrine dysfunction and brain damage. A consensus statement]. (United States)

    Leal-Cerro, Alfonso; Rincón, María Dolores; Domingo, Manel Puig


    This consensus statement aims to enhance awareness of the incidence and risks of hypopituitarism in patients with traumatic brain injury (TBI) and/or brain hemorrhages among physicians treating patients with brain damage. The importance of this problem is related not only to the frequency of TBI but also to its prevalence in younger populations. The consequences of TBI are characterized by a series of symptoms that depend on the type of sequels related to neuroendocrine dysfunction. The signs and symptoms of hypopituitarism are often confused with those of other sequels of TBI. Consequently, patients with posttraumatic hypopituitarism may receive suboptimal rehabilitation unless the underlying hormone deficiency is identified and treated. This consensus is based on the recommendation supported by expert opinion that patients with a TBI and/or brain hemorrhage should undergo endocrine evaluation in order to assess pituitary function and, if deficiency is detected, should receive hormone replacement therapy.

  15. Highlights of the international consensus statement on major depressive disorder. (United States)

    Nutt, David J


    The International Consensus Group on Depression gathered to outline a universal treatment algorithm for depression with the purpose of merging the evidence base and standards of clinical practice from various countries, including the United States, Europe, the Middle East, China, and Japan. This brief summary includes the following recommendations made by the consensus group: periodically screen all patients for depression, use measurement-based tools and full psychiatric assessments to complete differential diagnoses, refer patients to psychiatric specialists when appropriate, establish a therapeutic alliance with patients and their families, begin treatment with an antidepressant for moderate or severe depression, treat patients to remission, and continually monitor patients' symptomatic improvement. © Copyright 2011 Physicians Postgraduate Press, Inc.

  16. Engineering large-scale agent-based systems with consensus (United States)

    Bokma, A.; Slade, A.; Kerridge, S.; Johnson, K.


    The paper presents the consensus method for the development of large-scale agent-based systems. Systems can be developed as networks of knowledge based agents (KBA) which engage in a collaborative problem solving effort. The method provides a comprehensive and integrated approach to the development of this type of system. This includes a systematic analysis of user requirements as well as a structured approach to generating a system design which exhibits the desired functionality. There is a direct correspondence between system requirements and design components. The benefits of this approach are that requirements are traceable into design components and code thus facilitating verification. The use of the consensus method with two major test applications showed it to be successful and also provided valuable insight into problems typically associated with the development of large systems.

  17. Precipitate strengthening of nanostructured aluminium alloy. (United States)

    Wawer, Kinga; Lewandowska, Malgorzata; Kurzydlowski, Krzysztof J


    Grain boundaries and precipitates are the major microstructural features influencing the mechanical properties of metals and alloys. Refinement of the grain size to the nanometre scale brings about a significant increase in the mechanical strength of the materials because of the increased number of grain boundaries which act as obstacles to sliding dislocations. A similar effect is obtained if nanoscale precipitates are uniformly distributed in coarse grained matrix. The development of nanograin sized alloys raises the important question of whether or not these two mechanisms are "additive" and precipitate strengthening is effective in nanostructured materials. In the reported work, hydrostatic extrusion (HE) was used to obtain nanostructured 7475 aluminium alloy. Nanosized precipitates were obtained by post-HE annealing. It was found that such annealing at the low temperatures (100 degrees C) results in a significant increase in the microhardness (HV0.2) and strength of the nanostructured 7475 aluminium alloy. These results are discussed in terms of the interplay between the precipitation and deformation of nanocrystalline metals.

  18. Calcite precipitates in Slovenian bottled waters. (United States)

    Stanič, Tamara Ferjan; Miler, Miloš; Brenčič, Mihael; Gosar, Mateja


    Storage of bottled waters in varying ambient conditions affects its characteristics. Different storage conditions cause changes in the initial chemical composition of bottled water which lead to the occurrence of precipitates with various morphologies. In order to assess the relationship between water composition, storage conditions and precipitate morphology, a study of four brands of Slovenian bottled water stored in PET bottles was carried out. Chemical analyses of the main ions and measurements of the physical properties of water samples were performed before and after storage of water samples at different ambient conditions. SEM/EDS analysis of precipitates was performed after elapsed storage time. The results show that the presence of Mg 2+ , SO 4 2- , SiO 2 , Al, Mn and other impurities such as K + , Na + , Ba and Sr in the water controlled precipitate morphology by inhibiting crystal growth and leading to elongated rhombohedral calcite crystal forms which exhibit furrowed surfaces and calcite rosettes. Different storage conditions, however, affected the number of crystallization nuclei and size of calcite crystals. Hollow calcite spheres composed of cleavage rhombohedrons formed in the water with variable storage conditions by a combination of evaporation and precipitation of water droplets during high temperatures or by the bubble templating method.

  19. Complex precipitation pathways in multicomponent alloys

    Energy Technology Data Exchange (ETDEWEB)

    Clouet, Emmanuel; Nastar, Maylise [Service de Recherches de Metallurgie Physique, CEA/Saclay, 91191 Gif-sur-Yvette (France); Lae, Ludovic; Deschamps, Alexis [LTPCM/ENSEEG, UMR CNRS 5614, Domaine Universitaire, BP 75, 38402 St Martin d' Heres (France); Epicier, Thierry [Groupe d' Etudes de Metallurgie Physique et de Physique des Materiaux, UMR CNRS 5510, INSA, 69621 Villeurbanne (France); Lefebvre, Williams [Groupe de Physique des Materiaux, UMR CNRS 6634, Universite de Rouen, 76801 Saint Etienne du Rouvray (France)


    One usual way to strengthen a metal is to add alloying elements and to control the size and the density of the precipitates obtained. However, precipitation in multicomponent alloys can take complex pathways depending on the relative diffusivity of solute atoms and on the relative driving forces involved. In Al - Zr - Sc alloys, atomic simulations based on first-principle calculations combined with various complementary experimental approaches working at different scales reveal a strongly inhomogeneous structure of the precipitates: owing to the much faster diffusivity of Sc compared with Zr in the solid solution, and to the absence of Zr and Sc diffusion inside the precipitates, the precipitate core is mostly Sc-rich, whereas the external shell is Zr-rich. This explains previous observations of an enhanced nucleation rate in Al - Zr - Sc alloys compared with binary Al - Sc alloys, along with much higher resistance to Ostwald ripening, two features of the utmost importance in the field of light high-strength materials. (authors)


    International Nuclear Information System (INIS)

    D. Ambos


    This Calculation is intended to satisfy engineering requirements for maximum 60-minute precipitation amounts for 50 and 100-year return periods at and near Yucca Mountain. This data requirement is documented in the ''Interface Control Document for Support Operations to Surface Facilities Operations Functional and Organizational Interfaces'' (CRWMS M and O 1998a). These developed data will supplement the information on 0.1 hour to 6-hour (in 0.1-hour increments) probable maximum precipitation (PMP) presented in the report, ''Precipitation Design Criteria for Storm Water Management'' (CRWMS M and O 1998b). The Reference Information Base (RIB) item, Precipitation ''Characteristics for Storm Water Management'' (M09902RIB00045 .OOO), was developed based on CRWMS M and O (1998b) and will be supplemented (via revision) with the information developed in this Calculation. The ''Development Plan for the Calculation: Precipitation Characteristics for Storm Water Management'' (CRWMS M and O 2000) was prepared in accordance with AP-2.l3Q, ''Technical Product Development Planning''. This calculation was developed in accordance with AP-3.12Q, Rev. O/ICN 2

  1. GPM Precipitation Estimates over the Walnut Gulch Experimental Watershed/LTAR site in Southeastern Arizona (United States)

    Goodrich, D. C.; Tan, J.; Petersen, W. A.; Unkrich, C. C.; Demaria, E. M.; Hazenberg, P.; Lakshmi, V.


    Precipitation profiles from the GPM Core Observatory Dual-frequency Precipitation Radar (DPR) form part of the a priori database used in GPM Goddard Profiling (GPROF) algorithm passive microwave radiometer retrievals of rainfall. The GPROF retrievals are in turn used as high quality precipitation estimates in gridded products such as IMERG. Due to the variability in and high surface emissivity of land surfaces, GPROF performs precipitation retrievals as a function of surface classes. As such, different surface types may possess different error characteristics, especially over arid regions where high quality ground measurements are often lacking. Importantly, the emissive properties of land also result in GPROF rainfall estimates being driven primarily by the higher frequency radiometer channels (e.g., > 89 GHz) where precipitation signals are most sensitive to coupling between the ice-phase and rainfall production. In this study, we evaluate the rainfall estimates from the Ku channel of the DPR as well as GPROF estimates from various passive microwave sensors. Our evaluation is conducted at the level of individual satellite pixels (5 to 15 km in diameter), against a dense network of weighing rain gauges (90 in 150 km2) in the USDA-ARS Walnut Gulch Experimental Watershed and Long-Term Agroecosystem Research (LTAR) site in southeastern Arizona. The multiple gauges in each satellite pixel and precise accumulation about the overpass time allow a spatially and temporally representative comparison between the satellite estimates and ground reference. Over Walnut Gulch, both the Ku and GPROF estimates are challenged to delineate between rain and no-rain. Probabilities of detection are relatively high, but false alarm ratios are also high. The rain intensities possess a negative bias across nearly all sensors. It is likely that storm types, arid conditions and the highly variable precipitation regime present a challenge to both rainfall retrieval algorithms. An array of

  2. Improving consensus contact prediction via server correlation reduction. (United States)

    Gao, Xin; Bu, Dongbo; Xu, Jinbo; Li, Ming


    Protein inter-residue contacts play a crucial role in the determination and prediction of protein structures. Previous studies on contact prediction indicate that although template-based consensus methods outperform sequence-based methods on targets with typical templates, such consensus methods perform poorly on new fold targets. However, we find out that even for new fold targets, the models generated by threading programs can contain many true contacts. The challenge is how to identify them. In this paper, we develop an integer linear programming model for consensus contact prediction. In contrast to the simple majority voting method assuming that all the individual servers are equally important and independent, the newly developed method evaluates their correlation by using maximum likelihood estimation and extracts independent latent servers from them by using principal component analysis. An integer linear programming method is then applied to assign a weight to each latent server to maximize the difference between true contacts and false ones. The proposed method is tested on the CASP7 data set. If the top L/5 predicted contacts are evaluated where L is the protein size, the average accuracy is 73%, which is much higher than that of any previously reported study. Moreover, if only the 15 new fold CASP7 targets are considered, our method achieves an average accuracy of 37%, which is much better than that of the majority voting method, SVM-LOMETS, SVM-SEQ, and SAM-T06. These methods demonstrate an average accuracy of 13.0%, 10.8%, 25.8% and 21.2%, respectively. Reducing server correlation and optimally combining independent latent servers show a significant improvement over the traditional consensus methods. This approach can hopefully provide a powerful tool for protein structure refinement and prediction use.

  3. Improving consensus contact prediction via server correlation reduction

    Directory of Open Access Journals (Sweden)

    Xu Jinbo


    Full Text Available Abstract Background Protein inter-residue contacts play a crucial role in the determination and prediction of protein structures. Previous studies on contact prediction indicate that although template-based consensus methods outperform sequence-based methods on targets with typical templates, such consensus methods perform poorly on new fold targets. However, we find out that even for new fold targets, the models generated by threading programs can contain many true contacts. The challenge is how to identify them. Results In this paper, we develop an integer linear programming model for consensus contact prediction. In contrast to the simple majority voting method assuming that all the individual servers are equally important and independent, the newly developed method evaluates their correlation by using maximum likelihood estimation and extracts independent latent servers from them by using principal component analysis. An integer linear programming method is then applied to assign a weight to each latent server to maximize the difference between true contacts and false ones. The proposed method is tested on the CASP7 data set. If the top L/5 predicted contacts are evaluated where L is the protein size, the average accuracy is 73%, which is much higher than that of any previously reported study. Moreover, if only the 15 new fold CASP7 targets are considered, our method achieves an average accuracy of 37%, which is much better than that of the majority voting method, SVM-LOMETS, SVM-SEQ, and SAM-T06. These methods demonstrate an average accuracy of 13.0%, 10.8%, 25.8% and 21.2%, respectively. Conclusion Reducing server correlation and optimally combining independent latent servers show a significant improvement over the traditional consensus methods. This approach can hopefully provide a powerful tool for protein structure refinement and prediction use.

  4. The False Consensus Effect: Deconstruction and Reconstruction of an Anomaly


    Dirk Engelmann; Martin Strobel


    We present a striking example of the deconstruction and reconstruction or an anomaly. In line with previous experiments we show in a one-shot setting that the allegedly robust false consensus effect disappears if representative information is readily available. But the effect reappears if a small cognitive effort is required to retrieve the information. Most subjects apparently ignore valuable information if it is not handed to them on a silver platter. We conclude that the relevance of the f...

  5. To Create a Consensus on Malnutrition Diagnostic Criteria. (United States)

    Cederholm, Tommy; Jensen, Gordon L


    During the European Society for Clinical Nutrition and Metabolism (ESPEN) Congress in Copenhagen, Denmark (September 2016), representatives of the 4 largest global parenteral and enteral nutrition (PEN) societies from Europe (ESPEN), the United States (American Society for Parenteral and Enteral Nutrition [ASPEN]), Asia (Parenteral and Enteral Nutrition Society of Asia [PENSA]), and Latin America (Latin American Federation of Parenteral and Enteral Nutrition [FELANPE]) and from national PEN societies around the world met to continue the conversation on how to diagnose malnutrition that started during the Clinical Nutrition Week, Austin, Texas (February 2016). Current thinking on diagnostic approaches was shared; ESPEN suggested a grading approach that could encompass various types of signs, symptoms, and etiologies to support diagnosis. ASPEN emphasized where the parties agree; that is, that the 3 major published approaches (ESPEN, ASPEN-Academy of Nutrition and Dietetics, and Subjective Global Assessment [SGA]) all propose weight loss as a key indicator for malnutrition. FELANPE suggested that the anticipated consensus approach needs to prioritize a diagnostic method that is available for everybody since resources differ globally. PENSA highlighted that body mass index varies by ethnicity/race and that sarcopenia/muscle mass evaluation is important for the diagnosis of malnutrition. A Core Working Committee of the Global Leadership Initiative on Malnutrition has been established (comprising 2 representatives each from the 4 largest PEN societies) that will lead consensus development in collaboration with a larger working group with broad global representation, using e-mail, telephone conferences, and face-to-face meetings during the upcoming ASPEN and ESPEN congresses. Transparency and external input will be sought. Objectives include (1) consensus development around evidence-based criteria for broad application, (2) promotion of global dissemination of the

  6. Cooperation and Consensus Seeking for Teams of Unmanned Air Vehicles (United States)


    border, a spreading forest fire, a growing toxic plume, or a group of fleeing enemy combatants. Our recent work on the development of consensus seeking...shows the airframes used for the flight tests reported in this section. The airframe is a 1.1 m wingspan Unicorn EPP foam flying wing, which mechanism to facilitate safe operations. Figure 34: (a) Kestrel autopilot, (b) Unicorn airframes, (c) ground station components. Cooperative

  7. Solida: A Blockchain Protocol Based on Reconfigurable Byzantine Consensus


    Abraham, Ittai; Malkhi, Dahlia; Nayak, Kartik; Ren, Ling; Spiegelman, Alexander


    The decentralized cryptocurrency Bitcoin has experienced great success but also encountered many challenges. One of the challenges has been the long confirmation time. Another chal- lenge is the lack of incentives at certain steps of the protocol, raising concerns for transaction withholding, selfish mining, etc. To address these challenges, we propose Solida, a decentralized blockchain protocol based on reconfigurable Byzantine consensus augmented by proof-of-work. Solida improves on Bitcoin...

  8. Solida: A Blockchain Protocol Based on Reconfigurable Byzantine Consensus


    Abraham, Ittai; Malkhi, Dahlia; Nayak, Kartik; Ren, Ling; Spiegelman, Alexander


    The decentralized cryptocurrency Bitcoin has experienced great success but also encountered many challenges. One of the challenges has been the long confirmation time. Another challenge is the lack of incentives at certain steps of the protocol, raising concerns for transaction withholding, selfish mining, etc. To address these challenges, we propose Solida, a decentralized blockchain protocol based on reconfigurable Byzantine consensus augmented by proof-of-work. Solida improves on Bitcoin i...

  9. A new consensus measure based on Pearson correlation coefficient


    Chiclana, Francisco; Gonzalez-Arteaga, Teresa; de Andres Calle, Rocio


    Obtaining consensual solutions is an important issue in decision making processes. It depends on several factors such as experts’ opinions, principles, knowledge, experience, etc. In the literature we can find a considerable amount of consensus measurement from different research areas (from a Social Choice perspective: Alcalde-Unzu and Vorsatz [1], Alcantud, de Andres Calle and Cascon [2] and Bosch [3], among others and from Decision Making Theory: Gonzalez-Arteaga, Alcantud and ...

  10. Interdisciplinary consensus document for the treatment of fibromyalgia. (United States)

    de Miquel, C Alegre; Campayo, J García; Flórez, M Tomás; Arguelles, J M Gómez; Tarrio, E Blanco; Montoya, M Gobbo; Martin, Á Pérez; Salio, A Martínez; Fuentes, J Vidal; Alberch, E Altarriba; de la Cámara, A Gómez


    Backgrounds. The elevated prevalence and enormous clinical and social impact of fibromyalgia, together with the complexity of its treatment, require action consensuses that guide health care professionals. Although there are some similar documents in our language, most have been made from the perspective of a single discipline.Objective. To develop a consensus on the treatment of fibromyalgia made by selected representatives and supported by the principal medical associations that intervene in its treatment (rheumatology, neurology, psychiatry,rehabilitation and family medicine) and representatives of the associations of patients. On the other hand, understanding the disease not as a homogenous disorders but also as the sum of different clinical subtypes,having specific symptomatic characteristics and different therapeutic needs is stressed. This approach represented a need perceived by the clinicians and a novelty regarding previous consensuses.Methods. The different clinical classifications proposed in fibromyalgia and the scientific evidence of the treatments used in this disease were reviewed. For the selection of the classification used and performance of the therapeutic recommendations, some of the usual techniques to obtain the consensus (nominal group and brainstorming) were used.Conclusion. The classification of Giesecke of fibromyalgia into 3 subgroups seems to have the greatest scientific evidence and the most useful for the clinician. The guide offers a series of general recommendations for all the patients with fibromyalgia. However, in addition, for each subgroup, there are a series of specific pharmacological and psychological-type recommendations and those of modification of the environment, which will make it possible to have a personalized approach to the patient with fibromyalgia in accordance with their individual clinical characteristics (pain, catastrophizing levels, etc.).

  11. Development of Consensus Treatment Plans for Juvenile Localized Scleroderma (United States)

    Li, Suzanne C.; Torok, Kathryn S.; Pope, Elena; Dedeoglu, Fatma; Hong, Sandy; Jacobe, Heidi T.; Rabinovich, C. Egla; Laxer, Ronald M.; Higgins, Gloria C.; Ferguson, Polly J.; Lasky, Andrew; Baszis, Kevin; Becker, Mara; Campillo, Sarah; Cartwright, Victoria; Cidon, Michael; Inman, Christi J; Jerath, Rita; O'Neil, Kathleen M.; Vora, Sheetal; Zeft, Andrew; Wallace, Carol A.; Ilowite, Norman T.; Fuhlbrigge, Robert C


    Objective To develop standardized treatment plans, clinical assessments, and response criteria for active, moderate to high severity juvenile localized scleroderma (jLS). Background jLS is a chronic inflammatory skin disorder associated with substantial morbidity and disability. Although a wide range of therapeutic strategies have been reported in the literature, a lack of agreement on treatment specifics and accepted methods for clinical assessment of have made it difficult to compare approaches and identify optimal therapy. Methods A core group of pediatric rheumatologists, dermatologists and a lay advisor was engaged by the Childhood Arthritis and Rheumatology Research Alliance (CARRA) to develop standardized treatment plans and assessment parameters for jLS using consensus methods/nominal group techniques. Recommendations were validated in two face-to-face conferences with a larger group of practitioners with expertise in jLS and with the full membership of CARRA, which encompasses the majority of pediatric rheumatologists in the U.S and Canada. Results Consensus was achieved on standardized treatment plans that reflect the prevailing treatment practices of CARRA members. Standardized clinical assessment methods and provisional treatment response criteria were also developed. Greater than 90% of pediatric rheumatologists responding to a survey (67% of CARRA membership) affirmed the final recommendations and agreed to utilize these consensus plans to treat patients with jLS. Conclusions Using consensus methodology, we have developed standardized treatment plans and assessment methods for jLS. The high level of support among pediatric rheumatologists will support future comparative effectiveness studies and enable the development of evidence-based guidelines for the treatment of jLS. PMID:22505322

  12. Semi-supervised consensus clustering for gene expression data analysis


    Wang, Yunli; Pan, Youlian


    Background Simple clustering methods such as hierarchical clustering and k-means are widely used for gene expression data analysis; but they are unable to deal with noise and high dimensionality associated with the microarray gene expression data. Consensus clustering appears to improve the robustness and quality of clustering results. Incorporating prior knowledge in clustering process (semi-supervised clustering) has been shown to improve the consistency between the data partitioning and do...

  13. Use of expert consensus to improve atherogenic dyslipidemia management. (United States)

    Millán Núñez-Cortés, Jesús; Pedro-Botet, Juan; Brea-Hernando, Ángel; Díaz-Rodríguez, Ángel; González-Santos, Pedro; Hernández-Mijares, Antonio; Mantilla-Morató, Teresa; Pintó-Sala, Xavier; Simó, Rafael


    Although atherogenic dyslipidemia is a recognized cardiovascular risk factor, it is often underassessed and thus undertreated and poorly controlled in clinical practice. The objective of this study was to reach a multidisciplinary consensus for the establishment of a set of clinical recommendations on atherogenic dyslipidemia to optimize its prevention, early detection, diagnostic evaluation, therapeutic approach, and follow-up. After a review of the scientific evidence, a scientific committee formulated 87 recommendations related to atherogenic dyslipidemia, which were grouped into 5 subject areas: general concepts (10 items), impact and epidemiology (4 items), cardiovascular risk (32 items), detection and diagnosis (19 items), and treatment (22 items). A 2-round modified Delphi method was conducted to compare the opinions of a panel of 65 specialists in cardiology (23%), endocrinology (24.6%), family medicine (27.7%), and internal medicine (24.6%) on these issues. After the first round, the panel reached consensus on 65 of the 87 items discussed, and agreed on 76 items by the end of the second round. Insufficient consensus was reached on 3 items related to the detection and diagnosis of atherogenic dyslipidemia and 3 items related to the therapeutic goals to be achieved in these patients. The external assessment conducted by experts on atherogenic dyslipidemia showed a high level of professional agreement with the proposed clinical recommendations. These recommendations represent a useful tool for improving the clinical management of patients with atherogenic dyslipidemia. A detailed analysis of the current scientific evidence is required for those statements that eluded consensus. Copyright © 2013 Sociedad Española de Cardiología. Published by Elsevier Espana. All rights reserved.

  14. Group consensus peer review in radiation oncology: commitment to quality. (United States)

    Duggar, W Neil; Bhandari, Rahul; Yang, Chunli Claus; Vijayakumar, Srinivasan


    Peer review, especially prospective peer review, has been supported by professional organizations as an important element in optimal Radiation Oncology practice based on its demonstration of efficacy at detecting and preventing errors prior to patient treatment. Implementation of peer review is not without barriers, but solutions do exist to mitigate or eliminate some of those barriers. Peer review practice at our institution involves three key elements: new patient conference, treatment planning conference, and chart rounds. The treatment planning conference is an adaptation of the group consensus peer review model from radiology which utilizes a group of peers reviewing each treatment plan prior to implementation. The peer group in radiation oncology includes Radiation Oncologists, Physician Residents, Medical Physicists, Dosimetrists, and Therapists. Thus, technical and clinical aspects of each plan are evaluated simultaneously. Though peer review is held in high regard in Radiation Oncology, many barriers commonly exist preventing optimal implementation such as time intensiveness, repetition, and distraction from clinic time with patients. Through the use of automated review tools and commitment by individuals and administration in regards to staffing, scheduling, and responsibilities, these barriers have been mitigated to implement this Group Consensus Peer Review model into a Radiation Oncology Clinic. A Group Consensus Peer Review model has been implemented with strategies to address common barriers to effective and efficient peer review.

  15. Probabilistic consensus scoring improves tandem mass spectrometry peptide identification. (United States)

    Nahnsen, Sven; Bertsch, Andreas; Rahnenführer, Jörg; Nordheim, Alfred; Kohlbacher, Oliver


    Database search is a standard technique for identifying peptides from their tandem mass spectra. To increase the number of correctly identified peptides, we suggest a probabilistic framework that allows the combination of scores from different search engines into a joint consensus score. Central to the approach is a novel method to estimate scores for peptides not found by an individual search engine. This approach allows the estimation of p-values for each candidate peptide and their combination across all search engines. The consensus approach works better than any single search engine across all different instrument types considered in this study. Improvements vary strongly from platform to platform and from search engine to search engine. Compared to the industry standard MASCOT, our approach can identify up to 60% more peptides. The software for consensus predictions is implemented in C++ as part of OpenMS, a software framework for mass spectrometry. The source code is available in the current development version of OpenMS and can easily be used as a command line application or via a graphical pipeline designer TOPPAS.

  16. Assessment and management of agitation in psychiatry: Expert consensus. (United States)

    Garriga, Marina; Pacchiarotti, Isabella; Kasper, Siegfried; Zeller, Scott L; Allen, Michael H; Vázquez, Gustavo; Baldaçara, Leonardo; San, Luis; McAllister-Williams, R Hamish; Fountoulakis, Konstantinos N; Courtet, Philippe; Naber, Dieter; Chan, Esther W; Fagiolini, Andrea; Möller, Hans Jürgen; Grunze, Heinz; Llorca, Pierre Michel; Jaffe, Richard L; Yatham, Lakshmi N; Hidalgo-Mazzei, Diego; Passamar, Marc; Messer, Thomas; Bernardo, Miquel; Vieta, Eduard


    Psychomotor agitation is associated with different psychiatric conditions and represents an important issue in psychiatry. Current recommendations on agitation in psychiatry are not univocal. Actually, an improper assessment and management may result in unnecessary coercive or sedative treatments. A thorough and balanced review plus an expert consensus can guide assessment and treatment decisions. An expert task force iteratively developed consensus using the Delphi method. Initial survey items were based on systematic review of the literature. Subsequent surveys included new, re-worded or re-rated items. Out of 2175 papers assessing psychomotor agitation, 124 were included in the review. Each component was assigned a level of evidence. Integrating the evidence and the experience of the task force members, a consensus was reached on 22 statements on this topic. Recommendations on the assessment of agitation emphasise the importance of identifying any possible medical cause. For its management, experts agreed in considering verbal de-escalation and environmental modification techniques as first choice, considering physical restraint as a last resort strategy. Regarding pharmacological treatment, the "ideal" medication should calm without over-sedate. Generally, oral or inhaled formulations should be preferred over i.m. routes in mildly agitated patients. Intravenous treatments should be avoided.

  17. The functional neuroanatomy of bipolar disorder: a consensus model (United States)

    Strakowski, Stephen M; Adler, Caleb M; Almeida, Jorge; Altshuler, Lori L; Blumberg, Hilary P; Chang, Kiki D; DelBello, Melissa P; Frangou, Sophia; McIntosh, Andrew; Phillips, Mary L; Sussman, Jessika E; Townsend, Jennifer D


    Objectives Functional neuroimaging methods have proliferated in recent years, such that functional magnetic resonance imaging, in particular, is now widely used to study bipolar disorder. However, discrepant findings are common. A workgroup was organized by the Department of Psychiatry, University of Cincinnati (Cincinnati, OH, USA) to develop a consensus functional neuroanatomic model of bipolar I disorder based upon the participants’ work as well as that of others. Methods Representatives from several leading bipolar disorder neuroimaging groups were organized to present an overview of their areas of expertise as well as focused reviews of existing data. The workgroup then developed a consensus model of the functional neuroanatomy of bipolar disorder based upon these data. Results Among the participants, a general consensus emerged that bipolar I disorder arises from abnormalities in the structure and function of key emotional control networks in the human brain. Namely, disruption in early development (e.g., white matter connectivity, prefrontal pruning) within brain networks that modulate emotional behavior leads to decreased connectivity among ventral prefrontal networks and limbic brain regions, especially amygdala. This developmental failure to establish healthy ventral prefrontal–limbic modulation underlies the onset of mania and ultimately, with progressive changes throughout these networks over time and with affective episodes, a bipolar course of illness. Conclusions This model provides a potential substrate to guide future investigations and areas needing additional focus are identified. PMID:22631617

  18. Delayed Consensus Problem for Single and Double Integrator Systems

    Directory of Open Access Journals (Sweden)

    Martín Velasco-Villa


    Full Text Available This work deals with the analysis of the consensus problem for networks of agents constituted by single and double integrator systems. It is assumed that the communication among agents is affected by a constant time-delay. Previous and numerous analysis of the problem shows that the maximum communication time-delay that can be introduced to the network without affecting the consensus of the group of the agents depends on the considered topology. In this work, a control scheme that is based on the estimation of future states of the agents and that allows increasing the magnitude of a possible time-delay affecting the communication channels is proposed. How the proposed delay compensation strategy is independent of the network topology in the sense that the maximum allowable time-delay that could be supported by the network depends on a design parameter and not on the maximum eigenvalue of the corresponding Laplacian matrix is shown. It is formally proven that, under the proposed prediction scheme, the consensus of the group can be achieved by improving the maximum time-delay bounds previously reported in the literature. Numerical simulations show the effectiveness of the proposed solution.

  19. Taiwan consensus of pharmacological treatment for bipolar disorder

    Directory of Open Access Journals (Sweden)

    Ya-Mei Bai


    Full Text Available Bipolar disorder is an important psychiatric disorder with different disease phases. The pharmacological treatment is complicated, and is updated frequently as new research evidence emerges. For the purpose of international collaboration, research, and education, the Taiwan consensus of pharmacological treatment for bipolar disorders was initiated by the Taiwanese Society of Biological Psychiatry and Neuropsychopharmacology (TSBPN – the Bipolar Chapter, which was established in August 2010 and approved as a member of International Society of Bipolar Disorder. TSBPN is the country member of the World Federation of Societies of Biological Psychiatry (WFSBP. The development of the Taiwan consensus for bipolar disorder was mainly based on the template of WFSBP Guidelines, with references to other international guidelines including the Canadian Network for Mood and Anxiety Treatments, and British Association for Psychopharmacology. We have also added Taiwanese experts’ experience, Taiwan national health insurance data, and the indications for the pharmacological treatment of bipolar disorder given by the Taiwan Department of Health, to emphasize the balance between efficacy and safety, and to make this consensus a concise, empirical, and important reference for clinical psychiatric practice.

  20. Lack of international consensus in low-risk drinking guidelines. (United States)

    Furtwaengler, Nina A F F; de Visser, Richard O


    To encourage moderate alcohol consumption, many governments have developed guidelines for alcohol intake, guidelines for alcohol consumption during pregnancy and legislation relating to blood alcohol limits when driving. The aim of this study was to determine the degree of international consensus within such guidelines. Official definitions of standard drinks and consumption guidelines were searched for on government websites, including all 27 European Union Member States and countries from all global geographic regions. There was a remarkable lack of agreement about what constitutes harmful or excessive alcohol consumption on a daily basis, a weekly basis and when driving, with no consensus about the ratios of consumption guidelines for men and women. International consensus in low-risk drinking guidelines is an important--and achievable--goal. Such agreement would facilitate consistent labelling of packaged products and could help to promote moderate alcohol consumption. However, there are some paradoxes related to alcohol content labelling and people's use of such information: although clearer information could increase people's capacity to monitor and regulate their alcohol consumption, not all drinkers are motivated to drink moderately or sensibly, and drinkers who intend to get drunk may use alcohol content labelling to select more alcoholic products. © 2012 Australasian Professional Society on Alcohol and other Drugs.