Evaluation of autonomic functions of patients with multiple system atrophy and Parkinson's disease by head-up tilt test.

Science.gov (United States)

Watano, Chikako; Shiota, Yuri; Onoda, Keiichi; Sheikh, Abdullah Md; Mishima, Seiji; Nitta, Eri; Yano, Shozo; Yamaguchi, Shuhei; Nagai, Atsushi

2018-02-01

The aim of this study was to evaluate the autonomic neural function in Parkinson's disease (PD) and multiple system atrophy (MSA) with head-up tilt test and spectral analysis of cardiovascular parameters. This study included 15 patients with MSA, 15 patients with PD, and 29 healthy control (HC) subjects. High frequency power of the RR interval (RR-HF), the ratio of low frequency power of RR interval to RR-HF (RR-LF/HF) and LF power of systolic BP were used to evaluate parasympathetic, cardiac sympathetic and vasomotor sympathetic functions, respectively. Both patients with PD and MSA showed orthostatic hypotension and lower parasympathetic function (RR-HF) at tilt position as compared to HC subjects. Cardiac sympathetic function (RR-LF/HF) was significantly high in patients with PD than MSA at supine position. RR-LF/HF tended to increase in MSA and HC, but decreased in PD by tilting. Consequently, the change of the ratio due to tilting (ΔRR-LF/HF) was significantly lower in patients with PD than in HC subjects. Further analysis showed that compared to mild stage of PD, RR-LF/HF at the supine position was significantly higher in advanced stage. By tilting, it was increased in mild stage and decreased in the advanced stage of PD, causing ΔRR-LF/HF to decrease significantly in the advanced stage. Thus, we demonstrated that spectral analysis of cardiovascular parameters is useful to identify sympathetic and parasympathetic disorders in MSA and PD. High cardiac sympathetic function at the supine position, and its reduction by tilting might be a characteristic feature of PD, especially in the advanced stage.

The Effect of Head Positioning and Head Tilting on the Incidence of Intraventricular Hemorrhage in Very Preterm Infants: A Systematic Review.

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de Bijl-Marcus, Karen A; Brouwer, Annemieke J; de Vries, Linda S; van Wezel-Meijler, Gerda

2017-01-01

Despite advances in neonatal intensive care, germinal matrix-intraventricular hemorrhage (GMH-IVH) remains a frequent, serious complication of premature birth. Neutral head position and head tilting have been suggested to reduce the risk of GMH-IVH in preterm infants during the first 72 h of life. The aim of this study was to provide a systematic review of the effect of neutral head positioning and head tilting on the incidence of GMH-IVH in very preterm infants (gestational age ≤30 weeks). In addition, we reviewed their effect on cerebral hemodynamics and oxygenation. Literature was searched (June 2016) in the following electronic databases: CINAHL, Embase, Medline, SCOPUS, and several trial registers. One underpowered trial studied the effect of head positioning on the incidence of GMH-IVH. This randomized controlled trial enrolled 48 preterm infants and found no effect on the occurrence of GMH-IVH. Three observational studies investigated the effect of head rotation and/or tilting on cerebral oxygenation in 68 preterm infants in total. Their results suggest that cerebral oxygenation is not significantly affected by changes in head positioning. The effect of head positioning and/or tilting on cerebral hemodynamics was described in 2 observational studies of 28 preterm infants and found no significant effect. There is insufficient evidence regarding the effect of head positioning and tilting on the incidence of GMH-IVH and cerebral hemodynamics and oxygenation in preterm infants. We recommend further research in this field, especially in extremely preterm and clinically unstable infants during the first postnatal days. © 2016 S. Karger AG, Basel.

Mean 24-hours sympathetic nervous system activity decreases during head-down tilted bed rest but not during microgravity

Science.gov (United States)

Christensen, Nj; Heer, M.; Ivanova, K.; Norsk, P.

Sympathetic nervous system activity is closely related to gravitational stress in ground based experiments. Thus a high activity is present in the standing-up position and a very low activity is observed during acute head-out water immersion. Adjustments in sympathetic activity are necessary to maintain a constant blood pressure during variations in venous return. Head-down tilted bed rest is applied as a model to simulate changes observed during microgravity. The aim of the present study was to test the hypothesis that mean 24-hours sympathetic activity was low and similar during space flight and in ground based observation obtained during long-term head-down tilted bed rest. Forearm venous plasma noradrenaline was measured by a radioenzymatic technique as an index of muscle sympathetic activity and thrombocyte noradrenaline and adrenaline were measured as indices of mean 24-hours sympathoadrenal activity. Previous results have indicated that thrombocyte noradrenaline level has a half-time of 2 days. Thus to reflect sympathetic activity during a specific experiment the study period must last for at least 6 days and a sample must be obtained within 12 hours after the experiment has ended. Ten normal healthy subjects were studied before and during a 14 days head-down tilted bed rest as well as during an ambulatory study period of a similar length. The whole experiment was repeated while the subjects were on a low calorie diet. Thrombocyte noradrenaline levels were studied in 4 cosmonauts before and within 12 hours after landing after more than 7 days in flight. Thrombocyte noradrenaline decreased markedly during the head-down tilted bed rest (pdifferent in cosmonauts and in subjects participating in the head down tilted bed rest study (170± 29% (Mean± SEM) vs. 57± 7%, respectively; presponse to combined effects of a reduced plasma volume and an increased vascular capacity in flight.

Temporal artery flow response during the last minute of a head up tilt test, in relation with orthostatic intolerance after a 60 day head-down bedrest.

Directory of Open Access Journals (Sweden)

Philippe Arbeille

Full Text Available OBJECTIVE: Check if the Temporal flow response to Tilt could provide early hemodynamic pattern in the minutes preceding a syncope during the Tilt test performed after a 60-d head down bedrest (HDBR. METHOD: Twenty-one men divided into 3 groups [Control (Con, Resistive Vibration (RVE and Chinese Herb (Herb] underwent a 60 day HDBR. Pre and Post HDBR a 20 min Tilt identified Finishers (F and Non Finishers (NF. Cerebral (MCA, Temporal (TEMP, Femoral (FEM flow velocity, were measured by Doppler during the Tilt. Blood pressure (BP was measured by arm cuff and cardiopress. RESULTS AND DISCUSSION: Four of the 21 subjects were NF at the post HDBR Tilt test (Con gr:2, RVE gr: 1, Herb gr: 1. At 1 min and 10 s before end of Tilt in NF gr, FEM flow decreased less and MCA decreased more at post HDBR Tilt compared to pre (p<0.05, while in the F gr they changed similarly as pre. In NF gr: TEMP flow decreased more at post HDBR Tilt compared to pre, but only at 10 s before the end of Tilt (P<0.05. During the last 10 s a negative TEMP diastolic component appeared which induced a drop in mean velocity until Tilt arrest. CONCLUSION: The sudden drop in TEMP flow with onset of a negative diastolic flow preceding the decrease in MCA flow confirm that the TEMP vascular resistance respond more directly than the cerebral one to the cardiac output redistribution and that this response occur several seconds before syncope.

The effects of lateral head tilt on ocular astigmatic axis

Directory of Open Access Journals (Sweden)

Hamid Fesharaki

2014-01-01

Conclusion: Any minimal angle of head tilt may cause erroneous measurement of astigmatic axis and should be avoided during refraction. One cannot rely on the compensatory function of ocular counter-torsion during the refraction.

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Effects of head down tilt on episcleral venous pressure in a rabbit model.

Science.gov (United States)

Lavery, W J; Kiel, J W

2013-06-01

In humans, changing from upright to supine elicits an approximately 10 mmHg increase in cephalic venous pressure caused by the hydrostatic column effect, but episcleral venous pressure (EVP) and intraocular pressure (IOP) rise by only a few mmHg. The dissociation of the small increases in IOP and EVP compared to the larger increase in cephalic venous pressure suggests a regulatory mechanism controlling EVP. The aim of the present study was to determine if the rabbit model is suitable to study the effects of postural changes on EVP despite its short hydrostatic column. In anesthetized rabbits (n = 43), we measured arterial pressure (AP), IOP, and orbital venous pressure (OVP) by direct cannulation; carotid blood flow (BFcar) by transit time ultrasound, heart rate (HR) by digital cardiotachometer, and EVP with a servonull micropressure system. The goal of the protocol was to obtain measurement of supine EVP for ≈10 min, followed by ≈10 min of EVP measurement with the rabbit in a head down tilt. The data were analyzed by paired t-tests and the results reported as the mean ± standard error of the mean. In a separate group of animals (n = 35), aqueous flow was measured by fluorophotometry. This protocol entailed measurement of aqueous flow in the supine position for ≈60 min, followed by ≈60 min of aqueous flow measurement with the rabbit in a head down tilt. From supine to head down tilt, AP and BFcar were unchanged, IOP increased by 2.3 ± 0.4 mmHg (p measurements of the pressures and systemic parameters likely involved in the EVP responses to posture change. The present results indicate directionally similar EVP and IOP responses to tilt as occur in humans and, as in humans, the responses are smaller than would be expected from the change in the hydrostatic column height. Also, as in humans, the model reveals no change in aqueous flow during head down tilt. We conclude the rabbit model is appropriate for studying the mechanisms responsible for the relative

Use of an Android application "clinometer" for measurement of head down tilt given during subarachnoid block.

Science.gov (United States)

Dixit, R B; Neema, M M

2016-01-01

Head down tilt is given to patients after sub arachnoid block for adjustment of height of block. However, the amount of tilt given is subjective and cannot be documented. We used an android application named "clinometer" to measure exact degree of tilt given by anesthesiologists as their routine practice. This observational study, at a medical college hospital, was done in 130 patients given sub arachnoid block for lower abdominal surgeries. We observed and documented vital data of patients and measured tilt given by application "clinometer." We observed that the application was easy to use and measured tilt each time. The result obtained can be documented, digitally saved and transferred. In 130 patients studied, we observed incidence of degree of tilt as follows: 6-8° tilt in 38 patients (29.23%), 8-10 in 36 patients (27.69%), 10-12 in 30 patients (23.08%), 12-14 in 12 patients (9.23%) and 14-16° tilt in 14 patients (10.77%). Use of application was received with enthusiasm by practicing anesthesiologists. Various possible uses of this application are discussed.

Neural-humoral responses during head-up tilt in healthy young white and black women

Directory of Open Access Journals (Sweden)

Sara S Jarvis

2014-03-01

Full Text Available Young black women have higher prevalence of hypertension during pregnancy compared to white women, which may be attributable to differences in blood pressure (BP regulation. We hypothesized that young normotensive black women would demonstrate augmented muscle sympathetic nerve activity (MSNA and renal-adrenal responses to orthostasis. Fifteen white and ten black women (30±4 vs. 32±6 yrs; means±SD had haemodynamics and MSNA measured during baseline (BL, 30° and 60° head-up tilt (HUT, and recovery. Blood was drawn for catecholamines, direct renin, vasopressin, and aldosterone. BL brachial systolic BP (SBP: 107±6 vs. 101±9 mmHg and diastolic BP (DBP: 62±4 vs. 56±7 mmHg were higher in white women (both p< 0.05. ΔDBP (60° HUT-BL was greater in black women compared to white (p< 0.05. Cardiac output and total peripheral resistance was similar between groups. MSNA burst frequency was higher in whites (BL: 16±10 vs. 14±9 bursts/min, p< 0.05 and increased in both groups during HUT (60°: 39±8 vs. 34±13 bursts/min, p< 0.05 from BL. Noradrenaline was higher in white women (BL: 210±87 vs. 169±50 pg/ml; 60° HUT: 364±102 vs. 267±89 pg/ml, p< 0.05. Direct renin was higher and vasopressin and Δaldosterone tended to be higher in blacks (BL, direct renin: 12.1±5.0 vs. 14.4±3.7 pg/ml, p< 0.05; BL, vasopressin: 0.4±0.0 vs. 1.6±3.6pg/ml, p=0.065; Δaldosterone: -0.9±5.1 vs. 3.8±7.5 ng/ml; p=0.069. These results suggest that young normotensive white women rely on sympathetic neural more so than black women who have a tendency to rely on the renal-adrenal system to regulate BP during an orthostatic stress.

Neural-humoral responses during head-up tilt in healthy young white and black women

Science.gov (United States)

Jarvis, Sara S.; Shibata, Shigeki; Okada, Yoshiyuki; Levine, Benjamin D.; Fu, Qi

2014-01-01

Young black women have higher prevalence of hypertension during pregnancy compared to white women, which may be attributable to differences in blood pressure (BP) regulation. We hypothesized that young normotensive black women would demonstrate augmented muscle sympathetic nerve activity (MSNA) and renal-adrenal responses to orthostasis. Fifteen white and ten black women (30 ± 4 vs. 32 ± 6 years; means ± SD) had haemodynamics and MSNA measured during baseline (BL), 30 and 60° head-up tilt (HUT), and recovery. Blood was drawn for catecholamines, direct renin, vasopressin, and aldosterone. BL brachial systolic BP (SBP: 107 ± 6 vs. 101 ± 9 mmHg) and diastolic BP (DBP: 62 ± 4 vs. 56 ± 7 mmHg) were higher in white women (both p < 0.05). Δ DBP (60° HUT-BL) was greater in black women compared to white (p < 0.05). Cardiac output and total peripheral resistance were similar between groups. MSNA burst frequency was higher in whites (BL: 16 ± 10 vs. 14 ± 9 bursts/min, main effect p < 0.05) and increased in both groups during HUT (60°: 39 ± 8 vs. 34 ± 13 bursts/min, p < 0.05 from BL). Noradrenaline was higher in white women during 60° HUT (60° HUT: 364 ± 102 vs. 267 ± 89 pg/ml, p < 0.05). Direct renin was higher and vasopressin and Δ aldosterone tended to be higher in blacks (BL, direct renin: 12.1 ± 5.0 vs. 14.4 ± 3.7 pg/ml, p < 0.05; BL, vasopressin: 0.4 ± 0.0 vs. 1.6 ± 3.6 pg/ml, p = 0.065; Δ aldosterone: −0.9 ± 5.1 vs. 3.8 ± 7.5 ng/ml; p = 0.069). These results suggest that young normotensive white women may rely on sympathetic neural activity more so than black women who have a tendency to rely on the renal-adrenal system to regulate BP during an orthostatic stress. PMID:24624092

The effects of superimposed tilt and lower body negative pressure on anterior and posterior cerebral circulations

OpenAIRE

Tymko, Michael M.; Rickards, Caroline A.; Skow, Rachel J.; Ingram?Cotton, Nathan C.; Howatt, Michael K.; Day, Trevor A.

2016-01-01

Abstract Steady?state tilt has no effect on cerebrovascular reactivity to increases in the partial pressure of end?tidal carbon dioxide (PETCO 2). However, the anterior and posterior cerebral circulations may respond differently to a variety of stimuli that alter central blood volume, including lower body negative pressure (LBNP). Little is known about the superimposed effects of head?up tilt (HUT; decreased central blood volume and intracranial pressure) and head?down tilt (HDT; increased ce...

SU-E-T-230: Creating a Large Number of Focused Beams with Variable Patient Head Tilt to Improve Dose Fall-Off for Brain Radiosurgery

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Chiu, J; Ma, L [Department of Radiation Oncology, University of California San Francisco School of Medicine, San Francisco, CA (United States)

2015-06-15

Purpose: To develop a treatment delivery and planning strategy by increasing the number of beams to minimize dose to brain tissue surrounding a target, while maximizing dose coverage to the target. Methods: We analyzed 14 different treatment plans via Leksell PFX and 4C. For standardization, single tumor cases were chosen. Original treatment plans were compared with two optimized plans. The number of beams was increased in treatment plans by varying tilt angles of the patient head, while maintaining original isocenter and the beam positions in the x-, y- and z-axes, collimator size, and beam blocking. PFX optimized plans increased beam numbers with three pre-set tilt angles, 70, 90, 110, and 4C optimized plans increased beam numbers with tilt angles increasing arbitrarily from range of 30 to 150 degrees. Optimized treatment plans were compared dosimetrically with original treatment plans. Results: Comparing total normal tissue isodose volumes between original and optimized plans, the low-level percentage isodose volumes decreased in all plans. Despite the addition of multiple beams up to a factor of 25, beam-on times for 1 tilt angle versus 3 or more tilt angles were comparable (<1 min.). In 64% (9/14) of the studied cases, the volume percentage decrease by >5%, with the highest value reaching 19%. The addition of more tilt angles correlates to a greater decrease in normal brain irradiated volume. Selectivity and coverage for original and optimized plans remained comparable. Conclusion: Adding large number of additional focused beams with variable patient head tilt shows improvement for dose fall-off for brain radiosurgery. The study demonstrates technical feasibility of adding beams to decrease target volume.

SU-E-T-230: Creating a Large Number of Focused Beams with Variable Patient Head Tilt to Improve Dose Fall-Off for Brain Radiosurgery

International Nuclear Information System (INIS)

Chiu, J; Ma, L

2015-01-01

Purpose: To develop a treatment delivery and planning strategy by increasing the number of beams to minimize dose to brain tissue surrounding a target, while maximizing dose coverage to the target. Methods: We analyzed 14 different treatment plans via Leksell PFX and 4C. For standardization, single tumor cases were chosen. Original treatment plans were compared with two optimized plans. The number of beams was increased in treatment plans by varying tilt angles of the patient head, while maintaining original isocenter and the beam positions in the x-, y- and z-axes, collimator size, and beam blocking. PFX optimized plans increased beam numbers with three pre-set tilt angles, 70, 90, 110, and 4C optimized plans increased beam numbers with tilt angles increasing arbitrarily from range of 30 to 150 degrees. Optimized treatment plans were compared dosimetrically with original treatment plans. Results: Comparing total normal tissue isodose volumes between original and optimized plans, the low-level percentage isodose volumes decreased in all plans. Despite the addition of multiple beams up to a factor of 25, beam-on times for 1 tilt angle versus 3 or more tilt angles were comparable (<1 min.). In 64% (9/14) of the studied cases, the volume percentage decrease by >5%, with the highest value reaching 19%. The addition of more tilt angles correlates to a greater decrease in normal brain irradiated volume. Selectivity and coverage for original and optimized plans remained comparable. Conclusion: Adding large number of additional focused beams with variable patient head tilt shows improvement for dose fall-off for brain radiosurgery. The study demonstrates technical feasibility of adding beams to decrease target volume

PROVOCATIVE PERFORMANCE, PROVOCATIVE THEATER: AESTHETIC INTERACTION

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ROŞCA ANGELINA

2017-12-01

Full Text Available The author directs her attention to an yet-understudied area of theatre science, namely the aesthetic interaction between the provocative performance and the provocative theatre. The article sheds light on the conceptual coordinates of the performance placed among such artistic trends as Actionism, Conceptualism, Fluxus and Happening. Elements of performing arts infiltrated into the theatre long ago. And it is not just a co-occurrence within an artistic act, but an interference indeed. The provocative performance dispossesses the alternative arts of their distinct codes. First in the USA, then in Europe and eventually in the former Socialist Camp and the territory of the ex-USSR, the performance conquered the theatrical territory. This process has been accelerating since the dramatic theatre began to yield its positions to the post-dramatic one. Some of the overlapping points, which unite the performance with the spectacle in contemporary art, are followed in: the strategy of idiocy in provocative practices; the ready made; the corporeality; the pictorial.

[Renin-angiotensin-aldosterone system activity during head-up tilt testing in patients with vasovagal syncope].

Science.gov (United States)

Gajek, Jacek; Zyśko, Dorota; Mazurek, Walentyna

2005-08-01

The stimulation of renin-angiotensin-aldosterone (RAA) system during tilt table test is caused by sympathetic nervous system activation by orthostatic stress and a serotonin release as well. In healthy individuals increase of plasma renin activity during test with maximal values on the peak of the test was described. The aim of the study was to assess the activation of RAAS in patients with neurally mediated syncope during the tilt table test by means of plasma renin activity and serum aldosterone levels. The study was carried out in 31 patients aged 39.4 +/- 15.0 years (18 women and 13 men) with neurally mediated syncope during tilt test. Plasma renin activity was assessed in the baseline conditions, immediately after the test and 10 minutes after the test using radioenzymatic assay. Aldosterone concentrations were measured radioimmunologically, twice: after 30 minutes supine rest and after the syncope. Plasma renin activity during supine rest was 2.2 +/- 2.4 ng/ml/h, rose after the syncope 2.5-fold to 5.2 +/- 4.5 ng/ml/h (p < 0.001 comparing to baseline) stayed on similar level approximately for the next 10 minutes--4.9 +/- 5.5 ng/ml/h (p = n.s.). In 11 patients (35%) 10 minutes after the test even further increase of PRA was observed. Serum aldosterone level increased significantly immediately after tilt test (90.0 +/- 72.9 vs 178.8 +/- 150.1 pg/ml, p < 0.01). Authors showed, that in patients with NMS plasma renin activity increases and this increase lasts for 10 minutes after the syncope and the concentration of aldosterone increases immediately after tilt test.

Comparison of acute cardiovascular responses to water immersion and head-down tilt in humans

DEFF Research Database (Denmark)

Shiraishi, Makoto; Schou, Morten; Gybel, Mikkel

2002-01-01

The hypothesis was tested that acute water immersion to the neck (WI) compared with 6 degrees head-down tilt (HDT) induces a more pronounced distension of the heart and lower plasma levels of vasoconstrictor hormones. Ten healthy males underwent 30 min of HDT, WI, and a seated control (randomized...

Age, splanchnic vasoconstriction, and heat stress during tilting

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Minson, C. T.; Wladkowski, S. L.; Pawelczyk, J. A.; Kenney, W. L.

1999-01-01

During upright tilting, blood is translocated to the dependent veins of the legs and compensatory circulatory adjustments are necessary to maintain arterial pressure. For examination of the effect of age on these responses, seven young (23 +/- 1 yr) and seven older (70 +/- 3 yr) men were head-up tilted to 60 degrees in a thermoneutral condition and during passive heating with water-perfused suits. Measurements included heart rate (HR), cardiac output (Qc; acetylene rebreathing technique), central venous pressure (CVP), blood pressures, forearm blood flow (venous occlusion plethysmography), splanchnic and renal blood flows (indocyanine green and p-aminohippurate clearance), and esophageal and mean skin temperatures. In response to tilting in the thermoneutral condition, CVP and stroke volume decreased to a greater extent in the young men, but HR increased more, such that the fall in Qc was similar between the two groups in the upright posture. The rise in splanchnic vascular resistance (SVR) was greater in the older men, but the young men increased forearm vascular resistance (FVR) to a greater extent than the older men. The fall in Qc during combined heat stress and tilting was greater in the young compared with older men. Only four of the young men versus six of the older men were able to finish the second tilt without becoming presyncopal. In summary, the older men relied on a greater increase in SVR to compensate for a reduced ability to constrict the skin and muscle circulations (as determined by changes in FVR) during head-up tilting.

Use of an Android application “clinometer” for measurement of head down tilt given during subarachnoid block

Science.gov (United States)

Dixit, RB; Neema, MM

2016-01-01

Context: Head down tilt is given to patients after sub arachnoid block for adjustment of height of block. However, the amount of tilt given is subjective and cannot be documented. Aims: We used an android application named “clinometer” to measure exact degree of tilt given by anesthesiologists as their routine practice. Settings and Design: This observational study, at a medical college hospital, was done in 130 patients given sub arachnoid block for lower abdominal surgeries. Materials and Methods: We observed and documented vital data of patients and measured tilt given by application “clinometer.” Results: We observed that the application was easy to use and measured tilt each time. The result obtained can be documented, digitally saved and transferred. In 130 patients studied, we observed incidence of degree of tilt as follows: 6-8° tilt in 38 patients (29.23%), 8-10 in 36 patients (27.69%), 10-12 in 30 patients (23.08%), 12-14 in 12 patients (9.23%) and 14-16° tilt in 14 patients (10.77%). Use of application was received with enthusiasm by practicing anesthesiologists. Various possible uses of this application are discussed. PMID:26955307

Which is preferable for orthostatic hypotension diagnosis in older adults: active standing test or head-up tilt table test?

Science.gov (United States)

Aydin, Ali Ekrem; Soysal, Pinar; Isik, Ahmet Turan

2017-01-01

Correct evaluation of orthostatic hypotension (OH) is crucial in geriatric practice, since OH is associated with mortality and morbidity. The study aimed to determine the most appropriate method for measuring blood pressure in transition from supine to upright position in order to diagnose OH in older adults. Active standing test (AST) and head-up tilt table (HUT) test as well as comprehensive geriatric assessment (CGA), including mini-mental state examination or the cognitive state test, mini-nutritional assessment, basic and instrumental activities of daily living, and Tinetti performance-oriented mobility assessment indexes, were performed in 290 geriatric patients. The prevalence of OH during HUT and AST was 19% and 37%, respectively. In patients with OH during HUT, the frequency of dementia and recurrent falls were higher ( P 0.05). Comparison of the groups according to CGA measurements revealed significant differences in terms of cognition, nutritional status, activities of daily life, and balance function in patients with OH only during HUT ( P 0.05). The sensitivity, specificity, positive predictive value, and negative predictive values of AST were 49.0%, 65.5%, 25.0%, and 84.6% respectively, according to HUT. The results suggest that orthostatic blood pressure changes determined by HUT might be of higher clinical significance than that by AST in older adults. It might be important that the evaluation of OH by HUT should be included in daily geriatric practice.

Analysis of Arterial Mechanics During Head-down Tilt Bed Rest

Science.gov (United States)

Elliot, Morgan; Martin, David S.; Westby, Christian M.; Stenger, Michael B.; Platts, Steve

2014-01-01

Arterial health may be affected by microgravity or ground based analogs of spaceflight, as shown by an increase in thoracic aorta stiffness1. Head-down tilt bed rest (HDTBR) is often used as a ground-based simulation of spaceflight because it induces physiological changes similar to those that occur in space2, 3. This abstract details an analysis of arterial stiffness (a subclinical measure of atherosclerosis), the distensibility coefficient (DC), and the pressure-strain elastic modulus (PSE) of the arterial walls during HDTBR. This project may help determine how spaceflight differentially affects arterial function in the upper vs. lower body.

Transient cardio-respiratory responses to visually induced tilt illusions

Science.gov (United States)

Wood, S. J.; Ramsdell, C. D.; Mullen, T. J.; Oman, C. M.; Harm, D. L.; Paloski, W. H.

2000-01-01

Although the orthostatic cardio-respiratory response is primarily mediated by the baroreflex, studies have shown that vestibular cues also contribute in both humans and animals. We have demonstrated a visually mediated response to illusory tilt in some human subjects. Blood pressure, heart and respiration rate, and lung volume were monitored in 16 supine human subjects during two types of visual stimulation, and compared with responses to real passive whole body tilt from supine to head 80 degrees upright. Visual tilt stimuli consisted of either a static scene from an overhead mirror or constant velocity scene motion along different body axes generated by an ultra-wide dome projection system. Visual vertical cues were initially aligned with the longitudinal body axis. Subjective tilt and self-motion were reported verbally. Although significant changes in cardio-respiratory parameters to illusory tilts could not be demonstrated for the entire group, several subjects showed significant transient decreases in mean blood pressure resembling their initial response to passive head-up tilt. Changes in pulse pressure and a slight elevation in heart rate were noted. These transient responses are consistent with the hypothesis that visual-vestibular input contributes to the initial cardiovascular adjustment to a change in posture in humans. On average the static scene elicited perceived tilt without rotation. Dome scene pitch and yaw elicited perceived tilt and rotation, and dome roll motion elicited perceived rotation without tilt. A significant correlation between the magnitude of physiological and subjective reports could not be demonstrated.

The impact of preload reduction with head-up tilt testing on longitudinal and transverse left ventricular mechanics.

Science.gov (United States)

Schneider, Caroline; Forsythe, Lynsey; Somauroo, John; George, Keith; Oxborough, David

2018-01-03

Left ventricular (LV) function is dependent on load, intrinsic contractility and relaxation with a variable impact on specific mechanics. Strain (ε) imaging allows the assessment of cardiac function however the direct relationship between volume and strain is currently unknown. The aim of this study was to establish the impact of preload reduction through head-up tilt (HUT) testing on simultaneous left ventricular (LV) longitudinal and transverse function and their respective contribution to volume change. A focused transthoracic echocardiogram was performed on 10 healthy male participants (23 ± 3 years,) in the supine position and following 1 min and 5 min of HUT testing. Raw temporal longitudinal ε (Ls) and transverse ε (Ts) values were exported and divided into 5% increments across the cardiac cycle and corresponding LV volumes were traced at each 5% increment. This provided simultaneous LV longitudinal and transverse ε and volume-loops (deformation-volume analysis - DVA). There was a leftward- shift of the ε -volume loop from supine to 1 min and 5 min of HUT, ptransverse thickening from supine to 1min, which was further augmented at 5min (p=0.018). Preload reduction occurs within 1 minute of HUT but does not further reduce at 5 minutes. This decline is associated with a decrease in longitudinal ε and concomitant increase in transverse ε. Consequently, augmented transverse relaxation appears to be an important factor in the maintenance of LV filling in the setting of reduced preload. DVA provides information on the relative contribution of mechanics to a change in LV volume and may have a role in the assessment of clinical populations. © 2018 The authors.

Ultrasound measurement of transcranial distance during head-down tilt

Science.gov (United States)

Torikoshi, S.; Wilson, M. H.; Ballard, R. E.; Watenpaugh, D. E.; Murthy, G.; Yost, W. T.; Cantrell, J. H.; Chang, D. S.; Hargens, A. R.

1995-01-01

Exposure to microgravity elevates blood pressure and flow in the head, which may increase intracranial volume (ICV) and intracranial pressure (ICP). Rhesus monkeys exposed to simulated microgravity in the form of 6 degree head-down tilt (HDT) experience elevated ICP. With humans, twenty-four hours of 6 degree HDT bed rest increases cerebral blood flow velocity relative to pre-HDT upright posture. Humans exposed to acute 6 degree HDT experiments increased ICP, measured with the tympanic membrane displacement (TMD) technique. Other studies suggest that increased ICP in humans and cats causes measurable cranial bone movement across the sagittal suture. Due to the slightly compliant nature of the cranium, elevation of the ICP will increase ICV and transcranial distance. Currently, several non-invasive approaches to monitor ICP are being investigated. Such techniques include TMD and modal analysis of the skull. TMD may not be reliable over a large range of ICP and neither method is capable of measuring the small changes in pressure. Ultrasound, however, may reliably measure small distance changes that accompany ICP fluctuations. The purpose of our study was to develop and evaluate an ultrasound technique to measure transcranial distance changes during HDT.

Development of a tilting system for electric multiple unit to speed up on conventional lines

International Nuclear Information System (INIS)

Seo, Sung Il; Kim, Nam Po; Lee, Soo Gil; Kim, Seok Won

2008-01-01

An advanced tilting system for KTT (Korean Tilting Train) was developed and a performance test of the system has been completed. KTT has been constructed to speed up and promise a significant enhancement in service quality on a conventional line. KTT is an electric multiple unit composed of 6 cars running at the design speed of 200 km/h. The tilting system is the core technology of KTT and combined with the conventional bogie system. It has a self-steering mechanism and a swing link. The self-steering mechanism of Z-bar type is free to rotate on the curve and stable to run on a straight line. The swing link mechanism of the bolster enables the carbody to tilt up to 8 .deg.. A tilting control system detects a curve with sensors and commands the electro-mechanical actuators to move the bolster through the computer network system. GPS collaborates with the tilting system to perceive the curve previously and enables gradual tilting so as not to violate passenger comfort. The performance of the tilting system has been verified by a trial test running of KTT on a commercial conventional line. The tilting system is ready for commercial use

Effects of head down tilt upon cortisol and sex hormones

Science.gov (United States)

Strollo, Felice; Pecorelli, Lia; Uva, Bianca Maria; Masini, Maria Angela; More, Massimo; Strollo, Giovanna; Riondino, Giuseppe

2005-08-01

Real and modelled μG conditions seem to induce reversible testicular failure. Suitable onground simulation methods are anyway needed in order to better aim further studies in humans in space. A 5- hour head down tilt (5h-HDT) was therefore performed in 22 male and female healthy volunteers looking at adrenal and gonadal hormones as compared to 12 age- and gender- matched controls. Cortisol and A decreased significantly in both genders, being cortisol decrease less pronounced in women, while leptin, LH, testosterone, estradiol and estrone failed to do so. The authors conclude that a 5h-HDT is only acceptable for adrenal adaptation studies whole longer duration HDT protocols are needed for gonadal investigations.

Computer program for analysis of hemodynamic response to head-up tilt test

Science.gov (United States)

ŚwiÄ tek, Eliza; Cybulski, Gerard; Koźluk, Edward; PiÄ tkowska, Agnieszka; Niewiadomski, Wiktor

2014-11-01

The aim of this work was to create a computer program, written in the MATLAB environment, which enables the visualization and analysis of hemodynamic parameters recorded during a passive tilt test using the CNS Task Force Monitor System. The application was created to help in the assessment of the relationship between the values and dynamics of changes of the selected parameters and the risk of orthostatic syncope. The signal analysis included: R-R intervals (RRI), heart rate (HR), systolic blood pressure (sBP), diastolic blood pressure (dBP), mean blood pressure (mBP), stroke volume (SV), stroke index (SI), cardiac output (CO), cardiac index (CI), total peripheral resistance (TPR), total peripheral resistance index (TPRI), ventricular ejection time (LVET) and thoracic fluid content (TFC). The program enables the user to visualize waveforms for a selected parameter and to perform smoothing with selected moving average parameters. It allows one to construct the graph of means for any range, and the Poincare plot for a selected time range. The program automatically determines the average value of the parameter before tilt, its minimum and maximum value immediately after changing positions and the times of their occurrence. It is possible to correct the automatically detected points manually. For the RR interval, it determines the acceleration index (AI) and the brake index (BI). It is possible to save calculated values to an XLS with a name specified by user. The application has a user-friendly graphical interface and can run on a computer that has no MATLAB software.

Reduced Sympathetic Response to Head-Up Tilt in Subjects with Mild Cognitive Impairment or Mild Alzheimer's Dementia

Directory of Open Access Journals (Sweden)

Marte Rognstad Mellingsæter

2015-03-01

Full Text Available Background: Hemodynamic control was compared in patients with mild cognitive impairment (MCI or mild Alzheimer's dementia (AD as well as in healthy elderly subjects. Methods: Noninvasive, continuous hemodynamic recordings were obtained from 14 patients and 48 controls during supine rest (tilt of 30 and 70°. Cardiac output, end-diastolic volume, total peripheral resistance, heart rate variability (HRV, systolic blood pressure variability (SBPV, and baroreceptor sensitivity were calculated. Results: At 70° tilt, the HRV indices differed significantly, with higher high-frequency (HF variability as well as lower low-frequency (LF variability and LF/HF ratios in the patients. The patients had significantly lower SBPV in the LF range at 30° tilt. Conclusions: The results indicate a poorer sympathetic response to orthostatic stress in MCI and mild AD.

Robust tilt and lock mechanism for hopping actuator

Energy Technology Data Exchange (ETDEWEB)

Salton, Jonathan R.; Buerger, Stephen; Dullea, Kevin J.; Marron, Lisa C.; Salisbury, Curt Michael; Spletzer, Barry Louis

2017-02-07

A tilt and lock apparatus that includes a tilt servomechanism, a spiral torsion spring, a lock wheel, and a lock hook is described herein. The spiral torsion spring is mechanically coupled to the tilt servomechanism and the lock wheel (which includes an opening). When a shaft is positioned through the opening, rotation of the lock wheel is in unison with rotation of the shaft. An external surface of the lock wheel includes one or more grooves. The lock hook includes a head that engages and disengages the grooves. The lock wheel is stationary when the head engages one of the grooves and is rotatable when the head disengages the grooves. The head and the grooves are geometrically aligned when engaged to prevent creation of a force that acts to disengage the head responsive to an applied force acting on the shaft.

The Evaluation of Usefulness of the Manufactured DTAB (Double Tilt Angle Board) System

International Nuclear Information System (INIS)

Lee, Joung Jin; Jang, In Gi; Kim, Wan Sun

2006-01-01

To resolution of A hospital-handmade modification double tilt angle immobilization system (DTAB immobilization system) and to report the clinical results of it. It was developed in conjunction with the breast board for patients unable to achieve and maintain the desired uncomfortable respiration and position of set-up needed in the treatment of RT (This custom design provides an alternative to accomplishing this desired head angle needed to relax position treatment area, realizing that the lenses totally protected eye-ball out) By using the angled breast board and SBDD(small bowel device), reproducibility of set-up and patient comfort were addressed throughout the simulation, computed tomography planning and treatment process. Usually patients the error range-within 5 mm. When use of Aqua patients error range-within 3 mm. It was constructed in tandem with a unique custom-built double tilt angle board (DTAB). It was designed to eliminate clinical set-up problems with head immobilization and instability during treatment, thus providing for a more comfortable head rest for the patient.

[Adrenomedullin--the link between the sympathetic nervous system activation and peripheral vasodilatation in some patients with vasovagal syncope].

Science.gov (United States)

Gajek, Jacek; Zyśko, Dorota; Halawa, Bogumił

2004-09-01

Adrenomedullin (ADM) is a potent vasodilator playing role in regulation of central hemodynamic. The concentration of plasma ADM in healthy people increases under the influence of orthostatic stress. In patients with vasovagal syncope (VS) the changes in ADM concentration could be responsible either for syncope provocation or prevention. The aim of the study was to assess the influence of phase of the head-up tilt test (HUTT) in which the syncope occurred on the plasma concentration of ADM. The study was performed in 25 patients (pts) (18 women and 7 men), mean age 45.0+/-16.1 years with cardiodepressive reactions during HUTT according to the Italian protocol with nitroglycerine (NTG) provocation if necessary: Syncope was caused in 23 pts due to vasovagal reaction: in 17 pts syncope occurred after NTG provocation (group 1), and in 6 pts occurred in the passive phase of tilt (group 2a), in 2 pts due to dysautonomic reactions (group 2b). The head-up tilt test was performed according to ESC guidelines. The blood for ADM concentration was drawn after 30 min supine rest (ADM 1) and immediately after syncope (ADM 2). ADM level was measured using radioimmunological method. The results. In group 1 plasma level of ADM significantly decreased after the HUTT (3.2+/-3.4 vs 1.7+/-1,4 pg/0.1 ml; p<0.05) and in group 2a increased significantly (1.3+/-0.8 vs 2.7+/-1.3 pg/0.1 ml; p<0.05) comparing to baseline values. The ADM concentration did not differ between the groups in baseline conditions and was significantly higher after the syncope in group 2a (p<0.05). Conclusions. The excessive increase of ADM concentration during the passive phase of HUTT could play the causative role in pathogenesis of VS occurring early during the HUTT. In patients with VS after NTG provocation the decrease of ADM concentration can be the result of hemodynamic changes in the presence of vasodilating drug and may be the mechanism that could prevent the syncope.

Skin cooling maintains cerebral blood flow velocity and orthostatic tolerance during tilting in heated humans

Science.gov (United States)

Wilson, Thad E.; Cui, Jian; Zhang, Rong; Witkowski, Sarah; Crandall, Craig G.

2002-01-01

Orthostatic tolerance is reduced in the heat-stressed human. The purpose of this project was to identify whether skin-surface cooling improves orthostatic tolerance. Nine subjects were exposed to 10 min of 60 degrees head-up tilting in each of four conditions: normothermia (NT-tilt), heat stress (HT-tilt), normothermia plus skin-surface cooling 1 min before and throughout tilting (NT-tilt(cool)), and heat stress plus skin-surface cooling 1 min before and throughout tilting (HT-tilt(cool)). Heating and cooling were accomplished by perfusing 46 and 15 degrees C water, respectively, though a tube-lined suit worn by each subject. During HT-tilt, four of nine subjects developed presyncopal symptoms resulting in the termination of the tilt test. In contrast, no subject experienced presyncopal symptoms during NT-tilt, NT-tilt(cool), or HT-tilt(cool). During the HT-tilt procedure, mean arterial blood pressure (MAP) and cerebral blood flow velocity (CBFV) decreased. However, during HT-tilt(cool), MAP, total peripheral resistance, and CBFV were significantly greater relative to HT-tilt (all P heat-stressed humans.

Effect of serotonin receptor blockade on endocrine and cardiovascular responses to head-up tilt in humans

DEFF Research Database (Denmark)

Matzen, S; Secher, N H; Knigge, U

1993-01-01

) and sympathetic activity (plasma noradrenaline; NA). A moderate increase in pituitary-adrenal hormones (plasma ACTH, beta-END and cortisol) was observed. After a mean tilt time of 30 +/- 5 min (n = 20) presyncopal symptoms associated with decreases in HR, TPR and arterial pressure occurred. At this time pituitary...

Heads Up to High School Sports

Science.gov (United States)

... submit" value="Submit" /> HEADS UP to School Sports Recommend on Facebook Tweet Share Compartir To help ... organizations, developed the HEADS UP: Concussion in School Sports initiative and materials. Specific Concussion Information for... Coaches ...

Provocative behavior of a victim and its difference from the provocation of a crime

Directory of Open Access Journals (Sweden)

Valeriy Anatolyevich Cherepakhin

2015-03-01

Full Text Available Objective to define the main elements of provocative behavior of a victim and its difference from the provocation of a crime. Methods dialectic approach to the study of social phenomena and historical and comparativelegal methods for the study of legal reality. Results scientific grounding of theoreticallegal bases of the ldquoprovocationrdquo institution and formulating proposals for improving its legislative regulation and increasing the efficiency of its law enforcement. Scientific novelty the article presents the author39s classification of the types and forms of provocative activity in the norms of both the General and the Specific parts. Practical value summarizing and analysis of the modern empirical data on the practice of implementation of the norms containing the features of provocation and elaboration of organizational and methodological recommendations based on the authorrsquos research. nbsp

Heads Up: Concussion in Youth Sports

Medline Plus

Full Text Available ... Training course: This page has moved Recommend on Facebook Tweet Share Compartir This training course has been ... with HEADS UP & CDC's Injury Center HEADS UP Resources ... HHS/Open USA.gov Top

Heads Up: Concussion in Youth Sports

Medline Plus

Full Text Available ... with HEADS UP & CDC's Injury Center HEADS UP Resources File Formats Help: How do I view different ... 6348 Email CDC-INFO U.S. Department of Health & Human Services HHS/Open USA.gov Top

Heads Up: Concussion in Youth Sports

Medline Plus

Full Text Available ... Submit Button Connect with HEADS UP & CDC's Injury Center HEADS UP Resources File Formats Help: How do ... Page last updated: April 24, 2017 Content source: Centers for Disease Control and Prevention , National Center for ...

Three-dimensional analysis of post-caloric nystagmus caused by postural change.

Science.gov (United States)

Young, Y H; Chiang, C W; Wang, C P

2001-01-01

In order to record caloric nystagmus (CN) using three-dimensional videonystagmography (3D VNG) 14 subjects were placed in the supine position with the head tilted up 30 degrees relative to the earth's horizontal plane. After the primary-phase CN had terminated, the subjects were repositioned from a supine to a sitting position, with the head anteflexed 30 degrees for recording the post-caloric nystagmus (PCN). In addition, 8 of the original subjects were placed in the supine position but with the head turned 40 degrees to the left so that the irrigated (right) ear was oriented upwards. After the primary-phase CN had terminated, the subjects were rotated by 180 degrees so that the irrigated ear was oriented downwards to record PCN. The results indicated that both methods successfully provoked horizontal and vertical CN. For torsional CN, the irrigated ear up/down method produced a higher provocation rate (75%) than the supine/sitting method (50%), but the difference was not significant. Comparing the provocation rate of the PCN for the horizontal component revealed that the two methods do not differ significantly. However, when comparing the provocation rates of PCN for the vertical component, the irrigated ear up/down method showed a higher rate (82%) than the supine/sitting method (18%). Thus using 3D VNG coupled with postural change during caloric testing, the horizontal or vertical components of PCN can be successfully provoked.

More Falls in Cerebellar Ataxia When Standing on a Slow Up-Moving Tilt of the Support Surface.

Science.gov (United States)

Paquette, Caroline; Franzén, Erika; Horak, Fay B

2016-06-01

We investigated how subjects with cerebellar ataxia (CA) adapt their postural stability and alignment to a slow and small tilt of the support surface allowing for online postural corrections. Eight subjects with CA and eight age- and gender-matched healthy control subjects participated in the study. Subjects stood eyes closed for 1 min after which the support surface was tilted 5° toes-up at a ramp velocity of 1°/s. The toes-up position was held for 2.5 min after which the surface rotated back down to level with identical tilt characteristics. As reflected by the large number of falls, subjects with CA had marked difficulty adapting their posture to the up-moving incline in contrast to control subjects. Subjects with CA who lost their balance had faster trunk velocity and excessive backward trunk reorientation beginning within the first second after onset of the tilting surface. In contrast, the down-moving tilt to level did not result in instability in CA subjects. These results suggest that instability and falls associated with CA derive from an inability to maintain trunk orientation to vertical while standing on a slow-moving or unstable surface. This study underscores the importance of the cerebellum in the online sensory control of the upper body orientation during small amplitude and slow velocity movements of the support surface.

Postural responses of head and foot cutaneous microvascular flow and their sensitivity to bed rest

Science.gov (United States)

Aratow, Michael; Hargens, Alan R.; Meyer, J.-UWE; Arnaud, Sara B.

1991-01-01

To explore the mechanism for facial puffiness, headache, and nasal congestion associated with microgravity and cephalad fluid shifts, the postural responses of the cutaneous microcirculation (CMC) in the forehead and dorsum of the foot of eight healthy men were studied by changing body position on a tilt table and measuring blood flows with a laser Doppler flowmeter. Increasing arterial pressure in the feet by moving from a -6-deg head-down tilt to a 60-deg head-up posture decreased foot CMC by 46.5 + or - 12.0 percent. Raising arterial pressure in the head increased forehead CMC by 25.5 + or - 0.7 percent (p less than 0.05). To investigate the possibility that these opposite responses could be modified by simulated microgravity, tilt test were repeated after 7 d of -6-deg head-down-tilt bed rest. The responses were not significantly different from those recorded before bed rest. Therefore, CMC in the feet is well regulated to prevent edema when shifting to an upright position, whereas there is less regulation in the head CMC.

Systemic provocation in doxycycline induced fixed drug eruption: a case report

Directory of Open Access Journals (Sweden)

Anik Murwaningsih Rosmarini Estri Sih Hananti Niken Indrastuti

2014-04-01

Full Text Available Fixed drug eruption (FDE is recurrent lesions that upon repeated uptake of causative drug, always appears at the same skin and mucosal site. Determination of causal relationship in drug allergy is very important. In this case report, cases of doxycycline-induced FDE was reported. The subject of the research was a 29-year-old male, referred by dermatologist, with history of reccurent FDE. Physical examination revealed an oval well demarcated patch hyperpigmentation. Patch test was perfomed on previous involved and uninvolved site. The result of the patch test was irrelevant. Retesting patch test gave similar result. Systemic provocation test or drug provocation test (DPT  with doxcycline were done with suspected drug under ambulatory survelance and gave positive result. In this case, the DPT succeeded to identify doxycycline as the causal agent of FDE. The work-up of a suspected drug hypersensitivity includes a detailed clinical history, physical examination, skin tests, and provocation tests. The DPT is recommended to confirm drug’s hypersensitivity reactions. Systemic provocation test is considered as the gold standard for diagnosing FDE. Keywords:   fixed drug eruption - doxycycline - causal relationship - patch test - systemic provocation test

Role of head-up tilt table testing in patients with syncope or transient loss of consciousness

Directory of Open Access Journals (Sweden)

Toshiyuki Furukawa, MD, PhD

2017-12-01

Full Text Available The tilt table test (TTT is a useful method for the management of reflex syncope. However, the TTT is incomplete and has several problems. The indications for this test are established using guidelines. The TTT is not suitable for all syncopal patients. It is currently unclear (1 When should the TTT be used, (2 for which types of patients TTT should be performed, and (3 does the TTT provide useful information to guide indication for pacing therapy for reflex syncope. The answers to these questions appear in recent reports from two guidelines published by the European Society of Cardiology and the Japan Circulation Society. The indications for TTT do not apply to all syncopal patients, but selected patients. For patients with low risks and rare syncopal events, the TTT is not necessary, even when diagnoses are unconfirmed. The TTT is used not only for diagnosis of reflex syncope, but also for many clinical management of several conditions (i.e., exclusion of cardiac syncope. Positive TTT results cannot predict the effects of pacing therapy for reflex syncope. The decision to use pacing therapy should be based on documented electrocardiograms and other findings, including TTT results. Keywords: Tilt table testing, Reflex syncope, Pacemaker, Italian protocol, Management of syncope

Hemodynamic response to exercise and head-up tilt of patients implanted with a rotary blood pump: a computational modeling study.

Science.gov (United States)

Lim, Einly; Salamonsen, Robert Francis; Mansouri, Mahdi; Gaddum, Nicholas; Mason, David Glen; Timms, Daniel L; Stevens, Michael Charles; Fraser, John; Akmeliawati, Rini; Lovell, Nigel Hamilton

2015-02-01

The present study investigates the response of implantable rotary blood pump (IRBP)-assisted patients to exercise and head-up tilt (HUT), as well as the effect of alterations in the model parameter values on this response, using validated numerical models. Furthermore, we comparatively evaluate the performance of a number of previously proposed physiologically responsive controllers, including constant speed, constant flow pulsatility index (PI), constant average pressure difference between the aorta and the left atrium, constant average differential pump pressure, constant ratio between mean pump flow and pump flow pulsatility (ratioP I or linear Starling-like control), as well as constant left atrial pressure ( P l a ¯ ) control, with regard to their ability to increase cardiac output during exercise while maintaining circulatory stability upon HUT. Although native cardiac output increases automatically during exercise, increasing pump speed was able to further improve total cardiac output and reduce elevated filling pressures. At the same time, reduced venous return associated with upright posture was not shown to induce left ventricular (LV) suction. Although P l a ¯ control outperformed other control modes in its ability to increase cardiac output during exercise, it caused a fall in the mean arterial pressure upon HUT, which may cause postural hypotension or patient discomfort. To the contrary, maintaining constant average pressure difference between the aorta and the left atrium demonstrated superior performance in both exercise and HUT scenarios. Due to their strong dependence on the pump operating point, PI and ratioPI control performed poorly during exercise and HUT. Our simulation results also highlighted the importance of the baroreflex mechanism in determining the response of the IRBP-assisted patients to exercise and postural changes, where desensitized reflex response attenuated the percentage increase in cardiac output during exercise and

The effect of head-down tilt and water immersion on intracranial pressure in nonhuman primates

Science.gov (United States)

Keil, Lanny C.; Mckeever, Kenneth H.; Skidmore, Michael G.; Hines, John; Severs, Walter B.

1992-01-01

Intracranial pressure (ICP) is investigated in primates during and after -6-deg head-down tilt (HDT) and immersion in water to examine the effects of the headward fluid shift related to spaceflight. Following the HDT the primates are subjected to head-out thermoneutral water immersion, and the ICP is subsequently measured. ICP is found to increase from 3.8 +/- 1.1 to 5.3 +/- 1.3 mm Hg during the horizontal control period. ICP stabilizes at -6.3 +/- 1.3 mm Hg and then increases to -2.2 +/- 1.9 mm Hg during partial immersion, and ICP subsequently returns to preimmersion levels after immersion. These data indicate that exposure to HDT or water immersion lead to an early sharp increase in ICP, and water immersion alone leads to higher ICP levels. A significant conclusion of the work is that the ICP did not approach pathological levels, and this finding is relevant to human spaceflight research.

Using Concurrent Cardiovascular Information to Augment Survival Time Data for Evaluating Orthostatic Tilt Test Performance

Science.gov (United States)

Feiveson, Alan H.; Fiedler, James; Lee, Stuart M. C.; Koslovsky, Matthew D.; Stenger, Michael B.; Platts, Steven H.

2018-01-01

Head-up tilt (HUT) tests often are used in research to measure orthostatic intolerance (OI) (inability to appropriately control blood pressure while upright) in clinical populations and otherwise healthy individuals after interventions. Post-space flight orthostatic intolerance is a well-known phenomenon, and countermeasures to its development has been an active area of research at NASA. In the NASA HUT protocol, subjects lie horizontally on an automatic tilt table for baseline measurements before being raised to 80deg head-up tilt for a defined period of time or until signs or symptoms of presyncope ensues (light-headedness, nausea, dizziness, sweating, weakness or fainting). Multiple measures are collected to evaluate the cardiovascular system's ability to respond appropriately to the orthostatic challenge. However if the intended duration of the HUT is short, the ability to detect changes in OI due to an intervention or its prevention by a countermeasure may be limited by a small number of failures to permit comparisons based on survival time alone. Thus, the time-trajectory of the cardiovascular data becomes an important additional source of information. In particular, we will show how various measures of trajectory variability can effectively augment survival analysis for the assessment of OI in a joint model when high censoring rates are present.

Distilled water nasal provocation in hyperreactive patients.

Science.gov (United States)

Baudoin, T; Anzic, S A; Kalogjera, L

1999-01-01

Nonisotonic aerosol may act as a provocation agent in the upper and lower airways of hyperreactive individuals. The purpose of the study was to compare the results of nasal challenge with distilled water in patients with allergic rhinitis to those with noninfective nonallergic rhinitis (NINAR), with respect to the potential clinical use of the obtained data. A group of 68 ambulatory patients with allergic rhinitis or NINAR (39 perennial allergic, 6 seasonal, 23 NINAR) were challenged with 10 mL of distilled water aerosol after the baseline active anterior rhinomanometry. Patients with nasal polyposis at endoscopy, significant unilateral septal deviation, positive bacteriologic swab, recent nasal surgery, and uncertain anamnestic data about the medication taken 6 weeks before the provocation were excluded from the study. After 10 minutes of nasal provocation, rhinomanometry was repeated to assess the response. In 15 patients of the perennial allergic group, the same measurements were performed after a 2-week oral antihistamine and topical steroid therapy. Nasal resistance was significantly increased on the more patent side of the nose after nasal provocation with distilled water aerosol in allergic patients in comparison to the nasal resistance before provocation. In the patients with NINAR, the provocation resulted in a significant rise on the more patent side, but the total nasal airway resistance (NAR) levels were also significantly increased. The systemic antihistamine and topical steroid 2-week therapy in patients with perennial allergic rhinitis significantly reduced the response to nasal distilled water provocation. Nasal provocation with distilled water aerosol is a cheap, simple, and acceptable method that provides useful clinical data on the level of nonspecific nasal hyperreactivity and the therapy success.

The Importance of Prolonged Provocation in Drug Allergy

DEFF Research Database (Denmark)

Fransson, Sara; Mosbech, Holger; Kappel, Mogens

2017-01-01

BACKGROUND: Drug provocation is the "Gold Standard" in drug allergy investigation. Recent studies suggest that a negative drug provocation on first dose should be followed by a prolonged provocation over several days. OBJECTIVE: To evaluate drug allergy investigations on the basis of drug...

On Provocation, Education and Entrepreneurship

DEFF Research Database (Denmark)

Hjorth, Daniel

2011-01-01

in processes of learning entrepreneurship, this article responds to previous calls for less economised entrepreneurship education focusing on its creative-relational nature. An affect-based theory of E3 brings together provocation, deterritorialisation (uprooting) and decoding/imagination, which calls for both......This essay develops an affect-based theory of entrepreneurial entrepreneurship education, something we summarise in a model of provocation-based entrepreneurial entrepreneurship education (the E3 model). Taking its starting point in an anecdote that illustrates the importance of provocation...... critique and creativity, and resonates with appreciations of paralogy as driver in learning processes. The implications of this conceptual model of learning entrepreneurship entrepreneurially are discussed, with particular focus on the role of the pedagogue and on the future of learning entrepreneurship....

SPECIFICS AND FUNCTIONS OF THE PROVOCATIVE ACT

Directory of Open Access Journals (Sweden)

ROŞCA ANGELINA

2017-12-01

Full Text Available The author points out that the provocativeness that is at the basis of the creations belonging to different art trends (constructivism, futurism, surrealism, minimalism, conceptualism and so on played a key role in the art of the 20th – 21st centuries. At present, provocation has become the main strategy for the development of the theatrical process, which makes it necessary for theatre science to try to delineate the theoretical outline of what we call provocativity. The author, using worldknown theatrical cases, determines the specificity and functions of provocativity. The latter consists in the fact that the provocation, allows a clearer outline of the boundaries of art, broadening the permissibility framework and increasing the degree of tolerance in society, breaks the taboos, from the sexual to the social ones, contributes to changing the artistic paradigm, destroys stereotypes, radically changes conceptions, artistic means, methods, models of organizing the artistic process, impacts the emergence of radical aesthetics, carries out artistic and social reforms.

Pussy Provocations: Feminist Protest and Anti-Feminist Resurgence in Russia

Directory of Open Access Journals (Sweden)

Jessica Mason

2018-03-01

Full Text Available The Russian feminist punk-art group Pussy Riot sparked a remarkable series of responses with their provocative “punk prayer” in a Moscow cathedral in 2012. This article analyzes the social, political, and cultural dynamics of provocation (provokatsiya by examining everyday conversations, speeches, articles and other linguistic acts through which Russian Orthodox, feminist, and left-leaning and liberal participants in the anti-Putin opposition made sense of Pussy Riot. A provocation violates norms in ways that compel observers to name and defend those norms. This process simultaneously invigorates norms and helps people shore up their own senses of self amid uncertainty. Yet what observers identify as the provocation — what norms are perceived to be violated — shapes what values they reinforce. Responding to Pussy Riot, Russian Orthodox activists asserted themselves as defenders of tradition against the forces of Western cultural imperialism, including feminism and LGBT rights. Yet most responses from the anti-Putin opposition focused on norms related to speech and protest rights, while Russian feminists were often reluctant even to claim Pussy Riot as feminist at all. Due to this asymmetry, Pussy Riot’s feminist protest revitalized anti-feminism in Russia without a concomitant strengthening of feminist values among supporters.

Distinctive Steady-State Heart Rate and Blood Pressure Responses to Passive Robotic Leg Exercise and Functional Electrical Stimulation During Head-up Tilt

OpenAIRE

Amirehsan Sarabadani Tafreshi; Amirehsan Sarabadani Tafreshi; Robert Riener; Robert Riener; Verena Klamroth-Marganska; Verena Klamroth-Marganska

2016-01-01

Tilt tables enable early mobilization of patients by providing verticalization. But there is a high risk of orthostatic hypotension provoked by verticalization, especially after neurological diseases such as spinal cord injury. Robot-assisted tilt tables might be an alternative as they add passive robotic leg exercise (PE) that can be enhanced with functional electrical stimulation (FES) to the verticalization, thus reducing the risk of orthostatic hypotension. We hypothesized that the influe...

The impact of preload reduction with head-up tilt testing on longitudinal and transverse left ventricular mechanics: a study utilizing deformation volume analysis.

Science.gov (United States)

Schneider, Caroline; Forsythe, Lynsey; Somauroo, John; George, Keith; Oxborough, David

2018-03-01

Left ventricular (LV) function is dependent on load, intrinsic contractility and relaxation with a variable impact on specific mechanics. Strain (ε) imaging allows the assessment of cardiac function; however, the direct relationship between volume and strain is currently unknown. The aim of this study was to establish the impact of preload reduction through head-up tilt (HUT) testing on simultaneous left ventricular (LV) longitudinal and transverse function and their respective contribution to volume change. A focused transthoracic echocardiogram was performed on 10 healthy male participants (23 ± 3 years) in the supine position and following 1 min and 5 min of HUT testing. Raw temporal longitudinal ε (Ls) and transverse ε (Ts) values were exported and divided into 5% increments across the cardiac cycle and corresponding LV volumes were traced at each 5% increment. This provided simultaneous LV longitudinal and transverse ε and volume loops (deformation volume analysis - DVA). There was a leftward shift of the ε-volume loop from supine to 1 min and 5 min of HUT ( P  transverse thickening from supine to 1 min, which was further augmented at 5 min ( P  = 0.018). Preload reduction occurs within 1 min of HUT but does not further reduce at 5 min. This decline is associated with a decrease in longitudinal ε and concomitant increase in transverse ε. Consequently, augmented transverse relaxation appears to be an important factor in the maintenance of LV filling in the setting of reduced preload. DVA provides information on the relative contribution of mechanics to a change in LV volume and may have a role in the assessment of clinical populations. © 2018 The authors.

Retinal Nerve Fiber Layer Protrusion Associated with Tilted Optic Discs.

Science.gov (United States)

Chiang, Jaclyn; Yapp, Michael; Ly, Angelica; Hennessy, Michael P; Kalloniatis, Michael; Zangerl, Barbara

2018-03-01

This study resulted in the identification of an optic nerve head (ONH) feature associated with tilted optic discs, which might potentially contribute to ONH pathologies. Knowledge of such findings will enhance clinical insights and drive future opportunities to understand disease processes related to tilted optic discs. The aim of this study was to identify novel retinal nerve fiber layer (RNFL) anomalies by evaluating tilted optic discs using optical coherence tomography. An observed retinal nerve fiber protrusion was further investigated for association with other morphological or functional parameters. A retrospective review of 400 randomly selected adult patients with ONH examinations was conducted in a referral-only, diagnostic imaging center. After excluding other ONH pathologies, 215 patients were enrolled and evaluated for optic disc tilt and/or torsion. Gross anatomical ONH features, including size and rim or parapapillary region elevation, were assessed with stereoscopic fundus photography. Optical coherence tomography provided detailed morphological information of individual retinal layers. Statistical analysis was applied to identify significant changes between individual patient cohorts. A dome-shaped hyperreflective RNFL bulge, protruding into the neurosensory retina at the optic disc margins, was identified in 17 eyes with tilted optic discs. Available follow-up data were inconclusive regarding natural changes with this ONH feature. This RNFL herniation was significantly correlated with smaller than average optic disc size (P = .005), congenital disc tilt (P optic discs, which has not previously been assessed as an independent ONH structure. The feature is predominantly related to congenital crowded, small optic discs and variable between patients. This study is an important first step to elucidate diagnostic capabilities of tilted disc morphological changes and understanding associated functional deficits.

The influence of a tilt training programme on the renin-angiotensin-aldosterone system activity in patients with vasovagal syncope.

Science.gov (United States)

Gajek, Jacek; Zyśko, Dorota; Krzemińska, Sylwia; Mazurek, Walentyna

2009-08-01

We assessed the influence of short-term and long-term tilt training on the activity of the renin-angiotensin-aldosterone system (RAAS) in vasovagal patients. Thirty-nine patients (28 F, 11 M) aged 39.7 +/- 11.2 years with a history of vasovagal syncope and a positive head-up tilt test (HUT) were studied. Blood samples for plasma renin activity (PRA) and aldosterone (ALDO) concentration were drawn at the baseline, immediately after HUT and 10 min after HUT, during the diagnostic, the negative short-term (2-5 days) follow-up HUT and long-term (1-3 months) follow-up HUT. Tilt training was started after diagnostic HUT. In diagnostic HUT, PRA increased significantly immediately after HUT comparing to the baseline, during recovery the values did not change. ALDO concentration increased after HUT comparing to baseline and further increased during recovery. After short-term tilt training, PRA and ALDO concentrations did not significantly change compared to their corresponding values in diagnostic HUT. After long-term tilt training, PRA did not significantly change compared to the values in the diagnostic and short-term follow-up HUT. ALDO concentration also did not change significantly at the baseline and immediately after HUT, and 10 min after HUT ALDO concentration was significantly lower than after diagnostic HUT. Tilt training changes the response of RAAS to the prolonged orthostasis in vasovagal patients. The coupling between PRA and ALDO after diagnostic HUT has been found to be altered and the physiological relationship was restored after long-term tilt training. The beneficial effect of tilt training depends partially on changed RAAS activation.

Tilting-induced decrease in systolic blood pressure in bedridden hypertensive elderly inpatients: effects of azelnidipine.

Science.gov (United States)

Morimoto, Shigeto; Takahashi, Takashi; Okaishi, Kohya; Nakahashi, Takeshi; Nomura, Kohji; Kanda, Tsugiyasu; Okuro, Masashi; Murai, Hiroshi; Nishino, Tomoichi; Matsumoto, Masayuki

2006-12-01

The object of this study was to examine blood pressure (BP) variability due to postural change in elderly hypertensive patients. The subjects studied were 154 elderly inpatients in a hospital for the elderly (48 male and 106 female; median age: 82 years), consisting of age- and sex-matched bedridden (n=39) and non-bedridden (n=39) normotensive controls and bedridden (n=38) and non-bedridden (n=38) hypertensive patients. BP and pulse rate (PR) were measured in the supine position, then again after a 2-min, 45 deg head-up tilt with the legs horizontal. The decrease in systolic BP (SBP) on tilting in the bedridden hypertensive group (median: -10 mmHg; range: -32 to 9 mmHg) was significantly (pbedridden hypertensive group. Our findings indicate that tilt-induced decrease in SBP is a rather common phenomenon in bedridden elderly hypertensive patients, and that treatment with azelnidipine attenuates tilt-induced decrease in SBP, probably through an improvement of baroreceptor sensitivity.

Acute Cutaneous Microvascular Flow Responses to Whole-Body Tilting in Humans

Science.gov (United States)

Breit, Gregory A.; Watenpaugh, Donald E.; Ballard, Richard E.; Hargens, Alan R.

1993-01-01

The transition from upright to head-down tilt (HDT) posture in humans increases blood pressure superior to the heart and decreases pressure inferior to the heart. Consequently, above heart level, myogenic arteriolar tone probably increases with HDT, in opposition to the withdrawal of baroreceptor-mediated sympathetic tone. We hypothesized that due to antagonism between central and local controls, the response of the facial cutaneous microcirculation to acute postural change will be weaker than that in the leg, where these two mechanisms reinforce each other. Cutaneous microvascular flow was measured by laser Doppler flowmetry simultaneously at the shin and the neck of 7 male and 3 female subjects. Subjects underwent a stepwise tilt protocol from standing control to 54 deg head-up tilt (HUT), 30 deg, 12 deg, O deg, -6 deg (HDT), -12 deg, -6 deg, O deg, 12 deg, 30 deg, 54 deg, and standing, for 30-sec periods with 10-sec transitions between postures. Flows at the shin and the neck increased significantly (P less than 0.05) from standing baseline to 12 deg HUT (252 +/- 55 and 126 +/- 9% (bar X +/- SE) of baseline, respectively). From 12 deg to -12 deg tilt, flows continued to increase at the shin (509 +/- 71% of baseline) but decreased at the neck to baseline levels (100 +/- 15% of baseline). Cutaneous microvascular flow recovered at both sites during the return to standing posture with significant hysteresis. Flow increases from standing to near-supine posture are attributed at both sites to baroreceptor-mediated vasodilation. The great dissimilarity in flow response magnitudes at the two measurement sites may be indicative of central/local regulatory antagonism above heart level and reinforcement below heart level.

Bancroftian filariasis: long-term effect of the DEC provocative day test on microfilaraemia

DEFF Research Database (Denmark)

Simonsen, Poul Erik; Meyrowitsch, Dan Wolf; Makunde, W.H.

1997-01-01

The diethylcarbamazine (DEC) provocative day test has been widely used for daytime diagnosis of Wuchereria bancrofti infections in areas where microfilariae exhibit nocturnal periodicity. Since DEC is also the primary drug for treatment of bancroftian filariasis, we examined the long term effect...... amicrofilaraemic. No significant reduction of microfilaraemia was observed in the placebo group. The results imply that the DEC provocative day test should not be used as a diagnostic tool in follow-up studies on microfilaraemias....

Spatial Coding of Eye Movements Relative to Perceived Orientations During Roll Tilt with Different Gravitoinertial Loads

Science.gov (United States)

Wood, Scott; Clement, Gilles

2013-01-01

This purpose of this study was to examine the spatial coding of eye movements during roll tilt relative to perceived orientations while free-floating during the microgravity phase of parabolic flight or during head tilt in normal gravity. Binocular videographic recordings obtained in darkness from six subjects allowed us to quantify the mean deviations in gaze trajectories along both horizontal and vertical coordinates relative to the aircraft and head orientations. Both variability and curvature of gaze trajectories increased during roll tilt compared to the upright position. The saccades were less accurate during parabolic flight compared to measurements obtained in normal gravity. The trajectories of saccades along perceived horizontal orientations tended to deviate in the same direction as the head tilt, while the deviations in gaze trajectories along the perceived vertical orientations deviated in the opposite direction relative to the head tilt. Although subjects were instructed to look off in the distance while performing the eye movements, fixation distance varied with vertical gaze direction independent of whether the saccades were made along perceived aircraft or head orientations. This coupling of horizontal vergence with vertical gaze is in a consistent direction with the vertical slant of the horopter. The increased errors in gaze trajectories along both perceived orientations during microgravity can be attributed to the otolith's role in spatial coding of eye movements.

Effect of tilting on blood pressure and interstitial fluid pressures of bluefish and smooth dogfish.

Science.gov (United States)

Ogilvy, C S; DuBois, A B

1982-01-01

Tolerance of the circulatory system of fish for gravitational stress has not been measured previously. We examined this in bluefish (Pomatomus saltatrix) and smooth dogfish (Mustelus canis) by placing them horizontally on a V-board in air while their gills were perfused with aerated seawater, then tilting them head up for 0.5 h, and finally returning them to horizontal. Meanwhile, we recorded the blood pressure, pulse pressure, and heart rate in the ventral aorta, and interstitial fluid pressure in the head and tail. All four bluefish tolerated a 30 degrees tilt or even a 60 degrees tilt with little change in blood pressure or interstitial pressure in the anterior and posterior regions. All recovered afterward. However, in the seven dogfish examined, the posterior interstitial fluid pressure increased from 2.8 +/- 1.0 cmH2O before tilting to 11.8 +/- 3.3 cmH2O toward the end of a 30 degrees tilt lasting 30 min. The blood pressure decreased as the pulse pressure approached zero, showing that circulatory insufficiency had developed due to insufficient venous return to the heart. Most of the dogfish died within a few hours after the experiment. These findings are in keeping with the conclusion that the vasculature of bluefish has more rigidity, less permeability, and perhaps more compensatory tone than that of smooth dogfish. We speculate that bluefish may have evolved their circulatory tolerance for gravity as a cross-adaptation to the stresses imposed on the circulation by forward acceleration and by regional differences of transcutaneous pressure occurring during fast carangiform swimming.

Allocation of Attention with Head-Up Displays

National Research Council Canada - National Science Library

Wickens, C

1998-01-01

Two experiments examined the effects of display location (head up vs. head down) and image intensity/clutter on flight path performance and mid-air target detection in a general aviation cruise flight environment...

[Abnormal head turn in a patient with Brown's syndrome].

Science.gov (United States)

van Waveren, M; Krzizok, T; Besch, D

2008-08-01

We report on an eight-year-old boy, who was presented in our clinic because of head turn. The cause of the tortecollis (ocular or general) in this case was and still cannot be explained. Only by applying extensive prism adaptation tests it was possible to prove the ocular character of the head turn. An eight-year-old boy with Brown's syndrome was referred to us because of a head tilt to the left side. Six months previously surgery on the M. obl. superior of the right eye was performed in another clinic. No improvement of the head tilt could be observed after the operation. In addition, an exotropia became decompensated. Under a 3-day occlusion of one eye, no change of the head turn and the squint could be measured. No other cause of the head turn could be found by an orthopaedist and a paediatrist. Under a prism of 20 cm/m basis in and 10 cm/m basis against the positive vertical deviation, the head tilt decreased, so that we decided to do a second surgery. The head tilting had not resumed at one year after the surgery. Although the initial diagnostic findings ruled out an ocular cause, it was possible to lessen the head tilting with the aid of the prism adaptation test. This case study emphasises the usefulness of a prism adaptation test of several days duration in order to validate an ocular cause of head turn and to determine an adequate indication for surgery.

Perception of tilt (somatogravic illusion) in response to sustained linear acceleration during space flight

Science.gov (United States)

Clement, G.; Moore, S. T.; Raphan, T.; Cohen, B.

2001-01-01

During the 1998 Neurolab mission (STS-90), four astronauts were exposed to interaural and head vertical (dorsoventral) linear accelerations of 0.5 g and 1 g during constant velocity rotation on a centrifuge, both on Earth and during orbital space flight. Subjects were oriented either left-ear-out or right-ear-out (Gy centrifugation), or lay supine along the centrifuge arm with their head off-axis (Gz centrifugation). Pre-flight centrifugation, producing linear accelerations of 0.5 g and 1 g along the Gy (interaural) axis, induced illusions of roll-tilt of 20 degrees and 34 degrees for gravito-inertial acceleration (GIA) vector tilts of 27 degrees and 45 degrees , respectively. Pre-flight 0.5 g and 1 g Gz (head dorsoventral) centrifugation generated perceptions of backward pitch of 5 degrees and 15 degrees , respectively. In the absence of gravity during space flight, the same centrifugation generated a GIA that was equivalent to the centripetal acceleration and aligned with the Gy or Gz axes. Perception of tilt was underestimated relative to this new GIA orientation during early in-flight Gy centrifugation, but was close to the GIA after 16 days in orbit, when subjects reported that they felt as if they were 'lying on side'. During the course of the mission, inflight roll-tilt perception during Gy centrifugation increased from 45 degrees to 83 degrees at 1 g and from 42 degrees to 48 degrees at 0.5 g. Subjects felt 'upside-down' during in-flight Gz centrifugation from the first in-flight test session, which reflected the new GIA orientation along the head dorsoventral axis. The different levels of in-flight tilt perception during 0.5 g and 1 g Gy centrifugation suggests that other non-vestibular inputs, including an internal estimate of the body vertical and somatic sensation, were utilized in generating tilt perception. Interpretation of data by a weighted sum of body vertical and somatic vectors, with an estimate of the GIA from the otoliths, suggests that

Subjective visual horizontal during follow-up after unilateral vestibular deafferentation with gentamicin.

Science.gov (United States)

Tribukait, A; Bergenius, J; Brantberg, K

1998-07-01

The subjective visual horizontal (SVH) was measured by means of a small, rotatable, luminous line in darkness in the upright head and body position and at 10, 20 and 30 degrees of tilt to the right and left before, and repeatedly during a follow-up period of 1 year after intratympanic gentamicin instillations in 12 patients with recurrent vertigo attacks. This treatment caused a loss of the bithermal caloric responses on the diseased side. Shortly after treatment there was a significant tilt of SVH towards the treated side (group mean = 10.6 degrees). Repeated testing made it possible to characterize mathematically the changes with time for SVH. For the group of patients as a whole this otolithic component of vestibular compensation was best described by a power function, SVH = 8.65t(-0.16) degrees, where t is time in days after maximum tilt of SVH. After 1 year, SVH was still significantly tilted towards the treated side (group mean = 3.16 degrees). Gentamicin treatment also caused a significant reduction in the perception of head and body tilt towards the deafferented side, while the perception of tilt towards the healthy side did not show any significant changes. During follow-up there was a gradual improvement in the perception of tilt towards the treated side. However, a significant asymmetry in roll-tilt perception was still present 1 year after deafferentation. There was no correlation between SVH in the upright position and roll-tilt perception, suggesting that these parameters are to some extent dependent on different afferent input from the vestibular organ. They were also found to be complementary for the detection of vestibular disturbance.

Head-up and head-down displays integration in automobiles

Science.gov (United States)

Betancur, J. Alejandro; Osorio-Gómez, Gilberto; Agudelo, J. David

2014-06-01

In automotive industry, the dashboard has been ergonomically developed in order to keep the driver focused on the horizon while driving, but the possibility to access external electronic devices constraints the driver to turn away his face, generating dangerous situations in spite of the short periods of time. Therefore, this work explores the integration of Head-Up Displays and Head-Down Displays in automobiles, proposing configurations that give to drivers the facility to driving focused. In this way, some of the main ergonomic comments about those configurations are proposed; and also, some technical comments regarding the implemented arrangements are given.

Effects of Vestibular Loss on Orthostatic Responses to Tilts in the Pitch Plane

Science.gov (United States)

Wood, Scott J.; Serrador, Jorge M.; Black, F. Owen; Rupert,Angus H.; Schlegel, Todd T.

2004-01-01

The purpose of this study was to determine the extent to which vestibular loss might impair orthostatic responses to passive tilts in the pitch plane in human subjects. Data were obtained from six subjects having chronic bilateral vestibular loss and six healthy individuals matched for age, gender, and body mass index. Vestibular loss was assessed with a comprehensive battery including dynamic posturography, vestibulo-ocular and optokinetic reflexes, vestibular evoked myogenic potentials, and ocular counterrolling. Head up tilt tests were conducted using a motorized two-axis table that allowed subjects to be tilted in the pitch plane from either a supine or prone body orientation at a slow rate (8 deg/s). The sessions consisted of three tilts, each consisting of20 min rest in a horizontal position, tilt to 80 deg upright for 10 min, and then return to the horizontal position for 5 min. The tilts were performed in darkness (supine and prone) or in light (supine only). Background music was used to mask auditory orientation cues. Autonomic measurements included beat-to-beat recordings of blood pressure (Finapres), heart rate (ECG), cerebral blood flow velocity in the middle cerebral artery (transcranial Doppler), end tidal CO2, respiratory rate and volume (Respritrace), and stroke volume (impedance cardiography). For both patients and control subjects, cerebral blood flow appeared to exhibit the most rapid adjustment following transient changes in posture. Outside of a greater cerebral hypoperfusion in patients during the later stages of tilt, responses did not differ dramatically between the vestibular loss and control subjects, or between tilts performed in light and dark room conditions. Thus, with the 'exception of cerebrovascular regulation, we conclude that orthostatic responses during slow postural tilts are not substantially impaired in humans following chronic loss of vestibular function, a result that might reflect compensation by nonvisual graviceptor

Head position modulates optokinetic nystagmus.

Science.gov (United States)

Pettorossi, V E; Ferraresi, A; Botti, F M; Panichi, R; Barmack, N H

2011-08-01

Orientation and movement relies on both visual and vestibular information mapped in separate coordinate systems. Here, we examine how coordinate systems interact to guide eye movements of rabbits. We exposed rabbits to continuous horizontal optokinetic stimulation (HOKS) at 5°/s to evoke horizontal eye movements, while they were statically or dynamically roll-tilted about the longitudinal axis. During monocular or binocular HOKS, when the rabbit was roll-tilted 30° onto the side of the eye stimulated in the posterior → anterior (P → A) direction, slow phase eye velocity (SPEV) increased by 3.5-5°/s. When the rabbit was roll-tilted 30° onto the side of the eye stimulated in the A → P direction, SPEV decreased to ~2.5°/s. We also tested the effect of roll-tilt after prolonged optokinetic stimulation had induced a negative optokinetic afternystagmus (OKAN II). In this condition, the SPEV occurred in the dark, "open loop." Modulation of SPEV of OKAN II depended on the direction of the nystagmus and was consistent with that observed during "closed loop" HOKS. Dynamic roll-tilt influenced SPEV evoked by HOKS in a similar way. The amplitude and the phase of SPEV depended on the frequency of vestibular oscillation and on HOKS velocity. We conclude that the change in the linear acceleration of the gravity vector with respect to the head during roll-tilt modulates the gain of SPEV depending on its direction. This modulation improves gaze stability at different image retinal slip velocities caused by head roll-tilt during centric or eccentric head movement.

A new tilt on pelvic radiographs: a pilot study

Energy Technology Data Exchange (ETDEWEB)

Richards, P.J. [North Staffordshire Royal Infirmary, Department of Radiology, Stoke-on-Trent, Staffordshire (United Kingdom); Pattison, J.M. [University Hospital of North Staffordshire, Department of Radiology, Stoke on Trent (United Kingdom); Belcher, J. [Keele University, Department of Mathematics, Keele, Staffordshire (United Kingdom); DeCann, R.W. [IMECS, Department of Radiology, Market Drayton, Shropshire (United Kingdom); Anderson, Suzanne [University of Melbourne, Department of Radiology, Melbourne (Australia); Wynn-Jones, C. [University Hospital of North Staffordshire, Department of Orthopaedic Surgery, Stoke on Trent (United Kingdom)

2009-02-15

The aim of this study was to evaluate pelvic tilt on commonly performed measurements on radiography in primary protrusio acetabuli and developmental dysplasia of the hip. A dry assembled pelvis and spine skeleton was positioned in an isocentric skull unit and films exposed with increasing degrees of angulation of pelvic tilt. The films were then read by two independent readers for seven different measurements used to evaluate the hips and acetabular: acetabular line to ilioischial line, teardrop appearance, intercristal/intertuberous ratio, co-ordinates of femoral head, centre edge angle, acetabular depth/width ratio and acetabular angle. There was so much variation in the protrusio results that no formal recommendation of any standard radiographic test can be given. Only the inter tuberous distance is not effected by pelvic tilt. The acetabular angles for developmental dysplasia of the hip showed the most potential with pelvic tilt below 15 . As pelvic tilt increases, measurements used in protusio become unreliable, and computed tomography/magnetic resonance imaging are probably going to be more accurate as one can directly visualise pelvic intrusion. We recommend a lateral view to assess the degree of pelvic tilt in patients with protrusion to ensure these measurements are valid. (orig.)

Vertical eye position-dependence of the human vestibuloocular reflex during passive and active yaw head rotations.

Science.gov (United States)

Thurtell, M J; Black, R A; Halmagyi, G M; Curthoys, I S; Aw, S T

1999-05-01

Vertical eye position-dependence of the human vestibuloocular reflex during passive and active yaw head rotations. The effect of vertical eye-in-head position on the compensatory eye rotation response to passive and active high acceleration yaw head rotations was examined in eight normal human subjects. The stimuli consisted of brief, low amplitude (15-25 degrees ), high acceleration (4,000-6,000 degrees /s2) yaw head rotations with respect to the trunk (peak velocity was 150-350 degrees /s). Eye and head rotations were recorded in three-dimensional space using the magnetic search coil technique. The input-output kinematics of the three-dimensional vestibuloocular reflex (VOR) were assessed by finding the difference between the inverted eye velocity vector and the head velocity vector (both referenced to a head-fixed coordinate system) as a time series. During passive head impulses, the head and eye velocity axes aligned well with each other for the first 47 ms after the onset of the stimulus, regardless of vertical eye-in-head position. After the initial 47-ms period, the degree of alignment of the eye and head velocity axes was modulated by vertical eye-in-head position. When fixation was on a target 20 degrees up, the eye and head velocity axes remained well aligned with each other. However, when fixation was on targets at 0 and 20 degrees down, the eye velocity axis tilted forward relative to the head velocity axis. During active head impulses, the axis tilt became apparent within 5 ms of the onset of the stimulus. When fixation was on a target at 0 degrees, the velocity axes remained well aligned with each other. When fixation was on a target 20 degrees up, the eye velocity axis tilted backward, when fixation was on a target 20 degrees down, the eye velocity axis tilted forward. The findings show that the VOR compensates very well for head motion in the early part of the response to unpredictable high acceleration stimuli-the eye position- dependence of the

Combined effect of head down tilt (HDT) and gamma radiation on the higher nervous activity of the rats

International Nuclear Information System (INIS)

Shtemberg, A.S.

1992-01-01

The paper deals with a combined effect of 30-day head down tilt (HDT) and gamma-radiation at a dose of 3 Gy on the higher nervous activity of the rats. The 30-day HDT disturbs the process of forming the motor-drinking differentiated conditioned reflex coming to a reduction of internal inhibition, generalization and sluggishness of a stimulation process. Functionally, these processes are reflected by a behavioral pattern shifting to stable stereotype impeding the formation of differentiated inhibition. Against HDT the unidirectional gamma-radiation exposure increases this effects. In some cases, it leads to blocking the adaptational procesess showing in the development of neurotic responses or deep, beyond the limits, inhibition

Gastrointestinal Physiology During Head Down Tilt Bedrest in Human Subjects

Science.gov (United States)

Vaksman, Z.; Guthienz, J.; Putcha, L.

2008-01-01

Introduction: Gastrointestinal (GI) motility plays a key role in the physiology and function of the GI tract. It directly affects absorption of medications and nutrients taken by mouth, in addition to indirectly altering GI physiology by way of changes in the microfloral composition and biochemistry of the GI tract. Astronauts have reported nausea, loss of appetite and constipation during space flight all of which indicate a reduction in GI motility and function similar to the one seen in chronic bed rest patients. The purpose of this study is to determine GI motility and bacterial proliferation during -6 degree head down tilt bed rest (HTD). Methods: Healthy male and female subjects between the ages of 25-40 participated in a 60 day HTD study protocol. GI transit time (GITT) was determined using lactulose breath hydrogen test and bacterial overgrowth was measured using glucose breath hydrogen test. H. Pylori colonization was determined using C13-urea breath test (UBIT#). All three tests were conducted on 9 days before HDT, and repeated on HDT days 2, 28, 58, and again on day 7 after HDT. Results: GITT increased during HTD compared to the respective ambulatory control values; GITT was significantly lower on day 7 after HTD. A concomitant increase in bacterial colonization was also noticed during HDT starting after approximately 28 days of HDT. However, H. Pylori proliferation was not recorded during HDT as indicated by UBIT#. Conclusion: GITT significantly decreased during HDT with a concomitant increase in the proliferation of GI bacterial flora but not H. pylori.

Clinical relevance of syncope and presyncope induced by tilt testing.

Science.gov (United States)

Zyśko, Dorota; Gajek, Jacek; Koźluk, Edward; Agrawal, Anil Kumar; Smereka, Jacek; Checiński, Igor

2009-08-01

The authors investigated the relation between presyncope and syncope induced by tilt testing (HUTT) and demographics, medical history and HUTT data.The demographics, syncopal burden, data regarding the spontaneous syncope and reproduction of symptoms during HUTT were compared among patients with induced syncope and presyncope. The study group consisted of 574 patients (371 women, 203 men), aged 43.7 +/- 18.5 years. Patients with syncope induced by HUTT (418 patients, 63.9% women) had a higher number of syncopal episodes in their medical history. Stepwise logistic regression revealed that syncope provocation was independently related to the cardiodepressive type of neurocardiogenic reaction (OR 7.8, CI 4.2-14.4, P < 0.001), NTG use (OR 1.7, CI: 1.0-2.7, P < 0.05), the reproduction of the symptoms during HUTT (OR 2.0, CI: 1.3-3.1, P < 0.01) and the higher number of syncopal episodes (OR 2.0, CI: 1.3-3.0, P < 0.01). In patients with positive HUTT during a passive phase it was related to the cardiodepressive type of reaction (OR 26.5, CI: 5.9-118.5, P < 0.001). In the group with positive HUTT after NTG syncope was related to the cardiodepressive type (OR 5.7, CI: 2.9-11.2, P < 0.001), vasovagal history (OR 2.0, CI: 1.2-3.3, P < 0.01), reproduction of the spontaneous symptoms (OR 1.9, CI: 1.1-3.1, P < 0.05) and higher number of syncopal episodes (OR 2.1, CI: 1.3-3.3, P < 0.01). Syncope is more frequently a HUTT outcome than presyncope. The provocation of syncope in the passive phase of HUTT depends only on the cardiodepressive type of neurocardiogenic reaction. The induction of presyncope after nitroglycerin provocation is related to the possibility of a false positive reaction.

From provocation to aggression: the neural network

OpenAIRE

Repple, J.; Pawliczek, C.M.; Voss, B.; Siegel, S.; Schneider, F.; Kohn, N.; Habel, U.

2017-01-01

Background In-vivo observations of neural processes during human aggressive behavior are difficult to obtain, limiting the number of studies in this area. To address this gap, the present study implemented a social reactive aggression paradigm in 29 healthy men, employing non-violent provocation in a two-player game to elicit aggressive behavior in fMRI settings. Results Participants responded more aggressively after high provocation reflected in taking more money from their opponents. Compar...

Effects of 1-week head-down tilt bed rest on bone formation and the calcium endocrine system

Science.gov (United States)

Arnaud, Sara B.; Whalen, Robert T.; Fung, Paul; Sherrard, Donald J.; Maloney, Norma

1992-01-01

The -6-deg head-down tilt (HDT) is employed in the study of 8 subjects to determine early responses in human bone and calcium endocrines during spaceflight. The average rates of bone formation in the iliac crest are determined by means of a single-dose labeling schedule and are found to decrease in 6 of the subjects. The decrease varies directly with walking miles, and increased excretion of urinary Ca and Na are observed preceding increased levels of ionized serum calcium on a bed-rest day late in the week. Reduced phosphorous excretions are also followed by increased serum phosphorous on day six, and reductions are noted in parathyroid hormone and vitamin D by the end of the experiment. The data demonstrate the responsiveness of the skeletal system to biomechanical stimuli such as the HDT.

Comparison of marginal bone loss and implant success between axial and tilted implants in maxillary All-on-4 treatment concept rehabilitations after 5 years of follow-up.

Science.gov (United States)

Hopp, Milena; de Araújo Nobre, Miguel; Maló, Paulo

2017-10-01

There is need for more scientific and clinical information on longer-term outcomes of tilted implants compared to implants inserted in an axial position. Comparison of marginal bone loss and implant success after a 5-year follow-up between axial and tilted implants inserted for full-arch maxillary rehabilitation. The retrospective clinical study included 891 patients with 3564 maxillary implants rehabilitated according to the All-on-4 treatment concept. The follow-up time was 5 years. Linear mixed-effect models were performed to analyze the influence of implant orientation (axial/tilted) on marginal bone loss and binary logistic regression to assess the effect of patient characteristics on occurrence of marginal bone loss >2.8 mm. Only those patients with measurements of at least one axial and one tilted implant available were analyzed. This resulted in a data set of 2379 implants (1201 axial, 1178 tilted) in 626 patients (=reduced data set). Axial and tilted implants showed comparable mean marginal bone losses of 1.14 ± 0.71 and 1.19 ± 0.82 mm, respectively. Mixed model analysis indicated that marginal bone loss levels at 5 years follow up was not significantly affected by the orientation (axial/tilted) of the implants in the maxillary bone. Smoking and female gender were associated with marginal bone loss >2.8 mm in a logistic regression analysis. Five-year implant success rates were 96%. The occurrence of implant failure showed to be statistically independent from orientation. Within the limitations of this study and considering a follow-up time of 5 years, it can be concluded that tilted implants behave similarly with regards to marginal bone loss and implant success in comparison to axial implants in full-arch rehabilitation of the maxilla. Longer-term outcomes (10 years +) are needed to verify this result. © 2017 Wiley Periodicals, Inc.

Direct cone beam SPECT reconstruction with camera tilt

International Nuclear Information System (INIS)

Jianying Li; Jaszczak, R.J.; Greer, K.L.; Coleman, R.E.; Zongjian Cao; Tsui, B.M.W.

1993-01-01

A filtered backprojection (FBP) algorithm is derived to perform cone beam (CB) single-photon emission computed tomography (SPECT) reconstruction with camera tilt using circular orbits. This algorithm reconstructs the tilted angle CB projection data directly by incorporating the tilt angle into it. When the tilt angle becomes zero, this algorithm reduces to that of Feldkamp. Experimentally acquired phantom studies using both a two-point source and the three-dimensional Hoffman brain phantom have been performed. The transaxial tilted cone beam brain images and profiles obtained using the new algorithm are compared with those without camera tilt. For those slices which have approximately the same distance from the detector in both tilt and non-tilt set-ups, the two transaxial reconstructions have similar profiles. The two-point source images reconstructed from this new algorithm and the tilted cone beam brain images are also compared with those reconstructed from the existing tilted cone beam algorithm. (author)

Empathy Inhibits Aggression in Competition: The Role of Provocation, Emotion, and Gender.

Science.gov (United States)

Stanger, Nicholas; Kavussanu, Maria; McIntyre, David; Ring, Christopher

2016-02-01

Although the empathy-aggression relationship has been well documented, research has yet to establish whether emotions mediate and gender moderates this relationship in athletes, under conditions of low and high provocation. In this experiment, we assigned team-sport athletes to either a high (n = 40) or a low (n = 40) empathy group, and asked them to compete in a reaction-time task against a (fictitious) opponent, under conditions of low and high provocation. Empathy reduced aggression (i.e., intensity of electrical shock administered to the opponent) at low provocation in men, and at both low and high provocation in women. Guilt mediated the effect of empathy on aggression at low provocation in men; anger did not mediate any effects of empathy on aggression. Our findings indicate that the inhibitory effect of empathy on aggression and the mediating role of guilt are moderated by provocation and gender.

An efficient eikonal solver for tilted transversely isotropic and tilted orthorhombic media

KAUST Repository

Waheed, Umair bin

2014-01-01

Computing first-arrival traveltimes in the presence of anisotropy is important for high-end near surface modeling, microseismic source localization, and fractured reservoir characterization. Anisotropy deviating from elliptical anisotropy introduces higher-order nonlinearity into the eikonal equation, which makes solving the equation a challenging task. We address this challenge by iteratively solving a sequence of simpler tilted elliptically anisotropic eikonal equations. At each iteration, the source function is updated to capture the effects due to the higher order nonlinear terms in the anisotropy. We use Aitken extrapolation to speed up the convergence rate of the iterative algorithm. The result is an efficient algorithm for firstarrival traveltime computations in tilted anisotropic media. We demonstrate the proposed method for the tilted transversely isotropic media and the tilted orthorhombic media. Numerical tests show that the proposed method is feasible and produces results that are comparable to wavefield extrapolation, even for strongly anisotropic and complex structures. Therefore, for the cases where one or two-point ray tracing fails, our method may be a potential substitute for computing traveltimes.

Unilateral otolith centrifugation by head tilt

NARCIS (Netherlands)

Winters, S.M.; Bos, J.E.; Klis, S.F.L.

2014-01-01

BACKGROUND: To test for otolith asymmetries, several studies described horizontal translation of the body and head en bloc during fast vertical axis rotation. This stimulus causes one otolithic organ to rotate on-axis, and the other to experience centripetal acceleration. OBJECTIVE: To test a new,

The Importance of Prolonged Provocation in Drug Allergy - Results From a Danish Allergy Clinic.

Science.gov (United States)

Fransson, Sara; Mosbech, Holger; Kappel, Mogens; Hjortlund, Janni; Poulsen, Lars K; Kvisselgaard, Ask D; Garvey, Lene H

Drug provocation is the "Gold Standard" in drug allergy investigation. Recent studies suggest that a negative drug provocation on first dose should be followed by a prolonged provocation over several days. To evaluate drug allergy investigations on the basis of drug provocation, including prolonged provocation. Data from adult patients investigated for drug allergy in a Danish Allergy Clinic during the period 2010 to 2014 were entered into a database. Data included clinical details and results of provocations with suspected culprit drug (for penicillins performed only in specific IgE-negative patients). If provocation was negative on first dose, treatment was continued for 3 to 10 days. A total of 1,913 provocations were done in 1,659 patients, median age 46 years, of whom 1,237 (74.6%) were females. Drugs investigated were antibiotics, 1,776 (92.8%), of which 1,590 (89.5%) were penicillins; analgesics, 59 (3.1%); local anesthetics, 33 (1.7%); and other drugs, 45 (2.4%). In total, 211 of 1,913 (11.0%) provocations were positive. Causes were antibiotics, 198 (93.8%), of which 167 (84.3%) were penicillins; analgesics, 7 (3.3%); local anesthetics, 0; and other drugs, 6 (2.8%). Only 43 (20.4%) provocations were positive on first dose, whereas 95 (45.0%) turned positive more than 3 days later. Only 11.0% of the provocations were positive. Importantly, only 1 of 5 patients tested positive on the first dose, indicating that prolonged exposure should always be considered when drug provocation is included in allergy investigations. Most provocations were with penicillins, reflecting the pattern of antibiotic use in Denmark, which differs from that in other countries, especially outside Northern Europe. Copyright © 2017 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

Arterial Pressure Gradients during Upright Posture and 30 deg Head Down Tilt

Science.gov (United States)

Sanchez, E. R; William, J. M.; Ueno, T.; Ballard, R. E.; Hargens, A. R.; Holton, Emily M. (Technical Monitor)

1997-01-01

Gravity alters local blood pressure within the body so that arterial pressures in the head and foot are lower and higher, respectively, than that at heart level. Furthermore, vascular responses to local alterations of arterial pressure are probably important to maintain orthostatic tolerance upon return to the Earth after space flight. However, it has been difficult to evaluate the body's arterial pressure gradient due to the lack of noninvasive technology. This study was therefore designed to investigate whether finger arterial pressure (FAP), measured noninvasively, follows a normal hydrostatic pressure gradient above and below heart level during upright posture and 30 deg head down tilt (HDT). Seven healthy subjects gave informed consent and were 19 to 52 years old with a height range of 158 to 181 cm. A Finapres device measured arterial pressure at different levels of the body by moving the hand from 36 cm below heart level (BH) to 72 cm above heart level (AH) in upright posture and from 36 cm BH to 48 cm AH during HDT in increments of 12 cm. Mean FAP creased by 85 mmHg transitioning from BH to AH in upright posture, and the pressure gradient calculated from hydrostatic pressure difference (rho(gh)) was 84 mmHg. In HDT, mean FAP decreased by 65 mmHg from BH to AH, and the calculated pressure gradient was also 65 mmHg. There was no significant difference between the measured FAP gradient and the calculated pressure gradient, although a significant (p = 0.023) offset was seen for absolute arterial pressure in upright posture. These results indicate that arterial pressure at various levels can be obtained from the blood pressure at heart level by calculating rho(gh) + an offset. The offset equals the difference between heart level and the site of measurement. In summary, we conclude that local blood pressure gradients can be measured by noninvasive studies of FAP.

Rule customization in head-up games

NARCIS (Netherlands)

Toering, E.B.; Soute, I.A.C.; Markopoulos, P.

2010-01-01

This research examines the feasibility of rule customization for a genre of pervasive games for children called Head-Up Games [11], which are intended to be played outdoors by children and to encourage physical activity and social interaction. An interface to allow customization of game rules was

The Power of the Provocative: Exploring World History Content

Science.gov (United States)

Ashkettle, Bryan L.

2013-01-01

This study addresses how my freshman world history students come to understand controversial issues as provocative within the secondary social studies classroom, and in what ways does their engagement with provocative issues influence their understanding of the content and the world around them. In addition, this research study seeks to discover…

Regional cerebral perfusion in cardiovascular reflex syncope

International Nuclear Information System (INIS)

Toeyry, J.P.; Kuikka, J.T.; Laensimies, E.A.

1997-01-01

Little is known about the regional cerebral perfusion in subjects with presyncope or syncope, and the impact that autonomic nervous dysfunction has on it. Seven subjects with cardiovascular vasodepressor reflex syncope were studied. A baseline test was performed with the patients standing in the 70 upright position, while the passive head-up tilt table test with and without isoprenaline infusion was employed for provocation. Regional cerebral perfusion was assessed by means of single-photon emission tomography with technetium-99m labelled V-oxo-1,2-N,N 1 -ethylenedylbis-l-cysteine diethylester (baseline, and during blood pressure decline in the provocation test) and the autonomic nervous function by means of spectral analysis of heart rate variability (baseline, and before blood pressure decline in the provocation test). Every subject showed an abrupt decline in blood pressure in the provocation test (five with presyncope and two with syncope). The systolic and diastolic blood pressures decreased significantly (P<0.001) between the baseline and the provocation study time points (radiopharmaceutical injection and lowest systolic blood pressure). Mean cerebral perfusion as average count densities decreased upon provocation as compared with baseline (190±63 vs 307±90 counts/voxel, respectively, P=0.013). Hypoperfusion was most pronounced in the frontal lobe. These results suggest that cerebral perfusion decreases markedly during presyncope or syncope with systemic blood pressure decline in subjects with cardiovascular vasodepressor syncope. Furthermore, the autonomic nervous function remains unchanged before the systemic blood pressure decline. (orig.). With 3 figs., 2 tabs

SYSTEMATIC ERROR REDUCTION: NON-TILTED REFERENCE BEAM METHOD FOR LONG TRACE PROFILER

International Nuclear Information System (INIS)

QIAN, S.; QIAN, K.; HONG, Y.; SENG, L.; HO, T.; TAKACS, P.

2007-01-01

Systematic error in the Long Trace Profiler (LTP) has become the major error source as measurement accuracy enters the nanoradian and nanometer regime. Great efforts have been made to reduce the systematic error at a number of synchrotron radiation laboratories around the world. Generally, the LTP reference beam has to be tilted away from the optical axis in order to avoid fringe overlap between the sample and reference beams. However, a tilted reference beam will result in considerable systematic error due to optical system imperfections, which is difficult to correct. Six methods of implementing a non-tilted reference beam in the LTP are introduced: (1) application of an external precision angle device to measure and remove slide pitch error without a reference beam, (2) independent slide pitch test by use of not tilted reference beam, (3) non-tilted reference test combined with tilted sample, (4) penta-prism scanning mode without a reference beam correction, (5) non-tilted reference using a second optical head, and (6) alternate switching of data acquisition between the sample and reference beams. With a non-tilted reference method, the measurement accuracy can be improved significantly. Some measurement results are presented. Systematic error in the sample beam arm is not addressed in this paper and should be treated separately

Six-Degree Head-Down Tilt Bed Rest: Forty Years of Development as a Physiological Analog for Weightlessness

Science.gov (United States)

Smith, Jeffrey D.; Cromwell, Ronita L.; Kundrot, Craig E.; Charles, John B.

2011-01-01

Early on, bed rest was recognized as a method for inducing many of the physiological changes experienced by spaceflight. Head-down tilt (HDT) bed rest was first introduced as an analog for spaceflight by a Soviet team led by Genin and Kakurin. Their study was performed in 1970 (at -4 degrees) and lasted for 30 days; results were reported in the Russian Journal of Space Biology (Kosmicheskaya Biol. 1972; 6(4): 26-28 & 45-109). The goal was to test physiological countermeasures for cosmonauts who would soon begin month-long missions to the Salyut space station. HDT was chosen to produce a similar sensation of blood flow to the head reported by Soyuz cosmonauts. Over the next decade, other tilt angles were studied and comparisons with spaceflight were made, showing that HDT greater than 4 degrees was superior to horizontal bed rest for modeling acute physiological changes observed in space; but, at higher angles, subjects experienced greater discomfort without clearly improving the physiological comparison to spaceflight. A joint study performed by US and Soviet investigators, in 1979, set the goal of standardization of baseline conditions and chose 6-degrees HDT. This effectively established 6-degree HDT bed rest as the internationally-preferred analog for weightlessness and, since 1990, nearly all further studies have been conducted at 6-degrees HDT. A thorough literature review (1970-2010) revealed 534 primary scientific journal articles which reported results from using HDT as a physiological analog for spaceflight. These studies have ranged from as little as 10 minutes to the longest duration of 370 days. Long-term studies lasting four weeks or more have resulted in over 170 primary research articles. Today, the 6-degree HDT model provides a consistent, thoroughly-tested, ground-based analog for spaceflight and allows the proper scientific controls for rigorous testing of physiological countermeasures; however, all models have their strengths and limits. The 6

Leg intravenous pressure during head-up tilt.

NARCIS (Netherlands)

Groothuis, J.T.; Poelkens, F.; Wouters, C.W.; Kooijman, H.M.; Hopman, M.T.E.

2008-01-01

Leg vascular resistance is calculated as the arterial-venous pressure gradient divided by blood flow. During orthostatic challenges it is assumed that the hydrostatic pressure contributes equally to leg arterial, as well as to leg venous pressure. Because of venous valves, one may question whether,

Effect of the nasal cycle on congestive response during bilateral nasal allergen provocation

Directory of Open Access Journals (Sweden)

Tomasz Gotlib

2014-06-01

Full Text Available Background. Bilateral nasal allergen provocation usually produces more pronounced obstruction of one nasal passage. It was found that this could be related to the stage of the nasal cycle before the provocation. objective. To discover whether the stage of the nasal cycle is decisive for asymmetry in congestive response observed during bilateral allergen nasal provocation. methods. Two bilateral nasal allergen provocations were performed in a group of 26 pollen-sensitive volunteers. Acoustic rhinometry measurements were taken during the nasal cycle, and then after the provocation. A cross-sectional area at the level of the inferior turbinate (CSA-2 was measured. Consecutive challenges were performed in the opposite phase of the nasal cycle: the side which had been wide just before the first challenge, was narrow before the second provocation. results. Asymmetry in CSA-2 reduction between the nasal passages was observed in most cases. Significant difference was observed between mean CSA-2 reduction rate (reactivity of the side that responded with greater congestion, and the opposite side. No significant difference was found in mean CSA-2 reduction rate between the side which was narrow, and the side which was wide before provocation. conclusions. Asymmetry of congestive response during bilateral nasal allergen provocation is not dependent on the stage of the nasal cycle preceding the challenge.

The effects of superimposed tilt and lower body negative pressure on anterior and posterior cerebral circulations.

Science.gov (United States)

Tymko, Michael M; Rickards, Caroline A; Skow, Rachel J; Ingram-Cotton, Nathan C; Howatt, Michael K; Day, Trevor A

2016-09-01

Steady-state tilt has no effect on cerebrovascular reactivity to increases in the partial pressure of end-tidal carbon dioxide (PETCO2). However, the anterior and posterior cerebral circulations may respond differently to a variety of stimuli that alter central blood volume, including lower body negative pressure (LBNP). Little is known about the superimposed effects of head-up tilt (HUT; decreased central blood volume and intracranial pressure) and head-down tilt (HDT; increased central blood volume and intracranial pressure), and LBNP on cerebral blood flow (CBF) responses. We hypothesized that (a) cerebral blood velocity (CBV; an index of CBF) responses during LBNP would not change with HUT and HDT, and (b) CBV in the anterior cerebral circulation would decrease to a greater extent compared to posterior CBV during LBNP when controlling PETCO2 In 13 male participants, we measured CBV in the anterior (middle cerebral artery, MCAv) and posterior (posterior cerebral artery, PCAv) cerebral circulations using transcranial Doppler ultrasound during LBNP stress (-50 mmHg) in three body positions (45°HUT, supine, 45°HDT). PETCO2 was measured continuously and maintained at constant levels during LBNP through coached breathing. Our main findings were that (a) steady-state tilt had no effect on CBV responses during LBNP in both the MCA (P = 0.077) and PCA (P = 0.583), and (b) despite controlling for PETCO2, both the MCAv and PCAv decreased by the same magnitude during LBNP in HUT (P = 0.348), supine (P = 0.694), and HDT (P = 0.407). Here, we demonstrate that there are no differences in anterior and posterior circulations in response to LBNP in different body positions. © 2016 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of the American Physiological Society and The Physiological Society.

Automatic Calculation of Hydrostatic Pressure Gradient in Patients with Head Injury: A Pilot Study.

Science.gov (United States)

Moss, Laura; Shaw, Martin; Piper, Ian; Arvind, D K; Hawthorne, Christopher

2016-01-01

The non-surgical management of patients with traumatic brain injury is the treatment and prevention of secondary insults, such as low cerebral perfusion pressure (CPP). Most clinical pressure monitoring systems measure pressure relative to atmospheric pressure. If a patient is managed with their head tilted up, relative to their arterial pressure transducer, then a hydrostatic pressure gradient (HPG) can act against arterial pressure and cause significant errors in calculated CPP.To correct for HPG, the arterial pressure transducer should be placed level with the intracranial pressure transducer. However, this is not always achieved. In this chapter, we describe a pilot study investigating the application of speckled computing (or "specks") for the automatic monitoring of the patient's head tilt and subsequent automatic calculation of HPG. In future applications this will allow us to automatically correct CPP to take into account any HPG.

Provocation of symmetry/ordering symptoms in Anorexia nervosa: a functional neuroimaging study.

Science.gov (United States)

Suda, Masashi; Brooks, Samantha J; Giampietro, Vincent; Uher, Rudolf; Mataix-Cols, David; Brammer, Michael J; Williams, Steven C R; Treasure, Janet; Campbell, Iain C

2014-01-01

Anorexia nervosa (AN), obsessive-compulsive disorder (OCD), and obsessive-compulsive personality disorder (OCPD) are often co-morbid; however, the aetiology of such co-morbidity has not been well investigated. This study examined brain activation in women with AN and in healthy control (HC) women during the provocation of symmetry/ordering-related anxiety. During provocation, patients with AN showed more anxiety compared to HCs, which was correlated with the severity of symmetry/ordering symptoms. Activation in the right parietal lobe and right prefrontal cortex (rPFC) in response to provocation was reduced in the AN group compared with the HC group. The reduced right parietal activation observed in the AN group is consistent with parietal lobe involvement in visuospatial cognition and with studies of OCD reporting an association between structural abnormalities in this region and the severity of 'ordering' symptoms. Reduced rPFC activation in response to symmetry/ordering provocation has similarities with some, but not all, data collected from patients with AN who were exposed to images of food and bodies. Furthermore, the combination of data from the AN and HC groups showed that rPFC activation during symptom provocation was inversely correlated with the severity of symmetry/ordering symptoms. These data suggest that individuals with AN have a diminished ability to cognitively deal with illness-associated symptoms of provocation. Furthermore, our data also suggest that symptom provocation can progressively overload attempts by the rPFC to exert cognitive control. These findings are discussed in the context of the current neurobiological models of AN.

Provocation of symmetry/ordering symptoms in Anorexia nervosa: a functional neuroimaging study.

Directory of Open Access Journals (Sweden)

Masashi Suda

Full Text Available Anorexia nervosa (AN, obsessive-compulsive disorder (OCD, and obsessive-compulsive personality disorder (OCPD are often co-morbid; however, the aetiology of such co-morbidity has not been well investigated. This study examined brain activation in women with AN and in healthy control (HC women during the provocation of symmetry/ordering-related anxiety. During provocation, patients with AN showed more anxiety compared to HCs, which was correlated with the severity of symmetry/ordering symptoms. Activation in the right parietal lobe and right prefrontal cortex (rPFC in response to provocation was reduced in the AN group compared with the HC group. The reduced right parietal activation observed in the AN group is consistent with parietal lobe involvement in visuospatial cognition and with studies of OCD reporting an association between structural abnormalities in this region and the severity of 'ordering' symptoms. Reduced rPFC activation in response to symmetry/ordering provocation has similarities with some, but not all, data collected from patients with AN who were exposed to images of food and bodies. Furthermore, the combination of data from the AN and HC groups showed that rPFC activation during symptom provocation was inversely correlated with the severity of symmetry/ordering symptoms. These data suggest that individuals with AN have a diminished ability to cognitively deal with illness-associated symptoms of provocation. Furthermore, our data also suggest that symptom provocation can progressively overload attempts by the rPFC to exert cognitive control. These findings are discussed in the context of the current neurobiological models of AN.

Tilt measurements at Vulcano Island

Directory of Open Access Journals (Sweden)

B. Saraceno

2007-06-01

Full Text Available A network of tiltmeters has been operational on Vulcano Island for numerous years. At present, the network comprises five functioning borehole stations, four of which are installed at 8-10 m and allow recording very stable, high precision signals with very low noise. We report observations over the last 12 years that illustrate impulsive variations linked to seismicity and long-term (several years trends in the signals. We suggest a relationship between tilt changes correlated to the strongest regional seismic events and site acceleration; long-term tilt variations analyzed in combination with other ground deformation data seem to represent the evidence of a contraction of the La Fossa cone. We also analyzed how the tilt device has the capability to detect possible magma migrations; we considered previous studies that have imaged spatially well-defined levels of magma accumulation beneath La Fossa, and Vulcanello; we concluded that the Vulcano tilt network should be capable of detecting the upward migration of small magma volumes. Finally, we show that no evidence of changes are visible on tilt signals during anomalous degassing episodes (linked to a building up input of magmatic fluids at the La Fossa thereby evidencing that no magma migration occurred during such events.

Low-Frequency Otolith Function in Microgravity: A Re-Evaluation of the Otolith Tilt-Translation Reinterpretation (OTTR) Hypothesis

Science.gov (United States)

Moore, Steven T.; Cohen, Bernard; Clement, Gilles; Raphan, Theodore

1999-01-01

On Earth, the low-frequency afferent signal from the otoliths encodes head tilt with respect to the gravitational vertical, and the higher frequency components reflect both tilt and linear acceleration of the head. In microgravity, static tilt of the head does not influence otolith output, and the relationship between sensory input from the vestibular organs, and the visual, proprioceptive and somatosensory systems, would be disrupted. Several researchers have proposed that in 0-g this conflict may induce a reinterpretation of all otolith signals by the brain to encode only linear translation (otolith tilt-translation reinterpretation or OTTR). Ocular counter-rolling (OCR) is a low-frequency otolith-mediated reflex, which generates compensatory torsional eye movements (rotation about the visual axis) towards the spatial vertical during static roll tilt with a gain of approximately 10%. Transient linear acceleration and off-axis centrifugation at a constant angular velocity can also generate OCR. According to the OTTR hypothesis, OCR should be reduced in microgravity, and immediately upon return from a 0-g environment. Results to date have been inconclusive. OCR was reduced following the 10 day Spacelab-1 mission in response to leftward roll tilts (28-56% in 3 subjects and unchanged in one subject), and sinusoidal linear oscillations at 0.4 and 0.8 Hz. OCR gain declined 70% in four monkeys following a 14 day COSMOS mission. Following a 30 day MIR mission OCR gain decreased in one astronaut, but increased in two others following a 180 day mission. We have studied the affect of microgravity on low-frequency otolith function as part of a larger study of the interaction of vision and the vestibular system. This experiment (E-047) involved off-axis centrifugation of payload crewmembers and flew aboard the recent Neurolab mission (STS 90). Presented below are preliminary results focusing on perception and the OCR response during both centrifugation and static tilt.

Posture of the head and pharyngeal swallowing

International Nuclear Information System (INIS)

Ekberg, O.

1986-01-01

Closure of the laryngeal vestibule during swallowing is important for protection of the airways. The present investigation included 53 patients with dysphagia examined cineradiographically with the head held in resting posture, flexion and extension. The ability to protect the airways by the downward movement of the epiglottis and by obliteration of the laryngeal vestibule was studied in different postures of the head. Of 35 patients with normal laryngeal obliteration with the head in resting position 10 showed a defective closure at swallowing in extension. In 18 patients with defective closure of the laryngeal vestibule in resting position 9 were improved on flexion and two on extension of the head. In one patient with defectie closure of the laryngeal vestibule in resting position swallowing in flexion showed an aggravated dysfunction. In our other patients the defective closure became more marked on extension. Four patients had less effective downward movement of the epiglottis with the head in extension. Of 10 patients with defective epiglottic movement with the head in resting position two were improved on tilting the head forwards. The results show that the position of the head influences the closure of the airways during swallowing. Patients with defective protection of the laryngeal vestibule should be instructed to swallow with the head tilted forwards. (orig.)

Advances and trends of head-up and head-down display systems in automobiles

Science.gov (United States)

Betancur, J. Alejandro; Osorio-Gomez, Gilberto; Agudelo, J. David

2014-06-01

Currently, in the automotive industry the interaction between drivers and Augmented Reality (AR) systems is a subject of analysis, especially the identification of advantages and risks that this kind of interaction represents. Consequently, this paper attempts to put in evidence the potential applications of Head-Up (Display (HUD) and Head-Down Display (HDD) systems in automotive vehicles, showing applications and trends under study. In general, automotive advances related to AR devices suggest the partial integration of the HUD and HDD in automobiles; however, the right way to do it is still a moot point.

Efficacy of tilt training in patients with vasovagal syncope.

Science.gov (United States)

Gajek, Jacek; Zyśko, Dorota; Mazurek, Walentyna

2006-06-01

Besides pharmacological therapy and pacemaker implantation, tilt training is a promising method of treatment in patients with vasovagal syncope (VVS). Tilt training is usually offered to patients with malignant or recurrent VVS which impairs their quality of life and carries a risk of injury. To assess the efficacy of tilt training in patients with VVS. The study group consisted of 40 patients (29 females, 11 males, aged 36.6+/-14 years, range 18-57 years) who underwent tilt training using tilt table testing according to the Westminster protocol. The mean number of syncopal episodes prior to the initiation of tilt training was 6.5+/-4.9 (range 0-20); 3 patients had a history of very frequent faints. According to the VASIS classification, type I VVS (mixed) was diagnosed in 17 patients, type II (cardioinhibitory) in 22 subjects, and type III (vasodepressive) in one patient. Mean follow-up duration was 35.1+/-13.5 months. The control group, which did not undergo the tilt testing programme, consisted of 29 patients with VVS (25 females, 4 males, mean age 44.2+/-15.0 years) who had a mean of 3.3+/-3.2 (range 0-12) syncopal episodes in the past (p <0.05 vs study group); 6 of these patients had only pre-syncopal episodes. Type I VVS was diagnosed in 23 controls and type II VVS in 6 control subjects (syncope occurred during the passive phase of tilt testing in 7 subjects, whereas the remaining 22 fainted during NTG infusion). Of the patients from the study group, 3 underwent pacemaker implantation at the time of the initiation of tilt training. At the end of follow-up, 31 (77.5%) patients remained free from syncope recurrences, 5 had syncopal episodes during the initial phase of tilt training, whereas the remaining 4 continued to suffer from syncopal episodes. Out of 3 patients with presyncope, 2 had no syncope recurrences whereas 1 patient continued to have presyncopal attacks. Out of 3 patients with pacemakers, 1 reported activation of pacing in the interventional mode

Axis of eye rotation changes with head-pitch orientation during head impulses about earth-vertical.

Science.gov (United States)

Migliaccio, Americo A; Schubert, Michael C; Clendaniel, Richard A; Carey, John P; Della Santina, Charles C; Minor, Lloyd B; Zee, David S

2006-06-01

The goal of this study was to assess how the axis of head rotation, Listing's law, and eye position influence the axis of eye rotation during brief, rapid head rotations. We specifically asked how the axis of eye rotation during the initial angular vestibuloocular reflex (VOR) changed when the pitch orientation of the head relative to Earth-vertical was varied, but the initial position of the eye in the orbit and the orientation of Listing's plane with respect to the head were fixed. We measured three-dimensional eye and head rotation axes in eight normal humans using the search coil technique during head-and-trunk (whole-body) and head-on-trunk (head-only) "impulses" about an Earth-vertical axis. The head was initially oriented at one of five pitch angles (30 degrees nose down, 15 degrees nose down, 0 degrees, 15 degrees nose up, 30 degrees nose up). The fixation target was always aligned with the nasooccipital axis. Whole-body impulses were passive, unpredictable, manual, rotations with peak-amplitude of approximately 20 degrees , peak-velocity of approximately 80 degrees /s, and peak-acceleration of approximately 1000 degrees /s2. Head-only impulses were also passive, unpredictable, manual, rotations with peak-amplitude of approximately 20 degrees , peak-velocity of approximately 150 degrees /s, and peak-acceleration of approximately 3000 degrees /s2. During whole-body impulses, the axis of eye rotation tilted in the same direction, and by an amount proportional (0.51 +/- 0.09), to the starting pitch head orientation (P rotation could be predicted from vectorial summation of the gains (eye velocity/head velocity) obtained for rotations about the pure yaw and roll head axes. Thus, even when the orientation of Listing's plane and eye position in the orbit are fixed, the axis of eye rotation during the VOR reflects a compromise between the requirements of Listing's law and a perfectly compensatory VOR.

Provocative Video Scenarios

DEFF Research Database (Denmark)

Caglio, Agnese

This paper presents the use of ”provocative videos”, as a tool to support and deepen findings from ethnographic investigation on the theme of remote videocommunication. The videos acted as a resource to also investigate potential for novel technologies supporting continuous connection between...... households. They were deployed online as part of a 6 months research project in collaboration with the Danish electronics manifacturer Bang & Olufsen, involving participants from different continents. The intention is to propose the integration of tools that have been always seen as part of the design domain...

Interpretation of growth hormone provocative tests

DEFF Research Database (Denmark)

Andersson, A M; Orskov, H; Ranke, M B

1995-01-01

To compare interpretations of growth hormone (GH) provocative tests in laboratories using six different GH immunoassays (one enzymeimmunometric assay (EIMA, assay 1), one immunoradiometric assay (IRMA, assay 5), one time-resolved fluorimmunometric assay (TRFIA, assay 3) and three radioimmunoassays...

Gravito-Inertial Force Resolution in Perception of Synchronized Tilt and Translation

Science.gov (United States)

Wood, Scott J.; Holly, Jan; Zhang, Guen-Lu

2011-01-01

Natural movements in the sagittal plane involve pitch tilt relative to gravity combined with translation motion. The Gravito-Inertial Force (GIF) resolution hypothesis states that the resultant force on the body is perceptually resolved into tilt and translation consistently with the laws of physics. The purpose of this study was to test this hypothesis for human perception during combined tilt and translation motion. EXPERIMENTAL METHODS: Twelve subjects provided verbal reports during 0.3 Hz motion in the dark with 4 types of tilt and/or translation motion: 1) pitch tilt about an interaural axis at +/-10deg or +/-20deg, 2) fore-aft translation with acceleration equivalent to +/-10deg or +/-20deg, 3) combined "in phase" tilt and translation motion resulting in acceleration equivalent to +/-20deg, and 4) "out of phase" tilt and translation motion that maintained the resultant gravito-inertial force aligned with the longitudinal body axis. The amplitude of perceived pitch tilt and translation at the head were obtained during separate trials. MODELING METHODS: Three-dimensional mathematical modeling was performed to test the GIF-resolution hypothesis using a dynamical model. The model encoded GIF-resolution using the standard vector equation, and used an internal model of motion parameters, including gravity. Differential equations conveyed time-varying predictions. The six motion profiles were tested, resulting in predicted perceived amplitude of tilt and translation for each. RESULTS: The modeling results exhibited the same pattern as the experimental results. Most importantly, both modeling and experimental results showed greater perceived tilt during the "in phase" profile than the "out of phase" profile, and greater perceived tilt during combined "in phase" motion than during pure tilt of the same amplitude. However, the model did not predict as much perceived translation as reported by subjects during pure tilt. CONCLUSION: Human perception is consistent with

"Head up and eyes out" advances in head mounted displays capabilities

Science.gov (United States)

Cameron, Alex

2013-06-01

There are a host of helmet and head mounted displays, flooding the market place with displays which provide what is essentially a mobile computer display. What sets aviators HMDs apart is that they provide the user with accurate conformal information embedded in the pilots real world view (see through display) where the information presented is intuitive and easy to use because it overlays the real world (mix of sensor imagery, symbolic information and synthetic imagery) and enables them to stay head up, eyes out, - improving their effectiveness, reducing workload and improving safety. Such systems are an enabling technology in the provision of enhanced Situation Awareness (SA) and reducing user workload in high intensity situations. Safety Is Key; so the addition of these HMD functions cannot detract from the aircrew protection functions of conventional aircrew helmets which also include life support and audio communications. These capabilities are finding much wider application in new types of compact man mounted audio/visual products enabled by the emergence of new families of micro displays, novel optical concepts and ultra-compact low power processing solutions. This papers attempts to capture the key drivers and needs for future head mounted systems for aviation applications.

Motion analysis of wheelchair propulsion movements in hemiplegic patients: effect of a wheelchair cushion on suppressing posterior pelvic tilt.

Science.gov (United States)

Kawada, Kyohei; Matsuda, Tadamitsu; Takanashi, Akira; Miyazima, Shigeki; Yamamoto, Sumiko

2015-03-01

[Purpose] This study sought to ascertain whether, in hemiplegic patients, the effect of a wheelchair cushion to suppress pelvic posterior tilt when initiating wheelchair propulsion would continue in subsequent propulsions. [Subjects] Eighteen hemiplegic patients who were able to propel a wheelchair in a seated position participated in this study. [Methods] An adjustable wheelchair was fitted with a cushion that had an anchoring function, and a thigh pad on the propulsion side was removed. Propulsion movements from the seated position without moving through three propulsion cycles were measured using a three-dimensional motion analysis system, and electromyography was used to determine the angle of pelvic posterior tilt, muscle activity of the biceps femoris long head, and propulsion speed. [Results] Pelvic posterior tilt could be suppressed through the three propulsion cycles, which served to increase propulsion speed. Muscle activity of the biceps femoris long head was highest when initiating propulsion and decreased thereafter. [Conclusion] The effect of the wheelchair cushion on suppressing pelvic posterior tilt continued through three propulsion cycles.

Dynamic of charged planar geometry in tilted and non-tilted frames

Energy Technology Data Exchange (ETDEWEB)

Sharif, M., E-mail: msharif.math@pu.edu.pk; Zaeem Ul Haq Bhatti, M., E-mail: mzaeem.math@pu.edu.pk [University of the Punjab, Department of Mathematics (Pakistan)

2015-05-15

We investigate the dynamics of charged planar symmetry with an anisotropic matter field subject to a radially moving observer called a tilted observer. The Einstein-Maxwell field equations are used to obtain a relation between non-tilted and tilted frames and between kinematical and dynamical quantities. Using the Taub mass formalism and conservation laws, two evolution equations are developed to analyze the inhomogeneities in the tilted congruence. It is found that the radial velocity (due to the tilted observer) and the electric charge have a crucial effect on the inhomogeneity factor. Finally, we discuss the stability in the non-tilted frame in the pure diffusion case and examine the effects of the electromagnetic field.

COMMUNICATIVE PROVOCATION AS A STRATEGY OF DESTRUCTIVE BEHAVIOUR IN EVERY-DAY CONFLICT

Directory of Open Access Journals (Sweden)

Volkova Olga Sergeevna

2014-12-01

Full Text Available The article is concentrated on the issue of systematization and classification of strategies and tactics of individual's verbal behavior in a number of typical situations associated with disharmonious communication. Its scientific originality is defined by the necessity to present the provocation phenomenon as a category of communicative linguistics and linguistic pragmatics. The use of discourse analysis and descriptive pragmatic interpretation of real communication forms have enabled the revelation of various patterns of destructive verbal behavior that could provoke a communicative conflict. Communicative provocation is described as a strategy of destructive behavior aimed at dragging a communication partner into a conflict interaction or creating conditions for its occurrence. The provocation strategy is implemented in disharmonious interactions by means of individual or complex communication tactics including not only the aggressive ones: indignation, reproach, deliberate false informing, exaggerated demonstration of emotions, but also such tolerant tactics as praise, advice, apology, assurances, admiration, persuasion, etc. Two forms of communicative provocation are represented in the article. A direct provocation presupposes personal involvement of a provocateur in the conflict interaction while an indirect one allows its initiator stay aside from the open confrontation. In the latter case the provocateur stimulates and demonstrates the parties' conflict of interests, which leads to the communication harmony disruption.

CT patellar cortex tilt angle: A radiological method to measure patellar tilt

International Nuclear Information System (INIS)

Mirza Toluei, F.; Afshar, A.; Salarilak, S.; Sina, A.

2005-01-01

Background/Objectives: the role of patellar tilt in the anterior knee pain is indisputable. Traditionally. the lateral patello-femoral angle of Laurin has been defined in both the axial view and CT images for measuring the tilt of patella. We present a new angle. which is independent of the morphology of patella and directly relates to clinical assessment of the tilt. which is appreciated from palpation of the edges of the patella. Patients and Methods: 38 patients with anterior knee pain and forty normal control subjects were examined using CT scan of patello-femoral joint in 15 degrees of knee flexion. The amount of lateral patellar tilt was quantitatively assessed using the lateral patello-femoral angle, as described by Laurin et al, and the newly defined patellar cortex tilt angle. This angle is subtended by the line drawn along the posterior femoral condyles and the one parallel to the subchondral bone of patellar cortex. The fifteen-degree tilt was taken as normal cut-off point for patellar cortex tilt angle in the control group. Results: in patients, the average tilt of patella. using the patellar cortex tilt angle was 15.26 versus 7.05 in the control group. Using Student's t test, the difference between the two means was significant (P<0.001). The sensitivity and specificity of patellar cortex tilt angle were 40 and 90 percent, respectively There was a moderate agreement between our presented test and the lateral tilt angle test (kappa=0.40. P<0.001). Conclusion: our results indicate that patellar tilt can also be detected using patellar cortex tilt angle. We need more specific studies ta determine the validity of the test

Tympanic membrane temperature decreases during head up tilt

DEFF Research Database (Denmark)

Lorr, David; Lund, Anton; Fredrikson, Mats

2017-01-01

INTRODUCTION: Changes in blood flow influence temperature of surrounding tissues. Since the internal carotid artery (ICA) and internal jugular vein (IJV) neighbor the tympanic membrane, changes in their blood flow most likely determine changes in tympanic membrane temperature (TMT). We sought to ...

Tilt testing results are influenced by tilt protocol.

Science.gov (United States)

Zyśko, Dorota; Fedorowski, Artur; Nilsson, David; Rudnicki, Jerzy; Gajek, Jacek; Melander, Olle; Sutton, Richard

2016-07-01

It is unknown how the return to supine position influences duration of loss of consciousness (LOC) and cardioinhibition during tilt test. Retrospective analysis of two datasets containing records of patients who underwent tilt testing for unexplained syncope in two centres was performed. Patients, totalling 1232, were included in the study: 262 in a Swedish centre and 970 patients in a Polish centre. In Sweden, tilt table with tilt-down time (TDT) of 18 s was used (Group II). In Poland, two different tilt tables were used, one of them with TDT of 10 s (Group I, n = 325), and the other with TDT of 47 s (Group III, n = 645). Cardioinhibitory reflex occurred most frequently in Group III, whereas number of pauses >3 s, frequency of very long asystole ≥30 s, and the total duration of pauses >3 s demonstrated a trend to increase from Group I to III. Duration of LOC in Groups II and III was significantly longer compared with Group I (32.0 and 33.7 s vs. 16.4 s). In the multivariate-adjusted regression model, cardioinhibitory reflex was predicted by tilt-table model (odds ratio per model with increasing TDT: 1.40; 95% confidence interval, 1.19-1.64; P < 0.0001), whereas LOC duration was longer with increasing TDT (P < 0.0001) and age (P < 0.0001). Longer TDT during induced vasovagal syncope increases the prevalence of cardioinhibitory reflex and prolongs the duration of LOC. Tilt-down time does not affect asystolic pause duration but delay may lead to occurrence of multiple pauses, higher frequency of very long asystole, and longer total asystole duration. Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2015. For permissions please email: journals.permissions@oup.com.

Reframing Practice through Provocative Co-design

DEFF Research Database (Denmark)

Christiansen, Lotte; Poulsen, Søren Bolvig; Morelli, Nicola

2013-01-01

changes in organisations, as it has the ability to force a shift in face (Goffman 1967) and the potential to motivate and enable stakeholders to reframe practice and initiate change initiatives. This is done by focusing on a service design project in which a provocative assignment in a co-design workshop...

How do visual and postural cues combine for self-tilt perception during slow pitch rotations?

Science.gov (United States)

Scotto Di Cesare, C; Buloup, F; Mestre, D R; Bringoux, L

2014-11-01

Self-orientation perception relies on the integration of multiple sensory inputs which convey spatially-related visual and postural cues. In the present study, an experimental set-up was used to tilt the body and/or the visual scene to investigate how these postural and visual cues are integrated for self-tilt perception (the subjective sensation of being tilted). Participants were required to repeatedly rate a confidence level for self-tilt perception during slow (0.05°·s(-1)) body and/or visual scene pitch tilts up to 19° relative to vertical. Concurrently, subjects also had to perform arm reaching movements toward a body-fixed target at certain specific angles of tilt. While performance of a concurrent motor task did not influence the main perceptual task, self-tilt detection did vary according to the visuo-postural stimuli. Slow forward or backward tilts of the visual scene alone did not induce a marked sensation of self-tilt contrary to actual body tilt. However, combined body and visual scene tilt influenced self-tilt perception more strongly, although this effect was dependent on the direction of visual scene tilt: only a forward visual scene tilt combined with a forward body tilt facilitated self-tilt detection. In such a case, visual scene tilt did not seem to induce vection but rather may have produced a deviation of the perceived orientation of the longitudinal body axis in the forward direction, which may have lowered the self-tilt detection threshold during actual forward body tilt. Copyright © 2014 Elsevier B.V. All rights reserved.

Mobile kidney pain provocation ultrasonography before surgery for symptomatic mobile kidney: A prospective study of 43 consecutive patients.

Science.gov (United States)

Arnerlöv, Conny; Söderström, Minette; Öhberg, Lars

2016-01-01

The aim of this study was to evaluate whether mobile kidney pain provocation ultrasonography together with intravenous pyelography in supine and standing positions and a full medical history can confirm the diagnosis of the clinical condition of symptomatic mobile kidney and aid the selection of patients for surgical treatment. In a consecutive study, 43 patients with the clinical picture of symptomatic mobile kidney, a positive mobile kidney pain provocation ultrasonography and a renal descent of at least 2 lumbar vertebral heights on intravenous pyelography in the standing position, were operated on with nephropexy. Patients' pain relief after nephropexy was evaluated by clinical follow-up, a questionnaire and visual analogue scale (VAS) scoring. Reduction of pain after nephropexy was associated with a significant decrease in VAS scoring from a median of 8 (range 4-10) preoperatively to a median of 0 (range 0-7) postoperatively (p mobile kidney pain provocation ultrasonography and intravenous pyelography in supine and standing positions can verify the diagnosis of symptomatic mobile kidney and aid the selection of patients who will benefit from nephropexy.

Provocative questions in cancer epidemiology in a time of scientific innovation and budgetary constraints.

Science.gov (United States)

Lam, Tram Kim; Schully, Sheri D; Rogers, Scott D; Benkeser, Rachel; Reid, Britt; Khoury, Muin J

2013-04-01

In a time of scientific and technological developments and budgetary constraints, the National Cancer Institute's (NCI) Provocative Questions Project offers a novel funding mechanism for cancer epidemiologists. We reviewed the purposes underlying the Provocative Questions Project, present information on the contributions of epidemiologic research to the current Provocative Questions portfolio, and outline opportunities that the cancer epidemiology community might capitalize on to advance a research agenda that spans a translational continuum from scientific discoveries to population health impact.

The effect of seated pelvic tilt on posterior edge-loading in total hip arthroplasty: A finite element investigation.

Science.gov (United States)

Pierrepont, Jim; Yang, Long; Arulampalam, Jevan; Stambouzou, Catherine; Miles, Brad; Li, Qing

2018-03-01

Edge-loading of a ceramic-on-ceramic total hip replacement can lead to reproducible squeaking and revision. A patient's functional acetabular cup orientation, driven by their pelvic tilt, has been shown to be a significant factor in squeaking during hip flexion. The aim of this study was to investigate the effect of seated pelvic tilt on the contact mechanics at the ceramic bearing surface. A finite element model of a ceramic-on-ceramic total hip replacement was created. The cup was orientated at 40° inclination and 15° anteversion relative to the anterior pelvic plane. The stem was flexed 90° to replicate sitting in a chair. The model was loaded using data from in vivo measurements taken during a sit-to-stand activity. The pelvis was modelled in seven different sagittal positions, ranging from -30° to 30° of pelvic tilt, where a positive value denotes anterior pelvic tilt. Three different head sizes were investigated: 32, 36 and 40 mm. The maximum contact pressure and contact patch to rim distance were determined for each of the 21 simulations. Edge-loading (contact patch to rim distance Edge-loading initiated at seated pelvic tilts of 7°, 9° and 5° for the 32, 36 and 40 mm heads, respectively. Patients with anterior pelvic tilts in the seated position are susceptible to posterior edge-loading. As the position of the pelvis when seated is patient specific, cup orientation should be adjusted on an individual basis to minimise edge-loading.

Vision based motion control for a humanoid head

NARCIS (Netherlands)

Visser, L.C.; Carloni, Raffaella; Stramigioli, Stefano

2009-01-01

This paper describes the design of a motion control algorithm for a humanoid robotic head, which consists of a neck with four degrees of freedom and two eyes (a stereo pair system) that tilt on a common axis and rotate sideways freely. The kinematic and dynamic properties of the head are analyzed

Modulation of internal estimates of gravity during and after prolonged roll-tilts.

Directory of Open Access Journals (Sweden)

Alexander A Tarnutzer

Full Text Available Perceived direction of gravity, as assessed by the subjective visual vertical (SVV, shows roll-angle dependent errors that drift over time and a bias upon return to upright. According to Bayesian observer theory, the estimated direction of gravity is derived from the posterior probability distribution by combining sensory input and prior knowledge about earth-vertical in a statistically optimal fashion. Here we aimed to further characterize the stability of SVV during and after prolonged roll-tilts. Specifically we asked whether the post-tilt bias is related to the drift pattern while roll-tilted. Twenty-nine healthy human subjects (23-56 yo repetitively adjusted a luminous arrow to the SVV over periods of 5 min while upright, roll-tilted (± 45°, ± 90°, and immediately after returning to upright. Significant (p<0.05 drifts (median absolute drift-amplitude: 10°/5 min were found in 71% (± 45° and 78% (± 90° of runs. At ± 90° roll-tilt significant increases in absolute adjustment errors were more likely (76%, whereas significant increases (56% and decreases (44% were about equally frequent at ± 45°. When returning to upright, an initial bias towards the previous roll-position followed by significant exponential decay (median time-constant: 71 sec was noted in 47% of all runs (all subjects pooled. No significant correlations were found between the drift pattern during and immediately after prolonged roll-tilt. We conclude that the SVV is not stable during and after prolonged roll-tilt and that the direction and magnitude of drift are individually distinct and roll-angle-dependent. Likely sensory and central adaptation and random-walk processes contribute to drift while roll-tilted. Lack of correlation between the drift and the post-tilt bias suggests that it is not the inaccuracy of the SVV estimate while tilted that determines post-tilt bias, but rather the previous head-roll orientation relative to gravity. We therefore favor central

Exogenous Testosterone Enhances the Reactivity to Social Provocation in Males

Directory of Open Access Journals (Sweden)

Lisa Wagels

2018-03-01

Full Text Available Testosterone affects human social behavior in various ways. While testosterone effects are generally associated with muscular strength and aggressiveness, human studies also point towards enhanced status–seeking motives after testosterone administration. The current study tested the causal influence of exogenous testosterone on male behavior during a competitive provocation paradigm. In this double blind, randomized, placebo (PL-controlled study, 103 males were assigned to a PL or testosterone group receiving a colorless PL or testosterone gel. To induce provocation, males played a rigged reaction time game against an ostensible opponent. When participants lost, the opponent subtracted money from the participant who in return could subtract money from the ostensible opponent. Participants subjectively indicated anger and self-estimated treatment affiliation (testosterone or PL administration. A trial-by-trial analysis demonstrated that provocation and success during the repeated games had a stronger influence on participants’ choice to reduce money from the opponent if they had received testosterone. Participants who believed to be in the testosterone group were angrier after the experiment and increased monetary reductions during the task course. In line with theories about mechanisms of testosterone in humans, provocation is shown to be necessary for the agency of exogenous testosterone. Thus, testosterone reinforces the conditional adjustment of aggressive behavior but not aggressive behavior per se. In contrast undirected frustration is not increased by testosterone but probably interferes with cognitive appraisals about biological mechanisms of testosterone.

Exogenous Testosterone Enhances the Reactivity to Social Provocation in Males.

Science.gov (United States)

Wagels, Lisa; Votinov, Mikhail; Kellermann, Thilo; Eisert, Albrecht; Beyer, Cordian; Habel, Ute

2018-01-01

Testosterone affects human social behavior in various ways. While testosterone effects are generally associated with muscular strength and aggressiveness, human studies also point towards enhanced status-seeking motives after testosterone administration. The current study tested the causal influence of exogenous testosterone on male behavior during a competitive provocation paradigm. In this double blind, randomized, placebo (PL)-controlled study, 103 males were assigned to a PL or testosterone group receiving a colorless PL or testosterone gel. To induce provocation, males played a rigged reaction time game against an ostensible opponent. When participants lost, the opponent subtracted money from the participant who in return could subtract money from the ostensible opponent. Participants subjectively indicated anger and self-estimated treatment affiliation (testosterone or PL administration). A trial-by-trial analysis demonstrated that provocation and success during the repeated games had a stronger influence on participants' choice to reduce money from the opponent if they had received testosterone. Participants who believed to be in the testosterone group were angrier after the experiment and increased monetary reductions during the task course. In line with theories about mechanisms of testosterone in humans, provocation is shown to be necessary for the agency of exogenous testosterone. Thus, testosterone reinforces the conditional adjustment of aggressive behavior but not aggressive behavior per se . In contrast undirected frustration is not increased by testosterone but probably interferes with cognitive appraisals about biological mechanisms of testosterone.

Specificity and sensitivity assessment of selected nasal provocation testing techniques

Directory of Open Access Journals (Sweden)

Edyta Krzych-Fałta

2016-12-01

Full Text Available Introduction: Nasal provocation testing involves an allergen-specific local reaction of the nasal mucosa to the administered allergen. Aim: To determine the most objective nasal occlusion assessment technique that could be used in nasal provocation testing. Material and methods : A total of 60 subjects, including 30 patients diagnosed with allergy to common environmental allergens and 30 healthy subjects were enrolled into the study. The method used in the study was a nasal provocation test with an allergen, with a standard dose of a control solution and an allergen (5,000 SBU/ml administered using a calibrated atomizer into both nostrils at room temperature. Early-phase nasal mucosa response in the early phase of the allergic reaction was assessed via acoustic rhinometry, optical rhinometry, nitric oxide in nasal air, and tryptase levels in the nasal lavage fluid. Results : In estimating the homogeneity of the average values, the Levene’s test was used and receiver operating characteristic curves were plotted for all the methods used for assessing the nasal provocation test with an allergen. Statistically significant results were defined for p < 0.05. Of all the objective assessment techniques, the most sensitive and characteristic ones were the optical rhinometry techniques (specificity = 1, sensitivity = 1, AUC = 1, PPV = 1, NPV = 1. Conclusions : The techniques used showed significant differences between the group of patients with allergic rhinitis and the control group. Of all the objective assessment techniques, those most sensitive and characteristic were the optical rhinometry.

The Twente humanoid head

NARCIS (Netherlands)

Reilink, Rob; Visser, L.C.; Bennik, J.; Carloni, Raffaella; Brouwer, Dannis Michel; Stramigioli, Stefano

2009-01-01

This video shows the results of the project on the mechatronic development of the Twente humanoid head. The mechanical structure consists of a neck with four degrees of freedom (DOFs) and two eyes (a stereo pair system) which tilt on a common axis and rotate sideways freely providing a three more

Repeatability of popliteal blood flow and lower limb vascular conductance at rest and exercise during body tilt using Doppler ultrasound

International Nuclear Information System (INIS)

Villar, R; Hughson, R L

2013-01-01

We tested the data repeatability for popliteal blood flow velocity (PBV), popliteal arterial diameter (AD pop ), popliteal blood flow (PBF) and lower limb vascular conductance (VC) at rest and exercise in three body positions, two work rates and two inspired oxygen fractions. Fifteen, eleven and ten healthy volunteers participated in the three phases of the studies. Resting protocols were performed in horizontal (HOR), 35° head-down tilt (HDT) and 45° head-up tilt (HUT) for 5 min in each body position. Participants also exercised at lower and higher power outputs (repeated plantar flexion contractions at 20% and 30% maximal voluntary contraction, respectively) in HOR, HDT and HUT and in normoxia (21%O 2 ) and hypoxia (14%O 2 ) with the same work rates and body positions. PBV and AD pop were measured by ultrasound to determine PBF, and VC was estimated by dividing PBF by muscle perfusion pressure (MPP). PBV, AD pop , PBF and VC were not different, demonstrated good agreement and consistency between the two days of testing during both rest and exercise conditions regardless of body position. Therefore, these data support the utilization of Doppler and echo Doppler ultrasound as a reproducible method to measure PBV and AD pop and consequently estimate PBF and VC responses in such conditions. (paper)

Improvement of Head-Up Display Standards. Volume 5. Head Up Display ILS (Instrument Landing System) Accuracy Flight Tests.

Science.gov (United States)

1987-09-01

amber system. The front canopy of the NT-33A is cov- ered with an amber plastic sheet; when the front seat pilot low- ers his blue visor, the...tigation of the effect of head-up display symbol dynamic response caracteristics on flying qualities; Task B was an investigation of symbol accuracy...An amber vinyl plastic sheet covered the in- side front half of the NT-33 canopy. Blue snap-on visors were pi ovided to the evaluation pilots. The

Nuclear-moment studies in the odd-mass In isotopes up to N=82 using the Tilted Foils technique

CERN Multimedia

We propose to study the magnetic moments of the neutron-rich odd-even In isotopes up to N=82 using the Tilted Foils technique and the recently installed $\\beta$-NMR setup at REX -ISOLDE. With only one proton hole in Z=50 and a neutron number approaching N=82, the indium isotopes should be a very good test ground for the extreme single-particle approximation and could provide essential data for tuning the nuclear interaction in the vicinity of the doubly-magic $^{132}$ Sn. Moments of single-particle states adjacent to closed shells are also crucial to determine the corrections to the M1 operator from core polarization and meson exchange effects. In addition to the 9/2$^{+}$, presumed to be of pure single proton hole configuration, the ½$^{-}$ isomeric states should shed light on a recent hypothesis of low-energy vibration/collectivity in the region. The detailed study of the Tilted Foils technique at higher masses is of crucial importance for its application for further g-factor studies and for the production...

Clinical tube weaning supported by hunger provocation in fully-tube-fed children.

Science.gov (United States)

Hartdorff, Caroline M; Kneepkens, C M Frank; Stok-Akerboom, Anita M; van Dijk-Lokkart, Elisabeth M; Engels, Michelle A H; Kindermann, Angelika

2015-04-01

Children with congenital malformations, mental retardation, and complex early medical history frequently have feeding problems. Although tube feeding is effective in providing the necessary energy and nutrients, it decreases the child's motivation to eat and may lead to oral aversion. In this study, we sought to confirm our previous results, showing that a multidisciplinary clinical hunger provocation program may lead to quick resumption of oral feeding. In a crossover study, 22 children of 9 to 24 months of age who were fully dependent on tube feeding were randomly assigned to one of two groups: group A, intervention group (2-week multidisciplinary clinical hunger provocation program); and group B, control group (4-week outpatient treatment by the same multidisciplinary team). Patients failing one treatment were reassigned to the other treatment group. Primary outcome measures were at least 75% orally fed at the conclusion of the intervention and fully orally fed and gaining weight 6 months after the intervention. In group A, 9/11 patients were successfully weaned from tube feeding (2 failures: 1 developed ulcerative colitis, 1 drop-out). In group B, only 1 patient was weaned successfully; 10/11 were reassigned to the clinical hunger provocation program, all being weaned successfully. Six months after the intervention, 1 patient had to resume tube feeding. In total, in the control group, 1/11 (9%) was weaned successfully as compared with 18/21 (86%) in the hunger provocation group (P hunger provocation is an effective short-term intervention for weaning young children from tube feeding.

Intravenous saline administration in patients with severe acquired brain injury and orthostatic intolerance for tilt-table mobilization

DEFF Research Database (Denmark)

Riberholt, Christian; Olesen, Niels; Hovind, Peter

2018-01-01

Primary objective: This study aimed to investigate the effect of intravenous saline administration on orthostatic hypotension (OH) during head up tilt (HUT) and the change in the renin–angiotensin–aldosterone system before and after HUT in patients with severe acquired brain injury (ABI). Research...... artery blood flow velocity. Blood samples were collected before and after two HUT sessions separated by 1 hour and saline was administered in between. Main outcomes and results: Patients’ ability to stand upright did not change after saline administration due to OH. The patients showed signs of reduced...... fluid administration. Research focusing on the ability to retain fluid after bed rest is warranted....

Static roll-tilt over 5 minutes locally distorts the internal estimate of direction of gravity.

Science.gov (United States)

Tarnutzer, A A; Bockisch, C J; Straumann, D; Marti, S; Bertolini, G

2014-12-01

The subjective visual vertical (SVV) indicates perceived direction of gravity. Even in healthy human subjects, roll angle-dependent misestimations, roll overcompensation (A-effect, head-roll > 60° and head-roll tilt, SVV estimates when upright are biased toward the preceding roll position, which indicates that perceived vertical (PV) is shifted by the prior tilt (Tarnutzer AA, Bertolini G, Bockisch CJ, Straumann D, Marti S. PLoS One 8: e78079, 2013). Hypothetically, PV in any roll position could be biased toward the previous roll position. We asked whether such a "global" bias occurs or whether the bias is "local". The SVV of healthy human subjects (N = 9) was measured in nine roll positions (-120° to +120°, steps = 30°) after 5 min of roll-tilt in one of two adaptation positions (±90°) and compared with control trials without adaptation. After adapting, adjustments were shifted significantly (P tilted positions (±30°, ±60°) and upright only. We computationally simulated errors based on the sum of a monotonically increasing function (producing roll undercompensation) and a mixture of Gaussian functions (representing roll overcompensation centered around PV). In combination, the pattern of A- and E-effects could be generated. By shifting the function representing local overcompensation toward the adaptation position, the experimental postadaptation data could be fitted successfully. We conclude that prolonged roll-tilt locally distorts PV rather than globally shifting it. Short-term adaptation of roll overcompensation may explain these shifts and could reflect the brain's strategy to optimize SVV estimates around recent roll positions. Thus postural stability can be improved by visually-mediated compensatory responses at any sustained body-roll orientation. Copyright © 2014 the American Physiological Society.

Can magnetic resonance imaging accurately predict concordant pain provocation during provocative disc injection?

International Nuclear Information System (INIS)

Kang, Chang Ho; Kim, Yun Hwan; Kim, Jung Hyuk; Chung, Kyoo Byung; Sung, Deuk Jae; Lee, Sang-Heon; Derby, Richard

2009-01-01

To correlate magnetic resonance (MR) image findings with pain response by provocation discography in patients with discogenic low back pain, with an emphasis on the combination analysis of a high intensity zone (HIZ) and disc contour abnormalities. Sixty-two patients (aged 17-68 years) with axial low back pain that was likely to be disc related underwent lumbar discography (178 discs tested). The MR images were evaluated for disc degeneration, disc contour abnormalities, HIZ, and endplate abnormalities. Based on the combination of an HIZ and disc contour abnormalities, four classes were determined: (1) normal or bulging disc without HIZ; (2) normal or bulging disc with HIZ; (3) disc protrusion without HIZ; (4) disc protrusion with HIZ. These MR image findings and a new combined MR classification were analyzed in the base of concordant pain determined by discography. Disc protrusion with HIZ [sensitivity 45.5%; specificity 97.8%; positive predictive value (PPV), 87.0%] correlated significantly with concordant pain provocation (P < 0.01). A normal or bulging disc with HIZ was not associated with reproduction of pain. Disc degeneration (sensitivity 95.4%; specificity 38.8%; PPV 33.9%), disc protrusion (sensitivity 68.2%; specificity 80.6%; PPV 53.6%), and HIZ (sensitivity 56.8%; specificity 83.6%; PPV 53.2%) were not helpful in the identification of a disc with concordant pain. The proposed MR classification is useful to predict a disc with concordant pain. Disc protrusion with HIZ on MR imaging predicted positive discography in patients with discogenic low back pain. (orig.)

Peak nasal inspiratory flow as outcome for provocation studies in allergen exposure chambers

DEFF Research Database (Denmark)

Boelke, Georg; Berger, Uwe; Bergmann, Karl-Christian

2017-01-01

: In a randomized controlled blinded setting subjects suffering from allergic rhinitis were exposed to grass pollen, birch pollen, house dust mite and/or placebo in the GA(2)LEN chamber. Different allergen concentrations were used to evaluate symptom severities. Patients had to perform PNIF before and every 30 min...... during a challenge using a portable PNIF meter. RESULTS: 86 subjects participated in 203 challenges, altogether. House dust mite provocations caused the greatest reduction in PNIF values, followed by grass pollen and birch pollen. Provocations with every allergen or pollen concentration led...... symptoms. CONCLUSION: PNIF is a helpful and feasible tool for conducting provocation trials with allergens, especially grass pollen and house dust mite, in an AEC....

Isokinetic and isometric strength-endurance after 6 hours of immersion and 6 degrees head-down tilt in men

Science.gov (United States)

Shaffer-Bailey, M.; Greenleaf, J. E.; Hutchinson, T. M.

1996-01-01

PURPOSE: To determine weight (water) loss levels for onset of muscular strength and endurance changes during deconditioning. METHODS: Seven men (27-40 yr) performed maximal shoulder-, knee-, and ankle-joint isometric (0 degree.s(-1) load) and isokinetic (60 degrees, 120 degrees, 180 degrees.s(-1) velocity) exercise tests during ambulatory control (AC), after 6 h of 6 degrees head-down tilt (HDT; dry-bulb temp. = 23.2 +/- SD 0.6 degrees C, relative humidity = 31.1+/- 11.1%) and after 6 h of 80 degrees foot-down head-out water immersion (WI; water temp. = 35.0 +/- SD 0.1 degree C) treatments. RESULTS: Weight (water) loss after HDT (1.10 +/- SE 0.14 kg, 1.4 +/- 0.2% body wt) and WI (1.54+/- 0.19 kg, 2.0 +/- 0.2% body wt) were not different, but urinary excretion with WI (1,354 +/- 142 ml.6 h(-1)) was 28% greater (p strength was unchanged except for three knee-joint peak torques: AC torque (120 degrees.s(-1), 285 +/- 20 Nm) decreased to 268 +/- 21 Nm (delta = -6%, p strength and endurance decrements is more than 2% body weight (water) loss, while significant reduction in knee-joint muscular strength-endurance occurred only at moderate (120 degrees.s(-1) and lighter (180 degrees.s(-1)) loads with body weight loss of 1.4-2.0% following WI or HDT, respectively. These weight (water) losses and knee-joint strength decrements are somewhat less than the mean weight loss of 2.6% and knee-joint strength decrements of 6-20% of American astronauts after Skylab flights to 84 d.

Effects of head-down-tilt bed rest on cerebral hemodynamics during orthostatic stress

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Zhang, R.; Zuckerman, J. H.; Pawelczyk, J. A.; Levine, B. D.; Blomqvist, C. G. (Principal Investigator)

1997-01-01

Our aim was to determine whether the adaptation to simulated microgravity (microG) impairs regulation of cerebral blood flow (CBF) during orthostatic stress and contributes to orthostatic intolerance. Twelve healthy subjects (aged 24 +/- 5 yr) underwent 2 wk of -6 degrees head-down-tilt (HDT) bed rest to simulate hemodynamic changes that occur when humans are exposed to microG. CBF velocity in the middle cerebral artery (transcranial Doppler), blood pressure, cardiac output (acetylene rebreathing), and forearm blood flow were measured at each level of a ramped protocol of lower body negative pressure (LBNP; -15, -30, and -40 mmHg x 5 min, -50 mmHg x 3 min, then -10 mmHg every 3 min to presyncope) before and after bed rest. Orthostatic tolerance was assessed by using the cumulative stress index (CSI; mmHg x minutes) for the LBNP protocol. After bed rest, each individual's orthostatic tolerance was reduced, with the group CSI decreased by 24% associated with greater decreases in cardiac output and greater increases in systemic vascular resistance at each level of LBNP. Before bed rest, mean CBF velocity decreased by 14, 10, and 45% at -40 mmHg, -50 mmHg, and maximal LBNP, respectively. After bed rest, mean velocity decreased by 16% at -30 mmHg and by 21, 35, and 39% at -40 mmHg, -50 mmHg, and maximal LBNP, respectively. Compared with pre-bed rest, post-bed-rest mean velocity was less by 11, 10, and 21% at -30, -40, and -50 mmHg, respectively. However, there was no significant difference at maximal LBNP. We conclude that cerebral autoregulation during orthostatic stress is impaired by adaptation to simulated microG as evidenced by an earlier and greater fall in CBF velocity during LBNP. We speculate that impairment of cerebral autoregulation may contribute to the reduced orthostatic tolerance after bed rest.

Violent offenders respond to provocations with high amygdala and striatal reactivity

DEFF Research Database (Denmark)

da Cunha-Bang, Sofi; Fisher, Patrick M.; Hjordt, Liv Vadskjær

2017-01-01

magnetic resonance imaging point-subtraction aggression paradigm in 44 men, of whom 18 were incarcerated violent offenders and 26 were control non-offenders. We measured brain activation following provocations (monetary subtractions), while the subjects had the possibility to behave aggressively or pursue...... monetary rewards. The violent offenders behaved more aggressively than controls (aggression frequency 150 us 84, P = 0.03) and showed significantly higher brain reactivity to provocations within the amygdala and striatum, as well as reduced amygdala-prefrontal and striato-prefrontal connectivity. Amygdala...

Assessment of bronchial provocation by sup(81m)Kr ventilation image in asthmatic children

International Nuclear Information System (INIS)

Sugimoto, Kazuo; Toba, Tsuyoshi; Uchiyama, Guio; Arimizu, Noboru.

1982-01-01

Allergen- or mediator-induced bronchospasm was studied by sup(81m)Kr ventilation image to determine it's sensitivity and safety as an assessment method. Twelve children with house dust sensitive asthma were subjected to inhalation of house dust, prostaglandin F sub(2α), or methacholine by ultrasonic nebulizer with sup(81m)Kr gas. During the examination dynamic ventilation images of both lungs were monitored on oscilloscope to see the changes in the ventilation images. This kind of provocation test has the following advantages compared to the conventional provocation tests. 1) There is no induction of severe attack by provocation when inhalation of antigen of mediator is stopped at the initiation of change on the ventilation image. 2) There is no overload to the patient as compared to the conventional provocation tests. 3) Analysis of the ventilation images stored in the computer can reveal the area of ventilation disturbance in the lung and the changes can be expressed quantitatively. (author)

Psychomotor performance during a 28 day head-down tilt with and without lower body negative pressure

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Traon, A. Pavy-le; de Feneyrols, A. Rous; Cornac, A.; Abdeseelam, R.; N'uygen, D.; Lazerges, M.; Güell, A.; Bes, A.

Several factors may affect psychomotor performance in space: sensory-motor changes, sleep disturbances, psychological modifications induced by the social isolation and confinement. However, psychomotor performance is difficult to assess. A battery of standardized and computerized tests, so-called "Automated Portable Test System" (APTS) was devised to ascertain the cognitive, perceptive and motor abilities and their possible fluctuations according to environmental effects. Antiorthostatic bedrest, often used to simulate weightlessness, (particularly cardiovascular modifications) also constitutes a situation of social confinement and isolation. During two bedrest experiments (with head-down tilt of -6°) of 28 days each, we intended to assess psychomotor performance of 6 males so as to determine whether: —on the one hand, it could be altered by remaining in decubitus; —on the other, the Lower Body Negative Pressure sessions, designed to prevent orthostatic intolerance back on Earth, could improve the performance. To accomplish this, part of the APTS tests as well as an automated perceptive attention test were performed. No downgrading of psychomotor performance was observed. On the contrary, the tasks were more accurately performed over time. In order to assess the experimental conditions on the acquisition phase, the learning curves were modelled. A beneficial effect of the LBNP sessions on simple tests involving the visual-motor coordination and attention faculties can only be regarded as a mere trend. Methods used in this experiment are also discussed.

Assessment of forward head posture in females: observational and photogrammetry methods.

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Salahzadeh, Zahra; Maroufi, Nader; Ahmadi, Amir; Behtash, Hamid; Razmjoo, Arash; Gohari, Mahmoud; Parnianpour, Mohamad

2014-01-01

There are different methods to assess forward head posture (FHP) but the accuracy and discrimination ability of these methods are not clear. Here, we want to compare three postural angles for FHP assessment and also study the discrimination accuracy of three photogrammetric methods to differentiate groups categorized based on observational method. All Seventy-eight healthy female participants (23 ± 2.63 years), were classified into three groups: moderate-severe FHP, slight FHP and non FHP based on observational postural assessment rules. Applying three photogrammetric methods - craniovertebral angle, head title angle and head position angle - to measure FHP objectively. One - way ANOVA test showed a significant difference in three categorized group's craniovertebral angle (P< 0.05, F=83.07). There was no dramatic difference in head tilt angle and head position angle methods in three groups. According to Linear Discriminate Analysis (LDA) results, the canonical discriminant function (Wilks'Lambda) was 0.311 for craniovertebral angle with 79.5% of cross-validated grouped cases correctly classified. Our results showed that, craniovertebral angle method may discriminate the females with moderate-severe and non FHP more accurate than head position angle and head tilt angle. The photogrammetric method had excellent inter and intra rater reliability to assess the head and cervical posture.

Anterior Hip Subluxation due to Lumbar Degenerative Kyphosis and Posterior Pelvic Tilt

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Hiroyuki Tsuchie

2014-01-01

Full Text Available Nontraumatic anterior subluxation and dislocation of the hip joint are extremely rare. A 58-year-old woman presented to our outpatient clinic with left hip pain with a duration of 15 years. There was no history of trauma or other diseases. Her hip pain usually occurred only on walking and not at rest. Physical examinations demonstrated no tenderness in the hip joint. The range of motion of both hip joints was almost normal. Laxity of other joints was not observed. The bone mineral density of the lumbar spine and proximal femur confirmed a diagnosis of osteoporosis. A plain radiograph showed osteoarthritic changes of the hip joints, severe posterior pelvic tilt, and superior displacement of both femoral heads, especially in a standing position. Three-dimensional computed tomography (3DCT revealed anterior subluxation of both femoral heads. Seven years after the initial visit, both hip joints showed progression to severe osteoarthritis. Although the exact cause remains unclear, lumbar kyphosis, posterior pelvic tilt, and a decrease in acetabular coverage may have influenced the current case. We should be aware of these factors when we examine patients with hip osteoarthritis.

Fixed drug eruption: topical provocation and subsequent phenomena

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Mahboob, A; Haroon, T S [Shaikh Zayed FPGMI, Lahore (Pakistan). Dept. of Dermatology; Haroon, T S [King Edward Medical Univ., Lahore (Pakistan). Dept. of Dematology; Iqbal, Z; Iqbal, F [Shaikh Zayed FPGMI, Lahore (Pakistan). Dept. of Medicine

2006-12-15

To determine the usefulness of topical provocation in detecting the incriminated drug causing fixed eruption. Three hundred and five, clinically diagnosed cases of Fixed Drug Eruption (FDE) of either gender and of any age were subjected to topical provocation with different drugs by using concentration of 1% (n=203), 2% (n=210) and 5% (n=235) in white soft paraffin. Drug ointment of one strength was applied one at a time on normal skin of flexor surface of right or left forearm. The effects of tests on involved and uninvolved skin were observed for 48 hours. The changes in lesions like erythema, hyperpigmentation, itching, burning or appearance of new lesion were considered a positive response. In case of no change, the patients (n=5) were subjected to oral provocation test, by giving half to full therapeutic dose of the suspected drug depending upon the severity of the initial attack. A patient who exhibited see-sawing phenomenon with 5% metamizole TPT was given oral challenge with same drug. Control topical tests were repeated in equal number of normal persons with various drug ointments and in patients of FDE with white soft paraffin on normal and affected skin. One hundred and thirty-seven patients were males and one hundred and sixty-eight patients were females. Maximum number of patients belonged to third decade. With 1% drug preparations 12 out of 316, with 2% drug preparations 28 out of 422 and with 5% drug preparations, 312 out of 523 TPTs were positive. The comparison revealed a highly significant association (Chi-square 448.1 and p<0.000) among various strengths of preparations and positive response. Sulphamethoxazole was found to be the most commonly incriminated cause of FDE applied in 5% concentration yielded sensitivity rate of 91% compared to 4% with lower concentrations. Positive patch test was also observed with oxytetracycline. Five patients who were given oral provocation with different drugs were found to be positive to tinidazole, dapsone

Fixed drug eruption: topical provocation and subsequent phenomena

International Nuclear Information System (INIS)

Mahboob, A.; Haroon, T.S.; Haroon, T.S.; Iqbal, Z.; Iqbal, F.

2006-01-01

To determine the usefulness of topical provocation in detecting the incriminated drug causing fixed eruption. Three hundred and five, clinically diagnosed cases of Fixed Drug Eruption (FDE) of either gender and of any age were subjected to topical provocation with different drugs by using concentration of 1% (n=203), 2% (n=210) and 5% (n=235) in white soft paraffin. Drug ointment of one strength was applied one at a time on normal skin of flexor surface of right or left forearm. The effects of tests on involved and uninvolved skin were observed for 48 hours. The changes in lesions like erythema, hyperpigmentation, itching, burning or appearance of new lesion were considered a positive response. In case of no change, the patients (n=5) were subjected to oral provocation test, by giving half to full therapeutic dose of the suspected drug depending upon the severity of the initial attack. A patient who exhibited see-sawing phenomenon with 5% metamizole TPT was given oral challenge with same drug. Control topical tests were repeated in equal number of normal persons with various drug ointments and in patients of FDE with white soft paraffin on normal and affected skin. One hundred and thirty-seven patients were males and one hundred and sixty-eight patients were females. Maximum number of patients belonged to third decade. With 1% drug preparations 12 out of 316, with 2% drug preparations 28 out of 422 and with 5% drug preparations, 312 out of 523 TPTs were positive. The comparison revealed a highly significant association (Chi-square 448.1 and p<0.000) among various strengths of preparations and positive response. Sulphamethoxazole was found to be the most commonly incriminated cause of FDE applied in 5% concentration yielded sensitivity rate of 91% compared to 4% with lower concentrations. Positive patch test was also observed with oxytetracycline. Five patients who were given oral provocation with different drugs were found to be positive to tinidazole, dapsone

Assaultive behavior. Does provocation begin in the front office?

Science.gov (United States)

Blair, D T

1991-05-01

1. Provocation is an important risk predictor because these issues can be recognized, assessed, and appropriate interventions can be implemented to reduce the associated risks. It is only by the reduction of such "non-fixed" risk factors that any reduction of assaults can be accomplished. 2. Involuntary admission, patients with dementia or organic brain disorder, physical or verbal limits, staff attitude, denial of the possibility of assaults, and the educational level and clinical experience of the staff may help provoke an assaultive episode. 3. An important step is assessing the assault to identify provocation due to certain medical causes, and to document the extent of degeneration in patients with dementia or organic brain disorder. Medical intervention would be indicated and would appropriately address the causes of some violent episodes.

Impulsivity and suicidality: the mediating role of painful and provocative experiences.

Science.gov (United States)

Bender, Theodore W; Gordon, Kathryn H; Bresin, Konrad; Joiner, Thomas E

2011-03-01

Multiple studies have reported a link between high levels of impulsivity and suicidal behavior. Joiner's (2005) explanation for this link is that impulsive individuals have a greater tendency to experience painful and provocative events that habituate them to fear and pain, which leads to an acquired capability for engaging in suicidal behavior. Study 1 tested Joiner's (2005) hypothesis in a sample of 182 undergraduate students who completed self-report questionnaires on impulsivity, frequency of painful and provocative events, and acquired capability for suicide. In addition to self-report, pain tolerance (an aspect of acquired capability for suicide) was measured with a pressure algometer. Study 2 sought to replicate our findings from Study 1 in a sample of 516 clinical outpatients using a multi-faceted measure of impulsivity. Consistent with prediction, product of coefficients tests for mediation (MacKinnon et al., 2002) revealed that impulsivity has an indirect relationship with acquired capability for suicidal behavior, and that this relationship is mediated by painful and provocative events. Data from our studies are cross-sectional in nature, which does not allow for conclusions about the temporal ordering of our variables. In addition, self-report was used to measure most variables. Future research may benefit from a longitudinal design and the inclusion of other modes of assessment (e.g., behavioral measures of impulsivity). Our findings suggest that the link between impulsivity and suicidal behavior occurs because impulsive people tend to have a greater capability for suicidal behavior, which they have acquired through experiencing painful and provocative events. Copyright © 2010 Elsevier B.V. All rights reserved.

Gravity influences the visual representation of object tilt in parietal cortex.

Science.gov (United States)

Rosenberg, Ari; Angelaki, Dora E

2014-10-22

Sensory systems encode the environment in egocentric (e.g., eye, head, or body) reference frames, creating inherently unstable representations that shift and rotate as we move. However, it is widely speculated that the brain transforms these signals into an allocentric, gravity-centered representation of the world that is stable and independent of the observer's spatial pose. Where and how this representation may be achieved is currently unknown. Here we demonstrate that a subpopulation of neurons in the macaque caudal intraparietal area (CIP) visually encodes object tilt in nonegocentric coordinates defined relative to the gravitational vector. Neuronal responses to the tilt of a visually presented planar surface were measured with the monkey in different spatial orientations (upright and rolled left/right ear down) and then compared. This revealed a continuum of representations in which planar tilt was encoded in a gravity-centered reference frame in approximately one-tenth of the comparisons, intermediate reference frames ranging between gravity-centered and egocentric in approximately two-tenths of the comparisons, and in an egocentric reference frame in less than half of the comparisons. Altogether, almost half of the comparisons revealed a shift in the preferred tilt and/or a gain change consistent with encoding object orientation in nonegocentric coordinates. Through neural network modeling, we further show that a purely gravity-centered representation of object tilt can be achieved directly from the population activity of CIP-like units. These results suggest that area CIP may play a key role in creating a stable, allocentric representation of the environment defined relative to an "earth-vertical" direction. Copyright © 2014 the authors 0270-6474/14/3414170-11$15.00/0.

Association between composites of selected motion palpation and pain provocation tests for sacroiliac joint disorders.

Science.gov (United States)

Soleimanifar, Manijeh; Karimi, Noureddin; Arab, Amir Massoud

2017-04-01

The sacroiliac joint (SIJ) has been implicated as a potential source of low back and buttock pain. Several types of motion palpation and pain provocation tests are used to evaluate SIJ dysfunction. The purpose of this study was to investigate the relationship between motion palpation and pain provocation tests in assessment of SIJ problems. This study is Descriptive Correlation. 50 patients between the ages of 20 and 65 participated. Four motion palpation tests (Sitting flexion, Standing flexion, Prone knee flexion, Gillet test) and three pain provocation tests (FABER, Posterior shear, Resisted abduction test) were examined. Chi-square analysis was used to assess the relationship between results of the individuals and composites of these two groups of tests. No significant relationship was found between these two groups of tests. It seems that motion palpation tests assess SIJ dysfunction and provocative tests assessed SIJ pain which do not appear to be related. Copyright © 2016 Elsevier Ltd. All rights reserved.

Relationship between head posture and lumbar curve in a sitting position: a biomechanical study

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Rozilene Maria Cota Aroeira

Full Text Available Abstract Introduction: The sitting position routinely used for a wide variety of tasks increases the potential of developing forward head posture, which can seriously compromise the health of different systems in the human body. Objective: A static equilibrium analysis was conducted, comparing the position of the head with the lumbar curve in three different sitting positions. Methods: The approximate force and flexion moment of the head extensor muscles in static equilibrium was calculated in each of the following positions: (A without a backrest; (B using a backrest with a 100° tilt angle; (C using a 100° tilted backrest associated with a cylindrical lumbar support cushion at the level of the L3 vertebra. Results: The C7-tragus angles were 43°, 50° and 52°; Frankfort horizontal plane (FH angles were 5°, 9° and 9°; force of the head extensor muscles was 53.0N, 59.7N and 43.5N and flexion moments were 2.60Nm, 2.05Nm and 1.78Nm, in positions A, B and C, respectively. Conclusion: The results revealed that the sitting position using a 100° tilted backrest and lumbar support with the smallest L3-tragus horizontal distance required less effort by the head and neck extensor muscles to retain the head in equilibrium. This study demonstrated the need to preserve the physiology of the lumbar spine, characterized by the position of the L3 vertebra, in order to ensure good head position.

Maxillary sinus by-pass with tilted implants via tapered-screw bone expanders in low density bone: one year follow -up of a case series.

Science.gov (United States)

Andreasi Bassi, M; Andrisani, C; Lopez, M A; Gaudio, R M; Lombardo, L; Lauritano, D

2016-01-01

In the present paper the use of tapered-screw bone expanders (TSBEs) is proposed, in combination with the placement of tilted implants in close proximity to the anterior sinus wall, solving the problem of the reduced height of the alveolar bone in the sub-antral area. The Authors named the procedure: Tilted Implant Expansion Osteotomy (TIEO). Fifteen patients (10 females and 5 males, mean age 47.8±8.15 years) with distal edentulous maxillae were enrolled in this study. For each edentulous site 2 implants were placed, the anterior implant in the area of the most anterior missing tooth while, the posterior implant, immediately in front of the maxillary sinus, with an inclined position. Adopting the aforesaid procedure, 34 cylindrical two-piece implants were placed, 17 of which were placed in tilted position, in order to by-pass the maxillary sinus. After a healing period of 4-6 months, the second stage surgery was performed. The cases were finalized by metal-ceramic cementable restorations with a variable number of elements, from 2 to 4, without any cantilever element. The post finalization follow-up was at 12 months. Survival rate was 100% since no fixtures were lost. At the one-year follow-up the clinical and radiological appearance of the soft and hard tissues was optimal and no pathological signs were recorded. TIEO is a promising surgical procedure for oral rehabilitation of maxillary edentulous sites and represents a therapeutic alternative to sinus lift techniques.

Photographic measurement of head and cervical posture when viewing mobile phone: a pilot study.

Science.gov (United States)

Guan, Xiaofei; Fan, Guoxin; Wu, Xinbo; Zeng, Ying; Su, Hang; Gu, Guangfei; Zhou, Qi; Gu, Xin; Zhang, Hailong; He, Shisheng

2015-12-01

With the dramatic growth of mobile phone usage, concerns have been raised with regard to the adverse health effects of mobile phone on spinal posture. The aim of this study was to determine the head and cervical postures by photogrammetry when viewing the mobile phone screen, compared with those in neutral standing posture. A total of 186 subjects (81 females and 105 males) aged from 17 to 31 years old participated in this study. Subjects were instructed to stand neutrally and using mobile phone as in daily life. Using a photographic method, the sagittal head and cervical postures were assessed by head tilt angle, neck tilt angle, forward head shift and gaze angle. The photographic method showed a high intra-rater and inter-rater reliability in measuring the sagittal posture of cervical spine and gaze angle (ICCs ranged from 0.80 to 0.99). When looking at mobile phone, the head tilt angle significantly increased (from 74.55° to 95.22°, p = 0.000) and the neck angle decreased (from 54.68° to 38.77°, p = 0.000). The forward head posture was also confirmed by the significantly increased head shift (from 10.90 to 13.85 cm, p = 0.000). The posture assumed in mobile phone use was significantly correlated with neutral posture (p phone use. Compared to neutral standing, subjects display a more forward head posture when viewing the mobile phone screen, which is correlated with neutral posture, gaze angle and gender. Future studies will be needed to investigate a dose-response relationship between mobile phone use and assumed posture.

Artificial gravity: head movements during short-radius centrifugation

NARCIS (Netherlands)

Young, L. R.; Hecht, H.; Lyne, L. E.; Sienko, K. H.; Cheung, C. C.; Kavelaars, J.

2001-01-01

Short-radius centrifugation is a potential countermeasure to long-term weightlessness. Unfortunately, head movements in a rotating environment induce serious discomfort, non-compensatory vestibulo-ocular reflexes, and subjective illusions of body tilt. In two experiments we investigated the effects

Space headache on Earth: head-down-tilted bed rest studies simulating outer-space microgravity.

Science.gov (United States)

van Oosterhout, W P J; Terwindt, G M; Vein, A A; Ferrari, M D

2015-04-01

Headache is a common symptom during space travel, both isolated and as part of space motion syndrome. Head-down-tilted bed rest (HDTBR) studies are used to simulate outer space microgravity on Earth, and allow countermeasure interventions such as artificial gravity and training protocols, aimed at restoring microgravity-induced physiological changes. The objectives of this article are to assess headache incidence and characteristics during HDTBR, and to evaluate the effects of countermeasures. In a randomized cross-over design by the European Space Agency (ESA), 22 healthy male subjects, without primary headache history, underwent three periods of -6-degree HDTBR. In two of these episodes countermeasure protocols were added, with either centrifugation or aerobic exercise training protocols. Headache occurrence and characteristics were daily assessed using a specially designed questionnaire. In total 14/22 (63.6%) subjects reported a headache during ≥1 of the three HDTBR periods, in 12/14 (85.7%) non-specific, and two of 14 (14.4%) migraine. The occurrence of headache did not differ between HDTBR with and without countermeasures: 12/22 (54.5%) subjects vs. eight of 22 (36.4%) subjects; p = 0.20; 13/109 (11.9%) headache days vs. 36/213 (16.9%) headache days; p = 0.24). During countermeasures headaches were, however, more often mild (p = 0.03) and had fewer associated symptoms (p = 0.008). Simulated microgravity during HDTBR induces headache episodes, mostly on the first day. Countermeasures are useful in reducing headache severity and associated symptoms. Reversible, microgravity-induced cephalic fluid shift may cause headache, also on Earth. HDTBR can be used to study space headache on Earth. © International Headache Society 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

Effects of Frequency and Motion Paradigm on Perception of Tilt and Translation During Periodic Linear Acceleration

Science.gov (United States)

Beaton, K. H.; Holly, J. E.; Clement, G. R.; Wood, Scott J.

2009-01-01

Previous studies have demonstrated an effect of frequency on the gain of tilt and translation perception. Results from different motion paradigms are often combined to extend the stimulus frequency range. For example, Off-Vertical Axis Rotation (OVAR) and Variable Radius Centrifugation (VRC) are useful to test low frequencies of linear acceleration at amplitudes that would require impractical sled lengths. The purpose of this study was to compare roll-tilt and lateral translation motion perception in 12 healthy subjects across four paradigms: OVAR, VRC, sled translation and rotation about an earth-horizontal axis. Subjects were oscillated in darkness at six frequencies from 0.01875 to 0.6 Hz (peak acceleration equivalent to 10 deg, less for sled motion below 0.15 Hz). Subjects verbally described the amplitude of perceived tilt and translation, and used a joystick to indicate the direction of motion. Consistent with previous reports, tilt perception gain decreased as a function of stimulus frequency in the motion paradigms without concordant canal tilt cues (OVAR, VRC and Sled). Translation perception gain was negligible at low stimulus frequencies and increased at higher frequencies. There were no significant differences between the phase of tilt and translation, nor did the phase significantly vary across stimulus frequency. There were differences in perception gain across the different paradigms. Paradigms that included actual tilt stimuli had the larger tilt gains, and paradigms that included actual translation stimuli had larger translation gains. In addition, the frequency at which there was a crossover of tilt and translation gains appeared to vary across motion paradigm between 0.15 and 0.3 Hz. Since the linear acceleration in the head lateral plane was equivalent across paradigms, differences in gain may be attributable to the presence of linear accelerations in orthogonal directions and/or cognitive aspects based on the expected motion paths.

Evaluation of various procedures transposing global tilted irradiance to horizontal surface irradiance

Science.gov (United States)

Housmans, Caroline; Bertrand, Cédric

2017-02-01

Many transposition models have been proposed in the literature to convert solar irradiance on the horizontal plane to that on a tilted plane. The inverse process, i.e. the conversion from tilted to horizontal is investigated here based upon seven months of in-plane global solar irradiance measurements recorded on the roof of the Royal Meteorological Institute of Belgium's radiation tower in Uccle (Longitude 4.35° E, Latitude 50.79° N). Up to three pyranometers mounted on inclined planes of different tilts and orientations were involved in the inverse transposition process. Our results indicate that (1) the tilt to horizontal irradiance conversion is improved when measurements from more than one tilted pyranometer are considered (i.e. by using a multi-pyranometer approach) and (2) the improvement from using an isotropic model to anisotropic models in the inverse transposition problem is not significant.

Effects of external feedback about body tilt: Influence on the Subjective Proprioceptive Horizon.

Science.gov (United States)

Bringoux, L; Bourdin, C; Nougier, V; Raphel, C

2006-11-06

The present study investigated a cognitive aspect upon spatial perception, namely the impact of a true or false verbal feedback (FB) about the magnitude of body tilt on Subjective Proprioceptive Horizon (SPH) estimates. Subjects were asked to set their extended arm normal to gravity for different pitch body tilts up to 9 degrees . True FB were provided at all body tilt angles, whereas false FB were provided only at 6 degrees backward and 6 degrees forward body tilts for half of the trials. Our data confirmed previous results about the egocentric influence of body tilt itself upon SPH: estimates were linearly lowered with forward tilts and elevated with backward tilts. In addition, results showed a significant effect of the nature of the external FB provided to the subjects. When subjects received a false FB inducing a 3 degrees forward bias relative to physical body tilt, they set their SPH consequently higher than when they received a false FB inducing a 3 degrees backward bias. These findings clearly indicated that false cognitive information about body tilt might significantly modify the judgement of a geocentric direction of space, such as the SPH. This may have deleterious repercussions in aeronautics when pilots have to localize external objects relative to earth-based directions in darkened environments.

Impaired perception of surface tilt in progressive supranuclear palsy.

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Marian L Dale

Full Text Available Progressive supranuclear palsy (PSP is characterized by early postural instability and backward falls. The mechanisms underlying backward postural instability in PSP are not understood. The aim of this study was to test the hypothesis that postural instability in PSP is a result of dysfunction in the perception of postural verticality.We gathered posturography data on 12 subjects with PSP to compare with 12 subjects with idiopathic Parkinson's Disease (PD and 12 healthy subjects. Objective tests of postural impairment included: dynamic sensory perception tests of gravity and of surface oscillations, postural responses to surface perturbations, the sensory organization test of postural sway under altered sensory conditions and limits of stability in stance.Perception of toes up (but not toes down surface tilt was reduced in subjects with PSP compared to both control subjects (p≤0.001 standing, p≤0.007 seated and subjects with PD (p≤0.03 standing, p≤0.04 seated. Subjects with PSP, PD and normal controls accurately perceived the direction of gravity when standing on a tilting surface. Unlike PD and control subjects, subjects with PSP exerted less postural corrective torque in response to toes up surface tilts.Difficulty perceiving backward tilt of the surface or body may account for backward falls and postural impairments in patients with PSP. These observations suggest that abnormal central integration of sensory inputs for perception of body and surface orientation contributes to the pathophysiology of postural instability in PSP.

Long Duration Head-Down Tilt Bed Rest Studies: Safety Considerations Regarding Vision Health

Science.gov (United States)

Cromwell, Ronita L.; Zanello, S. B.; Yarbough, P. O.; Ploutz-Snyder, Robert; Taibbi, G.; Vizzeri, G.

2012-01-01

Visual symptoms reported in astronauts returning from long duration missions in low Earth orbit, including hyperopic shift, choroidal folds, globe flattening and papilledema, are thought to be related to fluid shifts within the body due to microgravity exposure. Because of this possible relation to fluid shifts, safety considerations have been raised regarding the ocular health of head-down tilt (HDT) bed rest subjects. HDT is a widely used ground ]based analog that simulates physiological changes of spaceflight, including fluid shifts. Thus, vision monitoring has been performed in bed rest subjects in order to evaluate the safety of HDT with respect to vision health. Here we report ocular outcomes in 9 healthy subjects (age range: 27-48 years; Male/Female ratio: 8/1) completing bed rest Campaign 11, an integrated, multidisciplinary 70-day 6 degrees HDT bed rest study. Vision examinations were performed on a weekly basis, and consisted of office-based (2 pre- and 2 post-bed rest) and in-bed testing. The experimental design was a repeated measures design, with measurements for both eyes taken for each subject at each planned time point. Findings for the following tests were all reported as normal in each testing session for every subject: modified Amsler grid, red dot test, confrontational visual fields, color vision and fundus photography. Overall, no statistically significant differences were observed for any of the measures, except for both near and far visual acuity, which increased during the course of the study. This difference is not considered clinically relevant as may result from the effect of learning. Intraocular pressure results suggest a small increase at the beginning of the bed rest phase (p=0.059) and lesser increase at post-bed rest with respect to baseline (p=0.046). These preliminary results provide the basis for further analyses that will include correlations between intraocular pressure change pre- and post-bed rest, and optical coherence

Reduced baroreflex sensitivity in alcoholic cirrhosis: relations to hemodynamics and humoral systems

DEFF Research Database (Denmark)

Møller, Søren; Iversen, Jens S; Henriksen, Jens H

2007-01-01

controls (n=11): 14.3 (6.1-23.6) ms/mmHg, Psodium (P=0.044), heart rate (P=0.027), and central circulation time (P=0.034) independently correlated with BRS. Head-down tilting had no effects on BRS, but, after head-up tilting, BRS...... was similar in the patients (n=23) and controls (n=14). In conclusion, BRS is reduced in cirrhosis in the supine position and relates to various aspects of cardiovascular dysfunction, but no further reduction was observed in parallel with the amelioration of the hyperdynamic circulation after head-up tilting...

Advanced single-slice rebinning for tilted spiral cone-beam CT

International Nuclear Information System (INIS)

Kachelriess, Marc; Fuchs, Theo; Schaller, Stefan; Kalender, Willi A.

2001-01-01

Future medical CT scanners and today's micro CT scanners demand cone-beam reconstruction algorithms that are capable of reconstructing data acquired from a tilted spiral trajectory where the vector of rotation is not necessarily parallel to the vector of table increment. For the medical CT scanner this case of nonparallel object motion is met for nonzero gantry tilt: the table moves into a direction that is not perpendicular to the plane of rotation. Since this is not a special application of medical CT but rather a daily routine in head exams, there is a strong need for corresponding reconstruction algorithms. In contrast to medical CT, where the special case of nonperpendicular motion is used on purpose, micro CT scanners cannot avoid aberrations of the rotational axis and the table increment vector due to alignment problems. Especially for those micro CT scanners that have the lifting stage mounted on the rotation table (in contrast to setups where the lifting stage holds the rotation table), this kind of misalignment is equivalent to a gantry tilt. We therefore generalize the advanced single-slice rebinning algorithm (ASSR), which is considered a very promising approach for medical cone-beam reconstruction due to its high image quality and its high reconstruction speed [Med. Phys. 27, 754-772 (2000)], to the case of tilted gantries. We evaluate this extended ASSR approach (which we will denote as ASSR + , for convenience) in comparison to the original ASSR algorithm using simulated phantom data for reconstruction. For the case of nonparallel object motion ASSR + shows significant improvements over ASSR, however, its computational complexity is slightly increased due to the broken symmetry of the spiral trajectory

Effect of relative head position on the anesthetic efficacy of inferior alveolar nerve block during endodontic treatment of patients with irreversible pulpitis.

Science.gov (United States)

Aggarwal, Vivek; Singla, Mamta; Miglani, Sanjay

2018-02-01

The purpose of this prospective randomized single-blind clinical trial was to evaluate the effect of tilting the head on the anesthetic efficacy of inferior alveolar nerve block (IANB) in patients with symptomatic irreversible pulpitis. Ninety-two patients were divided into two groups: the first group received IANB and the head was tilted in the direction of the block for 15 min, whereas the second group received IANB and the head was tilted to the opposite side. Access cavity preparation was initiated after 15 min. Success was defined as no pain or faint/weak/mild pain during endodontic access preparation and instrumentation. The anesthetic success rates were analyzed by Pearson chi-square test at 5% significance levels. The same side position and opposite side position yielded 41% and 30% anesthetic success rates, respectively; there was no significant difference between the two sides. Relative head position has no effect on the anesthetic success rate of IANB.

TRISTAR I: Evaluation Methods for Testing Head-Up Display (HUD) Flight Symbology

National Research Council Canada - National Science Library

Newman, R

1995-01-01

A piloted head up display (HUD) flight symbology study (TRISTAR) measuring pilot task performance was conducted at the NASA Ames Research Center by the Tri-Service Flight Symbology Working Group (FSWO...

Neurofunctional correlates of posttraumatic stress disorder: a PET symptom provocation study.

Science.gov (United States)

Pissiota, Anna; Frans, Orjan; Fernandez, Manuel; von Knorring, Lars; Fischer, Håkan; Fredrikson, Mats

2002-04-01

Patients with combat-related posttraumatic stress disorder (PTSD) show altered cognitive and affective processing and symptomatic responding following exposure to trauma reminders. Previous symptom provocation studies using brain imaging have involved Vietnam veterans. In this study neural correlates were investigated in patients with PTSD resulting from trauma in more recent war zones. (15)Oxygen water and positron emission tomography were used to measure regional cerebral blood flow (rCBF) in patients with war- and combat-related chronic PTSD during exposure to combat and neutral sounds. Self-reports and heart rate confirmed symptomatic responding during traumatic stimulation. The war-related condition, as compared to the neutral, increased rCBF in the right sensorimotor areas (Brodmann areas 4/6), extending into the primary sensory cortex (areas 1/2/3), and the cerebellar vermis. RCBF also increased in the right amygdala and in the periaqueductal gray matter adjacent to the pons. During provocation rCBF was lowered in the right retrosplenial cortex (areas 26/29/30 extending into area 23). Symptom provocation in PTSD promote sensorimotor, amygdaloid and midbrain activation. We conclude that perceptually induced symptom activation in PTSD is associated with an emotionally determined motor preparation and propose that subcortically initiated rather than cortically controlled memory mechanisms determine this pattern.

Design and control of the Twente humanoid head

NARCIS (Netherlands)

Visser, L.C.; Carloni, Raffaella; Stramigioli, Stefano

2009-01-01

The Twente humanoid head features a four degree of freedom neck and two eyes that are implemented by using cameras. The cameras tilt on a common axis, but can rotate sideways independently, thus implementing another three degrees of freedom. A vision processing algorithm has been developed that

Tilt Precursors before Earthquakes on the San Andreas Fault, California.

Science.gov (United States)

Johnston, M J; Mortensen, C E

1974-12-13

An array of 14 biaxial shallow-borehole tiltmeters (at 1O(-7) radian sensitivity) has been installed along 85 kilometers of the San Andreas fault during the past year. Earthquake-related changes in tilt have been simultaneously observed on up to four independent instruments. At earthquake distances greater than 10 earthquake source dimensions, there are few clear indications of tilt change. For the four instruments with the longest records (> 10 months), 26 earthquakes have occurred since July 1973 with at least one instrument closer than 10 source dimensions and 8 earthquakes with more than one instrument within that distance. Precursors in tilt direction have been observed before more than 10 earthquakes or groups of earthquakes, and no similar effect has yet been seen without the occurrence of an earthquake.

Novel tilt-curvature coupling in lipid membranes

Science.gov (United States)

Terzi, M. Mert; Deserno, Markus

2017-08-01

On mesoscopic scales, lipid membranes are well described by continuum theories whose main ingredients are the curvature of a membrane's reference surface and the tilt of its lipid constituents. In particular, Hamm and Kozlov [Eur. Phys. J. E 3, 323 (2000)] have shown how to systematically derive such a tilt-curvature Hamiltonian based on the elementary assumption of a thin fluid elastic sheet experiencing internal lateral pre-stress. Performing a dimensional reduction, they not only derive the basic form of the effective surface Hamiltonian but also express its emergent elastic couplings as trans-membrane moments of lower-level material parameters. In the present paper, we argue, though, that their derivation unfortunately missed a coupling term between curvature and tilt. This term arises because, as one moves along the membrane, the curvature-induced change of transverse distances contributes to the area strain—an effect that was believed to be small but nevertheless ends up contributing at the same (quadratic) order as all other terms in their Hamiltonian. We illustrate the consequences of this amendment by deriving the monolayer and bilayer Euler-Lagrange equations for the tilt, as well as the power spectra of shape, tilt, and director fluctuations. A particularly curious aspect of our new term is that its associated coupling constant is the second moment of the lipid monolayer's lateral stress profile—which within this framework is equal to the monolayer Gaussian curvature modulus, κ¯ m. On the one hand, this implies that many theoretical predictions now contain a parameter that is poorly known (because the Gauss-Bonnet theorem limits access to the integrated Gaussian curvature); on the other hand, the appearance of κ¯ m outside of its Gaussian curvature provenance opens opportunities for measuring it by more conventional means, for instance by monitoring a membrane's undulation spectrum at short scales.

78 FR 32253 - Announcement of Requirements and Registration for “Be Heads Up About Concussion Safety” Poster...

Science.gov (United States)

2013-05-29

...) Announcement of Requirements and Registration for ``Be Heads Up About Concussion Safety'' Poster Design Contest... Department of Health and Human Services (HHS) launches the ``Be Heads Up About Concussion Safety'' poster... and Control (NCIPC) asks children and adolescents to be creative and send in posters they create by...

Tilt Table Therapies for Patients with Severe Disorders of Consciousness: A Randomized, Controlled Trial.

Science.gov (United States)

Krewer, Carmen; Luther, Marianne; Koenig, Eberhard; Müller, Friedemann

2015-01-01

One major aim of the neurological rehabilitation of patients with severe disorders of consciousness (DOC) is to enhance patients' arousal and ability to communicate. Mobilization into a standing position by means of a tilt table has been shown to improve their arousal and awareness. However, due to the frequent occurrence of syncopes on a tilt table, it is easier to accomplish verticalization using a tilt table with an integrated stepping device. The objective of this randomized controlled clinical trial was to evaluate the effectiveness of a tilt table therapy with or without an integrated stepping device on the level of consciousness. A total of 50 participants in vegetative or minimally conscious states 4 weeks to 6 month after injury were treated with verticalization during this randomized controlled trial. Interventions involved ten 1-hour sessions of the specific treatment over a 3-week period. Blinded assessors made measurements before and after the intervention period, as well as after a 3-week follow-up period. The coma recovery scale-revised (CRS-R) showed an improvement by a median of 2 points for the group receiving tilt table with integrated stepping (Erigo). The rate of recovery of the group receiving the conventional tilt table therapy significantly increased by 5 points during treatment and by an additional 2 points during the 3-week follow-up period. Changes in spasticity did not significantly differ between the two intervention groups. Compared to the conventional tilt table, the tilt table with integrated stepping device failed to have any additional benefit for DOC patients. Verticalization itself seems to be beneficial though and should be administered to patients in DOC in early rehabilitation. Trial Registration: Current Controlled Trials Ltd (www.controlled-trials.com), identifier number ISRCTN72853718.

Tilt Table Therapies for Patients with Severe Disorders of Consciousness: A Randomized, Controlled Trial.

Directory of Open Access Journals (Sweden)

Carmen Krewer

Full Text Available One major aim of the neurological rehabilitation of patients with severe disorders of consciousness (DOC is to enhance patients' arousal and ability to communicate. Mobilization into a standing position by means of a tilt table has been shown to improve their arousal and awareness. However, due to the frequent occurrence of syncopes on a tilt table, it is easier to accomplish verticalization using a tilt table with an integrated stepping device. The objective of this randomized controlled clinical trial was to evaluate the effectiveness of a tilt table therapy with or without an integrated stepping device on the level of consciousness. A total of 50 participants in vegetative or minimally conscious states 4 weeks to 6 month after injury were treated with verticalization during this randomized controlled trial. Interventions involved ten 1-hour sessions of the specific treatment over a 3-week period. Blinded assessors made measurements before and after the intervention period, as well as after a 3-week follow-up period. The coma recovery scale-revised (CRS-R showed an improvement by a median of 2 points for the group receiving tilt table with integrated stepping (Erigo. The rate of recovery of the group receiving the conventional tilt table therapy significantly increased by 5 points during treatment and by an additional 2 points during the 3-week follow-up period. Changes in spasticity did not significantly differ between the two intervention groups. Compared to the conventional tilt table, the tilt table with integrated stepping device failed to have any additional benefit for DOC patients. Verticalization itself seems to be beneficial though and should be administered to patients in DOC in early rehabilitation. Trial Registration: Current Controlled Trials Ltd (www.controlled-trials.com, identifier number ISRCTN72853718.

Velocity dependence of vestibular information for postural control on tilting surfaces

Science.gov (United States)

Kluzik, JoAnn; Hlavacka, Frantisek

2016-01-01

Vestibular information is known to be important for postural stability on tilting surfaces, but the relative importance of vestibular information across a wide range of surface tilt velocities is less clear. We compared how tilt velocity influences postural orientation and stability in nine subjects with bilateral vestibular loss and nine age-matched, control subjects. Subjects stood on a force platform that tilted 6 deg, toes-up at eight velocities (0.25 to 32 deg/s), with and without vision. Results showed that visual information effectively compensated for lack of vestibular information at all tilt velocities. However, with eyes closed, subjects with vestibular loss were most unstable within a critical tilt velocity range of 2 to 8 deg/s. Subjects with vestibular deficiency lost their balance in more than 90% of trials during the 4 deg/s condition, but never fell during slower tilts (0.25–1 deg/s) and fell only very rarely during faster tilts (16–32 deg/s). At the critical velocity range in which falls occurred, the body center of mass stayed aligned with respect to the surface, onset of ankle dorsiflexion was delayed, and there was delayed or absent gastrocnemius inhibition, suggesting that subjects were attempting to actively align their upper bodies with respect to the moving surface instead of to gravity. Vestibular information may be critical for stability at velocities of 2 to 8 deg/s because postural sway above 2 deg/s may be too fast to elicit stabilizing responses through the graviceptive somatosensory system, and postural sway below 8 deg/s may be too slow for somatosensory-triggered responses or passive stabilization from trunk inertia. PMID:27486101

Provocative Pedagogies in e-Learning: Making the Invisible Visible

Science.gov (United States)

Sinclair, Anne

2009-01-01

The purpose of this case study was to explore the experiences of participants (practicing teachers) involved in an online course entitled: "Reflective Practice for Teachers." Using a provocative pedagogy in the course, the teachers were challenged to confront beliefs and assumptions about teaching and learning and become active participants in the…

Optimum Tilt Angle at Tropical Region

Directory of Open Access Journals (Sweden)

S Soulayman

2015-02-01

Full Text Available : One of the important parameters that affect the performance of a solar collector is its tilt angle with the horizon. This is because of the variation of tilt angle changes the amount of solar radiation reaching the collector surface. Meanwhile, is the rule of thumb, which says that solar collector Equator facing position is the best, is valid for tropical region? Thus, it is required to determine the optimum tilt as for Equator facing and for Pole oriented collectors. In addition, the question that may arise: how many times is reasonable for adjusting collector tilt angle for a definite value of surface azimuth angle? A mathematical model was used for estimating the solar radiation on a tilted surface, and to determine the optimum tilt angle and orientation (surface azimuth angle for the solar collector at any latitude. This model was applied for determining optimum tilt angle and orientation in the tropical zones, on a daily basis, as well as for a specific period. The optimum angle was computed by searching for the values for which the radiation on the collector surface is a maximum for a particular day or a specific period. The results reveal that changing the tilt angle 12 times in a year (i.e. using the monthly optimum tilt angle maintains approximately the total amount of solar radiation near the maximum value that is found by changing the tilt angle daily to its optimum value. This achieves a yearly gain in solar radiation of 11% to 18% more than the case of a solar collector fixed on a horizontal surface.

Provocative design for unprovocative designers : Strategies for triggering personal dilemmas

NARCIS (Netherlands)

Ozkaramanli, D.; Desmet, P.M.A.; Lloyd, Peter; Bohemia, Erik

2016-01-01

Traditional design approaches stimulate the creation of products that make daily interactions more efficient, comfortable, and pleasant. In contrast, provocative design approaches, such as critical design, have a different focus: they aim to challenge the status quo through products that expose

Tilting Saturn without Tilting Jupiter: Constraints on Giant Planet Migration

Science.gov (United States)

Brasser, R.; Lee, Man Hoi

2015-11-01

The migration and encounter histories of the giant planets in our solar system can be constrained by the obliquities of Jupiter and Saturn. We have performed secular simulations with imposed migration and N-body simulations with planetesimals to study the expected obliquity distribution of migrating planets with initial conditions resembling those of the smooth migration model, the resonant Nice model and two models with five giant planets initially in resonance (one compact and one loose configuration). For smooth migration, the secular spin-orbit resonance mechanism can tilt Saturn’s spin axis to the current obliquity if the product of the migration timescale and the orbital inclinations is sufficiently large (exceeding 30 Myr deg). For the resonant Nice model with imposed migration, it is difficult to reproduce today’s obliquity values, because the compactness of the initial system raises the frequency that tilts Saturn above the spin precession frequency of Jupiter, causing a Jupiter spin-orbit resonance crossing. Migration timescales sufficiently long to tilt Saturn generally suffice to tilt Jupiter more than is observed. The full N-body simulations tell a somewhat different story, with Jupiter generally being tilted as often as Saturn, but on average having a higher obliquity. The main obstacle is the final orbital spacing of the giant planets, coupled with the tail of Neptune’s migration. The resonant Nice case is barely able to simultaneously reproduce the orbital and spin properties of the giant planets, with a probability ˜ 0.15%. The loose five planet model is unable to match all our constraints (probability <0.08%). The compact five planet model has the highest chance of matching the orbital and obliquity constraints simultaneously (probability ˜0.3%).

The perception of roll tilt in pilots during a simulated coordinated turn in a gondola centrifuge.

Science.gov (United States)

Tribukait, Arne; Grönkvist, Mikael; Eiken, Ola

2011-05-01

It has previously been reported that nonpilots underestimate the roll tilt angle after acceleration in a gondola centrifuge. The aim of the present work was to elucidate the significance of flight experience for roll tilt perception based on vestibular information. The subjective visual horizontal (SVH) was measured by means of an adjustable luminous line in darkness. Eight nonpilots (N), nine fighter pilots (F), and eight helicopter pilots (H) underwent two centrifuge runs (2 G, 5 min) heading forward and backward, respectively. The roll position of the gondola (60 degrees at 2 G) was controlled so that the subject was always upright with respect to the gravitoinertial force. Upon acceleration of the centrifuge there was a tilt of the SVH in a direction compensatory to the inclination of the gondola. This tilt was larger in the forward position [N: 17.2 +/- 6.4 degrees, F: 31.2 +/- 16.4 degrees, H: 33.6 +/- 18.2 degrees (means +/- SD)] than in the backward position (N: -5.0 +/- 6.8 degrees, F: -12.2 +/- 17.4 degrees, H: -10.4 +/- 15.4 degrees). In N the tilt declined with time, approaching zero by the end of the 2-G plateau. In the pilots it was significantly larger and did not decline. Flight experience results in an increased ability to perceive the roll tilt during movement along a curved path. That this can be revealed in a centrifuge might suggest that acceleration of the centrifuge constitutes a movement pattern which is similar, from a vestibular point of view, to that of an airplane entering a coordinated turn.

When dynamic, the head and face alone can express pride.

Science.gov (United States)

Nelson, Nicole L; Russell, James A

2011-08-01

Prior research suggested that pride is recognized only when a head and facial expression (e.g., tilted head with a slight smile) is combined with a postural expression (e.g., expanded body and arm gestures). However, these studies used static photographs. In the present research, participants labeled the emotion conveyed by four dynamic cues to pride, presented as video clips: head and face alone, body posture alone, voice alone, and an expression in which head and face, body posture, and voice were presented simultaneously. Participants attributed pride to the head and face alone, even when postural or vocal information was absent. Pride can be conveyed without body posture or voice. 2011 APA, all rights reserved

Molecular tilt on monolayer-protected nanoparticles

KAUST Repository

Giomi, L.

2012-02-01

The structure of the tilted phase of monolayer-protected nanoparticles is investigated by means of a simple Ginzburg-Landau model. The theory contains two dimensionless parameters representing the preferential tilt angle and the ratio ε between the energy cost due to spatial variations in the tilt of the coating molecules and that of the van der Waals interactions which favors the preferential tilt. We analyze the model for both spherical and octahedral particles. On spherical particles, we find a transition from a tilted phase, at small ε, to a phase where the molecules spontaneously align along the surface normal and tilt disappears. Octahedral particles have an additional phase at small ε characterized by the presence of six topological defects. These defective configurations provide preferred sites for the chemical functionalization of monolayer-protected nanoparticles via place-exchange reactions and their consequent linking to form molecules and bulk materials. Copyright © EPLA, 2012.

Molecular tilt on monolayer-protected nanoparticles

KAUST Repository

Giomi, L.; Bowick, M. J.; Ma, X.; Majumdar, A.

2012-01-01

The structure of the tilted phase of monolayer-protected nanoparticles is investigated by means of a simple Ginzburg-Landau model. The theory contains two dimensionless parameters representing the preferential tilt angle and the ratio ε between the energy cost due to spatial variations in the tilt of the coating molecules and that of the van der Waals interactions which favors the preferential tilt. We analyze the model for both spherical and octahedral particles. On spherical particles, we find a transition from a tilted phase, at small ε, to a phase where the molecules spontaneously align along the surface normal and tilt disappears. Octahedral particles have an additional phase at small ε characterized by the presence of six topological defects. These defective configurations provide preferred sites for the chemical functionalization of monolayer-protected nanoparticles via place-exchange reactions and their consequent linking to form molecules and bulk materials. Copyright © EPLA, 2012.

Effects of Resistive Vibration Exercise Combined with Whey Protein and KHCO3 on Bone Tturnover Markers in Head-down Tilt Bed Rest (MTBR-MNX Study)

Science.gov (United States)

Graf, Sonja; Baecker, Natalie; Buehlmeier, Judith; Fischer, Annelie; Smith, Scott M.; Heer, Martina

2014-01-01

High protein intake further increases bone resorption markers in head-down tilt bed rest (HDBR), most likely induced by low-grade metabolic acidosis. Adding an alkaline salt to a diet with high protein content prevents this additional rise of bone resorption markers in HDBR. In addition, high protein intake, specifically whey protein, increases muscle protein synthesis and improves glucose tolerance, which both are affected by HDBR. Resistive vibration exercise (RVE) training counteracts the inactivity-induced bone resorption during HDBR. To test the hypothesis that WP plus alkaline salt (KHCO3) together with RVE during HDBR will improve bone turnover markers, we conducted a randomized, three-campaign crossover design study with 12 healthy, moderately fit male subjects (age 34+/-8 y, body mass [BM] 70 +/- 8 kg). All study campaigns consisted of a 7-d ambulatory period, 21days of -6 deg. head-down tilt bed rest (HDBR), and a 6-d recovery period. Diet was standardized and identical across phases. In the control (CON) campaign, subjects received no supplement or RVE. In the intervention campaigns, subjects received either RVE alone or combined with WP and KHCO3 (NEX). WP was applied in 3 doses per day of 0.6 g WP/kg BM together with 6 doses of 15 mmol KHCO3 per day. Eleven subjects completed the RVE and CON campaign, 8 subjects completed all three campaigns. On day 21 of HDBR excretion of the bone resorption marker C-telopeptide (CTX) was 80+/-28% (p<0.001) higher than baseline, serum calcium concentrations increased by 12 +/- 29% (p<0.001) and serum osteocalcin concentrations decreased by 6+/-12% (p=0.001). Urinary CTX excretion was 11+/- 25% (p=0.02) lower on day 21 of HDBR in the RVE- and tended to decrease by 3+/- 22% (p=0.06) in the NEX campaign compared to CON. Urinary calcium excretion was higher on day 21 in HDBR in the RVE and NEX (24+/- 43% p=0.01; 25+/- 37% p=0.03) compared to the CON campaign. We conclude that combination of RVE with WP/KHCO3 was not

Fluid observers and tilting cosmology

International Nuclear Information System (INIS)

Coley, A A; Hervik, S; Lim, W C

2006-01-01

We study perfect fluid cosmological models with a constant equation of state parameter γ in which there are two naturally defined timelike congruences, a geometrically defined geodesic congruence and a non-geodesic fluid congruence. We establish an appropriate set of boost formulae relating the physical variables, and consequently the observed quantities, in the two frames. We study expanding spatially homogeneous tilted perfect fluid models, with an emphasis on future evolution with extreme tilt. We show that for ultra-radiative equations of state (i.e. γ > 4/3), generically the tilt becomes extreme at late times and the fluid observers will reach infinite expansion within a finite proper time and experience a singularity similar to that of the big rip. In addition, we show that for sub-radiative equations of state (i.e. γ < 4/3), the tilt can become extreme at late times and give rise to an effective quintessential equation of state. To establish the connection with phantom cosmology and quintessence, we calculate the effective equation of state in the models under consideration and we determine the future asymptotic behaviour of the tilting models in the fluid frame variables using the boost formulae. We also discuss spatially inhomogeneous models and tilting spatially homogeneous models with a cosmological constant

Evaluating Tilt for Wind Farms: Preprint

Energy Technology Data Exchange (ETDEWEB)

Annoni, Jennifer; Scholbrock, Andrew; Churchfield, Matthew; Fleming, Paul

2017-06-29

The objective of this work is to demonstrate the feasibility of tilt in a wind plant. Tilt control, much like other wind plant control strategies, has the potential to improve the performance of a wind plant. Tilt control uses the tilt angle of the turbine to direct the wake above or below the downstream turbines. This paper presents a study of tilt in two- and threeturbine arrays. Specifically, the authors show that the power production of a two-turbine array can be increased by tilting turbines in a specific orientation. When adding more turbines, as is shown with the three-turbine array, the overall percentage of power gain increases. This outcome deviates from some of the results seen in typical wind plant control strategies. Finally, we discuss the impact this type of control strategy has on the aerodynamics in a wind plant. This analysis demonstrates that a good understanding of wake characteristics is necessary to improve the plant's performance. A tilt strategy such as the one presented in this paper may have implications for future control/optimization studies including optimization of hub heights in a wind plant and analysis of deep array effects.

Psychogenic chemical sensitivity: psychogenic pseudoseizures elicited by provocation challenges with fragrances.

Science.gov (United States)

Staudenmayer, H; Kramer, R E

1999-08-01

A middle-aged woman with a 10-year history of disability attributed to chemical sensitivities complained that exposure to specific fragrances immediately elicited seizures. Video-EEG monitoring was performed in a hospital neurodiagnostic laboratory during provocative challenge studies employing fragrances identified by the patient as reliably inducing symptoms. The baseline clinical EEG was normal. Immediately after each provocation with air deodorant and perfume, she consistently showed both generalized tonic/clonic and multifocal myoclonic jerking, at times was nonresponsive, spoke with slurred speech, and complained of right-sided paralysis and lethargy. None of these events were associated with any EEG abnormalities. Psychological assessment (MMPI-2, MCMI-II) revealed personality traits that predisposed her to somatization and beliefs about environmental sensitivities. The convulsions were a manifestation of psychogenic pseudoseizures that had been iatrogenically reinforced.

Discontinuity effects in dynamically loaded tilting pad journal bearings

DEFF Research Database (Denmark)

Thomsen, Kim; Klit, Peder; Vølund, Anders

2011-01-01

This paper describes two discontinuity effects that can occur when modelling radial tilting pad bearings subjected to high dynamic loads. The first effect to be treated is a pressure build-up discontinuity effect. The second effect is a contact-related discontinuity that disappears when a contact...... force is included in the theoretical model. Methods for avoiding the pressure build-up discontinuity effect are proposed....

Cellular structures using U_q-tilting modules

DEFF Research Database (Denmark)

Andersen, Henning Haahr; Stroppel, Catharina; Tubbenhauer, Daniel

We use the theory of Uq-tilting modules to construct cellular bases for centralizer algebras. Our methods are quite general and work for any quantum group Uq attached to a Cartan matrix and include the non semi-simple cases for q being a root of unity and ground fields of positive characteristic........ Our approach also generalize to certain categories containing infinite dimensional modules. As an application, we recover several known cellular structures (which can all be fit into our general set-up) as we illustrate in a list of examples.......We use the theory of Uq-tilting modules to construct cellular bases for centralizer algebras. Our methods are quite general and work for any quantum group Uq attached to a Cartan matrix and include the non semi-simple cases for q being a root of unity and ground fields of positive characteristic...

Heads Up! Play it Safe When it Comes to Concussions

Centers for Disease Control (CDC) Podcasts

As many as 3.8 million sports- and recreation-related concussions are estimated to occur in the United States each year. This podcast is a radio interview with CDC's Dr. Julie Gilchrist on the newly available “Heads Up: Concussion in Youth Sports" tool kit, which was developed to provide information to coaches, parents, and athletes involved in youth sports on preventing, recognizing, and responding to a concussion.

CONTRIBUTION OF QUADRATIC RESIDUE DIFFUSERS TO EFFICIENCY OF TILTED PROFILE PARALLEL HIGHWAY NOISE BARRIERS

Directory of Open Access Journals (Sweden)

M. R. Monazzam ، P. Nassiri

2009-10-01

Full Text Available This paper presents the results of an investigation on the acoustic performance of tilted profile parallel barriers with quadratic residue diffuser (QRD tops and faces. A 2D boundary element method (BEM is used to predict the barrier insertion loss. The results of rigid and with absorptive coverage are also calculated for comparisons. Using QRD on the top surface and faces of all tilted profile parallel barrier models introduced here is found to improve the efficiency of barriers compared with rigid equivalent parallel barrier at the examined receiver positions. Applying a QRD with frequency design of 400 Hz on 5 degrees tilted parallel barrier improves the overall performance of its equivalent rigid barrier by 1.8 dB(A. Increase in the treated surfaces with reactive elements shifts the effective performance toward lower frequencies. It is found that by tilting the barriers from 0 to 10 degrees in parallel set up, the degradation effects in parallel barriers is reduced but the absorption effect of fibrous materials and also diffusivity of the quadratic residue diffuser is reduced significantly. In this case all the designed barriers have better performance with 10 degrees tilting in parallel set up. The most economic traffic noise parallel barrier which produces significantly high performance, is achieved by covering the top surface of the barrier closed to the receiver by just a QRD with frequency design of 400 Hz and tilting angle of 10 degrees. The average A-weighted insertion loss in this barrier is predicted to be 16.3 dB (A.

Immediate hypersensitivity to iodinated contrast media: diagnostic accuracy of skin tests and intravenous provocation test with low dose.

Science.gov (United States)

Sesé, L; Gaouar, H; Autegarden, J-E; Alari, A; Amsler, E; Vial-Dupuy, A; Pecquet, C; Francès, C; Soria, A

2016-03-01

The diagnosis of HSR to iodinated contrast media (ICM) is challenging based on clinical history and skin tests. This study evaluates the negative predictive value (NPV) of skin tests and intravenous provocation test (IPT) with low-dose ICM in patients with suspected immediate hypersensitivity reaction (HSR) to ICM. Thirty-seven patients with suspected immediate hypersensitivity reaction to ICM were included retrospectively. Skin tests and a single-blind placebo-controlled intravenous provocation test (IPT) with low-dose iodinated contrast media (ICM) were performed. Skin tests with ICM were positive in five cases (one skin prick test and five intradermal test). Thirty-six patients were challenged successfully by IPT, and only one patient had a positive challenge result, with a grade I reaction by the Ring and Messmer classification. Ten of 23 patients followed up by telephone were re-exposed to a negative tested ICM during radiologic examination; two experienced a grade I immediate reaction. For immediate hypersensitivity reaction to ICM, the NPV for skin tests and IPT with low dose was 80% (95% CI 44-97%). © 2016 John Wiley & Sons Ltd.

Serous Macular Detachment Associated with Dome-Shaped Macula and Tilted Disc

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Diamar Pardo-López

2011-03-01

Full Text Available Introduction: An entirely new type of staphyloma has been recently described as dome-shaped macula (DSM. It is characterized by an abnormal convex macular contour within the concavity of a posterior staphyloma. We found DSM associated with serous macular detachment (SMD and tilted disc in two consecutive cases. Case Reports: Case 1: A 37-year-old female presented to our department because of sudden onset blurred vision in her right eye (OD. The best-corrected visual acuity (BCVA was 0.5 in both eyes. Funduscopy evidenced bilateral tilted disc associated with posterior staphyloma. Optical coherence tomography (OCT demonstrated a DSM with SMD in her OD. After 15 months of follow-up, BCVA of her OD remained stable with chronic SMD. Case 2: A 32-year-old female presented to our department because of blurred vision in her OD. The BCVA was 0.4 in the OD and 1.0 in the left eye (OS. Bilateral tilted disc and posterior staphyloma were evidenced in the funduscopy. OCT demonstrated a bilateral DSM with SMD in her OD. After 45 months of follow-up, two further episodes of transient SMD were observed in her OD and seven in her OS. The final BCVA was 0.63 in the OD and 0.8 in the OS. Discussion: SMD associated with tilted disc constitutes a potential cause of subretinal fluid accumulation in myopic patients. OCT is essential for the detection of both SMD and DSM.

Methacholine bronchial provocation measured by spirometry versus wheeze detection in preschool children

Directory of Open Access Journals (Sweden)

Yahav Yaacov

2005-06-01

Full Text Available Abstract Background Determination of PC20-FEV1 during Methacholine bronchial provocation test (MCT is considered to be impossible in preschool children, as it requires repetitive spirometry sets. The aim of this study was to assess the feasibility of determining PC20-FEV1 in preschool age children and compares the results to the wheeze detection (PCW method. Methods 55 preschool children (ages 2.8–6.4 years with recurrent respiratory symptoms were recruited. Baseline spirometry and MCT were performed according to ATS/ERS guidelines and the following parameters were determined at baseline and after each inhalation: spirometry-indices, lung auscultation at tidal breathing, oxygen saturation, respiratory and heart rate. Comparison between PCW and PC20-FEV1 and clinical parameters at these end-points was done by paired Student's t-tests. Results and discussion Thirty-six of 55 children (65.4% successfully performed spirometry-sets up to the point of PCW. PC20-FEV1 occurred at a mean concentration of 1.70+/-2.01 while PCW occurred at a mean concentration of 4.37+/-3.40 mg/ml (p 1 by 44.7+/-14.5%; PEFR by 40.5+/-14.5 and FEF25–75 by 54.7+/-14.4% (P Conclusion Determination of PC20-FEV1 by spirometry is feasible in many preschool children. PC20-FEV1 often appears at lower provocation dose than PCW. The lower dose may shorten the test and encourage participation. Significant decrease in spirometry indices at PCW suggests that PC20-FEV1 determination may be safer.

Superimposition, symbology, visual attention, and the head-up display

Science.gov (United States)

Martin-Emerson, R.; Wickens, C. D.

1997-01-01

In two experiments we examined a number of related factors postulated to influence head-up display (HUD) performance. We addressed the benefit of reduced scanning and the cost of increasing the number of elements in the visual field by comparing a superimposed HUD with an identical display in a head-down position in varying visibility conditions. We explored the extent to which the characteristics of HUD symbology support a division of attention by contrasting conformal symbology (which links elements of the display image to elements of the far domain) with traditional instrument landing system (ILS) symbology. Together the two experiments provide strong evidence that minimizing scanning between flight instruments and the far domain contributes substantially to the observed HUD performance advantage. Experiment 1 provides little evidence for a performance cost attributable to visual clutter. In Experiment 2 the pattern of differences in lateral tracking error between conformal and traditional ILS symbology supports the hypothesis that, to the extent that the symbology forms an object with the far domain, attention may be divided between the superimposed image and its counterpart in the far domain.

Aggression in Children with Conduct Problems and Callous-Unemotional Traits: Social Information Processing and Response to Peer Provocation.

Science.gov (United States)

Helseth, Sarah A; Waschbusch, Daniel A; King, Sara; Willoughby, Michael T

2015-11-01

Callous/unemotional traits (CU) moderate children's conduct problems (CP) in numerous domains, including social functioning. The present study examined whether CU traits also moderate the aggressiveness of children's social information processing (SIP) and responses to varying intensities of peer provocation. Sixty elementary school-age children (46 males) were grouped into those without CP or CU (controls, n = 32), those with CP but not CU (CP-only; n = 14), and those with both CP and CU (CPCU, n = 14). Participants completed a task that measured two aspects of SIP (response generation and hostile attribution bias) and a computerized reaction time task (CRTT) that measured behavior, affect, and communication before and after provocation under instrumental and hostile aggressive conditions. Children with CPCU generated more aggressive responses than controls on measures of SIP. On the CRTT, all children exhibited reactive aggression following high provocation, but only children with CPCU exhibited proactive aggression, and reactive aggression following low provocation; no differences in affect were found. In a series of exploratory analyses, CPCU children communicated antisocially, while CP-only communicated prosocially. Finally, children with CPCU did not seem to hold a grudge following the final instance of provocation, instead gradually returning to baseline like their non-CU peers. These distinct social cognitive and behavioral profiles hint at different etiologies of CP and CPCU, underscoring the variability of aggression in these populations.

Social provocation modulates decision making and feedback processing: Examining the trajectory of development in adolescent participants

Directory of Open Access Journals (Sweden)

Hannah L. Pincham

2015-10-01

Full Text Available Increasingly, research is turning to the ways in which social context impacts decision making and feedback processing in adolescents. The current study recorded electroencephalography to examine the trajectory of development across adolescence, with a focus on how social context impacts cognition and behaviour. To that end, younger (10–12 years and older (14–16 years adolescents played a modified Taylor Aggression Paradigm against two virtual opponents: a low-provoker and a high-provoker. During the task's decision phase (where participants select punishment for their opponent, we examined two event-related potentials: the N2 and the late positive potential (LPP. During the outcome phase (where participants experience win or loss feedback, we measured the feedback related negativity (FRN. Although N2 amplitudes did not vary with provocation, LPP amplitudes were enhanced under high provocation for the younger group, suggesting that emotional reactivity during the decision phase was heightened for early adolescents. During the outcome phase, the FRN was reduced following win outcomes under high provocation for both groups, suggesting that a highly provocative social opponent may influence the reward response. Collectively, the data argue that social context is an important factor modulating neural responses in adolescent behavioural and brain development.

Laryngeal effects of nasal allergen provocation in singers with allergic rhinitis

NARCIS (Netherlands)

Verguts, Monique M. L.; Eggermont, Anita; Decoster, Wivine; de Jong, Felix I. C. R. S.; Hellings, Peter W.

2011-01-01

In spite of our recent insight into nasobronchial interaction mechanisms in allergic airway disease, the association between allergic rhinitis and voice complaints remains obscure. To evaluate the effects of nasal allergen provocation and seasonal grass pollen exposure on subjective and objective

Influence of forming conditions on fiber tilt

Science.gov (United States)

David W. Vahey; John M. Considine; Michael A. and MacGregor

2013-01-01

Fiber tilt describes the projection of fiber length in the thickness direction of paper. The projection is described by the tilt angle of fibers with respect to the plane of the sheet. A simple model for fiber tilt is based on jet-to-wire velocity differential in combination with cross-flows on the wire. The tilt angle of a fiber is found to vary as the sine of its in-...

Realization of Tip Tilting By 8-Step Line Tilting

International Nuclear Information System (INIS)

Chen Yingtian; Zhang Yang; Lim, Boon Ham; Lim, Chen Sin; Hu Sen; Ho, Tso-Hsiu

2009-01-01

By direct calculation of rotation matrices of SO(3), we show how certain specific sequence of eight consecutive rotations of digital angles can yield a tilting of a facet mirror. We also design a detailed program specifically to tilt an array of mirrors from planar orientation to the required focusing orientation. We describe how to use the 8-step to realize the focusing of the mirror array. We have found, in our designed program, an important feature of row-sharing during the rotations for the columns and similarly the column-sharing during the rotations for the row. This feature can save a lot of operating time during the actual realization of the mechanical movements.

Changes in the levels of mannan-binding lectin and ficolins during head-down tilted bed rest.

Science.gov (United States)

Kelsen, Jens; Sandahl, Thomas D; Storm, Line; Frings-Meuthen, Petra; Dahlerup, Jens F; Thiel, Steffen

2014-08-01

Spaceflight studies and ground-based analogues of microgravity indicate a weakening of human immunity. Mannan-binding lectin (MBL) and H-, L-, and M-ficolin together constitute the lectin pathway and mediate the clearance of pathogens through complement activation. We hypothesized that simulated microgravity may weaken human innate immune functions and studied the impact of 6° head-down tilted bed rest (HDT) for 21 d on MBL and ficolin levels. Within a 6-mo period, seven men underwent two periods of HDT. Blood samples were analyzed for MBL, H-, L-, and M-ficolin, mannose-binding lectin-associated protein of 44 kDa (MAp44), and collectin liver 1 (CL-L1) by time-resolved immunofluorometric assays (TRIFMA). We observed well-defined individual preintervention levels of MBL and ficolins. Remarkably similar intraindividual changes occurred for MBL and MBL levels decreased (mean 282 ng · ml⁻¹) in the recovery phase. Conversely, CL-L1, a protein with MBL-like properties, increased (mean 102 ng · ml⁻¹) during the recovery phase. M-ficolin increased (mean 79 ng · ml⁻¹) within the first 2 d of HDT, followed by a decrease (mean 112 ng · ml⁻¹) during the recovery phase. L-ficolin increased (mean 304 ng · ml⁻¹) during HDT, while H-ficolin was essentially unaffected. MAp44, a down-regulator of the lectin pathway, decreased initially (mean 78 ng · ml⁻¹) in the recovery phase followed by an increase (mean 131 ng · ml⁻¹). Alterations in MBL and ficolin levels were modest and with our current knowledge do not lead to overt immunodeficiency. Pronounced changes occurred when the subjects resumed the upright position. In selected individuals, these changes appear to be a conserved response to HDT.

Effect of patient position and PEEP on hepatic, portal and central venous pressures during liver resection.

Science.gov (United States)

Sand, L; Rizell, M; Houltz, E; Karlsen, K; Wiklund, J; Odenstedt Hergès, H; Stenqvist, O; Lundin, S

2011-10-01

It has been suggested that blood loss during liver resection may be reduced if central venous pressure (CVP) is kept at a low level. This can be achieved by changing patient position but it is not known how position changes affect portal (PVP) and hepatic (HVP) venous pressures. The aim of the study was to assess if changes in body position result in clinically significant changes in these pressures. We studied 10 patients undergoing liver resection. Mean arterial pressure (MAP) and CVP were measured using fluid-filled catheters, PVP and HVP with tip manometers. Measurements were performed in the horizontal, head up and head down tilt position with two positive end expiratory pressure (PEEP) levels. A 10° head down tilt at PEEP 5 cm H(2) O significantly increased CVP (11 ± 3 to 15 ± 3 mmHg) and MAP (72 ± 8 to 76 ± 8 mmHg) while head up tilt at PEEP 5 cm H(2) O decreased CVP (11 ± 3 to 6 ± 4 mmHg) and MAP (72 ± 8 to 63 ± 7 mmHg) with minimal changes in transhepatic venous pressures. Increasing PEEP from 5 to 10 resulted in small increases, around 1 mmHg in CVP, PVP and HVP. There was no significant correlation between changes in CVP vs. PVP and HVP during head up tilt and only a weak correlation between CVP and HVP by head down tilt. Changes of body position resulted in marked changes in CVP but not in HVPs. Head down or head up tilt to reduce venous pressures in the liver may therefore not be effective measures to reduce blood loss during liver surgery. 2011 The Authors Acta Anaesthesiologica Scandinavica, 2011 The Acta Anaesthesiologica Scandinavica Foundation.

Tilting mode in field-reversed configurations

International Nuclear Information System (INIS)

Schwarzmeier, J.L.; Barnes, D.C.; Lewis, H.R.; Seyler, C.E.; Shestakov, A.I.

1982-01-01

Field Reversed Configurations (FRCs) experimentally have exhibited remarkable stability on the magnetohydrodynamic (MHD) timescale, despite numerous MHD calculations showing FRCs to be unstable. It is easy to believe that local modes are stabilized by finite Larmor radius (FLR) effects, but more puzzling is the apparent stability of FRCs against global modes, where one would expect FLR effects to be less important. In this paper we study the tilting mode, which MHD has shown to be a rapidly growing global mode. The tilting mode in FRCs is driven by the pressure gradient, and magnetic compression and field line bending are the stabilizing forces. A schematic of the evolution of the tilting mode is shown. The tilting mode is considered dangerous, because it would lead to rapid tearing across the separatrix. Unlike spheromaks, the tilting mode in FRCs has a separatrix that is fixed in space, so that the mode is strictly internal

Focal Gray Matter Plasticity as a Function of Long Duration Head-down Tilt Bed Rest

Science.gov (United States)

Koppelmans, V.; DeDios, Y. E.; Wood, S. J.; Reuter-Lorenz, P. A.; Kofman, I.; Bloomberg, J. J.; Mulavara, A. P.; Koppelmans, V.

2014-01-01

Long duration spaceflight (i.e., > or = 22 days) has been associated with changes in sensorimotor systems, resulting in difficulties that astronauts experience with posture control, locomotion, and manual control. The microgravity environment is an important causal factor for spaceflight induced sensorimotor changes. Whether these sensorimotor changes may be related to structural and functional brain changes is yet unknown. However, experimental studies revealed changes in the gray matter (GM) of the brain after simulated microgravity. Thus, it is possible that spaceflight may affect brain structure and thereby cognitive functioning and motor behavior. Long duration head-down tilt bed rest has been suggested as an exclusionary analog to study microgravity effects on the sensorimotor system. Bed rest mimics microgravity in body unloading and bodily fluid shifts. In consideration of the health and performance of crewmembers both in- and post-flight, we are conducting a prospective longitudinal 70-day bed rest study as an analog to investigate the effects of microgravity on the brain. VBM analysis revealed a progressive decrease from pre- to in- bed rest in GM volume in bilateral areas including the frontal medial cortex, the insular cortex and the caudate. Over the same time period, there was a progressive increase in GM volume in the cerebellum, occipital-, and parietal cortex, including the precuneus. The majority of these changes did not fully recover during the post-bed rest period. Analysis of lobular GM volumes obtained with BRAINS showed significantly increased volume from pre-bed rest to in-bed rest in GM of the parietal lobe and the third ventricle. Temporal GM volume at 70 days in bed rest was smaller than that at the first pre-bed rest measurement. Trend analysis showed significant positive linear and negative quadratic relationships between parietal GM and time, a positive linear relationship between third ventricle volume and time, and a negative linear

Contribution of diffuser surfaces to efficiency of tilted T shape parallel highway noise barriers

Directory of Open Access Journals (Sweden)

N. Javid Rouzi

2009-04-01

Full Text Available Background and aimsThe paper presents the results of an investigation on the acoustic  performance of tilted profile parallel barriers with quadratic residue diffuser tops and faces.MethodsA2D boundary element method (BEM is used to predict the barrier insertion loss. The results of rigid and with absorptive coverage are also calculated for comparisons. Using QRD on the top surface and faces of all tilted profile parallel barrier models introduced here is found to  improve the efficiency of barriers compared with rigid equivalent parallel barrier at the examined  receiver positions.Results Applying a QRD with frequency design of 400 Hz on 5 degrees tilted parallel barrier  improves the overall performance of its equivalent rigid barrier by 1.8 dB(A. Increase the treated surfaces with reactive elements shifts the effective performance toward lower frequencies. It is  found that by tilting the barriers from 0 to 10 degrees in parallel set up, the degradation effects in  parallel barriers is reduced but the absorption effect of fibrous materials and also diffusivity of thequadratic residue diffuser is reduced significantly. In this case all the designed barriers have better  performance with 10 degrees tilting in parallel set up.ConclusionThe most economic traffic noise parallel barrier, which produces significantly  high performance, is achieved by covering the top surface of the barrier closed to the receiver by  just a QRD with frequency design of 400 Hz and tilting angle of 10 degrees. The average Aweighted  insertion loss in this barrier is predicted to be 16.3 dB (A.

Artificial neural network controller for automatic ship berthing using head-up coordinate system

Directory of Open Access Journals (Sweden)

Nam-Kyun Im

2018-05-01

Full Text Available The Artificial Neural Network (ANN model has been known as one of the most effective theories for automatic ship berthing, as it has learning ability and mimics the actions of the human brain when performing the stages of ship berthing. However, existing ANN controllers can only bring a ship into a berth in a certain port, where the inputs of the ANN are the same as those of the teaching data. This means that those ANN controllers must be retrained when the ship arrives to a new port, which is time-consuming and costly. In this research, by using the head-up coordinate system, which includes the relative bearing and distance from the ship to the berth, a novel ANN controller is proposed to automatically control the ship into the berth in different ports without retraining the ANN structure. Numerical simulations were performed to verify the effectiveness of the proposed controller. First, teaching data were created in the original port to train the neural network; then, the controller was tested for automatic berthing in other ports, where the initial conditions of the inputs in the head-up coordinate system were similar to those of the teaching data in the original port. The results showed that the proposed controller has good performance for ship berthing in ports. Keywords: Automatic ship berthing, ANN controller, Head-up coordinate system, Low speed, Relative bearing

Comparison of Modelled and Measured Tilted Solar Irradiance for Photovoltaic Applications

Directory of Open Access Journals (Sweden)

Riyad Mubarak

2017-10-01

Full Text Available This work assesses the performance of five transposition models that estimate the global and diffuse solar irradiance on tilted planes based on the global horizontal irradiance. The modelled tilted irradiance values are compared to measured one-minute values from pyranometers and silicon sensors tilted at different angles at Hannover (Germany and NREL (Golden, CO, USA. It can be recognized that the deviations of the model of Liu and Jordan, Klucher and Perez from the measurements increases as the tilt angle increases and as the sensors are oriented away from the south direction, where they receive lower direct radiation than south-oriented surfaces. Accordingly, the vertical E, W and N planes show the highest deviation. Best results are found by the models from Hay and Davies and Reindl, when horizontal pyranometer measurements and a constant albedo value of 0.2 are used. The relative root mean squared difference (rRMSD of the anisotropic models does not exceed 11% for south orientation and low inclination angles (β = 10–60°, but reaches up to 28.9% at vertical planes. For sunny locations such as Golden, the Perez model provides the best estimates of global tilted irradiance for south-facing surfaces. The relative mean absolute difference (rMAD of the Perez model at NREL ranges from 4.2% for 40° tilt to 8.7% for 90° tilt angle, when horizontal pyranometer measurements and a measured albedo value are used; the use of measured albedo values instead of a constant value of 0.2 leads to a reduction of the deviation to 3.9% and 6.0%, respectively. The use of higher albedo values leads to a significant increase of rMAD. We also investigated the uncertainty resulting from using horizontal pyranometer measurements, in combination with constant albedo values, to estimate the incident irradiance on tilted photovoltaic (PV modules. We found that these uncertainties are small or negligible.

Transesophageal Doppler reliably tracks changes in cardiac output in comparison with intermittent pulmonary artery thermodilution in cardiac surgery patients

DEFF Research Database (Denmark)

Møller-Sørensen, Hasse; Cordtz, Joakim; Østergaard, Morten

2017-01-01

completed the study. Each patient were placed in the following successive positions: (1) supine, (2) head-down tilt, (3) head-up tilt, (4) supine, (5) supine with phenylephrine administration, (6) pace heart rate 80 beats per minute (bpm), (7) pace heart rate 110 bpm. The agreement of compared data...

Measurements of cardiac output obtained with transesophageal echocardiography and pulmonary artery thermodilution are not interchangeable

DEFF Research Database (Denmark)

Møller-Sørensen, H; Graeser, K; Hansen, K L

2014-01-01

was placed in the following successive positions: supine, head-down tilt, head-up tilt, supine, supine with phenylephrine administration, pace heart rate 80 beats per minute (bpm), pace heart rate 110 bpm. TEE CO and PAC CO were measured simultaneously. The agreement was analysed by Bland-Altman plots...

Experimental study on the effect of heat flux tilt on rod bundle dryout limitation

Energy Technology Data Exchange (ETDEWEB)

Sugawara, S; Terunuma, K; Kamoshida, H [Power Reactor and Nuclear Fuel Development Corp., Oarai, Ibaraki (Japan). Oarai Engineering Center

1996-12-31

The effect of heat flux tilt on rod bundle dryout limitation was studied experimentally using a full-scale mock-up test facility and simulated 36-rod fuel bundles in which heater pins have azimuthal nonuniform heat flux distribution (i.e., heat flux tilt). Experimental results for typical lateral power distribution in the bundle indicate that the bundle dryout power with azimuthal heat flux tilt is higher than that without azimuthal heat flux tilt in the entire experimental range. Consequently, it is concluded that the dryout experiment using the test bundle with heater pins which has circumferentially uniform heat flux distribution gives conservative results for the usual lateral power distribution in a bundle in which the relative power of outermost-circle fuel rods is higher than those of middle- and inner-circle ones. (author). 15 refs., 2 tabs., 8 figs.

Experimental study on the effect of heat flux tilt on rod bundle dryout limitation

International Nuclear Information System (INIS)

Sugawara, S.; Terunuma, K.; Kamoshida, H.

1995-01-01

The effect of heat flux tilt on rod bundle dryout limitation was studied experimentally using a full-scale mock-up test facility and simulated 36-rod fuel bundles in which heater pins have azimuthal nonuniform heat flux distribution (i.e., heat flux tilt). Experimental results for typical lateral power distribution in the bundle indicate that the bundle dryout power with azimuthal heat flux tilt is higher than that without azimuthal heat flux tilt in the entire experimental range. Consequently, it is concluded that the dryout experiment using the test bundle with heater pins which has circumferentially uniform heat flux distribution gives conservative results for the usual lateral power distribution in a bundle in which the relative power of outermost-circle fuel rods is higher than those of middle- and inner-circle ones. (author). 15 refs., 2 tabs., 8 figs

Advances in the use of inhalation provocation tests in clinical evaluation

NARCIS (Netherlands)

Hargreave, F. E.; Ramsdale, E. H.; Sterk, P. J.; Juniper, E. F.

1985-01-01

Recent advances in the use of inhalation provocation tests in the clinical evaluation of asthma have been made with methacholine and histamine tests. The tests can be better standardized and the results more accurately interpreted. The ease of stimulation of bronchoconstriction by methacholine and

An iterative fast sweeping based eikonal solver for tilted orthorhombic media

KAUST Repository

Waheed, Umair bin

2014-08-01

Computing first-arrival traveltimes of quasi-P waves in the presence of anisotropy is important for high-end near-surface modeling, microseismic-source localization, and fractured-reservoir characterization, and requires solving an anisotropic eikonal equation. Anisotropy deviating from elliptical anisotropy introduces higher-order nonlinearity into the eikonal equation, which makes solving the eikonal equation a challenge. We address this challenge by iteratively solving a sequence of simpler tilted elliptically anisotropic eikonal equations. At each iteration, the source function is updated to capture the effects of the higher order nonlinear terms. We use Aitken extrapolation to speed up the convergence rate of the iterative algorithm. The result is an algorithm for first-arrival traveltime computations in tilted anisotropic media. We demonstrate our method on tilted transversely isotropic media and tilted orthorhombic media. Our numerical tests demonstrate that the proposed method can match the first arrivals obtained by wavefield extrapolation, even for strong anisotropy and complex structures. Therefore, for the cases where oneor two-point ray tracing fails, our method may be a potential substitute for computing traveltimes. Our approach can be extended to anisotropic media with lower symmetries, such as monoclinic or even triclinic media.

An iterative fast sweeping based eikonal solver for tilted orthorhombic media

KAUST Repository

Waheed, Umair bin; Yarman, Can Evren; Flagg, Garret

2014-01-01

Computing first-arrival traveltimes of quasi-P waves in the presence of anisotropy is important for high-end near-surface modeling, microseismic-source localization, and fractured-reservoir characterization, and requires solving an anisotropic eikonal equation. Anisotropy deviating from elliptical anisotropy introduces higher-order nonlinearity into the eikonal equation, which makes solving the eikonal equation a challenge. We address this challenge by iteratively solving a sequence of simpler tilted elliptically anisotropic eikonal equations. At each iteration, the source function is updated to capture the effects of the higher order nonlinear terms. We use Aitken extrapolation to speed up the convergence rate of the iterative algorithm. The result is an algorithm for first-arrival traveltime computations in tilted anisotropic media. We demonstrate our method on tilted transversely isotropic media and tilted orthorhombic media. Our numerical tests demonstrate that the proposed method can match the first arrivals obtained by wavefield extrapolation, even for strong anisotropy and complex structures. Therefore, for the cases where oneor two-point ray tracing fails, our method may be a potential substitute for computing traveltimes. Our approach can be extended to anisotropic media with lower symmetries, such as monoclinic or even triclinic media.

Hyperbolic umbilic caustics from oblate water drops with tilted illumination: Observations

Science.gov (United States)

Jobe, Oli; Thiessen, David B.; Marston, Philip L.

2017-11-01

Various groups have reported observations of hyperbolic umbilic diffraction catastrophe patterns in the far-field scattering by oblate acoustically levitated drops with symmetric illumination. In observations of that type the drop's symmetry axis is vertical and the illuminating light beam (typically an expanded laser beam) travels horizontally. In the research summarized here, scattering patterns in the primary rainbow region and drop measurements were recorded with vertically tilted laser beam illumination having a grazing angle as large as 4 degrees. The findings from these observations may be summarized as follows: (a) It remains possible to adjust the drop aspect ratio (diameter/height) = D/H so as to produce a V-shaped hyperbolic umbilic focal section (HUFS) in the far-field scattering. (b) The shift in the required D/H was typically an increase of less than 1% and was quadratic in the tilt. (c) The apex of the V-shaped HUFS was shifted vertically by an amount proportional to the tilt with a coefficient close to unity. The levitated drops had negligible up-down asymmetry. Our method of investigation should be useful for other generalized rainbows with tilted illumination.

Diagnosis and Follow-up US Evaluation of Ruptures of the Medial Head of the Gastrocnemius

International Nuclear Information System (INIS)

Kwak, Hyo-Sung; Han, Young-Min; Lee, Sang-Yong; Kim, Ki-Nam; Chung, Gyung Ho

2006-01-01

The purpose of this study was to demonstrate the ultrasonographic (US) findings of rupture and the healing process of the medial head of the gastrocnemius ('Tennis Leg'). Twenty-two patients (age range: 30 to 45 years) with clinically suspected ruptures of the medial head of the gastrocnemius were referred to us for US examination. All the patients underwent US of the affected limb and the contralateral asymptomatic limb. Follow-up clinical evaluation and US imaging of all patients were performed at two-week intervals during the month after injury and at one-month intervals during the following six months. Of the 22 patients who had an initial US examination after their injury, partial rupture of the medial head of the gastrocnemius muscle was identified in seven patients (31.8%); the remaining 15 patients were diagnosed with complete rupture. Fluid collection between the medial head of the gastrocnemius and the soleus muscle was identified in 20 patients (90.9%). The thickness of the fluid collection, including the hematoma in the patients with complete rupture (mean: 9.7 mm), was significantly greater than that seen in the patients with partial tear (mean: 6.8 mm) (p < 0.01). The primary union of the medial head of the gastrocnemius with the soleus muscle in all the patients with muscle rupture and fluid collection was recognized via the hypoechoic tissue after four weeks. Ultrasonography is a useful imaging modality for the diagnosis and follow-up examination for the patients suffering with rupture of the medial head of the gastrocnemius

Human cutaneous vascular responses to whole-body tilting, Gz centrifugation, and LBNP

Science.gov (United States)

Watenpaugh, Donald E.; Breit, Gregory A.; Buckley, Theresa M.; Ballard, Richard E.; Murthy, Gita; Hargens, Alan R.

2004-01-01

We hypothesized that gravitational stimuli elicit cardiovascular responses in the following order with gravitational stress equalized at the level of the feet, from lowest to highest response: short-(SAC) and long-arm centrifugation (LAC), tilt, and lower body negative pressure (LBNP). Up to 15 healthy subjects underwent graded application of the four stimuli. Laser-Doppler flowmetry measured regional skin blood flow. At 0.6 G(z) (60 mmHg LBNP), tilt and LBNP similarly reduced leg skin blood flow to approximately 36% of supine baseline levels. Flow increased back toward baseline levels at 80-100 mmHg LBNP yet remained stable during 0.8-1.0 G(z) tilt. Centrifugation usually produced less leg vasoconstriction than tilt or LBNP. Surprisingly, SAC and LAC did not differ significantly. Thigh responses were less definitive than leg responses. No gravitational vasoconstriction occurred in the neck. All conditions except SAC increased heart rate, according to our hypothesized order. LBNP may be a more effective and practical means of simulating cardiovascular effects of gravity than centrifugation.

Project plan for joint FAA/NASA head-up display concept evaluation

Science.gov (United States)

Haines, R. F.

1978-01-01

Head-Up Display (HUD) concept for large commercial turbojet transport aircraft is considered for the its contribution to aviation safety in the form of improved performance during the approach and landing phase flight. The basic reearch areas represent fundamental questions that are still unresolved and which were considered important to the effective use of the HUD by pilots. Project documentation and management responsibilities are outlined.

Compatibility of Clinical Manifestation with Skin Prick Test Result and Food Provocation Test in Food Cross Reaction

OpenAIRE

Lubis, Azwin; Barlianto, Wisnu; Endaryanto, Anang; Harsono, Ariyanto

2017-01-01

Background: Subjective diagnostic test of food allergy is hugely biased, resulting in irrational diet avoidance. Additional objective tools by skin prick test following food provocation test resulting more accurate cause and prevalence on population. Purpose: To evaluate the compatibility of clinical symptoms with skin prick test and provocation test for imunoglobulin E (IgE) mediated food allergy in Dr. Soetomo Hospital Surabaya. Methods: Cross sectional observational analytic study. Patient...

The Effects of Long Duration Head Down Tilt Bed Rest on Neurocognitive Performance: The Effects of Exercise Interventions

Science.gov (United States)

Seidler, R. D.; Mulavara, A. P.; Koppelmans, V.; Erdeniz. B.; Kofman, I. S.; DeDios, Y. E.; Szecsy, D. L.; Riascos-Castaneda, R. F.; Wood, S. J.; Bloomberg, J. J.

2014-01-01

We are conducting ongoing experiments in which we are performing structural and functional magnetic resonance brain imaging to identify the relationships between changes in neurocognitive function and neural structural alterations following a six month International Space Station mission and following 70 days exposure to a spaceflight analog, head down tilt bedrest. Our central hypothesis is that measures of brain structure, function, and network integrity will change from pre to post intervention (spaceflight, bedrest). Moreover, we predict that these changes will correlate with indices of cognitive, sensory, and motor function in a neuroanatomically selective fashion. Our interdisciplinary approach utilizes cutting edge neuroimaging techniques and a broad ranging battery of sensory, motor, and cognitive assessments that will be conducted pre flight, during flight, and post flight to investigate potential neuroplastic and maladaptive brain changes in crewmembers following long-duration spaceflight. Success in this endeavor would 1) result in identification of the underlying neural mechanisms and operational risks of spaceflight-induced changes in behavior, and 2) identify whether a return to normative behavioral function following re-adaptation to Earth's gravitational environment is associated with a restitution of brain structure and function or instead is supported by substitution with compensatory brain processes. Our ongoing bed rest participants are also engaging in exercise studies directed by Dr. Lori Ploutz Snyder. In this presentation, I will briefly highlight the existing literature linking exercise and fitness to brain and behavioral functions. I will also overview the metrics from my study that could be investigated in relation to the exercise and control subgroups.

On the Design of Tilting-Pad Thrust Bearings

DEFF Research Database (Denmark)

Heinrichson, Niels

2007-01-01

Pockets are often machined in the surfaces of tilting-pad thrust bearings to allow for hydrostatic jacking in the start-up phase. Pockets and other recesses in the surfaces of bearing pads influence the pressure distribution and thereby the position of the pivot resulting in the most advantageous...... based on the Reynolds equation are used. They include the effects of variations of viscosity with temperature and the deformation of the bearing pads due to pressure and thermal gradients. The models are validated using measurements. Tilting-pad bearings of standard design are studied and the influences...... of the friction loss. Both this bearing and the bearing design with enclosed recesses in the high-pressure regions of the pads suffer from a higher sensitivity to the position of the pivot. The design of such bearing is therefore no trivial task....

Hostile attribution biases for relationally provocative situations and event-related potentials.

Science.gov (United States)

Godleski, Stephanie A; Ostrov, Jamie M; Houston, Rebecca J; Schlienz, Nicolas J

2010-04-01

This exploratory study investigates how hostile attribution biases for relationally provocative situations may be related to neurocognitive processing using the P300 event-related potential. Participants were 112 (45 women) emerging adults enrolled in a large, public university in upstate New York. Participants completed self-report measures on relational aggression and hostile attribution biases and performed an auditory perseveration task to elicit the P300. It was found that hostile attribution biases for relational provocation situations was associated with a larger P300 amplitude above and beyond the role of hostile attribution biases for instrumental situations, relational aggression, and gender. Larger P300 amplitude is interpreted to reflect greater allocation of cognitive resources or enhanced "attending" to salient stimuli. Implications for methodological approaches to studying aggression and hostile attribution biases and for theory are discussed, as well as implications for the fields of developmental psychology and psychopathology. Copyright 2010 Elsevier B.V. All rights reserved.

19 years of tilt data on Mt. Vesuvius: state of the art and future perspectives

Directory of Open Access Journals (Sweden)

Ciro Ricco

2013-11-01

Full Text Available Mt. Vesuvius, located along the SW border of the Campania Plane graben, is one of the most studied volcanoes worldwide, from both the volcanological and the geophysical, geochemical and geodetic point of view. In order to better understand its dynamics, the deformation of the volcano has been already studied since the early ’70s by setting up levelling lines and, since a few years later, through trilateration networks, whereas ground tilt monitoring started in 1993. Tilt variations were recorded by an automatic surface station set up at the Osservatorio Vesuviano (O.V. bunker (OVO and data recorded were transmitted to the O.V. Surveillance Centre in Naples. Afterwards, in 1996 two more identical stations were set up close to Torre del Greco (CMD, and close to Trecase (TRC. In 2002 the data acquisition system was replaced, while at the end of 2011 a Lily borehole sensor was set up at 26 m depth, replacing the old TRC tilt station. The paper describes in details the tilt network of Mt. Vesuvius, its development over time and the data processing procedure; moreover, the ground deformation pattern is discussed, as inferred from the study of 19 years of data and its change during the seismic crises of 1995-1996 and 1999-2000. From the information obtained from the tiltmetric monitoring, a complex deformation pattern can be deduced, strongly dependent on the position of the sites in which the sensors were set up with respect to the morphology of the volcanic edifice and its structural outlines. If we consider the signals as they were recorded, although previously corrected for the influences of the thermo-elastic strain on the sensors, the tilting occurs mainly in the SW direction with rates of about 11 µradians/year on both the western and eastern flanks and of about 13 µradians/year on the southern one. Because tilt vectors point in the long term outward from the summit and towards the subsiding area, this supports the hypothesis of a southern

Realization of a tilted reference wave for electron holography by means of a condenser biprism

Energy Technology Data Exchange (ETDEWEB)

Röder, Falk, E-mail: Falk.Roeder@tu-dresden.de [Triebenberg Labor, Institut für Strukturphysik, Technische Universität Dresden, D-01062 Dresden (Germany); CEMES-CNRS and Université de Toulouse, 29 rue Jeanne Marvig, F-31055 Toulouse (France); Houdellier, Florent; Denneulin, Thibaud; Snoeck, Etienne; Hÿtch, Martin [CEMES-CNRS and Université de Toulouse, 29 rue Jeanne Marvig, F-31055 Toulouse (France)

2016-02-15

As proposed recently, a tilted reference wave in off-axis electron holography is expected to be useful for aberration measurement and correction. Furthermore, in dark-field electron holography, it is considered to replace the reference wave, which is conventionally diffracted in an unstrained object area, by a well-defined object-independent reference wave. Here, we first realize a tilted reference wave by employing a biprism placed in the condenser system above three condenser lenses producing a relative tilt magnitude up to 20/nm at the object plane (300 kV). Paraxial ray-tracing predicts condenser settings for a parallel illumination at the object plane, where only one half of the round illumination disc is tilted relative to the optical axis without displacement. Holographic measurements verify the kink-like phase modulation of the incident beam and return the interference fringe contrast as a function of the relative tilt between both parts of the illumination. Contrast transfer theory including condenser aberrations and biprism instabilities was applied to explain the fringe contrast measurement. A first dark-field hologram with a tilted – object-free – reference wave was acquired and reconstructed. A new application for bright/dark-field imaging is presented.

Head Tilt

Science.gov (United States)

... Healthy Living Healthy Living Healthy Living Nutrition Fitness Sports Oral Health Emotional Wellness Growing Healthy Sleep Safety & Prevention Safety & Prevention Safety and Prevention Immunizations ...

A head-up display for low-visibility approach and landing

Science.gov (United States)

Bray, R. S.; Scott, B. C.

1981-01-01

An electronic flight-guidance display format was designed for use in evaluations of the collimated head-up display concept in low-visibility landings of transport aircraft. In the design process of iterative evaluation and modification, some general principles, or guidelines, applicable to such flight displays were suggested. The usefulness of an indication of instantaneous inertial flightpath was clearly demonstrated, particularly in low-altitude transition to visual references. Evaluator pilot acceptance of the unfamiliar display concepts was very positive when careful attention was given to indoctrination and training.

[Intragastric provocation and antigen-induced in vitro histamine liberation by the food additive E 102].

Science.gov (United States)

Schaubschläger, W; Ruschmeyer, J; Zabel, P; Schlaak, M

1988-06-01

Adverse reactions to tartrazine have been known since 1958. The mechanism of this reaction, a not IgE-mediated, anaphylactoid reaction, is not fully understood. The demonstration of this adverse reaction by provocative challenge feeding may be problematic by a score of subjective symptoms because of the placebo effect. This report deals with the intragastral provocation under endoscopic control with tartrazine and tartrazine-induced histamine release in vitro from gastric mucosa and from blood. Two patients with anamnestically suspected adverse reactions to tartrazine were studied. Correspondence of in vivo and in vitro testing with tartrazine could be demonstrated.

A head-up display for mid-air drone recovery

Science.gov (United States)

Augustine, W. L.; Heft, E. L.; Bowen, T. E.; Newman, R. L.

1978-01-01

During mid-air retrieval of parachute packages, the absence of a natural horizon creates serious difficulties for the pilot of the recovery helicopter. A head-up display (HUD) was tested in an attempt to solve this problem. Both a roll-stabilized HUD and a no-roll (pitch only) HUD were tested. The results show that fewer missed passes occurred with the roll-stabilized HUD when the horizon was obscured. The pilots also reported that the workload was greatly reduced. Roll-stabilization was required to prevent vertigo when flying in the absence of a natural horizon. Any HUD intended for mid-air retrieval should display pitch, roll, sideslip, airspeed, and vertical velocity.

Making Choices: Simultaneous Report and Provocative Statements, Tools for Appreciative Inquiry

Science.gov (United States)

Nelson, Eric M.; Wright, Christine M.

2011-01-01

Many educators find that students do not participate actively in class, and are constantly seeking a variety of techniques to encourage student participation. The focus of this paper is to show how simultaneous report and provocative statements can be combined to foster appreciative inquiry, thereby, creating a learning environment with greater…

Role of motivation to respond to provocation, the social environment, and trait aggression in alcohol-related aggression.

Science.gov (United States)

Tremblay, Paul F; Mihic, Ljiljana; Graham, Kathryn; Jelley, Jennifer

2007-01-01

Little attention has been paid to the motivation to respond to provocation and to the interaction between this motivation, alcohol, the drinking environment, and individual characteristics. Undergraduates at six Canadian universities (N = 1,232) read three vignettes describing conflict situations with social environmental manipulations while imagining themselves as either sober or intoxicated. Self-ratings assessed likelihood of assertive and aggressive responses and motivational indices of anger, offensiveness of the instigator's actions, and importance to respond to the provocation. Respondents also completed a measure of trait aggression. Multi-group structural equation models supported the hypothesis that perceived likelihood of reactive aggression is influenced by perceived alcohol intoxication, gender, trait aggression, social environmental factors, and motivation to respond to the provocation. In addition, a number of interactions were found among the predictors. These results provide insight into the types of factors that may influence aggression in drinking situations. Copyright 2007 Wiley-Liss, Inc.

Lifting to cluster-tilting objects in higher cluster categories

OpenAIRE

Liu, Pin

2008-01-01

In this note, we consider the $d$-cluster-tilted algebras, the endomorphism algebras of $d$-cluster-tilting objects in $d$-cluster categories. We show that a tilting module over such an algebra lifts to a $d$-cluster-tilting object in this $d$-cluster category.

Effect of manual tilt adjustments on incident irradiance on fixed and tracking solar panels

International Nuclear Information System (INIS)

Lubitz, William David

2011-01-01

Hourly typical meteorological year (TMY3) data was utilized with the Perez radiation model to simulate solar radiation on fixed, azimuth tracking and two axis tracking surfaces at 217 geographically diverse temperate latitude sites across the contiguous United States of America. The optimum tilt angle for maximizing annual irradiation on a fixed south-facing panel varied from being equal to the latitude at low-latitude, high clearness sites, to up to 14 o less than the latitude at a north-western coastal site with very low clearness index. Across the United States, the optimum tilt angle for an azimuth tracking panel was found to be on average 19 o closer to vertical than the optimum tilt angle for a fixed, south-facing panel at the same site. Azimuth tracking increased annual solar irradiation incident on a surface by an average of 29% relative to a fixed south-facing surface at optimum tilt angle. Two axis tracking resulted in an average irradiation increase of 34% relative to the fixed surface. Introduction of manual surface tilt changes during the year produced a greater impact for non-tracking surfaces than it did for azimuth tracking surfaces. Even monthly tilt changes only resulted in an average annual irradiation increase of 5% for fixed panels and 1% for azimuth tracked surfaces, relative to using a single optimized tilt angle in each case. In practice, the decision whether to manually tilt panels requires balancing the added cost in labor and the panel support versus the extra energy generation and the cost value of that energy. A spreadsheet file is available that gives individual results for each of the 217 simulated sites.

Heads Up! Play it Safe When it Comes to Concussions

Centers for Disease Control (CDC) Podcasts

2007-05-21

As many as 3.8 million sports- and recreation-related concussions are estimated to occur in the United States each year. This podcast is a radio interview with CDC's Dr. Julie Gilchrist on the newly available “Heads Up: Concussion in Youth Sports" tool kit, which was developed to provide information to coaches, parents, and athletes involved in youth sports on preventing, recognizing, and responding to a concussion.  Created: 5/21/2007 by National Center for Injury Prevention and Control, Division of Injury Response.   Date Released: 10/31/2007.

Lessons from a tarantula: new insights into muscle thick filament and myosin interacting-heads motif structure and function.

Science.gov (United States)

Alamo, Lorenzo; Koubassova, Natalia; Pinto, Antonio; Gillilan, Richard; Tsaturyan, Andrey; Padrón, Raúl

2017-10-01

The tarantula skeletal muscle X-ray diffraction pattern suggested that the myosin heads were helically arranged on the thick filaments. Electron microscopy (EM) of negatively stained relaxed tarantula thick filaments revealed four helices of heads allowing a helical 3D reconstruction. Due to its low resolution (5.0 nm), the unambiguous interpretation of densities of both heads was not possible. A resolution increase up to 2.5 nm, achieved by cryo-EM of frozen-hydrated relaxed thick filaments and an iterative helical real space reconstruction, allowed the resolving of both heads. The two heads, "free" and "blocked", formed an asymmetric structure named the "interacting-heads motif" (IHM) which explained relaxation by self-inhibition of both heads ATPases. This finding made tarantula an exemplar system for thick filament structure and function studies. Heads were shown to be released and disordered by Ca 2+ -activation through myosin regulatory light chain phosphorylation, leading to EM, small angle X-ray diffraction and scattering, and spectroscopic and biochemical studies of the IHM structure and function. The results from these studies have consequent implications for understanding and explaining myosin super-relaxed state and thick filament activation and regulation. A cooperative phosphorylation mechanism for activation in tarantula skeletal muscle, involving swaying constitutively Ser35 mono-phosphorylated free heads, explains super-relaxation, force potentiation and post-tetanic potentiation through Ser45 mono-phosphorylated blocked heads. Based on this mechanism, we propose a swaying-swinging, tilting crossbridge-sliding filament for tarantula muscle contraction.

Designing to bring the field to the showroom through open-ended provocation.

NARCIS (Netherlands)

Kelly, J.; Wensveen, S.A.G.

2014-01-01

Engaging formats are required to communicate designerly understandings of field studies to a broader audience within organisations. Here we present a case where the format of an exhibition, consisting of a collection of open-ended provocative design concepts, has been used to disseminate knowledge

Turning the tide: comparison of tidal flow by periodic sea level fluctuation and by periodic bed tilting in scaled landscape experiments of estuaries

Science.gov (United States)

Kleinhans, Maarten G.; van der Vegt, Maarten; Leuven, Jasper; Braat, Lisanne; Markies, Henk; Simmelink, Arjan; Roosendaal, Chris; van Eijk, Arjan; Vrijbergen, Paul; van Maarseveen, Marcel

2017-11-01

Analogue models or scale experiments of estuaries and short tidal basins are notoriously difficult to create in the laboratory because of the difficulty to obtain currents strong enough to transport sand. Our recently discovered method to drive tidal currents by periodically tilting the entire flume leads to intense sediment transport in both the ebb and flood phase, causing dynamic channel and shoal patterns. However, it remains unclear whether tilting produces periodic flows with characteristic tidal properties that are sufficiently similar to those in nature for the purpose of landscape experiments. Moreover, it is not well understood why the flows driven by periodic sea level fluctuation, as in nature, are not sufficient for morphodynamic experiments. Here we compare for the first time the tidal currents driven by sea level fluctuations and by tilting. Experiments were run in a 20 × 3 m straight flume, the Metronome, for a range of tilting periods and with one or two boundaries open at constant head with free inflow and outflow. Also, experiments were run with flow driven by periodic sea level fluctuations. We recorded surface flow velocity along the flume with particle imaging velocimetry and measured water levels along the flume. We compared the results to a one-dimensional model with shallow flow equations for a rough bed, which was tested on the experiments and applied to a range of length scales bridging small experiments and large estuaries. We found that the Reynolds method results in negligible flows along the flume except for the first few metres, whereas flume tilting results in nearly uniform reversing flow velocities along the entire flume that are strong enough to move sand. Furthermore, tidal excursion length relative to basin length and the dominance of friction over inertia is similar in tidal experiments and reality. The sediment mobility converges between the Reynolds method and tilting for flumes hundreds of metres long, which is impractical

Turning the tide: comparison of tidal flow by periodic sea level fluctuation and by periodic bed tilting in scaled landscape experiments of estuaries

Directory of Open Access Journals (Sweden)

M. G. Kleinhans

2017-11-01

Full Text Available Analogue models or scale experiments of estuaries and short tidal basins are notoriously difficult to create in the laboratory because of the difficulty to obtain currents strong enough to transport sand. Our recently discovered method to drive tidal currents by periodically tilting the entire flume leads to intense sediment transport in both the ebb and flood phase, causing dynamic channel and shoal patterns. However, it remains unclear whether tilting produces periodic flows with characteristic tidal properties that are sufficiently similar to those in nature for the purpose of landscape experiments. Moreover, it is not well understood why the flows driven by periodic sea level fluctuation, as in nature, are not sufficient for morphodynamic experiments. Here we compare for the first time the tidal currents driven by sea level fluctuations and by tilting. Experiments were run in a 20  ×  3 m straight flume, the Metronome, for a range of tilting periods and with one or two boundaries open at constant head with free inflow and outflow. Also, experiments were run with flow driven by periodic sea level fluctuations. We recorded surface flow velocity along the flume with particle imaging velocimetry and measured water levels along the flume. We compared the results to a one-dimensional model with shallow flow equations for a rough bed, which was tested on the experiments and applied to a range of length scales bridging small experiments and large estuaries. We found that the Reynolds method results in negligible flows along the flume except for the first few metres, whereas flume tilting results in nearly uniform reversing flow velocities along the entire flume that are strong enough to move sand. Furthermore, tidal excursion length relative to basin length and the dominance of friction over inertia is similar in tidal experiments and reality. The sediment mobility converges between the Reynolds method and tilting for flumes hundreds of

Vestibular Stimulus and Perceived Roll Tilt During Coordinated Turns in Aircraft and Gondola Centrifuge.

Science.gov (United States)

Tribukait, Arne; Ström, Adrian; Bergsten, Eddie; Eiken, Ola

2016-05-01

One disorienting movement pattern, common during flight, is the entering of a coordinated turn. While the otoliths persistently sense upright head position, the change in roll attitude constitutes a semicircular canal stimulus. This sensory conflict also arises during acceleration in a swing-out gondola centrifuge. From a vestibular viewpoint there are, however, certain differences between the two stimulus situations; the aim of the present study was to elucidate whether these differences are reflected in the perceived roll attitude. Eight nonpilots were tested in a centrifuge (four runs) and during flight (two turns). The subjective visual horizontal (SVH) was measured using an adjustable luminous line in darkness. The centrifuge was accelerated from stationary to 1.56 G (roll 50°) within 7 s; the duration of the G plateau was 5 min. With the aircraft, turns with approximately 1.4 G (45°) were entered within 15 s and lasted for 5 min. Tilt perception (TP) was defined as the ratio of SVH/real roll tilt; initial and final values were calculated for each centrifugation/turn. In both systems there was a sensation of tilt that declined with time. The initial TP was (mean ± SD): 0.40 ± 0.27 (centrifuge) and 0.37 ± 0.30 (flight). The final TP was 0.20 ± 0.26 and 0.17 ± 0.19, respectively. Both initial and final TP correlated between the two conditions. The physical roll tilt is under-estimated to a similar degree in the centrifuge and aircraft. Also the correspondence at the individual level suggests that the vestibular dilemma of coordinated flight can be recreated in a lifelike manner using a gondola centrifuge.

Analysis of the cylinder block tilting inertia moment and its effect on the performance of high-speed electro-hydrostatic actuator pumps of aircraft

Directory of Open Access Journals (Sweden)

Junhui ZHANG

2018-01-01

Full Text Available Electro-hydrostatic actuator (EHA pumps are usually characterized as high speed and small displacement. The tilting inertia moment on the cylinder block produced by the inertia forces of piston/slipper assemblies cannot be ignored when analyzing the cylinder block balance. A large tilting inertia moment will make the cylinder block tilt away from the valve plate, resulting in severe wear and significantly increased leakage. This paper presents an analytical expression for the tilting inertia moment on the cylinder block by means of vector analysis. In addition, a high-speed test rig was built up, and experiments on an EHA pump prototype were carried out at high speeds of up to 10,000 r/min. The predicted nature of the cylinder block tilt at high speeds corresponds closely to the witness marks on the dismantled EHA pump prototype. It is suggested that more attention should be given to the tilting inertia moment acting on the cylinder block of an EHA pump since both wear and leakage flow between the cylinder block and the valve plate are very much dependent on this tilting moment.

A head-up display format for transport aircraft approach and landing

Science.gov (United States)

Bray, R. S.; Scott, B. C.

1981-01-01

An electronic flight-guidance display format was designed for use in evaluations of the collimated head-up display concept applied to transport aircraft landing. In the design process of iterative evaluation and modification, some general principles, or guidelines, applicable to electronic flight displays were suggested. The usefulness of an indication of instantaneous inertial flightpath was clearly demonstrated. Evaluator pilot acceptance of the unfamiliar display concepts was very positive when careful attention was given to indoctrination and training.

Driving safety among patients with neurocardiogenic (vasovagal) syncope.

Science.gov (United States)

Bhatia, A; Dhala, A; Blanck, Z; Deshpande, S; Akhtar, M; Sra, A J

1999-11-01

Neurocardiogenic syncope is one of the most common causes of syncope. However, the important issue of driving related injury due to syncope in this population is not well defined. Risk of injury due to syncope while driving and driving behavior was evaluated in 155 consecutive patients (92 women and 63 men; mean age 49 +/- 19 years) with history of syncope in whom hypotension and syncope or presyncope could be provoked during head-up tilt testing. Patients with syncope and positive head-up tilt table test were treated with pharmacological therapy. All participants were asked to fill out a detailed questionnaire regarding any driving related injuries and their driving behavior before tilt table testing and during follow-up. Prior to head-up tilt testing two patients had syncope while driving, and one of these patients had syncope related injury during driving. The mean duration of syncopal episodes was 50 +/- 14 months (range 12-72 months). Of the 155 patients, 52 (34%) had no warning prior to syncope, while 103 (6%) had warning symptoms such as dizziness prior to their clinical syncope. Following a diagnosis of neurocardiogenic syncope established by head-up tilt testing, six patients stopped driving on their own. During a median follow-up of 22 months recurrent syncope occurred in five (3.2%) patients. No patient had syncope or injury during driving. In conclusion, syncope and injury while driving in patients with neurocardiogenic syncope is rare. The precise mechanism of this is unclear but may be related to posture during driving. Consensus among the medical community will be needed to provide specific guidelines in these patients.

Optic flow induced self-tilt perception

NARCIS (Netherlands)

Bos, J.E.

2008-01-01

Roll optic flow induces illusory self-tilt in humans. As far as the mechanism underlying this visual-vestibular interaction is understood, larger angles of self-tilt are predicted than observed. It is hypothesized that the discrepancy can be explained by idiotropic (i.e., referring to a personal

Spheromak tilting and its stability control

International Nuclear Information System (INIS)

Hayashi, T.; Sato, T.

1983-01-01

Spheromak tilting instability was studied. A numerical technique to create a rather arbitrarily-shaped spheromak like the one with a flux hole was investigated. The dynamics governing the tilting instability, namely, the influence of the magnetic index, the toroidal current (q-profile) and the resistivity upon the tilting growth rate, and the roles of magnetc reconnection upon the nonlinear development were studied. The best way to control the tilting instability was invented. The stabilizing effects of the vertical wall, the isolated conducting cylindrical belt, and the horizontal wall were studied. Central pole stabilization was also investigated. The influence of the wall condition, namely, whether the wall acted as a flux conserver in the spheromak creation stage or not is discussed. The present study has shown that the three- dimensional simulation is indeed useful and practical in not only studying the underlying physics but also finding a stabilization technique of spheromaks. (Kato, T.)

Mapping of moveout in tilted transversely isotropic media

KAUST Repository

Stovas, A.; Alkhalifah, Tariq Ali

2013-01-01

The computation of traveltimes in a transverse isotropic medium with a tilted symmetry axis tilted transversely isotropic is very important both for modelling and inversion. We develop a simple analytical procedure to map the traveltime function from a transverse isotropic medium with a vertical symmetry axis (vertical transversely isotropic) to a tilted transversely isotropic medium by applying point-by-point mapping of the traveltime function. This approach can be used for kinematic modelling and inversion in layered tilted transversely isotropic media. © 2013 European Association of Geoscientists & Engineers.

Mapping of moveout in tilted transversely isotropic media

KAUST Repository

Stovas, A.

2013-09-09

The computation of traveltimes in a transverse isotropic medium with a tilted symmetry axis tilted transversely isotropic is very important both for modelling and inversion. We develop a simple analytical procedure to map the traveltime function from a transverse isotropic medium with a vertical symmetry axis (vertical transversely isotropic) to a tilted transversely isotropic medium by applying point-by-point mapping of the traveltime function. This approach can be used for kinematic modelling and inversion in layered tilted transversely isotropic media. © 2013 European Association of Geoscientists & Engineers.

Application of posterior pelvic tilt taping for the treatment of chronic low back pain with sacroiliac joint dysfunction and increased sacral horizontal angle.

Science.gov (United States)

Lee, Jung-hoon; Yoo, Won-gyu

2012-11-01

Kinesio Taping (KT) is a therapeutic method used by physical therapists and athletic trainers in combination with other treatment techniques for various musculoskeletal and neuromuscular problems. However, no research has evaluated the effect of KT in patients with low back pain (LBP). The purpose of this case was to describe the application of posterior pelvic tilt taping (PPTT) with Kinesio tape as a treatment for chronic LBP and to reduce the anterior pelvic tilt angle. Case report. The patien was a 20-year-old female amateur swimmer with a Cobb's angle (L1-S1) of 68°, a sacral horizontal angle of 45°, and pain in both medial buttock areas and sacroiliac joints. We performed PPTT with Kinesio tape for 2 weeks (six times per week for an average of 9 h each time). The patient’s radiographs showed that the Cobb's angle (L1-S1) had decreased from 68° to 47° and that the sacral horizontal angle had decreased from 45° to 31°. Reductions in hypomobility or motion asymmetry, as assessed by the motion palpation test, and in pain, as measured by the pain-provocation tests, were observed. On palpation for both medial buttock areas in the prone position, the patient felt no pain. The patient experienced no pain or stiffness in the low back area while performing forward flexion in the standing position with knees fully extended when washing dishes in the sink. The case study demonstrated that PPTT intervention favourably affected the pelvic inclination and sacral horizontal angle, leading to beneficial effects on sacroiliac joint dysfunction (SIJD) and medial buttock pain. Additional research on the clinical effects of this taping procedure requires greater numbers of athletes with SIJD or LBP who have inappropriate anterior pelvic tilt angles and hyperlordosis.

Tilting Uranus without a Collision

Science.gov (United States)

Rogoszinski, Zeeve; Hamilton, Douglas P.

2016-10-01

The most accepted hypothesis for the origin of Uranus' 98° obliquity is a giant collision during the late stages of planetary accretion. This model requires a single Earth mass object striking Uranus at high latitudes; such events occur with a probability of about 10%. Alternatively, Uranus' obliquity may have arisen from a sequence of smaller impactors which lead to a uniform distribution of obliquities. Here we explore a third model for tilting Uranus using secular spin-orbit resonance theory. We investigate early Solar System configurations in which a secular resonance between Uranus' axial precession frequency and another planet's orbital node precession frequency might occur.Thommes et al. (1999) hypothesized that Uranus and Neptune initially formed between Jupiter and Saturn, and were then kicked outward. In our scenario, Neptune leaves first while Uranus remains behind. As an exterior Neptune slowly migrates outward, it picks up both Uranus and Saturn in spin-orbit resonances (Ward and Hamilton 2004; Hamilton and Ward 2004). Only a distant Neptune has a nodal frequency slow enough to resonate with Uranus' axial precession.This scenario, with diverging orbits, results in resonance capture. As Neptune migrates outward its nodal precession slows. While in resonance, Uranus and Saturn each tilt a bit further, slowing their axial precession rates to continually match Neptune's nodal precession rate. Tilting Uranus to high obliquities takes a few 100 Myrs. This timescale may be too long to hold Uranus captive between Jupiter and Saturn, and we are investigating how to reduce it. We also find that resonance capture is rare if Uranus' initial obliquity is greater than about 10°, as the probability of capture decreases as the planet's initial obliquity increases. We will refine this estimate by quantifying capture statistics, and running accretion simulations to test the likelihood of a low early obliquity. Our preliminary findings show that most assumptions about

The effect of levocabastine and furosemide pretreatment on hyperreactive response after nasal provocation with hypotonic aerosol in subjects with allergic rhinitis.

Science.gov (United States)

Anzic, Srdjan Ante; Dzepina, Davor; Kalogjera, Livije

2007-11-01

Patients with allergic rhinitis demonstrate hyperreactive response in distilled water nasal provocation, shown by significant increase in nasal airway resistance (NAR). Antihistamines, including topical antihistamine, levocabastine, reduce response in non-specific nasal provocation tests. Furosemide is a diuretic which reduces hyperreactivity in lower airways, but the mode of its action is not yet fully understood. In this study, we hypothesized that either levocabastine or furosemide pre-treatment in allergic rhinitis patients reduced response to nasal challenge with non-isotonic aerosol. To test the hypothesis, we measured the effect of pre-treatment with levocabastine and furosemide in topical application on suppression of hyperreactive response to distilled water nasal inhalation. Nasal resistance was measured, prior to and after the provocation, by active anterior rhinomanometry in two randomized groups of patients, according to pre-treatment, either by levocabastine or furosemide, 20 patients in each group, respectively. Nasal airflow resistance and level of hyperreactive response considering nasal eosinophilia were tested. Significant increase in nasal resistance following provocation was found at baseline conditions (without pre-medication); pre-treatment with levocabastine and furosemide has suppressed such response. Patients with positive nasal eosinophilia showed a significantly higher increase in nasal resistance compared to those with negative smears. Furosemide has shown significantly better protective effect on nasal resistance increase in patients with positive eosinophils nasal smears. Levocabastine and furosemide pre-treatment suppress hyperreactive response to distilled water nasal provocation. Comparison of resistances (pre-treatment vs. without) showed more protective effect of furosemide, measured on both better and worse patent side of nose, in contrast to levocabastine group for which it was shown only on better patent side prior to

Scopolamine provocation-based pharmacological MRI model for testing procognitive agents.

Science.gov (United States)

Hegedűs, Nikolett; Laszy, Judit; Gyertyán, István; Kocsis, Pál; Gajári, Dávid; Dávid, Szabolcs; Deli, Levente; Pozsgay, Zsófia; Tihanyi, Károly

2015-04-01

There is a huge unmet need to understand and treat pathological cognitive impairment. The development of disease modifying cognitive enhancers is hindered by the lack of correct pathomechanism and suitable animal models. Most animal models to study cognition and pathology do not fulfil either the predictive validity, face validity or construct validity criteria, and also outcome measures greatly differ from those of human trials. Fortunately, some pharmacological agents such as scopolamine evoke similar effects on cognition and cerebral circulation in rodents and humans and functional MRI enables us to compare cognitive agents directly in different species. In this paper we report the validation of a scopolamine based rodent pharmacological MRI provocation model. The effects of deemed procognitive agents (donepezil, vinpocetine, piracetam, alpha 7 selective cholinergic compounds EVP-6124, PNU-120596) were compared on the blood-oxygen-level dependent responses and also linked to rodent cognitive models. These drugs revealed significant effect on scopolamine induced blood-oxygen-level dependent change except for piracetam. In the water labyrinth test only PNU-120596 did not show a significant effect. This provocational model is suitable for testing procognitive compounds. These functional MR imaging experiments can be paralleled with human studies, which may help reduce the number of false cognitive clinical trials. © The Author(s) 2015.

Bronchial provocation testing does not detect exercise-induced laryngeal obstruction.

Science.gov (United States)

Walsted, Emil Schwarz; Hull, James H; Sverrild, Asger; Porsbjerg, Celeste; Backer, Vibeke

2017-01-02

Exercise-induced laryngeal obstruction (EILO) is a key differential diagnosis for asthma in the presence of exertional respiratory symptoms. Continuous laryngoscopy during exercise (CLE), the current gold standard diagnostic test for EILO, has practical limitations. We aimed to establish if inspiratory flow data obtained during standard bronchoprovocation testing, to establish the presence of extra-thoracic hyper-responsiveness, may prove diagnostic for EILO and thus preclude requirement for CLE testing. We consecutively evaluated 37 adult subjects with exertional dyspnea and possible asthma referred over 6 months. All subjects received comprehensive assessment including a detailed clinical evaluation; pulmonary function testing, indirect and direct bronchial provocation testing, and CLE testing. Out of 37 subjects, moderate or severe EILO was diagnosed in 8 subjects (22%, all female) while 5 (14%) had both asthma and EILO. There was no correlation between degree of EILO during CLE and mean decrease in forced inspiratory flow (%FIF 50 ) obtained during neither the Methacholine (r = -0.15; p = 0.38) nor Mannitol (r = 0.04; p = 0.84) provocation tests. Inspiratory flow parameters obtained during bronchoprovocation tests did not reliably detect EILO. It remains that CLE is an important and key investigation modality in establishing a secure diagnosis of EILO.

Motion perception during tilt and translation after space flight

Science.gov (United States)

Clément, Gilles; Wood, Scott J.

2013-11-01

Preliminary results of an ongoing study examining the effects of space flight on astronauts' motion perception induced by independent tilt and translation motions are presented. This experiment used a sled and a variable radius centrifuge that translated the subjects forward-backward or laterally, and simultaneously tilted them in pitch or roll, respectively. Tests were performed on the ground prior to and immediately after landing. The astronauts were asked to report about their perceived motion in response to different combinations of body tilt and translation in darkness. Their ability to manually control their own orientation was also evaluated using a joystick with which they nulled out the perceived tilt while the sled and centrifuge were in motion. Preliminary results confirm that the magnitude of perceived tilt increased during static tilt in roll after space flight. A deterioration in the crewmember to control tilt using non-visual inertial cues was also observed post-flight. However, the use of a tactile prosthesis indicating the direction of down on the subject's trunk improved manual control performance both before and after space flight.

The upper crust laid on its side: tectonic implications of steeply tilted crustal slabs for extension in the basin and range

Science.gov (United States)

Howard, Keith A.

2005-01-01

Tilted slabs expose as much as the top 8–15 km of the upper crust in many parts of the Basin and Range province. Exposures of now-recumbent crustal sections in these slabs allow analysis of pre-tilt depth variations in dike swarms, plutons, and thermal history. Before tilting the slabs were panels between moderately dipping, active Tertiary normal faults. The slabs and their bounding normal faults were tilted to piggyback positions on deeper footwalls that warped up isostatically beneath them during tectonic unloading. Stratal dips within the slabs are commonly tilted to vertical or even slightly overturned, especially in the southern Basin and Range where the thin stratified cover overlies similarly tilted basement granite and gneiss. Some homoclinal recumbent slabs of basement rock display faults that splay upward into forced folds in overlying cover sequences, which thereby exhibit shallower dips. The 15-km maximum exposed paleodepth for the slabs represents the base of the brittle upper crust, as it coincides with the depth of the modern base of the seismogenic zone and the maximum focal depths of large normal-fault earthquakes in the Basin and Range. Many upended slabs accompany metamorphic core complexes, but not all core complexes have corresponding thick recumbent hanging-wall slabs. The Ruby Mountains core complex, for example, preserves only scraps of upper-plate rocks as domed-up extensional klippen, and most of the thick crustal section that originally overlay the uplifted metamorphic core now must reside below little-tilted hanging-wall blocks in the Elko-Carlin area to the west. The Whipple and Catalina Mountains core complexes in contrast are footwall to large recumbent hanging-wall slabs of basement rock exposing 8-15 km paleodepths that originally roofed the metamorphic cores; the exposed paleodepths require that a footwall rolled up beneath the slabs.

Assessment of lumbar intervertebral disc glycosaminoglycan content by gadolinium-enhanced MRI before and after 21-days of head-down-tilt bedrest.

Directory of Open Access Journals (Sweden)

Timmo Koy

Full Text Available During spaceflight, it has been shown that intervertebral discs (IVDs increase in height, causing elongation of the spine up to several centimeters. Astronauts frequently report dull lower back pain that is most likely of discogenic origin and may result from IVD expansion. It is unknown whether disc volume solely increases by water influx, or if the content of glycosaminoglycans also changes in microgravity. Aim of this pilot study was to investigate effects of the spaceflight analog of bedrest on the glycosaminoglycan content of human lumbar IVDs. Five healthy, non-smoking, male human subjects of European descent were immobilized in 6° head-down-tilt bedrest for 21 days. Subjects remained in bed 24 h a day with at least one shoulder on the mattress. Magnetic Resonance Imaging (MRI scans were taken according to the delayed gadolinium-enhanced magnetic resonance imaging (dGEMRIC protocol before and after bedrest. The outcome measures were T1 and ΔT1. Scans were performed before and after administration of the contrast agent Gd-DOTA, and differences between T1-values of both scans (ΔT1 were computed. ΔT1 is the longitudinal relaxation time in the tissue and inversely related to the glycosaminoglycan-content. For data analysis, IVDs L1/2 to L4/5 were semi-automatically segmented. Zones were defined and analyzed separately. Results show a highly significant decrease in ΔT1 (p<0.001 after bedrest in all IVDs, and in all areas of the IVDs. The ΔT1-decrease was most prominent in the nucleus pulposus and in L4/5, and was expressed slightly more in the posterior than anterior IVD. Unexpected negative ΔT1-values were found in Pfirrmann-grade 2-discs after bedrest. Significantly lower T1 before contrast agent application was found after bedrest compared to before bedrest. According to the dGEMRIC-literature, the decrease in ΔT1 may be interpreted as an increase in glycosaminoglycans in healthy IVDs during bedrest. This interpretation seems

Perception of self-tilt in a true and illusory vertical plane

Science.gov (United States)

Groen, Eric L.; Jenkin, Heather L.; Howard, Ian P.; Oman, C. M. (Principal Investigator)

2002-01-01

A tilted furnished room can induce strong visual reorientation illusions in stationary subjects. Supine subjects may perceive themselves upright when the room is tilted 90 degrees so that the visual polarity axis is kept aligned with the subject. This 'upright illusion' was used to induce roll tilt in a truly horizontal, but perceptually vertical, plane. A semistatic tilt profile was applied, in which the tilt angle gradually changed from 0 degrees to 90 degrees, and vice versa. This method produced larger illusory self-tilt than usually found with static tilt of a visual scene. Ten subjects indicated self-tilt by setting a tactile rod to perceived vertical. Six of them experienced the upright illusion and indicated illusory self-tilt with an average gain of about 0.5. This value is smaller than with true self-tilt (0.8), but comparable to the gain of visually induced self-tilt in erect subjects. Apparently, the contribution of nonvisual cues to gravity was independent of the subject's orientation to gravity itself. It therefore seems that the gain of visually induced self-tilt is smaller because of lacking, rather than conflicting, nonvisual cues. A vector analysis is used to discuss the results in terms of relative sensory weightings.

Vortex trapping by tilted columnar defects

International Nuclear Information System (INIS)

Baladie, I.; Buzdin, A.

2000-01-01

The irradiation of high-T c superconductors by inclined heavy-ion beam can create columnar defects (CD's) practically at any angle towards the crystal c axis. We calculate the energy of a tilted vortex trapped on an inclined columnar defect within the framework of an electromagnetic model. Under a weak perpendicular magnetic field, and if the CD radius is larger than the superconducting coherence length, vortices always prefer to be on a tilted CD than to be aligned along the external field. We calculate also the interaction energy between two tilted vortices and find that large attractive regions appear. In particular, in the plane defined by c axis and the CD axis, tilted vortices attract each other at long distances, leading to the formation of vortex chains. The equilibrium distance between vortices in a chain is of the order of the magnitude of the in-plane London penetration depth. The existence of the inclined trapped vortices could be revealed by torque measurements, and could also lead to the anisotropy of the in-plane resistivity and the critical current

Behavior of Tilted Angle Shear Connectors

Science.gov (United States)

Khorramian, Koosha; Maleki, Shervin; Shariati, Mahdi; Ramli Sulong, N. H.

2015-01-01

According to recent researches, angle shear connectors are appropriate to transfer longitudinal shear forces across the steel-concrete interface. Angle steel profile has been used in different positions as L-shaped or C-shaped shear connectors. The application of angle shear connectors in tilted positions is of interest in this study. This study investigates the behaviour of tilted-shaped angle shear connectors under monotonic loading using experimental push out tests. Eight push-out specimens are tested to investigate the effects of different angle parameters on the ultimate load capacity of connectors. Two different tilted angles of 112.5 and 135 degrees between the angle leg and steel beam are considered. In addition, angle sizes and lengths are varied. Two different failure modes were observed consisting of concrete crushing-splitting and connector fracture. By increasing the size of connector, the maximum load increased for most cases. In general, the 135 degrees tilted angle shear connectors have a higher strength and stiffness than the 112.5 degrees type. PMID:26642193

Behavior of Tilted Angle Shear Connectors.

Directory of Open Access Journals (Sweden)

Koosha Khorramian

Full Text Available According to recent researches, angle shear connectors are appropriate to transfer longitudinal shear forces across the steel-concrete interface. Angle steel profile has been used in different positions as L-shaped or C-shaped shear connectors. The application of angle shear connectors in tilted positions is of interest in this study. This study investigates the behaviour of tilted-shaped angle shear connectors under monotonic loading using experimental push out tests. Eight push-out specimens are tested to investigate the effects of different angle parameters on the ultimate load capacity of connectors. Two different tilted angles of 112.5 and 135 degrees between the angle leg and steel beam are considered. In addition, angle sizes and lengths are varied. Two different failure modes were observed consisting of concrete crushing-splitting and connector fracture. By increasing the size of connector, the maximum load increased for most cases. In general, the 135 degrees tilted angle shear connectors have a higher strength and stiffness than the 112.5 degrees type.

Lake-tilting investigations in southern Sweden

International Nuclear Information System (INIS)

Paasse, T.

1996-04-01

The main aim of lake-tilting investigations is to determine the course of the glacio-isostatic uplift, i.e. to find a formula for the uplift. Besides the lake-tilting graphs, knowledge of the recent relative uplift and the gradient of some marine shorelines are used for solving this problem. This paper summarizes four investigations. 23 refs, 10 figs

Computer simulation of the effect of dDAVP with saline loading on fluid balance after 24-hour head-down tilt

Science.gov (United States)

Srinivasan, R. S.; Simanonok, K. E.; Charles, J. B.

1994-01-01

Fluid loading (FL) before Shuttle reentry is a countermeasure currently in use by NASA to improve the orthostatic tolerance of astronauts during reentry and postflight. The fluid load consists of water and salt tablets equivalent to 32 oz (946 ml) of isotonic saline. However, the effectiveness of this countermeasure has been observed to decrease with the duration of spaceflight. The countermeasure's effectiveness may be improved by enhancing fluid retention using analogs of vasopressin such as lypressin (LVP) and desmopressin (dDAVP). In a computer simulation study reported previously, we attempted to assess the improvement in fluid retention obtained by the use of LVP administered before FL. The present study is concerned with the use of dDAVP. In a recent 24-hour, 6 degree head-down tilt (HDT) study involving seven men, dDAVP was found to improve orthostatic tolerance as assessed by both lower body negative pressure (LBNP) and stand tests. The treatment restored Luft's cumulative stress index (cumulative product of magnitude and duration of LBNP) to nearly pre-bedrest level. The heart rate was lower and stroke volume was marginally higher at the same LBNP levels with administration of dDAVP compared to placebo. Lower heart rates were also observed with dDAVP during stand test, despite the lower level of cardiovascular stress. These improvements were seen with only a small but significant increase in plasma volume of approximately 3 percent. This paper presents a computer simulation analysis of some of the results of this HDT study.

Dynamic change of ERPs related to selective attention to signals from left and right visual field during head-down tilt

Science.gov (United States)

Wei, Jinhe; Zhao, Lun; Van, Gongdong; Chen, Wenjuan; Ren, Wei; Duan, Ran

To study further the effect of head-down tilt(HDT) on slow positive potential in the event-related potentials(ERPs), the temporal and spatial features of visual ERPs changes during 2 hour HDT(-10 °) were compared with that during HUT(+20°) in 15 normal subjects. The stimuli were consisted of two color LED flashes appeared randomly in left or right visual field(LVF or RVF) with same probability. The subjects were asked to make switch response to target signals(T) differentially: switching to left for T in LVF and to right for T in RVF, ignoring non-target signals(N). Five sets of tests were made during HUT and HDT. ERPs were obtained from 9 locations on scalp. The mean value of the ERPs in the period from 0.32-0.55 s was taken as the amplitude of slow positive potential(P400). The main results were as follows. 1)The mean amplitude of P400 decreased during HDT which was more significant at the 2nd, 3rd and 5th set of tests; 2)spatially, the reduction of mean P400 amplitude during HDT was more significant for signals from RVF and was more significant at posterior and central brain regions than that on frontal locations. As that the positive potential probably reflects the active inhibition activity in the brain during attention process, these data provide further evidence showing that the higher brain function was affected by the simulated weightlessness and that this effect was not only transient but also with interesting spatial characteristics.

Peripheral Microvascular Responses to Whole-Body Tilting, G(z) Centrifugation, and Lower Body Negative Pressure Stresses in Humans

Science.gov (United States)

Breit, G. A.; Watenpaugh, D. E.; Buckley, T. M.; Ballard, R. E.; Murthy, G.; Hargens, A. R.

1994-01-01

The response of the cutaneous microcirculation to orthostatic stress varies along the length of the body due to the interaction of central controls with regional responses to local blood pressure. We hypothesize that artificial orthostatic stresses such as Gz centrifugation and LBNP differ from whole-body tilting in terms of the distribution of microvascular blood flow. Cutaneous microvascular flows were measured by laser Doppler flowmetry at the neck, thigh, and leg of 15 normal subjects. Volunteers underwent stepwise head-up tilt (HUT) and short- and long-arm centrifugation protocols from supine control (0 Gz) to 0.2, 0.4, 0.6, 0.8, 1.0, 0.8, 0.6, 0.4, 0.2, and 0 Gz at the feet, for 30-s periods with 10-s transitions between levels. The same subjects underwent a corresponding supine LBNP protocol, up to 100 mmHg (in 20 mmHg increments) and back to zero pressure, which produced transmural pressure across blood vessels in the foot approximately equal to the HUT protocol. In general, application of all orthostatic stresses produced significant flow reductions in the lower body (p less than 0.05) and inconsistent changes in the neck. At low levels of each stress (0.4 Gz, 40 mmHg), LBNP generated the greatest relative reduction in flow in the lower body (-66.9+/-5.7%, thigh; -60.6 +/-5.7%, leg, mean +/- SE). HUT caused a less severe flow reduction than LBNP at the thigh and leg (-39.9 +/- 8.1% and -55.9+/-4.8%), while the effects induced by both forms of centrifugation were the least profound. Higher levels of each stress generally resulted in similar responses. These responses exhibit a consistent relationship to hypothesized changes in local microvascular transmural pressure, suggesting that myogenic and veno-arteriolar reflexes play a significant role in determining microvascular perfusion during orthostatic stress.

Tilt stability and compression heating studies of field-reversed configurations

International Nuclear Information System (INIS)

Rej, D.J.; Tuszewski, M.; Barnes, D.C.; Barnes, G.A.; Chrien, R.E.; Siemon, R.E.; Taggart, D.P.; Webster, R.B.; Wright, B.L.; Milroy, R.D.; Crawford, E.A.; Slough, J.T.; Steinhauer, L.C.; Bailey, A.D.; Baron, M.H.; Cobb, J.W.; Staudenmeier, J.L.; Sugimoto, S.; Takahashi, T.

1990-01-01

The first observations of internal tilt instabilities in field-reversed configurations (FRCs) are reported. Detailed comparisons with theory establish that data from an array of external magnetic probes are signatures of these destructive plasma instabilities. This work reconciles theory and experiments and suggests that grossly stable FRCs are restricted to very kinetic and elongated plasmas. Self-consistent three-dimensional numerical simulations demonstrate tilt stabilization by the addition of a beam ion component. High-power compression heating experiments with stable equilibrium FRCs are also reported. Plasmas formed in a tapered theta-pinch coil have been translated along a guide magnetic field into a new single-turn compression coil where the external field is increased up to 7 times the initial value in 55 μs. Substantial heating is observed accompanied by a decrease in confinement time. 17 refs

Study of a Car Body Tilting System Using a Variable Link Mechanism: Fundamental Characteristics of Pendulum Motion and Strategy for Perfect Tilting

Science.gov (United States)

Yoshida, Hidehisa; Nagai, Masao

This paper analyzes the fundamental dynamic characteristics of a tilting railway vehicle using a variable link mechanism for compensating both the lateral acceleration experienced by passengers and the wheel load imbalance between the inner and outer rails. The geometric relations between the center of rotation, the center of gravity, and the positions of all four links of the tilting system are analyzed. Then, equations of the pendulum motions of the railway vehicle body with a four-link mechanism are derived. A theoretically discussion is given on the geometrical shapes employed in the link mechanism that can simultaneously provide zero lateral acceleration and zero wheel load fluctuation. Then, the perfect tilting condition, which is the control target of the feedforward tilting control, is derived from the linear equation of tilting motion.

Source to Accretion Disk Tilt

OpenAIRE

Montgomery, M. M.; Martin, E. L.

2010-01-01

Many different system types retrogradely precess, and retrograde precession could be from a tidal torque by the secondary on a misaligned accretion disk. However, a source to cause and maintain disk tilt is unknown. In this work, we show that accretion disks can tilt due to a force called lift. Lift results from differing gas stream supersonic speeds over and under an accretion disk. Because lift acts at the disk's center of pressure, a torque is applied around a rotation axis passing through...

Optimal tilt-angles for solar collectors used in China

International Nuclear Information System (INIS)

Tang Runsheng; Wu Tong

2004-01-01

A reasonable estimation of the optimal tilt angle of a fixed collector for maximizing its energy collection must be done based on the monthly global and diffuse radiation on a horizontal surface. However, the monthly diffuse radiation is not always available in many places. In this paper, a simple mathematical procedure for the estimation of the optimal tilt angle of a collector is presented based on the monthly horizontal radiation. A comparison of the optimal tilt angles of collectors obtained from expected monthly diffuse radiation and that from the actual monthly diffuse radiation showed that this method gives a good estimation of the optimal tilt angle, except for places with a considerably lower clearness index. A contour map of the optimal tilt angle of the south-facing collectors used for the entire year in China is also outlined, based on monthly horizontal radiation of 152 places around the country, combing the optimal tilt angle of another 30 cities based on the actual monthly diffuse radiation

On the Design of Tilting-Pad Thrust Bearings

OpenAIRE

Heinrichson, Niels; Santos, Ilmar

2007-01-01

Pockets are often machined in the surfaces of tilting-pad thrust bearings to allow for hydrostatic jacking in the start-up phase. Pockets and other recesses in the surfaces of bearing pads influence the pressure distribution and thereby the position of the pivot resulting in the most advantageous pad convergence ratio. In this thesis, a theoretical approach is applied in the attempt to quantify the influence of recesses in the pad surfaces. The recesses may be relatively deep and enclosed as ...

LONG-TERM MEASUREMENTS OF SUNSPOT MAGNETIC TILT ANGLES

Energy Technology Data Exchange (ETDEWEB)

Li Jing [Department of Earth and Space Sciences, University of California at Los Angeles, Los Angeles, CA 90095-1567 (United States); Ulrich, Roger K., E-mail: jli@igpp.ucla.edu [Department of Physics and Astronomy, University of California at Los Angeles, Los Angeles, CA 90095-1567 (United States)

2012-10-20

Tilt angles of close to 30,600 sunspots are determined using Mount Wilson daily averaged magnetograms taken from 1974 to 2012, and SOHO/MDI magnetograms taken from 1996 to 2010. Within a cycle, more than 90% of sunspots have a normal polarity alignment along the east-west direction following Hale's law. The median tilts increase with increasing latitude (Joy's law) at a rate of {approx}0.{sup 0}5 per degree of latitude. Tilt angles of spots appear largely invariant with respect to time at a given latitude, but they decrease by {approx}0.{sup 0}9 per year on average, a trend that largely reflects Joy's law following the butterfly diagram. We find an asymmetry between the hemispheres in the mean tilt angles. On average, the tilts are greater in the Southern than in the Northern Hemisphere for all latitude zones, and the differences increase with increasing latitude.

Transient influence of end-tidal carbon dioxide tension on the postural restraint in cerebral perfusion

DEFF Research Database (Denmark)

Immink, R.V.; Truijen, J.; Secher, Niels H.

2009-01-01

In the upright position, cerebral blood flow is reduced, maybe because arterial carbon dioxide partial pressure (Pa(CO(2))) decreases. We evaluated the time-dependent influence of a reduction in Pa(CO(2)), as indicated by the end-tidal Pco(2) tension (Pet(CO(2))), on cerebral perfusion during head......-up tilt. Mean arterial pressure, cardiac output, middle cerebral artery mean flow velocity (MCA V(mean)), and dynamic cerebral autoregulation at supine rest and 70 degrees head-up tilt were determined during free breathing and with Pet(CO(2)) clamped to the supine level. The postural changes in central...... hemodynamic variables were equivalent, and the cerebrovascular autoregulatory capacity was not significantly affected by tilt or by clamping Pet(CO(2)). In the first minute of tilt, the decline in MCA V(mean) (10 +/- 4 vs. 3 +/- 4 cm/s; mean +/- SE; P

Differential effects of lower body negative pressure and upright tilt on splanchnic blood volume

Science.gov (United States)

Taneja, Indu; Moran, Christopher; Medow, Marvin S.; Glover, June L.; Montgomery, Leslie D.; Stewart, Julian M.

2015-01-01

Upright posture and lower body negative pressure (LBNP) both induce reductions in central blood volume. However, regional circulatory responses to postural changes and LBNP may differ. Therefore, we studied regional blood flow and blood volume changes in 10 healthy subjects undergoing graded lower-body negative pressure (−10 to −50 mmHg) and 8 subjects undergoing incremental head-up tilt (HUT; 20°, 40°, and 70°) on separate days. We continuously measured blood pressure (BP), heart rate, and regional blood volumes and blood flows in the thoracic, splanchnic, pelvic, and leg segments by impedance plethysmography and calculated regional arterial resistances. Neither LBNP nor HUT altered systolic BP, whereas pulse pressure decreased significantly. Blood flow decreased in all segments, whereas peripheral resistances uniformly and significantly increased with both HUT and LBNP. Thoracic volume decreased while pelvic and leg volumes increased with HUT and LBNP. However, splanchnic volume changes were directionally opposite with stepwise decreases in splanchnic volume with LBNP and stepwise increases in splanchnic volume during HUT. Splanchnic emptying in LBNP models regional vascular changes during hemorrhage. Splanchnic filling may limit the ability of the splanchnic bed to respond to thoracic hypovolemia during upright posture. PMID:17085534

An iterative, fast-sweeping-based eikonal solver for 3D tilted anisotropic media

KAUST Repository

Waheed, Umair bin; Yarman, Can Evren; Flagg, Garret

2015-01-01

Computation of first-arrival traveltimes for quasi-P waves in the presence of anisotropy is important for high-end near-surface modeling, microseismic-source localization, and fractured-reservoir characterization - and it requires solving an anisotropic eikonal equation. Anisotropy deviating from elliptical anisotropy introduces higher order nonlinearity into the eikonal equation, which makes solving the eikonal equation a challenge. We addressed this challenge by iteratively solving a sequence of simpler tilted elliptically anisotropic eikonal equations. At each iteration, the source function was updated to capture the effects of the higher order nonlinear terms. We used Aitken's extrapolation to speed up convergence rate of the iterative algorithm. The result is an algorithm for computing first-arrival traveltimes in tilted anisotropic media. We evaluated the applicability and usefulness of our method on tilted transversely isotropic media and tilted orthorhombic media. Our numerical tests determined that the proposed method matches the first arrivals obtained by wavefield extrapolation, even for strongly anisotropic and highly complex subsurface structures. Thus, for the cases where two-point ray tracing fails, our method can be a potential substitute for computing traveltimes. The approach presented here can be easily extended to compute first-arrival traveltimes for anisotropic media with lower symmetries, such as monoclinic or even the triclinic media.

An iterative, fast-sweeping-based eikonal solver for 3D tilted anisotropic media

KAUST Repository

Waheed, Umair bin

2015-03-30

Computation of first-arrival traveltimes for quasi-P waves in the presence of anisotropy is important for high-end near-surface modeling, microseismic-source localization, and fractured-reservoir characterization - and it requires solving an anisotropic eikonal equation. Anisotropy deviating from elliptical anisotropy introduces higher order nonlinearity into the eikonal equation, which makes solving the eikonal equation a challenge. We addressed this challenge by iteratively solving a sequence of simpler tilted elliptically anisotropic eikonal equations. At each iteration, the source function was updated to capture the effects of the higher order nonlinear terms. We used Aitken\\'s extrapolation to speed up convergence rate of the iterative algorithm. The result is an algorithm for computing first-arrival traveltimes in tilted anisotropic media. We evaluated the applicability and usefulness of our method on tilted transversely isotropic media and tilted orthorhombic media. Our numerical tests determined that the proposed method matches the first arrivals obtained by wavefield extrapolation, even for strongly anisotropic and highly complex subsurface structures. Thus, for the cases where two-point ray tracing fails, our method can be a potential substitute for computing traveltimes. The approach presented here can be easily extended to compute first-arrival traveltimes for anisotropic media with lower symmetries, such as monoclinic or even the triclinic media.

Head direction cell activity in mice: robust directional signal depends on intact otolith organs

Science.gov (United States)

Yoder, Ryan M.; Taube, Jeffrey S.

2009-01-01

The head direction (HD) cell signal is a representation of an animal's perceived directional heading with respect to its environment. This signal appears to originate in the vestibular system, which includes the semicircular canals and otolith organs. Preliminary studies indicate the semicircular canals provide a necessary component of the HD signal, but involvement of otolithic information in the HD signal has not been tested. The present study was designed to determine the otolithic contribution to the HD signal, as well as to compare HD cell activity of mice to that of rats. HD cell activity in the anterodorsal thalamus was assessed in wild-type C57BL/6J and otoconia-deficient tilted mice during locomotion within a cylinder containing a prominent visual landmark. HD cell firing properties in C57BL/6J mice were generally similar to those in rats. However, in C57BL/6J mice, landmark rotation failed to demonstrate dominant control of the HD signal in 36% of the sessions. In darkness, directional firing became unstable during 42% of the sessions, but landmark control was not associated with HD signal stability in darkness. HD cells were identified in tilted mice, but directional firing properties were not as robust as those of C57BL/6J mice. Most HD cells in tilted mice were controlled by landmark rotation, but showed substantial signal degradation across trials. These results support current models that suggest otolithic information is involved in the perception of directional heading. Furthermore, compared to rats, the HD signal in mice appears to be less reliably anchored to prominent environmental cues. PMID:19176815

Electronic portal image assisted reduction of systematic set-up errors in head and neck irradiation

International Nuclear Information System (INIS)

Boer, Hans C.J. de; Soernsen de Koste, John R. van; Creutzberg, Carien L.; Visser, Andries G.; Levendag, Peter C.; Heijmen, Ben J.M.

2001-01-01

Purpose: To quantify systematic and random patient set-up errors in head and neck irradiation and to investigate the impact of an off-line correction protocol on the systematic errors. Material and methods: Electronic portal images were obtained for 31 patients treated for primary supra-glottic larynx carcinoma who were immobilised using a polyvinyl chloride cast. The observed patient set-up errors were input to the shrinking action level (SAL) off-line decision protocol and appropriate set-up corrections were applied. To assess the impact of the protocol, the positioning accuracy without application of set-up corrections was reconstructed. Results: The set-up errors obtained without set-up corrections (1 standard deviation (SD)=1.5-2 mm for random and systematic errors) were comparable to those reported in other studies on similar fixation devices. On an average, six fractions per patient were imaged and the set-up of half the patients was changed due to the decision protocol. Most changes were detected during weekly check measurements, not during the first days of treatment. The application of the SAL protocol reduced the width of the distribution of systematic errors to 1 mm (1 SD), as expected from simulations. A retrospective analysis showed that this accuracy should be attainable with only two measurements per patient using a different off-line correction protocol, which does not apply action levels. Conclusions: Off-line verification protocols can be particularly effective in head and neck patients due to the smallness of the random set-up errors. The excellent set-up reproducibility that can be achieved with such protocols enables accurate dose delivery in conformal treatments

Rotating Shaft Tilt Angle Measurement Using an Inclinometer

OpenAIRE

Luo Jun; Wang Zhiqian; Shen Chengwu; Wen Zhuoman; Liu Shaojin; Cai Sheng; Li Jianrong

2015-01-01

This paper describes a novel measurement method to accurately measure the rotating shaft tilt angle of rotating machine for alignment or compensation using a dual-axis inclinometer. A model of the rotating shaft tilt angle measurement is established using a dual-axis inclinometer based on the designed mechanical structure, and the calculation equation between the rotating shaft tilt angle and the inclinometer axes outputs is derived under the condition that the inclinometer axes are perpendic...

Cognitive reactivity to sad mood provocation and the prediction of depressive relapse.

Science.gov (United States)

Segal, Zindel V; Kennedy, Sidney; Gemar, Michael; Hood, Karyn; Pedersen, Rebecca; Buis, Tom

2006-07-01

Episode remission in unipolar major depression, while distinguished by minimal symptom burden, can also be a period of marked sensitivity to emotional stress as well as an increased risk of relapse. To examine whether mood-linked changes in dysfunctional thinking predict relapse in recovered patients who were depressed. In phase 1 of this study, patients with major depressive disorder were randomly assigned to receive either antidepressant medication or cognitive behavior therapy. In phase 2, patients who achieved clinical remission underwent sad mood provocation and were then observed with regular clinical assessments for 18 months. Outpatient psychiatric clinics at the Centre for Addiction and Mental Health, Toronto, Ontario. A total of 301 outpatients with major depressive disorder, aged 18 to 65 years, participated in phase 1 of this study and 99 outpatients with major depressive disorder in remission, aged 18 to 65 years, participated in phase 2. Occurrence of a relapse meeting DSM-IV criteria for a major depressive episode as assessed by the longitudinal interval follow-up evaluation and a Hamilton Depression Rating Scale score of 16 or greater. Patients who recovered through antidepressant medication showed greater cognitive reactivity following the mood provocation than those who received cognitive behavior therapy. Regardless of type of prior treatment, the magnitude of mood-linked cognitive reactivity was a significant predictor of relapse over the subsequent 18 months. Patients whose mood-linked endorsement of dysfunctional attitudes increased by a minimum of 8 points had a significantly shorter time to relapse than those whose scores were not as elevated. The vulnerability of remitted depressed patients for illness relapse may be related to the (re)activation of depressive thinking styles triggered by temporary dysphoric states. This is the first study to link such differences to prognosis following successful treatment for depression. Further

Avascular necrosis of the femoral head in children with acute lymphoblastic leukemia: a 4- to 9-year follow-up study.

Science.gov (United States)

Madadi, Firooz; Shamsian, Bibi Shahin; Alavi, Samin; Madadi, Firoozeh; Eajazi, Alireza; Aslani, Afshin

2011-10-05

Avascular necrosis of the femoral head is usually seen in children aged 1.5 to 10 years, reaching a peak incidence between the ages of 4 and 9. Avascular necrosis of the femoral head is a known complication of corticosteroid therapy in acute lymphoblastic leukemia. There are few reports in the literature regarding the natural history of this condition, and there is no consensus on its management. This study examined the natural history of avascular necrosis of the femoral head in children with leukemia. From 1993 to 2006, a total of 865 children with acute lymphoblastic leukemia were admitted to the hematology-oncology ward of a children's hospital. The diagnosis of acute lymphoblastic leukemia was established by bone marrow aspiration. Based on clinical and radiographic findings, avascular necrosis of the femoral head was found in 7 patients; these patients underwent follow-up for 4 to 9 years. Avascular necrosis of the femoral head was clinically symptomatic in all of the children, and they had advanced radiographic collapse of the femoral head. However, the head of the femur was not at risk in any patient based on clinical and radiographic findings. Patients received supportive treatment such as abduction brace and physiotherapy. After 4 to 9 years of follow-up, clinical and radiographic results were satisfactory. Provided that the head of the femur is not at risk, avascular necrosis of the femoral head in children with acute lymphoblastic leukemia may be successfully managed with nonoperative care. Copyright 2011, SLACK Incorporated.

Magnetic configurations of the tilted current sheets in magnetotail

Directory of Open Access Journals (Sweden)

C. Shen

2008-11-01

Full Text Available In this research, the geometrical structures of tilted current sheet and tail flapping waves have been analysed based on multiple spacecraft measurements and some features of the tilted current sheets have been made clear for the first time. The geometrical features of the tilted current sheet revealed in this investigation are as follows: (1 The magnetic field lines (MFLs in the tilted current sheet are generally plane curves and the osculating planes in which the MFLs lie are about vertical to the equatorial plane, while the normal of the tilted current sheet leans severely to the dawn or dusk side. (2 The tilted current sheet may become very thin, the half thickness of its neutral sheet is generally much less than the minimum radius of the curvature of the MFLs. (3 In the neutral sheet, the field-aligned current density becomes very large and has a maximum value at the center of the current sheet. (4 In some cases, the current density is a bifurcated one, and the two humps of the current density often superpose two peaks in the gradient of magnetic strength, indicating that the magnetic gradient drift current is possibly responsible for the formation of the two humps of the current density in some tilted current sheets. Tilted current sheets often appear along with tail current sheet flapping waves. It is found that, in the tail flapping current sheets, the minimum curvature radius of the MFLs in the current sheet is rather large with values around 1 RE, while the neutral sheet may be very thin, with its half thickness being several tenths of RE. During the flapping waves, the current sheet is tilted substantially, and the maximum tilt angle is generally larger than 45°. The phase velocities of these flapping waves are several tens km/s, while their periods and wavelengths are several tens of minutes, and several earth radii, respectively. These tail flapping events generally last several hours and occur during quiet periods or periods of

Computer science. Heads-up limit hold'em poker is solved.

Science.gov (United States)

Bowling, Michael; Burch, Neil; Johanson, Michael; Tammelin, Oskari

2015-01-09

Poker is a family of games that exhibit imperfect information, where players do not have full knowledge of past events. Whereas many perfect-information games have been solved (e.g., Connect Four and checkers), no nontrivial imperfect-information game played competitively by humans has previously been solved. Here, we announce that heads-up limit Texas hold'em is now essentially weakly solved. Furthermore, this computation formally proves the common wisdom that the dealer in the game holds a substantial advantage. This result was enabled by a new algorithm, CFR(+), which is capable of solving extensive-form games orders of magnitude larger than previously possible. Copyright © 2015, American Association for the Advancement of Science.

A method for 3D-reconstruction of a muscle thick filament using the tilt series images of a single filament electron tomogram.

Science.gov (United States)

Márquez, G; Pinto, A; Alamo, L; Baumann, B; Ye, F; Winkler, H; Taylor, K; Padrón, R

2014-05-01

Myosin interacting-heads (MIH) motifs are visualized in 3D-reconstructions of thick filaments from striated muscle. These reconstructions are calculated by averaging methods using images from electron micrographs of grids prepared using numerous filament preparations. Here we propose an alternative method to calculate the 3D-reconstruction of a single thick filament using only a tilt series images recorded by electron tomography. Relaxed thick filaments, prepared from tarantula leg muscle homogenates, were negatively stained. Single-axis tilt series of single isolated thick filaments were obtained with the electron microscope at a low electron dose, and recorded on a CCD camera by electron tomography. An IHRSR 3D-recontruction was calculated from the tilt series images of a single thick filament. The reconstruction was enhanced by including in the search stage dual tilt image segments while only single tilt along the filament axis is usually used, as well as applying a band pass filter just before the back projection. The reconstruction from a single filament has a 40 Å resolution and clearly shows the presence of MIH motifs. In contrast, the electron tomogram 3D-reconstruction of the same thick filament - calculated without any image averaging and/or imposition of helical symmetry - only reveals MIH motifs infrequently. This is - to our knowledge - the first application of the IHRSR method to calculate a 3D reconstruction from tilt series images. This single filament IHRSR reconstruction method (SF-IHRSR) should provide a new tool to assess structural differences between well-ordered thick (or thin) filaments in a grid by recording separately their electron tomograms. Copyright © 2014 Elsevier Inc. All rights reserved.

Tibiotalar tilt - a new slant

Energy Technology Data Exchange (ETDEWEB)

Griffiths, H.; Wandtke, J.

1981-05-01

Classically tibiotalar tilt (TTT) is associated with four conditions: Fairbanks disease, hemophilia, sickle-cell anemia and juvenile rheumatoid arthritis. We have found it to be present in at least 20 other conditions including other dysplasias, developmental conditions such as fibrous dysplasia and a variety of other acquired disorders including various metabolic diseases and following previous trauma. The pathogenesis is controversial, but the most probable cause is related to stress and the blood supply of the distal tibial epiphysis. The differentiation of TTT from pseudotibiotalar tilt is also discussed.

Quantization of band tilting in modulated phononic crystals

Science.gov (United States)

Nassar, H.; Chen, H.; Norris, A. N.; Huang, G. L.

2018-01-01

A general theory of the tilting of dispersion bands in phononic crystals whose properties are being slowly and periodically modulated in space and time is established. The ratio of tilt to modulation speed is calculated, for the first time, in terms of Berry's phase and curvature and is proven to be a robust integer-valued Chern number. Derivations are based on a version of the adiabatic theorem for elastic waves demonstrated thanks to WKB asymptotics. Findings are exemplified in the case of a 3-periodic discrete spring-mass lattice. Tilted dispersion diagrams plotted using fully numerical simulations and semianalytical calculations based on a numerically gauge invariant expression of Berry's phase show perfect agreement. One-way blocking of waves due to the tilt, and ultimately to the breaking of reciprocity, is illustrated numerically and shown to be highly significant across a limited number of unit cells, suggesting the feasibility of experimental demonstrations. Finally, a version of the bulk-edge correspondence principle relating the tilt of bulk bands to the number of one-way gapless edge states is demonstrated.

On the simplifications for the thermal modeling of tilting-pad journal bearings under thermoelastohydrodynamic regime

DEFF Research Database (Denmark)

Cerda Varela, Alejandro Javier; Fillon, Michel; Santos, Ilmar

2012-01-01

formulation for inclusion of the heat transfer effects between oil film and pad surface. Such simplified approach becomes necessary when modeling the behavior of tilting-pad journal bearings operating on controllable lubrication regime. Three different simplified heat transfer models are tested, by comparing...... are strongly dependent on the Reynolds number for the oil flow in the bearing. For bearings operating in laminar regime, the decoupling of the oil film energy equation solving procedure, with no heat transfer terms included, with the pad heat conduction problem, where the oil film temperature is applied......The relevance of calculating accurately the oil film temperature build up when modeling tilting-pad journal bearings is well established within the literature on the subject. This work studies the feasibility of using a thermal model for the tilting-pad journal bearing which includes a simplified...

Head-Up Auditory Displays for Traffic Collision Avoidance System Advisories: A Preliminary Investigation

Science.gov (United States)

Begault, Durand R.

1993-01-01

The advantage of a head-up auditory display was evaluated in a preliminary experiment designed to measure and compare the acquisition time for capturing visual targets under two auditory conditions: standard one-earpiece presentation and two-earpiece three-dimensional (3D) audio presentation. Twelve commercial airline crews were tested under full mission simulation conditions at the NASA-Ames Man-Vehicle Systems Research Facility advanced concepts flight simulator. Scenario software generated visual targets corresponding to aircraft that would activate a traffic collision avoidance system (TCAS) aural advisory; the spatial auditory position was linked to the visual position with 3D audio presentation. Results showed that crew members using a 3D auditory display acquired targets approximately 2.2 s faster than did crew members who used one-earpiece head- sets, but there was no significant difference in the number of targets acquired.

Diagnosis and Follow-up US Evaluation of Ruptures of the Medial Head of the Gastrocnemius ("Tennis Leg")

OpenAIRE

Kwak, Hyo-Sung; Han, Young-Min; Lee, Sang-Yong; Kim, Ki-Nam; Chung, Gyung Ho

2006-01-01

Objective The purpose of this study was to demonstrate the ultrasonographic (US) findings of rupture and the healing process of the medial head of the gastrocnemius ("Tennis Leg"). Materials and Methods Twenty-two patients (age range: 30 to 45 years) with clinically suspected ruptures of the medial head of the gastrocnemius were referred to us for US examination. All the patients underwent US of the affected limb and the contralateral asymptomatic limb. Follow-up clinical evaluation and US im...

Group theoretical analysis of octahedral tilting in perovskites

International Nuclear Information System (INIS)

Howard, C.J.; Stokes, H.T.

1998-01-01

Full text: Structures of the perovskite family, ABX 3 , have interested crystallographers over many years, and continue to attract attention on account of their fascinating electrical and magnetic properties, for example the giant magnetoresistive effects exhibited by certain perovskite materials. The ideal perovskite (cubic, space group Pm -/3 m) is a particularly simple structure, but also a demanding one, since aside from the lattice parameter there are no variable parameters in the structure. Consequently, the majority of perovskite structures are distorted perovskites (hettotypes), the most common distortion being the corner-linked tilting of the practically rigid BX 6 octahedral units. In this work, group theoretical methods have been applied to the study of octahedral tilting in perovskites. The only irreducible representations of the parent group (Pm -/3 m) which produce octahedral tilting subject to corner-linking constraints are M + / 3 and R 4 ' + . A six-dimensional order parameter in the reducible representation space of M + / 3 + R + / 4 describes the different possible tilting patterns. The space groups for the different perovskites are then simply the isotropy subgroups, comprising those operations which leave the order parameter invariant. The isotropy subgroups are obtained from a computer program or tabulations. The analysis yields a list of fifteen possible space groups for perovskites derived through octahedral tilting. A connection is made to the (twenty-three) tilt systems given previously by Glazer. The group-subgroup relationships have been derived and displayed. It is interesting to note that all known perovskites based on octahedral tilting conform with the fifteen space groups on our list, with the exception of one perovskite at high temperature, the structure of which seems poorly determined

Head Position in Stroke Trial (HeadPoST)--sitting-up vs lying-flat positioning of patients with acute stroke: study protocol for a cluster randomised controlled trial.

Science.gov (United States)

Muñoz-Venturelli, Paula; Arima, Hisatomi; Lavados, Pablo; Brunser, Alejandro; Peng, Bin; Cui, Liying; Song, Lily; Billot, Laurent; Boaden, Elizabeth; Hackett, Maree L; Heritier, Stephane; Jan, Stephen; Middleton, Sandy; Olavarría, Verónica V; Lim, Joyce Y; Lindley, Richard I; Heeley, Emma; Robinson, Thompson; Pontes-Neto, Octavio; Natsagdorj, Lkhamtsoo; Lin, Ruey-Tay; Watkins, Caroline; Anderson, Craig S

2015-06-05

Positioning a patient lying-flat in the acute phase of ischaemic stroke may improve recovery and reduce disability, but such a possibility has not been formally tested in a randomised trial. We therefore initiated the Head Position in Stroke Trial (HeadPoST) to determine the effects of lying-flat (0°) compared with sitting-up (≥ 30°) head positioning in the first 24 hours of hospital admission for patients with acute stroke. We plan to conduct an international, cluster randomised, crossover, open, blinded outcome-assessed clinical trial involving 140 study hospitals (clusters) with established acute stroke care programs. Each hospital will be randomly assigned to sequential policies of lying-flat (0°) or sitting-up (≥ 30°) head position as a 'business as usual' stroke care policy during the first 24 hours of admittance. Each hospital is required to recruit 60 consecutive patients with acute ischaemic stroke (AIS), and all patients with acute intracerebral haemorrhage (ICH) (an estimated average of 10), in the first randomised head position policy before crossing over to the second head position policy with a similar recruitment target. After collection of in-hospital clinical and management data and 7-day outcomes, central trained blinded assessors will conduct a telephone disability assessment with the modified Rankin Scale at 90 days. The primary outcome for analysis is a shift (defined as improvement) in death or disability on this scale. For a cluster size of 60 patients with AIS per intervention and with various assumptions including an intracluster correlation coefficient of 0.03, a sample size of 16,800 patients at 140 centres will provide 90 % power (α 0.05) to detect at least a 16 % relative improvement (shift) in an ordinal logistic regression analysis of the primary outcome. The treatment effect will also be assessed in all patients with ICH who are recruited during each treatment study period. HeadPoST is a large international clinical trial in

Tilted hexagonal post arrays: DNA electrophoresis in anisotropic media.

Science.gov (United States)

Chen, Zhen; Dorfman, Kevin D

2014-02-01

Using Brownian dynamics simulations, we show that DNA electrophoresis in a hexagonal array of micron-sized posts changes qualitatively when the applied electric field vector is not coincident with the lattice vectors of the array. DNA electrophoresis in such "tilted" post arrays is superior to the standard "un-tilted" approach; while the time required to achieve a resolution of unity in a tilted post array is similar to an un-tilted array at a low-electric field strengths, this time (i) decreases exponentially with electric field strength in a tilted array and (ii) increases exponentially with electric field strength in an un-tilted array. Although the DNA dynamics in a post array are complicated, the electrophoretic mobility results indicate that the "free path," i.e. the average distance of ballistic trajectories of point-sized particles launched from random positions in the unit cell until they intersect the next post, is a useful proxy for the detailed DNA trajectories. The analysis of the free path reveals a fundamental connection between anisotropy of the medium and DNA transport therein that goes beyond simply improving the separation device. © 2013 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

Utility of pharmacologic provocative neurological testing before embolization of occipital lobe arteriovenous malformations.

Science.gov (United States)

Tawk, Rabih G; Tummala, Ramachandra P; Memon, Muhammad Z; Siddiqui, Adnan H; Hopkins, L Nelson; Levy, Elad I

2011-01-01

Endovascular treatment is an established option for treatment of cerebral arteriovenous malformations (AVMs). However, embolization has been associated with postprocedural neurological complications. We sought to evaluate the usefulness of intra-arterial pharmacologic provocative (superselective Wada) testing before embolization of occipital lobe AVMs. We performed a retrospective review of cases of occipital AVMs that were embolized at our institution (Millard Fillmore Gates Hospital) while the patient was under conscious sedation. Visual field testing was performed before and after superselective Wada testing and again after embolization. After microcatheterization of the target feeding pedicle, amobarbital (or, occasionally, methohexital) was administered, followed immediately by neurological testing. If the provocative test results were negative, the evaluated feeder was embolized with a liquid agent. Complications were categorized as transient or permanent neurological deficit, visual field loss, ischemic or hemorrhagic stroke, and death. Thirteen patients with occipital AVMs underwent 39 Wada tests of 34 pedicles before embolization during 26 endovascular treatment sessions. Patients were treated under conscious sedation with local anesthesia. The mean age of these patients was 43.5 years (range 16-62 years); 6 were women. Testing induced a neurological deficit in six patients. A positive test result led us to abort embolization attempts in four pedicles. In the two remaining cases, advancement of the catheter tip distally within the feeding pedicle allowed us to proceed with embolization after initial test failure. Neither patient developed a visual field deficit after embolization. Despite passing the Wada test before embolization, one other patient had a visual deficit that was detected a few hours after the procedure; this deficit lessened but was permanent. No further ischemic complications and no hemorrhagic complications occurred. Pharmacologic

Optimum tilt angle and orientation for solar collectors in Syria

International Nuclear Information System (INIS)

Skeiker, Kamal

2009-01-01

One of the important parameters that affect the performance of a solar collector is its tilt angle with the horizon. This is because of the variation of tilt angle changes the amount of solar radiation reaching the collector surface. A mathematical model was used for estimating the solar radiation on a tilted surface, and to determine the optimum tilt angle and orientation (surface azimuth angle) for the solar collector in the main Syrian zones, on a daily basis, as well as for a specific period. The optimum angle was computed by searching for the values for which the radiation on the collector surface is a maximum for a particular day or a specific period. The results reveal that changing the tilt angle 12 times in a year (i.e. using the monthly optimum tilt angle) maintains approximately the total amount of solar radiation near the maximum value that is found by changing the tilt angle daily to its optimum value. This achieves a yearly gain in solar radiation of approximately 30% more than the case of a solar collector fixed on a horizontal surface.

A Horizontal Tilt Correction Method for Ship License Numbers Recognition

Science.gov (United States)

Liu, Baolong; Zhang, Sanyuan; Hong, Zhenjie; Ye, Xiuzi

2018-02-01

An automatic ship license numbers (SLNs) recognition system plays a significant role in intelligent waterway transportation systems since it can be used to identify ships by recognizing the characters in SLNs. Tilt occurs frequently in many SLNs because the monitors and the ships usually have great vertical or horizontal angles, which decreases the accuracy and robustness of a SLNs recognition system significantly. In this paper, we present a horizontal tilt correction method for SLNs. For an input tilt SLN image, the proposed method accomplishes the correction task through three main steps. First, a MSER-based characters’ center-points computation algorithm is designed to compute the accurate center-points of the characters contained in the input SLN image. Second, a L 1- L 2 distance-based straight line is fitted to the computed center-points using M-estimator algorithm. The tilt angle is estimated at this stage. Finally, based on the computed tilt angle, an affine transformation rotation is conducted to rotate and to correct the input SLN horizontally. At last, the proposed method is tested on 200 tilt SLN images, the proposed method is proved to be effective with a tilt correction rate of 80.5%.

Rotating Shaft Tilt Angle Measurement Using an Inclinometer

Science.gov (United States)

Luo, Jun; Wang, Zhiqian; Shen, Chengwu; Wen, Zhuoman; Liu, Shaojin; Cai, Sheng; Li, Jianrong

2015-10-01

This paper describes a novel measurement method to accurately measure the rotating shaft tilt angle of rotating machine for alignment or compensation using a dual-axis inclinometer. A model of the rotating shaft tilt angle measurement is established using a dual-axis inclinometer based on the designed mechanical structure, and the calculation equation between the rotating shaft tilt angle and the inclinometer axes outputs is derived under the condition that the inclinometer axes are perpendicular to the rotating shaft. The reversal measurement method is applied to decrease the effect of inclinometer drifts caused by temperature, to eliminate inclinometer and rotating shaft mechanical error and inclinometer systematic error to attain high measurement accuracy. The uncertainty estimation shows that the accuracy of rotating shaft tilt angle measurement depends mainly on the inclinometer uncertainty and its uncertainty is almost the same as the inclinometer uncertainty in the simulation. The experimental results indicate that measurement time is 4 seconds; the range of rotating shaft tilt angle is 0.002° and its standard deviation is 0.0006° using NS-5/P2 inclinometer, whose precision and resolution are ±0.01° and 0.0005°, respectively.

Rotating Shaft Tilt Angle Measurement Using an Inclinometer

Directory of Open Access Journals (Sweden)

Luo Jun

2015-10-01

Full Text Available This paper describes a novel measurement method to accurately measure the rotating shaft tilt angle of rotating machine for alignment or compensation using a dual-axis inclinometer. A model of the rotating shaft tilt angle measurement is established using a dual-axis inclinometer based on the designed mechanical structure, and the calculation equation between the rotating shaft tilt angle and the inclinometer axes outputs is derived under the condition that the inclinometer axes are perpendicular to the rotating shaft. The reversal measurement method is applied to decrease the effect of inclinometer drifts caused by temperature, to eliminate inclinometer and rotating shaft mechanical error and inclinometer systematic error to attain high measurement accuracy. The uncertainty estimation shows that the accuracy of rotating shaft tilt angle measurement depends mainly on the inclinometer uncertainty and its uncertainty is almost the same as the inclinometer uncertainty in the simulation. The experimental results indicate that measurement time is 4 seconds; the range of rotating shaft tilt angle is 0.002° and its standard deviation is 0.0006° using NS-5/P2 inclinometer, whose precision and resolution are ±0.01° and 0.0005°, respectively.

Large optics inspection, tilting, and washing stand

Science.gov (United States)

Ayers, Marion Jay [Brentwood, CA; Ayers, Shannon Lee [Brentwood, CA

2010-08-24

A large optics stand provides a risk free means of safely tilting large optics with ease and a method of safely tilting large optics with ease. The optics are supported in the horizontal position by pads. In the vertical plane the optics are supported by saddles that evenly distribute the optics weight over a large area.

Men with high serotonin 1B receptor binding respond to provocations with heightened amygdala reactivity

DEFF Research Database (Denmark)

da Cunha-Bang, Sofi; Fisher, Patrick M; Hjordt, Liv V

2018-01-01

Serotonin signalling influences amygdala reactivity to threat-related emotional facial expressions in healthy adults, but in vivo serotonin signalling has never been investigated in the context of provocative stimuli in aggressive individuals. The aim of this study was to evaluate associations...

Long Duration Head Down Tilt Bed Rest and Spaceflight Effects on Neurocognitive Performance: Extent, Longevity and Neural Bases

Science.gov (United States)

Seidler, R. D.; Mulavara, A. P.; Koppelmans, V.; Cassady, K.; Yuan, P.; Kofman, I. S.; De Dios, Y. E.; Riascos-Castaneda, R. F.; Wood, S. J.; Bloomberg, J. J.

2017-01-01

We have recently completed a long duration head down tilt bed rest (HDBR) study in which we performed structural and functional magnetic resonance brain imaging to identify the relationships between changes in neurocognitive function and neural structural alterations in a spaceflight analog environment. We are also collecting the same measures in crewmembers prior to and following a six month International Space Station mission. We will present data demonstrating that bed rest resulted in functional mobility and balance deterioration with recovery post-HDBR. We observed numerous changes in brain structure, function, and connectivity relative to a control group which were associated with pre to post bed rest changes in sensorimotor function. For example, gray matter volume (GMv) increased in posterior parietal areas and decreased in frontal regions. GMv increases largely overlapped with fluid decreases and vice versa. Larger increases in precentral gyrus (M1)/ postcentral gyrus (S1+2) GMv and fluid decreases were associated with smaller balance decrements. Vestibular activation in the bilateral insular cortex increased with bed rest and subsequently recovered. Larger increases in vestibular activation in multiple brain regions were associated with greater decrements in balance and mobility. We found connectivity increases between left M1 with right S1+2 and the superior parietal lobule, and right vestibular cortex with the cerebellum. Decreases were observed between right Lobule VIII with right S1+2 and the supramarginal gyrus, right posterior parietal cortex (PPC) with occipital regions, and the right superior posterior fissure with right Crus I and II. Connectivity strength between left M1 and right S1+2/superior parietal lobule increased the most in individuals that exhibited the least balance impairments. In sum, we observed HDBR-related changes in measures of brain structure, function, and network connectivity, which correlated with indices of sensorimotor

RE-EXAMINING SUNSPOT TILT ANGLE TO INCLUDE ANTI-HALE STATISTICS

Energy Technology Data Exchange (ETDEWEB)

McClintock, B. H. [University of Southern Queensland, Toowoomba, 4350 (Australia); Norton, A. A. [HEPL, Stanford University, Palo Alto, CA 94305 (United States); Li, J., E-mail: u1049686@umail.usq.edu.au, E-mail: aanorton@stanford.edu, E-mail: jli@igpp.ucla.edu [Department of Earth, Planetary, and Space Sciences, University of California at Los Angeles, Los Angeles, CA 90095 (United States)

2014-12-20

Sunspot groups and bipolar magnetic regions (BMRs) serve as an observational diagnostic of the solar cycle. We use Debrecen Photohelographic Data (DPD) from 1974-2014 that determined sunspot tilt angles from daily white light observations, and data provided by Li and Ulrich that determined sunspot magnetic tilt angle using Mount Wilson magnetograms from 1974-2012. The magnetograms allowed for BMR tilt angles that were anti-Hale in configuration, so tilt values ranged from 0 to 360° rather than the more common ±90°. We explore the visual representation of magnetic tilt angles on a traditional butterfly diagram by plotting the mean area-weighted latitude of umbral activity in each bipolar sunspot group, including tilt information. The large scatter of tilt angles over the course of a single cycle and hemisphere prevents Joy's law from being visually identified in the tilt-butterfly diagram without further binning. The average latitude of anti-Hale regions does not differ from the average latitude of all regions in both hemispheres. The distribution of anti-Hale sunspot tilt angles are broadly distributed between 0 and 360° with a weak preference for east-west alignment 180° from their expected Joy's law angle. The anti-Hale sunspots display a log-normal size distribution similar to that of all sunspots, indicating no preferred size for anti-Hale sunspots. We report that 8.4% ± 0.8% of all bipolar sunspot regions are misclassified as Hale in traditional catalogs. This percentage is slightly higher for groups within 5° of the equator due to the misalignment of the magnetic and heliographic equators.

RE-EXAMINING SUNSPOT TILT ANGLE TO INCLUDE ANTI-HALE STATISTICS

International Nuclear Information System (INIS)

McClintock, B. H.; Norton, A. A.; Li, J.

2014-01-01

Sunspot groups and bipolar magnetic regions (BMRs) serve as an observational diagnostic of the solar cycle. We use Debrecen Photohelographic Data (DPD) from 1974-2014 that determined sunspot tilt angles from daily white light observations, and data provided by Li and Ulrich that determined sunspot magnetic tilt angle using Mount Wilson magnetograms from 1974-2012. The magnetograms allowed for BMR tilt angles that were anti-Hale in configuration, so tilt values ranged from 0 to 360° rather than the more common ±90°. We explore the visual representation of magnetic tilt angles on a traditional butterfly diagram by plotting the mean area-weighted latitude of umbral activity in each bipolar sunspot group, including tilt information. The large scatter of tilt angles over the course of a single cycle and hemisphere prevents Joy's law from being visually identified in the tilt-butterfly diagram without further binning. The average latitude of anti-Hale regions does not differ from the average latitude of all regions in both hemispheres. The distribution of anti-Hale sunspot tilt angles are broadly distributed between 0 and 360° with a weak preference for east-west alignment 180° from their expected Joy's law angle. The anti-Hale sunspots display a log-normal size distribution similar to that of all sunspots, indicating no preferred size for anti-Hale sunspots. We report that 8.4% ± 0.8% of all bipolar sunspot regions are misclassified as Hale in traditional catalogs. This percentage is slightly higher for groups within 5° of the equator due to the misalignment of the magnetic and heliographic equators

Cable-driven elastic parallel humanoid head with face tracking for Autism Spectrum Disorder interventions.

Science.gov (United States)

Su, Hao; Dickstein-Fischer, Laurie; Harrington, Kevin; Fu, Qiushi; Lu, Weina; Huang, Haibo; Cole, Gregory; Fischer, Gregory S

2010-01-01

This paper presents the development of new prismatic actuation approach and its application in human-safe humanoid head design. To reduce actuator output impedance and mitigate unexpected external shock, the prismatic actuation method uses cables to drive a piston with preloaded spring. By leveraging the advantages of parallel manipulator and cable-driven mechanism, the developed neck has a parallel manipulator embodiment with two cable-driven limbs embedded with preloaded springs and one passive limb. The eye mechanism is adapted for low-cost webcam with succinct "ball-in-socket" structure. Based on human head anatomy and biomimetics, the neck has 3 degree of freedom (DOF) motion: pan, tilt and one decoupled roll while each eye has independent pan and synchronous tilt motion (3 DOF eyes). A Kalman filter based face tracking algorithm is implemented to interact with the human. This neck and eye structure is translatable to other human-safe humanoid robots. The robot's appearance reflects a non-threatening image of a penguin, which can be translated into a possible therapeutic intervention for children with Autism Spectrum Disorders.

Mesenteric artery response to head-up tilt-induced central hypovolaemia and hypotension

DEFF Research Database (Denmark)

Perko, M J; Madsen, P; Perko, Grazyna

1997-01-01

the normotensive and the hypotensive phase of HUT, the SMA diameter (5.7 +/- 0.03 mm) and blood flow (514 +/- 75 ml min-1) did not change significantly, although the end-diastolic velocity increased from 9.7 +/- 4.8 to 39.7 +/- 4.0 cm s-1 (P

Children's Moral Reasoning about Family and Peer Violence: The Role of Provocation and Retribution.

Science.gov (United States)

Astor, Ron A.

1994-01-01

Examined violent and nonviolent inner-city children's moral reasoning about violence in family and peer situations. All of the children condemned unprovoked violence. With provoked situations, the violent group focused more on the immorality of the provocation and perceived force akin to reciprocal justice, whereas the nonviolent group perceived…

Preoperative cellulose porous beads for therapeutic embolization of meningioma: provocation test and technical considerations

International Nuclear Information System (INIS)

Kai, Yutaka; Morioka, Motohiro; Yano, Shigetoshi; Nakamura, Hideo; Makino, Keishi; Mizuno, Takamasa; Takeshima, Hideo; Kuratsu, Jun-ichi; Hamada, Jun-ichiro

2007-01-01

Cellulose porous beads (CPBs) are exceptionally uniform in size and nonabsorbable and they provide highly effective tumor devascularization. The risk of cranial nerve palsy must not be overlooked when embolization with CPBs is considered in meningioma patients. We attempted to identify patients at risk of cranial nerve palsy after meningioma embolization. Prior to preoperative superselective embolization with 200 μm diameter CPBs, 141 patients with meningioma underwent provocation test with lidocaine and amytal. They were divided into two groups on the basis of whether they were or were not considered eligible for embolization. We evaluated the differences between the two groups with respect to tumor anatomy, angiographic findings, and clinical presentation and recorded complications associated with the embolization of the meningioma. Of the 141 patients, 128 underwent CPB embolization (group 2); 13 were not embolized because their provocation test results were positive (group 1, n = 11) or because they showed vasospasm (n = 2). Group 1 patients had meningioma in the cavernous sinus or petroclival region. Characteristically, the feeders were of middle meningeal artery origin and exhibited a posteromedial course toward the petrous apex or cavernous sinus. In group 2 patients the middle meningeal artery was the feeder, but it lacked branches coursing posteromedially. Three of these patients experienced complications which included intratumoral hemorrhage (n 2) and post-embolization hearing disturbance (n = 1). Patients with meningioma whose tumor-feeding arteries run posteromedially toward the petrous apex or cavernous sinus are at increased risk of post-embolization cranial nerve palsy. Appropriate protocols, including lidocaine and amytal provocation tests, may reduce the risk of complications after CPB embolization of the external carotid territory in this group of patients. (orig.)

Preoperative cellulose porous beads for therapeutic embolization of meningioma: provocation test and technical considerations

Energy Technology Data Exchange (ETDEWEB)

Kai, Yutaka; Morioka, Motohiro; Yano, Shigetoshi; Nakamura, Hideo; Makino, Keishi; Mizuno, Takamasa; Takeshima, Hideo; Kuratsu, Jun-ichi [Kumamoto University, Department of Neurosurgery, Graduate School of Medical Sciences, Kumamoto (Japan); Hamada, Jun-ichiro [Kanazawa University, Department of Neurosurgery, Graduate School of Medical Sciences, Kanazawa (Japan)

2007-05-15

Cellulose porous beads (CPBs) are exceptionally uniform in size and nonabsorbable and they provide highly effective tumor devascularization. The risk of cranial nerve palsy must not be overlooked when embolization with CPBs is considered in meningioma patients. We attempted to identify patients at risk of cranial nerve palsy after meningioma embolization. Prior to preoperative superselective embolization with 200 {mu}m diameter CPBs, 141 patients with meningioma underwent provocation test with lidocaine and amytal. They were divided into two groups on the basis of whether they were or were not considered eligible for embolization. We evaluated the differences between the two groups with respect to tumor anatomy, angiographic findings, and clinical presentation and recorded complications associated with the embolization of the meningioma. Of the 141 patients, 128 underwent CPB embolization (group 2); 13 were not embolized because their provocation test results were positive (group 1, n = 11) or because they showed vasospasm (n = 2). Group 1 patients had meningioma in the cavernous sinus or petroclival region. Characteristically, the feeders were of middle meningeal artery origin and exhibited a posteromedial course toward the petrous apex or cavernous sinus. In group 2 patients the middle meningeal artery was the feeder, but it lacked branches coursing posteromedially. Three of these patients experienced complications which included intratumoral hemorrhage (n = 2) and post-embolization hearing disturbance (n = 1). Patients with meningioma whose tumor-feeding arteries run posteromedially toward the petrous apex or cavernous sinus are at increased risk of post-embolization cranial nerve palsy. Appropriate protocols, including lidocaine and amytal provocation tests, may reduce the risk of complications after CPB embolization of the external carotid territory in this group of patients. (orig.)

Harsh discipline and readiness for interpersonal aggression in Poland and the USA: the mediating role of sensitivity to provocations and frustrations

Directory of Open Access Journals (Sweden)

Dominiak-Kochanek Monika

2015-12-01

Full Text Available This study examined the effect of history of harsh parenting on readiness for aggression in young adults testing the mediating effect of emotional reaction to frustration and provocation that is assumed to arise in the context of a history of physical punishment and psychological aggression. Data were collected from 402 participants including 187 Poles (Mage = 9.5; SD = 1.2 and 215 Americans (Mage = 19.16, SD = 1.15. Participants reported retrospectively on corporal punishment and psychological aggression experienced during childhood. Based on self-report instruments, sensitivity to provocation and frustration and three patterns of readiness for aggression in adulthood were assessed. Contrary to the US sample, sensitivity to provocation and frustration were mediators in the Polish sample alone. The important role of contextual factors that define harsh parenting circumstances, such as cultural context and sex of the parent, are discussed.

LOTTTTUCE: Layer Oriented Tip-Tilt Turbulence Tomography using Covariance and Elevation

International Nuclear Information System (INIS)

Lai, Olivier; Hayano, Yutaka; Oya, Shin; Chun, Mark; Lu, Jessica R; Toomey, Douglas

2015-01-01

LOTTTTUCE is based upon the fact that turbulence at the pupil produces correlated tip-tilt motion over the entire field (averaging the tip-tilt across the widest field possible gives the strength of the turbulence at the telescope), while the on-axis (any axis) image motion measures the integrated tip-tilt over the line of sight (single stars provide the variance of the tip-tilt, which allows to infer the integrated seeing). Between these two extremes, the amount of correlation across a given field size is the integral of the turbulence from the ground to the altitude where the tip-tilt decorrelates over the meta-pupil. Differentiating the altitude- integrated tip-tilt with respect to altitude generates an estimate of tip-tilt (hence turbulence, assuming Kolmogorov properties) at each altitude. Alternately, the 3D Fourier transform of a data cube containing the time evolution of the tip (or tilt) across the field allows to determine the amount of energy for “field” frequencies (in other words, the integrated seeing across each same size patches) and the temporal spectrum of each of these features. Differentiating the spectrum with respect to spatial frequency would provide the amount of energy, as well as speed and direction, of each layer. The LOTTTTUCE method is a novel method of measuring the vertical turbulence profile that uses wide field tip-tilt information such as that provided by Pan-STARRS. However, the method also has limitations due to tip-tilt decorrelation as a function of meta-pupil overlap, finite outer scale, and non-Kolmogorov power spectrum. (paper)

Follow-up strategies in head and neck cancer other than upper aerodigestive tract squamous cell carcinoma

NARCIS (Netherlands)

Digonnet, Antoine; Hamoir, Marc; Andry, Guy; Vander Poorten, Vincent; Haigentz, Missak; Langendijk, Johannes A.; de Bree, Remco; Hinni, Michael L.; Mendenhall, William M.; Paleri, Vinidh; Rinaldo, Alessandra; Werner, Jochen A.; Takes, Robert P.; Ferlito, Alfio

Post-therapy follow-up for patients with head and neck cancer other than upper aerodigestive tract squamous cell carcinoma should meet several objectives: to detect both local, regional or distant recurrences, to evaluate acute and long-term treatment-related side effects, to guide the

Losing one’s Cool: Social Competence as a Novel Inverse Predictor of Provocation-Related Aggression

Science.gov (United States)

Fetterman, Adam K.; Hopkins, Kay; Krishnakumar, Sukumarakurup

2013-01-01

Provocations and frustrating events can trigger an urge to act aggressively. Such behaviors can be controlled, but perhaps more so for people who can better distinguish effective from ineffective courses of action. The present three studies (total N = 285) introduce a scenario-based measure of this form of social competence. In Study 1, higher levels of social competence predicted lower levels of trait anger. Study 2 presented provocation scenarios and asked people whether they would engage in direct, indirect, and symbolic forms of aggression when provoked. Social competence was inversely predictive of all forms of aggressive responding. Study 3 focused on reactions to frustrating events in daily life. Such events were predictive of hostile behavior and cognitive failures particularly at low levels of social competence. The research establishes that social competence can be assessed in an objective manner and that variations in it are systematically predictive of reactive aggression. PMID:23754040

Reducing tilt-to-length coupling for the LISA test mass interferometer

Science.gov (United States)

Tröbs, M.; Schuster, S.; Lieser, M.; Zwetz, M.; Chwalla, M.; Danzmann, K.; Fernández Barránco, G.; Fitzsimons, E. D.; Gerberding, O.; Heinzel, G.; Killow, C. J.; Perreur-Lloyd, M.; Robertson, D. I.; Schwarze, T. S.; Wanner, G.; Ward, H.

2018-05-01

Objects sensed by laser interferometers are usually not stable in position or orientation. This angular instability can lead to a coupling of angular tilt to apparent longitudinal displacement—tilt-to-length coupling (TTL). In LISA this is a potential noise source for both the test mass interferometer and the long-arm interferometer. We have experimentally investigated TTL coupling in a setup representative for the LISA test mass interferometer and used this system to characterise two different imaging systems (a two-lens design and a four-lens design) both designed to minimise TTL coupling. We show that both imaging systems meet the LISA requirement of  ±25 μm rad‑1 for interfering beams with relative angles of up to  ±300 μrad. Furthermore, we found a dependency of the TTL coupling on beam properties such as the waist size and location, which we characterised both theoretically and experimentally.

NUMERICAL SIMULATIONS OF NATURALLY TILTED, RETROGRADELY PRECESSING, NODAL SUPERHUMPING ACCRETION DISKS

International Nuclear Information System (INIS)

Montgomery, M. M.

2012-01-01

Accretion disks around black hole, neutron star, and white dwarf systems are thought to sometimes tilt, retrogradely precess, and produce hump-shaped modulations in light curves that have a period shorter than the orbital period. Although artificially rotating numerically simulated accretion disks out of the orbital plane and around the line of nodes generate these short-period superhumps and retrograde precession of the disk, no numerical code to date has been shown to produce a disk tilt naturally. In this work, we report the first naturally tilted disk in non-magnetic cataclysmic variables using three-dimensional smoothed particle hydrodynamics. Our simulations show that after many hundreds of orbital periods, the disk has tilted on its own and this disk tilt is without the aid of radiation sources or magnetic fields. As the system orbits, the accretion stream strikes the bright spot (which is on the rim of the tilted disk) and flows over and under the disk on different flow paths. These different flow paths suggest the lift force as a source to disk tilt. Our results confirm the disk shape, disk structure, and negative superhump period and support the source to disk tilt, source to retrograde precession, and location associated with X-ray and He II emission from the disk as suggested in previous works. Our results identify the fundamental negative superhump frequency as the indicator of disk tilt around the line of nodes.

Arterial diameter during central volume depletion in humans

DEFF Research Database (Denmark)

Iversen, Helle Klingenberg; Madsen, P; Matzen, S

1995-01-01

The luminal diameter of the radial artery was followed by high frequency ultrasound during 50 degrees head-up tilt-induced central volume depletion in ten healthy subjects of whom six were tilted twice and pretreated with the serotonin receptor antagonist methysergide or placebo following a double...

Dependency of blood pressure upon cardiac filling in patients with severe postural hypotension

DEFF Research Database (Denmark)

Mehlsen, J; Haedersdal, C; Stokholm, K H

1994-01-01

by vasoconstriction. The reduction in cardiac output resulted from reductions in left ventricular end-diastolic volumes with unchanged left ventricular ejection fractions and only moderate increments in heart rate. The study was demonstrated that blood pressure is strongly dependent upon cardiac filling in severe......Autonomic denervation of the vascular bed results theoretically in a stronger dependency of blood pressure upon intravascular volume, and the study described aimed at an investigation of the relation between cardiac filling and arterial blood pressure in patients with severe postural hypotension....... Seven patients were studied during head-up tilt at three different tilt angles using intra-arterial blood pressure recordings and estimates of left ventricular volumes by radioisotope ventriculography. Blood pressure fell dramatically during head-up tilt due to reductions in cardiac output unopposed...

Dependency of blood pressure upon cardiac filling in patients with severe postural hypotension

DEFF Research Database (Denmark)

Mehlsen, J; Haedersdal, C; Stokholm, K H

1994-01-01

Autonomic denervation of the vascular bed results theoretically in a stronger dependency of blood pressure upon intravascular volume, and the study described aimed at an investigation of the relation between cardiac filling and arterial blood pressure in patients with severe postural hypotension....... Seven patients were studied during head-up tilt at three different tilt angles using intra-arterial blood pressure recordings and estimates of left ventricular volumes by radioisotope ventriculography. Blood pressure fell dramatically during head-up tilt due to reductions in cardiac output unopposed...... by vasoconstriction. The reduction in cardiac output resulted from reductions in left ventricular end-diastolic volumes with unchanged left ventricular ejection fractions and only moderate increments in heart rate. The study was demonstrated that blood pressure is strongly dependent upon cardiac filling in severe...

Correlation between length and tilt of lipid tails

Science.gov (United States)

Kopelevich, Dmitry I.; Nagle, John F.

2015-10-01

It is becoming recognized from simulations, and to a lesser extent from experiment, that the classical Helfrich-Canham membrane continuum mechanics model can be fruitfully enriched by the inclusion of molecular tilt, even in the fluid, chain disordered, biologically relevant phase of lipid bilayers. Enriched continuum theories then add a tilt modulus κθ to accompany the well recognized bending modulus κ. Different enrichment theories largely agree for many properties, but it has been noticed that there is considerable disagreement in one prediction; one theory postulates that the average length of the hydrocarbon chain tails increases strongly with increasing tilt and another predicts no increase. Our analysis of an all-atom simulation favors the latter theory, but it also shows that the overall tail length decreases slightly with increasing tilt. We show that this deviation from continuum theory can be reconciled by consideration of the average shape of the tails, which is a descriptor not obviously includable in continuum theory.

Correlation between length and tilt of lipid tails

Energy Technology Data Exchange (ETDEWEB)

Kopelevich, Dmitry I., E-mail: dkopelevich@che.ufl.edu [Department of Chemical Engineering, University of Florida, Gainesville, Florida 32611 (United States); Nagle, John F., E-mail: nagle@cmu.edu [Department of Physics, Carnegie Mellon University, Pittsburgh, Pennsylvania 15213 (United States)

2015-10-21

It is becoming recognized from simulations, and to a lesser extent from experiment, that the classical Helfrich-Canham membrane continuum mechanics model can be fruitfully enriched by the inclusion of molecular tilt, even in the fluid, chain disordered, biologically relevant phase of lipid bilayers. Enriched continuum theories then add a tilt modulus κ{sub θ} to accompany the well recognized bending modulus κ. Different enrichment theories largely agree for many properties, but it has been noticed that there is considerable disagreement in one prediction; one theory postulates that the average length of the hydrocarbon chain tails increases strongly with increasing tilt and another predicts no increase. Our analysis of an all-atom simulation favors the latter theory, but it also shows that the overall tail length decreases slightly with increasing tilt. We show that this deviation from continuum theory can be reconciled by consideration of the average shape of the tails, which is a descriptor not obviously includable in continuum theory.

Effect of perturbations and a meal on superior mesenteric artery flow in patients with orthostatic hypotension

Science.gov (United States)

Fujimura, J.; Camilleri, M.; Low, P. A.; Novak, V.; Novak, P.; Opfer-Gehrking, T. L.

1997-01-01

Our aims were to evaluate to role of superior mesenteric blood flow in the pathophysiology of orthostatic hypotension in patients with generalized autonomic failure. METHODS: Twelve patients with symptomatic neurogenic orthostatic hypotension and 12 healthy controls underwent superior mesenteric artery flow measurements using Doppler ultrasonography during head-up tilt and tilt plus meal ingestion. Autonomic failure was assessed using standard tests of the function of the sympathetic adrenergic, cardiovagal and postganglionic sympathetic sudomotor function. RESULTS: Superior mesenteric flow volume and time-averaged velocity were similar in patients and controls at supine rest; however, responses to cold pressor test and upright tilt were attenuated (p stress can be significantly attenuated by reducing the splanchnic-mesenteric volume increase in response to food. Evaluation of mesenteric flow in response to eating and head-up tilt provide important information on intra-abdominal sympathetic adrenergic function, and the ability of the patient to cope with orthostatic stress.

Effects of long-term head-down-tilt bed rest and different training regimes on the coagulation system of healthy men.

Science.gov (United States)

Haider, Thomas; Gunga, Hanns-Christian; Matteucci-Gothe, Raffaella; Sottara, Elke; Griesmacher, Andrea; Belavý, Daniel L; Felsenberg, Dieter; Werner, Andreas; Schobersberger, Wolfgang

2013-11-01

Immobility plus preexisting chronic disease or acute trauma can activate the coagulation system, thus increasing the risk for thromboembolic events. The effects of long-term bed-rest immobility and microgravity on the coagulation system of healthy persons (e.g., during crewed Mars missions) have not yet been studied. The main objective of the second Berlin BedRest Study (BBR2-2) "Coagulation Part" was to investigate adaptations of the hemostatic system during long-term bed rest (60 days) under simulated microgravity (6° head-down-tilt [6°HDT]) and after mobilization in three different volunteer groups (randomly assigned to CTR= inactive control group; RE= resistive exercise only group; and RVE= resistive exercise with whole-body vibration group). In 24 males (aged 21-45 years), before, during, and after long-term bed rest, key parameters of coagulation were measured from venous blood samples: D-dimer (DD), thrombin-antithrombin III complex (TAT), and prothrombin fragment F1 + 2 (PT-F1 + 2). Additionally, modified rotational thrombelastometry (ROTEM (®) ) analysis was performed. Times of exploratory analyses were as follows: baseline data collection 2 days before bed rest (BDC-2); eight different days of 6°HDT bed rest (HDT1-HDT60), and two different days after reambulation (R + 3 and R + 6). We found significant changes in DD, TAT, and PT-F1 + 2 over the total time course, but no consistent effect of physical interventions (RE, RVE) on these parameters. Notably, no parameter reached levels indicative of intravascular thrombin formation. All ROTEM® parameters remained within the normal range and no pathological traces were found. Sixty days of 6°HDT bed rest are not associated with pronounced activation of the coagulation system indicative of intravascular thrombus formation in healthy volunteers independent of the training type during the bed rest.

[Safety and efficacy of a new preservative-free levocabastine ophthalmic solution (Levofree®) using the conjunctival provocation test].

Science.gov (United States)

Allaire, C; Siou-Mermet, R; Bassols, A

2012-09-01

To evaluate the safety and efficacy of preservative-free levocabastine 0.05 % ophthalmic solution compared to placebo (vehicle) and to preserved levocabastine 0.05 % ophthalmic suspension in the prevention of allergic conjunctivitis induced by a conjunctival provocation test. Ninety-two subjects (18-50 years) with a previous history of allergic conjunctivitis to pollen were randomised to receive either preservative-free levocabastine solution in one eye and preserved levocabastine suspension in the fellow eye (n=69), or preservative-free levocabastine in one eye and placebo in the fellow eye (n=23). One drop of each product was administered 10 minutes (visit 3) and 4 hours (visit 4) prior to the provocation test. The primary efficacy criterion was the sum of the itching and conjunctival hyperemia scores assessed at 3, 5 and 10 minutes after the provocation test. The safety evaluation included adverse events, visual acuity, intra-ocular pressure and study drug drop sensation. The efficacy of the preservative-free solution was significantly higher than that of placebo at all time points (P≤0.01) with one exception at visit 4 (3 minutes after the provocation test). It was significantly higher than that of the preserved suspension at visit 3, and equivalent at visit 4. The incidence of adverse events was lower with the preservative-free solution than with the preserved suspension. 94.2 % and 95.7 % subjects rated preservative-free levocabastine drop sensation as "good" or "very good" at visits 3 and 4 respectively, whereas these rates were 68.1 % and 63.8 % with preserved levocabastine. This difference between the two formulations was highly statistically significant (Ppreservative-free levocabastine was superior to that of the placebo and of the preserved suspension at visit 3, at least as effective as the preserved suspension at visit 4, and better tolerated at each visit. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

Radiographic cup anteversion measurement corrected from pelvic tilt.

Science.gov (United States)

Wang, Liao; Thoreson, Andrew R; Trousdale, Robert T; Morrey, Bernard F; Dai, Kerong; An, Kai-Nan

2017-11-01

The purpose of this study was to develop a novel technique to improve the accuracy of radiographic cup anteversion measurement by correcting the influence of pelvic tilt. Ninety virtual total hip arthroplasties were simulated from computed tomography data of 6 patients with 15 predetermined cup orientations. For each simulated implantation, anteroposterior (AP) virtual pelvic radiographs were generated for 11 predetermined pelvic tilts. A linear regression model was created to capture the relationship between radiographic cup anteversion angle error measured on AP pelvic radiographs and pelvic tilt. Overall, nine hundred and ninety virtual AP pelvic radiographs were measured, and 90 linear regression models were created. Pearson's correlation analyses confirmed a strong correlation between the errors of conventional radiographic cup anteversion angle measured on AP pelvic radiographs and the magnitude of pelvic tilt (P cup anteversion angle from the influence of pelvic tilt. The current method proposes to measure the pelvic tilt on a lateral radiograph, and to use it as a correction for the radiographic cup anteversion measurement on an AP pelvic radiograph. Thus, both AP and lateral pelvic radiographs are required for the measurement of pelvic posture-integrated cup anteversion. Compared with conventional radiographic cup anteversion, the errors of pelvic posture-integrated radiographic cup anteversion were reduced from 10.03 (SD = 5.13) degrees to 2.53 (SD = 1.33) degrees. Pelvic posture-integrated cup anteversion measurement improves the accuracy of radiographic cup anteversion measurement, which shows the potential of further clarifying the etiology of postoperative instability based on planar radiographs. Copyright © 2017 IPEM. Published by Elsevier Ltd. All rights reserved.

Tilted dipole model for bias-dependent photoluminescence pattern

Energy Technology Data Exchange (ETDEWEB)

Fujieda, Ichiro, E-mail: fujieda@se.ritsumei.ac.jp; Suzuki, Daisuke; Masuda, Taishi [Department of Electrical and Electronic Engineering, Ritsumeikan University, Kusatsu 525-8577 (Japan)

2014-12-14

In a guest-host system containing elongated dyes and a nematic liquid crystal, both molecules are aligned to each other. An external bias tilts these molecules and the radiation pattern of the system is altered. A model is proposed to describe this bias-dependent photoluminescence patterns. It divides the liquid crystal/dye layer into sub-layers that contain electric dipoles with specific tilt angles. Each sub-layer emits linearly polarized light. Its radiation pattern is toroidal and is determined by the tilt angle. Its intensity is assumed to be proportional to the power of excitation light absorbed by the sub-layer. This is calculated by the Lambert-Beer's Law. The absorption coefficient is assumed to be proportional to the cross-section of the tilted dipole moment, in analogy to the ellipsoid of refractive index, to evaluate the cross-section for each polarized component of the excitation light. Contributions from all the sub-layers are added to give a final expression for the radiation pattern. Self-absorption is neglected. The model is simplified by reducing the number of sub-layers. Analytical expressions are derived for a simple case that consists of a single layer with tilted dipoles sandwiched by two layers with horizontally-aligned dipoles. All the parameters except for the tilt angle can be determined by measuring transmittance of the excitation light. The model roughly reproduces the bias-dependent photoluminescence patterns of a cell containing 0.5 wt. % coumarin 6. It breaks down at large emission angles. Measured spectral changes suggest that the discrepancy is due to self-absorption and re-emission.

Does osteoporosis reduce the primary tilting stability of cementless acetabular cups?

Science.gov (United States)

von Schulze Pellengahr, Christoph; von Engelhardt, Lars V; Wegener, Bernd; Müller, Peter E; Fottner, Andreas; Weber, Patrick; Ackermann, Ole; Lahner, Matthias; Teske, Wolfram

2015-04-21

Cementless hip cups need sufficient primary tilting stability to achieve osseointegration. The aim of the study was to assess differences of the primary implant stability in osteoporotic bone and in bone with normal bone density. To assess the influence of different cup designs, two types of threaded and two types of press-fit cups were tested. The maximum tilting moment for two different cementless threaded cups and two different cementless press-fit cups was determined in macerated human hip acetabuli with reduced (n=20) and normal bone density (n=20), determined using Q-CT. The tilting moments for each cup were determined five times in the group with reduced bone density and five times in the group with normal bone density, and the respective average values were calculated. The mean maximum extrusion force of the threaded cup Zintra was 5670.5 N (max. tilting moment 141.8 Nm) in bone with normal density and.5748.3 N (max. tilting moment 143.7 Nm) in osteoporotic bone. For the Hofer Imhof (HI) threaded cup it was 7681.5 N (192.0 Nm) in bone with normal density and 6828.9 N (max. tilting moment 170.7 Nm) in the group with osteoporotic bone. The mean maximum extrusion force of the macro-textured press-fit cup Metallsockel CL was 3824.6 N (max. tilting moment 95.6 Nm) in bone with normal and 2246.2 N (max. tilting moment 56.2 Nm) in osteoporotic bone. For the Monoblock it was 1303.8 N (max. tilting moment 32.6 Nm) in normal and 1317 N (max. tilting moment 32.9 Nm) in osteoporotic bone. There was no significance. A reduction of the maximum tilting moment in osteoporotic bone of the ESKA press-fit cup Metallsockel CL was noticed. Results on macerated bone specimens showed no statistically significant reduction of the maximum tilting moment in specimens with osteoporotic bone density compared to normal bone, neither for threaded nor for the press-fit cups. With the limitation that the results were obtained using macerated bone, we could not detect any restrictions for

Position, Attitude, and Fault-Tolerant Control of Tilting-Rotor Quadcopter

Science.gov (United States)

Kumar, Rumit

The aim of this thesis is to present algorithms for autonomous control of tilt-rotor quadcopter UAV. In particular, this research work describes position, attitude and fault tolerant control in tilt-rotor quadcopter. Quadcopters are one of the most popular and reliable unmanned aerial systems because of the design simplicity, hovering capabilities and minimal operational cost. Numerous applications for quadcopters have been explored all over the world but very little work has been done to explore design enhancements and address the fault-tolerant capabilities of the quadcopters. The tilting rotor quadcopter is a structural advancement of traditional quadcopter and it provides additional actuated controls as the propeller motors are actuated for tilt which can be utilized to improve efficiency of the aerial vehicle during flight. The tilting rotor quadcopter design is accomplished by using an additional servo motor for each rotor that enables the rotor to tilt about the axis of the quadcopter arm. Tilting rotor quadcopter is a more agile version of conventional quadcopter and it is a fully actuated system. The tilt-rotor quadcopter is capable of following complex trajectories with ease. The control strategy in this work is to use the propeller tilts for position and orientation control during autonomous flight of the quadcopter. In conventional quadcopters, two propellers rotate in clockwise direction and other two propellers rotate in counter clockwise direction to cancel out the effective yawing moment of the system. The variation in rotational speeds of these four propellers is utilized for maneuvering. On the other hand, this work incorporates use of varying propeller rotational speeds along with tilting of the propellers for maneuvering during flight. The rotational motion of propellers work in sync with propeller tilts to control the position and orientation of the UAV during the flight. A PD flight controller is developed to achieve various modes of the

Sedimentary basins reconnaissance using the magnetic Tilt-Depth method

Science.gov (United States)

Salem, A.; Williams, S.; Samson, E.; Fairhead, D.; Ravat, D.; Blakely, R.J.

2010-01-01

We compute the depth to the top of magnetic basement using the Tilt-Depth method from the best available magnetic anomaly grids covering the continental USA and Australia. For the USA, the Tilt-Depth estimates were compared with sediment thicknesses based on drilling data and show a correlation of 0.86 between the datasets. If random data were used then the correlation value goes to virtually zero. There is little to no lateral offset of the depth of basinal features although there is a tendency for the Tilt-Depth results to be slightly shallower than the drill depths. We also applied the Tilt-Depth method to a local-scale, relatively high-resolution aeromagnetic survey over the Olympic Peninsula of Washington State. The Tilt-Depth method successfully identified a variety of important tectonic elements known from geological mapping. Of particular interest, the Tilt-Depth method illuminated deep (3km) contacts within the non-magnetic sedimentary core of the Olympic Mountains, where magnetic anomalies are subdued and low in amplitude. For Australia, the Tilt-Depth estimates also give a good correlation with known areas of shallow basement and sedimentary basins. Our estimates of basement depth are not restricted to regional analysis but work equally well at the micro scale (basin scale) with depth estimates agreeing well with drill hole and seismic data. We focus on the eastern Officer Basin as an example of basin scale studies and find a good level of agreement between previously-derived basin models. However, our study potentially reveals depocentres not previously mapped due to the sparse distribution of well data. This example thus shows the potential additional advantage of the method in geological interpretation. The success of this study suggests that the Tilt-Depth method is useful in estimating the depth to crystalline basement when appropriate quality aeromagnetic anomaly data are used (i.e. line spacing on the order of or less than the expected depth to

Internal disc derangement in patients with low back pain: correlation of MR imaging and provocative discography and CT discography

International Nuclear Information System (INIS)

Chung, Hye Won; Cheon, Jung Eun; Hong, Sung Hwan; Kang, Heung Sik; Lee, Ji Ho; Oh, Joo Han; Jeon, Pyoung

2004-01-01

The aim of this study was to correlate the MR imaging abnormalities of the lumbar intervertebral discs, with emphasis being placed on the high intensity zone (HIZ) with the use of discography for pain provocation and disc morphologic evaluation of the disc. Consecutive patients with low back pain unresponsive to conservative treatment, and who were being considered for spinal fusion had MRI performed, and this was followed by lumbar discography. The MR imaging, discography and CT discography (CTD) were evaluated for all of the 19 patients. Forty-three lumbar discs in 19 patients were included in this study. The findings of MR and CTD images were evaluated retrospectively with the professional opinion and agreement of two radiologists. MR images were assessed for the presence or absence of decreased T2-wighted signal intensity, decreased disc height, annular bulging, HIZ on T2-weighted images and disc herniation. The results of pain provocation were graded as 0, nonconcordant pain; 1, definite pain, but only as part of the symptom complex; 2, concordant pain. The morphology of CTD was analyzed for presence or absence of disc degeneration, radial tearing and extravasation of the contrast agent. The presence of radial tearing was defined as contrast extension to the outer third of the annulus. The prevalence of all MR abnormalities was calculated, and the data were compared with disc morphologic characteristics and the pain response on provocative discography. We used the chi-square test to analyze the results. Grade 1 and 2 discogenic pain was observed in 8 (19%) and 12 disc levels (28%), respectively. All of the seven non-degenerated discs on MR had no pain response. The decreased SI on T2-weighted image, annular bulging and HIZ were significantly correlated with discogenic pain. Extravasation of contrast media had good correlation with annular bulging and disc herniation on MRI. Radial tearing on CT discography correlated significantly with HIZ. The HIZ was

Tilted Lemaitre-Tolman-Bondi spacetimes: Hydrodynamic and thermodynamic properties

International Nuclear Information System (INIS)

Herrera, L.; Di Prisco, A.; Ibanez, J.

2011-01-01

We consider Lemaitre-Tolman-Bondi spacetimes from the point of view of a tilted observer, i.e. one with respect to which the fluid is radially moving. The imperfect fluid and the congruence described by its four-velocity, as seen by the tilted observer, is studied in detail. It is shown that from the point of view of such tilted observer, the fluid evolves nonreversibly (i.e. with nonvanishing rate of entropy production). The nongeodesic character of the tilted congruence is related to the nonvanishing of the divergence of the 4-vector entropy flow. We determine the factor related to the existence of energy-density inhomogeneities and describe its evolution; these results are compared with those obtained for the nontilted observer. Finally, we exhibit a peculiar situation where the nontilted congruence might be unstable.

The value of routine follow-up after treatment for head and neck cancer. A National Survey from DAHANCA

DEFF Research Database (Denmark)

Pagh, Anja; Vedtofte, Thomas; Lynggaard, Charlotte Duch

2013-01-01

The post-treatment follow-up is well-integrated in the oncologic care tradition, based on the risk of developing recurrent disease or new primary tumors in treated patients. Furthermore, follow-up serves as an opportunity to monitor treatment effects and to provide clinical care of side effects....... In this study we measured the activity and effectiveness of routine follow-up in head and neck cancer and assessed the value of follow-up from the perspectives of both physicians and the patients....

Middle-term follow-up results of Pipkin type IV femoral head fracture patients treated by reconstruction plate and bioabsorbable screws

Directory of Open Access Journals (Sweden)

Shan-Xi Wang

2018-06-01

Full Text Available Purpose: To investigate the mid-term curative effects of the treatment of Pipkin type IV femoral head fractures using a reconstruction plate and bioabsorbable screws and provide the evidence for clinical practice. Methods: From February 2010 to September 2014, 21 patients with Pipkin type IV femoral head fractures were treated surgically. There were 13 males and 8 females with an average age of 41.1 years (range, 20–65 years. The causes of the fractures included traffic accidents (13 cases, falls from a height (four cases, heavy lifting injuries (three cases, and sport injury (one case. All patients were followed up with radiography and three-dimensional reconstruction computed tomography and other checks and any complications were actively managed. Closed reduction of fracture-dislocation of the hip was attempted under general anesthesia using the Kocher-Langenbeck approach. Femoral head fractures were treated with internal fixation or excision based on the size of the fracture fragments, whereas acetabular fractures were fixed with a reconstruction plate and screws following anatomic reduction. Results: The incisions healed by primary intention in all patients after surgery, without any infection, deep venous thrombosis, or other complications. All 21 patients were followed up for 36–76 months, with an average follow-up duration of 49 months. Postoperative imaging data showed that all dislocations and fractures were anatomically reduced, and bony union of the fractures was achieved. Heterotopic ossification was found in four patients, post-traumatic osteoarthritis in three, and avascular necrosis of the femoral head in two. At the final follow-up, the assessment of hip joint function according to the Thompson-Epstein scoring scale was excellent in 10 cases, good in six cases, fair in three cases, and poor in two cases. The rate of excellent and good functional outcomes was 76.1%. Conclusion: The mid-term curative effects of a

Tilted-ring modelling of disk galaxies : Anomalous gas

NARCIS (Netherlands)

Jozsa, G. I. G.; Niemczyk, C.; Klein, U.; Oosterloo, T. A.

We report our ongoing work on kinematical modelling of HI in disk galaxies. We employ our new software TiRiFiC (Tilted-Ring-Fitting-Code) in order to derive tilted-ring models by fitting artificial HI data cubes to observed ones in an automated process. With this technique we derive very reliable

Head orientation of walking blowflies is controlled by visual and mechanical cues

OpenAIRE

Monteagudo Ibarreta, José; Lindemann, Jens Peter; Egelhaaf, Martin

2017-01-01

During locomotion, animals employ visual and mechanical cues in order to establish the orientation of their head, which reflects the orientation of the visual coordinate system. However, in certain situations, contradictory cues may suggest different orientations relative to the environment. We recorded blowflies walking on a horizontal or tilted surface surrounded by visual cues suggesting a variety of orientations.We found that the different orientations relative to gra...

Ultrasonic imaging of lumbar discs combined with vibration pain provocation compared with discography in the diagnosis of internal anular fissures of the lumbar spine.

Science.gov (United States)

Yrjämä, M; Tervonen, O; Vanharanta, H

1996-03-01

The diagnostic information achieved by a combination of ultrasonographic imaging of discs and local bony vibration of lumbar vertebrae was compared to that obtained by discographic imaging and pain provocation. The purpose of this study was to find a noninvasive method for spine diagnostics to replace expensive and invasive methods such as discography. Internal anular fissures of the lumbar discs have been shown to be a source of back pain. Intradiscal changes associated with disc degeneration can be imaged by ultrasonography. The bony vibration test of spinal processes has shown to correlate well with discographic pain provocation tests in cases of internal anular ruptures. Discographic examination of the spine is the only widely accepted diagnostic method that combines pathoanatomic changes and patients' pain. Patients with back pain in this study were examined by means of ultrasonography, bony vibration stimulation, and discography. The three lowest lumbar discs were examined. In the cases of intradiscal ultrasound findings, the vibration provocation test showed a sensitivity of 0.90 and a specificity of 0.75 compared to the discographic pain provocation test. In cases of total anular ruptures seen in ultrasound examination, the sensitivity and the specificity of the vibration pain provocation test were much lower, being 0.50 and 0.50, respectively. The combination of the two noninvasive methods provides a useful screening test for the evaluation of low back pain. The combination test can accurately depict painful disc degeneration with internal disc rupture and the use of discography can be limited to the cases suggesting total anular rupture in ultrasound examination.

The value of routine follow-up after treatment for head and neck cancer. A national DAHANCA study

DEFF Research Database (Denmark)

Pagh, Anja; Vedtofte, Thomas; Lynggaard, Charlotte Duch

BACKGROUND: The post-treatment follow-up is well-integrated in the oncologic care tradition, based on the risk of developing recurrent disease or new primary tumors in treated patients. Furthermore, follow-up serves as an opportunity to monitor treatment effects and to provide clinical care of side...... effects. In this study we measured the activity and effectiveness of routine follow-up in head and neck cancer and assessed the value of follow-up from the perspectives of both physicians and the patients. PATIENTS AND METHODS: During a period of six weeks a prospective national cross section cohort...

High-speed-rail tilt-train technology: A state-of-the-art survey. Final report

Energy Technology Data Exchange (ETDEWEB)

Boon, C.J.; Hayes, W.F.; Kesler, J.K.; Whitten, B.T.

1992-05-01

The report presents an assessment of the technical and operational features of existing and proposed tilt-body rail passenger vehicles. Basic concepts of railroad route selection, track geometry, and curve negotiation are reviewed, and the rationale, advantages and disadvantages associated with body tilting and the techniques used to achieve body tilt are discussed. An overview of the development status and selected key characteristics of tilt technologies are presented. Issues associated with deployment and operation of tilt-body technologies in the U..S are identified and analyzed, including a review of U.S. experience to date, areas of incompatibility of foreign tilt technology with existing U.S. equipment and infrastructure, special maintenance procedures and skill requirements, and compliance with FRA and other regulations. Appendices to the report present discussions on the physics of curve negotiation for conventional and tilting vehicles, the principles of tilting and tilt control strategies and mechanisms, and a description and technical characterization of the principal tilt technologies.

NEuclid: a long-range tilt-immune homodyne interferometer

Science.gov (United States)

Bradshaw, M. J.; Speake, C. C.

2017-11-01

The new Easy to Use Compact Laser Interferometric Device (nEUCLID) is a polarisation-based homodyne interferometer with substantially unequal arms that is tolerant to target mirror tilt. The design has no active components, uses standard optical components of 25 mm diameter, has a working distance of 706 mm and a reference arm-length of 21 mm. nEUCLID optics have a footprint of 210 x 190 x 180 mm, and has a tolerance to target mirror tilt of +/- 0.5 degrees, made possible by a novel new retro-reflector design [1]. nEUCLID was built to a set of specifications laid down by Airbus Defence and Space, who required a lowmass, low-power device to measure displacement with nanometre accuracy for space applications. At the University of Birmingham we have previously built a smaller, more compact tilt-insensitive homodyne interferometer - the EUCLID [2, 3, 4] - which has a working distance of 6 mm, a working range of +/- 3 mm, and a tilt range of +/- 1° [2]. We created a new optical design to allow a much larger working distance to be achieved (as discussed in Section II) and used this in a new interferometer - the nEUCLID. Section II describes the interferometer in detail; how nEUCLID is tilt insensitive, and the optical configuration. Section III states the design specifications from Airbus Defence and Space and the components used in the final design. The output interference pattern from nEUCLID, and how it has been corrected with a meniscus lens, is also discussed. In Section IV we discuss the results demonstrating the tilt immunity range, and the sensitivity of the device. Section V describes several potential applications of nEUCLID, and Section VI draws together our conclusions.

Angular momentum projection of tilted axis rotating states

Energy Technology Data Exchange (ETDEWEB)

Oi, M; Onishi, N; Tajima, N [Tokyo Univ. (Japan); Horibata, T

1998-03-01

We applied an exact angular momentum projection to three dimensional cranked HFB (3d-CHFB) states. Tilted axis rotating states (TAR) and principal axis rotating states (PAR) are compared. It is shown that TAR is more adequate than PAR for description of the back bending phenomena driven by tilted rotation or wobbling motion. (author)

The importance of prostate bed tilt during postprostatectomy intensity-modulated radiotherapy

International Nuclear Information System (INIS)

Bell, Linda J.; Cox, Jennifer; Eade, Thomas; Rinks, Marianne; Kneebone, Andrew

2014-01-01

Variations in rectal and bladder filling can create a tilt of the prostate bed, which generates the potential for a geographic miss during postprostatectomy radiotherapy. The aim of this study is to assess the effect that bladder and rectum filling has on planning target volume angle, to determine a method to assess prostate bed tilt leading to potential geographic miss, and to discuss possible implementation issues. The cone-beam computed tomography images (n = 377) of 40 patients who received postprostatectomy radiotherapy with intensity-modulated radiotherapy were reviewed. The amount of tilt in the prostate bed was defined as the angle change between 2 surgical clips, one in the upper prostate bed and another in the lower. A potential geographic miss was defined as movement of any clip of more than 1 cm in any direction or 0.5 cm posteriorly when aligned to bone anatomy. Variations in bladder and rectum size were correlated with the degree of prostate bed tilt, and the rate of potential geographic miss was determined. A possible clinical use of prostate bed tilt was then assessed for different imaging techniques. A tilt of more than 10° was seen in 20.2% of images, which resulted in a 57.9% geographic miss rate of the superior clip. When tilt remained within 10°, there was only a 9% rate of geographic miss. Potential geographic miss of the inferior surgical clip was rare, occurring in only 1.9% of all images reviewed. The most common occurrence when the prostate bed tilt increased by more than 10° was a smaller bladder and larger rectum (6.4% of all images). The most common occurrence when the prostate bed tilt decreased by more than 10° was a larger bladder and smaller rectum (1.3% of all images). Significant prostate bed tilt (>± 10°) occurred in more than 20% of images, creating a 58% rate of geographic miss. Greatest prostate bed tilt occurred when the bladder size increased or reduced by more than 2 cm or the superior rectum size increased by more

The importance of prostate bed tilt during postprostatectomy intensity-modulated radiotherapy

Energy Technology Data Exchange (ETDEWEB)

Bell, Linda J., E-mail: Linda.Bell1@health.nsw.gov.au [Northern Sydney Cancer Centre, Radiation Oncology Department, Royal North Shore Hospital, St Leonards, New South Wales (Australia); Faculty of Health Sciences, University of Sydney, Lidcombe, New South Wales (Australia); Cox, Jennifer [Northern Sydney Cancer Centre, Radiation Oncology Department, Royal North Shore Hospital, St Leonards, New South Wales (Australia); Faculty of Health Sciences, University of Sydney, Lidcombe, New South Wales (Australia); Eade, Thomas; Rinks, Marianne; Kneebone, Andrew [Northern Sydney Cancer Centre, Radiation Oncology Department, Royal North Shore Hospital, St Leonards, New South Wales (Australia)

2014-10-01

Variations in rectal and bladder filling can create a tilt of the prostate bed, which generates the potential for a geographic miss during postprostatectomy radiotherapy. The aim of this study is to assess the effect that bladder and rectum filling has on planning target volume angle, to determine a method to assess prostate bed tilt leading to potential geographic miss, and to discuss possible implementation issues. The cone-beam computed tomography images (n = 377) of 40 patients who received postprostatectomy radiotherapy with intensity-modulated radiotherapy were reviewed. The amount of tilt in the prostate bed was defined as the angle change between 2 surgical clips, one in the upper prostate bed and another in the lower. A potential geographic miss was defined as movement of any clip of more than 1 cm in any direction or 0.5 cm posteriorly when aligned to bone anatomy. Variations in bladder and rectum size were correlated with the degree of prostate bed tilt, and the rate of potential geographic miss was determined. A possible clinical use of prostate bed tilt was then assessed for different imaging techniques. A tilt of more than 10° was seen in 20.2% of images, which resulted in a 57.9% geographic miss rate of the superior clip. When tilt remained within 10°, there was only a 9% rate of geographic miss. Potential geographic miss of the inferior surgical clip was rare, occurring in only 1.9% of all images reviewed. The most common occurrence when the prostate bed tilt increased by more than 10° was a smaller bladder and larger rectum (6.4% of all images). The most common occurrence when the prostate bed tilt decreased by more than 10° was a larger bladder and smaller rectum (1.3% of all images). Significant prostate bed tilt (>± 10°) occurred in more than 20% of images, creating a 58% rate of geographic miss. Greatest prostate bed tilt occurred when the bladder size increased or reduced by more than 2 cm or the superior rectum size increased by more

V/STOL tilt rotor aircraft study. Volume 6: Preliminary design of a composite wing for tilt rotor research aircraft

Science.gov (United States)

Soule, V. A.; Badri-Nath, Y.

1973-01-01

The results of a study of the use of composite materials in the wing of a tilt rotor aircraft are presented. An all-metal tilt rotor aircraft was first defined to provide a basis for comparing composite with metal structure. A configuration study was then done in which the wing of the metal aircraft was replaced with composite wings of varying chord and thickness ratio. The results of this study defined the design and performance benefits obtainable with composite materials. Based on these results the aircraft was resized with a composite wing to extend the weight savings to other parts of the aircraft. A wing design was then selected for detailed structural analysis. A development plan including costs and schedules to develop this wing and incorporate it into a proposed flight research tilt rotor vehicle has been devised.

Diagnostic accuracy of state-of-the-art MDCT scanners without gantry tilt in patients with oral and oropharyngeal cancer

International Nuclear Information System (INIS)

Bannas, Peter; Habermann, Christian R.; Jung, Caroline; Bley, Thorsten A.; Ittrich, Harald; Adam, Gerhard; Koops, Andreas

2012-01-01

Purpose: Current CT-protocols for staging oral and oropharyngeal cancer include primary transversal slices and secondary tilted slices to avoid artifact-producing regions of dental metalwork. Some of the latest MDCT scanners do not allow gantry tilt. Hence, we assessed the relevance of secondary tilted slices in tumor staging. Materials and methods: Scans of a tiltable 64-row MDCT-scanner of 82 patients with oral or oropharyngeal cancer were retrospectively and independently evaluated twice by three readers: once using the primary transversal scans only, and once taking the transversal and secondary tilted scans into account. Tumor diameters and TN-stage were determined with both methods. Artifacts on transversal scans were analyzed using a 3-point-ranking-scale. Results: Image quality was impaired by severe artifacts in 24% of transversal slices of the oral cavity and in 12% of the oropharynx. The three readers detected an average of 57.7 ± 2.1 of 82 tumors (70%) on transversal CT slices. An average of 6.3 ± 0.6 more tumors (8%) were detected when transversal studies were evaluated in conjunction with secondary tilted slices, leading to a significantly (p = 0.0156–0.0313) increased average detection rate of 64.0 ± 2.0 tumors (78%). Moreover, secondary tilted slices led to a correction of underestimated tumor stages in up to six patients (7.3%). Conclusion: Tilted slices that avoid artifact-producing regions of dental metalwork significantly improve the reader's sensitivity and are of incremental value for staging of oral and oropharyngeal cancers.

Inner core tilt and polar motion

Science.gov (United States)

Dumberry, Mathieu; Bloxham, Jeremy

2002-11-01

A tilted inner core permits exchange of angular momentum between the core and the mantle through gravitational and pressure torques and, as a result, changes in the direction of Earth's axis of rotation with respect to the mantle. We have developed a model to calculate the amplitude of the polar motion that results from an equatorial torque at the inner core boundary which tilts the inner core out of alignment with the mantle. We specifically address the issue of the role of the inner core tilt in the decade polar motion known as the Markowitz wobble. We show that a decade polar motion of the same amplitude as the observed Markowitz wobble requires a torque of 1020 N m which tilts the inner core by 0.07 degrees. This result critically depends on the viscosity of the inner core; for a viscosity less than 5 × 1017 Pa s, larger torques are required. We investigate the possibility that a torque of 1020 N m with decadal periodicity can be produced by electromagnetic coupling between the inner core and torsional oscillations of the flow in the outer core. We demonstrate that a radial magnetic field at the inner core boundary of 3 to 4 mT is required to obtain a torque of such amplitude. The resulting polar motion is eccentric and polarized, in agreement with the observations. Our model suggests that equatorial torques at the inner core boundary might also excite the Chandler wobble, provided there exists a physical mechanism that can generate a large torque at a 14 month period.

Association between temporomandibular disorders and abnormal head postures

Directory of Open Access Journals (Sweden)

Evandro Francisco FAULIN

2015-01-01

Full Text Available This study examines the possible correlation between the prevalence of temporomandibular disorders (TMD and different head postures in the frontal and sagittal planes using photographs of undergraduate students in the School of Dentistry at the Universidade de Brasília - UnB, Brazil. In this nonrandomized, cross-sectional study, the diagnoses of TMD were made with the Research Diagnostic Criteria (RDC/TMD axis I. The craniovertebral angle was used to evaluate forward head posture in the sagittal plane, and the interpupillary line was used to measure head tilt in the frontal plane. The measurements to evaluate head posture were made using the Software for the Assessment of Posture (SAPO. Students were divided into two study groups, based on the presence or absence of TMD. The study group comprised 46 students and the control group comprised 80 students. Data about head posture and TMD were analyzed with the Statistical Package for the Social Sciences, version 13. Most cases of TMD were classified as degenerative processes (group III, followed by disk displacement (group II and muscle disorders (group I. There was no sex predominance for the type of disorder. No association was found between prevalence rates for head postures in the frontal plane and the occurrence of TMD. The same result was found for the association of TMD diagnosis with craniovertebral angle among men and women, and the group that contained both men and women. Abnormal head postures were common among individuals both with and without TMD. No association was found between head posture evaluated in the frontal and sagittal planes and TMD diagnosis with the use of RDC/TMD.

Cybersickness provoked by head-mounted display affects cutaneous vascular tone, heart rate and reaction time.

Science.gov (United States)

Nalivaiko, Eugene; Davis, Simon L; Blackmore, Karen L; Vakulin, Andrew; Nesbitt, Keith V

2015-11-01

Evidence from studies of provocative motion indicates that motion sickness is tightly linked to the disturbances of thermoregulation. The major aim of the current study was to determine whether provocative visual stimuli (immersion into the virtual reality simulating rides on a rollercoaster) affect skin temperature that reflects thermoregulatory cutaneous responses, and to test whether such stimuli alter cognitive functions. In 26 healthy young volunteers wearing head-mounted display (Oculus Rift), simulated rides consistently provoked vection and nausea, with a significant difference between the two versions of simulation software (Parrot Coaster and Helix). Basal finger temperature had bimodal distribution, with low-temperature group (n=8) having values of 23-29 °C, and high-temperature group (n=18) having values of 32-36 °C. Effects of cybersickness on finger temperature depended on the basal level of this variable: in subjects from former group it raised by 3-4 °C, while in most subjects from the latter group it either did not change or transiently reduced by 1.5-2 °C. There was no correlation between the magnitude of changes in the finger temperature and nausea score at the end of simulated ride. Provocative visual stimulation caused prolongation of simple reaction time by 20-50 ms; this increase closely correlated with the subjective rating of nausea. Lastly, in subjects who experienced pronounced nausea, heart rate was elevated. We conclude that cybersickness is associated with changes in cutaneous thermoregulatory vascular tone; this further supports the idea of a tight link between motion sickness and thermoregulation. Cybersickness-induced prolongation of reaction time raises obvious concerns regarding the safety of this technology. Copyright © 2015 Elsevier Inc. All rights reserved.

Simultaneous determination of sample thickness, tilt, and electron mean free path using tomographic tilt images based on Beer-Lambert law.

Science.gov (United States)

Yan, Rui; Edwards, Thomas J; Pankratz, Logan M; Kuhn, Richard J; Lanman, Jason K; Liu, Jun; Jiang, Wen

2015-11-01

Cryo-electron tomography (cryo-ET) is an emerging technique that can elucidate the architecture of macromolecular complexes and cellular ultrastructure in a near-native state. Some important sample parameters, such as thickness and tilt, are needed for 3-D reconstruction. However, these parameters can currently only be determined using trial 3-D reconstructions. Accurate electron mean free path plays a significant role in modeling image formation process essential for simulation of electron microscopy images and model-based iterative 3-D reconstruction methods; however, their values are voltage and sample dependent and have only been experimentally measured for a limited number of sample conditions. Here, we report a computational method, tomoThickness, based on the Beer-Lambert law, to simultaneously determine the sample thickness, tilt and electron inelastic mean free path by solving an overdetermined nonlinear least square optimization problem utilizing the strong constraints of tilt relationships. The method has been extensively tested with both stained and cryo datasets. The fitted electron mean free paths are consistent with reported experimental measurements. The accurate thickness estimation eliminates the need for a generous assignment of Z-dimension size of the tomogram. Interestingly, we have also found that nearly all samples are a few degrees tilted relative to the electron beam. Compensation of the intrinsic sample tilt can result in horizontal structure and reduced Z-dimension of tomograms. Our fast, pre-reconstruction method can thus provide important sample parameters that can help improve performance of tomographic reconstruction of a wide range of samples. Copyright © 2015 Elsevier Inc. All rights reserved.

Influence of Vibrotactile Feedback on Controlling Tilt Motion After Spaceflight

Science.gov (United States)

Wood, S. J.; Rupert, A. H.; Vanya, R. D.; Esteves, J. T.; Clement, G.

2011-01-01

We hypothesize that adaptive changes in how inertial cues from the vestibular system are integrated with other sensory information leads to perceptual disturbances and impaired manual control following transitions between gravity environments. The primary goals of this ongoing post-flight investigation are to quantify decrements in manual control of tilt motion following short-duration spaceflight and to evaluate vibrotactile feedback of tilt as a sensorimotor countermeasure. METHODS. Data is currently being collected on 9 astronaut subjects during 3 preflight sessions and during the first 8 days after Shuttle landings. Variable radius centrifugation (216 deg/s, body axis, thereby eliciting canal reflexes without concordant otolith or visual cues. A simple 4 tactor system was implemented to provide feedback when tilt position exceeded predetermined levels in either device. Closed-loop nulling tasks are performed during random tilt steps or sum-of-sines (TTS only) with and without vibrotactile feedback of chair position. RESULTS. On landing day the manual control performance without vibrotactile feedback was reduced by >30% based on the gain or the amount of tilt disturbance successfully nulled. Manual control performance tended to return to baseline levels within 1-2 days following landing. Root-mean-square position error and tilt velocity were significantly reduced with vibrotactile feedback. CONCLUSIONS. These preliminary results are consistent with our hypothesis that adaptive changes in vestibular processing corresponds to reduced manual control performance following G-transitions. A simple vibrotactile prosthesis improves the ability to null out tilt motion within a limited range of motion disturbances.

Helmet-mounted display requirements: just another head-up display (HUD) or a different animal altogether?

Science.gov (United States)

Newman, Richard L.; Haworth, Loran A.

1994-06-01

The helmet-mounted display (HMD) presents flight, navigation, and weapon information in the pilot's line of sight. The HMD was developed to allow the pilot to retain aircraft and weapon information while looking off boresight. The present study reviewed the state-of-the-art in HMDs and identified a number of issues applying to HMDs. Several are identical to head-up display (HUD) issues: symbol standardization, excessive clutter, and the need for integration with other cockpit displays and controls. Other issues are unique to the head-mounted display: symbol stabilization, inadequate definitions, undefined symbol drive laws, helmet considerations, and field-of-view (FOV) vs. resolution tradeoff requirements. Symbol stabilization is critical. In the Apache helicopter, the lack of compensation for pilot head motion creates excessive workload during hovering and nap-of-the-earth (NOE) flight. This high workload translates into excessive training requirements. At the same time, misleading symbology makes interpretation of the height of obstructions impossible. The underlying cause is the absence of design criteria for HMDs. The existing military standard does not reflect the current state of technology. In addition, there are inadequate test and evaluation guidelines. The situation parallels the situation for HUDs several years ago.

Experimental provocation of 'ice-cream headache' by ice cubes and ice water.

Science.gov (United States)

Mages, Stephan; Hensel, Ole; Zierz, Antonia Maria; Kraya, Torsten; Zierz, Stephan

2017-04-01

Background There are various studies on experimentally provoked 'ice-cream headache' or 'headache attributed to ingestion or inhalation of a cold stimulus' (HICS) using different provocation protocols. The aim of this study was to compare two provocation protocols. Methods Ice cubes pressed to the palate and fast ingestion of ice water were used to provoke HICS and clinical features were compared. Results The ice-water stimulus provoked HICS significantly more often than the ice-cube stimulus (9/77 vs. 39/77). Ice-water-provoked HICS had a significantly shorter latency (median 15 s, range 4-97 s vs. median 68 s, range 27-96 s). There was no difference in pain localisation. Character after ice-cube stimulation was predominantly described as pressing and after ice-water stimulation as stabbing. A second HICS followed in 10/39 (26%) of the headaches provoked by ice water. Lacrimation occurred significantly more often in volunteers with than in those without HICS. Discussion HICS provoked by ice water was more frequent, had a shorter latency, different pain character and higher pain intensity than HICS provoked by ice cubes. The finding of two subsequent HICS attacks in the same volunteers supports the notion that two types of HICS exist. Lacrimation during HICS indicates involvement of the trigeminal-autonomic reflex.

Assessment of three-dimensional set-up errors in conventional head and neck radiotherapy using electronic portal imaging device

International Nuclear Information System (INIS)

Gupta, Tejpal; Chopra, Supriya; Kadam, Avinash; Agarwal, Jai Prakash; Devi, P Reena; Ghosh-Laskar, Sarbani; Dinshaw, Ketayun Ardeshir

2007-01-01

Set-up errors are an inherent part of radiation treatment process. Coverage of target volume is a direct function of set-up margins, which should be optimized to prevent inadvertent irradiation of adjacent normal tissues. The aim of this study was to evaluate three-dimensional (3D) set-up errors and propose optimum margins for target volume coverage in head and neck radiotherapy. The dataset consisted of 93 pairs of orthogonal simulator and corresponding portal images on which 558 point positions were measured to calculate translational displacement in 25 patients undergoing conventional head and neck radiotherapy with antero-lateral wedge pair technique. Mean displacements, population systematic (Σ) and random (σ) errors and 3D vector of displacement was calculated. Set-up margins were calculated using published margin recipes. The mean displacement in antero-posterior (AP), medio-lateral (ML) and supero-inferior (SI) direction was -0.25 mm (-6.50 to +7.70 mm), -0.48 mm (-5.50 to +7.80 mm) and +0.45 mm (-7.30 to +7.40 mm) respectively. Ninety three percent of the displacements were within 5 mm in all three cardinal directions. Population systematic (Σ) and random errors (σ) were 0.96, 0.98 and 1.20 mm and 1.94, 1.97 and 2.48 mm in AP, ML and SI direction respectively. The mean 3D vector of displacement was 3.84 cm. Using van Herk's formula, the clinical target volume to planning target volume margins were 3.76, 3.83 and 4.74 mm in AP, ML and SI direction respectively. The present study report compares well with published set-up error data relevant to head and neck radiotherapy practice. The set-up margins were <5 mm in all directions. Caution is warranted against adopting generic margin recipes as different margin generating recipes lead to a different probability of target volume coverage

Additional value of integrated PET/CT over PET alone in the initial staging and follow up of head and neck malignancy

International Nuclear Information System (INIS)

Ishikita, Tomohiro; Oriuchi, Noboru; Higuchi, Tetsuya

2010-01-01

Clinical application of fluorodeoxyglucose (FDG)-positron emission tomography (PET) in head and neck cancer includes identification of metastases, unknown primary head and neck malignancy, or second primary carcinoma, and also recurrent tumor after treatment. In this study, the additional value of PET/CT fusion images over PET images alone was evaluated in patients with initial staging and follow up of head and neck malignancy. Forty patients with suspected primary head and neck malignancy and 129 patients with suspected relapse after treatment of head and neck malignancy were included. FDG-PET/CT study was performed after the intravenous administration of FDG (5 MBq/kg). Target of evaluation was set at primary tumor, cervical lymph node, and whole body. PET images and PET with CT fusion images were compared. Sensitivity, specificity, accuracy, positive predictive value (PPV), and negative predictive value (NPV) were calculated. Results of PET and PET/CT were compared with postoperative histopathological examination, and case by case comparison of PET and PET/CT results for each region was performed. The additional value of CT images over PET only images was assessed. Statistical differences in sensitivity and specificity were evaluated. In the comparative evaluation of 507 targets by PET alone and PET/CT, 401 targets showed agreement of the results. Of the 106 discordant targets, 103 showed a positive result on PET alone and negative result on PET/CT. These results showed a significant difference (p<0.01). Sensitivity of PET/CT was slightly higher than that of PET without statistical significance, while specificity of PET/CT was significantly higher than that of PET alone (Initial Staging: 90.5% vs. 62.2%, p<0.01; Follow up: 97.2% vs. 74.4%, p<0.01). In Fisher's direct probability test, a significant difference was noted in the sensitivity (Initial staging: 91.3% vs. 87.0%, p<0.01; Follow up: 93.9% vs. 91.4%, p<0.01). Combined PET/CT showed improved diagnostic

Head-coupled remote stereoscopic camera system for telepresence applications

Science.gov (United States)

Bolas, Mark T.; Fisher, Scott S.

1990-09-01

The Virtual Environment Workstation Project (VIEW) at NASA's Ames Research Center has developed a remotely controlled stereoscopic camera system that can be used for telepresence research and as a tool to develop and evaluate configurations for head-coupled visual systems associated with space station telerobots and remote manipulation robotic arms. The prototype camera system consists of two lightweight CCD video cameras mounted on a computer controlled platform that provides real-time pan, tilt, and roll control of the camera system in coordination with head position transmitted from the user. This paper provides an overall system description focused on the design and implementation of the camera and platform hardware configuration and the development of control software. Results of preliminary performance evaluations are reported with emphasis on engineering and mechanical design issues and discussion of related psychophysiological effects and objectives.

Long-Term Follow-up of Modular Metallic Radial Head Replacement: Commentary on an article by Jonathan P. Marsh, MD, FRCSC, et al.: "Radial Head Fractures Treated with Modular Metallic Radial Head Replacement: Outcomes at a Mean Follow-up of Eight Years".

OpenAIRE

Mansat, Pierre

2016-01-01

Radial head arthroplasty is used to stabilize the joint after a complex acute radial head fracture that is not amenable for fixation or to treat sequelae of radial head fractures. Most of the currently used radial head prostheses are metallic monoblock implants that are not consistently adaptable and raise technical challenges since their implantation requires lateral elbow subluxation. Metallic modular radial head arthroplasty implants available in various head and stem sizes have been devel...

Research on calculation of the IOL tilt and decentration based on surface fitting.

Science.gov (United States)

Li, Lin; Wang, Ke; Yan, Yan; Song, Xudong; Liu, Zhicheng

2013-01-01

The tilt and decentration of intraocular lens (IOL) result in defocussing, astigmatism, and wavefront aberration after operation. The objective is to give a method to estimate the tilt and decentration of IOL more accurately. Based on AS-OCT images of twelve eyes from eight cases with subluxation lens after operation, we fitted spherical equation to the data obtained from the images of the anterior and posterior surfaces of the IOL. By the established relationship between IOL tilt (decentration) and the scanned angle, at which a piece of AS-OCT image was taken by the instrument, the IOL tilt and decentration were calculated. IOL tilt angle and decentration of each subject were given. Moreover, the horizontal and vertical tilt was also obtained. Accordingly, the possible errors of IOL tilt and decentration existed in the method employed by AS-OCT instrument. Based on 6-12 pieces of AS-OCT images at different directions, the tilt angle and decentration values were shown, respectively. The method of the surface fitting to the IOL surface can accurately analyze the IOL's location, and six pieces of AS-OCT images at three pairs symmetrical directions are enough to get tilt angle and decentration value of IOL more precisely.

Research on Calculation of the IOL Tilt and Decentration Based on Surface Fitting

Directory of Open Access Journals (Sweden)

Lin Li

2013-01-01

Full Text Available The tilt and decentration of intraocular lens (IOL result in defocussing, astigmatism, and wavefront aberration after operation. The objective is to give a method to estimate the tilt and decentration of IOL more accurately. Based on AS-OCT images of twelve eyes from eight cases with subluxation lens after operation, we fitted spherical equation to the data obtained from the images of the anterior and posterior surfaces of the IOL. By the established relationship between IOL tilt (decentration and the scanned angle, at which a piece of AS-OCT image was taken by the instrument, the IOL tilt and decentration were calculated. IOL tilt angle and decentration of each subject were given. Moreover, the horizontal and vertical tilt was also obtained. Accordingly, the possible errors of IOL tilt and decentration existed in the method employed by AS-OCT instrument. Based on 6–12 pieces of AS-OCT images at different directions, the tilt angle and decentration values were shown, respectively. The method of the surface fitting to the IOL surface can accurately analyze the IOL’s location, and six pieces of AS-OCT images at three pairs symmetrical directions are enough to get tilt angle and decentration value of IOL more precisely.

The relationship between anterior pelvic tilt and gait, balance in patient with chronic stroke.

Science.gov (United States)

Kim, Myoung-Kwon; Kim, Seong-Gil; Shin, Young-Jun; Choi, Eun-Hong; Choe, Yu-Won

2018-01-01

[Purpose] The aim of this study is to find out the association between anterior pelvic tilt and gait and balance in chronic stroke. [Subjects and Methods] Fourteen chronic stroke patients were included in this study. A palpation meter was employed to measure the anterior inclination of the pelvis. A GAITRite system automates measuring temporal and spatial gait parameters. A 10-Meter Walk test was used to measure gait speed. The Timed Up and Go test was used to measure the dynamic balance ability and gait ability of the participants. A BioRescue was used to assess balance by measuring the moving distance and area of the center of pressure. [Results] There were significant negative correlations between pelvic anterior tilt and velocity, step length, and stride. There were significant positive correlations between velocity and cadence, step length, and stride length. There were significant negative correlations between velocity and cycle time, H-H base, TUG, and 10MWT. There was significant negative correlation between cadence and cycle time and H-H base. [Conclusion] This study showed a negative correlation between pelvic anterior tilt and gait function including gait speed and step length.

Magnetic domain-wall tilting due to domain-wall speed asymmetry

Science.gov (United States)

Kim, Dae-Yun; Park, Min-Ho; Park, Yong-Keun; Kim, Joo-Sung; Nam, Yoon-Seok; Hwang, Hyun-Seok; Kim, Duck-Ho; Je, Soong-Geun; Min, Byoung-Chul; Choe, Sug-Bong

2018-04-01

Broken symmetries in diverse systems generate a number of intriguing phenomena and the analysis on such broken symmetries often provides decisive clues for exploring underlying physics in the systems. Recently, in magnetic thin-film systems, the Dzyaloshinskii-Moriya interaction (DMI)—induced by the broken symmetry of structural inversion—accounts for various chiral phenomena, which are of timely issues in spintronics. Here, we report an experimental observation on unexpected tilting of magnetic domain walls (DWs) due to the broken symmetry under the application of the magnetic field transverse to the magnetic wire systems. It has been predicted that the DMI possibly causes such DW tilting in the direction of the energy minimization. However, very interestingly, experimental observation reveals that the DW tilting does not follow the prediction based on the energy minimization, even for the tilting direction. Instead, the DW tilting is governed by the DW speed asymmetry that is initiated by the DW pinning at wire edges. A simple analytic model is proposed in consideration of the DW speed asymmetry at wire edges, which successfully explains the experimental observation of the DW tilting directions and angles, as confirmed by numerical simulation. The present study manifests the decisive role of the DW pinning with the DW speed asymmetry, which determines the DW configuration and consequently, the dynamics.

Mechanisms of Günther Tulip filter tilting during transfemoral placement.

Science.gov (United States)

Matsui, Y; Horikawa, M; Ohta, K; Jahangiri Noudeh, Y; Kaufman, J A; Farsad, K

The purpose of this study was to characterize the mechanisms of Günther Tulip filter (GTF) tilting during transfemoral placement in an experimental model with further validation in a clinical series. In an experimental study, 120 GTF placements in an inferior vena cava (IVC) model were performed using 6 configurations of pre-deployment filter position. The angle between the pre-deployment filter axis and IVC axis, and the proximity of the constrained filter legs to IVC wall prior to deployment were evaluated. The association of those pre-deployment factors with post-deployment filter tilting was analyzed. The association noted in the experimental study was then evaluated in a retrospective clinical series of 21 patients. In the experimental study, there was a significant association between the pre-deployment angle and post-deployment filter tilting (P<0.0001). With a low pre-deployment angle (≤5°), a significant association was noted between filter tilting and the proximity of the constrained filter legs to the far IVC wall (P=0.001). In a retrospective clinical study, a significant association between the pre-deployment angle and post-deployment filter tilting was also noted with a linear regression model (P=0.026). Significant association of the pre-deployment angle with post-deployment GTF tilting was shown in both the experimental and clinical studies. The experimental study also showed that proximity of filter legs is relevant when pre-deployment angle is small. Addressing these factors may result in a lower incidence of filter tilting. Copyright © 2017 Editions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

Numerical modelling of the tilt casting processes of titanium alumindes

OpenAIRE

Wang, Hong

2008-01-01

This research has investigated the modelling and optimisation of the tilt casting process of Titanium Aluminides (TiAl). This study is carried out in parallel with the experimental research undertaken in IRC at the University of Birmingham. They propose to use tilt casting inside a vacuum chamber and attempt to combine this tilt casting process with Induction Skull Melting (ISM). A totally novel process is developing for investment casting, which is suitable for casting gamma TiAl.\\ud \\ud As ...

Tilting-connected symmetric algebras

OpenAIRE

Aihara, Takuma

2010-01-01

The notion of silting mutation was introduced by Iyama and the author. In this paper we mainly study silting mutation for self-injective algebras and prove that any representation-finite symmetric algebra is tilting-connected. Moreover we give some sufficient conditions for a Bongartz-type Lemma to hold for silting objects.

Rigidity of tilting modules

DEFF Research Database (Denmark)

Haahr Andersen, Henning; Kaneda, Masaharu

Let $U_q$ denote the quantum group associated with a finite dimensional semisimple Lie algebra. Assume that $q$ is a complex root of unity of odd order and that $U_q$ is %the quantum group version obtained via Lusztig's $q$-divided powers construction. We prove that all regular projective (tilting...

Management of gallbladder dyskinesia: patient outcomes following positive 99mtechnetium (Tc)-labelled hepatic iminodiacetic acid (HIDA) scintigraphy with cholecystokinin (CCK) provocation and laparoscopic cholecystectomy

International Nuclear Information System (INIS)

Dave, R.V.; Pathak, S.; Cockbain, A.J.; Lodge, J.P.; Smith, A.M.; Chowdhury, F.U.; Toogood, G.J.

2015-01-01

Aims: To evaluate clinical outcomes in patients with typical biliary pain, normal ultrasonic findings, and a positive 99m technetium (Tc)-labelled hepatic iminodiacetic acid analogue (HIDA) scintigraphy with cholecystokinin (CCK) provocation indicating gallbladder dyskinesia, as per Rome III criteria, undergoing laparoscopic cholecystectomy (LC). Methods and materials: Consecutive patients undergoing LC for gallbladder dyskinesia were identified retrospectively. They were followed up by telephone interview and review of the electronic case records to assess symptom resolution. Results: One hundred consecutive patients (median age 44; 80% female) with abnormal gallbladder ejection fraction (GB-EF <35%) were followed up for a median of 12 months (range 2–80 months). Following LC, 84% reported symptomatic improvement and 52% had no residual pain. Twelve percent had persisting preoperative-type pain of either unchanged or worsening severity. Neither pathological features of chronic cholecystitis (87% of 92 incidences when histology available) nor reproduction of pain on CCK injection were significantly predictive of symptom outcome or pain relief post-LC. Conclusion: In one of the largest outcome series of gallbladder dyskinesia patients in the UK with a positive provocation HIDA scintigraphy examination and LC, the present study shows that the test is a useful functional diagnostic tool in the management of patients with typical biliary pain and normal ultrasound, with favourable outcomes following surgery. - Highlights: • Gallbladder dyskinesia (GD) is a challenging condition to diagnose and treat. • This study evaluated clinical outcomes following laparoscopic cholecystectomy (LC). • There was sustained symptomatic benefit in >80% following surgery. • Pre-operative counselling before LC is important

Ambiguous Tilt and Translation Motion Cues in Astronauts after Space Flight

Science.gov (United States)

Clement, G.; Harm, D. L.; Rupert, A. H.; Beaton, K. H.; Wood, S. J.

2008-01-01

Adaptive changes during space flight in how the brain integrates vestibular cues with visual, proprioceptive, and somatosensory information can lead to impaired movement coordination, vertigo, spatial disorientation, and perceptual illusions following transitions between gravity levels. This joint ESA-NASA pre- and post-flight experiment is designed to examine both the physiological basis and operational implications for disorientation and tilt-translation disturbances in astronauts following short-duration space flights. The first specific aim is to examine the effects of stimulus frequency on adaptive changes in eye movements and motion perception during independent tilt and translation motion profiles. Roll motion is provided by a variable radius centrifuge. Pitch motion is provided by NASA's Tilt-Translation Sled in which the resultant gravitoinertial vector remains aligned with the body longitudinal axis during tilt motion (referred to as the Z-axis gravitoinertial or ZAG paradigm). We hypothesize that the adaptation of otolith-mediated responses to these stimuli will have specific frequency characteristics, being greatest in the mid-frequency range where there is a crossover of tilt and translation. The second specific aim is to employ a closed-loop nulling task in which subjects are tasked to use a joystick to null-out tilt motion disturbances on these two devices. The stimuli consist of random steps or sum-of-sinusoids stimuli, including the ZAG profiles on the Tilt-Translation Sled. We hypothesize that the ability to control tilt orientation will be compromised following space flight, with increased control errors corresponding to changes in self-motion perception. The third specific aim is to evaluate how sensory substitution aids can be used to improve manual control performance. During the closed-loop nulling task on both devices, small tactors placed around the torso vibrate according to the actual body tilt angle relative to gravity. We hypothesize

The diagnostic value of three sacroiliac joint pain provocation tests for sacroiliitis identified by magnetic resonance imaging

DEFF Research Database (Denmark)

Arnbak, B; Jurik, A G; Jensen, R K

2017-01-01

OBJECTIVES: The aim of the current study was to investigate the diagnostic value of three sacroiliac (SI) joint pain provocation tests for sacroiliitis identified by magnetic resonance imaging (MRI) and stratified by gender. METHOD: Patients without clinical signs of nerve root compression were...

Use of Minute-by-Minute Cardiovascular Measurements During Tilt Tests to Strengthen Inference on the Effect of Long-Duration Space Flight on Orthostatic Hypotension

Science.gov (United States)

Feiveson, Alan H.; Lee, Stuart M. C.; Stenger, Michael B.; Stein, Sydney P.; Platts, Steven H.

2011-01-01

Typical methodology for evaluating the effects of spaceflight on orthostatic hypotension (OH) has been survival analysis of tolerance times from 80 head-up tilt tests. However when scheduled test durations are short, there may not be enough failures to allow survival analysis to adequately estimate and compare the effects of flight phase (e.g. pre-flight, number of days post-flight), flight duration, and their interaction, as well as interactions with effects of interventions or countermeasures. The problem is exacerbated in the presence of a repeated measures design, in which subjects participate in tilt tests during various flight phases. Here we show how it is possible to dramatically improve the efficiency of statistical inference in this setting by making use of the additional information contained in minute-by-minute observations of cardiovascular parameters thought to be reflective of progression towards presyncope during tilt testing. Methods: We retrospectively examined operational tilt test (OTT; 10 -min 80 head-up tilt) data from 20 International Space Station (ISS) and 66 Shuttle astronauts 10 d before launch (L-10), on landing day (R+0) and during recovery (R+1, R+3, R+6-10) depending on the level of participation. Data from 5 ISS astronauts tested on R+0 or R+1 who used non-standard countermeasures were excluded. In addition to OTT survival time, 8 cardiovascular parameters (CP: heart rate, systolic, diastolic, and mean arterial blood pressure, pulse pressure, stroke volume, cardiac output, and total peripheral resistance) that might be predictive of progression towards presyncope were measured every minute of each OTT. Statistical analysis was predicated on a two ]stage model of causation. In the first stage, flight duration and time from landing affect the astronauts' degree of OH, which is manifested in the time trends and variation of the above CPs during OTTs. In the second stage, the behavior of these parameters directly affects OTT survival

Low cost heads-up virtual reality (HUVR) with optical tracking and haptic feedback

KAUST Repository

Margolis, Todd

2011-01-23

Researchers at the University of California, San Diego, have created a new, relatively low-cost augmented reality system that enables users to touch the virtual environment they are immersed in. The Heads-Up Virtual Reality device (HUVR) couples a consumer 3D HD flat screen TV with a half-silvered mirror to project any graphic image onto the user\\'s hands and into the space surrounding them. With his or her head position optically tracked to generate the correct perspective view, the user maneuvers a force-feedback (haptic) device to interact with the 3D image, literally \\'touching\\' the object\\'s angles and contours as if it was a tangible physical object. HUVR can be used for training and education in structural and mechanical engineering, archaeology and medicine as well as other tasks that require hand-eye coordination. One of the most unique characteristics of HUVR is that a user can place their hands inside of the virtual environment without occluding the 3D image. Built using open-source software and consumer level hardware, HUVR offers users a tactile experience in an immersive environment that is functional, affordable and scalable.

Low cost heads-up virtual reality (HUVR) with optical tracking and haptic feedback

Science.gov (United States)

Margolis, Todd; DeFanti, Thomas A.; Dawe, Greg; Prudhomme, Andrew; Schulze, Jurgen P.; Cutchin, Steve

2011-03-01

Researchers at the University of California, San Diego, have created a new, relatively low-cost augmented reality system that enables users to touch the virtual environment they are immersed in. The Heads-Up Virtual Reality device (HUVR) couples a consumer 3D HD flat screen TV with a half-silvered mirror to project any graphic image onto the user's hands and into the space surrounding them. With his or her head position optically tracked to generate the correct perspective view, the user maneuvers a force-feedback (haptic) device to interact with the 3D image, literally 'touching' the object's angles and contours as if it was a tangible physical object. HUVR can be used for training and education in structural and mechanical engineering, archaeology and medicine as well as other tasks that require hand-eye coordination. One of the most unique characteristics of HUVR is that a user can place their hands inside of the virtual environment without occluding the 3D image. Built using open-source software and consumer level hardware, HUVR offers users a tactile experience in an immersive environment that is functional, affordable and scalable.

Using collisions and resonances to tilting Uranus

Science.gov (United States)

Rogoszinski, Zeeve; Hamilton, Douglas

2018-01-01

Uranus’ large obliquity (98°) is widely thought to have occurred from a polar strike with an Earth sized object. Morbidelli et al. (2012) argue that two or more collisions are required in order to explain the prograde motion of Uranus’ satellites. These impactors could have been less massive by about a factor of ten, but multiple polar strikes are still improbable as even larger mass impactors would be needed for more equatorial collisions. Here we explore an alternative non-collisional model inspired by the explanation to Saturn’s significant tilt (27°). Ward and Hamilton (2004) & Hamilton and Ward (2004) argue that a secular resonance currently between Saturn’s spin axis and Neptune’s orbital pole is responsible for Saturn’s large obliquity. Unfortunately, Uranus’ axial precession frequency today is too long to match any of the current planets’ fundamental frequencies. Boué and Laskar (2010) explain that Uranus may have harbored an improbably large moon in the past which could have sped up the planet’s axial precession frequency enough to resonate with the regression of its own orbital pole. We explore another scenario which requires only the interactions between the giant planets.Thommes et al. (1999, 2002, 2003) argue that at least the cores of Uranus and Neptune were formed in between Jupiter and Saturn, as the density of the protoplanetary disk was greater there. If Neptune was scattered outward before Uranus, then a secular spin-orbit resonance between the two planets is possible. However, driving Uranus’ obliquity to near 90° with a resonance capture requires a timescale on the order of 100 Myr. If Neptune migrated out quicker or its orbital inclination was initially larger, then we find that the resulting resonance kick can tilt Uranus more than 40° in a reasonable timespan. This could replace one of the impactors required in the collisional scenario described by Morbidelli et al. (2012), but in most situations the effect of such a

Integrative Blood Pressure Response to Upright Tilt Post Renal Denervation

Science.gov (United States)

Howden, Erin J.; East, Cara; Lawley, Justin S.; Stickford, Abigail S.L.; Verhees, Myrthe; Fu, Qi

2017-01-01

Abstract BACKGROUND Whether renal denervation (RDN) in patients with resistant hypertension normalizes blood pressure (BP) regulation in response to routine cardiovascular stimuli such as upright posture is unknown. We conducted an integrative study of BP regulation in patients with resistant hypertension who had received RDN to characterize autonomic circulatory control. METHODS Twelve patients (60 ± 9 [SD] years, n = 10 males) who participated in the Symplicity HTN-3 trial were studied and compared to 2 age-matched normotensive (Norm) and hypertensive (unmedicated, HTN) control groups. BP, heart rate (HR), cardiac output (Qc), muscle sympathetic nerve activity (MSNA), and neurohormonal variables were measured supine, and 30° (5 minutes) and 60° (20 minutes) head-up-tilt (HUT). Total peripheral resistance (TPR) was calculated from mean arterial pressure and Qc. RESULTS Despite treatment with RDN and 4.8 (range, 3–7) antihypertensive medications, the RDN had significantly higher supine systolic BP compared to Norm and HTN (149 ± 15 vs. 118 ± 6, 108 ± 8 mm Hg, P < 0.001). When supine, RDN had higher HR, TPR, MSNA, plasma norepinephrine, and effective arterial elastance compared to Norm. Plasma norepinephrine, Qc, and HR were also higher in the RDN vs. HTN. During HUT, BP remained higher in the RDN, due to increases in Qc, plasma norepinephrine, and aldosterone. CONCLUSION We provide evidence of a possible mechanism by which BP remains elevated post RDN, with the observation of increased Qc and arterial stiffness, as well as plasma norepinephrine and aldosterone levels at approximately 2 years post treatment. These findings may be the consequence of incomplete ablation of sympathetic renal nerves or be related to other factors. PMID:28338768

Modeling Flow Past a Tilted Vena Cava Filter

Energy Technology Data Exchange (ETDEWEB)

Singer, M A; Wang, S L

2009-06-29

Inferior vena cava filters are medical devices used to prevent pulmonary embolism (PE) from deep vein thrombosis. In particular, retrievable filters are well-suited for patients who are unresponsive to anticoagulation therapy and whose risk of PE decreased with time. The goal of this work is to use computational fluid dynamics to evaluate the flow past an unoccluded and partially occluded Celect inferior vena cava filter. In particular, the hemodynamic response to thrombus volume and filter tilt is examined, and the results are compared with flow conditions that are known to be thrombogenic. A computer model of the filter inside a model vena cava is constructed using high resolution digital photographs and methods of computer aided design. The models are parameterized using the Overture software framework, and a collection of overlapping grids is constructed to discretize the flow domain. The incompressible Navier-Stokes equations are solved, and the characteristics of the flow (i.e., velocity contours and wall shear stresses) are computed. The volume of stagnant and recirculating flow increases with thrombus volume. In addition, as the filter increases tilt, the cava wall adjacent to the tilted filter is subjected to low velocity flow that gives rise to regions of low wall shear stress. The results demonstrate the ease of IVC filter modeling with the Overture software framework. Flow conditions caused by the tilted Celect filter may elevate the risk of intrafilter thrombosis and facilitate vascular remodeling. This latter condition also increases the risk of penetration and potential incorporation of the hook of the filter into the vena caval wall, thereby complicating filter retrieval. Consequently, severe tilt at the time of filter deployment may warrant early clinical intervention.

An Operational evaluation of head up displays for civil transport operations. NASA/FAA phase 3 report

Science.gov (United States)

Lauber, J. K.; Bray, R. S.; Harrison, R. L.; Hemingway, J. C.; Scott, B. C.

1982-01-01

The advantages and disadvantages of head-up displays (HUDs) in commercial jet transport approach and landing operations was evaluated. Ten airline captains currently qualified in the B-727 aircraft flew a series of instrument landing system (ILS) and nonprecision approaches in a motion base simulator using both a flight director HUD concept and a flightpath HUD concept as well as conventional head-down instruments under a variety of environmental and operational conditions to assess: (1) the potential benefits of these HUDs in airline operations; (2) problems which might be associated with their use; and (3) flight crew training requirements and flight crew operating procedures suitable for use with the HUDs. Results are presented in terms of objective simulator based performance measures, subject pilot opinion and rating data, and observer data.

Simulations of Micropumps Based on Tilted Flexible Fibers

Science.gov (United States)

Hancock, Matthew; Elabbasi, Nagi; Demirel, Melik

2015-11-01

Pumping liquids at low Reynolds numbers is challenging because of the principle of reversibility. We report here a class of microfluidic pump designs based on tilted flexible structures that combines the concepts of cilia (flexible elastic elements) and rectifiers (e.g., Tesla valves, check valves). We demonstrate proof-of-concept with 2D and 3D fluid-structure interaction (FSI) simulations in COMSOL Multiphysics®of micropumps consisting of a source for oscillatory fluidic motion, e.g. a piston, and a channel lined with tilted flexible rods or sheets to provide rectification. When flow is against the rod tilt direction, the rods bend backward, narrowing the channel and increasing flow resistance; when flow is in the direction of rod tilt, the rods bend forward, widening the channel and decreasing flow resistance. The 2D and 3D simulations involve moving meshes whose quality is maintained by prescribing the mesh displacement on guide surfaces positioned on either side of each flexible structure. The prescribed displacement depends on structure bending and maintains mesh quality even for large deformations. Simulations demonstrate effective pumping even at Reynolds numbers as low as 0.001. Because rod rigidity may be specified independently of Reynolds number, in principle, rod rigidity may be reduced to enable pumping at arbitrarily low Reynolds numbers.

Tilted wheel satellite attitude control with air-bearing table experimental results

Science.gov (United States)

Inumoh, Lawrence O.; Forshaw, Jason L.; Horri, Nadjim M.

2015-12-01

Gyroscopic actuators for satellite control have attracted significant research interest over the years, but their viability for the control of small satellites has only recently started to become clear. Research on variable speed gyroscopic actuators has long been focused on single gimbal actuators; double gimbal actuators typically operate at constant wheel spin rate and allow tilt angle ranges far larger than the ranges needed to operate most satellite missions. This research examines a tilted wheel, a newly proposed type of inertial actuator that can generate torques in all three principal axes of a rigid satellite using a spinning wheel and a double tilt mechanism. The tilt mechanism tilts the angular momentum vector about two axes providing two degree of freedom control, while variation of the wheel speed provides the third. The equations of motion of the system lead to a singularity-free system during nominal operation avoiding the need for complex steering logic. This paper describes the hardware design of the tilted wheel and the experimental setup behind both standalone and spherical air-bearing tables used to test it. Experimental results from the air bearing table are provided with the results depicting the high performance capabilities of the proposed actuator in torque generation.

A systematic review of the diagnostic accuracy of provocative tests of the neck for diagnosing cervical radiculopathy.

NARCIS (Netherlands)

Rubinstein, S.M.; Pool, J.J.; van Tulder, M.W.; Riphagen, II; de Vet, H.C.W.

2007-01-01

Clinical provocative tests of the neck, which position the neck and arm inorder to aggravate or relieve arm symptoms, are commonly used in clinical practice in patients with a suspected cervical radiculopathy. Their diagnostic accuracy, however, has never been examined in a systematic review. A

Quantum well electronic states in a tilted magnetic field.

Science.gov (United States)

Trallero-Giner, C; Padilha, J X; Lopez-Richard, V; Marques, G E; Castelano, L K

2017-08-16

We report the energy spectrum and the eigenstates of conduction and uncoupled valence bands of a quantum well under the influence of a tilted magnetic field. In the framework of the envelope approximation, we implement two analytical approaches to obtain the nontrivial solutions of the tilted magnetic field: (a) the Bubnov-Galerkin spectral method and b) the perturbation theory. We discuss the validity of each method for a broad range of magnetic field intensity and orientation as well as quantum well thickness. By estimating the accuracy of the perturbation method, we provide explicit analytical solutions for quantum wells in a tilted magnetic field configuration that can be employed to study several quantitative phenomena.

A novel active heads-up display for driver assistance.

Science.gov (United States)

Doshi, Anup; Cheng, Shinko Yuanhsien; Trivedi, Mohan Manubhai

2009-02-01

In this paper, we introduce a novel laser-based wide-area heads-up windshield display which is capable of actively interfacing with a human as part of a driver assistance system. The dynamic active display (DAD) is a unique prototype interface that presents safety-critical visual icons to the driver in a manner that minimizes the deviation of his or her gaze direction without adding to unnecessary visual clutter. As part of an automotive safety system, the DAD presents alerts in the field of view of the driver only if necessary, which is based upon the state and pose of the driver, vehicle, and environment. This paper examines the effectiveness of DAD through a comprehensive comparative experimental evaluation of a speed compliance driver assistance system, which is implemented on a vehicular test bed. Three different types of display protocols for assisting a driver to comply with speed limits are tested on actual roadways, and these are compared with a conventional dashboard display. Given the inclination, drivers who are given an overspeed warning alert reduced the time required to slow down to the speed limit by 38% (p system.

Optimization and limit of a tilt manipulation stage based on the electrowetting-on-dielectric principle

Science.gov (United States)

Tan, Xiao; Tao, Zhi; Suzuki, Kenji; Li, Haiwang

2017-12-01

This work designed a new tilt manipulation stage based on the electrowetting-on-dielectric (EWOD) principle as the actuating mechanism and investigated the performance of that stage. The stage was fabricated using a universal MEMS (Micro-Electro-Mechanical System) fabrication method. In the previously demonstrated form of this device, the tilt stage consisted of a top plate that functions as a mirror, a bottom plate that was designed for changing the shape of water droplets, and supporters that were fixed between the top and bottom plate. That device was actuated by a voltage applied to the bottom plate, resulting in a static electric force actuating the shape change in the droplets by moving the top plate in the vertical direction. Previous experimental results indicated that that device can tilt at up to ±1.8°, with a resolution of 7 μm in displacement and 0.05° in angle. By selecting the best combination of the dielectric layer, the tilt angle was maximized. The new device, fabricated using a common and straightforward fabrication method, avoids deflection of the top plate and grounding in the bottom plate. Because of the limit of Teflon and other MEMS materials, this device has a tilt angle in the range of 3.2-3.5° according to the experimental data for friction and the EWOD device limit, which is close to 1.8°. This paper also describe the investigation of the effects of various parameters, e.g., various dielectric materials, thicknesses, and droplet type and volume, on the performance of the stage. The results indicate that the apparent frictions coefficient of the solid-liquid interface may remain constant, i.e., the friction force is proportional to the normal support force and the apparent frictions coefficient.

Proto-CIRCUS tilted-coil tokamak–torsatron hybrid: Design and construction

Energy Technology Data Exchange (ETDEWEB)

Clark, A.W.; Doumet, M.; Hammond, K.C. [Department of Applied Physics and Applied Mathematics, Columbia University, New York, NY 10027 (United States); Kornbluth, Y. [Yeshiva University, New York, NY 10033 (United States); Spong, D.A. [Oak Ridge National Laboratory, Oak Ridge, TN 37830 (United States); Sweeney, R. [Department of Applied Physics and Applied Mathematics, Columbia University, New York, NY 10027 (United States); Volpe, F.A., E-mail: fvolpe@columbia.edu [Department of Applied Physics and Applied Mathematics, Columbia University, New York, NY 10027 (United States)

2014-11-15

Highlights: • A tokamak-like device with tilted toroidal field (TF) coils needs less plasma current than a conventional tokamak. • Rotational transform is partly generated by external coils. Device can be considered a tokamak–torsatron hybrid. • We designed and constructed the first device of this type. • Tilted TF coils are interlinked to each other, which helps to reduce aspect ratio of plasma. • This is a six-coil generalization of CNT stellarator, also at Columbia University, which features two interlinked coils. - Abstract: We present the field-line modeling, design, and construction of a prototype circular-coil tokamak–torsatron hybrid called Proto-CIRCUS. The device has a major radius R = 16 cm and minor radius a < 5 cm. The six “toroidal field” coils are planar as in a tokamak, but they are tilted. This, combined with induced or driven plasma current, is expected to generate rotational transform, as seen in field-line tracing and equilibrium calculations. The device is expected to operate at lower plasma current than a tokamak of comparable size and magnetic field, which might have interesting implications for disruptions and steady-state operation. Additionally, the toroidal magnetic ripple is less pronounced than in an equivalent tokamak in which the coils are not tilted. The tilted coils are interlocked, resulting in a relatively low aspect ratio, and can be moved, both radially and in tilt angle, between discharges. This capability will be exploited for detailed comparisons between calculations and field-line mapping measurements. Such comparisons will reveal whether this relatively simple concept can generate the expected rotational transform.

Esophageal Manometry with Provocative Testing in Patients with Noncardiac Angina-Like Chest Pain

Directory of Open Access Journals (Sweden)

William G Paterson

1991-01-01

Full Text Available In a five year period 238 of 594 esophageal manometric studies performed in the authors’ laboratory were done on patients whose major reason for referral was noncardiac angina-like chest pain. Standard eophageal manometry was performed followed by an acid-antacid perfusion period (Bernstein test and then subcutaneous bethanechol (80 μg/kg to a maximum of 5 mg was adminstered. Baseline manometry was normal in 38% of patients and was diagnostic of ‘nutcracker’ esophagus, nonspecific esophageal motility disorder, diffuse esophageal spasm and isolated hypertensive lower esophageal sphincter in 24%, 19%, 16% and 3% of patients, respectively. Ninety-six of 238 patients (40% experienced reproduction of their presenting angina-like chest pain during acid perfusion. In 80% of these patients there were associated esophageal motor abnormal ilies induced by the acid perfusion. Thirty-six of 212 (17% experienced pain reproduction following the injection of bethanechol; however, 16 of these had already had their presenting chest pain reproduced during the acid perfusion study. In two-thirds of the patients with pain reproduction following bechanechol there was an associated bethanechol-induced esophageal motility disorder. Overall 49% of patients had their pain reproduced during provocative testing. The acid perfusion test reproduced the pain much more frequently than bethanechol simulation. This study reaffirms the value of esophageal manometry and provocative testing in this group of patients.

Mechatronic development of an active spring-/tilt engineering for the railcar RailCab

International Nuclear Information System (INIS)

Liu-Henke, X.

2005-01-01

A mechatronic development process with computer-supported design up to real time implementation of a prototype was applied throughout, with particular emphasis on mechatronic composition. After establishing a nonlinear mechatronic model and model identification, nonlinear compensation was designed and implemented in a HiL test stand. Simulations and test stand measurements verified high driving comfort and high safety as a result of the implemented active spring/tilt technology

Tilt sensor and servo control system for gravitational wave detection

CERN Document Server

Cheng, Y; Ju, L; Blair, D G

2002-01-01

This paper describes the design of a novel double-flexure two-axis tilt sensor with a tilt readout based on an optical walk-off sensor. The performance of the device has been investigated theoretically and experimentally. The walk-off sensor has demonstrated a sensitivity of 10 sup - sup 1 sup 1 rad Hz sup - sup 1 sup / sup 2 at 1 Hz. The tilt sensor has measured seismic noise approx 10 sup - sup 9 -10 sup - sup 1 sup 0 rad Hz sup - sup 1 sup / sup 2 for frequency in the 2-10 Hz range.

Responses of dogs with food allergies to single-ingredient dietary provocation.

Science.gov (United States)

Jeffers, J G; Meyer, E K; Sosis, E J

1996-08-01

To characterize specific food ingredients causing allergic reactions in dogs and to assess cross-reactivity between proteins derived from a single animal source or from different plant products. Prospective study. 25 dogs with histories and cutaneous signs consistent with food-allergic dermatitis. Dogs were fed a food-elimination diet until resolution of clinical signs and then challenged with their original diet. A diagnosis of food allergy was made if there was complete return of pruritus within 14 days of challenge exposure. After diagnosis, dogs were fed the food-elimination diet until signs related to dietary challenge abated. The dogs then were fed beef, chicken, chicken eggs, cows' milk, wheat, soy, and corn in single-ingredient provocation trials for 1 week. Any cutaneous reactions to these food ingredients were recorded by their owners. Beef and soy most often caused adverse cutaneous reactions, although all ingredients induced clinical signs in at least 1 dog. Mean number of allergens per dog was 2.4, with 80% reacting to 1 or 2 proteins and 64% reacting to 2 or more of the proteins tested. A significant difference was found between dogs reacting to beef versus cows' milk and between dogs reacting to soy versus wheat; thus, the hypothesis of cross-reactivity to ingredients derived from a single animal source or to different plant products was not supported. Similar differences between chicken meat and eggs were not identified. Long-term management of dogs with food allergies is facilitated by identification of the most commonly encountered food allergens. Because cross-reactivity cannot be verified, each protein source should be included separately in food-provocation trials.

Ranibizumab in the treatment of choroidal neovascularization on the border of an inferior staphyloma associated with tilted disc syndrome

Directory of Open Access Journals (Sweden)

Luis Arias

2010-03-01

Full Text Available Luis Arias1,2, Jordi Monés21Hospital Universitari de Bellvitge, L’Hospitalet de Llobregat, Barcelona; 2Institut de la Màcula i de la Retina, Centro Médico Teknon, BarcelonaPurpose: To describe a case of choroidal neovascularization (CNV on the border of an inferior staphyloma associated with tilted disc syndrome treated with intravitreal ranibizumab.Patients: Observational case report.Methods: A patient with CNV on the border of an inferior staphyloma associated with tilted disc syndrome was imaged using fluorescein angiography, autofluorescence and spectral domain optical coherence tomography, and treated with intravitreal injections of ranibizumab. Results: The patient received 3 ranibizumab injections during the 9-month follow-up. The visual acuity improved from 20/40 to 20/32 and the foveal thickness reduced from 470 microns to 248 microns. The angiograms showed resolution of leakage associated with CNV. There were no adverse events.Conclusion: Intravitreal ranibizumab is an efficacious and safe treatment in the management of choroidal neovascularization on the border of an inferior staphyloma associated with tilted disc syndrome.Keywords: intravitreal ranibizumab, choroidal neovascularization, tilted disc syndrome, inferior staphyloma

Design and Development of Tilting Rotary Furnace

Science.gov (United States)

Sai Varun, V.; Tejesh, P.; Prashanth, B. N.

2018-02-01

Casting is the best and effective technique used for manufacturing products. The important accessory for casting is furnace. Furnace is used to melt the metal. A perfect furnace is one that reduces the wastage of material, reduces the cost of manufacturing and there by reduces the cost of production. Of all the present day furnaces there may be wastage of material, and the chances of increasing the time of manufacturing as the is continuous need of tilting of the furnace for every mould and then changing the moulds. Considering these aspects, a simple and least expensive tilting rotary furnace is designed and developed. The Tilting and Rotary Furnace consists of mainly melting chamber and the base. The metal enters the melting chamber through the input door that is provided on the top of the melting chamber. Inside the melting chamber there is a graphite furnace. The metal is melted in the graphite crucible. An insulation of ceramic fibre cloth is provided inside the furnace. The metal is melted using Propane gas. The propane gas is easily available and economic. The gas is burned using a pilot burner. The pilot burner is more efficient that other burners. The pilot burner is lit with a push button igniter. The pilot burner is located at the bottom of the combustion chamber. This enables the uniform heating of the metal inside the crucible. The temperature inside the melting chamber is noted using a temperature sensor. The gas input is cut-off if the temperature is exceeding a specific temperature. After the melting of the metal is done the furnace is tilted and after the mould is filled it is rotated. The external gears are used to controlling the tilting. The results of studies carried out for the design & development of low cost, simple furnace that can be mounted anywhere on the shop floor and this can be very much useful for the education purposes and small scale manufacturing. The furnace can be rotated in 360 degrees and can help in reducing the time taken

Amygdala hyperactivation during symptom provocation in obsessive–compulsive disorder and its modulation by distraction

Directory of Open Access Journals (Sweden)

Daniela Simon

2014-01-01

Full Text Available Anxiety disorders have been linked to a hyperactivated cortico-amygdalar circuitry. Recent findings highlight the amygdala's role in mediating elevated anxiety in obsessive–compulsive disorder (OCD. However, modulation of amygdala hyperactivation by attentional distraction – an effective emotion regulation strategy in healthy individuals – has not yet been examined. While undergoing functional magnetic resonance imaging twenty-one unmedicated OCD patients and 21 controls performed an evaluation and a distraction task during symptom provocation with individually tailored OCD-relevant pictures. To test the specificity of responses, additional aversive and neutral stimuli were included. Significant group-by-picture type interactions were observed within fronto–striato–limbic circuits including the amygdala. In these regions patients showed increased BOLD responses during processing of OCD triggers relative to healthy controls. Amygdala hyperactivation was present across OCD symptom dimensions indicating that it represents a common neural correlate. During distraction, we observed dampening of patients' amygdala hyperactivity to OCD-relevant stimuli. Augmented amygdala involvement in patients during symptom provocation, present across OCD symptom dimensions, might constitute a correlate of fear expression in OCD linking it to other anxiety disorders. Attentional distraction seemed to dampen emotional processing of disorder-relevant stimuli via amygdala downregulation. The clinical impact of this strategy to manage anxiety in OCD should be further elucidated.

Height and Tilt Geometric Texture

DEFF Research Database (Denmark)

Andersen, Vedrana; Desbrun, Mathieu; Bærentzen, Jakob Andreas

2009-01-01

compromise between functionality and simplicity: it can efficiently handle and process geometric texture too complex to be represented as a height field, without having recourse to full blown mesh editing algorithms. The height-and-tilt representation proposed here is fully intrinsic to the mesh, making...

Rules and mechanisms governing octahedral tilts in perovskites under pressure

Science.gov (United States)

Xiang, H. J.; Guennou, Mael; Íñiguez, Jorge; Kreisel, Jens; Bellaiche, L.

2017-08-01

The rotation of octahedra (octahedral tilting) is common in A B O3 perovskites and relevant to many physical phenomena, ranging from electronic and magnetic properties, metal-insulator transitions to improper ferroelectricity. Hydrostatic pressure is an efficient way to tune and control octahedral tiltings. However, the pressure behavior of such tiltings can dramatically differ from one material to another, with the origins of such differences remaining controversial. In this paper, we discover several new mechanisms and formulate a set of simple rules that allow us to understand how pressure affects oxygen octahedral tiltings via the use and analysis of first-principles results for a variety of compounds. Besides the known A -O interactions, we reveal that the interactions between specific B ions and oxygen ions contribute to the tilting instability. We explain the previously reported trend that the derivative of the oxygen octahedral tilting with respect to pressure (dR /dP ) usually decreases with both the tolerance factor and the ionization state of the A ion by illustrating the key role of A -O interactions and their change under pressure. Furthermore, three new mechanisms/rules are discovered, namely that (i) the octahedral rotations in A B O3 perovskites with empty low-lying d states on the B site are greatly enhanced by pressure, in order to lower the electronic kinetic energy; (ii) dR /dP is enhanced when the system possesses weak tilt instabilities, and (iii) for the most common phase exhibited by perovskites—the orthorhombic Pbnm state—the in-phase and antiphase octahedral rotations are not automatically both suppressed or both enhanced by the application of pressure because of a trilinear coupling between these two rotation types and an antipolar mode involving the A ions. We further predict that the polarization associated with the so-called hybrid improper ferroelectricity could be manipulated by hydrostatic pressure by indirectly controlling the

Provocative Containment and the Drift of Social-Scientific Realism

DEFF Research Database (Denmark)

Lezaun, Javier; Muniesa, Fabian; Vikkelsø, Signe

2013-01-01

The post-World War II period gave rise to a large number of social-scientific techniques for investigating and intervening in social reality. A particular group of these, exemplified here by the experiments of Moreno, Lewin, Bion, Milgram and Zimbardo, worked by establishing suggestive micro......-realities in which participants were exposed to, or experimented with, selected ‘social problems’. We investigate the nature of these techniques – being simultaneously highly artificial and disturbingly realistic – and propose the notion of ‘provocative containment’ to understand their operation and effects. We...... point to five ingredients of their characteristic mode of operation – expressionism, incitement, trauma, distillation and technology – and argue that they do not serve to represent a simplified version of social reality, but rather to ‘realize’ particular forms of social life intrinsic to the medium...

Can migraine aura be provoked experimentally? A systematic review of potential methods for the provocation of migraine aura

DEFF Research Database (Denmark)

Lindblad, Marianne; Hougaard, Anders; Amin, Faisal Mohammad

2017-01-01

, physical activity, calcitonin gene-related peptide infusion, chocolate ingestion, and the intravenous injection of insulin. In addition, carotid artery puncture has consistently been reported as a trigger of aura. Conclusions No safe and efficient method for aura provocation exists at present, but several...

Modelling and simulation of a compliant tilting pad air bearing

NARCIS (Netherlands)

Duijnhouwer, F.; Nijmeijer, H.

The compliant tilting pad air bearing concept, a tilting pad bearing with the pivot of the pads placed on radial springs, is a promising aerodynamic bearing solution. Nevertheless, its non-linear dynamics make a time domain dynamic simulation model an essential tool for the design of rotor systems

Transgression médiatique et provocations décadentes: La décadence comme comportement médiatique.

Directory of Open Access Journals (Sweden)

Yoan Vérilhac

2012-03-01

Full Text Available The decadent and symbolist movements are deeply connected to the creation of media: newspapers, small reviews which make the promotion of the young poets and their original works. In the 1880’s, the decadent reviews use in a provocative way the codes and the media potentialities. However this provocative press is based on a double language (especially about the relationship with the public, and this contradiction generates a negative image in the popular press: the new generation of poets and writers appears to be a noisy group of « hoaxers ». Therefore, around 1890, when the new reviews grouped around the « symbolist » label define themselves a media identity, it is important for them to distance from decadent behaviours. The decadent moment of the mediatization of literature is thus indispensable to understand the history of connections between press and poetic avant-gardes.

Method to fabricate a tilted logpile photonic crystal

Science.gov (United States)

Williams, John D.; Sweatt, William C.

2010-10-26

A method to fabricate a tilted logpile photonic crystal requires only two lithographic exposures and does not require mask repositioning between exposures. The mask and photoresist-coated substrate are spaced a fixed and constant distance apart using a spacer and the stack is clamped together. The stack is then tilted at a crystallographic symmetry angle (e.g., 45 degrees) relative to the X-ray beam and rotated about the surface normal until the mask is aligned with the X-ray beam. The stack is then rotated in plane by a small stitching angle and exposed to the X-ray beam to pattern the first half of the structure. The stack is then rotated by 180.degree. about the normal and a second exposure patterns the remaining half of the structure. The method can use commercially available DXRL scanner technology and LIGA processes to fabricate large-area, high-quality tilted logpile photonic crystals.

Do tilt-in-space wheelchairs increase occupational engagement: a critical literature review.

Science.gov (United States)

Harrand, Jenny; Bannigan, Katrina

2016-01-01

A wheelchair can enhance the quality of life of an individual with limited mobility, poor trunk control and stability, by enabling activity and participation and so occupational engagement. High specification wheelchairs which can tilt-in-space enable the position of users to be altered to suit activity and context. Despite tilt-in-space wheelchairs being expensive little is known about their therapeutic value. A critical literature review of the evidence was undertaken to evaluate whether the use of tilt-in-space increases occupational engagement. A wide ranging search strategy identified 170 articles which were screened using inclusion criteria. The eligible literature (n = 6) was analysed thematically using open coding. The majority of the participants used tilt-in-space but the data was too heterogeneous to combine. Measures of occupational engagement were not used so the therapeutic value could not be assessed. There is a lack of high quality evidence about the therapeutic benefits of tilt-in-space wheelchairs. Given the expense associated with providing these wheelchairs, and the increase in their provision, research is needed to justify provision of high specification wheelchairs to meet the occupational needs of users within the limited resources of health and social care. Implications for Rehabilitation Tilt-in-space wheelchairs. Wheelchairs are an important and essential assistive device for promoting independence and function. Suggests there are benefits for tilt-in-space wheelchairs. Identifies the need for additional large scale research.

Smartphone Application WeChat for Clinical Follow-up of Discharged Patients with Head and Neck Tumors: A Randomized Controlled Trial.

Science.gov (United States)

Lyu, Ke-Xing; Zhao, Jing; Wang, Bin; Xiong, Guan-Xia; Yang, Wei-Qiang; Liu, Qi-Hong; Zhu, Xiao-Lin; Sun, Wei; Jiang, Ai-Yun; Wen, Wei-Ping; Lei, Wen-Bin

2016-12-05

Nowadays, social media tools such as short message service, Twitter, video, and web-based systems are more and more used in clinical follow-up, making clinical follow-up much more time- and cost-effective than ever before. However, as the most popular social media in China, little is known about the utility of smartphone WeChat application in follow-up. In this study, we aimed to investigate the feasibility and superiority of WeChat application in clinical follow-up. A total of 108 patients diagnosed with head and neck tumor were randomized to WeChat follow-up (WFU) group or telephone follow-up (TFU) group for 6-month follow-up. The follow-ups were delivered by WeChat or telephone at 2 weeks, 1, 2, 3, and 6 months to the patients after being discharged. The study measurements were time consumption for follow-up delivery, total economic cost, lost-to-follow-up rate, and overall satisfaction for the follow-up method. Time consumption in WFU group for each patient (23.36 ± 6.16 min) was significantly shorter than that in TFU group (42.89 ± 7.15 min) (P smartphone WeChat application was found to be a viable option for follow-up in discharged patients with head and neck tumors. WFU was time-effective, cost-effective, and convenient in communication. This doctor-led follow-up model has the potential to establish a good physician-patient relationship by enhancing dynamic communications and providing individual health instructions. Chinese Clinical Trial Registry, ChiCTR-IOR-15007498; http://www.chictr.org.cn/ showproj.aspx?proj=12613.

Substorm onset location and dipole tilt angle

Directory of Open Access Journals (Sweden)

J. Wanliss

2006-03-01

Full Text Available From an initial data set of over 200 substorms we have studied a subset of 30 magnetospheric substorms close to magnetic midnight to investigate, in a statistical fashion, the source region of the auroral arc that brightens at the onset of expansive phase. This arc is usually identified as the ionospheric signature of the expansive phase onset that occurs in the magnetotail. All the substorm onsets were identified via ground-based magnetometer and photometer data from the CANOPUS array. Various Tsyganenko global magnetic field models were used to map magnetic field lines from the location of the onset arc out to its greatest radial distance in the magnetotail. The results appear to favour the current disruption model of substorms since the average onset location has an average of 14.1 Earth radii (RE and is therefore more consistent with theories that place the onset location in the inner magnetotail. For the narrow range of tilts available our modeling indicates the parameter that appears to strongly influence the location of the substorm onset is the dipole tilt angle; as tilt becomes less negative onsets occur further downtail.

Design of a Piezoelectric-Driven Tilt Mirror for a Fast Laser Scanner

Science.gov (United States)

Park, Jung-Ho; Lee, Hu-Seung; Lee, Jae-Hoon; Yun, So-Nam; Ham, Young-Bog; Yun, Dong-Won

2012-09-01

Recently, laser scanners have been used for laser processing such as cutting, welding, and grooving, especially in the automotive industry. The laser scanners need a high-speed driving to minimize cracks caused by thermal shock of brittle materials. Therefore, a novel laser processing system that is composed of a laser source and a piezoelectric-driven tilt mirror to control the reflection angle of the laser beam, and a stage equipped with the tilt mirror has been investigated. In this study, a piezoelectric-driven tilt mirror is designed and analyzed for scanning performance to achieve a beam spot of 30 µm, a pattern width of 1 mm, an overlap ratio of 70% of the circle area, and a scanning speed of 1 m/s. Then, structural analysis of the tilt mirror with three piezoelectric actuators is performed to determine the maximum reflection angle and resonance frequency. Finally, a prototype tilt mirror is fabricated and its basic characteristics are experimentally investigated and discussed.

Modulated electron bunch with amplitude front tilt in an undulator

International Nuclear Information System (INIS)

Geloni, Gianluca; Kocharyan, Vitali; Saldin, Evgeni

2015-12-01

In a previous paper we discussed the physics of a microbunched electron beam kicked by the dipole field of a corrector magnet by describing the kinematics of coherent undulator radiation after the kick. We demonstrated that the effect of aberration of light supplies the basis for understanding phenomena like the deflection of coherent undulator radiation by a dipole magnet. We illustrated this fact by examining the operation of an XFEL under the steady state assumption, that is a harmonic time dependence. We argued that in this particular case the microbunch front tilt has no objective meaning; in other words, there is no experiment that can discriminate whether an electron beam is endowed with a microbunch front tilt of not. In this paper we extend our considerations to time-dependent phenomena related with a finite electron bunch duration, or SASE mode of operation. We focus our attention on the spatiotemporal distortions of an X-ray pulse. Spatiotemporal coupling arises naturally in coherent undulator radiation behind the kick, because the deflection process involves the introduction of a tilt of the bunch profile. This tilt of the bunch profile leads to radiation pulse front tilt, which is equivalent to angular dispersion of the output radiation. We remark that our exact results can potentially be useful to developers of new generation XFEL codes for cross-checking their results.

Change of cortical foot activation following 70 days of head down bed rest.

Science.gov (United States)

Yuan, Peng; Koppelmans, Vincent; Reuter-Lorenz, Patricia; De Dios, Yiri; Gadd, Nichole; Riascos, Roy; Kofman, Igor; Bloomberg, Jacob; Mulavara, Ajitkumar; Seidler, Rachael D

2018-02-28

Head-down tilt bed rest (HDBR) has been used as a spaceflight analog to study some of the effects of microgravity on human physiology, cognition, and sensorimotor functions. Previous studies have reported declines in balance control and functional mobility after spaceflight and HDBR. Here we investigated how the brain activation for foot movement changed with HDBR. Eighteen healthy men participated in the current HDBR study. They were in a 6{degree sign} head-down tilt position continuously for 70 days. Functional MRI scans were acquired to estimate brain activation for foot movement pre-, during- and post-HDBR. Another eleven healthy males who did not undergo HDBR participated as control subjects and were scanned at four time points. In the HDBR subjects, the cerebellum, fusiform gyrus, hippocampus, and middle occipital gyrus exhibited HDBR-related increases in activation for foot tapping, whereas no HDBR-associated activation decreases were found. For the control subjects, activation for foot tapping decreased across sessions in a couple of cerebellar regions, while no activation increase with session was found. Furthermore, we observed that less HDBR-related declines in functional mobility and balance control were associated with greater pre-to-post HDBR increases in brain activation for foot movement in several cerebral and cerebellar regions. Our results suggest that more neural control is needed for foot movement as a result of HDBR.

Numerical tilting compensation in microscopy based on wavefront sensing using transport of intensity equation method

Science.gov (United States)

Hu, Junbao; Meng, Xin; Wei, Qi; Kong, Yan; Jiang, Zhilong; Xue, Liang; Liu, Fei; Liu, Cheng; Wang, Shouyu

2018-03-01

Wide-field microscopy is commonly used for sample observations in biological research and medical diagnosis. However, the tilting error induced by the oblique location of the image recorder or the sample, as well as the inclination of the optical path often deteriorates the imaging quality. In order to eliminate the tilting in microscopy, a numerical tilting compensation technique based on wavefront sensing using transport of intensity equation method is proposed in this paper. Both the provided numerical simulations and practical experiments prove that the proposed technique not only accurately determines the tilting angle with simple setup and procedures, but also compensates the tilting error for imaging quality improvement even in the large tilting cases. Considering its simple systems and operations, as well as image quality improvement capability, it is believed the proposed method can be applied for tilting compensation in the optical microscopy.

Performance verification of focus variation and confocal microscopes measuring tilted ultra-fine surfaces

DEFF Research Database (Denmark)

Quagliotti, Danilo; Baruffi, Federico; Tosello, Guido

2016-01-01

The behaviour of two optical instruments, scilicet a laser scanning confocal microscope and a focus-variation microscope, was investigated considering measurements of tilted surfaces. The measured samples were twelve steel artefacts for mould surface finish reference, covering Sa roughness...... parameter in the range (101—103) nm. The 3D surface texture parameters considered were Sa, Sq and Sdq. The small working distance of the confocal microscope objectives influenced the measurement setup, preventing from selecting a high tilting angle. The investigation was carried out comparing measurements...... of flat surfaces (0° tilt) with measurements of 12.5° tilted surfaces. The confocal microscope results showed a high sensitivity to tilting due to the laser beam reflection on the metal surfaces. The focus variation microscope results were more robust with respect to the considered angular variation...

Temporal dynamics of ocular position dependence of the initial human vestibulo-ocular reflex.

Science.gov (United States)

Crane, Benjamin T; Tian, Junru; Demer, Joseph L

2006-04-01

While an ideal vestibulo-ocular reflex (VOR) generates ocular rotations compensatory for head motion, during visually guided movements, Listing's Law (LL) constrains the eye to rotational axes lying in Listing's Plane (LP). The present study was conducted to explore the recent proposal that the VOR's rotational axis is not collinear with the head's, but rather follows a time-dependent strategy intermediate between LL and an ideal VOR. Binocular LPs were defined during visual fixation in eight normal humans. The VOR was evoked by a highly repeatable transient whole-body yaw rotation in darkness at a peak acceleration of 2800 deg/s2. Immediately before rotation, subjects regarded targets 15 or 500 cm distant located at eye level, 20 degrees up, or 20 degrees down. Eye and head responses were compared with LL predictions in the position and velocity domains. LP orientation varied both among subjects and between individual subject's eyes, and rotated temporally with convergence by 5 +/- 5 degrees (+/-SEM). In the position domain, the eye compensated for head displacement even when the head rotated out of LP. Even within the first 20 ms from onset of head rotation, the ocular velocity axis tilted relative to the head axis by 30% +/- 8% of vertical gaze position. Saccades increased this tilt. Regardless of vertical gaze position, the ocular rotation axis tilted backward 4 degrees farther in abduction than in adduction. There was also a binocular vertical eye velocity transient and lateral tilt of the ocular axis. These disconjugate, short-latency axis perturbations appear intrinsic to the VOR and may have neural or mechanical origins.

A novel method of measuring spatial rotation angle using MEMS tilt sensors

International Nuclear Information System (INIS)

Cao, Jian’an; Zhu, Xin; Zhang, Leping; Wu, Hao

2017-01-01

This paper presents a novel method of measuring spatial rotation angle with a dual-axis micro-electro-mechanical systems tilt sensor. When the sensor is randomly mounted on the surface of the rotating object, there are three unpredictable and unknown mounting position parameters: α , the sensor’s swing angle on the measuring plane; β , the angle between the rotation axis and the horizontal plane; and γ , the angle between the measuring plane and the rotation axis. Thus, the sensor’s spatial rotation model is established to describe the relationship between the measuring axis, rotation axis, and horizontal plane, and the corresponding analytical equations are derived. Furthermore, to eliminate the deviation caused by the uncertain direction of the rotation axis, an extra perpendicularly mounted, single-axis tilt sensor is combined with the dual-axis tilt sensor, forming a three-axis tilt sensor. Then, by measuring the sensors’ three tilts and solving the model’s equations, the object’s spatial rotation angle is obtained. Finally, experimental results show that the developed tilt sensor is capable of measuring spatial rotation angle in the range of  ±180° with an accuracy of 0.2° if the angle between the rotation axis and the horizontal plane is less than 75°. (paper)

Active Head Restraints Used to Improve the Car Seats Safety in a Rear Impact Situation, in Accordance with the Requirements of EURO NCAP

Directory of Open Access Journals (Sweden)

D. Yu. Solopov

2014-01-01

Full Text Available This article is devoted to the urgent, presently, problem that is to ensure the best level of the passive safety of car seats with active head restraints, as well as to assess the effectiveness of such constructional designs. This is an impact-related task, to be, as a consequence, essentially nonlinear with large deformations, strains and accelerations.To solve this problem finite element models of three types of seat designs with active head restraints have been developed. When creating the simulation FEM a number of CAD (Computer Aided Design/CAE (Computer Aided Engineering software was used.This work was performed within the framework of the developed technique, which allows an efficient creation of the car seat designs with passive and active head restraints that meet requirements of the passive safety.The results of calculations and experiments allowed us to find that the active head restraint significantly reduced a NIC (Neck Injury Criterion value, namely up to 36.92 (4% when using the active headrest with articulated tilting couch, 29.23 (per 24% when using the active headrest with sliding pad, and 26.15 (31% when using the active head restraint, which is provided with an airbag. We have also managed to achieve significantly reduced head acceleration under impact.It was found that FEM seats with active head restraint, which is provided with an airbag, are the most secure because of the least NIC value under the impact (26.15.Presented in the article materials are used in teaching students at the department “Wheeled vehicles” of scientific and educational complex "Special engineering" in BMSTU.

[Effects of nasal provocation with a single-dose allergen on the explicit and implicit memory of physically active and inactive patients with ragweed allergy].

Science.gov (United States)

Tokodi, Margaréta; Csábi, Eszter; Kiricsi, Ágnes; Schultz, Rebeka; Molnár H, Andor; Rovó, László; Bella, Zsolt

2018-01-30

Allergy is an endemic disease and has a considerable impact on the quality of life. This study aimed to measure the effect of active allergic rhinitis on memory functions of physically active and inactive patients with ragweed allergy. Memory functions were assessed before and after allergen exposure. Participants in both groups were provoked nasally with 30 IR/mL ragweed allergen in each nostril. Explicit memory was measured with story-recalling and implicit memory was investigated with reaction time task. In neuropsychological assessments athletes performed significantly better, compared with the control group after allergen provocation in short-term and long-term memory functions. There was no difference between the groups in the implicit tasks. Athletes have achieved better results after provocation, comparing to the baseline test and the tests that measured short-term and long-term memory functions. Short-term disturbing factors, e.g. swollen nasal mucosa, sneezing, and watery eyes after provocation did have not caused deterioration in cognitive functions. A single-shot allergen in high doses have caused an increase of mental concentration, which was more pronounced in athletes.

Central venous oxygen saturation during hypovolaemic shock in humans

DEFF Research Database (Denmark)

Madsen, P; Iversen, H; Secher, N H

1993-01-01

We compared central venous oxygen saturation and central venous pressure (CVP) as indices of the effective blood volume during 50 degrees head-up tilt (anti-Trendelenburg's position) induced hypovolaemic shock in eight healthy subjects. Head-up tilt increased thoracic electrical impedance from 31...... (28-36) (median and range) to 34 (30-40) Ohm, mean arterial pressure (MAP) from 79 (70-88) to 86 (80-99) mmHg, heart rate (HR) from 67 (56-71) to 99 (78-119) beats min-1 (p ....05) but thereafter remained stable. In contrast, central venous oxygen saturation showed a linear decrease with time from 0.75 (0.69-0.78) at rest to 0.60 (0.49-0.67) (p measurement of central venous oxygen saturation...

Monitoring of Cyclic Steam Stimulation by Inversion of Surface Tilt Measurements

Science.gov (United States)

Maharramov, M.; Zoback, M. D.

2014-12-01

Temperature and pressure changes associated with the cyclic steam simulation (CSS) used in heavy oil production from sands are accompanied by significant deformation. Inversion of geomechanical data may provide a potentially powerful reservoir monitoring tool where geomechanical effects are significant. Induced pore pressure changes can be inverted from measurable surface deformations by solving an inverse problem of poroelasticity. In this work, we apply this approach to estimating pore pressure changes from surface tilt measurements at a heavy oil reservoir undergoing cyclic steam simulation. Steam was injected from November 2007 through January 2008. Surface tilt measurements were collected from 25 surface tilt stations during this period. The injection ran in two overlapping phases: Phase 1 ran from the beginning of the injection though mid-December, and Phase 2 overlapped with Phase 1 and ran through the beginning of January. During Phase 1 steam was injected in the western part of the reservoir, followed by injection in the eastern part in Phase 2. The pore pressure evolution was inverted from daily tilt measurements using regularized constrained least squares fitting, the results are shown on the plot. Estimated induced pore pressure change (color scale), observed daily incremental tilts (green arrows) and modeled daily incremental tilts (red arrows) are shown in three panels corresponding to two and five weeks of injection, and the end of injection period. DGPS measurements available for a single location were used as an additional inversion constraint. The results indicate that the pore pressure increase in the reservoir follows the same pattern as the steam injection, from west to east. This qualitative behaviour is independent of the amount of regularization, indirectly validating our inversion approach. Patches of lower pressure appear to be stable with regard to regularization and may provide valuable insight into the efficiency of steam injection

Tilted Bianchi type I dust fluid cosmological model in general relativity

Indian Academy of Sciences (India)

Tilted Bianchi type I dust fluid cosmological model in general relativity ... In this paper, we have investigated a tilted Bianchi type I cosmological model filled with dust of perfect fluid in general relativity. ... Pramana – Journal of Physics | News ...

Combined Influence of Visual Scene and Body Tilt on Arm Pointing Movements: Gravity Matters!

Science.gov (United States)

Scotto Di Cesare, Cécile; Sarlegna, Fabrice R.; Bourdin, Christophe; Mestre, Daniel R.; Bringoux, Lionel

2014-01-01

Performing accurate actions such as goal-directed arm movements requires taking into account visual and body orientation cues to localize the target in space and produce appropriate reaching motor commands. We experimentally tilted the body and/or the visual scene to investigate how visual and body orientation cues are combined for the control of unseen arm movements. Subjects were asked to point toward a visual target using an upward movement during slow body and/or visual scene tilts. When the scene was tilted, final pointing errors varied as a function of the direction of the scene tilt (forward or backward). Actual forward body tilt resulted in systematic target undershoots, suggesting that the brain may have overcompensated for the biomechanical movement facilitation arising from body tilt. Combined body and visual scene tilts also affected final pointing errors according to the orientation of the visual scene. The data were further analysed using either a body-centered or a gravity-centered reference frame to encode visual scene orientation with simple additive models (i.e., ‘combined’ tilts equal to the sum of ‘single’ tilts). We found that the body-centered model could account only for some of the data regarding kinematic parameters and final errors. In contrast, the gravity-centered modeling in which the body and visual scene orientations were referred to vertical could explain all of these data. Therefore, our findings suggest that the brain uses gravity, thanks to its invariant properties, as a reference for the combination of visual and non-visual cues. PMID:24925371

Adaptive Changes in the Perception of Fast and Slow Movement at Different Head Positions.

Science.gov (United States)

Panichi, Roberto; Occhigrossi, Chiara; Ferraresi, Aldo; Faralli, Mario; Lucertini, Marco; Pettorossi, Vito E

2017-05-01

This paper examines the subjective sense of orientation during asymmetric body rotations in normal subjects. Self-motion perception was investigated in 10 healthy individuals during asymmetric whole-body rotation with different head orientations. Both on-vertical axis and off-vertical axis rotations were employed. Subjects tracked a remembered earth-fixed visual target while rotating in the dark for four cycles of asymmetric rotation (two half-sinusoidal cycles of the same amplitude, but of different duration). The rotations induced a bias in the perception of velocity (more pronounced with fast than with slow motion). At the end of rotation, a marked target position error (TPE) was present. For the on-vertical axis rotations, the TPE was no different if the rotations were performed with a 30° nose-down, a 60° nose-up, or a 90° side-down head tilt. With off-vertical axis rotations, the simultaneous activation of the semicircular canals and otolithic receptors produced a significant increase of TPE for all head positions. This difference between on-vertical and off-vertical axis rotation was probably partly due to the vestibular transfer function and partly due to different adaptation to the speed of rotation. Such a phenomenon might be generated in different components of the vestibular system. The adaptive process enhancing the perception of dynamic movement around the vertical axis is not related to the specific semicircular canals that are activated; the addition of an otolithic component results in a significant increase of the TPE.Panichi R, Occhigrossi C, Ferraresi A, Faralli M, Lucertini M, Pettorossi VE. Adaptive changes in the perception of fast and slow movement at different head positions. Aerosp Med Hum Perform. 2017; 88(5):463-468.

Edge detection of magnetic anomalies using analytic signal of tilt angle (ASTA)

Science.gov (United States)

Alamdar, K.; Ansari, A. H.; Ghorbani, A.

2009-04-01

Magnetic is a commonly used geophysical technique to identify and image potential subsurface targets. Interpretation of magnetic anomalies is a complex process due to the superposition of multiple magnetic sources, presence of geologic and cultural noise and acquisition and positioning error. Both the vertical and horizontal derivatives of potential field data are useful; horizontal derivative, enhance edges whereas vertical derivative narrow the width of anomaly and so locate source bodies more accurately. We can combine vertical and horizontal derivative of magnetic field to achieve analytic signal which is independent to body magnetization direction and maximum value of this lies over edges of body directly. Tilt angle filter is phased-base filter and is defined as angle between vertical derivative and total horizontal derivative. Tilt angle value differ from +90 degree to -90 degree and its zero value lies over body edge. One of disadvantage of this filter is when encountering with deep sources the detected edge is blurred. For overcome this problem many authors introduced new filters such as total horizontal derivative of tilt angle or vertical derivative of tilt angle which Because of using high-order derivative in these filters results may be too noisy. If we combine analytic signal and tilt angle, a new filter termed (ASTA) is produced which its maximum value lies directly over body edge and is easer than tilt angle to delineate body edge and no complicity of tilt angle. In this work new filter has been demonstrated on magnetic data from an area in Sar- Cheshme region in Iran. This area is located in 55 degree longitude and 32 degree latitude and is a copper potential region. The main formation in this area is Andesith and Trachyandezite. Magnetic surveying was employed to separate the boundaries of Andezite and Trachyandezite from adjacent area. In this regard a variety of filters such as analytic signal, tilt angle and ASTA filter have been applied which

Twenty-degree-tilt radiography for evaluation of lateral humeral condylar fracture in children

International Nuclear Information System (INIS)

Imada, Hideaki; Tanaka, Ryuji; Itoh, Yohei; Kishi, Kazuhiko

2010-01-01

To investigate the efficacy of '20 -tilt anteroposterior (A-P) radiography' in the assessment of lateral condylar fractures of the distal humerus. Eighteen children with lateral humeral condylar fractures were studied. Every child underwent conventional A-P and lateral radiography, and six children underwent multi-detector computed tomography (MDCT). For the investigation of 20 -tilt radiography, ten children with lateral humeral condylar fractures had conventional and 20 -tilt A-P and lateral radiography both preoperatively and postoperatively. Fragment dislocation was measured at the lateral and medial margins of the fracture on both the conventional A-P and 20 -tilt A-P radiographs. The lateral condylar fragment was triangular and was most prominent posteriorly. The fracture line was typically tilted approximately 20 to a reference line perpendicular to the long axis of the humerus in the lateral view. The extent of dislocation at the lateral and medial margins of the fracture site by 20 -tilt A-P radiography (9.3 ± 3.6 mm and 5.6 ± 2.5 mm) was significantly wider than that measured by the conventional method (6.8 ± 4.1 mm and 2.0 ± 1.5 mm), which may influence treatment. Twenty-degree-tilt A-P radiography may more precisely demonstrate fragment dislocation than standard radiographs and may influence patient treatment. (orig.)

Early Poststroke Rehabilitation Using a Robotic Tilt-Table Stepper and Functional Electrical Stimulation

Directory of Open Access Journals (Sweden)

Alexey N. Kuznetsov

2013-01-01

Full Text Available Background. Stroke frequently leaves survivors with hemiparesis. To prevent persistent deficits, rehabilitation may be more effective if started early. Early training is often limited because of orthostatic reactions. Tilt-table stepping robots and functional electrical stimulation (FES may prevent these reactions. Objective. This controlled convenience sample study compares safety and feasibility of robotic tilt-table training plus FES (ROBO-FES and robotic tilt-table training (ROBO against tilt-table training alone (control. A preliminary assessment of efficacy is performed. Methods. Hemiparetic ischemic stroke survivors (age years, days after stroke were assigned to 30 days of ROBO-FES (, ROBO (, or control ( in addition to conventional physical therapy. Impedance cardiography and transcranial doppler sonography were performed before, during, and after training. Hemiparesis was assessed using the British Medical Research Council (MRC strength scale. Results. No serious adverse events occurred; 8 patients in the tilt-table group prematurely quit the study because of orthostatic reactions. Blood pressure and CBFV dipped % during robot training. In 52% of controls mean arterial pressure decreased by %. ROBO-FES increased leg strength by points, ROBO by more than control (, . CBFV increased in both robotic groups more than in controls (. Conclusions. Robotic tilt-table exercise with or without FES is safe and may be more effective in improving leg strength and cerebral blood flow than tilt table alone.

Main Lobe Control of a Beam Tilting Antenna Array Laid on a Deformable Surface

Directory of Open Access Journals (Sweden)

Giulia Mansutti

2018-01-01

Full Text Available The projection method (PM is a simple and low-cost pattern recovery technique that already proved its effectiveness in retrieving the radiation properties of different types of arrays that change shape in time. However, when dealing with deformable beam-tilting arrays, this method requires to compute new compensating phase shifts every time that the main lobe is steered, since these shifts depend on both the deformation geometry and the steering angle. This tight requirement causes additional signal processing and complicates the prediction of the array behavior, especially if the deformation geometry is not a priori known: this can be an issue since the PM is mainly used for simple and low-cost systems. In this letter, we propose a simplification of this technique for beam-tilting arrays that requires only basic signal processing. In fact the phase shifts that we use are the sum of two components: one can be directly extracted from strain sensor data that measure surface deformation and the other one can be precomputed according to basic antenna theory. The effectiveness of our approach has been tested on two antennas: a 4 × 4 array (trough full-wave simulations and measurements and on an 8 × 8 array (trough full-wave simulations placed on a doubly wedge-shaped surface with a beam tilt up to 40 degrees.

Aberration analysis for freeform surface terms overlay on general decentered and tilted optical surfaces.

Science.gov (United States)

Yang, Tong; Cheng, Dewen; Wang, Yongtian

2018-03-19

Aberration theory helps designers to better understand the nature of imaging systems. However, the existing aberration theory of freeform surfaces has many limitations. For example, it only works in the special case when the central area of the freeform surface is used. In addition, the light footprint is limited to a circle, which does not match the case of an elliptical footprint for general systems. In this paper, aberrations generated by freeform surface term overlay on general decentered and tilted optical surfaces are analyzed. For the case when the off-axis section of a freeform surface is used, the aberration equation for using stop and nonstop surfaces is discussed, and the aberrations generated by Zernike terms up to Z 17/18 are analyzed in detail. To solve the problem of the elliptical light footprint for tilted freeform surfaces, the scaled pupil vector is used in the aberration analysis. The mechanism of aberration transformation is discovered, and the aberrations generated by different Zernike terms in this case are calculated. Finally we proposed aberration equations for freeform terms on general decentered and tilted freeform surfaces. The research result given in this paper offers an important reference for optical designers and engineers, and it is of great importance in developing analytical methods for general freeform system design, tolerance analysis, and system assembly.

The anterior tilt angle of the proximal tibia epiphyseal plate: a significant radiological finding in young children with trampoline fractures.

Science.gov (United States)

Stranzinger, Enno; Leidolt, Lars; Eich, Georg; Klimek, Peter Michael

2014-08-01

Evaluation of the anterior tilt angle of the proximal tibia epiphyseal plate in young children, which suffered a trampoline fracture in comparison with a normal population. 62 children (31 females, 31 males) between 2 and 5 years of age (average 2 years 11 months, standard deviation 11 months) with radiographs in two views of the tibia were included in this retrospective study. 25 children with proximal tibia fractures were injured with a history of jumping on a trampoline. All other causes for tibia fractures were excluded. A normal age-mapped control cohort of 37 children was compared. These children had neither evidence of a trampoline related injury nor a fracture of the tibia. The anterior tilt angle of the epiphyseal plate of the tibia was defined as an angle between the proximal tibia physis and the distal tibia physis on a lateral view. Two radiologists evaluated all radiographs for fractures and measured the anterior tilt angle in consensus. An unpaired Student's t-test was used for statistical analysis (SPSS). Original reports were reviewed and compared with the radiological findings and follow-up radiographs. In the normal control group, the average anterior tilt angle measured -3.2°, SD ± 2.8°. The children with trampoline fractures showed an anterior tilt of +4.4°, SD ± 2.9°. The difference was statistically significant, Ptrampoline. These fractures may be very subtle and difficult to detect on initial radiographs. Measurement of the anterior tilt angle of the proximal tibia epiphyseal plate on lateral radiographs is supportive for interpreting correctly trampoline fractures. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Measuring How the Head of Department Measures Up: Development of an Evaluation Framework for the Head of Department Role

Science.gov (United States)

London, Chad

2011-01-01

The head of department position has been an integral role in the organisational structure of colleges and universities for over a hundred years. Recently, many institutions of higher education have called on department heads to provide advancing quality management and leadership to academic units in response to an increasingly complex and…

Manifestation of J wave induced by acetylcholine applied for a coronary spasm provocation test in a patient with aborted sudden cardiac death.

Science.gov (United States)

Kodama, Hiroyuki; Fujita, Kazumasa; Moriyama, Shouhei; Irie, Kei; Noda, Hirotaka; Yokoyama, Taku; Fukata, Mitsuhiro; Arita, Takeshi; Odashiro, Keita; Maruyama, Toru; Akashi, Koichi

2017-06-01

A 51-year-old man with a resuscitation episode was referred to our hospital. Coronary angiography revealed a focal spasm overlapped with organic stenosis where a bare metal stent was implanted. Acetylcholine (ACh) provocation test did not induce chest pain. It revealed no discernible ST-T changes but unmasked a J wave at the end of the QRS complex, which was associated with short-coupled repetitive premature ventricular beats. A J wave reportedly appears immediately before the onset of ventricular fibrillation caused by vasospastic angina. However, a J wave observed newly after a coronary spasm provocation test using ACh without ST-T changes is informative when considering the mechanisms of the J wave.

Coherent field propagation between tilted planes.

Science.gov (United States)

Stock, Johannes; Worku, Norman Girma; Gross, Herbert

2017-10-01

Propagating electromagnetic light fields between nonparallel planes is of special importance, e.g., within the design of novel computer-generated holograms or the simulation of optical systems. In contrast to the extensively discussed evaluation between parallel planes, the diffraction-based propagation of light onto a tilted plane is more burdensome, since discrete fast Fourier transforms cannot be applied directly. In this work, we propose a quasi-fast algorithm (O(N 3  log N)) that deals with this problem. Based on a proper decomposition into three rotations, the vectorial field distribution is calculated on a tilted plane using the spectrum of plane waves. The algorithm works on equidistant grids, so neither nonuniform Fourier transforms nor an explicit complex interpolation is necessary. The proposed algorithm is discussed in detail and applied to several examples of practical interest.

3D single-molecule super-resolution microscopy with a tilted light sheet.

Science.gov (United States)

Gustavsson, Anna-Karin; Petrov, Petar N; Lee, Maurice Y; Shechtman, Yoav; Moerner, W E

2018-01-09

Tilted light sheet microscopy with 3D point spread functions (TILT3D) combines a novel, tilted light sheet illumination strategy with long axial range point spread functions (PSFs) for low-background, 3D super-localization of single molecules as well as 3D super-resolution imaging in thick cells. Because the axial positions of the single emitters are encoded in the shape of each single-molecule image rather than in the position or thickness of the light sheet, the light sheet need not be extremely thin. TILT3D is built upon a standard inverted microscope and has minimal custom parts. The result is simple and flexible 3D super-resolution imaging with tens of nm localization precision throughout thick mammalian cells. We validate TILT3D for 3D super-resolution imaging in mammalian cells by imaging mitochondria and the full nuclear lamina using the double-helix PSF for single-molecule detection and the recently developed tetrapod PSFs for fiducial bead tracking and live axial drift correction.

Effects of the menstrual cycle phases on the tilt testing results in vasovagal patients.

Science.gov (United States)

Zyśko, Dorota; Gajek, Jacek; Terpiłowski, Lukasz; Agrawal, Anil Kumar; Wróblewski, Paweł; Rudnicki, Jerzy

2012-08-01

The aim of the study was to assess the distribution of positive tilt testing (TT) throughout the menstrual cycle and to determine if the phase of menstrual cycle contributes to the duration of the loss of consciousness. TT results of 183 premenopausal women, aged 29.5 ± 9.8 years, were studied. The menstrual cycle was divided into four phases based on the first day of the last menstrual bleeding: perimenstrual (M), preovulatory (F), periovulatory (O) and postovulatory (L). Positive TT results were equally distributed. In patients with TT in O phase, the highest percentage of NTG provocation was needed. Patients in L phase had significantly lower incidence of cardioinhibitory reaction. The longest duration of loss of consciousness was in the M phase. Multiple regression analysis revealed that the duration of loss of consciousness during positive TT was significantly associated with higher number of syncopal events, TT performed in M phase and lower heart rate at TT termination. Cardiodepressive type of neurocardiogenic reaction was more frequent during M and O phase than during L phase. The distribution of positive TT results as well as syncope and presyncope does not differ throughout the menstrual cycle. Diagnostic TT in premenopausal women with unexplained syncope could be performed irrespective of the phase of menstrual cycle. TT has similar sensitivity throughout the menstrual cycle. During the postovulatory phase, cardioinhibitory reaction is less frequent than in M and O phases. The duration of loss of consciousness is longer during the M phase of the menstrual cycle independently of the higher syncope number and lower heart rate at TT termination.

Risk of Immediate-Type Allergy to Local Anesthetics is Overestimated-Results from 5 Years of Provocation Testing in a Danish Allergy Clinic

DEFF Research Database (Denmark)

Kvisselgaard, Ask D; Mosbech, Holger F; Fransson, Sara

2017-01-01

BACKGROUND: Local anesthetics (LAs) are used in many health care settings and exposure during a lifetime is almost inevitable. Immediate-type allergy to LAs is considered rare among allergy experts but is commonly suspected by health care workers from other specialties, and by patients. OBJECTIVE...... of 164 patients (123 women/41 men; median age, 56 years; range, 7-89 years) who had 189 provocations with LAs were included over the 5-year period 2010 to 2014. All 164 patients had negative subcutaneous provocations to all 189 tests with LAs (95% CI, 0%-1.83%). Another allergen was identified in 10% (n...

Characteristics of X-ray photons in tilted incident laser-produced plasma

International Nuclear Information System (INIS)

Wang Ruirong; Chen Weimin; Xie Dongzhu

2008-01-01

Characteristics of X-ray and spout direction of heat plasma flow were studied on Shenguang-II laser facility. Using of pinhole X-ray camera, X-ray photons from the plasma of aluminum (Al) irradiated by 1.053 μm laser, was measured and analysed. It is observed that the spatial distribution of X-ray photons in Al plasma for tilted irradiation is symmetic at the center of the target. The spout direction of heat plasma flow is inferred by the distribution contour of X-ray photons. the experimental results show that the spout direction of heat plasma flow is normal to target plane and the output intensity of X-ray photons does not increase significantly for tilted laser incidence. Uniformity of laser energy deposition is improved by superposing tilted incident and laser perpendicularly incident laser. At the same time, it is found that the conversion efficiency from the tilted incident laser energy to X-ray photons of laser-produced plasma is decreased. (authors)

Comparison of broad band time series recorded parallel by FGI type interferometric water level and Lippmann type pendulum tilt meters at Conrad observatory, Austria

Science.gov (United States)

Ruotsalainen, Hannu; Papp, Gabor; Leonhardt, Roman; Ban, Dora; Szücs, Eszter; Benedek, Judith

2016-04-01

The Finnish Geodetic Institute (FGI) the progenitor of Finnish Geospatial Research Institute of NLS designed and built a 5.5m long prototype of interferometric water level tiltmeter (iWT) in early 2014. Geodetic and Geophysical Institute (GGI), Sopron, Hungary bought the instrument and started tilt measurement in August 2014 at the Conrad observatory (COBS), Austria to monitor geodynamical phenomena like microseisms, free oscillations of the Earth, earth tides, mass loading effects and crustal deformations in cooperation with Austrian Central Institute for Meteorology and Geodynamics (ZAMG) and the FGI. On the July 16 2015 a Lippmann-type 2D tilt sensor (LTS) was also installed by GGI on the 6 m long pier where iWT was set up previously. This situation opens a possibility to do broad band (from secular to seismic variations up to 15 Hz) geophysical signal analysis comparing the responses of long (several meters) and short (a few decimeters) base instruments implementing different physical principles (relative height change of a level surface and inclination change of the plumb line). The characteristics of the sensors are studied by the evaluation of the spectra of recorded signals dominated by microseisms. The iWT has internal interferometric calibration and it can be compared to Lippmanns tilt meter one. Both instruments show good long term ( > 1 day) stability when earth tides and ocean and air mass loading tilts are modelled.

Risk factors of avascular necrosis of the femoral head and fixation failure in patients with valgus angulated femoral neck fractures over the age of 50 years.

Science.gov (United States)

Song, Hyung Keun; Choi, Ho June; Yang, Kyu Hyun

2016-12-01

The aim of our study was to identify the risk factors for avascular necrosis of the femoral head (AVN) and fixation failure (FF) after screw osteosynthesis in patients with valgus angulated femoral neck fractures. We conducted a retrospective study of 308 patients (mean age, 72.5 years, range, 50-97 years), with a mean follow-up of 21.4 months (range, 12-64 months). The risk for failure in treatment (FIT) associated with patient- and fracture-related factors was evaluated by logistic regression analyses. FIT was identified in 32 cases (10.3%): 22 cases (7.1%) of AVN and 10 cases (3.2%) of FF. Initial valgus tilt>15° (p=0.023), posterior tilt>15° (p=0.012), and screw sliding distance (p=0.037) were significantly associated with FIT. FIT occurred in 7 patients (5.2%) with B1.2.1 fractures and 17 patients (48.6%) with B1.1.2 fractures (p15° (B1.1.2) compared to patients with 15° are reasonable candidates for primary arthroplasty due to high risk of FIT. Copyright © 2016 Elsevier Ltd. All rights reserved.

The Application of Normal Stress Reduction Function in Tilt Tests for Different Block Shapes

Science.gov (United States)

Kim, Dong Hyun; Gratchev, Ivan; Hein, Maw; Balasubramaniam, Arumugam

2016-08-01

This paper focuses on the influence of the shapes of rock cores, which control the sliding or toppling behaviours in tilt tests for the estimation of rock joint roughness coefficients (JRC). When the JRC values are estimated by performing tilt tests, the values are directly proportional to the basic friction of the rock material and the applied normal stress on the sliding planes. Normal stress obviously varies with the shape of the sliding block, and the basic friction angle is also affected by the sample shapes in tilt tests. In this study, the shapes of core blocks are classified into three representative shapes and those are created using plaster. Using the various shaped artificial cores, a set of tilt tests is carried out to identify the shape influences on the normal stress and the basic friction angle in tilt tests. The test results propose a normal stress reduction function to estimate the normal stress for tilt tests according to the sample shapes based on Barton's empirical equation. The proposed normal stress reduction functions are verified by tilt tests using artificial plaster joints and real rock joint sets. The plaster joint sets are well matched and cast in detailed printed moulds using a 3D printing technique. With the application of the functions, the obtained JRC values from the tilt tests using the plaster samples and the natural rock samples are distributed within a reasonable JRC range when compared with the measured values.

Role of basal and provocative serum prolactin in differentiating idiopathic hypogonadotropic hypogonadism and constitutional delayed puberty--a diagnostic dilemma.

Science.gov (United States)

Ali, Liaqat; Adeel, Afrose

2012-01-01

The prevalence of Idiopathic Hypogonadotropic Hypogonadism (IHH) is approximately 1 in 10,000 men. Objectives of this study were to evaluate the role of basal and stimulated serum prolactin in differentiating Constitutional Delayed Puberty (CDP) from IHH. This cross-sectional study was carried out at the Department of Diabetes and Endocrinology, Military Hospital, Rawalpindi. A total of 20 male patients presenting with provisional diagnosis of IHH/CDP were enrolled in the study. Patients with known diseases were excluded from the study. Baseline FSH, LH, testosterone, and prolactin were estimated and the patients were subjected to provocative prolactin stimulation by Thyrotropin releasing hormone stimulation (TRH) test and chlorpromazine challenge. At each 6 monthly follow-up visit for 4 years, the patients were evaluated for adrenarche, pubarche and other secondary sexual characters. Tanner scale was taken as standards for comparing stage of puberty at a particular age. No treatment was given to both groups for 2 years. At the end of 2 years IHH patients with failed puberty or progression of puberty and CDP who lagged behind by more than 2 years by Tanner scale or 4 years per bone age with compelling psychosocial or psychosexual reasons at school or at home were given short courses of 50 mg injection testosterone in an attempt to expedite the onset or progression of puberty. Patients from either group with failed puberty after low dose testosterone were managed with high dose testosterone therapy to induce secondary sexual characters. Twenty patients enrolled in the study were provisionally divided into 2 groups called IHH (n = 9), and CDP (n = 11) based on high basal and provocative serum prolactin levels in CDP group. Two patients from CDP group were lost in the follow-up leaving 9 patients in each group. A total of 10 (56%) patients, 3 (17%) from IHH group and 7 (39%) from CDP group achieved grade 4 puberty without any treatment. Remaining 8 (44%) patients, 6

Comparison of optimum tilt angles of solar collectors determined at yearly, seasonal and monthly levels

International Nuclear Information System (INIS)

Despotovic, Milan; Nedic, Vladimir

2015-01-01

Highlights: • Optimum yearly, biannual, seasonal, monthly, and daily tilt angles were found. • Energy collected per square meter is compared for ten different scenarios. • Four seasonal scenarios and two biannual scenarios were considered. • It is sufficient to adjust tilt angles only twice per year. - Abstract: The amount of energy that is transformed in solar collector depends on its tilt angle with respect to horizontal plane and orientation of the collector. In this article the optimum tilt angle of solar collectors for Belgrade, which is located at the latitude of 44°47′N is determined. The optimum tilt angle was found by searching for the values for which the solar radiation on the collector surface is maximum for a particular day or a specific period. In that manner the yearly, biannual, seasonal, monthly, fortnightly, and daily optimum tilt angles are determined. Annually collected energy per square meter of tilted surface is compared for ten different scenarios. In addition, these optimum tilt angles are used to calculate the amount of energy on the surface of PV panels that could be installed at the roof of the building. The results show that for observed case study placing the panels at yearly, seasonal and monthly optimum tilt angles, would yield increasing yearly amount of collected energy by factor of 5.98%, 13.55%, and 15.42% respectively compared to energy that could be collected by putting the panels at current roofs’ surface angles

Maintaining Low Voiding Solder Die Attach for Power Die While Minimizing Die Tilt

Energy Technology Data Exchange (ETDEWEB)

Hamm, Randy; Peterson, Kenneth A.

2015-10-01

This paper addresses work to minimize voiding and die tilt in solder attachment of a large power die, measuring 9.0 mm X 6.5 mm X 0.1 mm (0.354” x 0.256” x 0.004”), to a heat spreader. As demands for larger high power die continue, minimizing voiding and die tilt is of interest for improved die functionality, yield, manufacturability, and reliability. High-power die generate considerable heat, which is important to dissipate effectively through control of voiding under high thermal load areas of the die while maintaining a consistent bondline (minimizing die tilt). Voiding was measured using acoustic imaging and die tilt was measured using two different optical measurement systems. 80Au-20Sn solder reflow was achieved using a batch vacuum solder system with optimized fixturing. Minimizing die tilt proved to be the more difficult of the two product requirements to meet. Process development variables included tooling, weight and solder preform thickness.

Evolution of an Astrocytic Hamartoma of the Optic Nerve Head in a Patient with Retinitis Pigmentosa - Photographic Documentation over 2 Years of Follow-Up.

Science.gov (United States)

Loukianou, Eleni; Kisma, Nacima; Pal, Bishwanathan

2011-02-02

To report photographically the evolution of an astrocytic hamartoma of the left optic nerve head over a 2-year follow-up in a patient with retinitis pigmentosa. A 14-year-old boy was seen in the medical retina clinic with a 3-year history of night blindness. Best corrected visual acuity was 6/18 in both eyes. Colour vision was normal in both eyes and confrontation fields showed peripheral constriction. Fundus examination revealed bone spicule pigmentary changes at the retinal mid periphery typical of retinitis pigmentosa and superficial globules at the margins of both optic nerve heads. Electrodiagnostic tests confirmed moderately severe rod cone dystrophy with macular involvement bilaterally. Two years later, the ocular examination was unchanged except for the appearance of the optic nerve head lesion in the left eye. There was an increase in the size of the lesion which was diagnosed as an astrocytic hamartoma. Further investigations were recommended to exclude neurofibromatosis and tuberous sclerosis. Astrocytic hamartomas of the optic nerve head and optic nerve head drusen have both been described in patients with retinitis pigmentosa. They can be a diagnostic dilemma although drusen are more common (10%). To differentiate these two entities it is very important to document any growth during the follow-up period which is suggestive of astrocytic hamartoma rather than optic disc drusen.

Octahedral tilt transitions in the relaxor ferroelectric Na1/2Bi1/2TiO3

International Nuclear Information System (INIS)

Meyer, Kai-Christian; Gröting, Melanie; Albe, Karsten

2015-01-01

The kinetics of octahedral tilt transitions in the lead-free relaxor material sodium bismuth titanate Na 1/2 Bi 1/2 TiO 3 (NBT) is investigated by electronic structure calculations within density functional theory. Energy barriers for transitions between tetragonal, rhombohedral and orthorhombic tilts in cation configurations with [001]- and [111]-order on the A-sites are determined by nudged elastic band calculations. By tilting entire layers of octahedra simultaneously we find that the activation energy is lower for structures with 001-order compared to such with 111-order. The energetic coupling between differently tilted layers is, however, negligibly small. By introducing a single octahedral defect we create local tilt disorder and find that the deformation energy of the neighboring octahedra is less in a rhombohedral than in a tetragonal structure. By successively increasing the size of clusters of orthorhombic defects in a rhombohedral matrix with 001-order, we determine a critical cluster size of about 40 Å . Thus groups of about ten octahedra can be considered as nuclei for polar nanoregions, which are the cause of the experimentally observed relaxor behavior of NBT. - Graphical abstract: Nine orthorhombic oxygen octahedral tilt defects in a rhombohedral tilt configuration. - Highlights: • Chemical order influences energy barriers of octahedral tilt transitions. • The octahedral deformation energy is lower in rhombohedral phases. • Tilt defect clusters are more likely in rhombohedral structures. • Tilt defect clusters can act as nuclei for polar nanoregions

Reducing friction in tilting-pad bearings by the use of enclosed recesses

DEFF Research Database (Denmark)

Heinrichson, Niels; Santos, Ilmar

2008-01-01

A three-dimensional thermoelastohydrodynamic model is applied to the analysis of tilting-pad bearings with spherical pivots and equipped with deep recesses in the high-pressure regions. A potential for a 10-20% reduction in the friction loss compared to conventional plain bearing pads is documented....... Design suggestions minimizing the power loss are given for various length-to-width ratios. The tilting angle in the sliding direction is more sensitive to correct positioning of the pivot point than conventional bearing pads. Improving the performance by equipping a tilting-pad bearing with a deep recess...... therefore requires accurate analysis and design of the bearing. Similarly, a high sensitivity perpendicular to the sliding direction suggests that this method of reducing friction is more feasible when using line pivots or spring beds than when using spherical pivots for controlling the tilting angle....

The anterior tilt of the acromion: radiographic evaluation and correlation with shoulder diseases

International Nuclear Information System (INIS)

Prato, N.; Peloso, D.; Franconeri, A.; Tegaldo, G.; Ravera, G.B.; Silvestri, E.; Derchi, L.E.

1998-01-01

The aim of this study was to test whether the anterior tilt of the acromion can be objectively evaluated on lateral radiographs, and whether there is a relation between this anatomical feature and the most common shoulder diseases. Lateral radiographs of 15 dried scapulas were performed in neutral position and with 5 of caudal, cranial, anterior and posterior angulations. Two hundred and forty-three shoulders, both asymptomatic and affected by chronic and post-traumatic impingement, calcific tendinitis and instability, were examined by conventional radiography. The presence of rotator-cuff tears was investigated by sonography. A method was elaborated to obtain reproducible lateral radiographs and to determine the acromial tilt angle. Inter- and intraobserver and inter- and intraoperator variations in measurements were evaluated. Variations in tube angulation produced changes in tilt-angle values on dried scapulas. The average tilt angle for the chronic impingement and the instability groups were significantly different from the post-traumatic, calcific tendinitis and control groups. Rotator-cuff tears were significantly more frequent in the chronic impingement group and related to a more acute tilt angle. The inter- and intraobserver variability coefficients were 0.95 and 0.98, whereas the inter- and intraoperator variability coefficients were 0.94 and 0.96, respectively. Conventional radiography using fluoroscopy for positioning is a well-reproducible method for the evaluation of acromial tilt. There is a significant difference in tilt-angle values between some groups of subjects examined, but the lack of specificity limits the clinical importance of such measurement. (orig.)

The anterior tilt of the acromion: radiographic evaluation and correlation with shoulder diseases

Energy Technology Data Exchange (ETDEWEB)

Prato, N.; Peloso, D.; Franconeri, A. [Department of Radiology, San Carlo Hospital, Genoa (Italy); Tegaldo, G. [Dept. of Orthopaedic Surgery, San Carlo Hospital, Genoa (Italy); Ravera, G.B. [Inst. of Medical Statistics and Biometry, University of Genoa (Italy); Silvestri, E.; Derchi, L.E. [Inst. of Radiology, University of Genoa (Italy)

1998-12-01

The aim of this study was to test whether the anterior tilt of the acromion can be objectively evaluated on lateral radiographs, and whether there is a relation between this anatomical feature and the most common shoulder diseases. Lateral radiographs of 15 dried scapulas were performed in neutral position and with 5 of caudal, cranial, anterior and posterior angulations. Two hundred and forty-three shoulders, both asymptomatic and affected by chronic and post-traumatic impingement, calcific tendinitis and instability, were examined by conventional radiography. The presence of rotator-cuff tears was investigated by sonography. A method was elaborated to obtain reproducible lateral radiographs and to determine the acromial tilt angle. Inter- and intraobserver and inter- and intraoperator variations in measurements were evaluated. Variations in tube angulation produced changes in tilt-angle values on dried scapulas. The average tilt angle for the chronic impingement and the instability groups were significantly different from the post-traumatic, calcific tendinitis and control groups. Rotator-cuff tears were significantly more frequent in the chronic impingement group and related to a more acute tilt angle. The inter- and intraobserver variability coefficients were 0.95 and 0.98, whereas the inter- and intraoperator variability coefficients were 0.94 and 0.96, respectively. Conventional radiography using fluoroscopy for positioning is a well-reproducible method for the evaluation of acromial tilt. There is a significant difference in tilt-angle values between some groups of subjects examined, but the lack of specificity limits the clinical importance of such measurement. (orig.) With 6 figs., 3 tabs., 34 refs.

Don't panic. A guide to tryptophan depletion with disorder-specific anxiety provocation.

Science.gov (United States)

Hood, S D; Bell, C J; Argyropoulos, S V; Nutt, D J

2016-11-01

The 2002 paper "Does 5-HT restrain panic? A tryptophan depletion study in panic disorder patients recovered on paroxetine" by Bell and colleagues - reprinted in this issue of the Journal - reports on a study undertaken in the halcyon days of David Nutt's Psychopharmacology Unit at the University of Bristol, England. In this invited commentary authors of the original work discuss the impact of this paper on the field of acute tryptophan depletion research (especially in the field of clinical anxiety disorders) and the development of disorder-specific anxiogenic provocations over the past decade. © The Author(s) 2016.

Analysis of fixed tilt and sun tracking photovoltaic–micro wind based hybrid power systems

International Nuclear Information System (INIS)

Sinha, Sunanda; Chandel, S.S.

2016-01-01

Graphical abstract: 6 kW_p photovoltaic–micro wind based hybrid power system analysis in a Indian Western Himalayan location. - Highlights: • Power generation by a roof mounted photovoltaic–micro wind hybrid system is explored. • Optimum hybrid configurations using fixed and sun tracking photovoltaic systems are determined. • Analysis of hybrid systems with optimally tilted and different sun tracking systems is presented. • Two axis sun tracking systems are found to generate 4.88–26.29% more energy than fixed tilt system. • Hybrid system installed at optimum tilt angle is found to be cost effective than a sun tracking system. - Abstract: In this study fixed tilt and sun tracking photovoltaic based micro wind hybrid power systems are analyzed along with determining the optimum configurations for a 6 kW_p roof mounted micro wind based hybrid system using fixed and tracking photovoltaic systems to enhance the power generation potential in a low windy Indian hilly terrain with good solar resource. The main objective of the study is to enhance power generation by focusing on photovoltaic component of the hybrid system. A comparative power generation analysis of different configurations of hybrid systems with fixed tilt, monthly optimum tilt, yearly optimum tilt and 6 different sun tracking photovoltaic systems is carried out using Hybrid Optimization Model for Electric Renewables. Monthly and seasonal optimum tilt angles determined for the location vary between 0° and 60° with annual optimum tilt angle as 29.25°. The optimum configurations for all sun tracking systems except for the two axis tracking system is found to be 7 kW_p photovoltaic system, one 5 kW_p wind turbine, 10 batteries and a 2 kW_p inverter. The optimum configuration for two axis tracking system and two types of fixed tilt systems, is found to be a 8 kW_p photovoltaic system, one 5 kW_p wind turbine, 10 batteries and a 2 kW_p inverter. The results show that horizontal axis with

Tilt stability in nonlinear programming under Mangasarian-Fromovitz constraint qualification

Czech Academy of Sciences Publication Activity Database

Mordukhovich, B. S.; Outrata, Jiří

2013-01-01

Roč. 49, č. 3 (2013), s. 446-464 ISSN 0023-5954 R&D Projects: GA ČR(CZ) GAP201/12/0671 Institutional support: RVO:67985556 Keywords : variational analysis * second-order theory * generalized differentiation * tilt stability Subject RIV: BA - General Mathematics Impact factor: 0.563, year: 2013 http://library.utia.cas.cz/separaty/2013/MTR/outrata-tilt stability in nonlinear programming under mangasarian-fromovitz constraint qualification.pdf

Heart rate variability analysis in postural orthostatic tachycardia syndrome: a case report

Directory of Open Access Journals (Sweden)

Raffaele Calabrò

2006-09-01

Full Text Available The authors present a case of 36 year old male patient with idiopathic postural orthostatic tachycardia syndrome (POTS diagnosed during head-up tilt testing. Power spectral analysis of heart rate variability (HRV during the tilt test revealed that the ratio of low and high frequency powers (LF/HF increased with the onset of orthostatic intolerance. This analysis confirmed in our patient a strong activation in sympathetic tone.

On the Possibilities of Decreasing Power Loss in Large Tilting Pad Thrust Bearings

OpenAIRE

Wasilczuk, Michal; Rotta, Grzegorz

2013-01-01

Different systems of direct oil supply have been developed in order to facilitate efficient introduction of fresh lubricant to the oil gap and reduction of churning power loss in tilting pad thrust bearings. Up to now there is no documented application of the supply groove in large thrust bearings used in water power plants. The results of modeling lubricant flow in the lubricating groove of a thrust bearing pad will be presented in the paper. CFD software was used to carry out fluid film cal...

Research on Calculation of the IOL Tilt and Decentration Based on Surface Fitting

OpenAIRE

Li, Lin; Wang, Ke; Yan, Yan; Song, Xudong; Liu, Zhicheng

2013-01-01

The tilt and decentration of intraocular lens (IOL) result in defocussing, astigmatism, and wavefront aberration after operation. The objective is to give a method to estimate the tilt and decentration of IOL more accurately. Based on AS-OCT images of twelve eyes from eight cases with subluxation lens after operation, we fitted spherical equation to the data obtained from the images of the anterior and posterior surfaces of the IOL. By the established relationship between IOL tilt (decentrati...

Jahn-Teller distortions, cation ordering and octahedral tilting in perovskites

International Nuclear Information System (INIS)

Lufaso, M.W.; Woodward, P.M.

2004-01-01

In transition metal oxides, preferential occupation of specific d orbitals on the transition metal ion can lead to the development of a long-range ordered pattern of occupied orbitals. This phenomenon, referred to as orbital ordering, is usually observed indirectly from the cooperative Jahn-Teller distortions (CJTDs) that result as a consequence of the orbital ordering. This paper examines the interplay between orbital ordering, octahedral tilting and cation ordering in perovskites. Both ternary AMX 3 perovskites containing an active Jahn-Teller (J-T) ion on the octahedral site and quaternary A 2 MM'X 6 perovskites containing a J-T ion on one-half of the octahedral sites have been examined. In AMX 3 perovskites, the tendency is for the occupied 3d 3x 2 -r 2 and 3d 3z 2 -r 2 orbitals to order in the ac plane, as exemplified by the crystal structures of LaMnO 3 and KCuF 3 . This arrangement maintains a favorable coordination environment for the anion sites. In AMX 3 perovskites, octahedral tilting tends to enhance the magnitude of the J-T distortions. In A 2 MM'X 6 perovskites, the tendency is for the occupied 3d 3z 2 -r 2 orbitals to align parallel to the c axis. This pattern maintains a favorable coordination environment about the symmetric M'-cation site. The orbital ordering found in rock-salt ordered A 2 MM'X 6 perovskites is compatible with octahedral rotations about the c axis (Glazer tilt system a 0 a 0 c - ) but appears to be incompatible with GdFeO 3 -type octahedral tilting (tilt system - b + a - ). (orig.)

Analysis of a ferrofluid core differential transformer tilt measurement sensor

Energy Technology Data Exchange (ETDEWEB)

Medvegy, T.; Molnár, Á.; Molnár, G.; Gugolya, Z.

2017-04-15

In our work, we developed a ferrofluid core differential transformer sensor, which can be used to measure tilt and acceleration. The proposed sensor consisted of three coils, from which the primary was excited with an alternating current. In the space surrounded by the coils was a cell half-filled with ferrofluid, therefore in the horizontal state of the sensor the fluid distributes equally in the three sections of the cell surrounded by the three coils. Nevertheless when the cell is being tilted or accelerated (in the direction of the axis of the coils), there is a different amount of ferrofluid in the three sections. The voltage induced in the secondary coils strongly depends on the amount of ferrofluid found in the core surrounded by them, so the tilt or the acceleration of the cell becomes measurable. We constructed the sensor in several layouts. The linearly coiled sensor had an excellent resolution. Another version with a toroidal cell had almost perfect linearity and a virtually infinite measuring range. - Highlights: • A ferrofluid core differential transformer can be used to measure tilt. • The theoretical description of two different type of the sensor is introduced. • The measuring range, and the sensitivity depends on the dimensions of the sensor.

Tilted Bianchi type I dust fluid cosmological model in general relativity

Indian Academy of Sciences (India)

Home; Journals; Pramana – Journal of Physics; Volume 58; Issue 3. Tilted Bianchi type I dust fluid cosmological model in general ... In this paper, we have investigated a tilted Bianchi type I cosmological model filled with dust of perfect fluid in general relativity. To get a determinate solution, we have assumed a condition  ...

A tilted transversely isotropic slowness surface approximation

KAUST Repository

Stovas, A.

2012-05-09

The relation between vertical and horizontal slownesses, better known as the dispersion relation, for transversely isotropic media with a tilted symmetry axis (TTI) requires solving a quartic polynomial equation, which does not admit a practical explicit solution to be used, for example, in downward continuation. Using a combination of the perturbation theory with respect to the anelliptic parameter and Shanks transform to improve the accuracy of the expansion, we develop an explicit formula for the vertical slowness that is highly accurate for all practical purposes. It also reveals some insights into the anisotropy parameter dependency of the dispersion relation including the low impact that the anelliptic parameter has on the vertical placement of reflectors for a small tilt in the symmetry angle. © 2012 European Association of Geoscientists & Engineers.

Documentation of programs that compute 1) static tilts for a spatially variable slip distribution, and 2) quasi-static tilts produced by an expanding dislocation loop with a spatially variable slip distribution

Science.gov (United States)

McHugh, Stuart

1976-01-01

The material in this report is concerned with the effects of a vertically oriented rectangular dislocation loop on the tilts observed at the free surface of an elastic half-space. Part I examines the effect of a spatially variable static strike-slip distribution across the slip surface. The tilt components as a function of distance parallel, or perpendicular, to the strike of the slip surface are displayed for different slip-versus-distance profiles. Part II examines the effect of spatially and temporally variable slip distributions across the dislocation loop on the quasi-static tilts at the free surface of an elastic half space. The model discussed in part II may be used to generate theoretical tilt versus time curves produced by creep events.

Motion Perception and Manual Control Performance During Passive Tilt and Translation Following Space Flight

Science.gov (United States)

Clement, Gilles; Wood, Scott J.

2010-01-01

This joint ESA-NASA study is examining changes in motion perception following Space Shuttle flights and the operational implications of post-flight tilt-translation ambiguity for manual control performance. Vibrotactile feedback of tilt orientation is also being evaluated as a countermeasure to improve performance during a closed-loop nulling task. METHODS. Data has been collected on 5 astronaut subjects during 3 preflight sessions and during the first 8 days after Shuttle landings. Variable radius centrifugation (216 deg/s) combined with body translation (12-22 cm, peak-to-peak) is utilized to elicit roll-tilt perception (equivalent to 20 deg, peak-to-peak). A forward-backward moving sled (24-390 cm, peak-to-peak) with or without chair tilting in pitch is utilized to elicit pitch tilt perception (equivalent to 20 deg, peak-to-peak). These combinations are elicited at 0.15, 0.3, and 0.6 Hz for evaluating the effect of motion frequency on tilt-translation ambiguity. In both devices, a closed-loop nulling task is also performed during pseudorandom motion with and without vibrotactile feedback of tilt. All tests are performed in complete darkness. PRELIMINARY RESULTS. Data collection is currently ongoing. Results to date suggest there is a trend for translation motion perception to be increased at the low and medium frequencies on landing day compared to pre-flight. Manual control performance is improved with vibrotactile feedback. DISCUSSION. The results of this study indicate that post-flight recovery of motion perception and manual control performance is complete within 8 days following short-duration space missions. Vibrotactile feedback of tilt improves manual control performance both before and after flight.

Estimation of pelvic tilt on anteroposterior X-rays - a comparison of six parameters

International Nuclear Information System (INIS)

Tannast, M.; Murphy, S.B.; Langlotz, F.; Anderson, S.E.; Siebenrock, K.A.

2006-01-01

To compare six different parameters described in literature for estimation of pelvic tilt on an anteroposterior pelvic radiograph and to create a simple nomogram for tilt correction of prosthetic cup version in total hip arthroplasty. Simultaneous anteroposterior and lateral pelvic radiographs are taken routinely in our institution and were analyzed prospectively. The different parameters (including three distances and three ratios) were measured and compared to the actual pelvic tilt on the lateral radiograph using simple linear regression analysis. One hundred and four consecutive patients (41 men, 63 women with a mean age of 31.7 years, SD 9.2 years, range 15.7-59.1 years) were studied. The strongest correlation between pelvic tilt and one of the six parameters for both men and women was the distance between the upper border of the symphysis and the sacrococcygeal joint. The correlation coefficient was 0.68 for men (P<0.001) and 0.61 for women (P<0.001). Based on this linear correlation, a nomogram was created that enables fast, tilt-corrected cup version measurements in clinical routine use. This simple method for correcting variations in pelvic tilt on plain radiographs can potentially improve the radiologist's ability to diagnose and interpret malformations of the acetabulum (particularly acetabular retroversion and excessive acetabular overcoverage) and post-operative orientation of the prosthetic acetabulum. (orig.)

Tilt shift determinations with spatial-carrier phase-shift method in temporal phase-shift interferometry

International Nuclear Information System (INIS)

Liu, Qian; Wang, Yang; He, Jianguo; Ji, Fang; Wang, Baorui

2014-01-01

An algorithm is proposed to deal with tilt-shift errors in temporal phase-shift interferometry (PSI). In the algorithm, the tilt shifts are detected with the spatial-carrier phase-shift (SCPS) method and then the tilt shifts are applied as priori information to the least-squares fittings of phase retrieval. The algorithm combines the best features of the SCPS and the temporal PSI. The algorithm could be applied to interferograms of arbitrary aperture without data extrapolation for the Fourier transform is not involved. Simulations and experiments demonstrate the effectiveness of the algorithm. The statistics of simulation results show a satisfied accuracy in detecting tilt-shift errors. Comparisons of the measurements with and without environmental vibration show that the proposed algorithm could compensate tilt-shift errors and retrieve wavefront phase accurately. The algorithm provides an approach to retrieve wavefront phase for the temporal PSI in vibrating environment. (paper)

Tilt rotor tricopter : control system for the holonomic multirotor platform

OpenAIRE

Gjertsen, Sindre; Salem, Daniel

2013-01-01

Masteroppgave i mekatronikk MAS500 2013 – Universitetet i Agder, Grimstad Development of a new approach to the multicopter segment of the Unmanned Areal Vehicle (UAV) family is presented. The system is designed on a T-shaped tricopter platform with ability to tilt all three motors, hereby defined as Tilt Rotor Tricopter (TRT). The highly coupled nonlinear system is investigated through the mathematical model, and verified by simulations. Linearization of the system has been ach...

Evolution of an Astrocytic Hamartoma of the Optic Nerve Head in a Patient with Retinitis Pigmentosa – Photographic Documentation over 2 Years of Follow-Up

Science.gov (United States)

Loukianou, Eleni; Kisma, Nacima; Pal, Bishwanathan

2011-01-01

Aim To report photographically the evolution of an astrocytic hamartoma of the left optic nerve head over a 2-year follow-up in a patient with retinitis pigmentosa. Methods A 14-year-old boy was seen in the medical retina clinic with a 3-year history of night blindness. Best corrected visual acuity was 6/18 in both eyes. Colour vision was normal in both eyes and confrontation fields showed peripheral constriction. Fundus examination revealed bone spicule pigmentary changes at the retinal mid periphery typical of retinitis pigmentosa and superficial globules at the margins of both optic nerve heads. Electrodiagnostic tests confirmed moderately severe rod cone dystrophy with macular involvement bilaterally. Results Two years later, the ocular examination was unchanged except for the appearance of the optic nerve head lesion in the left eye. There was an increase in the size of the lesion which was diagnosed as an astrocytic hamartoma. Further investigations were recommended to exclude neurofibromatosis and tuberous sclerosis. Conclusion Astrocytic hamartomas of the optic nerve head and optic nerve head drusen have both been described in patients with retinitis pigmentosa. They can be a diagnostic dilemma although drusen are more common (10%). To differentiate these two entities it is very important to document any growth during the follow-up period which is suggestive of astrocytic hamartoma rather than optic disc drusen. PMID:21347192

Evolution of an Astrocytic Hamartoma of the Optic Nerve Head in a Patient with Retinitis Pigmentosa – Photographic Documentation over 2 Years of Follow-Up

Directory of Open Access Journals (Sweden)

Eleni Loukianou

2011-02-01

Full Text Available Aim: To report photographically the evolution of an astrocytic hamartoma of the left optic nerve head over a 2-year follow-up in a patient with retinitis pigmentosa. Methods: A 14-year-old boy was seen in the medical retina clinic with a 3-year history of night blindness. Best corrected visual acuity was 6/18 in both eyes. Colour vision was normal in both eyes and confrontation fields showed peripheral constriction. Fundus examination revealed bone spicule pigmentary changes at the retinal mid periphery typical of retinitis pigmentosa and superficial globules at the margins of both optic nerve heads. Electrodiagnostic tests confirmed moderately severe rod cone dystrophy with macular involvement bilaterally. Results: Two years later, the ocular examination was unchanged except for the appearance of the optic nerve head lesion in the left eye. There was an increase in the size of the lesion which was diagnosed as an astrocytic hamartoma. Further investigations were recommended to exclude neurofibromatosis and tuberous sclerosis. Conclusion: Astrocytic hamartomas of the optic nerve head and optic nerve head drusen have both been described in patients with retinitis pigmentosa. They can be a diagnostic dilemma although drusen are more common (10%. To differentiate these two entities it is very important to document any growth during the follow-up period which is suggestive of astrocytic hamartoma rather than optic disc drusen.

Comparative analysis of diffused solar radiation models for optimum tilt angle determination for Indian locations

International Nuclear Information System (INIS)

Yadav, P.; Chandel, S.S.

2014-01-01

Tilt angle and orientation greatly are influenced on the performance of the solar photo voltaic panels. The tilt angle of solar photovoltaic panels is one of the important parameters for the optimum sizing of solar photovoltaic systems. This paper analyses six different isotropic and anisotropic diffused solar radiation models for optimum tilt angle determination. The predicted optimum tilt angles are compared with the experimentally measured values for summer season under outdoor conditions. The Liu and Jordan model is found to exhibit t lowest error as compared to other models for the location. (author)

Superhuman AI for heads-up no-limit poker: Libratus beats top professionals.

Science.gov (United States)

Brown, Noam; Sandholm, Tuomas

2018-01-26

No-limit Texas hold'em is the most popular form of poker. Despite artificial intelligence (AI) successes in perfect-information games, the private information and massive game tree have made no-limit poker difficult to tackle. We present Libratus, an AI that, in a 120,000-hand competition, defeated four top human specialist professionals in heads-up no-limit Texas hold'em, the leading benchmark and long-standing challenge problem in imperfect-information game solving. Our game-theoretic approach features application-independent techniques: an algorithm for computing a blueprint for the overall strategy, an algorithm that fleshes out the details of the strategy for subgames that are reached during play, and a self-improver algorithm that fixes potential weaknesses that opponents have identified in the blueprint strategy. Copyright © 2018, The Authors, some rights reserved; exclusive licensee American Association for the Advancement of Science. No claim to original U.S. Government Works.

Why is it so difficult to tilt Uranus?

Science.gov (United States)

Rogoszinski, Zeeve; Hamilton, Douglas

2018-04-01

The leading hypothesis for the origin of Uranus' large obliquity (98°) is a polar strike from an Earth sized object, but to tilt Saturn similarly would require an impactor roughly 10x as massive. A more likely cause for Saturn's tilt (27°) is a spin-orbit resonance with Neptune (Ward & Hamilton, 2004; Hamilton & Ward, 2004); might the same process work for Uranus? It initially seems unlikely, as at its current location Uranus' axial precession period is too long to resonate with any of the giant planets' orbital precession frequencies. If we place Uranus between Jupiter and Saturn, however, then Uranus' spin axis would precess much more quickly. Thommes et al. (1999, 2002, 2003) first postulated that Uranus and Neptune were formed between Jupiter and Saturn because the conditions there allow the ice giants to be built rapidly. A resonance for our closer Uranus still requires a distant planet, nevertheless, a condition that can be satisfied if Neptune is ejected from Jupiter and Saturn first with Uranus following significantly later. This scenario, while contrived, is consistent with at least some versions of the Nice model and allows us to fully test the resonance hypothesis. We discovered that even with these optimistic assumptions, i) a resonance capture requires a migration timescale on the order of 100 Myr, and ii) it is impossible to tilt Uranus past 90°. Increasing Neptune's migration speed precludes resonant capture, and instead results in a resonance kick. In the most favorable cases, a resonance kick could raise Uranus' obliquity by 40° on a time span of about 50 Myr. We conclude that even in our best scenario, a resonance cannot fully account for Uranus' tilt. We have investigated some scenarios that include both resonances and collisions, and will report on our findings.

Analysis and Optimization of Wireless Power Transfer Efficiency Considering the Tilt Angle of a Coil

Directory of Open Access Journals (Sweden)

Wei Huang

2018-01-01

Full Text Available Wireless power transfer (WPT based on magnetic resonant coupling is a promising technology in many industrial applications. Efficiency of the WPT system usually depends on the tilt angle of the transmitter or the receiver coil. This work analyzes the effect of the tilt angle on the efficiency of the WPT system with horizontal misalignment. The mutual inductance between two coils located at arbitrary positions with tilt angles is calculated using a numerical analysis based on the Neumann formula. The efficiency of the WPT system with a tilted coil is extracted using an equivalent circuit model with extracted mutual inductance. By analyzing the results, we propose an optimal tilt angle to maximize the efficiency of the WPT system. The best angle to maximize the efficiency depends on the radii of the two coils and their relative position. The calculated efficiencies versus the tilt angle for various WPT cases, which change the radius of RX (r2 = 0.075 m, 0.1 m, 0.15 m and the horizontal distance (y = 0 m, 0.05 m, 0.1 m, are compared with the experimental results. The analytically extracted efficiencies and the extracted optimal tilt angles agree well with those of the experimental results.

Maternal risk factors in fetal alcohol syndrome: provocative and permissive influences.

Science.gov (United States)

Abel, E L; Hannigan, J H

1995-01-01

We present an hypothesis integrating epidemiological, clinical case, and basic biomedical research to explain why only relatively few women who drink alcohol during pregnancy give birth to children with alcohol-related birth defects (ARBDs), in particular, Fetal Alcohol Syndrome (FAS). We argue that specific sociobehavioral risk factors, e.g., low socioeconomic status, are permissive for FAS in that they provide the context for increased vulnerability. We illustrate how these permissive factors are related to biological factors, e.g., decreased antioxidant status, which in conjunction with alcohol, provoke FAS/ARBDs in vulnerable fetuses. We propose an integrative heuristic model hypothesizing that these permissive and provocative factors increase the likelihood of FAS/ARBDs because they potentiate two related mechanisms of alcohol-induced teratogenesis, specifically, maternal/fetal hypoxia and free radical formation.

Driving While Interacting With Google Glass: Investigating the Combined Effect of Head-Up Display and Hands-Free Input on Driving Safety and Multitask Performance.

Science.gov (United States)

Tippey, Kathryn G; Sivaraj, Elayaraj; Ferris, Thomas K

2017-06-01

This study evaluated the individual and combined effects of voice (vs. manual) input and head-up (vs. head-down) display in a driving and device interaction task. Advances in wearable technology offer new possibilities for in-vehicle interaction but also present new challenges for managing driver attention and regulating device usage in vehicles. This research investigated how driving performance is affected by interface characteristics of devices used for concurrent secondary tasks. A positive impact on driving performance was expected when devices included voice-to-text functionality (reducing demand for visual and manual resources) and a head-up display (HUD) (supporting greater visibility of the driving environment). Driver behavior and performance was compared in a texting-while-driving task set during a driving simulation. The texting task was completed with and without voice-to-text using a smartphone and with voice-to-text using Google Glass's HUD. Driving task performance degraded with the addition of the secondary texting task. However, voice-to-text input supported relatively better performance in both driving and texting tasks compared to using manual entry. HUD functionality further improved driving performance compared to conditions using a smartphone and often was not significantly worse than performance without the texting task. This study suggests that despite the performance costs of texting-while-driving, voice input methods improve performance over manual entry, and head-up displays may further extend those performance benefits. This study can inform designers and potential users of wearable technologies as well as policymakers tasked with regulating the use of these technologies while driving.

Effects of errors in velocity tilt on maximum longitudinal compression during neutralized drift compression of intense beam pulses: I. general description

Energy Technology Data Exchange (ETDEWEB)

Kaganovich, Igor D.; Massidda, Scottt; Startsev, Edward A.; Davidson, Ronald C.; Vay, Jean-Luc; Friedman, Alex

2012-06-21

Neutralized drift compression offers an effective means for particle beam pulse compression and current amplification. In neutralized drift compression, a linear longitudinal velocity tilt (head-to-tail gradient) is applied to the non-relativistic beam pulse, so that the beam pulse compresses as it drifts in the focusing section. The beam current can increase by more than a factor of 100 in the longitudinal direction. We have performed an analytical study of how errors in the velocity tilt acquired by the beam in the induction bunching module limit the maximum longitudinal compression. It is found that the compression ratio is determined by the relative errors in the velocity tilt. That is, one-percent errors may limit the compression to a factor of one hundred. However, a part of the beam pulse where the errors are small may compress to much higher values, which are determined by the initial thermal spread of the beam pulse. It is also shown that sharp jumps in the compressed current density profile can be produced due to overlaying of different parts of the pulse near the focal plane. Examples of slowly varying and rapidly varying errors compared to the beam pulse duration are studied. For beam velocity errors given by a cubic function, the compression ratio can be described analytically. In this limit, a significant portion of the beam pulse is located in the broad wings of the pulse and is poorly compressed. The central part of the compressed pulse is determined by the thermal spread. The scaling law for maximum compression ratio is derived. In addition to a smooth variation in the velocity tilt, fast-changing errors during the pulse may appear in the induction bunching module if the voltage pulse is formed by several pulsed elements. Different parts of the pulse compress nearly simultaneously at the target and the compressed profile may have many peaks. The maximum compression is a function of both thermal spread and the velocity errors. The effects of the