Sample records for receiver function studies

  1. A study of upper mantle discontinuities beneath the Korean Peninsula using teleseismic receiver functions (United States)

    Lee, S.; Park, Y.; Kim, K.; Rhie, J.


    The study on the topography of the upper mantle discontinuities helps us to understand the complex interactions between the subducting slabs and upper mantle discontinuities. To investigate the depth variation of the upper mantle discontinuities beneath the Korean Peninsula and surrounding regions, we applied the common conversion point stacking of the P-to-s receiver functions. The broadband seismic networks in South Korea and Japan were used to produce the high-resolution receiver function images of the region. The 410- and 660-km discontinuities (hereafter referred to as the 410 and the 660) are clearly imaged and their depth variations show interesting features, especially for the 660. In this region, the subducting Pacific slab bends to flatten over the 660 and several tomographic images indicate that the stagnant slab is extending to the west under China. If the depth of the 660 is affected by the temperature, the broad depression of the 660 is expected and several SS precursor studies support this idea. However, our observation shows that the 660 is locally depressed and its pattern is spatially changing. While the depressed 660 due to the Pacific slab is clearly imaged at lower latitudes (depressed 660 to the north. It indicates that the effect of the Pacific slab on the depth variation of the 660 is changing significantly in our study area.

  2. Receiver gain function: the actual NMR receiver gain


    Mo, Huaping; Harwood, John S.; Raftery, Daniel


    The observed NMR signal size depends on the receiver gain parameter. We propose a receiver gain function to characterize how much the raw FID is amplified by the receiver as a function of the receiver gain setting. Although the receiver is linear for a fixed gain setting, the actual gain of the receiver may differ from what the gain setting suggests. Nevertheless, for a given receiver, we demonstrate that the receiver gain function can be calibrated. Such a calibration enables accurate compar...

  3. Preliminary study of lateral variation in crustal structure of Northeast China from teleseismic receiver functions (United States)

    Chen, Youlin; Liu, Ruifeng; Huang, Zhibin; Sun, Li


    We conducted comprehensive receiver function analyses for a large amount of high-quality broadband teleseismic waveforms data recorded at 19 China National Digital Seismic Network (CNDSN) stations deployed in Northeast China. An advanced H- κ domain search method was adopted to accurately estimate the crustal thickness and ν P/ ν S ratio. The crust has an average thickness of about 34.4 km. The thinnest crust occurs in the central region of Northeast China, while the thickest crust is beneath the Yanshan belt. The ν P/ ν S ratio is relatively uniform with an average of about 1.733. The highest ν P/ ν S ratio is found beneath the Changbaishan, likely associated with its volcanic activities. We found significant lateral heterogeneity beneath three stations CN2, MDJ, and MIH located along the Suolon suture from the back-zimuthal dependence of Moho depth. The velocity modeling from receiver functions indicated complicated Earth structure beneath these stations with large crust-mantle transition zone, noticeable velocity jump in upper mantle, and low velocity zone in middle crust. Dipping velocity interface in the crust with strike approximately parallel to the Suolon suture and down-dip to the south or southeast might explain the observed lateral heterogeneity.

  4. Study of cyclic thermal aging of tube type receivers as a function of the duration of the cycle (United States)

    Setien, Eneko; Fernández-Reche, Jesús; Ariza, María Jesús; Álvarez-de-Lara, Mónica


    The tube type receivers are exposed to variable duration cyclic operating conditions, which can jeopardize its reliability, and make it hard to estimate its long term performance. The designers have to deal with this problem and estimate the receiver long term performance based on the poor available litterature and the data sheets of the material. In order to help the designer better estimate the performance of the receivers, in this paper the cyclic thermal aging is analyzed as a function of the cycle duration. For this purpose, coated and uncoated Inconel alloy 625 tubular samples, similar to those used in the commercial receivers, are cyclically aged with different thermal cycle duration. The aging of these samples has been analyzed by means of oxidation kinetics, microstructure examination and mechanical and optical properties. The effect of the thermal cycle duration is studied and discussed by comparison of the results.

  5. Swallowing Function and Nutritional Status in Japanese Elderly People Receiving Home-care Services: A 1-year Longitudinal Study. (United States)

    Okabe, Y; Furuta, M; Akifusa, S; Takeuchi, K; Adachi, M; Kinoshita, T; Kikutani, T; Nakamura, S; Yamashita, Y


    Malnutrition is a serious health concern for frail elderly people. Poor oral function leading to insufficient food intake can contribute to the development of malnutrition. In the present study, we explored the longitudinal association of malnutrition with oral function, including oral health status and swallowing function, in elderly people receiving home nursing care. Prospective observational cohort study with 1-year follow-up. Two mid-sized cities in Fukuoka, Japan from November 2010 to March 2012. One hundred and ninety-seven individuals, aged ≥ 60 years, living at home and receiving home-care services because of physical disabilities, without malnutrition. Oral health status, swallowing function, taking modified-texture diets such as minced or pureed foods, nutritional status, cognitive function, and activities of daily living were assessed at baseline. The associations between malnutrition at 1-year follow-up and these related factors were analyzed using a logistic regression model. Swallowing disorders [risk ratio (RR): 5.21, 95% confidence interval (95% CI): 1.65-16.43] were associated with malnutrition. On the other hand, oral health status did not have a direct association with malnutrition. Swallowing disorders may be associated with the incidence of malnutrition in elderly people receiving home-care. The findings indicate that maintaining swallowing function may contribute to the prevention of malnutrition in frail elderly people.

  6. Receiver function estimated by maximum entropy deconvolution

    Institute of Scientific and Technical Information of China (English)

    吴庆举; 田小波; 张乃铃; 李卫平; 曾融生


    Maximum entropy deconvolution is presented to estimate receiver function, with the maximum entropy as the rule to determine auto-correlation and cross-correlation functions. The Toeplitz equation and Levinson algorithm are used to calculate the iterative formula of error-predicting filter, and receiver function is then estimated. During extrapolation, reflective coefficient is always less than 1, which keeps maximum entropy deconvolution stable. The maximum entropy of the data outside window increases the resolution of receiver function. Both synthetic and real seismograms show that maximum entropy deconvolution is an effective method to measure receiver function in time-domain.

  7. Prospective study of cognitive function in children receiving whole-brain radiotherapy and chemotherapy: 2-year results

    International Nuclear Information System (INIS)

    Packer, R.J.; Sutton, L.N.; Atkins, T.E.; Radcliffe, J.; Bunin, G.R.; D'Angio, G.; Siegel, K.R.; Schut, L.


    As survival rates have risen for children with malignant primary brain tumors, so has the concern that many survivors have significant permanent cognitive deficits. Cranial irradiation (CRT) has been implicated as the major cause for cognitive dysfunction. To clarify the etiology, incidence, and severity of intellectual compromise in children with brain tumors after CRT, a prospective study was undertaken comparing the neuropsychological outcome in 18 consecutive children with malignant brain tumors treated with CRT to outcome in 14 children harboring brain tumors in similar sites in the nervous system who had not received CRT. Children with cortical or subcortical brain tumors were not eligible for study. Neuropsychological testing was performed after surgery prior to radiotherapy, after radiotherapy, and at 1- and 2-year intervals thereafter. Children who had received CRT had a mean full-scale intelligence quotient (FSIQ) of 105 at diagnosis which fell to 91 by Year 2. Similar declines were noted in their performance intelligence quotient (IQ) and verbal IQ. After CRT, patients demonstrated a statistically significant decline from baseline in FSIQ (p less than 0.02) and verbal IQ (p less than 0.04). Children who had not received CRT did not demonstrate a fall in any cognitive parameter over time. The decline between baseline testing and testing performed at Year 2 in patients who had CRT was inversely correlated with age (p less than 0.02), as younger children demonstrated the greatest loss of intelligence. Children less than 7 years of age at diagnosis had a mean decline in FSIQ of 25 points 2 years posttreatment. No other clinical parameter correlated with the overall IQ or decline in IQ. After CRT, children demonstrated a wide range of dysfunction including deficits in fine motor, visual-motor, and visual-spatial skills and memory difficulties

  8. Crustal Structure beneath Alaska from Receiver Functions (United States)

    Zhang, Y.; Li, A.


    The crustal structure in Alaska has not been well resolved due to the remote nature of much of the state. The USArray Transportable Array (TA), which is operating in Alaska and northwestern Canada, significantly increases the coverage of broadband seismic stations in the region and allows for a more comprehensive study of the crust. We have analyzed P-receiver functions from earthquake data recorded by 76 stations of the TA and AK networks. Both common conversion point (CCP) and H-K methods are used to estimate the mean crustal thickness. The results from the CCP stacking method show that the Denali fault marks a sharp transition from thick crust in the south to thin crust in the north. The thickest crust up to 52 km is located in the St. Elias Range, which has been formed by oblique collision between the Yakutat microplate and North America. A thick crust of 48 km is also observed beneath the eastern Alaska Range. These observations suggest that high topography in Alaska is largely compensated by the thick crust root. The Moho depth ranges from 28 km to 35 km beneath the northern lowlands and increases to 40-45 km under the Books Range. The preliminary crustal thickness from the H-K method generally agrees with that from the CCP stacking with thicker crust beneath high mountain ranges and thinner crust beneath lowlands and basins. However, the offshore part is not well constrained due to the limited coverage of stations. The mean Vp/Vs ratio is around 1.7 in the Yukon-Tanana terrane and central-northern Alaska. The ratio is about 1.9 in central and southern Alaska with higher values at the Alaska Range, Wrangell Mountains, and St. Elias Range. Further data analyses are needed for obtaining more details of the crustal structure in Alaska to decipher the origin and development of different tectonic terranes.

  9. A Randomized, Double-Blind Study Assessing Changes in Cognitive Function in Indian School Children Receiving a Combination of Bacopa monnieri and Micronutrient Supplementation vs. Placebo

    Directory of Open Access Journals (Sweden)

    Tora Mitra-Ganguli


    Full Text Available Several studies have indicated a chronic cognitive enhancing effect of Bacopa monnieri across different ages and cognitive impairment associated with vitamin and mineral deficiencies in children. Therefore, we investigated the effects of 4-month supplementation with a combination of B. monnieri extract and multiple micronutrients on cognitive functions in Indian school children aged 7–12 years. This was a randomized, double-blind, parallel design, single-center study in which 300 children were randomized to receive a beverage either fortified with B. monnieri and multiple micronutrients (“fortified” or a non-fortified isocaloric equivalent (“control” twice-daily for 4 months. Cognitive function was assessed by the Cambridge Neuropsychological Automated Test Battery (CANTAB administered at baseline, Day 60 and Day 121. The primary endpoint was change in short-term memory (working memory from baseline in subjects receiving “fortified” vs. “control” beverages after 4 months. Secondary endpoints included sustained attention, episodic memory, and executive function. The “fortified” beverage did not significantly improve short-term memory or any of the secondary outcomes tested relative to the “control” beverage. However, the spatial working memory “strategy” score showed significant improvement on Day 60 (difference between groups in change from baseline: −0.55; p < 0.05, but not on Day 121 due to the active intervention. Study products were well-tolerated. Reasons for these unexpected findings are discussed.

  10. Study of kidney damage in paediatric patients with neurogenic bladder and its relationship with the pattern of bladder function and treatment received. (United States)

    Rodríguez-Ruiz, M; Somoza, I; Curros-Mata, N


    Kidney failure is the main cause of morbidity and mortality in patients with myelodysplasia. We analysed the presence of renal lesions in these patients using dimercaptosuccinic acid scintigraphy and related their presence with the type of vesical function and the delay in receiving appropriate management. We performed a retrospective study of patients with myelodysplasia treated in our hospital since 2004. We analysed the epidemiological and clinical data and the pattern of bladder function according to urodynamic studies. We classified the patients into 4 urodynamic patterns according to detrusor and sphincter behaviour. We linked this behaviour to renal function in the scintigraphy and the care received since birth. The study included 39 patients with myelodysplasia. The most common bladder pattern was type A (61.5%), with sphincter and detrusor hyperactivity, followed by type D (20.5%), C (7.8%) and B (5.1%). Some 38% of our patients (n=15) had some type of nephropathy. Some 92.9% of the children who were properly treated during the first year of their life had no renal lesions in the scintigraphy. We found some type of nephropathy in 56% of the patients for whom appropriate treatment was delayed for more than a year. The nephropathy was more severe the later the management was started. There is a statistically significant relationship between a delay in treatment and impairment in renal scintigraphy in patients with neurogenic bladders. The early study and treatment of patients is essential for decreasing renal impairment, reducing the need for surgery and improving the continence options. Copyright © 2014 AEU. Publicado por Elsevier España, S.L.U. All rights reserved.

  11. A falls prevention programme to improve quality of life, physical function and falls efficacy in older people receiving home help services: study protocol for a randomised controlled trial. (United States)

    Bjerk, Maria; Brovold, Therese; Skelton, Dawn A; Bergland, Astrid


    Falls and fall-related injuries in older adults are associated with great burdens, both for the individuals, the health care system and the society. Previous research has shown evidence for the efficiency of exercise as falls prevention. An understudied group are older adults receiving home help services, and the effect of a falls prevention programme on health-related quality of life is unclear. The primary aim of this randomised controlled trial is to examine the effect of a falls prevention programme on quality of life, physical function and falls efficacy in older adults receiving home help services. A secondary aim is to explore the mediating factors between falls prevention and health-related quality of life. The study is a single-blinded randomised controlled trial. Participants are older adults, aged 67 or older, receiving home help services, who are able to walk with or without walking aids, who have experienced at least one fall during the last 12 months and who have a Mini Mental State Examination of 23 or above. The intervention group receives a programme, based on the Otago Exercise Programme, lasting 12 weeks including home visits and motivational telephone calls. The control group receives usual care. The primary outcome is health-related quality of life (SF-36). Secondary outcomes are leg strength, balance, walking speed, walking habits, activities of daily living, nutritional status and falls efficacy. All measurements are performed at baseline, following intervention at 3 months and at 6 months' follow-up. Sample size, based on the primary outcome, is set to 150 participants randomised into the two arms, including an estimated 15-20% drop out. Participants are recruited from six municipalities in Norway. This trial will generate new knowledge on the effects of an exercise falls prevention programme among older fallers receiving home help services. This knowledge will be useful for clinicians, for health managers in the primary health care service

  12. The lithosphere-asthenosphere boundary observed with USArray receiver functions

    Directory of Open Access Journals (Sweden)

    P. Kumar


    Full Text Available The dense deployment of seismic stations so far in the western half of the United States within the USArray project provides the opportunity to study in greater detail the structure of the lithosphere-asthenosphere system. We use the S receiver function technique for this purpose, which has higher resolution than surface wave tomography, is sensitive to seismic discontinuities, and is free from multiples, unlike P receiver functions. Only two major discontinuities are observed in the entire area down to about 300 km depth. These are the crust-mantle boundary (Moho and a negative boundary, which we correlate with the lithosphere-asthenosphere boundary (LAB, since a low velocity zone is the classical definition of the seismic observation of the asthenosphere by Gutenberg (1926. Our S receiver function LAB is at a depth of 70–80 km in large parts of westernmost North America. East of the Rocky Mountains, its depth is generally between 90 and 110 km. Regions with LAB depths down to about 140 km occur in a stretch from northern Texas, over the Colorado Plateau to the Columbia basalts. These observations agree well with tomography results in the westernmost USA and on the east coast. However, in the central cratonic part of the USA, the tomography LAB is near 200 km depth. At this depth no discontinuity is seen in the S receiver functions. The negative signal near 100 km depth in the central part of the USA is interpreted by Yuan and Romanowicz (2010 and Lekic and Romanowicz (2011 as a recently discovered mid-lithospheric discontinuity (MLD. A solution for the discrepancy between receiver function imaging and surface wave tomography is not yet obvious and requires more high resolution studies at other cratons before a general solution may be found. Our results agree well with petrophysical models of increased water content in the asthenosphere, which predict a sharp and shallow LAB also in continents (Mierdel et al., 2007.

  13. Sexual function in hypertensive patients receiving treatment

    Directory of Open Access Journals (Sweden)

    Thorsten Reffelmann


    Full Text Available Thorsten Reffelmann, Robert A KlonerUniversity of Southern California, The Heart Institute, Good Samaritan Hospital, Division of Cardiovascular Medicine, Keck School of Medicine, Los Angeles, CA, USAAbstract: In many forms of erectile dysfunction (ED, cardiovascular risk factors, in particular arterial hypertension, seem to be extremely common. While causes for ED are related to a broad spectrum of diseases, a generalized vascular process seems to be the underlying mechanism in many patients, which in a large portion of clinical cases involves endothelial dysfunction, ie, inadequate vasodilation in response to endothelium-dependent stimuli, both in the systemic vasculature and the penile arteries. Due to this close association of cardiovascular disease and ED, patients with ED should be evaluated as to whether they may suffer from cardiovascular risk factors including hypertension, cardiovascular disease or silent myocardial ischemia. On the other hand, cardiovascular patients, seeking treatment of ED, must be evaluated in order to decide whether treatment of ED or sexual activity can be recommended without significantly increased cardiac risk. The guideline from the first and second Princeton Consensus Conference may be applied in this context. While consequent treatment of cardiovascular risk factors should be accomplished in these patients, many antihypertensive drugs may worsen sexual function as a drug specific side-effect. Importantly, effective treatment for arterial hypertension should not be discontinued as hypertension itself may contribute to altered sexual functioning; to the contrary, alternative antihypertensive regimes should be administered with individually tailored drug regimes with minimal side-effects on sexual function. When phosphodiesterase-5 inhibitors, such as sildenafil, tadalafil and vardenafil, are prescribed to hypertensive patients on antihypertensive drugs, these combinations of antihypertensive drugs and

  14. The Lithospheric Structure Beneath Canary Islands from Receiver Function Analysis (United States)

    Martinez-Arevalo, C.; Mancilla, F.; Helffrich, G. R.; Garcia, A.


    The Canary Archipelago is located a few hundred kilometers off the western Moroccan coast, extending 450 km west-to-east. It is composed of seven main islands. All but one have been active in the last million years. The origin of the Canary Islands is not well established and local and regional geology features cannot be completely explained by the current models. The main aim of this study is to provide new data that help us to understand and constrain the archipelago's origin and tectonic evolution. The crustal structure under each station is obtained applying P-receiver function technique to the teleseismic P arrivals recorded by the broadband seismic network installed at the Canary Island by the Instituto Geográfico Nacional (IGN) and two temporary stations (MIDSEA and IRIS). We computed receiver functions using the Extended-Time Multitaper Frequency Domain Cross-Correlation Receiver Function (ET-MTRF) method. The results show that the crust is thicker, around 22 km, in the eastern islands (Fuerteventura and Lanzarote) than in the western ones (El Hierro, La Palma, Tenerife), around 17 km, with the exception of La Gomera island. This island, located in the west, exhibits similar crustal structure to Fuerteventura and Lanzarote. A discontinuity at 70-80 km, possibly the LAB (Lithosphere Asthenosphere Boundary) is clearly observed in all the stations. It appears that Moho depths do not track the LAB discontinuity.

  15. Neural mechanisms of behavioral change in young adults with high-functioning autism receiving virtual reality social cognition training: A pilot study. (United States)

    Yang, Y J Daniel; Allen, Tandra; Abdullahi, Sebiha M; Pelphrey, Kevin A; Volkmar, Fred R; Chapman, Sandra B


    Measuring treatment efficacy in individuals with Autism Spectrum Disorder (ASD) relies primarily on behaviors, with limited evidence as to the neural mechanisms underlying these behavioral gains. This pilot study addresses this void by investigating neural and behavioral changes in a Phase I trial in young adults with high-functioning ASD who received an evidence-based behavioral intervention, Virtual Reality-Social Cognition Training over 5 weeks for a total of 10 hr. The participants were tested pre- and post-training with a validated biological/social versus scrambled/nonsocial motion neuroimaging task, previously shown to activate regions within the social brain networks. Three significant brain-behavior changes were identified. First, the right posterior superior temporal sulcus, a hub for socio-cognitive processing, showed increased brain activation to social versus nonsocial stimuli in individuals with greater gains on a theory-of-mind measure. Second, the left inferior frontal gyrus, a region for socio-emotional processing, tracked individual gains in emotion recognition with decreased activation to social versus nonsocial stimuli. Finally, the left superior parietal lobule, a region for visual attention, showed significantly decreased activation to nonsocial versus social stimuli across all participants, where heightened attention to nonsocial contingencies has been considered a disabling aspect of ASD. This study provides, albeit preliminary, some of the first evidence of the harnessable neuroplasticity in adults with ASD through an age-appropriate intervention in brain regions tightly linked to social abilities. This pilot trial motivates future efforts to develop and test social interventions to improve behaviors and supporting brain networks in adults with ASD. Autism Res 2018, 11: 713-725. © 2018 The Authors Autism Research published by International Society for Autism Research and Wiley Periodicals, Inc. This study addresses how the behavioral

  16. Receiver Function Imaging of Mantle Transition Zone Discontinuities Beneath Alaska (United States)

    Dahm, Haider Hassan Faraj

    Subduction of tectonic plates is one of the most important tectonic processes, yet many aspects of subduction zone geodynamics remain unsolved and poorly understood, such as the depth extent of the subducted slab and its geometry. The Alaska subduction zone, which is associated with the subduction of the Pacific Plate beneath the North America plate, has a complex tectonic setting and carries a series of subduction episodes, and represents an excellent target to study such plate tectonic processes. Previous seismological studies in Alaska have proposed different depth estimations and geometry for the subducted slab. The Mantle transition zone discontinuities of the 410km and the 660 km provide independent constraints on the depth extent of the subducted slabs. We conducted a receiver function study to map the topography of the 410 km and the 660 km discontinuities beneath Alaska and its adjacent areas by taking advantage of the teleseismic data from the new USArray deployment in Alaska and northwestern Canada. Stacking over 75,000 high-quality radial receiver functions recorded in Alaska with more than 40 years of recording period, the topographies of the 410 km and 660 km are mapped. The depths of both d410 and d660 show systematic spatial variations, the mean depth of d410 and d660 are within 6 km and 6 km from the global average, respectively. The mean MTZ thickness of the entire study area is within -2 km from the global average of 250 km, suggesting normal MTZ conditions on average. Central and south-central Alaska are characterized by a larger than normal MTZ thickness, suggesting that the subducting Pacific slab is thermally interacted with the MTZ. This study shows that lateral upper mantle velocity variations contribute the bulk of the observed apparent undulations of the MTZ discontinuities.

  17. Imaging the Moho beneath Sedimentary Basins: A Comparative Study of Virtual Deep Seismic Sounding (VDSS) and P Wave Receiver Functions (PRF) (United States)

    Liu, T.; Klemperer, S. L.; Yu, C.; Ning, J.


    In the past decades, P wave receiver functions (PRF) have been routinely used to image the Moho, although it is well known that PRFs are susceptible to contamination from sedimentary multiples. Recently, Virtual Deep Seismic Sounding (VDSS) emerged as a novel method to image the Moho. However, despite successful applications of VDSS on multiple datasets from different areas, how sedimentary basins affect the waveforms of post-critical SsPmp, the Moho reflection phase used in VDSS, is not widely understood. Here, motivated by a dataset collected in the Ordos plateau, which shows distinct effects of sedimentary basins on SsPmp and Pms waveforms, we use synthetic seismograms to study the effects of sedimentary basins on SsPmp and Pms, the phases used in VDSS and PRF respectively. The results show that when the sedimentary thickness is on the same order of magnitude as the dominant wavelength of the incident S wave, SsPmp amplitude decreases significantly with S velocity of the sedimentary layer, whereas increasing sedimentary thickness has little effect in SsPmp amplitude. Our explanation is that the low S velocity layer at the virtual source reduces the incident angle of S wave at the free surface, thus decreases the S-to-P reflection coefficient at the virtual source. In addition, transmission loss associated with the bottom of sedimentary basins also contributes to reducing SsPmp amplitude. This explains not only our observations from the Ordos plateau, but also observations from other areas where post-critical SsPmp is expected to be observable, but instead is too weak to be identified. As for Pms, we observe that increasing sedimentary thickness and decreasing sedimentary velocities both can cause interference between sedimentary multiples and Pms, rendering the Moho depths inferred from Pms arrival times unreliable. The reason is that although Pms amplitude does not vary with sedimentary thickness or velocities, as sedimentary velocities decrease and thickness

  18. Crustal anisotropy across northern Japan from receiver functions. (United States)

    Bianchi, I; Bokelmann, G; Shiomi, K


    Northern Japan is a tectonically active area, with the presence of several volcanoes, and with frequent earthquakes among which the destructive M w  = 8.9-9.0 Tohoku-oki occurred on 11 March 2011. Tectonic activity leaves an imprint on the crustal structures, on both the upper and the lower layers. To investigate the crust in northern Japan, we construct a receiver function data set using teleseismic events recorded at 58 seismic stations belonging to the Japanese National (Hi-net) network. We isolate the signals, in the receiver function wavelet, that witness the presence of anisotropic structures at depth, with the aim of mapping the variation of anisotropy across the northern part of the island. This study focuses on the relation among anisotropy detected in the crust, stresses induced by plate convergence across the subduction zone, and the intrinsic characteristics of the rocks. Our results show how a simple velocity model with two anisotropic layers reproduces the observed data at the stations. We observe a negligible or small amount of signal related to anisotropy in the eastern part of the study area (i.e., the outer arc) for both upper and lower crust. Distinct anisotropic features are observed at the stations on the western part of the study area (i.e., the inner arc) for both upper and lower crust. The symmetry axes are mostly E-W oriented. Deviation from the E-W orientation is observed close to the volcanic areas, where the higher geothermal gradient might influence the deformation processes.

  19. Functional design criteria 241-AP-102 Flexible Receiver System

    International Nuclear Information System (INIS)

    Roblyer, S.P.


    A mixer pump was installed in the 1.07 m (42-in.) riser of the central pump pit of tank 241-AP-102 to mitigate potential fluid separation particle sedimentation by mixing the tank's contents. The mixer pump performed this function until failure. Its removal is now necessary to meet possible tank content removal commitments or other corrective actions. The proposed removal procedure requires a flexible receiver that will provide a barrier to contamination during removal and transfer of the pump to the mixer pump storage container. This document describes the functional design criteria of the flexible receiver. These criteria include the functional and performance requirements of the flexible receiver as a barrier to contamination during normal conditions and contingencies and the instrumentation requirements

  20. Administering truncated receive functions in a parallel messaging interface (United States)

    Archer, Charles J; Blocksome, Michael A; Ratterman, Joseph D; Smith, Brian E


    Administering truncated receive functions in a parallel messaging interface (`PMI`) of a parallel computer comprising a plurality of compute nodes coupled for data communications through the PMI and through a data communications network, including: sending, through the PMI on a source compute node, a quantity of data from the source compute node to a destination compute node; specifying, by an application on the destination compute node, a portion of the quantity of data to be received by the application on the destination compute node and a portion of the quantity of data to be discarded; receiving, by the PMI on the destination compute node, all of the quantity of data; providing, by the PMI on the destination compute node to the application on the destination compute node, only the portion of the quantity of data to be received by the application; and discarding, by the PMI on the destination compute node, the portion of the quantity of data to be discarded.

  1. Receiver Functions of the Mangystau Region, Western Kazakhstan (United States)

    Martinetti, L. B.; Mackey, K. G.


    The Mangystau Region, in southwestern Kazakhstan contains many geographic features such as basins, plateaus, and mountain ranges. However, little has been published in English or Russian, and the region has never been instrumented with broadband seismometers before. From August through September 2016, a seismic noise survey took place where 10 broadband seismic stations were deployed throughout the region for 20 days each by MSU. The sensors recorded various teleseismic events and the data were used to infer crustal thickness. The goal of this study is to determine if reliable receiver functions can be created with 20 days of data recorded, and test what is the best way to use the data to find the thickness of the crust. Since a limited amount of data is available, teleseismic events of magnitude > 5 and that occurred from 30 to 90 degrees from the station were used. To have a better solution, a local calibration event was used to solve the seismic velocity and match the results of a previously done study (5.6 - 6.5 km/s) by a Kazak group, which was then used for H-k stacking. While the work is still in progress, it will add to the knowledge of the area, thus give an insight to the crustal thickness of the overall region. This study can also be used to provide information of the crustal thickness of the northern Caspian basin, near the Caucasus, where another major effort is being conducted.

  2. Metabolic Profiling of Impaired Cognitive Function in Patients Receiving Dialysis


    Kurella Tamura, Manjula; Chertow, Glenn M.; Depner, Thomas A.; Nissenson, Allen R.; Schiller, Brigitte; Mehta, Ravindra L.; Liu, Sai; Sirich, Tammy L.


    Retention of uremic metabolites is a proposed cause of cognitive impairment in patients with ESRD. We used metabolic profiling to identify and validate uremic metabolites associated with impairment in executive function in two cohorts of patients receiving maintenance dialysis. We performed metabolic profiling using liquid chromatography/mass spectrometry applied to predialysis plasma samples from a discovery cohort of 141 patients and an independent replication cohort of 180 patients partici...

  3. Post-operative neuromuscular function of patients receiving non ...

    African Journals Online (AJOL)

    Objectives: To determine the number of patients whose non-depolarising muscle relaxation is adequately reversed. To define factors that contribute to reversal. Design: A cross sectional study. Setting: Universitas Hospital recovery room over a 2 month period. Subjects: Patients that received non-depolarising muscle ...

  4. Sugammadex Improves Neuromuscular Function in Patients Receiving Perioperative Steroids. (United States)

    Ozer, A B; Bolat, E; Erhan, O L; Kilinc, M; Demirel, I; Toprak, G Caglar


    Sugammadex has steroid-encapsulating effect. This study was undertaken to assess whether the clinical efficacy of sugammadex was altered by the administration of steroids. Sixty patients between 18 and 60 years of age with the American Society of Anesthesiologists I-IV and undergoing elective direct laryngoscopy/biopsy were included in this study. Patients were assigned to two groups based on the intraoperative steroid use: those who received steroid (Group S) and who did not (Group C). After standard general anesthesia, patients were monitored with the train of four (TOF) monitoring. The preferred steroid and its dose, timing of steroid administration, and TOF value before and after sugammadex as well as the time to recovery (TOF of 0.9) were recorded. SPSS software version 17.0 was used for statistical analysis. There is no statistically significant difference between groups in terms of age, gender, preoperative medication use, and TOF ratio just before administering sugammadex. The reached time to TOF 0.9 after sugammadex administration was significantly shorter in Group S than Group C (P sugammadex as well as the dose of sugammadex in those who received prednisolone; time to TOF 0.9 was higher in prednisolone receivers as compared to dexamethasone receivers (P sugammadex was found, in contrast with what one expect. Further studies are required to determine the cause of this effect which is probably due to a potential interaction between sugammadex and steroids.

  5. Metabolic Profiling of Impaired Cognitive Function in Patients Receiving Dialysis. (United States)

    Kurella Tamura, Manjula; Chertow, Glenn M; Depner, Thomas A; Nissenson, Allen R; Schiller, Brigitte; Mehta, Ravindra L; Liu, Sai; Sirich, Tammy L


    Retention of uremic metabolites is a proposed cause of cognitive impairment in patients with ESRD. We used metabolic profiling to identify and validate uremic metabolites associated with impairment in executive function in two cohorts of patients receiving maintenance dialysis. We performed metabolic profiling using liquid chromatography/mass spectrometry applied to predialysis plasma samples from a discovery cohort of 141 patients and an independent replication cohort of 180 patients participating in a trial of frequent hemodialysis. We assessed executive function with the Trail Making Test Part B and the Digit Symbol Substitution test. Impaired executive function was defined as a score ≥2 SDs below normative values. Four metabolites-4-hydroxyphenylacetate, phenylacetylglutamine, hippurate, and prolyl-hydroxyproline-were associated with impaired executive function at the false-detection rate significance threshold. After adjustment for demographic and clinical characteristics, the associations remained statistically significant: relative risk 1.16 (95% confidence interval [95% CI], 1.03 to 1.32), 1.39 (95% CI, 1.13 to 1.71), 1.24 (95% CI, 1.03 to 1.50), and 1.20 (95% CI, 1.05 to 1.38) for each SD increase in 4-hydroxyphenylacetate, phenylacetylglutamine, hippurate, and prolyl-hydroxyproline, respectively. The association between 4-hydroxyphenylacetate and impaired executive function was replicated in the second cohort (relative risk 1.12; 95% CI, 1.02 to 1.23), whereas the associations for phenylacetylglutamine, hippurate, and prolyl-hydroxyproline did not reach statistical significance in this cohort. In summary, four metabolites related to phenylalanine, benzoate, and glutamate metabolism may be markers of cognitive impairment in patients receiving maintenance dialysis. Copyright © 2016 by the American Society of Nephrology.

  6. Anisotropic structure of the mantle wedge beneath the Ryukyu arc from teleseismic receiver function analysis (United States)

    McCormack, K. A.; Wirth, E. A.; Long, M. D.


    The recycling of oceanic plates back into the mantle through subduction is an important process taking place within our planet. However, many fundamental aspects of subduction systems, such as the dynamics of mantle flow, have yet to be completely understood. Subducting slabs transport water down into the mantle, but how and where that water is released, as well as how it affects mantle flow, is still an open question. In this study, we focus on the Ryukyu subduction zone in southwestern Japan and use anisotropic receiver function analysis to characterize the structure of the mantle wedge. We compute radial and transverse P-to-S receiver functions for eight stations of the broadband F-net array using a multitaper receiver function estimator. We observe coherent P-to-SV converted energy in the radial receiver functions at ~6 sec for most of the stations analyzed consistent with conversions originating at the top of the slab. We also observe conversions on the transverse receiver functions that are consistent with the presence of multiple anisotropic and/or dipping layers. The character of the transverse receiver functions varies significantly along strike, with the northernmost three stations exhibiting markedly different behavior than stations located in the center of the Ryukyu arc. We compute synthetic receiver functions using a forward modeling scheme that can handle dipping interfaces and anisotropic layers to create models for the depths, thicknesses, and strengths of anisotropic layers in the mantle wedge beneath Ryukyu.

  7. Autonomous Integrated Receive System (AIRS) requirements definition. Volume 4: Functional specification for the prototype Automated Integrated Receive System (AIRS) (United States)

    Chie, C. M.


    The functional requirements for the performance, design, and testing for the prototype Automated Integrated Receive System (AIRS) to be demonstrated for the TDRSS S-Band Single Access Return Link are presented.

  8. Tell me the gossip: the self-evaluative function of receiving gossip about others. (United States)

    Martinescu, Elena; Janssen, Onne; Nijstad, Bernard A


    We investigate the self-evaluative function of competence-related gossip for individuals who receive it. Using the Self-Concept Enhancing Tactician (SCENT) model, we propose that individuals use evaluative information about others (i.e., gossip) to improve, promote, and protect themselves. Results of a critical incident study and an experimental study showed that positive gossip had higher self-improvement value than negative gossip, whereas negative gossip had higher self-promotion value and raised higher self-protection concerns than positive gossip. Self-promotion mediated the relationship between gossip valence and pride, while self-protection mediated the relationship between gossip valence and fear, although the latter mediated relationship emerged for receivers with mastery goals rather than performance goals. These results suggest that gossip serves self-evaluative functions for gossip receivers and triggers self-conscious emotions. © 2014 by the Society for Personality and Social Psychology, Inc.

  9. Moho map of South America from receiver functions and surface waves (United States)

    Lloyd, Simon; van der Lee, Suzan; FrançA, George Sand; AssumpçãO, Marcelo; Feng, Mei


    We estimate crustal structure and thickness of South America north of roughly 40°S. To this end, we analyzed receiver functions from 20 relatively new temporary broadband seismic stations deployed across eastern Brazil. In the analysis we include teleseismic and some regional events, particularly for stations that recorded few suitable earthquakes. We first estimate crustal thickness and average Poisson's ratio using two different stacking methods. We then combine the new crustal constraints with results from previous receiver function studies. To interpolate the crustal thickness between the station locations, we jointly invert these Moho point constraints, Rayleigh wave group velocities, and regional S and Rayleigh waveforms for a continuous map of Moho depth. The new tomographic Moho map suggests that Moho depth and Moho relief vary slightly with age within the Precambrian crust. Whether or not a positive correlation between crustal thickness and geologic age is derived from the pre-interpolation point constraints depends strongly on the selected subset of receiver functions. This implies that using only pre-interpolation point constraints (receiver functions) inadequately samples the spatial variation in geologic age. The new Moho map also reveals an anomalously deep Moho beneath the oldest core of the Amazonian Craton.

  10. Crustal Structure Within the Southeastern Carpathian Arc, Transylvanian Basin, Romania from Teleseismic Receiver Functions (United States)

    Stanciu, A. C.; Russo, R. M.; Mocanu, V. I.; Munteanu, L.


    We present new measurements of receiver functions at 4 broadband stations temporarily deployed in the Transylvanian Basin within the Carpathian Arc, Romania. Receiver functions can reveal depths to sharp crustal seismic velocity boundaries, which in complex tectonic environments such as the study area provide a good diagnostic for the regional tectonics. As a result of Africa (Adria) collision with Europe and subduction of a part of Tethys Ocean, Tisza-Dacia and Alcapa blocks escaped the collision and were emplaced in an embayment of this ocean, and form today the basement of the Transylvanian Basin. The collision of these terranes with the European continent culminated in the formation, in the Romanian part, of the Eastern Carpathians at the contact between the Transylvanian Basin and the East European Platform along the Tornquist-Teisseyre Suture zone, and of Southern Carpathians at the contact with Moesian Platform. In the foreland of the Carpathian Bend Zone, connecting the two mountain chains, in a very constrained area, a high velocity seismic body was contoured by hypocenters between 70 and 200 km depth. We constructed receiver functions using teleseismic P waves generated by events located between 30 and 95 degrees epicentral angle using the method of Ligorria and Ammon (1999) for individual measurements. We used the H-K method of Zhu and Kanamori (2000) to derive boundary interfaces depths and receiver function complexity from binned stacks. Preliminary results show a relatively shallow Moho depth beneath the Transylvanian Basin.

  11. The family receiving home care: functional health pattern assessment. (United States)

    Hooper, J I


    The winds of change in health care make assessment of the family more important than ever as a tool for health care providers seeking to assist the family move themselves toward high-level wellness. Limited medical care and imposed self-responsibility for health promotion and illness prevention, which are natural consequences of these changes, move the locus of control for health management back to the family. The family's teachings, modeling, and interactions are greater influences than ever on the health of the patient. Gordon's functional health patterns provide a holistic model for assessment of the family because assessment data are classified under 11 headings: health perception and health management, nutritional-metabolic, elimination, activity and exercise, sleep and rest, cognition and perception, self-perception and self-concept, roles and relationships, sexuality and reproduction, coping and stress tolerance, and values and beliefs. Questions posed under each of the health patterns can be varied to reflect the uniqueness of the individual family as well as to inquire about family strengths and weaknesses in all patterns. Data using this model provide a comprehensive base for including the family in designing a plan of care.

  12. Crustal structure and mantle transition zone thickness beneath a hydrothermal vent at the ultra-slow spreading Southwest Indian Ridge (49°39'E): a supplementary study based on passive seismic receiver functions (United States)

    Ruan, Aiguo; Hu, Hao; Li, Jiabiao; Niu, Xiongwei; Wei, Xiaodong; Zhang, Jie; Wang, Aoxing


    As a supplementary study, we used passive seismic data recorded by one ocean bottom seismometer (OBS) station (49°41.8'E) close to a hydrothermal vent (49°39'E) at the Southwest Indian Ridge to invert the crustal structure and mantle transition zone (MTZ) thickness by P-to-S receiver functions to investigate previous active seismic tomographic crustal models and determine the influence of the deep mantle thermal anomaly on seafloor hydrothermal venting at an ultra-slow spreading ridge. The new passive seismic S-wave model shows that the crust has a low velocity layer (2.6 km/s) from 4.0 to 6.0 km below the sea floor, which is interpreted as partial melting. We suggest that the Moho discontinuity at 9.0 km is the bottom of a layer (2-3 km thick); the Moho (at depth of 6-7 km), defined by active seismic P-wave models, is interpreted as a serpentinized front. The velocity spectrum stacking plot made from passive seismic data shows that the 410 discontinuity is depressed by 15 km, the 660 discontinuity is elevated by 18 km, and a positive thermal anomaly between 182 and 237 K is inferred.

  13. Resolving plate structure across the seismogenic zone in Cascadia from onshore-offshore receiver function imaging (United States)

    Audet, P.; Schaeffer, A. J.


    Studies of the forearc structure in the Cascadia subduction zone using teleseismic P-wave receiver function have resolved structures associated with deep fluid cycling, such as the basalt-to-eclogite reaction and fluid overpressure within the subducting oceanic crust, as well as the serpentinization of the forearc mantle wedge. Unfortunately, the updip extent of the over-pressured zone, and therefore the possible control on the transition from episodic slow slip to seismic slip, occurs offshore and is not resolved in those studies. The Cascadia Initiative (CI) has provided an opportunity to extend this work to the locked zone using teleseismic receiver functions from the deployment of a dense line of ocean-bottom seismograph stations offshore of Washington State, from the trench to the coastline. Here we calculate P-wave receiver functions using data from offshore (CI) and onshore (CAFE) broadband seismic stations. These data clearly show the various scattered phases associated with a dipping low-velocity layer that was identified in previous studies as the downgoing oceanic crust. These signals are difficult to untangle offshore because they arrive at similar times. We process receiver functions using a modified common-conversion point (CCP) stacking technique that uses a coherency filter to optimally stack images obtained from the three main scattered phases. The resulting image shows along-dip variations in the character of the seismic discontinuities associated with the top and bottom of the low-velocity layer. Combined with focal depth information of regular and low-frequency earthquakes, these variations may reflect changes in the material properties of the megathrust across the seismogenic zone in Cascadia.

  14. Relocating San Miguel Volcanic Seismic Events for Receiver Functions and Tomographic Models (United States)

    Patlan, E.; Velasco, A. A.; Konter, J.


    The San Miguel volcano lies near the city of San Miguel, El Salvador (13.43N and -88.26W). San Miguel volcano, an active stratovolcano, presents a significant natural hazard for the city of San Miguel. Furthermore, the internal state and activity of volcanoes remains an important component to understanding volcanic hazard. The main technology for addressing volcanic hazards and processes is through the analysis of data collected from the deployment of seismic sensors that record ground motion. Six UTEP seismic stations were deployed around San Miguel volcano from 2007-2008 to define the magma chamber and assess the seismic and volcanic hazard. We utilize these data to develop images of the earth structure beneath the volcano, studying the volcanic processes by identifying different sources, and investigating the role of earthquakes and faults in controlling the volcanic processes. We will calculate receiver functions to determine the thickness of San Miguel volcano internal structure, within the Caribbean plate. Crustal thicknesses will be modeled using calculated receiver functions from both theoretical and hand-picked P-wave arrivals. We will use this information derived from receiver functions, along with P-wave delay times, to map the location of the magma chamber.

  15. Receiver function structure beneath a broad-band seismic station in south Sumatra (United States)

    MacPherson, K. A.; Hidayat, D.; Goh, S.


    We estimated the one-dimensional velocity structure beneath a broad-band station in south Sumatra by the forward modeling and inversion of receiver functions. Station PMBI belongs to the GEOFON seismic network maintained by GFZ-Potsdam, and at a longitude of 104.77° and latitude of -2.93°, sits atop the south Sumatran basin. This station is of interest to researchers at the Earth Observatory of Singapore, as data from it and other stations in Sumatra and Singapore will be incorporated into a regional velocity model for use in seismic hazard analyses. Three-component records from 193 events at teleseismic distances and Mw ≥ 5.0 were examined for this study and 67 records were deemed to have sufficient signal to noise characteristics to be retained for analysis. Observations are primarily from source zones in the Bougainville trench with back-azimuths to the east-south-east, the Japan and Kurile trenches with back-azimuths to the northeast, and a scattering of observations from other azimuths. Due to the level of noise present in even the higher-quality records, the usual frequency-domain deconvolution method of computing receiver functions was ineffective, and a time-domain iterative deconvolution was employed to obtain usable wave forms. Receiver functions with similar back-azimuths were stacked in order to improve their signal to noise ratios. The resulting wave forms are relatively complex, with significant energy being present in the tangential components, indicating heterogeneity in the underlying structure. A dip analysis was undertaken but no clear pattern was observed. However, it is apparent that polarities of the tangential components were generally reversed for records that sample the Sunda trench. Forward modeling of the receiver functions indicates the presence of a near-surface low-velocity layer (Vp≈1.9 km/s) and a Moho depth of ~31 km. Details of the crustal structure were investigated by employing time-domain inversions of the receiver

  16. [Perioperative changes of coagulation functions in the local advanced liver cancer patients receiving liver transplantation]. (United States)

    Wang, Hao-Yuan; Zhao, Qing-Yu; Yuan, Yun-Fei


    Liver transplantation is widely accepted as an effective therapy of hepatoma. Perioperative dynamic observation of coagulation function is important for graft-receivers. This study was to explore perioperative changes of coagulation functions in the local advanced liver cancer patients who received liver transplantation. Clinical data of 31 local advanced liver cancer patients, underwent liver transplantation from Sep. 2003 to Jan. 2007, were analyzed. Platelet (PLT) counting, prothrombin time (PT), activated partial thromboplastin time (APTT), thrombin time (TT), fibrinogen (Fib) and international normalized ratio (INR) before operation, at anhepatic phase and the first week after operation were analyzed to evaluate congulation function. The coagulation functions of most patients were normal before operation. The six parameters varied significantly at anhepatic phase and on most days of the first week after operation when compared with the preoperative levels (Pfunctions of local advanced liver cancer patients shift from hypocoagulatory to hypercoagulatory or normal in perioperative period, therefore, prevention of bleeding should be focused on at anhepatic phase and on 1-2 days after operation while prevention of thrombosis should be focused on after the first week after operation. The degree of liver cirrhosis and Child-Pugh level could help to evaluate postoperative coagulation disorder.

  17. Impaired cognitive functioning in patients with tyrosinemia type I receiving nitisinone. (United States)

    Bendadi, Fatiha; de Koning, Tom J; Visser, Gepke; Prinsen, Hubertus C M T; de Sain, Monique G M; Verhoeven-Duif, Nanda; Sinnema, Gerben; van Spronsen, Francjan J; van Hasselt, Peter M


    To examine cognitive functioning in patients with tyrosinemia type I treated with nitisinone and a protein-restricted diet. We performed a cross-sectional study to establish cognitive functioning in children with tyrosinemia type I compared with their unaffected siblings. Intelligence was measured using age-appropriate Wechsler Scales. To assess cognitive development over time, we retrieved sequential IQ scores in a single-center subset of patients. We also evaluated whether plasma phenylalanine and tyrosine levels during treatment was correlated with cognitive development. Average total IQ score in 10 patients with tyrosinemia type I receiving nitisinone was significantly lower compared with their unaffected siblings (71 ± 13 vs 91 ± 13; P = .008). Both verbal and performance IQ subscores differed (77 ± 14 vs 95 ± 11; P cognitive function despite a protein-restricted diet. Copyright © 2014 Mosby, Inc. All rights reserved.

  18. Antarctic ice sheet thickness estimation based on P-receiver function and waveform inversion (United States)

    Yan, P.; Li, F.; LI, Z.; Li, J.; Yang, Y.; Hao, W.


    Antarctic ice sheet thickness is key parameter and boundary condition for ice sheet model construction, which has great significance for glacial isostatic adjustment, ice sheet mass balance and global change study. Ice thickness acquired utilizing seismological receiver function method can complement and verify with results obtained by radar echo sounding method. In this paper, P-receiver functions(PRFs) are extracted for stations deployed on Antarctic ice sheet, then Vp/Vs ratio and ice thickness are obtained using H-Kappa stacking. Comparisons are made between Bedmap2 dataset and the ice thickness from PRFs, most of the absolute value of the differences are less than 200 meters, only a few reach 600 meters. Taking into account of the intensity of Bedmap2 dataset survey lines and the uncertainty of radio echo sounding, as well as the inherit complexity of the internal ice structure beneath some stations, the ice thickness obtained from receiver function method is reliable. However limitation exists when using H-Kappa stacking method for stations where sediment squeezed between the ice and the bed rock layer. For better verifying the PRF result, a global optimizing method-Neighbourhood algotithm(NA) and spline interpolation are used to modeling PRFs assuming an isotropic layered ice sheet with depth varied densities and velocities beneath the stations. Then the velocity structure and ice sheet thickness are obtained through nonlinear searching by optimally fitting the real and the theoretical PRFs. The obtained ice sheet thickness beneath the stations agree well with the former H-Kappa method, but further detailed study are needed to constrain the inner ice velocity structure.

  19. Longitudinal assessment of parotid function in patients receiving tomotherapy for head-and-neck cancer

    International Nuclear Information System (INIS)

    Voordeckers, M.; Tournel, K.; Verellen, D.; Esch, G. van; Storme, G.; Everaert, H.; Vanhove, C.; Baron, I.


    Background and purpose: conventional radiotherapy is associated with high doses to the salivary glands which causes xerostomia and adverse effects on quality of life. The study aims to investigate the potential of helical tomotherapy (Hi-Art Tomotherapy registered ) to preserve parotid function in head-and-neck cancer patients. Patients and methods: seven consecutive patients treated with helical tomotherapy at the UZ Brussel, Belgium, were included. During planning, priority was attributed to planning target volume (PTV) coverage: ≥ 95% of the dose must be delivered to ≥ 95% of the PTV. Elective nodal regions received 54 Gy (1.8 Gy/fraction). A dose of 70.5 Gy (2.35 Gy/fraction) was prescribed to the primary tumor and pathologic lymph nodes = simultaneous integrated boost scheme. If possible, the mean parotid dose was kept below 26 Gy. Salivary gland function was assessed by technetium scintigraphy. Results: there was a significant dose-response relationship between mean parotid dose and functional recuperation. If the mean dose was kept 26 %). In order to preserve 75% of SE, 46% of the parotid volume should receive a dose 26 Gy can be reduced. (orig.)

  20. Receiver function analysis of the crust and upper mantle in Fennoscandia - isostatic implications

    DEFF Research Database (Denmark)

    Frassetto, Andrew; Thybo, Hans


    The mountains across southern Norway and other margins of the North Atlantic Ocean appear conspicuously high in the absence of recent convergent tectonics. We investigate this phenomenon with receiver functions calculated for seismometers deployed across southern Fennoscandia. These are used...

  1. Variation in Crustal Structure of the Lesser Caucasus Region from Teleseismic Receiver Functions (United States)

    Lin, C. M.; Tseng, T. L.; Huang, B. S.; Legendre, C. P.; Karakhanian, A.


    The Caucasus, including the mountains of Greater and Lesser Caucasus, is formed by the continental collision between Arabia and Eurasia. The crustal thickness for this region was mostly constrained by joint analysis of receiver functions and surface waves. Although the thickest value of 52 km was reported under the Lesser Caucasus, the resolution of earlier studies were often limited by sparse array. Large gradient across Moho also makes the definition of Moho difficult. Moreover, higher value of the Vp/Vs ratio is commonly reported in the northeastern Turkey but no estimates had been made for the Caucasus. To further investigate the detail structure around the Lesser Caucasus, we constructed a new seismic network in Georgia and Armenia. We also include other broadband stations to enhance the coverage. The average interval in the Lesser Caucasus is roughly 30 km, much denser than any previous experiments. We selected P-waveforms from teleseismic earthquakes during the operation (January 2012 - June 2016) to calculate receiver functions and then estimate the crustal thickness (H) and Vp/Vs ratio (k) with the H-k stacking technique. Our preliminary results show that Moho depth increases from 40 km under the northeastern Turkey to 50 km beneath northern Georgia, no station with Moho deeper than 50 km under the Lesser Caucasus. The Vp/Vs ratios in the northeastern Anatolian plateau are around 1.8, which is slightly higher than the average of global continents but consistent with the previous estimates. Further to the east, some stations show anomalously higher Vp/Vs ratio in central & southern Armenia that may be associated with Holocene volcanism. In the future, we plan to join locally measured dispersion curves to invert the velocity model without velocity-depth trade-off. We expect to resolve the velocity variations of the crust beneath this region in small scale that may be tied to the continental collision and surface volcanism. Keywords: Caucasus, receiver

  2. Anxiety and depression in patients receiving radiotherapy. Prospective study

    International Nuclear Information System (INIS)

    Chaturvedi, S.K.; Chandra, P.S.; Channabasavanna, S.M.; Anantha, N.; Reddy, B.K.M.; Sharma, S.


    The objective of this study was to detect the prevalence of anxiety and depressive disorders using the Hospital Anxiety and Depression Scale (HADS) prospectively in patients receiving Radiotherapy (RT) during and after treatment. 140 consecutive cancer patients referred for radiotherapy and their care givers were included. All patients were administered the Hospital Anxiety and Depression Scale (HADS) conducted at intake, just before starting RT, after finishing the course of RT, and at 3-4 months follow-up. Anxiety and depression are detected frequently in patients receiving RT both prior to treatment and later during follow-up

  3. Joint Inversion of Surface Waves Dispersion and Receiver Function at Cuba Seismic Stations

    International Nuclear Information System (INIS)

    Gonzalez, O'Leary; Moreno, Bladimir; Romanelli, Fabio; Panza, Giuliano F.


    Joint inversion of Rayleigh wave group velocity dispersion and receiver functions have been used to estimate the crust and upper mantle structure at eight seismic stations in Cuba. Receiver functions have been computed from teleseismic recordings of earthquakes at epicentral (angular) distances between 30 o and 90 o and Rayleigh wave group velocity dispersion have been taken from a surface-wave tomography study of the Caribbean area. The thickest crust (around 27 km) is found at Cascorro (CCC), Soroa (SOR), Moa (MOA) and Maisi (MAS) stations while the thinnest crust (around 18 km) is found at stations Rio Carpintero (RCC) and Guantanamo Bay (GTBY), in the southeastern of Cuba; this result is in agreement with the southward gradual thinning of the crust revealed by previous studies. The inversion shows a crystalline crust with S-wave velocity between 2.9 km/s and 3.9 km/s and at the crust-mantle transition zone the shear wave velocity varies from 3.9 km/s and 4.3 km/s. The lithospheric thickness varies from 74 km, in the youngest lithosphere, to 200 km in the middle of the Cuban island. Evidences of a subducted slab possibly belonging to the Caribbean plate are present below the stations Las Mercedes (LMG), RCC and GTBY and a thicker slab is present below the SOR station. (author)

  4. Shallow Sedimentary Structure of the Brahmaputra Valley Constraint from Receiver Functions Analysis (United States)

    Saikia, Sowrav; Chopra, Sumer; Baruah, Santanu; Singh, Upendra K.


    In this study, receiver functions from ten Broadband seismograph stations on Cenozoic sediment formations of Brahmaputra valley and its neighboring region in northeastern part of India are determined. Receiver function traces from this region show delay in peak by 1-2.5 s and associated minor peaks with the direct P-phase peak. Based on such observation, we try to image sedimentary structure of the Brahmaputra valley plain, adjacent Shillong plateau and Himalayan foredeep region. An adapted hybrid global waveform inversion technique has been applied to extract sedimentary basin structure beneath each site. The sedimentary cover of the basin is about 0.5-6.5 km thick across the valley, 0.5-1.0 km on Shillong plateau and 2.0-5.0 km in nearby foredeep region. We have found that sedimentary thickness increases from SW to NE along the Brahmaputra valley and towards the Eastern Himalayan syntaxes. The estimated sediment thickness and S wave velocity structure agree well with the results of previous active source, gravity, and deep borehole studies carried out in this region. The thick crustal low velocity sediment cover in Brahmaputra valley is expected to amplify ground motions during earthquakes and therefore important for seismic hazard assessment of the region.

  5. Updates to FuncLab, a Matlab based GUI for handling receiver functions (United States)

    Porritt, Robert W.; Miller, Meghan S.


    Receiver functions are a versatile tool commonly used in seismic imaging. Depending on how they are processed, they can be used to image discontinuity structure within the crust or mantle or they can be inverted for seismic velocity either directly or jointly with complementary datasets. However, modern studies generally require large datasets which can be challenging to handle; therefore, FuncLab was originally written as an interactive Matlab GUI to assist in handling these large datasets. This software uses a project database to allow interactive trace editing, data visualization, H-κ stacking for crustal thickness and Vp/Vs ratio, and common conversion point stacking while minimizing computational costs. Since its initial release, significant advances have been made in the implementation of web services and changes in the underlying Matlab platform have necessitated a significant revision to the software. Here, we present revisions to the software, including new features such as data downloading via irisFetch.m, receiver function calculations via processRFmatlab, on-the-fly cross-section tools, interface picking, and more. In the descriptions of the tools, we present its application to a test dataset in Michigan, Wisconsin, and neighboring areas following the passage of USArray Transportable Array. The software is made available online at

  6. The development of the miniaturized waveform receiver with the function measuring Antenna Impedance in space plasmas (United States)

    Ishii, H.; Kojima, H.; Fukuhara, H.; Okada, S.; Yamakawa, H.


    Plasma wave is one of the most essential physical quantities in the solar terrestrial physics. The role of plasma wave receiver onboard satellites is to detect plasma waves in space with a good signal to noise ratio. There are two types of plasma wave receivers, the sweep frequency analyzer and the waveform capture. While the sweep frequency analyzer provides plasma wave spectra, the waveform capture obtains waveforms with phase information that is significant in studying nonlinear phenomena. Antenna sensors to observe electric fields of the plasma waves show different features in plasmas from in vacuum. The antenna impedances have specific characteristics in the frequency domain because of the dispersion of plasmas. These antenna impedances are expressed with complex number. We need to know not only the antenna impedances but also the transfer functions of plasma wave receiver's circuits in order to calibrate observed waveforms precisely. The impedances of the electric field antennas are affected by a state of surrounding plasmas. Since satellites run through various regions with different plasma parameters, we precisely should measure the antenna impedances onboard spacecraft. On the contrary, we can obtain the plasma density and by measuring the antenna impedances. Several formulas of the antenna impedance measurement system were proposed. A synchronous detection method is used on the BepiColombo Mercury Magnetospheric Orbiter (MMO), which will be launched in 2014. The digital data are stored in the onboard memory. They are read out and converted to the analog waveforms by D/A converter. They are fed into the input of the preamplifiers of antenna sensors through a resistor. We can calculate a transfer function of the circuit by applying the synchronous detection method to the output waveform from waveform receivers and digital data as a signal source. The size of this system is same as an A5 board. In recent years, Application Specific Integrated Circuit (ASIC

  7. Determinants of Adult Functional Outcome in Adolescents Receiving Special Educational Assistance (United States)

    McGeown, H. R.; Johnstone, E. C.; McKirdy, J.; Owens, D. C.; Stanfield, A. C.


    Background: This study investigates the role of IQ, autistic traits and challenging behaviours in affecting adult outcomes among adolescents who receive special educational assistance. Methods: A total of 58 participants were recruited from an ongoing longitudinal study. All received assessments of IQ, behavioural patterns (using the Childhood…

  8. Crustal Structure and Deformation of the Sichuan-Yunnan Region Revealed by receiver Function Data (United States)

    Zeng, S.; Zheng, Y.


    Sichuan-Yunnan and its surrounding areas locates in the southeast side to the Tibetan Plateau, due to the intrusion of the Indian Plate under the Tibetan Plateau, materials escape from the Tibetan Plateau and flow southward to southeastward. Because of such tectonic environment, the Sichuan-Yunnan region is experiencing high tectonic movement, and is capable of highly diffused seismicity. Based on dynamic simulation and field survey investigations, tectonic and geological studies proposed a decoupling model in this region and lower crustal flow may inflate in the crust. However, this idea needs more evidences, especially anisotropic structures to support it, since the anisotropic structures are usually directly related to the movement of materials, or to the tectonic distributions. In the past several years, a number of works have been done on the anisotropic structures in the Tibetan Plateau and its surroundings. In usually, previous studies were mainly carried out by two kinds of methods. First, the shear wave splitting of SKS, which mainly reflects the accumulation effect of the anisotropy of the crust to the mantle; the other way is use surface wave to investigate the anisotropic features at different azimuths and depths. In the recent years, receiver function is used to determine the inclination and anisotropy of the subsurface structure, comparing with the other two methods, receiver functions can provide higher resolution and reliable anisotropic features in the crust. Following the method of Liu and Niu(2012), we collected teleseismic data from the Himalayan first term network, and picked out high quality data based on the waveform SNR ratio, as well as the azimuthal distributions. Comparing with previous work (e.g., Sun et al.,2012), our work can provide more receiver functions results with higher reliability. We find that the crust beneath the Sichuan-Yunnan region has a thickness of 30-60 km and Vp/Vs ratio of 1.70-1.80. The Moho depth from northwest to

  9. Crustal structure of northern Egypt from joint inversion of receiver functions and surface wave dispersion velocities (United States)

    Badawy, Ahmed; Hegazi, Mona; Gaber, Hanan; Korrat, Ibrahim


    In this study, we used a combined inversion of body wave receiver functions and surface wave dispersion measurements to provide constraints on the crustal structure of northern Egypt. The two techniques are complementary to each other: receiver functions (RFs) are sensitive to shear-wave velocity contrasts, while surface wave dispersion (SWD) measurements are sensitive to finite variations of shear-wave velocity with depth. A database of 122 teleseismic events digitally recorded by the Egyptian National Seismological Network (ENSN) stations has been used as well. To enhance the resulting RFs at each ENSN station, the H-k stacking method was applied. A joint inversion process between the resulting receiver functions and the surface wave dispersion curves was applied as well. We have produced three averaged velocity structure models for distinct geographic and tectonic provinces namely Sinai, eastern desert, and western desert from east to the west respectively. These models will deeply help in estimation the epicenter distance of earthquake, focal mechanism solutions, and earthquake hazard analysis in northern Egypt. An obvious image of the subsurface structure has been determined which shows that generally the crustal structure of northern Egypt consists of three layers covered with a sequence of sediments that differs in thickness from across the region except in the Sharm area where the sedimentary cover is absent. The obtained results indicate that crustal thickness differs from east to west and reaches its maximum value of about 36 km at Siwa station (SWA) in the western desert and its minimum value of about 28 km at Sharm station (SHR) of the southern tip of the Sinai Peninsula. The Vp/Vs ratio varies between 1.71 and 2.07 in northern Egypt. Generally, the high values (1.93) of (Vp/Vs) at SWA station may reflect the well-known rich aquifer with fully saturated sediments of the Swia Oasis in the Western Desert. Moreover, the highest value (2.07) of (Vp/Vs) at

  10. Crustal structure of northern Egypt from joint inversion of receiver functions and surface wave dispersion velocities (United States)

    Badawy, Ahmed; Hegazi, Mona; Gaber, Hanan; Korrat, Ibrahim


    In this study, we used a combined inversion of body wave receiver functions and surface wave dispersion measurements to provide constraints on the crustal structure of northern Egypt. The two techniques are complementary to each other: receiver functions (RFs) are sensitive to shear-wave velocity contrasts, while surface wave dispersion (SWD) measurements are sensitive to finite variations of shear-wave velocity with depth. A database of 122 teleseismic events digitally recorded by the Egyptian National Seismological Network (ENSN) stations has been used as well. To enhance the resulting RFs at each ENSN station, the H-k stacking method was applied. A joint inversion process between the resulting receiver functions and the surface wave dispersion curves was applied as well. We have produced three averaged velocity structure models for distinct geographic and tectonic provinces namely Sinai, eastern desert, and western desert from east to the west respectively. These models will deeply help in estimation the epicenter distance of earthquake, focal mechanism solutions, and earthquake hazard analysis in northern Egypt. An obvious image of the subsurface structure has been determined which shows that generally the crustal structure of northern Egypt consists of three layers covered with a sequence of sediments that differs in thickness from across the region except in the Sharm area where the sedimentary cover is absent. The obtained results indicate that crustal thickness differs from east to west and reaches its maximum value of about 36 km at Siwa station (SWA) in the western desert and its minimum value of about 28 km at Sharm station (SHR) of the southern tip of the Sinai Peninsula. The Vp/Vs ratio varies between 1.71 and 2.07 in northern Egypt. Generally, the high values (1.93) of (Vp/Vs) at SWA station may reflect the well-known rich aquifer with fully saturated sediments of the Swia Oasis in the Western Desert. Moreover, the highest value (2.07) of (Vp/Vs) at

  11. Modeling and Circumventing the Effect of Sediments and Water Column on Receiver Functions (United States)

    Audet, P.


    Teleseismic P-wave receiver functions are routinely used to resolve crust and mantle structure in various geologic settings. Receiver functions are approximations to the Earth's Green's functions and are composed of various scattered phase arrivals, depending on the complexity of the underlying Earth structure. For simple structure, the dominant arrivals (converted and back-scattered P-to-S phases) are well separated in time and can be reliably used in estimating crustal velocity structure. In the presence of sedimentary layers, strong reverberations typically produce high-amplitude oscillations that contaminate the early part of the wave train and receiver functions can be difficult to interpret in terms of underlying structure. The effect of a water column also limits the interpretability of under-water receiver functions due to the additional acoustic wave propagating within the water column that can contaminate structural arrivals. We perform numerical modeling of teleseismic Green's functions and receiver functions using a reflectivity technique for a range of Earth models that include thin sedimentary layers and overlying water column. These modeling results indicate that, as expected, receiver functions are difficult to interpret in the presence of sediments, but the contaminating effect of the water column is dependent on the thickness of the water layer. To circumvent these effects and recover source-side structure, we propose using an approach based on transfer function modeling that bypasses receiver functions altogether and estimates crustal properties directly from the waveforms (Frederiksen and Delayney, 2015). Using this approach, reasonable assumptions about the properties of the sedimentary layer can be included in forward calculations of the Green's functions that are convolved with radial waveforms to predict vertical waveforms. Exploration of model space using Monte Carlo-style search and least-square waveform misfits can be performed to

  12. Estimating receiver functions on dense arrays: application to the IRIS Community Wavefield Experiment in Oklahoma (United States)

    Zhong, M.; Zhan, Z.


    Receiver functions (RF) estimated on dense arrays have been widely used for studies of Earth structures at different scales. However, there are still challenges in estimating and interpreting RF images due to non-uniqueness of deconvolution, noise in data, and lack of uncertainty. Here, we develop a dense-array-based RF method towards robust and high-resolution RF images. We cast RF images as the models in a sparsity-promoted inverse problem, in which waveforms from multiple events recorded by neighboring stations are jointly inverted. We use the Neighborhood Algorithm to find the optimal model (i.e., RF image) as well as an ensemble of models for further uncertainty quantification. Synthetic tests and application to the IRIS Community Wavefield Experiment in Oklahoma demonstrate that the new method is able to deal with challenging dataset, retrieve reliable high-resolution RF images, and provide realistic uncertainty estimates.

  13. Crustal and upper mantle structure of Siberia from teleseismic receiver functions

    DEFF Research Database (Denmark)

    Soliman, Mohammad Youssof Ahmad; Thybo, Hans; Artemieva, Irina


    ). With this method, we determine seismic P- and S-velocities that are comparable to the results of teleseismic body wave and surface wave tomography techniques. The RF model shows variations in the crustal thickness between 35 and 55 km. Intracrustal structures are identified, in particular using the high......This study presents seismic images of the crustal and lithospheric structure in Siberia based on the available broadband seismic data using teleseismic receiver functions (RFs). We invert P- and S-RFs jointly. The inversion technique is carried out by approach described by Vinnik et al. (2004....... The current results of RF analysis of the crustal and mantle structure will help to build a model for tectonic and geodynamic evolution of different provinces of Siberia. We compare our results to the recent detailed models of crustal structure in the area and with seismic models for similar geodynamic...

  14. Structures of Xishan village landslide in Li County, Sichuan, China, inferred from high-frequency receiver functions of local earthquakes (United States)

    Wei, Z.; Chu, R.


    Teleseismic receiver function methods are widely used to study the deep structural information beneath the seismic station. However, teleseismic waveforms are difficult to extract the high-frequency receiver function, which are insufficient to constrain the shallow structure because of the inelastic attenuation effect of the earth. In this study, using the local earthquake waveforms collected from 3 broadband stations deployed on the Xishan village landslide in Li County in Sichuan Province, we used the high-frequency receiver function method to study the shallow structure beneath the landslide. We developed the Vp-k (Vp/Vs) staking method of receiver functions, and combined with the H-k stacking and waveform inversion methods of receiver functions to invert the landslide's thickness, S-wave velocity and average Vp/Vs ratio beneath these stations, and compared the thickness with the borehole results. Our results show small-scale lateral variety of velocity structure, a 78-143m/s lower S-wave velocity in the bottom layer and 2.4-3.1 Vp/Vs ratio in the landslide. The observed high Vp/Vs ratio and low S-wave velocity in the bottom layer of the landslide are consistent with low electrical resistivity and water-rich in the bottom layer, suggesting a weak shear strength and potential danger zone in landslide h1. Our study suggest that the local earthquake receiver function can obtain the shallow velocity structural information and supply some seismic constrains for the landslide catastrophe mitigation.

  15. Crustal structure of north Peru from analysis of teleseismic receiver functions (United States)

    Condori, Cristobal; França, George S.; Tavera, Hernando J.; Albuquerque, Diogo F.; Bishop, Brandon T.; Beck, Susan L.


    In this study, we present results from teleseismic receiver functions, in order to investigate the crustal thickness and Vp/Vs ratio beneath northern Peru. A total number of 981 receiver functions were analyzed, from data recorded by 28 broadband seismic stations from the Peruvian permanent seismic network, the regional temporary SisNort network and one CTBTO station. The Moho depth and average crustal Vp/Vs ratio were determined at each station using the H-k stacking technique to identify the arrival times of primary P to S conversion and crustal reverberations (PpPms, PpSs + PsPms). The results show that the Moho depth correlates well with the surface topography and varies significantly from west to east, showing a shallow depth of around 25 km near the coast, a maximum depth of 55-60 km beneath the Andean Cordillera, and a depth of 35-40 km further to the east in the Amazonian Basin. The bulk crustal Vp/Vs ratio ranges between 1.60 and 1.88 with the mean of 1.75. Higher values between 1.75 and 1.88 are found beneath the Eastern and Western Cordilleras, consistent with a mafic composition in the lower crust. In contrast values vary from 1.60 to 1.75 in the extreme flanks of the Eastern and Western Cordillera indicating a felsic composition. We find a positive relationship between crustal thickness, Vp/Vs ratio, the Bouguer anomaly, and topography. These results are consistent with previous studies in other parts of Peru (central and southern regions) and provide the first crustal thickness estimates for the high cordillera in northern Peru.

  16. Lithosphere structure in Madagascar as revealed from receiver functions and surface waves analysis. (United States)

    Rindraharisaona, E. J.; Tilmann, F. J.; Yuan, X.; Dreiling, J.; Priestley, K. F.; Barruol, G.; Wysession, M. E.


    The geological history of Madagascar makes it an ideal place to study the lithospheric structure and its evolution. It comprises Archean to Proterozoic units on the central eastern part, which is surrounded by a Triassic to Jurassic basin formation in the west and Cretaceous volcanics along the coasts. Quaternary volcanic rocks have been embedded in crystalline and sedimentary rocks. The aim of the present work is to characterize the crustal structure and determine the imprint of the dominant geodynamic events that have affected Madagascar: the Pan-African orogeny, the breakup of Gondwanaland and Neogene tectonic activity. From 2011 to 2014 different temporary seismic arrays were deployed in Madagascar. We based the current study mostly on SELASOMA project, which is composed of 50 seismic stations that were installed traversing southern Madagascar from the west to the east, sampling the different geological units. To measured seismic dispersion curves, one a wide period ranges using ambient noise, Rayleigh and Love surface waves. To compute the average crustal Vp/Vs ratio internal crustal structure and discontinuities in the mantle, we use both P- and S-waves receiver functions. To better resolve of the crustal structure, we jointly inverted P-wave receiver functions and Rayleigh wave group velocity.The crustal extension during the Carboniferous to Cenozoic has thinned the igneous crust down to 15 km in the western Morondava basin by removing much of the lower crust, while the thickness of the upper crust is nearly identical in the sedimentary basin and under Proterozoic and Archaean rocks of the eastern two thirds of Southern Madagascar. In general, the Archean crust is thicker than the Proterozoic, because mafic component is missing in the Proterozoic domain while it forms the bottom of the Archean crust. The lithosphere thickness in the southern part of Madagascar is estimated to be between 90 and 125 km.

  17. Lithospheric Structure across the Alaskan Cordillera from Surface Waves and Receiver Functions (United States)

    Ward, K. M.; Lin, F. C.


    The long awaited Transportable Array (TA) deployment in Alaska and western Canada is nearing its final deployment stage. With only one more deployment season, most of the TA station locations have been occupied and begun providing data. These TA stations combined with upgraded existing locations have provided enough high-quality data to begin investigating the crustal and upper mantle structure across the entire Alaskan Cordillera. From a tectonic standpoint, many interesting questions remain unanswered. For example, how does the transition from oceanic-oceanic subduction to continental-oceanic normal subduction to continental-oceanic "flat-slab" subduction to strike-slip conservative plate motion affect the deformation/uplift of the overriding plate and mantle geodynamic characteristics? How does the long and completed terrene accretion process partition stress/strain in the crust? On more local scales, are there any significant mid-crustal magmatic systems as observed in other sections of the American Cordillera, and if so, what is there role in uplift and crustal deformation? Our approach to investigating these questions is though surface wave imaging from ambient noise and earthquake generated sources along with Rayleigh wave ellipticity paired with Ps receiver functions. Our preliminary tomography results agree with previous studies but expand the spatial coverage showing additional detail. Our ellipticity results show a heterogeneous but spatially consistent anisotropic shallow crust. Although the complete TA data set has not yet been collected, we have jointly inverted surface waves with receiver functions for a 3-D shear-wave velocity model across the entire Alaskan Cordillera. Key features of our velocity model include a high-velocity feature in the upper mantle associated with the subducting Pacific plate that extends north of the seismicity used to contour the geometry of the slab and mid-crustal low-velocity zones associated with the active volcanics in

  18. Solar central receiver hybrid power system. Phase I study

    Energy Technology Data Exchange (ETDEWEB)



    A management plan is presented for implementation during the Solar Central Receiver Hybrid Power System - Phase I study project. The project plan and the management controls that will be used to assure technically adequate, timely and cost effective performance of the work required to prepare the designated end products are described. Bechtel in-house controls and those to be used in directing the subcontractors are described. Phase I of the project consists of tradeoff studies, parametric analyses, and engineering studies leading to conceptual definition and evaluation of a commercial hybrid power system that has the potential for supplying economically competitive electric power to a utility grid in the 1985-1990 time frame. The scope also includes the preparation of a development plan for the resolution of technical uncertainties and the preparation of plans and a proposal for Phase II of the program. The technical approach will be based on a central receiver solar energy collection scheme which supplies thermal energy to a combined cycle, generating system, consisting of a gas turbine cycle combined with a steam bottoming cycle by means of a heat recovery steam generator.

  19. The Impact of Fear of Falling on Functional Independence Among Older Adults Receiving Home Health Services

    Directory of Open Access Journals (Sweden)

    Katherine A. Lawson OTR, LMSSW, PhD


    Full Text Available Background: Falls are the fifth leading cause of death for adults aged 65 years and older. Several intrinsic and extrinsic fall risk factors have been identified, butthere is less understanding of the impact of a fear of falling on falls. Seventy percent of recent fallers and 40% percent of non-fallers report a fear of falling. Therefore, the purpose of this study was to examine the correlation between a fear of falling and a history of falls, as well as the impact on the functional independence of community-dwelling older adults receiving home health services. Methods: The participants completed the Falls Efficacy Scale, the Modified Timed Up and Go Test, self- reported fear of falling, and the KATZ ADL-staircase. The participants were primarily Hispanic females. Results: There was not a significant correlation between a fear of falling and a history of falls. Only participants' age, gender, and the number of medical diagnoses were predictive of past falls. There was a moderate correlation between impaired functional mobility and dependence with activities of daily living (ADL. Additionally, a fear of falling was associated with dependence to perform ADLs as measured objectively. Conclusion: Future studies need to examine the effectiveness of interventions that include dual-task challenges during therapeutic interventions and ADL retraining to reduce fall risk among older adults.

  20. Waste Receiving and Processing (WRAP) facility engineering study

    International Nuclear Information System (INIS)

    Christie, M.A.; Cammann, J.W.; McBeath, R.S.; Rode, H.H.


    A new Hanford waste management facility, the Waste Receiving and Processing (WRAP) facility (planned to be operational by FY 1994) will receive, inspect, process, and repackage contact-handled transuranic (CH-TRU) contaminated solid wastes. The wastes will be certified according to the waste acceptance criteria for disposal at the Waste Isolation Pilot Plant (WIPP) geologic repository in southeast New Mexico. Three alternatives which could cost effectively be applied to certify Hanford CH-TRU waste to the WIPP Waste Acceptance Criteria (WIPP-WAC) have been examined in this updated engineering study. The alternatives differed primarily in the reference processing systems used to transform nonconforming waste into an acceptable, certified waste form. It is recommended to include the alternative of shredding and immobilizing nonconforming wastes in cement (shred/grout processing) in the WRAP facility. Preliminary capital costs for WRAP in mid-point-of-construction (FY 1991) dollars were estimated at $45 million for new construction and $37 million for modification and installation in an existing Hanford surplus facility (231-Z Building). Operating, shipping, and decommissioning costs in FY 1986 dollars were estimated at $126 million, based on a 23-y WRAP life cycle (1994 to 2017). During this period, the WRAP facility will receive an estimated 38,000 m 3 (1.3 million ft 3 ) of solid CH-TRU waste. The study recommends pilot-scale testing and evaluation of the processing systems planned for WRAP and advises further investigation of the 231-Z Building as an alternative to new facility construction

  1. Tell Me the Gossip : The Self-Evaluative Function of Receiving Gossip About Others

    NARCIS (Netherlands)

    Martinescu, Elena; Janssen, Onne; Nijstad, Bernard A.


    We investigate the self-evaluative function of competence-related gossip for individuals who receive it. Using the Self-Concept Enhancing Tactician (SCENT) model, we propose that individuals use evaluative information about others (i.e., gossip) to improve, promote, and protect themselves. Results

  2. Structure and extent of the southern African cratons: Integrated images from receiver functions and teleseimic tomography

    DEFF Research Database (Denmark)

    Soliman, Mohammad Youssof Ahmad; Levander, Alan; Bezada, Max


    and the Bushveld complex. Both P- and S-wave (PdS and SdP) receiver functions are calculated by iterative deconvolution processing, which lead to estimates of Moho depth and the Vp/Vs ratio via the HK-stacking method, as well as param- eters describing anisotropy in the crust (strength dt and trend phi...

  3. Psychometric properties of the PROMIS Physical Function item bank in patients receiving physical therapy.

    Directory of Open Access Journals (Sweden)

    Martine H P Crins

    Full Text Available The Patient-Reported Outcomes Measurement Information System (PROMIS is a universally applicable set of instruments, including item banks, short forms and computer adaptive tests (CATs, measuring patient-reported health across different patient populations. PROMIS CATs are highly efficient and the use in practice is considered feasible with little administration time, offering standardized and routine patient monitoring. Before an item bank can be used as CAT, the psychometric properties of the item bank have to be examined. Therefore, the objective was to assess the psychometric properties of the Dutch-Flemish PROMIS Physical Function item bank (DF-PROMIS-PF in Dutch patients receiving physical therapy.Cross-sectional study.805 patients >18 years, who received any kind of physical therapy in primary care in the past year, completed the full DF-PROMIS-PF (121 items.Unidimensionality was examined by Confirmatory Factor Analysis and local dependence and monotonicity were evaluated. A Graded Response Model was fitted. Construct validity was examined with correlations between DF-PROMIS-PF T-scores and scores on two legacy instruments (SF-36 Health Survey Physical Functioning scale [SF36-PF10] and the Health Assessment Questionnaire Disability-Index [HAQ-DI]. Reliability (standard errors of theta was assessed.The results for unidimensionality were mixed (scaled CFI = 0.924, TLI = 0.923, RMSEA = 0.045, 1th factor explained 61.5% of variance. Some local dependence was found (8.2% of item pairs. The item bank showed a broad coverage of the physical function construct (threshold-parameters range: -4.28-2.33 and good construct validity (correlation with SF36-PF10 = 0.84 and HAQ-DI = -0.85. Furthermore, the DF-PROMIS-PF showed greater reliability over a broader score-range than the SF36-PF10 and HAQ-DI.The psychometric properties of the DF-PROMIS-PF item bank are sufficient. The DF-PROMIS-PF can now be used as short forms or CAT to measure the level of

  4. An exploration of the relationship between fatigue and physical functioning in patients with end stage renal disease receiving haemodialysis. (United States)

    O'Sullivan, Dawn; McCarthy, Geraldine


    To measure fatigue and physical functioning in patients with end stage renal disease (ESRD) receiving haemodialysis and to investigate the relationships between fatigue and physical functioning. Fatigue and reduced physical functioning are among the most bothersome symptoms experienced by individuals receiving haemodialysis for ESRD. Research has shown that increasing activity levels has resulted in decreased fatigue levels and improved physical functioning in individuals with cancer. Establishing whether or not a relationship exists between both concepts in haemodialysis patients is a preliminary step in identifying potential fatigue reducing strategies necessary for improved wellbeing. A quantitative exploratory correlational design was used with 46 individuals completing the Multi-dimensional Fatigue Inventory, the Medical Outcomes Study Short-Form 36-item questionnaire and a Demographic Questionnaire. Results indicated fatigue was prevalent with highest scores achieved for physical fatigue; reduced activity and general fatigue. Substantial limitations in physical functioning were found. A significant moderate negative relationship between general fatigue and physical functioning indicated that, as physical functioning levels increased, fatigue levels decreased. A significant difference was also found between general fatigue scores for males and females. Significant relationships were found between overall physical functioning, older age and employment status. The research indicates the prevalence of fatigue and limitations in physical functioning in individuals with ESRD. However, as physical functioning increased fatigue decreased; a finding relevant to clinical nursing. Understanding the levels of fatigue and the value of exercise is of relevance to clinical practice thus assessment of fatigue and physical functioning ability in the clinical setting is necessary.

  5. Receiver function images of the central Chugoku region in the Japanese islands using Hi-net data (United States)

    Ramesh, D. S.; Wakatsu, H. K.; Watada, S.; Yuan, X.


    Crustal configuration of the central Chugoku region with disposition of the Philippine Sea Plate (PHS) in this area are investigated through the receiver function approach using short-period Hi-net data. Images of the upper mantle discontinuities are also obtained. Restituted short-period receiver functions bring out discernible variations in average composition of the crust and its thickness in the study region. The Vp/ Vs values in the study area are generally high, reaching values in excess of 1.85 at a few places. The central part of the study region showing the highest Vp/ Vs values is coincidentally a subregion of least seismicity, possibly bestowed with special subsurface structure. Migrated receiver function images, both Ps and Pps images, unambiguously trace the NW subducting PHS taking a steeper plunge in the northwest part of the Chugoku region reaching depths of 70 km from its low dip disposition in the southeast. An excellent correlation of the subducting PHS with the hypocenters is also seen. We demonstrate that short-period data after restitution and application of appropriate low pass filters can indeed detect presence of the global 410-km and 660-km discontinuities and map their disposition reasonably well. Our migrated receiver functions image the deflections in the 410-km and 660-km discontinuities in an anti-correlated fashion on expected lines of Clapeyron slope predictions induced by subduction of the Pacific plate (PAC) beneath Japanese islands, though PAC itself is feebly traced but shows good correlation with slab seismicity.

  6. Reasons for receiving or not receiving HPV vaccination in primary schoolgirls in Tanzania: a case control study. (United States)

    Watson-Jones, Deborah; Tomlin, Keith; Remes, Pieter; Baisley, Kathy; Ponsiano, Riziki; Soteli, Selephina; de Sanjosé, Silvia; Changalucha, John; Kapiga, Saidi; Hayes, Richard J


    There are few data on factors influencing human papillomavirus (HPV) vaccination uptake in sub-Saharan Africa. We examined the characteristics of receivers and non-receivers of HPV vaccination in Tanzania and identified reasons for not receiving the vaccine. We conducted a case control study of HPV vaccine receivers and non-receivers within a phase IV cluster-randomised trial of HPV vaccination in 134 primary schools in Tanzania. Girls who failed to receive vaccine (pupil cases) and their parents/guardians (adult cases) and girls who received dose 1 (pupil controls) of the quadrivalent vaccine (Gardasil™) and their parents/guardians (adult controls) were enrolled from 39 schools in a 1∶1 ratio and interviewed about cervical cancer, HPV vaccine knowledge and reasons why they might have received or not received the vaccine. Conditional logistic regression was used to determine factors independently associated with not receiving HPV vaccine. We interviewed 159 pupil/adult cases and 245 pupil/adult controls. Adult-factors independently associated with a daughter being a case were older age, owning fewer household items, not attending a school meeting about HPV vaccine, and not knowing anyone with cancer. Pupil-factors for being a case included having a non-positive opinion about the school de-worming programme, poor knowledge about the location of the cervix, and not knowing that a vaccine could prevent cervical cancer. Reasons for actively refusing vaccination included concerns about side effects and infertility. Most adult and pupil cases reported that they would accept the HPV vaccine if it were offered again (97% and 93% respectively). Sensitisation messages, especially targeted at older and poorer parents, knowledge retention and parent meetings are critical for vaccine acceptance in Tanzania. Vaccine side effects and fertility concerns should be addressed prior to a national vaccination program. Parents and pupils who initially decline vaccination should be

  7. Reasons for receiving or not receiving HPV vaccination in primary schoolgirls in Tanzania: a case control study.

    Directory of Open Access Journals (Sweden)

    Deborah Watson-Jones

    Full Text Available There are few data on factors influencing human papillomavirus (HPV vaccination uptake in sub-Saharan Africa. We examined the characteristics of receivers and non-receivers of HPV vaccination in Tanzania and identified reasons for not receiving the vaccine.We conducted a case control study of HPV vaccine receivers and non-receivers within a phase IV cluster-randomised trial of HPV vaccination in 134 primary schools in Tanzania. Girls who failed to receive vaccine (pupil cases and their parents/guardians (adult cases and girls who received dose 1 (pupil controls of the quadrivalent vaccine (Gardasil™ and their parents/guardians (adult controls were enrolled from 39 schools in a 1∶1 ratio and interviewed about cervical cancer, HPV vaccine knowledge and reasons why they might have received or not received the vaccine. Conditional logistic regression was used to determine factors independently associated with not receiving HPV vaccine.We interviewed 159 pupil/adult cases and 245 pupil/adult controls. Adult-factors independently associated with a daughter being a case were older age, owning fewer household items, not attending a school meeting about HPV vaccine, and not knowing anyone with cancer. Pupil-factors for being a case included having a non-positive opinion about the school de-worming programme, poor knowledge about the location of the cervix, and not knowing that a vaccine could prevent cervical cancer. Reasons for actively refusing vaccination included concerns about side effects and infertility. Most adult and pupil cases reported that they would accept the HPV vaccine if it were offered again (97% and 93% respectively.Sensitisation messages, especially targeted at older and poorer parents, knowledge retention and parent meetings are critical for vaccine acceptance in Tanzania. Vaccine side effects and fertility concerns should be addressed prior to a national vaccination program. Parents and pupils who initially decline vaccination

  8. Moho Depth Variations in the Northeastern North China Craton Revealed by Receiver Function Imaging (United States)

    Zhang, P.; Chen, L.; Yao, H.; Fang, L.


    The North China Craton (NCC), one of the oldest cratons in the world, has attracted wide attention in Earth Science for decades because of the unusual Mesozoic destruction of its cratonic lithosphere. Understanding the deep processes and mechanism of this craton destruction demands detailed knowledge about the deep structure of the region. In this study, we used two-year teleseismic receiver function data from the North China Seismic Array consisting of 200 broadband stations deployed in the northeastern NCC to image the Moho undulation of the region. A 2-D wave equation-based poststack depth migration method was employed to construct the structural images along 19 profiles, and a pseudo 3D crustal velocity model of the region based on previous ambient noise tomography and receiver function study was adopted in the migration. We considered both the Ps and PpPs phases, but in some cases we also conducted PpSs+PsPs migration using different back azimuth ranges of the data, and calculated the travel times of all the considered phases to constrain the Moho depths. By combining the structure images along the 19 profiles, we got a high-resolution Moho depth map beneath the northeastern NCC. Our results broadly consist with the results of previous active source studies [], and show a good correlation of the Moho depths with geological and tectonic features. Generally, the Moho depths are distinctly different on the opposite sides of the North-South Gravity Lineament. The Moho in the west are deeper than 40 km and shows a rapid uplift from 40 km to 30 km beneath the Taihang Mountain Range in the middle. To the east in the Bohai Bay Basin, the Moho further shallows to 30-26 km depth and undulates by 3 km, coinciding well with the depressions and uplifts inside the basin. The Moho depth beneath the Yin-Yan Mountains in the north gradually decreases from 42 km in the west to 25 km in the east, varying much smoother than that to the south.

  9. Descriptive Study of Patients Receiving Excision and Radiotherapy for Keloids

    International Nuclear Information System (INIS)

    Speranza, Giovanna; Sultanem, Khalil M.D.; Muanza, Thierry


    Purpose: To review and describe our institution's outcomes in patients treated with external beam radiotherapy after keloid excision. Methods and Materials: This was a retrospective study. Patients who received radiotherapy between July 1994 and January 2004 after keloid excision were identified. A questionnaire was mailed regarding sociodemographic factors, early and late radiation toxicities, the need for additional therapy, and satisfaction level. All patients had received a total of 15 Gy in three daily 5-Gy fractions. Treatment started within 24 h after surgery and was delivered on a Siemens orthovoltage machine. The data were analyzed using the STATA statistical package. Results: A total of 234 patients were approached. The response rate was 41%, and 75% were female. The mean age was 36.5 years (range, 16-69 years). The patients were mainly of European (53.1%) or African (19.8%) descent. For early toxicity outcomes, 54.2% reported skin redness and 24% reported skin peeling. For late toxicity outcomes, 27% reported telangiectasia and 62% reported permanent skin color changes. No association was found with gender, skin color, or age for the late toxicity outcomes. Of the patients responding, 14.6% required adjuvant treatment. On a visual scale of 1-10 for the satisfaction level, 60% reported a satisfaction level of ≥8. Telangiectasia was the most significant predictor of a low satisfaction level (≤3, p < 0.005). Conclusion: The results of our study have shown that orthovoltage-based radiotherapy after surgical excision for keloids is a good method for the prevention of relapse. It is well tolerated, causes little toxicity, and leads to a high patient satisfaction level

  10. Fine-scale crustal structure of the Azores Islands from teleseismic receiver functions (United States)

    Spieker, K.; Rondenay, S.; Ramalho, R. S.; Thomas, C.; Helffrich, G. R.


    The Azores plateau is located near the Mid-Atlantic Ridge (MAR) and consists of nine islands, most of which lie east of the MAR. Various methods including seismic reflection, gravity, and passive seismic imaging have been used to investigate the crustal thickness beneath the islands. They have yielded thickness estimates that range between roughly 10 km and 30 km, but until now models of the fine-scale crustal structure have been lacking. A comparison of the crustal structure beneath the islands that lie west and east of the MAR might give further constraints on the evolution of the islands. For example, geochemical studies carried out across the region predict the existence of volcanic interfaces that should be detected seismically within the shallow crust of some of the islands. In this study, we use data from ten seismic stations located on the Azores Islands to investigate the crustal structure with teleseismic P-wave receiver functions. We query our resulting receiver functions for signals associated with the volcanic edifice, the crust-mantle boundary, and potential underplated layers beneath the various islands. The islands west of the MAR have a crustal structure comprising two discontinuities - an upper one at 1-2 km depth marking the base of the volcanic edifice, and a lower one at 10 km depth that we interpret as crust-mantle boundary. The islands east of the MAR can be subdivided into two groups. The central islands that are closer to the MAR exhibit a crustal structure similar to that of the western islands, with a volcanic edifice reaching a depth of 2 km and an average crust-mantle boundary at around 12 km depth. The easternmost islands, located on the oldest lithosphere, exhibit a more complex crustal structure with evidence for a mid-crustal interface and an underplated layer, yielding an effective crust-mantle boundary at >15 km depth. The difference in structure between proximal and distal islands might be related to the age of the plate at the

  11. Mantle transition zone beneath northeast China from P-receiver function (United States)

    Zhang, R.; Wu, Q.


    We used receiver functions to examine lateral topographical variations on the 410- and 660-km beneath northeast China and particularly the Kuril-Japan arc junctions. Compared to other receiver functions studies, our analysis was based on greater station coverage of higher density by combining all recent seismic arrays so far deployed in northeast China. Our image shows that the 410-km is featured by a ~10-20 km uplift extending in the NNE direction beneath some areas of the Quaternary basaltic rocks distributed at Abaga and at Wudalianchi. The Clapeyron slope of the olivine phase transiton at 410-km suggests that the uplift is compatible with a negative thermal anomaly. We also confirm a significant depression of the 660 from the Changbai volcanism in the north to Korea in the south along the NW-SE direction. The depression is also accompanied by an uplift of the 660 to the west. The shallow 660-km discontinuity is also particularly detected beneath the Kuril-Japan arc junctions, while it was not detected before. The thermal anomaly at 410 km depth is most likely a remnant of a detached mantle lithosphere that recently sank to depth, thus providing robust evidence for the source and evolution of these basalts. The depression of the 660-km discontinuity may support that the subducting Pacific slab bends sharply and becomes stagnant when it meets strong resistance at a depth of about 670 km. After accumulation to a great extent the stagnant slab finally penetrates into the lower mantle. Combined with the previous triplicated studies, the shallow 660-km may suggest that descending Pacific slab at its leading and junction edges might be accommodated by a tearing near a depth of 660 km. Acknowledgements. Two liner seismic arrays were deployed by the Institute of Geophysics, China Earthquake Administration. The data of the permanent stations were provided by the Data Management Centre of China, National Seismic Network at the Institute of Geophysics, China Earthquake

  12. Crustal Structure and Mantle Transition Zone Thickness beneath the Central Mongolia from Teleseismic Receiver Functions (United States)

    He, J.; Wu, Q.; Gao, M.; Munkhuu, U.; Demberel, S. G.


    The Mongolian Plateau (northern Asia) is situated between the Gobi-Altai range and the Siberian craton. In order to understand the crustal and mantle structure environmental characteristics, we use the teleseismic data recorded by 69 broadband stations located in the Central Mongolia(103.5°-111.5°E, 42°-50°N). The teleseismic events are selected from the global earthquakes between Aug. 2011 and Dec. 2013 with magnitude >5.5and the epicentral distance range from 30° to 95° to the center of the network. Lateral variations of the crustal thicknesses H and Vp/Vs ratios are obtained by using receiver function method. The crust thins gradually from northwest to southeast in the studying field. We found that the thinnest crust is ~37.5km in the southeast which is Gobi. The distribution of Vp/Vs ratios are between 1.68 and 1.84, which shows the heterogeneity. There are three high-anomaly areas: the Gobi range which is the Later Paleozoic Orogeny; the Khentei Mountains which is in the Jurassic-Cretaceous Reactive Continental Margin; the northwest area which is granite. Our research not only reveals the powerful evident of the crustal formation and evolution mechanism, but also provides some constraints on the mechanism of uplift of the Mongolian Plateau.This study was supported by the international cooperation project of the Ministry of Science and Technology of China (2011DFB20120).

  13. Evidence for magmatic underplating and partial melt beneath the Canary Islands derived using teleseismic receiver functions (United States)

    Lodge, A.; Nippress, S. E. J.; Rietbrock, A.; García-Yeguas, A.; Ibáñez, J. M.


    In recent years, an increasing number of studies have focussed on resolving the internal structure of ocean island volcanoes. Traditionally, active source seismic experiments have been used to image the volcano edifice. Here we present results using the analysis of compressional to shear (P to S) converted seismic phases from teleseismic events, recorded by stations involved in an active source experiment "TOM-TEIDEVS" (Ibáñez et al., 2008), on the island of Tenerife, Canary Islands. We supplement this data with receiver function (RF) analysis of seismograms from the Canary Islands of Lanzarote and La Palma, applying the extended-time multitaper frequency domain cross-correlation estimation method (Helffrich, 2006). We use the neighbourhood inversion approach of Sambridge (1999a,b) to model the RFs and our results indicate magmatic underplating exists beneath all three islands, ranging from 2 to 8 km, but showing no clear correlation with the age of the island. Beneath both La Palma and Tenerife, we find localized low velocity zones (LVZs), which we interpret as due to partial melt, supported by their correlation with the location of historical earthquakes (La Palma) and recent earthquakes (Tenerife). For Lanzarote, we do not sample the most recently volcanically active region and find no evidence for a LVZ. Instead, we find a simple gradational velocity structure, with discontinuities at ˜4, 10 and 18 km depth, in line with previous studies.

  14. Creatinine Versus Cystatin C: Differing Estimates of Renal Function in Hospitalized Veterans Receiving Anticoagulants. (United States)

    Wang, Christina Hao; Rubinsky, Anna D; Minichiello, Tracy; Shlipak, Michael G; Price, Erika Leemann


    Current practice in anticoagulation dosing relies on kidney function estimated by serum creatinine using the Cockcroft-Gault equation. However, creatinine can be unreliable in patients with low or high muscle mass. Cystatin C provides an alternative estimation of glomerular filtration rate (eGFR) that is independent of muscle. We compared cystatin C-based eGFR (eGFR cys ) with multiple creatinine-based estimates of kidney function in hospitalized patients receiving anticoagulants, to assess for discordant results that could impact medication dosing. Retrospective chart review of hospitalized patients over 1 year who received non-vitamin K antagonist anticoagulation, and who had same-day measurements of cystatin C and creatinine. Seventy-five inpatient veterans (median age 68) at the San Francisco VA Medical Center (SFVAMC). We compared the median difference between eGFR by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) study equation using cystatin C (eGFR cys ) and eGFRs using three creatinine-based equations: CKD-EPI (eGFR EPI ), Modified Diet in Renal Disease (eGFR MDRD ), and Cockcroft-Gault (eGFR CG ). We categorized patients into standard KDIGO kidney stages and into drug-dosing categories based on each creatinine equation and calculated proportions of patients reclassified across these categories based on cystatin C. Cystatin C predicted overall lower eGFR compared to creatinine-based equations, with a median difference of - 7.1 (IQR - 17.2, 2.6) mL/min/1.73 m 2 versus eGFR EPI , - 21.2 (IQR - 43.7, - 8.1) mL/min/1.73 m 2 versus eGFR MDRD , and - 25.9 (IQR - 46.8, - 8.7) mL/min/1.73 m 2 versus eGFR CG . Thirty-one to 52% of patients were reclassified into lower drug-dosing categories using cystatin C compared to creatinine-based estimates. We found substantial discordance in eGFR comparing cystatin C with creatinine in this group of anticoagulated inpatients. Our sample size was limited and included few women. Further

  15. Effect of radiotherapy on immunity function of cancer patients receiving radiotherapy

    International Nuclear Information System (INIS)

    Li Xinli; Zhu Shentao; Xu Jiuhong


    Objective: In order to observe the effect of radiotherapy on immunity function of cancer patients receiving radiotherapy. Methods: Cellular immunity is determined by APAAP; Humoral immunity is determined by transmission method. Results: The items of cellular immunity is lower than the control after radiotherapy. These items decrease continually. The difference between before and after radiotherapy has statistic significance. Of all Humoral immunity items, IgA, IgM decreased after radiotherapy and the difference has statistic significance. Conclusions: Radiotherapy can damage patients' immunity function

  16. An experimental study of thermal characterization of parabolic trough receivers

    International Nuclear Information System (INIS)

    Lei, Dongqiang; Li, Qiang; Wang, Zhifeng; Li, Jian; Li, Jianbin


    Highlights: ► A new test stand of heat loss has been developed at IEECAS. ► A correlation between heat loss and absorber temperature is presented, 270 W/m 400 °C. ► The ratio of end loss in total heat loss increases with decreasing the temperature. ► The emittance test stand using a high vacuum system and vacuum gauge is built. ► Emittance first decreases, then rapidly increases with increasing the temperature. - Abstract: The receiver is a key component of the parabolic trough solar station. The receiver requires the most challenging technology and has a decisive influence on the thermal and economic performance of a power plant. The Institute of Electrical Engineering Chinese Academy Sciences (IEECAS) and Himin Solar Co., Ltd. (HSC) cooperated to develop solar receivers for the first 50 MW parabolic trough project in Inner Mongolia, China. This paper examines overall heat loss, end loss and thermal emittance of the coating of a newly designed receiver in order to evaluate its thermal characterization. A series of heat loss tests are conducted in a newly developed test stand following the steady state equilibrium method. The tests provide a correlation between heat loss and the absorber temperature. This paper presents a new testing method to accurately test the coating emittance. The method uses a receiver with a high vacuum system and a vacuum gauge to maintain continuous exhaust and high vacuum throughout the heat loss testing. A heat loss comparison between the receiver and other existing receivers provides a reference that enabled further optimization. Theoretical and experimental analysis examines the effects of end loss both with and without a heat insulator and a coil heater. The emittance curves of different coatings are acquired and the reasons for initial emittance decrease and then remarkable increase versus temperature are analyzed

  17. Efficacy of walking exercise in promoting cognitive-psychosocial functions in men with prostate cancer receiving androgen deprivation therapy

    Directory of Open Access Journals (Sweden)

    Lee C


    Full Text Available Abstract Background Prostate cancer is the most commonly diagnosed non-melanoma cancer among men. Androgen deprivation therapy (ADT has been the core therapy for men with advanced prostate cancer. It is only in recent years that clinicians began to recognize the cognitive-psychosocial side effects from ADT, which significantly compromise the quality of life of prostate cancer survivors. The objectives of the study are to determine the efficacy of a simple and accessible home-based, walking exercise program in promoting cognitive and psychosocial functions of men with prostate cancer receiving ADT. Methods A 6-month prospective, single-blinded, randomized controlled trial will be conducted to compare the Exercise Group with the Control Group. Twenty men with prostate cancer starting ADT will be recruited and randomly assigned to one of the two groups: the Exercise Group will receive instructions in setting up an individualized 6-month home-based, walking exercise program, while the Control Group will receive standard medical advice from the attending physician. The primary outcomes will be psychosocial and cognitive functions. Cognitive functions including memory, attention, working memory, and executive function will be assessed using a battery of neurocognitive tests at baseline and 6 months. Psychosocial functions including depression, anxiety and self-esteem will be assessed at baseline, 3 and 6 months using the Center for Epidemiological Studies Depression Scale, Spielberger State-Trait Anxiety Inventory, and Rosenberg Self-Esteem Scale. Discussion The significance of the cognitive-psychosocial side effects of ADT in men with prostate cancer has only been recently recognized, and the management remains unclear. This study addresses this issue by designing a simple and accessible home-based, exercise program that may potentially have significant impact on reducing the cognitive and psychosocial side effects of ADT, and ultimately


    Directory of Open Access Journals (Sweden)

    Chepuri Venkata Ravikumar


    Full Text Available BACKGROUND Human Immunodeficiency Virus (HIV was discovered in 1986 in Chennai (India amongst female sex workers by Dr. Suniti Solomon. Since then, HIV has spread to all parts of the country from the high-risk group to the antepartum population in many states at an alarming rate. The prevalence of dyslipidaemia and other risk factors for cardiovascular disease is significant in HIV/AIDS patients receiving highly active antiretroviral therapy (HAART, ranging from 20% to 80%. In view of the high prevalence of dyslipidaemia and the increased risk for cardiovascular diseases among patients with HIV/AIDS, this is a matter of concern for public health. MATERIALS AND METHODS 143 patients who had been receiving HAART for a minimum of two years from Rajiv Gandhi Institute of Medical Sciences, Kadapa, during the period of January 2015 to September 2016 were studied. They were divided into 4 regimens groups 1 TEL (Tenofovir, Efavirenz, Lamivudine 2 TLAR (Tenofovir, Lamivudine, Atazanavir, Ritonavir 3 ZLE (Zidovudine, Lamivudine, Efavirenz 4 ZLN (Zidovudine, Lamivudine, Nevirapine. Detailed history, demographic data, anthropometric measurements, serum lipid profile obtained and analysed. RESULTS Out of 143 patients, 90 (62.9% were males and 53 (37.1% were females. 68 (47.6% were in the 30-39 years age group accounted for maximum percentage of groups. Based on BMI only 3 (2.1% were obese, 24 (16.8% were of overweight. WaistHip ratio was abnormal in 117 (81.8% and 26 (18.2% were normal. The mean values for patients on TEL regimen are TC is 195.4 mg%, LDL 122.1 mg%, HDL 34.96 mg%, TG 194.02 mg% and TC/HDL is 5.5714. In patients treated with TLAR regimen the mean values of TC are 172.15 mg%, LDL 99.15 mg %, HDL 36.35 mg%, TG 183.35 mg% and TC/HDL is 4.8. In patients treated with ZLE regimen, TC is 201.64 mg%, LDL 123.27 mg%, HDL 35.68 mg%, TG 212.27 mg% and TC/HDL is 5.6364. In patients treated with ZLN regimen, TC is 162.1 mg%, LDL 91.94 mg%, HDL 35.98 mg%, TG

  19. The lithosphere-asthenosphere boundary beneath the Korean Peninsula from S receiver functions (United States)

    Lee, S. H.; Rhie, J.


    The shallow lithosphere in the Eastern Asia at the east of the North-South Gravity Lineament is well published. The reactivation of the upper asthenosphere induced by the subducting plates is regarded as a dominant source of the lithosphere thinning. Additionally, assemblage of various tectonic blocks resulted in complex variation of the lithosphere thickness in the Eastern Asia. Because, the Korean Peninsula located at the margin of the Erasian Plate in close vicinity to the trench of subducting oceanic plate, significant reactivation of the upper asthenosphere is expected. For the study of the tectonic history surrounding the Korean Peninsula, we determined the lithosphere-asthenosphere boundary (LAB) beneath the Korean Peninsula using common conversion point stacking method with S receiver functions. The depth of the LAB beneath the Korean Peninsula ranges from 60 km to 100 km and confirmed to be shallower than that expected for Cambrian blocks as previous global studies. The depth of the LAB is getting shallower to the south, 95 km at the north and 60 km at the south. And rapid change of the LAB depth is observed between 36°N and 37°N. The depth change of the LAB getting shallower to the south implies that the source of the lithosphere thinning is a hot mantle upwelling induced by the northward subduction of the oceanic plates since Mesozoic. Unfortunately, existing tectonic models can hardly explain the different LAB depth in the north and in the south as well as the rapid change of the LAB depth.

  20. Lithospheric Structure of the Yamato Basin Inferred from Trans-dimensional Inversion of Receiver Functions (United States)

    Akuhara, T.; Nakahigashi, K.; Shinohara, M.; Yamada, T.; Yamashita, Y.; Shiobara, H.; Mochizuki, K.


    The Yamato Basin, located at the southeast of the Japan Sea, has been formed by the back-arc opening of the Japan Sea. Wide-angle reflection surveys have revealed that the basin has anomalously thickened crust compared with a normal oceanic crust [e.g., Nakahigashi et al., 2013] while deeper lithospheric structure has not known so far. Revealing the lithospheric structure of the Yamato Basin will lead to better understanding of the formation process of the Japan Sea and thus the Japanese island. In this study, as a first step toward understanding the lithospheric structure, we aim to detect the lithosphere-asthenosphere boundary (LAB) using receiver functions (RFs). We use teleseismic P waveforms recorded by broad-band ocean-bottom seismometers (BBOBS) deployed at the Yamato Basin. We calculated radial-component RFs using the data with the removal of water reverberations from the vertical-component records [Akuhara et al., 2016]. The resultant RFs are more complicated than those calculated at an on-land station, most likely due to sediment-related reverberations. This complexity does not allow either direct detection of a Ps conversion from the LAB or forward modeling by a simple structure composed of a handful number of layers. To overcome this difficulty, we conducted trans-dimensional Markov Chain Monte Carlo inversion of RFs, where we do not need to assume the number of layers in advance [e.g., Bodin et al., 2012; Sambridge et al., 2014]. Our preliminary results show abrupt velocity reduction at 70 km depth, far greater depth than the expected LAB depth from the age of the lithosphere ( 20 Ma, although still debated). If this low-velocity jump truly reflects the LAB, the anomalously thickened lithosphere will provide a new constraint on the complex formation history of the Japan Sea. Further study, however, is required to deny the possibility that the obtained velocity jump is an artificial brought by the overfitting of noisy data.

  1. Mantle upwelling beneath Madagascar: evidence from receiver function analysis and shear wave splitting (United States)

    Paul, Jonathan D.; Eakin, Caroline M.


    Crustal receiver functions have been calculated from 128 events for two three-component broadband seismomenters located on the south coast (FOMA) and in the central High Plateaux (ABPO) of Madagascar. For each station, crustal thickness and V p / V s ratio were estimated from H- κ plots. Self-consistent receiver functions from a smaller back-azimuthal range were then selected, stacked and inverted to determine shear wave velocity structure as a function of depth. These results were corroborated by guided forward modeling and by Monte Carlo error analysis. The crust is found to be thinner (39 ± 0.7 km) beneath the highland center of Madagascar compared to the coast (44 ± 1.6 km), which is the opposite of what would be expected for crustal isostasy, suggesting that present-day long wavelength topography is maintained, at least in part, dynamically. This inference of dynamic support is corroborated by shear wave splitting analyses at the same stations, which produce an overwhelming majority of null results (>96 %), as expected for vertical mantle flow or asthenospheric upwelling beneath the island. These findings suggest a sub-plate origin for dynamic support.

  2. Receiver functions analysis in Northern Tanzania to understand the earliest stage of rifting (United States)

    Tiberi, C.; Albaric, J.; Deschamps, A.; Deverchere, J.; Ebinger, C. J.; Ferdinand, R. W.; Gautier, S.; Lambert, C.; Msabi, M.; Mtelela, K.; Muzuka, A.; Perrot, J.; Rasendra, N.; Roecker, S. W.; Rodzianko, A.; Witkin, E.


    The East African Rift (EAR) is the site of stretching and breakup of the lithosphere in response to a combination of regional pulling forces and mantle upwellings. Deformation results from complex interactions between magmatic intrusions, faulting, asthenospheric dynamism and far field stresses. It thus involves both deep processes and local inherited fabrics. In the frame of two international projects CRAFTI (NSF) and CoLiBrEA (ANR), we gather our skills to lead a multidisciplinary project in order to characterize the factors involved in continental rifting. We target the first 5 My of a magmatic rift initiating in thick (>150 km) continental lithosphere, where we can directly image and detect fault and magma interactions, the role of inherited and rheological heterogeneities of the lithosphere on rift localisation. We deployed 35 broadband seismic stations in Natron and Ngorongoro areas in January 2013 to characterize crustal and mantle structures of the rift. The stations were equipped by 3 component sensors and Reftek Recorders to continuously record teleseisms as well as local seismicity. We present here a receiver function analyse on the teleseismic events recorded during the first 6 months of the experiment. Both P- and S-waves receiver functions were proceeded to document the modification of the crust and the mantle due to plate stretching and magmatic processes. The Vp/Vs ratio informs on the state of the crust, which is affected by magmatic and fluids intrusions at different depths. The S-wave receiver function gives insight into the lithosphere state and the nature of the mantle beneath the rift (archean or plume affected).

  3. Crustal thickness and Vp/Vs beneath the southeastern United States: Constraints from receiver function stacking (United States)

    Yang, Q.; Gao, S. S.; Liu, K. H.


    To provide new constraints on crustal structure and evolution models beneath a collage of tectonic provinces in the southeastern United States, a total of 10,753 teleseismic receiver functions recorded by 125 USArray and other seismic stations are used to compute crustal thickness and Vp/Vs values. The resulting crustal thicknesses range from 25 km at the coast to 51 km beneath the peak of the southern Appalachians with an average of 36.2 km ± 5.5 km. The resulting crustal thicknesses correlate well with surface elevation and Bouguer gravity anomalies. Beneath the Atlantic Coastal Plain, the crustal thicknesses show a clear eastward thinning with a magnitude of 10 km, from about 40 km beneath the western margin to 30 km beneath the coast. The Vp/Vs values for the entire study area range from 1.71 to 1.90 with a mean value of 1.80 ± 0.04. The mean Vp/Vs value is 1.82±0.035 in the southern Appalachian Mountain. The slightly larger than normal crustal Vp/Vs for this area might be the result of significant erosion of the felsic upper crust over the past 300 million years. Alternatively, it could also suggest the existence of pervasive magmatic intrusion into the Appalachian crust. The Vp/Vs measurements in the Atlantic Coastal Plain increase toward the east, ranging from 1.75 to 1.82, probably indicating a gradual increase of mafic magmatic intrusion into thinner crust during the development of the passive continental margin.

  4. S-velocity structure in Cimandiri fault zone derived from neighbourhood inversion of teleseismic receiver functions (United States)

    Syuhada; Anggono, T.; Febriani, F.; Ramdhan, M.


    The availability information about realistic velocity earth model in the fault zone is crucial in order to quantify seismic hazard analysis, such as ground motion modelling, determination of earthquake locations and focal mechanism. In this report, we use teleseismic receiver function to invert the S-velocity model beneath a seismic station located in the Cimandiri fault zone using neighbourhood algorithm inversion method. The result suggests the crustal thickness beneath the station is about 32-38 km. Furthermore, low velocity layers with high Vp/Vs exists in the lower crust, which may indicate the presence of hot material ascending from the subducted slab.

  5. Study on UF6 condensing receiving system improvement

    International Nuclear Information System (INIS)

    Zhang Zhenxing; Li Yingfeng; Li Zhenfeng; He Ping; Wang Yanping; Tian Yushan


    In order to improve receiving capacity of UF 6 condensing system, the pressure release mode is changed through modifying gas phase inlet of the first-grade condenser, thus pressure release time is reduced from 13.1 h to 8.1 h. Be- cause of improvement of utility condensers of the two product lines, both the flexibility of feeding nitrogen and the emergency capacity of condensers are improved greatly. And modification of fluid transferring and sampling system make the remains in system transfer flexibly. The practise shows that metal direct recovery rises to the extent, and capacity of the first-grade condensing receiving system improves 8.4%, which strongly guarantees fluorination production safely, continuously and stably run. (authors)

  6. Impaired Cognitive Functioning in Patients with Tyrosinemia Type I Receiving Nitisinone

    NARCIS (Netherlands)

    Bendadi, Fatiha; de Koning, Tom J.; Visser, Gepke; Prinsen, Hubertus C. M. T.; de Sain, Monique G. M.; Verhoeven-Duif, Nanda; Sinnema, Gerben; van Spronsen, Francjan J.; van Hasselt, Peter M.

    Objective To examine cognitive functioning in patients with tyrosinemia type I treated with nitisinone and a protein-restricted diet. Study design We performed a cross-sectional study to establish cognitive functioning in children with tyrosinemia type I compared with their unaffected siblings.

  7. DRAGON score predicts functional outcomes in acute ischemic stroke patients receiving both intravenous tissue plasminogen activator and endovascular therapy. (United States)

    Wang, Arthur; Pednekar, Noorie; Lehrer, Rachel; Todo, Akira; Sahni, Ramandeep; Marks, Stephen; Stiefel, Michael F


    The DRAGON score, which includes clinical and computed tomographic (CT) scan parameters, predicts functional outcomes in ischemic stroke patients treated with intravenous tissue plasminogen activator (IV tPA). We assessed the utility of the DRAGON score in predicting functional outcome in stroke patients receiving both IV tPA and endovascular therapy. A retrospective chart review of patients treated at our institution from February 2009 to October 2015 was conducted. All patients with computed tomography angiography (CTA) proven large vessel occlusions (LVO) who underwent intravenous thrombolysis and endovascular therapy were included. Baseline DRAGON scores and modified Rankin Score (mRS) at the time of hospital discharge was calculated. Good outcome was defined as mRS ≤3. Fifty-eight patients with LVO of the anterior circulation were studied. The mean DRAGON score of patients on admission was 5.3 (range, 3-8). All patients received IV tPA and endovascular therapy. Multivariate analysis demonstrated that DRAGON scores ≥7 was associated with higher mRS ( P DRAGON scores ≤6. Patients with DRAGON scores of 7 and 8 on admission had a mortality rate of 3.8% and 40%, respectively. The DRAGON score can help predict better functional outcomes in ischemic stroke patients receiving both IV tPA and endovascular therapy. This data supports the use of the DRAGON score in selecting patients who could potentially benefit from more invasive therapies such as endovascular treatment. Larger prospective studies are warranted to further validate these results.

  8. Experiment study of a quartz tube falling particle receiver

    Institute of Scientific and Technical Information of China (English)

    Tianjian WANG; Fengwu BAI; Shunzhou CHU; Xiliang ZHANG; Zhifeng WANG


    This paper presents an experimental evaluation of a specially designed falling particle receiver.A quartz tube was used in the design,with which the particles would not be blown away by wind.Concentrated solar radiation was absorbed and converted into thermal energy by the solid particles flowed inside the quartz tube.Several experiments were conducted to test the dynamic thermal performance of the receiver on solar furnace system.During the experiments,the maximum particle temperature rise is 212℃,with an efficiency of 61.2%,which shows a good thermal performance with a falling distance of 0.2 m in a small scale particle receiver.The average outlet particle temperature is affected by direct normal irradiance (DNI) and other factors such as wind speed.The solid particles obtain a larger viscosity with a higher temperature while smaller solid particles are easier to get stuck in the helix quartz tube.The heat capacity of the silicon carbide gets larger with the rise of particle temperature,because as the temperature of solid particles increases,the temperature rise of the silicon carbide decreases.

  9. Rate and Time of Ovarian Function Restoration in Menopausal Breast Cancer Patients Who Received Letrozole Following Chemotherapy

    Directory of Open Access Journals (Sweden)

    Shapour Omidvari


    Full Text Available Background: The present study aimed to investigate the rate and time of ovarian function restoration in breast cancer patients between 40 and 60 years of age who were in menopause (biochemically documented and received letrozole after chemotherapy. We intended to further clarify the management strategy for breast cancer patients with different menopausal status. Methods: We prospectively measured the effects of replacing tamoxifen with letrozole on ovarian function recovery in 90 women from two age groups (40-50 and 51-60 years. All had breast cancer and were treated by chemotherapy. Patients had laboratory documentation of menopause (FSH >40 mIU/ml and estradiol <20 pg/mL. Patients did not have menstruation for at least one year. Study patients received letrozole. At three month intervals, we checked their FSH and estradiol levels. Results:At three months after beginning letrozole, 12 patients in the younger age group had laboratory ovarian function restoration, among which three had vaginal bleeding. In the older group, 8 patients had increased estradiol levels; however, there was no evidence of vaginal bleeding in this group. At 6, 9 and 12 months, no ovarian function restoration was seen in the older group. However in younger patients, 4 had laboratory evidence of ovarian function restoration at 6 months, 2 at 9 months and 1 patient showed laboratory ovarian function restoration at 12 months of follow-up. Totally, there was a significant difference in the occurrence of ovarian function restoration between the two groups (P=0.03. Conclusion: A remarkable portion of women with chemotherapy-induced amenorrhea may develop ovarian function restoration. Therefore, endocrine therapy using aromatase inhibitors in patients with chemotherapy-induced amenorrhea should be followed by a regular hormonal study.

  10. Receiver Function Imaging of Crustal and Lithospheric Structure Beneath the Jalisco Block and Western Michoacan, Mexico. (United States)

    Reyes Alfaro, G.; Cruz-Atienza, V. M.; Perez-Campos, X.; Reyes Dávila, G. A.


    We used a receiver function technique for imaging western Mexico, a unique area with several active seismic and volcanic zones like the triple junction of Rivera, Cocos and North American plates and the Colima volcano complex (CVC), the most active in Mexico. Clear images of the distribution of the crust and the lithosphere-asthenosphere boundary are obtained using P-to-S receiver functions (RF) from around ~80 broadband stations recorded by the Mapping the Rivera Subduction Zone (MARS), the Colima Volcano Deep Seismic Experiment (CODEX) and a local network (RESCO) that allowed us to considerably increase the teleseismic database used in the project. For imaging, we constructed several 2-D profiles of depth transformed RFs to delineate the seismic discontinuities of the region. Low seismic velocities associated with the Michoacan-Guanajuato and the Mascota-Ayutla-Tapalpa volcanic fields are also observed. Most impressive, a large and well delineated magma body 100 km underneath CVC is recognized along a surely related depression of the moho discontinuity just above it. We bring more tools for a better understanding of the deep processes that ultimately control eruptive behavior in the region.

  11. Effects of source and receiver locations in predicting room transfer functions by a phased beam tracing method

    DEFF Research Database (Denmark)

    Jeong, Cheol-Ho; Ih, Jeong-Guon


    The accuracy of a phased beam tracing method in predicting transfer functions is investigated with a special focus on the positions of the source and receiver. Simulated transfer functions for various source-receiver pairs using the phased beam tracing method were compared with analytical Green’s...

  12. Lithospheric Layering beneath the Contiguous United States Constrained by S-to-P Receiver Functions (United States)

    Liu, L.; Liu, K. H.; Kong, F.; Gao, S. S.


    The greatly-improved spatial coverage of broadband seismic stations as a result of the deployment of the EarthScope Transportable Array (TA) stations and the diversity of tectonic environments in the contiguous United States provide a unique opportunity to investigate the depth variation and nature of intra-lithospheric interfaces in different tectonic regimes. A total of 284,121 high-quality S-to-P receiver functions (SRFs) are obtained from 3,809 broadband seismic stations in the TA and other permanent and temporary deployments in the contiguous United States. The SRFs are computed using frequency domain deconvolution, and are stacked in consecutive circles with a radius of 2°. They are converted to depth series after move-out corrections using the IASP91 Earth model. Similar to previous SRF studies, a robust negative arrival, representing a sharp discontinuity of velocity reduction with depth, is visible in virtually all the stacked traces in the depth range of 30-110 km. Beneath the western US, the depth of this discontinuity is 69±17 km, and beneath the eastern US, it ranges from 75 to 90 km, both of which are comparable to the depth of the tomographically-determined lithosphere-asthenosphere boundary (LAB). In contrast, the depth of the discontinuity beneath the central US is 83±10 km which is significantly smaller than the 250 km LAB depth determined by seismic surface wave tomography. Based on previous seismic tomography, shear-wave splitting and mantle xenolith studies, we interpret this discontinuity as the top of a frozen-in layer of volatile-rich melt beneath the central US. The observations and the discrepancy between the SRF and seismic tomography results for the central US as well as the amplitude of the corresponding arrival on the SRFs may be explained by spatial variations of the thickness of the transitional layer between the "pure" lithosphere and the "pure" asthenosphere. Under this hypothesis, the consistency between the results from the

  13. Sheared Layers in the Continental Crust: Nonlinear and Linearized inversion for Ps receiver functions (United States)

    Park, J. J.


    Sheared Layers in the Continental Crust: Nonlinear and Linearized inversion for Ps receiver functions Jeffrey Park, Yale University The interpretation of seismic receiver functions (RFs) in terms of isotropic and anisotropic layered structure can be complex. The relationship between structure and body-wave scattering is nonlinear. The anisotropy can involve more parameters than the observations can readily constrain. Finally, reflectivity-predicted layer reverberations are often not prominent in data, so that nonlinear waveform inversion can search in vain to match ghost signals. Multiple-taper correlation (MTC) receiver functions have uncertainties in the frequency domain that follow Gaussian statistics [Park and Levin, 2016a], so grid-searches for the best-fitting collections of interfaces can be performed rapidly to minimize weighted misfit variance. Tests for layer-reverberations can be performed in the frequency domain without reflectivity calculations, allowing flexible modelling of weak, but nonzero, reverberations. Park and Levin [2016b] linearized the hybridization of P and S body waves in an anisotropic layer to predict first-order Ps conversion amplitudes at crust and mantle interfaces. In an anisotropic layer, the P wave acquires small SV and SH components. To ensure continuity of displacement and traction at the top and bottom boundaries of the layer, shear waves are generated. Assuming hexagonal symmetry with an arbitrary symmetry axis, theory confirms the empirical stacking trick of phase-shifting transverse RFs by 90 degrees in back-azimuth [Shiomi and Park, 2008; Schulte-Pelkum and Mahan, 2014] to enhance 2-lobed and 4-lobed harmonic variation. Ps scattering is generated by sharp interfaces, so that RFs resemble the first derivative of the model. MTC RFs in the frequency domain can be manipulated to obtain a first-order reconstruction of the layered anisotropy, under the above modeling constraints and neglecting reverberations. Examples from long

  14. Lithospheric Structure of Northeastern Tibet Plateau from P and S Receiver Functions (United States)

    Zhang, C.; Guo, Z.; Chen, Y. J.


    We obtain the lithospheric structure of the Northeast Tibet (NE Tibet) along an N-S trending profile using P- and S-wave receiver function recorded by ChinArray-Himalaya II project. Both P- and S-receiver function migration images show highly consistent lithospheric features. The Moho depth is estimated to be 50 km beneath the Songpan-ganzi (SPGZ) and Qaidam-Kunlun-West Qinling (QD) blocks with little or no fluctuation. However, at the northern boundary of QD, the crust abruptly uplifts to 40 km depth within a distance of 50 km. Meanwhile, at the southernmost of QD, the Moho is found at the depth of 60 km, which forms a double Moho conversion beneath the western Qinling fault (WQF). At the Qilian block, the first order feature of the PRF image is the northward crustal thinning from 60 km to 45 km. The strong Moho fluctuations beneath the Qilian block reflects the on-going mountain building processes. Further to the north, the Moho depth begins to deepen to 55 km and then gradually thins to 40 km at the Alxa block. We observe significant Moho variations at the Central Asian Orogenic belt (CAOB). Furthermore, Moho jumps and offsets are shown beneath major thrust and strike-slip faults zones, such as the a >5 km Moho uplift across the North Qilian Fault (NQF), implying that these faults cut through the crust and partly accommodate the continuous deformation/crustal shorting that is propagated from the India-Eurasia collision. Strong negative signals found in both P and S receiver functions at around 100-150 km depth can be interpreted as the lithosphere-asthenosphere boundary (LAB). The LAB deepens from 100 km at the northern to a maximum of 150 km at the southern end of the CAOB. A relatively flat LAB with the depth of 150 km is shown beneath the Alax block, and then it gradually thins to 100 km from the QD to SPGZ. Beneath the SPGZ, our results indicate a thin and flat lithosphere ( 100 km).

  15. S-N profile of Receive function image across Qiangtang, Northern Tibet (United States)

    He, R.; Gao, R.; Deng, G.; Li, W.; Hou, H.; Lu, Z.; Xiong, X.


    Huge thicken Triassic and Jurassic sediments widely outcorp within Qiangtang, tens of oilstones outcorped within Qiangtang showed that Qiangtang have a good advantage in exploring oil and gas. So, the basement beneath Qiangtang and its structures have become the key for us to look for oil and gas accumulations. Within tectonic settings of Qiangtang, the center uplift of Qiangtang (abbr. CUQT) and its developments have become the great barrier to understand the basement and its structures within the basin. Because of complicated structure relief and blueschist and ophiolite outcorps within the CUQT, there was the paradox for lots of geologist to understand how the CUQT developed. One was that it formed under the extension environment. On the contrary, CUQT was ever paleo-Tethys suture zone, because CUQT had the belt of blueschists and ophiolite. So, different opinions to CUQT resulted in the different viewpoints in the basin beneath Qiangtang terrane. Surveying deep structure beneath the CUQT was the key to understand the basement under Qiangtang. In past two years, we have deployed 40 portable broadband seismic stations along E88°to across the whole Qiangtang from Bangong-Nujiang Suture, southern side of Qiangtang terrane, to northern margin of Qiangtang terrane. The temporary network collected a lot of farm waveform data, which is helpful to know about the more finest deep structure beneath the CUQT and its two sides basin. We used P-to-S receiver functions methods to get deep structure image beneath the profile. The preliminary results showed: (1) Within the crust, the velocity structure beneath southern Qiangtang basin is higher than beneath northern Qiangtang basin. (2) Sedimental layer within southern Qiangtang basin is thichen than within northern Qiangtang basin. Combined with other geophysical information, CUQT is an important lithosphere-level boundary fault belts, and southern Qiangtang basin have great difference with northern Qiangtang basin, in

  16. A pilot study of exercise in men with prostate cancer receiving androgen deprivation therapy

    International Nuclear Information System (INIS)

    Lee, C Ellen; Leslie, William D; Lau, YK James


    Androgen deprivation therapy (ADT) is the mainstay therapy for men with prostate cancer. However, there are musculoskeletal side effects from ADT that increase the risk for osteoporosis and fracture, and can compromise the quality of life of these individuals. The objectives of this study are to determine the efficacy of a home-based walking exercise program in promoting bone health, physical function and quality of life in men with prostate cancer receiving ADT. A 12-month prospective, single-blinded, randomized controlled trial will be conducted to compare the Exercise Group with the Control Group. Sixty men with prostate cancer who will be starting ADT will be recruited and randomly assigned to one of the two groups: the Exercise Group will receive instructions in setting up an individualized 12-month home-based walking exercise program, while the Control Group will receive standard medical advice from the attending physician. A number of outcome measures will be used to assess bone health, physical function, and health-related quality of life. At baseline and 12 months, bone health will be assessed using dual-energy X-ray absorptiometry. At baseline and every 3 months up to 12 months, physical function will be evaluated using the Functional Assessment of Chronic Illness Therapy - Fatigue Scale, Activities-specific Balance Confidence Scale, Short Physical Performance Battery, and Six-Minute Walk Test; and health-related quality of life will be assessed using the Functional Assessment of Cancer Therapy Prostate Module and the Medical Outcomes Study 12-item Short Form Health Survey Version 2. A mixed multiple analysis of variance will be used to analyze the data. Musculoskeletal health management remains a challenge in men with prostate cancer receiving ADT. This study addresses this issue by designing a simple and accessible home-based walking exercise program that will potentially have significant impact on reducing the risk of fracture, promoting physical

  17. The Efficacy of Credit Insurance : A Study of the Quantitative Impact on Trade Receivables and Receivables Turnover Ratio


    Prasad, Siddhesh


    Export Trade Credit Insurance is a financial service product that intends to cater to the risk management needs of a company. Its primary purpose is protecting a policy holding company against payment defaults, insolvencies and bankruptcies that their business part- ners (buyers) can face. This helps the company keep their Accounts/Trades Receivable and bad debt under check. The goal of this thesis is to study the impact of Credit Insurance coverage on a policy holding company’s A/R level...

  18. PdS and SdP Receiver Functions Image of the Lithosphere underneath the Southern African Regions

    DEFF Research Database (Denmark)

    Soliman, Mohammad Youssof Ahmad; Thybo, Hans; Levander, A


    to 350 km depth by Jordan (1975), has to be revealed in more detail, and a better understanding should yield new insight into the origin of Earth’s early continents. We have reassessed the data from the Kaapvaal seismic experiment for lithosphere structure by application of PdS receiver functions...... these preliminary results, we are continuing the experiments by calculation of theoretical receiver functions for a range of models, and are assessing the combined integrated PdS and SdP receiver function response in combination with teleseismic tomography to provide an integrated high resolution model....


    Directory of Open Access Journals (Sweden)

    Anna Sergeyevna Starkova


    Full Text Available Rheumatoid arthritis (RA is a chronic inflammatory joint disease causing joint dysfunction; reduction of quality of life (QoL; loss of work ability, self-care ability, and executing daily routines in most patients 5–10 years after the disease onset.Objective. To study QoL and the functional status (FS of Russian RA patients receiving tocilizumab (TCZ.Material and Methods. The study involved 42 patients with verified RA diagnosis (moderate or high activity who had earlier undergone inefficient therapy with basic anti-inflammatory medications. The limitation of the FS of the RA patients was determined quantitatively using the Russian-language version of the HAQ questionnaire. QoL was evaluated using the EuroQol-5D (EQ-5D Quality of Life questionnaire prior to treatment and after 4, 8, 12, 16, 20, and 24 weeks.Results. TCZ therapy demonstrated a rapid improvement of the FS of RA patients with a 64% decrease in the HAQ index (ΔHAQ=1.12, which corresponded to a 50% improvement of the health status of patients according to the ACR criteria.The median value [25th; 75th percentile] of the EQ-5D index was 0.52 [-0.02; 0.52]; 27.7% patients assessed their QoL as “worse than death”. The index reliably increased by week 8 of therapy; there were no patients with the negative EQ-5D index by week 24. Depending on QoL, all the patients were subdivided into two groups. Group 1 (n=12 comprised the patients with the EQ-5D no higher than 0; in group 2 patients (n=30, it was higher than 0. The groups were comparable in terms of disease duration, age, disease activity indices, and the previous treatment. The low QoL index in all 12 patients in group 1 was attributed to the infeasibility of performing daily activities and the reliably higher pain level (75.0 [61.0; 86.0] and 66.0 [48.0; 71.0] in groups 1 and 2, respectively; p=0.02. Improved QoL and reduced pain level were observed in both groups as early as after the first TCZ infusion. By week 24

  20. Functional studies using NMR

    International Nuclear Information System (INIS)

    McCready, V.R.; Leach, M.O.; Sutton; Ell, P.


    The object of this book is to discuss and evaluate an area of Nuclear Magnetic Resonance which to date has been less emphasized than it might be, namely the use of NMR for functional studies. The book commences with a discussion of the areas in which the NMR techniques might be needed due to deficiencies in other techniques. The physics of NMR especially relating to functional measurement are then explained. Technical factors in producing functional images are discussed and the use of paramagnetic substances for carrying out flow studies are detailed. Particular attention is paid to specific studies in the various organs. The book ends with a survey of imaging in each organ and the relation of NMR images to other techniques such as ultrasound, nuclear medicine and X-rays

  1. Frequency of worsening liver function in severe dengue hepatitis patients receiving paracetamol: A retrospective analysis of hospital data

    International Nuclear Information System (INIS)

    Syed, A.A.; Aslam, F.; Hakeem, H.; Siddiqui, F.; Nasir, N.


    To determine the frequency of worsening liver function among hospital in-patients with severe dengue hepatitis receiving paracetamol. Methods: This retrospective study was conducted at the Department of Medicine, Aga Khan University Hospital, Karachi, and comprised records of dengue patients with severe hepatitis who received paracetamol for control of fever between June 2007 and December 2014. Alanine aminotransferase at baseline and following paracetamol administration was noted, as well as dosage and duration of paracetamol, along with participants' demographic details. Frequency of patients who developed worsening or improvement of alanine aminotransferase was also noted. SPSS 19 was used for data analysis. Results: Of the 113 subjects, 73(64.6%) were male and 40(35.4%) were female. Overall improvement was observed in subsequent alanine aminotransferase levels (491 units per litre, IQR 356.5 TO 775 vs 151 units per litre, IQR 49.5 to 299.5). Most commonly prescribed dose of paracetamol was 2g (IQR 1 to 5 grams), which was taken for a median duration of 1 day (IQR 1 to 3 days). Moreover, 100(88.5 %) patients showed improvement in alanine aminotransferase. Only 13(11.5 %) patients developed worsening of alanine aminotransferase. Of those with worsening liver function, 8(61.5 %) were discharged home with no clinical deterioration and 5(38.5 %) deaths were observed. However, causes of deaths were unrelated to liver dysfunction. Conclusion: The frequency of worsening liver function following paracetamol administration in patients with severe dengue hepatitis was relatively low. (author)

  2. Lithospheric Structure of the Arabian Shield from the Joint Inversion of Receiver Function and Surface-Wave Dispersion Observations

    National Research Council Canada - National Science Library

    Julia, Jordi; Ammon, Charles J; Herrimann, Robert B


    .... Receiver functions are primarily sensitive to shear-wave velocity contrasts and vertical travel times and surface-wave dispersion measurements are sensitive to vertical shear-wave velocity averages...

  3. Lithospheric Structure of the Arabian Shield From the Joint Inversion of Receiver Function and Surface-Wave Dispersion Observations

    National Research Council Canada - National Science Library

    Herrmann, Robert B; Julia, Jordi; Ammon, Charles J


    .... Receiver functions are primarily sensitive to shear-wave velocity contrast and vertical travel times and surface-wave dispersion measurements are sensitive to vertical shear-wave velocity averages...

  4. Renal function in patients with non-dialysis chronic kidney disease receiving intravenous ferric carboxymaltose

    DEFF Research Database (Denmark)

    Macdougall, Iain C; Bock, Andreas H; Carrera, Fernando


    BACKGROUND: Preclinical studies demonstrate renal proximal tubular injury after administration of some intravenous iron preparations but clinical data on renal effects of intravenous iron are sparse. METHODS: FIND-CKD was a 56-week, randomized, open-label, multicenter study in which patients...... with non-dialysis dependent chronic kidney disease (ND-CKD), anemia and iron deficiency without erythropoiesis-stimulating agent therapy received intravenous ferric carboxymaltose (FCM), targeting either higher (400-600 μg/L) or lower (100-200 μg/L) ferritin values, or oral iron. RESULTS: Mean (SD) e...... quartiles of FCM dose, change in ferritin or change in TSAT versus change in eGFR. Dialysis initiation was similar between groups. Renal adverse events were rare, with no indication of between-group differences. CONCLUSION: Intravenous FCM at doses that maintained ferritin levels of 100-200 μg/L or 400...

  5. Assessment of Cognitive Function in Breast Cancer and Lymphoma Patients Receiving Chemotherapy | Division of Cancer Prevention (United States)

    Cognitive impairments in cancer patients represent an important clinical problem. Studies to date estimating prevalence of difficulties in memory, executive function, and attention deficits have been limited by small sample sizes and many have lacked healthy control groups. More information is needed on promising biomarkers and allelic variants that may help to determine the

  6. Study of Phase Change Materials Applied to CPV Receivers

    Directory of Open Access Journals (Sweden)

    Zun-Hao Shih


    Full Text Available There are lots of factors which can directly affect output efficiency of photovoltaic device. One of them is high temperature which would cause adverse effect to solar cell. When solar cell is operated in high temperature, the cell’s output efficiency will become low. Therefore, improving thermal spreading of solar cell is an important issue. In this study, we focused on finding new materials to enhance the thermal dispreading and keep the temperature of solar cell as low as possible. The new materials are different from conventional metal ones; they are called “phase change materials (PCMs” which are mainly applied to green buildings. We chose two kinds of PSMs to study their thermal dispreading ability and to compare them with traditional aluminum material. These two kinds of PCMs are wax and lauric acid. We made three aluminum-based cuboids as heat sinking units and two of them were designed with hollow space to fill in the PCMs. We applied electric forward bias on solar cells to simulate the heat contributed from the concentrated sunlight. Then we observed the thermal distribution of these three kinds of thermal spreading materials. Two levels of forward biases were chosen to test the samples and analyze the experiment results.

  7. Deep structure of the Alborz Mountains by joint inversion of P receiver functions and dispersion curves (United States)

    Rastgoo, Mehdi; Rahimi, Habib; Motaghi, Khalil; Shabanian, Esmaeil; Romanelli, Fabio; Panza, Giuliano F.


    The Alborz Mountains represent a tectonically and seismically active convergent boundary in the Arabia - Eurasia collision zone, in western Asia. The orogenic belt has undergone a long-lasted tectono-magmatic history since the Cretaceous. The relationship between shallow and deep structures in this complex tectonic domain is not straightforward. We present a 2D velocity model constructed by the assemblage of 1D shear wave velocity (Vs) models from 26 seismic stations, mainly distributed along the southern flank of the Alborz Mountains. The shear wave velocity structure has been estimated beneath each station using joint inversion of P-waves receiver functions and Rayleigh wave dispersion curves. A substantiation of the Vs inversion results sits on the modeling of Bouguer gravity anomaly data. Our velocity and density models show low velocity/density anomalies in uppermost mantle of western and central Alborz at a depth range of ∼50-100 km. In deeper parts of the uppermost mantle (depth range of 100-150 km), a high velocity/density anomaly is located beneath most of the Mountain range. The spatial pattern of these low and high velocity/density structures in the upper mantle is interpreted as the result of post collisional delamination of lower part of the western and central Alborz lithosphere.

  8. A harmonic analysis approach to joint inversion of P-receiver functions and wave dispersion data in high dense seismic profiles (United States)

    Molina-Aguilera, A.; Mancilla, F. D. L.; Julià, J.; Morales, J.


    Joint inversion techniques of P-receiver functions and wave dispersion data implicitly assume an isotropic radial stratified earth. The conventional approach invert stacked radial component receiver functions from different back-azimuths to obtain a laterally homogeneous single-velocity model. However, in the presence of strong lateral heterogeneities as anisotropic layers and/or dipping interfaces, receiver functions are considerably perturbed and both the radial and transverse components exhibit back azimuthal dependences. Harmonic analysis methods exploit these azimuthal periodicities to separate the effects due to the isotropic flat-layered structure from those effects caused by lateral heterogeneities. We implement a harmonic analysis method based on radial and transverse receiver functions components and carry out a synthetic study to illuminate the capabilities of the method in isolating the isotropic flat-layered part of receiver functions and constrain the geometry and strength of lateral heterogeneities. The independent of the baz P receiver function are jointly inverted with phase and group dispersion curves using a linearized inversion procedure. We apply this approach to high dense seismic profiles ( 2 km inter-station distance, see figure) located in the central Betics (western Mediterranean region), a region which has experienced complex geodynamic processes and exhibit strong variations in Moho topography. The technique presented here is robust and can be applied systematically to construct a 3-D model of the crust and uppermost mantle across large networks.

  9. 2.5D real waveform and real noise simulation of receiver functions in 3D models (United States)

    Schiffer, Christian; Jacobsen, Bo; Balling, Niels


    , the comparison can even be made quantitative, and an iterative inverse 3D model updating would be possible. Furthermore the "2.5D" modelling approach of the in reality 3D problem must be investigated in terms of accuracy of the approximation, in particular with focus on highly 3D structures and multiple phases. References: Schiffer et al. 2013, A fossil subduction zone in the East Greenland Caledonides revealed by a Receiver Function analysis, Geophysical Research Abstracts, Vol. 15, EGU2013-6947, 2013, EGU General Assembly 2013 Schlindwein, V. and Jokat, W., 1999, Structure and evolution of the continental crust of northern east Greenland from integrated geophysical studies: Journal of Geophysical Research, v. 104, no. B7, p. 15227-15,245 Voss, M. and Jokat, W., 2007, Continent-ocean transition and voluminous magmatic underplating derived from P-wave velocity modelling of the East Greenland continental margin: Geophysical Journal International, v.170, no. 2, p. 580-604

  10. Complement in patients receiving maintenance hemodialysis: functional screening and quantitative analysis

    Directory of Open Access Journals (Sweden)

    Horikoshi Satoshi


    Full Text Available Abstract Background The complement system is vital for innate immunity and is implicated in the pathogenesis of inflammatory diseases and the mechanism of host defense. Complement deficiencies occasionally cause life-threatening diseases. In hemodialysis (HD patients, profiles on complement functional activity and deficiency are still obscure. The objectives of the present study were to measure the functional complement activities of the classical pathway (CP, lectin pathway (LP and alternative pathway (AP using a novel method and consequently to elucidate the rates of deficiencies among HD patients. Methods In the present study, 244 HD patients at one dialysis center and 204 healthy controls were enrolled. Functional complement activities were measured simultaneously using the Wielisa®-kit. The combination of the results of these three pathway activities allows us to speculate which candidate complement is deficient; subsequently, the deficient complement was determined. Results All three functional complement activities were significantly higher in the HD patients than in the control group (P ®-kit, 16 sera (8.8% with mannose-binding lectin (MBL deficiency, 1 serum (0.4% with C4 deficiency, 1 serum (0.4% with C9 deficiency, and 1 serum (0.4% with B deficiency were observed in the HD group, and 18 sera (8.8% with MBL deficiency and 1 serum (0.5% with B deficiency were observed in the control group. There were no significant differences in the 5-year mortality rate between each complement-deficient group and the complement-sufficient group among the HD patients. Conclusion This is the first report that profiles complement deficiencies by simultaneous measurement of functional activities of the three complement pathways in HD patients. Hemodialysis patients frequently suffer from infections or malignancies, but functional complement deficiencies do not confer additional risk of mortality.

  11. Depression of T lymphocyte function in chimpanzees receiving thymectomy and irradiation

    International Nuclear Information System (INIS)

    Gilbertsen, R.B.; Metzgar, R.S.


    In studies analogous to those in which the thymus dependency of immune functions in murine systems was determined, three chimpanzees were thymectomized, splenectomized, exposed to lethal doses of whole body x-irradiation with limited bone marrow shielding, and subsequently evaluated for lymphocyte markers and functions over a period of years. In the oldest animal studied (Irena, 7.2 years at surgery), the percentage of peripheral blood T cells decreased to about 60% of control values and remained at that level for approximately 1 1 / 2 years before returning to normal. In the two youngest chimpanzees T cell rosette values dropped to 15 to 40% of control values after irradiation. T cell percentages in one of these young chimpanzees returned to about 75% of the controls 2 1 / 2 years after x-irradiation. Phytohemagglutinin and concanavalin A mitogen responses were less affected in the oldest chimpanzee. However, even in the oldest animal, the responses to phytohemagglutinin and concanavalin A began to show a gradual and consistent decline 1 1 / 2 years after irradiation. Mixed leukocyte culture responsiveness was most affected by the experimental procedures, being greatly reduced in all three chimpanzees during varying time intervals. In general, the effects of the experimental procedures used to produce T cell deficiencies varied with the age of the chimpanzee at surgery, the time after irradiation when the animal was tested, and the lymphocyte marker or function studied

  12. Depression of T lymphocyte function in chimpanzees receiving thymectomy and irradiation. [X Radiation

    Energy Technology Data Exchange (ETDEWEB)

    Gilbertsen, R.B.; Metzgar, R.S.


    In studies analogous to those in which the thymus dependency of immune functions in murine systems was determined, three chimpanzees were thymectomized, splenectomized, exposed to lethal doses of whole body x-irradiation with limited bone marrow shielding, and subsequently evaluated for lymphocyte markers and functions over a period of years. In the oldest animal studied (Irena, 7.2 years at surgery), the percentage of peripheral blood T cells decreased to about 60% of control values and remained at that level for approximately 1/sup 1///sub 2/ years before returning to normal. In the two youngest chimpanzees T cell rosette values dropped to 15 to 40% of control values after irradiation. T cell percentages in one of these young chimpanzees returned to about 75% of the controls 2/sup 1///sub 2/ years after x-irradiation. Phytohemagglutinin and concanavalin A mitogen responses were less affected in the oldest chimpanzee. However, even in the oldest animal, the responses to phytohemagglutinin and concanavalin A began to show a gradual and consistent decline 1/sup 1///sub 2/ years after irradiation. Mixed leukocyte culture responsiveness was most affected by the experimental procedures, being greatly reduced in all three chimpanzees during varying time intervals. In general, the effects of the experimental procedures used to produce T cell deficiencies varied with the age of the chimpanzee at surgery, the time after irradiation when the animal was tested, and the lymphocyte marker or function studied.

  13. Radioprotective Effect of Lidocaine on Function and Ultrastructure of Salivary Glands Receiving Fractionated Radiation

    Energy Technology Data Exchange (ETDEWEB)

    Hakim, Samer George, E-mail: [Department of Oral and Maxillofacial Surgery, University of Luebeck, Luebeck (Germany); Benedek, Geza Attila [Department of Oral and Maxillofacial Surgery, University of Luebeck, Luebeck (Germany); Su Yuxiong [Department of Oral and Maxillofacial Surgery, University of Luebeck, Luebeck (Germany); Department of Oral and Maxillofacial Surgery, Sun Yat-Sen University, Guanghua School of Stomatology, Guanghua (China); Jacobsen, Hans Christian [Department of Oral and Maxillofacial Surgery, University of Luebeck, Luebeck (Germany); Klinger, Matthias [Institute of Anatomy, University of Luebeck, Luebeck (Germany); Dendorfer, Andreas [Institute of Experimental and Clinical Pharmacology and Toxicology, University of Luebeck, Luebeck (Germany); Hemmelmann, Claudia [Institute of Medical Biometry and Statistics, University of Luebeck, Luebeck (Germany); Meller, Birgit [Department of Radiology and Nuclear Medicine, University of Luebeck, Luebeck (Germany); Nadrowitz, Roger; Rades, Dirk [Department of Radiation Oncology, University of Luebeck, Luebeck (Germany); Sieg, Peter [Department of Oral and Maxillofacial Surgery, University of Luebeck, Luebeck (Germany)


    Purpose: Radiation-induced xerostomia still represents a common side effect after radiotherapy for head-and-neck malignancies. The aim of the present study was to examine the radioprotective effect of lidocaine hydrochloride during fractionated radiation in an experimental animal model. Methods and Materials: To evaluate the influence of different radiation doses on salivary gland function and the radioprotective effect of lidocaine, rabbits were irradiated with 15, 25, 30, and 35 Gy (equivalent doses in 2-Gy fractions equivalent to 24, 40, 48, and 56 Gy, respectively). Lidocaine hydrochloride (10 and 12 mg/kg) was administered before every radiation fraction in the treatment groups. Salivary gland function was assessed by flow sialometry and sialoscintigraphy, and the morphologic changes were evaluated using transmission electron microscopy. Results: Functional impairment was first observed after 35 Gy and pretreatment with lidocaine improved radiation tolerance of both parotid and submandibular glands. The use of 12 mg/kg lidocaine was superior and displayed significant radioprotection with regard to flow sialometry and sialoscintigraphy. The ultrastructure was largely preserved after pretreatment with both lidocaine doses. Conclusions: Lidocaine represents an effective radioprotective agent and a promising approach for clinical application to avoid radiation-induced functional impairment of salivary glands.

  14. Radioprotective Effect of Lidocaine on Function and Ultrastructure of Salivary Glands Receiving Fractionated Radiation

    International Nuclear Information System (INIS)

    Hakim, Samer George; Benedek, Gèza Attila; Su Yuxiong; Jacobsen, Hans Christian; Klinger, Matthias; Dendorfer, Andreas; Hemmelmann, Claudia; Meller, Birgit; Nadrowitz, Roger; Rades, Dirk; Sieg, Peter


    Purpose: Radiation-induced xerostomia still represents a common side effect after radiotherapy for head-and-neck malignancies. The aim of the present study was to examine the radioprotective effect of lidocaine hydrochloride during fractionated radiation in an experimental animal model. Methods and Materials: To evaluate the influence of different radiation doses on salivary gland function and the radioprotective effect of lidocaine, rabbits were irradiated with 15, 25, 30, and 35 Gy (equivalent doses in 2-Gy fractions equivalent to 24, 40, 48, and 56 Gy, respectively). Lidocaine hydrochloride (10 and 12 mg/kg) was administered before every radiation fraction in the treatment groups. Salivary gland function was assessed by flow sialometry and sialoscintigraphy, and the morphologic changes were evaluated using transmission electron microscopy. Results: Functional impairment was first observed after 35 Gy and pretreatment with lidocaine improved radiation tolerance of both parotid and submandibular glands. The use of 12 mg/kg lidocaine was superior and displayed significant radioprotection with regard to flow sialometry and sialoscintigraphy. The ultrastructure was largely preserved after pretreatment with both lidocaine doses. Conclusions: Lidocaine represents an effective radioprotective agent and a promising approach for clinical application to avoid radiation-induced functional impairment of salivary glands.

  15. Detailed Configuration of the Underthrusting Indian Lithosphere Beneath Western Tibet Revealed by Receiver Function Images (United States)

    Xu, Qiang; Zhao, Junmeng; Yuan, Xiaohui; Liu, Hongbing; Pei, Shunping


    We analyze the teleseismic waveform data recorded by 42 temporary stations from the Y2 and ANTILOPE-1 arrays using the P and S receiver function techniques to investigate the lithospheric structure beneath western Tibet. The Moho is reliably identified as a prominent feature at depths of 55-82 km in the stacked traces and in depth migrated images. It has a concave shape and reaches the deepest location at about 80 km north of the Indus-Yarlung suture (IYS). An intracrustal discontinuity is observed at 55 km depth below the southern Lhasa terrane, which could represent the upper border of the eclogitized underthrusting Indian lower crust. Underthrusting of the Indian crust has been widely observed beneath the Lhasa terrane and correlates well with the Bouguer gravity low, suggesting that the gravity anomalies in the Lhasa terrane are induced by topography of the Moho. At 20 km depth, a midcrustal low-velocity zone (LVZ) is observed beneath the Tethyan Himalaya and southern Lhasa terrane, suggesting a layer of partial melts that decouples the thrust/fold deformation of the upper crust from the shortening and underthrusting in the lower crust. The Sp conversions at the lithosphere-asthenosphere boundary (LAB) can be recognized at depths of 130-200 km, showing that the Indian lithospheric mantle is underthrusting with a ramp-flat shape beneath southern Tibet and probably is detached from the lower crust immediately under the IYS. Our observations reconstruct the configuration of the underthrusting Indian lithosphere and indicate significant along strike variations.

  16. Mapping the mantle transition zone beneath the central Mid-Atlantic Ridge using Ps receiver functions. (United States)

    Agius, M. R.; Rychert, C.; Harmon, N.; Kendall, J. M.


    Determining the mechanisms taking place beneath ridges is important in order to understand how tectonic plates form and interact. Of particular interest is establishing the depth at which these processes originate. Anomalies such as higher temperature within the mantle transition zone may be inferred seismically if present. However, most ridges are found in remote locations beneath the oceans restricting seismologists to use far away land-based seismometers, which in turn limits the imaging resolution. In 2016, 39 broadband ocean-bottom seismometers were deployed across the Mid-Atlantic Ridge, along the Romanche and Chain fracture zones as part of the PI-LAB research project (Passive Imaging of the Lithosphere and Asthenosphere Boundary). The one-year long seismic data is now retrieved and analysed to image the mantle transition zone beneath the ridge. We determine P-to-s (Ps) receiver functions to illuminate the 410- and 660-km depth mantle discontinuities using the extended multitaper deconvolution. The data from ocean-bottom seismometers have tilt and compliance noise corrections and is filtered between 0.05-0.2 Hz to enhance the signal. 51 teleseismic earthquakes generated hundreds of good quality waveforms, which are then migrated to depth in 3-D. The topography at the d410 deepens towards the west of the Romanche and Chain fracture zone by 15 km, whereas the topography of d660 shallows beneath the ridge between the two zones. Transition zone thickness thins from 5 to 20 km. Thermal anomalies determined from temperature relationships with transition zone thickness and depth variations of the d410 and d660 suggests hotter temperatures of about 200 K. Overall, the result suggests mid-ocean ridges may have associated thermal signatures as deep as the transition zone.

  17. Crustal Structure and Subsidence of the Williston Basin: Evidence from Receiver Function Stacking and Gravity Modeling (United States)

    Song, J.; Liu, K. H.; Yu, Y.; Mickus, K. L.; Gao, S. S.


    The Williston Basin of the northcentral United States and southern Canada is a typical intracratonic sag basin, with nearly continuous subsidence from the Cambrian to the Jurassic. A number of contrasting models on the subsidence mechanism of this approximately circular basin have been proposed. While in principle 3D variations of crustal thickness, layering, and Poisson's ratio can provide essential constraints on the models, thick layers of Phanerozoic sediment with up to 4.5 km thickness prevented reliable determinations of those crustal properties using active or passive source seismic techniques. Specifically, the strong reverberations of teleseismic P-to-S converted waves (a.k.a. receiver functions or RFs) from the Moho and intracrustal interfaces in the loose sedimentary layer can severely contaminate the RFs. Here we use RFs recorded by about 200 USArray and other stations in the Williston Basin and adjacent areas to obtain spatial distributions of the crustal properties. We have found that virtually all of the RFs recorded by stations in the Basin contain strong reverberations, which are effectively removed using a recently developed deconvolution-based filter (Yu et al., 2015, DOI: 10.1002/2014JB011610). A "double Moho" structure is clearly imaged beneath the Basin. The top interface has a depth of about 40 km beneath the Basin, and shallows gradually toward the east from the depocenter. It joins with the Moho beneath the western margin of the Superior Craton, where the crust is about 30 km thick. The bottom interface has a depth of 55 km beneath the Wyoming Craton, and deepens to about 70 km beneath the depocenter. Based on preliminary results of H-k stacking and gravity modeling, we interpret the layer between the two interfaces as a high density, probably eclogized layer. Continuous eclogitization from the Cambrian to the Jurassic resulted in the previously observed rates of subsidence being nearly linear rather than exponential.

  18. Seismic Discontinuities within the Crust and Mantle Beneath Indonesia as Inferred from P Receiver Functions (United States)

    Woelbern, I.; Rumpker, G.


    Indonesia is situated at the southern margin of SE Asia, which comprises an assemblage of Gondwana-derived continental terranes, suture zones and volcanic arcs. The formation of SE Asia is believed to have started in Early Devonian. Its complex history involves the opening and closure of three distinct Tethys oceans, each accompanied by the rifting of continental fragments. We apply the receiver function technique to data of the temporary MERAMEX network operated in Central Java from May to October 2004 by the GeoForschungsZentrum Potsdam. The network consisted of 112 mobile stations with a spacing of about 10 km covering the full width of the island between the southern and northern coast lines. The tectonic history is reflected in a complex crustal structure of Central Java exhibiting strong topography of the Moho discontinuity related to different tectonic units. A discontinuity of negative impedance contrast is observed throughout the mid-crust interpreted as the top of a low-velocity layer which shows no depth correlation with the Moho interface. Converted phases generated at greater depth beneath Indonesia indicate the existence of multiple seismic discontinuities within the upper mantle and even below. The strongest signal originates from the base of the mantle transition zone, i.e. the 660 km discontinuity. The phase related to the 410 km discontinuity is less pronounced, but clearly identifiable as well. The derived thickness of the mantle-transition zone is in good agreement with the IASP91 velocity model. Additional phases are observed at roughly 33 s and 90 s relative to the P onset, corresponding to about 300 km and 920 km, respectively. A signal of reversed polarity indicates the top of a low velocity layer at about 370 km depth overlying the mantle transition zone.

  19. Relationship between Grooming Performance and Motor and Cognitive Functions in Stroke Patients with Receiver Operating Characteristic Analysis. (United States)

    Fujita, Takaaki; Sato, Atsushi; Tsuchiya, Kenji; Ohashi, Takuro; Yamane, Kazuhiro; Yamamoto, Yuichi; Iokawa, Kazuaki; Ohira, Yoko; Otsuki, Koji; Tozato, Fusae


    This study aimed to elucidate the relationship between grooming performance of stroke patients and various motor and cognitive functions and to examine the cognitive and physical functional standards required for grooming independence. We retrospectively analyzed the data of 96 hospitalized patients with first stroke in a rehabilitation hospital ward. Logistic regression analysis and receiver operating characteristic curves were used to investigate the related cognitive and motor functions with grooming performance and to calculate the cutoff values for independence and supervision levels in grooming. For analysis between the independent and supervision-dependent groups, the only item with an area under the curve (AUC) of .9 or higher was the Berg Balance Scale, and the calculated cutoff value was 41/40 (sensitivity, 83.6%; specificity, 87.8%). For analysis between the independent-supervision and dependent groups, the items with an AUC of .9 or higher were the Simple Test for Evaluating Hand Function (STEF) on the nonaffected side, Vitality Index (VI), and FIM ® cognition. The cutoff values were 68/67 for the STEF (sensitivity, 100%; specificity, 72.2%), 9/8 points for the VI (sensitivity, 92.3%; specificity, 88.9%), and 23/22 points for FIM ® cognition (sensitivity, 91.0%; specificity, 88.9%). Our results suggest that upper-extremity functions on the nonaffected side, motivation, and cognitive functions are particularly important to achieve the supervision level and that balance is important to reach the independence level. The effective improvement of grooming performance is possible by performing therapeutic or compensatory intervention on functions that have not achieved these cutoff values. Copyright © 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  20. Risk factors of thyroid abnormalities in bipolar patients receiving lithium: a case control study

    Directory of Open Access Journals (Sweden)

    Dehpour Ahmad Reza


    Full Text Available Abstract Background Lithium-induced thyroid abnormalities have been documented in many studies. They may occur despite normal plasma lithium levels. The objectives of this study were: 1 to determine possible relationship between lithium ratio, defined as erythrocyte lithium concentrations divided by plasma lithium concentrations, and thyroid abnormalities in bipolar patients receiving lithium and 2 to find other possible risk factors for developing thyroid abnormalities in the subjects. Methods Sixty-eight bipolar patients receiving lithium therapy were enrolled in a cross-sectional evaluation of thyroid function test and thyroid size. Patients were divided into two groups based on their thyroid function tests and thyroid sizes. Erythrocyte and plasma lithium concentrations were determined by atomic absorption spectrometry for each patient. Lithium ratio was then calculated. Results No significant differences were found between age, positive family history of affective disorder, plasma lithium concentration, erythrocyte lithium concentration, and lithium ratio comparing the two groups. Thyroid abnormalities was significantly higher in women than in men (p Conclusions Lithium ratio does not appear to have a predictive role for thyroidal side effects of lithium therapy. Female gender was the main risk factor. We suggest more frequent thyroid evaluation of bipolar women who are treated with lithium.

  1. The effect of reflexology upon spasticity and function among children with cerebral palsy who received physiotherapy: Three group randomised trial. (United States)

    Özkan, Filiz; Zincir, Handan


    To assess the effectiveness of reflexology method upon spasticity and function among children with cerebral palsy who received physiotherapy. A three group, randomised trial with blinded evaluator. Randomization was made sealed and opaque envelopes. 45 children with cerebral palsy who were trained at a Special Education and Rehabilitation Centre. In the reflexology and placebo group; a 20min reflexology was performed twice a week in a total 24 sessions. In the control group; no intervention was done. Before and after the implementation; measurements of the participants were obtained. The data were collected using Gross Motor Function Measure, Modified Ashworth Scale (MAS), Modified Tardieu Scale, Pediatric Functional Independence Scale, Pediatric Quality of Life Scale (PedsQL) and demographic data. A total of 45 children completed the study. The groups were homogeneous at baseline. Between right MAS Gastrocnemius muscle was a difference and right and left Soleus muscles was significant among the groups (p0.05). Reflexology with physiotherapy reduced spasticity in legs, improved gross motor functions, decreased dependency but led to no change in quality of life. Copyright © 2017 Elsevier Inc. All rights reserved.

  2. Sexual Dysfunction among Females Receiving Psychotropic Medication: A Hospital-based Cross-sectional Study (United States)

    Shetageri, Veda N.; Bhogale, Govind S.; Patil, N. M.; Nayak, R. B.; Chate, S. S.


    Background: Sexual dysfunction (SD) is a known adverse effect of psychotropic medications. Even though sexual difficulties are common among women; very few studies have been carried out in India. Objective: To study the prevalence and nature of SD among females receiving psychotropic medications and to compare the SD among female patients receiving antipsychotics and antidepressants. Materials and Methods: Female investigator conducted a hospital-based cross-sectional study on female patients visiting the psychiatry outpatient department. Patients meeting inclusion criteria were assessed for SD disorder as per Diagnostic and Statistical Manual of Mental Disorders 4th Edition Text Revision. SD severity was measured using Female Sexual Function Index (FSFI) scale. Results: The prevalence of SD in this study was 68.32%. There was more than one SD in 48 (47.52%). FSFI score was significantly low in patients with SD as compared to patients not having SD (P = 0.001). SD was more common in patients who were on combination of antidepressants and benzodiazepines than antidepressant alone or antipsychotic alone. Conclusion: SD was prevalent in more than 50% of female patients on psychotropic drugs. Number of patients on individual psychotropic drugs was so small that a definite conclusion could not be drawn. Study emphasizes the need to carry out similar study on larger number of patients to get better insight into this problem. PMID:27833229

  3. Functional studies using NMR

    International Nuclear Information System (INIS)

    McCready, V.R.; Leach, M.; Ell, P.J.


    This volume is based on a series of lectures delivered at a one-day teaching symposium on functional and metabolic aspects of NMR measurements held at the Middlesex Hospital Medical School on 1st September 1985 as a part of the European Nuclear Medicine Society Congress. Currently the major emphasis in medical NMR in vivo is on its potential to image and display abnormalities in conventional radiological images, providing increased contrast between normal and abnormal tissue, improved definition of vasculature, and possibly an increased potential for differential diagnosis. Although these areas are undeniably of major importance, it is probable that NMR will continue to complement conventional measurement methods. The major potential benefits to be derived from in vivo NMR measurements are likely to arise from its use as an instrument for functional and metabolic studies in both clinical research and in the everyday management of patients. It is to this area that this volume is directed

  4. The crust and mantle beneath the Siberian provinces: a preliminary model based on new receiver function analysis

    DEFF Research Database (Denmark)

    Soliman, Mohammad Youssof Ahmad; Artemieva, Irina; Thybo, Hans


    The new receiver function (RF) study complements the existing seismic data on the crustal and upper mantle structure at the margins of the Siberian craton and the West Siberian Basin. So far, RF studies of Siberia have been largely restricted to the Baikal rift zone (Gao et al., 2004; Liu and Gao......, 2006; Anan'in et al., 2009). However, available seismic data allow to apply the RF approach to other tectonic structures of the region. We calculate the RF using the LQT method (Vinnik, 1977; Kind et al. 1995) in the version by Yuan et al. (1997). This method involves rotating the earth...... the deconvolved signals using the appropriate moveout corrections which account for the dependence of Ps arrivals on P wave slowness. The results of RF analysis of the crustal and mantle structure are interpreted in terms of tectonic and geodynamic evolution of different provinces of Siberia that range from...

  5. Thyroid function study

    International Nuclear Information System (INIS)

    Rocha, A.F.G. da


    A short revision of thyroid physiology is done. The radioisotopes of common use in thyroid investigation and the choice of the most appropriated ones are discussed. A table showing radioisotopes frequently used in this study, with their main characteristics is presented. Among several isotopic assays in thyroid propaedeutics, those that refer to the function study, topographic studies and tests 'in vitro' are pointed out. Exploration methods 'in vivo' are treated, such as: thyroid uptake; urinary excretion; thyroid scintigraphy, with scintigraphic imagings; stimulation test by TSH; suppression test; pbi; clearance test with perchlorate; iodine deficiency test and thyroid study with technetium. 'In vitro' proofs like triiodothyronine (T 3 ) and thyroxine (T 4 ) assays, as well as free thyroxine index, are treated. At last, the therapeutics by Iodine 131 is commented and emphasis is given to its application on the treatment of hyperthyroidism and thyroid carcinoma [pt

  6. Determinants for receiving acupuncture for LBP and associated treatments: a prospective cohort study

    Directory of Open Access Journals (Sweden)

    Baum Erika


    Full Text Available Abstract Background Acupuncture is a frequently used but controversial adjunct to the treatment of chronic low back pain (LBP. Acupuncture is now considered to be effective for chronic LBP and health care systems are pressured to make a decision whether or not acupuncture should be covered. It has been suggested that providing such services might reduce the use of other health care services. Therefore, we explored factors associated with acupuncture treatment for LBP and the relation of acupuncture with other health care services. Methods This is a post hoc analysis of a longitudinal prospective cohort study. General practitioners (GPs recruited consecutive adult patients with LBP. Data on physical function, subjective mood and utilization of health care services was collected at the first consultation and at follow-up telephone interviews for a period of twelve months. Results A total of 179 (13 % out of 1,345 patients received acupuncture treatment. The majority of those (59 % had chronic LBP. Women and elderly patients were more likely to be given acupuncture. Additional determinants of acupuncture therapy were low functional capacity and chronicity of pain. Chronic (vs. acute back pain OR 1.6 (CL 1.4–2.9 was the only significant disease-related factor associated with the treatment. The strongest predictors for receiving acupuncture were consultation with a GP who offers acupuncture OR 3.5 (CL 2.9–4.1 and consultation with a specialist OR 2.1 (CL 1.9–2.3. After adjustment for patient characteristics, acupuncture remained associated with higher consultation rates and an increased use of other health care services like physiotherapy. Conclusion Receiving acupuncture for LBP depends mostly on the availability of the treatment. It is associated with increased use of other health services even after adjustment for patient characteristics. In our study, we found that receiving acupuncture does not offset the use of other health care resources

  7. Determinants for receiving acupuncture for LBP and associated treatments: a prospective cohort study (United States)

    Chenot, Jean-François; Becker, Annette; Leonhardt, Corinna; Keller, Stefan; Donner-Banzhoff, Norbert; Baum, Erika; Pfingsten, Michael; Hildebrandt, Jan; Kochen, Michael M; Basler, Heinz-Dieter


    Background Acupuncture is a frequently used but controversial adjunct to the treatment of chronic low back pain (LBP). Acupuncture is now considered to be effective for chronic LBP and health care systems are pressured to make a decision whether or not acupuncture should be covered. It has been suggested that providing such services might reduce the use of other health care services. Therefore, we explored factors associated with acupuncture treatment for LBP and the relation of acupuncture with other health care services. Methods This is a post hoc analysis of a longitudinal prospective cohort study. General practitioners (GPs) recruited consecutive adult patients with LBP. Data on physical function, subjective mood and utilization of health care services was collected at the first consultation and at follow-up telephone interviews for a period of twelve months. Results A total of 179 (13 %) out of 1,345 patients received acupuncture treatment. The majority of those (59 %) had chronic LBP. Women and elderly patients were more likely to be given acupuncture. Additional determinants of acupuncture therapy were low functional capacity and chronicity of pain. Chronic (vs. acute) back pain OR 1.6 (CL 1.4–2.9) was the only significant disease-related factor associated with the treatment. The strongest predictors for receiving acupuncture were consultation with a GP who offers acupuncture OR 3.5 (CL 2.9–4.1) and consultation with a specialist OR 2.1 (CL 1.9–2.3). After adjustment for patient characteristics, acupuncture remained associated with higher consultation rates and an increased use of other health care services like physiotherapy. Conclusion Receiving acupuncture for LBP depends mostly on the availability of the treatment. It is associated with increased use of other health services even after adjustment for patient characteristics. In our study, we found that receiving acupuncture does not offset the use of other health care resources. A significant

  8. Synthetic receiver function profiles through the upper mantle and the transition zone for upwelling scenarios (United States)

    Nagel, Thorsten; Düsterhöft, Erik; Schiffer, Christian


    We investigate the signature relevant mantle lithologies leave in the receiver function record for different adiabatic thermal gradients down to 800 kilometers depth. The parameter space is chosen to target the visibility of upwelling mantle (a plume). Seismic velocities for depleted mantle, primitive mantle, and three pyroxenites are extracted from thermodynamically calculated phases diagrams, which also provide the adiabatic decompression paths. Results suggest that compositional variations, i.e. the presence or absence of considerable amounts of pyroxenites in primitive mantle should produce a clear footprint while horizontal differences in thermal gradients for similar compositions might be more subtle. Peridotites best record the classic discontinuities at around 410 and 650 kilometers depth, which are associated with the olivin-wadsleyite and ringwoodite-perovskite transitions, respectively. Pyroxenites, instead, show the garnet-perovskite transition below 700 kilometers depth and SiO2-supersaturated compositions like MORB display the coesite-stishovite transition between 300 and 340 kilometers depth. The latter shows the strongest temperature-depth dependency of all significant transitions potentially allowing to infer information about the thermal state if the mantle contains a sufficient fraction of MORB-like compositions. For primitive and depleted mantle compositions, the olivin-wadsleyite transition shows a certain temperature-depth dependency reflected in slightly larger delay times for higher thermal gradients. The lower-upper-mantle discontinuity, however, is predicted to display larger delay times for higher thermal gradients although the associated assemblage transition occurs at shallower depths thus requiring a very careful depth migration if a thermal anomaly should be recognized. This counterintuitive behavior results from the downward replacement of the assemblage wadsleyite+garnet with the assemblage garnet+periclase at high temperatures

  9. Preliminary results from receiver function analysis in a seismological network across the Pamir (United States)

    Schneider, Felix M.; Yuan, Xiaohui; Sippl, Christan; Schurr, Bernd; Mechie, James; Minaev, Vlad; Oimahmadov, Ilhomjon; Gadoev, Mustafo; Abdybachaev, Ulan A.


    The multi-disciplinary TIen Shan-PAmir GEodynamic (TIPAGE) program aims to investigate the dynamics of the orogeny of the Tien Shan and Pamir mountains, which are situated in south Kyrgyzstan and east Tajikistan in Central Asia. Deformation and uplift accompanied by crustal thickening is mainly induced by the collision between the Indian and Eurasian continental plates. As a local feature this collision provides the world's largest active intra-continental subduction zone. Within the framework of the TIPAGE program we operate a temporary seismic array consisting of 32 broadband and 8 short period seismic stations for a period of two years (from 2008 to 2010) covering an area of 300 x 300 km over the main part of the central Pamir plateau and the Alai-range of the southern Tien Shan. In the first year 24 broadband stations were set up in a 350-km long north-south profile geometry from Osh in southern Kyrgyzstan to Zorkul in south-eastern Tajikistan with approximately 15 km station spacing. We perform a receiver function (RF) analysis of converted P and S waves from teleseismic earthquakes at epicentral distances of 35-95 degrees with a minimum magnitude of 5.5. Therefore we decompose their wavefields by rotating the coordinate systems of the recorded seismograms from a N,E,Z into a SH,SV,P system. RFs are isolated by deconvolution of the P-component from the SH- and SV-component. They provide a robust tool to locate discontinuities in wave velocity like the Moho and thus represent the method of choice to determine crustal thickness. First results show a crustal thickness of 70-80km. Xenolith findings from depths of 100km reported by Hacker et al. (2005) give indication for even higher values. The N-S profile geometry will produce a high resolution RF image to map the gross crustal and lithospheric structure. In addition a 2D network with additional 16 stations will enable an investigation of lateral structure variation. We give an introduction to the project and

  10. Waste Receiving and Processing Facility, Module 1: Volume 5, Engineering studies

    International Nuclear Information System (INIS)


    The WRAP facility at Hanford will retrieve, process, certify transuranic, mixed, and low level radioactive wastes for disposal/either on-site or at the WIPP. The Conceptual Design Report for the Waste Receiving And Processing Facility, Module 1 (WRAP 1), established the technical benchmark. The UE ampersand C Engineering Proposal/Work Plan proposed twenty Evaluation/Optimization Engineering Studies to evaluate design alternatives and critically examine functional performance requirements prior to commencement of Preliminary Design. Of these twenty studies, one has been eliminated as unnecessary (The Use of Scintered Metal Filters) due mainly to the lack of National Standards and to the fact that standard HEPA type filters are totally adequate for WRAP application. This report presents an executive summary of the remaining nineteen studies

  11. Seismic Imaging of the Lesser Antilles Subduction Zone Using S-to-P Receiver Functions: Insights From VoiLA (United States)

    Chichester, B.; Rychert, C.; Harmon, N.; Rietbrock, A.; Collier, J.; Henstock, T.; Goes, S. D. B.; Kendall, J. M.; Krueger, F.


    In the Lesser Antilles subduction zone Atlantic oceanic lithosphere, expected to be highly hydrated, is being subducted beneath the Caribbean plate. Water and other volatiles from the down-going plate are released and cause the overlying mantle to melt, feeding volcanoes with magma and hence forming the volcanic island arc. However, the depths and pathways of volatiles and melt within the mantle wedge are not well known. Here, we use S-to-P receiver functions to image seismic velocity contrasts with depth within the subduction zone in order to constrain the release of volatiles and the presence of melt in the mantle wedge, as well as slab structure and arc-lithosphere structure. We use data from 55-80° epicentral distances recorded by 32 recovered broadband ocean-bottom seismometers that were deployed during the 2016-2017 Volatiles in the Lesser Antilles (VoiLA) project for 15 months on the back- and fore-arc. The S-to-P receiver functions are calculated using two methods: extended time multi-taper deconvolution followed by migration to depth to constrain 3-D discontinuity structure of the subduction zone; and simultaneous deconvolution to determine structure beneath single stations. In the south of the island arc, we image a velocity increase with depth associated with the Moho at depths of 32-40 ± 4 km on the fore- and back-arc, consistent with various previous studies. At depths of 65-80 ± 4 km beneath the fore-arc we image a strong velocity decrease with depth that is west-dipping. At 96-120 ± 5 km beneath the fore-arc, we image a velocity increase with depth that is also west-dipping. The dipping negative-positive phase could represent velocity contrasts related to the top of the down-going plate, a feature commonly imaged in subduction zone receiver function studies. The negative phase is strong, so there may also be contributions to the negative velocity discontinuity from slab dehydration and/or mantle wedge serpentinization in the fore-arc.

  12. Crustal structure of the Arabian plate: new constraints of receiver functions (United States)

    Cui, Z.; Mai, P. M.; Pei, S.


    We perform P-wave receiver function analysis across Saudi Arabia to constrain crustal thickness and Poisson's ratio to investigate the role of Afar super plume, on-going sea-floor spreading and mechanical crustal thinning during continental breakup. We include analysis of data from 132 stations, many of them new stations to improve upon previous analysis from a sparse array (30 stations). We first select 201 earthquakes with high signal-to-noise seismogram, using IRIS-station RAYN as reference to pick the events, recorded on 101 stations operated by the Saudi Geological Survey (SGS) during 2007-2011. SGS continually deploys stations every year and we added a second data set of 96 earthquakes on 30 newly deployed stations in 2012, again station RAYN is used as reference for picking high quality recordings. Two way, 4th order band-pass Butterworth filter with pass band of 0.01 - 3 Hz is applied to eliminate low-frequency noise, then deconvolution is performed in time-domain. We deploy the slant stack method to determine both the Moho depth and Poisson's ratio at each station; this method combines the later multiples (PpPs and PpSs+PsPs) with the Moho Ps converted phase to mitigate the trade-off between the Moho depth and crustal Poisson's ratio. Average crustal P wave velocities of 6.5km/s for Arabian Shield and 6.1 km/s for Arabian Platform are assigned, respectively. In addition, we add the semblance parameter through semblance analysis into the objective function of the slant stack method to suppress the incoherent noise. Our results show that Moho depth is 38-42 km at the central boundary between the Arabian Shield and the Arabian Platform, where the crust is not extended and there is little sediment deposited. To the east beneath the Arabian Platform the crust thickens to 43-46 km, then decreases to 37-41km against the Persian Gulf. To the west the crust gradually thins to 33-35 km over a distance of approximately 400-500 km. Farther east, toward the Red Sea

  13. One-Year Linear Trajectories of Symptoms, Physical Functioning, Cognitive Functioning, Emotional Well-being, and Spiritual Well-being Among Patients Receiving Dialysis. (United States)

    Song, Mi-Kyung; Paul, Sudeshna; Ward, Sandra E; Gilet, Constance A; Hladik, Gerald A


    This study evaluated 1-year linear trajectories of patient-reported dimensions of quality of life among patients receiving dialysis. Longitudinal observational study. 227 patients recruited from 12 dialysis centers. Sociodemographic and clinical characteristics. Participants completed an hour-long interview monthly for 12 months. Each interview included patient-reported outcome measures of overall symptoms (Edmonton Symptom Assessment System), physical functioning (Activities of Daily Living/Instrumental Activities of Daily Living), cognitive functioning (Patient's Assessment of Own Functioning Inventory), emotional well-being (Center for Epidemiologic Studies Depression Scale, State Anxiety Inventory, and Positive and Negative Affect Schedule), and spiritual well-being (Functional Assessment of Chronic Illness Therapy-Spiritual Well-Being Scale). For each dimension, linear and generalized linear mixed-effects models were used. Linear trajectories of the 5 dimensions were jointly modeled as a multivariate outcome over time. Although dimension scores fluctuated greatly from month to month, overall symptoms, cognitive functioning, emotional well-being, and spiritual well-being improved over time. Older compared with younger participants reported higher scores across all dimensions (all Pspiritual well-being compared with their white counterparts (P<0.01). Clustering analysis of dimension scores revealed 2 distinctive clusters. Cluster 1 was characterized by better scores than those of cluster 2 in nearly all dimensions at baseline and by gradual improvement over time. Study was conducted in a single region of the United States and included mostly patients with high levels of function across the dimensions of quality of life studied. Multidimensional patient-reported quality of life varies widely from month to month regardless of whether overall trajectories improve or worsen over time. Additional research is needed to identify the best approaches to incorporate

  14. Hematological alterations and thymic function in newborns of HIV-infected mothers receiving antiretroviral drugs. (United States)

    Wongnoi, Rotjanee; Penvieng, Nawaporn; Singboottra, Panthong; Kingkeow, Doungnapa; Oberdorfer, Peninnah; Sirivatanapa, Pannee; Pornprasert, Sakorn


    To investigate the effects of antiretroviral (ARV) drugs on hematological parameters and thymic function in HIV-uninfected newborns of HIV-infected mothers. Cross sectional study. Chiang-Mai University Hospital, Chiang-Mai, Thailand. 49 HIV-uninfected and 26 HIV-infected pregnancies. Cord blood samples of newborns from HIV-uninfected and HIV-infected mothers were collected. Hematological parameters were measured using automatic blood cell count. T-cell receptor excision circles (TRECs) levels in cord blood mononuclear cells (CBMCs), CD4+ and CD8+ T-cells were quantified using real-time PCR.. Hemotological parameters and thymic function. Newborn of HIV-infected mother tended to have lower mean levels of hemoglobin than those of HIV-uninfected mother (137 ±22 vs 146 ±17 g/L, P = 0.05). Furthermore, mean of red blood cell (RBC) counts and hematocrit and median of TRECs in CD4+ T-cells in the newborns of the former were significantly lower than those of the latter [3.6 ±0.7 vs 4.8 ±0.6 x 1012 cells/L, P cells) in HIV-uninfected newborns of HIV-infected mothers.

  15. Cardiac function studies

    International Nuclear Information System (INIS)

    Horn, H.J.


    A total of 27 patients were subjected tointramyocardial sequential scintiscanning (first pass) using 99m-Tc human serum albumin. A refined method is described that is suitable to analyse clinically relevant parameters like blood volume, cardiac output, ejection fraction, stroke volume, enddiastolic and endsystolic volumes as well as pulmonal transition time and uses a complete camaracomputer system adapted to the requirements of a routine procedure. Unless there is special hardware available, the method does not yet appear mature enough to be put into general practice. Its importance recently appeared in a new light due to the advent of particularly shortlived isotopes. For the time being, however, ECG-triggered equilibrium studies are to be preferred for cardiac function tests. (TRV) [de

  16. Shear wave velocity model beneath CBJI station West Java, Indonesia from joint inversion of teleseismic receiver functions and surface wave dispersion (United States)

    Simanungkalit, R. H.; Anggono, T.; Syuhada; Amran, A.; Supriyanto


    Earthquake signal observations around the world allow seismologists to obtain the information of internal structure of the Earth especially the Earth’s crust. In this study, we used joint inversion of receiver functions and surface wave group velocities to investigate crustal structure beneath CBJI station in West Java, Indonesia. Receiver function were calculated from earthquakes with magnitude more than 5 and at distance 30°-90°. Surface wave group velocities were calculated using frequency time analysis from earthquakes at distance of 30°- 40°. We inverted shear wave velocity model beneath the station by conducting joint inversion from receiver functions and surface wave dispersions. We suggest that the crustal thickness beneath CBJI station, West Java, Indonesia is about 35 km.

  17. Imaging rifting at the lithospheric scale in the northern East African Rift using S-to-P receiver functions (United States)

    Lavayssiere, A.; Rychert, C.; Harmon, N.; Keir, D.; Hammond, J. O. S.; Kendall, J. M.; Leroy, S. D.; Doubre, C.


    The lithosphere is modified during rifting by a combination of mechanical stretching, heating and potentially partial melt. We image the crust and upper mantle discontinuity structure beneath the northern East African Rift System (EARS), a unique tectonically active continental rift exposing along strike the transition from continental rifting in the Main Ethiopian rift (MER) to incipient seafloor spreading in Afar and the Red Sea. S-to-P receiver functions from 182 stations across the northern EARS were generated from 3688 high quality waveforms using a multitaper technique and then migrated to depth using a regional velocity model. Waveform modelling of data stacked in large conversion point bins confirms the depth and strength of imaged discontinuities. We image the Moho at 29.6±4.7 km depth beneath the Ethiopian plateaux with a variability in depth that is possibly due to lower crustal intrusions. The crust is 27.3±3.9 km thick in the MER and thinner in northern Afar, 17.5±0.7 km. The model requires a 3±1.2% reduction in shear velocity with increasing depth at 68.5±1.5 km beneath the Ethiopian plateaux, consistent with the lithosphere-asthenosphere boundary (LAB). We do not resolve a LAB beneath Afar and the MER. This is likely associated with partial melt near the base of the lithosphere, reducing the velocity contrast between the melt-intruded lithosphere and the partially molten asthenosphere. We identify a 4.5±0.7% increase in velocity with depth at 91±3 km beneath the MER. This change in velocity is consistent with the onset of melting found by previous receiver functions and petrology studies. Our results provide independent constraints on the depth of melt production in the asthenosphere and suggest melt percolation through the base of the lithosphere beneath the northernmost East African rift.

  18. Responses to Co-workers Receiving Recognition at Work: A Case Study in Cameroon


    Viviane, Che Mezoh Akuro


    ABSTRACT: The purpose of this study is to examine, the impact of co-workers receiving recognition on two types of responses namely, positive /negative and the resulting behavioral intentions (interpersonal counterproductive work behaviors and interpersonal citizenship behaviors). Employees might not only receive recognition themselves in their organizations and groups but often they witness others receiving it either directly by observation or indirectly through stories. This may lead to vari...

  19. 2.5D real waveform and real noise simulation of receiver functions in 3D models

    DEFF Research Database (Denmark)

    Schiffer, Christian; Jacobsen, B. H.; Balling, N.

    to the Central Fjord area in East Greenland (Schiffer et al., 2013), where a 3D velocity model of crust and uppermost mantle was adjusted to receiver functions from 2 years of seismometer recordings and wide angle crustal profiles (Schlindwein and Jokat, 1999; Voss and Jokat, 2007). Computationally...

  20. Anisotropic lithosphere under the Fennoscandian shield from P receiver functions and SKS waveforms of the POLENET/LAPNET array

    Czech Academy of Sciences Publication Activity Database

    Vinnik, L.; Oreshin, S.; Makeyeva, L.; Peregoudov, D.; Kozlovskaya, E.; Pedersen, H.; Plomerová, Jaroslava; Achauer, U.; Kissling, E.; Sanina, I.; Jämsen, T.; Silvennoinen, H.; Pequegnat, C.; Hurskainen, R.; Guiguet, R.; Hausmann, H.; Jedlička, Petr; Aleshin, I.; Bourova, E.; Bodvarsson, R.; Brückl, E.; Eken, T.; Heikkinen, P.; Houseman, G.; Johnsen, H.; Kremenetskaya, E.; Komminaho, K.; Munzarová, Helena; Roberts, R.; Růžek, Bohuslav; Shomali, H.; Schweitzer, J.; Shaumyan, A.; Vecsey, Luděk; Volosov, S.


    Roč. 628, July (2014), s. 45-54 ISSN 0040-1951 R&D Projects: GA AV ČR IAA300120709 Institutional support: RVO:67985530 Keywords : lithosphere * asthenosphere * seismic anisotropy * mantle flow * receiver functions * shear-wave splitting Subject RIV: DC - Siesmology, Volcanology, Earth Structure Impact factor: 2.872, year: 2014

  1. Estimating crustal thickness and Vp/Vs ratio with joint constraints of receiver function and gravity data (United States)

    Shi, Lei; Guo, Lianghui; Ma, Yawei; Li, Yonghua; Wang, Weilai


    The technique of teleseismic receiver function H-κ stacking is popular for estimating the crustal thickness and Vp/Vs ratio. However, it has large uncertainty or ambiguity when the Moho multiples in receiver function are not easy to be identified. We present an improved technique to estimate the crustal thickness and Vp/Vs ratio by joint constraints of receiver function and gravity data. The complete Bouguer gravity anomalies, composed of the anomalies due to the relief of the Moho interface and the heterogeneous density distribution within the crust, are associated with the crustal thickness, density and Vp/Vs ratio. According to their relationship formulae presented by Lowry and Pérez-Gussinyé, we invert the complete Bouguer gravity anomalies by using a common algorithm of likelihood estimation to obtain the crustal thickness and Vp/Vs ratio, and then utilize them to constrain the receiver function H-κ stacking result. We verified the improved technique on three synthetic crustal models and evaluated the influence of selected parameters, the results of which demonstrated that the novel technique could reduce the ambiguity and enhance the accuracy of estimation. Real data test at two given stations in the NE margin of Tibetan Plateau illustrated that the improved technique provided reliable estimations of crustal thickness and Vp/Vs ratio.

  2. Imaging Crustal Structure of East Central United States using receiver function and implications for the accretion of juvenile crust (United States)

    Deng, S.; Levander, A.


    Almost half of the North American continental plate is formed by the juvenile terrane accretion between 1.8-1.0 Ga, therefore, the suturing process of juvenile crust in East Central United States, not receiving as much attention probably due to low station coverage before the deployment of US transportable array, is of great importance to better understand the evolution of North American Plate. The Yavapai province is formed by the accretion of juvenile crust during 1.8-1.7 Ga. The northeastern part of Yavapai province is accreted to the Superior province along the Spirit Lake Tectonic Zone (SLTZ). During the period of 1.7-1.6 Ga, the Mazatzal Province, bounded the south of Yavapai Province, was added to Laurentia. The previous research mainly focuses on the southwestern Yavapai-Mazatzal boundary (Karlstrom 2002, Magnani 2004) but less in the northeastern area that we are interested in. The Granite-Rhyolite province is the product of the suturing event of juvenile arc crust reoccurring along the southeast margin of Laurentia between 1.55-1.35 Ga, which has been proved by the Nd model age (Whitmeyer 2007). Here we will select the Mw>=5.5 teleseismic events with epicenter distance between 35 and 90 recorded by 300 available seismic stations in our study region. The receiver functions will be calculated by the water-level deconvolution in frequency domain (Langston 1979) and iterative deconvolution in time domain (Ligorria 1999). The common conversion point (CCP) stacking method will then be applied to the receiver functions to create the 3-D image volume by imaging the conversion points in space from the time domain signals (Levander and Miller 2012). The preliminary results show that the accretion process of the tectonic provinces may have different models. The profiles of CCP image volume will inform us the seismic evidence to model the suturing process of juvenile Yavapai, Mozatzal and Granite-Rhyolite crust, hence providing great

  3. Characterization of SIS functions in a heterodyne receiver at 33GHz

    International Nuclear Information System (INIS)

    Zaquine, I.


    Superconductor-insulation-superconductor (SIS) tunnel junctions present a Volt-Ampere characteristic strongly nonlinear; its ideal limit is a discontinuity at the level of forbidden band voltage. Niobium-Oxide-Lead (Indium)or Niobium nitride-Oxide-Lead (Indium) junctions have been tested in mixing at 33GHz. The best result obtained in double band receiver temperature is 120K. The result analysis allow in statics to well characterize the performance of our first FET amplifier in the cold state and in dynamics to find the relative importance of the different parameters of the junction. SIS diode mixers have good performance in frequency field interesting the radioastronomy [fr

  4. Studies on scaling of flow noise received at the stagnation point of an axisymmetric body (United States)

    Arakeri, V. H.; Satyanarayana, S. G.; Mani, K.; Sharma, S. D.


    A description of the studies related to the problem of scaling of flow noise received at the stagnation point of axisymmetric bodies is provided. The source of flow noise under consideration is the transitional/turbulent regions of the boundary layer flow on the axisymmetric body. Lauchle has recently shown that the noise measured in the laminar region (including the stagnation point) corresponds closely to the noise measured in the transition region, provided that the acoustic losses due to diffraction are accounted for. The present study includes experimental measurement of flow noise at the stagnation point of three different shaped axisymmetric headforms. One of the body shapes chosen is that used by Lauchle in similar studies. This was done to establish the effect of body size on flow noise. The results of the experimental investigations clearly show that the flow noise received at the stagnation point is a strong function of free stream velocity, a moderately strong function of body scale but a weak function of boundary layer thickness. In addition, there is evidence that when body scale change is involved, flow noise amplitude scales but no frequency shift is involved. A scaling procedure is proposed based on the present observations along with those of Lauchle. At a given frequency, the amplitude of noise level obtained under model testing conditions is first scaled to account for differences in the velocity and size corresponding to the prototype conditions; then a correction to this is applied to account for losses due to diffraction, which are estimated on the basis of the geometric theory of diffraction (GTD) with the source being located at the predicted position of turbulent transition. Use of the proposed scaling law to extrapolate presently obtained noise levels to two other conditions involving larger-scale bodies show good agreement with actually measured levels, in particular at higher frequencies. Since model scale results have been used

  5. Functional disability in patients with low back pain: the mediator role of suffering and beliefs about pain control in patients receiving physical and chiropractic treatment. (United States)

    Pereira, M Graça; Roios, Edite; Pereira, Marta

    Low back pain is the leading cause of disability worldwide. There is evidence that depression, anxiety, and external locus of control are negative predictors of functional disability in low back patients. This study focused on the mediator role of suffering and beliefs about pain control in the relationship between psychological morbidity and functional disability in patients receiving physical therapy and chiropractic treatment for chronic low back pain. The sample included 213 patients receiving chiropractic treatment and 125 receiving physical therapy, who answered the following instruments: Beliefs about Pain Control Questionnaire; Inventory of Subjective Experiences of Suffering in Illness; Oswestry Low Back Pain Disability Questionnaire; and the Hospital Anxiety and Depression Scales. Suffering was a mediator in the relationship between depression and functional disability in both treatment groups. Only beliefs related to external chance events mediated the relationship between depression and functional disability in the physical therapy group, but not in the chiropratic teratment group. Intervention should focus on suffering regardless of the type of treatment and target beliefs about pain control, in patients receiving physical therapy treatment since they seem to play a key role in functional disability in patients with low back pain. Copyright © 2017 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.

  6. The Under-side of the Andes: Using Receiver Functions to Map the North Central Andean Subsurface (United States)

    Ryan, J. C.; Beck, S. L.; Zandt, G.; Wagner, L. S.; Minaya, E.; Tavera, H.


    The Central Andean Uplift and Geodynamics of High Topography (CAUGHT) project is an interdisciplinary project to investigate connections between lithospheric removal, crustal shortening and surface uplift in the northern Bolivia and southern Peru region of the South American Andean orogen. The central Andes are defined by six major tectonomorphic provinces; the forearc, the volcanically active Western Cordillera (WC, ~6 km elevation), the internally drained Altiplano (~4 km elevation), an inactive fold and thrust belt in the Eastern Cordillera (EC, ~6 km elevation), a lower elevation active fold and thrust belt in the Subandean (SA) zone and the Beni, a foreland basin. Forty seismic stations installed for the CAUGHT project were deployed between 13° and 18° S latitude, covering the transition zone where the Altiplano region pinches out in southern Peru, in an effort to better constrain the changing character of the crust and mantle lithosphere. Geologic studies across the northern Bolivian portion of the eastern Andean margin (15-17° S) have documented a total of 275 km of upper crustal shortening (McQuarrie et al, Tectonics, v27, 2008), which may be associated with crustal thickening and/or the removal of lithospheric material as a thickened lithosphere root becomes unstable. For this receiver function (converted wave) study, we have little coverage in the forearc and foreland, ~75 km spacing in most of the array, and a relatively dense ~20 km spaced profile along the Charaña-La Paz-Yucumo transect, the eastern portion of which is nearly coincident with the balanced cross-section of McQuarrie et al. (2008). Using the first year of available data, more than 1200 receiver functions have been calculated using an iterative deconvolution method, and stacked using the common conversion point (CCP) method, along profiles parallel to and nearly coincident to those used for the geologic shortening estimates. We identified arrivals for the Moho and generated a 3D map of

  7. The personal receiving document management and the realization of email function in OAS (United States)

    Li, Biqing; Li, Zhao


    This software is an independent software system, suitable for small and medium enterprises, contains personal office, scientific research project management and system management functions, independently run in relevant environment, and to solve practical needs. This software is an independent software system, using the current popular B/S (browser/server) structure and ASP.NET technology development, using the Windows 7 operating system, Microsoft SQL Server2005 Visual2008 and database as a development platform, suitable for small and medium enterprises, contains personal office, scientific research project management and system management functions, independently run in relevant environment, and to solve practical needs.

  8. Preliminary Results From the CAUGHT Experiment: Investigation of the North Central Andes Subsurface Using Receiver Functions and Ambient Noise Tomography (United States)

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


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

  9. Structure of the mantle lithosphere in continental collision zones of Europe, North America and China from S-receiver functions (United States)

    Kind, R.; Shen, X.


    Seismic tomography and receiver functions are the most common methods to study the structure of the mantle lithosphere. We use S-receiver functions to study continent-continent collision zones in Europe, North America and China. In order to avoid possible numerical problems caused by filtering effects (side lobes) we process the data practically without filtering (also excluding deconvolution). Side lobes are still a fundamental question to check the reality of the Mid-Lithospheric Discontinuity (MLD). We use openly available data of mostly permanent seismic broadband stations from the European portal EIDA, from IRIS and from the Chinese Seismic Network. We obtained several ten thousands of useful records in each region by visual and fully automatic processing. We observed the MLD in all cratonic regions near 100 km depth and the Lithosphere-Asthenosphere Boundary (LAB) partly in cratonic regions near 200 km depth. The observation of the cratonic LAB with converted waves requires a relatively sharp discontinuity which excludes temperature as only cause of the LAB. In younger tectonic active regions we observed the LAB near 100 km depth. TheLAB and MLD are in collision zones significantly structured. In central Europe we observed the deep cratonic LAB reaching far to the west of the Tornquist-Teisseyre Zone below Phanerozoic cover. Below the northern edge of the Bohemian Massif seems to be a tear in the LAB leading to a jump in its depth of about 100 km. In North America we see north of Yellowstone a smooth deepening of the western LAB from about 100 km depth to 200 km depth at the Mid-Continental Rift System. Similarly to the LAB jump below the Bohemian Massif in Europe, we see below the Sevier Thrust Belt also a jump of about 100 km in the LAB depth. In China we see the cratonic LAB deepening to the south-west far below eastern Tibet. Below the craton in north-east China is only the shallow LAB/MLD visible. These observations in three continents show that the

  10. Lateral Variations of the Mantle Transition Zone Structure beneath the Southeastern Tibetan Plateau Revealed by P-wave Receiver Functions (United States)

    Bai, Y.; Ai, Y.; Jiang, M.; He, Y.; Chen, Q.


    The deep structure of the southeastern Tibetan plateau is of great scientific importance to a better understanding of the India-Eurasia collision as well as the evolution of the magnificent Tibetan plateau. In this study, we collected 566 permanent and temporary seismic stations deployed in SE Tibet, with a total of 77853 high quality P-wave receiver functions been extracted by maximum entropy deconvolution method. On the basis of the Common Conversion Point (CCP) stacking technique, we mapped the topography of the 410km and 660km discontinuities (hereinafter called the `410' and the `660'), and further investigated the lateral variation of the mantle transition zone (MTZ) thickness beneath this region. The background velocity model deduced from H-κ stacking results and a previous body-wave tomographic research was applied for the correction of the crustal and upper mantle heterogeneities beneath SE Tibet for CCP stacking. Our results reveal two significantly thickened MTZ anomalies aligned nearly in the south-north direction. The magnitude of both anomalies are 30km above the global average of 250km. The southern anomaly located beneath the Dianzhong sub-block and the Indo-China block is characterized by a slightly deeper `410' and a greater-than-normal `660', while the northern anomaly beneath western Sichuan has an uplifted `410' and a depressed `660'. Combining with previous studies in the adjacent region, we suggest that slab break-off may occurred during the eastward subduction of the Burma plate, with the lower part of the cold slab penetrated into the MTZ and stagnated at the bottom of the `660' which may cause the southern anomaly in our receiver function images. The origin of the Tengchong volcano is probably connected to the upwelling of the asthenospheric material caused by the slab break-off or to the ascending of the hot and wet material triggered by the dehydration of stagnant slab in the MTZ. The anomaly in the north, on the other hand, might be

  11. Subsurface signature of North Anatolian Fault Zone and its relation with old sutures: New insight from receiver function analysis. (United States)

    Özacar, Arda A.; Abgarmi, Bizhan


    The North Anatolian Fault Zone (NAFZ) is an active continental transform plate boundary that accommodates the westward extrusion of the Anatolian plate. The central segment of NAFZ displays northward convex surface trace which coincides partly with the Paleo-Tethyan suture formed during the early Cenozoic. The depth extent and detailed structure of the actively deforming crust along the NAF is still under much debate and processes responsible from rapid uplift are enigmatic. In this study, over five thousand high quality P receiver functions are computed using teleseismic earthquakes recorded by permanent stations of national agencies and temporary North Anatolian Fault Passive Seismic experiment (2005-2008). In order to map the crustal thickness and Vp/Vs variations accurately, the study area is divided into grids with 20 km spacing and along each grid line Moho phase and its multiples are picked through constructed common conversion point (CCP) profiles. According to our results, nature of discontinuities and crustal thickness display sharp changes across the main strand of NAFZ supporting a lithospheric scale faulting that offsets Moho discontinuity. In the southern block, crust is relatively thin in the west ( 35 km) and becomes thicker gradually towards east ( 40 km). In contrast, the northern block displays a strong lateral change in crustal thickness reaching up to 10 km across a narrow roughly N-S oriented zone which is interpreted as the subsurface signature of the ambiguous boundary between Istanbul Block and Pontides located further west at the surface.

  12. Crustal structure beneath two seismic stations in the Sunda-Banda arc transition zone derived from receiver function analysis

    Energy Technology Data Exchange (ETDEWEB)

    Syuhada, E-mail: [Graduate Research on Earthquake and Active Tectonics (GREAT), Bandung Institute of Technology, Jalan Ganesha 10, Bandung 40132 (Indonesia); Research Centre for Physics - Indonesian Institute of Sciences (LIPI), Kompleks Puspiptek Serpong, Tangsel 15314, Banten Indonesia (Indonesia); Hananto, Nugroho D.; Handayani, Lina [Research Centre for Geotechnology - Indonesian Institute of Sciences (LIPI), Jl. Sangkuriang (Kompleks LIPI) Bandung 40135 (Indonesia); Puspito, Nanang T; Yudistira, Tedi [Faculty of Mining and Petroleum Engineering ITB, Jalan Ganesha 10, Bandung 40132 (Indonesia); Anggono, Titi [Research Centre for Physics - Indonesian Institute of Sciences (LIPI), Kompleks Puspiptek Serpong, Tangsel 15314, Banten Indonesia (Indonesia)


    We analyzed receiver functions to estimate the crustal thickness and velocity structure beneath two stations of Geofon (GE) network in the Sunda-Banda arc transition zone. The stations are located in two different tectonic regimes: Sumbawa Island (station PLAI) and Timor Island (station SOEI) representing the oceanic and continental characters, respectively. We analyzed teleseismic events of 80 earthquakes to calculate the receiver functions using the time-domain iterative deconvolution technique. We employed 2D grid search (H-κ) algorithm based on the Moho interaction phases to estimate crustal thickness and Vp/Vs ratio. We also derived the S-wave velocity variation with depth beneath both stations by inverting the receiver functions. We obtained that beneath station PLAI the crustal thickness is about 27.8 km with Vp/Vs ratio 2.01. As station SOEI is covered by very thick low-velocity sediment causing unstable solution for the inversion, we modified the initial velocity model by adding the sediment thickness estimated using high frequency content of receiver functions in H-κ stacking process. We obtained the crustal thickness is about 37 km with VP/Vs ratio 2.2 beneath station SOEI. We suggest that the high Vp/Vs in station PLAI may indicate the presence of fluid ascending from the subducted plate to the volcanic arc, whereas the high Vp/Vs in station SOEI could be due to the presence of sediment and rich mafic composition in the upper crust and possibly related to the serpentinization process in the lower crust. We also suggest that the difference in velocity models and crustal thicknesses between stations PLAI and SOEI are consistent with their contrasting tectonic environments.

  13. Development of a bowel function assessment tool to measure bowel function in patients receiving radiation and/or chemotherapy

    International Nuclear Information System (INIS)

    Throckmorton, Terry; Janjan, Nora; Bisanz, Annette; Pearce, Ann Nette; Bevins, Melinda; DeFord, Linda; Skibber, John; Abbruzzese, James; Rich, Tyvin


    PURPOSE/OBJECTIVE: One of the goals in the treatment of gastrointestinal tract malignancies is to preserve normal bowel function. Evaluation of bowel function to date, however, has been highly subjective and restricted in definition. Presented is a tool that has been validated for use as a more specific assessment of bowel function after therapeutic intervention. MATERIALS AND METHODS: The Bowel Function Self Assessment Tool [BFSAT] was developed from descriptive data obtained from cancer patients who presented with problems related to bowel function. The BFSAT and FACT-C scale were administered to 134 patients with colorectal cancer. Prior treatment had included radiation, administered either alone or in combination with chemotherapy, following surgical resection. RESULTS: Content validity was achieved through the multimodality review panel process. Based on descriptors provided by patients, publications and a multimodality review panel who screened the items for clarity and content, 29 of the initial 40 items were unanimously agreed upon and included in the questionnaire. A correlation of 0.51, which is significant beyond the 0.001 level, was obtained between the BFSAT and the FACT-C, indicating strong concurrent validity. The internal consistency and reliability was confirmed by coefficient alpha levels of 0.85, which matched the 0.85 coefficient alpha level for the FACT-C scale in this population. Factor analysis will be conducted when a larger sample size is available. CONCLUSION: Baseline reliability and validity have been established for the BFSAT. The BFSAT shows strong correlation with the FACT-C scale. Providing information regarding function and clinical outcome, the BFSAT complements the FACT-C in the evaluation of quality of life parameters among patients with colorectal cancer

  14. Relationship between radiation dose and lung function in patients with lung cancer receiving radiotherapy

    International Nuclear Information System (INIS)

    Harsaker, V.; Dale, E.; Bruland, O.S.; Olsen, D.R.


    In patients with inoperable non-small cell lung cancer (NSCLC), radical radiotherapy is the treatment of choice. The dose is limited by consequential pneumonitis and lung fibrosis. Hence, a better understanding of the relationship between the dose-volume distributions and normal tissue side effects is needed. CT is a non-invasive method to monitor the development of fibrosis and pneumonitis, and spirometry is an established tool to measure lung function. NSCLC patients were included in a multicenter trial and treated with megavoltage conformal radiotherapy. In a subgroup comprising 16 patients, a total dose of 59-63 Gy with 1.8-1.9 Gy per fraction was given. Dose-volume histograms were calculated and corrected according to the linear-quadratic formula using alpha/beta=3 Gy. The patients underwent repetitive CT examinations (mean follow-up, 133 days) following radiotherapy, and pre and post treatment spirometry (mean follow-up, 240 days). A significant correlation was demonstrated between local lung dose and changes in CT numbers >30 days after treatment (p 40 Gy Gy there was a sudden increase in CT numbers at 70-90 days. Somewhat unexpectedly, the highest mean lung doses were found in patients with the least reductions in lung function (peak expiratory flow; p<0.001). The correlation between CT numbers, radiation dose and time after treatment show that CT may be used to monitor development of lung fibrosis/pneumonitis after radiotherapy for lung cancer. Paradoxically, the patients with the highest mean lung doses experienced the minimum deterioration of lung function. This may be explained by reduction in the volume of existing tumour masses obstructing the airways, leading to relief of symptoms. This finding stresses the role of radiotherapy for lung cancer, especially where the treatment aim is palliative

  15. Double-transmitting and Sextuple-receiving Borehole Transient Electromagnetic Method and Experimental Study

    Directory of Open Access Journals (Sweden)

    Bo Wang


    Full Text Available With the continuous improvement of precision requirements for borehole geophysical exploration, the application of transient electromagnetic method (from now on referred to as TEM in a borehole has become a hot spot. The conventional borehole TEM can only determine the longitudinal depth of the geological anomaly, the radial azimuth and depth cannot be resolved. A double-transmitting and sextuple-receiving borehole TEM is proposed, through which the radial anomaly is excited by the electromagnetic field generated by the double-emitting loops, and the azimuth and depth of the anomaly will be identified by the difference characteristics of the six receiving loops signals. In this paper, the response equations of the transmitting-receiving mode of double-transmitting and sextuple-receiving borehole TEM are deduced, and the response characteristics of the induction segment and the attenuation segment of the receiving loops are obtained based on the response equations under ramp function turn-off condition, providing the basis for theoretical analysis. Due to the negative value of the double-transmitting and sextuple-receiving transient electromagnetic response signals, a negative transformation algorithm under the double logarithmic coordinate system is proposed to provide the essential method for the analysis of two kinds of physical simulation experimental data of the radial azimuth and radial depth detection of the anomaly. The results show that the double-transmitting and sextuple-receiving borehole TEM has decent resolution ability in detecting the radial azimuth of the anomaly, and the effective resolution is 30°. The geometric difference among induced voltages of different measuring points can be used to evaluate the radial depth of the anomaly qualitatively. It is expected that the double-transmitting and sextuple-receiving borehole TEM can provide technical guidance for little borehole geophysical exploration in the fields of oil, natural

  16. Planning Considerations for a Mars Sample Receiving Facility: Summary and Interpretation of Three Design Studies (United States)

    Beaty, David W.; Allen, Carlton C.; Bass, Deborah S.; Buxbaum, Karen L.; Campbell, James K.; Lindstrom, David J.; Miller, Sylvia L.; Papanastassiou, Dimitri A.


    It has been widely understood for many years that an essential component of a Mars Sample Return mission is a Sample Receiving Facility (SRF). The purpose of such a facility would be to take delivery of the flight hardware that lands on Earth, open the spacecraft and extract the sample container and samples, and conduct an agreed-upon test protocol, while ensuring strict containment and contamination control of the samples while in the SRF. Any samples that are found to be non-hazardous (or are rendered non-hazardous by sterilization) would then be transferred to long-term curation. Although the general concept of an SRF is relatively straightforward, there has been considerable discussion about implementation planning. The Mars Exploration Program carried out an analysis of the attributes of an SRF to establish its scope, including minimum size and functionality, budgetary requirements (capital cost, operating costs, cost profile), and development schedule. The approach was to arrange for three independent design studies, each led by an architectural design firm, and compare the results. While there were many design elements in common identified by each study team, there were significant differences in the way human operators were to interact with the systems. In aggregate, the design studies provided insight into the attributes of a future SRF and the complex factors to consider for future programmatic planning.

  17. A Study on the Optimal Receiver Impedance for SNR Maximization in Broadband PLC

    Directory of Open Access Journals (Sweden)

    Massimo Antoniali


    Full Text Available We consider the design of the front-end receiver for broadband power line communications. We focus on the design of the input impedance that maximizes the signal-to-noise ratio (SNR at the receiver. We show that the amplitude, rather than the power, of the received signal is important for communication purposes. Furthermore, we show that the receiver impedance impacts the amplitude of the noise term. We focus on the background noise, and we propose a novel description of the noise experienced at the receiver port of a PLC network. We model the noise as the sum of four uncorrelated contributions, that is, the active, resistive, receiver, and coupled noise components. We study the optimal impedance design problem for real in-home grids that we assessed with experimental measurements. We describe the results of the measurement campaign, and we report the statistics of the optimal impedance. Hence, we study the best attainable performance when the optimal receiver impedance is deployed. We focus on the SNR and the maximum achievable rate, and we show that power matching is suboptimal with respect to the proposed impedance design approach.

  18. The functional improvement and reduction of operators' work at LNG receiving terminal

    International Nuclear Information System (INIS)

    Tomiyama, H.


    The Tokyo Gas Negishi Terminal has undergone a series of major changes since starting operation in 1966, including a change in the main feedstock from oil to LNG, and expansion of processing volume and scale. Control of the terminal has been in the form of centralized control and monitoring from a central control room. High technical levels have been maintained, this being one of the first terminals to adopt direct digital control (DDC) as the technology became available. In 1995, a distributed control system (DCS) was introduced as part of a large-scale redevelopment project at the Negishi Terminal, extending the scope of operations and monitoring by operators by full automation of controls, and improvement of functions including integration and upgrading of monitoring. The result has been a significant reduction in the workload on operators. The installation of these functions required further investment of around 1 billion yen, in addition to the cost of renewal of the facility. In spite of the major expansion of the range of facilities under control, the number of operators working 24-hours shifts has been reduced, and over 15 years cost reductions equivalent to around twice the investment cost are expected to be made. (au)

  19. Functional Repertoire of Antibiotic Resistance Genes in Antibiotic Manufacturing Effluents and Receiving Freshwater Sediments (United States)

    González-Plaza, Juan J.; Šimatović, Ana; Milaković, Milena; Bielen, Ana; Wichmann, Fabienne; Udiković-Kolić, Nikolina


    Environments polluted by direct discharges of effluents from antibiotic manufacturing are important reservoirs for antibiotic resistance genes (ARGs), which could potentially be transferred to human pathogens. However, our knowledge about the identity and diversity of ARGs in such polluted environments remains limited. We applied functional metagenomics to explore the resistome of two Croatian antibiotic manufacturing effluents and sediments collected upstream of and at the effluent discharge sites. Metagenomic libraries built from an azithromycin-production site were screened for resistance to macrolide antibiotics, whereas the libraries from a site producing veterinary antibiotics were screened for resistance to sulfonamides, tetracyclines, trimethoprim, and beta-lactams. Functional analysis of eight libraries identified a total of 82 unique, often clinically relevant ARGs, which were frequently found in clusters and flanked by mobile genetic elements. The majority of macrolide resistance genes identified from matrices exposed to high levels of macrolides were similar to known genes encoding ribosomal protection proteins, macrolide phosphotransferases, and transporters. Potentially novel macrolide resistance genes included one most similar to a 23S rRNA methyltransferase from Clostridium and another, derived from upstream unpolluted sediment, to a GTPase HflX from Emergencia. In libraries deriving from sediments exposed to lower levels of veterinary antibiotics, we found 8 potentially novel ARGs, including dihydrofolate reductases and beta-lactamases from classes A, B, and D. In addition, we detected 7 potentially novel ARGs in upstream sediment, including thymidylate synthases, dihydrofolate reductases, and class D beta-lactamase. Taken together, in addition to finding known gene types, we report the discovery of novel and diverse ARGs in antibiotic-polluted industrial effluents and sediments, providing a qualitative basis for monitoring the dispersal of ARGs

  20. Functional Repertoire of Antibiotic Resistance Genes in Antibiotic Manufacturing Effluents and Receiving Freshwater Sediments

    Directory of Open Access Journals (Sweden)

    Juan J. González-Plaza


    Full Text Available Environments polluted by direct discharges of effluents from antibiotic manufacturing are important reservoirs for antibiotic resistance genes (ARGs, which could potentially be transferred to human pathogens. However, our knowledge about the identity and diversity of ARGs in such polluted environments remains limited. We applied functional metagenomics to explore the resistome of two Croatian antibiotic manufacturing effluents and sediments collected upstream of and at the effluent discharge sites. Metagenomic libraries built from an azithromycin-production site were screened for resistance to macrolide antibiotics, whereas the libraries from a site producing veterinary antibiotics were screened for resistance to sulfonamides, tetracyclines, trimethoprim, and beta-lactams. Functional analysis of eight libraries identified a total of 82 unique, often clinically relevant ARGs, which were frequently found in clusters and flanked by mobile genetic elements. The majority of macrolide resistance genes identified from matrices exposed to high levels of macrolides were similar to known genes encoding ribosomal protection proteins, macrolide phosphotransferases, and transporters. Potentially novel macrolide resistance genes included one most similar to a 23S rRNA methyltransferase from Clostridium and another, derived from upstream unpolluted sediment, to a GTPase HflX from Emergencia. In libraries deriving from sediments exposed to lower levels of veterinary antibiotics, we found 8 potentially novel ARGs, including dihydrofolate reductases and beta-lactamases from classes A, B, and D. In addition, we detected 7 potentially novel ARGs in upstream sediment, including thymidylate synthases, dihydrofolate reductases, and class D beta-lactamase. Taken together, in addition to finding known gene types, we report the discovery of novel and diverse ARGs in antibiotic-polluted industrial effluents and sediments, providing a qualitative basis for monitoring the

  1. Effects of a new sports companion on received social support and physical exercise: an intervention study. (United States)

    Rackow, Pamela; Scholz, Urte; Hornung, Rainer


    The role of social support in physical exercise is well documented. However, the majority of studies that investigate the associations between social support and physical exercise target perceived instead of received social support. Moreover, most studies investigate the effects of received social support using a descriptive correlational design. Thus, our study aimed at investigating the effects of received social support by conducting an intervention study. Participants were randomly assigned to an intervention (n = 118) or control group (n = 102). The intervention comprised regularly exercising with a new sports companion for eight weeks. To investigate the time course of physical exercise and received social support, growth curve modelling was employed. Generally, both groups were able to improve their physical exercise. However, the control group tended to decrease again during the final point of measurement. Received social support, however, decreased slightly in the control group, but remained stable in the intervention group. The intervention was suitable to sustain received social support for physical exercise across a two-month interval. Overall, these findings highlight the importance of further investigating social support for physical exercise applying an experimental approach. © 2014 The International Association of Applied Psychology.

  2. Improved H-κ Method by Harmonic Analysis on Ps and Crustal Multiples in Receiver Functions with respect to Dipping Moho and Crustal Anisotropy (United States)

    Li, J.; Song, X.; Wang, P.; Zhu, L.


    The H-κ method (Zhu and Kanamori, 2000) has been widely used to estimate the crustal thickness and Vp/Vs ratio with receiver functions. However, in regions where the crustal structure is complicated, the method may produce uncertain or even unrealistic results, arising particularly from dipping Moho and/or crustal anisotropy. Here, we propose an improved H-κ method, which corrects for these effects first before stacking. The effect of dipping Moho and crustal anisotropy on Ps receiver function has been well studied, but not as much on crustal multiples (PpPs and PpSs+PsPs). Synthetic tests show that the effect of crustal anisotropy on the multiples are similar to Ps, while the effect of dipping Moho on the multiples is 5 times that on Ps (same cosine trend but 5 times in time shift). A Harmonic Analysis (HA) method for dipping/anisotropy was developed by Wang et al. (2017) for crustal Ps receiver functions to extract parameters of dipping Moho and crustal azimuthal anisotropy. In real data, the crustal multiples are much more complicated than the Ps. Therefore, we use the HA method (Wang et al., 2017), but apply separately to Ps and the multiples. It shows that although complicated, the trend of multiples can still be reasonably well represented by the HA. We then perform separate azimuthal corrections for Ps and the multiples and stack to obtain a combined receiver function. Lastly, the traditional H-κ procedure is applied to the stacked receiver function. We apply the improved H-κ method on 40 CNDSN (Chinese National Digital Seismic Network) stations distributed in a variety of geological setting across the Chinese continent. The results show apparent improvement compared to the traditional H-κ method, with clearer traces of multiples and stronger stacking energy in the grid search, as well as more reliable H-κ values.

  3. Baseline albumin is associated with worsening renal function in patients with acute decompensated heart failure receiving continuous infusion loop diuretics. (United States)

    Clarke, Megan M; Dorsch, Michael P; Kim, Susie; Aaronson, Keith D; Koelling, Todd M; Bleske, Barry E


    To identify baseline predictors of worsening renal function (WRF) in an acute decompensated heart failure (ADHF) patient population receiving continuous infusion loop diuretics. Retrospective observational analysis. Academic tertiary medical center. A total of 177 patients with ADHF receiving continuous infusion loop diuretics from January 2006 through June 2009. The mean patient age was 61 years, 63% were male, ~45% were classified as New York Heart Association functional class III, and the median length of loop diuretic infusion was 4 days. Forty-eight patients (27%) developed WRF, and 34 patients (19%) died during hospitalization. Cox regression time-to-event analysis was used to determine the time to WRF based on different demographic and clinical variables. Baseline serum albumin 3 g/dl or less was the only significant predictor of WRF (hazard ratio [HR] 2.87, 95% confidence interval [CI] 1.60-5.16, p=0.0004), which remained significant despite adjustments for other covariates. Serum albumin 3 g/dl or less is a practical baseline characteristic associated with the development of WRF in patients with ADHF receiving continuous infusion loop diuretics. © 2013 Pharmacotherapy Publications, Inc.

  4. Crustal structure in the southern part of Central Java based on analysis of tele-seismic receiver function using a neighbourhood algorithm (United States)

    Ariyanto, P.; Syuhada; Rosid, S.; Anggono, T.; Januarti, Y.


    In this study, we applied receiver functions analysis to determine the crustal thickness, the ratio of Vp/Vs and the S wave velocity in the southern part of the Central Java. We selected tele-seismic data with magnitude more than 6 (M>6) and epicenter distance 30°-90° recorded from 3 broadband stations: UGM, YOGI, and WOJI station, as part of Indonesia-Geophone Network (IA-GE). Inversions were performed using nonlinear Neighborhood Algorithm (NA). We observed Ps phase conversion on the receiver functions corresponding to Moho depth at around 36-39 km. We also observed strong negative phase arrivals at around 10-12 s which might be associated with Indo-Australian subducting slab underneath the stations. The inversion results show the presence of low velocity zone with high Vp/Vs ratio (>1.78) in the middle crust around the study area which could be related to the Merapi-Lawu Anomaly (MLA).

  5. Crustal Thickness Beneath Libya and the Origin of Partial Melt Beneath AS Sawda Volcanic Province From Receiver Function Constraints (United States)

    Lemnifi, Awad A.; Elshaafi, Abdelsalam; Browning, John; Aouad, Nassib S.; El Ebaidi, Saad K.; Liu, Kelly K.; Gudmundsson, Agust


    This study investigates crustal thickness and properties within the Libyan region. Results obtained from 15 seismic stations belonging to the Libyan Center for Remote Sensing and Space Science are reported, in addition to 3 seismic stations publically available, using receiver functions. The results show crustal thicknesses ranging from 24 km to 36 km (with uncertainties ranging between ±0.10 km and ±0.90 km). More specifically, crustal thickness ranges from 32 km to 36 km in the southern portion of the Libyan territory then becomes thinner, between 24 km and 30 km, in the coastal areas of Libya and thinnest, between 24 km and 28 km, in the Sirt Basin. The observed high Vp/Vs value of 1.91 at one station located at the AS Sawda Volcanic Province in central Libya indicates the presence of either partial melt or an abnormally warm area. This finding suggests that magma reservoirs beneath the Libyan territory may still be partially molten and active, thereby posing significant earthquake and volcanic risks. The hypothesis of an active magma source is further demonstrated though the presence of asthenospheric upwelling and extension of the Sirt Basin. This study provides a new calculation of unconsolidated sediment layers by using the arrival time of the P to S converted phases. The results show sediments thicknesses of 0.4 km to 3.7 km, with the Vp/Vs values ranging from 2.2 to 4.8. The variations in crustal thickness throughout the region are correlated with surface elevation and Bouguer gravity anomalies, which suggest that they are isostatically compensated.

  6. Lithospheric architecture of NE China from joint Inversions of receiver functions and surface wave dispersion through Bayesian optimisation (United States)

    Sebastian, Nita; Kim, Seongryong; Tkalčić, Hrvoje; Sippl, Christian


    The purpose of this study is to develop an integrated inference on the lithospheric structure of NE China using three passive seismic networks comprised of 92 stations. The NE China plain consists of complex lithospheric domains characterised by the co-existence of complex geodynamic processes such as crustal thinning, active intraplate cenozoic volcanism and low velocity anomalies. To estimate lithospheric structures with greater detail, we chose to perform the joint inversion of independent data sets such as receiver functions and surface wave dispersion curves (group and phase velocity). We perform a joint inversion based on principles of Bayesian transdimensional optimisation techniques (Kim etal., 2016). Unlike in the previous studies of NE China, the complexity of the model is determined from the data in the first stage of the inversion, and the data uncertainty is computed based on Bayesian statistics in the second stage of the inversion. The computed crustal properties are retrieved from an ensemble of probable models. We obtain major structural inferences with well constrained absolute velocity estimates, which are vital for inferring properties of the lithosphere and bulk crustal Vp/Vs ratio. The Vp/Vs estimate obtained from joint inversions confirms the high Vp/Vs ratio ( 1.98) obtained using the H-Kappa method beneath some stations. Moreover, we could confirm the existence of a lower crustal velocity beneath several stations (eg: station SHS) within the NE China plain. Based on these findings we attempt to identify a plausible origin for structural complexity. We compile a high-resolution 3D image of the lithospheric architecture of the NE China plain.

  7. Crustal thickness and Moho sharpness beneath the Midcontinent rift from receiver functions

    Directory of Open Access Journals (Sweden)

    Moikwathai Moidaki


    Full Text Available The Mesoproterozoic Midcontinent rift (MCR in the central US is an approximately 2000 km long, 100 km wide structure from Kansas to Michigan. During the 20-40 million years of rifting, a thick (up to 20 km layer of basaltic lava was deposited in the rift valleys. Quantifying the effects of the rifting and associated volcanic eruptions on the structure and composition of the crust and mantle beneath the MCR is important for the understanding of the evolution of continental lithosphere. In this study we measure the crustal thickness (H, and the sharpness of the Moho (R at about 24 portable and permanent stations in Iowa, Kansas, and South Dakota by stacking Pto- S converted waves (PmS and their multiples (PPmS and PSmS. Under the assumption that the crustal mean velocity in the study area is the same as the IASP91 earth model, we find a significantly thickened crust beneath the MCR of about 53 km. The crustal Vp/Vs ratios increases from about 1.80 off rift to as large as 1.95 within the rift, which corresponds to an increase of Poisson’s ratio from 0.28 to 0.32, suggesting a more mafic crust beneath the MCR. The R measurements are spatially variable and are relatively small in the vicinity of the MCR, indicating the disturbance of the original sharp Moho by the rifting and magmatic intrusion and volcanic eruption.

  8. Simultaneous Inversion of Receiver Functions, Multi-Mode Dispersion, and Travel-Time Tomography for Lithospheric Structure Beneath the Middle East and North Africa

    National Research Council Canada - National Science Library

    Ammon, Charles J; Kosarian, Minoo; Hermann, Robert B


    .... Towards this goal, we perform receiver function analysis using teleseismic waveforms recorded at permanent and temporary broadband seismic stations located in Middle East, Europe, Asia, and North Africa...

  9. Work plan for waste receiving and processing module 2A waste characterization study

    International Nuclear Information System (INIS)

    Bergeson, C.L.


    This WRAP 2A Waste Characterization Study effort addresses those certification strategy functions related to characterization by defining criteria associated with each function, identifying administrative and design mechanisms for accomplishing each of these functions and evaluating alternatives where applicable. This work plan provides direction for completing the study

  10. Strong crustal seismic anisotropy in the Kalahari Craton based on Receiver Functions

    DEFF Research Database (Denmark)

    Thybo, Hans; Soliman, Mohammad Youssof Ahmad; Artemieva, Irina


    Earlier seismic studies of the Kalahari Craton in southern Africa infer deformation of upper mantle by flow with fast direction of seismic anisotropy being parallel to present plate motion, and/or report anisotropy frozen into the lithospheric mantle. We present evidence for very strong seismic...... is uniform within tectonic units and parallel to orogenic strike in the Limpopo and Cape fold belts. It is further parallel to the strike of major dyke swarms which indicates that a large part of the observed anisotropy is controlled by lithosphere fabrics and macroscopic effects. The directions of the fast...... that the crust and lithospheric mantle may have been coupled since cratonisation. If so, the apparent match between mantle anisotropy and the present plate motion is coincidental....

  11. Study on radiation flux of the receiver with a parabolic solar concentrator system

    International Nuclear Information System (INIS)

    Mao, Qianjun; Shuai, Yong; Yuan, Yuan


    Highlights: • The idea of integral dish and multi-dishes in a parabolic solar collector has been proposed. • The impacts of three factors of the receiver have been investigated. • The radiation flux distribution can benefit from a large system error. - Abstract: The solar receiver plays a key role in the performance of a solar dish electric generator. Its radiation flux distribution can directly affect the efficiency of the parabolic solar concentrator system. In this paper, radiation flux distribution of the receiver is simulated successfully using MCRT method. The impacts of incident solar irradiation, aspect ratio (the ratio of the receiver height to the receiver diameter), and system error on the radiation flux of the receiver are investigated. The parameters are studied in the following ranges: incident solar irradiation from 100 to 1100 W/m 2 , receiver aspect ratio from 0.5 to 1.5, and the system error from 0 to 10 mrad. A non-dimensional parameter Θ is defined to represent the ratio of radiation flux to incident solar irradiation. The results show that the maximum of Θ is about 200 in simulation conditions. The aspect ratio and system error have a significant impact on the radiation flux. The optimal receiver aspect ratio is 1.5 at a constant incident solar irradiation, and the maximum of radiation flux increases with decreasing system error, however, the radiation flux distribution can benefit from a large system error. Meanwhile, effects of integral dish and multi-dishes on the radiation flux distribution have been investigated. The results show that the accuracy of two cases can be ignored within the same parameters

  12. 2.5D S-wave velocity model of the TESZ area in northern Poland from receiver function analysis (United States)

    Wilde-Piorko, Monika; Polkowski, Marcin; Grad, Marek


    Receiver function (RF) locally provides the signature of sharp seismic discontinuities and information about the shear wave (S-wave) velocity distribution beneath the seismic station. The data recorded by "13 BB Star" broadband seismic stations (Grad et al., 2015) and by few PASSEQ broadband seismic stations (Wilde-Piórko et al., 2008) are analysed to investigate the crustal and upper mantle structure in the Trans-European Suture Zone (TESZ) in northern Poland. The TESZ is one of the most prominent suture zones in Europe separating the young Palaeozoic platform from the much older Precambrian East European craton. Compilation of over thirty deep seismic refraction and wide angle reflection profiles, vertical seismic profiling in over one hundred thousand boreholes and magnetic, gravity, magnetotelluric and thermal methods allowed for creation a high-resolution 3D P-wave velocity model down to 60 km depth in the area of Poland (Grad et al. 2016). On the other hand the receiver function methods give an opportunity for creation the S-wave velocity model. Modified ray-tracing method (Langston, 1977) are used to calculate the response of the structure with dipping interfaces to the incoming plane wave with fixed slowness and back-azimuth. 3D P-wave velocity model are interpolated to 2.5D P-wave velocity model beneath each seismic station and synthetic back-azimuthal sections of receiver function are calculated for different Vp/Vs ratio. Densities are calculated with combined formulas of Berteussen (1977) and Gardner et al. (1974). Next, the synthetic back-azimuthal sections of RF are compared with observed back-azimuthal sections of RF for "13 BB Star" and PASSEQ seismic stations to find the best 2.5D S-wave models down to 60 km depth. National Science Centre Poland provided financial support for this work by NCN grant DEC-2011/02/A/ST10/00284.

  13. Reworked crustal of early Paleozoic WuYi Orogen revealed by receiver function data (United States)

    Wei, Y.; Duan, Y.; Tian, X.; Zhao, Y.


    Intraplate orogenic belt, which occurs at the rigid and undeformable plate interiors, is a distinct new type of orogen rather than an interplate or plate marginal orogenic belt, whose deformation occurs exclusively at plate margins. Therefore, intraplate orogenic belts are the most obvious exception to the plate-tectonic paradigm, they are uncommon in Earth's history. The early Paleozoic Wuyi orogen in South China is one of the few examples of intraplate orogen, and is a key to understanding the process of intraplate orogenesis and global early Paleozoic geodynamics. In this study, we select teleseismic records from 45 mobile linear seismic stations deployed in Wuyi Mountain and 58 permanent stations setting in Jiangxi and Fujian provinces, from January 2011 to December 2012, and calculate the crustal thickness and average crustal Vp/Vs ratio using the H-κ stacking method. The main results include the following: 1) the crustal average Poission's ratio shows an increase tendency from land to sea, the interior of Wuyi orogen belt with an low ration less than 0.23, and the coastline with high ration which is up to 0.28, which indicate a very heterogeneous crustal structure and composition in Wuyi orogen and coast belt. 2) the crustal thickness ranges 28-34 km and shows a tendency of thinning from inland to coast in the region of SE China margin, which maight mean the eastern Eurasia lithospheric is extension and thinning induced by the subducted paleo-Pacific slab. To conclusion, we assume that Wuyi orogen experienced upper crustal thickening, lower crust and lithosphere delamination during the early Paleozoic orogeny, and lithosphere extension in Mesozoic. This research is founded by the Natural Science Foundation of China (41174052 and 41604048).

  14. Structure of the crust beneath Cameroon, West Africa, from the joint inversion of Rayleigh wave group velocities and receiver functions (United States)

    Tokam, Alain-Pierre K.; Tabod, Charles T.; Nyblade, Andrew A.; Julià, Jordi; Wiens, Douglas A.; Pasyanos, Michael E.


    The Cameroon Volcanic Line (CVL) consists of a linear chain of Tertiary to Recent, generally alkaline, volcanoes that do not exhibit an age progression. Here we study crustal structure beneath the CVL and adjacent regions in Cameroon using 1-D shear wave velocity models obtained from the joint inversion of Rayleigh wave group velocities and P-receiver functions for 32 broad-band seismic stations deployed between 2005 January and 2007 February. We find that (1) crustal thickness (35-39km) and velocity structure is similar beneath the CVL and the Pan African Oubanguides Belt to the south of the CVL, (2) crust is thicker (43-48km) under the northern margin of the Congo Craton and is characterized by shear wave velocities >=4.0kms-1 in its lower part and (3) crust is thinner (26-31km) under the Garoua rift and the coastal plain. In addition, a fast velocity layer (Vs of 3.6-3.8kms-1) in the upper crust is found beneath many of the seismic stations. Crustal structure beneath the CVL and the Oubanguides Belt is very similar to Pan African crustal structure in the Mozambique Belt, and therefore it appears not to have been modified significantly by the magmatic activity associated with the CVL. The crust beneath the coastal plain was probably thinned during the opening of the southern Atlantic Ocean, while the crust beneath the Garoua rift was likely thinned during the formation of the Benue Trough in the early Cretaceous. We suggest that the thickened crust and the thick mafic lower crustal layer beneath the northern margin of the Congo Craton may be relict features from a continent-continent collision along this margin during the formation of Gondwana.

  15. Crustal structure of the Central Precordillera of San Juan, Argentina (31°S) using teleseismic receiver functions (United States)

    Ammirati, Jean-Baptiste; Alvarado, Patricia; Perarnau, Marcelo; Saez, Mauro; Monsalvo, Guillermo


    The subduction of the Nazca plate under the South American plate around 31°S is characterized by flat slab geometry. The (Chilean) Pampean flat slab of Argentina associated with the subduction of the Juan Fernandez ridge lies in a region of a series of foreland uplifts corresponding to the thin-skinned Precordillera and basement cored Sierras Pampeanas ranges. The SIEMBRA project deployed 40 broadband stations in 2008-2009 in both the Precordillera and the Sierras Pampeanas with the aim to foster the understanding of the entire central Andean flat slab region. One of the SIEMBRA station (DOCA) located on the western flank of Sierra de la Invernada in the Central Precordillera appears particularly appropriate to study the crustal structure and eventually detect discontinuities related to terranes establishment. We thus performed a receiver function analysis using teleseismic data recorded at the DOCA station during the SIEMBRA project and from October 2011 to June 2012 using a broadband UNSJ (National University of San Juan) seismic station with the purpose to obtain crustal images with details of the intracrustal structure consistent with a mechanism that could explains both the observed earthquake depths and the uplift pattern in the Central Precordillera. Our results show that the Moho beneath the Precordillera lies at a depth of about 66 km. The Moho signal appears diminished and behaves irregularly as a function of azimuthal orientations. Although this observation could be the result of an irregular geometry it also correlates with the hypothesis of partial eclogitisation in the lower crust. Two mid-crustal discontinuities have also been revealed. The shallower one could correspond to a décollement level between the Precordilleran strata and the Cuyania basement at 21 km depth. The deeper one which the presence has been matched with a sharp decrease of the crustal seismic activity drove us to the hypothesis of a major change in crustal composition at 36 km

  16. Received social support and exercising: An intervention study to test the enabling hypothesis. (United States)

    Rackow, Pamela; Scholz, Urte; Hornung, Rainer


    Received social support is considered important for health-enhancing exercise participation. The enabling hypothesis of social support suggests an indirect association of social support and exercising via constructs of self-regulation, such as self-efficacy. This study aimed at examining an expanded enabling hypothesis by examining effects of different kinds of social support (i.e., emotional and instrumental) on exercising not only via self-efficacy but also via self-monitoring and action planning. An 8-week online study was conducted. Participants were randomly assigned to an intervention or a control group. The intervention comprised finding and then exercising regularly with a new exercise companion. Intervention and control group effects were compared by a manifest multigroup model. Received emotional social support predicted self-efficacy, self-monitoring, and action planning in the intervention group. Moreover, received emotional social support was indirectly connected with exercise via the examined mediators. The indirect effect from received emotional social support via self-efficacy mainly contributed to the total effect. No direct or indirect effect of received instrumental social support on exercise emerged. In the control group, neither emotional nor instrumental social support was associated with any of the self-regulation constructs nor with exercise. Actively looking for a new exercise companion and exercising together seems to be beneficial for the promotion of received emotional and instrumental social support. Emotional support in turn promotes exercise by enabling better self-regulation, in particular self-efficacy. Statement of contribution What is already known on this subject? With the 'enabling hypothesis', Benight and Bandura (2004, Behav. Res. Ther., 42, 1129) claimed that social support indirectly affects behaviour via self-efficacy. Research in the domain of physical exercise has provided evidence for this enabling hypothesis on a

  17. Imaging the deep structures of the convergent plates along the Ecuadorian subduction zone through receiver function analysis (United States)

    Galve, A.; Charvis, P.; Regnier, M. M.; Font, Y.; Nocquet, J. M.; Segovia, M.


    The Ecuadorian subduction zone was affected by several large M>7.5 earthquakes. While we have low resolution on the 1942, 1958 earthquakes rupture zones extension, the 2016 Pedernales earthquake, that occurs at the same location than the 1942 earthquake, give strong constraints on the deep limit of the seismogenic zone. This downdip limit is caused by the onset of plasticity at a critical temperature (> 350-450 °C for crustal materials, or serpentinized mantle wedge, and eventually > 700 °C for dry mantle). However we still don't know exactly where is the upper plate Moho and therefore what controls the downdip limit of Ecuadorian large earthquakes seismogenic zone. For several years Géoazur and IG-EPN have maintained permanent and temporary networks (ADN and JUAN projects) along the margin to register the subduction zone seismological activity. Although Ecuador is not a good place to perform receiver function due to its position with respect to the worldwide teleseismic sources, the very long time deployment compensate this issue. We performed a frequency dependent receiver function analysis to derive (1) the thickness of the downgoing plate, (2) the interplate depth and (3) the upper plate Moho. These constraints give the frame to interpretation on the seismogenic zone of the 2016 Pedernales earthquake.

  18. Exploring Moho sharpness in Northeastern North China Craton with frequency-dependence analysis of Ps receiver function (United States)

    Zhang, P.; Yao, H.; Chen, L.; WANG, X.; Fang, L.


    The North China Craton (NCC), one of the oldest cratons in the world, has attracted wide attention in Earth Science for decades because of the unusual Mesozoic destruction of its cratonic lithosphere. Understanding the deep processes and mechanism of this craton destruction demands detailed knowledge about the deep structure of this region. In this study, we calculate P-wave receiver functions (RFs) with two-year teleseismic records from the North China Seismic Array ( 200 stations) deployed in the northeastern NCC. We observe both diffused and concentered PpPs signals from the Moho in RF waveforms, which indicates heterogeneous Moho sharpness variations in the study region. Synthetic Ps phases generated from broad positive velocity gradients at the depth of the Moho (referred as Pms) show a clear frequency dependence nature, which in turn is required to constrain the sharpness of the velocity gradient. Practically, characterizing such a frequency dependence feature in real data is challenging, because of low signal-to-noise ratio, contaminations by multiples generated from shallow structure, distorted signal stacking especially in double-peak Pms signals, etc. We attempt to address these issues by, firstly, utilizing a high-resolution Moho depth model of this region to predict theoretical delay times of Pms that facilitate more accurate Pms identifications. The Moho depth model is derived by wave-equation based poststack depth migration on both Ps phase and surface-reflected multiples in RFs in our previous study (Zhang et al., submitted to JGR). Second, we select data from a major back azimuth range of 100° - 220° that includes 70% teleseismic events due to the uneven data coverage and to avoid azimuthal influence as well. Finally, we apply an adaptive cross-correlation stacking of Pms signals in RFs for each station within different frequency bands. High-quality Pms signals at different frequencies will be selected after careful visual inspection and adaptive

  19. Why more boys than girls with ADHD receive treatment: a study of Dutch twins

    NARCIS (Netherlands)

    Derks, Eske M.; Hudziak, James J.; Boomsma, Dorret I.


    More boys than girls with attention deficit hyperactivity disorder (ADHD) receive treatment. One explanation for this bias may be that boys score higher on disruptive behavior scales than girls. Although this was supported by findings in clinical samples, recent studies in nonreferred samples showed

  20. An Experimental Study of Advanced Receivers in a Practical Dense Small Cells Network

    DEFF Research Database (Denmark)

    Assefa, Dereje; Berardinelli, Gilberto; Tavares, Fernando Menezes Leitão


    leads to significant limitations on the network throughput in such deployments. In addition, network densification introduces difficulty in network deployment. This paper presents a study on the benefits of advanced receiver in a practical uncoordinated dense small cells deployment. Our aim is to show...

  1. Study of Bacterial Infections Among Patients Receiving Kidney Transplant in Mashhad, Iran. (United States)

    Mansury, Davood; Khaledi, Azad; Ghazvini, Kiarash; Sabbagh, Mahin Ghorban; Zare, Hosna; Rokni-Hosseini, Mohammad Hossein; Vazini, Hossein


    Over the past 2 decades, significant advances have been made in the management of infections after transplant; however, transplant recipients are still at high risk of infectious complications. This study aimed to evaluate the prevalence of bacterial infections and antimicrobial resistance patterns in kidney transplant recipients. This cross-sectional study included 356 patients who received kidney transplants, regardless of the underlying disease, from 2013 to 2015 at the Montaserieh Transplant Hospital (Mashhad, Iran). Clinical samples collected from patients were sent to the microbiology laboratory for culture processing. Typing of bacteria was conducted, and susceptibility testing was performed according to the Clinical and Laboratory Standards Institute guideline by use the of disk diffusion agar method. Data were then analyzed by SPSS software (SPSS: An IBM Company, IBM Corporation, Armonk, NY, USA) using chi-square test. Among 356 kidney recipients (206 men and 150 women), 115 (32.3%) received transplants from living donors and 241 (67.7%) received transplants from deceased donors. Of 356 total patients, 112 patients (31.5%) had an infection at various times after transplant. The most common gram-negative and gram-positive isolated bacteria were Escherichia coli and coagulase-negative Staphylococcus, with prevalence rates of 66.1% and 48.6%. Most of the isolates were resistant against selected antibiotics. Because of the high prevalence of infection among transplant patients, infection prevention should receive more attention, and antibiotic susceptibility should be determined before treatment.

  2. Suicidal Ideation and Behaviours Among Adolescents Receiving Bariatric Surgery: A Case-Control Study. (United States)

    McPhee, Jeanne; Khlyavich Freidl, Eve; Eicher, Julia; Zitsman, Jeffrey L; Devlin, Michael J; Hildebrandt, Tom; Sysko, Robyn


    This study examined the prevalence and correlates of suicidal ideation and behaviour (SI/B) among adolescents receiving bariatric surgery. Charts of 206 adolescents receiving bariatric surgery were reviewed. Cases with SI/B (current/lifetime reported at baseline or event occurring in the programme n = 31, 15%) were case matched on gender, age and surgery type to 31 adolescents reporting current or past psychiatric treatment and 31 adolescents denying lifetime SI/B or psychiatric treatment. Before surgery, adolescents with SI/B reported significantly lower total levels of health-related quality of life (p = 0.01) and greater depressive symptoms (p = 0.004) in comparison with candidates who never received psychiatric treatment. No significant differences were found between groups for the change in depressive symptoms or body mass index following surgery. As in studies of adults, a notable subset of adolescents receiving bariatric surgery indicated pre-operative or post-operative SI/B. It is critical that clinicians evaluate and monitor adolescent patients undergoing bariatric surgery for risk of SI/B. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.

  3. Suicidal Ideation and Behaviors among Adolescents Receiving Bariatric Surgery: A Case-Control Study (United States)

    McPhee, Jeanne; Freidl, Eve Khlyavich; Eicher, Julia; Zitsman, Jeffrey L.; Devlin, Michael J.; Hildebrandt, Tom; Sysko, Robyn


    Objective This study examined the prevalence and correlates of suicidal ideation and behavior (SI/B) among adolescents receiving bariatric surgery. Method Charts of 206 adolescents receiving bariatric surgery were reviewed. Cases with SI/B (current/lifetime reported at baseline or event occurring in the program n= 31, 15%) were case-matched on gender, age, and surgery type to 31 adolescents reporting current or past psychiatric treatment, and 31 adolescents denying lifetime SI/B or psychiatric treatment. Results Before surgery, adolescents with SI/B reported significantly lower total levels of health-related quality of life (p=0.01) and greater depressive symptoms (p=0.004) in comparison to candidates who never received psychiatric treatment. No significant differences were found between groups for the change in depressive symptoms or body mass index following surgery. Conclusions As in studies of adults, a notable subset of adolescents receiving bariatric surgery indicated pre- or post-operative SI/B. It is critical that clinicians evaluate and monitor adolescent patients undergoing bariatric surgery for risk of SI/B. PMID:26377705

  4. Structure of the Crust beneath Cameroon, West Africa, from the Joint Inversion of Rayleigh Wave Group Velocities and Receiver Functions

    Energy Technology Data Exchange (ETDEWEB)

    Tokam, A K; Tabod, C T; Nyblade, A A; Julia, J; Wiens, D A; Pasyanos, M E


    Cameroon using 1-D shear wave velocity models obtained from the joint inversion of Rayleigh wave group velocities and P-receiver functions for 32 broadband seismic stations. From the 1-D shear wave velocity models, we obtain new insights into the composition and structure of the crust and upper mantle across Cameroon. After briefly reviewing the geological framework of Cameroon, we describe the data and the joint inversion method, and then interpret variations in crustal structure found beneath Cameroon in terms of the tectonic history of the region.

  5. A Sigma-Delta ADC with Decimation and Gain Control Function for a Bluetooth Receiver in 130 nm Digital CMOS

    Directory of Open Access Journals (Sweden)

    Koh Jinseok


    Full Text Available We present a discrete-time second-order multibit sigma-delta ADC that filters and decimates by two the input data samples. At the same time it provides gain control function in its input sampling stage. A 4-tap FIR switched capacitor (SC architecture was chosen for antialiasing filtering. The decimation-by-two function is realized using divided-by-two clock signals in the antialiasing filter. Antialiasing, gain control, and sampling functions are merged in the sampling network using SC techniques. This compact architecture allows operating the preceding blocks at twice the ADC's clock frequency, thus improving the noise performance of the wireless receiver channel and relaxing settling requirements of the analog building blocks. The presented approach has been validated and incorporated in a commercial single-chip Bluetooth radio realized in a 1.5 V 130 nm digital CMOS process. The measured antialiasing filtering shows better than 75 dB suppression at the folding frequency band edge. A 67 dB dynamic range was measured with a sampling frequency of 37.5MHz.

  6. Crustal structure of the Gulf of Aden southern margin: Evidence from receiver functions on Socotra Island (Yemen) (United States)

    Ahmed, Abdulhakim; Leroy, Sylvie; Keir, Derek; Korostelev, Félicie; Khanbari, Khaled; Rolandone, Frédérique; Stuart, Graham; Obrebski, Mathias


    Breakup of continents in magma-poor setting occurs primarily by faulting and plate thinning. Spatial and temporal variations in these processes can be influenced by the pre-rift basement structure as well as by early syn-rift segmentation of the rift. In order to better understand crustal deformation and influence of pre-rift architecture on breakup we use receiver functions from teleseismic recordings from Socotra which is part of the subaerial Oligo-Miocene age southern margin of the Gulf of Aden. We determine variations in crustal thickness and elastic properties, from which we interpret the degree of extension related thinning and crustal composition. Our computed receiver functions show an average crustal thickness of ~ 28 km for central Socotra, which decreases westward along the margin to an average of ~ 21 km. In addition, the crust thins with proximity to the continent-ocean transition to ~ 16 km in the northwest. Assuming an initial pre-rift crustal thickness of 35 km (undeformed Arabian plate), we estimate a stretching factor in the range of ~ 2.1-2.4 beneath Socotra. Our results show considerable differences between the crustal structure of Socotra's eastern and western sides on either side of the Hadibo transfer zone; the east displays a clear intracrustal conversion phase and thick crust when compared with the western part. The majority of measurements across Socotra show Vp/Vs ratios of between 1.70 and 1.77 and are broadly consistent with the Vp/Vs values expected from the granitic and carbonate rock type exposed at the surface. Our results strongly suggest that intrusion of mafic rock is absent or minimal, providing evidence that mechanical thinning accommodated the majority of crustal extension. From our observations we interpret that the western part of Socotra corresponds to the necking zone of a classic magma-poor continental margin, while the eastern part corresponds to the proximal domain.

  7. Solar power satellite rectenna design study: Directional receiving elements and parallel-series combining analysis (United States)

    Gutmann, R. J.; Borrego, J. M.


    Rectenna conversion efficiencies (RF to dc) approximating 85 percent were demonstrated on a small scale, clearly indicating the feasibility and potential of efficiency of microwave power to dc. The overall cost estimates of the solar power satellite indicate that the baseline rectenna subsystem will be between 25 to 40 percent of the system cost. The directional receiving elements and element extensions were studied, along with power combining evaluation and evaluation extensions.

  8. Pneumonia risk in COPD patients receiving inhaled corticosteroids alone or in combination: TORCH study results

    DEFF Research Database (Denmark)

    Crim, C; Calverley, P M A; Anderson, J A


    Inhaled corticosteroids (ICS) are important in reducing exacerbation frequency associated with chronic obstructive pulmonary disease (COPD). However, little is known about the risk of associated infections. In a post hoc analysis of the TOwards a Revolution in COPD Health (TORCH) study, we analys...... not be concluded for FP. Despite the benefits of ICS-containing regimens in COPD management, healthcare providers should remain vigilant regarding the possible development of pneumonia as a complication in COPD patients receiving such therapies....

  9. Neural correlates of receiving an apology and active forgiveness: an FMRI study. (United States)

    Strang, Sabrina; Utikal, Verena; Fischbacher, Urs; Weber, Bernd; Falk, Armin


    Interpersonal conflicts are a common element of many social relationships. One possible process in rebuilding social relationships is the act of apologizing. Behavioral studies have shown that apologies promote forgiveness. However, the neural bases of receiving an apology and forgiveness are still unknown. Hence, the aim of the present fMRI study was to investigate brain processes involved in receiving an apology and active forgiveness of an ambiguous offense. We asked one group of participants (player A) to make decisions, which were either positive or negative for another group of participants (player B). The intention of player A was ambiguous to player B. In case of a negative impact, participants in the role of player A could send an apology message to participants in the role of player B. Subsequently players B were asked whether they wanted to forgive player A for making a decision with negative consequences. We found that receiving an apology yielded activation in the left inferior frontal gyrus, the left middle temporal gyrus, and left angular gyrus. In line with previous research we found that forgiving judgments activated the right angular gyrus.

  10. Risk perception among women receiving genetic counseling: a population-based follow-up study

    DEFF Research Database (Denmark)

    Mikkelsen, Ellen M; Sunde, Lone; Johansen, Christoffer


    -up study of 213 women who received genetic counseling for hereditary breast and ovarian cancer, 319 women who underwent mammography (Reference Group I), and a random sample of 1070 women from the general population (Reference Group II). RESULTS: Women who received genetic counseling decreased...... counseling, compared to a reduction of 5% (p=0.03) and 2% (p=0.01) in Reference Groups I and II, respectively. Risk communicated only in words, inaccurate risk perception at baseline, and presence of a familial mutation appeared to be predictors of inaccurate risk perception 12 months after counseling......BACKGROUND: We aimed to explore the impact of genetic counseling on perceived personal lifetime risk of breast cancer, the accuracy of risk perception, and possible predictors of inaccurate risk perception 1 year following counseling. METHODS: We conducted a population-based prospective follow...

  11. Study of image reconstruction for terahertz indirect holography with quasi-optics receiver. (United States)

    Gao, Xiang; Li, Chao; Fang, Guangyou


    In this paper, an indirect holographic image reconstruction algorithm was studied for terahertz imaging with a quasi-optics receiver. Based on the combination of the reciprocity principle and modified quasi-optics theory, analytical expressions of the received spatial power distribution and its spectrum are obtained for the interference pattern of target wave and reference wave. These results clearly give the quantitative relationship between imaging quality and the parameters of a Gaussian beam, which provides a good criterion for terahertz quasi-optics transceivers design in terahertz off-axis holographic imagers. To validate the effectiveness of the proposed analysis method, some imaging results with a 0.3 THz prototype system are shown based on electromagnetic simulation.

  12. Books Received

    Indian Academy of Sciences (India)

    Home; Journals; Resonance – Journal of Science Education. Books Received. Articles in Resonance – Journal of Science Education. Volume 1 Issue 1 January 1996 pp 118-118 Books Received. Books Received · More Details Fulltext PDF. Volume 1 Issue 2 February 1996 pp 120-120 Books Received. Books Received.

  13. Can relaxation interventions reduce anxiety in patients receiving radiotherapy? outcomes and study validity

    International Nuclear Information System (INIS)

    Elith, C.A.; Perkins, B.A.; Johnson, L.S.; Skelly, M.H.; Dempsey, S.


    This study piloted the use of three relaxation interventions in an attempt to reduce levels of anxiety in patients who are immobilised for radiotherapy treatment of head and neck cancers, as well as trying to validate the study methodology. In addition to receiving normal radiation therapy treatment, 14 patients were assigned to either a control group not receiving the relaxation intervention or one of three validated relaxation intervention techniques; music therapy, aromatherapy or guided imagery. Patients in the intervention groups underwent the relaxation technique daily for the first seven days of treatment. On days 1, 3, 5 and 7 of treatment patients were required to complete the State Anxiety Inventory survey. While caution should be taken in accepting the results due to the small numbers of patients involved in the study and the non-randomised assignment of patients within the study, the results of the study demonstrate a clinically significant reduction in anxiety levels in each of the three relaxation interventions compared to the control group. The study demonstrated good study validity due to the ease of implementation, the unambiguous results generated, and the use of already validated anxiety intersections and measurement tools. Copyright (2001) Australian Institute of Radiography

  14. Does hormonal therapy influence sexual function in men receiving 3D conformal radiation therapy for prostate cancer?

    International Nuclear Information System (INIS)

    Chen, Christopher T.; Valicenti, Richard K.; Lu Jiandong; Derose, Troy; Dicker, Adam P.; Strup, Stephen E.; Mulholland, S. Grant; Hirsch, Irvin H.; McGinnis, David E.; Gomella, Leonard G.


    Purpose: We evaluated the effect of three-dimensional conformal radiation therapy (3D-CRT) with or without hormonal therapy (HT) on sexual function (SF) in prostate cancer patients whose SF was known before all treatment. Methods and Materials: Between March 1996 and March 1999, 144 patients received 3D-CRT (median dose = 70.2 Gy, range 66.6-79.2 Gy) for prostate cancer and had pre- and post-therapy SF data. All SF data were obtained with the O'Leary Brief SF Inventory, a self-administered, multidimensional, validated instrument. We defined total sexual potency as erections firm enough for penetration during intercourse. Mean follow-up time was 21 months (SD ± 11 months). The Wilcoxon signed-rank test was used to test for significance of the change from baseline. Results: Before 3D-CRT, 87 (60%) of 144 men were totally potent as compared to only 47 (47%) of 101 at 1-year follow-up. Of the 60 men totally potent at baseline and followed for at least 1 year, 35 (58%) remained totally potent. These changes corresponded to a significant reduction in SF (p<0.05). Patients who had 3D-CRT alone were more likely to be totally potent at 1 year than those receiving 3D-CRT with HT (56% vs. 31%, p=0.012); however, they were also more likely to be potent at baseline (71% vs. 44%, p=0.001). Although these two groups had a significant reduction in SF from baseline, their change was not significantly different from each other. Conclusion: These data indicate that 3D-CRT causes a significant reduction in total sexual potency as compared to pretreatment baseline. The addition of HT does not appear to increase the risk of sexual dysfunction

  15. An action research study; cultural differences impact how manufacturing organizations receive continuous improvement (United States)

    Kattman, Braden R.

    National culture and organizational culture impact how continuous improvement methods are received, implemented and deployed by suppliers. Previous research emphasized the dominance of national culture over organizational culture. The countries studied included Poland, Mexico, China, Taiwan, South Korea, Estonia, India, Canada, the United States, the United Kingdom, and Japan. The research found that Canada was most receptive to continuous improvement, with China being the least receptive. The study found that organizational culture was more influential than national culture. Isomorphism and benchmarking is driving continuous-improvement language and methods to be more universally known within business. Business and management practices are taking precedence in driving change within organizations.

  16. Selected Aspects of Functioning of the Sewage Treatment Plant in Szczawnica in Terms of Receiver Water Quality

    Directory of Open Access Journals (Sweden)

    Ewa Wąsik


    Full Text Available This article includes an assessment of the impact of sewage exiting from the sewage treatment plant in Szczawnica before and after the modernization of the facility, the physicochemical composition and the quality of the water of their receiver - Dunajec River. The work was carried out on the basis of analysis of samples taken from raw and purified sewage and receiver waters. The Dunajec water intake was above and below the point of sewer discharge from the WWTP. The range of contaminated indicators included 14 physicochemical parameters and two bacteriological indicators. On the basis of the research conducted, it was stated that the Szczawnica Forest Enterprise after its modernization in 2016 functioned correctly. The purified sewage on it complies with the requirements of a water permit, which translates directly into effective protection against the pollution of receiver waters. This was confirmed by the results of the Kruskal-Wallis test that showed statistically significant differences between the median values of overall nitrogen concentrations before and after the refurbishment of the facility. For the remaining pollutant indices (total suspensions, BOD5, CODCr, total phosphorus, no statistically significant differences were found between the medians. In addition, it was found that the physico-chemical composition of Dunajec waters was similar in both examined sections. The purified effluent discharged from the Szczawnica treatment plant to the Dunajec River did not contribute to deterioration of its water quality in the case of physico-chemical indicators. Based on the classification of these elements, it was determined that in the analyzed period, the Dunajec water in the section directly above and below the WWTP meets the requirements for category A1 of waters intended for the supply of the population (very good quality water. In the case of microbiological classification based on the number of bacteria of the coli group and

  17. Combined cycle solar central receiver hybrid power system study. Final technical report. Volume II

    Energy Technology Data Exchange (ETDEWEB)



    This study develops the conceptual design for a commercial-scale (nominal 100 MWe) central receiver solar/fossil fuel hybrid power system with combined cycle energy conversion. A near-term, metallic heat pipe receiver and an advanced ceramic tube receiver hybrid system are defined through parametric and market potential analyses. Comparative evaluations of the cost of power generation, the fuel displacement potential, and the technological readiness of these two systems indicate that the near-term hybrid system has better potential for commercialization by 1990. Based on the assessment of the conceptual design, major cost and performance improvements are projected for the near-term system. Constraints preventing wide-spread use were not identified. Energy storage is not required for this system and analyses show no economic advantages with energy storage provisions. It is concluded that the solar hybrid system is a cost effective alternative to conventional gas turbines and combined cycle generating plants, and has potential for intermediate-load market penetration at 15% annual fuel escalation rate. Due to their flexibility, simple solar/nonsolar interfacing, and short startup cycles, these hybrid plants have significant operating advantages. Utility company comments suggest that hybrid power systems will precede stand-alone solar plants.

  18. Study of the exposures received by the persons involved in the transportation of radioactive materials

    International Nuclear Information System (INIS)

    Hamard, J.; Sousselier, Y.


    An important step in the optimization process applied to exposures in the field of the transport of radioactive materials is an accurate inventory of the exposures actually received by the workers. The results of this study underlines that nearly all the doses received are well below the threshold values for the classification of the workers as occasionally exposed and a fortiori as professionally exposed and consequently no personal monitoring should be necessary for them. Thus the inventory of exposures is somewhat difficult as the workers implied in the transport process are not classified as exposed workers and not subject to personnal or collective dosimetry. Therefore a good knowledge of the exposures received during the transport of irradiated fuels should require a systematic follow up of this kind of transport all along their route including a careful dosimetric monitoring of the workers taking part in the transport. On the other hand, the reduction of the doses obtained by increasing the mechanization involves very high monetary costs as compared to the reduction of the detriment. Perhaps a more important reduction of the exposures could be attained by a better protection in the cars or lorries used for the transport of categories A and B packages. But it seems that in the case of the transports, the optimization is applied mainly during the conception and the testing of the packages and only little progress will be possible without involving disproportionated monetary costs. 4 references, 10 tables

  19. Enhancing physical activity in older adults receiving hospital based rehabilitation: a phase II feasibility study

    Directory of Open Access Journals (Sweden)

    Said Catherine M


    Full Text Available Abstract Background Older adults receiving inpatient rehabilitation have low activity levels and poor mobility outcomes. Increased physical activity may improve mobility. The objective of this Phase II study was to evaluate the feasibility of a randomized controlled trial (RCT of enhanced physical activity in older adults receiving rehabilitation. Methods Patients admitted to aged care rehabilitation with reduced mobility were randomized to receive usual care or usual care plus additional physical activity, which was delivered by a physiotherapist or physiotherapy assistant. The feasibility and safety of the proposed RCT protocol was evaluated. The primary clinical outcome was mobility, which was assessed on hospital admission and discharge by an assessor blinded to group assignment. To determine the most appropriate measure of mobility, three measures were trialled; the Timed Up and Go, the Elderly Mobility Scale and the de Morton Mobility Index. Results The protocol was feasible. Thirty-four percent of people admitted to the ward were recruited, with 47 participants randomised to a control (n = 25 or intervention group (n = 22. The rates of adverse events (death, falls and readmission to an acute service did not differ between the groups. Usual care therapists remained blind to group allocation, with no change in usual practice. Physical activity targets were met on weekdays but not weekends and the intervention was acceptable to participants. The de Morton Mobility Index was the most appropriate measure of mobility. Conclusions The proposed RCT of enhanced physical activity in older adults receiving rehabilitation was feasible. A larger multi-centre RCT to establish whether this intervention is cost effective and improves mobility is warranted. Trial registration The trial was registered with the ANZTCR (ACTRN12608000427370.

  20. Crustal structure of the rifted volcanic margins and uplifted plateau of Western Yemen from receiver function analysis (United States)

    Ahmed, Abdulhakim; Tiberi, Christel; Leroy, Sylvie; Stuart, Graham W.; Keir, Derek; Sholan, Jamal; Khanbari, Khaled; Al-Ganad, Ismael; Basuyau, Clémence


    We analyse P-wave receiver functions across the western Gulf of Aden and southern Red Sea continental margins in Western Yemen to constrain crustal thickness, internal crustal structure and the bulk seismic velocity characteristics in order to address the role of magmatism, faulting and mechanical crustal thinning during continental breakup. We analyse teleseismic data from 21 stations forming the temporary Young Conjugate Margins Laboratory (YOCMAL) network together with GFZ and Yemeni permanent stations. Analysis of computed receiver functions shows that (1) the thickness of unextended crust on the Yemen plateau is ˜35 km; (2) this thins to ˜22 km in coastal areas and reaches less than 14 km on the Red Sea coast, where presence of a high-velocity lower crust is evident. The average Vp/Vs ratio for the western Yemen Plateau is 1.79, increasing to ˜1.92 near the Red Sea coast and decreasing to 1.68 for those stations located on or near the granitic rocks. Thinning of the crust, and by inference extension, occurs over a ˜130-km-wide transition zone from the Red Sea and Gulf of Aden coasts to the edges of the Yemen plateau. Thinning of continental crust is particularly localized in a <30-km-wide zone near the coastline, spatially co-incident with addition of magmatic underplate to the lower crust, above which on the surface we observe the presence of seaward dipping reflectors (SDRs) and thickened Oligo-Miocene syn-rift basaltic flows. Our results strongly suggest the presence of high-velocity mafic intrusions in the lower crust, which are likely either synrift magmatic intrusion into continental lower crust or alternatively depleted upper mantle underplated to the base of the crust during the eruption of the SDRs. Our results also point towards a regional breakup history in which the onset of rifting was synchronous along the western Gulf of Aden and southern Red Sea volcanic margins followed by a second phase of extension along the Red Sea margin.

  1. Identifying drivers of overall satisfaction in patients receiving HIV primary care: a cross-sectional study.

    Directory of Open Access Journals (Sweden)

    Bich N Dang

    Full Text Available OBJECTIVE: This study seeks to understand the drivers of overall patient satisfaction in a predominantly low-income, ethnic-minority population of HIV primary care patients. The study's primary aims were to determine 1 the component experiences which contribute to patients' evaluations of their overall satisfaction with care received, and 2 the relative contribution of each component experience in explaining patients' evaluation of overall satisfaction. METHODS: We conducted a cross-sectional study of 489 adult patients receiving HIV primary care at two clinics in Houston, Texas, from January 13-April 21, 2011. The participation rate among eligible patients was 94%. The survey included 15 questions about various components of the care experience, 4 questions about the provider experience and 3 questions about overall care. To ensure that the survey was appropriately tailored to our clinic population and the list of component experiences reflected all aspects of the care experience salient to patients, we conducted in-depth interviews with key providers and clinic staff and pre-tested the survey instrument with patients. RESULTS: Patients' evaluation of their provider correlated the strongest with their overall satisfaction (standardized β = 0.445, p<0.001 and accounted for almost half of the explained variance. Access and availability, like clinic hours and ease of calling the clinic, also correlated with overall satisfaction, but less strongly. Wait time and parking, despite receiving low patient ratings, did not correlate with overall satisfaction. CONCLUSIONS: The patient-provider relationship far exceeds other component experiences of care in its association with overall satisfaction. Our study suggests that interventions to improve overall patient satisfaction should focus on improving patients' evaluation of their provider.

  2. Dose-volume modeling of salivary function in patients with head-and-neck cancer receiving radiotherapy

    International Nuclear Information System (INIS)

    Blanco, Angel I.; Chao, K.S. Clifford; El Naqa, Issam; Franklin, Gregg E.; Zakarian, Konstantin; Vicic, Milos; Deasy, Joseph O.


    Purpose: We investigated the factors that affect salivary function after head-and-neck radiotherapy (RT), including parotid gland dose-volume effects, potential compensation by less-irradiated gland tissue, and functional recovery over time. Methods and Materials: Sixty-five patients with head-and-neck tumors were enrolled in a prospective salivary function study. RT was delivered using intensity-modulated RT (n = 45), forward-planning three-dimensional conformal RT (n = 14), or three-dimensional conformal RT with an intensity-modulated RT boost (n = 6). Whole salivary flow was measured before therapy and at 6 months (n = 61) and 12 months (n = 31) after RT. A wide variety of dose-volume models to predict post-RT salivary function were tested. Xerostomia was defined according to the subjective, objective, management, analytic (SOMA) criteria as occurring when posttreatment salivary function was s ] = 0.46, p s = 0.73), stimulated saliva flow at 12 months (R s = 0.54), and quality-of-life score at 6 months (R s = 0.35) after RT. Conclusion: Stimulated parotid salivary gland dose-volume models strongly correlated with both stimulated salivary function and quality-of-life scores at 6 months after RT. The mean stimulated saliva flow rates improved from 6 to 12 months after RT. Salivary function, in each gland, appeared to be lost exponentially at a rate of approximately 5%/1 Gy of mean dose. Additional research is necessary to distinguish among the models for use in treatment planning. The incidence of xerostomia was significantly decreased when the mean dose of at least one parotid gland was kept to <25.8 Gy with conventional fractionation. However, even lower mean doses imply increased late salivary function

  3. A Follow-Up Study from a Multisite, Randomized Controlled Trial for Traumatized Children Receiving TF-CBT. (United States)

    Jensen, Tine K; Holt, Tonje; Ormhaug, Silje M


    Trauma-focused cognitive behavioral therapy (TF-CBT) is the treatment of choice for traumatized youth, however, follow-up studies are scarce, and treatment effects for co-occurring depression show mixed findings. The aims of this study were to examine whether treatment effects of TF-CBT are maintained at 18 month follow-up and whether degree of co-occurring depression influences treatment effects. As rapid improvement in psychological functioning is warranted for youth, we also investigated whether the symptom trajectory was different for TF-CBT compared to therapy as usual (TAU). The sample consisted of 156 youth (M age = 15.05, 79.50% girls) randomly assigned to TF-CBT or TAU. The youth were assessed for posttraumatic stress symptoms (PTSS), depression, anxiety and general mental health symptoms. Mixed effects analyses followed the symptom courses over 5 time points. Youth receiving TF-CBT maintained their symptom improvement at 18 months follow-up with scores below clinical cut-of on all symptom measures. The most depressed youth had also a significant decline in symptoms that were maintained at follow-up. Symptom trajectories differed as the TF-CBT group reported a more rapid symptom reduction compared to the TAU condition. In the TAU condition, participants received 1.5 times the number of treatment sessions compared to the TF-CBT participants. After 18 months the groups were significantly different on general mental health symptoms only. In conclusion, youth receiving TF-CBT experienced more efficient improvement in trauma related symptoms than youth receiving TAU and these improvements were maintained after 18 months. Also youth experiencing serious co-occurring depression benefitted from TF-CBT.

  4. Ongoing lithospheric removal in the western Mediterranean: Evidence from Ps receiver functions and thermobarometry of Neogene basalts (PICASSO project) (United States)

    Thurner, Sally; Palomeras, Imma; Levander, Alan; Carbonell, Ramon; Lee, Cin-Ty


    The western Mediterranean tectonic system consists of the Betic Mountains in southern Spain and the Rif Mountains in northern Morocco curved around the back-arc extensional Alboran basin. Multiple tectonic models have been developed to explain the coeval compressional and extensional tectonic processes that have affected the western Mediterranean since the Oligocene. In order to provide constraints on these evolutionary models, we use Ps teleseismic receiver functions (RF), thermobarometric analyses of post-Oligocene basalts, and previous teleseismic tomography images to investigate the lithospheric structure of the region. Ps RFs were calculated using seismic data from 239 broadband seismic stations in southern Iberia and northern Morocco and thermobarometric analysis was performed on 19 volcanic samples distributed throughout the region. The RF images reveal a highly variable Moho depth (˜25 to ˜55 km), as well as a strong positive, sub-Moho horizon between ˜45 and ˜80 km depth beneath the central Betic and Rif Mountains, which we interpret to be the top of the previously imaged Alboran Sea slab. Thermobarometric constraints from magmas in the eastern Betics and Rif indicate mantle melting depths between 40 and 60 km, typical of melting depths beneath mid-oceanic ridges where little to no lithosphere exists. Together, the RF and thermobarometric data suggest ongoing and recent slab detachment resulting from delamination of the continental lithosphere.

  5. Evaluation of the Slope of Amplitude Growth Function Changes of the Electrically Evoked Action Potential in Three Months after Receiving the Device in Children with Cochlear Implant

    Directory of Open Access Journals (Sweden)

    Ali Reza Pourjavid


    Full Text Available Objective: In neural response telemetry, intracochlear electrodes stimulate the auditory nerve and record the neural responses. The electrical stimulation is sent to the auditory nerve by an electrode and the resulted response, called electrically evoked compound action potential, is recorded by an adjacent electrode. The most important clinical applications of this test are evaluation and monitoring the intra and postoperative responses of auditory nerve and help to primary setting of speech processor. The aim of this study was evaluating the potential's slope of amplitude growth function changes three monthes after receiving the devise in pediatric cochlear implant recipients. Materials & Methods: This longitudinal study evaluated the potentials' slope of amplitude growth function changes in four given electrodes in four sessions after receiving the devise by approximately one month's intervals in all of the children who implanted in Amir Alam and Hazrat-e-Rasoul hospitals in 2007, July to December. Friedman test was used to analyse the results. Results: Electrically evoked compound action potential's mean slope of each electrode was more in later sessions relative to first session, while there was significant difference between the 1st and the other electrodes’ responses in every session (P<0.05. Conclusion: The reliabiliy of the responses results in more assurance of clinician to fit the speech processor for along time. Better responses in apical electrodes may lead to develope an effective coding strategy.

  6. Renal function study using I-123-OIH

    International Nuclear Information System (INIS)

    Yamashita, Masato; Osaka, Yosio; Aikawa, Ichiro


    Twenty-eight renal function studies were performed in 24 patients with renal diseases with I-123 orthoiodohippurate (I-123 OIH). Neither side effects nor abnormal laboratory values were attributable to I-123 OIH. Imaging with Tc-99m diethylene triaminepentaacetic acid (DTPA) was also performed in 20 patients within one week after I-123 imaging. Findings with I-123 OIH and Tc-99m DTPA were similar in all except for two patients. The two patients had received cadaveric renal transplantation. One patient presented with acute tubular necrosis and the other with chronic renal rejection. In these patients, I-123 imaging showed vascular stricture and Tc-99m imaging showed a decreased glomerular function. Because I-123 OIH and Tc-99m DTPA had different pharmacodynamics, combined use of the two imaging agents may be useful in evaluating renal rejection or acute tubular necrosis. (N.K.)

  7. Pediatric Patients Receiving Specialized Palliative Home Care According to German Law: A Prospective Multicenter Cohort Study

    Directory of Open Access Journals (Sweden)

    Silke Nolte-Buchholtz


    Full Text Available In Germany, every child with a life-limiting condition suffering from symptoms that cannot sufficiently be controlled is eligible by law for specialized pediatric palliative home care (SPPHC. It is the aim of this study to describe the demographic and clinical characteristics of children referred to SPPHC and to compare patients with cancer and non-cancer conditions. The prospective multicenter study includes data on 75 children (median age 7.7 years, 50.7% male. The majority had non-cancer conditions (72%. The most common symptoms were cognitive impairment, somatic pain, impairment in communication or swallowing difficulties. Swallowing difficulties, seizures, and spasticity occurred significantly more often in non-cancer patients (p < 0.01. Cancer patients received antiemetics significantly more often (permanent and on demand than non-cancer patients (p < 0.01. Significantly more non-cancer patients had some type of feeding tube (57.3% or received oxygen (33.3% (p < 0.01. Central venous catheters had been fitted in 20% of the patients, mostly in cancer patients (p < 0.001. Tracheostomy tubes (9.3% or ventilation (14.7% were only used in non-cancer patients. In conclusion, patients referred to SPPHC are a diverse cohort with complex conditions including a large range of neurologically originating symptoms. The care of pediatric palliative care patients with cancer is different to the care of non-cancer patients.

  8. Design of a receiver operating characteristic (ROC) study of 10:1 lossy image compression (United States)

    Collins, Cary A.; Lane, David; Frank, Mark S.; Hardy, Michael E.; Haynor, David R.; Smith, Donald V.; Parker, James E.; Bender, Gregory N.; Kim, Yongmin


    The digital archiving system at Madigan Army Medical Center (MAMC) uses a 10:1 lossy data compression algorithm for most forms of computed radiography. A systematic study on the potential effect of lossy image compression on patient care has been initiated with a series of studies focused on specific diagnostic tasks. The studies are based upon the receiver operating characteristic (ROC) method of analysis for diagnostic systems. The null hypothesis is that observer performance with approximately 10:1 compressed and decompressed images is not different from using original, uncompressed images for detecting subtle pathologic findings seen on computed radiographs of bone, chest, or abdomen, when viewed on a high-resolution monitor. Our design involves collecting cases from eight pathologic categories. Truth is determined by committee using confirmatory studies performed during routine clinical practice whenever possible. Software has been developed to aid in case collection and to allow reading of the cases for the study using stand-alone Siemens Litebox workstations. Data analysis uses two methods, ROC analysis and free-response ROC (FROC) methods. This study will be one of the largest ROC/FROC studies of its kind and could benefit clinical radiology practice using PACS technology. The study design and results from a pilot FROC study are presented.

  9. Reiki Therapy for Symptom Management in Children Receiving Palliative Care: A Pilot Study. (United States)

    Thrane, Susan E; Maurer, Scott H; Ren, Dianxu; Danford, Cynthia A; Cohen, Susan M


    Pain may be reported in one-half to three-fourths of children with cancer and other terminal conditions and anxiety in about one-third of them. Pharmacologic methods do not always give satisfactory symptom relief. Complementary therapies such as Reiki may help children manage symptoms. This pre-post mixed-methods single group pilot study examined feasibility, acceptability, and the outcomes of pain, anxiety, and relaxation using Reiki therapy with children receiving palliative care. A convenience sample of children ages 7 to 16 and their parents were recruited from a palliative care service. Two 24-minute Reiki sessions were completed at the children's home. Paired t tests or Wilcoxon signed-rank tests were calculated to compare change from pre to post for outcome variables. Significance was set at P Reiki therapy did decrease pain, anxiety, heart, and respiratory rates, but small sample size deterred statistical significance. This preliminary work suggests that complementary methods of treatment such as Reiki may be beneficial to support traditional methods to manage pain and anxiety in children receiving palliative care.

  10. Structure of the Crust Beneath Cameroon, West Africa, from the Joint Inversion of Rayleigh Wave Group Velocities and Receiver Functions

    International Nuclear Information System (INIS)

    Tokam, Alain-Pierre K.; Tabod, Charles T.; Nyblade, Andrew A.; Jordi Julia; Wiens, Douglas A.; Pasyanos, Michael E.


    The joint inversion of Rayleigh wave group velocities and receiver functions was carried out to investigate the crustal and uppermost mantle structures beneath Cameroon. This was achieved using data from 32 broadband seismic stations installed for 2 years across Cameroon. The Moho depth estimates reveal that the Precambrian crust is variable across the country and shows some significant differences compared to other similar geologic units in East and South Africa. These differences suggest that the setting of the Cameroon Volcanic Line (CVL) and the eastward extension of the Benue Trough have modified the crust of the Panafrican mobile belt in Cameroon by thinning beneath the Rift area and CVL. The velocity models obtained from the joint inversion show at most stations, a layer with shear wave velocities ≥ 4.0 km/s, indicating the presence of a mafic component in the lower crust, predominant beneath the Congo Craton. The lack of this layer at stations within the Panafrican mobile belt may partly explain the crustal thinning observed beneath the CVL and rift area. The significant presence of this layer beneath the Craton, results from the 2100 Ma magmatic events at the origin of the emplacement of swarms of mafic dykes in the region. The CVL stations are underlain by a crust of 35 km on average except near Mt-Cameroon where it is about 25 km. The crustal thinning observed beneath Mt. Cameroon supported by the observed positive gravity anomalies here, suggests the presence of dense astenospheric material within the lithosphere. Shear wave velocities are found to be slower in the crust and uppermost mantle beneath the CVL than the nearby tectonic terrains, suggesting that the origin of the line may be an entirely mantle process through the edge-flow convection process. (author)

  11. Receiver function and gravity constraints on crustal structure and vertical movements of the Upper Mississippi Embayment and Ozark Uplift (United States)

    Liu, Lin; Gao, Stephen S.; Liu, Kelly H.; Mickus, Kevin


    The Upper Mississippi Embayment (UME), where the seismically active New Madrid Seismic Zone resides, experienced two phases of subsidence commencing in the Late Precambrian and Cretaceous, respectively. To provide new constraints on models proposed for the mechanisms responsible for the subsidence, we computed and stacked P-to-S receiver functions recorded by 49 USArray and other seismic stations located in the UME and the adjacent Ozark Uplift and modeled Bouguer gravity anomaly data. The inferred thickness, density, and Vp/Vs of the upper and lower crustal layers suggest that the UME is characterized by a mafic and high-density upper crustal layer of ˜30 km thickness, which is underlain by a higher-density lower crustal layer of up to ˜15 km. Those measurements, in the background of previously published geological observations on the subsidence and uplift history of the UME, are in agreement with the model that the Cretaceous subsidence, which was suggested to be preceded by an approximately 2 km uplift, was the consequence of the passage of a previously proposed thermal plume. The thermoelastic effects of the plume would have induced wide-spread intrusion of mafic mantle material into the weak UME crust fractured by Precambrian rifting and increased its density, resulting in renewed subsidence after the thermal source was removed. In contrast, the Ozark Uplift has crustal density, thickness, and Vp/Vs measurements that are comparable to those observed on cratonic areas, suggesting an overall normal crust without significant modification by the proposed plume, probably owing to the relatively strong and thick lithosphere.

  12. Verbal responses, depressive symptoms, reminiscence functions and cognitive emotion regulation in older women receiving individual reminiscence therapy. (United States)

    Wu, Dongmei; Chen, Taolin; Yang, Hao; Gong, Qiyong; Hu, Xiuying


    To examine the effectiveness of individual reminiscence therapy in community-dwelling older women with depressive symptoms and to explore the characteristics of participants' verbalisation in the process. Previous studies have found reminiscence was related to depression and anxiety. Although reminiscence therapy is widely used to reduce depression, little is known about how it works, and the content of verbalisations might provide one explanation. The study employed a one-group pretest-post-test design. Twenty-seven participants underwent 6-week interventions of individual reminiscence therapy at home that were conducted by one nurse and induced through seeing old photographs. The Geriatric Depression Scale, Zung Self-rating Anxiety Scale, Reminiscence Functions Scale and Cognitive Emotion Regulation Questionnaire were used to measure the emotional states, reminiscence functions and cognitive emotion regulation strategies. Participants' verbalisations were categorised using the Client Behavior System. Reminiscence therapy relieved depression and anxiety. Both the reminiscence function and cognitive emotion regulation became more favourable after interventions. Furthermore, higher frequencies of recounting, cognitive-behavioural exploration and affective exploration were noted in the process. Participants with more severe depressive symptoms tended to display a higher frequency of affective exploration. The reduction in depression, self-negative reminiscence and negative-focused emotion regulation were respectively associated with verbalisations. Individual reminiscence therapy might relieve negative emotion and improve reminiscence function and cognitive emotion regulation. The participants' verbalisation is worthy of our attention, due to its correlation with the severity of depression and its mitigating effects on the depression, anxiety, self-negative reminiscence and negative-focused regulation in older women. The results contribute to our understanding of

  13. Performance measurement of receivable accounts’ risk management: A case study of Tehran Stock Exchange

    Directory of Open Access Journals (Sweden)

    Mohammad Ahmadi


    Full Text Available This paper presents a logistic regression model to measure risk management of receivable accounts on some selected firms from drug industry listed on Tehran Stock Exchange. The proposed study of this paper considers the effects of different variables such as current ratio, quick ratio, working capital on total assets and cash flow on economic value added. We gather the necessary information of 29 firms over the period 2006-2011. The results of our survey indicate that the proposed model of this paper is capable of forecasting high profit firms with a probability of 87.5%, 58.62% is the likelihood of predicting less profitable firms and on average, the firm could forecast profitable firms for 75.54%, successfully.

  14. Role of social workers to support single mothers: A case study of welfare receivers in Iran

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    Mohammad Reza Iravani


    Full Text Available The women who lose their partners normally face tremendous challenges among their parents and in society. Women may lose their husbands for different reasons such as divorce, drug addiction, violence and migration. They may often look to build a new life very quickly but will find out that society does not treat them, properly. It is more difficult to find job and even a job opportunity does not provide sufficient pay. In this paper, we study the impact of different affecting parameters on empowering single mothers such as audacity, social responsibility, trouble shooting, flexibility, stress tolerance, etc. We choose 200 single mothers who receive welfare from the government of Iran and distribute a questionnaire among them based on four different questions associated with social, economical, feeling and empowering. The results indicate that audacity and social responsibility are the most important items while being optimistic, independent and flexibility are counted as having the least impact on empowering single mothers.

  15. A Feasibility Study of Virtual Reality Exercise in Elderly Patients with Hematologic Malignancies Receiving Chemotherapy. (United States)

    Tsuda, Kenji; Sudo, Kazuaki; Goto, Goro; Takai, Makiko; Itokawa, Tatsuo; Isshiki, Takahiro; Takei, Naoko; Tanimoto, Tetsuya; Komatsu, Tsunehiko


    Adherence to rehabilitation exercise is much lower in patients with hematologic malignancies (22.5-45.8%) than in patients with solid tumors (60-85%) due to the administration of more intensive chemotherapeutic regimens in the former. Virtual reality exercise can be performed even in a biological clean room and it may improve the adherence rates in elderly patients with hematologic malignancies. Thus, in this pilot study, we aimed to investigate the feasibility and safety of virtual reality exercise intervention using Nintendo Wii Fit in patients with hematologic malignancies receiving chemotherapy. In this feasibility study, 16 hospitalized patients with hematologic malignancies aged ≥60 years performed virtual reality exercise for 20 minutes using the Nintendo Wii Fit once a day, five times a week, from the start of chemotherapy until hospital discharge. The adherence rate, safety, and physical and psychological performances were assessed. The adherence rate for all 16 patients was 66.5%. Nine patients completed the virtual reality exercise intervention with 88 sessions, and the adherence rate was 62.0%. No intervention-related adverse effects >Grade 2, according to National Cancer Institute Common Terminology Criteria for Adverse Events version 3.0, were observed. We noted maintenance of the physical performance (e.g., Barthel index, handgrip strength, knee extension strength, one-leg standing time, and the scores of timed up and go test and Instrumental Activities of Daily Living) and psychosocial performance (e.g., score of hospital anxiety and depression scale). Virtual reality exercise using the Wii Fit may be feasible, safe and efficacious, as demonstrated in our preliminary results, for patients with hematologic malignancies receiving chemotherapy.

  16. Clinical characteristics of pneumonia in bedridden patients receiving home care: a 3-year prospective observational study. (United States)

    Ishida, Tadashi; Tachibana, Hiromasa; Ito, Akihiro; Ikeda, Satoshi; Furuta, Kenjiro; Nishiyama, Akihiro; Noyama, Maki; Tokioka, Fumiaki; Yoshioka, Hiroshige; Arita, Machiko


    The aim of the study was to describe the epidemiology, clinical features, antimicrobial treatment, and outcomes of bedridden pneumonia patients receiving home healthcare. A 3-year prospective observational study of poor performance status (PS) 3-4 patients receiving long-term home healthcare and hospitalized at a single center with pneumonia between October 2010 and September 2013 was conducted, and their clinical characteristics were compared with non-bedridden community-acquired pneumonia (CAP) patients. A total of 131 CAP patients with PS 3-4, and 400 CAP patients with PS 0-2 were evaluated. The PS 3-4 patients were older, and exhibited a higher frequency of underlying diseases. Aspiration was thought to be associated with pneumonia in 77.1% of the PS 3-4 patients. Streptococcus pneumoniae was the leading pathogen in both groups, whereas the frequency of streptococci and polymicrobial infections was higher in the PS 3-4 group. The incidence of multidrug-resistant pathogens such as methicillin-resistant Staphylococcus aureus (MRSA) or Pseudomonas aeruginosa was lower than in previous healthcare-associated pneumonia reports. The in-hospital mortality and recurrence rates were significantly higher in the PS 3-4 group than in the good PS group (17.6% vs. 6.0%, p < 0.001 and 15.3% vs. 7.5%, p = 0.008, respectively). The clinical characteristics of pneumonia in poor PS patients were similar to healthcare-associated pneumonia (HCAP), except for the frequency of drug-resistant pathogens. Hence, it might be beneficial to categorize pneumonia in home residents with poor PS separately from pneumonia in CAP patients who were previously healthy or experienced mild comorbidities. Copyright © 2015 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  17. Impact of magnetic field strength and receiver coil in ocular MRI: a phantom and patient study. (United States)

    Erb-Eigner, K; Warmuth, C; Taupitz, M; Willerding, G; Bertelmann, E; Asbach, P


    Generally, high-resolution MRI of the eye is performed with small loop surface coils. The purpose of this phantom and patient study was to investigate the influence of magnetic field strength and receiver coils on image quality in ocular MRI. The eyeball and the complex geometry of the facial bone were simulated by a skull phantom with swine eyes. MR images were acquired with two small loop surface coils with diameters of 4 cm and 7 cm and with a multi-channel head coil at 1.5 and 3 Tesla, respectively. Furthermore, MRI of the eye was performed prospectively in 20 patients at 1.5 Tesla (7 cm loop surface coil) and 3 Tesla (head coil). These images were analysed qualitatively and quantitatively and statistical significance was tested using the Wilcoxon-signed-rank test (a p-value of less than 0.05 was considered to indicate statistical significance). The analysis of the phantom images yielded the highest mean signal-to-noise ratio (SNR) at 3 Tesla with the use of the 4 cm loop surface coil. In the phantom experiment as well as in the patient studies the SNR was higher at 1.5 Tesla by applying the 7 cm surface coil than at 3 Tesla by applying the head coil. Concerning the delineation of anatomic structures no statistically significant differences were found. Our results show that the influence of small loop surface coils on image quality (expressed in SNR) in ocular MRI is higher than the influence of the magnetic field strength. The similar visibility of detailed anatomy leads to the conclusion that the image quality of ocular MRI at 3 Tesla remains acceptable by applying the head coil as a receiver coil. © Georg Thieme Verlag KG Stuttgart · New York.

  18. Experimental Design and Data Analysis in Receiver Operating Characteristic Studies: Lessons Learned from Reports in Radiology from 1997 to 20061 (United States)

    Shiraishi, Junji; Pesce, Lorenzo L.; Metz, Charles E.; Doi, Kunio


    Purpose: To provide a broad perspective concerning the recent use of receiver operating characteristic (ROC) analysis in medical imaging by reviewing ROC studies published in Radiology between 1997 and 2006 for experimental design, imaging modality, medical condition, and ROC paradigm. Materials and Methods: Two hundred ninety-five studies were obtained by conducting a literature search with PubMed with two criteria: publication in Radiology between 1997 and 2006 and occurrence of the phrase “receiver operating characteristic.” Studies returned by the query that were not diagnostic imaging procedure performance evaluations were excluded. Characteristics of the remaining studies were tabulated. Results: Two hundred thirty-three (79.0%) of the 295 studies reported findings based on observers' diagnostic judgments or objective measurements. Forty-three (14.6%) did not include human observers, with most of these reporting an evaluation of a computer-aided diagnosis system or functional data obtained with computed tomography (CT) or magnetic resonance (MR) imaging. The remaining 19 (6.4%) studies were classified as reviews or meta-analyses and were excluded from our subsequent analysis. Among the various imaging modalities, MR imaging (46.0%) and CT (25.7%) were investigated most frequently. Approximately 60% (144 of 233) of ROC studies with human observers published in Radiology included three or fewer observers. Conclusion: ROC analysis is widely used in radiologic research, confirming its fundamental role in assessing diagnostic performance. However, the ROC studies reported in Radiology were not always adequate to support clear and clinically relevant conclusions. © RSNA, 2009 Supplemental material: PMID:19864510

  19. Improvement in pulmonary functions and clinical parameters due to addition of breathing exercises in asthma patients receiving optimal treatment

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    Dipti Agarwal


    Conclusions: Breathing exercises provided significant improvements in spirometric parameters and significant reduction in breathlessness, wheezing, and nocturnal symptoms as well as requirements of rescue medicines in asthma patients who were receiving optimal asthma treatment.

  20. Psychosocial functioning and depressive symptoms among HIV-positive persons receiving care and treatment in Kenya, Namibia, and Tanzania. (United States)

    Seth, Puja; Kidder, Daniel; Pals, Sherri; Parent, Julie; Mbatia, Redempta; Chesang, Kipruto; Mbilinyi, Deogratius; Koech, Emily; Nkingwa, Mathias; Katuta, Frieda; Ng'ang'a, Anne; Bachanas, Pamela


    In sub-Saharan Africa, the prevalence of depressive symptoms among people living with HIV (PLHIV) is considerably greater than that among members of the general population. It is particularly important to treat depressive symptoms among PLHIV because they have been associated with poorer HIV care-related outcomes. This study describes overall psychosocial functioning and factors associated with depressive symptoms among PLHIV attending HIV care and treatment clinics in Kenya, Namibia, and Tanzania. Eighteen HIV care and treatment clinics (six per country) enrolled approximately 200 HIV-positive patients (for a total of 3,538 participants) and collected data on patients' physical and mental well-being, medical/health status, and psychosocial functioning. Although the majority of participants did not report clinically significant depressive symptoms (72 %), 28 % reported mild to severe depressive symptoms, with 12 % reporting severe depressive symptoms. Regression models indicated that greater levels of depressive symptoms were associated with: (1) being female, (2) younger age, (3) not being completely adherent to HIV medications, (4) likely dependence on alcohol, (5) disclosure to three or more people (versus one person), (6) experiences of recent violence, (7) less social support, and (8) poorer physical functioning. Participants from Kenya and Namibia reported greater depressive symptoms than those from Tanzania. Approximately 28 % of PLHIV reported clinically significant depressive symptoms. The scale-up of care and treatment services in sub-Saharan Africa provides an opportunity to address psychosocial and mental health needs for PLHIV as part of comprehensive care.

  1. Neurocognitive Function of Patients with Brain Metastasis Who Received Either Whole Brain Radiotherapy Plus Stereotactic Radiosurgery or Radiosurgery Alone

    International Nuclear Information System (INIS)

    Aoyama, Hidefumi; Tago, Masao; Kato, Norio; Toyoda, Tatsuya; Kenjyo, Masahiro; Hirota, Saeko; Shioura, Hiroki; Inomata, Taisuke; Kunieda, Etsuo; Hayakawa, Kazushige; Nakagawa, Keiichi; Kobashi, Gen; Shirato, Hiroki


    Purpose: To determine how the omission of whole brain radiotherapy (WBRT) affects the neurocognitive function of patients with one to four brain metastases who have been treated with stereotactic radiosurgery (SRS). Methods and Materials: In a prospective randomized trial between WBRT+SRS and SRS alone for patients with one to four brain metastases, we assessed the neurocognitive function using the Mini-Mental State Examination (MMSE). Of the 132 enrolled patients, MMSE scores were available for 110. Results: In the baseline MMSE analyses, statistically significant differences were observed for total tumor volume, extent of tumor edema, age, and Karnofsky performance status. Of the 92 patients who underwent the follow-up MMSE, 39 had a baseline MMSE score of ≤27 (17 in the WBRT+SRS group and 22 in the SRS-alone group). Improvements of ≥3 points in the MMSEs of 9 WBRT+SRS patients and 11 SRS-alone patients (p = 0.85) were observed. Of the 82 patients with a baseline MMSE score of ≥27 or whose baseline MMSE score was ≤26 but had improved to ≥27 after the initial brain treatment, the 12-, 24-, and 36-month actuarial free rate of the 3-point drop in the MMSE was 76.1%, 68.5%, and 14.7% in the WBRT+SRS group and 59.3%, 51.9%, and 51.9% in the SRS-alone group, respectively. The average duration until deterioration was 16.5 months in the WBRT+SRS group and 7.6 months in the SRS-alone group (p = 0.05). Conclusion: The results of the present study have revealed that, for most brain metastatic patients, control of the brain tumor is the most important factor for stabilizing neurocognitive function. However, the long-term adverse effects of WBRT on neurocognitive function might not be negligible

  2. A single institution study of radiation dose received from CT imaging: A comparison to Malaysian NDRL (United States)

    Osman, N. D.; Shamsuri, S. B. M.; Tan, Y. W.; Razali, M. A. S. M.; Isa, S. M.


    Advancement of CT technology has led to an increase in CT scanning as it improves the diagnosis. However, it is important to assess health risk of patients associated with ionising radiation received from CT. This study evaluated current dose distributions at Advanced Medical and Dental Institute (AMDI), Malaysia and was used to establish Local Diagnostic Reference Level (LDRL). Dose indicators such as CT Dose Index (CTDIvol and CTDIw) and Dose-Length Product (DLP) were gathered for all routine CT examinations performed at the Imaging Unit, AMDI from January 2015 to June 2016. The first and third quartile values for each dose indicator were determined. A total of 364 CT studies were performed during that period with the highest number of cases being Thorax-Abdomen-Pelvis (TAP) study (57% of total study). The CTDIw ranged between 2.0 mGy to 23.4 mGy per procedure. DLP values were ranged between 94 to 1687 The local dose data was compared with the national DRL to monitor the current CT practice at AMDI and LDRL will be established from the calculated third quartile values of dose distribution. From the results, some of the local dose values exceeded the Malaysian and further evaluation is important to ensure the dose optimisation for patients.

  3. A single institution study of radiation dose received from CT imaging: A comparison to Malaysian NDRL

    International Nuclear Information System (INIS)

    Osman, N D; Shamsuri, S B M; Razali, M A S M; Isa, S M; Tan, Y W


    Advancement of CT technology has led to an increase in CT scanning as it improves the diagnosis. However, it is important to assess health risk of patients associated with ionising radiation received from CT. This study evaluated current dose distributions at Advanced Medical and Dental Institute (AMDI), Malaysia and was used to establish Local Diagnostic Reference Level (LDRL). Dose indicators such as CT Dose Index (CTDI vol and CTDI w ) and Dose-Length Product (DLP) were gathered for all routine CT examinations performed at the Imaging Unit, AMDI from January 2015 to June 2016. The first and third quartile values for each dose indicator were determined. A total of 364 CT studies were performed during that period with the highest number of cases being Thorax-Abdomen-Pelvis (TAP) study (57% of total study). The CTDI w ranged between 2.0 mGy to 23.4 mGy per procedure. DLP values were ranged between 94 to 1687 The local dose data was compared with the national DRL to monitor the current CT practice at AMDI and LDRL will be established from the calculated third quartile values of dose distribution. From the results, some of the local dose values exceeded the Malaysian and further evaluation is important to ensure the dose optimisation for patients. (paper)

  4. Modeling study on the thermal performance of a modified cavity receiver with glass window and secondary reflector

    International Nuclear Information System (INIS)

    Chang, Huawei; Duan, Chen; Wen, Ke; Liu, Yuting; Xiang, Can; Wan, Zhongmin; He, Sinian; Jing, Changwei; Shu, Shuiming


    Highlights: • A modified cavity receiver with glass window and secondary reflector is presented. • Optical and thermal performance of the modified cavity receiver is investigated. • Effects of glass window and secondary reflector are analyzed with comparison study. - Abstract: The development of a cavity receiver for a 1 kW beta type solar Stirling engine is presented in this work. The proposed receiver is composed of an additional quartz glass window and a secondary reflector aiming at improving the thermal performance. Monte-Carlo ray-tracing method is adopted to study the optical property and calculate radiative exchange factors of the solar collector system. The results show that the radiation flux sent to the proposed cavity receiver is 5003 W, and the optical efficiency of this receiver is 70.8%. Numerical simulation is conducted to investigate the thermal performance of this modified receiver. The proposed receiver is also compared with other three simulated receivers combining the presence and absence of the quartz glass window and the secondary reflector. The numerical simulation results show that the modified receiver with both quartz glass window and secondary trumpet reflector outperformed other designs, and its heat loss is reduced about 56% compared to the initial receiver without both quartz glass window and secondary reflector. Hence, the impact factors on the modified receiver radiation and convection heat transfer are well analyzed including temperature, the inner surface orientation and emissivity. The research indicates that the proposed cavity receiver can efficiently reduce the heat loss from cavity and is suitable for Stirling engine applications.

  5. Participation for Sustainable Urban Freight Transport Systems : A Case Study of Freight Receivers in the City of Gothenburg


    Lindkvist, Hannes


    This thesis is a case study research that look into the difficulty in engaging freight receivers in initiatives related to urban freight transport. The aim of the paper is to investigate how participatory processes could be formed for more successful outcomes and how the freight receivers could become more engaged in the processes. By conducting a qualitative research where primarily interviews with freight receivers and other concerned stakeholder were made, it was possible to distinguish di...

  6. Comparative study of receiver-side ghost wavefield attenuation on different marine acquisition configurations (United States)

    Zhang, Hao; Liu, Qiancheng; Li, Hongyuan; Zhang, Yi


    In marine seismic exploration, the ghost energies (down-going waves), which arise from the reflection at the surface, are often treated as unwanted signals for data processing. The ghost wave fields interfere with the desired primary signals, leads to frequency notches and attenuation of low frequencies, which in turn downgrade the resolution of the recorded seismic data. There are two main categories of methods to solve the ghost or the so-called notch problem: the non-conventional acquisition configuration-based technique and a deghosting algorithm-based solution. The variable-depth streamer (VDS) acquisition solution is one of the most representative methods in the first category, which has become a popular solution for marine seismic acquisition to obtain broad data bandwidth. However, this approach is not as economic as the conventional constant depth streamer (CDS) acquisition, due to the precise control of the towing streamer. In addition, there are large quantities of conventionally-towed legacy data stored in the data library. Applying receiver deghosting to the CDS data thus becomes a more economical method. In theory, both types of data after deghosting should have the same bandwidth and S/N ratio, but in reality they are different. In this paper, we conduct a comparative study and evaluation to apply receiver deghosting to a set of real 2D marine data including both types of acquisition (CDS and VDS) corresponding to the same geology. The deghosting algorithm we employed is a self-sustained, inversion-based approach operated in the τ-p domain. This evaluation can help us to understand two questions: whether the VDS acquisition has more broadband characteristics compared to conventional CDS acquisition after deghosting, and whether we can achieve the identical or similar data quality (e.g., S/N ratio) through the proper deghosting algorithm for both types of data. The comparative results are illustrated and discussed.

  7. The Feasibility and Safety of Surgery in Patients Receiving Immune Checkpoint Inhibitors: A Retrospective Study

    Directory of Open Access Journals (Sweden)

    Alexandra W. Elias


    Full Text Available Immune checkpoint inhibitors (ICI are revolutionizing care for cancer patients. The list of malignancies for which the Food and Drug Administration is granting approval is rapidly increasing. Furthermore, there is a concomitant increase in clinical trials incorporating ICI. However, the safety of ICI in patients undergoing surgery remains unclear. Herein, we assessed the safety of ICI in the perioperative setting at a single center. We conducted a retrospective review of patients who underwent planned surgery while receiving ICI in the perioperative setting from 2012 to 2016. We collected 30-day postoperative morbidity and mortality utilizing the Clavien–Dindo classification system. We identified 17 patients who received perioperative ICI in 22 operations. Patients were diagnosed with melanoma (n = 14, renal cell carcinoma (n = 2, and urothelial carcinoma (n = 1. Therapies included pembrolizumab (n = 10, ipilimumab (n = 5, atezolizumab (n = 5, and ipilimumab/nivolumab (n = 2. Procedures included cutaneous/subcutaneous resection (n = 6, lymph node resection (n = 5, small bowel resection (n = 5, abdominal wall resection (n = 3, other abdominal surgery (n = 3, orthopedic surgery (n = 1, hepatic resection (n = 1, and neurosurgery (n = 2. There were no Grade III–IV Clavien–Dindo complications. There was one death secondary to ventricular fibrillation in the setting of coronary artery disease. ICI appear safe in the perioperative setting, involving multiple different types of surgery, and likely do not need to be stopped in the perioperative setting. Further studies are warranted to confirm these findings.

  8. Crustal thickness variations in the Zagros continental collision zone (Iran) from joint inversion of receiver functions and surface wave dispersion (United States)

    Tatar, M.; Nasrabadi, A.


    Variations in crustal thickness in the Zagros determined by joint inversion of P wave receiver functions (RFs) and Rayleigh wave group and phase velocity dispersion. The time domain iterative deconvolution procedure was employed to compute RFs from teleseismic recordings at seven broadband stations of INSN network. Rayleigh wave phase velocity dispersion curves were estimated employing two-station method. Fundamental mode Rayleigh wave group velocities for each station is taken from a regional scale surface wave tomographic imaging. The main variations in crustal thickness that we observe are between stations located in the Zagros fold and thrust belt with those located in the Sanandaj-Sirjan zone (SSZ) and Urumieh-Dokhtar magmatic assemblage (UDMA). Our results indicate that the average crustal thickness beneath the Zagros Mountain Range varies from ˜46 km in Western and Central Zagros beneath SHGR and GHIR up to ˜50 km beneath BNDS located in easternmost of the Zagros. Toward NE, we observe an increase in Moho depth where it reaches ˜58 km beneath SNGE located in the SSZ. Average crustal thickness also varies beneath the UDMA from ˜50 km in western parts below ASAO to ˜58 in central parts below NASN. The observed variation along the SSZ and UDMA may be associated to ongoing slab steepening or break off in the NW Zagros, comparing under thrusting of the Arabian plate beneath Central Zagros. The results show that in Central Iran, the crustal thickness decrease again to ˜47 km below KRBR. There is not a significant crustal thickness difference along the Zagros fold and thrust belt. We found the same crystalline crust of ˜34 km thick beneath the different parts of the Zagros fold and thrust belt. The similarity of crustal structure suggests that the crust of the Zagros fold and thrust belt was uniform before subsidence and deposition of the sediments. Our results confirm that the shortening of the western and eastern parts of the Zagros basement is small and

  9. Unraveling the tectonic history of northwest Africa: Insights from shear-wave splitting, receiver functions, and geodynamic modeling (United States)

    Miller, M. S.; Becker, T. W.; Allam, A. A.; Alpert, L. A.; Di Leo, J. F.; Wookey, J. M.


    The complex tectonic history and orogenesis in the westernmost Mediterranean are primarily due to Cenozoic convergence of Africa with Eurasia. The Gibraltar system, which includes the Rif Mountains of Morocco and the Betics in Spain, forms a tight arc around the Alboran Basin. Further to the south the Atlas Mountains of Morocco, an example of an intracontinental fold and thrust belt, display only modest tectonic shortening, yet have unusually high topography. To the south of the Atlas, the anti-Atlas is the oldest mountain range in the region, has the lowest relief, and extends toward the northern extent of the West African Craton. To help unravel the regional tectonics, we use new broadband seismic data from 105 stations across the Gibraltar arc into southern Morocco. We use shear wave splitting analysis for a deep (617 km) local S event and over 230 SKS events to infer azimuthal seismic anisotropy and we image the lithospheric structure with receiver functions. One of the most striking discoveries from these methods is evidence for localized, near vertical-offset deformation of both crust-mantle and lithosphere-asthenosphere interfaces at the flanks of the High Atlas. These offsets coincide with the locations of Jurassic-aged normal faults that were reactivated during the Cenozoic. This suggests that these lithospheric-scale discontinuities were involved in the formation of the Atlas and are still active. Shear wave splitting results show that the inferred stretching axes are aligned with the highest topography in the Atlas, suggesting asthenospheric shearing in mantle flow guided by lithospheric topography. Geodynamic modeling shows that the inferred seismic anisotropy may be produced by the interaction of mantle flow with the subducted slab beneath the Alboran, the West African Craton, and the thinned lithosphere beneath the Atlas. Isostatic modeling based on these lithospheric structure estimates indicates that lithospheric thinning alone does not explain the

  10. Rift Structure in Eastern Papua New Guinea From the Joint Inversion of Receiver Functions and Seismic Noise (United States)

    Abers, G. A.; Obrebski, M. J.; Jin, G.; Eilon, Z.


    The recent CDPapua seismic array in the active D'Entrecasteaux-Woodlark Rift provides insights into how continental crust accommodates large extension. Here, >100 km of extension has occurred in the last 4-6 Ma, exhuming rocks from 100 km depth. To better understand the modes of deformation of the crust, we analyze shear wave velocity (Vs) distribution for a set of temporary land and ocean bottom broadband stations. We resolve the depth of the main velocity contrasts using receiver function (RF) analysis, alleviating the intrinsic trade-off between depth and velocity intrinsic by joint inversion with dispersion constraints (10 - 100 s) from earthquake surface waves and ambient noise. A transdimensional Bayesian scheme explores the model space (Vs in each layer, number of interfaces and their respective depths), minimizing the number of layers required to fit the observations given their noise level. Preliminary results suggest that the Moho is sharp in most places, with a depth of 28-38 km and 20-27 km below the Papuan Peninsula and the highly-extended D'Entracasteaux Islands, respectively. The mid-lower crust of these regions appears to be similar and consistent with felsic compositions, 3.25≤Vs≤3.5 km/s, and may represent the Owen-Stanley Metamorphic Belt or underlying continental rocks. A fast layer (3.75≤Vs≤4 km/s) is observed below the Papuan Peninsula in the 20-30 km depth range and may indicate more mafic lower crust. In contrast, faster velocities between 10 and 20km depth are modeled below the Goodenough Basin (3.75≤Vs≤4 km/s) and the Trobriand Basin (3.5≤Vs≤3.75 km/s) where rocks of the Papuan Ultramafic Belt have been suggested, although these results partly depend upon complicated signals from ocean-bottom seismometers. Well-located seismicity shows that active fault systems generally follow the boundaries between regions of different crustal velocity structure. Overall these results confirm a continental velocity structure for the

  11. A Numerical Study on the Heat Transfer Characteristics of a Solar Thermal Receiver with High-temperature Heat Pipes

    International Nuclear Information System (INIS)

    Park, Young Hark; Jung, Eui Guk; Boo, Joon Hong


    A numerical analysis was conducted to predict the heat transfer characteristics of a solar receiver which is subject to very high heat fluxes and temperatures for solar thermal applications. The concentration ratio of the solar receiver ranges from 200 to 1000 and the concentrated heat is required to be transported to a certain distance for specific applications. The study deals with a solar receiver incorporating high-temperature sodium heat pipe as well as typical one that employs a molten-salt circulation loop. The isothermal characteristics in the receiver section is of major concern. The diameter of the solar thermal receiver was 120 mm and the length was 400 mm. For the molten-salt circulation type receiver, 48 axial channels of the same dimensions were attached to the outer wall of the receiver with even spacing in the circumferential direction. The molten salt fed through the channels by forced convection using a special pump. For the heat pipe receiver, the channels are changed to high-temperature sodium heat pipes. Commercial softwares were employed to deal with the radiative heat transfer inside the receiver cavity and the convection heat transfer along the channels. The numerical results are compared and analyzed from the view point of high-temperature solar receiver

  12. Critical thresholds of liver function parameters for ketosis prediction in dairy cows using receiver operating characteristic (ROC) analysis. (United States)

    Sun, Yuhang; Wang, Bo; Shu, Shi; Zhang, Hongyou; Xu, Chuang; Wu, Ling; Xia, Cheng


    Fatty liver syndrome and ketosis are important metabolic disorders in high-producing cows during early lactation with fatty liver usually preceding ketosis. To date, parameters for early prediction of the risk of ketosis have not been investigated in China. To determine the predictive value of some parameters on the risk of ketosis in China. In a descriptive study, 48 control and 32 ketotic Holstein Friesian cows were randomly selected from one farm with a serum β-hydroxybutyrate (BHBA) concentration of 1.20 mmol/L as cutoff point. The risk prediction thresholds for ketosis were determined by receiver operating characteristic (ROC) analysis. In line with a high BHBA concentration, blood glucose concentration was significantly lower in ketotic cows compared to control animals (2.77 ± 0.24 versus 3.34 ± 0.03 mmol/L; P = 0.02). Thresholds were more than 0.76 mmol/L for nonesterified fatty acids (NEFA, with 65% sensitivity and 92% specificity), more than 104 U/L for aspartate aminotransferase (AST, 74% and 85%, respectively), less than 140 U/L for cholinesterase (CHE, 75% and 59%, respectively), and more than 3.3 µmol/L for total bilirubin (TBIL, 58% and 83%, respectively). There were significant correlations between BHBA and glucose (R = -4.74), or CHE (R = -0.262), BHBA and NEFA (R = 0.520), or AST (R = 0.525), or TBIL (R = 0.278), or direct bilirubin (DBIL, R = 0.348). AST, CHE, TBIL and NEFA may be useful parameters for risk prediction of ketosis. This study might be of value in addressing novel directions for future research on the connection between ketosis and liver dysfunction.

  13. A study on the annual equivalent doses received by cardiologists in a UK hospital

    International Nuclear Information System (INIS)

    Fong, R.Y.L.; Ryan, E.; Alonso-Arrizabalaga, S.


    A dose assessment study was carried out to determine the likely annual equivalent doses received by various parts of a cardiologist's body. High sensitivity GR-200 thermoluminescent dosemeters were attached to cardiologists' foreheads, little fingers, wrists, elbows, knees and ankles. Three common cardiology procedures were investigated, namely, percutaneous transluminal coronary angioplasty (PTCA), permanent pacemaker insertion (PPM) and left heart catheterisation (LHC). Dose monitoring was done on a case-by-case basis. Data on ten cases of each procedure were gathered. The projected annual equivalent doses were computed by averaging the ten doses measured at each site for each examination type and finding out from the cardiologists how many cases of PTCA, PPM and LHC they do in a year. Results in this study show that for the lens of the eye, the projected annual equivalent dose is below 10 mSv and for the other body parts, it is below 100 mSv per year. The study demonstrated that the methodology used can help to optimise radiation protection in diagnostic radiology. (author)

  14. Evaluation of functional health and well-being in patients receiving levomilnacipran ER for the treatment of major depressive disorder. (United States)

    Blum, Steven I; Tourkodimitris, Stavros; Ruth, Adam


    Levomilnacipran extended-release (ER) is an FDA-approved serotonin norepinephrine reuptake inhibitor (SNRI) for treating major depressive disorder (MDD). SF-36v2 Health Survey outcomes from a Phase III, randomized, double-blind, placebo-controlled study (NCT00969709) were evaluated. Prospective and post hoc analyses of SF-36 Mental and Physical Component Summaries (MCS, PCS), and individual domains compared pooled levomilnacipran ER doses (40, 80, 120 mg/day) with placebo. Patients (18-65 years) had MDD, depressive episode ≥ 8 weeks, and Montgomery-Åsberg Depression Rating Scale total score ≥ 30. SF-36 score changes from baseline to Week 8 were analyzed using ANCOVA and the observed cases approach (Intent-to-Treat [ITT] Population). Minimally important differences (MID) evaluated clinical relevance. Baseline MCS scores reflected marked mental deficits in the ITT Population (levomilnacipran ER = 529; placebo = 175). MCS change at Week 8 was significantly greater for levomilnacipran ER than placebo (LSMD [SE] = 4.8 [1.5]; P = 0.0011); MID exceeded the 3-point threshold. Baseline PCS scores suggested minimal physical deficits; no between-group difference at Week 8 was noted. LSMD was nominally statistically significant (P Health [2.44; P = 0.0010], Vitality [2.48; P = 0.0307], Social Functioning [3.25; P = 0.0097], Role-Emotional [3.38; P = 0.0078], Mental Health [4.34; P = 0.0005]); changes in Vitality, Social Functioning, and Mental Health exceeded MID. The trial was limited by short duration; analyses were post hoc and adjustments were not made for multiplicity. Statistically significant and clinically meaningful improvement on the MCS and several individual domains suggest overall and dimensional improvement in health-related functioning for patients with MDD treated with levomilnacipran ER versus placebo. Copyright © 2014 The Authors. Published by Elsevier B.V. All rights reserved.

  15. Sleep of Parents Living With a Child Receiving Hospital-Based Home Care: A Phenomenographical Study. (United States)

    Angelhoff, Charlotte; Edéll-Gustafsson, Ulla; Mörelius, Evalotte


    Caring for an ill child at home gives the family the chance to be together in a familiar environment. However, this involves several nocturnal sleep disturbances, such as frequent awakenings and bad sleep quality, which may affect parents' ability to take care of the child and themselves. The aim of this study was to describe parents' perceptions of circumstances influencing their own sleep when living with a child enrolled in hospital-based home care (HBHC) services. This is a phenomenographical study with an inductive, exploratory design. Fifteen parents (11 mothers and 4 fathers) with children enrolled in HBHC services were interviewed. Data were analyzed to discover content-related categories describing differences in ways parents experienced sleep when caring for their children receiving HBHC. Four descriptive categories were detected: sleep influences mood and mood influences sleep; support influences safeness and safeness influences sleep; the child's needs influence routines and routines influence sleep; and "me time" influences sleep. Sleep does not affect only the parents' well-being but also the child's care. Symptoms of stress may limit the parents' capacity to meet the child's needs. Support, me time, and physical activity were perceived as essential sources for recovery and sleep. It is important for nurses to acknowledge parental sleep in the child's nursing care plan and help the parents perform self-care to promote sleep and maintain life, health, and well-being.

  16. Receiver Gain Modulation Circuit (United States)

    Jones, Hollis; Racette, Paul; Walker, David; Gu, Dazhen


    A receiver gain modulation circuit (RGMC) was developed that modulates the power gain of the output of a radiometer receiver with a test signal. As the radiometer receiver switches between calibration noise references, the test signal is mixed with the calibrated noise and thus produces an ensemble set of measurements from which ensemble statistical analysis can be used to extract statistical information about the test signal. The RGMC is an enabling technology of the ensemble detector. As a key component for achieving ensemble detection and analysis, the RGMC has broad aeronautical and space applications. The RGMC can be used to test and develop new calibration algorithms, for example, to detect gain anomalies, and/or correct for slow drifts that affect climate-quality measurements over an accelerated time scale. A generalized approach to analyzing radiometer system designs yields a mathematical treatment of noise reference measurements in calibration algorithms. By treating the measurements from the different noise references as ensemble samples of the receiver state, i.e. receiver gain, a quantitative description of the non-stationary properties of the underlying receiver fluctuations can be derived. Excellent agreement has been obtained between model calculations and radiometric measurements. The mathematical formulation is equivalent to modulating the gain of a stable receiver with an externally generated signal and is the basis for ensemble detection and analysis (EDA). The concept of generating ensemble data sets using an ensemble detector is similar to the ensemble data sets generated as part of ensemble empirical mode decomposition (EEMD) with exception of a key distinguishing factor. EEMD adds noise to the signal under study whereas EDA mixes the signal with calibrated noise. It is mixing with calibrated noise that permits the measurement of temporal-functional variability of uncertainty in the underlying process. The RGMC permits the evaluation of EDA by

  17. Myocardial viability assessed with fluorodeoxyglucose and PET in patients with Q wave myocardial infarction receiving thrombolysis: relationship to coronary anatomy and ventricular function. (United States)

    Fragasso, G; Chierchia, S L; Rossetti, E; Sciammarella, M G; Conversano, A; Lucignani, G; Landoni, C; Calori, G; Margonato, A; Fazio, F


    In previously thrombolysed patients, we analysed residual myocardial viability using the PET-FDG technique and correlated its presence and extent to the angiographic appearance of the infarct-related vessel and left ventricular function. Thirty-six patients who had undergone intravenous thromboloysis for acute myocardial infarction 4.8 +/- 7.2 months previously were studied. Coronary angiography, left ventriculography, and assessment of myocardial perfusion and metabolism were all performed within 1 week. All patients exhibited perfusion defects consistent with the clinically identified myocardial infarction site. Residual viability, as assessed by the PET-FDG technique, was present in 53% of cases. The infarct-related coronary artery was patent in 19 (53%) patients (TIMI grade 3, 79%); of the remaining 17 with occluded infarct-related arteries, 11 had collaterals to the infarct area. Significant FDG uptake was observed in 63% of patients with a patent infarct-related artery and in 41% of those with an occluded infarct-related artery. The same study protocol was adopted in a control group of 30 patients with myocardial infarction who did not receive thrombolysis. The number of infarct-related patent vessels was significantly lower in these patients (30 vs 53%) (TIMI grade 3, 56%), but the overall percentage of PET viability was again 53%. Qualitative analysis of the regional perfusion pattern showed that the magnitude and severity of the perfusion defect was similar in the two groups, regardless of the presence or absence of FDG uptake. Global left ventricular function was also similar in the two groups. However, regional wall motion was significantly better in the thrombolysed patients with a patent infarct-related artery than in those who had not received thrombolysis and whose culprit vessel was also patent. In conclusion, the results of our study support the notion that early recanalization of the infarct-related artery is critical for preserving left

  18. Understanding Older People's Readiness for Receiving Telehealth: Mixed-Method Study. (United States)

    van Houwelingen, Cornelis Tm; Ettema, Roelof Ga; Antonietti, Michelangelo Gef; Kort, Helianthe Sm


    The Dutch Ministry of Health has formulated ambitious goals concerning the use of telehealth, leading to subsequent changes compared with the current health care situation, in which 93% of care is delivered face-to-face. Since most care is delivered to older people, the prospect of telehealth raises the question of whether this population is ready for this new way of receiving care. To study this, we created a theoretical framework consisting of 6 factors associated with older people's intention to use technology. The objective of this study was to understand community-dwelling older people's readiness for receiving telehealth by studying their intention to use videoconferencing and capacities for using digital technology in daily life as indicators. A mixed-method triangulation design was used. First, a cross-sectional survey study was performed to investigate older people's intention to use videoconferencing, by testing our theoretical framework with a multilevel path analysis (phase 1). Second, for deeper understanding of older people's actual use of digital technology, qualitative observations of older people executing technological tasks (eg, on a computer, cell phone) were conducted at their homes (phase 2). In phase 1, a total of 256 people aged 65 years or older participated in the survey study (50.0% male; median age, 70 years; Q1-Q3: 67-76). Using a significance level of .05, we found seven significant associations regarding older people's perception of videoconferencing. Older people's (1) intention to use videoconferencing was predicted by their performance expectancy (odds ratio [OR] 1.26, 95% CI 1.13-1.39), effort expectancy (OR 1.23, 95% CI 1.07-1.39), and perceived privacy and security (OR 1.30, 95% CI 1.17-1.43); (2) their performance expectancy was predicted by their effort expectancy (OR 1.38, 95% CI 1.24-1.52); and (3) their effort expectancy was predicted by their self-efficacy (OR 1.55, 95% CI 1.42-1.68). In phase 2, a total of 6 men and 9

  19. Crustal structure of Tolfa domes complex (northern Latium - Italy) inferred from receiver functions analysis: an interplay between tectonics and magmatism (United States)

    Buttinelli, M.; Bianchi, I.; Anselmi, M.; Chiarabba, C.; de Rita, D.; Quattrocchi, F.


    The Tolfa-Cerite volcanic district developed along the Tyrrhenian passive margin of central Italy, as part of magmatic processes started during the middle Pliocene. In this area the uncertainties on the deep crustal structures and the definition of the intrusive bodies geometry are focal issues that still need to be addressed. After the onset of the spreading of the Tyrrhenian sea during the Late Miocene, the emplacement of the intrusive bodies of the Tolfa complex (TDC), in a general back-arc geodynamical regime, generally occurred in a low stretching rate, in correspondence of the junctions between major lithospheric discontinuities. Normal faults, located at the edge of Mio-Pliocene basins, were used as preferential pathways for the rising of magmatic masses from the mantle to the surface. We used teleseismic recordings at the TOLF and MAON broad band station of the INGV seismic network (located between the Argentario promontory and Tolfa-Ceriti dome complexes -TDC-) to image the principal seismic velocity discontinuities by receiver function analysis (RF's). Together with RF’s velocity models of the area computed using the teleseismic events recorded by a temporary network of eight stations deployed around the TDC, we achieve a general crustal model of this area. The geometry of the seismic network has been defined to focus on the crustal structure beneath the TDC, trying to define the main velocity changes attributable to the intrusive bodies, the calcareous basal complex, the deep metamorphic basement, the lower crust and the Moho. The analysis of these data show the Moho at a depth of 23 km in the TDC area and 20 km in the Argentario area. Crustal models also show an unexpected velocity decrease between 12 and 18 km, consistent with a slight dropdown of the Vp/Vs ratio, imputable to a regional mid-crustal shear zone inherited from the previous alpine orogenesis, re-activated in extensional tectonic by the early opening phases of the Tyrrhenian sea. Above

  20. A qualitative study of young people's perspectives on receiving psychiatric services via televideo. (United States)

    Boydell, Katherine M; Volpe, Tiziana; Pignatiello, Antonio


    It is critical to consult young people about their experiences. This study addresses the paucity of research on the perspective of young people in general, and in paediatric telepsychiatry specifically. The goal is to understand the experience of young people receiving telepsychiatry. Interpretive interactionism (Denzin, 1989) was used to interview 30 young people; immediately following the consultation and four to six weeks later. Analysis occurred via a series of steps in keeping with the interpretive interactionist framework. Four themes arose repeatedly: the encounter with the psychiatrist and experience of having others in the room; the helpfulness of the session; a sense of personal choice during the consultation; and, the technology. Participants highlighted the importance of their relationship with the psychiatrist. Participant's narratives were replete with examples of ways that they actively took responsibility and exerted control within the session itself. Young people have a significant role to play in their own care. It is critical that telepsychiatry recommendations be explained and opportunities for young people to express their concerns and discuss alternatives are provided. Further efforts to include young people may include ensuring offering alternate treatments and/or negotiated when recommended treatments are unacceptable and/or resisted.

  1. Inner conflict in patients receiving oral anticancer agents: a qualitative study. (United States)

    Yagasaki, Kaori; Komatsu, Hiroko; Takahashi, Tsunehiro


    To explore the experiences of patients receiving oral anticancer agents. A qualitative study using semistructured interviews with a grounded theory approach. A university hospital in Japan. 14 patients with gastric cancer who managed their cancer with oral anticancer agents. Patients with cancer experienced inner conflict between rational belief and emotional resistance to taking medication due to confrontation with cancer, doubt regarding efficacy and concerns over potential harm attached to use of the agent. Although they perceived themselves as being adherent to medication, they reported partial non-adherent behaviours. The patients reassessed their lives through the experience of inner conflict and, ultimately, they recognised their role in medication therapy. Patients with cancer experienced inner conflict, in which considerable emotional resistance to taking their medication affected their occasional non-adherent behaviours. In patient-centred care, it is imperative that healthcare providers understand patients' inner conflict and inconsistency between their subjective view and behaviour to support patient adherence. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to

  2. Barriers to patient portal access among veterans receiving home-based primary care: a qualitative study. (United States)

    Mishuris, Rebecca G; Stewart, Max; Fix, Gemmae M; Marcello, Thomas; McInnes, D Keith; Hogan, Timothy P; Boardman, Judith B; Simon, Steven R


    Electronic, or web-based, patient portals can improve patient satisfaction, engagement and health outcomes and are becoming more prevalent with the advent of meaningful use incentives. However, adoption rates are low, particularly among vulnerable patient populations, such as those patients who are home-bound with multiple comorbidities. Little is known about how these patients view patient portals or their barriers to using them. To identify barriers to and facilitators of using My HealtheVet (MHV), the United States Department of Veterans Affairs (VA) patient portal, among Veterans using home-based primary care services. Qualitative study using in-depth semi-structured interviews. We conducted a content analysis informed by grounded theory. Fourteen Veterans receiving home-based primary care, surrogates of two of these Veterans, and three home-based primary care (HBPC) staff members. We identified five themes related to the use of MHV: limited knowledge; satisfaction with current HBPC care; limited computer and Internet access; desire to learn more about MHV and its potential use; and value of surrogates acting as intermediaries between Veterans and MHV. Despite their limited knowledge of MHV and computer access, home-bound Veterans are interested in accessing MHV and using it as an additional point of care. Surrogates are also potential users of MHV on behalf of these Veterans and may have different barriers to and benefits from use. © 2014 John Wiley & Sons Ltd.

  3. Quality of life of elderly individuals receiving literacy training: a longitudinal study

    Directory of Open Access Journals (Sweden)

    Bruna Rodrigues dos Santos


    Full Text Available Because of population aging in Brazil, educational programs directed to young and adult individuals now have to absorb a large number of 60 year old or older individuals. Objectives: Identify the relationships among the variables quality of life, time attending the program, depressive symptoms, and cognitive status; and longitudinally compare the scores concerning the quality of life of these individuals. Method: Descriptive, correlational, comparative, longitudinal and quantitative study. The participants were elderly individuals who attended literacy training provided in a Brazilian city from 2012 to 2014. The instruments to collect data included sociodemographic characterization, the WHOQOL-bref, WHOQOL-old, the Geriatric Depression Scale (GDS, and the Mini Mental State Examination. Results: The participants were predominantly young-elderly women, with low incomes. Scores obtained on the GDS were related with the domains: Physical (p<0.05; Environment (p<0.01; Autonomy (p<0.01, Past, Present and Future Activities (p<0.05, Intimacy (p<0.01; and Social Relationships (p<0.01. The scores concerning cognition were related to the Autonomy domain (p<0.01. The physical domain of quality of life presented significant worsening in 2013 when compared to 2012 (M1=70.23; M2=61.20;M3=62.40. These results cannot be generalized because they concern only elderly individuals receiving literacy training provided in a midsized city in the interior of São Paulo, Brazil.

  4. Centering prayer for women receiving chemotherapy for recurrent ovarian cancer: a pilot study. (United States)

    Johnson, Mary E; Dose, Ann M; Pipe, Teri Britt; Petersen, Wesley O; Huschka, Mashele; Gallenberg, Mary M; Peethambaram, Prema; Sloan, Jeff; Frost, Marlene H


    To explore the feasibility of implementing centering prayer in chemotherapy treatment and assess its influence on mood, spiritual well-being, and quality of life in women with recurrent ovarian cancer. Descriptive pilot study. Outpatient chemotherapy treatment suite in a large cancer center in the midwestern United States. A convenience sample of 10 women receiving outpatient chemotherapy for recurrent ovarian cancer. A centering prayer teacher led participants through three one-hour sessions over nine weeks. Data were collected prior to the first session, at the conclusion of the final session, and at three and six months after the final session. Feasibility and influence of centering prayer on mood, spiritual well-being, and quality of life. Most participants identified centering prayer as beneficial. Emotional well-being, anxiety, depression, and faith scores showed improvement. Centering prayer can potentially benefit women with recurrent ovarian cancer. Additional research is needed to assess its feasibility and effectiveness. Nurses may promote or suggest centering prayer as a feasible intervention for the psychological and spiritual adjustment of patients with recurrent ovarian cancer.


    Directory of Open Access Journals (Sweden)



    Full Text Available The present work approaches an important topic for credit institutions: limiting the credit risk and determining the prudential value adjustments for the depreciation of client credits, and their reflection in the accounting statements. The Chart of Accounts applicable to credit institutions includes class-two accounts Operations with clients and expenses and revenues accounts, which help record the adjustments for receivables depreciation in operations with clients. To constitute, diminish or annul depreciations, credit institutions have the obligation to assure the classification of their credits based on classification categories according to three criteria: financial performance, debt service and initiation of juridical procedures. By the present study, we present the way the credit portfolio is structured according to the criteria mentioned and the reflection in accounting of the prudential adjustments of value. The article ends with the authors’ conclusions regarding the specificity of the way of classification of the credits according to risk categories in agreement to the evolution of the class determination criteria.

  6. Diversity receiver

    NARCIS (Netherlands)


    The invention is directed to the reception of high rate radio signals (for example DVB-T signals) while the receiver is moving at a high speed (for example in or with a car). Two or more antennas (12, 16) are closely spaced and arranged behind each other in the direction of motion (v) for receiving

  7. Renal structure and function evaluation of rats from dams that received increased sodium intake during pregnancy and lactation submitted or not to 5/6 nephrectomy. (United States)

    Marin, Evelyn Cristina Santana; Balbi, Ana Paula Coelho; Francescato, Heloísa Della Coletta; Alves da Silva, Cleonice Giovanini; Costa, Roberto Silva; Coimbra, Terezila M


    Adult rats submitted to perinatal salt overload presented renin-angiotensin system (RAS) functional disturbances. The RAS contributes to the renal development and renal damage in a 5/6 nephrectomy model. The aim of the present study was to analyze the renal structure and function of offspring from dams that received a high-salt intake during pregnancy and lactation. We also evaluated the influence of the prenatal high-salt intake on the evolution of 5/6 nephrectomy in adult rats. A total of 111 sixty-day-old rat pups from dams that received saline or water during pregnancy and lactation were submitted to 5/6 nephrectomy (nephrectomized) or to a sham operation (sham). The animals were killed 120 days after surgery, and the kidneys were removed for immunohistochemical and histological analysis. Systolic blood pressure (SBP), albuminuria, and glomerular filtration rate (GFR) were evaluated. Increased SBP, albuminuria, and decreased GFR were observed in the rats from dams submitted to high-sodium intake before surgery. However, there was no difference in these parameters between the groups after the 5/6 nephrectomy. The scores for tubulointerstitial lesions and glomerulosclerosis were higher in the rats from the sham saline group compared to the same age control rats, but there was no difference in the histological findings between the groups of nephrectomized rats. In conclusion, our data showed that the high-salt intake during pregnancy and lactation in rats leads to structural changes in the kidney of adult offspring. However, the progression of the renal lesions after 5/6 nephrectomy was similar in both groups.

  8. Schizophrenia symptoms and functioning in patients receiving long-term treatment with olanzapine long-acting injection formulation

    DEFF Research Database (Denmark)

    Peuskens, Joseph; Porsdal, Vibeke; Pecenak, Jan


    : At baseline, 434 (36.8%) patients had minimal Positive and Negative Syndrome Scale (PANSS) symptoms but seriously impaired Heinrich Carpenter's Quality of Life Scale (QLS) functioning; 303 (25.6%) had moderate to severe symptoms and seriously impaired function; 208 (17.6%) had mild to moderate symptoms...... but good functioning, and 162 (13.7%) had minimal symptoms and good functioning. Baseline category was significantly associated with Clinical Global Impression - Severity (CGI-S), extrapyramidal symptoms, working status, age, and number of previous episodes. The majority of all patients starting OLAI...... treatment maintained or improved (62% 6 months and 52% 12 months) their symptom and functioning levels on OLAI maintenance treatment. Less than 8% of the patients showed worsening of symptoms or functioning. An improvement in category was associated with high PANSS positive and low CGI-S scores at baseline...

  9. Evaluation of diagnostic thresholds dependability for tribologic signals received in the environment disturbed by vibroacoustic and functional signals

    Directory of Open Access Journals (Sweden)

    Lindstedt Paweł


    Full Text Available Determination of dependable diagnostic thresholds for tribologic signals received e.g. from antifriction bearings (in particular for insufficient number of measurements, only 4÷5 is a really difficult task due to complexity of working environment where such bearings are operated. Typical working environment for such objects must take account for operation time under various working conditions and accompanying (and disturbing signals, e.g. vibroacoustic ones. The sought assessment of the relationship between diagnostic signals and environmental noise can be determined from convolution of both diagnostic and environments signals that make up the complete set of received information. The convolution of these two series of signals can be obtained from an algorithm based on the Cauchy product. Then one has to find the coherence factor and the square of amplitude gain for the set of diagnostic signals with reference to various sets of signals received from environment, which makes it possible to evaluate cohesion of the investigated series of signals, thus their suitability to determine diagnostic threshold for tribologic signals intended for the analysis.

  10. Aims and tasks in parental caregiving for children receiving palliative care at home: a qualitative study. (United States)

    Verberne, Lisa M; Kars, Marijke C; Schouten-van Meeteren, Antoinette Y N; Bosman, Diederik K; Colenbrander, Derk A; Grootenhuis, Martha A; van Delden, Johannes J M


    In paediatric palliative care (PPC), parents are confronted with increasing caregiving demands. More children are cared for at home, and the need for PPC of children is lengthened due to technical and medical improvements. Therefore, a clear understanding of the content of parental caregiving in PPC becomes increasingly important. The objective is to gain insight into parental caregiving based on the lived experience of parents with a child with a life-limiting disease. An interpretative qualitative study using thematic analysis was performed. Single or repeated interviews were undertaken with 42 parents of 24 children with a malignant or non-malignant disease, receiving PPC. Based on their ambition to be a 'good parent', parents caring for a child with a life-limiting disease strived for three aims: controlled symptoms and controlled disease, a life worth living for their ill child and family balance. These aims resulted in four tasks that parents performed: providing basic and complex care, organising good quality care and treatment, making sound decisions while managing risks and organising a good family life. Parents need early explanation from professionals about balancing between their aims and the related tasks to get a grip on their situation and to prevent becoming overburdened. What is Known: • In paediatric palliative care, parents are confronted with increasing caregiving demands. • Parenting is often approached from the perspective of stress. What is New: • Parents strive for three aims: controlled symptoms and controlled disease, a life worth living for their child and family balance. • Parents perform four tasks: providing basic and complex care, organising good quality care, making decisions while managing risks and organising a good family life. • Professionals need insight into the parents' aims and tasks from the parental perspective to strengthen parents' resilience.

  11. Structural studies of the activation of the two component receiver domain NTRC by multidimensional heteronuclear NMR

    Energy Technology Data Exchange (ETDEWEB)

    Nohaile, Michael James [Univ. of California, Berkeley, CA (United States). Dept. of Chemistry


    Multidimensional heteronuclear NMR spectroscopy was used to investigate the N-terminal domain of the transcriptional enhancer NTRC (NiTrogen Regulatory protein C). This domain belongs to the family of receiver domains of two-component regulatory systems involved in signal transduction. Phosphorylation of NTRC at D54 leads to an activated form of the molecule which stimulates transcription of genes involved in nitrogen regulation. Three and four dimensional NMR techniques were used to determine an intermediate resolution structure of the unphosphorylated, inactive form of the N-terminal domain of NTRC. The structure is comprised of five α-helices and a five-stranded β-sheet in a (β/α)5 topology. Analysis of the backbone dynamics of NTRC indicate that helix 4 and strand 5 are significantly more flexible than the rest of the secondary structure of the protein and that the loops making up the active site are flexible. The short lifetime of phospho-NTRC hampers the study of this form. However, conditions for determining the resonance assignments and, possibly, the three dimensional structure of phosphorylated NTRC have been obtained. Tentative assignments of the phosphorylated form indicate that the majority of the changes that NTRC experiences upon phosphorylation occur in helix 3, strand 4, helix 4, strand 5, and the loop between strand 5 and helix 5 (the 3445 face of NTRC) as well as near the site of phosphorylation. In order to examine a stable, activated form of the protein, constitutively active mutants of NTRC were investigated.

  12. How study patients who receive fluo pyrimidines to prevent ischemic events

    International Nuclear Information System (INIS)

    Saldombide, L.


    Introduction: Ischemic heart disease is the main cause of death in Uruguay and cancer is the second. The pillar of the systemic treatment of colorectal cancer are fluo pyrimidines and cause acute ischemic events in 3-8% of t rated patients. The 5 fluorouracil is the third anticancer drug most used Objective: Due to the high incidence of the two diseases and the risk of death caused by the ischemic treatment complications, the literature is analyzed to define how to study patients who receive fluo pyrimidines as a medium of preventing the same. Development: fluo pyrimidines cardio-toxicity can occur by myocardial toxicity, vasospasm, dihydropyrimidine dehydrogenase deficiency, autoimmune phenomena, platelet hyper aggregability, etc. The clinic is varied and underestimated: angina, abnormal ST silent and reversible, arrhythmias, heart failure, hypertension and heart failure. It is the most common complication with continuous infusion of 5 Fu and its equivalent capecitabine with bolus f lou pyrimidines. It is common that ischemic heart disease prioritises the risk increase of complications, but their absence does not exist. Without ischemic heart disease it is difficult to prevent ischemic events, however proposes that the older higher risk. Results: No uniform guidelines is advised: detailed history, determine if risk factors such as smoking, hypertension, diabetes and dyslipidemia and They are present electrocardiogram and cardiac evaluation. Warn the patient about angina l pain as early symptom and monitor symptoms during chemotherapy including cardio-vascular hypotension. Discontinue the medication and perform classic anti-angina l symptoms and / or signs of ischemia. Not reintroduce unless it is the only therapeutic option, since mortality may exceed

  13. Functional improvement and correlations with symptomatic improvement in adults with attention deficit hyperactivity disorder receiving long-acting methylphenidate.

    NARCIS (Netherlands)

    Buitelaar, J.K.; Casas, M.; Philipsen, A.; Kooij, J.J.; Ramos-Quiroga, J.A.; Dejonckheere, J.; Oene, J.C. van; Schauble, B.


    BACKGROUND: Data on the relationship between core symptoms and daily functioning in adults with attention deficit hyperactivity disorder (ADHD) are limited. Daily functioning was assessed as part of an open-label extension, and associations with symptom scores were evaluated. METHOD: After a 5-week

  14. A qualitative study of the quality of life of children receiving intravenous nutrition at home. (United States)

    Emedo, Marylyn-Jane; Godfrey, Emma I; Hill, Susan M


    To discover the views of children with severe intestinal failure treated with intravenous nutrition from early life and who remained heavily dependent on treatment throughout childhood. Seven children ages 7 to 17 years (mean 13 years) were interviewed. The diagnoses were enteropathy in 3, extreme short gut in 1, complex (associated mucosal inflammation and dysmotitlity) in 2, and intestinal pseudo-obstruction in 1. They were treated with intravenous nutrition overnight at home that was administered by trained parents using the simplest possible system. The children were individually questioned about their lifestyle and health. Transcripts were analysed using interpretive phenomenological analysis. Children coped well with life with intravenous nutrition (apart from septicaemia in 2 cases), but were troubled when complications of the underlying disease persisted (eg, nocturnal disturbance, stool frequency, abdominal pain). Children were aware that life was restricted (eg, fewer sleepovers with friends, fewer late nights out). There was a high level of family functioning. Older children wished to take care of themselves. The burdens of life with intravenous nutrition appear to be less significant for these children than living with the effects of chronic illness. There was resilience and acceptance in the face of illness-related demands. This study has found that despite the problems they may face, it is possible for children fed intravenously at home to develop a level of resilience, maintain a positive outlook, and cope well with illness-related demands even when they have had virtually lifelong severe intestinal failure. Families can continue to function well.

  15. Study of quark structure functions

    International Nuclear Information System (INIS)

    Dao, F.T.; Flaminio, E.; Lai, K.; Metcalf, M.; Wang, L.


    The quark structure functions of the proton are determined through a combined analysis of the reactions pN → ll-barX and eN → eX. The valence-quark structure function of the pion is also given by analyzing the πN → μμ-barX data measured by the Branson et al

  16. Psychosocial encounters correlates with higher patient-reported functional quality of life in gynecological cancer patients receiving radiotherapy

    International Nuclear Information System (INIS)

    Fang, Penny; Tan, Kay See; Grover, Surbhi; McFadien, Mary K; Troxel, Andrea B; Lin, Lilie


    Our objective was to assess longitudinal health-related quality of life (HRQoL) in patients treated with radiotherapy for gynecologic malignancy and assess the relationship of psychosocial encounters on HRQoL. Women with gynecologic malignancy were prospectively enrolled and HRQoL assessed before, during, and after radiotherapy treatment using validated measures. Treatment and demographic information were reviewed. Mixed-effects models were used to assess changes in quality of life (QoL) over time and association of psychologist and social worker encounters with overall QoL as well as subdomains of QoL. Fifty-two women were enrolled and 41 completed at least one assessment. Fatigue (p = 0.008), nausea (p = 0.001), feeling ill (p = 0.007), and being bothered by side effects (p < 0.001) worsened on treatment with subsequent improvement. By follow-up, patients reported increased functional well-being (FWB) with significant decrease in worry (p = 0.003), increase in enjoyment of things usually done for fun (p = 0.003) and increase in contentment (p = 0.047). Twenty-three patients had at least one interaction with a social worker or psychologist during treatment. Each additional interaction was associated with a 2.12 increase in FWB score from before to after treatment (p = 0.002), and 1.74 increase from on to after treatment (p = 0.011). Additional interactions were not significantly associated with changes in overall FACT score (p = 0.056) or SWB (p = 0.305). Patient-reported HRQoL significantly worsened during radiotherapy treatment with subsequent improvement, affirming transiency of treatment-induced toxicities. Our preliminary study suggests that clinically-recommended psychological and social work interventions have potential value with respect to improving patient QoL during radiotherapy. Larger studies are needed to validate our findings

  17. A Density Functional Theory Study

    KAUST Repository

    Lim, XiaoZhi


    Complexes with pincer ligand moieties have garnered much attention in the past few decades. They have been shown to be highly active catalysts in several known transition metal-catalyzed organic reactions as well as some unprecedented organic transformations. At the same time, the use of computational organometallic chemistry to aid in the understanding of the mechanisms in organometallic catalysis for the development of improved catalysts is on the rise. While it was common in earlier studies to reduce computational cost by truncating donor group substituents on complexes such as tertbutyl or isopropyl groups to hydrogen or methyl groups, recent advancements in the processing capabilities of computer clusters and codes have streamlined the time required for calculations. As the full modeling of complexes become increasingly popular, a commonly overlooked aspect, especially in the case of complexes bearing isopropyl substituents, is the conformational analysis of complexes. Isopropyl groups generate a different conformer with each 120 ° rotation (rotamer), and it has been found that each rotamer typically resides in its own potential energy well in density functional theory studies. As a result, it can be challenging to select the most appropriate structure for a theoretical study, as the adjustment of isopropyl substituents from a higher-energy rotamer to the lowest-energy rotamer usually does not occur during structure optimization. In this report, the influence of the arrangement of isopropyl substituents in pincer complexes on calculated complex structure energies as well as a case study on the mechanism of the isomerization of an iPrPCP-Fe complex is covered. It was found that as many as 324 rotamers can be generated for a single complex, as in the case of an iPrPCP-Ni formato complex, with the energy difference between the global minimum and the highest local minimum being as large as 16.5 kcalmol-1. In the isomerization of a iPrPCP-Fe complex, it was found

  18. Biological assessment of aquaculture effects on effluent-receiving streams in Ghana using structural and functional composition of fish and macroinvertebrate assemblages. (United States)

    Ansah, Yaw Boamah; Frimpong, Emmanuel A; Amisah, Stephen


    Biological assessment of aquatic ecosystems is widely employed as an alternative or complement to chemical and toxicity testing due to numerous advantages of using biota to determine ecosystem condition. These advantages, especially to developing countries, include the relatively low cost and technical requirements. This study was conducted to determine the biological impacts of aquaculture operations on effluent-receiving streams in the Ashanti Region of Ghana. We collected water, fish and benthic macroinvertebrate samples from 12 aquaculture effluent-receiving streams upstream and downstream of fish farms and 12 reference streams between May and August of 2009, and then calculated structural and functional metrics for biotic assemblages. Fish species with non-guarding mode of reproduction were more abundant in reference streams than downstream (P = 0.0214) and upstream (P = 0.0251), and sand-detritus spawning fish were less predominant in reference stream than upstream (P = 0.0222) and marginally less in downstream locations (P = 0.0539). A possible subsidy-stress response of macroinvertebrate family richness and abundance was also observed, with nutrient (nitrogen) augmentation from aquaculture and other farming activities likely. Generally, there were no, or only marginal differences among locations downstream and upstream of fish farms and in reference streams in terms of several other biotic metrics considered. Therefore, the scale of impact in the future will depend not only on the management of nutrient augmentation from pond effluents, but also on the consideration of nutrient discharges from other industries like fruit and vegetable farming within the study area.

  19. Positron emission tomography in brain function study

    International Nuclear Information System (INIS)

    Wu Hua


    Little has been recognized about the advanced brain function. Recent years several new techniques such as event-related potentials, megnetoencephalography, functional magnetic resonance imaging and positron emission tomography (PET) have been used in the study of brain function. The methodology, application study in normal people and clinical patients of PET in brain function are reviewed. (authors)

  20. Palliative care for patients with cancer: do patients receive the care they consider important? A survey study. (United States)

    Heins, Marianne; Hofstede, Jolien; Rijken, Mieke; Korevaar, Joke; Donker, Gé; Francke, Anneke


    In many countries, GPs and home care nurses are involved in care for patients with advanced cancer. Given the varied and complex needs of these patients, providing satisfactory care is a major challenge for them. We therefore aimed to study which aspects of care patients, GPs and home care nurses consider important and whether patients receive these aspects. Seventy-two Dutch patients with advanced cancer, 87 GPs and 26 home care nurses rated the importance of support when experiencing symptoms, respect for patients' autonomy and information provision. Patients also rated whether they received these aspects. Questionnaires were based on the CQ index palliative care. Almost all patients rated information provision and respect for their autonomy as important. The majority also rated support when suffering from specific symptoms as important, especially support when in pain. In general, patients received the care they considered important. However, 49% of those who considered it important to receive support when suffering from fatigue and 23% of those who wanted to receive information on the expected course of their illness did not receive this or only did so sometimes. For most patients with advanced cancer, the palliative care that they receive matches what they consider important. Support for patients experiencing fatigue may need more attention. When symptoms are difficult to control, GPs and nurses may still provide emotional support and practical advice. Furthermore, we recommend that GPs discuss patients' need for information about the expected course of their illness.

  1. Comparison and application study on cosmic radiation dose calculation received by air crew

    International Nuclear Information System (INIS)

    Zhou Qiang; Xu Cuihua; Ren Tianshan; Li Wenhong; Zhang Jing; Lu Xu


    Objective: To facilitate evaluation on Cosmic radiation dose received by flight crew by developing a convenient and effective measuring method. Methods: In comparison with several commonly used evaluating methods, this research employs CARI-6 software issued by FAA (Federal Aviation Administration) to measure Cosmic radiation dose for flight crew members exposed to. Results: Compared with other methods, CARI-6 is capable of providing reliable calculating results on radiation dose and applicable to all flight crew of different airlines. Conclusion: Cosmic radiation received by flight crew is on the list of occupational radiation. For a smooth running of Standards for controlling exposure to cosmic radiation of air crew, CARI software may be a widely applied tool in radiation close estimation of for flight crew. (authors)

  2. Phase II Study of Bevacizumab in Patients With HIV-Associated Kaposi's Sarcoma Receiving Antiretroviral Therapy (United States)

    Uldrick, Thomas S.; Wyvill, Kathleen M.; Kumar, Pallavi; O'Mahony, Deirdre; Bernstein, Wendy; Aleman, Karen; Polizzotto, Mark N.; Steinberg, Seth M.; Pittaluga, Stefania; Marshall, Vickie; Whitby, Denise; Little, Richard F.; Yarchoan, Robert


    Purpose Alternatives to cytotoxic agents are desirable for patients with HIV-associated Kaposi's sarcoma (KS). Vascular endothelial growth factor-A (VEGF-A) contributes to KS pathogenesis. We evaluated the humanized anti–VEGF-A monoclonal antibody, bevacizumab, in patients with HIV-KS. Patients and Methods Patients with HIV-KS who either experienced progression while receiving highly active antiretroviral therapy (HAART) for at least 1 month or did not regress despite HAART for at least 4 months were administered bevacizumab 15 mg/kg intravenously on days 1 and 8 and then every 3 weeks. The primary objective was assessment of antitumor activity using modified AIDS Clinical Trial Group (ACTG) criteria for HIV-KS. HIV-uninfected patients were also eligible and observed separately. Results Seventeen HIV-infected patients were enrolled. Fourteen patients had been receiving effective HAART for at least 6 months (median, 1 year). Thirteen patients had advanced disease (ACTG T1), 13 patients had received prior chemotherapy for KS, and seven patients had CD4 count less than 200 cells/μL. Median number of cycles was 10 (range, 1 to 37 cycles); median follow-up was 8.3 months (range, 3 to 36 months). Of 16 assessable patients, best tumor responses observed were complete response (CR) in three patients (19%), partial response (PR) in two patients (12%), stable disease in nine patients (56%), and progressive disease in two patients (12%). Overall response rate (CR + PR) was 31% (95% CI, 11% to 58.7%). Four of five responders had received prior chemotherapy for KS. Over 202 cycles, grade 3 to 4 adverse events at least possibly attributed to therapy included hypertension (n = 7), neutropenia (n = 5), cellulitis (n = 3), and headache (n = 2). Conclusion Bevacizumab is tolerated in patients with HIV-KS and has activity in a subset of patients. PMID:22430271

  3. Monitored Retrievable Storage conceptual system study: dry receiving and handling facility

    International Nuclear Information System (INIS)


    A preconceptual design and estimate for a MRS receiving and handling (R and H) facility at a hypothetical site in the United States are presented. The facility consists of a receiving and handling building plus associated operating buildings, system, and site development features. The R and H building and the supporting buildings and site development features are referred to as the R and H area. Adjoining the R and H area will be an interim waste storage area currently being considered by others. The desirability of building a full capacity (3000-MTU) MRS facility initially versus adding additional capacity at a later date in a phased construction program was investigated. Several advantages of phased construction include incorporation of new designs, modification of receiving-handling-packaging, and changes in regulatory requirements or the waste management program which may develop following startup and operation of an 1800-MTU MRS facility. The cost of a 3000-MTU MRS facility constructed initially was estimated at $193,200,000. If a phased construction program was implemented, including escalation to the mid-point of Phase 2 construction, a capital expenditure of $215,300,000 is estimated - a cost penalty of $22,100,000 or about 11% for phased construction

  4. Employment status of patients receiving maintenance dialysis – peritoneal and hemodialysis: A cross-sectional study

    Directory of Open Access Journals (Sweden)

    B S Lakshmi


    Full Text Available The long-term dialysis therapy for end-stage renal disease takes a heavy toll of quality of life of the patient. Several factors such as fatigue and decreased physical capability, impaired social and mental functioning, contribute to this forlorn state. To meld maintenance dialysis treatment with a regular employment can be a serious test. A cross-sectional study of employment of patients on hemodialysis and peritoneal dialysis in a state government tertiary institute in South India was performed between June 2015 and December 2015. Patients who completed 3 months of regular dialysis were only included in the study. The number of patients on hemodialysis was 157 and on peritoneal dialysis was 69. The employment status before the initiation of dialysis was 60% (93 out of 155 and 63.7% (44 out of 69 in hemodialysis and peritoneal dialysis, respectively. After initiation, the loss of employment was observed in 44% (41 out of 93 in hemodialysis and 51.2% (26 out of 44 in peritoneal dialysis (P = 0.2604. Even though there was fall of absolute number of job holders in both the blue and white collar jobs, the proportion of jobholders in the white collar job holders improved. On univariate analysis, the factors which influenced the loss of employment were males, age between 50 and 60 years, number of comorbidities >2, illiteracy and blue collar versus white collar job before the initiation of dialysis. The majority of patients had the scores above 80 on Karnofsky performance scale and the majority belonged upper and middle classes than lower classes on modified Kuppuswamy's socioeconomic status scale; however, the loss of employment was also disproportionately high. There appeared a substantial difference in the attitude of the patients toward the employment. There was no difference between hemodialysis and peritoneal dialysis in the loss of employment of our patients.

  5. A European Multicenter Study of 616 Patients Receiving the Freedom Solo Stentless Bioprosthesis. (United States)

    Thalmann, Markus; Grubitzsch, Herko; Matschke, Klaus; Glauber, Mattia; Tan, Erwin; Francois, Katrien; Amorim, Mario J; Hensens, Ab G; Cesari, Francesco; Feyrer, Richard; Diegeler, Anno; Veit, Franz; Repossini, Alberto


    The purpose of this study was to evaluate the safety and performance of the Freedom Solo valve in aortic valve replacement by clinical and hemodynamic outcomes. Six hundred sixteen patients underwent aortic valve replacement in 18 European centers; mean age was 74.5 ± 5.9 years, 54.1% of the patients were male, and concomitant procedures were performed in 43.2% of the patients. The majority (69%) of the implanted sizes were 23 mm and 25 mm. At 1 year, overall survival was 94.0%, whereas freedom from valve-related death was 98.6%. There were 9 (1.5%) early (≤ 30 days) and 27 (4.4%) late (>30 days) deaths. Early and late valve-related mortality was 0.3% (n = 2) and 1.1% (n = 7), respectively. Freedom from explant was 97.6%; 10 valves were explanted for endocarditis and 4 for paravalvular leak. There were 10 (1.6%) early and 5 (0.8%) late strokes. Atrioventricular block requiring pacemaker implant occurred in 8 (1.3%) and 1 (0.2%) patients in the early and late postoperative period, respectively. Thrombocytopenia was seen in 27 cases (4.4%) in the early postoperative period. Preoperatively, 93.8% of patients were in New York Heart Association functional classes II through IV, whereas at 1 year 96.9% of patients were in New York Heart Association functional classes I and II. At 1-year follow-up, mean and peak pressure gradients were 7.2 and 14.6 mm Hg, respectively. Indexed left ventricular mass decreased by 12% from 138 g/m(2) at discharge to 122 g/m(2) at 1 year. At 1-year follow-up after Freedom Solo implantation, we found acceptable clinical results with low mortality and morbidity and good hemodynamic performance, confirming safety and effectiveness in this multicenter experience. Copyright © 2016 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

  6. Safety and immunogenicity of yellow fever 17D vaccine in adults receiving systemic corticosteroid therapy: an observational cohort study. (United States)

    Kernéis, Solen; Launay, Odile; Ancelle, Thierry; Iordache, Laura; Naneix-Laroche, Véronique; Méchaï, Frédéric; Fehr, Thierry; Leroy, Jean-Philippe; Issartel, Bertrand; Dunand, Jean; van der Vliet, Diane; Wyplosz, Benjamin; Consigny, Paul-Henri; Hanslik, Thomas


    To assess the safety and immunogenicity of live attenuated yellow fever (YF) 17D vaccine in adults receiving systemic corticosteroid therapy. All adult travelers on systemic corticosteroid therapy who had received the YF17D vaccine in 24 French vaccination centers were prospectively enrolled and matched with healthy controls (1:2) on age and history of YF17D immunization. Safety was assessed in a self-administered standardized questionnaire within 10 days after immunization. YF-specific neutralizing antibody titers were measured 6 months after vaccination in patients receiving corticosteroids. Between July 2008 and February 2011, 102 vaccine recipients completed the safety study (34 receiving corticosteroids and 68 controls). The median age was 54.9 years (interquartile range [IQR] 45.1-60.3 years) and 45 participants had a history of previous YF17D immunization. The median time receiving corticosteroid therapy was 10 months (IQR 1-67 months) and the prednisone or equivalent dosage was 7 mg/day (IQR 5-20). Main indications were autoimmune diseases (n = 14), rheumatoid arthritis (n = 9), and upper respiratory tract infections (n = 8). No serious adverse event was reported; however, patients receiving corticosteroids reported more frequent moderate/severe local reactions than controls (12% and 2%, respectively; relative risk 8.0, 95% confidence interval 1.4-45.9). All subjects receiving corticosteroids who were tested (n = 20) had neutralizing antibody titers >10 after vaccination. After YF17D immunization, moderate/severe local reactions may be more frequent in patients receiving systemic corticosteroid therapy. Immunogenicity seems satisfactory. Large-scale studies are needed to confirm these results. Copyright © 2013 by the American College of Rheumatology.

  7. Who receives cannabis use offers: A general population study of adolescents. (United States)

    Burdzovic Andreas, Jasmina; Pape, Hilde


    Drug use is predicated on a combination of "willingness" and "opportunity". That is, independent of any desire to use drugs, a drug use opportunity is required; be it indirect (i.e., being in a drug-use setting) or direct (i.e., receiving a direct drug offer). However, whether some youth are more likely to encounter such direct drug use opportunities is not fully known. We examined whether certain characteristics placed adolescents at greater risk for being offered cannabis, after accounting for a number of demographic-, contextual-, interpersonal-, and personal-level risk factors. We utilized data from a Norwegian school survey (n=19,309) where the likelihood of receiving cannabis offer in the past year was estimated using logistic regression models. Substantive focus was on the individual and combined effects of personal (i.e., delinquency) and interpersonal (i.e., cannabis-using close friend) risk factors. Separate models were fit for middle- and high-school students. Delinquency was a significant risk factor for receiving cannabis offers, as was a cannabis-using best friend. In addition, peer cannabis use increased the risk of cannabis offers mostly for adolescents on the lower delinquency spectrum, but less so for highly delinquent adolescents. These interaction effects were primarily driven by the middle-school cohort. Cannabis offers were more likely to be extended to youth of certain high-risk profiles. Targeted prevention strategies can therefore be extended to a general profile of younger adolescents with externalizing problems and cannabis-using peers. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  8. Bibliographic study of doses received by operators with non-protected organs

    International Nuclear Information System (INIS)

    Aubert, B.; Rehel, J.L.


    Based on a literature survey, the authors present and discuss the various levels of doses received by different organs during interventional radiology. These doses depend on the procedures (close or remote), on the part of the body, on the protocols, and on the apparatus. They raise the issue of the use of a single dosimeter (born under protection as it is already required in France) or two dosimeters (a second one on a non protected area as it is the case in some other countries)

  9. Structure of the oceanic lithosphere and upper mantle north of the Gloria Fault in the eastern mid-Atlantic by receiver function analysis (United States)

    Hannemann, Katrin; Krüger, Frank; Dahm, Torsten; Lange, Dietrich


    Receiver functions (RF) have been used for several decades to study structures beneath seismic stations. Although most available stations are deployed on shore, the number of ocean bottom station (OBS) experiments has increased in recent years. Almost all OBSs have to deal with higher noise levels and a limited deployment time (˜1 year), resulting in a small number of usable records of teleseismic earthquakes. Here we use OBSs deployed as midaperture array in the deep ocean (4.5-5.5 km water depth) of the eastern mid-Atlantic. We use evaluation criteria for OBS data and beamforming to enhance the quality of the RFs. Although some stations show reverberations caused by sedimentary cover, we are able to identify the Moho signal, indicating a normal thickness (5-8 km) of oceanic crust. Observations at single stations with thin sediments (300-400 m) indicate that a probable sharp lithosphere-asthenosphere boundary (LAB) might exist at a depth of ˜70-80 km which is in line with LAB depth estimates for similar lithospheric ages in the Pacific. The mantle discontinuities at ˜410 km and ˜660 km are clearly identifiable. Their delay times are in agreement with PREM. Overall the usage of beam-formed earthquake recordings for OBS RF analysis is an excellent way to increase the signal quality and the number of usable events.

  10. Comparison of Subcutaneous Regular Insulin and Lispro Insulin in Diabetics Receiving Continuous Nutrition: A Numerical Study. (United States)

    Stull, Mamie C; Strilka, Richard J; Clemens, Michael S; Armen, Scott B


    Optimal management of non-critically ill patients with diabetes maintained on continuous enteral feeding (CEN) is poorly defined. Subcutaneous (SQ) lispro and SQ regular insulin were compared in a simulated type 1 and type 2 diabetic patient receiving CEN. A glucose-insulin feedback mathematical model was employed to simulate type 1 and type 2 diabetic patients on CEN. Each patient received 25 SQ injections of regular insulin or insulin lispro, ranging from 0-6 U. Primary endpoints were the change in mean glucose concentration (MGC) and change in glucose variability (GV); hypoglycemic episodes were also reported. The model was first validated against patient data. Both SQ insulin preparations linearly decreased MGC, however, SQ regular insulin decreased GV whereas SQ lispro tended to increase GV. Hourly glucose concentration measurements were needed to capture the increase in GV. In the type 2 diabetic patient, "rebound hyperglycemia" occurred after SQ lispro was rapidly metabolized. Although neither SQ insulin preparation caused hypoglycemia, SQ lispro significantly lowered MGC compared to SQ regular insulin. Thus, it may be more likely to cause hypoglycemia. Analyses of the detailed glucose concentration versus time data suggest that the inferior performance of lispro resulted from its shorter duration of action. Finally, the effects of both insulin preparations persisted beyond their duration of actions in the type 2 diabetic patient. Subcutaneous regular insulin may be the short-acting insulin preparation of choice for this subset of diabetic patients. Clinical trial is required before a definitive recommendation can be made. © 2015 Diabetes Technology Society.

  11. Movie making as a cognitive distraction for paediatric patients receiving radiotherapy treatment: qualitative interview study. (United States)

    Shrimpton, Bradley J M; Willis, David J; Tongs, Cáthal D; Rolfo, Aldo G


    To establish the outcomes achieved by using an innovative movie-making programme designed to reduce fear of radiotherapy among paediatric patients. Qualitative descriptive evaluation based on semistructured, qualitative interviews with purposeful sampling and thematic analysis. Tertiary Cancer Centre. 20 parents of paediatric patients who had produced a movie of their radiation therapy experience and were in a follow-up phase of cancer management. Participants attributed a broad range of outcomes to the movie-making program. These included that the programme had helped reduce anxiety and distress exhibited by paediatric patients and contributed to a willingness to receive treatment. Other outcomes were that the completed movies had been used in school reintegration and for maintaining social connections. Allowing children to create a video of their experience of radiotherapy provided a range of benefits to paediatric patients that varied according to their needs. For some patients, movie-making offered a valuable medium for overcoming fear of the unknown as well as increasing understanding of treatment processes. For others, the development of a personalised video offered an important cognitive/attentional distraction through engaging with an age-appropriate activity. Together these outcomes helped children maintain self-control and a positive outlook.

  12. Conceptual Study of A Hetrodyne Receiver for the Origins Space Telescope (United States)

    Wiedner, Martina


    The Origins Space Telescope (OST) is a mission concept of an extremely versatile observatory with 5 science instruments, of which the HEterodyne Receivers for OST (HERO) is one. HERO's main targets are high spectral resolution observations (Δλ/λ up to 107 or Δv = 0.03km/s) of water to follow its trail from cores to YSOs as well as H2O and HDO observations on comets. HERO will probe all neutral ISM phases using cooling lines ([CII], [OI]) and hydrides as probes of CO-dark H2 (CH, HF). HERO will reveal how molecular clouds and filaments form in the local ISM up to nearby galaxies. In order to achieve these observational goals, HERO will cover an extremely wide frequency range from 468 to 2700 GHz and a window around the OI line at 4563 to 4752GHz. It will consist of very large focal plane arrays of 128 pixels between 900 - 2700 GHz and at 4.7 THz, and 32 pixels for the 468 to 900 GHz range. The instrument is exploiting Herschel/HIFI heritage. HERO's large arrays require low dissipation and low power components. The HERO concept makes use of the latest cryogenic SiGe amplifier technology, as well as CMOS technology for the backends with 2 orders of magnitude lower power.

  13. Receiver operating characteristic curve evaluation on computed radiography: an experimental study

    International Nuclear Information System (INIS)

    Yu Zixi; Wang Changyuan; Xu Yue; Xie Jindong; Zhang Menglong; Wang Jian


    Objective: To get the maximum information from computed radiography (CR) output images by changing post-processing parameters. Methods: Six experimental photos of polypropylene balls of 2.0 mm in diameter were taken by means of one time X-ray exposing on an imaging plate (IP) with different post-processing parameters including rotation amount (GA), gray gradation type (GT), rotation center (GC), shifting amount (GS), frequency rank (RN), frequency type (RT), and degree of enhancement (RE). 6 photos were viewed by three students and one radiologist on a 6000 lx illuminance viewbox. Receiver operating characteristic (ROC) curves were made by means of 5-value-differentiation method. Results: The largest mean area value (Az) below ROC curves of a low contrast experimental photo with post-processing parameters GA=1.0, GT=A, GC=1.6, GS=0.3, RN=4.0, RT=R and RE=3.0 was 0.96, and the maximum information was obtained. The smallest mean area value (Az) was 0.78 with changed post-processing parameters GA=0.8, GS=-0.2 and RE=0.5 while other parameters were not changed. The minimum information was obtained from this photo. Conclusion: In order to get the maximum information from a CR output image, the post-processing parameters should be suitably selected

  14. Weight loss in patients receiving radical radiation therapy for head and neck cancer: a prospective study

    International Nuclear Information System (INIS)

    Johnston, C.A.; Keane, T.J.; Prudo, S.M.


    Thirty-one patients receiving radiation therapy for localized cancer of the head and neck areas were systematically assessed before, during, and after treatment. The pathogenesis of weight loss and its association with treatment morbidity and other determinants were sought. The serial data collected consisted of a food frequency questionnaire based on Canada's Food Guide, anthropometric measurements, 10 Linear Analogue Self Assessment questions on morbidity, and biochemical and hematological indices. Twenty of 31 patients (68%) lost over 5% of their presenting weight within one month after completing treatment. The mean weight loss was 10% and the range of weight loss in this group was 5.4 to 18.9%. Pretreatment dietary habits, serum albumin, absolute lymphocyte count, serum creatinine, creatinine height index, and anthropometric measurements did not predict for weight loss. However, weight loss can be predicted on the basis of field size and site irradiated. Treatment-related morbidity involving dysguesia, xerostomia, dysphagia of solids, and mouth pain was greater and of longer duration in patients with weight loss. The sequence of development of these symptoms during treatment and their duration provide a rational basis for the timing and methods of nutritional intervention in this patient population

  15. A Randomized, Single-Blind, Substitution Study of OROS Methylphenidate (Concerta) in ADHD Adults Receiving Immediate Release Methylphenidate (United States)

    Spencer, Thomas J.; Mick, Eric; Surman, Craig B. H.; Hammerness, Paul; Doyle, Robert; Aleardi, Megan; Kotarski, Meghan; Williams, Courtney G.; Biederman, Joseph


    Objective: The main aim of this study was to examine the efficacy, tolerability, and compliance of an extended-release formulation of methylphenidate (OROS-MPH) in adults with ADHD receiving immediate-release methylphenidate (IR-MPH). Method: Participants were outpatient adults with ADHD who were stable on IR-MPH-administered TID. Participants…

  16. A long-term follow-up study of mortality in transsexuals receiving treatment with cross-sex hormones

    NARCIS (Netherlands)

    Asscheman, H.; Giltay, E.J.; Megens, J.A.J.; de Ronde, W.; van Trotsenburg, M.A.A.; Gooren, L.J.G.


    Objective: Adverse effects of long-term cross-sex hormone administration to transsexuals are not well documented. We assessed mortality rates in transsexual subjects receiving long-term cross-sex hormones. Design: A cohort study with a median follow-up of 18.5 years at a university gender clinic.

  17. Changes in Brain Structural Networks and Cognitive Functions in Testicular Cancer Patients Receiving Cisplatin-Based Chemotherapy

    NARCIS (Netherlands)

    Amidi, Ali; Hosseini, S. M.Hadi; Leemans, Alexander; Kesler, Shelli R.; Agerbæk, Mads; Wu, Lisa M.; Zachariae, Robert


    Background: Cisplatin-based chemotherapy may have neurotoxic effects within the central nervous system. The aims of this study were 1) to longitudinally investigate the impact of cisplatin-based chemotherapy on whole-brain networks in testicular cancer patients undergoing treatment and 2) to explore

  18. Receiver function and magnetotelluric analysis to understand the first stage of a continental lithospheric break-up : case of the North Tanzanian Rift (United States)

    Plasman, M.; Tiberi, C.; Tarits, P.; Hautot, S.; Gautier, S.; Ebinger, C. J.; Mulibo, G. D.; Khalfan, M.


    First stage of continental break-up, though intensively studied, is yet poorly understood. This is partly because actual rifting areas are either too mature (more than 10 My) or not easily accessible (thick sediment cover or under water). The North Tanzania part of the East African Rift is the place of a lithosphere's early break-up (less than 5My) in response to a combination of regional pulling forces and mantle upwelling. Deformation there results from complex interactions between magmatic intrusions, faulting, asthenospheric dynamics and far field stresses. CoLiBrEA (ANR) and CRAFTI (NSF) are two multidisciplinary projects which collaboratively focus on this area to understand the interactions between faults and magma, the role of inherited structures and rheological heterogeneities of the lithosphere. For that purpose, we deployed 38 broadband seismic stations in the Natron and Ngorongoro areas from January 2013 to December 2014 and carried out a 120 km East-West magnetotelluric (MT) profile to image the crustal and mantle structures. The 3D resistivity model, obtained from the inversion of the MT data along the profile, shows an highly heterogeneous crust with three-dimensional structures over a more homogeneous upper mantle. The first inversion result from the receiver function (RF) by the Zhu and Kanamori's inversion method show a thick crust (~35 km) with important variations (maximum 15km) especially in the Ngorongoro area, and an average Vp/Vs ratio of 1.75. We then completed this study by combining the MT data and the RF at the 11 sites of the EW profile. For each site, we built a 1D velocity model (Vs and VpVs) obtained by combining the Sambridge forward solution with a non linear descent research algorithm and constrained by the resistivity structure. The inversion shows an heterogeneous crust obviously dominated by the Moho interface at different depths, with low velocity layers mainly corresponding to low resistivity features.

  19. S-wave velocities of the lithosphere-asthenosphere system in the Lesser Antilles from the joint inversion of surface wave dispersion and receiver function analysis (United States)

    González, O'Leary; Clouard, Valerie; Tait, Stephen; Panza, Giuliano F.


    We present an overview of S-wave velocities (Vs) within the crust and upper mantle of the Lesser Antilles as determined with 19 seismic broadband stations. Receiver functions (RF) have been computed from teleseismic recordings of earthquakes, and Rayleigh wave group velocity dispersion relations have been taken from earlier surface wave tomographic studies in the Caribbean area. Local smoothness optimization (LSO) procedure has been applied, combined with an H-K stacking method, the spatial distribution of hypocenters of local earthquakes and of the energy they released, in order to identify an optimum 1D model of Vs below each station. Several features of the Caribbean plate and its interaction with the Atlantic subducting slab are visible in the resulting models: (a) relatively thick oceanic crust below these stations ranges from 21 km to 33 km, being slight thinner in the middle of the island arc; (b) crustal low velocity zones are present below stations SABA, SEUS, SKI, SMRT, CBE, DSD, GCMP and TDBA; (c) lithospheric thickness range from 40 km to 105 km but lithosphere-asthenosphere boundary was not straightforward to correlate between stations; (d) the aseismic mantle wedge between the Caribbean seismic lithosphere and the subducted slab varies in thickness as well as Vs values which are, in general, lower below the West of Martinique than below the West of Guadeloupe; (e) the depth of the subducted slab beneath the volcanic arc, appears to be greater to the North, and relatively shallower below some stations (e.g. DLPL, SAM, BIM and FDF) than was estimated in previous studies based on the depth-distribution of seismicity; f) the WBZ is >10-15 km deeper than the top of the slab below the Central Lesser Antilles (Martinique and Dominica) where the presence of partial melt in the mantle wedge seems also to be more evident.

  20. A lithospheric velocity model for the flat slab region of Argentina from joint inversion of Rayleigh-wave dispersion and teleseismic receiver functions (United States)

    Ammirati, J. B.; Alvarado, P. M.; Beck, S. L.


    Receiver Function (RF) analyses using teleseismic P waveforms is a technique to isolate P to S conversions from seismic discontinuities in the lithosphere. Using earthquakes with a good azimuthal distribution, RFs recorded at a three-component seismic station can be inverted to obtain detailed lithospheric velocity structures. The technique, however presents a velocity-depth trade-off, which results in a non-unique model because RFs do not depend on the absolute seismic velocities but rather on relative velocity contrasts. Unlike RF, surface wave dispersion is sensitive to the average shear-wave velocity which makes it well suited for studying long period variations of the lithospheric seismic velocities. We performed a joint inversion of RF and Rayleigh-wave phase velocity dispersion to investigate the structure beneath the SIEMBRA network, a 43-broadband-seismic-station array deployed in the Pampean flat slab region of Argentina. Our results indicate: 1) The presence of several mid-crustal discontinuities probably related with terrane accretion; 2) A high seismic velocity in the lower crust suggesting partial eclogitization; 3) A thicker crust (> 50 km) beneath the western Sierras Pampeanas with an abrupt change in the relative timing of the Moho signal indicating a thinner crust to the east; 4) The presence of the subducting oceanic crust lying at ~100 km depth. We then built a 1D regional velocity model for the flat slab region of Argentina and used it for regional moment tensor inversions for local earthquakes. This technique is notably dependent on small-scale variations of Earth structure when modeling higher frequency seismic waveforms. Eighteen regional focal mechanisms have been determined. Our solutions are in good agreement with GCMT source estimations although our solutions for deep earthquakes systematically resulted in shallower focal depths suggesting that the slab seismicity could be concentrated at the top of the subducting Nazca plate. Solutions

  1. Associations Between End-of-Life Discussion Characteristics and Care Received Near Death: A Prospective Cohort Study (United States)

    Mack, Jennifer W.; Cronin, Angel; Keating, Nancy L.; Taback, Nathan; Huskamp, Haiden A.; Malin, Jennifer L.; Earle, Craig C.; Weeks, Jane C.


    Purpose National guidelines recommend that discussions about end-of-life (EOL) care planning happen early for patients with incurable cancer. We do not know whether earlier EOL discussions lead to less aggressive care near death. We sought to evaluate the extent to which EOL discussion characteristics, such as timing, involved providers, and location, are associated with the aggressiveness of care received near death. Patients and Methods We studied 1,231 patients with stage IV lung or colorectal cancer in the Cancer Care Outcomes Research and Surveillance Consortium, a population- and health system–based prospective cohort study, who died during the 15-month study period but survived at least 1 month. Our main outcome measure was the aggressiveness of EOL care received. Results Nearly half of patients received at least one marker of aggressive EOL care, including chemotherapy in the last 14 days of life (16%), intensive care unit care in the last 30 days of life (9%), and acute hospital-based care in the last 30 days of life (40%). Patients who had EOL discussions with their physicians before the last 30 days of life were less likely to receive aggressive measures at EOL, including chemotherapy (P = .003), acute care (P EOL discussions are prospectively associated with less aggressive care and greater use of hospice at EOL. PMID:23150700

  2. Dose finding study of granisetron in patients receiving high-dose cisplatin chemotherapy. The Granisetron Study Group. (United States)

    Riviere, A.


    The efficacy and safety of three different doses of granisetron (2 micrograms kg-1, group A; 10 micrograms kg-1, group B; 40 micrograms kg-1, group C) were compared in a randomised, double-blind study of 157 patients due to receive high-dose cisplatin therapy (mean dose > 97 mg m-2). In each group, up to two 3 mg rescue doses of granisetron were allowed if more than mild nausea or vomiting occurred. In group A 30.8%, in group B 61.5% and in group C 67.9% of patients were complete responders (i.e. no vomiting or nothing worse than mild nausea) during the first 24 h. These differences are significant between groups A and B, and A and C. There were no statistically significant differences in any efficacy variable between the 10 micrograms kg-1 and 40 micrograms kg-1 groups, although in each case the trend favoured the higher dose. Additional rescue doses resulted in resolved or improved symptoms in 95.3% for the first rescue dose and 93.3% for the second. Over the 7 days of the study, 82.7%, 82.7% and 86.8% of patients in groups A, B and C respectively were treated with granisetron alone. Headache was the most common side-effect, reported by 9.6% of patients; the majority of headaches were mild. There was no difference between the treatment groups regarding the adverse event rate. We concluded that prophylactic doses of 10 or 40 micrograms kg-1 lead to a safe and satisfactory degree of control of nausea and vomiting induced by high-dose cisplatin. PMID:8180032

  3. Patients' experiences of living with and receiving treatment for fibromyalgia syndrome: a qualitative study

    Directory of Open Access Journals (Sweden)

    Carville Serene F


    Full Text Available Abstract Background Fibromyalgia syndrome (FMS presents a challenge for patients and health care staff across many medical specialities. The aetiology is multi-dimensional, involving somatic, psychological and social factors. Patients' views were obtained to understand their experience of living with this long-term condition, using qualitative interviews. Methods 12 patients were recruited and stratified by age, gender and ethnicity from one rheumatology outpatient clinic, and a departmental held database of patients diagnosed with FMS. Results Patients' accounts of their experience of FMS resonated well with two central concepts: social identity and illness intrusiveness. These suggested three themes for the analytical framework: life before and after diagnosis (e.g. lack of information about FMS, invisibility of FMS; change in health identity (e.g. mental distress, impact on social life and perceived quality of care (e.g. lack of contact with nurses, attitudes of specialists. The information provided from one male participant did not differ from the female patients, but black and ethnic community patients expressed a degree of suspicion towards the medication prescribed, and the attitudes displayed by some doctors, a finding that has not been previously reported amongst this patient group. Patients expected more consultation time and effective treatment than they received. Subjective experiences and objective physical and emotional changes were non-overlapping. Patients' accounts revealed that their physical, mental and social health was compromised, at times overwhelming and affected their identity. Conclusion FMS is a condition that intrudes upon many aspects of patients' lives and is little understood. At the same time, it is a syndrome that evokes uneasiness in health care staff (as current diagnostic criteria are not well supported by objective markers of physiological or biochemical nature, and indeed because of doubt about the existence

  4. Characterizing the Relationship Between Lithospheric Deformation and Seismic Anisotropy in the Basin and Range Province and San Andreas Fault System using Ps Receiver Function Analysis (United States)

    Ford, H. A.; Schnorr, E.


    The presence of complex and spatially variable anisotropy in many parts of the western U.S. has been tied to regional tectonic and dynamic processes that go beyond the (frequently) assumed plate motion oriented shear. In the Basin and Range, a well-imaged "swirl" of shear wave splitting observations has been explained via a number of different dynamic processes, including a lithospheric drip and toroidal flow. In central California, rapid variations in splitting direction across the plate boundary have been attributed to a relatively narrow, well-defined shear zone. Ambient noise tomography has further complicated the picture, indicating that some of the observed complexity can be explained by incorporating multiple layers of anisotropy. The goal of this study is to place firm constraints on vertical variations in anisotropy over two tectonically distinct, yet related, regions- the Basin and Range province and the San Andreas fault system, in order to better understand how deformation of the lithosphere is accommodated. To do this, radial and transverse component Ps receiver functions have been calculated for 14 stations within the two regions. Within both study areas, variability exists between most stations at crust and lithospheric mantle depths. This is particularly true for stations located near the San Andreas Fault system. These differences may be attributed to variations in the provenance of the lithospheric "packages" in some areas, however several stations are located near or within the plate boundary system and may be sampling multiple regions with varying deformation fabrics. To account for this, future work will include binning as a function of piercing point. One notable exception to the generally observed variability is along the western margin of the Basin and Range, where several stations show similarities in back azimuthal variations at lower crust and uppermost mantle depths. Preliminary forwarding modeling of two of these stations indicates that

  5. Ten kilometer vertical Moho offset and shallow velocity contrast along the Denali fault zone from double-difference tomography, receiver functions, and fault zone head waves (United States)

    Allam, A. A.; Schulte-Pelkum, V.; Ben-Zion, Y.; Tape, C.; Ruppert, N.; Ross, Z. E.


    We examine the structure of the Denali fault system in the crust and upper mantle using double-difference tomography, P-wave receiver functions, and analysis (spatial distribution and moveout) of fault zone head waves. The three methods have complementary sensitivity; tomography is sensitive to 3D seismic velocity structure but smooths sharp boundaries, receiver functions are sensitive to (quasi) horizontal interfaces, and fault zone head waves are sensitive to (quasi) vertical interfaces. The results indicate that the Mohorovičić discontinuity is vertically offset by 10 to 15 km along the central 600 km of the Denali fault in the imaged region, with the northern side having shallower Moho depths around 30 km. An automated phase picker algorithm is used to identify 1400 events that generate fault zone head waves only at near-fault stations. At shorter hypocentral distances head waves are observed at stations on the northern side of the fault, while longer propagation distances and deeper events produce head waves on the southern side. These results suggest a reversal of the velocity contrast polarity with depth, which we confirm by computing average 1D velocity models separately north and south of the fault. Using teleseismic events with M ≥ 5.1, we obtain 31,400 P receiver functions and apply common-conversion-point stacking. The results are migrated to depth using the derived 3D tomography model. The imaged interfaces agree with the tomography model, showing a Moho offset along the central Denali fault and also the sub-parallel Hines Creek fault, a suture zone boundary 30 km to the north. To the east, this offset follows the Totschunda fault, which ruptured during the M7.9 2002 earthquake, rather than the Denali fault itself. The combined results suggest that the Denali fault zone separates two distinct crustal blocks, and that the Totschunda and Hines Creeks segments are important components of the fault and Cretaceous-aged suture zone structure.

  6. Women's preferences and received pain relief in childbirth - A prospective longitudinal study in a northern region of Sweden. (United States)

    Lindholm, Annika; Hildingsson, Ingegerd


    A range of alternatives in pain management during childbirth are available in the western countries. Women's preferences for and use of pain relief methods during labour is not fully investigated. The aim of this study was to describe what pain relief methods pregnant women preferred when asked in late pregnancy and to identify factors associated with preferred and received pain relief methods. A prospective longitudinal study in a northern region of Sweden (n = 936). Data were collected by three questionnaires. Odds ratios with a 95% confidence interval were calculated between preferred and received pain relief methods for several explanatory variables. The most preferred pain relief methods were also the most common received pain relief methods; nitrous oxide, bathing, breathing techniques, epidural analgesia and massage. The strongest factors for using different pain relief methods were primiparity and preferences. Women who used epidural analgesia, regardless of preference, were two to four times more likely to have a less positive birth experience. Women's preferences for a certain pain relief method were largely met. Greater differences were seen between background factors and preferences than the received pain relief methods. Preferences and primiparity were the most important factors for actually using pain relief. Epidural analgesia was associated with a less positive birth experience. Copyright © 2014 Elsevier B.V. All rights reserved.

  7. Cognitive and psychosocial development of HIV pediatric patients receiving highly active anti-retroviral therapy: a case-control study

    Directory of Open Access Journals (Sweden)

    Theodoridou Maria


    Full Text Available Abstract Background The psychosocial development of pediatric HIV patients has not been extensively evaluated. The study objectives were to evaluate whether emotional and social functions are differentially associated with HIV-related complications. Methods A matched case-control study design was conducted. The case group (n = 20 consisted of vertically infected children with HIV (aged 3-18 years receiving HAART in Greece. Each case was matched with two randomly selected healthy controls from a school-based population. CNS imaging and clinical findings were used to identify patients with HIV-related neuroimaging abnormalities. The Wechsler Intelligence Scale III and Griffiths Mental Abilities Scales were applied to assess cognitive abilities. The age specific Strengths and Difficulties Questionnaire was used to evaluate emotional adjustment and social skills. The Fisher's exact test, student's t-test, and Wilcoxon rank sum test were used to compare categorical, continuous, and ordinal scores, respectively, of the above scales between groups. Results HIV patients without neuroimaging abnormalities did not differ from patients with neuroimaging abnormalities with respect to either age at HAART initiation (p = 0.306 or months of HAART treatment (p = 0.964. While HIV patients without neuroimaging abnormalities had similar cognitive development with their healthy peers, patients with neuroimaging abnormalities had lower mean General (p = 0.027 and Practical (p = 0.042 Intelligence Quotient scores. HIV patients without neuroimaging abnormalities had an increased likelihood of both Abnormal Emotional Symptoms (p = 0.047 and Hyperactivity scores (p = 0.0009. In contrast, HIV patients with neuroimaging abnormalities had an increased likelihood of presenting with Abnormal Peer Problems (p = 0.033. Conclusions HIV patients without neuroimaging abnormalities are more likely to experience maladjustment with respect to their emotional and activity spheres

  8. A case study of the language in education complaints received by ...

    African Journals Online (AJOL)

    Southern African Linguistics and Applied Language Studies ... have his child's language in education rights acknowledged and implemented within the ... to the School Governing Body (SGB), the provincial Department of Education and finally ...

  9. Schizophrenia symptoms and functioning in patients receiving long-term treatment with olanzapine long-acting injection formulation: a pooled analysis

    Directory of Open Access Journals (Sweden)

    Peuskens Joseph


    Full Text Available Abstract Background This analysis of pooled data evaluates treatment outcomes of patients with schizophrenia receiving maintenance treatment with olanzapine long-acting injection (OLAI by means of a categorical approach addressing the symptomatic and functional status of patients at different times. Methods Patients were grouped into 5 categories at baseline, 6 months, and 12 months. Shifts between categories were assessed for individual patients and factors associated with improvement were analyzed. 1182 patients from 3 clinical trials were included in the current analysis. Results At baseline, 434 (36.8% patients had minimal Positive and Negative Syndrome Scale (PANSS symptoms but seriously impaired Heinrich Carpenter’s Quality of Life Scale (QLS functioning; 303 (25.6% had moderate to severe symptoms and seriously impaired function; 208 (17.6% had mild to moderate symptoms but good functioning, and 162 (13.7% had minimal symptoms and good functioning. Baseline category was significantly associated with Clinical Global Impression – Severity (CGI-S, extrapyramidal symptoms, working status, age, and number of previous episodes. The majority of all patients starting OLAI treatment maintained or improved (62% at 6 months and 52% at 12 months their symptom and functioning levels on OLAI maintenance treatment. Less than 8% of the patients showed worsening of symptoms or functioning. An improvement in category was associated with high PANSS positive and low CGI-S scores at baseline. Conclusions We present evidence that a composite assessment of schizophrenic patients including symptom severity and functioning is helpful in the evaluation of maintenance treatment outcomes. This approach could also be useful for the assessment of treatment options in clinical practice. The trials from which data are reported here were registered on as NCT00088491, NCT00088465, and NCT00320489.

  10. Effectiveness of pharmacist dosing adjustment for critically ill patients receiving continuous renal replacement therapy: a comparative study

    Directory of Open Access Journals (Sweden)

    Jiang SP


    Full Text Available Sai-Ping Jiang,1 Zheng-Yi Zhu,2 Xiao-Liang Wu,3 Xiao-Yang Lu,1 Xing-Guo Zhang,1 Bao-Hua Wu1 1Department of Pharmacy, the First Affiliated Hospital, 2Department of Pharmacy, Children’s Hospital, College of Medicine, Zhejiang University, Hangzhou, 3Intensive Care Unit, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, People's Republic of China Background: The impact of continuous renal replacement therapy (CRRT on drug removal is complicated; pharmacist dosing adjustment for these patients may be advantageous. This study aims to describe the development and implementation of pharmacist dosing adjustment for critically ill patients receiving CRRT and to examine the effectiveness of pharmacist interventions. Methods: A comparative study was conducted in an intensive care unit (ICU of a university-affiliated hospital. Patients receiving CRRT in the intervention group received specialized pharmacy dosing service from pharmacists, whereas patients in the no-intervention group received routine medical care without pharmacist involvement. The two phases were compared to evaluate the outcome of pharmacist dosing adjustment. Results: The pharmacist carried out 233 dosing adjustment recommendations for patients receiving CRRT, and 212 (90.98% of the recommendations were well accepted by the physicians. Changes in CRRT-related variables (n=144, 61.81% were the most common risk factors for dosing errors, whereas antibiotics (n=168, 72.10% were the medications most commonly associated with dosing errors. Pharmacist dosing adjustment resulted in a US$2,345.98 ICU cost savings per critically ill patient receiving CRRT. Suspected adverse drug events in the intervention group were significantly lower than those in the preintervention group (35 in 27 patients versus [vs] 18 in eleven patients, P<0.001. However, there was no significant difference between length of ICU stay and mortality after pharmacist dosing adjustment, which

  11. Combined cycle solar central receiver hybrid power system study. Volume III. Appendices. Final technical report

    Energy Technology Data Exchange (ETDEWEB)



    A design study for a 100 MW gas turbine/steam turbine combined cycle solar/fossil-fuel hybrid power plant is presented. This volume contains the appendices: (a) preconceptual design data; (b) market potential analysis methodology; (c) parametric analysis methodology; (d) EPGS systems description; (e) commercial-scale solar hybrid power system assessment; and (f) conceptual design data lists. (WHK)

  12. A register-based study of variations in services received among dental care attenders

    DEFF Research Database (Denmark)

    Rosing, Kasper; Hede, Børge; Christensen, Lisa Bøge


    . Materials and methods . This retrospective register-based study followed two Danish cohorts, aged 25 and 40, with a dental examination in 2009 (n = 32,351). The dental service data were registered during 2005–2009. The number of dental examinations, individual preventive services (IPS), tooth extractions...

  13. The Beneficial Effects of Non-Received Choice: A Study on Intrinsic Motivation in Biology Education (United States)

    Meyer, Annika; Meyer-Ahrens, Inga; Wilde, Matthias


    Previous research has found conflicting evidence in studies where students participate in the selection of their course topics in educational settings. Katz and Assor (2007), for example, have argued that the increase in student motivation is probably not due to the mere act of choosing, but to the value of the options with respect to personal…

  14. Discretionary decisions and disparities in receiving drug-eluting stents under a universal healthcare system: A population-based study.

    Directory of Open Access Journals (Sweden)

    Raymond N Kuo

    Full Text Available One of the main objectives behind the expansion of insurance coverage is to eliminate disparities in health and healthcare. However, researchers have not yet fully elucidated the reasons for disparities in the use of high-cost treatments among patients of different occupations. Furthermore, it remains unknown whether discretionary decisions made at the hospital level have an impact on the administration of high-cost interventions in a universal healthcare system. This study investigated the adoption of drug-eluting stents (DES versus bare metal-stents (BMS among patients in different occupations and income levels, with the aim of gauging the degree to which the inclination of health providers toward treatment options could affect treatment choices at the patient-level within a universal healthcare system.We adopted a cross-sectional observational study design using hierarchical modeling in conjunction with the population-based National Health Insurance database of Taiwan. Patients who received either a BMS or a DES between 2007 and 2010 were included in the study.During the period of study, 42,124 patients received a BMS (65.3% and 22,376 received DES (34.7%. Patients who were physicians or the family members of physicians were far more likely to receive DES (OR: 3.18, CI: 2.38-4.23 than were patients who were neither physicians nor in other high-status jobs (employers, other medical professions, or public service. Similarly, patients in the top 5% income bracket had a higher probability of receiving a DES (OR: 2.23, CI: 2.06-2.47, p 50% or between 25% and 50% was shown to be strongly associated with the selection of DESs (OR: 3.64 CI: 3.24-4.09 and OR: 2.16, CI: 2.01-2.33, respectively.Even under the universal healthcare system in Taiwan, socioeconomic disparities in the use of high-cost services remain widespread. Differences in the care received by patients of lower socioeconomic status may be due to the discretionary decisions of healthcare

  15. Management of minor head injury in patients receiving oral anticoagulant therapy: a prospective study of a 24-hour observation protocol. (United States)

    Menditto, Vincenzo G; Lucci, Moira; Polonara, Stefano; Pomponio, Giovanni; Gabrielli, Armando


    Patients receiving warfarin who experience minor head injury are at risk of intracranial hemorrhage, and optimal management after a single head computed tomography (CT) scan is unclear. We evaluate a protocol of 24-hour observation followed by a second head CT scan. In this prospective case series, we enrolled consecutive patients receiving warfarin and showing no intracranial lesions on a first CT scan after minor head injury treated at a Level II trauma center. We implemented a structured clinical pathway, including 24-hour observation and a CT scan performed before discharge. We then evaluated the frequency of death, admission, neurosurgery, and delayed intracranial hemorrhage. We enrolled and observed 97 consecutive patients. Ten refused the second CT scan and were well during 30-day follow-up. Repeated CT scanning in the remaining 87 patients revealed a new hemorrhage lesion in 5 (6%), with 3 subsequently hospitalized and 1 receiving craniotomy. Two patients discharged after completing the study protocol with 2 negative CT scan results were admitted 2 and 8 days later with symptomatic subdural hematomas; neither received surgery. Two of the 5 patients with delayed bleeding at 24 hours had an initial international normalized ratio greater than 3.0, as did both patients with delayed bleeding beyond 24 hours. The relative risk of delayed hemorrhage with an initial international normalized ratio greater than 3.0 was 14 (95% confidence interval 4 to 49). For patients receiving warfarin who experience minor head injury and have a negative initial head CT scan result, a protocol of 24-hour observation followed by a second CT scan will identify most occurrences of delayed bleeding. An initial international normalized ratio greater than 3 suggests higher risk. Copyright © 2011 American College of Emergency Physicians. Published by Mosby, Inc. All rights reserved.

  16. Developmental status of preschool children receiving cART: a descriptive cohort study. (United States)

    Potterton, J; Hilburn, N; Strehlau, R


    HIV is known to cause neurodevelopmental problems in infants and young children. The impact of HIV on the development of preschool-age children has been less well described. The study was conducted at an urban paediatric HIV clinic in Johannesburg, South Africa. A sample of convenience was used. Sixty-eight medically stable children between the ages of 3 and 5 years were assessed with the Griffiths Scales of Mental Development. Children were excluded from the study if they had severe HIV encephalopathy, which made it impossible for them to participate in the items on the Griffiths Scales of Mental Development. The children had started combination antiretroviral treatment (cART) at a mean age of 8.1 months. The majority of the children were virologically suppressed and did not present with wasting or stunting. Severe overall developmental delay (z-scores perception were the most severely affected. Personal-social development was the least affected with only 13.4% of the children demonstrating severe delay. Despite having early access to cART, children infected with HIV are still at risk for severe developmental delay across a number of facets. Very early initiation of cART may help alleviate this problem. All preschool children infected with HIV should have routine developmental screening. © 2016 John Wiley & Sons Ltd.

  17. Imaging the lithosphere-asthenosphere boundary across the transition from Phanerozoic Europe to the East-European Craton with S-receiver functions (United States)

    Knapmeyer-Endrun, Brigitte; Krüger, Frank


    Cratons are characterized by their thick lithospheric roots. In the case of the Eastern European Craton, high seismic velocities have been imaged tomographically to more than 200 km depth. However, the exact depth extent of the cratonic lithosphere and especially the properties of the transition to a much thinner lithosphere beneath Phanerozoic central Europe still remain under discussion. Whereas a number of recent seismic campaigns has significantly increased the knowledge about crustal structure and Moho topography in central Europe, comparably detailed, 3-D information on upper mantle structure, e.g. the lithosphere-asthenosphere boundary (LAB), is yet missing. The international PASSEQ experiment, which was conducted from 2006 to 2008, strived to fill this gap with the deployment of 196 seismological stations, roughly a quarter of which were equipped with broad-band sensors, between eastern Germany and Lithuania. With a mean inter-station distance of 60 km, reduced to about 20 km along the central profile, PASSEQ offers the densest coverage for a passive experiment in this region yet. Here, we present first S-receiver function results for this data set, complemented by additional data from national and regional networks and other temporary deployments. This increases the number of available broad-band stations to almost 300, though mostly located to the west of the Trans-European Suture Zone (TESZ). Besides, we also process data from short-period (1 s and 5 s) sensors. The visibility of mantle-transition zone phases, even in single-station data, provides confidence in the quality of the obtained S-receiver functions. Moho conversions can be confidently identified for all stations. In case of a low-velocity sedimentary cover, as found for example in the Polish Basin, the S-receiver functions even provide clearer information on Moho depth than the P-receiver functions, which are heavily disturbed by shallow reverberations. For stations west of the TESZ, a clear

  18. Comparative study of eye dose and chest dose received during radiopharmaceutical production processes

    International Nuclear Information System (INIS)

    Chindarkar, A.S.; Chavan, S.V.; Sawant, D.K.; Sahoo, L.; Gopalakrishnan, R.K.; Sneha, C.; Sachdev, S.S.; Dey, A.C.


    Radiopharmaceutical laboratory, BRIT, Vashi produces different radiopharmaceuticals of 131 I, 153 Sm, 99 Mo/ 99m Tc and 177 Lu. Principle gamma energies of these isotopes vary from 103 to 740 KeV and their maximum beta energies vary from 384 to 1214 KeV. In the light of the revised eye lens dose limit recommended in IAEA Basic Safety Standard Interim Edition No. GSR Part 3 (IAEA-2011), the study of radiation dose for eye lens was carried out using CaSO 4 : Dy based Thermo luminescence dosimeter (TLD). This TLD was worn at center of the forehead to measure eye lens dose. This TLD dose was then compared with chest TLD dose to deduce any correlation between these TLD doses. These TLD doses were assessed on quarterly basis. Eight quarter data of these TLD doses were compared

  19. Comparative study of the craniofacial growth depending on the type of lactation received. (United States)

    Sánchez-Molins, M; Grau Carbó, J; Lischeid Gaig, C; Ustrell Torrent, J M


    Several organizations consider mother's milk the optimal nutrition source for newborns [AAP, 1998; Gartner et al., 1997; Mohrbacher and Stock, 2002; WHO, 1989]. However, there is little scientific evidence supporting the idea that breastfeeding has a positive influence on the development of the orofacial structures. The study of cases and controls (observational, analytical and retrospective) and lateral teleradiographs of the cranium of 197 patients (106 breast-fed and 91 bottle-fed) were compared. Ricketts, Steiner and McNamara values were used for the cephalometric analysis. Differences between the two groups were analysed by applying the T-test and ANOVA. Statistical significance levels were set at pbreastfeeding also helps correct orofacial development (not only for the incisors position, but also for the vertical and sagittal relations of the mandible with upper maxillary and cranial basis).

  20. Preferences and attitudes of the Saudi population toward receiving medical bad news: A primary study from Riyadh city. (United States)

    Alrukban, Mohammed O; Albadr, Badr O; Almansour, Mohammed; Sami, Waqas; Alshuil, Mussab; Aldebaib, Abulrahman; Algannam, Tamim; Alhafaf, Faisal; Almohanna, Abdulaziz; Alfifi, Tariq; Alshehri, Abdullah; Alshahrani, Muhannad


    Breaking bad news is one of the most stressful and difficult things a physician has to do. Good communication skills are required in order to ensure that bad news is delivered in a humane but effective way. This study was designed to explore the preferences and attitude of the Saudi population toward receiving bad news. Second, it was to identify the associations between preferences, attitudes, and sociodemographic characteristics. This was a cross-sectional study conducted during the month of April 2009 in Riyadh. Data were collected from 1013 adult Saudis. Stratified random sampling technique was used through a self-administered questionnaire. In this study, 474 (46.8%) were males and 539 (53.2%) were females. Almost two-third of the participants preferred to be the first to receive the bad news. A majority of the participants 695 (68.6%) preferred to be told the bad news at a private place, whereas, 441 (43.5%) preferred to be told by the head of the medical team. Moreover, almost half of the participants would like the one who breaks the bad news to remain with them to give them some more information about the disease. Significant associations were observed between participants' perception and attitude with age, marital status, gender, and education (P bad news is received. Understanding what is important in the process of breaking bad news may help in determining how best to perform this challenging task.

  1. Preferences and attitudes of the Saudi population toward receiving medical bad news: A primary study from Riyadh city (United States)

    Alrukban, Mohammed O.; Albadr, Badr O.; Almansour, Mohammed; Sami, Waqas; Alshuil, Mussab; Aldebaib, Abulrahman; Algannam, Tamim; Alhafaf, Faisal; Almohanna, Abdulaziz; Alfifi, Tariq; Alshehri, Abdullah; Alshahrani, Muhannad


    Background: Breaking bad news is one of the most stressful and difficult things a physician has to do. Good communication skills are required in order to ensure that bad news is delivered in a humane but effective way. Objectives: This study was designed to explore the preferences and attitude of the Saudi population toward receiving bad news. Second, it was to identify the associations between preferences, attitudes, and sociodemographic characteristics. Materials and Methods: This was a cross-sectional study conducted during the month of April 2009 in Riyadh. Data were collected from 1013 adult Saudis. Stratified random sampling technique was used through a self-administered questionnaire. Results: In this study, 474 (46.8%) were males and 539 (53.2%) were females. Almost two-third of the participants preferred to be the first to receive the bad news. A majority of the participants 695 (68.6%) preferred to be told the bad news at a private place, whereas, 441 (43.5%) preferred to be told by the head of the medical team. Moreover, almost half of the participants would like the one who breaks the bad news to remain with them to give them some more information about the disease. Significant associations were observed between participants' perception and attitude with age, marital status, gender, and education (P bad news is received. Understanding what is important in the process of breaking bad news may help in determining how best to perform this challenging task. PMID:24987276

  2. Evaluation of coastal waters receiving fish processing waste: Lota Bay as a case study. (United States)

    Ahumada, Ramón; Rudolph, Anny; Contreras, Sergio


    Liquid wastes from the fish meal and oil processing industries produce serious environmental impacts in coastal embayments on the coasts of Chile and Peru. This article presents an analysis of an environmental monitoring program at Lota Bay, a shallow coastal indentation in central Chile (37 degrees S) exposed to industrial fishing activity. The study of the environmental impact produced by waste effluents permitted making an evaluation of the bay's capacity for seasonal recovery from this impact. Seasonal cruises were carried out during 1994 and in 1996, 1997, and 1998. Variables analyzed included salinity, temperature, dissolved oxygen, ammonium concentration and surface oil and grease. The hydrographic regime of Lota Bay follows a seasonal pattern, where, typical of most SE pacific embayments, waters from subsuperficial oxygen minimum zones moved into the bay. The percentages of dissolved oxygen were critical in the area of organic waste discharge. The impact of wastewater is related to the type and status of the fishery, including: (i) overloads of plant production lines, (ii) maintenance and cleaning of installations, and (iii) degree of shipboard fishing conservation. Major alterations were observed in summer, when the highest discharge of organic load occurred. In winter, an improvement in the re-aeration conditions reduced the impact. Remedial measures implemented beginning in 1997 arose from the monitoring program and had to be separated into two recovery factors including (a) internal management of plants and (b) treatment of plant effluents.

  3. A Pilot Study: Cardiac Parameters in Children Receiving New-Generation Antidepressants. (United States)

    Uchida, Mai; Spencer, Andrea E; Kenworthy, Tara; Chan, James; Fitzgerald, Maura; Rosales, Ana Maria; Kagan, Elana; Saunders, Alexandra; Biederman, Joseph


    Because of concerns about potential associations between high doses of citalopram and QTc prolongation in adults, this study examined whether such associations are operant in children. We hypothesized that therapeutic doses of nontricyclic antidepressant medications (non-TCAs) prescribed to children would be cardiovascularly safe. The sample consisted of 49 psychiatrically referred children and adolescents 6 to 17 years old of both sexes treated with a non-TCA (citalopram, escitalopram, fluoxetine, paroxetine, sertraline, bupropion, duloxetine, venlafaxine, mirtazapine). To standardize the doses of different antidepressants, we converted doses of individual medicines into "citalopram equivalent doses" (CEDs) based on dosing recommendation for individual antidepressants. Correlation analysis was carried out to compare the continuous and weight-based CED to variables of interest. A QTc grouping was defined as normal, borderline, or abnormal, and CED was compared across QTc groupings using linear regression. An antidepressant dosage group was defined as low or high dose, and a t test compared variables of interest across dosage groups. No significant associations were found between total or weight-corrected CEDs of any antidepressant examined and QTc or any other electrocardiogram or blood pressure parameters. In patients taking citalopram or escitalopram, a significant correlation was found between PR interval and total daily dose, which disappeared when weight-based doses were used or when corrected by age. Although limited by a relatively small sample size, these results suggest that therapeutic doses of non-TCA antidepressants when used in children do not seem to be associated with prolonged QTc interval or other adverse cardiovascular effects.

  4. Evaluation of photodynamic treatment efficiency on glioblastoma cells received from malignant lesions: initial studies (United States)

    Borisova, Ekaterina; Kyurkchiev, Dobroslav; Tumangelova-Yuzeir, Kalina; Angelov, Ivan; Genova-Hristova, Tsanislava; Semyachkina-Glushkovskaya, Oxana; Minkin, Krassimir


    Photodynamic therapy is well-established and extensively used method in treatment of different cancer types. This research reveals its potential in the treatment of cultivated human glioblastoma cells with adherent morphology. As the blood-brain barrier (BBB) permeability of the drugs is a significant problem that could not be solved easily for large biomolecules, we search for an appropriate low-molecular weight photosensitizer that could be applied for photodynamic treatment of glioblastoma cells. We used delta-aminolevulinic acid (5-ALA), which could pass BBB and plays the role of precursor of a protoporphyrin IX (PpIX) - photosensitizer, that is accumulated selectively in the tumour cells and could be a proper tool in PDT of glioblastoma. However, differences from patient to patient and between the cell activities could also lead to different effectiveness of the PDT treatment of the tumour areas. Therefore in our study we investigated not only the effect of using different fluence rates and light doses, but aims to establish more efficient values for further clinical applications for each sub-type of the GBM lesions. For the needs of PDT application an illumination device was developed in Laboratory of Biophotonics, BAS based on light-emitting diode (LED) matrix light sources for therapeutic application emitting at 635 nm. The device is optimized for PDT in combination with aminolevulinic acid/protoporphyrin IX applied as a photosensitizer drug. By the means of FACSCalibur flow cytometer (Becton Dickinson, USA) and Cell Quest Software was made evaluation of PDT effect on used human glioblastoma cells. Treatment of glioblastoma tumours continues to be a very serious issue and there is growing need in development of new concepts, methods and cancer-fighting strategies. PDT may contribute in accomplishing better results in cancer treatment and can be applied as well in combination with other techniques.

  5. Bleeding-related admissions in patients with atrial fibrillation receiving antithrombotic therapy: results from the Tasmanian Atrial Fibrillation (TAF) study. (United States)

    Admassie, Endalkachew; Chalmers, Leanne; Bereznicki, Luke R


    Limited data are available from the Australian setting regarding bleeding in patients with atrial fibrillation (AF) receiving antithrombotic therapy. We aimed to investigate the incidence of hospital admissions due to bleeding and factors associated with bleeding in patients with AF who received antithrombotic therapy. A retrospective cohort study was conducted involving all patients with AF admitted to the Royal Hobart Hospital, Tasmania, Australia, between January 2011 and July 2015. Bleeding rates were calculated per 100 patient-years (PY) of follow-up, and multivariable modelling was used to identify predictors of bleeding. Of 2202 patients receiving antithrombotic therapy, 113 presented to the hospital with a major or minor bleeding event. These patients were older, had higher stroke and bleeding risk scores and were more often treated with warfarin and multiple antithrombotic therapies than patients who did not experience bleeding. The combined incidence of major and minor bleeding was significantly higher in warfarin- versus direct-acting oral anticoagulants (DOAC)- and antiplatelet-treated patients (4.1 vs 3.0 vs 1.2 per 100 PY, respectively; p = 0.002). Similarly, the rate of major bleeding was higher in patients who received warfarin than in the DOAC and antiplatelet cohorts (2.4 vs 0.4 vs 0.6 per 100 PY, respectively; p = 0.001). In multivariate analysis, increasing age, prior bleeding, warfarin and multiple antithrombotic therapies were independently associated with bleeding. The overall rate of bleeding in this cohort was low relative to similar observational studies. The rate of major bleeding was higher in patients prescribed warfarin compared to DOACs, with a similar rate of major bleeding for DOACs and antiplatelet agents. Our findings suggest potential to strategies to reduce bleeding include using DOACs in preference to warfarin, and avoiding multiple antithrombotic therapies in patients with AF.


    Directory of Open Access Journals (Sweden)

    V. I. Kuzmich


    Full Text Available In this paper we consider two non-standard problems that may be offered to students for independent solution in the study of fundamental properties of functions in the course of mathematical analysis. These tasks are wearing creativity and contribute to a better understanding of students to concepts such as monotonicity and continuity of the function.

  7. Functional analysis of the exploratory studies facility

    International Nuclear Information System (INIS)

    Duffy, M.A.; Mozhi, T.A.; Kumar, P.N.; Senderling, M.S.; Lemeshewsky, W.A.


    The 'Physical System Requirements - Exploratory Studies Facility' (PSR-ESF) was developed as part of an improved management structure and procedure initiative by the OCRWM for managing the disposal of spent nuclear fuel and high-level radioactive wastes. This paper discusses the development of the PSR-EF document. Based on a functional analysis approach, this document includes results in the form of boundary diagrams, function hierarchy trees, function description tables containing a compilation of requirements, architecture tree and tables, and functional flow diagrams. The approach used ensures the flowdown and traceability of relevant requirements for the ESF design process

  8. Transmit-Only/Receive-Only Radiofrequency System for Hyperpolarized 13C MRS Cardiac Metabolism Studies in Pigs

    DEFF Research Database (Denmark)

    Giovannetti, G.; Frijia, F.; Hartwig, V.


    Hyperpolarized 13C magnetic resonance spectroscopy in pig models enables metabolic activity mapping, providing a powerful tool for the study of the heart physiology, but requires the development of dedicated radiofrequency coils, capable of providing large field of view with high signal......-to-noise ratio (SNR) data. This work describes the simulations and the tests of a transmit-only (TX) volume coil/receive-only (RX) surface coil both designed for hyperpolarized studies of pig heart with a clinical 3T scanner. The coil characterization is performed by developing an SNR model for coil performance...

  9. Significant renoprotective effect of telbivudine during preemptive antiviral therapy in advanced liver cancer patients receiving cisplatin-based chemotherapy: a case-control study. (United States)

    Lin, Chih-Lang; Chien, Rong-Nan; Yeh, Charisse; Hsu, Chao-Wei; Chang, Ming-Ling; Chen, Yi-Cheng; Yeh, Chau-Ting


    Cisplatin is a known nephrotoxic agent requiring vigorous hydration before use. However, aggressive hydration could be life-threatening. Therefore, in cirrhotic patients with advanced hepatocellular carcinoma (HCC) under cisplatin-based chemotherapy, the risk of nephrotoxicity increased. Because previous studies showed that long-term telbivudine treatment improved renal function in chronic hepatitis B virus (HBV) infected patients, we conducted a case-control study to evaluate the clinical outcome of telbivudine preemptive therapy in HBV-related advanced HCC patients treated by combination chemotherapy comprising 5-fluorouracil, mitoxantrone and cisplatin (FMP). From June 2007 to March 2012, 60 patients with HBV-related advanced HCC, all receiving the same FMP chemotherapy protocol, were enrolled. Of them, 20 did not receive any antiviral therapy, whereas the remaining 40 patients (sex and age matched) received telbivudine preemptive therapy. Progressive decrease of aminotransferase levels (p 100 ml/min (n = 34), the median overall survival was significantly longer in the telbivudine-treated group (12.1 vs. 4.9 months; p = 0.042). Preemptive use of telbivudine significantly prevented eGFR deterioration caused by cisplatin-based chemotherapy in HBV-related advanced HCC. In patients with initially sufficient eGFR level, telbivudine treatment was associated with a longer overall survival.

  10. Oral sucrosomial iron versus intravenous iron in anemic cancer patients without iron deficiency receiving darbepoetin alfa: a pilot study. (United States)

    Mafodda, Antonino; Giuffrida, D; Prestifilippo, A; Azzarello, D; Giannicola, R; Mare, M; Maisano, R


    Erythropoiesis-stimulating agents (ESAs) are often used in treatment of patients with chemotherapy-induced anemia. Many studies have demonstrated an improved hemoglobin (Hb) response when ESA is combined with intravenous iron supplementation and a higher effectiveness of intravenous iron over traditional oral iron formulations. A new formulation of oral sucrosomial iron featuring an increased bioavailability compared to traditional oral formulations has recently become available and could provide a valid alternative to those by intravenous (IV) route. Our study evaluated the performance of sucrosomial iron versus intravenous iron in increasing hemoglobin in anemic cancer patients receiving chemotherapy and darbepoetin alfa, as well as safety, need of transfusion, and quality of life (QoL). The present study considered a cohort of 64 patients with chemotherapy-related anemia (Hb >8 g/dL iron deficiency, scheduled to receive chemotherapy and darbepoetin. All patients received darbepoetin alfa 500 mcg once every 3 weeks and were randomly assigned to receive 8 weeks of IV ferric gluconate 125 mg weekly or oral sucrosomial iron 30 mg daily. The primary endpoint was to demonstrate the performance of oral sucrosomial iron in improving Hb response, compared to intravenous iron. The Hb response was defined as the Hb increase ≥2 g/dL from baseline or the attainment Hb ≥ 12 g/dL. There was no difference in the Hb response rate between the two treatment arms. Seventy one percent of patients treated with IV iron achieved an erythropoietic response, compared to 70% of patients treated with oral iron. By conventional criteria, this difference is considered to be not statistically significant. There were also no differences in the proportion of patients requiring red blood cell transfusions and changes in QoL. Sucrosomial oral iron was better tolerated. In cancer patients with chemotherapy-related anemia receiving darbepoetin alfa, sucrosomial oral iron provides

  11. High resolution crustal structure for the region between the Chilenia and Cuyania terrane above the Pampean flat slab of Argentina from local receiver function and petrological analyses (United States)

    Ammirati, J. B.; Alvarado, P. M.; Pérez, S. B.; Beck, S. L.; Porter, R. C.; Zandt, G.


    Jean-Baptiste Ammirati 1,Sofía Perez 1, Patricia Alvarado 1, Susan L. Beck 2, Ryan Porter 3 and George Zandt 2(1) CIGEOBIO-CONICET, Universidad Nacional de San Juan, Argentina (2) The University of Arizona, USA (3) Northern Arizona University, USA At ~31ºS, The subduction of the Nazca plate under the South American plate presents along-strike variations of its dip angle referred to the Chilean-Pampean flat slab. Geological observations suggest that the regional crustal structure is inherited from the accretion of different terranes at Ordovician times and later reactivated during Andean compression since Miocene. Geophysical observations confirmed that the structure is extending in depth with décollement levels that accommodate crustal shortening in the region. In order to get a better insight on the shallow tectonics we computed high frequency local receiver functions from slab seismicity (~100 km depth). Local earthquakes present a higher frequency content that permits a better vertical resolution. Using a common conversion point (CCP) stacking method we obtained cross sections showing high-resolution crustal structure in the western part of the Pampean flat slab region, at the transition between the Precordillera and the Frontal Cordillera. Our results show a well-defined structure and their lateral extent for both units down to 80 km depth. In good agreement with previous studies, our higher resolution images better identify very shallow discontinuities putting more constraints on the relationships with the regional structural geology. Recent petrological analyses combined with RF high-resolution structure also allow us to better understand the regional crustal composition. Interestingly, we are able to observe a shifting structure beneath the Uspallata-Calingasta Valley, highlighting the differences in terms of crustal structure between the Precordillera and the Frontal Cordillera. Previously determined focal mechanisms in the region match well this

  12. A functional magnetic resonance imaging study

    Indian Academy of Sciences (India)


    systems and ultra fast imaging techniques, such as echo planar imaging (EPI ) ... is used to understand brain organization, assessing of neurological status, and ..... J C 1998 Functional MRI studies of motor recovery after stroke;. NeuroImage 7 ...

  13. Cryogenic microwave channelized receiver

    International Nuclear Information System (INIS)

    Rauscher, C.; Pond, J.M.; Tait, G.B.


    The channelized receiver being presented demonstrates the use of high temperature superconductor technology in a microwave system setting where superconductor, microwave-monolithic-integrated-circuit, and hybrid-integrated-circuit components are united in one package and cooled to liquid-nitrogen temperatures. The receiver consists of a superconducting X-band four-channel demultiplexer with 100-MHz-wide channels, four commercial monolithically integrated mixers, and four custom-designed hybrid-circuit detectors containing heterostructure ramp diodes. The composite receiver unit has been integrated into the payload of the second-phase NRL high temperature superconductor space experiment (HTSSE-II). Prior to payload assembly, the response characteristics of the receiver were measured as functions of frequency, temperature, and drive levels. The article describes the circuitry, discusses the key issues related to design and implementation, and summarizes the experimental results

  14. Decreased risk of stroke in patients receiving traditional Chinese medicine for vertigo: A population-based cohort study. (United States)

    Tsai, Tzung-Yi; Li, Chung-Yi; Livneh, Hanoch; Lin, I-Hsin; Lu, Ming-Chi; Yeh, Chia-Chou


    Patients with vertigo are reported to exhibit a higher risk of subsequent stroke. However, it remains unclear if Traditional Chinese Medicine (TCM), the most common form of complementary and alternative medicine, can help lower the risk of stroke for these patients. So the aim of the study was to investigate the effects of TCM on stroke risk among patients with vertigo. This longitudinal cohort study used the Taiwanese National Health Insurance Research Database to identify 112,458 newly diagnosed vertigo patients aged ≥20 years who received treatment between 1998 and 2007. Among these patients, 53,203 (47.31%) received TCM after vertigo onset (TCM users), and the remaining 59,201 patients were designated as a control group (non-TCM users). All enrollees received follow-up until the end of 2012 to measure stroke incidence. Cox proportional hazards regression was used to compute the hazard ratio (HR) of stroke in recipients of TCM services. During 15-year follow-up, 5532 TCM users and 12,295 non-TCM users developed stroke, representing an incidence rate of 13.10% and 25.71% per 1000 person-years. TCM users had a significantly reduced risk of stroke compared to non-TCM users (adjusted HR=0.64; 95% confidence interval CI=0.59-0.74). The predominant effect was observed for those receiving TCM for more than 180 days (adjusted HR=0.52; 95% CI=0.49-0.56). Commonly used TCM formulae, including Ban-Xia-Bai-Zhu-Tian-Ma-Tang, Ling-Gui-Zhu-Gan-Tang, Bai Zhi (Angelica dahurica (Hoffm.) Benth. & Hook.f. ex Franch. & Sav., root), Ge Gen (Pueraria lobata (Willd.) Ohwi, root) and Hai Piao Xiao (Endoconcha Sepiae, Cuttlefish Bone) were significantly associated with lower risk of stroke. Results of this population-based study support the effects of TCM on reducing stroke risk, and may provide a reference for stroke prevention strategies. The study results may also help to integrate TCM into clinical intervention programs that provide a favorable prognosis for vertigo patients

  15. Radionuclide renal dynamic and function study

    International Nuclear Information System (INIS)

    Guan Liang


    The radionuclide dynamic and function study, glomerular filtration rate (GFR) and effective renal plasma flow (ERPF) were reported in 14 cases of renal and ureteral calculi patients before and after extracorporeal shock wave lithotripsy (ESWL). In 12 cases with normal renal blood flow, within 3 months after ESWL, the GFR of shock and non-shock side decreased with different extent, while the individual ERPF had little change. In 5 cases followed up 1 year after ESWL, the individual GFR and ERPF were normal. In 2 cases of severe renal function insufficiency, there was no improvement in renal function in shock side, after 5 months and 1 year, the renal function was still at low level. Thereby it is considered that ESWL is not suitable for the renal calculi patients with severe renal function insufficiency

  16. Empowering the poor: A field study of the social psychological consequences of receiving autonomy or dependency aid in Panama. (United States)

    Alvarez, Katherina; van Leeuwen, Esther; Montenegro-Montenegro, Esteban; van Vugt, Mark


    This field study investigated the consequences of receiving poverty aid through conditional transfer programmes in the form of autonomy-oriented help (i.e., cash) or dependency-oriented help (i.e., vouchers) in impoverished rural communities in Panama. The empowering effects of autonomy- (vs. dependency-) help have so far only been studied in laboratory settings, or in settings where help could easily be refused. Little is known about the reactions of people who rely on help for extended periods of time. This study provides insights into how aid recipients are influenced by the type of aid they receive. Results showed that, as expected, recipients of cash reported more autonomy, empowerment, and life improvements than recipients of vouchers. Training, another type of autonomy-oriented help, was positively related to empowerment, personal, and family change beliefs. These findings illustrate the benefits of autonomy-oriented help programmes in empowering people from extremely poor communities around the world, who rely on aid for extended periods of time. © 2018 The Authors. British Journal of Social Psychology published by John Wiley & Sons Ltd on behalf of British Psychological Society.

  17. "To cherish each day as it comes": a qualitative study of spirituality among persons receiving palliative care. (United States)

    Asgeirsdottir, Gudlaug Helga; Sigurbjörnsson, Einar; Traustadottir, Rannveig; Sigurdardottir, Valgerdur; Gunnarsdottir, Sigridur; Kelly, Ewan


    Spirituality is one of the main aspects of palliative care. The concept is multidimensional and encompasses the existential realm as well as value-based and religious considerations. The aim of this study was to explore spirituality from the perspective of persons receiving palliative care and examine their experience of spirituality and its influence on their lives and well-being. Qualitative interviews were conducted with ten persons receiving palliative care from Palliative Care Services in Iceland. The interviews were tape-recorded, transcribed and analysed. The study is in the field of practical theology and used the theoretical approach of hermeneutical phenomenology. Thematic analysis found that the spiritual dimension was of significance for the participants who understood it as a vital element connected to seeking meaning, purpose and transcendence in life. Religious and non-religious aspects of spirituality were expressed including strong spiritual components of family relationships, the meaning of God/a higher being and spiritual practices which served as a key factor in giving strength, activating inner resources and motivating hope. Nine of the participants expressed their spirituality as faith. Spirituality was experienced broadly as an important dimension of how participants lived with terminal illness. Religious and non-religious characteristics were recognised which reveals the complex nature of the phenomenon. Faith was a significant part of the participants' spirituality indicating the importance of attending to this aspect of palliative care. The study suggests the potential contributions of theological approaches which are relevant for palliative care research and practice.

  18. Atropine use may lead to post-operative respiratory acidosis in neonates receiving ductal ligation: A retrospective cohort study. (United States)

    Chang, Szu-Ling; Lin, Wen-Li; Weng, Chien-Hsiang; Wu, Shye-Jao; Tsai, Hsin-Jung; Wang, Shwu-Meei; Peng, Chun-Chih; Chang, Jui-Hsing


    Patent ductus arteriosus (PDA) is one of the most common cardiac conditions in preterm infants. Closure of the PDA in symptomatic patients can be achieved medically or surgically. Atropine is commonly administered in general anesthesia as a premedication in this age group but with limited evidence addressing the effect of its use. Our study examined the association of the use of atropine as a premedication in PDA ligation and the risk of post-operative respiratory complications. This retrospective cohort study included 150 newborns who have failed medical treatment for PDA and received PDA ligation during 2008-2012 in a single tertiary medical center. Ninety-two of them (61.3%) received atropine as premedication for general anesthesia while 58 (38.7%) did not. Post-operative respiratory condition, the need of cardiopulmonary resuscitation and the presence of bradycardia were measured. Patients with atropine use were associated with increased odds of respiratory acidosis in both univariate analysis (22.9% vs 7.3%; OR = 3.785, 95% CI = 1.211-11.826, p = 0.022) and multivariate analysis (OR = 4.030, 95% CI = 1.230-13.202, p = 0.021), with an even higher odds of respiratory acidosis in patients receiving both atropine and ketamine. The use of atropine as premedication in general anesthesia for neonatal PDA ligation is associated with higher risk of respiratory acidosis, which worsens with the combined use of ketamine. Copyright © 2017. Published by Elsevier B.V.

  19. Hand function evaluation: a factor analysis study. (United States)

    Jarus, T; Poremba, R


    The purpose of this study was to investigate hand function evaluations. Factor analysis with varimax rotation was used to assess the fundamental characteristics of the items included in the Jebsen Hand Function Test and the Smith Hand Function Evaluation. The study sample consisted of 144 subjects without disabilities and 22 subjects with Colles fracture. Results suggest a four factor solution: Factor I--pinch movement; Factor II--grasp; Factor III--target accuracy; and Factor IV--activities of daily living. These categories differentiated the subjects without Colles fracture from the subjects with Colles fracture. A hand function evaluation consisting of these four factors would be useful. Such an evaluation that can be used for current clinical purposes is provided.

  20. Photoluminescence study in diaminobenzene functionalized graphene oxide

    Energy Technology Data Exchange (ETDEWEB)

    Gupta, Abhisek, E-mail:, E-mail:; Saha, Shyamal K., E-mail:, E-mail: [Department of Materials Science, Indian Association for the Cultivation of Science, Jadavpur, Kolkata 700032 (India)


    Being an excellent electronic material graphene is a very poor candidate for optoelectronic applications. One of the major strategies to develop the optical property in GO is the functionalization of graphene oxide (GO). In the present work GO sheets are functionalized by o-phenylenediamine to achieve diaminobenzene functionalized GO composite (DAB-GO). Formation of DAB-GO composite is further characterized by FTIR, UV, Raman studies. Excellent photoluminescence is observed in DAB-GO composite via passivation of the surface reactive sites by ring-opening amination of epoxides of GO.

  1. Impact of pediatric obstructive sleep apnea on the development of Class II hyperdivergent patients receiving orthodontic treatment: A pilot study. (United States)

    Zhao, Tingting; Ngan, Peter; Hua, Fang; Zheng, Jie; Zhou, Shunquan; Zhang, Man; Xiong, Hui; He, Hong


    To conduct a pilot study to determine if the presence of obstructive sleep apnea (OSA) influences the orthodontic treatment outcome of Class II hyperdivergent patients receiving comprehensive orthodontic treatment. Patients between the ages of 12 and 14 who received orthodontic treatment at the Hospital of Stomatology, Wuhan University, China, were included in this study. Patients were divided into two groups: the OSA group and the control group, based on the outcome of pretreatment polysomnography findings and lateral cephalometric radiograph examination. Patients in the control group were matched with the OSA group for age, sex, ethnicity, weight, and height. Cephalometric measurements were used to record the skeletal and dental changes from before to after treatment. Data were analyzed using the t-test. Twenty three OSA patients and 23 control patients were included. After comprehensive orthodontic treatment, the mandibular plane angle (SN-GoMe), articular angle (SArGo), sum of Jarabak angles (SUM) and the lower gonial angle (NGoMe) were found to increase significantly in the OSA group but remained unchanged or decreased slightly in the control group ( P orthodontic treatment outcome of these patients.

  2. Functional studies on the phosphatidychloride transfer protein

    NARCIS (Netherlands)

    Brouwer, A.P.M. de


    The phosphatidylcholine transfer protein (PC-TP) has been studied for over 30 years now. Despite extensive research concerning the biochemical, biophysical and structural properties of PC-TP, the function of this protein is still elusive. We have studied in vitro the folding and the mechanism of PC

  3. Evaluation of the vaginal flora in pregnant women receiving opioid maintenance therapy: a matched case-control study. (United States)

    Farr, Alex; Kiss, Herbert; Hagmann, Michael; Holzer, Iris; Kueronya, Verena; Husslein, Peter W; Petricevic, Ljubomir


    Vaginal infections are a risk factor for preterm delivery. In this study, we sought to evaluate the vaginal flora of pregnant women receiving opioid maintenance therapy (OMT) in comparison to non-dependent, non-maintained controls. A total of 3763 women with singleton pregnancies who underwent routine screening for asymptomatic vaginal infections between 10 + 0 and 16 + 0 gestational weeks were examined. Vaginal smears were Gram-stained, and microscopically evaluated for bacterial vaginosis, candidiasis, and trichomoniasis. In a retrospective manner, data of 132 women receiving OMT (cases) were matched for age, ethnicity, parity, education, previous preterm delivery, and smoking status to the data of 3631 controls. The vaginal flora at antenatal screening served as the primary outcome measure. Secondary outcome measures were gestational age and birth weight. In the OMT group, 62/132 (47 %) pregnant women received methadone, 39/132 (29.5 %) buprenorphine, and 31/132 (23.5 %) slow-release oral morphine. Normal or intermediate flora was found in 72/132 OMT women (54.5 %) and 2865/3631 controls [78.9 %; OR 0.49 (95 % CI, 0.33-0.71); p Candidiasis occurred more frequently in OMT women than in controls [OR 2.11 (95 % CI, 1.26-3.27); p candidiasis) and trichomoniasis. Compared to infants of the control group, those of women with OMT had a lower mean birth weight [MD -165.3 g (95 % CI, -283.6 to -46.9); p = 0.006]. Pregnant women with OMT are at risk for asymptomatic vaginal infections. As recurrent candidiasis is associated with preterm delivery, the vulnerability of this patient population should lead to consequent antenatal infection screening at early gestation.

  4. Developing regionalized models of lithospheric thickness and velocity structure across Eurasia and the Middle East from jointly inverting P-wave and S-wave receiver functions with Rayleigh wave group and phase velocities

    Energy Technology Data Exchange (ETDEWEB)

    Julia, J; Nyblade, A; Hansen, S; Rodgers, A; Matzel, E


    In this project, we are developing models of lithospheric structure for a wide variety of tectonic regions throughout Eurasia and the Middle East by regionalizing 1D velocity models obtained by jointly inverting P-wave and S-wave receiver functions with Rayleigh wave group and phase velocities. We expect the regionalized velocity models will improve our ability to predict travel-times for local and regional phases, such as Pg, Pn, Sn and Lg, as well as travel-times for body-waves at upper mantle triplication distances in both seismic and aseismic regions of Eurasia and the Middle East. We anticipate the models will help inform and strengthen ongoing and future efforts within the NNSA labs to develop 3D velocity models for Eurasia and the Middle East, and will assist in obtaining model-based predictions where no empirical data are available and for improving locations from sparse networks using kriging. The codes needed to conduct the joint inversion of P-wave receiver functions (PRFs), S-wave receiver functions (SRFs), and dispersion velocities have already been assembled as part of ongoing research on lithospheric structure in Africa. The methodology has been tested with synthetic 'data' and case studies have been investigated with data collected at an open broadband stations in South Africa. PRFs constrain the size and S-P travel-time of seismic discontinuities in the crust and uppermost mantle, SRFs constrain the size and P-S travel-time of the lithosphere-asthenosphere boundary, and dispersion velocities constrain average S-wave velocity within frequency-dependent depth-ranges. Preliminary results show that the combination yields integrated 1D velocity models local to the recording station, where the discontinuities constrained by the receiver functions are superimposed to a background velocity model constrained by the dispersion velocities. In our first year of this project we will (i) generate 1D velocity models for open broadband seismic stations

  5. N08C9 (Alliance): A Phase 3 Randomized Study of Sulfasalazine Versus Placebo in the Prevention of Acute Diarrhea in Patients Receiving Pelvic Radiation Therapy

    International Nuclear Information System (INIS)

    Miller, Robert C.; Petereit, Daniel G.; Sloan, Jeff A.; Liu, Heshan; Martenson, James A.; Bearden, James D.; Sapiente, Ronald; Seeger, Grant R.; Mowat, Rex B.; Liem, Ben; Iott, Matthew J.; Loprinzi, Charles L.


    Purpose: To provide confirmatory evidence on the use of sulfasalazine to reduce enteritis during pelvic radiation therapy (RT), following 2 prior single-institution trials suggestive that benefit existed. Methods and Materials: A multi-institution, randomized, double-blind, placebo-controlled phase 3 trial was designed to assess the efficacy of sulfasalazine versus placebo in the treatment of RT-related enteritis during RT including the posterior pelvis (45.0-53.5 Gy) and conducted through a multicenter national cooperative research alliance. Patients received 1000 mg of sulfasalazine or placebo orally twice daily during and for 4 weeks after RT. The primary endpoint was maximum severity of diarrhea (Common Terminology Criteria for Adverse Events version 4.0). Toxicity and bowel function were assessed by providers through a self-administered bowel function questionnaire taken weekly during RT and for 6 weeks afterward. Results: Eighty-seven patients were enrolled in the trial between April 29, 2011, and May 13, 2013, with evenly distributed baseline factors. At the time of a planned interim toxicity analysis, more patients with grade ≥3 diarrhea received sulfasalazine than received placebo (29% vs 11%, P=.04). A futility analysis showed that trial continuation would be unlikely to yield a positive result, and a research board recommended halting study treatment. Final analysis of the primary endpoint showed no significant difference in maximum diarrhea severity between the sulfasalazine and placebo arms (P=.41). Conclusions: Sulfasalazine does not reduce enteritis during pelvic RT and may be associated with a higher risk of adverse events than placebo. This trial illustrates the importance of confirmatory phase 3 trials in the evaluation of symptom-control agents.

  6. N08C9 (Alliance): A Phase 3 Randomized Study of Sulfasalazine Versus Placebo in the Prevention of Acute Diarrhea in Patients Receiving Pelvic Radiation Therapy

    Energy Technology Data Exchange (ETDEWEB)

    Miller, Robert C., E-mail: [Department of Radiation Oncology, Mayo Clinic, Rochester, Minnesota (United States); Petereit, Daniel G. [Rapid City Regional Oncology Group, Rapid City, South Dakota (United States); Sloan, Jeff A.; Liu, Heshan [Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota (United States); Martenson, James A. [Department of Radiation Oncology, Mayo Clinic, Rochester, Minnesota (United States); Bearden, James D. [Upstate Carolina Community Clinical Oncology Program, Spartanburg, South Carolina (United States); Sapiente, Ronald [Carle Cancer Center CCOP, Urbana, Illinois (United States); Seeger, Grant R. [Altru Health Systems, Grand Forks, North Dakota (United States); Mowat, Rex B. [Toledo Community Hospital Oncology Program CCOP, Toledo, Ohio (United States); Liem, Ben [University of New Mexico, Albuquerque, New Mexico (United States); Iott, Matthew J. [Department of Radiation Oncology, Mayo Clinic, Rochester, Minnesota (United States); Loprinzi, Charles L. [Division of Medical Oncology, Mayo Clinic, Rochester, Minnesota (United States)


    Purpose: To provide confirmatory evidence on the use of sulfasalazine to reduce enteritis during pelvic radiation therapy (RT), following 2 prior single-institution trials suggestive that benefit existed. Methods and Materials: A multi-institution, randomized, double-blind, placebo-controlled phase 3 trial was designed to assess the efficacy of sulfasalazine versus placebo in the treatment of RT-related enteritis during RT including the posterior pelvis (45.0-53.5 Gy) and conducted through a multicenter national cooperative research alliance. Patients received 1000 mg of sulfasalazine or placebo orally twice daily during and for 4 weeks after RT. The primary endpoint was maximum severity of diarrhea (Common Terminology Criteria for Adverse Events version 4.0). Toxicity and bowel function were assessed by providers through a self-administered bowel function questionnaire taken weekly during RT and for 6 weeks afterward. Results: Eighty-seven patients were enrolled in the trial between April 29, 2011, and May 13, 2013, with evenly distributed baseline factors. At the time of a planned interim toxicity analysis, more patients with grade ≥3 diarrhea received sulfasalazine than received placebo (29% vs 11%, P=.04). A futility analysis showed that trial continuation would be unlikely to yield a positive result, and a research board recommended halting study treatment. Final analysis of the primary endpoint showed no significant difference in maximum diarrhea severity between the sulfasalazine and placebo arms (P=.41). Conclusions: Sulfasalazine does not reduce enteritis during pelvic RT and may be associated with a higher risk of adverse events than placebo. This trial illustrates the importance of confirmatory phase 3 trials in the evaluation of symptom-control agents.

  7. Barriers to, and Facilitators of Physical Activity in Patients Receiving Chemotherapy for Lung Cancer: An exploratory study. (United States)

    Mas, Sébastien; Quantin, Xavier; Ninot, Grégory


    Physical activity (PA) has a positive effect on the cardiorespiratory fitness, lung cancer symptoms, and quality of life of lung cancer patients. The aim of our study was to identify barriers to, and facilitators of PA in lung cancer patients. We collected data from five patients diagnosed with primary, advanced non-small-cell lung cancer (NSCLC) who were receiving chemotherapy. Choosing a qualitative approach, we conducted an exploratory analysis using the thematic analysis technique to process the data. Seven barriers to, and facilitators of PA were identified and grouped into four categories. We found that psychological and social factors affect patients' willingness and ability to engage in PA, while physiological and environmental factors have an impact on the duration, intensity, and regularity of their PA. Our study highlighted some of the effects that the barriers to PA have on the practice of it in our patient group. Our findings may be used by professionals to design adapted PA programs.

  8. Study of the Calibration Channel Width for a Digital Sideband Separating System for SIS 2SB Receiver (United States)

    Khudchenko, Andrey; Finger, R.; Baryshev, A. M.; Mena, F. P.; Rodriguez, R.; Hesper, R.; Fuentes, R.; Bronfman, L.


    A Digital Sideband Separating (DSS) system has been recently applied to a full 2SB receiver, i.e., one with the analog IF hybrid still in place. This concept allows reaching IRR level around 45 dB and it presents additional advantages in calibration stability compared to the case when no IF hybrid is present. If implemented in multipixel cameras, the DSS system relaxes the requirements for the IRR level of the analog receiver substantially enabling to reach at least an IRR of 30 dB with relatively simple hardware. It would be ideal for spectral line surveys since it practically eliminates the line confusion in addition to rejecting the atmospheric noise in the image band. Therefore, the DSS system is a potential option for a future ALMA upgrade. Here we present our study on an important practical question: how wide should the calibration-channel width in order to reach a desired IRR level? This parameter determines, for a large part, the calibration speed of the DSS system and influences the back-end architecture. We estimate that for currently installed ALMA bands (B3-B8), the channel width of the DSS system can be at least 45 MHz to reach a 30db IRR level in entire band.

  9. Imaging of Upper-Mantle Upwelling Beneath the Salton Trough, Southern California, by Joint Inversion of Ambient Noise Dispersion Curves and Receiver Functions (United States)

    Klemperer, S. L.; Barak, S.


    We present a new 2D shear-wave velocity model of the crust and upper-mantle across the Salton Trough, southern California, obtained by jointly inverting our new dataset of receiver functions and our previously published Rayleigh-wave group-velocity model (Barak et al., G-cubed, 2015), obtained from ambient-noise tomography. Our results show an upper-mantle low-velocity zone (LVZ) with Vs ≤4.2 km/s extending from the Elsinore Fault to the Sand Hills Fault, that together bracket the full width of major San Andreas dextral motion since its inception 6 Ma b.p., and underlying the full width of low topography of the Imperial Valley and Salton Trough. The lateral extent of the LVZ is coincident with the lateral extent of an upper-mantle anisotropic region interpreted as a zone of SAF-parallel melt pockets (Barak & Klemperer, Geology, 2016). The shallowest part of the LVZ is 40 km depth, coincident with S-receiver function images. The western part of the LVZ, between the Elsinore and San Jacinto faults (the region of greatest modern dextral slip), appears to continue to significantly greater depth; but a puzzling feature of our preliminary models is that the eastern part of the LVZ, from the San Jacinto Fault to the Sand Hills Fault, appears to be underlain by more-normalvelocity upper mantle (Vs ≥ 4.5 km/s) below 75 km depth. We compare our model to the current SCEC community models CVM-H and CVM-S, and to P-wave velocity models obtained by the active-source Salton Sea Imaging Project (SSIP). The hypothesized lower-crustal low-velocity zone beneath the Salton Trough in our previous model (Barak et al., G-cubed, 2015), there interpreted as a region of partial melt, is not supported by our new modeling. Melt may be largely absent from the lower crust of the Salton trough; but appears required in the upper mantle at depths as shallow as 40 km.

  10. Preferences of Young Adults With First-Episode Psychosis for Receiving Specialized Mental Health Services Using Technology: A Survey Study. (United States)

    Lal, Shalini; Dell'Elce, Jennifer; Tucci, Natasha; Fuhrer, Rebecca; Tamblyn, Robyn; Malla, Ashok


    Despite the potential and interest of using technology for delivering specialized psychiatric services to young adults, surprisingly limited attention has been paid to systematically assess their perspectives in this regard. For example, limited knowledge exists on the extent to which young people receiving specialized services for a first-episode psychosis (FEP) are receptive to using new technologies as part of mental health care, and to which types of technology-enabled mental health interventions they are amenable to. The purpose of this study is to assess the interest of young adults with FEP in using technology to receive mental health information, services, and supports. This study uses a cross-sectional, descriptive survey design. A convenience sample of 67 participants between the ages of 18 and 35 were recruited from two specialized early intervention programs for psychosis. Interviewer-administered surveys were conducted between December 2013 and October 2014. Descriptive statistics are reported. Among the 67 respondents who completed the survey, the majority (85%, 57/67) agreed or strongly agreed with YouTube as a platform for mental health-related services and supports. The top five technology-enabled services that participants were amenable to were (1) information on medication (96%, 64/67); (2) information on education, career, and employment (93%, 62/67); (3) decision-making tools pertaining to treatment and recovery (93%, 62/67); (4) reminders for appointments via text messaging (93%, 62/67); and (5) information about mental health, psychosis, and recovery in general (91%, 61/67). The top self-reported barriers to seeking mental health information online were lack of knowledge on how to perform an Internet search (31%, 21/67) and the way information is presented online (27%, 18/67). Two thirds (67%; 45/67) reported being comfortable in online settings, and almost half (48%; 32/67) reported a preference for mixed formats when viewing mental health

  11. Study of the contribution of the different components of atmospheric cosmic radiation in dose received by the aircraft crew

    International Nuclear Information System (INIS)

    Pereira, Marlon A.; Prado, Adriane C.M.; Federico, Claudio A.; Goncalez, Odair L.


    The crews and aircraft passengers are exposed to atmospheric cosmic radiation. The flow of this radiation is modulated by the solar cycle and space weather, varying with the geomagnetic latitude and altitude. This paper presents a study of the contributions of radiation in total ambient dose equivalent of the crews depending on flight altitude up to 20 km, during maximum and minimum solar and in equatorial and polar regions. The results of calculations of the particle flows generated by the EXPACS and QARM codes are used. The particles evaluated that contributing significantly in the ambient dose equivalent are neutrons, protons, electrons, positrons, alphas, photons, muons and charged pions. This review allows us to characterize the origin of the dose received by crews and also support a project of a dosimetric system suitable for this ionizing radiation field in aircraft and on the ground

  12. Comparing the similarity of responses received from studies in Amazon's Mechanical Turk to studies conducted online and with direct recruitment.

    Directory of Open Access Journals (Sweden)

    Christoph Bartneck

    Full Text Available Computer and internet based questionnaires have become a standard tool in Human-Computer Interaction research and other related fields, such as psychology and sociology. Amazon's Mechanical Turk (AMT service is a new method of recruiting participants and conducting certain types of experiments. This study compares whether participants recruited through AMT give different responses than participants recruited through an online forum or recruited directly on a university campus. Moreover, we compare whether a study conducted within AMT results in different responses compared to a study for which participants are recruited through AMT but which is conducted using an external online questionnaire service. The results of this study show that there is a statistical difference between results obtained from participants recruited through AMT compared to the results from the participant recruited on campus or through online forums. We do, however, argue that this difference is so small that it has no practical consequence. There was no significant difference between running the study within AMT compared to running it with an online questionnaire service. There was no significant difference between results obtained directly from within AMT compared to results obtained in the campus and online forum condition. This may suggest that AMT is a viable and economical option for recruiting participants and for conducting studies as setting up and running a study with AMT generally requires less effort and time compared to other frequently used methods. We discuss our findings as well as limitations of using AMT for empirical studies.

  13. Comparing the similarity of responses received from studies in Amazon's Mechanical Turk to studies conducted online and with direct recruitment. (United States)

    Bartneck, Christoph; Duenser, Andreas; Moltchanova, Elena; Zawieska, Karolina


    Computer and internet based questionnaires have become a standard tool in Human-Computer Interaction research and other related fields, such as psychology and sociology. Amazon's Mechanical Turk (AMT) service is a new method of recruiting participants and conducting certain types of experiments. This study compares whether participants recruited through AMT give different responses than participants recruited through an online forum or recruited directly on a university campus. Moreover, we compare whether a study conducted within AMT results in different responses compared to a study for which participants are recruited through AMT but which is conducted using an external online questionnaire service. The results of this study show that there is a statistical difference between results obtained from participants recruited through AMT compared to the results from the participant recruited on campus or through online forums. We do, however, argue that this difference is so small that it has no practical consequence. There was no significant difference between running the study within AMT compared to running it with an online questionnaire service. There was no significant difference between results obtained directly from within AMT compared to results obtained in the campus and online forum condition. This may suggest that AMT is a viable and economical option for recruiting participants and for conducting studies as setting up and running a study with AMT generally requires less effort and time compared to other frequently used methods. We discuss our findings as well as limitations of using AMT for empirical studies.

  14. On the Viability of Using Autonomous Three-Component Nodal Geophones to Calculate Teleseismic Ps Receiver Functions with an Application to the Old Faithful Hydrothermal System and the Cascadia Subduction Zone (United States)

    Ward, K. M.; Lin, F. C.


    Recent advances in seismic data-acquisition technology paired with an increasing interest from the academic passive source seismological community have opened up new scientific targets and imaging possibilities, often referred to as Large-N experiments (large number of instruments). The success of these and other deployments has motivated individual researchers, as well as the larger seismological community, to invest in the next generation of nodal geophones. Although the new instruments have battery life and bandwidth limitations compared to broadband instruments, the relatively low deployment and procurement cost of these new nodal geophones provides an additional novel tool for researchers. Here, we explore the viability of using autonomous three-component nodal geophones to calculate teleseismic Ps receiver functions by comparison of co-located broadband stations and highlight some potential advantages with a dense nodal array deployed around the Upper Geyser basin in Yellowstone National Park. Two key findings from this example include (1) very dense nodal arrays can be used to image small-scale features in the shallow crust that typical broadband station spacing would alias, and (2) nodal arrays with a larger footprint could be used to image deeper features with greater or equal detail as typical broadband deployments but at a reduced deployment cost. The success of the previous example has motivated a larger 2-D line across the Cascadia subduction zone. In the summer of 2017, we deployed 174 nodal geophones with an average site spacing of 750 m. Synthetic tests with dense station spacing ( 1 km) reveal subtler features of the system that is consistent with our preliminary receiver function results from our Cascadia deployment. With the increasing availability of nodal geophones to individual researchers and the successful demonstration that nodal geophones are a viable instrument for receiver function studies, numerous scientific targets can be investigated

  15. ROC [Receiver Operating Characteristics] study of maximum likelihood estimator human brain image reconstructions in PET [Positron Emission Tomography] clinical practice

    International Nuclear Information System (INIS)

    Llacer, J.; Veklerov, E.; Nolan, D.; Grafton, S.T.; Mazziotta, J.C.; Hawkins, R.A.; Hoh, C.K.; Hoffman, E.J.


    This paper will report on the progress to date in carrying out Receiver Operating Characteristics (ROC) studies comparing Maximum Likelihood Estimator (MLE) and Filtered Backprojection (FBP) reconstructions of normal and abnormal human brain PET data in a clinical setting. A previous statistical study of reconstructions of the Hoffman brain phantom with real data indicated that the pixel-to-pixel standard deviation in feasible MLE images is approximately proportional to the square root of the number of counts in a region, as opposed to a standard deviation which is high and largely independent of the number of counts in FBP. A preliminary ROC study carried out with 10 non-medical observers performing a relatively simple detectability task indicates that, for the majority of observers, lower standard deviation translates itself into a statistically significant detectability advantage in MLE reconstructions. The initial results of ongoing tests with four experienced neurologists/nuclear medicine physicians are presented. Normal cases of 18 F -- fluorodeoxyglucose (FDG) cerebral metabolism studies and abnormal cases in which a variety of lesions have been introduced into normal data sets have been evaluated. We report on the results of reading the reconstructions of 90 data sets, each corresponding to a single brain slice. It has become apparent that the design of the study based on reading single brain slices is too insensitive and we propose a variation based on reading three consecutive slices at a time, rating only the center slice. 9 refs., 2 figs., 1 tab

  16. 'Chaos' in superregenerative receivers

    International Nuclear Information System (INIS)

    Commercon, Jean-Claude; Badard, Robert


    The superregenerative principle has been known since the early 1920s. The circuit is extremely simple and extremely sensitive. Today, superheterodyne receivers generally supplant superregenerative receivers in most applications because there are several undesirable characteristics: poor selectivity, reradiation, etc. Superregenerative receivers undergo a revival in recent papers for wireless systems, where low cost and very low power consumption are relevant: house/building meters (such as water, energy, gas counter), personal computer environment (keyboard, mouse), etc. Another drawback is the noise level which is higher than that of a well-designed superheterodyne receiver; without an antenna input signal, the output of the receiver hears in an earphone as a waterfall noise; this sound principally is the inherent input noise amplified and detected by the circuit; however, when the input noise is negligible with respect of an antenna input signal, we are faced to an other source of 'noise' self-generated by the superregenerative working. The main objective of this paper concerns this self-generated noise coming from an exponential growing followed by a re-injection process for which the final state is a function of the phase of the input signal

  17. Quality of life of people with HIV/AIDS receiving antiretroviral therapy in Cuba: a cross-sectional study of the national population. (United States)

    Aragonés-López, Carlos; Pérez-Ávila, Jorge; Smith Fawzi, Mary C; Castro, Arachu


    We studied the effect of antiretroviral therapy (ART) on the quality of life (QOL) of Cubans with HIV/AIDS. We conducted a cross-sectional study including administration of the Medical Outcomes Study-HIV Health Survey Questionnaire to a representative sample of the 1592 Cubans receiving ART in 2004. For univariate analyses, we compared mean HIV scale scores. We used logistic regression models to estimate the association between role function and year of diagnosis, between pain and sex, and between health transition and region of diagnosis, with adjustment for demographics, ART regimen, and clinical status. There were 354 participants (73 women, 281 men). Scores for all functional activities showed means higher than 80 out of 100. Pain interfered more in women than in men (73.2 vs 81.9; P = .01). When HIV diagnosis occurred after 2001, the probability of experiencing difficulties performing work (odds ratio [OR] = 4.42; 95% CI = 1.83, 10.73) and pain (OR = 1.70; 95% CI = 1.01, 2.88) increased compared with earlier diagnosis. People treated with indinavir showed a greater perception of general health (58.9 vs 52.4; P = .045) and greater health improvement (78.6 vs 67.8; P = .002). Although Cubans receiving ART are maintaining a high QOL, we observed significant differences by sex and time of diagnosis. QOL assessment can serve as a health outcome and may allow identification of QOL reductions potentially related to ART side effects.

  18. Effectiveness of a lifestyle exercise program for older people receiving a restorative home care service: study protocol for a pragmatic randomised controlled trial. (United States)

    Burton, Elissa; Lewin, Gill; Clemson, Lindy; Boldy, Duncan


    Restorative home care services help older people maximise their independence using a multi-dimensional approach. They usually include an exercise program designed to improve the older person's strength, balance and function. The types of programs currently offered require allocation of time during the day to complete specific exercises. This is not how the majority of home care clients prefer to be active and may be one of the reasons that few older people do the exercises regularly and continue the exercises post discharge.This paper describes the study protocol to test whether a Lifestyle Functional Exercise (LiFE) program: 1) is undertaken more often; 2) is more likely to be continued over the longer term; and, 3) will result in greater functional gains compared to a standard exercise program for older people receiving a restorative home care service. A pragmatic randomised controlled trial (RCT) design was employed with two study arms: LiFE program (intervention) and the current exercise program (control). Silver Chain, a health and community care organisation in Perth, Western Australia. One hundred and fifty restorative home care clients, aged 65 years and older. The primary outcome is a composite measure incorporating balance, strength and mobility. Other outcome measures include: physical functioning, falls efficacy, and levels of disability and functioning. If LiFE is more effective than the current exercise program, the evidence will be presented to the service management accompanied by the recommendation that it be adopted as the generic exercise program to be used within the restorative home care service. Australian and New Zealand Clinical Trials Registry ACTRN12611000788976.

  19. Neurophysiologic studies of functional neurologic disorders. (United States)

    Hallett, M


    Functional neurologic disorders are largely genuine and represent conversion disorders, where the dysfunction is unconscious, but there are some that are factitious, where the abnormality is feigned and conscious. Malingering, which can have the same manifestations, is similarly feigned, but not considered a genuine disease. There are no good methods for differentiating these three entities at the present time. Physiologic studies of functional weakness and sensory loss reveal normal functioning of primary motor and sensory cortex, but abnormalities of premotor cortex and association cortices. This suggests a top-down influence creating the dysfunction. Studies of functional tremor and myoclonus show that these disorders utilize normal voluntary motor structures to produce the involuntary movements, again suggesting a higher-level abnormality. Agency is abnormal and studies shows that dysfunction of the temporoparietal junction may be a correlate. The limbic system is overactive and might initiate involuntary movements, but the mechanism for this is not known. The limbic system would then be the source of top-down dysfunction. It can be speculated that the involuntary movements are involuntary due to lack of proper feedforward signaling. © 2016 Elsevier B.V. All rights reserved.

  20. Density functional study of gamma-aminopropyltriethoxysilane

    International Nuclear Information System (INIS)

    Bistricic, L; Volovsek, V; Daani, V; Leskovac, M


    Density functional theory calculations using Becke's three-parameter exchange functional in combination with the Lee-Young-Parr correlation functional (B3-LYP) and standard 6-311 + G(d,p) basis set were carried out to study the conformational stability and vibrational spectra of gamma-aminopropyltriethoxysilane. Calculations reveal the existence of two stable conformers trans and gauche. The calculated energy for the gauche conformation was found to be 608 cm -1 above the minimum energy of the trans conformation. Temperature dependence of Raman spectra of liquid APTES and DFT calculation enabled us to identify the vibrational bands characteristic for both conformers. It has been shown that there is an increase in the population of gauche conformer with increasing temperature

  1. Assessing brain volume changes in older women with breast cancer receiving adjuvant chemotherapy: a brain magnetic resonance imaging pilot study. (United States)

    Chen, Bihong T; Sethi, Sean K; Jin, Taihao; Patel, Sunita K; Ye, Ningrong; Sun, Can-Lan; Rockne, Russell C; Haacke, E Mark; Root, James C; Saykin, Andrew J; Ahles, Tim A; Holodny, Andrei I; Prakash, Neal; Mortimer, Joanne; Waisman, James; Yuan, Yuan; Somlo, George; Li, Daneng; Yang, Richard; Tan, Heidi; Katheria, Vani; Morrison, Rachel; Hurria, Arti


    Cognitive decline is among the most feared treatment-related outcomes of older adults with cancer. The majority of older patients with breast cancer self-report cognitive problems during and after chemotherapy. Prior neuroimaging research has been performed mostly in younger patients with cancer. The purpose of this study was to evaluate longitudinal changes in brain volumes and cognition in older women with breast cancer receiving adjuvant chemotherapy. Women aged ≥ 60 years with stage I-III breast cancer receiving adjuvant chemotherapy and age-matched and sex-matched healthy controls were enrolled. All participants underwent neuropsychological testing with the US National Institutes of Health (NIH) Toolbox for Cognition and brain magnetic resonance imaging (MRI) prior to chemotherapy, and again around one month after the last infusion of chemotherapy. Brain volumes were measured using Neuroreader™ software. Longitudinal changes in brain volumes and neuropsychological scores were analyzed utilizing linear mixed models. A total of 16 patients with breast cancer (mean age 67.0, SD 5.39 years) and 14 age-matched and sex-matched healthy controls (mean age 67.8, SD 5.24 years) were included: 7 patients received docetaxel and cyclophosphamide (TC) and 9 received chemotherapy regimens other than TC (non-TC). There were no significant differences in segmented brain volumes between the healthy control group and the chemotherapy group pre-chemotherapy (p > 0.05). Exploratory hypothesis generating analyses focusing on the effect of the chemotherapy regimen demonstrated that the TC group had greater volume reduction in the temporal lobe (change = - 0.26) compared to the non-TC group (change = 0.04, p for interaction = 0.02) and healthy controls (change = 0.08, p for interaction = 0.004). Similarly, the TC group had a decrease in oral reading recognition scores (change = - 6.94) compared to the non-TC group (change = - 1.21, p for

  2. VEGF and VEGFR genotyping in the prediction of clinical outcome for HCC patients receiving sorafenib: the ALICE-1 study. (United States)

    Scartozzi, Mario; Faloppi, Luca; Svegliati Baroni, Gianluca; Loretelli, Cristian; Piscaglia, Fabio; Iavarone, Massimo; Toniutto, Pierluigi; Fava, Giammarco; De Minicis, Samuele; Mandolesi, Alessandra; Bianconi, Maristella; Giampieri, Riccardo; Granito, Alessandro; Facchetti, Floriana; Bitetto, Davide; Marinelli, Sara; Venerandi, Laura; Vavassori, Sara; Gemini, Stefano; D'Errico, Antonietta; Colombo, Massimo; Bolondi, Luigi; Bearzi, Italo; Benedetti, Antonio; Cascinu, Stefano


    Although new treatment modalities changed the global approach to hepatocellular carcinoma (HCC), this disease still represents a medical challenge. Currently, the therapeutic stronghold is sorafenib, a tyrosine kinase inhibitor (TKI) directed against the vascular endothelial growth factor (VEGF) family. Previous observations suggested that polymorphisms of VEGF and its receptor (VEGFR) genes may regulate angiogenesis and lymphangiogenesis and thus tumour growth control. The aim of our study was to evaluate the role of VEGF and VEGFR polymorphisms in determining the clinical outcome of HCC patients receiving sorafenib. From a multicentre experience 148 samples (tumour or blood samples) of HCC patients receiving sorafenib were tested for VEGF-A, VEGF-C and VEGFR-1,2,3 single nucleotide polymorphisms (SNPs). Patients' progression-free survival (PFS) and overall survival (OS) were analysed. At univariate analysis VEGF-A alleles C of rs25648, T of rs833061, C of rs699947, C of rs2010963, VEGF-C alleles T of rs4604006, G of rs664393, VEGFR-2 alleles C of rs2071559, C of rs2305948 were significant predictors of PFS and OS. At multivariate analysis rs2010963, rs4604006 and BCLC (Barcelona Clinic Liver Cancer) stage resulted to be independent factors influencing PFS and OS. Once prospectively validated, the analysis of VEGF and VEGFR SNPs may represent a clinical tool to better identify HCC patients more likely to benefit from sorafenib. On the other hand, the availability of more accurate predictive factors could help avoiding unnecessary toxicities to potentially resistant patients who may be optimal candidates for different treatments interfering with other tumour molecular pathways. © 2014 UICC.

  3. Risk factors associated with postoperative seizures in patients undergoing cardiac surgery who received tranexamic acid: A case-control study

    Directory of Open Access Journals (Sweden)

    Felix R Montes


    Full Text Available Antifibrinolytic agents are used during cardiac surgery to minimize bleeding and reduce exposure to blood products. Several reports suggest that tranexamic acid (TA can induce seizure activity in the postoperative period. To examine factors associated with postoperative seizures in patients undergoing cardiac surgery who received TA. University-affiliated hospital. Case-control study. Patients undergoing cardiac surgery with cardiopulmonary bypass (CPB between January 2008 and December 2009 were identified. During this time, all patients undergoing heart surgery with CPB received TA. Cases were defined as patients who developed seizures that required initiation of anticonvulsive therapy within 48 h of surgery. Exclusion criteria included subjects with preexisting epilepsy and patients in whom the convulsive episode was secondary to a new ischemic lesion on brain imaging. Controls who did not develop seizures were randomly selected from the initial cohort. From an initial cohort of 903 patients, we identified 32 patients with postoperative seizures. Four patients were excluded. Twenty-eight cases and 112 controls were analyzed. Cases were more likely to have a history of renal impairment and higher preoperative creatinine values compared with controls (1.39 ± 1.1 vs. 0.98 ± 0.02 mg/dL, P = 0.02. Significant differences in the intensive care unit, postoperative and total lengths of stay were observed. An association between high preoperative creatinine value and postoperative seizure was identified. TA may be associated with the development of postoperative seizures in patients with renal dysfunction. Doses of TA should be reduced or even avoided in this population.

  4. Lower urinary tract symptoms and falls risk among older women receiving home support: a prospective cohort study. (United States)

    Hunter, Kathleen F; Voaklander, Donald; Hsu, Zoe Y; Moore, Katherine N


    Although lower urinary tract symptoms have been associated with falls, few studies have been undertaken to understand this relationship in vulnerable community dwelling older adults. The purpose of this study was to describe the relationship over time of falls risk and lower urinary tract symptoms among community based older women receiving home support services. A prospective cohort study which took place in an urban setting in western Canada. Participants were 100 older women receiving home care or residing in assisted living with home support services and were followed for six months. Demographic characteristics were collected at baseline, with the Timed Up and Go (TUG), International Consultation on Incontinence Questionnaire Female Lower Urinary Tract Symptoms (ICIQ-FLUTS), and self-report of falls collected at baseline, 3 and 6 months. Descriptive statistics were used to summarize demographic data. Differences between the three visits were analyzed using the Friedman test with post hoc analysis and associations between variables by the Spearman Rank-Order Correlation Coefficient. One hundred women initially enrolled; 88 and 75 remained at three months and six months. Mean age = 84.3 years; 91% reported at least one urinary symptom at baseline and 35% reported falling in the six months prior to enrollment; 15.9% reported falling between the baseline and three months and 14.6% between three and six months. Mean TUG scores at each time point indicated falls risk (27.21, 29.18 and 27.76 seconds). Significant correlations between TUG and ICIQ-FLUTS (r = 0.33, p falls risk in this group of vulnerable community dwelling older women at baseline and three months has potential clinical relevance. Lack of correlation at six months may be due loss of less robust participants, illuminating the difficulty in following frailer groups over time. Further studies are needed to understand the contribution of urinary symptoms to falls risk, and clinicians should

  5. Dysgeusia and health-related quality of life of cancer patients receiving chemotherapy: A cross-sectional study. (United States)

    Ponticelli, E; Clari, M; Frigerio, S; De Clemente, A; Bergese, I; Scavino, E; Bernardini, A; Sacerdote, C


    The aim of the study was to evaluate taste disorders in patients receiving chemotherapy and to assess the impact of dysgeusia on patients' health-related quality of life (HRQOL). A total of 289 patients with a diagnosis of malignant solid or haematological cancer undergoing chemotherapy completed a questionnaire assessing dysgeusia and HRQOL. Sixty-four per cent of patients developed dysgeusia after and during chemotherapy. A statistically significant correlation was found between type of cancer and dysgeusia (p = .012), moreover a statistically significant association was found between type of chemotherapy and occurrence of dysgeusia (p = .031). Patients with dysgeusia had a worse overall HRQOL than those who did not have dysgeusia, and the association between HRQOL and dysgeusia was also statistically significant (p = .003). Patients with dysgeusia had a higher probability of having a worse HRQOL (p = .002). In line with previous studies, we observed a significant correlation between chemotherapy and dysgeusia. Furthermore, this study found that cancer patients with dysgeusia have a lower quality of life. In particular the domains "role," "social aspect," "nausea-vomiting" and "appetite" are most influenced by dysgeusia. Improving the communication and information to patients considered at higher risk of developing dysgeusia can have a positive impact on patients' quality of life. © 2017 John Wiley & Sons Ltd.

  6. Quality of Life of People With HIV/AIDS Receiving Antiretroviral Therapy in Cuba: A Cross-Sectional Study of the National Population (United States)

    Aragonés-López, Carlos; Pérez-Ávila, Jorge; Smith Fawzi, Mary C.


    Objectives. We studied the effect of antiretroviral therapy (ART) on the quality of life (QOL) of Cubans with HIV/AIDS. Methods. We conducted a cross-sectional study including administration of the Medical Outcomes Study–HIV Health Survey Questionnaire to a representative sample of the 1592 Cubans receiving ART in 2004. For univariate analyses, we compared mean HIV scale scores. We used logistic regression models to estimate the association between role function and year of diagnosis, between pain and sex, and between health transition and region of diagnosis, with adjustment for demographics, ART regimen, and clinical status. Results. There were 354 participants (73 women, 281 men). Scores for all functional activities showed means higher than 80 out of 100. Pain interfered more in women than in men (73.2 vs 81.9; P = .01). When HIV diagnosis occurred after 2001, the probability of experiencing difficulties performing work (odds ratio [OR] = 4.42; 95% CI = 1.83, 10.73) and pain (OR = 1.70; 95% CI = 1.01, 2.88) increased compared with earlier diagnosis. People treated with indinavir showed a greater perception of general health (58.9 vs 52.4; P = .045) and greater health improvement (78.6 vs 67.8; P = .002). Conclusions. Although Cubans receiving ART are maintaining a high QOL, we observed significant differences by sex and time of diagnosis. QOL assessment can serve as a health outcome and may allow identification of QOL reductions potentially related to ART side effects. PMID:22420793

  7. A randomized prospective analysis of alteration of hemostatic function in patients receiving tranexamic acid and hydroxyethyl starch (130/0.4 undergoing off pump coronary artery bypass surgery

    Directory of Open Access Journals (Sweden)

    Murali Chakravarthy


    Full Text Available Postoperative hemorrhagic complications is still one of the major problems in cardiac surgeries. It may be caused by surgical issues, coagulopathy caused by the side effects of the intravenous fluids administered to produce plasma volume expansion such as hydroxyl ethyl starch (HES. In order to thwart this hemorrhagic issue, few agents are available. Fibrinolytic inhibitors like tranexamic acid (TA may be effective modes to promote blood conservation; but the possible complications of thrombosis of coronary artery graft, precludes their generous use in coronary artery bypass graft surgery. The issue is a balance between agents that promote coagulation and those which oppose it. Therefore, in this study we have assessed the effects of concomitant use of HES and TA. Thromboelastogram (TEG was used to assess the effect of the combination of HES and TA. With ethical committee approval and patient′s consent, 100 consecutive patients were recruited for the study. Surgical and anesthetic techniques were standardized. Patients fulfilling our inclusion criteria were randomly allocated into 4 groups of 25 each. The patients in group A received 20 ml/kg of HES (130/0.4, 10 mg/kg of T.A over 30 minutes followed by infusion of 1 mg/kg/hr over the next 12 hrs. The patients in group B received Ringer′s lactate + TA at same dose. The patients in the Group C received 20 ml/kg of HES. Group D patients received RL. Fluid therapy was goal directed. Total blood loss was assessed. Reaction time (r, α angle, maximum amplitude (MA values of TEG were assessed at baseline, 12, 36 hrs. The possible perioperative myocardial infraction (MI was assessed by electrocardiogram (ECG and troponin T values at the baseline, postoperative day 1. Duration on ventilator, length of stay (LOS in the intensive care unit (ICU were also assessed. The demographical profile was similar among the groups. Use of HES increased blood loss significantly (P < 0.05. Concomitant use of TA

  8. Relative reductions in soluble CD30 levels post-transplant predict acute graft function in islet allograft recipients receiving three different immunosuppression protocols. (United States)

    Hire, Kelly; Hering, Bernhard; Bansal-Pakala, Pratima


    Despite advances in islet transplantation, challenges remain in monitoring for anti-islet immune responses. Soluble CD30 (sCD30) has been investigated as a predictor of acute rejection in kidney, lung, and heart transplantation as well as in a single study in human islet cell recipients. In this study, sCD30 levels were retrospectively assessed in 19 allograft recipients treated with three different immunosuppression induction therapies. Soluble CD30 levels were assessed at pre-transplant; early post-transplant (day 4-day 7); one-month post-transplant; and late post-transplant (day 90-day 120) and then correlated with eventual graft outcomes at 1-year follow-up. Results showed no correlation between mean serum sCD30 levels at any point in time pre- or post-transplant and graft function at 1-year follow-up. However, analysis demonstrated that mean sCD30 levels at day 28 or day 90-day 120 decreased from pre-transplant levels in recipients with long-term islet allograft function compared to recipients with partial or non-graft function (a decrease of 43.6+/-25.6% compared to 16.7+/-35.2%, psCD30 levels post-transplant overall. A larger reduction post-transplant correlated with full graft function. The results demonstrate that a relative reduction in sCD30 levels post-transplant may be applicable as a biomarker to monitor graft function in islet allograft recipients. Additionally, knowledge of the impact of various immunosuppression protocols on the timing and extent of changes in post-transplant sCD30 levels could aid in patient-specific tailoring of immunosuppression. Copyright © 2010 Elsevier B.V. All rights reserved.

  9. Progress in studies on nucleolus functions

    International Nuclear Information System (INIS)

    Chang Lei; Zhou Guangming


    Nucleoli is the sites for ribosome synthesis and processing, however, recent approaches have revealed that it is also involved in variety of cellular processes, especially the cellular stress response. As sensors, nucleoli regulate the localization of nucleolar proteins, such as (Alternate Reading Frame, ARF), and the activation of key factors, such as P53, and consequently mediate the cellular stress response.In this paper, recent progress in the studies on nucleolar functions in cellular stress response to radiation is reviewed. (authors)

  10. Multicenter phase II study of an opioid-based pain control program for head and neck cancer patients receiving chemoradiotherapy

    International Nuclear Information System (INIS)

    Zenda, Sadamoto; Matsuura, Kazuto; Tachibana, Hiroyuki; Homma, Akihiro; Kirita, Tadaaki; Monden, Nobuya; Iwae, Shigemichi; Ota, Yojiro; Akimoto, Tetsuo; Otsuru, Hiroshi; Tahara, Makoto; Kato, Kengo; Asai, Masao


    Background: The aim of this multi-center phase II study was to clarify the clinical benefit of an opioid-based pain control program for head and neck cancer patients during chemoradiotherapy. Patients and methods: Head and neck cancer patients who were to receive definitive or postoperative chemoradiotherapy were enrolled. The opioid-based pain control program consisted of a three-step ladder, with basic regimens of: Step 1: acetaminophen at 500–1000 mg three times a day. Step 2: fast-acting morphine at 5 mg three times a day before meals for a single day. Step 3: long-acting morphine administered around-the-clock, with a starting dosage of 20 mg/day and no upper limit set in principle. The primary endpoint of this study was compliance with radiotherapy. Results: A total of 101 patients from 10 institutions were registered between February 2008 and May 2009 and included in the analysis. The major combination chemotherapy regimen was cisplatin alone (76%). The rate of completion of radiotherapy was 99% and the rate of unplanned breaks in radiotherapy was 13% (13/101, 90% confidence interval: 9.9–16.5%). Median maximum quantity of morphine used per day was 35 mg (range 0–150 mg). Conclusions: Use of a systematic pain control program may improve compliance with CRT.

  11. Reduction of perception of chronic fatigue in an observational study of patients receiving 12 weeks of Kampo therapy. (United States)

    Sekiya, Nobuyasu; Shimada, Yutaka; Shintani, Takahiro; Tahara, Eiichi; Kouta, Kazufumi; Shibahara, Naotoshi; Terasawa, Katsutoshi


    The aim of this study was to observe the influence of Kampo therapy on latent chronic fatigue of patients with chronic diseases. One hundred and seventy-three (173) consecutive patients with chronic diseases came to our department for the first time. This was a prospective study. Patients were divided into two groups: a chronic fatigue group (CFG) and a nonchronic fatigue group (NCFG). Based on Kampo diagnosis, both groups were prescribed Kampo formulae as an extract or decoction for 12 weeks. By using questionnaires, patients were assessed concerning their physical and mental types of fatigue, their sleep situation, and their attitude toward work or housekeeping, both before and after 12 weeks of treatment, according to Kampo diagnosis. The mental fatigue, physical fatigue, and sleep scores of both groups, and the work score of CFG, were decreased. The rate of reduction of the fatigue score was significantly greater in CFG than in NCFG. The factor responsible for this difference in fatigue score was physical fatigue. A reduction of the perception of chronic fatigue was observed in patients receiving 12 weeks of Kampo therapy.

  12. Investigation of the lithosphere of the Texas Gulf Coast using phase-specific Ps receiver functions produced by wavefield iterative deconvolution (United States)

    Gurrola, H.; Berdine, A.; Pulliam, J.


    Interference between Ps phases and reverberations (PPs, PSs phases and reverberations thereof) make it difficult to use Ps receiver functions (RF) in regions with thick sediments. Crustal reverberations typically interfere with Ps phases from the lithosphere-asthenosphere boundary (LAB). We have developed a method to separate Ps phases from reverberations by deconvolution of all the data recorded at a seismic station by removing phases from a single wavefront at each iteration of the deconvolution (wavefield iterative deconvolution or WID). We applied WID to data collected in the Gulf Coast and Llano Front regions of Texas by the EarthScope Transportable array and by a temporary deployment of 23 broadband seismometers (deployed by Texas Tech and Baylor Universities). The 23 station temporary deployment was 300 km long; crossing from Matagorda Island onto the Llano uplift. 3-D imaging using these data shows that the deepest part of the sedimentary basin may be inboard of the coastline. The Moho beneath the Gulf Coast plain does not appear in many of the images. This could be due to interference from reverberations from shallower layers or it may indicate the lack of a strong velocity contrast at the Moho perhaps due to serpentinization of the uppermost mantle. The Moho appears to be flat, at 40 km) beneath most of the Llano uplift but may thicken to the south and thin beneath the Coastal plain. After application of WID, we were able to identify a negatively polarized Ps phase consistent with LAB depths identified in Sp RF images. The LAB appears to be 80-100 km deep beneath most of the coast but is 100 to 120 km deep beneath the Llano uplift. There are other negatively polarized phases between 160 and 200 km depths beneath the Gulf Coast and the Llano Uplift. These deeper phases may indicate that, in this region, the LAB is transitional in nature and rather than a discrete boundary.

  13. Crustal structure across the NE Tibetan Plateau and Ordos Block from the joint inversion of receiver functions and Rayleigh-wave dispersions (United States)

    Li, Yonghua; Wang, Xingchen; Zhang, Ruiqing; Wu, Qingju; Ding, Zhifeng


    We investigated the crustal structure at 34 stations using the H-κ stacking method and jointly inverting receiver functions with Rayleigh-wave phase and group velocities. These seismic stations are distributed along a profile extending across the Songpan-Ganzi Terrane, Qinling-Qilian terranes and southwestern Ordos Basin. Our results reveal the variation in crustal thickness across this profile. We found thick crust beneath the Songpan-Ganzi Terrane (47-59 km) that decreases to 45-47 km in the west Qinling and Qilian terranes, and reaches its local minimum beneath the southwestern Ordos Block (43-51 km) at an average crustal thickness of 46.7 ± 2.5 km. A low-velocity zone in the upper crust was found beneath most of the stations in NE Tibet, which may be indicative of partial melt or a weak detachment layer. Our observations of low to moderate Vp/Vs (1.67-1.79) represent a felsic to intermediate crustal composition. The shear velocity models estimated from joint inversions also reveal substantial lateral variations in velocity beneath the profile, which is mainly reflected in the lower crustal velocities. For the Ordos Block, the average shear wave velocities below 20 km are 3.8 km/s, indicating an intermediate-to-felsic lower crust. The thick NE Tibet crust is characterized by slow shear wave velocities (3.3-3.6 km/s) below 20 km and lacks high-velocity material (Vs ≥ 4.0 km/s) in the lower crust, which may be attributed to mafic lower crustal delamination or/and the thickening of the upper and middle crust.

  14. Study of the personal radiation dose received by nuclear medicine technologists working in a dedicated PET centre

    International Nuclear Information System (INIS)

    Robinson, C.N.; Wallace, A.B.; Young, A.B.; Ibbetson, V.J.


    The use of dedicated PET scanners is becoming more widespread throughout Australia and the world. PET imaging utilises short-lived (-108 min), high-energy (511 keV) gamma-ray emitters, that could result in a high radiation dose being received by staff. As part of a larger staff and area monitoring project, this paper discusses the personal dose equivalent, H p (10), received by PET staff working in a dedicated PET centre. The typical H (10) received by staff was approximately 31 μSv. The average daily administered activity to patients at Austin Health was 1280 MBq

  15. The prognostic value of functional and anatomical parameters for the selection of patients receiving yttrium-90 microspheres for the treatment of liver cancer (United States)

    Mesoloras, Geraldine

    Yttrium-90 (90Y) microsphere therapy is being utilized as a treatment option for patients with primary and metastatic liver cancer due to its ability to target tumors within the liver. The success of this treatment is dependent on many factors, including the extent and type of disease and the nature of prior treatments received. Metabolic activity, as determined by PET imaging, may correlate with the number of viable cancer cells and reflect changes in viable cancer cell volume. However, contouring of PET images by hand is labor intensive and introduces an element of irreproducibility into the determination of functional target/tumor volume (FTV). A computer-assisted method to aid in the automatic contouring of FTV has the potential to substantially improve treatment individualization and outcome assessment. Commercial software to determine FTV in FDG-avid primary and metastatic liver tumors has been evaluated and optimized. Volumes determined using the automated technique were compared to those from manually drawn contours identified using the same cutoff in the standard uptake value (SUV). The reproducibility of FTV is improved through the introduction of an optimal threshold value determined from phantom experiments. Application of the optimal threshold value from the phantom experiments to patient scans was in good agreement with hand-drawn determinations of the FTV. It is concluded that computer-assisted contouring of the FTV for primary and metastatic liver tumors improves reproducibility and increases accuracy, especially when combined with the selection of an optimal SUV threshold determined from phantom experiments. A method to link the pre-treatment assessment of functional (PET based) and anatomical (CT based) parameters to post-treatment survival and time to progression was evaluated in 22 patients with colorectal cancer liver metastases treated using 90Y microspheres and chemotherapy. The values for pre-treatment parameters that were the best

  16. Electronic warfare receivers and receiving systems

    CERN Document Server

    Poisel, Richard A


    Receivers systems are considered the core of electronic warfare (EW) intercept systems. Without them, the fundamental purpose of such systems is null and void. This book considers the major elements that make up receiver systems and the receivers that go in them.This resource provides system design engineers with techniques for design and development of EW receivers for modern modulations (spread spectrum) in addition to receivers for older, common modulation formats. Each major module in these receivers is considered in detail. Design information is included as well as performance tradeoffs o

  17. Characteristics of Latinas in Puerto Rico and the US mainland receiving teriparatide in the DANCE observational study. (United States)

    Ruff, Valerie A; Acosta, Agaph; Soto-Raices, Oscar; Sierra-Zorita, Radamés; Toro-Torres, Ramón; Rodríguez-Ginorio, Henry; Comulada, Angel; Chiang, Alan Y; Krohn, Kelly; Taylor, Kathleen A


    The Direct Assessment of Nonvertebral Fractures in Community Experience (DANCE) study investigated the use of teriparatide in men and women with osteoporosis in the United States (US) and Puerto Rico (PR). In a sub-analysis, we evaluated whether the baseline characteristics of Latinas differed from those of white women in the study population and whether any patient attributes affected physicians' decisions to prescribe teriparatide. We assessed 3 patient cohorts treated with teriparatide 20 microg once daily for up to 24 months: 1) PR Latinas, 2) US Latinas, and 3) white women on the US mainland (white women). We analyzed differences related to ethnicity (Latina vs. white) and geography (PR vs. US mainland). Overall, 302 of the 3243 women (9%) enrolled in DANCE were Latina (205 of these 302 Latinas resided in PR). Significant differences were observed in 7 of 11 baseline characteristics. White women had more prior fragility fractures and family history of hip fracture than Latinas, while PR Latinas were generally older than US Latinas and had more comorbid conditions. A similar proportion of subjects in each cohort had received prior osteoporosis therapy. Physicians prescribed teriparatide more often for Latinas based on multiple risk factors for fracture and intolerance to previous osteoporosis therapy and to white women based on inadequate response to previous therapy or new (incident) fractures. Overall, Latinas were less persistent with teriparatide therapy than white women. We observed significant differences related to ethnicity and geography in the baseline demographics of Latinas enrolled in the DANCE study, criteria cited by physicians for initiating teriparatide therapy, and treatment persistence.

  18. The functional genomic studies of curcumin. (United States)

    Huminiecki, Lukasz; Horbańczuk, Jarosław; Atanasov, Atanas G


    Curcumin is a natural plant-derived compound that has attracted a lot of attention for its anti-cancer activities. Curcumin can slow proliferation of and induce apoptosis in cancer cell lines, but the precise mechanisms of these effects are not fully understood. However, many lines of evidence suggested that curcumin has a potent impact on gene expression profiles; thus, functional genomics should be the key to understanding how curcumin exerts its anti-cancer activities. Here, we review the published functional genomic studies of curcumin focusing on cancer. Typically, a cancer cell line or a grafted tumor were exposed to curcumin and profiled with microarrays, methylation assays, or RNA-seq. Crucially, these studies are in agreement that curcumin has a powerful effect on gene expression. In the majority of the studies, among differentially expressed genes we found genes involved in cell signaling, apoptosis, and the control of cell cycle. Curcumin can also induce specific methylation changes, and is a powerful regulator of the expression of microRNAs which control oncogenesis. We also reflect on how the broader technological progress in transcriptomics has been reflected on the field of curcumin. We conclude by discussing the areas where more functional genomic studies are highly desirable. Integrated OMICS approaches will clearly be the key to understanding curcumin's anticancer and chemopreventive effects. Such strategies may become a template for elucidating the mode of action of other natural products; many natural products have pleiotropic effects that are well suited for a systems-level analysis. Copyright © 2017 Elsevier Ltd. All rights reserved.

  19. Basal ganglia perfusion using dynamic color Doppler sonography in infants with hypoxic ischemic encephalopathy receiving therapeutic hypothermia: a pilot study. (United States)

    Faingold, Ricardo; Cassia, Guilherme; Morneault, Linda; Saint-Martin, Christine; Sant'Anna, Guilherme


    The objective of this study was to evaluate the cerebral perfusion of the basal ganglia in infants with hypoxic-ischemic encephalopathy (HIE) receiving hypothermia using dynamic color Doppler sonography (CDS) and investigate for any correlation between these measurements and survival. Head ultrasound (HUS) was performed with a 9S4 MHz sector transducer in HIE infants submitted to hypothermia as part of their routine care. Measurements of cerebral perfusion intensity (CPI) with an 11LW4 MHz linear array transducer were performed to obtain static images and DICOM color Doppler videos of the blood flow in the basal ganglia area. Clinical and radiological data were evaluated retrospectively. The video images were analyzed by two radiologists using dedicated software, which allows automatic quantification of color Doppler data from a region of interest (ROI) by dynamically assessing color pixels and flow velocity during the heart cycle. CPI is expressed in cm/sec and is calculated by multiplying the mean velocity of all pixels divided by the area of the ROI. Three videos of 3 seconds each were obtained of the ROI, in the coronal plane, and used to calculate the CPI. Data are presented as mean ± SEM or median (quartiles). A total of 28 infants were included in this study: 16 male, 12 female. HUS was performed within the first 48 hours of therapeutic hypothermia treatment. CPI values were significantly higher in the seven non-survivors when compared to survivors (0.226±0.221 vs . 0.111±0.082 cm/sec; P=0.02). Increased perfusion intensity of the basal ganglia area within the first 48 of therapeutic hypothermia treatment was associated with poor outcome in neonates with HIE.

  20. Health-related quality of life in epilepsy patients receiving anti-epileptic drugs at National Referral Hospitals in Uganda: a cross-sectional study. (United States)

    Nabukenya, Anne M; Matovu, Joseph K B; Wabwire-Mangen, Fred; Wanyenze, Rhoda K; Makumbi, Fredrick


    Epilepsy is a devastating disorder that impacts on patients' quality of life, irrespective of use of anti epileptic drugs (AEDs). This study estimates the health-related quality of life (HRQOL) and its associated predictors among epilepsy patients receiving AEDs. A total of 175 epilepsy patients already receiving AED for at least 3 months were randomly selected and interviewed from mental clinics at Mulago and Butabika national referral hospitals in Uganda between May - July 2011. A HRQOL index, the primary outcome, was constructed using items from Quality Of Life in Epilepsy Inventory (QOLIE-31) and the Hospital Anxiety and Depression Scale (HADS) questionnaires. The internal consistency and adequacy of these items was also computed using Cronbach's alpha and Kaiser-Meyer-Olkin tests. Partial correlations were used to evaluate the contribution of the health dimensions (mental, psychological, social, physical functioning and emotional well being) and, multiple linear regressions to determine factors independently associated with HRQOL. Just about half of the respondents (54%) were males, and nearly two thirds (62%) had received AEDs for at least 12 months. The average age was 26.6 years (SD = 11.1). The overall HRQOL mean score was 58 (SD = 13) on a scale of 0-100. The average scores of different dimensions or subscales ranged from 41 (physical) to 65 (psychological). At least three quarters (75%) of all subscales had good internal consistency and adequacy. The largest variations in the overall HRQOL were explained by social and mental functioning; each accounting for about 30% of the difference in the HRQOL but seizure control features explained a little (6%) variation. Factors negatively associated with HRQOL were poly-therapy (-1.16, p = 0.01) and frequency of seizures (-2.29, p = 0.00). Other factors associated with overall HRQOL included drug side effects, sex, marital status and education. Duration on AEDs was not a significant predictor of HRQOL. The HRQOL

  1. Studying Functions of All Yeast Genes Simultaneously (United States)

    Stolc, Viktor; Eason, Robert G.; Poumand, Nader; Herman, Zelek S.; Davis, Ronald W.; Anthony Kevin; Jejelowo, Olufisayo


    A method of studying the functions of all the genes of a given species of microorganism simultaneously has been developed in experiments on Saccharomyces cerevisiae (commonly known as baker's or brewer's yeast). It is already known that many yeast genes perform functions similar to those of corresponding human genes; therefore, by facilitating understanding of yeast genes, the method may ultimately also contribute to the knowledge needed to treat some diseases in humans. Because of the complexity of the method and the highly specialized nature of the underlying knowledge, it is possible to give only a brief and sketchy summary here. The method involves the use of unique synthetic deoxyribonucleic acid (DNA) sequences that are denoted as DNA bar codes because of their utility as molecular labels. The method also involves the disruption of gene functions through deletion of genes. Saccharomyces cerevisiae is a particularly powerful experimental system in that multiple deletion strains easily can be pooled for parallel growth assays. Individual deletion strains recently have been created for 5,918 open reading frames, representing nearly all of the estimated 6,000 genetic loci of Saccharomyces cerevisiae. Tagging of each deletion strain with one or two unique 20-nucleotide sequences enables identification of genes affected by specific growth conditions, without prior knowledge of gene functions. Hybridization of bar-code DNA to oligonucleotide arrays can be used to measure the growth rate of each strain over several cell-division generations. The growth rate thus measured serves as an index of the fitness of the strain.

  2. Array-Based Receiver Function Analysis of the Subducting Juan de Fuca Plate Beneath the Mount St. Helens Region and its Implications for Subduction Geometry and Metamorphism (United States)

    Mann, M. E.; Abers, G. A.; Creager, K. C.; Ulberg, C. W.; Crosbie, K.


    Mount St. Helens (MSH) is unusual as a prolific arc volcano located 50 km towards the forearc of the main Cascade arc. The iMUSH (imaging Magma Under mount St. Helens) broadband deployment featured 70 seismometers at 10-km spacing in a 50-km radius around MSH, spanning a sufficient width for testing along-strike variation in subsurface geometry as well as deep controls on volcanism in the Cascade arc. Previous estimates of the geometry of the subducting Juan de Fuca (JdF) slab are extrapolated to MSH from several hundred km to the north and south. We analyze both P-to-S receiver functions and 2-D Born migrations of the full data set to locate the upper plate Moho and the dip and depth of the subducting slab. The strongest coherent phase off the subducting slab is the primary reverberation (Ppxs; topside P-to-S reflection) from the Moho of the subducting JdF plate, as indicated by its polarity and spatial pattern. Migration images show a dipping low velocity layer at depths less than 50 km that we interpret as the subducting JdF crust. Its disappearance beyond 50 km depth may indicate dehydration of subducting crust or disruption of high fluid pressures along the megathrust. The lower boundary of the low velocity zone, the JdF Moho, persists in the migration image to depths of at least 90 km and is imaged at 74 km beneath MSH, dipping 23 degrees. The slab surface is 68 km beneath MSH and 85 km beneath Mount Adams volcano to the east. The JdF Moho exhibits 10% velocity contrasts as deep as 85 km, an observation difficult to reconcile with simple models of crustal eclogitization. The geometry and thickness of the JdF crust and upper plate Moho is consistent with similar transects of Cascadia and does not vary along strike beneath iMUSH, indicating a continuous slab with no major disruption. The upper plate Moho is clear on the east side of the array but it disappears west of MSH, a feature we interpret as a result of both serpentinization of the mantle wedge and a

  3. Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study. (United States)

    Spoorenberg, Sophie L W; Wynia, Klaske; Fokkens, Andrea S; Slotman, Karin; Kremer, Hubertus P H; Reijneveld, Sijmen A


    Integrated care models aim to solve the problem of fragmented and poorly coordinated care in current healthcare systems. These models aim to be patient-centered by providing continuous and coordinated care and by considering the needs and preferences of patients. The objective of this study was to evaluate the opinions and experiences of community-living older adults with regard to integrated care and support, along with the extent to which it meets their health and social needs. Semi-structured interviews were conducted with 23 older adults receiving integrated care and support through "Embrace," an integrated care model for community-living older adults that is based on the Chronic Care Model and a population health management model. Embrace is currently fully operational in the northern region of the Netherlands. Data analysis was based on the grounded theory approach. Responses of participants concerned two focus areas: 1) Experiences with aging, with the themes "Struggling with health," "Increasing dependency," "Decreasing social interaction," "Loss of control," and "Fears;" and 2) Experiences with Embrace, with the themes "Relationship with the case manager," "Interactions," and "Feeling in control, safe, and secure". The prospect of becoming dependent and losing control was a key concept in the lives of the older adults interviewed. Embrace reinforced the participants' ability to stay in control, even if they were dependent on others. Furthermore, participants felt safe and secure, in contrast to the fears of increasing dependency within the standard care system. The results indicate that integrated care and support provided through Embrace met the health and social needs of older adults, who were coping with the consequences of aging.

  4. Risk management of QTc-prolongation in patients receiving haloperidol: an epidemiological study in a University hospital in Belgium. (United States)

    Vandael, Eline; Vandenberk, Bert; Vandenberghe, Joris; Spriet, Isabel; Willems, Rik; Foulon, Veerle


    Many drugs, including haloperidol, are linked with a risk of QTc-prolongation, which can lead to Torsade de Pointes and sudden cardiac death. To investigate the prevalence of concomitant risk factors for QTc-prolongation in patients treated with haloperidol, and the use of safety measures to minimize this risk. University Hospitals of Leuven, Belgium. Methods A retrospective epidemiological study was performed. On 15 consecutive Mondays, all patients with a prescription for haloperidol were included. A risk score for QTc-prolongation, inspired by the pro-QTc score of Haugaa et al., was calculated based on gender, comorbidities, lab results and concomitant QTc-prolonging drugs (each factor counting for one point). Available electrocardiograms before and during the treatment of haloperidol were registered. Management of the risk of QTc-prolongation. Two hundred twenty-two patients were included (59.0 % men, median age 77 years) of whom 26.6 % had a risk score of ≥4 (known to significantly increase the mortality). Overall, 24.3 % received haloperidol in combination with other drugs with a known risk of Torsade de Pointes. Half of the patients had an electrocardiogram in the week before the start of haloperidol; only in one-third a follow-up electrocardiogram during haloperidol treatment was performed. Of the patients with a moderately (n = 41) or severely (n = 14) prolonged QTc-interval before haloperidol, 48.8 % and 42.9 % respectively had a follow-up electrocardiogram. In patients with a risk score ≥4, significantly more electrocardiograms were taken before starting haloperidol (p = 0.020). Although many patients had risk factors for QTc-prolongation (including the use of other QTc-prolonging drugs) or had a prolonged QTc on a baseline electrocardiogram, follow-up safety measures were limited. Persistent efforts should be taken to develop decision support systems to manage this risk.

  5. A clinically prognostic scoring system for patients receiving highly active antiretroviral therapy: results from the EuroSIDA study

    DEFF Research Database (Denmark)

    Lundgren, Jens Dilling; Mocroft, Amanda; Gatell, Jose M


    The risk of clinical progression for human immunodeficiency virus (HIV)-infected persons receiving treatment with highly active antiretroviral therapy (HAART) is poorly defined. From an inception cohort of 8457 HIV-infected persons, 2027 patients who started HAART during prospective follow-up wer...

  6. Opinions of the commuters to receive oral health messages in South central railway zone India: A cross-sectional study

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    P Parthasarathi Reddy


    Full Text Available Introduction: The railroads of India are the fourth most heavily used system in the world. Railways are one of the main modes of transport and millions of people travel by train daily. Aim: To know the opinions of commuters in receiving oral health messages in railways station through various methods and also their knowledge and practice regarding oral hygiene. Materials and Methods: Using convenient sampling method data from the commuters was obtained by a pretested questionnaire through interview method from 14 railway stations of South Central Railway zone. Pearson Chi-square test was used to compare the opinions of commuters based on their gender to receive oral health messages. Results: A total of 596 (97.3% responded to the survey; a maximum of 297 (49.8% subjects strongly agreed to the statement that railway platforms should have informative posters on oral health. A maximum of 188 (31.5% commuters strongly agreed that prerecorded messages on oral health if played before the announcement of arrival and departure of train will be helpful to spread oral health awareness. Majority of 43% commuters (255 preferred to receive oral hygiene instructions printed on back side of the ticket followed by messages on television and through posters. Conclusion: Majority of the commuters preferred to receive oral health information in railways stations. Hence, efforts can be directed in spreading oral health information among public through railways.

  7. Antenatal and obstetric care in Afghanistan--a qualitative study among health care receivers and health care providers. (United States)

    Rahmani, Zuhal; Brekke, Mette


    Despite attempts from the government to improve ante- and perinatal care, Afghanistan has once again been labeled "the worst country in which to be a mom" in Save the Children's World's Mothers' Report. This study investigated how pregnant women and health care providers experience the existing antenatal and obstetric health care situation in Afghanistan. Data were obtained through one-to-one semi-structured interviews of 27 individuals, including 12 women who were pregnant or had recently given birth, seven doctors, five midwives, and three traditional birth attendants. The interviews were carried out in Kabul and the village of Ramak in Ghazni Province. Interviews were taped, transcribed, and analyzed according to the principles of Giorgi's phenomenological analysis. Antenatal care was reported to be underused, even when available. Several obstacles were identified, including a lack of knowledge regarding the importance of antenatal care among the women and their families, financial difficulties, and transportation problems. The women also reported significant dissatisfaction with the attitudes and behavior of health personnel, which included instances of verbal and physical abuse. According to the health professionals, poor working conditions, low salaries, and high stress levels contributed to this matter. Personal contacts inside the hospital were considered necessary for receiving high quality care, and bribery was customary. Despite these serious concerns, the women expressed gratitude for having even limited access to health care, especially treatment provided by a female doctor. Health professionals were proud of their work and enjoyed the opportunity to help their community. This study identified several obstacles which must be addressed to improve reproductive health in Afghanistan. There was limited understanding of the importance of antenatal care and a lack of family support. Financial and transportation problems led to underuse of available care

  8. Social differences in who receives questions and advice about smoking habits when visiting primary care - Results from a population based study in Sweden in 2012. (United States)

    Molarius, Anu; Hellstrand, Mats; Engström, Sevek


    The aim of this study was to examine whether there are social disparities in who receives questions and advice on smoking habits when visiting primary care and whether these disparities can be explained by differences in smoking habits. The study is based on 30,188 individuals aged 16-84 years who responded to a population survey questionnaire in 2012 in four counties in mid-Sweden (response rate 51%). Multivariate logistic regression models were used in statistical analyses. A total of 32% of those who visited a health care centre during the last three months reported that they were asked about their smoking habits during their latest visit, 6% received advice. In general, daily smokers received more often questions, and especially advice, than non-smokers. Persons with low education received more advice than persons with high education due to higher smoking prevalence. However, persons on disability pension and the unemployed were less frequently asked about their smoking habits than employees even though they smoke more. Women received less often questions and advice than men. Persons born outside the Nordic countries received advice twice as often as native Swedes regardless of whether they were daily smokers or not. In Sweden, those who are asked and, in particular, receive advice about changing their smoking habits while visiting primary care are mainly those who need it most. But the findings also imply that measures to reduce smoking should be intensified for women and are perhaps too intense for persons born outside the Nordic countries.

  9. Energy and Protein Intake, Anthropometrics, and Disease Burden in Elderly Home-care Receivers--A Cross-sectional Study in Germany (ErnSIPP Study). (United States)

    Pohlhausen, S; Uhlig, K; Kiesswetter, E; Diekmann, R; Heseker, H; Volkert, D; Stehle, P; Lesser, S


    To date, no study has examined the nutritional status and disease burden of elderly home-care receivers living in Germany. Aim of this cross-sectional study was, first, to assess disease burden and nutritional status, denoted in anthropometrics, and, second, to investigate associations between anthropometrics and disease burden. Cross-sectional multi-centre study. Home-care receivers living in three urban areas of Germany in 2010. 353 elderly (>64 years) in home care (128 males aged 79.1 ±7.8 years, 225 females aged 82.0 ±7.5 years). Nutritional status was assessed by body mass index (BMI), mid upper arm circumference (MUAC) and calf circumference (CC). Medical conditions were assessed in personal interviews. A 3-day prospective nutrition diary was kept. Metric data are reported as mean±SD or median (interquartile range), pChewing problems were reported for 52% of study participants, and more than one quarter of elderly had swallowing problems. Daily mean energy intake was 2017±528 kcal in men (n=123) and 1731±451 kcal in women (n=216; pchewing and swallowing problems. We recommend to pay special attention to the nutritional status of elderly persons in home-care exhibiting named disease burden.

  10. Which mothers receive a post partum home visit in Queensland, Australia? A cross-sectional retrospective study. (United States)

    Brodribb, Wendy; Miller, Yvette


    Although home visiting in the early post partum period appears to have increased, there are limited data defining which women receive a visit and none that include Queensland. We aimed to investigate patterns of post partum home visiting in the public and private sectors in Queensland. Data were collected via a retrospective cross-sectional survey of women birthing in Queensland between 1 February and 31 May 2010 at 4 months post partum (n = 6948). Logistic regression was used to assess associations between receiving a home visit and sociodemographic, clinical and hospital variables. Analyses were stratified by public and private birthing sector because of significant differences between sectors. Public sector women were more likely to receive a visit from a nurse or midwife (from the hospital or child health sector) within 10 days of hospital discharge (67.2%) than private sector women (7.2%). Length of hospital stay was associated with home visiting in both sectors. Some vulnerable subpopulations in both sectors were more likely to be visited, whereas others were not. Home visiting in Queensland varies markedly between the public and private sector and is less common in some vulnerable populations. Further consideration to improving the equity of community post partum care in Queensland is needed.

  11. The Lived Experience of Patients Receiving Hemodialysis Treatment for End-Stage Renal Disease: A Qualitative Study. (United States)

    Chiaranai, Chantira


    End-stage renal disease (ESRD), the last stage of chronic kidney disease, is the point at which the kidneys are no longer able to support the body's needs. Thus, ESRD significantly impacts the day-to-day life of patients. To improve bodily functions and prolong life, patients with ESRD require renal replacement therapy in the form of either hemodialysis (HD) or kidney transplantation. Research has documented the impact of ESRD and HD on quality of life. There is a lack of qualitative studies that describe how ESRD sufferers in Thailand cope with daily life. This study aimed to better understand the daily life experiences of Thai patients with ESRD who are on HD. This study used a phenomenological approach and a semistructured interview guide. Thai men and women with ESRD and on HD were purposively recruited from an HD unit at one hospital in Thailand between February and May 2013. Inclusion criteria included (a) currently being treated for HD, (b) ability to communicate in Thai, and (c) age of over 18 years. Participants were asked to describe their problems, feelings, thoughts, and attitudes as well as how they experienced their lives. Data saturation was reached after the completion of 26 interviews. The data were analyzed using thematic analysis. The following themes emerged from the data: (a) facing life's limitations, (b) living with uncertainty, and (c) dependence on medical technology. The authors hope that the findings increase the understanding of healthcare providers about the lived experience of Thai patients with ESRD on HD. Greater understanding is critical in helping healthcare providers identify the changes in practice that will be necessary to better care for and integrate the best holistic practices into standardized care for this population.

  12. Receiver Test Selection Criteria (United States)


    The DOT requests that GPS manufacturers submit receivers for test in the following TWG categories: - Aviation (non-certified), cellular, general location/navigation, high precision, timing, networks, and space-based receivers - Each receiver should b...

  13. To see bruxism: a functional MRI study. (United States)

    Yılmaz, S


    Since the pathophysiology of bruxism is not clearly understood, there exists no possible treatment. The aim of this study is to investigate the cerebral activation differences between healthy subjects and patients with bruxism on behalf of possible aetiological factors. 12 healthy subjects and 12 patients with bruxism, a total of 24 right-handed female subjects (aged 20-27 years) were examined using functional MRI during tooth-clenching and resting tasks. Imaging was performed with 3.0-T MRI scanner with a 32-channel head coil. Differences in regional brain activity between patients with bruxism and healthy subjects (control group) were observed with BrainVoyager QX 2.8 (Brain Innovation, Maastricht, Netherlands) statistical data analysis program. Activation maps were created using the general linear model: single study and multistudy multisubject for statistical group analysis. This protocol was approved by the ethics committee of medical faculty of Kirikkale University, Turkey (02/04), based on the guidelines set forth in the Declaration of Helsinki. The group analysis revealed a statistically significant increase in blood oxygenation level-dependent signal of three clusters in the control group (pbruxism. Our findings indicate that there was a decrease of cortical activation pattern in patients with bruxism in clenching tasks. This indicates decreased blood flow and activation in regional neuronal activity. Bruxism, as an oral motor disorder concerns dentistry, neurology and psychiatry. These results might improve the understanding and physiological handling of sleep bruxism.

  14. From Humans to Rats and Back Again: Bridging the Divide between Human and Animal Studies of Recognition Memory with Receiver Operating Characteristics (United States)

    Koen, Joshua D.; Yonelinas, Andrew P.


    Receiver operating characteristics (ROCs) have been used extensively to study the processes underlying human recognition memory, and this method has recently been applied in studies of rats. However, the extent to which the results from human and animal studies converge is neither entirely clear, nor is it known how the different methods used to…

  15. A Comparative Study of the Efficacy of IV Dexketoprofen, Lornoxicam, and Diclophenac Sodium on Postoperative Analgesia and Tramadol Consumption in Patients Receiving Patient-Controlled Tramadol. (United States)

    Kılıçkaya, Refika; Güleç, Ersel; Ünlügenç, Hakkı; Gündüz, Murat; Işık, Geylan


    This study was designed to compare the effects of dexketoprofen, lornoxicam, and diclophenac sodium on postoperative analgesia and tramadol consumption in patients receiving postoperative patient-controlled tramadol after a major abdominal surgery. Eighty patients were randomized to receive one of the four study drugs. Patients in group dexketoprofen (DT) received IV 50 mg dexketoprofen, group lornoxicam (LR) received IV 8 mg lornoxicam, group diclophenac sodium (DS) received 75 mg IV diclophenac sodium and group saline (S) received 0.9% saline in 2 mL syringes, 20 min before the end of anaesthesia. A standardized (1 mg kg(-1)) dose of tramadol was routinely administered to all patients as the loading dose at the end of surgery. Postoperatively, whenever patients requested, they were allowed to use a tramadol patient-controlled analgesia device giving a bolus dose (0.2 mg kg(-1)) of tramadol. Pain, discomfort, and sedation scores, cumulative tramadol consumption, supplemental meperidine requirement, and side effects were recorded. Visual rating scale and patient discomfort scores were significantly lower in DT, LR and DS groups compared to those in in group S (pdexketoprofen to patient-controlled tramadol resulted in lower pain scores, smaller tramadol consumption, less rescue supplemental analgesic requirement, and fewer side effects compared with the tramadol alone group.

  16. Experiences of patients with HIV/AIDS receiving mid- and long-term care in Japan: A qualitative study

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    Yoko Imazu, R.N., P.H.N., Ph.D.


    Conclusions: Some participants accepted themselves as HIV-positive, some did not when they were diagnosis. This difference of reaction had effect on attitudes toward HIV therapy. But all participants continued mid- and long-treatments owing to feeling well and receiving support from professionals. Additionally, it found that patients were felt stigma of HIV-positive similarly to another Asian countries. Therefore, we should provide the entire Japanese society with knowledge about HIV/AIDS and be early and constant intervention by professional teams after being infected.

  17. Renal Function Studies with a Scintillation Camera

    Energy Technology Data Exchange (ETDEWEB)

    Farmelant, M. H.; Genna, S.; Burrows, B. A. [University Hospital and Boston Veterans Administration Hospital, Boston, MA (United States)


    Renal function studies with {sup 131}I-Hippuran have usually been performed with two probes, with flat field collimators, of which the sensitivity is dependent on kidney position. Although a variety of methods have been used to interpret the results, it is almost universally agreed that the relative magnitudes of the curves obtained during the accumulation phase are determined by both the relative blood flow and relative geometrical efficiency of counting. The relative influence of these two factors is not easily ascertained. Because of this limitation in directly assessing relative renal blood flow indirect methods have evolved. From physiological studies in dogs it appears that differences between the kidneys in blood flow produce differences in renal passage time and subsequently differences in the descending portions of the curves. Evaluation of differences in the descending curves in patients has proved highly sensitive in detecting renal vascular disease causing hypertension. However, obstructive disorders of urine outflow also produce alterations in the declining portion of the curve. A scintillation camera provides a detector considerably larger than the kidney and uses parallel hole collimation. This arrangement results in count-rates that are largely independent of kidney position, as shown by phantom studies. Furthermore, sequential scintigraphs can be obtained. Using the Pho-Gamma III (Nuclear Chicago) with 'split' crystal for clinical studies, we have demonstrated that the relative uptake of {sup 131}I-Hippuran by the two kidneys during the accumulation phase differs by less than 15% in normal people. These differences may be related to differences in kidney size or blood flow. Differences greater than this suggest significant differences between the kidneys in renal blood flow if the scintigrams show kidneys of comparable size. The sequential scintigrams have proven to be accurate in differentiating retention of radioisotope due to vascular disease

  18. Salivary oxytocin concentrations in seven boys with autism spectrum disorder received massage from their mothers: a pilot study

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    Shuji eTsuji


    Full Text Available Seven male children with autism spectrum disorder (ASD, aged 8 – 12 years, attending special education classrooms for ASD and disabled children, were assigned to receive touch therapy. Their mothers were instructed to provide gentle touch in the massage style of the International Liddle Kidz Association. The mothers gave massages to their child for 20 minutes every day over a period of 3 months followed by no massage for 4 months. To assess the biological effects of such touch therapy, saliva was collected before and 20 minutes after a single session of massage for 20 minutes from the children and mothers every 3 weeks during the massage period and every 4 weeks during the non-massage period, when they visited a community meeting room. Salivary oxytocin levels were measured using an enzyme immunoassay kit. During the period of massage therapy, the children and mothers exhibited higher oxytocin concentrations compared those during the non-massage period. The changes in oxytocin levels before and after a single massage session were not significantly changed in children and mothers. The results suggested that the ASD children (massage receivers and their mothers (massage givers show touch therapy-dependent changes in salivary oxytocin concentrations.

  19. Digital Receiver Phase Meter (United States)

    Marcin, Martin; Abramovici, Alexander


    The software of a commercially available digital radio receiver has been modified to make the receiver function as a two-channel low-noise phase meter. This phase meter is a prototype in the continuing development of a phase meter for a system in which radiofrequency (RF) signals in the two channels would be outputs of a spaceborne heterodyne laser interferometer for detecting gravitational waves. The frequencies of the signals could include a common Doppler-shift component of as much as 15 MHz. The phase meter is required to measure the relative phases of the signals in the two channels at a sampling rate of 10 Hz at a root power spectral density measurements in laser metrology of moving bodies. To illustrate part of the principle of operation of the phase meter, the figure includes a simplified block diagram of a basic singlechannel digital receiver. The input RF signal is first fed to the input terminal of an analog-to-digital converter (ADC). To prevent aliasing errors in the ADC, the sampling rate must be at least twice the input signal frequency. The sampling rate of the ADC is governed by a sampling clock, which also drives a digital local oscillator (DLO), which is a direct digital frequency synthesizer. The DLO produces samples of sine and cosine signals at a programmed tuning frequency. The sine and cosine samples are mixed with (that is, multiplied by) the samples from the ADC, then low-pass filtered to obtain in-phase (I) and quadrature (Q) signal components. A digital signal processor (DSP) computes the ratio between the Q and I components, computes the phase of the RF signal (relative to that of the DLO signal) as the arctangent of this ratio, and then averages successive such phase values over a time interval specified by the user.

  20. Evaluation of Therapy Management and Patient Compliance in Postmenopausal Patients with Hormone Receptor-positive Breast Cancer Receiving Letrozole Treatment: The EvaluateTM Study (United States)

    Fasching, P. A.; Fehm, T.; Kellner, S.; de Waal, J.; Rezai, M.; Baier, B.; Baake, G.; Kolberg, H.-C.; Guggenberger, M.; Warm, M.; Harbeck, N.; Würstlein, R.; Deuker, J.-U.; Dall, P.; Richter, B.; Wachsmann, G.; Brucker, C.; Siebers, J. W.; Fersis, N.; Kuhn, T.; Wolf, C.; Vollert, H.-W.; Breitbach, G.-P.; Janni, W.; Landthaler, R.; Kohls, A.; Rezek, D.; Noesslet, T.; Fischer, G.; Henschen, S.; Praetz, T.; Heyl, V.; Kühn, T.; Krauß, T.; Thomssen, C.; Kümmel, S.; Hohn, A.; Tesch, H.; Mundhenke, C.; Hein, A.; Rauh, C.; Bayer, C. M.; Jacob, A.; Schmidt, K.; Belleville, E.; Hadji, P.; Wallwiener, D.; Grischke, E.-M.; Beckmann, M. W.; Brucker, S. Y.


    Introduction: The EvaluateTM study (Evaluation of therapy management and patient compliance in postmenopausal hormone receptor-positive breast cancer patients receiving letrozole treatment) is a prospective, non-interventional study for the assessment of therapy management and compliance in the routine care of postmenopausal women with invasive hormone receptor-positive breast cancer receiving letrozole. The parameters for inclusion in the study are presented and discussed here. Material and Methods: Between January 2008 and December 2009 a total of 5045 patients in 310 study centers were recruited to the EvaluateTM study. Inclusion criteria were hormone receptor-positive breast cancer and adjuvant treatment or metastasis. 373 patients were excluded from the analysis for various reasons. Results: A total of 4420 patients receiving adjuvant treatment and 252 patients with metastasis receiving palliative treatment were included in the study. For 4181 patients receiving adjuvant treatment, treatment with the aromatase inhibitor letrozole commenced immediately after surgery (upfront). Two hundred patients had initially received tamoxifen and started aromatase inhibitor treatment with letrozole at 1–5 years after diagnosis (switch), und 39 patients only commenced letrozole treatment 5–10 years after diagnosis (extended endocrine therapy). Patient and tumor characteristics were within expected ranges, as were comorbidities and concurrent medication. Conclusion: The data from the EvaluateTM study will offer a good overview of therapy management in the routine care of postmenopausal women with hormone receptor-positive breast cancer. Planned analyses will look at therapy compliance and patient satisfaction with how information is conveyed and the contents of the conveyed information. PMID:25568468

  1. Is the naturalistic course of depression in older people related to received support over time? Results from a longitudinal population-based study

    NARCIS (Netherlands)

    Houtjes, W.; Deeg, D.J.H.; van de Ven, P.M.; van Meijel, B.; van Tilburg, T.G.; Beekman, A.T.F.

    Objectives: To test the interrelation of the naturalistic course of depression in older people with long-term support received. Design: Longitudinal cohort study. Methods: A sample of 277 adults age 55-85years participating in the Longitudinal Aging Study Amsterdam, with clinically relevant

  2. Why do patients receive care from a short-term medical mission? Survey study from rural Guatemala. (United States)

    Esquivel, Micaela M; Chen, Joy C; Woo, Russell K; Siegler, Nora; Maldonado-Sifuentes, Francisco A; Carlos-Ochoa, Jehidy S; Cardona-Diaz, Andy R; Uribe-Leitz, Tarsicio; Siegler, Dennis; Weiser, Thomas G; Yang, George P


    Hospital de la Familia was established to serve the indigent population in the western highlands of Guatemala and has a full-time staff of Guatemalan primary care providers supplemented by short-term missions of surgical specialists. The reasons for patients seeking surgical care in this setting, as opposed to more consistent care from local institutions, are unclear. We sought to better understand motivations of patients seeking mission-based surgical care. Patients presenting to the obstetric and gynecologic, plastic, ophthalmologic, general, and pediatric surgical clinics at the Hospital de la Familia from July 27 to August 6, 2015 were surveyed. The surveys assessed patient demographics, surgical diagnosis, location of home, mode of travel, and reasons for seeking care at this facility. Of 252 patients surveyed, 144 (59.3%) were female. Most patients reported no other medical condition (67.9%, n = 169) and no consistent income (83.9%, n = 209). Almost half (44.9%, n = 109) traveled >50 km to receive care. The most common reasons for choosing care at this facility were reputation of high quality (51.8%, n = 130) and affordability (42.6%, n = 102); the least common reason was a lack of other options (6.4%, n = 16). Despite long travel distances and the availability of other options, reputation and affordability were primarily cited as the most common reasons for choosing to receive care at this short-term surgical mission site. Our results highlight that although other surgical options may be closer and more readily available, reputation and cost play a large role in choice of patients seeking care. Published by Elsevier Inc.

  3. Social differences in who receives questions and advice about smoking habits when visiting primary care – Results from a population based study in Sweden in 2012

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    Anu Molarius


    Full Text Available The aim of this study was to examine whether there are social disparities in who receives questions and advice on smoking habits when visiting primary care and whether these disparities can be explained by differences in smoking habits. The study is based on 30,188 individuals aged 16–84 years who responded to a population survey questionnaire in 2012 in four counties in mid-Sweden (response rate 51%. Multivariate logistic regression models were used in statistical analyses. A total of 32% of those who visited a health care centre during the last three months reported that they were asked about their smoking habits during their latest visit, 6% received advice. In general, daily smokers received more often questions, and especially advice, than non-smokers. Persons with low education received more advice than persons with high education due to higher smoking prevalence. However, persons on disability pension and the unemployed were less frequently asked about their smoking habits than employees even though they smoke more. Women received less often questions and advice than men. Persons born outside the Nordic countries received advice twice as often as native Swedes regardless of whether they were daily smokers or not. In Sweden, those who are asked and, in particular, receive advice about changing their smoking habits while visiting primary care are mainly those who need it most. But the findings also imply that measures to reduce smoking should be intensified for women and are perhaps too intense for persons born outside the Nordic countries.

  4. Facilitators and barriers influencing the readiness to receive dental implants in a geriatric institutionalised population-A randomized non-invasive interventional study. (United States)

    Merz, Miriam A; Terheyden, Hendrik; Huber, Christian G; Seixas, Azizi A; Schoetzau, Andreas; Schneeberger, Andres R


    Although elderly people have many serious dental issues and are in need of prosthesis, few opt for dental implants. The aim of this study was to investigate barriers that prevent elderly people from receiving dental implants. Specifically, we examined (i) whether the message was delivered before or after the interview had an impact, and (ii) whether it did matter who delivered the message. Sixty-six residents from seven residential homes in the Canton of Grisons, Switzerland were included. The sample was randomized to a treatment group that received comprehensive education about dental implants before the interview and a control group that received education after completing the questionnaire. The sample consisted of 54 women (81.8%) and 12 males (18.2%) with an average age of 86.2 years. Education before the interview did not show any impact on the attitude towards dental implants. Main reasons for a negative attitude towards implants were old age and high costs. Participants who received information about implants from their relatives and their own dentist and not from the study dentist were significantly more willing to receive implants. Providing an adequate education about benefits and risks of receiving dental implants does not change the attitude towards dental implants. The source of information/messenger does influence attitudes towards implants. If the person delivering the education and information is a relative or a known medical person, the person's attitude is more likely to change as compared to people receiving the information from an unrelated person. © 2017 John Wiley & Sons A/S and The Gerodontology Association. Published by John Wiley & Sons Ltd.

  5. The functions of language: an experimental study. (United States)

    Redhead, Gina; Dunbar, R I M


    We test between four separate hypotheses (social gossip, social contracts, mate advertising and factual information exchange) for the function(s) of language using a recall paradigm. Subjects recalled the social content of stories (irrespective of whether this concerned social behavior, defection or romantic events) significantly better than they did ecological information. Recall rates were no better on ecological stories if they involved flamboyant language, suggesting that, if true, Miller's "Scheherazade effect" may not be independent of content. One interpretation of these results might be that language evolved as an all-purpose social tool, and perhaps acquired specialist functions (sexual advertising, contract formation, information exchange) at a later date through conventional evolutionary windows of opportunity.

  6. The Functions of Language: An Experimental Study

    Directory of Open Access Journals (Sweden)

    Gina Redhead


    Full Text Available We test between four separate hypotheses (social gossip, social contracts, mate advertising and factual information exchange for the function(s of language using a recall paradigm. Subjects recalled the social content of stories (irrespective of whether this concerned social behavior, defection or romantic events significantly better than they did ecological information. Recall rates were no better on ecological stories if they involved flamboyant language, suggesting that, if true, Miller's “Scheherazade effect” may not be independent of content. One interpretation of these results might be that language evolved as an all-purpose social tool, and perhaps acquired specialist functions (sexual advertising, contract formation, information exchange at a later date through conventional evolutionary windows of opportunity.

  7. A pharmacogenetics study to predict outcome in patients receiving anti-VEGF therapy in age related macular degeneration (United States)

    Kitchens, John W; Kassem, Nawal; Wood, William; Stone, Thomas W; Isernhagen, Rick; Wood, Edward; Hancock, Brad A; Radovich, Milan; Waymire, Josh; Li, Lang; Schneider, Bryan P


    Purpose To ascertain whether single nucleotide polymorphisms (SNPs) in the Vascular Endothelial Growth factor (VEGFA), Complement Factor H (CFH), and LOC387715 genes could predict outcome to anti-VEGF therapy for patients with age related macular degeneration (AMD). Methods Patients with “wet” AMD were identified by chart review. Baseline optical coherence tomography (OCT) and visual acuity (VA) data, and at least 6 months of clinical follow up after 3 initial monthly injections of bevacizumab or ranibizumab were required for inclusion. Based on OCT and VA, patients were categorized into two possible clinical outcomes: (a) responders and (b) non-responders. DNA was extracted from saliva and genotyped for candidate SNPs in the VEGFA, LOC387715, and CFH genes. Clinical outcomes were statistically compared to patient genotypes. Results 101 patients were recruited, and one eye from each patient was included in the analysis. 97% of samples were successfully genotyped for all SNPs. We found a statistically significant association between the LOC387715 A69S TT genotype and outcome based on OCT. Conclusion Genetic variation may be associated with outcome in patients receiving anti-VEGF therapy. PMID:24143065

  8. Radiation Dose to Family Member of Hospitalized Patient Receiving I-131 Therapy for Thyroid Cancer: Case Study

    International Nuclear Information System (INIS)

    Tuntawiroon, M; Chaudakshetrin, P; Sritongkul N; Thongprapal, T


    Full text: During high-dose I-131 therapy, hospitalized patient who is unable to walk to the bathroom is at risk of radiation burden to comforter from excreted urine. Foley catheter is usually placed in the patient before I-131 administration. The urine was collected and housed in lead shielding, emptied every 4 to 6 hours on the first day, and every 8 to 10 hours on subsequent days. After specific instructions with regard to radiation safety, family member designed as the caregiver of patient was provided an electronic personal dosimeter to directly measure radiation dose for three days in isolated hospitalization and two more weeks at home. The caregiver recorded time spent in contact with the patient and activities performed during these times. Total accumulative dose for 16 days was 650 μSv of which 44% (288 μSv) was from the first 24 hours and more than 70% (462 μSv) during the first 72 hours, and about 25% (162 μSv) from emptying urine bags. Most of the dose received (488 μSv) was from attending time spent in the vicinity of the patients. However, this was not exceeding the constraints of 1 mSv/y and well below the limit of 5 mSv in any one year for exposed caregiver and comforter

  9. Activated and deactivated functional brain areas in the Deqi state: A functional MRI study. (United States)

    Huang, Yong; Zeng, Tongjun; Zhang, Guifeng; Li, Ganlong; Lu, Na; Lai, Xinsheng; Lu, Yangjia; Chen, Jiarong


    We compared the activities of functional regions of the brain in the Deqi versus non-Deqi state, as reported by physicians and subjects during acupuncture. Twelve healthy volunteers received sham and true needling at the Waiguan (TE5) acupoint. Real-time cerebral functional MRI showed that compared with non-sensation after sham needling, true needling activated Brodmann areas 3, 6, 8, 9, 10, 11, 13, 20, 21, 37, 39, 40, 43, and 47, the head of the caudate nucleus, the parahippocampal gyrus, thalamus and red nucleus. True needling also deactivated Brodmann areas 1, 2, 3, 4, 5, 6, 7, 9, 10, 18, 24, 31, 40 and 46.

  10. Customizable Digital Receivers for Radar (United States)

    Moller, Delwyn; Heavey, Brandon; Sadowy, Gregory


    Compact, highly customizable digital receivers are being developed for the system described in 'Radar Interferometer for Topographic Mapping of Glaciers and Ice Sheets' (NPO-43962), NASA Tech Briefs, Vol. 31, No. 7 (August 2007), page 72. The receivers are required to operate in unison, sampling radar returns received by the antenna elements in a digital beam-forming (DBF) mode. The design of these receivers could also be adapted to commercial radar systems. At the time of reporting the information for this article, there were no commercially available digital receivers capable of satisfying all of the operational requirements and compact enough to be mounted directly on the antenna elements. A provided figure depicts the overall system of which the digital receivers are parts. Each digital receiver includes an analog-to-digital converter (ADC), a demultiplexer (DMUX), and a field-programmable gate array (FPGA). The ADC effects 10-bit band-pass sampling of input signals having frequencies up to 3.5 GHz. The input samples are demultiplexed at a user-selectable rate of 1:2 or 1:4, then buffered in part of the FPGA that functions as a first-in/first-out (FIFO) memory. Another part of the FPGA serves as a controller for the ADC, DMUX, and FIFO memory and as an interface between (1) the rest of the receiver and (2) a front-panel data port (FPDP) bus, which is an industry-standard parallel data bus that has a high data-rate capability and multichannel configuration suitable for DBF. Still other parts of the FPGA in each receiver perform signal-processing functions. The digital receivers can be configured to operate in a stand-alone mode, or in a multichannel mode as needed for DBF. The customizability of the receiver makes it applicable to a broad range of system architectures. The capability for operation of receivers in either a stand-alone or a DBF mode enables the use of the receivers in an unprecedentedly wide variety of radar systems.

  11. A flexible WLAN receiver

    NARCIS (Netherlands)

    Schiphorst, Roelof; Hoeksema, F.W.; Slump, Cornelis H.


    Flexible radio receivers are also called Software Defined Radios (SDRs) [1], [2]. The focus of our SDR project [3] is on designing the front end, from antenna to demodulation in bits, of a °exible, multi-standard WLAN receiver. We try to combine an instance of a (G)FSK receiver (Bluetooth) with an

  12. Good practices according to WHO's recommendation for normal labor and birth and women's assessment of the care received: the "birth in Brazil" national research study, 2011/2012. (United States)

    Baldisserotto, Marcia Leonardi; Theme Filha, Mariza Miranda; da Gama, Silvana Granado Nogueira


    The World Health Organization recommends good practices for the conduct of uncomplicated labor and birth, with the aim of improving the quality of and assessment by women of childbirth care. The aim of this study was to evaluate the association between adoption of good practices according to WHO's recommendation for normal labor and birth and assessment by women of the care received. Birth in Brazil is a national hospital-based study with countrywide representation consisting of 23,894 mothers and their newborns, conducted between February 2011 and October 2012. The present study analysed a subsample of this national survey. Postpartum women classified as low risk during pregnancy who had experienced either spontaneous or induced labor were included in this study, totalling 4102 mothers. To estimate the association between assessment by women of the childbirth care received (dependent variable) and good practices according to WHO's recommendation during normal labor and birth (independent variables), a multinomial logistic regression analysis was used and crude and adjusted odds ratios calculated with their 95 % confidence intervals. The good practices associated with positive assessment of the care received by women during labor and birth included the partner's presence, privacy in the birthing place, time available to ask questions, clarity of information received, and empathic support from caregivers during labor and birth. Freedom of movement, free nutrition offered, choice of companions, nonpharmacological analgesia, skin-to-skin contact and breastfeeding in the childbirth room were not associated with the assessment by women of the care received. Our findings reveal the importance to mothers of their relationship with the team of caregivers during labor and birth. Therefore, caregiver teams must be qualified within a more humanistic vision of childbirth health care.

  13. Fine crustal and uppermost mantle S-wave velocity structure beneath the Tengchong volcanic area inferred from receiver function and surface-wave dispersion: constraints on magma chamber distribution (United States)

    Li, Mengkui; Zhang, Shuangxi; Wu, Tengfei; Hua, Yujin; Zhang, Bo


    The Tengchong volcanic area is located in the southeastern margin of the collision zone between the Indian and Eurasian Plates. It is one of the youngest intraplate volcano groups in mainland China. Imaging the S-wave velocity structure of the crustal and uppermost mantle beneath the Tengchong volcanic area is an important means of improving our understanding of its volcanic activity and seismicity. In this study, we analyze teleseismic data from nine broadband seismic stations in the Tengchong Earthquake Monitoring Network. We then image the crustal and uppermost mantle S-wave velocity structure by joint analysis of receiver functions and surface-wave dispersion. The results reveal widely distributed low-velocity zones. We find four possible magma chambers in the upper-to-middle crust and one in the uppermost mantle. The chamber in the uppermost mantle locates in the depth range from 55 to 70 km. The four magma chambers in the crust occur at different depths, ranging from the depth of 7 to 25 km in general. They may be the heat sources for the high geothermal activity at the surface. Based on the fine crustal and uppermost mantle S-wave velocity structure, we propose a model for the distribution of the magma chambers.

  14. Effects of electroconvulsive therapy on amygdala function in major depression - a longitudinal functional magnetic resonance imaging study. (United States)

    Redlich, R; Bürger, C; Dohm, K; Grotegerd, D; Opel, N; Zaremba, D; Meinert, S; Förster, K; Repple, J; Schnelle, R; Wagenknecht, C; Zavorotnyy, M; Heindel, W; Kugel, H; Gerbaulet, M; Alferink, J; Arolt, V; Zwanzger, P; Dannlowski, U


    Electroconvulsive therapy (ECT) is one of the most effective treatments for severe depression. However, little is known regarding brain functional processes mediating ECT effects. In a non-randomized prospective study, functional magnetic resonance imaging data during the automatic processing of subliminally presented emotional faces were obtained twice, about 6 weeks apart, in patients with major depressive disorder (MDD) before and after treatment with ECT (ECT, n = 24). Additionally, a control sample of MDD patients treated solely with pharmacotherapy (MED, n = 23) and a healthy control sample (HC, n = 22) were obtained. Before therapy, both patient groups equally showed elevated amygdala reactivity to sad faces compared with HC. After treatment, a decrease in amygdala activity to negative stimuli was discerned in both patient samples indicating a normalization of amygdala function, suggesting mechanisms potentially unspecific for ECT. Moreover, a decrease in amygdala activity to sad faces was associated with symptomatic improvements in the ECT sample (r spearman = -0.48, p = 0.044), and by tendency also for the MED sample (r spearman = -0.38, p = 0.098). However, we did not find any significant association between pre-treatment amygdala function to emotional stimuli and individual symptom improvement, neither for the ECT sample, nor for the MED sample. In sum, the present study provides first results regarding functional changes in emotion processing due to ECT treatment using a longitudinal design, thus validating and extending our knowledge gained from previous treatment studies. A limitation was that ECT patients received concurrent medication treatment.

  15. Using RNA Interference to Study Protein Function


    Curtis, Carol D.; Nardulli, Ann M.


    RNA interference can be extremely useful in determining the function of an endogenously-expressed protein in its normal cellular environment. In this chapter, we describe a method that uses small interfering RNA (siRNA) to knock down mRNA and protein expression in cultured cells so that the effect of a putative regulatory protein on gene expression can be delineated. Methods of assessing the effectiveness of the siRNA procedure using real time quantitative PCR and Western analysis are also in...

  16. Functional studies of sodium pump isoforms

    DEFF Research Database (Denmark)

    Clausen, Michael Jakob

    The Na+,K+-ATPase is an essential ion pump found in all animal cells. It uses the energy from ATP hydrolysis to export three Na+ and import two K+, both against their chemical gradients and for Na+ also against the electrical potential. Mammals require four Na+,K+-ATPase isoforms that each have...... unique expression profiles and specialized functional features. We use a Two Electrode Voltage Clamp setup to determine pre-steady-state and steady-state characteristics of each isoform and design chimeras to pin-point the structural elements responsible for observed differences. With this strategy we...

  17. Highly Sensitive Optical Receivers

    CERN Document Server

    Schneider, Kerstin


    Highly Sensitive Optical Receivers primarily treats the circuit design of optical receivers with external photodiodes. Continuous-mode and burst-mode receivers are compared. The monograph first summarizes the basics of III/V photodetectors, transistor and noise models, bit-error rate, sensitivity and analog circuit design, thus enabling readers to understand the circuits described in the main part of the book. In order to cover the topic comprehensively, detailed descriptions of receivers for optical data communication in general and, in particular, optical burst-mode receivers in deep-sub-µm CMOS are presented. Numerous detailed and elaborate illustrations facilitate better understanding.

  18. Interrelationship of oral health status, swallowing function, nutritional status, and cognitive ability with activities of daily living in Japanese elderly people receiving home care services due to physical disabilities. (United States)

    Furuta, Michiko; Komiya-Nonaka, Manae; Akifusa, Sumio; Shimazaki, Yoshihiro; Adachi, Munehisa; Kinoshita, Toshinori; Kikutani, Takeshi; Yamashita, Yoshihisa


    Malnutrition and cognitive impairment lead to declines in activities of daily living (ADL). Nutritional status and cognitive ability have been shown to correlate with oral health status and swallowing function. However, the complex relationship among the factors that affect decline in ADL is not understood. We examined direct and indirect relationships among oral health status, swallowing function, nutritional status, cognitive ability, and ADL in Japanese elderly people living at home and receiving home care services because of physical disabilities. Participants were 286 subjects aged 60 years and older (mean age, 84.5±7.9 years) living at home and receiving home care services. Oral health status (the number of teeth and wearing dentures) was assessed, and swallowing function was examined using cervical auscultation. Additionally, ADL, cognitive ability, and nutritional status were assessed using the Barthel Index, the Clinical Dementia Rating Scale, and the Mini Nutritional Assessment-Short Form, respectively. Path analysis was used to test pathways from these factors to ADL. The mean number of teeth present in the participants was 8.6±9.9 (edentates, 40.6%). Dysphagia, malnutrition, and severe cognitive impairment were found in 31.1%, 14.0%, and 21.3% of the participants, respectively. Path analysis indicated that poor oral health status and cognitive impairment had a direct effect on denture wearing, and the consequent dysphagia, in addition to cognitive impairment, was positively associated with malnutrition. Malnutrition as well as dysphagia and cognitive impairment directly limited ADL. A lower number of teeth are positively related to swallowing dysfunction, whereas denture wearing contributes to recovery of swallowing function. Dysphagia, cognitive impairment, and malnutrition directly and indirectly decreased ADL in elderly people living at home and receiving home nursing care. The findings suggest that preventing tooth loss and encouraging denture

  19. Seismic velocity structure of the crust and upper mantle beneath the Texas-Gulf of Mexico margin from joint inversion of Ps and Sp receiver functions and surface wave dispersion (United States)

    Agrawal, M.; Pulliam, J.; Sen, M. K.


    The seismic structure beneath Texas Gulf Coast Plain (GCP) is determined via velocity analysis of stacked common conversion point (CCP) Ps and Sp receiver functions and surface wave dispersion. The GCP is a portion of a ocean-continental transition zone, or 'passive margin', where seismic imaging of lithospheric Earth structure via passive seismic techniques has been rare. Seismic data from a temporary array of 22 broadband stations, spaced 16-20 km apart, on a ~380-km-long profile from Matagorda Island, a barrier island in the Gulf of Mexico, to Johnson City, Texas were employed to construct a coherent image of the crust and uppermost mantle. CCP stacking was applied to data from teleseismic earthquakes to enhance the signal-to-noise ratios of converted phases, such as Ps phases. An inaccurate velocity model, used for time-to-depth conversion in CCP stacking, may produce higher errors, especially in a region of substantial lateral velocity variations. An accurate velocity model is therefore essential to constructing high quality depth-domain images. To find accurate velocity P- and S-wave models, we applied a joint modeling approach that searches for best-fitting models via simulated annealing. This joint inversion approach, which we call 'multi objective optimization in seismology' (MOOS), simultaneously models Ps receiver functions, Sp receiver functions and group velocity surface wave dispersion curves after assigning relative weights for each objective function. Weights are computed from the standard deviations of the data. Statistical tools such as the posterior parameter correlation matrix and posterior probability density (PPD) function are used to evaluate the constraints that each data type places on model parameters. They allow us to identify portions of the model that are well or poorly constrained.

  20. [A comparative study of the physical conditions of elderly people with care needs receiving rehabilitation services from a nurse or a physiotherapist from a visiting nurse service station]. (United States)

    Matsuda, Akiko; Kunori, Miwako


    The purpose of this study was to examine the roles of rehabilitation by a nurse, comparing the attributes of utilization of care services and physical conditions of elderly people receiving rehabilitation services from a nurse or a physiotherapist. Two hundred and fifty four care receivers at the Saiseikai visiting nurse service station, Shiga Prefecture, were interviewed by a nurse or a physiotherapist. They were divided into two groups: 1) receivers of rehabilitation services by a nurse (RRSN group), and 2) receivers of rehabilitation services by a physiotherapist (RRSP group). The subjects were matched for gender and age, and 36 participants for each of the two groups were included in the analysis. Level of dementia, activities of daily living (ADL; Barthel Index), instrumental activities of daily living (IADL), the Glasgow Coma Scale (GCS) and use of visiting services were assessed in the interview. Analysis of variance and the chi2 test were used to compare values for the two groups. Level of dementia in the RRSN group was significantly severe than in the RRSP group (Pservices was significantly more in the RRSN group (P<0.05). Physical status in the RRSN group was significantly lower for ADL, GCS than in the RRSP group. IADL of males in the RRSN group was significantly lower. Thus, we conclude that it is important for nurses to make opportunities to visit elderly people with physiotherapists to assess their physical conditions.

  1. A dermatitis control program (DeCoP) for head and neck cancer patients receiving radiotherapy. A prospective phase II study

    International Nuclear Information System (INIS)

    Zenda, Sadamoto; Ishi, Shinobu; Kawashima, Mitsuhiko; Arahira, Satoko; Ichihashi, Tomiko; Tahara, Makoto; Hayashi, Ryuichi; Kishimoto, Seiji


    We speculated that a systematic program to manage radiation dermatitis might decrease the incidence of severe or fatal cases in head and neck cancer patients receiving radiotherapy. Here, we conducted a prospective phase II study to clarify the clinical benefit of a Dermatitis Control Program (DeCoP) that did not use corticosteroids. Head and neck cancer patients scheduled to receive definitive or postoperative radiotherapy were enrolled. Radiation dermatitis was managed with a DeCoP consisting of a three-step ladder: gentle washing; gentle washing and moistening of the wound-healing environment; prevention against infection, gentle washing and moistening of the wound-healing environment. The primary endpoint was the incidence of grade 4 dermatitis. A total of 113 patients were registered between January 2009 and February 2010. Eighty patients received radiotherapy as an initial approach, while the remaining 33 received radiotherapy postoperatively. Grade 3 and 4 dermatitis events occurred in 11 (9.7%) and 0 (0%, 95% confidence interval 0-3.2%) patients, respectively. Median radiation dose at the onset of grade 2 dermatitis was 61.5 Gy (range 36-70 Gy) and median period between onset and recovery was 14 days (range 1-46 days). The Dermatitis Control Program has promising clinical potential. Radiation dermatitis might be manageable if gentle washing and moistening of the wound-healing environment is done. (author)

  2. FIT for FUNCTION: study protocol for a randomized controlled trial. (United States)

    Richardson, Julie; Tang, Ada; Guyatt, Gordon; Thabane, Lehana; Xie, Feng; Sahlas, Demetrios; Hart, Robert; Fleck, Rebecca; Hladysh, Genevieve; Macrae, Louise


    The current state of evidence suggests that community-based exercise programs are beneficial in improving impairment, function, and health status, and are greatly needed for persons with stroke. However, limitations of these studies include risk of bias, feasibility, and cost issues. This single-blinded, randomized controlled trial (RCT) of 216 participants with stroke will compare the effectiveness of a 12-week YMCA community-based wellness program (FIT for FUNCTION) specifically designed for community-dwelling persons with stroke to persons who receive a standard YMCA membership. The primary outcome will be community reintegration using the Reintegration to Normal Living Index at 12 and 24 weeks. Secondary outcomes include measurement of physical activity level using the Rapid Assessment of Physical Activity and accelerometry; balance using the Berg Balance Scale; lower extremity function using the Short Physical Performance Battery; exercise capacity using the 6-min walk test; grip strength and isometric knee extension strength using hand held dynamometry; and health-related quality of life using the European Quality of Life 5-Dimension Questionnaire. We are also assessing cardiovascular health and lipids; glucose and inflammatory markers will be collected following 12-h fast for total cholesterol, insulin, glucose, and glycated hemoglobin. Self-efficacy for physical activity will be assessed with a single question and self-efficacy for managing chronic disease will be assessed using the Stanford 6-item Scale. The Patient Activation Measure will be used to assess the patient's level of knowledge, skill, and confidence for self-management. Healthcare utilization and costs will be evaluated. Group, time, and group × time interaction effects will be estimated using generalized linear models for continuous variables, including relevant baseline variables as covariates in the analysis that differ appreciably between groups at baseline. Cost data will be treated

  3. Determinants of Participation and Expenditure Patterns of Private Tuition Received by Primary School Students in Penang, Malaysia: An Exploratory Study (United States)

    Jelani, Juliana; Tan, Andrew K. G.


    In this exploratory study, the censored Tobit model is applied on primary data collected amongst parents of primary school students in Penang, Malaysia to examine the determinants of participation and expenditures on private tuition (PT). Results of the marginal effects indicate that socio-demographic characteristics--ethnicity, household income,…

  4. Effect of object functions on tomographic reconstruction a numerical study

    International Nuclear Information System (INIS)

    Babu Rao, C.; Baldev Raj; Ravichandran, V.S.; Munshi, P.


    Convolution back projection is the most widely used algorithm of computed tomography (CT). Theoretical studies show that under ideal conditions, the error in the reconstruction can be correlated with the second fourier space derivative of filter function and with the Laplacian of the object function. This paper looks into the second aspect of the error function. In this paper a systematic numerical study is presented on the effect to object functions on global and local errors. (author)

  5. Zeolite function studied by neutron diffraction

    International Nuclear Information System (INIS)

    Newsam, J.M.


    Some recent figures relating to industrial uses of zeolites are summarized. Recent advances in the application of neutron diffraction to zeolite science are overviewed, with particular emphasis on powder diffraction (PND) results. Single crystal neutron diffraction studies of some 17 hydrated natural and synthetic zeolites have now appeared and they provide a consistent picture of zeolite-water interactions. Complete PND studies of hydrated synthetic ABW- and SOD-framework zeolites have also been reported. Other PND studies have explored the structural consequences of non-framework cation exchange, of framework modification by dealumination, and of framework cation substitution. Relatively simple zeolite-hydrocarbon sorbate complexes that have been studied include benzene in zeolite Y, and benzene and pyridine in zeolite L. Areas that are well poised for further development include further extensions to lower symmetry systems, the use of PND data for zeolite structure solution, studies at elevated temperatures and pressures, and further studies of zeolite sorbate complexes. (author) 68 refs., 7 figs

  6. Cardiovascular and cerebrovascular events among patients receiving omalizumab: Results from EXCELS, a prospective cohort study in moderate to severe asthma. (United States)

    Iribarren, Carlos; Rahmaoui, Abdelkader; Long, Aidan A; Szefler, Stanley J; Bradley, Mary S; Carrigan, Gillis; Eisner, Mark D; Chen, Hubert; Omachi, Theodore A; Farkouh, Michael E; Rothman, Kenneth J


    EXCELS, a postmarketing observational cohort study, was a commitment to the US Food and Drug Administration to assess the long-term safety of omalizumab in an observational setting, focusing predominantly on malignancies. The aim of this study was to examine a potential association between omalizumab and cardiovascular (CV)/cerebrovascular (CBV) events in EXCELS. Patients (≥12 years of age) with moderate to severe allergic asthma and who were being treated with omalizumab (n = 5007) or not (n = 2829) at baseline were followed up for ≤5 years. Analyses included overall CV/CBV events, but focused on the subset of arterial thromboembolic events (ATEs), comprising CV death, myocardial infarction, ischemic stroke, transient ischemic attack, and unstable angina. A prespecified analysis of the end point of ATE was conducted to control for available potential confounders. A blinded independent expert panel adjudicated all events. At baseline, the 2 cohorts had similar demographic characteristics, but severe asthma was more common in the omalizumab versus the non-omalizumab group (50% vs 23%). Omalizumab-treated patients had a higher rate of CV/CBV serious adverse events (13.4 per 1,000 person years [PYs]) than did non-omalizumab-treated patients (8.1 per 1,000 PYs). The ATE rates per 1,000 PYs were 6.66 (101 patients/15,160 PYs) in the omalizumab cohort and 4.64 (46 patients/9,904 PYs) in the non-omalizumab cohort. After control for available confounding factors, the hazard ratio was 1.32 (95% CI, 0.91-1.91). This observational study demonstrated a higher incidence rate of CV/CBV events in the omalizumab versus the non-omalizumab cohort. Differences in asthma severity between cohorts likely contributed to this imbalance, but some increase in risk cannot be excluded. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

  7. The effectiveness and cost-effectiveness of community-based support for adolescents receiving antiretroviral treatment: an operational research study in South Africa. (United States)

    Fatti, Geoffrey; Jackson, Debra; Goga, Ameena E; Shaikh, Najma; Eley, Brian; Nachega, Jean B; Grimwood, Ashraf


    Adolescents and youth receiving antiretroviral treatment (ART) in sub-Saharan Africa have high attrition and inadequate ART outcomes, and evaluations of interventions improving ART outcomes amongst adolescents are very limited. Sustainable Development Goal (SDG) target 3c is to substantially increase the health workforce in developing countries. We measured the effectiveness and cost-effectiveness of community-based support (CBS) provided by lay health workers for adolescents and youth receiving ART in South Africa. A retrospective cohort study including adolescents and youth who initiated ART at 47 facilities. Previously unemployed CBS-workers provided home-based ART-related education, psychosocial support, symptom screening for opportunistic infections and support to access government grants. Outcomes were compared between participants who received CBS plus standard clinic-based care versus participants who received standard care only. Cumulative incidences of all-cause mortality and loss to follow-up (LTFU), adherence measured using medication possession ratios (MPRs), CD4 count slope, and virological suppression were analysed using multivariable Cox, competing-risks regression, generalized estimating equations and mixed-effects models over five years of ART. An expenditure approach was used to determine the incremental cost of CBS to usual care from a provider perspective. Incremental cost-effectiveness ratios were calculated as annual cost per patient-loss (through death or LTFU) averted. Amongst 6706 participants included, 2100 (31.3%) received CBS. Participants who received CBS had reduced mortality, adjusted hazard ratio (aHR) = 0.52 (95% CI: 0.37 to 0.73; p effectiveness of CBS in reducing attrition ranged from 42.2% after one year to 35.9% after five years. Virological suppression was similar after three years, but after five years 18.8% CBS participants versus 37.2% non-CBS participants failed to achieve viral suppression, adjusted odds ratio = 0

  8. Erectile dysfunction and quality of life in men receiving methadone or buprenorphine maintenance treatment. A cross-sectional multicentre study.

    Directory of Open Access Journals (Sweden)

    Fabio Lugoboni

    Full Text Available Erectile dysfunction (ED is common among men on opioid replacement therapy (ORT, but most previous studies exploring its prevalence and determinants yielded contrasting findings. Moreover, the impact of ED on patients' quality of life (QoL has been seldom explored.To explore the prevalence and determinants of ED in men on ORT, and the impact on QoL.In a multicentre cross-sectional study, we recruited 797 consecutive male patients on methadone and buprenorphine treatment, collected data on demographic, clinical, and psychopathological factors, and explored their role as predictors of ED and QoL through univariate and multivariate analysis. ED severity was assessed with a self-assessment questionnaire.Nearly half of patients in our sample were sexually inactive or reported some degree of ED. Some demographic, clinical and psychopathological variables significantly differed according to the presence or absence of ED. Multivariate regression analysis indicated that age, employment, smoke, psychoactive drugs, opioid maintenance dosage, and severity of psychopathological factors significantly influenced the risk and severity of ED. QoL was worse in patients with ED and significantly correlated with ED severity. Age, education, employment, opioid maintenance dosage, ED score, and severity of psychopathology significantly influenced QoL in the multivariate analysis.ED complaints can be explored in male opioid users on ORT through a simple and quick self-assessment tool. ED may have important effects on emotional and social well-being, and may affect outcome.

  9. Exploring positive pathways to care for members of the UK Armed Forces receiving treatment for PTSD: a qualitative study

    Directory of Open Access Journals (Sweden)

    Dominic Murphy


    Full Text Available Objective: To examine the factors which facilitate UK military personnel with post-traumatic stress disorder (PTSD to engage in help-seeking behaviours. Methods: The study recruited active service personnel who were attending mental health services, employed a qualitative design, used semi-structured interview schedules to collect data, and explored these data using interpretative phenomenological analysis (IPA. Results: Five themes emerged about how participants were able to access help; having to reach a crisis point before accepting the need for help, overcoming feelings of shame, the importance of having an internal locus of control, finding a psychological explanation for their symptoms and having strong social support. Conclusions: This study reported that for military personnel who accessed mental health services, there were a number of factors that supported them to do so. In particular, factors that combated internal stigma, such as being supported to develop an internal locus of control, appeared to be critical in supporting military personnel to engage in help-seeking behaviour.

  10. Who actually receives cell phone use while driving citations and how much are these laws enforced among states? A descriptive, cross-sectional study


    Rudisill, Toni M; Zhu, Motao


    Objectives While numerous cell phone use while driving laws have been passed among states, little information exists regarding who gets cited for these traffic infractions and how much these laws are enforced at the state-level within the USA. Design Cross-sectional, descriptive study. Setting 14 states and the District of Columbia. Participants Those receiving cell phone use while driving citations within included states from 2007 to 2013. Primary outcome Demographic characteristics of cited...

  11. Results of a phase I dose escalation study of eltrombopag in patients with advanced soft tissue sarcoma receiving doxorubicin and ifosfamide

    International Nuclear Information System (INIS)

    Chawla, Sant P; Staddon, Arthur; Hendifar, Andrew; Messam, Conrad A; Patwardhan, Rita; Kamel, Yasser Mostafa


    The objective of this Phase I dose escalation study was to explore the safety and tolerability of eltrombopag, an oral, nonpeptide, thrombopoietin receptor agonist, in patients with advanced soft tissue sarcoma (STS) and thrombocytopenia due to treatment with doxorubicin and ifosfamide (AI) combination chemotherapy. Patients aged 18 or older with histologically confirmed, locally advanced or metastatic STS were treated with 1 cycle of AI followed by AI with eltrombopag starting at Cycle 2, using 2 different dosing schedules. The study design included an eltrombopag dose escalation phase starting at 75 mg daily to determine the optimal biological dose (OBD). Eighteen patients were enrolled and 15 received at least 1 dose of chemotherapy; 3 patients withdrew prior to receiving eltrombopag. Seven, 4, and 1 patients received 75 mg, 100 mg, and 150 mg eltrombopag daily, respectively. No dose-limiting toxicities were reported. Due to slow recruitment, the study was closed prior to identifying an OBD. The most common hematologic adverse events (AEs) were thrombocytopenia (80%), neutropenia (73%), and anemia (67%). The most common nonhematologic AEs were fatigue (53%), alanine aminotransferase increased, constipation, and nausea (47% each). Eleven of 12 patients who received eltrombopag completed at least 2 chemotherapy cycles; all had increased platelet counts on Day 1 of Cycle 2 (cycle with eltrombopag) compared to Day 1 of Cycle 1 (cycle without eltrombopag). Although data are limited, safety data were consistent with the known toxicities of AI combination chemotherapy or the side effect profile of eltrombopag seen in other studies. Available data suggest a potential pre- and post-chemotherapy dosing scheme for eltrombopag when administered with AI chemotherapy, and support further investigation of eltrombopag treatment in patients with chemotherapy-induced thrombocytopenia

  12. Delphi Accounts Receivable Module - (United States)

    Department of Transportation — Delphi accounts receivable module contains the following data elements, but are not limited to customer information, cash receipts, line of accounting details, bill...

  13. Students classified as LD who received course substitutions for the college foreign language requirement: a replication study. (United States)

    Sparks, Richard L; Philips, Lois G; Javorsky, James


    This replication study examined whether 158 college students classified as learning disabled (LD) who were granted course substitutions for the foreign language (FL) requirement would display significant cognitive and academic achievement differences when grouped by levels of IQ-achievement and achievement-achievement discrepancy and by level of performance on an FL aptitude test (Modern Language Aptitude Test; MLAT), phonological/orthographic processing measures, and in FL courses. The results showed that there were few differences among groups with differing levels of IQ-achievement or achievement-achievement discrepancy (i.e., 1.50 SD) on MLAT and American College Testing (ACT) scores, graduating grade point average (GPA), or college FL GPA. The results also showed that between groups who scored at or above versus below the 15th percentile (i.e., or = 1.0 SD) for classification as LD. These findings suggest that many traditional assumptions about LD and FL learning are likely to be false.

  14. Dose perturbation due to the presence of a prostatic urethral stent in patients receiving pelvic radiotherapy: an in vitro study. (United States)

    Gez, E; Cederbaum, M; Yachia, D; Bar-Deroma, R; Kuten, A


    Temporary metallic intraprostatic stent is a new alternative treatment for patients with urinary obstructive syndrome caused by prostate cancer. Definitive radiotherapy is a treatment of choice for localized prostate cancer. This study evaluates in vitro the effect of a urethral intraprostatic metallic stent on the dose absorbed by the surrounding tissue. The study was designed to mimic the conditions under which the prostatic stent is placed in the body during pelvic irradiation. A urethral stent composed of a 50% nickel-50% titanium alloy (Uracoil-InStent) was imbedded in material mimicking normal tissue (bolus) at a simulated body depth of 10 cm. The distribution of the absorbed dose of irradiation was determined by film dosimetry using Kodak X-Omat V film. Irradiation was done in a single field at the isocenter of a 6 MV linear accelerator with a field size of 7 x 7 cm. The degree of film blackening was in direct proportion to the absorbed dose. The measurements showed an increase in dose of up to 20% immediately before the stent and a decrease of up to 18% immediately after the stent. These changes occurred within a range of 1-3 mm from both sides of the stent. In practice, irradiation in prostate cancer is given by two pairs of opposed co-axial fields; a total of four fields (Box Technique). The dose perturbations are partly cancelled in a pair of opposed beams resulting in a net variation of +/- 4%; therefore, the presence of the intraprostatic stent should not influence radiotherapy planning for prostate cancer.

  15. A prospective study of ocular toxicity in patients receiving ethambutol as a part of directly observed treatment strategy therapy

    Directory of Open Access Journals (Sweden)

    Pragati Garg


    Full Text Available Background and Objectives: India is among the largest countries to implement the revised National Tuberculosis Control Program (RNTCP. This program provides intermittent regimens to the patients, where the doses of isoniazid and ethambutol are more as compared to the daily regimen, which is a cause of concern, particularly with regard to the ocular toxicity of ethambutol. The present study was undertaken to explore the ocular toxicity in the patients registered under the program. Materials and Methods: This was a prospective single center cohort study of 64 patients of categories I and II, coming to the RNTCP-Directly Observed Treatment Strategy (DOTS center at a tertiary care referral hospital. The detailed history, best corrected visual acuity, fundus examination, and color vision test were carried out in all patients at the start of treatment and then at the first and second month of treatment. Results: Loss in visual acuity from the baseline was noted at the second month follow up in 12 (9.4% eyes (P = 0.001, visual field defects were seen in eight (6.3% eyes (P = 0.0412, and optic disc abnormalities were observed in six (4.7% (P = 0.013 eyes. Color vision abnormalities were noted in 16 (12.6% eyes (P = 0.003, four eyes showed impairment in red-green color perception, and the others showed impairment in blue-yellow color perception as well. Patients with ocular symptoms were advised to stop ethambutol and they showed improvement in visual acuity after follow up of one to two months. The overall outcome of treatment was not affected by discontinuation of ethambutol in these patients. Conclusion: Ethambutol when taken according to program could cause ocular toxicity. The early recognition of ocular symptoms is important to prevent unnecessary delay in diagnosis and probable irreversible visual loss.

  16. A comparative study of art therapy in cancer patients receiving chemotherapy and improvement in quality of life by watercolor painting. (United States)

    Bozcuk, H; Ozcan, K; Erdogan, C; Mutlu, H; Demir, M; Coskun, S


    There is limited data on the role of art therapy used in cancer patients. We wanted to test the effect of painting art therapy provided by a dedicated professional painting artist on quality of life and anxiety and depression levels in patients having chemotherapy. Cancer patients having chemotherapy in the day unit of a medical oncology department of a university hospital were offered to take part in a painting art therapy program (PATP). This program consisted of a professional painting artist facilitating and helping patients to perform painting during their chemotherapy sessions while they were in the day unit, as well as supplying them painting material for home practice. The changes in quality of life domains of EORTC-QLQ-C30 questionnaire and in Hospital Anxiety and Depression Scores (HADS) were assessed before and after the PATP. These results were contrasted with a reference group of cancer patients on chemotherapy but not taking part in the PATP. In order to adjust for multiple comparisons of quality of life parameters between patient groups, we utilized the Bonferroni correction. A total of 48 patients, of which 26 patients did and 22 did not have prior exposure to PATP, were enrolled in the PATP. A control group of 24 patients who did not have any PATP activity during the study period also took part in the study. With PATP, there was significant improvement in global quality of life (F=7.87, P=0.001), and depression scores (F=7.80, P=0.001). To our knowledge, this is the largest comparative PATP experience in cancer patients on chemotherapy and show that PATP is feasible in the clinics. Our results confirm that art therapy in the form of painting improves quality of life and depression in cancer patients having chemotherapy. This effect was more pronounced in patients without any previous experience of PATP. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Giving or receiving something for sex: a cross-sectional study of transactional sex among Ugandan university students.

    Directory of Open Access Journals (Sweden)

    Vikas Choudhry

    Full Text Available This study sought to determine the prevalence of transactional sex among university students in Uganda and to assess the possible relationship between transactional sex and sexual coercion, physical violence, mental health, and alcohol use.In 2010, 1954 undergraduate students at a Ugandan university responded to a self-administered questionnaire that assessed mental health, substance use, physical violence and sexual behaviors including sexual coercion and transactional sex. The prevalence of transactional sex was assessed and logistic regression analysis was performed to measure the associations between various risk factors and reporting transactional sex.Approximately 25% of the study sample reported having taken part in transactional sex, with more women reporting having accepted money, gifts or some compensation for sex, while more men reporting having paid, given a gift or otherwise compensated for sex. Sexual coercion in men and women was significantly associated with having accepted money, gifts or some compensation for sex. Men who were victims of physical violence in the last 12 months had higher probability of having accepted money, gifts or some compensation for sex than other men. Women who were victims of sexual coercion reported greater likelihood of having paid, given a gift or otherwise compensated for sex. Respondents who had been victims of physical violence in last 12 months, engaged in heavy episodic drinking and had poor mental health status were more likely to have paid, given a gift or otherwise compensated for sex.University students in Uganda are at high risk of transactional sex. Young men and women may be equally vulnerable to the risks and consequences of transactional sex and should be included in program initiatives to prevent transactional sex. The role of sexual coercion, physical violence, mental health, and alcohol use should be considered when designing interventions for countering transactional sex.

  18. Characteristics and outcomes of older HIV-infected patients receiving antiretroviral therapy in Malawi: A retrospective observation cohort study.

    Directory of Open Access Journals (Sweden)

    Hannock Tweya

    Full Text Available To estimate patients enrolling on antiretroviral therapy (ART over time; describe trends in baseline characteristics; and compare immunological response, loss to follow-up (LTFU, and mortality by three age groups (25-39, 40-49 and ≥50 years.A retrospective observation cohort study.This study used routine ART data from two public clinics in Lilongwe, Malawi. All HIV-infected individuals, except pregnant or breastfeeding women, aged ≥ 25 years at ART initiation between 2006 and 2015 were included. Poisson regression models estimated risk of mortality, stratified by age groups.Of 37,378 ART patients, 3,406 were ≥ 50 years old. Patients aged ≥ 50 years initiated ART with more advanced WHO clinical stage and lower CD4 cell count than their younger counterparts. Older patients had a significantly slower immunological response to ART in the first 18 months on ART compared to patients aged 25-39 years (p = 0.04. Overall mortality rates were 2.3 (95% confidence Interval (CI 2.2-2.4, 2.9 (95% CI 2.7-3.2 and 4.6 (95% CI 4.2-5.1 per 100 person-years in patients aged 25-39 years, 40-49 years and 50 years and older, respectively. Overall LTFU rates were 6.3 (95% CI 6.1-6.5, 4.5 (95% CI 4.2-4.7, and 5.6 (95% CI 5.1-6.1 per 100 person years among increasing age cohorts. The proportion of patients aged ≥ 50 years and newly enrolling into ART care remained stable at 9% while the proportion of active ART patients aged ≥50 years increased from 10% in 2006 to 15% in 2015.Older people had slower immunological response and higher mortality. Malawi appears to be undergoing a demographic shift in people living with HIV. Increased consideration of long-term ART-related problems, drug-drug interactions and age-related non-communicable diseases is warranted.

  19. Functional approaches in translation studies in Germany Functional approaches in translation studies in Germany

    Directory of Open Access Journals (Sweden)

    Paul Kussmaul


    Full Text Available In the early phase of translation studies in Germany, contrastive linguistics played a major role. I shall briefly describe this approach so that the functional approach will become clearer by contrast. Influenced by the representatives of stylistique comparée, Vinay/Darbelnet (1968 Wolfram Wilss, for instance, in his early work (1971, 1977 makes frequent use of the notion transposition (German “Ausdrucksverschiebung“, cf. also Catford’s (1965 term shift. As a whole, of course, Wilss’ work has a much broader scope. More recently, he has investigated the role of cognition (1988 and the various factors in translator behaviour (1996. Nevertheless, transposition is still a very important and useful notion in describing the translation process. The need for transpositions arises when there is no possibility of formal one-to-one correspondence between source and target-language structures. The basic idea is that whenever there is a need for transposition, we are faced with a translation problem. In the early phase of translation studies in Germany, contrastive linguistics played a major role. I shall briefly describe this approach so that the functional approach will become clearer by contrast. Influenced by the representatives of stylistique comparée, Vinay/Darbelnet (1968 Wolfram Wilss, for instance, in his early work (1971, 1977 makes frequent use of the notion transposition (German “Ausdrucksverschiebung“, cf. also Catford’s (1965 term shift. As a whole, of course, Wilss’ work has a much broader scope. More recently, he has investigated the role of cognition (1988 and the various factors in translator behaviour (1996. Nevertheless, transposition is still a very important and useful notion in describing the translation process. The need for transpositions arises when there is no possibility of formal one-to-one correspondence between source and target-language structures. The basic idea is that whenever there is a need for

  20. Depressive symptoms during adverse economic and political circumstances: A comparative study on Greek female breast cancer patients receiving chemotherapy treatment. (United States)

    Pelekasis, P; Kampoli, K; Ntavatzikos, A; Charoni, A; Tsionou, C; Koumarianou, A


    The aim of this study was to search for an effect of the adverse economic and political events that took place in 2015 in Greece (threat of bankruptcy, referendum, capital controls) on depressive symptoms of breast cancer patients on chemotherapy. The clinician-rated version of the Inventory of Depressive Symptomatology (IDS-C30) and a form documenting sociodemographic, medical and social network characteristics were administrated in two groups of patients: one in 2010 and one in the aftermath of the July 2015 events. No differences were found between medical, demographic and social characteristics. The IDS-C30 median value of patients treated in 2010 was 28.07 (CI, 25.91-31.60), while that of the 2015's group was 18.00 (CI, 16.92-20.60), indicating less depressive symptoms for the second group. The analysis revealed that the differences between the two groups were statistically significant (p = <.001), denoting a strong effect size (r = .53). Lower depressive symptoms after the July 2015 events could be explained by different personal and social factors- most possibly an increase of social support to the most vulnerable-yet to be proven. Future research on the effect of striking economic and political events on mental health of a larger cohort of breast cancer patients is warranted. © 2017 John Wiley & Sons Ltd.

  1. Can weight gain be prevented in women receiving treatment for breast cancer? A systematic review of intervention studies. (United States)

    Thomson, Z O; Reeves, M M


    Obesity and weight gain have been associated with poor disease-specific and health-related outcomes in women with breast cancer. This review aimed to evaluate the effectiveness of weight gain prevention interventions among women with breast cancer. Completed and ongoing trials evaluating a behaviourally based dietary intervention with or without physical activity and with a focus on weight gain prevention during treatment for breast cancer were reviewed. Weight change and body composition data were extracted. Within-group weight change of ±1 kg and between-group (intervention versus control) weight difference of ≥2 kg were defined as successful weight gain prevention. Five completed trials (seven intervention arms) and five ongoing trials were identified. Completed trials exclusively recruited premenopausal or premenopausal and postmenopausal women. Within-group weight gain was prevented in two intervention arms, two arms achieved weight loss and three arms reported weight gain. Of the five comparisons with control groups, two reported significant differences in weight change between groups. Ongoing trials will provide further evidence on longer-term outcomes, cost-effectiveness and blood markers. This small but growing number of studies provides preliminary and promising evidence that weight gain can be prevented in women with breast cancer undergoing chemotherapy. © 2017 World Obesity Federation.

  2. General practice variation in spirometry testing among patients receiving first-time prescriptions for medication targeting obstructive lung disease in Denmark: a population-based observational study. (United States)

    Koefoed, Mette M; Søndergaard, Jens; Christensen, René dePont; Jarbøl, Dorte E


    Spirometry testing is essential to confirm an obstructive lung disease, but studies have reported that a large proportion of patients diagnosed with COPD or asthma have no history of spirometry testing. Also, it has been shown that many patients are prescribed medication for obstructive lung disease without a relevant diagnosis or spirometry test registered. General practice characteristics have been reported to influence diagnosis and management of several chronic diseases. However, these findings are inconsistent, and it is uncertain whether practice characteristics influence spirometry testing among patients receiving medication for obstructive lung disease. The aim of this study was therefore to examine if practice characteristics are associated with spirometry testing among patients receiving first-time prescriptions for medication targeting obstructive lung disease. A national register-based cohort study was performed. All patients over 18 years receiving first-time prescriptions for medication targeting obstructive lung disease in 2008 were identified and detailed patient-specific data on sociodemographic status and spirometry tests were extracted. Information on practice characteristics like number of doctors, number of patients per doctor, training practice status, as well as age and gender of the general practitioners was linked to each medication user. Partnership practices had a higher odds ratio (OR) of performing spirometry compared with single-handed practices (OR 1.24, CI 1.09-1.40). We found a significant association between increasing general practitioner age and decreasing spirometry testing. This tendency was most pronounced among partnership practices, where doctors over 65 years had the lowest odds of spirometry testing (OR 0.25, CI 0.10-0.61). Training practice status was significantly associated with spirometry testing among single-handed practices (OR 1.40, CI 1.10-1.79). Some of the variation in spirometry testing among patients receiving

  3. Study on hydrological functions of litter layers in North China.

    Directory of Open Access Journals (Sweden)

    Xiang Li

    Full Text Available Canopy interception, throughfall, stemflow, and runoff have received considerable attention during the study of water balance and hydrological processes in forested ecosystems. Past research has either neglected or underestimated the role of hydrological functions of litter layers, although some studies have considered the impact of various characteristics of rainfall and litter on litter interception. Based on both simulated rainfall and litter conditions in North China, the effect of litter mass, rainfall intensity and litter type on the maximum water storage capacity of litter (S and litter interception storage capacity (C were investigated under five simulated rainfall intensities and four litter masses for two litter types. The results indicated: 1 the S values increased linearly with litter mass, and the S values of broadleaf litter were on average 2.65 times larger than the S values of needle leaf litter; 2 rainfall intensity rather than litter mass determined the maximum interception storage capacity (Cmax ; Cmax increased linearly with increasing rainfall intensity; by contrast, the minimum interception storage capacity (Cmin showed a linear relationship with litter mass, but a poor correlation with rainfall intensity; 3 litter type impacted Cmax and Cmin ; the values of Cmax and Cmin for broadleaf litter were larger than those of needle leaf litter, which indicated that broadleaf litter could intercepte and store more water than needle leaf litter; 4 a gap existed between Cmax and Cmin , indicating that litter played a significant role by allowing rainwater to infiltrate or to produce runoff rather than intercepting it and allowing it to evaporate after the rainfall event; 5 Cmin was always less than S at the same litter mass, which should be considered in future interception predictions. Vegetation and precipitation characteristics played important roles in hydrological characteristics.

  4. Problem-based learning at the receiving end: a 'mixed methods' study of junior medical students' perspectives. (United States)

    Maudsley, Gillian; Williams, Evelyn M I; Taylor, David C M


    Qualitative insights about students' personal experience of inconsistencies in implementation of problem-based learning (PBL) might help refocus expert discourse about good practice. This study explored how junior medical students conceptualize: PBL; good tutoring; and less effective sessions. Participants comprised junior medical students in Liverpool 5-year problem-based, community-orientated curriculum. Data collection and analysis were mostly cross-sectional, using inductive analysis of qualitative data from four brief questionnaires and a 'mixed' qualitative/quantitative approach to data handling. The 1999 cohort (end-Year 1) explored PBL, generated 'good tutor' themes, and identified PBL (dis)advantages (end-Year 1 then mid-Year 3). The 2001 cohort (start-Year 1) described critical incidents, and subsequently (end-Year 1) factors in less effective sessions. These factors were coded using coding-frames generated from the answers about critical incidents and 'good tutoring'. Overall, 61.2% (137), 77.9% (159), 71.0% (201), and 71.0% (198) responded to the four surveys, respectively. Responders perceived PBL as essentially process-orientated, focused on small-groupwork/dynamics and testing understanding through discussion. They described 'good tutors' as knowing when and how to intervene without dominating (51.1%). In longitudinal data (end-Year 1 to mid-Year 3), the main perceived disadvantage remained lack of 'syllabus' (and related uncertainty). For less effective sessions (end-Year 1), tutor transgressions reflected unfulfilled expectations of good tutors, mostly intervening poorly (42.6% of responders). Student transgressions reflected the critical incident themes, mostly students' own lack of work/preparation (54.8%) and other students participating poorly (33.7%) or dominating/being self-centred (31.6%). Compelling individual accounts of uncomfortable PBL experiences should inform improvements in implementation.

  5. Adherence to iron supplements among women receiving antenatal care at Mulago National Referral Hospital, Uganda-cross-sectional study. (United States)

    Kiwanuka, Tusuubira S; Ononge, Sam; Kiondo, Paul; Namusoke, Fatuma


    Antenatal iron supplementation is a cost effective way of reducing iron deficiency anaemia among pregnant women in resource limited countries like Uganda. Poor adherence to iron supplements has limited its effectiveness in reducing maternal anaemia as evidenced by the high burden of iron deficiency anemia in Sub-saharan Africa. The aim of this study was to determine the level of and factors associated with adherence to iron supplementation among women attending antenatal clinic at Mulago National Referral Hospital, Kampala, Uganda. Three hundred and seventy pregnant women were recruited in a cross sectional survey in Mulago National Referral Hospital antenatal clinic after informed consent between February and April 2014. Levels of adherence to iron supplements were assessed using visual analogue scale and factors associated collected using an interviewer administered questionnaire. About 12% (11.6%) of the mothers attending the antenatal clinic adhered to iron supplements over 30 day period. Mothers who had had four or more antenatal visits prior to the survey [odds ratio (OR) = 1.49, 95% confidence interval (CI) 1.12-1.97], had more than 2 week supply of iron supplements in the previous visit (OR 2.81, 95% CI 1.02-1.09), prior health education (OR 1.56, 95% CI 1.07-2.29) were more likely to adhere to iron supplements. Inadequate drug supplies and fear for side effects were the main reasons why participants missed the iron supplements. There was low adherence to iron supplements among mothers attending antenatal clinic at Mulago National Referral  Hospital. We recommend a national evaluation of adherence to iron supplements and look at ways of increasing adherence.

  6. High-intensity functional training improves functional movement and body composition among cancer survivors: a pilot study. (United States)

    Heinrich, K M; Becker, C; Carlisle, T; Gilmore, K; Hauser, J; Frye, J; Harms, C A


    This pilot study investigated feasibility and preliminary efficacy of a high-intensity functional training (HIFT) group-exercise programme among adult cancer survivors within 5 years of last cancer treatment. Eight participants were assigned to a 5-week, 3 days/week HIFT intervention with four testing sessions and 12 workouts along with mobility and stretching exercises. Feasibility was assessed by initiation, adherence, and acceptability. Efficacy was determined by changes from baseline to post-test in health-related quality of life, body composition and functional movement. The recruitment rate was 80% and the adherence rate was 75%. Significant improvements were found for emotional functioning (P = 0.042) and body composition (lean mass +3.8 ± 2.1 kg, P = 0.008; fat mass -3.3 ± 1.0 kg, P = 0.001; body fat percentage -4.7 ± 1.2%, P body strength and power (P = 0.009), aerobic capacity and endurance (P = 0.039), and perceived difficulty for flexibility (P = 0.012). Five weeks of HIFT training was well-received and feasible for most cancer survivors, and effective for improving emotional functioning, body composition and functional movement. © 2015 John Wiley & Sons Ltd.

  7. Major clinical outcomes in antiretroviral therapy (ART)-naive participants and in those not receiving ART at baseline in the SMART study

    DEFF Research Database (Denmark)

    Lundgren, Jens; Emery, Sean; Neuhaus, Jacqueline A


    BACKGROUND: The SMART study randomized 5,472 human immunodeficiency virus (HIV)-infected patients with CD4+ cell counts >350 cells/microL to intermittent antiretroviral therapy (ART; the drug conservation [DC] group) versus continuous ART (the viral suppression [VS] group). In the DC group......, participants started ART when the CD4+ cell count was ART at entry inform the early use of ART. METHODS: Patients who were either ART naive (n=249) or who had not been receiving ART for >or= 6 months (n=228) were analyzed. The following......). RESULTS: A total of 477 participants (228 in the DC group and 249 in the VS group) were followed (mean, 18 months). For outcome (iv), 21 and 6 events occurred in the DC (7 in ART-naive participants and 14 in those who had not received ART for >or= 6 months) and VS (2 in ART-naive participants and 4...

  8. Functional rehabilitation of upper limb apraxia in poststroke patients: study protocol for a randomized controlled trial


    P?rez-M?rmol, Jose Manuel; Garc?a-R?os, M? Carmen; Barrero-Hernandez, Francisco J.; Molina-Torres, Guadalupe; Brown, Ted; Aguilar-Ferr?ndiz, Mar?a Encarnaci?n


    Background Upper limb apraxia is a common disorder associated with stroke that can reduce patients? independence levels in activities of daily living and increase levels of disability. Traditional rehabilitation programs designed to promote the recovery of upper limb function have mainly focused on restorative or compensatory approaches. However, no previous studies have been completed that evaluate a combined intervention method approach, where patients concurrently receive cognitive trainin...

  9. Effects of eight weeks of functional training in the functional autonomy of elderly women: a pilot study. (United States)

    DE Matos, Dihogo G; Mazini Filho, Mauro L; Moreira, Osvaldo C; DE Oliveira, Cláudia E; DE Oliveira Venturini, Gabriela R; DA Silva-Grigoletto, Marzo E; Aidar, Felipe J


    This study aimed to evaluate the effects of eight weeks of practical training on the functional autonomy of the elderly. The study included 52 elderly women, 65.42±10.31 years, 65.29±11.30 kg body mass, 1.58±0.07 height, 26.30±4.52 body mass index, 86.48±10.96 cm waist circumference. These elderly women received a specific functional training protocol where their functional autonomy was assessed at three specific times (0, 10 and 20 sessions). The evaluation consisted of a set of five tests defined by the Latin-American Development Group for the Elderly (GDLAM) to determine the functional autonomy of the elderly: walk 10 meters (C10m); stand up from a chair and walk straightaway (SUCWA); dress and undress a T-shirt (DUT); stand up from a sitting position (SUSP); stand up from a lying position (SULP). In each test, the time taken to complete the task was measured. There were statistically significant differences in all functional autonomy tests after 20 training sessions: C10m (pre: 8.10±1.27; post: 7.55±1.10); SUCWA (pre: 40.98±2.77; post: 38.44±2.57); DUT (pre: 13.25±0.88; post: 11.85±0.82); SUSP (pre: 10.74±0.52; post: 8.98±056) and SULP (pre: 3.86±0.37; post: 2.82±0.37). It was determined that 20 functional training sessions were enough to improve the functional autonomy of elderly women. However, we believe that higher volume and intensity of training could be interesting alternatives for even stronger results in future interventions.

  10. Study the ovarian function in Awassi ewes

    International Nuclear Information System (INIS)

    Zarkawi, M.


    An experiment was carried out on local Awassi ewes to study the reproductive performance, progesteron concentrations, accuracy of pregnacy diagnosis and other reproduction related criteria of Awassi ewes using radioimunoassay (RIA). A total of 18 nulliparous Awassi ewes, aged about 1 year and weighing on average 36.9 Kg was used. Live-weight changes were recorded weekly. Blood samples (5 ml) were collected from the jugular vein for about 1 year at 10.00h. Sera were prepared and stored at - 20 deg until assyed. The FAO/IAEA progesterone RIA kits were used. Two ewes aborted after about three-and-a-half months of pregnancy due to mechanical reasons. The remaining ewes (16) lambed between 30th November 1994 and 22nd February 1995. Sex ratio was 1:1 (8 males: 8 females). Average birth weights for both sexes was 5210 ± 525 g. Average birth-weight was higher in males than females. Average male birth-weights was 5338 ± 515 g, (4600 - 6000 g) whereas was 5083 ± 538 g, (4180 - 5700 g) for female lambs. Average basal pre-mating progesterone concentration was 0.60 ± 0.42 n mol/l (0-1.7 n mol/l). Average maximum progesterone concentration during the luteal phase in non-pregnant ewes was 11.1 ± 3.1 n mol/l (5.8 -18.00 n mol/l). Average maximum progesterone concentration during gestation was 58.4 ± 20.9 n mol/l (29.25 - 100.00 n mol/l). The accuracy of pregnancy diagnosis at around 21 days post mating using RIA was 100%. It is concluded that RIA could be used for progesterone determination in Awassi sheep successfully, and that more research work on other aspects of reproduction in Awassi sheep should be carried out. (Author). 29 refs., 47 tabs., 5 figs

  11. Vascular Function at Baseline in the Hemodialysis Fistula Maturation Study


    Dember, Laura M.; Imrey, Peter B.; Duess, Mai?Ann; Hamburg, Naomi M.; Larive, Brett; Radeva, Milena; Himmelfarb, Jonathan; Kraiss, Larry W.; Kusek, John W.; Roy?Chaudhury, Prabir; Terry, Christi M.; Vazquez, Miguel A.; Vongpatanasin, Wanpen; Beck, Gerald J.; Vita, Joseph A.


    Background End?stage renal disease is accompanied by functional and structural vascular abnormalities. The objective of this study was to characterize vascular function in a large cohort of patients with end?stage renal disease, using noninvasive physiological measurements, and to correlate function with demographic and clinical factors. Methods and Results We analyzed cross?sectional baseline data from the Hemodialysis Fistula Maturation Study, a multicenter prospective observational cohort ...

  12. Effect of occupational safety and health education received during schooling on the incidence of workplace injuries in the first 2 years of occupational life: a prospective study. (United States)

    Boini, Stephanie; Colin, Regis; Grzebyk, Michel


    This study aimed to determine the effect of occupational safety and health (OSH) education during formal schooling on the incidence of workplace injuries (WIs) in young people starting their careers. We hypothesised that young people who had received OSH education during their schooling would have fewer WIs than those who received no OSH education. Secondary objectives focused on the effect of 'first aid at work' training during schooling and the conditions encountered on arrival in the company (occupational hazard information, safety training and job task training) on WI occurrence. Prospective cohort study. From 2009 to 2012, French apprentices and students at the end of their schooling and starting their careers were included. Occurrence of WIs. At the time of inclusion, information about school courses and personal characteristics were collected, and subsequent half-yearly contacts gathered information relating to work and personal data. During the 2-year follow-up, WIs were directly reported by participants and were identified by searching the French National Health Insurance Funds' databases listing compulsory WI declarations. 755 participants reported holding 1290 jobs. During follow-up, 158 WIs were identified, corresponding to an incident rate of 0.12 (0.10 to 0.14) WIs per full-time worker. Subjects who reported having received OSH education at school had two times less WIs than those declaring not having received OSH education (incidence rate ratio (IRR) 0.51, 0.00 to 0.98). A lower WI risk was observed for participants who received the 'first aid at work' training (IRR=0.68, 0.00 to 0.98). The conditions on arrival in company were not associated with WIs occurrence. In France, the OSH education provided to apprentices and students is mostly broader than the specific risks related to future jobs. Our results highlight the advantages of reinforcing this approach. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article

  13. Solar energy receiver (United States)

    Schwartz, Jacob


    An improved long-life design for solar energy receivers provides for greatly reduced thermally induced stress and permits the utilization of less expensive heat exchanger materials while maintaining receiver efficiencies in excess of 85% without undue expenditure of energy to circulate the working fluid. In one embodiment, the flow index for the receiver is first set as close as practical to a value such that the Graetz number yields the optimal heat transfer coefficient per unit of pumping energy, in this case, 6. The convective index for the receiver is then set as closely as practical to two times the flow index so as to obtain optimal efficiency per unit mass of material.

  14. Alexandrite Lidar Receiver

    National Research Council Canada - National Science Library

    Wilkerson, Thomas


    ...". The chosen vendor, Orca Photonics, In. (Redmond, WA), in close collaboration with USU personnel, built a portable, computerized lidar system that not only is suitable as a receiver for a near IR alexandrite laser, but also contains an independent Nd...

  15. Family planning utilization and factors associated among women receiving abortion services in health facilities of central zone towns of Tigray, Northern Ethiopia: a cross sectional Study. (United States)

    Hagos, Goshu; Tura, Gurmesa; Kahsay, Gizienesh; Haile, Kebede; Grum, Teklit; Araya, Tsige


    Abortion remains among the leading causes of maternal death worldwide. Post-abortion contraception is significantly effective in preventing unintended pregnancy and abortion if provided before women leave the health facilty. However, the status of post-abortion family planning (PAFP) utilization and the contributing factors are not well studied in Tigray region. So, we conduct study aimed on family planning utilization and factors associated with it among women receiving abortion services. A facility based cross-sectional study design was conducted among women receiving abortion services in central zone of Tigray from December 2015to February 2016 using a total of 416 sample size. Women who came for abortion services were selected using systematic random sampling technique.. The data were collected using a pre-tested interviewer administered questionnair. Data were coded and entered in to Epi info 7 and then exported to SPSS for analysis. Descriptive statisticslike frequencies and mean were computed to display the results. Both Bivariable and multivariable logistic regression was used in the analysis. Variables statistically significant at p < 0.05 in the bivariable analysis were checked in multivariable logistic regration to identify independently associated factors. Then variables which were significantly associated with post abortion family planning utilization at p-value < 0.05 in the multivariable analysis were declared as significantly associated factors. A total of 409 abortion clients were interviewed in this study with 98.3% of response rate. Majority 290 (70.9%) of study participants utilized contracepives after abortion. Type of health facility, the decision maker on timing of having child, knowledge that pregnancy can happen soon after abortion and husband's opposition towards contraceptives were significantly associated with Post-abortion family planning ustilization. About one-third of abortion women failed to receive contraceptive before

  16. Factors associated with emergency services use in Taiwanese advanced cancer patients receiving palliative home care services during out-of-hours periods: a retrospective medical record study. (United States)

    Kao, Yee-Hsin; Liu, Yao-Ting; Koo, Malcolm; Chiang, Jui-Kun


    For patients receiving palliative home care, the need to visit the emergency department is considered to be an indicator of poor quality care. The situation can be particularly distressing when it occurs outside of normal hours of palliative home care service. The aim of this study was to investigate the factors for emergency department use during out-of-hours periods of palliative home care service among advanced cancer patients in Taiwan. This case-control study was based on a retrospective medical chart review (January 2010 to December 2012) of advanced cancer patients who were receiving palliative home care in a community hospital in south Taiwan. The use of emergency medical services by these patients was dichotomized into either normal hours (8 a.m. to midnight, Monday to Friday, excluding public holidays) of palliative home care or outside normal hours. Logistic regression analyses were performed to evaluate factors associated with emergency services use during out-of-hours period of palliative home care. Of the 94 patients receiving palliative home care, 65 had used emergency services at least once during the 3-year study period. Of these 65 patients, 40% used emergency services during out-of-hours of palliative home care. Patients with distressing conditions (defined as the occurrence of any two conditions of dyspnea, change of consciousness, or gastrointestinal bleeding) were significantly more likely to use emergency services during out-of-hours of palliative home care. Patients at risk of developing dyspnea, change of consciousness, or gastrointestinal bleeding should be provided with relevant information regarding these symptoms and signs.

  17. Children who screen positive for autism at 2.5 years and receive early intervention: a prospective naturalistic 2-year outcome study (United States)

    Spjut Jansson, Birgitta; Miniscalco, Carmela; Westerlund, Joakim; Kantzer, Anne-Katrin; Fernell, Elisabeth; Gillberg, Christopher


    Background Previous research has stressed the importance of early identification and intervention for children with autism spectrum disorders. Methods Children who had screened positive for autism at the age of 2.5 years in a general population screening and then received a diagnosis of autism spectrum disorder were enrolled in an intervention program provided by Swedish habilitation services. The following interventions were available: a comprehensive intervention based on Applied Behavior Analysis – Intensive Learning (IL) – in two settings, which included home- and preschool-based (IL Regular) and only home-based (IL Modified) and eclectic interventions. Results There was considerable variability in terms of outcome, but intervention group status was not associated with any of the chosen outcome variables. Conclusion The main finding was that the type of intervention was not critical for outcome of adaptive or global functioning. The variability in outcome demonstrates the need for continuous assessments and evaluation of the child’s function and behavior throughout the intervention period. PMID:27621636

  18. Low and Mid-Latitude Ionospheric Irregularities Studies Using TEC and Radio Scintillation Data from the CITRIS Radio Beacon Receiver in Low-Earth-Orbit (United States)

    Siefring, C. L.; Bernhardt, P. A.; Huba, J.; Krall, J.; Roddy, P. A.


    Unique data on ionospheric plasma irregularities from the Naval Research Laboratory (NRL) CITRIS (Scintillation and TEC Receiver in Space) instrument will be presented. CITRIS is a multi-band receiver that recorded TEC (Total Electron Content) and radio scintillations from Low-Earth Orbit (LEO) on STPSat1. The 555+/5 km altitude 35° inclination orbit covers low and mid-latitudes. The measurements require propagation from a transmitter to a receiver through the F-region plasma. CITRIS used both 1) satellite beacons in LEO, such as the NRL CERTO (Coherent Electromagnetic Radio TOmography) beacons and 2) the global network of ground-based DORIS (Doppler Orbitography and Radiopositioning Integrated by Satellite) beacons. The TEC measurements allow for tracking of ionospheric disturbances and irregularities while the measurements of scintillations can simultaneously characterize their effects. CITRIS was operated in a complementary fashion with the C/NOFS (Communication/Navigations Outages Forecasting System) satellite during most of its first year of operations. C/NOFS carries a three-frequency 150/400/1067 MHz CERTO beacon and is dedicated to the study of Spread-F. In the case of Spread-F, ionospheric irregularities start with large scale size density gradients (100s of km) and cascade through complex processes to short scale sizes (10s of meters). It is typically the 100m-1km scale features that harm communication and navigation systems through scintillations. A multi-sensor approach is needed to completely understand this complex system, such as, the combination of CITRIS remote radio sensing and C/NOFS in-situ data. Several types of irregularities have been studied including Spread-F and the newly discovered dawn-side depletions. Comparisons with the physics based SAMI3 model are being performed to help our understanding of the morphology of the irregularities.

  19. Children who screen positive for autism at 2.5 years and receive early intervention: a prospective naturalistic 2-year outcome study

    Directory of Open Access Journals (Sweden)

    Spjut Jansson B


    Full Text Available Birgitta Spjut Jansson,1–3 Carmela Miniscalco,1,4 Joakim Westerlund,1,5 Anne-Katrin Kantzer,1,6 Elisabeth Fernell,1 Christopher Gillberg1 1Gillberg Neuropsychiatry Centre, Sahlgrenska Academy, Institute of Neuroscience and Physiology, University of Gothenburg, 2Unit of Child and Adolescent Habilitation, 3Department of Psychology, University of Gothenburg, 4Division of Speech and Language Pathology, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, 5Department of Psychology, University of Stockholm, Stockholm, 6Department of Child and Adolescent Psychiatry, NU Hospital Organization, Trollhättan, Sweden Background: Previous research has stressed the importance of early identification and intervention for children with autism spectrum disorders. Methods: Children who had screened positive for autism at the age of 2.5 years in a general population screening and then received a diagnosis of autism spectrum disorder were enrolled in an intervention program provided by Swedish habilitation services. The following interventions were available: a comprehensive intervention based on Applied Behavior Analysis – Intensive Learning (IL – in two settings, which included home- and preschool-based (IL Regular and only home-based (IL Modified and eclectic interventions.Results: There was considerable variability in terms of outcome, but intervention group status was not associated with any of the chosen outcome variables. Conclusion: The main finding was that the type of intervention was not critical for outcome of adaptive or global functioning. The variability in outcome demonstrates the need for continuous assessments and evaluation of the child’s function and behavior throughout the intervention period. Keywords: autism spectrum disorder, preschool children, early intervention, ABA, cognitive function, follow-up

  20. Imaging tools to study pharmacology: functional MRI on small rodents


    Elisabeth eJonckers; Disha eShah; Julie eHamaide; Marleen eVerhoye; Annemie eVan Der Linden


    Functional Magnetic Resonance Imaging (fMRI) is an excellent tool to study the effect of pharmacological modulations on brain function in a non-invasive and longitudinal manner. We introduce several blood oxygenation level dependent (BOLD) fMRI techniques, including resting state (rsfMRI), stimulus-evoked (st-fMRI), and pharmacological MRI (phMRI). Respectively, these techniques permit the assessment of functional connectivity during rest as well as brain activation triggered by sensory stimu...

  1. Nutrition-related risk indexes and long-term mortality in noncritically ill inpatients who receive total parenteral nutrition (prospective multicenter study). (United States)

    Tapia, María José; Ocón, Julia; Cabrejas-Gómez, Carmen; Ballesteros-Pomar, María D; Vidal-Casariego, Alfonso; Arraiza-Irigoyen, Carmen; Olivares, Josefina; Conde-García, Ma Carmen; García-Manzanares, Álvaro; Botella-Romero, Francisco; Quílez-Toboso, Rosa P; Cabrerizo, Lucio; Rubio, Miguel A; Chicharro, Luisa; Burgos, Rosa; Pujante, Pedro; Ferrer, Mercedes; Zugasti, Ana; Petrina, Estrella; Manjón, Laura; Diéguez, Marta; Carrera, Ma José; Vila-Bundo, Anna; Urgelés, Juan Ramón; Aragón-Valera, Carmen; Sánchez-Vilar, Olga; Bretón, Irene; García-Peris, Pilar; Muñoz-Garach, Araceli; Márquez, Efren; del Olmo, Dolores; Pereira, José Luis; Tous, María C; Olveira, Gabriel


    Malnutrition in hospitalized patients is associated with an increased risk of death, in both the short and the long term. The purpose of this study was to determine which nutrition-related risk index predicts long-term mortality better (three years) in patients who receive total parenteral nutrition (TPN). This prospective, multicenter study involved noncritically ill patients who were prescribed TPN during hospitalization. Data were collected on Subjective Global Assessment (SGA), Nutritional Risk Index (NRI), Geriatric Nutritional Risk Index (GNRI), body mass index, albumin and prealbumin, as well as long-term mortality. Over the 1- and 3-year follow-up periods, 174 and 244 study subjects (28.8% and 40.3%) respectively, died. Based on the Cox proportional hazards survival model, the nutrition-related risk indexes most strongly associated with mortality were SGA and albumin (Nutrition and Metabolism. All rights reserved.

  2. Rural patients' access to mobile phones and willingness to receive mobile phone-based pharmacy and other health technology services: a pilot study. (United States)

    Sankaranarayanan, Jayashri; Sallach, Rory E


    This pilot study explores the patient-centered demand for mobile phone-based health (mobile health [m-health]) services in the rural United States by documenting rural patients' access to mobile phones and patients' willingness to receive m-health services. An anonymous institutional review board-approved survey was completed by patients visiting two rural pharmacies in Nebraska from August to October 2011. Patients who volunteered to complete the survey provided their demographic data, disease state information, health status, mobile phone access, and willingness to receive (in terms of using and giving time to) m-health services. The majority of the 24 survey respondents were 19-40 years old (52%), female (88%), married (63%), with excel